A manpower calculus: the implications of SUO fellowship expansion on oncologic surgeon case volumes.

PubMed

See, William A

2014-01-01

Society of Urologic Oncology (SUO)-accredited fellowship programs have undergone substantial expansion. This study developed a mathematical model to estimate future changes in urologic oncologic surgeon (UOS) manpower and analyzed the effect of those changes on per-UOS case volumes. SUO fellowship program directors were queried as to the number of positions available on an annual basis. Current US UOS manpower was estimated from the SUO membership list. Future manpower was estimated on an annual basis by linear senescence of existing manpower combined with linear growth of newly trained surgeons. Case-volume estimates for the 4 surgical disease sites (prostate, kidney/renal pelvis, bladder, and testes) were obtained from the literature. The future number of major cases was determined from current volumes based upon the US population growth rates and the historic average annual change in disease incidence. Two models were used to predict future per-UOS major case volumes. Model 1 assumed the current distribution of cases between nononcologic surgeons and UOS would continue. Model 2 assumed a progressive redistribution of cases over time such that in 2043 100% of major urologic cancer cases would be performed by UOSs. Over the 30-year period to "manpower steady-state" SUO-accredited UOSs practicing in the United States have the potential to increase from approximately 600 currently to 1,650 in 2043. During this interval, case volumes are predicted to change 0.97-, 2.4-, 1.1-, and 1.5-fold for prostatectomy, nephrectomy, cystectomy, and retroperitoneal lymph node dissection, respectively. The ratio of future to current total annual case volumes is predicted to be 0.47 and 0.9 for models 1 and 2, respectively. The number of annual US practicing graduates necessary to achieve a future to current case-volume ratio greater than 1 is 25 and 49 in models 1 and 2, respectively. The current number of SUO fellowship trainees has the potential to decrease future per-UOS case volumes relative to current levels. Redistribution of existing case volume or a decrease in the annual number of trainees or both would be required to insure sufficient surgical volumes for skill maintenance and optimal patient outcomes. Published by Elsevier Inc.

Army Facility Energy Demand and the Impact on National Security

DTIC Science & Technology

2007-03-30

grown from about $15B in 1995 to $46B in 2005.17 Iran’s annual oil revenues have increased approximately $30B (200%) compared with a decade ago...uses up 25 percent of the world’s annual energy production. Additionally, the United States currently imports 26 percent of its total energy supply...insurgent groups fighting U.S. forces.”16 Iran, Venezuela and Sudan are examples of countries that benefit from increased oil revenues , while at the

Quantifying the role of urban forests in removing atmospheric carbon dioxide

Treesearch

Rowan A. Rowntree; David J. Nowak

1991-01-01

Urban land in the United States currently occupies about 69 million acres with an estimated average crown cover of 28% and an estimated tree biomass of about 27 tons/acre. This structure suggests that the current total urban forest carbon storage in the United States is approximately 800 million tons with an estimated annual net carbon storage of around 6.5 million...

75 FR 71446 - Agency Information Collection Activities; Proposed Collection; Comment Request; Reports of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-23

... information regarding these corrections and removals and to determine whether recall action is adequate... Annual Reporting Burden\\1\\ Annual 21 CFR section Number of frequency per Total annual Hours per Total... Average Annual Recordkeeping Burden \\1\\ Annual 21 CFR Section Number of frequency per Total annual Hours...

77 FR 47840 - Agency Information Collection Activities; Renewal of a Currently Approved Collection; Comment...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-10

... Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A). The FDIC is soliciting comments... Response: 26.2. Total Annual Burden: 137,467 hours. General Description of Collection: In 1985, the FDIC...

Regional assessment of woody biomass physical availability as an energy feedstock for combined combustion in the US northern region

Treesearch

Michael E. Goerndt; Francisco X. Aguilar; Patrick Miles; Stephen Shifley; Nianfu Song; Hank Stelzer

2012-01-01

Woody biomass is a renewable energy feedstock with the potential to reduce current use of nonrenewable fossil fuels. We estimated the physical availability of woody biomass for cocombustion at coal-fired electricity plants in the 20-state US northern region. First, we estimated the total amount of woody biomass needed to replace total annual coal-based electricity...

Economic Burden of Hepatitis C Virus Infection in Different Stages of Disease: A Report From Southern Iran.

PubMed

Zare, Fatemeh; Fattahi, Mohammad Reza; Sepehrimanesh, Masood; Safarpour, Ali Reza

2016-04-01

Hepatitis C virus (HCV) infection is a major blood-borne infection which imposes high economic cost on the patients. The current study aimed to evaluate the total annual cost due to chronic HCV related diseases imposed on each patient and their family in Southern Iran. Economic burden of chronic hepatitis C-related liver diseases (chronic hepatitis C, cirrhosis and hepatocellular carcinoma) were examined. The current retrospective study evaluated 200 Iranian patients for their socioeconomic status, utilization (direct and indirect costs) and treatment costs and work days lost due to illness by a structured questionnaire in 2015. Costs of hospital admissions were extracted from databases of Nemazee hospital, Shiraz, Iran. The outpatient expenditure per patient was measured through the rate of outpatient visits and average cost per visit reported by the patients; while the inpatient costs were calculated through annual rate of hospital admissions and average expenditure. Self-medication and direct non-medical costs were also reported. The human capital approach was used to measure the work loss cost. The total annual cost per patient for chronic hepatitis C, cirrhosis and hepatocellular carcinoma (HCC) based on purchasing power parity (PPP) were USD 1625.50, USD 6117.2, and USD 11047.2 in 2015, respectively. Chronic hepatitis C-related liver diseases impose a substantial economic burden on patients, families and the society. The current study provides useful information on cost of treatment and work loss for different disease states, which can be further used in cost-effectiveness evaluations.

Trends in Medicare Reimbursement for Orthopedic Procedures: 2000 to 2016.

PubMed

Eltorai, Adam E M; Durand, Wesley M; Haglin, Jack M; Rubin, Lee E; Weiss, Arnold-Peter C; Daniels, Alan H

2018-03-01

Understanding trends in reimbursement is critical to the financial sustainability of orthopedic practices. Little research has examined physician fee trends over time for orthopedic procedures. This study evaluated trends in Medicare reimbursements for orthopedic surgical procedures. The Medicare Physician Fee Schedule was examined for Current Procedural Terminology code values for the most common orthopedic and nonorthopedic procedures between 2000 and 2016. Prices were adjusted for inflation to 2016-dollar values. To assess mean growth rate for each procedure and subspecialty, compound annual growth rates were calculated. Year-to-year dollar amount changes were calculated for each procedure and subspecialty. Reimbursement trends for individual procedures and across subspecialties were compared. Between 2000 and 2016, annual reimbursements decreased for all orthopedic procedures examined except removal of orthopedic implant. The orthopedic procedures with the greatest mean annual decreases in reimbursement were shoulder arthroscopy/decompression, total knee replacement, and total hip replacement. The orthopedic procedures with the least annual reimbursement decreases were carpal tunnel release and repair of ankle fracture. Rate of Medicare procedure reimbursement change varied between subspecialties. Trauma had the smallest decrease in annual change compared with spine, sports, and hand. Annual reimbursement decreased at a significantly greater rate for adult reconstruction procedures than for any of the other subspecialties. These findings indicate that reimbursement for procedures has steadily decreased, with the most rapid decrease seen in adult reconstruction. [Orthopedics. 2018; 41(2):95-102.]. Copyright 2018, SLACK Incorporated.

Productivity costs in patients with refractory chronic rhinosinusitis.

PubMed

Rudmik, Luke; Smith, Timothy L; Schlosser, Rodney J; Hwang, Peter H; Mace, Jess C; Soler, Zachary M

2014-09-01

Disease-specific reductions in patient productivity can lead to substantial economic losses to society. The purpose of this study was to: 1) define the annual productivity cost for a patient with refractory chronic rhinosinusitis (CRS) and 2) evaluate the relationship between degree of productivity cost and CRS-specific characteristics. Prospective, multi-institutional, observational cohort study. The human capital approach was used to define productivity costs. Annual absenteeism, presenteeism, and lost leisure time was quantified to define annual lost productive time (LPT). LPT was monetized using the annual daily wage rates obtained from the 2012 U.S. National Census and the 2013 U.S. Department of Labor statistics. A total of 55 patients with refractory CRS were enrolled. The mean work days lost related to absenteeism and presenteeism were 24.6 and 38.8 days per year, respectively. A total of 21.2 household days were lost per year related to daily sinus care requirements. The overall annual productivity cost was $10,077.07 per patient with refractory CRS. Productivity costs increased with worsening disease-specific QoL (r = 0.440; p = 0.001). Results from this study have demonstrated that the annual productivity cost associated with refractory CRS is $10,077.07 per patient. This substantial cost to society provides a strong incentive to optimize current treatment protocols and continue evaluating novel clinical interventions to reduce this cost. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

Productivity Costs in Patients with Refractory Chronic Rhinosinusitis

PubMed Central

Rudmik, Luke; Smith, Timothy L.; Schlosser, Rodney J.; Hwang, Peter H.; Mace, Jess C.; Soler, Zachary M.

2014-01-01

Objective Disease-specific reductions in patient productivity can lead to substantial economic losses to society. The purpose of this study was to: 1) define the annual productivity cost for a patient with refractory chronic rhinosinusitis (CRS) and 2) evaluate the relationship between degree of productivity cost and CRS-specific characteristics. Study Design Prospective, multi-institutional, observational cohort study. Methods The human capital approach was used to define productivity costs. Annual absenteeism, presenteeism, and lost leisure time was quantified to define annual lost productive time (LPT). LPT was monetized using the annual daily wage rates obtained from the 2012 US National Census and the 2013 US Department of Labor statistics. Results A total of 55 patients with refractory CRS were enrolled. The mean work days lost related to absenteeism and presenteeism was 24.6 and 38.8 days per year, respectively. A total of 21.2 household days were lost per year related to daily sinus care requirements. The overall annual productivity cost was $10,077.07 per patient with refractory CRS. Productivity costs increased with worsening disease-specific QoL (r=0.440; p=0.001). Conclusion Results from this study have demonstrated that the annual productivity cost associated with refractory CRS is $10,077.07 per patient. This substantial cost to society provides a strong incentive to optimize current treatment protocols and continue evaluating novel clinical interventions to reduce this cost. PMID:24619604

EFFECTS OF ATRAZINE ON STEROID PRODUCTION IN RAT GRANULOSA CELLS

EPA Science Inventory

Atrazine is one of the most widely used herbicides in the United States. Introduced in the 1950s, atrazine is a broad spectrum herbicide with current total annual use of approximately 76 million pounds of active ingredient. Frogs exhibit gonadal malformations and/or variations ...

75 FR 30030 - Agency Information Collection Activities: Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-28

... Governments; Number of Respondents: 51; Total Annual Responses: 51; Total Annual Hours: 102. (For policy... dialysis facilities are required to report. Form Number: CMS-265-94 (OMB : 0938-0236); Frequency: Yearly...,508; Total Annual Responses: 5,508; Total Annual Hours: 275,400. (For policy questions regarding this...

The Somali current at the equator: annual cycle of currents and transports in the upper 1000 m and connection to neighbouring latitudes

NASA Astrophysics Data System (ADS)

Schott, Friedrich; Swallow, John C.; Fieux, Michèle

1990-12-01

Current measurements were obtained with moored stations during October 1984 to October 1986 in two consecutive deployments across the Somali Current on the equator. For the transport calculations the deficiency of conventional subsurface moorings, i.e. no data from close to the surface, had to be overcome using the historical ship drift climatology. While the current structure during the summer monsoon is that typical of a western boundary current, the profile in winter is far from being a weaker southward reverse of the summer situation. Below a thin surface layer of southward flow, there is a northward undercurrent between about 120 and 400 m depth. Below that, the flow reverses again to southward. This results in drastic differences in cross-equatorial monsoon season transports. While the summer mean transport is 21 Sv for the upper 500 m, the winter monsoon mean for that depth range is close to zero. The annual mean transport in the upper 500 m is 10 Sv northward. Very little transport is measured in the 500-1000 m depth range in either season or the annual mean. The almost closed mass budget of the boundary current system during the winter circulation allows a calculation of cross-equatorial heat transport, which comes out to -3 × 10 14 W (southward) for the northeast monsoon season mean. The heat flux associated with the annually varying part of the boundary current is small, only about -0.3 × 10 14 W or about 5% of the total cross-equatorial heat flux as estimated by other methods. By combining the equatorial measurements with earlier off-equatorial current observations, particularly at 2°-4°S and 5°N, and with property distributions (salinity and oxygen) on isopycnal surfaces, analysed from the historical data file, a synopsis of the seasonal circulation changes of the entire Somali Current system between about 4°S and 12°N is then derived.

Disease evaluations and agronomic traits of advanced peanut breeding lines in 2017

USDA-ARS?s Scientific Manuscript database

Disease evaluations of advanced peanut breeding lines are conducted annually to compare the agronomic traits (crop value, yield, seed grade and characteristics) and disease resistance in cultivars that are currently available or close to being released for the Southwest. In 2017, a total of 19 comm...

Silvicultural cutting opportunities in oak-hickory forests of West Virginia

Treesearch

S. L. Arner; D.A. Gansner; M.E. Dale; H.C. Smith

1991-01-01

Analysis of cutting opportunities of oak-hickory forests of West Virginia reveals a storehouse of economic opportunity. The potential cut from silviculturally sound thinning, regeneration, and harvest opportunities totals 100 million cords, or 60 times the current annual harvest of growing stock volume from the state.

Health Care Utilization and Expenditures Attributable to Cigar Smoking Among US Adults, 2000-2015.

PubMed

Wang, Yingning; Sung, Hai-Yen; Yao, Tingting; Lightwood, James; Max, Wendy

Cigar use in the United States is a growing public health concern because of its increasing popularity. We estimated health care utilization and expenditures attributable to cigar smoking among US adults aged ≥35. We analyzed data on 84 178 adults using the 2000, 2005, 2010, and 2015 National Health Interview Surveys. We estimated zero-inflated Poisson (ZIP) regression models on hospital nights, emergency department (ED) visits, physician visits, and home-care visits as a function of tobacco use status-current sole cigar smokers (ie, smoke cigars only), current poly cigar smokers (smoke cigars and smoke cigarettes or use smokeless tobacco), former sole cigar smokers (used to smoke cigars only), former poly cigar smokers (used to smoke cigars and smoke cigarettes or use smokeless tobacco), other tobacco users (ever smoked cigarettes and used smokeless tobacco but not cigars), and never tobacco users (never smoked cigars, smoked cigarettes, or used smokeless tobacco)-and other covariates. We calculated health care utilization attributable to current and former sole cigar smoking based on the estimated ZIP models, and then we calculated total health care expenditures attributable to cigar smoking. Current and former sole cigar smoking was associated with excess annual utilization of 72 137 hospital nights, 32 748 ED visits, and 420 118 home-care visits. Annual health care expenditures attributable to sole cigar smoking were $284 million ($625 per sole cigar smoker), and total annual health care expenditures attributable to sole and poly cigar smoking were $1.75 billion. Comprehensive tobacco control policies and interventions are needed to reduce cigar smoking and the associated health care burden.

Economic analysis of the future growth of cosmetic surgery procedures.

PubMed

Liu, Tom S; Miller, Timothy A

2008-06-01

The economic growth of cosmetic surgical and nonsurgical procedures has been tremendous. Between 1992 and 2005, annual U.S. cosmetic surgery volume increased by 725 percent, with over $10 billion spent in 2005. It is unknown whether this growth will continue for the next decade and, if so, what impact it will it have on the plastic surgeon workforce. The authors analyzed annual U.S. cosmetic surgery procedure volume reported by the American Society of Plastic Surgeons (ASPS) National Clearinghouse of Plastic Surgery Statistics between 1992 and 2005. Reconstructive plastic surgery volume was not included in the analysis. The authors analyzed the ability of economic and noneconomic variables to predict annual cosmetic surgery volume. The authors also used growth rate analyses to construct models with which to predict the future growth of cosmetic surgery. None of the economic and noneconomic variables were a significant predictor of annual cosmetic surgery volume. Instead, based on current compound annual growth rates, the authors predict that total cosmetic surgery volume (surgical and nonsurgical) will exceed 55 million annual procedures by 2015. ASPS members are projected to perform 299 surgical and 2165 nonsurgical annual procedures. Non-ASPS members are projected to perform 39 surgical and 1448 nonsurgical annual procedures. If current growth rates continue into the next decade, the future demand in cosmetic surgery will be driven largely by nonsurgical procedures. The growth of surgical procedures will be met by ASPS members. However, meeting the projected growth in nonsurgical procedures could be a potential challenge and a potential area for increased competition.

78 FR 45569 - Agency Information Collection Activities: Submission to OMB for Reinstatement, With Change, of a...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-29

... chartered FCUs: Respondents/record-keepers: 2 per year. Estimated annual burden: 20 hours. Total annual... application. Total annual hours: 365,334. ICR: Membership denial. Respondents/record-keepers: 1055 [[frac14.../record-keepers: All FCUs (4,220). Estimated annual burden: 1 hour. Total annual hours: 4,220. Article V...

Concentration, flux, and trend estimates with uncertainty for nutrients, chloride, and total suspended solids in tributaries of Lake Champlain, 1990–2014

USGS Publications Warehouse

Medalie, Laura

2016-12-20

The U.S. Geological Survey, in cooperation with the New England Interstate Water Pollution Control Commission and the Vermont Department of Environmental Conservation, estimated daily and 9-month concentrations and fluxes of total and dissolved phosphorus, total nitrogen, chloride, and total suspended solids from 1990 (or first available date) through 2014 for 18 tributaries of Lake Champlain. Estimates of concentration and flux, provided separately in Medalie (2016), were made by using the Weighted Regressions on Time, Discharge, and Season (WRTDS) regression model and update previously published WRTDS model results with recent data. Assessment of progress towards meeting phosphorus-reduction goals outlined in the Lake Champlain management plan relies on annual estimates of phosphorus flux. The percent change in annual concentration and flux is provided for two time periods. The R package EGRETci was used to estimate the uncertainty of the trend estimate. Differences in model specification and function between this study and previous studies that used WRTDS to estimate concentration and flux using data from Lake Champlain tributaries are described. Winter data were too sparse and nonrepresentative to use for estimates of concentration and flux but were sufficient for estimating the percentage of total annual flux over the period of record. Median winter-to-annual fractions ranged between 21 percent for total suspended solids and 27 percent for dissolved phosphorus. The winter contribution was largest for all constituents from the Mettawee River and smallest from the Ausable River. For the full record (1991 through 2014 for total and dissolved phosphorus and chloride and 1993 through 2014 for nitrogen and total suspended solids), 6 tributaries had decreasing trends in concentrations of total phosphorus, and 12 had increasing trends; concentrations of dissolved phosphorus decreased in 6 and increased in 8 tributaries; fluxes of total phosphorus decreased in 5 and increased in 10 tributaries; and fluxes of dissolved phosphorus decreased in 4 and increased in 10 tributaries (where the number of increasing and decreasing trends does not add up to 18, the remainder of tributaries had no trends). Concentrations and fluxes of nitrogen decreased in 10 and increased in 4 tributaries and of chloride decreased in 2 and increased in 15 tributaries. Concentrations of total suspended solids decreased in 4 and increased in 8 tributaries, and fluxes of total suspended solids decreased in 3 and increased in 11 tributaries. Although time intervals for the percent changes from this report are not completely synchronous with those from previous studies, the numbers of and specific tributaries with overall negative percent changes in concentration and flux are similar. Concentration estimates of total phosphorus in the Winooski River were used to trace whether changes in trends between a previous study and the current study were due generally to differences in model specifications or differences from 4 years of additional data. The Winooski River analysis illustrates several things: that keeping all model specifications equal, concentration estimates increased from 2010 to 2014; the effects of a smoothing algorithm used in the current study that was not available previously; that narrowing model half-window widths increased year-to-year variations; and that the change from an annual to a 9-month basis by omitting winter estimates changed a few individual points but not the overall shape of the flow-normalized curve. Similar tests for other tributaries showed that the primary effect of differences in model specifications between the previous and current studies was perhaps to increase scatter over time but that changes in trends generally were the result of 4 years of additional data rather than artifacts of model differences.

Impact of Urban Growth on Surface Climate: A Case Study in Oran, Algeria

NASA Technical Reports Server (NTRS)

Bounoua, Lahouari; Safia, Abdelmounaine; Masek, Jeffrey; Peters-Lidars, Christaq; Imhoff, Marc L.

2008-01-01

We develop a land use map discriminating urban surfaces from other cover types over a semiarid region in North Africa and use it in a land surface model to assess the impact of urbanized land on surface energy, water and carbon balances. Unlike in temperate climates where urbanization creates a marked heat island effect, this effect is not strongly marked in semiarid regions. During summer, the urban class results in an additional warming of 1.45 C during daytime and 0.81 C at night compared to that simulated for needleleaf trees under similar climate conditions. Seasonal temperatures show urban areas warmer than their surrounding during summer and slightly cooler in winter. The hydrological cycle is practically "shut down" during summer and characterized by relatively large amount of runoff in winter. We estimate the annual amount of carbon uptake to 1.94 million metric tons with only 11.9% assimilated during the rainy season. However, if urbanization expands to reach 50% of the total area excluding forests, the annual total carbon uptake will decline by 35% and the July mean temperature would increase only 0.10 C, compared to current situation. In contrast, if urbanization expands to 50% of the total land excluding forests and croplands but all short vegetation is replaced by native broadleaf deciduous trees, the annual carbon uptake would increase 39% and the July mean temperature would decrease by 0.9 C, compared to current configuration. These results provide guidelines for urban planners and land use managers and indicate possibilities for mitigating the urban heat.

Updated computations and estimates of streamflows tributary to Carson Valley, Douglas County, Nevada, and Alpine County, California, 1990-2002

USGS Publications Warehouse

Maurer, Douglas K.; Watkins, Sharon A.; Burrowws, Robert L.

2004-01-01

Rapid population growth in Carson Valley has caused concern over the continued availability of water resources to sustain future growth. The U.S. Geological Survey, in cooperation with Douglas County, began a study to update estimates of water-budget components in Carson Valley for current climatic conditions. Data collected at 19 sites included 9 continuous records of tributary streamflows, 1 continuous record of outflow from the valley, and 408 measurements of 10 perennially flowing but ungaged drainages. These data were compiled and analyzed to provide updated computations and estimates of streamflows tributary to Carson Valley, 1990-2002. Mean monthly and annual flows were computed from continuous records for the period 1990-2002 for five streams, and for the period available, 1990-97, for four streams. Daily mean flow from ungaged drainages was estimated using multi-variate regressions of individual discharge measurements against measured flow at selected continuous gages. From the estimated daily mean flows, monthly and annual mean flows were calculated from 1990 to 2002. These values were used to compute estimates of mean monthly and annual flows for the ungaged perennial drainages. Using the computed and estimated mean annual flows, annual unit-area runoff was computed for the perennial drainages, which ranged from 0.30 to 2.02 feet. For the period 1990-2002, estimated inflow of perennial streams tributary to Carson Valley totaled about 25,900 acre-feet per year. Inflow computed from gaged perennial drainages totaled 10,300 acre-feet per year, and estimated inflow from ungaged perennial drainages totaled 15,600 acre-feet per year. The annual flow of perennial streams ranges from 4,210 acre-feet at Clear Creek to 450 acre-feet at Stutler Canyon Creek. Differences in unit-area runoff and in the seasonal timing of flow likely are caused by differences in geologic setting, altitude, slope, or aspect of the individual drainages. The remaining drainages are ephemeral and supply inflow to the valley floor only during spring runoff in wet years or during large precipitation events. Annual unit-area runoff for the perennial drainages was used to estimate inflow from ephemeral drainages totaling 11,700 acre-feet per year. The totaled estimate of perennial and ephemeral tributary inflows to Carson Valley is 37,600 acre-feet per year. Gaged perennial inflow is 27 percent of the total, ungaged perennial inflow is 42 percent, and ephemeral inflow is 31 percent. The estimate is from 50 to 60 percent greater than three previous estimates, one made for a larger area and similar to two other estimates made for larger areas. The combined uncertainty of the estimates totaled about 33 percent of the total inflow or about 12,000 acre-feet per year.

Economic Burden of Hepatitis C Virus Infection in Different Stages of Disease: A Report From Southern Iran

PubMed Central

Zare, Fatemeh; Fattahi, Mohammad Reza; Sepehrimanesh, Masood; Safarpour, Ali Reza

2016-01-01

Background Hepatitis C virus (HCV) infection is a major blood-borne infection which imposes high economic cost on the patients. Objectives The current study aimed to evaluate the total annual cost due to chronic HCV related diseases imposed on each patient and their family in Southern Iran. Patients and Methods Economic burden of chronic hepatitis C-related liver diseases (chronic hepatitis C, cirrhosis and hepatocellular carcinoma) were examined. The current retrospective study evaluated 200 Iranian patients for their socioeconomic status, utilization (direct and indirect costs) and treatment costs and work days lost due to illness by a structured questionnaire in 2015. Costs of hospital admissions were extracted from databases of Nemazee hospital, Shiraz, Iran. The outpatient expenditure per patient was measured through the rate of outpatient visits and average cost per visit reported by the patients; while the inpatient costs were calculated through annual rate of hospital admissions and average expenditure. Self-medication and direct non-medical costs were also reported. The human capital approach was used to measure the work loss cost. Results The total annual cost per patient for chronic hepatitis C, cirrhosis and hepatocellular carcinoma (HCC) based on purchasing power parity (PPP) were USD 1625.50, USD 6117.2, and USD 11047.2 in 2015, respectively. Conclusions Chronic hepatitis C-related liver diseases impose a substantial economic burden on patients, families and the society. The current study provides useful information on cost of treatment and work loss for different disease states, which can be further used in cost-effectiveness evaluations. PMID:27257424

Impact of orphan drugs on Latvian budget.

PubMed

Logviss, Konstantins; Krievins, Dainis; Purvina, Santa

2016-05-11

Number of orphan medicinal products on the market and number of rare disease patients, taking these usually expensive products, are increasing. As a result, budget impact of orphan drugs is growing. This factor, along with the cost-effectiveness of orphan drugs, is often considered in the reimbursement decisions, directly affecting accessibility of rare disease therapies. The current study aims to assess the budget impact of orphan drugs in Latvia. Our study covered a 5-year period, from 2010 to 2014. Impact of orphan drugs on Latvian budget was estimated from the National Health Service's perspective. It was calculated in absolute values and relative to total pharmaceutical market and total drug reimbursement budget. A literature review was performed for comparison with other European countries. Orphan drug annual expenditure ranged between EUR 2.065 and 3.065 million, with total 5-year expenditure EUR 12.467 million. It constituted, on average, 0.84 % of total pharmaceutical market and 2.14 % of total drug reimbursement budget, respectively. Average annual per patient expenditures varied widely, from EUR 1 534 to EUR 580 952. The most costly treatment was enzyme replacement therapy (Elaprase) for MPS II. Glivec had the highest share (34 %) of the total orphan drug expenditure. Oncological drugs represented more than a half of the total orphan drug expenditure, followed by drugs for metabolic and endocrine conditions and medicines for cardiopulmonary diseases. Three indications: Ph+ CML, MPS II, and PAH accounted for nearly 90 % of the total orphan drug expenditure. Budget impact of orphan drugs in Latvia is very small. It increased slightly over a period of five years, due to the slight increase in the number of patients and the number of orphan drugs reimbursed. Current Latvian drug reimbursement system is not sufficient for most orphan drugs.

Biomass Estimation for some Shrubs from Northeastern Minnesota

Treesearch

David F. Grigal; Lewis F. Ohmann

1977-01-01

Biomass prediction equations were developed for 23 northeastern Minnesota shrub species. The allowmetric function was used to predict leaf, current annual woody twig, stem, and total woody biomass (dry grass), using stem diameter class estimated to the nearest 0.25 cm class at 15 cm above ground level as the independent variable.

“Transference Ratios” to Predict Total Oxidized Sulfur and Nitrogen Deposition – Part II, Modeling Results

EPA Science Inventory

The current study examines predictions of transference ratios and related modeled parameters for oxidized sulfur and oxidized nitrogen using five years (2002-2006) of 12-km grid cell-specific annual estimates from EPA’s Community Air Quality Model (CMAQ) for five selected sub-re...

Ohio's Forests 2011

Treesearch

Richard H Widmann; Cotton K. Randall; Brett J. Butler; Grant M. Domke; Douglas M. Griffith; Cassandra M. Kurtz; W. Keith Moser; Randall S. Morin; Mark D. Nelson; Rachel Riemann; Christopher W. Woodall

2014-01-01

This report summarizes the second full cycle of annual inventories, 2007-2011, of Ohio's forests by the Forest Inventory and Analysis unit of the Northern Research Station in cooperation with the Ohio Department of Natural Resources, Division of Forestry. Since 2006, forest land increased by 2.1 percent and currently totals 8.1 million acres. Net volume of live...

PITUITARY AND ADRENAL HORMONE RELEASE FOLLOWING in vitro EXPOSURE TO ATRAZINE AND ITS METABOLITE DEISOPROPYL-ATRAZINE (DIA)

EPA Science Inventory

Atrazine (ATR) is one of the most widely used herbicides in the United States, with current total annual use of approximately 76 million pounds of active ingredient. Previous work in our laboratory has shown that ATR and its metabolite deisopropyl-atrazine (DIA) induce a dose-dep...

Application of an online ion chromatography-based instrument for gradient flux measurements of speciated nitrogen and sulfur

EPA Science Inventory

In North America, the dry component of total nitrogen and sulfur deposition remains uncertain due to a lack of measurements of sufficient chemical speciation and temporal extent to develop complete annual mass budgets or of sufficient process level detail to improve current air-s...

77 FR 74269 - Agency Information Collection Activities; Revision of a Currently-Approved Information Collection...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-13

... occasion. Estimated Total Annual Burden: 5,524,500 hours [Informational documents provided to prospective shippers at 43,500 hours + Written Cost estimates for prospective shippers at 4,620,000 hours + Service orders, bills of lading at 805,300 hours + In-transit service notifications at 22,600 hours + Complaint...

The association of smoking status with healthcare utilisation, productivity loss and resulting costs: results from the population-based KORA F4 study.

PubMed

Wacker, Margarethe; Holle, Rolf; Heinrich, Joachim; Ladwig, Karl-Heinz; Peters, Annette; Leidl, Reiner; Menn, Petra

2013-07-17

Smoking is seen as the most important single risk to health today, and is responsible for a high financial burden on healthcare systems and society. This population-based cross-sectional study compares healthcare utilisation, direct medical costs, and costs of productivity losses for different smoking groups: current smokers, former smokers, and never smokers. Using a bottom-up approach, data were taken from the German KORA F4 study (2006/2008) on self-reported healthcare utilisation and work absence due to illness for 3,071 adults aged 32-81 years. Unit costs from a societal perspective were applied to utilisation. Utilisation and resulting costs were compared across different smoking groups using generalised linear models to adjust for age, sex, education, alcohol consumption and physical activity. Average annual total costs per survey participant were estimated as €3,844 [95% confidence interval: 3,447-4,233], and differed considerably between smoking groups with never smokers showing €3,237 [2,802-3,735] and former smokers causing €4,398 [3,796-5,058]. There was a positive effect of current and former smoking on the utilisation of healthcare services and on direct and indirect costs. Total annual costs were more than 20% higher (p<0.05) for current smokers and 35% higher (p<0.01) for former smokers compared with never smokers, which corresponds to annual excess costs of €743 and €1,108 per current and former smoker, respectively. Results indicate that excess costs for current and former smokers impose a large burden on society, and that previous top-down cost approaches produced lower estimates for the costs of care for smoking-related diseases. Efforts must be focused on prevention of smoking to achieve sustainable containment on behalf of the public interest.

77 FR 41168 - Marine Mammals; Subsistence Taking of Northern Fur Seals; St. Paul Island

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-12

... Mammals; Subsistence Taking of Northern Fur Seals; St. Paul Island AGENCY: National Marine Fisheries... taking of northern fur seals on St. Paul Island. St. Paul's petition requests that NMFS revise the... seals; take a total of up to 3,000 fur seals annually compared to 2,000 currently allowed, including up...

Utilizing Technology to Examine the Impacts of Academic Program Plans on Faculty Staffing Levels. AIR 1984 Annual Forum Paper.

ERIC Educational Resources Information Center

Spiro, Louis M.; Campbell, Jill F.

The development and use of a campus-based computerized faculty staffing model is described. In addition to considering market demands for current and proposed programs, decisionmakers need to consider how program development, modification, and elimination affect the total college faculty resource base. The application of computer technology,…

EVALUATION OF PITUITARY AND ADRENAL HORMONE RELEASE FOLLOWING EXPOSURE TO ATRAZINE AND ITS METABOLITE DEISOPROPYL-ATRAZINE (DIA), USING TISSUE PERIFUSION

EPA Science Inventory

Atrazine (ATR) is one of the most widely used herbicides in the United States, with current total annual use of approximately 76 million pounds of active ingredient. Previous work in our laboratory has shown that ATR and its metabolite deisopropyl-atrazine (DIA) induce a dose-dep...

Outcomes of Teaching Improvement Programs for Faculty. ASHE Annual Meeting Paper.

ERIC Educational Resources Information Center

Ramirez, Jose-Luis

This study explored the impact of teaching improvement programs on university faculty participants in Mexico, as well as the factors that have affected the success of these programs. A total of 80 professors from the University of Sonora in Hermosillo, Mexico, completed a questionnaire on current teaching practices. The group included 40 former…

77 FR 16805 - Notice of Request for Extension and Revision of a Currently Approved Information Collection...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-22

... availability is limited. To facilitate the scheduling of the Food Safety Mobile's visits when it is available... regarding its electronic Food Safety Mobile questionnaire. FSIS is planning to increase the total annual... selected food safety news and information. This service is available at http://www.fsis.usda.gov/news_and...

78 FR 49274 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-13

... lung disease which improves the miners' quality of life and reduces economic costs associated with... measures. HRSA is currently working on revising the measures for the entire program, and, as the grantee... disclose the information. The total annual burden hours estimated for this ICR are summarized in the table...

Suicide in Greece 1992-2012: A time-series analysis.

PubMed

Papaslanis, Theodoros; Kontaxakis, Vassilis; Christodoulou, Christos; Konstantakopoulos, George; Kontaxaki, Maria-Irini; Papadimitriou, George N

2016-08-01

Since 2008, Greece has entered a long period of economic crisis with adverse effects on various aspects of daily life. In this frame, it is quite important to examine the suicide trends in Greece. Our analysis covered the period 1992-2012. 2012 was the last year for which official suicide data were available. The inclusion of data for pre-crisis period enabled us to assess trends in suicide preceding the economic crisis, starting in 2008. Trends in sex- and age-adjusted standardized suicide rates (SSR) were analyzed using joinpoint regression. Total SSR presented statistically significant annual decrease of 0.89% (95% confidence interval (CI): -1.7, -0.1) during the period 1992-2008. After 2009, the trend in total SSR increased statistically significant annual increase (12.48%; 95% CI: 0.3%, 26.1%). SSR in males presented an initial period of modest annual decrease (-0.84%; 95% CI: -1.6%, -0.1%), during the period 1992-2008. After 2009, an annual increase by 9.25% (95% CI: 2.7%, 16.3%) was revealed. No change in female SSR trend was observed during the studied period. According to the results of this study, there is clear evidence of an increase in the overall SSR and male SSR in Greece during the period of the current financial crisis. © The Author(s) 2016.

Current surgical results of acute type A aortic dissection in Japan.

PubMed

Okita, Yutaka

2016-07-01

Current surgical results of acute type A aortic dissection in Japan are presented. According to the annual survey by the Japanese Association of Thoracic Surgery, 4,444 patients with acute type A aortic dissection underwent surgical procedures and the overall hospital mortality was 9.1% in 2013. The prevalence of aortic root replacement with a valve sparing technique, total arch replacement (TAR), and frozen stent graft are presented and strategies for thrombosed dissection or organ malperfusion syndrome secondary to acute aortic dissection are discussed.

75 FR 71716 - Agency Information Collection Activities: Proposed Collection; Comment Request, OMB No. 1660-0004...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-24

.... Estimated Annualized Burden Hours and Costs Number of Avg. burden Total Total Number of responses Total per annual Avg. annual Type of respondent Form name/ form No. respondents per number of response burden (in...

78 FR 56995 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-16

...: Businesses. Respondent Universe: 763 railroads. Frequency of Submission: On occasion. Reporting Burden Total annual Average time per Total annual CFR Section Respondent universe responses response burden hours 225... Universe: 763 railroads. Frequency of Submission: On occasion; annually. Reporting Burden Respondent Total...

Meta-Analysis of Relationships between Human Offtake, Total Mortality and Population Dynamics of Gray Wolves (Canis lupus)

PubMed Central

Creel, Scott; Rotella, Jay J.

2010-01-01

Following the growth and geographic expansion of wolf (Canis lupus) populations reintroduced to Yellowstone National Park and central Idaho in 1995–1996, Rocky Mountain wolves were removed from the endangered species list in May 2009. Idaho and Montana immediately established hunting seasons with quotas equaling 20% of the regional wolf population. Combining hunting with predator control, 37.1% of Montana and Idaho wolves were killed in the year of delisting. Hunting and predator control are well-established methods to broaden societal acceptance of large carnivores, but it is unprecedented for a species to move so rapidly from protection under the Endangered Species Act to heavy direct harvest, and it is important to use all available data to assess the likely consequences of these changes in policy. For wolves, it is widely argued that human offtake has little effect on total mortality rates, so that a harvest of 28–50% per year can be sustained. Using previously published data from 21 North American wolf populations, we related total annual mortality and population growth to annual human offtake. Contrary to current conventional wisdom, there was a strong association between human offtake and total mortality rates across North American wolf populations. Human offtake was associated with a strongly additive or super-additive increase in total mortality. Population growth declined as human offtake increased, even at low rates of offtake. Finally, wolf populations declined with harvests substantially lower than the thresholds identified in current state and federal policies. These results should help to inform management of Rocky Mountain wolves. PMID:20927363

Meta-analysis of relationships between human offtake, total mortality and population dynamics of gray wolves (Canis lupus).

PubMed

Creel, Scott; Rotella, Jay J

2010-09-29

Following the growth and geographic expansion of wolf (Canis lupus) populations reintroduced to Yellowstone National Park and central Idaho in 1995-1996, Rocky Mountain wolves were removed from the endangered species list in May 2009. Idaho and Montana immediately established hunting seasons with quotas equaling 20% of the regional wolf population. Combining hunting with predator control, 37.1% of Montana and Idaho wolves were killed in the year of delisting. Hunting and predator control are well-established methods to broaden societal acceptance of large carnivores, but it is unprecedented for a species to move so rapidly from protection under the Endangered Species Act to heavy direct harvest, and it is important to use all available data to assess the likely consequences of these changes in policy. For wolves, it is widely argued that human offtake has little effect on total mortality rates, so that a harvest of 28-50% per year can be sustained. Using previously published data from 21 North American wolf populations, we related total annual mortality and population growth to annual human offtake. Contrary to current conventional wisdom, there was a strong association between human offtake and total mortality rates across North American wolf populations. Human offtake was associated with a strongly additive or super-additive increase in total mortality. Population growth declined as human offtake increased, even at low rates of offtake. Finally, wolf populations declined with harvests substantially lower than the thresholds identified in current state and federal policies. These results should help to inform management of Rocky Mountain wolves.

Health assessment of future PM2.5 exposures from indoor, outdoor, and secondhand tobacco smoke concentrations under alternative policy pathways in Ulaanbaatar, Mongolia

PubMed Central

Edwards, Rufus; Turner, Jay R.; Argo, Yuma D.; Olkhanud, Purevdorj B.; Odsuren, Munkhtuul; Guttikunda, Sarath; Ochir, Chimedsuren; Smith, Kirk R.

2017-01-01

Introduction Winter air pollution in Ulaanbaatar, Mongolia is among the worst in the world. The health impacts of policy decisions affecting air pollution exposures in Ulaanbaatar were modeled and evaluated under business as usual and two more-strict alternative emissions pathways through 2024. Previous studies have relied on either outdoor or indoor concentrations to assesses the health risks of air pollution, but the burden is really a function of total exposure. This study combined projections of indoor and outdoor concentrations of PM2.5 with population time-activity estimates to develop trajectories of total age-specific PM2.5 exposure for the Ulaanbaatar population. Indoor PM2.5 contributions from secondhand tobacco smoke (SHS) were estimated in order to fill out total exposures, and changes in population and background disease were modeled. The health impacts were derived using integrated exposure-response curves from the Global Burden of Disease Study. Results Annual average population-weighted PM2.5 exposures at baseline (2014) were estimated at 59 μg/m3. These were dominated by exposures occurring indoors, influenced considerably by infiltrated outdoor pollution. Under current control policies, exposures increased slightly to 60 μg/m3 by 2024; under moderate emissions reductions and under a switch to clean technologies, exposures were reduced from baseline levels by 45% and 80%, respectively. The moderate improvement pathway decreased per capita annual disability-adjusted life year (DALY) and death burdens by approximately 40%. A switch to clean fuels decreased per capita annual DALY and death burdens by about 85% by 2024 with the relative SHS contribution increasing substantially. Conclusion This study demonstrates a way to combine estimated changes in total exposure, background disease and population levels, and exposure-response functions to project the health impacts of alternative policy pathways. The resulting burden analysis highlights the need for aggressive action, including the elimination of residential coal burning and the reduction of current smoking rates. PMID:29088256

75 FR 63889 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-18

...: Railroads. Respondent Universe: Class I Railroads. Frequency of Submission: On occasion. Average time per Total annual Total annual CFR Section Respondent universe Total annual responses response burden hours.... Form Number(s): N/A. Affected Public: Railroads. Respondent Universe: 685 railroads/ 4 locomotive...

78 FR 18672 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-27

... monitoring regulatory compliance. Form Number(s): N/A. Affected Public: Businesses. Respondent Universe: 728 railroads. Frequency of Submission: On occasion. Average time CFR section Respondent universe Total annual... time CFR section Respondent universe Total annual per response Total annual responses (minutes) burden...

An Annual Cycle Of Currents Around Tsushima Island And Resulting Inflow Conditions In The Sea Of Japan

NASA Astrophysics Data System (ADS)

Perkins, H.; Teague, W. J.; Chang, K.-I.; Suk, M.-S.; Lee, J.-C.; Book, J. W.; Jacobs, G. A.

A ten-month long time series of current measurements has been made on two sections across Korea/Tsushima Strait, thus revealing most of an annual cycle of the Tsushima Current that flows into the Japan/East Sea. One section is southwest, the other north- east, of Tsushima Island, giving respectively conditions upstream and downstream of the Island. Along the bathymetric slope upstream of the Island, the current consists of a single, broad stream concentrated in mid-channel. Downstream, this single core is found to have separated into two branches, one on each of the Strait. Between these two near-coastal streams, in the apparent wake of the Island, currents are variable and lack a well-defined mean. This separation persisted during all seasons despite vari- ation in total transport by a factor of two, from 3.5 Sv in October 1999 to 1.7 Sv in January 2000, and despite changes from maximum to minimum stratification. Both branches of the divided current were stronger during high transport and weaker during low transport, but since each branch was measured by only one or two moorings, trans- port estimates for the separate branches are not available. Strongest currents occurred at the surface close to the Korean coast near Ulsan in early fall with low-pass surface currents reaching 90 cm/s during October and November. Farther downstream, outside the measurement area, the two branches define the inflow to the Japan/East Sea. The branch along the Japanese coast remains close to the coast. It undergoes strong annual variability but is steady on shorter time scales. The Korean branch of the current also undergoes strong annual changes but experiences very strong variability, especially in winter. This branch is thought to switch between two paths. The first parallels the Ko- rean coast; the second follows bathymetric contours that lead it back to the Japanese coast. A mechanism for switching between these paths is provided by vorticity asso- ciated with bottom intrusions of cold water in the area. Seasonal variations of flow into the Japan Sea thus depend on the interplay between seasonal variations around Tsushima Island and intrusions of cold bottom water.

Valuing the commons: An international study on the recreational benefits of the Baltic Sea.

PubMed

Czajkowski, Mikołaj; Ahtiainen, Heini; Artell, Janne; Budziński, Wiktor; Hasler, Berit; Hasselström, Linus; Meyerhoff, Jürgen; Nõmmann, Tea; Semeniene, Daiva; Söderqvist, Tore; Tuhkanen, Heidi; Lankia, Tuija; Vanags, Alf; Zandersen, Marianne; Żylicz, Tomasz; Hanley, Nick

2015-06-01

The Baltic Sea provides benefits to all of the nine nations along its coastline, with some 85 million people living within the catchment area. Achieving improvements in water quality requires international cooperation. The likelihood of effective cooperation is known to depend on the distribution across countries of the benefits and costs of actions needed to improve water quality. In this paper, we estimate the benefits associated with recreational use of the Baltic Sea in current environmental conditions using a travel cost approach, based on data from a large, standardized survey of households in each of the 9 Baltic Sea states. Both the probability of engaging in recreation (participation) and the number of visits people make are modeled. A large variation in the number of trips and the extent of participation is found, along with large differences in current annual economic benefits from Baltic Sea recreation. The total annual recreation benefits are close to 15 billion EUR. Under a water quality improvement scenario, the proportional increases in benefits range from 7 to 18% of the current annual benefits across countries. Depending on how the costs of actions are distributed, this could imply difficulties in achieving more international cooperation to achieve such improvements. Copyright © 2015 Elsevier Ltd. All rights reserved.

Polychlorinated Biphenyls in a Temperate Alpine Glacier: 1. Effect of Percolating Meltwater on their Distribution in Glacier Ice.

PubMed

Pavlova, Pavlina Aneva; Jenk, Theo Manuel; Schmid, Peter; Bogdal, Christian; Steinlin, Christine; Schwikowski, Margit

2015-12-15

In Alpine regions, glaciers act as environmental archives and can accumulate significant amounts of atmospherically derived pollutants. Due to the current climate-warming-induced accelerated melting, these pollutants are being released at correspondingly higher rates. To examine the effect of melting on the redistribution of legacy pollutants in Alpine glaciers, we analyzed polychlorinated biphenyls in an ice core from the temperate Silvretta glacier, located in eastern Switzerland. This glacier is affected by surface melting in summer. As a result, liquid water percolates down and particles are enriched in the current annual surface layer. Dating the ice core was a challenge because meltwater percolation also affects the traditionally used parameters. Instead, we counted annual layers of particulate black carbon in the ice core, adding the years with negative glacier mass balance, that is, years with melting and subsequent loss of the entire annual snow accumulation. The analyzed samples cover the time period 1930-2011. The concentration of indicator PCBs (iPCBs) in the Silvretta ice core follows the emission history, peaking in the 1970s (2.5 ng/L). High PCB values in the 1990s and 1930s are attributed to meltwater-induced relocation within the glacier. The total iPCB load at the Silvretta ice core site is 5 ng/cm(2). A significant amount of the total PCB burden in the Silvretta glacier has been released to the environment.

Designing for Annual Spacelift Performance

NASA Technical Reports Server (NTRS)

McCleskey, Carey M.; Zapata, Edgar

2017-01-01

This paper presents a methodology for approaching space launch system design from a total architectural point of view. This different approach to conceptual design is contrasted with traditional approaches that focus on a single set of metrics for flight system performance, i.e., payload lift per flight, vehicle mass, specific impulse, etc. The approach presented works with a larger set of metrics, including annual system lift, or "spacelift" performance. Spacelift performance is more inclusive of the flight production capability of the total architecture, i.e., the flight and ground systems working together as a whole to produce flights on a repeated basis. In the proposed methodology, spacelift performance becomes an important design-for-support parameter for flight system concepts and truly advanced spaceport architectures of the future. The paper covers examples of existing system spacelift performance as benchmarks, points out specific attributes of space transportation systems that must be greatly improved over these existing designs, and outlines current activity in this area.

Estimation of Breast Cancer Incident Cases and Medical Care Costs Attributable to Alcohol Consumption Among Insured Women Aged <45 Years in the U.S.

PubMed

Ekwueme, Donatus U; Allaire, Benjamin T; Parish, William J; Thomas, Cheryll C; Poehler, Diana; Guy, Gery P; Aldridge, Arnie P; Lahoti, Sejal R; Fairley, Temeika L; Trogdon, Justin G

2017-09-01

This study estimated the percentage of breast cancer cases, total number of incident cases, and total annual medical care costs attributable to alcohol consumption among insured younger women (aged 18-44 years) by type of insurance and stage at diagnosis. The study used the 2012-2013 National Survey on Drug Use and Health, cancer incidence data from two national registry programs, and published relative risk measures to estimate the: (1) alcohol-attributable fraction of breast cancer cases among younger women by insurance type; (2) total number of breast cancer incident cases attributable to alcohol consumption by stage at diagnosis and insurance type among younger women; and (3) total annual medical care costs of treating breast cancer incident cases attributable to alcohol consumption among younger women. Analyses were conducted in 2016; costs were expressed in 2014 U.S. dollars. Among younger women enrolled in Medicaid, private insurance, and both groups, 8.7% (95% CI=7.4%, 10.0%), 13.8% (95% CI=13.3%, 14.4%), and 12.3% (95% CI=11.4%, 13.1%) of all breast cancer cases, respectively, were attributable to alcohol consumption. Localized stage was the largest proportion of estimated attributable incident cases. The estimated total number of breast cancer incident alcohol-attributable cases was 1,636 (95% CI=1,570, 1,703) and accounted for estimated total annual medical care costs of $148.4 million (95% CI=$140.6 million, $156.1 million). Alcohol-attributable breast cancer has estimated medical care costs of nearly $150 million per year. The current findings could be used to support evidence-based interventions to reduce alcohol consumption in younger women. Published by Elsevier Inc.

77 FR 470 - Specialty Crop Block Grant Program-Farm Bill Request for Extension and Revision of a Currently...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-05

... number 0348-0044) is required to show each project's budget breakdown. (c) Form SF-424B, ``Assurances-Non... Total Annual Burden on Respondents: 112 hours. (b) Form SF-270, ``Request for Advance and Reimbursement'' (approved under OMB collection number 0348-0004) is required whenever the grantees request an advance or...

New Jersey's forests, 2008

Treesearch

Susan J. Crocker; Mark D. Nelson; Charles J. Barnett; Gary J. Brand; Brett J. Butler; Grant M. Domke; Mark H. Hansen; Mark A. Hatfield; Tonya W. Lister; Dacia M. Meneguzzo; Charles H. Perry; Ronald J. Piva; Barry T. Wilson; Christopher W. Woodall; Bill Zipse

2011-01-01

The first full annual inventory of New Jersey's forests reports more than 2.0 million acres of forest land and 83 tree species. Forest land is dominated by oak-hickory forest types in the north and pitch pine forest types in the south. The volume of growing stock on timberland has been rising since 1956 and currently totals 3.4 billion cubic feet. The average...

The Development of Accountability Procedures in Kansas School Districts. Project Kansas 76: Concept Paper.

ERIC Educational Resources Information Center

Sarthory, Joseph A.

Kansas schools are currently accredited individually on the basis of annual reports to the State Department of Education and periodic visits of State Department personnel emphasizing primarily inputs to the educational program. Senate Bill 501 affords school systems the capability to be accredited as a total district on the basis of a five year…

Adequate Oak Regeneration - A Problem Without a Solution?

Treesearch

Robert L. Johnson

1979-01-01

The current supply of oak (Quercus spp.) in eastern forests appears abundant. Knight and Hilmon (1978) report a 42 percent increase in total oak sawtimber between 1952 and 1977. In 1977, board-foot growth (Int. 1/4") was slightly less and cubic-foot growth slightly more than twice the amount of annual removals. But the long term outlook for oak...

Hydrothermal extremes at the South-West Pribaikalie during the current climate changes

NASA Astrophysics Data System (ADS)

Voropay, Nadezhda

2017-04-01

Climatic extremes of air temperature and precipitation were analyzed for the Tunka Intermountain Depression (South-West Pribaikalie, Buryatia, Russian Federation). Intermountain depressions occupy a quarter of the territory of the Baikal region. The specific climatic conditions in the depressions are formed due to the geographic location and the influence of latitudinal zonation and altitudinal gradients. Air temperature and precipitation data records from at weather stations for the period 1940-2015 were analyzed. Long-term average annual temperature is negative and varies from -0.8 °C to -2.4 °C. Air temperature absolute minimum is -48 °C, absolute maximum is +36 °C. The long-term average annual precipitation is 370-480 mm, but in some years annual precipitation reach 760 mm. The summer months have about 70% of the total annual precipitation, in July and August the sum may reach 340 mm. Maximum daily sum of rainfalls is 80 mm. The contribution of the global and regional circulation characteristics into the variability of regional climatic characteristics was estimated.

Variability of the western Galician upwelling system (NW Spain) during an intensively sampled annual cycle. An EOF analysis approach

NASA Astrophysics Data System (ADS)

Herrera, J. L.; Rosón, G.; Varela, R. A.; Piedracoba, S.

2008-07-01

The key features of the western Galician shelf hydrography and dynamics are analyzed on a solid statistical and experimental basis. The results allowed us to gather together information dispersed in previous oceanographic works of the region. Empirical orthogonal functions analysis and a canonical correlation analysis were applied to a high-resolution dataset collected from 47 surveys done on a weekly frequency from May 2001 to May 2002. The main results of these analyses are summarized bellow. Salinity, temperature and the meridional component of the residual current are correlated with the relevant local forcings (the meridional coastal wind component and the continental run-off) and with a remote forcing (the meridional temperature gradient at latitude 37°N). About 80% of the salinity and temperature total variability over the shelf, and 37% of the residual meridional current total variability are explained by two EOFs for each variable. Up to 22% of the temperature total variability and 14% of the residual meridional current total variability is devoted to the set up of cross-shore gradients of the thermohaline properties caused by the wind-induced Ekman transport. Up to 11% and 10%, respectively, is related to the variability of the meridional temperature gradient at the Western Iberian Winter Front. About 30% of the temperature total variability can be explained by the development and erosion of the seasonal thermocline and by the seasonal variability of the thermohaline properties of the central waters. This thermocline presented unexpected low salinity values due to the trapping during spring and summer of the high continental inputs from the River Miño recorded in 2001. The low salinity plumes can be traced on the Galician shelf during almost all the annual cycle; they tend to be extended throughout the entire water column under downwelling conditions and concentrate in the surface layer when upwelling favourable winds blow. Our evidences point to the meridional temperature gradient acting as an important controlling factor of the central waters thermohaline properties and in the development and decay of the Iberian Poleward Current.

Seasonal and weekly variability of Atlantic inflow into the northern North Sea

NASA Astrophysics Data System (ADS)

Sheehan, Peter; Berx, Bee; Gallego, Alejandro; Hall, Rob; Heywood, Karen

2017-04-01

Quantifying the variability of Atlantic inflow is necessary for managing the North Sea ecosystem and for producing accurate models for forecasting, for example, oil spill trajectories. The JONSIS hydrographic section (2.23°W to 0° at 59.28°N) crosses the path of the main inflow of Atlantic water into the northwestern North Sea. 122 occupations between 1989 and 2015 are examined to determine the annual cycle of thermohaline-driven volume transport into the North Sea. Thermohaline transport is at a minimum (0.1 Sv) during winter when it is driven by a horizontal salinity gradient across a zonal bottom front; it is at a maximum (0.35 Sv) in early autumn when it is driven by a horizontal temperature gradient that develops across the same front. The amplitude of the annual cycle of temperature-driven transport (0.15 Sv) is bigger than the amplitude of the annual cycle of salinity-driven transport (0.025 Sv). The annual cycles are approximately six months out of phase. Our quantitative results are the first to be based on a long-term dataset, and we advance previous understanding by identifying a salinity-driven flow in winter. Week-to-week variability of the Atlantic inflow is examined from ten Seaglider occupations of the JONSIS section in October and November 2013. Tidal ellipses produced from glider dive-average current observations are in good agreement with ellipses produced from tide model predictions. Total transport is derived by referencing geostrophic shear to dive-average-current observations once the tidal component of the flow has been removed. Total transport through the section during the deployment (0.5-1 Sv) is bigger than the thermohaline component (0.1-0.2 Sv), suggesting non-thermohaline forcings (e.g. wind forcing) are important at that time of year. Thermohaline transport during the glider deployment is in agreement with the annual cycle derived from the long-term observations. The addition of the glider-derived barotropic current permits a more accurate estimate of the transport than is possible from long-term hydrographic monitoring, and enables the separation of barotropic and depth-varying components. These results refine our understanding of the variability of Atlantic inflow into the North Sea on key timescales, and of the contribution of frontal flow to shelf sea circulation.

78 FR 4458 - Proposed Information Collection Request Submitted for Public Comment; Survey Regarding Pension...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-22

... for how long they will need to keep working, their financial goals for retirement, the basis for... information. OMB Number: 1210-NEW. Respondents: 2,950. Number of Annual Responses: 2,950. Total Burden Hours: 945 hours. Total Annualized Capital/Startup Costs: $0. Total Annual Costs: $244,800. Description: The...

Report on Financing the New Model of Family Medicine

PubMed Central

Spann, Stephen J.

2004-01-01

PURPOSE To foster redesigning the work and workplaces of family physicians, this Future of Family Medicine task force was created to formulate and recommend a financial model that sustains and promotes a thriving New Model of care by focusing on practice reimbursement and health care finances. The goals of the task force were to develop a financial model that assesses the impact of the New Model on practice finances, and to recommend health care financial policies that, if implemented, would be expected to promote the New Model and the primary medical care function in the United States for the next few decades. METHODS The members of the task force reflected a wide range of professional backgrounds and expertise. The group met in person on 2 occasions and communicated by e-mail and conference calls to achieve consensus. A marketing study was carried out using focus groups to test the concept of the New Model with consumers. External consultants with expertise in health economics, health care finance, health policy, and practice management were engaged to assist the task force with developing the microeconomic (practice level) and macroeconomic (societal level) financial models necessary to achieve its goals. Model assumptions were derived from the published medical literature, existing practice management databases, and discussions with experienced physicians and other content experts. The results of the financial modeling exercise are included in this report. The initial draft report of the findings and recommendations was shared with a reactor panel representing a broad spectrum of constituencies. Feedback from these individuals was reviewed and incorporated, as appropriate, into the final report. RESULTS The practice-level financial model suggests that full implementation of the New Model of care within the current fee-for-service system of reimbursement would result in a 26% increase in compensation (from $167,457 to $210,288 total annual compensation) for prototypical family physicians who maintain their current number of work hours. Alternatively, physicians could choose to decrease their work hours by 12% and maintain their current compensation. This result is sensitive to physician practice group size. The societal level financial model shows that modifications in the current reimbursement system could lead to further improvements in compensation for family physicians practicing the New Model of care. Reimbursement for e-visits and chronic disease management could further increase total annual compensation to $229,849 for prototypical family physicians maintaining their current number of work hours. The widespread introduction of quality-based physician incentive bonus payments similar to some current programs that have been implemented on a limited basis could further increase total annual compensation up to $254,500. The adoption of a mixed reimbursement model, which would add an annual per-patient fee, a chronic care bonus, and an overall performance bonus to the current reimbursement system, could increase total annual compensation for the prototypical family physician continuing the current number of hours worked to as much as $277,800, a 66% increase above current compensation levels. The cost of transition to the New Model is estimated to range from $23,442 to $90,650 per physician, depending on the assumed magnitude of productivity loss associated with implementing an electronic health record. The financial impact of enhanced use of primary care on the costs of health care in the United States was estimated. If every American used a primary care physician as their usual source of care, health care costs would likely decrease by 5.6%, resulting in national savings of $67 billion dollars per year, with an improvement in the quality of the health care provided. CONCLUSIONS Family physicians could use New Model efficiency to increase compensation or to reduce work time. There are alternative reimbursement methodologies compatible with the New Model that would allow family physicians to share in the health care cost savings achieved as a result of effective and efficient delivery of care. The New Model of care should enhance health care while propelling the US system toward improved performance and results that are satisfying to patients, health care professionals, purchasers, and payers. The New Model needs to be implemented now. Given the recognized need for improvements in the US health care system in the areas of quality, safety, access and costs, there is no reason to delay. PMID:15654084

Report on financing the new model of family medicine.

PubMed

Spann, Stephen J

2004-12-02

To foster redesigning the work and workplaces of family physicians, this Future of Family Medicine task force was created to formulate and recommend a financial model that sustains and promotes a thriving New Model of care by focusing on practice reimbursement and health care finances. The goals of the task force were to develop a financial model that assesses the impact of the New Model on practice finances, and to recommend health care financial policies that, if implemented, would be expected to promote the New Model and the primary medical care function in the United States for the next few decades. The members of the task force reflected a wide range of professional backgrounds and expertise. The group met in person on 2 occasions and communicated by e-mail and conference calls to achieve consensus. A marketing study was carried out using focus groups to test the concept of the New Model with consumers. External consultants with expertise in health economics, health care finance, health policy, and practice management were engaged to assist the task force with developing the microeconomic (practice level) and macroeconomic (societal level) financial models necessary to achieve its goals. Model assumptions were derived from the published medical literature, existing practice management databases, and discussions with experienced physicians and other content experts. The results of the financial modeling exercise are included in this report. The initial draft report of the findings and recommendations was shared with a reactor panel representing a broad spectrum of constituencies. Feedback from these individuals was reviewed and incorporated, as appropriate, into the final report. The practice-level financial model suggests that full implementation of the New Model of care within the current fee-for-service system of reimbursement would result in a 26% increase in compensation (from 167,457 dollars to 210,288 dollars total annual compensation) for prototypical family physicians who maintain their current number of work hours. Alternatively, physicians could choose to decrease their work hours by 12% and maintain their current compensation. This result is sensitive to physician practice group size. The societal level financial model shows that modifications in the current reimbursement system could lead to further improvements in compensation for family physicians practicing the New Model of care. Reimbursement for e-visits and chronic disease management could further increase total annual compensation to 229,849 dollars for prototypical family physicians maintaining their current number of work hours. The widespread introduction of quality-based physician incentive bonus payments similar to some current programs that have been implemented on a limited basis could further increase total annual compensation up to 254,500 dollars. The adoption of a mixed reimbursement model, which would add an annual per-patient fee, a chronic care bonus, and an overall performance bonus to the current reimbursement system, could increase total annual compensation for the prototypical family physician continuing the current number of hours worked to as much as 277,800 dollars, a 66% increase above current compensation levels. The cost of transition to the New Model is estimated to range from 23,442 dollars to 90,650 dollars per physician, depending on the assumed magnitude of productivity loss associated with implementing an electronic health record. The financial impact of enhanced use of primary care on the costs of health care in the United States was estimated. If every American used a primary care physician as their usual source of care, health care costs would likely decrease by 5.6%, resulting in national savings of 67 billion dollars per year, with an improvement in the quality of the health care provided. Family physicians could use New Model efficiency to increase compensation or to reduce work time. There are alternative reimbursement methodologies compatible with the New Model that would allow family physicians to share in the health care cost savings achieved as a result of effective and efficient delivery of care. The New Model of care should enhance health care while propelling the US system toward improved performance and results that are satisfying to patients, health care professionals, purchasers, and payers. The New Model needs to be implemented now. Given the recognized need for improvements in the US health care system in the areas of quality, safety, access and costs, there is no reason to delay.

