Sample records for differing long-term impacts

  1. Upweighting rare favourable alleles increases long-term genetic gain in genomic selection programs.

    PubMed

    Liu, Huiming; Meuwissen, Theo H E; Sørensen, Anders C; Berg, Peer

    2015-03-21

    The short-term impact of using different genomic prediction (GP) models in genomic selection has been intensively studied, but their long-term impact is poorly understood. Furthermore, long-term genetic gain of genomic selection is expected to improve by using Jannink's weighting (JW) method, in which rare favourable marker alleles are upweighted in the selection criterion. In this paper, we extend the JW method by including an additional parameter to decrease the emphasis on rare favourable alleles over the time horizon, with the purpose of further improving the long-term genetic gain. We call this new method dynamic weighting (DW). The paper explores the long-term impact of different GP models with or without weighting methods. Different selection criteria were tested by simulating a population of 500 animals with truncation selection of five males and 50 females. Selection criteria included unweighted and weighted genomic estimated breeding values using the JW or DW methods, for which ridge regression (RR) and Bayesian lasso (BL) were used to estimate marker effects. The impacts of these selection criteria were compared under three genetic architectures, i.e. varying numbers of QTL for the trait and for two time horizons of 15 (TH15) or 40 (TH40) generations. For unweighted GP, BL resulted in up to 21.4% higher long-term genetic gain and 23.5% lower rate of inbreeding under TH40 than RR. For weighted GP, DW resulted in 1.3 to 5.5% higher long-term gain compared to unweighted GP. JW, however, showed a 6.8% lower long-term genetic gain relative to unweighted GP when BL was used to estimate the marker effects. Under TH40, both DW and JW obtained significantly higher genetic gain than unweighted GP. With DW, the long-term genetic gain was increased by up to 30.8% relative to unweighted GP, and also increased by 8% relative to JW, although at the expense of a lower short-term gain. Irrespective of the number of QTL simulated, BL is superior to RR in maintaining genetic variance and therefore results in higher long-term genetic gain. Moreover, DW is a promising method with which high long-term genetic gain can be expected within a fixed time frame.

  2. Long-Term Impact of Service Learning in Environmental Studies

    ERIC Educational Resources Information Center

    MacFall, Janet

    2012-01-01

    Long-term impacts from a senior course in Environmental Studies were evaluated by a survey of program graduates (36 respondents, 50% response rate) who had participated in the course over an 8-year permiod. Each year, the Senior Seminar used a service-learning pedagogy with a different environmentally focused project ranging from web resource…

  3. Long-term prognostic impact of the attenuated plaque in patients with acute coronary syndrome.

    PubMed

    Okura, Hiroyuki; Kataoka, Toru; Yoshiyama, Minoru; Yoshikawa, Junichi; Yoshida, Kiyoshi

    2016-01-01

    Several intravascular ultrasound studies have reported that culprit lesion-attenuated plaque (AP) is related to slow flow/no reflow after percutaneous coronary intervention (PCI). Long-term prognostic impact of the AP is unknown. The aim of this study was to investigate acute and long-term clinical impact of the AP in patients with acute coronary syndrome (ACS). A total of 110 ACS patients who underwent successful PCI were enrolled. Acute and long-term clinical outcomes were compared between patients with AP (AP group: n = 73) and those without AP (non-AP group: n = 37). Long-term cardiac event was defined as a composite of death and ACS. Baseline characteristics in 2 groups were similar. AP was associated with higher TIMI frame count immediately after the first balloon inflation. After thrombectomy and intracoronary drug administration, final TIMI frame count became similar between AP and non-AP group. Although AP was associated with higher incidence of fatal arrhythmia during hospitalization, in-hospital mortality did not differ between the 2 groups. During follow-up (median 6.2 years), cardiac event-free survival did not differ between the 2 groups. Despite the initial unfavorable effect on coronary reflow, presence of AP did not affect acute as well as long-term clinical outcome in patients with ACS.

  4. Establishing Long-Term Efficacy in Chronic Disease: Use of Recursive Partitioning and Propensity Score Adjustment to Estimate Outcome in MS

    PubMed Central

    Goodin, Douglas S.; Jones, Jason; Li, David; Traboulsee, Anthony; Reder, Anthony T.; Beckmann, Karola; Konieczny, Andreas; Knappertz, Volker

    2011-01-01

    Context Establishing the long-term benefit of therapy in chronic diseases has been challenging. Long-term studies require non-randomized designs and, thus, are often confounded by biases. For example, although disease-modifying therapy in MS has a convincing benefit on several short-term outcome-measures in randomized trials, its impact on long-term function remains uncertain. Objective Data from the 16-year Long-Term Follow-up study of interferon-beta-1b is used to assess the relationship between drug-exposure and long-term disability in MS patients. Design/Setting To mitigate the bias of outcome-dependent exposure variation in non-randomized long-term studies, drug-exposure was measured as the medication-possession-ratio, adjusted up or down according to multiple different weighting-schemes based on MS severity and MS duration at treatment initiation. A recursive-partitioning algorithm assessed whether exposure (using any weighing scheme) affected long-term outcome. The optimal cut-point that was used to define “high” or “low” exposure-groups was chosen by the algorithm. Subsequent to verification of an exposure-impact that included all predictor variables, the two groups were compared using a weighted propensity-stratified analysis in order to mitigate any treatment-selection bias that may have been present. Finally, multiple sensitivity-analyses were undertaken using different definitions of long-term outcome and different assumptions about the data. Main Outcome Measure Long-Term Disability. Results In these analyses, the same weighting-scheme was consistently selected by the recursive-partitioning algorithm. This scheme reduced (down-weighted) the effectiveness of drug exposure as either disease duration or disability at treatment-onset increased. Applying this scheme and using propensity-stratification to further mitigate bias, high-exposure had a consistently better clinical outcome compared to low-exposure (Cox proportional hazard ratio = 0.30–0.42; p<0.0001). Conclusions Early initiation and sustained use of interferon-beta-1b has a beneficial impact on long-term outcome in MS. Our analysis strategy provides a methodological framework for bias-mitigation in the analysis of non-randomized clinical data. Trial Registration Clinicaltrials.gov NCT00206635 PMID:22140424

  5. A new framework for evaluating the impacts of drought on net primary productivity of grassland.

    PubMed

    Lei, Tianjie; Wu, Jianjun; Li, Xiaohan; Geng, Guangpo; Shao, Changliang; Zhou, Hongkui; Wang, Qianfeng; Liu, Leizhen

    2015-12-01

    This paper presented a valuable framework for evaluating the impacts of droughts (single factor) on grassland ecosystems. This framework was defined as the quantitative magnitude of drought impact that unacceptable short-term and long-term effects on ecosystems may experience relative to the reference standard. Long-term effects on ecosystems may occur relative to the reference standard. Net primary productivity (NPP) was selected as the response indicator of drought to assess the quantitative impact of drought on Inner Mongolia grassland based on the Standardized Precipitation Index (SPI) and BIOME-BGC model. The framework consists of six main steps: 1) clearly defining drought scenarios, such as moderate, severe and extreme drought; 2) selecting an appropriate indicator of drought impact; 3) selecting an appropriate ecosystem model and verifying its capabilities, calibrating the bias and assessing the uncertainty; 4) assigning a level of unacceptable impact of drought on the indicator; 5) determining the response of the indicator to drought and normal weather state under global-change; and 6) investigating the unacceptable impact of drought at different spatial scales. We found NPP losses assessed using the new framework were more sensitive to drought and had higher precision than the long-term average method. Moreover, the total and average losses of NPP are different in different grassland types during the drought years from 1961-2009. NPP loss was significantly increased along a gradient of increasing drought levels. Meanwhile, NPP loss variation under the same drought level was different in different grassland types. The operational framework was particularly suited for integrative assessing the effects of different drought events and long-term droughts at multiple spatial scales, which provided essential insights for sciences and societies that must develop coping strategies for ecosystems for such events. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Assessing the Long-Term Impacts of Water Quality Outreach and Education Efforts on Agricultural Landowners

    ERIC Educational Resources Information Center

    Jackson-Smith, Douglas B.; McEvoy, Jamie P.

    2011-01-01

    We assess the long-term effectiveness of outreach and education efforts associated with a water quality improvement project in a watershed located in northern Utah, USA. Conducted 15 years after the original project began, our research examines the lasting impacts of different extension activities on landowners' motivations to participate and…

  7. Impacts of 120 years of fertilizer addition on a temperate grassland ecosystem

    PubMed Central

    Kidd, Jonathan; Manning, Peter; Simkin, Janet; Peacock, Simon; Stockdale, Elizabeth

    2017-01-01

    The widespread application of fertilizers has greatly influenced many processes and properties of agroecosystems, and agricultural fertilization is expected to increase even further in the future. To date, most research on fertilizer impacts has used short-term studies, which may be unrepresentative of long-term responses, thus hindering our capacity to predict long-term impacts. Here, we examined the effects of long-term fertilizer addition on key ecosystem properties in a long-term grassland experiment (Palace Leas Hay Meadow) in which farmyard manure (FYM) and inorganic fertilizer treatments have been applied consistently for 120 years in order to characterize the experimental site more fully and compare ecosystem responses with those observed at other long-term and short-term experiments. FYM inputs increased soil organic carbon (SOC) stocks, hay yield, nutrient availability and acted as a buffer against soil acidification (>pH 5). In contrast, N-containing inorganic fertilizers strongly acidified the soil (

  8. Long-term effects on distribution of forest biomass following different harvesting levels in the northern Rocky Mountains

    Treesearch

    Woongsoon Jang; Christopher R. Keyes; Deborah S. Page-Dumroese

    2015-01-01

    With increasing public demand for more intensive biomass utilization from forests, the concerns over adverse impacts on productivity by nutrient depletion are increasing. We remeasured the 1974 site of the Forest Residues Utilization Research and Development in northwestern Montana to investigate long-term impacts of intensive biomass utilization on aspects of site...

  9. Differential impacts of care-giving across three caregiver groups in Canada: end-of-life care, long-term care and short-term care

    PubMed Central

    Williams, Allison M; Wang, Li; Kitchen, Peter

    2014-01-01

    Using data from Statistic Canada's General Social Survey Cycle 21 (GSS 2007), this study explores whether differences exist in the impacts of care-giving among three groups of caregivers providing informal care either in the caregiver's or recipient's home, or in other locations within the community: (i) those providing end-of-life (EOL) care (n = 471); (ii) those providing long-term care (more than 2 years) for someone with a chronic condition or long-term illness (n = 2722); and (iii) those providing short-term care (less than 2 years) for someone with a chronic condition or long-term illness (n = 2381). This study lays out the variation in sociodemographic characteristics across the three caregiver groups while also building on our understanding of the differential impacts of care-giving through an analysis of determinants. All three groups of caregivers shared a number of sociodemographic characteristics, including being female, married, employed and living in a Census Metropolitan Area (CMA). With respect to health, EOL caregivers were found to have significantly higher levels of ‘fair or poor’ self-assessed health than the other two groups. Overall, the findings suggest that EOL caregivers are negatively impacted by the often additional role of care-giving, more so than both short-term and long-term caregivers. EOL caregivers experienced a higher proportion of negative impacts on their social and activity patterns. Furthermore, EOL caregivers incurred greater financial costs than the other two types of informal caregivers. The impacts of EOL care-giving also negatively influence employment for caregivers when compared with the other caregiver groups. Consequently, EOL caregivers, overall, experienced greater negative impacts, including negative health outcomes, than did long-term or short-term caregivers. This provides the evidence for the assertion that EOL care-giving is the most intense type of care-giving, potentially causing the greatest caregiver burden; this is shown through the greater negative impacts experienced by the EOL caregivers when compared with the short-term and long-term caregivers. PMID:24172162

  10. Aging of Dissolved Copper and Copper-based Nanoparticles in Five Different Soils: Short-term Kinetics vs. Long-term Fate

    EPA Science Inventory

    With the growing availability and use of copper-based nanomaterials (Cu-NMs), there is increasing concern regarding their release and potential impact on the environment. In this study, the short term (≤5 d) aging profile and the long-term (135 d) speciation of dissolved Cu, cop...

  11. Long-term impact of wildfire on soils exposed to different fire severities. A case study in Cadiretes Massif (NE Iberian Peninsula).

    PubMed

    Francos, Marcos; Úbeda, Xavier; Pereira, Paulo; Alcañiz, Meritxell

    2018-02-15

    Wildfires affect ecosystems depending on the fire regime. Long-term studies are needed to understand the ecological role played by fire, especially as regards its impact on soils. The aim of this study is to monitor the long-term effects (18years) of a wildfire on soil properties in two areas affected by low and high fire severity regimes. The properties studied were total nitrogen (TN), total carbon (TC), C/N ratio, soil organic matter (SOM) and extractable calcium (Ca), magnesium (Mg), sodium (Na) and potassium (K). The study was carried out in three phases: short- (immediately after the wildfire), medium- (seven years after the wildfire) and long-term (18years after the wildfire). The results showed that in both fire regimes TN decreased with time, TC and SOM were significantly lower in the burned plots than they were in the control in the medium- and long-terms. C/N ratio was significantly lower at short-term in low wildfire severity area. Extractable Ca and Mg were significantly higher in control plot than in the burned plots in the medium-term. In the long-term, extractable Ca and Mg were significantly lower in the area exposed to a high severity burning. No differences were identified in the case of extractable Na between plots on any of the sampling dates, while extractable K was significantly higher in the plot exposed to low wildfire than it was in the control. Some restoration measures may be required after the wildfire, especially in areas affected by high severity burning, to avoid the long-term impacts on the essential soil nutrients of TC, SOM, extractable Ca and Mg. This long-term nutrient depletion is attributable to vegetation removal, erosion, leaching and post-fire vegetation consumption. Soils clearly need more time to recover from wildfire disturbance, especially in areas affected by high severity fire regimes. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. User-fee-removal improves equity of children's health care utilization and reduces families' financial burden: evidence from Jamaica.

    PubMed

    Li, Zhihui; Li, Mingqiang; Fink, Günther; Bourne, Paul; Bärnighausen, Till; Atun, Rifat

    2017-06-01

    The impact of user-fee policies on the equity of health care utilization and households' financial burdens has remained largely unexplored in Latin American and the Caribbean, as well as in upper-middle-income countries. This paper assesses the short- and long-term impacts of Jamaica's user-fee-removal for children in 2007. This study utilizes 14 rounds of data from the Jamaica Survey of Living Conditions (JSLC) for the periods 1996 to 2012. JSLC is a national household survey, which collects data on health care utilization and among other purposes for planning. Interrupted time series (ITS) analysis was used to examine the immediate impact of the user-fee-removal policy on children's health care utilization and households' financial burdens, as well as the impact in the medium- to long-term. Immediately following the implementation of user-fee-removal, the odds of seeking for health care if the children fell ill in the past 4 weeks increased by 97% (odds ratio 2.0, 95% confidence interval (CI) 1.1 to 3.5, P  = 0.018). In the short-term (2007-2008), health care utilization increased at a faster rate among children not in poverty than children in poverty; while this gap narrowed after 2008. There was minimal difference in health care utilization across wealth groups in the medium- to long-term. The household's financial burden (health expenditure as a share of household's non-food expenditures) reduced by 6 percentage points (95% CI: -11 to -1, P  = 0.020) right after the policy was implemented and kept at a low level. The difference in financial burden between children in poverty and children not in poverty shrunk rapidly after 2007 and remained small in subsequent years. User-fee-removal had a positive impact on promoting health care utilization among children and reducing their household health expenditures in Jamaica. The short-term and the medium- to long-term results have different indications: In the short-term, the policy deteriorated the equity of access to health care for children, while the equity status improved fast in the medium- to long-term.

  13. The long-term physical and psychological health impacts of flooding: A systematic mapping.

    PubMed

    Zhong, Shuang; Yang, Lianping; Toloo, Sam; Wang, Zhe; Tong, Shilu; Sun, Xiaojie; Crompton, David; FitzGerald, Gerard; Huang, Cunrui

    2018-06-01

    Flooding has caused significant and wide ranging long-term health impacts for affected populations. However, until now, the long-term health outcomes, epidemiological trends and specific impact factors of flooding had not been identified. In this study, the relevant literature was systematically mapped to create the first synthesis of the evidence of the long-term health impacts of flooding. The systematic mapping method was used to collect and categorize all the relevant literature. A study was included if it had a description or measurement of health impacts over six months after flooding. The search was limited to peer reviewed articles and grey literature written in English, published from 1996 to 2016. A total of 56 critical articles were extracted for the final map, including 5 qualitative and 51 quantitative studies. Most long-term studies investigated the psychological impacts of flooding, including PTSD, depression, anxiety, psychiatric disorders, sleep disorder and suicide. Others investigated the physiological impacts, including health-related quality of life, acute myocardial infarction, chronic diseases, and malnutrition. Social support was proved to be protective factors that can improve health outcomes in the long-term after flooding. To date, there have been relatively few reviews had focused on the long-term health impacts of flooding. This study coded and catalogued the existing evidence across a wide range of variables and described the long-term health consequences within a conceptual map. Although there was no boundary between the short-term and the long-term impacts of flooding, the identified health outcomes in this systematic mapping could be used to define long-term health impacts. The studies showed that the prevalence of psychological diseases had a reversed increasing trend occurred even in the long-term in relatively poor post-flooding environments. Further cohort or longitudinal research focused on disability, chronic diseases, relocation population, and social interventions after flooding, are urgently required. Copyright © 2018 Elsevier B.V. All rights reserved.

  14. Brain and cognitive-behavioural development after asphyxia at term birth.

    PubMed

    de Haan, Michelle; Wyatt, John S; Roth, Simon; Vargha-Khadem, Faraneh; Gadian, David; Mishkin, Mortimer

    2006-07-01

    Perinatal asphyxia occurs in approximately 1-6 per 1000 live full-term births. Different patterns of brain damage can result, though the relation of these patterns to long-term cognitive-behavioural outcome remains under investigation. The hippocampus is one brain region that can be damaged (typically not in isolation), and this site of damage has been implicated in two different long-term outcomes, cognitive memory impairment and the psychiatric disorder schizophrenia. Factors in addition to the acute episode of asphyxia likely contribute to these specific outcomes, making prediction difficult. Future studies that better document long-term cognitive-behavioural outcome, quantitatively identify patterns of brain injury over development and consider additional variables that may modulate the impact of asphyxia on cognitive and behavioural function will forward the goals of predicting long-term outcome and understanding the mechanisms by which it unfolds.

  15. Long-term soil changes from forest harvesting and residue management in the northern Rocky Mountains

    Treesearch

    Woongsoon Jang; Deborah S. Page-Dumroese; Christopher R. Keyes

    2016-01-01

    Soil changes associated with forest harvesting, differing utilization levels, and post-harvest prescribed burning were determined using an empirical study to investigate the long-term impacts on soil physical and chemical properties at Coram Experimental Forest in northwestern Montana. In 1974, two replications of three regeneration cuttings (shelterwood,...

  16. Changes of Geo-Runoff Components in Russian Arctic Rivers

    NASA Astrophysics Data System (ADS)

    Groisman, P. Y.; Georgiadi, A.; Kashutina, E.; Milyukova, I.

    2017-12-01

    Long-term phases of changes in naturalized components of the geo-runoff (streamflow, heat flow and suspended sediment yield) of Russian Arctic Rivers during the period of observation (from 1930-1940 till 2000s) were revealed on the basis of normalized cumulative curves. Their characteristics and the effects of impact of anthropogenic factors are evaluated. Since 1930-1940s till the beginning of the 21st century, the naturalized annual and seasonal river runoff in the largest river basins (Ob', Yenisei, Lena) was characterized by two main long-term phases of its changes. The phase of decreased runoff (since the 1930-1940s) was replaced in the 1970-1980s by a long-term phase of increased streamflow. The duration of phases was several decades and are characterized by significant runoff differences. In the long-term variations of the heat flow of the Ob, Yenisei, Lena, Northern Dvina and Pechora also were found two major long-term phases. The phase of the heat flow decrease, which began in 1930-1940-ies and lasted for 35-55 years, was replaced in 1970-1980 by 20-year phase of its increase (except the Yenisei, where this phase began in the late 1990s.) and has continued until now. Similar long-term phases are observed for river water temperature of considered rivers. Differences in heat flow reaches 20% during the phase of its increased and decreased values for the Northern Dvina and the Yenisei Rivers, but for other rivers they are not higher than 10%. Long-term changes of annual suspended sediment yield for the Yenisei and Lena Rivers are also characterized by two major long-term phases, which replaced each another in the 1970-1990. Differences in the suspended sediment yield during the increase and decrease phases reach 40% for Lena, whereas for Yenisei they are substantially less (10%). Anthropogenic factors (mainly water reservoirs) have significantly changed the characteristics of the long-term phases on the Yenisei River while their impact is not significant on other rivers. The long-term phases of decrease and increase of "conditionally natural" components of Arctic Rivers of Russia geo-runoff are closely associated with the indices zonal atmospheric air transport intensity.

  17. Impact of Isothermal Aging on Long-Term Reliability of Fine-Pitch Ball Grid Array Packages with Sn-Ag-Cu Solder Interconnects: Surface Finish Effects

    NASA Astrophysics Data System (ADS)

    Lee, Tae-Kyu; Ma, Hongtao; Liu, Kuo-Chuan; Xue, Jie

    2010-12-01

    The interaction between isothermal aging and the long-term reliability of fine-pitch ball grid array (BGA) packages with Sn-3.0Ag-0.5Cu (wt.%) solder ball interconnects was investigated. In this study, 0.4-mm fine-pitch packages with 300- μm-diameter Sn-Ag-Cu solder balls were used. Two different package substrate surface finishes were selected to compare their effects on the final solder composition, especially the effect of Ni, during thermal cycling. To study the impact on thermal performance and long-term reliability, samples were isothermally aged and thermally cycled from 0°C to 100°C with 10 min dwell time. Based on Weibull plots for each aging condition, package lifetime was reduced by approximately 44% by aging at 150°C. Aging at 100°C showed a smaller impact but similar trend. The microstructure evolution was observed during thermal aging and thermal cycling with different phase microstructure transformations between electrolytic Ni/Au and organic solderability preservative (OSP) surface finishes, focusing on the microstructure evolution near the package-side interface. Different mechanisms after aging at various conditions were observed, and their impacts on the fatigue lifetime of solder joints are discussed.

  18. Using Simulation to Compare 4 Categories of Intervention for Reducing Cardiovascular Disease Risks

    PubMed Central

    Homer, Jack; Trogdon, Justin; Wile, Kristina; Orenstein, Diane

    2014-01-01

    The Prevention Impacts Simulation Model (PRISM) projects the multiyear impacts of 22 different interventions aimed at reducing risk of cardiovascular disease. We grouped these into 4 categories: clinical, behavioral support, health promotion and access, and taxes and regulation. We simulated impacts for the United States overall and also for a less-advantaged county with a higher death rate. Of the 4 categories of intervention, taxes and regulation reduce costs the most in the short term (through 2020) and long term (through 2040) and reduce deaths the most in the long term; they are second to clinical interventions in reducing deaths in the short term. All 4 categories combined were required to bring costs and deaths in the less-advantaged county down to the national level. PMID:24832142

  19. The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain.

    PubMed

    Urbanos-Garrido, Rosa M; Lopez-Valcarcel, Beatriz G

    2015-03-01

    To estimate the impact of (particularly long-term) unemployment on the overall and mental health of the Spanish working-age population and to check whether the effects of unemployment on health have increased or been tempered as a consequence of the economic crisis. We apply a matching technique to cross-sectional microdata from the Spanish Health Survey for the years 2006 and 2011-2012 to estimate the average treatment effect of unemployment on self-assessed health (SAH) in the last year, mental problems in the last year and on the mental health risk in the short term. We also use a differences-in-differences estimation method between the two periods to check if the impact of unemployment on health depends on the economic context. Unemployment has a significant negative impact on both SAH and mental health. This impact is particularly high for the long-term unemployed. With respect to the impact on mental health, negative effects significantly worsen with the economic crisis. For the full model, the changes in effects of long-term unemployment on mental problems and mental health risk are, respectively, 0.35 (CI 0.19-0.50) and 0.20 (CI 0.07-0.34). Anxiety and stress about the future associated with unemployment could have a large impact on individuals' health. It may be necessary to prevent health deterioration in vulnerable groups such as the unemployed, and also to monitor specific health risks that arise in recessions, such as psychological problems.

  20. The impact of inter-annual variability of annual cycle on long-term persistence of surface air temperature in long historical records

    NASA Astrophysics Data System (ADS)

    Deng, Qimin; Nian, Da; Fu, Zuntao

    2018-02-01

    Previous studies in the literature show that the annual cycle of surface air temperature (SAT) is changing in both amplitude and phase, and the SAT departures from the annual cycle are long-term correlated. However, the classical definition of temperature anomalies is based on the assumption that the annual cycle is constant, which contradicts the fact of changing annual cycle. How to quantify the impact of the changing annual cycle on the long-term correlation of temperature anomaly variability still remains open. In this paper, a recently developed data adaptive analysis tool, the nonlinear mode decomposition (NMD), is used to extract and remove time-varying annual cycle to reach the new defined temperature anomalies in which time-dependent amplitude of annual cycle has been considered. By means of detrended fluctuation analysis, the impact induced by inter-annual variability from the time-dependent amplitude of annual cycle has been quantified on the estimation of long-term correlation of long historical temperature anomalies in Europe. The results show that the classical climatology annual cycle is supposed to lack inter-annual fluctuation which will lead to a maximum artificial deviation centering around 600 days. This maximum artificial deviation is crucial to defining the scaling range and estimating the long-term persistence exponent accurately. Selecting different scaling range could lead to an overestimation or underestimation of the long-term persistence exponent. By using NMD method to extract the inter-annual fluctuations of annual cycle, this artificial crossover can be weakened to extend a wider scaling range with fewer uncertainties.

  1. Battery Lifetime Analysis and Simulation Tool Suite | Transportation

    Science.gov Websites

    comparisons of different battery-use strategies to predict long-term performance in electric vehicle (EV) and economic and greenhouse gas impacts of different EV scenarios. An illustrated graphic showing thermal . Users can enter their own battery duty cycles for direct simulation to evaluate the impacts of different

  2. Long-Term Impacts of a Faculty Development Program for the Internationalization of Curriculum in Higher Education

    ERIC Educational Resources Information Center

    Urban, Emily; Navarro, Maria; Borron, Abigail

    2017-01-01

    Faculty development programs for internationalization of the curriculum in higher education are often evaluated for short- and medium-term outcomes, but more long-term assessments are needed to determine impact. This study examined the long-term (6 years) impacts on faculty from colleges of agriculture after participating in a one-year…

  3. Long-Term Impact of Endometrial Cancer Diagnosis and Treatment on Health-Related Quality of Life and Cancer Survivorship: Results From the Randomized PORTEC-2 Trial

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

    Boer, Stephanie M. de, E-mail: s.m.de_boer.ONCO@lumc.nl; Nout, Remi A.; Jürgenliemk-Schulz, Ina M.

    Purpose: To evaluate the long-term health-related quality of life (HRQL) after external beam radiation therapy (EBRT) or vaginal brachytherapy (VBT) among PORTEC-2 trial patients, evaluate long-term bowel and bladder symptoms, and assess the impact of cancer on these endometrial cancer (EC) survivors. Patients and Methods: In the PORTEC-2 trial, 427 patients with stage I high–intermediate-risk EC were randomly allocated to EBRT or VBT. The 7- and 10-year HRQL questionnaires consisted of EORTC QLQ-C30; subscales for bowel and bladder symptoms; the Impact of Cancer Questionnaire; and 14 questions on comorbidities, walking aids, and incontinence pads. Analysis was done using linear mixed modelsmore » for subscales and (ordinal) logistic regression with random effects for single items. A two-sided P value <.01 was considered statistically significant. Results: Longitudinal HRQL analysis showed persisting higher rates of bowel symptoms with EBRT, without significant differences in global health or any of the functioning scales. At 7 years, clinically relevant fecal leakage was reported by 10.6% in the EBRT group, versus 1.8% for VBT (P=.03), diarrhea by 8.4% versus 0.9% (P=.04), limitations due to bowel symptoms by 10.5% versus 1.8% (P=.001), and bowel urgency by 23.3% versus 6.6% (P<.001). Urinary urgency was reported by 39.3% of EBRT patients, 25.5% for VBT, P=.05. No difference in sexual activity was seen between treatment arms. Long-term impact of cancer scores was higher among the patients who had an EC recurrence or second cancer. Conclusions: More than 7 years after treatment, EBRT patients reported more bowel symptoms with impact on daily activities, and a trend for more urinary symptoms, without impact on overall quality of life or difference in cancer survivorship issues.« less

  4. What does the 2°C target imply for a global climate agreement in 2020? The limits study on Durban Platform scenarios

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

    KRIEGLER, ELMAR; TAVONI, MASSIMO; ABOUMAHBOUB, TINO

    This paper provides a novel and comprehensive model-based assessment of possible outcomes of the Durban Platform negotiations with a focus on emissions reduction requirements, the consistency with the 2°C target and global economic impacts. The Durban Platform scenarios investigated in the LIMITS study — all assuming the implementation of comprehensive global emission reductions after 2020, but assuming different 2020 emission reduction levels as well as different long-term concentration targets — exhibit a probability of exceeding the 2°C limit of 22–41% when reaching 450 (450–480) ppm CO 2e, and 35–59% when reaching 500 (480–520) ppm CO 2e in 2100. Forcing andmore » temperature show a peak and decline pattern for both targets. Consistency of the resulting temperature trajectory with the 2°C target is a societal choice, and may be based on the maximum exceedance probability at the time of the peak and the long run exceedance probability, e.g., in the year 2100. The challenges of implementing a long-term target after a period of fragmented near-term climate policy can be significant as reflected in steep reductions of emissions intensity and transitional and long-term economic impacts. In particular, the challenges of adopting the target are significantly higher in 2030 than in 2020, both in terms of required emissions intensity decline rates and economic impacts. Finally, we conclude that an agreement on comprehensive emissions reductions to be implemented from 2020 onwards has particular significance for meeting long-term climate policy objectives.« less

  5. Is there an environmental benefit from remediation of a contaminated site? Combined assessments of the risk reduction and life cycle impact of remediation.

    PubMed

    Lemming, Gitte; Chambon, Julie C; Binning, Philip J; Bjerg, Poul L

    2012-12-15

    A comparative life cycle assessment is presented for four different management options for a trichloroethene-contaminated site with a contaminant source zone located in a fractured clay till. The compared options are (i) long-term monitoring (ii) in-situ enhanced reductive dechlorination (ERD), (iii) in-situ chemical oxidation (ISCO) with permanganate and (iv) long-term monitoring combined with treatment by activated carbon at the nearby waterworks. The life cycle assessment included evaluation of both primary and secondary environmental impacts. The primary impacts are the local human toxic impacts due to contaminant leaching into groundwater that is used for drinking water, whereas the secondary environmental impacts are related to remediation activities such as monitoring, drilling and construction of wells and use of remedial amendments. The primary impacts for the compared scenarios were determined by a numerical risk assessment and remedial performance model, which predicted the contaminant mass discharge over time at a point of compliance in the aquifer and at the waterworks. The combined assessment of risk reduction and life cycle impacts showed that all management options result in higher environmental impacts than they remediate, in terms of person equivalents and assuming equal weighting of all impacts. The ERD and long-term monitoring were the scenarios with the lowest secondary life cycle impacts and are therefore the preferred alternatives. However, if activated carbon treatment at the waterworks is required in the long-term monitoring scenario, then it becomes unfavorable because of large secondary impacts. ERD is favorable due to its low secondary impacts, but only if leaching of vinyl chloride to the groundwater aquifer can be avoided. Remediation with ISCO caused the highest secondary impacts and cannot be recommended for the site. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Bacterial and archaeal ammonia oxidizers respond differently to long-term tillage and fertilizer management at a continuous maize site

    USDA-ARS?s Scientific Manuscript database

    Fertilizer use and tillage affect both the general soil microbial community and speci'c N-utilizing microbial groups, but likely to varying degrees. To assess these impacts, soil was collected on three key dates from a long-term (26+ years), rainfed, continuous maize site where tillage (no-till and ...

  7. The Long-Term Effects of Bilingualism on Children of Immigration: Student Bilingualism and Future Earnings

    ERIC Educational Resources Information Center

    Agirdag, Orhan

    2014-01-01

    In this study, we examine the largely neglected long-term effects of bilingualism for students with roots in immigration. Our central research question is whether students' bilingual proficiencies have an impact on their future earnings in the USA. For this purpose, we used two different data-sets, i.e. the National Education Longitudinal…

  8. Cardiorespiratory interaction with continuous positive airway pressure

    PubMed Central

    Bonafini, Sara; Fava, Cristiano; Steier, Joerg

    2018-01-01

    The treatment of choice for obstructive sleep apnoea (OSA) is continuous positive airway pressure therapy (CPAP). Since its introduction in clinical practice, CPAP has been used in various clinical conditions with variable and heterogeneous outcomes. In addition to the well-known effects on the upper airway CPAP impacts on intrathoracic pressures, haemodynamics and blood pressure (BP) control. However, short- and long-term effects of CPAP therapy depend on multiple variables which include symptoms, underlying condition, pressure used, treatment acceptance, compliance and usage. CPAP can alter long-term cardiovascular risk in patients with cardiorespiratory conditions. Furthermore, the effect of CPAP on the awake patient differs from the effect on the patients while asleep, and this might contribute to discomfort and removal of the use interface. The purpose of this review is to highlight the physiological impact of CPAP on the cardiorespiratory system, including short-term benefits and long-term outcomes. PMID:29445529

  9. Fracture Toughness of Z3CN20.09M Cast Stainless Steel with Long-Term Thermal Aging

    NASA Astrophysics Data System (ADS)

    Yu, Weiwei; Yu, Dunji; Gao, Hongbo; Xue, Fei; Chen, Xu

    2017-09-01

    Accelerated thermal aging tests were performed at 400 °C for nearly 18,000 h on Z3CN20.09M cast stainless steel which was used for primary coolant pipes of nuclear power plants. A series of Charpy impact tests were conducted on Z3CN20.09M after different long-term thermal aging time. The test results indicated that the Charpy impact energy of Z3CN20.09M cast stainless steel decreased rapidly at an early stage and then almost saturated after thermal aging of 10,000 h. Furthermore, J-resistance curves were measured for CT specimens of longitudinal and circumferential pipe orientations. It showed that there was no obvious difference in the fracture characteristics of Z3CN20.09M in different sampling directions. In addition, the observed stretch zone width (SZW) revealed that the value of initiation fracture toughness J SZW was significantly lower than that of fracture toughness J IC, indicating a low actual crack initiation energy due to long-term thermal aging.

  10. Effects of past logging and grazing on understory plant communities in a montane Colorado forest

    USGS Publications Warehouse

    Fornwalt, P.J.; Kaufmann, M.R.; Huckaby, L.S.; Stohlgren, T.J.

    2009-01-01

    Throughout Pinus ponderosa-Pseudotsuga menziesii forests of the southern Colorado Front Range, USA, intense logging and domestic grazing began at the time of Euro-American settlement in the late 1800s and continued until the early 1900s. We investigated the long-term impacts of these settlement-era activities on understory plant communities by comparing understory composition at a historically logged and grazed site to that of an environmentally similar site which was protected from past use. We found that species richness and cover within functional groups rarely differed between sites in either upland or riparian areas. Multivariate analyses revealed little difference in species composition between sites on uplands, though compositional differences were apparent in riparian zones. Our findings suggest that settlement-era logging and grazing have had only minor long-term impacts on understories of upland Front Range P. ponderosa-P. menziesii forests, though they have had a greater long-term influence on riparian understories, where these activities were likely the most intense. ?? 2008 Springer Science+Business Media B.V.

  11. Quantifying long-term evolution of intra-urban spatial interactions

    PubMed Central

    Sun, Lijun; Jin, Jian Gang; Axhausen, Kay W.; Lee, Der-Horng; Cebrian, Manuel

    2015-01-01

    Understanding the long-term impact that changes in a city's transportation infrastructure have on its spatial interactions remains a challenge. The difficulty arises from the fact that the real impact may not be revealed in static or aggregated mobility measures, as these are remarkably robust to perturbations. More generally, the lack of longitudinal, cross-sectional data demonstrating the evolution of spatial interactions at a meaningful urban scale also hinders us from evaluating the sensitivity of movement indicators, limiting our capacity to understand the evolution of urban mobility in depth. Using very large mobility records distributed over 3 years, we quantify the impact of the completion of a metro line extension: the Circle Line (CCL) in Singapore. We find that the commonly used movement indicators are almost identical before and after the project was completed. However, in comparing the temporal community structure across years, we do observe significant differences in the spatial reorganization of the affected geographical areas. The completion of CCL enables travellers to re-identify their desired destinations collectively with lower transport cost, making the community structure more consistent. These changes in locality are dynamic and characterized over short timescales, offering us a different approach to identify and analyse the long-term impact of new infrastructures on cities and their evolution dynamics. PMID:25551142

  12. Race, gender, and the response to stress: autoworkers' vulnerability to long-term unemployment.

    PubMed

    Broman, C L; Hamilton, V L; Hoffman, W S; Mavaddat, R

    1995-12-01

    A three-wave panel study of auto plant closings focused on the mental health effects of unemployment on blue-collar workers. This paper explores how the impact of long-term unemployment varies across race and gender. We also examine whether other demographic factors can themselves modify the impacts of race and gender. Dependent variables include two measures of distress and two drinking measures. Results showed that the effect of long-term unemployment on distress and drinking was more severe among less educated workers, and responses of blacks were especially sensitive to level of education. In addition, men showed a greater association of long-term unemployment with depression (and to some extent anxiety) than did women. Marriage affected the responses of men but not of women, and of whites but not of blacks. Explanatory variables--the worker's experiences of financial hardship, other negative life events, and lack of a confidant--largely accounted for male-female differences. We conclude by discussing theoretical implications of these effects and address the limitations of the traditional term "vulnerability" in describing them.

  13. Temporal framing and the decision to take part in type 2 diabetes screening: effects of individual differences in consideration of future consequences on persuasion.

    PubMed

    Orbell, Sheina; Hagger, Martin

    2006-07-01

    Reliable individual differences in the extent to which people consider the long- and short-term consequences of their own behaviors are hypothesized to influence the impact of a persuasive communication. In a field experiment, the time frame of occurrence of positive and negative consequences of taking part in a proposed Type 2 diabetes screening program was manipulated in a sample of 210 adults with a mean age of 53 years. Individual differences in consideration of future consequences (CFC; A. Strathman, F. Gleicher, D. S. Boninger, & C. S. Edwards, 1994) moderated (a) the generation of positive and negative thoughts and (b) the persuasive impact of the different communications. Low-CFC individuals were more persuaded when positive consequences were short term and negative consequences were long term. The opposite was true of high-CFC individuals. Path analyses show that net positive thoughts generated mediated the effect of the CFC x Time Frame manipulations on behavioral intentions.

  14. Long-term effects of fuel treatments on aboveground biomass accumulation in ponderosa pine forests of the northern Rocky Mountains

    Treesearch

    Kate A. Clyatt; Christopher R. Keyes; Sharon M. Hood

    2017-01-01

    Fuel treatments in ponderosa pine forests of the northern Rocky Mountains are commonly used to modify fire behavior, but it is unclear how different fuel treatments impact the subsequent production and distribution of aboveground biomass, especially in the long term. This research evaluated aboveground biomass responses 23 years after treatment in two silvicultural...

  15. The Long-term Impacts of Earthquakes on Economic Growth

    NASA Astrophysics Data System (ADS)

    Lackner, S.

    2016-12-01

    The social science literature has so far not reached a consensus on whether and how earthquakes actually impact economic growth in the long-run. Several hypotheses have been suggested and some even argue for a positive impact. A general weakness in the literature, however, is the predominant use of inadequate measures for the exogenous natural hazard of an earthquake. The most common problems are the lack of individual event size (e.g. earthquake dummy or number of events), the use of magnitude instead of a measure for surface shaking, and endogeneity issues when traditional qualitative intensity scales or actual impact data is used. Here we use peak ground acceleration (PGA) as the ground motion intensity measure and investigate the impacts of earthquake shaking on long-run economic growth. We construct a data set from USGS ShakeMaps that can be considered the universe of global relevant earthquake ground shaking from 1973 to 2014. This data set is then combined with World Bank GDP data to conduct a regression analysis. Furthermore, the impacts of PGA on different industries and other economic variables such as employment and education are also investigated. This will on one hand help to identify the mechanism of how earthquakes impact long-run growth and also show potential impacts on other welfare indicators that are not captured by GDP. This is the first application of global earthquake shaking data to investigate long-term earthquake impacts.

  16. Recurrent floods and prevalence of diarrhea among under five children: observations from Bahraich district, Uttar Pradesh, India.

    PubMed

    Joshi, Pooran C; Kaushal, Sonia; Aribam, Bijaya S; Khattri, Prashant; D'Aoust, Olivia; Singh, Mongjam M; Marx, Michael; Guha-Sapir, Debarati

    2011-01-01

    Diarrhea is an important problem among the under-five children in India. The paper examines long-term impacts of recurrent floods on diarrhea among under-five children in Uttar Pradesh, India. A two stage stratified cluster survey was conducted in flood affected (exposed) and non-flood affected areas (unexposed). The long-term impact of the floods was not clearly marked in the overall prevalence of diarrhea with the exposed group having prevalence of 55.1% as against 56.2% in the unexposed group of children under five. Economic condition of the household is associated with the prevalence of diarrhea in both exposed and unexposed strata. Anemia was found to be a significant risk factor for diarrhea among children in both the flood exposed and non-flood exposed populations. The recurrent floods did not have any significant effect on the prevalence of diarrhea in relation to gender, religion, caste, and household size. The study indicates that the long-term impacts of floods are very differently manifested than the immediate impacts.

  17. Recurrent floods and prevalence of diarrhea among under five children: observations from Bahraich district, Uttar Pradesh, India

    PubMed Central

    Joshi, Pooran C.; Kaushal, Sonia; Aribam, Bijaya S.; Khattri, Prashant; D'Aoust, Olivia; Singh, Mongjam M.; Marx, Michael; Guha-Sapir, Debarati

    2011-01-01

    Background Diarrhea is an important problem among the under-five children in India. Objective The paper examines long-term impacts of recurrent floods on diarrhea among under-five children in Uttar Pradesh, India. Design A two stage stratified cluster survey was conducted in flood affected (exposed) and non-flood affected areas (unexposed). Results The long-term impact of the floods was not clearly marked in the overall prevalence of diarrhea with the exposed group having prevalence of 55.1% as against 56.2% in the unexposed group of children under five. Economic condition of the household is associated with the prevalence of diarrhea in both exposed and unexposed strata. Anemia was found to be a significant risk factor for diarrhea among children in both the flood exposed and non-flood exposed populations. The recurrent floods did not have any significant effect on the prevalence of diarrhea in relation to gender, religion, caste, and household size. Conclusions The study indicates that the long-term impacts of floods are very differently manifested than the immediate impacts. PMID:21695069

  18. Impact of Different Aortic Entry Tear Sites on Early Outcomes and Long-Term Survival in Patients with Stanford A Acute Aortic Dissection.

    PubMed

    Merkle, Julia; Sabashnikov, Anton; Deppe, Antje Christin; Weber, Saskia; Mader, Navid; Choi, Yeong-Hoon; Liakopoulos, Oliver; Kuhn-Régnier, Ferdinand; Wahlers, Thorsten

    2018-06-13

     Stanford A acute aortic dissection (AAD) is a life-threatening emergency. The aim of this study was to compare the impact of three different aortic entry tear sites on early outcomes and long-term survival of patients with Stanford A AAD.  From January 2006 to April 2015, a total of 240 consecutive patients with diagnosed Stanford A AAD underwent emergent, isolated surgical aortic repair in our center. Patients were divided into three groups comprising isolated ascending aorta, proximal aortic arch, and distal aortic arch entry tear site and were followed up for up to 9 years.  Thirty-day mortality as well as major cerebrovascular events were significantly different between the three groups ( p  = 0.007 and p  = 0.048, respectively). Overall cumulative short- and long-term survival of all patients revealed significant differences (Log-Rank p  = 0.002), whereas survival of all patients free from major cerebrovascular events was similar (Log-Rank p  = 0.780). Subgroup analysis of short- and long-term survival of patients showed significant differences in terms of men (Log-Rank p  = 0.043), women (Log-Rank p  = 0.004), patients over 65 years of age (Log-Rank p  = 0.007), and hypertensive patients (Log-Rank p  = 0.003). Kaplan-Meier survival estimation plots significantly showed poorest survival for distal aortic arch entry tear site group.  The location of the primary entry tear in patients with Stanford A AAD significantly influences early outcomes, short- and long-term survival of patients, whereas survival of patients free from major cerebrovascular events showed similar results among the three groups. Distal aortic entry tear site showed poorest outcomes and survival. Georg Thieme Verlag KG Stuttgart · New York.

  19. Long-term scenarios of the invasive black cherry in pine-oak forest: Impact of regeneration success

    NASA Astrophysics Data System (ADS)

    Vanhellemont, Margot; Baeten, Lander; Verbeeck, Hans; Hermy, Martin; Verheyen, Kris

    2011-05-01

    The spread of invasive tree species in forests can be slow because of their long life span and the lag phases that may occur during the invasion process. Models of forest succession are a useful tool to explore how these invasive species might affect long-term forest development. We used the spatially explicit individual tree model SORTIE-ND to gain insight into the long-term development of a gap-dependent invasive tree species, Prunus serotina, in a pine-oak forest on sandy soil, the forest type in which P. serotina occurs most often in its introduced range. Forest inventory data, tree ring data, and photographs of the tree crowns were collected in a forest reserve in the Netherlands, characterized by high game densities. The collected data were then combined with data from literature to parameterize the model. We ran the model for two different scenarios in order to evaluate the impact of differences in the regeneration success of the native Quercus robur and the invasive P. serotina. The outcome of the simulations shows two differing courses of forest development. The invasive P. serotina became the dominant species when the regeneration of Q. robur was hindered, e.g., because of high herbivore densities. When both Q. robur and P. serotina were able to regenerate, Q. robur became the most abundant species in the long-term. We hypothesize that the relatively short life span of P. serotina may preclude its dominance if other long-lived tree species are present and able to regenerate.

  20. Impact of gender on long-term outcomes after surgical repair for acute Stanford A aortic dissection: a propensity score matched analysis.

    PubMed

    Sabashnikov, Anton; Heinen, Stephanie; Deppe, Antje Christin; Zeriouh, Mohamed; Weymann, Alexander; Slottosch, Ingo; Eghbalzadeh, Kaveh; Popov, Aron-Frederik; Liakopoulos, Oliver; Rahmanian, Parwis B; Madershahian, Navid; Kroener, Axel; Choi, Yeong-Hoon; Kuhn-Régnier, Ferdinand; Simon, André R; Wahlers, Thorsten; Wippermann, Jens

    2017-05-01

    Previous research suggests that female gender is associated with increased mortality rates after surgery for Stanford A acute aortic dissection (AAD). However, women with AAD usually present with different clinical symptoms that may bias outcomes. Moreover, there is a lack of long-term results regarding overall mortality and freedom from major cerebrovascular events. We analysed the impact of gender on long-term outcomes after surgery for Stanford A AAD by comparing genders with similar risk profiles using propensity score matching. A total of 240 patients operated for Stanford A AAD were included in this study. To control for selection bias and other confounders, propensity score matching was applied to gender groups. After propensity score matching, the gender groups were well balanced in terms of risk profiles. There were no statistically significant differences regarding duration of cardiopulmonary bypass ( P  = 0.165) and duration of aortic cross-clamp time ( P  = 0.111). Female patients received less fresh frozen plasma ( P  = 0.021), had shorter stays in the intensive care unit ( P  = 0.031), lower incidence of temporary neurological dysfunction ( P  < 0.001) and lower incidence of dialysis ( P  = 0.008). There were no significant differences regarding intraoperative mortality ( P  = 1.000), 30-day mortality ( P  = 0.271), long-term overall cumulative survival ( P  = 0.954) and long-term freedom from cerebrovascular events ( P  = 0.235) with up to a 9-year follow-up. Considering patients with similar risk profiles, female gender per se is not associated with worse long-term survival and freedom from stroke after surgical aortic repair. Moreover, female patients might even benefit from a smoother early postoperative course and lower incidence of early postoperative complications. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  1. The Impact of Child Labor and School Dropout on Human Capital: Gender Differences in Mexico.

    ERIC Educational Resources Information Center

    Knaul, Felicia Marie

    This chapter, Chapter 2 in "the Economics of Gender in Mexico," uses retrospective household survey data from Mexico to assess the long-term impacts of school dropout and of working early in life, in terms of adult labor market returns. Through these data, it is possible to link adult wages to the ages at which individuals started…

  2. The Impact of Policy Incentives on Long-Term Care Insurance and Medicaid Costs: Does Underwriting Matter?

    PubMed

    Cornell, Portia Y; Grabowski, David C

    2018-05-16

    To test whether underwriting modifies the effect of state-based incentives on individuals' purchase of long-term care insurance. Health and Retirement Study (HRS), 1996-2012. We estimated difference-in-difference regression models with an interaction of state policy indicators with individuals' probabilities of being approved for long-term care insurance. We imputed probabilities of underwriting approval for respondents in the HRS using a model developed with underwriting decisions from two U.S. insurance firms. We measured the elasticity response to long-term care insurance price using changes in simulated after-tax price as an instrumental variable for premium price. Tax incentives and Partnership programs increased insurance purchase by 3.62 percentage points and 1.8 percentage points, respectively, among those with the lowest risk (highest approval probability). Neither had any statistically significant effects among the highest risk individuals. We show that ignoring the effects of underwriting may lead to biased estimates of the potential state budget savings of long-term care insurance tax incentives. If the private market is to play a role in financing long-term care, policies need to address the underlying adverse selection problems. © Health Research and Educational Trust.

  3. The long-term cognitive consequences of early childhood malnutrition: the case of famine in Ghana.

    PubMed

    Ampaabeng, Samuel K; Tan, Chih Ming

    2013-12-01

    We examine the role of early childhood health in human capital accumulation. Using a unique data set from Ghana with comprehensive information on individual, family, community, school quality characteristics and a direct measure of intelligence together with test scores, we examine the long-term cognitive effects of the 1983 famine on survivors. We show that differences in intelligence test scores can be robustly explained by the differential impact of the famine in different parts of the country and the impacts are most severe for children under two years of age during the famine. We also account for model uncertainty by using Bayesian Model Averaging. Copyright © 2013 Elsevier B.V. All rights reserved.

  4. Impacts of care-giving and sources of support: a comparison of end-of-life and non-end-of-life caregivers in Canada.

    PubMed

    Williams, Allison M; Wang, Li; Kitchen, Peter

    2016-03-01

    This is the second in a series of papers that deal with care-giving in Canada, as based on data available from the Canadian General Social Survey (2007). Building on the first paper, which reviewed the differences between short-term, long-term and end-of-life (EOL) caregivers, this paper uniquely examines the caregiver supports employed by EOL caregivers when compared to non-EOL caregivers (short-term and long-term caregivers combined). Both papers employ data from Statistics Canada's General Social Survey (GSS Cycle 21: 2007). The GSS includes three modules, where respondents were asked questions about the unpaid home care assistance that they had provided in the last 12 months to someone at EOL or with either a long-term health condition or a physical limitation. The objective of this research paper was to investigate the link between the impact of the care-giving experience and the caregiver supports received, while also examining the differences in these across EOL and non-EOL caregivers. By way of factor analysis and regression modelling, we examine differences between two types of caregivers: (i) EOL and (ii) non-EOL caregivers. The study revealed that with respect to socio-demographic characteristics, health outcomes and caregiver supports, EOL caregivers were consistently worse off. This suggests that although all non-EOL caregivers are experiencing negative impacts from their care-giving role, comparatively greater supports are needed for EOL caregivers. © 2015 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd.

  5. Long-term care financing: options for the future.

    PubMed

    Mulvey, Janemarie; Li, Annelise

    2002-01-01

    The aging of the baby boomers will have an enormous impact on the future of long-term care costs. This article projects the magnitude of that impact, discusses sources of financing, and considers the cost and feasibility of three options for financing future long-term care services. The authors investigate the alternatives of increasing personal savings, raising payroll taxes and expanding employer-sponsored private long-term care insurance coverage, respectively.

  6. Long-term partial cutting impacts on Desmognathus salamander abundance in West Virginia headwater streams

    Treesearch

    Kurtis R. Moseley; W. Mark Ford; Thomas M. Schuler

    2008-01-01

    To understand long-term impacts of partial cutting practices on stream-dwelling salamanders in the central Appalachians, we examined pooled abundance of Desmognathus fuscus and D. monticola salamanders (hereafter Desmognathus) in headwater streams located within long-term silvicultural research compartments on...

  7. 78 FR 48716 - Notice of Availability of the Final Environmental Impact Statement for the Arkansas Valley...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-09

    ... Reservoir to store up to 29,938 acre-feet of water. A long-term storage contract, rather than short-term... Availability of the Final Environmental Impact Statement for the Arkansas Valley Conduit and Long-Term Excess... Valley Conduit (AVC) and Long-Term Excess Capacity Contract, Fryingpan-Arkansas Project, Colorado, is...

  8. Impact of increasing freight loads on rail substructure from fracking sand transportation.

    DOT National Transportation Integrated Search

    2014-03-01

    In this report the effect of surface infiltration of frac sand and heavy axle loads (HALs) were studied for their impact on the ballast layer. : Different combinations of ballast and fracking sand were constructed to observe long term trends of defor...

  9. Effects of a Long-Term Disturbance on Arthropods and Vegetation in Subalpine Wetlands: Manifestations of Pack Stock Grazing in Early versus Mid-Season

    PubMed Central

    Holmquist, Jeffrey G.; Schmidt-Gengenbach, Jutta; Haultain, Sylvia A.

    2013-01-01

    Conclusions regarding disturbance effects in high elevation or high latitude ecosystems based solely on infrequent, long-term sampling may be misleading, because the long winters may erase severe, short-term impacts at the height of the abbreviated growing season. We separated a) long-term effects of pack stock grazing, manifested in early season prior to stock arrival, from b) additional pack stock grazing effects that might become apparent during annual stock grazing, by use of paired grazed and control wet meadows that we sampled at the beginning and end of subalpine growing seasons. Control meadows had been closed to grazing for at least two decades, and meadow pairs were distributed across Sequoia National Park, California, USA. The study was thus effectively a landscape-scale, long-term manipulation of wetland grazing. We sampled arthropods at these remote sites and collected data on associated vegetation structure. Litter cover and depth, percent bare ground, and soil strength had negative responses to grazing. In contrast, fauna showed little response to grazing, and there were overall negative effects for only three arthropod families. Mid-season and long-term results were generally congruent, and the only indications of lower faunal diversity on mid-season grazed wetlands were trends of lower abundance across morphospecies and lower diversity for canopy fauna across assemblage metrics. Treatment x Season interactions almost absent. Thus impacts on vegetation structure only minimally cascaded into the arthropod assemblage and were not greatly intensified during the annual growing season. Differences between years, which were likely a response to divergent snowfall patterns, were more important than differences between early and mid-season. Reliance on either vegetation or faunal metrics exclusively would have yielded different conclusions; using both flora and fauna served to provide a more integrative view of ecosystem response. PMID:23308297

  10. Effects of a long-term disturbance on arthropods and vegetation in subalpine wetlands: manifestations of pack stock grazing in early versus mid-season.

    PubMed

    Holmquist, Jeffrey G; Schmidt-Gengenbach, Jutta; Haultain, Sylvia A

    2013-01-01

    Conclusions regarding disturbance effects in high elevation or high latitude ecosystems based solely on infrequent, long-term sampling may be misleading, because the long winters may erase severe, short-term impacts at the height of the abbreviated growing season. We separated a) long-term effects of pack stock grazing, manifested in early season prior to stock arrival, from b) additional pack stock grazing effects that might become apparent during annual stock grazing, by use of paired grazed and control wet meadows that we sampled at the beginning and end of subalpine growing seasons. Control meadows had been closed to grazing for at least two decades, and meadow pairs were distributed across Sequoia National Park, California, USA. The study was thus effectively a landscape-scale, long-term manipulation of wetland grazing. We sampled arthropods at these remote sites and collected data on associated vegetation structure. Litter cover and depth, percent bare ground, and soil strength had negative responses to grazing. In contrast, fauna showed little response to grazing, and there were overall negative effects for only three arthropod families. Mid-season and long-term results were generally congruent, and the only indications of lower faunal diversity on mid-season grazed wetlands were trends of lower abundance across morphospecies and lower diversity for canopy fauna across assemblage metrics. Treatment x Season interactions almost absent. Thus impacts on vegetation structure only minimally cascaded into the arthropod assemblage and were not greatly intensified during the annual growing season. Differences between years, which were likely a response to divergent snowfall patterns, were more important than differences between early and mid-season. Reliance on either vegetation or faunal metrics exclusively would have yielded different conclusions; using both flora and fauna served to provide a more integrative view of ecosystem response.

  11. A conceptual framework for a long-term economic model for the treatment of attention-deficit/hyperactivity disorder.

    PubMed

    Nagy, Balázs; Setyawan, Juliana; Coghill, David; Soroncz-Szabó, Tamás; Kaló, Zoltán; Doshi, Jalpa A

    2017-06-01

    Models incorporating long-term outcomes (LTOs) are not available to assess the health economic impact of attention-deficit/hyperactivity disorder (ADHD). Develop a conceptual modelling framework capable of assessing long-term economic impact of ADHD therapies. Literature was reviewed; a conceptual structure for the long-term model was outlined with attention to disease characteristics and potential impact of treatment strategies. The proposed model has four layers: i) multi-state short-term framework to differentiate between ADHD treatments; ii) multiple states being merged into three core health states associated with LTOs; iii) series of sub-models in which particular LTOs are depicted; iv) outcomes collected to be either used directly for economic analyses or translated into other relevant measures. This conceptual model provides a framework to assess relationships between short- and long-term outcomes of the disease and its treatment, and to estimate the economic impact of ADHD treatments throughout the course of the disease.

  12. Long-term impacts of land cover changes on stream channel loss

    EPA Science Inventory

    Land cover change and stream channel loss are two related global environmental changes that are expanding and intensifying. Here, we examine how different types and transitions of land cover change impact stream channel loss across a large urbanizing watershed with large areas of...

  13. Long-term environmental monitoring for assessment of change: measurement inconsistencies over time and potential solutions.

    PubMed

    Ellingsen, Kari E; Yoccoz, Nigel G; Tveraa, Torkild; Hewitt, Judi E; Thrush, Simon F

    2017-10-30

    The importance of long-term environmental monitoring and research for detecting and understanding changes in ecosystems and human impacts on natural systems is widely acknowledged. Over the last decades, a number of critical components for successful long-term monitoring have been identified. One basic component is quality assurance/quality control protocols to ensure consistency and comparability of data. In Norway, the authorities require environmental monitoring of the impacts of the offshore petroleum industry on the Norwegian continental shelf, and in 1996, a large-scale regional environmental monitoring program was established. As a case study, we used a sub-set of data from this monitoring to explore concepts regarding best practices for long-term environmental monitoring. Specifically, we examined data from physical and chemical sediment samples and benthic macroinvertebrate assemblages from 11 stations from six sampling occasions during the period 1996-2011. Despite the established quality assessment and quality control protocols for this monitoring program, we identified several data challenges, such as missing values and outliers, discrepancies in variable and station names, changes in procedures without calibration, and different taxonomic resolution. Furthermore, we show that the use of different laboratories over time makes it difficult to draw conclusions with regard to some of the observed changes. We offer recommendations to facilitate comparison of data over time. We also present a new procedure to handle different taxonomic resolution, so valuable historical data is not discarded. These topics have a broader relevance and application than for our case study.

  14. Towards Improved Understanding of Drought and Drought Impacts from Long Term Earth Observation Records

    NASA Astrophysics Data System (ADS)

    Champagne, C.; Wang, S.; Liu, J.; Hadwen, T. A.

    2017-12-01

    Drought is a complex natural disaster, which often emerges slowly, but can occur at various time scales and have impacts that are not well understood. Long term observations of drought intensity and frequency are often quantified from precipitation and temperature based indices or modelled estimates of soil water storage. The maturity of satellite based observations has created the potential to enhance the understanding of drought and drought impacts, particularly in regions where traditional data sets are limited by remoteness or inaccessibility, and where drought processes are not well-quantified by models. Long term global satellite data records now provide observations of key hydrological variables, including evaporation modelled from thermal sensors, soil moisture from microwave sensors, ground water from gravity sensors and vegetation condition that can be modelled from optical sensors. This study examined trends in drought frequency, intensity and duration over diverse ecoregions in Canada, including agricultural, grassland, forested and wetland areas. Trends in drought were obtained from the Canadian Drought Monitor as well as meteorological based indices from weather stations, and evaluated against satellite derived information on evaporative stress (Anderson et al. 2011), soil moisture (Champagne et al. 2015), terrestrial water storage (Wang and Li 2016) and vegetation condition (Davidson et al. 2009). Data sets were evaluated to determine differences in how different sensors characterize the hydrology and impacts of drought events from 2003 to 2016. Preliminary results show how different hydrological observations can provide unique information that can tie causes of drought (water shortages resulting from precipitation, lack of moisture storage or evaporative stress) to impacts (vegetation condition) that hold the potential to improve the understanding and classification of drought events.

  15. Linking niche theory to ecological impacts of successful invaders: insights from resource fluctuation-specialist herbivore interactions.

    PubMed

    Gidoin, Cindy; Roques, Lionel; Boivin, Thomas

    2015-03-01

    Theories of species coexistence and invasion ecology are fundamentally connected and provide a common theoretical framework for studying the mechanisms underlying successful invasions and their ecological impacts. Temporal fluctuations in resource availability and differences in life-history traits between invasive and resident species are considered as likely drivers of the dynamics of invaded communities. Current critical issues in invasion ecology thus relate to the extent to which such mechanisms influence coexistence between invasive and resident species and to the ability of resident species to persist in an invasive-dominated ecosystem. We tested how a fluctuating resource, and species trait differences may explain and help predict long-term impacts of biological invasions in forest specialist insect communities. We used a simple invasion system comprising closely related invasive and resident seed-specialized wasps (Hymenoptera: Torymidae) competing for a well-known fluctuating resource and displaying divergent diapause, reproductive and phenological traits. Based on extensive long-term field observations (1977-2010), we developed a combination of mechanistic and statistical models aiming to (i) obtain a realistic description of the population dynamics of these interacting species over time, and (ii) clarify the respective contributions of fluctuation-dependent and fluctuation-independent mechanisms to long-term impact of invasion on the population dynamics of the resident wasp species. We showed that a fluctuation-dependent mechanism was unable to promote coexistence of the resident and invasive species. Earlier phenology of the invasive species was the main driver of invasion success, enabling the invader to exploit an empty niche. Phenology also had the greatest power to explain the long-term negative impact of the invasive on the resident species, through resource pre-emption. This study provides strong support for the critical role of species differences in interspecific competition outcomes within animal communities. Our mechanistic-statistical approach disentangles the critical drivers of novel species assemblages resulting from intentional and non-intentional introductions of non-native species. © 2014 The Authors. Journal of Animal Ecology © 2014 British Ecological Society.

  16. Lesion length impacts long term outcomes of drug-eluting stents and bare metal stents differently.

    PubMed

    Chang, Shang-Hung; Chen, Chun-Chi; Hsieh, Ming-Jer; Wang, Chao-Yung; Lee, Cheng-Hung; Hsieh, I-Chang

    2013-01-01

    Long lesions have been associated with adverse outcomes in percutaneous coronary interventions with bare metal stents (BMS). However, the exact impact of lesion length on the short- and long-term outcomes of drug-eluting stent (DES) implantations is not as clear. This study compared the impact of lesion length on angiographic and clinical outcomes of BMS and DES in a single-center prospective registry. Lesion length was divided into tertiles. The primary endpoints were angiographically defined binary in-stent restenosis (ISR) rate and major adverse cardiac event (MACE). Of the 4,312 de novo lesions in 3,447 consecutive patients in the CAPTAIN registry, 2,791 lesions (of 2,246 patients) received BMS, and the remaining 1,521 lesions (of 1,201 patients) received DES. The mean follow-up duration was 4.5 years. The longer the lesion, the higher the ISR rate (14%, 18%, and 29%, p<0.001) and the lower the MACE-free survivals (p = 0.007) in the BMS group. However, lesion length showed no such correlation with ISR rates (4.7%, 3.3%, and 7.8%, p = 0.67) or MACE-free survivals (p = 0.19) in the DES group. In our single-center prospective registry, lesion length defined in tertiles has no impact on the short-term (ISR) or long-term (MACE) outcomes of patients implanted with DES. In contrast, longer lesion correlates with higher ISR and MACE rates in BMS group.

  17. Hydrodynamic evaluation of long term impacts of climate change and coastal effluents in the Arabian Gulf.

    PubMed

    Elhakeem, Abubaker; Elshorbagy, Walid

    2015-12-30

    A comprehensive basin wide hydrodynamic evaluation has been carried out to assess the long term impacts of climate change and coastal effluents on the salinity and seawater temperature of the Arabian Gulf (AG) using Delft3D-Flow model. The long term impacts of climate change scenarios A2 and B1 of the IPCC-AR4 on the AG hydrodynamics were evaluated. Using the current capacity and production rates of coastal desalination, power, and refinery plants, two projection scenarios until the year 2080 with 30 year intervals were developed namely the realistic and the optimistic discharge scenarios. Simulations of the individual climate change scenarios ascertained overall increase of the AG salinity and temperature and decrease of precipitation. The changes varied spatially with different scenarios as per the depth, proximity to exchange with ocean water, flushing, vertical mixing, and flow restriction. The individual tested scenarios of coastal projected discharges showed significant effects but within 10-20 km from the outfalls. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Long-Term Economic Benefits of Preschool Services and the Potential Impact of Privatization.

    ERIC Educational Resources Information Center

    Kendall, Earline D.

    This paper addresses the importance of a high quality preschool education for children living in poverty, the long-term effects of such an educational experience, the long-term economic benefits to the children enrolled and their families, and the potential impact of privatization on preschool services. The cost-effectiveness and cost-benefits of…

  19. The impact of color and role on retention of knowledge: a body-painting study within undergraduate medicine.

    PubMed

    Finn, Gabrielle M; White, Pamela M; Abdelbagi, Israa

    2011-01-01

    Body painting as a tool for teaching anatomy is becoming increasingly popular as it is fun and diffuses the formal academic context. Students claim bright color plays a significant role in retention of knowledge from painting sessions. Medical students (n = 117) were divided into two conditions: block color (CLR) and black outlines (BLK). Students completed a pre-test before a body painting teaching session on abdominal referred pain. CLR students used bright block colors, and BLK students mapped outlines in black. Immediately afterward, students sat a mid-test to compare the conditions. Students completed a post-test to compare long-term retention of knowledge four weeks later. There was no difference in knowledge between the two conditions immediately after the teaching (P = 0.653). There was no significant difference in long-term retention of knowledge between those using black outlines and those using color (P = 0.278). The use of color had no impact on short-term or long-term retention of knowledge, despite previously collected qualitative data that color helped memorization. Despite there being no immediate difference in the amount of information retained, the students' enthusiasm for body painting and the use of bold colors warrant body painting's inclusion within the anatomy curriculum. Acceptability plays a significant role in the success of any teaching modality. Additionally, students who undertook the roles of painter or canvas retained similar amounts of information after six weeks (P = 0.505). Students' classification as verbalizer or visualizer did not impact on their test performance. Copyright © 2011 American Association of Anatomists.

  20. Child maltreatment: pathway to chronic and long-term conditions?

    PubMed

    Taylor, Julie; Bradbury-Jones, Caroline; Lazenbatt, Anne; Soliman, Francesca

    2016-09-01

    The manifesto Start Well, Live Better by the UK Faculty of Public Health (Start Well, Live Better-A Manifesto for the Public's Health. London: UK Faculty of Public Health, 2014) sets out 12 compelling priorities for the protection of people's health. The focus of this document is preventative, calling for a comprehensive strategy to target a wide-ranging set of challenges to public health; however, it fails to mention child maltreatment and its negative impact on long-term health outcomes. In this article, we explore the long-term negative consequences of child maltreatment and how these can be conceptually aligned with four different characteristics of long-term health conditions. We suggest that situating child maltreatment within a long-term conditions framework could have significant advantages and implications for practice, policy and research, by strengthening a commitment across disciplines to apply evidence-based principles linked with policy and evaluation and recognizing the chronic effects of maltreatment to concentrate public, professional and government awareness of the extent and impact of the issue. We argue that a public health approach is the most effective way of focusing preventative efforts on the long-term sequelae of child maltreatment and to foster cooperation in promoting children's rights to grow and develop in a safe and caring environment free from violence and abuse. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. Minimally invasive or conventional edge-to-edge repair for severe mitral regurgitation due to bileaflet prolapse in Barlow's disease: does the surgical approach have an impact on the long-term results?

    PubMed

    De Bonis, Michele; Lapenna, Elisabetta; Del Forno, Benedetto; Di Sanzo, Stefania; Giacomini, Andrea; Schiavi, Davide; Vicentini, Luca; Latib, Azeem; Pozzoli, Alberto; Pappalardo, Federico; La Canna, Giovanni; Alfieri, Ottavio

    2017-07-01

    To evaluate whether the adoption of a right minithoracotomy operative approach had an impact on the long-term results of edge-to-edge (EE) repair compared to conventional sternotomy in patients with Barlow's disease and bileaflet prolapse. We assessed the long-term results of 104 patients with Barlow's disease treated with a minimally invasive EE technique. An equal number of patients had a conventional median sternotomy EE repair for the same disease and were used as a control group. The inverse probability of treatment weighting was used to create comparable distributions of the covariates that were significantly different at baseline in the two groups. We performed a comparative analysis of the groups. No hospital deaths were observed. Follow-up was 99.5% complete (median 11.3 years). The cumulative incidence function (CIF) of cardiac death at 12 years, with noncardiac death as a competing risk, showed no difference between the two groups ( P  = 0.87). At 12 years, the CIF of recurrent MR ≥ 3+, with death as the competing risk, was 7% in the sternotomy group and 5% in the minimally invasive group ( P  = 0.30), and the CIF of recurrence of MR ≥ 2+ was 15 and 14%, respectively ( P  = 0.63). The type of surgical approach was not a predictor of cardiac death, reoperation, recurrent MR ≥ 3+ or recurrent MR ≥ 2+. A minimally invasive approach does not have a negative impact on the effectiveness and long-term durability of the EE repair for bileaflet prolapse in Barlow's disease. Long-term outcomes are excellent, and valvular performance remains stable over time with no evidence of mitral stenosis. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  2. Understanding Women's Differing Experiences of Distress after Colposcopy: A Qualitative Interview Study.

