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Sample records for dutch national survey

  1. Alcoholic beverage preference and diet in a representative Dutch population: the Dutch national food consumption survey 2007-2010.

    PubMed

    Sluik, D; van Lee, L; Geelen, A; Feskens, E J

    2014-03-01

    The habitual consumption of a specific type of alcoholic beverage may be related to the overall dietary pattern. The objective of this cross-sectional study was to investigate associations between alcoholic beverage preference and dietary intake in The Netherlands. A total of 2100 men and women from the Dutch National Food Consumption Survey 2007-2010 were studied. A general questionnaire assessed alcoholic beverage preference and two non-consecutive 24-h dietary recalls assessed overall diet. Mean nutrient and food group intakes, and adherence to the 2006 Dutch dietary guidelines across categories of alcoholic beverage preference were compared and adjusted for age, sex, body mass index (BMI), education, smoking, physical activity, energy intake and frequency and absolute alcohol consumption. Largest differences in dietary habits were detected between persons who preferred wine and those who preferred beer. Persons with a beer preference had a higher absolute intake of meat, soft drinks, margarine and snacks. In contrast, persons with a wine preference had a higher absolute consumption of healthy foods. However, after multiple adjustments, wine consumers still consumed less energy and more vegetables and fruit juices compared with beer consumers. Adherence to the Dutch dietary guidelines did not differ between preference categories after multiple adjustments. In this cross-sectional analysis in a representative sample of the Dutch population, a beer preference was associated with less healthy dietary behaviour, especially compared with wine preference. However, these differences were largely explained by other socio-demographic and lifestyle factors. These results suggest that alcoholic beverage preference may not be independently related to diet.

  2. How financial strain affects health: Evidence from the Dutch National Bank Household Survey.

    PubMed

    Prentice, Carla; McKillop, Donal; French, Declan

    2017-02-14

    The mechanisms by which financial strain affects health are not well understood. In this paper, we conduct a longitudinal mediation analysis of the Dutch National Bank Household Survey. To quantify the relative importance of biological and nonbiological pathways from financial strain to health, we consider smoking, heavy drinking and being overweight as plausible behavioural responses to financial strain but find that only 4.9% of the response of self-reported health to financial strain is mediated by these behaviours. Further analysis indicates that although financial strain increases impulsivity this has little effect on unhealthy behaviours. Economic stresses therefore appear to be distinct from other forms of stress in the relatively minor influence of nonbiological pathways to ill-health.

  3. Quality indicators for the hospital transfusion chain: a national survey conducted in 100 dutch hospitals.

    PubMed

    Zijlker-Jansen, P Y; Janssen, M P; van Tilborgh-de Jong, A J W; Schipperus, M R; Wiersum-Osselton, J C

    2015-10-01

    The 2011 Dutch Blood Transfusion Guideline for hospitals incorporates seven internal quality indicators for evaluation of the hospital transfusion chain. The indicators aim to measure guideline compliance as shown by the instatement of a hospital transfusion committee and transfusion safety officer (structural indicators), observance of transfusion triggers and mandatory traceability of labile blood components (process indicators). Two voluntary online surveys were sent to all Dutch hospitals for operational years 2011 and 2012 to assess compliance with the guideline recommendations. Most hospitals had a hospital transfusion committee and had appointed a transfusion safety officer (TSO). In 2012, only 23% of hospitals complied with the recommended minimum of four annual transfusion committee meetings and 8 h/week for the TSO. Compliance with the recommended pretransfusion haemoglobin threshold for RBC transfusion was achieved by 90% of hospitals in over 80% of transfusions; 58% of hospitals measured the pretransfusion platelet count in over 80% of platelet transfusions and 87% of hospitals complied with the legally mandatory traceability of blood components in over 95% of transfusions. With the current blood transfusion indicators, it is feasible to monitor aspects of the quality of the hospital transfusion chain and blood transfusion practice and to assess guideline compliance. The results from this study suggest that there are opportunities for significant improvement in blood transfusion practice in the Netherlands. These indicators could potentially be used for national and international benchmarking of blood transfusion practice. © 2015 International Society of Blood Transfusion.

  4. Dutch perfusion incident survey.

    PubMed

    Groenenberg, Ingrid; Weerwind, Patrick W; Everts, Peter A M; Maessen, Jos G

    2010-09-01

    Cardiopulmonary bypass procedures remain complex, involving many potential risks. Therefore, a nationwide retrospective study was conducted to gain insight into the number of incidents and accidents in Dutch adult perfusion practice. An anonymous postal survey (85 questions about hardware, disposables, fluids and medication, air emboli, anticoagulation, practice, and safety measures) was sent to all Dutch perfusionists involved in adult cardiovascular perfusion during 2006 and 2007. To guarantee complete anonymity, respondents were asked to return the survey to a notary who discarded personal information. The net response rate was 72% and covered 23,500 perfusions. Individual respondents performed 240 ± 103 perfusions during the 2-year study period and had 13.8 ± 8.7 years of practical experience. The incident rate was 1 per 15.6 perfusions and the adverse event rate was 1 per 1,236 perfusions. The three most reported incidents were: (1) persistent inability to raise the activated coagulation time above 400s during perfusion (184 incidents); (2) an allergic or anaphylactic reaction to drugs, fluids, or blood products (114 incidents); and (3) clotting formation in the extracorporeal circuit (74 incidents). Furthermore, pre-bypass safety measures showed no statistically significant association with the reported incidents. In comparison with data from the recent literature, the reported number of incidents is high. Nevertheless, the adverse outcome rate is well matched to other published surveys. The relatively high response rate conveys the impression that the Dutch perfusionist is vigilant and willing to report incidents. Hence, a web-based Dutch perfusion incident registration system is recommended.

  5. Do general practitioners adhere to the guideline on infectious conjunctivitis? Results of the Second Dutch National Survey of General Practice

    PubMed Central

    Rietveld, Remco P; ter Riet, Gerben; Bindels, Patrick JE; Schellevis, François G; van Weert, Henk CPM

    2007-01-01

    Background In 1996 the guideline 'The Red Eye' was first published by the Dutch College of General Practitioners. The extent to which general practitioners adhere to this guideline is unclear. Recently, data on the management of infectious conjunctivitis by general practitioners became available from the Second Dutch National Survey of General Practice. We measured the age-specific incidence of infectious conjunctivitis, described its management by Dutch general practitioners, and then compared these findings with the recommendations made in the guideline. Methods In 2001, over a 12-month period, data from all patient contacts with 195 general practitioners were taken from electronic medical records. Registration was episode-oriented; all consultations dealing with the same health problem were grouped into disease episodes. Data concerning all episodes of infectious conjunctivitis (ICPC-code F70 and sub codes) were analysed. Results Over one year, 5,213 new and recurrent episodes of infectious conjunctivitis were presented to general practitioners from a population of N = 375,899, resulting in an overall incidence rate of 13.9 per 1000 person-years, varying from more than 80/1000 py in children up to one-year old, to less than 12/1000 py in children over the age of 4. Topical ophthalmic ointments were prescribed in 87% of the episodes, of which 80% was antibiotic treatment. Fusidic acid gel was most frequently prescribed (69%). In most episodes general practitioners did not adhere to the guideline. Conclusion In 2001, the management of infectious conjunctivitis by Dutch general practitioners was not in accordance with the recommendations of the consensus-based guideline published five years previously, despite its wide distribution. In 2006 this guideline was revised. Its successful implementation requires more than distribution alone. Probably the most effective way to achieve this is by following a model for systemic implementation. PMID:17868475

  6. Total, Free, and Added Sugar Consumption and Adherence to Guidelines: The Dutch National Food Consumption Survey 2007-2010.

    PubMed

    Sluik, Diewertje; van Lee, Linde; Engelen, Anouk I; Feskens, Edith J M

    2016-01-28

    A high sugar intake is a subject of scientific debate due to the suggested health implications and recent free sugar recommendations by the WHO. The objective was to complete a food composition table for added and free sugars, to estimate the intake of total sugars, free sugars, and added sugars, adherence to sugar guidelines and overall diet quality in Dutch children and adults. In all, 3817 men and women (7-69 years) from the Dutch National Food Consumption Survey 2007-2010 were studied. Added and free sugar content of products was assigned by food composition tables and using labelling and product information. Diet was assessed with two 24-h recalls. Diet quality was studied in adults with the Dutch Healthy Diet-index. Total sugar intake was 22% Total Energy (%TE), free sugars intake 14 %TE, and added sugar intake 12 %TE. Sugar consumption was higher in children than adults. Main food sources of sugars were sweets and candy, non-alcoholic beverages, dairy, and cake and cookies. Prevalence free sugar intake <10 %TE was 5% in boys and girls (7-18 years), 29% in women, and 33% in men. Overall diet quality was similar comparing adults adherent and non-adherent to the sugar guidelines, although adherent adults had a higher intake of dietary fiber and vegetables. Adherence to the WHO free sugar guidelines of <5 %TE and <10 %TE was generally low in the Netherlands, particularly in children. Adherence to the added and free sugar guidelines was not strongly associated with higher diet quality in adults.

  7. Total, Free, and Added Sugar Consumption and Adherence to Guidelines: The Dutch National Food Consumption Survey 2007–2010

    PubMed Central

    Sluik, Diewertje; van Lee, Linde; Engelen, Anouk I.; Feskens, Edith J. M.

    2016-01-01

    A high sugar intake is a subject of scientific debate due to the suggested health implications and recent free sugar recommendations by the WHO. The objective was to complete a food composition table for added and free sugars, to estimate the intake of total sugars, free sugars, and added sugars, adherence to sugar guidelines and overall diet quality in Dutch children and adults. In all, 3817 men and women (7–69 years) from the Dutch National Food Consumption Survey 2007–2010 were studied. Added and free sugar content of products was assigned by food composition tables and using labelling and product information. Diet was assessed with two 24-h recalls. Diet quality was studied in adults with the Dutch Healthy Diet-index. Total sugar intake was 22% Total Energy (%TE), free sugars intake 14 %TE, and added sugar intake 12 %TE. Sugar consumption was higher in children than adults. Main food sources of sugars were sweets and candy, non-alcoholic beverages, dairy, and cake and cookies. Prevalence free sugar intake <10 %TE was 5% in boys and girls (7–18 years), 29% in women, and 33% in men. Overall diet quality was similar comparing adults adherent and non-adherent to the sugar guidelines, although adherent adults had a higher intake of dietary fiber and vegetables. Adherence to the WHO free sugar guidelines of <5 %TE and <10 %TE was generally low in the Netherlands, particularly in children. Adherence to the added and free sugar guidelines was not strongly associated with higher diet quality in adults. PMID:26828518

  8. Ingredients for a Dutch radon action plan, based on a national survey in more than 2500 dwellings.

    PubMed

    Smetsers, R C G M Ronald; Blaauboer, R O Roelf; Dekkers, S A J Fieke

    2016-12-01

    A new Euratom directive demands that Member States establish a national action plan for indoor radon. Important requirements are a national reference level for the radon concentration in dwellings, actions to identify dwellings with radon concentrations that might exceed this reference level and the encouragement of appropriate measures to reduce the radon concentrations in dwellings where these are high. This paper provides ingredients and recommendations for a national action plan for radon in dwellings, applicable to the Netherlands. The approach presented here, which may serve as a model for other countries or regions with a comparatively favourable indoor radon situation, is based on the analysis of radon data from a national survey in more than 2500 Dutch dwellings, built since 1930. The annual average activity concentration of radon in dwellings in the Netherlands equals 15.6 ± 0.3 Bq m(-3). The 50th and 95th percentiles were found to be 12.2 and 38.0 Bq m(-3), respectively. In 0.4 per cent of the dwellings we found values above 100 Bq m(-3). Radon concentrations showed correlations with type of dwelling, year of construction, ventilation system, soil type and smoking behaviour of inhabitants. The survey data suggest that it is feasible for the Netherlands to adopt a national reference level for radon in dwellings of 100 Bq m(-3), in line with recommendations by WHO and ICRP. We were able to predict dwellings with a moderate probability for radon concentrations above 100 Bq m(-3) by applying a combination of three selection criteria: location, type of dwelling and manner of ventilation. Of the existing 6.2 million dwellings in the Netherlands (built since 1930), approximately 23-24 thousand are suspected to exceed this level. Some 80% of these are found in the group of naturally ventilated single-family dwellings in either the southern part of Limburg (approx. 13 thousand) or the Meuse-Rhine-Waal river delta (approx. six thousand). This selected

  9. Impetigo: incidence and treatment in Dutch general practice in 1987 and 2001--results from two national surveys.

    PubMed

    Koning, S; Mohammedamin, R S A; van der Wouden, J C; van Suijlekom-Smit, L W A; Schellevis, F G; Thomas, S

    2006-02-01

    Impetigo is a common skin infection in children. The epidemiology is relatively unknown, and the choice of treatment is subject to debate. The objective of our study was to determine the incidence and treatment of impetigo in Dutch general practice, and to assess trends between 1987 and 2001. We used data from the first (1987) and second (2001) Dutch national surveys of general practice. All diagnoses, prescriptions and referrals were registered by the participating general practitioners (GPs), 161 and 195, respectively. The incidence rate of impetigo increased from 16.5 (1987) to 20.6 (2001) per 1000 person years under 18 years old (P < 0.01). In both years, the incidence was significantly higher in summer, in rural areas and in the southern region of the Netherlands, compared with winter, urban areas and northern region, respectively. Socioeconomic status was not associated with the incidence rate. From 1987 to 2001, there was a trend towards treatment with a topical antibiotic (from 43% to 64%), especially fusidic acid cream and mupirocin cream. Treatment with oral antibiotics (from 31% to 14%) and antiseptics (from 11% to 3%) was prescribed less often. We have shown an increased incidence of impetigo in the past decade, which may be the result of an increased tendency to seek help, or increased antibiotic resistance and virulence of Staphylococcus aureus. Further microbiological research on the marked regional difference in incidence may contribute to understanding the factors that determine the spread of impetigo. Trends in prescribing for impetigo generally follow evidence-based knowledge on the effectiveness of different therapies, rather than the national practice guideline.