Recent trends in rainfall and temperature over North West India during 1871-2016

NASA Astrophysics Data System (ADS)

Saxena, Rani; Mathur, Prasoon

2018-03-01

Rainfall and temperature are the most important environmental factors influencing crop growth, development, and yield. The northwestern (NW) part of India is one of the main regions of food grain production of the country. It comprises of six meteorological subdivisions (Haryana, Punjab, West Rajasthan, East Rajasthan, Gujarat and Saurashtra, Kutch and Diu). In this study, attempts were made to study variability and trends in rainfall and temperature during 30-year climate normal periods (CN) and 10-year decadal excess or deficit rainfall frequency during the historical period from 1871 to 2016. The Mann-Kendall and Spearman's rank correlation (Spearman's rho) tests were used to determine significance of trends. Least square linear fitting method was adopted to find out the slopes of the trend lines. The long-term mean annual rainfall over North West India is 587.7 mm (standard deviation of 153.0 mm and coefficient of variation 26.0). There was increasing trend in minimum and maximum temperatures during post monsoon season in entire study period and current climate normal period (1991-2016) due to which the sowing of rabi season crops may be delayed and there may be germination problem too. There was a non-significant decreasing trend in rainfall during monsoon season and an increasing trend in rainfall during post monsoon over North West India during entire study period. During current CN5 (1991-2016), all the subdivision (except the Saurashtra region) showed a decreasing trend in rainfall during monsoon season which is a matter of concern for kharif crops and those rabi crops which are grown as rainfed on conserved soil moisture. The decadal annual and seasonal frequencies of excess and deficit years results revealed that the annual total deficit rainfall years (24) exceeded total excess rainfall years (22) in North West India during the entire study period. While during the current decadal period (2011 to 2016), single year was the excess year and 2 years were deficit rainfall years in all subdivisions (except East Rajasthan) on annual basis.

Asking the Presidents: The Most Pressing Issues at Community Colleges in the North Central Region. AIR 1988 Annual Forum Paper.

ERIC Educational Resources Information Center

Budig, Jeanne E.

A survey of 350 presidents at two-year colleges in the North Central Accreditation Region generated a list of their perceptions of the currently most pressing issues related to accreditation, academic transfer and vocational/technical education. A total of 162 usable responses was received. Results included the finding that the most pressing issue…

Annual variation in polychlorinated biphenyl (PCB) exposure in tree swallow (Tachycineta bicolor) eggs and nestlings at Great Lakes Restoration Initiative (GLRI) study sites

USGS Publications Warehouse

Custer, Christine M.; Custer, Thomas W.; Dummer, Paul; Goldberg, Diana R.; Franson, J. Christian

2018-01-01

Tree swallow (Tachycineta bicolor) eggs and nestlings were collected from 16 sites across the Great Lakes to quantify normal annual variation in total polychlorinated biphenyl (PCB) exposure and to validate the sample size choice in earlier work. A sample size of five eggs or five nestlings per site was adequate to quantify exposure to PCBs in tree swallows given the current exposure levels and variation. There was no difference in PCB exposure in two randomly selected sets of five eggs collected in the same year, but analyzed in different years. Additionally, there was only modest annual variation in exposure, with between 69% (nestlings) and 73% (eggs) of sites having no differences between years. There was a tendency, both statistically and qualitatively, for there to be less exposure in the second year compared to the first year.

12 CFR Appendix K to Part 226 - Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 3 2014-01-01 2014-01-01 false Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions K Appendix K to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED..., App. K Appendix K to Part 226—Total Annual Loan Cost Rate Computations for Reverse Mortgage...

12 CFR Appendix K to Part 226 - Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 3 2013-01-01 2013-01-01 false Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions K Appendix K to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED..., App. K Appendix K to Part 226—Total Annual Loan Cost Rate Computations for Reverse Mortgage...

Concentrations, loads, and yields of total phosphorus, total nitrogen, and suspended sediment and bacteria concentrations in the Wister Lake Basin, Oklahoma and Arkansas, 2011-13

USGS Publications Warehouse

Buck, Stephanie D.

2014-01-01

The Poteau Valley Improvement Authority uses Wister Lake in southeastern Oklahoma as a public water supply. Total phosphorus, total nitrogen, and suspended sediments from agricultural runoff and discharges from wastewater treatment plants and other sources have degraded water quality in the lake. As lake-water quality has degraded, water-treatment cost, chemical usage, and sludge production have increased for the Poteau Valley Improvement Authority. The U.S. Geological Survey (USGS), in cooperation with the Poteau Valley Improvement Authority, investigated and summarized concentrations of total phosphorus, total nitrogen, suspended sediment, and bacteria (Escherichia coli and Enterococcus sp.) in surface water flowing to Wister Lake. Estimates of total phosphorus, total nitrogen, and suspended sediment loads, yields, and flow-weighted mean concentrations of total phosphorus and total nitrogen concentrations were made for the Wister Lake Basin for a 3-year period from October 2010 through September 2013. Data from water samples collected at fixed time increments during base-flow conditions and during runoff conditions at the Poteau River at Loving, Okla. (USGS station 07247015), the Poteau River near Heavener, Okla. (USGS station 07247350), and the Fourche Maline near Leflore, Okla. (USGS station 07247650), water-quality stations were used to evaluate water quality over the range of streamflows in the basin. These data also were collected to estimate annual constituent loads and yields by using regression models. At the Poteau River stations, total phosphorus, total nitrogen, and suspended sediment concentrations in surface-water samples were significantly larger in samples collected during runoff conditions than in samples collected during base-flow conditions. At the Fourche Maline station, in contrast, concentrations of these constituents in water samples collected during runoff conditions were not significantly larger than concentrations during base-flow conditions. Flow-weighted mean total phosphorus concentrations at all three stations from 2011 to 2013 were several times larger than the Oklahoma State Standard for Scenic Rivers (0.037 milligrams per liter [mg/L]), with the largest flow-weighted phosphorus concentrations typically being measured at the Poteau River at Loving, Okla., station. Flow-weighted mean total nitrogen concentrations did not vary substantially between the Poteau River stations and the Fourche Maline near Leflore, Okla., station. At all of the sampled water-quality stations, bacteria (Escherichia coli and Enterococcus sp.) concentrations were substantially larger in water samples collected during runoff conditions than in water samples collected during base-flow conditions from 2011 to 2013. Estimated annual loads of total phosphorus, total nitrogen, and suspended sediment in the Poteau River stations during runoff conditions ranged from 82 to 98 percent of the total annual loads of those constituents. Estimated annual loads of total phosphorus, total nitrogen, and suspended sediment in the Fourche Maline during runoff conditions ranged from 86 to nearly 100 percent of the total annual loads. Estimated seasonal total phosphorus loads generally were smallest during base-flow and runoff conditions in autumn. Estimated seasonal total phosphorus loads during base-flow conditions tended to be largest in winter and during runoff conditions tended to be largest in the spring. Estimated seasonal total nitrogen loads tended to be smallest in autumn during base-flow and runoff conditions and largest in winter during runoff conditions. Estimated seasonal suspended sediment loads tended to be smallest during base-flow conditions in the summer and smallest during runoff conditions in the autumn. The largest estimated seasonal suspended sediment loads during runoff conditions typically were in the spring. The estimated mean annual total phosphorus yield was largest at the Poteau River at Loving, Okla., water-quality station. The estimated mean annual total phosphorus yield was largest during base flow at the Poteau River at Loving, Okla., water-quality station and at both of the Poteau River water-quality stations during runoff conditions. The estimated mean annual total nitrogen yields were largest at the Poteau River water-quality stations. Estimated mean annual total nitrogen yields were largest during base-flow and runoff conditions at the Poteau River at Loving, Okla., water-quality station. The estimated mean annual suspended sediment yield was largest at the Poteau River near Heavener, Okla., water-quality station during base-flow and runoff conditions. Flow-weighted mean concentrations indicated that total phosphorus inputs from the Poteau River Basin in the Wister Lake Basin were larger than from the Fourche Maline Basin. Flow-weighted mean concentrations of total nitrogen did not vary spatially in a consistent manner. The Poteau River and the Fourche Maline contributed estimated annual total phosphorus loads of 137 to 278 tons per year (tons/yr) to Wister Lake. Between 89 and 95 percent of the annual total phosphorus loads were transported to Wister Lake during runoff conditions. The Poteau River and the Fourche Maline contributed estimated annual total nitrogen loads of 657 to 1,294 tons/yr, with 86 to 94 percent of the annual total nitrogen loads being transported to Wister Lake during runoff conditions. The Poteau River and the Fourche Maline contributed estimated annual total suspended sediment loads of 110,919 to 234,637 tons/yr, with 94 to 99 percent of the annual suspended sediment loads being transported to Wister Lake during runoff conditions. Most of the total phosphorus and suspended sediment were delivered to Wister Lake during runoff conditions in the spring. The majority of the total nitrogen was delivered to Wister Lake during runoff conditions in winter.

Assessing global radiative forcing due to regional emissions of tropospheric ozone precursors: a step towards climate credit for ozone reductions

NASA Astrophysics Data System (ADS)

Mauzerall, D. L.; Naik, V.; Horowitz, L. W.; Schwarzkopf, D.; Ramaswamy, V.; Oppenheimer, M.

2005-05-01

Carbon dioxide emissions from fossil-fuel consumption are presented for the five Asian countries that are among the global leaders in anthropogenic carbon emissions: China (13% of global total), Japan (5% of global total), India (5% of global total), South Korea (2% of global total), and Indonesia (1% of global total). Together, these five countries represent over a quarter of the world's fossil-fuel based carbon emissions. Moreover, these countries are rapidly developing and energy demand has grown dramatically in the last two decades. A method is developed to estimate the spatial and seasonal flux of fossil-fuel consumption, thereby greatly improving the temporal and spatial resolution of anthropogenic carbon dioxide emissions. Currently, only national annual data for anthropogenic carbon emissions are available, and as such, no understanding of seasonal or sub-national patterns of emissions are possible. This methodology employs fuel distribution data from representative sectors of the fossil-fuel market to determine the temporal and spatial patterns of fuel consumption. These patterns of fuel consumption are then converted to patterns of carbon emissions. The annual total emissions estimates produced by this method are consistent to those maintained by the United Nations. Improved estimates of temporal and spatial resolution of the human based carbon emissions allows for better projections about future energy demands, carbon emissions, and ultimately the global carbon cycle.

Annual Costs of Care for Pediatric Irritable Bowel Syndrome, Functional Abdominal Pain, and Functional Abdominal Pain Syndrome.

PubMed

Hoekman, Daniël R; Rutten, Juliette M T M; Vlieger, Arine M; Benninga, Marc A; Dijkgraaf, Marcel G W

2015-11-01

To estimate annual medical and nonmedical costs of care for children diagnosed with irritable bowel syndrome (IBS) or functional abdominal pain (syndrome; FAP/FAPS). Baseline data from children with IBS or FAP/FAPS who were included in a multicenter trial (NTR2725) in The Netherlands were analyzed. Patients' parents completed a questionnaire concerning usage of healthcare resources, travel costs, out-of-pocket expenses, productivity loss of parents, and supportive measures at school. Use of abdominal pain related prescription medication was derived from case reports forms. Total annual costs per patient were calculated as the sum of direct and indirect medical and nonmedical costs. Costs of initial diagnostic investigations were not included. A total of 258 children, mean age 13.4 years (±5.5), were included, and 183 (70.9%) were female. Total annual costs per patient were estimated to be €2512.31. Inpatient and outpatient healthcare use were major cost drivers, accounting for 22.5% and 35.2% of total annual costs, respectively. Parental productivity loss accounted for 22.2% of total annual costs. No difference was found in total costs between children with IBS or FAP/FAPS. Pediatric abdominal pain related functional gastrointestinal disorders impose a large economic burden on patients' families and healthcare systems. More than one-half of total annual costs of IBS and FAP/FAPS consist of inpatient and outpatient healthcare use. Netherlands Trial Registry: NTR2725. Copyright © 2015 Elsevier Inc. All rights reserved.

Lake Roosevelt Fisheries Evaluation Program; Limnological and Fisheries Monitoring, Annual Report 2000.

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

Lee, Chuck; Scofield, Ben; Pavlik, Deanne

2003-03-01

A slightly dryer than normal year yielded flows in Lake Roosevelt that were essentially equal to the past ten year average. Annual mean inflow and outflow were 3,160.3 m3/s and 3,063.4 m3/s respectively. Mean reservoir elevation was 387.2 m above sea level at the Grand Coulee Dam forebay. The forebay elevation was below the mean elevation for a total of 168 days. During the first half of the 2000 forebay elevation changed at a rate of 0.121 m/d and during the last half changed at a rate of 0.208 m/d. The higher rate of elevation change earlier in the yearmore » is due to the drawdown to accommodate spring runoff. Mean annual water retention time was 40 days. Annual mean total dissolved gas was 108%. Total dissolved gas was greatest at upriver locations (110% = US/Canada Border annual mean) and decreased moving toward Grand Coulee Dam (106% = Grand Coulee Dam Forebay annual mean). Total dissolved gas was greatest in May (122% reservoir wide monthly mean). Gas bubble trauma was observed in 16 fish primarily largescale suckers and was low in severity. Reservoir wide mean temperatures were greatest in August (19.5 C) and lowest in January (5.5 C). The Spokane River and Sanpoil River Arms experienced higher temperatures than the mainstem reservoir. Brief stratification was observed at the Sanpoil River shore location in July. Warm water temperatures in the Spokane Arm contributed to low dissolved oxygen concentrations in August (2.6 mg/L at 33 m). However, decomposition of summer algal biomass was likely the main cause of depressed dissolved oxygen concentrations. Otherwise, dissolved oxygen profiles were relatively uniform throughout the water column across other sampling locations. Annual mean Secchi depth throughout the reservoir was 5.7 m. Nutrient concentrations were generally low, however, annual mean total phosphorus (0.016 mg/L) was in the mesotrophic range. Annual mean total nitrogen was in the meso-oligotrophic range. Total nitrogen to total phosphorus ratios were large (31:1 annual mean) likely indicating phosphorus limitations to phytoplankton.« less

The Health Impacts of Energy Policy Pathways in Ulaanbaatar, Mongolia: A Total Exposure Assessment

NASA Astrophysics Data System (ADS)

Hill, L. A.; Damdinsuren, Y.; Olkhanud, P. B.; Smith, K. R.; Turner, J. R.; Edwards, R.; Odsuren, M.; Ochir, C.

2015-12-01

Ulaanbaatar is home to nearly half of Mongolia's 2.8 million residents. The city's rapid growth, frigid winters, valley topography, and reliance on coal-fired stoves have led to some of the worst winter pollution levels in the world. To better understand this issue, we modeled integrated PM2.5exposures and related health impacts for various city-wide heating policies through 2024. This assessment is one of the first to employ a total exposure approach and results of the 2014 Comparative Risk Assessments of the Global Burden of Disease Project (CRA/GBD) in a policy-relevant energy study. Emissions related to heating, traffic, and power generation were considered under Business as Usual, Moderate Improvement, and Max Improvement scenarios. Calibrated outdoor models were combined with indoor models, local infiltration and time activity estimates, and demographic projections to estimate PM2.5exposures in 2014 and 2024. Indoor exposures were assigned by heating type, home type, and smoking status; outdoor exposures were assigned through geocoding. Population average annual exposures were calculated and applied to local disease rates and integrated exposure-response curves (2014 CRA/GBD) to arrive at annual projections of premature deaths and DALYs. We estimate 2014 annual average exposures at 68 μg/m3, dictated almost exclusively by indoor winter exposures. Under current trends, annual exposures increase 10% to 75 μg/m3 in 2024. This is in stark contrast to the moderate and max improvement scenarios, which lead to 2024 annual exposures that are 31%, and 68% lower, respectively. Under the Moderate scenario, 2024 per capita annual DALY and death burdens drop 26% and 22%, respectively, from 2014 levels. Under the Max scenario, 2024 per capita annual DALY and death burdens drop 71% and 66%, respectively, from 2014. SHS becomes a major contributor as emissions from other sectors decrease. Reductions are dominated by cardiovascular and lower respiratory diseases in children.

Hydrology and water quality in 13 watersheds in Gwinnett County, Georgia, 2001–15

USGS Publications Warehouse

Aulenbach, Brent T.; Joiner, John K.; Painter, Jaime A.

2017-02-23

The U.S. Geological Survey (USGS), in cooperation with Gwinnett County Department of Water Resources, established a Long-Term Trend Monitoring (LTTM) program in 1996. The LTTM program is a comprehensive, long-term, water-quantity and water-quality monitoring program designed to document and analyze the hydrologic and water-quality conditions of selected watersheds in Gwinnett County, Georgia. Water-quality monitoring initially began in six watersheds and currently [2016] includes 13 watersheds.As part of the LTTM program, streamflow, precipitation, water temperature, specific conductance, and turbidity were measured every 15 minutes for water years 2001–15 at 12 of the 13 watershed monitoring stations and for water years 2010–15 at the other watershed. In addition, discrete water-quality samples were collected seasonally from May through October (summer) and November through April (winter), including one base-flow and three stormflow event composite samples, during the study period. Samples were analyzed for nutrients (nitrogen and phosphorus), total organic carbon, trace elements (total lead and total zinc), total dissolved solids, and total suspended sediment (total suspended solids and suspended-sediment concentrations). The sampling scheme was designed to identify variations in water quality both hydrologically and seasonally.The 13 watersheds were characterized for basin slope, population density, land use for 2012, and the percentage of impervious area from 2000 to 2014. Several droughts occurred during the study period—water years 2002, 2007–08, and 2011–12. Watersheds with the highest percentage of impervious areas had the highest runoff ratios, which is the portion of precipitation that occurs as runoff. Watershed base-flow indexes, the ratio of base-flow runoff to total runoff, were inversely correlated with watershed impervious area.Flood-frequency estimates were computed for 13 streamgages in the study area that have 10 or more years of annual peak flow data through water year 2015, using the expected moments algorithm to fit a Pearson Type III distribution to logarithms of annual peak flows. Kendall’s tau nonparametric test was used to determine the statistical significance of trends in the annual peak flows, with none of the 13 streamgages exhibiting significant trends.A comparison of base-flow and stormflow water-quality samples indicates that turbidity and concentrations of total ammonia plus organic nitrogen, total nitrogen, total phosphorus, total organic carbon, total lead, total zinc, total suspended solids, and suspended-sediment concentrations increased with increasing discharge at all watersheds. Specific conductance decreased during stormflow at all watersheds, and total dissolved solids concentrations decreased during stormflow at a few of the watersheds. Total suspended solids and suspended-sediment concentrations typically were two orders of magnitude higher in stormflow samples, turbidities were about 1.5 orders of magnitude higher, total phosphorus and total zinc were about one order of magnitude higher, and total ammonia plus organic nitrogen, total nitrogen, total organic carbon, and total lead were about twofold higher than in base-flow samples.Seasonality and long-term trends were identified for the period water years 2001–15 for 10 constituents—total nitrogen, total nitrate plus nitrite, total phosphorus, dissolved phosphorus, total organic carbon, total suspended solids, suspended-sediment concentration, total lead, total zinc, and total dissolved solids. Seasonal patterns were present in most watersheds for all constituents except total dissolved solids, and the watersheds had fairly similar patterns of higher concentrations in the summer and lower concentrations in the winter. A linear long-term trend analysis of residual concentrations from the flow-only load estimation model (without time-trend terms) identified significant trends in 67 of the 130 constituent-watershed combinations. Seventy percent of the significant trends were negative. Total organic carbon and total dissolved solids had predominantly positive trends. Total phosphorus, total suspended solids, suspended-sediment concentration, total lead, and total zinc had only negative trends. The other three constituents exhibited fewer trends, both positive and negative.Streamwater loads were estimated annually for the 13-year period water years 2003–15 for the same 10 constituents in the trend analysis. Loads were estimated using a regression-model-based approach developed by the USGS for the Gwinnett County LTTM program that accommodates the use of storm-event composited samples. Concentrations were modeled as a function of discharge, base flow, time, season, and turbidity to improve model predictions and reduce errors in load estimates. Total suspended solids annual loads have been identified in Gwinnett County’s Watershed Protection Plan for target performance criterion.Although the amount of annual runoff was the primary factor in variations in annual loads, climatic conditions (classified as dry, average, or wet) affected annual loads beyond what was attributed to climatic-related variations in annual runoff. Significant negative trends in loads were estimated for the combined area of the watersheds for all constituents except dissolved phosphorus, total organic carbon, and total dissolved solids. The trend analysis indicated that total suspended solids and suspended-sediment concentration loads in the study area were decreasing by 57,000 and 87,000 pounds per day per year, respectively.Variations in constituent yields between watersheds appeared to be related to various watershed characteristics. Suspended sediment (as either total suspended solids or suspended-sediment concentrations), along with constituents transported predominately in solid phase (total phosphorus, total organic carbon, total lead, and total zinc), and total dissolved solids typically had higher yields from watersheds that had high percentages of impervious areas or high basin slope. High total nitrogen yields were also associated with watersheds with high percentages of impervious areas. Low total nitrogen, total suspended solids, total lead, and total zinc yields appeared to be associated with watersheds that had a low percentage of high-density development.

Reduction of costs for anemia-management drugs associated with the use of ferric citrate

PubMed Central

Thomas, Anila; Peterson, Leif E

2014-01-01

Background Ferric citrate is a novel phosphate binder which has the potential to reduce usage of erythropoietin-stimulating agents (ESAs) and intravenous (IV) iron used for anemia management during hemodialysis (HD) among patients with end-stage renal disease (ESRD). Currently, the potential health care cost savings on a national scale due to the use of ferric citrate in ESRD are undetermined. Methods Per-patient-per-year costs of ESAs (Epogen® and Aranesp® [Amgen Inc., CA, USA]) and IV iron (Venofer® [American Regent, Inc., NY, USA] and Ferrlecit® [Sanofi US, Bridgewater, NJ, USA]) were based on RED BOOK™ (Truven Health Analytics New York, NY, USA) costs combined with the Centers for Medicare and Medicaid Services (CMS) base rate and actual usage in 2011 for the four drugs. The annual number of outpatients undergoing HD in the US was based on frequencies reported by the USRDS (United States Renal Data System). Monte Carlo uncertainty analysis was performed to determine total annual costs and cost reduction based on ferric citrate usage. Results Total annual cost of ESAs and IV iron for anemia management in ESRD determined by Monte Carlo analysis assuming CMS base rate value was 5.127 (3.664–6.260) billion USD. For actual utilization in 2011, total annual cost of ESAs and IV iron was 3.981 (2.780–4.930) billion USD. If ferric citrate usage reduced ESA utilization by 20% and IV iron by 40%, then total cost would be reduced by 21.2% to 4.038 (2.868–4.914) billion USD for the CMS base rate, and by 21.8% to 3.111 (2.148–3.845) billion USD, based on 2011 actual utilization. Conclusion It is likely that US health care costs for anemia-management drugs associated with ESRD among HD patients can be reduced by using ferric citrate as a phosphate binder. PMID:24899820

12 CFR Appendix K to Part 1026 - Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions K Appendix K to Part 1026 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION TRUTH IN LENDING (REGULATION Z) Pt. 1026, App. K Appendix K to Part 1026—Total Annual Loan Cost...

12 CFR Appendix K to Part 1026 - Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions K Appendix K to Part 1026 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION TRUTH IN LENDING (REGULATION Z) Pt. 1026, App. K Appendix K to Part 1026—Total Annual Loan Cost...

A contingent valuation study of the value of reducing fire hazards to old-growth forests in the Pacific Northwest

Treesearch

John B. Loomis; Armando González-Cabán; Robin Gregory

1996-01-01

A contingent valuation methodology was applied to old-growth forests and critical habitat units for the Northern Spotted Owl in Oregon to estimate the economic value to the public in knowing that rare and unique ecosystems will be protected from fire for current and future generations. Generalizing to the whole state, the total annual willingness-to-pay of Oregon...

Simulation of the Universal-Time Diurnal Variation of the Global Electric Circuit Charging Rate

NASA Technical Reports Server (NTRS)

Mackerras, D.; Darvenzia, M.; Orville, R. E.; Williams, E. R.; Goodman, S. J.

1999-01-01

A global lightning model that includes diurnal and annual lightning variation, and total flash density versus latitude for each major land and ocean, has been used as the basis for simulating the global electric circuit charging rate. A particular objective has been to reconcile the difference in amplitude ratios [AR=(max-min)/mean] between global lightning diurnal variation (AR approx. = 0.8) and the diurnal variation of typical atmospheric potential gradient curves (AR approx. = 0.35). A constraint on the simulation is that the annual mean charging current should be about 1000 A. The global lightning model shows that negative ground flashes can contribute, at most, about 10-15% of the required current. For the purpose of the charging rate simulation, it was assumed that each ground flash contributes 5 C to the charging process. It was necessary to assume that all electrified clouds contribute to charging by means other than lightning, that the total flash rate can serve as an indirect indicator of the rate of charge transfer, and that oceanic electrified clouds contribute to charging even though they are relatively inefficient in producing lightning. It was also found necessary to add a diurnally invariant charging current component. By trial and error it was found that charging rate diurnal variation curves in Universal time (UT) could be produced with amplitude ratios and general shapes similar to those of the potential gradient diurnal variation curves measured over ocean and arctic regions during voyages of the Carnegie Institute research vessels.

Annual Geocenter Motion from Space Geodesy and Models

NASA Astrophysics Data System (ADS)

Ries, J. C.

2013-12-01

Ideally, the origin of the terrestrial reference frame and the center of mass of the Earth are always coincident. By construction, the origin of the reference frame is coincident with the mean Earth center of mass, averaged over the time span of the satellite laser ranging (SLR) observations used in the reference frame solution, within some level of uncertainty. At shorter time scales, tidal and non-tidal mass variations result in an offset between the origin and geocenter, called geocenter motion. Currently, there is a conventional model for the tidally-coherent diurnal and semi-diurnal geocenter motion, but there is no model for the non-tidal annual variation. This annual motion reflects the largest-scale mass redistribution in the Earth system, so it essential to observe it for a complete description of the total mass transport. Failing to model it can also cause false signals in geodetic products such as sea height observations from satellite altimeters. In this paper, a variety of estimates for the annual geocenter motion are presented based on several different geodetic techniques and models, and a ';consensus' model from SLR is suggested.

75 FR 27358 - Information Collection Sent to the Office of Management and Budget (OMB) for Approval; OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-14

... retain a benefit. Frequency of Collection: Ongoing. Estimated Annual Number of Respondents: 750. Estimated Total Annual Responses: 750. Estimated Time Per Response: 1 hour Estimated Total Annual Burden..., purchased, sold, or otherwise transferred; and (2) the dates of these transactions. Accredited wildlife...

75 FR 24732 - Agency Information Collection Activities: Proposed Collection; Comment Request, 1660-0026; State...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... Costs Number of Avg. burden per Total annual Type of respondent Form name/Form No. Number of responses per Total number of response (in burden (in Avg. hourly Total annual respondents respondent responses...

Anthropogenic SO{sub 2}/NO{sub x} committee--current status

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

Benkovitz, C.M.

1993-04-01

Current activities of the Anthropogenic SO{sub 2}/NO{sub x} Committee center around the compilation of Version 1 of the GEIA inventories. These inventories will be based on the GEIA-specified 1{degrees} by 1{degrees} grid (lower left corner at 180{degrees}W/90{degrees}S, west to east and south to north), reflect 1985 emissions and consist of two data sets: Version 1A inventories with annual emissions at one level and Version 1B inventories with seasonal emissions, two vertical levels (defined at 100 m) and sectoral split information. The basic information used for both versions of the GEIA inventories will be identical; i.e., emissions totals across both inventoriesmore » will be the same. Work is being carried out in two complementary working groups; Carmen Benkovitz, Brookhaven National Laboratory, Upton, NY, USA heads the work on the annual inventory, Eva Voldner, Atmospheric Environment Services, Canada and Trevor Scholtz, ORTECH International, Canada, head the work on the seasonal inventory.« less

Epidemiology of tetanus in the Marches Region of Italy, 1992-95.

PubMed Central

Prospero, E.; Appignanesi, R.; D'Errico, M. M.; Carle, F.

1998-01-01

Reported is the incidence of tetanus in the Marches Region of Italy for the period 1992-95. Data were obtained from both the regional public health committee's notification forms for infectious diseases and from hospital clinical records. A total of 36 cases were examined, comprising 7 males (19.4%) and 29 females. The raw annual incidence was 6.3 per million population; the standardized incidence for females was four times greater than that for males (9.2 and 2.4 per million population annually, respectively). The patients' ages varied from 31 years to 88 years (median, 73.5 years). The incidence among subjects older than 65 years was approximately ten times greater than that among younger individuals. Chronic wounds, such as trophic lesions, represented the site of tetanus infection in 14.3% of cases whose infection entry point was identified. Treatment of the 36 cases required a total of 1239 hospital days, of which 58.7% were in intensive care and 29.6% were in infectious diseases departments. The raw annual mortality rate for the period considered was 0.7 per million population; the case-fatality ratio was 11%. The results of our study confirm the limits of the current Italian immunization programmes, which exclude a large portion of the population from antitetanus protection. PMID:9615496

Bioenergy potential of the United States constrained by satellite observations of existing productivity

USGS Publications Warehouse

Reed, Sasha C.; Smith, William K.; Cleveland, Cory C.; Miller, Norman L.; Running, Steven W.

2012-01-01

Background/Question/Methods Currently, the United States (U.S.) supplies roughly half the world’s biofuel (secondary bioenergy), with the Energy Independence and Security Act of 2007 (EISA) stipulating an additional three-fold increase in annual production by 2022. Implicit in such energy targets is an associated increase in annual biomass demand (primary bioenergy) from roughly 2.9 to 7.4 exajoules (EJ; 1018 Joules). Yet, many of the factors used to estimate future bioenergy potential are relatively unresolved, bringing into question the practicality of the EISA’s ambitious bioenergy targets. Here, our objective was to constrain estimates of primary bioenergy potential (PBP) for the conterminous U.S. using satellite-derived net primary productivity (NPP) data (measured for every 1 km2 of the 7.2 million km2 of vegetated land in the conterminous U.S) as the most geographically explicit measure of terrestrial growth capacity. Results/Conclusions We show that the annual primary bioenergy potential (PBP) of the conterminous U.S. realistically ranges from approximately 5.9 (± 1.4) to 22.2 (± 4.4) EJ, depending on land use. The low end of this range represents current harvest residuals, an attractive potential energy source since no additional harvest land is required. In contrast, the high end represents an annual harvest over an additional 5.4 million km2 or 75% of vegetated land in the conterminous U.S. While we identify EISA energy targets as achievable, our results indicate that meeting such targets using current technology would require either an 80% displacement of current croplands or the conversion of 60% of total rangelands. Our results differ from previous evaluations in that we use high resolution, satellite-derived NPP as an upper-envelope constraint on bioenergy potential, which removes the need for extrapolation of plot-level observed yields over large spatial areas. Establishing realistically constrained estimates of bioenergy potential seems a critical next step for effectively incorporating bioenergy into future U.S. energy portfolios.

Estimating the number of trees and forest area necessary to supply internationally traded volumes of big-leaf mahogany (Swietenia macrophylla) in Amazonia

Treesearch

J. Grogan; M. Schulze

2008-01-01

requires producer nations to certify that exported supplies were obtained in a manner non-detrimental to the species’ survival in its role in the ecosystem. Non-detriment findings based on annual export quotas should verify that current harvest rates are sustainable with respect to total commercial stocks. In order to assess this impact, a method for converting export...

Assessment of conservation easements, total phosphorus, and total suspended solids in West Fork Beaver Creek, Minnesota, 1999-2012

USGS Publications Warehouse

Christensen, Victoria G.; Kieta, Kristen A.

2014-01-01

This study examined conservation easements and their effectiveness at reducing phosphorus and solids transport to streams. The U.S. Geological Survey cooperated with the Minnesota Board of Water and Soil Resources and worked collaboratively with the Hawk Creek Watershed Project to examine the West Fork Beaver Creek Basin in Renville County, which has the largest number of Reinvest In Minnesota land retirement contracts in the State (as of 2013). Among all conservation easement programs, a total of 24,218 acres of agricultural land were retired throughout Renville County, and 2,718 acres were retired in the West Fork Beaver Creek Basin from 1987 through 2012. Total land retirement increased steadily from 1987 until 2000. In 2000, land retirement increased sharply because of the Minnesota River Conservation Reserve Enhancement Program, then leveled off when the program ended in 2002. Streamflow data were collected during 1999 through 2011, and total phosphorus and total suspended solids data were collected during 1999 through 2012. During this period, the highest peak streamflow of 1,320 cubic feet per second was in March 2010. Total phosphorus and total suspended solids are constituents that tend to increase with increases in streamflow. Annual flow-weighted mean total-phosphorus concentrations ranged from 0.140 to 0.759 milligrams per liter, and annual flow-weighted mean total suspended solids concentrations ranged from 21.3 to 217 milligrams per liter. Annual flow-weighted mean total phosphorus and total suspended solids concentrations decreased steadily during the first 4 years of water-quality sample collection. A downward trend in flow-weighted mean total-phosphorus concentrations was significant from 1999 through 2008; however, flow-weighted total-phosphorus concentrations increased substantially in 2009, and the total phosphorus trend was no longer significant. The high annual flow-weighted mean concentrations for total phosphorus and total suspended solids in 2009 were affected by outlier concentrations documented in March 2009. Agricultural land-retirement data only were available through 2008; therefore, it was not possible to compare total phosphorus and total suspended solids concentrations to agricultural land-retirement data for 2009–11. A downward trend in annual flow-weighted mean total-phosphorus concentrations was related significantly to annual land retirement for 1999–2008. The relation between annual flow-weighted mean total suspended solids concentration and annual land retirement was not statistically significant for 1999–2008. If land-retirement data had been available for 2009–11, it is possible that the relation between total phosphorus and land retirement would no longer be evident because of the marked increase in flow-weighted concentrations during 2009. Alternatively, the increase in annual flow-weighted mean total-phosphorus concentrations during 2009–11 may be because of other factors, including industrial discharges, increases in drain tile installation, changes in land use including decreases in agricultural land retirement after 2008, increases in erosion, increases in phosphorus applications to fields, or unknown causes. Inclusion of land-retirement effects in agency planning along with other factors adds perspective with regard to the broader picture of interdependent systems and allows agencies to make informed decisions on the benefits of perpetual easements compared to limited duration easements.

[A proposal to improve nursing fee differentiation policy for general hospitals using profitability-analysis in the national health insurance].

PubMed

Kim, Sungjae; Kim, Jinhyun

2012-06-01

The purpose of this study was to propose optimal hospitalization fees for nurse staffing levels and to improve the current nursing fee policy. A break-even analysis was used to evaluate the impact of a nursing fee policy on hospital's financial performance. Variables considered included the number of beds, bed occupancy rate, annual total patient days, hospitalization fees for nurse staffing levels, the initial annual nurses' salary, and the ratio of overhead costs to nursing labor costs. Data were collected as secondary data from annual reports of the Hospital Nursing Association and national health insurance. The hospitalization fees according to nurse staffing levels in general hospitals are required to sustain or decrease in grades 1, 2, 3, 4, and 7, and increase in grades 5 and 6. It is suggested that the range between grade 2 and 3 be sustained at the current level, the range between grade 4 and 5 be widen or merged into one, and the range between grade 6 and 7 be divided into several grades. Readjusting hospitalization fees for nurse staffing level will improve nurse-patient ratio and enhance the quality of nursing care in hospitals. Follow-up studies including tertiary hospitals and small hospitals are recommended.

Examining variation in treatment costs: a cost function for outpatient methadone treatment programs.

PubMed

Dunlap, Laura J; Zarkin, Gary A; Cowell, Alexander J

2008-06-01

To estimate a hybrid cost function of the relationship between total annual cost for outpatient methadone treatment and output (annual patient days and selected services), input prices (wages and building space costs), and selected program and patient case-mix characteristics. Data are from a multistate study of 159 methadone treatment programs that participated in the Center for Substance Abuse Treatment's Evaluation of the Methadone/LAAM Treatment Program Accreditation Project between 1998 and 2000. Using least squares regression for weighted data, we estimate the relationship between total annual costs and selected output measures, wages, building space costs, and selected program and patient case-mix characteristics. Findings indicate that total annual cost is positively associated with program's annual patient days, with a 10 percent increase in patient days associated with an 8.2 percent increase in total cost. Total annual cost also increases with counselor wages (p<.01), but no significant association is found for nurse wages or monthly building costs. Surprisingly, program characteristics and patient case mix variables do not appear to explain variations in methadone treatment costs. Similar results are found for a model with services as outputs. This study provides important new insights into the determinants of methadone treatment costs. Our findings concur with economic theory in that total annual cost is positively related to counselor wages. However, among our factor inputs, counselor wages are the only significant driver of these costs. Furthermore, our findings suggest that methadone programs may realize economies of scale; however, other important factors, such as patient access, should be considered.

The relationship between suicide and five climate issues in a large-scale and long-term study in Japan.

PubMed

Inoue, K; Nishimura, Y; Fujita, Y; Ono, Y; Fukunaga, T

2012-08-01

Suicide rates in Japan were high in 1998 and have remained high since then. Many researchers have discussed the current state of suicide in Japan and the world; however, there are various opinions about the relationship between suicide and climate. In the present study, we report on long-term data of suicide and examine five climatic issues in Japan as a whole and in 10 selected prefectures: the five with the highest suicide rates in 2006 (Akita, Iwate, Shimane, Yamagata and Miyazaki Prefectures) and the five with the lowest (Nara, Tokushima, Okayama, Kanagawa and Kyoto Prefectures). Annual age-adjusted suicide rates were found to have a significant inverse correlation with annual mean air temperature in the five prefectures with the highest suicide rates and in the three prefectures with the lowest suicide rates among women. Annual age-adjusted suicide rates were significantly correlated with annual mean relative humidity in the three prefectures with the highest suicide rates among women and with the annual total sunshine duration in the three prefectures with the highest suicide rates among women. It is important that these associations between suicide and climatic factors be discussed further from various viewpoints, including those of many researchers and relevant organizations.

78 FR 49321 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-13

.... Residents. Respondent Universe: 1,000 individuals. Frequency of Submission: On occasion. Respondent Total annual Average time per Total annual Form number universe responses response burden hours Alleged...

77 FR 77181 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-31

...: Railroad Employees. Respondent Universe: 11,000 Railroad Employees. Frequency of Submission: On occasion. Reporting Burden: Total Respondent Total annual Average Time annual CFR section universe responses per...

Relation of watershed setting and stream nutrient yields at selected sites in central and eastern North Carolina, 1997-2008

USGS Publications Warehouse

Harden, Stephen L.; Cuffney, Thomas F.; Terziotti, Silvia; Kolb, Katharine R.

2013-01-01

Data collected between 1997 and 2008 at 48 stream sites were used to characterize relations between watershed settings and stream nutrient yields throughout central and eastern North Carolina. The focus of the investigation was to identify environmental variables in watersheds that influence nutrient export for supporting the development and prioritization of management strategies for restoring nutrient-impaired streams. Nutrient concentration data and streamflow data compiled for the 1997 to 2008 study period were used to compute stream yields of nitrate, total nitrogen (N), and total phosphorus (P) for each study site. Compiled environmental data (including variables for land cover, hydrologic soil groups, base-flow index, streams, wastewater treatment facilities, and concentrated animal feeding operations) were used to characterize the watershed settings for the study sites. Data for the environmental variables were analyzed in combination with the stream nutrient yields to explore relations based on watershed characteristics and to evaluate whether particular variables were useful indicators of watersheds having relatively higher or lower potential for exporting nutrients. Data evaluations included an examination of median annual nutrient yields based on a watershed land-use classification scheme developed as part of the study. An initial examination of the data indicated that the highest median annual nutrient yields occurred at both agricultural and urban sites, especially for urban sites having large percentages of point-source flow contributions to the streams. The results of statistical testing identified significant differences in annual nutrient yields when sites were analyzed on the basis of watershed land-use category. When statistical differences in median annual yields were noted, the results for nitrate, total N, and total P were similar in that highly urbanized watersheds (greater than 30 percent developed land use) and (or) watersheds with greater than 10 percent point-source flow contributions to streamflow had higher yields relative to undeveloped watersheds (having less than 10 and 15 percent developed and agricultural land uses, respectively) and watersheds with relatively low agricultural land use (between 15 and 30 percent). The statistical tests further indicated that the median annual yields for total P were statistically higher for watersheds with high agricultural land use (greater than 30 percent) compared to the undeveloped watersheds and watersheds with low agricultural land use. The total P yields also were higher for watersheds with low urban land use (between 10 and 30 percent developed land) compared to the undeveloped watersheds. The study data indicate that grouping and examining stream nutrient yields based on the land-use classifications used in this report can be useful for characterizing relations between watershed settings and nutrient yields in streams located throughout central and eastern North Carolina. Compiled study data also were analyzed with four regression tree models as a means of determining which watershed environmental variables or combination of variables result in basins that are likely to have high or low nutrient yields. The regression tree analyses indicated that some of the environmental variables examined in this study were useful for predicting yields of nitrate, total N, and total P. When the median annual nutrient yields for all 48 sites were evaluated as a group (Model 1), annual point-source flow yields had the greatest influence on nitrate and total N yields observed in streams, and annual streamflow yields had the greatest influence on yields of total P. The Model 1 results indicated that watersheds with higher annual point-source flow yields had higher annual yields of nitrate and total N, and watersheds with higher annual streamflow yields had higher annual yields of total P. When sites with high point-source flows (greater than 10 percent of total streamflow) were excluded from the regression tree analyses (Models 2–4), the percentage of forested land in the watersheds was identified as the primary environmental variable influencing stream yields for both total N and total P. Models 2, 3 and 4 did not identify any watershed environmental variables that could adequately explain the observed variability in the nitrate yields among the set of sites examined by each of these models. The results for Models 2, 3, and 4 indicated that watersheds with higher percentages of forested land had lower annual total N and total P yields compared to watersheds with lower percentages of forested land, which had higher median annual total N and total P yields. Additional environmental variables determined to further influence the stream nutrient yields included median annual percentage of point-source flow contributions to the streams, variables of land cover (percentage of forested land, agricultural land, and (or) forested land plus wetlands) in the watershed and (or) in the stream buffer, and drainage area. The regression tree models can serve as a tool for relating differences in select watershed attributes to differences in stream yields of nitrate, total N, and total P, which can provide beneficial information for improving nutrient management in streams throughout North Carolina and for reducing nutrient loads to coastal waters.

77 FR 8297 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-14

... account for an 1800-hour work year and multiplied by 2.93 to account for bonuses, firm size, employee... for each of approximately 2400 purchasers annually (at an estimated $67 per hour),\\1\\ for a total annual burden of 120 hours (at a total annual cost of $8,040). \\1\\ $67/hour figure for a Compliance Clerk...

Phosphorus and nitrogen in runoff after phosphorus- or nitrogen-based manure applications.

PubMed

Miller, Jim J; Chanasyk, David S; Curtis, Tony W; Olson, Barry M

2011-01-01

Application of beef cattle () manure based on nitrogen (N) requirements of crops has resulted in elevated concentrations of soil test phosphorus (P) in surface soils, and runoff from this cropland can contribute to eutrophication of surface waters. We conducted a 3-yr field study (2005-2007) on a Lethbridge loam soil cropped to dryland barley () in southern Alberta, Canada to evaluate the effect of annual and triennial P-based and annual N-based feedlot manure on P and N in runoff. The manure was spring applied and incorporated. There was one unamended control plot. A portable rainfall simulator was used to generate runoff in the spring of each year after recent manure incorporation, and the runoff was analyzed for total P, total dissolved P, total particulate P, dissolved reactive P, total N, total dissolved N, total particulate N, NO-N, and NH-N. Annual or triennial P-based application resulted in significantly ( ≤ 0.05) lower (by 50 to 94%) concentrations or loads of mainly dissolved P fractions in runoff for some years compared with annual N-based application, and this was related to lower rates of annual manure P applied. For example, mean dissolved reactive P concentrations in 2006 and 2007 were significantly lower for the annual P-based (0.12-0.20 mg L) than for the annual N-based application (0.24-0.48 mg L), and mean values were significantly lower for the triennial P-based (0.06-0.13 mg L) than for the annual N-based application. In contrast, other P fractions in runoff were unaffected by annual P-based application. Our findings suggested no environmental benefit of annual P-based application over triennial P-based application with respect to P and N in runoff. Similar concentrations and loads of N fractions in runoff for the P- and N-based applications indicated that shifting to a P-based application would not significantly influence N in runoff. American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America.

Estimated nitrogen loads from selected tributaries in Connecticut draining to Long Island Sound, 1999–2009

USGS Publications Warehouse

Mullaney, John R.; Schwarz, Gregory E.

2013-01-01

The total nitrogen load to Long Island Sound from Connecticut and contributing areas to the north was estimated for October 1998 to September 2009. Discrete measurements of total nitrogen concentrations and continuous flow data from 37 water-quality monitoring stations in the Long Island Sound watershed were used to compute total annual nitrogen yields and loads. Total annual computed yields and basin characteristics were used to develop a generalized-least squares regression model for use in estimating the total nitrogen yields from unmonitored areas in coastal and central Connecticut. Significant variables in the regression included the percentage of developed land, percentage of row crops, point-source nitrogen yields from wastewater-treatment facilities, and annual mean streamflow. Computed annual median total nitrogen yields at individual monitoring stations ranged from less than 2,000 pounds per square mile in mostly forested basins (typically less than 10 percent developed land) to more than 13,000 pounds per square mile in urban basins (greater than 40 percent developed) with wastewater-treatment facilities and in one agricultural basin. Medians of computed total annual nitrogen yields for water years 1999–2009 at most stations were similar to those previously computed for water years 1988–98. However, computed medians of annual yields at several stations, including the Naugatuck River, Quinnipiac River, and Hockanum River, were lower than during 1988–98. Nitrogen yields estimated for 26 unmonitored areas downstream from monitoring stations ranged from less than 2,000 pounds per square mile to 34,000 pounds per square mile. Computed annual total nitrogen loads at the farthest downstream monitoring stations were combined with the corresponding estimates for the downstream unmonitored areas for a combined estimate of the total nitrogen load from the entire study area. Resulting combined total nitrogen loads ranged from 38 to 68 million pounds per year during water years 1999–2009. Total annual loads from the monitored basins represent 63 to 74 percent of the total load. Computed annual nitrogen loads from four stations near the Massachusetts border with Connecticut represent 52 to 54 percent of the total nitrogen load during water years 2008–9, the only years with data for all the border sites. During the latter part of the 1999–2009 study period, total nitrogen loads to Long Island Sound from the study area appeared to increase slightly. The apparent increase in loads may be due to higher than normal streamflows, which consequently increased nonpoint nitrogen loads during the study, offsetting major reductions of nitrogen from wastewater-treatment facilities. Nitrogen loads from wastewater treatment facilities declined as much as 2.3 million pounds per year in areas of Connecticut upstream from the monitoring stations and as much as 5.8 million pounds per year in unmonitored areas downstream in coastal and central Connecticut.

75 FR 50780 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-17

... the following public information collection request (ICR) to the Office of Management and Budget (OMB... things, a description of the likely respondents, proposed frequency of response, and estimated total... of Respondents: 53. Total Annual Number of Responses: 1,437,897. Total Annual Burden Hours: 23,964...

Total Phosphorus Loads for Selected Tributaries to Sebago Lake, Maine

USGS Publications Warehouse

Hodgkins, Glenn A.

2001-01-01

The streamflow and water-quality datacollection networks of the Portland Water District (PWD) and the U.S. Geological Survey (USGS) as of February 2000 were analyzed in terms of their applicability for estimating total phosphorus loads for selected tributaries to Sebago Lake in southern Maine. The long-term unit-area mean annual flows for the Songo River and for small, ungaged tributaries are similar to the long-term unit-area mean annual flows for the Crooked River and other gaged tributaries to Sebago Lake, based on a regression equation that estimates mean annual streamflows in Maine. Unit-area peak streamflows of Sebago Lake tributaries can be quite different, based on a regression equation that estimates peak streamflows for Maine. Crooked River had a statistically significant positive relation (Kendall's Tau test, p=0.0004) between streamflow and total phosphorus concentration. Panther Run had a statistically significant negative relation (p=0.0015). Significant positive relations may indicate contributions from nonpoint sources or sediment resuspension, whereas significant negative relations may indicate dilution of point sources. Total phosphorus concentrations were significantly larger in the Crooked River than in the Songo River (Wilcoxon rank-sum test, p<0.0001). Evidence was insufficient, however, to indicate that phosphorus concentrations from medium-sized drainage basins, at a significance level of 0.05, were different from each other or that concentrations in small-sized drainage basins were different from each other (Kruskal-Wallis test, p= 0.0980, 0.1265). All large- and medium-sized drainage basins were sampled for total phosphorus approximately monthly. Although not all small drainage basins were sampled, they may be well represented by the small drainage basins that were sampled. If the tributaries gaged by PWD had adequate streamflow data, the current PWD tributary monitoring program would probably produce total phosphorus loading data that would represent all gaged and ungaged tributaries to Sebago Lake. Outside the PWD tributary-monitoring program, the largest ungaged tributary to Sebago Lake contains 1.5 percent of the area draining to the lake. In the absence of unique point or nonpoint sources of phosphorus, ungaged tributaries are unlikely to have total phosphorus concentrations that differ significantly from those in the small tributaries that have concentration data. The regression method, also known as the rating-curve method, was used to estimate the annual total phosphorus load for Crooked River, Northwest River, and Rich Mill Pond Outlet for water years 1996-98. The MOVE.1 method was used to estimate daily streamflows for the regression method at Northwest River and Rich Mill Pond Outlet, where streamflows were not continuously monitored. An averaging method also was used to compute annual loads at the three sites. The difference between the regression estimate and the averaging estimate for each of the three tributaries was consistent with what was expected from previous studies.

Proceedings of the Annual Conference on Environmental Toxicology (6th), 21-23 October 1975

DTIC Science & Technology

1975-12-01

ment, but the total environment in which we work and on which our activities impact. The three "geneses" -- carcinogenesis, mutagenesis and terato...currently increasing bioassay activities , as is the case e.g. with synthetic organic chemicals, industrial solvents, and the hydrazines. A recent list of...carcinogen, can a threshold be postulated below which no onco- genic activity exists? How do we extrapolate animal data to humans? What is an

Simulation of ground-water flow and evaluation of water-management alternatives in the Assabet River Basin, Eastern Massachusetts

USGS Publications Warehouse

DeSimone, Leslie A.

2004-01-01

Water-supply withdrawals and wastewater disposal in the Assabet River Basin in eastern Massachusetts alter the flow and water quality in the basin. Wastewater discharges and stream-flow depletion from ground-water withdrawals adversely affect water quality in the Assabet River, especially during low-flow months (late summer) and in headwater areas. Streamflow depletion also contributes to loss of aquatic habitat in tributaries to the river. In 19972001, water-supply withdrawals averaged 9.9 million gallons per day (Mgal/d). Wastewater discharges to the Assabet River averaged 11 Mgal/d and included about 5.4 Mgal/d that originated from sources outside of the basin. The effects of current (2004) and future withdrawals and discharges on water resources in the basin were investigated in this study. Steady-state and transient ground-water-flow models were developed, by using MODFLOW-2000, to simulate flow in the surficial glacial deposits and underlying crystalline bedrock in the basin. The transient model simulated the average annual cycle at dynamic equilibrium in monthly intervals. The models were calibrated to 19972001 conditions of water withdrawals, wastewater discharges, water levels, and nonstorm streamflow (base flow plus wastewater discharges). Total flow through the simulated hydrologic system averaged 195 Mgal/d annually. Recharge from precipitation and ground-water discharge to streams were the dominant inflow and outflow, respectively. Evapotranspiration of ground water from wetlands and non-wetland areas also were important losses from the hydrologic system. Water-supply withdrawals and infiltration to sewers averaged 5 and 1.3 percent, respectively, of total annual out-flows and were larger components (12 percent in September) of the hydrologic system during low-flow months. Water budgets for individual tributary and main stem subbasins identified areas, such as the Fort Meadow Brook and the Assabet Main Stem Upper subbasins, where flows resulting from anthropo-genic activities were relatively large percentages, compared to other subbasins, (more than 20 percent in September) of total out-flows. Wastewater flows in the Assabet River accounted for 55, 32, and 20 percent of total nonstorm streamflow (base flow plus wastewater discharge) out of the Assabet Main Stem Upper, Middle, and Lower subbasins, respectively, in an average September. The ground-water-flow models were used to evaluate water-management alternatives by simulating hypothetical scenarios of altered withdrawals and discharges. A scenario that included no water management quantified nonstorm stream-flows that would result without withdrawals, discharges, septic-system return flow, or consumptive use. Tributary flows in this scenario increased in most subbasins by 2 to 44 percent relative to 19972001 conditions. The increases resulted mostly from variable combinations of decreased withdrawals and decreased infiltration to sewers. Average annual nonstorm streamflow in the Assabet River decreased slightly in this scenario, by 2 to 3 percent annually, because gains in ground-water discharge were offset by the elimination of wastewater discharges. A second scenario quantified the effects of increasing withdrawals and discharges to currently permitted levels. In this simulation, average annual tributary flows decreased in most subbasins, by less than 1 to 10 percent relative to 19972001 conditions. In the Assabet River, flows increased slightly, 1 to 5 percent annually, and the percentage of wastewater in the river increased to 69, 42, and 27 percent of total nonstorm streamflow out of the Assabet Main Stem Upper, Middle, and Lower subbasins, respectively, in an average September. A third set of scenarios quantified the effects of ground-water discharge of wastewater at four hypothetical sites, while maintaining 19972000 wastewater discharges to the Assabet River. Wastewater, discharged at a constant rate that varied among sites from 0.3 to 1

How much land is needed for feral pig hunting in Hawai'i?

USGS Publications Warehouse

Hess, Steven C.; Jacobi, James D.

2014-01-01

Hunting is often considered to be incompatible with conservation of native biota and watershed functions in Hawai'i. Management actions for conservation generally exclude large non-native mammals from natural areas, thereby reducing the amount of land area available for hunting activities and the maintenance of sustainable game populations. An approach which may be useful in addressing the necessary minimum amount of land area allocated for hunting in Hawai'i is to determine the amount of land area necessary for sustaining populations of hunted animals to meet current levels harvested by the public. We ask: What is the total amount of land necessary to provide sustained-yield hunting of game meat for food at the current harvest level on Hawai'i Island if only feral pigs (Sus scrofa) were to be harvested? We used a simplistic analysis to estimate that 1 317.6 km2-1 651.4 km2 would be necessary to produce 187 333.6 kg of feral pig meat annually based on the range of dressed weight per whole pig, the proportion of a pig population that can be sustainably removed annually, and the density of pig populations in the wild. This amount of area comprises 12.6-15.8% of the total land area of Hawai'i Island, but more likely represents 27.6-43.5% of areas that may be compatible with sustained-yield hunting.

Quantifying suspended sediment flux in a mixed-land-use urbanizing watershed using a nested-scale study design.

PubMed

Zeiger, Sean; Hubbart, Jason A

2016-01-15

Suspended sediment (SS) remains the most pervasive water quality problem globally and yet, despite progress, SS process understanding remains relatively poor in watersheds with mixed-land-use practices. The main objective of the current work was to investigate relationships between suspended sediment and land use types at multiple spatial scales (n=5) using four years of suspended sediment data collected in a representative urbanized mixed-land-use (forest, agriculture, urban) watershed. Water samples were analyzed for SS using a nested-scale experimental watershed study design (n=836 samples×5 gauging sites). Kruskal-Wallis and Dunn's post-hoc multiple comparison tests were used to test for significant differences (CI=95%, p<0.05) in SS levels between gauging sites. Climate extremes (high precipitation/drought) were observed during the study period. Annual maximum SS concentrations exceeded 2387.6 mg/L. Median SS concentrations decreased by 60% from the agricultural headwaters to the rural/urban interface, and increased by 98% as urban land use increased. Multiple linear regression analysis results showed significant relationships between SS, annual total precipitation (positive correlate), forested land use (negative correlate), agricultural land use (negative correlate), and urban land use (negative correlate). Estimated annual SS yields ranged from 16.1 to 313.0 t km(-2) year(-1) mainly due to differences in annual total precipitation. Results highlight the need for additional studies, and point to the need for improved best management practices designed to reduce anthropogenic SS loading in mixed-land-use watersheds. Copyright © 2015 Elsevier B.V. All rights reserved.

Current status of radiological protection at nuclear power stations in Japan.

PubMed

Suzuki, Akira; Hori, Shunsuke

2011-07-01

The radiation dose to workers at nuclear power stations (NPSs) in Japan was drastically reduced between the late-1970s and the early-1990s by continuous dose-reduction programmes. The total collective dose of radiation workers in FY 2008 was 84.04 person Sv, while the average collective dose was 1.5 person Sv per reactor. The average annual individual dose was 1.1 mSv and the maximum annual individual dose was 19.5 mSv. These values are sufficiently lower than the regulatory dose limits. Radioactive effluent released from NPSs is already so trivial that additional protective measures will not be necessary. Experience in radiation protection at NPSs has been accumulated over 40 y and will be very useful in establishing a rational radiation control system in the future.

12 CFR Appendix L to Part 226 - Assumed Loan Periods for Computations of Total Annual Loan Cost Rates

Code of Federal Regulations, 2010 CFR

2010-01-01

... Annual Loan Cost Rates L Appendix L to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. L Appendix L to Part 226—Assumed Loan Periods for Computations of Total Annual Loan Cost Rates (a) Required...

Health care resource use, health care expenditures and absenteeism costs associated with osteoarthritis in US healthcare system.

PubMed

Menon, J; Mishra, P

2018-04-01

We determined incremental health care resource utilization, incremental health care expenditures, incremental absenteeism, and incremental absenteeism costs associated with osteoarthritis. Medical Expenditure Panel Survey (MEPS) for 2011 was used as data source. Individuals 18 years or older and employed during 2011 were eligible for inclusion in the sample for analyses. Individuals with osteoarthritis were identified based on ICD-9-CM codes. Incremental health care resource utilization included annual hospitalization, hospital days, emergency room visits and outpatient visits. Incremental health expenditures included annual inpatient, outpatient, emergency room, medications, miscellaneous and annual total expenditures. Of the total sample, 1354 were diagnosed with osteoarthritis, and compared to non osteoarthritis individuals. Incremental resource utilization, expenditures, absenteeism and absenteeism costs were estimated using regression models, adjusting for age, gender, sex, region, marital status, insurance coverage, comorbidities, anxiety, asthma, hypertension and hyperlipidemia. Regression models revealed incremental mean annual resource use associated with osteoarthritis of 0.07 hospitalizations, equal to 70 additional hospitalizations per 100 osteoarthritic patients annually, and 3.63 outpatient visits, equal to 363 additional visits per 100 osteoarthritic patients annually. Mean annual incremental total expenditures associated with osteoarthritis were $2046. Annually, mean incremental expenditures were largest for inpatient expenditures at $826, followed by mean incremental outpatient expenditures of $659, and mean incremental medication expenditures of $325. Mean annual incremental absenteeism was 2.2 days and mean annual incremental absenteeism costs were $715.74. Total direct expenditures were estimated at $41.7 billion. Osteoarthritis was associated with significant incremental health care resource utilization, expenditures, absenteeism and absenteeism costs. Copyright © 2017 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

Mean annual, seasonal, and monthly precipitation and runoff in Arkansas, 1951-2011

USGS Publications Warehouse

Pugh, Aaron L.; Westerman, Drew A.

2014-01-01

This report describes long-term annual, seasonal, and monthly means for precipitation and runoff in Arkansas for the period from 1951 through 2011. Precipitation means were estimated using data from the Parameter-elevation Regressions on Independent Slopes Model database; while total runoff, groundwater runoff, and surface runoff means were estimated using data from 123 active and inactive U.S. Geological Survey continuous-record streamflow-gaging stations located in Arkansas and surrounding States. Annual precipitation in Arkansas for the period from 1951 through 2011 had a mean of 49.8 inches. Of the six physiographic sections in Arkansas, the Ouachita Mountains had the largest mean annual precipitation at 53.0 inches, while the Springfield-Salem plateaus had the smallest mean annual precipitation at 45.5 inches. The mean annual total runoff for Arkansas was 17.8 inches. The Ouachita Mountains had the largest mean annual total runoff at 20.4 inches, while the Springfield-Salem plateaus had the smallest mean annual total runoff at 15.0 inches. Runoff is diminished during the dry season, which is attributed to increased losses from evapotranspiration, consumptive uses including irrigation, and increased withdrawals for public and private water supplies. The decline in runoff during the dry season is observed across the State in all physiographic sections. Spatial results for precipitation and runoff are presented in a series of maps that are available for download from the publication Web page in georeferenced raster formats.

Optimization of conventional water treatment plant using dynamic programming.

PubMed

Mostafa, Khezri Seyed; Bahareh, Ghafari; Elahe, Dadvar; Pegah, Dadras

2015-12-01

In this research, the mathematical models, indicating the capability of various units, such as rapid mixing, coagulation and flocculation, sedimentation, and the rapid sand filtration are used. Moreover, cost functions were used for the formulation of conventional water and wastewater treatment plant by applying Clark's formula (Clark, 1982). Also, by applying dynamic programming algorithm, it is easy to design a conventional treatment system with minimal cost. The application of the model for a case reduced the annual cost. This reduction was approximately in the range of 4.5-9.5% considering variable limitations. Sensitivity analysis and prediction of system's feedbacks were performed for different alterations in proportion from parameters optimized amounts. The results indicated (1) that the objective function is more sensitive to design flow rate (Q), (2) the variations in the alum dosage (A), and (3) the sand filter head loss (H). Increasing the inflow by 20%, the total annual cost would increase to about 12.6%, while 20% reduction in inflow leads to 15.2% decrease in the total annual cost. Similarly, 20% increase in alum dosage causes 7.1% increase in the total annual cost, while 20% decrease results in 7.9% decrease in the total annual cost. Furthermore, the pressure decrease causes 2.95 and 3.39% increase and decrease in total annual cost of treatment plants. © The Author(s) 2013.

Concentrations and annual fluxes of sediment-associated chemical constituents from conterminous US coastal rivers using bed sediment data

USGS Publications Warehouse

Horowitz, Arthur J.; Stephens, Verlin C.; Elrick, Kent A.; Smith, James J.

2012-01-01

Coastal rivers represent a significant pathway for the delivery of natural and anthropogenic sediment-associated chemical constituents to the Atlantic, Pacific and Gulf of Mexico coasts of the conterminous USA. This study entails an accounting segment using published average annual suspended sediment fluxes with published sediment-associated chemical constituent concentrations for (1) baseline, (2) land-use distributions, (3) population density, and (4) worldwide means to estimate concentrations/annual fluxes for trace/major elements and total phosphorus, total organic and inorganic carbon, total nitrogen, and sulphur, for 131 coastal river basins. In addition, it entails a sampling and subsequent chemical analysis segment that provides a level of ‘ground truth’ for the calculated values, as well as generating baselines for sediment-associated concentrations/fluxes against which future changes can be evaluated. Currently, between 260 and 270 Mt of suspended sediment are discharged annually from the conterminous USA; about 69% is discharged from Gulf rivers (n = 36), about 24% from Pacific rivers (n = 42), and about 7% from Atlantic rivers (n = 54). Elevated sediment-associated chemical concentrations relative to baseline levels occur in the reverse order of sediment discharges:Atlantic rivers (49%)>Pacific rivers (40%)>Gulf rivers (23%). Elevated trace element concentrations (e.g. Cu, Hg, Pb, Zn) frequently occur in association with present/former industrial areas and/or urban centres, particularly along the northeast Atlantic coast. Elevated carbon and nutrient concentrations occur along both the Atlantic and Gulf coasts but are dominated by rivers in the urban northeast and by southeastern and Gulf coast (Florida) ‘blackwater’ streams. Elevated Ca, Mg, K, and Na distributions tend to reflect local petrology, whereas elevated Ti, S, Fe, and Al concentrations are ubiquitous, possibly because they have substantial natural as well as anthropogenic sources. Almost all the elevated sediment-associated chemical concentrations found in conterminous US coastal rivers are lower than worldwide averages.

Micro-hydrokinetic turbine potential for sustainable power generation in Malaysia

NASA Astrophysics Data System (ADS)

Salleh, M. B.; Kamaruddin, N. M.; Mohamed-Kassim, Z.

