Sample records for disproportionately large impact

  1. Beyond Box Checking: Toward Sound Environmental Justice Analyses for Informed Decision-Making and Meaningful Tribal Consultation

    NASA Astrophysics Data System (ADS)

    Emanuel, R. E.; Rivers, L., III; Blank, G. B.

    2017-12-01

    Environmental justice analyses are mandatory components of federal environmental reviews in the United States. They are intended to help regulators and developers identify and address disproportionate impacts on poor and/or minority populations. In many cases, however, environmental justice analyses are treated as "box checking" exercises that employ weak or flawed designs unable to detect disparate impacts on vulnerable populations. We use a recent example of an environmental review led by the Federal Energy Regulatory Commission to demonstrate how flawed analyses mask disproportionate impacts on poor and/or minority populations. In this case, regulators conducted a flawed environmental justice analysis for the proposed Atlantic Coast Pipeline concluding no disproportionate impacts on vulnerable populations. We reanalyze data from the project's environmental impact statement and provide a more accurate assessment of impacts on Native Americans in North Carolina. Specifically, we show that Native Americans make up a disproportionately large fraction of residents along the proposed pipeline route (13.2%) compared to their representation in the affected counties (6.2%) or in the state at large (1.2%). We discuss implications of the original, flawed analysis for tribes representing nearly 30,000 Native Americans along the project route, and we discuss efforts by affected tribes to have their unique perspectives incorporated into the decision-making process. We conclude with general recommendations for designing environmental justice analyses that serve as useful tools to guide environmental decision-making and consultation with affected groups.

  2. 77 FR 8776 - Fisheries of the Northeastern United States; Atlantic Bluefish Fishery; 2012 Atlantic Bluefish...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... small businesses; thus, there would be no disproportionate impacts between large and small entities as a... environmental, economic, and social impacts of the recommendations. NMFS is responsible for reviewing these... (RFA), which describes the economic impact this proposed rule, if adopted, would have on small entities...

  3. 76 FR 8330 - Hawaii Bottomfish and Seamount Groundfish Fisheries; Modification to Advance Notification Period...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-14

    ... precision in forecasting the closure date, and also facilitate adherence to the catch limit by reducing the... Business Administration that this proposed rule, if adopted, would not have a significant economic impact... disproportionate economic impacts between large and small entities, and the proposed action is not expected to have...

  4. Black Suburbanization in Texas Metropolitan Areas and Its Impact on Student Achievement.

    ERIC Educational Resources Information Center

    Kain, John F.; O'Brien, Daniel M.

    Suburban schools are generally of higher quality than the inner city schools that continue to serve a disproportionate share of black children. This study provided significant evidence that school quality, measured by the mean test scores for individual grades/campuses, has a large impact on the achievement of individual students. The analysis…

  5. English Reading Placement Recommendations at College of the Canyons: An Analysis of Disproportionate Impact.

    ERIC Educational Resources Information Center

    Gerda, Joseph

    A study was undertaken at California's College of the Canyons (CC) to determine whether evidence existed of disproportionate impact in English reading course placement based on student ethnicity, gender, or age. Data were compiled for all 4,312 students tested between spring 1993 and fall 1995, while the standard for disproportionate impact was…

  6. English Writing Placement Recommendations at College of the Canyons: An Analysis of Disproportionate Impact.

    ERIC Educational Resources Information Center

    Gerda, Joseph

    A study was undertaken at California's College of the Canyons (CoC) to determine whether evidence existed of disproportionate impact in English course placement based on student ethnicity, gender, or age. Data were compiled for all 4,309 students tested between spring 1993 and fall 1995, while the standard for disproportionate impact was taken…

  7. POTENTIAL IMPACTS OF INCREASED SOLAR UV-B ON GLOBAL PLANT PRODUCTIVITY

    EPA Science Inventory

    Ultraviolet-B radiation comprises only a small portion of the electromagnetic spectrum but has a disproportionately large photobiological effect. oth plants and animals are greatly affected by increases in UV-B radiation but there exists tremendous variability in the sensitivity ...

  8. Chaos in Practice: Techniques for Career Counsellors

    ERIC Educational Resources Information Center

    Pryor, Robert G. L.; Bright, Jim

    2005-01-01

    The chaos theory of careers emphasises continual change, the centrality and importance of chance events, the potential of minor events to have disproportionately large impacts on subsequent events, and the capacity for dramatic phase shifts in career behaviour. This approach challenges traditional approaches to career counselling, assumptions…

  9. Health-Seeking Behaviors among Latinas: Practices and Reported Difficulties in Obtaining Health Services

    ERIC Educational Resources Information Center

    Rojas-Guyler, Liliana; King, Keith A.; Montieth, Brigid A.

    2008-01-01

    Background: Latinos experience disproportionate negative health status and health care access. Expanding understanding of factors impacting Latino immigrant health is imperative. Purpose: This study identified health-seeking behaviors among Latinas in a large Midwestern city with rapid immigrant population growth. Health-seeking behaviors like…

  10. Addressing the Root Causes of Disparities in School Discipline: An Educator's Action Planning Guide

    ERIC Educational Resources Information Center

    Osher, D.; Fisher, D.; Amos, L.; Katz, J.; Dwyer, K.; Duffey, T.; Colombi, G. D.

    2015-01-01

    Discriminatory discipline practices in the nation's schools disproportionately impact students of color; students with emotional, behavioral, and cognitive disabilities; and youth who identify as lesbian, gay, bisexual, transgender, and questioning (LGBTQ). Large numbers of these students are removed from class, lose opportunities to learn, and…

  11. The Great Recession and America’s Geography of Unemployment

    PubMed Central

    Thiede, Brian C.; Monnat, Shannon M.

    2017-01-01

    Background The Great Recession of 2007–2009 was the most severe and lengthy economic crisis in the U.S. since the Great Depression. The impacts on the population were multi-dimensional, but operated largely through local labor markets. Objective To examine differences in recession-related changes in county unemployment rates and assess how population and place characteristics shaped these patterns. Methods We calculate and decompose Theil Indexes to describe recession-related changes in the distribution of unemployment rates between counties and states. We use exploratory spatial statistics to identify geographic clusters of counties that experienced similar changes in unemployment. We use spatial regression to evaluate associations between county-level recession impacts on unemployment and demographic composition, industrial structure, and state context. Results The recession was associated with increased inequality between county labor markets within states, but declining between-state differences. Counties that experienced disproportionate recession-related increases in unemployment were spatially clustered and characterized by large shares of historically disadvantaged racial and ethnic minority populations, low educational attainment, and heavy reliance on pro-cyclical industries. Associations between these sources of vulnerability were partially explained by unobserved state-level factors. Conclusions The local consequences of macroeconomic trends are associated with county population characteristics, as well as the structural contexts and policy environments in which they are embedded. The recession placed upward pressure on within-state inequality between local labor market conditions. Contribution To present new estimates of the recession’s impact on local labor markets, quantify how heterogeneous impacts affected the distribution of unemployment prevalence, and identify county characteristics associated with disproportionately large recession-related increases in unemployment. PMID:28663712

  12. Surgical follow-up costs disproportionately impact low-income patients.

    PubMed

    Scott, Aaron R; Rush, Augustus J; Naik, Aanand D; Berger, David H; Suliburk, James W

    2015-11-01

    Surgical procedures have significant costs at the national level, but the financial burden on patients is equally important. Patients' out-of-pocket costs for surgery and surgical care include not only direct medical costs but also the indirect cost of lost wages and direct nonmedical costs including transportation and childcare. We hypothesized that the nonmedical costs of routine postoperative clinic visits disproportionately impact low-income patients. This was a cross-sectional study performed in the postoperative acute care surgery clinic at a large, urban county hospital. A survey containing items about social, demographic, and financial data was collected from ambulatory patients. Nonmedical costs were calculated as the sum of transportation, childcare, and lost wages. Costs and cost to income ratios were compared between income strata. Ninety-seven patients responded to the survey of which 59 reported all items needed for cost calculations. The median calculated cost of a clinic visit was $27 (interquartile range $18-59). Components of this cost were $16 ($14-$20) for travel, $22 ($17-$50) for childcare among patients requiring childcare, and $0 ($0-$30) in lost wages. Low-income patients had significantly higher (P = 0.0001) calculated cost to income ratios, spending nearly 10% of their monthly income on these costs. The financial burden of routine postoperative clinic visits is significant. Consistent with our hypothesis, the lowest income patients are disproportionately impacted, spending nearly 10% of their monthly income on costs associated with the clinic visit. Future cost-containment efforts should examine alternative, lower cost methods of follow-up, which reduce financial burden. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. HIV, wages, and the skill premium.

    PubMed

    Marinescu, Ioana

    2014-09-01

    The HIV epidemic has dramatically decreased labor supply among prime-age adults in Sub-Saharan Africa. Using within-country variation in regional HIV prevalence and a synthetic panel, I find that HIV significantly increases the capital-labor ratio in urban manufacturing firms. The impact of HIV on average wages is positive but imprecisely estimated. In contrast, HIV has a large positive impact on the skill premium. The impact of HIV on the wages of low skilled workers is insignificantly different from 0, and is strongly dampened by competition from rural migrants. The HIV epidemic disproportionately increases the incomes of high-skilled survivors, thus increasing inequality. Copyright © 2014 Elsevier B.V. All rights reserved.

  14. Identifying habitats at risk: simple models can reveal complex ecosystem dynamics.

    PubMed

    Maxwell, Paul S; Pitt, Kylie A; Olds, Andrew D; Rissik, David; Connolly, Rod M

    2015-03-01

    The relationship between ecological impact and ecosystem structure is often strongly nonlinear, so that small increases in impact levels can cause a disproportionately large response in ecosystem structure. Nonlinear ecosystem responses can be difficult to predict because locally relevant data sets can be difficult or impossible to obtain. Bayesian networks (BN) are an emerging tool that can help managers to define ecosystem relationships using a range of data types from comprehensive quantitative data sets to expert opinion. We show how a simple BN can reveal nonlinear dynamics in seagrass ecosystems using ecological relationships sourced from the literature. We first developed a conceptual diagram by cataloguing the ecological responses of seagrasses to a range of drivers and impacts. We used the conceptual diagram to develop a BN populated with values sourced from published studies. We then applied the BN to show that the amount of initial seagrass biomass has a mitigating effect on the level of impact a meadow can withstand without loss, and that meadow recovery can often require disproportionately large improvements in impact levels. This mitigating effect resulted in the middle ranges of impact levels having a wide likelihood of seagrass presence, a situation known as bistability. Finally, we applied the model in a case study to identify the risk of loss and the likelihood of recovery for the conservation and management of seagrass meadows in Moreton Bay, Queensland, Australia. We used the model to predict the likelihood of bistability in 23 locations in the Bay. The model predicted bistability in seven locations, most of which have experienced seagrass loss at some stage in the past 25 years providing essential information for potential future restoration efforts. Our results demonstrate the capacity of simple, flexible modeling tools to facilitate collation and synthesis of disparate information. This approach can be adopted in the initial stages of conservation programs as a low-cost and relatively straightforward way to provide preliminary assessments of.nonlinear dynamics in ecosystems.

  15. The School-to-Prison Pipeline: Disproportionate Impact on Vulnerable Children and Adolescents

    ERIC Educational Resources Information Center

    Mallett, Christopher A.

    2017-01-01

    This conceptual article synthesizes the empirical research on punitive environmental norms of schools and the disproportionate effects on certain child and adolescent groups, particularly within urban schools. This involvement has come to be known as the school-to-prison pipeline. The young people affected by harsh school discipline protocols and…

  16. The Disproportionate Use of Discipline: An Investigation of the Potential Impact of School-Wide Positive Behavioral Interventions and Supports

    ERIC Educational Resources Information Center

    Guardino, David Matthew

    2013-01-01

    Over the last 35 years, the disproportionate use of discipline by gender, race/ethnicity, and disability status has been consistently documented. Specifically, Black males receive the majority of suspensions and expulsions. Discipline for Native American and Hispanic students, while often showing overrepresentation, is less consistent. There is…

  17. Plan EJ 2014: Science Tools Development

    EPA Pesticide Factsheets

    Under Plan EJ 2014, EPA has committed to building a strong scientific foundation for supporting environmental justice and conducting disproportionate impact analysis, particularly methods to appropriately characterize and assess cumulative impacts.

  18. Disproportionate photosynthetic decline and inverse relationship between constitutive and induced volatile emissions upon feeding of Quercus robur leaves by large larvae of gypsy moth (Lymantria dispar)

    PubMed Central

    Copolovici, Lucian; Pag, Andreea; Kännaste, Astrid; Bodescu, Adina; Tomescu, Daniel; Copolovici, Dana; Soran, Maria-Loredana; Niinemets, Ülo

    2018-01-01

    Gypsy moth (Lymantria dispar L., Lymantriinae) is a major pest of pedunculate oak (Quercus robur) forests in Europe, but how its infections scale with foliage physiological characteristics, in particular with photosynthesis rates and emissions of volatile organic compounds has not been studied. Differently from the majority of insect herbivores, large larvae of L. dispar rapidly consume leaf area, and can also bite through tough tissues, including secondary and primary leaf veins. Given the rapid and devastating feeding responses, we hypothesized that infection of Q. robur leaves by L. dispar leads to disproportionate scaling of leaf photosynthesis and constitutive isoprene emissions with damaged leaf area, and to less prominent enhancements of induced volatile release. Leaves with 0% (control) to 50% of leaf area removed by larvae were studied. Across this range of infection severity, all physiological characteristics were quantitatively correlated with the degree of damage, but all these traits changed disproportionately with the degree of damage. The net assimilation rate was reduced by almost 10-fold and constitutive isoprene emissions by more than 7-fold, whereas the emissions of green leaf volatiles, monoterpenes, methyl salicylate and the homoterpene (3E)-4,8-dimethy-1,3,7-nonatriene scaled negatively and almost linearly with net assimilation rate through damage treatments. This study demonstrates that feeding by large insect herbivores disproportionately alters photosynthetic rate and constitutive isoprene emissions. Furthermore, the leaves have a surprisingly large capacity for enhancement of induced emissions even when foliage photosynthetic function is severely impaired. PMID:29367792

  19. Convergence to consensus in heterogeneous groups and the emergence of informal leadership.

    PubMed

    Gavrilets, Sergey; Auerbach, Jeremy; van Vugt, Mark

    2016-07-14

    When group cohesion is essential, groups must have efficient strategies in place for consensus decision-making. Recent theoretical work suggests that shared decision-making is often the most efficient way for dealing with both information uncertainty and individual variation in preferences. However, some animal and most human groups make collective decisions through particular individuals, leaders, that have a disproportionate influence on group decision-making. To address this discrepancy between theory and data, we study a simple, but general, model that explicitly focuses on the dynamics of consensus building in groups composed by individuals who are heterogeneous in preferences, certain personality traits (agreeability and persuasiveness), reputation, and social networks. We show that within-group heterogeneity can significantly delay democratic consensus building as well as give rise to the emergence of informal leaders, i.e. individuals with a disproportionately large impact on group decisions. Our results thus imply strong benefits of leadership particularly when groups experience time pressure and significant conflict of interest between members (due to various between-individual differences). Overall, our models shed light on why leadership and decision-making hierarchies are widespread, especially in human groups.

  20. Latino sexual and gender identity minorities promoting sexual health within their social networks: Process evaluation findings from a lay health advisor intervention

    PubMed Central

    Sun, Christina J.; García, Manuel; Mann, Lilli; Alonzo, Jorge; Eng, Eugenia; Rhodes, Scott D.

    2015-01-01

    The HOLA intervention was a lay health advisor intervention designed to reduce the disproportionate HIV burden borne by Latino sexual and gender identity minorities (gay, bisexual, and other men who have sex with men, and transgender persons) living in the United States. Process evaluation data were collected for over a year of intervention implementation from 11 trained Latino male and transgender lay health advisors (Navegantes) to document the activities each Navegante conducted to promote condom use and HIV testing among his or her 8 social network members enrolled in the study. Over 13 months, the Navegantes reported conducting 1,820 activities. The most common activity was condom distribution. Navegantes had extensive reach beyond their enrolled social network members, and they engaged in health promotion activities beyond social network members enrolled in the study. There were significant differences between the types of activities conducted by Navegantes depending on who was present. Results suggest that lay health advisor interventions reach large number of at-risk community members and may benefit populations disproportionately impacted by HIV. PMID:25416309

  1. Ports Primer: 7.4 Agency Responsibilities

    EPA Pesticide Factsheets

    Near-port communities are often disproportionately impacted by air emissions due to port operations, goods movement operations and other industries that may be co-located with ports. Air emissions at ports also impact regional air quality.

  2. Ports Primer: 7.2 Air Emissions

    EPA Pesticide Factsheets

    Near-port communities are often disproportionately impacted by air emissions due to port operations, goods movement operations and other industries that may be co-located with ports. Air emissions at ports also impact regional air quality.

  3. "Too much moving...there's always a reason": Understanding urban Aboriginal peoples' experiences of mobility and its impact on holistic health.

    PubMed

    Snyder, Marcie; Wilson, Kathi

    2015-07-01

    Urban Indigenous peoples face a disproportionate burden of ill health compared to non-Indigenous populations, and experience more frequent geographic mobility. However, most of what is known about Indigenous health is limited to rural, northern, or in the case of Canada, reserve-based populations. Little is known about the complexities of urban Indigenous health, and the differential impacts of residential mobility and urban migration remain poorly understood. Drawing upon interviews with Aboriginal movers and service providers in Winnipeg, Canada, we apply a critical population health lens, informed by holistic health, to examine these impacts. The results demonstrate mobility is an intergenerational phenomenon, influenced by colonial practices. While migration can contribute to positive health experiences, residential mobility, which is largely involuntary, and linked to stressors such as neighborhood safety, results in negative health effects. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Ports Primer: 7.3 Federal Environmental Regulations, Initiatives and Standards

    EPA Pesticide Factsheets

    Near-port communities are often disproportionately impacted by air emissions due to port operations, goods movement operations and other industries that may be co-located with ports. Air emissions at ports also impact regional air quality.

  5. The Impact of Exclusionary Discipline on Students

    ERIC Educational Resources Information Center

    Ryan, Thomas G.; Goodram, Brian

    2013-01-01

    The impact of exclusionary discipline on students is clear and negative as we report herein. The impacts of exclusionary discipline have been negatively linked to the academic and social development of disciplined students. We argue that this discipline form has been disproportionately used among certain groups, particularly those students of…

  6. Salt Stability - The Effect of pHmax on Salt to Free Base Conversion.

    PubMed

    Hsieh, Yi-Ling; Merritt, Jeremy M; Yu, Weili; Taylor, Lynne S

    2015-09-01

    The aim of this study was to investigate how the disproportionation process can be impacted by the properties of the salt, specifically pHmax. Five miconazole salts and four sertraline salts were selected for this study. The extent of conversion was quantified using Raman spectroscopy. A mathematical model was utilized to estimate the theoretical amount of conversion. A trend was observed that for a given series of salts of a particular basic compound (both sertraline and miconazole are bases), the extent of disproportionation increases as pHmax decreases. Miconazole phosphate monohydrate and sertraline mesylate, although exhibiting significantly different pHmax values (more than 2 units apart), underwent a similar extent of disproportionation, which may be attributed to the lower buffering capacity of sertraline salts. This work shows that the disproportionation tendency can be influenced by pHmax and buffering capacity and thus highlights the importance of selecting the appropriate salt form during the screening process in order to avoid salt-to-free form conversion.

  7. Humans and seasonal climate variability threaten large-bodied coral reef fish with small ranges.

    PubMed

    Mellin, C; Mouillot, D; Kulbicki, M; McClanahan, T R; Vigliola, L; Bradshaw, C J A; Brainard, R E; Chabanet, P; Edgar, G J; Fordham, D A; Friedlander, A M; Parravicini, V; Sequeira, A M M; Stuart-Smith, R D; Wantiez, L; Caley, M J

    2016-02-03

    Coral reefs are among the most species-rich and threatened ecosystems on Earth, yet the extent to which human stressors determine species occurrences, compared with biogeography or environmental conditions, remains largely unknown. With ever-increasing human-mediated disturbances on these ecosystems, an important question is not only how many species can inhabit local communities, but also which biological traits determine species that can persist (or not) above particular disturbance thresholds. Here we show that human pressure and seasonal climate variability are disproportionately and negatively associated with the occurrence of large-bodied and geographically small-ranging fishes within local coral reef communities. These species are 67% less likely to occur where human impact and temperature seasonality exceed critical thresholds, such as in the marine biodiversity hotspot: the Coral Triangle. Our results identify the most sensitive species and critical thresholds of human and climatic stressors, providing opportunity for targeted conservation intervention to prevent local extinctions.

  8. Ischemic Strokes Due to Large-Vessel Occlusions Contribute Disproportionately to Stroke-Related Dependence and Death: A Review.

    PubMed

    Malhotra, Konark; Gornbein, Jeffrey; Saver, Jeffrey L

    2017-01-01

    Since large-vessel occlusion (LVO)-related acute ischemic strokes (AIS) are associated with more severe deficits, we hypothesize that the endovascular thrombectomy (ET) may disproportionately benefit stroke-related dependence and death. To delineate LVO-AIS impact, systematic search identified studies measuring dependence or death [modified Rankin Scale (mRS) 3-6] or mortality following ischemic stroke among consecutive patients presenting with both LVO and non-LVO events within 24 h of symptom onset. Among 197 articles reviewed, 2 met inclusion criteria, collectively enrolling 1,467 patients. Rates of dependence or death (mRS 3-6) within 3-6 months were higher after LVO than non-LVO ischemic stroke, 64 vs. 24%, odds ratio (OR) 4.46 (CI: 3.53-5.63, p  < 0.0001). Mortality within 3-6 months was higher after LVO than non-LVO ischemic stroke, 26.2 vs. 1.3%, OR 4.09 (CI: 2.5-6.68), p  < 0.0001. Consequently, while LVO ischemic events accounted for 38.7% (CI: 21.8-55.7%) of all acutely presenting ischemic strokes, they accounted for 61.6% (CI: 41.8-81.3%) of poststroke dependence or death and 95.6% (CI: 89.0-98.8%) of poststroke mortality. Using literature-based projections of LVO cerebral ischemia patients treatable within 8 h of onset, ET can be used in 21.4% of acutely presenting patients with ischemic stroke, and these events account for 34% of poststroke dependence and death and 52.8% of poststroke mortality. LVOs cause a little more than one-third of acutely presenting AIS, but are responsible for three-fifths of dependency and more than nine-tenths of mortality after AIS. At the population level, ET has a disproportionate benefit in reducing severe stroke outcomes.

  9. In Forests Globally, Large Trees Suffer Most during Drought

    NASA Astrophysics Data System (ADS)

    Bennett, A. C.; McDowell, N. G.; Allen, C. D.; Anderson-Teixeira, K. J.

    2014-12-01

    Globally, drought events are increasing in both frequency and intensity. Spatial and temporal variation in water availability is expected to alter the ecophysiology and structure of forests, with consequent feedbacks to climate change. Extensive tree mortality induced by heat and aridity has been documented across a range of latitudes, and several global vegetation models have simulated widespread forest die-off in the future. The impact of drought on forest structure and function will depend on the differential responses of trees of different sizes. Understanding the size-dependence of drought-induced mortality is necessary to predict local and global impacts. Here we show that in forests worldwide, drought has a greater impact on the growth and mortality of large trees compared to smaller trees. This trend holds true for forests ranging from semiarid woodlands to tropical rainforests. This finding contrasts with what would be expected if deep root access to water were the primary determinant of tree drought response. Rather, the greater drought response of larger trees could be driven by greater inherent vulnerability of large trees to hydraulic stress or by canopy position becoming more of a liability under drought, as exposed crowns face higher evaporative demand. These findings imply that future droughts will have a disproportionate effect on large trees, resulting in a larger feedback to climate change than would occur if all tree size classes were equally affected by drought.

  10. Ecology of Problem Individuals and the Efficacy of Selective Wildlife Management.

    PubMed

    Swan, George J F; Redpath, Steve M; Bearhop, Stuart; McDonald, Robbie A

    2017-07-01

    As a result of ecological and social drivers, the management of problems caused by wildlife is becoming more selective, often targeting specific animals. Narrowing the sights of management relies upon the ecology of certain 'problem individuals' and their disproportionate contribution to impacts upon human interests. We assess the ecological evidence for problem individuals and confirm that some individuals or classes can be both disproportionately responsible and more likely to reoffend. The benefits of management can sometimes be short-lived, and selective management can affect tolerance of wildlife for better or worse, but, when effectively targeted, selective management can bring benefits by mitigating impact and conflict, often in a more socially acceptable way. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Prevention, innovation and implementation science in mental health: the next wave of reform.

    PubMed

    McGorry, Patrick

    2013-01-01

    Although the corrosive effect of mental ill health on human health and happiness has long been recognised, it is only relatively recently that mental illness has been acknowledged as one of the major threats to economic productivity worldwide. This is because the major mental disorders most commonly have their onset during adolescence and early adulthood, and therefore have a disproportionate impact on the most productive decades of life. With the costs associated with mental ill health estimated to double over the next two decades, a greater emphasis on prevention and early intervention has become even more imperative. Although prevention largely remains aspirational for many reasons, early intervention is well within our current reach and offers the potential to significantly reduce the impact of mental ill health on our health, happiness and prosperity in the immediate future.

  12. Convergence to consensus in heterogeneous groups and the emergence of informal leadership

    PubMed Central

    Gavrilets, Sergey; Auerbach, Jeremy; van Vugt, Mark

    2016-01-01

    When group cohesion is essential, groups must have efficient strategies in place for consensus decision-making. Recent theoretical work suggests that shared decision-making is often the most efficient way for dealing with both information uncertainty and individual variation in preferences. However, some animal and most human groups make collective decisions through particular individuals, leaders, that have a disproportionate influence on group decision-making. To address this discrepancy between theory and data, we study a simple, but general, model that explicitly focuses on the dynamics of consensus building in groups composed by individuals who are heterogeneous in preferences, certain personality traits (agreeability and persuasiveness), reputation, and social networks. We show that within-group heterogeneity can significantly delay democratic consensus building as well as give rise to the emergence of informal leaders, i.e. individuals with a disproportionately large impact on group decisions. Our results thus imply strong benefits of leadership particularly when groups experience time pressure and significant conflict of interest between members (due to various between-individual differences). Overall, our models shed light on why leadership and decision-making hierarchies are widespread, especially in human groups. PMID:27412692

  13. The African Americanization of menthol cigarette use in the United States.

    PubMed

    Gardiner, Phillip S

    2004-02-01

    Today, over 70% of African American smokers prefer menthol cigarettes, compared with 30% of White smokers. This unique social phenomenon was principally occasioned by the tobacco industry's masterful manipulation of the burgeoning Black, urban, segregated, consumer market in the 1960s. Through the use of television and other advertising media, coupled with culturally tailored images and messages, the tobacco industry "African Americanized" menthol cigarettes. The tobacco industry successfully positioned mentholated products, especially Kool, as young, hip, new, and healthy. During the time that menthols were gaining a large market share in the African American community, the tobacco industry donated funds to African American organizations hoping to blunt the attack on their products. Many of the findings in this article are drawn from the tobacco industry documents disclosed following the Master Settlement Agreement in 1998. After a short review of the origins and growth of menthols, this article examines some key social factors that, when considered together, led to disproportionate use of mentholated cigarettes by African Americans compared with other Americans. Unfortunately, the long-term impact of the industry's practice in this community may be partly responsible for the disproportionately high tobacco-related disease and mortality among African Americans generally and African American males particularly.

  14. Economic valuation of a mangrove ecosystem threatened by shrimp aquaculture in Sri Lanka.

    PubMed

    Gunawardena, M; Rowan, J S

    2005-10-01

    Mangrove ecosystems in Sri Lanka are increasingly under threat from development projects, especially aquaculture. An economic assessment is presented for a relatively large (42 ha) shrimp culture development proposed for the Rekawa Lagoon system in the south of Sri Lanka, which involved an extended cost-benefit analysis of the proposal and an estimate of the "total economic value" (TEV) of a mangrove ecosystem. The analysis revealed that the internal benefits of developing the shrimp farm are higher than the internal costs in the ratio of 1.5:1. However, when the wider environmental impacts are more comprehensively evaluated, the external benefits are much lower than the external costs in a ratio that ranges between 1:6 and 1:11. In areas like Rekawa, where agriculture and fisheries are widely practiced at subsistence levels, shrimp aquaculture developments have disproportionately large impacts on traditional livelihoods and social welfare. Thus, although the analysis retains considerable uncertainties, more explicit costing of the environmental services provided by mangrove ecosystems demonstrates that low intensity, but sustainable, harvesting has far greater long-term value to local stakeholders and the wider community than large shrimp aquaculture developments.

  15. 23 CFR 774.17 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... disproportionate impacts to minority or low income populations; or (D) Severe impacts to environmental resources... over the Section 4(f) resource in accordance with the consultation process under 36 CFR part 800. (3... benefits of the measures to communities or environmental resources outside of the Section 4(f) property. (4...

  16. 23 CFR 774.17 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... disproportionate impacts to minority or low income populations; or (D) Severe impacts to environmental resources... over the Section 4(f) resource in accordance with the consultation process under 36 CFR part 800. (3... benefits of the measures to communities or environmental resources outside of the Section 4(f) property. (4...

  17. 23 CFR 774.17 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... disproportionate impacts to minority or low income populations; or (D) Severe impacts to environmental resources... over the Section 4(f) resource in accordance with the consultation process under 36 CFR part 800. (3... benefits of the measures to communities or environmental resources outside of the Section 4(f) property. (4...

  18. 23 CFR 774.17 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... disproportionate impacts to minority or low income populations; or (D) Severe impacts to environmental resources... over the Section 4(f) resource in accordance with the consultation process under 36 CFR part 800. (3... benefits of the measures to communities or environmental resources outside of the Section 4(f) property. (4...

  19. Deficient prepulse inhibition in schizophrenia in a multi-site cohort: Internal replication and extension.

    PubMed

    Swerdlow, Neal R; Light, Gregory A; Thomas, Michael L; Sprock, Joyce; Calkins, Monica E; Green, Michael F; Greenwood, Tiffany A; Gur, Raquel E; Gur, Ruben C; Lazzeroni, Laura C; Nuechterlein, Keith H; Radant, Allen D; Seidman, Larry J; Siever, Larry J; Silverman, Jeremy M; Stone, William S; Sugar, Catherine A; Tsuang, Debby W; Tsuang, Ming T; Turetsky, Bruce I; Braff, David L

    2017-05-23

    The Consortium on the Genetics of Schizophrenia (COGS) collected case-control endophenotype and genetic information from 2457 patients and healthy subjects (HS) across 5 test sites over 3.5 years. Analysis of the first "wave" (W1) of 1400 subjects identified prepulse inhibition (PPI) deficits in patients vs. HS. Data from the second COGS "wave" (W2), and the combined W(1+2), were used to assess: 1) the replicability of PPI deficits in this design; 2) the impact of response criteria on PPI deficits; and 3) PPI in a large cohort of antipsychotic-free patients. PPI in W2 HS (n=315) and schizophrenia patients (n=326) was compared to findings from W1; planned analyses assessed the impact of diagnosis, "wave" (1 vs. 2), and startle magnitude criteria. Combining waves allowed us to assess PPI in 120 antipsychotic-free patients, including many in the early course of illness. ANOVA of all W(1+2) subjects revealed robust PPI deficits in patients across "waves" (p<0.0004). Strict response criteria excluded almost 39% of all subjects, disproportionately impacting specific subgroups; ANOVA in this smaller cohort confirmed no significant effect of "wave" or "wave x diagnosis" interaction, and a significant effect of diagnosis (p<0.002). Antipsychotic-free, early-illness patients had particularly robust PPI deficits. Schizophrenia-linked PPI deficits were replicable across two multi-site "waves" of subjects collected over 3.5years. Strict response criteria disproportionately excluded older, male, non-Caucasian patients with low-normal hearing acuity. These findings set the stage for genetic analyses of PPI using the combined COGS wave 1 and 2 cohorts. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Did large animals play an important role in global biogeochemical cycling in the past?

    NASA Astrophysics Data System (ADS)

    Doughty, C.

    2014-12-01

    In the late Pleistocene (~50-10,000 years ago), ninety-seven genera of large animals (>44kg) (megafauna) went extinct, concentrated in the Americas and Australia. The loss of megafauna had major effects on ecosystem structure, seed dispersal and land surface albedo. However, the impact of this dramatic extinction on ecosystem nutrient biogeochemistry, through the lateral transport of dung and bodies, has never been explored. Here we explore these nutrient impacts using a novel mathematical framework that analyses this lateral transport as a diffusion-like process and demonstrates that large animals play a disproportionately large role in the horizontal transfer of nutrients across landscapes. For example, we estimate that the extinction of the Amazonian megafauna led to a >98% reduction in the lateral transfer flux of the limiting nutrient phosphorus (P) with similar, though less extreme, decreases in all continents outside of Africa. This resulted in strong decreases in phosphorus availability in Eastern Amazonia away from fertile floodplains, a decline which may still be ongoing, and current P limitation in the Amazon basin may be partially a relic of an ecosystem without the functional connectedness it once had. More broadly, the Pleistocene megafaunal extinctions resulted in major and ongoing disruptions to terrestrial biogeochemical cycling at continental scales and increased nutrient heterogeneity globally.

  1. Acidophilic sulfur disproportionation

    NASA Astrophysics Data System (ADS)

    Hardisty, Dalton S.; Olyphant, Greg A.; Bell, Jonathan B.; Johnson, Adam P.; Pratt, Lisa M.

    2013-07-01

    Bacterial disproportionation of elemental sulfur (S0) is a well-studied metabolism and is not previously reported to occur at pH values less than 4.5. In this study, a sediment core from an abandoned-coal-mine-waste deposit in Southwest Indiana revealed sulfur isotope fractionations between S0 and pyrite (Δ34Ses-py) of up to -35‰, inferred to indicate intense recycling of S0 via bacterial disproportionation and sulfide oxidation. Additionally, the chemistry of seasonally collected pore-water profiles were found to vary, with pore-water pH ranging from 2.2 to 3.8 and observed seasonal redox shifts expressed as abrupt transitions from Fe(III) to Fe(II) dominated conditions, often controlled by fluctuating water table depths. S0 is a common product during the oxidation of pyrite, a process known to generate acidic waters during weathering and production of acid mine drainage. The H2S product of S0 disproportionation, fractionated by up to -8.6‰, is rapidly oxidized to S0 near redox gradients via reaction with Fe(III) allowing for the accumulation of isotopically light S0 that can then become subject to further sulfur disproportionation. A mass-balance model for S0 incorporating pyrite oxidation, S0 disproportionation, and S0 oxidation readily explains the range of observed Δ34Ses-py and emphasizes the necessity of seasonally varying pyrite weathering and metabolic rates, as indicated by the pore water chemistry. The findings of this research suggest that S0 disproportionation is potentially a common microbial process at a pH < 4.5 and can create large sulfur isotope fractionations, even in the absence of sulfate reduction.

  2. Workers on the margin: who drops health coverage when prices rise?

    PubMed

    Okeke, Edward N; Hirth, Richard A; Grazier, Kyle

    2010-01-01

    We revisit the question of price elasticity of employer-sponsored insurance (ESI) take-up by directly examining changes in the take-up of ESI at a large firm in response to exogenous changes in employee premium contributions. We find that, on average, a 10% increase in the employee's out-of-pocket premium increases the probability of dropping coverage by approximately 1%. More importantly, we find heterogeneous impacts: married workers are much more price-sensitive than single employees, and lower-paid workers are disproportionately more likely to drop coverage than higher-paid workers. Elasticity estimates for employees below the 25th percentile of salary distribution in our sample are nearly twice the average.

  3. Geography should not be destiny: focusing HIV/AIDS implementation research and programs on microepidemics in US neighborhoods.

    PubMed

    Nunn, Amy; Yolken, Annajane; Cutler, Blayne; Trooskin, Stacey; Wilson, Phill; Little, Susan; Mayer, Kenneth

    2014-05-01

    African Americans and Hispanics are disproportionately affected by the HIV/AIDS epidemic. Within the most heavily affected cities, a few neighborhoods account for a large share of new HIV infections. Addressing racial and economic disparities in HIV infection requires an implementation program and research agenda that assess the impact of HIV prevention interventions focused on increasing HIV testing, treatment, and retention in care in the most heavily affected neighborhoods in urban areas of the United States. Neighborhood-based implementation research should evaluate programs that focus on community mobilization, media campaigns, routine testing, linkage to and retention in care, and block-by-block outreach strategies.

  4. Supporting Children and Families Experiencing Homelessness: CCDF State Guide

    ERIC Educational Resources Information Center

    Bires, Carie; Garcia, Carmen; Zhu, Julia

    2015-01-01

    Homelessness has a devastating impact on children. Research has shown that homelessness puts children at increased risk of health problems, developmental delays, academic underachievement and mental health problems. Homelessness also has a disproportionate impact on the youngest children, who account for more than half of all children in…

  5. Using Visualizations in HIV Prevention Education: Lessons from the Global South.

    ERIC Educational Resources Information Center

    Batchelor, Kim

    The demographics of the human immunodeficiency virus (HIV) epidemic have changed from impacting affluent white gay men to impacting the poor, people of color, the young, and women. Sexually transmitted diseases (STDs) disproportionately affect these same populations. One approach that stresses the inclusion of the voices of marginalized…

  6. Children’s Environmental Health Facts

    EPA Pesticide Factsheets

    Information about asthma, lead exposure, childhood cancer, and developmental disabilities. Each of these have disproportionate effects or disparities (particularly for low-income or minority children), as well as economic impacts or costs.

  7. U.S. pharmaceutical policy in a global marketplace

    PubMed Central

    Lakdawalla, Darius; Goldman, Dana P.; Michaud, Pierre-Carl; Sood, Neeraj; Lempert, Robert; Cong, Ze; de Vries, Han; Gutierrez, Italo

    2013-01-01

    Markets for innovative goods involve significant spillovers in a global economy. When US consumers pay higher prices for drugs, this stimulates innovation that benefits consumers all over the world. Conversely, when large European markets restrict prices and profits, foreign consumers bear some of the long-run cost in the form of less innovation. The result is a free-riding problem at a global level. These incentives are particularly strong for smaller markets, whose policies have relatively little impact on global innovation, but can have relatively large impacts on national pharmaceutical budgets. The result is a system in which the largest countries bear disproportionate burdens for stimulating innovation. Using a microsimulation approach, we estimate the impact of these incentive effects. The model’s baseline estimates demonstrates that the US adoption of European-style price controls would harm consumers in the US and Europe; over a 50-year period, it would cost $8 trillion in the US, and $5 trillion in Europe. Similarly, repealing European price controls would add $10 trillion to the wealth of US society, and $6 trillion to wealth in Europe. Even under the most conservative assumptions, adopting price controls generates at best a small benefit, but risks a large cost. On the other hand, reducing pharmaceutical copayments would increase wealth in both societies, a result which is robust to a wide variety of parameter values. PMID:19088101

  8. Kinetic investigation of catalytic disproportionation of superoxide ions in the non-aqueous electrolyte used in Li–air batteries

    DOE PAGES

    Wang, Qiang; Zheng, Dong; McKinnon, Meaghan E.; ...

    2014-10-28

    Superoxide reacts with carbonate solvents in Li–air batteries. Tris(pentafluorophenyl)borane is found to catalyze a more rapid superoxide (O 2 -) disproportionation reaction than the reaction between superoxide and propylene carbonate (PC). With this catalysis, the negative impact of the reaction between the electrolyte and O 2 -produced by the O 2 reduction can be minimized. A simple kinetic study using ESR spectroscopy was reported to determine reaction orders and rate constants for the reaction between PC and superoxide, and the disproportionation of superoxide catalyzed by Tris(pentafluorophenyl)borane and Li ions. As a result, the reactions are found to be first ordermore » and the rate constants are 0.033 s -1 M -1, 0.020 s -1 M -1and 0.67 s -1M -1 for reactions with PC, Li ion and Tris(pentafluorophenyl)borane, respectively.« less

  9. How Do Microphysical Processes Influence Large-Scale Precipitation Variability and Extremes?

    DOE PAGES

    Hagos, Samson; Ruby Leung, L.; Zhao, Chun; ...

    2018-02-10

    Convection permitting simulations using the Model for Prediction Across Scales-Atmosphere (MPAS-A) are used to examine how microphysical processes affect large-scale precipitation variability and extremes. An episode of the Madden-Julian Oscillation is simulated using MPAS-A with a refined region at 4-km grid spacing over the Indian Ocean. It is shown that cloud microphysical processes regulate the precipitable water (PW) statistics. Because of the non-linear relationship between precipitation and PW, PW exceeding a certain critical value (PWcr) contributes disproportionately to precipitation variability. However, the frequency of PW exceeding PWcr decreases rapidly with PW, so changes in microphysical processes that shift the columnmore » PW statistics relative to PWcr even slightly have large impacts on precipitation variability. Furthermore, precipitation variance and extreme precipitation frequency are approximately linearly related to the difference between the mean and critical PW values. Thus observed precipitation statistics could be used to directly constrain model microphysical parameters as this study demonstrates using radar observations from DYNAMO field campaign.« less

  10. How Do Microphysical Processes Influence Large-Scale Precipitation Variability and Extremes?

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

    Hagos, Samson; Ruby Leung, L.; Zhao, Chun

    Convection permitting simulations using the Model for Prediction Across Scales-Atmosphere (MPAS-A) are used to examine how microphysical processes affect large-scale precipitation variability and extremes. An episode of the Madden-Julian Oscillation is simulated using MPAS-A with a refined region at 4-km grid spacing over the Indian Ocean. It is shown that cloud microphysical processes regulate the precipitable water (PW) statistics. Because of the non-linear relationship between precipitation and PW, PW exceeding a certain critical value (PWcr) contributes disproportionately to precipitation variability. However, the frequency of PW exceeding PWcr decreases rapidly with PW, so changes in microphysical processes that shift the columnmore » PW statistics relative to PWcr even slightly have large impacts on precipitation variability. Furthermore, precipitation variance and extreme precipitation frequency are approximately linearly related to the difference between the mean and critical PW values. Thus observed precipitation statistics could be used to directly constrain model microphysical parameters as this study demonstrates using radar observations from DYNAMO field campaign.« less

  11. A large-scale circuit mechanism for hierarchical dynamical processing in the primate cortex

    PubMed Central

    Chaudhuri, Rishidev; Knoblauch, Kenneth; Gariel, Marie-Alice; Kennedy, Henry; Wang, Xiao-Jing

    2015-01-01

    We developed a large-scale dynamical model of the macaque neocortex, which is based on recently acquired directed- and weighted-connectivity data from tract-tracing experiments, and which incorporates heterogeneity across areas. A hierarchy of timescales naturally emerges from this system: sensory areas show brief, transient responses to input (appropriate for sensory processing), whereas association areas integrate inputs over time and exhibit persistent activity (suitable for decision-making and working memory). The model displays multiple temporal hierarchies, as evidenced by contrasting responses to visual versus somatosensory stimulation. Moreover, slower prefrontal and temporal areas have a disproportionate impact on global brain dynamics. These findings establish a circuit mechanism for “temporal receptive windows” that are progressively enlarged along the cortical hierarchy, suggest an extension of time integration in decision-making from local to large circuits, and should prompt a re-evaluation of the analysis of functional connectivity (measured by fMRI or EEG/MEG) by taking into account inter-areal heterogeneity. PMID:26439530

  12. Humans and seasonal climate variability threaten large-bodied coral reef fish with small ranges

    PubMed Central

    Mellin, C.; Mouillot, D.; Kulbicki, M.; McClanahan, T. R.; Vigliola, L.; Bradshaw, C. J. A.; Brainard, R. E.; Chabanet, P.; Edgar, G. J.; Fordham, D. A.; Friedlander, A. M.; Parravicini, V.; Sequeira, A. M. M.; Stuart-Smith, R. D.; Wantiez, L.; Caley, M. J.

    2016-01-01

    Coral reefs are among the most species-rich and threatened ecosystems on Earth, yet the extent to which human stressors determine species occurrences, compared with biogeography or environmental conditions, remains largely unknown. With ever-increasing human-mediated disturbances on these ecosystems, an important question is not only how many species can inhabit local communities, but also which biological traits determine species that can persist (or not) above particular disturbance thresholds. Here we show that human pressure and seasonal climate variability are disproportionately and negatively associated with the occurrence of large-bodied and geographically small-ranging fishes within local coral reef communities. These species are 67% less likely to occur where human impact and temperature seasonality exceed critical thresholds, such as in the marine biodiversity hotspot: the Coral Triangle. Our results identify the most sensitive species and critical thresholds of human and climatic stressors, providing opportunity for targeted conservation intervention to prevent local extinctions. PMID:26839155

  13. Household location choices: implications for biodiversity conservation.

    PubMed

    Peterson, M Nils; Chen, Xiaodong; Liu, Jianguo

    2008-08-01

    Successful conservation efforts require understanding human behaviors that directly affect biodiversity. Choice of household location represents an observable behavior that has direct effects on biodiversity conservation, but no one has examined the sociocultural predictors of this choice relative to its environmental impacts. We conducted a case study of the Teton Valley of Idaho and Wyoming (U.S.A.) that (1) explored relationships between sociodemographic variables, environmental attitudes, and the environmental impact of household location choices, (2) assessed the potential for small household sizes in natural areas to multiply the environmental impacts of household location decisions, and (3) evaluated how length of residency predicted the environmental attitudes of people living in natural areas. We collected sociodemographic data, spatial coordinates, and land-cover information in a survey of 416 households drawn from a random sample of Teton Valley residents (95% compliance rate). Immigrants (respondents not born in the study area) with the lowest education levels and least environmentally oriented attitudes lived in previously established residential areas in disproportionately high numbers, and older and more educated immigrants with the most environmentally oriented attitudes lived in natural areas in disproportionately high numbers. Income was not a significant predictor of household location decisions. Those living in natural areas had more environmental impact per person because of the location and because small households (<3 people/household) were 4 times as likely in natural areas as large households. Longer residency in natural areas predicted less environmentally oriented attitudes, suggesting that living in natural areas does not foster more concern for nature. Because populaces are rapidly aging, growing more educated, and potentially growing more environmentally oriented, these patterns are troubling for biodiversity conservation. Our results demonstrate a need for environmentalists to make household location decisions that reflect their environmental attitudes and future research to address how interactions between education level, environmental attitudes, population aging, and household location choices influence biodiversity conservation.

  14. Exploring the role of traditional ecological knowledge in climate change initiatives

    Treesearch

    Kirsten Vinyeta; Kathy Lynn

    2013-01-01

    Indigenous populations are projected to face disproportionate impacts as a result of climate change in comparison to nonindigenous populations. For this reason, many American Indian and Alaska Native tribes are identifying and implementing culturally appropriate strategies to assess climate impacts and adapt to projected changes. Traditional ecological knowledge (TEK...

  15. Reaction factoring and bipartite update graphs accelerate the Gillespie Algorithm for large-scale biochemical systems.

    PubMed

    Indurkhya, Sagar; Beal, Jacob

    2010-01-06

    ODE simulations of chemical systems perform poorly when some of the species have extremely low concentrations. Stochastic simulation methods, which can handle this case, have been impractical for large systems due to computational complexity. We observe, however, that when modeling complex biological systems: (1) a small number of reactions tend to occur a disproportionately large percentage of the time, and (2) a small number of species tend to participate in a disproportionately large percentage of reactions. We exploit these properties in LOLCAT Method, a new implementation of the Gillespie Algorithm. First, factoring reaction propensities allows many propensities dependent on a single species to be updated in a single operation. Second, representing dependencies between reactions with a bipartite graph of reactions and species requires only storage for reactions, rather than the required for a graph that includes only reactions. Together, these improvements allow our implementation of LOLCAT Method to execute orders of magnitude faster than currently existing Gillespie Algorithm variants when simulating several yeast MAPK cascade models.

  16. Reaction Factoring and Bipartite Update Graphs Accelerate the Gillespie Algorithm for Large-Scale Biochemical Systems

    PubMed Central

    Indurkhya, Sagar; Beal, Jacob

    2010-01-01

    ODE simulations of chemical systems perform poorly when some of the species have extremely low concentrations. Stochastic simulation methods, which can handle this case, have been impractical for large systems due to computational complexity. We observe, however, that when modeling complex biological systems: (1) a small number of reactions tend to occur a disproportionately large percentage of the time, and (2) a small number of species tend to participate in a disproportionately large percentage of reactions. We exploit these properties in LOLCAT Method, a new implementation of the Gillespie Algorithm. First, factoring reaction propensities allows many propensities dependent on a single species to be updated in a single operation. Second, representing dependencies between reactions with a bipartite graph of reactions and species requires only storage for reactions, rather than the required for a graph that includes only reactions. Together, these improvements allow our implementation of LOLCAT Method to execute orders of magnitude faster than currently existing Gillespie Algorithm variants when simulating several yeast MAPK cascade models. PMID:20066048

  17. Neglected tropical diseases: is it time to add Helicobacter pylori to the list?

    PubMed

    Natuzzi, Eileen

    2013-09-01

    Neglected tropical diseases (NTDs) disproportionately affect disadvantaged populations as the 2012 World Health Organization (WHO) report on the global impact of NTDs points out. The same social determinants that impact the prevalence of the 17 current NTDs: inadequate drinking water and sanitation, crowded living conditions, environmental impacts on food and water, ethnicity as well as poverty contribute to Helicobacter pylori infections worldwide.

  18. A Potential Alternative against Neurodegenerative Diseases: Phytodrugs

    PubMed Central

    Pérez-Hernández, Jesús; Zaldívar-Machorro, Víctor Javier; Villanueva-Porras, David; Vega-Ávila, Elisa; Chavarría, Anahí

    2016-01-01

    Neurodegenerative diseases (ND) primarily affect the neurons in the human brain secondary to oxidative stress and neuroinflammation. ND are more common and have a disproportionate impact on countries with longer life expectancies and represent the fourth highest source of overall disease burden in the high-income countries. A large majority of the medicinal plant compounds, such as polyphenols, alkaloids, and terpenes, have therapeutic properties. Polyphenols are the most common active compounds in herbs and vegetables consumed by man. The biological bioactivity of polyphenols against neurodegeneration is mainly due to its antioxidant, anti-inflammatory, and antiamyloidogenic effects. Multiple scientific studies support the use of herbal medicine in the treatment of ND; however, relevant aspects are still pending to explore such as metabolic analysis, pharmacokinetics, and brain bioavailability. PMID:26881043

  19. How Does High Impact Practice Predict Student Engagement? A Comparison of White and Minority Students

    ERIC Educational Resources Information Center

    Sweat, Jeffrey; Jones, Glenda; Han, Suejung; Wolfgram, Susan M.

    2013-01-01

    This High Impact Practices (HIPS) contribute to higher retention and graduation rates. HIPS are effective for racial and ethnic minorities in particular, who disproportionately experience high and persistent levels of postsecondary attrition. Little is known about the mechanism by which HIPS promote retention. Based on a random survey of 268…

  20. The Impact of Culinary Skills Training on the Dietary Attitudes and Behaviors of Children and Parents

    ERIC Educational Resources Information Center

    Harmon, Brook E.; Smith, Nicole; Pirkey, Paige; Beets, Michael W.; Blake, Christine E.

    2015-01-01

    Background: Summer camps can serve as a modality for dietary interventions. However, camp-based strategies that improve dietary behaviors of children are unclear. Poor diet disproportionately affects low-income and minority children, making the examination of camp-based dietary interventions an important focus. Purpose: To assess the impact of a…

  1. The Impact of Sexual Abuse on Children: A Review and Synthesis of Recent Empirical Studies.

    ERIC Educational Resources Information Center

    Kendall-Tackett, Kathleen A.; And Others

    Until recently the literature on the impact of child sexual abuse has consisted disproportionately of retrospective studies of adults. Research on children allows for a developmental perspective and includes the first efforts at longitudinal studies of sexual abuse victims. This literature also has important relevance to other theory and research…

  2. Translation of EPA Research: Data Interpretation and Communication Strategies

    EPA Science Inventory

    Symposium Title: Social Determinants of Health, Environmental Exposures, and Disproportionately Impacted Communities: What We Know and How We Tell Others Topic 3: Community Engagement and Research Translation Title: Translation of EPA Research: Data Interpretation and Communicati...

  3. Climate change, extreme events and increased risk of salmonellosis in Maryland, USA: Evidence for coastal vulnerability.

    PubMed

    Jiang, Chengsheng; Shaw, Kristi S; Upperman, Crystal R; Blythe, David; Mitchell, Clifford; Murtugudde, Raghu; Sapkota, Amy R; Sapkota, Amir

    2015-10-01

    Salmonella is a leading cause of acute gastroenteritis worldwide. Patterns of salmonellosis have been linked to weather events. However, there is a dearth of data regarding the association between extreme events and risk of salmonellosis, and how this risk may disproportionately impact coastal communities. We obtained Salmonella case data from the Maryland Foodborne Diseases Active Surveillance Network (2002-2012), and weather data from the National Climatic Data Center (1960-2012). We developed exposure metrics related to extreme temperature and precipitation events using a 30 year baseline (1960-1989) and linked them with county-level salmonellosis data. Data were analyzed using negative binomial Generalized Estimating Equations. We observed a 4.1% increase in salmonellosis risk associated with a 1 unit increase in extreme temperature events (incidence rate ratio (IRR):1.041; 95% confidence interval (CI):1.013-1.069). This increase in risk was more pronounced in coastal versus non-coastal areas (5.1% vs 1.5%). Likewise, we observed a 5.6% increase in salmonellosis risk (IRR:1.056; CI:1.035-1.078) associated with a 1 unit increase in extreme precipitation events, with the impact disproportionately felt in coastal areas (7.1% vs 3.6%). To our knowledge, this is the first empirical evidence showing that extreme temperature/precipitation events-that are expected to be more frequent and intense in coming decades-are disproportionately impacting coastal communities with regard to salmonellosis. Adaptation strategies need to account for this differential burden, particularly in light of ever increasing coastal populations. Copyright © 2015. Published by Elsevier Ltd.

  4. Slum Sanitation and the Social Determinants of Women's Health in Nairobi, Kenya.

    PubMed

    Corburn, Jason; Hildebrand, Chantal

    2015-01-01

    Inadequate urban sanitation disproportionately impacts the social determinants of women's health in informal settlements or slums. The impacts on women's health include infectious and chronic illnesses, violence, food contamination and malnutrition, economic and educational attainment, and indignity. We used household survey data to report on self-rated health and sociodemographic, housing, and infrastructure conditions in the Mathare informal settlement in Nairobi, Kenya. We combined quantitative survey and mapping data with qualitative focus group information to better understand the relationships between environmental sanitation and the social determinants of women and girls' health in the Mathare slum. We find that an average of eighty-five households in Mathare share one toilet, only 15% of households have access to a private toilet, and the average distance to a public toilet is over 52 meters. Eighty-three percent of households without a private toilet report poor health. Mathare women report violence (68%), respiratory illness/cough (46%), diabetes (33%), and diarrhea (30%) as the most frequent physical burdens. Inadequate, unsafe, and unhygienic sanitation results in multiple and overlapping health, economic, and social impacts that disproportionately impact women and girls living in urban informal settlements.

  5. Disproportionate effects of non-colonial small herbivores on structure and diversity of grassland dominated by large herbivores

    USDA-ARS?s Scientific Manuscript database

    The response of semiarid grasslands to small, non-colonial herbivores has received little attention, focusing primarily on the effects of granivore assemblages on annual plant communities. We studied the long-term effects of small and large herbivores on vegetation structure and species diversity of...

  6. Trends in Gastroenteritis-Associated Mortality in the United States, 1985-2005

    EPA Science Inventory

    Worldwide, gastrointestinal infections are a major, and often preventable, cause of mortality. In much of the developing world, mortality due to gastrointestinal infections disproportionately impacts children and is often associated with poor hygienic conditions (e.g., contaminat...

  7. EPA’s Environmental Justice Research Roadmap and Interagency Efforts on Climate Justice

    EPA Science Inventory

    Stressors associated with climate change are expected to be disproportionately greater for overburdened communities. This webinar will present activities of the Climate Impacts subcommittee of the Federal Interagency Working Group (IWG) on Stressors associated with climate chang...

  8. A game theory analysis of green infrastructure stormwater management policies

    NASA Astrophysics Data System (ADS)

    William, Reshmina; Garg, Jugal; Stillwell, Ashlynn S.

    2017-09-01

    Green stormwater infrastructure has been demonstrated as an innovative water resources management approach that addresses multiple challenges facing urban environments. However, there is little consensus on what policy strategies can be used to best incentivize green infrastructure adoption by private landowners. Game theory, an analysis framework that has historically been under-utilized within the context of stormwater management, is uniquely suited to address this policy question. We used a cooperative game theory framework to investigate the potential impacts of different policy strategies used to incentivize green infrastructure installation. The results indicate that municipal regulation leads to the greatest reduction in pollutant loading. However, the choice of the "best" regulatory approach will depend on a variety of different factors including politics and financial considerations. Large, downstream agents have a disproportionate share of bargaining power. Results also reveal that policy impacts are highly dependent on agents' spatial position within the stormwater network, leading to important questions of social equity and environmental justice.

  9. Estrogen receptor alpha modulates toll-like receptor signaling in murine lupus

    PubMed Central

    Cunningham, Melissa A.; Naga, Osama S.; Eudaly, Jackie G.; Scott, Jennifer L.; Gilkeson, Gary S.