  10. Diabetes MILES – The Netherlands: rationale, design and sample characteristics of a national survey examining the psychosocial aspects of living with diabetes in Dutch adults

    PubMed Central

    2012-01-01

    Background As the number of people with diabetes is increasing rapidly worldwide, a more thorough understanding of the psychosocial aspects of living with this condition has become an important health care priority. While our knowledge has grown substantially over the past two decades with respect to the physical, emotional and social difficulties that people with diabetes may encounter, many important issues remain to be elucidated. Under the umbrella of the Diabetes MILES (Management and Impact for Long-term Empowerment and Success) Study International Collaborative, Diabetes MILES – The Netherlands aims to examine how Dutch adults with diabetes manage their condition and how it affects their lives. Topics of special interest in Diabetes MILES - The Netherlands include subtypes of depression, Type D personality, mindfulness, sleep and sexual functioning. Methods/design Diabetes MILES – The Netherlands was designed as a national online observational study among adults with diabetes. In addition to a main set of self-report measures, the survey consisted of five complementary modules to which participants were allocated randomly. From September to October 2011, a total of 3,960 individuals with diabetes (40% type 1, 53% type 2) completed the battery of questionnaires covering a broad range of topics, including general health, self-management, emotional well-being and contact with health care providers. People with self-reported type 1 diabetes (specifically those on insulin pump therapy) were over-represented, as were those using insulin among respondents with self-reported type 2 diabetes. People from ethnic minorities were under-represented. The sex distribution was fairly equal in the total sample, participants spanned a broad age range (19–90 years), and diabetes duration ranged from recent diagnosis to living with the condition for over fifty years. Discussion The Diabetes MILES Study enables detailed investigation of the psychosocial aspects of living

  11. Interviewer BMI effects on under- and over-reporting of restrained eating: evidence from a national Dutch face-to-face survey and a postal follow-up.

    PubMed

    Eisinga, Rob; te Grotenhuis, Manfred; Larsen, Junilla K; Pelzer, Ben

    2012-06-01

    To determine the effect of interviewer BMI on self-reported restrained eating in a face-to-face survey and to examine under- and over-reporting using the face-to face study and a postal follow-up. A sample of 1,212 Dutch adults was assigned to 98 interviewers with different BMI who administered an eating questionnaire. To further evaluate misreporting a mail follow-up was conducted among 504 participants. Data were analyzed using two-level hierarchical models. Interviewer BMI had a positive effect on restrained eating. Normal weight and pre-obese interviewers obtained valid responses, underweight interviewers stimulated under-reporting whereas obese interviewers triggered over-reporting. In face-to-face interviews self-reported dietary restraint is distorted by interviewer BMI. This result has implications for public health surveys, the more so given the expanding obesity epidemic.

  12. Moral problems among Dutch nurses: a survey.

    PubMed

    van der Arend, A J; Remmers-van den Hurk, C H

    1999-11-01

    This article reports on a survey of the moral problems that Dutch nurses experience during their everyday practice. A questionnaire was developed, based on published literature, panel discussions, in-depth interviews and participation observations. The instrument was tested in a pilot study and proved to be useful. A total of 2122 questionnaires were sent to 91 institutions in seven different health care settings. The results showed that nurses were not experiencing important societal issues such as abortion and euthanasia as morally the most problematic, but rather situations such as verbally aggressive behaviour of colleagues towards patients, keeping silent about errors, and medical treatment given against the wishes of patients. Moral problems occurred especially when nurses experienced feelings of powerlessness with regard to the well-being of patients. Moreover, these moral problems proved to be related to institutional organization, leadership, and collaboration with colleagues and other disciplines. Nurses appeared to have a limited awareness of the moral dimensions of their practice.

  13. National Identification of Dutch Youth: An Exploratory Study

    ERIC Educational Resources Information Center

    Oppenheimer, Louis

    2011-01-01

    246 Dutch participants aged 8, 10, 12, 14, and 16 years were presented with the Strength of Identification Scale (SoIS; Barrett, 2007) and the National Identity scale based on Cultural and Historical achievements (NICH; derived from the NATID, Keillor & Hult, 1999). The study aimed to examine the extent and nature of Dutch children and…

  14. National Identification of Dutch Youth: An Exploratory Study

    ERIC Educational Resources Information Center

    Oppenheimer, Louis

    2011-01-01

    246 Dutch participants aged 8, 10, 12, 14, and 16 years were presented with the Strength of Identification Scale (SoIS; Barrett, 2007) and the National Identity scale based on Cultural and Historical achievements (NICH; derived from the NATID, Keillor & Hult, 1999). The study aimed to examine the extent and nature of Dutch children and…

  15. Dutch Elm Disease Control: Intensive Sanitation and Survey Economics

    Treesearch

    William N., Jr. Cannon; Jack H. Barger; David P. Worley

    1977-01-01

    Recent research has shown that prompt removal of diseased elms reduces the incidence of Dutch elm disease more than sanitation practice that allows diseased elms to remain standing into the dormant season. The key to prompt removal is repeated surveys to detect diseased elms as early as possible. Intensive sanitation can save more elms and cost less than the more...

  16. Dutch national rainfallradar project: a unique corporation

    NASA Astrophysics Data System (ADS)

    Schuurmans, Hanneke; Maarten Verbree, Jan; Leijnse, Hidde; van Heeringen, Klaas-Jan; Uijlenhoet, Remko; Bierkens, Mark; van de Giesen, Nick; Gooijer, Jan; van den Houten, Gert

    2013-04-01

    Since January 2013 Dutch watermanagers have access to innovative high-quality rainfall data. This product is innovative because of the following reasons. (i) The product is developed in a 'golden triangle' construction - corporation between government, business and research institutes. (ii) Second the rainfall products are developed according to the open-source GPL license. The initiative comes from a group of water boards in the Netherlands that joined their forces to fund the development of a new rainfall product. Not only data from Dutch radar stations (as is currently done by the Dutch meteorological organization KNMI) is used but also data from radars in Germany and Belgium. After a radarcomposite is made, it is adjusted according to data from raingauges (ground truth). This results in 9 different rainfall products that give for each moment the best rainfall data. This data will be used, depending on the end-user for several applications: (i) forecasts: input for flood early warning systems, (ii) water system analysis: hydrological model input, (iii) optimization: real time control and (iv) investigation of incidents: in case of flooding, who's responsible. The latter is mainly insight in the return period of heavy rainfall events. More info (in Dutch): www.nationaleregenradar.nl

  17. Citizenship Education and the Dutch National Identity Debate

    ERIC Educational Resources Information Center

    Doppen, Frans H.

    2010-01-01

    As a result of dramatic demographic changes during the last half century as well as a series of recent events surrounding prominent personas, the Dutch have been engaged in an intense debate about their national identity and how citizenship education can contribute to the integration of Muslim immigrants in particular. This article analyses the…

  18. Citizenship Education and the Dutch National Identity Debate

    ERIC Educational Resources Information Center

    Doppen, Frans H.

    2010-01-01

    As a result of dramatic demographic changes during the last half century as well as a series of recent events surrounding prominent personas, the Dutch have been engaged in an intense debate about their national identity and how citizenship education can contribute to the integration of Muslim immigrants in particular. This article analyses the…

  19. National Nursing Home Survey

    Cancer.gov

    The National Nursing Home Survey provides includes characteristics such as size of nursing home facilities, ownership, Medicare/Medicaid certification, occupancy rate, number of days of care provided, and expenses.

  20. National Compensation & Benefits Survey.

    ERIC Educational Resources Information Center

    Nink, James

    This national survey of 137 child care institutions, the majority of which are members of the National Association of Hospital Affiliated Child Care Programs, provides 39 tables, some of which are accompanied by brief descriptions, explanations, or analyses. The tables supply information on: (1) organization and accreditation; (2) the size of…

  1. The Dutch GOCE National User Group-Fact Sheet

    NASA Astrophysics Data System (ADS)

    Koop, R.; Visser, P.; Selig, A.; Ambrodius, B.

    2004-06-01

    Dutch groups and persons have been participating in GOCE activities from the early days of the project till now and are planning to stay involved until the goals of the mission will be realized. The activities, that actually go back all the way to the first ideas of the ARISTOTELES mission, have been evolving over many aspects of the mission, from instrument simulation via data processing to user applications. The groups now involved can rely on a long lasting expertise in the respective fields of interest: space geodesy, orbital mechanics, space research and technology, oceanography and geodynamics. In the context of GOCE, but also in related fields, the participating Dutch groups have established both national and international cooperation and reputation.

  2. Perceived Immune Status and Sleep: A Survey among Dutch Students.

    PubMed

    Donners, Anouk A M T; Tromp, Marilou D P; Garssen, Johan; Roth, Thomas; Verster, Joris C

    2015-01-01

    Reduced immune functioning may have a negative impact on sleep and health, and vice versa. A survey among Dutch young adults (18-35 years old) was administered to collect information on perception of reduced immunity and its relationship to sleep disorders, sleep duration, and quality. Sleep disorders were assessed with the SLEEP-50 questionnaire subscales of sleep apnea, insomnia, circadian rhythm disorder, and daily functioning. Dutch young adults (N = 574) completed the survey. Among them, subjects (N = 209; 36.4%) reported perceived reduced immunity. Relative to those with a normal immune status, subjects reporting reduced immunity had significantly higher scores (p = 0.0001) on sleep apnea (2.6 versus 3.6), insomnia (5.1 versus 6.8), and circadian rhythm disorder (2.1 versus 2.7). Subjects reporting reduced immunity also had significantly poorer daily functioning scores (5.4 versus 7.6, p = 0.0001). No differences were observed in total sleep time, but those reporting reduced immunity had significantly poorer ratings of sleep quality (6.8 versus 7.2, p = 0.0001). Our findings suggest that perceived reduced immunity is associated with sleep disturbances, impaired daily functioning, and a poorer sleep quality. Experimental studies including the assessment of immune biomarkers and objective measures of sleep (polysomnography) should confirm the current observations.

  3. Perceived Immune Status and Sleep: A Survey among Dutch Students

    PubMed Central

    Donners, Anouk A. M. T.; Tromp, Marilou D. P.; Garssen, Johan; Roth, Thomas; Verster, Joris C.

    2015-01-01

    Reduced immune functioning may have a negative impact on sleep and health, and vice versa. A survey among Dutch young adults (18–35 years old) was administered to collect information on perception of reduced immunity and its relationship to sleep disorders, sleep duration, and quality. Sleep disorders were assessed with the SLEEP-50 questionnaire subscales of sleep apnea, insomnia, circadian rhythm disorder, and daily functioning. Dutch young adults (N = 574) completed the survey. Among them, subjects (N = 209; 36.4%) reported perceived reduced immunity. Relative to those with a normal immune status, subjects reporting reduced immunity had significantly higher scores (p = 0.0001) on sleep apnea (2.6 versus 3.6), insomnia (5.1 versus 6.8), and circadian rhythm disorder (2.1 versus 2.7). Subjects reporting reduced immunity also had significantly poorer daily functioning scores (5.4 versus 7.6, p = 0.0001). No differences were observed in total sleep time, but those reporting reduced immunity had significantly poorer ratings of sleep quality (6.8 versus 7.2, p = 0.0001). Our findings suggest that perceived reduced immunity is associated with sleep disturbances, impaired daily functioning, and a poorer sleep quality. Experimental studies including the assessment of immune biomarkers and objective measures of sleep (polysomnography) should confirm the current observations. PMID:26448877

  4. Animal-Assisted Interventions in Dutch Nursing Homes: A Survey.

    PubMed

    Schuurmans, Lonneke; Enders-Slegers, Marie-Jose; Verheggen, Theo; Schols, Jos

    2016-07-01

    Animal-assisted interventions (AAI) have become more and more popular in nursing homes in the past decade. Various initiatives for using animals in nursing homes have been developed over the years (eg, animal visiting programs, residential companion animals, petting zoos) and, on the whole, the number of nursing homes that refuse animals on their premises has declined. In this survey, we aimed to determine how many Dutch nursing homes offer AAIs, what type of interventions are used, and with what aim. We also focus on the use of underlying health, hygiene, and (animal) safety protocols. Using an online Dutch nursing home database, we invited all listed (457) nursing home organizations in the Netherlands (encompassing a total of 804 nursing home locations) to participate in our digital survey, powered by SurveyMonkey. The survey consisted of a total of 45 questions, divided into general questions about the use of animals in interventions; the targeted client population(s); and specific questions about goals, guidelines, and protocols. The results were analyzed with SPSS Statistics. In the end, 244 surveys, representing 165 organizations, were returned: 125 nursing homes used AAI in one way or another, 40 did not. Nursing homes that did not offer AAI cited allergy and hygiene concerns as the most important reasons. Most nursing homes offering AAI used visiting animals, mostly dogs (108) or rabbits (76). A smaller number of nursing homes had resident animals, either living on the ward or in a meadow outside. Almost all programs involved animal-assisted activities with a recreational purpose; none of the participating nursing homes provided animal assisted therapy with therapeutic goals. Psychogeriatric patients were most frequently invited to participate. A total of 88 nursing homes used alternatives when animals were not an option or not available. The most popular alternative was the use of stuffed animals (83) followed by FurReal Friends robotic toys (14). The

  5. Social Workers' Orientation toward the Evidence-Based Practice Process: A Dutch Survey

    ERIC Educational Resources Information Center

    van der Zwet, Renske J. M.; Kolmer, Deirdre M. Beneken genaamd; Schalk, René

    2016-01-01

    Objectives: This study assesses social workers' orientation toward the evidence-based practice (EBP) process and explores which specific variables (e.g. age) are associated. Methods: Data were collected from 341 Dutch social workers through an online survey which included a Dutch translation of the EBP Process Assessment Scale (EBPPAS), along with…

  6. National (dis)identification and ethnic and religious identity: a study among Turkish-Dutch muslims.

    PubMed

    Verkuyten, Maykel; Yildiz, Ali Aslan

    2007-10-01

    National (dis)identification is examined in three studies among Turkish-Dutch Muslim participants. In explaining national (dis)identification, the first study focuses on ethnic identity, the second on ethnic and religious identity, and the third on three dimensions of religious identity. Many participants show low commitment to the nation, and many indicate national disidentification. In addition, there is very strong ethnic and religious identification. Ethnic and Muslim identifications relate negatively to Dutch identification and, in Study 3, to stronger Dutch disidentification. Furthermore, perceived group rejection is associated with increased ethnic minority and religious identification but also with decreased national Dutch identification. In addition, in Studies 1 and 2 the effect of perceived rejection on Dutch identification is (partly) mediated by minority group identification. The findings are discussed in relation to social psychological thinking about group identification, dual identities, and the importance of religion for intergroup relations.