2018-05-01

Micro-hydrokinetic turbine (μ-HKT) technology is considered a viable option for sustainable, green and low cost power production. In recent years, there is growing number of research and development on this technology to replace conventional power production systems such as fossil fuel as well as to provide off-grid electrification to communities in remote areas. This paper provides an overview of μ-HKT system, the implementation of the technology and the potential of using μ-HKT in Malaysia. A review on the climate in Malaysia shows that its average annual rainfall is higher than the world’s average annual rainfall. It contributes to the total hydropower resource of about 29,000 MW which is available all year-round. Currently, hydropower resource contributes only 7.4% of the total electrical power production in Malaysia but is expected to increase with the main contribution coming from μ-HKT. However, the μ-HKT technology has not been adopted in Malaysia due to some challenges that hinder the development of the system. This paper reviews the μ-HKT technology and its potential for application in Malaysia, particularly in remote areas.

Vulnerability of Xylem Vessels to Cavitation in Sugar Maple. Scaling from Individual Vessels to Whole Branches1

PubMed Central

Melcher, Peter J.; Zwieniecki, Maciej A.; Holbrook, N. Michele

2003-01-01

The relation between xylem vessel age and vulnerability to cavitation of sugar maple (Acer saccharum Marsh.) was quantified by measuring the pressure required to force air across bordered pit membranes separating individual xylem vessels. We found that the bordered pit membranes of vessels located in current year xylem could withstand greater applied gas pressures (3.8 MPa) compared with bordered pit membranes in vessels located in older annular rings (2.0 MPa). A longitudinal transect along 6-year-old branches indicated that the pressure required to push gas across bordered pit membranes of current year xylem did not vary with distance from the growing tip. To understand the contribution of age-related changes in vulnerability to the overall resistance to cavitation, we combined data on the pressure thresholds of individual xylem vessels with measurements of the relative flow rate through each annual ring. The annual ring of the current year contributed only 16% of the total flow measured on 10-cm-long segments cut from 6-year-old branches, but it contributed more than 70% of the total flow when measured through 6-year-old branches to the point of leaf attachment. The vulnerability curve calculated using relative flow rates measured on branch segments were similar to vulnerability curves measured on 6-year-old branches (pressure that reduces hydraulic conductance by 50% = 1.6–2.4 MPa), whereas the vulnerability curve calculated using relative flow rates measured on 6-year-old branches were similar to ones measured on the extension growth of the current year (pressure that reduces hydraulic conductance by 50% = 3.8 MPa). These data suggest that, in sugar maple, the xylem of the current year can withstand larger xylem tensions than older wood and dominates water delivery to leaves. PMID:12692336

16 CFR 801.11 - Annual net sales and total assets.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Annual net sales and total assets. 801.11 Section 801.11 Commercial Practices FEDERAL TRADE COMMISSION RULES, REGULATIONS, STATEMENTS AND... person; and (2) The total assets of a person shall be as stated on the last regularly prepared balance...

76 FR 39981 - Agency Information Collection Activities; Submission for OMB Review; Joint Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-07

... for the first year to convert systems and conduct training. Estimated Total Annual Burden: National... 124,832 burden hours for the first year to convert systems and conduct training. Total: 571,302 burden... 188 burden hours for the first year to convert systems and conduct training. Estimated Total Annual...

77 FR 52322 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Comment...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-29

... under the Resource Conservation and recovery Act (RCRA); employees working at routine hazardous waste... 10.69 hours per response. Burden means the total time, effort, or financial resources expended by...: Annually. Estimated Total Average Number of Responses for Each Respondent: 1. Estimated Total Annual Hour...

Cost of intensive routine control and incremental cost of insecticide-treated curtain deployment in a setting with low Aedes aegypti infestation.

PubMed

Baly, Alberto; Toledo, Maria Eugenia; Lambert, Isora; Benítez, Elizabeth; Rodriguez, Karina; Rodriguez, Esther; Vanlerberghe, Veerle; Stuyft, Patrick Van der

2016-01-01

Information regarding the cost of implementing insecticide-treated curtains (ITCs) is scarce. Therefore, we evaluated the ITC implementation cost, in addition to the costs of intensive conventional routine activities of the Aedes control program in the city of Guantanamo, Cuba. A cost-analysis study was conducted from the perspective of the Aedes control program, nested in an ITC effectiveness trial, during 2009-2010. Data for this study were obtained from bookkeeping records and activity registers of the Provincial Aedes Control Programme Unit and the account records of the ITC trial. The annual cost of the routine Aedes control program activities was US$16.80 per household (p.h). Among 3,015 households, 6,714 ITCs were distributed. The total average cost per ITC distributed was US$3.42, and 74.3% of this cost was attributed to the cost of purchasing the ITCs. The annualized costs p.h. of ITC implementation was US$3.80. The additional annualized cost for deploying ITCs represented 19% and 48.4% of the total cost of the routine Aedes control and adult-stage Aedes control programs, respectively. The trial did not lead to further reductions in the already relatively low Aedes infestation levels. At current curtain prices, ITC deployment can hardly be considered an efficient option in Guantanamo and other comparable environments.

The effect of inhaled corticosteroids on the development of emphysema in smokers assessed by annual computed tomography.

PubMed

Shaker, Saher B; Dirksen, Asger; Ulrik, Charlotte S; Hestad, Marianne; Stavngaard, Trine; Laursen, Lars C; Maltbaek, Niels; Clementsen, Paul; Skjaerbaek, Nanna; Nielsen, Lars; Stoel, Berend; Skovgaard, Lene T; Tonnesen, Philip

2009-04-01

The objective was to evaluate the effect of inhaled corticosteroids on disease progression in smokers with moderate to severe chronic obstructive pulmonary disease (COPD), as assessed by annual computed tomography (CT) using lung density (LD) measurements. Two hundred and fifty-four current smokers with COPD were randomised to treatment with either an inhaled corticosteroids (ICS), budesonide 400 microg bid, or placebo. COPD was defined as FEV(1) < or = 70% pred, FEV(1)/FVC < or = 60% and no reversibility to beta(2)-agonists and oral corticosteroids. The patients were followed for 2-4 years with biannual spirometry and annual CT and comprehensive lung function tests (LFT). CT images were analysed using Pulmo-CMS software. LD was derived from a pixel-density histogram of the whole lung as the 15th percentile density (PD15) and the relative area of emphysema at a threshold of -910 Hounsfield units (RA-910), and both were volume-adjusted to predicted total lung capacity. At baseline, mean age was 64 years and 64 years; mean number of pack-years was 56 and 56; mean FEV(1) was 1.53 L (51% pred) and 1.53 L (53% pred); mean PD15 was 103 g/L and 104 g/L; and mean RA-910 was 14% and 13%, respectively, for the budesonide and placebo groups. The annual fall in PD15 was -1.12 g/L in the budesonide group and -1.81 g/L in the placebo group (p = 0.09); the annual increase in RA-910 was 0.4% in the budesonide group and 1.1% in the placebo group (p = 0.02). There was no difference in annual decline in FEV(1) between ICS (-54 mL) and placebo (-56 mL) (p = 0.89). Long-term budesonide inhalation shows a non-significant trend towards reducing the progression of emphysema as determined by the CT-derived 15th percentile lung density from annual CT scans in current smokers with moderate to severe COPD.

78 FR 68023 - Annual Surveys in the Manufacturing Area

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-13

... Manufacturing Area. The 2014 Annual Surveys consist of the Annual Survey of Manufactures, the Business R&D and... economic census will be conducted for the year 2017. Annual Survey of Manufactures The Annual Survey of Manufactures collects industry statistics, such as total value of shipments, employment, payroll, workers...

Amtrak annual report, 2007

DOT National Transportation Integrated Search

2007-01-01

In FY 2007, Amtrak earned approximately : $2.15 billion in total revenue and incurred about : $3.18 billion in expenses. Amtrak relies on an : annual federal appropriation, which in FY 2007 : totaled $1.294 billion, including $521 million in : operat...

Amtrak annual report, 2008

DOT National Transportation Integrated Search

2008-01-01

In FY 2008, Amtrak earned approximately $2.45 billion in total revenue and incurred about $3.41 billion in : expenses. The annual federal appropriation on which Amtrak relies : totaled $1.325 billion in FY 2008, comprising $475 million in : operating...

Costs of eliminating malaria and the impact of the global fund in 34 countries.

PubMed

Zelman, Brittany; Kiszewski, Anthony; Cotter, Chris; Liu, Jenny

2014-01-01

International financing for malaria increased more than 18-fold between 2000 and 2011; the largest source came from The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). Countries have made substantial progress, but achieving elimination requires sustained finances to interrupt transmission and prevent reintroduction. Since 2011, global financing for malaria has declined, fueling concerns that further progress will be impeded, especially for current malaria-eliminating countries that may face resurgent malaria if programs are disrupted. This study aims to 1) assess past total and Global Fund funding to the 34 current malaria-eliminating countries, and 2) estimate their future funding needs to achieve malaria elimination and prevent reintroduction through 2030. Historical funding is assessed against trends in country-level malaria annual parasite incidences (APIs) and income per capita. Following Kizewski et al. (2007), program costs to eliminate malaria and prevent reintroduction through 2030 are estimated using a deterministic model. The cost parameters are tailored to a package of interventions aimed at malaria elimination and prevention of reintroduction. The majority of Global Fund-supported countries experiencing increases in total funding from 2005 to 2010 coincided with reductions in malaria APIs and also overall GNI per capita average annual growth. The total amount of projected funding needed for the current malaria-eliminating countries to achieve elimination and prevent reintroduction through 2030 is approximately US$8.5 billion, or about $1.84 per person at risk per year (PPY) (ranging from $2.51 PPY in 2014 to $1.43 PPY in 2030). Although external donor funding, particularly from the Global Fund, has been key for many malaria-eliminating countries, sustained and sufficient financing is critical for furthering global malaria elimination. Projected cost estimates for elimination provide policymakers with an indication of the level of financial resources that should be mobilized to achieve malaria elimination goals.

77 FR 58510 - Proposed Information Collection; Comment Request; Current Population Survey (CPS), Annual Social...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-21

... various population groups. A prime statistic of interest is the classification of people in poverty and... Information Collection; Comment Request; Current Population Survey (CPS), Annual Social and Economic... conducted this supplement annually for over 50 years. The Census Bureau and the Bureau of Labor Statistics...

Spatially quantifying and attributing 17 years of land cover change to examine post-agricultural forest transition in Hawai`i

NASA Astrophysics Data System (ADS)

Lucas, M.; Trauernicht, C.; Carlson, K. M.; Miura, T.; Giambelluca, T. W.; Chen, Q.

2017-12-01

The past decades in Hawaii have seen large scale land use change and land cover shifts. However, much these dynamics are only described anecdotally or studied at a single locale, with little information on the extent, rate, or direction of change. This lack of data hinders any effort to assess, plan, and prioritize land management. To improve assessments of statewide vegetation and land cover change, this project developed high resolution, sub-pixel, percent cover maps of forest, grassland and bare earth at annual time steps from 1999 to 2016. Vegetation cover was quantified using archived LANDSAT imagery and a custom remote-sensing algorithm developed in the Google Earth Engine platform. A statistical trend analysis of annual maps of the these three proportional land covers were then used to detect land cover transitions across the archipelago. The aim of this work focused on quantifying the total area of change, annual rates of change and final vegetation cover outcomes statewide. Additionally these findings were attributed to past and current land uses and management history by compiling spatial datasets of development, agriculture, forest restoration sites and burned areas statewide. Results indicated that nearly 10% of the state's land surfaces are suspected to have transitioned between the three cover classes during the study period. Total statewide net change resulted in a gain in forest cover with largest areas of change occurring in unmanaged areas, current and past pastoral land, commercial forestry and abandoned cultivated land. The fastest annual rates of change were forest increases that occurred in restoration areas and commercial forestry. These findings indicate that Hawaii is going through a forest transition, primarily driven by agricultural abandonment with likely feedbacks from invasive species, but also influenced by the establishment of forestry production on former agricultural lands that show potential for native forest restoration. These results directly link land management history to land cover outcomes using an innovative approach to quantify change. It is also the first study to quantify forest transition dynamics in Hawaii and points to the need for similar assessments in post-agricultural landscapes on other oceanic islands.

Self-reported Function, Health Resource Use, and Total Health Care Costs Among Medicare Beneficiaries With Glaucoma.

PubMed

Prager, Alisa J; Liebmann, Jeffrey M; Cioffi, George A; Blumberg, Dana M

2016-04-01

The effect of glaucoma on nonglaucomatous medical conditions and resultant secondary health care costs is not well understood. To assess self-reported medical conditions, the use of medical services, and total health care costs among Medicare beneficiaries with glaucoma. Longitudinal observational study of 72,587 Medicare beneficiaries in the general community using the Medicare Current Beneficiary Survey (2004-2009). Coding to extract data started in January 2015, and analyses were performed between May and July 2015. Self-reported health, the use of health care services, adjusted mean annual total health care costs per person, and adjusted mean annual nonoutpatient costs per person. Participants were 72,587 Medicare beneficiaries 65 years or older with (n = 4441) and without (n = 68,146) a glaucoma diagnosis in the year before collection of survey data. Their mean age was 76.9 years, and 43.2% were male. Patients with glaucoma who responded to survey questions on visual disability were stratified into those with (n = 1748) and without (n = 2639) self-reported visual disability. Medicare beneficiaries with glaucoma had higher adjusted odds of inpatient hospitalizations (odds ratio [OR], 1.27; 95% CI, 1.17-1.39; P < .001) and home health aide visits (OR, 1.27; 95% CI, 1.13-1.43; P < .001) compared with Medicare beneficiaries without glaucoma. Furthermore, patients with glaucoma with self-reported visual disability were more likely to report depression (OR, 1.47; 95% CI, 1.26-1.71; P < .001), falls (OR, 1.34; 95% CI, 1.09-1.66; P = .006), and difficulty walking (OR, 1.22; 95% CI, 1.02-1.45; P = .03) compared with those without self-reported visual disability. In the risk-adjusted model, Medicare beneficiaries with glaucoma incurred an additional $2903 (95% CI, $2247-$3558; P < .001) annual total health care costs and $2599 (95% CI, $1985-$3212; P < .001) higher costs for nonoutpatient services compared with Medicare beneficiaries without glaucoma. Glaucoma is associated with greater use of inpatient and home health aide services and with higher annual total and nonoutpatient medical costs. Perception of vision loss among patients with glaucoma may be associated with depression, falls, and difficulty walking. Reducing the prevalence and severity of glaucoma may result in improvements in associated nonglaucomatous medical conditions and resultant reduction in health care costs.

An Applied Physicist Does Econometrics

NASA Astrophysics Data System (ADS)

Taff, L. G.

2010-02-01

The biggest problem those attempting to understand econometric data, via modeling, have is that economics has no F = ma. Without a theoretical underpinning, econometricians have no way to build a good model to fit observations to. Physicists do, and when F = ma failed, we knew it. Still desiring to comprehend econometric data, applied economists turn to mis-applying probability theory---especially with regard to the assumptions concerning random errors---and choosing extremely simplistic analytical formulations of inter-relationships. This introduces model bias to an unknown degree. An applied physicist, used to having to match observations to a numerical or analytical model with a firm theoretical basis, modify the model, re-perform the analysis, and then know why, and when, to delete ``outliers'', is at a considerable advantage when quantitatively analyzing econometric data. I treat two cases. One is to determine the household density distribution of total assets, annual income, age, level of education, race, and marital status. Each of these ``independent'' variables is highly correlated with every other but only current annual income and level of education follow a linear relationship. The other is to discover the functional dependence of total assets on the distribution of assets: total assets has an amazingly tight power law dependence on a quadratic function of portfolio composition. Who knew? )

Annual Stock Assessment - CWT [Coded Wire Tag program] (USFWS), Annual Report 2007.

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

Pastor, Stephen M.

2009-07-21

In 1989 the Bonneville Power Administration (BPA) began funding the evaluation of production groups of juvenile anadromous fish not being coded-wire tagged for other programs. These groups were the 'Missing Production Groups'. Production fish released by the U.S. Fish and Wildlife Service (FWS) without representative coded-wire tags during the 1980s are indicated as blank spaces on the survival graphs in this report. This program is now referred to as 'Annual Stock Assessment - CWT'. The objectives of the 'Annual Stock Assessment' program are to: (1) estimate the total survival of each production group, (2) estimate the contribution of each productionmore » group to fisheries, and (3) prepare an annual report for USFWS hatcheries in the Columbia River basin. Coded-wire tag recovery information will be used to evaluate the relative success of individual brood stocks. This information can also be used by salmon harvest managers to develop plans to allow the harvest of excess hatchery fish while protecting threatened, endangered, or other stocks of concern. All fish release information, including marked/unmarked ratios, is reported to the Pacific States Marine Fisheries Commission (PSMFC). Fish recovered in the various fisheries or at the hatcheries are sampled to recover coded-wire tags. This recovery information is also reported to PSMFC. This report has been prepared annually starting with the report labeled 'Annual Report 1994'. Although the current report has the title 'Annual Report 2007', it was written in fall of 2008 using data available from RMIS that same year, and submitted as final in January 2009. The main objective of the report is to evaluate survival of groups which have been tagged under this ongoing project.« less

Defense Environmental Restoration Program Annual Report to Congress for Fiscal Year 1989

DTIC Science & Technology

1990-02-01

Sioux Falls 8 Air Force Ellsworth AFB 17 4 11 1 2 Joe Foss 6 2 2 South Dakota Totals 39 0 4 11 3 0 0) 4 Army AEDC Tullahoma 1 AFRC Johnson City 6...industrial applications. an Sl ** *. aion The Army has made several important advances in combat- Mobile Dioxin ing ground water and soil con...when operational. will treat ground water from all area drinking u ecovery water production wells and will meet all current health-baseda AFB

National Medal of Science

NASA Astrophysics Data System (ADS)

Wendel, JoAnna

2014-04-01

The nation's highest honor for American scientists and engineers, the National Medal of Science is awarded annually by the president of the United States to individuals who have made outstanding contributions to or for the total impact of their work on the current state of chemical, physical, biological, social or behavioral sciences; mathematics; or engineering. Anyone can submit a nomination. Submit a short description of the nominee's contribution and three letters of support to http://www.nsf.gov/od/nms/medal.jsp by 1 May 2014.

Annual Report of the Secretary of Defense on Reserve Forces for Fiscal Year 1975

DTIC Science & Technology

1976-06-08

acquisition and distribution of equipment continued to be achieved. Progress was made in both filling uxisting shortfalls and in modernization and... progress of the KOTC flight instruction programs. vArmy Air Force Units Participating 200 56 161 Students Enrolled 412 436 2,036 Students Completed 321 361...Resurve Forces IV Current Status and Progress Made in 4 Strengthening the Reserve Components * A. General 4 1. 24 Division rorce 4 4ii 2. Total Force

The violence of poverty victimizes children.

PubMed

Jailer, T

1999-01-01

While war, torture, and sexual violence threaten children's health, poverty is the most dangerous and widespread threat to children. However, while societies may react strongly to the most apparent forms and instances of violence against children, they fail to take the measures needed to effectively reduce the prevailing levels of poverty afflicting the world's children. For example, in 1998, the global starvation rate among children reached its 600-year peak; in Africa, 15% of children die before reaching age 5 years; and 200 million children under age 5 years are malnourished, with half of all deaths in that age group due to malnutrition. Lack of water, clothing, shelter, food, or medicine causes about 16.5 million deaths annually. Furthermore, current global military spending has reached $781 billion/year, more than the total income of the poorest 45% of the global population, while current annual world spending on education is only $80 billion. The world is becoming an increasingly hostile place for most people, but especially for children. Yet, as global economic and political conditions increasingly endanger children and their families, young people seem to be noticed only as certain kinds of problems.

Amtrak annual report, 2009

DOT National Transportation Integrated Search

2009-01-01

In FY 2009, Amtrak earned just over $2.35 billion in total revenue and incurred $3.5 billion in expenses. The annual federal : appropriation on which Amtrak relies totaled $1.49 billion in FY 2009, comprising $475 million in operating funds, $75 : mi...

75 FR 5945 - Proposed Information Collection; Comment Request; Alaska Cooperatives in the Bering Sea and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-05

... rational manner, and to protect non-AFA participants in other fisheries. In addition, a voluntary civil... appeals. Estimated Total Annual Burden Hours: 470. Estimated Total Annual Cost to Public: $225. IV...

77 FR 2512 - Proposed Information Collection; Comment Request; U.S. Fishermen Fishing in Russian Waters

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-18

... information is sent to the National Marine Fisheries Service (NMFS) for transmission to Russia. If Russian... Time per Response: 30 minutes. Estimated Total Annual Burden Hours: 1. Estimated Total Annual Cost to...

Optimal adaptation to extreme rainfalls in current and future climate

NASA Astrophysics Data System (ADS)

Rosbjerg, Dan

2017-01-01

More intense and frequent rainfalls have increased the number of urban flooding events in recent years, prompting adaptation efforts. Economic optimization is considered an efficient tool to decide on the design level for adaptation. The costs associated with a flooding to the T-year level and the annual capital and operational costs of adapting to this level are described with log-linear relations. The total flooding costs are developed as the expected annual damage of flooding above the T-year level plus the annual capital and operational costs for ensuring no flooding below the T-year level. The value of the return period T that corresponds to the minimum of the sum of these costs will then be the optimal adaptation level. The change in climate, however, is expected to continue in the next century, which calls for expansion of the above model. The change can be expressed in terms of a climate factor (the ratio between the future and the current design level) which is assumed to increase in time. This implies increasing costs of flooding in the future for many places in the world. The optimal adaptation level is found for immediate as well as for delayed adaptation. In these cases, the optimum is determined by considering the net present value of the incurred costs during a sufficiently long time-span. Immediate as well as delayed adaptation is considered.

Top-cited articles in traumatic brain injury.

PubMed

Sharma, Bhanu; Lawrence, David Wyndham

2014-01-01

A review of the top-cited articles in a scientific discipline can identify areas of research that are well established and those in need of further development, and may, as a result, inform and direct future research efforts. Our objective was to identify and characterize the top-cited articles in traumatic brain injury (TBI). We used publically available software to identify the 50 TBI articles with the most lifetime citations, and the 50 TBI articles with the highest annual citation rates. A total of 73 articles were included in this review, with 27 of the 50 papers with the highest annual citation rates common to the cohort of 50 articles with the most lifetime citations. All papers were categorized by their primary topic or focus, namely: predictor of outcome, pathology/natural history, treatment, guidelines and consensus statements, epidemiology, assessment measures, or experimental model of TBI. The mean year of publication of the articles with the most lifetime citations and highest annual citation rates was 1990 ± 14.9 years and 2003 ± 6.7 years, respectively. The 50 articles with the most lifetime citations typically studied predictors of outcome (34.0%, 17/50) and were specific to severe TBI (38.0%, 19/50). In contrast, the most common subject of papers with the highest annual citation rates was treatment of brain injury (22.0%, 11/50), and these papers most frequently investigated mild TBI (36.0%, 18/50). These findings suggest an intensified focus on mild TBI, which is perhaps a response to the dedicated attention these injuries are currently receiving in the context of sports and war, and because of their increasing incidence in developing nations. Our findings also indicate increased focus on treatment of TBI, possibly due to the limited efficacy of current interventions for brain injury. This review provides a cross-sectional summary of some of the most influential articles in TBI, and a bibliometric examination of the current status of TBI research.

The Impact of a 25 Cent-Per-Drink Alcohol Tax Increase: Who Pays the Tab?

PubMed Central

Daley, James I.; Stahre, Mandy A.; Chaloupka, Frank J.; Naimi, Timothy S.

2013-01-01

Background Excessive alcohol consumption causes 79,000 deaths annually in the U.S., shortening the lives of those who die by approximately 30 years. Although alcohol taxation is an effective measure to reduce excessive consumption and related harms, some argue that increasing alcohol taxes places an unfair economic burden on “responsible” drinkers and socially disadvantaged persons. Purpose To examine the impact of a hypothetical tax increase based on alcohol consumption and socio-demographic characteristics of current drinkers, individually and in aggregate. Methods Data from the 2008 Behavioral Risk Factor Surveillance System survey was analyzed from 2010–2011 to determine the net financial impact of a hypothetical 25 cent-per-drink tax increase on current drinkers in the U.S. Higher-risk drinkers were defined as those whose past-30 day consumption included binge drinking, heavy drinking, drinking in excess of the U.S. Dietary Guidelines, and alcohol-impaired driving. Results Of current drinkers in the U.S., 50.4% (or approximately 25% of the total U.S. population) were classified as higher-risk drinkers. The tax increase would result in a 9.2% reduction in alcohol consumption, including an 11.4% reduction in heavy drinking. Compared with lower-risk drinkers, higher-risk drinkers paid 4.7 times more in net increased annual per capita taxes, and paid 82.7% of net increased annual aggregate taxes. Lower-risk drinkers paid less than $30 in net increased taxes annually. In aggregate, groups who paid the most in net tax increases included those who were white, male, between the ages of 21 and 50, earning ≥$50,000 per year, employed, and had a college degree. Conclusions A 25 cent-per-drink alcohol tax increase would reduce excessive drinking, and higher-risk drinkers would pay the substantial majority of the net tax increase. PMID:22424251

RSA and registries: the quest for phased introduction of new implants.

PubMed

Nelissen, Rob G H H; Pijls, Bart G; Kärrholm, Johan; Malchau, Henrik; Nieuwenhuijse, Marc J; Valstar, Edward R

2011-12-21

Although the overall survival of knee and hip prostheses at ten years averages 90%, recent problems with several hip and knee prostheses have illustrated that the orthopaedic community, industry, and regulators can still further improve patient safety. Given the early predictive properties of roentgen stereophotogrammetric analysis (RSA) and the meticulous follow-up of national joint registries, these two methods are ideal tools for such a phased clinical introduction. In this paper, we elaborate on the predictive power of RSA within a two-year follow-up after arthroplasty and its relationship to national joint registries. The association between RSA prosthesis-migration data and registry data is evaluated. The five-year rate of revision of RSA-tested total knee replacements was compared with that of non-RSA-tested total knee replacements. Data were extracted from the published results of the national joint registries of Sweden, Australia, and New Zealand. There was a 22% to 35% reduction in the number of revisions of RSA-tested total knee replacements as compared with non-RSA-tested total knee replacements in the national joint registries. Assuming that the total cost of total knee arthroplasty is $37,000 in the United States, a 22% to 35% reduction in the number of revisions (currently close to 55,000 annually) could lead to an estimated annual savings of over $400 million to the health-care system. The phased clinical introduction of new prostheses with two-year RSA results as a qualitative tool could lead to better patient care and could reduce the costs associated with revision total knee arthroplasty. Follow-up in registries is necessary to substantiate these results and to improve post-market surveillance.

77 FR 48540 - Agency Information Collection Activities: Extension of a Currently Approved Collection; Semi...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-14

... of a Currently Approved Collection; Semi-Annual Progress Report for the Sexual Assault Services...-Annual Progress Report for Grantees from the Semi-Annual Progress Report for the Sexual Assault Services... assistance for adult, youth, and child victims of sexual assault, family and household members of victims...

Modeling the impact of development and management options on future water resource use in the Nyangores sub-catchment of the Mara Basin in Kenya

NASA Astrophysics Data System (ADS)

Omonge, Paul; Herrnegger, Mathew; Fürst, Josef; Olang, Luke

2016-04-01

Despite the increasing water insecurity consequent of competing uses, the Nyangores sub-catchment of Kenya is yet to develop an inclusive water use and allocation plan for its water resource systems. As a step towards achieving this, this contribution employed the Water Evaluation and Planning (WEAP) system to evaluate selected policy based water development and management options for future planning purposes. Major water resources of the region were mapped and quantified to establish the current demand versus supply status. To define a reference scenario for subsequent model projections, additional data on urban and rural water consumption, water demand for crop types, daily water use for existing factories and industries were also collated through a rigorous fieldwork procedure. The model was calibrated using the parameter estimation tool (PEST) and validated against observed streamflow data, and subsequently used to simulate feasible management options. Due to lack of up-to-date data for the current year, the year 2000 was selected as the base year for the scenario simulations up to the year 2030, which has been set by the country for realizing most flagship development projects. From the results obtained, the current annual water demand within the sub-catchment is estimated to be around 27.2 million m3 of which 24% is being met through improved and protected water sources including springs, wells and boreholes, while 76% is met through informal and unprotected sources which are insufficient to cater for future increases in demand. Under the reference scenario, the WEAP model predicted an annual total inadequate supply of 8.1 million m3 mostly in the dry season by the year 2030. The current annual unmet water demand is 1.3 million m3 and is noteworthy in the dry seasons of December through February at the irrigation demand site. The monthly unmet domestic demand under High Population Growth (HPG) was projected to be 1.06 million m3 by the year 2030. However, within the improved Water Conservation Scenario (WCS), the total water demand is projected to decline by 24.2% in the same period. Key words: Nyangores catchment, Water Resources, WEAP, Scenario Analysis, Kenya

75 FR 60121 - Notice of Public Information Collection(s) Being Reviewed by the Federal Communications...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-29

... [email protected] . SUPPLEMENTARY INFORMATION: OMB Control Number: 3060-1060. Title: Wireless E911....C. sections 1, and 4(i). Total Annual Burden: 38 hours. Total Annual Cost: N/A. Privacy Act Impact...

How much runoff originates as snow in the western United States, and how will that change in the future?

NASA Astrophysics Data System (ADS)

Li, Dongyue; Wrzesien, Melissa L.; Durand, Michael; Adam, Jennifer; Lettenmaier, Dennis P.

2017-06-01

In the western United States, the seasonal phase of snow storage bridges between winter-dominant precipitation and summer-dominant water demand. The critical role of snow in water supply has been frequently quantified using the ratio of snowmelt-derived runoff to total runoff. However, current estimates of the fraction of annual runoff generated by snowmelt are not based on systematic analyses. Here based on hydrological model simulations and a new snowmelt tracking algorithm, we show that 53% of the total runoff in the western United States originates as snowmelt, despite only 37% of the precipitation falling as snow. In mountainous areas, snowmelt is responsible for 70% of the total runoff. By 2100, the contribution of snowmelt to runoff will decrease by one third for the western U.S. in the Intergovernmental Panel on Climate Change Representative Concentration Pathway 8.5 scenario. Snowmelt-derived runoff currently makes up two thirds of the inflow to the region's major reservoirs. We argue that substantial impacts on water supply are likely in a warmer climate.

The Estimated Annual Cost of Uterine Leiomyomata in the United States

PubMed Central

CARDOZO, Eden R.; CLARK, Andrew D.; BANKS, Nicole K.; HENNE, Melinda B.; STEGMANN, Barbara J.; SEGARS, James H.

2011-01-01

Objective To estimate the total annual societal cost of uterine fibroids in the United States, based on direct and indirect costs, including associated obstetric complications. Study Design A systematic review of the literature was conducted to estimate the number of women seeking treatment for symptomatic fibroids annually, the costs of medical and surgical treatment, work lost and obstetric complications attributable to fibroids. Total annual costs were converted to 2010 U.S. dollars. A sensitivity analysis was performed. Results The estimated annual direct costs (surgery, hospital admissions, outpatient visits, medications) were $4.1 to $9.4 billion. Estimated lost work costs ranged from $1.55 to $17.2 billion annually. Obstetric outcomes attributed to fibroids resulted in a cost of $238 million to $7.76 billion annually. Uterine fibroids were estimated to cost the US $5.9 to $34.4 billion annually. Conclusions Obstetric complications associated with fibroids contributed significantly to their economic burden. Lost work costs may account for the largest proportion of societal costs due to fibroids. PMID:22244472

Impact of the 2009 Taiwan tobacco hazards prevention act on smoking cessation.

PubMed

Chang, Fong-Ching; Sung, Hai-Yen; Zhu, Shu-Hong; Chiou, Shu-Ti

2014-01-01

In January 2009, the government of Taiwan amended the 1997 Tobacco Hazards Prevention Act by extending smoke-free areas to include almost all enclosed work-places and public places, adding graphic health warnings to cigarette packages, totally banning tobacco advertisements, promotion and sponsorship and increasing tobacco taxes. This study examined the impact of the 2009 amended Act on smoking cessation in Taiwan. Taiwan Adult Tobacco Surveys 2007 and 2010, each with a nationally representative sample of adults aged 18 years and older (n = 16 588, and n = 16 295, respectively). All recent active smokers (current smokers plus former smokers who quit smoking within the past 12 months) were used for the analyses (n = 3783 in 2007, and n = 2777 in 2010). Quit attempt rate and annual cessation rate (defined as having succeeded in quitting for at least 3 months) among recent active smokers were compared between the pre-Act (2007) and post-Act (2010) periods. The quit attempt rate increased significantly from 39.4% in 2007 to 42.9% in 2010. The annual cessation rate increased significantly from 7.1 to 8.9%. A multivariate analysis, controlling for demographic characteristics, showed that the implementation of the 2009 Act was associated with an increase in the quit attempt rate [odds ratio (OR) = 1.14; 95% confidence interval (CI) = 1.03-1.25] and the annual cessation rate (OR = 1.28; 95% CI = 1.08-1.53). The comprehensive tobacco control programme introduced in 2009 in Taiwan, which combined smoke-free legislation with a tobacco tax increase, graphic health warning labels and a total ban on tobacco advertisements, was associated with increases in quit attempt rate and annual cessation rate. © 2013 Society for the Study of Addiction.

78 FR 77550 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-23

... Universe: 693 railroads. Frequency of Submission: On occasion. Reporting Burden: Total annual Average time per Total annual CFR Section Respondent universe responses response burden hours 237.3 Notifications... Universe: 685 railroads and 4 Locomotive Manufacturers. Frequency of Submission: On occasion. Reporting...

77 FR 68203 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-15

.... Affected Public: Businesses. Respondent Universe: 5 Manufacturers. Total annual Average time per Total annual CFR section Respondent universe responses response burden hours 223.17--Identification of 4... Number(s): N/A. Affected Public: Railroad Employees. Respondent Universe: 40,000 Locomotive Engineers...

78 FR 32005 - Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-28

...; SF-270. Affected Public: Businesses. Respondent Universe: 7 Railroads. Frequency of Submission: On occasion. Reporting Burden: Total annual Average time per Total annual Grant program Respondent universe... Number(s): N/A. Affected Public: States. Respondent Universe: 10 States. Frequency of Submission: On...

47 CFR 101.1417 - Annual report.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Annual report. Each MVDDS licensee shall file with the Broadband Division of the Wireless... the calendar year; (2) The total hours of transmission service rendered during the calendar year to all subscribers; (3) The total hours of transmission service rendered during the calendar year...

Simulation of the Universal-Time Diurnal Variation of the Global Electric Circuit Charging Rate

NASA Technical Reports Server (NTRS)

Mackerras, David; Darveniza, Mat; Orville, Richard E.; Williams, Earle R.; Goodman, Steven J.

1999-01-01

A global lightning model that includes diurnal and annual lightning variation, and total flash density versus latitude for each major land and ocean, has been used as the basis for simulating the global electric circuit charging rate. A particular objective has been to reconcile the difference in amplitude ratios [AR=(max-min)/mean] between global lightning diurnal variation (AR approximately equals 0.8) and the diurnal variation of typical atmospheric potential gradient curves (AR approximately equals 0.35). A constraint on the simulation is that the annual mean charging current should be about 1000 A. The global lightning model shows that negative ground flashes can contribute, at most, about 10-15% of the required current. For the purpose of the charging rate simulation, it was assumed that each ground flash contributes 5 C to the charging process. It was necessary to assume that all electrified clouds contribute to charging by means other than lightning, that the total flash rate can serve as an indirect indicator of the rate of charge transfer, and that oceanic electrified clouds contribute to charging even though they are relatively inefficient in producing lightning. It was also found necessary to add a diurnally invariant charging current component. By trial and error it was found that charging rate diurnal variation curves could be produced with amplitude ratios and general shapes similar to those of the potential gradient diurnal variation curves measured over ocean and arctic regions during voyages of the Carnegie Institute research vessels. The comparisons were made for the northern winter (Nov.-Feb.), the equinox (Mar., Apr., Sept., Oct.), the northern summer (May-Aug.), and the whole year.

78 FR 19262 - Notice of Annual Adjustment of the Cap on Average Total Assets That Defines Community Financial...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-29

... FEDERAL HOUSING FINANCE AGENCY [No. 2013-N-04] Notice of Annual Adjustment of the Cap on Average.... ACTION: Notice. SUMMARY: The Federal Housing Finance Agency (FHFA) has adjusted the cap on average total... Federal Deposit Insurance Corporation and that has average total assets below a statutory cap.\\2\\ The Bank...

75 FR 9601 - Notice of Annual Adjustment of the Cap on Average Total Assets That Defines Community Financial...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-03

... FEDERAL HOUSING FINANCE AGENCY [No. 2010-N-01] Notice of Annual Adjustment of the Cap on Average.... ACTION: Notice. SUMMARY: The Federal Housing Finance Agency (FHFA) has adjusted the cap on average total... Deposit Insurance Corporation and that has average total assets below a statutory cap. See 12 U.S.C. 1422...

Long-term dynamics of winter and summer annual communities in the Chihuahuan Desert

USGS Publications Warehouse

Guo, Q.; Brown, J.H.; Valone, T.J.

2002-01-01

Using 15 years of census data from permanent quadrats, this paper compared the characteristics and temporal dynamics of these two distinct, spatially coexistent but temporally segregated communities. Although the total number of summer annual species recorded during our 15 years observation was higher than winter annuals, the average number of species observed each year was higher in the winter community. The winter community exhibited lower temporal variation in total plant abundance and populations of individual species, lower species turnover rate and higher evenness than the summer community. The higher seasonal species diversity (i.e., number of species observed in each season) in winters rather than the overall special pool (over 15 yrs) may be responsible for the greater community stability of winter annuals. The difference in long-term community dynamics between the two communities of annuals plants are likely due to the differences in total species pool, life history traits (e.g., seed size), and seasonal climatic regimes.

28 CFR 16.208 - Annual report.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Annual report. 16.208 Section 16.208... Observation of Parole Commission Meetings § 16.208 Annual report. The Commission shall report annually to Congress regarding its compliance with Sunshine Act requirements, including a tabulation of the total...

28 CFR 16.208 - Annual report.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Annual report. 16.208 Section 16.208... Observation of Parole Commission Meetings § 16.208 Annual report. The Commission shall report annually to Congress regarding its compliance with Sunshine Act requirements, including a tabulation of the total...

28 CFR 16.208 - Annual report.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Annual report. 16.208 Section 16.208... Observation of Parole Commission Meetings § 16.208 Annual report. The Commission shall report annually to Congress regarding its compliance with Sunshine Act requirements, including a tabulation of the total...

28 CFR 16.208 - Annual report.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Annual report. 16.208 Section 16.208... Observation of Parole Commission Meetings § 16.208 Annual report. The Commission shall report annually to Congress regarding its compliance with Sunshine Act requirements, including a tabulation of the total...

21 CFR 1315.11 - Assessment of annual needs.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 9 2012-04-01 2012-04-01 false Assessment of annual needs. 1315.11 Section 1315... QUOTAS FOR EPHEDRINE, PSEUDOEPHEDRINE, AND PHENYLPROPANOLAMINE Assessment of Annual Needs § 1315.11 Assessment of annual needs. (a) The Administrator shall determine the total quantity of ephedrine...

21 CFR 1315.11 - Assessment of annual needs.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 9 2014-04-01 2014-04-01 false Assessment of annual needs. 1315.11 Section 1315... QUOTAS FOR EPHEDRINE, PSEUDOEPHEDRINE, AND PHENYLPROPANOLAMINE Assessment of Annual Needs § 1315.11 Assessment of annual needs. (a) The Administrator shall determine the total quantity of ephedrine...

21 CFR 1315.11 - Assessment of annual needs.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 9 2013-04-01 2013-04-01 false Assessment of annual needs. 1315.11 Section 1315... QUOTAS FOR EPHEDRINE, PSEUDOEPHEDRINE, AND PHENYLPROPANOLAMINE Assessment of Annual Needs § 1315.11 Assessment of annual needs. (a) The Administrator shall determine the total quantity of ephedrine...

21 CFR 1315.11 - Assessment of annual needs.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 9 2011-04-01 2011-04-01 false Assessment of annual needs. 1315.11 Section 1315... QUOTAS FOR EPHEDRINE, PSEUDOEPHEDRINE, AND PHENYLPROPANOLAMINE Assessment of Annual Needs § 1315.11 Assessment of annual needs. (a) The Administrator shall determine the total quantity of ephedrine...

A method for estimating maternal and newborn lives saved from health-related investments funded by the UK government Department for International Development using the Lives Saved Tool.

PubMed

Friberg, Ingrid K; Baschieri, Angela; Abbotts, Jo

2017-11-07

In 2010, the UK Government Department for International Development (DFID) committed through its 'Framework for results for reproductive, maternal and newborn health (RMNH)' to save 50,000 maternal lives and 250,000 newborn lives by 2015. They also committed to monitoring the performance of this portfolio of investments to demonstrate transparency and accountability. Methods currently available to directly measure lives saved are cost-, time-, and labour-intensive. The gold standard for calculating the total number of lives saved would require measuring mortality with large scale population based surveys or annual vital events surveillance. Neither is currently available in all low- and middle-income countries. Estimating the independent effect of DFID support relative to all other effects on health would also be challenging. The Lives Saved Tool (LiST) is an evidence based software for modelling the effect of changes in health intervention coverage on reproductive, maternal, newborn and child mortality. A multi-country LiST-based analysis protocol was developed to retrospectively assess the total annual number of maternal and newborn lives saved from DFID aid programming in low- and middle-income countries. Annual LiST analyses using the latest program data from DFID country offices were conducted between 2013 and 2016, estimating the annual number of maternal and neonatal lives saved across 2010-2015. For each country, independent project results were aggregated into health intervention coverage estimates, with and in the absence of DFID funding. More than 80% of reported projects were suitable for inclusion in the analysis, with 151 projects analysed in the 2016 analysis. Between 2010 and 2014, it is estimated that DFID contributed to saving the lives of 15,000 women in pregnancy and childbirth with health programming and 88,000 with family planning programming. It is estimated that DFID health programming contributed to saving 187,000 newborn lives. It is feasible to estimate the overall contribution and impact of DFID's investment in RMNH from currently available information on interventions and coverage from individual country offices. This utilization of LiST, with estimated population coverage based on DFID program inputs, can be applied to similar types of datasets to quantify programme impact. The global data were used to estimate DFID's progress against the Framework for results targets to inform future programming. The identified limitations can also be considered to inform future monitoring and evaluation program design and implementation within DFID.

76 FR 61347 - Notice of Proposed Information Collection Requests

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-04

..., middle and high schools). Total Estimated Number of Annual Responses: 413. Total Estimated Annual Burden..., middle and high schools where students achieve at high levels or where the achievement gap is narrowing... information technology. Dated: September 29, 2011. Darrin King, Director, Information Collection Clearance...

Economic analysis and assessment of syngas production using a modeling approach

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

Kim, Hakkwan; Parajuli, Prem B.; Yu, Fei

Economic analysis and modeling are essential and important issues for the development of current feedstock and process technology for bio-gasification. The objective of this study was to develop an economic model and apply to predict the unit cost of syngas production from a micro-scale bio-gasification facility. An economic model was programmed in C++ computer programming language and developed using a parametric cost approach, which included processes to calculate the total capital costs and the total operating costs. The model used measured economic data from the bio-gasification facility at Mississippi State University. The modeling results showed that the unit cost ofmore » syngas production was $1.217 for a 60 Nm-3 h-1 capacity bio-gasifier. The operating cost was the major part of the total production cost. The equipment purchase cost and the labor cost were the largest part of the total capital cost and the total operating cost, respectively. Sensitivity analysis indicated that labor costs rank the top as followed by equipment cost, loan life, feedstock cost, interest rate, utility cost, and waste treatment cost. The unit cost of syngas production increased with the increase of all parameters with exception of loan life. The annual cost regarding equipment, labor, feedstock, waste treatment, and utility cost showed a linear relationship with percent changes, while loan life and annual interest rate showed a non-linear relationship. This study provides the useful information for economic analysis and assessment of the syngas production using a modeling approach.« less

Demographic, behavioral, and physical correlates of body esteem among low-income female adolescents.

PubMed

Kornblau, Ilyse S; Pearson, Heidi C; Breitkopf, Carmen Radecki

2007-12-01

To examine demographic, behavioral, and physical correlates of body esteem among female adolescents of lower socioeconomic background. Data were collected in a women's health clinic in southeast Texas as part of a larger investigation. A total of 271 female individuals aged 16-21 years completed the Body Esteem Scale (BES), which yields scores for total body esteem, sexual attractiveness, weight concern, and physical condition. Participants answered questions regarding smoking and the presence of acne. Height and weight were measured by a nurse using standard instrumentation and technique. Of the participants, 35% were African-American, 31% white, and 34% Hispanic; and 48% reported an annual household income less than $20,000. The mean body mass index (BMI) was 26.1 (SD = 6.5). Race/ethnicity was associated with total body esteem, sexual attractiveness, weight esteem, and physical condition (all p < .01). African-American participants demonstrated greater body esteem on all scales relative to white participants. Adolescents reporting annual household incomes less than $20,000 (vs. greater) demonstrated higher overall body esteem, sexual attractiveness, and physical condition (all p < .01). Current smokers (vs. non-smokers) reported lower physical condition (p < .01), lower weight concern (p < .05), and lower overall body esteem (p < .02). BMI was associated with weight concern (p < .001) and total body esteem (p = .05). Adolescents reporting acne (vs. not) reported lower scores for total body esteem, sexual attractiveness, and weight concern (all p < .05). Body esteem among adolescent females is affected by demographic, physical, and behavioral variables. Results highlight the importance of measuring multiple dimensions of body esteem.

Population characteristics and assessment of overfishing for an exploited paddlefish population in the lower Tennessee River

USGS Publications Warehouse

Scholten, G.D.; Bettoli, P.W.

2005-01-01

Paddlefish Polyodon spathula (n = 576) were collected from Kentucky Lake, Kentucky-Tennessee, with experimental gill nets in 2003-2004 to assess population characteristics and the potential for commercial overfishing. Additional data were collected from 1,039 paddlefish caught by commercial gillnetters in this impoundment. Since the most recent study in 1991, size and age structure have been reduced and annual mortality has tripled. In the 1991 study, 37% of the fish collected were older than the maximum age we observed (age 11), and in 2003 annual mortality for paddlefish age 7 and older was high (A = 68%). Natural mortality is presumably low (<10%) for paddlefish; therefore, exploitation in recent years is high. Estimates of total annual mortality were negatively related to river discharge in the years preceding each estimate. The number of paddlefish harvested since 1999 was also negatively related to river discharge because gill nets cannot be easily deployed when discharge exceeds approximately 850 m3/s. Large females spawn annually because all females longer than 1,034 mm eye-fork length (EFL) were gravid. No mature females were protected by the current 864-mm minimum EFL limit. At a low natural mortality rate, higher size limits when exploitation was high (40-70%) increased simulated flesh yields by 10-20%. Even at low levels of exploitation (21%), spawning potential ratios (SPRs) under the current 864-mm minimum EFL size limit fell below 20%. If the size limit was raised to 1,016 mm EFL, the population could withstand up to 62% exploitation before the SPR falls below 20%. An analysis of annual mortality caps indicated that the best way to increase the average size of harvested fish is to increase the minimum size limit. Recruitment overfishing probably occurs during drought years; however, variation in river discharge has prevented the population from being exploited at unsustainable rates in the past. ?? Copyright by the American Fisheries Society 2005.

Trends and future challenges of water resources in the Tigris-Euphrates Rivers basin in Iraq

NASA Astrophysics Data System (ADS)

Issa, I. E.; Al-Ansari, N. A.; Sherwany, G.; Knutsson, S.

2013-12-01

Iraq is one of the riparian countries within basins of Tigris-Euphrates Rivers in the Middle East region. The region is currently facing water shortage problems due to the increase of the demand and climate changes. In the present study, average monthly water flow measurements for 15 stream flow gaging stations within basins of these rivers in Iraq with population growth rate data in some of its part were used to evaluate the reality of the current situation and future challenges of water availability and demand in Iraq. The results showed that Iraq receives annually 70.29 km3 of water 45.4 and 25.52 km3 from River Tigris and Euphrates respectively. An amount of 18.04 km3 is supplied by its tributaries inside Iraq. The whole amount of water in the Euphrates Rivers comes outside the Iraqi borders. Annual decrease of the water inflow is 0.1335 km3 yr-1 for Tigris and 0.245 km3 yr-1 for Euphrates. This implies the annual percentage reduction of inflow rates for the two rivers is 0.294 and 0.960% respectively. Iraq consumes annually 88.89% (63.05 km3) of incoming water from the two rivers, where about 60.43 and 39.57% are from Rivers Tigris and Euphrates respectively. Water demand increases annually by 0.896 km3; of which 0.5271 and 0.475 km3 within Tigris and Euphrates basins respectively. The average water demand in 2020 will increase to 42.844 km3 yr-1 for Tigris basin and for Euphrates 29.225 km3 yr-1 (total 72.069 km3 yr-1), while water availability will decrease to 63.46 km3 yr-1. This means that the overall water shortage will be restricted to 8.61 km3.

FOREST-BGC, A general model of forest ecosystem processes for regional applications. II. Dynamic carbon allocation and nitrogen budgets.

PubMed

Running, Steven W.; Gower, Stith T.

1991-01-01

A new version of the ecosystem process model FOREST-BGC is presented that uses stand water and nitrogen limitations to alter the leaf/root/stem carbon allocation fraction dynamically at each annual iteration. Water deficit is defined by integrating a daily soil water deficit fraction annually. Current nitrogen limitation is defined relative to a hypothetical optimum foliar N pool, computed as maximum leaf area index multiplied by maximum leaf nitrogen concentration. Decreasing availability of water or nitrogen, or both, reduces the leaf/root carbon partitioning ratio. Leaf and root N concentrations, and maximum leaf photosynthetic capacity are also redefined annually as functions of nitrogen availability. Test simulations for hypothetical coniferous forests were performed for Madison, WI and Missoula, MT, and showed simulated leaf area index ranging from 4.5 for a control stand at Missoula, to 11 for a fertilized stand at Madison, with Year 50 stem carbon biomasses of 31 and 128 Mg ha(-1), respectively. Total nitrogen incorporated into new tissue ranged from 34 kg ha(-1) year(-1) for the unfertilized Missoula stand, to 109 kg ha(-1) year(-1) for the fertilized Madison stand. The model successfully showed dynamic annual carbon partitioning controlled by water and nitrogen limitations.

Is Physician Quality Reporting System Worth the Cost to Report to Center for Medicare and Medicaid Services?

PubMed

Duncan, Stephen T; Jacobs, Cale A; Christensen, Christian P; Nunley, Ryan M; Macaulay, William B

2017-04-01

The Center for Medicare and Medicaid Services (CMS) has proposed a move to payment based on patient-reported outcomes (PROs), and failure to report on PROs will result in a penalty of 2% in 2016. However, the cost to the physician to collect PROs is not known. Using data from the 2013 Medical Group Management Association Compensation and Financial survey and Center for Medicare and Medicaid Services reimbursement, a calculation was performed to determine the cost to the physician to report on PROs for patients undergoing total knee arthroplasty and total hip arthroplasty. Using Medical Group Management Association and Medicare fee for service rates, calculations were performed based on an annual volume of 200 Medicare operative cases (125 total knee arthroplasties, 75 total hip arthroplasties) with 1000 new patients (level 4) and 2000 established patients (level 3) visits. A range of start-up and annual costs necessary to collect PROs including hardware, software, and personnel costs was calculated and then compared with the calculated 2% Medicare penalty for failing to report PROs in 2016. The cost to collect PROs ranged from $47,973 to $56,288 which far outweighed the penalty of $2954 in 2016 for failing to report these measures. With the move toward requiring surgeons to report PROs for reimbursement, the current financial model would prove to be cost prohibitive and the incentive to report PROs might be too costly to gain wide acceptance. Copyright © 2016 Elsevier Inc. All rights reserved.

Summary Report of the Seventh Annual NASA/Contractors Conference on Quality and Productivity: "Total Quality Leadership"

NASA Technical Reports Server (NTRS)

1991-01-01

More than 750 NASA, government, contractor, and academic representatives attended the Seventh Annual NASA/Contractors Conference on Quality and Productivity on October 12-13, 1990, in Grenelefe, Florida. The panel presentations and keynote speeches revolving around the theme of 'Total Quality Leadership" provided a solid base of understanding of the importance, benefits, and principles of total quality management. The implementation of these strategies is critical if we are to effectively pursue our mission of continuous quality improvement and reliability in our products, processes, and services. The annual NASA/contractors conferences serve as catalysts for achieving success in this mission.

76 FR 3142 - Notice of Annual Adjustment of the Cap on Average Total Assets That Defines Community Financial...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-19

... FEDERAL HOUSING FINANCE AGENCY [No. 2011-N-01] Notice of Annual Adjustment of the Cap on Average.... ACTION: Notice. SUMMARY: The Federal Housing Finance Agency (FHFA) has adjusted the cap on average total... average total assets below a statutory cap. See 12 U.S.C. 1422(10)(A); 12 CFR 1263.1. The Bank Act was...

Foreword: Proceedings From the First Annual Lumbar Total Disc Replacement Summit.

PubMed

Blumenthal, Scott; Buttermann, Glenn; Garcia, Rolando; Gornet, Matthew; Grunch, Betsy; Guyer, Richard; Janssen, Michael; Kimball, Brent; Lewis, Adam; Mesiwala, Ali; Miller, Lynn; Morreale, Joseph; Reed, William; Sandhu, Faheem; Shackleford, Ian; Yue, James; Zigler, Jack; OConnell, Brent; Ferko, Nicole; Hollmann, Sarah

2017-12-15

: This publication focuses on proceedings from the First Annual Lumbar Total Disc Replacement Summit, held October 25, 2016 in Boston, MA. The Summit brought together 17 thought leading surgeons who employed a modified-Delphi method to determine where consensus existed pertaining to the utilization of lumbar total disc replacement as a standard of care for a subpopulation of patients suffering from degenerative disc disease.

2016 survey about temperature management during extracorporeal circulation in China.

PubMed

Guo, Zhen; Li, Xin

2018-04-01

In order to assess the current status of temperature management during cardiopulmonary bypass (CPB) in China and, thereby, implement standardized management protocols, the authors carried out a national survey about institutions performing CPB. The survey was carried out from September 2015 to February 2016 and was supported by the Chinese Society of ExtraCorporeal Circulation. A total of 114 institutions participated, accounting for 15.64% (114/729) of the total of germane Chinese institutions, whereby, 80.85% (38/47) of the institutions had an annual surgical volume of more than 1000 cases. The most common sites of temperature measurement were nasopharyngeal (NP) (99.12%) and rectal (92.98%) while oxygenator blood temperature was less popular (28%). Rectal temperature as the core temperature was chosen by 78.95% of the institutions; 92.11% of the institutions chose nasopharyngeal temperature to represent the cerebral temperature. During deep hypothermia circulatory arrest (DHCA) when there was no cerebral perfusion, 18 to 22℃ was the most common indication of circulatory arrest. However, with cerebral perfusion, more than 40% of the institutions maintained a lowest temperature of 22 to 25℃ for adult and pediatric patients. A NP temperature of 36 to 37℃ was chosen by 70.18% of the institutions while 81.79% chose a rectal temperature of 35 to 36.5℃ as the indication to wean from CPB. The majority of the institutions chose a difference of 10℃ between the water tank and core temperatures as the temperature gradient during rewarming. Auxiliary heat preservation techniques and equipment were used in 91.23% of the institutions, whereas 35.58% of them would lower the indications to wean from CPB. This survey accurately reflects the current situation of temperature management during CPB in institutions with an annual surgical volume of >500 cases, but has, hereby, failed to properly represent the institutions with a lower annual surgical volume.

Meteoroid Environment Modeling: The Meteoroid Engineering Model and Shower Forecasting

NASA Technical Reports Server (NTRS)

Moorhead, Althea V.

2017-01-01

The meteoroid environment is often divided conceptually into meteor showers and the sporadic meteor background. It is commonly but incorrectly assumed that meteoroid impacts primarily occur during meteor showers; instead, the vast majority of hazardous meteoroids belong to the sporadic complex. Unlike meteor showers, which persist for a few hours to a few weeks, sporadic meteoroids impact the Earth's atmosphere and spacecraft throughout the year. The Meteoroid Environment Office (MEO) has produced two environment models to handle these cases: the Meteoroid Engineering Model (MEM) and an annual meteor shower forecast. The sporadic complex, despite its year-round activity, is not isotropic in its directionality. Instead, their apparent points of origin, or radiants, are organized into groups called "sources". The speed, directionality, and size distribution of these sporadic sources are modeled by the Meteoroid Engineering Model (MEM), which is currently in its second major release version (MEMR2) [Moorhead et al., 2015]. MEM provides the meteoroid flux relative to a user-provided spacecraft trajectory; it provides the total flux as well as the flux per angular bin, speed interval, and on specific surfaces (ram, wake, etc.). Because the sporadic complex dominates the meteoroid flux, MEM is the most appropriate model to use in spacecraft design. Although showers make up a small fraction of the meteoroid environment, they can produce significant short-term enhancements of the meteoroid flux. Thus, it can be valuable to consider showers when assessing risks associated with vehicle operations that are brief in duration. To assist with such assessments, the MEO issues an annual forecast that reports meteor shower fluxes as a function of time and compares showers with the time-averaged total meteoroid flux. This permits missions to do quick assessments of the increase in risk posed by meteor showers. Section II describes MEM in more detail and describes our current efforts to improve its characteristics for a future release. Section III describes the annual shower forecast and highlights recent improvements made to its algorithm and inputs.

Precipitation, density, and population dynamics of desert bighorn sheep on San Andres National Wildlife Refuge, New Mexico

USGS Publications Warehouse

Bender, L.C.; Weisenberger, M.E.

2005-01-01

Understanding the determinants of population size and performance for desert bighorn sheep (Ovis canadensis mexicana) is critical to develop effective recovery and management strategies. In arid environments, plant communities and consequently herbivore populations are strongly dependent upon precipitation, which is highly variable seasonally and annually. We conducted a retrospective exploratory analysis of desert bighorn sheep population dynamics on San Andres National Wildlife Refuge (SANWR), New Mexico, 1941-1976, by modeling sheep population size as a function of previous population sizes and precipitation. Population size and trend of desert bighorn were best and well described (R 2=0.89) by a model that included only total annual precipitation as a covariate. Models incorporating density-dependence, delayed density-dependence, and combinations of density and precipitation were less informative than the model containing precipitation alone (??AlCc=8.5-22.5). Lamb:female ratios were positively related to precipitation (current year: F1,34=7.09, P=0.012; previous year: F1,33=3.37, P=0.075) but were unrelated to population size (current year. F1,34=0.04, P=0.843; previous year: F1,33 =0.14, P=0.715). Instantaneous population rate of increase (r) was related to population size (F1,33=5.55; P=0.025). Precipitation limited populations of desert bighorn sheep on SANWR primarily in a density-independent manner by affecting production or survival of lambs, likely through influences on forage quantity and quality. Habitat evaluations and recovery plans for desert bighorn sheep need to consider fundamental influences on desert bighorn populations such as precipitation and food, rather than focus solely on proximate issues such as security cover, predation, and disease. Moreover, the concept of carrying capacity for desert bighorn sheep may need re-evaluation in respect to highly variable (CV =35.6%) localized precipitation patterns. On SANWR carrying capacity for desert bighorn sheep was zero when total annual precipitation was <28.2 cm.

Biogeographical drivers of ragweed pollen concentrations in Europe

NASA Astrophysics Data System (ADS)

Matyasovszky, István; Makra, László; Tusnády, Gábor; Csépe, Zoltán; Nyúl, László G.; Chapman, Daniel S.; Sümeghy, Zoltán; Szűcs, Gábor; Páldy, Anna; Magyar, Donát; Mányoki, Gergely; Erostyák, János; Bodnár, Károly; Bergmann, Karl-Christian; Deák, Áron József; Thibaudon, Michel; Albertini, Roberto; Bonini, Maira; Šikoparija, Branko; Radišić, Predrag; Gehrig, Regula; Rybníček, Ondřej; Severova, Elena; Rodinkova, Victoria; Prikhodko, Alexander; Maleeva, Anna; Stjepanović, Barbara; Ianovici, Nicoleta; Berger, Uwe; Seliger, Andreja Kofol; Weryszko-Chmielewska, Elżbieta; Šaulienė, Ingrida; Shalaboda, Valentina; Yankova, Raina; Peternel, Renata; Ščevková, Jana; Bullock, James M.

2017-06-01

The drivers of spatial variation in ragweed pollen concentrations, contributing to severe allergic rhinitis and asthma, are poorly quantified. We analysed the spatiotemporal variability in 16-year (1995-2010) annual total (66 stations) and annual total (2010) (162 stations) ragweed pollen counts and 8 independent variables (start, end and duration of the ragweed pollen season, maximum daily and calendar day of the maximum daily ragweed pollen counts, last frost day in spring, first frost day in fall and duration of the frost-free period) for Europe (16 years, 1995-2010) as a function of geographical coordinates. Then annual total pollen counts, annual daily peak pollen counts and date of this peak were regressed against frost-related variables, daily mean temperatures and daily precipitation amounts. To achieve this, we assembled the largest ragweed pollen data set to date for Europe. The dependence of the annual total ragweed pollen counts and the eight independent variables against geographical coordinates clearly distinguishes the three highly infected areas: the Pannonian Plain, Western Lombardy and the Rhône-Alpes region. All the eight variables are sensitive to longitude through its temperature dependence. They are also sensitive to altitude, due to the progressively colder climate with increasing altitude. Both annual total pollen counts and the maximum daily pollen counts depend on the start and the duration of the ragweed pollen season. However, no significant changes were detected in either the eight independent variables as a function of increasing latitude. This is probably due to a mixed climate induced by strong geomorphological inhomogeneities in Europe.

Systems Engineering-Based Tool for Identifying Critical Research Systems

ERIC Educational Resources Information Center

Abbott, Rodman P.; Stracener, Jerrell

2016-01-01

This study investigates the relationship between the designated research project system independent variables of Labor, Travel, Equipment, and Contract total annual costs and the dependent variables of both the associated matching research project total annual academic publication output and thesis/dissertation number output. The Mahalanobis…

47 CFR 36.601 - General.

Code of Federal Regulations, 2010 CFR

2010-10-01

...-income consumers, schools and libraries, and heath care providers. The expense adjustment calculated... pursuant to § 36.612(a). (c) Until June 30, 2001, the annual amount of the total nationwide expense... calculated pursuant to this subpart F. The annual amount of the total nationwide loop cost expense adjustment...

Ohio Department of Transportation State Infrastructure Bank Annual Financial Report : Federal Fiscal Year 2009

DOT National Transportation Integrated Search

2009-01-01

The Ohio Department of Transportation is pleased to present the Federal : Fiscal Year (FFY) 2009 State Infrastructure Bank (SIB) Annual Financial : Report. : The portfolio of the FFY 2009 SIB had a total of nine loans totaling $9.0 : million and one ...

Streamflow and nutrient data for the Yazoo River below Steele Bayou near Long Lake, Mississippi, 1996-2000

USGS Publications Warehouse

Runner, Michael S.; Turnipseed, D. Phil; Coupe, Richard H.

2002-01-01

Increased nutrient loading to the Gulf of Mexico from off-continent flux has been identified as contributing to the increase in the areal extent of the low dissolved-oxygen zone that develops annually off the Louisiana and Texas coast. The proximity of the Yazoo River Basin in northwestern Mississippi to the Gulf of Mexico, and the intensive agricultural activities in the basin have led to speculation that the Yazoo River Basin contributes a disproportionate amount of nitrogen and phosphorus to the Mississippi River and ultimately to the Gulf of Mexico. An empirical measurement of the flux of nitrogen and phosphorus from the Yazoo Basin has not been possible due to the hydrology of the lower Yazoo River Basin. Streamflow for the Yazoo River below Steele Bayou is affected by backwater from the Mississippi River. Flow at the gage is non-uniform and varying, with bi-directional and reverse flows possible. Streamflow was computed by using remote sensing and acoustic and conventional discharge and velocity measurement techniques. Streamflow from the Yazoo River for the 1996-2000 period accounted for 2.8 percent of the flow of the Mississippi River for the same period. Water samples from the Yazoo River were collected from February 1996 through December 2000 and were analyzed for total nitrogen, nitrate, total phosphorus, and orthophosphorus as part of the U.S. Geological Survey National Water-Quality Assessment Program. These data were used to compute annual loads of nitrogen and phosphorus discharged from the Yazoo River for the period 1996-2000. Annual loads of nitrogen and phosphorus were calculated by two methods. The first method used multivariate regression and the second method multiplied the mean annual concentration by the total annual flow. Load estimates based on the product of the mean annual concentration and the total annual flow were within the 95 percent confidence interval for the load calculated by multivariate regression in 10 of 20 cases. The Yazoo River loads, compared to average annual loads in the Mississippi River, indicated that the Yazoo River was contributing 1.4 percent of the total nitrogen load, 0.7 percent of the nitrate load, 3.4 percent of the total phosphorus load, and 1.6 percent of the orthophosphorus load during 1996 - 2000. The total nitrogen, nitrate, and orthophosphorus loads in the Yazoo River Basin were less than expected, whereas the total phosphorus load was slightly higher than expected based on discharge.