    PubMed

    O'Connor, Mairead; Waller, Jo; Gallagher, Pamela; Martin, Cara M; O'Leary, John J; D'Arcy, Tom; Prendiville, Walter; Flannelly, Grainne; Sharp, Linda

    2015-01-01

    Women who have an abnormal cervical cytology test may be referred for a colposcopy. Accumulating evidence suggests some women may experience distress after colposcopy. This exploratory study examined women's differing experiences of post-colposcopy distress with the aim of identifying factors that are predictive of, or protective against, distress. We carried out semistructured, qualitative interviews with 23 women who had undergone colposcopies. Interviews were transcribed verbatim, coded, and analyzed thematically. The Framework Approach was used to summarize and organize the data and identify emerging higher order themes. Two forms of post-colposcopy distress emerged: 1) short term and 2) long term. Short-term distress was experienced immediately after the colposcopy and in the days afterward, and was usually related to the physical experience of the colposcopy. Long-term distress typically persisted over time and was related to concerns about fertility, cervical cancer, and sexual intercourse. The drivers of short-term and long-term distress differed. Factors related to short-term distress were feeling unprepared for the procedure, having a negative experience of the procedure, and attending the clinic alone. Factors related to long-term distress were future intentions to have (more) children, having physical after-effects of the procedure that impacted on the woman's life, and being under on-going clinic surveillance. Absence of these factors (e.g., being accompanied to the clinic) was protective against short- and long-term distress. Colposcopy can lead to short- and long-term post-procedural distress for some women. We identified a range of factors, some potentially modifiable, that seem to influence the chances of experiencing distress. These results may inform the development of strategies or interventions aimed at preventing or minimizing distress after colposcopy and related procedures. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  3. Establishing research priorities relating to the long-term impact of TIA and minor stroke through stakeholder-centred consensus.

    PubMed

    Turner, Grace M; Backman, Ruth; McMullan, Christel; Mathers, Jonathan; Marshall, Tom; Calvert, Melanie

    2018-01-01

    What is the problem and why is this important? Mini-strokes are similar to full strokes, but symptoms last less than 24 h. Many people (up to 70%) have long-term problems after a mini-stroke, such as anxiety; depression; problems with brain functioning (like memory loss); and fatigue (feeling tired). However, the current healthcare pathway only focuses on preventing another stroke and care for other long-term problems is not routinely given. Without proper treatment, people with long-term problems after a mini-stroke could have worse quality of life and may find it difficult to return to work and their social activities. What is the aim of the research? We wanted to understand the research priorities of patients, health care professionals and key stakeholders relating to the long-term impact of mini-stroke. How did we address the problem? We invited patients, clinicians, researchers and other stakeholders to attend a meeting. At the meeting people discussed the issues relating to the long-term impact of mini-stroke and came to an agreement on their research priorities. There were three stages: (1) people wrote down their individual research suggestions; (2) in smaller groups people came to an agreement on what their top research questions were; and (3) the whole group agreed final research priorities. What did we find? Eleven people attended who were representatives for patients, GPs, stroke consultants, stroke nurses, psychologists, the Stroke Association (charity) and stroke researchers, The group agreed on eleven research questions which they felt were the most important to improve health and well-being for people who have had a mini-stroke.The eleven research questions encompass a range of categories, including: understanding the existing care patients receive (according to diagnosis and geographical location); exploring what optimal care post-TIA/minor stroke should comprise (identifying and treating impairments, information giving and support groups) and how that care should be delivered (clinical setting and follow-up pathway); impact on family members; and education/training for health care professionals. Background Clinical management after transient ischaemic attack (TIA) and minor stroke focuses on stroke prevention. However, evidence demonstrates that many patients experience ongoing residual impairments. Residual impairments post-TIA and minor stroke may affect patients' quality of life and return to work or social activities. Research priorities of patients, health care professionals and key stakeholders relating to the long-term impact of TIA and minor stroke are unknown. Methods Our objective was to establish the top shared research priorities relating to the long-term impact of TIA and minor stroke through stakeholder-centred consensus. A one-day priority setting consensus meeting took place with representatives from different stakeholder groups in October 2016 (Birmingham, UK). Nominal group technique was used to establish research priorities. This involved three stages: (i) gathering research priorities from individual stakeholders; (ii) interim prioritisation in three subgroups; and (iii) final priority setting. Results The priority setting consensus meeting was attended by 11 stakeholders. The individual stakeholders identified 34 different research priorities. During the interim prioritisation exercise, the three subgroups generated 24 unique research priorities which were discussed as a whole group. Following the final consensus discussion, 11 shared research priorities were unanimously agreed.The 11 research questions encompass a range of categories, including: understanding the existing care patients receive (according to diagnosis and geographical location); exploring what optimal care post-TIA/minor stroke should comprise (identifying and treating impairments, information giving and support groups) and how that care should be delivered (clinical setting and follow-up pathway); impact on family members; and education/training for health care professionals. Conclusions Eleven different research priorities were established through stakeholder-centred consensus. These research questions could usefully inform the research agenda and policy decisions for TIA and minor stroke. Inclusion of stakeholders in setting research priorities is important to increase the relevance of research and reduce research waste.

  4. Comparison of tobacco control scenarios: quantifying estimates of long-term health impact using the DYNAMO-HIA modeling tool.

    PubMed

    Kulik, Margarete C; Nusselder, Wilma J; Boshuizen, Hendriek C; Lhachimi, Stefan K; Fernández, Esteve; Baili, Paolo; Bennett, Kathleen; Mackenbach, Johan P; Smit, H A

    2012-01-01

    There are several types of tobacco control interventions/policies which can change future smoking exposure. The most basic intervention types are 1) smoking cessation interventions 2) preventing smoking initiation and 3) implementation of a nationwide policy affecting quitters and starters simultaneously. The possibility for dynamic quantification of such different interventions is key for comparing the timing and size of their effects. We developed a software tool, DYNAMO-HIA, which allows for a quantitative comparison of the health impact of different policy scenarios. We illustrate the outcomes of the tool for the three typical types of tobacco control interventions if these were applied in the Netherlands. The tool was used to model the effects of different types of smoking interventions on future smoking prevalence and on health outcomes, comparing these three scenarios with the business-as-usual scenario. The necessary data input was obtained from the DYNAMO-HIA database which was assembled as part of this project. All smoking interventions will be effective in the long run. The population-wide strategy will be most effective in both the short and long term. The smoking cessation scenario will be second-most effective in the short run, though in the long run the smoking initiation scenario will become almost as effective. Interventions aimed at preventing the initiation of smoking need a long time horizon to become manifest in terms of health effects. The outcomes strongly depend on the groups targeted by the intervention. We calculated how much more effective the population-wide strategy is, in both the short and long term, compared to quit smoking interventions and measures aimed at preventing the initiation of smoking. By allowing a great variety of user-specified choices, the DYNAMO-HIA tool is a powerful instrument by which the consequences of different tobacco control policies and interventions can be assessed.

  5. Comparison of Tobacco Control Scenarios: Quantifying Estimates of Long-Term Health Impact Using the DYNAMO-HIA Modeling Tool

    PubMed Central

    Kulik, Margarete C.; Nusselder, Wilma J.; Boshuizen, Hendriek C.; Lhachimi, Stefan K.; Fernández, Esteve; Baili, Paolo; Bennett, Kathleen; Mackenbach, Johan P.; Smit, H. A.

    2012-01-01

    Background There are several types of tobacco control interventions/policies which can change future smoking exposure. The most basic intervention types are 1) smoking cessation interventions 2) preventing smoking initiation and 3) implementation of a nationwide policy affecting quitters and starters simultaneously. The possibility for dynamic quantification of such different interventions is key for comparing the timing and size of their effects. Methods and Results We developed a software tool, DYNAMO-HIA, which allows for a quantitative comparison of the health impact of different policy scenarios. We illustrate the outcomes of the tool for the three typical types of tobacco control interventions if these were applied in the Netherlands. The tool was used to model the effects of different types of smoking interventions on future smoking prevalence and on health outcomes, comparing these three scenarios with the business-as-usual scenario. The necessary data input was obtained from the DYNAMO-HIA database which was assembled as part of this project. All smoking interventions will be effective in the long run. The population-wide strategy will be most effective in both the short and long term. The smoking cessation scenario will be second-most effective in the short run, though in the long run the smoking initiation scenario will become almost as effective. Interventions aimed at preventing the initiation of smoking need a long time horizon to become manifest in terms of health effects. The outcomes strongly depend on the groups targeted by the intervention. Conclusion We calculated how much more effective the population-wide strategy is, in both the short and long term, compared to quit smoking interventions and measures aimed at preventing the initiation of smoking. By allowing a great variety of user-specified choices, the DYNAMO-HIA tool is a powerful instrument by which the consequences of different tobacco control policies and interventions can be assessed. PMID:22384230

  6. Drugs affecting blood pressure variability: an update.

    PubMed

    Hocht, Christian; Del Mauro, Julieta Sofia; Bertera, Facundo Martín; Taira, Carlos Alberto

    2015-01-01

    Blood pressure variability (BPV) is considered nowadays a novel risk factor for cardiovascular disease. Clinical evidences support that short-term and long-term BPV independently contribute to target organ damage, cardiovascular events and mortality in patients with hypertension or diabetes. Attenuation of excessive fluctuations of systolic and diastolic BPV has been suggested as an additional therapeutic target in cardiovascular prevention. A growing number of preclinical and clinical studies have focused in the assessment of drug effects or other interventions on the different types of BPV and their contribution in the prevention of cardiovascular events. Prospective clinical trials have shown that antihypertensive classes differ in their ability to control excessive BP fluctuations with an impact in clinical outcomes. Current evidences suggest that calcium channel blockers are more effective than other blood pressure lowering drugs for the reduction of short-term, mid-term and long-term BPV. In order to increase actual knowledge regarding the therapeutic significance of BPV in cardiovascular disease, there is a need for additional clinical studies specifically designed for the study of the relevance of short-term and long-term BPV control by antihypertensive drugs.

  7. Quantification of long-term erosion rates from root exposure/tree age relationships in an alpine meadow catchment

    NASA Astrophysics Data System (ADS)

    Scuderi, Louis A.

    2017-04-01

    Erosion rates derived using dendrogeomorphology have been used to quantify slope degradation in many localities globally. However, with the exception of the western United States, most of these estimates are derived from short-lived trees whose lifetimes may not adequately reflect the complete range of slope processes which can include erosion, deposition, impacts of extreme events and even long-term hiatuses. Erosion rate estimates at a given site using standard techniques therefore reflect censored local point erosion estimates rather than long-term rates. We applied a modified dendrogeomorphic approach to rapidly estimate erosion rates from dbh/age relationships to assess the difference between short and long-term rates and found that the mean short-term rate was 0.13 cm/yr with high variability, while the uncensored long-term rate was 0.06 cm/yr. The results indicate that rates calculated from short-lived trees, while possibly appropriate for local short-term point estimates of erosion, are highly variable and may overestimate regional long-term rates by > 50%. While these findings do not invalidate the use of dendrogeomorphology to estimate erosion rates they do suggest that care must be taken to select older trees that incorporate a range of slope histories in order to best approximate regional long-term rates.

  8. Examples of storm impacts on barrier islands: Chapter 4

    USGS Publications Warehouse

    Plant, Nathaniel G.; Doran, Kara; Stockdon, Hilary F.

    2017-01-01

    This chapter focuses on the morphologic variability of barrier islands and on the differences in storm response. It describes different types of barrier island response to individual storms, as well as the integrated response of barrier islands to many storms. The chapter considers case study on the Chandeleur Island chain, where a decadal time series of island elevation measurements have documented a wide range of barrier island responses to storms and long-term processes that are representative of barrier island behaviour at many other locations. These islands are low elevation, extremely vulnerable to storms and exhibit a diversity of storm responses. Additionally, this location experiences a moderately high rate of relative sea-level rise, increasing its vulnerability to the combined impacts of storms and long-term erosional processes. Understanding how natural processes, including storm impacts and intervening recovery periods interact with man-made restoration processes is also broadly relevant to understand the natural and human response to future storms.

  9. Impact of long-term care insurance on institutional dementia care in Japan.

    PubMed

    Ito, Hiroto; Miyamoto, Yuki

    2003-06-01

    Japan started long-term care insurance for nursing and home help services in April 2000 to cope with growing medical expenditures for the population aged over 65. To study the impact of the new insurance on utilization of dementia care, we compared demographic and clinical characteristics including diagnosis, degree of disability and behavioral disturbance before and after the launch among people with dementia covered by either long-term care or medical insurance. The subjects of the study were randomly selected patients/residents of specialized dementia care units in both psychiatric hospitals and geriatric care facilities before (1145 patients/residents in early 2000) and after (262 for medical insurance and 205 for long-term care insurance in 2001) the new system was launched. Although patients/residents in 2000 and 2001 were similar as a whole, the 2001 sample showed differences between patients in each of the types of insurance systems. Logistic regression analysis revealed that patients/residents covered by long-term care insurance were significantly more likely to be females and require higher levels of care. Patients covered by long-term care insurance were significantly less likely to be transferred from a psychiatric department nor did they display behavioral disturbance or an inability to put out or deal with fire. These results suggest that health care facilities have shifted to the new insurance system for patients requiring higher levels of care but without behavioral disturbances as it was intended. On the other hand, there were policy concerns of that demented persons with moderate activities of daily living impairments and behavioral disturbances would be at risk being excluded from the long-term care scheme.

  10. Anticipated Ongoing Interaction versus Channel Effects of Relational Communication in Computer-Mediated Interaction.

    ERIC Educational Resources Information Center

    Walther, Joseph B.

    1994-01-01

    Assesses the related effects of anticipated future interaction and different communication media (computer-mediated versus face-to-face communication) on the communication of relational intimacy and composure. Shows that the assignment of long-term versus short-term partnerships has a larger impact on anticipated future interaction reported by…

  11. Facilitating long-term changes in student approaches to learning science.

    PubMed

    Buchwitz, Brian J; Beyer, Catharine H; Peterson, Jon E; Pitre, Emile; Lalic, Nevena; Sampson, Paul D; Wakimoto, Barbara T

    2012-01-01

    Undergraduates entering science curricula differ greatly in individual starting points and learning needs. The fast pace, high enrollment, and high stakes of introductory science courses, however, limit students' opportunities to self-assess and modify learning strategies. The University of Washington's Biology Fellows Program (BFP) intervenes through a 20-session, premajors course that introduces students to the rigor expected of bioscience majors and assists their development as science learners. This study uses quantitative and qualitative approaches to assess whether the 2007-2009 BFP achieved its desired short- and long-term impacts on student learning. Adjusting for differences in students' high school grade point average and Scholastic Aptitude Test scores, we found that participation in the BFP was associated with higher grades in two subsequent gateway biology courses, across multiple quarters and instructors. Two to 4 yr after participating in the program, students attributed changes in how they approached learning science to BFP participation. They reported having learned to "think like a scientist" and to value active-learning strategies and learning communities. In addition, they reported having developed a sense of belonging in bioscience communities. The achievement of long-term impacts for a short-term instructional investment suggests a practical means to prepare diverse students for the rigors of science curricula.

  12. Facilitating Long-Term Changes in Student Approaches to Learning Science

    PubMed Central

    Buchwitz, Brian J.; Beyer, Catharine H.; Peterson, Jon E.; Pitre, Emile; Lalic, Nevena; Sampson, Paul D.; Wakimoto, Barbara T.

    2012-01-01

    Undergraduates entering science curricula differ greatly in individual starting points and learning needs. The fast pace, high enrollment, and high stakes of introductory science courses, however, limit students’ opportunities to self-assess and modify learning strategies. The University of Washington's Biology Fellows Program (BFP) intervenes through a 20-session, premajors course that introduces students to the rigor expected of bioscience majors and assists their development as science learners. This study uses quantitative and qualitative approaches to assess whether the 2007–2009 BFP achieved its desired short- and long-term impacts on student learning. Adjusting for differences in students’ high school grade point average and Scholastic Aptitude Test scores, we found that participation in the BFP was associated with higher grades in two subsequent gateway biology courses, across multiple quarters and instructors. Two to 4 yr after participating in the program, students attributed changes in how they approached learning science to BFP participation. They reported having learned to “think like a scientist” and to value active-learning strategies and learning communities. In addition, they reported having developed a sense of belonging in bioscience communities. The achievement of long-term impacts for a short-term instructional investment suggests a practical means to prepare diverse students for the rigors of science curricula. PMID:22949424

  13. The impact of experimental measurement errors on long-term viscoelastic predictions. [of structural materials

    NASA Technical Reports Server (NTRS)

    Tuttle, M. E.; Brinson, H. F.

    1986-01-01

    The impact of flight error in measured viscoelastic parameters on subsequent long-term viscoelastic predictions is numerically evaluated using the Schapery nonlinear viscoelastic model. Of the seven Schapery parameters, the results indicated that long-term predictions were most sensitive to errors in the power law parameter n. Although errors in the other parameters were significant as well, errors in n dominated all other factors at long times. The process of selecting an appropriate short-term test cycle so as to insure an accurate long-term prediction was considered, and a short-term test cycle was selected using material properties typical for T300/5208 graphite-epoxy at 149 C. The process of selection is described, and its individual steps are itemized.

  14. Long term impacts of invasive grasses and subsequent fire in seasonally dry Hawaiian woodlands

    Treesearch

    Carla M. D’Antonio; Flint Hughes; J. T. Tunison

    2011-01-01

    Invasive nonnative grasses have altered the composition of seasonally dry shrublands and woodlands throughout the world. In many areas they coexist with native woody species until fire occurs, after which they become dominant. Yet it is not clear how long their impacts persist in the absence of further fire. We evaluated the long-term impacts of grass invasions and...

  15. Long-Term Impact of Famine: Enduring Disasters and Opportunities for Progress. Staff Report No. AGES870212.

    ERIC Educational Resources Information Center

    Mabbs-Zeno, Carl C.

    Throughout history, famine has been linked to many of the most severe crises of humanity. Even with millenary of collective experience, the reaction of the world community to the an intense food crises fails to address the long-term impacts of famine. As governments and populations strive to cope with famine, many long-term changes take place in…

  16. Effects of changing climate on European stream invertebrate communities: A long-term data analysis.

    PubMed

    Jourdan, Jonas; O'Hara, Robert B; Bottarin, Roberta; Huttunen, Kaisa-Leena; Kuemmerlen, Mathias; Monteith, Don; Muotka, Timo; Ozoliņš, Dāvis; Paavola, Riku; Pilotto, Francesca; Springe, Gunta; Skuja, Agnija; Sundermann, Andrea; Tonkin, Jonathan D; Haase, Peter

    2018-04-15

    Long-term observations on riverine benthic invertebrate communities enable assessments of the potential impacts of global change on stream ecosystems. Besides increasing average temperatures, many studies predict greater temperature extremes and intense precipitation events as a consequence of climate change. In this study we examined long-term observation data (10-32years) of 26 streams and rivers from four ecoregions in the European Long-Term Ecological Research (LTER) network, to investigate invertebrate community responses to changing climatic conditions. We used functional trait and multi-taxonomic analyses and combined examinations of general long-term changes in communities with detailed analyses of the impact of different climatic drivers (i.e., various temperature and precipitation variables) by focusing on the response of communities to climatic conditions of the previous year. Taxa and ecoregions differed substantially in their response to climate change conditions. We did not observe any trend of changes in total taxonomic richness or overall abundance over time or with increasing temperatures, which reflects a compensatory turnover in the composition of communities; sensitive Plecoptera decreased in response to warmer years and Ephemeroptera increased in northern regions. Invasive species increased with an increasing number of extreme days which also caused an apparent upstream community movement. The observed changes in functional feeding group diversity indicate that climate change may be associated with changes in trophic interactions within aquatic food webs. These findings highlight the vulnerability of riverine ecosystems to climate change and emphasize the need to further explore the interactive effects of climate change variables with other local stressors to develop appropriate conservation measures. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Comparison of car seats in low speed rear-end impacts using the BioRID dummy and the new neck injury criterion (NIC).

    PubMed

    Boström, O; Fredriksson, R; Håland, Y; Jakobsson, L; Krafft, M; Lövsund, P; Muser, M H; Svensson, M Y

    2000-03-01

    Long-term whiplash associated disorders (WAD) 1-3 sustained in low velocity rear-end impacts is the most common disability injury in Sweden. Therefore, to determine neck injury mechanisms and develop methods to measure neck-injury related parameters are of importance for current crash-safety research. A new neck injury criterion (NIC) has previously been proposed and evaluated by means of dummy, human and mathematical rear-impact simulations. So far, the criterion appears to be sensitive to the major car and collision related risk factors for injuries with long-term consequences. To further evaluate the applicability of NIC, four seats were tested according to a recently proposed sled-test procedure. 'Good' as well as 'bad' seats were chosen on the basis of a recently presented disability risk ranking list. The dummy used in the current tests was the Biofidelic Rear Impact Dummy (BioRID). The results of this study showed that NICmax values were generally related to the real-world risk of long-term WAD 1-3. Furthermore, these results suggested that NICmax calculated from sled tests using the BioRID dummy can be used for evaluating the neck injury risk of different car seats.

  18. Intermittent Voluntary Ethanol Drinking during Periadolescence Impairs Adult Spatial Learning after a Long Abstinence Period in Rats

    ERIC Educational Resources Information Center

    Diaz, Ana; Garcia-Burgos, David; Manrique, Tatiana; Gonzalez, Felisa; Gallo, Milagros

    2011-01-01

    Although previous findings point to the long-term impact of ethanol exposure during periadolescence on hippocampal-dependent learning tasks, comparisons considering different onset and exposure periods during this developmental range of ages are still needed. The aim of this experiment was to determine whether intermittent voluntary chronic…

  19. The impact of Eysenck's extraversion-introversion personality dimension on prospective memory.

    PubMed

    Heffernan, T M; Ling, J

    2001-09-01

    Prospective memory (PM) is memory for future events. PM is a developing area of research (e.g., Brandimonte, Einstein & McDaniel, 1996) with recent work linking personality types and their utilisation of PM (Goschke & Kuhl, 1996; Searleman, 1996). The present study compared 28 extraverts and 28 introverts on their short- and long-term prospective memory using the Prospective Memory Scale developed by Hannon, Adams, Harrington, Fries-Dias & Gibson (1995). The main finding was that extraverts reported significantly fewer errors on short- and long-term PM than introverts, and this difference could not be explained in terms of the number of strategies used to support prospective remembering. These findings are discussed in relation to differences between the personality types.

  20. Impact of direct-to-consumer genomic testing at long term follow-up.

    PubMed

    Bloss, Cinnamon S; Wineinger, Nathan E; Darst, Burcu F; Schork, Nicholas J; Topol, Eric J

    2013-06-01

    There are few empirical data to inform the debate surrounding the use and regulation of direct-to-consumer (DTC) genome-wide disease risk tests. This study aimed to determine the long term psychological, behavioural, and clinical impacts of genomic risk testing for common disease. The Scripps Genomic Health Initiative is a prospective longitudinal cohort study of adults who purchased the Navigenics Health Compass, a commercially available genomic test. Web based assessments were administered at baseline, short (3 months), and long term (1 year) follow-up. 2240 participants completed either or both follow-ups and a subset of 1325 completed long term follow-up. There were no significant differences from baseline in anxiety (p=0.50), fat intake (p=0.34), or exercise (p=0.39) at long term follow-up, and 96.8% of the sample had no test related distress. Longitudinal linear mixed model analyses were consistent with results of cross-sectional analyses. Screening test completion was associated with sharing genomic test results with a physician (36.0% shared; p<0.001) and perceived utility of the test (61.5% high perceived utility; p=0.002), but was not associated with the genomic risk estimate values themselves. Over a third of DTC genomic test recipients shared their results with their own physician during an approximate 1 year follow-up period, and this sharing was associated with higher screening test completion. Genomic testing was not associated with long term psychological risks, and most participants reportedly perceived the test to be of high personal utility.

  1. Long-term changes in river system hydrology in Texas

    NASA Astrophysics Data System (ADS)

    Zhang, Yiwen; Wurbs, Ralph

    2018-06-01

    Climate change and human actives are recognized as a topical issue that change long-term water budget, flow-frequency, and storage-frequency characteristics of different river systems. Texas is characterized by extreme hydrologic variability both spatially and temporally. Meanwhile, population and economic growth and accompanying water resources development projects have greatly impacted river flows throughout Texas. The relative effects of climate change, water resources development, water use, and other factors on long-term changes in river flow, reservoir storage, evaporation, water use, and other components of the water budgets of different river basins of Texas have been simulated in this research using the monthly version of the Water Rights Analysis Package (WRAP) modelling system with input databases sets from the Texas Commission on Environmental Quality (TCEQ) and Texas Water Development Board (TWDB). The results show that long-term changes are minimal from analysis monthly precipitation depths. Evaporation rates vary greatly seasonally and for much of the state appear to have a gradually upward trend. River/reservoir system water budgets and river flow characteristics have changed significantly during the past 75 years in response to water resources development and use.

  2. Simulation of Halocarbon Production and Emissions and Effects on Ozone Depletion

    PubMed

    Holmes; Ellis

    1997-09-01

    / This paper describes an integrated model that simulates future halocarbon production/emissions and potential ozone depletion. Applications and historical production levels for various halocarbons are discussed first. A framework is then presented for modeling future halocarbon impacts incorporating differences in underlying demands, applications, regulatory mandates, and environmental characteristics. The model is used to simulate the potential impacts of several prominent issues relating to halocarbon production, regulation, and environmental interactions, notably: changes in agricultural methyl bromide use, increases in effectiveness of bromine for ozone depletion, modifications to the elimination schedule for HCFCs, short-term expansion of CFC demand in low use compliance countries, and delays in Russian Federation compliance. Individually, each issue does not unequivocally represent a significant likely increase in long-term atmospheric halogen loading and stratospheric ozone depletion. In combination, however, these impacts could increase peak halogen concentrations and long-term integral halogen loading, resulting in higher levels of stratospheric ozone depletion and longer exposure to increased levels of UV radiation.KEY WORDS: Halocarbons; Ozone depletion; Montreal Protocol; Integrated assessment

  3. Amplicon-Based Sequencing of Soil Fungi from Wood Preservative Test Sites

    PubMed Central

    Kirker, Grant T.; Bishell, Amy B.; Jusino, Michelle A.; Palmer, Jonathan M.; Hickey, William J.; Lindner, Daniel L.

    2017-01-01

    Soil samples were collected from field sites in two AWPA (American Wood Protection Association) wood decay hazard zones in North America. Two field plots at each site were exposed to differing preservative chemistries via in-ground installations of treated wood stakes for approximately 50 years. The purpose of this study is to characterize soil fungal species and to determine if long term exposure to various wood preservatives impacts soil fungal community composition. Soil fungal communities were compared using amplicon-based DNA sequencing of the internal transcribed spacer 1 (ITS1) region of the rDNA array. Data show that soil fungal community composition differs significantly between the two sites and that long-term exposure to different preservative chemistries is correlated with different species composition of soil fungi. However, chemical analyses using ICP-OES found levels of select residual preservative actives (copper, chromium and arsenic) to be similar to naturally occurring levels in unexposed areas. A list of indicator species was compiled for each treatment-site combination; functional guild analyses indicate that long-term exposure to wood preservatives may have both detrimental and stimulatory effects on soil fungal species composition. Fungi with demonstrated capacity to degrade industrial pollutants were found to be highly correlated with areas that experienced long-term exposure to preservative testing. PMID:29093702

  4. Long-term Outcomes among Drug Dependent Mothers Treated in Women-only versus Mixed-gender Programs

    PubMed Central

    Hser, Yih-Ing; Evans, Elizabeth; Huang, David; Messina, Nena

    2011-01-01

    This study examined the long-term outcomes of women who were pregnant or parenting at admission to women-only (WO; n=500) versus mixed-gender (MG; a matched sample of 500) substance abuse treatment programs. Administrative records on arrests, incarcerations, mental health services utilization, and drug treatment participation were collected, covering 3 years pre-admission and 8 years post-admission. Women treated in WO programs had lower levels of arrest, mental health services utilization rates, and drug treatment participation during the first year after drug treatment. No differences were found between the two groups in the long-term trajectories except that WO program participants had lower incarceration rates during the third year after treatment. The study findings suggest a positive short-term impact of WO versus MG programs with regard to arrest and mental health service utilization. Limited long-term gain is shown in the reductions in post-treatment incarceration. The study findings suggest the added value of specialized WO programs and begin to address the gap in knowledge regarding long-term outcomes for substance-abusing women. PMID:21466942

  5. Predicting long-term performance of engineered geologic carbon dioxide storage systems to inform decisions amidst uncertainty

    NASA Astrophysics Data System (ADS)

    Pawar, R.

    2016-12-01

    Risk assessment and risk management of engineered geologic CO2 storage systems is an area of active investigation. The potential geologic CO2 storage systems currently under consideration are inherently heterogeneous and have limited to no characterization data. Effective risk management decisions to ensure safe, long-term CO2 storage requires assessing and quantifying risks while taking into account the uncertainties in a storage site's characteristics. The key decisions are typically related to definition of area of review, effective monitoring strategy and monitoring duration, potential of leakage and associated impacts, etc. A quantitative methodology for predicting a sequestration site's long-term performance is critical for making key decisions necessary for successful deployment of commercial scale geologic storage projects where projects will require quantitative assessments of potential long-term liabilities. An integrated assessment modeling (IAM) paradigm which treats a geologic CO2 storage site as a system made up of various linked subsystems can be used to predict long-term performance. The subsystems include storage reservoir, seals, potential leakage pathways (such as wellbores, natural fractures/faults) and receptors (such as shallow groundwater aquifers). CO2 movement within each of the subsystems and resulting interactions are captured through reduced order models (ROMs). The ROMs capture the complex physical/chemical interactions resulting due to CO2 movement and interactions but are computationally extremely efficient. The computational efficiency allows for performing Monte Carlo simulations necessary for quantitative probabilistic risk assessment. We have used the IAM to predict long-term performance of geologic CO2 sequestration systems and to answer questions related to probability of leakage of CO2 through wellbores, impact of CO2/brine leakage into shallow aquifer, etc. Answers to such questions are critical in making key risk management decisions. A systematic uncertainty quantification approach can been used to understand how uncertain parameters associated with different subsystems (e.g., reservoir permeability, wellbore cement permeability, wellbore density, etc.) impact the overall site performance predictions.

  6. The impact of paternity leave on fathers' future earnings.

    PubMed

    Rege, Mari; Solli, Ingeborg F

    2013-12-01

    Using Norwegian registry data, we investigate the effect of paternity leave on fathers' long-term earnings. If the paternity leave increased long-term father involvement, then we should expect a reduction in fathers' long-term earnings as they shift time and effort from market to home production. For identification, we use the Norwegian introduction of a paternity-leave quota in 1993, reserving four weeks of the total of 42 weeks of paid parental leave exclusively for the father. The introduction of the paternity-leave quota led to a sharp increase in rates of leave-taking for fathers. We estimate a difference-in-differences model that exploits differences in fathers' exposure to the paternity-leave quota by the child's age and year of observation. Our analysis suggests that four weeks of paternity leave during the child's first year decreases fathers' future earnings, an effect that persists through our last point of observation, when the child is 5 years old. A battery of robustness tests supports our results.

  7. Immune response to pneumococcus and tetanus toxoid in patients with moderate-to-severe psoriasis following long-term ustekinumab use.

    PubMed

    Brodmerkel, Carrie; Wadman, Eric; Langley, Richard G; Papp, Kim A A; Bourcier, Marc; Poulin, Yves; Ho, Vincent; Guenther, Lyn; Kunynetz, Rod; Nigen, Simon; Vender, Ronald; Wasel, Norman; Hsu, Ming-Chun; Szapary, Philippe

    2013-10-01

    Little is known about the impact of long-term use of immunosuppressive agents on immune response. Assess the impact of continuous maintenance ustekinumab treatment on patients' ability to mount immune responses to pneumococcal (T-cell-independent) and tetanus toxoid (T-cell-dependent) vaccines. Ustekinumab-treated patients with moderate-to-severe psoriasis treated in the long-term extension of the Phase 3 PHOENIX 2 trial (n=60) were compared with control psoriasis patients not receiving systemic therapy (n=56). Patients were vaccinated with both 23-valent pneumococcal and tetanus toxoid vaccines. Serum samples collected pre-vaccination and 4 weeks post-vaccination were assessed for antibody responses. No differences in the ability of ustekinumab-treated patients to respond to pneumococcal or tetanus toxoid vaccinations were observed compared with controls. A ≥2-fold increase in antibody levels in ≥7 of 14 serotypes of the pneumococcal vaccine was observed in ustekinumab-treated (96.6%) and untreated control (92.6%) patients following vaccination. Ustekinumab-treated patients achieved a ≥4-fold increase (84.7%) in anti-tetanus antibody vs. 77.8% in the control group. No differences were detected in ex-vivo responses to anti-CD3/CD28 or tetanus toxoid between ustekinumab-treated and control groups. Long-term treatment (≥3 years) with ustekinumab does not compromise the immune response to T-cell-dependent/-independent vaccines in patients with moderate-to-severe psoriasis.

  8. The Impact of Evaluation: Lessons Drawn from the Evaluations of Five Early Childhood Education Programs.

    ERIC Educational Resources Information Center

    Granville, Arthur C.; And Others

    Five different program evaluations were described to indicate those qualities which make an evaluation effective or not effective. Evaluation effectiveness was defined as impact on decision making or long-term policy formation, and influence upon a variety of audiences. Robert D. Matz described the First Chance Project, and concluded that the…

  9. Exploring the role nurses play at different stages of the birthing process. Developing strong and long-term relationships with women by examining relationship-building stages prior to delivery, during delivery, and after delivery.

    PubMed

    Peltier, J W; Schibrowski, J A; Westfall, J

    2000-01-01

    The health care community is becoming increasingly aware of the need to develop strong and long-term relationships with the women who make up the majority of the health care market. The perceived quality of obstetric care positively impacts future revenue streams by creating "family" loyalty for an umbrella of other health services offered by the provider organization. This article examines the differential impact that various service performance dimensions have on women's perceptions of quality for different stages of the birthing process, and how relationship-marketing principles can be utilized to develop loyal partnerships. The three distinct relationship-building stages are examined--birthing experiences prior to delivery, during delivery, and after delivery--along with their implications for perceptions of quality analyzed.

  10. Economic impacts of climate change on agriculture: the AgMIP approach

    NASA Astrophysics Data System (ADS)

    Delincé, Jacques; Ciaian, Pavel; Witzke, Heinz-Peter

    2015-01-01

    The current paper investigates the long-term global impacts on crop productivity under different climate scenarios using the AgMIP approach (Agricultural Model Intercomparison and Improvement Project). The paper provides horizontal model intercomparison from 11 economic models as well as a more detailed analysis of the simulated effects from the Common Agricultural Policy Regionalized Impact (CAPRI) model to systematically compare its performance with other AgMIP models and specifically for the Chinese agriculture. CAPRI is a comparative static partial equilibrium model extensively used for medium and long-term economic and environmental policy impact applications. The results indicate that, at the global level, the climate change will cause an agricultural productivity decrease (between -2% and -15% by 2050), a food price increase (between 1.3% and 56%) and an expansion of cultivated area (between 1% and 4%) by 2050. The results for China indicate that the climate change effects tend to be smaller than the global impacts. The CAPRI-simulated effects are, in general, close to the median across all AgMIP models. Model intercomparison analyses reveal consistency in terms of direction of change to climate change but relatively strong heterogeneity in the magnitude of the effects between models.

  11. 75 FR 52754 - Submission for OMB Review; Comment Request; Assessing the Long-Term Impacts of the John E...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-27

    ... studies of the long-term impacts of Fogarty's research and training programs on educational institutions..., mechanical, or other technological collection techniques or other forms of information technology. Direct...

  12. Identifying the multiscale impacts of crude oil price shocks on the stock market in China at the sector level

    NASA Astrophysics Data System (ADS)

    Huang, Shupei; An, Haizhong; Gao, Xiangyun; Huang, Xuan

    2015-09-01

    The aim of this research is to investigate the multiscale dynamic linkages between crude oil price and the stock market in China at the sector level. First, the Haar à trous wavelet transform is implemented to extract multiscale information from the original time series. Furthermore, we incorporate the vector autoregression model to estimate the dynamic relationship pairing the Brent oil price and each sector stock index at each scale. There is a strong evidence showing that there are bidirectional Granger causality relationships between most of the sector stock indices and the crude oil price in the short, medium and long terms, except for those in the health, utility and consumption sectors. In fact, the impacts of the crude oil price shocks vary for different sectors over different time horizons. More precisely, the energy, information, material and telecommunication sector stock indices respond to crude oil price shocks negatively in the short run and positively in the medium and long runs, terms whereas the finance sector responds positively over all three time horizons. Moreover, the Brent oil price shocks have a stronger influence on the stock indices of sectors other than the health, optional and utility sectors in the medium and long terms than in the short term. The results obtained suggest implication of this paper as that the investment and policymaking decisions made during different time horizons should be based on the information gathered from each corresponding time scale.

  13. Impact of offshore oil exploration and production on the Social Institutions of Coastal Louisiana. University research initiative. Final report

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

    Laska, S.; Baxter, V.K.; Seydlitz, R.

    1993-08-01

    The research contained in the report considers the relationship of oil production--a primary economic activity--to five social institutions: the family; poverty and social service provision; communities; government; and the political economy. Findings suggest a direct impact of offshore oil and gas production on these institutions. The impact is both positive and negative. It is long-term as well as short-term. It affects different institutions and sub-populations differently. The effects are on the entire state, not just the area directly involved with oil production. Mitigation recommendations range from research, data collection, impact monitoring, a national policy requiring the use of American contractors,more » the sharing of severance taxes with the affected area, the escrowing of monies by oil companies, and the expansion of government assistance to mitigate impacts.« less

  14. Predicting long-term neurological outcomes after severe traumatic brain injury requiring decompressive craniectomy: A comparison of the CRASH and IMPACT prognostic models.

    PubMed

    Honeybul, Stephen; Ho, Kwok M

    2016-09-01

    Predicting long-term neurological outcomes after severe traumatic brain (TBI) is important, but which prognostic model in the context of decompressive craniectomy has the best performance remains uncertain. This prospective observational cohort study included all patients who had severe TBI requiring decompressive craniectomy between 2004 and 2014, in the two neurosurgical centres in Perth, Western Australia. Severe disability, vegetative state, or death were defined as unfavourable neurological outcomes. Area under the receiver-operating-characteristic curve (AUROC) and slope and intercept of the calibration curve were used to assess discrimination and calibration of the CRASH (Corticosteroid-Randomisation-After-Significant-Head injury) and IMPACT (International-Mission-For-Prognosis-And-Clinical-Trial) models, respectively. Of the 319 patients included in the study, 119 (37%) had unfavourable neurological outcomes at 18-month after decompressive craniectomy for severe TBI. Both CRASH (AUROC 0.86, 95% confidence interval 0.81-0.90) and IMPACT full-model (AUROC 0.85, 95% CI 0.80-0.89) were similar in discriminating between favourable and unfavourable neurological outcome at 18-month after surgery (p=0.690 for the difference in AUROC derived from the two models). Although both models tended to over-predict the risks of long-term unfavourable outcome, the IMPACT model had a slightly better calibration than the CRASH model (intercept of the calibration curve=-4.1 vs. -5.7, and log likelihoods -159 vs. -360, respectively), especially when the predicted risks of unfavourable outcome were <80%. Both CRASH and IMPACT prognostic models were good in discriminating between favourable and unfavourable long-term neurological outcome for patients with severe TBI requiring decompressive craniectomy, but the calibration of the IMPACT full-model was better than the CRASH model. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  15. Predicting the impact of feed spacer modification on biofouling by hydraulic characterization and biofouling studies in membrane fouling simulators.

    PubMed

    Siddiqui, A; Lehmann, S; Bucs, Sz S; Fresquet, M; Fel, L; Prest, E I E C; Ogier, J; Schellenberg, C; van Loosdrecht, M C M; Kruithof, J C; Vrouwenvelder, J S

    2017-03-01

    Feed spacers are an essential part of spiral-wound reverse osmosis (RO) and nanofiltration (NF) membrane modules. Geometric modification of feed spacers is a potential option to reduce the impact of biofouling on the performance of membrane systems. The objective of this study was to evaluate the biofouling potential of two commercially available reference feed spacers and four modified feed spacers. The spacers were compared on hydraulic characterization and in biofouling studies with membrane fouling simulators (MFSs). The virgin feed spacer was characterized hydraulically by their resistance, measured in terms of feed channel pressure drop, performed by operating MFSs at varying feed water flow rates. Short-term (9 days) biofouling studies were carried out with nutrient dosage to the MFS feed water to accelerate the biofouling rate. Long-term (96 days) biofouling studies were done without nutrient dosage to the MFS feed water. Feed channel pressure drop was monitored and accumulation of active biomass was quantified by adenosine tri phosphate (ATP) determination. The six feed spacers were ranked on pressure drop (hydraulic characterization) and on biofouling impact (biofouling studies). Significantly different trends in hydraulic resistance and biofouling impact for the six feed spacers were observed. The same ranking for biofouling impact on the feed spacers was found for the (i) short-term biofouling study with nutrient dosage and the (ii) long-term biofouling study without nutrient dosage. The ranking for hydraulic resistance for six virgin feed spacers differed significantly from the ranking of the biofouling impact, indicating that hydraulic resistance of clean feed spacers does not predict the hydraulic resistance of biofouled feed spacers. Better geometric design of feed spacers can be a suitable approach to minimize impact of biofouling in spiral wound membrane systems. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Longitudinal Impact of Hurricane Sandy Exposure on Mental Health Symptoms.

    PubMed

    Schwartz, Rebecca M; Gillezeau, Christina N; Liu, Bian; Lieberman-Cribbin, Wil; Taioli, Emanuela

    2017-08-24

    Hurricane Sandy hit the eastern coast of the United States in October 2012, causing billions of dollars in damage and acute physical and mental health problems. The long-term mental health consequences of the storm and their predictors have not been studied. New York City and Long Island residents completed questionnaires regarding their initial Hurricane Sandy exposure and mental health symptoms at baseline and 1 year later (N = 130). There were statistically significant decreases in anxiety scores (mean difference = -0.33, p < 0.01) and post-traumatic stress disorder (PTSD) scores (mean difference = -1.98, p = 0.001) between baseline and follow-up. Experiencing a combination of personal and property damage was positively associated with long-term PTSD symptoms (OR adj 1.2, 95% CI [1.1-1.4]) but not with anxiety or depression. Having anxiety, depression, or PTSD at baseline was a significant predictor of persistent anxiety (OR adj 2.8 95% CI [1.1-6.8], depression (OR adj 7.4 95% CI [2.3-24.1) and PTSD (OR adj 4.1 95% CI [1.1-14.6]) at follow-up. Exposure to Hurricane Sandy has an impact on PTSD symptoms that persists over time. Given the likelihood of more frequent and intense hurricanes due to climate change, future hurricane recovery efforts must consider the long-term effects of hurricane exposure on mental health, especially on PTSD, when providing appropriate assistance and treatment.

  17. The impact of egg incubation temperature on the personality of oviparous reptiles.

    PubMed

    Siviter, Harry; Charles Deeming, D; Rosenberger, Joanna; Burman, Oliver H P; Moszuti, Sophie A; Wilkinson, Anna

    2017-01-01

    Personality traits, defined as differences in the behavior of individual animals of the same species that are consistent over time and context, such as 'boldness,' have been shown to be both heritable and be influenced by external factors, such as predation pressure. Currently, we know very little about the role that early environmental factors have upon personality. Thus, we investigated the impact of incubation temperature upon the boldness on an oviparous reptile, the bearded dragon (Pogona vitticeps). Eggs, from one clutch, were incubated at two different average temperatures within the normal range. After hatching the lizards were raised under the same environmental conditions. Novel object and novel environment tests were used to assess personality. Each test was repeated in both the short term and the long term. The results revealed that incubation temperature did impact upon 'boldness' but only in the short term and suggests that, rather than influencing personality, incubation temperature may have an effect on the development of behavioral of oviparous reptiles at different stages across ontogeny.

  18. Post-fire logging produces minimal persistent impacts on understory vegetation in northeastern Oregon, USA

    Treesearch

    David W. Peterson; Erich Dodson

    2016-01-01

    Post-fire forest management commonly requires accepting some negative ecological impacts from management activities in order to achieve management objectives. Managers need to know, however, whether ecological impacts from post-fire management activities are transient or cause long-term ecosystem degradation. We studied the long-term response of understory vegetation...

  19. Study Abroad for Global Engagement: The Long-Term Impact of Mobility Experiences

    ERIC Educational Resources Information Center

    Paige, R. Michael; Fry, Gerald W.; Stallman, Elizabeth M.; Josic, Jasmina; Jon, Jae-Eun

    2009-01-01

    This paper reports on the preliminary results of a research project "'Beyond immediate impact: Study abroad for global engagement' (SAGE)" which examines the long-term impact of study abroad on various forms of global engagement. The study employs a retrospective tracer study and mixed methods research design. Survey results from 6391 study-abroad…

  20. The Results of Short-Term Bilingual Exchanges Keep on Ticking: Long-Term Impacts of Brief Bilingual Exchanges

    ERIC Educational Resources Information Center

    Mady, Callie

    2011-01-01

    This article presents the long-term impacts of brief bilingual (English/French) exchanges as identified by past exchange participants through questionnaire and interview responses. The findings indicate that former exchange participants (a) have confidence in their language abilities, (b) continue to use their second language, (c) choose leisure…

  1. The Impact of Parent Care on Marital Quality and Well-Being in Adult Daughters and Sons

    PubMed Central

    2009-01-01

    This study prospectively examined the long-term impact of providing parent care using data from a probability-based U.S. sample of adult daughters and sons who had varying parent care experiences over time (N = 716). Parent care × Gender × Time mixed multivariate analyses of covariance using marital quality and well-being indicators as outcomes showed that, on average, experienced caregivers reported less marital happiness, more marital role inequity, and greater hostility than recent adult child caregivers. Significant three-way interactions indicated that experienced and recent caregiving daughters, respectively, showed an increase over time in depressive symptomatology and long-term depression, whereas their male counterparts showed a decline over the same period. Findings are discussed in terms of gender differences in the relative applicability of the wear-and-tear versus adaptation models of caregiving outcomes. PMID:19359594

  2. Effects of Divorce on Children of Different Ages: A Descriptive Study.

    ERIC Educational Resources Information Center

    Schwartz, Lita Linzer

    The impact of divorce on children seems to vary according to the child's age. Previous studies on the impact of divorce on children have generally focused on pre-schoolers and elementary-age children. Since more long-term marriages are ending in divorce, attention should also be given to adolescent and adult children of divorce. Subjects (N=26)…

  3. The Impact of Family Violence on Children and Adolescents. Developmental Clinical Psychology and Psychiatry, Volume 37.

    ERIC Educational Resources Information Center

    Kashani, Javad H.; Allan, Wesley D.

    Violence in the family is being increasingly identified as a societal problem that has multiple short- and long-term effects on children. This book focuses on the relationship between different types of family violence and the resulting impact of violence on the child. Chapter One discusses the definition, history, and societal costs of family…

  4. Reconsidering Our Graduation Efforts: The Economic Impact of Certificates, Associate's, and Bachelor's Degrees

    ERIC Educational Resources Information Center

    Tyndorf, Darryl; Martin, Heather

    2018-01-01

    United States' education policy efforts have focused on increasing college graduation rates, with an emphasis on bachelor's degrees, with the expectation of greater economic prosperity. Most community college and university degrees differ in time to completion and should not be viewed as having the same short-term, medium-term, and long-term…

  5. Assessing the impact of microfinance programming on children: an evaluation from post-tsunami Aceh.

    PubMed

    Stark, Lindsay; Kassim, Nafessa; Sparling, Thalia; Buscher, Dale; Yu, Gary; Boothby, Neil

    2015-04-01

    This paper presents an evaluation of the long-term impact of microfinance programmes on Acehnese children during the post-tsunami recovery. The study, conducted from June to August 2010, examined the impact of microfinance programming six years after the tsunami. The sample consisted of 185 microfinance participants, with a comparison group of 192 individuals who did not participate in microfinance programmes. All respondents were parents, interviewed through a structured survey. The study used four child protection indicators-diet, health, childcare and education-in contrast to traditional repayment rate indicators. The primary results were insignificant with respect to all four child protection indicators, suggesting that, with respect to these indicators, there was no long-term difference between the impact of microfinance on beneficiaries' children and non-beneficiaries' children. These findings signify a need for microfinance actors to move beyond traditional indicators of economic success to evaluate the social changes microfinance programmes are presumed to effect. © 2015 The Author(s). Disasters © Overseas Development Institute, 2015.

  6. Spin, Unit Climate, and Aggression: Near Term, Long Term, and Reciprocal Predictors of Violence Among Workers in Military Settings

    DTIC Science & Technology

    2016-08-01

    differences in within-person variability in emotional state, known as “spin”) and group level variables (e.g., unit climate) hypothesized to impact...effort includes both individual level variables (e.g., differences in within-person variability in emotional state, known as “spin”) and group level...and unit level factors across time. At the individual level, we will examine within-person variability in emotion and interpersonal behaviors

  7. Accelerated long-term forgetting and autobiographical memory disorders in temporal lobe epilepsy: One entity or two?

    PubMed

    Lemesle, B; Planton, M; Pagès, B; Pariente, J

    Temporal lobe epilepsy (TLE) is a type of epilepsy that often has a negative impact on patients' memory. Despite the importance of patients' complaints in this regard, the difficulties described by these patients are often not easy to demonstrate through a standard neuropsychological assessment. Accelerated long-term forgetting and autobiographical memory disorders are the two main memory impairments reported in the literature in patients with TLE. However, the methods used by different authors to evaluate long-term memory and autobiographical memory are heterogeneous. This heterogeneity can lead to differences in the observed results as well as how they are interpreted. Yet, despite the methodological differences, objectification of such memory deficits appears to be both specific and robust within this patient population. Analysis of the literature shows that accelerated long-term forgetting and autobiographical memory disorders share the same clinical characteristics. This leads to the assumption that they are, in fact, only one entity and that their evaluation may be done through a single procedure. Our proposal is to place this evaluation within the context of memory consolidation disorders. With such a perspective, evaluation of accelerated forgetting in autobiographical memory should consist of identifying a disorder in the formation and/or recovery of new memory traces. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  8. Holocene fire history in Western China - relationships with climate and human impact, and the role of fire in vegetation dynamics

    NASA Astrophysics Data System (ADS)

    Cui, Q.

    2015-12-01

    It is well recognised that studies of past fire regimes and their causes (human and/or climatic) are useful to understand the long-term ecological effects of fire on vegetation communities. Further, information on the long-term fire history and its effect on vegetation dynamics may provide useful insights for vegetation management in fragile eco-environment of Western China. The main aim of this study is to quantitatively reconstruct high-resolution fire history in West China based on charcoal records from peatlands in Zoige basin (Tibet) and Altai Mountains (Xinjiang). We investigate the long-term relationships between fire, climate, human-impact and the history of biodiversity based on four Holocene macro- and micro- charcoal records and a synthesis on previously published pollen data and geochemistry data. Three hypotheses based on global charcoal records and former studies on palaeofire carried out in China need to be test by this study: 1) during early-mid Holocene period, fire frequency in the study area is relative low and best explained by the changes of regional climate; 2) during the late Holocene, fire activities in the study area increased might due to impacts of the human activities over the climate changes, and human activities is responsible for the temporal and spatial variations in fire regime; 3) the difference of fire histories can be explained by the difference of vegetation composition at site.

  9. Episodic Disturbance from Boat Anchoring Is a Major Contributor to, but Does Not Alter the Trajectory of, Long-Term Coral Reef Decline.

    PubMed

    Forrester, Graham E; Flynn, Rebecca L; Forrester, Linda M; Jarecki, Lianna L

    2015-01-01

    Isolating the relative effects of episodic disturbances and chronic stressors on long-term community change is challenging. We assessed the impact of an episodic disturbance associated with human visitation (boat anchoring) relative to other drivers of long-term change on coral reefs. A one-time anchoring event at Crab Cove, British Virgin Islands, in 2004 caused rapid losses of coral and reef structural complexity that were equal to the cumulative decline over 23 years observed at an adjacent site. The abundance of small site-attached reef fishes dropped by approximately one quarter after the anchoring event, but this drop was not immediate and only fully apparent two years after the anchoring event. There was no obvious recovery from the impact, and no evidence that this episodic impact accelerated or retarded subsequent declines from other causes. This apparent lack of synergism between the effect of this episodic human impact and other chronic stressors is consistent with the few other long-term studies of episodic impacts, and suggests that action to mitigate anchor damage should yield predictable benefits.

  10. LONG TERM HYDROLOGICAL IMPACT ASSESSMENT (LTHIA)

    EPA Science Inventory

    LTHIA is a universal Urban Sprawl analysis tool that is available to all at no charge through the Internet. It estimates impacts on runoff, recharge and nonpoint source pollution resulting from past or proposed land use changes. It gives long-term average annual runoff for a lan...

  11. Examining the 16-year trajectories of mental health and wellbeing through the transition into widowhood.

    PubMed

    Burns, R A; Browning, C J; Kendig, H L

    2015-12-01

    Becoming widowed is a significant event. There is considerable evidence that surviving partners report substantial changes in their wellbeing and mental health. Changes can occur prior to partner's death as an anticipatory effect and consequently during the period after partner's death. For most, declines in wellbeing and mental health dissipate over time. However, there is a limited long-term evidence to compare age-normative trajectories in mental health and wellbeing with the trajectories of those who transition into widowhood. Participants (n = 652) were older adults (aged 65-94 years at baseline) from the 16-year Melbourne Longitudinal Studies on Healthy Ageing project who were either married or de facto (n = 577), or recently widowed (n = 75). Generalized Estimating Equations (GEE) examined the immediate and long-term impact of widowhood. GEE piecewise regression analyses examined the trajectories of wellbeing and mental health in those who transitioned into widowed with time centered at time of partner's death. Analyses were stratified by gender. For both men and women, becoming widowed was strongly related to a strong decline in positive affect post partner's death. Otherwise, no long-term impact of widowhood on negative affect or depressive symptomology was reported. The impact of widowhood reports differential impacts on different indicators of wellbeing and mental health, which were inconsistent between men and women.

  12. Interdisciplinarity and Impact: Distinct Effects of Variety, Balance, and Disparity

    PubMed Central

    Wang, Jian; Thijs, Bart; Glänzel, Wolfgang

    2015-01-01

    Interdisciplinary research is increasingly recognized as the solution to today’s challenging scientific and societal problems, but the relationship between interdisciplinary research and scientific impact is still unclear. This paper studies the association between the degree of interdisciplinarity and the number of citations at the paper level. Different from previous studies compositing various aspects of interdisciplinarity into a single indicator, we use factor analysis to uncover distinct dimensions of interdisciplinarity corresponding to variety, balance, and disparity. We estimate Poisson models with journal fixed effects and robust standard errors to analyze the divergent relationships between these three factors and citations. We find that long-term (13-year) citations (1) increase at an increasing rate with variety, (2) decrease with balance, and (3) increase at a decreasing rate with disparity. Furthermore, interdisciplinarity also affects the process of citation accumulation: (1) although variety and disparity have positive effects on long-term citations, they have negative effects on short-term (3-year) citations, and (2) although balance has a negative effect on long-term citations, its negative effect is insignificant in the short run. These findings have important implications for interdisciplinary research and science policy. PMID:26001108

  13. An Instrument for Every Child: A Study on Long-Term Effects of Extended Music Education in German Primary Schools

    ERIC Educational Resources Information Center

    Krupp-Schleußner, Valerie; Lehmann-Wermser, Andreas

    2018-01-01

    Does extended music education during primary school foster long-term musical participation? What other factors contribute to long-term musical participation? In our study on "Impacts and Long-Term Effects of Musical Participation," we investigate how the German programme "An Instrument for Every Child (JeKi)," which fosters the…

  14. Agricultural policy environmental eXtender model simulation of climate change impacts on runoff from a small no-till watershed

    USDA-ARS?s Scientific Manuscript database

    Long-term hydrologic data sets are required to quantify the impacts of management, and climate on runoff at the field scale where management practices are applied. This study was conducted to evaluate the impacts of long-term management and climate on runoff from a small watershed managed with no-ti...

  15. The Long-Term Impacts of Teachers: Teacher Value-Added and Student Outcomes in Adulthood. NBER Working Paper No. 17699

    ERIC Educational Resources Information Center

    Chetty, Raj; Friedman, John N.; Rockoff, Jonah E.

    2011-01-01

    Are teachers' impacts on students' test scores ("value-added") a good measure of their quality? This question has sparked debate largely because of disagreement about (1) whether value-added (VA) provides unbiased estimates of teachers' impacts on student achievement and (2) whether high-VA teachers improve students' long-term outcomes.…

  16. The long-term impact of undergraduate interprofessional education on graduate interprofessional practice: A scoping review.

    PubMed

    McNaughton, Susan

    2017-12-22

    Several recent high-quality systematic reviews have identified the importance of measuring outcomes in evaluating the effectiveness of interprofessional education (IPE) in healthcare, but also the process- and context-dependent nature of these outcomes. This paper presents a scoping review, the objectives of which were to evaluate the evidence for the long-term impact of undergraduate IPE on graduate interprofessional practice (IPP) and to identify areas for further research in the specific context of practice-based IPE. An initial search identified 596 potentially relevant titles published between 2008 and 2016. Screening for inclusion of documented IPE with IPP evaluation reduced this to 130. Abstract reading excluded 99 studies that were not longitudinal. Full reading of the remaining 31 articles identified 23 original studies which were analysed descriptively and tabulated. The main findings were synthesised around three themes: undergraduate evidence for a long-term impact of IPE on IPP; graduate evidence for a long-term impact of IPE on IPP; and barriers to an impact of IPE on graduate IPP. Drawing on these findings, research areas likely to produce further evidence for the impact of practice-based IPE on graduate IPP are discussed, along with some suitable methodologies.

  17. Beyond Quarterly Earnings: Preparing the Business Community for Long-term Climate Risks

    NASA Astrophysics Data System (ADS)

    Carlson, C.; Goldman, G. T.

    2014-12-01

    The business community stands to be highly impacted by climate change. In both short and long-term timescales, climate change presents material and financial risks to companies in diverse economic sectors. How the private sector accounts for long-term risks while making short-term decisions about operations is a complex challenge. Companies are accountable to shareholders and must report performance to them on a quarterly basis. At the same time, company investors are exposed to long-term climate-related risks and face losses if companies fail to prepare for climate impacts. The US Securities and Exchange Commission (SEC) obligates publicly traded companies to discuss risks that might materially affect their business and since 2010, the agency recommends that companies consider and discuss any significant risks to their business from climate change. Some companies have complied with this guidance and comprehensively analyze potential climate change impacts, yet others fail to consider climate change at all. Such omissions leave companies without plans for addressing future risks and expose investors and the public to potential catastrophic events from climate change impacts. Climate risk projections can inform companies about the vulnerability of their facilities, supply chains, transportation pathways, and other assets. Such projections can help put climate-related risks in terms of material costs for companies and their investors. Focusing on the vulnerability of coastal facilities, we will use climate change impact projections to demonstrate the economic impacts of climate change faced by the private sector. These risks are then compared to company disclosures to the SEC to assess the degree to which companies have considered their vulnerability to climate change. Finally, we will discuss ways that companies can better assess and manage long-term climate risks.

  18. Human Land-Use Practices Lead to Global Long-Term Increases in Photosynthetic Capacity

    NASA Technical Reports Server (NTRS)

    Mueller, Thomas; Tucker, Compton J.; Dressler, Gunnar; Pinzon, Jorge E.; Leimgruber, Peter; Dubayah, Ralph O.; Hurtt, George C.; Boehning-Gaese, Katrin; Fagan, William F.

    2014-01-01

    Long-term trends in photosynthetic capacity measured with the satellite-derived Normalized Difference Vegetation Index (NDVI) are usually associated with climate change. Human impacts on the global land surface are typically not accounted for. Here, we provide the first global analysis quantifying the effect of the earth's human footprint on NDVI trends. Globally, more than 20% of the variability in NDVI trends was explained by anthropogenic factors such as land use, nitrogen fertilization, and irrigation. Intensely used land classes, such as villages, showed the greatest rates of increase in NDVI, more than twice than those of forests. These findings reveal that factors beyond climate influence global long-term trends in NDVI and suggest that global climate change models and analyses of primary productivity should incorporate land use effects.

  19. Cross - Scale Intercomparison of Climate Change Impacts Simulated by Regional and Global Hydrological Models in Eleven Large River Basins

    NASA Technical Reports Server (NTRS)

    Hattermann, F. F.; Krysanova, V.; Gosling, S. N.; Dankers, R.; Daggupati, P.; Donnelly, C.; Florke, M.; Huang, S.; Motovilov, Y.; Buda, S.; hide

    2017-01-01

    Ideally, the results from models operating at different scales should agree in trend direction and magnitude of impacts under climate change. However, this implies that the sensitivity to climate variability and climate change is comparable for impact models designed for either scale. In this study, we compare hydrological changes simulated by 9 global and 9 regional hydrological models (HM) for 11 large river basins in all continents under reference and scenario conditions. The foci are on model validation runs, sensitivity of annual discharge to climate variability in the reference period, and sensitivity of the long-term average monthly seasonal dynamics to climate change. One major result is that the global models, mostly not calibrated against observations, often show a considerable bias in mean monthly discharge, whereas regional models show a better reproduction of reference conditions. However, the sensitivity of the two HM ensembles to climate variability is in general similar. The simulated climate change impacts in terms of long-term average monthly dynamics evaluated for HM ensemble medians and spreads show that the medians are to a certain extent comparable in some cases, but have distinct differences in other cases, and the spreads related to global models are mostly notably larger. Summarizing, this implies that global HMs are useful tools when looking at large-scale impacts of climate change and variability. Whenever impacts for a specific river basin or region are of interest, e.g. for complex water management applications, the regional-scale models calibrated and validated against observed discharge should be used.

  20. Cross-scale intercomparison of climate change impacts simulated by regional and global hydrological models in eleven large river basins

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

    Hattermann, F. F.; Krysanova, V.; Gosling, S. N.

    Ideally, the results from models operating at different scales should agree in trend direction and magnitude of impacts under climate change. However, this implies that the sensitivity of impact models designed for either scale to climate variability and change is comparable. In this study, we compare hydrological changes simulated by 9 global and 9 regional hydrological models (HM) for 11 large river basins in all continents under reference and scenario conditions. The foci are on model validation runs, sensitivity of annual discharge to climate variability in the reference period, and sensitivity of the long-term average monthly seasonal dynamics to climatemore » change. One major result is that the global models, mostly not calibrated against observations, often show a considerable bias in mean monthly discharge, whereas regional models show a much better reproduction of reference conditions. However, the sensitivity of two HM ensembles to climate variability is in general similar. The simulated climate change impacts in terms of long-term average monthly dynamics evaluated for HM ensemble medians and spreads show that the medians are to a certain extent comparable in some cases with distinct differences in others, and the spreads related to global models are mostly notably larger. Summarizing, this implies that global HMs are useful tools when looking at large-scale impacts of climate change and variability, but whenever impacts for a specific river basin or region are of interest, e.g. for complex water management applications, the regional-scale models validated against observed discharge should be used.« less

  1. Effect of changes in periodic limb movements under cpap on adherence and long term compliance in obstructive sleep apnea.

    PubMed

    Mwenge, Gimbada B; Rougui, Ihsan; Rodenstein, Daniel

    2017-11-20

    Purpose of the study Periodic leg movements (PLMs) are found in 30% of patients suffering from OSA. Under CPAP, we observed that PLMs can increase, decrease, or remain unchanged. The predictors of these changes are not well established. Objective To determine the predictors of PLMs change under CPAP and its impact on long-term adherence. Materials and method The patients were referred to the sleep laboratory for snoring or sleepiness. A single PSG night has been performed before and after CPAP treatment. Data on medication used, comorbidities and ferritin level were collected. Results A total of 160 patients were recruited with a severe OSA. About 32.5% (52/160) patients had emerging PLM i.e. that appeared after the disappearance of respiratory events. By comparing patients with emerging-PLMs to others, we found that only the blood ferritin level was significantly different between groups. Moreover, after one-year follow-up, a significant difference in adherence and long-term compliance was observed between patients without PLM at both screening and CPAP polysomnographies or emerging PLM at the second study (56%) vs. patients with baseline PLM, whether PLM remained stable or decreased under CPAP treatment (75%) (p-value 0.028). Serum ferritin and presence of diabetes mellitus predicted the evolution of PLM observed. Patients with low ferritin levels demonstrated an increase of PLM after initiation of nasal CPAP treatment. Conclusion The emergence of PLM negatively impacts long-term adherence to nasal CPAP treatment in OSA. Blood ferritin level is a predictor of the evolution of PLM under CPAP therapy.

  2. Effects of different analysis techniques and recording duty cycles on passive acoustic monitoring of killer whales.

    PubMed

    Riera, Amalis; Ford, John K; Ross Chapman, N

    2013-09-01

    Killer whales in British Columbia are at risk, and little is known about their winter distribution. Passive acoustic monitoring of their year-round habitat is a valuable supplemental method to traditional visual and photographic surveys. However, long-term acoustic studies of odontocetes have some limitations, including the generation of large amounts of data that require highly time-consuming processing. There is a need to develop tools and protocols to maximize the efficiency of such studies. Here, two types of analysis, real-time and long term spectral averages, were compared to assess their performance at detecting killer whale calls in long-term acoustic recordings. In addition, two different duty cycles, 1/3 and 2/3, were tested. Both the use of long term spectral averages and a lower duty cycle resulted in a decrease in call detection and positive pod identification, leading to underestimations of the amount of time the whales were present. The impact of these limitations should be considered in future killer whale acoustic surveys. A compromise between a lower resolution data processing method and a higher duty cycle is suggested for maximum methodological efficiency.

  3. Maternal relationship security as a moderator of home visiting impacts on maternal psychosocial functioning.

    PubMed

    McFarlane, Elizabeth; Burrell, Lori; Crowne, Sarah; Cluxton-Keller, Fallon; Fuddy, Loretta; Leaf, Philip J; Duggan, Anne

    2013-02-01

    There is variability in home visiting program impacts on the outcomes achieved by high risk families. An understanding of how effects vary among families is important for refining service targeting and content. The current study assessed whether and how maternal attributes, including relationship security, moderate short- and long-term home visiting impacts on maternal psychosocial functioning. In this multisite RCT of home visiting in a population-based, ethnically-diverse sample of families at risk for maltreatment of their newborns (n = 643), families were randomly assigned to home visited (HV) and control groups. HV families were to receive intensive services by trained paraprofessionals from birth-3 years. Outcome data were collected when children were 1, 2, and 3 years old and 7, 8, and 9 years old. Overall, short- and long-term outcomes for HV and control mothers did not differ significantly. Demographic attributes, a general measure of overall maternal risk, and partner violence did not moderate program impact on psychosocial functioning outcomes. Maternal relationship security did moderate program impact. Mothers who scored high on relationship anxiety but not on relationship avoidance showed the greatest benefits, particularly at the long-term follow-up. Mothers scoring high for both relationship anxiety and avoidance experienced some adverse consequences of home visiting. Further research is needed to determine mediating pathways and to inform and test ways to improve the targeting of home visiting and the tailoring of home visit service models to extend positive home visiting impacts to targeted families not benefiting from current models.

  4. Long-term Effect of Pig Slurry Application on Soil Carbon Storage, Quality and Yield Sustainability in Murcia Region, Spain

    NASA Astrophysics Data System (ADS)

    Büyükkılıç Yanardaǧ, Asuman

    2013-04-01

    Sustainability of agriculture is now a major global concern, especially since the 1980s. Soil organic matter is very important in the proper functions of the soil, which is also a good indicator of soil quality. This is due to its influence on many of the chemical, physical, and biological processes that control the capacity of a soil to perform properly. Understanding of nutrient supply through organic matter mineralization in agricultural systems is essential for maintaining long-term quality and productivity. The composition of pig manure will have a profound impact on soil properties, quality and crop yield when used in agriculture. We studied the effects of pig slurry (PS) application as an organic fertilizer, trying to determine the optimum amount that can be added to the soil, and the effect on soil properties, quality, and productivity. We applied 3 different doses on silty loam soils: Single (D1), Double (D2), Triple (D3) and unfertilized plots (C) served as controls. Samples were collected at two different levels, surface (0-30 cm) and subsurface (30-60 cm). D1 application dose, which is the agronomic rate of N-requirement (170 kg N/ha/yr) (European Directive 91/676/CEE), is very appropriate in term of sustainable agriculture and also can improve physical, chemical and biological soil properties. Therefore that the long-term use of PS with low dose may necessarily enhance soil quality in the long term. There are many factors to be considered when attempting to assess the overall net impact of a management practice on productivity. Additions of pig manure to soils at agronomic rates (170 kg N ha-1 yr-1) to match crop nutrient requirements are expected to have a positive impact on soil productivity. Therefore, the benefits from the use of application depend on the management of PS, carbon and environmental quality. However, PS have high micronutrient contents, and for this reason the application of high doses can pollute soils and damage human, animal and plant health, which is not suitable in term of sustainable agriculture. Keywords: Management, Pig slurry, Productivity, Quality, Soil.

  5. Few long-term consequences after prolonged maternal separation in female Wistar rats

    PubMed Central

    Abelson, Klas S. P.; Nylander, Ingrid; Roman, Erika

    2017-01-01

    Environmental factors during the early-life period are known to have long-term consequences for the adult phenotype. An intimate interplay between genes and environment shape the individual and may affect vulnerability for psychopathology in a sex-dependent manner. A rodent maternal separation model was here used to study the long-term effects of different early-life rearing conditions on adult behavior, HPA axis activity and long-term voluntary alcohol intake in female rats. Litters were subjected to 15 min (MS15) or 360 min (MS360) of daily maternal separation during postnatal day 1–21. In adulthood, the behavioral profiles were investigated using the multivariate concentric square field™ (MCSF) test or examined for HPA axis reactivity by cat-odor exposure with subsequent characterization of voluntary alcohol intake and associated changes in HPA axis activity. Adult female MS360 offspring showed mostly no, or only minor, effects on behavior, HPA axis reactivity and long-term alcohol intake relative to MS15. Instead, more pronounced effects were found dependent on changes in the natural hormonal cycle or by the choice of animal supplier. However, changes were revealed in corticosterone load after long-term alcohol access, as females subjected to MS360 had higher concentrations of fecal corticosterone. The present findings are in line with and expand on previous studies on the long-term effects of maternal separation in female rats with regard to behavior, HPA axis activity and voluntary alcohol intake. It can also be a window into further studies detailing how early-life experiences interact with other risk and protective factors to impact the adult phenotype and how possible sex differences play a role. PMID:29267376

  6. The Multi-Frequency Correlation Between Eua and sCER Futures Prices: Evidence from the Emd Approach

    NASA Astrophysics Data System (ADS)

    Zhang, Yue-Jun; Huang, Yi-Song

    2015-05-01

    Currently European Union Allowances (EUA) and secondary Certified Emission Reduction (sCER) have become two dominant carbon trading assets for investors and their linkage attracts much attention from academia and practitioners in recent years. Under this circumstance, we use the empirical mode decomposition (EMD) approach to decompose the two carbon futures contract prices and discuss their correlation from the multi-frequency perspective. The empirical results indicate that, first, the EUA and sCER futures price movements can be divided into those triggered by the long-term, medium-term and short-term market impacts. Second, the price movements in the EUA and sCER futures markets are primarily caused by the long-term impact, while the short-term impact can only explain a small fraction. Finally, the long-term (short-term) effect on EUA prices is statistically uncorrelated with the short-term (long-term) effect of sCER prices, and there is a medium or strong lead-and-lag correlation between the EUA and sCER price components with the same time scales. These results may provide some important insights of price forecast and arbitraging activities for carbon futures market investors, analysts and regulators.