  7. Higher self-reported prevalence of hypertension among Moluccan-Dutch than among the general population of The Netherlands: results from a cross-sectional survey.

    PubMed

    van der Wal, Junus M; Bodewes, Adee J; Agyemang, Charles O; Kunst, Anton E

    2014-12-15

    Several studies in The Netherlands revealed ethnic disparities in hypertension prevalence, but none have focused on the Moluccan-Dutch, a migrant group from Indonesia that settled in The Netherlands in 1951. The Moluccan-Dutch are considered to be fairly well integrated in Dutch society. The aim of this study was to compare hypertension prevalence among the Moluccan-Dutch to the native Dutch and to explore the contribution of known risk factors. A health interview survey was conducted from August 2012 till March 2013 among nineteen Moluccan neighborhoods, resulting in the inclusion of 708 participants. The primary outcome variable was self-reported prevalence of hypertension. Explanatory variables were BMI, exercise, smoking, alcohol intake and mental health status. Data on the control group was extracted from the Dutch National Health Survey 2011, using a similar questionnaire. Differences in risk factor exposure were explored using Chi-square tests and the contribution of risk factors, separately and combined, was explored using multivariate logistic regression analysis. Moluccan-Dutch showed higher odds for reporting hypertension when compared to native Dutch, after adjusting for age and level of education (OR = 1.38; 95% CI = 1.13-1.69) and additional risk factors (OR = 1.49; 95% CI = 1.19-1.88). A higher prevalence of hypertension was found in both Moluccan-Dutch men (26.4% vs. 16.7%; p < 0.001) and women (26.7% vs. 17.9%; p < 0.001), when compared to the control group. Not only middle-aged, but also young Moluccan-Dutch men showed higher prevalence of hypertension. The Moluccan-Dutch may be at increased risk for reporting hypertension. These results suggest that long-term stay over several generations does not necessarily result in similar levels of hypertension prevalence as the host population.

  8. Dutch survey of congenital coronary artery fistulas in adults

    PubMed Central

    Said, S.A.M.; van der Werf, T.

    2006-01-01

    Aims This Dutch survey focused on the clinical presentation, noninvasive and invasive diagnostic methods, and treatment modalities of adult patients with congenital coronary artery fistulas (CAFs). Methods Between 1996 and 2003, the initiative was taken to start a registry on congenital CAFs in adults. In total 71 patients from a diagnostic coronary angiographic population of 30,829 at 28 hospitals were collected from previously developed case report forms. Patient demographic data, clinical presentation, noninvasive and invasive techniques and treatment options were retrospectively collected and analysed. Results Out of 71 patients with angiographically proven CAFs, 51 (72%) had 63 congenital solitary fistulas and 20 (28%) had 31 congenital coronary-ventricular multiple microfistulas. Patients with pseudofistulas were excluded from the registry. Coronary angiograms were independently re-analysed for morphology and specific fistula details. The majority (72%) of the fistulas were unilateral, 24% were bilateral and only 4% were multilateral. The morphological characteristics of these 94 fistulas were as follows: the origin was multiple in 47% and single in 53%; the termination was multiple in 52% and single in 48%; and the pathway of the fistulous vessels was tortuous/multiple in 66%, tortuous/single in 28%, straight/multiple in 3% and straight/single in 3%. Percutaneous transluminal embolisation (PTE) was performed in two (3%) patients; surgical ligation was undertaken in 13 (18%) patients. The overwhelming majority of the patients (56; 79%) were treated with conservative medical management. The total mortality was 6% (4/71) at a mean follow-up period of approximately five years. Cardiac mortality accounted for 4% (3/71); in all three patients, death could possibly be attributed to the presence of the fistula. Conclusion Registry of congenital coronary artery fistulas in adults in the Netherlands is feasible. In spite of restrictions imposed by the Dutch Privacy

  9. Is the role as gatekeeper still feasible? A survey among Dutch general practitioners.

    PubMed

    Wammes, Joost Johan Godert; Jeurissen, Patrick Paulus Theodoor; Verhoef, Lise Maria; Assendelft, Willem J J; Westert, Gert P; Faber, Marjan J

    2014-10-01

    In the 2012 International Health Policy Survey by the Commonwealth Fund, 57% of Dutch GPs indicated that Dutch patients receive too much health care. This is an unexpected finding, given the clear gatekeeper role of Dutch GPs and recent efforts strengthening this role. The study aims to explore where perceived overuse of care prevails and to identify factors associated with too much care at the entry point of Dutch health care. An American survey exploring perceptions of the amount of care among primary care providers was modified for relevance to the Dutch health system. We further included additional factors possibly related to overuse based on 12 interviews with Dutch GPs. The survey was sent to a random sample of 600 GPs. Dutch GPs (N = 157; response rate 26.2%) indicated that patients receive (much) too much care in general hospitals, primary care, GP cooperatives as well as private clinics. The Dutch responding GPs showed a relatively demand-satisfying attitude, which contributed to the delivery of too much care, often leading to deviation from guidelines and professional norms. The increasing availability of diagnostic facilities was identified as an additional factor contributing to the provision of unnecessary care. Finally, funding gaps between primary care and hospitals impede cooperation and coordination, provoking unnecessary care. Our results--most notably regarding the demand-satisfying attitude of responding GPs--call into question the classical view of the guidance and gatekeeper role of GPs in the Dutch health care system. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  10. A Survey of Female Sexual Functioning in the General Dutch Population.

    PubMed

    Lammerink, Ellen A G; de Bock, Geertruida H; Pascal, Astrid; van Beek, Andre P; van den Bergh, Alfons C M; Sattler, Margriet G A; Mourits, Marian J E

    2017-07-01

    After the diagnosis and treatment of disease, a major barrier to research on psychosexual functioning is the lack of a consistent estimate for the prevalence of female sexual dysfunction in the general population. To clarify the prevalence of age-related female sexual functioning in the general population. A sample was compiled by random selection of women from the general population in the northern part of the Netherlands and was categorized by age. Women completed the Female Sexual Function Index (FSFI), personal medical items and daily activities, the Body Image Scale, the SF-36 Health Survey, the Hospital Anxiety and Depression Scale, and the Multidimensional Fatigue Inventory. Participants' representativeness was assessed by comparing their characteristics with data from the Dutch Central Agency for Statistics and the Dutch Health Monitor. General health, fatigue, and well-being were compared with national or international data. Age-related total and domain scores of the FSFI. We evaluated female sexual functioning of 521 sexually active women. For women 20 to 80 years old, sexual functioning showed wide variance and was poor in 28% of all sexually active women, with FSFI scores being below the defined clinical cutoff (FSFI score < 26.55). Although sexual activity and functioning significantly decreased with increasing age, sexual satisfaction decreased only non-significantly. This study provides valuable age-specific ranges for female sexual functioning in the general population and can inform upcoming clinical studies. This is the largest study on female sexual function in a representative Dutch population using internationally validated tools and described by age categories, providing valuable information that can help in the understanding of how female sexual function changes with age. The FSFI has been criticized for not assessing personal distress related to sexual problems, so the lack of the Female Sexual Distress Scale in our study is an unfortunate

  11. Health literacy of Dutch adults: a cross sectional survey.

    PubMed

    van der Heide, Iris; Rademakers, Jany; Schipper, Maarten; Droomers, Mariël; Sørensen, Kristine; Uiters, Ellen

    2013-02-27

    Relatively little knowledge is available to date about health literacy among the general population in Europe. It is important to gain insights into health literacy competences among the general population, as this might contribute to more effective health promotion and help clarify socio-economic disparities in health. This paper is part of the European Health Literacy Survey (HLS-EU). It aims to add to the body of theoretical knowledge about health literacy by measuring perceived difficulties with health information in various domains of health, looking at a number of competences. The definition and measure of health literacy is still topic of debate and hardly any instruments are available that are applicable for the general population. The objectives were to obtain an initial measure of health literacy in a sample of the general population in the Netherlands and to relate this measure to education, income, perceived social status, age, and sex. The HLS-EU questionnaire was administered face-to-face in a sample of 925 Dutch adults, during July 2011. Perceived difficulties with the health literacy competences for accessing, understanding, appraising and applying information were measured within the domains of healthcare, disease prevention and health promotion. Multiple linear regression analyses were applied to explore the associations between health literacy competences and education, income, perceived social status, age, and sex. Perceived difficulties with health information and their association with demographic and socio-economic variables vary according to the competence and health domain addressed. Having a low level of education or a low perceived social status or being male were consistently found to be significantly related to relatively low health literacy scores, mainly for accessing and understanding health information. Perceived difficulties with health information vary between competences and domains of health. Health literacy competences are

  12. Health literacy of Dutch adults: a cross sectional survey

    PubMed Central

    2013-01-01

    Background Relatively little knowledge is available to date about health literacy among the general population in Europe. It is important to gain insights into health literacy competences among the general population, as this might contribute to more effective health promotion and help clarify socio-economic disparities in health. This paper is part of the European Health Literacy Survey (HLS-EU). It aims to add to the body of theoretical knowledge about health literacy by measuring perceived difficulties with health information in various domains of health, looking at a number of competences. The definition and measure of health literacy is still topic of debate and hardly any instruments are available that are applicable for the general population. The objectives were to obtain an initial measure of health literacy in a sample of the general population in the Netherlands and to relate this measure to education, income, perceived social status, age, and sex. Methods The HLS-EU questionnaire was administered face-to-face in a sample of 925 Dutch adults, during July 2011. Perceived difficulties with the health literacy competences for accessing, understanding, appraising and applying information were measured within the domains of healthcare, disease prevention and health promotion. Multiple linear regression analyses were applied to explore the associations between health literacy competences and education, income, perceived social status, age, and sex. Results Perceived difficulties with health information and their association with demographic and socio-economic variables vary according to the competence and health domain addressed. Having a low level of education or a low perceived social status or being male were consistently found to be significantly related to relatively low health literacy scores, mainly for accessing and understanding health information. Conclusions Perceived difficulties with health information vary between competences and domains of

  13. National Hospice Survey Results

    PubMed Central

    Aldridge, Melissa D.; Schlesinger, Mark; Barry, Colleen L.; Morrison, R. Sean; McCorkle, Ruth; Hürzeler, Rosemary; Bradley, Elizabeth H.

    2015-01-01

    IMPORTANCE The impact of the substantial growth in for-profit hospices in the United States on quality and hospice access has been intensely debated, yet little is known about how for-profit and nonprofit hospices differ in activities beyond service delivery. OBJECTIVE To determine the association between hospice ownership and (1) provision of community benefits, (2) setting and timing of the hospice population served, and (3) community outreach. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional survey (the National Hospice Survey), conducted from September 2008 through November 2009, of a national random sample of 591 Medicare-certified hospices operating throughout the United States. EXPOSURES For-profit or nonprofit hospice ownership. MAIN OUTCOMES AND MEASURES Provision of community benefits; setting and timing of the hospice population served; and community outreach. RESULTS A total of 591 hospices completed our survey (84% response rate). For-profit hospices were less likely than nonprofit hospices to provide community benefits including serving as training sites (55% vs 82%; adjusted relative risk [ARR], 0.67 [95% CI, 0.59–0.76]), conducting research (18% vs 23%; ARR, 0.67 [95% CI, 0.46–0.99]), and providing charity care (80% vs 82%; ARR, 0.88 [95% CI, 0.80–0.96]). For-profit compared with nonprofit hospices cared for a larger proportion of patients with longer expected hospice stays including those in nursing homes (30% vs 25%; P = .009). For-profit hospices were more likely to exceed Medicare’s aggregate annual cap (22% vs 4%; ARR, 3.66 [95% CI, 2.02–6.63]) and had a higher patient disenrollment rate (10% vs 6%; P < .001). For-profit were more likely than nonprofit hospices to engage in outreach to low-income communities (61% vs 46%; ARR, 1.23 [95% CI, 1.05–1.44]) and minority communities (59% vs 48%; ARR, 1.18 [95% CI, 1.02–1.38]) and less likely to partner with oncology centers (25% vs 33%; ARR, 0.59 [95% CI, 0.44–0.80]). CONCLUSIONS AND

  14. National Health Care Survey

    Cancer.gov

    This survey encompasses a family of health care provider surveys, including information about the facilities that supply health care, the services rendered, and the characteristics of the patients served.