Lean methodology in i.v. medication processes in a children's hospital.

PubMed

L'Hommedieu, Timothy; Kappeler, Karl

2010-12-15

The impact of lean methodology in i.v. medication processes in a children's hospital was studied. Medication orders at a children's hospital were analyzed for 30 days to identify the specific times when most medications were changed or discontinued. Value-stream mapping was used to define the current state of preparation and identify non-value-added tasks in the i.v. medication preparation and dispensing processes. An optimization model was created using specific measurements to establish the optimal number of batches and batch preparation times of batches. Returned i.v. medications were collected for 7 days before and after implementation of the lean process to determine the impact of the lean process changes. Patient-days increased from 1,836 during the first collection period to 2,017 during the second, and the total number of i.v. doses dispensed increased from 8,054 to 9,907. Wasted i.v. doses decreased from 1,339 (16.6% of the total doses dispensed) to 853 (8.6%). With the new process, Nationwide Children's Hospital was projected to realize a weekly savings of $8,197 ($426,244 annually), resulting in a 2.6% reduction in annual drug expenditure. The annual savings is a conservative estimate, due to the 10% increase in patient-days after the lean collection period compared with baseline. The differences in wasted doses and their costs were significant (p < 0.05). Implementing lean concepts in the i.v. medication preparation process had a positive effect on efficiency and drug cost.

Further Evaluation of an Emperical Equation for Annual Total Evaporation

NASA Technical Reports Server (NTRS)

Choudhury, Bhaskar J.

1999-01-01

An empirical equation for annual total evaporation based on annual precipitation and net radiation was found to provide evaporation within 10% of the observed values at seven locations within temperate and tropical regions, but it overestimated evaporation by 90% at one location within the tundra region. A synthesis of observations at two other locations within the tundra region gives overestimates of about 65%. A general analysis of observed precipitation, net radiation, and runoff within the tundra region shows that the empirical equation is generally biased to overestimate annual evaporation within the tundra region. A theoretical analysis is being done to understand the reason behind this bias.

The Regional Differences of Gpp Estimation by Solar Induced Fluorescence

NASA Astrophysics Data System (ADS)

Wang, X.; Lu, S.

2018-04-01

Estimating gross primary productivity (GPP) at large spatial scales is important for studying the global carbon cycle and global climate change. In this study, the relationship between solar-induced chlorophyll fluorescence (SIF) and GPP is analysed in different levels of annual average temperature and annual total precipitation respectively using simple linear regression analysis. The results showed high correlation between SIF and GPP, when the area satisfied annual average temperature in the range of -5 °C to 15 °C and the annual total precipitation is higher than 200 mm. These results can provide a basis for future estimation of GPP research.

[Responses of normalized difference vegetation index (NDVI) to precipitation changes on the grassland of Tibetan Plateau from 2000 to 2015.

PubMed

Wang, Zhi Peng; Zhang, Xian Zhou; He, Yong Tao; Li, Meng; Shi, Pei Li; Zu, Jia Xing; Niu, Ben

2018-01-01

Precipitation change is an important factor in the inter-annual variation of grassland growth on the Tibetan Plateau. The total amount, distribution pattern and concentration time are three basic characteristics of precipitation change. The temporal and spatial characteristics of precipitation change were analyzed based on climate data of 145 meteorological stations on the Tibetan Plateau and nearby areas from 2000 to 2015. The total precipitation amount was characterized by annual precipitation, distribution pattern of precipitation during the year was characterized by improved precipitation concentration index (PCI), and precipitation centroid (PC) was defined to indicate the change in precipitation concentrated time. To better illustrate the response of grassland to precipitation change, vegetation growth status was characterized by the maximum value of normalized difference vegetation index (NDVI max ). Results indicated that the annual precipitation and PCI had an apparent gradient across the whole plateau and the latest PC occurred in the southern plateau. NDVI max of alpine shrub grassland was significantly correlated with the change of PCI,increased with even distribution of precipitation during growth period, and limited by the total annual precipitation. Alpine meadow did not show significantly correlations with these three indices. The inter-annual variability of NDVI max of steppe was controlled by both PCI and PC. NDVI max of alpine desert grassland was mainly controlled by annual precipitation. In addition to annual total amount of precipitation, the distribution characteristics of precipitation should be further considered when the influence of precipitation change on different types of vegetation on the Qinghai Tibet Plateau was studied.

Seasonality of Carbonate Chemistry and CO2 Flux in a Northwestern Gulf of Mexico estuary

NASA Astrophysics Data System (ADS)

Yao, H.; Hu, X.

2016-02-01

Estuaries are important CO2 source to the atmosphere and exhibit significant spatial and temporal variability. Currently, relatively little is known regarding the role of subtropical semiarid estuaries in the carbon cycle and their carbonate chemistry. In this study we examined seasonality of carbonate system and CO2 flux in the Mission-Aransas estuary, a shallow subtropical semiarid estuary in the Northwestern Gulf of Mexico, during a one-year period (05/2014-04/2015). This estuary includes three interconnected coastal bays (Aransas, Copano, and Mesquite) that have little direct freshwater input from rivers. Average pH (total scale) was 8.017±0.096 and varied between 7.515 and 8.317. Annual mean total dissolved inorganic carbon (DIC) and total alkalinity (TA) were 2183.2±180.4 µmol kg-1 and 2467.2±206.7 µmol·kg-1, respectively. Both DIC and TA decreased from June to October, 2014 with increasing salinity, then started to increase when salinity decreased after heavy precipitation evens in November, 2014. Contrary to DIC and TA patterns, the highest carbonate saturation state (4.89) with respect to aragonite (Ωaragonite) was observed in August 2014, and the lowest (0.20) in March 2015. Overall, high Ωaragonite (>4.0) occurred in hypersaline seawater (salinity>35). Calculated annual average pCO2 was 487±138 µatm, with the annual high occurring in early summer (May to June, 2014, 544±76 µatm) and annual low at 352±33 µatm in winter (January to February, 2015). During the flooding period from January to April, 2015, DIC and TA decreased dramatically while pCO2 first decreased to below the atmosphere level and then increased with maximum level reaching nearly 1700 µatm, indicating a trophic state transition during the development and relaxation periods of the flood. Average annual CO2 flux in this estuary was estimated to be 7.0±2.0 109g-C·yr-1. The highest CO2 efflux (20.6±10.9 mmol·m-2·d-1) occurred in August, 2014, and this estuary turned to a CO2 sink (-1.9±0.6 mmol·m-2·d-1) briefly in February, 2015.

Pharmaceutical expenditure on drugs for rare diseases in Canada: a historical (2007-13) and prospective (2014-18) MIDAS sales data analysis.

PubMed

Divino, Victoria; DeKoven, Mitch; Kleinrock, Michael; Wade, Rolin L; Kim, Tony; Kaura, Satyin

2016-05-21

Health Canada has defined rare diseases as life-threatening, seriously debilitating, or serious chronic conditions affecting a very small number of patients (~1 in 2,000 persons). An estimated 9 % of Canadians suffer from a rare disease. Drugs treating rare diseases (DRDs) are also known as orphan drugs. While Canada is currently developing an orphan drug framework, in the United States (US), the Orphan Drug Act (ODA) of 1983 established incentives for the development of orphan drugs. This study measured total annual expenditure of orphan drugs in Canada (2007-13) and estimated future (2014-18) orphan drug expenditure. Orphan drugs approved by the US Food and Drug Administration (FDA) in the US were used as a proxy for the orphan drug landscape in Canada. Branded, orphan drugs approved by the FDA between 1983 through 2013 were identified (N = 356 unique products). Only US orphan drugs with the same orphan indication(s) approved in Canada were included in the analysis. Adjustment via an indication factoring was applied to products with both orphan and non-orphan indications using available data sources to isolate orphan-indication sales. The IMS Health MIDAS database of audited biopharmaceutical sales was utilized to measure total orphan drug expenditure, calculated annually from 2007-2013 and evaluated as a proportion of total annual pharmaceutical drug expenditure (adjusted to 2014 CAD). Between 2007 and 2013, expenditure was measured for a final N = 147 orphan drugs. Orphan drug expenditure totaled $610.2 million (M) in 2007 and $1,100.0 M in 2013, representing 3.3- 5.6 % of total Canadian pharmaceutical drug expenditure in 2007-2013, respectively. Future trend analysis suggests orphan drug expenditure will remain under 6 % of total expenditure in 2014-18. While the number of available orphan drugs and associated expenditure increased over time, access remains an issue, and from the perspectives of society and equity, overall spending on orphan drugs is lower relative to the number of patients affected with an orphan disease in Canada. The overall budget impact of orphan drugs is small and fairly stable relative to total pharmaceutical expenditure. Concerns that growth in orphan drug expenditure may lead to unsustainable drug expenditure do not appear to be justified.

77 FR 14598 - Proposed Information Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-12

... Respondent: 15 hours 12 minutes. Estimated Total Annual Burden Hours: 7,560,000. Title: Information Return of..., 35 minutes. Estimated Total Annual Burden Hours: 158,800. Title: Information Return for Real Estate... may not receive a Form 1099 and other information necessary to prepare their tax return in a timely...

33rd Annual Official Education Construction Report

ERIC Educational Resources Information Center

Agron, Joe

2007-01-01

Construction spending by education institutions topped $36 billion in 2006. While strong by historical standards, it represents the third consecutive year that total spending on construction dropped from the year before. According to the "American School & University" 33rd annual Official Education Construction Report, total spending on new,…

Ohio Department of Transportation State Infrastructure Bank Annual Financial Report : Federal Fiscal Year 2008

DOT National Transportation Integrated Search

2008-01-01

The Ohio Department of Transportation is pleased to present the Federal Fiscal Year (FFY) 2008 State Infrastructure Bank (SIB) Annual Financial Report. The portfolio of the FFY 2008 SIB had a total of five loans totaling $22.1 million. Since the begi...

75 FR 52934 - Notice of Submission for OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

.... OMB Control Number: 1840-0564. Agency Form Number(s): N/A. Frequency of Responses: Annually. Affected Public: Not-for-profit institutions. Total Estimated Number of Annual Responses: 500. Total Estimated... at http://www.reginfo.gov/public/do/PRAMain or from the Department's website at http://edicsweb.ed...

Socioeconomic Effects of Chronic Obstructive Pulmonary Disease from the Public Payer's Perspective in Poland.

PubMed

Wziątek-Nowak, Weronika; Gierczyński, Jakub; Dąbrowiecki, Piotr; Gałązka-Sobotka, Małgorzata; Fal, Andrzej M; Gryglewicz, Jerzy; Badyda, Artur J

2016-01-01

Chronic obstructive pulmonary disease (COPD) is currently the third most common cause of death worldwide and the total number of people affected reaches over 200 million. It is estimated that approximately 50 % of persons having COPD are not aware of it. In the EU, it is estimated that the total annual costs of COPD exceed €140 billion, and the expected increase in the number of cases and deaths due to COPD would further enhance economic and social costs of the disease. In this article we present the results of cost analysis of health care benefits associated with the treatment of COPD and with the disease-related incapacity for work. The analysis is based on the data of the National Health Fund and the Social Insurance Institutions, public payers of health benefits in Poland. The annual 2012 expenditures incurred for COPD treatment was €40 million, and the benefits associated with incapacity for work reached more than €55 million. The extent of these expenditures indicates that it is necessary to optimize the functioning system, including the allocation of resources for prevention, social awareness, and detection of COPD at early stages when treatment costs are relatively low.

Estimating nearshore coral reef-associated fisheries production from the main Hawaiian Islands.

PubMed

McCoy, Kaylyn S; Williams, Ivor D; Friedlander, Alan M; Ma, Hongguang; Teneva, Lida; Kittinger, John N

2018-01-01

Currently, information on nearshore reef-associated fisheries is frequently disparate or incomplete, creating a challenge for effective management. This study utilized an existing non-commercial fishery dataset from Hawai'i, covering the period 2004-13, to estimate a variety of fundamental fishery parameters, including participation, effort, gear use, and catch per unit effort. We then used those data to reconstruct total catches per island. Non-commercial fisheries in this case comprise recreational, subsistence, and cultural harvest, which may be exchanged, but are not sold. By combining those data with reported commercial catch data, we estimated annual catch of nearshore reef-associated fisheries in the main Hawaiian Islands over the study period to be 1,167,758 ± 43,059 kg year-1 (mean ± standard error). Average annual commercial reef fish catch over the same time period-184,911 kg year-1-was 16% of the total catch, but that proportion varied greatly among islands, ranging from 23% on O'ahu to 5% on Moloka'i. These results emphasize the importance of reef fishing in Hawai'i for reasons beyond commerce, such as food security and cultural practice, and highlight the large differences in fishing practices across the Hawaiian Islands.

The increasing financial impact of chronic kidney disease in australia.

PubMed

Tucker, Patrick S; Kingsley, Michael I; Morton, R Hugh; Scanlan, Aaron T; Dalbo, Vincent J

2014-01-01

The aim of this investigation was to determine and compare current and projected expenditure associated with chronic kidney disease (CKD), renal replacement therapy (RRT), and cardiovascular disease (CVD) in Australia. Data published by Australia and New Zealand Dialysis and Transplant Registry, Australian Institute of Health and Welfare, and World Bank were used to compare CKD-, RRT-, and CVD-related expenditure and prevalence rates. Prevalence and expenditure predictions were made using a linear regression model. Direct statistical comparisons of rates of annual increase utilised indicator variables in combined regressions. Statistical significance was set at P < 0.05. Dollar amounts were adjusted for inflation prior to analysis. Between 2012 and 2020, prevalence, per-patient expenditure, and total disease expenditure associated with CKD and RRT are estimated to increase significantly more rapidly than CVD. RRT prevalence is estimated to increase by 29%, compared to 7% in CVD. Average annual RRT per-patient expenditure is estimated to increase by 16%, compared to 8% in CVD. Total CKD- and RRT-related expenditure had been estimated to increase by 37%, compared to 14% in CVD. Per-patient, CKD produces a considerably greater financial impact on Australia's healthcare system, compared to CVD. Research focusing on novel preventative/therapeutic interventions is warranted.

Seat Capacity Selection for an Advanced Short-Haul Aircraft Design

NASA Technical Reports Server (NTRS)

Marien, Ty V.

2016-01-01

A study was performed to determine the target seat capacity for a proposed advanced short-haul aircraft concept projected to enter the fleet by 2030. This analysis projected the potential demand in the U.S. for a short-haul aircraft using a transportation theory approach, rather than selecting a target seat capacity based on recent industry trends or current market demand. A transportation systems model was used to create a point-to-point network of short-haul trips and then predict the number of annual origin-destination trips on this network. Aircraft of varying seat capacities were used to meet the demand on this network, assuming a single aircraft type for the entire short-haul fleet. For each aircraft size, the ticket revenue and operational costs were used to calculate a total market profitability metric for all feasible flights. The different aircraft sizes were compared, based on this market profitability metric and also the total number of annual round trips and markets served. Sensitivity studies were also performed to determine the effect of changing the aircraft cruise speed and maximum trip length. Using this analysis, the advanced short-haul aircraft design team was able to select a target seat capacity for their design.

24 CFR 883.604 - Maximum annual commitment and project account.

Code of Federal Regulations, 2011 CFR

2011-04-01

... annual commitment. The maximum annual contribution that may be contracted for in the ACC is the total of... annual commitment exceeds the amount actually paid out under the ACC each year. Payments will be made... specifically approved by the Secretary. (2) Whenever a HUD-approved estimate of required payments under the ACC...

24 CFR 883.604 - Maximum annual commitment and project account.

Code of Federal Regulations, 2010 CFR

2010-04-01

... annual commitment. The maximum annual contribution that may be contracted for in the ACC is the total of... annual commitment exceeds the amount actually paid out under the ACC each year. Payments will be made... specifically approved by the Secretary. (2) Whenever a HUD-approved estimate of required payments under the ACC...

49 CFR 219.800 - Annual reports.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 4 2012-10-01 2012-10-01 false Annual reports. 219.800 Section 219.800 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Annual Report § 219.800 Annual reports. (a) Each railroad that has a total of 400,000 or more...

2008 annual merit review

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

None, None

2009-01-18

The 2008 DOE Vehicle Technologies Program Annual Merit Review was held February 25-28, 2008 in Bethesda, Maryland. The review encompassed all of the work done by the Vehicle Technologies Program: a total of 280 individual activities were reviewed, by a total of just over 100 reviewers. A total of 1,908 individual review responses were received for the technical reviews, and an additional 29 individual review responses were received for the plenary session review.

Natural radionuclides in cigarette tobacco from Serbian market and effective dose estimate from smoke inhalation.

PubMed

Janković Mandić, Ljiljana; Đolić, Maja; Marković, Dragana; Todorović, Dragana; Onjia, Antonije; Dragović, Snežana

2016-01-01

The activity concentrations of natural radionuclides ((40)K, (210)Pb, (210)Po, (226)Ra and (228)Ra) in 17 most frequently used cigarette brands in Serbia and corresponding effective doses due to smoke inhalation are presented. The mean annual effective doses for (210)Pb and (210)Po were estimated to be 47.3 and 724 µSv y(-1) for (210)Pb and (210)Po, respectively. Serbia currently has the highest smoking rate in the world. The results of this study indicate the high contribution of the annual effective dose due to smoke inhalation to the total inhalation dose from natural radionuclides. The more effective implementation of actions for reducing smoking prevalence in Serbia is highly needed. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Economic burden of multimorbidity among older adults: impact on healthcare and societal costs.

PubMed

Picco, Louisa; Achilla, Evanthia; Abdin, Edimansyah; Chong, Siow Ann; Vaingankar, Janhavi Ajit; McCrone, Paul; Chua, Hong Choon; Heng, Derrick; Magadi, Harish; Ng, Li Ling; Prince, Martin; Subramaniam, Mythily

2016-05-10

Multimorbidity is not uncommon and the associated impact it places on healthcare utilisation and societal costs is of increased concern. The aim of the current study was to estimate the economic burden of multimorbidity among older adults in Singapore by investigating its association with the healthcare and societal resource use and cost. The Well-being of the Singapore Elderly (WiSE) study was a single phase, cross sectional survey among a nationally representative sample of Singapore residents (N = 2565) aged 60 years and above. Multimorbidity was defined in this study as having two or more chronic conditions, from a list of 10 conditions. Care was classified into healthcare which included direct medical care, intermediate and long-term care, indirect care, and social care, provided by paid caregivers and family members or friends. Costs were calculated from the societal perspective, including healthcare and social care costs, by multiplying each service unit with the relevant unit cost. Generalized linear models were used to investigate the relationship between total annual costs and various socio-demographic factors. The prevalence of multimorbidity was 51.5 %. Multimorbid respondents utilised more healthcare and social care resources than those with one or no chronic conditions. The total societal cost of multimorbidity equated to SGD$15,148 per person, annually, while for those with one or no chronic conditions the total annual societal costs per person were SGD$5,610 and SGD$2,806, respectively. Each additional chronic condition was associated with increased healthcare (SGD$2,265) and social care costs (SGD$3,177). Older age (i.e. 75-84 years old, and especially over 85 years), Indian ethnicity and being retired were significantly associated with higher total costs from the societal perspective, while older age (75 years and above) and 'Other' ethnicity were significantly associated with higher total healthcare costs. Multimorbidity was associated with substantially higher healthcare utilisation and social care costs among older adults in Singapore. With the prevalence of multimorbidity increasing, especially as the population ages, we need healthcare systems that are evolving to address the emerging challenges associated with multimorbidity and the respective healthcare and societal costs.

Solar Activity, Ultraviolet Radiation and Consequences in Birds in Mexico City, 2001- 2002

NASA Astrophysics Data System (ADS)

Valdes, M.; Velasco, V.

2008-12-01

Anomalous behavior in commercial and pet birds in Mexico City was reported during 2002 by veterinarians at the Universidad Nacional Autonoma de Mexico. This was attributed to variations in the surrounding luminosity. The solar components, direct, diffuse, global, ultraviolet band A and B, as well as some meteorological parameters, temperature, relative humidity, and precipitation, were then analyzed at the Solar Radiation Laboratory. Although the total annual radiance of the previously mentioned radiation components did not show important changes, ultraviolet Band-B solar radiation did vary significantly. During 2001 the total annual irradiance , 61.05 Hjcm² to 58.32 Hjcm², was 1.6 standard deviations lower than one year later, in 2002 and increased above the mean total annual irradiance, to 65.75 Hjcm², 2.04 standard deviations, giving a total of 3.73 standard deviations for 2001-2002. Since these differences did not show up clearly in the other solar radiation components, daily extra-atmosphere irradiance was analyzed and used to calculate the total annual extra-atmosphere irradiance, which showed a descent for 2001. Our conclusions imply that Ultraviolet Band-B solar radiation is representative of solar activity and has an important impact on commercial activity related with birds.

Measure for Measure: Urban Water and Energy

NASA Astrophysics Data System (ADS)

Chini, C.; Stillwell, A. S.

2017-12-01

Urban environments in the United States account for a majority of the population and, as such, require large volumes of treated drinking water supply and wastewater removal, both of which need energy. Despite the large share of water that urban environments demand, there is limited accounting of these water resources outside of the city itself. In this study, we provide and analyze a database of drinking water and wastewater utility flows and energy that comprise anthropogenic fluxes of water through the urban environment. We present statistical analyses of the database at an annual, spatial, and intra-annual scale. The average daily per person water flux is estimated as 563 liters of drinking water and 496 liters of wastewater, requiring 340 kWh/1000 m3 and 430 kWh/1000 m3 of energy, respectively, to treat these resources. This energy demand accounts for 1% of the total annual electricity production of the United States. Additionally, the water and embedded energy loss associated with non-revenue water (estimated at 15.8% annually) accounts for 9.1 km3of water and 3600 GWh, enough electricity to power 300,000 U.S. households annually. Through the analysis and benchmarking of the current state of urban water fluxes, we propose the term `blue city,' which promotes urban sustainability and conservation policy focusing on water resources. As the nation's water resources become scarcer and more unpredictable, it is essential to include water resources in urban sustainability planning and continue data collection of these vital resources.

Seasonal and intradiurnal variation of airborne pollen concentrations in Bodrum, SW Turkey.

PubMed

Tosunoglu, Aycan; Bicakci, Adem

2015-04-01

An aeropalynological study was performed in Bodrum, the famous tourism center in southwestern Turkey with a Hirst-type volumetric 7-day pollen and spore trap for 2 years (2007-2008). In Bodrum, 25,099 pollen grains as a mean value belonging to 41 taxa were recorded annually during the study period, and pollen grains from woody plant taxa had the largest atmospheric contribution of 86.99% and 24 taxa. However, 17 herbaceous plant taxa constituted 12.82% of the annual total pollen count, and 0.19% were unidentified. An average annual pollen index of 22.66% was recorded in March, despite differences from year to year. The highest pollen variability of 34 taxa was recorded in April and May. Predominant pollen types belonged to Cupressaceae/Taxaceae (42.73%), Quercus (15.95%), Pinus (9.78%), Olea europaea (9.04%), Poaceae (5.50%), Betula (1.82%), Pistacia (1.74%), Morus (1.72%), Urticaceae (1.46%), and Plantago (1.28%) and generated 91.03 of the annual total. In total, 32.59% of the mean annual total pollen index was recorded in the morning, and less pollen was recorded in the evening (18.71%). Maximum pollen concentration was recorded between 11:00 and 12:00 a.m.

An estimate of periodontal treatment needs in the U.S. based on epidemiologic data.

PubMed

Oliver, R C; Brown, L J; Löe, H

1989-07-01

It has generally been assumed, based on previous epidemiologic and utilization studies as well as the increasing elderly population, that there would be an increasing need for periodontal treatment. Analysis of a more recent household epidemiologic survey conducted in 1981 indicates that the need for treatment of periodontitis is less than previous estimates. These epidemiologic data have been translated into treatment needs through a series of conversion rules derived from previous studies and current patterns of treatment, and applied to the 1985 U.S. population. The total periodontal services needed for scaling, surgery, and prophylaxes would require 120 to 133 million hours and $5 to $6 billion annually if the total population were treated for periodontitis over a 4-year period. Only 11% of the total hours needed would be for scaling and surgery whereas 89% would be needed for prophylaxes. Expenditures for periodontal treatment total approximately 10% of the amount being spent on dental care in 1985. On the basis of these data, it seems unlikely that there will be a substantial increase in the need for periodontal treatment in a growing and aging U.S. population. These figures represent the upper limits of treatment need and are reduced by factoring in current utilization of periodontal treatment.

STAKEHOLDERS' PERCEPTIONS OF HEALTH TECHNOLOGY ASSESSMENT IN TURKEY.

PubMed

Ozturk, Kirstin; Karadayı, Bilgehan; Şener, Olgun

2018-01-01

In April of 2014, the Turkish Ministry of Health held the First Annual Health Technology Assessment (HTA) Meeting in Antalya. The objectives were to understand the perceptions of stakeholders regarding the current status of HTA and document their recommendations and strategies for promoting systematic use of HTA in Turkey. The study was conducted using a qualitative written survey assessing current compliance with the fifteen HTA principles suggested by Drummond et al. (Key principles for the improved conduct of health technology assessments for resource allocation decision. Int J Technol Assess Health Care. 2008;24:244-258) and a qualitative method referred to as the Collective Intelligence Platform®. A total of 216 stakeholders representing academic, public, and the private health sector attended the annual meeting; 178 completed the survey and 183 participated in the Platform. Quantitative Results: Survey participants reported that, although Turkey does not currently fully comply with any of the fifteen HTA principles, there is some compliance with all of them. The overall average score for all fifteen principles was 3.04. Quantitivate Results: Participants recommended a more transparent, independent, and evidence-based policy decision-making system through better coordination of HTA activities, data aggregation, capacity development, and a national HTA core model and framework. Platform participants described the current HTA environment as disjointed and lacking in resources and support from policy-making leaders. Despite the persisting challenges, awareness of the strengths and weaknesses of the current system combined with increasing interaction among Turkish stakeholders and the international HTA community can meaningfully contribute to the continued development and promotion of HTA in Turkey.

Age structure and mortality of walleyes in Kansas reservoirs: Use of mortality caps to establish realistic management objectives

USGS Publications Warehouse

Quist, M.C.; Stephen, J.L.; Guy, C.S.; Schultz, R.D.

2004-01-01

Age structure, total annual mortality, and mortality caps (maximum mortality thresholds established by managers) were investigated for walleye Sander vitreus (formerly Stizostedion vitreum) populations sampled from eight Kansas reservoirs during 1991-1999. We assessed age structure by examining the relative frequency of different ages in the population; total annual mortality of age-2 and older walleyes was estimated by use of a weighted catch curve. To evaluate the utility of mortality caps, we modeled threshold values of mortality by varying growth rates and management objectives. Estimated mortality thresholds were then compared with observed growth and mortality rates. The maximum age of walleyes varied from 5 to 11 years across reservoirs. Age structure was dominated (???72%) by walleyes age 3 and younger in all reservoirs, corresponding to ages that were not yet vulnerable to harvest. Total annual mortality rates varied from 40.7% to 59.5% across reservoirs and averaged 51.1% overall (SE = 2.3). Analysis of mortality caps indicated that a management objective of 500 mm for the mean length of walleyes harvested by anglers was realistic for all reservoirs with a 457-mm minimum length limit but not for those with a 381-mm minimum length limit. For a 500-mm mean length objective to be realized for reservoirs with a 381-mm length limit, managers must either reduce mortality rates (e.g., through restrictive harvest regulations) or increase growth of walleyes. When the assumed objective was to maintain the mean length of harvested walleyes at current levels, the observed annual mortality rates were below the mortality cap for all reservoirs except one. Mortality caps also provided insight on management objectives expressed in terms of proportional stock density (PSD). Results indicated that a PSD objective of 20-40 was realistic for most reservoirs. This study provides important walleye mortality information that can be used for monitoring or for inclusion into population models; these results can also be combined with those of other studies to investigate large-scale differences in walleye mortality. Our analysis illustrates the utility of mortality caps for monitoring walleye populations and for establishing realistic management goals.

Association of stressful life events with accelerated bone loss in older men: the Osteoporotic Fractures in Men (MrOS) Study

PubMed Central

Fink, Howard A.; Kuskowski, Michael A.; Cauley, Jane A.; Taylor, Brent C.; Schousboe, John T.; Cawthon, Peggy M.; Ensrud, Kristine E.

2015-01-01

Purpose/Introduction Prior studies suggest that stressful life events may increase adverse health outcomes, including falls and possibly fractures. The current study builds on these findings and examines whether stressful life events are associated with increased bone loss. Methods 4388 men aged ≥65 years in the Osteoporotic Fractures in Men study completed total hip bone mineral density (BMD) measures at baseline and visit 2, approximately 4.6 years later, and self-reported stressful life events data mid-way between baseline and visit 2, and at visit 2. We used linear regression to model the association of stressful life events with concurrent annualized total hip BMD loss, and log binomial regression or Poisson regression to model risk of concurrent accelerated BMD loss (>1 SD more than mean annualized change). Results 75.3% of men reported ≥1 type of stressful life event, including 43.3% with ≥2 types of stressful life events. Mean annualized BMD loss was −0.36% (SD 0.88) and 13.9% of men were categorized with accelerated BMD loss (about 5.7% or more total loss). Rate of annualized BMD loss increased with the number of types of stressful life events after adjustment for age (p<0.001), but not after multivariable adjustment (p=0.07). Multivariable-adjusted risk of accelerated BMD loss increased with the number of types of stressful life events (RR, 1.10 [95% CI, 1.04–1.16]) per increase of 1 type of stressful life event). Fracture risk was not significantly different between stressful life event-accelerated bone loss subgroups (p=0.08). Conclusions In these older men, stressful life events were associated with a small, dose-related increase in risk of concurrent accelerated hip bone loss. Low frequency of fractures limited assessment of whether rapid bone loss mediates any association of stressful life events with incident fractures. Future studies are needed to confirm these findings and to investigate the mechanism that may underlie this association. PMID:25169421

[Current situation and developmental trend of anthelmintics by bibliometrics].

PubMed

Zheng, Qi; Chen, Ying; Tian, Li-Guang; Zhou, Xiao-Nong

2009-08-01

To understand the current situation and developmental trend of anthelmintics in English journals through a bibliometric analysis. The literature was searched in Pubmed Database (1997-2007) using the following key words: "drug therapy", "anthelmintics", "humans", "pharmacology", and "parasitology". Access Database was constructed by relative literature through proper data admission method. The relative articles in the database were sorted by different categories, such as "research categories", "publishing year" and "research drug". Data were analyzed by using SPSS software. The annual number of anthelmintics articles increased steadily from year 1997 to 2007. The average number of annual increase was about 6. The major research category was applied research. The major diseases were schistosomiasis, filariasis, ascariasis, echinococcosis and hookworm disease. The number of articles on schistosomiasis was higher than that of other four diseases (P<0.05). The major drugs involved were albendazole, praziquantel, mebendazole, ivermectin and diethylcarbamazine. Articles on the anthelmintics were published mostly in medical journals. From the total database, articles published at the top five journals occupied 5.52%, 4.39%, 3.76%, 3.26%, and 3.26%, respectively. Increasingly importance has been attached to anthelmintics in the last decade. Meanwhile, the researchers focused on a few anthelmintics, and it is inevitable to develop new drugs.

77 FR 62396 - Annual Company-Run Stress Test Requirements for Banking Organizations With Total Consolidated...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-12

... in the stress test, for each quarter of the planning horizon, aggregate losses, pre-provision net... Company-Run Stress Test Requirements for Banking Organizations With Total Consolidated Assets Over $10... regulatory agency to conduct stress tests on an annual basis. The Board is adopting this final rule to...

75 FR 382 - Proposed Collection; Comment Request; Process Evaluation of the NIH's Roadmap Interdisciplinary...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-05

... submitted to the Office of Management and Budget (OMB) for review and approval. Proposed Collection: The... Investigators, 1; Trainees, 1; Average burden hours per response: 30 minutes; and Estimated total annual burden hours requested: 250 hours. The total annualized cost to respondents (calculated as the number of...

78 FR 76312 - Information Collection Approved by the Office of Management and Budget (OMB)

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2013-12-17

...). Total Annual Burden: 7,924 hours for in-house work for large incumbent local exchange carriers. Total.... OMB Approval Date: July 31, 2013. OMB Expiration Date: July 31, 2016. Title: Study Area Boundary Data...,443 responses. Estimated Time per Response: 26 hours. Frequency of Response: Annually if changes to...

78 FR 26088 - Agency Information Collection Activities: Submission to OMB for a New Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-03

... form relates to a budget or estimate of the legal fees, costs, and expenses that outside counsel would... average number of respondents, burden, and total annual cost appear below. The estimated number of... and the representations and certifications form. The NCUA estimated the total annual cost by...

2012 DOE Vehicle Technologies Program Annual Merit Review

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

None

The 2012 DOE Hydrogen Program and Vehicle Technologies Program Annual Merit Review and Peer Evaluation Meeting was held May 14-18, 2012 in Crystal City, Virginia. The review encompassed all of the work done by the Hydrogen Program and the Vehicle Technologies Program: a total of 309 individual activities were reviewed for Vehicle Technologies, by a total of 189 reviewers. A total of 1,473 individual review responses were received for the technical reviews.

Relative importance of precipitation frequency and intensity in inter-annual variation of precipitation in Singapore during 1980-2013

NASA Astrophysics Data System (ADS)

Li, Xin; Babovic, Vladan

2017-04-01

Observed studies on inter-annual variation of precipitation provide insight into the response of precipitation to anthropogenic climate change and natural climate variability. Inter-annual variation of precipitation results from the concurrent variations of precipitation frequency and intensity, understanding of the relative importance of frequency and intensity in the variability of precipitation can help fathom its changing properties. Investigation of the long-term changes of precipitation schemes has been extensively carried out in many regions across the world, however, detailed studies of the relative importance of precipitation frequency and intensity in inter-annual variation of precipitation are still limited, especially in the tropics. Therefore, this study presents a comprehensive framework to investigate the inter-annual variation of precipitation and the dominance of precipitation frequency and intensity in a tropical urban city-state, Singapore, based on long-term (1980-2013) daily precipitation series from 22 rain gauges. First, an iterative Mann-Kendall trend test method is applied to detect long-term trends in precipitation total, frequency and intensity at both annual and seasonal time scales. Then, the relative importance of precipitation frequency and intensity in inducing the inter-annual variation of wet-day precipitation total is analyzed using a dominance analysis method based on linear regression. The results show statistically significant upward trends in wet-day precipitation total, frequency and intensity at annual time scale, however, these trends are not evident during the monsoon seasons. The inter-annual variation of wet-day precipitation is mainly dominated by precipitation intensity for most of the stations at annual time scale and during the Northeast monsoon season. However, during the Southwest monsoon season, the inter-annual variation of wet-day precipitation is mainly dominated by precipitation frequency. These results have implications for water resources management practices in Singapore.

77 FR 39678 - Census Bureau

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-05

... Current Population Survey Annual Social and Economic Supplement Content Test AGENCY: U.S. Census Bureau...) and instructions should be directed to Brian O'Hara, Social and Economic Housing Statistics Division... INFORMATION: I. Abstract The Current Population Survey (CPS) Annual Social and Economic [[Page 39679...

Local Geomorphology as a Determinant of Macrofaunal Production in a Mountain Stream.

PubMed

Huryn, Alexander D; Wallace, J Bruce

1987-12-01

By comparing distributions of functional group production among different habitats in an Appalachian mountain stream, the influence of site-specific geomorphology upon the overall functional group composition of the animal community was demonstrated. By replicated monthly sampling, substrate particle size distributions, current velocity, standing crops of benthic organic matter, and production of macrofauna were measured in each of three principal habitats: bedrock-outcrop, riffle, and pool. Samples were taken at randomly assigned locations and the relative number of samples taken from each habitat was assumed to be proportional to the area of the habitat within the stream. These proportions were used to weight production measured in each habitat and the resulting values were summed to obtain production per unit area of average stream bed. The bedrock-outcrop habitat was characterized by high material entertainment and export as indicated by significantly higher current velocities and lower standing crops of detritus compared to the riffle and pool habitats. Pools were sites of low entertainment and high retention of organic matter as demonstrated by significantly lower current velocities and higher accumulations of detritus than other habitats. The riffle habitat was intermediate to the bedrock-outcrop and pool habitats in all parameters measured. Annual production of collector-filterers was highest in the bedrock-outcrop (ash-free dry mass 1920 mg/m 2 ), followed by riffle (278 mg/m 2 ) and pool (32 mg/m 2 ). Although constituting only 19% of the stream area, the bedrock-outcrop habitat contributed 68% of the habitat-weighted collector-filterer production. Annual production of shredders was highest in pools (2616 mg/m 2 ), followed by riffles (1657 mg/m 2 ) and bedrock-outcrop (579 mg/m 2 ). The pool habitat, constituting 23% of stream area, contributed 36% of shredder production. Annual production of scrapers was highest in the riffle habitat (905 mg/m 2 ), followed by bedrock-outcrop (517-mg/m 2 ) and pool (238 mg/m 2 ). Riffles constituted 58% of total stream area and were the source of 77% of the habitat-weighted scraper production. Annual production of engulfing predators was greatest in the pool habitat (2313 mg/m 2 ), followed by riffles (1765 mg/m 2 ) and bedrock-outcrop (687 mg/m 2 ). The relatively lower production of engulfing predators in the bedrock-outcrop habitat reflects a functional shift in mode of resource acquisition by predators, with predaceous collector-filterers (Arcto-psychinae: Trichoptera) predominating in the bedrock-outcrop. Collector-gatherer production was more evenly distributed, with the bedrock-outcrop, riffle, and pool habitats each contributing 14, 54, and 33% to the habitat-weighted production, respectively. Unlike all other functional groups, this distribution was not significantly different from the distribution of stream area among habitats and reflected lack of dependence on specific physical attributes of the local environment for access to food by members of this functional group. Local geomorphology determined the diversity and spatial distribution of bedrock-outcrops, riffles, and pools in the study stream. In turn, the functional structure of the macrofauna, when viewed holistically, was the result of the integration of the relative contributions of each habitat type of total stream area. Total habitat-weighted annual production in the study stream was estimated at 5093 and 1921 mg/m 2 for primary and secondary consumers, respectively. The distribution of habitat-weighted production among functional groups was: collector-gatherers (39%), followed by shredders (225), engulfing predators (22%), scrapers (13%), and collector-filterers (8%). This functional structure agrees favorably with current conceptual models of head water streams draining forested catchments. © 1987 by the Ecological Society of America.

USLE-Based Assessment of Soil Erosion by Water in the Nyabarongo River Catchment, Rwanda

PubMed Central

Karamage, Fidele; Zhang, Chi; Kayiranga, Alphonse; Shao, Hua; Fang, Xia; Ndayisaba, Felix; Nahayo, Lamek; Mupenzi, Christophe; Tian, Guangjin

2016-01-01

Soil erosion has become a serious problem in recent decades due to unhalted trends of unsustainable land use practices. Assessment of soil erosion is a prominent tool in planning and conservation of soil and water resource ecosystems. The Universal Soil Loss Equation (USLE) was applied to Nyabarongo River Catchment that drains about 8413.75 km2 (33%) of the total Rwanda coverage and a small part of the Southern Uganda (about 64.50 km2) using Geographic Information Systems (GIS) and Remote Sensing technologies. The estimated total annual actual soil loss was approximately estimated at 409 million tons with a mean erosion rate of 490 t·ha−1·y−1 (i.e., 32.67 mm·y−1). The cropland that occupied 74.85% of the total catchment presented a mean erosion rate of 618 t·ha−1·y−1 (i.e., 41.20 mm·y−1) and was responsible for 95.8% of total annual soil loss. Emergency soil erosion control is required with a priority accorded to cropland area of 173,244 ha, which is extremely exposed to actual soil erosion rate of 2222 t·ha−1·y−1 (i.e., 148.13 mm·y−1) and contributed to 96.2% of the total extreme soil loss in the catchment. According to this study, terracing cultivation method could reduce the current erosion rate in cropland areas by about 78%. Therefore, the present study suggests the catchment management by constructing check dams, terracing, agroforestry and reforestation of highly exposed areas as suitable measures for erosion and water pollution control within the Nyabarongo River Catchment and in other regions facing the same problems. PMID:27556474

USLE-Based Assessment of Soil Erosion by Water in the Nyabarongo River Catchment, Rwanda.

PubMed

Karamage, Fidele; Zhang, Chi; Kayiranga, Alphonse; Shao, Hua; Fang, Xia; Ndayisaba, Felix; Nahayo, Lamek; Mupenzi, Christophe; Tian, Guangjin

2016-08-20

Soil erosion has become a serious problem in recent decades due to unhalted trends of unsustainable land use practices. Assessment of soil erosion is a prominent tool in planning and conservation of soil and water resource ecosystems. The Universal Soil Loss Equation (USLE) was applied to Nyabarongo River Catchment that drains about 8413.75 km² (33%) of the total Rwanda coverage and a small part of the Southern Uganda (about 64.50 km²) using Geographic Information Systems (GIS) and Remote Sensing technologies. The estimated total annual actual soil loss was approximately estimated at 409 million tons with a mean erosion rate of 490 t·ha(-1)·y(-1) (i.e., 32.67 mm·y(-1)). The cropland that occupied 74.85% of the total catchment presented a mean erosion rate of 618 t·ha(-1)·y(-1) (i.e., 41.20 mm·y(-1)) and was responsible for 95.8% of total annual soil loss. Emergency soil erosion control is required with a priority accorded to cropland area of 173,244 ha, which is extremely exposed to actual soil erosion rate of 2222 t·ha(-1)·y(-1) (i.e., 148.13 mm·y(-1)) and contributed to 96.2% of the total extreme soil loss in the catchment. According to this study, terracing cultivation method could reduce the current erosion rate in cropland areas by about 78%. Therefore, the present study suggests the catchment management by constructing check dams, terracing, agroforestry and reforestation of highly exposed areas as suitable measures for erosion and water pollution control within the Nyabarongo River Catchment and in other regions facing the same problems.

41 CFR 102-192.90 - What must we include in our annual mail management report to GSA?

Code of Federal Regulations, 2011 CFR

2011-01-01

... our annual mail management report to GSA? 102-192.90 Section 102-192.90 Public Contracts and Property... annual mail management report to GSA? Your annual report must— (a) Identify your agency mail manager; in... person serving in this role. (b) State the total amounts paid to each service provider during the...

2016 Annual Technology Baseline (ATB) - Webinar Presentation

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

Cole, Wesley; Kurup, Parthiv; Hand, Maureen

2016-09-13

This deck was presented for the 2016 Annual Technology Baseline Webinar. The presentation describes the Annual Technology Baseline, which is a compilation of current and future cost and performance data for electricity generation technologies.

77 FR 71601 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-03

... in certain circumstances, e.g., recall of the device, the occurrence of unanticipated adverse effects... Annual Reporting Burden \\1\\ Number of Average Activity/21 CFR Section Number of responses per Total annual burden per Total hours respondents respondent responses response Waivers--812.10 1 1 1 1 1 IDE...

29 CFR 779.253 - What is included in computing the total annual inflow volume.

Code of Federal Regulations, 2010 CFR

2010-07-01

... FAIR LABOR STANDARDS ACT AS APPLIED TO RETAILERS OF GOODS OR SERVICES Employment to Which the Act May... taxes and other charges which the enterprise must pay for such goods. Generally, all charges will be... computing the total annual inflow volume. The goods which the establishment purchases or receives for resale...

12 CFR Appendix K to Part 226 - Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions

Code of Federal Regulations, 2011 CFR

2011-01-01

... Reverse Mortgage Transactions K Appendix K to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. K Appendix K to Part 226—Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions (a...

12 CFR Appendix K to Part 226 - Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions

Code of Federal Regulations, 2012 CFR

2012-01-01

... Reverse Mortgage Transactions K Appendix K to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. K Appendix K to Part 226—Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions (a...

12 CFR Appendix K to Part 226 - Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions

Code of Federal Regulations, 2010 CFR

2010-01-01

... Reverse Mortgage Transactions K Appendix K to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. K Appendix K to Part 226—Total Annual Loan Cost Rate Computations for Reverse Mortgage Transactions (a...

Nutrient loading to Lewisville Lake, north-central Texas, 1984-87

USGS Publications Warehouse

Gain, W.S.; Baldys, Stanley

1995-01-01

The estimated long-term (1974-89 water years) average annual total nitrogen load (excluding loads from sewage-treatment plants in ungaged areas) is 11,800 pounds per day. The estimated long-term (1974 89 water years) average annual total phosphorus load (excluding loads from sewage-treatment plants in ungaged areas) is 1,100 pounds per day.

78 FR 28596 - Information Collection Being Reviewed by the Federal Communications Commission Under Delegated...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-15

... amended. Total Annual Burden: 1,000 hours. Total Annual Cost: $180,000. Privacy Impact Assessment: N/A... market must: Indicate on the long-form application (FCC Form 601) that it intends to serve a qualifying tribal land within that market; Within 180 days after the filing deadline for the long- form application...

75 FR 3731 - Notice of Public Information Collection(s) Being Submitted for Review and Approval to the Office...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-22

..., 332, 336, and 337. Total Annual Burden: 32,925 hours. Total Annual Cost: $1,625,000. Privacy Act... MHz band, and more are expected to commence operation soon. Interference from wireless microphones... Commission provides for these early clearing and consumer disclosure measures to commence as early as...

76 FR 16625 - Notice of Public Information Collection Being Reviewed by the Federal Communications Commission...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-24

... 1934, as amended. Total Annual Burden: 12,146 hours. Total Annual Cost: 24,000. Privacy Act Impact... required to carry the signal originating as analog after commencing carriage of digital signals on June 8... signals that originate as analog signals for carriage commencing on December 8, 2005 and ending on...

Seasonal and interannual variations in total ozone revealed by the Nimbus-4 backscattered ultraviolet experiment

NASA Technical Reports Server (NTRS)

Hilsenrath, E.; Heath, D. F.; Schlesinger, B. M.

1978-01-01

The first two years of Backscattered Ultraviolet (BUV) ozone data from the Nimbus-4 spacecraft were reprocessed. The seasonal variations of total ozone for the period April 1970 to April 1972 are described using daily zonal means to 10 deg latitude zones and a time-latitude cross section. In addition, the BUV data are compared with analyzed Dobson data and with IRIS data also obtained from the Nimbus-4 spacecraft. A harmonic analysis was performed on the daily zonal means. Amplitudes, days of peaks, and percentage of variance were computed for annual and semi-annual waves and for higher harmonics of an annual period for the two years. Asymmetries are found in the annual waves in the two hemispheres, with a subtle interannual difference which may be due to changes in the general circulation. A significant semi-annual component is detected in the tropics for the first year, which appears to result from influences of the annual waves in the two hemispheres.

Seasonality in malaria transmission: implications for case-management with long-acting artemisinin combination therapy in sub-Saharan Africa.

PubMed

Cairns, Matthew E; Walker, Patrick G T; Okell, Lucy C; Griffin, Jamie T; Garske, Tini; Asante, Kwaku Poku; Owusu-Agyei, Seth; Diallo, Diadier; Dicko, Alassane; Cisse, Badara; Greenwood, Brian M; Chandramohan, Daniel; Ghani, Azra C; Milligan, Paul J

2015-08-19

Long-acting artemisinin-based combination therapy (LACT) offers the potential to prevent recurrent malaria attacks in highly exposed children. However, it is not clear where this advantage will be most important, and deployment of these drugs is not rationalized on this basis. To understand where post-treatment prophylaxis would be most beneficial, the relationship between seasonality, transmission intensity and the interval between malaria episodes was explored using data from six cohort studies in West Africa and an individual-based malaria transmission model. The total number of recurrent malaria cases per 1000 child-years at risk, and the fraction of the total annual burden that this represents were estimated for sub-Saharan Africa. In settings where prevalence is less than 10 %, repeat malaria episodes constitute a small fraction of the total burden, and few repeat episodes occur within the window of protection provided by currently available drugs. However, in higher transmission settings, and particularly in high transmission settings with highly seasonal transmission, repeat malaria becomes increasingly important, with up to 20 % of the total clinical burden in children estimated to be due to repeat episodes within 4 weeks of a prior attack. At a given level of transmission intensity and annual incidence, the concentration of repeat malaria episodes in time, and consequently the protection from LACT is highest in the most seasonal areas. As a result, the degree of seasonality, in addition to the overall intensity of transmission, should be considered by policy makers when deciding between ACT that differ in their duration of post-treatment prophylaxis.

Tropical forest extent and changes

NASA Astrophysics Data System (ADS)

Gwynne, M. D.; Torres, Cristina Boelcke; Croze, H. J.

A UNEP/FAO assessment of the extent and rate of change of the tropical forest resources of 76 countries found that during the period 1976-1980 the amount of closed forest removed annually in the Americas, Asia and Africa was 4.1 million hectares, 1.8 million hectares and 1.3 million hectares respectively. Projections for 1981-1985 suggest that closed forest annual removal will remain at these same levels in Asia and Africa but will rise to 4.3 million hectares in the Americas thus giving a world removal total of 7.5 million hectares per year. No reliable information is available on the open forest areas cleared during 1975-1980 but annual open forest clearance during 1981-1985 is expected to be 2.3 million hectares for Africa, 1.2 million hectares for the Americas, and 0.19 million hectares for Asia. Shifting cultivation is the greatest single cause of deforestation. Removal of wood for energy purposes is a significant cause of deforestation in the drier tropics. If current removal rates are maintained, some 88 percent of the present world cover of tropical broad leaved forests will still remain at the end of the century.

The Wonders of Physics Outreach Program

NASA Astrophysics Data System (ADS)

Sprott, J. C.; Mirus, K. A.; Newman, D. E.; Watts, C.; Feeley, R. E.; Fernandez, E.; Fontana, P. W.; Krajewski, T.; Lovell, T. W.; Oliva, S.; Stoneking, M. R.; Thomas, M. A.; Jaimison, W.; Maas, K.; Milbrandt, R.; Mullman, K.; Narf, S.; Nesnidal, R.; Nonn, P.

1996-11-01

One important step toward public education about fusion energy is to first elevate the public's appreciation of science in general. Toward this end, the Wonders of Physics program was started at the University of Wisconsin-Madison in 1984 as a public lecture and demonstration series in an attempt to stem a growing tide of science illiteracy and to bolster the public's perception of the scientific enterprise. Since that time, it has grown into a public outreach endeavor which consists of a traveling demonstration show, educational pamphlets, videos, software, a website (http://sprott.physics.wisc.edu/wop.htm), and the annual public lecture demonstration series including tours highlighting the Madison Symmetric Torus and departmental facilities. The presentation has been made about 400 times to a total audience in excess of 50,000. Sample educational materials and Lecture Kits will be available at the poster session. Currently at Oak Ridge National Laboratories. Currently at Max Planck Institut fuer Plasmaphysik. *Currently at Johnson Controls.

Concentrations, loads, and yields of nutrients and suspended sediment in the South Pacolet, North Pacolet, and Pacolet Rivers, northern South Carolina and southwestern North Carolina, October 2005 to September 2009

USGS Publications Warehouse

Journey, Celeste A.; Caldwell, Andral W.; Feaster, Toby D.; Petkewich, Mattew D.; Bradley, Paul M.

2011-01-01

The U.S. Geological Survey, in cooperation with Spartanburg Water, evaluated the concentrations, loads, and yields of suspended sediment, dissolved ammonia, dissolved nitrate plus nitrite, total organic nitrogen, total nitrogen, dissolved orthophosphate, dissolved phosphorus, and total phosphorus at sites in the South Pacolet, North Pacolet, and Pacolet Rivers in northern South Carolina and southwestern North Carolina from October 1, 2005, to September 30, 2009 (water years 2006 to 2009). Nutrient and sediment loads and yields also were computed for the intervening subbasin of the Pacolet River not represented by the South and North Pacolet River Basins. Except for a few outliers, the majority of the measurements of total nitrogen concentrations were well below the U.S. Environmental Protection Agency recommended guideline of 0.69 milligram per liter for streams and rivers in the nutrient ecoregion IX, which includes the study area within the Pacolet River Basin. Dissolved orthophosphate, dissolved phosphorus, and total phosphorus concentrations were significantly lower at the South Pacolet River site compared to the North Pacolet and Pacolet River sites. About 90 percent of the total phosphorus concentrations at the South Pacolet River site were below the U.S. Environmental Protection Agency recommended guideline of 0.37 milligram per liter, and more than 75 percent of the total phosphorus concentrations at the North Pacolet and Pacolet River sites were above that guideline. At all sites, minimum annual nutrient loads for the estimation period were observed during water year 2008 when severe drought conditions were present. An estimated mean annual total nitrogen load of 37,770 kilograms per year and yield of 2.63 kilograms per hectare per year were determined for the South Pacolet River site for the estimation period. The North Pacolet River site had a mean annual total nitrogen load of 65,890 kilograms per year and yield of 2.19 kilograms per hectare per year. The Pacolet River had a mean annual total nitrogen load of 99,780 kilograms per year and yield of 1.82 kilograms per hectare per year. Mean annual total phosphorus loads of 2,576; 9,404; and 11,710 kilograms per year and yields of 0.180, 0.313, and 0.213 kilograms per hectare per year were estimated at the South Pacolet, North Pacolet, and Pacolet River sites, respectively. Annually, the intervening subbasin of the Pacolet River contributed negligible amounts of total nitrogen and total phosphorus loads, and large losses of dissolved nitrate plus nitrite and orthophosphate loads were determined for the subbasin. Biological (algal) uptake in the two reservoirs in this intervening area was considered the likely explanation for the loss of these constituents. Estimated mean annual suspended-sediment loads were 21,190,000; 9,895,000; and 6,547,000 kilograms per year at the South Pacolet, North Pacolet, and Pacolet River sites, respectively. In the intervening Pacolet River subbasin, computed annual suspended-sediment loads were consistently negative, indicating large percentage losses in annual suspended-sediment load. Sedimentation processes in the two reservoirs are the most likely explanations for these apparent losses. At all sites, the winter season tended to have the highest estimated seasonal dissolved orthophosphate and dissolved nitrate plus nitrite fluxes, and the summer and fall seasons tended to have the lowest fluxes. The reverse pattern, however, was observed in the intervening drainage area in the Pacolet River where the lowest fluxes of dissolved orthophosphate and nitrate plus nitrite occurred during the winter and spring seasons and the highest occurred during the summer and fall seasons. Synoptic samples were collected during a high-flow event in August 2009 at eight sites that represented shoreline and minor tributary drainages. The South Pacolet River site was identified as contributing greater than 80 percent of the cumulative nutrient and sediment l

Groundwater balance in the Khor Arbaat basin, Red Sea State, eastern Sudan

NASA Astrophysics Data System (ADS)

Elsheikh, Abdalla E. M.; Zeielabdein, Khalid A. Elsayed; Babikir, Ibrahim A. A.

2009-12-01

The Khor Arbaat basin is the main source of potable water supply for the more than 750,000 inhabitants of Port Sudan, eastern Sudan. The variation in hydraulic conductivity and storage capacity is due to the heterogeneity of the sediments, which range from clay and silt to gravely sand and boulders. The water table rises during the summer and winter rainy seasons; it reaches its lowest level in the dry season. The storage capacity of the Khor Arbaat aquifer is estimated to be 21.75 × 106 m3. The annual recharge through the infiltration of flood water is about 1.93 × 106 m3. The groundwater recharge, calculated as underground inflow at the ‘upper gate’, is 1.33 × 105 m3/year. The total annual groundwater recharge is 2.06 × 106 m3. The annual discharge through underground outflow at the ‘lower gate’ (through which groundwater flows onto the coastal plain) is 3.29 × 105 m3/year. Groundwater discharge due to pumping from Khor Arbaat basin is 4.38 × 106 m3/year on average. The total annual groundwater discharge is about 4.7 × 106 m3. A deficit of 2.6 × 106 m3/year is calculated. Although the total annual discharge is twice the estimated annual recharge, additional groundwater flow from the fractured basement probably balances the annual groundwater budget since no decline is observed in the piezometric levels.

State-level medical and absenteeism cost of asthma in the United States.

PubMed

Nurmagambetov, Tursynbek; Khavjou, Olga; Murphy, Louise; Orenstein, Diane

2017-05-01

For medically treated asthma, we estimated prevalence, medical and absenteeism costs, and projected medical costs from 2015 to 2020 for the entire population and separately for children in the 50 US states and District of Columbia (DC) using the most recently available data. We used multiple data sources, including the Medical Expenditure Panel Survey, U.S. Census Bureau, Kaiser Family Foundation, Medical Statistical Information System, and Current Population Survey. We used a two-part regression model to estimate annual medical costs of asthma and a negative binomial model to estimate annual school and work days missed due to asthma. Per capita medical costs of asthma ranged from $1,860 (Mississippi) to $2,514 (Michigan). Total medical costs of asthma ranged from $60.7 million (Wyoming) to $3.4 billion (California). Medicaid costs ranged from $4.1 million (Wyoming) to $566.8 million (California), Medicare from $5.9 million (DC) to $446.6 million (California), and costs paid by private insurers ranged from $27.2 million (DC) to $1.4 billion (California). Total annual school and work days lost due to asthma ranged from 22.4 thousand (Wyoming) to 1.5 million days (California) and absenteeism costs ranged from $4.4 million (Wyoming) to $345 million (California). Projected increase in medical costs from 2015 to 2020 ranged from 9% (DC) to 34% (Arizona). Medical and absenteeism costs of asthma represent a significant economic burden for states and these costs are expected to rise. Our study results emphasize the urgency for strategies to strengthen state level efforts to prevent and control asthma attacks.

78 FR 16263 - Agency Information Collection Activities; Proposed Information Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-14

... collection titled, ``Annual Stress Test Reporting Template and Documentation for Covered Banks with [email protected] . Include ``Annual Stress Test Reporting Template and Documentation for Covered Banks with...: Annual Stress Test Reporting Template and Documentation for Covered Banks With Total Consolidated Assets...

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Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-24

... information collection titled, ``Annual Stress Test Reporting Template and Documentation for Covered Banks.... Email: [email protected] . Include ``Annual Stress Test Reporting Template and Documentation'' on the... information collection: Annual Stress Test Reporting Template and Documentation for Covered Banks With Total...

Annual and Seasonal Global Variation in Total Ozone and Layer-Mean Ozone, 1958-1987 (1991)

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

Angell, J. K.; Korshover, J.; Planet, W. G.

For 1958 through 1987, this data base presents total ozone variations and layer mean ozone variations expressed as percent deviations from the 1958 to 1977 mean. The total ozone variations were derived from mean monthly ozone values published in Ozone Data for the World by the Atmospheric Environment Service in cooperation with the World Meteorological Organization. The layer mean ozone variations are derived from ozonesonde and Umkehr observations. The data records include year, seasonal and annual total ozone variations, and seasonal and annual layer mean ozone variations. The total ozone data are for four regions (Soviet Union, Europe, North America,more » and Asia); five climatic zones (north and south polar, north and south temperate, and tropical); both hemispheres; and the world. Layer mean ozone data are for four climatic zones (north and south temperate and north and south polar) and for the stratosphere, troposphere, and tropopause layers. The data are in two files [seasonal and year-average total ozone (13.4 kB) and layer mean ozone variations (24.2 kB)].« less

Health plan utilization and costs of specialty drugs within 4 chronic conditions.

PubMed

Gleason, Patrick P; Alexander, G Caleb; Starner, Catherine I; Ritter, Stephen T; Van Houten, Holly K; Gunderson, Brent W; Shah, Nilay D

2013-09-01

Drugs are most typically defined as specialty because they are expensive; however, other criteria used to define a drug as specialty include biologic drugs, the need to inject or infuse the drug, the requirement for special handling, or drug availability only via a limited distribution network. Specialty drugs play an increasingly important role in the treatment of chronic conditions such as multiple sclerosis (MS), rheumatoid arthritis (RA), psoriasis, and inflammatory bowel disease (IBD), yet little is known regarding the comprehensive medical and pharmacy benefit utilization and cost trends for these conditions. To describe MS, RA, psoriasis, and IBD trends for condition prevalence, treatment with specialty drugs, specialty costs, nonspecialty costs, and total direct costs of care within the medical and pharmacy benefits. This was a descriptive analysis of a commercially insured population made up of 1 million members, using integrated medical and pharmacy administrative claims data from 2008 to 2010. Analyses were limited to continuously enrolled commercially insured individuals less than 65 years of age. Condition-specific cohorts for MS, RA, psoriasis, and IBD were defined using standardized criteria. Trends in condition prevalence, specialty drug use for the conditions, and direct total cost of care were analyzed. The direct costs were subcategorized into the following: medical benefit specialty drug costs, medical benefit all other costs, pharmacy benefit specialty drug costs, and pharmacy benefit all other costs. Trends and compound annual growth rates were calculated for the total cost of care and subcategory costs from 2008 through 2010. Condition prevalence ranged from a low of 1,720 per million members for MS to a high of 4,489 per million members for RA. Psoriasis and MS condition prevalence rates were unchanged over the 3 years; however, IBD prevalence increased 7.0%, and RA prevalence increased 9.7%. The rate of specialty drug use was lowest for IBD (13.7%) and highest for MS (71.8%). The lowest total annual cost of care was for psoriasis ($14,815), and the highest total annual cost was for MS ($36,901). The most commonly used specialty drugs for each of the conditions were as follows: glatiramer (MS), etanercept (RA and psoriasis), and infliximab (IBD). The total annual costs were more than double for the specialty drug users for psoriasis compared with all the psoriasis members ($29,565 vs. $14,815). The total costs were only somewhat higher among MS members using specialty drugs ($41,760 vs. $36,901). Among specialty drug users for each of the cohorts, the annual costs of specialty drugs accounted for 50% or more of the total annual costs. The annual spending growth rate for specialty drugs ranged from 4.4% to 18.0%. Although specialty drug utilization varied widely across the 4 chronic conditions analyzed, when specialty drugs were used they accounted for the majority of the annual total direct cost of care. Because specialty drugs are accounting for a growing portion of chronic disease total cost of care, health insurers will need to become more vigilant regarding specialty drug use and focus on 4 cost saving management opportunities: drug distribution channel, utilization management, contracting activities, and care coordination.

Rainfall effects on rare annual plants

USGS Publications Warehouse

Levine, J.M.; McEachern, A.K.; Cowan, C.

2008-01-01

Variation in climate is predicted to increase over much of the planet this century. Forecasting species persistence with climate change thus requires understanding of how populations respond to climate variability, and the mechanisms underlying this response. Variable rainfall is well known to drive fluctuations in annual plant populations, yet the degree to which population response is driven by between-year variation in germination cueing, water limitation or competitive suppression is poorly understood.We used demographic monitoring and population models to examine how three seed banking, rare annual plants of the California Channel Islands respond to natural variation in precipitation and their competitive environments. Island plants are particularly threatened by climate change because their current ranges are unlikely to overlap regions that are climatically favourable in the future.Species showed 9 to 100-fold between-year variation in plant density over the 5–12 years of censusing, including a severe drought and a wet El Niño year. During the drought, population sizes were low for all species. However, even in non-drought years, population sizes and per capita growth rates showed considerable temporal variation, variation that was uncorrelated with total rainfall. These population fluctuations were instead correlated with the temperature after the first major storm event of the season, a germination cue for annual plants.Temporal variation in the density of the focal species was uncorrelated with the total vegetative cover in the surrounding community, suggesting that variation in competitive environments does not strongly determine population fluctuations. At the same time, the uncorrelated responses of the focal species and their competitors to environmental variation may favour persistence via the storage effect.Population growth rate analyses suggested differential endangerment of the focal annuals. Elasticity analyses and life table response experiments indicated that variation in germination has the same potential as the seeds produced per germinant to drive variation in population growth rates, but only the former was clearly related to rainfall.Synthesis. Our work suggests that future changes in the timing and temperatures associated with the first major rains, acting through germination, may more strongly affect population persistence than changes in season-long rainfall.