  7. Degradation modeling of high temperature proton exchange membrane fuel cells using dual time scale simulation

    NASA Astrophysics Data System (ADS)

    Pohl, E.; Maximini, M.; Bauschulte, A.; vom Schloß, J.; Hermanns, R. T. E.

    2015-02-01

    HT-PEM fuel cells suffer from performance losses due to degradation effects. Therefore, the durability of HT-PEM is currently an important factor of research and development. In this paper a novel approach is presented for an integrated short term and long term simulation of HT-PEM accelerated lifetime testing. The physical phenomena of short term and long term effects are commonly modeled separately due to the different time scales. However, in accelerated lifetime testing, long term degradation effects have a crucial impact on the short term dynamics. Our approach addresses this problem by applying a novel method for dual time scale simulation. A transient system simulation is performed for an open voltage cycle test on a HT-PEM fuel cell for a physical time of 35 days. The analysis describes the system dynamics by numerical electrochemical impedance spectroscopy. Furthermore, a performance assessment is performed in order to demonstrate the efficiency of the approach. The presented approach reduces the simulation time by approximately 73% compared to conventional simulation approach without losing too much accuracy. The approach promises a comprehensive perspective considering short term dynamic behavior and long term degradation effects.

  8. Impact of sex on 30-day complications and long-term functional outcomes following ileal pouch-anal anastomosis for chronic ulcerative colitis.

    PubMed

    McKenna, Nicholas P; Dozois, Eric J; Pemberton, John H; Lightner, Amy L

    2018-05-01

    To determine the impact of patient sex on operative characteristics, short-term complications, and long-term functional outcomes following ileal pouch-anal anastomosis (IPAA) for chronic ulcerative colitis (CUC). A retrospective review was performed on all patients undergoing two- or three-stage IPAA for CUC at our institution between January 2002 and August 2013. Patient demographics, operative characteristics, 30-day postoperative complications, and long-term functional outcomes from annual survey data were analyzed comparing men and women patients. During the study period, 911 IPAAs (542 men, 369 women) were performed. Men were older and were more often obese (both p < 0.01). Use of a three-stage approach and laparoscopic approach were similar between men and women, but operation length, intraoperative blood loss, and hospital length of stay were all higher in men (all p < 0.05). At 30 days, women had increased rates of superficial surgical site infections and urinary tract infections (both p < 0.05), while men had increased rates of urinary retention (p = 0.03). Five hundred forty-six patients (60%; 307 men, 239 women) responded to the annual post IPAA survey with a median follow-up of 5.1 and 5.0 years in men and women, respectively. Women reported increased frequency of daytime stools in the early follow-up period, but this difference resolved with time. Other functional outcomes were similar. Patient sex impacts intraoperative complexity, postoperative length of stay, 30-day postoperative outcomes, and initial long-term function. These findings underscore the need to adjust preoperative counseling regarding IPAA outcomes based on sex.

  9. Predictable Unpredictability: the Problem with Basing Medicare Policy on Long-Term Financial Forecasting.

    PubMed

    Glied, Sherry; Zaylor, Abigail

    2015-07-01

    The authors assess how Medicare financing and projections of future costs have changed since 2000. They also assess the impact of legislative reforms on the sources and levels of financing and compare cost forecasts made at different times. Although the aging U.S. population and rising health care costs are expected to increase the share of gross domestic product devoted to Medicare, changes made in the program over the past decade have helped stabilize Medicare's financial outlook--even as benefits have been expanded. Long-term forecasting uncertainty should make policymakers and beneficiaries wary of dramatic changes to the program in the near term that are intended to alter its long-term forecast: the range of error associated with cost forecasts rises as the forecast window lengthens. Instead, policymakers should focus on the immediate policy window, taking steps to reduce the current burden of Medicare costs by containing spending today.

  10. Examining the Contemporaneous, Short-Term, and Long-Term Effects of Secondary Exposure to Violence on Adolescent Substance Use.

    PubMed

    Zimmerman, Gregory M; Kushner, Mackenzie

    2017-09-01

    The relationship between secondary exposure to violence-defined as witnessing violence in the home, community, or school-and adolescent substance use is well-documented. Yet, multi-wave empirical studies examining this relationship are sparse. In addition, studies have only begun to examine whether this relationship varies by the situational components of the violent event. Using data from the Project on Human Development in Chicago Neighborhoods (PHDCN), this study examines the contemporaneous, short-term, and long-term effects of secondary exposure to violence on substance use, and whether witnessing violence in which a weapon is present has a different impact on adolescent substance use than does witnessing violence without a weapon. Hierarchical logistic regression models on a racially and ethnically diverse sample of 1670 youth (51.5% female) residing in 79 neighborhoods indicated that: (1) the effects of secondary exposure to violence on alcohol and marijuana use were enduring, albeit attenuated, over time; (2) the effect of secondary exposure to violence on illicit drug use was suppressed in the short-term but significant in the long-term; (3) witnessing violence without a weapon was salient for alcohol and marijuana use at all time points; and (4) witnessing violence with a weapon impacted illicit drug use in the long-term. The results suggest that addressing the consequences of secondary exposure to violence requires prolonged intervention efforts and that the study of secondary exposure to violence requires a more nuanced approach that accounts for situational aspects of the violent event.

  11. Long-term impacts of selective logging on two Amazonian tree species with contrasting ecological and reproductive characteristics: inferences from Eco-gene model simulations.

    PubMed

    Vinson, C C; Kanashiro, M; Sebbenn, A M; Williams, T C R; Harris, S A; Boshier, D H

    2015-08-01

    The impact of logging and subsequent recovery after logging is predicted to vary depending on specific life history traits of the logged species. The Eco-gene simulation model was used to evaluate the long-term impacts of selective logging over 300 years on two contrasting Brazilian Amazon tree species, Dipteryx odorata and Jacaranda copaia. D. odorata (Leguminosae), a slow growing climax tree, occurs at very low densities, whereas J. copaia (Bignoniaceae) is a fast growing pioneer tree that occurs at high densities. Microsatellite multilocus genotypes of the pre-logging populations were used as data inputs for the Eco-gene model and post-logging genetic data was used to verify the output from the simulations. Overall, under current Brazilian forest management regulations, there were neither short nor long-term impacts on J. copaia. By contrast, D. odorata cannot be sustainably logged under current regulations, a sustainable scenario was achieved by increasing the minimum cutting diameter at breast height from 50 to 100 cm over 30-year logging cycles. Genetic parameters were only slightly affected by selective logging, with reductions in the numbers of alleles and single genotypes. In the short term, the loss of alleles seen in J. copaia simulations was the same as in real data, whereas fewer alleles were lost in D. odorata simulations than in the field. The different impacts and periods of recovery for each species support the idea that ecological and genetic information are essential at species, ecological guild or reproductive group levels to help derive sustainable management scenarios for tropical forests.

  12. Long-term impacts of selective logging on two Amazonian tree species with contrasting ecological and reproductive characteristics: inferences from Eco-gene model simulations

    PubMed Central

    Vinson, C C; Kanashiro, M; Sebbenn, A M; Williams, T CR; Harris, S A; Boshier, D H

    2015-01-01

    The impact of logging and subsequent recovery after logging is predicted to vary depending on specific life history traits of the logged species. The Eco-gene simulation model was used to evaluate the long-term impacts of selective logging over 300 years on two contrasting Brazilian Amazon tree species, Dipteryx odorata and Jacaranda copaia. D. odorata (Leguminosae), a slow growing climax tree, occurs at very low densities, whereas J. copaia (Bignoniaceae) is a fast growing pioneer tree that occurs at high densities. Microsatellite multilocus genotypes of the pre-logging populations were used as data inputs for the Eco-gene model and post-logging genetic data was used to verify the output from the simulations. Overall, under current Brazilian forest management regulations, there were neither short nor long-term impacts on J. copaia. By contrast, D. odorata cannot be sustainably logged under current regulations, a sustainable scenario was achieved by increasing the minimum cutting diameter at breast height from 50 to 100 cm over 30-year logging cycles. Genetic parameters were only slightly affected by selective logging, with reductions in the numbers of alleles and single genotypes. In the short term, the loss of alleles seen in J. copaia simulations was the same as in real data, whereas fewer alleles were lost in D. odorata simulations than in the field. The different impacts and periods of recovery for each species support the idea that ecological and genetic information are essential at species, ecological guild or reproductive group levels to help derive sustainable management scenarios for tropical forests. PMID:24424164

  13. Verbal Short-Term Memory Reflects the Organization of Long-Term Memory: Further Evidence from Short-Term Memory for Emotional Words

    ERIC Educational Resources Information Center

    Majerus, Steve; D'Argembeau, Arnaud

    2011-01-01

    Many studies suggest that long-term lexical-semantic knowledge is an important determinant of verbal short-term memory (STM) performance. This study explored the impact of emotional valence on word immediate serial recall as a further lexico-semantic long-term memory (LTM) effect on STM. This effect is particularly interesting for the study of…

  14. Long-term changes in the perception of job characteristics: results from the Belstress II--study.

    PubMed

    Clays, Els; De Bacquer, Dirk; Leynen, Francoise; Kornitzer, Marcel; Kittel, France; De Backer, Guy

    2006-09-01

    The aim was to explore long-term changes in the perception of job characteristics--based on the Job Content Questionnaire (JCQ)--in view of the changing labor market in Western societies. A total number of 2,821 workers from nine companies were involved in the longitudinal Belstress-project. Data were gathered on two occasions with a mean time interval of 6.6 yr. At both times, participants completed the JCQ which measures the perception of job demands, job control and social support. In addition, the instrument contains questions regarding physical job demands, job insecurity and impact of world market competition (WMC). Changes over time in the perception of the different dimensions of the JCQ were evaluated within a sample of 2,490 respondents who remained in the same job. A statistically significant long-term stability of all JCQ scales was found. As far as intra-individual changes over time are concerned, the population showed a modest average increase in the perception of job demands, control and support of approximately 3%. Long-term changes in the other scales were larger, with an average increase of 10.3% in job insecurity and 15.5% in impact of WMC. Substantial variation in these two scales was found at the level of the company and in some socio-demographic factors. While perceived job characteristics remained relatively stable over an average period of 6.6 yr, a substantial increase was noted in job insecurity and the impact of WMC. These dimensions are becoming increasingly important within the context of economic globalization and labor market flexibility.

  15. Crop rotations and poultry litter impact dynamic soil chemical properties and soil biota long-term

    USDA-ARS?s Scientific Manuscript database

    Dynamic soil physiochemical interactions with conservation agricultural practices and soil biota are largely unknown. Therefore, this study aims to quantify long-term (12-yr) impacts of cover crops, poultry litter, crop rotations, and conservation tillage and their interactions on soil physiochemica...

  16. Long-term psychosocial consequences of surgical congenital malformations.

    PubMed

    Diseth, Trond H; Emblem, Ragnhild

    2017-10-01

    Surgical congenital malformations often represent years of treatment, large number of hospital stays, treatment procedures, and long-term functional sequels affecting patients' psychosocial functioning. Both functional defects and psychosocial difficulties that occur commonly in childhood may pass through adolescence on to adulthood. This overview presents reports published over the past 3 decades to elucidate the long-term psychosocial consequences of surgical congenital malformations. Literature searches conducted on PubMed database revealed that less than 1% of all the records of surgical congenital malformations described long-term psychosocial consequences, but with diverse findings. This inconsistency may be due to methodological differences or deficiencies; especially in study design, patient sampling, and methods. Most of the studies revealed that the functional deficits may have great impact on patients' mental health, psychosocial functioning, and QoL; both short- and long-term negative consequences. Factors other than functional problems, e.g., repeated anesthesia, multiple hospitalization, traumatic treatment procedures, and parental dysfunctioning, may also predict long-term mental health and psychosocial functioning. Through multidisciplinary approach, pediatric surgeons should also be aware of deficits in emotional and psychosocial functioning. To achieve overall optimal psychosocial functioning, the challenge is to find a compromise between physically optimal treatment procedures and procedures that are not psychologically detrimental. Copyright © 2017. Published by Elsevier Inc.

  17. Silviculture of varietal loblolly pine plantations: second year impacts of spacing and silvicultural treatments on varieties with differing crown ideotypes

    Treesearch

    Lance A. Vickers; Thomas R. Fox; Jose L. Stape; Timothy J. Albaugh

    2012-01-01

    A long-term study has been established to address the following objectives: 1) Evaluate the crown ideotype approach to clonal testing in loblolly pine; 2) Determine impacts of increasing genetic uniformity on growth and uniformity of loblolly pine plantations; 3) Compare growth response, carbon allocation patterns (above and below ground), and ecophysiological...

  18. Students' Perceptions of the Long-Term Impact of Attending a "CSI Science Camp"

    ERIC Educational Resources Information Center

    Yanowitz, Karen L.

    2016-01-01

    A science summer camp is a popular type of informal science experience for youth. While there is no one model of a science camp, these experiences typically allow for more focused and in-depth exploration of different science domains and are usually hands-on and participatory. The goal of this research was to examine the impact of a short science…

  19. Long-term impacts of even-aged timber management on abundance and body condition of terrestrial amphibians in Northwestern California

    Treesearch

    N.E. Karraker; H.H. Welsh Jr

    2006-01-01

    Conservation needs for amphibians in managed timberlands may differ based upon the species present and the timber harvesting methods employed. Clearcuts have been documented to be detrimental to amphibians but the impacts of associated silvicultural edges and alternative harvesting treatments are not well understood. The primary objective of this study was to determine...

  20. Long-term Results of an Analytical Assessment of Student Compounded Preparations

    PubMed Central

    Roark, Angie M.; Anksorus, Heidi N.

    2014-01-01

    Objective. To investigate the long-term (ie, 6-year) impact of a required remake vs an optional remake on student performance in a compounding laboratory course in which students’ compounded preparations were analyzed. Methods. The analysis data for several preparations made by students were compared for differences in the analyzed content of the active pharmaceutical ingredient (API) and the number of students who successfully compounded the preparation on the first attempt. Results. There was a consistent statistical difference in the API amount or concentration in 4 of the preparations (diphenhydramine, ketoprofen, metoprolol, and progesterone) in each optional remake year compared to the required remake year. As the analysis requirement was continued, the outcome for each preparation approached and/or attained the expected API result. Two preparations required more than 1 year to demonstrate a statistical difference. Conclusion. The analytical assessment resulted in a consistent, long-term improvement in student performance during the 5-year period after the optional remake policy was instituted. Our assumption is that investment in such an assessment would result in a similar benefits at other colleges and schools of pharmacy. PMID:26056402

  1. Long-term Results of an Analytical Assessment of Student Compounded Preparations.

    PubMed

    Roark, Angie M; Anksorus, Heidi N; Shrewsbury, Robert P

    2014-11-15

    To investigate the long-term (ie, 6-year) impact of a required remake vs an optional remake on student performance in a compounding laboratory course in which students' compounded preparations were analyzed. The analysis data for several preparations made by students were compared for differences in the analyzed content of the active pharmaceutical ingredient (API) and the number of students who successfully compounded the preparation on the first attempt. There was a consistent statistical difference in the API amount or concentration in 4 of the preparations (diphenhydramine, ketoprofen, metoprolol, and progesterone) in each optional remake year compared to the required remake year. As the analysis requirement was continued, the outcome for each preparation approached and/or attained the expected API result. Two preparations required more than 1 year to demonstrate a statistical difference. The analytical assessment resulted in a consistent, long-term improvement in student performance during the 5-year period after the optional remake policy was instituted. Our assumption is that investment in such an assessment would result in a similar benefits at other colleges and schools of pharmacy.

  2. Active Costorage of Cryogenic Propellants for Exploration

    NASA Technical Reports Server (NTRS)

    Canavan, Edgar R.; Boyle, Rob; Mustafi, Shuvo

    2008-01-01

    Long-term storage of cryogenic propellants is a critical requirement for NASA's effort to return to the moon. Liquid hydrogen and liquid oxygen provide the highest specific impulse of any practical chemical propulsion system, and thus provides the greatest payload mass per unit of launch mass. Future manned missions will require vehicles with the flexibility to remain in orbit for months, necessitating long-term storage of these cryogenic liquids. For decades cryogenic scientific satellites have used cryogens to cool instruments. In many cases, the lifetime of the primary cryogen tank has been extended by intercepting much of the heat incident on the tank at an intermediate-temperature shield cooled either by a second cryogen tank or a mechanical cryocooler. For an LH2/LO2 propellant system, a combination of these ideas can be used, in which the shield around the LO2 tank is attached to, and at the same temperature as, the LO2 tank, but is actively cooled so as to remove all heat impinging on the tank and shield. This configuration eliminates liquid oxygen boil-off and cuts the liquid hydrogen boil-off to a small fraction of the unshielded rate. This paper studies the concept of active costorage as a means of long-term cryogenic propellant storage. The paper describes the design impact of an active costorage system for the Crew Exploration Vehicle (CEV). This paper also compares the spacecraft level impact of the active costorage concept with a passive storage option in relation to two different scales of spacecraft that will be used for the lunar exploration effort, the CEV and the Earth Departure Stage (EDS). Spacecraft level studies are performed to investigate the impact of scaling of the costorage technologies for the different components of the Lunar Architecture and for different mission durations.

  3. Litter quality and its response to water level drawdown in boreal peatlands at plant species and community level

    NASA Astrophysics Data System (ADS)

    Straková, Petra; Anttila, Jani; Spetz, Peter; Kitunen, Veikko; Tapanila, Tarja; Laiho, Raija

    2010-05-01

    There is increasing evidence that changes in the species composition and structure of plant communities induced by global change will have much more impact on plant-mediated carbon cycling than any phenotypic responses. These impacts are largely mediated by shifts in litter quality. There are few documentations of these changes so far, due to the relatively long time scale required for their direct observation. Here, we examine the changes in litter inputs induced by persistent water-level drawdown in boreal peatland sites. Peatlands contain a major proportion of the terrestrial carbon pool, and it is thus important to be able to predict their behaviour and role in the global C cycle under different global change factors. We studied the effects of short-term (ca. 4 years) and long-term (ca. 40 years) persistent water level (WL) drawdown on the quantity and chemical quality of above-ground plant litter inputs at three sites: bog, oligotrophic fen and mesotrophic fen. The parameters used to characterize litter quality included various extractable substances, cellulose, holocellulose, composition of hemicellulose (neutral sugars, uronic acids), lignin, CuO oxidation phenolic products, and concentrations of C, nitrogen (N), phosphorus (P), potassium, magnesium, manganese and calcium. Four different groups of litter were clearly distinct based on their chemical quality: foliar litters, graminoids, mosses and woody litters. The pristine conditions were characterized by Sphagnum moss and graminoid litter. Following short-term WL drawdown, changes in the quality and quantity of litter inputs were small. Following long-term WL drawdown, total litter inputs dramatically increased, due to increased tree litter inputs, and the litter type composition greatly changed. These changes resulted in annual inputs of 1901-2010 kg•ha-1 C, 22-24 kg•ha-1 N, 1.5-2.2 kg•ha-1 P, 967-1235 kg•ha-1 lignin and lignin-like compounds and 254-300 kg•ha-1 water solubles after long-term WL drawdown, compared to respective values of 394-658, 5.6-9.3, 0.22-24.4, 161-293 and 44-81 for the pristine conditions. The direct effects of WL drawdown on litter quality were overruled by the indirect effects via changes in vegetation composition. The short-term (reflecting transient conditions) and long-term (reflecting longer-lasting situation of already adapted ecosystem) effects were very different. Our results imply that the long-term effects will strongly affect the soil properties and C cycle of peatlands.

  4. Transport, fate, and long-term impacts of metal oxide nanoparticles on the stability of an anaerobic methanogenic system with anaerobic granular sludge.

    PubMed

    Li, Huiting; Cui, Fuyi; Liu, Zhiquan; Li, Dapeng

    2017-06-01

    The fate and long-term effect of different metal oxide (TiO 2 , CuO and ZnO) nanoparticles (NPs) on anaerobic granular sludge (AGS) was evaluated in an anaerobic methanogenic system. Operation stability and structural characteristics of the granules were compared, the metabolism changes in the microbial community were quantified, and NPs fate were investigated. CuO NPs had greatest toxic effect on AGS after extended exposure, whereas ZnO NPs benefited methanogenesis temporarily (no more than 5d). The inhibition on AGS caused by NPs varied due to the unique structure of AGS and different toxic mechanism. Structural changes of AGS provided new evidence that tested NPs have different toxicity. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. The influence of flood frequency, riparian vegetation and threshold on long-term river transport capacity

    NASA Astrophysics Data System (ADS)

    Croissant, Thomas; Lague, Dimitri; Davy, Philippe

    2016-04-01

    Climate fluctuations at geological timescales control the capacity of rivers to transport sediment with consequences on geochemical cycles, sedimentary basins dynamics and sedimentation/tectonics interactions. While the impact of differential friction generated by riparian vegetation has been studied for individual flood events, its impact on the long-term sediment transport capacity of rivers, modulated by the frequency of floods remains unknown. Here, we investigate this effect on a simplified river-floodplain configuration obeying observed hydraulic scaling laws. We numerically integrate the full-frequency magnitude distribution of discharge events and its impact on the transport capacity of bedload and suspended material for various level of vegetation-linked differential friction. We demonstrate that riparian vegetation by acting as a virtual confinement of the flow i) increases significantly the instantaneous transport capacity of the river independently of the transport mode and ii) increases the long term bedload transport rates as a function of discharge variability. Our results expose the dominance of flood frequency rather than riparian vegetation on the long term sediment transport capacity. Therefore, flood frequency has to be considered when evaluating long-term bedload transport capacity while floodplain vegetation is important only in high discharge variability regimes. By comparing the transport capacity of unconfined alluvial rivers and confined bedrock gorges, we demonstrate that the latter always presents the highest long term transport capacity at equivalent width and slope. The loss of confinement at the transition between bedrock and alluvial river must be compensated by a widening or a steepening of the alluvial channel to avoid infinite storage. Because steepening is never observed in natural system, we compute the alluvial widening factor value that varies between 3 to 11 times the width of the bedrock channel depending on riparian vegetation and discharge variability. This result is well supported by measurements made in natural river systems in different worldwide locations (Taiwan, Himalayas and New Zealand). Although bank cohesion is often invoked to as a property that sets alluvial river width, we propose unconfinement as another important control factor.

  6. The Price of Fame: The Impact of Stimulus Familiarity on Proactive Interference Resolution

    PubMed Central

    Prabhakaran, Ranjani; Thompson-Schill, Sharon L.

    2013-01-01

    Interference from previously learned information, known as proactive interference (PI), limits our memory retrieval abilities. Previous studies of PI resolution have focused on the role of short-term familiarity, or recency, in causing PI. In the present study, we investigated the impact of long-term stimulus familiarity on PI resolution processes. In two behavioral experiments and one event-related fMRI experiment, long-term familiarity was manipulated through the use of famous and nonfamous stimuli, and short-term familiarity was manipulated through the use of recent and nonrecent probe items in an item recognition task. The right middle frontal gyrus demonstrated greater sensitivity to famous stimuli, suggesting that long-term stimulus familiarity plays a role in influencing PI resolution processes. Further examination of the effect of long-term stimulus familiarity on PI resolution revealed a larger behavioral interference effect for famous stimuli, but only under speeded response conditions. Thus, models of memory retrieval—and of the cognitive control mechanisms that guide retrieval processes—should consider the impact of and interactions among sources of familiarity on multiple time scales. PMID:20429858

  7. The price of fame: the impact of stimulus familiarity on proactive interference resolution.

    PubMed

    Prabhakaran, Ranjani; Thompson-Schill, Sharon L

    2011-04-01

    Interference from previously learned information, known as proactive interference (PI), limits our memory retrieval abilities. Previous studies of PI resolution have focused on the role of short-term familiarity, or recency, in causing PI. In the present study, we investigated the impact of long-term stimulus familiarity on PI resolution processes. In two behavioral experiments and one event-related fMRI experiment, long-term familiarity was manipulated through the use of famous and nonfamous stimuli, and short-term familiarity was manipulated through the use of recent and nonrecent probe items in an item recognition task. The right middle frontal gyrus demonstrated greater sensitivity to famous stimuli, suggesting that long-term stimulus familiarity plays a role in influencing PI resolution processes. Further examination of the effect of long-term stimulus familiarity on PI resolution revealed a larger behavioral interference effect for famous stimuli, but only under speeded response conditions. Thus, models of memory retrieval--and of the cognitive control mechanisms that guide retrieval processes--should consider the impact of and interactions among sources of familiarity on multiple time scales.

  8. Effect of microalgal treatments on pesticides in water.

    PubMed

    Hultberg, Malin; Bodin, Hristina; Ardal, Embla; Asp, Håkan

    2016-01-01

    The effect of the microalgae Chlorella vulgaris on a wide range of different pesticides in water was studied. Treatments included short-term exposure (1 h) to living and dead microalgal biomass and long-term exposure (4 days) to actively growing microalgae. The initial pesticide concentration was 63.5 ± 3.9 µg L(-1). There was no significant overall reduction of pesticides after short-term exposure. A significant reduction of the total amount of pesticides was achieved after the long-term exposure to growing microalgae (final concentration 29.7 ± 1.0 µg L(-1)) compared with the long-term control (37.0 ± 1.2 µg L(-1)). The concentrations of 10 pesticides out of 38 tested were significantly lowered in the long-term algal treatment. A high impact of abiotic factors such as sunlight and aeration for pesticide reduction was observed when the initial control (63.5 ± 3.9 µg L(-1)) and the long-term control (37.0 ± 1.2 µg L(-1)) were compared. The results suggest that water treatment using microalgae, natural inhabitants of polluted surface waters, could be further explored not only for removal of inorganic nutrients but also for removal of organic pollutants in water.

  9. Longitudinal Impact of Hurricane Sandy Exposure on Mental Health Symptoms

    PubMed Central

    Liu, Bian; Taioli, Emanuela

    2017-01-01

    Hurricane Sandy hit the eastern coast of the United States in October 2012, causing billions of dollars in damage and acute physical and mental health problems. The long-term mental health consequences of the storm and their predictors have not been studied. New York City and Long Island residents completed questionnaires regarding their initial Hurricane Sandy exposure and mental health symptoms at baseline and 1 year later (N = 130). There were statistically significant decreases in anxiety scores (mean difference = −0.33, p < 0.01) and post-traumatic stress disorder (PTSD) scores (mean difference = −1.98, p = 0.001) between baseline and follow-up. Experiencing a combination of personal and property damage was positively associated with long-term PTSD symptoms (ORadj 1.2, 95% CI [1.1–1.4]) but not with anxiety or depression. Having anxiety, depression, or PTSD at baseline was a significant predictor of persistent anxiety (ORadj 2.8 95% CI [1.1–6.8], depression (ORadj 7.4 95% CI [2.3–24.1) and PTSD (ORadj 4.1 95% CI [1.1–14.6]) at follow-up. Exposure to Hurricane Sandy has an impact on PTSD symptoms that persists over time. Given the likelihood of more frequent and intense hurricanes due to climate change, future hurricane recovery efforts must consider the long-term effects of hurricane exposure on mental health, especially on PTSD, when providing appropriate assistance and treatment. PMID:28837111

  10. Search for a more adequate test to predict the long-term migration from the PVC gaskets of metal lids into oily foods in glass jars.

    PubMed

    Graubardt, Nadine; Biedermann, Maurus; Fiselier, Katell; Bolzoni, Luciana; Pedrelli, Turno; Cavalieri, Chiara; Simoneau, Cathérine; Grob, Koni

    2009-07-01

    As shown previously, the conventional testing procedure for simulating long-term migration from the gaskets of metal closures into oily foods does not adequately reflect reality. It appears to be impossible to accelerate migration to the extent that the situation at the end of the shelf life of a product can be anticipated in a few days or weeks. Therefore, we investigated whether long-term migration could be extrapolated from migration rates determined for new lids. Jars were kept in the normal upright position. Since heat treatment may have a strong temporary impact, migration during the initial heating for pasteurization or sterilization and storage at ambient temperature were determined using different lids. Commercial products were recalled from sales points throughout Europe to determine the real migration over extended periods of time and for jars with differing histories. This migration was compared with data from the short-term testing to investigate whether an empirical relationship could be derived. The results show that the short-term test enables the comparison of lids and plasticizers in the initial phase of migration, but that long-term extrapolation presupposes more complex kinetic modeling. The results also demonstrate that the legal relevance of "official" testing methods should be reconsidered to avoid conflict when food contact materials comply with migration limits in the test but not in actual application.

  11. Long-term differences in extinction risk among the seven forms of rarity

    PubMed Central

    Harnik, Paul G.; Simpson, Carl; Payne, Jonathan L.

    2012-01-01

    Rarity is widely used to predict the vulnerability of species to extinction. Species can be rare in markedly different ways, but the relative impacts of these different forms of rarity on extinction risk are poorly known and cannot be determined through observations of species that are not yet extinct. The fossil record provides a valuable archive with which we can directly determine which aspects of rarity lead to the greatest risk. Previous palaeontological analyses confirm that rarity is associated with extinction risk, but the relative contributions of different types of rarity to extinction risk remain unknown because their impacts have never been examined simultaneously. Here, we analyse a global database of fossil marine animals spanning the past 500 million years, examining differential extinction with respect to multiple rarity types within each geological stage. We observe systematic differences in extinction risk over time among marine genera classified according to their rarity. Geographic range played a primary role in determining extinction, and habitat breadth a secondary role, whereas local abundance had little effect. These results suggest that current reductions in geographic range size will lead to pronounced increases in long-term extinction risk even if local populations are relatively large at present. PMID:23097507

  12. Long-term differences in extinction risk among the seven forms of rarity.

    PubMed

    Harnik, Paul G; Simpson, Carl; Payne, Jonathan L

    2012-12-22

    Rarity is widely used to predict the vulnerability of species to extinction. Species can be rare in markedly different ways, but the relative impacts of these different forms of rarity on extinction risk are poorly known and cannot be determined through observations of species that are not yet extinct. The fossil record provides a valuable archive with which we can directly determine which aspects of rarity lead to the greatest risk. Previous palaeontological analyses confirm that rarity is associated with extinction risk, but the relative contributions of different types of rarity to extinction risk remain unknown because their impacts have never been examined simultaneously. Here, we analyse a global database of fossil marine animals spanning the past 500 million years, examining differential extinction with respect to multiple rarity types within each geological stage. We observe systematic differences in extinction risk over time among marine genera classified according to their rarity. Geographic range played a primary role in determining extinction, and habitat breadth a secondary role, whereas local abundance had little effect. These results suggest that current reductions in geographic range size will lead to pronounced increases in long-term extinction risk even if local populations are relatively large at present.

  13. Insights into interventions in managing COPD patients: lessons from the TORCH and UPLIFT® studies

    PubMed Central

    Miravitlles, Marc; Anzueto, Antonio

    2009-01-01

    Influencing the progression of COPD has long been an elusive goal of drug therapy. Directly or indirectly, this has again been investigated in two of the largest, long-term drug trials in COPD: Towards a Revolution in COPD Health (TORCH) and Understanding Potential Long-Term Impacts on Function with Tiotropium (UPLIFT®). Neither trial achieved statistical significance in their respective primary outcomes; however, both make considerable contributions to understanding of how the progression of COPD may be influenced. The objective of this article is to review the data from these different trials with a view to what can be learnt about the management of COPD. The long-term improvements in lung function, health-related quality of life, and possibly survival from the use of long-acting bronchodilators in these trials suggest an influence on progression of the disease. With the more optimistic view of benefits from drug treatment of COPD that these trials provide, a review of prescribing practices is warranted. PMID:19516917

  14. Expressing Community through Freedom Market and Visual Connections

    ERIC Educational Resources Information Center

    Larson, Joanne; Hanny, Courtney; Duckles, Joyce; Pham, Hoang; Moses, Robert; Moses, George

    2017-01-01

    Building on a long-term university/community research partnership, this article examines how different ways of conceptualizing, interpreting, and producing murals impacted how an urban community saw itself. Using a participatory action research design, university researchers worked alongside community researchers to ethnographically document the…

  15. Long-term outcome after arterial ischemic stroke in children and young adults.

    PubMed

    Goeggel Simonetti, Barbara; Cavelti, Ariane; Arnold, Marcel; Bigi, Sandra; Regényi, Mária; Mattle, Heinrich P; Gralla, Jan; Fluss, Joel; Weber, Peter; Hackenberg, Annette; Steinlin, Maja; Fischer, Urs

    2015-05-12

    To compare long-term outcome of children and young adults with arterial ischemic stroke (AIS) from 2 large registries. Prospective cohort study comparing functional and psychosocial long-term outcome (≥2 years after AIS) in patients who had AIS during childhood (1 month-16 years) or young adulthood (16.1-45 years) between January 2000 and December 2008, who consented to follow-up. Data of children were collected prospectively in the Swiss Neuropediatric Stroke Registry, young adults in the Bernese stroke database. Follow-up information was available in 95/116 children and 154/187 young adults. Median follow-up of survivors was 6.9 years (interquartile range 4.7-9.4) and did not differ between the groups (p = 0.122). Long-term functional outcome was similar (p = 0.896): 53 (56%) children and 84 (55%) young adults had a favorable outcome (modified Rankin Scale 0-1). Mortality in children was 14% (13/95) and in young adults 7% (11/154) (p = 0.121) and recurrence rate did not differ (p = 0.759). Overall psychosocial impairment and quality of life did not differ, except for more behavioral problems among children (13% vs 5%, p = 0.040) and more frequent reports of an impact of AIS on everyday life among adults (27% vs 64%, p < 0.001). In a multivariate regression analysis, low Pediatric NIH Stroke Scale/NIH Stroke Scale score was the most important predictor of favorable outcome (p < 0.001). There were no major differences in long-term outcome after AIS in children and young adults for mortality, disability, quality of life, psychological, or social variables. © 2015 American Academy of Neurology.

  16. Biogeochemical Research Priorities for Sustainable Biofuel and Bioenergy Feedstock Production in the Americas.

    PubMed

    Gollany, Hero T; Titus, Brian D; Scott, D Andrew; Asbjornsen, Heidi; Resh, Sigrid C; Chimner, Rodney A; Kaczmarek, Donald J; Leite, Luiz F C; Ferreira, Ana C C; Rod, Kenton A; Hilbert, Jorge; Galdos, Marcelo V; Cisz, Michelle E

    2015-12-01

    Rapid expansion in biomass production for biofuels and bioenergy in the Americas is increasing demand on the ecosystem resources required to sustain soil and site productivity. We review the current state of knowledge and highlight gaps in research on biogeochemical processes and ecosystem sustainability related to biomass production. Biomass production systems incrementally remove greater quantities of organic matter, which in turn affects soil organic matter and associated carbon and nutrient storage (and hence long-term soil productivity) and off-site impacts. While these consequences have been extensively studied for some crops and sites, the ongoing and impending impacts of biomass removal require management strategies for ensuring that soil properties and functions are sustained for all combinations of crops, soils, sites, climates, and management systems, and that impacts of biomass management (including off-site impacts) are environmentally acceptable. In a changing global environment, knowledge of cumulative impacts will also become increasingly important. Long-term experiments are essential for key crops, soils, and management systems because short-term results do not necessarily reflect long-term impacts, although improved modeling capability may help to predict these impacts. Identification and validation of soil sustainability indicators for both site prescriptions and spatial applications would better inform commercial and policy decisions. In an increasingly inter-related but constrained global context, researchers should engage across inter-disciplinary, inter-agency, and international lines to better ensure the long-term soil productivity across a range of scales, from site to landscape.

  17. Bilingual Children's Long-Term Outcomes in English as a Second Language: Language Environment Factors Shape Individual Differences in Catching up with Monolinguals

    ERIC Educational Resources Information Center

    Paradis, Johanne; Jia, Ruiting

    2017-01-01

    Bilingual children experience more variation in their language environment than monolingual children and this impacts their rate of language development with respect to monolinguals. How long it takes for bilingual children learning English as a second language (L2) to display similar abilities to monolingual age-peers has been estimated to be 4-6…

  18. Episodic Disturbance from Boat Anchoring Is a Major Contributor to, but Does Not Alter the Trajectory of, Long-Term Coral Reef Decline

    PubMed Central

    Forrester, Graham E.; Flynn, Rebecca L.; Forrester, Linda M.; Jarecki, Lianna L.

    2015-01-01

    Isolating the relative effects of episodic disturbances and chronic stressors on long-term community change is challenging. We assessed the impact of an episodic disturbance associated with human visitation (boat anchoring) relative to other drivers of long-term change on coral reefs. A one-time anchoring event at Crab Cove, British Virgin Islands, in 2004 caused rapid losses of coral and reef structural complexity that were equal to the cumulative decline over 23 years observed at an adjacent site. The abundance of small site-attached reef fishes dropped by approximately one quarter after the anchoring event, but this drop was not immediate and only fully apparent two years after the anchoring event. There was no obvious recovery from the impact, and no evidence that this episodic impact accelerated or retarded subsequent declines from other causes. This apparent lack of synergism between the effect of this episodic human impact and other chronic stressors is consistent with the few other long-term studies of episodic impacts, and suggests that action to mitigate anchor damage should yield predictable benefits. PMID:26717208

  19. Uncertainties in Past and Future Global Water Availability

    NASA Astrophysics Data System (ADS)

    Sheffield, J.; Kam, J.

    2014-12-01

    Understanding how water availability changes on inter-annual to decadal time scales and how it may change in the future under climate change are a key part of understanding future stresses on water and food security. Historic evaluations of water availability on regional to global scales are generally based on large-scale model simulations with their associated uncertainties, in particular for long-term changes. Uncertainties are due to model errors and missing processes, parameter uncertainty, and errors in meteorological forcing data. Recent multi-model inter-comparisons and impact studies have highlighted large differences for past reconstructions, due to different simplifying assumptions in the models or the inclusion of physical processes such as CO2 fertilization. Modeling of direct anthropogenic factors such as water and land management also carry large uncertainties in their physical representation and from lack of socio-economic data. Furthermore, there is little understanding of the impact of uncertainties in the meteorological forcings that underpin these historic simulations. Similarly, future changes in water availability are highly uncertain due to climate model diversity, natural variability and scenario uncertainty, each of which dominates at different time scales. In particular, natural climate variability is expected to dominate any externally forced signal over the next several decades. We present results from multi-land surface model simulations of the historic global availability of water in the context of natural variability (droughts) and long-term changes (drying). The simulations take into account the impact of uncertainties in the meteorological forcings and the incorporation of water management in the form of reservoirs and irrigation. The results indicate that model uncertainty is important for short-term drought events, and forcing uncertainty is particularly important for long-term changes, especially uncertainty in precipitation due to reduced gauge density in recent years. We also discuss uncertainties in future projections from these models as driven by bias-corrected and downscaled CMIP5 climate projections, in the context of the balance between climate model robustness and climate model diversity.

  20. Dealing with the death of a long term patient; what is the impact and how do podiatrists cope?

    PubMed

    Robson, Kristy; Williams, Cylie M

    2017-01-01

    It is common for podiatrists and patients to develop long term professional relationships. Patient's decline in health or death may impact a practitioner's mental wellbeing. This research aimed to understand the impact of long term patient death on podiatrists and identify coping strategies. Australian podiatrists were eligible to participate if they had been practicing longer than 5 years and experienced the death of a long term patient in the previous 12 months. Individual semi-structured interviews were conducted with podiatrists and were audio-recorded, transcribed verbatim and individually analysed to identify key themes. Interpretative phenomenological analysis was used to explore the perceptions of podiatrists on the personal and professional impact following the death of a long term patient. Fifteen podiatrists (11 female) with a median of 15 (range 8-50) years' experience participated. Three major themes emerged: acknowledging connections, willing to share and listen, and creating support through starting the conversation. Participants indicated importance in recognition of the emotional influence of professional-patient relationships. They also discussed the importance of debriefing about death with the right person, which was most commonly colleagues. Participants talked about the emotional impact of death, suggesting the need for supporting discussion and resources, especially for new graduates. Death and dying can be an emotive topic and one which podiatrists may not be prepared for, yet likely to have to deal with throughout their career. These findings enable a better understanding of the impact of patient death and provide possible future directions for the profession to better support podiatrists in this area.

  1. The influence of internal climate variability on heatwave frequency trends

    NASA Astrophysics Data System (ADS)

    E Perkins-Kirkpatrick, S.; Fischer, E. M.; Angélil, O.; Gibson, P. B.

    2017-04-01

    Understanding what drives changes in heatwaves is imperative for all systems impacted by extreme heat. We examine short- (13 yr) and long-term (56 yr) heatwave frequency trends in a 21-member ensemble of a global climate model (Community Earth System Model; CESM), where each member is driven by identical anthropogenic forcings. To estimate changes dominantly due to internal climate variability, trends were calculated in the corresponding pre-industrial control run. We find that short-term trends in heatwave frequency are not robust indicators of long-term change. Additionally, we find that a lack of a long-term trend is possible, although improbable, under historical anthropogenic forcing over many regions. All long-term trends become unprecedented against internal variability when commencing in 2015 or later, and corresponding short-term trends by 2030, while the length of trend required to represent regional long-term changes is dependent on a given realization. Lastly, within ten years of a short-term decline, 95% of regional heatwave frequency trends have reverted to increases. This suggests that observed short-term changes of decreasing heatwave frequency could recover to increasing trends within the next decade. The results of this study are specific to CESM and the ‘business as usual’ scenario, and may differ under other representations of internal variability, or be less striking when a scenario with lower anthropogenic forcing is employed.

  2. Impacts of dwarf mistletoe on the physiology of host Tsuga heterophylla trees as recorded in tree ring C and O stable isotopes

    EPA Science Inventory

    • Dwarf mistletoes, obligate, parasitic plants with diminutive aerial shoots, have long-term effects on host tree water relations, hydraulic architecture, and photosynthetic gas exchange and can eventually induce tree death. • To investigate long-term impacts of dwarf mistletoe...

  3. Immediate and Long-Term Impacts of Child Sexual Abuse.

    ERIC Educational Resources Information Center

    Briere, John N.; Elliott, Diana M.

    1994-01-01

    Summarizes what is currently known about the potential, immediate, and long-term impact of child sexual abuse. The various problems and symptoms described in the literature on child sexual abuse are reviewed in a series of broad categories including posttraumatic stress, cognitive distortions, emotional pain, avoidance, an impaired sense of self,…

  4. Effects of forest harvest on biogeochemical processes in the Caspar Creek watershed

    Treesearch

    Randy A. Dahlgren

    1998-01-01

    Water quality and long-term sustainability are major components addressed within the ecosystem approach to forest management. Forest harvest practices are often implicated as having adverse impacts on sensitive aquatic communities and on the long-term sustainability of forest ecosystems. While careless harvest practices can certainly cause adverse impacts, proper...

  5. 75 FR 46946 - Proposed Collection; Comment Request; Assessing the Long-Term Impacts of the John E. Fogarty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... countries. The primary objective of the study is to develop detailed case studies of the long- term impacts... income countries. The findings will provide valuable information concerning return on the Center's... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; Comment...

  6. Long-term impacts of cropping systems and landscape positions on grain crop production on claypan soils

    USDA-ARS?s Scientific Manuscript database

    Sustainable grain crop production on vulnerable claypan soils requires improved knowledge of long-term impacts of conservation cropping systems (CS) with reduced inputs. Therefore, effects of CS and landscape positions (LP) on corn (Zea mays L.), soybean [Glycine max (L.) Merr.], and wheat (Triticum...

  7. Long-term impact of a precision agriculture system on grain crop production

    USDA-ARS?s Scientific Manuscript database

    Research is lacking on the long-term impacts of field-scale precision agriculture practices on grain production. Following more than a decade (1993-2003) of yield and soil mapping and water quality assessment, a multi-faceted, ‘precision agriculture system’ (PAS) was implemented from 2004 to 2014 on...

  8. A Grateful Recollecting: A Qualitative Study of the Long-Term Impact of Service-Learning on Graduates

    ERIC Educational Resources Information Center

    Fullerton, Ann; Reitenauer, Vicki L.; Kerrigan, Seanna M.

    2015-01-01

    Service-learning practitioners design community engagement activities to affect students in powerful and even transformative ways. This qualitative study explores the long-term impacts (3-16 years after graduation) of participation in a senior-level service-learning course. Through interviews with 20 randomly selected participants, the researchers…

  9. White Paper Summary of 2nd ASTM International Workshop on Hydrides in Zirconium Alloy Cladding

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

    Sindelar, R.; Louthan, M.; PNNL, B.

    2015-05-29

    This white paper recommends that ASTM International develop standards to address the potential impact of hydrides on the long term performance of irradiated zirconium alloys. The need for such standards was apparent during the 2nd ASTM International Workshop on Hydrides in Zirconium Alloy Cladding and Assembly Components, sponsored by ASTM International Committee C26.13 and held on June 10-12, 2014, in Jackson, Wyoming. The potentially adverse impacts of hydrogen and hydrides on the long term performance of irradiated zirconium-alloy cladding on used fuel were shown to depend on multiple factors such as alloy chemistry and processing, irradiation and post irradiation history,more » residual and applied stresses and stress states, and the service environment. These factors determine the hydrogen content and hydride morphology in the alloy, which, in turn, influence the response of the alloy to the thermo-mechanical conditions imposed (and anticipated) during storage, transport and disposal of used nuclear fuel. Workshop presentations and discussions showed that although hydrogen/hydride induced degradation of zirconium alloys may be of concern, the potential for occurrence and the extent of anticipated degradation vary throughout the nuclear industry because of the variations in hydrogen content, hydride morphology, alloy chemistry and irradiation conditions. The tools and techniques used to characterize hydrides and hydride morphologies and their impacts on material performance also vary. Such variations make site-to-site comparisons of test results and observations difficult. There is no consensus that a single material or system characteristic (e.g., reactor type, burnup, hydrogen content, end-of life stress, alloy type, drying temperature, etc.) is an effective predictor of material response during long term storage or of performance after long term storage. Multi-variable correlations made for one alloy may not represent the behavior of another alloy exposed to identical conditions and the material responses to thermo-mechanical exposures will be different depending on the materials and systems used. The discussions at the workshop showed several gaps in the standardization of processes and techniques necessary to assess the long term performance of irradiated zirconium alloy cladding during dry storage and transport. The development of, and adherence to, standards to help bridge these gaps will strengthen the technical basis for long term storage and post-storage operations, provide consistency across the nuclear industry, maximize the value of most observations, and enhance the understanding of behavioral differences among alloys. The need for, and potential benefits of, developing the recommended standards are illustrated in the various sections of this report.« less

  10. Humanities in undergraduate medical education: a literature review.

    PubMed

    Ousager, Jakob; Johannessen, Helle

    2010-06-01

    Humanities form an integral part of undergraduate medical curricula at numerous medical schools all over the world, and medical journals publish a considerable quantity of articles in this field. The aim of this study was to determine the extent to which the literature on humanities in undergraduate medical education seeks to provide evidence of a long-term impact of this integration of humanities in undergraduate medical education. Medline was searched for publications concerning the humanities in undergraduate medical education appearing from January 2000 to December 2008. All articles were manually sorted by the authors. Two hundred forty-five articles were included in the study. Following a qualitative analysis, the references included were categorized as "pleading the case," "course descriptions and evaluations," "seeking evidence of long-term impact," or "holding the horses." Two hundred twenty-four articles out of 245 either praised the (potential) effects of humanities on medical education or described existing or planned courses without offering substantial evidence of any long-term impact of these curricular activities on medical proficiency. Only 9 articles provided evidence of attempts to document long-term impacts using diverse test tools, and 10 articles presented relatively reserved attitudes toward humanities in undergraduate medical education. Evidence on the positive long-term impacts of integrating humanities into undergraduate medical education is sparse. This may pose a threat to the continued development of humanities-related activities in undergraduate medical education in the context of current demands for evidence to demonstrate educational effectiveness.

  11. Climate Change and Macro-Economic Cycles in Pre-Industrial Europe

    PubMed Central

    Pei, Qing; Zhang, David D.; Lee, Harry F.; Li, Guodong

    2014-01-01

    Climate change has been proven to be the ultimate cause of social crisis in pre-industrial Europe at a large scale. However, detailed analyses on climate change and macro-economic cycles in the pre-industrial era remain lacking, especially within different temporal scales. Therefore, fine-grained, paleo-climate, and economic data were employed with statistical methods to quantitatively assess the relations between climate change and agrarian economy in Europe during AD 1500 to 1800. In the study, the Butterworth filter was adopted to filter the data series into a long-term trend (low-frequency) and short-term fluctuations (high-frequency). Granger Causality Analysis was conducted to scrutinize the associations between climate change and macro-economic cycle at different frequency bands. Based on quantitative results, climate change can only show significant effects on the macro-economic cycle within the long-term. In terms of the short-term effects, society can relieve the influences from climate variations by social adaptation methods and self-adjustment mechanism. On a large spatial scale, temperature holds higher importance for the European agrarian economy than precipitation. By examining the supply-demand mechanism in the grain market, population during the study period acted as the producer in the long term, whereas as the consumer in the short term. These findings merely reflect the general interactions between climate change and macro-economic cycles at the large spatial region with a long-term study period. The findings neither illustrate individual incidents that can temporarily distort the agrarian economy nor explain some specific cases. In the study, the scale thinking in the analysis is raised as an essential methodological issue for the first time to interpret the associations between climatic impact and macro-economy in the past agrarian society within different temporal scales. PMID:24516601

  12. Climate change and macro-economic cycles in pre-industrial europe.

    PubMed

    Pei, Qing; Zhang, David D; Lee, Harry F; Li, Guodong

    2014-01-01

    Climate change has been proven to be the ultimate cause of social crisis in pre-industrial Europe at a large scale. However, detailed analyses on climate change and macro-economic cycles in the pre-industrial era remain lacking, especially within different temporal scales. Therefore, fine-grained, paleo-climate, and economic data were employed with statistical methods to quantitatively assess the relations between climate change and agrarian economy in Europe during AD 1500 to 1800. In the study, the Butterworth filter was adopted to filter the data series into a long-term trend (low-frequency) and short-term fluctuations (high-frequency). Granger Causality Analysis was conducted to scrutinize the associations between climate change and macro-economic cycle at different frequency bands. Based on quantitative results, climate change can only show significant effects on the macro-economic cycle within the long-term. In terms of the short-term effects, society can relieve the influences from climate variations by social adaptation methods and self-adjustment mechanism. On a large spatial scale, temperature holds higher importance for the European agrarian economy than precipitation. By examining the supply-demand mechanism in the grain market, population during the study period acted as the producer in the long term, whereas as the consumer in the short term. These findings merely reflect the general interactions between climate change and macro-economic cycles at the large spatial region with a long-term study period. The findings neither illustrate individual incidents that can temporarily distort the agrarian economy nor explain some specific cases. In the study, the scale thinking in the analysis is raised as an essential methodological issue for the first time to interpret the associations between climatic impact and macro-economy in the past agrarian society within different temporal scales.

  13. Two-year impact of the Spanish smoking law on exposure to secondhand smoke: evidence of the failure of the 'Spanish model'.

    PubMed

    López, Maria J; Nebot, Manel; Schiaffino, Anna; Pérez-Ríos, Mónica; Fu, Marcela; Ariza, Carles; Muñoz, Gloria; Fernández, Esteve

    2012-07-01

    Studies evaluating the long-term impact of smoking laws on secondhand smoke (SHS) exposure using airborne markers are scarce. This study aimed to assess the long-term impact of the Spanish smoking law on SHS levels, using a specific and objective marker. Follow-up study, measuring vapour-phase nicotine levels before the implementation of the law and 6, 12 and 24 months after the initial assessment. A total of 443 samples were taken at baseline in eight different regions in offices in the public administration, private sector, universities and hospitality venues. Two years after the law was implemented, the nicotine concentration decreased by a minimum of 60% in public administration, university and private sector offices, as well as in venues where smoking was totally banned. However, nicotine levels significantly increased by 40% in hospitality venues allowing smoking. No significant differences were found in hospitality venues with areas for smokers and non-smokers or in pubs and discotheques. Two years after the smoking law came into force, levels of SHS exposure in the workplace were significantly lower than before the law was implemented. Importantly, however, SHS levels were even higher than before the law was implemented in venues still allowing smoking. The data obtained in this study clearly show that the 'Spanish model' is not protecting the health of hospitality workers and that a complete ban is required. Furthermore, this study highlights the importance of long-term monitoring of compliance with smoking laws over time.

  14. The perceived impact of public involvement in palliative care in a provincial palliative care network in the Netherlands: a qualitative study.

    PubMed

    Haarsma, Frederike; Moser, Albine; Beckers, Manon; van Rijswijk, Henk; Stoffers, Esther; Beurskens, Anna

    2015-12-01

    Public involvement in palliative care is challenging and difficult, because people in need of palliative care are often not capable of speaking up for themselves. Patient representatives advocate for their common interests. The aim of our study was to examine in depth the current practice of public involvement in palliative care. The study was conducted in the province of Limburg in the Netherlands, with six palliative care networks. Study participants were 16 patient representatives and 12 professionals. This study had a descriptive design using qualitative methods: 18 in-depth interviews and three focus groups were conducted. The critical incident technique was used. The data were analysed using an analytical framework based on Arnstein's involvement classification and the process of decision making. Impact categories as well as facilitators and barriers were analysed using content analysis. The perceived impact of public involvement in palliative care in terms of citizen control and partnership is greatest with regard to quality of care, information development and dissemination, and in terms of policymaking with regard to the preparation and implementation phases of decision making. The main difference in perceived impact between patient representatives and professionals relates to the tension between operational and strategic involvement. Patient representatives experienced more impact regarding short-term solutions to practical problems, while professionals perceived great benefits in long-term, strategic processes. Improving public involvement in palliative care requires positive attitudes, open communication, sufficient resources and long-term support, to build a solid basis for pursuing meaningful involvement in the entire decision-making process. © 2014 John Wiley & Sons Ltd.

  15. Long-Term Impact of Valid Case Criterion on Capturing Population-Level Growth under Item Response Theory Equating. Research Report. ETS RR-17-17

    ERIC Educational Resources Information Center

    Deng, Weiling; Monfils, Lora

    2017-01-01

    Using simulated data, this study examined the impact of different levels of stringency of the valid case inclusion criterion on item response theory (IRT)-based true score equating over 5 years in the context of K-12 assessment when growth in student achievement is expected. Findings indicate that the use of the most stringent inclusion criterion…

  16. Assessing Long Term Impact of Phosphorus Fertilization on Phosphorus Loadings Using AnnAGNPS

    EPA Science Inventory

    High phosphorus (P) loss from agricultural fields has been an environmental concern because of potential water quality problems in streams and lakes. To better understand the process of P loss and evaluate the different phosphorus fertilization rates on phosphorus losses, the US...

  17. A Sustainable Early Warning System for Climate Change Impacts on Water Quality Management

    NASA Astrophysics Data System (ADS)

    Lee, T.; Tung, C.; Chung, N.

    2007-12-01

    In this era of rapid social and technological change leading to interesting life complexity and environmental displacement, both positive and negative effects among ecosystems call for a balance in which there are impacts by climate changes. Early warning systems for climate change impacts are necessary in order to allow society as a whole to properly and usefully assimilate the masses of new information and knowledge. Therefore, our research addresses to build up a sustainable early warning mechanism. The main goal is to mitigate the cumulative impacts on the environment of climate change and enhance adaptive capacities. An effective early warning system has been proven for protection. However, there is a problem that estimate future climate changes would be faced with high uncertainty. In general, take estimations for climate change impacts would use the data from General Circulation Models and take the analysis as the Intergovernmental Panel on Climate Change declared. We follow the course of the method for analyzing climate change impacts and attempt to accomplish the sustainable early warning system for water quality management. Climate changes impact not only on individual situation but on short-term variation and long-term gradually changes. This kind characteristic should adopt the suitable warning system for long-term formulation and short- term operation. To continue the on-going research of the long-term early warning system for climate change impacts on water quality management, the short-term early warning system is established by using local observation data for reappraising the warning issue. The combination of long-term and short-term system can provide more circumstantial details. In Taiwan, a number of studies have revealed that climate change impacts on water quality, especially in arid period, the concentration of biological oxygen demand may turn into worse. Rapid population growth would also inflict injury on its assimilative capacity to degenerate. To concern about those items, the sustainable early warning system is established and the initiative fall into the following categories: considering the implications for policies, applying adaptive strategies and informing the new climate changes. By setting up the framework of early warning system expectantly can defend stream area from impacts damaging and in sure the sustainable development.

  18. Interprofessional Communities of Practice in Continuing Medical Education for Promoting and Sustaining Practice Change: A Prospective Cohort Study.

    PubMed

    Barker, Megan; Lecce, Julia; Ivanova, Anna; Zawertailo, Laurie; Dragonetti, Rosa; Selby, Peter

    2018-01-01

    Standard knowledge delivery formats for CME may have limited impact on long-term practice change. A community of practice (CoP) is one tool that may enhance competencies and support practice change. This study explores the utility of an interprofessional CoP as an adjunct to a CME program in tobacco addiction treatment (Training Enhancement in Applied Counselling and Health [TEACH] Project) to promote and sustain practice change. A prospective cohort design was utilized to examine the long-term impact of the TEACH CoP on practice change. An online survey was administered to TEACH-trained practitioners to assess perceived feasibility, importance, and confidence related to course competencies, involvement in TEACH CoP activities, engagement in knowledge transfer (KT), and implementation of new programming. Chi-square tests were used to detect differences in KT and program development associated with CoP participation. Course competency scores from immediate postcourse surveys and long-term follow-up surveys were compared. No significant differences in participant characteristics were found between those who did (n = 300) and did not (n = 122) participate in the TEACH CoP. Mean self-perceived competency scores were greater immediately after course than at long-term follow-up; however, self-ratings of competency in pharmacological interventions and motivational interviewing were higher at follow-up. TEACH CoP participation was associated with significantly greater engagement in KT and implementation of new programming after training. The findings from this evaluation suggest the value of interprofessional CoPs offered posttraining as a mechanism to enhance practice. CME providers should consider offering CoPs as a component of training programs to promote and sustain practice change.

  19. Factors Associated with the Effectiveness of Continuing Education in Long-Term Care

    ERIC Educational Resources Information Center

    Stolee, Paul; Esbaugh, Jacquelin; Aylward, Sandra; Cathers, Tamzin; Harvey, David P.; Hillier, Loretta M.; Keat, Nancy; Feightner, John W.

    2005-01-01

    Purpose: This article examines factors within the long-term-care work environment that impact the effectiveness of continuing education. Design & Methods: In Study 1, focus group interviews were conducted with staff and management from urban and rural long-term-care facilities in southwestern Ontario to identify their perceptions of the…

  20. Rocky Flats Environmental Technology Site Ecological Monitoring Program 1995 annual report

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

    NONE

    1995-05-31

    The Ecological Monitoring Program (ECMP) was established at the Rocky Flats Environmental Technology Site (Site) in September 1992. At that time, EcMP staff developed a Program Plan that was peer-reviewed by scientists from western universities before submittal to DOE RFFO in January 1993. The intent of the program is to measure several quantitative variables at different ecological scales in order to characterize the Rocky Flats ecosystem. This information is necessary to document ecological conditions at the Site in impacted and nonimpacted areas to determine if Site practices have had ecological impacts, either positive or negative. This information can be usedmore » by managers interested in future use scenarios and CERCLA activities. Others interested in impact analysis may also find the information useful. In addition, these measurements are entered into a database which will serve as a long-term information repository that will document long-term trends and potential future changes to the Site, both natural and anthropogenic.« less

  1. Lack of Evidence That Neural Empathic Responses Are Blunted in Excessive Users of Violent Video Games: An fMRI Study.

    PubMed

    Szycik, Gregor R; Mohammadi, Bahram; Münte, Thomas F; Te Wildt, Bert T

    2017-01-01

    The use of violent video games has been often linked to increase of aggressive behavior. According to the General Aggression Model, one of the central mechanisms for this aggressiveness inducing impact is an emotional desensitization process resulting from long lasting repeated violent game playing. This desensitization should evidence itself in a lack of empathy. Recent research has focused primarily on acute, short term impact of violent media use but only little is known about long term effects. In this study 15 excessive users of violent games and control subjects matched for age and education viewed pictures depicting emotional and neutral situations with and without social interaction while fMRI activations were obtained. While the typical pattern of activations for empathy and theory of mind networks was seen, both groups showed no differences in brain responses. We interpret our results as evidence against the desensitization hypothesis and suggest that the impact of violent media on emotional processing may be rather acute and short-lived.

  2. Students' Perceptions of the Long-Term Impact of Attending a "CSI Science Camp"

    NASA Astrophysics Data System (ADS)

    Yanowitz, Karen L.

    2016-12-01

    A science summer camp is a popular type of informal science experience for youth. While there is no one model of a science camp, these experiences typically allow for more focused and in-depth exploration of different science domains and are usually hands-on and participatory. The goal of this research was to examine the impact of a short science camp program approximately 1 year after students attended the camp. Overall, the results revealed that attending a 2-day forensic science camp had a positive and continuing influence on the participants. Students' science self-efficacy increased immediately after attending the camp and remained higher than pre-camp levels approximately 1 year later. Students were able to articulate why they believed the camp had a long-term impact on their lives. Furthermore, participants attributed a higher level of engaging in additional informal STEM-related activities during the academic year as a result of attending the camp.

  3. The Consequences of the Consequences

    PubMed Central

    Carragher, Marcella; Foster, Abby

    2017-01-01

    Understanding the impact of the environment on the participation of people with aphasia depends on one's perspective. A long-term perspective provides a unique insight into the myriad of ways in which the environment can influence the participation of people living with aphasia over decades. In this article, the authors present the real-life story of “Hank,” who has lived with aphasia for more than 15 years. The authors consider how 2 different conceptual frameworks—the International Classification of Functioning, Disability and Health and the Social Determinants of Health—account for Hank's experience. The International Classification of Functioning, Disability and Health is useful to conceptualize the range of factors that influence living with aphasia at a particular point in time. In contrast, the Social Determinants of Health is useful to conceptualize the cumulative impact of living with aphasia on long-term health and well-being. Viewing aphasia as a social condition that impacts social determinants of health has potentially wide ranging implications for service design and delivery and the role of speech–language pathologists. PMID:28232769

  4. Impact of SSRI Therapy on Risk of Conversion From Mild Cognitive Impairment to Alzheimer's Dementia in Individuals With Previous Depression.

    PubMed

    Bartels, Claudia; Wagner, Michael; Wolfsgruber, Steffen; Ehrenreich, Hannelore; Schneider, Anja

    2018-03-01

    Depression is associated with an increased risk of Alzheimer's disease. Research has shown that the selective serotonin reuptake inhibitor (SSRI) citalopram decreases amyloid-β generation and plaque load. The authors evaluated the impact of SSRI treatment on CSF biomarkers and progression from mild cognitive impairment (MCI) to Alzheimer's dementia. Data sets from 755 currently nondepressed participants from the longitudinal Alzheimer's Disease Neuroimaging Initiative were evaluated by Kaplan-Meier analysis and analyses of variance and covariance with ApoE4 status and age as covariates. In MCI patients with a history of depression, long-term SSRI treatment (>4 years) was significantly associated with a delayed progression to Alzheimer's dementia by approximately 3 years, compared with short-term SSRI treatment, treatment with other antidepressants, or no treatment and compared with MCI patients without a history of depression. No differences in CSF biomarker levels were observed between treatment groups. Long-term SSRI treatment may delay progression from MCI to Alzheimer's dementia.

  5. Dietary guidelines in type 2 diabetes: the Nordic diet or the ketogenic diet?

    PubMed

    Magnusdottir, Ola K; Gunnarsdottir, Ingibjorg; Birgisdóttir, Bryndís E

    2017-10-01

    To highlight recent developments in research regarding nutrition therapies for type 2 diabetes mellitus (T2DM) with a focus on the different approaches of the Nordic diet and the ketogenic diet. Recent short-term studies have revealed that similar beneficial outcomes are seen after different dietary treatments for T2DM, with different approaches resulting in comparable weight loss and impacts on metabolic factors. More individualized approaches in nutrition therapy should be considered for T2DM patients and clinical guidelines should reflect this. More studies, especially long-term studies, are urgently needed on the impacts of the diets on different health parameters. Such studies should be prioritized because of the high and increasing prevalence of T2DM and because dietary changes may have greater benefits than previously thought. Furthermore, studies that focus on patient compliance to different types of diets, and personal and environmental factors that may affect compliance, are needed.

  6. Impact of Different Elastomer Formulations on Moisture Permeation through Stoppers Used for Lyophilized Products Stored under Humid Conditions.

    PubMed

    Sasaki, Hitoshi; Kikuchi, Jun; Maeda, Terutoshi; Kuboniwa, Hitoshi

    2010-01-01

    The purpose of this study was to evaluate the effect of moisture permeability of different elastomer formulation stoppers, which had different moisture absorption abilities, on the increase of moisture content inside lyophilized vials during long-term storage under humid conditions. Two different elastomer formulation stoppers (high-moisture and low-moisture uptake stoppers) were compared. The increased amount of moisture content inside lyophilized vials fitted with high-moisture stoppers was higher than those fitted with low-moisture stoppers during the early stage of storage. However, this trend was reversed during the later stage of storage. Our data show that the moisture increase inside the lyophilized vials at the early stage was caused by moisture transfer from the stoppers, whereas the later moisture increase was caused by external moisture permeation through the stoppers. Results indicate that the difference in the moisture uptake profile inside the lyophilized vials at each period of storage was caused by the moisture absorption ability and moisture permeation ability of the two elastomer formulation stoppers. In terms of long-term storage stability under humid conditions, our data indicate that external moisture permeating through the stopper into the lyophilized vial during the late stage was the more important factor. In addition, the increase in moisture content at the early stage was controlled by stopper drying time. Furthermore, stopper drying time did not have an effect on moisture permeation at the late stage. Moisture permeation during the storage period appears to be dependent on the different elastomer formulations of the stoppers. The moisture permeation of different elastomer stoppers was an important factor in terms of the increased moisture content inside the lyophilized vials during the late stage of long-term storage under humid conditions. For lyophilized products stored at room temperature, the moisture permeation ability of the stopper is one of the most important factors for long-term storage stability.

  7. Background ozone in North China: trends, photochemical and transport impacts

    NASA Astrophysics Data System (ADS)

    Xu, X.; Lin, W.; Ge, B.

    2011-12-01

    Tropospheric ozone is one of the key greenhouse gases and plays an important role in atmospheric chemistry. Being a strong oxidant, ozone in the surface layer has significant impacts on human and vegetation health. Long-term measurements of surface ozone are highly needed for climate change assessment and environmental policy-making. Such measurements are scarce, particularly from the background regions. Since 2004, surface ozone and some related reactive gases have been observed at Shangdianzi (SDZ), a Global Atmosphere Watch (GAW) station in North China. Located at the north edge of the Northern China Plain (NCP), the SDZ station is an ideal site for capturing polluted air masses from the NCP sector (southwest) and clean air masses from the background sector (northeast). This facilitates the investigation of impacts of regional transport on surface ozone. In this study, we present long-term measurements of surface ozone made at SDZ, discuss the trends of surface ozone levels in different seasons. Results about the observation-based ozone production efficiency (OPE) for the site will be presented, along with impacts from horizontal and vertical air transport.

  8. Background ozone in North China: trends, photochemical and transport impacts

    NASA Astrophysics Data System (ADS)

    Xu, X.; Lin, W.; Ge, B.

    2012-04-01

    Tropospheric ozone is one of the key greenhouse gases and plays an important role in atmospheric chemistry. Being a strong oxidant, ozone in the surface layer has significant impacts on human and vegetation health. Long-term measurements of surface ozone are highly needed for climate change assessment and environmental policy-making. Such measurements are scarce, particularly from the background regions. Since 2004, surface ozone and some related reactive gases have been observed at Shangdianzi (SDZ), a Global Atmosphere Watch (GAW) station in North China. Located at the north edge of the Northern China Plain (NCP), the SDZ station is an ideal site for capturing polluted air masses from the NCP sector (southwest) and clean air masses from the background sector (northeast). This facilitates the investigation of impacts of regional transport on surface ozone. In this study, we present long-term measurements of surface ozone made at SDZ, discuss the trends of surface ozone levels in different seasons. Results about the observation-based ozone production efficiency (OPE) for the site will be presented, along with impacts from horizontal and vertical air transport.

  9. Long-Term Impacts of the Chicago School Readiness Project on Children's Behavior in Kindergarten: The Moderating Role of Child Baseline Characteristics and Kindergarten School Quality

    ERIC Educational Resources Information Center

    Jones, Stephanie M.; Zhai, Fuhua; Raver, C. Cybele

    2010-01-01

    This paper investigates the long-term impact of participation in the Chicago School Readiness Project (CSRP) during the Head Start year on children's behavioral outcomes at the end of their Kindergarten year. The primary questions addressed in the paper are: (1) What is the experimental impact of CSRP on two-year change (from Fall Head Start to…

  10. Ecotone analysis: assessing the impact of vehicle transit on saltmarsh crab population and ecosystem.

    PubMed

    Trave, Claudia; Sheaves, Marcus

    2014-01-01

    The frequent transit of vehicles (recreational or not) through saltpans and saltmarsh fields has been recorded as one of the major causes of physical and ecological damage for these environments. While several studies have been carried out to assess the consequence of this anthropogenic activity on the different local plant species, little is known on its long-term impact on the faunal community. Invertebrates, such as crabs, provide several essential ecological services, and their presence and abundance are tightly connected to that of the saltmarsh plants. Decrease of vegetative cover due to vehicle transit is likely to cause alterations in the morphology and the composition of the saltmarsh ecosystem. In this study we evaluate presence and distribution of the main crustacean species in several impacted sites in Townsville area (Queensland, Australia), to determine possible correlation between vehicle tracks alterations and crab distribution, as well as investigate any possible habitat shift in the mid- and long-term. Results indicate that reduction of plant cover affects species composition and distribution, with different effects based on the unique characteristics of each crab species analysed, resulting in an overall alteration of the assemblage structure.

  11. Individual based, long term monitoring of acacia trees in hyper arid zone: Integration of a field survey and a remote sensing approach

    NASA Astrophysics Data System (ADS)

    Isaacson, Sivan; Blumberg, Dan G.; Ginat, Hanan; Shalmon, Benny

    2013-04-01

    Vegetation in hyper arid zones is very sparse as is. Monitoring vegetation changes in hyper arid zones is important because any reduction in the vegetation cover in these areas can lead to a considerable reduction in the carrying capacity of the ecological system. This study focuses on the impact of climate fluctuations on the acacia population in the southern Arava valley, Israel. The period of this survey includes a sequence of dry years with no flashfloods in most of the plots that ended in two years with vast floods. Arid zone acacia trees play a significant role in the desert ecosystem by moderating the extreme environmental conditions including radiation, temperature, humidity and precipitation. The trees also provide nutrients for the desert dwellers. Therefore, acacia trees in arid zones are considered to be `keystone species', because they have major influence over both plants and animal species, i.e., biodiversity. Long term monitoring of the acacia tree population in this area can provide insights into long term impacts of climate fluctuations on ecosystems in arid zones. Since 2000, a continuous yearly based survey on the three species of acacia population in seven different plots is conducted in the southern Arava (established by Shalmon, ecologist of the Israel nature and parks authority). The seven plots representing different ecosystems and hydrological regimes. A yearly based population monitoring enabled us to determine the mortality and recruitment rate of the acacia populations as well as growing rates of individual trees. This survey provides a unique database of the acacia population dynamics during a sequence of dry years that ended in a vast flood event during the winter of 2010. A lack of quantitative, nondestructive methods to estimate and monitor stress status of the acacia trees, led us to integrate remote sensing tools (ground and air-based) along with conventional field measurements in order to develop a long term monitoring of acacia trees in hyper arid zones. This study includes further work on the development of ground based remote sensing as a new tool to monitor stress indicators as part of long term ecological research. Since acacia trees are long lived, we were able to identify individual trees in satellite images from 1968 (corona) and expand our monitoring "into the past". Remote sensing expands the spatial and temporal database and is thus a powerful tool for long term monitoring in arid zones, where access is limited and long-term ground data are rare.