    2013-01-01

    Systemic lupus erythematosus (SLE) is a disease that disproportionately affects females. Despite significant research effort, the mechanisms underlying the female predominance in this disease are largely unknown. Previously, we showed that estrogen receptor alpha knockout (ERαKO) lupus prone female mice had significantly less pathologic renal disease and proteinuria, and significantly prolonged survival. Since autoantibody levels and number and percentage of B/T cells were not significantly impacted by ERα genotype, we hypothesized that the primary benefit of ERα deficiency in lupus nephritis was via modulation of the innate immune response. Using BMDCs and spleen cells/B cells from female wild-type or ERαKO mice, we found that ERαKO-derived cells have a significantly reduced inflammatory response after stimulation with TLR agonists. Our results indicate that the inflammatory response to TLR ligands is significantly impacted by the presence of ERα despite the absence of estradiol, and may partially explain the protective effect of ERα deficiency in lupus-prone animals. PMID:22659029

  10. Paleontological baselines for evaluating extinction risk in the modern oceans

    NASA Astrophysics Data System (ADS)

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

    2015-05-01

    Marine taxa are threatened by anthropogenic impacts, but knowledge of their extinction vulnerabilities is limited. The fossil record provides rich information on past extinctions that can help predict biotic responses. We show that over 23 million years, taxonomic membership and geographic range size consistently explain a large proportion of extinction risk variation in six major taxonomic groups. We assess intrinsic risk—extinction risk predicted by paleontologically calibrated models—for modern genera in these groups. Mapping the geographic distribution of these genera identifies coastal biogeographic provinces where fauna with high intrinsic risk are strongly affected by human activity or climate change. Such regions are disproportionately in the tropics, raising the possibility that these ecosystems may be particularly vulnerable to future extinctions. Intrinsic risk provides a prehuman baseline for considering current threats to marine biodiversity.

  11. Impacts of fire smoke plumes on regional air quality, 2006-2013.

    PubMed

    Larsen, Alexandra E; Reich, Brian J; Ruminski, Mark; Rappold, Ana G

    2017-12-29

    Increases in the severity and frequency of large fires necessitate improved understanding of the influence of smoke on air quality and public health. The objective of this study is to estimate the effect of smoke from fires across the continental U.S. on regional air quality over an extended period of time. We use 2006-2013 data on ozone (O 3 ), fine particulate matter (PM 2.5 ), and PM 2.5 constituents from environmental monitoring sites to characterize regional air quality and satellite imagery data to identify plumes. Unhealthy levels of O 3 and PM 2.5 were, respectively, 3.3 and 2.5 times more likely to occur on plume days than on clear days. With a two-stage approach, we estimated the effect of plumes on pollutants, controlling for season, temperature, and within-site and between-site variability. Plumes were associated with an average increase of 2.6 p.p.b. (2.5, 2.7) in O 3 and 2.9 µg/m 3 (2.8, 3.0) in PM 2.5 nationwide, but the magnitude of effects varied by location. The largest impacts were observed across the southeast. High impacts on O 3 were also observed in densely populated urban areas at large distance from the fires throughout the southeast. Fire smoke substantially affects regional air quality and accounts for a disproportionate number of unhealthy days.

  12. The Impact of Medicaid Disproportionate Share Hospital Payment on Provision of Hospital Uncompensated Care

    PubMed Central

    Hsieh, Hui-Min; Bazzoli, Gloria J.

    2012-01-01

    This study examines the association between hospital uncompensated care (UC) and reductions in Medicaid Disproportionate Share Hospital (DSH) payments resulting from the 1997 Balanced Budget Act. Data on California hospitals from 1996 to 2003 were examined using two-stage least squares with a first-differencing model to control for potential feedback effects. Our findings suggest that not-for-profit hospitals did reduce UC provision in response to reductions in Medicaid DSH, but the response was inelastic in value. Policy makers need to continue to monitor how UC changes as sources of support for indigent care change with the Patient Protection and Affordable Care Act (PPACA). PMID:23230705

  13. 76 FR 69726 - Pyrethrins/Pyrethroid Cumulative Risk Assessment; Notice of Availability

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-09

    ... to consider available information concerning the cumulative effects on human health resulting from... stakeholders including environmental, human health, farm worker, and agricultural advocates; the chemical... factors, may have atypical or disproportionately high and adverse human health impacts or environmental...

  14. Concepts for Future Large Fire Modeling

    Treesearch

    A. P. Dimitrakopoulos; R. E. Martin

    1987-01-01

    A small number of fires escape initial attack suppression efforts and become large, but their effects are significant and disproportionate. In 1983, of 200,000 wildland fires in the United States, only 4,000 exceeded 100 acres. However, these escaped fires accounted for roughly 95 percent of wildfire-related costs and damages (Pyne, 1984). Thus, future research efforts...

  15. Reforming the Medicaid Disproportionate Share Hospital Program

    PubMed Central

    Coughlin, Teresa A.; Ku, Leighton; Kim, Johnny

    2000-01-01

    Since 1991, three Federal laws have sought to reform the Medicaid disproportionate share hospital (DSH) program, which is designed to help safety net hospitals. This article provides findings from a 40-State survey about Medicaid DSH and supplemental payment programs in 1997. Results indicate that the overall size of the DSH program did not grow from 1993 to 1997, but the composition of DSH revenues and expenditures changed substantially: A much higher share of the DSH funds were being paid to local hospitals and relatively less was being retained by the States. The study also revealed that large differences in States' use of DSH still persist. PMID:12500325

  16. The Impact of Prenatal Exposure to Power Plant Emissions on Birth Weight: Evidence from a Pennsylvania Power Plant Located Upwind of New Jersey.

    PubMed

    Yang, Muzhe; Bhatta, Rhea A; Chou, Shin-Yi; Hsieh, Cheng-I

    To examine the infant health impact of prenatal exposure to power plant emissions, we draw scientific evidence on the impacted region downwind of a large polluter, a coal-fired power plant located on the border of two states and proven to be the sole contributor to the violation of air quality standards of the impacted region. Our results show that among all live singleton births that occurred during 1990 through 2006, those born to mothers living as far as 20 to 30 miles away downwind from the power plant (which is also an affluent region) during pregnancy are at greater risks of low birth weight (LBW) and very low birth weight (VLBW): the likelihoods of LBW and VLBW could increase approximately by 6.50 and 17.12 percent, respectively. In light of the continual efforts of The U.S. Environmental Protection Agency in reducing cross-state air pollution caused by transboundary power plant emissions, our study is aimed at broadening the scope of cross-border pollution impact analysis by taking into account adverse infant health effects of upwind polluters, which can impose disproportionate burdens of health risks on downwind states due to air pollutants transported by wind.

  17. The legacy of the Pleistocene megafauna extinctions on nutrient availability in Amazonia

    NASA Astrophysics Data System (ADS)

    Doughty, Christopher E.; Wolf, Adam; Malhi, Yadvinder

    2013-09-01

    In the late Pleistocene, 97 genera of large animals went extinct, concentrated in the Americas and Australia. These extinctions had significant effects on ecosystem structure, seed dispersal and land surface albedo. However, the impact of this dramatic extinction on ecosystem nutrient biogeochemistry, through the lateral transport of dung and bodies, has never been explored. Here we analyse this process using a novel mathematical framework that analyses this lateral transport as a diffusion-like process, and we demonstrate that large animals play a disproportionately large role in the horizontal transfer of nutrients across landscapes. For example, we estimate that the extinction of the Amazonian megafauna decreased the lateral flux of the limiting nutrient phosphorus by more than 98%, with similar, though less extreme, decreases in all continents outside of Africa. This resulted in strong decreases in phosphorus availability in eastern Amazonia away from fertile floodplains, a decline which may still be ongoing. The current P limitation in the Amazon basin may be partially a relic of an ecosystem without the functional connectivity it once had. We argue that the Pleistocene megafauna extinctions resulted in large and ongoing disruptions to terrestrial biogeochemical cycling at continental scales and increased nutrient heterogeneity globally.

  18. Two hot to handle: How do we manage the simultaneous impacts of climate change and natural disasters on human health?

    NASA Astrophysics Data System (ADS)

    Phalkey, R. K.; Louis, V. R.

    2016-05-01

    Climate change is one of the major challenges we face today. There is recognition alongside evidence that the health impacts of both climate change and natural disasters are significant and rising. The impacts of both are also complex and span well beyond health to include environmental, social, demographic, cultural, and economic aspects of human lives. Nonetheless integrated impact assessments are rare and so are system level approaches or systematic preparedness and adaptation strategies to brace the two simultaneously particularly in low and middle-income countries. Ironically the impacts of both climate change as well as natural disasters will be disproportionately borne by low emitters. Sufficiently large and long-term data from comprehensive weather, socio-economic, demographic and health observational systems are currently unavailable to guide adaptation strategies with the necessary precision. In the absence of these and given the uncertainties around the health impact projections alongside the geographic disparities even within the countries, the main question is how can countries then prepare to brace the unknown? We certainly cannot wait to obtain answers to all the questions before we plan solutions. Strengthening health systems is therefore a pragmatic "zero regrets" strategy and should be adopted hastily before the parallel impacts from climate change and associated extreme weather events (disasters thereof) become too hot to handle.

  19. GIS-Mapping and Statistical Analyses to Identify Climate-Vulnerable Communities and Populations Exposed to Superfund Sites

    EPA Science Inventory

    Climate change-related cumulative health risks are expected to be disproportionately greater for overburdened communities, due to differential proximity and exposures to chemical sources and flood zones. Communities and populations vulnerable to climate change-associated impacts ...

  20. Red Teaming Agility (Briefing Charts)

    DTIC Science & Technology

    2014-06-01

    are termed “ antifragile ”. Black Swan Model for Deep Red Futures The future is dominated not by trends, but by outliers, extreme events that lie...disproportionately higher mission impact. Agility is a measure of antifragile systems Red Teaming Defined Red Teaming is a function to provide

  1. Adolescent Healthcare Brokering: Prevalence, Experience, Impact, and Opportunities

    ERIC Educational Resources Information Center

    Banas, Jennifer R.; Wallis, Lisa C.; Ball, James W.; Gershon, Sarah

    2016-01-01

    Background: Limited health literacy disproportionately affects those with limited English proficiency (LEP). Parents with LEP might rely on their adolescent children to interpret health information. We call this "adolescent healthcare brokering." This study uncovers the prevalence of brokering, kinds of tasks, emotional and academic…

  2. 25 CFR 700.1 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Purpose. 700.1 Section 700.1 Indians THE OFFICE OF NAVAJO AND HOPI INDIAN RELOCATION COMMISSION OPERATIONS AND RELOCATION PROCEDURES General Policies and... the disproportionate adverse, social, economic, cultural and other impacts of relocation. (b) To set...

  3. Health Benefits Mandates and Their Potential Impacts on Racial/Ethnic Group Disparities in Insurance Markets.

    PubMed

    Charles, Shana Alex; Ponce, Ninez; Ritley, Dominique; Guendelman, Sylvia; Kempster, Jennifer; Lewis, John; Melnikow, Joy

    2017-08-01

    Addressing racial/ethnic group disparities in health insurance benefits through legislative mandates requires attention to the different proportions of racial/ethnic groups among insurance markets. This necessary baseline data, however, has proven difficult to measure. We applied racial/ethnic data from the 2009 California Health Interview Survey to the 2012 California Health Benefits Review Program Cost and Coverage Model to determine the racial/ethnic composition of ten health insurance market segments. We found disproportional representation of racial/ethnic groups by segment, thus affecting the health insurance impacts of benefit mandates. California's Medicaid program is disproportionately Latino (60 % in Medi-Cal, compared to 39 % for the entire population), and the individual insurance market is disproportionately non-Latino white. Gender differences also exist. Mandates could unintentionally increase insurance coverage racial/ethnic disparities. Policymakers should consider the distribution of existing racial/ethnic disparities as criteria for legislative action on benefit mandates across health insurance markets.

  4. Psychosocial Implications of Homophobia and HIV Stigma in Social Support Networks: Insights for High-Impact HIV Prevention among Black Men Who Have Sex with Men

    ERIC Educational Resources Information Center

    Garcia, Jonathan; Parker, Caroline; Parker, Richard G.; Wilson, Patrick A.; Philbin, Morgan; Hirsch, Jennifer S.

    2016-01-01

    Black men who have sex with men (BMSM) bear an increasingly disproportionate burden of HIV in the United States. The Centers for Disease Control and Prevention recommends high-impact combination prevention for populations at high risk for HIV infection, such as BMSM. However, few scholars have considered the types of behavioral interventions that…

  5. Belowground carbon cycling in a humid tropical forest decreases with fertilization

    Treesearch

    C. Giardina; D. Binkley; M. Ryan; J. Fownes

    2004-01-01

    Only a small fraction of the carbon (C) allocated belowground by trees is retained by soils in long-lived, decay-resistant forms, yet because of the large magnitude of terrestrial primary productivity, even small changes in C allocation or retention can alter terrestrial C storage. The humid tropics exert a disproportionately large influence over terrestrial C storage...

  6. VIVA LA SALUD INFANTILE: Pediatric obesity treatment in an underserved Hispanic community

    USDA-ARS?s Scientific Manuscript database

    Pediatric obesity in the US disproportionately impacts minority populations who face socioeconomic and cultural barriers to weight management programs. The specific aim of this pilot study was to test the effectiveness of diet behavior modification or diet behavior modification plus structured aerob...

  7. 75 FR 16117 - Registration Review; Pesticide Dockets Opened for Review and Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-31

    ..., human health, farmworker, and agricultural advocates; the chemical industry; pesticide users; and... disproportionately high and adverse human health impacts or environmental effects from exposure to the pesticides... can still be used without unreasonable adverse effects on human health or the environment. A pesticide...

  8. Community-based research as a mechanism to reduce environmental health disparities in American Indian and Alaska Native communities

    EPA Science Inventory

    Racial and ethnic minority communities, including American Indian and Alaska Natives, have been disproportionately impacted by environmental pollution and contamination. This includes siting and location of point sources of pollution, legacies of contamination of drinking and re...

  9. Accountability and Opportunity in Higher Education: The Civil Rights Dimension

    ERIC Educational Resources Information Center

    Orfield, Gary, Ed.; Hillman, Nicholas, Ed.

    2018-01-01

    In "Accountability and Opportunity in Higher Education," leading scholars address the unforeseen impact of accountability standards on students of color and the institutions that disproportionately serve them. The book describes how federal policies can worsen existing racial inequalities in higher education and offers alternative…

  10. Making the Case for Disease Prevention in Perfectly Healthy Vineyards

    USDA-ARS?s Scientific Manuscript database

    Diseased vineyards can produce a disproportionately low ratio of yield to ecosystem services or dis-services (habitat loss, poor water quality), and have little to no returns on the capital invested. Minimizing such environmental and economic impacts depends on effective disease prevention, but ado...

  11. Large-scale habitat associations of four desert anurans in Big Bend National Park, Texas

    USGS Publications Warehouse

    Dayton, Gage H.; Jung, R.E.; Droege, S.

    2004-01-01

    We used night driving to examine large scale habitat associations of four common desert anurans in Big Bend National Park, Texas. We examined association of soil types and vegetation communities with abundance of Couch's Spadefoots (Scaphiopus couchii), Red-spotted Toads (Bufo punctatus), Texas Toads (Bufo speciosus), and Western Green Toads (Bufo debilis). All four species were disproportionately associated with frequently inundated soils that are relatively high in clay content. Bufo punctatus was associated with rocky soil types more frequently than the other three species. Association between all four species and vegetation types was disproportionate in relation to availability. Bufo debilis and Bufo punctatus were associated with creosote and mixed scrub vegetation. Bufo speciosus and Scaphiopus couchii were associated with mesquite scrub vegetation. Bufo debilis, Scaphiopus couchii, and B. speciosus were more tightly associated with specific habitat types, whereas B. punctatus exhibited a broader distribution across the habitat categories. Examining associations between large-scale habitat categories and species abundance is an important first step in understanding factors that influence species distributions and presence-absence across the landscape.

  12. Sulfite-oxido-reductase is involved in the oxidation of sulfite in Desulfocapsa sulfoexigens during disproportionation of thiosulfate and elemental sulfur.

    PubMed

    Frederiksen, Trine-Maria; Finster, Kai

    2003-06-01

    The enzymatic pathways of elemental sulfur and thiosulfate disproportionation were investigated using cell-free extract of Desulfocapsa sulfoexigens. Sulfite was observed to be an intermediate in the metabolism of both compounds. Two distinct pathways for the oxidation of sulfite have been identified. One pathway involves APS reductase and ATP sulfurylase and can be described as the reversion of the initial steps of the dissimilatory sulfate reduction pathway. The second pathway is the direct oxidation of sulfite to sulfate by sulfite oxidoreductase. This enzyme has not been reported from sulfate reducers before. Thiosulfate reductase, which cleaves thiosulfate into sulfite and sulfide, was only present in cell-free extract from thiosulfate disproportionating cultures. We propose that this enzyme catalyzes the first step in thiosulfate disproportionation. The initial step in sulfur disproportionation was not identified. Dissimilatory sulfite reductase was present in sulfur and thiosulfate disproportionating cultures. The metabolic function of this enzyme in relation to elemental sulfur or thiosulfate disproportionation was not identified. The presence of the uncouplers HQNO and CCCP in growing cultures had negative effects on both thiosulfate and sulfur disproportionation. CCCP totally inhibited sulfur disproportionation and reduced thiosulfate disproportionation by 80% compared to an unamended control. HQNO reduced thiosulfate disproportionation by 80% and sulfur disproportionation by 90%.

  13. Phonons and elasticity of cementite through the Curie temperature

    NASA Astrophysics Data System (ADS)

    Mauger, L.; Herriman, J. E.; Hellman, O.; Tracy, S. J.; Lucas, M. S.; Muñoz, J. A.; Xiao, Yuming; Li, J.; Fultz, B.

    2017-01-01

    Phonon partial densities of states (pDOS) of Fe573C were measured from cryogenic temperatures through the Curie transition at 460 K using nuclear resonant inelastic x-ray scattering. The cementite pDOS reveal that low-energy acoustic phonons shift to higher energies (stiffen) with temperature before the magnetic transition. This unexpected stiffening suggests strongly nonharmonic vibrational behavior that impacts the thermodynamics and elastic properties of cementite. Density functional theory calculations reproduced the anomalous stiffening observed experimentally in cementite by accounting for phonon-phonon interactions at finite temperatures. The calculations show that the low-energy acoustic phonon branches with polarizations along the [010] direction are largely responsible for the anomalous thermal stiffening. The effect was further localized to the motions of the FeII site within the orthorhombic structure, which participates disproportionately in the anomalous phonon stiffening.

  14. Host population structure and treatment frequency maintain balancing selection on drug resistance

    PubMed Central

    Baskerville, Edward B.; Colijn, Caroline; Hanage, William; Fraser, Christophe; Lipsitch, Marc

    2017-01-01

    It is a truism that antimicrobial drugs select for resistance, but explaining pathogen- and population-specific variation in patterns of resistance remains an open problem. Like other common commensals, Streptococcus pneumoniae has demonstrated persistent coexistence of drug-sensitive and drug-resistant strains. Theoretically, this outcome is unlikely. We modelled the dynamics of competing strains of S. pneumoniae to investigate the impact of transmission dynamics and treatment-induced selective pressures on the probability of stable coexistence. We find that the outcome of competition is extremely sensitive to structure in the host population, although coexistence can arise from age-assortative transmission models with age-varying rates of antibiotic use. Moreover, we find that the selective pressure from antibiotics arises not so much from the rate of antibiotic use per se but from the frequency of treatment: frequent antibiotic therapy disproportionately impacts the fitness of sensitive strains. This same phenomenon explains why serotypes with longer durations of carriage tend to be more resistant. These dynamics may apply to other potentially pathogenic, microbial commensals and highlight how population structure, which is often omitted from models, can have a large impact. PMID:28835542

  15. Impact of convection on stratospheric humidity and upper tropospheric clouds

    NASA Astrophysics Data System (ADS)

    Ueyama, R.; Schoeberl, M. R.; Jensen, E. J.; Pfister, L.; Avery, M. A.

    2017-12-01

    The role of convection on stratospheric water vapor and upper tropospheric cloud fraction is investigated using two sets of complementary transport and microphysical models driven by MERRA-2 and ERA-Interim meteorological analyses: (1) computationally efficient ensembles of forward trajectories with simplified cloud microphysics, and (2) one-dimensional simulations with detailed microphysics along back trajectories. Convective influence along the trajectories is diagnosed based on TRMM/GPM rainfall products and geostationary infrared satellite cloud-top measurements, with convective cloud-top height adjusted to match the CloudSat, CALIPSO, and CATS measurements. We evaluate and constrain the model results by comparison with satellite observations (e.g., Aura MLS, CALIPSO CALIOP) and high-altitude aircraft campaigns (e.g., ATTREX, POSIDON). Convection moistens the lower stratosphere by approximately 10-15% and increases the cloud fraction in the upper troposphere by 35-50%. Convective moistening is dominated by the saturating effect of parcels; convectively-lofted ice has a negligible impact on lower stratospheric humidity. We also find that the highest convective clouds have a disproportionately large impact on stratospheric water vapor because stratospheric relative humidity is low. Implications of these model results on the role of convection on present and future climate will be discussed.

  16. Medical economic impact of tracheotomy patients on a hospital system.

    PubMed

    Altman, Kenneth W; Banoff, Karen Merl; Tong, Charles C L

    2015-04-01

    Tracheotomy patients are a small portion of hospitalizations, but account for disproportionately high risk and costs. There are many complex decisions that go into the care of these patients, and practice variation is expected to be compounded in a health system. This study sought to characterize the medical economic impact of tracheotomy patients on the hospital system. A retrospective review of the health system's hospital billing software was performed for 2013, and pertinent outcomes measures were tabulated. There were 829 tracheotomies performed in the health system of seven hospitals, with total costs of $128,883,865. Average length of stay was 36.74 days for principal procedures, and 43.36 days for tracheotomy as secondary procedures. Mortality was ∼ 18% overall, and re-admissions were 10.93% for primary, and 14.36% for secondary procedures. A fairly wide variation in each category among the different hospitals was observed. There are potentially many factors that impact variations of care and outcomes in patients with tracheotomy. Due to their large economic impact and risks for morbidity and mortality, a formalized care pathway is warranted. Goals of the pathway should include understanding medical decisions surrounding these complex patients, monitoring pertinent outcomes, reducing practice variation, and improving the efficiency of compassionate care.

  17. The contribution of large trees to total transpiration rates in a pre-montane tropical forest and its implications for selective logging practices

    NASA Astrophysics Data System (ADS)

    Orozco, G.; Moore, G. W.; Miller, G. R.

    2012-12-01

    In the humid tropics, conservationists generally prefer selective logging practices over clearcutting. Large valuable timber is removed while the remaining forest is left relatively undisturbed. However, little is known about the impact of selective logging on site water balance. Because large trees have very deep sapwood and exposed canopies, they tend to have high transpiration. The first objective was to evaluate the methods used for scaling sap flow measurements to the watershed with particular emphasis on large trees. The second objective of this study was to determine the relative contribution of large trees to site water balance. Our study was conducted in a pre-montane transitional forest at the Texas A&M University Soltis Center in north-central Costa Rica. During the period between January and July 2012, sap flux was monitored in a 30-m diameter plot within a 10-ha watershed. Two pairs of heat dissipation sensors were installed in the outer 0-20 mm of each of 15 trees selected to represent the full range of tree sizes. In six of the largest trees, depth profiles were recorded at 10-mm intervals to a depth of 60 mm using compensation heat pulse sensors. To estimate sapwood basal area of the entire watershed, a stand survey was conducted in three 30-m-diameter plots. In each plot, we measured basal area of all trees and estimated sapwood basal area from sapwood depth measured in nearly half of the trees. An estimated 36.5% of the total sapwood area in this watershed comes from the outer 20 mm of sapwood, with the remaining 63.5% of sapwood from depths deeper than 20 mm. Nearly 13% of sapwood is from depths beyond 60 mm. Sap velocity profiles indicate the highest flow rates occurred in the 0-2 cm depths, with declines of 17% and 25% in the 20-40 mm and 40-60 mm ranges, respectively. Our results demonstrate the need to measure sap velocity profiles in large tropical trees. If total transpiration had been estimated solely from the 0-20 mm heat dissipation probes, it would have been overestimated by at least 15%. Total transpiration averaged 1.49 mm over the 6-month study period. However, the largest 10% of trees contributed disproportionately to this amount. Trees greater than 110 cm in diameter represented over half of the total basal area and 32% of the total sapwood area. These results highlight the importance of large trees in estimating watershed-scale transpiration. From a forest management perspective, selectively logging only the very largest trees, a common practice among these tropical forests of Costa Rica, is likely to disproportionately impact the site water balance unless water use of smaller trees can fully compensate.

  18. Preparing Daughters: The Context of Rurality on Mothers' Role in Contraception

    ERIC Educational Resources Information Center

    Noone, Joanne; Young, Heather M.

    2009-01-01

    Context: The United States continues to have the highest rate of adolescent childbearing among developed countries. Lack of access and disadvantage contribute to this problem, which disproportionately impacts rural women. Given the increased difficulty rural young women face regarding contraceptive access, parental communication and support play…

  19. Risks of Sea Level Rise to Disadvantaged Communities in the United States

    EPA Science Inventory

    In this paper, we apply a new analytic tool to identify geographic areas in the contiguous United States that may be more likely to experience disproportionate impacts of sea level rise (SLR), and to determine if and where socially vulnerable populations would bear disproportiona...

  20. The Role of Social Work in the Context of Social Disintegration and Violence

    ERIC Educational Resources Information Center

    Moller, Kurt

    2008-01-01

    Violence and the violence discourse are very similar from country to country: focus on youth, preponderance of males among perpetrators and victims, disproportionate involvement of migrants and indigenous people, greater prevalence with socioeconomic disadvantage and low education, and the impact of underlying factors such as political…

  1. A Study of Cognitive Achievement in a Special Premedical Program

    ERIC Educational Resources Information Center

    Agbor-Baiyee, William

    2009-01-01

    Purpose: In common with most standardized admissions tests, the Medical College Admission Test (MCAT) scores disproportionately screen out applicants from disadvantaged and underrepresented minority groups, relative to their demographic importance. The impact of programs to prepare students for the MCAT has not been adequately addressed. The…

  2. Characteristics of a Productive Research Environment: Literature Review.

    ERIC Educational Resources Information Center

    Bland, Carole J.; Ruffin, Mack T., IV

    1992-01-01

    A review of the literature on university faculty research productivity found a consistent set of 12 characteristics common in research-conducive environments. Findings included (1) the leader has a disproportionate impact through his influence on all the other characteristics, and (2) participative governance is important in promotion of research…

  3. The Impact and Racial Identity on Academic Achievement

    ERIC Educational Resources Information Center

    Mulzac, Anica Camela

    2012-01-01

    Research has shown that academic achievement among racial minority groups, particularly African Americans, and the majority Caucasian group is profoundly disproportionate. A number of variables have been shown to influence the academic achievement of students, such as stereotype threat, racial identity, and academic self-concept (Awad, 2007;…

  4. 75 FR 35810 - Registration Review; Pesticide Dockets Opened for Review and Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... disproportionately high and adverse human health impacts or environmental effects from exposure to the pesticides... can still be used without unreasonable adverse effects on human health or the environment. A pesticide... function without unreasonable adverse effects on human health or the environment. Registration review...

  5. 75 FR 16114 - Registration Review; Biopesticides Dockets Opened for Review and Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-31

    ... disproportionately high and adverse human health impacts or environmental effects from exposure to the pesticide(s... its intended function without unreasonable adverse effects on human health or the environment... and other knowledge, including its effects on human health and the environment. DATES: Comments must...

  6. 78 FR 14540 - Cyromazine, Silica Silicates (Silica Dioxide and Silica Gel), Glufosinate Ammonium, Dioctyl...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-06

    ..., human health, farm worker, and agricultural advocates; the chemical industry; pesticide users; and... disproportionately high and adverse human health impacts and/or environmental effects from exposure to the pesticides... Acid (UDA) Registration Review; Draft Human Health and Ecological Risk Assessments; Notice of...

  7. 75 FR 16100 - Antimicrobial Pesticide Registration Review Dockets Opened for Review and Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-31

    ... disproportionately high and adverse human health impacts or environmental effects from exposure to the pesticide(s... its intended function without unreasonable adverse effects on human health or the environment... knowledge, including its effects on human health and the environment. DATES: Comments must be received on or...

  8. 75 FR 60119 - Registration Review; Antimicrobial Pesticide Dockets Opened for Review and Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-29

    ... disproportionately high and adverse human health impacts or environmental effects from exposure to the pesticides... can still be used without unreasonable adverse effects on human health or the environment. A pesticide... its intended function without unreasonable adverse effects on human health or the environment...

  9. Network charges in a low CO2 world

    NASA Astrophysics Data System (ADS)

    Rubino, Alessandro

    2018-04-01

    New and emerging energy consumption patterns driven by the rise of prosumers may lead to under-recovery of network costs under current network charges, so new tariffs are being sought. A study using detailed household consumption data now illustrates the potentially disproportionate impact of different tariffs on household budgets.

  10. The role of pest control advisors in preventative management of grapevine trunk diseases

    USDA-ARS?s Scientific Manuscript database

    Diseased vineyards can produce a disproportionately low ratio of yield to ecosystem dis-services, and can have little to no returns on the capital invested. Minimizing such environmental and economic impacts depends on disease prevention, but adopting a preventative practice after infection occurs m...

  11. A Review of Stressors from the Built and Natural Environments Impacting American Indian Children’s Health and Well-Being

    EPA Science Inventory

    Exposures to chemical and non-chemical stressors from children’s environments during early development may contribute to differences in their health and well-being outcomes. Children from American Indian tribes may have a disproportionate burden of these stressors from thei...

  12. Insults to the Developing Brain and Impact on Neurodevelopmental Outcome

    ERIC Educational Resources Information Center

    Adams-Chapman, Ira

    2009-01-01

    Premature infants have a disproportionately increased risk for brain injury based on several mechanisms including intraventricular hemorrhage, ischemia and the vulnerability of developing neuronal progenitor cells. Injury to the developing brain often results in neurologic abnormalities that can be correlated with a structural lesion; however more…

  13. Storytelling for Empowerment for Latino Teens: Increasing HIV Prevention Knowledge and Attitudes

    ERIC Educational Resources Information Center

    Nelson, Annabelle; Cordova, David; Walters, Andrew S.; Szecsy, Elsie

    2016-01-01

    Latino adolescents are disproportionately impacted by HIV, but researchers have documented few programs to prevent and reduce HIV risk. The Storytelling for Empowerment (SFE) "HIV StoryBook" was designed with an innovative ecodevelopment approach combining empowerment, family communication, and positive cultural identity. A mixed method…

  14. Assessing the extent and impact of the masking effect of disproportionality analyses on two spontaneous reporting systems databases.

    PubMed

    Maignen, Francois; Hauben, Manfred; Hung, Eric; Van Holle, Lionel; Dogne, Jean-Michel

    2014-02-01

    Masking is a statistical issue by which signals are hidden by the presence of other medicines in the database. In the absence algorithm, the impact of the masking effect has not been fully investigated. Our study is aimed at assessing the extent and the impact of the masking effect on two large spontaneous reporting databases. Cross sectional study using a set of terms of importance for public health in two spontaneous reporting databases. The analyses were performed on EudraVigilance (EV) and the Pfizer spontaneous reporting database (PfDB). Using the masking ratio, we have identified and removed the products inducing the highest masking effect. Studying a total of almost 50 000 drug-event combinations masking had an impact on approximately 60% of drug-event combinations were masked by another product with a masking ratio >1 in EV and 84% in PfDB. The prevalence of important masking was quite rare (0.003% of the DECs) and mainly affected events rarely reported in EV. The products involved in the highest masking effects are products known to induce the reaction. The removal of the masking effect of the highest masking product has revealed 974 signals of disproportionate reporting in EV including true signals. The study shows that the original ranking provided by the quantitative methods included in our study is marginally affected by the removal of the masking product. Our study suggests that significant masking is rare in large spontaneous databases and mostly affects events rarely reported in EV. Copyright © 2013 John Wiley & Sons, Ltd.

  15. GREEN RETROFITTING RESIDENTIAL BUILDINGS

    EPA Science Inventory

    When compared with the rest of the world, the United States consumes a disproportionately large amount of energy and is a major source of greenhouse gases from fossil fuel combustion. As much as two thirds of U.S. electricity production is consumed by residential and commerci...

  16. Shiga toxins: A review of structure, mechanism, and detection

    USDA-ARS?s Scientific Manuscript database

    Although Shiga toxin (Stx)-producing Escherichia coli (STEC) are responsible for a minority of foodborne disease outbreaks in the United States, they account for a disproportionately large number of hospitalizations, serious sequelae, and deaths associated with foodborne illness. Diseases caused b...

  17. The Influence of Parental Engagement on Most Restrictive Special Education Placements for African American Students in a Major Urban Texas School District

    ERIC Educational Resources Information Center

    Hawkins, Dianne Kendrick

    2017-01-01

    African American students receive placements in special education in numbers disproportionate to their representation in the population at large. They are also placed in most restrictive settings in large numbers. The current quantitative study was designed to examine the influence of participation in ARD/IEP meetings by African American parents…

  18. Gravel-bed river floodplains are the ecological nexus of glaciated mountain landscapes

    USGS Publications Warehouse

    Hauer, F. Richard; Locke, Harvey; Dreitz, Victoria; Hebblewhite, Mark; Lowe, Winsor; Muhlfeld, Clint C.; Nelson, Cara; Proctor, Michael F.; Rood, Stewart B.

    2016-01-01

    Gravel-bed river floodplains in mountain landscapes disproportionately concentrate diverse habitats, nutrient cycling, productivity of biota, and species interactions. Although stream ecologists know that river channel and floodplain habitats used by aquatic organisms are maintained by hydrologic regimes that mobilize gravel-bed sediments, terrestrial ecologists have largely been unaware of the importance of floodplain structures and processes to the life requirements of a wide variety of species. We provide insight into gravel-bed rivers as the ecological nexus of glaciated mountain landscapes. We show why gravel-bed river floodplains are the primary arena where interactions take place among aquatic, avian, and terrestrial species from microbes to grizzly bears and provide essential connectivity as corridors for movement for both aquatic and terrestrial species. Paradoxically, gravel-bed river floodplains are also disproportionately unprotected where human developments are concentrated. Structural modifications to floodplains such as roads, railways, and housing and hydrologicaltering hydroelectric or water storage dams have severe impacts to floodplain habitat diversity and productivity, restrict local and regional connectivity, and reduce the resilience of both aquatic and terrestrial species, including adaptation to climate change. To be effective, conservation efforts in glaciated mountain landscapes intended to benefit the widest variety of organisms need a paradigm shift that has gravel-bed rivers and their floodplains as the central focus and that prioritizes the maintenance or restoration of the intact structure and processes of these critically important systems throughout their length and breadth.

  19. Gravel-bed river floodplains are the ecological nexus of glaciated mountain landscapes.

    PubMed

    Hauer, F Richard; Locke, Harvey; Dreitz, Victoria J; Hebblewhite, Mark; Lowe, Winsor H; Muhlfeld, Clint C; Nelson, Cara R; Proctor, Michael F; Rood, Stewart B

    2016-06-01

    Gravel-bed river floodplains in mountain landscapes disproportionately concentrate diverse habitats, nutrient cycling, productivity of biota, and species interactions. Although stream ecologists know that river channel and floodplain habitats used by aquatic organisms are maintained by hydrologic regimes that mobilize gravel-bed sediments, terrestrial ecologists have largely been unaware of the importance of floodplain structures and processes to the life requirements of a wide variety of species. We provide insight into gravel-bed rivers as the ecological nexus of glaciated mountain landscapes. We show why gravel-bed river floodplains are the primary arena where interactions take place among aquatic, avian, and terrestrial species from microbes to grizzly bears and provide essential connectivity as corridors for movement for both aquatic and terrestrial species. Paradoxically, gravel-bed river floodplains are also disproportionately unprotected where human developments are concentrated. Structural modifications to floodplains such as roads, railways, and housing and hydrologic-altering hydroelectric or water storage dams have severe impacts to floodplain habitat diversity and productivity, restrict local and regional connectivity, and reduce the resilience of both aquatic and terrestrial species, including adaptation to climate change. To be effective, conservation efforts in glaciated mountain landscapes intended to benefit the widest variety of organisms need a paradigm shift that has gravel-bed rivers and their floodplains as the central focus and that prioritizes the maintenance or restoration of the intact structure and processes of these critically important systems throughout their length and breadth.

  20. Gravel-bed river floodplains are the ecological nexus of glaciated mountain landscapes

    PubMed Central

    Hauer, F. Richard; Locke, Harvey; Dreitz, Victoria J.; Hebblewhite, Mark; Lowe, Winsor H.; Muhlfeld, Clint C.; Nelson, Cara R.; Proctor, Michael F.; Rood, Stewart B.

    2016-01-01

    Gravel-bed river floodplains in mountain landscapes disproportionately concentrate diverse habitats, nutrient cycling, productivity of biota, and species interactions. Although stream ecologists know that river channel and floodplain habitats used by aquatic organisms are maintained by hydrologic regimes that mobilize gravel-bed sediments, terrestrial ecologists have largely been unaware of the importance of floodplain structures and processes to the life requirements of a wide variety of species. We provide insight into gravel-bed rivers as the ecological nexus of glaciated mountain landscapes. We show why gravel-bed river floodplains are the primary arena where interactions take place among aquatic, avian, and terrestrial species from microbes to grizzly bears and provide essential connectivity as corridors for movement for both aquatic and terrestrial species. Paradoxically, gravel-bed river floodplains are also disproportionately unprotected where human developments are concentrated. Structural modifications to floodplains such as roads, railways, and housing and hydrologic-altering hydroelectric or water storage dams have severe impacts to floodplain habitat diversity and productivity, restrict local and regional connectivity, and reduce the resilience of both aquatic and terrestrial species, including adaptation to climate change. To be effective, conservation efforts in glaciated mountain landscapes intended to benefit the widest variety of organisms need a paradigm shift that has gravel-bed rivers and their floodplains as the central focus and that prioritizes the maintenance or restoration of the intact structure and processes of these critically important systems throughout their length and breadth. PMID:27386570

  1. Why We Must Continue to Investigate Menthol's Role in the African American Smoking Paradox.

    PubMed

    Alexander, Linda A; Trinidad, Dennis R; Sakuma, Kari-Lyn K; Pokhrel, Pallav; Herzog, Thaddeus A; Clanton, Mark S; Moolchan, Eric T; Fagan, Pebbles

    2016-04-01

    The disproportionate burden of tobacco use among African Americans is largely unexplained. The unexplained disparities, referred to as the African American smoking paradox, includes several phenomena. Despite their social disadvantage, African American youth have lower smoking prevalence rates, initiate smoking at older ages, and during adulthood, smoking rates are comparable to whites. Smoking frequency and intensity among African American youth and adults are lower compared to whites and American Indian and Alaska Natives, but tobacco-caused morbidity and mortality rates are disproportionately higher. Disease prediction models have not explained disease causal pathways in African Americans. It has been hypothesized that menthol cigarette smoking, which is disproportionately high among African Americans, may help to explain several components of the African American smoking paradox. This article provides an overview of the potential role that menthol plays in the African American smoking paradox. We also discuss the research needed to better understand this unresolved puzzle. We examined prior synthesis reports and reviewed the literature in PubMed on the menthol compound and menthol cigarette smoking in African Americans. The pharmacological and physiological effects of menthol and their interaction with biological and genetic factors may indirectly contribute to the disproportionate burden of cigarette use and diseases among African Americans. Future studies that examine taste sensitivity, the menthol compound, and their effects on smoking and chronic disease would provide valuable information on how to reduce the tobacco burden among African Americans. Our study highlights four counterintuitive observations related to the smoking risk profiles and chronic disease outcomes among African Americans. The extant literature provides strong evidence of their existence and shows that long-standing paradoxes have been largely unaffected by changes in the social environment. African Americans smoke menthols disproportionately, and menthol's role in the African American smoking paradox has not been thoroughly explored. We propose discrete hypotheses that will help to explain the phenomena and encourage researchers to empirically test menthol's role in smoking initiation, transitions to regular smoking and chronic disease outcomes in African Americans. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Publication Bias in Special Education Meta-Analyses

    ERIC Educational Resources Information Center

    Gage, Nicholas A.; Cook, Bryan G.; Reichow, Brian

    2017-01-01

    Publication bias involves the disproportionate representation of studies with large and significant effects in the published research. Among other problems, publication bias results in inflated omnibus effect sizes in meta-analyses, giving the impression that interventions have stronger effects than they actually do. Although evidence suggests…

  3. Environment, wealth, inequality and the burden of disease in the Accra metropolitan area, Ghana.

    PubMed

    Boadi, Kwasi Owusu; Kuitunen, Markku

    2005-06-01

    The study examines environmental problems and adverse impacts on the health of urban households in the Accra metropolitan area, Ghana. Accra is faced with severe inadequacy of urban infrastructure in the face of rapid population growth in the metropolis. More than half of the city's population do not have access to solid waste collection services. Only 39.8% of households have indoor pipe and over 35.0% of households depend on unsanitary public latrines whilst 2.5% do not have access to toilet facilities. Human excrement, garbage and wastewater are usually deposited in surface drains, open spaces and streams in poor neighbourhoods. The resultant poor sanitation has serious health impacts as more than half of reported diseases are related to poor environmental sanitation. The majority of households depend on solid fuels for cooking and this leads to indoor air pollution and high incidence of respiratory infections. Poor households bear a disproportionately large share of the burden of environmental health hazards than their wealthy counterparts, due to their particular vulnerability resulting from inadequate access to environmental health facilities and services.

  4. Influence of nonnative and native ungulate biomass and seasonal precipitation on vegetation production in a Great Basin ecosystem

    USGS Publications Warehouse

    Zeigenfuss, Linda C.; Schoenecker, Kathryn A.; Ransom, Jason I.; Ignizio, Drew A.; Mask, Tracy

    2014-01-01

    The negative effects of equid grazers in semiarid ecosystems of the American West have been considered disproportionate to the influence of native ungulates in these systems because of equids' large body size, hoof shape, and short history on the landscape relative to native ungulates. Tools that can analyze the degree of influence of various ungulate herbivores in an ecosystem and separate effects of ungulates from effects of other variables (climate, anthropomorphic disturbances) can be useful to managers in determining the location of nonnative herbivore impacts and assessing the effect of management actions targeted at different ungulate populations. We used remotely sensed data to determine the influence of native and nonnative ungulates and climate on vegetation productivity at wildlife refuges in Oregon and Nevada. Our findings indicate that ungulate biomass density, particularly equid biomass density, and precipitation in winter and spring had the greatest influence on normalized difference vegetation index (NDVI) values. Our results concur with those of other researchers, who found that drought exacerbated the impacts of ungulate herbivores in arid systems.

  5. The Effect of Cuts in Medicare Reimbursement on Hospital Mortality

    PubMed Central

    Seshamani, Meena; Schwartz, J Sanford; Volpp, Kevin G

    2006-01-01

    Objective To determine if patients treated at hospitals under different levels of financial strain from the Balanced Budget Act (BBA) of 1997 had differential changes in 30-day mortality, and whether vulnerable patient populations such as the uninsured were disproportionately affected. Data Source Hospital discharge data from all general acute care hospitals in Pennsylvania from 1997 to 2001. Study Design A multivariate regression analysis was performed retrospectively on 30-day mortality rates, using hospital discharge data, hospital financial data, and death certificate information from Pennsylvania. Data Collection We used 370,017 hospital episodes with one of four conditions identified by the Agency for Healthcare Research and Quality as inpatient quality indicators were extracted. Principal Findings The average magnitude of Medicare payment reduction on overall net revenues was estimated at 1.8 percent for hospitals with low BBA impact and 3.6 percent for hospitals with a high impact in 1998, worsening to 2 and 4.8 percent, respectively, by 2001. Operating margins decreased significantly over the time period for all hospitals (p<.05). While unadjusted mortality rates demonstrated a disproportionate rise in mortality for patients from high impact hospitals from 1997 to 2000, adjusted analyses show no consistent, significant difference in the rate of change in mortality between high-impact and low-impact hospitals (p = .04–.94). Similarly, uninsured patients did not experience greater increases in mortality in high-impact hospitals relative to low-impact hospitals. Conclusions An analysis of hospitalizations in the Commonwealth of Pennsylvania did not find an adverse impact of increased financial strain from the BBA on patient mortality either among all patients or among the uninsured. PMID:16704507

  6. Rare species contribute disproportionately to the functional structure of species assemblages.

    PubMed

    Leitão, Rafael P; Zuanon, Jansen; Villéger, Sébastien; Williams, Stephen E; Baraloto, Christopher; Fortunel, Claire; Mendonça, Fernando P; Mouillot, David

    2016-04-13

    There is broad consensus that the diversity of functional traits within species assemblages drives several ecological processes. It is also widely recognized that rare species are the first to become extinct following human-induced disturbances. Surprisingly, however, the functional importance of rare species is still poorly understood, particularly in tropical species-rich assemblages where the majority of species are rare, and the rate of species extinction can be high. Here, we investigated the consequences of local and regional extinctions on the functional structure of species assemblages. We used three extensive datasets (stream fish from the Brazilian Amazon, rainforest trees from French Guiana, and birds from the Australian Wet Tropics) and built an integrative measure of species rarity versus commonness, combining local abundance, geographical range, and habitat breadth. Using different scenarios of species loss, we found a disproportionate impact of rare species extinction for the three groups, with significant reductions in levels of functional richness, specialization, and originality of assemblages, which may severely undermine the integrity of ecological processes. The whole breadth of functional abilities within species assemblages, which is disproportionately supported by rare species, is certainly critical in maintaining ecosystems particularly under the ongoing rapid environmental transitions. © 2016 The Author(s).

  7. Rare species contribute disproportionately to the functional structure of species assemblages

    PubMed Central

    Zuanon, Jansen; Williams, Stephen E.; Baraloto, Christopher; Mendonça, Fernando P.

    2016-01-01

    There is broad consensus that the diversity of functional traits within species assemblages drives several ecological processes. It is also widely recognized that rare species are the first to become extinct following human-induced disturbances. Surprisingly, however, the functional importance of rare species is still poorly understood, particularly in tropical species-rich assemblages where the majority of species are rare, and the rate of species extinction can be high. Here, we investigated the consequences of local and regional extinctions on the functional structure of species assemblages. We used three extensive datasets (stream fish from the Brazilian Amazon, rainforest trees from French Guiana, and birds from the Australian Wet Tropics) and built an integrative measure of species rarity versus commonness, combining local abundance, geographical range, and habitat breadth. Using different scenarios of species loss, we found a disproportionate impact of rare species extinction for the three groups, with significant reductions in levels of functional richness, specialization, and originality of assemblages, which may severely undermine the integrity of ecological processes. The whole breadth of functional abilities within species assemblages, which is disproportionately supported by rare species, is certainly critical in maintaining ecosystems particularly under the ongoing rapid environmental transitions. PMID:27053754

  8. Political Mothering: Latina and African American Mothers in the Struggle for Educational Justice

    ERIC Educational Resources Information Center

    Fuentes, Emma

    2013-01-01

    This article explores the process and impact of women organizing for educational justice in Northern California by documenting the efforts of a committed group of mothers who sought to address the disproportionate underachievement of Latino and African American students within their city's high school. Using a combined methodology of ethnography…

  9. Scholarly Research and Teaching: Is There a Disproportionate Mix?

    ERIC Educational Resources Information Center

    Reinstein, Alan; Lander, Gerald H.

    1993-01-01

    A survey examined how students (n=750), educators (n=341), certified public accountants (n=290), and industrial accountants (n=471) view the impact of the present mix of research and teaching. Results suggest that, to achieve a practical and reasonable evaluation of education, teaching skills should receive renewed emphasis and continuing…

  10. How Does Sexual Identity Disclosure Impact School Experiences?

    ERIC Educational Resources Information Center

    Watson, Ryan J.; Wheldon, Christopher W.; Russell, Stephen T.

    2015-01-01

    Lesbian, gay, and bisexual (LGB) individuals disproportionately report negative academic outcomes and experiences as a result of stigma and discrimination. No research to date has investigated how being out in different social relationships may affect these youth. We compare youth who are out to family, friends, and people at school to understand…

  11. 29 CFR 1607.4 - Information on impact.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... and the “four-fifths rule.” A selection rate for any race, sex, or ethnic group which is less than... disproportionately on grounds of race, sex, or ethnic group. Greater differences in selection rate may not constitute... may in design and execution be race, color, sex, or ethnic conscious, selection procedures under such...

  12. 29 CFR 1607.4 - Information on impact.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... and the “four-fifths rule.” A selection rate for any race, sex, or ethnic group which is less than... disproportionately on grounds of race, sex, or ethnic group. Greater differences in selection rate may not constitute... may in design and execution be race, color, sex, or ethnic conscious, selection procedures under such...

  13. Parental Attitudes about Teenage Pregnancy: Impact on Sexual Risk Behaviour of African-American Youth

    ERIC Educational Resources Information Center

    Annang, Lucy; Lian, Brad; Fletcher, Faith E.; Jackson, Dawnyéa

    2014-01-01

    African-American youth suffer disproportionately from sexual risk consequences including unintended pregnancy and sexually transmitted infections. Parents educating young people about sex may be one approach to reduce sexual risk behaviour among this population. The purpose of this study was to determine young people's perceptions of parents'…

  14. The Relationship between Classroom Interactions and Exclusionary Discipline as a Social Practice: A Critical Microethnography

    ERIC Educational Resources Information Center

    Pane, Debra Mayes

    2009-01-01

    Exclusionary school discipline results in students being removed from classrooms as a consequence of their disruptive behavior and may lead to subsequent suspension and/or expulsion. Literature documents that nondominant students, particularly Black males, are disproportionately impacted by exclusionary discipline, to the point that researchers…

  15. Study Design and Impact Results

    ERIC Educational Resources Information Center

    Heppen, Jessica; Sorensen, Nicholas

    2014-01-01

    The consequences of failing core academic courses during the first year of high school are dire. More students fail courses in ninth grade than in any other grade, and a disproportionate number of these students subsequently drop out (Herlihy, 2007). As shown in Chicago and elsewhere, academic performance in core courses during the first year of…

  16. Impact of Undergraduates' Stereotypes of Scientists on Their Intentions to Pursue a Career in Science

    ERIC Educational Resources Information Center

    Schneider, Jennifer

    2010-01-01

    Women remain disproportionately underrepresented in certain science, technology, engineering, and math (STEM) majors and occupations. Stereotypes of scientists may be contributing factors in this phenomenon. However, this relationship has not yet been empirically examined. This is partly because of the dearth of literature addressing the…

  17. 77 FR 59610 - Flonicamid; Applications To Add New Food Uses on Previously Registered Pesticide Products

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... entities may include, but are not limited to: Crop production (NAICS code 111). Animal production (NAICS... to illustrate your concerns and suggest alternatives. vii. Explain your views as clearly as possible... factors, may have atypical or disproportionately high and adverse human health impacts or environmental...

  18. Home on the Range--Health Literacy, Rural Elderly, Well-Being

    ERIC Educational Resources Information Center

    Young, David; Weinert, Clarann; Spring, Amber

    2012-01-01

    The demographic and socioeconomic impacts of the baby boomer generation turning 65 in 2011 will be magnified in rural areas where elderly are already disproportionately represented. The overall goal of a collaborative, community-based project was to improve the health literacy, health outcomes, and overall well-being of rural elderly in four…

  19. 76 FR 60822 - Registration Review; Pesticide Dockets Opened for Review and Comment and Other Docket Actions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... disproportionately high and adverse human health impacts or environmental effects from exposure to the pesticides... perform its intended function without unreasonable adverse effects on human health or the environment... knowledge, including its effects on human health and the environment. EPA is also announcing that the docket...

  20. 77 FR 26477 - Receipt of a Pesticide Petition Filed for Residues of Pesticide Chemicals in or on Various...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... factors, may have atypical or disproportionately high and adverse human health impacts or environmental... Pesticide Petition Filed for Residues of Pesticide Chemicals in or on Various Commodities AGENCY...: This document announces the Agency's receipt of an initial filing of a pesticide petition requesting...

  1. 78 FR 1798 - Receipt of a Pesticide Petition Filed for Residues of Pesticide Chemicals in or on Various...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-09

    ... disproportionately high and adverse human health impacts or environmental effects from exposure to the pesticides... Pesticide Petition Filed for Residues of Pesticide Chemicals in or on Various Commodities AGENCY...: This document announces the Agency's receipt of an initial filing of a pesticide petition requesting...

  2. 75 FR 35796 - Busan 74 (2-hydroxypropyl methanethiosulfonate); Chlorine Gas; and Dichromic Acid, et al...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... disproportionately high and adverse human health impacts or environmental effects from exposure to the pesticide(s... without unreasonable adverse effects on human health or the environment. Registration review dockets... its effects on human health and the environment. DATES: Comments must be received on or before August...

  3. Young African American Male-Male Relationships: Experiences, Expectations, and Condom Use

    ERIC Educational Resources Information Center

    Taggart, Tamara; Ellen, Jonathan; Arrington-Sanders, Renata

    2017-01-01

    HIV disproportionately impacts young African American men who have sex with men (MSM). In this study, we sought to understand how previous relationship experiences and expectations for romantic relationships influence condom use among young African American MSM. Twenty African American MSM aged 16 to 24 years completed a semi-structured interview…

  4. Cumulative Risk, the Mother-Child Relationship, and Social-Emotional Competence in Latino Head Start Children

    ERIC Educational Resources Information Center

    Martí, Maria; Bonillo, Albert; Jané, Maria Claustre; Fisher, Elisa M.; Duch, Helena

    2016-01-01

    Research Findings: Supportive mother-child interactions promote the development of social-emotional competence. Poverty and other associated psychosocial risk factors have a negative impact on mother-child interaction. In spite of Latino children being disproportionately represented among children living in poverty, research on mother-child…

  5. Principal Attitudes Regarding Zero Tolerance and Racial Disparities in School Suspensions

    ERIC Educational Resources Information Center

    Heilbrun, Anna; Cornell, Dewey; Lovegrove, Peter

    2015-01-01

    Zero tolerance school discipline practices have been associated with a national increase in suspensions, a practice that has had a disproportionate negative impact on Black students. The present study investigated an association between principal attitudes toward zero tolerance and suspension rates for White and Black students in 306 Virginia high…

  6. Creating and Sustaining Healthy Community Environments for Children: Lessons from Northern Manhattan

    ERIC Educational Resources Information Center

    Prakash, Swati; Jordan, Jamillah

    2005-01-01

    Children and adults in communities of color and low-income communities face disproportionately high exposures to environmental hazards and, consequently, greater risk of experiencing adverse health impacts from these exposures. Almost two thirds of children under 6 with elevated blood lead levels are children of color living in disadvantaged…

  7. 75 FR 12545 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-16

    .../AIDS care and support services that are most severely affected by the HIV/AIDS epidemic, including... Service (PHS) Act). Since the purpose of the Part A MAI is to expand access to medical, health, and social support services for disproportionately impacted racial/ ethnic minority populations living with HIV/AIDS...

  8. Poverty, Violence, and Health: The Impact of Domestic Violence during Pregnancy on Newborn Health

    ERIC Educational Resources Information Center

    Aizer, Anna

    2011-01-01

    Two percent of women in the United States suffer from intimate partner violence annually, with poor and minority women disproportionately affected. I provide evidence of an important negative externality associated with domestic violence by estimating a negative and causal relationship between violence during pregnancy and newborn health,…

  9. Macro-Level Approaches to HIV Prevention among Ethnic Minority Youth: State of the Science, Opportunities, and Challenges

    ERIC Educational Resources Information Center

    Prado, Guillermo; Lightfoot, Marguerita; Brown, C. Hendricks

    2013-01-01

    The HIV epidemic continues to disproportionately affect ethnic minority youth. These disconcerting health disparities indicate that although existing HIV preventive strategies for ethnic minority youth have been efficacious, they have not significantly reduced the impact of the epidemic in this population. Macro-level interventions, such as…

  10. Recruiting and Retaining Highly Qualified Special Education Teachers for High-Poverty Districts and Schools: Recommendations for Educational Leaders

    ERIC Educational Resources Information Center

    Fall, Anna-Maria

    2010-01-01

    Teacher turnover disproportionately impacts high poverty districts, where teachers hold fewer professional credentials and working conditions are more challenging. The disparities in teacher quality and working conditions likely contribute to teacher turnover and workplace instability as well as limit students' opportunities to learn.…

  11. The impact of childhood gender expression on childhood sexual abuse and psychopathology among young men who have sex with men

    PubMed Central

    Hidalgo, Marco A.; Kuhns, Lisa M.; Kwon, Soyang; Mustanski, Brian; Garofalo, Robert

    2015-01-01

    Young men who have sex with men (MSM) are a risk group highly vulnerable to HIV infection and psychiatric symptoms are direct predictors of sexual risk behavior in MSM. Childhood sexual abuse (CSA) is associated with psychiatric symptomology in adolescence, and MSM are disproportionately impacted by CSA compared to heterosexuals. Some evidence suggests that childhood gender nonconformity, a natural variation of human gender expression, is more common in MSM than heterosexual males and places MSM at greater risk for CSA. This study examined whether or not childhood gender expression moderated the association between incidents of unwanted, early sexual experiences occurring before age 13 (ESE) and current psychiatric symptomology in a community-based sample of 449 young MSM aged 16–20. Analyses revealed significant bivariate associations between ESE and psychological symptoms, and significant multivariable associations between ESE, gender nonconformity and psychiatric outcomes. Young MSM with childhood gender nonconformity may be disproportionately victimized by CSA thereby increasing their likelihood of developing psychiatric symptoms in adolescence. Early intervention addressing these factors may help reduce lifetime negative sequelae. PMID:26002599

  12. Artificial warming of arctic meadow under pollution stress: Experimental design

    USDA-ARS?s Scientific Manuscript database

    Boreal and arctic terrestrial ecosystems are central to the climate change debate, notably because future warming is expected to be disproportionate as compared to world averages. Likewise, greenhouse gas (GHG) release from terrestrial ecosystems exposed to climate warming is expected to be the larg...