  15. Innovations in national nutrition surveys.

    PubMed

    Stephen, Alison M; Mak, Tsz Ning; Fitt, Emily; Nicholson, Sonja; Roberts, Caireen; Sommerville, Jill

    2013-02-01

    The aim of this paper is to describe innovations taking place in national nutrition surveys in the UK and the challenges of undertaking innovations in such settings. National nutrition surveys must be representative of the overall population in characteristics such as socio-economic circumstances, age, sex and region. High response rates are critical. Dietary assessment innovations must therefore be suitable for all types of individuals, from the very young to the very old, for variable literacy and/or technical skills, different ethnic backgrounds and life circumstances, such as multiple carers and frequent travel. At the same time, national surveys need details on foods consumed. Current advances in dietary assessment use either technological innovations or simplified methods; neither lend themselves to national surveys. The National Diet and Nutrition Survey (NDNS) rolling programme, and the Diet and Nutrition Survey of Infants and Young Children (DNSIYC), currently use the 4-d estimated diary, a compromise for detail and respondent burden. Collection of food packaging enables identification of specific products. Providing space for location of eating, others eating, the television being on and eating at a table, adds to eating context information. Disaggregation of mixed dishes enables determination of true intakes of meat and fruit and vegetables. Measurement of nutritional status requires blood sampling and processing in DNSIYC clinics throughout the country and mobile units were used to optimise response. Hence, innovations in national surveys can and are being made but must take into account the paramount concerns of detail and response rate.

  16. 2012 National Immunization Survey Data

    MedlinePlus

    ... AIM Vaccine Education Center 2012 National Immunization Survey Data Released Recommend on Facebook Tweet Share Compartir This ... 2012 NIS Overview | How to use NIS-child data | NIS-child FAQs | Related articles Technical notes for ...

  17. Survey: National Meteorological Center

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The National Meteorological Center (NMC) is comprised of three operational divisions (Development, Automation, and Forecast) and an Administrative Division. The Development Division develops and implements mathematical models for forecasting the weather. The Automation Division provides the software and processing services to accommodate the models used in daily forecasts. The Forecasting Division applies a combination of numerical and manual techniques to produce analyses and prognoses up to 120 hr into the future. This guidance material is combined with severe storm information from the National Hurricane Center and the National Severe Storms Forecasting Center to develop locally tailored forecasts by the Weather Service Forecast Offices and, in turn, by the local Weather Service Offices. A very general flow of this information is shown. A more detailed illustration of data flow into, within, and from the NMC is given. The interrelations are depicted between the various meteorological organizations and activities.

  18. [The Dutch National Colesterol Test: participants mainly healthy].

    PubMed

    Deutekom, M; Aziz, Y; van Dis, I; Stronks, K; Bossuyt, P M M

    2008-11-01

    To determine, in people who participated in the Netherlands Heart Foundation's National Cholesterol Test in supermarkets, risk factors for cardiovascular disease and expectations concerning the test result using a questionnaire, and to compare their cholesterol levels with reference values. Descriptive study and questionnaire survey. Participants who underwent the National Cholesterol Test in 9 supermarkets during the summer of 2007 were invited to complete a short questionnaire about risk factors for cardiovascular disease and expectations concerning the test result. Statements about the intention to change behaviour were offered, and the measured total cholesterol level was recorded. The average age of the 684 respondents was 57 years (SD: 16); 72% were female. Participants had on average a lower risk of cardiovascular disease than the general population; they suffered less frequently from diabetes, hypertension and being overweight, and smoked less. The measured cholesterol level was 5.0-6.5 mmol/l in 37% and > 6.5 mmoll in 11%. Elevated cholesterol levels were less common in this group than in the general population. The intention to change behaviour was substantial. The results of this study showed that the National Cholesterol Test reached relatively many healthy, somewhat worried people. The intention to change behaviour was substantial.

  19. Foreign Language Teaching Policies and European Unity: The Dutch National Action Programme.

    ERIC Educational Resources Information Center

    van Els, Theo. J. M.; van Hest, Erna W. C. M.

    1990-01-01

    Describes and reviews the Dutch National Action Programme (NAP) on Foreign Languages, instituted in anticipation of the demands of the 1992 Single European Market. The increasing demand for foreign languages is confirmed, some shortcomings of the current program regarding French and German language learning are identified, and recommendations for…

  20. Cow's milk allergy in Dutch children: an epigenetic pilot survey.

    PubMed

    Petrus, Nicole C M; Henneman, Peter; Venema, Andrea; Mul, Adri; van Sinderen, Femke; Haagmans, Martin; Mook, Olaf; Hennekam, Raoul C; Sprikkelman, Aline B; Mannens, Marcel

    2016-01-01

    Cow's milk allergy (CMA) is a common disease in infancy. Early environmental factors are likely to contribute to CMA. It is known that epigenetic gene regulation can be altered by environmental factors. We have set up a proof of concept study, aiming to detect epigenetic associations specific with CMA. We studied children from the Dutch EuroPrevall birth cohort study (N = 20 CMA, N = 23 controls, N = 10 tolerant boys), age and gender matched. CMA was challenge proven. Bisulfite converted DNA (blood) was analyzed using the 450K infinium DNA-methylation array. Four groups (combined, girls, boys and tolerant boys) were analysed between CMA and controls. Statistical analysis and pathway-analysis were performed in "R" using IMA, Minfi and the global-test package. Differentially methylated regions in DHX58, ZNF281, EIF42A and HTRA2 genes were validated by quantitative amplicon sequencing (ROCHE 454(®)). General hypermethylation was found in the CMA group compared to control children, while this effect was absent in the tolerant group. Methylation differences were, among others, found in regions of DHX58, ZNF281, EIF42A and HTRA2 genes. Several of these genes are known to be involved in immunological pathways and associated with other allergies. We show that epigenetic associations are involved in CMA. Although, the statistical power of our study is limited and our sample was based on whole blood, we were still able to detect feasible loci and pathways. Therefore our findings might contribute to future diagnostic or therapeutic interventions for specific CMA. Further studies have to confirm the findings of our study.

  1. Participation in national celebrations and commemorations: The role of socialization and nationalism in the Dutch context.

    PubMed

    Lubbers, Marcel; Meuleman, Roza

    2016-01-01

    National celebrations and commemorations are believed to increase national cohesion. It is unknown however who participates in these activities. In this contribution, we address to what extent socialization by the parents and school, and integration into religious intermediary groups affect participation in national celebrations and commemorations. With the strong reference to the relevance of the nation in national days, we also hypothesize about the association between nationalist attitudes and national day participation. We chose the Netherlands as test case, with its institutionalized national days to remember war victims, to celebrate freedom and to celebrate the Monarchy. Relying on a national survey (LISS; N = 4559), our findings show that the transmission of parental behaviours is crucial for taking part in national celebrations and commemorative events. Schooling and integration in religious groups only affect specific forms of national celebrations and commemorations. In line with US based research on flagging the Stars and Stripes, we find that national day participation in this European country is affected by patriotic attitudes rather than by chauvinistic attitudes. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Social Workers' Orientation Toward the Evidence-Based Practice Process: A Dutch Survey.

    PubMed

    van der Zwet, Renske J M; Kolmer, Deirdre M Beneken Genaamd; Schalk, René

    2016-10-01

    This study assesses social workers' orientation toward the evidence-based practice (EBP) process and explores which specific variables (e.g. age) are associated. Data were collected from 341 Dutch social workers through an online survey which included a Dutch translation of the EBP Process Assessment Scale (EBPPAS), along with 13 background/demographic questions. The overall level of orientation toward the EBP process is relatively low. Although respondents are slightly familiar with it and have slightly positive attitudes about it, their intentions to engage in it and their actual engagement are relatively low. Respondents who followed a course on the EBP process as a student are more oriented toward it than those who did not. Social workers under 29 are more familiar with the EBP process than those over 29. We recommend educators to take a more active role in teaching the EBP process to students and social workers.

  3. Risk of psychiatric treatment for mood disorders and psychotic disorders among migrants and Dutch nationals in Utrecht, The Netherlands.

    PubMed

    Selten, J P; Laan, W; Kupka, R; Smeets, H M; van Os, J

    2012-02-01

    While there are consistent reports of a high psychosis rate among certain groups of migrants in Europe, there is little information on their risk for mood disorders. The aim of this study was to investigate the risk of receiving psychiatric treatment for mood disorders or psychotic disorders, comparing migrants and Dutch nationals in an ethnically mixed catchment area. A second aim was to calculate the 1-year prevalence rates of psychotic disorders in first-generation migrants. A psychiatric registry provided information on treatments at all in- and outpatient facilities. Statistics Netherlands provided annual population figures. The risk of receiving treatment for unipolar depressive disorder was increased for the Turkish-Dutch (first and second generation combined; age- and sex-adjusted relative risk 4.9; 95% CI: 4.4-5.5), Moroccan-Dutch (RR = 3.6; 3.3-4.0) and Surinamese-Dutch (RR=1.8; 1.5-2.2). The risk of being treated for bipolar disorder was not significantly increased for any group, except for the Turkish-Dutch of the second generation. The risk of treatment for non-affective psychotic disorder was very high for the Turkish-Dutch, Moroccan-Dutch and Surinamese-Dutch of the second generation. There was a large difference in the relative risk of this disorder between the Turkish-Dutch of the first (RR = 1.3; 1.0-1.8) and the second generation (RR = 8.7; 5.5-13.9). The 1-year prevalence rates of treated psychotic disorders were highest for Surinamese-Dutch (2.1%) and Moroccan-Dutch males (1.2%) of the first generation. Migrants from western-European countries were not at increased risk for any of these disorders. The stressful position of non-Western migrants in Dutch society has negative consequences on their mental health.

  4. National Lakes Assessment: A Collaborative Survey of the Nation's Lakes

    EPA Science Inventory

    The National Lakes Assessment A Collaborative Survey of the Nation's Lakes presents the results of an unprecedented assessment of the nation’s lakes. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys designed to provide the pub...

  5. National Lakes Assessment: A Collaborative Survey of the Nation's Lakes

    EPA Science Inventory

    The National Lakes Assessment A Collaborative Survey of the Nation's Lakes presents the results of an unprecedented assessment of the nation’s lakes. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys designed to provide the pub...

  6. Are Dutch Hospitals Prepared for Chemical, Biological, or Radionuclear Incidents? A Survey Study.

    PubMed

    Mortelmans, Luc J M; Gaakeer, Menno I; Dieltiens, Greet; Anseeuw, Kurt; Sabbe, Marc B

    2017-10-01

    Introduction Being one of Europe's most densely populated countries, and having multiple nuclear installations, a heavy petrochemical industry, and terrorist targets, the Netherlands is at-risk for chemical, biological, or radionuclear (CBRN) incidents. Recent world and continental events show that this threat is real and that authorities may be underprepared. Hypothesis The hypothesis of this study is that Dutch hospitals are underprepared to deal with these incidents. A descriptive, cross-sectional study was performed. All 93 Dutch hospitals with an emergency department (ED) were sent a link to an online survey on different aspects of CBRN preparedness. Besides specific hospital information, information was obtained on the hospital's disaster planning; risk perception; and availability of decontamination units, personal protective equipment (PPE), antidotes, radiation detection, infectiologists, isolation measures, and staff training. Response rate was 67%. Sixty-two percent of participating hospitals were estimated to be at-risk for CBRN incidents. Only 40% had decontamination facilities and 32% had appropriate PPE available for triage and decontamination teams. Atropine was available in high doses in all hospitals, but specific antidotes that could be used for treating victims of CBRN incidents, such as hydroxycobolamine, thiosulphate, Prussian blue, Diethylenetriaminepentaacetic acid (DTPA), or pralidoxime, were less frequently available (74%, 65%, 18%, 14%, and 42%, respectively). Six percent of hospitals had radioactive detection equipment with an alarm function and 22.5% had a nuclear specialist available 24/7 in case of disasters. Infectiologists were continuously available in 60% of the hospitals. Collective isolation facilities were present in 15% of the hospitals. There is a serious lack of hospital preparedness for CBRN incidents in The Netherlands. Mortelmans LJM , Gaakeer MI , Dieltiens G , Anseeuw K , Sabbe MB . Are Dutch hospitals prepared for

  7. The impact of non-response bias due to sampling in public health studies: A comparison of voluntary versus mandatory recruitment in a Dutch national survey on adolescent health.

    PubMed

    Cheung, Kei Long; Ten Klooster, Peter M; Smit, Cees; de Vries, Hein; Pieterse, Marcel E

    2017-03-23

    In public health monitoring of young people it is critical to understand the effects of selective non-response, in particular when a controversial topic is involved like substance abuse or sexual behaviour. Research that is dependent upon voluntary subject participation is particularly vulnerable to sampling bias. As respondents whose participation is hardest to elicit on a voluntary basis are also more likely to report risk behaviour, this potentially leads to underestimation of risk factor prevalence. Inviting adolescents to participate in a home-sent postal survey is a typical voluntary recruitment strategy with high non-response, as opposed to mandatory participation during school time. This study examines the extent to which prevalence estimates of adolescent health-related characteristics are biased due to different sampling methods, and whether this also biases within-subject analyses. Cross-sectional datasets collected in 2011 in Twente and IJsselland, two similar and adjacent regions in the Netherlands, were used. In total, 9360 youngsters in a mandatory sample (Twente) and 1952 youngsters in a voluntary sample (IJsselland) participated in the study. To test whether the samples differed on health-related variables, we conducted both univariate and multivariable logistic regression analyses controlling for any demographic difference between the samples. Additional multivariable logistic regressions were conducted to examine moderating effects of sampling method on associations between health-related variables. As expected, females, older individuals, as well as individuals with higher education levels, were over-represented in the voluntary sample, compared to the mandatory sample. Respondents in the voluntary sample tended to smoke less, consume less alcohol (ever, lifetime, and past four weeks), have better mental health, have better subjective health status, have more positive school experiences and have less sexual intercourse than respondents in the

  8. News media coverage of euthanasia: a content analysis of Dutch national newspapers.

    PubMed

    Rietjens, Judith A C; Raijmakers, Natasja J H; Kouwenhoven, Pauline S C; Seale, Clive; van Thiel, Ghislaine J M W; Trappenburg, Margo; van Delden, Johannes J M; van der Heide, Agnes

    2013-03-06

    The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term 'euthanasia' according to the legal definition and determines what arguments for and against euthanasia they contain. We did an electronic search of seven Dutch national newspapers between January 2009 and May 2010 and conducted a content analysis. Of the 284 articles containing the term 'euthanasia', 24% referred to practices outside the scope of the law, mostly relating to the forgoing of life-prolonging treatments and assistance in suicide by others than physicians. Of the articles with euthanasia as the main topic, 36% described euthanasia in the context of a terminally ill patient, 24% for older persons, 16% for persons with dementia, and 9% for persons with a psychiatric disorder. The most frequent arguments for euthanasia included the importance of self-determination and the fact that euthanasia contributes to a good death. The most frequent arguments opposing euthanasia were that suffering should instead be alleviated by better care, that providing euthanasia can be disturbing, and that society should protect the vulnerable. Of the newspaper articles, 24% uses the term 'euthanasia' for practices that are outside the scope of the euthanasia law. Typically, the more unusual cases are discussed. This might lead to misunderstandings between citizens and physicians. Despite the Dutch legalisation of euthanasia, the debate about its acceptability and boundaries is ongoing and both sides of the debate are clearly represented.