Remote sensing of ocean currents. [Loop Current in Gulf of Mexico

NASA Technical Reports Server (NTRS)

Maul, G. A. (Principal Investigator)

1974-01-01

The author has identified the following significant results. A time series of the Loop Current in the Gulf of Mexico, covering an annual cycle of growth, spreading, and decay, has been obtained in synchronization with ERTS-1. Computer enhanced images, which are necessary to extract useful oceanic information, show that the current can be observed either by color or sea state effects associated with the cyclonic boundary. The color effect relates to the spectral variations in the optical properties of the water and its suspended particles, and is studied by radiative transfer theory. Significant oceanic parameters identified are: the probability of forward scattering, and the ratio of scattering to total attenuation. Several spectra of upwelling diffuse light are computed as a function of the concentration of particles and yellow substance. These calculations compare favorably with experimental measurements and show that the ratio of channels method gives ambiguous interpretative results. These results are used to discuss features in images where surface measurements were obtained and are extended to tentative explanation in others.

76 FR 5158 - Notice of Public Information Collection(s) Being Reviewed by the Federal Communications...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-28

... enhance the quality, utility, and clarity of the information collected; (d) ways to minimize the burden of... PRA comments to Nicholas A. Fraser, Office of Management and Budget, via fax at 202-395-5167 or via...). Total Annual Burden: 36 hours. Total Annual Cost: N/A. Privacy Act Impact Assessment: N/A. Nature and...

76 FR 10030 - Notice of Public Information Collection(s) Being Reviewed by the Federal Communications...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-23

... enhance the quality, utility, and clarity of the information collected; (d) ways to minimize the burden of... PRA comments to Nicholas A. Fraser, Office of Management and Budget, via fax at 202-395-5167 or via e... of 1934, as amended. Total Annual Burden: 17 hours. Total Annual Cost: 63,750. Privacy Act Impact...

75 FR 19395 - Notice of Public Information Collection(s) Being Reviewed by the Federal Communications...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-14

..., including the use of automated collection techniques or other forms of information technology, and (e) ways... (ARRA), Pub. L. No. 111-5, 123 Stat 115 (2009). Total Annual Burden: 1,100 hours. Total Annual Cost: N/A... using the Spectrum Database and what improvements or enhancements they would like to see in future...

49 CFR Schedule E to Subpart B of... - Statement of Changes in Financial Position

Code of Federal Regulations, 2010 CFR

2010-10-01

... (specify): 23 24 25 26 27 28Total working capital from extraordinary items and accounting changes 29Total... annual report sources in this column refer to the 1976 Annual Report Form MP-1. For years prior or subsequent to 1976, use comparable sources. Column (c). If the fare/charge increase is filed during the first...

A Positive Move: 12th Annual College M&O Cost Study

ERIC Educational Resources Information Center

Agron, Joe

2006-01-01

Colleges placed more of an emphasis on maintenance and operations (M&O) this school year by increasing the amount spent on M&O as a percentage of total budget. According to "American School & University's" 12th annual College Maintenance and Operations Cost Study, spending on M&O as a percentage of total college budget increased to 11 percent from…

ANNUAL WATER BUDGETS FOR A FORESTED SINKHOLE WETLAND

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

Hill, Dr. Andrew Jason; Neary, Vincent S

2012-01-01

Annual water budgets spanning two years, 2004 and 2005, are constructed for a sinkhole wetland in the Tennessee Highland Rim following conversion of 13 % of its watershed to impervious surfaces. The effect of watershed development on the hydrology of the study wetland was significant. Surface runoff was the dominant input, with a contribution of 61.4 % of the total. An average of 18.9 % of gross precipitation was intercepted by the canopy and evaporated. Seepage from the surface water body to the local groundwater system accounted for 83.1 % of the total outflow. Deep recharge varied from 43.2 %more » (2004) to 12.1 % (2005) of total outflow. Overall, evapotranspiration accounted for 72.4 % of the total losses, with an average of 65.7 % lost from soil profile storage. The annual water budgets indicate that deep recharge is a significant hydrologic function performed by isolated sinkhole wetlands, or karst pans, on the Tennessee Highland Rim. Continued hydrologic monitoring of sinkhole wetlands are needed to evaluate hydrologic function and response to anthropogenic impacts. The regression technique developed to estimate surface runoff entering the wetland is shown to provide reasonable annual runoff estimates, but further testing is needed.« less

77 FR 1947 - Agency Information Collection Activities: Jade Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-12

... technology; and (e) the annual costs burden to respondents or record keepers from the collection of... CBP Form 7501, Entry Summary, which serves as the importer's certification. In addition, at the time... Number of Annual Responses per Respondent: 20. Estimated Total Annual Responses: 443,940. Estimated Time...

The Annual Trends between Neurointerventional and Neurosurgical Procedures in Korea: Analysis using HIRA Data from 2010 to 2016

PubMed Central

2017-01-01

Purpose The purpose of this study was to evaluate the annual trend for several neurosurgical and neurointerventional procedures (NIPs) in Korea between 2010 and 2016 by using medical claim data. Materials and Methods All data during the recent 7 years were collected from Bigdata Hub provided by the Health Insurance Review & Assessment Service (HIRA). Using several codes for medical practice, we estimated the number of in-patients for each practice and calculated the annual variation of each procedure. These data were compared between each NIP versus the equivalent surgical procedure and analyzed according to the geographic distribution and the hospital grade. Results During the past 7 years, the average growth rate of all stroke in-patients is 2.05%, and the number of in-patients with ischemic stroke is 5.2 times higher than those with hemorrhagic stroke. While clipping accounted for 53.7% (5,209/9,700) of total patients in 2010, 61.9% of patients (9,146/14,781) are currently undergoing coiling procedure in 2016. MT for acute ischemic stroke has grown annually by an average of 35.9% during the past 3 years. Stenting and angioplasty for carotid artery and intracranial artery showed relatively stable growth during the past 7 years. Especially, carotid artery stenting is rapidly increasing in secondary general hospitals, where more than 50% of these procedures were performed after 2014. Conclusion In this study, we found that most of NIPs has increased annually over the past 7 years and that NIPs are rapidly replacing conventional surgical maneuvers in Korea. PMID:28955509

The Annual Trends between Neurointerventional and Neurosurgical Procedures in Korea: Analysis using HIRA Data from 2010 to 2016.

PubMed

Suh, Sang Hyun

2017-09-01

The purpose of this study was to evaluate the annual trend for several neurosurgical and neurointerventional procedures (NIPs) in Korea between 2010 and 2016 by using medical claim data. All data during the recent 7 years were collected from Bigdata Hub provided by the Health Insurance Review & Assessment Service (HIRA). Using several codes for medical practice, we estimated the number of in-patients for each practice and calculated the annual variation of each procedure. These data were compared between each NIP versus the equivalent surgical procedure and analyzed according to the geographic distribution and the hospital grade. During the past 7 years, the average growth rate of all stroke in-patients is 2.05%, and the number of in-patients with ischemic stroke is 5.2 times higher than those with hemorrhagic stroke. While clipping accounted for 53.7% (5,209/9,700) of total patients in 2010, 61.9% of patients (9,146/14,781) are currently undergoing coiling procedure in 2016. MT for acute ischemic stroke has grown annually by an average of 35.9% during the past 3 years. Stenting and angioplasty for carotid artery and intracranial artery showed relatively stable growth during the past 7 years. Especially, carotid artery stenting is rapidly increasing in secondary general hospitals, where more than 50% of these procedures were performed after 2014. In this study, we found that most of NIPs has increased annually over the past 7 years and that NIPs are rapidly replacing conventional surgical maneuvers in Korea.

Analysis of trends of water quality and streamflow in the Blackstone, Branch, Pawtuxet, and Pawcatuck Rivers, Massachusetts and Rhode Island, 1979 to 2015

USGS Publications Warehouse

Savoie, Jennifer G.; Mullaney, John R.; Bent, Gardner C.

2017-02-21

Trends in long-term water-quality and streamflow data from six water-quality-monitoring stations within three major river basins in Massachusetts and Rhode Island that flow into Narragansett Bay and Little Narragansett Bay were evaluated for water years 1979–2015. In this study, conducted by the U.S. Geological Survey in cooperation with the Rhode Island Department of Environmental Management, the Rhode Island Water Resources Board, and the U.S. Environmental Protection Agency, water-quality and streamflow data were evaluated with a Weighted Regressions on Time, Discharge, and Season smoothing method, which removes the effects of year-to-year variation in water-quality conditions due to variations in streamflow (discharge). Trends in annual mean, annual median, annual maximum, and annual 7-day minimum flows at four continuous streamgages were evaluated by using a time-series smoothing method for water years 1979–2015.Water quality at all monitoring stations changed over the study period. Decreasing trends in flow-normalized nutrient concentrations and loads were observed during the period at most monitoring stations for total nitrogen, nitrite plus nitrate, and total phosphorus. Average flow-normalized loads for water years 1979–2015 decreased in the Blackstone River by up to 46 percent in total nitrogen, 17 percent in nitrite plus nitrate, and 69 percent in total phosphorus. The other rivers also had decreasing flow-normalized trends in nutrient concentrations and loads, except for the Pawtuxet River, which had an increasing trend in nitrite plus nitrate. Increasing trends in flow-normalized chloride concentrations and loads were observed during the study period at all of the rivers, with increases of more than 200 percent in the Blackstone River.Small increasing trends in annual mean daily streamflow were observed in 3 of the 4 rivers, with increases of 1.2 to 11 percent; however, the trends were not significant. All 4 rivers had decreases in streamflow for the annual 7-day minimums, but only 3 of the 4 rivers had decreases that were significant (34 to 54 percent). The Branch River had decreasing annual mean daily streamflow (7.5 percent) and the largest decrease in the annual 7-day minimum streamflow. The Blackstone and Pawtuxet Rivers had the largest increases in annual maximum daily flows but had decreases in the annual 7-day minimum flows.

Nitrogen concentrations and loads for the Connecticut River at Middle Haddam, Connecticut, computed with the use of autosampling and continuous measurements of water quality for water years 2009 to 2014

USGS Publications Warehouse

Mullaney, John R.; Martin, Joseph W.; Morrison, Jonathan

2018-03-20

The daily and annual loads of nitrate plus nitrite and total nitrogen for the Connecticut River at Middle Haddam, Connecticut, were determined for water years 2009 to 2014. The analysis was done with a combination of methods, which included a predefined rating curve method for nitrate plus nitrite and total nitrogen for water years 2009 to 2011 and a custom rating curve method that included sensor measurements of nitrate plus nitrite nitrogen concentration and turbidity along with mean daily flow to determine total nitrogen loads for water years 2011 to 2014. Instantaneous concentrations of total nitrogen were estimated through the use of a regression model based on sensor measurements at 15-minute intervals of nitrate plus nitrite nitrogen and turbidity for water years 2011 to 2014.Annual total nitrogen loads at the Connecticut River at Middle Haddam ranged from 12,900 to 19,200 metric tons, of which about 42 to 49 percent was in the form of nitrate plus nitrite. The mean 95-percent prediction intervals on daily total nitrogen load estimates were smaller from the custom model, which used sensor data, than those calculated by the predefined model.Annual total nitrogen load estimates at the Connecticut River at Middle Haddam were compared with the upstream load estimates at the Connecticut River at Thompsonville, Conn. Annual gains in total nitrogen loads between the two stations ranged from 3,430 to 6,660 metric tons. These increases between the two stations were attributed to the effects of increased urbanization and to combined annual discharges of 1,540 to 2,090 metric tons of nitrogen from 24 wastewater treatment facilities in the drainage area between the two stations. The contribution of total nitrogen from wastewater discharge between the two stations had declined substantially before the beginning of this study and accounted for from 31 to 52 percent of the gain in nitrogen load between the Thompsonville and Middle Haddam sites.

77 FR 67668 - Agency Information Collection Activities; Extension of a Currently Approved Collection: Semi...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-13

... of a Currently Approved Collection: Semi-Annual Progress Report for the Sexual Assault Services...-Annual Progress Report for Grantees from the Sexual Assault Services Program--Grants to Culturally... sustainable sexual assault services provided by culturally specific organizations, which are uniquely situated...

Urbanization in sub-saharan Africa and implication for malaria control.

PubMed

Keiser, Jennifer; Utzinger, Jurg; Caldas de Castro, Marcia; Smith, Thomas A; Tanner, Marcel; Singer, Burton H

2004-08-01

Malaria not only remains a leading cause of morbidity and mortality, but it also impedes socioeconomic development, particularly in sub-Saharan Africa. Rapid and unprecedented urbanization, going hand-in-hand with often declining economies, might have profound implications for the epidemiology and control of malaria, as the relative disease burden increases among urban dwellers. Reviewing the literature and using a modeling approach, we find that entomologic inoculation rates in cities range from 0 to 54 per year, depending on the degree of urbanization, the spatial location within a city, and overall living conditions. Using the latest United Nations figures on urbanization prospects, nighttime light remotely sensed images, and the "Mapping Malaria Risk in Africa" results on climate suitability for stable malaria transmission, we estimate that 200 million people (24.6% of the total African population) currently live in urban settings where they are at risk of contracting the disease. Importantly, the estimated total surface area covered by these urban settings is only approximately 1.1-1.6% of the total African surface. Considering different plausible scenarios, we estimate an annual incidence of 24.8-103.2 million cases of clinical malaria attacks among urban dwellers in Africa. These figures translate to 6-28% of the estimated global annual disease incidence. Against this background, basic health care delivery systems providing early diagnosis and early treatment and preventive actions through mother and child health programs and the promotion of insecticide-treated bed nets for the rapidly growing numbers of the urban poor must be improved alongside well-tailored and integrated malaria control strategies. We propose environmental management and larviciding within well-specified productive sites as a main feature for such an integrated control approach. Mitigation of the current burden of malaria in urban African settings, in turn, is a necessity for stimulating environmentally and socially sustainable development. Copyright 2004 The American Society of Tropical Medicine and Hygiene

Long-term dynamics of winter and summer annual communities in the Chihuahuan Desert

USGS Publications Warehouse

Guo, Q.; Brown, J.H.; Valone, T.J.

2002-01-01

Winter and summer annuals in the Chihuahuan Desert have been intensively studied in recent years but little is known about the similarities and differences in the dynamics between these two communities. Using 15 yr of census data from permanent quadrats, this paper compared the characteristics and temporal dynamics of these two distinct, spatially co-existent but temporally segregated communities. Although the total number of summer annual species recorded during our 15 yr of observation was higher than winter annuals, the mean number of species observed each year was higher in the winter community. The winter community exhibited lower temporal variation in total plant abundance and populations of individual species, lower species turnover rate and higher evenness than the summer community. The rank abundances of species in winter were significantly positively correlated for a period of up to 7 yr while in summer significant positive correlations in rank abundance disappeared after 2 to 3 yr. The higher seasonal species diversity (i.e. number of species observed in each season) in winter rather than the overall special pool (over 15 yr) may be responsible for the greater community stability of winter annuals. The difference in long-term community dynamics between the two communities of annual plants are likely due to the differences in total species pool, life history traits (e.g. seed size), and seasonal climatic regimes.

Simulation of rainfall-runoff response in mined and unmined watersheds in coal areas of West Virginia

USGS Publications Warehouse

Puente, Celso; Atkins, John T.

1989-01-01

Meteorologic and hydrologic data from five small watersheds in the coal areas of West Virginia were used to calibrate and test the U.S. Geological Survey Precipitation-Runoff Modeling System for simulating streamflow under various climatic and land-use conditions. Three of the basins--Horsecamp Run, Gilmer Run, and Collison Creek--are primarily forested and relatively undisturbed. The remaining basins--Drawdy Creek and Brier Creek-are extensively mined, both surface and underground above stream drainage level. Low-flow measurements at numerous synoptic sites in the mined basins indicate that coal mining has substantially altered the hydrologic system of each basin. The effects of mining on streamflow that were identified are (1) reduced base flow in stream segments underlain by underground mines, (2) increased base flow in streams that are downdip and stratigraphically below the elevation of the mined coal beds, and (3) interbasin transfer of ground water through underground mines. These changes probably reflect increased permeability of surface rocks caused by subsidence fractures associated with collapsed underground mines in the basin. Such fractures would increase downward percolation of precipitation, surface and subsurface flow, and ground-water flow to deeper rocks or to underground mine workings. Model simulations of the water budgets for the unmined basins during the 1972-73 water years indicate that total annual runoff averaged 60 percent of average annual precipitation; annual evapotranspiration losses averaged 40 percent of average annual precipitation. Of the total annual runoff, approximately 91 percent was surface and subsurface runoff and 9 percent was groundwater discharge. Changes in storage in the soil zone and in the subsurface and ground-water reservoirs in the basins were negligible. In contrast, water-budget simulations for the mined basins indicate significant differences in annual recharge and in total annual runoff. Model simulations of the water budget for Drawdy Creek basin indicate that total annual runoff during 1972-73 averaged only 43 percent of average annual precipitation--the lowest of all study basins; annual evapotranspiration losses averaged 49 percent, and interbasin transfer of ground-water losses averaged about 8 percent. Of the total annual runoff, approximately 74 percent was surface and subsurface flow and 26 percent was ground-water discharge. The low total annual runoff at Drawdy Creek probably reflects increased recharge of precipitation and surface and subsurface flow losses to ground water. Most of the increase in ground-water storage is, in turn, lost to a ground-water sink--namely, interbasin transfer of ground water by gravity drainage and (or) mine pumpage from underground mines that extend to adjacent basins. Hypothetical mining situations were posed for model analysis to determine the effects of increased mining on streamflow in the mined basins. Results of model simulations indicate that streamflow characteristics, the water budget, and the seasonal distribution of streamflow would be significantly modified in response to an increase in mining in the basins. Simulations indicate that (1) total annual runoff in the basins would decrease because of increased surface- and subsurface-flow losses and increased recharge of precipitation to ground water (these losses would tend to reduce medium to high flows mainly during winter and spring when losses would be greatest), (2) extreme high flows in response to intense rainstorms would be negligibly affected, regardless of the magnitude of mining in the basins, (3) ground-water discharge also would decrease during winter and spring, but the amount and duration of low flows during summer and fall would substantially increase in response to increased ground-water storage in rocks and in underground mines, and (4) the increase in ground-water storage in the basins would be depleted, mostly by increased losses to a grou

Temperature and rainfall strongly drive temporal growth variation in Asian tropical forest trees.

PubMed

Vlam, Mart; Baker, Patrick J; Bunyavejchewin, Sarayudh; Zuidema, Pieter A

2014-04-01

Climate change effects on growth rates of tropical trees may lead to alterations in carbon cycling of carbon-rich tropical forests. However, climate sensitivity of broad-leaved lowland tropical trees is poorly understood. Dendrochronology (tree-ring analysis) provides a powerful tool to study the relationship between tropical tree growth and annual climate variability. We aimed to establish climate-growth relationships for five annual-ring forming tree species, using ring-width data from 459 canopy and understory trees from a seasonal tropical forest in western Thailand. Based on 183/459 trees, chronologies with total lengths between 29 and 62 years were produced for four out of five species. Bootstrapped correlation analysis revealed that climate-growth responses were similar among these four species. Growth was significantly negatively correlated with current-year maximum and minimum temperatures, and positively correlated with dry-season precipitation levels. Negative correlations between growth and temperature may be attributed to a positive relationship between temperature and autotrophic respiration rates. The positive relationship between growth and dry-season precipitation levels likely reflects the strong water demand during leaf flush. Mixed-effect models yielded results that were consistent across species: a negative effect of current wet-season maximum temperatures on growth, but also additive positive effects of, for example, prior dry-season maximum temperatures. Our analyses showed that annual growth variability in tropical trees is determined by a combination of both temperature and precipitation variability. With rising temperature, the predominantly negative relationship between temperature and growth may imply decreasing growth rates of tropical trees as a result of global warming.

The landscape of medical oncology in Europe by 2020.

PubMed

de Azambuja, E; Ameye, L; Paesmans, M; Zielinski, C C; Piccart-Gebhart, M; Preusser, M

2014-02-01

In the United States, there will be a shortage of medical oncologists (MO) by 2020. However, this information is not available for Europe. The aim of this study was to assess the current number of MO in the 27 European Union (27-EU) countries and to predict their availability by 2020. Between June 2012 and January 2013, a survey was submitted to health authorities, medical oncology societies, and personal contacts in all 27-EU countries in order to gather annual data on the number of practicing MO. Data were collected by e-mail, telephone contact, or through research on official websites. Data regarding cancer incidence in 2008 and projections for 2015 and 2020 were obtained through Globocan. The mean annual increase in the number of MO was calculated for each country. The total number of MO by 2015 and 2020 was estimated, and the ratio of new cancer cases versus number of MO was calculated for 2008, 2015, and 2020. Twelve countries provided sufficient data. The average mean annual increase in the total number of MO was 5.3% (range 1.8%-8.7%), with Belgium being the lowest and UK the highest. The 2008 ratio of cancer cases versus MO was lowest in Hungary (113) and highest in UK (1067). A favorable decrease in this ratio was estimated in most countries. Our estimates, based on incidence and not on prevalence, indicate that MO availability will probably meet the projected need in most of the 12 countries analyzed, provided that: (i) these countries maintain their rate of annual increase in MO; and (ii) no unforeseen changes occur in cancer incidence. Unfortunately, minimal information is available for Eastern Europe. Our data call for the prospective surveillance of the cancer burden and MO availability to ensure adequate and equal care for cancer patients throughout Europe.

Estimation of the collective ionizing dose in the Portuguese population for the years 2011 and 2012, due to nuclear medicine exams.

PubMed

Costa, F; Teles, P; Nogueira, A; Barreto, A; Santos, A I; Carvalho, A; Martins, B; Oliveira, C; Gaspar, C; Barros, C; Neves, D; Costa, D; Rodrigues, E; Godinho, F; Alves, F; Cardoso, G; Cantinho, G; Conde, I; Vale, J; Santos, J; Isidoro, J; Pereira, J; Salgado, L; Rézio, M; Vieira, M; Simãozinho, P; Almeida, P; Castro, R; Parafita, R; Pintão, S; Lúcio, T; Reis, T; Vaz, P

2015-01-01

In 2009-2010 a Portuguese consortium was created to implement the methodologies proposed by the Dose Datamed II (DDM2) project, aiming to collect data from diagnostic X-ray and nuclear medicine (NM) procedures, in order to determine the most frequently prescribed exams and the associated ionizing radiation doses for the Portuguese population. The current study is the continuation of this work, although it focuses only on NM exams for the years 2011 and 2012. The annual frequency of each of the 28 selected NM exams and the average administered activity per procedure was obtained by means of a nationwide survey sent to the 35 NM centres in Portugal. The results show a reduction of the number of cardiac exams performed in the last two years compared with 2010, leading to a reduction of the annual average effective dose of Portuguese population due to NM exams from 0.08 mSv ± 0.017 mSv/caput to 0.059 ± 0.011 mSv/caput in 2011 and 0.054 ± 0.011 mSv/caput in 2012. Portuguese total annual average collective effective dose due to medical procedures was estimated to be 625.6 ± 110.9 manSv in 2011 and 565.1 ± 117.3 manSv in 2012, a reduction in comparison with 2010 (840.3 ± 183.8 manSv). The most frequent exams and the ones that contributed the most for total population dose were the cardiac and bone exams, although a decrease observed in 2011 and in 2012 was verified. The authors intend to perform this study periodically to identify trends in the annual Portuguese average effective dose and to help to raise awareness about the potential dose optimization. Copyright © 2014 Elsevier España, S.L.U. and SEMNIM. All rights reserved.

Economic Burden of Smoking in Iran: A Prevalence-Based Annual Cost Approach

PubMed Central

Rezaei, Satar; Matin, Behzad Karami; Hajizadeh, Mohammad; Bazyar, Mohammad; Sari, Ali Akbari

2017-01-01

Objectives: The burden of smoking on the health system and society is significant. The current study aimed to estimate the annual direct and indirect costs of smoking in Iran for the year 2014. Methods: A prevalence-based disease-specific approach was used to determine costs associated with the three most common smoking-related diseases: lung cancer (LC), chronic obstructive pulmonary disease (COPD) and ischaemic heart disease (IHD). Data on healthcare utilization were obtained from an original survey, hospital records and questionnaires. The number of deaths was extracted from the global burden diseases study (GBD). The human capital approach was applied to estimate the costs of morbidity and mortality due to smoking-related diseases, classified as direct (hospitalization, outpatients and non-medical costs) and indirect (mortality and morbidity). Results: The total economic cost of the three most common smoking-attributable diseases in Iran was US$1.46 billion in 2014, including US$1.05 billion (71.7%) in indirect and US$0.41 billion (28.3%) in direct costs. Direct costs of the three smoking-related diseases accounted for 1.6% of total healthcare expenditures and total costs were about 0.26% of Iran’s gross domestic product (GDP) in 2014. Conclusions: Our study indicated that smoking places a substantial economic burden on Iranian society. Therefore, sustained smoking cessation interventions and tobacco control policies are required to reduce the magnitude and extent of smoking-attributable costs in Iran. PMID:29072438

Missed surgical intensive care unit billing: potential financial impact of 24/7 faculty presence.

PubMed

Hendershot, Kimberly M; Bollins, John P; Armen, Scott B; Thomas, Yalaunda M; Steinberg, Steven M; Cook, Charles H

2009-07-01

To efficiently capture evaluation and management (E&M) and procedural billing in our surgical intensive care unit (SICU), we have developed an electronic billing system that links to the electronic medical record (EMR). In this system, only notes electronically signed and coded by an attending generate billing charges. We hypothesized that capture of missed billing during nighttime and weekends might be sufficient to subsidize 24/7 in-house attending coverage. A retrospective chart EMR review was performed of the EMRs for all SICU patients during a 2-month period. Note type, date, time, attending signature, and coding were analyzed. Notes without attending signature, diagnosis, or current procedural terminology (CPT) code were considered incomplete and identified as "missed billing." Four hundred and forty-three patients had 465 admissions generating 2,896 notes. Overall, 76% of notes were signed and coded by an attending and billed. Incomplete (not billed) notes represented an overall missed billing opportunity of $159,138 for the 2-month time period (approximately $954,000 annually). Unbilled E&M encounters during weekdays totaled $54,758, whereas unbilled E&M and procedures from weeknights and weekends totaled $88,408 ($44,566 and $43,842, respectively). Missed billing after-hours thus represents approximately $530K annually, extrapolating to approximately $220K in collections from our payer mix. Surprisingly, missed E&M and procedural billing during weekdays totaled $70,730 (approximately $425K billing, approximately $170K collections annually), and typically represented patients seen, but transferred from the SICU before attending documentation was completed. Capture of nighttime and weekend ICU collections alone may be insufficient to add faculty or incentivize in-house coverage, but could certainly complement other in-house derived revenues to such ends. In addition, missed daytime billing in busy modern ICUs can be substantial, and use of an EMR to identify missed billing opportunities can help create solutions to recover these revenues.

Potentiometric surface in the Central Oklahoma (Garber-Wellington) aquifer, Oklahoma, 2009

USGS Publications Warehouse

Mashburn, Shana L.; Magers, Jessica

2011-01-01

A study of the hydrogeology of the Central Oklahoma aquifer was started in 2008 to provide the Oklahoma Water Resources Board (OWRB) hydrogeologic data and a groundwater flow model that can be used as a tool to help manage the aquifer. The 1973 Oklahoma water law requires the OWRB to do hydrologic investigations of Oklahoma's aquifers (termed 'groundwater basins') and to determine amounts of water that may be withdrawn by permitted water users. 'Maximum annual yield' is a term used by OWRB to describe the total amount of water that can be withdrawn from a specific aquifer in any year while allowing a minimum 20-year life of the basin (Oklahoma Water Resources Board, 2010). Currently (2010), the maximum annual yield has not been determined for the Central Oklahoma aquifer. Until the maximum annual yield determination is made, water users are issued a temporary permit by the OWRB for 2 acre-feet/acre per year. The objective of the study, in cooperation with the Oklahoma Water Resources Board, was to study the hydrogeology of the Central Oklahoma aquifer to provide information that will enable the OWRB to determine the maximum annual yield of the aquifer based on different proposed management plans. Groundwater flow models are typically used by the OWRB as a tool to help determine the maximum annual yield. This report presents the potentiometric surface of the Central Oklahoma aquifer based on water-level data collected in 2009 as part of the current (2010) hydrologic study. The U.S. Geological Survey (USGS) Hydrologic Investigations Atlas HA-724 by Christenson and others (1992) presents the 1986-87 potentiometric-surface map. This 1986-87 potentiometric-surface map was made as part of the USGS National Water-Quality Assessment pilot project for the Central Oklahoma aquifer that examined the geochemical and hydrogeological processes operating in the aquifer. An attempt was made to obtain water-level measurements for the 2009 potentiometric-surface map from the wells used for the 1986-87 potentiometric-surface map. Well symbols with circles on the 2009 potentiometric-surface map (fig. 1) indicate wells that were used for the 1986-87 potentiometric-surface map.

Response of the phytoplankton community to water quality in a local alpine glacial lake of Xinjiang Tianchi, China: potential drivers and management implications.

PubMed

Lu, Xiaotian; Song, Shuai; Lu, Yonglong; Wang, Tieyu; Liu, Zhaoyang; Li, Qifeng; Zhang, Meng; Suriyanarayanan, Sarvajayakesavalu; Jenkins, Alan

2017-10-18

Eutrophication has become one of the most serious threats to aquatic ecosystems in the world. With the combined drivers of climate change and human activities, eutrophication has expanded from warm shallow lakes to cold-water lakes in relatively high latitude regions and has raised greater concerns over lake aquatic ecosystem health. A two-year field study was carried out to investigate water quality, phytoplankton characteristics and eutrophication status in a typical alpine glacial lake of Tianchi, a scenic area and an important drinking water source in the Xinjiang Autonomous Region of China, in 2014 and 2015. Clear seasonal and annual variations of nutrients and organic pollutants were found especially during rainy seasons. For the phytoplankton community, Bacillariophyta held the dominant position in terms of both species and biomass throughout the year, suggesting the dominant characteristics of diatoms in the phytoplankton structure in such a high-altitude cold-water lake. This was quite different from plain and warm lakes troubled with cyanobacterial blooming. Moreover, the dominant abundance of Cyclotella sp. in Tianchi might suggest regional warming caused by climate change, which might have profound effects on the local ecosystems and hydrological cycle. Based on water quality parameters, a comprehensive trophic level index TLI (Σ) was calculated to estimate the current status of eutrophication, and the results inferred emerging eutrophication in Tianchi. Results from Canonical Correspondence Analysis (CCA) and correlation analysis of phytoplankton genera and physico-chemical variables of water indicated that abiotic factors significantly influenced the phytoplankton community and its succession in Tianchi Lake. These abiotic factors could explain 77.82% of the total variance, and ammonium was identified as the most discriminant variable, which could explain 41% of the total variance followed by TP (29%). An estimation of annual nutrient loadings to Tianchi was made, and the results indicated that about 212.97 t of total nitrogen and 32.14 t of total phosphorus were transported into Tianchi Lake annually. Human socio-economic activities (runoff caused by historical overgrazing and increasing tourism) were identified as the most important contributors to Tianchi nutrient loadings.

Trends in infective endocarditis hospitalisations at United States children's hospitals from 2003 to 2014: impact of the 2007 American Heart Association antibiotic prophylaxis guidelines.

PubMed

Bates, Katherine E; Hall, Matthew; Shah, Samir S; Hill, Kevin D; Pasquali, Sara K

2017-05-01

National organisations in several countries have recently released more restrictive guidelines for infective endocarditis prophylaxis, including the American Heart Association 2007 guidelines. Initial studies demonstrated no change in infective endocarditis rates over time; however, a recent United Kingdom study suggested an increase; current paediatric trends are unknown. Children (5 years of age. Interrupted time series analysis was used to evaluate rates over time indexed to total hospitalisations. A total of 841 cases were identified. The median age was 13 years (interquartile range 9-15 years). In the pre-guideline period, there was a slight increase in the rate of infective endocarditis by 0.13 cases/10,000 hospitalisations per semi-annual period. In the post-guideline period, the rate of infective endocarditis increased by 0.12 cases/10,000 hospitalisations per semi-annual period. There was no significant difference in the rate of change in the pre- versus post-guidelines period (p=0.895). Secondary analyses in children >5 years of age with CHD and in children hospitalised with any type of infective endocarditis at any age revealed similar results. We found no significant change in infective endocarditis hospitalisation rates associated with revised prophylaxis guidelines over 11 years across 29 United States children's hospitals.

Do Offshore Wind Farms Influence Marine Primary Production?

NASA Astrophysics Data System (ADS)

Tweddle, J. F.; Murray, R. B. O.; Gubbins, M.; Scott, B. E.

2016-02-01

Primary producers (phytoplankton) form the basis of marine food-webs, supporting production of higher trophic levels, and act as a sink of CO2. We considered the impact of proposed large scale offshore wind farms in moderately deep waters (> 45 m) off the east coast of Scotland on rates of primary production. A 2 stage modelling process was used, employing state-of-the-art 3-D hydrographic models with the ability to capture flow at the spatial resolution of 10 m combined with 1-D vertical modelling using 7 years of local forcing data. Through influencing the strength of stratification via changes in current flow, large (100 m) modelled wind turbine foundations had a significant effect on primary producers, consistently reducing total annual primary production, although within the range of natural interannual variability. The percentage reduction was largest over submarine banks less than 54 m in depth, and was outside the range of natural interannual variability. Smaller (10 m) turbine foundations had no discernible effect on total annual primary production. The results indicate that smaller foundations should be favored as a mitigation measure, in terms of effects on primary production, and this type of analysis should be considered within sectoral planning and licensing processes for future renewable energy developments.

The CERAD Neuropsychologic Battery Total Score and the progression of Alzheimer disease.

PubMed

Rossetti, Heidi C; Munro Cullum, C; Hynan, Linda S; Lacritz, Laura H

2010-01-01

To establish the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) neuropsychologic battery as a valid measure of cognitive progression in Alzheimer disease (AD) by deriving annualized CERAD Total Change Scores and corresponding confidence intervals in AD and controls from which to define clinically meaningful change. Subjects included 383 normal control (NC) and 655 AD subjects with serial data from the CERAD registry database. Annualized CERAD Total Change Scores were derived and Reliable Change Indexes (RCIs) calculated to establish statistically reliable change values. CERAD Change Scores were compared with annualized change scores from the Mini-Mental State Examination (MMSE), Clinical Dementia Rating Scale (CDR) Sum of Boxes, and Blessed Dementia Rating Scale (BDRS). For the CERAD Total Score, the AD sample showed significantly greater decline than the NC sample over the 4-year interval, with AD subjects declining an average of 22.2 points compared with the NCs' improving an average 2.8 points from baseline to last visit [Group x Time interaction [F(4,1031)=246.08, P<0.001)]. By Visit 3, the majority of AD subjects (65.2%) showed a degree of cognitive decline that fell outside the RCI. CERAD Change Scores significantly correlated (P<0.001) with MMSE (r=-0.66), CDR (r=-0.42), and BDRS (r=-0.38) change scores. Results support the utility of the CERAD Total Score as a measure of AD progression and provide comparative data for annualized change in CERAD Total Score and other summary measures.

CASE Annual Fund Ideas. The Best of CASE Currents.

ERIC Educational Resources Information Center

Carter, Virginia L., Ed.

Fund raising ideas for colleges and universities are compiled in a handbook of articles from "CASE Currents." The first section discusses the annual fund drive in such articles as: "Start that Habit Early--Senior Giving '5X'" (Lynn Segall); "Join Hands with Lost Friends" (Jeanne Knoerle); "Match Those…

78 FR 66953 - Agency Information Collection Activities: Extension of a Currently Approved Collection; Annual...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-07

... DEPARTMENT OF JUSTICE [OMB Number 1122-0003] Agency Information Collection Activities: Extension of a Currently Approved Collection; Annual Progress Report for the STOP Formula Grants Program ACTION: 60-Day notice. The Department of Justice, Office on Violence Against Women (OVW) will be [[Page 66954

76 FR 47626 - Self-Regulatory Organizations; New York Stock Exchange LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-05

... Fixed Flat Fee of $150 Per Qualified Member Per Bi-Annual Session for a Total Cost Per Member Per Year... flat fee of $150 per qualified member per bi-annual session for a total cost per member per year of... behalf, the FINRA costs are subsumed in the larger fee paid to FINRA for the provision of regulatory...

Population dynamics of land bird populations on Oahu, Hawaii: fifty years of introductions and competition

Treesearch

C. John Ralph

1991-01-01

Data from the annual Christmas Bird Count between 1939 and 1989, around Honolulu, on the island of Oahu during late December, were analyzed to discover the annual rates of change and possible competitive interactions of introduced and native land bird species. Both total number of species and total number of individuals increased over the period. The proportion of...

77 FR 14366 - Notice of Annual Adjustment of the Cap on Average Total Assets That Defines Community Financial...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-09

... FEDERAL HOUSING FINANCE AGENCY [No. 2012-N-02] Notice of Annual Adjustment of the Cap on Average.... ACTION: Notice. SUMMARY: The Federal Housing Finance Agency (FHFA) has adjusted the cap on average total... statutory cap.\\2\\ The Bank Act was amended in 2008 to set the statutory cap at $1 billion and to require the...

Timber resource statistics for the Juneau inventory unit, Alaska, 1970.

Treesearch

Vernon J. LaBau; Willem W.S. Van Hees

1983-01-01

Statistics on forest area, total gross and net timber volumes, and annual net growth and mortality are presented for the 1970 timber inventory of the Juneau unit, Alaska. Estimates for commercial forest land area total 1.3 million acres (535 000 ha) with a net growing stock volume of 8.3 billion cubic feet (234 million m3), and annual net growth...

Analysis of the breakdown of the Antarctic circumpolar vortex using TOMS ozone data

NASA Technical Reports Server (NTRS)

Bowman, Kenneth P.

1987-01-01

Climatological analysis of data from the Total Ozone Mapping Spectrometer (TOMS) on the Nimbus 7 satellite has shown that the annual cycles of ozone are very different in the Arctic and Antarctic. The annual cycle in the Arctic is a relatively smooth annual sine wave; but in the Antarctic the circumpolar vortex breaks down rapidly during the Southern Hemisphere spring (September through November), producing a rapid rise in total ozone and a sawtooth-shaped annual cycle. The evolution of the Antarctic total ozone field during the vortex breakdown was studied by computing areally-integrated ozone amounts from the TOMS data. This technique avoids substantial difficulties with using zonally-averaged ozone amounts to study the asymmetric breakdown phenomenon. Variability of total ozone is found to be large both within an individual year and between different years. During the last decade monthly-mean total ozone values in the Antarctic during the springtime vortex breakdown period have decreased dramatically. The ozone-area statistics indicate that the decrease has resulted in part from changes in the timing of the vortex breakdown and resultant ozone increase, which have occurred later during recent years. Analysis of the spatial scales involved in the ozone transport and mixing that occur during the vortex breakdown is now underway. Reliable calculation of diagnostic quantities like areally-integrated ozone is possible only with the high-resolution, two-dimensional, daily coverage provided by the TOMS instrument.

25 CFR 39.711 - How does a school calculate annual bus transportation miles for residential students?

Code of Federal Regulations, 2014 CFR

2014-04-01

... miles for residential students? 39.711 Section 39.711 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... Transportation Miles § 39.711 How does a school calculate annual bus transportation miles for residential students? To calculate the total annual transportation miles for residential students, a school must use...

25 CFR 39.711 - How does a school calculate annual bus transportation miles for residential students?

Code of Federal Regulations, 2012 CFR

2012-04-01

... miles for residential students? 39.711 Section 39.711 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... Transportation Miles § 39.711 How does a school calculate annual bus transportation miles for residential students? To calculate the total annual transportation miles for residential students, a school must use...

25 CFR 39.711 - How does a school calculate annual bus transportation miles for residential students?

Code of Federal Regulations, 2013 CFR

2013-04-01

... miles for residential students? 39.711 Section 39.711 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... Transportation Miles § 39.711 How does a school calculate annual bus transportation miles for residential students? To calculate the total annual transportation miles for residential students, a school must use...

25 CFR 39.711 - How does a school calculate annual bus transportation miles for residential students?

Code of Federal Regulations, 2010 CFR

2010-04-01

... miles for residential students? 39.711 Section 39.711 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... Transportation Miles § 39.711 How does a school calculate annual bus transportation miles for residential students? To calculate the total annual transportation miles for residential students, a school must use...

25 CFR 39.711 - How does a school calculate annual bus transportation miles for residential students?

Code of Federal Regulations, 2011 CFR

2011-04-01

... miles for residential students? 39.711 Section 39.711 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... Transportation Miles § 39.711 How does a school calculate annual bus transportation miles for residential students? To calculate the total annual transportation miles for residential students, a school must use...

40 CFR 98.144 - Monitoring and QA/QC requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... mineral mass fractions at least annually to verify the mass fraction data provided by the supplier of the... determine the annual average mass fraction for the carbonate-based mineral in each carbonate-based raw... calibrated scales or weigh hoppers. Total annual mass charged to glass melting furnaces at the facility shall...

40 CFR 98.144 - Monitoring and QA/QC requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... mineral mass fractions at least annually to verify the mass fraction data provided by the supplier of the... Spectrometry (incorporated by reference, see § 98.7). (c) You must determine the annual average mass fraction... calibrated scales or weigh hoppers. Total annual mass charged to glass melting furnaces at the facility shall...

7 CFR 929.50 - Transfers of Sales Histories and Annual Allotments.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 8 2013-01-01 2013-01-01 false Transfers of Sales Histories and Annual Allotments... Regulations § 929.50 Transfers of Sales Histories and Annual Allotments. (a) Leases and sales of cranberry... occurs, sales history attributable to the acreage being leased shall remain with the lessor. (2) Total...

7 CFR 929.50 - Transfers of Sales Histories and Annual Allotments.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 8 2012-01-01 2012-01-01 false Transfers of Sales Histories and Annual Allotments... Regulations § 929.50 Transfers of Sales Histories and Annual Allotments. (a) Leases and sales of cranberry... occurs, sales history attributable to the acreage being leased shall remain with the lessor. (2) Total...

7 CFR 929.50 - Transfers of Sales Histories and Annual Allotments.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 8 2011-01-01 2011-01-01 false Transfers of Sales Histories and Annual Allotments... Regulations § 929.50 Transfers of Sales Histories and Annual Allotments. (a) Leases and sales of cranberry... occurs, sales history attributable to the acreage being leased shall remain with the lessor. (2) Total...

7 CFR 929.50 - Transfers of Sales Histories and Annual Allotments.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 8 2014-01-01 2014-01-01 false Transfers of Sales Histories and Annual Allotments... Regulations § 929.50 Transfers of Sales Histories and Annual Allotments. (a) Leases and sales of cranberry... occurs, sales history attributable to the acreage being leased shall remain with the lessor. (2) Total...

7 CFR 929.50 - Transfers of Sales Histories and Annual Allotments.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Transfers of Sales Histories and Annual Allotments... Regulations § 929.50 Transfers of Sales Histories and Annual Allotments. (a) Leases and sales of cranberry... occurs, sales history attributable to the acreage being leased shall remain with the lessor. (2) Total...

Minnesota Higher Education Facilities Authority: 1999 Annual Report.

ERIC Educational Resources Information Center

Minnesota Higher Education Facilities Authority, Saint Paul.

This annual report reviews fiscal year 1999 for institutions serviced by the Minnesota Higher Education Facilities Authority. The report notes a slight decline in new financing activity, although the $87.7 million financed during the 1999 fiscal year was the second highest annual total for the Authority. Following some introductory material, the…

17 CFR 270.30b1-2 - Semi-annual report for totally-owned registered management investment company subsidiary of...

Code of Federal Regulations, 2013 CFR

2013-04-01

... subsidiary of a registered management investment company need not file a semi-annual report on Form N-SAR if financial information with respect to that subsidiary is reported in the parent's semi-annual report on Form N-SAR. [54 FR 10321, Mar. 13, 1989] ...

17 CFR 270.30b1-2 - Semi-annual report for totally-owned registered management investment company subsidiary of...

Code of Federal Regulations, 2012 CFR

2012-04-01

... subsidiary of a registered management investment company need not file a semi-annual report on Form N-SAR if financial information with respect to that subsidiary is reported in the parent's semi-annual report on Form N-SAR. [54 FR 10321, Mar. 13, 1989] ...

17 CFR 270.30b1-2 - Semi-annual report for totally-owned registered management investment company subsidiary of...

Code of Federal Regulations, 2014 CFR

2014-04-01

... subsidiary of a registered management investment company need not file a semi-annual report on Form N-SAR if financial information with respect to that subsidiary is reported in the parent's semi-annual report on Form N-SAR. [54 FR 10321, Mar. 13, 1989] ...

17 CFR 270.30b1-2 - Semi-annual report for totally-owned registered management investment company subsidiary of...

Code of Federal Regulations, 2011 CFR

2011-04-01

... subsidiary of a registered management investment company need not file a semi-annual report on Form N-SAR if financial information with respect to that subsidiary is reported in the parent's semi-annual report on Form N-SAR. [54 FR 10321, Mar. 13, 1989] ...

Pima Community College Summary of 2000-2001 Student Enrollment.

ERIC Educational Resources Information Center

Attinasi, Louis; Hennessey, Brendan; Reece, Dee

This report summarizes the annual unduplicated headcount enrollment and the annual full-time student equivalents (FTSE) generated by students in credit classes and by completers of clock-hour programs during fiscal year 2000-2001 at Pima Community College (Arizona). Highlights include: (1) Pima's total annual unduplicated headcount was 65,221 and…

Joint variability of global runoff and global sea surface temperatures

USGS Publications Warehouse

McCabe, G.J.; Wolock, D.M.

2008-01-01

Global land surface runoff and sea surface temperatures (SST) are analyzed to identify the primary modes of variability of these hydroclimatic data for the period 1905-2002. A monthly water-balance model first is used with global monthly temperature and precipitation data to compute time series of annual gridded runoff for the analysis period. The annual runoff time series data are combined with gridded annual sea surface temperature data, and the combined dataset is subjected to a principal components analysis (PCA) to identify the primary modes of variability. The first three components from the PCA explain 29% of the total variability in the combined runoff/SST dataset. The first component explains 15% of the total variance and primarily represents long-term trends in the data. The long-term trends in SSTs are evident as warming in all of the oceans. The associated long-term trends in runoff suggest increasing flows for parts of North America, South America, Eurasia, and Australia; decreasing runoff is most notable in western Africa. The second principal component explains 9% of the total variance and reflects variability of the El Ni??o-Southern Oscillation (ENSO) and its associated influence on global annual runoff patterns. The third component explains 5% of the total variance and indicates a response of global annual runoff to variability in North Aflantic SSTs. The association between runoff and North Atlantic SSTs may explain an apparent steplike change in runoff that occurred around 1970 for a number of continental regions.

The economics of irrigated paddy in Usangu Basin in Tanzania: water utilization, productivity, income and livelihood implications

NASA Astrophysics Data System (ADS)

Kadigi, Reuben M. J.; Kashaigili, Japhet J.; Mdoe, Ntengua S.

Globally, there is a general lack of consensus on how the available water resources can be allocated efficiently and equitably among its competing uses. In irrigated agriculture, this decodes to the central question of how this sector can be balanced in the manner that it produces more ‘crops per drop’ using less water and releasing adequate water for use by other sectors while concurrently enhancing rural income and livelihoods. This requires that the values and costs of irrigated agriculture, at all levels, are well understood and appropriate interventions made. Based on this ground, this paper presents an economic analysis of the value of irrigated paddy in Usangu basin. It attempts to answer the question of what will be the effects if farmers in Usangu stop producing irrigated paddy. The analysis shows that: (a) about 576 mm 3 of water--currently consumed in paddy irrigation, or 345.6 mm 3--traded inter-regionally as “virtual water” would be utilized in alternative ways, either as evaporation from seasonal swamps within the basin or made available for other intersectoral uses, (b) there will be a shrinkage in the annual paddy supply (both at the local and national levels) of about 105,000 t of paddy (66,000 t of rice)-equivalent to 14.4% of the total annual paddy production in Tanzania, (c) an opportunity cost of about US15.9 million will be incurred annually (equivalent to US530.95 per annum per household practicing irrigated paddy in Usangu), and d) the country’s current account of the balance of payments will be affected by an average of US$15.9 million per annum. The effect will either be in form of annual decline in rice exports or increase in imports depending on the country’s supply and demand for rice.

Surface-Water Conditions in Georgia, Water Year 2005

USGS Publications Warehouse

Painter, Jaime A.; Landers, Mark N.

2007-01-01

INTRODUCTION The U.S. Geological Survey (USGS) Georgia Water Science Center-in cooperation with Federal, State, and local agencies-collected surface-water streamflow, water-quality, and ecological data during the 2005 Water Year (October 1, 2004-September 30, 2005). These data were compiled into layers of an interactive ArcReaderTM published map document (pmf). ArcReaderTM is a product of Environmental Systems Research Institute, Inc (ESRI?). Datasets represented on the interactive map are * continuous daily mean streamflow * continuous daily mean water levels * continuous daily total precipitation * continuous daily water quality (water temperature, specific conductance dissolved oxygen, pH, and turbidity) * noncontinuous peak streamflow * miscellaneous streamflow measurements * lake or reservoir elevation * periodic surface-water quality * periodic ecological data * historical continuous daily mean streamflow discontinued prior to the 2005 water year The map interface provides the ability to identify a station in spatial reference to the political boundaries of the State of Georgia and other features-such as major streams, major roads, and other collection stations. Each station is hyperlinked to a station summary showing seasonal and annual stream characteristics for the current year and for the period of record. For continuous discharge stations, the station summary includes a one page graphical summary page containing five graphs, a station map, and a photograph of the station. The graphs provide a quick overview of the current and period-of-record hydrologic conditions of the station by providing a daily mean discharge graph for the water year, monthly statistics graph for the water year and period of record, an annual mean streamflow graph for the period of record, an annual minimum 7-day average streamflow graph for the period of record, and an annual peak streamflow graph for the period of record. Additionally, data can be accessed through the layer's link to the National Water Inventory System Web (NWISWeb) Interface.

Evaluation of Water Rights to Reveal Hidden Patterns and Trends in Water Resources Management

NASA Astrophysics Data System (ADS)

Grantham, T.; Viers, J. H.

2013-12-01

California's current water management challenges are strongly influenced by the legacy of 19th century legal doctrines, which aim to maximize the appropriation of available water for human uses and benefits. As a consequence and over time, most of the water flowing through the state's rivers and streams has been dedicated through water rights to human uses, limiting potential for sustainable water management and climate change adaptation. This history is recorded in a database of water rights, which contains approximately 50,000 records of diversion and storage projects dating from the early 19th century to the present day. Although water rights records are rarely considered in regional water budgeting, information on the location, age, purpose, and face values of water rights offer insight into the spatial and temporal dimensions of water-use pressures and can be used to identify opportunities for management interventions. Using the state water rights database, we calculated cumulative face-value rights at the HUC12-watershed scale and compared water appropriation volumes with modeled predictions of surface water availability. Total annual allocations of current water rights exceed 340 million-acre feet (4 x 1011 m3), approximately five times the state's mean annual runoff. The total volume of face-value water rights is 25 to 1,000% of annual water availability in major river basins (greater than 400 km2), with the greatest degree of appropriation observed in tributaries to the Sacramento and San Joaquin Rivers and coastal streams in southern California. Trends in water rights appropriation since 1900 indicate periods of rapid demand growth between 1925-1940, 1950-1960, and 1975-1985, which mirror major dam building eras. We illustrate how information on the spatial distribution of water rights, appropriation volumes, and priority of use, can guide strategic planning for re-allocating water for environmental benefits and other management objectives. We also describe how this effort can improve reporting and processing of, and access to, state water rights data for improved decision-making and management of water resources.

76 FR 40713 - Agency Information Collection Extension

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-11

... Paperwork Reduction Act of 1995), intends to extend for three years, an information collection request with...) Annual Estimated Number of Respondents: 1817; (6) Annual Estimated Number of Total Responses: 1817; (7...

Conservation status of an endangered annual fish Hypsolebias antenori (Rivulidae) from Northeastern Brazil.

PubMed

Nascimento, W S; Yamamoto, M E; Chellappa, N T; Rocha, O; Chellappa, S

2015-05-01

This work presents information regarding the biology and state of conservation of an endangered annual fish Hypsolebias antenori. Fish were captured from small seasonal pools located in Northeastern Brazil. The total body length, body mass, sex ratio, first sexual maturity were investigated. The sampled population showed sexual dimorphism. There was a predominance of females (60%) over males (40%) with a sex ratio of 1: 1.4 and males were bigger and heavier than the females. Amplitude of total length of males ranged from 2.6 to 7.1cm (4.1 ± 1.15) and that of females from 2.2 to 5.4 cm (3.6 ± 0.9). Amplitude of body mass of males varied from 0.25 to 7 g (1.3 g ± 1.4) and that of females from 0.12 to 2.1g (0.7 g ± 0.5). The total weight-length equation of males was Wt = 0.0108Lt3.172 with r = 0.9826 and of females was Wt = 0.0122Lt3.0114 with r = 0.9608. Females attained first sexual maturity at 3.2 cm (± 0.25) total length and males at 3.3 cm (± 0.08) total length. All temporary pools surveyed in Northeastern Brazil were in a high degree of degradation, suffering due to anthropogenic action. Reduced rainfall resulting from global climate change prevents the filling up of these pools, thus preventing the completion of the reproductive cycle of annual fishes. One factor hindering development of conservation strategies is limited literature on biology and conservation status of annual fishes. There is a need for conservation measures to protect annual fish populations, especially creation of protected areas in the Brazilian semiarid region.

Medical Malpractice in Connecticut: Defensive Medicine, Real Problem or a Red Herring – Example of Assessment of Quality Outcomes Variables

PubMed Central

Ridic, Goran; Howard, Tim; Ridic, Ognjen

2012-01-01

Material and method: Using the survey data obtained from doctors in Connecticut, we estimate the “true” costs of defensive medicine and medical malpractice awards via litigation in the overall aggregate picture of U.S. national annual health expenditures. Results and discusion: Progressives claim that these costs amount only to approximately 2% of total annual health expenditures, while conservatives claim that these costs are much higher, in the neighborhood of 10%. Conservatives want to reform the current medical malpractice system because the savings could be significant. Progressives claim that this issue is a “red herring” in the overall picture of health care reform and that other factors such as hospital costs, payments to physicians and pharmaceutical prices are the largest contributors to runaway health care costs, currently amounting to 18% of GDP. The health of the national economy, deficit reduction and future prosperity will depend upon the speed and quality of the cost reducing solutions. Conclusion: An in-depth look into cost and profit structure of each provider’s procedure and legislative push for price and quality transparency of the informed and educated constituents are recommended to improve this serious national, socio-economic problem. PMID:23322952

Evaluating Habitat Suitability for the Establishment of Monochamus spp. through Climate-Based Niche Modeling

PubMed Central

Estay, Sergio A.; Labra, Fabio A.; Sepulveda, Roger D.; Bacigalupe, Leonardo D.

2014-01-01

Pine sawyer beetle species of the genus Monochamus are vectors of the nematode pest Bursaphelenchus xylophilus. The introduction of these species into new habitats is a constant threat for those regions where the forestry industry depends on conifers, and especially on species of Pinus. To obtain information about the potential risk of establishment of these insects in Chile, we performed climate-based niche modeling using data for five North American and four Eurasian Monochamus species using a Maxent approach. The most important variables that account for current distribution of these species are total annual precipitation and annual and seasonal average temperatures, with some differences between North American and Eurasian species. Projections of potential geographic distribution in Chile show that all species could occupy at least 37% of the area between 30° and 53°S, where industrial plantations of P. radiata are concentrated. Our results indicated that Chile seems more suitable for Eurasian than for North American species. PMID:25019408

Marine ecosystem appropriation in the Indo-Pacific: a case study of the live reef fish food trade

NASA Technical Reports Server (NTRS)

Warren-Rhodes, Kimberley; Sadovy, Yvonne; Cesar, Herman

2003-01-01

Our ecological footprint analyses of coral reef fish fisheries and, in particular, the live reef fish food trade (FT), indicate many countries' current consumption exceeds estimated sustainable per capita global, regional and local coral reef production levels. Hong Kong appropriates 25% of SE Asia's annual reef fish production of 135 260-286 560 tonnes (t) through its FT demand, exceeding regional biocapacity by 8.3 times; reef fish fisheries demand out-paces sustainable production in the Indo-Pacific and SE Asia by 2.5 and 6 times. In contrast, most Pacific islands live within their own reef fisheries means with local demand at < 20% of total capacity in Oceania. The FT annually requisitions up to 40% of SE Asia's estimated reef fish and virtually all of its estimated grouper yields. Our results underscore the unsustainable nature of the FT and the urgent need for regional management and conservation of coral reef fisheries in the Indo-Pacific.

Marine ecosystem appropriation in the Indo-Pacific: a case study of the live reef fish food trade.

PubMed

Warren-Rhodes, Kimberley; Sadovy, Yvonne; Cesar, Herman

2003-11-01

Our ecological footprint analyses of coral reef fish fisheries and, in particular, the live reef fish food trade (FT), indicate many countries' current consumption exceeds estimated sustainable per capita global, regional and local coral reef production levels. Hong Kong appropriates 25% of SE Asia's annual reef fish production of 135 260-286 560 tonnes (t) through its FT demand, exceeding regional biocapacity by 8.3 times; reef fish fisheries demand out-paces sustainable production in the Indo-Pacific and SE Asia by 2.5 and 6 times. In contrast, most Pacific islands live within their own reef fisheries means with local demand at < 20% of total capacity in Oceania. The FT annually requisitions up to 40% of SE Asia's estimated reef fish and virtually all of its estimated grouper yields. Our results underscore the unsustainable nature of the FT and the urgent need for regional management and conservation of coral reef fisheries in the Indo-Pacific.

Estimated cost of overactive bladder in Thailand.

PubMed

Prasopsanti, Kriangsak; Santi-Ngamkun, Apirak; Pornprasit, Kanokwan

2007-11-01

To estimate the annual direct and indirect costs of overactive bladder (OAB) in indigenous Thai people aged 18 years and over in the year 2005. Economically based models using diagnostic and treatment algorithms from clinical practice guidelines and current disease prevalence data were used to estimate direct and indirect costs of OAB. Prevalence and event probability estimates were obtained from the literature, national data sets, and expert opinion. Costs were estimated from a small survey using a cost questionnaire and from unit costs of King Chulalongkorn Memorial Hospital. The annual cost of OAB in Thailand is estimated as 1.9 billion USD. It is estimated to consume 1.14% of national GDP The cost includes 0.33 billion USD for direct medical costs, 1.3 billion USD for direct, nonmedical costs and 0.29 billion USD for indirect costs of lost productivity. The largest costs category was direct treatment costs of comorbidities associated with OAB. Costs of OAB medication accountedfor 14% of the total costs ofOAB.

Challenges of Sustaining the International Space Station through 2020 and Beyond: Including Epistemic Uncertainty in Reassessing Confidence Targets

NASA Technical Reports Server (NTRS)

Anderson, Leif; Carter-Journet, Katrina; Box, Neil; DiFilippo, Denise; Harrington, Sean; Jackson, David; Lutomski, Michael

2012-01-01

This paper introduces an analytical approach, Probability and Confidence Trade-space (PACT), which can be used to assess uncertainty in International Space Station (ISS) hardware sparing necessary to extend the life of the vehicle. There are several key areas under consideration in this research. We investigate what sparing confidence targets may be reasonable to ensure vehicle survivability and for completion of science on the ISS. The results of the analysis will provide a methodological basis for reassessing vehicle subsystem confidence targets. An ongoing annual analysis currently compares the probability of existing spares exceeding the total expected unit demand of the Orbital Replacement Unit (ORU) in functional hierarchies approximating the vehicle subsystems. In cases where the functional hierarchies availability does not meet subsystem confidence targets, the current sparing analysis further identifies which ORUs may require additional spares to extend the life of the ISS. The resulting probability is dependent upon hardware reliability estimates. However, the ISS hardware fleet carries considerable epistemic uncertainty (uncertainty in the knowledge of the true hardware failure rate), which does not currently factor into the annual sparing analysis. The existing confidence targets may be conservative. This paper will also discuss how confidence targets may be relaxed based on the inclusion of epistemic uncertainty for each ORU. The paper will conclude with strengths and limitations for implementing the analytical approach in sustaining the ISS through end of life, 2020 and beyond.

76 FR 68786 - Agency Information Collection Activities: Extension of a Currently Approved Collection; Annual...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-07

... DEPARTMENT OF JUSTICE [OMB Number 1122-0003] Agency Information Collection Activities: Extension of a Currently Approved Collection; Annual Progress Report for the STOP Formula Grants Program ACTION: 60-Day notice of information collection under review. The Department of Justice, Office on Violence Against Women (OVW) will be submitting the...

Fifth Annual EDUCAUSE Survey Identifies Current IT Issues

ERIC Educational Resources Information Center

Spicer, Donald Z.; DeBlois, Peter B.

2004-01-01

This year marks the fifth annual EDUCAUSE Current Issues Survey to identify what campus information technology leaders see as their most critical IT challenges. Thirty-five percent (571) of the 1,638 EDUCAUSE primary member representatives who were asked to participate responded to an e-mail invitation to complete the Web-based survey in December…

78 FR 54622 - Proposed Information Collection; Comment Request; Current Population Survey, Annual Social and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-05

... Population Survey, Annual Social and Economic Supplement AGENCY: U.S. Census Bureau, Commerce. ACTION: Notice... (ASEC) to be conducted in conjunction with the February, March, and April Current Population Survey (CPS...), and the need to modernize this survey to take advantage of computer assisted interviewing (CAI...

Late Streptococcus bovis infection of total knee replacement complicated by infective endocarditis and associated with colonic ulcers

PubMed Central

Nagy, Mathias Thomas; Hla, Sann Minn; Keys, Graham Watson

2013-01-01

Streptococcus bovis is rare cause of late infections after total knee replacement (TKR). This report presents a case of confirmed late septic arthritis following TKR caused by S bovis that was further complicated with infective endocarditis resulting in aortic valve insufficiency in an immunecompetent patient. As an association between S bovis and gastrointestinal malignancies is suggested, a workup for such malignancies was performed that revealed non-malignant ulcers in patient's ascending colon. The patient is currently recovering from his aortic valve replacement surgery and is scheduled to have annual colonoscopies. His knee joint has improved; however, he developed constant pain because of underlying chronic infection in the affected joint and has difficulties mobilising. Therefore, a revision TKR is considered but postponed until he fully recovers from his heart valve surgery. PMID:23744853

Agricultural costs of the Chesapeake Bay total maximum daily load.

PubMed

Kaufman, Zach; Abler, David; Shortle, James; Harper, Jayson; Hamlett, James; Feather, Peter

2014-12-16

This study estimates costs to agricultural producers of the Watershed Implementation Plans (WIPs) developed by states in the Chesapeake Bay Watershed to comply with the Chesapeake Bay total maximum daily load (TMDL) and potential cost savings that could be realized by a more efficient selection of agricultural Best Management Practices (BMPs) and spatial targeting of BMP implementation. The cost of implementing the WIPs between 2011 and 2025 is estimated to be about $3.6 billion (in 2010 dollars). The annual cost associated with full implementation of all WIP BMPs from 2025 onward is about $900 million. Significant cost savings can be realized through careful and efficient BMP selection and spatial targeting. If retiring up to 25% of current agricultural land is included as an option, Bay-wide cost savings of about 60% could be realized compared to the WIPs.