  13. The Pilot EPA-NIMHD Centers of Excellence on Environment and Health Disparities: A Summary of Accomplishments

    EPA Science Inventory

    Minorities and economically-disadvantaged communities continue to bear a disproportionately large burden of the exposures to environmental stressors that are associated with adverse health outcomes. Federal efforts to alleviate such health disparities began in the early 1990s. Th...

  14. The Alzheimerization of Aging.

    ERIC Educational Resources Information Center

    Adelman, Richard C.

    1995-01-01

    The National Institute on Aging (NIA) invests a disproportionately large share of its resources in research on Alzheimer's Disease at the expense of other interests of the broader scientific community in gerontology. Complex social forces that continue to shape this outcome embrace discipline-specific traditions of science advocacy, as well as…

  15. Women in hospital medicine in the United Kingdom: glass ceiling, preference, prejudice or cohort effect?

    PubMed

    McManus, I C; Sproston, K A

    2000-01-01

    To assess from official statistics whether there is evidence that the careers of women doctors in hospitals do not progress in the same way as those of men. The proportions of female hospital doctors overall (1963-96), and in the specialties of medicine, surgery, obstetrics and gynaecology, pathology, radiology/radiotherapy, anaesthetics and psychiatry (1974-1996) were examined. Additionally data were examined on career preferences and intentions from pre-registration house officers, final year medical students, and medical school applicants (1966-1991). Data were analysed according to cohort of entry to medical school to assess the extent of disproportionate promotion. The proportion of women in hospital career posts was largely explained by the rapidly increasing proportion of women entering medical school during the past three decades. In general there was little evidence for disproportionate promotion of women in hospital careers, although in surgery, hospital medicine and obstetrics and gynaecology, fewer women seemed to progress beyond the SHO grade, and in anaesthetics there were deficits of women at each career stage. Analyses of career preferences and intentions suggest that disproportionate promotion cannot readily be explained as differential choice by women. Although there is no evidence as such of a "glass ceiling" for women doctors in hospital careers, and the current paucity of women consultants primarily reflects historical trends in the numbers of women entering medical school, there is evidence in some cases of disproportionate promotion that is best interpreted as direct or indirect discrimination.

  16. Extinctions. Paleontological baselines for evaluating extinction risk in the modern oceans.

    PubMed

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

    2015-05-01

    Marine taxa are threatened by anthropogenic impacts, but knowledge of their extinction vulnerabilities is limited. The fossil record provides rich information on past extinctions that can help predict biotic responses. We show that over 23 million years, taxonomic membership and geographic range size consistently explain a large proportion of extinction risk variation in six major taxonomic groups. We assess intrinsic risk-extinction risk predicted by paleontologically calibrated models-for modern genera in these groups. Mapping the geographic distribution of these genera identifies coastal biogeographic provinces where fauna with high intrinsic risk are strongly affected by human activity or climate change. Such regions are disproportionately in the tropics, raising the possibility that these ecosystems may be particularly vulnerable to future extinctions. Intrinsic risk provides a prehuman baseline for considering current threats to marine biodiversity. Copyright © 2015, American Association for the Advancement of Science.

  17. Global deposition of airborne dioxin.

    PubMed

    Booth, Shawn; Hui, Joe; Alojado, Zoraida; Lam, Vicky; Cheung, William; Zeller, Dirk; Steyn, Douw; Pauly, Daniel

    2013-10-15

    We present a global dioxin model that simulates one year of atmospheric emissions, transport processes, and depositions to the earth's terrestrial and marine habitats. We map starting emission levels for each land area, and we also map the resulting deposits to terrestrial and marine environments. This model confirms that 'hot spots' of deposition are likely to be in northern Europe, eastern North America, and in parts of Asia with the highest marine dioxin depositions being the northeast and northwest Atlantic, western Pacific, northern Indian Ocean and the Mediterranean. It also reveals that approximately 40% of airborne dioxin emissions are deposited to marine environments and that many countries in Africa receive more dioxin than they produce, which results in these countries being disproportionately impacted. Since human exposure to dioxin is largely through diet, this work highlights food producing areas that receive higher atmospheric deposits of dioxin than others. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. Gentrification in black and white: the racial impact of public housing demolition in American cities.

    PubMed

    Goetz, Edward

    2011-01-01

    The gentrification that has transformed high-poverty neighbourhoods in US cities since the mid 1990s has been characterised by high levels of state reinvestment. Prominent among public-sector interventions has been the demolition of public housing and in some cases multimillion dollar redevelopment efforts. In this paper, the racial dimension of state-supported gentrification in large US cities is examined by looking at the direct and indirect displacement induced by public housing transformation. The data show a clear tendency towards the demolition of public housing projects with disproportionately high African American occupancy. The pattern of indirect displacement is more varied; public housing transformation has produced a number of paths of neighbourhood change. The most common, however, involve significant reductions in poverty, sometimes associated with Black to White racial turnover and sometimes not. The findings underscore the central importance of race in understanding the dynamics of gentrification in US cities.

  19. Summer of sorrow: measuring exposure to and impacts of trauma after Queensland's natural disasters of 2010-2011.

    PubMed

    Clemens, Susan L; Berry, Helen L; McDermott, Brett M; Harper, Catherine M

    2013-10-21

    To assess the population prevalence of property, income and emotional impacts of the 2010-2011 Queensland floods and cyclones. Cross-sectional telephone-based survey using a brief trauma exposure and impact screening instrument, conducted between 11 March and 6 June 2011, of 6104 adults who answered natural disaster and mental health questions. Natural disaster property damage exposure and emotional wellbeing impacts. Two-thirds of respondents (62%) reported being affected by the disasters, with property damage exposure ranging from 37.2% (suburb or local area) to 9.2% (own home, with 2.1% living elsewhere at least temporarily). Income was reduced for 17.0% of respondents and 11.7% of income-producing property owners reported damage to those properties. Trauma impacts ranged from 14.3% of respondents feeling "terrified, helpless or hopeless" to 3.9% thinking they might be "badly injured or die". Up to 5 months after the disasters, 7.1% of respondents were "still distressed" and 8.6% were "worried about how they would manage". Adults of working age and residents of regional and remote areas and of socioeconomically disadvantaged areas were disproportionately likely to report exposure to damage and emotional impacts. Weather-related disasters exact a large toll on the population through property damage and resultant emotional effects. Vulnerable subpopulations are more severely affected. There is a need for realistic, cost-effective and rapid-deployment mass interventions in the event of weather disasters.

  20. Desert bird associations with broad-scale boundary length: Applications in avian conservation

    USGS Publications Warehouse

    Gutzwiller, K.J.; Barrow, W.C.

    2008-01-01

    1. Current understanding regarding the effects of boundaries on bird communities has originated largely from studies of forest-non-forest boundaries in mesic systems. To assess whether broad-scale boundary length can affect bird community structure in deserts, and to identify patterns and predictors of species' associations useful in avian conservation, we studied relations between birds and boundary-length variables in Chihuahuan Desert landscapes. Operationally, a boundary was the border between two adjoining land covers, and broad-scale boundary length was the total length of such borders in a large area. 2. Within 2-km radius areas, we measured six boundary-length variables. We analysed bird-boundary relations for 26 species, tested for assemblage-level patterns in species' associations with boundary-length variables, and assessed whether body size, dispersal ability and cowbird-host status were correlates of these associations. 3. The abundances or occurrences of a significant majority of species were associated with boundary-length variables, and similar numbers of species were related positively and negatively to boundary-length variables. 4. Disproportionately small numbers of species were correlated with total boundary length, land-cover boundary length and shrubland-grassland boundary length (variables responsible for large proportions of boundary length). Disproportionately large numbers of species were correlated with roadside boundary length and riparian vegetation-grassland boundary length (variables responsible for small proportions of boundary length). Roadside boundary length was associated (positively and negatively) with the most species. 5. Species' associations with boundary-length variables were not correlated with body size, dispersal ability or cowbird-host status. 6. Synthesis and applications. For the species we studied, conservationists can use the regressions we report as working models to anticipate influences of boundary-length changes on bird abundance and occurrence, and to assess avifaunal composition for areas under consideration for protection. Boundary-length variables associated with a disproportionate or large number of species can be used as foci for landscape management. Assessing the underlying causes of bird-boundary relations may improve the prediction accuracy of associated models. We therefore advocate local- and broad-scale manipulative experiments involving the boundary types with which species were correlated, as indicated by the regressions. ?? 2008 The Authors.

  1. Mapping environmental injustices: pitfalls and potential of geographic information systems in assessing environmental health and equity.

    PubMed Central

    Maantay, Juliana

    2002-01-01

    Geographic Information Systems (GIS) have been used increasingly to map instances of environmental injustice, the disproportionate exposure of certain populations to environmental hazards. Some of the technical and analytic difficulties of mapping environmental injustice are outlined in this article, along with suggestions for using GIS to better assess and predict environmental health and equity. I examine 13 GIS-based environmental equity studies conducted within the past decade and use a study of noxious land use locations in the Bronx, New York, to illustrate and evaluate the differences in two common methods of determining exposure extent and the characteristics of proximate populations. Unresolved issues in mapping environmental equity and health include lack of comprehensive hazards databases; the inadequacy of current exposure indices; the need to develop realistic methodologies for determining the geographic extent of exposure and the characteristics of the affected populations; and the paucity and insufficiency of health assessment data. GIS have great potential to help us understand the spatial relationship between pollution and health. Refinements in exposure indices; the use of dispersion modeling and advanced proximity analysis; the application of neighborhood-scale analysis; and the consideration of other factors such as zoning and planning policies will enable more conclusive findings. The environmental equity studies reviewed in this article found a disproportionate environmental burden based on race and/or income. It is critical now to demonstrate correspondence between environmental burdens and adverse health impacts--to show the disproportionate effects of pollution rather than just the disproportionate distribution of pollution sources. PMID:11929725

  2. The impact of a high-risk disease management program on perinatal outcomes in a managed care organization.

    PubMed

    Hawkins, Michelle R

    2005-01-01

    Improvements in technology have increased the chances of survival for the micropremature infant and the very low birth-weight infant but have significantly increased the financial burden of health care organizations. This economic burden has a significant impact on third-party payers and on society in general. Of the annual US 10.2 billion dollars spent on newborn care alone, 57% is disproportionately consumed by the 10% of infants who are born preterm.

  3. Examining Household Asthma Management Behavior through a Microeconomic Framework

    ERIC Educational Resources Information Center

    Magzamen, Sheryl; Brandt, Sylvia J.; Tager, Ira B.

    2014-01-01

    National guidelines on the effective management of pediatric asthma have been promoted for over 20 years, yet asthma-related morbidity among low-income children remains disproportionately high. To date, household and clinical interventions designed to remediate these differences have been informed largely by a health behavior framework. However,…

  4. Birth-Order Effects in the Academically Talented.

    ERIC Educational Resources Information Center

    Parker, Wayne D.

    1998-01-01

    Birth-order position was studied among 828 academically talented sixth-grade students. When compared to census data, the sample was disproportionately composed of first-born students. However, this effect was largely explained by the covariate of family size, with small families over represented among the gifted. Other findings indicated no…

  5. Southeast Asian American Children: Not the "Model Minority"

    ERIC Educational Resources Information Center

    Yang, KaYing

    2004-01-01

    Although an impressive number of Americans whose ancestors are from Cambodia, Laos, and Vietnam ("Southeast Asian Americans") have achieved tremendous success in education, a disproportionate number have found it difficult to succeed academically. Yet their difficulties are largely invisible to policymakers, who tend to look only to the…

  6. Observations on Agricultural Policy, Policy Reform and Public Policy Education.

    ERIC Educational Resources Information Center

    Lee, John E., Jr.

    The intervention of the United States government in agriculture in the 20th century is an explainable response to basic characteristics of agriculture: unpredictability, immobile resources, technological changes and disproportionate supply and demand factors. The concentration of large benefits among relatively few producers and diffusion of costs…

  7. Increase of Foreign-Born Engineers in U.S. Studied.

    ERIC Educational Resources Information Center

    Krieger, James

    1988-01-01

    Summarizes the report of a National Research Council committee. Reports on three basic findings: the proportion of foreign born engineers in the United States has increased over the last 15 years; the increase is disproportionate in the academic sector; and large numbers of students are culturally different. (CW)

  8. Substance Abuse among Individuals with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Chapman, Shawna L. Carroll; Wu, Li-Tzy

    2012-01-01

    Individuals with disabilities are a growing population that confronts multiple disadvantages from social and environmental determinants of health. In particular, the 7-8 million people in the U.S. with an intellectual disability (ID) suffer disproportionately from substance use problems, largely because of a lack of empirical evidence to inform…

  9. Megafauna moves nutrients uphill.

    PubMed

    Gross, Michael

    2016-01-11

    Large animals have a disproportionate capacity to transport nutrients along gradients and against water flow directions, making them more available to ecosystems and ultimately saving them from disappearing in sea floor sediments. Megafauna extinctions have reduced this capacity dramatically, while humans and their livestock aren’t stepping in to restore this important ecosystem service.

  10. HUB city steps: a 6-month lifestyle intervention improves blood pressure among a primarily African American community

    USDA-ARS?s Scientific Manuscript database

    The effectiveness of community-based participatory research (CBPR) efforts to address the disproportionate burden of hypertension among African Americans remains largely untested. The objective of this 6-month, non-controlled, pre- post-experimental intervention was to examine the effectiveness of ...

  11. Data Sharing and Scientific Impact in Eddy Covariance Research

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

    Bond-Lamberty, B.

    Do the benefits of data sharing outweigh its perceived costs? This is a critical question, and one with the potential to change culture and behavior. Dai et al. (2018) examine how data sharing is related to scientific impact in the field of eddy covariance (EC), and find that data sharers are disproportionately high-impact researchers, and vice versa; they also note strong regional differences in EC data sharing norms. The current policies and restrictions of EC journals and repositories are highly uneven. Incentivizing data sharing and enhancing computational reproducibility are critical next steps for EC, ecology, and science more broadly.

  12. Untangling Consequential Futures: Discovering Self-Consistent Regional and Global Multi-Sector Change Scenarios

    NASA Astrophysics Data System (ADS)

    Lamontagne, J. R.; Reed, P. M.

    2017-12-01

    Impacts and adaptations to global change largely occur at regional scales, yet they are shaped globally through the interdependent evolution of the climate, energy, agriculture, and industrial systems. It is important for regional actors to account for the impacts of global changes on their systems in a globally consistent but regionally relevant way. This can be challenging because emerging global reference scenarios may not reflect regional challenges. Likewise, regionally specific scenarios may miss important global feedbacks. In this work, we contribute a scenario discovery framework to identify regionally-specific decision relevant scenarios from an ensemble of scenarios of global change. To this end, we generated a large ensemble of time evolving regional, multi-sector global change scenarios by a full factorial sampling of the underlying assumptions in the emerging shared socio-economic pathways (SSPs), using the Global Change Assessment Model (GCAM). Statistical and visual analytics were then used to discover which SSP assumptions are particularly consequential for various regions, considering a broad range of time-evolving metrics that encompass multiple spatial scales and sectors. In an illustrative examples, we identify the most important global change narratives to inform water resource scenarios for several geographic regions using the proposed scenario discovery framework. Our results highlight the importance of demographic and agricultural evolution compared to technical improvements in the energy sector. We show that narrowly sampling a few canonical reference scenarios provides a very narrow view of the consequence space, increasing the risk of tacitly ignoring major impacts. Even optimistic scenarios contain unintended, disproportionate regional impacts and intergenerational transfers of consequence. Formulating consequential scenarios of deeply and broadly uncertain futures requires a better exploration of which quantitative measures of consequences are important, for whom are they important, where, and when. To this end, we have contributed a large database of climate change futures that can support `backwards' scenario generation techniques, that capture a broader array of consequences than those that emerge from limited sampling of a few reference scenarios.

  13. Energy from Redox Disproportionation of Sugar Carbon Drives Biotic and Abiotic Synthesis

    NASA Technical Reports Server (NTRS)

    Weber, Arthur L.

    1997-01-01

    To identify the energy source that drives the biosynthesis of amino acids, lipids, and nucleotides from glucose, we calculated the free energy change due to redox disproportionation of the substrate carbon of: (1) 26-carbon fermentation reactions and (2) the biosynthesis of amino acids and lipids of E. coli from glucose. The free energy (cal/mmol of carbon) of these reactions was plotted as a function of the degree of redox disproportionation of carbon (disproportionative electron transfers (mmol)/mmol of carbon). The zero intercept and proportionality between energy yield and degree of redox disproportionation exhibited by this plot demonstrate that redox disproportionation is the principal energy source of these redox reactions (slope of linear fit = -10.4 cal/mmol of disproportionative electron transfers). The energy and disproportionation values of E. coli amino acid and lipid biosynthesis from glucose lie near this linear curve fit with redox disproportionation accounting for 84% and 96% (and ATP only 6% and 1 %) of the total energy of amino acid and lipid biosynthesis, respectively. These observations establish that redox disproportionation of carbon, and not ATP, is the primary energy source driving amino acid and lipid biosynthesis from glucose. In contrast, we found that nucteotide biosynthesis involves very little redox disproportionation, and consequently depends almost entirely on ATP for energy. The function of sugar redox disproportionation as the major source of free energy for the biosynthesis of amino acids and lipids suggests that sugar disproportionation played a central role in the origin of metabolism, and probably the origin of life.

  14. Energy from Redox Disproportionation of Sugar Carbon Drives Biotic and Abiotic Synthesis

    NASA Technical Reports Server (NTRS)

    Weber, Arthur L.

    1997-01-01

    To identify the energy source that drives the biosynthesis of amino acids, lipids, and nucleotides from glucose, we calculated the free energy change due to redox disproportionation of the substrate carbon of: (1) 26-carbon fermentation reactions and (2) the biosynthesis of amino acids and lipids of E. coli from glucose. The free energy (cal/mmol of carbon) of these reactions was plotted as a function of the degree of redox disproportionation of carbon (disproportionative electron transfers (mmol)/mmol of carbon). The zero intercept and proportionality between energy yield and degree of redox disproportionation exhibited by this plot demonstrate that redox disproportionation is the principal energy source of these redox reactions (slope of linear fit = -10.4 cal/mmol of disproportionative electron transfers). The energy and disproportionation values of E. coli amino acid and lipid biosynthesis from glucose lie near this linear curve fit with redox disproportionation accounting for 84% and 96% (and ATP only 6% and 1%) of the total energy of amino acid and lipid biosynthesis, respectively. These observations establish that redox disproportionation of carbon, and not ATP, is the primary energy source driving amino acid and lipid biosynthesis from glucose. In contrast, we found that nucleotide biosynthesis involves very little redox disproportionation, and consequently depends almost entirely on ATP for energy. The function of sugar redox disproportionation as the major source of free energy for the biosynthesis of amino acids and lipids suggests that sugar disproportionation played a central role in the origin of metabolism, and probably the origin of life.

  15. Examining Emerging Strategies to Prevent Sexual Violence: Tailoring to the Needs of Women with Intellectual and Developmental Disabilities

    ERIC Educational Resources Information Center

    Stevens, Bethany

    2012-01-01

    Sexual violence (SV) negatively impacts women with disabilities disproportionately, especially those with intellectual and/or developmental disabilities (IDD). The 2 populations are included in this article as there are overlaps in diagnostic criteria as well as similar risk factors associated with the experience of SV. Despite lacking…

  16. "Ageing Out": When Policy and Social Orders Intrude on the "Disordered" Realities of Young Mothers

    ERIC Educational Resources Information Center

    Shoveller, Jean; Chabot, Cathy; Johnson, Joy L.; Prkachin, Ken

    2011-01-01

    Despite a general decline, early-age motherhood continues to manifest disproportionately among young women living in rural/remote Canada. Although public health interventions exist to ameliorate the negative impacts, key determinants of young mothers' well-being exist in sectors outside of health. Moreover, there is no clear understanding of how…

  17. 78 FR 70007 - Receipt of a Pesticide Petition Filed for Residues of a Pesticide Chemical in or on Various...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ..., or other factors, may have atypical or disproportionately high and adverse human health impacts or... Pesticide Petition Filed for Residues of a Pesticide Chemical in or on Various Commodities AGENCY...: This document announces the Agency's receipt of an initial filing of a pesticide petition requesting...

  18. Social Influences Contributing to African Americans Discontinuing K-12 Education and Enrolling into General Education Development Programs

    ERIC Educational Resources Information Center

    Harrison, Danielle A.

    2017-01-01

    For many decades, the social imbalances had a significant impact on the academic success of African Americans. High school completion rates for African American students were disproportionately lower when compared to their Caucasian counterparts. This purpose of this qualitative study was to display factors that contributed to African American…

  19. Ecocultural Patterns of Family Engagement among Low-Income Latino Families of Preschool Children

    ERIC Educational Resources Information Center

    McWayne, Christine M.; Melzi, Gigliana; Limlingan, Maria Cristina; Schick, Adina

    2016-01-01

    For the 5 million low-income Latino children in the United States who are disproportionately impacted by the numerous risk factors associated with poverty, it is essential to identify proximal protective factors that mitigate these risks and bolster the academic and social skills that are foundational to a successful transition into formal…

  20. Too Few Choices

    ERIC Educational Resources Information Center

    Murray, Meg

    2007-01-01

    In this article, the author, who is a scientist, a wife and a mother of two preschool children talks about how these two roles exerted a disproportionate impact on her career choices. She is also an X-Gal, one of a group of nine female biologists who have banded together to offer one another advice and support as they seek careers in academic…

  1. Who Bears the Costs of District Funding Cuts? Reducing Inequality in the Distribution of Teacher Layoffs

    ERIC Educational Resources Information Center

    Knight, David S.; Strunk, Katharine O.

    2016-01-01

    Massive funding cuts to public education took place around the country following the Great Recession. Many school districts were forced to conduct teacher layoffs at a larger scale than any other time in recent history. We show that prior to a district intervention, the layoff process disproportionately impacted historically disadvantaged students…

  2. In Their Own Words: Stories from HIV-Positive African American Women

    ERIC Educational Resources Information Center

    Robillard, Alyssa G; Reed, Cymone; Larkey, Linda; Kohler, Connie; Ingram, Lucy A; Lewis, Kaleea; Julious, Carmen

    2017-01-01

    Objectives: African American women are disproportionately impacted upon by HIV, particularly in the Southern states of the USA where the percentage of new cases of HIV and the percentage of people living with HIV in the USA are highest. This study describes the lived experiences of HIV-positive African American women based on their written…

  3. Experiences of Black MSM at an HBCU Regarding Stigma and HIV Risk Behavior

    ERIC Educational Resources Information Center

    Jeter, Natasha Harden

    2016-01-01

    Black men who have sex with men (MSM) on Historically Black College/University (HBCU) campuses face a unique set of challenges. In addition to being disproportionately affected by HIV, Black MSM are impacted by risk behavior, stigma, and environmental policies and practices that adversely influence their experiences. The purpose of this study was…

  4. Chain Effects 2015: The Impact of Academy Chains on Low-Income Students

    ERIC Educational Resources Information Center

    Hutchings, Merryn; Francis, Becky; Kirby, Philip

    2015-01-01

    Academies were started in 2000 to alter the fortunes of failing schools that disproportionately served students from some of the nation's poorest communities. By helping these schools with the support of philanthropic, educational and business partners, the intention was to improve the lives of young people from the least privileged backgrounds by…

  5. Ab initio study of properties of BaBiO3 at high pressure

    NASA Astrophysics Data System (ADS)

    Martoňák, Roman; Ceresoli, Davide; Kagayama, Tomoko; Tosatti, Erio

    BaBiO3 is a mixed-valence perovskite which escapes metallic state by creating a Bi-O bond disproportionation or CDW pattern, resulting in a Peierls semiconductor with gap of nearly 1 eV at zero pressure. Evolution of structural and electronic properties at high pressure is, however, largely unknown. Pressure, it might be natural to expect, could reduce the bond-disproportionation and bring the system closer to metalicity or even superconductivity. We address this question by ab initio DFT methods based on GGA and hybrid functionals in combination with crystal structure prediction techniques based on genetic algorithms. We analyze the pressure evolution of bond disproportionation as well as other order parameters related to octahedra rotation for various phases in connection with corresponding evolution of the electronic structure. Results indicate that BaBiO3 continues to resist metalization also under pressure, through structural phase transitions which sustain and in fact increase the diversity of length of Bi-O bonds for neighboring Bi ions, in agreement with preliminary high pressure resistivity data. R.M. Slovak Research and Development Agency Contract APVV-15-0496, VEGA project No. 1-0904-15; E.T. ERC MODPHYSFRICT Advanced Grant No. 320796.

  6. Robustness and Recovery of Lifeline Infrastructure and Ecosystem Networks

    NASA Astrophysics Data System (ADS)

    Bhatia, U.; Ganguly, A. R.

    2015-12-01

    Disruptive events, both natural and man-made, can have widespread impacts on both natural systems and lifeline infrastructure networks leading to the loss of biodiversity and essential functionality, respectively. Projected sea-level rise and climate change can further increase the frequency and severity of large-scale floods on urban-coastal megacities. Nevertheless, Failure in infrastructure systems can trigger cascading impacts on dependent ecosystems, and vice-versa. An important consideration in the behavior of the isolated networks and inter-connected networks following disruptive events is their resilience, or the ability of the network to "bounce back" to a pre-disaster state. Conventional risk analysis and subsequent risk management frameworks have focused on identifying the components' vulnerability and strengthening of the isolated components to withstand these disruptions. But high interconnectedness of these systems, and evolving nature of hazards, particularly in the context of climate extremes, make the component level analysis unrealistic. In this study, we discuss the complex network-based resilience framework to understand fragility and recovery strategies for infrastructure systems impacted by climate-related hazards. We extend the proposed framework to assess the response of ecological networks to multiple species loss and design the restoration management framework to identify the most efficient restoration sequence of species, which can potentially lead to disproportionate gains in biodiversity.

  7. Disproportionate Poverty, Conservatism, and the Disproportionate Identification of Minority Students with Emotional and Behavioral Disorders

    ERIC Educational Resources Information Center

    Wiley, Andrew L.; Brigham, Frederick J.; Kauffman, James M.; Bogan, Jane E.

    2013-01-01

    Previous investigations of disproportionate representation of students from certain ethnic groups in special education have suggested that disproportionality is the result of bias against the members of overrepresented groups or, conversely, the result of disproportionate exposure to poverty for these students. Strong evidence in favor of either…

  8. Voice Outcomes of Adults Diagnosed with Pediatric Vocal Fold Nodules and Impact of Speech Therapy.

    PubMed

    Song, Brian H; Merchant, Maqdooda; Schloegel, Luke

    2017-11-01

    Objective To evaluate the voice outcomes of adults diagnosed with vocal fold nodules (VFNs) as children and to assess the impact of speech therapy on long-term voice outcomes. Study Design Prospective cohort study. Setting Large health care system. Subjects and Methods Subjects diagnosed with VFNs as children between the years 1996 and 2008 were identified within a medical record database of a large health care system. Included subjects were 3 to 12 years old at the time of diagnosis, had a documented laryngeal examination within 90 days of diagnosis, and were ≥18 years as of December 31, 2014. Qualified subjects were contacted by telephone and administered the Vocal Handicap Index-10 (VHI-10) and a 15-item questionnaire inquiring for confounding factors. Results A total of 155 subjects were included, with a mean age of 21.4 years (range, 18-29). The male:female ratio was 2.3:1. Mean VHI-10 score for the entire cohort was 5.4. Mean VHI-10 scores did not differ between those who received speech therapy (6.1) and those who did not (4.5; P = .08). Both groups were similar with respect to confounding risk factors that can contribute to dysphonia, although the no-therapy group had a disproportionately higher number of subjects who consumed >10 alcoholic drinks per week ( P = .01). Conclusion The majority of adults with VFNs as children will achieve a close-to-normal voice quality when they reach adulthood. In our cohort, speech therapy did not appear to have an impact on the long-term voice outcomes.

  9. Women in hospital medicine in the United Kingdom: glass ceiling, preference, prejudice or cohort effect?

    PubMed Central

    McManus, I; Sproston, K

    2000-01-01

    OBJECTIVE—To assess from official statistics whether there is evidence that the careers of women doctors in hospitals do not progress in the same way as those of men.
DESIGN—The proportions of female hospital doctors overall (1963-96), and in the specialties of medicine, surgery, obstetrics and gynaecology, pathology, radiology/radiotherapy, anaesthetics and psychiatry (1974-1996) were examined. Additionally data were examined on career preferences and intentions from pre-registration house officers, final year medical students, and medical school applicants (1966-1991).
ANALYSIS—Data were analysed according to cohort of entry to medical school to assess the extent of disproportionate promotion.
RESULTS—The proportion of women in hospital career posts was largely explained by the rapidly increasing proportion of women entering medical school during the past three decades. In general there was little evidence for disproportionate promotion of women in hospital careers, although in surgery, hospital medicine and obstetrics and gynaecology, fewer women seemed to progress beyond the SHO grade, and in anaesthetics there were deficits of women at each career stage. Analyses of career preferences and intentions suggest that disproportionate promotion cannot readily be explained as differential choice by women.
CONCLUSIONS—Although there is no evidence as such of a "glass ceiling" for women doctors in hospital careers, and the current paucity of women consultants primarily reflects historical trends in the numbers of women entering medical school, there is evidence in some cases of disproportionate promotion that is best interpreted as direct or indirect discrimination.

 PMID:10692956

  10. School Vouchers and Student Neighborhoods: Evidence from the Milwaukee Parental Choice Program

    ERIC Educational Resources Information Center

    Carlson, Deven E.; Cowen, Joshua M.

    2015-01-01

    In this paper we explore the relationship between students' residential location and participation in Milwaukee's large, widely available private school voucher program. We are interested in one overarching question: do voucher schools disproportionately draw students from better public schools and city neighborhoods, or do they draw students most…

  11. Changes in Body Mass Index during a 3-Year Elementary School-Based Obesity Prevention Program for American Indian and White Rural Students

    ERIC Educational Resources Information Center

    Vogeltanz-Holm, Nancy; Holm, Jeffrey

    2018-01-01

    Background: Childhood obesity is a significant but largely "modifiable" health risk, disproportionately affecting socioeconomically disadvantaged, racial/ethnic minority, and rural children. Elementary school-aged children typically experience the greatest increases in excess weight gain and therefore are important targets for reducing…

  12. Coaches Root Out Deep Bias

    ERIC Educational Resources Information Center

    von Frank, Valerie

    2010-01-01

    African-American boys are sent to the principal's office more often than any other group and disproportionately to their numbers in a school, according to Victor Cary, partner at the National Equity Project in Oakland, California. That is just one example of how the issues of society at large--racism, classism, sexism, language, and other…

  13. The Effects of Intradistrict School Mobility and High Student Turnover Rates on Early Reading Achievement

    ERIC Educational Resources Information Center

    LeBoeuf, Whitney A.

    2013-01-01

    A number of studies have identified school mobility as one form of school disengagement that is disproportionately harmful for young children enrolled in large urban districts. However, there is substantial variation in these findings, with some studies actually evidencing positive associations between school mobility and academic outcomes (Mehana…

  14. Face Inversion Disproportionately Impairs the Perception of Vertical but Not Horizontal Relations between Features

    ERIC Educational Resources Information Center

    Goffaux, Valerie; Rossion, Bruno

    2007-01-01

    Upside-down inversion disrupts the processing of spatial relations between the features of a face, while largely preserving local feature analysis. However, recent studies on face inversion failed to observe a clear dissociation between relational and featural processing. To resolve these discrepancies and clarify how inversion affects face…

  15. Crystal dimension of ZSM-5 influences on para selective disproportionation of ethylbenzene.

    PubMed

    Hariharan, Srinivasan; Palanichamy, Muthaiahpillai

    2014-03-01

    Crystal size and crystal dimensions are vital role in shape selective feature. Para selective disproportionation of EthylBenzene (Dip-EB) was investigated over ZSM-5 synthesized in acidic medium. The catalysts were prepared by hydrothermal process with various Si/Al ratios (50, 75 and 100) using fluoride ion precursor. This fluoride ion precursor dissolves the ZSM-5 nutrients below it neutral pH between 4 and 6. The synthesized material was subjected into various physico chemical characterizations such as XRD, SEM, TGA and BET analyses. The XRD patterns showed high crystalline nature and their resulting SEM images were also indicate thin prismatic crystals of large dimension compared with alkaline medium synthesized one. The BET results earned good textural property. Catalytic activity of vapor phase Dip-EB was carried out between 523 and 673 K. As their result, diethylbenzene (DEB) isomers were obtained, but para selective Diethylbenzene (p-DEB) was observed higher than others. The high selectivity towards p-DEB was due to large crystal dimension of ZSM-5 catalysts synthesized in fluoride medium. Hence it is good commercial application for petrochemical feed stock production.

  16. Financial Impact of Breast Cancer in Black Versus White Women.

    PubMed

    Wheeler, Stephanie B; Spencer, Jennifer C; Pinheiro, Laura C; Carey, Lisa A; Olshan, Andrew F; Reeder-Hayes, Katherine E

    2018-04-18

    Purpose Racial variation in the financial impact of cancer may contribute to observed differences in the use of guideline-recommended treatments. We describe racial differences with regard to the financial impact of breast cancer in a large population-based prospective cohort study. Methods The Carolina Breast Cancer Study oversampled black women and women younger than age 50 years with incident breast cancer in North Carolina from 2008 to 2013. Participants provided medical records and data regarding demographics, socioeconomic status, and financial impact of cancer at 5 and 25 months postdiagnosis. We report unadjusted and adjusted financial impact at 25 months postdiagnosis by race. Results The sample included 2,494 women who completed follow-up surveys (49% black, 51% white). Since diagnosis, 58% of black women reported any adverse financial impact of cancer ( v 39% of white women; P < .001). In models adjusted for age, stage at diagnosis, and treatment received, black women were more likely to report adverse financial impact attributable to cancer (adjusted risk difference [aRD], +14 percentage points; P < .001), including income loss (aRD, +10 percentage points; P < .001), health care-related financial barriers (aRD, +10 percentage points; P < .001), health care-related transportation barriers (aRD, +10 percentage points; P < .001), job loss (aRD, 6 percentage points; P < .001), and loss of health insurance (aRD, +3 percentage points; P < .001). The effect of race was attenuated when socioeconomic factors were included but remained significant for job loss, transportation barriers, income loss, and overall financial impact. Conclusion Compared with white women, black women with breast cancer experience a significantly worse financial impact. Disproportionate financial strain may contribute to higher stress, lower treatment compliance, and worse outcomes by race. Policies that help to limit the effect of cancer-related financial strain are needed.

  17. Global assessment of the status of coral reef herbivorous fishes: evidence for fishing effects.

    PubMed

    Edwards, C B; Friedlander, A M; Green, A G; Hardt, M J; Sala, E; Sweatman, H P; Williams, I D; Zgliczynski, B; Sandin, S A; Smith, J E

    2014-01-07

    On coral reefs, herbivorous fishes consume benthic primary producers and regulate competition between fleshy algae and reef-building corals. Many of these species are also important fishery targets, yet little is known about their global status. Using a large-scale synthesis of peer-reviewed and unpublished data, we examine variability in abundance and biomass of herbivorous reef fishes and explore evidence for fishing impacts globally and within regions. We show that biomass is more than twice as high in locations not accessible to fisheries relative to fisheries-accessible locations. Although there are large biogeographic differences in total biomass, the effects of fishing are consistent in nearly all regions. We also show that exposure to fishing alters the structure of the herbivore community by disproportionately reducing biomass of large-bodied functional groups (scraper/excavators, browsers, grazer/detritivores), while increasing biomass and abundance of territorial algal-farming damselfishes (Pomacentridae). The browser functional group that consumes macroalgae and can help to prevent coral-macroalgal phase shifts appears to be most susceptible to fishing. This fishing down the herbivore guild probably alters the effectiveness of these fishes in regulating algal abundance on reefs. Finally, data from remote and unfished locations provide important baselines for setting management and conservation targets for this important group of fishes.

  18. Promoting Sisterhood: The Impact of a Culturally Focused Program to Address Verbally Aggressive Behaviors in Black Girls

    ERIC Educational Resources Information Center

    Aston, Candice; Graves, Scott L., Jr.; McGoey, Kara; Lovelace, Temple; Townsend, Tiffany

    2018-01-01

    New estimates report that Black girls are facing an educational crisis with regard to disproportionate disciplinary practices and academics. To date, there has been very limited research with regard to school-based interventions that have been designed to help Black girls explore both their cultural and gender identity. This is problematic because…

  19. What Works for African American Children and Adolescents: Lessons from Experimental Evaluations of Programs and Interventions. Fact Sheet. Publication #2011-04

    ERIC Educational Resources Information Center

    Bandy, Tawana; Moore, Kristin A.

    2011-01-01

    The disproportionate vulnerability of African American youth to certain negative outcomes, including teen pregnancy, low academic achievement, HIV infection, and violent death, has emphasized the need for out-of-school time program providers and funders to seek programs that have been found to have positive impacts for this population.…

  20. The Influence of Attributional Style on Substance Abuse and Risky Sexual Behavior among College Students

    ERIC Educational Resources Information Center

    Burnett, Audrey J.; Sabato, Todd M.; Walter, Katherine Ott; Kerr, Dianne L.; Wagner, Laurie; Smith, Amy

    2013-01-01

    HIV, AIDS, STIs, and unwanted pregnancy continue to impact young adults in the U.S. at a disproportionate rate, particularly during the college years. Attributional style (i.e., locus of control) influences one's HIV risk. Internal locus of control indicates a lower risk of HIV infection, whereas an external locus of control signals an increased…

  1. The Influence of Attributional Style on Substance Use and Risky Sexual Behavior among College Students

    ERIC Educational Resources Information Center

    Burnett, Audrey J.; Sabato, Todd M.; Wagner, Laurie; Smith, Amy

    2014-01-01

    HIV, AIDS, STIs, and unwanted pregnancy continue to impact young adults in the U. S. at a disproportionate rate, particularly during the college years. Attributional style (i.e., locus of control) influences one's HIV risk. Internal locus of control indicates a lower risk of HIV infection, whereas external locus of control signals an…

  2. Getting to the guts of the matter: the status and potential of 'omics' research of parasitic protists of the human gastrointestinal system.

    PubMed

    Jex, Aaron R; Koehler, Anson V; Ansell, Brendan R; Baker, Louise; Karunajeewa, Harin; Gasser, Robin B

    2013-11-01

    Parasitic protists are a major cause of diarrhoeal illnesses in humans globally. Collectively, enteric pathogens exceed all other forms of infectious disease, in terms of their estimated global prevalence and socioeconomic impact. They have a disproportionately high impact on children in impoverished communities, leading to acute (diarrhoea, vomiting, dehydration and death) and chronic disease (malabsorption, malnutrition, physical and cognitive stunting and predisposition to chronic, non-communicable disease) consequences. However, historically, investment in research and disease control measures has been disproportionately poor, leading to their current classification as neglected pathogens. A sound understanding of their biology is essential in underpinning detection, treatment and control efforts. One major tool in rapidly improving our knowledge of these parasites is the use of biological systems, including 'omic' technologies. In recent years, these tools have shown significant success when applied to enteric protists. This review summarises much of this knowledge and highlights the significant remaining knowledge gaps. A major focus of the present review was to provide a perspective on a way forward to address these gaps using advanced biotechnologies. Copyright © 2013 Australian Society for Parasitology Inc. Published by Elsevier Ltd. All rights reserved.

  3. The impact of childhood gender expression on childhood sexual abuse and psychopathology among young men who have sex with men.

    PubMed

    Hidalgo, Marco A; Kuhns, Lisa M; Kwon, Soyang; Mustanski, Brian; Garofalo, Robert

    2015-08-01

    Young men who have sex with men (MSM) are a risk group highly vulnerable to HIV infection and psychiatric symptoms are direct predictors of sexual risk behavior in MSM. Childhood sexual abuse (CSA) is associated with psychiatric symptomology in adolescence, and MSM are disproportionately impacted by CSA compared to heterosexuals. Some evidence suggests that childhood gender nonconformity, a natural variation of human gender expression, is more common in MSM than heterosexual males and places MSM at greater risk for CSA. This study examined whether or not childhood gender expression moderated the association between incidents of unwanted, early sexual experiences occurring before age 13 (ESE) and current psychiatric symptomology in a community-based sample of 449 young MSM aged 16-20. Analyses revealed significant bivariate associations between ESE and psychological symptoms, and significant multivariable associations between ESE, gender nonconformity and psychiatric outcomes. Young MSM with childhood gender nonconformity may be disproportionately victimized by CSA thereby increasing their likelihood of developing psychiatric symptoms in adolescence. Early intervention addressing these factors may help reduce lifetime negative sequelae. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Salt disproportionation: A material science perspective.

    PubMed

    Thakral, Naveen K; Kelly, Ron C

    2017-03-30

    While screening the counter-ions for salt selection for an active pharmaceutical substance, there is often an uncertainty about disproportionation of the salt and hence physical stability of the final product formulation to provide adequate shelf life. Several examples of disproportionation reactions are reviewed to explain the concepts of pHmax, microenvironmental pH, and buffering capacity of excipients and APIs to gain mechanistic understanding of disproportionation reaction. Miscellaneous factors responsible for disproportionation are examined. In addition to the dissolution failure due to the formation of less soluble unionized form, various implications of the disproportionation are evaluated with specific examples. During lead optimization and early stages of development, when only a limited amount of material is available, use of predictive tools like mathematical models and model free kinetics to rank order the various counter-ions are discussed in detail. Finally, analytical methods and mitigation strategies are discussed to prevent the disproportionation by detecting it during early stages of drug development. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Climate Change and Underserved Communities.

    PubMed

    Ziegler, Carol; Morelli, Vincent; Fawibe, Omotayo

    2017-03-01

    Climate change is the greatest global health threat of the twenty-first century, yet it is not widely understood as a health hazard by primary care providers in the United States. Aside from increasing displacement of populations and acute trauma resulting from increasing frequency of natural disasters, the impact of climate change on temperature stress, vector-borne illnesses, cardiovascular and respiratory illnesses, and mental health is significant, with disproportionate impact on underserved and marginalized populations. Primary care providers must be aware of the impact of climate change on the health of their patients and advocate for adaptation and mitigation policies for the populations they serve. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Water-quality impacts from climate-induced forest die-off

    NASA Astrophysics Data System (ADS)

    Mikkelson, Kristin M.; Dickenson, Eric R. V.; Maxwell, Reed M.; McCray, John E.; Sharp, Jonathan O.

    2013-03-01

    Increased ecosystem susceptibility to pests and other stressors has been attributed to climate change, resulting in unprecedented tree mortality from insect infestations. In turn, large-scale tree die-off alters physical and biogeochemical processes, such as organic matter decay and hydrologic flow paths, that could enhance leaching of natural organic matter to soil and surface waters and increase potential formation of harmful drinking water disinfection by-products (DBPs). Whereas previous studies have investigated water-quantity alterations due to climate-induced, forest die-off, impacts on water quality are unclear. Here, water-quality data sets from water-treatment facilities in Colorado were analysed to determine whether the municipal water supply has been perturbed by tree mortality. Results demonstrate higher total organic carbon concentrations along with significantly more DBPs at water-treatment facilities using mountain-pine-beetle-infested source waters when contrasted with those using water from control watersheds. In addition to this differentiation between watersheds, DBP concentrations demonstrated an increase within mountain pine beetle watersheds related to the degree of infestation. Disproportionate DBP increases and seasonal decoupling of peak DBP and total organic carbon concentrations further suggest that the total organic carbon composition is being altered in these systems.

  7. Larger trees suffer most during drought in forests worldwide

    USGS Publications Warehouse

    Bennett, Amy C.; McDowell, Nathan G.; Allen, Craig D.; Anderson-Teixeira, Kristina J.

    2015-01-01

    The frequency of severe droughts is increasing in many regions around the world as a result of climate change. Droughts alter the structure and function of forests. Site- and region-specific studies suggest that large trees, which play keystone roles in forests and can be disproportionately important to ecosystem carbon storage and hydrology, exhibit greater sensitivity to drought than small trees. Here, we synthesize data on tree growth and mortality collected during 40 drought events in forests worldwide to see whether this size-dependent sensitivity to drought holds more widely. We find that droughts consistently had a more detrimental impact on the growth and mortality rates of larger trees. Moreover, drought-related mortality increased with tree size in 65% of the droughts examined, especially when community-wide mortality was high or when bark beetles were present. The more pronounced drought sensitivity of larger trees could be underpinned by greater inherent vulnerability to hydraulic stress, the higher radiation and evaporative demand experienced by exposed crowns, and the tendency for bark beetles to preferentially attack larger trees. We suggest that future droughts will have a more detrimental impact on the growth and mortality of larger trees, potentially exacerbating feedbacks to climate change.

  8. The Continuing Problem of Asthma in Very Young Children: A Community-Based Participatory Research Project

    ERIC Educational Resources Information Center

    Nelson, Belinda Wilburn; Awad, Daniel; Alexander, Jeffrey; Clark, Noreen

    2009-01-01

    Background: Asthma is a chronic health condition that has a disproportionate effect on low-income minority children who reside in large urban areas. African American children report significantly higher rates than the general population of children and have more-severe asthma and poorer outcomes. This article describes the prevalence of asthma in…

  9. Strategic Staffing? How Performance Pressures Affect the Distribution of Teachers within Schools and Resulting Student Achievement

    ERIC Educational Resources Information Center

    Grissom, Jason A.; Kalogrides, Demetra; Loeb, Susanna

    2017-01-01

    School performance pressures apply disproportionately to tested grades and subjects. Using longitudinal administrative data--including achievement data from untested grades--and teacher survey data from a large urban district, we examine schools' responses to those pressures in assigning teachers to high-stakes and low-stakes classrooms. We find…

  10. Fertility and Birth Rates: Indicators of Child and Youth Well-Being. Updated. October 2016

    ERIC Educational Resources Information Center

    Child Trends, 2016

    2016-01-01

    Tracking trends in fertility and birth rates is essential in planning for the current and future needs of multiple generations. Sustained high fertility rates lead to disproportionately large populations of young dependents, driving demand for supports for young families, for additional schools, and for affordable child care. For example, during…

  11. Understanding the Disproportionately Low Marriage Rate among African Americans: An Amalgam of Sociological and Psychological Constraints

    ERIC Educational Resources Information Center

    Chambers, Anthony L.; Kravitz, Aliza

    2011-01-01

    African Americans have the lowest marriage rate of any racial and ethnic group in America. Although the low marriage rate among African Americans has been largely examined through a sociological lens by documenting structural barriers, which has important policy implications, researchers have not sufficiently examined the psychological and…

  12. Monozygotic Twins with Asperger Syndrome: Differences in Behaviour Reflect Variations in Brain Structure and Function

    ERIC Educational Resources Information Center

    Belmonte, Matthew K.; Carper, Ruth A.

    2006-01-01

    A pair of monozygotic twins discordant for symptoms of Asperger syndrome was evaluated at the age of 13.45 years using psychometric, morphometric, behavioural, and functional imaging methods. The lower-functioning twin had a smaller brain overall, a smaller right cerebellum, and a disproportionately large left frontal lobe, and manifested almost…

  13. The Effects of School Desegregation on Crime. NBER Working Paper No. 15380

    ERIC Educational Resources Information Center

    Weiner, David A.; Lutz, Byron F.; Ludwig, Jens

    2009-01-01

    One of the most striking features of crime in America is its disproportionate concentration in disadvantaged, racially segregated communities. In this paper we estimate the effects of court-ordered school desegregation on crime by exploiting plausibly random variation in the timing of when these orders go into effect across the set of large urban…

  14. Condom Use among Heterosexual Immigrant Latino Men in the Southeastern United States

    ERIC Educational Resources Information Center

    Knipper, Emily; Rhodes, Scott D.; Lindstrom, Kristen; Bloom, Fred R.; Leichliter, Jami S.; Montano, Jaime

    2007-01-01

    Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases (STDs). We examined correlates of condom use among adult heterosexual Latino men who are members of a large multicounty soccer league in rural North Carolina. Of 222 participants, the mean (plus or minus SD) age…

  15. Progress and limitations on quantifying nutrient and carbon loading to coastal waters

    NASA Astrophysics Data System (ADS)

    Stets, E.; Oelsner, G. P.; Stackpoole, S. M.

    2017-12-01

    Riverine export of nutrients and carbon to estuarine and coastal waters are important determinants of coastal ecosystem health and provide necessary insight into global biogeochemical cycles. Quantification of coastal solute loads typically relies upon modeling based on observations of concentration and discharge from selected rivers draining to the coast. Most large-scale river export models require unidirectional flow and thus are referenced to monitoring locations at the head of tide, which can be located far inland. As a result, the contributions of the coastal plain, tidal wetlands, and concentrated coastal development are often poorly represented in regional and continental-scale estimates of solute delivery to coastal waters. However, site-specific studies have found that these areas are disproportionately active in terms of nutrient and carbon export. Modeling efforts to upscale fluxes from these areas, while not common, also suggest an outsized importance to coastal flux estimates. This presentation will focus on illustrating how the problem of under-representation of near-shore environments impacts large-scale coastal flux estimates in the context of recent regional and continental-scale assessments. Alternate approaches to capturing the influence of the near-coastal terrestrial inputs including recent data aggregation efforts and modeling approaches will be discussed.

  16. Differential cataract blindness by sex in India: Evidence from two large national surveys.

    PubMed

    Pant, Hira B; Bandyopadhyay, Souvik; John, Neena; Chandran, Anil; Gudlavalleti, Murthy Venkata S

    2017-02-01

    Women suffer disproportionately more from cataract blindness compared to males in low- and middle-income countries. Two large population-based surveys have been undertaken in India at an interval of 7 years and data from these surveys provided an opportunity to assess the trends in gender differentials in cataract blindness. Data were extracted from the surveys to discern sex differences in cataract blindness. Multivariate analysis was performed to adjust for confounders and their impact on gender differences in cataract blindness. Blindness was defined as presenting vision <20/400 in the better eye, and a cataract blind person was defined as a blind person where the principal cause of loss of vision was cataract. Prevalence of cataract blindness was higher in females compared to males in both surveys. The odds of cataract blindness for females did not change over time as observed in the surveys (1999-2001 and 2006-2007). Adjusted odds ratio from logistic regression analysis revealed that females continued to be at a higher risk of cataract blindness. Sex differences continued in India in relation to cataract blindness despite the gains made by the national program.

  17. Impact of regional climate change on human health

    NASA Astrophysics Data System (ADS)

    Patz, Jonathan A.; Campbell-Lendrum, Diarmid; Holloway, Tracey; Foley, Jonathan A.

    2005-11-01

    The World Health Organisation estimates that the warming and precipitation trends due to anthropogenic climate change of the past 30years already claim over 150,000 lives annually. Many prevalent human diseases are linked to climate fluctuations, from cardiovascular mortality and respiratory illnesses due to heatwaves, to altered transmission of infectious diseases and malnutrition from crop failures. Uncertainty remains in attributing the expansion or resurgence of diseases to climate change, owing to lack of long-term, high-quality data sets as well as the large influence of socio-economic factors and changes in immunity and drug resistance. Here we review the growing evidence that climate-health relationships pose increasing health risks under future projections of climate change and that the warming trend over recent decades has already contributed to increased morbidity and mortality in many regions of the world. Potentially vulnerable regions include the temperate latitudes, which are projected to warm disproportionately, the regions around the Pacific and Indian oceans that are currently subjected to large rainfall variability due to the El Niño/Southern Oscillation sub-Saharan Africa and sprawling cities where the urban heat island effect could intensify extreme climatic events.

  18. Impact of regional climate change on human health.

    PubMed

    Patz, Jonathan A; Campbell-Lendrum, Diarmid; Holloway, Tracey; Foley, Jonathan A

    2005-11-17

    The World Health Organisation estimates that the warming and precipitation trends due to anthropogenic climate change of the past 30 years already claim over 150,000 lives annually. Many prevalent human diseases are linked to climate fluctuations, from cardiovascular mortality and respiratory illnesses due to heatwaves, to altered transmission of infectious diseases and malnutrition from crop failures. Uncertainty remains in attributing the expansion or resurgence of diseases to climate change, owing to lack of long-term, high-quality data sets as well as the large influence of socio-economic factors and changes in immunity and drug resistance. Here we review the growing evidence that climate-health relationships pose increasing health risks under future projections of climate change and that the warming trend over recent decades has already contributed to increased morbidity and mortality in many regions of the world. Potentially vulnerable regions include the temperate latitudes, which are projected to warm disproportionately, the regions around the Pacific and Indian oceans that are currently subjected to large rainfall variability due to the El Niño/Southern Oscillation sub-Saharan Africa and sprawling cities where the urban heat island effect could intensify extreme climatic events.

  19. Ambient air pollution exposure and the incidence of related health effects among racial/ethnic minorities

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

    Nieves, L.A.; Wernette, D.R.

    1997-02-01

    Differences among racial and ethnic groups in morbidity and mortality rates for diseases, including diseases with environmental causes, have been extensively documented. However, documenting the linkages between environmental contaminants, individual exposures, and disease incidence has been hindered by difficulties in measuring exposure for the population in general and for minority populations in particular. After briefly discussing research findings on associations of common air pollutants with disease incidence, the authors summarize recent studies of radial/ethnic subgroup differences in incidence of these diseases in the US. They then present evidence of both historic and current patterns of disproportionate minority group exposure tomore » air pollution as measured by residence in areas where ambient air quality standards are violated. The current indications of disproportionate potential exposures of minority and low-income populations to air pollutants represent the continuation of a historical trend. The evidence of linkage between disproportionate exposure to air pollution of racial/ethnic minorities and low-income groups and their higher rates of some air pollution-related diseases is largely circumstantial. Differences in disease incidence and mortality rates among racial/ethnic groups are discussed for respiratory diseases, cancers, and lead poisoning. Pollutants of concern include CO, Pb, SO{sub 2}, O{sub 3}, and particulates.« less

  20. From Recess to Lockdown: Targeting Adult and Child School-Based Practices and Behaviors That Impact Black Male Entry into the School to Prison Pipeline

    ERIC Educational Resources Information Center

    Chase, Lance Montieth

    2012-01-01

    Prior studies establish that Black males follow a disproportionate trajectory from school to prison when compared to other groups. This same research has documented that multiple risk factors operating within schools may contribute to this phenomenon, commonly known as the "school to prison pipeline." The specific focus of the present…

  1. An Exploration of the Relationships between Student Racial Background and the School Sub-Contexts of Office Discipline Referrals: A Critical Race Theory Analysis

    ERIC Educational Resources Information Center

    Anyon, Yolanda; Lechuga, Chalane; Ortega, Debora; Downing, Barbara; Greer, Eldridge; Simmons, John

    2018-01-01

    A growing body of research indicates that exclusionary school discipline practices disproportionately impact students of color. Some scholars have theorized that racial disparities likely vary across school sub-contexts, as implicit bias in perceptions of student behavior may be more influential in locations where students and adults have weaker…

  2. Disproportionality in School Discipline: An Assessment of Trends in Maryland, 2009-12. Stated Briefly. REL 2014-033

    ERIC Educational Resources Information Center

    O'Conner, Rosemarie; Porowski, Allan; Passa, Aikaterini

    2014-01-01

    This study of Maryland State Department of Education data on K-12 public school students in Maryland for 2009/10, 2010/11, and 2011/12 examines whether exclusionary discipline (suspension and expulsion) is given out in a way that has a disproportionate impact on Black and other racial/ethnic minority students relative to White students, and on…

  3. An Online Evaluation of a Website Featuring a Brief Electronic Media E-Health Educational Intervention to Increase Fruit and Vegetable Intake and Physical Activity among African American Mothers and Children

    ERIC Educational Resources Information Center

    Chung, Alicia

    2013-01-01

    African-American youth experience disproportionate rates of childhood obesity compared to their White counterparts. Culturally tailored electronic media solutions hold the potential to overcome health literacy and health communication barriers. This study aimed to identify the impact of exposure to a new website portal…

  4. Conceptual Design of Future Undersea Unmanned Vehicle (UUV) System for Mine Disposal

    DTIC Science & Technology

    2012-01-01

    disproportionate effect of a single mine strike might be enough to threaten mission accomplishment of combat forces. Some potential impacts of enemy mining...parameters, which include vehicle conditions, hotel power, payload conditions, and environmental conditions. The vehicle configuration options are...transit, execution of mission, return transit, and recovery. Each of them is defined by key mission and environmental parameters such as range

  5. Federal Research and Development Contract Trends and the Supporting Industrial Base, 2000-2014

    DTIC Science & Technology

    2016-04-30

    Homeland Security, and government-wide services contracting trends; sourcing policy and cost estimation methodologies; and recent U.S. Army modernization ...been fears that the sharp downturn in federal contract obligations would disproportionately impact the R&D contracting portfolios within individual...329 - contracting portfolios , and the industrial base that supports those efforts, within each R&D contracting agency. The main finding of this

  6. A Critical Race Theory Analysis of the Disproportionate Representation of Blacks and Males Participating in Florida's Special Education Programs

    ERIC Educational Resources Information Center

    Allen, Anthony G.

    2010-01-01

    The Individuals with Disabilities Education Act (IDEA) of 1975 has made a profound impact on millions of children with disabilities who now enjoy their right to a free appropriate public education (FAPE). It is the goal of national policy, endorsed by Congress, to ensure equality of opportunity, full participation, independent living, and economic…

  7. Sex Isn't that Simple: Culture and Context in HIV Prevention Interventions for Gay and Bisexual Male Adolescents

    ERIC Educational Resources Information Center

    Harper, Gary W.