  9. Metadata - National Hospital Discharge Survey (NHDS)

    EPA Pesticide Factsheets

    The National Hospital Discharge Survey (NHDS) is an annual probability survey that collects information on the characteristics of inpatients discharged from non-federal short-stay hospitals in the United States.

  10. Background of the National Aquatic Resource Surveys

    EPA Pesticide Factsheets

    The National Aquatic Resource Surveys (NARS) are statistical surveys designed to assess the status of and changes in quality of the nation’s coastal waters, lakes and reservoirs, rivers and streams, and wetlands.

  11. The National Aquatic Resource Surveys (NARS)

    EPA Pesticide Factsheets

    The National Aquatic Resource Surveys (NARS) are statistical surveys designed to assess the status of and changes in quality of the nation’s coastal waters, lakes and reservoirs, rivers and streams, and wetlands.

  12. Partners in the National Aquatic Resource Surveys

    EPA Pesticide Factsheets

    EPA is working with state, tribal, and other federal agencies to implement the National Aquatic Resource Surveys (NARS). States and tribes participate in these surveys through their Clean Water Act Section 106 Monitoring Initiative grants.

  13. A longitudinal genetic survey identifies temporal shifts in the population structure of Dutch house sparrows.

    PubMed

    Cousseau, L; Husemann, M; Foppen, R; Vangestel, C; Lens, L

    2016-10-01

    Dutch house sparrow (Passer domesticus) densities dropped by nearly 50% since the early 1980s, and similar collapses in population sizes have been reported across Europe. Whether, and to what extent, such relatively recent demographic changes are accompanied by concomitant shifts in the genetic population structure of this species needs further investigation. Therefore, we here explore temporal shifts in genetic diversity, genetic structure and effective sizes of seven Dutch house sparrow populations. To allow the most powerful statistical inference, historical populations were resampled at identical locations and each individual bird was genotyped using nine polymorphic microsatellites. Although the demographic history was not reflected by a reduction in genetic diversity, levels of genetic differentiation increased over time, and the original, panmictic population (inferred from the museum samples) diverged into two distinct genetic clusters. Reductions in census size were supported by a substantial reduction in effective population size, although to a smaller extent. As most studies of contemporary house sparrow populations have been unable to identify genetic signatures of recent population declines, results of this study underpin the importance of longitudinal genetic surveys to unravel cryptic genetic patterns.

  14. Climate Change and Infectious Disease Risk in Western Europe: A Survey of Dutch Expert Opinion on Adaptation Responses and Actors

    PubMed Central

    Akin, Su-Mia; Martens, Pim; Huynen, Maud M.T.E.

    2015-01-01

    There is growing evidence of climate change affecting infectious disease risk in Western Europe. The call for effective adaptation to this challenge becomes increasingly stronger. This paper presents the results of a survey exploring Dutch expert perspectives on adaptation responses to climate change impacts on infectious disease risk in Western Europe. Additionally, the survey explores the expert sample’s prioritization of mitigation and adaptation, and expert views on the willingness and capacity of relevant actors to respond to climate change. An integrated view on the causation of infectious disease risk is employed, including multiple (climatic and non-climatic) factors. The results show that the experts consider some adaptation responses as relatively more cost-effective, like fostering interagency and community partnerships, or beneficial to health, such as outbreak investigation and response. Expert opinions converge and diverge for different adaptation responses. Regarding the prioritization of mitigation and adaptation responses expert perspectives converge towards a 50/50 budgetary allocation. The experts consider the national government/health authority as the most capable actor to respond to climate change-induced infectious disease risk. Divergence and consensus among expert opinions can influence adaptation policy processes. Further research is necessary to uncover prevailing expert perspectives and their roots, and compare these. PMID:26295247

  15. Climate Change and Infectious Disease Risk in Western Europe: A Survey of Dutch Expert Opinion on Adaptation Responses and Actors.

    PubMed

    Akin, Su-Mia; Martens, Pim; Huynen, Maud M T E

    2015-08-18

    There is growing evidence of climate change affecting infectious disease risk in Western Europe. The call for effective adaptation to this challenge becomes increasingly stronger. This paper presents the results of a survey exploring Dutch expert perspectives on adaptation responses to climate change impacts on infectious disease risk in Western Europe. Additionally, the survey explores the expert sample's prioritization of mitigation and adaptation, and expert views on the willingness and capacity of relevant actors to respond to climate change. An integrated view on the causation of infectious disease risk is employed, including multiple (climatic and non-climatic) factors. The results show that the experts consider some adaptation responses as relatively more cost-effective, like fostering interagency and community partnerships, or beneficial to health, such as outbreak investigation and response. Expert opinions converge and diverge for different adaptation responses. Regarding the prioritization of mitigation and adaptation responses expert perspectives converge towards a 50/50 budgetary allocation. The experts consider the national government/health authority as the most capable actor to respond to climate change-induced infectious disease risk. Divergence and consensus among expert opinions can influence adaptation policy processes. Further research is necessary to uncover prevailing expert perspectives and their roots, and compare these.

  16. Weather conditions and political party vote share in Dutch national parliament elections, 1971-2010.

    PubMed

    Eisinga, Rob; Te Grotenhuis, Manfred; Pelzer, Ben

    2012-11-01

    Inclement weather on election day is widely seen to benefit certain political parties at the expense of others. Empirical evidence for this weather-vote share hypothesis is sparse however. We examine the effects of rainfall and temperature on share of the votes of eight political parties that participated in 13 national parliament elections, held in the Netherlands from 1971 to 2010. This paper merges the election results for all Dutch municipalities with election-day weather observations drawn from all official weather stations well distributed over the country. We find that the weather parameters affect the election results in a statistically and politically significant way. Whereas the Christian Democratic party benefits from substantial rain (10 mm) on voting day by gaining one extra seat in the 150-seat Dutch national parliament, the left-wing Social Democratic (Labor) and the Socialist parties are found to suffer from cold and wet conditions. Cold (5°C) and rainy (10 mm) election day weather causes the latter parties to lose one or two parliamentary seats.

  17. Weather conditions and political party vote share in Dutch national parliament elections, 1971-2010

    NASA Astrophysics Data System (ADS)

    Eisinga, Rob; Te Grotenhuis, Manfred; Pelzer, Ben

    2012-11-01

    Inclement weather on election day is widely seen to benefit certain political parties at the expense of others. Empirical evidence for this weather-vote share hypothesis is sparse however. We examine the effects of rainfall and temperature on share of the votes of eight political parties that participated in 13 national parliament elections, held in the Netherlands from 1971 to 2010. This paper merges the election results for all Dutch municipalities with election-day weather observations drawn from all official weather stations well distributed over the country. We find that the weather parameters affect the election results in a statistically and politically significant way. Whereas the Christian Democratic party benefits from substantial rain (10 mm) on voting day by gaining one extra seat in the 150-seat Dutch national parliament, the left-wing Social Democratic (Labor) and the Socialist parties are found to suffer from cold and wet conditions. Cold (5°C) and rainy (10 mm) election day weather causes the latter parties to lose one or two parliamentary seats.

  18. Psychological distress, burnout and personality traits in Dutch anaesthesiologists: A survey.

    PubMed

    van der Wal, Raymond A B; Bucx, Martin J L; Hendriks, Jan C M; Scheffer, Gert-Jan; Prins, Judith B

    2016-03-01

    The practice of anaesthesia comes with stress. If the demands of a stressful job exceed the resources of an individual, that person may develop burnout. Burnout poses a threat to the mental and physical health of the anaesthesiologist and therefore also to patient safety. Individual differences in stress appraisal (perceived demands) are an important factor in the risk of developing burnout. To explore this possible relationship, we assessed the prevalence of psychological distress and burnout in the Dutch anaesthesiologist population and investigated the influence of personality traits. Survey study. Data were collected in the Netherlands from July 2012 until December 2012. We sent electronic surveys to all 1955 practising resident and consultant members of the Dutch Anaesthesia Society. Of these, 655 (33.5%) were returned and could be used for analysis. Psychological distress, burnout and general personality traits were assessed using validated Dutch versions of the General Health Questionnaire (cut-off point ≥2), the Maslach Burnout Inventory and the Big Five Inventory. Sociodemographic variables and personality traits were entered into regression models as predictors for burnout and psychological distress. Respectively, psychological distress and burnout were prevalent in 39.4 and 18% of all respondents. The prevalence of burnout was significantly different in resident and consultant anaesthesiologists: 11.3% vs. 19.8% (χ 5.4; P < 0.02). The most important personality trait influencing psychological distress and burnout was neuroticism: adjusted odds ratio 6.22 (95% confidence interval 4.35 to 8.90) and 6.40 (95% confidence interval 3.98 to 10.3), respectively. The results of this study show that psychological distress and burnout have a high prevalence in residents and consultant anaesthesiologists and that both are strongly related to personality traits, especially the trait of neuroticism. This suggests that strategies to address the problem of

  19. Time and materials needed to survey, inject systemic fungicides, and install root-graft barriers for Dutch elm disease management

    Treesearch

    William N., Jr. Cannon; Jack H. Barger; Charles J. Kostichka; Charles J. Kostichka

    1986-01-01

    Dutch elm disease control practice in 15 communities showed a wide range of time and material required to apply control methods. The median time used for each method was: sanitation survey, 9.8 hours per square mile; symptom survey, 96 hours per thousand elms; systemic fungicide injection, 1.4 hours per elm; and root-graft barrier installation, 2.2 hours per barrier (5...

  20. Social Integration and Religious Identity Expression among Dutch Muslims: The Role of Minority and Majority Group Contact

    ERIC Educational Resources Information Center

    Maliepaard, Mieke; Phalet, Karen

    2012-01-01

    Against the background of contrasting religious versus secular norms in immigrant communities and in Dutch society, this study examines how religious identity expression is related to the social integration of Dutch Muslims within (a) Turkish or Moroccan minority groups and (b) Dutch majority groups. Using nationally representative survey data (N…

  1. Social Integration and Religious Identity Expression among Dutch Muslims: The Role of Minority and Majority Group Contact

    ERIC Educational Resources Information Center

    Maliepaard, Mieke; Phalet, Karen

    2012-01-01

    Against the background of contrasting religious versus secular norms in immigrant communities and in Dutch society, this study examines how religious identity expression is related to the social integration of Dutch Muslims within (a) Turkish or Moroccan minority groups and (b) Dutch majority groups. Using nationally representative survey data (N…

  2. ACT National Curriculum Survey[R], 2009

    ERIC Educational Resources Information Center

    ACT, Inc., 2009

    2009-01-01

    The ACT National Curriculum Survey is a one-of-a-kind nationwide survey of educational practices and expectations conducted by ACT every 3 to 5 years. ACT surveys thousands of middle school/junior high school, secondary, and postsecondary teachers in English/writing, reading (including English language arts and social studies teachers),…

  3. The 1974 National Acceptors Survey.

    PubMed

    Laing, J; Phillips, J; Zablan, Z; Llorente, R; Cabigon, J

    1976-01-01

    The 1974 National Acceptors Survey in the Philippines studied 4 methods of contraception: pill, IUD, rhythm, and condom. After 1 year, 72% of IUD acceptors had an IUD in place but only 29% of condom acceptors were still using condoms. Pills and rhythm were equally effective in terms of continuation and pregnancy rates. Continuation rates were higher among acceptors at postpartum clinics than at other clnics, higher among urban respondents than rural, and higher among older respondents. Those with more children had higher continuation rates, whereas those who wanted more children had lower continuation rates. Continuation rates also increased 1) as the duration of marriage lengthened; 2) with a later age at marriage; 3) with higher educational attainment; 4) among income-contributing respondents with higher incomes; 5) among previous contraceptive users; and 6) when physicians provided the services rather than nonmedical personnel, including medical screenings. Clinic attendance, husband's occupation, whether or not there was payment, and husband's support are other factors that seemed to affect continuation rates. Contraceptive effectiveness values were higher among pill and IUD acceptors. The percentage of reduction in fertility following acceptance of a method was 74% for IUDs and 27% for condoms. Fertility reduction was great among acceptors at postpartum clinics, acceptors in central visayas, and the highly educated. Future births averted ranged, for every 100 acceptors, 208 with the IUD, 32 with the condom, and 1 each pill and rhythm. Factors affecting method selection were administrative, beliefs, and preferences. The most common complaint about provision of clinical services was that the staff should spend more time in home visits (86%).

  4. Results of a survey on the implementation of diagnostic reference levels for X-rays among Dutch hospitals.

    PubMed

    Bijwaard, Harmen; Valk, Doreth; de Waard-Schalkx, Ischa

    2015-04-01

    Diagnostic reference levels (DRLs) for medical x-ray procedures are being implemented currently in the Netherlands. By order of the Dutch Healthcare Inspectorate, a survey has been conducted among 20 Dutch hospitals to investigate the level of implementation of the Dutch DRLs in current radiological practice. It turns out that hospitals are either well underway in implementing the DRLs or have already done so. However, the DRLs have usually not yet been incorporated in the QA system of the department nor in the treatment protocols. It was shown that the amount of radiation used, as far as it was indicated by the hospitals, usually remains below the DRLs. A procedure for comparing dose levels to the DRLs has been prescribed but is not always followed in practice. This is especially difficult in the case of children, as most general hospitals receive few children.