Top 100 Cited Articles on Back Pain Research: A Citation Analysis.

PubMed

Huang, Weimin; Wang, Lei; Wang, Bing; Yu, Lili; Yu, Xiuchun

2016-11-01

A bibliometric review of the literature. Back pain is a global burden that leads people to seek medical service and results in work disability. Numerous studies are published annually to give new insights into back pain. However, characteristics of the high-impact articles on back pain have not been explored. The current study aimed to identify the 100 most cited articles on back pain and determine their characteristics. Back pain is a globally leading cause of work disability. Numerous studies have been published annually to give new insight to back pain. However, comprehensive analysis to identify the most influential articles is not available until now. The Web of Science core database was searched using the subject terms "back NEAR pain," "dorsalgia," "backache," "lumbar NEAR pain," "lumbago," "back NEAR disorder*," "discitis." The searching results were listed by citation times and the top 100 cited articles on back pain were identified. Important information such as author, journal, publishing year, country, institution, and study type were elicited. A total of 44,460 articles on back pain were displayed. Citation times of the enrolled 100 articles ranged from 249 to 1638 with a mean value of 418. The most productive periods were 1991 to 1995 and 1996 to 2000. The journal Spine holds the largest number of 45 articles, followed by Pain with seven articles. A total of 11 countries contribute to the 100 articles and the United States topped the list. None of the high-impact articles were produced in Asian and African. The current citation analysis demonstrated the essential advances in the history of back pain research and determined the influential authors, institutions, countries, and journals that had outstanding contributions to the studies of back pain. 3.

The impact of diabetes mellitus on healthcare costs in Italy.

PubMed

Giorda, Carlo B; Manicardi, Valeria; Diago Cabezudo, Jesús

2011-12-01

Diabetes mellitus is an increasingly common chronic disease that has a great impact not only in terms of clinical effects, but also in terms of economic burden worldwide. Expenditures due to diabetes derive essentially from direct and indirect costs. Current estimates of global healthcare expenditures due to diabetes are US$376 billion and are expected to increase to US$490 billion by 2030. In particular, costs associated with diabetes-related complications represent the most relevant part of the national healthcare expenditure for diabetes and are higher than the costs of managing diabetes itself. The major expenditure depends on the type and the number of complications: cardiovascular complications increase direct costs, especially for hospitalization. Moreover, diabetic comorbidity has a greater economic impact on the health expenditure in comparison with those patients without diabetes. In Europe, the CODE-2 study was the first attempt to evaluate the costs of diabetes: the annual costs per patient were estimated at €2384 and the highest value, €2991, was registered in Italy. This indicates an overall annual cost of €5170 million for the whole Italian population with diabetes. Current estimates for 2010 healthcare expenditure for diabetes are US$105 billion (10% of total healthcare expenditure, US$2046 per person) for the whole European region, and US$11 billion (9% of total healthcare expenditure, US$2087 per person) for Italy. More studies are needed in order to better define the real significance of the healthcare costs of diabetes in Italy. An effective therapy with a good metabolic control can reduce the risk of complications and represents a valid strategy from an economic point of view.

Current operator volumes of invasive coronary procedures in Medicare patients: implications for future manpower needs in the catheterization laboratory.

PubMed

Maroney, Justin; Khan, Saba; Powell, Wayne; Klein, Lloyd W

2013-01-01

We seek to assess the per-operator volume of diagnostic catheterizations and percutaneous coronary interventions (PCI) among US cardiologists, and its implication for future manpower needs in the catheterization laboratory. The number of annual Medicare PCIs peaked in 2004 and has trended downward since, however the total number of catheterization laboratories nationwide has increased. It is unknown whether these trends have resulted in a dilution of per-operator volumes, and whether the current supply of interventional cardiologists is appropriate to meet future needs. We analyzed the Centers for Medicare and Medicaid Services 2008 Medicare 5% sample file, and extracted the total number of Medicare fee-for-service (Medicare FFS) diagnostic catheterizations and PCIs performed in 2008. We then determined per-physician procedure volumes using National Provider Identifier numbers. There were 1,198,610 Medicare FFS diagnostic catheterizations performed by 11,029 diagnostic cardiologists, and there were 378,372 Medicare FFS PCIs performed by 6,443 interventional cardiologists in 2008. The data reveal a marked difference in the 2008 distribution of diagnostic catheterizations and PCIs among operators. Just over 10% of diagnostic catheterizations were performed by operators performing 40 or fewer Medicare FFS diagnostic catheterizations, contrasted with almost 30% of PCIs performed by operators with 40 of fewer Medicare FFS PCIs. A significant majority of interventional cardiologists (61%) performed 40 or fewer Medicare FFS PCIs in 2008. There is a high percentage of low-volume operators performing PCI, raising questions regarding annual volume recommendations for procedural skill maintenance, and the future manpower requirements in the catheterization laboratory. Copyright © 2012 Wiley Periodicals, Inc.

Cost of fetal alcohol spectrum disorder diagnosis in Canada.

PubMed

Popova, Svetlana; Lange, Shannon; Burd, Larry; Chudley, Albert E; Clarren, Sterling K; Rehm, Jürgen

2013-01-01

Fetal Alcohol Spectrum Disorder (FASD) is underdiagnosed in Canada. The diagnosis of FASD is not simple and currently, the recommendation is that a comprehensive, multidisciplinary assessment of the individual be done. The purpose of this study was to estimate the annual cost of FASD diagnosis on Canadian society. The diagnostic process breakdown was based on recommendations from the Fetal Alcohol Spectrum Disorder Canadian Guidelines for Diagnosis. The per person cost of diagnosis was calculated based on the number of hours (estimated based on expert opinion) required by each specialist involved in the diagnostic process. The average rate per hour for each respective specialist was estimated based on hourly costs across Canada. Based on the existing clinical capacity of all FASD multidisciplinary clinics in Canada, obtained from the 2005 and 2011 surveys conducted by the Canada Northwest FASD Research Network, the number of FASD cases diagnosed per year in Canada was estimated. The per person cost of FASD diagnosis was then applied to the number of cases diagnosed per year in Canada in order to calculated the overall annual cost. Using the most conservative approach, it was estimated that an FASD evaluation requires 32 to 47 hours for one individual to be screened, referred, admitted, and diagnosed with an FASD diagnosis, which results in a total cost of $3,110 to $4,570 per person. The total cost of FASD diagnostic services in Canada ranges from $3.6 to $5.2 million (lower estimate), up to $5.0 to $7.3 million (upper estimate) per year. As a result of using the most conservative approach, the cost of FASD diagnostic services presented in the current study is most likely underestimated. The reasons for this likelihood and the limitations of the study are discussed.

Environmental management in resource-rich Alberta, Canada: first world jurisdiction, Third World analogue?

PubMed

Timoney, K; Lee, P

2001-12-01

Economic growth is frequently touted as a cure for environmental ills, particularly for those in Third World countries. Here we examine that paradigm in a case study of Alberta, Canada, a wealthy, resource-rich province within a wealthy nation. Through provincial-scale datasets, we examine the increasing pressures of the forest, petroleum, and agricultural industries upon the ecosystems of Alberta within management, economic, and political contexts. We advance the thesis that economic activity leads to environmental degradation unless ecosystem-based management is integrated into economic decision making. Agricultural lands cover 31.7%, and forest management areas leased to industry cover 33.4% of Alberta; both continue to increase in extent. The rate of logging (focused on old-growth by government policy) continues a decades-long exponential rise. Current Alberta annual petroleum production is 52.5 million m3 crude oil and 117 billion m3 of gas. As of early 1999, there were approximately 199,025 oil and gas wells and a conservative total of approximately 1.5-1.8 million km of seismic lines in Alberta. Fire occurrence data indicate no downward trends in annual area burned by wildfire, which may be characterized as driven by climate and inherently variable. When logging and wildfire are combined, the annual allowable cut in Alberta is unsustainable, even when only timber supply is considered and the effects of expanding agriculture and oil and gas activities are ignored. Ecosystem degradation in Alberta is pervasive and contrasts prominently with a high standard of living. A wealth of ecological data exists that indicates current resource-based economic activities are non-sustainable and destructive of ecosystem health yet these data are not considered within the economic decision making process. Given the complex, compounded, and increasing ecosystem perturbations, a future of unpleasant ecological surprises is likely. We conclude with tentative predictions as to where current trends in Alberta may lead if decisions biased against ecosystems continue.

Cost of illness among patients with diabetic foot ulcer in Turkey

PubMed Central

Oksuz, Ergun; Malhan, Simten; Sonmez, Bilge; Numanoglu Tekin, Rukiye

2016-01-01

AIM To evaluate the annual cost of patients with Wagner grade 3-4-5 diabetic foot ulcer (DFU) from the public payer’s perspective in Turkey. METHODS This study was conducted focused on a time frame of one year from the public payer’s perspective. Cost-of-illness (COI) methodology, which was developed by the World Health Organization, was used in the generation of cost data. By following a clinical path with the COI method, the main total expenses were reached by multiplying the number of uses of each expense item, the percentage of cases that used them and unit costs. Clinical guidelines and real data specific to Turkey were used in the calculation of the direct costs. Monte Carlo Simulation was used in the study as a sensitivity analysis. RESULTS The following were calculated in DFU treatment from the public payer’s perspective: The annual average per patient outpatient costs $579.5 (4.1%), imaging test costs $283.2 (2.0%), laboratory test costs $284.8 (2.0%), annual average per patient cost of intervention, rehabilitation and trainings $2291.7 (16.0%), annual average per patient cost of drugs used $2545.8 (17.8%) and annual average per patient cost of medical materials used in DFU treatment $735.0 (5.1%). The average annual per patient cost for hospital admission is $7357.4 (51.5%). The average per patient complication cost for DFU is $210.3 (1.5%). The average annual per patient cost of DFU treatment in Turkey is $14287.70. As a result of the sensitivity analysis, the standard deviation of the analysis was $5706.60 (n = 5000, mean = $14146.8, 95%CI: $13988.6-$14304.9). CONCLUSION The health expenses per person are $-PPP 1045 in 2014 in Turkey and the average annual per patient cost for DFU is 14-fold of said amount. The total health expense in 2014 in Turkey is $-PPP 80.3 billion and the total DFU cost has a 3% share in the total annual health expenses for Turkey. Hospital costs are the highest component in DFU disease costs. In order to prevent DFU, training of the patients at risk and raising consciousness in patients with diabetes mellitus (DM) will provide benefits in terms of economy. Appropriate and efficient treatment of DM is a health intervention that can prevent complications. PMID:27795820

Current Internet use and preferences of IVF and ICSI patients.

PubMed

Haagen, E C; Tuil, W; Hendriks, J; de Bruijn, R P J; Braat, D D M; Kremer, J A M

2003-10-01

Nowadays, the Internet has a tremendous impact on modern society, including healthcare practice. The study aim was to characterize current Internet use by IVF and ICSI patients and to identify their preferences regarding Internet applications in fertility care. A total of 163 couples with fertility problems awaiting an IVF or ICSI procedure in the University Medical Centre Nijmegen, The Netherlands, was asked to complete a written questionnaire on Internet use in general, and also for fertility-related problems, preferences regarding Internet applications in fertility care and demographic characteristics. The response rate was 82%. In total, 81% of infertile couples used the Internet. Multivariate logistic regression analysis showed ethnic background and annual family income to be significant predictors of Internet use. Some 66% of Internet users and 54% of the total study population used the Internet for fertility-related problems. The female partners were the main Internet users with regard to fertility-related issues. In terms of preferences of the study participants, the majority favoured personal medical information online. Most infertile couples used the Internet with respect to fertility-related problems and were interested in implementation of Internet applications in fertility care. Healthcare providers should actively participate in the development and implementation of Internet applications in fertility care.

76 FR 78146 - Addition of Certain Persons to the Entity List; and Implementation of Entity List Annual Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-16

... of the annual review, and revises the entry concerning one person located in Malaysia to add an... Entity List. This rule implements the results of the annual review for entities located in Malaysia... during the annual review, this rule amends one entry currently on the Entity List under Malaysia by...

Early pruning affects 15-year growth of cottonwood planted at 40- by 40-foot spacing

Treesearch

James S. Meadows; Roger M. Krinard

2013-01-01

We compared the growth of eastern cottonwood (Populus deltoides Bartr. ex Marsh.) trees planted at 40- by 40-foot spacing and subjected to four pruning treatments from the 2nd through the 8th year of growth. Treatments were (1) no pruning, (2) prune to one-third of total height annually, (3) prune to one-half of total height annually, and (4) prune...

Sex-related trends in participation and performance in the 'Swiss Bike Masters' from 1994-2012.

PubMed

Gloor, Roman Urs; Knechtle, Beat; Knechtle, Patrizia; Rüst, Christoph Alexander; Haupt, Samuel; Rosemann, Thomas; Lepers, Romuald

2013-04-01

General participation in contests such as ultra-marathons and ultra-triathlons has increased considerably over the past 30 years, especially among women. This study investigated performance trends in the Swiss Bike Masters, one of the first and most prestigious mountain bike, ultra-endurance races in its class, with comparisons of participation and performance trends to similar races. The development of performance in the Swiss Bike Masters held between 1994 and 2012 was investigated by analysing the number of finishers, their age, sex, and cycling speed. Between 1994 and 2009, the athletes had to cover 120 kilometers with a total difference in altitude of 5,000 meters. Since 2010, the race distance was shortened to 105 kilometers and the total difference in altitude was reduced to 4,400 meters. The total men participating and total finishing decreased significantly, while women's participation has remained low. The age of the annual winners and the annual top three finishers showed no changes over time. Performances of the annual fastest women improved, while performances of the annual fastest men remained unchanged. To summarize, rate of finishing has decreased for men and has been stable, but low, among women. The sex difference in cycling speed for the best cyclists has decreased across the years.

Exposures to Transit and Other Sources of Noise among New York City Residents

PubMed Central

Neitzel, Richard L.; Gershon, Robyn R. M.; McAlexander, Tara P.; Magda, Lori A.; Pearson, Julie M.

2015-01-01

To evaluate the contributions of common noise sources to total annual noise exposures among urban residents and workers, we estimated exposures associated with five common sources (use of mass transit, occupational and non-occupational activities, MP3 player and stereo use, and time at home and doing other miscellaneous activities) among a sample of over 4500 individuals in New York City (NYC). We then evaluated the contributions of each source to total noise exposure and also compared our estimated exposures to the recommended 70 dBA annual exposure limit. We found that one in ten transit users had noise exposures in excess of the recommended exposure limit from their transit use alone. When we estimated total annual exposures, 90% of NYC transit users and 87% of nonusers exceeded the recommended limit. MP3 player and stereo use, which represented a small fraction of the total annual hours for each subject on average, was the primary source of exposure among the majority of urban dwellers we evaluated. Our results suggest that the vast majority of urban mass transit riders may be at risk of permanent, irreversible noise-induced hearing loss and that, for many individuals, this risk is driven primarily by exposures other than occupational noise. PMID:22088203

Current and Future Applications of Mechanical Fasteners for Light-Frame Wood Structures: Proceedings of Mechanical Fasteners Plenary Session at the Forest Products Research Society Annual Meeting

Treesearch

Leslie H. Groom; [Compiler

1993-01-01

The title of this publication-"Current and Future Applications of Mechanical Fasteners for Light-Frame Wood Structures" is the theme of this plenary session from the 1991 annual meeting of the Forest Products Research Society (FPRS). This theme was chosen to address current issues in the forest products industry: changing design codes, fastener performance,...

Has Medicare Part D Reduced Racial/Ethnic Disparities in Prescription Drug Use and Spending?

PubMed Central

Mahmoudi, Elham; Jensen, Gail A

2014-01-01

Objective To evaluate whether Medicare Part D has reduced racial/ethnic disparities in prescription drug utilization and spending. Data Nationally representative data on white, African American, and Hispanic Medicare seniors from the 2002–2009 Medical Expenditure Panel Survey are analyzed. Five measures are examined: filling any prescriptions during the year, the number of prescriptions filled, total annual prescription spending, annual out-of-pocket prescription spending, and average copay level. Study Design We apply the Institute of Medicine's definition of a racial/ethnic disparity and adopt a difference-in-difference-in-differences (DDD) estimator using a multivariate regression framework. The treatment group consists of Medicare seniors, the comparison group, adults without Medicare aged 55–63 years. Principal Findings Difference-in-difference-in-differences estimates suggest that for African Americans Part D increased the disparity in annual spending on prescription drugs by $258 (p = .011), yet had no effect on other measures of prescription drug disparities. For Hispanics, DDD estimates suggest that the program reduced the disparities in annual number of prescriptions filled, annual total and out-of-pocket spending on prescription drugs by 2.9 (p = .077), $282 (p = .019) and $143 (p < .001), respectively. Conclusion Medicare Part D had mixed effects. Although it reduced Hispanic/white disparities related to prescription drugs among seniors, it increased the African American/white disparity in total annual spending on prescription drugs. PMID:24102408

A U.S. Multicenter Study of Recorded Occupational Radiation Badge Doses in Nuclear Medicine.

PubMed

Villoing, Daphnée; Yoder, R Craig; Passmore, Christopher; Bernier, Marie-Odile; Kitahara, Cari M

2018-05-01

Purpose To summarize occupational badge doses recorded for a sample of U.S. nuclear medicine technologists. Materials and Methods Nine large U.S. medical institutions identified 208 former and current nuclear medicine technologists certified after 1979 and linked these individuals to historic badge dose records maintained by a commercial dosimetry company (Landauer), yielding a total of 2618 annual dose records. The distributions of annual and cumulative occupational doses were described by using summary statistics. Results Between 1992 and 2015, the median annual personal dose equivalent per nuclear medicine technologist was 2.18 mSv (interquartile range [IQR], 1.25-3.47 mSv; mean, 2.69 mSv). Median annual personal dose equivalents remained relatively constant over this period (range, 1.40-3.30 mSv), while maximum values generally increased over time (from 8.00 mSv in 1992 to 13.9 mSv in 2015). The median cumulative personal dose equivalent was 32.9 mSv (IQR, 18.1-65.5 mSv; mean, 51.4 mSv) for 45 technologists who had complete information and remained employed through 2015. Conclusion Occupational radiation doses were well below the established occupational limits and were consistent with those observed for nuclear medicine technologists worldwide and were greater than those observed for nuclear and general medical workers in the United States These results should be informative for radiation monitoring and safety efforts in nuclear medicine departments. © RSNA, 2018 Online supplemental material is available for this article.

Assessment of total nitrogen in the upper Connecticut River basin in New Hampshire, Vermont, and Massachusetts, December 2002-September 2005

USGS Publications Warehouse

Deacon, Jeffrey R.; Smith, Thor E.; Johnston, Craig M.; Moore, Richard B.; Blake, Laura J.; Weidman, Rebecca M.

2006-01-01

A study of total nitrogen concentrations and loads was conducted from December 2002 to September 2005 at 13 river sites in the upper Connecticut River Basin. Ten sites were selected to represent contributions of nitrogen from forested, agricultural, and urban land. Three sites were distributed spatially on the main stem of the Connecticut River to assess the cumulative total nitrogen loads. To further improve the understanding of the sources and concentrations and loads of total nitrogen in the upper Connecticut River Basin, ambient surface water-quality sampling was supplemented with sampling of effluent from 19 municipal and paper mill wastewater-treatment facilities. Mean concentrations of total nitrogen ranged from 0.19 to 2.8 milligrams per liter (mg/L) at river sampling sites. Instantaneous mean loads of total nitrogen ranged from 162 to 58,300 pounds per day (lb/d). Estimated mean annual loads of total nitrogen ranged from 49,100 to 21.6 million pounds per year (lb/yr) with about 30 to 55 percent of the loads being transported during the spring. The estimated mean annual yields of total nitrogen ranged from 1,190 to 7,300 pounds per square mile per year (lb/mi2)/yr. Mean concentrations of total nitrogen ranged from 4.4 to 30 mg/L at wastewater-treatment sampling sites. Instantaneous mean loads of total nitrogen from municipal wastewater-treatment facilities ranged from 36 to 1,780 lb/d. Instantaneous mean loads of total nitrogen from paper mill wastewater-treatment facilities ranged from 96 to 160 lb/d. The median concentration of total nitrogen was 0.24 mg/L at forested sites, 0.48 mg/L at agricultural sites, 0.54 mg/L at urban sites, 0.48 mg/L at main-stem sites, and 14 mg/L at wastewater-treatment sites. Concentrations of total nitrogen at forested sites were significantly less than at all other site types (p0.05) but were significantly greater (p<0.05) than at forested sites and significantly less than concentrations at wastewater-treatment sites (p<0.05). Total nitrogen concentrations at wastewater-treatment sites were significantly different from all other site types (p<0.05). Annual yields of total nitrogen ranged from 732 to 1,920 (lb/mi2)/yr at forested sites; 1,550 to 2,980 (lb/mi2)/yr at agricultural sites; 1,280 to 1,860 (lb/mi2)/yr at urban sites that were not directly affected by wastewater effluent; 7,090 to 7,770 (lb/mi2)/yr at an urban site directly affected by wastewater effluent; and 1,300 to 2,390 (lb/mi2)/yr at main-stem sites. In this study, the mean annual load and yield of total nitrogen at the Connecticut River at Wells River, VT, was estimated at 4.47 million lb/yr and 1,690 (lb/mi2)/yr, respectively. The mean annual load and yield of total nitrogen at the Connecticut River at North Walpole, NH, was estimated at 9.60 million lb/yr and 1,750 (lb/mi2)/yr, respectively. The mean annual load and yield of total nitrogen leaving the upper Connecticut River Basin, as estimated at the Connecticut River at Thompsonville, CT, was 21.6 million lb/yr and 2,230 (lb/mi2)/yr, respectively.

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

25 CFR 39.710 - How does a school calculate annual bus transportation miles for day students?

Code of Federal Regulations, 2010 CFR

2010-04-01

... miles for day students? 39.710 Section 39.710 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE... Miles § 39.710 How does a school calculate annual bus transportation miles for day students? To calculate the total annual bus transportation miles for day students, a school must use the appropriate...

25 CFR 39.710 - How does a school calculate annual bus transportation miles for day students?

Code of Federal Regulations, 2012 CFR

2012-04-01

... miles for day students? 39.710 Section 39.710 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE... Miles § 39.710 How does a school calculate annual bus transportation miles for day students? To calculate the total annual bus transportation miles for day students, a school must use the appropriate...

25 CFR 39.710 - How does a school calculate annual bus transportation miles for day students?

Code of Federal Regulations, 2013 CFR

2013-04-01

... miles for day students? 39.710 Section 39.710 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE... Miles § 39.710 How does a school calculate annual bus transportation miles for day students? To calculate the total annual bus transportation miles for day students, a school must use the appropriate...

25 CFR 39.710 - How does a school calculate annual bus transportation miles for day students?

Code of Federal Regulations, 2011 CFR

2011-04-01

... miles for day students? 39.710 Section 39.710 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE... Miles § 39.710 How does a school calculate annual bus transportation miles for day students? To calculate the total annual bus transportation miles for day students, a school must use the appropriate...

25 CFR 39.710 - How does a school calculate annual bus transportation miles for day students?

Code of Federal Regulations, 2014 CFR

2014-04-01

... miles for day students? 39.710 Section 39.710 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE... Miles § 39.710 How does a school calculate annual bus transportation miles for day students? To calculate the total annual bus transportation miles for day students, a school must use the appropriate...

77 FR 10510 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Comment...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-22

... and cost. DATES: Additional comments may be submitted on or before March 23, 2012. ADDRESSES: Submit... section 271.23. State program revision may be necessary when the controlling Federal or State statutory or... Total Annual Cost: $680,790, which includes $680,790 annualized labor costs and $0 annualized capital or...

Watershed Effects on Streamflow Quantity and Quality in Six Watersheds of Gwinnett County, Georgia

USGS Publications Warehouse

Landers, Mark N.; Ankcorn, Paul D.; McFadden, Keith W.

2007-01-01

Watershed management is critical for the protection and enhancement of streams that provide multiple benefits for Gwinnett County, Georgia, and downstream communities. Successful watershed management requires an understanding of how stream quality is affected by watershed characteristics. The influence of watershed characteristics on stream quality is complex, particularly for the nonpoint sources of pollutants that affect urban watersheds. The U.S. Geological Survey (USGS), in cooperation with Gwinnett County Department of Water Resources (formerly known as Public Utilities), established a water-quality monitoring program during late 1996 to collect comprehensive, consistent, high-quality data for use by watershed managers. Between 1996 and 2003, more than 10,000 analyses were made for more than 430 water-quality samples. Continuous-flow and water-quality data have been collected since 1998. Loads have been computed for selected constituents from 1998 to 2003. Changing stream hydrology is a primary driver for many other water-quality and aquatic habitat effects. Primary factors affecting stream hydrology (after watershed size and climate) within Gwinnett County are watershed slope and land uses. For the six study watersheds in Gwinnett County, watershedwide imperviousness up to 12 percent does not have a well-defined influence on stream hydrology, whereas two watersheds with 21- and 35-percent impervious area are clearly impacted. In the stream corridor, however, imperviousness from 1.6 to 4.4 percent appears to affect baseflow and stormflow for all six watersheds. Relations of concentrations to discharge are used to develop regression models to compute constituent loads using the USGS LOAD ESTimator model. A unique method developed in this study is used to calibrate the model using separate baseflow and stormflow sample datasets. The method reduced model error and provided estimates of the load associated with the baseflow and stormflow parts of the hydrograph. Annual load of total suspended sediment is a performance criterion in Gwinnett County's Watershed Protection Plan. Median concentrations of total suspended solids in stormflow range from 30 to 180 times greater than in baseflow. This increase in total suspended solids concentration with increasing discharge has a multiplied effect on total suspended solids load, 97 to 99 percent of which is transported during stormflow. Annual total suspended solids load is highly dependent on annual precipitation; between 1998 and 2003 load for the wettest year was up to 28 times greater than for the driest year. Average annual total suspended solids yield from 1998-2003 in the six watersheds increased with high-density and transportation/utility land uses, and generally decreased with low-density residential, estate/park, and undeveloped land uses. Watershed characteristics also were related to annual loads of total phosphorus, dissolved phosphorus, total nitrogen, total dissolved solids, biochemical oxygen demand, and total zinc, as well as stream alkalinity. Flow-adjusted total suspended solids, total phosphorus, and total zinc stormflow concentrations between 1996 and 2003 have a seasonal pattern in five of the six watersheds. Flow-adjusted concentrations typically peak during late summer, between July and August. The seasonal pattern is stronger for more developed watersheds and may be related to seasonal land-disturbance activities and/or to seasonal rainfall intensity, both of which increase in summer. Adjusting for seasonality in the computation of constituent load caused the standard error of annual total suspended solids load to improve by an average of 11 percent, and increased computed summer total suspended solids loads by an average of 45 percent and decreased winter total suspended solids loads by an average of 40 percent. Total annual loads changed by less than 5 percent on the average. Graphical and statistical analyses do not indicate a time tre

An evaluation and review of water-use estimates and flow data for the Lower Klamath and Tule Lake National Wildlife Refuges, Oregon and California

USGS Publications Warehouse

Risley, John C.; Gannett, Marshall W.

2006-01-01

The Lower Klamath and Tule Lake National Wildlife Refuges, located in the upper Klamath Basin of Oregon and California, encompass approximately 46,700 and 39,100 acres, respectively. Demand for water in the semiarid upper Klamath Basin has increased in recent years, resulting in the need to better quantify water availability and use in the refuges. This report presents an evaluation of water-use estimates for both refuges derived on the basis of two approaches. One approach used evaporation and evapotranspiration estimates and the other used measured inflow and outflow data. The quality of the inflow and outflow data also was assessed. Annual water use in the refuges, using evapotranspiration estimates, was computed with the use of different rates for each of four land-use categories. Annual water-use rates for grain fields, seasonal wetlands, permanently flooded wetlands with emergent vegetation, and open-water bodies were 2.5, 2.9, 2.63, and 4.07 feet per year, respectively. Total water use was estimated as the sum of the products of each rate and the number of acres in its associated land-use category. Mean annual (2003-2005) water use for the Lower Klamath and Tule Lake refuges was approximately 124,000 and 95,900 acre-feet, respectively. To estimate water deliveries needed for each refuge, first, annual precipitation for 2003-2005 was subtracted from the annual water use for those years. Then, an adjusted total was obtained by adding 20 percent to the difference to account for salinity flushing. Resulting estimated mean annual adjusted needed water deliveries in 2003-2005 for the Lower Klamath and Tule Lake refuges were 107,000 and 82,800 acre-feet, respectively. Mean annual net inflow to the refuges for 2003-2005 was computed by subtracting estimated and measured surface-water outflows from inflows. Mean annual net inflow during the 3-year period for the Lower Klamath refuge, calculated for a subsection of the refuge, was approximately 73,700 acre-feet. The adjusted needed water delivery for this section of the refuge, calculated from evapotranspiration estimates, was approximately 77,600 acre-feet. For the Tule Lake refuge, mean annual net inflow during the 3-year period was approximately 76,100 acre-feet, which is comparable to the estimated annual needed water delivery for the refuge of 82,800 acre-feet. For 1962-2005, mean annual net inflow to the Lower Klamath refuge was approximately 49,800 acre-feet, about 23,900 acre-feet less than for 2003-2005. Although mean April-September net inflows for 1962-2005 and 2003-2005 have remained fairly constant, annual net inflow has increased for October-March, which accounts for the difference. Consistently higher autumn and winter flow deliveries since the mid-1980s reflect a significant change in refuge management. More sections of the refuge are currently managed as seasonal wetlands than were in the 1960s and 1970s. Flow records for the Ady Canal at State Line Road, Klamath Straits Drain at State Line Road, and D Pumping Plant were evaluated for their data quality. On the basis of USGS flow-record criteria, all three flow records were rated as 'poor.' By definition, 95 percent of the daily flows in a record having this rating could be in error by more than 15 percent.

CO2 exchange and evapotranspiration across dryland ecosystems of southwestern North America.

PubMed

Biederman, Joel A; Scott, Russell L; Bell, Tom W; Bowling, David R; Dore, Sabina; Garatuza-Payan, Jaime; Kolb, Thomas E; Krishnan, Praveena; Krofcheck, Dan J; Litvak, Marcy E; Maurer, Gregory E; Meyers, Tilden P; Oechel, Walter C; Papuga, Shirley A; Ponce-Campos, Guillermo E; Rodriguez, Julio C; Smith, William K; Vargas, Rodrigo; Watts, Christopher J; Yepez, Enrico A; Goulden, Michael L

2017-10-01

Global-scale studies suggest that dryland ecosystems dominate an increasing trend in the magnitude and interannual variability of the land CO 2 sink. However, such analyses are poorly constrained by measured CO 2 exchange in drylands. Here we address this observation gap with eddy covariance data from 25 sites in the water-limited Southwest region of North America with observed ranges in annual precipitation of 100-1000 mm, annual temperatures of 2-25°C, and records of 3-10 years (150 site-years in total). Annual fluxes were integrated using site-specific ecohydrologic years to group precipitation with resulting ecosystem exchanges. We found a wide range of carbon sink/source function, with mean annual net ecosystem production (NEP) varying from -350 to +330 gCm -2 across sites with diverse vegetation types, contrasting with the more constant sink typically measured in mesic ecosystems. In this region, only forest-dominated sites were consistent carbon sinks. Interannual variability of NEP, gross ecosystem production (GEP), and ecosystem respiration (R eco ) was larger than for mesic regions, and half the sites switched between functioning as C sinks/C sources in wet/dry years. The sites demonstrated coherent responses of GEP and NEP to anomalies in annual evapotranspiration (ET), used here as a proxy for annually available water after hydrologic losses. Notably, GEP and R eco were negatively related to temperature, both interannually within site and spatially across sites, in contrast to positive temperature effects commonly reported for mesic ecosystems. Models based on MODIS satellite observations matched the cross-site spatial pattern in mean annual GEP but consistently underestimated mean annual ET by ~50%. Importantly, the MODIS-based models captured only 20-30% of interannual variation magnitude. These results suggest the contribution of this dryland region to variability of regional to global CO 2 exchange may be up to 3-5 times larger than current estimates. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

Dental manpower in India: changing trends since 1920.

PubMed

Jaiswal, Ashish K; Srinivas, Pachava; Suresh, Sanikommu

2014-08-01

To analyse the changing trends in dental manpower production of India since 1920 and its development to date. The databases consulted were those provided by the Central Bureau of Health Intelligence, Dental Council of India, and Ministry of Health and Family Welfare. Descriptive statistics. In India, dental education was formally established in 1920 when the first dental college was started. Current data revealed that there are 301 colleges nationwide granting degrees in dentistry, with a total of 25,270 student positions offering annually. Both the distribution of dental colleges and of dentists varies among the regions of the country with the greatest concentration in major urban areas, resulting in limited coverage in rural regions. The current scenario indicates that there is lack of systematic planning in the allocation and development of dental colleges in India. © 2014 FDI World Dental Federation.

Global estimate of net annual carbon flow to phenylpropanoid metabolism

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

Walton, A.B.; Norman, E.G.; Turpin, D.H.

1993-05-01

The steady increase in the concentration of CO[sub 2] in the atmosphere is the focus of renewed interest in the global carbon cycle. Current research is centered upon modeling the effects of the increasing CO[sub 2] concentrations, and thus global warning, on global plant homeostasis. It has been estimated that the annual net primary production (NPP) values for terrestrial and oceanic biomes are 59.9 and 35 Pg C-yr[sup [minus]1], respectively (Melillo et al., 1990). Based on these NPP values, we have estimated the annual C flow to phenlpropanoid metabolism. In our calculation, lignin was used as a surrogate for phenylpropanoidmore » compounds, as lignin is the second most abundant plant polymer. This approach means that our estimate defines the lower limit of C flow to phenylpropanoid metabolism. Each biome was considered separately to determine the percent of the NPP which was directed to the biosynthesis of leaves, stems/branches, and roots. From published values of the lignin content of these organs, the total amount of C directed to the biosynthesis of lignin in each biome was determined. This was used to obtain a global value. Implications of these estimates will be discussed with reference to plant carbon and nitrogen metabolism.« less

Characterization of suspended solids and total phosphorus loadings from small watersheds in Wisconsin

USGS Publications Warehouse

Danz, Mari E.; Corsi, Steven R.; Graczyk, David J.; Bannerman, Roger T.

2010-01-01

Knowledge of the daily, monthly, and yearly distribution of contaminant loadings and streamflow can be critical for the successful implementation and evaluation of water-quality management practices. Loading data for solids (suspended sediment and total suspended solids) and total phosphorus and streamflow data for 23 watersheds were summarized for four ecoregions of Wisconsin: the Driftless Area Ecoregion, the Northern Lakes and Forests Ecoregion, the North Central Hardwoods Ecoregion, and the Southeastern Wisconsin Till Plains Ecoregion. The Northern Lakes and Forests and the North Central Hardwoods Ecoregions were combined into one region for analysis due to a lack of sufficient data in each region. Urban watersheds, all located in the Southeastern Wisconsin Till Plains, were analyzed separately from rural watersheds as the Rural Southeastern Wisconsin Till Plains region and the Urban Southeastern Wisconsin Till Plains region. Results provide information on the distribution of loadings and streamflow between base flow and stormflow, the timing of loadings and streamflow throughout the year, and information regarding the number of days in which the majority of the annual loading is transported. The average contribution to annual solids loading from stormflow periods for the Driftless Area Ecoregion was 84 percent, the Northern Lakes and Forests/North Central Hardwoods region was 71 percent, the Rural Southeastern Wisconsin Till Plains region was 70 percent, and the Urban Southeastern Wisconsin Till Plains region was 90 percent. The average contributions to annual total phosphorus loading from stormflow periods were 72, 49, 61, and 76 percent for each of the respective regions. The average contributions to annual streamflow from stormflow periods are 20, 23, 31, and 50 percent for each of the respective regions. In all regions, the most substantial loading contributions for solids were in the late winter (February through March), spring (April through May), and early summer (June through July), with fall (October through November) and early winter (December through January) contributing the smallest loadings. The Northern Lakes and Forests/North Central Hardwoods region had some substantial loading in September. There was a similar pattern for total phosphorus loading in all regions, with the pattern somewhat less pronounced in urban watersheds. As with the loading results, average monthly streamflow values were greatest in late winter, spring, and early summer, with the lowest values typically in fall and early winter. Loading contributions were greater from stormflow than from base flow in all instances, except total phosphorus in the Northern Lakes and Forests/North Central Hardwoods region, which had equal or greater base-flow contribution for several months. Base flow constituted a greater percentage of the total streamflow than stormflow in all rural watersheds for all regions. Only a few storms each year dominated the annual loading totals for solids and total phosphorus. When daily loading values were ranked for the year, all regions reached 50 percent of the annual solids loading in the 5 highest loading days and nearly 50 percent of the annual total phosphorus loading in the 14 highest loading days.

A model to evaluate the costs and clinical effectiveness of human papilloma virus screening compared with annual papanicolaou cytology in Germany.

PubMed

Petry, Karl Ulrich; Barth, Cordula; Wasem, Jürgen; Neumann, Anja

2017-05-01

We modelled human papilloma virus (HPV) primary screening scenarios compared with Pap cytology to evaluate clinical effectiveness and projected annual costs in Germany. A Markov cohort model was built to compare the budget impact of annual Pap cytology with different 5-yearly HPV screening scenarios: (1) a positive HPV test followed by Pap cytology; (2) a positive HPV test followed by p16/Ki-67 dual-stained cytology; (3) a positive HPV test followed by colposcopy if HPV-16/18-positive or p16/Ki-67 dual-stained cytology if positive for other subtypes; (4) co-testing with HPV and Pap. Screening scenarios were based on a 10-year horizon. All HPV screening scenarios in the model were associated with fewer deaths from missed diagnosis of cervical cancer compared with Pap screening; 10-year totals n=172-344 (1.5-3 per 100,000) versus n=477 (4.1 per 100,000), respectively. Total annual costs were lower with HPV screening than Pap cytology. The projected average annual cost for HPV screening ranged from €117 million to €136 million compared with €177 million for Pap screening, representing annual savings of €41-60 million. The greatest clinical impact was achieved with primary HPV screening (with genotyping) followed by colposcopy for HPV 16/18-positive women or p16/Ki-67 dual-stained cytology for women positive for other HPV subtypes. Screening strategies including primary HPV testing for high-risk subtypes (HPV-16/18) in conjunction with p16/Ki-67 dual-stained cytology can improve the detection of cervical cancer at a lower total annual cost than conventional Pap cytology screening. Copyright © 2017. Published by Elsevier B.V.

Effects of lakes and reservoirs on annual river nitrogen, phosphorus, and sediment export in agricultural and forested landscapes

USGS Publications Warehouse

Powers, Stephen M.; Robertson, Dale M.; Stanley, Emily H.

2014-01-01

Recently, effects of lakes and reservoirs on river nutrient export have been incorporated into landscape biogeochemical models. Because annual export varies with precipitation, there is a need to examine the biogeochemical role of lakes and reservoirs over time frames that incorporate interannual variability in precipitation. We examined long-term (~20 years) time series of river export (annual mass yield, Y, and flow-weighted mean annual concentration, C) for total nitrogen (TN), total phosphorus (TP), and total suspended sediment (TSS) from 54 catchments in Wisconsin, USA. Catchments were classified as small agricultural, large agricultural, and forested by use of a cluster analysis, and these varied in lentic coverage (percentage of catchment lake or reservoir water that was connected to river network). Mean annual export and interannual variability (CV) of export (for both Y and C) were higher in agricultural catchments relative to forested catchments for TP, TN, and TSS. In both agricultural and forested settings, mean and maximum annual TN yields were lower in the presence of lakes and reservoirs, suggesting lentic denitrification or N burial. There was also evidence of long-term lentic TP and TSS retention, especially when viewed in terms of maximum annual yield, suggesting sedimentation during high loading years. Lentic catchments had lower interannual variability in export. For TP and TSS, interannual variability in mass yield was often >50% higher than interannual variability in water yield, whereas TN variability more closely followed water (discharge) variability. Our results indicate that long-term mass export through rivers depends on interacting terrestrial, aquatic, and meteorological factors in which the presence of lakes and reservoirs can reduce the magnitude of export, stabilize interannual variability in export, as well as introduce export time lags.

Trends in Healthcare Expenditures Among US Adults With Hypertension: National Estimates, 2003-2014.

PubMed

Kirkland, Elizabeth B; Heincelman, Marc; Bishu, Kinfe G; Schumann, Samuel O; Schreiner, Andrew; Axon, R Neal; Mauldin, Patrick D; Moran, William P

2018-05-30

One in 3 US adults has high blood pressure, or hypertension. As prior projections suggest hypertension is the costliest of all cardiovascular diseases, it is important to define the current state of healthcare expenditures related to hypertension. We used a nationally representative database, the Medical Expenditure Panel Survey, to calculate the estimated annual healthcare expenditure for patients with hypertension and to measure trends in expenditure longitudinally over a 12-year period. A 2-part model was used to estimate adjusted incremental expenditures for individuals with hypertension versus those without hypertension. Sex, race/ethnicity, education, insurance status, census region, income, marital status, Charlson Comorbidity Index, and year category were included as covariates. The 2003-2014 pooled data include a total sample of 224 920 adults, of whom 36.9% had hypertension. Unadjusted mean annual medical expenditure attributable to patients with hypertension was $9089. Relative to individuals without hypertension, individuals with hypertension had $1920 higher annual adjusted incremental expenditure, 2.5 times the inpatient cost, almost double the outpatient cost, and nearly triple the prescription medication expenditure. Based on the prevalence of hypertension in the United States, the estimated adjusted annual incremental cost is $131 billion per year higher for the hypertensive adult population compared with the nonhypertensive population. Individuals with hypertension are estimated to face nearly $2000 higher annual healthcare expenditure compared with their nonhypertensive peers. This trend has been relatively stable over 12 years. Healthcare costs associated with hypertension account for about $131 billion. This warrants intense effort toward hypertension prevention and management. © 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

76 FR 66741 - Agency Information Collection Activities: Prior Disclosure

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-27

... forms of information technology; and (e) the annual cost burden to respondents or record keepers from... Responses: 3,500. Estimated Time per Response: 1 hour. Estimated Total Annual Burden Hours: 3,500. Dated...

Sedimentation and occurrence and trends of selected chemical constituents in bottom sediment of 10 small reservoirs, Eastern Kansas

USGS Publications Warehouse

Juracek, Kyle E.

2004-01-01

Many municipalities in Kansas rely on small reservoirs as a source of drinking water and for recreational activities. Because of their significance to the community, management of the reservoirs and the associated basins is important to protect the reservoirs from degradation. Effective reservoir management requires information about water quality, sedimentation, and sediment quality. A combination of bathymetric surveying and bottom-sediment coring during 2002 and 2003 was used to investigate sediment deposition and the occurrence of selected nutrients (total nitrogen and total phosphorus), organic and total carbon, 26 trace elements, 15 organochlorine compounds, and 1 radionuclide in the bottom sediment of 10 small reservoirs in eastern Kansas. Original reservoir water-storage capacities ranged from 23 to 5,845 acre-feet. The mostly agricultural reservoir basins range in area from 0.6 to 14 square miles. The mean annual net volume of deposited sediment, estimated separately for several of the reservoirs, ranged from about 43,600 to about 531,000 cubic feet. The estimated mean annual net mass of deposited sediment ranged from about 1,360,000 to about 23,300,000 pounds. The estimated mean annual net sediment yields from the reservoir basins ranged from about 964,000 to about 2,710,000 pounds per square mile. Compared to sediment yield estimates provided by a statewide study published in 1965, the estimates determined in this study differed substantially and were typically smaller. A statistically significant positive correlation was determined for the relation between sediment yield and mean annual precipitation. Nutrient concentrations in the bottom sediment varied substantially among the 10 reservoirs. Median total nitrogen concentrations ranged from 1,400 to 3,700 milligrams per kilogram. Median total phosphorus concentrations ranged from 550 to 1,300 milligrams per kilogram. A statistically significant positive trend (that is, nutrient concentration increased toward the top of the sediment core) was indicated in one reservoir for total nitrogen and in two reservoirs for total phosphorus. Also, a possible positive trend for total nitrogen was indicated in two other reservoirs. These trends in nutrient concentrations may be related to a statewide increase in fertilizer use. Alternatively, the trends may be indicative of diagenesis (that is, postdepositional changes in the sediment caused by various processes including decomposition). Nutrient loads and yields also varied substantially among the five reservoirs for which loads and yields were estimated. Estimated mean annual net loads of total nitrogen deposited in the bottom sediment ranged from 4,080 to 49,100 pounds. Estimated mean annual net loads of total phosphorus deposited in the bottom sediment ranged from 1,120 to 20,800 pounds. Estimated mean annual net yields of total nitrogen from the basins ranged from 2,210 to 6,800 pounds per square mile. Estimated mean annual net yields of total phosphorus from the basins ranged from 598 to 2,420 pounds per square mile. Compared to nonenforceable sediment-quality guidelines adopted by the U.S. Environmental Protection Agency, bottom-sediment concentrations of arsenic, chromium, copper, and nickel in samples from all 10 reservoirs typically exceeded the threshold-effects levels (TELs) but were less than the probable-effects levels (PELs). TELs represent the concentrations above which toxic biological effects occasionally occur in aquatic organisms, whereas PELs represent the concentrations above which toxic biological effects usually or frequently occur. Concentrations of cadmium, lead, and zinc exceeded the TELs but were less than the PELs in sediment samples from about one-half of the reservoirs and were less than the TELs in samples from the remaining reservoirs. Mercury concentrations were less than the TEL (information only available for four reservoirs). Silver was not detected in the bottom sediment fro

Relation of Mitral Valve Surgery Volume to Repair Rate, Durability, and Survival.

PubMed

Chikwe, Joanna; Toyoda, Nana; Anyanwu, Anelechi C; Itagaki, Shinobu; Egorova, Natalia N; Boateng, Percy; El-Eshmawi, Ahmed; Adams, David H

2017-04-24

Degenerative mitral valve repair rates remain highly variable, despite established benefits of repair over replacement. The contribution of surgeon-specific factors is poorly defined. This study evaluated the influence of surgeon case volume on degenerative mitral valve repair rates and outcomes. A mandatory New York State database was queried and 5,475 patients were identified with degenerative mitral disease who underwent mitral valve operations between 2002 and 2013. Mitral repair rates, mitral reoperations within 12 months of repair, and survival were analyzed using multivariable Cox modeling and restricted cubic spline function. Median annual surgeon volume of any mitral operations was 10 (range 1 to 230), with a mean repair rate of 55% (n = 20,797 of 38,128). In the subgroup of patients with degenerative disease, the mean repair rate was 67% (n = 3,660 of 5,475), with a range of 0% to 100%. Mean repair rates ranged from 48% (n = 179 of 370) for surgeons with total annual volumes of ≤10 mitral operations to 77% (n = 1,710 of 2,216) for surgeons with total annual volumes of >50 mitral operations (p < 0.001). Higher total annual surgeon volume was associated with increased repair rates of degenerative mitral valve disease (adjusted odds ratio [OR]: 1.13 for every additional 10 mitral operations; 95% confidence interval [CI]: 1.10 to 1.17; p < 0.001); a steady decrease in reoperation risk until 25 total mitral operations annually; and improved 1-year survival (adjusted hazard ratio: 0.95 for every additional 10 operations; 95% CI: 0.92 to 0.98; p = 0.001). For surgeons with a total annual volume of ≤25 mitral operations, repair rates were higher (63.8%; n = 180 of 282) if they operated in the same institution as a surgeon with total annual mitral volumes of >50 and degenerative mitral valve repair rates of >70%, compared with surgeons operating in the other institutions (51.3%; n = 580 of 1,130) (adjusted OR: 1.79; 95% CI: 1.24 to 2.60; p < 0.001). This study suggests that individual surgeon volume is a determinant of not only mitral repair rates, but also freedom from reoperation, and survival. The data from this study support the guideline's concept of reference referral to experienced mitral surgeons to improve outcomes in patients with degenerative mitral valve disease. Copyright © 2017. Published by Elsevier Inc.

Estimating the cost to U.S. health departments to conduct HIV surveillance.

PubMed

Shrestha, Ram K; Sansom, Stephanie L; Laffoon, Benjamin T; Farnham, Paul G; Shouse, R Luke; MacMaster, Karen; Hall, H Irene

2014-01-01

HIV case surveillance is a primary source of information for monitoring HIV burden in the United States and guiding the allocation of prevention and treatment funds. While the number of people living with HIV and the need for surveillance data have increased, little is known about the cost of surveillance. We estimated the economic cost to health departments of conducting high-quality HIV case surveillance. We collected primary data on the unit cost and quantity of resources used to operate the HIV case surveillance program in Michigan, where HIV burden (i.e., the number of HIV cases) is moderate to high (n=14,864 cases). Based on Michigan's data, we projected the expected annual HIV surveillance cost for U.S., state, local, and territorial health departments. We based our cost projection on the variation in the number of new and established cases, area-specific wages, and potential economies of scale. We estimated the annual total HIV surveillance cost to the Michigan health department to be $1,286,524 ($87/case), the annual total cost of new cases to be $108,657 ($133/case), and the annual total cost of established cases to be $1,177,867 ($84/case). Our projected median annual HIV surveillance cost per health department ranged from $210,600 in low-HIV burden sites to $1,835,000 in high-HIV burden sites. Our analysis shows that a systematic approach to costing HIV surveillance at the health department level is feasible. For HIV surveillance, a substantial portion of total surveillance costs is attributable to maintaining established cases.

Statistic analysis of annual total ozone extremes for the period 1964-1988

NASA Technical Reports Server (NTRS)

Krzyscin, Janusz W.

1994-01-01

Annual extremes of total column amount of ozone (in the period 1964-1988) from a network of 29 Dobson stations have been examined using the extreme value analysis. The extremes have been calculated as the highest deviation of daily mean total ozone from its long-term monthly mean, normalized by the monthly standard deviations. The extremes have been selected from the direct-Sun total ozone observations only. The extremes resulting from abrupt changes in ozone (day to day changes greater than 20 percent) have not been considered. The ordered extremes (maxima in ascending way, minima in descending way) have been fitted to one of three forms of the Fisher-Tippet extreme value distribution by the nonlinear least square method (Levenberg-Marguard method). We have found that the ordered extremes from a majority of Dobson stations lie close to Fisher-Tippet type III. The extreme value analysis of the composite annual extremes (combined from averages of the annual extremes selected at individual stations) has shown that the composite maxima are fitted by the Fisher-Tippet type III and the composite minima by the Fisher-Tippet type I. The difference between the Fisher-Tippet types of the composite extremes seems to be related to the ozone downward trend. Extreme value prognoses for the period 1964-2014 (derived from the data taken at: all analyzed stations, the North American, and the European stations) have revealed that the prognostic extremes are close to the largest annual extremes in the period 1964-1988 and there are only small regional differences in the prognoses.

National Trends in Direct Health Care Expenditures Among US Adults With Migraine: 2004 to 2013.

PubMed

Raval, Amit D; Shah, Anal

2017-01-01

Migraine is a common neurological disorder with significant economic burden in the United States. However, changes in the economic burden of migraine in the past decade have not been examined considering therapeutic advances at the national level. Therefore, we estimated cross-sectional trends in the incremental total and types of direct health care expenditures among individuals with migraine using nationally representative data, the Medical Expenditures Panel Survey. The analytic sample was comprised of an annually weighted population of 228,010,000 adults aged 18 years and older from 2004 to 2013. Two-part models were used to estimate the incremental total and types of annual direct health care expenditures (adjusted to 2013 US dollars) among individuals with migraine after adjusting for predisposing, enabling, need, personal health practice, and external environment factors selected on the basis of the Anderson Healthcare Behavior Model. The unadjusted average annual total health care expenditure for individuals with migraine was $8,033 (standard error [SE] = $292) which comprised major proportions of outpatient ($2,952, SE = $128), prescription drugs ($2,207, SE = $91), and inpatient ($1,784, SE = $178) expenditures. Individuals with migraine had $866 (SE = $298) and $1,519 (SE = $400) greater adjusted annual total direct health care expenditures in 2004/2005 and 2012/2013 compared with those without migraine. However, those with migraine in 2012/2013 did not have significant changes in the total direct health care expenditures compared with those having migraine in 2004/2005 (changes: -$330, SE = $480). The estimated adjusted incremental total direct health care expenditures for individuals with migraine was approximately $9.20 billion per year compared with those without migraine. Although annual incremental total direct health care expenditures among individuals with migraine did not change significantly from 2004 to 2013, expenditures remained significantly greater in the migraine population compared with those without migraine across the years. Our study findings suggest the need to design and implement policy and interventions to reduce excess health care expenditures among individuals with migraine. Copyright © 2016 American Pain Society. Published by Elsevier Inc. All rights reserved.

40 CFR Table Jj-1 to Subpart Jj of... - Animal Population Threshold Level Below Which Facilities Are Not Required To Report Emissions...

Code of Federal Regulations, 2014 CFR

2014-07-01

... Emissions Under Subpart JJ 1 2 Animal group Average annual animal population (Head) 3 Beef 29,300 Dairy 3... groups except dairy, the average annual animal population represents the total number of animals present at the facility. For dairy facilities, the average annual animal population represents the number of...

40 CFR Table Jj-1 to Subpart Jj of... - Animal Population Threshold Level Below Which Facilities Are Not Required To Report Emissions...

Code of Federal Regulations, 2013 CFR

2013-07-01

... Emissions Under Subpart JJ 1,2 Animal group Average annual animal population (Head) 3 Beef 29,300 Dairy 3... groups except dairy, the average annual animal population represents the total number of animals present at the facility. For dairy facilities, the average annual animal population represents the number of...

The Survival of Total Knee Arthroplasty: Current Data from Registries on Tribology: Review Article.

PubMed

Civinini, Roberto; Carulli, Christian; Matassi, Fabrizio; Lepri, Andrea Cozzi; Sirleo, Luigi; Innocenti, Massimo

2017-02-01

Polyethylene (PE) wear is a major contributor to implant loosening following total knee arthroplasty (TKA), and advanced bearings in TKA are being investigated with hopes of reducing or eliminate wear-related loosening. Currently, information on knee tribology is available from national joint registries and may be the best tools to evaluate the efficacy and safety of design innovations in joint arthroplasty. We performed a review of national joint registries trying to answer the following questions: "Which is the main factor directly related to revisions rate in TKA?" and "Are there new bearing options better than conventional ones?" A review was performed of all published annual reports of National Joint Registers, as well as of the literature. The search was carried out using and comparing the National Joint Registers. Current data from registries for total knee arthroplasty indicates that age is the major factor affecting the outcome of primary total knee replacement. The 10-year cumulative revision rate for non-cross-linked PE was 5.8% and for XLPE it was 3.5%. The effect of cross-linked polyethylene was more evident in the younger patients. The survival of the oxidized zirconium (OxZr) femoral component appears better when compared to a similar age group of patients with conventional group of prostheses. Our review suggests that the revision rates are half for the OxZr components compared to conventional CoCr femoral components. Age is the most relevant single factor related to revision rate. Cross-linked PE has a statistical lower revision rate at 10 years compared to conventional PE and, in the OxZr group, the revision rate is 2 times lower than Co-Cr in the same group of age.

78 FR 19409 - Annual Charge Filing Procedures for Natural Gas Pipelines

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-01

...; Order No. 776] Annual Charge Filing Procedures for Natural Gas Pipelines AGENCY: Federal Energy... Commission (Commission or FERC) is amending its regulations to revise the filing requirements for natural gas...) clause. Currently, natural gas pipelines utilizing an ACA clause must make an annual tariff filing to...

Prefire (preemptive) management to decrease fire-induced bunchgrass mortality and reduce reliance on postfire seeding

USDA-ARS?s Scientific Manuscript database

Western rangelands are currently under severe threat from exotic annual grasses. To successfully manage rangelands that are either infested with or susceptible to exotic annual grasses, we must focus on increasing resilience to disturbance and resistance to exotic annual grass invasion. Here, we p...

24 CFR 92.203 - Income determinations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... accordance with § 92.252(h): (i) Examine the source documents evidencing annual income (e.g., wage statement... annual income; or alternatively, the statement must indicate the current dollar limit for very low- or low-income families for the family size of the tenant and state that the tenant's annual income does...

Proceedings of the 2013 MidSouth Computational Biology and Bioinformatics Society (MCBIOS) Conference.

PubMed

Wren, Jonathan D; Dozmorov, Mikhail G; Burian, Dennis; Kaundal, Rakesh; Perkins, Andy; Perkins, Ed; Kupfer, Doris M; Springer, Gordon K

2013-01-01

The tenth annual conference of the MidSouth Computational Biology and Bioinformatics Society (MCBIOS 2013), "The 10th Anniversary in a Decade of Change: Discovery in a Sea of Data", took place at the Stoney Creek Inn & Conference Center in Columbia, Missouri on April 5-6, 2013. This year's Conference Chairs were Gordon Springer and Chi-Ren Shyu from the University of Missouri and Edward Perkins from the US Army Corps of Engineers Engineering Research and Development Center, who is also the current MCBIOS President (2012-3). There were 151 registrants and a total of 111 abstracts (51 oral presentations and 60 poster session abstracts).

40 CFR Appendix B to Part 191 - Calculation of Annual Committed Effective Dose

Code of Federal Regulations, 2013 CFR

2013-07-01

... the proportion of the stochastic risk resulting from irradiation of the tissue or organ to the total... of HE. III. Annual Committed Tissue or Organ Equivalent Dose For internal irradiation from...

40 CFR Appendix B to Part 191 - Calculation of Annual Committed Effective Dose

Code of Federal Regulations, 2012 CFR

2012-07-01

... the proportion of the stochastic risk resulting from irradiation of the tissue or organ to the total... of HE. III. Annual Committed Tissue or Organ Equivalent Dose For internal irradiation from...

40 CFR Appendix B to Part 191 - Calculation of Annual Committed Effective Dose

Code of Federal Regulations, 2014 CFR

2014-07-01

... the proportion of the stochastic risk resulting from irradiation of the tissue or organ to the total... of HE. III. Annual Committed Tissue or Organ Equivalent Dose For internal irradiation from...

40 CFR Appendix B to Part 191 - Calculation of Annual Committed Effective Dose

Code of Federal Regulations, 2010 CFR

2010-07-01

... the proportion of the stochastic risk resulting from irradiation of the tissue or organ to the total... of HE. III. Annual Committed Tissue or Organ Equivalent Dose For internal irradiation from...

40 CFR Appendix B to Part 191 - Calculation of Annual Committed Effective Dose

Code of Federal Regulations, 2011 CFR

2011-07-01

... the proportion of the stochastic risk resulting from irradiation of the tissue or organ to the total... of HE. III. Annual Committed Tissue or Organ Equivalent Dose For internal irradiation from...

77 FR 3488 - Agency Information Collection Activities: Regulations Relating to Recordation and Enforcement of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-24

... forms of information technology; and (e) the annual costs burden to respondents or record keepers from...,000. Estimated Time per Respondent: 2 hours. Estimated Total Annual Burden Hours: 4,000. Dated...

77 FR 64533 - Agency Information Collection Activities: Regulations Relating to Recordation and Enforcement of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-22

... forms of information technology; and (e) the annual costs burden to respondents or record keepers from...,000. Estimated Time per Respondent: 2 hours. Estimated Total Annual Burden Hours: 4,000. Dated...

77 FR 69649 - Agency Information Collection Activities: Application-Permit-Special License Unlading-Lading...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-20

... technology; and (e) the annual cost burden to respondents or record keepers from the collection of... Responses: 399,000. Estimated Time per Response: 8 minutes. Estimated Total Annual Burden Hours: 51,870...

Ground-Water Occurrence and Contribution to Streamflow, Northeast Maui, Hawaii

USGS Publications Warehouse

Gingerich, Stephen B.

1999-01-01

The study area lies on the northern flank of the East Maui Volcano (Haleakala) and covers about 129 square miles between the drainage basins of Maliko Gulch to the west and Makapipi Stream to the east. About 989 million gallons per day of rainfall and 176 million gallons per day of fog drip reaches the study area and about 529 million gallons per day enters the ground-water system as recharge. Average annual ground-water withdrawal from wells totals only about 3 million gallons per day; proposed (as of 1998) additional withdrawals total about 18 million gallons per day. Additionally, tunnels and ditches of an extensive irrigation network directly intercept at least 10 million gallons per day of ground water. The total amount of average annual streamflow in gaged stream subbasins upstream of 1,300 feet altitude is about 255 million gallons per day and the total amount of average annual base flow is about 62 million gallons per day. Six major surface-water diversion systems in the study area have diverted an average of 163 million gallons per day of streamflow (including nearly all base flow of diverted streams) for irrigation and domestic supply in central Maui during 1925-97. Fresh ground water is found in two main forms. West of Keanae Valley, ground-water flow appears to be dominated by a variably saturated system. A saturated zone in the uppermost rock unit, the Kula Volcanics, is separated from a freshwater lens near sea level by an unsaturated zone in the underlying Honomanu Basalt. East of Keanae Valley, the ground-water system appears to be fully saturated above sea level to altitudes greater than 2,000 feet. The total average annual streamflow of gaged streams west of Keanae Valley is about 140 million gallons per day at 1,200 feet to 1,300 feet altitude. It is not possible to estimate the total average annual streamflow at the coast. All of the base flow measured in the study area west of Keanae Valley represents ground-water discharge from the high-elevation saturated zone. Total average daily ground-water discharge from the high-elevation saturated zone upstream of 1,200 feet altitude is greater than 38 million gallons per day, all of which is eventually removed from the streams by surface-water diversion systems. Perennial streamflow has been measured at altitudes greater than 3,000 feet in several of the streams. Discharge from the high-elevation saturated zone is persistent even during periods of little rainfall. The total average annual streamflow of the gaged streams east of Keanae Valley is about 109 million gallons per day at about 1,300 feet altitude. It is not possible to estimate the total average annual streamflow at the coast nor at higher altitudes. All of the base flow measured east of Keanae Valley represents ground-water discharge from the vertically extensive freshwater-lens system. Total average daily ground-water discharge to gaged streams upstream of 1,200 feet altitude is about 27 million gallons per day. About 19 million gallons per day of ground water discharges through the Kula and Hana Volcanics between about 500 feet and 1,300 feet altitude in the gaged stream sub-basins. About 13 million gallons per day of this discharge is in Hanawi Stream. The total ground-water discharge above 500 feet altitude in this part of the study area is greater than 56 million gallons per day.

Monitoring the endangered population of the antelope Kobus leche smithemani (Artiodactyla: Bovidae), in the Bangweulu Ecosystem, Zambia.

PubMed

Siamudaala, Victor M; Munyeme, Musso; Matandiko, Wigganson; Muma, John B; Munang'andu, Hetron M

2012-12-01

Black lechwe (Kobus leche smithemani) is a semi-aquatic medium sized antelope currently enlisted on the IUCN red list of endangered species and is only endemic to the Bangweulu basin of Zambia. Its population has significantly decreased due to floods that took place during the period 1930-1940 from over 250 000-15000 leading the Zambian government to gazette all habitats of Black lechwe into state protected areas, and to establish urgent management strategies needed to save the remaining population from extinction. Using retrospective data, our findings show that the population has increased from 15000 animals in 1954 to 55 632 in 2009. The current population is estimated at 34.77% (55 632/160 000) of the carrying capacity of the Bangweulu basin. Although the Black lechwe is one of the 42 species offered for consumptive utilization by the Zambia Wildlife Authority (ZAWA), only 0.12% and 0.08% of the current stock was offered for safari and resident hunting annually for the period 2005-2009, respectively. Annual quota utilization were estimated at 67% (n=37) and 81% (n=37) for safari and resident hunting, respectively. Hence, overall income obtained from utilization of Black lechwe is very low accounting for only 2.1% of the total revenue earned from wildlife utilization. Although the current population trend is showing a unit increase of 639 animals per year, it is still far below levels ideal for the lucrative utilization. In this study, we demonstrate that adverse ecological changes on wildlife species, can lead to their vulnerability and danger of extinction, and that their recovery to full carrying capacity may demand a considerable amount of time.