  12. Environmental analysis in the selection of alternative corridors in a long-distance linear project: a methodological proposal.

    PubMed

    Rescia, Alejandro J; Astrada, Elizabeth N; Bono, Julieta; Blasco, Carlos A; Meli, Paula; Adámoli, Jorge M

    2006-08-01

    A linear engineering project--i.e. a pipeline--has a potential long- and short-term impact on the environment and on the inhabitants therein. We must find better, less expensive, and less time-consuming ways to obtain information on the environment and on any modifications resulting from anthropic activity. We need scientifically sound, rapid and affordable assessment and monitoring methods. Construction companies, industries and the regulating government organisms lack the resources needed to conduct long-term basic studies of the environment. Thus there is a need to make the necessary adjustments and improvements in the environmental data considered useful for this development project. More effective and less costly methods are generally needed. We characterized the landscape of the study area, situated in the center and north-east of Argentina. Little is known of the ecology of this region and substantial research is required in order to develop sustainable uses and, at the same time, to develop methods for reducing impacts, both primary and secondary, resulting from anthropic activity in this area. Furthermore, we made an assessment of the environmental impact of the planned linear project, applying an ad hoc impact index, and we analyzed the different alternatives for a corridor, each one of these involving different sections of the territory. Among the alternative corridors considered, this study locates the most suitable ones in accordance with a selection criterion based on different environmental and conservation aspects. We selected the corridor that we considered to be the most compatible--i.e. with the least potential environmental impact--for the possible construction and operation of the linear project. This information, along with suitable measures for mitigating possible impacts, should be the basis of an environmental management plan for the design process and location of the project. We pointed out the objectivity and efficiency of this methodological approach, along with the possibility of integrating the information in order to allow for the application thereof in this type of study.

  13. Impact of haze from forest fire to respiratory health: Indonesian experience.

    PubMed

    Aditama, T Y

    2000-06-01

    This paper will describe the impact on the human lung of haze from forest fires in Indonesia based on data collected from different provinces. Data were collected from personal reports from pulmonologists working in the area as well as from province/district health offices and hospitals. These data show that there was a significant impact of haze to the human lung. There was a significant increase in respiratory conditions, lung function complaints and other related impacts. Further studies, especially cohort studies, should be undertaken so that the long-term' impact of pollution from forest fires can be known.

  14. Impact of Short- and Long-term Tai Chi Mind-Body Exercise Training on Cognitive Function in Healthy Adults: Results From a Hybrid Observational Study and Randomized Trial.

    PubMed

    Walsh, Jacquelyn N; Manor, Brad; Hausdorff, Jeffrey; Novak, Vera; Lipsitz, Lewis; Gow, Brian; Macklin, Eric A; Peng, Chung-Kang; Wayne, Peter M

    2015-07-01

    Cognitive decline amongst older adults is a significant public health concern. There is growing interest in behavioral interventions, including exercise, for improving cognition. Studies to date suggest tai chi (TC) may be a safe and potentially effective exercise for preserving cognitive function with aging; however, its short-term and potential long-term impact on physically active, healthy adults is unclear. To compare differences in cognitive function among long-term TC expert practitioners and age-matched and gender-matched TC-naïve adults and to determine the effects of short-term TC training on measures of cognitive function in healthy, nonsedentary adults. A hybrid design including an observational comparison and a 2-arm randomized clinical trial (RCT). Healthy, nonsedentary, TC-naive adults (50 y-79 y) and age-matched and gender-matched long-term TC experts. A cross-sectional comparison of cognitive function in healthy TC-naïve (n=60) and TC expert (24.5 y ÷ 12 y experience; n=27) adults: TC-naïve adults then completed a 6-month, 2-arm, wait-list randomized clinical trial of TC training. Six measures of cognitive function were assessed for both cross-sectional and longitudinal comparisons. TC experts exhibited trends towards better scores on all cognitive measures, significantly so for category fluency (P=.01), as well as a composite z score summarizing all 6 cognitive assessments (P=.03). In contrast, random assignment to 6 months of TC training in TC-naïve adults did not significantly improve any measures of cognitive function. In healthy nonsedentary adults, long-term TC training may help preserve cognitive function; however, the effect of short-term TC training in healthy adults remains unclear. ClinicalTrials.gov NCT01340365.

  15. Using Probabilistic Methods in Water Scarcity Assessments: A First Step Towards a Water Scarcity Risk Assessment Framework

    NASA Technical Reports Server (NTRS)

    Veldkamp, Ted; Wada, Yoshihide; Aerts, Jeroen; Ward, Phillip

    2016-01-01

    Water scarcity -driven by climate change, climate variability, and socioeconomic developments- is recognized as one of the most important global risks, both in terms of likelihood and impact. Whilst a wide range of studies have assessed the role of long term climate change and socioeconomic trends on global water scarcity, the impact of variability is less well understood. Moreover, the interactions between different forcing mechanisms, and their combined effect on changes in water scarcity conditions, are often neglected. Therefore, we provide a first step towards a framework for global water scarcity risk assessments, applying probabilistic methods to estimate water scarcity risks for different return periods under current and future conditions while using multiple climate and socioeconomic scenarios.

  16. Living-donor liver transplantation at the University of Tokyo, 1996-2011: the impact of HLA matching and a positive crossmatch on long-term survival and tolerance.

    PubMed

    Waki, K; Sugawara, Y; Mizuta, K; Fujita, H; Kadowaki, T; Kokudo, N

    2011-01-01

    We analyzed a single center's experience during 16 years of living-donor liver transplantation (LDLT). The impacts of HLA mismatches and positive crossmatches on long term outcomes and tolerance were evaluated. This study was of primary LDLTs of consecutive patients from January 1996 to December 2011; re-transplants were not included. Long-term survival was compared by primary disease, number of HLA mismatches, and crossmatches. Demographics and complications after transplantation between pediatric recipients who achieved clinical operational tolerance and those who did not were compared. One-year liver graft survival rates for adult and pediatric cases were 90.4% and 91.9%, respectively; the 5-year rates were 83.1% and 89.2%, respectively; the 10-year rates were 79.7% and 89.2%, respectively; and 15-year rates were 65.9% and 83.8%, respectively. For the grafts that survived more than one year, the 10-year rates for adult and pediatric cases were 88.2% and 97.0%, respectively. The 10-year rates for adult LDLT in 0 mismatches, 1-2 mismatches, 3-4 mismatches, and 5-6 mismatches were 79.2%, 86.8%, 77.4%, and 69.4%, respectively. Although the survival rates were not significantly different, the survival rates were lowest in LDLT recipients with 5-6 HLA mismatches. Ten-year liver graft survival rates for adult LDLT with negative T-cell crossmatch, and positive T-cell crossmatch were 80.0% and 71.1%, respectively. The 1-year liver graft survival rates for adult LDLT with negative B-cell crossmatch, and positive B-cell crossmatch were 90.6% and 88.2%, respectively. None of the factors--age of recipients and donors, primary disease, donor gender, relationship of donors to recipients, positive crossmatches, or number of HLA mismatches--was significantly different between COT and non-COT recipients, except for recipient gender (p = 0.01); in COT cases, there were more female recipients (88.9%) than male (11.1%). Post-transplant complications--acute rejection rate in one year post-transplant, biliary complications rate, and vascular complication rate--were not significantly different between COT and non-COT recipients. High long-term survival was achieved by both adult and pediatric recipients. Even higher survival can be achieved by improving early graft loss. Further studies are necessary to determine the impact of HLA mismatches and positive crossmatches on long-term outcomes and tolerance.

  17. Effects of diurnal adjustment on biases and trends derived from inter-sensor calibrated AMSU-A data

    NASA Astrophysics Data System (ADS)

    Chen, H.; Zou, X.; Qin, Z.

    2018-03-01

    Measurements of brightness temperatures from Advanced Microwave Sounding Unit-A (AMSU-A) temperature sounding instruments onboard NOAA Polarorbiting Operational Environmental Satellites (POES) have been extensively used for studying atmospheric temperature trends over the past several decades. Intersensor biases, orbital drifts and diurnal variations of atmospheric and surface temperatures must be considered before using a merged long-term time series of AMSU-A measurements from NOAA-15, -18, -19 and MetOp-A.We study the impacts of the orbital drift and orbital differences of local equator crossing times (LECTs) on temperature trends derivable from AMSU-A using near-nadir observations from NOAA-15, NOAA-18, NOAA-19, and MetOp-A during 1998-2014 over the Amazon rainforest. The double difference method is firstly applied to estimation of inter-sensor biases between any two satellites during their overlapping time period. The inter-calibrated observations are then used to generate a monthly mean diurnal cycle of brightness temperature for each AMSU-A channel. A diurnal correction is finally applied each channel to obtain AMSU-A data valid at the same local time. Impacts of the inter-sensor bias correction and diurnal correction on the AMSU-A derived long-term atmospheric temperature trends are separately quantified and compared with those derived from original data. It is shown that the orbital drift and differences of LECTamong different POESs induce a large uncertainty in AMSU-A derived long-term warming/cooling trends. After applying an inter-sensor bias correction and a diurnal correction, the warming trends at different local times, which are approximately the same, are smaller by half than the trends derived without applying these corrections.

  18. Faculty Development in Higher Education: Long-Term Impact of a Summer Teaching and Learning Workshop

    ERIC Educational Resources Information Center

    Persellin, Diane; Goodrick, Terry

    2010-01-01

    Past participants of the Associated Colleges of the South Summer Teaching and Learning Workshop were surveyed to determine long-term impact of this type of professional development experience. Results indicate a large majority of participants across rank and academic discipline continued to view the workshop as effective and valued feedback from…

  19. Field-scale monitoring of the long-term impact and sustainability of drainage water reuse using ECa-directed soil sampling

    USDA-ARS?s Scientific Manuscript database

    Diminishing freshwater resources have brought attention to the reuse of degraded water as a water resource rather than a disposal problem. Drainage water from tile-drained, irrigated agricultural land is degraded water that is often in large supply, but the long-term impact and sustainability of it...

  20. Child Abuse in Religiously-Affiliated Institutions: Long-Term Impact on Men's Mental Health

    ERIC Educational Resources Information Center

    Wolfe, David A.; Francis, Karen J.; Straatman, Anna-Lee

    2006-01-01

    Objective: To describe the long-term impact of physical and sexual abuse of boys by someone in a trusting, non-familial relationship. This clinical study reports on the psychological functioning of men (N=76) with substantiated claims against a residential religiously-affiliated institution for multiple and severe incidents of sexual, physical,…

  1. The Long-Term Impact of Admission Policies: A Comparative Study of Two Emergent Research Institutions in Texas

    ERIC Educational Resources Information Center

    Crisp, Gloria; Horn, Catherine; Dizinno, Gerry; Barlow, Libby

    2013-01-01

    The present study explored the long-term impact of admission policies at two aspiring research institutions in Texas. Six years of longitudinal institutional data were analyzed for all full-time first time in college undergraduate students at both universities. Descriptive and inferential statistics were used to identify relationships and…

  2. Impacts of Early Childhood Education on Medium- and Long-Term Educational Outcomes

    ERIC Educational Resources Information Center

    McCoy, Dana Charles; Yoshikawa, Hirokazu; Ziol-Guest, Kathleen M.; Duncan, Greg J.; Schindler, Holly S.; Magnuson, Katherine; Yang, Rui; Koepp, Andrew; Shonkoff, Jack P.

    2017-01-01

    Despite calls to expand early childhood education (ECE) in the United States, questions remain regarding its medium- and long-term impacts on educational outcomes. We use meta-analysis of 22 high-quality experimental and quasi-experimental studies conducted between 1960 and 2016 to find that on average, participation in ECE leads to statistically…

  3. Effects of two prairie dog rodenticides on ground-dwelling invertebrates in western South Dakota

    Treesearch

    Michele S. Deisch; Daniel W. Uresk; Raymond L. Linder

    1989-01-01

    Immediate and long-term effects of 3 rodenticide treatments on nontarget invertebrates were evaluated on prairie dog colonies. Immediate impacts indicated zinc phosphide reduced ants, strychnine alone reduced wolf spiders, and prebaited strychnine had no impacts. Long-term changes showed increases in wolf spiders and ground beetles and densities were contributed to...

  4. Evaluating Indicator-Based Methods of "Measuring Long-Term Impacts of a Science Center on Its Community"

    ERIC Educational Resources Information Center

    Jensen, Eric Allen

    2016-01-01

    This article addresses some of the challenges faced when attempting to evaluate the long-term impact of informal science learning interventions. To contribute to the methodological development of informal science learning research, we critically examine (Falk and Needham (2011) "Journal of Research in Science Teaching," 48: 1-12.) study…

  5. Impact of Chronic Neonicotinoid Exposure on Honeybee Colony Performance and Queen Supersedure

    PubMed Central

    Sandrock, Christoph; Tanadini, Matteo; Tanadini, Lorenzo G.; Fauser-Misslin, Aline; Potts, Simon G.; Neumann, Peter

    2014-01-01

    Background Honeybees provide economically and ecologically vital pollination services to crops and wild plants. During the last decade elevated colony losses have been documented in Europe and North America. Despite growing consensus on the involvement of multiple causal factors, the underlying interactions impacting on honeybee health and colony failure are not fully resolved. Parasites and pathogens are among the main candidates, but sublethal exposure to widespread agricultural pesticides may also affect bees. Methodology/Principal Findings To investigate effects of sublethal dietary neonicotinoid exposure on honeybee colony performance, a fully crossed experimental design was implemented using 24 colonies, including sister-queens from two different strains, and experimental in-hive pollen feeding with or without environmentally relevant concentrations of thiamethoxam and clothianidin. Honeybee colonies chronically exposed to both neonicotinoids over two brood cycles exhibited decreased performance in the short-term resulting in declining numbers of adult bees (−28%) and brood (−13%), as well as a reduction in honey production (−29%) and pollen collections (−19%), but colonies recovered in the medium-term and overwintered successfully. However, significantly decelerated growth of neonicotinoid-exposed colonies during the following spring was associated with queen failure, revealing previously undocumented long-term impacts of neonicotinoids: queen supersedure was observed for 60% of the neonicotinoid-exposed colonies within a one year period, but not for control colonies. Linked to this, neonicotinoid exposure was significantly associated with a reduced propensity to swarm during the next spring. Both short-term and long-term effects of neonicotinoids on colony performance were significantly influenced by the honeybees’ genetic background. Conclusions/Significance Sublethal neonicotinoid exposure did not provoke increased winter losses. Yet, significant detrimental short and long-term impacts on colony performance and queen fate suggest that neonicotinoids may contribute to colony weakening in a complex manner. Further, we highlight the importance of the genetic basis of neonicotinoid susceptibility in honeybees which can vary substantially. PMID:25084279

  6. Model-Based Analysis of the Long-Term Effects of Fertilization Management on Cropland Soil Acidification.

    PubMed

    Zeng, Mufan; de Vries, Wim; Bonten, Luc T C; Zhu, Qichao; Hao, Tianxiang; Liu, Xuejun; Xu, Minggang; Shi, Xiaojun; Zhang, Fusuo; Shen, Jianbo

    2017-04-04

    Agricultural soil acidification in China is known to be caused by the over-application of nitrogen (N) fertilizers, but the long-term impacts of different fertilization practices on intensive cropland soil acidification are largely unknown. Here, we further developed the soil acidification model VSD+ for intensive agricultural systems and validated it against observed data from three long-term fertilization experiments in China. The model simulated well the changes in soil pH and base saturation over the last 20 years. The validated model was adopted to quantify the contribution of N and base cation (BC) fluxes to soil acidification. The net NO 3 - leaching and NO 4 + input accounted for 80% of the proton production under N application, whereas one-third of acid was produced by BC uptake when N was not applied. The simulated long-term (1990-2050) effects of different fertilizations on soil acidification showed that balanced N application combined with manure application avoids reduction of both soil pH and base saturation, while application of calcium nitrate and liming increases these two soil properties. Reducing NH 4 + input and NO 3 - leaching by optimizing N management and increasing BC inputs by manure application thus already seem to be effective approaches to mitigating soil acidification in intensive cropland systems.

  7. Internal displacement and health among the Palestinian minority in Israel.

    PubMed

    Daoud, Nihaya; Shankardass, Ketan; O'Campo, Patricia; Anderson, Kim; Agbaria, Ayman K

    2012-04-01

    Long term health impacts of internal displacement (ID) resulting from political violence are not well documented or understood. One such case is the ID of 300,000-420,000 Palestinian citizens of Israel and their descendants during the Nakba of 1948 (Palestinian Catastrophe). We aim to document the long term health impacts of this ID. We draw on data collected in 2005 from a nationwide random sample of 902 individuals aged 30-70. Research participants were interviewed in person after being selected through a multistage sampling procedure. About 24% of participants reported that either they or their families had been internally displaced. Palestinian internally displaced persons (IDPs), that is, those who were forcibly displaced and dispossessed from their homes and lands during the Nakba and its aftermath, as well as their families and descendants, and who reside within the current borders of Israel, had an odds ratio of 1.45 (95% CI = 1.02-2.07) for poor self-rated health (SRH) compared to non-IDPs after controlling for demographic, socioeconomic and psychosocial factors. No difference was found between IDPs and non-IDPs in limiting longstanding illness following control for confounders. Low socioeconomic position and chronic stress were significantly related to ID and to SRH. Our findings suggest adverse long term health impacts of the Nakba on the IDPs when compared to non-IDPs. We propose that these disparities might stem from IDPs' unhealed post-traumatic scars from the Nakba, or from becoming a marginalized minority within their own society due to their displacement and loss of collective identity. Given these long term health consequences, we conclude that displacement should be addressed with health and social policies for IDPs. Copyright © 2012 Elsevier Ltd. All rights reserved.

  8. Integrating operation design into infrastructure planning to foster robustness of planned water systems

    NASA Astrophysics Data System (ADS)

    Bertoni, Federica; Giuliani, Matteo; Castelletti, Andrea

    2017-04-01

    Over the past years, many studies have looked at the planning and management of water infrastructure systems as two separate problems, where the dynamic component (i.e., operations) is considered only after the static problem (i.e., planning) has been resolved. Most recent works have started to investigate planning and management as two strictly interconnected faces of the same problem, where the former is solved jointly with the latter in an integrated framework. This brings advantages to multi-purpose water reservoir systems, where several optimal operating strategies exist and similar system designs might perform differently on the long term depending on the considered short-term operating tradeoff. An operationally robust design will be therefore one performing well across multiple feasible tradeoff operating policies. This work aims at studying the interaction between short-term operating strategies and their impacts on long-term structural decisions, when long-lived infrastructures with complex ecological impacts and multi-sectoral demands to satisfy (i.e., reservoirs) are considered. A parametric reinforcement learning approach is adopted for nesting optimization and control yielding to both optimal reservoir design and optimal operational policies for water reservoir systems. The method is demonstrated on a synthetic reservoir that must be designed and operated for ensuring reliable water supply to downstream users. At first, the optimal design capacity derived is compared with the 'no-fail storage' computed through Rippl, a capacity design function that returns the minimum storage needed to satisfy specified water demands without allowing supply shortfall. Then, the optimal reservoir volume is used to simulate the simplified case study under other operating objectives than water supply, in order to assess whether and how the system performance changes. The more robust the infrastructural design, the smaller the difference between the performances of different operating strategies.

  9. Long-term academic stress enhances early processing of facial expressions.

    PubMed

    Zhang, Liang; Qin, Shaozheng; Yao, Zhuxi; Zhang, Kan; Wu, Jianhui

    2016-11-01

    Exposure to long-term stress can lead to a variety of emotional and behavioral problems. Although widely investigated, the neural basis of how long-term stress impacts emotional processing in humans remains largely elusive. Using event-related brain potentials (ERPs), we investigated the effects of long-term stress on the neural dynamics of emotionally facial expression processing. Thirty-nine male college students undergoing preparation for a major examination and twenty-one matched controls performed a gender discrimination task for faces displaying angry, happy, and neutral expressions. The results of the Perceived Stress Scale showed that participants in the stress group perceived higher levels of long-term stress relative to the control group. ERP analyses revealed differential effects of long-term stress on two early stages of facial expression processing: 1) long-term stress generally augmented posterior P1 amplitudes to facial stimuli irrespective of expression valence, suggesting that stress can increase sensitization to visual inputs in general, and 2) long-term stress selectively augmented fronto-central P2 amplitudes for angry but not for neutral or positive facial expressions, suggesting that stress may lead to increased attentional prioritization to processing negative emotional stimuli. Together, our findings suggest that long-term stress has profound impacts on the early stages of facial expression processing, with an increase at the very early stage of general information inputs and a subsequent attentional bias toward processing emotionally negative stimuli. Copyright © 2016 Elsevier B.V. All rights reserved.

  10. Business Case for Energy Efficiency in Support of Climate Change Mitigation, Economic and Societal Benefits in the United States

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

    Bojda, Nicholas; Ke, Jing; de la Rue du Can, Stephane

    2011-06-01

    This study seeks to provide policymakers and other stakeholders with actionable information towards a road map for reducing energy consumption in the most cost-effective way. A major difference between the current study and some others is that we focus on individual equipment types that might be the subject of policies - such as labels, energy performance standards, and incentives - to affect market transformation in the short term, and on high-efficiency technology options that are available today. The approach of the study is to assess the impact of short-term actions on long-term impacts. “Short term” market transformation is assumed tomore » occur by 2015, while “long-term” energy demand reduction impacts are assessed in 2030. In the intervening years, most but not all of the equipment studied will turn over completely. The 15-year time frame is significant for many products however, indicating that delay of implementation postpones impacts such as net economic savings and mitigation of emissions of carbon dioxide. Such delays would result in putting in place energy-wasting technologies, postponing improvement until the end of their service life, or potentially resulting in expensive investment either in additional energy supplies or in early replacement to achieve future energy or emissions reduction targets.« less

  11. Trees and Weathering: Using Soil Petrographic and Chemical Analyses to Compare the Relative Weathering Effects of Gymnosperms and Angiosperms in the Cascade Mountains of Washington State, USA

    NASA Astrophysics Data System (ADS)

    Andrews, M. Y.; Ague, J. J.; Berner, R. A.

    2006-12-01

    Knowledge of the long-term carbon cycle and its control on atmospheric carbon dioxide levels over the Phanerozoic is crucial to understanding the impending dynamics of contemporary anthropogenic carbon contributions to the atmosphere. One aspect of the long-term carbon cycle that is poorly understood is the role of large vascular plants (trees) in contributing to the chemical weathering of silicate minerals. In particular, little is known about the differences in weathering rates between gymnosperms and angiosperms and how these dissimilarities may have impacted the carbon cycle subsequent to the evolution of angiosperm trees in the Mesozoic. One approach to evaluating these potential differences in weathering is to examine and quantitatively compare the chemistry and petrology of the soil mineral constituents from beneath modern groves of each broad tree type, where the groves have been subject to nearly identical environmental and geological conditions. This particular study focuses on field samples collected along transects through adjacent groves of angiosperms and gymnosperms in the Cascade Mountains of Washington State. Preliminary data demonstrate a significant difference in the soil texture and composition beneath the two types of trees. While soil at each field site has been generated from a homogeneous parent material, and subjected to similar inorganic environmental phenomena, soil density, particle size, and organic content vary across the transects. Soils beneath the angiosperms are denser and have a more clay-like texture, while soils beneath the gymnosperms are more organic-rich and have a sandy texture. Additional macroscopic and microscopic differences in the chemistry and petrology of these soils will illuminate the varied impacts these trees have on the silicate minerals in their immediate environment, and therefore lend insight into the potential impact these groups of organisms have had on the long-term carbon cycle over the past five hundred million years.

  12. Long-term impacts of battery electric vehicles on the German electricity system

    NASA Astrophysics Data System (ADS)

    Heinrichs, H. U.; Jochem, P.

    2016-05-01

    The emerging market for electric vehicles gives rise to an additional electricity demand. This new electricity demand will affect the electricity system. For quantifying those impacts a model-based approach, which covers long-term time horizons is necessary in order to consider the long lasting investment paths in electricity systems and the market development of electric mobility. Therefore, we apply a bottom-up electricity system model showing a detailed spatial resolution for different development paths of electric mobility in Germany until 2030. This model is based on a linear optimization which minimizes the discounted costs of the electricity system. We observe an increase of electricity exchange between countries and electricity generated by renewable energy sources. One major result turns out to be that electric vehicles can be integrated in the electricity system without increasing the system costs when a controlled (postponing) charging strategy for electric vehicles is applied. The impact on the power plant portfolio is insignificant. Another important side effect of electric vehicles is their substantial contribution to decreasing CO2 emissions of the German transport sector. Hence, electric mobility might be an integral part of a sustainable energy system of tomorrow.

  13. Human impact on long-term organic carbon export to rivers

    NASA Astrophysics Data System (ADS)

    Noacco, Valentina; Wagener, Thorsten; Worrall, Fred; Burt, Tim P.; Howden, Nicholas J. K.

    2017-04-01

    Anthropogenic landscape alterations have increased global carbon transported by rivers to oceans since preindustrial times. Few suitable observational data sets exist to distinguish different drivers of carbon increase, given that alterations only reveal their impact on fluvial dissolved organic carbon (DOC) over long time periods. We use the world's longest record of DOC concentrations (130 years) to identify key drivers of DOC change in the Thames basin (UK). We show that 90% of the long-term rise in fluvial DOC is explained by increased urbanization, which released to the river 671 kt C over the entire period. This source of carbon is linked to rising population, due to increased sewage effluent. Soil disturbance from land use change explained shorter-term fluvial responses. The largest land use disturbance was during the Second World War, when almost half the grassland area in the catchment was converted into arable land, which released 45 kt C from soils to the river. Carbon that had built up in soils over decades was released to the river in only a few years. Our work suggests that widespread population growth may have a greater influence on fluvial DOC trends than previously thought.

  14. A multilevel analysis of long-term psychological distress among Belarusians affected by the Chernobyl disaster.

    PubMed

    Beehler, G P; Baker, J A; Falkner, K; Chegerova, T; Pryshchepava, A; Chegerov, V; Zevon, M; Bromet, E; Havenaar, J; Valdismarsdottir, H; Moysich, K B

    2008-11-01

    Radiation contamination and sociopolitical instability following the Chernobyl nuclear power plant disaster have had a profound impact on Belarus. To investigate the factors that impact long-term mental health outcomes of this population almost 20 years after the disaster. Cross-sectional study. In-person interviews were conducted with 381 men and women from two geographic areas of differing radiation contamination within Belarus. Participants completed surveys of demographics, psychosocial factors and psychological distress. Individual-level characteristics were combined with household-level measures of radiation contamination exposure and family characteristics to create multilevel predictive models of psychological distress. Between-household effects accounted for 20% of variability in depression and anxiety scores, but only 8% of variability in somatization scores. Degree of chronic daily stressors showed a significant positive relationship with psychological distress, whereas mastery/controllability showed a significant inverse relationship with distress. At household level, perceived family problems, but not level of residential radiation contamination, was the best predictor of distress. Multilevel modelling indicates that long-term psychological distress among Belarusians affected by the Chernobyl disaster is better predicted by stress-moderating psychosocial factors present in one's daily life than by level of residential radiation contamination.

  15. Education, Gender, and Economic Development: A Cross-National Study.

    ERIC Educational Resources Information Center

    Benavot, Aaron

    1989-01-01

    Examines the effects of gender differences in educational expansion on national economic growth. Using cross-national data from 96 countries, the authors found that in less-developed countries, educational expansion among primary school-age girls had a stronger impact on long-term economic prosperity than did educational expansion among primary…

  16. Storms do not alter long-term watershed development influences on coastal water quality

    EPA Science Inventory

    A twelve year (2000 − 2011) study of three coastal lagoons in the Gulf of Mexico was conducted to assess the impacts of local watershed development and tropical storms on water quality. The lagoons have similar physical and hydrological characteristics, but differ substantially i...

  17. Assessing phenological change in China from 1982 to 2006 using AVHRR imagery

    USDA-ARS?s Scientific Manuscript database

    Long term trends in vegetation phenology indicate ecosystem change due to the combined impacts of human activities and climate. In this study, we used 1982 to 2006 Advanced Very High Resolution Radiometer Normalized Difference Vegetation Index (AVHRR NDVI) imagery across China and the TIMESAT progra...

  18. Psychodynamic group psychotherapy: impact of group length and therapist professional characteristics on development of therapeutic alliance.

    PubMed

    Lorentzen, Steinar; Bakali, Jan Vegard; Hersoug, Anne Grete; Hagtvet, Knut A; Ruud, Torleif; Høglend, Per

    2012-09-01

    Little research has been done on therapeutic alliance in group psychotherapy, especially the impact of treatment duration and therapist professional characteristics. Therapeutic alliance was rated by patients on the Working Alliance Inventory-Short Form at three time points (sessions 3, 10 and 17) in a randomized controlled trial of short-term and long-term psychodynamic group psychotherapy. As predictors we selected therapist clinical experience and length of didactic training, which have demonstrated ambiguous results in previous research. Linear latent variable growth curve models (structural equation modeling) were developed for the three Working Alliance Inventory-Short Form subscales bond, task and goal. We found a significant variance in individual growth curves (intercepts and slopes) but no differential development due to group length. Longer therapist formal training had a negative impact on early values of subscale task in both treatments. There was an interaction between length of the therapists' clinical experience and group length on early bond, task and goal: therapists with longer clinical experience were rated lower on initial bond in the long-term group but less so in the short-term group. Longer clinical experience influenced initial task and goal positively in the short-term group but was unimportant for task or significantly negative for goal in the long-term group. There was no mean development of alliance, and group length did not differentially impact the alliance during 6 months. Early ratings of the three Working Alliance Inventory-Short Form subscales partly reflected different preparations of patients in the two group formats, partly therapist characteristics, but more research is needed to see how these aspects impact alliance development and outcome. Therapists should pay attention to all three aspects of the alliance, when they prepare patients for group therapy. In psychodynamic groups, length of therapy does not differentiate the overall level or the development of member-leader alliance. Within psychodynamic groups, each individual appear to have their unique perception of the member-leader alliance. Therapists with longer formal psychotherapy training may be less successful in establishing early agreement with patients on the tasks of psychodynamic group psychotherapy. Patients perceive a somewhat lower degree of early emotional bonding with the more clinically experienced therapists in long-term psychodynamics groups. Therapists with more clinical experience may contribute to a stronger degree of initial agreement with patients on the tasks and goals of short-term group psychotherapy. Copyright © 2011 John Wiley & Sons, Ltd.

  19. Climate variability and change scenarios for a marine commodity: Modelling small pelagic fish, fisheries and fishmeal in a globalized market

    NASA Astrophysics Data System (ADS)

    Merino, Gorka; Barange, Manuel; Mullon, Christian

    2010-04-01

    The world's small pelagic fish populations, their fisheries, fishmeal and fish oil production industries and markets are part of a globalised production and consumption system. The potential for climate variability and change to alter the balance in this system is explored by means of bioeconomic models at two different temporal scales, with the objective of investigating the interactive nature of environmental and human-induced changes on this globalised system. Short-term (interannual) environmental impacts on fishmeal production are considered by including an annual variable production rate on individual small pelagic fish stocks over a 10-year simulation period. These impacts on the resources are perceived by the fishmeal markets, where they are confronted by two aquaculture expansion hypotheses. Long-term (2080) environmental impacts on the same stocks are estimated using long-term primary production predictions as proxies for the species' carrying capacities, rather than using variable production rates, and are confronted on the market side by two alternative fishmeal management scenarios consistent with IPCC-type storylines. The two scenarios, World Markets and Global Commons, are parameterized through classic equilibrium solutions for a global surplus production bioeconomic model, namely maximum sustainable yield and open access, respectively. The fisheries explicitly modelled in this paper represent 70% of total fishmeal production, thus encapsulating the expected dynamics of the global production and consumption system. Both short and long-term simulations suggest that the sustainability of the small pelagic resources, in the face of climate variability and change, depends more on how society responds to climate impacts than on the magnitude of climate alterations per se.

  20. Drawings reflect a new dimension of the psychological impact of long-term remission of Cushing's syndrome.

    PubMed

    Tiemensma, Jitske; Daskalakis, Nikolaos P; van der Veen, Else M; Ramondt, Steven; Richardson, Stephanie K; Broadbent, Elizabeth; Romijn, Johannes A; Pereira, Alberto M; Biermasz, Nienke R; Kaptein, Adrian A

    2012-09-01

    Drawings can be used to assess perceptions of patients about their disease. We aimed to explore the utility of the drawing test and its relation to illness perceptions, quality of life (QoL), and clinical disease severity in patients after long-term remission of Cushing's syndrome. We conducted a cross-sectional study including 47 patients with long-term remission of Cushing's syndrome. Patients completed the drawing test, the Illness Perception Questionnaire-Revised, the Short-Form 36, the EuroQoL-5D, and the Cushing QoL. The Cushing's syndrome severity index was scored based on medical records. Characteristics of the drawings were strongly associated with the Cushing's syndrome severity index and severity ratings of health professionals (all P < 0.02). In addition, patients perceived a dramatic change in body size during the active state of the disease compared to the healthy state before disease. Patients reported that their body does not completely return to the original size (i.e. before disease) after treatment. There were no clear associations between characteristics of the drawings and QoL or illness perceptions. This indicates that drawings and QoL or illness perceptions do not share multiple common properties and measure different aspects/dimensions of the disease process. Drawings reflect a new dimension of the psychological impact of long-term remission of Cushing's syndrome because drawings do not share common properties with parameters of QoL or illness perceptions, but do represent the clinical severity of the disease. The assessment of drawings may enable doctors to appreciate the perceptions of patients with long-term remission of Cushing's syndrome and will lead the way in dispelling idiosyncratic beliefs.

  1. Physical and psychological long-term outcome after traumatic brain injury in children and adult patients

    PubMed Central

    2014-01-01

    Background Several studies have indicated that younger age is associated with worse recovery after pediatric traumatic brain injury (TBI) compared to elder children. In order to verify this association between long-term outcome after moderate to severe TBI and patient’s age, direct comparison between different pediatric age groups as well as an adult population was performed. Methods This investigation represents a retrospective cohort study at a level I trauma center including patients with moderate to severe, isolated TBI with a minimum follow-up of 10 years. According to their age at time of injury, patients were divided in pre-school (0–7 years), school (8–17 years) and adult (18–65 years) patients. Physical examination and standardized questionnaire on physical and psychological aspects (Glasgow Outcome Scale, Barthel Index, Impact of Event Scale, Hospital Anxiety and Depression Scale, short form 12) were performed. Results 135 traumatized patients were included. Physical and psychological long-term outcome was associated with injury severity but not with patients’ age at time of injury. Outcome recovery measured by Glasgow Outcome Scale was demonstrated with best results for pre-school aged children (p = 0.009). According to the Hospital Anxiety and Depression Scale an increased incidence of anxiety (p = 0.010) and depression (p = 0.026) was evaluated in older patients. Conclusion Long-term outcome perceptions after moderate to severe TBI presented in this study question current views of deteriorated recovery for the immature brain. The sustained TBI impact seemed not to reduce the child’s ability to overcome the suffered impairment measured by questionnaire based psychological, physical and health related outcome scores. These results distinguish the relevance of rehabilitation and family support in the long term. PMID:24571742

  2. Microvascular Invasion Does Not Predict Long-Term Survival in Hepatocellular Carcinoma up to 2 cm: Reappraisal of the Staging System for Solitary Tumors

    PubMed Central

    Shindoh, Junichi; Andreou, Andreas; Aloia, Thomas A.; Zimmitti, Giuseppe; Lauwers, Gregory Y.; Laurent, Alexis; Nagorney, David M.; Belghiti, Jacques; Cherqui, Daniel; Poon, Ronnie Tung-Ping; Kokudo, Norihiro; Vauthey, Jean-Nicolas

    2013-01-01

    Background Excellent long-term outcomes have been reported recently for patients with small (≤2 cm) hepatocellular carcinoma (HCC). However, the significance of microvascular invasion (MVI) in small HCC remains unclear. The purpose of this study was to determine the impact of MVI in small HCC up to 2 cm. Methods In 1,109 patients with solitary HCC from six major international hepatobiliary centers, the impact of MVI on long-term survival in patients with small HCC (≤2 cm) and patients with tumors larger than 2 cm was analyzed. Results In patients with small HCC, long-term survival was not affected by MVI (p = 0.8), whereas in patients with larger HCC, significantly worse survival was observed in patients with MVI (p < 0.0001). In multivariate analysis, MVI (hazard ratio [HR] 1.59; 95 % confidence interval (CI) 1.27–1.99; p < 0.001), elevated alpha-fetoprotein (HR 1.41; 95 % CI 1.11–1.8; p = 0.005), and higher histologic grade (HR 1.29; 95 % CI 1.01–1.64; p = 0.04) were significant predictors of worse survival in patients with HCC larger than 2 cm but were not correlated with long-term survival in small HCC. When the cohort was divided into three groups—HCC ≤2, >2 cm without MVI, and HCC >2 cm with MVI—significant between-group survival difference was observed (p < 0.0001). Conclusions Small HCC is associated with an excellent prognosis that is not affected by the presence of MVI. The discriminatory power of the 7th edition of the AJCC classification for solitary HCC could be further improved by subdividing tumors according to size (≤2 vs. >2 cm). PMID:23179993

  3. Simulation of long-term influence from technical systems on permafrost with various short-scale and hourly operation modes in Arctic region

    NASA Astrophysics Data System (ADS)

    Vaganova, N. A.

    2017-12-01

    Technogenic and climatic influences have a significant impact on the degradation of permafrost. Long-term forecasts of such changes during long-time periods have to be taken into account in the oil and gas and construction industries in view to development the Arctic and Subarctic regions. There are considered constantly operating technical systems (for example, oil and gas wells) that affect changes in permafrost, as well as the technical systems that have a short-term impact on permafrost (for example, flare systems for emergency flaring of associated gas). The second type of technical systems is rather complex for simulation, since it is required to reserve both short and long-scales in computations with variable time steps describing the complex technological processes. The main attention is paid to the simulation of long-term influence on the permafrost from the second type of the technical systems.

  4. Future of chronic obstructive pulmonary disease management.

    PubMed

    D'Urzo, Anthony; Vogelmeier, Claus

    2012-06-01

    Bronchodilators play a pivotal role in the management of symptomatic chronic obstructive pulmonary disease. Inhaled short-acting bronchodilators are used for all stages of chronic obstructive pulmonary disease, primarily for the immediate relief of symptoms; inhaled long-acting bronchodilators are recommended for maintenance therapy in patients with moderate-to-very severe disease and those with daily symptoms. When symptoms are not adequately controlled by a single bronchodilator, combining bronchodilators of different classes may prove effective. Several long-acting β(2)-agonists and long-acting muscarinic antagonists with 24-h duration of action and inhalers combining different classes of long-acting, once-daily bronchodilators are in development. The place of these agents in the treatment algorithm will be determined by their efficacy and safety profiles and their long-term impact on relevant clinical outcomes.

  5. Grassland responses to increased rainfall depend on the timescale of forcing.

    PubMed

    Sullivan, Martin J P; Thomsen, Meredith A; Suttle, K B

    2016-04-01

    Forecasting impacts of future climate change is an important challenge to biologists, both for understanding the consequences of different emissions trajectories and for developing adaptation measures that will minimize biodiversity loss. Existing variation provides a window into the effects of climate on species and ecosystems, but in many places does not encompass the levels or timeframes of forcing expected under directional climatic change. Experiments help us to fill in these uncertainties, simulating directional shifts to examine outcomes of new levels and sustained changes in conditions. Here, we explore the translation between short-term responses to climate variability and longer-term trajectories that emerge under directional climatic change. In a decade-long experiment, we compare effects of short-term and long-term forcings across three trophic levels in grassland plots subjected to natural and experimental variation in precipitation. For some biological responses (plant productivity), responses to long-term extension of the rainy season were consistent with short-term responses, while for others (plant species richness, abundance of invertebrate herbivores and predators), there was pronounced divergence of long-term trajectories from short-term responses. These differences between biological responses mean that sustained directional changes in climate can restructure ecological relationships characterizing a system. Importantly, a positive relationship between plant diversity and productivity turned negative under one scenario of climate change, with a similar change in the relationship between plant productivity and consumer biomass. Inferences from experiments such as this form an important part of wider efforts to understand the complexities of climate change responses. © 2016 John Wiley & Sons Ltd.

  6. Effects of Child Abuse and Neglect on Adult Survivors

    ERIC Educational Resources Information Center

    Johnson, Emmanuel Janagan; James, Christine

    2016-01-01

    Child abuse has profound immediate and long-term effects on a child's development. The long-term impact of abuse of a child can be seen in higher rates of psychiatric disorders, increased rates of substance abuse and relationship difficulties [Springer, K. W., Sheridan, J., Kuo, D., & Carnes, M. (2003). "The long-term health outcomes of…

  7. Long term evolution of surface conditions on Venus: effects of primordial and Late Heavy Bombardment impacts at different timescales.

    NASA Astrophysics Data System (ADS)

    Gillmann, Cedric; Golabek, Gregor; Tackley, Paul

    2015-04-01

    We investigate the influence of impacts on the history of terrestrial planets from the point of view of internal dynamics and surface conditions. Our work makes use of our previous studies on Venus' long term evolution through a coupled atmosphere/mantle numerical code. The solid part of the planet is simulated using the StagYY code (Armann and Tackley, 2012) and releases volatiles into the atmosphere through degassing. Coupling with the atmosphere is obtained by using surface temperature as a boundary condition. The evolution of surface temperature is calculated from CO2 and water concentrations in the atmosphere with a gray radiative-convective atmosphere model. These concentrations vary due to degassing and escape mechanisms. We take into account hydrodynamic escape, which is dominant during the first hundred million years, and non-thermal processes as observed by the ASPERA instrument and modeled in various works. Impacts can have different effects: they can bring (i) volatiles to the planet, (ii) erode its atmosphere and (iii) modify mantle dynamics due to the large amount of energy they release. A 2D distribution of the thermal anomaly due to the impact is used leading to melting and subjected to transport by the mantle convection. Volatile evolution is still strongly debated. We therefore test a wide range of impactor parameters (size, velocity, timing) and different assumptions related to impact erosion, from large eroding power to more moderate ones (Shuvalov, 2010). Atmospheric erosion appears to have significant effects only for massive impacts and to be mitigated by volatiles brought by the impactor. While small (0-10 km) meteorites have a negligible effect on the global scale, medium ones (50-150 km) are able to bring volatiles to the planet and generate melt, leading to strong short term influence. However, only larger impacts (300+ km) have lasting effects. They can cause volcanic event both immediately after the impact and later on. Additionally, the amount of volatiles released is large enough to modify normal evolution and surface temperatures (tens of Kelvins). This is enough to modify mantle convection patterns. Depending on when such an impact occurs, the surface conditions history can appear radically different. A key factor is thus the timing of the impact and how it interacts with other processes.

  8. Long-term Academic and Career Impacts of Undergraduate Research: Diverse Pathways to Geoscience Careers Following a Summer Atmospheric Science Research Internship

    NASA Astrophysics Data System (ADS)

    Trott, C. D.; Sample McMeeking, L. B.; Boyd, K.; Bowker, C.

    2015-12-01

    Research experiences for undergraduates (REU) have been shown to support the success of STEM undergraduates through improving their research skills, ability to synthesize knowledge, and personal and professional development, all while socializing them into the nature of science. REUs are further intended to support STEM career choice and professional advancement, and have thus played a key role in diversity efforts. Recruiting and retaining diverse students in STEM through REUs is of particular importance in the geosciences, where women and ethnic minorities continue to be significantly underrepresented. However, few studies have examined the long-term impacts of these REUs on students' academic and career trajectories. Further, those that do exist primarily study the experiences of current graduate students, scientists, and faculty members—that is, those who have already persisted—which overlooks the multiple academic and career paths REU students might follow and may preclude a thorough examination of REUs' diversity impacts. In this long-term retrospective study of the academic and career impacts of a REU program at a large Western U.S. research university, we interviewed 17 former REU participants on their expectations prior to their REU participation, their experiences during the REU, the immediate outcomes from the experience, and its long-term impacts on their academic and career choices. To address gaps in the existing literature on REU impacts, we purposively sampled students who have taken a variety of educational and career paths, including those not engaged in science research. Despite varied trajectories, the majority of the students we interviewed have persisted in the geosciences and attest to the REU's profound impact on their career-related opportunities and choices. This presentation describes students' diverse STEM pathways and discusses how students' REU expectations, experiences, and immediate outcomes continued to make an impact long-term.

  9. Identifying predictive factors for long-term complications following button battery impactions: A case series and literature review.

    PubMed

    Eliason, Michael J; Melzer, Jonathan M; Winters, Jessica R; Gallagher, Thomas Q

    2016-08-01

    To complement a case series review of button battery impactions managed at our single military tertiary care center with a thorough literature review of laboratory research and clinical cases to develop a protocol to optimize patient care. Specifically, to identify predictive factors of long-term complications which can be used by the pediatric otolaryngologist to guide patient management after button battery impactions. A retrospective review of the Department of Defense's electronic medical record systems was conducted to identify patients with button battery ingestions and then characterize their treatment course. A thorough literature review complemented the lessons learned to identify potentially predictive clinical measures for long-term complications. Eight patients were identified as being treated for button battery impaction in the aerodigestive tract with two sustaining long-term complications. The median age of the patients treated was 33 months old and the median estimated time of impaction in the aerodigestive tract prior to removal was 10.5 h. Time of impaction, anatomic direction of the battery's negative pole, and identifying specific battery parameters were identified as factors that may be employed to predict sequelae. Based on case reviews, advancements in battery manufacturing, and laboratory research, there are distinct clinical factors that should be assessed at the time of initial therapy to guide follow-up management to minimize potential catastrophic sequelae of button battery ingestion. Published by Elsevier Ireland Ltd.

  10. 1. Exterior view of LongTerm Hydrazine Silo (T28E), looking southeast. ...

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

    1. Exterior view of Long-Term Hydrazine Silo (T-28E), looking southeast. The structure was designed to assess long-term environmental impacts on storage of the Titan's fuel (hydrazine). The low-lying building to the immediate right of the silo is the Fuel Purification Structure (T-28E), constructed during the late 1960s to purify hydrazine for long-term hardware requirements for satellites and space expedition vehicles associated with the Titan III. - Air Force Plant PJKS, Systems Integration Laboratory, Long-Term Hydrazine Silo, Waterton Canyon Road & Colorado Highway 121, Lakewood, Jefferson County, CO

  11. Reforming Management of Behavior Symptoms and Psychiatric Conditions in Long-Term Care Facilities: A Different Perspective.

    PubMed

    Levenson, Steven A; Desai, Abhilash K

    2017-04-01

    Despite much attention including national initiatives, concerns remain about the approaches to managing behavior symptoms and psychiatric conditions across all settings, including in long-term care settings such as nursing homes and assisted living facilities. One key reason why problems persist is because most efforts to "reform" and "correct" the situation have failed to explore or address root causes and instead have promoted inadequate piecemeal "solutions." Further improvement requires jumping off the bandwagon and rethinking the entire issue, including recognizing and applying key concepts of clinical reasoning and the care delivery process to every situation. The huge negative impact of cognitive biases and rote approaches on related clinical problem solving and decision making and patient outcomes also must be addressed. Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  12. Long-Term Care Insurance: Does Experience Matter?*

    PubMed Central

    Coe, Norma B.; Skira, Meghan M.; Van Houtven, Courtney Harold

    2015-01-01

    We examine whether long-term care (LTC) experience helps explain the low demand for long-term care insurance (LTCI). We test if expectations about future informal care receipt, expectations about inheritance receipt, and LTCI purchase decisions vary between individuals whose parents or in-laws have used LTC versus those who have not. We find parental use of a nursing home decreases expectations that one’s children will provide informal care, consistent with the demonstration effect. Nursing home use by in-laws does not have the same impact, suggesting that individuals are responding to information gained about their own aging trajectory. Nursing home use by either a parent or in-law increases LTCI purchase probability by 0.8 percentage points, with no significant difference in response between parents’ and in-laws’ use. The estimated increase in purchase probability from experience with LTC is about half the previously estimated increase from tax policy-induced price decreases. PMID:25647006

  13. Differences in emotional well-being of hurricane survivors: a secondary analysis of the ABC News Hurricane Katrina Anniversary Poll.

    PubMed

    Rateau, Margaret R

    2009-06-01

    Literature suggests that survivors of catastrophic loss may suffer long-term emotional damage. This paper presents a secondary data analysis from the ABC News Hurricane Katrina Poll conducted in August, 2006. Following analyses, a significantly higher percentage of women (44%) and those who experienced residential damage (66.7%) reported long-term negative impact on emotional well-being. Overall, 70.3% of Katrina survivors reported a strengthening in fellow man following the disaster. These results may serve as beginning evidence for appropriate identification and implementation of mental health support for those most in need following disaster.

  14. A unique role of the cholera toxin A1-DD adjuvant for long-term plasma and memory B cell development.

    PubMed

    Bemark, Mats; Bergqvist, Peter; Stensson, Anneli; Holmberg, Anna; Mattsson, Johan; Lycke, Nils Y

    2011-02-01

    Adjuvants have traditionally been appreciated for their immunoenhancing effects, whereas their impact on immunological memory has largely been neglected. In this paper, we have compared three mechanistically distinct adjuvants: aluminum salts (Alum), Ribi (monophosphoryl lipid A), and the cholera toxin A1 fusion protein CTA1-DD. Their influence on long-term memory development was dramatically different. Whereas a single immunization i.p. with 4-hydroxy-3-nitrophenyl acetyl (NP)-chicken γ-globulin and adjuvant stimulated serum anti-NP IgG titers that were comparable at 5 wk, CTA1-DD-adjuvanted responses were maintained for >16 mo with a half-life of anti-NP IgG ∼36 wk, but <15 wk after Ribi or Alum. A CTA1-DD dose-dependent increase in germinal center (GC) size and numbers was found, with >60% of splenic B cell follicles hosting GC at an optimal CTA1-DD dose. Roughly 7% of these GC were NP specific. This GC-promoting effect correlated well with the persistence of long-term plasma cells in the bone marrow and memory B cells in the spleen. CTA1-DD also facilitated increased somatic hypermutation and affinity maturation of NP-specific IgG Abs in a dose-dependent fashion, hence arguing that large GC not only promotes higher Ab titers but also high-quality Ab production. Adoptive transfer of splenic CD80(+), but not CD80(-), B cells, at 1 y after immunization demonstrated functional long-term anti-NP IgG and IgM memory cells. To our knowledge, this is the first report to specifically compare and document that adjuvants can differ considerably in their support of long-term immune responses. Differential effects on the GC reaction appear to be the basis for these differences.

  15. Differences in impact of long term caregiving for mentally ill older adults on the daily life of informal caregivers: a qualitative study.

    PubMed

    Zegwaard, Marian I; Aartsen, Marja J; Grypdonck, Mieke Hf; Cuijpers, Pim

    2013-03-27

    Owing to the policy of extramuralization of care in most Western countries older people with severe mental illness have to rely more and more on informal caregivers for daily care. Caregivers themselves are often aged, and although caregiving implies an impact on daily life that exceeds the boundaries of usual informal care, the impact differs across caregivers. Some caregivers seem to suffer more than others, and the differences cannot be fully understood by factors currently known to exacerbate the burden of caregiving. In order to help caregivers reduce the impact of caregiving it is important to gain a deeper understanding of factors influencing the burden and its impact on the caregiver's life. With this in mind, the aim of the study is to explore and understand differences in the impact of long-term caregiving on the quality of life of caregivers who look after older adults with severe mental illness. A qualitative, associative, inductive strategy and continuous simultaneous coding were used to interpret the data of 19 semi-structured interviews. We identified an underlying psychological factor "perceived freedom of choice" which explains the gross differences in impact, leading to a definition of two main types of caregivers. Depending on how people perceive freedom of choice to provide care, the consequences of caregiving can be characterized as a process of gain (type 1) or loss (type 2). Four influential factors deepen the impact of caregiving for the type 2 caregivers, and two subtypes are identified for this category. Consequences of caregiving are most readily seen in a deteriorating quality of the relationship with the care recipient and in the psychosocial well-being of the caregiver. The concept of freedom of choice adds to our understanding of the differences and explains the variation in impact on the caregivers' life. The type 1 caregiver generally experiences gain whereas type 2 generally experiences loss, which puts the latter group typically at risk of becoming overloaded. Whether people perceive that they have freedom of choice in caregiving is an important consideration in evaluating the type of intervention needed to support caregivers.

  16. Field-scale monitoring of the long-term impact and sustainability of drainage water reuse on the west side of California’s San Joaquin Valley

    USDA-ARS?s Scientific Manuscript database

    Diminishing freshwater resources have brought attention to the reuse of degraded water as a potential water resource rather than as a disposal problem. Drainage water from tile-drained, irrigated agricultural land is degraded water that is often in large supply, but the long-term impact and sustain...

  17. Findings vs. Interpretation in "The Long-Term Impacts of Teachers" by Chetty et al.

    ERIC Educational Resources Information Center

    Adler, Moshe

    2013-01-01

    The authors of the study "The Long-Term Impact of Teachers" claim that their study shows that increases in teacher value-added lead to significant and lasting increases in test scores and significant increases in income that will last throughout adulthood. Instead, I show that these claims are false because they are contradicted by the…

  18. Impact of Infection Prevention and Control Initiatives on Acute Respiratory Infections in a Pediatric Long-Term Care Facility

    PubMed Central

    Murray, Meghan T.; Jackson, Olivia; Cohen, Bevin; Hutcheon, Gordon; Saiman, Lisa; Larson, Elaine; Neu, Natalie

    2016-01-01

    We evaluated the collective impact of several infection prevention and control initiatives aimed at reducing acute respiratory infections (ARIs) in a pediatric long-term care facility. ARIs did not decrease overall, though the proportion of infections associated with outbreaks and average number of cases per outbreak decreased. Influenza rates decreased significantly. PMID:27053088

  19. Framing the Future. Re-framing the Future: A Report on the Long-Term Impacts of Framing the Future.

    ERIC Educational Resources Information Center

    Mitchell, John

    Australia's Framing the Future (FTF) project was designed to develop a model of staff development to support implementation of the National Training Framework (NTF). A survey of FTF project managers found these long-term impacts: implementation of training packages and other aspects of NTF, new forms of collaboration between industry and training…

  20. The Long-Term Economic Impact of in Utero and Postnatal Exposure to Malaria

    ERIC Educational Resources Information Center

    Barreca, Alan I.

    2010-01-01

    I use an instrumental-variables identification strategy and historical data from the United States to estimate the long-term economic impact of in utero and postnatal exposure to malaria. My research design matches adults in the 1960 Decennial Census to the malaria death rate in their respective state and year of birth. To address potential…

  1. Synergistic effects of the components of global change: Increased vegetation dynamics in open, forest-steppe grasslands driven by wildfires and year-to-year precipitation differences

    PubMed Central

    Aszalós, Réka; Lengyel, Attila

    2017-01-01

    Climate change and land use change are two major elements of human-induced global environmental change. In temperate grasslands and woodlands, increasing frequency of extreme weather events like droughts and increasing severity of wildfires has altered the structure and dynamics of vegetation. In this paper, we studied the impact of wildfires and the year-to-year differences in precipitation on species composition changes in semi-arid grasslands of a forest-steppe complex ecosystem which has been partially disturbed by wildfires. Particularly, we investigated both how long-term compositional dissimilarity changes and species richness are affected by year-to-year precipitation differences on burnt and unburnt areas. Study sites were located in central Hungary, in protected areas characterized by partially-burnt, juniper-poplar forest-steppe complexes of high biodiversity. Data were used from two long-term monitoring sites in the Kiskunság National Park, both characterized by the same habitat complex. We investigated the variation in species composition as a function of time using distance decay methodology. In each sampling area, compositional dissimilarity increased with the time elapsed between the sampling events, and species richness differences increased with increasing precipitation differences between consecutive years. We found that both the long-term compositional dissimilarity, and the year-to-year changes in species richness were higher in the burnt areas than in the unburnt ones. The long-term compositional dissimilarities were mostly caused by perennial species, while the year-to-year changes of species richness were driven by annual and biennial species. As the effect of the year-to-year variation in precipitation was more pronounced in the burnt areas, we conclude that canopy removal by wildfires and extreme inter-annual variability of precipitation, two components of global environmental change, act in a synergistic way. They enhance the effect of one another, resulting in greater long-term and year-to-year changes in the composition of grasslands. PMID:29149208

  2. Synergistic effects of the components of global change: Increased vegetation dynamics in open, forest-steppe grasslands driven by wildfires and year-to-year precipitation differences.

    PubMed

    Kertész, Miklós; Aszalós, Réka; Lengyel, Attila; Ónodi, Gábor

    2017-01-01

    Climate change and land use change are two major elements of human-induced global environmental change. In temperate grasslands and woodlands, increasing frequency of extreme weather events like droughts and increasing severity of wildfires has altered the structure and dynamics of vegetation. In this paper, we studied the impact of wildfires and the year-to-year differences in precipitation on species composition changes in semi-arid grasslands of a forest-steppe complex ecosystem which has been partially disturbed by wildfires. Particularly, we investigated both how long-term compositional dissimilarity changes and species richness are affected by year-to-year precipitation differences on burnt and unburnt areas. Study sites were located in central Hungary, in protected areas characterized by partially-burnt, juniper-poplar forest-steppe complexes of high biodiversity. Data were used from two long-term monitoring sites in the Kiskunság National Park, both characterized by the same habitat complex. We investigated the variation in species composition as a function of time using distance decay methodology. In each sampling area, compositional dissimilarity increased with the time elapsed between the sampling events, and species richness differences increased with increasing precipitation differences between consecutive years. We found that both the long-term compositional dissimilarity, and the year-to-year changes in species richness were higher in the burnt areas than in the unburnt ones. The long-term compositional dissimilarities were mostly caused by perennial species, while the year-to-year changes of species richness were driven by annual and biennial species. As the effect of the year-to-year variation in precipitation was more pronounced in the burnt areas, we conclude that canopy removal by wildfires and extreme inter-annual variability of precipitation, two components of global environmental change, act in a synergistic way. They enhance the effect of one another, resulting in greater long-term and year-to-year changes in the composition of grasslands.

  3. Analysis of the impact of spatial resolution on land/water classifications using high-resolution aerial imagery

    USGS Publications Warehouse

    Enwright, Nicholas M.; Jones, William R.; Garber, Adrienne L.; Keller, Matthew J.

    2014-01-01

    Long-term monitoring efforts often use remote sensing to track trends in habitat or landscape conditions over time. To most appropriately compare observations over time, long-term monitoring efforts strive for consistency in methods. Thus, advances and changes in technology over time can present a challenge. For instance, modern camera technology has led to an increasing availability of very high-resolution imagery (i.e. submetre and metre) and a shift from analogue to digital photography. While numerous studies have shown that image resolution can impact the accuracy of classifications, most of these studies have focused on the impacts of comparing spatial resolution changes greater than 2 m. Thus, a knowledge gap exists on the impacts of minor changes in spatial resolution (i.e. submetre to about 1.5 m) in very high-resolution aerial imagery (i.e. 2 m resolution or less). This study compared the impact of spatial resolution on land/water classifications of an area dominated by coastal marsh vegetation in Louisiana, USA, using 1:12,000 scale colour-infrared analogue aerial photography (AAP) scanned at four different dot-per-inch resolutions simulating ground sample distances (GSDs) of 0.33, 0.54, 1, and 2 m. Analysis of the impact of spatial resolution on land/water classifications was conducted by exploring various spatial aspects of the classifications including density of waterbodies and frequency distributions in waterbody sizes. This study found that a small-magnitude change (1–1.5 m) in spatial resolution had little to no impact on the amount of water classified (i.e. percentage mapped was less than 1.5%), but had a significant impact on the mapping of very small waterbodies (i.e. waterbodies ≤ 250 m2). These findings should interest those using temporal image classifications derived from very high-resolution aerial photography as a component of long-term monitoring programs.

  4. Childhood obesity: the impact on long-term risk of metabolic and CVD is not necessarily inevitable.

    PubMed

    McMullen, Sarah

    2014-08-01

    The worldwide prevalence of overweight and obesity in the adult population is estimated to be 35%. These trends are reflected in childhood obesity prevalence, and the potential impact of early-onset obesity is of great concern. The aim of this review was to investigate the long-term implications of childhood obesity for metabolic and cardiovascular health, focusing on the independent contribution of childhood obesity to adult disease risk, as distinct from associations mediated by tracking of obesity across the lifespan. The data systematically reviewed provide little evidence to suggest that childhood overweight and obesity are independent risk factors for metabolic and cardiovascular risk during adulthood. Instead, the data demonstrate that the relationships observed are dependent on tracking of BMI between childhood and adulthood, alongside persistence of dietary patterns and physical activity. Adjustment for adult BMI uncovers unexpected negative associations between childhood BMI and adult disease, suggesting a protective effect of childhood obesity at any given level of adult BMI. Further work is required to explain these findings, both in terms of pathways and statistical artefacts. To conclude, it must be stressed that it is not suggested that childhood obesity is without negative consequence. Childhood obesity is clearly associated with a range of adverse physical and psychological outcomes. However, the data are important in supporting a positive message that the long-term consequences of childhood obesity are avoidable; and that there remains opportunity for intervention across the lifespan. This nuance in understanding long-term risk is important when considering the effectiveness of interventions at different stages of the lifespan.

  5. Woody debris along an upland chronosequence in boreal Manitoba and its impact on long-term carbon storage

    USGS Publications Warehouse

    Manies, K.L.; Harden, J.W.; Bond-Lamberty, B. P.; O'Neill, K. P.

    2005-01-01

    This study investigated the role of fire-killed woody debris as a source of soil carbon in black spruce (Picea mariana (Mill.) BSP) stands in Manitoba, Canada. We measured the amount of standing dead and downed woody debris along an upland chronosequence, including wood partially and completely covered by moss growth. Such woody debris is rarely included in measurement protocols and composed up to 26% of the total amount of woody debris in older stands, suggesting that it is important to measure all types of woody debris in ecosystems where burial by organic matter is possible. Based on these data and existing net primary production (NPP) values, we used a mass-balance model to assess the potential impact of fire-killed wood on long-term carbon storage at this site. The amount of carbon stored in deeper soil organic layers, which persists over millennia, was used to represent this long-term carbon. We estimate that between 10% and 60% of the deep-soil carbon is derived from wood biomass. Sensitivity analyses suggest that this estimate is most affected by the fire return interval, decay rate of wood, amount of NPP, and decay rate of the char (postfire) carbon pool. Landscape variations in these terms could account for large differences in deep-soil carbon. The model was less sensitive to fire consumption rates and to rates at which standing dead becomes woody debris. All model runs, however, suggest that woody debris plays an important role in long-term carbon storage for this area. ?? 2005 NRC Canada.

  6. Male urethral strictures and their management

    PubMed Central

    Hampson, Lindsay A.; McAninch, Jack W.; Breyer, Benjamin N.

    2014-01-01

    Male urethral stricture disease is prevalent and has a substantial impact on quality of life and health-care costs. Management of urethral strictures is complex and depends on the characteristics of the stricture. Data show that there is no difference between urethral dilation and internal urethrotomy in terms of long-term outcomes; success rates range widely from 8–80%, with long-term success rates of 20–30%. For both of these procedures, the risk of recurrence is greater for men with longer strictures, penile urethral strictures, multiple strictures, presence of infection, or history of prior procedures. Analysis has shown that repeated use of urethrotomy is not clinically effective or cost-effective in these patients. Long-term success rates are higher for surgical reconstruction with urethroplasty, with most studies showing success rates of 85–90%. Many techniques have been utilized for urethroplasty, depending on the location, length, and character of the stricture. Successful management of urethral strictures requires detailed knowledge of anatomy, pathophysiology, proper patient selection, and reconstructive techniques. PMID:24346008

  7. [Combined effects of benzene and chromium on navigation learning and long-term spatial memory in rats].

    PubMed

    Tikhonov, V V; Ermolina, E V; Miroshnichenko, I V

    2009-01-01

    The impact of long-term intake of drinking water containing the high level of chromium and benzene or their mixture on navigation learning and long-term spatial memory was studied in a Morris water maze. The chronic neurotoxic effect of benzene was characterized by worse long-term memory, which upon its exposure in combination with chromium remained unchanged and failed to block the realization of a positive effect of chromium on the mechanism of navigation learning.

  8. Exterior view of north and east exterior walls of LongTerm ...

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

    Exterior view of north and east exterior walls of Long-Term Oxidizer Silo (T-28B), looking south. Silo was designed to assess long-term environmental impacts on storage of the Titan II's oxidizer (nitrogen tetroxide). The shorter Oxidizer Conditioning Structure (T-28D) is located behind and to the immediate left of T-28B - Air Force Plant PJKS, Systems Integration Laboratory, Long-Term Oxidizer Silo, Waterton Canyon Road & Colorado Highway 121, Lakewood, Jefferson County, CO

  9. Land use, water and Mediterranean landscapes: modelling long-term dynamics of complex socio-ecological systems.

    PubMed

    Barton, C Michael; Ullah, Isaac I; Bergin, Sean

    2010-11-28

    The evolution of Mediterranean landscapes during the Holocene has been increasingly governed by the complex interactions of water and human land use. Different land-use practices change the amount of water flowing across the surface and infiltrating the soil, and change water's ability to move surface sediments. Conversely, water amplifies the impacts of human land use and extends the ecological footprint of human activities far beyond the borders of towns and fields. Advances in computational modelling offer new tools to study the complex feedbacks between land use, land cover, topography and surface water. The Mediterranean Landscape Dynamics project (MedLand) is building a modelling laboratory where experiments can be carried out on the long-term impacts of agropastoral land use, and whose results can be tested against the archaeological record. These computational experiments are providing new insights into the socio-ecological consequences of human decisions at varying temporal and spatial scales.

  10. Bridging the gap: support groups do not enhance long-term outcome in chronic back pain.

    PubMed

    Linton, S J; Hellsing, A L; Larsson, I

    1997-09-01

    Because back pain patients often relapse within months of treatment, the effects of two types of support groups as a complement to usual medical treatment was investigated on long-term outcome. Regular treatment was compared with an "educational" support group and a professional support group before and 1 year after intervention in a randomized controlled trial. A total of 76 women and 27 men, average age of 50 years and with an accumulated sick leave for musculoskeletal pain of 2-24 weeks during the past year, were randomly assigned to the three groups. Sick leave records were obtained from the National Insurance Authority. A battery of standardized instruments was employed, which featured the Sickness Impact Profile, the Coping Strategies Questionnaire, the Multidimensional Pain Inventory, the Pain and Impairment Relationship Scale, the Pain and Discomfort Scale, the Pain Beliefs and Perceptions Inventory, and the Outcome Evaluation Questionnaire. The Educational Support Group demonstrated greater attendance than did the Professional Support Group. However, long-term outcome was not significantly different between any of the groups for sick leave, coping, function, or experienced pain. Both support groups, relative to the Regular Treatment Group, made greater improvements on the Sickness Impact Profile. This study provides little evidence that support groups, as a complement to regular treatment, enhance long-term outcome for subacute musculoskeletal pain problems. Specific treatment techniques, matched to the patient's needs, stringently taught, and delivered in a more compact form, may be necessary for enhancing outcome.

  11. Long-term effects of methamphetamine exposure in adolescent mice on the future ovarian reserve in adulthood.

    PubMed

    Wang, Lan; Qu, Guoqiang; Dong, Xiyuan; Huang, Kai; Kumar, Molly; Ji, Licheng; Wang, Ya; Yao, Junning; Yang, Shulin; Wu, Ruxing; Zhang, Hanwang

    2016-02-03

    Currently, there is an increasing prevalence of adolescent exposure to methamphetamine (MA). However, there is a paucity of information concerning the long-term impact of early exposure to MA upon female fertility and ovarian reserve. The aim of this study was to investigate the effect of long-term MA exposure in adolescents on their ovarian reserve in adulthood. Adolescent mice received intraperitoneal injections of MA (5mg/kg, three times per week) or saline from the 21st postnatal day for an 8 week period. Morphological, histological, biochemical, hormonal and ethological parameters were evaluated. An impaired ovarian reserve and vitality was found in the group treated with MA, manifesting in morphological-apparent mitochondrial damage, an activated apoptosis pathway in the ovarian tissue, a downward expression of ovarian anti-Mullerian hormone (AMH), a decreased number of primordial and growing follicles, an increased number of atretic follicles, and a depressed secretion of AMH, estradiol and progesterone from granulosa cells. However, no significant difference was noticed regarding the estrous cycle, the mating ability and the fertility outcome in the reproductive age of the mice after a period of non-medication. The present results confirmed that a long term exposure to methamphetamine in adolescent mice does have an adverse impact on their ovarian reserve, which indicates that such an early abuse of MA might influence the fertility lifespan of the female mouse. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. Quality of life and impact of bile reflux after retro colic retro gastric gastrojejunostomy in Whipple surgery.

    PubMed

    Siriwardana, Rohan Chaminda; Lokubandara, Rajapaksha Walimuni Mudiyanselage Anuradha; De Silva Hewavisenthi, Shivanthi Janaki; Liyanage, Saumya Kumuduni; Jayatunge, Dona Subani Priyangika; Liyanage, Chandika Anuradha Habarakada

    2017-01-21

    Delayed gastric emptying and bile reflux are common concerns in long-term survivors after Whipple surgery. The study was designed to assess modified retro colic retro gastric gastrojejunostomy in reducing macro and microscopic bile reflux and impact on dyspepsia related quality of life in long-term survivors. Out of 43 patients operated, 23 long-term survivors were included. All underwent gastroscopy and bile reflux was grouped as normal, yellowish bile lakes and presence of greenish bile lakes. Six standard gastric biopsies were taken. Microscopic bile reflux index (BRI) was calculated and a score more than 14 was considered significant. Validated Nepean dyspepsia index-short form (NDI-SF) was used to assess the severity of dyspepsia-related quality of life and compared with age and gender-matched control. The median age was 48 (21-70) years. Median survival of the group was 37 months (6-40). Endoscopically, 20/23 (87%) had macroscopic bile reflux (74% yellowish bile lakes, 13% greenish bile lakes). None had stomal ulcers or macroscopic inflammation. Mean bile reflux index score was 9.7 (range 1.77-34). Mean NDI-SF score of Whipple group was 23.1 (SD 8.88). In controls, mean score was 19.9 (SD 8.23), showing no significant difference (p = 0.245). Though there was macroscopic bile reflux, clinical symptoms and microscopic changes were minimal. The modified technique had good long-term results.