  5. News media coverage of euthanasia: a content analysis of Dutch national newspapers

    PubMed Central

    2013-01-01

    Background The Netherlands is one of the few countries where euthanasia is legal under strict conditions. This study investigates whether Dutch newspaper articles use the term ‘euthanasia’ according to the legal definition and determines what arguments for and against euthanasia they contain. Methods We did an electronic search of seven Dutch national newspapers between January 2009 and May 2010 and conducted a content analysis. Results Of the 284 articles containing the term ‘euthanasia’, 24% referred to practices outside the scope of the law, mostly relating to the forgoing of life-prolonging treatments and assistance in suicide by others than physicians. Of the articles with euthanasia as the main topic, 36% described euthanasia in the context of a terminally ill patient, 24% for older persons, 16% for persons with dementia, and 9% for persons with a psychiatric disorder. The most frequent arguments for euthanasia included the importance of self-determination and the fact that euthanasia contributes to a good death. The most frequent arguments opposing euthanasia were that suffering should instead be alleviated by better care, that providing euthanasia can be disturbing, and that society should protect the vulnerable. Conclusions Of the newspaper articles, 24% uses the term ‘euthanasia’ for practices that are outside the scope of the euthanasia law. Typically, the more unusual cases are discussed. This might lead to misunderstandings between citizens and physicians. Despite the Dutch legalisation of euthanasia, the debate about its acceptability and boundaries is ongoing and both sides of the debate are clearly represented. PMID:23497284

  6. Netherlands Hydrological Modeling Instrument - Unifying Dutch hydrological modeling expertise for national policy analysis

    NASA Astrophysics Data System (ADS)

    Delsman, J.; Kukuric, N.; Veldhuizen, A.; Tiktak, A.; Kroon, T.

    2009-04-01

    Dutch hydrological institutes Alterra, Deltares, Netherlands Environmental Assessment Agency and RWS Waterdienst have cooperated to build a new national hydrological model. The instrument will be used by all three ministries involved in national water policy matters, for instance drought management, manure policy and climate change issues. The basis of the modeling instrument is a state-of-the-art on-line coupling of the groundwater system (MODFLOW) and the unsaturated zone (metaSWAP). Optionally a national surface water module (MOZART-DM) can be added, in which surface water distribution, discharge and supply are accounted for. The data for the instrument is derived from several national databases, including the subsoil, groundwater abstractions, topsoil, land use, drainage, water distribution, water management and meteorological data. The Netherlands Hydrological modeling Instrument will be the center point of a framework of models, to coherently model the hydrological system and the multitude of functions it supports. This framework will assist in national policy making. Our ambition is to also make the instrument suitable on a regional and local water board scale. Therefore, for the future refinement of the model, local knowledge of hydrological system needs to be implemented in cooperation with the water boards. The development of the new Netherlands Hydrological modeling Instrument is a quality boost for national water management, thanks to a unique cooperation of all major research institutes and policy makers. It constitutes an essential instrument in implementing the right policy in a changing climate.

  7. National Lake Assessment 2012 Potenital Survey Design

    EPA Science Inventory

    In 2012 the Office of Water in collaboration with states and tribal nations will conduct the second National Lake Assessment. The purpose of this presentation is to present potential survey design approaches for this national assessment. Currently discussions are underway to de...

  8. National Lake Assessment 2012 Potenital Survey Design

    EPA Science Inventory

    In 2012 the Office of Water in collaboration with states and tribal nations will conduct the second National Lake Assessment. The purpose of this presentation is to present potential survey design approaches for this national assessment. Currently discussions are underway to de...

  9. 1978 national camping market survey

    Treesearch

    Wilbur F. LaPage; Gerald L. Cole

    1979-01-01

    This report summarizes the major findings of a 1978 nationwide camping market survey, and compares them with those of similar surveys conducted in 1971 and 1973. It documents recent trends in camping and in the composition of the camping market, and compares camping demand with the available supply of developed campsites. The active camping market in 1978 included 17.5...

  10. Bring up the Children: National and Religious Identity and Identification in Dutch Children's Historical Novels 1848-c.1870

    ERIC Educational Resources Information Center

    Parlevliet, Sanne

    2014-01-01

    Historical fiction is a powerful way of transmitting national history to later generations. It emerged in the nineteenth century as a means of building identity and fostering solidarity. This article investigates Dutch historical novels for children. First, it explores the relation between educational ideas and historical novels for children,…

  11. Bring up the Children: National and Religious Identity and Identification in Dutch Children's Historical Novels 1848-c.1870

    ERIC Educational Resources Information Center

    Parlevliet, Sanne

    2014-01-01

    Historical fiction is a powerful way of transmitting national history to later generations. It emerged in the nineteenth century as a means of building identity and fostering solidarity. This article investigates Dutch historical novels for children. First, it explores the relation between educational ideas and historical novels for children,…

  12. International Education in a National Context: Introducing the International Baccalaureate Middle Years Programme in Dutch Public Schools

    ERIC Educational Resources Information Center

    Visser, Alderik

    2010-01-01

    Some bilingual secondary schools in the Netherlands have introduced or are introducing the International Baccalaureate (IB) Middle Years Programme (MYP).The implementation of this international scheme at (semi-) public national Dutch schools proves anything but unproblematic. Based on a series of questionnaires filled out by school managers and…

  13. International Education in a National Context: Introducing the International Baccalaureate Middle Years Programme in Dutch Public Schools

    ERIC Educational Resources Information Center

    Visser, Alderik

    2010-01-01

    Some bilingual secondary schools in the Netherlands have introduced or are introducing the International Baccalaureate (IB) Middle Years Programme (MYP).The implementation of this international scheme at (semi-) public national Dutch schools proves anything but unproblematic. Based on a series of questionnaires filled out by school managers and…

  14. Weather conditions and voter turnout in Dutch national parliament elections, 1971-2010

    NASA Astrophysics Data System (ADS)

    Eisinga, Rob; Te Grotenhuis, Manfred; Pelzer, Ben

    2012-07-01

    While conventional wisdom assumes that inclement weather on election day reduces voter turnout, there is remarkably little evidence available to support truth to such belief. This paper examines the effects of temperature, sunshine duration and rainfall on voter turnout in 13 Dutch national parliament elections held from 1971 to 2010. It merges the election results from over 400 municipalities with election-day weather data drawn from the nearest weather station. We find that the weather parameters indeed affect voter turnout. Election-day rainfall of roughly 25 mm (1 inch) reduces turnout by a rate of one percent, whereas a 10-degree-Celsius increase in temperature correlates with an increase of almost one percent in overall turnout. One hundred percent sunshine corresponds to a one and a half percent greater voter turnout compared to zero sunshine.

  15. Weather conditions and voter turnout in Dutch national parliament elections, 1971-2010.

    PubMed

    Eisinga, Rob; Te Grotenhuis, Manfred; Pelzer, Ben

    2012-07-01

    While conventional wisdom assumes that inclement weather on election day reduces voter turnout, there is remarkably little evidence available to support truth to such belief. This paper examines the effects of temperature, sunshine duration and rainfall on voter turnout in 13 Dutch national parliament elections held from 1971 to 2010. It merges the election results from over 400 municipalities with election-day weather data drawn from the nearest weather station. We find that the weather parameters indeed affect voter turnout. Election-day rainfall of roughly 25 mm (1 inch) reduces turnout by a rate of one percent, whereas a 10-degree-Celsius increase in temperature correlates with an increase of almost one percent in overall turnout. One hundred percent sunshine corresponds to a one and a half percent greater voter turnout compared to zero sunshine.

  16. The National Adolescent Student Health Survey: Survey Replication Booklet.

    ERIC Educational Resources Information Center

    American School Health Association, Kent, OH.

    The National Adolescent Student Health Survey (NASHS), initiated in 1985, is conducted to examine the health-related knowledge, practices, and attitudes of the nation's youth in the following health areas: AIDS; Nutrition; Consumer Health; Sexually Transmitted Disease; Drug and Alcohol Use; Suicide; Injury Prevention; and Violence. Findings…

  17. Exploring improvements in patient logistics in Dutch hospitals with a survey.

    PubMed

    van Lent, Wineke A M; Sanders, E Marloes; van Harten, Wim H

    2012-08-01

    Research showed that promising approaches such as benchmarking, operations research, lean management and six sigma, could be adopted to improve patient logistics in healthcare. To our knowledge, little research has been conducted to obtain an overview on the use, combination and effects of approaches to improve patient logistics in hospitals. We therefore examined the approaches and tools used to improve patient logistics in Dutch hospitals, the reported effects of these approaches on performance, the applied support structure and the methods used to evaluate the effects. A survey among experts on patient logistics in 94 Dutch hospitals. The survey data were analysed using cross tables. Forty-eight percent of all hospitals participated. Ninety-eight percent reported to have used multiple approaches, 39% of them used five or more approaches. Care pathways were the preferred approach by 43% of the hospitals, followed by business process re-engineering and lean six sigma (both 13%). Flowcharts were the most commonly used tool, they were used on a regular basis by 94% of the hospitals. Less than 10% of the hospitals used data envelopment analysis and critical path analysis on a regular basis. Most hospitals (68%) relied on external support for process analyses and education on patient logistics, only 24% had permanent internal training programs on patient logistics. Approximately 50% of the hospitals that evaluated the effects of approaches on efficiency, throughput times and financial results, reported that they had accomplished their goals. Goal accomplishment in general hospitals ranged from 63% to 67%, in academic teaching hospitals from 0% to 50%, and in teaching hospitals from 25% to 44%. More than 86% performed an evaluation, 53% performed a post-intervention measurement. Patient logistics appeared to be a rather new subject as most hospitals had not selected a single approach, they relied on external support and they did not have permanent training programs

  18. Exploring improvements in patient logistics in Dutch hospitals with a survey

    PubMed Central

    2012-01-01

    Background Research showed that promising approaches such as benchmarking, operations research, lean management and six sigma, could be adopted to improve patient logistics in healthcare. To our knowledge, little research has been conducted to obtain an overview on the use, combination and effects of approaches to improve patient logistics in hospitals. We therefore examined the approaches and tools used to improve patient logistics in Dutch hospitals, the reported effects of these approaches on performance, the applied support structure and the methods used to evaluate the effects. Methods A survey among experts on patient logistics in 94 Dutch hospitals. The survey data were analysed using cross tables. Results Forty-eight percent of all hospitals participated. Ninety-eight percent reported to have used multiple approaches, 39% of them used five or more approaches. Care pathways were the preferred approach by 43% of the hospitals, followed by business process re-engineering and lean six sigma (both 13%). Flowcharts were the most commonly used tool, they were used on a regular basis by 94% of the hospitals. Less than 10% of the hospitals used data envelopment analysis and critical path analysis on a regular basis. Most hospitals (68%) relied on external support for process analyses and education on patient logistics, only 24% had permanent internal training programs on patient logistics. Approximately 50% of the hospitals that evaluated the effects of approaches on efficiency, throughput times and financial results, reported that they had accomplished their goals. Goal accomplishment in general hospitals ranged from 63% to 67%, in academic teaching hospitals from 0% to 50%, and in teaching hospitals from 25% to 44%. More than 86% performed an evaluation, 53% performed a post-intervention measurement. Conclusions Patient logistics appeared to be a rather new subject as most hospitals had not selected a single approach, they relied on external support and they did

  19. National Health Interview Survey (NHIS)

    EPA Pesticide Factsheets

    The NHIS collects data on a broad range of health topics through personal household interviews. The results of NHIS provide data to track health status, health care access, and progress toward achieving national health objectives.

  20. National Educational Research Policies: A World Survey.

    ERIC Educational Resources Information Center

    Debeauvais, Michel

    This report presents the findings of a study in which the member nations of UNESCO were surveyed concerning their education research policies. Specifically, the survey focuses on how research priorities are decided upon, how research is organized, how the results of research are disseminated, and what strategies are employed to make use of…

  1. National Survey of Public School Teachers.

    ERIC Educational Resources Information Center

    2001

    This report presents national survey results of public school teachers' opinions on the relationship between interior design and academic performance. The 1,050 teachers surveyed reveal that they recognize the relationship between interior design and academic achievement and that most teachers see the advantages of classroom carpeting relative to…

  2. Appalachian National Scenic Trail pilot survey

    Treesearch

    Stan Zarnoch; Michael Bowker; Ken Cordell; Matt Owens; Gary T. Green; Allison Ginn

    2011-01-01

    Visitation statistics on the Appalachian National Scenic Trail (AT) are important for management and Federal Government reporting purposes. However, no survey methodology has been developed to obtain accurate trailwide estimates over linear trails that traverse many hundreds of back-country miles. This research develops a stratified random survey design which utilizes...

  3. The National Longitudinal Surveys Handbook. Revised.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center for Human Resource Research.