Atmospheric dry and wet nitrogen deposition on three contrasting land use types of an agricultural catchment in subtropical central China

NASA Astrophysics Data System (ADS)

Shen, Jianlin; Li, Yong; Liu, Xuejun; Luo, Xiaosheng; Tang, Hong; Zhang, Yangzhu; Wu, Jinshui

2013-03-01

Atmospheric emissions of reactive nitrogen (N) species are at high levels in China in recent years, but few studies have employed N deposition monitoring techniques that measure both dry and wet deposition for comprehensive evaluation of the impacts of N deposition on ecosystems. In this study, to quantify the total N deposition, both dry and wet N depositions were monitored using denuder/filter pack systems, passive samplers and wet-only samplers at three sites with different land use types (forest, paddy field and tea field) in a 135-km2 catchment in subtropical central China from September 2010 to August 2011. At the three sampling sites, the annual mean concentrations of total N (the sum of NH, NO and DON) in rainwater were 1.2-1.6 mg N L-1, showing small variation across sites. Annual mean concentrations of total N (the sum of NH3, NO2, HNO3, particulate NH and NO) in the air were 13-18 μg N m-3. High NH3 concentrations in the air were observed at the agricultural sites of tea and paddy fields, indicating significant NH3 emissions from N fertiliser application; and high NO2 concentrations were found at the upland sites of forest and tea field, suggesting high NO emissions from soils due to high N deposition or high N fertiliser input. The annual total N deposition for the three sites of paddy field, tea field and forest was estimated as 22, 34 and 55 kg N ha-1 yr-1, in which the dry N deposition components contributed to 21%, 36% and 63% of the annual total N deposition, respectively. The annual deposition of reduced N species was 1.1-1.8 times of the annual deposition of oxidised N species. To minimise the adverse effects of atmospheric N deposition on natural/semi-natural ecosystems, it is crucial to reduce the reactive N emissions from anthropogenic activities (e.g., N fertiliser application, animal production and fossil fuel combustion) in subtropical central China.

Variation trend of snowfall in the Kamikochi region of the Japanese Alps

NASA Astrophysics Data System (ADS)

Suzuki, K.

2017-12-01

The Japanese Alps experience exceptionally heavy snowfall, extreme even by global standards, and in spring and summer the melting snow becomes a valuable water resource. The snow effectively acts as a natural dam when it accumulates in watersheds during winter. However, there have been no observations of the amount of snow in high-altitude regions of Japan. Therefore, we cannot discuss the effect of global warming on the change in the amount of snow in these regions based on direct observation data. We were, however, able to obtain climatic and hydrologic data for high-altitude sites in the Japanese Alps, and discuss the variations in these conditions in the Kamikochi region (altitude 1490 m-3190 m) of the Japanese Alps over a 68-year period using these observed data. No long-term trends are observed in the annual mean, maximum, or minimum temperatures at Taisho-ike from 1945 to 2012; the total annual precipitation shows a statistically significant decreasing trend. The annual total snowfall at Taisho-ike from 1969 to 2012 shows a statistically significant increasing trend. The annual total runoff of the Azusa River from 1945 to 2012 shows a statistically significant increasing trend, as does the snowmelt runoff to the river (which occurs from May to July). We can thus conclude that the annual snowfall in the Azusa River catchment has increased in recent years.

Inferring watershed hydraulics and cold-water habitat persistence using multi-year air and stream temperature signals.

PubMed

Briggs, Martin A; Johnson, Zachary C; Snyder, Craig D; Hitt, Nathaniel P; Kurylyk, Barret L; Lautz, Laura; Irvine, Dylan J; Hurley, Stephen T; Lane, John W

2018-09-15

Streams strongly influenced by groundwater discharge may serve as "climate refugia" for sensitive species in regions of increasingly marginal thermal conditions. The main goal of this study is to develop paired air and stream water annual temperature signal analysis techniques to elucidate the relative groundwater contribution to stream water and the effective groundwater flowpath depth. Groundwater discharge to streams attenuates surface water temperature signals, and this attenuation can be diagnostic of groundwater gaining systems. Additionally, discharge from shallow groundwater flowpaths can theoretically transfer lagged annual temperature signals from aquifer to stream water. Here we explore this concept using multi-year temperature records from 120 stream sites located across 18 mountain watersheds of Shenandoah National Park, VA, USA and a coastal watershed in Massachusetts, USA. Both areas constitute important cold-water habitat for native brook trout (Salvelinus fontinalis). Observed annual temperature signals indicate a dominance of shallow groundwater discharge to streams in the National Park, in contrast to the coastal watershed that has strong, apparently deeper, groundwater influence. The average phase lag from air to stream signals in Shenandoah National Park is 11 d; however, extended lags of approximately 1 month were observed in a subset of streams. In contrast, the coastal stream has pronounced attenuation of annual temperature signals without notable phase lag. To better understand these observed differences in signal characteristics, analytical and numerical models are used to quantify mixing of the annual temperature signals of surface and groundwater. Simulations using a total heat budget numerical model indicate groundwater-induced annual temperature signal phase lags are likely to show greater downstream propagation than the related signal amplitude attenuation. The measurement of multi-seasonal paired air and water temperatures offers great promise toward understanding catchment processes and informing current cold-water habitat management at ecologically-relevant scales. Copyright © 2018 Elsevier B.V. All rights reserved.

Remote sensing of ocean current boundary layer. [Loop Current in Gulf of Mexico

NASA Technical Reports Server (NTRS)

Maul, G. A. (Principal Investigator)

1973-01-01

The author has identified the following significant results. A time series of the Loop Current in the Gulf of Mexico, covering an annual cycle of growth, spreading, and decay, has been obtained in synchronization with ERTS-1. Computer enhanced images, which are necessary to extract useful oceanic information, show that the current can be observed either by color or sea state effects associated with the cyclonic boundary. The color effect relates to the spectral variations in the optical properties of the water and its suspended particles, and is studied by radiative transfer theory. Significant oceanic parameters identified are: the probability of forward scattering, and the ratio of scattering to total attenuation. Several spectra of upwelling diffuse light are computed as a function of the concentration of particles and yellow substance. These calculations compare favorably with experimental measurements and show that the ratio of channels method gives ambiguous interpretative results. These results are used to discuss features in images where surface measurements were obtained and are extended to tentative explanation in others.

Ground-water discharge determined from measurements of evapotranspiration, other available hydrologic components, and shallow water-level changes, Oasis Valley, Nye County, Nevada

USGS Publications Warehouse

Reiner, S.R.; Laczniak, R.J.; DeMeo, G.A.; Smith, J. LaRue; Elliott, P.E.; Nylund, W.E.; Fridrich, C.J.

2002-01-01

Oasis Valley is an area of natural ground-water discharge within the Death Valley regional ground-water flow system of southern Nevada and adjacent California. Ground water discharging at Oasis Valley is replenished from inflow derived from an extensive recharge area that includes the northwestern part of the Nevada Test Site (NTS). Because nuclear testing has introduced radionuclides into the subsurface of the NTS, the U.S. Department of Energy currently is investigating the potential transport of these radionuclides by ground water flow. To better evaluate any potential risk associated with these test-generated contaminants, a number of studies were undertaken to accurately quantify discharge from areas downgradient in the regional ground-water flow system from the NTS. This report refines the estimate of ground-water discharge from Oasis Valley. Ground-water discharge from Oasis Valley was estimated by quantifying evapotranspiration (ET), estimating subsurface outflow, and compiling ground-water withdrawal data. ET was quantified by identifying areas of ongoing ground-water ET, delineating areas of ET defined on the basis of similarities in vegetation and soil-moisture conditions, and computing ET rates for each of the delineated areas. A classification technique using spectral-reflectance characteristics determined from satellite imagery acquired in 1992 identified eight unique areas of ground-water ET. These areas encompass about 3,426 acres of sparsely to densely vegetated grassland, shrubland, wetland, and open water. Annual ET rates in Oasis Valley were computed with energy-budget methods using micrometeorological data collected at five sites. ET rates range from 0.6 foot per year in a sparse, dry saltgrass environment to 3.1 feet per year in dense meadow vegetation. Mean annual ET from Oasis Valley is estimated to be about 7,800 acre-feet. Mean annual ground-water discharge by ET from Oasis Valley, determined by removing the annual local precipitation component of 0.5 foot, is estimated to be about 6,000 acre-feet. Annual subsurface outflow from Oasis Valley into the Amargosa Desert is estimated to be between 30 and 130 acre-feet. Estimates of total annual ground-water withdrawal from Oasis Valley by municipal and non-municipal users in 1996 and 1999 are 440 acre-feet and 210 acre-feet, respectively. Based on these values, natural annual ground-water discharge from Oasis Valley is about 6,100 acre-feet. Total annual discharge was 6,500 acre-ft in 1996 and 6,300 acre-ft in 1999. This quantity of natural ground-water discharge from Oasis Valley exceeds the previous estimate made in 1962 by a factor of about 2.5. Water levels were measured in Oasis Valley to gain additional insight into the ET process. In shallow wells, water levels showed annual fluctuations as large as 7 feet and daily fluctuations as large as 0.2 foot. These fluctuations may be attributed to water loss associated with evapotranspiration. In shallow wells affected by ET, annual minimum depths to water generally occurred in winter or early spring shortly after daily ET reached minimum rates. Annual maximum depths to water generally occurred in late summer or fall shortly after daily ET reached maximum rates. The magnitude of daily water-level fluctuations generally increased as ET increased and decreased as depth to water increased.

75 FR 57480 - Agency Information Collection Activities: Customs Declaration (Form 6059B)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... Form 6059B can be found at: http://www.cbp.gov/xp/cgov/travel/vacation/sample_declaration_form.xml... Annual Responses: 105,606,000. Estimated Time per Response: 4 minutes. Estimated Total Annual Burden...

75 FR 78726 - Agency Information Collection Activities: North American Free Trade Agreement Duty Deferral

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-16

... information technology; and (e) the annual costs burden to respondents or record keepers from the collection.... Estimated Time per Response: 12 minutes. Estimated Total Annual Burden Hours: 280. Dated: December 13, 2010...

Auditability In The U.S. Navy: A Knowledge Assessment Of The Contracting Workforce

DTIC Science & Technology

2016-12-01

DOD committed more money than all other government agencies combined. In total, the U.S. Department of Justice in its annual evaluation stated that...290 billion. The DOD committed more money than all other government agencies combined. In total, the U.S. Department of Justice in its annual...opportunity for fraud to be committed is an inherent risk whenever money is involved. This risk increases if there are poor processes in place. This

Poverty and power

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

Hampton, J.

1974-07-01

The percent of total annual income spent on energy by US poor income status families is 19.89%. in comparison upper-middle income families spend 5.95% of total annual income on energy. Governmental policy can either emphasize the needs of corporations or the needs of people. The trickle down concept of social welfare, which actually lines the wallets of middle class pickpockets, must be replaced by a policy that does not forever doom the poor to second-class citizenship. (1 table)

Synoptic Drivers of Precipitation in the Atlantic Sector of the Arctic

NASA Astrophysics Data System (ADS)

Cohen, L.; Hudson, S.; Graham, R.; Renwick, J. A.

2017-12-01

Precipitation in the Arctic has been shown to be increasing in recent decades, from both observational and modelling studies, with largest trends seen in autumn and winter. This trend is attributed to a combination of the warming atmosphere and reduced sea ice extent. The seasonality of precipitation in the Arctic is important as it largely determines whether the precipitation falls as snow or rain. This study assesses the spatial and temporal variability of the synoptic drivers of precipitation in the Atlantic (European) sector of the Arctic. This region of the Arctic is of particular interest as it has the largest inter-annual variability in sea ice extent and is the primary pathway for moisture transport into the Arctic from lower latitudes. This study uses the ECMWF ERA-I reanalysis total precipitation to compare to long-term precipitation observations from Ny Ålesund, Svalbard to show that the reanalysis captures the synoptic variability of precipitation well and that most precipitation in this region is synoptically driven. The annual variability of precipitation in the Atlantic Arctic shows strong regionality. In the Svalbard and Barents Sea region, most of the annual total precipitation occurs during autumn and winter (Oct-Mar) (>60% of annual total), while the high-Arctic (> 80N) and Kara Sea receives most of the annual precipitation ( 60% of annual total) during summer (July-Sept). Using a synoptic classification developed for this region, this study shows that winter precipitation is driven by winter cyclone occurrence, with strong correlations to the AO and NAO indices. High precipitation over Svalbard is also strongly correlated with the Scandinavian blocking pattern, which produces a southerly flow in the Greenland Sea/Svalbard area. An increasing occurrence of these synoptic patterns are seen for winter months (Nov and Jan), which may explain much of the observed winter increase in precipitation.

Rainfall statistics changes in Sicily

NASA Astrophysics Data System (ADS)

Arnone, E.; Pumo, D.; Viola, F.; Noto, L. V.; La Loggia, G.

2013-07-01

Changes in rainfall characteristics are one of the most relevant signs of current climate alterations. Many studies have demonstrated an increase in rainfall intensity and a reduction of frequency in several areas of the world, including Mediterranean areas. Rainfall characteristics may be crucial for vegetation patterns formation and evolution in Mediterranean ecosystems, with important implications, for example, in vegetation water stress or coexistence and competition dynamics. At the same time, characteristics of extreme rainfall events are fundamental for the estimation of flood peaks and quantiles that can be used in many hydrological applications, such as design of the most common hydraulic structures, or planning and management of flood-prone areas. In the past, Sicily has been screened for several signals of possible climate change. Annual, seasonal and monthly rainfall data in the entire Sicilian region have been analyzed, showing a global reduction of total annual rainfall. Moreover, annual maximum rainfall series for different durations have been rarely analyzed in order to detect the presence of trends. Results indicated that for short durations, historical series generally exhibit increasing trends, while for longer durations the trends are mainly negative. Starting from these premises, the aim of this study is to investigate and quantify changes in rainfall statistics in Sicily, during the second half of the last century. Time series of about 60 stations over the region have been processed and screened by using the nonparametric Mann-Kendall test. In particular, extreme events have been analyzed using annual maximum rainfall series at 1, 3, 6, 12 and 24 h duration, while daily rainfall properties have been analyzed in terms of frequency and intensity, also characterizing seasonal rainfall features. Results of extreme events analysis confirmed an increasing trend for rainfall of short durations, especially for 1 h rainfall duration. Conversely, precipitation events of long durations have exhibited a decreased trend. Increase in short-duration precipitation has been observed especially in stations located along the coastline; however, no clear and well-defined spatial pattern has been outlined by the results. Outcomes of analysis for daily rainfall properties have showed that heavy-torrential precipitation events tend to be more frequent at regional scale, while light rainfall events exhibited a negative trend at some sites. Values of total annual precipitation events confirmed a significant negative trend, mainly due to the reduction during the winter season.

75 FR 7291 - Division of Federal Employees' Compensation; Proposed Extension of the Approval of Information...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-18

... other for-profit, not-for-profit institutions. Total Respondents: 25. Total Annual Responses: 100... Burden Cost (capital/startup): $0. Total Burden Cost (operating/maintenance): $47. Comments submitted in...

78 FR 29158 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-17

... per Respondent: 5 min. Total Burden Hours: 41,961. Total Annualized Capital/Startup Costs: 0. Total... the NEA to gauge how such responses vary by different types of events and audience groups. Dated: May...

Using remotely sensed imagery to estimate potential annual pollutant loads in river basins.

PubMed

He, Bin; Oki, Kazuo; Wang, Yi; Oki, Taikan

2009-01-01

Land cover changes around river basins have caused serious environmental degradation in global surface water areas, in which the direct monitoring and numerical modeling is inherently difficult. Prediction of pollutant loads is therefore crucial to river environmental management under the impact of climate change and intensified human activities. This research analyzed the relationship between land cover types estimated from NOAA Advanced Very High Resolution Radiometer (AVHRR) imagery and the potential annual pollutant loads of river basins in Japan. Then an empirical approach, which estimates annual pollutant loads directly from satellite imagery and hydrological data, was investigated. Six water quality indicators were examined, including total nitrogen (TN), total phosphorus (TP), suspended sediment (SS), Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and Dissolved Oxygen (DO). The pollutant loads of TN, TP, SS, BOD, COD, and DO were then estimated for 30 river basins in Japan. Results show that the proposed simulation technique can be used to predict the pollutant loads of river basins in Japan. These results may be useful in establishing total maximum annual pollutant loads and developing best management strategies for surface water pollution at river basin scale.

Reverse total shoulder arthroplasty

PubMed Central

Familiari, Filippo; Rojas, Jorge; Nedim Doral, Mahmut; Huri, Gazi; McFarland, Edward G.

2018-01-01

Since the introduction of reverse total shoulder arthroplasty (RTSA) in 1987 (in Europe) and 2004 (in the United States), the number of RTSAs performed annually has increased. Although the main indication for RTSA has been rotator cuff tears, indications have expanded to include several shoulder conditions, many of which involve dysfunction of the rotator cuff. RTSA complications have been reported to affect 19% to 68% of patients and include acromial fracture, haematoma, infection, instability, mechanical baseplate failure, neurological injury, periprosthetic fracture and scapular notching. Current controversies in RTSA include optimal baseplate positioning, humeral neck-shaft angle (135° versus 155°), glenosphere placement (medial, lateral or bony increased offset RTSA) and subscapularis repair. Improvements in prosthesis design, surgeon experience and clinical results will need to occur to optimize this treatment for many shoulder conditions. Cite this article: EFORT Open Rev 2018;3:58–69 DOI: 10.1302/2058-5241.3.170044 PMID:29657846

Current state of the Altai glaciers (Russia) and trends over the period of instrumental observations 1952-2008.

PubMed

Narozhniy, Yuriy; Zemtsov, Valeriy

2011-09-01

Results of research into climate and glacier dynamics in the Altai Mountains (Russia) over the period of instrumental observations (1952-2008) are presented in this article. About 1030 glaciers with a total area of 805 km2 and volume of 42.5 km3 have been recorded in the Altai Region. The average summer air temperature in different regions of the Altai has increased during the study period from about 0.2 degrees C (Aktru) to 1.1 degrees C (Akkem). The annual atmospheric precipitation rate has also increased, by 8-10%. Since 1952, the glacier area in different regions of the Altai has decreased by 9-27%, and volume by 12-24%. By 2008, as a result of degradation, the total number of glaciers was 953 with an area of 724 km2 and volume of 38 km3.

Hong Kong domestic health spending: financial years 1989/90 to 2011/12.

PubMed

Tin, K Y K; Tsoi, P K O; Lee, Y H; Chong, D S Y; Lam, D W S; Yeung, A Y T; Ma, E S K; Maw, C K C

2015-06-01

This report presents the latest estimates of Hong Kong domestic health spending for financial years 1989/90 to 2011/12, cross-stratified and categorized by financing source, provider, and function. Total expenditure on health (TEH) was HK$101 985 million in financial year 2011/12, which represents an increase of HK$8580 million or 9.2% over the preceding year. TEH grew faster relative to gross domestic product (GDP) leading to a rise in TEH as a percentage of GDP from 5.1% in 2010/11 to 5.2% in 2011/12. During the period 1989/90 to 2011/12, total health spending per capita (at constant 2012 prices) grew at an average annual rate of 4.8%, which was faster than the average annual growth rate of per capita GDP by 1.8 percentage points. In 2011/12, public and private expenditure on health increased by 8.3% and 10.0% when compared with 2010/11, reaching HK$49,262 million and HK$52,723 million respectively. Consequently, public share of total health expenditure dropped slightly from 48.7% to 48.3% over the year. Of private spending, the most important source of health financing was out-of-pocket payments by households (34.9% of TEH), followed by employer-provided group medical benefits (7.5%) and private insurance (7.4%). It is worth noting that private insurance will likely take over employers as the second largest private payer if the insurance market continues to expand at the current rate. Of the HK$101,985 million total health expenditure in 2011/12, current expenditure comprised HK$96,572 million (94.7%), whereas HK$5413 million (5.3%) was for capital expenses (ie investment in medical facilities). Analysed by health care function, services of curative care accounted for the largest share of total health spending (65.2%), which was made up of ambulatory services (33.6%), in-patient curative care (26.9%), day patient hospital services (4.1%), and home care (0.5%). Notwithstanding its small share, the total spending for day patient hospital services shows an increasing trend over the period 1989/90 to 2011/12, likely as a result of policy directives to shift the emphasis from in-patient to day patient care. Hospitals accounted for an increasing share of total spending, from 28.2% in 1989/90 to 46.8% in 2002/03 and then dropped slightly to 42% to 44% during the period 2005/06 to 2011/12, which was primarily driven by reduced expenditure of Hospital Authority. As a result of the epidemics which are of public health importance (eg avian flu, SARS, swine flu) and the expansion of private health insurance market in the last two decades, spending on provision and administration of public health programmes, and general health administration and insurance accounted for increasing, though less significant, shares of total health spending over the period. Without taking into account capital expenses (ie investment in medical facilities), public current expenditure on health amounted to HK$45,321 million (46.9% of total current expenditure) in 2011/12 with the remaining HK$51,251 million made up of private sources of funds. Public current expenditure was mostly incurred at hospitals (74.1%), whereas private current expenditure was mostly incurred at providers of ambulatory health care (51.2%). Although both public and private spending were mostly expended on personal health care services and goods (91.1% of total current spending), the distributional patterns among functional categories differed. Public expenditure was targeted at in-patient care (47.3%) and substantially less on out-patient care (27.4%). In comparison, private spending was mostly concentrated on out-patient care (42.7%), whereas in-patient care (24.7%) and medical goods outside the patient care setting (19.9%) comprised the majority of the remaining share. Compared to the Organisation for Economic Co-operation and Development countries, Hong Kong has devoted a relatively low percentage of GDP to health care in the last decade. As a share of total spending, public funding (either general government revenue or social security funds) was also lower than those in most economies with comparable economic development and public revenue collection base. Nonetheless, Hong Kong health care system achieved service quality and health outcome that fared well by global standards, indicating cost efficiency and effectiveness.

Annual forest inventory: cornerstone of sustainability in the South

Treesearch

Gregory A. Reams; Francis A. Roesch; Noel D. Cost

1999-01-01

With many competing uses and large regional shifts in forestland use, the sustainability of southern forests is being questioned. The new Southern Annual Forest Inventory System (SAFIS) is being implemented to address regional, State, and national questions regarding past, current, and projected changes in the southern forest. The annual inventory system will provide...

77 FR 16266 - Division of Longshore and Harbor Workers' Compensation; Proposed Extension of Existing Collection...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-20

... Number: LS-426. Affected Public: Individuals or households. Total Respondents: 1,100. Total Annual Responses: 1,100. Estimated Total Burden Hours: 275. Estimated Time per Response: 15 minutes. Frequency: On occasion. Total Burden Cost (capital/startup): $0. Total Burden Cost (operating/maintenance): $528.00...

Annual patient and caregiver burden of oncology clinic visits for granulocyte-colony stimulating factor therapy in the US.

PubMed

Stephens, J Mark; Li, Xiaoyan; Reiner, Maureen; Tzivelekis, Spiros

2016-01-01

Prophylactic treatment with granulocyte-colony stimulating factors (G-CSFs) is indicated for chemotherapy patients with a significant risk of febrile neutropenia. This study estimates the annual economic burden on patients and caregivers of clinic visits for prophylactic G-CSF injections in the US. Annual clinic visits for prophylactic G-CSF injections (all cancers) were estimated from national cancer incidence, chemotherapy treatment and G-CSF utilization data, and G-CSF sales and pricing information. Patient travel times, plus time spent in the clinic, were estimated from patient survey responses collected during a large prospective cohort study (the Prospective Study of the Relationship between Chemotherapy Dose Intensity and Mortality in Early-Stage (I-III) Breast Cancer Patients). Economic models were created to estimate travel costs, patient co-pays and the economic value of time spent by patients and caregivers in G-CSF clinic visits. Estimated total clinic visits for prophylactic G-CSF injections in the US were 1.713 million for 2015. Mean (SD) travel time per visit was 62 (50) min; mean (SD) time in the clinic was 41 (68) min. Total annual time for travel to and from the clinic, plus time at the clinic, is estimated at 4.9 million hours, with patient and caregiver time valued at $91.8 million ($228 per patient). The estimated cumulative annual travel distance for G-CSF visits is 60.2 million miles, with a total transportation cost of $28.9 million ($72 per patient). Estimated patient co-pays were $61.1 million, ∼$36 per visit, $152 per patient. The total yearly economic impact on patients and caregivers is $182 million, ∼$450 per patient. Data to support model parameters were limited. Study estimates are sensitive to the assumptions used. The burden of clinic visits for G-CSF therapy is a significant addition to the total economic burden borne by cancer patients and their families.

Emissions of methane in Europe inferred by total column measurements

NASA Astrophysics Data System (ADS)

Wunch, D.; Deutscher, N. M.; Hase, F.; Notholt, J.; Sussmann, R.; Toon, G. C.; Warneke, T.

2017-12-01

Atmospheric total column measurements have been used to infer emissions of methane in urban centres around the world. These measurements have been shown to be useful for verifying city-scale bottom-up inventories, and they can provide both timely and sub-annual emission information. We will present our analysis of atmospheric total column measurements of methane and carbon monoxide to infer annual and seasonal regional emissions of methane within Europe using five long-running atmospheric observatories. These observatories are part of the Total Carbon Column Observing Network, part of a global network that has been carefully designed to measure these gases on a consistent scale. Our inferred emissions will then be used to evaluate gridded emissions inventories in the region.

The role of hydrology in annual organic carbon loads and terrestrial organic matter export from a midwestern agricultural watershed

NASA Astrophysics Data System (ADS)

Dalzell, Brent J.; Filley, Timothy R.; Harbor, Jon M.

2007-03-01

Defining the control that hydrology exerts on organic carbon (OC) export at the watershed scale is important for understanding how the source and quantity of OC in streams and rivers is influenced by climate change or by landscape drainage. To this end, molecular (lignin phenol), stable carbon isotope, and dissolved organic carbon (DOC) data were collected over a range of flow conditions to examine the influence of hydrology on annual OC export from an 850 km 2 Midwestern United States agricultural watershed located in west central Indiana. In years 2002 and 2003, modeled annual DOC loads were 19.5 and 14.1 kg ha -1yr -1, while 71% and 85%, respectively, of the total annual OC was exported in flow events occurring during less than 20% of that time. These results highlight the importance of short-duration, high-discharge events (common in smaller watersheds) in controlling annual OC export. Based on reported increases in annual stream discharge coupled with current estimates of DOC export, annual DOC loads in this watershed may have increased by up to 40% over the past 50 years. Molecular (lignin phenol) characterization of quantity and relative degradation state of terrestrial OC shows as much temporal variability of lignin parameters (in high molecular weight dissolved organic carbon) in this one watershed as that demonstrated in previously published studies of dissolved organic matter in the Mississippi and Amazon Rivers. These results suggest that hydrologic variability is at least as important in determining the nature and extent of OC export as geographic variability. Moreover, molecular and bulk stable carbon isotope data from high molecular weight dissolved organic carbon and colloidal organic carbon showed that increased stream flow from the study watershed was responsible for increased export of agriculturally derived OC. When considered in the context of results from other studies that show the importance of flood events and in-stream processing of terrestrial organic carbon, our results show how hydrologic variability in smaller watersheds can reflect landscape-scale carbon dynamics in ways that cannot necessarily be measured at the outlets of large rivers due to multiple source signals and attenuated hydrology.

Analysis of GaAs and Si solar energy hybrid systems

NASA Technical Reports Server (NTRS)

Heinbockel, J. H.; Roberts, A. S., Jr.

1977-01-01

Various silicon hybrid systems are modeled and compared with a gallium arsenide hybrid system. The hybrid systems modeled produce electric power and also thermal power which can be used for heating or air conditioning. Various performance indices are defined and used to compare the system performance: capital cost per electric power out; capital cost per total power out; capital cost per electric power plus mechanical power; annual cost per annual electric energy; and annual cost per annual electric energy plus annual mechanical work. These performance indices indicate that concentrator hybrid systems can be cost effective when compared with present day energy costs.

Financial Impact of Cancer Drug Wastage and Potential Cost Savings From Mitigation Strategies.

PubMed

Leung, Caitlyn Y W; Cheung, Matthew C; Charbonneau, Lauren F; Prica, Anca; Ng, Pamela; Chan, Kelvin K W

2017-07-01

Cancer drug wastage occurs when a parenteral drug within a fixed vial is not administered fully to a patient. This study investigated the extent of drug wastage, the financial impact on the hospital budget, and the cost savings associated with current mitigation strategies. We conducted a cross-sectional study in three University of Toronto-affiliated hospitals of various sizes. We recorded the actual amount of drug wasted over a 2-week period while using current mitigation strategies. Single-dose vial cancer drugs with the highest wastage potentials were identified (14 drugs). To calculate the hypothetical drug wastage with no mitigation strategies, we determined how many vials of drugs would be needed to fill a single prescription. The total drug costs over the 2 weeks ranged from $50,257 to $716,983 in the three institutions. With existing mitigation strategies, the actual drug wastage over the 2 weeks ranged from $928 to $5,472, which was approximately 1% to 2% of the total drug costs. In the hypothetical model with no mitigation strategies implemented, the projected drug cost wastage would have been $11,232 to $149,131, which accounted for 16% to 18% of the total drug costs. As a result, the potential annual savings while using current mitigation strategies range from 15% to 17%. The financial impact of drug wastage is substantial. Mitigation strategies lead to substantial cost savings, with the opportunity to reinvest those savings. More research is needed to determine the appropriate methods to minimize risk to patients while using the cost-saving mitigation strategies.

Hydrologic reconnaissance of the Wah Wah Valley drainage basin, Millard and Beaver Counties, Utah

USGS Publications Warehouse

Stephens, Jerry C.

1974-01-01

The Wah Wah Valley drainage basin is an area of about 600 square miles (1,550 km2) in Millard and Beaver Counties in southwestern Utah. Surface-water supplies of the area are negligible--total runoff averages about 7,800 acre-feet (9.62 hm3) annually, all streams are ephemeral or intermittent, and surface storage is negligible. Evaporation and transpiration within the basin consume more than 97 percent of total annual precipitation. There is no surface outflow.

Cost analysis of gentamicin-impregnated collagen sponges in preventing sternal wound infection post cardiac surgery.

PubMed

Joshi, V; Vaja, R; Richens, D

2016-01-01

The use of antibiotic-impregnated sponges (Collatamp) during cardiac surgery is controversial. We analysed the cost-effectiveness of its selective use in patients at high-risk of sternal wound infection (SWI). Postoperative costs were analysed in two groups of patients undergoing heart surgery between 2011 and 2013: those with SWI (group 1) and in high-risk patients without SWI (group 2). The potential cost of gentamicin-impregnated collagen sponges (GCS) use in high-risk patients was compared with our current practice. We identified 1,251 patients with at least one recognised risk factor for developing SWI in this period. Of these, 18 developed SWI (incidence 1.4%). The median postoperative cost per patient without SWI was £9,617. The additional cost per patient incurred by SWI was £4,860.75. The annual additional cost for treating patients with SWI was £43,749. With a 50% reduction in SWI, the annual additional cost of treating these patients would be reduced to £21,873. The cost of GCS is £80 per patient. Adding this to £21,873 gives a potential total cost of £71,913 in the treated high-risk cohort. In our practice the annual cost of treating SWI in high-risk patients without use of GCS is lower than the annual cost of using GCS in all high-risk patients (£43,749 versus £71,913) if it produces a 50% reduction in SWI. The reduction in the incidence of SWI poses no economic benefit when the cost of the product is factored in.

Modelling energy production by small hydro power plants in collective irrigation networks of Calabria (Southern Italy)

NASA Astrophysics Data System (ADS)

Zema, Demetrio Antonio; Nicotra, Angelo; Tamburino, Vincenzo; Marcello Zimbone, Santo

2017-04-01

The availability of geodetic heads and considerable water flows in collective irrigation networks suggests the possibility of recovery potential energy using small hydro power plants (SHPP) at sustainable costs. This is the case of many Water Users Associations (WUA) in Calabria (Southern Italy), where it could theoretically be possible to recovery electrical energy out of the irrigation season. However, very few Calabrian WUAs have currently built SHPP in their irrigation networks and thus in this region the potential energy is practically fully lost. A previous study (Zema et al., 2016) proposed an original and simple model to site turbines and size their power output as well as to evaluate profits of SHPP in collective irrigation networks. Applying this model at regional scale, this paper estimates the theoretical energy production and the economic performances of SHPP installed in collective irrigation networks of Calabrian WUAs. In more detail, based on digital terrain models processed by GIS and few parameters of the water networks, for each SHPP the model provides: (i) the electrical power output; (iii) the optimal water discharge; (ii) costs, revenues and profits. Moreover, the map of the theoretical energy production by SHPP in collective irrigation networks of Calabria was drawn. The total network length of the 103 water networks surveyed is equal to 414 km and the total geodetic head is 3157 m, of which 63% is lost due to hydraulic losses. Thus, a total power output of 19.4 MW could theoretically be installed. This would provide an annual energy production of 103 GWh, considering SHPPs in operation only out of the irrigation season. The single irrigation networks have a power output in the range 0.7 kW - 6.4 MW. However, the lowest SHPPs (that is, turbines with power output under 5 kW) have been neglected, because the annual profit is very low (on average less than 6%, Zema et al., 2016). On average each irrigation network provides an annual revenue from electrical energy sale of about 103000 €. Even though this revenue may appear quite low, it represents an important share of the annual WUA income. For the entire region, the total revenues from recovery energy in collective irrigation networks through SHPPs have been estimated in about 12 million Euros; investment and operating costs have been evaluated by parametric equations and the total profit theoretically available for each WUA has been quantified. This study has shown the economic opportunity of integrating SHPP in existing collecting irrigation networks of WUAs, in view of providing additional economic resources for users and enhancing the exploitation of a renewable energy source. REFERENCE Zema D.A., Nicotra A., Tamburino V., Zimbone S.M. 2016. A simple method to evaluate the technical and economic feasibility of micro hydro power plants in existing irrigation systems. Renewable Energy 85, 498-506. DOI: 10.1016/j.renene.2015.06.066.

Decreasing annual nest counts in a globally important loggerhead sea turtle population.

PubMed

Witherington, Blair; Kubilis, Paul; Brost, Beth; Meylan, Anne

2009-01-01

The loggerhead sea turtle (Caretta caretta) nests on sand beaches, has both oceanic and neritic life stages, and migrates internationally. We analyzed an 18-year time series of Index Nesting Beach Survey (Index) nest-count data to describe spatial and temporal trends in loggerhead nesting on Florida (USA) beaches. The Index data were highly resolved: 368 fixed zones (mean length 0.88 km) were surveyed daily during annual 109-day survey seasons. Spatial and seasonal coverage averaged 69% of estimated total nesting by loggerheads in the state. We carried out trend analyses on both annual survey-region nest-count totals (N = 18) and annual zone-level nest densities (N = 18 x 368 = 6624). In both analyses, negative binomial regression models were used to fit restricted cubic spline curves to aggregated nest counts. Between 1989 and 2006, loggerhead nest counts on Florida Index beaches increased and then declined, with a net decrease over the 18-year period. This pattern was evident in both a trend model of annual survey-region nest-count totals and a mixed-effect, "single-region" trend model of annual zone-level nest densities that took into account both spatial and temporal correlation between counts. We also saw this pattern in a zone-level model that allowed trend line shapes to vary between six coastal subregions. Annual mean zone-level nest density declined significantly (-28%; 95% CI: -34% to -21%) between 1989 and 2006 and declined steeply (-43%; 95% CI: -48% to -39%) during 1998-2006. Rates of change in annual mean nest density varied more between coastal subregions during the "mostly increasing" period prior to 1998 than during the "steeply declining" period after 1998. The excellent fits (observed vs. expected count R2 > 0.91) of the mixed-effect zone-level models confirmed the presence of strong, positive, within-zone autocorrelation (R > 0.93) between annual counts, indicating a remarkable year-to-year consistency in the longshore spatial distribution of nests over the survey region. We argue that the decline in annual loggerhead nest counts in peninsular Florida can best be explained by a decline in the number of adult female loggerheads in the population. Causes of this decline are explored.

Scientific literature on infectious diseases affecting livestock animals, longitudinal worldwide bibliometric analysis.

PubMed

Ducrot, Christian; Gautret, Marjolaine; Pineau, Thierry; Jestin, André

2016-03-14

The objectives of this bibliometric analysis of the scientific literature were to describe the research subjects and the international collaborations in the field of research on infectious diseases in livestock animals including fishes and honeybees. It was based on articles published worldwide from 2006 through 2013. The source of data was the Web of Science, Core collection(®) and only papers fully written in English were considered. Queries were built that combined 130 descriptors related to animal species and 1213 descriptors related to diseases and pathogens. To refine and assess the accuracy of the extracted database, supplementary filters were applied to discard non-specific terms and neighbouring topics, and numerous tests were carried out on samples. For pathogens, annotation was done using a thematic terminology established to link each disease with its corresponding pathogen, which was in turn classified according to its family. A total of 62,754 articles were published in this field during this 8-year period. The average annual growth rate of the number of papers was 5%. This represents the reference data to which we compared the average annual growth rate of articles produced in each of the sub-categories that we defined. Thirty-seven percent of the papers were dedicated to ruminant diseases. Poultry, pigs and fishes were covered by respectively 21, 13 and 14% of the total. Thirty-seven percent of papers concerned bacteria, 33% viruses, 19% parasites, 2% prions, the remaining being multi-pathogens. Research on virology, especially on pigs and poultry, is increasing faster than the average. There also is increasing interest in monogastric species, fish and bees. The average annual growth rate for Asia was 10%, which is high compared to 3% for Europe and 2% for the Americas, indicating that Asia is currently playing a leading role in this field. There is a well established network of international collaborations. For 75% of the papers, the co-authors were from the same country, for 10%, they were from different countries on the same continent, and for 15%, they were from different continents. The annual growth rate of papers representing international collaborations generally is increasing more quickly than the overall average.

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

PubMed

Li, Hao; Dong, Siping; Liu, Tingfang

2014-04-06

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

Cost and benefit estimates of partially-automated vehicle collision avoidance technologies.

PubMed

Harper, Corey D; Hendrickson, Chris T; Samaras, Constantine

2016-10-01

Many light-duty vehicle crashes occur due to human error and distracted driving. Partially-automated crash avoidance features offer the potential to reduce the frequency and severity of vehicle crashes that occur due to distracted driving and/or human error by assisting in maintaining control of the vehicle or issuing alerts if a potentially dangerous situation is detected. This paper evaluates the benefits and costs of fleet-wide deployment of blind spot monitoring, lane departure warning, and forward collision warning crash avoidance systems within the US light-duty vehicle fleet. The three crash avoidance technologies could collectively prevent or reduce the severity of as many as 1.3 million U.S. crashes a year including 133,000 injury crashes and 10,100 fatal crashes. For this paper we made two estimates of potential benefits in the United States: (1) the upper bound fleet-wide technology diffusion benefits by assuming all relevant crashes are avoided and (2) the lower bound fleet-wide benefits of the three technologies based on observed insurance data. The latter represents a lower bound as technology is improved over time and cost reduced with scale economies and technology improvement. All three technologies could collectively provide a lower bound annual benefit of about $18 billion if equipped on all light-duty vehicles. With 2015 pricing of safety options, the total annual costs to equip all light-duty vehicles with the three technologies would be about $13 billion, resulting in an annual net benefit of about $4 billion or a $20 per vehicle net benefit. By assuming all relevant crashes are avoided, the total upper bound annual net benefit from all three technologies combined is about $202 billion or an $861 per vehicle net benefit, at current technology costs. The technologies we are exploring in this paper represent an early form of vehicle automation and a positive net benefit suggests the fleet-wide adoption of these technologies would be beneficial from an economic and social perspective. Copyright © 2016 Elsevier Ltd. All rights reserved.

Balancing growth, harvest, and consumption: a regional response to the national issue of forest sustainability

Treesearch

Stephen R. Shifley; Neal H. Sullivan

2004-01-01

The 46 million people who live in the North Central Region of the United States account for about 17 percent of the wood annually consumed in the United States. The region contains 14 percent of the nation's timberland, but annual timber growth is equivalent to only 10 percent of nation's total. Annual timber harvest is equivalent to only 7 percent of the...

Trends in annual, seasonal, and monthly streamflow characteristics at 227 streamgages in the Missouri River watershed, water years 1960-2011

USGS Publications Warehouse

Norton, Parker A.; Anderson, Mark T.; Stamm, John F.

2014-01-01

The Missouri River and its tributaries are an important resource that serve multiple uses including agriculture, energy, recreation, and municipal water supply. Understanding historical streamflow characteristics provides relevant guidance to adaptive management of these water resources. Streamflow records in the Missouri River watershed were examined for trends in time series of annual, seasonal, and monthly streamflow. A total of 227 streamgages having continuous observational records for water years 1960–2011 were examined. Kendall’s tau nonparametric test was used to determine statistical significance of trends in annual, seasonal, and monthly streamflow. A trend was considered statistically significant for a probability value less than or equal to 0.10 that the Kendall’s tau value equals zero. Significant trends in annual streamflow were indicated for 101 out of a total of 227 streamgages. The Missouri River watershed was divided into six watershed regions and trends within regions were examined. The western and the southern parts of the Missouri River watershed had downward trends in annual streamflow (56 streamgages), whereas the eastern part of the watershed had upward trends in streamflow (45 streamgages). Seasonal and monthly streamflow trends reflected prevailing annual streamflow trends within each watershed region.

Analysis of conifer mortality in Colorado using Forest Inventory and Analysis's annual forest inventory

Treesearch

Michael T. Thompson

2009-01-01

Aerial detection surveys indicate that widespread conifer mortality has been steadily increasing in Colorado, particularly since 2002. The Forest Inventory and Analysis (FIA) annual inventory system began in Colorado in 2002, which coincided with the onset of elevated conifer mortality rates. The current mortality event coupled with collection of 6 years of annual...

Annual losses from disease in Pacific Northwest forests.

Treesearch

T.W Childs; K.R. Shea

1967-01-01

This report presents current estimates of annual disease impact on forest productivity of Oregon and Washington. It is concerned exclusively with losses of timber volumes and of potential timber growth in today's forests.Annual loss from disease in this region is estimated at 3,133 million board feet or 403 million cubic feet. This is about 13 percent...

15 CFR 806.14 - U.S. direct investment abroad.

Code of Federal Regulations, 2010 CFR

2010-01-01

... annual data after the close of the year in question, the test shall be whether any one of the three items... survey, which requests actual data for the past year and/or annual projections for the current and..., reports are required for each quarter of a year in which the annual amount of these items exceeds or can...

43 CFR 3835.31 - When do I file an annual FLPMA document?

Code of Federal Regulations, 2013 CFR

2013-10-01

... MAINTENANCE FEES Annual FLPMA Documents § 3835.31 When do I file an annual FLPMA document? (a) If you must... because you located the claim during the current assessment year or because BLM has deferred assessment... FLPMA document filing. You must state in the notice of intent to hold either that BLM has deferred the...

43 CFR 3835.31 - When do I file an annual FLPMA document?

Code of Federal Regulations, 2012 CFR

2012-10-01

... MAINTENANCE FEES Annual FLPMA Documents § 3835.31 When do I file an annual FLPMA document? (a) If you must... because you located the claim during the current assessment year or because BLM has deferred assessment... FLPMA document filing. You must state in the notice of intent to hold either that BLM has deferred the...

43 CFR 3835.31 - When do I file an annual FLPMA document?

Code of Federal Regulations, 2011 CFR

2011-10-01

... MAINTENANCE FEES Annual FLPMA Documents § 3835.31 When do I file an annual FLPMA document? (a) If you must... because you located the claim during the current assessment year or because BLM has deferred assessment... FLPMA document filing. You must state in the notice of intent to hold either that BLM has deferred the...

43 CFR 3835.31 - When do I file an annual FLPMA document?

Code of Federal Regulations, 2014 CFR

2014-10-01

... MAINTENANCE FEES Annual FLPMA Documents § 3835.31 When do I file an annual FLPMA document? (a) If you must... because you located the claim during the current assessment year or because BLM has deferred assessment... FLPMA document filing. You must state in the notice of intent to hold either that BLM has deferred the...

78 FR 36117 - Fisheries Off West Coast States; Coastal Pelagic Species Fisheries; Annual Specifications

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-17

... regulations require NMFS to set these annual catch levels for the Pacific sardine fishery based on the annual... HG, the primary management target for the fishery, for the current fishing season. The HG is based... Fisheries Science Center and the resulting Pacific sardine biomass estimate of 659,539 mt. Based on the...

Cost analysis of laparoscopic gastric bypass practice using current Medicare reimbursement and practice costs.

PubMed

Madan, Atul K; Powelson, Jill E; Tichansky, David S

2008-01-01

We performed a formal cost analysis of a hypothetical bariatric practice consisting of a surgeon, dietitian, clinical coordinator/office manager, receptionist, and certified medical assistant to determine whether a bariatric practice would have a difficult time surviving financially with the current Medicare reimbursement. The number of possible cases was calculated for the 2005 calendar year. Most of the costs and assumptions were taken from an actual bariatric practice. The malpractice insurance premium (but not physician salary and benefits) was calculated into the practice cost. With a total of 231 days available for clinical work in 2005, 300 scheduled laparoscopic gastric bypasses could have been performed to allow for appropriate clinic time for new patient visits, postoperative visits, and annual visits. The total reimbursement from Medicare would have been $516,158, with most of the reimbursement coming from procedure fees ($407,063). The total practice cost would have been $444,592. Most of the costs were clinic staff salary and benefits ($207,065) and the malpractice premium ($55,150). The net difference of $71,566 was left to pay the salary and benefits of the bariatric surgeon. The low reimbursement of Medicare for laparoscopic gastric bypass threatens the financial viability of a bariatric surgery practice. With the increasing cost of malpractice and the threatened decrease in Medicare physician reimbursement, Medicare recipients could see a decrease in the number of bariatric surgeons offering them service.

Improvement in the assessment of wear of total knee replacements using coordinate-measuring machine techniques.

PubMed

Blunt, L A; Bills, P J; Jiang, X-Q; Chakrabarty, G

2008-04-01

Total joint replacement is one of the most common elective surgical procedures performed worldwide, with an estimate of 1.5x 10(6) operations performed annually. Currently joint replacements are expected to function for 10-15 years; however, with an increase in life expectancy, and a greater call for knee replacement due to increased activity levels, there is a requirement to improve their function to offer longer-term improved quality of life for patients. Wear analysis of total joint replacements has long been an important means in determining failure mechanisms and improving longevity of these devices. The effectiveness of the coordinate-measuring machine (CMM) technique for assessing volumetric material loss during simulated life testing of a replacement knee joint has been proved previously by the present authors. The purpose of the current work is to present an improvement to this method for situations where no pre-wear data are available. To validate the method, simulator tests were run and gravimetric measurements taken throughout the test, such that the components measured had a known wear value. The implications of the results are then discussed in terms of assessment of joint functionality and development of standardized CMM-based product standards. The method was then expanded to allow assessment of clinically retrieved bearings so as to ascertain a measure of true clinical wear.

Water treatment plants assessment at Talkha power plant.

PubMed

El-Sebaie, Olfat D; Abd El-Kerim, Ghazy E; Ramadan, Mohamed H; Abd El-Atey, Magda M; Taha, Sahr Ahmed

2002-01-01

Talkha power plant is the only power plant located in El-Mansoura. It generates electricity using two different methods by steam turbine and gas turbine. Both plants drew water from River Nile (208 m3 /h). The Nile raw water passes through different treatment processes to be suitable for drinking and operational uses. At Talkha power plant, there are two purification plants used for drinking water supply (100 m3/h) and for water demineralization supply (108 m3/h). This study aimed at studying the efficiency of the water purification plants. For drinking water purification plant, the annual River Nile water characterized by slightly alkaline pH (7.4-8), high annual mean values of turbidity (10.06 NTU), Standard Plate Count (SPC) (313.3 CFU/1 ml), total coliform (2717/100 ml), fecal coliform (0-2400/100 ml), and total algae (3 x 10(4) org/I). The dominant group of algae all over the study period was green algae. The blue green algae was abundant in Summer and Autumn seasons. The pH range, and the annual mean values of turbidity, TDS, total hardness, sulfates, chlorides, nitrates, nitrites, fluoride, and residual chlorine for purified water were in compliance with Egyptian drinking water standards. All the SPC recorded values with an annual mean value of 10.13 CFU/1 ml indicated that chlorine dose and contact time were not enough to kill the bacteria. However, they were in compliance with Egyptian decree (should not exceed 50 CFU/1 ml). Although the removal efficiency of the plant for total coliform and blue green algae was high (98.5% and 99.2%, respectively), the limits of the obtained results with an annual mean values of 40/100 ml and 15.6 org/l were not in compliance with the Egyptian decree (should be free from total coliform, fecal coliform and blue green algae). For water demineralization treatment plant, the raw water was characterized by slightly alkaline pH. The annual mean values of conductivity, turbidity, and TDS were 354.6 microS/cm, 10.84 NTU, and 214.6 mg/I, respectively. There was an increase in the results of conductivity, turbidity, total hardness, and TDS in carbon filter effluent which was attributed to the desorption of adsorbed ions on the carbon media. The removal efficiencies of turbidity, total hardness, and TDS indicated the high efficiency of the cationic filter. The annual removal efficiencies of conductivity, turbidity, chloride, and TDS proved the efficiency of the anionic filter for removing the dissolved and suspended ions. All of the recorded values of the pH, conductivity, turbidity, chlorides, hardness, and TDS of the mixed bed effluent indicated that the water at this stage was of high quality for boiler feed. The study recommended adjustment of coagulant and residual chlorine doses as well as contact time, and continuous monitoring and maintenance of the different units.

A preliminary categorization of end-of-life electrical and electronic equipment as secondary metal resources

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

Oguchi, Masahiro, E-mail: oguchi.masahiro@nies.go.jp; Murakami, Shinsuke; Sakanakura, Hirofumi

2011-09-15

Highlights: > End-of-life electrical and electronic equipment (EEE) as secondary metal resources. > The content and the total amount of metals in specific equipment are both important. > We categorized 21 EEE types from contents and total amounts of various metals. > Important equipment types as secondary resources were listed for each metal kind. > Collectability and possible collection systems of various EEE types were discussed. - Abstract: End-of-life electrical and electronic equipment (EEE) has recently received attention as a secondary source of metals. This study examined characteristics of end-of-life EEE as secondary metal resources to consider efficient collection andmore » metal recovery systems according to the specific metals and types of EEE. We constructed an analogy between natural resource development and metal recovery from end-of-life EEE and found that metal content and total annual amount of metal contained in each type of end-of-life EEE should be considered in secondary resource development, as well as the collectability of the end-of-life products. We then categorized 21 EEE types into five groups and discussed their potential as secondary metal resources. Refrigerators, washing machines, air conditioners, and CRT TVs were evaluated as the most important sources of common metals, and personal computers, mobile phones, and video games were evaluated as the most important sources of precious metals. Several types of small digital equipment were also identified as important sources of precious metals; however, mid-size information and communication technology (ICT) equipment (e.g., printers and fax machines) and audio/video equipment were shown to be more important as a source of a variety of less common metals. The physical collectability of each type of EEE was roughly characterized by unit size and number of end-of-life products generated annually. Current collection systems in Japan were examined and potentially appropriate collection methods were suggested for equipment types that currently have no specific collection systems in Japan, particularly for video games, notebook computers, and mid-size ICT and audio/video equipment.« less

Optimal selection and placement of green infrastructure to reduce impacts of land use change and climate change on hydrology and water quality: An application to the Trail Creek Watershed, Indiana.

PubMed

Liu, Yaoze; Theller, Lawrence O; Pijanowski, Bryan C; Engel, Bernard A

2016-05-15

The adverse impacts of urbanization and climate change on hydrology and water quality can be mitigated by applying green infrastructure practices. In this study, the impacts of land use change and climate change on hydrology and water quality in the 153.2 km(2) Trail Creek watershed located in northwest Indiana were estimated using the Long-Term Hydrologic Impact Assessment-Low Impact Development 2.1 (L-THIA-LID 2.1) model for the following environmental concerns: runoff volume, Total Suspended Solids (TSS), Total Phosphorous (TP), Total Kjeldahl Nitrogen (TKN), and Nitrate+Nitrite (NOx). Using a recent 2001 land use map and 2050 land use forecasts, we found that land use change resulted in increased runoff volume and pollutant loads (8.0% to 17.9% increase). Climate change reduced runoff and nonpoint source pollutant loads (5.6% to 10.2% reduction). The 2050 forecasted land use with current rainfall resulted in the largest runoff volume and pollutant loads. The optimal selection and placement of green infrastructure practices using L-THIA-LID 2.1 model were conducted. Costs of applying green infrastructure were estimated using the L-THIA-LID 2.1 model considering construction, maintenance, and opportunity costs. To attain the same runoff volume and pollutant loads as in 2001 land uses for 2050 land uses, the runoff volume, TSS, TP, TKN, and NOx for 2050 needed to be reduced by 10.8%, 14.4%, 13.1%, 15.2%, and 9.0%, respectively. The corresponding annual costs of implementing green infrastructure to achieve the goals were $2.1, $0.8, $1.6, $1.9, and $0.8 million, respectively. Annual costs of reducing 2050 runoff volume/pollutant loads were estimated, and results show green infrastructure annual cost greatly increased for larger reductions in runoff volume and pollutant loads. During optimization, the most cost-efficient green infrastructure practices were selected and implementation levels increased for greater reductions of runoff and nonpoint source pollutants. Copyright © 2016 Elsevier B.V. All rights reserved.

Nitrogenous fertilizers: Global distribution of consumption and associated emissions of nitrous oxide and ammonia

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

Matthews, E.

1994-12-01

The global distribution of nitrogen input via application of chemical nitrogenous fertilizers to agricultural ecosystems is presented. The suite of 1{degrees} (latitude/longitude) resolution data bases includes primary data on fertilizer consumption, as well as supporting data sets defining the distribution and intensity of agriculture associated with fertilizer use. The data were developed from a variety of sources and reflect conditions for the mid-1980s. East Asia, where fertilizer use is increasing at {approximately}10%/year, accounted for {approximately}37% of the total, while North America and western Europe, where fertilizer use is leveling off, accounted for 40% of the world`s total in the mid-1980s.more » While almost every country consumes urea, {approximately}75% of the large East Asian fertilizer use is supplied by this one fertilizer. Ammonium nitrate, used primarily in the former centrally planned economies of Europe, in West Asia, and in Africa, accounted for about one quarter of global consumption. These data were used to estimate distributions of the annual emission of nitrous oxide (N{sub 2}O) and ammonia (NH{sub 3}) associated with the use of fertilizers. Applying published ranges of emission coefficients for fertilizer types in the data base yields a median emission of 0.1 Tg N{sub 2}O-N, with lower and upper values of 0.03 and 2.0 Tg N{sub 2}O-N in 1984. This equals <1% to {approximately}3% of the total nitrogen applied via commercial fertilizers and represents ,=<1% to 15% of the annual emission of N{sub 2}O from terrestrial sources. Assuming that the {approximately}4% annual increase in consumption of nitrogenous fertilizers during the 1980s corresponds to a {approximately}4% rise in the release of N{sub 2}O-N, yearly increases in emissions from fertilizer use are <0.01 to 0.08 Tg N{sub 2}O-N equal to <1% to 3% of the current growth of atmospheric nitrous oxide. 98 refs., 3 figs., 5 tabs.« less

Estimating suspended sediment and trace element fluxes in large river basins: Methodological considerations as applied to the NASQAN programme

USGS Publications Warehouse

Horowitz, A.J.; Elrick, K.A.; Smith, J.J.

2001-01-01

In 1994, the NASQAN (National Stream Quality Accounting Network) programme was redesigned as a flux-based water-quality monitoring network for the Mississippi, Columbia, Colorado, and Rio Grande Basins. As the new programme represented a departure from the original, new sampling, processing, analytical, and data handling procedures had to be selected/developed to provide data on discharge, suspended sediment concentration, and the concentrations of suspended sediment and dissolved trace elements. Annual suspended sediment fluxes were estimated by summing daily instantaneous fluxes based on predicted suspended sediment concentrations derived from discharge-based log-log regression (rating-curve) models. The models were developed using both historical and current site-specific discharge and suspended sediment concentrations. Errors using this approach typically are less than ?? 10% for the 3-year reporting period; however, the magnitude of the errors increases substantially for temporal spans shorter than 1 year. Total, rather than total-recoverable, suspended sediment-associated trace element concentrations were determined by direct analysis of material dewatered from large-volume whole-water samples. Site-specific intra- and inter-annual suspended sediment-associated chemical variations were less (typically by no more than a factor of two) than those for either discharge or suspended sediment concentrations (usually more than 10-fold). The concentrations, hence the annual fluxes, for suspended sediment-associated phosphorus and organic carbon, determined by direct analyses, were higher than those determined using a more traditional paired, whole-water/filtered-water approach (by factors ranging from 1.5- to 10-fold). This may be important for such issues as eutrophication and coastal productivity. Filtered water-associated (dissolved) trace element concentrations were markedly lower than those determined during the historical NASQAN programme; many were below their respective detection limits. This resulted from the use of clean sampling, processing, and analytical protocols. Hence, the fluxes for filtered water-associated (dissolved) Ag, Pb, Co, V, Be, Sb, and Se, as well as the total (filtered water plus suspended sediment-associated) fluxes for these constituents, could not be estimated.

Incremental direct and indirect cost burden attributed to endometriosis surgeries in the United States.

PubMed

Soliman, Ahmed M; Taylor, Hugh S; Bonafede, Machaon; Nelson, James K; Castelli-Haley, Jane

2017-05-01

To compare direct and indirect costs between endometriosis patients who underwent endometriosis-related surgery (surgery cohort) and those who have not received surgery (no-surgery cohort). Retrospective cohort study. Not applicable. Endometriosis patients (aged 18-49 years) with (n = 124,530) or without (n = 37,106) a claim for endometriosis-related surgery were identified from the Truven Health MarketScan Commercial and Health and Productivity Management databases for 2006-2014. Not applicable. Primary outcomes were healthcare utilization during 12-month pre- and post-index periods, annual direct (healthcare) and indirect (absenteeism and short- and long-term disability) costs during the 12-month post-index period (in 2014 US dollars). Indirect costs were assessed for patients with available productivity data. Patients in the surgery cohort had significantly higher healthcare resource utilization during the post-index period and had mean annual total adjusted post-index direct costs approximately three times the costs among patients in the no-surgery cohort ($19,203 [SD $7,133] vs. $6,365 [SD $2,364]; average incremental annual direct cost = $12,838). The mean cost of surgery ($7,268 [SD $7,975]) was the single largest contributor to incremental annual direct cost. Mean estimated annual total indirect costs were $8,843 (surgery cohort) vs. $5,603 (no-surgery cohort); average incremental annual indirect cost = $3,240. Endometriosis patients who underwent surgery, compared with endometriosis patients who did not, incurred significantly higher direct costs due to healthcare utilization and indirect costs due to absenteeism or short-term disability. Regardless of the surgery type, the cost of index surgery contributed substantially to the total healthcare expenditure. Copyright © 2017 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

The community structure and seasonal dynamics of plankton in Bange Lake, northern Tibet, China

NASA Astrophysics Data System (ADS)

Zhao, Wen; Zhao, Yuanyi; Wang, Qiaohan; Zheng, Mianping; Wei, Jie; Wang, Shan

2016-11-01

The seasonal variations in biomass, abundance, and species composition of plankton in relation to hydrography were studied in the saline Bange Lake, northern Tibet, China. Sampling was carried out between one to three times per month from May 2001 to July 2002. Salinity ranged from 14 to 146. The air and water temperature exhibited a clear seasonal pattern, and mean annual temperatures were approximately 4.8°C and 7.3°C, respectively. The lowest water temperature occurred in winter from December to March at -2°C and the highest in June and July at 17.7°C. Forty-one phytoplankton taxa, 21 zooplankton, and 5 benthic or facultative zooplankton were identified. The predominant phytoplankton species were Gloeothece linearis, Oscillatoria tenuis, Gloeocapsa punctata, Ctenocladus circinnatus, Dunaliella salina, and Spirulina major. The predominant zooplankton species included Holophrya actra, Brachionus plicatilis, Daphniopsis tibetana, Cletocamptus dertersi, and Arctodiaptomus salinus. The mean annual total phytoplankton density and biomass for the entire lake were 4.52×107 cells/L and 1.60 mg/L, respectively. The annual mean zooplankton abundance was 52, 162, 322, and 57, 144 ind./L, in the three sublakes. The annual mean total zooplankton biomass in Lakes 1-3 was 1.23, 9.98, and 2.13 mg/L, respectively. The annual mean tychoplankton abundances in Bg1, 2, and 3 were 47, 67, and 654 ind./L. The annual mean tychoplankton biomass was 2.36, 0.16, and 2.03 mg/L, respectively. The zooplankton biomass (including tychoplankton) in the lake was 9.11 mg/L. The total number of plankton species in the salt lake was significantly negatively correlated with salinity.

Extreme daily precipitation: the case of Serbia in 2014

NASA Astrophysics Data System (ADS)

Tošić, Ivana; Unkašević, Miroslava; Putniković, Suzana

2017-05-01

The extreme daily precipitation in Serbia was examined at 16 stations during the period 1961-2014. Two synoptic situations in May and September of 2014 were analysed, when extreme precipitation was recorded in western and eastern Serbia, respectively. The synoptic situation from 14 to 16 May 2014 remained nearly stationary over the western and central Serbia for the entire period. On 15 May 2014, the daily rainfall broke previous historical records in Belgrade (109.8 mm), Valjevo (108.2 mm) and Loznica (110 mm). Precipitation exceeded 200 mm in 72 h, producing the most catastrophic floods in the recent history of Serbia. In Negotin (eastern Serbia), daily precipitation of 161.3 mm was registered on 16 September 2014, which was the maximum value recorded during the period 1961-2014. The daily maximum in 2014 was registered at 6 out of 16 stations. The total annual precipitation for 2014 was the highest for the period 1961-2014 at almost all stations in Serbia. A non-significant positive trend was found for all precipitation indices: annual daily maximum precipitation, the total precipitation in consecutive 3 and 5 days, the total annual precipitation, and number of days with at least 10 and 20 mm of precipitation. The generalised extreme value distribution was fitted to the annual daily maximum precipitation. The estimated 100-year return levels were 123.4 and 147.4 mm for the annual daily maximum precipitation in Belgrade and Negotin, respectively.

A joint economic lot-sizing problem with fuzzy demand, defective items and environmental impacts

NASA Astrophysics Data System (ADS)

Jauhari, W. A.; Laksono, P. W.

2017-11-01

In this paper, a joint economic lot-sizing problem consisting of a vendor and a buyer was proposed. A buyer ordered products from a vendor to fulfill end customer’s demand. A produced a batch of products, and delivered it to the buyer. The production process in the vendor was imperfect and produced a number of defective products. Production rate was assumed to be adjustable to control the output of vendor’s production. A continuous review policy was adopted by the buyer to manage his inventory level. In addition, an average annual demand was considered to be fuzzy rather than constant. The proposed model contributed to the current inventory literature by allowing the inclusion of fuzzy annual demand, imperfect production emission cost, and adjustable production rate. The proposed model also considered carbon emission cost which was resulted from the transportation activity. A mathematical model was developed for obtaining the optimal ordering quantity, safety factor and the number of deliveries so the joint total cost was minimized. Furthermore, an iterative procedure was suggested to determine the optimal solutions.