  13. Long-term no-tillage and organic input management enhanced the diversity and stability of soil microbial community.

    PubMed

    Wang, Yi; Li, Chunyue; Tu, Cong; Hoyt, Greg D; DeForest, Jared L; Hu, Shuijin

    2017-12-31

    Intensive tillage and high inputs of chemicals are frequently used in conventional agriculture management, which critically depresses soil properties and causes soil erosion and nonpoint source pollution. Conservation practices, such as no-tillage and organic farming, have potential to enhance soil health. However, the long-term impact of no-tillage and organic practices on soil microbial diversity and community structure has not been fully understood, particularly in humid, warm climate regions such as the southeast USA. We hypothesized that organic inputs will lead to greater microbial diversity and a more stable microbial community, and that the combination of no-tillage and organic inputs will maximize soil microbial diversity. We conducted a long-term experiment in the southern Appalachian mountains of North Carolina, USA to test these hypotheses. The results showed that soil microbial diversity and community structure diverged under different management regimes after long term continuous treatments. Organic input dominated the effect of management practices on soil microbial properties, although no-tillage practice also exerted significant impacts. Both no-tillage and organic inputs significantly promoted soil microbial diversity and community stability. The combination of no-tillage and organic management increased soil microbial diversity over the conventional tillage and led to a microbial community structure more similar to the one in an adjacent grassland. These results indicate that effective management through reducing tillage and increasing organic C inputs can enhance soil microbial diversity and community stability. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. [Public spending on health and population health in Algeria: an econometric analysis].

    PubMed

    Messaili, Moussa; Kaïd Tlilane, Nouara

    2017-07-10

    Objective: The objective of this study was to estimate the impact of public spending on health, among other determinants of health, on the health of the population in Algeria, using life expectancy (men and women) and infant mortality rates as indicators of health status. Methods: We conducted a longitudinal study over the period from 1974 to 2010 using the ARDL (Autoregressive Distributed Lags) approach to co-integration to estimate the short-term and long-term relationship. Results: Public spending on health has a positive, but not statistically significant impact, in the long and short term, on life expectancy (men and women). However, public spending significantly reduces the infant mortality rate. The long-term impact of the number of hospital beds is significant for the life expectancy of men, but not for women and infant mortality, but is significant for all indicators in the short-term relationship. The most important variables in improving the health of the population are real GDP per capita and fertility rate.

  15. Fire-induced albedo change and surface radiative forcing in sub-Saharan Africa savanna ecosystems: Implications for the energy balance

    NASA Astrophysics Data System (ADS)

    Dintwe, Kebonye; Okin, Gregory S.; Xue, Yongkang

    2017-06-01

    Surface albedo is a critical parameter that controls surface energy balance. In dryland ecosystems, fires play a significant role in decreasing surface albedo, resulting in positive radiative forcing. Here we investigate the long-term effect of fire on surface albedo. We devised a method to calculate short-, medium-, and long-term effect of fire-induced radiative forcing and their relative effects on energy balance. We used Moderate Resolution Imaging Spectroradiometer (MODIS) data in our analysis, covering different vegetation classes in sub-Saharan Africa (SSA). Our analysis indicated that mean short-term fire-induced albedo change in SSA was -0.022, -0.035, and -0.041 for savannas, shrubland, and grasslands, respectively. At regional scale, mean fire-induced albedo change in savannas was -0.018 and -0.024 for northern sub-Saharan of Africa and the southern hemisphere Africa, respectively. The short-term mean fire-induced radiative forcing in burned areas in sub-Saharan Africa (SSA) was 5.41 W m-2, which contributed continental and global radiative forcings of 0.25 and 0.058 W m-2, respectively. The impact of fire in surface albedo has long-lasting effects that varies with vegetation type. The long-term energetic effects of fire-induced albedo change and associated radiative forcing were, on average, more than 19 times greater across SSA than the short-term effects, suggesting that fires exerted far more radiative forcing than previously thought. Taking into account the actual duration of fire's effect on surface albedo, we conclude that the contribution of SSA fires, globally and throughout the year, is 0.12 W m-2. These findings provide crucial information on possible impact of fire on regional climate variability.

  16. Assessing the impacts of tillage and fertilization management on nitrous oxide emissions in a cornfield using the DNDC model

    NASA Astrophysics Data System (ADS)

    Deng, Qi; Hui, Dafeng; Wang, Junming; Yu, Chih-Li; Li, Changsheng; Reddy, K. Chandra; Dennis, Sam

    2016-02-01

    Quantification and prediction of N2O emissions from croplands under different agricultural management practices are vital for sustainable agriculture and climate change mitigation. We simulated N2O emissions under tillage and no-tillage,and different nitrogen (N) fertilizer types and application methods (i.e., nitrification inhibitor, chicken manure, and split applications) in a cornfield using the DeNitrification-DeComposition (DNDC) model. The model was parameterized with field experimental data collected in Nashville, Tennessee, under various agricultural management treatments and run for a short term (3 years) and a long term (100 years). Results showed that the DNDC model could adequately simulate N2O emissions as well as soil properties under different agricultural management practices. The modeled emissions of N2O significantly increased by 35% with tillage, and decreased by 24% with the use of nitrification inhibitor, compared with no-tillage and normal N fertilization. Chicken manure amendment and split applications of N fertilizer had minor impact on N2O emission in a short term, but over a long term (100 years) the treatments significantly altered N2O emission (+35%, -10%, respectively). Sensitivity analysis showed that N2O emission was sensitive to mean annual precipitation, mean annual temperature, soil organic carbon, and the amount of total N fertilizer application. Our model results provide valuable information for determining agricultural best management practice to maintain highly productive corn yield while reducing greenhouse gas emissions.

  17. Aboveground vertebrate and invertebrate herbivore impact on net N mineralization in subalpine grasslands.

    PubMed

    Risch, Anita C; Schotz, Martin; Vandegehuchte, Martijn L; Van Der Putten, Wim H; Duyts, Henk; Raschein, Ursina; Gwiazdowicz, Dariusz J; Busse, Matt D; Page-dumroese, Deborah S; Zimmermann, Stephan

    2015-12-01

    Aboveground herbivores have strong effects on grassland nitrogen (N) cycling. They can accelerate or slow down soil net N mineralization depending on ecosystem productivity and grazing intensity. Yet, most studies only consider either ungulates or invertebrate herbivores, but not the combined effect of several functionally different vertebrate and invertebrate herbivore species or guilds. We assessed how a diverse herbivore community affects net N mineralization in subalpine grasslands. By using size-selective fences, we progressively excluded large, medium, and small mammals, as well as invertebrates from two vegetation types, and assessed how the exclosure types (ET) affected net N mineralization. The two vegetation types differed in long-term management (centuries), forage quality, and grazing history and intensity. To gain a more mechanistic understanding of how herbivores affect net N mineralization, we linked mineralization to soil abiotic (temperature; moisture; NO3-, NH4+, and total inorganic N concentrations/pools; C, N, P concentrations; pH; bulk density), soil biotic (microbial biomass; abundance of collembolans, mites, and nematodes) and plant (shoot and root biomass; consumption; plant C, N, and fiber content; plant N pool) properties. Net N mineralization differed between ET, but not between vegetation types. Thus, short-term changes in herbivore community composition and, therefore, in grazing intensity had a stronger effect on net N mineralization than long-term management and grazing history. We found highest N mineralization values when only invertebrates were present, suggesting that mammals had a negative effect on net N mineralization. Of the variables included in our analyses, only mite abundance and aboveground plant biomass explained variation in net N mineralization among ET. Abundances of both mites and leaf-sucking invertebrates were positively correlated with aboveground plant biomass, and biomass increased with progressive exclusion. The negative impact of mammals on net N mineralization may be related partially to (1) differences in the amount of plant material (litter) returned to the belowground subsystem, which induced a positive bottom-up effect on mite abundance, and (2) alterations in the amount and/or distribution of dung, urine, and food waste. Thus, our results clearly show that short-term alterations of the aboveground herbivore community can strongly impact nutrient cycling within ecosystems independent of long-term management and grazing history.

  18. Quality of Life and Functional Health Status of Long-Term Meditators

    PubMed Central

    Manocha, Ramesh; Black, Deborah; Wilson, Leigh

    2012-01-01

    Background. There is very little data describing the long-term health impacts of meditation. Aim. To compare the quality of life and functional health of long-term meditators to that of the normative population in Australia. Method. Using the SF-36 questionnaire and a Meditation Lifestyle Survey, we sampled 343 long-term Australian Sahaja Yoga meditation practitioners and compared their scores to those of the normative Australian population. Results. Six SF-36 subscales (bodily pain, general health, mental health, role limitation—emotional, social functioning, and vitality) were significantly better in meditators compared to the national norms whereas two of the subscales (role limitation—physical, physical functioning) were not significantly different. A substantial correlation between frequency of mental silence experience and the vitality, general health, and especially mental health subscales (P < 0.005) was found. Conclusion. Long-term practitioners of Sahaja yoga meditation experience better functional health, especially mental health, compared to the general population. A relationship between functional health, especially mental health, and the frequency of meditative experience (mental silence) exists that may be causal. Evidence for the potential role of this definition of meditation in enhancing quality of life, functional health and wellbeing is growing. Implications for primary mental health prevention are discussed. PMID:22611427

  19. Psychological Distress, Anxiety, and Depression of Cancer-Affected BRCA1/2 Mutation Carriers: a Systematic Review.

    PubMed

    Ringwald, Johanna; Wochnowski, Christina; Bosse, Kristin; Giel, Katrin Elisabeth; Schäffeler, Norbert; Zipfel, Stephan; Teufel, Martin

    2016-10-01

    Understanding the intermediate- and long-term psychological consequences of genetic testing for cancer patients has led to encouraging research, but a clear consensus of the psychosocial impact and clinical routine for cancer-affected BRCA1 and BRCA2 mutation carriers is still missing. We performed a systematic review of intermediate- and long-term studies investigating the psychological impact like psychological distress, anxiety, and depression in cancer-affected BRCA mutation carriers compared to unaffected mutation carriers. This review included the screening of 1243 studies. Eight intermediate- and long-term studies focusing on distress, anxiety, and depression symptoms among cancer-affected mutation carriers at least six months after the disclosure of genetic testing results were included. Studies reported a great variety of designs, methods, and patient outcomes. We found evidence indicating that cancer-affected mutation carriers experienced a negative effect in relation to psychological well-being in terms of an increase in symptoms of distress, anxiety, and depression in the first months after test disclosure. In the intermediate- and long-term, no significant clinical relevant symptoms occurred. However, none of the included studies used specific measurements, which can clearly identify psychological burdens of cancer-affected mutation carriers. We concluded that current well-implemented distress screening instruments are not sufficient for precisely identifying the psychological burden of genetic testing. Therefore, future studies should implement coping strategies, specific personality structures, the impact of genetic testing, supportive care needs and disease management behaviour to clearly screen for the possible intermediate- and long-term psychological impact of a positive test disclosure.

  20. NDT evaluation of long-term bond durability of CFRP-structural systems applied to RC highway bridges

    NASA Astrophysics Data System (ADS)

    Crawford, Kenneth C.

    2016-06-01

    The long-term durability of CFRP structural systems applied to reinforced-concrete (RC) highway bridges is a function of the system bond behavior over time. The sustained structural load performance of strengthened bridges depends on the carbon fiber-reinforced polymer (CFRP) laminates remaining 100 % bonded to concrete bridge members. Periodic testing of the CFRP-concrete bond condition is necessary to sustain load performance. The objective of this paper is to present a non-destructive testing (NDT) method designed to evaluate the bond condition and long-term durability of CFRP laminate (plate) systems applied to RC highway bridges. Using the impact-echo principle, a mobile mechanical device using light impact hammers moving along the length of a bonded CFRP plate produces unique acoustic frequencies which are a function of existing CFRP plate-concrete bond conditions. The purpose of this method is to test and locate CFRP plates de-bonded from bridge structural members to identify associated deterioration in bridge load performance. Laboratory tests of this NDT device on a CFRP plate bonded to concrete with staged voids (de-laminations) produced different frequencies for bonded and de-bonded areas of the plate. The spectra (bands) of frequencies obtained in these tests show a correlation to the CFRP-concrete bond condition and identify bonded and de-bonded areas of the plate. The results of these tests indicate that this NDT impact machine, with design improvements, can potentially provide bridge engineers a means to rapidly evaluate long lengths of CFRP laminates applied to multiple highway bridges within a national transportation infrastructure.

  1. The impact of cancer and quality of life among long-term survivors of breast cancer in Austria.

    PubMed

    Bouskill, Kathryn; Kramer, Michael

    2016-11-01

    This study explores the relationship between the perceived impact of cancer among long-term breast cancer survivors, sociodemographic and clinical variables, and mental and physical health-related quality of life outcomes in Austria. One hundred and fifty-two long-term survivors of breast cancer (on average 13 years after initial diagnosis) completed three mailed surveys, including the Short Form-36 (SF-36), the Impact of Cancer (version 2) to assess the perceived positive and negative aspects of cancer survivorship, and a general sociodemographic and clinical questionnaire. Linear regression models were constructed to determine the effects of the perceived positive and negative impact of cancer on mental and physical health-related quality of life. Respondents reported a physical health status that centered on population norms for Austria, but scored lower on mental health status. After controlling for age, chemotherapy, exercise, and BMI, the positive impact of cancer was associated with improved physical functioning (p = 0.0014) and the negative impact of cancer was associated with poorer physical functioning (p < 0.0001). After controlling for age, marital status, the belief in emotional distress as a cause of cancer, and high stress levels, the negative impact of cancer was associated with poorer mental functioning (p < 0.0001). Higher perceived positive impact of cancer was not associated with improved mental functioning. Long-term survivors of breast cancer in Austria perceive both positive and negative impacts of breast cancer. These perceptions, in particular the negative impact of cancer, appear to influence, or are potentially influenced by, physical and mental health-related quality of life.

  2. Long-term impacts of prescribed fire on stand structure, growth, mortality, and individual tree vigor in Pinus resinosa forests

    Treesearch

    Sawyer S. Scherer; Anthony W. D' Amato; Christel C. Kern; Brian J. Palik; Matthew B. Russell

    2016-01-01

    Prescribed fire is increasingly being viewed as a valuable tool for mitigating the ecological consequences of long-term fire suppression within fire-adapted forest ecosystems. While the use of burning treatments in northern temperate conifer forests has at times received considerable attention, the long-term (>10 years) effects on forest structure and...

  3. Site productivity and diversity of the Middle Mountain long-term soil productivity study, West Virginia: Pre-experimental site characterization

    Treesearch

    Mary Beth Adams

    2018-01-01

    To better understand the impacts of a changing environment and interactions with forest management options for forest resources, including soil, large long-term experiments are required. Such experiments require careful documentation of reference or pre-experimental conditions. This publication describes the Middle Mountain Long-term Soil Productivity (LTSP) Study,...

  4. Community Impact Report. Executive Summary, Fall 2000.

    ERIC Educational Resources Information Center

    Hodge, Valerie

    This summary details Bellevue Community College's (BCC's) (Washington) short-term and long-term community impacts. Short-term community impacts include: (1) 34,994 students were educated and trained at BCC; (2) BCC employed over 2,272 people, 53% of whom lived in the BCC service area; (3) BCC total revenue was $62,966,226; (4) 28.6% of the total…

  5. Health insurance for all long-term care workers: estimated costs and coverage impacts in Minnesota and recommendations for States.

    PubMed

    Wright, Bernadette; Gruman, Cindy; Alecxih, Lisa; Knatterud, Larhae

    2012-01-01

    A major barrier to building a strong workforce to meet the growing need for long-care is lack of affordable health benefits. This study projects impacts of funding health coverage for all long-term care workers in Minnesota. Under the most cost effective model plan design, enrollment in employer-sponsored coverage would increase 73% to 100% for individual coverage and 26% to 42% for family coverage. Total monthly costs would be $698/worker in the commercial market or $634/worker through a new dedicated risk pool. Based on our findings and past research, the authors present recommendations for structuring and implementing a long-term care worker health insurance initiative.

  6. Medical students on long-term regional and rural placements: what is the financial cost to supervisors?

    PubMed

    Hudson, Judith N; Weston, Kathryn M; Farmer, Elizabeth A

    2012-01-01

    Medical student education is perceived as utilising significant amounts of preceptors' time, negatively impacting on clinical productivity. Most studies have examined short-term student rotations in urban settings, limiting their generalisability to other settings and educational models. To test Worley and Kitto's hypothetical model which proposed a 'turning point' when students become financially beneficial, this study triangulated practice financial data with the perspectives of clinical supervisors before and after regional/rural longitudinal integrated community-based placements. Gross practice financial data were compared before and during the year-long placement. Interview data pre- and post-placement were analysed by two researchers who concurred on emergent themes and categories. This study suggested a financial 'turning point' of 1-2 months when the student became beneficial to the practice. Most preceptors (66%) perceived the longitudinal placement as financially neutral or favourable. Nineteen per cent of supervisors reported a negative financial impact, some attributing this to reduced patient throughput, inadequacy of the government teaching subsidy and/or time spent on assessment preparation. Other supervisors were unconcerned about costs, perceiving that minor financial loss was outweighed by personal satisfaction. CONCLUISONS: Senior students learning in long-term clerkships are legitimate members of regional/rural communities of practice. These students can be cost-neutral or have a small positive financial impact on the practice within a few months. Further financial impact research should include consideration of different models of supervisor teaching subsidies. The ultimate financial benefit of a model may lie in the recruitment and retention of much-needed regional and rural practitioners.

  7. Application of washed MSWI fly ash in cement composites: long-term environmental impacts.

    PubMed

    Yang, Zhenzhou; Tian, Sicong; Liu, Lili; Wang, Xidong; Zhang, Zuotai

    2018-04-01

    In the present study, long-term environmental impacts of compact and ground cement composites, in which 30 wt.% of cement was replaced by washed municipal solid wastes incineration (MSWI) fly ash, were investigated for use in building industry. Consecutive leaching tests over a time span of 180 days were performed in acid water, deionized water, and saline water, respectively, with the accumulative concentration of different elements determined in the leachate. Different leaching behaviors are observed among different potential toxic elements (PTEs). For instance, higher concentrations of V in the leachate were observed from the compact cement composites than those from the ground ones. The concentration of Ba in the leachate increased with the decrease of particle size of the cement composites, and an initial increase in the leaching efficiency of Sn was followed by a clear decline with the leaching time. In addition, kinetic study revealed that the leaching behaviors of potential toxic elements follow a second-order model. The results demonstrated that the addition of washed MSWI fly ash into cement can contribute to the attrition resistance, indicating that the washed MSWI fly ash could be a promising alternative for cement as supplementary building materials.

  8. Physicochemical and microbiological effects of long- and short-term winery wastewater application to soils.

    PubMed

    Mosse, K P M; Patti, A F; Smernik, R J; Christen, E W; Cavagnaro, T R

    2012-01-30

    Application of winery wastewaters to soils for irrigation of various crops or landscapes is a common practice in the wine industry. In this study, we sought to investigate the effects of this practice, by comparing the physicochemical and microbiological soil properties in paired sites that differed in having had a history of winery waste application or not. We also compared the effects of a single application of untreated winery wastewater, to application of treated winery wastewater (sequencing batch reactor) and pure water to eliminate the effects of wetting alone. Long-term application of winery wastes was found to have significant impacts on soil microbial community structure, as determined by phospholipid fatty acid analysis, as well as on many physicochemical properties including pH, EC, and cation concentrations. (13)C NMR revealed only slight differences in the nature of the carbon present at each of the paired sites. A single application of untreated winery wastewater was shown to have significant impacts upon soil respiration, nitrogen cycling and microbial community structure, but the treated wastewater application showed no significant differences to wetting alone. Results are discussed in the context of sustainable winery wastewater disposal. Copyright © 2011 Elsevier B.V. All rights reserved.

  9. Long-term impact of clearcutting, deer browsing, and defoliation on stand development in a Pennsylvania mixed-oak forest

    Treesearch

    Aaron D. Stottlemyer

    2014-01-01

    The long-term impacts of even-age forest management and excessive browsing by white-tailed deer (Odocoileus virginianus) on regeneration are unknown for hardwood forests in the eastern United States. In 1965, Gene Wood, a graduate student at Pennsylvania State University, initiated a study in a mixed-oak forest in central Pennsylvania to examine...

  10. When and where to intervene? Coastal nutrient loading, groundwater travel times, and estuary dynamics

    EPA Science Inventory

    There is often a difference between the timing of an intervention in a natural system and the resultant impact. Delays in the transport of pollutants from sources, inertia in the effects of policy on economic actors, and long-term memory in natural systems, turn environmental man...

  11. Species diversity and composition in old growth and second growth rich coves of the southern Appalachian Mountains

    Treesearch

    Clay Jackson; Dan Pitillo; Lee Allen; Thomas R Wnetworth; Bronson P Bullock; David L. Loftis

    2009-01-01

    Because of ongoing debate over the long term impacts of logging, we conducteda study to assess if second growth (70 6 10 years) rich coves differ from old growth rich coves(. 125 years) in species diversity or composition. We sampled twenty-six 0.1 ha...

  12. Overview of escalator applications in rail transit

    NASA Technical Reports Server (NTRS)

    Deshpande, G.; Rubenstein, L.

    1980-01-01

    The difference in operating environment and in construction between escalators in transit and nontransit use, the impact of recent escalator innovations, and areas which could benefit from urban mass transportation administration sponsored research and development are determined. Several factors causing a more severe transit escalator operating environment are identified. There are no significant design differences between transit and nontransit escalators. Recent innovations that have affected performance and cost include outdoor escalators, extra flat steps at both landings, and modular escalators. Data were collected by interviews at transit agencies. Long term, unscheduled, escalator maintenance records were available for analysis from one property. A description of escalator operating principles is provided. Transit represents less than 5% of the U.S. escalator market. Transit agencies have limited leverage on escalator industry practices. A substantial impact on transit escalator cost and performance can be achieved by research identifying when and how to apply and specify several of the more recent innovations. Purchase of escalators under long term (25 year) maintenance contracts is one method that has been used to promote escalators manufactured for minimum life cycle cost.

  13. Media arrangement impacts cell growth in anaerobic fixed-bed reactors treating sugarcane vinasse: Structured vs. randomic biomass immobilization.

    PubMed

    de Aquino, Samuel; Fuess, Lucas Tadeu; Pires, Eduardo Cleto

    2017-07-01

    This study reports on the application of an innovative structured-bed reactor (FVR) as an alternative to conventional packed-bed reactors (PBRs) to treat high-strength solid-rich wastewaters. Using the FVR prevents solids from accumulating within the fixed-bed, while maintaining the advantages of the biomass immobilization. The long-term operation (330days) of a FVR and a PBR applied to sugarcane vinasse under increasing organic loads (2.4-18.0kgCODm -3 day -1 ) was assessed, focusing on the impacts of the different media arrangements over the production and retention of biomass. Much higher organic matter degradation rates, as well as long-term operational stability and high conversion efficiencies (>80%) confirmed that the FVR performed better than the PBR. Despite the equivalent operating conditions, the biomass growth yield was different in both reactors, i.e., 0.095gVSSg -1 COD (FVR) and 0.066gVSSg -1 COD (PBR), indicating a clear control of the media arrangement over the biomass production in fixed-bed reactors. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. 33 CFR 332.7 - Management.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., the activity causing the authorized impacts. (b) Sustainability. Compensatory mitigation projects... sustainability. Where active long-term management and maintenance are necessary to ensure long-term sustainability (e.g., prescribed burning, invasive species control, maintenance of water control structures...

  15. 33 CFR 332.7 - Management.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., the activity causing the authorized impacts. (b) Sustainability. Compensatory mitigation projects... sustainability. Where active long-term management and maintenance are necessary to ensure long-term sustainability (e.g., prescribed burning, invasive species control, maintenance of water control structures...

  16. 33 CFR 332.7 - Management.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., the activity causing the authorized impacts. (b) Sustainability. Compensatory mitigation projects... sustainability. Where active long-term management and maintenance are necessary to ensure long-term sustainability (e.g., prescribed burning, invasive species control, maintenance of water control structures...

  17. 40 CFR 230.97 - Management.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., the activity causing the authorized impacts. (b) Sustainability. Compensatory mitigation projects... sustainability. Where active long-term management and maintenance are necessary to ensure long-term sustainability (e.g., prescribed burning, invasive species control, maintenance of water control structures...

  18. 33 CFR 332.7 - Management.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., the activity causing the authorized impacts. (b) Sustainability. Compensatory mitigation projects... sustainability. Where active long-term management and maintenance are necessary to ensure long-term sustainability (e.g., prescribed burning, invasive species control, maintenance of water control structures...

  19. 40 CFR 230.97 - Management.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., the activity causing the authorized impacts. (b) Sustainability. Compensatory mitigation projects... sustainability. Where active long-term management and maintenance are necessary to ensure long-term sustainability (e.g., prescribed burning, invasive species control, maintenance of water control structures...

  20. 40 CFR 230.97 - Management.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., the activity causing the authorized impacts. (b) Sustainability. Compensatory mitigation projects... sustainability. Where active long-term management and maintenance are necessary to ensure long-term sustainability (e.g., prescribed burning, invasive species control, maintenance of water control structures...

  1. 40 CFR 230.97 - Management.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., the activity causing the authorized impacts. (b) Sustainability. Compensatory mitigation projects... sustainability. Where active long-term management and maintenance are necessary to ensure long-term sustainability (e.g., prescribed burning, invasive species control, maintenance of water control structures...

  2. The Psychometricization of Sigfluence.

    ERIC Educational Resources Information Center

    Loase, John Frederick

    The English language lacks a word that means long-term interpersonal influence of one person toward another. This failing likely conditions people to be superficial in their thinking, and consequently in their behavior. A new term, sigfluence, has been coined to define positive, long-term, significant, impactful, interpersonal influence. One of…

  3. Recreational music-making: a cost-effective group interdisciplinary strategy for reducing burnout and improving mood states in long-term care workers.

    PubMed

    Bittman, Barry; Bruhn, Karl T; Stevens, Christine; Westengard, James; Umbach, Paul O

    2003-01-01

    This controlled, prospective, randomized study examined the clinical and potential economic impact of a 6-session Recreational Music-making (RMM) protocol on burnout and mood dimensions, as well as on Total Mood Disturbance (TMD) in an interdisciplinary group of long-term care workers. A total of 112 employees participated in a 6-session RMM protocol focusing on building support, communication, and interdisciplinary respect utilizing group drumming and keyboard accompaniment. Changes in burnout and mood dimensions were assessed with the Maslach Burnout Inventory and the Profile of Mood States respectively. Cost savings were projected by an independent consulting firm, which developed an economic impact model. Statistically-significant reductions of multiple burnout and mood dimensions, as well as TMD scores, were noted. Economic-impact analysis projected cost savings of $89,100 for a single typical 100-bed facility, with total annual potential savings to the long-term care industry of $1.46 billion. A cost-effective, 6-session RMM protocol reduces burnout and mood dimensions, as well as TMD, in long-term care workers.

  4. Bellevue Community College Community Impact Report, Fall 2002.

    ERIC Educational Resources Information Center

    Bellevue Community Coll., WA.

    This document presents data pertaining to the impact of Bellevue Community College (BCC), Washington, on the surrounding community. The study examines both short- and long-term impacts of BCC on the larger community. Short-term impacts include the revenue and expenditures for which BCC is responsible, which for 2001-02 totaled $86,431,309. During…

  5. Land Use and Climate Alter Carbon Dynamics in Watersheds of Chesapeake Bay

    NASA Astrophysics Data System (ADS)

    Kaushal, S.; Duan, S.; Grese, M.; Pennino, M. J.; Belt, K. T.; Findlay, S.; Groffman, P. M.; Mayer, P. M.; Murthy, S.; Blomquist, J.

    2011-12-01

    There have been long-term changes in the quantity of organic carbon in streams and rivers globally. Shifts in the quality of organic carbon due to environmental changes may also impact downstream ecosystem metabolism and fate and transport of contaminants. We investigated long-term impacts of land use and hydrologic variability on organic carbon transport in watersheds of the Baltimore Long-Term Ecological Research (LTER) site and large rivers of the Chesapeake Bay. In small and medium-sized watersheds of the Baltimore LTER site, urban land use increased organic carbon concentrations in streams several-fold compared to forest and agricultural watersheds. Enzymatic activities of stream microbes were significantly altered across watershed land use during a record wet year. During the wet year, short-term bioassays showed that bioavailable dissolved organic carbon varied seasonally, but comprised a substantial proportion of the dissolved organic carbon pool. Similarly, measurements of biochemical oxygen demand across hydrologic variability suggest that reactive organic carbon export from small and medium-sized urban watersheds during storms can be substantial. At a larger regional scale, major tributaries such as the Potomac, Susquehanna, Patuxent, and Choptank rivers also showed similar variability as smaller watersheds in quantity and quality of organic carbon based on land use and climate. There were distinct isotopic values of d13C of particulate organic matter and fluorescence excitation emission matrices for rivers influenced by different land uses. Stable isotopic values of d13C of particulate organic matter and fluorescence excitation emission matrices showed marked seasonal changes in organic matter quality during spring floods in the Potomac River at Washington D.C. Across watershed size, there appeared to be differences in seasonal cycles of organic carbon quality and this may have been based on the degree of hydrologic connectivity between watersheds and streams and rivers. Overall, our results suggest that land use and climate can alter quantity and quality of carbon delivered from coastal watersheds and this may have impacts on downstream estuarine ecosystem processes.

  6. How do general practitioners contribute to preventing long-term work disability of their patients suffering from depressive disorders? A qualitative study.

    PubMed

    Sylvain, Chantal; Durand, Marie-José; Maillette, Pascale; Lamothe, Lise

    2016-06-07

    Depression is a major cause of work absenteeism that general practitioners (GPs) face directly since they are responsible for sickness certification and for supervising the return to work (RTW). These activities give GPs a key role in preventing long-term work disability, yet their practices in this regard remain poorly documented. The objectives of this study were therefore to describe GPs' practices with people experiencing work disability due to depressive disorders and explore how GPs' work context may impact on their practices. We conducted semi-structured individual interviews with 13 GPs and six mental healthcare professionals in two sub-regions of Quebec. The sub-regions differed in terms of availability of specialized resources offering public mental health services. Data were anonymized and transcribed verbatim. Thematic analysis was performed to identify patterns in the GPs' practices and highlight impacting factors in their work context. Our results identified a set of practices common to all the GPs and other practices that differentiated them. Two profiles were defined on the basis of the various practices documented. The first is characterized by the integration of the RTW goal into the treatment goal right from sickness certification and by interventions that include the workplace, albeit indirectly. The second is characterized by a lack of early RTW-oriented action and by interventions that include little workplace involvement. Regardless of the practice profile, actions intended to improve collaboration with key stakeholders remain the exception. However, two characteristics of the work context appear to have an impact: the availability of a dedicated mental health nurse and the regular provision of clinical information by psychotherapists. These conditions are rarely present but tend to make a significant difference for the GPs. Our results highlight the significant role of GPs in the prevention of long-term work disability and their need for support through the organization of mental health services at the primary care level.

  7. Impact of eLearning course on nurses' professional competence in seclusion and restraint practices: 9-month follow-up results of a randomized controlled study (ISRCTN32869544).

    PubMed

    Kontio, R; Hätönen, H; Joffe, G; Pitkänen, A; Lahti, M; Välimäki, M

    2013-04-01

    eLearning may facilitate continuing vocational education, but data on the long-term effects of an eLearning course are lacking. The aim of this study was to explore the long-term impact of an eLearning course entitled ePsychNurse.Net on psychiatric nurses' professional competence in practicing seclusion and restraint and on their job satisfaction and general self-efficacy at 9-month follow-up. In a randomized controlled study, 12 wards were randomly assigned to the ePsychNurse.Net (intervention) or training as usual (control). Baseline and 9-month follow-up data on nurses' knowledge of coercion-related legislation, physical restraint and seclusion, their attitudes towards physical restraint and seclusion, job satisfaction and general self-efficacy were analysed for 137 completers (those who participated in the 9-month follow-up assessment). No between-group differences were found on any variable, with the exception of a change in attitude to seclusion in favour of the control group. The findings of the long-term effects did not differ from the immediate outcomes (3-month follow-up) and the improved level of knowledge acquired and further consolidation of that knowledge did not take place in the 6-month period after the 3-month ePsychNurse.Net course. The ePsychNurse.Net should be further developed and its future modifications will require additional studies, probably with some new outcome measures. © 2012 Blackwell Publishing.

  8. Intelligent power wheelchair use in long-term care: potential users' experiences and perceptions.

    PubMed

    Rushton, Paula W; Mortenson, Ben W; Viswanathan, Pooja; Wang, Rosalie H; Miller, William C; Hurd Clarke, Laura

    2017-10-01

    Long-term care (LTC) residents with cognitive impairments frequently experience limited mobility and participation in preferred activities. Although a power wheelchair could mitigate some of these mobility and participation challenges, this technology is often not prescribed for this population due to safety concerns. An intelligent power wheelchair (IPW) system represents a potential intervention that could help to overcome these concerns. The purpose of this study was to explore a) how residents experienced an IPW that used three different modes of control and b) what perceived effect the IPW would have on their daily lives. We interviewed 10 LTC residents with mild or moderate cognitive impairment twice, once before and once after testing the IPW. Interviews were conducted using a semi-structured interview guide, audio recorded and transcribed verbatim for thematic analyses. Our analyses identified three overarching themes: (1) the difference an IPW would make, (2) the potential impact of the IPW on others and (3) IPW-related concerns. Findings from this study confirm the need for and potential benefits of IPW use in LTC. Future studies will involve testing IPW improvements based on feedback and insights from this study. Implications for rehabilitation Intelligent power wheelchairs may enhance participation and improve safety and feelings of well-being for long-term care residents with cognitive impairments. Intelligent power wheelchairs could potentially have an equally positive impact on facility staff, other residents, and family and friends by decreasing workload and increasing safety.

  9. Complications of obesity in children and adolescents.

    PubMed

    Daniels, S R

    2009-04-01

    The increasing prevalence and severity of obesity in children and adolescents has provided greater emphasis on the wide variety of comorbid conditions and complications that can be experienced as a consequence of obesity. These complications can occur both in the short term and in the long term. Some complications, earlier thought to be long-term issues, which would only occur in adulthood, have now been shown to occur in children and adolescents. These findings have raised concerns about the overall health experience of those who develop obesity early in life and have even raised questions about whether the obesity epidemic might shorten the life span of the current generation of children. In this paper, I will examine current knowledge regarding the different organ systems that may be impacted by childhood obesity.

  10. Update: Non-Invasive Positive Pressure Ventilation in Chronic Respiratory Failure Due to COPD.

    PubMed

    Altintas, Nejat

    2016-01-01

    Long-term non-invasive positive pressure ventilation (NPPV) has widely been accepted to treat chronic hypercapnic respiratory failure arising from different etiologies. Although the survival benefits provided by long-term NPPV in individuals with restrictive thoracic disorders or stable, slowly-progressing neuromuscular disorders are overwhelming, the benefits provided by long-term NPPV in patients with chronic obstructive pulmonary disease (COPD) remain under question, due to a lack of convincing evidence in the literature. In addition, long-term NPPV reportedly failed in the classic trials to improve important physiological parameters such as arterial blood gases, which might serve as an explanation as to why long-term NPPV has not been shown to substantially impact on survival. However, high intensity NPPV (HI-NPPV) using controlled NPPV with the highest possible inspiratory pressures tolerated by the patient has recently been described as a new and promising approach that is well-tolerated and is also capable of improving important physiological parameters such as arterial blood gases and lung function. This clearly contrasts with the conventional approach of low-intensity NPPV (LI-NPPV) that uses considerably lower inspiratory pressures with assisted forms of NPPV. Importantly, HI-NPPV was very recently shown to be superior to LI-NPPV in terms of improved overnight blood gases, and was also better tolerated than LI-NPPV. Furthermore, HI-NPPV, but not LI-NPPV, improved dyspnea, lung function and disease-specific aspects of health-related quality of life. A recent study showed that long-term treatment with NPPV with increased ventilatory pressures that reduced hypercapnia was associated with significant and sustained improvements in overall mortality. Thus, long-term NPPV seems to offer important benefits in this patient group, but the treatment success might be dependent on effective ventilatory strategies.

  11. Who Is at Greatest Risk of Adverse Long-Term Outcomes? The Finnish from a Boy to a Man Study

    ERIC Educational Resources Information Center

    Sourander, Andre; Jensen, Peter; Davies, Mark; Niemela, Solja; Elonheimo, Henrik; Ristkari, Terja; Helenius, Hans; Sillanmaki, Lauri; Piha, Jorma; Kumpulainen, Kirsti; Tamminen, Tuula; Moilanen, Irma; Almqvist, Fredrik

    2007-01-01

    Objective: To study associations between comorbid psychopathology and long-term outcomes in a large birth cohort sample from age 8 to early adulthood. Method: The sample included long-term outcome data on 2,556 Finnish boys born in 1981. The aim was to study the impact of early childhood psychopathology types (externalizing versus internalizing…

  12. Space environmental considerations for a long-term cryogenic storage vessel

    NASA Technical Reports Server (NTRS)

    Nakanishi, Shigeo

    1987-01-01

    Information is given on the kind of protection that is needed against impact and perforation of a long-term cryogenic storage vessel in space by meteoroids and space debris. The long-term effects of the space environment on thermal control surfaces and coatings, and the question of whether the insulation and thermal control surfaces should be encased in a vacuum jacket shell are discussed.

  13. The public gets what the public wants: experiences of public reporting in long-term care in Europe.

    PubMed

    Rodrigues, Ricardo; Trigg, Lisa; Schmidt, Andrea E; Leichsenring, Kai

    2014-05-01

    Public reporting of quality in long-term care is advocated on the basis of allowing providers to improve their performance by benchmarking and supporting users to choose the best providers. Both mechanisms are intended to drive improvements in quality. However, there is relatively scarce comparative research on the experiences and impact of public reporting on quality in long-term care in Europe. Using information gathered from key informants by means of a structured questionnaire and country profiles, this paper discusses experiences with public reporting mechanisms in seven European countries and available information on their impact on quality in long-term care. Countries surveyed included a variety of public reporting schemes, ranging from pilot programmes to statutory mechanisms. Public reporting mechanisms more often focus on institutional care. Inspections carried out as part of a legal quality assurance framework are the main source of information gathering, supplemented by provider self-assessments in the context of internal quality management and user satisfaction surveys. Information on quality goes well beyond structural indicators to also include indicators on quality of life of users. Information is displayed using numerical scores (percentages), but also measures such as ratings (similar to school grades) and ticks and crosses. Only one country corrects for case-mix. The internet is the preferred medium of displaying information. There was little evidence to show whether public reporting has a significant impact on driving users' choices of provider. Studies reported low awareness of quality indicators among potential end users and information was not always displayed in a convenient format, e.g. through complicated numerical scores. There is scarce evidence of public reporting directly causing improved quality, although the relative youth and the pilot characteristics of some of the schemes covered here could also have contributed to downplay their impact. The establishment of public reporting mechanisms did however contribute to shaping the discussion on quality measurement in several of the countries surveyed. The findings presented in this paper highlight the need to consider some factors in the discussion of the impact of public reporting in long-term care, namely, the organisation of care markets, frequently characterised by limited competition; the circumstances under which user choice takes place, often made under conditions of duress; and the leadership conditions needed to bring about improvements in quality in different care settings. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  14. Short-term pain for long-term gain: seagrass communities increase short-term extremes and long-term offset of CO2 under future ocean acidification

    EPA Science Inventory

    The impacts of ocean acidification in nearshore estuarine environments remain poorly characterized, despite these areas being some of the most ecologically, economically, and culturally important habitats in the global ocean. Here, we quantify how rising atmospheric CO2 from 1765...

  15. Effectiveness of Career Counseling: A One-Year Follow-Up

    ERIC Educational Resources Information Center

    Perdrix, Sophie; Stauffer, Sarah; Masdonati, Jonas; Massoudi, Koorosh; Rossier, Jerome

    2012-01-01

    The short-term effectiveness of career counseling is well supported in the literature. However, the long-term impact is often overlooked. This study quantitatively investigated the long-term stability of the positive effects gained through the career counseling process and qualitatively observed participants' levels of career project…

  16. Alteration in certain enzymological parameters of an Indian major carp, Cirrhinus mrigala exposed to short- and long-term exposure of clofibric acid and diclofenac.

    PubMed

    Saravanan, Manoharan; Ramesh, Mathan; Petkam, Rakpong

    2013-12-01

    The extensive use of pharmaceuticals in human and veterinary medicine may enter the aquatic environment and pose a serious threat to non-target aquatic organisms like fish. In this study, Indian major carp Cirrhinus mrigala was exposed to different concentrations (1, 10 and 100 μg L⁻¹) of most commonly used pharmaceutical drugs clofibric acid (CA) and diclofenac (DCF) to evaluate its impacts on certain enzymological parameters during short- and long-term exposures. During short-term (96 h) exposure period, plasma glutamate oxaloacetate transaminase (GOT), glutamate pyruvate transaminase (GPT) and gill Na⁺/K⁺-ATPase activity were significantly altered at all concentrations of both the CA- and DCF-treated fish. In long-term exposure (35 days), gill Na⁺/K⁺-ATPase activity was found to be significantly increased at all concentration of CA and DCF exposures throughout the study period (except at the end of 7th day in 10 and 100 µg L⁻¹) . However, a biphasic trend was observed in plasma GOT and GPT activity when compared to the control groups. In both short- and long-term exposure, a significant (P < 0.01 and P < 0.05) changes were observed in all enzymological parameters of fish C. mrigala exposed to different concentrations of CA and DCF. The alterations of these enzymological parameters can be effectively used as potential biomarkers in monitoring of pharmaceutical toxicity in aquatic environment and organisms.

  17. An algorithmic interactive planning framework in support of sustainable technologies

    NASA Astrophysics Data System (ADS)

    Prica, Marija D.

    This thesis addresses the difficult problem of generation expansion planning that employs the most effective technologies in today's changing electric energy industry. The electrical energy industry, in both the industrialized world and in developing countries, is experiencing transformation in a number of different ways. This transformation is driven by major technological breakthroughs (such as the influx of unconventional smaller-scale resources), by industry restructuring, changing environmental objectives, and the ultimate threat of resource scarcity. This thesis proposes a possible planning framework in support of sustainable technologies where sustainability is viewed as a mix of multiple attributes ranging from reliability and environmental impact to short- and long-term efficiency. The idea of centralized peak-load pricing, which accounts for the tradeoffs between cumulative operational effects and the cost of new investments, is the key concept in support of long-term planning in the changing industry. To start with, an interactive planning framework for generation expansion is posed as a distributed decision-making model. In order to reconcile the distributed sub-objectives of different decision makers with system-wide sustainability objectives, a new concept of distributed interactive peak load pricing is proposed. To be able to make the right decisions, the decision makers must have sufficient information about the estimated long-term electricity prices. The sub-objectives of power plant owners and load-serving entities are profit maximization. Optimized long-term expansion plans based on predicted electricity prices are communicated to the system-wide planning authority as long-run bids. The long-term expansion bids are cleared by the coordinating planner so that the system-wide long-term performance criteria are satisfied. The interactions between generation owners and the coordinating planning authority are repeated annually. We view the proposed interactive planning framework as a necessary paradigm for planning in the changing industry where choice must be reconciled with societal public objectives.

  18. Summary of Results of the Seminar on the Cultural Impact of Extraterrestrial

    NASA Astrophysics Data System (ADS)

    Billingham, John

    This seminar, organized by the Foundation For the Future, will take place on July 31 and August 1, 1999, in the same location as the Bioastronomy Conference. It will focus on the long term implications of a potential dialogue with an extraterrestrial civilization. The following topics will be addressed in a discussion format. • The impact of any practical information and advice that we receive: • The impact of new insights,understanding, and knowledge about major questions that go far beyond ordinary practical day-to-day matters: • The impact of a transformation in our view of ourselves and our place in the universe: • The impact of our role in some joint galactic project (in art, science, philosophy, or philanthropy, for example): • Any other significant impact or effects, either positive or negative: • What should humanity do NOW in order to maximize the positive long-term impact from an eventual dialogue - in order to achieve the greatest possible benefits for our culture, science, world view, and long-term future? The major conclusions of the discussions will be presented. The co- ordinator of the seminar is Allen Tough, University of Toronto.

  19. Changing the role of the air traffic controller: how will free flight affect memory for spatial events?

    PubMed

    Nicholls, Alastair P; Melia, Anne; Farmer, Eric W; Shaw, Gareth; Milne, Tracey; Stedmon, Alex; Sharples, Sarah; Cox, Gemma

    2007-07-01

    At present, air traffic controllers (ATCOs) exercise strict control over routing authority for aircraft movement in airspace. The onset of a free flight environment, however, may well result in a dramatic change to airspace jurisdictions, with aircraft movements for the large part being governed by aircrew, not ATCOs. The present study examined the impact of such changes on spatial memory for recent and non-recent locations of aircraft represented on a visual display. The experiment contrasted present conditions, in which permission for manoeuvres is granted by ATCOs, with potential free flight conditions, in which aircrew undertake deviations without explicit approval from ATCOs. Results indicated that the ATCO role adopted by participants impacted differently on short-term and long-term spatial representations of aircraft manoeuvres. Although informing participants of impending deviations has beneficial effects on spatial representations in the short term, long-term representations of spatial events are affected deleteriously by the presentation of subsequent information pertaining to other aircraft. This study suggests strongly that recognition of the perceptual and cognitive consequences of changing to a free flight environment is crucial if air safety is not to be jeopardized.

  20. Effects of air pollution on human health and practical measures for prevention in Iran

    PubMed Central

    Ghorani-Azam, Adel; Riahi-Zanjani, Bamdad; Balali-Mood, Mahdi

    2016-01-01

    Air pollution is a major concern of new civilized world, which has a serious toxicological impact on human health and the environment. It has a number of different emission sources, but motor vehicles and industrial processes contribute the major part of air pollution. According to the World Health Organization, six major air pollutants include particle pollution, ground-level ozone, carbon monoxide, sulfur oxides, nitrogen oxides, and lead. Long and short term exposure to air suspended toxicants has a different toxicological impact on human including respiratory and cardiovascular diseases, neuropsychiatric complications, the eyes irritation, skin diseases, and long-term chronic diseases such as cancer. Several reports have revealed the direct association between exposure to the poor air quality and increasing rate of morbidity and mortality mostly due to cardiovascular and respiratory diseases. Air pollution is considered as the major environmental risk factor in the incidence and progression of some diseases such as asthma, lung cancer, ventricular hypertrophy, Alzheimer's and Parkinson's diseases, psychological complications, autism, retinopathy, fetal growth, and low birth weight. In this review article, we aimed to discuss toxicology of major air pollutants, sources of emission, and their impact on human health. We have also proposed practical measures to reduce air pollution in Iran. PMID:27904610

  1. Effects of air pollution on human health and practical measures for prevention in Iran.

    PubMed

    Ghorani-Azam, Adel; Riahi-Zanjani, Bamdad; Balali-Mood, Mahdi

    2016-01-01

    Air pollution is a major concern of new civilized world, which has a serious toxicological impact on human health and the environment. It has a number of different emission sources, but motor vehicles and industrial processes contribute the major part of air pollution. According to the World Health Organization, six major air pollutants include particle pollution, ground-level ozone, carbon monoxide, sulfur oxides, nitrogen oxides, and lead. Long and short term exposure to air suspended toxicants has a different toxicological impact on human including respiratory and cardiovascular diseases, neuropsychiatric complications, the eyes irritation, skin diseases, and long-term chronic diseases such as cancer. Several reports have revealed the direct association between exposure to the poor air quality and increasing rate of morbidity and mortality mostly due to cardiovascular and respiratory diseases. Air pollution is considered as the major environmental risk factor in the incidence and progression of some diseases such as asthma, lung cancer, ventricular hypertrophy, Alzheimer's and Parkinson's diseases, psychological complications, autism, retinopathy, fetal growth, and low birth weight. In this review article, we aimed to discuss toxicology of major air pollutants, sources of emission, and their impact on human health. We have also proposed practical measures to reduce air pollution in Iran.

  2. Impact of Fluoroquinolone Exposure Prior to Tuberculosis Diagnosis on Clinical Outcomes in Immunocompromised Patients.

    PubMed

    Lee, Ju Young; Lee, Hyun Jung; Kim, Yong Kyun; Yu, Shinae; Jung, Jiwon; Chong, Yong Pil; Lee, Sang-Oh; Choi, Sang-Ho; Shim, Tae Sun; Kim, Yang Soo; Woo, Jun Hee; Kim, Sung-Han

    2016-07-01

    There have been concerns about an association of fluoroquinolone (FQ) use prior to tuberculosis (TB) diagnosis with adverse outcomes. However, FQ use might prevent clinical deterioration in missed TB patients, especially in those who are immunocompromised, until they receive definitive anti-TB treatment. All adult immunocompromised patients with smear-negative and culture-positive TB at a tertiary care hospital in Korea over a 2-year period were included in this study. Long-term FQ (≥7 days) use was defined as exposure to FQ for at least 7 days prior to TB diagnosis. A total of 194 patients were identified: 33 (17%) in the long-term FQ group and 161 (83%) in the comparator, including a short-term FQ group (n = 23), non-FQ group (n = 78), and a group receiving no antibiotics (n = 60). Patients in the long-term FQ group presented with atypical chest radiologic pattern more frequently than those in the comparator (77% [24/31] versus 46% [63/138]; P = 0.001). The median time from mycobacterial test to positive mycobacterial culture appeared to be longer in the long-term FQ group (8.1 weeks versus 7.7 weeks; P = 0.09), although the difference was not statistically significant. Patients in the long-term FQ group were less likely to receive empirical anti-TB treatment (55% versus 74%; P = 0.03). The median time from mycobacterial test to anti-TB therapy was longer in the long-term FQ group (4.6 weeks versus 2.2 weeks; P < 0.001), but there was no significant difference in FQ resistance (0% versus 3%; P > 0.99) or in the 30-day (6% versus 6%; P > 0.99) or 90-day (12% versus 12%; P > 0.99) mortality rate between the two groups. FQ exposure (≥7 days) prior to TB diagnosis in immunocompromised patients appears not to be associated with adverse outcomes. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  3. [Inhaled corticosteroids and growth: should we be worried?].

    PubMed

    Pouessel, G; Gueorguieva, I; Bernaczyk, Y; Flammarion, S; Thumerelle, C; Deschildre, A

    2015-08-01

    Inhaled corticosteroids (ICSs) are the cornerstone and the first stage of asthma treatment. The objective of this study was to synthesize data on the potential effects of ICSs on growth in children. Studies on the short-term impact of ICSs on growth evaluated by knemometry cannot be extrapolated to the medium or long term and therefore have no utility in real life for a given person. In the medium term, the various ICSs given at the usual doses cause a small reduction in growth after 6 months of treatment. This slowdown occurs at the beginning of treatment, especially in younger children, and the growth velocity corrects itself later but without catching up. In the long term, the prolonged use of ICSs seems to induce a small reduction in the final size in adulthood (close to 1cm) occurring in the first 2 years of treatment without worsening over time. The impact of gender, age at onset of treatment, different ICSs, modes of inhalation, and severity of asthma should also be studied further. The benefit of ICSs in asthma treatment is greater than the risk of side effects, including on growth. The majority of the therapeutic effect is obtained for small to moderate doses of ICSs. Regular adjustment of ICS dose for optimal asthma control should also reduce ICS dose and the impact on growth. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  4. A simple technique to strengthen the initial and mid-term to long-term stability of the cup during total hip arthroplasty in developmental dysplasia of the hip.

    PubMed

    Guan, Mingqiang; Zhou, Guanming; Li, Xue

    2018-04-01

    To assess the effects of a technique of cup blocking screws combined with impaction bone grafting during total hip arthroplasty (THA) for patients with developmental dysplasia of the hip (DDH). From August 2011 to July 2015, 53 patients (59 hips) with DDH in our hospital were treated with THA using the technique of cup blocking screws combined with impaction particulate bone grafting. These patients were prospectively followed, and the clinical and imaging results were collected. Harris hip score (HHS) was raised from 41.24 before surgery to 91.49 at the latest follow-up (p less than 0.001). Length discrepancy (LLD) was reduced from 28.97 mm before surgery to 6.08 mm after surgery (p less than 0.001). No loosening of the cup was detected at the last follow-up. The differences were insignificant in cup inclination and rate of cup coverage among the 3 groups of Crowe type II, type III, and type IV DDH (p greater than 0.05). The technique of cup blocking screws combined with impaction particulate bone grafting is simple and reliable, and it not only simplifies the attainment of initial stability, but also strengthens the mid-term to long-term stability during THA in DDH.

  5. Lack of Evidence That Neural Empathic Responses Are Blunted in Excessive Users of Violent Video Games: An fMRI Study

    PubMed Central

    Szycik, Gregor R.; Mohammadi, Bahram; Münte, Thomas F.; te Wildt, Bert T.

    2017-01-01

    The use of violent video games has been often linked to increase of aggressive behavior. According to the General Aggression Model, one of the central mechanisms for this aggressiveness inducing impact is an emotional desensitization process resulting from long lasting repeated violent game playing. This desensitization should evidence itself in a lack of empathy. Recent research has focused primarily on acute, short term impact of violent media use but only little is known about long term effects. In this study 15 excessive users of violent games and control subjects matched for age and education viewed pictures depicting emotional and neutral situations with and without social interaction while fMRI activations were obtained. While the typical pattern of activations for empathy and theory of mind networks was seen, both groups showed no differences in brain responses. We interpret our results as evidence against the desensitization hypothesis and suggest that the impact of violent media on emotional processing may be rather acute and short-lived. PMID:28337156

  6. Impacts of dwarf mistletoe on the physiology of host Tsuga heterophylla trees as recorded in tree-ring C and O stable isotopes

    Treesearch

    D. E. Marias; F. C. Meinzer; D. R. Woodruff; D. C. Shaw; S. L. Voelker; Steven W. Oak; William J. Otrosina; William D. Smith; Kamal J.K. Gandhi

    2014-01-01

    Dwarf mistletoes, obligate, parasitic plants with diminutive aerial shoots, have long-term effects on host tree water relations, hydraulic architecture and photosynthetic gas exchange and can eventually induce tree death. To investigate the long-term (1886–2010) impacts of dwarf mistletoe on the growth and gas exchange characteristics of host western hemlock, we...

  7. Home Start Followup Study: A Study of Long-Term Impact of Home Start on Program Participants. Final Report.

    ERIC Educational Resources Information Center

    Bache, William; And Others

    This Home Start followup study was designed to determine the long-term impact of Home Start on program participants in sixteen states within the USA. Home Start was a three-year demonstration program which provided Head Start-type comprehensive services to young children (3- to 5-year-olds) and their families in their homes. In Chapter 1…

  8. Impact of Infection Prevention and Control Initiatives on Acute Respiratory Infections in a Pediatric Long-Term Care Facility.

    PubMed

    Murray, Meghan T; Jackson, Olivia; Cohen, Bevin; Hutcheon, Gordon; Saiman, Lisa; Larson, Elaine; Neu, Natalie

    2016-07-01

    We evaluated the collective impact of several infection prevention and control initiatives aimed at reducing acute respiratory infections (ARIs) in a pediatric long-term care facility. ARIs did not decrease overall, though the proportion of infections associated with outbreaks and average number of cases per outbreak decreased. Influenza rates decreased significantly. Infect Control Hosp Epidemiol 2016;37:859-862.

  9. A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: effects of treatment and non-treatment

    PubMed Central

    2012-01-01

    Background In childhood, attention deficit/hyperactivity disorder (ADHD) is characterized by age-inappropriate levels of inattentiveness/disorganization, hyperactivity/impulsiveness, or a combination thereof. Although the criteria for ADHD are well defined, the long-term consequences in adults and children need to be more comprehensively understood and quantified. We conducted a systematic review evaluating the long-term outcomes (defined as 2 years or more) of ADHD with the goal of identifying long-term outcomes and the impact that any treatment (pharmacological, non-pharmacological, or multimodal) has on ADHD long-term outcomes. Methods Studies were identified using predefined search criteria and 12 databases. Studies included were peer-reviewed, primary studies of ADHD long-term outcomes published between January 1980 to December 2010. Inclusion was agreed on by two independent researchers on review of abstracts or full text. Published statistical comparison of outcome results were summarized as poorer than, similar to, or improved versus comparators, and quantified as percentage comparisons of these categories. Results Outcomes from 351 studies were grouped into 9 major categories: academic, antisocial behavior, driving, non-medicinal drug use/addictive behavior, obesity, occupation, services use, self-esteem, and social function outcomes. The following broad trends emerged: (1) without treatment, people with ADHD had poorer long-term outcomes in all categories compared with people without ADHD, and (2) treatment for ADHD improved long-term outcomes compared with untreated ADHD, although not usually to normal levels. Only English-language papers were searched and databases may have omitted relevant studies. Conclusions This systematic review provides a synthesis of studies of ADHD long-term outcomes. Current treatments may reduce the negative impact that untreated ADHD has on life functioning, but does not usually 'normalize' the recipients. PMID:22947230

  10. Constraints on long-term carbon-climate feedbacks from spatially resolved CO2 growth rate fluctuations linked to temperature and precipitation

    NASA Astrophysics Data System (ADS)

    Keppel-Aleks, G.; Hoffman, F. M.

    2014-12-01

    Feedbacks between the global carbon cycle and climate represent one of the largest uncertainties in climate prediction. A promising method for reducing uncertainty in predictions of carbon-climate feedbacks is based on identifying an "emergent constraint" that leverages correlations between mechanistically linked long-term feedbacks and short-term variations within the model ensemble. By applying contemporary observations to evaluate model skill in simulating short-term variations, we may be able to better assess the probability of simulated long-term feedbacks. We probed the constraint on long-term terrestrial carbon stocks provided by climate-driven fluctuations in the atmospheric CO2 growth rate at contemporary timescales. We considered the impact of both temperature and precipitation anomalies on terrestrial ecosystem exchange and further separated the direct influence of fire where possible. When we explicitly considered the role of atmospheric transport in smoothing the imprint of climate-driven flux anomalies on atmospheric CO2 patterns, we found that the extent of temporal averaging of both the observations and ESM output leads to estimates for the long-term climate sensitivity of tropical land carbon storage that are different by a factor of two. In the context of these results, we discuss strategies for applying emergent constraints for benchmarking biogeochemical feedbacks in ESMs. Specifically, our results underscore the importance of selecting appropriate observational benchmarks and, for future model intercomparison projects, outputting fields that most closely correspond to available observational datasets.

  11. DNA from lake sediments reveals long-term ecosystem changes after a biological invasion.

    PubMed

    Ficetola, Gentile Francesco; Poulenard, Jérôme; Sabatier, Pierre; Messager, Erwan; Gielly, Ludovic; Leloup, Anouk; Etienne, David; Bakke, Jostein; Malet, Emmanuel; Fanget, Bernard; Støren, Eivind; Reyss, Jean-Louis; Taberlet, Pierre; Arnaud, Fabien

    2018-05-01

    What are the long-term consequences of invasive species? After invasion, how long do ecosystems require to reach a new equilibrium? Answering these questions requires long-term, high-resolution data that are vanishingly rare. We combined the analysis of environmental DNA extracted from a lake sediment core, coprophilous fungi, and sedimentological analyses to reconstruct 600 years of ecosystem dynamics on a sub-Antarctic island and to identify the impact of invasive rabbits. Plant communities remained stable from AD 1400 until the 1940s, when the DNA of invasive rabbits was detected in sediments. Rabbit detection corresponded to abrupt changes of plant communities, with a continuous decline of a dominant plant species. Furthermore, erosion rate abruptly increased with rabbit abundance. Rabbit impacts were very fast and were stronger than the effects of climate change during the 20th century. Lake sediments can allow an integrated temporal analysis of ecosystems, revealing the impact of invasive species over time and improving our understanding of underlying mechanisms.

  12. Impacts of organic and inorganic fertilizers on nitrification in a cold climate soil are linked to the bacterial ammonia oxidizer community.

    PubMed

    Fan, Fenliang; Yang, Qianbao; Li, Zhaojun; Wei, Dan; Cui, Xi'an; Liang, Yongchao

    2011-11-01

    The microbiology underpinning soil nitrogen cycling in northeast China remains poorly understood. These agricultural systems are typified by widely contrasting temperature, ranging from -40 to 38°C. In a long-term site in this region, the impacts of mineral and organic fertilizer amendments on potential nitrification rate (PNR) were determined. PNR was found to be suppressed by long-term mineral fertilizer treatment but enhanced by manure treatment. The abundance and structure of ammonia-oxidizing bacterial (AOB) and archaeal (AOA) communities were assessed using quantitative polymerase chain reaction and denaturing gradient gel electrophoresis techniques. The abundance of AOA was reduced by all fertilizer treatments, while the opposite response was measured for AOB, leading to a six- to 60-fold reduction in AOA/AOB ratio. The community structure of AOA exhibited little variation across fertilization treatments, whereas the structure of the AOB community was highly responsive. PNR was correlated with community structure of AOB rather than that of AOA. Variation in the community structure of AOB was linked to soil pH, total carbon, and nitrogen contents induced by different long-term fertilization regimes. The results suggest that manure amendment establishes conditions which select for an AOB community type which recovers mineral fertilizer-suppressed soil nitrification.

  13. Empowering certified nurse's aides to improve quality of work life through a team communication program.

    PubMed

    Howe, Erin E

    2014-01-01

    The purpose of this pilot study was to explore the impact of a certified nurse's aide (CNA)-led interdisciplinary teamwork and communication intervention on perceived quality of work environment and six-month job intentions. CNAs are frequently excluded from team communication and decision-making, which often leads to job dissatisfaction with high levels of staff turnover. Using a mixed quantitative and qualitative approach with pre- post-program design, the intervention utilized the strategy of debriefing from the national patient safety initiative, TeamSTEPPS. Inherent in the program design, entitled Long Term Care (LTC) Team Talk, was the involvement of the CNAs in the development of the intervention as an empowering process on two wings of a transitional care unit in a long-term care facility in upstate NY. CNAs' perceptions of work environment quality were measured using a Quality of Work Life (QWL) instrument. Additionally, job turnover intent within six months was assessed. Results indicated improved scores on nearly all QWL subscales anticipated to be impacted, and enhanced perceived empowerment of the CNAs on each wing albeit through somewhat different experiential processes. The program is highly portable and can potentially be implemented in a variety of long-term care settings. Copyright © 2014 Mosby, Inc. All rights reserved.

  14. The long-term problems of contaminated land: Sources, impacts and countermeasures

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

    Baes, C.F. III

    1986-11-01

    This report examines the various sources of radiological land contamination; its extent; its impacts on man, agriculture, and the environment; countermeasures for mitigating exposures; radiological standards; alternatives for achieving land decontamination and cleanup; and possible alternatives for utilizing the land. The major potential sources of extensive long-term land contamination with radionuclides, in order of decreasing extent, are nuclear war, detonation of a single nuclear weapon (e.g., a terrorist act), serious reactor accidents, and nonfission nuclear weapons accidents that disperse the nuclear fuels (termed ''broken arrows'').

  15. Integrated modeling of long-term vegetation and hydrologic dynamics in Rocky Mountain watersheds

    Treesearch

    Robert Steven Ahl

    2007-01-01

    Changes in forest structure resulting from natural disturbances, or managed treatments, can have negative and long lasting impacts on water resources. To facilitate integrated management of forest and water resources, a System for Long-Term Integrated Management Modeling (SLIMM) was developed. By combining two spatially explicit, continuous time models, vegetation...

  16. Long-Term Administration of Conjugated Estrogen and Bazedoxifene Decreased Murine Fecal β-Glucuronidase Activity Without Impacting Overall Microbiome Community.

    PubMed

    Chen, Karen Lee Ann; Liu, Xiaoji; Zhao, Yiru Chen; Hieronymi, Kadriye; Rossi, Gianluigi; Auvil, Loretta Sue; Welge, Michael; Bushell, Colleen; Smith, Rebecca Lee; Carlson, Kathryn E; Kim, Sung Hoon; Katzenellenbogen, John A; Miller, Michael Joseph; Madak-Erdogan, Zeynep

    2018-05-25

    Conjugated estrogens (CE) and Bazedoxifene (BZA) combination is used to alleviate menopause-associated symptoms in women. CE+BZA undergo first-pass-metabolism in the liver and deconjugation by gut microbiome via β-glucuronidase (GUS) enzyme inside the distal gut. To date, the impact of long-term exposure to CE+BZA on the gut microbiome or GUS activity has not been examined. Our study using an ovariectomized mouse model showed that CE+BZA administration did not affect the overall cecal or fecal microbiome community except that it decreased the abundance of Akkermansia, which was identified as a fecal biomarker correlated with weight gain. The fecal GUS activity was reduced significantly and was positively correlated with the abundance of Lactobacillaceae in the fecal microbiome. We further confirmed in Escherichia coli K12 and Lactobacillus gasseri ADH that Tamoxifen-, 4-hydroxy-Tamoxifen- and Estradiol-Glucuronides competed for GUS activity. Our study for the first time demonstrated that long-term estrogen supplementation directly modulated gut microbial GUS activity. Our findings implicate that long-term estrogen supplementation impacts composition of gut microbiota and microbial activity, which affects estrogen metabolism in the gut. Thus, it is possible to manipulate such activity to improve the efficacy and safety of long-term administered estrogens for postmenopausal women or breast cancer patients.

  17. Effect of circadian phase on memory acquisition and recall: operant conditioning vs. classical conditioning.

    PubMed

    Garren, Madeleine V; Sexauer, Stephen B; Page, Terry L

    2013-01-01

    There have been several studies on the role of circadian clocks in the regulation of associative learning and memory processes in both vertebrate and invertebrate species. The results have been quite variable and at present it is unclear to what extent the variability observed reflects species differences or differences in methodology. Previous results have shown that following differential classical conditioning in the cockroach, Rhyparobia maderae, in an olfactory discrimination task, formation of the short-term and long-term memory is under strict circadian control. In contrast, there appeared to be no circadian regulation of the ability to recall established memories. In the present study, we show that following operant conditioning of the same species in a very similar olfactory discrimination task, there is no impact of the circadian system on either short-term or long-term memory formation. On the other hand, ability to recall established memories is strongly tied to the circadian phase of training. On the basis of these data and those previously reported for phylogenetically diverse species, it is suggested that there may be fundamental differences in the way the circadian system regulates learning and memory in classical and operant conditioning.

  18. Effect of Circadian Phase on Memory Acquisition and Recall: Operant Conditioning vs. Classical Conditioning

    PubMed Central

    Garren, Madeleine V.; Sexauer, Stephen B.; Page, Terry L.

    2013-01-01

    There have been several studies on the role of circadian clocks in the regulation of associative learning and memory processes in both vertebrate and invertebrate species. The results have been quite variable and at present it is unclear to what extent the variability observed reflects species differences or differences in methodology. Previous results have shown that following differential classical conditioning in the cockroach, Rhyparobia maderae, in an olfactory discrimination task, formation of the short-term and long-term memory is under strict circadian control. In contrast, there appeared to be no circadian regulation of the ability to recall established memories. In the present study, we show that following operant conditioning of the same species in a very similar olfactory discrimination task, there is no impact of the circadian system on either short-term or long-term memory formation. On the other hand, ability to recall established memories is strongly tied to the circadian phase of training. On the basis of these data and those previously reported for phylogenetically diverse species, it is suggested that there may be fundamental differences in the way the circadian system regulates learning and memory in classical and operant conditioning. PMID:23533587

  19. Excess pregnancy weight gain and long-term obesity: one decade later.

    PubMed

    Rooney, Brenda L; Schauberger, Charles W

    2002-08-01

    To estimate the impact of excess pregnancy weight gain and failure to lose weight by 6 months postpartum on excess weight 8-10 years later. Seven hundred ninety-five women were observed through pregnancy and 6 months postpartum to examine factors that affect weight loss. Weight was recorded 10 years later through a medical record review to examine the impact of retained weight on long-term obesity. Overall weight change at last follow-up and body mass index (BMI) were examined by pregnancy weight gain appropriateness according to the Institute of Medicine guidelines for weight gain during pregnancy. Of the original cohort, 540 women had a documented weight beyond 5 years (mean = 8.5 years). The average weight gain from prepregnancy to follow-up was 6.3 kg. There was no difference in weight gain by prepregnancy BMI. Women who gained less than the recommended amount during their pregnancy were 4.1 kg heavier at follow-up, those gaining the recommended amount were 6.5 kg heavier, and those gaining more than recommended were 8.4 kg heavier (P =.01). Women who lost all pregnancy weight by 6 months postpartum were 2.4 kg heavier at follow-up than women with retained weight, who weighed 8.3 kg more at follow-up (P =.01). Women who breast-fed and women who participated in aerobic exercise also had significantly lower weight gains. Excess weight gain and failure to lose weight after pregnancy are important and identifiable predictors of long-term obesity. Breast-feeding and exercise may be beneficial to control long-term weight.

  20. Long-term impact of earthquake stress on fasting glucose control and diabetes prevalence among Chinese adults of Tangshan.

    PubMed

    An, Cuixia; Zhang, Yun; Yu, Lulu; Li, Na; Song, Mei; Wang, Lan; Zhao, Xiaochuan; Gao, Yuanyuan; Wang, Xueyi

    2014-01-01

    To investigate the long-term influence of stresses from the 1976 Tangshan earthquake on blood glucose control and the incidence of diabetes mellitus in Chinese people of Tangshan. 1,551 adults ≥ 37 years of age were recruited for this investigation in Tangshan city of China, where one of the deadliest earthquakes occurred in 1796. All subjects finished a questionnaire. 1,030 of them who experienced that earthquake were selected into the exposure group, while 521 were gathered as the control group who have not exposed to any earthquake. The numbers of subjects who were first identified with diabetes or had normal FBG but with diabetic history were added for the calculation of diabetes prevalence. Statistic-analysis was applied on the baseline data, and incidences of IFG as well as diabetes among all groups. Statistic comparisons indicate there is no significant difference on average fasting glucose levels between the control group and the exposure group. However, the prevalence of IFG and diabetes among the exposure group displays significant variance with the control group. The prevalence of diabetes among exposure groups is significantly higher than the control group. Women are more likely to have diabetes after experiencing earthquake stresses compared to men. The earthquake stress was linked to higher diabetes incidence as an independent factor. The earthquake stress has long-term impacts on diabetes incidence as an independent risk factor. Emerging and long-term managements regarding the care of IFG and diabetes in populations exposed to earthquake stress should be concerned.

  1. Trait-specific long-term consequences of genomic selection in beef cattle.

    PubMed

    de Rezende Neves, Haroldo Henrique; Carvalheiro, Roberto; de Queiroz, Sandra Aidar

    2018-02-01

    Simulation studies allow addressing consequences of selection schemes, helping to identify effective strategies to enable genetic gain and maintain genetic diversity. The aim of this study was to evaluate the long-term impact of genomic selection (GS) in genetic progress and genetic diversity of beef cattle. Forward-in-time simulation generated a population with pattern of linkage disequilibrium close to that previously reported for real beef cattle populations. Different scenarios of GS and traditional pedigree-based BLUP (PBLUP) selection were simulated for 15 generations, mimicking selection for female reproduction and meat quality. For GS scenarios, an alternative selection criterion was simulated (wGBLUP), intended to enhance long-term gains by attributing more weight to favorable alleles with low frequency. GS allowed genetic progress up to 40% greater than PBLUP, for female reproduction and meat quality. The alternative criterion wGBLUP did not increase long-term response, although allowed reducing inbreeding rates and loss of favorable alleles. The results suggest that GS outperforms PBLUP when the selected trait is under less polygenic background and that attributing more weight to low-frequency favorable alleles can reduce inbreeding rates and loss of favorable alleles in GS.