    2007-01-01

    Gay and bisexual male adolescents and young adults in the United States have been disproportionately impacted by the HIV pandemic. Despite the steadily increasing rise in their HIV infection rates, there has not been a commensurate increase in HIV prevention programs targeted to the unique social and sexual lives of these youths. Programs that…

  8. 'You Can't Show Impact with a New Pair of Shoes': Negotiating Disadvantage through Pupil Premium

    ERIC Educational Resources Information Center

    Craske, James

    2018-01-01

    The Pupil Premium policy was introduced in 2010 by the UK coalition government to tackle the attainment gap disproportionately affecting children from low-income families. Semi-structured interviews and policy documents are examined for the way the policy has been enacted in a single comprehensive secondary school in England. In 2014, this school…

  9. The Impact of In-Vehicle Cell-Phone Use on Accidents or Near-Accidents among College Students.

    ERIC Educational Resources Information Center

    Seo, Dong-Chul; Torabi, Mohammad R.

    2004-01-01

    With in-vehicle use of cell phones rapidly increasing, the safety of young drivers, who represent 14% of licensed drivers but 26% of drivers involved in fatal crashes, may be disproportionately threatened. The authors used a questionnaire to examine the association between in-vehicle cell-phone use and accidents or near-accidents among 1,291…

  10. Community-based research as a mechanism to reduce environmental health disparities in american Indian and alaska native communities.

    PubMed

    McOliver, Cynthia Agumanu; Camper, Anne K; Doyle, John T; Eggers, Margaret J; Ford, Tim E; Lila, Mary Ann; Berner, James; Campbell, Larry; Donatuto, Jamie

    2015-04-13

    Racial and ethnic minority communities, including American Indian and Alaska Natives, have been disproportionately impacted by environmental pollution and contamination. This includes siting and location of point sources of pollution, legacies of contamination of drinking and recreational water, and mining, military and agricultural impacts. As a result, both quantity and quality of culturally important subsistence resources are diminished, contributing to poor nutrition and obesity, and overall reductions in quality of life and life expectancy. Climate change is adding to these impacts on Native American communities, variably causing drought, increased flooding and forced relocation affecting tribal water resources, traditional foods, forests and forest resources, and tribal health. This article will highlight several extramural research projects supported by the United States Environmental Protection Agency (USEPA) Science to Achieve Results (STAR) tribal environmental research grants as a mechanism to address the environmental health inequities and disparities faced by tribal communities. The tribal research portfolio has focused on addressing tribal environmental health risks through community based participatory research. Specifically, the STAR research program was developed under the premise that tribal populations may be at an increased risk for environmentally-induced diseases as a result of unique subsistence and traditional practices of the tribes and Alaska Native villages, community activities, occupations and customs, and/or environmental releases that significantly and disproportionately impact tribal lands. Through a series of case studies, this article will demonstrate how grantees-tribal community leaders and members and academic collaborators-have been addressing these complex environmental concerns by developing capacity, expertise and tools through community-engaged research.

  11. Community-Based Research as a Mechanism to Reduce Environmental Health Disparities in American Indian and Alaska Native Communities

    PubMed Central

    McOliver, Cynthia Agumanu; Camper, Anne K.; Doyle, John T.; Eggers, Margaret J.; Ford, Tim E.; Lila, Mary Ann; Berner, James; Campbell, Larry; Donatuto, Jamie

    2015-01-01

    Racial and ethnic minority communities, including American Indian and Alaska Natives, have been disproportionately impacted by environmental pollution and contamination. This includes siting and location of point sources of pollution, legacies of contamination of drinking and recreational water, and mining, military and agricultural impacts. As a result, both quantity and quality of culturally important subsistence resources are diminished, contributing to poor nutrition and obesity, and overall reductions in quality of life and life expectancy. Climate change is adding to these impacts on Native American communities, variably causing drought, increased flooding and forced relocation affecting tribal water resources, traditional foods, forests and forest resources, and tribal health. This article will highlight several extramural research projects supported by the United States Environmental Protection Agency (USEPA) Science to Achieve Results (STAR) tribal environmental research grants as a mechanism to address the environmental health inequities and disparities faced by tribal communities. The tribal research portfolio has focused on addressing tribal environmental health risks through community based participatory research. Specifically, the STAR research program was developed under the premise that tribal populations may be at an increased risk for environmentally-induced diseases as a result of unique subsistence and traditional practices of the tribes and Alaska Native villages, community activities, occupations and customs, and/or environmental releases that significantly and disproportionately impact tribal lands. Through a series of case studies, this article will demonstrate how grantees—tribal community leaders and members and academic collaborators—have been addressing these complex environmental concerns by developing capacity, expertise and tools through community-engaged research. PMID:25872019

  12. Kinetic study of GeO disproportionation into a GeO{sub 2}/Ge system using x-ray photoelectron spectroscopy

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

    Wang Shengkai; Department of Materials Engineering, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8656; CREST, Japan Science and Technology Agency

    2012-08-06

    GeO disproportionation into GeO{sub 2} and Ge is studied through x-ray photoelectron spectroscopy. Direct evidence for the reaction 2GeO {yields} GeO{sub 2} + Ge after annealing in ultra-high vacuum is presented. Activation energy for GeO disproportionation is found to be about 0.7 {+-} 0.2 eV through kinetic and thermodynamic calculations. A kinetic model of GeO disproportionation is established by considering oxygen transfer in the GeO network. The relationship between GeO disproportionation and GeO desorption induced by GeO{sub 2}/Ge interfacial reaction is discussed, and the apparent contradiction between GeO desorption via interfacial redox reaction and GeO disproportionation into Ge and GeO{submore » 2} is explained by considering the oxygen vacancy.« less

  13. Ethnic and Socioeconomic Disparities in Recalled Exposure to and Self-Reported Impact of Tobacco Marketing and Promotions.

    PubMed

    Moran, Meghan Bridgid; Heley, Kathryn; Pierce, John P; Niaura, Ray; Strong, David; Abrams, David

    2017-12-13

    The role of tobacco marketing in tobacco use, particularly among the vulnerable ethnic and socioeconomic sub-populations is a regulatory priority of the U.S. Food and Drug Administration. There currently exist both ethnic and socioeconomic disparities in the use of tobacco products. Monitoring such inequalities in exposure to tobacco marketing is essential to inform tobacco regulatory policy that may reduce known tobacco-related health disparities. We use data from the Population Assessment of Tobacco and Health (PATH) Wave 1 youth survey to examine (1) recalled exposure to and liking of tobacco marketing for cigarettes, non-large cigars, and e-cigarettes, (2) self-reported exposure to specific tobacco marketing tactics, namely coupons, sweepstakes, and free samples, and (3) self-reported impact of tobacco marketing and promotions on product use. Findings indicate that African Americans and those of lower SES were more likely to recall having seen cigarette and non-large cigar ads. Reported exposure to coupons, sweepstakes and free samples also varied ethnically and socioeconomically. African Americans and those of lower SES were more likely than other respondents to report that marketing and promotions as played a role in their tobacco product use. Better understanding of communication inequalities and their influence on product use is needed to inform tobacco regulatory action that may reduce tobacco company efforts to target vulnerable groups. Tobacco education communication campaigns focusing on disproportionately affected groups could help counter the effects of targeted industry marketing.

  14. The impact of comorbid impulsive/compulsive disorders in problematic Internet use.

    PubMed

    Chamberlain, Samuel R; Ioannidis, Konstantinos; Grant, Jon E

    2018-05-23

    Background and aims Problematic Internet use (PIU) is commonplace but is not yet recognized as a formal mental disorder. Excessive Internet use could result from other conditions such as gambling disorder. The aim of the study was to assess the impact of impulsive-compulsive comorbidities on the presentation of PIU, defined using Young's Diagnostic Questionnaire. Methods A total of 123 adults aged 18-29 years were recruited using media advertisements, and attended the research center for a detailed psychiatric assessment, including interviews, completion of questionnaires, and neuropsychological testing. Participants were classified into three groups: PIU with no comorbid impulsive/compulsive disorders (n = 18), PIU with one or more comorbid impulsive/compulsive disorders (n = 37), and healthy controls who did not have any mental health diagnoses (n = 67). Differences between the three groups were characterized in terms of demographic, clinical, and cognitive variables. Effect sizes for overall effects of group were also reported. Results The three groups did not significantly differ on age, gender, levels of education, nicotine consumption, or alcohol use (small effect sizes). Quality of life was significantly impaired in PIU irrespective of whether or not individuals had comorbid impulsive/compulsive disorders (large effect size). However, impaired response inhibition and decision-making were only identified in PIU with impulsive/compulsive comorbidities (medium effect sizes). Discussion and conclusions Most people with PIU will have one or more other impulsive/compulsive disorders, but PIU can occur without such comorbidities and still present with impaired quality of life. Response inhibition and decision-making appear to be disproportionately impacted in the case of PIU comorbid with other impulsive/compulsive conditions, which may account for some of the inconsistencies in the existing literature. Large scale international collaborations are required to validate PIU and further assess its clinical, cognitive, and biological sequelae.

  15. A continuum of admixture in the Western Hemisphere revealed by the African Diaspora genome

    PubMed Central

    Mathias, Rasika Ann; Taub, Margaret A.; Gignoux, Christopher R.; Fu, Wenqing; Musharoff, Shaila; O'Connor, Timothy D.; Vergara, Candelaria; Torgerson, Dara G.; Pino-Yanes, Maria; Shringarpure, Suyash S.; Huang, Lili; Rafaels, Nicholas; Boorgula, Meher Preethi; Johnston, Henry Richard; Ortega, Victor E.; Levin, Albert M.; Song, Wei; Torres, Raul; Padhukasahasram, Badri; Eng, Celeste; Mejia-Mejia, Delmy-Aracely; Ferguson, Trevor; Qin, Zhaohui S.; Scott, Alan F.; Yazdanbakhsh, Maria; Wilson, James G.; Marrugo, Javier; Lange, Leslie A.; Kumar, Rajesh; Avila, Pedro C.; Williams, L. Keoki; Watson, Harold; Ware, Lorraine B.; Olopade, Christopher; Olopade, Olufunmilayo; Oliveira, Ricardo; Ober, Carole; Nicolae, Dan L.; Meyers, Deborah; Mayorga, Alvaro; Knight-Madden, Jennifer; Hartert, Tina; Hansel, Nadia N.; Foreman, Marilyn G.; Ford, Jean G.; Faruque, Mezbah U.; Dunston, Georgia M.; Caraballo, Luis; Burchard, Esteban G.; Bleecker, Eugene; Araujo, Maria Ilma; Herrera-Paz, Edwin Francisco; Gietzen, Kimberly; Grus, Wendy E.; Bamshad, Michael; Bustamante, Carlos D.; Kenny, Eimear E.; Hernandez, Ryan D.; Beaty, Terri H.; Ruczinski, Ingo; Akey, Joshua; Campbell, Monica; Chavan, Sameer; Foster, Cassandra; Gao, Li; Horowitz, Edward; Ortiz, Romina; Potee, Joseph; Gao, Jingjing; Hu, Yijuan; Hansen, Mark; Deshpande, Aniket; Locke, Devin P.; Grammer, Leslie; Kim, Kwang-YounA; Schleimer, Robert; De La Vega, Francisco M.; Szpiech, Zachary A.; Oluwole, Oluwafemi; Arinola, Ganiyu; Correa, Adolfo; Musani, Solomon; Chong, Jessica; Nickerson, Deborah; Reiner, Alexander; Maul, Pissamai; Maul, Trevor; Martinez, Beatriz; Meza, Catherine; Ayestas, Gerardo; Landaverde-Torres, Pamela; Erazo, Said Omar Leiva; Martinez, Rosella; Mayorga, Luis F.; Ramos, Hector; Saenz, Allan; Varela, Gloria; Vasquez, Olga Marina; Samms-Vaughan, Maureen; Wilks, Rainford J.; Adegnika, Akim; Ateba-Ngoa, Ulysse; Barnes, Kathleen C.

    2016-01-01

    The African Diaspora in the Western Hemisphere represents one of the largest forced migrations in history and had a profound impact on genetic diversity in modern populations. To date, the fine-scale population structure of descendants of the African Diaspora remains largely uncharacterized. Here we present genetic variation from deeply sequenced genomes of 642 individuals from North and South American, Caribbean and West African populations, substantially increasing the lexicon of human genomic variation and suggesting much variation remains to be discovered in African-admixed populations in the Americas. We summarize genetic variation in these populations, quantifying the postcolonial sex-biased European gene flow across multiple regions. Moreover, we refine estimates on the burden of deleterious variants carried across populations and how this varies with African ancestry. Our data are an important resource for empowering disease mapping studies in African-admixed individuals and will facilitate gene discovery for diseases disproportionately affecting individuals of African ancestry. PMID:27725671

  16. Profile of Julie Phillips, MD, MPH: Family physician, medical educator, researcher, poet.

    PubMed

    Fogarty, Colleen T; Shapiro, Johanna

    2015-12-01

    Dr. Julie Phillips, an Associate Professor of Family Medicine at Michigan State University College of Human Medicine, has contributed several poems to Families, Systems, and Health over the last 2 years. This month's issue features her fourth poem in this journal, titled "Autumn Chores" (Phillips, 2015). We were interested in learning more about Julie's creative writing, why she writes poetry, how she balances writing and a demanding academic medical career, and what she hopes her poems might contribute to clinical practice and medical education. Colleen Fogarty interviewed her to find out the answers in this article. Julie's poems are indeed, as she says, carved from small moments in time, but they have a disproportionately large emotional impact. Her poems tackle issues such as the tension between medical and parental authority; professional boundaries; worklife balance; the still-gaping holes in our health care system; and what it means to care for others. To read her work, please search the journal index. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  17. Relating climate change policy to poverty policy: assessing the global exposure of the poor to floods and droughts

    NASA Astrophysics Data System (ADS)

    Winsemius, Hessel; Jongman, Brenden; Veldkamp, Ted; Hallegatte, Stéphane; Bangalore, Mook; Ward, Philip

    2016-04-01

    Prior to the COP21 conference in Paris this year, the World Bank published a report called "Shockwaves - Managing the Impacts of Climate Change on Poverty". The report flagged that ending poverty and stabilizing climate change should be jointly tackled and that without a good joint policy, a further 100 million people could become trapped in poverty by 2050. As part of the "Shockwaves" report, we investigated whether low-income households are disproportionately overrepresented in hazard-prone areas compared to households with higher income. Furthermore, the hazardous conditions under which poor households are exposed to now may become worse due to climate change with resulting increases in intensity and frequency of floods and droughts. We also show how the amount of affected people to these natural hazards change in the future if nothing is done. We use recent advances in the global spatial modeling of flood and drought hazard and a large sample of household surveys containing asset and income data to explore the relationships.

  18. Quantitative Assessment of the Impact of Fluorine Substitution on P-Glycoprotein (P-gp) Mediated Efflux, Permeability, Lipophilicity, and Metabolic Stability.

    PubMed

    Pettersson, Martin; Hou, Xinjun; Kuhn, Max; Wager, Travis T; Kauffman, Gregory W; Verhoest, Patrick R

    2016-06-09

    Strategic replacement of one or more hydrogen atoms with fluorine atom(s) is a common tactic to improve potency at a given target and/or to modulate parameters such as metabolic stability and pKa. Molecular weight (MW) is a key parameter in design, and incorporation of fluorine is associated with a disproportionate increase in MW considering the van der Waals radius of fluorine versus hydrogen. Herein we examine a large compound data set to understand the effect of introducing fluorine on the risk of encountering P-glycoprotein mediated efflux (as measured by MDR efflux ratio), passive permeability, lipophilicity, and metabolic stability. Statistical modeling of the MDR ER data demonstrated that an increase in MW as a result of introducing fluorine atoms does not lead to higher risk of P-gp mediated efflux. Fluorine-corrected molecular weight (MWFC), where the molecular weight of fluorine has been subtracted, was found to be a more relevant descriptor.

  19. The Impact of Nurses on Neglected Tropical Disease Management.

    PubMed

    Blood-Siegfried, Jane; Zeantoe, G Clinton; Evans, Lauren J; Bondo, John; Forstner, James R; Wood, Kathryn

    2015-01-01

    Although Neglected Tropical Diseases (NTDs) are largely endemic in the developing nations of Africa, Asia, and South and Central America, they are reemerging with increasing frequency in developed countries. Their diagnosis, treatment, and control are an increasing public health concern that requires a different awareness by health care providers. Neglected tropical diseases (NTDs) are chronic infectious diseases which disproportionately burden poor, rural, and marginalized populations with significant mortality and high morbidity (disability, disfigurement, impaired childhood growth and cognitive development, increased vulnerability to coinfection) that reinforces their poverty. What can we learn from the nurses in developing countries already battling NTD's that could be useful in the developed world? This article provides an overview of distribution, pathophysiology, symptoms, and management of 13 NTDs, with particular attention to the role of nurses in delivering cost-effective integrated interventions. Case studies of schistosomiasis, Chagas disease, and leishmaniasis address recognition and treatment of infected individuals in developed nations where NTD infection is limited primarily to immigrants and travelers. © 2014 Wiley Periodicals, Inc.

  20. The Impact of Providing Vision Screening and Free Eyeglasses on Academic Outcomes: Evidence from a Randomized Trial in Title I Elementary Schools in Florida

    PubMed Central

    West, Kristine L.; Lee, Jongwook

    2018-01-01

    More than 20 percent of all school-aged children in the United States have vision problems, and low-income and minority children are disproportionately likely to have unmet vision care needs. Vision screening is common in U.S. schools, but it remains an open question whether screening alone is sufficient to improve student outcomes. We implemented a multi-armed randomized controlled trial to evaluate the impact of vision screening, and of vision screening accompanied by eye exams and eyeglasses, provided by a non-profit organization to Title I elementary schools in three large central Florida school districts. We find that providing additional/enhanced screening alone is generally insufficient to improve student achievement in math and reading. In contrast, providing screening along with free eye exams and free eyeglasses to students with vision problems improved student achievement as measured by standardized test scores. We find, averaging over all students (including those without vision problems), that this more comprehensive intervention increased the probability of passing the Florida Comprehensive Achievement Tests (FCAT) in reading and math by approximately 2.0 percentage points. We also present evidence that indicates that this impact fades out over time, indicating that follow-up actions after the intervention may be necessary to sustain these estimated achievement gains. PMID:29693366

  1. What is the impact of a clinically related readmission measure on the assessment of hospital performance?

    PubMed

    Khouri, Roger K; Hou, Hechuan; Dhir, Apoorv; Andino, Juan J; Dupree, James M; Miller, David C; Ellimoottil, Chad

    2017-11-28

    The Hospital Readmission Reduction Program (HRRP) penalizes hospitals for high all-cause unplanned readmission rates. Many have expressed concern that hospitals serving patient populations with more comorbidities, lower incomes, and worse self-reported health status may be disproportionately penalized by readmissions that are not clinically related to the index admission. The impact of including clinically unrelated readmissions on hospital performance is largely unknown. We sought to determine if a clinically related readmission measure would significantly alter the assessment of hospital performance. We analyzed Medicare claims for beneficiaries in Michigan admitted for pneumonia and joint replacement from 2011 to 2013. We compared each hospital's 30-day readmission rate using specifications from the HRRP's all-cause unplanned readmission measure to values calculated using a clinically related readmission measure. We found that the mean 30-day readmission rates were lower when calculated using the clinically related readmission measure (joint replacement: all-cause 5.8%, clinically related 4.9%, p < 0.001; pneumonia: all cause 12.5%, clinically related 11.3%, p < 0.001)). The correlation of hospital ranks using both methods was strong (joint replacement: 0.95 (p < 0.001), pneumonia: 0.90 (p < 0.001)). Our findings suggest that, while greater specificity may be achieved with a clinically related measure, clinically unrelated readmissions may not impact hospital performance in the HRRP.

  2. Symmetry and charge order in Fe2OBO3 studied through polarized resonant x-ray diffraction

    NASA Astrophysics Data System (ADS)

    Bland, S. R.; Angst, M.; Adiga, S.; Scagnoli, V.; Johnson, R. D.; Herrero-Martín, J.; Hatton, P. D.

    2010-09-01

    Bond valence sum calculations have previously suggested that iron oxyborate exhibits charge order of the Fe ions with integer 2+/3+ valence states. Meanwhile transition metal oxides typically show much smaller, fractional charge disproportionations. Using resonant x-ray diffraction at the iron K edge, we find resonant features which are much larger than those ordinarily observed in charge ordered oxides. Simulations were subsequently performed using a cluster-based, monoelectronic code. The nanoscale domain structure prevents precise fitting; nevertheless the simulations confirm the diagonal charge order symmetry, as well as the unusually large charge disproportionation. We have demonstrated the conversion of linearly to nonlinearly polarized light and vice versa through full polarization analysis. Simulations show that this effect principally results from interference between the isotropic and anisotropic scattering terms. This mechanism is likely to account for similar observations in alternative systems.

  3. Climate change and large-scale land acquisitions in Africa: Quantifying the future impact on acquired water resources

    NASA Astrophysics Data System (ADS)

    Chiarelli, Davide Danilo; Davis, Kyle Frankel; Rulli, Maria Cristina; D'Odorico, Paolo

    2016-08-01

    Pressure on agricultural land has markedly increased since the start of the century, driven by demographic growth, changes in diet, increasing biofuel demand, and globalization. To better ensure access to adequate land and water resources, many investors and countries began leasing large areas of agricultural land in the global South, a phenomenon often termed "large-scale land acquisition" (LSLA). To date, this global land rush has resulted in the appropriation of 41million hectares and about 490 km3 of freshwater resources, affecting rural livelihoods and local environments. It remains unclear to what extent land and water acquisitions contribute to the emergence of water-stress conditions in acquired areas, and how these demands for water may be impacted by climate change. Here we analyze 18 African countries - 20 Mha (or 80%) of LSLA for the continent - and estimate that under present climate 210 km3 year-1of water would be appropriated if all acquired areas were actively under production. We also find that consumptive use of irrigation water is disproportionately contributed by water-intensive biofuel crops. Using the IPCCA1B scenario, we find only small changes in green (-1.6%) and blue (+2.0%) water demand in targeted areas. With a 3 °C temperature increase, crop yields are expected to decrease up to 20% with a consequent increase in the water footprint. When the effect of increasing atmospheric CO2concentrations is accounted for, crop yields increase by as much as 40% with a decrease in water footprint up to 29%. The relative importance of CO2 fertilization and warming will therefore determine water appropriations and changes in water footprint under climate change scenarios.

  4. Strategic Staffing? How Performance Pressures Affect the Distribution of Teachers within Schools and Resulting Student Achievement. CEPA Working Paper No. 15-15

    ERIC Educational Resources Information Center

    Grissom, Jason; Kalogrides, Demetra; Loeb, Susanna

    2015-01-01

    School performance pressures apply disproportionately to tested grades and subjects. Using longitudinal administrative data and teacher survey data from a large urban school district, we examine schools' responses to those pressures in assigning teachers to high-stakes and low-stakes classrooms. We find that teachers who produce greater student…

  5. Evaluation of methods for delineating riparian zones in a semi-arid montane watershed

    Treesearch

    Jessica A. Salo; David M. Theobald; Thomas C. Brown

    2016-01-01

    Riparian zones in semi-arid, mountainous regions provide a disproportionate amount of the available wildlife habitat and ecosystem services. Despite their importance, there is little guidance on the best way to map riparian zones for broad spatial extents (e.g., large watersheds) when detailed maps from field data or high-resolution imagery and terrain data...

  6. "Who'd Want To Walk Around Smelling Air That Stinks All the Time?: African American Parents' Views on the Environment and Environmental Education.

    ERIC Educational Resources Information Center

    Kahn, Peter H., Jr.; Friedman, Batya

    African American communities are disproportionately subjected to large amounts of environmental pollution and environmental hazards. However, little is known about their environmental concerns, understandings, and values. In the study reported in this paper, 24 African American parents from Houston, Texas were interviewed on their perspectives…

  7. Meadow-stream processes and aquatic invertebrate community structure [chapter 6

    Treesearch

    Chris A. Jannusch; Sudeep Chandra; Tom Dudley; Jeanne C. Chambers; Wendy Trowbridge

    2011-01-01

    Riparian areas make up less than 1 percent of the total area of the Great Basin, yet they provide many critical ecosystem services, and they support a disproportionately large percentage of the regional biodiversity (Hubbard 1977; Saab and Groves 1992). Jenson and Platts (1990) estimate that over 50 percent of the riparian areas in the Great Basin are in poor...

  8. Exploring the Experiences of African American Women in an Undergraduate Summer Research Program Designed to Address the Underrepresentation of Women and Minorities in Neuroscience: A Qualitative Analysis

    ERIC Educational Resources Information Center

    Reid, Ericka L.

    2010-01-01

    African American women compose a critical proportion of the potential science, technology, engineering, and mathematics (STEM) workforce of the future, yet are disproportionately represented and largely underutilized. While various programs and initiatives have been designed and implemented to target women and underrepresented minorities, the…

  9. Why Are All the Black Kids Still in Special Education? Revisiting the Issue of Disproportionate Representation

    ERIC Educational Resources Information Center

    Shealey, Monika Williams; Lue, Martha Scott

    2006-01-01

    The overrepresentation of students of color in special education continues to be a prevalent, disturbing, and heavily debated problem in this country. What remains is the reality that a large number of African American students continue to be referred and placed in special education programs. On the heels of 2 reports commissioned by the National…

  10. Factors That Promote the Academic Success of African American Male Students in High School Math

    ERIC Educational Resources Information Center

    Allen, Tyrone J.

    2014-01-01

    Low performance of African American male students in high school math is an ongoing concern of Maryland's public schools. Because disproportionately large numbers of African American male students enroll in Algebra 2 in Grade 11, the use of early academic counseling to promote enrollment in Algebra 2 in Grade 9 and to increase self-regulation may…

  11. Malpractice Burden, Rural Location, and Discontinuation of Obstetric Care: A Study of Obstetric Providers in Michigan

    ERIC Educational Resources Information Center

    Xu, Xiao; Siefert, Kristine A.; Jacobson, Peter D.; Lori, Jody R.; Gueorguieva, Iana; Ransom, Scott B.

    2009-01-01

    Context: It has long been a concern that professional liability problems disproportionately affect the delivery of obstetrical services to women living in rural areas. Michigan, a state with a large number of rural communities, is considered to be at risk for a medical liability crisis. Purpose: This study examined whether higher malpractice…

  12. A Path Analysis of Factors Influencing Racial Differences on the Massachusetts Youth Screening Instrument-Version 2

    ERIC Educational Resources Information Center

    McCoy, Henrika

    2011-01-01

    Thousands of juveniles with mental health disorders enter the juvenile justice system every year. The Massachusetts Youth Screening Instrument-Version 2 (MAYSI-2) is often used to assess them. The disproportionate numbers of African American youth in the juvenile justice system and the large numbers of youth with mental health needs necessitate…

  13. Environmental Health: Advancing Emancipatory Policies for the Common Good.

    PubMed

    Valentine-Maher, Sarah K; Butterfield, Patricia G; Laustsen, Gary

    Human health is substantially impacted by the state of the environment, and environmental degradation has a disproportionate impact on persons with less immediate access to financial and social power. This article calls for upstream nursing action to address the natural environment in order to turn about health injustices and improve health for all. Such action would move nursing towards a greater actualization of the nursing environmental domain. The health impacts of climate change, air and water quality, and toxic chemical exposure are substantiated and specific policy leadership recommendations are proposed. Recommended actions include work to build environmental health literacy and empowerment, advocacy for regulatory protection and enforcement, and environmental engagement within health care systems.

  14. Use of historical logging patterns to identify disproportionately logged ecosystems within temperate rainforests of southeastern Alaska.

    PubMed

    Albert, David M; Schoen, John W

    2013-08-01

    The forests of southeastern Alaska remain largely intact and contain a substantial proportion of Earth's remaining old-growth temperate rainforest. Nonetheless, industrial-scale logging has occurred since the 1950s within a relatively narrow range of forest types that has never been quantified at a regional scale. We analyzed historical patterns of logging from 1954 through 2004 and compared the relative rates of change among forest types, landform associations, and biogeographic provinces. We found a consistent pattern of disproportionate logging at multiple scales, including large-tree stands and landscapes with contiguous productive old-growth forests. The highest rates of change were among landform associations and biogeographic provinces that originally contained the largest concentrations of productive old growth (i.e., timber volume >46.6 m³/ha). Although only 11.9% of productive old-growth forests have been logged region wide, large-tree stands have been reduced by at least 28.1%, karst forests by 37%, and landscapes with the highest volume of contiguous old growth by 66.5%. Within some island biogeographic provinces, loss of rare forest types may place local viability of species dependent on old growth at risk of extirpation. Examination of historical patterns of change among ecological forest types can facilitate planning for conservation of biodiversity and sustainable use of forest resources. © 2013 Society for Conservation Biology.

  15. Cloud Effects on Ocean Mixed Layer in the Northeast Pacific Ocean

    DTIC Science & Technology

    1991-06-01

    examining this phenomenon is the disproportionate darkness of the long January nights (-16 hours). The greenhouse effect was particularly active...increase in entrainment velocity thereby deepening the mixed layer and cooling the ocean surface. The greenhouse effect had little significant impact...This result is similar to the results found in the short-term experiment of Event #1, where the greenhouse effect is the dominant factor on the MLD

  16. Exploring Unsubstantiated Reports by Educational Personnel of Suspected Child Abuse and Neglect in New York State Using Geographic Information System Technology: Is There a Disproportionate Impact on African American Children?

    ERIC Educational Resources Information Center

    Krase, Kathryn S.

    2009-01-01

    "Educational personnel" serve as an important conduit for family involvement in child protective services (CPS). Educational personnel are the largest source of reports of suspected child maltreatment in the United States (United States Department of Health and Human Services, 2007). However, reports made by educational personnel are…

  17. Heterogeneous Delivery of Silicate and Metal to the Earth via Large Planetesimals

    NASA Astrophysics Data System (ADS)

    Marchi, S.; Canup, R. M.; Walker, R. J.

    2017-12-01

    Earth's mantle abundances of at least some highly siderophile elements, (HSE; Re, Os, Ir, Ru, Pt, Rh, Pd, and Au), are much higher than would result from metal-silicate equilibration during terrestrial core formation, and can be better explained as a result of late accretion of a minimum of 0.5% Earth's masses after core formation was complete. Traditional models assume that HSEs delivered by late projectiles completely mixed and chemically equilibrated with the Earth's mantle. This appears likely for undifferentiated, well-mixed projectiles, or for relatively small, differentiated projectiles. However several arguments suggest that late projectiles may have been large (> 1500 km in diameter) and differentiated, and in this case, portions of the projectile's core may merge with the Earth's core, rather than being mixed into the Earth's mantle. We investigate projectile mixing with a suite of SPH simulations of differentiated planetesimal colliding with the Earth. A range of outcomes emerge from our simulations suggesting that for large impactors (>1500 km), the delivery of HSE to the Earth's mantle may be disproportionate with the overall delivery of mass. For impacts with impact angles < 45° , between ˜ 20% to 80% of the impactor's core may merge directly with the Earth's core; while for impact angle > 60°, most of the impactor core escapes for moderate impact speeds. An implication is that the late accreted mass inferred from terrestrial HSE abundances may be a substantial underestimate, by a factor 2-5. In addition, partial mixing of projectiles result in an enrichment in mantle vs core material delivered to the bulk silicate Earth, implying substantial compositional variations in the accreted mass. Such variations could produce initially localized domains in Earth's mantle with distinct, mass independent isotopic signatures, given the isotopic variability resulting from nucleosynthetic heterogeneities among genetically diverse meteorites. In general we find that larger, low angle collisions would be more likely to produce initial mantle domains of anomalous composition material. We discuss the implications of these findings in the light of isotopic anomalies (e.g. W) in ancient terrestrial rocks.

  18. Disproportionate Contributions of Select Genomic Compartments and Cell Types to Genetic Risk for Coronary Artery Disease

    PubMed Central

    Won, Hong-Hee; Natarajan, Pradeep; Dobbyn, Amanda; Jordan, Daniel M.; Roussos, Panos; Lage, Kasper; Raychaudhuri, Soumya

    2015-01-01

    Large genome-wide association studies (GWAS) have identified many genetic loci associated with risk for myocardial infarction (MI) and coronary artery disease (CAD). Concurrently, efforts such as the National Institutes of Health (NIH) Roadmap Epigenomics Project and the Encyclopedia of DNA Elements (ENCODE) Consortium have provided unprecedented data on functional elements of the human genome. In the present study, we systematically investigate the biological link between genetic variants associated with this complex disease and their impacts on gene function. First, we examined the heritability of MI/CAD according to genomic compartments. We observed that single nucleotide polymorphisms (SNPs) residing within nearby regulatory regions show significant polygenicity and contribute between 59–71% of the heritability for MI/CAD. Second, we showed that the polygenicity and heritability explained by these SNPs are enriched in histone modification marks in specific cell types. Third, we found that a statistically higher number of 45 MI/CAD-associated SNPs that have been identified from large-scale GWAS studies reside within certain functional elements of the genome, particularly in active enhancer and promoter regions. Finally, we observed significant heterogeneity of this signal across cell types, with strong signals observed within adipose nuclei, as well as brain and spleen cell types. These results suggest that the genetic etiology of MI/CAD is largely explained by tissue-specific regulatory perturbation within the human genome. PMID:26509271

  19. Déjà-vu all over again: using simulation to evaluate the impact of shorter shelf life for red blood cells at Héma-Québec.

    PubMed

    Blake, John T; Hardy, Matthew; Delage, Gilles; Myhal, Geneviève

    2013-07-01

    Since the 1970s red blood cells (RBCs) have had a rated shelf life of 42 days. Recently, studies have suggested poorer patient outcomes when older blood is transfused. However, shortening the shelf life of RBCs may increase costs and lead to greater instances of outdates and shortages. A simulation method to evaluate the impact of a shorter shelf life for RBCs on a regional blood network was developed. A network model of the production and distribution system in the province of Quebec was built and validated. The model suggests that a shelf life of 21 or 28 days will have modest impact on outdate and shortage rates. A shelf life of 14 days will create significant challenges for both blood suppliers and hospitals and will result in systemwide outdate rates of 6.64% and shortage rates of 2.75%. The impact of a shorter shelf life for RBCs will disproportionately affect smaller and midsize hospitals. A shelf life of 28 or 21 days is feasible without excessive increases to systemwide outdate, shortage, or emergency ordering rates. Large hospitals will see minimal impact; smaller hospitals will see larger increases and may be unable to find inventory policies that maintain both low outdate and shortage rates. Reducing the shelf life to 14 days, or lower, results in significant challenges for suppliers and hospitals of all sizes. All hospitals will see an impact on outdate and shortage rates; overall systemwide outdate rates (6% or more) will reach levels that would currently be considered unacceptably high. © 2012 American Association of Blood Banks.

  20. The impact of tobacco use and secondhand smoke on hospitality workers.

    PubMed

    Siegel, Michael; Barbeau, Elizabeth M; Osinubi, Omowunmi Y

    2006-01-01

    Tobacco use has a substantial impact on hospitality industry employees because of the disproportionate prevalence of smoking among these workers and because of the high levels of secondhand smoke to which they are exposed. The severity of this impact is evidenced by the high mortality rates observed among hospitality industry workers from diseases related to tobacco smoke exposure. Several states and localities have begun to enact laws to protect these workers from secondhand smoke exposure. Such policies seem to be effective in reducing exposure and improving health among these workers without causing any adverse impact on business. Occupational clinicians can play a significant role in protecting the health of hospitality workers by supporting laws to create smoke-free workplaces, including bars and restaurants, and promoting smoking cessation in these worksites.

  1. Disproportionate Placement of Black and Hispanic Students in Special Education Programs.

    ERIC Educational Resources Information Center

    Goodale, Ronda; Soden, Marcia

    The paper examines practices and procedures that are seen as contributory to disproportionate placement of Black and Hispanic students in special education programs and discusses various components of the Boston Public School's Remedial Plan. Practices and procedures critical in disproportionate placement are seen to include biased assessment,…

  2. 42 CFR 412.320 - Disproportionate share adjustment factor.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Disproportionate share adjustment factor. 412.320... Capital-Related Costs § 412.320 Disproportionate share adjustment factor. (a) Criteria for classification... adjustment factor. (1) If a hospital meets the criteria in paragraph (a)(1) of this section for a...

  3. Modeling connectivity to identify current and future anthropogenic barriers to movement of large carnivores: A case study in the American Southwest.

    PubMed

    McClure, Meredith L; Dickson, Brett G; Nicholson, Kerry L

    2017-06-01

    This study sought to identify critical areas for puma ( Puma concolor ) movement across the state of Arizona in the American Southwest and to identify those most likely to be impacted by current and future human land uses, particularly expanding urban development and associated increases in traffic volume. Human populations in this region are expanding rapidly, with the potential for urban centers and busy roads to increasingly act as barriers to demographic and genetic connectivity of large-bodied, wide-ranging carnivores such as pumas, whose long-distance movements are likely to bring them into contact with human land uses and whose low tolerance both for and from humans may put them at risk unless opportunities for safe passage through or around human-modified landscapes are present. Brownian bridge movement models based on global positioning system collar data collected during bouts of active movement and linear mixed models were used to model habitat quality for puma movement; then, a wall-to-wall application of circuit theory models was used to produce a continuous statewide estimate of connectivity for puma movement and to identify pinch points, or bottlenecks, that may be most at risk of impacts from current and future traffic volume and expanding development. Rugged, shrub- and scrub-dominated regions were highlighted as those offering high quality movement habitat for pumas, and pinch points with the greatest potential impacts from expanding development and traffic, although widely distributed, were particularly prominent to the north and east of the city of Phoenix and along interstate highways in the western portion of the state. These pinch points likely constitute important conservation opportunities, where barriers to movement may cause disproportionate loss of connectivity, but also where actions such as placement of wildlife crossing structures or conservation easements could enhance connectivity and prevent detrimental impacts before they occur.

  4. Personalized Weight Management Interventions for Cardiovascular Risk Reduction: A Viable Option for African-American Women.

    PubMed

    Franklin, Nina C; Arena, Ross

    2016-01-01

    Obesity is an independent contributor to cardiovascular disease (CVD) and a major driving force behind racial/ethnic and gender disparities in risk. Due to a multitude of interrelating factors (i.e., personal, social, cultural, economic and environmental), African-American (AA) women are disproportionately obese and twice as likely to succumb to CVD, yet they are significantly underrepresented in behavioral weight management interventions. In this selective review we highlight components of the limited interventions shown to enhance weight loss outcomes in this population and make a case for leveraging Web-based technology and artificial intelligence techniques to deliver personalized programs aimed at obesity treatment and CVD risk reduction. Although many of the approaches discussed are generally applicable across populations burdened by disparate rates of obesity and CVD, we specifically focus on AA women due to the disproportionate impact of these non-communicable diseases and the general paucity of interventions targeted to this high-risk group. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Global Governance 2025: At a Critical Juncture

    DTIC Science & Technology

    2010-09-01

    them. Formal institutions remain largely unreformed and Western states probably must shoulder a disproportionate share of “global governance” as...might be in a better position but may still be fiscally constrained if its budgetary shortfalls and long-term debt problems remain unresolved...that undermine both the environment and investment. Reliance on domestic reserves of fossil fuels or long- term access to foreign fields makes

  6. Women Reaching Women: Change in Action--Using Action Learning to Help Address Seemingly Intractable and Large Scale Social Issues

    ERIC Educational Resources Information Center

    Langley, Dawn; Watts, Richard

    2010-01-01

    In 2008, 28 women from the Women's Institute volunteered to join us in a project exploring the issue of world poverty and gender inequality, specifically highlighting the disproportionate effects of climate change on women. Collectively we were asking a big question about how we as individuals, based in England, make a difference on a global…

  7. Hydrology and microtopography control carbon dynamics in wetlands: Implications in partitioning ecosystem respiration in a coastal plain forested wetland

    Treesearch

    Guofang Miao; Asko Noormets; Jean-Christophe Domec; Montserrat Fuentes; Carl C. Trettin; Ge Sun; Steve G. McNulty; John S. King

    2017-01-01

    Wetlands store a disproportionately large fraction of organic carbon relative to their areal coverage, and thus play an important role in global climate mitigation. As destabilization of these stores through land use or en- vironmental change represents a signi fi cant climate feedback, it is important to understand the functional regulation of respiratory processes...

  8. Cognitive Difficulty and Format of Exams Predicts Gender and Socioeconomic Gaps in Exam Performance of Students in Introductory Biology Courses

    PubMed Central

    Wright, Christian D.; Eddy, Sarah L.; Wenderoth, Mary Pat; Abshire, Elizabeth; Blankenbiller, Margaret; Brownell, Sara E.

    2016-01-01

    Recent reform efforts in undergraduate biology have recommended transforming course exams to test at more cognitively challenging levels, which may mean including more cognitively challenging and more constructed-response questions on assessments. However, changing the characteristics of exams could result in bias against historically underserved groups. In this study, we examined whether and to what extent the characteristics of instructor-generated tests impact the exam performance of male and female and middle/high- and low-socioeconomic status (SES) students enrolled in introductory biology courses. We collected exam scores for 4810 students from 87 unique exams taken across 3 yr of the introductory biology series at a large research university. We determined the median Bloom’s level and the percentage of constructed-response questions for each exam. Despite controlling for prior academic ability in our models, we found that males and middle/high-SES students were disproportionately favored as the Bloom’s level of exams increased. Additionally, middle/high-SES students were favored as the proportion of constructed-response questions on exams increased. Given that we controlled for prior academic ability, our findings do not likely reflect differences in academic ability level. We discuss possible explanations for our findings and how they might impact how we assess our students. PMID:27252299

  9. Cumulative risk effects for the development of behaviour difficulties in children and adolescents with special educational needs and disabilities.

    PubMed

    Oldfield, Jeremy; Humphrey, Neil; Hebron, Judith

    2015-01-01

    Research has identified multiple risk factors for the development of behaviour difficulties. What have been less explored are the cumulative effects of exposure to multiple risks on behavioural outcomes, with no study specifically investigating these effects within a population of young people with special educational needs and disabilities (SEND). Furthermore, it is unclear whether a threshold or linear risk model better fits the data for this population. The sample included 2660 children and 1628 adolescents with SEND. Risk factors associated with increases in behaviour difficulties over an 18-month period were summed to create a cumulative risk score, with this explanatory variable being added into a multi-level model. A quadratic term was then added to test the threshold model. There was evidence of a cumulative risk effect, suggesting that exposure to higher numbers of risk factors, regardless of their exact nature, resulted in increased behaviour difficulties. The relationship between risk and behaviour difficulties was non-linear, with exposure to increasing risk having a disproportionate and detrimental impact on behaviour difficulties in child and adolescent models. Interventions aimed at reducing behaviour difficulties need to consider the impact of multiple risk variables. Tailoring interventions towards those exposed to large numbers of risks would be advantageous. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Disproportionation of elemental sulfur by haloalkaliphilic bacteria from soda lakes.

    PubMed

    Poser, Alexander; Lohmayer, Regina; Vogt, Carsten; Knoeller, Kay; Planer-Friedrich, Britta; Sorokin, Dimitry; Richnow, Hans-H; Finster, Kai

    2013-11-01

    Microbial disproportionation of elemental sulfur to sulfide and sulfate is a poorly characterized part of the anoxic sulfur cycle. So far, only a few bacterial strains have been described that can couple this reaction to cell growth. Continuous removal of the produced sulfide, for instance by oxidation and/or precipitation with metal ions such as iron, is essential to keep the reaction exergonic. Hitherto, the process has exclusively been reported for neutrophilic anaerobic bacteria. Here, we report for the first time disproportionation of elemental sulfur by three pure cultures of haloalkaliphilic bacteria isolated from soda lakes: the Deltaproteobacteria Desulfurivibrio alkaliphilus and Desulfurivibrio sp. AMeS2, and a member of the Clostridia, Dethiobacter alkaliphilus. All cultures grew in saline media at pH 10 by sulfur disproportionation in the absence of metals as sulfide scavengers. Our data indicate that polysulfides are the dominant sulfur species under highly alkaline conditions and that they might be disproportionated. Furthermore, we report the first organism (Dt. alkaliphilus) from the class Clostridia that is able to grow by sulfur disproportionation.

  11. English Placement Testing, Multiple Measures, and Disproportionate Impact: An Analysis of the Criterion- and Content-Related Validity Evidence for the Reading & Writing Placement Tests in the San Diego Community College District.

    ERIC Educational Resources Information Center

    Armstrong, William B.

    As part of an effort to statistically validate the placement tests used in California's San Diego Community College District (SDCCD) a study was undertaken to review the criteria- and content-related validity of the Assessment and Placement Services (APS) reading and writing tests. Evidence of criteria and content validity was gathered from…

  12. Finding of No Significant Impact and Finding of No Practicable Alternative Construction of a Warehouse Complex MacDill Air Force Base, Florida

    DTIC Science & Technology

    2010-05-31

    that Federal agencies identify and assess environmental health and safety risks that might disproportionately affect children. The Proposed Action...extra water is sent to one irrigation field near Golf Course Avenue and Affected Environment Environmental Assessment for Warehouse Complex...the area . Environmental Consequences Environmental Assessment for Warehouse Complex MacDill AFB, Florida FEBRUARY 2010 4-15 FINAL Figure

  13. The Impact of Providing Vision Screening and Free Eyeglasses on Academic Outcomes: Evidence from a Randomized Trial in Title I Elementary Schools in Florida

    ERIC Educational Resources Information Center

    Glewwe, Paul; West, Kristine L.; Lee, Jongwook

    2018-01-01

    More than 20 percent of all school-aged children in the United States have vision problems, and low-income and minority children are disproportionately likely to have unmet vision care needs. Vision screening is common in U.S. schools, but it remains an open question whether screening alone is sufficient to improve student outcomes. We implemented…

  14. Final Environmental Assessment for Capital Improvements Program (CIP) at Davis-Monthan Air Force Base Tucson, Arizona

    DTIC Science & Technology

    2008-06-01

    which play a predominant role in protecting and preserving the national interests of the United States of America . The Proposed Action is needed...Additionally, potential health and safety impacts that could disproportionately affect children will be considered under the guidelines established by...EO 13045, Protection of Children from Environmental Health Risks and Safety Risks. In a policy formulated to address EO 13084, Consultation and

  15. CERCLA-linked environmental impact and benefit analysis: Evaluating remedial alternatives for the Portland Harbor Superfund Site, Portland, Oregon, USA.

    PubMed

    McNally, Amanda D; Fitzpatrick, Anne G; Mirchandani, Sera; Salmon, Matthew; Edwards, Deborah A

    2018-01-01

    This analysis focused on evaluating the environmental consequences of remediation, providing indicators for the environmental quality pillar of 3 "pillars" of the Portland Harbor Sustainability Project (PHSP) framework (the other 2 pillars are economic viability and social equity). The project an environmental impact and benefit analysis (EIBA) and an EIBA-based cost-benefit analysis. Metrics developed in the EIBA were used to quantify and compare remedial alternatives' environmental benefits and impacts in the human and ecological domains, as a result of remedial actions (relative to no action). The cost-benefit results were used to evaluate whether remediation costs were proportionate or disproportionate to the environmental benefits. Alternatives B and D had the highest overall benefit scores, and Alternative F was disproportionately costly relative to its achieved benefits when compared to the other remedial alternatives. Indeed, the costlier alternatives with larger remedial footprints had lower overall EIBA benefit scores-because of substantially more air emissions, noise, and light impacts, and more disturbance to business, recreational access, and habitat during construction-compared to the less costly and smaller alternatives. Put another way, the adverse effects during construction tended to outweigh the long-term benefits, and the net environmental impacts of the larger remedial alternatives far outweighed their small incremental improvements in risk reduction. Results of this Comprehensive Environmental Response Compensation and Liability Act (CERCLA)-linked environmental analysis were integrated with indicators of economic and social impacts of remediation in a stakeholder values-based sustainability framework. These tools (EIBA, EIBA-based cost-benefit analysis, economic impact assessment, and the stakeholder values-based integration) provide transparent and quantitative evaluations of the benefits and impacts associated with remedial alternatives, and should be applied to complex remediation projects to aid environmental decision making. Integr Environ Assess Manag 2018;14:22-31. © 2017 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals, Inc. on behalf of Society of Environmental Toxicology & Chemistry (SETAC). © 2017 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals, Inc. on behalf of Society of Environmental Toxicology & Chemistry (SETAC).

  16. The Setting for the Crack Era: Macro Forces, Micro Consequences (1960-1992)†

    PubMed Central

    Dunlap, Eloise; Johnson, Bruce D.

    2009-01-01

    This article provides an overview of the social history leading up to the crack era, especially 1960 to the present. The central theme holds that several major macro social forces (e.g., economic decline, job loss, ghettoization, housing abandonment, homelessness) have disproportionately impacted on the inner-city economy. These forces have created micro consequences that have impacted directly on many inner-city residents and have increased levels of distress experienced by households, families, and individuals. Economic marginality has generated high levels of alcohol and other drug abuse as well as criminality, which are exemplified in this article by one inner-city household having an extensive family history exhibiting the chronic impacts of these macro forces and their micro consequences. PMID:1491281

  17. The food, fuel, and financial crises affect the urban and rural poor disproportionately: a review of the evidence.

    PubMed

    Ruel, Marie T; Garrett, James L; Hawkes, Corinna; Cohen, Marc J

    2010-01-01

    The vulnerability of the urban poor to the recent food and fuel price crisis has been widely acknowledged. The unfolding global financial crisis, which brings higher unemployment and underemployment, is likely to further intensify this vulnerability. This paper reviews the evidence concerning the disproportionate vulnerability of the urban compared with the rural poor to these types of shocks. It reviews some of the unique characteristics of urban life that could make the urban poor particularly susceptible to price and financial shocks and summarizes the evidence regarding the disproportionate vulnerability of the urban poor. The focus is on impacts on poverty, food insecurity, and malnutrition. The review shows that although the urban poor are clearly one of the population groups most affected by the current (and previous) crises, the rural poor, landless, and net buyers are in no better position to confront the crisis without significant suffering. The poorest of the poor are the ones who will be most affected, irrespective of the continent, country, or urban or rural area where they live. The magnitude and severity of their suffering depends on their ability to adapt and on the specific nature, extent, and duration of the coping strategies they adopt. A better understanding of how these coping strategies are used and staggered is critical to help design triggers for action that can prevent households from moving to more desperate measures. Using these early coping strategies as early warning indicators could help prevent dramatic losses in welfare.

  18. Fiscal Shenanigans, Targeted Federal Health Care Funds, and Patient Mortality

    PubMed Central

    Baicker, Katherine; Staiger, Douglas

    2007-01-01

    We explore the effectiveness of matching grants when lower levels of government can expropriate some of the funds for other uses. Using data on the Medicaid Disproportionate Share program, we identify states that were most able to expropriate funds. Payments to public hospitals in these states were systematically diverted and had no significant impact on patient mortality. Payments that were not expropriated were associated with significant declines in patient mortality. Overall, subsidies were an effective mechanism for improving outcomes for the poor, but the impact was limited by the ability of state and local governments to divert the targeted funds. PMID:18084627

  19. Health care: economic impact of caring for geriatric patients.

    PubMed

    Rich, Preston B; Adams, Sasha D

    2015-02-01

    National health care expenditures constitute a continuously expanding component of the US economy. Health care resources are distributed unequally among the population, and geriatric patients are disproportionately represented. Characterizing this group of individuals that accounts for the largest percentage of US health spending may facilitate the introduction of targeted interventions in key high-impact areas. Changing demographics, an increasing incidence of chronic disease and progressive disability, rapid technological advances, and systemic market failures in the health care sector combine to drive cost. A multidisciplinary approach will become increasingly necessary to balance the delicate relationship between our constrained supply and increasing demand. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Sex chromosomes and speciation in Drosophila

    PubMed Central

    Presgraves, Daven C.

    2010-01-01

    Two empirical rules suggest that sex chromosomes play a special role in speciation. The first is Haldane's rule— the preferential sterility and inviability of species hybrids of the heterogametic (XY) sex. The second is the disproportionately large effect of the X chromosome in genetic analyses of hybrid sterility. Whereas the causes of Haldane's rule are well established, the causes of the ‘large X-effect’ have remained controversial. New genetic analyses in Drosophila confirm that the X is a hotspot for hybrid male sterility factors, providing a proximate explanation for the large X-effect. Several other new findings— on faster X evolution, X chromosome meiotic drive, and the regulation of the X chromosome in the male-germline— provide plausible evolutionary explanations for the large X-effect. PMID:18514967

  1. Management of fire regime, fuels, and fire effects in southern California chaparral: lessons from the past and thoughts for the future

    Treesearch

    Susan G. Conard; David R. Weise

    1998-01-01

    Chaparral is an intermediate fire-return interval (FRI) system, which typically bums with high-intensity crown fires. Although it covers only perhaps 10% of the state of California, and smaller areas in neighboring states, its importance in terms of fire management is disproportionately large, primarily because it occurs in the wildland-urban interface through much of...

  2. Charitable Estate Planning and Subsequent Wealth Accumulation: Why Percentage Gifts May Be Worth More than We Thought

    ERIC Educational Resources Information Center

    James, Russell N., III

    2010-01-01

    Educational institutions receive a disproportionately large share of their gift income from estates. Charitable estate plans often donate a share of the total estate, rather than a specific dollar amount. The value of this type of planned gift depends not only on the value of the estate at the time the plan is signed, but also on the individual's…

  3. An Alliance Built Upon Necessity: AQIM, Boko Haram, and the African Arch of Instability

    DTIC Science & Technology

    2013-06-01

    of globalization and connectivity along with the advent of free trade, instant communication , internet usage, social media, and mass transportation...kidnappings, and mass suicide bombing attacks, Nigerian government security forces consequently use disproportionate large-scale security sweeps in those...Management and Budget, Paperwork Reduction Project (0704-0188) Washington DC 20503. 1. AGENCY USE ONLY (Leave blank) 2. REPORT DATE June 2013 3

  4. Influences of Brain Size, Sex, and Sex Chromosome Complement on the Architecture of Human Cortical Folding.

    PubMed

    Fish, Ari M; Cachia, Arnaud; Fischer, Clara; Mankiw, Catherine; Reardon, P K; Clasen, Liv S; Blumenthal, Jonathan D; Greenstein, Deanna; Giedd, Jay N; Mangin, Jean-François; Raznahan, Armin

    2017-12-01

    Gyrification is a fundamental property of the human cortex that is increasingly studied by basic and clinical neuroscience. However, it remains unclear if and how the global architecture of cortical folding varies with 3 interwoven sources of anatomical variation: brain size, sex, and sex chromosome dosage (SCD). Here, for 375 individuals spanning 7 karyotype groups (XX, XY, XXX, XYY, XXY, XXYY, XXXXY), we use structural neuroimaging to measure a global sulcation index (SI, total sulcal/cortical hull area) and both determinants of sulcal area: total sulcal length and mean sulcal depth. We detail large and patterned effects of sex and SCD across all folding metrics, but show that these effects are in fact largely consistent with the normative scaling of cortical folding in health: larger human brains have disproportionately high SI due to a relative expansion of sulcal area versus hull area, which arises because disproportionate sulcal lengthening overcomes a lack of proportionate sulcal deepening. Accounting for these normative allometries reveals 1) brain size-independent sulcal lengthening in males versus females, and 2) insensitivity of overall folding architecture to SCD. Our methodology and findings provide a novel context for future studies of human cortical folding in health and disease. Published by Oxford University Press 2016.

  5. Ten Years of Addressing Children’s Health through Regulatory Policy at the U.S. Environmental Protection Agency

    PubMed Central

    Payne-Sturges, Devon; Kemp, Debra

    2008-01-01

    Background Executive Order (EO) 13045, Protection of Children From Environmental Health Risks and Safety Risks, directs each federal agency to ensure that its policies, programs, activities, and standards address disproportionate environmental health and safety risks to children. Objectives We reviewed regulatory actions published by U.S. Environmental Protection Agency (EPA) in the Federal Register from April 1998 through December 2006 to evaluate applicability of EO 13045 to U.S. EPA actions and consideration of children’s health issues in U.S. EPA rulemakings. Discussion Although virtually all actions discussed EO 13045, fewer than two regulations per year, on average, were subject to the EO requirement to evaluate children’s environmental health risks. Nonetheless, U.S. EPA considered children’s environmental health in all actions addressing health or safety risks that may disproportionately affect children. Conclusion The EO does not apply to a broad enough set of regulatory actions to ensure protection of children’s health and safety risks, largely because of the small number of rules that are economically significant. However, given the large number of regulations that consider children’s health issues despite not being subject to the EO, other statutory requirements and agency policies reach a larger set of regulations to ensure protection of children’s environmental health. PMID:19079726

  6. Are Blacks and Hispanics Disproportionately Incarcerated Relative to Their Arrests? Racial and Ethnic Disproportionality Between Arrest and Incarceration

    PubMed Central

    Steffensmeier, Darrell; Ulmer, Jeffrey T.; Painter-Davis, Noah

    2014-01-01

    Do large racial and ethnic disparities in prison populations reflect systematic racial and policy discrimination in the criminal justice system, or do they reflect disproportionate involvement of blacks and Hispanics in “serious” or street crime? Our investigation of this question keys off the approach initiated by Alfred Blumstein is his pioneering studies on the topic. While yielding important findings, there are, however, substantial gaps in the empirical literature on the racial disproportionality issue. We attempt to fill those gaps by (1) using both data on prison admission as well as in-stock prison populations, (2) presenting more recent racially and ethnically disaggregated arrest and incarceration data from Pennsylvania for 2003–2007, and (3) including Hispanic offenders in our racial and ethnic disproportionality comparisons. Our results indicate, first, that the representation of blacks, whites, and Hispanics among offenders admitted to state prison and in the prison population corresponds closely to their representation in arrest statistics. Second, using arrests as a marker of violent offending, the overrepresentation of blacks among offenders admitted to state prisons occurs because they commit a disproportionate number of frequently imprisoned (i.e., violent) crimes. Third, for those offenses where there is a within-race difference between arrest and incarceration representation, Hispanics experience the greatest disadvantage. Fourth, failing to account for Hispanics in white and black estimates tends to inflate white proportions and deflate black proportions of arrests, admissions, and prison population estimates, masking the “true” black and white racial disproportionality. We conclude that while there is a need for continued concern with possible racial discrimination in justice system processing, this concern should not distract attention from what arguably is the more important matter—ameliorating the social environmental conditions that foster disproportionate minority (especially black) involvement in violent crime. PMID:25067960

  7. Police-Recorded Crime and Perceived Stress among Patients with Type 2 Diabetes: the Diabetes Study of Northern California (DISTANCE).