China CO2 emission accounts 1997–2015

PubMed Central

Shan, Yuli; Guan, Dabo; Zheng, Heran; Ou, Jiamin; Li, Yuan; Meng, Jing; Mi, Zhifu; Liu, Zhu; Zhang, Qiang

2018-01-01

China is the world’s top energy consumer and CO2 emitter, accounting for 30% of global emissions. Compiling an accurate accounting of China’s CO2 emissions is the first step in implementing reduction policies. However, no annual, officially published emissions data exist for China. The current emissions estimated by academic institutes and scholars exhibit great discrepancies. The gap between the different emissions estimates is approximately equal to the total emissions of the Russian Federation (the 4th highest emitter globally) in 2011. In this study, we constructed the time-series of CO2 emission inventories for China and its 30 provinces. We followed the Intergovernmental Panel on Climate Change (IPCC) emissions accounting method with a territorial administrative scope. The inventories include energy-related emissions (17 fossil fuels in 47 sectors) and process-related emissions (cement production). The first version of our dataset presents emission inventories from 1997 to 2015. We will update the dataset annually. The uniformly formatted emission inventories provide data support for further emission-related research as well as emissions reduction policy-making in China. PMID:29337312

Supplemental Coverage Associated With More Rapid Spending Growth For Medicare Beneficiaries

PubMed Central

Golberstein, Ezra; Walsh, Kayo; He, Yulei; Chernew, Michael E.

2013-01-01

Lowering both Medicare spending and the rate of Medicare spending growth is important for the nation’s fiscal health. Policy makers in search of ways to achieve these reductions have looked at the role that supplemental coverage for Medicare beneficiaries plays in Medicare spending. Supplemental coverage makes health care more affordable for beneficiaries but also makes beneficiaries insensitive to the cost of their care, thereby increasing the demand for care. Ours is the first empirical study to investigate whether supplemental Medicare coverage is associated with higher rates of spending growth over time. We found that supplemental insurance coverage was associated with significantly higher rates of overall spending growth. Specifically, employer-sponsored and self-purchased supplemental coverage were associated with annual total spending growth rates of 7.17 percent and 7.18 percent, respectively, compared to 6.08 percent annual growth for beneficiaries without supplemental coverage. Results for Medicare program spending were more equivocal, however. Our results are consistent with the belief that current trends away from generous employer-sponsored supplemental coverage and efforts to restrict the generosity of supplemental coverage may slow spending growth. PMID:23650320

Inter-compartmental transport of organophosphate and pyrethroid pesticides in South China: implications for a regional risk assessment.

PubMed

Li, Huizhen; Wei, Yanli; Lydy, Michael J; You, Jing

2014-07-01

The dynamic flux of an organophosphate and four pyrethroid pesticides was determined in an air-(soil)-water-sediment system based on monitoring data from Guangzhou, China. The total air-water flux, including air-water gaseous exchange and atmospheric deposition, showed deposition from air to water for chlorpyrifos, bifenthrin and cypermethrin, but volatilization for lambda-cyhalothrin and permethrin. The transport of the pesticides from overlying water to sediment suggested that sediment acted as a sink for the pesticides. Additionally, distinct annual atmospheric depositional fluxes between legacy and current-use pesticides suggested the role of consumer usage in their transport throughout the system. Finally, pesticide toxicity was estimated from annual air-water-sediment flux within an urban stream in Guangzhou. A dynamic flux-based risk assessment indicated that inter-compartmental transport of chlorpyrifos decreased its atmospheric exposure, but had little influence on its aquatic toxicity. Instead, water-to-sediment transport of pyrethroids increased their sediment toxicity, which was supported by previously reported toxicity data. Copyright © 2014 Elsevier Ltd. All rights reserved.

Specialty medications: traditional and novel tools can address rising spending on these costly drugs.

PubMed

Lotvin, Alan M; Shrank, William H; Singh, Surya C; Falit, Benjamin P; Brennan, Troyen A

2014-10-01

Spending on specialty medications, which represented a small proportion of US pharmacy spending at the beginning of this decade, is growing by more than 15 percent annually. It is expected to account for approximately half ($235 billion) of total annual pharmacy spending by 2018. Among the numerous reasons for the high cost of this heterogeneous group of medications are the increasing size of target patient populations, the high cost of drug development, and a complex and uncoordinated delivery system. In this article we describe the evolution of the specialty market, characterize the current state of specialty medication use, and articulate key challenges and potential solutions. Fully realizing the potential value of the expanding universe of specialty medications will require collaborative efforts to reduce waste and promote value. Those who prescribe, dispense, deliver, and pay for specialty medications will need to employ a combination of traditional and novel management approaches, such as prior authorization, step therapy, tiered formularies, administration at lower-cost sites, and the unique tools being developed for cancer medications. Project HOPE—The People-to-People Health Foundation, Inc.

China CO2 emission accounts 1997-2015

NASA Astrophysics Data System (ADS)

Shan, Yuli; Guan, Dabo; Zheng, Heran; Ou, Jiamin; Li, Yuan; Meng, Jing; Mi, Zhifu; Liu, Zhu; Zhang, Qiang

2018-01-01

China is the world's top energy consumer and CO2 emitter, accounting for 30% of global emissions. Compiling an accurate accounting of China's CO2 emissions is the first step in implementing reduction policies. However, no annual, officially published emissions data exist for China. The current emissions estimated by academic institutes and scholars exhibit great discrepancies. The gap between the different emissions estimates is approximately equal to the total emissions of the Russian Federation (the 4th highest emitter globally) in 2011. In this study, we constructed the time-series of CO2 emission inventories for China and its 30 provinces. We followed the Intergovernmental Panel on Climate Change (IPCC) emissions accounting method with a territorial administrative scope. The inventories include energy-related emissions (17 fossil fuels in 47 sectors) and process-related emissions (cement production). The first version of our dataset presents emission inventories from 1997 to 2015. We will update the dataset annually. The uniformly formatted emission inventories provide data support for further emission-related research as well as emissions reduction policy-making in China.

Depletion of Appalachian coal reserves - how soon?

USGS Publications Warehouse

Milici, R.C.

2000-01-01

Much of the coal consumed in the US since the end of the last century has been produced from the Pennsylvanian strata of the Appalachian basin. Even though quantities mined in the past are less than they are today, this basin yielded from 70% to 80% of the nation's annual coal production from the end of the last century until the early 1970s. During the last 25 years, the proportion of the nation's coal that was produced annually from the Appalachian basin has declined markedly, and today it is only about 40% of the total. The amount of coal produced annually in the Appalachian basin, however, has been rising slowly over the last several decades, and has ranged generally from 400 to 500 million tons (Mt) per year. A large proportion of Appalachian historical production has come from relatively few counties in southwestern Pennsylvania, northern and southern West Virginia, eastern Kentucky, Virginia and Alabama. Many of these counties are decades past their years of peak production and several are almost depleted of economic deposits of coal. Because the current major consumer of Appalachian coal is the electric power industry, coal quality, especially sulfur content, has a great impact on its marketability. High-sulfur coal deposits in western Pennsylvania and Ohio are in low demand when compared with the lower sulfur coals of Virginia and southern West Virginia. Only five counties in the basin that have produced 500 Mt or more exhibit increasing rates of production at relatively high levels. Of these, six are in the central part of the basin and only one, Greene County, Pennsylvania, is in the northern part of the basin. Decline rate models, based on production decline rates and the decline rate of the estimated, 'potential' reserve, indicate that Appalachian basin annual coal production will be 200 Mt or less by the middle of the next century. Published by Elsevier Science B.V.Much of the coal consumed in the US since the end of the last century has been produced from the Pennsylvanian strata of the Appalachian basin. Even though quantities mined in the past are less than they are today, this basin yielded from 70% to 80% of the nation's annual coal production from the end of the last century until the early 1970s. During the last 25 years, the proportion of the nation's coal that was produced annually from the Appalachian basin has declined markedly, and today it is only about 40% of the total. The amount of coal produced annually in the Appalachian basin, however, has been rising slowly over the last several decades, and has ranged generally from 400 to 500 million tons (Mt) per year. A large proportion of Appalachian historical production has come from relatively few counties in southwestern Pennsylvania, northern and southern West Virginia, eastern Kentucky, Virginia and Alabama. Many of these counties are decades past their years of peak production and several are almost depleted of economic deposits of coal. Because the current major consumer of Appalachian coal is the electric power industry, coal quality, especially sulfur content, has a great impact on its marketability. High-sulfur coal deposits in western Pennsylvania and Ohio are in low demand when compared with the lower sulfur coals of Virginia and southern West Virginia. Only five counties in the basin that have produced 500 Mt or more exhibit increasing rates of production at relatively high levels. Of these, six are in the central part of the basin and only one, Greene County, Pennsylvania, is in the northern part of the basin. Decline rate models, based on production decline rates and the decline rate of the estimated, `potential' reserve, indicate that Appalachian basin annual coal production will be 200 Mt or less by the middle of the next century.

Annual safe groundwater yield in a semiarid basin using combination of water balance equation and water table fluctuation

NASA Astrophysics Data System (ADS)

Rezaei, Abolfazl; Mohammadi, Zargham

2017-10-01

The safe groundwater yield plays a major role in the appropriate management of groundwater systems, particularly in (semi-)arid areas like Iran. This study incorporates both the water balance equation and the water table fluctuation to estimate the annual safe yield of the unconfined aquifer in the eastern part of the Kaftar Lake, an Iranian semiarid region. Firstly, the water balance year 2002-03, owing same water table elevation at the beginning and year-end, was chosen from the monthly representative groundwater hydrograph of the aquifer to be taken into account as a basic water year for determining the safe yield. Then the ratio of the total groundwater pumping to the annual groundwater recharge in the selected water balance year together with the quantity of total recharge occurred in the wet period (October to May) of the year of interest were applied to evaluate the annual safe yield at the initiation of the dry period (June to September) of the year of interest. Knowing the annual safe groundwater withdrawal rate at the initiation of each dry period could be helpful to decision makers in managing groundwater resources conservation. Analysis results indicate that to develop a safe management strategy in the aquifer; the ratio of the annual groundwater withdrawal to the annually recharged volume should not exceed 0.69. In the water year 2003-04 where the ratio is equal to 0.52, the water table raised up (about 0.48 m) while the groundwater level significantly declined (about 1.54 m) over the water year 2007-08 where the ratio of the annual groundwater withdrawal to the annually recharged volume (i.e., 2.76) is larger than 0.69.

Soil carbon dioxide emissions from a rubber plantation on tropical peat.

PubMed

Wakhid, Nur; Hirano, Takashi; Okimoto, Yosuke; Nurzakiah, Siti; Nursyamsi, Dedi

2017-03-01

Land-use change in tropical peatland potentially results in a large amount of carbon dioxide (CO 2 ) emissions owing to drainage, which lowers groundwater level (GWL) and consequently enhances oxidative peat decomposition. However, field information on carbon balance is lacking for rubber plantations, which are expanding into Indonesia's peatlands. To assess soil CO 2 emissions from an eight-year-old rubber plantation established on peat after compaction, soil CO 2 efflux was measured monthly using a closed chamber system from December 2014 to December 2015, in which a strong El Niño event occurred, and consequently GWL lowered deeply. Total soil respiration (SR) and oxidative peat decomposition (PD) were separately quantified by trenching. In addition, peat surface elevation was measured to determine annual subsidence along with GWL. With GWL, SR showed a negative logarithmic relationship (p<0.01), whereas PD showed a strong negative linearity (p<0.001). Using the significant relationships, annual SR and PD were calculated from hourly GWL data to be 3293±1039 and 1408±214gCm -2 yr -1 (mean±1 standard deviation), respectively. PD accounted for 43% of SR on an annual basis. SR showed no significant difference between near and far positions from rubber trees (p>0.05). Peat surface elevation varied seasonally in almost parallel with GWL. After correcting for GWL difference, annual total subsidence was determined at 5.64±3.20 and 5.96±0.43cmyr -1 outside and inside the trenching, respectively. Annual subsidence only through peat oxidation that was calculated from the annual PD, peat bulk density and peat carbon content was 1.50cmyr -1 . As a result, oxidative peat decomposition accounted for 25% of total subsidence (5.96cmyr -1 ) on average on an annual basis. The contribution of peat oxidation was lower than those of previous studies probably because of compaction through land preparation. Copyright © 2017 Elsevier B.V. All rights reserved.

Trends in use of electroconvulsive therapy in South London from 1949 to 2006.

PubMed

Lambe, Sinéad; Mogg, Andrew; Eranti, Savitha; Pluck, Graham; Hastilow, Sarah; McLoughlin, Declan M

2014-12-01

Electroconvulsive therapy (ECT) remains the most acutely effective treatment for severe depression, but its use has declined since its introduction more than 70 years ago. To provide some historical perspective on changes in ECT practice, the objective of the present study was to identify trends in ECT practice in selected teaching hospitals in South London, UK, between 1949 and 2006. Annual rates of ECT for 1949-1970 were estimated from the contemporary hospital reports of the Maudsley and Bethlem Royal hospitals in South London, UK. Case notes were also retrospectively reviewed to calculate annual rates of ECT administration and extract demographic and clinical information for approximately every 5 years between 1987 and 2006. The annual rate of ECT peaked at 35% of total admission in 1956 and declined gradually thereafter to 10.8% by 1970 and fell below 2.2% from 1991 onward. Depressed and female patients were more likely to receive ECT. Compared to previous years, patients were more severely ill and treatment resistant in 2006, whereas ethnic minorities made up 30% of patients receiving ECT compared to approximately 14% in the preceding years. Currently, ECT seems to be provided increasingly late in more severe illness episodes. The ethnicity of patients receiving ECT in South London may be becoming more representative of the background population, but ECT is being used relatively more frequently for nonaffective disorders in ethnic minorities.

Optimal adaptation to extreme rainfalls under climate change

NASA Astrophysics Data System (ADS)

Rosbjerg, Dan

2017-04-01

More intense and frequent rainfalls have increased the number of urban flooding events in recent years, prompting adaptation efforts. Economic optimization is considered an efficient tool to decide on the design level for adaptation. The costs associated with a flooding to the T-year level and the annual capital and operational costs of adapting to this level are described with log-linear relations. The total flooding costs are developed as the expected annual damage of flooding above the T-year level plus the annual capital and operational costs for ensuring no flooding below the T-year level. The value of the return period T that corresponds to the minimum of the sum of these costs will then be the optimal adaptation level. The change in climate, however, is expected to continue in the next century, which calls for expansion of the above model. The change can be expressed in terms of a climate factor (the ratio between the future and the current design level) which is assumed to increase in time. This implies increasing costs of flooding in the future for many places in the world. The optimal adaptation level is found for immediate as well as for delayed adaptation. In these cases the optimum is determined by considering the net present value of the incurred costs during a sufficiently long time span. Immediate as well as delayed adaptation is considered.

Economic and environmental benefits of higher-octane gasoline.

PubMed

Speth, Raymond L; Chow, Eric W; Malina, Robert; Barrett, Steven R H; Heywood, John B; Green, William H

2014-06-17

We quantify the economic and environmental benefits of designing U.S. light-duty vehicles (LDVs) to attain higher fuel economy by utilizing higher octane (98 RON) gasoline. We use engine simulations, a review of experimental data, and drive cycle simulations to estimate the reduction in fuel consumption associated with using higher-RON gasoline in individual vehicles. Lifecycle CO2 emissions and economic impacts for the U.S. LDV fleet are estimated based on a linear-programming refinery model, a historically calibrated fleet model, and a well-to-wheels emissions analysis. We find that greater use of high-RON gasoline in appropriately tuned vehicles could reduce annual gasoline consumption in the U.S. by 3.0-4.4%. Accounting for the increase in refinery emissions from production of additional high-RON gasoline, net CO2 emissions are reduced by 19-35 Mt/y in 2040 (2.5-4.7% of total direct LDV CO2 emissions). For the strategies studied, the annual direct economic benefit is estimated to be $0.4-6.4 billion in 2040, and the annual net societal benefit including the social cost of carbon is estimated to be $1.7-8.8 billion in 2040. Adoption of a RON standard in the U.S. in place of the current antiknock index (AKI) may enable refineries to produce larger quantities of high-RON gasoline.

Cost-Minimization Analysis of Open and Endoscopic Carpal Tunnel Release.

PubMed

Zhang, Steven; Vora, Molly; Harris, Alex H S; Baker, Laurence; Curtin, Catherine; Kamal, Robin N

2016-12-07

Carpal tunnel release is the most common upper-limb surgical procedure performed annually in the U.S. There are 2 surgical methods of carpal tunnel release: open or endoscopic. Currently, there is no clear clinical or economic evidence supporting the use of one procedure over the other. We completed a cost-minimization analysis of open and endoscopic carpal tunnel release, testing the null hypothesis that there is no difference between the procedures in terms of cost. We conducted a retrospective review using a private-payer and Medicare Advantage database composed of 16 million patient records from 2007 to 2014. The cohort consisted of records with an ICD-9 (International Classification of Diseases, Ninth Revision) diagnosis of carpal tunnel syndrome and a CPT (Current Procedural Terminology) code for carpal tunnel release. Payer fees were used to define cost. We also assessed other associated costs of care, including those of electrodiagnostic studies and occupational therapy. Bivariate comparisons were performed using the chi-square test and the Student t test. Data showed that 86% of the patients underwent open carpal tunnel release. Reimbursement fees for endoscopic release were significantly higher than for open release. Facility fees were responsible for most of the difference between the procedures in reimbursement: facility fees averaged $1,884 for endoscopic release compared with $1,080 for open release (p < 0.0001). Endoscopic release also demonstrated significantly higher physician fees than open release (an average of $555 compared with $428; p < 0.0001). Occupational therapy fees associated with endoscopic release were less than those associated with open release (an average of $237 per session compared with $272; p = 0.07). The total average annual reimbursement per patient for endoscopic release (facility, surgeon, and occupational therapy fees) was significantly higher than for open release ($2,602 compared with $1,751; p < 0.0001). Our data showed that the total average fees per patient for endoscopic release were significantly higher than those for open release, although there currently is no strong evidence supporting better clinical outcomes of either technique. Value-based health-care models that favor delivering high-quality care and improving patient health, while also minimizing costs, may favor open carpal tunnel release.

Intra-annual height increment of Pinus sylvestris at high latitudes in Finland.

PubMed

Salminen, Hannu; Jalkanen, Risto

2007-09-01

Intra-annual height growth of Scots pine (Pinus sylvestris L.) in four stands was followed for up to four growing seasons (2000-2003) in the northern boreal zone in Lapland. Elongation of the leader shoot correlated with temperature sum expressed as degree-days. Total length of the leader shoot correlated with growth rate but not with duration of the height-growth period. The longer the annual shoot at the end of the season, the greater the height increment per degree- and growing day. Height-growth cessation was defined as the date when 95% of the total shoot length was achieved. In all stands and all years, height growth ceased when, on average, 41% of the relative temperature sum of the site was achieved (range of variation 38-43%). The relative temperature sum was calculated by dividing the actual temperature sum by the long-term mean for the site. Our results suggest that annual height growth is finished when a location-specific temperature sum threshold is attained.

Total daily physical activity and the risk of AD and cognitive decline in older adults

PubMed Central

Boyle, P.A.; Yu, L.; Shah, R.C.; Wilson, R.S.; Bennett, D.A.

2012-01-01

Objective: Studies examining the link between objective measures of total daily physical activity and incident Alzheimer disease (AD) are lacking. We tested the hypothesis that an objective measure of total daily physical activity predicts incident AD and cognitive decline. Methods: Total daily exercise and nonexercise physical activity was measured continuously for up to 10 days with actigraphy (Actical®; Philips Healthcare, Bend, OR) from 716 older individuals without dementia participating in the Rush Memory and Aging Project, a prospective, observational cohort study. All participants underwent structured annual clinical examination including a battery of 19 cognitive tests. Results: During an average follow-up of about 4 years, 71 subjects developed clinical AD. In a Cox proportional hazards model adjusting for age, sex, and education, total daily physical activity was associated with incident AD (hazard ratio = 0.477; 95% confidence interval 0.273–0.832). The association remained after adjusting for self-report physical, social, and cognitive activities, as well as current level of motor function, depressive symptoms, chronic health conditions, and APOE allele status. In a linear mixed-effect model, the level of total daily physical activity was associated with the rate of global cognitive decline (estimate 0.033, SE 0.012, p = 0.007). Conclusions: A higher level of total daily physical activity is associated with a reduced risk of AD. PMID:22517108

Total daily physical activity and the risk of AD and cognitive decline in older adults.

PubMed

Buchman, A S; Boyle, P A; Yu, L; Shah, R C; Wilson, R S; Bennett, D A

2012-04-24

Studies examining the link between objective measures of total daily physical activity and incident Alzheimer disease (AD) are lacking. We tested the hypothesis that an objective measure of total daily physical activity predicts incident AD and cognitive decline. Total daily exercise and nonexercise physical activity was measured continuously for up to 10 days with actigraphy (Actical®; Philips Healthcare, Bend, OR) from 716 older individuals without dementia participating in the Rush Memory and Aging Project, a prospective, observational cohort study. All participants underwent structured annual clinical examination including a battery of 19 cognitive tests. During an average follow-up of about 4 years, 71 subjects developed clinical AD. In a Cox proportional hazards model adjusting for age, sex, and education, total daily physical activity was associated with incident AD (hazard ratio = 0.477; 95% confidence interval 0.273-0.832). The association remained after adjusting for self-report physical, social, and cognitive activities, as well as current level of motor function, depressive symptoms, chronic health conditions, and APOE allele status. In a linear mixed-effect model, the level of total daily physical activity was associated with the rate of global cognitive decline (estimate 0.033, SE 0.012, p = 0.007). A higher level of total daily physical activity is associated with a reduced risk of AD.

Concentrations, and estimated loads and yields of nutrients and suspended sediment in the Little River basin, Kentucky, 2003-04

USGS Publications Warehouse

Crain, Angela S.

2006-01-01

Nutrients, primarily nitrogen and phosphorus compounds, naturally occur but also are applied to land in the form of commercial fertilizers and livestock waste to enhance plant growth. Concentrations, estimated loads and yields, and sources of nitrite plus nitrate, total phosphorus, and orthophosphate were evaluated in streams of the Little River Basin to assist the Commonwealth of Kentucky in developing 'total maximum daily loads' (TMDLs) for streams in the basin. The Little River Basin encompasses about 600 square miles in Christian and Trigg Counties, and a portion of Caldwell County in western Kentucky. Water samples were collected in streams in the Little River Basin during 2003-04 as part of a study conducted in cooperation with the Kentucky Department of Agriculture. A total of 92 water samples were collected at four fixed-network sites from March through November 2003 and from February through November 2004. An additional 20 samples were collected at five synoptic-network sites during the same period. Median concentrations of nitrogen, phosphorus, and suspended sediment varied spatially and seasonally. Concentrations of nitrogen were higher in the spring (March-May) after fertilizer application and runoff. The highest concentration of nitrite plus nitrate-5.7 milligrams per liter (mg/L)-was detected at the South Fork Little River site. The Sinking Fork near Cadiz site had the highest median concentration of nitrite plus nitrate (4.6 mg/L). The North Fork Little River site and the Little River near Cadiz site had higher concentrations of orthophosphate in the fall and lower concentrations in the spring. Concentrations of orthophosphate remained high during the summer (June-August) at the North Fork Little River site possibly because of the contribution of wastewater effluent to streamflow. Fifty-eight percent of the concentrations of total phosphorus at the nine sites exceeded the U.S. Environmental Protection Agency recommended maximum concentration limit of 0.1 mg/L. Concentrations of suspended sediment were highest in the spring during runoff and lowest in the fall. The highest concentration of suspended sediment (1,020 mg/L) was observed at the Sinking Fork near Cadiz site. The median concentration of suspended sediment for all sites sampled was 12 mg/L. A nonparameteric statistical test (Wilcoxson rank-sum) showed that the median concentrations of suspended sediment were not different among any of the fixed-network sites. The Little River near Cadiz site contributed larger estimated mean annual loads of nitrite plus nitrate (2,500,000 pounds per year (lb/yr)) and total phosphorus (160,000 lb/yr) than the other three fixed-network sites. Of the two main upstream tributaries from the Little River near Cadiz site, the North Fork Little River was the greatest contributor of total phosphorus to the study area with an estimated mean annual load of 107,000 lb/yr or about 64 percent of the total estimated mean annual load at the Little River near Cadiz site. The other main upstream tributary, South Fork Little River, had an estimated mean annual load of total phosphorus that was about 20 percent of the mean annual load at the Little River near Cadiz site. Estimated loads of suspended sediment were largest at the Little River near Cadiz site, where the estimated mean annual load for 2003-04 was about 84,000,000 lb/yr. The North Fork Little River contributed an estimated 36 percent of the mean annual load of suspended sediment at the Little River near Cadiz site, while the South Fork Little River contributed an estimated 18 percent of the mean annual load at the Little River near Cadiz site. The North Fork Little River site had the largest estimated mean annual yield of total phosphorus (1,600 pounds per year per square mile (lb/yr/mi2)) and orthophosphate (1,100 lb/yr/mi2). A principal source of phosphorus for the North Fork Little River is discharge from wastewater-treatment facilities. The largest estimated mean annual yield of nitrite plus nitrate was observed at the South Fork Little River site. The North Fork Little River site had the largest estimated mean annual yield of suspended sediment (450,000 lb/yr/mi2). Inputs of nitrogen and phosphorus to streams from point and nonpoint sources were estimated for the Little River Basin. Commercial fertilizer and livestock-waste applications on row crops are a principal source of nutrients for most of the Little River Basin. Sources of nutrients in the urban areas of the basin mainly are from effluent discharge from wastewater-treatment facilities and fertilizer applications to lawns and golf courses.

Interannual variation of carbon fluxes from three contrasting evergreen forests: the role of forest dynamics and climate.

PubMed

Sierra, Carlos A; Loescher, Henry W; Harmon, Mark E; Richardson, Andrew D; Hollinger, David Y; Perakis, Steven S

2009-10-01

Interannual variation of carbon fluxes can be attributed to a number of biotic and abiotic controls that operate at different spatial and temporal scales. Type and frequency of disturbance, forest dynamics, and climate regimes are important sources of variability. Assessing the variability of carbon fluxes from these specific sources can enhance the interpretation of past and current observations. Being able to separate the variability caused by forest dynamics from that induced by climate will also give us the ability to determine if the current observed carbon fluxes are within an expected range or whether the ecosystem is undergoing unexpected change. Sources of interannual variation in ecosystem carbon fluxes from three evergreen ecosystems, a tropical, a temperate coniferous, and a boreal forest, were explored using the simulation model STANDCARB. We identified key processes that introduced variation in annual fluxes, but their relative importance differed among the ecosystems studied. In the tropical site, intrinsic forest dynamics contributed approximately 30% of the total variation in annual carbon fluxes. In the temperate and boreal sites, where many forest processes occur over longer temporal scales than those at the tropical site, climate controlled more of the variation among annual fluxes. These results suggest that climate-related variability affects the rates of carbon exchange differently among sites. Simulations in which temperature, precipitation, and radiation varied from year to year (based on historical records of climate variation) had less net carbon stores than simulations in which these variables were held constant (based on historical records of monthly average climate), a result caused by the functional relationship between temperature and respiration. This suggests that, under a more variable temperature regime, large respiratory pulses may become more frequent and high enough to cause a reduction in ecosystem carbon stores. Our results also show that the variation of annual carbon fluxes poses an important challenge in our ability to determine whether an ecosystem is a source, a sink, or is neutral in regard to CO2 at longer timescales. In simulations where climate change negatively affected ecosystem carbon stores, there was a 20% chance of committing Type II error, even with 20 years of sequential data.

[Estimation of cost-saving for reducing radioactive waste from nuclear medicine facilities by implementing decay in storage (DIS) in Japan].

PubMed

Kida, Tetsuo; Hiraki, Hitoshi; Yamaguchi, Ichirou; Fujibuchi, Toshioh; Watanabe, Hiroshi

2012-01-01

DIS has not yet been implemented in Japan as of 2011. Therefore, even if risk was negligible, medical institutions have to entrust radioactive temporal waste disposal to Japan Radio Isotopes Association (JRIA) in the current situation. To decide whether DIS should be implemented in Japan or not, cost-saving effect of DIS was estimated by comparing the cost that nuclear medical facilities pay. By implementing DIS, the total annual cost for all nuclear medical facilities in Japan is estimated to be decreased to 30 million yen or less from 710 million yen. DIS would save 680 million yen (96%) per year.

Hong Kong domestic health spending: financial years 1989/90 to 2009/10.

PubMed

Tin, K Y K; Tsoi, P K O; Lee, Y H; Tsui, E L H; Lam, D W S; Chui, A W M; Lo, S V

2013-04-01

This report presents the latest estimates of Hong Kong domestic health spending for financial years 1989/90 to 2009/10, cross-stratified and categorised by financing source, provider and function. Total expenditure on health (TEH) was HK$88,721 million in financial year 2009/10, which represents an increase of HK$5031 million or 6.0% over the preceding year. As a result of a slow revival in the economy from the financial tsunami in 2008, TEH grew faster relative to gross domestic product (GDP) leading to a marked increase in TEH as a percentage of GDP from 5.0% in 2008/09 to 5.2% in 2009/10. During the period 1989/90 to 2009/10, total health spending per capita (at constant 2010 prices) grew at an average annual rate of 4.9%, which was faster than the average annual growth rate of per capita GDP by 2.0 percentage points. In 2009/10, public and private expenditure on health increased by 6.2% and 5.8% when compared with 2008/09, reaching HK$43,823 million and HK$44,898 million, respectively. Consequently, public and private shares of total health expenditure stayed at similar levels (49% and 51% respectively) in the 2 years. With respect to private spending, the most important source of health financing was out-of-pocket payments by households (34.9% of TEH), followed by employer-provided group medical benefits (7.4%) and private insurance (6.8%). During the period, a growing number of households (mostly in middle to high income groups) have taken out pre-payment plans to finance health care. As such, private insurance has taken on an increasingly important role in financing private spending. Of the HK$88,721 million total health expenditure in 2009/10, current expenditure comprised HK$84,874 million (95.7%), whereas HK$3847 million (4.3%) was for capital expenses (ie investment in medical facilities). Analysed by health care function, services for curative care accounted for the largest share (66.2%), which was made up of ambulatory services (33.5%), in-patient curative care (27.3%), day patient hospital services (4.9%) and home care (0.5%). Notwithstanding the small share of total spending for day patient hospital services, there was an increasing trend over the period 1989/90 to 2009/10, likely as a result of policy directives to shift the emphasis from in-patient to day patient care. Hospitals accounted for an increasing share of total spending, from 28.2% in 1989/90 to 46.8% in 2002/03 and then dropped steadily to 43% to 44% during the period 2005/06 to 2009/10. This trend was primarily driven by reduced expenditure by the Hospital Authority. As a result of epidemics that were of public health importance (eg avian flu, SARS, swine flu) and expansion of the private health insurance market in the last 2 decades, spending on provision and administration of public health programmes, and general health administration and insurance accounted for increasing, though less significant, shares of total health spending over the period. Without taking into account capital expenses (ie investment in medical facilities), public current expenditure on health amounted to HK$40,951 million (48.2% of total current expenditure) in 2009/10. The remaining HK$43,923 expenditure was mostly incurred at hospitals (74.1%), whereas private current expenditure was mostly incurred at providers of ambulatory health care (50.9%). Although both public and private spending were mostly expended on personal health care services and goods (91.0% of total current spending), the distribution patterns among functional categories differed. Public expenditure was targeted at in-patient care (48.9%) and substantially less on out-patient care (26.0%). In comparison, private spending was mostly concentrated on out-patient care (43.4%), whereas in-patient care (23.3%) and medical goods outside the patient care setting (19.5%) accounted for the majority of the remaining share. Compared to the Organisation for Economic Cooperation and Development countries, Hong Kong has devoted a relatively low percentage of GDP to health care in the last decade. As a share of total spending, public funding (either general government revenue or social security funds) was also lower than in most economies with comparable economic development and public revenue collection base.

Ground-water development and the effects on ground-water levels and water quality in the town of Atherton, San Mateo County, California

USGS Publications Warehouse

Metzger, Loren F.; Fio, John L.

1997-01-01

The installation of at least 100 residential wells in the town of Atherton, California, during the 198792 drought has raised concerns about the increased potential for land subsidence and salt water intrusion. Data were collected and monitor ing networks were established to assess current processes and to monitor future conditions affect ing these processes. Data include recorded pump age, recorded operation time, and measured pumpage rates from 38 wells; water levels from 49 wells; water chemistry samples from 20 wells, and land-surface elevation data from 22 survey sites, including one National Geodetic Survey estab lished bench mark. Geologic, lithologic, climato logic, well construction, well location, and historical information obtained from available reports and local, state, and Federal agencies were used in this assessment. Estimates of annual residential pumpage from 269 assumed active residential wells in the study area indicate that the average annual total pumping rate is between 395 and 570 acre-feet per year. The nine assumed active institutional wells are estimated to pump a total of about 200 acre- feet per year, or 35 to 50 percent of the total resi dential pumpage. Assuming that 510 acre-feet per year is the best estimate of annual residential pumpage, total pumpage of 710 acre-feet per year would represent about 19 percent of the study area's total water supply, as estimated. Depth-to-water-level measurements in wells during April 1993 through September 1995 typically ranged from less than 20 feet below land surface nearest to San Francisco Bay to more than 70 feet below land surface in upslope areas near exposed bedrock, depending on the season. This range, which is relatively high historically, is attributed to above normal rainfall between 1993 and 1995. Water levels expressed as hydraulic heads indicate the presence of three different hydrologic subareas on the basis of hydraulic-head contour configurations and flow direction. That all measured hydraulic heads in the study area from April 1993 through September 1995 were above sea level indicates that saltwater intrusion was unlikely during this period. The chemistry of 20 well-water samples is characterized as a calcium magnesium carbonate bicarbonate type water. There is no evidence of saltwater intrusion from San Francisco Bay; how ever, water samples from wells nearest the bay and bedrock assemblages indicate a greater concentra tion of dissolved constituents and salinity. Dissolved-solids concentrations of water samples from wells in these areas exceeded 1,000 milli grams per liter, and several samples contained a substantial fraction of sodium and chloride. Water hardness for the 20 wells sampled averaged 471 milligrams per liter as calcium carbonate, which is classified as very hard. One well sample exceeded the primary maximum contaminant level for drinking water in nitrate, several wells exceeded the secondary maximum contaminant level for chloride and sulfate, and all wells sampled exceeded the secondary maximum contaminant level for total dissolved solids. Land-subsidence and the resultant damage because of excessive ground-water pumping, in combination with periodic drought, have a well- documented history in the south San Francisco Bay area. Land-elevation surveying data from 1934 to 1967 indicate that subsidence ranged from 0.1 to approximately 0.5 foot in the vicinity of the study area. It could not be determined from land- surface elevation surveying data from 1993 whether subsidence is currently occurring in the study area.

Determination of incoming solar radiation in major tree species in Turkey.

PubMed

Yilmaz, Osman Yalcin; Sevgi, Orhan; Koc, Ayhan

2012-07-01

Light requirements and spatial distribution of major forest tree species in Turkey hasn't been analyzed yet. Continuous surface solar radiation data, especially at mountainous-forested areas, are needed to put forward this relationship between forest tree species and solar radiation. To achieve this, GIS-based modeling of solar radiation is one of the methods used in rangelands to estimate continuous surface solar radiation. Therefore, mean monthly and annual total global solar radiation maps of whole Turkey were computed spatially using GRASS GIS software "r.sun" model under clear-sky (cloudless) conditions. 147498 pure forest stand point-based data were used in the study for calculating mean global solar radiation values of all the major forest tree species of Turkey. Beech had the lowest annual mean total global solar radiation value of 1654.87 kWh m(-2), whereas juniper had the highest value of 1928.89 kWh m(-2). The rank order of tree species according to the mean monthly and annual total global solar radiation values, using a confidence level of p < 0.05, was as follows: Beech < Spruce < Fir species < Oak species < Scotch pine < Red pine < Cedar < Juniper. The monthly and annual solar radiation values of sites and light requirements of forest trees ranked similarly.

Mercury and drought along the lower Carson River, Nevada: I. Snowy egret and black-crowned night-heron annual exposure to mercury, 1997-2006

USGS Publications Warehouse

Henny, C.J.; Hill, E.F.; Grove, R.A.; Kaiser, J.L.

2007-01-01

The dynamic nature of the annual volume of water discharged down the Carson River over a 10-year period, which included a century flood and drought, was examined in order to gain a better understanding of mercury movement, biological availability, and exposure to waterbirds nesting at Lahontan Reservoir. Total annual water discharge directly influenced total mercury (THg) in unfiltered water above the reservoir and downstream of a mining area, whereas methyl mercury (MeHg) at the same site was negatively related to annual discharge. Annual water storage at Lahontan Reservoir in the spring and early summer, as expected, was directly related to annual Carson River discharge. In contrast to the findings from above the reservoir, annual MeHg concentrations in water sampled below the reservoir were positively correlated with the total discharge and the amount of water stored in the reservoir on 1 July; that is, the reservoir is an important location for mercury methylation, which agrees with earlier findings. However, unfiltered water MeHg concentrations were about 10-fold higher above than below the reservoir, which indicated that much MeHg that entered as well as that produced in the reservoir settled out in the reservoir. Avian exposure to mercury at Lahontan Reservoir was evaluated in both eggs and blood of young snowy egrets (Egretta thula) and black-crowned night-herons (Nycticorax nycticorax). Annual MeHg concentrations in unfiltered water below the reservoir, during the time period (Julian Days 90-190) when birds were present, correlated significantly with mercury concentrations in night-heron blood (r 2= 0.461, p = 0.027), snowy egret blood (r 2= 0.474, p = 0.024), and night-heron eggs (r 2 = 0.447, p = 0.029), but not snowy egret eggs. A possible reason for lack of an MeHg water correlation with snowy egret eggs is discussed and relates to potential exposure differences associated with the food habits of both species. THg concentrations in water collected below the reservoir were not related to egg or blood mercury concentrations for either species. ?? 2007 Springer Science+Business Media, LLC.

Comparing Apples to Oranges: An Evaluation of Quarter Calendar Data in the Delaware Study of Instructional Costs and Productivity

ERIC Educational Resources Information Center

Walters, Allison M.

2009-01-01

Four-year colleges and universities submit faculty teaching load and instructional cost data annually to the Delaware Study of Instructional Costs and Productivity. While the Delaware Study currently adjusts the calculation of annual FTE students to account for the difference in annual student credit hours (SCH) earned by students at semester and…

The use of multiple imputation in the Southern Annual Forest Inventory System

Treesearch

Gregory A. Reams; Joseph M. McCollum

2000-01-01

The Southern Research Station is currently implementing an annual forest survey in 7 of the 13 States that it is responsible for surveying. The Southern Annual Forest Inventory System (SAFIS) sampling design is a systematic sample of five interpenetrating grids, whereby an equal number of plots are measured each year. The area-representative and time-series...

The use of multiple imputation in the Southern Annual Forest Inventory System

Treesearch

Gregory A. Reams; Joseph M. McCollum

2000-01-01

The Southern Research Station is currently implementing an annual forest survey in 7 of the 13 states that it is responsible for surveying. The Southern Annual Forest Inventory System (SAFIS) sampling design is a systematic sample of five interpenetrating grids, whereby an equal number of plots are measured each year. The area representative and time series nature of...

Discounting Report, 2012: Growth in Discounting Slows as Economy Improves. Ninth Annual Comparative Research Study

ERIC Educational Resources Information Center

Noel-Levitz, Inc, 2012

2012-01-01

This annual report summarizes the previous fall's outcomes and long-term trends for a sizable sample of private colleges and universities across the United States. The report is based on the annually aggregated freshman data of institutions that are currently partnering with Noel-Levitz to strategically manage more than $2 billion in institutional…

Evaluation of National Atmospheric Deposition Program measurements for co-located Sites CO89 and CO98 at Rocky Mountain National Park, 2012

USGS Publications Warehouse

,

2013-01-01

Median weekly absolute percent differences for selected parameters including: sample volume, 8.0 percent; ammonium concentration, 9.1 percent; nitrate concentration, 8.5 percent; sulfate concentration, 10.2 percent. Annual precipitation-weighted mean concentrations were higher for CO98 compared to CO89 for all analytes. The chemical concentration record for CO98 contains more valid samples than the CO89 record. Therefore, the CO98 record is more representative of 2012 total annual deposition at Loch Vale. Daily precipitation-depth records for the co-located precipitation gages were 100 percent complete, and the total annual precipitation depths between the sites differed by 0.1 percent for the year (91.5 and 91.4 cm).

Sediment Transport in the Lower Yampa River, Northwestern Colorado

USGS Publications Warehouse

Elliott, John G.; Kircher, James E.; Von Guerard, Paul

1984-01-01

Discharge measurements and sediment samples were taken at streamflow-gaging station 09260050 Yampa River at Deerlodge Park in 1982 and 1983 to determine the annual sediment supply to the Yampa Canyon in Dinosaur National Monument. Forty-three years of discharge records at two tributary sites were combined to determine the historic discharge of the Yampa River at Deerlodge Park. A mean annual hydrograph and flow-duration curve were derived from these data. Sediment-transport equations were derived for total sediment discharge, suspended-sediment discharge, bedload dischagre, and the discharge of sediment in several particle-sizes. Annual sediment discharge were determined by the flow-duration, sediment-rating-curve method and indicated annual total sediment discharge was approximately 2.0 million tons per year of which 0.8 million tons per year was sand-sized material. Bedload was almost entirely sand, and annual bedload discharge was 0.1 million tons per year. Development of water resources in the Yampa River basin could effect the geomorphic character of the Yampa River at Deerlodge Park and the Yampa Canyon. Several scenarios of altered streamflow frequency distribution, reduced streamflow volume, and reduced sediment supply are examined to estimate the effect on the sediment budget at Deerlodge Park. (USGS)

Have precipitation extremes and annual totals been increasing in the world's dry regions over the last 60 years?

NASA Astrophysics Data System (ADS)

Sippel, Sebastian; Zscheischler, Jakob; Heimann, Martin; Lange, Holger; Mahecha, Miguel D.; van Oldenborgh, Geert Jan; Otto, Friederike E. L.; Reichstein, Markus

2017-01-01

Daily precipitation extremes and annual totals have increased in large parts of the global land area over the past decades. These observations are consistent with theoretical considerations of a warming climate. However, until recently these trends have not been shown to consistently affect dry regions over land. A recent study, published by Donat et al. (2016), now identified significant increases in annual-maximum daily extreme precipitation (Rx1d) and annual precipitation totals (PRCPTOT) in dry regions. Here, we revisit the applied methods and explore the sensitivity of changes in precipitation extremes and annual totals to alternative choices of defining a dry region (i.e. in terms of aridity as opposed to precipitation characteristics alone). We find that (a) statistical artifacts introduced by data pre-processing based on a time-invariant reference period lead to an overestimation of the reported trends by up to 40 %, and that (b) the reported trends of globally aggregated extremes and annual totals are highly sensitive to the definition of a dry region of the globe. For example, using the same observational dataset, accounting for the statistical artifacts, and based on different aridity-based dryness definitions, we find a reduction in the positive trend of Rx1d from the originally reported +1.6 % decade-1 to +0.2 to +0.9 % decade-1 (period changes for 1981-2010 averages relative to 1951-1980 are reduced to -1.32 to +0.97 % as opposed to +4.85 % in the original study). If we include additional but less homogenized data to cover larger regions, the global trend increases slightly (Rx1d: +0.4 to +1.1 % decade-1), and in this case we can indeed confirm (partly) significant increases in Rx1d. However, these globally aggregated estimates remain uncertain as considerable gaps in long-term observations in the Earth's arid and semi-arid regions remain. In summary, adequate data pre-processing and accounting for uncertainties regarding the definition of dryness are crucial to the quantification of spatially aggregated trends in precipitation extremes in the world's dry regions. In view of the high relevance of the question to many potentially affected stakeholders, we call for a well-reflected choice of specific data processing methods and the inclusion of alternative dryness definitions to guarantee that communicated results related to climate change be robust.

Dose and Duration of Opioid Use in Patients with Cancer and Noncancer Pain at an Outpatient Hospital Setting in Malaysia.

PubMed

Zin, Che S; Rahman, Norny A; Ismail, Che R; Choy, Leong W

2017-07-01

There are currently limited data available on the patterns of opioid prescribing in Malaysia. This study investigated the patterns of opioid prescribing and characterized the dosing and duration of opioid use in patients with noncancer and cancer pain. This retrospective, cross-sectional study was conducted at an outpatient hospital setting in Malaysia. All prescriptions for opioids (dihydrocodeine, fentanyl, morphine, and oxycodone) issued between January 2013 and December 2014 were examined. The number of prescriptions and patients, the distribution of mean daily dose, annual total days covered with opioids, and annual total opioid dose at the individual level were calculated and stratified by noncancer and cancer groups. A total of 1015 opioid prescriptions were prescribed for 347 patients from 2013 to 2014. Approximately 41.5% of patients (N = 144/347) and 58.5% (N = 203/347) were associated with noncancer and cancer diagnosis, respectively. Oxycodone (38.0%) was the highest prescribed primarily for the noncancer group. The majority of patients in both noncancer (74.3%) and cancer (60.4%) groups were receiving mean daily doses of < 50 mg morphine equivalents. The chronic use of opioids (> 90 days per year) was associated with 21.8% of patients in the noncancer group and 17.5% in the cancer group. The finding from this study showed that 41.5% of opioid users at an outpatient hospital setting in Malaysia received opioids for noncancer pain and 21.8% of these users were using opioids for longer than 90 days. The average daily dose in the majority of patients in both groups of noncancer and cancer was modest. © 2016 World Institute of Pain.

Pain conditions ranked by healthcare costs for members of a national health plan.

PubMed

Pasquale, Margaret K; Dufour, Robert; Schaaf, David; Reiners, Andrew T; Mardekian, Jack; Joshi, Ashish V; Patel, Nick C

2014-02-01

Healthcare resource utilization (HCRU) and associated costs specific to pain are a growing concern, as increasing dollar amounts are spent on pain-related conditions. Understanding which pain conditions drive the highest utilization and cost burden to the healthcare system would enable providers and payers to better target conditions to manage pain adequately and efficiently. The current study focused on 36 noncancer chronic and 14 noncancer acute pain conditions and measured the HCRU and costs per member over 365 days. These conditions were ranked by per-member costs and total adjusted healthcare costs to determine the most expensive conditions to a national health plan. The top 5 conditions for the commercial line of business were back pain, osteoarthritis (OA), childbirth, injuries, and non-hip, non-spine fractures (adjusted annual total costs for the commercial members were $119 million, $98 million, $69 million, $61 million, and $48 million, respectively). The top 5 conditions for Medicare members were OA, back pain, hip fractures, injuries, and non-hip, non-spine fractures (adjusted annual costs for the Medicare members were $327 million, $218 million, $117 million, $82 million, and $67 million, respectively). The conditions ranked highest for both per-member and total healthcare costs were hip fractures, childbirth, and non-hip, non-spine fractures. Among these, hip fractures in the Medicare member population had the highest mean cost per member (adjusted per-member cost was $21,058). Further examination specific to how pain is managed in these high-cost conditions will enable providers and payers to develop strategies to improve patient outcomes through appropriate pain management. © 2013 Humana Inc. and Pfizer Inc. Pain Practice © 2013 World Institute of Pain.

Alzheimer Disease and Related Disorders and Out-of-Pocket Health Care Spending and Burden Among Elderly Medicare Beneficiaries.

PubMed

Dwibedi, Nilanjana; Findley, Patricia A; Wiener R, Constance; Shen, Chan; Sambamoorthi, Usha

2018-03-01

To estimate the excess burden of out-of-pocket health care spending associated with Alzheimer disease and related disorders (ADRD) among older individuals (age 65 y and older). We adopted a retrospective, cross-sectional study design with data from 2012 Medicare Current Beneficiary Survey. The study sample comprised of elderly community-dwelling individuals who had positive total health care expenditures, and enrolled in Medicare throughout the calendar year (462 with ADRD, and 7160 without ADRD). We estimated the per-capita total annual out-of-pocket spending on health care and out-of-pocket spending by service type: inpatient, outpatient, home health, prescription drugs, and other services. We measured out-of-pocket spending burden by calculating the percentage of income spent on health care and defined high out-of-pocket spending burden as having this percentage above 10%. Multivariable analyses included ordinary least squares regressions and logistic regressions and these analyses adjusted for predisposing, enabling, need, personal health care practices and external environment characteristics. The average annual per-capita out-of-pocket health care spending was greater among individuals with ADRD compared with those without ADRD ($3285 vs. $1895); home health and prescription drugs accounted for 52% of total out-of-pocket spending among individuals with ADRD and 34% among individuals without ADRD. Elderly individuals with ADRD were more likely to have high out-of-pocket spending burden (adjusted odds ratio, 1.49; 95% confidence interval, 1.13-1.97) compared with those without ADRD. ADRD is associated with excess out-of-pocket health care spending, primarily driven by prescription drugs and home health care use.

24 CFR 884.105 - Maximum total ACC commitment and project account (private-owner/PHA projects).

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Maximum total ACC commitment and..., Scope and Basic Policies § 884.105 Maximum total ACC commitment and project account (private-owner/PHA projects). (a) Maximum total ACC commitment. The maximum total annual contribution that may be contracted...

24 CFR 884.105 - Maximum total ACC commitment and project account (private-owner/PHA projects).

Code of Federal Regulations, 2011 CFR

2011-04-01

... 24 Housing and Urban Development 4 2011-04-01 2011-04-01 false Maximum total ACC commitment and..., Scope and Basic Policies § 884.105 Maximum total ACC commitment and project account (private-owner/PHA projects). (a) Maximum total ACC commitment. The maximum total annual contribution that may be contracted...

78 FR 59930 - Agency Information Collection Activities: Announcement of Board Approval Under Delegated...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-30

... $50 billion in total assets and nonbank systemically important financial institutions, subject to annual supervisory stress tests and semi- annual company-run stress tests; ``other financial companies... Board informed as to--(i) its financial condition, [and] systems for monitoring and controlling...

75 FR 4523 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-28

... estimates support the NASS strategic plan to cover all agricultural cash receipts. The authority to collect.... Description of Respondents: Farms; Business or other for-profit. Number of Respondents: 63,305. Frequency of Responses: Reporting: On occasion; Annually; Quarterly; Semi-annually; Monthly. Total Burden Hours: 16,489...

76 FR 79646 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-22

... estimates support the NASS strategic plan to cover all agricultural cash receipts. The authority to collect.... Description of Respondents: Farms; Business or other for-profit. Number of Respondents: 63,305. Frequency of Responses: Reporting: On occasion; Annually; Quarterly; Semi-annually; Monthly. Total Burden Hours: 16,489...

12 CFR 252.154 - Annual stress test.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 4 2013-01-01 2013-01-01 false Annual stress test. 252.154 Section 252.154... (CONTINUED) ENHANCED PRUDENTIAL STANDARDS (REGULATION YY) Company-Run Stress Test Requirements for Banking... stress test. (a) General requirements—(1) Savings and loan holding companies with average total...

12 CFR 252.154 - Annual stress test.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 4 2014-01-01 2014-01-01 false Annual stress test. 252.154 Section 252.154... (CONTINUED) ENHANCED PRUDENTIAL STANDARDS (REGULATION YY) Company-Run Stress Test Requirements for Banking... stress test. (a) General requirements—(1) Savings and loan holding companies with average total...

76 FR 62072 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-06

... Evaluation--Design Survey. OMB No.: New collection. Description: The Family and Youth Services Bureau. (HHS... Organizations. Annual Burden Estimates Design survey Number of Average burden Instrument Annual number responses... Total for Design 92 Survey Additional Information: Copies of the proposed collection may be obtained by...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 29 2010-07-01 2010-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2013-07-01 2013-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 29 2010-07-01 2010-07-01 false New source performance standards. 464...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2014-07-01 2014-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2013-07-01 2013-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2011-07-01 2011-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 29 2010-07-01 2010-07-01 false New source performance standards. 464...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2013-07-01 2013-07-01 false New source performance standards. 464...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2012-07-01 2012-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2014-07-01 2014-07-01 false New source performance standards. 464...

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2011-07-01 2011-07-01 false New source performance standards. 464...

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2012-07-01 2012-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2014-07-01 2014-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 30 2011-07-01 2011-07-01 false New source performance standards. 464...

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., total phenols, oil and grease, and TSS. For non-continuous dischargers, annual average mass standards.... Concentration standards and annual average mass standards shall only apply to non-continuous dischargers. (a... 40 Protection of Environment 31 2012-07-01 2012-07-01 false New source performance standards. 464...

Inter-annual variability and long term predictability of exchanges through the Strait of Gibraltar

NASA Astrophysics Data System (ADS)

Boutov, Dmitri; Peliz, Álvaro; Miranda, Pedro M. A.; Soares, Pedro M. M.; Cardoso, Rita M.; Prieto, Laura; Ruiz, Javier; García-Lafuente, Jesus

2014-03-01

Inter-annual variability of calculated barotropic (netflow) and simulated baroclinic (inflow and outflow) exchanges through the Strait of Gibraltar is analyzed and their response to the main modes of atmospheric variability is investigated. Time series of the outflow obtained by high resolution simulations and estimated from in-situ Acoustic Doppler Current Profiler (ADCP) current measurements are compared. The time coefficients (TC) of the leading empirical orthogonal function (EOF) modes that describe zonal atmospheric circulation in the vicinity of the Strait (1st and 3rd of Sea-Level Pressure (SLP) and 1st of the wind) show significant covariance with the inflow and outflow. Based on these analyses, a regression model between these SLP TCs and outflow of the Mediterranean Water was developed. This regression outflow time series was compared with estimates based on current meter observations and the predictability and reconstruction of past exchange variability based on atmospheric pressure fields are discussed. The simple regression model seems to reproduce the outflow evolution fairly reasonably, with the exception of the year 2008, which is apparently anomalous without available physical explanation yet. The exchange time series show a reduced inter-annual variability (less than 1%, 2.6% and 3.1% of total 2-day variability, for netflow, inflow and outflow, respectively). From a statistical point of view no clear long-term tendencies were revealed. Anomalously high baroclinic fluxes are reported for the years of 2000-2001 that are coincident with strong impact on the Alboran Sea ecosystem. The origin of the anomalous flow is associated with a strong negative anomaly (~ - 9 hPa) in atmospheric pressure fields settled north of Iberian Peninsula and extending over the central Atlantic, favoring an increased zonal circulation in winter 2000/2001. These low pressure fields forced intense and durable westerly winds in the Gulf of Cadiz-Alboran system. The signal of this anomaly is also seen in time coefficients of the most significant EOF modes. The predictability of the exchanges for future climate is discussed.

[Financial burden of hepatitis B-related diseases and factors influencing the costs in Shenzhen, China].

PubMed

Liang, Sen; Zhang, Shun-xiang; Ma, Qi-shan; Xiao, He-wei; Lü, Qiu-ying; Xie, Xu; Mei, Shu-jiang; Hu, Dong-sheng; Zhou, Bo-ping; Li, Bing; Chen, Jing-fang; Cui, Fu-qiang; Wang, Fu-zhen; Liang, Xiao-feng

2010-12-01

To investigate the direct, indirect and intangible costs due to hepatitis B-related diseases and to explore main factors associated with the costs in Shenzhen. Cluster sampling for cases collected consecutively during the study period was administrated. Subjects were selected from eligible hepatitis B-related patients. By pre-trained professional investigators, health economics-related information was collected, using a structured questionnaire. Hospitalization expenses were obtained through hospital records after the patients were discharged from hospital. Total economic burden of hepatitis B-related patients would involve direct, indirect and intangible costs. Direct costs were further divided into direct medical costs and direct nonmedical costs. Human Capital Approach was employed to measure the indirect costs both on patients and the caregivers in 1-year time span. Willing to pay method was used to estimate the intangible costs. Multiple linear stepwise regression models were conducted to determine the factors linked to the economic burden. On average, the total annual cost of per patient with hepatitis B-related diseases was 81 590.23 RMB Yuan. Among which, direct, indirect and intangible costs were 30 914.79 Yuan (account for 37.9%), 15 258.01 Yuan (18.7%), 35 417.43 Yuan (43.4%), respectively. The total annual costs per patient for hepatocellular carcinoma, severe hepatitis B, decompensated cirrhosis, compensated cirrhosis, chronic hepatitis B and acute hepatitis B were 194 858.40 Yuan, 144 549.20 Yuan, 120 333.60 Yuan, 79 528.81 Yuan, 66 282.46 Yuan and 39 286.81 Yuan, respectively. The ratio of direct to indirect costs based on the base-case estimation foot add to 2.0:1, increased from hepato-cellular carcinoma (0.7:1) to compensated cirrhosis (3.5:1), followed by acute hepatitis B (3.3:1), severe hepatitis B (2.8:1), decompensate cirrhosis (2.3:1) and chronic hepatitis B (2.2:1). Direct medical costs were more than direct nonmedical. Ratio between the sum total was 16:1. The proportions of total annual cost per patient with hepatitis B-related diseases accounted for annual patient income were 285.3%, and 75.4% for annual household income. Furthermore, proportions of direct costs accounted for annual patient income and annual household income were 108.1% and 28.6%. The total annual indirect cost per person was 8123.38 Yuan for patients of all hepatitis B-related diseases, while 7134.63 Yuan for caregivers. Corresponding work-loss days were 55.74 days for patients and 19.83 days for caregivers. Based on multiple linear stepwise regression analysis, age of patients was a common influencing factor to all kinds of costs. Other factors were as follows: complicated with other diseases, antiviral medication, monthly household income and self-medications. The economic burden of hepatitis B-related diseases was substantial for patients and their families. All costs tended to increase with the severity of disease. The direct costs were larger than the indirect costs. And the direct medical costs were more than the direct ones. Indirect costs based on patients were larger than the ones of caregivers.

77 FR 65900 - Agency Information Collection Activities: Delivery Ticket

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-31

... keepers from the collection of information (total capital/startup costs and operations and maintenance.... Estimated Number of Total Annual Responses: 200,000. Estimated Time per Response: 20 minutes. Estimated...

Salary discrepancies between practicing male and female physician assistants.

PubMed

Coplan, Bettie; Essary, Alison C; Virden, Thomas B; Cawley, James; Stoehr, James D

2012-01-01

Salary discrepancies between male and female physicians are well documented; however, gender-based salary differences among clinically practicing physician assistants (PAs) have not been studied since 1992 (Willis, 1992). Therefore, the objectives of the current study are to evaluate the presence of salary discrepancies between clinically practicing male and female PAs and to analyze the effect of gender on income and practice characteristics. Using data from the 2009 American Academy of Physician Assistants' (AAPA) Annual Census Survey, we evaluated the salaries of PAs across multiple specialties. Differences between men and women were compared for practice characteristics (specialty, experience, etc) and salary (total pay, base pay, on-call pay, etc) in orthopedic surgery, emergency medicine, and family practice. Men reported working more years as a PA in their current specialty, working more hours per month on-call, providing more direct care to patients, and more funding available from their employers for professional development (p < .001, all comparisons). In addition, men reported a higher total income, base pay, overtime pay, administrative pay, on-call pay, and incentive pay based on productivity and performance (p < .001, all comparisons). Multivariate analysis of covariance and analysis of variance revealed that men reported higher total income (p < .0001) and base pay (p = .001) in orthopedic surgery, higher total income (p = .011) and base pay (p = .005) in emergency medicine, and higher base pay in family practice (p < .001), independent of clinical experience or workload. These results suggest that certain salary discrepancies remain between employed male and female PAs regardless of specialty, experience, or other practice characteristics. Copyright © 2012. Published by Elsevier Inc.

MARKAL SCENARIO ANALYSES OF TECHNOLOGY OPTIONS FOR THE ELECTRIC SECTOR: THE IMPACT ON AIR QUALITY

EPA Science Inventory

This report provides a general overview of EPA’s national MARKAL database and energy systems model and compares various scenarios to a business as usual baseline scenario. Under baseline assumptions, total electricity use increases 1.3% annually until 2030. Annual growth in ele...

77 FR 12832 - Non-RTO/ISO Performance Metrics; Commission Staff Request Comments on Performance Metrics for...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-02

...- peak hours; and (4) additional information on equipment types affected and kV of lines affected. Items... Regulatory Commission (Commission or FERC), among other actions, work with regional transmission... Average burden FERC-922 requirements respondents responses per hours per Total annual annually respondent...

77 FR 61008 - Request for Comments Under the Paperwork Reduction Act, Section 3506

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-05

... questions to be addressed, data sharing maximizes the public benefit achieved through research investments... to reduce paperwork and respondent burden, invites the general public and other Federal agencies to...; and Estimated Total Annual Burden Hours Requested: 63. The annual cost to respondents is estimated at...

76 FR 23542 - Proposed Information Collection; Comment Request; Annual Retail Trade Survey

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-27

... e- commerce sales, year-end inventories held inside and outside the United States, total operating... of sales by class of customer, and percent of e-commerce sales to customers located outside the... DEPARTMENT OF COMMERCE U.S. Census Bureau Proposed Information Collection; Comment Request; Annual...

77 FR 21992 - Proposed Renewal of Information Collection: Applicant Background Survey

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-12

... Force representation for many mission critical occupations. The DOI Strategic Plan identifies the job.... Frequency of Response: One per job application. (2) Annual reporting and record keeping burden: Average reporting burden per application: 5 minutes. Total annual reporting: 1,119 hours. (3) Description of the...

40 CFR 98.144 - Monitoring and QA/QC requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Glass Production § 98.144 Monitoring and QA/QC requirements. (a) You must measure annual amounts of carbonate-based raw materials charged to each continuous glass... calibrated scales or weigh hoppers. Total annual mass charged to glass melting furnaces at the facility shall...

Washington State Annual Rural Manpower Report, 1973.

ERIC Educational Resources Information Center

Washington State Dept. of Employment Security, Olympia.

The annual report of the Rural Manpower Program, Employment Service Division, contains narrative and statistical data that describe important developments in Washington State during 1973. In terms of man-months of labor, rural counties provided less than 25% of the total seasonal farm employment in 1973, while urban Yakima County alone provided…

Ohio Department of Transportation State Infrastructure Bank Annual Financial Report : Federal Fiscal Year 2004

DOT National Transportation Integrated Search

2004-01-01

The Ohio Department of Transportation is pleased to present the Federal Fiscal : Year 2004 State Infrastructure Bank (SIB) Annual Financial Report. The portfolio of : the FFY 04 SIB had a total of nineteen loans in the amount of $47,340,891. : A comp...

47 CFR 27.607 - Performance requirements and annual reporting requirement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... about the manner in which their spectrum is being utilized. Such reports shall be filed with the..., include the following information in their annual reports: (1) The total number of spectrum lessees; (2) The amount of the licensee's spectrum being used pursuant to spectrum lease agreements; (3) The nature...

47 CFR 27.607 - Performance requirements and annual reporting requirement.

Code of Federal Regulations, 2012 CFR

2012-10-01

... about the manner in which their spectrum is being utilized. Such reports shall be filed with the..., include the following information in their annual reports: (1) The total number of spectrum lessees; (2) The amount of the licensee's spectrum being used pursuant to spectrum lease agreements; (3) The nature...

47 CFR 27.607 - Performance requirements and annual reporting requirement.

Code of Federal Regulations, 2011 CFR

2011-10-01

... about the manner in which their spectrum is being utilized. Such reports shall be filed with the..., include the following information in their annual reports: (1) The total number of spectrum lessees; (2) The amount of the licensee's spectrum being used pursuant to spectrum lease agreements; (3) The nature...

47 CFR 27.607 - Performance requirements and annual reporting requirement.

Code of Federal Regulations, 2013 CFR

2013-10-01

... about the manner in which their spectrum is being utilized. Such reports shall be filed with the..., include the following information in their annual reports: (1) The total number of spectrum lessees; (2) The amount of the licensee's spectrum being used pursuant to spectrum lease agreements; (3) The nature...

47 CFR 27.607 - Performance requirements and annual reporting requirement.

Code of Federal Regulations, 2014 CFR

2014-10-01

... about the manner in which their spectrum is being utilized. Such reports shall be filed with the..., include the following information in their annual reports: (1) The total number of spectrum lessees; (2) The amount of the licensee's spectrum being used pursuant to spectrum lease agreements; (3) The nature...