    Designed as a comprehensive guide to the National Longitudinal Surveys of Labor Market Experience (NLS), this handbook is intended for two major categories of readers. For persons who wish to ascertain whether their research interests can be served by the NLS data, the handbook can provide the detailed description of the objectives of the surveys,…

  4. National Adult Physical Fitness Survey.

    ERIC Educational Resources Information Center

    President's Council on Physical Fitness and Sports Newsletter, 1973

    1973-01-01

    This report of a personal interview research survey conducted for the President's Council on Physical Fitness and Sports in 1972 presents the following findings: (a) 45 percent of all adult Americans do not engage in any form of exercise; (b) walking is the most popular form of exercise, followed by bicycle riding, swimming, calisthenics, bowling,…

  5. Seroepidemiological Survey for Coxiella burnetii Antibodies and Associated Risk Factors in Dutch Livestock Veterinarians

    PubMed Central

    Van den Brom, René; Schimmer, Barbara; Schneeberger, Peter M.; Swart, Wim A.; van der Hoek, Wim; Vellema, Piet

    2013-01-01

    Since 2007, Q fever has become a major public health problem in the Netherlands and goats were the most likely source of the human outbreaks in 2007, 2008 and 2009. Little was known about the consequences of these outbreaks for those professional care providers directly involved. The aim of this survey was to estimate the seroprevalence of antibodies against C. burnetii among Dutch livestock veterinarians and to determine possible risk factors. Single blood samples from 189 veterinarians, including veterinary students in their final year, were collected at a veterinary conference and a questionnaire was filled in by each participant. The blood samples were screened for IgG antibodies against phase I and phase II antigen of C. burnetii using an indirect immunofluorescent assay, and for IgM antibodies using an ELISA. Antibodies against C. burnetii were detected in 123 (65.1%) out of 189 veterinarians. Independent risk factors associated with seropositivity were number of hours with animal contact per week, number of years graduated as veterinarian, rural or sub urban living area, being a practicing veterinarian, and occupational contact with swine. Livestock veterinarians should be aware of this risk to acquire an infection with C. burnetii. Physicians should consider potential infection with C. burnetii when treating occupational risk groups, bearing in mind that the burden of disease among veterinarians remains uncertain. Vaccination of occupational risk groups should be debated. PMID:23342063

  6. Seroepidemiological survey for Coxiella burnetii antibodies and associated risk factors in Dutch livestock veterinarians.

    PubMed

    Van den Brom, René; Schimmer, Barbara; Schneeberger, Peter M; Swart, Wim A; van der Hoek, Wim; Vellema, Piet

    2013-01-01

    Since 2007, Q fever has become a major public health problem in the Netherlands and goats were the most likely source of the human outbreaks in 2007, 2008 and 2009. Little was known about the consequences of these outbreaks for those professional care providers directly involved. The aim of this survey was to estimate the seroprevalence of antibodies against C. burnetii among Dutch livestock veterinarians and to determine possible risk factors. Single blood samples from 189 veterinarians, including veterinary students in their final year, were collected at a veterinary conference and a questionnaire was filled in by each participant. The blood samples were screened for IgG antibodies against phase I and phase II antigen of C. burnetii using an indirect immunofluorescent assay, and for IgM antibodies using an ELISA. Antibodies against C. burnetii were detected in 123 (65.1%) out of 189 veterinarians. Independent risk factors associated with seropositivity were number of hours with animal contact per week, number of years graduated as veterinarian, rural or sub urban living area, being a practicing veterinarian, and occupational contact with swine. Livestock veterinarians should be aware of this risk to acquire an infection with C. burnetii. Physicians should consider potential infection with C. burnetii when treating occupational risk groups, bearing in mind that the burden of disease among veterinarians remains uncertain. Vaccination of occupational risk groups should be debated.

  7. Current Dermatologic Care in Dutch Nursing Homes and Possible Improvements: A Nationwide Survey.

    PubMed

    Lubeek, Satish F K; van der Geer, Eric R; van Gelder, Marleen M H J; Koopmans, Raymond T C M; van de Kerkhof, Peter C M; Gerritsen, Marie-Jeanne P

    2015-08-01

    To assess the provision and need of dermatologic care among Dutch nursing home patients and to obtain recommendations for improvement. Cross-sectional nationwide survey. All 173 nursing home organizations in the Netherlands. Physicians working in nursing homes. Web-based questionnaire concerning the burden of skin diseases in nursing home patients, diagnostic procedures and therapy, collaboration with dermatologists, physicians' level of education, and suggestions for improvement. A total of 126 (72.8%) nursing home organizations, with 1133 associated physicians participated in our study and received the questionnaire. A total of 347 physicians (30.6%) completed the questionnaire. Almost all respondents (99.4%) were recently confronted with skin diseases, mostly (pressure) ulcers, eczema, and fungal infections. Diagnostic and treatment options were limited because of a lack of availability and experience of the physicians. More live consultation of dermatologists was suggested as being important to improve dermatologic care. Other suggestions were better education, more usage of telemedicine applications, and better availability of diagnostic and/or treatment procedures like cryotherapy. Physicians in nursing homes are frequently confronted with skin diseases. Several changes in organization of care and education are expected to improve dermatologic care in nursing home patients. Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  8. Adhesion Awareness: A National Survey of Surgeons

    PubMed Central

    Schreinemacher, Marc H. F.; ten Broek, Richard P.; Bakkum, Erica A.; van Goor, Harry

    2010-01-01

    Background Postoperative adhesions are the most frequent complication of abdominal surgery, leading to high morbidity, mortality, and costs. However, the problem seems to be neglected by surgeons for largely unknown reasons. Methods A survey assessing knowledge and personal opinion about the extent and impact of adhesions was sent to all Dutch surgeons and surgical trainees. The informed-consent process and application of antiadhesive agents were questioned in addition. Results The response rate was 34.4%. Two thirds of all respondents (67.7%) agreed that adhesions exert a clinically relevant, negative effect. A negative perception of adhesions correlated with a positive attitude regarding adhesion prevention (ρ = 0.182, p < 0.001). However, underestimation of the extent and impact of adhesions resulted in low knowledge scores (mean test score 37.6%). Lower scores correlated with more uncertainty about indications for antiadhesive agents which, in turn, correlated with never having used any of these agents (ρ = 0.140, p = 0.002; ρ = 0.095, p = 0.035; respectively). Four in 10 respondents (40.9%) indicated that they never inform patients on adhesions and only 9.8% informed patients routinely. A majority of surgeons (55.9%) used antiadhesive agents in the past, but only a minority (13.4%) did in the previous year. Of trainees, 82.1% foresaw an increase in the use of antiadhesive agents compared to 64.5% of surgeons (p < 0.001). Conclusions The magnitude of the problem of postoperative adhesions is underestimated and informed consent is provided inadequately by Dutch surgeons. Exerting adhesion prevention is related to the perception of and knowledge about adhesions. PMID:20814678

  9. National Oceanic and Atmospheric Administration mapping surveys

    SciTech Connect

    Andreasen, C.

    1986-05-01

    The National Oceanic and Atmospheric Administration (NOAA) multibeam surveys within the US Exclusive Economic Zone (EEZ) are providing a new data base of bathymetric information significantly superior to existing bathymetric maps compiled from prior survey information. Surveys made with the new Sea Beam and Bathymetric Swath Survey System are intended to provide 100% coverage of selected areas of the continental shelf, slope, and upper rise off the west coast of the US. During the next 2 years, surveys will expand to Hawaii and Alaska. Areas were selected through a cooperative agreement between NOAA and the US Geological Survey (USGS). The intent of the program is to provide detailed bathymetry conducted in conformance with international map standards for use in making geologic interpretations and assessments in conjunction with the GLORIA image data acquired by USGS. The primary objective of the program is to provide high-resolution data to support the development and management of offshore resources, particularly within the US EEZ. Within NOAA, the data are to be used to provide new and revised map and chart products. Also, to maximize the utility of the surveys, arrangements are being sought to acquire other geophysical measurements and ancillary marine data in conjunction with the bathymetric surveys Dissemination of the NOAA data is undecided due to national security concerns. However, efforts are underway in cooperation with the Department of Defense to devise a public product of value to scientific and industrial needs without compromising national security.

  10. Survey: National Environmental Satellite Service

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The national Environmental Satellite Service (NESS) receives data at periodic intervals from satellites of the Synchronous Meteorological Satellite/Geostationary Operational Environmental Satellite series and from the Improved TIROS (Television Infrared Observational Satellite) Operational Satellite. Within the conterminous United States, direct readout and processed products are distributed to users over facsimile networks from a central processing and data distribution facility. In addition, the NESS Satellite Field Stations analyze, interpret, and distribute processed geostationary satellite products to regional weather service activities.

  11. Discussing sexuality with patients with Parkinson's disease: a survey among Dutch neurologists.

    PubMed

    van Hees, Petra J M; van der Plas, Anton A; van Ek, Gaby F; Putter, Hein; Den Oudsten, Brenda L; den Ouden, Marjolein E M; Elzevier, Henk W

    2017-03-01

    Sexual functioning is often impaired in patients with Parkinson's disease (PD) and may affect quality of life of patients and their spouse. However, little is known about the practice patterns of neurologists with regard to discussing sexuality in this field. The aim of this cross-sectional study was to evaluate to what extent neurologists discuss sexuality with PD patients. A 22-item questionnaire was sent to 139 neurologists specializing in PD. The survey contained questions about their attitudes, knowledge, and practice patterns with respect to sexual dysfunction (SD) in patients with PD. The response rate of the survey was 66.9%. Most participants (56.8%) stated that they address sexuality in less than half of their PD patients. High age of patients (42.0%), insufficient consultation time (37.5%), and a lack of patients' initiative to raise the topic themselves (36.4%) were frequently reported barriers towards discussing sexuality. The majority of participants considered that discussing sexuality is a responsibility that lay with neurologists (85.2%), nurses (73.9%), and patients (72.7%). One quarter of the neurologists reported to have insufficient or no knowledge on SD. The majority of participants regarded screening for SD important or slightly important (85.2%). A large proportion of Dutch neurologists specializing in PD do not routinely discuss sexuality with their PD patients. Sexual healthcare in PD patients may benefit from time-efficient tools and agreements on who is responsible for discussing SD. Furthermore, recommendations in PD guidelines on screening and managing SD should be adapted to fit everyday practice.

  12. National survey of hospital patients.

    PubMed Central

    Bruster, S.; Jarman, B.; Bosanquet, N.; Weston, D.; Erens, R.; Delbanco, T. L.

    1994-01-01

    OBJECTIVE--To survey patients' opinions of their experiences in hospital in order to produce data that can help managers and doctors to identify and solve problems. DESIGN--Random sample of 36 NHS hospitals, stratified by size of hospital (number of beds), area (north, midlands, south east, south west), and type of hospital (teaching or non-teaching, trust or directly managed). From each hospital a random sample of, on average, 143 patients was interviewed at home or the place of discharge two to four weeks after discharge by means of a structured questionnaire about their treatment in hospital. SUBJECTS--5150 randomly chosen NHS patients recently discharged from acute hospitals in England. Subjects had been patients on medical and surgical wards apart from paediatric, maternity, psychiatric, and geriatric wards. MAIN OUTCOME MEASURES--Patients' responses to direct questions about preadmission procedures, admission, communication with staff, physical care, tests and operations, help from staff, pain management, and discharge planning. Patients' responses to general questions about their degree of satisfaction in hospitals. RESULTS--Problems were reported by patients, particularly with regard to communication with staff (56% (2824/5020) had not been given written or printed information); pain management (33% (1042/3162) of those suffering pain were in pain all or most of the time); and discharge planning (70% (3599/5124) had not been told about warning signs and 62% (3177/5119) had not been told when to resume normal activities). Hospitals failed to reach the standards of the Patient's Charter--for example, in explaining the treatment proposed and giving patients the option of not taking part in student training. Answers to questions about patient satisfaction were, however, highly positive but of little use to managers. CONCLUSIONS--This survey has highlighted several problems with treatment in NHS hospitals. Asking patients direct questions about what happened

  13. Preparing the Dutch delta for future droughts: model based support in the national Delta Programme

    NASA Astrophysics Data System (ADS)

    ter Maat, Judith; Haasnoot, Marjolijn; van der Vat, Marnix; Hunink, Joachim; Prinsen, Geert; Visser, Martijn

    2014-05-01

    Keywords: uncertainty, policymaking, adaptive policies, fresh water management, droughts, Netherlands, Dutch Deltaprogramme, physically-based complex model, theory-motivated meta-model To prepare the Dutch Delta for future droughts and water scarcity, a nation-wide 4-year project, called Delta Programme, is established to assess impacts of climate scenarios and socio-economic developments and to explore policy options. The results should contribute to a national adaptive plan that is able to adapt to future uncertain conditions, if necessary. For this purpose, we followed a model-based step-wise approach, wherein both physically-based complex models and theory-motivated meta-models were used. First step (2010-2011) was to make a quantitative problem description. This involved a sensitivity analysis of the water system for drought situations under current and future conditions. The comprehensive Dutch national hydrological instrument was used for this purpose and further developed. Secondly (2011-2012) our main focus was on making an inventory of potential actions together with stakeholders. We assessed efficacy, sell-by date of actions, and reassessed vulnerabilities and opportunities for the future water supply system if actions were (not) taken. A rapid assessment meta-model was made based on the complex model. The effects of all potential measures were included in the tool. Thirdly (2012-2013), with support of the rapid assessment model, we assessed the efficacy of policy actions over time for an ensemble of possible futures including sea level rise and climate and land use change. Last step (2013-2014) involves the selection of preferred actions from a set of promising actions that meet the defined objectives. These actions are all modeled and evaluated using the complex model. The outcome of the process will be an adaptive management plan. The adaptive plan describes a set of preferred policy pathways - sequences of policy actions - to achieve targets under

  14. National questionnaire survey of TMA.

    PubMed

    Ito, Naomi; Wada, Hideo; Matsumoto, Masanori; Fujimura, Yoshihiro; Murata, Mitsuru; Izuno, Takashi; Sugita, Minoru; Ikeda, Yasuo

    2009-10-01

    A questionnaire survey of Japanese patients with thrombotic microangiopathy (TMA) was carried out to investigate the frequency, laboratory abnormalities, and outcome in 2004. Out of 185 patients, there were 13 with familial TMA and 172 with acquired TMA. In acquired TMA, there were 66 with Escherichia coli O-157 infection (O-157)-related TMA, 35 with ADAMTS13-related TMA, and 22 with other types of TMA. The frequency of TMA in O-157-related TMA was high in patients from 0- to 15-year-old, and acquired TMA without O-157 was frequently observed in patients ranging from 31 to 65 years of age. In the treatment of acquired TMA, including plasma exchange (PE), steroid, antiplatelet agent, and anticoagulant, PE was carried out in 94.3% of ADAMTS13-related TMA, 77.3% of other TMA, and 7.6% of O-157-related TMA. The efficacy of PE and steroid therapy tended to be higher in ADAMTS13 TMA than in other types of TMA. The complete remission rate is the highest in O-157 TMA. The mortality rate was the lowest for O-157 TMA, and this rate also tended to be lower in ADAMTS13-related TMA than in other types of TMA. However, the determination of ADAMTS13 was not universal in Japan at the time of this questionnaire.