  2. Long-Term Recovery of Life in the Chicxulub Crater

    NASA Astrophysics Data System (ADS)

    Lowery, C.; Jones, H.; Bralower, T. J.; Smit, J.; Rodriguez-Tovar, F. J.; Whalen, M. T.; Owens, J. D.; Expedition 364 Science Party, I. I.

    2017-12-01

    The Chicxulub Crater on the Yucatán Peninsula of Mexico was formed by the impact of an asteroid 66 Ma that caused the extinction of 75% of genera on Earth. Immediately following the impact, the decimated ecosystem began the long process of recovery, both in terms of primary productivity and species diversity. This well-documented process was heterogeneous across the world ocean, but until the present time it has been inaccessible at ground zero of the impact. IODP/ICDP Exp. 364 recovered 9.5 m of pelagic limestone spanning the entire Paleocene, including a continuous section spanning the first 5 myr following the impact. The Chicxulub Crater is the largest known marine impact crater on Earth, and the recovery of the ecosystem presented here is the first such record of long-term primary succession in the sterile zone of a large impact crater. Planktic and benthic foraminifera, calcareous nannoplankton, calcispheres, bioturbation, and geochemical proxies all indicate that export productivity in the Chicxulub Crater recovered rapidly (within 30 kyr) following the impact. Recovery in terms of diversity and species abundance took much longer, and varied between groups. Planktic foraminifera quickly diversified, with all common Paleocene tropical/subtropical species appearing roughly when expected. Trace fossils appear rapidly after the event, with a progressive recovery through the lowermost Paleocene. Calcareous nannoplankton took much longer to recover, and disaster taxa like Braarudosphaera dominated the assemblage well into the late Paleocene. Paleoecology and geochemistry relate these trends to oceanographic conditions within the Chicxulub Crater. Planktic foraminifera from known depth habitats, including Morozovellids, Acarininids, Chiloguembelinids, and Subbotinids, track changes in the water column structure and paleoredox conditions within the crater. Diverse and abundant macro- and microbenthic organisms indicate food availability and good oxygen conditions on the seafloor. The latest Paleocene, just prior to the onset of the PETM, is characterized by a typical and diverse assemblage of foraminifera and calcareous nannoplankton; a normal open-marine assemblage with no trace of long-term negative effects from the impact.

  3. The Impact of Elderly Care Competence and Quality Improvement Programme in Four Swedish Municipalities

    ERIC Educational Resources Information Center

    Westerberg, Kristina; Hjelte, Jan

    2013-01-01

    During a number of years Swedish municipalities have work with improvement of competence and long-term quality in elderly care. The overall aim of the present study was to compare different learning activities (workplace improvement and/or courses), and to relate these activities to learning climate, learning strategies, and perception of care…

  4. Thinning method and intensity influence long-term mortality trends in a red pine forest

    Treesearch

    Matthew D. Powers; Brian J. Palik; John B. Bradford; Shawn Fraver; Christopher R. Webster

    2010-01-01

    Tree mortality shapes forest development, but rising mortality can represent lost production or an adverse response to changing environmental conditions. Thinning represents a strategy for reducing mortality rates, but different thinning techniques and intensities could have varying impacts depending on how they alter stand structure. We analyzed trends in stand...

  5. Shifts in biomass and productivity for a subtropical dry forest in response to simulated elevated hurricane disturbances

    Treesearch

    Jennifer A Holm; Skip J Van Bloem; Guy R Larocque; Herman H Shugart

    2017-01-01

    Caribbean tropical forests are subject to hurricane disturbances of great variability. In addition to natural storm incongruity, climate change can alter storm formation, duration, frequency, and intensity. This model-based investigation assessed the impacts of multiple storms of different intensities and occurrence frequencies on the long-term dynamics of subtropical...

  6. More than Content: The Persistent Cross-Subject Effects of English Language Arts Teachers' Instruction

    ERIC Educational Resources Information Center

    Master, Benjamin; Loeb, Susanna; Wyckoff, James

    2017-01-01

    Evidence that teachers' short-term instructional effects persist over time and predict substantial long-run impacts on students' lives provides much of the impetus for a wide range of educational reforms focused on identifying and responding to differences in teachers' value-added to student learning. However, relatively little research has…

  7. Impacts of forest management on runoff and erosion

    Treesearch

    William J. Elliot; Brandon D. Glaza

    2009-01-01

    In a parallel study, ten small watersheds (about 5 ha) were installed in the Priest River Experimental Forest (PREF) in northern Idaho, and another ten were installed in the Boise Basin Experimental Forest (BBEF) in central Idaho. The long-term objective of the study is to compare the effects of different forest management activities on runoff and...

  8. Long-term effects of weed control with picloram along a gradient of spotted knapweed invasion

    Treesearch

    Yvette K. Ortega; Dean E. Pearson

    2011-01-01

    Broadleaf herbicides are commonly used in rangelands to suppress exotic weeds and release native communities from negative impacts of invasion. However, few studies have comprehensively evaluated treatment effects on differing community components across a gradient of initial invasion levels.We conducted a 6-yr experiment within grasslands of western Montana to measure...

  9. TNF-α inhibitors do not impair sperm quality in males with ankylosing spondylitis after short-term or long-term treatment.

    PubMed

    Micu, Mihaela C; Micu, Romeo; Surd, Stela; Gîrlovanu, Marinela; Bolboacă, Sorana D; Ostensen, Monika

    2014-07-01

    The aim of this study was to study the influence of active disease status and TNF-α antagonists on sperm quality in a group of AS patients. Twenty-three active AS patients and 42 controls were recruited. Patients' sperm samples were analysed at baseline (previous to) and at 3-6 months after TNF-α therapy (adalimumab, infliximab, etanercept) administration. Baseline assessment was made for only 20 patients, 2 of them proving to have normal fertility, 2 having a pregnant stable partner and the third having a 9-month-old child. Six patients were retested after 12 months of biologic therapy. Each patient acted as his own comparator. Results were further compared with sperm samples from age-matched controls. Sperm analysis was performed according to the World Health Organization (WHO) 1999 guidelines. Patients' baseline assessment showed normozoospermia in 91% and oligozoospermia in 9% of patients. No significant differences in sperm quality were noticed at follow-up visits compared with baseline. Comparison to controls showed no statistically significant differences in semen quality, with some exceptions: the control group presented a higher percentage of non-progressive and immobile sperm cells and higher numbers of head and tail atypias. Sperm quality in patients with active AS and after receiving short- and long-term TNF-α blocker therapy is comparable to sperm quality in healthy controls. Our study confirms that the disease process of AS does not have a major impact on sperm quality and that treatment with anti-TNF has no negative impact on sperm quality even under long-term treatment. © The Author 2014. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  10. Mechanisms of High Temperature Resistance of Synechocystis sp. PCC 6803: An Impact of Histidine Kinase 34.

    PubMed

    Červený, Jan; Sinetova, Maria A; Zavřel, Tomáš; Los, Dmitry A

    2015-03-02

    Synechocystis sp. PCC 6803 is a widely used model cyanobacterium for studying responses and acclimation to different abiotic stresses. Changes in transcriptome, proteome, lipidome, and photosynthesis in response to short term heat stress are well studied in this organism, and histidine kinase 34 (Hik34) is shown to play an important role in mediating such response. Corresponding data on long term responses, however, are fragmentary and vary depending on parameters of experiments and methods of data collection, and thus are hard to compare. In order to elucidate how the early stress responses help cells to sustain long-term heat stress, as well as the role of Hik34 in prolonged acclimation, we examined the resistance to long-term heat stress of wild-type and ΔHik34 mutant of Synechocystis. In this work, we were able to precisely control the long term experimental conditions by cultivating Synechocystis in automated photobioreactors, measuring selected physiological parameters within a time range of minutes. In addition, morphological and ultrastructural changes in cells were analyzed and western blotting of individual proteins was used to study the heat stress-affected protein expression. We have shown that the majority of wild type cell population was able to recover after 24 h of cultivation at 44 °C. In contrast, while ΔHik34 mutant cells were resistant to heat stress within its first hours, they could not recover after 24 h long high temperature treatment. We demonstrated that the early induction of HspA expression and maintenance of high amount of other HSPs throughout the heat incubation is critical for successful adaptation to long-term stress. In addition, it appears that histidine kinase Hik34 is an essential component for the long term high temperature resistance.

  11. Long-Term Survival in Patients With Acute Kidney Injury After Acute Type A Aortic Dissection Repair.

    PubMed

    Sasabuchi, Yusuke; Kimura, Naoyuki; Shiotsuka, Junji; Komuro, Tetsuya; Mouri, Hideyuki; Ohnuma, Tetsu; Asaka, Kayo; Lefor, Alan K; Yasunaga, Hideo; Yamaguchi, Atsushi; Adachi, Hideo; Sanui, Masamitsu

    2016-12-01

    Although acute kidney injury (AKI) is known as a serious complication after operation for acute type A aortic dissection (AAAD), the long-term impact of AKI remains unclear. The aim of the present study is to investigate the long-term survival in patients with AKI after operation for AAAD. This study included 403 patients who underwent operation for AAAD from 1990 to 2011 at Jichi Medical University, Saitama Medical Center. Postoperative AKI was identified according to the Kidney Disease Improving Global Outcomes criteria. Kaplan-Meier survival analysis and Cox proportional hazards regression were modeled to analyze the association between the AKI stage and postoperative long-term survival. Of 403 patients, 181 (44.9%) experienced postoperative AKI. Kaplan-Meier estimates for long-term survival were significantly different among patients without AKI and patients with stage 1, 2, and 3 AKI (p < 0.001). Hazard ratios of long-term survival for patients with stages 1, 2, and 3 AKI compared with patients without AKI were 1.38 (95% confidence interval [CI]: 0.84 to 2.26), 1.82 (95% CI: 0.95 to 3.51), and 3.79 (95% CI: 1.95 to 7.37), respectively. More patients with AKI died because of cardiovascular disease after discharge than patients without AKI (1.8% versus 6.0%, p = 0.03). Stage 3 AKI is significantly associated with lower long-term survival after operation for AAAD. Patient follow-up after discharge that focuses on cardiovascular issues may benefit patients who survive AKI after AAAD operation. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  12. Zeitgeists and development trends in long-term care facility design.

    PubMed

    Wang, Chia-Hui; Kuo, Nai-Wen

    2006-06-01

    Through literature analysis, in-depth interviews, and the application of the Delphi survey, this study explored long-term care resident priorities with regard to long-term care facility design in terms of both physical and psychological needs. This study further clarified changing trends in long-term care concepts; illustrated the impact that such changes are having on long-term care facility design; and summarized zeitgeists related to the architectural design of long-term care facilities. Results of our Delphi survey indicated the following top five priorities in long-term care facility design: (1) creating a home-like feeling; (2) adhering to Universal Design concepts; (3) providing well-defined private sleeping areas; (4) providing adequate social space; and (5) decentralizing residents' rooms into clusters. The three major zeitgeists related to long-term care facility design include: (1) modern long-term care facilities should abandon their traditional "hospital" image and gradually reposition facilities into homelike settings; (2) institution-based care for the elderly should be de-institutionalized under the concept of aging-in-place; and (3) living clusters, rather than traditional hospital-like wards, should be designed into long-term care facilities.

  13. Changes in the long-term hydrological regimes and the impacts of human activities in the main Wei River, China

    NASA Astrophysics Data System (ADS)

    Zhang, Hongbo; Huang, Qiang; Zhang, Qiang; Gu, Lei; Chen, Keyu; Yu, Qijun

    2016-03-01

    Under the combined influence of climate changes and human activities, the hydrological regime of the Wei River shows remarkable variations which have caused many issues in the Wei River in recent decades, such as a lack of freshwater, water pollution, disastrous flooding and channel sedimentation. Hence, hydrological regime changes and potential human-induced impacts have been drawing increasing attention from local government and hydrologists. This study investigates hydrological regime changes in the natural and measured runoff series at four hydrological stations on the main Wei River and quantifies features of their long-term change by analysing their historical annual and seasonal runoff data using several approaches, i.e., continuous wavelet transform, cross-wavelet, wavelet coherence, trend-free pre-whitening Mann-Kendall test and detrended fluctuation analysis. By contrasting two different analysis results between natural and measured river runoff series, the impacts of human activities on the long-term hydrological regime were investigated via the changes of spatio-temporal distribution in dominant periods, the trends and long-range memory of river runoff. The results show : (a) that periodic properties of the streamflow changes are the result of climate, referring to precipitation changes in particular, while human activities play a minor role; (b) a significant decreasing trend can be observed in the natural streamflow series along the entire main stream of the Wei River and the more serious decrease emerging in measured flow should result from human-induced influences in recent decades; and (c) continuous decreasing streamflow in the Wei River will trigger serious shortages of freshwater in the future, which may challenge the sustainability and safety of water resources development in the river basin, and should be paid great attention before 2020.

  14. Impact of Emissions and Long-Range Transport on Multi-Decadal Aerosol Trends: Implications for Air Quality and Climate

    NASA Technical Reports Server (NTRS)

    Chin, Mian

    2012-01-01

    We present a global model analysis of the impact of long-range transport and anthropogenic emissions on the aerosol trends in the major pollution regions in the northern hemisphere and in the Arctic in the past three decades. We will use the Goddard Chemistry Aerosol Radiation and Transport (GOCART) model to analyze the multi-spatial and temporal scale data, including observations from Terra, Aqua, and CALIPSO satellites and from the long-term surface monitoring stations. We will analyze the source attribution (SA) and source-receptor (SR) relationships in North America, Europe, East Asia, South Asia, and the Arctic at the surface and free troposphere and establish the quantitative linkages between emissions from different source regions. We will discuss the implications for regional air quality and climate change.

  15. Monitoring regional groundwater extraction: the problem.

    PubMed

    Bredehoeft, J D

    2011-01-01

    As hydraulic disturbances (signals) are propagated through a groundwater system two things happen: (1) the higher frequencies in the disturbance are filtered out by the physics of the system and (2) the disturbance takes time to propagate through the system. The filtering and time delays depend on the aquifer diffusivity. This means, for example, if one is observing a water table aquifer at some distance from where annual recharge is occurring, only the long-term average effect of the recharge will be transmitted to the observation point--the system filters out annual variations. These facts have profound impacts on what is feasible to monitor. For example, if one is concerned about the impact of pumping on a spring in a water table aquifer, where the pumping is more than 20 miles or so from the spring, there will be a long delay before the pumping impacts the spring and there will be an equally long delay before a long-term reduction in the pumping regime will restore the spring. The filtering by lower diffusivity groundwater systems makes it impossible to discriminate between the impacts of several major pumpers in the system and/or long-term climate changes. © 2011, The Author(s). Ground Water © 2011, National Ground Water Association.

  16. Review article: dietary fibre-microbiota interactions.

    PubMed

    Simpson, H L; Campbell, B J

    2015-07-01

    Application of modern rapid DNA sequencing technology has transformed our understanding of the gut microbiota. Diet, in particular plant-based fibre, appears critical in influencing the composition and metabolic activity of the microbiome, determining levels of short-chain fatty acids (SCFAs) important for intestinal health. To assess current epidemiological, experimental and clinical evidence of how long-term and short-term alterations in dietary fibre intake impact on the microbiome and metabolome. A Medline search including items 'intestinal microbiota', 'nutrition', 'diet', 'dietary fibre', 'SCFAs' and 'prebiotic effect' was performed. Studies found evidence of fibre-influenced differences in the microbiome and metabolome as a consequence of habitual diet, and of long-term or short-term intervention (in both animals and humans). Agrarian diets high in fruit/legume fibre are associated with greater microbial diversity and a predominance of Prevotella over Bacteroides. 'Western'-style diets, high in fat/sugar, low in fibre, decrease beneficial Firmicutes that metabolise dietary plant-derived polysaccharides to SCFAs and increase mucosa-associated Proteobacteria (including enteric pathogens). Short-term diets can also have major effects, particularly those exclusively animal-based, and those high-protein, low-fermentable carbohydrate/fibre 'weight-loss' diets, increasing the abundance of Bacteroides and lowering Firmicutes, with long-term adherence to such diets likely increasing risk of colonic disease. Interventions to prevent intestinal inflammation may be achieved with fermentable prebiotic fibres that enhance beneficial Bifidobacteria or with soluble fibres that block bacterial-epithelial adherence (contrabiotics). These mechanisms may explain many of the differences in microbiota associated with long-term ingestion of a diet rich in fruit and vegetable fibre. © 2015 The Authors. Alimentary Pharmacology & Therapeutics published by John Wiley & Sons Ltd.

  17. Evolution of double white dwarf binaries undergoing direct-impact accretion: Implications for gravitational wave astronomy

    NASA Astrophysics Data System (ADS)

    Kremer, Kyle; Breivik, Katelyn; Larson, Shane L.; Kalogera, Vassiliki

    2017-01-01

    For close double white dwarf binaries, the mass-transfer phenomenon known as direct-impact accretion (when the mass transfer stream impacts the accretor directly rather than forming a disc) may play a pivotal role in the long-term evolution of the systems. In this analysis, we explore the long-term evolution of white dwarf binaries accreting through direct-impact and explore implications of such systems to gravitational wave astronomy. We cover a broad range of parameter space which includes initial component masses and the strength of tidal coupling, and show that these systems, which lie firmly within the LISA frequency range, show strong negative chirps which can last as long as several million years. Detections of double white dwarf systems in the direct-impact phase by detectors such as LISA would provide astronomers with unique ways of probing the physics governing close compact object binaries.

  18. Narcissism and romantic relationships: The differential impact of narcissistic admiration and rivalry.

    PubMed

    Wurst, Stefanie N; Gerlach, Tanja M; Dufner, Michael; Rauthmann, John F; Grosz, Michael P; Küfner, Albrecht C P; Denissen, Jaap J A; Back, Mitja D

    2017-02-01

    Narcissism is known to be related to romantic success in short-term contexts (dating, early stage relationships) but also to problems in long-term committed relationships. We propose that these diverging romantic outcomes of narcissism can be explained by differential associations with agentic versus antagonistic dimensions of grandiose narcissism: Narcissistic Admiration and Rivalry. Both dimensions serve the central narcissistic goal of gaining and maintaining a grandiose self-view, but do so by different processes: Admiration is characterized by the tendency to promote the positivity of one's self-view by seeking social admiration (assertive self-enhancement). Rivalry is characterized by the tendency to protect oneself from a negative self-view by derogating others (antagonistic self-protection). Across 7 studies (total N = 3,560) using diverse measures and methodological approaches (self-, peer, and partner reports, as well as interpersonal perception measures in video-based studies, face-to-face laboratory encounters, and online surveys), we show that the short-term romantic appeal associated with narcissism is primarily attributable to the dimension of Admiration, whereas the long-term romantic problems associated with narcissism are primarily attributable to the dimension of Rivalry. These results highlight the utility of a 2-dimensional reconceptualization of grandiose narcissism for explaining its heterogeneous romantic outcomes. The findings further underscore the idea that different facets of personality traits might impact different aspects of romantic relationship quality, depending on the stage of the relationship. Such a more nuanced view increases the predictive validity of personality traits in social relationship research. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  19. The High-Skilled VET Practitioner: Interim Findings from the Evaluation of the Long-Term Impacts of the Framing the Future Projects in 1999-2000.

    ERIC Educational Resources Information Center

    Mitchell, John; Wood, Sarah; Young, Susan

    Research was conducted in 2000-01 on the long-term impacts of the 200 projects funded by Australia's Framing the Future in 1999 and of the 250 conducted in 2000. Two main research methodologies (case study investigations and a survey) were used for the study. Case study investigations were conducted with the Deaf Education Network in Sydney; South…

  20. Dendritic sodium spikes are required for long-term potentiation at distal synapses on hippocampal pyramidal neurons

    PubMed Central

    Kim, Yujin; Hsu, Ching-Lung; Cembrowski, Mark S; Mensh, Brett D; Spruston, Nelson

    2015-01-01

    Dendritic integration of synaptic inputs mediates rapid neural computation as well as longer-lasting plasticity. Several channel types can mediate dendritically initiated spikes (dSpikes), which may impact information processing and storage across multiple timescales; however, the roles of different channels in the rapid vs long-term effects of dSpikes are unknown. We show here that dSpikes mediated by Nav channels (blocked by a low concentration of TTX) are required for long-term potentiation (LTP) in the distal apical dendrites of hippocampal pyramidal neurons. Furthermore, imaging, simulations, and buffering experiments all support a model whereby fast Nav channel-mediated dSpikes (Na-dSpikes) contribute to LTP induction by promoting large, transient, localized increases in intracellular calcium concentration near the calcium-conducting pores of NMDAR and L-type Cav channels. Thus, in addition to contributing to rapid neural processing, Na-dSpikes are likely to contribute to memory formation via their role in long-lasting synaptic plasticity. DOI: http://dx.doi.org/10.7554/eLife.06414.001 PMID:26247712

  1. Application of a partnership model for transformative and sustainable international development.

    PubMed

    Powell, Dorothy L; Gilliss, Catherine L; Hewitt, Hermi H; Flint, Elizabeth P

    2010-01-01

    There are differences of intent and impact between short-term and long-term engagement of U.S. academic institutions with communities of need in developing nations. Global health programs that produce long-term transformative change rather than transient relief are more likely to be sustainable and in ethical harmony with expressed needs of a region or community. This article explores characteristics of successful ethical partnerships in global health and the challenges that threaten them, introducing a consensus community engagement model as a framework for building relationships, evolving an understanding of needs, and collaboratively developing solutions and responses to priority health needs in underserved regions of the world. The community engagement model is applied to a case study of an initiative by a U.S. school of nursing to establish long-term relationships with the nursing community in the Caribbean region with the goal of promoting transformative change through collaborative development of programs and services addressing health care needs of the region's growing elderly population and the increasing prevalence of noncommunicable chronic diseases. Progress of this ongoing long-term relationship is analyzed in the context of the organizational, philosophical, ethical, and resource commitments embodied in this approach to initiation of transformative and sustainable improvements in public health.

  2. HIST-EU - a dataset of European relevance, a database to enable long-term climate variability studies on regional scale

    NASA Astrophysics Data System (ADS)

    Auer, I.; Böhm, R.; Ganekind, M.; Schöner, W.; Nemec, J.; Chimani, B.

    2010-09-01

    Instrumental time series of different climate elements are an important requisite for climate and climate impact studies. Long-term time series can improve our understanding of climate change during the instrumental period. During recent decades a number of national and international initiatives in European countries have significantly increased the number of existing long-term instrumental series; however a publically available data base covering Europe has not been created so far. For the "Greater Alpine Region" (4-19 deg E, 43-49 deg N, 0-3500m asl) the HISTALP data base has been established consisting of monthly homogenised temperature, pressure, precipitation, sunshine and cloudiness records. The data set may be described as follows: Long-term (fully exploiting the potential of systematically measured data). dense (network density adequate in respect to the spatial coherence of the given climate element) quality improved (outliers removed, gaps filled) homogenised (earlier sections adjusted to the recent state of the measuring site) multiple (covering more than one climate element) user friendly (well described and kept in different modes for different applications) HIST-EU is inteded to be a data set of European relevance allowing studying climate variability on regional scale. It focuses on data collection, data recovery and rescue, and homogenizing. HIST-EU will use the infrastructure of HISTALP (www.zamg.ac.at/histalp) and will allow free or restricted data access due to the regulations of data providers. HIST-EU will be carried out under the umbrella of ECSN/EUMETNET.

  3. Moon phases and moon signs do not influence morbidity, mortality and long-term survival, after living donor kidney transplantation.

    PubMed

    Kleespies, A; Mikhailov, M; Khalil, P N; Pratschke, S; Khandoga, A; Stangl, M; Illner, W D; Angele, M K; Jauch, K W; Guba, M; Werner, J; Rentsch, M

    2017-09-04

    Approximately 11% of the German population are convinced that certain moon phases and moon signs may impact their health and the onset and clinical course of diseases. Before elective surgery, a considerable number of patients look to optimize the timing of the procedure based on the lunar cycle. Especially patients awaiting living donor kidney transplantation (LDKT) commonly look for an adjustment of the date of transplantation according to the moon calendar. This study therefore investigated the perioperative and long-term outcome of LDKT dependent on moon phases and zodiac signs. Patient data were prospectively collected in a continuously updated kidney transplant database. Two hundred and seventy-eight consecutive patients who underwent LDKT between 1994 and December 2009 were selected for the study and retrospectively assigned to the four moon phases (new-moon, waxing-moon, full-moon, and waning-moon) and the corresponding zodiac sign (moon sign Libra), based on the date of transplantation. Preexisting comorbidities, perioperative mortality, surgical outcome, and long-term survival data were analyzed. Of all LDKT procedures, 11.9, 39.9, 11.5, and 36.5% were performed during the new, waxing, full, and waning moon, respectively, and 6.2% during the moon sign Libra, which is believed to interfere with renal surgery. Survival rates at 1, 5, and 10 years after transplantation were 98.9, 92, and 88.7% (patient survival) and 97.4, 91.6, and 80.6% (graft survival) without any differences between all groups of lunar phases and moon signs. Overall perioperative complications and early graft loss occurred in 21.2 and 1.4%, without statistical difference (p > 0.05) between groups. Moon phases and the moon sign Libra had no impact on early and long-term outcome measures following LDKT in our study. Thus, concerns of patients awaiting LDKT regarding the ideal time of surgery can be allayed, and surgery may be scheduled independently of the lunar phases.

  4. Short- and long-term behavioural, physiological and stoichiometric responses to predation risk indicate chronic stress and compensatory mechanisms.

    PubMed

    Van Dievel, Marie; Janssens, Lizanne; Stoks, Robby

    2016-06-01

    Prey organisms are expected to use different short- and long-term responses to predation risk to avoid excessive costs. Contrasting both types of responses is important to identify chronic stress responses and possible compensatory mechanisms in order to better understand the full impact of predators on prey life history and population dynamics. Using larvae of the damselfly Enallagma cyathigerum, we contrasted the effects of short- and long-term predation risk, with special focus on consequences for body stoichiometry. Under short-term predation risk, larvae reduced growth rate, which was associated with a reduced food intake, increased metabolic rate and reduced glucose content. Under long-term predation risk, larvae showed chronic predator stress as indicated by persistent increases in metabolic rate and reduced food intake. Despite this, larvae were able to compensate for the short-term growth reduction under long-term predation risk by relying on physiological compensatory mechanisms, including reduced energy storage. Only under long-term predation risk did we observe an increase in body C:N ratio, as predicted under the general stress paradigm (GSP). Although this was caused by a predator-induced decrease in N content, there was no associated increase in C content. These stoichiometric changes could not be explained by GSP responses because, under chronic predation risk, there was no decrease in N-rich proteins or increase in C-rich fat and sugars; instead glycogen decreased. Our results highlight the importance of compensatory mechanisms and the value of explicitly integrating physiological mechanisms to obtain insights into the temporal dynamics of non-consumptive effects, including effects on body stoichiometry.

  5. Plans for an Enhanced Terrestrial and Freshwater Environmental Observation Network in South Africa

    NASA Astrophysics Data System (ADS)

    Everson, C. S.; Bond, W. J.; Moncrieff, G. R.; Everson, T. M.

    2015-12-01

    There is currently little information in South Africa concerning the influence of terrestrial ecosystems on biosphere-atmosphere interactions and their impact on the earth system. Climate modellers require data on energy exchanges between the soil-plant-atmosphere continuum to develop surface models of carbon, energy and water to scale up from the different biomes in South Africa, to regional and, ultimately, global scales. Atmospheric exchanges of South African biomes (ecosystems) are important due to the large and varied pant diversity they represent. The important ecosystem services (including water) delivered by these natural systems and their potential role in the long-term CO2 uptake from the atmosphere and carbon storage is a key gap in South African research. South Africa is already a water-scarce country so the predicted impacts of climate change on water resources are likely to have devastating effects. It is against this diminishing water supply that the South African government must develop innovative investments in water technologies and infrastructure to mitigate the impacts of growing water shortages due to climate change. The Department of Science and Technology of South Africa is planning a multi-million rand investment in long-term ecological infrastructure with a focus on carbon, water and energy. The terrestrial programme will comprise six to seven landscape-scale 'climate change observatories', some in urban and agricultural situations, with eddy covariance flux towers for carbon water and energy measurements, regular remote sensing, for the long-term collection of environmental, ecological and social data. The South African flux network measurement programme aims to become a key role player in the assessment of the consequences of rapid land use change and future impacts of climate change both regionally and internationally. Key words: flux towers, eddy co-variance, carbon, water and energy

  6. Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review.

    PubMed

    Vonk-Klaassen, Sylvia M; de Vocht, Hilde M; den Ouden, Marjolein E M; Eddes, Eric Hans; Schuurmans, Marieke J

    2016-01-01

    Many long-term ostomates are 'out-of-sight' of healthcare, and it is unknown how ostomates deal with ostomy-related problems and how these problems affect their quality of life (QOL). The aim is to examine patient-related studies describing ostomy-related problems and their impact on the perceived QOL of long-term colostomates. The electronic databases PubMed (MEDLINE), CINAHL, Cochrane Library and PsycINFO were systematically searched. All studies were included in which ostomy-specific QOL was measured using validated multidimensional instruments. Of the 6447 citations identified, 14 prevailingly descriptive cross-sectional studies were included. Three different validated multidimensional instruments for measuring QOL in ostomates were used (EORTC C30/CR38, MCOHQOLQO, Stoma QOL Questionnaire). All studies demonstrated that living with a colostomy influences the overall QOL negatively. The ostomy-related problems described included sexual problems, depressive feelings, gas, constipation, dissatisfaction with appearance, change in clothing, travel difficulties, feeling tired and worry about noises. In conclusion, all 14 studies gave an indication of the impact of ostomy-related problems on the perceived QOL and demonstrated that a colostomy influences the QOL negatively. There is a wide range of ostomy-specific QOL scores, and there seem to be higher QOL scores in the studies where the MCOHQOLQO instrument was used. The MCOHQOLQO and the Stoma QOL Questionnaire gave the most detailed information about which ostomy-related problems were experienced. This review adds knowledge about the impact of stoma-related problems on QOL of long-term ostomates, but more research has to be conducted, to detect ostomy-related problems and especially possible care needs.

  7. Impact of hypertension on early outcomes and long-term survival of patients undergoing aortic repair with Stanford A dissection.

    PubMed

    Merkle, Julia; Sabashnikov, Anton; Deppe, Antje-Christin; Zeriouh, Mohamed; Eghbalzadeh, Kaveh; Weber, Carolyn; Rahmanian, Parwis; Kuhn, Elmar; Madershahian, Navid; Kroener, Axel; Choi, Yeong-Hoon; Kuhn-Régnier, Ferdinand; Liakopoulos, Oliver; Wahlers, Thorsten

    2018-04-01

    Stanford A acute aortic dissection (AAD) is a life-threatening emergency, typically occurring in hypertensive patients, requiring immediate surgical repair. The aim of this study was to evaluate early outcomes and long-term survival of hypertensive patients in comparison to normotensive patients suffering from Stanford A AAD. In our center, 240 patients with Stanford A AAD underwent aortic surgical repair from January 2006 to April 2015. After statistical and logistic regression analysis, Kaplan-Meier survival estimation was performed, with up to 9-year follow-up. The proportion of hypertensive patients suffering from Stanford A AAD was 75.4% (n=181). There were only few statistically significant differences in terms of basic demographics, comorbidities, preoperative baseline and clinical characteristics of hypertensive patients in comparison to normotensive patients. Hypertensive patients were significantly older (p=0.008), more frequently received hemi-arch repair (p=0.028) and selective brain perfusion (p=0.001). Our study showed similar statistical results in terms of 30-day mortality (p=0.196), long-term overall cumulative survival of patients (Log-Rank p=0.506) and survival of patients free from cerebrovascular events (Log-Rank p=0.186). Furthermore, subgroup analysis for long-term survival in terms of men (Log-Rank p=0.853), women (Log-Rank p=0.227), patients under and above 65 years of age (Log-Rank p=0.188 and Log-Rank p=0.602, respectively) and patients undergoing one of the three types of aortic repair surgery showed similar results for normotensive and hypertensive patient groups. Subgroup analysis for long-term survival of patients free from cerebrovascular events for women, patients under 65 years of age and patients undergoing aortic arch repair showed significant differences between the two groups in favor of hypertensive patients. Hypertensive patients suffering from Stanford A AAD were older, more frequently received hemi-arch replacement and were not associated with increased risk of 30-day mortality and poorer long-term survival compared to normotensive patients.

  8. Long-term care insurance: Does experience matter?

    PubMed

    Coe, Norma B; Skira, Meghan M; Van Houtven, Courtney Harold

    2015-03-01

    We examine whether long-term care (LTC) experience helps explain the low demand for long-term care insurance (LTCI). We test if expectations about future informal care receipt, expectations about inheritance receipt, and LTCI purchase decisions vary between individuals whose parents or in-laws have used LTC versus those who have not. We find parental use of a nursing home decreases expectations that one's children will provide informal care, consistent with the demonstration effect. Nursing home use by in-laws does not have the same impact, suggesting that individuals are responding to information gained about their own aging trajectory. Nursing home use by either a parent or in-law increases LTCI purchase probability by 0.8 percentage points, with no significant difference in response between parents' and in-laws' use. The estimated increase in purchase probability from experience with LTC is about half the previously estimated increase from tax policy-induced price decreases. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. Urbanization accelerates long-term salinization and alkalinization of fresh water

    NASA Astrophysics Data System (ADS)

    Kaushal, S.; Duan, S.; Doody, T.; Haq, S.; Smith, R. M.; Newcomer Johnson, T. A.; Delaney Newcomb, K.; Gorman, J. K.; Bowman, N.; Mayer, P. M.; Wood, K. L.; Belt, K.; Stack, W.

    2017-12-01

    Human dominated land-use increases transport a major ions in streams due to anthropogenic salts and accelerated weathering. We show long-term trends in calcium, magnesium, sodium, alkalinity, and hardness over 50 years in the Baltimore metropolitan region and elsewhere. We also examine how major ion concentrations have increased significantly with impervious surface cover in watersheds across land use. Base cations show strong relationships with acid anions, which illustrates the coupling of major biogeochemical cycles in urban watersheds over time. Longitudinal patterns in major ions can also show increasing trends from headwaters to coastal waters, which suggests coupled biogeochemical cycles over space. We present new results from manipulative experiments and long-term monitoring across different urban regions regarding patterns and processes of salinization and alkalinization. Overall, our work demonstrates that urbanization dramatically increases major ions, ionic strength, and pH over decades from headwaters to coastal waters, which impacts the integrity of aquatic life, infrastructure, drinking water, and coastal ocean alkalinization.

  10. Using the Sonoran Desert test site to monitor the long-term radiometric stability of the Landsat TM/ETM+ and Terra MODIS sensors

    USGS Publications Warehouse

    Angal, A.; Xiong, X.; Choi, T.; Chander, G.; Wu, A.

    2009-01-01

    Pseudo-invariant ground targets have been extensively used to monitor the long-term radiometric calibration stability of remote sensing instruments. The NASA MODIS Characterization Support Team (MCST), in collaboration with members from the U.S. Geological Survey (USGS) Earth Resources Observation and Science (EROS) Center, has previously demonstrated the use of pseudo-invariant ground sites for the long-term stability monitoring of Terra MODIS and Landsat 7 ETM+ sensors. This paper focuses on the results derived from observations made over the Sonoran Desert. Additionally, Landsat 5 TM data over the Sonoran Desert site were used to evaluate the temporal stability of this site. Top-ofatmosphere (TOA) reflectances were computed for the closely matched TM, ETM+, and MODIS spectral bands over selected regions of interest. The impacts due to different viewing geometries, or the effect of test site Bi-directional Reflectance Distribution Function (BRDF), are also presented. ?? 2009 SPIE.

  11. Primary care management of patients following bariatric surgery.

    PubMed

    Doolen, Jessica L; Miller, Sally K

    2005-11-01

    To evaluate the nutritional, psychosocial, and other primary care issues faced by nurse practitioners (NPs) and their patients in the long-term management of the increasing population of patients who have had bariatric surgery. An extensive review of the literature provides the foundation for development of assessment and management strategies highlighted in a case study. Management of the patient after bariatric surgery does not end with successful surgical healing. Numerous long-term implications, including significant psychosocial and nutritional issues, require the informed attention of the primary care provider for the rest of the life span. Each year an increasing number of obese patients pursue a surgical solution to obesity, up to an estimated 100,000 in 2004. Numerous long-term health implications are specific to this population. NPs can improve the quality of primary care to these patients by being informed regarding the different procedures and their impact on physiologic phenomena, and the psychosocial issues inherent to extreme weight loss.

  12. Long-term symptomatic, functional, and work outcomes of carpal tunnel syndrome among construction workers.

    PubMed

    Evanoff, Bradley; Gardner, Bethany T; Strickland, Jaime R; Buckner-Petty, Skye; Franzblau, Alfred; Dale, Ann Marie

    2016-05-01

    The long-term outcomes of carpal tunnel syndrome (CTS) including symptoms, functional status, work disability, and economic impact are unknown. We conducted a retrospective study of 234 active construction workers with medical claims for CTS and 249 workers without CTS claims; non-cases were matched on age, trade, and insurance eligibility. We conducted telephone interviews with cases and non-cases and collected administrative data on work hours. Compared to non-cases, CTS cases were more likely to report recurrent hand symptoms, decreased work productivity/quality, decreased performance of physical work demands, and greater functional limitations. Surgical cases showed larger improvements on multiple outcomes than non-surgical cases. Minimal differences in paid work hours were seen between cases and non-cases in the years preceding and following CTS claims. Persistent symptoms and functional impairments were present several years after CTS diagnosis. Long-term functional limitations shown by this and other studies indicate the need for improved prevention and treatment. © 2016 Wiley Periodicals, Inc.

  13. The long-term performance degradation of a radioisotope thermoelectric generator using silicon germanium

    NASA Technical Reports Server (NTRS)

    Stapfer, G.; Truscello, V. C.

    1976-01-01

    The successful utilization of a radioisotope thermoelectric generator (RTG) as the power source for spaceflight missions requires that the performance of such an RTG be predictable throughout the mission. Several mechanisms occur within the generator which tend to degrade the performance as a function of operating time. The impact which these mechanisms have on the available output power of an RTG depends primarily on such factors as time, temperature and self-limiting effects. The relative magnitudes, rates and temperature dependency of these various degradation mechanisms have been investigated separately by coupon experiments as well as 4-couple and 18-couple module experiments. This paper discusses the different individual mechanisms and summarizes their combined influence on the performance of an RTG. Also presented as part of the RTG long-term performance characteristics is the sensitivity of the available RTG output power to variations of the individual degradation mechanisms thus identifying the areas of greatest concern for a successful long-term mission.

  14. Long Term Association of Tropospheric Trace gases over Pakistan by exploiting satellite observations and development of Econometric Regression based Model

    NASA Astrophysics Data System (ADS)

    Zeb, Naila; Fahim Khokhar, Muhammad; Khan, Saud Ahmed; Noreen, Asma; Murtaza, Rabbia

    2017-04-01

    Air pollution is the expected key environmental issue of Pakistan as it is ranked among top polluted countries in the region. Ongoing rapid economic growth without any adequate measures is leading to worst air quality over time. The study aims to monitor long term atmospheric composition and association of trace gases over Pakistan. Tropospheric concentrations of CO, TOC, NO2 and HCHO derived from multiple satellite instruments are used for study from year 2005 to 2014. The study will provide first database for tropospheric trace gases over Pakistan. Spatio-temporal assessment identified hotspots and possible sources of trace gases over the Pakistan. High concentrations of trace gases are mainly observed over Punjab region, which may be attributed to its metropolitan importance. It is the major agricultural, industrialized and urbanized (nearly 60 % of the Pakistan's population) sector of the country. The expected sources are the agricultural fires, biomass/fossil fuel burning for heating purposes, urbanization, industrialization and meteorological variations. Seasonal variability is observed to explore seasonal patterns over the decade. Well defined seasonal cycles of trace gases are observed over the whole study period. The observed seasonal patterns also showed some noteworthy association among trace gases, which is further explored by different statistical tests. Seasonal Mann Kendall test is applied to test the significance of trend in series whereas correlation is carried out to measure the strength of association among trace gases. Strong correlation is observed for trace gases especially between CO and TOC. Partial Mann Kendall test is used to ideally identify the impact of each covariate on long term trend of CO and TOC by partialling out each correlating trace gas (covariate). It is observed that TOC, NO2 and HCHO has significant impact on long term trend of CO whereas, TOC critically depends on NO2 concentrations for long term increase over the region. Furthermore to explore causal relation, regression analysis is employed to estimate model for CO and TOC. This model numerically estimated the long term association of trace gases over the region.

  15. The emerging market for supplemental long term care insurance in Germany in the context of the 2013 Pflege-Bahr reform.

    PubMed

    Nadash, Pamela; Cuellar, Alison Evans

    2017-06-01

    The growing cost of long term care is burdening many countries' health and social care systems, causing them to encourage individuals and families to protect themselves against the financial risk posed by long term care needs. Germany's public long-term care insurance program, which mandates coverage for most Germans, is well-known, but fewer are aware of Germany's growing voluntary, supplemental private long-term care insurance market. This paper discusses German policymakers' 2013 effort to expand it by subsidizing the purchase of qualified policies. We provide data on market expansions and the extent to which policy goals are being achieved, finding that public subsidies for purchasing supplemental policies boosted the market, although the effect of this stimulus diminished over time. Meanwhile, sales growth in the unsubsidized market appears to have slowed, despite design features that create incentives for lower-risk individuals to seek better deals there. Thus, although subsidies for cheap, low-benefit policies seem to have achieved the goal of market expansion, the overall impact and long-term sustainability of these products is unclear; conclusions about its impact are further muddied by significant expansions to Germany's core program. The German example reinforces the examples of the US and France private long term care insurance markets, to show how such products flourish best when supplementing a public program. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  16. Effect of long term chilled (up to 5weeks) then frozen (up to 12months) storage at two different sub-zero holding temperatures on beef: 2. Lipid oxidation and fatty acid profiles.

    PubMed

    Holman, Benjamin W B; Coombs, Cassius E O; Morris, Stephen; Bailes, Kristy; Hopkins, David L

    2018-02-01

    Lipid oxidation and fatty acid (FA) profiles were evaluated for beef M. longissimus lumborum (LL) stored under different chilled-then-frozen storage combinations (up to 5 and 52weeks, respectively) and two frozen holding temperatures (-12°C and -18°C). FA profile variation was observed, with increasing frozen storage periods resulting in unsaturated FA levels declining as saturated FA levels increased. Polyunsaturated and health claimable FA levels also tended to decline with increasing chilled storage period, albeit insignificant within the constraints of the experimental design. Peroxidase activity, TBARS and oxidation-reduction potential analyses reflected these FA changes. These, when compared against existing consumer thresholds, suggest a perceptible detraction from LL held under long-term frozen storage durations that are less evident earlier as dependent on the preceding chilled storage period. Negligible impact of frozen storage holding temperatures was observed on measured traits. These results suggest long-term chilled-then-frozen storage can influence beef lipid stability, healthy FA profile and therefore the healthiness of beef. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  17. Consider long-term care as service alternative.

    PubMed

    Loria, L S

    1987-04-01

    The increasing demand for elderly care services, pressures on inpatient average length of stay and payment levels, and potential financial rewards from providing additional services, makes long-term care look attractive to hospitals. Long-term care, however, is not for every hospital. Before deciding to establish long-term care services, management should examine how the service fits within the hospital's strategic plan. The action plan below provides guidance in evaluating a decision to use hospital facilities for long-term care. Examine how long-term care services fit within the hospital's strategic plan. Study area demographics and competitors to assess the need and supply of long-term care services. Survey the medical staff, consumers and payers to determine attitudes, perceptions and interests regarding long-term care services. Develop a facility plan that identifies areas of excess capacity that can be most easily converted into long-term care with minimal effects on hospital operations. Prepare a financial feasibility analysis of the contribution margin and return on investment attributable to long-term care services. Include an impact analysis on hospital operations. Establish a management task force to develop a detailed implementation plan including assigned individual responsibilities and related timetable. Develop an effective marketing plan designed to generate increased patient market share.

  18. Anthropogenic impacts on Costa Rican bat parasitism are sex specific.

    PubMed

    Frank, Hannah K; Mendenhall, Chase D; Judson, Seth D; Daily, Gretchen C; Hadly, Elizabeth A

    2016-07-01

    While anthropogenic impacts on parasitism of wildlife are receiving growing attention, whether these impacts vary in a sex-specific manner remains little explored. Differences between the sexes in the effect of parasites, linked to anthropogenic activity, could lead to uneven sex ratios and higher population endangerment. We sampled 1108 individual bats in 18 different sites across an agricultural mosaic landscape in southern Costa Rica to investigate the relationships between anthropogenic impacts (deforestation and reductions in host species richness) and bat fly ectoparasitism of 35 species of Neotropical bats. Although female and male bat assemblages were similar across the deforestation gradient, bat fly assemblages tracked their hosts closely only on female bats. We found that in female hosts, parasite abundance per bat decreased with increasing bat species richness, while in male hosts, parasite abundance increased. We hypothesize the differences in the parasite-disturbance relationship are due to differences in roosting behavior between the sexes. We report a sex-specific parasite-disturbance relationship and argue that sex differences in anthropogenic impacts on wildlife parasitism could impact long-term population health and survival.

  19. Genomic and Phenotypic Characterization of Yeast Biosensor for Deep-space Radiation

    NASA Technical Reports Server (NTRS)

    Marina, Diana B.; Santa Maria, Sergio; Bhattacharya, Sharmila

    2016-01-01

    The BioSentinel mission was selected to launch as a secondary payload onboard NASA Exploration Mission 1 (EM-1) in 2018. In BioSentinel, the budding yeast Saccharomyces cerevisiae will be used as a biosensor to measure the long-term impact of deep-space radiation to living organisms. In the 4U-payload, desiccated yeast cells from different strains will be stored inside microfluidic cards equipped with 3-color LED optical detection system to monitor cell growth and metabolic activity. At different times throughout the 12-month mission, these cards will be filled with liquid yeast growth media to rehydrate and grow the desiccated cells. The growth and metabolic rates of wild-type and radiation-sensitive strains in deep-space radiation environment will be compared to the rates measured in the ground- and microgravity-control units. These rates will also be correlated with measurements obtained from onboard physical dosimeters. In our preliminary long-term desiccation study, we found that air-drying yeast cells in 10% trehalose is the best method of cell preservation in order to survive the entire 18-month mission duration (6-month pre-launch plus 12-month full-mission periods). However, our study also revealed that desiccated yeast cells have decreasing viability over time when stored in payload-like environment. This suggests that the yeast biosensor will have different population of cells at different time points during the long-term mission. In this study, we are characterizing genomic and phenotypic changes in our yeast biosensor due to long-term storage and desiccation. For each yeast strain that will be part of the biosensor, several clones were reisolated after long-term storage by desiccation. These clones were compared to their respective original isolate in terms of genomic composition, desiccation tolerance and radiation sensitivity. Interestingly, clones from a radiation-sensitive mutant have better desiccation tolerance compared to their original isolate without losing radiation sensitivity. We employed Next-Generation Sequencing technology to better understand this phenotypic variation. Current effort is focusing on the analysis of high-throughput sequencing data to look for genomic changes in these reisolated clones compared to their original isolate.

  20. Behavior problems and children’s academic achievement: A test of growth-curve models with gender and racial differences

    PubMed Central

    Kremer, Kristen P.; Flower, Andrea; Huang, Jin; Vaughn, Michael G.

    2016-01-01

    The aim of this study was to examine the longitudinal association between externalizing and internalizing behavior and children’s academic achievement, particularly in terms of whether these variables varied as a function of gender and race. Data pertaining to externalizing and internalizing behavior, academic achievement, gender, and race from three waves of the Child Development Supplement of the Panel Study of Income Dynamics (N = 2028) were used. Results indicate that behavior problems had a negative relationship with academic performance and some of these associations endured over time. Externalizing behavior impacted reading scores more negatively for females compared to males at baseline, but the impact of externalizing behavior on long-term reading outcomes did not vary by gender. Externalizing behavior impacted reading scores more negatively for Black children than White children at multiple points in time. Differences between males, females, Black, and White children concerning behavior and achievement are explained. Implications, limitations, and ideas for future research are also presented. PMID:28529397

  1. Rosalie Wolf Memorial Lecture: A logic model to measure the impacts of World Elder Abuse Awareness Day.

    PubMed

    Stein, Karen

    2016-01-01

    This commentary discusses the need to evaluate the impact of World Elder Abuse Awareness Day activities, the elder abuse field's most sustained public awareness initiative. A logic model is proposed with measures for short-term, medium-term, and long-term outcomes for community-based programs.

  2. Long-Term Impacts Faced by Patients and Families After Harmful Healthcare Events.

    PubMed

    Ottosen, Madelene J; Sedlock, Emily W; Aigbe, Aitebureme O; Bell, Sigall K; Gallagher, Thomas H; Thomas, Eric J

    2018-01-17

    Patients and families report experiencing a multitude of harms from medical errors resulting in physical, emotional, and financial hardships. Little is known about the duration and nature of these harms and the type of support needed to promote patient and family healing after such events. We sought to describe the long-term impacts (LTIs) reported by patients and family members who experienced harmful medical events 5 or more years ago. We performed a content analysis on 32 interviews originally conducted with 72 patients or family members about their views of the factors contributing to their self-reported harmful event. Interviews selected occurred 5 or more years after the harmful event and were grouped by time since event, 5 to 9 years (22 interviews) or 10 or more years (10 interviews) for analysis. We analyzed these interviews targeting spontaneous references of ongoing impacts experienced by the participants. Participants collectively described the following four LTIs: psychological, social/behavioral, physical, and financial. Most cited psychological impacts with half-reporting ongoing anger and vivid memories. More than half reported ongoing physical impacts and one-third experienced ongoing financial impacts. Long-term social and behavioral impacts such as alterations in lifestyle, self-identity, and healthcare seeking behaviors were the most highly reported. These patients and families experienced many profound LTIs after their harmful medical event. For some, these impacts evolved into secondary harms ongoing 10 years and more after the event. Our results draw attention to the persistent impacts patients and families may experience long after harmful events and the need for future research to understand and support affected patients and families.

  3. Effects of reduced-impact logging on fish assemblages in central Amazonia.

    PubMed

    Dias, Murilo S; Magnusson, William E; Zuanon, Jansen

    2010-02-01

    In Amazonia reduced-impact logging, which is meant to reduce environmental disturbance by controlling stem-fall directions and minimizing construction of access roads, has been applied to large areas containing thousands of streams. We investigated the effects of reduced-impact logging on environmental variables and the composition of fish in forest streams in a commercial logging concession in central Amazonia, Amazonas State, Brazil. To evaluate short-term effects, we sampled 11 streams before and after logging in one harvest area. We evaluated medium-term effects by comparing streams in 11 harvest areas logged 1-8 years before the study with control streams in adjacent areas. Each sampling unit was a 50-m stream section. The tetras Pyrrhulina brevis and Hemigrammus cf. pretoensis had higher abundances in plots logged > or =3 years before compared with plots logged <3 years before. The South American darter (Microcharacidium eleotrioides) was less abundant in logged plots than in control plots. In the short term, the overall fish composition did not differ two months before and immediately after reduced-impact logging. Temperature and pH varied before and after logging, but those differences were compatible with normal seasonal variation. In the medium term, temperature and cover of logs were lower in logged plots. Differences in ordination scores on the basis of relative fish abundance between streams in control and logged areas changed with time since logging, mainly because some common species increased in abundance after logging. There was no evidence of species loss from the logging concession, but differences in log cover and ordination scores derived from relative abundance of fish species persisted even after 8 years. For Amazonian streams, reduced-impact logging appears to be a viable alternative to clear-cut practices, which severely affect aquatic communities. Nevertheless, detailed studies are necessary to evaluated subtle long-term effects.

  4. Long-term impacts of prescribed burns on soil thermal conductivity and soil heating at a Colorado Rocky Mountain site: a data/model fusion study

    Treesearch

    W. J. Massman; J. M. Frank; N. B. Reisch

    2008-01-01

    Heating any soil during a sufficiently intense wild fire or prescribed burn can alter that soil irreversibly, resulting in many significant, and well studied, long-term biological, chemical, and hydrological effects. On the other hand, much less is known about how fire affects the thermal properties and the long-term thermal regime of soils. Such knowledge is important...

  5. Control of the Onboard Microgravity Environment and Extension of the Service Life of the Long-Term Space Station

    NASA Astrophysics Data System (ADS)

    Titov, V. A.

    2018-03-01

    The problem of control of the on-board microgravity environment in order to extend the service life of the long-term space station has been discussed. Software developed for the ISS and the results of identifying dynamic models and external impacts based on telemetry data have been presented. Proposals for controlling the onboard microgravity environment for future long-term space stations have been formulated.

  6. Influence on bacterial communities under the condition of organic manure substituting nitrogen fertilizer in a 36-year field experiment of Chinese Mollisols

    NASA Astrophysics Data System (ADS)

    Ma, M.; Jiang, X.; Li, J.

    2016-12-01

    In recent years, the black soil of northeastern China has been degenerated over time owing to intensive farming practices and inappropriate uses of fertilizer. The objective of this research was to evaluate the impacts of long-term organic manure substituting inorganic nitrogen fertilizer on bacterial communities in Chinese Mollisols. Four treatments were sampled as follows, CK (without fertilizer), PK (inorganic fertilizers PK), NPK (inorganic fertilizers NPK) and MPK (inorganic fertilizers PK with manure). Quantitative PCR analysis of microbial community size and Illumina platform-based analysis of the V4 16S rRNA gene region were followed. The results showed, long term MPK application had no significant effect on soil pH, while NPK and PK application decreased it significantly. Soil OM showed the same trend with soil pH. Compared with CK, NPK treatment decreased gene copy numbers, whereas PK and MPK treatments increased them with a significant difference for MPK (P<0.05). There was no difference on ACE between samples, but long term NPK application significantly decreased CHAO and Shannon index. When comes to bacterial community, all samples were dominated by phyla Proteobacteria, which were represented by 29.59 to 35.73% of the sequences, followed by Acidobacteria (13.23-16.39%), Actinobacteria (9.26-10.83%), Verrucomicrobia (8.62-9.92%) and Planctomycetes (7.03-8.04%). Long term fertilization regimes had a significantly effect on bacterial β-diversity with the bacterial communities. Compared to the other treatments, long term application of NPK changed the bacterial communities conspicuously. Soil pH (F=8.6, P=0.002) and the concentration of OM (F=2.2, P=0.008) were the two most important contributors to the variation in bacterial communities. Our findings suggested that, long-term inorganic fertilizer regimes reduced the biodiversity and abundance of bacteria, and inorganic fertilizer plus manure increased microbial diversity and improved microbial composition.

  7. Climate change impacts on rainfall extremes and urban drainage: state-of-the-art review

    NASA Astrophysics Data System (ADS)

    Willems, Patrick; Olsson, Jonas; Arnbjerg-Nielsen, Karsten; Beecham, Simon; Pathirana, Assela; Bülow Gregersen, Ida; Madsen, Henrik; Nguyen, Van-Thanh-Van

    2013-04-01

    Under the umbrella of the IWA/IAHR Joint Committee on Urban Drainage, the International Working Group on Urban Rainfall (IGUR) has reviewed existing methodologies for the analysis of long-term historical and future trends in urban rainfall extremes and their effects on urban drainage systems, due to anthropogenic climate change. Current practises have several limitations and pitfalls, which are important to be considered by trend or climate change impact modellers and users of trend/impact results. The review considers the following aspects: Analysis of long-term historical trends due to anthropogenic climate change: influence of data limitation, instrumental or environmental changes, interannual variations and longer term climate oscillations on trend testing results. Analysis of long-term future trends due to anthropogenic climate change: by complementing empirical historical data with the results from physically-based climate models, dynamic downscaling to the urban scale by means of Limited Area Models (LAMs) including explicitly small-scale cloud processes; validation of RCM/GCM results for local conditions accounting for natural variability, limited length of the available time series, difference in spatial scales, and influence of climate oscillations; statistical downscaling methods combined with bias correction; uncertainties associated with the climate forcing scenarios, the climate models, the initial states and the statistical downscaling step; uncertainties in the impact models (e.g. runoff peak flows, flood or surcharge frequencies, and CSO frequencies and volumes), including the impacts of more extreme conditions than considered during impact model calibration and validation. Implications for urban drainage infrastructure design and management: upgrading of the urban drainage system as part of a program of routine and scheduled replacement and renewal of aging infrastructure; how to account for the uncertainties; flexible and sustainable solutions; adaptive approach that provides inherent flexibility and reversibility and avoids closing off options; importance of active learning. References: Willems, P., Olsson, J., Arnbjerg-Nielsen, K., Beecham, S., Pathirana, A., Bülow Gregersen, I., Madsen, H., Nguyen, V-T-V. (2012). Impacts of climate change on rainfall extremes and urban drainage. IWA Publishing, 252 p., Paperback Print ISBN 9781780401256; Ebook ISBN 9781780401263 Willems, P., Arnbjerg-Nielsen, K., Olsson, J., Nguyen, V.T.V. (2012), 'Climate change impact assessment on urban rainfall extremes and urban drainage: methods and shortcomings', Atmospheric Research, 103, 106-118

  8. Long-term survivors of childhood cancer report quality of life and health status in parity with a comparison group.

    PubMed

    Sundberg, Kay K; Doukkali, Eva; Lampic, Claudia; Eriksson, Lars E; Arvidson, Johan; Wettergren, Lena

    2010-08-01

    There is a need for more knowledge about how survivors of childhood cancer perceive their lives and what influence current health status has on their quality of life. The purpose was to describe this among a group of long-term survivors and among a comparison group. Telephone interviews were performed with a cohort of 246 long-term survivors and 296 randomly selected from the general population using the Schedule for the Evaluation of Individual Quality of Life-Direct Weighting (SEIQoL-DW). The participants nominated the areas they considered to be most important in life and rated the current status of each area on a seven-point category scale. An overall individual index score was calculated as a measure of quality of life. Self-reported health status was assessed using the Short Form Health Survey (SF-36). Long-term survivors rated their overall quality of life and self-reported health status almost in parity with the comparison group. In both groups, family life, relations to other people, work and career, interests and leisure activities were the areas most frequently reported to influence quality of life. The survivors only differed from the comparison group on one of eight SF-36 scales reflecting problems with daily activities owing to physical health. Health status was not shown to have a major impact on overall quality of life, indicating that health and quality of life should be evaluated distinctively as different constructs. This should be taken in consideration in clinical care of children with childhood cancer and long-term survivors. (c) 2010 Wiley-Liss, Inc.

  9. Long-term Consequences of Finasteride vs Placebo in the Prostate Cancer Prevention Trial

    PubMed Central

    Till, Cathee; Thompson, Ian M.; Tangen, Catherine M.; Goodman, Phyllis J.; Wright, Jason D.; Barlow, William E.; Ramsey, Scott D.; Minasian, Lori M.; Hershman, Dawn L.

    2016-01-01

    Background: Finasteride has been found to reduce the risk of low-grade prostate cancer but to have no impact on overall survival. The long-term adverse and beneficial consequences of finasteride have not been examined. Methods: We used a linkage between data from the Prostate Cancer Prevention Trial (PCPT) and Medicare claims. Patients were examined by randomized study arm (finasteride vs placebo for 7 years) for long-term consequences of the intervention, including cardiac, endocrine, and sexual dysfunction, depression, diabetes, and benign prostatic hyperplasia (BPH)–related events. To examine time to events, we used cumulative incidence and Cox regression, adjusting for covariates. All statistical tests were two-sided. Results: A total of 13 935 of 18 880 participants (73.8%) in the PCPT were linked to Medicare claims, with median Medicare follow-up assessment time of 16 years from trial registration. There were no differences between finasteride and placebo participants with respect to important baseline factors or amount of Medicare follow-up assessment time. Finasteride patients had a 10% higher risk of new claims for depression (hazard ratio [HR] = 1.10, 95% confidence interval [CI] = 1.01 to 1.19, P = .04) and a 6% lower risk of procedures for BPH-related events (primarily lower urinary tract symptoms; HR = 0.94, 95% CI = 0.89 to 1.00, P = .03). No other differences were found in rates of long-term consequences of intervention in the two study arms. Conclusions: Finasteride use is associated with reduced need for procedures for relief of BPH-related events and a modest increase in depression. Overall, there is little need to worry about long-term noncancer consequences of finasteride use in those who use it for treatment of symptomatic BPH, hair growth, or prevention of cancer. PMID:27565902

  10. Parenting very low birth weight children at school age: maternal stress and coping.

    PubMed

    Singer, Lynn T; Fulton, Sarah; Kirchner, H Lester; Eisengart, Sheri; Lewis, Barbara; Short, Elizabeth; Min, Meeyoung O; Kercsmar, Carolyn; Baley, Jill E

    2007-11-01

    To compare severity and determinants of stress and coping in mothers of 8-year-old very low birth weight (VLBW) and term children varying in medical and developmental risk. Three groups of mothers/infants were prospectively compared in a longitudinal study from birth to 8 years (110 high-risk VLBW, 80 low-risk VLBW, and 112 term). Maternal psychological distress, coping, parenting/marital stress, child health, and family impact were measured in the children at age 8 years. Mothers of VLBW children differed from term mothers, reporting less consensus with partners, more concern for their children's health, less parent-child conflict, and fewer years of education attained. Mothers of high-risk VLBW children experienced the greatest family and personal strains and used less denial and disengagement coping. The groups exhibited no differences in the sense of parenting competence, divorce rate, parenting/marital satisfaction, family cohesion, and psychological distress symptoms. Multiple birth, low socioeconomic status, and lower child IQ added to maternal stress. VLBW birth has long-term negative and positive impacts on maternal/family outcomes related to the infant's medical risk.

  11. Perceived stress and anhedonia predict short-and long-term weight change, respectively, in healthy adults.

    PubMed

    Ibrahim, Mostafa; Thearle, Marie S; Krakoff, Jonathan; Gluck, Marci E

    2016-04-01

    Perceived stress; emotional eating; anhedonia; depression and dietary restraint, hunger, and disinhibition have been studied as risk factors for obesity. However, the majority of studies have been cross-sectional and the directionality of these relationships remains unclear. In this longitudinal study, we assess their impact on future weight change. Psychological predictors of weight change in short- (6month) and long-term (>1year) periods were studied in 65 lean and obese individuals in two cohorts. Subjects participated in studies of food intake and metabolism that did not include any type of medication or weight loss interventions. They completed psychological questionnaires at baseline and weight change was monitored at follow-up visits. At six months, perceived stress predicted weight gain (r(2)=0.23, P=0.02). There was a significant interaction (r(2)=.38, P=0.009) between perceived stress and positive emotional eating, such that higher scores in both predicted greater weight gain, while those with low stress but high emotional eating scores lost weight. For long-term, higher anhedonia scores predicted weight gain (r(2)=0.24, P=0.04). Depression moderated these effects such that higher scores in both predicted weight gain but higher depression and lower anhedonia scores predicted weight loss. There are different behavioral determinants for short- and long-term weight change. Targeting perceived stress may help with short-term weight loss while depression and anhedonia may be better targets for long-term weight regulation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Finding of No Significant Impact for Porposed Replacement of Senior Officers Quarters Project, McConnell Air Force Base, Kansas

    DTIC Science & Technology

    2006-08-08

    renovation from the four existing units would nearly equal tbe cost of reconstructing new lll’lils. No Action Alternative: tinder the11o action...cumulative impacts." 4.10 RELATIONSHIP BETWEEN-TERM USES AND ENHANCEMENT OF LONG- TERM PRODUCTIVITY Preferred Action: Implementation of the preferred...Indirect and Cumulative Impacts ........................................................................ 24 3.10 Relationship between Short-Term Uses

  13. Long-term implications of forest harvesting on nutrient cycling in central hardwood forests

    Treesearch

    J.A. Lynch; E.S. Corbett

    1991-01-01

    Fourteen years of streamflow and water quality data from the Leading Ridge Experimental Watersheds in central Pennsylvania were analyzed to determine the long-term impacts of a commercial forest harvest on stream water chemistry and nutrient loss.

  14. Simulated response and effects to oil exposure in an estuarine fish species

    EPA Science Inventory

    Experimental toxicity data alone lack ecological relevance to assess more realistic situations, such as variable exposure to a contaminant and long-term impact. Evaluating the implications of sublethal effects or behavioral response to exposure requires long-term, population-leve...

  15. Impacts of Wildfires on Long-term Land Surface Phenology

    NASA Astrophysics Data System (ADS)

    Wang, J.; Zhang, X.

    2016-12-01

    Land surface phenology (LSP) detected from satellite data characterizes seasonal dynamics of vegetation communities within a moderate or coarse resolution pixel. Its long-term variation has been widely used to indicate the biological responses to climate changes. However, few studies have focused on the influence of land disturbance on LSP variations. The wildfire is one of the most important drivers of land disturbances across the world, which shows an increasing trend during past decades. To explore the wildfire impacts on LSP, we analyzed post-fire and pre-fire LSP in two forest fire events that are Hayman Fire occurred in 2002 and Mason Fire occurred in 2005 in Colorado. Specifically, we first generated a two band enhanced vegetation index (EVI2) from MODIS daily surface reflectance product (MOD09GQ) at a spatial resolution of 250 m from 2001-2014. The time series of daily EVI2 was then used to detect the start of growing season (SOS) by applying the LSP detection algorithm based on a hybrid piecewise logistic model (HPLM-LSPD). The SOS was further separated for four levels of burn severity obtained from Monitoring Trends in Burn Severity (MTBS) maps for each fire event. The long-term SOS in the burn scars was finally deviated from surrounding areas based on land cover types. Results show that forests were mainly converted to shrubs in both fire events with some grasslands in Hayman. On average, SOS in Hayman burn scar area was advanced 11 days relative to surrounding region while it was delayed 9 days in Mason fire. The deviation also varied with the burn severity spatially. Moreover, the long-term SOS trend in the local area from 2001-2014 was significantly different with and without considerations of the fire influences. This study demonstrates that the long-term LSP SOS trend is significantly influenced by land disturbances in a local and regional scales.

  16. Police use of handcuffs in the homeless population leads to long-term negative attitudes within this group.

    PubMed

    Krameddine, Yasmeen I; Silverstone, Peter H

    2016-01-01

    The police interact with homeless individuals frequently. However, there has been relatively little research on the attitudes of homeless individuals towards the police, and how police interactions may impact these. This is important since the attitudes of homeless individuals can impact how often they report crimes, and how well they support police when they are investigating crimes in this population. We interviewed 213 homeless individuals in a single city, representing approximately 10% of the total homeless population. They were interviewed at either homeless shelters, or events held specifically for the homeless population. Of these individuals, 75% were male, and 47% had interacted with a police officer within the past month. Self-reports suggested that 60% had a drug and/or alcohol issue and 78% had a mental illness. We found a highly statistically significant difference between the group that had been handcuffed and/or arrested compared to those that had not. This was across multiple domains and included how the individual regarded the police in terms of their empathy and communication skills, and how much they trusted the police. These changes were long-term, and if a homeless individual had been arrested or handcuffed (and verbal reporting suggested that being handcuffed was the by far the most important factor) then these negative attitudes lasted at least 2 years. The primary conclusion from this study is that when police handcuff a homeless individual, this can lead to long-term negative views about the police across several domains that appear to be long lasting, and were linked to feelings of not being respected by the police. It is therefore proposed that police officers should be made aware of the potential long-term negative consequences of this single action, and that police forces should consider providing specific training to minimize any unnecessary overuse of handcuffs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Microvascular invasion does not predict long-term survival in hepatocellular carcinoma up to 2 cm: reappraisal of the staging system for solitary tumors.

    PubMed

    Shindoh, Junichi; Andreou, Andreas; Aloia, Thomas A; Zimmitti, Giuseppe; Lauwers, Gregory Y; Laurent, Alexis; Nagorney, David M; Belghiti, Jacques; Cherqui, Daniel; Poon, Ronnie Tung-Ping; Kokudo, Norihiro; Vauthey, Jean-Nicolas

    2013-04-01

    Excellent long-term outcomes have been reported recently for patients with small (≤2 cm) hepatocellular carcinoma (HCC). However, the significance of microvascular invasion (MVI) in small HCC remains unclear. The purpose of this study was to determine the impact of MVI in small HCC up to 2 cm. In 1,109 patients with solitary HCC from six major international hepatobiliary centers, the impact of MVI on long-term survival in patients with small HCC (≤2 cm) and patients with tumors larger than 2 cm was analyzed. In patients with small HCC, long-term survival was not affected by MVI (p = 0.8), whereas in patients with larger HCC, significantly worse survival was observed in patients with MVI (p < 0.0001). In multivariate analysis, MVI (hazard ratio [HR] 1.59; 95 % confidence interval (CI) 1.27-1.99; p < 0.001), elevated alpha-fetoprotein (HR 1.41; 95 % CI 1.11-1.8; p = 0.005), and higher histologic grade (HR 1.29; 95 % CI 1.01-1.64; p = 0.04) were significant predictors of worse survival in patients with HCC larger than 2 cm but were not correlated with long-term survival in small HCC. When the cohort was divided into three groups-HCC ≤2, >2 cm without MVI, and HCC >2 cm with MVI-significant between-group survival difference was observed (p < 0.0001). Small HCC is associated with an excellent prognosis that is not affected by the presence of MVI. The discriminatory power of the 7th edition of the AJCC classification for solitary HCC could be further improved by subdividing tumors according to size (≤2 vs. >2 cm).

  18. Effectiveness of psychological interventions to improve quality of life in people with long-term conditions: rapid systematic review of randomised controlled trials.

    PubMed

    Anderson, Niall; Ozakinci, Gozde

    2018-03-27

    Long-term conditions may negatively impact multiple aspects of quality of life including physical functioning and mental wellbeing. The rapid systematic review aimed to examine the effectiveness of psychological interventions to improve quality of life in people with long-term conditions to inform future healthcare provision and research. EBSCOhost and OVID were used to search four databases (PsychInfo, PBSC, Medline and Embase). Relevant papers were systematically extracted by one researcher using the predefined inclusion/exclusion criteria based on titles, abstracts, and full texts. Randomized controlled trial psychological interventions conducted between 2006 and February 2016 to directly target and assess people with long-term conditions in order to improve quality of life were included. Interventions without long-term condition populations, psychological intervention and/or patient-assessed quality of life were excluded. From 2223 citations identified, 6 satisfied the inclusion/exclusion criteria. All 6 studies significantly improved at least one quality of life outcome immediately post-intervention. Significant quality of life improvements were maintained at 12-months follow-up in one out of two studies for each of the short- (0-3 months), medium- (3-12 months), and long-term (≥ 12 months) study duration categories. All 6 psychological intervention studies significantly improved at least one quality of life outcome immediately post-intervention, with three out of six studies maintaining effects up to 12-months post-intervention. Future studies should seek to assess the efficacy of tailored psychological interventions using different formats, durations and facilitators to supplement healthcare provision and practice.