    PubMed

    Tamayo, Aracely; Mujahid, Mahasin S; Laraia, Barbara; Warton, E Margaret; Blanchard, Samuel D; Kelly, Maggi; Moffet, Howard H; Adler, Nancy; Schillinger, Dean; Karter, Andrew J

    2016-10-01

    While stress has been linked to poor health outcomes, little is known about the impact of objective measures of neighborhood crime on stress in patients with chronic disease. Using the Kaiser Permanente Diabetes Study of Northern California (DISTANCE), we examined associations between police-recorded crime (2005-2007) and stress (Perceived Stress Scale-4) in four large Northern California cities (Oakland, Sacramento, San Francisco, and San Jose). We performed stratified analysis by gender and race/ethnicity using generalized linear regression models. In our study sample (n = 3188, mean age 59, range 30-77), 10 % reported high stress. In adjusted analyses, higher neighborhood all crimes rate was associated with modest increase in high stress for African-American (OR = 1.10; 95 % CI 1.02-1.22) and Latina women (OR = 1.36; 95 % CI 1.10-1.67) and property crime showed similar associations with stress for these groups of women. Visible crime was associated with stress only for Latina women (OR = 1.43; 95 % CI 1.14-1.78). We found no association between crime and stress among men or other racial/ethnic groups of women. High crime levels may disproportionately impact health among certain subpopulations. Studies using additional measures of stress are necessary to differentiate the health impact of crime-related stress from other forms of stressors among individuals living with diabetes.

  8. 2:1 Charge disproportionation in perovskite-structure oxide La{sub 1/3}Ca{sub 2/3}FeO{sub 3} with unusually-high-valence Fe{sup 3.67+}

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

    Guo, Haichuan; Hosaka, Yoshiteru; Seki, Hayato

    La{sub 1/3}Ca{sub 2/3}FeO{sub 3} with unusually-high-valence Fe{sup 3.67+} was synthesized at a high pressure and high temperature. The compound crystallizes in a √2a×2a×√2a perovskite cell in which the La and Ca ions at the A site are disordered. At 217 K the Fe{sup 3.67+} shows charge disproportionation to Fe{sup 3+} and Fe{sup 5+} in a ratio of 2:1, and this disproportionation is accompanied by transitions in magnetic and transport properties. The charge-disproportionated Fe{sup 3+} and Fe{sup 5+} are arranged along the <111> direction of the cubic perovskite cell. The local electronic and magnetic environments of Fe in La{sub 1/3}Ca{sub 2/3}FeO{submore » 3} are quite similar to those of Fe in La{sub 1/3}Sr{sub 2/3}FeO{sub 3}, and the 2:1 charge disproportionation pattern of Fe{sup 3+} and Fe{sup 5+} in La{sub 1/3}Ca{sub 2/3}FeO{sub 3} is also the same as that in La{sub 1/3}Sr{sub 2/3}FeO{sub 3}. - Graphical abstract: The perovskite-structure oxide La{sub 1/3}Ca{sub 2/3}FeO{sub 3} with unusually-high-valence Fe{sup 3.67+} shows charge disproportionation to Fe{sup 3+} and Fe{sup 5+} in a ratio of 2:1, and the charge-disproportionated Fe{sup 3+} and Fe{sup 5+} are arranged along the <111> direction of the cubic perovskite cell. - Highlights: • La{sub 1/3}Ca{sub 2/3}FeO{sub 3} with unusually-high-valence Fe{sup 3.67+} was synthesized at a high pressure and high temperature. • At 217 K the Fe{sup 3.67+} shows charge disproportionation (CD) to Fe{sup 3+} and Fe{sup 5+} in a ratio of 2:1. • The charge-disproportionated Fe{sup 3+} and Fe{sup 5+} are arranged along the <111> direction of the cubic perovskite cell. • The disproportionation is accompanied by transitions in magnetic and transport properties.« less

  9. A rapid method for landscape assessment of carbon storage and ecosystem function in moss and lichen ground layers

    Treesearch

    Sarah Jovan; Robert J. Smith; Juan C. Benavides; Michael Amacher; Bruce McCune

    2015-01-01

    Mat-forming ‘‘ground layers’’ of mosses and lichens often have functional impacts disproportionate to their biomass, and are responsible for sequestering one-third of the world’s terrestrial carbon as they regulate water tables, cool soils and inhibit microbial decomposition. Without reliable assessment tools, the potential effects of climate and land use changes on...

  10. Vocational education paths, youth activities, and underage drinking in Russia: How early does the trouble start?

    PubMed

    Lushin, Viktor; Jaccard, James; Ivaniushina, Valeria; Alexandrov, Daniel

    2017-07-01

    Working-class educational paths tend to be associated with elevated drinking. Little research has examined whether disproportionate alcohol use among vocationally oriented youth begins before or after the start of their vocational education. The present study analyzes a large sample of Russian middle-school students (N=1269; mean age=14.9), comparing the patterns of drinking among middle-schoolers oriented towards vocational educational, and their peers who do not plan a vocational education path. Results suggest that the orientation towards vocational education is associated with disproportionately high alcohol involvement among Russian middle-school students, even before they enter vocational schools. We studied if such difference could be partially explained by how youth orient towards extracurricular activities: discretionary peer time in risky contexts, reading for pleasure, working for pay, and religious activities. Reading demonstrated the strongest (negative) association with alcohol use, while religious activity unexpectedly revealed a positive (though weak) association with drinking. Research and policy implications are discussed. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. Youth exposure to alcohol advertising on radio--United States, June-August 2004.

    PubMed

    2006-09-01

    In the United States, more underage youth drink alcohol than smoke tobacco or use illicit drugs. Excessive alcohol consumption leads to many adverse health and social consequences and results in approximately 4,500 deaths among underage youth each year. Recent studies have emphasized the contribution of alcohol marketing to underage drinking and have demonstrated that a substantial proportion of alcohol advertising appears in media for which the audience composition is youth-oriented (i.e., composed disproportionately of persons aged 12-20 years). To determine the proportion of radio advertisements that occurred on radio programs with audiences composed disproportionately of underage youth and the proportion of total youth exposure to alcohol advertising that occurs as a result of such advertising, researchers at the Center on Alcohol Marketing and Youth (Health Policy Institute, Georgetown University, District of Columbia) evaluated the placement of individual radio advertisements for the most advertised U.S. alcohol brands and the composition of audiences in the largest 104 markets in the United States. This report summarizes the results of that study, which indicate that alcohol advertising is common on radio programs which have disproportionately large youth audiences and that this advertising accounts for a substantial proportion of all alcohol radio advertising heard by underage youth. These results further indicate that 1) the current voluntary standards limiting alcohol marketing to youth should be enforced and ultimately strengthened, and 2) ongoing monitoring of youth exposure to alcohol advertising should continue.

  12. Impacts of Climate Change on Inequities in Child Health.

    PubMed

    Bennett, Charmian M; Friel, Sharon

    2014-12-03

    This paper addresses an often overlooked aspect of climate change impacts on child health: the amplification of existing child health inequities by climate change. Although the effects of climate change on child health will likely be negative, the distribution of these impacts across populations will be uneven. The burden of climate change-related ill-health will fall heavily on the world's poorest and socially-disadvantaged children, who already have poor survival rates and low life expectancies due to issues including poverty, endemic disease, undernutrition, inadequate living conditions and socio-economic disadvantage. Climate change will exacerbate these existing inequities to disproportionately affect disadvantaged children. We discuss heat stress, extreme weather events, vector-borne diseases and undernutrition as exemplars of the complex interactions between climate change and inequities in child health.

  13. Rural Asthma: Current Understanding of Prevalence, Patterns, and Interventions for Children and Adolescents.

    PubMed

    Estrada, Robin Dawson; Ownby, Dennis R

    2017-06-01

    Asthma is the most common chronic illness of children and adolescents in the USA. While asthma has been understood to disproportionately affect urban dwellers, recent investigations have revealed rural pediatric asthma prevalence to be very similar to urban and to be more closely correlated with socioeconomic and environmental factors than geographic location or population density. Rural children experience factors unique to location that impact asthma development and outcomes, including housing quality, cigarette smoke exposure, and small/large-scale farming. Additionally, there are challenging barriers to appropriate asthma care that frequently are more severe for those living in rural areas, including insurance status, lack of primary care providers and pulmonary specialists, knowledge deficits (both patient and provider), and a lack of culturally tailored asthma interventions. Interventions designed to address rural pediatric asthma disparities are more likely to be successful when targeted to specific challenges, such as the use of school-based services or telemedicine to mitigate asthma care access issues. Continued research on understanding the complex interaction of specific rural environmental factors with host factors can inform future interventions designed to mitigate asthma disparities.

  14. Anxiety symptoms and disorders among adults living with HIV and AIDS: A critical review and integrative synthesis of the empirical literature

    PubMed Central

    Brandt, Charles; Zvolensky, Michael J.; Woods, Steven P.; Gonzalez, Adam; Safren, Steven A.; O’Cleirigh, Conall M.

    2016-01-01

    There are over 35 million people worldwide infected with the Human Immunodeficiency Virus (HIV) and its progression to Acquired Immunodeficiency Syndrome (AIDS; WHO, 2014). With the advent of combined antiretroviral therapy (i.e., cART) in 1996, persons living with HIV/AIDS (PLWHA) now have much longer life expectancies. However, living with HIV remains challenging, as it is associated with a number of significant and recurrent (chronic) stressors including physical pain, side effects of cART, social stigma, and discrimination, among other social stressors. Presumably, as a result of these types of stressors, a disproportionately high number of PLWHA struggle with clinically-significant psychiatric symptoms and disorders. Although much scientific and clinical attention has focused on depressed mood and psychopathology among PLWHA, there has been comparably less focus on anxiety and its disorders. The paucity of work in this area is concerning from a public health perspective, as anxiety symptoms and disorders are the most common class of psychiatric disorders and often maintain a large negative impact on life functioning. PMID:27939443

  15. Psychiatry Departments Under Constrained Funding Mechanisms or What Is a Chairperson to Do?

    PubMed

    Magen, Jed; Rapaport, Mark Hyman

    2016-12-01

    The authors surveyed academic departments of psychiatry to examine what effect decreases in funding levels may be having. An internet survey of all departments of psychiatry was conducted at US medical schools. The response rate was 43 of 120 programs. Both large more research intensive and smaller more clinical departments responded. Majorities of departments reported that funding decreases negatively impacted faculty recruitment, research, faculty retention, and teaching programs. Approximately, one-third reported laying-off non-tenured faculty members and almost half, staff members. Graduate Medical Education (GME) funding was also a challenge. Departments reported responding by attempting to develop alternative funding sources. Few departments in the sample were doing significant fund raising. Academic departments find themselves stressed financially and are constricting some functions that are thought important. They are, in general, not able to replace lost funding. The research enterprise appears to be disproportionately affected and results in problems recruiting faculty. GME programs thus far seem less affected. Overall, funding issues appear to be causing serious issues that will have long-term consequences.

  16. Anxiety symptoms and disorders among adults living with HIV and AIDS: A critical review and integrative synthesis of the empirical literature.

    PubMed

    Brandt, Charles; Zvolensky, Michael J; Woods, Steven P; Gonzalez, Adam; Safren, Steven A; O'Cleirigh, Conall M

    2017-02-01

    There are over 35 million people worldwide infected with the Human Immunodeficiency Virus (HIV) and its progression to Acquired Immunodeficiency Syndrome (AIDS; WHO, 2014). With the advent of combined antiretroviral therapy (i.e., cART) in 1996, persons living with HIV/AIDS (PLWHA) now have much longer life expectancies. However, living with HIV remains challenging, as it is associated with a number of significant and recurrent (chronic) stressors including physical pain, side effects of cART, social stigma, and discrimination, among other social stressors. Presumably, as a result of these types of stressors, a disproportionately high number of PLWHA struggle with clinically-significant psychiatric symptoms and disorders. Although much scientific and clinical attention has focused on depressed mood and psychopathology among PLWHA, there has been comparably less focus on anxiety and its disorders. The paucity of work in this area is concerning from a public health perspective, as anxiety symptoms and disorders are the most common class of psychiatric disorders and often maintain a large negative impact on life functioning. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Stigma in People With Type 1 or Type 2 Diabetes

    PubMed Central

    Liu, Nancy F.; Brown, Adam S.; Folias, Alexandra E.; Younge, Michael F.; Guzman, Susan J.; Close, Kelly L.

    2017-01-01

    IN BRIEF This study quantitatively measures diabetes stigma and its associated psychosocial impact in a large population of U.S. patients with type 1 or type 2 diabetes using an online survey sent to 12,000 people with diabetes. A majority of respondents with type 1 (76%) or type 2 (52%) diabetes reported that diabetes comes with stigma. Perceptions of stigma were significantly higher among respondents with type 1 diabetes than among those with type 2 diabetes, with the highest rate in parents of children with type 1 diabetes (83%) and the lowest rate in people with type 2 diabetes who did not use insulin (49%). Our results suggest that a disturbingly high percentage of people with diabetes experience stigma, particularly those with type 1 or type 2 diabetes who are on intensive insulin therapy. The experience of stigma disproportionately affects those with a higher BMI, higher A1C, and poorer self-reported blood glucose control, suggesting that those who need the most help are also the most affected by stigma. PMID:28144043

  18. Internal carotid artery occlusion and stroke as a complication of cisplatin-based chemotherapy for metastatic testicular germ cell tumour.

    PubMed

    Cerrud-Rodriguez, Roberto Christian; Quinteros, Maria Gabriela; Azam, Mohammed

    2017-06-18

    Testicular tumours are the most common tumours in young men. Germ cell tumours (GCTs) account for 95% of all testicular cancers, and the non-seminomatous type (NSGCT) accounts for 50% of all GCTs. Cisplatin-based chemotherapy is curative in up to 90% of patients, but it is not without its inherent risks. Ischaemic stroke is a very uncommon, but severe complication of cisplatin-based chemotherapy. Strokes in young patients cause a disproportionately large economic impact by leaving victims disabled during their most productive years and strains the healthcare system with expensive hospital stays. We present a case of a young male patient with past medical history of metastatic NSGCT with the sudden onset of dysarthria, left hemiplegia and ipsilateral hemisensory loss 3 days after receiving cisplatin-based chemotherapy. Subsequent studies revealed a stroke involving the right middle cerebral artery territory secondary to an acute right internal carotid occlusion. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  19. Intersection of Cardiovascular Disease and Kidney Disease: Atrial Fibrillation

    PubMed Central

    Bansal, Nisha; Hsu, Chi-yuan; Go, Alan S.

    2014-01-01

    Purpose of review Atrial fibrillation (AF) is the most common sustained arrhythmia in the patients with kidney disease. The purpose of this review is to describe the burden of AF in patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD), postulate possible mechanisms to explain this burden of disease, understand the clinical consequences of AF and review the treatment options for AF specific to patients with kidney disease. Recent findings Recent literature has revealed that the clinical multi-organ impact of AF in patients with CKD and ESRD is substantial. Although novel oral anticoagulants to treat AF and prevent associated complications have been tested in large trials in the general population, there is a paucity of data on the efficacy and safety of these agents in patients with advanced CKD and ESRD. Summary AF is a significant comorbidity in patients with CKD and ESRD with important prognostic implications. More research is needed to understand the mechanisms that contribute to the disproportionate burden of this arrhythmia in patients with kidney disease and treatment options specific to this population of high-risk patients. PMID:24709949

  20. A snapshot of how Latino heterosexual men promote sexual health within their social networks: Process evaluation findings from an efficacious community-level intervention

    PubMed Central

    Rhodes, Scott D.; Daniel, Jason; Alonzo, Jorge; Vissman, Aaron T.; Duck, Stacy; Downs, Mario; Gilbert, Paul A.

    2014-01-01

    Background HoMBReS was a community-level social network intervention designed to increase sexual health among Latino heterosexual men who were members of a multi-county soccer league. Methods We used process data collected each month during 18 months of intervention implementation from each of 15 trained Latino male lay health advisors (known as Navegantes) to explore the activities that Navegantes conducted to increase condom and HIV testing among their social network members. Results The Navegantes reported conducting 2,364 activities, for a mean of 8.8 activities per Navegante per month. The most common activity was condom distribution. Most activities were conducted with men; about 2% were conducted with women. Among activities conducted with men, half were conducted with soccer teammates and half with non-teammates. Conclusions Latino men’s social networks can be leveraged to promote sexual health within the community. Innovative methods that reach large numbers of community members are needed given the lack of prevention resources for populations disproportionately impacted by HIV and STDs. PMID:23206201

  1. A snapshot of how latino heterosexual men promote sexual health within their social networks: process evaluation findings from an efficacious community-level intervention.

    PubMed

    Rhodes, Scott D; Daniel, Jason; Alonzo, Jorge; Vissman, Aaron T; Duck, Stacy; Downs, Mario; Gilbert, Paul A

    2012-12-01

    Hombres Manteniendo Bienestar y Relaciones Saludables (HoMBReS) was a community-level social network intervention designed to increase sexual health among Latino heterosexual men who were members of a multicounty soccer league. Process data were collected each month during 18 months of intervention implementation from each of 15 trained Latino male lay health advisors (known as Navegantes) to explore the activities that Navegantes conducted to increase condom and HIV testing among their social network members. The Navegantes reported conducting 2,364 activities, for a mean of 8.8 activities per Navegante per month. The most common activity was condom distribution. Most activities were conducted with men; about 2% were conducted with women. Among activities conducted with men, half were conducted with soccer teammates and half with nonteammates. Results suggest that Latino men's social networks can be leveraged to promote sexual health within the community. Innovative methods that reach large numbers of community members are needed given the lack of prevention resources for populations disproportionately impacted by HIV and STDs.

  2. Hypoglycemia in newborn infants at risk.

    PubMed

    Jonas, D; Dietz, W; Simma, B

    2014-09-01

    Infants of diabetic mothers (IDM), large (LGA) or small (SGA) for gestational age and late preterm (LPT) infants are at risk for hypoglycemia. We report the incidence, the consequences and the impact of a recently implemented guideline. From 1 January to 31 December 2012 we screened infants at risk. The first blood glucose was done within 90 min after birth, 30 min after the first feeding and had to be repeated before each feeding. Hypoglycemia was defined as blood glucose below 40 mg/dL independent of age; all babies remained in the study for at least 24 h or until at least 3 glucose measurements were >40 mg/dL.  We identified 259 out 1 074 (24.1%) infants and included 145 (56.0%) of these infants in a retrospective analysis. 17 (11.7%) infants (male:female=1:1.1) showed 19 episodes of hypoglycemia. 3 of them had more than one risk factor, 2 were LGA at term. 6 (35%) out of 17 infants had to be transferred, one due to clinical signs and 5 according to the protocol. Mean number of blood glucose measurement was 6.9±1.9. The number of procedures performed to detect one episode of hypoglycemia was 54.  The incidence of hypoglycemia in infants at risk is low and does not justify screening such a large risk group, which may harm them by requiring a disproportionately large number of blood withdrawals. © Georg Thieme Verlag KG Stuttgart · New York.

  3. Environmental Stressors: The Mental Health Impacts of Living Near Industrial Activity*

    PubMed Central

    DOWNEY, LIAM; VAN WILLIGEN, MARIEKE

    2011-01-01

    A growing literature examines whether the poor, the working class, and people of color are disproportionately likely to live in environmentally hazardous neighborhoods. This literature assumes that environmental characteristics such as industrial pollution and hazardous waste are detrimental to human health, an assumption that has not been well tested. Drawing upon the sociology of mental health and environmental inequality studies, we ask whether industrial activity has an impact on psychological well-being. We link individual-level survey data with data from the U.S. Census and the Toxic Release Inventory and find that residential proximity to industrial activity has a negative impact on mental health. This impact is both direct and mediated by individuals’ perceptions of neighborhood disorder and personal powerlessness, and the impact is greater for minorities and the poor than it is for whites and wealthier individuals. These results suggest that public health officials need to take seriously the mental health impacts of living near industrial facilities. PMID:16259150

  4. Disproportionate-share hospital payment reductions may threaten the financial stability of safety-net hospitals.

    PubMed

    Neuhausen, Katherine; Davis, Anna C; Needleman, Jack; Brook, Robert H; Zingmond, David; Roby, Dylan H

    2014-06-01

    Safety-net hospitals rely on disproportionate-share hospital (DSH) payments to help cover uncompensated care costs and underpayments by Medicaid (known as Medicaid shortfalls). The Affordable Care Act (ACA) anticipates that insurance expansion will increase safety-net hospitals' revenues and will reduce DSH payments accordingly. We examined the impact of the ACA's Medicaid DSH reductions on California public hospitals' financial stability by estimating how total DSH costs (uncompensated care costs and Medicaid shortfalls) will change as a result of insurance expansion and the offsetting DSH reductions. Decreases in uncompensated care costs resulting from the ACA insurance expansion may not match the act's DSH reductions because of the high number of people who will remain uninsured, low Medicaid reimbursement rates, and medical cost inflation. Taking these three factors into account, we estimate that California public hospitals' total DSH costs will increase from $2.044 billion in 2010 to $2.363-$2.503 billion in 2019, with unmet DSH costs of $1.381-$1.537 billion. Project HOPE—The People-to-People Health Foundation, Inc.

  5. Legal physician-assisted dying in Oregon and the Netherlands: evidence concerning the impact on patients in "vulnerable" groups.

    PubMed

    Battin, Margaret P; van der Heide, Agnes; Ganzini, Linda; van der Wal, Gerrit; Onwuteaka-Philipsen, Bregje D

    2007-10-01

    Debates over legalisation of physician-assisted suicide (PAS) or euthanasia often warn of a "slippery slope", predicting abuse of people in vulnerable groups. To assess this concern, the authors examined data from Oregon and the Netherlands, the two principal jurisdictions in which physician-assisted dying is legal and data have been collected over a substantial period. The data from Oregon (where PAS, now called death under the Oregon Death with Dignity Act, is legal) comprised all annual and cumulative Department of Human Services reports 1998-2006 and three independent studies; the data from the Netherlands (where both PAS and euthanasia are now legal) comprised all four government-commissioned nationwide studies of end-of-life decision making (1990, 1995, 2001 and 2005) and specialised studies. Evidence of any disproportionate impact on 10 groups of potentially vulnerable patients was sought. Rates of assisted dying in Oregon and in the Netherlands showed no evidence of heightened risk for the elderly, women, the uninsured (inapplicable in the Netherlands, where all are insured), people with low educational status, the poor, the physically disabled or chronically ill, minors, people with psychiatric illnesses including depression, or racial or ethnic minorities, compared with background populations. The only group with a heightened risk was people with AIDS. While extralegal cases were not the focus of this study, none have been uncovered in Oregon; among extralegal cases in the Netherlands, there was no evidence of higher rates in vulnerable groups. Where assisted dying is already legal, there is no current evidence for the claim that legalised PAS or euthanasia will have disproportionate impact on patients in vulnerable groups. Those who received physician-assisted dying in the jurisdictions studied appeared to enjoy comparative social, economic, educational, professional and other privileges.

  6. Balancing the Demands of Two Tasks: An Investigation of Cognitive-Motor Dual-Tasking in Relapsing Remitting Multiple Sclerosis.

    PubMed

    Butchard-MacDonald, Emma; Paul, Lorna; Evans, Jonathan J

    2018-03-01

    People with relapsing remitting multiple sclerosis (PwRRMS) suffer disproportionate decrements in gait under dual-task conditions, when walking and a cognitive task are combined. There has been much less investigation of the impact of cognitive demands on balance. This study investigated whether: (1) PwRRMS show disproportionate decrements in postural stability under dual-task conditions compared to healthy controls, and (2) dual-task decrements are associated with everyday dual-tasking difficulties. The impact of mood, fatigue, and disease severity on dual-tasking was also examined. A total of 34 PwRRMS and 34 matched controls completed cognitive (digit span) and balance (movement of center of pressure on Biosway on stable and unstable surfaces) tasks under single- and dual-task conditions. Everyday dual-tasking was measured using the Dual-Tasking Questionnaire. Mood was measured by the Hospital Anxiety & Depression Scale. Fatigue was measured via the Modified Fatigue Index Scale. No differences in age, gender, years of education, estimated pre-morbid IQ, or baseline digit span between groups. Compared with controls, PwRRMS showed significantly greater decrement in postural stability under dual-task conditions on an unstable surface (p=.007), but not a stable surface (p=.679). Balance decrement scores were not correlated with everyday dual-tasking difficulties or fatigue. Stable surface balance decrement scores were significantly associated with levels of anxiety (rho=0.527; p=.001) and depression (rho=0.451; p=.007). RRMS causes dual-tasking difficulties, impacting balance under challenging conditions, which may contribute to increased risk of gait difficulties and falls. The relationship between anxiety/depression and dual-task decrement suggests that emotional factors may be contributing to dual-task difficulties. (JINS, 2018, 24, 247-258).

  7. Pericardial fat mimicking pericardial effusion on two-dimensional echocardiography.

    PubMed

    Kanna, Balavenkatesh; Osorio, Federico; Dharmarajan, Lekshmi

    2006-05-01

    A 78-year-old overweight woman with diabetes mellitus, bronchial asthma, and Sheehan's syndrome on chronic steroid therapy presented with mild short-lived hematemesis, significant hypotension disproportionate to the degree of bleeding and radiographic evidence of cardiomegaly. Endoscopy showed duodenal ulcer. During evaluation of the unexplained brief hypotension and cardiomegaly, 2D-echocardiogram demonstrated anterior and posterior echo-free spaces consistent with large pericardial effusion (PE). However, subsequent elective surgical pericardiotomy unexpectedly revealed large amounts of pericardial fat. Pericardial fat was also noted on magnetic resonance imaging of the chest. Our case illustrates a potential pitfall of 2D-echocardiography in the diagnosis of PE.

  8. Improving timeliness and efficiency in the referral process for safety net providers: application of the Lean Six Sigma methodology.

    PubMed

    Deckard, Gloria J; Borkowski, Nancy; Diaz, Deisell; Sanchez, Carlos; Boisette, Serge A

    2010-01-01

    Designated primary care clinics largely serve low-income and uninsured patients who present a disproportionate number of chronic illnesses and face great difficulty in obtaining the medical care they need, particularly the access to specialty physicians. With limited capacity for providing specialty care, these primary care clinics generally refer patients to safety net hospitals' specialty ambulatory care clinics. A large public safety net health system successfully improved the effectiveness and efficiency of the specialty clinic referral process through application of Lean Six Sigma, an advanced process-improvement methodology and set of tools driven by statistics and engineering concepts.

  9. Climate Change Impacts on the Tree of Life: Changes in Phylogenetic Diversity Illustrated for Acropora Corals

    PubMed Central

    Faith, Daniel P.; Richards, Zoe T.

    2012-01-01

    The possible loss of whole branches from the tree of life is a dramatic, but under-studied, biological implication of climate change. The tree of life represents an evolutionary heritage providing both present and future benefits to humanity, often in unanticipated ways. Losses in this evolutionary (evo) life-support system represent losses in “evosystem” services, and are quantified using the phylogenetic diversity (PD) measure. High species-level biodiversity losses may or may not correspond to high PD losses. If climate change impacts are clumped on the phylogeny, then loss of deeper phylogenetic branches can mean disproportionately large PD loss for a given degree of species loss. Over time, successive species extinctions within a clade each may imply only a moderate loss of PD, until the last species within that clade goes extinct, and PD drops precipitously. Emerging methods of “phylogenetic risk analysis” address such phylogenetic tipping points by adjusting conservation priorities to better reflect risk of such worst-case losses. We have further developed and explored this approach for one of the most threatened taxonomic groups, corals. Based on a phylogenetic tree for the corals genus Acropora, we identify cases where worst-case PD losses may be avoided by designing risk-averse conservation priorities. We also propose spatial heterogeneity measures changes to assess possible changes in the geographic distribution of corals PD. PMID:24832524

  10. The 1902-3 eruptions of the Soufrière, St Vincent: Impacts, relief and response

    NASA Astrophysics Data System (ADS)

    Pyle, David M.; Barclay, Jenni; Armijos, Maria Teresa

    2018-05-01

    Retrospective analysis of the contemporary colonial and scientific records of a major explosive eruption of the Soufrière of St Vincent from 1902 to 1903 reveals how this significant and prolonged event presented challenges to the authorities charged with managing the crisis and its aftermath. In a small-island setting vulnerable to multiple hazards, the spatial footprint of the volcanic hazard and the nature and intensity of the hazard effects were rather different to those of other recurrent hazards such as hurricanes. The eruption affected the same parts of the island that had been impacted by prior explosive eruptions in 1718 and 1812, and hurricanes in 1831 and 1898, with consequences that disproportionately affected those working in and around the large sugar estates. The official response to the eruption, both in terms of short-term relief and remediation, was significantly accelerated by the existence of mature plans for land-reform following the collapse of the sugar market, and ongoing plans for rebuilding in the aftermath of the destructive hurricane of 1898. The picture that this analysis helps to illuminate provides insights both into the nature of the particular eruptive episode, and the human and social response to that episode. This not only informs discussion and planning for future explosive eruptions on St Vincent, but provides important empirical evidence for building effective responses in similar multihazard contexts.

  11. Assessing Ecosystem Model Performance in Semiarid Systems

    NASA Astrophysics Data System (ADS)

    Thomas, A.; Dietze, M.; Scott, R. L.; Biederman, J. A.

    2017-12-01

    In ecosystem process modelling, comparing outputs to benchmark datasets observed in the field is an important way to validate models, allowing the modelling community to track model performance over time and compare models at specific sites. Multi-model comparison projects as well as models themselves have largely been focused on temperate forests and similar biomes. Semiarid regions, on the other hand, are underrepresented in land surface and ecosystem modelling efforts, and yet will be disproportionately impacted by disturbances such as climate change due to their sensitivity to changes in the water balance. Benchmarking models at semiarid sites is an important step in assessing and improving models' suitability for predicting the impact of disturbance on semiarid ecosystems. In this study, several ecosystem models were compared at a semiarid grassland in southwestern Arizona using PEcAn, or the Predictive Ecosystem Analyzer, an open-source eco-informatics toolbox ideal for creating the repeatable model workflows necessary for benchmarking. Models included SIPNET, DALEC, JULES, ED2, GDAY, LPJ-GUESS, MAESPA, CLM, CABLE, and FATES. Comparison between model output and benchmarks such as net ecosystem exchange (NEE) tended to produce high root mean square error and low correlation coefficients, reflecting poor simulation of seasonality and the tendency for models to create much higher carbon sources than observed. These results indicate that ecosystem models do not currently adequately represent semiarid ecosystem processes.

  12. The state of OA: a large-scale analysis of the prevalence and impact of Open Access articles.

    PubMed

    Piwowar, Heather; Priem, Jason; Larivière, Vincent; Alperin, Juan Pablo; Matthias, Lisa; Norlander, Bree; Farley, Ashley; West, Jevin; Haustein, Stefanie

    2018-01-01

    Despite growing interest in Open Access (OA) to scholarly literature, there is an unmet need for large-scale, up-to-date, and reproducible studies assessing the prevalence and characteristics of OA. We address this need using oaDOI, an open online service that determines OA status for 67 million articles. We use three samples, each of 100,000 articles, to investigate OA in three populations: (1) all journal articles assigned a Crossref DOI, (2) recent journal articles indexed in Web of Science, and (3) articles viewed by users of Unpaywall, an open-source browser extension that lets users find OA articles using oaDOI. We estimate that at least 28% of the scholarly literature is OA (19M in total) and that this proportion is growing, driven particularly by growth in Gold and Hybrid. The most recent year analyzed (2015) also has the highest percentage of OA (45%). Because of this growth, and the fact that readers disproportionately access newer articles, we find that Unpaywall users encounter OA quite frequently: 47% of articles they view are OA. Notably, the most common mechanism for OA is not Gold, Green, or Hybrid OA, but rather an under-discussed category we dub Bronze: articles made free-to-read on the publisher website, without an explicit Open license. We also examine the citation impact of OA articles, corroborating the so-called open-access citation advantage: accounting for age and discipline, OA articles receive 18% more citations than average, an effect driven primarily by Green and Hybrid OA. We encourage further research using the free oaDOI service, as a way to inform OA policy and practice.

  13. The state of OA: a large-scale analysis of the prevalence and impact of Open Access articles

    PubMed Central

    Larivière, Vincent; Alperin, Juan Pablo; Matthias, Lisa; Norlander, Bree; Farley, Ashley; West, Jevin; Haustein, Stefanie

    2018-01-01

    Despite growing interest in Open Access (OA) to scholarly literature, there is an unmet need for large-scale, up-to-date, and reproducible studies assessing the prevalence and characteristics of OA. We address this need using oaDOI, an open online service that determines OA status for 67 million articles. We use three samples, each of 100,000 articles, to investigate OA in three populations: (1) all journal articles assigned a Crossref DOI, (2) recent journal articles indexed in Web of Science, and (3) articles viewed by users of Unpaywall, an open-source browser extension that lets users find OA articles using oaDOI. We estimate that at least 28% of the scholarly literature is OA (19M in total) and that this proportion is growing, driven particularly by growth in Gold and Hybrid. The most recent year analyzed (2015) also has the highest percentage of OA (45%). Because of this growth, and the fact that readers disproportionately access newer articles, we find that Unpaywall users encounter OA quite frequently: 47% of articles they view are OA. Notably, the most common mechanism for OA is not Gold, Green, or Hybrid OA, but rather an under-discussed category we dub Bronze: articles made free-to-read on the publisher website, without an explicit Open license. We also examine the citation impact of OA articles, corroborating the so-called open-access citation advantage: accounting for age and discipline, OA articles receive 18% more citations than average, an effect driven primarily by Green and Hybrid OA. We encourage further research using the free oaDOI service, as a way to inform OA policy and practice. PMID:29456894

  14. Volunteer Conservation Action Data Reveals Large-Scale and Long-Term Negative Population Trends of a Widespread Amphibian, the Common Toad (Bufo bufo).

    PubMed

    Petrovan, Silviu O; Schmidt, Benedikt R

    2016-01-01

    Rare and threatened species are the most frequent focus of conservation science and action. With the ongoing shift from single-species conservation towards the preservation of ecosystem services, there is a greater need to understand abundance trends of common species because declines in common species can disproportionately impact ecosystems function. We used volunteer-collected data in two European countries, the United Kingdom (UK) and Switzerland, since the 1970s to assess national and regional trends for one of Europe's most abundant amphibian species, the common toad (Bufo bufo). Millions of toads were moved by volunteers across roads during this period in an effort to protect them from road traffic. For Switzerland, we additionally estimated trends for the common frog (Rana temporaria), a similarly widespread and common amphibian species. We used state-space models to account for variability in detection and effort and included only populations with at least 5 years of data; 153 populations for the UK and 141 for Switzerland. Common toads declined continuously in each decade in both countries since the 1980s. Given the declines, this common species almost qualifies for International Union for the Conservation of Nature (IUCN) red-listing over this period despite volunteer conservation efforts. Reasons for the declines and wider impacts remain unknown. By contrast, common frog populations were stable or increasing in Switzerland, although there was evidence of declines after 2003. "Toads on Roads" schemes are vital citizen conservation action projects, and the data from such projects can be used for large scale trend estimations of widespread amphibians. We highlight the need for increased research into the status of common amphibian species in addition to conservation efforts focusing on rare and threatened species.

  15. A Collaborative Study of Disproportionate Chemical Risks in Seven Delaware Communities

    NASA Astrophysics Data System (ADS)

    Dryden, O.; Goldman, G. T.; White, R.; Moore, D.; Roberts, M.; Thomas, J.; Johnson, C.

    2017-12-01

    Studies have found that, compared to national averages, a significantly greater percentage of Blacks (African-Americans), Latinos (Hispanics), and people at or near poverty levels tend to live near industrial facilities that use large quantities of toxic chemicals and present a risk of major chemical disasters with potentially severe consequences for nearby communities. The Union of Concerned Scientists, the Environmental Justice Health Alliance for Chemical Policy Reform, and Delaware Concerned Residents for Environmental Justice collaborated on a study to examine the potential for cumulative impacts from health and safety risks for seven Delaware communities with a percentage of people of color and/or poverty levels greater than the Delaware average located along an industrial corridor in the northern portion of Delaware's New Castle County. These risks include close proximity to major industrial sources, as well as facilities that use large quantities of toxic, flammable or explosive chemicals and pose a high risk of a major chemical release or catastrophic incident. Additionally, proximity to contaminated waste sites was assessed, as well as the risk of cancer and potential for respiratory disease impacts from exposure to toxic air pollution. We found that people in these seven communities face a substantial cumulative health risk from exposure to toxic air pollution, proximity to polluting industrial facilities and hazardous chemical facilities, as well as contaminated waste sites. These health risks are substantially greater when compared to a wealthier and predominantly White Delaware community and for Delaware as a whole. Significant and expedited improvements in regulatory and public policy are needed at the national, state, and municipal levels to address the health and well-being of at-risk communities in Delaware and elsewhere.

  16. Perceptions of Shale Gas Development: Differences in Urban and Rural Communities

    NASA Astrophysics Data System (ADS)

    Melby, G.; Grubert, E.; Brandt, A. R.

    2016-12-01

    Shale gas development in Pennsylvania has been shown to have a large impact on nearby rural communities, but almost no research has been done on how development of the Marcellus Shale affects urban residents in neighboring cities. The goal of this project is to examine how the social and environmental priorities of urban and rural communities differ and to determine how well informed urban residents are on shale gas development. An anonymous web survey was used to survey 250 residents of Pennsylvania's largest cities on topics like how respondents prioritize different environmental and social factors and how well informed they feel about shale gas development. The results of this survey were compared to findings of previous surveys on rural communities located near energy development. In terms of environmental priorities, urban residents are more concerned about climate change and air pollution than rural residents. Both urban and rural respondents agreed that healthcare and education were their top social concerns, but urban respondents also prioritized housing and employment. Most urban respondents said that they were unfamiliar with shale gas development, although many were still concerned about what its environmental impacts might be. We also found that our results displayed two well known demographic trends: first, Democrats are far more likely to self identify as environmentalists than those who vote Republican, and second, that people of color are far less likely to identify as environmentalists than white respondents. As a result, there are disproportionately fewer self-identifying environmentalists in urban and largely Democrat-leaning areas with racially diverse populations. Our data displayed known trends in urban populations as well as new information on how urban residents differ from their rural counterparts in their views on shale gas development and their broader social and environmental priorities.

  17. Effects of the Venusian atmosphere on incoming meteoroids and the impact crater population

    NASA Technical Reports Server (NTRS)

    Herrick, Robert R.; Phillips, Roger J.

    1994-01-01

    The dense atmosphere on Venus prevents craters smaller than about 2 km in daimater from forming and also causes formation of several crater fields and multiple-floored craters (collectively referred to as multiple impacts). A model has been constructed that simulates the behavior of a meteoroid in a dense planetary atmosphere. This model was then combined with an assumed flux of incoming meteoroids in an effort to reproduce the size-frequency distribution of impact craters and several aspects of the population of the crater fields and multiple-floored craters on Venus. The modeling indicates that it is plausible that the observed rollover in the size-frequency curve for Venus is due entirely to atmospheric effects on incoming meteoroids. However, there must be substantial variation in the density and behavior of incoming meteoroids in the atmosphere. Lower-density meteoroids must be less likely to survive atmospheric passage than simple density differences can account for. Consequently, it is likely that the percentage of craters formed by high-density meteoroids is very high at small crater diameters, and this percentage decreases substantially with increasing crater diameter. Overall, high-density meteoroids created a disproportionately large percentage of the impact craters on Venus. Also, our results indicate that a process such as meteoroid flattening or atmospheric explosion of meteoroids must be invoked to prevent craters smaller than the observed minimum diameter (2 km) from forming. In terms of using the size-frequency distribution to age-date the surface, the model indicates that the observed population has at least 75% of the craters over 32 km in diameter that would be expected on an atmosphereless Venus; thus, this part of the curve is most suitable for comparison with calibrated curves for the Moon.

  18. Health Insurance Benefit Design and Healthcare Utilization in Northern Rural China

    PubMed Central

    Wang, Hong; Liu, Yu; Zhu, Yan; Xue, Lei; Dale, Martha; Sipsma, Heather; Bradley, Elizabeth

    2012-01-01

    Background Poverty due to illness has become a substantial social problem in rural China since the collapse of the rural Cooperative Medical System in the early 1980s. Although the Chinese government introduced the New Rural Cooperative Medical Schemes (NRCMS) in 2003, the associations between different health insurance benefit package designs and healthcare utilization remain largely unknown. Accordingly, we sought to examine the impact of health insurance benefit design on health care utilization. Methods and Findings We conducted a cross-sectional study using data from a household survey of 15,698 members of 4,209 randomly-selected households in 7 provinces, which were representative of the provinces along the north side of the Yellow River. Interviews were conducted face-to-face and in Mandarin. Our analytic sample included 9,762 respondents from 2,642 households. In each household, respondents indicated the type of health insurance benefit that the household had (coverage for inpatient care only or coverage for both inpatient and outpatient care) and the number of outpatient visits in the 30 days preceding the interview and the number of hospitalizations in the 365 days preceding the household interview. People who had both outpatient and inpatient coverage compared with inpatient coverage only had significantly more village-level outpatient visits, township-level outpatient visits, and total outpatient visits. Furthermore, the increased utilization of township and village-level outpatient care was experienced disproportionately by people who were poorer, whereas the increased inpatient utilization overall and at the county level was experienced disproportionately by people who were richer. Conclusion The evidence from this study indicates that the design of health insurance benefits is an important policy tool that can affect the health services utilization and socioeconomic equity in service use at different levels. Without careful design, health insurance may not benefit those who are most in need of financial protection from health services expenses. PMID:23185616

  19. Health insurance benefit design and healthcare utilization in northern rural China.

    PubMed

    Wang, Hong; Liu, Yu; Zhu, Yan; Xue, Lei; Dale, Martha; Sipsma, Heather; Bradley, Elizabeth

    2012-01-01

    Poverty due to illness has become a substantial social problem in rural China since the collapse of the rural Cooperative Medical System in the early 1980s. Although the Chinese government introduced the New Rural Cooperative Medical Schemes (NRCMS) in 2003, the associations between different health insurance benefit package designs and healthcare utilization remain largely unknown. Accordingly, we sought to examine the impact of health insurance benefit design on health care utilization. We conducted a cross-sectional study using data from a household survey of 15,698 members of 4,209 randomly-selected households in 7 provinces, which were representative of the provinces along the north side of the Yellow River. Interviews were conducted face-to-face and in Mandarin. Our analytic sample included 9,762 respondents from 2,642 households. In each household, respondents indicated the type of health insurance benefit that the household had (coverage for inpatient care only or coverage for both inpatient and outpatient care) and the number of outpatient visits in the 30 days preceding the interview and the number of hospitalizations in the 365 days preceding the household interview. People who had both outpatient and inpatient coverage compared with inpatient coverage only had significantly more village-level outpatient visits, township-level outpatient visits, and total outpatient visits. Furthermore, the increased utilization of township and village-level outpatient care was experienced disproportionately by people who were poorer, whereas the increased inpatient utilization overall and at the county level was experienced disproportionately by people who were richer. The evidence from this study indicates that the design of health insurance benefits is an important policy tool that can affect the health services utilization and socioeconomic equity in service use at different levels. Without careful design, health insurance may not benefit those who are most in need of financial protection from health services expenses.

  20. Global warming may disproportionately affect larger adults in a predatory coral reef fish.

    PubMed

    Messmer, Vanessa; Pratchett, Morgan S; Hoey, Andrew S; Tobin, Andrew J; Coker, Darren J; Cooke, Steven J; Clark, Timothy D

    2017-06-01

    Global warming is expected to reduce body sizes of ectothermic animals. Although the underlying mechanisms of size reductions remain poorly understood, effects appear stronger at latitudinal extremes (poles and tropics) and in aquatic rather than terrestrial systems. To shed light on this phenomenon, we examined the size dependence of critical thermal maxima (CTmax) and aerobic metabolism in a commercially important tropical reef fish, the leopard coral grouper (Plectropomus leopardus) following acclimation to current-day (28.5 °C) vs. projected end-of-century (33 °C) summer temperatures for the northern Great Barrier Reef (GBR). CTmax declined from 38.3 to 37.5 °C with increasing body mass in adult fish (0.45-2.82 kg), indicating that larger individuals are more thermally sensitive than smaller conspecifics. This may be explained by a restricted capacity for large fish to increase mass-specific maximum metabolic rate (MMR) at 33 °C compared with 28.5 °C. Indeed, temperature influenced the relationship between metabolism and body mass (0.02-2.38 kg), whereby the scaling exponent for MMR increased from 0.74 ± 0.02 at 28.5 °C to 0.79 ± 0.01 at 33 °C, and the corresponding exponents for standard metabolic rate (SMR) were 0.75 ± 0.04 and 0.80 ± 0.03. The increase in metabolic scaling exponents at higher temperatures suggests that energy budgets may be disproportionately impacted in larger fish and contribute to reduced maximum adult size. Such climate-induced reductions in body size would have important ramifications for fisheries productivity, but are also likely to have knock-on effects for trophodynamics and functioning of ecosystems. © 2016 John Wiley & Sons Ltd.

  1. Women's health.

    PubMed

    Curlin, P; Tinker, A

    1995-06-01

    Although women live longer than men, new evidence indicates women bear a disproportionately heavy burden of disease. The effect of disease on economic productivity of women in developing countries has been largely ignored. Infections are often causes of disease in women, including those that affect reproductive health. Although men and women usually experience similar rates of many diseases, rates of exposure and treatment vary between men and women. If untreated, factors adversely affecting women's health in one stage compound women's ill health in succeeding stages.

  2. Is precarious employment more damaging to women's health than men's?

    PubMed

    Menéndez, María; Benach, Joan; Muntaner, Carles; Amable, Marcelo; O'Campo, Patricia

    2007-02-01

    Current global economic trends in both developed and developing countries, including unregulated labor markets, trade competition and technological change, have greatly expanded a complex labor market situation characterised by many employees working under temporary work status, job insecurity, low social protection and low income level. Although the health of women is disproportionately affected by workplace flexibility, this has been largely ignored. The main purpose of this paper is to draw attention to this relevant but neglected topic.

  3. The purchase decision process and involvement of the elderly regarding nonprescription products.

    PubMed

    Reisenwitz, T H; Wimbish, G J

    1997-01-01

    The elderly or senior citizen is a large and growing market segment that purchases a disproportionate amount of health care products, particularly nonprescription products. This study attempts to examine the elderly's level of involvement (high versus low) and their purchase decision process regarding nonprescription or over-the-counter (OTC) products. Frequencies and percentages are calculated to indicate level of involvement as well as purchase decision behavior. Previous research is critiqued and managerial implications are discussed.

  4. Role of tree size in moist tropical forest carbon cycling and water deficit responses.

    PubMed

    Meakem, Victoria; Tepley, Alan J; Gonzalez-Akre, Erika B; Herrmann, Valentine; Muller-Landau, Helene C; Wright, S Joseph; Hubbell, Stephen P; Condit, Richard; Anderson-Teixeira, Kristina J

    2017-06-06

    Drought disproportionately affects larger trees in tropical forests, but implications for forest composition and carbon (C) cycling in relation to dry season intensity remain poorly understood. In order to characterize how C cycling is shaped by tree size and drought adaptations and how these patterns relate to spatial and temporal variation in water deficit, we analyze data from three forest dynamics plots spanning a moisture gradient in Panama that have experienced El Niño droughts. At all sites, aboveground C cycle contributions peaked below 50-cm stem diameter, with stems ≥ 50 cm accounting for on average 59% of live aboveground biomass, 45% of woody productivity and 49% of woody mortality. The dominance of drought-avoidance strategies increased interactively with stem diameter and dry season intensity. Although size-related C cycle contributions did not vary systematically across the moisture gradient under nondrought conditions, woody mortality of larger trees was disproportionately elevated under El Niño drought stress. Thus, large (> 50 cm) stems, which strongly mediate but do not necessarily dominate C cycling, have drought adaptations that compensate for their more challenging hydraulic environment, particularly in drier climates. However, these adaptations do not fully buffer the effects of severe drought, and increased large tree mortality dominates ecosystem-level drought responses. © 2017 Smithsonian. Institute New Phytologist © 2017 New Phytologist Trust.

  5. [Disproportionately large communicating fourth ventricle--report of 2 cases].

    PubMed

    Matsumoto, M; Kushida, Y; Shibata, I; Seiki, Y; Terao, H

    1983-11-01

    A term of 'disproportionately large, communicating fourth ventricle' (DLCFV) was first proposed by in Harwood-Nash in 1980. It is somewhat different from the well known clinical entity of 'isolated or trapped fourth ventricle', because of apparent patency of aqueductal canal. Two cases of typical DLCFV encountered in our clinic were described. First patient was a 24 year old man in whom this condition developed following operations for lumber disc and second patient was 22 year old woman in whom the disease developed after subarachnoid hemorrhage. In both cases, main symptoms were attributable to hydrocephalus but three posterior fossa symptoms, nystagmus, Parinaud' sign and truncal ataxia were also characteristic. On the CT scan, the fourth ventricle was extraordinarily enlarged. Patency of the aqueductal canal was demonstrated by air study or Conray and Metrizamide ventriculography. On the other hand, occlusion was demonstrated or highly suspected in or near the foramina Magendie and Luschka. After a routine ventriculo-peritoneal shunt operation, the fourth ventricle decreased in size and the symptoms were immediately relieved. Plausible explanation for mechanism involved in occurrence of DLCFV were (1) occlusion process in or near the fourth ventricle outlets seems to be crucial in this pathologic condition. Collision of CSF pulse waves against the obstruction may yield a water hammer effect on the fourth ventricle. (2) abnormal weakness of the brain stem parenchyma around the fourth ventricle to CSF pressure may be another contributory factor.

  6. Disproportionate Minority Contact.

    PubMed

    Fix, Rebecca L; Cyperski, Melissa A; Burkhart, Barry R

    2017-04-01

    The overrepresentation of racial/ethnic minorities within the criminal justice system relative to their population percentage, a phenomenon termed disproportionate minority contact, has been examined within general adult and adolescent offender populations; yet few studies have tested whether this phenomenon extends to juvenile sexual offenders (JSOs). In addition, few studies have examined whether offender race/ethnicity influences registration and notification requirements, which JSOs are subject to in some U.S. states. The present study assessed for disproportionate minority contact among general delinquent offenders and JSOs, meaning it aimed to test whether the criminal justice system treats those accused of sexual and non-sexual offenses differently by racial/ethnic group. Furthermore, racial/ethnic group differences in risk, legal classification, and sexual offending were examined for JSOs. Results indicated disproportionate minority contact was present among juveniles with non-sexual offenses and JSOs in Alabama. In addition, offense category and risk scores differed between African American and European American JSOs. Finally, registration classifications were predicted by offending characteristics, but not race/ethnicity. Implications and future directions regarding disproportionate minority contact among JSOs and social and legal policy affecting JSOs are discussed.

  7. Aging and selective engagement: the moderating impact of motivation on older adults' resource utilization.

    PubMed

    Hess, Thomas M; Germain, Cassandra M; Swaim, Elizabeth L; Osowski, Nicole L

    2009-06-01

    Two studies were conducted to examine age differences in the impact of motivation in a social cognitive task. We tested the hypothesis that aging is associated with an increase in the selective engagement of cognitive resources in support of performance. Different-aged adults read descriptions of 2 people in order to determine which was better suited for a particular job. These descriptions contained behaviors that were either consistent or inconsistent with the job, and participants performed the task under conditions of high versus low accountability. Examination of memory for behavioral information revealed that accountability disproportionately affected older adults' performance, with the locus of this effect being in conscious recollection processes. This supports the aforementioned selective engagement hypothesis by demonstrating that the differential impact of the motivational manipulation was based in deliberative memory processes.

  8. Did Budget Cuts in Medicaid Disproportionate Share Hospital Payment Affect Hospital Quality of Care?

    PubMed Central

    Hsieh, Hui-Min; Bazzoli, Gloria J.; Chen, Hsueh-Fen; Stratton, Leslie S.; Clement, Dolores G.

    2014-01-01

    Background Medicaid Disproportionate Share Hospital (DSH) payments are one of the major sources of financial support for hospitals providing care to low-income patients. However, Medicaid DSH payments will be redirected from hospitals to subsidize individual health insurance purchase through US national health reform. Objectives The purpose of this study is to examine the association between Medicaid DSH payment reductions and nursing-sensitive and birth-related quality of care among Medicaid/uninsured and privately insured patients. Research Design and Method Economic theory of hospital behavior was used as a conceptual framework, and longitudinal data for California hospitals for 1996–2003 were examined. Hospital fixed effects regression models were estimated. The unit of analysis is at the hospital-level, examining two aggregated measures based on the payer category of discharged patients (i.e., Medicaid/uninsured and privately insured). Principal Findings The overall study findings provide at best weak evidence of an association between net Medicaid DSH payments and hospital quality of care for either Medicaid/uninsured or the privately insured patients. The magnitudes of the effects are small and only a few have significant DSH effects. Conclusions Although this study does not find evidence suggesting that reducing Medicaid DSH payments had a strong negative impact on hospital quality of care for Medicaid/uninsured or privately insured patients, the results are not necessarily predictive of the impact national health care reform will have. Research is necessary to monitor hospital quality of care as this reform is implemented. PMID:24714580

  9. Dosage effects of X and Y chromosomes on language and social functioning in children with supernumerary sex chromosome aneuploidies: Implications for idiopathic language impairment and autism spectrum disorders

    PubMed Central

    Lee, Nancy Raitano; Wallace, Gregory L.; Adeyemi, Elizabeth I.; Lopez, Katherine C.; Blumenthal, Jonathan D.; Clasen, Liv S.; Giedd, Jay N.

    2012-01-01

    Background Supernumerary sex chromosome aneuploidies (X/Y-aneuploidies), the presence of extra X- and/or Y-chromosomes, are associated with heightened rates of language impairments and social difficulties. However, no single study has examined different language domains and social functioning in the same sample of children with tri-, tetra-, and pentasomy X/Y-aneuploidy. The current research sought to fill this gap in the literature and to examine dosage effects of X- and Y-chromosomes on language and social functioning. Methods Participants included 110 youth with X/Y-aneuploidies (32 female) and 52 with typical development (25 female) matched on age (mean~12 years; range 4–22) and maternal education. Participants completed the Wechsler intelligence scales and parents completed the Children’s Communication Checklist-2 and the Social Responsiveness Scale to assess language skills and autistic traits, respectively. Results Both supernumerary X- and Y-chromosomes were related to depressed structural and pragmatic language skills and increased autistic traits. The addition of a Y-chromosome had a disproportionately greater impact on pragmatic language; the addition of one or more X-chromosomes had a disproportionately greater impact on structural language. Conclusions Given that we link extra X-chromosomes with structural language impairments and an extra Y-chromosome with pragmatic language impairments, X/Y-aneuploidies may provide clues to genetic mechanisms contributing to idiopathic language impairment and autism spectrum disorders. PMID:22827287

  10. Weeds, as ancillary hosts, pose disproportionate risk for virulent pathogen transfer to crops.

    PubMed

    Linde, Celeste C; Smith, Leon M; Peakall, Rod

    2016-05-12

    The outcome of the arms race between hosts and pathogens depends heavily on the interactions between their genetic diversity, population size and transmission ability. Theory predicts that genetically diverse hosts will select for higher virulence and more diverse pathogens than hosts with low genetic diversity. Cultivated hosts typically have lower genetic diversity and thus small effective population sizes, but can potentially harbour large pathogen population sizes. On the other hand, hosts, such as weeds, which are genetically more diverse and thus have larger effective population sizes, usually harbour smaller pathogen population sizes. Large pathogen population sizes may lead to more opportunities for mutation and hence more diverse pathogens. Here we test the predictions that pathogen neutral genetic diversity will increase with large pathogen population sizes and host diversity, whereas diversity under selection will increase with host diversity. We assessed and compared the diversity of a fungal pathogen, Rhynchosporium commune, on weedy barley grass (which have a large effective population size) and cultivated barley (low genetic diversity) using microsatellites, effector locus nip1 diversity and pathogen aggressiveness in order to assess the importance of weeds in the evolution of the neutral and selected diversity of pathogens. The findings indicated that the large barley acreage and low host diversity maintains higher pathogen neutral genetic diversity and lower linkage disequilibrium, while the weed maintains more pathotypes and higher virulence diversity at nip1. Strong evidence for more pathogen migration from barley grass to barley suggests transmission of virulence from barley grass to barley is common. Pathogen census population size is a better predictor for neutral genetic diversity than host diversity. Despite maintaining a smaller pathogen census population size, barley grass acts as an important ancillary host to R. commune, harbouring highly virulent pathogen types capable of transmission to barley. Management of disease on crops must therefore include management of weedy ancillary hosts, which may harbour disproportionate supplies of virulent pathogen strains.

  11. Shewanella oneidensis cytochrome c nitrite reductase (ccNiR) does not disproportionate hydroxylamine to ammonia and nitrite, despite a strongly favorable driving force.

    PubMed

    Youngblut, Matthew; Pauly, Daniel J; Stein, Natalia; Walters, Daniel; Conrad, John A; Moran, Graham R; Bennett, Brian; Pacheco, A Andrew

    2014-04-08

    Cytochrome c nitrite reductase (ccNiR) from Shewanella oneidensis, which catalyzes the six-electron reduction of nitrite to ammonia in vivo, was shown to oxidize hydroxylamine in the presence of large quantities of this substrate, yielding nitrite as the sole free nitrogenous product. UV-visible stopped-flow and rapid-freeze-quench electron paramagnetic resonance data, along with product analysis, showed that the equilibrium between hydroxylamine and nitrite is fairly rapidly established in the presence of high initial concentrations of hydroxylamine, despite said equilibrium lying far to the left. By contrast, reduction of hydroxylamine to ammonia did not occur, even though disproportionation of hydroxylamine to yield both nitrite and ammonia is strongly thermodynamically favored. This suggests a kinetic barrier to the ccNiR-catalyzed reduction of hydroxylamine to ammonia. A mechanism for hydroxylamine reduction is proposed in which the hydroxide group is first protonated and released as water, leaving what is formally an NH2(+) moiety bound at the heme active site. This species could be a metastable intermediate or a transition state but in either case would exist only if it were stabilized by the donation of electrons from the ccNiR heme pool into the empty nitrogen p orbital. In this scenario, ccNiR does not catalyze disproportionation because the electron-donating hydroxylamine does not poise the enzyme at a sufficiently low potential to stabilize the putative dehydrated hydroxylamine; presumably, a stronger reductant is required for this.

  12. Structural and Kinetic Hydrogen Sorption Properties of Zr0.8Ti0.2Co Alloy Prepared by Ball Milling

    PubMed Central

    He, Hui; Tang, Tao; Huang, Zhiyong; Sang, Ge; Zhang, Guanghui; Ba, Jingwen; Liu, Meng

    2018-01-01

    The effects of ball milling on the hydrogen sorption kinetics and microstructure of Zr0.8Ti0.2Co have been systematically studied. Kinetic measurements show that the hydrogenation rate and amount of Zr0.8Ti0.2Co decrease with increasing the ball milling time. However, the dehydrogenation rate accelerates as the ball milling time increases. Meanwhile, the disproportionation of Zr0.8Ti0.2Co speeds up after ball milling and the disproportionation kinetics is clearly inclined to be linear with time at 500°C. It is found from X-ray powder diffraction (XRD) results that the lattice parameter of Zr0.8Ti0.2Co gradually decreases from 3.164 Å to 3.153 Å when the ball milling time extends from 0 h to 8 h, which is mainly responsible for the hydrogen absorption/desorption behaviors. In addition, scanning electron microscope (SEM) images demonstrate that the morphology of Zr0.8Ti0.2Co has obviously changed after ball milling, which is closely related to the hydrogen absorption kinetics. Besides, high-resolution transmission electron microscopy (HRTEM) images show that a large number of disordered microstructures including amorphous regions and defects exist after ball milling, which also play an important role in hydrogen sorption performances. This work will provide some insights into the principles of how to further improve the hydrogen sorption kinetics and disproportionation property of Zr0.8Ti0.2Co. PMID:29721128

  13. A generalized view of self-citation: direct, co-author, collaborative, and coercive induced self-citation.

    PubMed

    Ioannidis, John P A

    2015-01-01

    The phenomenon of self-citation can present in many different forms, including direct, co-author, collaborative, and coercive induced self-citation. It can also pertain to the citation of single scientists, groups of scientists, journals, and institutions. This article presents some case studies of extreme self-citation practices. It also discusses the implications of different types of self-citation. Self-citation is not necessarily inappropriate by default. In fact, usually it is fully appropriate but often it is even necessary. Conversely, inappropriate self-citation practices may be highly misleading and may distort the scientific literature. Coercive induced self-citation is the most difficult to discover. Coercive Induced self-citation may happen directly from reviewers of articles, but also indirectly from reviewers of grants, scientific advisors who steer a research agenda, and leaders of funding agencies who may espouse spending disproportionately large funds in research domains that perpetuate their own self-legacy. Inappropriate self-citation can be only a surrogate marker of what might be much greater distortions of the scientific corpus towards conformity to specific opinions and biases. Inappropriate self-citations eventually affect also impact metrics. Different impact metrics vary in the extent to which they can be gamed through self-citation practices. Citation indices that are more gaming-proof are available and should be more widely used. We need more empirical studies to dissect the impact of different types of inappropriate self-citation and to examine the effectiveness of interventions to limit them. Copyright © 2014. Published by Elsevier Inc.

  14. Source location impact on relative tsunami strength along the U.S. West Coast

    NASA Astrophysics Data System (ADS)

    Rasmussen, L.; Bromirski, P. D.; Miller, A. J.; Arcas, D.; Flick, R. E.; Hendershott, M. C.

    2015-07-01

    Tsunami propagation simulations are used to identify which tsunami source locations would produce the highest amplitude waves on approach to key population centers along the U.S. West Coast. The reasons for preferential influence of certain remote excitation sites are explored by examining model time sequences of tsunami wave patterns emanating from the source. Distant bathymetric features in the West and Central Pacific can redirect tsunami energy into narrow paths with anomalously large wave height that have disproportionate impact on small areas of coastline. The source region generating the waves can be as little as 100 km along a subduction zone, resulting in distinct source-target pairs with sharply amplified wave energy at the target. Tsunami spectral ratios examined for transects near the source, after crossing the West Pacific, and on approach to the coast illustrate how prominent bathymetric features alter wave spectral distributions, and relate to both the timing and magnitude of waves approaching shore. To contextualize the potential impact of tsunamis from high-amplitude source-target pairs, the source characteristics of major historical earthquakes and tsunamis in 1960, 1964, and 2011 are used to generate comparable events originating at the highest-amplitude source locations for each coastal target. This creates a type of "worst-case scenario," a replicate of each region's historically largest earthquake positioned at the fault segment that would produce the most incoming tsunami energy at each target port. An amplification factor provides a measure of how the incoming wave height from the worst-case source compares to the historical event.

  15. Using Unplanned Fires to Help Suppressing Future Large Fires in Mediterranean Forests

    PubMed Central

    Regos, Adrián; Aquilué, Núria; Retana, Javier; De Cáceres, Miquel; Brotons, Lluís

    2014-01-01

    Despite the huge resources invested in fire suppression, the impact of wildfires has considerably increased across the Mediterranean region since the second half of the 20th century. Modulating fire suppression efforts in mild weather conditions is an appealing but hotly-debated strategy to use unplanned fires and associated fuel reduction to create opportunities for suppression of large fires in future adverse weather conditions. Using a spatially-explicit fire–succession model developed for Catalonia (Spain), we assessed this opportunistic policy by using two fire suppression strategies that reproduce how firefighters in extreme weather conditions exploit previous fire scars as firefighting opportunities. We designed scenarios by combining different levels of fire suppression efficiency and climatic severity for a 50-year period (2000–2050). An opportunistic fire suppression policy induced large-scale changes in fire regimes and decreased the area burnt under extreme climate conditions, but only accounted for up to 18–22% of the area to be burnt in reference scenarios. The area suppressed in adverse years tended to increase in scenarios with increasing amounts of area burnt during years dominated by mild weather. Climate change had counterintuitive effects on opportunistic fire suppression strategies. Climate warming increased the incidence of large fires under uncontrolled conditions but also indirectly increased opportunities for enhanced fire suppression. Therefore, to shift fire suppression opportunities from adverse to mild years, we would require a disproportionately large amount of area burnt in mild years. We conclude that the strategic planning of fire suppression resources has the potential to become an important cost-effective fuel-reduction strategy at large spatial scale. We do however suggest that this strategy should probably be accompanied by other fuel-reduction treatments applied at broad scales if large-scale changes in fire regimes are to be achieved, especially in the wider context of climate change. PMID:24727853

  16. Using unplanned fires to help suppressing future large fires in Mediterranean forests.

    PubMed

    Regos, Adrián; Aquilué, Núria; Retana, Javier; De Cáceres, Miquel; Brotons, Lluís

    2014-01-01

    Despite the huge resources invested in fire suppression, the impact of wildfires has considerably increased across the Mediterranean region since the second half of the 20th century. Modulating fire suppression efforts in mild weather conditions is an appealing but hotly-debated strategy to use unplanned fires and associated fuel reduction to create opportunities for suppression of large fires in future adverse weather conditions. Using a spatially-explicit fire-succession model developed for Catalonia (Spain), we assessed this opportunistic policy by using two fire suppression strategies that reproduce how firefighters in extreme weather conditions exploit previous fire scars as firefighting opportunities. We designed scenarios by combining different levels of fire suppression efficiency and climatic severity for a 50-year period (2000-2050). An opportunistic fire suppression policy induced large-scale changes in fire regimes and decreased the area burnt under extreme climate conditions, but only accounted for up to 18-22% of the area to be burnt in reference scenarios. The area suppressed in adverse years tended to increase in scenarios with increasing amounts of area burnt during years dominated by mild weather. Climate change had counterintuitive effects on opportunistic fire suppression strategies. Climate warming increased the incidence of large fires under uncontrolled conditions but also indirectly increased opportunities for enhanced fire suppression. Therefore, to shift fire suppression opportunities from adverse to mild years, we would require a disproportionately large amount of area burnt in mild years. We conclude that the strategic planning of fire suppression resources has the potential to become an important cost-effective fuel-reduction strategy at large spatial scale. We do however suggest that this strategy should probably be accompanied by other fuel-reduction treatments applied at broad scales if large-scale changes in fire regimes are to be achieved, especially in the wider context of climate change.

  17. Contextualizing Embodied Resources in Global Food Trade

    NASA Astrophysics Data System (ADS)

    MacDonald, G. K.; Brauman, K. A.; Sun, S.; West, P. C.; Carlson, K. M.; Cassidy, E. S.; Gerber, J. S.; Ray, D. K.

    2014-12-01

    Trade in agricultural commodities has created increasingly complex linkages between resource use and food supplies across national borders. Understanding the degree to which food production and consumption relies on trade is vital to understanding how to sustainably meet growing food demands across scales. We use detailed bilateral trade statistics and data on agricultural management to examine the land use and water consumption embodied in agricultural trade, which we relate to basic nutritional indicators to show how trade contributes to food availability worldwide. Agricultural trade carries enough calories to provide >1.7 billion people a basic diet each year. We identify key commodities and producer-consumer relationships that disproportionately contribute to embodied resource use and flows of food nutrition at the global scale. For example, just 15 disproportionately large soybean trades comprised ~10% the total harvested area embodied in export production. We conclude by framing these results in terms of the fraction of each country's food production and consumption that is linked to international trade. These findings help to characterize how countries allocate resources to domestic versus foreign food demand.

  18. Redox Disproportionation of Glucose as a Major Biosynthetic Energy Source

    NASA Technical Reports Server (NTRS)

    Weber, Arthur L.

    1996-01-01

    Previous studies have concluded that very little if any energy is required for the microbial biosynthesis of amino acids and lipids from glucose -- processes that yield almost as much ATP (adenosine triphosphate) as they consume. However, these studies did not establish the strength nor the nature of the energy source driving these biological transformations. To identify and estimate the strength of the energy source behind these processes, we calculated the free energy change due to the redox disproportionation of substrate carbon of (a) 26 redox-balanced fermentation reactions, and (b) the biosynthesis of amino acids, lipids, and nucleotides of E. coli from glucose. A plot of the negative free energy of these reactions per mmole of carbon as a function of the number of disproportionative electron transfers per mmol of carbon showed that the energy yields of these fermentations and biosyntheses were directly proportional to the degree of redox disproportionation of carbon. Since this linear relationship showed that redox disproportionation was the dominant energy source of these reactions, we were able to establish that amino acid and lipid biosynthesis obtained most of their energy from redox disproportionation (greater than 94%). In contrast nucleotide biosynthesis was not driven by redox disproportionation of carbon, and consequently depended completely on ATP for energy. This crucial and previously unrecognized role of sugars as an energy source of biosynthesis suggests that sugars were involved at the earliest stage in the origin of anabolic metabolism.

  19. Promoting Pre-Exposure Prophylaxis to Prevent HIV Infections Among Sexual and Gender Minority Hispanics/Latinxs

    PubMed Central

    Page, Kathleen R.; Martinez, Omar; Nieves-Lugo, Karen; Zea, Maria Cecilia; Grieb, Suzanne Dolwick; Yamanis, Thespina J.; Spear, Kaitlin; Davis, Wendy W.

    2018-01-01

    Sexual and gender minority Hispanics/Latinxs (henceforth: Latinxs) continue to be disproportionately impacted by HIV/AIDS in the U.S. Pre-exposure prophylaxis (PrEP) is a biomedical prevention approach which holds significant promise for at risk and vulnerable populations. We discuss barriers and facilitators to uptake of PrEP among sexual and gender minority Latinxs living in the U.S. through an ecosocial lens that takes into account structural, community, and individual contexts. The impact of immigration status on PrEP uptake emerges as a major and recurrent theme that must be understood and addressed by HIV prevention programs aiming to promote an inclusive strategy for sexual and gender minority Latinxs living in the U.S. PMID:29068715

  20. Influence plots for LASSO

    DOE PAGES

    Jang, Dae -Heung; Anderson-Cook, Christine Michaela

    2016-11-22

    With many predictors in regression, fitting the full model can induce multicollinearity problems. Least Absolute Shrinkage and Selection Operation (LASSO) is useful when the effects of many explanatory variables are sparse in a high-dimensional dataset. Influential points can have a disproportionate impact on the estimated values of model parameters. Here, this paper describes a new influence plot that can be used to increase understanding of the contributions of individual observations and the robustness of results. This can serve as a complement to other regression diagnostics techniques in the LASSO regression setting. Using this influence plot, we can find influential pointsmore » and their impact on shrinkage of model parameters and model selection. Lastly, we provide two examples to illustrate the methods.« less

  1. Preferential solvation of lithium cations and impacts on oxygen reduction in lithium–air batteries

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

    Zheng, Dong; Qu, Deyu; Yang, Xiao -Qing

    2015-09-16

    The solvation of Li⁺ with eleven non-aqueous solvents commonly used as the electrolytes for Li batteries were studied. The solvation preferences of different solvents were compared by means of electrospray mass spectrometry and collision-induced dissociation. The relative strength of the solvent for the solvation of Li⁺ was determined. The Lewis acidity of the solvated Li⁺ cations was determined by the preferential solvation of the solvent in the solvation shell. The kinetics of the catalytic disproportionation of the O₂⁻ depends on the relative Lewis acidity of the solvated Li⁺ ion. The impact of the solvated Li⁺ cation on the O₂ redoxmore » reaction was also investigated.« less

  2. Promoting Pre-exposure Prophylaxis to Prevent HIV Infections Among Sexual and Gender Minority Hispanics/Latinxs.

    PubMed

    Page, Kathleen R; Martinez, Omar; Nieves-Lugo, Karen; Zea, Maria Cecilia; Grieb, Suzanne Dolwick; Yamanis, Thespina J; Spear, Kaitlin; Davis, Wendy W

    2017-10-01

    Sexual and gender minority Hispanics/Latinxs (henceforth: Latinxs) continue to be disproportionately impacted by HIV/AIDS in the U.S. Pre-exposure prophylaxis (PrEP) is a biomedical prevention approach which holds significant promise for at risk and vulnerable populations. We discuss barriers and facilitators to uptake of PrEP among sexual and gender minority Latinxs living in the U.S. through an ecosocial lens that takes into account structural, community, and individual contexts. The impact of immigration status on PrEP uptake emerges as a major and recurrent theme that must be understood and addressed by HIV prevention programs aiming to promote an inclusive strategy for sexual and gender minority Latinxs living in the U.S.

  3. Influence plots for LASSO

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

    Jang, Dae -Heung; Anderson-Cook, Christine Michaela

    With many predictors in regression, fitting the full model can induce multicollinearity problems. Least Absolute Shrinkage and Selection Operation (LASSO) is useful when the effects of many explanatory variables are sparse in a high-dimensional dataset. Influential points can have a disproportionate impact on the estimated values of model parameters. Here, this paper describes a new influence plot that can be used to increase understanding of the contributions of individual observations and the robustness of results. This can serve as a complement to other regression diagnostics techniques in the LASSO regression setting. Using this influence plot, we can find influential pointsmore » and their impact on shrinkage of model parameters and model selection. Lastly, we provide two examples to illustrate the methods.« less

  4. Alternatives for using multivariate regression to adjust prospective payment rates

    PubMed Central

    Sheingold, Steven H.

    1990-01-01

    Multivariate regression analysis has been used in structuring three of the adjustments to Medicare's prospective payment rates. Because the indirect-teaching adjustment, the disproportionate-share adjustment, and the adjustment for large cities are responsible for distributing approximately $3 billion in payments each year, the specification of regression models for these adjustments is of critical importance. In this article, the application of regression for adjusting Medicare's prospective rates is discussed, and the implications that differing specifications could have for these adjustments are demonstrated. PMID:10113271

  5. Locking classical correlations in quantum States.

    PubMed

    DiVincenzo, David P; Horodecki, Michał; Leung, Debbie W; Smolin, John A; Terhal, Barbara M

    2004-02-13

    We show that there exist bipartite quantum states which contain a large locked classical correlation that is unlocked by a disproportionately small amount of classical communication. In particular, there are (2n+1)-qubit states for which a one-bit message doubles the optimal classical mutual information between measurement results on the subsystems, from n/2 bits to n bits. This phenomenon is impossible classically. However, states exhibiting this behavior need not be entangled. We study the range of states exhibiting this phenomenon and bound its magnitude.

  6. Single-Ventricle Palliation in a 4-Year-Old With Ehlers-Danlos Syndrome.

    PubMed

    DeBoard, Zach M; Eckhauser, Aaron W; Griffiths, Eric

    2018-01-01

    We report the case of a 4-year-old boy with Ehlers-Danlos syndrome undergoing single-ventricle palliation for an unbalanced atrioventricular canal defect. No reports of single-ventricle palliation in the setting of connective tissue disorders exist in the current literature. Unique findings on the patient's preoperative imaging included a disproportionately large neoaortic root and a regurgitant atrioventricular valve, which may foretell the need for future intervention. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  7. Small vulnerable sets determine large network cascades in power grids

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

    Yang, Yang; Nishikawa, Takashi; Motter, Adilson E.

    The understanding of cascading failures in complex systems has been hindered by the lack of realistic large-scale modeling and analysis that can account for variable system conditions. By using the North American power grid, we identified, quantified, and analyzed the set of network components that are vulnerable to cascading failures under any out of multiple conditions. We show that the vulnerable set consists of a small but topologically central portion of the network and that large cascades are disproportionately more likely to be triggered by initial failures close to this set. These results elucidate aspects of the origins and causesmore » of cascading failures relevant for grid design and operation and demonstrate vulnerability analysis methods that are applicable to a wider class of cascade-prone networks.« less

  8. Small vulnerable sets determine large network cascades in power grids

    DOE PAGES

    Yang, Yang; Nishikawa, Takashi; Motter, Adilson E.

    2017-11-17

    The understanding of cascading failures in complex systems has been hindered by the lack of realistic large-scale modeling and analysis that can account for variable system conditions. By using the North American power grid, we identified, quantified, and analyzed the set of network components that are vulnerable to cascading failures under any out of multiple conditions. We show that the vulnerable set consists of a small but topologically central portion of the network and that large cascades are disproportionately more likely to be triggered by initial failures close to this set. These results elucidate aspects of the origins and causesmore » of cascading failures relevant for grid design and operation and demonstrate vulnerability analysis methods that are applicable to a wider class of cascade-prone networks.« less

  9. Case Study: Microbial Ecology and Forensics of Chinese Drywall-Elemental Sulfur Disproportionation as Primary Generator of Hydrogen Sulfide.

    PubMed

    Tomei Torres, Francisco A

    2017-06-21

    Drywall manufactured in China released foul odors attributed to volatile sulfur compounds. These included hydrogen sulfide, methyl mercaptan, and sulfur dioxide. Given that calcium sulfate is the main component of drywall, one would suspect bacterial reduction of sulfate to sulfide as the primary culprit. However, when the forensics, i.e., the microbial and chemical signatures left in the drywall, are studied, the evidence suggests that, rather than dissimilatory sulfate reduction, disproportionation of elemental sulfur to hydrogen sulfide and sulfate was actually the primary cause of the malodors. Forensic evidence suggests that the transformation of elemental sulfur went through several abiological and microbial stages: (1) partial volatilization of elemental sulfur during the manufacture of plaster of Paris, (2) partial abiotic disproportionation of elemental sulfur to sulfide and thiosulfate during the manufacture of drywall, (3) microbial disproportionation of elemental sulfur to sulfide and sulfate resulting in neutralization of all alkalinity, and acidification below pH 4, (4) acidophilic microbial disproportionation of elemental sulfur to sulfide and sulfuric acid, and (5) hydrogen sulfide volatilization, coating of copper fixtures resulting in corrosion, and oxidation to sulfur dioxide.

  10. Perspectives of disproportionation driven superconductivity in strongly correlated 3d compounds.

    PubMed

    Moskvin, A S

    2013-02-27

    Disproportionation in 3d compounds can give rise to an unconventional electron-hole Bose liquid with a very rich phase diagram, from a Bose metal, to a charge ordering insulator and an inhomogeneous Bose-superfluid. Optimal conditions for disproportionation driven high-T(c) superconductivity are shown to be realized only for several Jahn-Teller d(n) configurations that permit the formation of well defined local composite bosons. These are the high-spin d(4), low-spin d(7), and d(9) configurations given the octahedral crystal field, and the d(1), high-spin d(6) configurations given the tetrahedral crystal field. The disproportionation reaction has a peculiar 'anti-Jahn-Teller' character lifting the bare orbital degeneracy. Superconductivity in the d(4) and d(6) systems at variance with d(1), d(7), and d(9) systems implies unavoidable coexistence of the spin-triplet composite bosons and the magnetic lattice. We argue that unconventional high-T(c) superconductivity, observed in quasi-2d cuprates with tetragonally distorted CuO(6) octahedra and iron-based layered pnictides/chalcogenides with tetrahedrally coordinated Fe(2+) ions presents a key argument to support the fact that the disproportionation scenario is at work in these compounds.

  11. Reinforced wind turbine blades--an environmental life cycle evaluation.

    PubMed

    Merugula, Laura; Khanna, Vikas; Bakshi, Bhavik R

    2012-09-04

    A fiberglass composite reinforced with carbon nanofibers (CNF) at the resin-fiber interface is being developed for potential use in wind turbine blades. An energy and midpoint impact assessment was performed to gauge impacts of scaling production to blades 40 m and longer. Higher loadings force trade-offs in energy return on investment and midpoint impacts relative to the base case while remaining superior to thermoelectric power generation in these indicators. Energy-intensive production of CNFs forces impacts disproportionate to mass contribution. The polymer nanocomposite increases a 2 MW plant's global warming potential nearly 100% per kWh electricity generated with 5% CNF by mass in the blades if no increase in electrical output is realized. The relative scale of impact must be compensated by systematic improvements whether by deployment in higher potential zones or by increased life span; the trade-offs are expected to be significantly lessened with CNF manufacturing maturity. Significant challenges are faced in evaluating emerging technologies including uncertainty in future scenarios and process scaling. Inventories available for raw materials and monte carlos analysis have been used to gain insight to impacts of this development.

  12. Pharmacological approaches to the challenge of treatment-resistant depression

    PubMed Central

    Ionescu, Dawn F.; Rosenbaum, Jerrold F.; Alpert, Jonathan E.

    2015-01-01

    Although monoaminergic antidepressants revolutionized the treatment of Major Depressive Disorder (MDD) over a half-century ago, approximately one third of depressed patients experience treatment-resistant depression (TRD). Such patients account for a disproportionately large burden of disease, as evidenced by increased disability, cost, human suffering, and suicide. This review addresses the definition, causes, evaluation, and treatment of unipolar TRD, as well as the major treatment strategies, including optimization, augmentation, combination, and switch therapies. Evidence for these options, as outlined in this review, is mainly focused on large-scale trials or meta-analyses. Finally, we briefly review emerging targets for antidepressant drug discovery and the novel effects of rapidly acting antidepressants, with a focus on ketamine. PMID:26246787

  13. Racial/ethnic disparities in US college students' experience: Discrimination as an impediment to academic performance.

    PubMed

    Stevens, Courtney; Liu, Cindy H; Chen, Justin A

    2018-03-22

    Using data from 69,722 US undergraduates participating in the spring 2015 National College Health Assessment, we examine racial/ethnic differences in students' experience of discrimination. Logistic regression predicted the experience of discrimination and its reported negative effect on academics. Additional models examined the effect of attending a Minority Serving Institution (MSI). Discrimination was experienced by 5-15% of students, with all racial/ethnic minority groups examined- including Black, Hispanic, Asian, AI/NA/NA, and Multiracial students- more likely to report discrimination relative to White students. Of students who experienced discrimination, 15-25% reported it had negatively impacted their academic performance, with Hispanic and Asian students more likely to report negative impacts relative to White students. Attending an MSI was associated with decreased experiences of discrimination. Students from racial/ethnic minority backgrounds are disproportionately affected by discrimination, with negative impacts for academic performance that are particularly marked for Hispanic and Asian students.

  14. Vulnerability of community businesses to environmental disasters.

    PubMed

    Zhang, Yang; Lindell, Michael K; Prater, Carla S

    2009-03-01

    Business plays important roles in community functioning. However, disaster research has been disproportionately focused on units of analysis such as families, households and government agencies. This paper synthesises the major findings within the business development research field and the disaster research field. It constructs a framework for evaluating business vulnerability to natural disasters. Our theoretical integration of the research conducted to date addresses five major issues. First, it defines the ways in which businesses are subject to the impacts of natural disasters. Second, it identifies the factors that determine the magnitude of business impacts after a disaster. Third, it identifies how and when businesses return to their pre-disaster level in the disaster stricken community. Fourth, it describes measures that can be taken by individual firms and community planners to reduce the impacts of environmental disasters. Fifth, it identifies needs for public policy and future research to reduce business vulnerability to environmental disasters.

  15. The Disproportionate Cost of Smoking for African Americans in California

    PubMed Central

    Sung, Hai-Yen; Tucker, Lue-Yen; Stark, Brad

    2010-01-01

    Objectives. We estimated the economic impact of smoking on African Americans in California in 2002, including smoking-attributable health care expenditures and productivity losses from smoking-caused mortality. Methods. We estimated econometric models of smoking-attributable ambulatory care, prescription drugs, inpatient care, and home health care using national and state survey data. We assessed smoking-attributable mortality using epidemiological models. Results. Adult smoking prevalence for African Americans was 19.3% compared with 15.4% for all Californians. The health care cost of smoking was $626 million for the African American community. A total of 3013 African American Californians died of smoking-attributable illness in 2002, representing a loss of over 49 000 years of life and $784 million in productivity. The total cost of smoking for this community amounted to $1.4 billion, or $1.8 billion expressed in 2008 dollars. Conclusions. Although African Americans account for 6% of the California adult population, they account for over 8% of smoking-attributable expenditures and fully 13% of smoking-attributable mortality costs. Our findings confirm the need to tailor tobacco control programs to African Americans to mitigate the disproportionate burden of smoking for this community. PMID:19965569

  16. Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods.

    PubMed

    Friedberg, Mark W; Coltin, Kathryn L; Safran, Dana Gelb; Dresser, Marguerite; Schneider, Eric C

    2010-06-14

    Under current medical home proposals, primary care practices using specific structural capabilities will receive enhanced payments. Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care. Via survey, 308 Massachusetts primary care practices reported their use of 13 structural capabilities commonly included in medical home proposals. Using geocoded US Census data, we constructed racial/ethnic minority and economic disadvantage indices to describe the neighborhood served by each practice. We compared the structural capabilities of "disproportionate-share" practices (those in the most sociodemographically vulnerable quintile on each index) and others. Racial/ethnic disproportionate-share practices were more likely than others to have staff assisting patient self-management (69% vs 55%; P = .003), on-site language interpreters (54% vs 26%; P < .001), multilingual clinicians (80% vs 51%; P < .001), and multifunctional electronic health records (48% vs 29%; P = .01). Similarly, economic disproportionate-share practices were more likely than others to have physician awareness of patient experience ratings (73% vs 65%; P = .03), on-site language interpreters (56% vs 25%; P < .001), multilingual clinicians (78% vs 51%; P < .001), and multifunctional electronic health records (40% vs 31%; P = .03). Disproportionate-share practices were larger than others. After adjustment for practice size, only language capabilities continued to have statistically significant relationships with disproportionate-share status. Contrary to expectations, primary care practices serving sociodemographically vulnerable neighborhoods were more likely than other practices to have structural capabilities commonly included in medical home proposals. Payments tied to these capabilities may aid practices serving vulnerable populations.

  17. Indigenous peoples of North America: environmental exposures and reproductive justice.

    PubMed

    Hoover, Elizabeth; Cook, Katsi; Plain, Ron; Sanchez, Kathy; Waghiyi, Vi; Miller, Pamela; Dufault, Renee; Sislin, Caitlin; Carpenter, David O

    2012-12-01

    Indigenous American communities face disproportionate health burdens and environmental health risks compared with the average North American population. These health impacts are issues of both environmental and reproductive justice. In this commentary, we review five indigenous communities in various stages of environmental health research and discuss the intersection of environmental health and reproductive justice issues in these communities as well as the limitations of legal recourse. The health disparities impacting life expectancy and reproductive capabilities in indigenous communities are due to a combination of social, economic, and environmental factors. The system of federal environmental and Indian law is insufficient to protect indigenous communities from environmental contamination. Many communities are interested in developing appropriate research partnerships in order to discern the full impact of environmental contamination and prevent further damage. Continued research involving collaborative partnerships among scientific researchers, community members, and health care providers is needed to determine the impacts of this contamination and to develop approaches for remediation and policy interventions.

  18. Cannabis (Cannabis sativa or C. indica) agriculture and the environment: a systematic, spatially-explicit survey and potential impacts

    NASA Astrophysics Data System (ADS)

    Butsic, Van; Brenner, Jacob C.

    2016-04-01

    Cannabis agriculture is a multi-billion dollar industry in the United States that is changing rapidly with policy liberalization. Anecdotal observations fuel speculation about associated environmental impacts, and there is an urgent need for systematic empirical research. An example from Humboldt County California, a principal cannabis-producing region, involved digitizing 4428 grow sites in 60 watersheds with Google Earth imagery. Grows were clustered, suggesting disproportionate impacts in ecologically important locales. Sixty-eight percent of grows were >500 m from developed roads, suggesting risk of landscape fragmentation. Twenty-two percent were on steep slopes, suggesting risk of erosion, sedimentation, and landslides. Five percent were <100 m from threatened fish habitat, and the estimated 297 954 plants would consume an estimated 700 000 m3 of water, suggesting risk of stream impacts. The extent and magnitude of cannabis agriculture documented in our study demands that it be regulated and researched on par with conventional agriculture.

  19. Health and equity impacts of climate change in Aotearoa-New Zealand, and health gains from climate action.

    PubMed

    Bennett, Hayley; Jones, Rhys; Keating, Gay; Woodward, Alistair; Hales, Simon; Metcalfe, Scott

    2014-11-28

    Human-caused climate change poses an increasingly serious and urgent threat to health and health equity. Under all the climate projections reported in the recent Intergovernmental Panel on Climate Change assessment, New Zealand will experience direct impacts, biologically mediated impacts, and socially mediated impacts on health. These will disproportionately affect populations that already experience disadvantage and poorer health. Without rapid global action to reduce greenhouse gas emissions (particularly from fossil fuels), the world will breach its carbon budget and may experience high levels of warming (land temperatures on average 4-7 degrees Celsius higher by 2100). This level of climate change would threaten the habitability of some parts of the world because of extreme weather, limits on working outdoors, and severely reduced food production. However, well-planned action to reduce greenhouse gas emissions could bring about substantial benefits to health, and help New Zealand tackle its costly burden of health inequity and chronic disease.

  20. Indigenous Peoples of North America: Environmental Exposures and Reproductive Justice

    PubMed Central

    Cook, Katsi; Plain, Ron; Sanchez, Kathy; Waghiyi, Vi; Miller, Pamela; Dufault, Renee; Sislin, Caitlin; Carpenter, David O.

    2012-01-01

    Background: Indigenous American communities face disproportionate health burdens and environmental health risks compared with the average North American population. These health impacts are issues of both environmental and reproductive justice. Objectives: In this commentary, we review five indigenous communities in various stages of environmental health research and discuss the intersection of environmental health and reproductive justice issues in these communities as well as the limitations of legal recourse. Discussion: The health disparities impacting life expectancy and reproductive capabilities in indigenous communities are due to a combination of social, economic, and environmental factors. The system of federal environmental and Indian law is insufficient to protect indigenous communities from environmental contamination. Many communities are interested in developing appropriate research partnerships in order to discern the full impact of environmental contamination and prevent further damage. Conclusions: Continued research involving collaborative partnerships among scientific researchers, community members, and health care providers is needed to determine the impacts of this contamination and to develop approaches for remediation and policy interventions. PMID:22899635

  1. Mapping Urban Risk: Flood Hazards, Race, & Environmental Justice In New York”

    PubMed Central

    Maantay, Juliana; Maroko, Andrew

    2009-01-01

    This paper demonstrates the importance of disaggregating population data aggregated by census tracts or other units, for more realistic population distribution/location. A newly-developed mapping method, the Cadastral-based Expert Dasymetric System (CEDS), calculates population in hyper-heterogeneous urban areas better than traditional mapping techniques. A case study estimating population potentially impacted by flood hazard in New York City compares the impacted population determined by CEDS with that derived by centroid-containment method and filtered areal weighting interpolation. Compared to CEDS, 37 percent and 72 percent fewer people are estimated to be at risk from floods city-wide, using conventional areal weighting of census data, and centroid-containment selection, respectively. Undercounting of impacted population could have serious implications for emergency management and disaster planning. Ethnic/racial populations are also spatially disaggregated to determine any environmental justice impacts with flood risk. Minorities are disproportionately undercounted using traditional methods. Underestimating more vulnerable sub-populations impairs preparedness and relief efforts. PMID:20047020

  2. Equity impacts of price policies to promote healthy behaviours.

    PubMed

    Sassi, Franco; Belloni, Annalisa; Mirelman, Andrew J; Suhrcke, Marc; Thomas, Alastair; Salti, Nisreen; Vellakkal, Sukumar; Visaruthvong, Chonlathan; Popkin, Barry M; Nugent, Rachel

    2018-05-19

    Governments can use fiscal policies to regulate the prices and consumption of potentially unhealthy products. However, policies aimed at reducing consumption by increasing prices, for example by taxation, might impose an unfair financial burden on low-income households. We used data from household expenditure surveys to estimate patterns of expenditure on potentially unhealthy products by socioeconomic status, with a primary focus on low-income and middle-income countries. Price policies affect the consumption and expenditure of a larger number of high-income households than low-income households, and any resulting price increases tend to be financed disproportionately by high-income households. As a share of all household consumption, however, price increases are often a larger financial burden for low-income households than for high-income households, most consistently in the case of tobacco, depending on how much consumption decreases in response to increased prices. Large health benefits often accrue to individual low-income consumers because of their strong response to price changes. The potentially larger financial burden on low-income households created by taxation could be mitigated by a pro-poor use of the generated tax revenues. Copyright © 2018 Elsevier Ltd. All rights reserved.

  3. Psychological and Physical Impacts of Extreme Events on Older Adults: Implications for Communications.

    PubMed

    McClelland, Erin; Amlôt, Richard; Rogers, M Brooke; Rubin, G James; Tesh, John; Pearce, Julia M

    2017-02-01

    In recent years, a series of large-scale, high-profile natural disasters and terrorist attacks have demonstrated the need for thorough and effective disaster preparedness. While these extreme events affect communities and societies as a whole, they also carry specific risks for particular population groups. Crises such as Hurricane Katrina and the 2011 earthquake and tsunami disaster in Japan have illustrated the risk of significant and disproportionate morbidity and mortality among older adults during disasters. Age does not necessarily equate to vulnerability, but many physical and psychological consequences of the aging process can increase the risk of adverse outcomes. As the older population grows, so too does the need to ensure that adequate, practical, and appropriate measures exist to offset the specific risks from extreme events associated with this subpopulation. Effective risk and crisis communication plays a key role in mitigating the extent to which older adults are differentially affected during extreme events. By identifying the specific issues affecting older adults, this review highlights important areas for action for practitioners and policy-makers, particularly in the realm of crisis communication. (Disaster Med Public Health Preparedness. 2017;11:127-134).

  4. Engaging Parents in Preventive Interventions for Young Children: Working with Cultural Diversity Within Low-Income, Urban Neighborhoods.

    PubMed

    Dawson-McClure, Spring; Calzada, Esther J; Brotman, Laurie M

    2017-08-01

    A robust literature documents the impact of poverty on child development and lifelong health, well-being and productivity. Racial and ethnic minority children continue to bear the burden of poverty disproportionately. Evidence-based parenting interventions in early childhood have the potential to attenuate risk attributable to poverty and stress. To reduce racial, ethnic, and socioeconomic disparities in the USA, parenting interventions must be accessible, engaging, and effective for low-income families of color living in large urban centers. This paper describes the initial development of ParentCorps and ongoing improvements to realize that vision. Initial development focused on creating a parenting intervention that places culture at the center and effectively embedding it in schools. ParentCorps includes core components found in nearly all effective parenting interventions with a culturally informed approach to engaging families and supporting behavior change. As the intervention is implemented at scale in increasingly diverse communities, improvement efforts include augmenting professional development to increase racial consciousness among all staff (evaluators, coaches, and school-based facilitators) and applying an implementation science framework to study and more fully support schools' use of a package of engagement strategies.

  5. Intimate Partner Violence and Its Health Impact on Disproportionately Affected Populations, Including Minorities and Impoverished Groups

    PubMed Central

    Hayashi, Hitomi; Campbell, Jacquelyn C.

    2015-01-01

    Abstract In the United States, intimate partner violence (IPV) against women disproportionately affects ethnic minorities. Further, disparities related to socioeconomic and foreign-born status impact the adverse physical and mental health outcomes as a result of IPV, further exacerbating these health consequences. This article reviews 36 U.S. studies on the physical (e.g., multiple injuries, disordered eating patterns), mental (e.g., depression, post-traumatic stress disorder), and sexual and reproductive health conditions (e.g., HIV/STIs, unintended pregnancy) resulting from IPV victimization among ethnic minority (i.e., Black/African American, Hispanic/Latina, Native American/Alaska Native, Asian American) women, some of whom are immigrants. Most studies either did not have a sufficient sample size of ethnic minority women or did not use adequate statistical techniques to examine differences among different racial/ethnic groups. Few studies focused on Native American/Alaska Native and immigrant ethnic minority women and many of the intra-ethnic group studies have confounded race/ethnicity with income and other social determinants of health. Nonetheless, of the available data, there is evidence of health inequities associated with both minority ethnicity and IPV. To appropriately respond to the health needs of these groups of women, it is necessary to consider social, cultural, structural, and political barriers (e.g., medical mistrust, historical racism and trauma, perceived discrimination, immigration status) to patient–provider communication and help-seeking behaviors related to IPV, which can influence health outcomes. This comprehensive approach will mitigate the racial/ethnic and socioeconomic disparities related to IPV and associated health outcomes and behaviors. PMID:25551432

  6. NO2 disproportionation for the IR characterisation of basic zeolites.

    PubMed

    Marie, Olivier; Malicki, Nicolas; Pommier, Catherine; Massiani, Pascale; Vos, Ann; Schoonheydt, Robert; Geerlings, Paul; Henriques, Carlos; Thibault-Starzyk, Fréderic

    2005-02-28

    NO2 disproportionation on alkaline zeolites is used to generate nitrosonium (NO+) and nitrate ions on the surface, and the infrared vibrations observed are very sensitive to the cation chemical hardness and to the basicity of zeolitic oxygen atoms.

  7. Which US States Pose the Greatest Threats to Military Readiness and Public Health? Public Health Policy Implications for a Cross-sectional Investigation of Cardiorespiratory Fitness, Body Mass Index, and Injuries Among US Army Recruits.

    PubMed

    Bornstein, Daniel B; Grieve, George L; Clennin, Morgan N; McLain, Alexander C; Whitsel, Laurie P; Beets, Michael W; Hauret, Keith G; Jones, Bruce H; Sarzynski, Mark A

    2018-01-09

    Many states in the southern region of the United States are recognized for higher rates of obesity, physical inactivity, and chronic disease. These states are therefore recognized for their disproportionate public health burden. The purpose of this study was to investigate state-level distributions of cardiorespiratory fitness, body mass index (BMI), and injuries among US Army recruits in order to determine whether or not certain states may also pose disproportionate threats to military readiness and national security. Sex-specific state-level values for injuries and fitness among 165 584 Army recruits were determined. Next, the relationship between median cardiorespiratory fitness and injury incidence at the state level was examined using Spearman correlations. Finally, multivariable Poisson regression models stratified by sex examined state-level associations between fitness and injury incidence, while controlling for BMI, and other covariates. Cardiorespiratory fitness and training-related injury incidence. A cluster of 10 states from the south and southeastern regions (Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, and Texas) produced male or female recruits who were significantly less fit and/or more likely to become injured than recruits from other US states. Compared with the "most fit states," the incidence of injuries increased by 22% (95% CI, 17-28; P < .001) and 28% (95% CI, 19-36; P < .001) in male and female recruits from the "least fit states," respectively. The impact of policies, systems, and environments on physical activity behavior, and subsequently fitness and health, has been clearly established. Advocacy efforts aimed at active living policies, systems, and environmental changes to improve population health often fail. However, advocating for active living policies to improve national security may prove more promising, particularly with legislators. Results from this study demonstrate how certain states, previously identified for their disproportionate public health burden, are also disproportionately burdensome for military readiness and national security.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

  8. Safety management and public spaces: restoring balance.

    PubMed

    Ball, David J; Ball-King, Laurence

    2013-05-01

    Since 2000, the reputation of health and safety in the United Kingdom has been tarnished, so much so that it has become the subject of both a media circus and a government inquiry. This not only threatens the worthy goals of health and safety, but also impacts upon the associated tool of risk assessment itself such that "risk assessment" is increasingly seen by the public at large as a term inviting ridicule, even abuse. The main thrust of the government's examination of health and safety has been its concern that safety requirements were placing a disproportionate burden on business. However, there is another source of discontent, which is public chagrin over the impact of injury control measures upon life beyond the conventional workplace, in particular upon the public spaces that people frequent in their leisure time and on the activities they engage in there. This article provides a perspective on this second dimension of the crisis in confidence. It describes how many U.K. agencies with responsibilities for a wide portfolio of public amenities ranging from the provision of play spaces for the young to the management of publicly accessible countryside, the maintenance of urban and rural trees, the stewardship of sites of cultural heritage, and the pursuit of outdoor educational activities have responded to some conflicts posed to their services by the new safety culture. It concludes with a discussion of implications for the management of public space and for risk assessment itself. © 2012 Society for Risk Analysis.

  9. "I felt for a long time like everything beautiful in me had been taken out": Women's suffering, remembering, and survival following the loss of child custody.

    PubMed

    Kenny, Kathleen S; Barrington, Clare; Green, Sherri L

    2015-11-01

    Child Protective Services' (CPS) placements of children in out-of-home care disproportionately impact families marginalized by poverty, racism and criminalization. CPS' mandate to protect children from neglect and abuse is frequently criticized as failing to address the multiple social and structural domains shaping parents' lives, especially mothers. We conducted a thematic narrative analysis of in-depth interviews to explore the impact of child custody loss on 19 women who use drugs residing in Toronto, Canada. We also assessed the potential roles of intersectional forms of violence and inequities in power that can both give rise to child custody loss and mediate its consequences. Trauma was identified as a key impact of separation, further exacerbated by women's cumulative trauma histories and ongoing mother-child apartness. Women described this trauma as unbearable and reported persistent symptoms of post-traumatic stress disorder and other mental health conditions. Practices of dissociation through increased use of drugs and alcohol were central in tending to the pain of separation, and were often synergistically reinforced by heightened structural vulnerability observed in increased exposure to housing instability, intimate partner violence, and initiation of injection drug use and sex work. Women's survival hinged largely on hopefulness of reuniting with children, a goal pivotal to their sense of future and day-to-day intentions toward ameliorated life circumstances. Findings highlight needs for strategies addressing women's health and structural vulnerability following custody loss and also direct attention to altering institutional processes to support community-based alternatives to parent-child separation. Copyright © 2015 Elsevier B.V. All rights reserved.

  10. Linking Hydro-Meteorological Hazards, Climate and Food Security: an Initiative of International Scientific Community

    NASA Astrophysics Data System (ADS)

    Ismail-Zadeh, A.; Beer, T.

    2013-05-01

    Humans face climatic and hydro-meteorological hazards on different scales in time and space. In particular natural hazards can have disastrous impact in the short term (flood) and in the long term (drought) as they affect human life and health as well as impacting dramatically on the sustainable development of society. They represent a pending danger for vulnerable lifelines, infrastructure and the agricultural systems that depend on the water supply, reservoirs, pipelines, and power plants. Developed countries are affected, but the impact is disproportionate within the developing world. Extreme natural events such as extreme floods or prolonged drought can change the life and economic development of developing nations and stifle their development for decades. The beginning of the XX1st century has been marked by a significant number of natural disasters, such as floods, severe storms, wildfires, hurricanes, and tsunamis. Extreme natural events cause devastation resulting in loss of human life, large environmental damage, and partial or total loss of infrastructure that, in the longer time, will affect the potential for agricultural recovery. Recent catastrophic events of the early 21st century (e.g. floods in Pakistan and Thailand, the 2011 Tohoku earthquake and tsunami) remind us once again that there is a strong coupling between complex solid Earth, oceanic, and atmospheric processes and that even developed countries such as Japan are subject to agricultural declines as a result of disastrous hydro-meteorological events. Scientific community recognizes that communication between the groups of experts of various international organizations dealing with natural hazards and their activity in disaster risk reduction and food security needs to be strengthened. Several international scientific unions and intergovernmental institutions set up a consortium of experts to promote studies of weather, climate and their interaction with agriculture, food and their socio-economic consequence.

  11. Wetland Resiliency: How does multi-year water table level decline and recovery influence carbon dioxide and methane fluxes?

    NASA Astrophysics Data System (ADS)

    Pugh, C.; Reed, D. E.; Desai, A. R.; Sulman, B. N.

    2016-12-01

    Wetlands play a disproportionately large role in the global carbon budget, and individual wetlands can fluctuate between carbon sinks and sources depending on factors such as hydrology, biogeochemistry, and land use. Although much research has been done on wetland biogeochemical cycles, there is a lack of experimental evidence concerning how changes in wetland hydrology influence these cycles over interannual timescales. Over a seven-year period, Sulman et al. (2009) found that a drought-induced declining water table at a shrub wetland in northern Wisconsin coincided with increased ecosystem respiration (ER) and gross ecosystem productivity (GEP) (Sulman et al. 2009). Since then, however, the average water table level at this site has begun to increase, thus allowing a unique opportunity to explore how wetland carbon storage is impacted by water table recovery. With the addition of three more years of eddy covariance observations post recovery and new methane flux observations, we found that water table level no longer had a significant correlation with GEP, ER, or methane flux. Air temperature, however, had a strong correlation with all three. Average methane flux stayed relatively constant under 14 °C, before increasing an order of magnitude from 3.7 nmol m-2 s-1 in April to 36 nmol m-2 s-1 in July. These results suggest that, over decadal timescales, temperature, rather than water level, is a stronger limiting factor for both aerobic and anaerobic respiration in shrub fen wetlands. Wetlands play a disproportionately large role in the global carbon budget, and individual wetlands can fluctuate between carbon sinks and sources depending on factors such as hydrology, biogeochemistry, and land use. Although much research has been done on wetland biogeochemical cycles, there is a lack of experimental evidence concerning how changes in wetland hydrology influence these cycles over interannual timescales. Over a seven-year period, Sulman et al. (2009) found that a drought-induced declining water table at a shrub wetland in northern Wisconsin coincided with increased ecosystem respiration (ER) and gross ecosystem productivity (GEP) (Sulman et al. 2009). Since then, however, the average water table level at this site has begun to increase, thus allowing a unique opportunity to explore how wetland carbon storage is impacted by water table recovery. With the addition of three more years of eddy covariance observations post recovery and new methane flux observations, we found that water table level no longer had a significant correlation with GEP, ER, or methane flux. Air temperature, however, had a strong correlation with all three. Average methane flux stayed relatively constant under 14 °C, before increasing an order of magnitude from 3.7 nmol m-2 s-1 in April to 36 nmol m-2 s-1 in July. These results suggest that, over decadal timescales, temperature, rather than water level, is a stronger limiting factor for both aerobic and anaerobic respiration in shrub fen wetlands.

  12. Asthma in Hispanics

    PubMed Central

    Hunninghake, Gary M.; Weiss, Scott T.; Celedón, Juan C.

    2006-01-01

    Hispanic individuals trace their ancestry to countries that were previously under Spanish rule, including Mexico, large parts of Central and South America, and some Caribbean islands. Most—but not all—Hispanics have variable proportions of European, Amerindian, and African ancestry. Hispanics are diverse with regard to many factors, including racial ancestry, country of origin, area of residence, socioeconomic status, education, and access to health care. Recent findings suggest that there is marked variation in the prevalence, morbidity, and mortality of asthma in Hispanics in the United States and in Hispanic America. The reasons for differences in asthma and asthma morbidity among and within Hispanic subgroups are poorly understood but are likely due to the interaction between yet-unidentified genetic variants and other factors, including environmental tobacco smoke exposure, obesity, allergen exposure, and availability of health care. Barriers to optimal management of asthma in Hispanics in the United States and in Hispanic America include inadequate access to health care, suboptimal use of antiinflammatory medications, and lack of reference values for spirometric measures of lung function in many subgroups (e.g., Puerto Ricans). Future studies of asthma in Hispanics should include large samples of subgroups that are well characterized with regard to self-reported ethnicity, country of origin, place of birth, area of residence, and indicators of socioeconomic status. Because Hispanics are disproportionately represented among the poor in the United States, implementation of adequate access to health care and social reforms (e.g., improving housing conditions) would likely have a major impact on reducing asthma morbidity in this population. PMID:16210666

  13. 76 FR 18995 - Pesticides; Regulation to Clarify Labeling of Pesticides for Export

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-06

    ... this proposed rule will not have disproportionately high and adverse human health or environmental... for all affected populations without having any disproportionately high and adverse human health or... Pesticides; Regulation to Clarify Labeling of Pesticides for Export AGENCY: Environmental Protection Agency...

  14. Minorities Are Disproportionately Underrepresented in Special Education

    ERIC Educational Resources Information Center

    Morgan, Paul L.; Farkas, George; Hillemeier, Marianne M.; Mattison, Richard; Maczuga, Steve; Li, Hui; Cook, Michael

    2015-01-01

    We investigated whether minority children attending U.S. elementary and middle schools are disproportionately represented in special education. We did so using hazard modeling of multiyear longitudinal data and extensive covariate adjustment for potential child-, family-, and state-level confounds. Minority children were consistently less likely…

  15. Affirmative Action in Medical Education: A Legal Perspective.

    ERIC Educational Resources Information Center

    Helms, Lelia B.; Helms, Charles M.

    1998-01-01

    Describes history of legal theory behind affirmative action, with examples from case law and Department of Education regulations, identifying legal pitfalls in admissions and financial aid, including categorization of students by race, racially disproportionate financial aid awards after accounting for need, racially disproportionate scholarship…

  16. Interactional synchrony and the origins of infant-mother attachment: a replication study.

    PubMed

    Isabella, R A; Belsky, J

    1991-04-01

    This study sought to replicate previous work in testing the hypothesis that interactions of dyads developing secure attachment relationships would be characterized by disproportionately synchronous and those of dyads developing insecure relationships by disproportionately asynchronous exchanges. Additionally, a priori hypotheses were tested regarding expected differences in the interactional histories of dyads developing insecure-avoidant and insecure-resistant attachments. Results supported the study's predictions in all cases. Dyads developing secure attachments were observed at 3 and 9 months to interact in a disproportionately well-timed, reciprocal, and mutually rewarding manner; dyads developing insecure relationships were disproportionately characterized by interactions in which mothers were minimally involved, unresponsive to infant signals, or intrusive. Within the insecure group, as predicted, 3- and 9-month interactions of avoidant dyads were characterized by maternal intrusiveness and overstimulation; resistant dyads were characterized at both ages by poorly coordinated interactions in which mothers were underinvolved and inconsistent. These findings are discussed as they lend to a growing body of evidence concerning associations between differential interactional histories and attachment quality.

  17. Demographics.

    PubMed

    Gillis, Artha J; Bath, Eraka

    2016-01-01

    There is a large proportion of minority youth involved in the juvenile justice system. Disproportionate minority contact (DMC) occurs when the proportion of any ethnic group is higher at any given stage in the juvenile justice process than the proportion of this group in the general population. There are several theories explaining the presence and persistence of DMC. This article reviews the history of DMC and the theories and implications of this problem. It discusses several targets for interventions designed to reduce DMC and offer resources in this area. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. The differential enlargement of the neurocranium in the full-term fetus.

    PubMed

    Jordaan, H V

    1976-11-17

    There is a wide range of variation in the cephalic index in the full-term fetus. The index rises as birth weight increases. The correlation between birth weight and the cephalic index is significant (r = 0,65) at the 0,05 level. Increasing neurocranial size is associated with differential growth of the dimensions which determine endocranial capacity. A higher cephalic index is achieved by a disproportionately large increase in the biparietal diameter relative to the occipitofrontal dimension. This results in a more globular neurocranial form.

  19. Latino sexual and gender identity minorities promoting sexual health within their social networks: process evaluation findings from a lay health advisor intervention.

    PubMed

    Sun, Christina J; García, Manuel; Mann, Lilli; Alonzo, Jorge; Eng, Eugenia; Rhodes, Scott D

    2015-05-01

    The HOLA intervention was a lay health advisor intervention designed to reduce the disproportionate HIV burden borne by Latino sexual and gender identity minorities (gay, bisexual, and other men who have sex with men, and transgender persons) living in the United States. Process evaluation data were collected for over a year of intervention implementation from 11 trained Latino male and transgender lay health advisors (Navegantes) to document the activities each Navegante conducted to promote condom use and HIV testing among his or her eight social network members enrolled in the study. Over 13 months, the Navegantes reported conducting 1,820 activities. The most common activity was condom distribution. Navegantes had extensive reach beyond their enrolled social network members, and they engaged in health promotion activities beyond social network members enrolled in the study. There were significant differences between the types of activities conducted by Navegantes depending on who was present. Results suggest that lay health advisor interventions reach large number of at-risk community members and may benefit populations disproportionately affected by HIV. © 2014 Society for Public Health Education.

  20. Indirect medical education and disproportionate share adjustments to Medicare inpatient payment rates.

    PubMed

    Nguyen, Nguyen Xuan; Sheingold, Steven H

    2011-11-04

    The indirect medical education (IME) and disproportionate share hospital (DSH) adjustments to Medicare's prospective payment rates for inpatient services are generally intended to compensate hospitals for patient care costs related to teaching activities and care of low income populations. These adjustments were originally established based on the statistical relationships between IME and DSH and hospital costs. Due to a variety of policy considerations, the legislated levels of these adjustments may have deviated over time from these "empirically justified levels," or simply, "empirical levels." In this paper, we estimate the empirical levels of IME and DSH using 2006 hospital data and 2009 Medicare final payment rules. Our analyses suggest that the empirical level for IME would be much smaller than under current law-about one-third to one-half. Our analyses also support the DSH adjustment prescribed by the Affordable Care Act of 2010 (ACA)--about one-quarter of the pre-ACA level. For IME, the estimates imply an increase in costs of 1.88% for each 10% increase in teaching intensity. For DSH, the estimates imply that costs would rise by 0.52% for each 10% increase in the low-income patient share for large urban hospitals. Public Domain.

  1. Domestic violence, parental substance misuse and the decision to substantiate child maltreatment.

    PubMed

    Victor, Bryan G; Grogan-Kaylor, Andrew; Ryan, Joseph P; Perron, Brian E; Gilbert, Terri Ticknor

    2018-05-01

    Families that experience domestic violence and parental substance misuse are disproportionately involved with the child welfare system. Prior research suggests that child protective services (CPS) caseworkers are more likely to substantiate maltreatment allegations when domestic violence and parental substance misuse are identified during the investigation, pointing to one possible mechanism for this disproportionate involvement. While previous studies have relied on nationally representative data sets, the current study used administrative records from a large Midwestern child welfare agency that accounts for state-level variation in child welfare policy and practice. A total of 501,060 substantiation decisions made between 2009 and 2013 were examined to assess the influence of caseworker-perceived domestic violence and parental substance misuse on the decision to substantiate reported maltreatment. Results from multilevel modeling suggest that the identification of domestic violence and parental substance misuse during an investigation significantly increased the probability that an allegation would be substantiated. The implication of these findings for child welfare practice are considered in light of the fact that many child welfare agencies do not consider exposure to domestic violence and parental substance misuse in and of themselves to constitute child maltreatment. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. Data processing in neutron protein crystallography using positron-sensitive detectors

    NASA Astrophysics Data System (ADS)

    Schoenborn, B. P.

    Neutrons provide a unique probe for localizing hydrogen atoms and for distinguishing hydrogen from deuterons. Hydrogen atoms largely determine the three dimensional structure of proteins and are responsible for many catalytic reactions. The study of hydrogen bonding and hydrogen exchange will therefore give insight into reaction mechanisms and conformational fluctuations. In addition, neutrons provide the ability to distinguish N from C and O and to allow correct orientation of groups such as histidine and glutamine. To take advantage of these unique features of neutron crystallography, one needs accurate Fourier maps depicting atomic structure to a high precision. Special attention is given to subtraction of the high background associated with hydrogen containing molecules, which produces a disproportionately large statistical error.

  3. Anomalous left coronary artery from the pulmonary artery with a large patent ductus arteriosus: aversion of a catastrophe.