  19. Near-field effects of asteroid impacts in deep water

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

    Gisler, Galen R; Weaver, Robert P; Gittings, Michael L

    2009-06-11

    Our previous work has shown that ocean impacts of asteroids below 500 m in diameter do not produce devastating long-distance tsunamis. Nevertheless, a significant portion of the ocean lies close enough to land that near-field effects may prove to be the greatest danger from asteroid impacts in the ocean. Crown splashes and central jets that rise up many kilometres into the atmosphere can produce, upon their collapse, highly non-linear breaking waves that could devastate shorelines within a hundred kilometres of the impact site. We present illustrative calculations, in two and three dimensions, of such impacts for a range of asteroidmore » sizes and impact angles. We find that, as for land impacts, the greatest dangers from oceanic impacts are the short-term near-field, and long-term atmospheric effects.« less

  20. Review: long-term impact of bariatric surgery on body weight, comorbidities, and nutritional status.

    PubMed

    Shah, Meena; Simha, Vinaya; Garg, Abhimanyu

    2006-11-01

    The number of patients who undergo Roux-en-Y gastric bypass (RYGB) and gastric banding (GB) surgeries has increased dramatically over the past decade, yet the long-term impact of these surgeries on body weight, comorbidities, and nutritional status remains unclear, as do the mechanisms of weight regain. The articles were found via PubMed searches. To review the impact of bariatric surgery on weight maintenance and comorbidities, only articles with a postoperative follow-up of 3 yr or longer were included. The articles on nutritional status had a follow-up of 12 months or longer. RYGB and GB surgeries lead to substantial weight loss in individuals with morbid obesity. However, significant weight regain occurs over the long term, and according to the only well-designed prospective controlled study, the improvement in comorbidities associated with weight loss mitigates in the long term on weight regain. There is some evidence from a retrospective study that RYGB surgery is associated with a modest decrease in long-term mortality. These results remain to be substantiated by well-designed, long-term, randomized and prospective controlled studies. The mechanisms that lead to weight regain need to be further examined and may include increase in energy intake due to enlargement of stoma and adaptive changes in the levels of gut and adipocyte hormones such as ghrelin and leptin, which regulate energy intake; decrease in physical activity; changes in energy expenditure; and other factors. In addition to weight regain, RYGB surgery is associated with frequent incidence of iron, vitamin B12, folate, calcium, and vitamin D deficiency, which requires regular supplementation and monitoring.

  1. Long-term microparticle flux variability indicated by comparison of Interplanetary Dust Experiment (IDE) timed impacts for LDEF's first year in orbit with impact data for the entire 5.77-year orbital lifetime

    NASA Technical Reports Server (NTRS)

    Simon, Charles G.; Mulholland, J. Derral; Oliver, John P.; Cooke, William J.; Kassel, Philip C., Jr.

    1993-01-01

    The electronic sensors of the Interplanetary Dust Experiment (IDE) recorded precise impact times and approximate directions for submicron to approximately 100 micron size particles on all six primary sides of the spacecraft for the first 346 days of the LDEF orbital mission. Previously-reported analyses of the timed impact data have established their spatio-temporal features, including the demonstration that a preponderance of the particles in this regime are orbital debris and that a large fraction of the debris particles are encountered in megameter-size clouds. Short-term fluxes within such clouds can rise several orders of magnitude above the long-term average. These unexpectedly large short-term variations in debris flux raise the question of how representative an indication of the multi-year average flux is given by the nearly one year of timed data. One of the goals of the IDE was to conduct an optical survey of impact sites on detectors that remained active during the entire LDEF mission, to obtain full-mission fluxes. We present here the comparisons and contrasts among the new IDE optical survey impact data, the IDE first-year timed impact data, and impact data from other LDEF micrometeoroid and debris experiments. The following observations are reported: (1) the 5.77 year long-term integrated microparticle impact fluxes recorded by IDE detectors matched the integrated impact fluxes measured by other LDEF investigators for the same period; (2) IDE integrated microparticle impact fluxes varied by factors from 0.5 to 8.3 for LDEF days 1-346, 347-2106 and 1-2106 (5.77 years) on rows 3 (trailing edge, or West), 6 (South side), 12 (North side), and the Earth and Space ends; and (3) IDE integrated microparticle impact fluxes varied less than 3 percent for LDEF days 1-346, 347-2106 and 1-2106 (5.77 years) on row 9 (leading edge, or East). These results give further evidence of the accuracy and internal consistency of the recorded IDE impact data. This leads to the further conclusion that the utility of long-term ratios for impacts on various sides of a stabilized satellite in low Earth orbit (LEO) is extremely limited. These observations and their consequences highlight the need for continuous, real time monitoring of the dynamic microparticle environment in LEO.

  2. 77 FR 1551 - Intent To Prepare an Environmental Impact Statement on the Bottineau Transitway Project From...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-10

    ... transit service which will satisfy the long-term regional mobility and local accessibility needs for... connections; energy use; and safety and security. Effects will be evaluated in the context of both short-term construction and long-term operation of the proposed project. Direct project effects as well as indirect and...

  3. Long-term memory, sleep, and the spacing effect.

    PubMed

    Bell, Matthew C; Kawadri, Nader; Simone, Patricia M; Wiseheart, Melody

    2014-01-01

    Many studies have shown that memory is enhanced when study sessions are spaced apart rather than massed. This spacing effect has been shown to have a lasting benefit to long-term memory when the study phase session follows the encoding session by 24 hours. Using a spacing paradigm we examined the impact of sleep and spacing gaps on long-term declarative memory for Swahili-English word pairs by including four spacing delay gaps (massed, 12 hours same-day, 12 hours overnight, and 24 hours). Results showed that a 12-hour spacing gap that includes sleep promotes long-term memory retention similar to the 24-hour gap. The findings support the importance of sleep to the long-term benefit of the spacing effect.

  4. Impact of microbial activity on the radioactive waste disposal: long term prediction of biocorrosion processes.

    PubMed

    Libert, Marie; Schütz, Marta Kerber; Esnault, Loïc; Féron, Damien; Bildstein, Olivier

    2014-06-01

    This study emphasizes different experimental approaches and provides perspectives to apprehend biocorrosion phenomena in the specific disposal environment by investigating microbial activity with regard to the modification of corrosion rate, which in turn can have an impact on the safety of radioactive waste geological disposal. It is found that iron-reducing bacteria are able to use corrosion products such as iron oxides and "dihydrogen" as new energy sources, especially in the disposal environment which contains low amounts of organic matter. Moreover, in the case of sulphate-reducing bacteria, the results show that mixed aerobic and anaerobic conditions are the most hazardous for stainless steel materials, a situation which is likely to occur in the early stage of a geological disposal. Finally, an integrated methodological approach is applied to validate the understanding of the complex processes and to design experiments aiming at the acquisition of kinetic data used in long term predictive modelling of biocorrosion processes. © 2013.

  5. The impact of long-term hydrocarbon exposure on the structure, activity, and biogeochemical functioning of microbial mats.

    PubMed

    Aubé, Johanne; Senin, Pavel; Pringault, Olivier; Bonin, Patricia; Deflandre, Bruno; Bouchez, Olivier; Bru, Noëlle; Biritxinaga-Etchart, Edurne; Klopp, Christophe; Guyoneaud, Rémy; Goñi-Urriza, Marisol

    2016-10-15

    Photosynthetic microbial mats are metabolically structured systems driven by solar light. They are ubiquitous and can grow in hydrocarbon-polluted sites. Our aim is to determine the impact of chronic hydrocarbon contamination on the structure, activity, and functioning of a microbial mat. We compared it to an uncontaminated mat harboring similar geochemical characteristics. The mats were sampled in spring and fall for 2years. Seasonal variations were observed for the reference mat: sulfur cycle-related bacteria dominated spring samples, while Cyanobacteria dominated in autumn. The contaminated mat showed minor seasonal variation; a progressive increase of Cyanobacteria was noticed, indicating a perturbation of the classical seasonal behavior. Hydrocarbon content was the main factor explaining the differences in the microbial community structure; however, hydrocarbonoclastic bacteria were among rare or transient Operational Taxonomic Units (OTUs) in the contaminated mat. We suggest that in long-term contaminated systems, hydrocarbonoclastic bacteria cannot be considered a sentinel of contamination. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Techno-economic analysis and climate change impacts of sugarcane biorefineries considering different time horizons.

    PubMed

    Junqueira, Tassia L; Chagas, Mateus F; Gouveia, Vera L R; Rezende, Mylene C A F; Watanabe, Marcos D B; Jesus, Charles D F; Cavalett, Otavio; Milanez, Artur Y; Bonomi, Antonio

    2017-01-01

    Ethanol production from lignocellulosic feedstocks (also known as 2nd generation or 2G ethanol process) presents a great potential for reducing both ethanol production costs and climate change impacts since agricultural residues and dedicated energy crops are used as feedstock. This study aimed at the quantification of the economic and environmental impacts considering the current and future scenarios of sugarcane biorefineries taking into account not only the improvements of the industrial process but also of biomass production systems. Technology assumptions and scenarios setup were supported by main companies and stakeholders, involved in the lignocellulosic ethanol production chain from Brazil and abroad. For instance, scenarios considered higher efficiencies and lower residence times for pretreatment, enzymatic hydrolysis, and fermentation (including pentoses fermentation); higher sugarcane yields; and introduction of energy cane (a high fiber variety of cane). Ethanol production costs were estimated for different time horizons. In the short term, 2G ethanol presents higher costs compared to 1st generation (1G) ethanol. However, in the long term, 2G ethanol is more competitive, presenting remarkable lower production cost than 1G ethanol, even considering some uncertainties regarding technology and market aspects. In addition, environmental assessment showed that both 1G (in the medium and long term) and 2G ethanol can reduce climate change impacts by more than 80% when compared to gasoline. This work showed the great potential of 2G ethanol production in terms of economic and environmental aspects. These results can support new research programs and public policies designed to stimulate both production and consumption of 2G ethanol in Brazil, accelerating the path along the learning curve. Some examples of mechanisms include: incentives to the establishment of local equipment and enzyme suppliers; and specific funding programs for the development and use of energy cane.

  7. Deterministic mechanisms define the long-term anaerobic digestion microbiome and its functionality regardless of the initial microbial community.

    PubMed

    Peces, M; Astals, S; Jensen, P D; Clarke, W P

    2018-05-17

    The impact of the starting inoculum on long-term anaerobic digestion performance, process functionality and microbial community composition remains unclear. To understand the impact of starting inoculum, active microbial communities from four different full-scale anaerobic digesters were each used to inoculate four continuous lab-scale anaerobic digesters, which were operated identically for 295 days. Digesters were operated at 15 days solid retention time, an organic loading rate of 1 g COD L r -1 d -1 (75:25 - cellulose:casein) and 37 °C. Results showed that long-term process performance, metabolic rates (hydrolytic, acetogenic, and methanogenic) and microbial community are independent of the inoculum source. Digesters process performance converged after 80 days, while metabolic rates and microbial communities converged after 120-145 days. The convergence of the different microbial communities towards a core-community proves that the deterministic factors (process operational conditions) were a stronger driver than the initial microbial community composition. Indeed, the core-community represented 72% of the relative abundance among the four digesters. Moreover, a number of positive correlations were observed between higher metabolic rates and the relative abundance of specific microbial groups. These correlations showed that both substrate consumers and suppliers trigger higher metabolic rates, expanding the knowledge of the nexus between microorganisms and functionality. Overall, these results support that deterministic factors control microbial communities in bioreactors independently of the inoculum source. Hence, it seems plausible that a desired microbial composition and functionality can be achieved by tuning process operational conditions. Copyright © 2018. Published by Elsevier Ltd.

  8. The Long Term Impact of Micronutrient Supplementation during Infancy on Cognition and Executive Function Performance in Pre-School Children

    PubMed Central

    Warthon-Medina, Marisol; Qualter, Pamela; Zavaleta, Nelly; Dillon, Stephanie; Lazarte, Fabiola; Lowe, Nicola M.

    2015-01-01

    Brain growth and development are critically dependent on several micronutrients. During early development cellular activity may be sensitive to micronutrient deficiencies, however the evidence from human studies is equivocal. The objective of this study was to examine the long-term cognitive and social-emotional effects of multiple micronutrient supplementation compared with iron supplementation alone, administered during infancy. This study was a follow-up to an initial randomized, double-blind controlled trial (RCT) in 2010 in which 902 infants, aged 6–17 months, from Lima, Peru, were given daily supplements of either iron (Fe) or multiple micronutrients (MMN) including zinc (451 in each group). The supplementation period for both groups was six months. In 2012, a subsample of 184 children from the original cohort (now aged 36–48 months) was randomly selected to participate in a follow-up trial and was assessed for intelligence, working memory, inhibition, and executive function. The tests showed no significant differences between the supplementation groups though there were some gender differences, with girls displaying higher scores than boys across both groups on the Wechsler Preschool and Primary Scale of Intelligence (WPPSI) Verbal IQ sentences subtest, the Day-Night cognitive test and on the Brief Infant-Toddler Social Emotional Assessment (BITSEA) social competency, and boys scoring higher than girls in problem behaviour. The results indicate that MMN supplementation had no long term additional effects on cognitive function compared with iron supplementation alone. The timing of supplement administration for maximum impact on a child’s cognitive development requires further investigation. PMID:26262642

  9. The demographic consequences of mutualism: ants increase host-plant fruit production but not population growth.

    PubMed

    Ford, Kevin R; Ness, Joshua H; Bronstein, Judith L; Morris, William F

    2015-10-01

    The impact of mutualists on a partner's demography depends on how they affect the partner's multiple vital rates and how those vital rates, in turn, affect population growth. However, mutualism studies rarely measure effects on multiple vital rates or integrate them to assess the ultimate impact on population growth. We used vital rate data, population models and simulations of long-term population dynamics to quantify the demographic impact of a guild of ant species on the plant Ferocactus wislizeni. The ants feed at the plant's extrafloral nectaries and attack herbivores attempting to consume reproductive organs. Ant-guarded plants produced significantly more fruit, but ants had no significant effect on individual growth or survival. After integrating ant effects across these vital rates, we found that projected population growth was not significantly different between unguarded and ant-guarded plants because population growth was only weakly influenced by differences in fruit production (though strongly influenced by differences in individual growth and survival). However, simulations showed that ants could positively affect long-term plant population dynamics through services provided during rare but important events (herbivore outbreaks that reduce survival or years of high seedling recruitment associated with abundant precipitation). Thus, in this seemingly clear example of mutualism, the interaction may actually yield no clear benefit to plant population growth, or if it does, may only do so through the actions of the ants during rare events. These insights demonstrate the value of taking a demographic approach to studying the consequences of mutualism.

  10. Questioning short-term memory and its measurement: Why digit span measures long-term associative learning.

    PubMed

    Jones, Gary; Macken, Bill

    2015-11-01

    Traditional accounts of verbal short-term memory explain differences in performance for different types of verbal material by reference to inherent characteristics of the verbal items making up memory sequences. The role of previous experience with sequences of different types is ostensibly controlled for either by deliberate exclusion or by presenting multiple trials constructed from different random permutations. We cast doubt on this general approach in a detailed analysis of the basis for the robust finding that short-term memory for digit sequences is superior to that for other sequences of verbal material. Specifically, we show across four experiments that this advantage is not due to inherent characteristics of digits as verbal items, nor are individual digits within sequences better remembered than other types of individual verbal items. Rather, the advantage for digit sequences stems from the increased frequency, compared to other verbal material, with which digits appear in random sequences in natural language, and furthermore, relatively frequent digit sequences support better short-term serial recall than less frequent ones. We also provide corpus-based computational support for the argument that performance in a short-term memory setting is a function of basic associative learning processes operating on the linguistic experience of the rememberer. The experimental and computational results raise questions not only about the role played by measurement of digit span in cognition generally, but also about the way in which long-term memory processes impact on short-term memory functioning. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.

  11. Public health impact of androgens.

    PubMed

    Kanayama, Gen; Kaufman, Marc J; Pope, Harrison G

    2018-06-01

    To summarize recent findings regarding the public health impact of androgen abuse. Abuse of androgens (also called 'anabolic-androgenic steroids') has grown into a major worldwide substance abuse problem involving tens of millions of individuals, of whom about 98% are men. Most androgen abusers are still under age 50 today, and thus, the long-term effects of these drugs are only beginning to be understood. Recent studies confirm that long-term supraphysiologic androgen exposure produces cardiovascular toxicity, characterized especially by cardiomyopathy and atherosclerotic disease. Withdrawal from androgens after long-term use may produce prolonged and sometimes irreversible hypogonadism in men. Supraphysiologic androgen levels may sometimes cause irritability, aggressiveness, and violence, whereas androgen withdrawal may cause depression. However, these psychiatric effects are idiosyncratic, affecting only a minority of users. Emerging evidence now also suggests that long-term androgen exposure may cause neurotoxicity, raising the possibility that aging androgen abusers may be at increased risk for dementia. Several recent studies have also described androgen-induced hepatotoxicity, nephrotoxicity, and adverse musculoskeletal effects. Recent studies have demonstrated marked adverse effects of long-term androgen abuse. As increasing numbers of androgen abusers reach middle age, these effects will likely represent an emerging public health problem.

  12. The use of touch to enhance nursing care of older person in long-term mental health care facilities.

    PubMed

    Gleeson, M; Timmins, F

    2004-10-01

    The self-care deficits experienced by older clients in long-term mental health settings, because of cognitive impairment, are likely to impact upon the clients' higher-order needs. The practice of nursing the elderly involves a lot of personal contact, during the delivery of fundamental physical care. While physiological and safety needs are crucial to clients in long-term settings, higher-order needs need also to be addressed. From the clients' perspective nurse's use of touch provides comfort, warmth and security, although there is a dearth of empirical evidence of these benefits. This paper explores the nurse's use of touch, the impact of touch and the experiences of touch on the older person in long-term settings. Because of the dearth of research in the use of touch with elderly clients in long-term care mental health facilities, a review of the literature was performed on the topic. This revealed that touch by nurses is frequently associated with routine tasks within nursing, and is less likely to be a caring touch intervention. Recommendations include further research on the topic and caution with widespread adoption of caring touch as an intervention.

  13. The preservation of microbial DNA in archived soils of various genetic types.

    PubMed

    Ivanova, Ekaterina A; Korvigo, Ilia O; Aparin, Boris F; Chirak, Evgenii L; Pershina, Elizaveta V; Romaschenko, Nikolay S; Provorov, Nikolai A; Andronov, Evgeny E

    2017-01-01

    This study is a comparative analysis of samples of archived (stored for over 70-90 years) and modern soils of two different genetic types-chernozem and sod-podzolic soils. We revealed a reduction in biodiversity of archived soils relative to their modern state. Particularly, long-term storage in the museum exerted a greater impact on the microbiomes of sod-podzolic soils, while chernozem samples better preserved the native community. Thus, the persistence of microbial DNA in soil is largely determined by the physico-chemical characteristics that differ across soil types. Chernozems create better conditions for the long-term DNA preservation than sod-podzolic soils. This results in supposedly higher levels of biodiversity conservation in the microbiomes of chernozem with preservation of major microbial taxa dominant in the modern (control) soil samples, which makes archived chernozems a promising object for paleosoil studies.

  14. The preservation of microbial DNA in archived soils of various genetic types

    PubMed Central

    Korvigo, Ilia O.; Aparin, Boris F.; Chirak, Evgenii L.; Pershina, Elizaveta V.; Romaschenko, Nikolay S.; Provorov, Nikolai A.; Andronov, Evgeny E.

    2017-01-01

    This study is a comparative analysis of samples of archived (stored for over 70–90 years) and modern soils of two different genetic types–chernozem and sod-podzolic soils. We revealed a reduction in biodiversity of archived soils relative to their modern state. Particularly, long-term storage in the museum exerted a greater impact on the microbiomes of sod-podzolic soils, while chernozem samples better preserved the native community. Thus, the persistence of microbial DNA in soil is largely determined by the physico-chemical characteristics that differ across soil types. Chernozems create better conditions for the long-term DNA preservation than sod-podzolic soils. This results in supposedly higher levels of biodiversity conservation in the microbiomes of chernozem with preservation of major microbial taxa dominant in the modern (control) soil samples, which makes archived chernozems a promising object for paleosoil studies. PMID:28339464

  15. Short- and long-term impact of critical illness on relatives: literature review.

    PubMed

    Paul, Fiona; Rattray, Janice

    2008-05-01

    This paper is a report of a literature review undertaken to identify the short- and long-term impact of critical illness on relatives. Patients in intensive care can experience physical and psychological consequences, and their relatives may also experience such effects. Although it is recognized that relatives have specific needs, it is not clear whether these needs are always met and whether further support is required, particularly after intensive care. The following databases were searched for the period 1950-2007: Medline, British Nursing Index and Archive, EMBASE, CINAHL, PsycINFO and EMB Reviews--Cochrane Central Register of Clinical Trials. Search terms focused on adult relatives of critically ill adult patients during and after intensive care. Recurrent topics were categorized to structure the review, i.e. 'relatives needs', 'meeting relatives' needs', 'interventions', 'satisfaction', 'psychological outcomes' and 'coping'. Studies have mainly identified relatives' immediate needs using the Critical Care Family Needs Inventory. There are few studies of interventions to meet relatives' needs and the short- and long-term effects of critical illness on relatives. Despite widespread use of the Critical Care Family Needs Inventory, factors such as local or cultural differences may influence relatives' needs. Relatives may also have unidentified needs, and these needs should be explored. Limited research has been carried out into interventions to meet relatives' needs and the effects of critical illness on their well-being, yet some relatives may experience negative psychological consequences far beyond the acute phase of the illness.

  16. 40 CFR 1.47 - Office of Solid Waste and Emergency Response.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... waste sites and spills (including oil spills); long-term strategic planning and special studies; economic and long-term environmental analyses; economic impact assessment of RCRA and CERCLA regulations... responsibility for implementing the Resource Conservation and Recovery Act (RCRA) and the Comprehensive...

  17. 40 CFR 1.47 - Office of Solid Waste and Emergency Response.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... waste sites and spills (including oil spills); long-term strategic planning and special studies; economic and long-term environmental analyses; economic impact assessment of RCRA and CERCLA regulations... responsibility for implementing the Resource Conservation and Recovery Act (RCRA) and the Comprehensive...

  18. The management of pain in arthritis and the use of cyclooxygenase-2 inhibitors: new paradigms and insights.

    PubMed

    Ross, Edgar

    2004-12-01

    Chronic pain from arthritis has been one of the biggest causes of disability and loss of function in the United States. This is still the case despite many new insights into the pathophysiology of pain, effective treatment approaches, and new safer medications that can be used for long-term use. There are many different types of arthritic problems. New disease- modifying agents that are available for some of these types of arthritic diseases such as rheumatoid arthritis have the potential to have a substantial impact on improvement in the long-term prognosis. Despite this optimistic outlook, pain often is a significant problem and should be treated whenever it becomes a barrier to function.

  19. Impact of CO2 on Intracranial Hypertension in Spaceflight. Visual Impairment and Intracranial Hypertension: An Emerging Spaceflight Risk [Part 1 and 2

    NASA Technical Reports Server (NTRS)

    Fogarty, Jennifer A.; Polk, James D.; Tarver, William J.; Gibson, Charles R.; Sargsyan, Ashot E.; Taddeo, Terrance A.; Alexander, David J.; Otto, Christian A.

    2010-01-01

    A. CO2 - Acute: Given the history of uneven removal of CO2 from spacecraft areas, there is a history of acute illness that impacts short-term health and performance. 1) Acute CO2 symptoms occur in space flight due to a combination of CO2 scrubbing limitations, microgravity-related lack of convection, and possibly interaction with microgravity-related physiological changes. 2) Reported symptoms mainly include headaches, malaise, and lethargy. Symptoms are treatable with analgesics, rest, temporarily increasing scrubbing capability, and breathing oxygen. This does not treat the underlying pathology. 3)ld prevent occurrence of symptoms. B. CO2 - Chronic: Given prolonged exposure to elevated CO2 levels, there is a history that the long-term health of the crew is impacted. 1) Chronic CO2 exposures occur in space flight due to a combination of CO2 scrubbing limitations and microgravity-related lack of convection, with possible contribution from microgravity-related physiological changes. 2) Since acute symptoms are experienced at levels significantly lower than expected, there are unidentified long-term effects from prolonged exposure to elevated CO2 levels on orbit. There have been long term effects seen terrestrially and research needed to further elucidate long term effects on orbit. 3) Recommended disposition: Research required to further elucidate long term effects. In particular, elucidation of the role of elevated CO2 on various levels of CO2 vasodilatation of intracranial blood vessels and its potential contribution to elevation of intracranial pressure.

  20. Cigarette smoking causes a worse long-term outcome in persistent atrial fibrillation following catheter ablation.

    PubMed

    Cheng, Wen-Han; Lo, Li-Wei; Lin, Yenn-Jiang; Chang, Shih-Lin; Hu, Yu-Feng; Hung, Yuan; Chung, Fa-Po; Chang, Ting-Yung; Huang, Ting-Chung; Yamada, Shinya; Salim, Simon; Te, Abigail Louise D; Liao, Jo-Nan; Tuan, Ta-Chuan; Chao, Tze-Fan; Tsai, Tseng-Ying; Liu, Shin-Huei; Chen, Shih-Ann

    2018-02-09

    Cigarette smoking contributes to the development of atrial fibrosis via nicotine. The impact of smoking on ablation results in persistent atrial fibrillation (AF) is unknown. We aimed to investigate the triggers and long-term outcome between smokers and nonsmokers in the patients with persistent AF after catheter ablation. This study included 201 (177 males, 53 ± 10 years old) patients who received index catheter ablation, including pulmonary vein isolation (PVI) and complex fractionated atrial electrograms (CFAEs) ablation for persistent AF, retrospectively. Electrophysiological characteristics at the index procedure and long-term outcome were investigated to determine the differences between smokers and nonsmokers. Baseline characteristics were similar between two groups. Pulmonary vein (PV) triggers were found in all patients in the two groups. There was a higher incidence of nonpulmonary vein (NPV) triggers in smokers than in nonsmokers (61% vs. 31%, P < 0.05). There were no differences of the long-term ablation outcomes between smokers and nonsmokers in Kaplan-Meier analysis. Smokers with PV plus right atrial NPV (RA-NPV) triggers had a higher incidence of recurrence (log-rank P < 0.05) than those without RA-NPV triggers, but not in nonsmokers, after a mean follow-up of 31 ± 25 months. Smoking increases the incidence of NPV triggers in patients with persistent AF. Smokers who have RA-NPV triggers during index procedure do have a worse outcome after catheter ablation, indicating the harmful effects of nicotine to right atrium. © 2018 Wiley Periodicals, Inc.

  1. 7 CFR 3403.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... and any small business concern for the performance of experimental, developmental, or research work... in determining power to control its management. Outcomes are the measure of long-term, eventual, program impact. Outputs are the measures of near-term program impact. Peer review group means experts or...

  2. Decadal and long-term boreal soil carbon and nitrogen sequestration rates across a variety of ecosystems

    USGS Publications Warehouse

    Manies, Kristen L.; Harden, Jennifer W.; Fuller, Christopher C.; Turetsky, Merritt

    2016-01-01

    Boreal soils play a critical role in the global carbon (C) cycle; therefore, it is important to understand the mechanisms that control soil C accumulation and loss for this region. Examining C & nitrogen (N) accumulation rates over decades to centuries may provide additional understanding of the dominant mechanisms for their storage, which can be masked by seasonal and interannual variability when investigated over the short term. We examined longer-term accumulation rates, using 210Pb and 14C to date soil layers, for a wide variety of boreal ecosystems: a black spruce forest, a shrub ecosystem, a tussock grass ecosystem, a sedge-dominated ecosystem, and a rich fen. All ecosystems had similar decadal C accumulation rates, averaging 84 ± 42 gC m−2 yr−1. Long-term (century) C accumulation rates were slower than decadal rates, averaging 14 ± 5 gC m−2 yr−1 for all ecosystems except the rich fen, for which the long-term C accumulation rates was more similar to decadal rates (44 ± 5 and 76 ± 9 gC m−2 yr−1, respectively). The rich fen also had the highest long-term N accumulation rates (2.7 gN m−2 yr−1). The lowest N accumulation rate, on both a decadal and long-term basis, was found in the black spruce forest (0.2 and 1.4 gN m−2 yr−1, respectively). Our results suggest that the controls on long-term C and N cycling at the rich fen is fundamentally different from the other ecosystems, likely due to differences in the predominant drivers of nutrient cycling (oxygen availability, for C) and reduced amounts of disturbance by fire (for C and N). This result implies that most shifts in ecosystem vegetation across the boreal region, driven by either climate or succession, will not significantly impact regional C or N dynamics over years to decades. However, ecosystem transitions to or from a rich fen will promote significant shifts in soil C and N storage.

  3. Long-Term Outcomes of Services for Two Persons with Significant Disabilities with Differing Educational Experiences: A Qualitative Consideration of the Impact of Educational Experiences

    ERIC Educational Resources Information Center

    Ryndak, Diane Lea; Ward, Terri; Alper, Sandra; Montgomery, Jennifer Wilson; Storch, Jill F.

    2010-01-01

    Though research exists related to effective services in inclusive general education settings for students with significant disabilities, there are no longitudinal investigations of adult outcomes for persons with significant disabilities who received services in inclusive general education settings. This study uses qualitative methods to describe…

  4. The Community College Effect Revisited: The Long-Term Impact of Community College Entry on B.A. Attainment.

    ERIC Educational Resources Information Center

    Crook, David B.; Lavin, David E.

    To date, much of the research on the community college's effect on baccalaureate degree (B.A.) attainment has been based on the assumption that the educational attainment process occurs in the same way at two- and four-year institutions. However, the distinctive mission and clientele of community colleges create a different environment than that…

  5. Coping with Relationship Stressors: The Impact of Different Working Models of Attachment and Links to Adaptation

    ERIC Educational Resources Information Center

    Seiffge-Krenke, Inge

    2006-01-01

    The study explores the role of working models of attachment in the process of coping with relationship stressors with a focus on long-term adaptation. In a 7-year longitudinal study of 112 participants, stress and coping were assessed during adolescence and emerging adulthood. In addition, working models of attachment were assessed by employing…

  6. Long-term effects of fragmentation and fragment properties on bird species richness in Hawaiian forests

    Treesearch

    David J. Flaspohler; Christian P. Giardina; Gregory P. Asner; Patrick Hart; Jonathan Price; Cassie Ka’apu Lyons; Xeronimo Castaneda

    2010-01-01

    Forest fragmentation is a common disturbance affecting biological diversity, yet the impacts of fragmentation on many forest processes remain poorly understood. Forest restoration is likely to be more successful when it proceeds with an understanding of how native and exotic vertebrates utilize forest patches of different size. We used a system of forest fragments...

  7. How Does Your Kindergarten Classroom Affect Your Earnings? Evidence from Project STAR. NBER Working Paper No. 16381

    ERIC Educational Resources Information Center

    Chetty, Raj; Friedman, John N.; Hilger, Nathaniel; Saez, Emmanuel; Schanzenbach, Diane Whitmore; Yagan, Danny

    2010-01-01

    In Project STAR, 11,571 students in Tennessee and their teachers were randomly assigned to different classrooms within their schools from kindergarten to third grade. This paper evaluates the long-term impacts of STAR using administrative records. We obtain five results. First, kindergarten test scores are highly correlated with outcomes such as…

  8. Assessing the performances of low impact development alternatives by long-term simulation for a semi-arid area in Tianjin, northern China.

    PubMed

    Huang, Jinhui Jeanne; Li, Yu; Niu, Shuai; Zhou, Shu H

    2014-01-01

    For areas that are urbanized rapidly, the practice of low impact development (LID) has gained an important place in stormwater management and urban planning due to its capability and beneficial effects in restoring the original hydrological cycle. The performances of LID alternatives can vary substantially due to different climate conditions. This study investigated the performances of five LID alternatives under a semi-arid climate in northern China on water balance and flood control. A numerical model, Storm Water Management Model version 5 (US Environmental Protection Agency), was employed to run 10 years' rainfall events for these objectives. Two evaluation methods were proposed in this study: the efficiency index for water balance and a performance radar chart. The investigation of the five LID alternatives revealed that these LID alternatives functioned differently in flood control and water balance, and porous pavement performed best in all indices except the lag time. The two evaluation methods, in conjunction with the long-term numerical simulation, can facilitate design and decision making by providing a clear picture of the performance and functions for these LID alternatives.

  9. Contamination Mitigation Strategies for Long Duration Human Spaceflight Missions

    NASA Technical Reports Server (NTRS)

    Lewis, Ruthan; Lupisella, Mark; Bleacher, Jake; Farrell, William

    2017-01-01

    Contamination control issues are particularly challenging for long-term human spaceflight and are associated with the search for life, dynamic environmental conditions, human-robotic-environment interaction, sample collection and return, biological processes, waste management, long-term environmental disturbance, etc. These issues impact mission success, human health, planetary protection, and research and discovery. Mitigation and control techniques and strategies may include and integrate long-term environmental monitoring and reporting, contamination control and planetary protection protocols, habitation site design, habitat design, and surface exploration and traverse pathways and area access planning.

  10. The Future of Hydropower: Assessing the Impacts of Climate Change, Energy Prices and New Storage Technologies

    NASA Astrophysics Data System (ADS)

    Gaudard, Ludovic; Madani, Kaveh; Romerio, Franco

    2016-04-01

    The future of hydropower depends on various drivers, and in particular on climate change, electricity market evolution and innovation in new storage technologies. Their impacts on the power plants' profitability can widely differ in regards of scale, timing, and probability of occurrence. In this respect, the risk should not be expressed only in terms of expected revenue, but also of uncertainty. These two aspects must be considered to assess the future of hydropower. This presentation discusses the impacts of climate change, electricity market volatility and competing energy storage's technologies and quantifies them in terms of annual revenue. Our simulations integrate a glacio-hydrological model (GERM) with various electricity market data and models (mean reversion and jump diffusion). The medium (2020-50) and long-term (2070-2100) are considered thanks to various greenhouse gas scenarios (A1B, A2 and RCP3PD) and the stochastic approach for the electricity prices. An algorithm named "threshold acceptance" is used to optimize the reservoir operations. The impacts' scale, and the related uncertainties are presented for Mauvoisin, which is a storage-hydropower plant situated in the Swiss Alps, and two generic pure pumped-storage installations, which are assessed with the prices of 17 European electricity markets. The discussion will highlight the key differences between the impacts brought about by the drivers.

  11. Experimental Forests and climate change: views of long-term employees on ecological change and the role of Experimental Forests and Ranges in understanding and adapting to climate change

    Treesearch

    Laurie Yung; Mason Bradbury; Daniel R. Williams

    2012-01-01

    In this project, we examined the views of 21 long-term employees on climate change in 14 Rocky Mountain Research Station Experimental Forests and Ranges (EFRs). EFRs were described by employees as uniquely positioned to advance knowledge of climate change impacts and adaptation strategies due to the research integrity they provide for long-term studies, the ability to...

  12. Impact of chronic obstructive pulmonary disease on clinical course after an episode of acute heart failure. EAHFE-COPD study.

    PubMed

    Jacob, Javier; Tost, Josep; Miró, Òscar; Herrero, Pablo; Martín-Sánchez, Francisco Javier; Llorens, Pere

    2017-01-15

    To study if the coexistence of chronic obstructive pulmonary disease (COPD) in patients diagnosed with acute heart failure (AHF) at the emergency department (ED) has an impact on short- and long-term outcomes. The EAHFE-COPD study included patients who attended in 34 Spanish EDs for AHF. We compared patients with AHF plus COPD with patients with AHF in whom COPD was neither diagnosed nor excluded by functional respiratory tests (FRT). Outcome analysis included all-cause mortality, prolonged hospitalization, and ED revisit. Crude results were adjusted by differences between patients with and without COPD. We included 8099 patients with AHF, 2069 having COPD (25.6%; AHF-COPD-known). Compared with AHF-COPD-unknown, AHF-COPD-known differed in 20 variables. After adjusting for differences between the two groups, AHF-COPD-known patients showed no significant differences in 30-day mortality (OR=0.89; 95% CI=0.71-1.11), prolonged hospitalization in general wards (OR=1.04; 95% CI=0.89-1.22) or SSU (OR=1.38; 95% CI=0.97-1.97), and 1-year mortality (HR: 1.02; 95% CI=0.89-1.17), but showed a higher 30-day revisit rate (OR=1.32; 95% CI=1.13-1.54). In patients attending the ED for AHF, the coexistence of COPD is only associated with an increased risk of short-term ED revisit, but not prolonged hospitalization and short- or long-term mortality. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  13. The Impact of Short-Term Economic Fluctuations on Kindergarten Enrollment

    ERIC Educational Resources Information Center

    Herman, Douglas A.

    2010-01-01

    For some 5-year-olds, delayed kindergarten enrollment may result in long-term academic benefits. Although waiting an additional year allows for further development prior to the start of formal education, the economic costs of the next best alternatives can be significant. This study examines the impact of short-term economic fluctuations on a…

  14. Complex demographic heterogeneity from anthropogenic impacts in a coastal marine predator.

    PubMed

    Oro, Daniel; Álvarez, David; Velando, Alberto

    2018-04-01

    Environmental drivers, including anthropogenic impacts, affect vital rates of organisms. Nevertheless, the influence of these drivers may depend on the physical features of the habitat and how they affect life history strategies depending on individual covariates such as age and sex. Here, the long-term monitoring (1994-2014) of marked European Shags in eight colonies in two regions with different ecological features, such as foraging habitat, allowed us to test several biological hypotheses about how survival changes by age and sex in each region by means of multi-event capture-recapture modeling. Impacts included fishing practices and bycatch, invasive introduced carnivores and the severe Prestige oil spill. Adult survival was constant but, unexpectedly, it was different between sexes. This difference was opposite in each region. The impact of the oil spill on survival was important only for adults (especially for females) in one region and lasted a single year. Juvenile survival was time dependent but this variability was not synchronized between regions, suggesting a strong signal of regional environmental variability. Mortality due to bycatch was also different between sex, age and region. Interestingly the results showed that the size of the fishing fleet is not necessarily a good proxy for assessing the impact of bycatch mortality, which may be more dependent on the fishing grounds and the fishing gears employed in each season of the year. Anthropogenic impacts affected survival differently by age and sex, which was expected for a long-lived organism with sexual size dimorphism. Strikingly, these differences varied depending on the region, indicating that habitat heterogeneity is demographically important to how environmental variability (including anthropogenic impacts) and resilience influence population dynamics. © 2018 by the Ecological Society of America.

  15. Characterization of human passive muscles for impact loads using genetic algorithm and inverse finite element methods.

    PubMed

    Chawla, A; Mukherjee, S; Karthikeyan, B

    2009-02-01

    The objective of this study is to identify the dynamic material properties of human passive muscle tissues for the strain rates relevant to automobile crashes. A novel methodology involving genetic algorithm (GA) and finite element method is implemented to estimate the material parameters by inverse mapping the impact test data. Isolated unconfined impact tests for average strain rates ranging from 136 s(-1) to 262 s(-1) are performed on muscle tissues. Passive muscle tissues are modelled as isotropic, linear and viscoelastic material using three-element Zener model available in PAMCRASH(TM) explicit finite element software. In the GA based identification process, fitness values are calculated by comparing the estimated finite element forces with the measured experimental forces. Linear viscoelastic material parameters (bulk modulus, short term shear modulus and long term shear modulus) are thus identified at strain rates 136 s(-1), 183 s(-1) and 262 s(-1) for modelling muscles. Extracted optimal parameters from this study are comparable with reported parameters in literature. Bulk modulus and short term shear modulus are found to be more influential in predicting the stress-strain response than long term shear modulus for the considered strain rates. Variations within the set of parameters identified at different strain rates indicate the need for new or improved material model, which is capable of capturing the strain rate dependency of passive muscle response with single set of material parameters for wide range of strain rates.

  16. Impacts Of Long-Term Prescribed Fire On Decomposition And Litter Quality In Uneven-Aged Loblolly Pine Stands

    Treesearch

    Michele L. Renschin; Hal O. Liechty; Michael G. Shelton

    2002-01-01

    Abstract - Although fire has long been an important forest management tool in the southern United States, little is known concerning the effects of long-term fire use on nutrient cycling and decomposition. To better understand the effects of fire on these processes, decomposition rates, and foliage litter quality were quantified in a study...

  17. Functional short- and long-term effects of nasal CPAP with and without humidification on the ciliary function of the nasal respiratory epithelium.

    PubMed

    Sommer, J Ulrich; Kraus, Marius; Birk, Richard; Schultz, Johannes D; Hörmann, Karl; Stuck, Boris A

    2014-03-01

    Continuous positive airway pressure (CPAP) is the gold standard in the treatment of obstructive sleep apnea (OSA), but its impact on ciliary function is unclear to date. Furthermore, CPAP is associated with numerous side effects related to the nose and upper airway. Humidified CPAP is used to relieve these symptoms, but again, little is known regarding its effect on ciliary function of the nasal respiratory epithelium. In this prospective, randomized, crossover trial, 31 patients with OSA (AHI >15/h) were randomized to two treatment arms: nasal continuous positive airway pressure (nCPAP) with humidification or nCPAP without humidification for one night in each modality to assess short-term effects of ciliary beat frequency (CBF) and mucus transport time (MTT) and consecutively for 8 weeks in each modality to assess long-term effects in a crossover fashion. The baseline CBF was 4.8 ± 0.6 Hz, and baseline MTT was 540 ± 221 s. After one night of CPAP with and without humidification, ciliary function increased moderately yet with statistical significance (p <0.05). The short-term groups with and without humidification did not differ statistically significant. Regarding long-term effects of CPAP, a statistically significant increase in ciliary function above the baseline level and above the short-term level was shown without humidification (7.2 ± 0.4 Hz; 402 ± 176 s; p <0.01). The increase above baseline level was even more pronounced with humidification (9.3 ± 0.7 Hz; 313 ± 95 s; p <0.01). There was a statistically significant difference between both groups at long-term assessment with regard to CBF (p <0.01). Independent of airway humidification, nCPAP has moderate effects on short-term ciliary function of the nasal respiratory epithelium. However, a significant increase in ciliary function-both in terms of an increased CBF and a decreased MTT-was detected after long-term use. The effect was more pronounced when humidification was used during nCPAP.

  18. The Impact of Consumer Numeracy on the Purchase of Long-Term Care Insurance.

    PubMed

    McGarry, Brian E; Temkin-Greener, Helena; Chapman, Benjamin P; Grabowski, David C; Li, Yue

    2016-08-01

    To determine the effect of consumers' numeric abilities on the likelihood of owning private long-term care insurance. The 2010 wave of the Health and Retirement Study, a nationally representative survey of Americans age 50 and older, was used (n = 12,796). Multivariate logistic regression was used to isolate the relationship between numeracy and long-term care insurance ownership. Each additional question answered correctly on a numeracy scale was associated with a 13 percent increase in the likelihood of holding LTCI, after controlling for predictors of policy demand, education, and cognitive function. Poor numeracy may create barriers to long-term care insurance purchase. Policy efforts aimed at increasing consumer decision support or restructuring the marketplace for long-term care insurance may be needed to increase older adults' ability to prepare for future long-term care expenses. © Health Research and Educational Trust.

  19. A qualitative analysis of the role of emotions in different patterns of long-term weight loss.

    PubMed

    Ingels, John Spencer; Zizzi, Sam

    2018-08-01

    To explore participant perspectives of the impact emotions have on weight loss. A qualitative design gathered data through semi-structured interviews with participants in a weight management programme. The interview addresses the following research questions: (1) how do individuals working to lose weight perceive the impact emotions have on their long-term success, and (2) what strategies do more or less successful participants use to regulate their emotions? Researchers conducted and transcribed the interviews then completed content analysis to create and organise themes. Two broad themes emerged through the interviews with 21 participants: emotional impact and emotional regulation. Further subthemes captured emotions blocking action toward goals, strategies for regulating emotions (e.g. exercise, food) and the need for new strategies to regulate emotions. Themes were also split in to three groups based on weight outcomes: regainer, moderate success (3-6% loss) and large success (>7% loss). More successful participants, compared to regainers, shared being aware of the impact of their emotions and made efforts to develop healthy regulation strategies. Emotional awareness and regulation play an important role in participant's weight management experience. Taking time to build emotional awareness and strategies to manage emotions is important to participants in weight management.

  20. Impacts of twenty years of experimental warming on soil carbon, nitrogen, moisture and soil mites across alpine/subarctic tundra communities.

    PubMed

    Alatalo, Juha M; Jägerbrand, Annika K; Juhanson, Jaanis; Michelsen, Anders; Ľuptáčik, Peter

    2017-03-15

    High-altitude and alpine areas are predicted to experience rapid and substantial increases in future temperature, which may have serious impacts on soil carbon, nutrient and soil fauna. Here we report the impact of 20 years of experimental warming on soil properties and soil mites in three contrasting plant communities in alpine/subarctic Sweden. Long-term warming decreased juvenile oribatid mite density, but had no effect on adult oribatids density, total mite density, any major mite group or the most common species. Long-term warming also caused loss of nitrogen, carbon and moisture from the mineral soil layer in mesic meadow, but not in wet meadow or heath or from the organic soil layer. There was a significant site effect on the density of one mite species, Oppiella neerlandica, and all soil parameters. A significant plot-scale impact on mites suggests that small-scale heterogeneity may be important for buffering mites from global warming. The results indicated that juvenile mites may be more vulnerable to global warming than adult stages. Importantly, the results also indicated that global warming may cause carbon and nitrogen losses in alpine and tundra mineral soils and that its effects may differ at local scale.

  1. Impacts of twenty years of experimental warming on soil carbon, nitrogen, moisture and soil mites across alpine/subarctic tundra communities

    NASA Astrophysics Data System (ADS)

    Alatalo, Juha M.; Jägerbrand, Annika K.; Juhanson, Jaanis; Michelsen, Anders; Ľuptáčik, Peter

    2017-03-01

    High-altitude and alpine areas are predicted to experience rapid and substantial increases in future temperature, which may have serious impacts on soil carbon, nutrient and soil fauna. Here we report the impact of 20 years of experimental warming on soil properties and soil mites in three contrasting plant communities in alpine/subarctic Sweden. Long-term warming decreased juvenile oribatid mite density, but had no effect on adult oribatids density, total mite density, any major mite group or the most common species. Long-term warming also caused loss of nitrogen, carbon and moisture from the mineral soil layer in mesic meadow, but not in wet meadow or heath or from the organic soil layer. There was a significant site effect on the density of one mite species, Oppiella neerlandica, and all soil parameters. A significant plot-scale impact on mites suggests that small-scale heterogeneity may be important for buffering mites from global warming. The results indicated that juvenile mites may be more vulnerable to global warming than adult stages. Importantly, the results also indicated that global warming may cause carbon and nitrogen losses in alpine and tundra mineral soils and that its effects may differ at local scale.

  2. Evaluating the Long-Term Health and Economic Impacts of Central Residential Air Filtration for Reducing Premature Mortality Associated with Indoor Fine Particulate Matter (PM2.5) of Outdoor Origin

    PubMed Central

    Zhao, Dan; Azimi, Parham; Stephens, Brent

    2015-01-01

    Much of human exposure to fine particulate matter (PM2.5) of outdoor origin occurs in residences. High-efficiency particle air filtration in central heating, ventilating, and air-conditioning (HVAC) systems is increasingly being used to reduce concentrations of particulate matter inside homes. However, questions remain about the effectiveness of filtration for reducing exposures to PM2.5 of outdoor origin and adverse health outcomes. Here we integrate epidemiology functions and mass balance modeling to estimate the long-term health and economic impacts of HVAC filtration for reducing premature mortality associated with indoor PM2.5 of outdoor origin in residences. We evaluate 11 classifications of filters (MERV 5 through HEPA) using six case studies of single-family home vintages and ventilation system combinations located in 22 U.S. cities. We estimate that widespread use of higher efficiency filters would reduce premature mortality by 0.002–2.5% and increase life expectancy by 0.02–1.6 months, yielding annual monetary benefits ranging from $1 to $1348 per person in the homes and locations modeled herein. Large differences in the magnitude of health and economic impacts are driven largely by differences in rated filter efficiency and building and ventilation system characteristics that govern particle infiltration and persistence, with smaller influences attributable to geographic location. PMID:26197328

  3. Evaluating the Long-Term Health and Economic Impacts of Central Residential Air Filtration for Reducing Premature Mortality Associated with Indoor Fine Particulate Matter (PM2.5) of Outdoor Origin.

    PubMed

    Zhao, Dan; Azimi, Parham; Stephens, Brent

    2015-07-21

    Much of human exposure to fine particulate matter (PM2.5) of outdoor origin occurs in residences. High-efficiency particle air filtration in central heating, ventilating, and air-conditioning (HVAC) systems is increasingly being used to reduce concentrations of particulate matter inside homes. However, questions remain about the effectiveness of filtration for reducing exposures to PM2.5 of outdoor origin and adverse health outcomes. Here we integrate epidemiology functions and mass balance modeling to estimate the long-term health and economic impacts of HVAC filtration for reducing premature mortality associated with indoor PM2.5 of outdoor origin in residences. We evaluate 11 classifications of filters (MERV 5 through HEPA) using six case studies of single-family home vintages and ventilation system combinations located in 22 U.S. cities. We estimate that widespread use of higher efficiency filters would reduce premature mortality by 0.002-2.5% and increase life expectancy by 0.02-1.6 months, yielding annual monetary benefits ranging from $1 to $1348 per person in the homes and locations modeled herein. Large differences in the magnitude of health and economic impacts are driven largely by differences in rated filter efficiency and building and ventilation system characteristics that govern particle infiltration and persistence, with smaller influences attributable to geographic location.

  4. Long-term impact of precision agriculture on a farmer’s field

    USDA-ARS?s Scientific Manuscript database

    Targeting management practices and inputs with precision agriculture has high potential to meet some of the grand challenges of sustainability in the coming century. Although potential is high, few studies have documented long-term effects of precision agriculture on crop production and environmenta...

  5. Medical tourism's impacts on health worker migration in the Caribbean: five examples and their implications for global justice.

    PubMed

    Snyder, Jeremy; Crooks, Valorie A; Johnston, Rory; Adams, Krystyna; Whitmore, Rebecca

    2015-01-01

    Medical tourism is a practice where individuals cross international borders in order to access medical care. This practice can impact the global distribution of health workers by potentially reducing the emigration of health workers from destination countries for medical tourists and affecting the internal distribution of these workers. Little has been said, however, about the impacts of medical tourism on the immigration of health workers to medical tourism destinations. We discuss five patterns of medical tourism-driven health worker migration to medical tourism destinations: 1) long-term international migration; 2) long-term diasporic migration; 3) long-term migration and 'black sheep'; 4) short-term migration via time share; and 5) short-term migration via patient-provider dyad. These patterns of health worker migration have repercussions for global justice that include potential negative impacts on the following: 1) health worker training; 2) health worker distributions; 3) local provision of care; and 4) local economies. In order to address these potential negative impacts, policy makers in destination countries should work to ensure that changes in health worker training and licensure aimed at promoting the medical tourism sector are also supportive of the health needs of the domestic population. Policy makers in both source and destination countries should be aware of the effects of medical tourism on health worker flows both into and out of medical tourism destinations and work to ensure that the potential harms of these worker flows to both groups are mitigated.

  6. Medical tourism's impacts on health worker migration in the Caribbean: five examples and their implications for global justice

    PubMed Central

    Snyder, Jeremy; Crooks, Valorie A.; Johnston, Rory; Adams, Krystyna; Whitmore, Rebecca

    2015-01-01

    Medical tourism is a practice where individuals cross international borders in order to access medical care. This practice can impact the global distribution of health workers by potentially reducing the emigration of health workers from destination countries for medical tourists and affecting the internal distribution of these workers. Little has been said, however, about the impacts of medical tourism on the immigration of health workers to medical tourism destinations. We discuss five patterns of medical tourism-driven health worker migration to medical tourism destinations: 1) long-term international migration; 2) long-term diasporic migration; 3) long-term migration and ‘black sheep’; 4) short-term migration via time share; and 5) short-term migration via patient-provider dyad. These patterns of health worker migration have repercussions for global justice that include potential negative impacts on the following: 1) health worker training; 2) health worker distributions; 3) local provision of care; and 4) local economies. In order to address these potential negative impacts, policy makers in destination countries should work to ensure that changes in health worker training and licensure aimed at promoting the medical tourism sector are also supportive of the health needs of the domestic population. Policy makers in both source and destination countries should be aware of the effects of medical tourism on health worker flows both into and out of medical tourism destinations and work to ensure that the potential harms of these worker flows to both groups are mitigated. PMID:25865122

  7. 10 CFR 51.45 - Environmental report.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... purposes, a description of the environment affected, and discuss the following considerations: (1) The impact of the proposed action on the environment. Impacts shall be discussed in proportion to their... between local short-term uses of man's environment and the maintenance and enhancement of long-term...

  8. Short-Term Gains, Long-Term Pains: How Cues about State Aid Learning in Dynamic Environments

    ERIC Educational Resources Information Center

    Gureckis, Todd M.; Love, Bradley C.

    2009-01-01

    Successful investors seeking returns, animals foraging for food, and pilots controlling aircraft all must take into account how their current decisions will impact their future standing. One challenge facing decision makers is that options that appear attractive in the short-term may not turn out best in the long run. In this paper, we explore…

  9. Centennial impacts of fragmentation on the canopy structure of tropical montane forest

    Treesearch

    Nicholas Vaughn; Greg Asner; Christian Giardina

    2014-01-01

    Fragmentation poses one of the greatest threats to tropical forests with short-term changes to the structure of forest canopies affecting microclimate, tree mortality, and growth. Yet the long-term effects of fragmentation are poorly understood because (1) most effects require many decades to materialize, but long-term studies are very rare, (2) the effects of edges on...

  10. Mapping adaptation opportunities and activities in an interactive atlas.

    PubMed

    Morris, Daniel F; Krishnan, Nisha

    2012-01-01

    The need for transparency is taking more prominence in international climate negotiations as developed countries pledge large sums of money to foster adaptation efforts in developing countries. Tools that provide accurate and up-to-date spatial information that can be easily used and vetted by local practitioners may provide effective and affordable ways to improve transparency. The Global Adaptation Atlas is such a tool, combining vetted, publicly available climate impact data with timely maps of on the ground adaptation projects to highlight confluences of effects of climate change with actions taken to address those effects. Here, we describe the structure and general functions of the Global Adaptation Atlas and explain how it may be utilized to track short-term investments in adaptation. Over longer time scales, it may also help gauge the effectiveness of specific adaptation investments as well as reveal how different climate impacts affect long-term investment in differing regions.

  11. Coping with climate variability and long-term climate trends for Nicaraguan maize-bean farmers (Invited)

    NASA Astrophysics Data System (ADS)

    Gourdji, S.; Zelaya Martinez, C.; Martinez Valle, A.; Mejia, O.; Laderach, P.; Lobell, D. B.

    2013-12-01

    Climate variability and change impact farmers at different timescales, but both are of concern for livelihoods and long-term viability of small farms in tropical, rain-fed agricultural systems. This study uses a historical dataset to analyze the impact of 40-year climate trends in Nicaragua on bean production, a staple crop that is an important source of calories and protein in the local diet, particularly in rural areas and in lower income classes. Bean yields are sensitive to rising temperatures, but also frequently limited by seasonal drought and low soil fertility. We use an empirical model to relate department-level yields to spatial variation and inter-annual fluctuations in historical precipitation, temperature and extreme rain events. We then use this model to quantify the impact on yields of long-term observed warming in day and night temperatures, increases in rainfall intensity, longer gaps between rain events, a shorter rainy season and overall drying in certain regions of the country. Preliminary results confirm the negative impacts of warming night temperatures, higher vapor pressure deficits, and longer gaps between rain events on bean yields, although some drying at harvest time has helped to reduce rotting. Across all bean-growing areas, these climate trends have led to a ~10% yield decline per decade relative to a stationary climate and production system, with this decline reaching up to ~20% in the dry northern highlands. In regions that have been particularly impacted by these trends, we look for evidence of farm abandonment, increases in off-farm employment, or on-farm adaptation solutions through crop diversification, use of drought or heat-tolerant seed, and adoption of rainwater harvesting. We will also repeat the modeling exercise for maize, another staple crop providing ~25% of daily calories at the national scale, but which is projected to be more resilient to climate trends.

  12. Quantification by magnetic resonance imaging and liver consequences of post-transfusional iron overload alone in long term survivors after allogeneic hematopoietic stem cell transplantation (HSCT).

    PubMed

    Rose, Christian; Ernst, Olivier; Hecquet, Bernard; Maboudou, Patrice; Renom, Pascale; Noel, Marie Pierre; Yakoub-Agha, Ibrahim; Bauters, Francis; Jouet, Jean Pierre

    2007-06-01

    We quantified and studied the impact of post transfusional iron overload alone in post allogeneic HSCT. Median number of RBCs was 18. Ferritin was 532 mg/L. Liver iron content (LIC) was 117 mmoles/gdw. Correlation RBCs and ferritin was (r=0.81); RBCs and LIC was (r=0.84). The high ferritin group differed from normal ferritin group in terms of RBCs transfused (p<10(-3)), ALT (p<0.009). But occurrence of liver dysfunction was not significant. Magnitude of iron overload correlates closely to the number of RBCs and is quantified by MRI. Impact on liver dysfunction is moderate in absence of co-morbidity.

  13. Climate-vegetation-fire interactions and their impact on long-term carbon dynamics in a boreal peatland landscape in northern Manitoba, Canada

    NASA Astrophysics Data System (ADS)

    Camill, Philip; Barry, Ann; Williams, Evie; Andreassi, Christian; Limmer, Jacob; Solick, Donald

    2009-12-01

    Climate warming may increase the size and frequency of fires in the boreal biome, possibly causing greater carbon release that amplifies warming. However, in peatlands, vegetation change may also control long-term fire and carbon accumulation, confounding simple relationships between climate, fire, and carbon accumulation. Using 17 peat cores dating to 8000 cal years B.P. from northern Manitoba, Canada, we addressed the following questions: (1) Do past climate changes correlate with shifts in peatland vegetation? (2) What is the relationship between peatland vegetation and fire severity? (3) What is the mean return interval for boreal peat fires, and how does it change across fires of different severities? (4) How does fire severity affect carbon accumulation rates? (5) Do fire and long-term carbon accumulation change directly in response to climate or indirectly though climate-driven changes in vegetation? We measured carbon accumulation rates, fire severity, and return intervals using macroscopic charcoal and changes in vegetation using macrofossils. Climate and vegetation changes covaried, with shifts from wetter fen to drier, forested bog communities during the Holocene Thermal Maximum (HTM). Fires became more severe following the shift to forested bogs, with fire severity peaking after 4000 cal years B.P. rather than during the HTM. Rising fire severity, in turn, was correlated with a significant decrease in carbon accumulation from ˜6000 to 2000 cal years B.P. The Medieval Warm Period and Little Ice Age affected vegetation composition and permafrost, further impacting fire and carbon accumulation. Our results indicate that long-term changes in fire and carbon dynamics are mediated by climate-driven changes in vegetation.

  14. Prosthetists' perceptions and use of outcome measures in clinical practice: Long-term effects of focused continuing education.

    PubMed

    Hafner, Brian J; Spaulding, Susan E; Salem, Rana; Morgan, Sara J; Gaunaurd, Ignacio; Gailey, Robert

    2017-06-01

    Continuing education is intended to facilitate clinicians' skills and knowledge in areas of practice, such as administration and interpretation of outcome measures. To evaluate the long-term effect of continuing education on prosthetists' confidence in administering outcome measures and their perceptions of outcomes measurement in clinical practice. Pretest-posttest survey methods. A total of 66 prosthetists were surveyed before, immediately after, and 2 years after outcomes measurement education and training. Prosthetists were grouped as routine or non-routine outcome measures users, based on experience reported prior to training. On average, prosthetists were just as confident administering measures 1-2 years after continuing education as they were immediately after continuing education. In all, 20% of prosthetists, initially classified as non-routine users, were subsequently classified as routine users at follow-up. Routine and non-routine users' opinions differed on whether outcome measures contributed to efficient patient evaluations (79.3% and 32.4%, respectively). Both routine and non-routine users reported challenges integrating outcome measures into normal clinical routines (20.7% and 45.9%, respectively). Continuing education had a long-term impact on prosthetists' confidence in administering outcome measures and may influence their clinical practices. However, remaining barriers to using standardized measures need to be addressed to keep practitioners current with evolving practice expectations. Clinical relevance Continuing education (CE) had a significant long-term impact on prosthetists' confidence in administering outcome measures and influenced their clinical practices. In all, approximately 20% of prosthetists, who previously were non-routine outcome measure users, became routine users after CE. There remains a need to develop strategies to integrate outcome measurement into routine clinical practice.

  15. Effect of long-term water immersion or thermal shock on mechanical properties of high-impact acrylic denture base resins.

    PubMed

    Sasaki, Hirono; Hamanaka, Ippei; Takahashi, Yutaka; Kawaguchi, Tomohiro

    2016-01-01

    The purpose of this study was to investigate the effect of long-term water immersion or thermal shock on the mechanical properties of high-impact acrylic denture base resins. Two high-impact acrylic denture base resins were selected for the study. Specimens of each denture base material tested were fabricated according to the manufacturers' instructions (n=10). The flexural strength at the proportional limit, the elastic modulus and the impact strength of the specimens were evaluated. The flexural strength at the proportional limit of the high-impact acrylic denture base resins did not change after six months' water immersion or thermocycling 50,000 times. The elastic moduli of the high-impact acrylic denture base resins significantly increased after six months' water immersion or thermocycling 50,000 times. The impact strengths of the high-impact acrylic denture base resins significantly decreased after water immersion or thermocycling as described above.

  16. Temporal Changes Rather than Long-Term Repeated Burning Predominately Control the Shift in the Abundance of Soil Denitrifying Community in an Australian Sclerophyll Forest.

    PubMed

    Liu, Xian; Chen, C R; Hughes, J M; Wang, W J; Lewis, Tom

    2017-01-01

    To understand the temporal dynamics of soil bacterial denitrifying community in response to long-term prescribed burning and its resilience and recovery following a fire, a wet sclerophyll forest study site under two treatments (2 yearly burning (2YB) and no burning (NB)) and with 40-year-old burning history was used. Similar temporal patterns in the abundance of total (16S rRNA) and denitrifying (narG, nirK, nirS, nosZ) bacteria between two burning treatments revealed strong temporal influences. The magnitude of burning impacts on the abundance of 16S rRNA and denitrification genes was smaller compared with the impact of sampling time, but significant burning and temporal impacts were recorded for all (P < 0.001)-except for the nirS gene. Impacts of prescribed fire on the abundance of soil denitrifying community could be observed immediately after fire, and this impact diminished over a 24-month period prior to the next prescribed burning event. In conclusion, temporal changes govern the fluctuations of the abundance of soil denitrifying genes over the sampling period and the denitrifying community can recover after fire, suggesting that this community is resilient to the effects of prescribed burning. A combination of biotic and abiotic factors may account for the different temporal dynamics of denitrification gene abundance.

  17. Long term microparticle impact fluxes on LDEF determined from optical survey of Interplanetary Dust Experiment (IDE) sensors

    NASA Technical Reports Server (NTRS)

    Simon, C. G.; Oliver, J. P.; Cooke, W. J.; Downey, K. I.; Kassel, P. C.

    1995-01-01

    Many of the IDE metal-oxide-silicon (MOS) capacitor-discharge impact sensors remained active during the entire Long Duration Exposure Facility (LDEF) mission. An optical survey of impact sites on the active surfaces of these sensors has been extended to include all sensors from the low-flux sides of LDEF (i.e. the west or trailing side, the earth end, and the space end) and 5-7 active sensors from each LDEF's high-flux sides (i.e. the east or leading side, the south side, and the north side). This survey was facilitated by the presence of a relatively large (greater than 50 micron diameter) optical signature associated with each impact site on the active sensor surfaces. Of the approximately 4700 impacts in the optical survey data set, 84% were from particles in the 0.5 to 3 micron size range. An estimate of the total number of hypervelocity impacts on LDEF from particles greater than 0.5 micron diameter yields a value of approximately 7 x 10(exp 6). Impact feature dimensions for several dozen large craters on MOS sensors and germanium witness plates are also presented. Impact fluxes calculated from the IDE survey data closely matched surveys of similar size impacts (greater than or equal to 3 micron diameter craters in Al, or marginal penetrations of a 2.4 micron thick Al foil) by other LDEF investigators. Since the first year IDE data were electronically recorded, the flux data could be divided into three long term time periods: the first year, the entire 5.8 year mission, and the intervening 4.8 years (by difference). The IDE data show that there was an order of magnitude decrease in the long term microparticle impact flux on the trailing side of LDEF, from 1.01 to 0.098 x 10(exp -4) m(exp 2)/s, from the first year in orbit compared to years 2-6. The long term flux on the leading edge showed an increase from 8.6 to 11.2 x 10(exp -4) m(exp -2)/s over this same time period. (Short term flux increases up to 10,000 times the background rate were recorded on the leading side during LDEF's first year in orbit.) The overall east/west ratio was 44, but during LDEF's first year in orbit the ratio was 8.5, and during years 2-6 the ratio was 114. Long term microparticle impact fluxes on the space end decreased from 1.12 to 0.55 x 10(exp -4) m(exp -2)/s from the first year in orbit compared to years 2-6. The earth end showed the opposite trend with an increase from 0.16 to 0.38 x 10(exp -4) m(exp -2)/s. Fluxes on rows 6 and 12 decreased from 6.1 to 3.4 and 6.7 to 3.7 x 10(exp -4) m(exp -2)/s, respectively, over the same time periods. This resulted in space/earth microparticle impact flux ratios of 7.1 during the first year and 1.5 during years 2-6, while the south/north, space/north and space/south ratios remained constant at 1.1, 0.16 and 0.17, respectively, during the entire mission. This information indicates the possible identification of long term changes in discrete microparticle orbital debris component contributions to the total impact flux experienced by LDEF. A dramatic decrease in the debris population capable of striking the trailing side was detected that could possibly be attributed to the hiatus of western launch activity experienced from 1986-1989. A significant increase in the debris population that preferentially struck the leading side was also observed and could possibly be attributed to a single breakup event that occurred in September of 1986. A substantial increase in the microparticle debris population that struck the earth end of LDEF, but not the space end, was also detected and could possibly be the result of a single breakup event at low altitude. These results point to the importance of including discrete orbital debris component contribution changes in flux models in order to achieve accurate predictions of the microparticle environment that a particular spacecraft will experience in earth orbit. The only reliable, verified empirical measurements of these changes are reported in this paper. Further time-resolved in-situ measurements of these debris populations are needed to accurately assess model predictions and mitigation practices.

  18. On policies to regulate long-term risks from hazardous waste disposal sites under both intergenerational equity and intragenerational equity

    NASA Astrophysics Data System (ADS)

    Shu, Zhongbin

    In recent years, it has been recognized that there is a need for a general philosophic policy to guide the regulation of societal activities that involve long-term and very long-term risks. Theses societal activities not only include the disposal of high-level radioactive wastes and global warming, but also include the disposal of non-radioactive carcinogens that never decay, such as arsenic, nickel, etc. In the past, attention has been focused on nuclear wastes. However, there has been international recognition that large quantities of non-radioactive wastes are being disposed of with little consideration of their long-term risks. The objectives of this dissertation are to present the significant long-term risks posed by non-radioactive carcinogens through case studies; develop the conceptual decision framework for setting the long-term risk policy; and illustrate that certain factors, such as discount rate, can significantly influence the results of long-term risk analysis. Therefore, the proposed decision-making framework can be used to systematically study the important policy questions on long-term risk regulations, and then subsequently help the decision-maker to make informed decisions. Regulatory disparities between high-level radioactive wastes and non-radioactive wastes are summarized. Long-term risk is rarely a consideration in the regulation of disposal of non-radioactive hazardous chemicals; and when it is, the matter has been handled in a somewhat perfunctory manner. Case studies of long-term risks are conducted for five Superfund sites that are contaminated with one or more non-radioactive carcinogens. Under the same assumptions used for the disposal of high-level radioactive wastes, future subsistence farmers would be exposed to significant individual risks, in some cases with lifetime fatality risk equal to unity. The important policy questions on long-term risk regulation are identified, and the conceptual decision-making framework to regulate long-term risk is presented. The results of decision tree analysis of cleanup alternatives for the Crystal Chemical site indicate that discount rate has profound impact on the results of the analysis and significant implication with regard to intergenerational equity. It is expected that other policy factors could have similar impacts. There is a need to use the proposed decision-making framework to systemically study those factors and make rational policy decisions accordingly.

  19. Climatic change controls productivity variation in global grasslands

    PubMed Central

    Gao, Qingzhu; Zhu, Wenquan; Schwartz, Mark W.; Ganjurjav, Hasbagan; Wan, Yunfan; Qin, Xiaobo; Ma, Xin; Williamson, Matthew A.; Li, Yue

    2016-01-01

    Detection and identification of the impacts of climate change on ecosystems have been core issues in climate change research in recent years. In this study, we compared average annual values of the normalized difference vegetation index (NDVI) with theoretical net primary productivity (NPP) values based on temperature and precipitation to determine the effect of historic climate change on global grassland productivity from 1982 to 2011. Comparison of trends in actual productivity (NDVI) with climate-induced potential productivity showed that the trends in average productivity in nearly 40% of global grassland areas have been significantly affected by climate change. The contribution of climate change to variability in grassland productivity was 15.2–71.2% during 1982–2011. Climate change contributed significantly to long-term trends in grassland productivity mainly in North America, central Eurasia, central Africa, and Oceania; these regions will be more sensitive to future climate change impacts. The impacts of climate change on variability in grassland productivity were greater in the Western Hemisphere than the Eastern Hemisphere. Confirmation of the observed trends requires long-term controlled experiments and multi-model ensembles to reduce uncertainties and explain mechanisms. PMID:27243565

  20. Numerical Model Simulation of Atmosphere above A.C. Airport

    NASA Astrophysics Data System (ADS)

    Lutes, Tiffany; Trout, Joseph

    2014-03-01

    In this research project, the Weather Research & Forecasting (WRF) model from the National Center for Atmospheric Research (NCAR) is used to investigate past and present weather conditions. The Atlantic City Airport area in southern New Jersey is the area of interest. Long-term hourly data is analyzed and model simulations are created. By inputting high resolution surface data, a more accurate picture of the effects of different weather conditions will be portrayed. Currently, the impact of gridded model runs is being tested, and the impact of surface characteristics is being investigated.

  1. Long-Term Changes in the Distributions of Larval and Adult Fish in the Northeast U.S. Shelf Ecosystem.

    PubMed

    Walsh, Harvey J; Richardson, David E; Marancik, Katrin E; Hare, Jonathan A

    2015-01-01

    Many studies have documented long-term changes in adult marine fish distributions and linked these changes to climate change and multi-decadal climate variability. Most marine fish, however, have complex life histories with morphologically distinct stages, which use different habitats. Shifts in distribution of one stage may affect the connectivity between life stages and thereby impact population processes including spawning and recruitment. Specifically, many marine fish species have a planktonic larval stage, which lasts from weeks to months. We compared the spatial distribution and seasonal occurrence of larval fish in the Northeast U.S. Shelf Ecosystem to test whether spatial and temporal distributions changed between two decades. Two large-scale ichthyoplankton programs sampled using similar methods and spatial domain each decade. Adult distributions from a long-term bottom trawl survey over the same time period and spatial area were also analyzed using the same analytical framework to compare changes in larval and adult distributions between the two decades. Changes in spatial distribution of larvae occurred for 43% of taxa, with shifts predominately northward (i.e., along-shelf). Timing of larval occurrence shifted for 49% of the larval taxa, with shifts evenly split between occurring earlier and later in the season. Where both larvae and adults of the same species were analyzed, 48% exhibited different shifts between larval and adult stages. Overall, these results demonstrate that larval fish distributions are changing in the ecosystem. The spatial changes are largely consistent with expectations from a changing climate. The temporal changes are more complex, indicating we need a better understanding of reproductive timing of fishes in the ecosystem. These changes may impact population productivity through changes in life history connectivity and recruitment, and add to the accumulating evidence for changes in the Northeast U.S. Shelf Ecosystem with potential to impact fisheries and other ecosystem services.