    PubMed

    Aggarwal, Sanjeev; Delius, Ralph E; Pettersen, Michael D

    2013-01-01

    We present an infant who had an anomalous left coronary artery arising from the pulmonary artery (ALCAPA) and a large patent ductus arteriosus (PDA), who was diagnosed before a potentially catastrophic closure of PDA. In the presence of normal left ventricular function and the absence of coronary artery collaterals, it is difficult to diagnose ALCAPA. A disproportionate degree of left ventricular dilation and severity of mitral valve regurgitation relative to the degree of PDA shunt, and echogenic papillary muscles on an echocardiogram should raise a suspicion of coronary artery anomalies. The infant underwent surgical ligation of PDA with translocation of coronary arteries and had an uneventful recovery. © 2012 Wiley Periodicals, Inc.

  4. Inequality decomposition and geographic targeting with applications to China and Vietnam.

    PubMed

    Wagstaff, Adam

    2005-06-01

    How far are income-related inequalities in the health sector due to gaps between poor and less poor areas, rather than due to differences between poor and less poor people within areas? This note sets out a method for answering this question, and illustrates it with two empirical examples. The disproportionate accrual of health subsidies to Vietnam's better-off is found to be largely due to the fact that richer provinces have larger per capita subsidies, while pro-rich inequalities in health insurance coverage in rural China are found to be largely due to the fact that better-off villages have been more successful at preventing the collapse of their insurance schemes. Copyright 2005 John Wiley & Sons, Ltd.

  5. Legal physician‐assisted dying in Oregon and the Netherlands: evidence concerning the impact on patients in “vulnerable” groups

    PubMed Central

    Battin, Margaret P; van der Heide, Agnes; Ganzini, Linda; van der Wal, Gerrit

    2007-01-01

    Background Debates over legalisation of physician‐assisted suicide (PAS) or euthanasia often warn of a “slippery slope”, predicting abuse of people in vulnerable groups. To assess this concern, the authors examined data from Oregon and the Netherlands, the two principal jurisdictions in which physician‐assisted dying is legal and data have been collected over a substantial period. Methods The data from Oregon (where PAS, now called death under the Oregon Death with Dignity Act, is legal) comprised all annual and cumulative Department of Human Services reports 1998–2006 and three independent studies; the data from the Netherlands (where both PAS and euthanasia are now legal) comprised all four government‐commissioned nationwide studies of end‐of‐life decision making (1990, 1995, 2001 and 2005) and specialised studies. Evidence of any disproportionate impact on 10 groups of potentially vulnerable patients was sought. Results Rates of assisted dying in Oregon and in the Netherlands showed no evidence of heightened risk for the elderly, women, the uninsured (inapplicable in the Netherlands, where all are insured), people with low educational status, the poor, the physically disabled or chronically ill, minors, people with psychiatric illnesses including depression, or racial or ethnic minorities, compared with background populations. The only group with a heightened risk was people with AIDS. While extralegal cases were not the focus of this study, none have been uncovered in Oregon; among extralegal cases in the Netherlands, there was no evidence of higher rates in vulnerable groups. Conclusions Where assisted dying is already legal, there is no current evidence for the claim that legalised PAS or euthanasia will have disproportionate impact on patients in vulnerable groups. Those who received physician‐assisted dying in the jurisdictions studied appeared to enjoy comparative social, economic, educational, professional and other privileges. PMID:17906058

  6. Immigration to the United States: Recent Trends and Future Prospects.

    PubMed

    Hirschman, Charles

    Almost 13 per cent of the American population is foreign born, and if the children of the foreign born are included, about 1 in 4 Americans can be counted as part of the recent immigrant community. Although there is lingering prejudice and popular fears of immigrants, there is growing evidence that, on balance, immigrants make a positive contribution to the American economy and society. There is little evidence that immigrants have an adverse impact on the wages and employment of native born Americans. Moreover, immigrants and their children are disproportionately represented in a broad variety of scientific and cultural fields.

  7. The orthopaedic research scene and strategies to improve it.

    PubMed

    Rankin, K S; Sprowson, A P; McNamara, I; Akiyama, T; Buchbinder, R; Costa, M L; Rasmussen, S; Nathan, S S; Kumta, S; Rangan, A

    2014-12-01

    Trauma and orthopaedics is the largest of the surgical specialties and yet attracts a disproportionately small fraction of available national and international funding for health research. With the burden of musculoskeletal disease increasing, high-quality research is required to improve the evidence base for orthopaedic practice. Using the current research landscape in the United Kingdom as an example, but also addressing the international perspective, we highlight the issues surrounding poor levels of research funding in trauma and orthopaedics and indicate avenues for improving the impact and success of surgical musculoskeletal research. ©2014 The British Editorial Society of Bone & Joint Surgery.

  8. The impact of the Balanced Budget Act on the utilization and financial condition of children's services in California hospitals.

    PubMed

    McCue, Michael J

    2002-01-01

    The objective of this study was to evaluate the utilization and financial performance of children's services after the Balanced Budget Act of 1997. The author analyzed these performance factors by hospital ownership, HMO penetration, and disproportionate share hospitals. Using data from California hospitals and conducting an analysis from 1997 to 1999, the author found that public hospitals were able to increase their profits from pediatric and neonatal intensive care services. The study also revealed that DSH hospitals located in high HMO penetration markets reduced their operating losses in nursery and pediatric services.

  9. Disaster risk reduction and sustainable development for small island developing states

    PubMed Central

    Shultz, James M.; Cohen, Madeline A.; Hermosilla, Sabrina; Espinel, Zelde; McLean, Andrew

    2016-01-01

    ABSTRACT In contrast to continental nations, the world's 52 small island developing states (SIDS) are recognized as a collective of countries that experience disproportionate challenges for sustainable development related to their geography, small size, and physical isolation. These same states also face elevated risks for disaster incidence and consequences particularly in the realms of climate change, sea level rise, natural disasters (tropical cyclones, earthquakes, tsunamis, volcanoes), and marine hazardous materials spills. Cyclone Winston's direct impact on Fiji in 2016 and Cyclone Pam's landfall over Vanuatu in 2015 provide case examples illustrating the special vulnerabilities of the SIDS. PMID:28229013

  10. School buses, diesel emissions, and respiratory health.

    PubMed

    Beatty, Timothy K M; Shimshack, Jay P

    2011-09-01

    School buses contribute disproportionately to ambient air quality, pollute near schools and residential areas, and their emissions collect within passenger cabins. This paper examines the impact of school bus emissions reductions programs on health outcomes. A key contribution relative to the broader literature is that we examine localized pollution reduction programs at a fine level of aggregation. We find that school bus retrofits induced reductions in bronchitis, asthma, and pneumonia incidence for at-risk populations. Back of the envelope calculations suggest conservative benefit-cost ratios between 7:1 and 16:1. Copyright © 2011 Elsevier B.V. All rights reserved.

  11. Disaster risk reduction and sustainable development for small island developing states.

    PubMed

    Shultz, James M; Cohen, Madeline A; Hermosilla, Sabrina; Espinel, Zelde; McLean, Andrew

    2016-01-01

    In contrast to continental nations, the world's 52 small island developing states (SIDS) are recognized as a collective of countries that experience disproportionate challenges for sustainable development related to their geography, small size, and physical isolation. These same states also face elevated risks for disaster incidence and consequences particularly in the realms of climate change, sea level rise, natural disasters (tropical cyclones, earthquakes, tsunamis, volcanoes), and marine hazardous materials spills. Cyclone Winston's direct impact on Fiji in 2016 and Cyclone Pam's landfall over Vanuatu in 2015 provide case examples illustrating the special vulnerabilities of the SIDS.

  12. The Metabolic World: Sugars as an Energized Carbon Substrate for Prebiotic and Biotic Synthesis

    NASA Technical Reports Server (NTRS)

    Weber, Arthur L.

    1996-01-01

    To understand the origin of metabolism and biopolymer synthesis we investigated the energy sources that drive anabolic metabolism. We found that biosynthesis of amino acids and lipids from sugars is driven bz the free energy of redox disproportionation of carbon (see discussion or next page). The indispensable role of sugar disproportionation in the biosynthesis of amino acids and lipids suggests that the origin of life uses the same chemical engine, and was therefore based on nonenzymatic redox disproportionation reactions of sugars that occurred in the presence o ammonia and hydrogen sulfide. The chemistry of this 'metabolic' model of the origin of life is described.

  13. 75 FR 51273 - Expanded Human Immunodeficiency Virus (HIV) Testing for Disproportionately Affected Populations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-19

    ...: Notice. Notice of Intent to increase funding available to make awards under the Centers for Disease Control and Prevention Funding Opportunity Announcement CDC-RFA-PS10-10138, ``Expanded Human Immunodeficiency Virus (HIV) Testing for Disproportionately Affected Populations''. Additional funding from the...

  14. Spontaneous release from mossy fiber terminals inhibits Ni2+-sensitive T-type Ca2+ channels of CA3 pyramidal neurons in the rat organotypic hippocampal slice.

    PubMed

    Reid, Christopher A; Xu, Shenghong; Williams, David A

    2008-01-01

    Mossy fibers (axons arising from dentate granule cells) form large synaptic contacts exclusively onto the proximal apical dendrites of CA3 pyramidal neurons. They can generate large synaptic currents that occur in close proximity to the soma. These properties mean that active conductance in the proximal apical dendrite could have a disproportionate influence on CA3 pyramidal neuron excitability. Ni(2+)-sensitive T-type Ca(2+) channels are important modulators of dendritic excitability. Here, we use an optical approach to determine the contribution of Ni(2+) (100 microM)-sensitive Ca(2+) channels to action potential (AP) elicited Ca(2+) flux in the soma, proximal apical and distal apical dendrites. At resting membrane potentials Ni(2+)-sensitive Ca(2+) channels do not contribute to the Ca(2+) signal in the proximal apical dendrite, but do contribute in the other cell regions. Spontaneous release from mossy fiber terminals acting on 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX)-sensitive postsynaptic channels underlies a tonic inhibition of Ni(2+)-sensitive channels. Chelating Zn(2+) with CaEDTA blocks CNQX-sensitive changes in Ca(2+) flux implicating a mechanistic role of this ion in T-type Ca(2+) channel block. To test if this inhibition influenced excitability, progressively larger depolarizing pulses were delivered to CA3 pyramidal neurons. CNQX significantly reduced the size of the depolarizing step required to generate APs and increased the absolute number of APs per depolarizing step. This change in AP firing was completely reversed by the addition of Ni(2+). This mechanism may reduce the impact of T-type Ca(2+) channels in a region where large synaptic events are common.

  15. Soil microbial responses to climate warming in Northern Andean alpine ecosystems

    NASA Astrophysics Data System (ADS)

    Gallery, R. E.; Lasso, E.

    2017-12-01

    The historically cooler temperatures and waterlogged soils of tropical alpine grasslands (páramo) have resulted in low decomposition rates and a large buildup of organic matter, making páramo one of the most important carbon sinks in tropical biomes. The climatic factors that favored the carbon accumulation are changing, and as a result páramo could play a disproportionate role in driving climate feedbacks through increased carbon released from these large soil carbon stores. Open top chamber warming experiments were established in the Colombian Andes in 2016 to quantify the magnitude of climate change on carbon balance and identify microbial and plant traits that regulate these impacts. Two focal sites differ in mean annual temperature, precipitation, and plant community richness. Heterotrophic respiration (RH,) was measured from soil cores incubated at temperatures representing current and projected warming. The warming effect on RH was sensitive to soil moisture, which could reflect shifts in microbial community composition and/or extracellular enzyme production or efficiency as soils dry. Bacterial, archaeal, and fungal communities in ambient and warmed plots were measured through high-throughput amplicon sequencing of the 16S rRNA and ITS1 rRNA gene regions. Communities showed strong spatial structuring both within and among páramo, reflecting the topographic heterogeneity of these ecosystems. Significant differences in relative abundance of dominant microbial taxa between páramo could be largely explained by soil bulk density, water holding capacity, and non-vascular plant cover. Phototrophs common to anoxic soils (e.g., Rhodospirillaceae, Hyphomicrobiaceae) were abundant. Taxa within Euryarchaeota were recovered, suggesting methanogenesis potential. Exploration of the magnitude and temperature sensitivity of methane flux is needed in these seasonally anoxic soils whose dynamics could have significant implications for the global climate system.

  16. 26 CFR 1.305-3 - Disproportionate distributions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 4 2010-04-01 2010-04-01 false Disproportionate distributions. 1.305-3 Section 1.305-3 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX... filed with the Internal Revenue Service Center with which the income tax return was filed. (4) See § 1...

  17. Disproportionate Classification of ESL Students in U.S. Special Education

    ERIC Educational Resources Information Center

    Fernandez, Nicole; Inserra, Albert

    2013-01-01

    This study explores the possible causes behind the disproportionate percentages of English language learners (ELLs) classified into U.S. special education. Elementary school classroom teachers were examined, from school districts that exhibited growth in the percentage of English language learners with Individual Education Plans during 2007-2010.…

  18. Universal Screening for Behavioral and Emotional Risk: A Promising Method for Reducing Disproportionate Placement in Special Education

    ERIC Educational Resources Information Center

    Raines, Tara C.; Dever, Bridget V.; Kamphaus, Randy W.; Roach, Andrew T.

    2012-01-01

    The overrepresentation of U.S. minority students identified for emotional and behavior disorders special education programs plagues schools and challenges researchers and practitioners. Arcane methods including teacher nomination continue to guide referral processes, despite compelling evidence of their influence on disproportionate special…

  19. Implications of Climate Change for Children in Developing Countries

    ERIC Educational Resources Information Center

    Hanna, Rema; Oliva, Paulina

    2016-01-01

    Climate change may be particularly dangerous for children in developing countries. Even today, many developing countries experience a disproportionate share of extreme weather, and they are predicted to suffer disproportionately from the effects of climate change in the future. Moreover, developing countries often have limited social safety nets,…

  20. Genome-Wide Association Study in African-Americans with Systemic Lupus Erythematosus

    DTIC Science & Technology

    2013-09-01

    Americans with Systemic Lupus Erythematosus PRINCIPAL INVESTIGATOR: John Harley, M.D., Ph.D...SUPPLEMENTARY NOTES 14. ABSTRACT Systemic lupus erythematosus ( lupus ) is a potentially deadly systemic autoimmune disease that disproportionately... Systemic lupus erythematosus ( lupus ) is a potentially deadly systemic autoimmune disease that disproportionately afflicts women and African

  1. Modeling the impacts of hunting on the population dynamics of red howler monkeys (Alouatta seniculus)

    USGS Publications Warehouse

    Wiederholt, Ruscena; Fernandez-Duque, Eduardo; Diefenbach, Duane R.; Rudran, Rasanayagam

    2010-01-01

    Overexploitation of wildlife populations occurs across the humid tropics and is a significant threat to the long-term survival of large-bodied primates. To investigate the impacts of hunting on primates and ways to mitigate them, we developed a spatially explicit, individual-based model for a landscape that included hunted and un-hunted areas. We used the large-bodied neotropical red howler monkey (Alouatta seniculus) as our case study species because its life history characteristics make it vulnerable to hunting. We modeled the influence of different rates of harvest and proportions of landscape dedicated to un-hunted reserves on population persistence, population size, social dynamics, and hunting yields of red howler monkeys. In most scenarios, the un-hunted populations maintained a constant density regardless of hunting pressure elsewhere, and allowed the overall population to persist. Therefore, the overall population was quite resilient to extinction; only in scenarios without any un-hunted areas did the population go extinct. However, the total and hunted populations did experience large declines over 100 years under moderate and high hunting pressure. In addition, when reserve area decreased, population losses and losses per unit area increased disproportionately. Furthermore, hunting disrupted the social structure of troops. The number of male turnovers and infanticides increased in hunted populations, while birth rates decreased and exacerbated population losses due to hunting. Finally, our results indicated that when more than 55% of the landscape was harvested at high (30%) rates, hunting yields, as measured by kilograms of biomass, were less than those obtained from moderate harvest rates. Additionally, hunting yields, expressed as the number of individuals hunted/year/km2, increased in proximity to un-hunted areas, and suggested that dispersal from un-hunted areas may have contributed to hunting sustainability. These results indicate that un-hunted areas serve to enhance hunting yields, population size, and population persistence in hunted landscapes. Therefore, spatial regulation of hunting via a reserve system may be an effective management strategy for sustainable hunting, and we recommend it because it may also be more feasible to implement than harvest quotas or restrictions on season length.

  2. Chronic obstructive pulmonary disease in women: exploring gender differences.

    PubMed

    Varkey, Anita B

    2004-03-01

    Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality throughout the world. This major public health threat is ranked twelfth as a worldwide burden of disease and is projected to rank fifth by the year 2020 as a cause of lost quantity and quality of life. The impact of this disease in women is significantly understudied but the evidence that does exist reveals potentially substantial gender differences in the susceptibility to, severity of, and response to management of COPD. The best known risk factor for the development of COPD is tobacco smoking. While smoking rates in women have largely stabilized in developed countries, the rates are continuing to climb in developing countries. While it is not clear whether women are more susceptible to the toxic effects of cigarette smoke than men, it is known that the incidence and prevalence of COPD will continue to climb as more women smoke. Other known risk factors for the development of COPD include air pollution, infections, occupational exposures, and genetic factors. Air pollution, particularly fine particulate indoor air pollution from biomass fuels disproportionately affects women. Infections such as human immunodeficiency virus (HIV) and tuberculosis (TB) disproportionately affect vulnerable populations such as poor women and occupational exposures to various dusts and toxins are often gender specific. Genetic factors are still being explored but there seems a preponderance of women who are affected by early-onset and non-smoking related COPD. Women with COPD also seem to be underdiagnosed by physicians and may have different responses to medical treatment, smoking cessation interventions, and pulmonary rehabilitation programs. Chronic obstructive pulmonary disease in women is an understudied subject but is gaining attention as a significant public health threat. In developed countries, efforts at preventing the initiation of tobacco smoking and targeting smoking cessation programs in women are needed. In developing countries, efforts to promote cleaner fuels, improved stoves, better home ventilation, reduce toxic dust and fume exposures, combat infectious diseases such as TB and HIV, and improve nutrition are all ways in which the lung health of women can be improved.

  3. HIV/AIDS in the Southern USA: a disproportionate epidemic.

    PubMed

    Reif, Susan S; Whetten, Kathryn; Wilson, Elena R; McAllaster, Carolyn; Pence, Brian W; Legrand, Sara; Gong, Wenfeng

    2014-01-01

    This research synthesis examined HIV/AIDS surveillance and health care financing data and reviewed relevant research literature to describe HIV epidemiology, outcomes, funding, and contributing factors to the HIV epidemic in the Southern USA with particular focus on a group of Southern states with similar demographic and disease characteristics and comparable HIV epidemics (Alabama, Georgia, Florida, Los Angeles, Mississippi, North Carolina, South Carolina, Tennessee, and Texas). These states are hereafter referred to as "targeted Southern states." Eight of the 10 states with the highest HIV diagnosis rates in 2011 were in the Southern USA; six were targeted states. Forty-nine percent of HIV diagnoses were in the South in 2011, which contains only 37% of the US population. The targeted states region had the highest HIV diagnosis rate than any other US region in 2011. The South was also found to have the highest HIV-related mortality and morbidity rates in the USA. The high levels of poverty, HIV-related stigma, and STDs found in the South, particularly in the targeted Southern states, likely contribute to greater HIV incidence and mortality. The disproportionate impact of HIV in the South, particularly among targeted states, demonstrates a critical need to improve HIV prevention and care and address factors that contribute to HIV disease in this region.

  4. Neuromotor control in chronic obstructive pulmonary disease.

    PubMed

    Mantilla, Carlos B; Sieck, Gary C

    2013-05-01

    Neuromotor control of skeletal muscles, including respiratory muscles, is ultimately dependent on the structure and function of the motor units (motoneurons and the muscle fibers they innervate) comprising the muscle. In most muscles, considerable diversity of contractile and fatigue properties exists across motor units, allowing a range of motor behaviors. In diseases such as chronic obstructive pulmonary disease (COPD), there may be disproportional primary (disease related) or secondary effects (related to treatment or other concomitant factors) on the size and contractility of specific muscle fiber types that would influence the relative contribution of different motor units. For example, with COPD there is a disproportionate atrophy of type IIx and/or IIb fibers that comprise more fatigable motor units. Thus fatigue resistance may appear to improve, while overall motor performance (e.g., 6-min walk test) and endurance (e.g., reduced aerobic exercise capacity) are diminished. There are many coexisting factors that might also influence motor performance. For example, in COPD patients, there may be concomitant hypoxia and/or hypercapnia, physical inactivity and unloading of muscles, and corticosteroid treatment, all of which may disproportionately affect specific muscle fiber types, thereby influencing neuromotor control. Future studies should address how plasticity in motor units can be harnessed to mitigate the functional impact of COPD-induced changes.

  5. Production of electronic grade lunar silicon by disproportionation of silicon difluoride

    NASA Technical Reports Server (NTRS)

    Agosto, William N.

    1993-01-01

    Waldron has proposed to extract lunar silicon by sodium reduction of sodium fluorosilicate derived from reacting sodium fluoride with lunar silicon tetrafluoride. Silicon tetrafluoride is obtained by the action of hydrofluoric acid on lunar silicates. While these reactions are well understood, the resulting lunar silicon is not likely to meet electronic specifications of 5 nines purity. Dale and Margrave have shown that silicon difluoride can be obtained by the action of silicon tetrafluoride on elemental silicon at elevated temperatures (1100-1200 C) and low pressures (1-2 torr). The resulting silicon difluoride will then spontaneously disproportionate into hyperpure silicon and silicon tetrafluoride in vacuum at approximately 400 C. On its own merits, silicon difluoride polymerizes into a tough waxy solid in the temperature range from liquid nitrogen to about 100 C. It is the silicon analog of teflon. Silicon difluoride ignites in moist air but is stable under lunar surface conditions and may prove to be a valuable industrial material that is largely lunar derived for lunar surface applications. The most effective driver for lunar industrialization may be the prospects for industrial space solar power systems in orbit or on the moon that are built with lunar materials. Such systems would require large quantities of electronic grade silicon or compound semiconductors for photovoltaics and electronic controls. Since silicon is the most abundant semimetal in the silicate portion of any solar system rock (approximately 20 wt percent), lunar silicon production is bound to be an important process in such a solar power project. The lunar silicon extraction process is discussed.

  6. Early oxygenation of the terrestrial environment during the Mesoproterozoic.

    PubMed

    Parnell, John; Boyce, Adrian J; Mark, Darren; Bowden, Stephen; Spinks, Sam

    2010-11-11

    Geochemical data from ancient sedimentary successions provide evidence for the progressive evolution of Earth's atmosphere and oceans. Key stages in increasing oxygenation are postulated for the Palaeoproterozoic era (∼2.3 billion years ago, Gyr ago) and the late Proterozoic eon (about 0.8 Gyr ago), with the latter implicated in the subsequent metazoan evolutionary expansion. In support of this rise in oxygen concentrations, a large database shows a marked change in the bacterially mediated fractionation of seawater sulphate to sulphide of Δ(34)S < 25‰ before 1 Gyr to ≥50‰ after 0.64 Gyr. This change in Δ(34)S has been interpreted to represent the evolution from single-step bacterial sulphate reduction to a combination of bacterial sulphate reduction and sulphide oxidation, largely bacterially mediated. This evolution is seen as marking the rise in atmospheric oxygen concentrations and the evolution of non-photosynthetic sulphide-oxidizing bacteria. Here we report Δ(34)S values exceeding 50‰ from a terrestrial Mesoproterozoic (1.18 Gyr old) succession in Scotland, a time period that is at present poorly characterized. This level of fractionation implies disproportionation in the sulphur cycle, probably involving sulphide-oxidizing bacteria, that is not evident from Δ(34)S data in the marine record. Disproportionation in both red beds and lacustrine black shales at our study site suggests that the Mesoproterozoic terrestrial environment was sufficiently oxygenated to support a biota that was adapted to an oxygen-rich atmosphere, but had also penetrated into subsurface sediment.

  7. The disproportionate high risk of HIV infection among the urban poor in sub-Saharan Africa.

    PubMed

    Magadi, Monica A

    2013-06-01

    The link between HIV infection and poverty in sub-Saharan Africa (SSA) is rather complex and findings from previous studies remain inconsistent. While some argue that poverty increases vulnerability, existing empirical evidence largely support the view that wealthier men and women have higher prevalence of HIV. In this paper, we examine the association between HIV infection and urban poverty in SSA, paying particular attention to differences in risk factors of HIV infection between the urban poor and non-poor. The study is based on secondary analysis of data from the Demographic and Health Surveys from 20 countries in SSA, conducted during 2003-2008. We apply multilevel logistic regression models, allowing the urban poverty risk factor to vary across countries to establish the extent to which the observed patterns are generalizable across countries in the SSA region. The results reveal that the urban poor in SSA have significantly higher odds of HIV infection than their urban non-poor counterparts, despite poverty being associated with a significantly lower risk among rural residents. Furthermore, the gender disparity in HIV infection (i.e. the disproportionate higher risk among women) is amplified among the urban poor. The paper confirms that the public health consequence of urban poverty that has been well documented in previous studies with respect to maternal and child health outcomes does apply to the risk of HIV infection. The positive association between household wealth and HIV prevalence observed in previous studies largely reflects the situation in the rural areas where the majority of the SSA populations reside.

  8. Potential epidemiologic, economic, and budgetary impacts of current rates of hepatitis C treatment in medicare and non-medicare populations.

    PubMed

    Wittenborn, John; Brady, Joanne; Dougherty, Michelle; Rein, David

    2017-04-01

    We forecast the health and budgetary impact of hepatitis C (HCV) treatment on the Medicare program based on currently observed rates of treatment among Medicare and non-Medicare patients and identify the impact of higher rates of treatment among non-Medicare populations. We developed a computer microsimulation model to conduct an epidemiologic forecast, a budgetary impact analysis, and a cost-effectiveness analysis of the treatment of HCV based on three scenarios: 1) no treatment, 2) continuation of current-treatment rates, and 3) treatment rates among non-Medicare patients increased to match that of Medicare patients. The simulated population is based on National Health and Nutrition Examination Survey data. HCV progression rates and costs were calculated in Surveillance, Epidemiology, and End Results Program Medicare 5% claims data from the Chronic Hepatitis Cohort Study and published literature. We estimate that 13.6% of patients with HCV in the United States are enrolled in Medicare, but 75% will enter Medicare in the next 20 years. Medicare patients were over 5 times as likely to be treated in 2014-2015 as other patients. Medicare paid over $9 billion in treatment costs in both 2015 and 2016 and will total $28.4 billion from 2017-2026. Increasing treatment rates among non-Medicare patients would lead to 234,000 more patients being treated, reduce HCV mortality by 19%, and decrease Medicare costs by $18.6 billion from 2017-2026. We find that treatment remains cost-effective under most assumptions, costing $31,718 per quality adjusted life year gained. Conclusion : Medicare treats a disproportionately large share of HCV patients. Continued low rates of treatment among non-Medicare HCV patients will result in both reduced and deferred treatment, shifting future treatment costs to Medicare while increasing overall medical management costs, morbidity, and mortality. ( Hepatology Communications 2017;1:99-109).

  9. Pollution from Fossil-Fuel Combustion is the Leading Environmental Threat to Global Pediatric Health and Equity: Solutions Exist.

    PubMed

    Perera, Frederica

    2017-12-23

    Fossil-fuel combustion by-products are the world's most significant threat to children's health and future and are major contributors to global inequality and environmental injustice. The emissions include a myriad of toxic air pollutants and carbon dioxide (CO₂), which is the most important human-produced climate-altering greenhouse gas. Synergies between air pollution and climate change can magnify the harm to children. Impacts include impairment of cognitive and behavioral development, respiratory illness, and other chronic diseases-all of which may be "seeded" in utero and affect health and functioning immediately and over the life course. By impairing children's health, ability to learn, and potential to contribute to society, pollution and climate change cause children to become less resilient and the communities they live in to become less equitable. The developing fetus and young child are disproportionately affected by these exposures because of their immature defense mechanisms and rapid development, especially those in low- and middle-income countries where poverty and lack of resources compound the effects. No country is spared, however: even high-income countries, especially low-income communities and communities of color within them, are experiencing impacts of fossil fuel-related pollution, climate change and resultant widening inequality and environmental injustice. Global pediatric health is at a tipping point, with catastrophic consequences in the absence of bold action. Fortunately, technologies and interventions are at hand to reduce and prevent pollution and climate change, with large economic benefits documented or predicted. All cultures and communities share a concern for the health and well-being of present and future children: this shared value provides a politically powerful lever for action. The purpose of this commentary is to briefly review the data on the health impacts of fossil-fuel pollution, highlighting the neurodevelopmental impacts, and to briefly describe available means to achieve a low-carbon economy, and some examples of interventions that have benefited health and the economy.

  10. Pollution from Fossil-Fuel Combustion is the Leading Environmental Threat to Global Pediatric Health and Equity: Solutions Exist

    PubMed Central

    Perera, Frederica

    2017-01-01

    Fossil-fuel combustion by-products are the world’s most significant threat to children’s health and future and are major contributors to global inequality and environmental injustice. The emissions include a myriad of toxic air pollutants and carbon dioxide (CO2), which is the most important human-produced climate-altering greenhouse gas. Synergies between air pollution and climate change can magnify the harm to children. Impacts include impairment of cognitive and behavioral development, respiratory illness, and other chronic diseases—all of which may be “seeded“ in utero and affect health and functioning immediately and over the life course. By impairing children’s health, ability to learn, and potential to contribute to society, pollution and climate change cause children to become less resilient and the communities they live in to become less equitable. The developing fetus and young child are disproportionately affected by these exposures because of their immature defense mechanisms and rapid development, especially those in low- and middle-income countries where poverty and lack of resources compound the effects. No country is spared, however: even high-income countries, especially low-income communities and communities of color within them, are experiencing impacts of fossil fuel-related pollution, climate change and resultant widening inequality and environmental injustice. Global pediatric health is at a tipping point, with catastrophic consequences in the absence of bold action. Fortunately, technologies and interventions are at hand to reduce and prevent pollution and climate change, with large economic benefits documented or predicted. All cultures and communities share a concern for the health and well-being of present and future children: this shared value provides a politically powerful lever for action. The purpose of this commentary is to briefly review the data on the health impacts of fossil-fuel pollution, highlighting the neurodevelopmental impacts, and to briefly describe available means to achieve a low-carbon economy, and some examples of interventions that have benefited health and the economy. PMID:29295510

  11. Tobacco endgame strategies: challenges in ethics and law.

    PubMed

    Thomas, Bryan P; Gostin, Lawrence O

    2013-05-01

    There are complex legal and ethical tradeoffs involved in using intensified regulation to bring smoking prevalence to near-zero levels. The authors explore these tradeoffs through a lens of health justice, paying particular attention to the potential impact on vulnerable populations. The ethical tradeoffs explored include the charge that heavy regulation is paternalistic; the potentially regressive impact of heavily taxing a product consumed disproportionately by the poor; the simple loss of enjoyment to heavily addicted smokers; the health risks posed by, for example, regulating nicotine content in cigarettes--where doing so leads to increased consumption. Turning to legalistic concerns, the authors explore whether endgame strategies constitute a form of 'regulatory taking'; whether endgame strategies can be squared with global trade/investment laws; whether free speech rights are infringed by aggressive restrictions on the advertisement and marketing of cigarettes.

  12. Tobacco endgame strategies: challenges in ethics and law

    PubMed Central

    Thomas, Bryan P; Gostin, Lawrence O

    2013-01-01

    There are complex legal and ethical tradeoffs involved in using intensified regulation to bring smoking prevalence to near-zero levels. The authors explore these tradeoffs through a lens of health justice, paying particular attention to the potential impact on vulnerable populations. The ethical tradeoffs explored include the charge that heavy regulation is paternalistic; the potentially regressive impact of heavily taxing a product consumed disproportionately by the poor; the simple loss of enjoyment to heavily addicted smokers; the health risks posed by, for example, regulating nicotine content in cigarettes—where doing so leads to increased consumption. Turning to legalistic concerns, the authors explore whether endgame strategies constitute a form of ‘regulatory taking’; whether endgame strategies can be squared with global trade/investment laws; whether free speech rights are infringed by aggressive restrictions on the advertisement and marketing of cigarettes. PMID:23591513

  13. Medicare's Hospital Readmissions Reduction Program in Surgery May Disproportionately Affect Minority-serving Hospitals.

    PubMed

    Shih, Terry; Ryan, Andrew M; Gonzalez, Andrew A; Dimick, Justin B

    2015-06-01

    To project readmission penalties for hospitals performing cardiac surgery and examine how these penalties will affect minority-serving hospitals. The Hospital Readmissions Reduction Program will potentially expand penalties for higher-than-predicted readmission rates to cardiac procedures in the near future. The impact of these penalties on minority-serving hospitals is unknown. We examined national Medicare beneficiaries undergoing coronary artery bypass grafting in 2008 to 2010 (N = 255,250 patients, 1186 hospitals). Using hierarchical logistic regression, we calculated hospital observed-to-expected readmission ratios. Hospital penalties were projected according to the Hospital Readmissions Reduction Program formula using only coronary artery bypass grafting readmissions with a 3% maximum penalty of total Medicare revenue. Hospitals were classified into quintiles according to proportion of black patients treated. Minority-serving hospitals were defined as hospitals in the top quintile whereas non-minority-serving hospitals were those in the bottom quintile. Projected readmission penalties were compared across quintiles. Forty-seven percent of hospitals (559 of 1186) were projected to be assessed a penalty. Twenty-eight percent of hospitals (330 of 1186) would be penalized less than 1% of total Medicare revenue whereas 5% of hospitals (55 of 1186) would receive the maximum 3% penalty. Minority-serving hospitals were almost twice as likely to be penalized than non-minority-serving hospitals (61% vs 32%) and were projected almost triple the reductions in reimbursement ($112 million vs $41 million). Minority-serving hospitals would disproportionately bear the burden of readmission penalties if expanded to include cardiac surgery. Given these hospitals' narrow profit margins, readmission penalties may have a profound impact on these hospitals' ability to care for disadvantaged patients.

  14. Obesity disproportionately impacts lung volumes, airflow and exhaled nitric oxide in children.

    PubMed

    Yao, Tsung-Chieh; Tsai, Hui-Ju; Chang, Su-Wei; Chung, Ren-Hua; Hsu, Jing-Ya; Tsai, Ming-Han; Liao, Sui-Ling; Hua, Man-Chin; Lai, Shen-Hao; Chen, Li-Chen; Yeh, Kuo-Wei; Tseng, Yu-Lun; Lin, Wan-Chen; Chang, Su-Ching; Huang, Jing-Long

    2017-01-01

    The current literature focusing on the effect of obesity and overweight on lung function and fraction of exhaled nitric oxide (FeNO) in children, particularly among healthy children of non-European descent, remains controversial. Furthermore, whether the relationship of obesity and overweight with lung function and FeNO in children is modified by atopy is unclear. The objective of this study was to examine the effect of excess weight on lung function parameters and FeNO among Asian children, with a particular focus on exploring the potential effect modification by atopy. We investigated the effect of excess weight on lung function and FeNO in a population sample of 1,717 children aged 5 to 18 years and explored the potential modifying effect of atopy. There were positive associations of body mass index (BMI) z-score with forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and forced expiratory flow at 25-75% (FEF25-75) (all P<0.001), after controlling for confounders. The beta coefficient for FEV1 (0.084) was smaller than that for FVC (0.111). In contrast, a negative association was found between BMI z-score and FEV1/FVC ratio (P<0.001) and FeNO (P = 0.03). A consistent pattern of association for lung function variables was observed when stratifying by atopy. There was a negative association of BMI z-score with FeNO in atopic subjects (P = 0.006), but not in non-atopic subjects (P = 0.46). Excess weight disproportionately impacts lung volumes and airflow in children from the general population, independent of atopic status. Excess weight inversely affects FeNO in atopic but not in non-atopic children.

  15. Distribution of new graphic warning labels: Are tobacco companies following regulations?

    PubMed

    Wilson, Nick; Peace, Jo; Li, Judy; Edwards, Richard; Hoek, Janet; Stanley, James; Thomson, George

    2009-08-25

    To test the hypothesis that tobacco companies would not follow a regulation that required seven new graphic health warnings (GHWs) to be evenly distributed on cigarette packs and that they would distribute fewer packs featuring warnings regarded by smokers as being more disturbing. Cross-sectional survey of purchased packs (n = 168) and street-collected discarded packs (convenience sample of New Zealand cities and towns, n = 1208 packs) with statistical analysis of seven types of new GHWs. A priori warning impact was judged using three criteria, which were tested against data from depth interviews with retailers. The GHWs on the purchased packs and street-collected packs both showed a distribution pattern that was generally consistent with the hypothesis ie, there were disproportionately more packs featuring images judged as "least disturbing" and disproportionately fewer of those with warnings judged "more disturbing". The overall patterns were statistically significant, suggesting an unequal frequency of the different warnings for both purchased (p < 0.0001) and street-collected packs (p = 0.035). One of the least disturbing images (of a "corpse with toe-tag") dominated the distribution in both samples. Further analysis of the street-collected packs revealed that this image appeared disproportionately more frequently on manufactured cigarettes made by each of the three largest New Zealand tobacco companies. Although stock clustering could explain the purchase pack result, there were no obvious reasons why the same uneven warning distribution was also evident among the street-collected packs. These results suggest that tobacco companies are not following the regulations, which requires even distribution of the seven different GHWs on cigarette packs; further monitoring is required to estimate the extent of this non-compliance. As an immediate measure, governments should strictly enforce all regulations applying to health warnings, particularly given that these are an effective tobacco control intervention that cost tax payers nothing.

  16. Open-Access Mega-Journals: A Bibliometric Profile.

    PubMed

    Wakeling, Simon; Willett, Peter; Creaser, Claire; Fry, Jenny; Pinfield, Stephen; Spezi, Valérie

    2016-01-01

    In this paper we present the first comprehensive bibliometric analysis of eleven open-access mega-journals (OAMJs). OAMJs are a relatively recent phenomenon, and have been characterised as having four key characteristics: large size; broad disciplinary scope; a Gold-OA business model; and a peer-review policy that seeks to determine only the scientific soundness of the research rather than evaluate the novelty or significance of the work. Our investigation focuses on four key modes of analysis: journal outputs (the number of articles published and changes in output over time); OAMJ author characteristics (nationalities and institutional affiliations); subject areas (the disciplinary scope of OAMJs, and variations in sub-disciplinary output); and citation profiles (the citation distributions of each OAMJ, and the impact of citing journals). We found that while the total output of the eleven mega-journals grew by 14.9% between 2014 and 2015, this growth is largely attributable to the increased output of Scientific Reports and Medicine. We also found substantial variation in the geographical distribution of authors. Several journals have a relatively high proportion of Chinese authors, and we suggest this may be linked to these journals' high Journal Impact Factors (JIFs). The mega-journals were also found to vary in subject scope, with several journals publishing disproportionately high numbers of articles in certain sub-disciplines. Our citation analsysis offers support for Björk & Catani's suggestion that OAMJs's citation distributions can be similar to those of traditional journals, while noting considerable variation in citation rates across the eleven titles. We conclude that while the OAMJ term is useful as a means of grouping journals which share a set of key characteristics, there is no such thing as a "typical" mega-journal, and we suggest several areas for additional research that might help us better understand the current and future role of OAMJs in scholarly communication.

  17. The future of PrEP among transgender women: the critical role of gender affirmation in research and clinical practices.

    PubMed

    Sevelius, Jae M; Deutsch, Madeline B; Grant, Robert

    2016-01-01

    Globally, transgender ("trans") women are one of the key populations most disproportionately impacted by HIV. Pre-exposure prophylaxis (PrEP) is the newest and most promising biomedical HIV prevention intervention to date. This paper reviews relevant literature to describe the current state of the science and describes the potential role of PrEP among trans women, including a discussion of unique considerations for maximizing the impact of PrEP for this vulnerable population. Available information, including but not limited to existing scientific literature, about trans women and PrEP was reviewed and critiqued based on author expertise, including PrEP clinical trials and rollout. To date, PrEP demonstration projects and clinical trials have largely excluded trans women, or have not included them in a meaningful way. Data collection strategies that fail to identify trans women in clinical trials and research further limit the ability to draw conclusions about trans women's unique needs and devise strategies to meet them. Gender-affirming providers and clinic environments are essential components of any sexual health programme that aims to serve trans women, as they will largely avoid settings that may result in stigmatizing encounters and threats to their identities. While there is currently no evidence to suggest drug-drug interactions between PrEP and commonly used feminizing hormone regimens, community concerns about potential interactions may limit interest in and uptake of PrEP among trans women. In scaling up PrEP for trans women, it is essential to engage trans communities, utilize trans-inclusive research and marketing strategies and identify and/or train healthcare providers to provide gender-affirming healthcare to trans women, including transition-related care such as hormone provision. PrEP implementation guidelines must consider and address trans women's unique barriers and facilitators to uptake and adherence.

  18. Open-Access Mega-Journals: A Bibliometric Profile

    PubMed Central

    Willett, Peter; Creaser, Claire; Fry, Jenny; Pinfield, Stephen; Spezi, Valérie

    2016-01-01

    In this paper we present the first comprehensive bibliometric analysis of eleven open-access mega-journals (OAMJs). OAMJs are a relatively recent phenomenon, and have been characterised as having four key characteristics: large size; broad disciplinary scope; a Gold-OA business model; and a peer-review policy that seeks to determine only the scientific soundness of the research rather than evaluate the novelty or significance of the work. Our investigation focuses on four key modes of analysis: journal outputs (the number of articles published and changes in output over time); OAMJ author characteristics (nationalities and institutional affiliations); subject areas (the disciplinary scope of OAMJs, and variations in sub-disciplinary output); and citation profiles (the citation distributions of each OAMJ, and the impact of citing journals). We found that while the total output of the eleven mega-journals grew by 14.9% between 2014 and 2015, this growth is largely attributable to the increased output of Scientific Reports and Medicine. We also found substantial variation in the geographical distribution of authors. Several journals have a relatively high proportion of Chinese authors, and we suggest this may be linked to these journals’ high Journal Impact Factors (JIFs). The mega-journals were also found to vary in subject scope, with several journals publishing disproportionately high numbers of articles in certain sub-disciplines. Our citation analsysis offers support for Björk & Catani’s suggestion that OAMJs’s citation distributions can be similar to those of traditional journals, while noting considerable variation in citation rates across the eleven titles. We conclude that while the OAMJ term is useful as a means of grouping journals which share a set of key characteristics, there is no such thing as a “typical” mega-journal, and we suggest several areas for additional research that might help us better understand the current and future role of OAMJs in scholarly communication. PMID:27861511

  19. The future of PrEP among transgender women: the critical role of gender affirmation in research and clinical practices

    PubMed Central

    Sevelius, Jae M; Deutsch, Madeline B; Grant, Robert

    2016-01-01

    Introduction Globally, transgender (“trans”) women are one of the key populations most disproportionately impacted by HIV. Pre-exposure prophylaxis (PrEP) is the newest and most promising biomedical HIV prevention intervention to date. This paper reviews relevant literature to describe the current state of the science and describes the potential role of PrEP among trans women, including a discussion of unique considerations for maximizing the impact of PrEP for this vulnerable population. Methods Available information, including but not limited to existing scientific literature, about trans women and PrEP was reviewed and critiqued based on author expertise, including PrEP clinical trials and rollout. Results To date, PrEP demonstration projects and clinical trials have largely excluded trans women, or have not included them in a meaningful way. Data collection strategies that fail to identify trans women in clinical trials and research further limit the ability to draw conclusions about trans women's unique needs and devise strategies to meet them. Gender-affirming providers and clinic environments are essential components of any sexual health programme that aims to serve trans women, as they will largely avoid settings that may result in stigmatizing encounters and threats to their identities. While there is currently no evidence to suggest drug-drug interactions between PrEP and commonly used feminizing hormone regimens, community concerns about potential interactions may limit interest in and uptake of PrEP among trans women. Conclusions In scaling up PrEP for trans women, it is essential to engage trans communities, utilize trans-inclusive research and marketing strategies and identify and/or train healthcare providers to provide gender-affirming healthcare to trans women, including transition-related care such as hormone provision. PrEP implementation guidelines must consider and address trans women's unique barriers and facilitators to uptake and adherence. PMID:27760683

  20. Racial Disparities in Preschool Special Education Eligibility for Five Southern States

    ERIC Educational Resources Information Center

    Morrier, Michael J.; Gallagher, Peggy A.

    2012-01-01

    More than 67,000 preschoolers with disabilities across five states were examined for disproportionate special education eligibilities using risk ratios (RRs). Results indicated children classified as American Indian (RR = 2.25) and Black (RR = 1.64) were disproportionate in one state, whereas children classified as Asian, Hispanic, and White…

  1. Addressing Inequity in Special Education: An Integrated Framework for Culturally Responsive Social Emotional Practice

    ERIC Educational Resources Information Center

    Sciuchetti, Maria B.

    2017-01-01

    Despite great strides toward equity and inclusion of all students, the disproportionate representation of students from culturally and linguistically diverse (CLD) backgrounds has been an issue of concern within the field of special education for decades. Of particular concern is the disproportionate representation of students from CLD backgrounds…

  2. On the palladium-on-charcoal disproportionation of rosin

    Treesearch

    Zhan-Qian Song; Eugene Zavarin; Duane F. Zinkel

    1985-01-01

    Changes in the composition of gum rosin during disproportionation in the presence of 5% palladium-on-charcoal have been determined by gas chromatography. The principal reaction product was dehydroabietic acid. The exocyclic vinyl group of the pimaric/isopimarictype resin acids was hydrogenated completely. Only a small amount of dihydroabietic acids was formed. Eight...

  3. Educational Lynching: Critical Race Theory and the Suspension of Black Boys

    ERIC Educational Resources Information Center

    Payne, Macheo

    2010-01-01

    Looking at the disproportionate suspension of African American, Black male students through the lens of critical race theory, this presents arguments from a CRT how the disproportionate suspension of Black male students is rooted in white supremacy and racist policy in the United States. Local recommendations are offered for Oakland Unified School…

  4. 75 FR 33708 - Ocean Dumping; Correction of Typographical Error in 2006 Federal Register Final Rule for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ... to allow material placed in the corner of the site closest to the jetty to continue augmentation... addressing, as appropriate, disproportionately high and adverse human health or environmental effects of... United States. EPA determined that this rule will not have disproportionately high and adverse human...

  5. The transformation of inorganic sulfur compounds and the assimilation of organic and inorganic carbon by the sulfur disproportionating bacterium Desulfocapsa sulfoexigens.

    PubMed

    Frederiksen, Trine-Maria; Finster, Kai

    2004-02-01

    The physiology of the sulfur disproportionator Desulfocapsa sulfoexigens was investigated in batch cultures and in a pH-regulated continuously flushed fermentor system. It was shown that a sulphide scavanger in the form of ferric iron was not obligatory and that the control of pH allowed production of more biomass than was possible in carbonate buffered but unregulated batch cultures. Small amounts of sulphite were produced during disproportionation of elemental sulfur and thiosulphate. In addition, it was shown that in the presence of hydrogen, a respiratory type of process is favored before the disproportionation of sulphite, thiosulphate and elemental sulfur. Sulphate reduction was not observed. D. sulfoexigens assimilated inorganic carbon even in the presence of organic carbon sources. Inorganic carbon assimilation was probably catalyzed by the reverse CO-dehydrogenase pathway, which was supported by the constitutive expression of the gene encoding CO-dehydrogenase in cultures grown in the presence of acetate and by the high carbon fractionation values that are indicative of this pathway.

  6. Macro-Level Approaches to HIV Prevention Among Ethnic Minority Youth

    PubMed Central

    Prado, Guillermo; Lightfoot, Marguerita; Brown, C. Hendricks

    2013-01-01

    The HIV epidemic continues to disproportionately affect ethnic minority youth. These disconcerting health disparities indicate that although existing HIV preventive strategies for ethnic minority youth have been efficacious, they have not significantly reduced the impact of the epidemic in this population. Macro-level interventions, such as structural or policy interventions, have the potential to impact the HIV epidemic at a population level, and thus reduce the HIV health disparities that exist among ethnic minority youth and other segments of the U.S. population. This article calls for a paradigm shift to develop, evaluate, and disseminate interventions that target upstream/macro-level factors or that, at a minimum, integrate both a macro and individual level perspective. The article also discusses the challenges in developing and evaluating such interventions. Psychologists and other behavioral scientists can play a critical role in reducing the impact of HIV on ethnic minority youth by integrating macro-level approaches to future HIV prevention strategies. PMID:23688095

  7. Gender and Publishing in Nursing: a secondary analysis of h-index ranking tables.

    PubMed

    Porter, Sam

    2018-05-24

    To analyse published ranking tables on academics' h-index scores to establish whether male nursing academics are disproportionately represented in these tables compared with their representation across the whole profession. Previous studies have identified a disproportionate representation of UK male nursing academics in publishing in comparison to their US counterparts. Secondary statistical analysis, which involved comparative correlation of proportions. Four papers from the UK, Canada and Australia containing h-index ranking tables and published between 2010-2017, were re-analysed in June 2017 to identify authors' sex. Pearson's chi-squared test was applied to ascertain whether the number of men included in the tables was statistically proportionate to the number of men on the pertinent national professional register. There was a disproportionate number of men with high h-index scores in the UK and Canadian data sets, compared with the proportion of men on the pertinent national registers. The number of men in the Australian data set was proportionate with the number of men on the nursing register. There was a disproportionate number of male professors in UK universities. The influence of men over nursing publishing in the UK and Canada outweighs their representation across the whole profession. Similarly, in the UK, men's representation in the professoriate is disproportionately great. However, the Australian results suggest that gender inequality is not inevitable and that it is possible to create more egalitarian nursing cultures. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  8. The effect of school dismissal on rates of influenza-like illness in New York City schools during the spring 2009 novel H1N1 outbreak.

    PubMed

    Egger, Joseph R; Konty, Kevin J; Wilson, Elisha; Karpati, Adam; Matte, Thomas; Weiss, Don; Barbot, Oxiris

    2012-03-01

    The effects of individual school dismissal on influenza transmission have not been well studied. During the spring 2009 novel H1N1 outbreak, New York City implemented an individual school dismissal policy intended to limit influenza transmission at schools with high rates of influenza-like illness (ILI). Active disease surveillance data collected by the New York City Health Department on rates of ILI in schools were used to evaluate the impact. Sixty-four schools that met the Health Department's criteria for considering dismissal were included in the analysis. Twenty-four schools that met criteria subsequently dismissed all classes for approximately 1 school week. A regression model was fit to these data, estimating the effect of school dismissal on rates of in-school ILI following reconvening, adjusting for potential confounders. The model estimated that, on average, school dismissal reduced the rate of ILI by 7.1% over the entire average outbreak period. However, a large proportion of in-school ILI occurred before dismissal criteria were met. A separate model estimated that school absenteeism rates were not significantly affected by dismissal. Results suggest that individual school dismissal could be considered in situations where schools have a disproportionate number of high-risk students or may be unable to implement recommended preventive or infection control measures. Future work should focus on developing more sensitive indicators of early outbreak detection in schools and evaluating the impact of school dismissal on community transmission. © 2012, American School Health Association.

  9. Disproportionate impact of diabetes in a Puerto Rican community of Chicago.

    PubMed

    Whitman, Steve; Silva, Abigail; Shah, Ami M

    2006-12-01

    We assessed the impact of diabetes in a large Puerto Rican community of Chicago by measuring the prevalence of diagnosed diabetes and calculating the diabetes mortality rate. Data were analyzed from a comprehensive health survey conducted in randomly selected households in community areas. Questions on diagnosed diabetes and selected risk factors were asked. In addition, vital records data were analyzed in order to calculate the age-adjusted diabetes mortality rate. When possible, rates were compared to those found in other studies. The diabetes prevalence located in this community (20.8%: 95% CI = 10.1%-38.0%) is the highest ever reported for Puerto Ricans and one of the highest ever reported in the United States for a non-Native American population. For instance, it is twice the prevalence for Puerto Ricans in New York (11.3%) and Puerto Rico (9.3%-9.6%). Diagnosed diabetes was found to be significantly associated with obesity (p = 0.023). The prevalence was particularly high among older people, females, those born in the US, and those with a family history of diabetes. Notably, the diabetes mortality rate (67.6 per 100,000 population) was more than twice the rate for all of Chicago (31.2) and the US (25.4). Understanding why the diabetes prevalence and mortality rates for Puerto Ricans in this community are so much higher than those of other communities is imperative for primary and secondary prevention. Collaboration between researchers, service providers and community members can help address the issues of diabetes education, early screening and diagnosis, and effective treatment needed in this community.

  10. Culturally Sensitive Approaches to Identification and Treatment of Depression among HIV Infected African American Adults: A Qualitative Study of Primary Care Providers' Perspectives.

    PubMed

    Le, Huynh-Nhu; Hipolito, Maria Mananita S; Lambert, Sharon; Terrell-Hamilton, Flora; Rai, Narayan; McLean, Charlee; Kapetanovic, Suad; Nwulia, Evaristus

    2016-04-01

    Major depressive disorder (MDD) is highly prevalent among HIV-infected (HIV+) individuals, and is associated with non-adherence to antiretroviral therapy (ART), and accelerated disease progression. MDD is underdiagnosed and undertreated among low-income African Americans, who are disproportionately impacted by the HIV epidemic. To improve detection and treatment of depression among African Americans living with HIV/AIDS, it is important to understand culturally and contextually relevant aspects of MDD and attitudes about mental health treatment. A focus group session was conducted with seven providers and staff at a primary care center that serves a largely African-American community heavily impacted by the HIV epidemic in Washington, DC. Data were analyzed using an inductive approach to distill prominent themes, perspectives, and experiences among participating providers. Five themes emerged to characterize the lived experiences of HIV+ African-American patients: (a) Changes in perceptions of HIV over time; (b) HIV is comorbid with mental illness, particularly depression and substance abuse; (c) Stigma is associated with both HIV and depression; (d) Existing mental health services vary and are insufficient and (e) Suggestions for optimal treatment for comorbid HIV and depression. This study reflects the views of providers from one clinic in this community. Substantial economic disadvantage, pervasive childhood adversity, limited education and limited resources jointly put members of this community at risk for acquisition of HIV and for development of depression and addictions. These contextual factors provide an important reminder that any patient-level depression identification or intervention in this community will have to be mindful of such circumstances.

  11. A new familial intrauterine growth retardation syndrome the "3-M syndrome".

    PubMed

    Spranger, J; Opitz, J M; Nourmand, A

    1976-09-01

    Two pairs of siblings are described with proportionate dwarfism due to skeletal hypoplasia of prenatal onset. The head size was normal for age and disproportionately large for height. The patients had a characteristic face different from that seen in the Silver-Russell syndrome. The family data are in accordance with autosomal recessive inheritance. In spite of some similarities, the bulk of clinical and genetic evidence suggests that the described intrauterine growth retardation syndrome is different from the Silver-Russell syndrome and presents an apparently "new" entity which has been designated 3-M syndrome.

  12. Morphological plasticity of the depth generalist coral, Montastraea cavernosa, on mesophotic reefs in Bermuda.

    PubMed

    Goodbody-Gringley, Gretchen; Waletich, Justin

    2018-04-02

    Scleractinian corals have global ecological, structural, social, and economic importance that is disproportionately large relative to their areal extent. These reef building corals form the architectural framework for shallow water tropical reef systems, supporting the most productive and biologically diverse marine ecosystems on Earth (Veron, 1995). Reef-building scleractinian species are dependent on photosynthetic products supplied by symbiotic zooxanthellae of the genus Symbiodinium, restricting their distribution to the photic zone (Stambler, 2011). This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  13. 12 CFR 221.111 - Contribution to joint venture as extension of credit when the contribution is disproportionate to...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... credit when the contribution is disproportionate to the contributor's share in the venture's profits or... contributor's share in the venture's profits or losses. (a) The Board considered the question whether a joint... the right of participation in profits or losses, constitutes an “extension of credit” for the purpose...

  14. 12 CFR 221.111 - Contribution to joint venture as extension of credit when the contribution is disproportionate to...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... credit when the contribution is disproportionate to the contributor's share in the venture's profits or... share in the venture's profits or losses. (a) The Board considered the question whether a joint venture... of participation in profits or losses, constitutes an “extension of credit” for the purpose of this...

  15. 12 CFR 221.111 - Contribution to joint venture as extension of credit when the contribution is disproportionate to...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... credit when the contribution is disproportionate to the contributor's share in the venture's profits or... share in the venture's profits or losses. (a) The Board considered the question whether a joint venture... of participation in profits or losses, constitutes an “extension of credit” for the purpose of this...

  16. 12 CFR 221.111 - Contribution to joint venture as extension of credit when the contribution is disproportionate to...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... credit when the contribution is disproportionate to the contributor's share in the venture's profits or... share in the venture's profits or losses. (a) The Board considered the question whether a joint venture... of participation in profits or losses, constitutes an “extension of credit” for the purpose of this...

  17. 12 CFR 221.111 - Contribution to joint venture as extension of credit when the contribution is disproportionate to...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... credit when the contribution is disproportionate to the contributor's share in the venture's profits or... contributor's share in the venture's profits or losses. (a) The Board considered the question whether a joint... the right of participation in profits or losses, constitutes an “extension of credit” for the purpose...

  18. 42 CFR 412.106 - Special treatment: Hospitals that serve a disproportionate share of low-income patients.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... disproportionate share of low-income patients. 412.106 Section 412.106 Public Health CENTERS FOR MEDICARE...-income patients. (a) General considerations. (1) The factors considered in determining whether a hospital qualifies for a payment adjustment include the number of beds, the number of patient days, and the hospital...

  19. Parental Etiological Explanations and Disproportionate Racial/Ethnic Representation in Special Education Services for Youths with Emotional Disturbance

    ERIC Educational Resources Information Center

    Yeh, May; Forness, Steven R.; Ho, Judy; McCabe, Kristen

    2004-01-01

    Although there has been long concern about underidentification or misidentification of children with emotional or behavioral disorders in special education, recent attention has also been focused on disproportionate racial and ethnic representation of children in the school category of emotional disturbance (ED). There is evidence that African…

  20. Disproportionality of English Learners with Emotional and/or Behavioral Disorders: A Comparative Meta-Analysis with English Learners with Learning Disabilities

    ERIC Educational Resources Information Center

    Gage, Nicholas; Gersten, Russell; Sugai, George; Newman-Gonchar, Rebecca

    2013-01-01

    Disproportionate representation of English learners in special education has been a longstanding and ongoing concern. However, research examining disproportionate representation of English learners receiving special education services for emotional and/or behavioral disorders (EBD) has been limited. To address this gap, a meta-analysis of…

  1. Self-consciousness of disproportionate breast size: a primary psychological reaction to abnormal appearance.

    PubMed

    Harris, D L

    1983-04-01

    An hypothesis is proposed to answer two questions: "How do the symptoms that are the experience of subjects who are self-conscious of abnormal appearance develop?" and "Why do they develop in some people and not others?" The hypothesis is explained using the typical experiences of patients with disproportionate breast size as examples.

  2. Special Education Policy Change: Addressing the Disproportionality of English Language Learners in Special Education Programs in Rural Communities

    ERIC Educational Resources Information Center

    Barrio, Brenda L.

    2017-01-01

    Research suggests that disproportionate representation of culturally and linguistically diverse students in special education has been a recurring topic of concern in the field of special education within the United States. Over the past few years, this concern has shifted to focus on the disproportionate representation of English Language…

  3. Assessing the Anomalous Research on Hispanic Victimization: A Methodological Critique of a Victimological Enigma

    ERIC Educational Resources Information Center

    Brown, Ben

    2009-01-01

    This article provides an overview and critique of the research on Hispanic victimization. Analyses of data gathered prior to the mid- to late 1990s consistently show Hispanics were victimized at disproportionately high rates, but numerous recent studies indicate Hispanics were not victimized at disproportionately high rates. Given that research…

  4. Disproportionate Representation of Asian Students in Special Education: A Systematic Review of the Literature

    ERIC Educational Resources Information Center

    Kulkarni, Saili S.

    2017-01-01

    The disproportionate representation of students of color in special education is a critical issue within the field. To date, however, this issue has been positioned primarily through a Black-White binary. This review contended that Asian American students in the school system have been relatively ignored in terms of representation within special…

  5. Disproportionate Placement of African American Students in Special Education: Teacher Perceptions of the Referral Process

    ERIC Educational Resources Information Center

    Holmes, Courtney DeVeaux

    2017-01-01

    The aim of this qualitative study was to explore teachers' perceptions of the special education referral process that results in minority students being disproportionately placed in special education. To this end, five research questions guided the investigation: (1) What criteria do teachers use to inform decisions about student referrals for…

  6. A Systems Approach for Ameliorating Possible Prima Facie Denial of Hispanic/Black Students' Rights Through Disproportionate Enrollment in Special Education.

    ERIC Educational Resources Information Center

    McDonnell, James R.

    The paper discusses the issue of educational equity, principles of systems analysis, systems approaches in the educational milieu, the evaluation aspect of the systems approach, and application of the systems approach to preventing disproportionate enrollment of Hispanics and Blacks in special education classes in Holyoke, Massachusetts. The…

  7. Creating a Spiral of Silence through Disproportionate Exemplar Distribution: Does It Work?

    ERIC Educational Resources Information Center

    Perry, Stephen D.

    A study used disproportionate exemplar distributions to create a spiral of silence effect for a morally loaded issue. The effect of perception of public opinion on willingness to express an opinion was also examined. Three video news stories were created that would represent either a supporting, balanced, or opposing stance on the prayer in school…

  8. 26 CFR 1.141-9 - Unrelated or disproportionate use test.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... disproportionate private business use exceeds 5 percent of the proceeds of the issue. For this purpose, the private... used facility. (2) Use for the same purpose as government use. Use of a facility by a nongovernmental person for the same purpose as use by a governmental person is not treated as unrelated use if the...

  9. 26 CFR 1.141-9 - Unrelated or disproportionate use test.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... disproportionate private business use exceeds 5 percent of the proceeds of the issue. For this purpose, the private... used facility. (2) Use for the same purpose as government use. Use of a facility by a nongovernmental person for the same purpose as use by a governmental person is not treated as unrelated use if the...

  10. 26 CFR 1.141-9 - Unrelated or disproportionate use test.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... disproportionate private business use exceeds 5 percent of the proceeds of the issue. For this purpose, the private... used facility. (2) Use for the same purpose as government use. Use of a facility by a nongovernmental person for the same purpose as use by a governmental person is not treated as unrelated use if the...

  11. 26 CFR 1.141-9 - Unrelated or disproportionate use test.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... disproportionate private business use exceeds 5 percent of the proceeds of the issue. For this purpose, the private... used facility. (2) Use for the same purpose as government use. Use of a facility by a nongovernmental person for the same purpose as use by a governmental person is not treated as unrelated use if the...

  12. 26 CFR 1.141-9 - Unrelated or disproportionate use test.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... disproportionate private business use exceeds 5 percent of the proceeds of the issue. For this purpose, the private... used facility. (2) Use for the same purpose as government use. Use of a facility by a nongovernmental person for the same purpose as use by a governmental person is not treated as unrelated use if the...

  13. Disproportionate Suspension of African American Students in Public Schools: A Delphi Study

    ERIC Educational Resources Information Center

    Belcher, Nikia M.

    2012-01-01

    The problem addressed in this study was the disproportionate number of African American students who are suspended or expelled at a higher rate than their white counterparts in Michigan public schools. This research was framed with critical race theory and cultural ecology theory of African American students suspended. This study applied a Delphi…

  14. Disproportionately severe memory deficit in relation to normal intellectual functioning after closed head injury.

    PubMed Central

    Levin, H S; Goldstein, F C; High, W M; Eisenberg, H M

    1988-01-01

    The presence of disproportionate memory impairment with relatively preserved intellectual functioning was examined in 87 survivors of moderate or severe closed head injury. Approximately one-fourth of the patients tested at 5 to 15 and/or 16 to 42 months after injury manifested defective memory on both auditory and pictorial measures despite obtaining Wechsler Verbal and Performance Intelligence Quotients within the average range. The findings indicate that disproportionately severe memory deficit persists in a subgroup of closed head injured survivors which is reminiscent in some cases of the amnesic disturbance arising from other causes. Evaluation of long term memory in relation to cognitive ability could potentially identify important distinctions for prognosis and rehabilitation in head injured patients. PMID:3225586

  15. Reconciling biodiversity and carbon conservation.

    PubMed

    Thomas, Chris D; Anderson, Barbara J; Moilanen, Atte; Eigenbrod, Felix; Heinemeyer, Andreas; Quaife, Tristan; Roy, David B; Gillings, Simon; Armsworth, Paul R; Gaston, Kevin J

    2013-05-01

    Climate change is leading to the development of land-based mitigation and adaptation strategies that are likely to have substantial impacts on global biodiversity. Of these, approaches to maintain carbon within existing natural ecosystems could have particularly large benefits for biodiversity. However, the geographical distributions of terrestrial carbon stocks and biodiversity differ. Using conservation planning analyses for the New World and Britain, we conclude that a carbon-only strategy would not be effective at conserving biodiversity, as have previous studies. Nonetheless, we find that a combined carbon-biodiversity strategy could simultaneously protect 90% of carbon stocks (relative to a carbon-only conservation strategy) and > 90% of the biodiversity (relative to a biodiversity-only strategy) in both regions. This combined approach encapsulates the principle of complementarity, whereby locations that contain different sets of species are prioritised, and hence disproportionately safeguard localised species that are not protected effectively by carbon-only strategies. It is efficient because localised species are concentrated into small parts of the terrestrial land surface, whereas carbon is somewhat more evenly distributed; and carbon stocks protected in one location are equivalent to those protected elsewhere. Efficient compromises can only be achieved when biodiversity and carbon are incorporated together within a spatial planning process. © 2012 John Wiley & Sons Ltd/CNRS.

  16. Historical Temperature Variability Affects Coral Response to Heat Stress

    PubMed Central

    Carilli, Jessica; Donner, Simon D.; Hartmann, Aaron C.

    2012-01-01

    Coral bleaching is the breakdown of symbiosis between coral animal hosts and their dinoflagellate algae symbionts in response to environmental stress. On large spatial scales, heat stress is the most common factor causing bleaching, which is predicted to increase in frequency and severity as the climate warms. There is evidence that the temperature threshold at which bleaching occurs varies with local environmental conditions and background climate conditions. We investigated the influence of past temperature variability on coral susceptibility to bleaching, using the natural gradient in peak temperature variability in the Gilbert Islands, Republic of Kiribati. The spatial pattern in skeletal growth rates and partial mortality scars found in massive Porites sp. across the central and northern islands suggests that corals subject to larger year-to-year fluctuations in maximum ocean temperature were more resistant to a 2004 warm-water event. In addition, a subsequent 2009 warm event had a disproportionately larger impact on those corals from the island with lower historical heat stress, as indicated by lower concentrations of triacylglycerol, a lipid utilized for energy, as well as thinner tissue in those corals. This study indicates that coral reefs in locations with more frequent warm events may be more resilient to future warming, and protection measures may be more effective in these regions. PMID:22479626

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

    Wangel, Josefin, E-mail: josefin.wangel@abe.kth.se; Wallhagen, Marita, E-mail: marita.wallhagen@hig.se; Department of Building, Energy and Environmental Engineering, University of Gävle, SE-801 76 Gävle

    Certification systems for sustainable neighbourhoods started to emerge around a decade ago. This study analysed the content, structure, weighting and indicators of two established certification systems for sustainable urban development – BREEAM Communities and LEED for Neighborhood Development. Several limitations of these systems were identified: both have a bias for procedure and feature indicators over indicators that assess actual performance; performance demands are set according to a relative understanding of sustainable development; the focus is on internal sustainability, while upstream and downstream impacts of construction are disregarded; the number and distribution of mandatory issues do not cover essential sustainability aspects;more » and the disproportionately large number of non-mandatory issues makes benchmarking difficult and signals that sustainability aspects are exchangeable. Altogether, this means that an area can be certified without being sustainable. Moreover, the lack of continuous development of certification requirements in the systems means that they risk exerting a conservative effect on urban development, rather than pushing it forward. - Highlights: • BREEAM-C and LEED-ND were analysed in terms of content and structure. • Specific attention was given to the type of indicators used for showing compliance. • In both systems procedure and feature indicators dominate over performance indicators. • Several other limitations of these certification systems were also identified. • Altogether the limitations imply that a certificate does not warrant sustainability.« less

  18. Agricultural Leaders' Influence on the Safety Culture of Workers.

    PubMed

    Gasperini, Frank A

    2017-01-01

    Most US farmers are small, independent owner-operators, many of whom are exempt from safety regulation and enforcement, as well as age restrictions relative to family members performing hazardous tasks. These smaller farms account for a disproportionate share of the total fatality and injury statistics from farming incidents, contributing to an agriculture-industry death rate that is seven times greater than all occupations combined. In contrast, large agricultural enterprises that employ larger numbers of non-family workers are more regulated and more highly incentivized by economic, supply chain, and societal factors to implement cultures of safety, and are more readily influenced by agricultural opinion leaders, agribusinesses, farm organizations, and agricultural media. These agricultural influencer institutions must find ways to play more significant roles in changing the culture on operations that use only family labor. They will find willing partners in safety organizations such as the Agricultural Safety and Health Council of America (ASHCA), Agricultural Extension, and other health and safety advocates, including the National Institute for Occupational Safety and Health (NIOSH)-funded agricultural research centers. The overall workplace injury statistics for agriculture remain alarming; however, with leadership from the larger farm operations, and help from ASHCA, academia, the healthcare community, and others, the current culture of workplace safety and health in agriculture can be impacted in positive ways.

  19. Authors and editors assort on gender and geography in high-rank ecological publications

    PubMed Central

    Belou, Rebecca M.

    2018-01-01

    Peer-reviewed publication volume and caliber are widely-recognized proxies for academic merit, and a strong publication record is essential for academic success and advancement. However, recent work suggests that publication productivity for particular author groups may also be determined in part by implicit biases lurking in the publication pipeline. Here, we explore patterns of gender, geography, and institutional rank among authors, editorial board members, and handling editors in high-impact ecological publications during 2015 and 2016. A higher proportion of lead authors had female first names (33.9%) than editorial board members (28.9%), and the proportion of female first names among handling editors was even lower (21.1%). Female editors disproportionately edited publications with female lead authors (40.3% of publications with female lead authors were handled by female editors, though female editors handled only 34.4% of all studied publications). Additionally, ecological authors and editors were overwhelmingly from countries in the G8, and high-ranking academic institutions accounted for a large portion of both the published work, and its editorship. Editors and lead authors with female names were typically affiliated with higher-ranking institutions than their male peers. This description of author and editor features provides a baseline for benchmarking future trends in the ecological publishing culture. PMID:29420647

  20. Major depressive disorder and type II diabetes mellitus: mechanisms underlying risk for Alzheimer's disease.

    PubMed

    Cha, Danielle S; Carvalho, Andre F; Rosenblat, Joshua D; Ali, Muna M; McIntyre, Roger S

    2014-01-01

    Objectives/Introduction: Major Depressive Disorder is associated age-related medical conditions (e.g., diabetes mellitus type II, Alzheimer's disease) that frequently manifest at an earlier age, contributing to excess and premature mortality. The foregoing observation provides the impetus to further refine potential mechanisms and molecular pathways subserving these disorders in order to more effectively treat these clinical populations by aiming to reduce and prevent cognitive impairment as well as downstream neurodegeneration. A review of computerized databases was performed to identify original studies that investigated the impact of the independent and comorbid association of major depressive disorder and type II diabetes mellitus on cognitive function and conversion to Alzheimer's disease. English-written articles were selected for review based on the adequacy of sample size, the use of standardized diagnostic instruments, and validated assessment measures. Individuals with persistent neuropsychiatric illness account for a disproportionate overall burden of disability mediated largely by decrements in cognitive performance. Mixed results from epidemiological and clinical studies suggest that insulin may mediate and/or moderate risk for cognitive dysfunction in subsets of individuals. Moreover, physiological changes, such as insulin resistance and the activation of neuroimmunoinflammatory systems result in glial and neuroendangerment. Disturbances in the metabolic milieu exert a neurotoxic effect on the central nervous system and poses a hazard to other organ systems.

  1. The American Quarter Horse: Population Structure and Relationship to the Thoroughbred

    PubMed Central

    2014-01-01

    A breed known for its versatility, the American Quarter Horse (QH), is increasingly bred for performance in specific disciplines. The impact of selective breeding on the diversity and structure of the QH breed was evaluated using pedigree analysis and genome-wide SNP data from horses representing 6 performance groups (halter, western pleasure, reining, working cow, cutting, and racing). Genotype data (36 037 single nucleotide polymorphisms [SNPs]) from 36 Thoroughbreds were also evaluated with those from the 132 performing QHs to evaluate the Thoroughbred’s influence on QH diversity. Results showed significant population structure among all QH performance groups excepting the comparison between the cutting and working cow horses; divergence was greatest between the cutting and racing QHs, the latter of which had a large contribution of Thoroughbred ancestry. Significant coancestry and the potential for inbreeding exist within performance groups, especially when considering the elite performers. Relatedness within performance groups is increasing with popular sires contributing disproportionate levels of variation to each discipline. Expected heterozygosity, inbreeding, F ST, cluster, and haplotype analyses suggest these QHs can be broadly classified into 3 categories: stock, racing, and pleasure/halter. Although the QH breed as a whole contains substantial genetic diversity, current breeding practices have resulted in this variation being sequestered into subpopulations. PMID:24293614

  2. Authors and editors assort on gender and geography in high-rank ecological publications.

    PubMed

    Manlove, Kezia R; Belou, Rebecca M

    2018-01-01

    Peer-reviewed publication volume and caliber are widely-recognized proxies for academic merit, and a strong publication record is essential for academic success and advancement. However, recent work suggests that publication productivity for particular author groups may also be determined in part by implicit biases lurking in the publication pipeline. Here, we explore patterns of gender, geography, and institutional rank among authors, editorial board members, and handling editors in high-impact ecological publications during 2015 and 2016. A higher proportion of lead authors had female first names (33.9%) than editorial board members (28.9%), and the proportion of female first names among handling editors was even lower (21.1%). Female editors disproportionately edited publications with female lead authors (40.3% of publications with female lead authors were handled by female editors, though female editors handled only 34.4% of all studied publications). Additionally, ecological authors and editors were overwhelmingly from countries in the G8, and high-ranking academic institutions accounted for a large portion of both the published work, and its editorship. Editors and lead authors with female names were typically affiliated with higher-ranking institutions than their male peers. This description of author and editor features provides a baseline for benchmarking future trends in the ecological publishing culture.

  3. Immigration to the United States: Recent Trends and Future Prospects+

    PubMed Central

    Hirschman, Charles

    2014-01-01

    Almost 13 per cent of the American population is foreign born, and if the children of the foreign born are included, about 1 in 4 Americans can be counted as part of the recent immigrant community. Although there is lingering prejudice and popular fears of immigrants, there is growing evidence that, on balance, immigrants make a positive contribution to the American economy and society. There is little evidence that immigrants have an adverse impact on the wages and employment of native born Americans. Moreover, immigrants and their children are disproportionately represented in a broad variety of scientific and cultural fields. PMID:25620887

  4. EPA's Sustainable Port Communities: Anticipating Changes in ...

    EPA Pesticide Factsheets

    Port Communities Face Many Challenges: • Climate change – Sea Level Rise, Extreme Events: “Assets” become Vulnerabilities; Nuisance flooding; Changes in waste water and stormwater capacity; Changes in near-shore ecology and water quality • Port Expansion: Increasing multi-modal cargo transport, bigger ships; Energy use, transport; Invasive species; Homeland security; Increased development pressure (land use); Population growth • EJ Communities: Hazardous waste, cargo; Changes in emissions (amount, type, distribution) Changes in demographics, real estate values Disproportionately impacted by climate change • Competing Economic Interests Tourism and historical resources Protection of ecosystem services To make other federal agencies involved in resilience research aware of our study and to solicit collaboration.

  5. Urbanization in Africa since independence.

    PubMed

    Tarver, J D

    1994-01-01

    Over 185 million inhabitants were added to the urban areas of Africa between 1950 and 1990. Botswana, Lesotho, Namibia, South Africa, and Swaziland is the most highly urbanized, with 55% in 1990; while less than a quarter of Eastern Africa's population is living in urban centers. By the year 2015 more than half of Africa's population will be living in urban areas. Many parts of Africa have suffered prolonged droughts, overgrazing, locust infestations, and desertification. Millions have become refugees from natural disasters, political oppression, and rural poverty. The large exodus from Africa's rural areas has gone to cities but the large cities have attracted disproportionately large numbers of destitute migrants. Alexandria (1 million), Cairo (2.4 million) and the Witwatersrand in South Africa were the only African urban agglomerations with at least one million inhabitants in 1950. By 1990 the two Egyptian cities together had 12.7 million inhabitants and the Witwatersrand some 5 million, whereas the other 25 urban agglomerations with a million inhabitants each in 1990 had a total population of about 51 million. Lagos, Kinshasa, and Algiers ranged from 3 to 7.7 million. The capitals are the largest cities in at least 54 of the 59 countries and territories. Lagos, Nairobi, and Dar es Salaam are disproportionately larger than the next most populous cities in their countries. The 28 urban agglomerations with at least one million inhabitants had a total population of 70 million in 1990, and are projected to reach 100 million in the year 2000. Overall, Africa's urban population is projected to increase by approximately 135 million in the 1990-2000 decade (from 217 million to 352 million). About 105 million of the growth probably will occur in the smaller urban centers. The total African urban population is likely to reach one billion inhabitants within the next 50 years. It stood at 32 million in 1950. Presently, the United Nations projects 912 million urban residents (57% of the total population) by 2025.

  6. Extended Twilight among Isogenic C. elegans Causes a Disproportionate Scaling between Lifespan and Health.

    PubMed

    Zhang, William B; Sinha, Drew B; Pittman, William E; Hvatum, Erik; Stroustrup, Nicholas; Pincus, Zachary

    2016-10-26

    Although many genetic factors and lifestyle interventions are known to affect the mean lifespan of animal populations, the physiological variation displayed by individuals across their lifespans remains largely uncharacterized. Here, we use a custom culture apparatus to continuously monitor five aspects of aging physiology across hundreds of isolated Caenorhabditis elegans individuals kept in a constant environment from hatching until death. Aggregating these measurements into an overall estimate of senescence, we find two chief differences between longer- and shorter-lived individuals. First, though long- and short-lived individuals are physiologically equivalent in early adulthood, longer-lived individuals experience a lower rate of physiological decline throughout life. Second, and counter-intuitively, long-lived individuals have a disproportionately extended "twilight" period of low physiological function. While longer-lived individuals experience more overall days of good health, their proportion of good to bad health, and thus their average quality of life, is systematically lower than that of shorter-lived individuals. We conclude that, within a homogeneous population reared under constant conditions, the period of early-life good health is comparatively uniform, and the most plastic period in the aging process is end-of-life senescence. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Vantage Sensitivity: Environmental Sensitivity to Positive Experiences as a Function of Genetic Differences.

    PubMed

    Pluess, Michael

    2017-02-01

    A large number of gene-environment interaction studies provide evidence that some people are more likely to be negatively affected by adverse experiences as a function of specific genetic variants. However, such "risk" variants are surprisingly frequent in the population. Evolutionary analysis suggests that genetic variants associated with increased risk for maladaptive development under adverse environmental conditions are maintained in the population because they are also associated with advantages in response to different contextual conditions. These advantages may include (a) coexisting genetic resilience pertaining to other adverse influences, (b) a general genetic susceptibility to both low and high environmental quality, and (c) a coexisting propensity to benefit disproportionately from positive and supportive exposures, as reflected in the recent framework of vantage sensitivity. After introducing the basic properties of vantage sensitivity and highlighting conceptual similarities and differences with diathesis-stress and differential susceptibility patterns of gene-environment interaction, selected and recent empirical evidence for the notion of vantage sensitivity as a function of genetic differences is reviewed. The unique contribution that the new perspective of vantage sensitivity may make to our understanding of social inequality will be discussed after suggesting neurocognitive and molecular mechanisms hypothesized to underlie the propensity to benefit disproportionately from benevolent experiences. © 2015 Wiley Periodicals, Inc.

  8. Models of energy homeostasis in response to maintenance of reduced body weight

    PubMed Central

    Rosenbaum, Michael; Leibel, Rudolph L.

    2016-01-01

    Objective To test 3 proposed models for adaptive thermogenesis in compartments of energy expenditure following different degrees of weight loss. Specifically, 1.) There is no adaptive thermogenesis (constant relationship of energy expenditure (EE) to metabolic mass). 2.) There is a fixed degree of adaptive thermogenesis once fat stores are below a “threshold”. 3.) The degree of adaptive thermogenesis is proportional to weight loss. Methods The relationship between weight loss and EE was examined in seventeen weight stable in-patient subjects with obesity studied at usual weight and again following a 10% and a 20% weight loss. Results Following initial weight loss (10%), resting (REE) and non-resting (NREE) EE were significantly below those predicted on the basis of the amount and composition of weight lost. Further reductions below predicted values of NREE but not REE occurred following an additional 10% weight loss. Changes in body weight, composition, and/or energy stores were significantly correlated with changes in EE. Conclusion All models are applicable to the decline in EE following weight loss. The disproportionate decline in REE is consistent with a threshold model (no change with further weight loss) while the disproportionate decline in NREE is largely reflective of the degree of weight loss. PMID:27460711

  9. Gender Differences in the Consequences of Divorce: A Study of Multiple Outcomes.

    PubMed

    Leopold, Thomas

    2018-06-01

    In this study, I examined gender differences in the consequences of divorce by tracing annual change in 20 outcome measures covering four domains: economic, housing and domestic, health and well-being, and social. I used data from the German Socio-Economic Panel Study (SOEP) and fixed-effects panel regression models on a sample of N = 18,030 individuals initially observed in a marital union, N = 1,220 of whom divorced across the observation period (1984-2015). Three main findings emerged from the analysis. First, men were more vulnerable to short-term consequences of divorce for subjective measures of well-being, but postdivorce adaptation alleviated gender differences in these outcomes. Second, a medium-term view on multiple outcomes showed more similarity than differences between women and men. The medium-term consequences of divorce were similar in terms of subjective economic well-being; mental health, physical health, and psychological well-being; residential moves, homeownership, and satisfaction with housework; and chances of repartnering, social integration with friends and relatives, and feelings of loneliness. Third, the key domain in which large and persistent gender differences emerged were women's disproportionate losses in household income and associated increases in their risk of poverty and single parenting. Taken together, these findings suggest that men's disproportionate strain of divorce is transient, whereas women's is chronic.

  10. Risk factors among handgun retailers for frequent and disproportionate sales of guns used in violent and firearm related crimes

    PubMed Central

    Wintemute, G; Cook, P; Wright, M

    2005-01-01

    Objective: To determine the retailer and community level factors associated with frequent and disproportionate sales of handguns that are later used in violent and firearm related crimes (VFC handguns). Design: Cross sectional. The authors used California records to identify all handguns sold by study subjects during 1996–2000 and federal gun tracing records to determine which of these guns had been recovered by a police agency in the US or elsewhere and traced by 30 September 2003. Subjects and setting: The 421 licensed gun retailers in California selling at least 100 handguns annually during 1996–2000. Main outcome measure: The number of VFC handguns per 1000 gun years of exposure. Differences are expressed as incidence rate ratios (RR) with 95% confidence intervals (CI). Results: Subjects accounted for 11.7% of California retailers with handgun sales, 81.5% of handgun sales, and 85.5% of VFC handguns. Among subjects, the 3426 VFC handguns accounted for 48.0% of all traced handguns and 65.0% of those linked to a specified crime. The median VFC handgun trace rate was 0.5/1000 gun years (range 0–8.8). In multivariate analysis, this rate increased substantially for each single-point increase in the percentage of proposed sales that were denied because the purchasers were prohibited from owning guns (RR 1.43; 95% CI 1.32 to 1.56), and was increased for pawnbrokers (RR 1.26; 95% CI 1.02 to 1.55). Community level crime rates and sociodemographics had little predictive value. Conclusions: Risk factors, largely determined at the retailer level, exist for frequent and disproportionate sales of handguns that are later used in violent and firearm related crimes. Screening to identify high risk retailers could be undertaken with data that are already available. PMID:16326771

  11. Cluster-Randomized Trial to Increase Hepatitis B Testing among Koreans in Los Angeles

    PubMed Central

    Bastani, Roshan; Glenn, Beth A.; Maxwell, Annette E.; Jo, Angela M.; Herrmann, Alison K.; Crespi, Catherine M.; Wong, Weng K.; Chang, L. Cindy; Stewart, Susan L.; Nguyen, Tung T.; Chen, Moon S.; Taylor, Victoria M.

    2015-01-01

    Background In the United States, Korean immigrants experience a disproportionately high burden of chronic hepatitis B (HBV) viral infection and associated liver cancer compared to the general population. However, despite clear clinical guidelines, HBV serologic testing among Koreans remains persistently sub-optimal. Methods We conducted a cluster-randomized trial to evaluate a church-based small group intervention to improve HBV testing among Koreans in Los Angeles. Fifty-two Korean churches, stratified by size (small, medium, large) and location (Koreatown versus other), were randomized to intervention or control conditions. Intervention church participants attended a single-session small-group discussion on liver cancer and HBV testing and control church participants attended a similar session on physical activity and nutrition. Outcome data consisted of self-reported HBV testing obtained via 6-month telephone follow-up interviews. Results We recruited 1123 individuals, 18-64 years of age, across the 52 churches. Ninety-two percent of the sample attended the assigned intervention session and 86% completed the 6-month follow-up. Sample characteristics included: mean age 46 years, 65% female, 97% born in Korea, 69% completed some college, and 43% insured. In an intent-to-treat analysis, the intervention produced a statistically significant effect (OR = 4.9, p < .001), with 19% of intervention and 6% of control group participants reporting a HBV test. Conclusion Our intervention was successful in achieving a large and robust effect in a population at high risk of HBV infection and sequelae. Impact The intervention was fairly resource efficient and thus has high potential for replication in other high-risk Asian groups. PMID:26104909

  12. Increased sediment loads cause non-linear decreases in seagrass suitable habitat extent

    PubMed Central

    Atkinson, Scott; Klein, Carissa Joy; Weber, Tony; Possingham, Hugh P.

    2017-01-01

    Land-based activities, including deforestation, agriculture, and urbanisation, cause increased erosion, reduced inland and coastal water quality, and subsequent loss or degradation of downstream coastal marine ecosystems. Quantitative approaches to link sediment loads from catchments to metrics of downstream marine ecosystem state are required to calculate the cost effectiveness of taking conservation actions on land to benefits accrued in the ocean. Here we quantify the relationship between sediment loads derived from landscapes to habitat suitability of seagrass meadows in Moreton Bay, Queensland, Australia. We use the following approach: (1) a catchment hydrological model generates sediment loads; (2) a statistical model links sediment loads to water clarity at monthly time-steps; (3) a species distribution model (SDM) factors in water clarity, bathymetry, wave height, and substrate suitability to predict seagrass habitat suitability at monthly time-steps; and (4) a statistical model quantifies the effect of sediment loads on area of seagrass suitable habitat in a given year. The relationship between sediment loads and seagrass suitable habitat is non-linear: large increases in sediment have a disproportionately large negative impact on availability of seagrass suitable habitat. Varying the temporal scale of analysis (monthly vs. yearly), or varying the threshold value used to delineate predicted seagrass presence vs. absence, both affect the magnitude, but not the overall shape, of the relationship between sediment loads and seagrass suitable habitat area. Quantifying the link between sediment produced from catchments and extent of downstream marine ecosystems allows assessment of the relative costs and benefits of taking conservation actions on land or in the ocean, respectively, to marine ecosystems. PMID:29125843

  13. Observed high-altitude warming and snow cover retreat over Tibet and the Himalayas enhanced by black carbon aerosols

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

    Xu, Y.; Ramanathan, V.; Washington, W. M.

    Himalayan mountain glaciers and the snowpack over the Tibetan Plateau provide the headwater of several major rivers in Asia. In situ observations of snow cover extent since the 1960s suggest that the snowpack in the region have retreated significantly, accompanied by a surface warming of 2–2.5°C observed over the peak altitudes (5000 m). Using a high-resolution ocean–atmosphere global climate model and an observationally constrained black carbon (BC) aerosol forcing, we attribute the observed altitude dependence of the warming trends as well as the spatial pattern of reductions in snow depths and snow cover extent to various anthropogenic factors. At themore » Tibetan Plateau altitudes, the increase in atmospheric CO 2 concentration exerted a warming of 1.7°C, BC 1.3°C where as cooling aerosols cause about 0.7°C cooling, bringing the net simulated warming consistent with the anomalously large observed warming. We therefore conclude that BC together with CO 2 has contributed to the snow retreat trends. In particular, BC increase is the major factor in the strong elevation dependence of the observed surface warming. The atmospheric warming by BC as well as its surface darkening of snow is coupled with the positive snow albedo feedbacks to account for the disproportionately large role of BC in high-elevation regions. Here, these findings reveal that BC impact needs to be properly accounted for in future regional climate projections, in particular on high-altitude cryosphere.« less

  14. Observed high-altitude warming and snow cover retreat over Tibet and the Himalayas enhanced by black carbon aerosols

    DOE PAGES

    Xu, Y.; Ramanathan, V.; Washington, W. M.

    2016-02-05

    Himalayan mountain glaciers and the snowpack over the Tibetan Plateau provide the headwater of several major rivers in Asia. In situ observations of snow cover extent since the 1960s suggest that the snowpack in the region have retreated significantly, accompanied by a surface warming of 2–2.5°C observed over the peak altitudes (5000 m). Using a high-resolution ocean–atmosphere global climate model and an observationally constrained black carbon (BC) aerosol forcing, we attribute the observed altitude dependence of the warming trends as well as the spatial pattern of reductions in snow depths and snow cover extent to various anthropogenic factors. At themore » Tibetan Plateau altitudes, the increase in atmospheric CO 2 concentration exerted a warming of 1.7°C, BC 1.3°C where as cooling aerosols cause about 0.7°C cooling, bringing the net simulated warming consistent with the anomalously large observed warming. We therefore conclude that BC together with CO 2 has contributed to the snow retreat trends. In particular, BC increase is the major factor in the strong elevation dependence of the observed surface warming. The atmospheric warming by BC as well as its surface darkening of snow is coupled with the positive snow albedo feedbacks to account for the disproportionately large role of BC in high-elevation regions. Here, these findings reveal that BC impact needs to be properly accounted for in future regional climate projections, in particular on high-altitude cryosphere.« less

  15. THE CRIMINAL PSYCHOPATH: HISTORY, NEUROSCIENCE, TREATMENT, AND ECONOMICS

    PubMed Central

    Kiehl, Kent A.; Hoffman, Morris B.

    2014-01-01

    The manuscript surveys the history of psychopathic personality, from its origins in psychiatric folklore to its modern assessment in the forensic arena. Individuals with psychopathic personality, or psychopaths, have a disproportionate impact on the criminal justice system. Psychopaths are twenty to twenty-five times more likely than non-psychopaths to be in prison, four to eight times more likely to violently recidivate compared to non-psychopaths, and are resistant to most forms of treatment. This article presents the most current clinical efforts and neuroscience research in the field of psychopathy. Given psychopathy’s enormous impact on society in general and on the criminal justice system in particular, there are significant benefits to increasing awareness of the condition. This review also highlights a recent, compelling and cost-effective treatment program that has shown a significant reduction in violent recidivism in youth on a putative trajectory to psychopathic personality. PMID:24944437

  16. Clinical anatomy of fecal incontinence in women.

    PubMed

    Kadam-Halani, Priyanka K; Arya, Lily A; Andy, Uduak U

    2017-10-01

    Fecal incontinence is a devastating condition that has a severe impact on quality of life. This condition disproportionately affects women and its incidence is increasing with the aging United States population. Fecal continence is maintained by coordination of a functioning anal sphincter complex, intact sensation of the anorectum, rectal compliance, and the ability to consciously control defecation. Particularly important are the puborectalis sling of the levator ani muscle complex and intact innervation of the central and peripheral nervous systems. An understanding of the intricate anatomy required to maintain continence and regulate defecation will help clinicians to provide appropriate medical and surgical management and diminish the negative impact of fecal incontinence. In this article, we describe the anatomic and neural basis of fecal continence and normal defecation as well as changes that occur with fecal incontinence in women. Clin. Anat. 30:901-911, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  17. Developing Concurrency Messages for the Black Community in Seattle, Washington

    PubMed Central

    Chapman, Caitlin Hughes; Clad, Rachel; Murray, Kate; Foster, Jennifer; Morris, Martina; Parks, Malcolm R.; Kurth, Ann Elizabeth

    2013-01-01

    In the United States, Blacks are disproportionately impacted by HIV/AIDS. Sexual networks and concurrent relationships have emerged as important contributors to the heterosexual transmission of HIV. To date, Africa is the only continent where an understanding of the impact of sexual concurrency has been conveyed in HIV prevention messaging. This project was developed by researchers and members of the Seattle, WA African American and African-Born communities, using the principles of community-based participatory research (CBPR). Interest in developing concurrency messaging came from the community and resulted in the successful submission of a community-academic partnership proposal to develop and disseminate HIV prevention messaging around concurrency. We describe: (a) the development of concurrency messaging through the integration of collected formative data and findings from the scientific literature; (b) the process of disseminating the message in the local Black community; and (c) important factors to consider in the development of similar campaigns. PMID:23206202

  18. The European functional tree of bird life in the face of global change

    PubMed Central

    Thuiller, Wilfried; Pironon, Samuel; Psomas, Achilleas; Barbet-Massin, Morgane; Jiguet, Frédéric; Lavergne, Sébastien; Pearman, Peter B.; Renaud, Julien; Zupan, Laure; Zimmermann, Niklaus E.

    2014-01-01

    Despite the recognized joint impact of climate and land cover change on facets of biodiversity and their associated functions, risk assessments have primarily evaluated impacts on species ranges and richness. Here we quantify the sensitivity of the functional structure of European avian assemblages to changes in both regional climate and land cover. We combine species range forecasts with functional trait information. We show that species sensitivity to environmental change is randomly distributed across the functional tree of the European avifauna and that functionally unique species are not disproportionately threatened by 2080. However, projected species range changes will modify the mean species richness and functional diversity of bird diets and feeding behaviours. This will unequally affect the spatial structure of functional diversity, leading to homogenization across Europe. Therefore, global changes may alter the functional structure of species assemblages in the future in ways that need to be accounted for in conservation planning. PMID:24452245

  19. The Food and Drug Administration Office of Women's Health: Impact of Science on Regulatory Policy: An Update.

    PubMed

    Elahi, Merina; Eshera, Noha; Bambata, Nkosazana; Barr, Helen; Lyn-Cook, Beverly; Beitz, Julie; Rios, Maria; Taylor, Deborah R; Lightfoote, Marilyn; Hanafi, Nada; DeJager, Lowri; Wiesenfeld, Paddy; Scott, Pamela E; Fadiran, Emmanuel O; Henderson, Marsha B

    2016-03-01

    The U.S. Food and Drug Administration Office of Women's Health (FDA OWH) has supported women's health research for ∼20 years, funding more than 300 studies on women's health issues, including research on diseases/conditions that disproportionately affect women in addition to the evaluation of sex differences in the performance of and response to medical products. These important women's health issues are studied from a regulatory perspective, with a focus on improving and optimizing medical product development and the evaluation of product safety and efficacy in women. These findings have influenced industry direction, labeling, product discontinuation, safety notices, and clinical practice. In addition, OWH-funded research has addressed gaps in the knowledge about diseases and medical conditions that impact women across the life span such as cardiovascular disease, pregnancy, menopause, osteoporosis, and the safe use of numerous medical products.

  20. The Food and Drug Administration Office of Women's Health: Impact of Science on Regulatory Policy: An Update

    PubMed Central

    Elahi, Merina; Eshera, Noha; Bambata, Nkosazana; Barr, Helen; Lyn-Cook, Beverly; Beitz, Julie; Rios, Maria; Taylor, Deborah R.; Lightfoote, Marilyn; Hanafi, Nada; DeJager, Lowri; Wiesenfeld, Paddy; Scott, Pamela E.; Henderson, Marsha B.

    2016-01-01

    Abstract The U.S. Food and Drug Administration Office of Women's Health (FDA OWH) has supported women's health research for ∼20 years, funding more than 300 studies on women's health issues, including research on diseases/conditions that disproportionately affect women in addition to the evaluation of sex differences in the performance of and response to medical products. These important women's health issues are studied from a regulatory perspective, with a focus on improving and optimizing medical product development and the evaluation of product safety and efficacy in women. These findings have influenced industry direction, labeling, product discontinuation, safety notices, and clinical practice. In addition, OWH-funded research has addressed gaps in the knowledge about diseases and medical conditions that impact women across the life span such as cardiovascular disease, pregnancy, menopause, osteoporosis, and the safe use of numerous medical products. PMID:26871618

  1. A colossal impact enriched Mars' mantle with noble metals

    NASA Astrophysics Data System (ADS)

    Brasser, R.; Mojzsis, S. J.

    2017-06-01

    Once the terrestrial planets had mostly completed their assembly, bombardment continued by planetesimals left over from accretion. Highly siderophile element (HSE) abundances in Mars' mantle imply that its late accretion supplement was 0.8 wt %; Earth and the Moon obtained an additional 0.7 wt % and 0.02 wt %, respectively. The disproportionately high Earth/Moon accretion ratio is explicable by stochastic addition of a few remaining Ceres-sized bodies that preferentially targeted Earth. Here we show that Mars' late accretion budget also requires a colossal impact, a plausible visible remnant of which is the emispheric dichotomy. The addition of sufficient HSEs to the Martian mantle entails an impactor of at least 1200 km in diameter to have struck Mars before 4430 Ma, by which time crust formation was well underway. Thus, the dichotomy could be one of the oldest geophysical features of the Martian crust. Ejected debris could be the source material for its satellites.

  2. An Exploration of School Leadership Perspectives on the Disproportionate Placement of African American Males in the Serious Emotional Disability Category of Special Education

    ERIC Educational Resources Information Center

    Mattocks, LaVerne Lynette

    2016-01-01

    Since 1968, researchers have been questioning the pertinence of special education programs and the prevalence of African American males identified for participation. This exploration uses a constructivist grounded theory framework to inquire about administrative perspectives on the disproportionate number of African American males in special…

  3. Exclusionary Discipline Highest in New Hampshire's Urban Schools: Suspension and Expulsion Found to Disproportionately Affect Disadvantaged Students. Regional Issue Brief Number 46

    ERIC Educational Resources Information Center

    Gagnon, Douglas J.; Jaffee, Eleanor M.; Kennedy, Reeve

    2016-01-01

    Exclusionary school discipline--that is, suspension and expulsion--disproportionately affects already disadvantaged students on both the national and state levels. In New Hampshire, students attending larger urban schools, male students, students of color, students eligible for free and reduced-price lunch, students with disabilities, and homeless…

  4. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... to an altered area containing a primary function disproportionate to the costs of the overall... area containing a primary function are disproportionate to the costs of the overall alterations when...

  5. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... to an altered area containing a primary function disproportionate to the costs of the overall... area containing a primary function are disproportionate to the costs of the overall alterations when...

  6. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... to an altered area containing a primary function disproportionate to the costs of the overall... area containing a primary function are disproportionate to the costs of the overall alterations when...

  7. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... to an altered area containing a primary function disproportionate to the costs of the overall... area containing a primary function are disproportionate to the costs of the overall alterations when...

  8. 41 CFR 102-76.70 - When are the costs of alterations to provide an accessible path of travel to an altered area...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... alterations to provide an accessible path of travel to an altered area containing a primary function... to an altered area containing a primary function disproportionate to the costs of the overall... area containing a primary function are disproportionate to the costs of the overall alterations when...

  9. 42 CFR 447.294 - Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014 and Federal fiscal year 2015. 447.294 Section 447.294 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR...

  10. 42 CFR 447.294 - Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014 and Federal fiscal year 2015. 447.294 Section 447.294 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR...

  11. Eddy covariance flux measurements of net ecosystem carbon dioxide exchange from a lowland peatland flux tower network in England and Wales

    NASA Astrophysics Data System (ADS)

    Morrison, Ross; Balzter, Heiko; Burden, Annette; Callaghan, Nathan; Cumming, Alenander; Dixon, Simon; Evans, Jonathan; Kaduk, Joerg; Page, Susan; Pan, Gong; Rayment, Mark; Ridley, Luke; Rylett, Daniel; Worrall, Fred; Evans, Christopher

    2016-04-01

    Peatlands store disproportionately large amounts of soil carbon relative to other terrestrial ecosystems. Over recent decades, the large amount of carbon stored as peat has proved vulnerable to a range of land use pressures as well as the increasing impacts of climate change. In temperate Europe and elsewhere, large tracts of lowland peatland have been drained and converted to agricultural land use. Such changes have resulted in widespread losses of lowland peatland habitat, land subsidence across extensive areas and the transfer of historically accumulated soil carbon to the atmosphere as carbon dioxide (CO2). More recently, there has been growth in activities aiming to reduce these impacts through improved land management and peatland restoration. Despite a long history of productive land use and management, the magnitude and controls on greenhouse gas emissions from lowland peatland environments remain poorly quantified. Here, results of surface-atmosphere measurements of net ecosystem CO2 exchange (NEE) from a network of seven eddy covariance (EC) flux towers located at a range of lowland peatland ecosystems across the United Kingdom (UK) are presented. This spatially-dense peatland flux tower network forms part of a wider observation programme aiming to quantify carbon, water and greenhouse gas balances for lowland peatlands across the UK. EC measurements totalling over seventeen site years were obtained at sites exhibiting large differences in vegetation cover, hydrological functioning and land management. The sites in the network show remarkable spatial and temporal variability in NEE. Across sites, annual NEE ranged from a net sink of -194 ±38 g CO2-C m-2 yr-1 to a net source of 784±70 g CO2-C m-2 yr-1. The results suggest that semi-natural sites remain net sinks for atmospheric CO2. Sites that are drained for intensive agricultural production range from a small net sink to the largest observed source for atmospheric CO2 within the flux tower network. Extensively managed grassland and a site that was restored from intensive arable land use represent modest CO2 sources. Temporal variations in CO2 fluxes at sites with permanent vegetation cover are coupled to seasonal and interannual variations in weather conditions and phenology. The type of crop produced and agricultural management drive large temporal differences in the CO2 fluxes of croplands on drained lowland peat soils. The main environmental controls on the spatial and temporal variations in CO2 exchange processes will be discussed.

  12. Preparation of Si nano-crystals with controlled oxidation state from SiO disproportionated by ZrO2 ball-milling

    NASA Astrophysics Data System (ADS)

    Okamoto, Yuji; Harada, Yoshitomo; Ohta, Narumi; Takada, Kazunori; Sumiya, Masatomo

    2016-09-01

    We demonstrate that a SiO disproportionation reaction can be achieved simply by high energy mechanochemical milling. The planetary ball-milling of ZrO2 for a few minutes generated Si nano-crystals. Milling conditions including rotation speed, ball number, milling time, and type of ball material were able to control the oxidation states of Si. The ball-milled SiO powder was tested as an anode of a lithium battery. ZrO2 contamination from the vial and balls was eliminated by dipping the ball-milled SiO powder in (NH4)HSO4 molten salt and heating for 5 min. The disproportionated SiO powder showed characteristics comparable to those of a powder prepared by a conventional heating process taking several hours.

  13. [Liability in Anaesthesiology: theory of disproportionate damage].

    PubMed

    Galán Gutiérrez, J C; Galán Cortés, J C

    2013-10-01

    An analysis is made of the controversial application of the theory of disproportionate damage in the anaesthetic act, due to the high inherent risk, and regardless of the seriousness and importance of the surgery being performed. The existence of a disproportionate damage, that is, damage not foreseen nor accountable within the framework of the professional performance of the anaesthetist, does not by itself determine the existence of liability on the part of the anaesthetist, but the demand from the professionals themselves for a coherent explanation of the serious disagreement between the initial risk implied by their actions and the final consequence produced. Copyright © 2012 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

  14. Understanding nutrients in the Chesapeake Bay watershed and implications for management and restoration: the Eastern Shore

    USGS Publications Warehouse

    Ator, Scott W.; Denver, Judith M.

    2015-03-12

    The Eastern Shore includes only a small part of the Chesapeake Bay watershed, but contributes disproportionately large loads of the excess nitrogen and phosphorus that have contributed to ecological and economic degradation of the bay in recent decades. Chesapeake Bay is the largest estuary in the United States and a vital ecological and economic resource. The bay and its tributaries have been degraded in recent decades by excessive nitrogen and phosphorus in the water column, however, which cause harmful algal blooms and decreased water clarity, submerged aquatic vegetation, and dissolved oxygen. The disproportionately large nitrogen and phosphorus yields from the Eastern Shore to Chesapeake Bay are attributable to human land-use practices as well as natural hydrogeologic and soil conditions. Applications of nitrogen and phosphorus compounds to the Eastern Shore from human activities are intensive. More than 90 percent of nitrogen and phosphorus reaching the land in the Eastern Shore is applied as part of inorganic fertilizers or manure, or (for nitrogen) fixed directly from the atmosphere in cropland. Also, hydrogeologic and soil conditions promote the movement of these compounds from application areas on the landscape to groundwater and (or) surface waters, and the proximity of much of the Eastern Shore to tidal waters limits opportunities for natural removal of these compounds in the landscape. The Eastern Shore only includes 7 percent of the Chesapeake Bay watershed, but receives nearly twice as much nitrogen and phosphorus applications (per area) as the remainder of the watershed and yields greater nitrogen and phosphorus, on average, to the bay. Nitrogen and phosphorus commonly occur in streams at concentrations that may adversely affect aquatic ecosystems and have increased in recent decades.

  15. Root niche separation can explain avoidance of seasonal drought stress and vulnerability of overstory trees to extended drought in a mature Amazonian forest

    NASA Astrophysics Data System (ADS)

    Ivanov, Valeriy Y.; Hutyra, Lucy R.; Wofsy, Steven C.; Munger, J. William; Saleska, Scott R.; de Oliveira, Raimundo C., Jr.; de Camargo, Plínio B.

    2012-12-01

    Large areas of Amazonian evergreen forest experience seasonal droughts extending for three or more months, yet show maximum rates of photosynthesis and evapotranspiration during dry intervals. This apparent resilience is belied by disproportionate mortality of the large trees in manipulations that reduce wet season rainfall, occurring after 2-3 years of treatment. The goal of this study is to characterize the mechanisms that produce these contrasting ecosystem responses. A mechanistic model is developed based on the ecohydrological framework of TIN (Triangulated Irregular Network)-based Real Time Integrated Basin Simulator + Vegetation Generator for Interactive Evolution (tRIBS+VEGGIE). The model is used to test the roles of deep roots and soil capillary flux to provide water to the forest during the dry season. Also examined is the importance of "root niche separation," in which roots of overstory trees extend to depth, where during the dry season they use water stored from wet season precipitation, while roots of understory trees are concentrated in shallow layers that access dry season precipitation directly. Observational data from the Tapajós National Forest, Brazil, were used as meteorological forcing and provided comprehensive observational constraints on the model. Results strongly suggest that deep roots with root niche separation adaptations explain both the observed resilience during seasonal drought and the vulnerability of canopy-dominant trees to extended deficits of wet season rainfall. These mechanisms appear to provide an adaptive strategy that enhances productivity of the largest trees in the face of their disproportionate heat loads and water demand in the dry season. A sensitivity analysis exploring how wet season rainfall affects the stability of the rainforest system is presented.

  16. Association between placental morphology and childhood systolic blood pressure.

    PubMed

    Wen, Xiaozhong; Triche, Elizabeth W; Hogan, Joseph W; Shenassa, Edmond D; Buka, Stephen L

    2011-01-01

    We tested hypotheses that disproportionately large placental size and vascular lesions were associated with high systolic blood pressure (SBP); and these associations might be more evident with age. The sample included 13 273 of 40 666 full-term singletons in the Collaborative Perinatal Project. Placentas were examined by pathologists blinded of pregnancy courses and outcomes. The 4-month and 7-year SBPs were measured with palpation and auscultation methods, respectively. We found that placental weight (adjusted mean difference corresponding to an increase by 1 SD 0.50 [95% CI, 0.33 to 0.68]) and placenta-fetus weight ratio (0.37 [95% CI, 0.19 to 0.54]) was positively associated with 7-year SBP but not associated with 4-month SBP. Placental largest and smallest diameters and area were negatively associated with 4-month SBP but positively with 7-year SBP. Placental thickness was negatively associated with 4-month SBP only. Placental volume was negatively associated with 4-month SBP (-0.60 [95% CI, - 0.85 to -0.35]) but positively associated with 7-year SBP (0.48 [95% CI, 0.30 to 0.67]). Thrombi in cord vessels (adjusted mean difference versus absence 2.73 [95% CI, - 0.03 to 5.50]) and decidual vessels (2.58 [95% CI, 0.24 to 4.91]), villous microinfarcts (1.63 [95% CI, 0.71 to 2.55]), necrosis at the decidual margin (1.57 [95% CI, 0.54 to 2.59]), and basalis (3.44 [95% CI, 1.55 to 5.32]) were associated with higher 4-month SBP only. We conclude that placental inefficiency, reflected by disproportionately large weight and size, predicts long-term blood pressure, whereas vascular resistance and lesions may only influence short-term blood pressure.

  17. Safety related drug-labelling changes: findings from two data mining algorithms.

    PubMed

    Hauben, Manfred; Reich, Lester

    2004-01-01

    With increasing volumes of postmarketing safety surveillance data, data mining algorithms (DMAs) have been developed to search large spontaneous reporting system (SRS) databases for disproportional statistical dependencies between drugs and events. A crucial question is the proper deployment of such techniques within the universe of methods historically used for signal detection. One question of interest is comparative performance of algorithms based on simple forms of disproportionality analysis versus those incorporating Bayesian modelling. A potential benefit of Bayesian methods is a reduced volume of signals, including false-positive signals. To compare performance of two well described DMAs (proportional reporting ratios [PRRs] and an empirical Bayesian algorithm known as multi-item gamma Poisson shrinker [MGPS]) using commonly recommended thresholds on a diverse data set of adverse events that triggered drug labelling changes. PRRs and MGPS were retrospectively applied to a diverse sample of drug-event combinations (DECs) identified on a government Internet site for a 7-month period. Metrics for this comparative analysis included the number and proportion of these DECs that generated signals of disproportionate reporting with PRRs, MGPS, both or neither method, differential timing of signal generation between the two methods, and clinical nature of events that generated signals with only one, both or neither method. There were 136 relevant DECs that triggered safety-related labelling changes for 39 drugs during a 7-month period. PRRs generated a signal of disproportionate reporting with almost twice as many DECs as MGPS (77 vs 40). No DECs were flagged by MGPS only. PRRs highlighted DECs in advance of MGPS (1-15 years) and a label change (1-30 years). For 59 DECs, there was no signal with either DMA. DECs generating signals of disproportionate reporting with only PRRs were both medically serious and non-serious. In most instances in which a DEC generated a signal of disproportionate reporting with both DMAs (almost twice as many with PRRs), the signal was generated using PRRs in advance of MGPS. No medically important events were signalled only by MGPS. It is likely that the incremental utility of DMAs are highly situation-dependent. It is clear, however, that the volume of signals generated by itself is an inadequate criterion for comparison and that clinical nature of signalled events and differential timing of signals needs to be considered. Accepting commonly recommended threshold criteria for DMAs examined in this study as universal benchmarks for signal detection is not justified.

  18. Years of life lost due to encounters with law enforcement in the USA, 2015-2016.

    PubMed

    Bui, Anthony L; Coates, Matthew M; Matthay, Ellicott C

    2018-05-07

    To inform discussions on rates, burden and priority-setting in relation to police violence, we quantified the number and rate of years of life lost (YLLs) due to police violence by race/ethnicity and age in the USA, 2015-2016. We used data on the number of deaths due to police violence from 'The Counted', a media-based source compiled by The Guardian . YLLs are the difference between an individual's age at death and their corresponding standard life expectancy at age of death. There were 57 375 and 54 754 YLLs due to police violence in 2015 and 2016, respectively. People of colour comprised 38.5% of the population, but 51.5% of YLLs. YLLs were greatest among those aged 25-34 years, and the number of YLLs at younger ages was greater among people of colour than whites. The number of YLLs due to police violence is substantial. YLLs highlight that police violence disproportionately impacts young people, and the young people affected are disproportionately people of colour. Framing police violence as an important cause of deaths among young adults provides another valuable lens to motivate prevention efforts. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  19. Evaluation of Influence of Various Polymers on Dissolution and Phase Behavior of Carbamazepine-Succinic Acid Cocrystal in Matrix Tablets.

    PubMed

    Ullah, Majeed; Ullah, Hanif; Murtaza, Ghulam; Mahmood, Qaisar; Hussain, Izhar

    2015-01-01

    The aim of current study was to explore the influence of three commonly used polymers, that is, cellulosics and noncellulosics, for example, Methocel K4M, Kollidon VA/64, and Soluplus, on the phase disproportionation and drug release profile of carbamazepine-succinic acid (CBZ-SUC) cocrystal at varying drug to polymer ratios (1 : 1 to 1 : 0.25) in matrix tablets. The polymorphic phase disproportionation during in-depth dissolution studies of CBZ-SUC cocrystals and its crystalline properties were scrutinized by X-ray powder diffractrometry and Raman spectroscopy. The percent drug release from HPMC formulations (CSH) showed inverse relation with the concentration of polymer; that is, drug release increased with decrease in polymer concentration. On contrary, direct relation was observed between percent drug release and polymer concentrations of Kollidon VA 64/Soluplus (CSK, CSS). At similar polymer concentration, drug release from pure carbamazepine was slightly lower with HPMC formulations than that of cocrystal; however, opposite trend in release rate was observed with Kollidon VA/64 and Soluplus. The significant increase in dissolution rate of cocrystal occurred with Kollidon VA/64 and Soluplus at higher polymer concentration. Moreover, no phase change took place in Methocel and Kollidon formulations. No tablet residue was left for Soluplus formulation so the impact of polymer on cocrystal integrity cannot be predicted.

  20. Evaluation of Influence of Various Polymers on Dissolution and Phase Behavior of Carbamazepine-Succinic Acid Cocrystal in Matrix Tablets

    PubMed Central

    Ullah, Majeed; Ullah, Hanif; Mahmood, Qaisar; Hussain, Izhar

    2015-01-01

    The aim of current study was to explore the influence of three commonly used polymers, that is, cellulosics and noncellulosics, for example, Methocel K4M, Kollidon VA/64, and Soluplus, on the phase disproportionation and drug release profile of carbamazepine-succinic acid (CBZ-SUC) cocrystal at varying drug to polymer ratios (1 : 1 to 1 : 0.25) in matrix tablets. The polymorphic phase disproportionation during in-depth dissolution studies of CBZ-SUC cocrystals and its crystalline properties were scrutinized by X-ray powder diffractrometry and Raman spectroscopy. The percent drug release from HPMC formulations (CSH) showed inverse relation with the concentration of polymer; that is, drug release increased with decrease in polymer concentration. On contrary, direct relation was observed between percent drug release and polymer concentrations of Kollidon VA 64/Soluplus (CSK, CSS). At similar polymer concentration, drug release from pure carbamazepine was slightly lower with HPMC formulations than that of cocrystal; however, opposite trend in release rate was observed with Kollidon VA/64 and Soluplus. The significant increase in dissolution rate of cocrystal occurred with Kollidon VA/64 and Soluplus at higher polymer concentration. Moreover, no phase change took place in Methocel and Kollidon formulations. No tablet residue was left for Soluplus formulation so the impact of polymer on cocrystal integrity cannot be predicted. PMID:26380301

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