  2. Long-Term Changes in the Distributions of Larval and Adult Fish in the Northeast U.S. Shelf Ecosystem

    PubMed Central

    2015-01-01

    Many studies have documented long-term changes in adult marine fish distributions and linked these changes to climate change and multi-decadal climate variability. Most marine fish, however, have complex life histories with morphologically distinct stages, which use different habitats. Shifts in distribution of one stage may affect the connectivity between life stages and thereby impact population processes including spawning and recruitment. Specifically, many marine fish species have a planktonic larval stage, which lasts from weeks to months. We compared the spatial distribution and seasonal occurrence of larval fish in the Northeast U.S. Shelf Ecosystem to test whether spatial and temporal distributions changed between two decades. Two large-scale ichthyoplankton programs sampled using similar methods and spatial domain each decade. Adult distributions from a long-term bottom trawl survey over the same time period and spatial area were also analyzed using the same analytical framework to compare changes in larval and adult distributions between the two decades. Changes in spatial distribution of larvae occurred for 43% of taxa, with shifts predominately northward (i.e., along-shelf). Timing of larval occurrence shifted for 49% of the larval taxa, with shifts evenly split between occurring earlier and later in the season. Where both larvae and adults of the same species were analyzed, 48% exhibited different shifts between larval and adult stages. Overall, these results demonstrate that larval fish distributions are changing in the ecosystem. The spatial changes are largely consistent with expectations from a changing climate. The temporal changes are more complex, indicating we need a better understanding of reproductive timing of fishes in the ecosystem. These changes may impact population productivity through changes in life history connectivity and recruitment, and add to the accumulating evidence for changes in the Northeast U.S. Shelf Ecosystem with potential to impact fisheries and other ecosystem services. PMID:26398900

  3. The role of short- and long-term cognitive empathy activation in preventing cyberbystander reinforcing cyberbullying behavior.

    PubMed

    Barlińska, Julia; Szuster, Anna; Winiewski, Mikołaj

    2015-04-01

    The long- versus short-term effectiveness of empathy activation on reducing bystander behavior reinforcing cyberbullying was tested. The focus was on limiting the frequency of forwarding a message ridiculing a peer. Experimental research on adolescent students was conducted in conditions simulating online contact. The results confirmed the significance of cognitive empathy activated immediately prior to decision making on limiting involvement in reinforcing cyberbullying behavior. The long-term impact of empathy was markedly limited.

  4. Long term records provide insights on the relative influence of climate and forest community structure on water yield in the southern Appalachians

    Treesearch

    Peter Caldwell; Chelcy Ford Miniat; Steven Brantley; Katherine Elliott; Stephanie Laseter; Wayne Swank

    2016-01-01

    In forested watersheds, changes in climate and forest structure or age can affect water yield; yet few long-term observational records from such watersheds exist that allow an assessment of these impacts over time. In this study, we used long-term (~80 yrs) observational records of climate and water yield in six reference watersheds at the Coweeta Hydrologic Laboratory...

  5. [Effect of long-term application of nitrogen fertilizer on the diversity of nitrifying genes (amoA and hao) in paddy soil].

    PubMed

    Chen, Chun-lan; Wu, Min-na; Wei, Wen-xue

    2011-05-01

    The aim of this study was to determine the effect of long-term (16 years) application of nitrogen fertilizer on the diversity of nitrifying genes (amoA and hao) in paddy soil on the basis of long-term paddy field experimental station (started in 1990) located in Taoyuan, with the molecular approaches of PCR, constructing libraries and sequencing. The fertilizer was urea and no fertilizer was as control. The Shannon index showed that long-term application of nitrogen fertilizer made the diversity of amoA gene descend while no effect on the diversity of hao gene. The LIBSHUFF statistical analyses demonstrated that both amoA and hao libraries of CK and N treatments were significantly different from each other and the rarefaction curves of libraries failed to meet the plateaus indicating that there were lots kinds of genes haven't been detected. The results of blasting with GenBank and the phylogenetic tree showed that the amoA genes detected in our study had a similarity with the uncultured gene of amoA, which showed some similar to Nitrosospira. Otherwise, the hao genes cloned showed a relationship to the genes of cultured bacteria such as Silicibacteria, Nitrosospira and Methylococcus, and the hao genes found in the N treatment dominated in alpha-Proteobacteria. These results suggest that long-term fertilization of nitrogen had significant impacts on the diversity or community of amoA and hao genes.

  6. Safety improvements at highway-railroad crossing for pedestrians and bicyclists and the assessment of long-term effects of centerline curbing.

    DOT National Transportation Integrated Search

    2012-06-01

    The focus of the research reported herein was on assessing the long-term effectiveness of median barriers at highway-rail : grade crossings (HRGCs), the impacts of barrier maintenance in resurrecting safety, and on exploring and assessing ways : to i...

  7. The Expansion of Dreissena and Long-term Shifts in Benthic Macroinvertebrate Community Structure in Lake Ontario, 1998-2008

    EPA Science Inventory

    The introduction of Dreissena to the Great lakes has profoundly impacted benthic ecosystems, resulting in the decline of native species and dramatic community restructuring. In Lake Ontario, long-term monitoring has yielded a wealth of detailed information regarding both the exp...

  8. Speaking up and Speaking Out? Long-Term Impact of Critical Multicultural Pedagogy

    ERIC Educational Resources Information Center

    Flynn, Jill Ewing

    2017-01-01

    This study explores the long-term effects of critical multicultural pedagogy on seven adolescents. Four years later, participants continued to demonstrate awareness of privilege and racism, yet few were actively engaged in antiracist work. Participants also expressed disillusionment and lamented the lack of productive discussions of critical…

  9. Awakening: Career Opportunities after the Storm

    ERIC Educational Resources Information Center

    Anderson-White, Deirdre J.; Gibbons, Melinda

    2011-01-01

    Immediately following natural disasters, basic needs are provided; however, the long-term needs of individuals are neglected. The purpose of this study is twofold: first, to explore the comprehensive and long-term impact of a natural disaster on vocationally displaced adults, and second, to explore the benefits of using the narrative career…

  10. Long-term incorporation of manure with chemical fertilizers reduced total nitrogen loss in rain-fed cropping systems

    USDA-ARS?s Scientific Manuscript database

    Improving soil fertility/productivity and reducing environmental impact of nitrogen (N) fertilization in intensive farming systems are essential for sustainable agriculture and food security around the world. The objective of this study was to determine the long-term effects of various fertilization...

  11. CARBON LOSS AND OPTICAL PROPERTY CHANGES DURING LONG-TERM PHOTOCHEMICAL AND BIOLOGICAL DEGRADATION OF ESTUARINE DISSOLVED ORGANIC MATTER

    EPA Science Inventory

    Terrestrially derived dissolved organic matter (DOM) impacts the optical properties of coastal seawater and affects carbon cycling on a global scale. We studied sequential long-term photochemical and biological degradation of estuarine dissolved organic matter from the
    Satilla...

  12. Impact of long-term tillage and manure application on soil physical properties

    USDA-ARS?s Scientific Manuscript database

    Soil physical properties play an integral role in maintaining soil quality for sustainable agricultural practices. Agronomic practices such as tillage systems and organic amendments have been shown to influence soil physical properties. Thus, a study was conducted to evaluate effects of long-term ma...

  13. Wildfires cause long-term plant community conversion in a western Great Plains steppe

    USDA-ARS?s Scientific Manuscript database

    Long-term impacts of wildfire vary dramatically across rangeland ecosystems. Frequent fire can promote productivity and biodiversity in some locations (Fuhlendorf et al. 2006), but in other regions this same disturbance can cause catastrophic ecosystem shifts, including the loss of dominant plant sp...

  14. Assessment of Institutional Impact and Long-Term Strategies Development.

    ERIC Educational Resources Information Center

    American Association of Community Colleges, Washington, DC.

    If community colleges are to expand their roles in delivering workforce training, they must develop long-term strategies that respond effectively to changes in society and workforce needs. In rendering these change strategies, colleges should define their internal and external environments, as well as their service areas. Internally, instructional…

  15. Assessing the Value of Post-processed State-of-the-art Long-term Weather Forecast Ensembles within An Integrated Agronomic Modelling Framework

    NASA Astrophysics Data System (ADS)

    LI, Y.; Castelletti, A.; Giuliani, M.

    2014-12-01

    Over recent years, long-term climate forecast from global circulation models (GCMs) has been demonstrated to show increasing skills over the climatology, thanks to the advances in the modelling of coupled ocean-atmosphere dynamics. Improved information from long-term forecast is supposed to be a valuable support to farmers in optimizing farming operations (e.g. crop choice, cropping time) and for more effectively coping with the adverse impacts of climate variability. Yet, evaluating how valuable this information can be is not straightforward and farmers' response must be taken into consideration. Indeed, while long-range forecast are traditionally evaluated in terms of accuracy by comparison of hindcast and observed values, in the context of agricultural systems, potentially useful forecast information should alter the stakeholders' expectation, modify their decisions and ultimately have an impact on their annual benefit. Therefore, it is more desirable to assess the value of those long-term forecasts via decision-making models so as to extract direct indication of probable decision outcomes from farmers, i.e. from an end-to-end perspective. In this work, we evaluate the operational value of thirteen state-of-the-art long-range forecast ensembles against climatology forecast and subjective prediction (i.e. past year climate and historical average) within an integrated agronomic modeling framework embedding an implicit model of farmers' behavior. Collected ensemble datasets are bias-corrected and downscaled using a stochastic weather generator, in order to address the mismatch of the spatio-temporal scale between forecast data from GCMs and distributed crop simulation model. The agronomic model is first simulated using the forecast information (ex-ante), followed by a second run with actual climate (ex-post). Multi-year simulations are performed to account for climate variability and the value of the different climate forecast is evaluated against the perfect foresight scenario based on the expected crop productivity as well as the land-use decisions. Our results show that not all the products generate beneficial effects to farmers and that the forecast errors might be amplified by the farmers decisions.

  16. Advancing the climate data driven crop-modeling studies in the dry areas of Northern Syria and Lebanon: an important first step for assessing impact of future climate.

    PubMed

    Dixit, Prakash N; Telleria, Roberto

    2015-04-01

    Inter-annual and seasonal variability in climatic parameters, most importantly rainfall, have potential to cause climate-induced risk in long-term crop production. Short-term field studies do not capture the full nature of such risk and the extent to which modifications to crop, soil and water management recommendations may be made to mitigate the extent of such risk. Crop modeling studies driven by long-term daily weather data can predict the impact of climate-induced risk on crop growth and yield however, the availability of long-term daily weather data can present serious constraints to the use of crop models. To tackle this constraint, two weather generators namely, LARS-WG and MarkSim, were evaluated in order to assess their capabilities of reproducing frequency distributions, means, variances, dry spell and wet chains of observed daily precipitation, maximum and minimum temperature, and solar radiation for the eight locations across cropping areas of Northern Syria and Lebanon. Further, the application of generated long-term daily weather data, with both weather generators, in simulating barley growth and yield was also evaluated. We found that overall LARS-WG performed better than MarkSim in generating daily weather parameters and in 50 years continuous simulation of barley growth and yield. Our findings suggest that LARS-WG does not necessarily require long-term e.g., >30 years observed weather data for calibration as generated results proved to be satisfactory with >10 years of observed data except in area with higher altitude. Evaluating these weather generators and the ability of generated weather data to perform long-term simulation of crop growth and yield is an important first step to assess the impact of future climate on yields, and to identify promising technologies to make agricultural systems more resilient in the given region. Copyright © 2015 Elsevier B.V. All rights reserved.

  17. Impact on survival of warfarin in patients with pulmonary arterial hypertension receiving subcutaneous treprostinil.

    PubMed

    Ascha, Mona; Zhou, Xuan; Rao, Youlan; Minai, Omar A; Tonelli, Adriano R

    2017-10-01

    Anticoagulation is a common treatment modality in patients with pulmonary arterial hypertension (PAH). Further studies are needed to appropriately assess the risk/benefit ratio of anticoagulation, particularly in PAH patients receiving PAH-specific therapies. We use observational long-term data on PAH patients treated with subcutaneous (SQ) treprostinil from a large open-label study. Patients were followed for up to 4 years. The use of warfarin and bleeding events were recorded. At total of 860 patients (age [mean±SD] 46±15 years, 76% female, 83% Caucasian, 49% idiopathic PAH, and 76% New York Heart Association [NYHA] functional class III) were included. All patients received SQ treprostinil (15% also other pulmonary hypertension [PH]-therapies) and 590 (69%) received warfarin during the study. The proportions of women, African American, and idiopathic pulmonary hypertension (IPAH) patients were higher in the group receiving warfarin. A higher proportion of patients with congenital heart disease and portopulmonary hypertension did not receive warfarin. There were no differences in unadjusted long-term survival between PAH patients receiving warfarin or not (log-rank test, P value=.69), even when only considering idiopathic PAH (P=.32). In addition, no difference was found in adjusted long-term survival both in PAH (P=.84) and idiopathic PAH patients (P=.44) based on the use of warfarin. Furthermore, no survival difference based on the use of warfarin were noted between propensity score-matched PAH patients (P=.37). Long-term anticoagulation with warfarin was not associated with any significant effect on survival in PAH or idiopathic PAH patients treated with SQ treprostinil. © 2017 John Wiley & Sons Ltd.

  18. Abnormal neural activities of directional brain networks in patients with long-term bilateral hearing loss.

    PubMed

    Xu, Long-Chun; Zhang, Gang; Zou, Yue; Zhang, Min-Feng; Zhang, Dong-Sheng; Ma, Hua; Zhao, Wen-Bo; Zhang, Guang-Yu

    2017-10-13

    The objective of the study is to provide some implications for rehabilitation of hearing impairment by investigating changes of neural activities of directional brain networks in patients with long-term bilateral hearing loss. Firstly, we implemented neuropsychological tests of 21 subjects (11 patients with long-term bilateral hearing loss, and 10 subjects with normal hearing), and these tests revealed significant differences between the deaf group and the controls. Then we constructed the individual specific virtual brain based on functional magnetic resonance data of participants by utilizing effective connectivity and multivariate regression methods. We exerted the stimulating signal to the primary auditory cortices of the virtual brain and observed the brain region activations. We found that patients with long-term bilateral hearing loss presented weaker brain region activations in the auditory and language networks, but enhanced neural activities in the default mode network as compared with normally hearing subjects. Especially, the right cerebral hemisphere presented more changes than the left. Additionally, weaker neural activities in the primary auditor cortices were also strongly associated with poorer cognitive performance. Finally, causal analysis revealed several interactional circuits among activated brain regions, and these interregional causal interactions implied that abnormal neural activities of the directional brain networks in the deaf patients impacted cognitive function.

  19. Factors associated with long-term species composition in dry tropical forests of Central India

    NASA Astrophysics Data System (ADS)

    Agarwala, M.; DeFries, R. S.; Qureshi, Q.; Jhala, Y. V.

    2016-10-01

    The long-term future of species composition in forests depends on regeneration. Many factors can affect regeneration, including human use, environmental conditions, and species’ traits. This study examines the influence of these factors in a tropical deciduous forest of Central India, which is heavily used by local, forest-dependent residents for livestock grazing, fuel-wood extraction, construction and other livelihood needs. We measure size-class proportions (the ratio of abundance of a species at a site in a higher size class to total abundance in both lower and higher size classes) for 39 tree species across 20 transects at different intensities of human use. The size-class proportions for medium to large trees and for small to medium-sized trees were negatively associated with species that are used for local construction, while size class proportions for saplings to small trees were positively associated with those species that are fire resistant and negatively associated with livestock density. Results indicate that grazing and fire prevent non-fire resistant species from reaching reproductive age, which can alter the long term composition and future availability of species that are important for local use and ecosystem services. Management efforts to reduce fire and forest grazing could reverse these impacts on long-term forest composition.

  20. Design and Operation of Power Systems with Large Amounts of Wind Power: Final Summary Report, IEA WIND Task 25, Phase Three 2012-2014

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

    Holttinen, Hannele; Kiviluoma, Juha; Forcione, Alain

    2016-06-01

    This report summarizes recent findings on wind integration from the 16 countries participating in the International Energy Agency (IEA) Wind collaboration research Task 25 in 2012-2014. Both real experience and studies are reported. The national case studies address several impacts of wind power on electric power systems. In this report, they are grouped under long-term planning issues and short-term operational impacts. Long-term planning issues include grid planning and capacity adequacy. Short-term operational impacts include reliability, stability, reserves, and maximizing the value in operational timescales (balancing related issues). The first section presents variability and uncertainty of power system-wide wind power, andmore » the last section presents recent wind integration studies for higher shares of wind power. Appendix 1 provides a summary of ongoing research in the national projects contributing to Task 25 in 2015-2017.« less

  1. The dark side of the moon: impact of moon phases on long-term survival, mortality and morbidity of surgery for lung cancer.

    PubMed

    Kuehnl, A; Herzog, M; Schmidt, M; Hornung, H-M; Jauch, K-W; Hatz, R A; Graeb, C

    2009-04-16

    Superstition is common and causes discomfiture or fear, especially in patients who have to undergo surgery for cancer. One superstition is, that moon phases influence surgical outcome. This study was performed to analyse lunar impact on the outcome following lung cancer surgery. 2411 patients underwent pulmonary resection for lung cancer in the past 30 years at our institution. Intra- and postoperative complications as well as long-term follow-up data were entered in our lung-cancer database. Factors influencing mortality, morbidity and survival were analyzed. Rate of intra-operative complications as well as rate of post-operative morbidity and mortality was not significantly affected by moon phases. Furthermore, there was no significant impact of the lunar cycle on long-term survival. In this study there was no evidence that outcome of surgery for lung cancer is affected by the moon. These results may help the physician to quiet the mind of patients who are somewhat afraid of wrong timing of surgery with respect to the moon phases. However, patients who strongly believe in the impact of moon phase should be taken seriously and correct timing of operations should be conceded to them as long as key-date scheduling doesn't constrict evidence based treatment regimens.

  2. Quantifying long-term impact of zoo and aquarium visits on biodiversity-related learning outcomes.

    PubMed

    Jensen, Eric A; Moss, Andrew; Gusset, Markus

    2017-07-01

    Zoos and aquariums aim to achieve lasting impact on their public audiences' awareness of biodiversity, its value, and the steps they can take to conserve it. Here, we evaluate the long-term educational impact of visits to zoos and aquariums on biodiversity understanding and knowledge of actions to help protect biodiversity. A minimum of two years after completing a repeated-measures survey before and after visiting a zoo or aquarium, the same participants were invited to take part in a follow-up online survey. Despite the small number of respondents (n = 161), our study may still represent the best available quantitative evidence pertaining to zoo and aquarium visits' long-term educational impact. We found that improvements in respondents' biodiversity understanding from pre- to post-visit leveled off, staying unchanged in the follow-up survey. In contrast, the improved knowledge of actions to help protect biodiversity from pre- to post-visit showed further improvement from post-visit to delayed post-visit follow-up survey. These results suggest that the immediate positive effects of a zoo or aquarium visit on biodiversity-related learning outcomes may be long lasting and even help lay the groundwork for further improvements over an extended period of time following the visit. © 2017 Wiley Periodicals, Inc.

  3. Long-term Reductions in the Population of GABAergic Interneurons in the Mouse Hippocampus following Developmental Ethanol Exposure.

    PubMed

    Bird, Clark W; Taylor, Devin H; Pinkowski, Natalie J; Chavez, G Jill; Valenzuela, C Fernando

    2018-07-15

    Developmental exposure to ethanol leads to a constellation of cognitive and behavioral abnormalities known as Fetal Alcohol Spectrum Disorders (FASDs). Many cell types throughout the central nervous system are negatively impacted by gestational alcohol exposure, including inhibitory, GABAergic interneurons. Little evidence exists, however, describing the long-term impact of fetal alcohol exposure on survival of interneurons within the hippocampal formation, which is critical for learning and memory processes that are impaired in individuals with FASDs. Mice expressing Venus yellow fluorescent protein in inhibitory interneurons were exposed to vaporized ethanol during the third trimester equivalent of human gestation (postnatal days 2-9), and the long-term effects on interneuron numbers were measured using unbiased stereology at P90. In adulthood, interneuron populations were reduced in every hippocampal region examined. Moreover, we found that a single exposure to ethanol at P7 caused robust activation of apoptotic neurodegeneration of interneurons in the hilus, granule cell layer, CA1 and CA3 regions of the hippocampus. These studies demonstrate that developmental ethanol exposure has a long-term impact on hippocampal interneuron survivability, and may provide a mechanism partially explaining deficits in hippocampal function and hippocampus-dependent behaviors in those afflicted with FASDs. Copyright © 2018 IBRO. Published by Elsevier Ltd. All rights reserved.

  4. Impacts of a fuel oil spill on seagrass meadows in a subtropical port, Gladstone, Australia--the value of long-term marine habitat monitoring in high risk areas.

    PubMed

    Taylor, Helen A; Rasheed, Michael A

    2011-01-01

    We used an established seagrass monitoring programme to examine the short and longer-term impacts of an oil spill event on intertidal seagrass meadows. Results for potentially impacted seagrass areas were compared with existing monitoring data and with control seagrass meadows located outside of the oil spill area. Seagrass meadows were not significantly affected by the oil spill. Declines in seagrass biomass and area 1month post-spill were consistent between control and impact meadows. Eight months post-spill, seagrass density and area increased to be within historical ranges. The declines in seagrass meadows were likely attributable to natural seasonal variation and a combination of climatic and anthropogenic impacts. The lack of impact from the oil spill was due to several mitigating factors rather than a lack of toxic effects to seagrasses. The study demonstrates the value of long-term monitoring of critical habitats in high risk areas to effectively assess impacts. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

  5. Long-Term Experience of Chinese Calligraphic Handwriting Is Associated with Better Executive Functions and Stronger Resting-State Functional Connectivity in Related Brain Regions

    PubMed Central

    He, Yong; Gao, Yang; Zhang, Cuiping; Chen, Chuansheng; Bi, Suyu; Yang, Pin; Wang, Yiwen; Wang, Wenjing

    2017-01-01

    Chinese calligraphic handwriting (CCH) is a traditional art form that requires high levels of concentration and motor control. Previous research has linked short-term training in CCH to improvements in attention and memory. Little is known about the potential impacts of long-term CCH practice on a broader array of executive functions and their potential neural substrates. In this cross-sectional study, we recruited 36 practitioners with at least 5 years of CCH experience and 50 control subjects with no more than one month of CCH practice and investigated their differences in the three components of executive functions (i.e., shifting, updating, and inhibition). Valid resting-state fMRI data were collected from 31 CCH and 40 control participants. Compared with the controls, CCH individuals showed better updating (as measured by the Corsi Block Test) and inhibition (as measured by the Stroop Word-Color Test), but the two groups did not differ in shifting (as measured by a cue-target task). The CCH group showed stronger resting-state functional connectivity (RSFC) than the control group in brain areas involved in updating and inhibition. These results suggested that long-term CCH training may be associated with improvements in specific aspects of executive functions and strengthened neural networks in related brain regions. PMID:28129407

  6. Long-Term Experience of Chinese Calligraphic Handwriting Is Associated with Better Executive Functions and Stronger Resting-State Functional Connectivity in Related Brain Regions.

    PubMed

    Chen, Wen; He, Yong; Gao, Yang; Zhang, Cuiping; Chen, Chuansheng; Bi, Suyu; Yang, Pin; Wang, Yiwen; Wang, Wenjing

    2017-01-01

    Chinese calligraphic handwriting (CCH) is a traditional art form that requires high levels of concentration and motor control. Previous research has linked short-term training in CCH to improvements in attention and memory. Little is known about the potential impacts of long-term CCH practice on a broader array of executive functions and their potential neural substrates. In this cross-sectional study, we recruited 36 practitioners with at least 5 years of CCH experience and 50 control subjects with no more than one month of CCH practice and investigated their differences in the three components of executive functions (i.e., shifting, updating, and inhibition). Valid resting-state fMRI data were collected from 31 CCH and 40 control participants. Compared with the controls, CCH individuals showed better updating (as measured by the Corsi Block Test) and inhibition (as measured by the Stroop Word-Color Test), but the two groups did not differ in shifting (as measured by a cue-target task). The CCH group showed stronger resting-state functional connectivity (RSFC) than the control group in brain areas involved in updating and inhibition. These results suggested that long-term CCH training may be associated with improvements in specific aspects of executive functions and strengthened neural networks in related brain regions.

  7. Embolization of renal angiomyolipomas: short-term and long-term outcomes, complications, and tumor shrinkage.

    PubMed

    Lee, Shen-Yang; Hsu, Hsiang-Hao; Chen, Yung-Chang; Huang, Chen-Chih; Wong, Yon-Cheong; Wang, Li-Jen; Chuang, Cheng-Keng; Yang, Chih-Wei

    2009-11-01

    This study retrospectively evaluated outcomes, complications, and tumor shrinkage in renal angiomyolipomas after transcatheter arterial embolization (TAE). All renal angiomyolipoma patients who underwent TAE between August 2000 and December 2008 and had short-term (6 months) follow-up images were evaluated. Complications and tumor relapse after TAE were reviewed. The sizes of embolized tumors were measured to calculate size reductions and reduction rates after TAE. Differences in tumor size, size reduction, and reduction rate between different time points (pre-TAE, short-term follow-up, and long-term follow-up) and groups (completely and incompletely embolized) were determined. Eleven renal angiomyolipoma patients who had undergone TAE were included. Seven (63.6%) patients had postembolization syndrome and one had abscess formation following TAE. Two patients had a tumor relapse (18.2%). The mean tumor size was 8.57+/-2.66 cm on pre-TAE images. The mean size reduction was 3.1 cm (33.3%) and 3.8 cm (43.0%) at short-term and long-term follow-up. Tumor sizes differed significantly between pre-TAE and short-term (p=0.004) or long-term images (p=0.022) but not between short-term and long-term images (p=0.059). Results stratified by the completeness of embolization indicate that only the short-term size reduction rate differed significantly (p=0.025), while the long-term reduction rate and short- and long-term follow-up tumor size and size reduction were comparable between the two groups. In conclusion, selective TAE is effective for tumor shrinkage in most renal angiomyolipomas, with acceptable complication and relapse rates. Tumor shrinkage occurring within 6 months after TAE may reflect the long-term effect of TAE.

  8. Firn Thickness Changes (1982-2015) Driven by SMB from MERRA-2, RACMO2.3, ERA-Int and AVHRR Surface Temperature and the Impacts to Greenland Ice Sheet Mass Balance

    NASA Astrophysics Data System (ADS)

    Li, J.; Medley, B.; Neumann, T.; Smith, B. E.; Luthcke, S. B.; Zwally, H. J.

    2016-12-01

    Surface mass balance (SMB) data are essential in the derivation of ice sheet mass balance. This is because ice sheet mass change consists of short-term and long-term variations. The short-term variations are directly given by the SMB data. For altimetry based ice sheet mass balance studies, these short-term mass changes are converted to firn thickness changes by using a firn densification-elevation model, and then the variations are subtracted from the altimetry measurements to give the long-term ice thickness changes that are associated with the density of ice. So far various SMB data sets such as ERA-Interim, RACMO and MERRA are available and some have been widely used in large number of ice sheet mass balance studies. However theses data sets exhibit the clear discrepancies in both random and systematic manner. In this study, we use our time dependent firn densification- elevation model, driven by the SMB data from MERRA-2, RACMO2.3 and ERA-Int for the period of 1982-2015 and the temperature variations from AVHRR for the same period to examine the corresponding firn thickness variations and the impacts to the mass changes over the Greenland ice sheet. The model was initialized with the1980's climate. Our results show that the relative smaller (centimeter level) differences in the firn thickness driven by the different data set occur at the early stage (1980's) of the model run. As the time progressing, the discrepancies between the SMB data sets accumulate, and the corresponding firn thickness differences quickly become larger with the value > 2m at the end of the period. Although the overall rates for the whole period driven by each of the three data sets are small ranging -0.2 - 0.2 cm a-1 (-3.0-2.7 Gt a-1), the decadal rates can vary greatly with magnitude > 3 cm a-1 and the impact to the Greenland mass change exceeds 30 Gt a-1.

  9. Catastrophic Incident Recovery: Long-Term Recovery from an Anthrax Event Symposium

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

    Lesperance, Ann M.

    On March 19, 2008, policy makers, emergency managers, and medical and Public Health officials convened in Seattle, Washington, for a workshop on Catastrophic Incident Recovery: Long-Term Recovery from an Anthrax Event. The day-long symposium was aimed at generating a dialogue about restoration and recovery through a discussion of the associated challenges that impact entire communities, including people, infrastructure, and critical systems.

  10. Ant exclusion in citrus over an 8-year period reveals a pervasive yet changing effect of ants on a Mediterranean spider assemblage.

    PubMed

    Mestre, L; Piñol, J; Barrientos, J A; Espadaler, X

    2013-09-01

    Ants and spiders are ubiquitous generalist predators that exert top-down control on herbivore populations. Research shows that intraguild interactions between ants and spiders can negatively affect spider populations, but there is a lack of long-term research documenting the strength of such interactions and the potentially different effects of ants on the diverse array of species in a spider assemblage. Similarly, the suitability of family-level surrogates for finding patterns revealed by species-level data (taxonomic sufficiency) has almost never been tested in spider assemblages. We present a long-term study in which we tested the impact of ants on the spider assemblage of a Mediterranean citrus grove by performing sequential 1-year experimental exclusions on tree canopies for 8 years. We found that ants had a widespread influence on the spider assemblage, although the effect was only evident in the last 5 years of the study. During those years, ants negatively affected many spiders, and effects were especially strong for sedentary spiders. Analyses at the family level also detected assemblage differences between treatments, but they concealed the different responses to ant exclusion shown by some related spider species. Our findings show that the effects of experimental manipulations in ecology can vary greatly over time and highlight the need for long-term studies to document species interactions.

  11. Video Ratings of Surgical Skill and Late Outcomes of Bariatric Surgery

    PubMed Central

    Scally, Christopher P.; Varban, Oliver A.; Carlin, Arthur M.; Birkmeyer, John D.; Dimick, Justin B.

    2018-01-01

    Importance Measures of surgeons’ skill have been associated with variations in short-term outcomes after laparoscopic gastric bypass. However, the impact of surgical skill on long-term outcomes after bariatric surgery is unknown. Objective To study the association between surgical skill and long-term outcomes of bariatric surgery Design Surgeons were ranked on their skill level through blinded peer video review, and sorted into quartiles of skill. Outcomes of bariatric surgery were then examined at the patient level across skill levels. Setting The Michigan Bariatric Surgical Collaborative, a prospective clinical registry of 40 hospitals performing bariatric surgery in the state of Michigan Participants 20 surgeons performing bariatric surgery who submitted videos for anonymous peer ratings; patients undergoing surgery with these surgeons for whom one year follow-up data postoperatively was available. Exposure Surgeon skill level. Main Outcome Measures Excess body weight loss at one year; resolution of medical comorbidities (hypertension, sleep apnea, diabetes, hyperlipidemia), functional status, patient satisfaction. Results Peer ratings of surgical skill varied from 2.6 to 4.8 on a 5-point scale. There was no difference between the best (top 25%) and worst (bottom 25%) performance quartiles when comparing excess body weight loss (67.2% excess body weight loss vs 68.5%, p=.89) at one year. There were no differences in resolution of sleep apnea (62.6% vs 62.0%, p=.77), hypertension (47.1% vs 45.4%, p=.73), or hyperlipidemia (52.3% vs 63.4%, p=.45). Surgeons with the lowest skill rating had patients with higher rates of diabetes resolution (78.8%) when compared to the high-skill group (72.8%, p=0.01). Conclusions and Relevance In contrast to its impact on early complications, surgical skill did not impact postoperative weight loss or resolution of medical comorbidities at one year after laparoscopic gastric bypass. These findings suggest that long-term outcomes after bariatric surgery may be less dependent on a surgeon’s operative skill and instead be driven by other factors. Operative technique was not assessed in this analysis and should be considered in future studies. PMID:27074114

  12. Draft Environmental Impact Statement. MX Deployment Area Selection and Land Withdrawal/Acquisition DEIS. Volume II. Comparative Analysis of Alternatives.

    DTIC Science & Technology

    1980-12-01

    would increase recreational activities, including ORV use and poaching . The sum of direct and indirect impacts on this species could be significant...months, and increased policing for poaching could reduce the long-term impacts to insignificant or even positive levels. No impacts would be predicted...comparable species found in five counties. Short-term impacts are expected from poaching and ORVs. The prairie chicken will likely reoccupy habitat

  13. Long-term retention rates of adalimumab and infliximab in non-infectious intermediate, posterior, and panuveitis.

    PubMed

    Fabiani, Claudia; Vitale, Antonio; Emmi, Giacomo; Bitossi, Alice; Lopalco, Giuseppe; Sota, Jurgen; Guerriero, Silvana; Orlando, Ida; Capozzoli, Marco; Fusco, Fiorella; Rana, Francesco; Iannone, Florenzo; Frediani, Bruno; Galeazzi, Mauro; Vannozzi, Lorenzo; Tosi, Gian Marco; Cantarini, Luca

    2018-04-03

    The aim of the present study was to compare long-term adalimumab (ADA) and infliximab (IFX) retention rates in patients with intermediate, posterior, or panuveitis. Additional aims are as follows: (i) to identify any difference in the causes of treatment discontinuation between patients treated with ADA and IFX; (ii) to assess any impact of demographic features, concomitant treatments, and different lines of biologic therapy on ADA and IFX retention rates; and (iii) to identify any correlation between ADA and IFX treatment duration and the age at uveitis onset, the age at onset of the associated systemic diseases, and the age at the start of treatment. Clinical, therapeutic, and demographic data from patients with non-infectious intermediate, posterior, or panuveitis treated with ADA or IFX were retrospectively collected. Kaplan-Meier plot and log-rank (Mantel-Cox) test were used to assess survival curves. One hundred eight patients (188 eyes) were enrolled; in 87 (80.6%) patients, uveitis was associated with a systemic disease. ADA and IFX were administered in 62 and 46 patients, respectively. No statistically significant differences were identified between ADA and IFX retention rates (p value = 0.22). Similarly, no differences were identified between ADA and IFX retention rates in relation to gender (p value = 0.61 for males, p value = 0.09 for females), monotherapy (p value = 0.08), combination therapy with conventional disease-modifying antirheumatic drugs (log-rank p value = 0.63), and different lines of biologic therapy (p value = 0.79 for biologic-naïve patients; p value = 0.81 for subjects previously treated with other biologics). In conclusion, ADA and IFX have similar long-term retention rates in patients with non-infectious intermediate, posterior, and panuveitis. Demographic, clinical, and therapeutic features do not affect their long-term effectiveness.

  14. Short-term improvements in public health from global-climate policies on fossil-fuel combustion: an interim report. Working Group on Public Health and Fossil-Fuel Combustion.

    PubMed

    1997-11-08

    Most public-health assessments of climate-control policies have focused on long-term impacts of global change. Our interdisciplinary working group assesses likely short-term impacts on public health. We combined models of energy consumption, carbon emissions, and associated atmospheric particulate-matter (PM) concentration under two different forecasts: business-as-usual (BAU); and a hypothetical climate-policy scenario, where developed and developing countries undertake significant reductions in carbon emissions. We predict that by 2020, 700,000 avoidable deaths (90% CI 385,000-1,034,000) will occur annually as a result of additional PM exposure under the BAU forecasts when compared with the climate-policy scenario. From 2000 to 2020, the cumulative impact on public health related to the difference in PM exposure could total 8 million deaths globally (90% CI 4.4-11.9 million). In the USA alone, the avoidable number of annual deaths from PM exposure in 2020 (without climate-change-control policy) would equal in magnitude deaths associated with human immunodeficiency diseases or all liver diseases in 1995. The mortality estimates are indicative of the magnitude of the likely health benefits of the climate-policy scenario examined and are not precise predictions of avoidable deaths. While characterized by considerable uncertainty, the short-term public-health impacts of reduced PM exposures associated with greenhouse-gas reductions are likely to be substantial even under the most conservative set of assumptions.

  15. Cleveland Clinic intelligent mouthguard: a new technology to accurately measure head impact in athletes and soldiers

    NASA Astrophysics Data System (ADS)

    Bartsch, Adam; Samorezov, Sergey

    2013-05-01

    Nearly 2 million Traumatic Brain Injuries (TBI) occur in the U.S. each year, with societal costs approaching $60 billion. Including mild TBI and concussion, TBI's are prevalent in soldiers returning from Iraq and Afghanistan as well as in domestic athletes. Long-term risks of single and cumulative head impact dosage may present in the form of post traumatic stress disorder (PTSD), depression, suicide, Chronic Traumatic Encephalopathy (CTE), dementia, Alzheimer's and Parkinson's diseases. Quantifying head impact dosage and understanding associated risk factors for the development of long-term sequelae is critical toward developing guidelines for TBI exposure and post-exposure management. The current knowledge gap between head impact exposure and clinical outcomes limits the understanding of underlying TBI mechanisms, including effective treatment protocols and prevention methods for soldiers and athletes. In order to begin addressing this knowledge gap, Cleveland Clinic is developing the "Intelligent Mouthguard" head impact dosimeter. Current testing indicates the Intelligent Mouthguard can quantify linear acceleration with 3% error and angular acceleration with 17% error during impacts ranging from 10g to 174g and 850rad/s2 to 10000rad/s2, respectively. Correlation was high (R2 > 0.99, R2 = 0.98, respectively). Near-term development will be geared towards quantifying head impact dosages in vitro, longitudinally in athletes and to test new sensors for possible improved accuracy and reduced bias. Long-term, the IMG may be useful to soldiers to be paired with neurocognitive clinical data quantifying resultant TBI functional deficits.

  16. Risk Factors of Anastomotic Leakage and Long-Term Survival After Colorectal Surgery

    PubMed Central

    Park, Jong Seob; Huh, Jung Wook; Park, Yoon Ah; Cho, Yong Beom; Yun, Seong Hyeon; Kim, Hee Cheol; Lee, Woo Yong

    2016-01-01

    Abstract Anastomotic leakage (AL) is one of the most serious complications of colorectal surgery. It can affect long-term oncologic outcomes, but the impact on long-term survival remains uncertain. The aim of this study is to evaluate the operative characteristics of leakage and no leakage groups and to analyze long-term oncologic outcomes. We prospectively enrolled 10,477 patients from 2000 to 2011 and retrospectively reviewed the data. Male sex (odds ratio [OR], 3.90; P < 0.001), intraoperative transfusion (OR, 2.31; P = 0.042), and operative time (OR, 1.73; P = 0.032) were independent risk factors of AL in the colon. In the rectum, male sex (OR, 2.37; P < 0.001), neoadjuvant chemoradiotherapy (OR, 2.26; P < 0.001), and regional lymph node metastasis (OR, 1.43; P = 0.012) were independent risk factors of AL, and diverting stoma (OR, 0.24; P < 0.001) was associated with a deceased risk of AL. AL in the rectum without a diverting stoma was associated with disease-free survival (DFS, OR, 1.47; P = 0.037). Colonic leakage was not associated with 5-year DFS (leakage group vs nonleakage group, 72.4% vs 80.9%, P = 0.084); however, in patients undergoing rectal resection, there was a significant difference in 5-year DFS (67.0% vs 76.6%, P = 0.005, respectively). AL in the rectum is associated with worse long-term DFS and overall survival. A diverting stoma was shown to protect against this effect and was associated with long-term survival in rectal surgery. Therefore, creating a diverting stoma should be considered in high-risk patients undergoing rectal surgery. PMID:26937928

  17. Determination of Monoamine Oxidase A and B Activity in Long-Term Treated Patients With Parkinson Disease.

    PubMed

    Müller, Thomas; Riederer, Peter; Grünblatt, Edna

    Biogenic amines and monoamine oxidase inhibitors influence peripheral monoamine oxidase enzyme activity in chronic levodopa/dopa decarboxylase inhibitor-treated patients with Parkinson disease. Rasagiline is an irreversible inhibitor of monoamine oxidase B. Safinamide blocks this isoenzyme in a reversible fashion. The aim of this study was to determine monoamine oxidase A (plasma) and B (platelets) enzyme activity in long-term levodopa-treated patients without and with additional oral intake of 50- or 100-mg safinamide or 1-mg rasagiline or first-time intake of rasagiline. Monoamine oxidase A enzyme activity did not differ between all groups. Patients on rasagiline or safinamide showed lower monoamine oxidase-B enzyme activity compared with patients without monoamine oxidase B inhibitor intake. No impact of the number of previous oral levodopa intakes was found. Rasagiline and safinamide did not essentially differ in terms of inhibition of monoamine oxidase B despite their different pharmacology regarding reversibility of monoamine oxidase B inhibition. In view of the observed, considerable heterogeneity of enzyme activities, we suggest to determine activities of monoamine oxidase A and B to reduce the risk for tyramine-induced hypertension and the serotonergic syndrome during chronic therapy with rasagiline or safinamide.

  18. Defense Safety Oversight Council (DSOC) Reducing Vehicular Vibration and Impact

    DTIC Science & Technology

    2013-10-10

    Data Collection Analysis/Writing Total Funding = Planned Completion Medical Research and Materiel Command U.S. Army Aeromedical Research...newly introduced to the UK in 2000-2001 • Little was known about long term health effects of monocular helmet mounted displays Purpose • Analyze data ...Collate data then analyze questionnaires and examinations for statistical differences Product/Payoff • Increased knowledge of risks to Apache

  19. Contemporary deposition and long-term accumulation of sediment and nutrients by tidal freshwater forested wetlands impacted by sea level rise

    USGS Publications Warehouse

    Noe, Gregory; Hupp, Cliff R.; Bernhardt, Christopher E.; Krauss, Ken W.

    2016-01-01

    Contemporary deposition (artificial marker horizon, 3.5 years) and long-term accumulation rates (210Pb profiles, ~150 years) of sediment and associated carbon (C), nitrogen (N), and phosphorus (P) were measured in wetlands along the tidal Savannah and Waccamaw rivers in the southeastern USA. Four sites along each river spanned an upstream-to-downstream salinification gradient, from upriver tidal freshwater forested wetland (TFFW), through moderately and highly salt-impacted forested wetlands, to oligohaline marsh downriver. Contemporary deposition rates (sediment, C, N, and P) were greatest in oligohaline marsh and lowest in TFFW along both rivers. Greater rates of deposition in oligohaline and salt-stressed forested wetlands were associated with a shift to greater clay and metal content that is likely associated with a change from low availability of watershed-derived sediment to TFFW and to greater availability of a coastal sediment source to oligohaline wetlands. Long-term accumulation rates along the Waccamaw River had the opposite spatial pattern compared to contemporary deposition, with greater rates in TFFW that declined to oligohaline marsh. Long-term sediment and elemental mass accumulation rates also were 3–9× lower than contemporary deposition rates. In comparison to other studies, sediment and associated nutrient accumulation in TFFW are lower than downriver/estuarine freshwater, oligohaline, and salt marshes, suggesting a reduced capacity for surface sedimentation (short-term) as well as shallow soil processes (long-term sedimentation) to offset sea level rise in TFFW. Nonetheless, their potentially large spatial extent suggests that TFFW have a large impact on the transport and fate of sediment and nutrients in tidal rivers and estuaries.

  20. An Initial Evaluation of a Long-Term, Sustainable, Integrated Community-Based Physical Activity Program for Adults with Intellectual Disability

    ERIC Educational Resources Information Center

    Lante, Kerrie A.; Walkley, Jeff W.; Gamble, Merrilyn; Vassos, Maria V.

    2011-01-01

    Background: Physical activity (PA) programs for adults with intellectual disability (ID) have positive impacts, at least in the short term. No research has been reported on the effect of long-term engagement in PA programs for adults with ID. This paper explores the physical and psychosocial benefits gained by two individuals with mild ID who…

  1. Redintegration and the Benefits of Long-Term Knowledge in Verbal Short-Term Memory: An Evaluation of Schweickert's (1993) Multinomial Processing Tree Model

    ERIC Educational Resources Information Center

    Thorn, Annabel S. C.; Gathercole, Susan E.; Frankish, Clive R.

    2005-01-01

    The impact of four long-term knowledge variables on serial recall accuracy was investigated. Serial recall was tested for high and low frequency words and high and low phonotactic frequency nonwords in 2 groups: monolingual English speakers and French-English bilinguals. For both groups the recall advantage for words over nonwords reflected more…

  2. THE "MACK" WORKER, THE IMPACT OF HIS JOB LOSS 2 1/2 YEARS LATER. AUTOMATION MANPOWER SERVICES, PROGRAM REPORT.

    ERIC Educational Resources Information Center

    INDIK, BERNARD P.

    THE LONG TERM CONSEQUENCES OF A LARGE PLANT SHUTDOWN IN TERMS OF THE INDIVIDUALS INVOLVED AND CHARACTERISTICS SHOWN TO BE IMPORTANT INDICATORS OF THEIR REEMPLOYABILITY WERE DESCRIBED IN A 1962 STUDY. THIS FOLLOWUP STUDY CLARIFIED AND AMPLIFIED THE EARLIER FINDINGS TO SHOW MORE LONG TERM CONSEQUENCES. OF THE 3,100 PEOPLE LAID OFF, THE ORIGINAL…

  3. A systematic review of the evidence regarding efficacy of obesity prevention interventions among adults.

    PubMed

    Lemmens, V E P P; Oenema, A; Klepp, K I; Henriksen, H B; Brug, J

    2008-09-01

    In the past, interventions aimed at reducing obesity have mainly targeted at weight loss treatment in obese adults, with limited long-term effects. With the increasing number of people being obese and being at risk for obesity, there has been a shift in focus towards prevention of obesity. We conducted a systematic review of the peer-reviewed literature on the efficacy of obesity prevention interventions in adults in order to identify effective interventions and intervention elements. Pubmed, OVID, and Web of Science databases were searched from January 1996 to June 2006. Interventions aimed at primary prevention of weight gain among adults achieved by focusing on dietary intake, physical activity or the combination of both were included. The outcome measure had to be difference in change in body mass index or body weight between the intervention and the control groups. Nine studies were included, five long-term studies (at least 1 year) and four short-term (3 months to 1 year). Seven studies evaluated an intervention that focused on a combination of diet and physical activity to prevent weight gain, one on diet only and one on physical activity only. One dietary intervention (long-term), and three combined dietary and physical activity interventions (one long-term and two short-term) produced significantly positive results at end of follow-up. The two long-term, effective interventions consisted of intensive and long-term intervention implementation, including groups sessions designed to promote behavioural changes. The current evidence of efficacy of obesity prevention interventions is based on a very small number of studies. Some studies showed a positive impact on body mass index or weight status, but there was too much heterogeneity in terms of study design, theoretical underpinning and target population to draw firm conclusions about which intervention approaches are more effective than others. More research is urgently needed to extend the body of evidence.

  4. [Urine metabonomic study on long-term use of total ginsenosides in rats].

    PubMed

    Xie, Xie; Chen, Shao-Qiu; Lv, Ying-Fang; Wang, Xiao-Yan; Jia, Wei

    2014-12-01

    Due to its effect of systems regulation and promotion on body, Ginseng is always referred to be long-term used as a dietary supplement. But it was still unclear about its target of the tonic effects and also the side-effects long-term use may bring. Urine metabolomic method is suitable for long-term studies of pharmaco-dynamics, pharmacology and toxicology of traditional Chinese medicine because of its characteristics of non-invasive and monitoring the whole-body metabolism. This study was designed to detect the dynamic variation of rat urine metabolome along with a long-term administration of total ginsenosides using GC-TOF based metabolomic technology. Our result showed that either short-term or chronic administration of ginsenosides did not impact the rat urine metabolome significantly (as the PCA subgroup was not successful). By comparison, the short-term (1-3 w) dose of ginsenosides had the biggest metabolic influence including TCA cycle, catecholamines and neurotransmitter amino acids. Medium-term (6-10 w) dose had a gradually lower effect and long-term (27 w) dose almost had no effect. Our study indicates that both short and long-term administration of ginsenosides showed almost no obvious side-effect on the experimental animals.

  5. Is "the perfect model" really needed? - Analysis of the quality level of climate information necessary for supporting adaptation in agriculture and forestry

    NASA Astrophysics Data System (ADS)

    Gálos, Borbála; Ostler, Wolf-Uwe; Csáki, Péter; Bidló, András; Panferov, Oleg

    2016-04-01

    Recent results of climate science (e.g. IPCC AR5, 2013) and statements of climate policy (e.g. Paris Agreement) confirm that climate change is an ongoing issue. The consequences will be noticeable for a long time even if the 2 Degree goal is reached. Therefore, action plans are necessary for adaptation and mitigation on national and international level. Forestry and agriculture are especially threatened by the probable increase of the frequency and/or intensity of climate extremes. Severe impacts of recurrent droughts/heat waves that were observed in the last decades in the sensitive and vulnerable ecosystems and regions are very likely to occur with increasing probability throughout the 21st century. For the adequate climate impact assessments, for adaptation strategies as well as for supporting decisions in the above mentioned sectors the reliable information on the long-term climate tendencies and on ecosystem responses are required. Here are the two major problems: on the one hand the information on current climate and future climate developments are highly uncertain. On the other hand, due to limited knowledge on ecosystem responses, it is difficult to define how certain or accurate the provided climate data should be for the plausible application in agricultural/forestry research and practice. Considering agriculture and forestry, our research is focusing on the following questions: • What is the climate information demand of practice and impact research in the two sectors? • What quality level of climate information is necessary for adaptation support? • How does the accuracy of climate input affect the results of the climate impact assessments? The agriculture and forestry operate at two very different time scales and have a different reaction times and adaptation capacities. Agriculture requires short-term information on current conditions and short-/medium-term weather forecast. To assess the degree of information accuracy required by practical agriculture a questionnaire has been carried out among 180 farms of different sizes and specializations (mostly arable farming and viniculture) in Reinland-Palatine, Germany. The results show that almost all farmers use the weather information daily and are in need of weather forecast. More than a half requires also the forecast on extreme events. However the farmers require more qualitative (e.g. temperature coarser than 1°C) than high-precision quantitative information in short and medium-term forecasts. Forestry requires long-term (30-100 years) climate projections. For the assessment of climate change impacts on forest distribution, production and tree species selection, monthly temperature means and precipitation sums are sufficient. Based on the results of regional climate models it will be shown how the bias, the spread and spatial resolution of the simulation results are affecting the accuracy of impact assessments. Our analyses can help to fill the gap between climate services and the needs of impact researchers and end users in agriculture and forestry. User-relevant climate information can contribute to appropriate adaptation support services and management options in the two sectors. Keywords: regional climate projections, climate impact assessment, agriculture, forestry, adaptation support, accuracy of climate information Funding: The research is supported by the "Agroclimate-2" (VKSZ_12-1-2013-0034) joint EU-national research project.

  6. Social, economic, and health impact of the respiratory syncytial virus: a systematic search.

    PubMed

    Díez-Domingo, Javier; Pérez-Yarza, Eduardo G; Melero, José A; Sánchez-Luna, Manuel; Aguilar, María Dolores; Blasco, Antonio Javier; Alfaro, Noelia; Lázaro, Pablo

    2014-10-30

    Bronchiolitis caused by the respiratory syncytial virus (RSV) and its related complications are common in infants born prematurely, with severe congenital heart disease, or bronchopulmonary dysplasia, as well as in immunosuppressed infants. There is a rich literature on the different aspects of RSV infection with a focus, for the most part, on specific risk populations. However, there is a need for a systematic global analysis of the impact of RSV infection in terms of use of resources and health impact on both children and adults. With this aim, we performed a systematic search of scientific evidence on the social, economic, and health impact of RSV infection. A systematic search of the following databases was performed: MEDLINE, EMBASE, Spanish Medical Index, MEDES-MEDicina in Spanish, Cochrane Plus Library, and Google without time limits. We selected 421 abstracts based on the 6,598 articles identified. From these abstracts, 4 RSV experts selected the most relevant articles. They selected 65 articles. After reading the full articles, 23 of their references were also selected. Finally, one more article found through a literature information alert system was included. The information collected was summarized and organized into the following topics: 1. Impact on health (infections and respiratory complications, mid- to long-term lung function decline, recurrent wheezing, asthma, other complications such as otitis and rhino-conjunctivitis, and mortality; 2. Impact on resources (visits to primary care and specialists offices, emergency room visits, hospital admissions, ICU admissions, diagnostic tests, and treatments); 3. Impact on costs (direct and indirect costs); 4. Impact on quality of life; and 5. Strategies to reduce the impact (interventions on social and hygienic factors and prophylactic treatments). We concluded that 1. The health impact of RSV infection is relevant and goes beyond the acute episode phase; 2. The health impact of RSV infection on children is much better documented than the impact on adults; 3. Further research is needed on mid- and long-term impact of RSV infection on the adult population, especially those at high-risk; 4. There is a need for interventions aimed at reducing the impact of RSV infection by targeting health education, information, and prophylaxis in high-risk populations.

  7. Prevalence of and factors associated with head impact during falls in older adults in long-term care.

    PubMed

    Schonnop, Rebecca; Yang, Yijian; Feldman, Fabio; Robinson, Erin; Loughin, Marie; Robinovitch, Stephen N

    2013-11-19

    Falls cause more than 60% of head injuries in older adults. Lack of objective evidence on the circumstances of these events is a barrier to prevention. We analyzed video footage to determine the frequency of and risk factors for head impact during falls in older adults in 2 long-term care facilities. Over 39 months, we captured on video 227 falls involving 133 residents. We used a validated questionnaire to analyze the mechanisms of each fall. We then examined whether the probability for head impact was associated with upper-limb protective responses (hand impact) and fall direction. Head impact occurred in 37% of falls, usually onto a vinyl or linoleum floor. Hand impact occurred in 74% of falls but had no significant effect on the probability of head impact (p = 0.3). An increased probability of head impact was associated with a forward initial fall direction, compared with backward falls (odds ratio [OR] 2.7, 95% confidence interval [CI] 1.3-5.9) or sideways falls (OR 2.8, 95% CI 1.2-6.3). In 36% of sideways falls, residents rotated to land backwards, which reduced the probability of head impact (OR 0.2, 95% CI 0.04-0.8). Head impact was common in observed falls in older adults living in long-term care facilities, particularly in forward falls. Backward rotation during descent appeared to be protective, but hand impact was not. Attention to upper-limb strength and teaching rotational falling techniques (as in martial arts training) may reduce fall-related head injuries in older adults.

  8. Impact of Workplace and Other Convenient Vehicle Charging

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

    Levinson, Rebecca Sobel; West, Todd H.

    This work uses market analysis and simulation to explore the potential impact of workplace and similarly convenient away-from-home charging infrastructure (AFHCI) in reducing US light duty vehicle (LDV) petroleum use and greenhouse gas emissions. The ParaChoice model simulates the evolution of LDV sales, fuel use, and emissions through 2050, considering consumer responses to different options of electric range extension made available through AFHCI, fraction of the population with access, and delay in infrastructure implementation. Results indicate that providing a greater fraction of the population access to level 1 AFHCI for a full workday may provide more benefit than providing levelmore » 2 charging to a lesser fraction. This result holds even considering the fraction of the population without at-home charging. Moreover, delays in infrastructure implementation have no substantial drawbacks for long term petroleum use reduction and EV adoption, though delays will impact short term gains.« less

  9. Age and closeness of death as determinants of health and social care utilization: a case-control study.

    PubMed

    Forma, Leena; Rissanen, Pekka; Aaltonen, Mari; Raitanen, Jani; Jylhä, Marja

    2009-06-01

    We used case-control design to compare utilization of health and social services between older decedents and survivors, and to identify the respective impact of age and closeness of death on the utilization of services. Data were derived from multiple national registers. The sample consisted of 56,001 persons, who died during years 1998-2000 at the age of > or = 70, and their pairs matched on age, gender and municipality of residence, who were alive at least 2 years after their counterpart's death. Data include use of hospitals, long-term care and home care. Decedents' utilization within 2 years before death and survivors' utilization in the same period of time was assessed in three age groups (70-79, 80-89 and > or = 90 years) and by gender. Decedents used hospital and long-term care more than their surviving counterparts, but the time patterns were different. In hospital care the differences between decedents and survivors rose in the last months of the study period, whereas in long-term care there were clear differences during the whole 2-year period. The differences were smaller in the oldest age group than in younger age groups. Closeness of death is an important predictor of health and social service use in old age, but its influence varies between age groups. Not only the changing age structure, but also the higher average age at death affects the future need for services.

  10. Short- and long-term impact of subtotal parathyroidectomy on the achievement of bone and mineral parameters recommended by clinical practice guidelines in dialysis patients: a 12-year single-center experience.

    PubMed

    Tsai, Wan-Chuan; Peng, Yu-Sen; Yang, Ju-Yeh; Hsu, Shih-Ping; Wu, Hon-Yen; Pai, Mei-Fen; Chang, Jia-Feng; Chen, Hung-Yuan

    2013-01-01

    The short- and long-term impact of parathyroidectomy (PTX) on the parameters of mineral bone disease in dialysis patients with severe secondary hyperparathyroidism (HPT) remains unclear. A retrospective chart review of 401 consecutive dialysis patients who underwent subtotal PTX by one surgeon was performed. We checked serum levels of calcium (Ca), phosphorus (P), and intact parathyroid hormone (iPTH) for 3 consecutive days, and then monthly for Ca, P, and tri-monthly for iPTH postoperatively. Patients with available laboratory data within the 1st to 6th postoperative months were included in the short-term follow-up group and those with at least 6 months available data were in the long-term follow-up one. Patients (short-term group, n = 401, and long-term group, n = 94) had severely uncontrolled serum iPTH levels, Ca, P and Ca × P before PTX. In the short-term group, percentages of cases achieving K/DOQI targets for serum Ca, Ca × P, and iPTH and KDIGO ones for serum Ca, P, and iPTH after PTX, significantly improved compared with those before operation (all p < 0.05). In the long-term group (mean follow-up of 43 ± 29 months), the percentage of achieved targets for serum iPTH in both guidelines and for serum Ca and Ca × P in the K/DOQI recommendation also improved postoperatively (all p < 0.05). Achievements of K/DOQI recommended values for serum Ca, Ca × P, iPTH and KDIGO recommendations for iPTH can be successfully reached by subtotal PTX in medically refractory, secondary HPT in dialysis patients both during short- and long-term follow-ups. © 2013 S. Karger AG, Basel.

  11. The Impact of Training for Empirically Based Practice.

    ERIC Educational Resources Information Center

    Simons, Ronald

    1987-01-01

    Consistent with previous research, a course to teach empirically based practice produced a short-term effect on students which dissipated in the months following graduation. Long-term impact was related to the attitudes of co-workers and the type of agency. Strategies are suggested for countering those negative influences. (Author/MH)

  12. Impacts of black-tailed prairie dog rodenticides on nontarget passerines

    Treesearch

    Anthony D. Apa; Daniel W. Uresk; Raymond L. Linder

    1991-01-01

    In 1983 zinc phosphide, strychnine with prebait, and strychnine without prebait were applied to black-tailed prairie dog (Cynomys Zudovicianus) colonies in west central South Dakota. Short-term (four days later) and long-term (one year later) impacts of the rodenticides on Horned Larks (Eremophila alpestris) and other...

  13. Kinematic Differences Between Motorized and Nonmotorized Treadmill Locomotion

    NASA Technical Reports Server (NTRS)

    DeWitt, John K.; Bentley, Jason R.; Lee, Stuart M. C.; Norcross, Jason; Smith, Cassie; Hagan, R. Donald

    2006-01-01

    There are few scientific publications comparing human locomotion between motorized and nonmotorized treadmills. Lakomy (1987) and Gamble et al (1988) reported that forward lean is greater on a nonmotorized treadmill to aid in the generation of horizontal force necessary for belt propulsion, but there are no data concerning lower limb kinematics. During long-term spaceflight, astronauts use locomotive exercise to mitigate the physiological effects caused by long-term exposure to microgravity. A critical decision for mission planners concerns the requirements for a treadmill to be used during potential trips to the Moon and Mars. Treadmill operation in an un-powered configuration could reduce mission resource demands, but also may impact the efficacy of treadmill exercise countermeasures. To ascertain the most appropriate type of treadmill to be used, it is important to understand biomechanical differences between motorized (M) and nonmotorized (NM) locomotion. The purpose of this evaluation was to test for differences in lower limb kinematics that occur during M and NM treadmill locomotion at two speeds. It was hypothesized that hip and knee joint angle trajectories would differ between the conditions.

  14. Impact of internal variability on projections of Sahel precipitation change

    NASA Astrophysics Data System (ADS)

    Monerie, Paul-Arthur; Sanchez-Gomez, Emilia; Pohl, Benjamin; Robson, Jon; Dong, Buwen

    2017-11-01

    The impact of the increase of greenhouse gases on Sahelian precipitation is very uncertain in both its spatial pattern and magnitude. In particular, the relative importance of internal variability versus external forcings depends on the time horizon considered in the climate projection. In this study we address the respective roles of the internal climate variability versus external forcings on Sahelian precipitation by using the data from the CESM Large Ensemble Project, which consists of a 40 member ensemble performed with the CESM1-CAM5 coupled model for the period 1920-2100. We show that CESM1-CAM5 is able to simulate the mean and interannual variability of Sahel precipitation, and is representative of a CMIP5 ensemble of simulations (i.e. it simulates the same pattern of precipitation change along with equivalent magnitude and seasonal cycle changes as the CMIP5 ensemble mean). However, CESM1-CAM5 underestimates the long-term decadal variability in Sahel precipitation. For short-term (2010-2049) and mid-term (2030-2069) projections the simulated internal variability component is able to obscure the projected impact of the external forcing. For long-term (2060-2099) projections external forcing induced change becomes stronger than simulated internal variability. Precipitation changes are found to be more robust over the central Sahel than over the western Sahel, where climate change effects struggle to emerge. Ten (thirty) members are needed to separate the 10 year averaged forced response from climate internal variability response in the western Sahel for a long-term (short-term) horizon. Over the central Sahel two members (ten members) are needed for a long-term (short-term) horizon.

  15. Off the rails in rural South Carolina: a qualitative study of healthcare provider perspectives on the long-term health impact of the Graniteville train disaster.

    PubMed

    Annang Ingram, Lucy; Tinago, Chiwoneso B; Estrada, Robin; Wilson, Sacoby; Wright Sanders, Louisiana; Bevington, Tina; Carlos, Bethany; Cornelius, Evangeline; Svendsen, Erik R; Ball, Julia

    2016-01-01

    In 2005, a train derailment and subsequent chlorine spill ravaged the rural town of Graniteville in South Carolina, resulting in one of the worst chlorine gas exposures in US. Significant health and economic challenges persist in the community more than a decade later. Healthcare providers offered healthcare services to community members in the immediate aftermath of the disaster, and many still live in the community and continue to provide healthcare services. As such, healthcare professionals provide a unique and important perspective to help understand the impact of the disaster on the community's health. The purpose of this study was to explore healthcare providers' perspectives about the long-term effects of the disaster on community health, healthcare access, and wellbeing. Semi-structured interviews were conducted with 30 healthcare providers who treated survivors of the Graniteville train disaster. A qualitative, essentialist, inductive thematic analytic approach was used to analyze study data. Four themes emerged regarding the disaster's long-term impact: effects of chlorine exposure on physical health, issues with healthcare access, residual effects of the disaster on personal and community wellbeing, and improving health and community wellbeing. Disaster recovery should not be considered solely an acute event; agencies must be prepared for long-term, potentially chronic ailments, particularly in underserved, rural communities. Efforts to address the long-term health needs of communities post-disaster should consider the perspectives of healthcare providers to offer a well-rounded assessment of community needs. Study findings can help inform future disaster response strategies in communities locally and globally.

  16. Grasstops and Grassroots Approaches to Building Community Resilience

    NASA Astrophysics Data System (ADS)

    LeBeau, A.; Bader, D.

    2017-12-01

    Climate change and extreme weather events pose complex risks to cities all over the world, impacting not only the built environment, but also social infrastructure. Because urban communities are culturally and socioeconomically diverse, as well as systemically complicated, climate change and extreme weather events will impact people differently even within a single city—not only because of where they live, but also because of who they are. The City of Long Beach, California, is in its very early stages of understanding its vulnerabilities. However, city leaders and community partners including the Aquarium of the Pacific are committed to creating a model climate resilient city. Climate change risks most relevant to Long Beach include drought (and freshwater shortages), extreme heat, sea level rise, and poor air quality. Over the past 18 months, the Aquarium of the Pacific has been testing elements of a broad-reaching education strategy to reach community stakeholders. Two multi-level approaches are designed to build awareness and momentum for climate resilience. A grassroots approach, called RESILIENT LB, focuses on an interactive outreach booth that travels to community events. The booth is staffed by educators with specific training on climate communication. Facilitated conversations help people identify what they love about Long Beach and immediate impacts that climate change will have on the things they value. A second, complimentary approach involves long-term community engagement through a grasstops-to-grassroots approach. Aquarium educators have been facilitating different climate resilience workshops for leaders from a variety of groups across Long Beach. These workshops give leaders the chance to reflect on how their communities may be impacted by climate change, and highlight adaptation (rather than mitigation) to climate change. In this session, we will share how these programs have evolved, lessons learned, and areas of growth.

  17. Northern long-eared bat day-roosting and prescribed fire in the central Appalachians

    USGS Publications Warehouse

    Ford, W. Mark; Silvis, Alexander; Johnson, Joshua B.; Edwards, John W.; Karp, Milu

    2016-01-01

    The northern long-eared bat (Myotis septentrionalis Trovessart) is a cavity-roosting species that forages in cluttered upland and riparian forests throughout the oak-dominated Appalachian and Central Hardwoods regions. Common prior to white-nose syndrome, the population of this bat species has declined to functional extirpation in some regions in the Northeast and Mid-Atlantic, including portions of the central Appalachians. Our long-term research in the central Appalachians has shown that maternity colonies of this species form non-random assorting networks in patches of suitable trees that result from long- and short-term forest disturbance processes, and that roost loss can occur with these disturbances. Following two consecutive prescribed burns on the Fernow Experimental Forest in the central Appalachians, West Virginia, USA, in 2007 to 2008, post-fire counts of suitable black locust (Robinia pseudoacacia L.; the most selected species for roosting) slightly decreased by 2012. Conversely, post-fire numbers of suitable maple (Acer spp. L.), primarily red maple (Acer rubrum L.), increased by a factor of three, thereby ameliorating black locust reduction. Maternity colony network metrics such as roost degree (use) and network density for two networks in the burned compartment were similar to the single network observed in unburned forest. However, roost clustering and degree of roost centralization was greater for the networks in the burned forest area. Accordingly, the short-term effects of prescribed fire are slightly or moderately positive in impact to day-roost habitat for the northern long-eared bat in the central Appalachians from a social dynamic perspective. Listing of northern long-eared bats as federally threatened will bring increased scrutiny of immediate fire impacts from direct take as well as indirect impacts from long-term changes to roosting and foraging habitat in stands being returned to historic fire-return conditions. Unfortunately, definitive impacts will remain speculative owing to the species’ current rarity and the paucity of forest stand data that considers tree condition or that adequately tracks snags spatially and temporally.

  18. Estimating Differences in Area-Level Impacts of Various Recruiting Resources: Can Different Recruiting Areas and Years by Pooled?

    DTIC Science & Technology

    1983-08-01

    Local Leads (Qualified and Interested) from LAMS Advertising (Based on FY82 Experience) Table 7 - Long Term Elasticities for Navy-Sourced NOIC Leads...Area Level Elasticities for Total NOIC Leads (Regardless of Source of Advertising ) for FY79, FY80 (FY80: 146,465) Appendix - Table la - Comparison of...of national .1*S leads (e.g., NOIC leads from a Navy source or from Joint DOD advertising (JADOR) sources), and for local leads. An Appendix

  19. The influence of disturbance events on survival and dispersal rates of Florida box turtles

    USGS Publications Warehouse

    Dodd, C.K.; Ozgul, A.; Oli, M.K.

    2006-01-01

    Disturbances have the potential to cause long-term effects to ecosystem structure and function, and they may affect individual species in different ways. Long-lived vertebrates such as turtles may be at risk from such events, inasmuch as their life histories preclude rapid recovery should extensive mortality occur. We applied capture–mark–recapture models to assess disturbance effects on a population of Florida box turtles (Terrapene carolina bauri) on Egmont Key, Florida, USA. Near the midpoint of the study, a series of physical disturbances affected the island, from salt water overwash associated with several tropical storms to extensive removal of nonindigenous vegetation. These disturbances allowed us to examine demographic responses of the turtle population and to determine if they affected dispersal throughout the island. Adult survival rates did not vary significantly either between sexes or among years of the study. Survival rates did not vary significantly between juvenile and adult turtles, or among years of the study. Furthermore, neither adult nor juvenile survival rates differed significantly between pre- and post-disturbance. However, dispersal rates varied significantly among the four major study sites, and dispersal rates were higher during the pre-disturbance sampling periods compared to post-disturbance. Our results suggest few long-term effects on the demography of the turtle population. Florida box turtles responded to tropical storms and vegetation control by moving to favorable habitats minimally affected by the disturbances and remaining there. As long as turtles and perhaps other long-lived vertebrates can disperse to non-disturbed habitat, and high levels of mortality do not occur in a population, a long life span may allow them to wait out the impact of disturbance with potentially little effect on long-term population processes.

  20. Long-term mesocosms study of the effects of ocean acidification on growth and physiology of the sea urchin Echinometra mathaei.

    PubMed

    Moulin, Laure; Grosjean, Philippe; Leblud, Julien; Batigny, Antoine; Collard, Marie; Dubois, Philippe

    2015-02-01

    Recent research on the impact of ocean acidification (OA) has highlighted that it is important to conduct long-term experiments including ecosystem interactions in order to better predict the possible effects of elevated pCO2. The goal of the present study was to assess the long-term impact of OA on a suite of physiological parameters of the sea urchin Echinometra mathaei in more realistic food conditions. A long-term experiment was conducted in mesocosms provided with an artificial reef in which the urchins principally fed on algae attached to the reef calcareous substrate. Contrasted pH conditions (pH 7.7 vs control) were established gradually over six months and then maintained for seven more months. Acid-base parameters of the coelomic fluid, growth and respiration rate were monitored throughout the experiment. Results indicate that E. mathaei should be able to regulate its extracellular pH at long-term, through bicarbonate compensation. We suggest that, within sea urchins species, the ability to accumulate bicarbonates is related to their phylogeny but also on the quantity and quality of available food. Growth, respiration rate and mechanical properties of the test were not affected. This ability to resist OA levels expected for 2100 at long-term could determine the future of coral reefs, particularly reefs where E. mathaei is the major bioeroder. Copyright © 2014 Elsevier Ltd. All rights reserved.

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