  15. Made in the USA: the import of American Consumer Assessment of Health Plan Surveys (CAHPS) into the Dutch social insurance system.

    PubMed

    Delnoij, Diana M J; ten Asbroek, Guus; Arah, Onyebuchi A; de Koning, Johan S; Stam, Piet; Poll, Aldien; Vriens, Barbara; Schmidt, Paul; Klazinga, Niek S

    2006-12-01

    In the Netherlands, managed competition between health plans has been introduced. For Dutch health plans this implies that they need to collect data about their own performance and that of the care providers they contract. To that end, Consumer Assessment of Health Plan Surveys (CAHPS) instruments have recently been adopted by a large Dutch health plan. This paper presents the results of a validation study of the Dutch version of the CAHPS Adult Commercial questionnaire. The questions addressed are as follows: Can this questionnaire be adapted for use in the context of the Dutch insurance system? and Can it generate valid information about the quality of health care and the performance of Dutch health plans? The translated questionnaire has been mailed to a sample of 977 enrollees. The psychometric properties of the translated instrument have been studied, and the results have been compared with those of other Dutch and American studies. The net response rate was 51% (n = 500). In general, the questionnaires were filled out completely and consistently. Principal component analyses revealed a factor that can be labelled as patient-centredness in the primary process. It contains the domains that in the CAHPS literature are described as 'courteous/helpful staff' and 'doctors communicating well'. The translated version of the CAHPS Adult Commercial questionnaire is a promising tool for Dutch health plans. More research is needed on the external and the content validity of these questionnaires in the Dutch context.

  16. The Katayama syndrome; an outbreak in Dutch tourists to the Omo National Park, Ethiopia.

    PubMed

    Zuidema, P J

    1981-03-01

    The Katayama syndrome, the early stage of schistosomal disease, occurs 3 to 6 weeks after infection. The main symptoms are fever, urticaria, oedema and general malaise. Eosinophilia is a constant finding. The syndrome developed in a group of Dutch tourists after a visit in early November 1975 to the Omo National Park, southwest Ethiopia. Eight out of 10 infected persons became clinically ill. The incubation period varied from 4 to 41 days with a mean of 26 days. Pyrexia occurred in 6 patients, usually associated with headache and muscle pains; only to one patient the fever lasted for more than two weeks. Fever followed by oedema was present in one patient. Two patients were afebrile, one suffered from urticaria, the other from general malaise. Two visitors remained asymptomatic, but the results of serological tests showed that they were also infected. The liver function was disturbed in one patient during the febrile period and further deteriorated during treatment with niridazole. S. mansoni eggs were detected in small numbers in two patients, 6 months and 19 months after infection. Obviously the tourists harboured few adult worms. They probably had been infected by few cercariae; the possibility that they were infected by cercariae of a S. mansoni strain not well adapted to man was considered.

  17. Estimates from two survey designs: national hospital discharge survey.

    PubMed

    Haupt, B J; Kozak, L J

    1992-05-01

    The methodology for the National Hospital Discharge Survey (NHDS) has been revised in several ways. These revisions, which were implemented for the 1988 NHDS, included adoption of a different hospital sampling frame, changes in the sampling design (in particular the implementation of a three-stage design), increased use of data purchased from abstracting service organizations, and adjustments to the estimation procedures used to derive the national estimates. To investigate the effects of these revisions on the estimates of hospital use from the NHDS, data were collected from January through March of 1988 using both the old and the new survey methods. This study compared estimates based on the old and the new survey methods for a variety of hospital and patient characteristics. Although few estimates were identical across survey methodologies, most of the variations could be attributed to sampling error. Estimates from two different samples of the same population would be expected to vary by chance even if precisely the same methods were used to collect and process the data. Because probability samples were used for the old and new survey methodologies, sampling error could be measured. Approximate relative standard errors were calculated for the estimates using the old and new survey methods. Taking these errors into account, less than 10 percent of the estimates were found to differ across survey methodologies at the 0.05 level of significance. Because a large number of comparisons were made, 5 percent of the estimates could have been found to be significantly different by chance alone. When there were statistically significant differences in nonmedical data, the new methods appeared to produce more accurate estimates than the old methods did. Race was more likely to be reported using the new methods. "New" estimates for hospitals in the West Region and government-owned hospitals were more similar than the corresponding "old" estimates to data from the census of

  18. Counselor Wellness and Impairment: A National Survey

    ERIC Educational Resources Information Center

    Lawson, Gerard

    2007-01-01

    Counselor wellness has a direct impact on the quality of services clients receive, but little is known about the overall wellness of counselors. This study begins the process of better understanding counselor wellness by examining responses to a national survey that assessed both counselor wellness and impairment variables. (Contains 2 tables.)

  19. Teenage Victims: A National Crime Survey Report.

    ERIC Educational Resources Information Center

    Whitaker, Catherine J.

    The information in this report on teenage victims of crime is based on data obtained from the National Crime Survey for the years 1982 through 1984. The introduction summarizes crimes against teenagers, highlighting numbers, rates of victimization, and differences in crimes against teenagers and adults. These topics are discussed in detail: (1)…

  20. Lao National Literacy Survey 2001: Final Report

    ERIC Educational Resources Information Center

    Online Submission, 2004

    2004-01-01

    Background: Adult literacy rates are an important indicator for describing the status of education and development within a country. The Lao national literacy survey was undertaken in 2001 to provide a reliable source of literacy data which in turn will determine if the country will reach Education For All (EFA) goals agreed upon at the World…

  1. Belief in an Afterlife: A National Survey.

    ERIC Educational Resources Information Center

    Klenow, Daniel J.; Bolin, Robert C.

    1990-01-01

    Examined factors affecting belief in afterlife. Data from 1978 subfile on National Opinion Research Center's General Social Survey showed that, controlling on frequency of church attendance and religious intensity, Protestants had highest incidence of belief in life after death, followed by Catholics, and then by Jews. Race, religion, and church…

  2. Lao National Literacy Survey 2001: Final Report

    ERIC Educational Resources Information Center

    Online Submission, 2004

    2004-01-01

    Background: Adult literacy rates are an important indicator for describing the status of education and development within a country. The Lao national literacy survey was undertaken in 2001 to provide a reliable source of literacy data which in turn will determine if the country will reach Education For All (EFA) goals agreed upon at the World…

  3. Sampling Procedures and Survey Methodologies for the 1996 Survey with Comparisons to Earlier National Roadside Surveys.

    ERIC Educational Resources Information Center

    Lestina, Diane C.; Greene, Michael; Voas, Robert B.; Wells, Joann

    1999-01-01

    Describes the multistage sampling system used in the 1996 national roadside survey of driver blood alcohol and compares it to the sampling methods used in prior surveys in 1973 and 1986. Although many more drivers were sampled in the most recent survey, the procedures are similar enough to allow comparison of results. (SLD)

  4. The new opt-out Dutch National Breast Implant Registry - Lessons learnt from the road to implementation.

    PubMed

    Rakhorst, Hinne A; Mureau, Marc A M; Cooter, Rodney D; McNeil, John; van Hooff, Miranda; van der Hulst, René; Hommes, Juliette; Hoornweg, Marije; Moojen-Zaal, Laura; Liem, Patricia; Mathijssen, Irene M J

    2017-10-01

    An estimated 1-3% of all women in the Netherlands carry breast implants. Since the introduction five decades ago, problems with a variety of breast implants have emerged with direct consequences for the patients' health. Plastic surgeons worldwide reacted through campaigning for auditing on long-term implant quality, surgeon performance, and institutional outcomes in implant registries. Especially, the PIP implant scandal of 2010 demonstrated the paucity of epidemiological data and uncovered a weakness in our ability to even 'track and trace' patients. In addition, a recent report of the Dutch Institute of National Health showed a lack of compliance of 100% of breast implant producers to CE requirements. These arguments stress the need for an independent implant registry. Insufficient capture rates or dependence from the implant producers made the variety of national and international patient registries unreliable. The Dutch Breast Implant Registry (DBIR) is unique because it is an opt-out registry without the need for informed consent and thus a high capture rate. Furthermore, an estimated 95% of breast implants are implanted by board-certified plastic surgeons. Funding was received from a non-governmental organisation to increase the quality of health care in the Netherlands, and maintenance is gathered by 25 euros per implant inserted. This article describes the way the Dutch have set up their system, with special attention to the well-known hurdles of starting a patient registry. Examples include: funding, medical ethical issues, opt out system, benchmarking, quality assurance as well as governance and collaboration. The Dutch consider their experience and data shareware for others to be used globally to the benefit of patient safety and quality improvement. Copyright © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  5. Fractures in pituitary adenoma patients from the Dutch National Registry of Growth Hormone Treatment in Adults.

    PubMed

    van Varsseveld, N C; van Bunderen, C C; Franken, A A M; Koppeschaar, H P F; van der Lely, A J; Drent, M L

    2016-08-01

    The effects of growth hormone (GH) replacement therapy on fracture risk in adult GH deficient (GHD) patients with different etiologies of pituitary GHD are not well known, due to limited data. The aim of this study was to investigate characteristics and fracture occurrence at start of (baseline) and during long-term GH replacement therapy in GHD adults previously treated for Cushing's disease (CD) or acromegaly, compared to patients with previous nonfunctioning pituitary adenoma (NFPA). From the Dutch National Registry of Growth Hormone Treatment in Adults, a nationwide surveillance study in severe GHD adults, all patients using ≥30 days of GH replacement therapy with previous NFPA (n = 783), CD (n = 180) and acromegaly (n = 65) were selected. Patient characteristics, fractures and potential influencing factors were investigated. At baseline, patients with previous CD were younger, more often female and had more often a history of osteopenia or osteoporosis, whereas patients with previous acromegaly had more often received cranial radiotherapy and a longer duration between treatment of their pituitary tumor and start of adult GH replacement therapy. During follow-up, a fracture occurred in 3.8 % (n = 39) of all patients. Compared to patients with previous NFPA, only patients with previous acromegaly had an increased fracture risk after 6 years of GH replacement therapy. During GH replacement therapy, an increased fracture risk was observed in severe GHD adult patients previously treated for acromegaly, but not in those previously treated for CD, compared to severe GHD adult patients using GH replacement therapy because of previous NFPA. Further studies are needed to confirm these findings and to elucidate potential underlying mechanisms.

  6. [Childhood vaccinations anno 2004. I. Effectiveness and acceptance of the Dutch National Vaccination Programme].

    PubMed

    Rümke, H C; Visser, H K

    2004-02-21

    Vaccinations are the most effective measures in public health. In the Netherlands after the second world war the morbidity and mortality of infectious diseases were a great problem. Nowadays these diseases are gone or reduced at a minimal level and for the greater part under control. The Dutch National Vaccination Programme aims at 10 infectious diseases. In the Netherlands there has always been a relatively small group of religious people who live together and reject vaccinations. Since the start of the vaccination programme in this group several small epidemics of poliomyelitis and measles have been observed. The other dispersed living non-vaccinated people are protected by herd-immunity, as long as the vaccination coverage is above 90%. During recent years an increasing number of people have doubts over the use and safety of vaccinations. There is a worldwide anti-vaccination movement, in the Netherlands represented by the 'Nederlandse Vereniging Kritisch Prikken'. The finding that there is now a greater spread of areas with a low or insufficient vaccination coverage, is cause for concern because experiences in several countries have shown that infectious diseases with all complications will recur when the vaccination percentage decreases. There is no scientific support for the hypothesis that vaccinations overwhelm or weaken the immune system of infants and there is no objection to start with vaccination at the age of two months. Anthroposofic and homeopathic arguments are neither scientifically, nor practically supported. Good promotion and education about the vaccination programme is of great importance and can be improved. Parents should make decisions based on good, objective information. Possible risks and side effects of vaccination should not be concealed.

  7. Categorical and dimensional psychopathology in Dutch and US offspring of parents with bipolar disorder: A preliminary cross-national comparison.

    PubMed

    Mesman, Esther; Birmaher, Boris B; Goldstein, Benjamin I; Goldstein, Tina; Derks, Eske M; Vleeschouwer, Marloes; Hickey, Mary Beth; Axelson, David; Monk, Kelly; Diler, Rasim; Hafeman, Danella; Sakolsky, Dara J; Reichart, Catrien G; Wals, Marjolein; Verhulst, Frank C; Nolen, Willem A; Hillegers, Manon H J

    2016-11-15

    Accumulating evidence suggests cross-national differences in adults with bipolar disorder (BD), but also in the susceptibility of their offspring (bipolar offspring). This study aims to explore and clarify cross-national variation in the prevalence of categorical and dimensional psychopathology between bipolar offspring in the US and The Netherlands. We compared levels of psychopathology in offspring of the Pittsburgh Bipolar Offspring Study (n=224) and the Dutch Bipolar Offspring Study (n=136) (age 10-18). Categorical psychopathology was ascertained through interviews using the Schedule for Affective Disorders and Schizophrenia for School Age Children (K-SADS-PL), dimensional psychopathology by parental reports using the Child Behavior Checklist (CBCL). Higher rates of categorical psychopathology were observed in the US versus the Dutch samples (66% versus 44%). We found no differences in the overall prevalence of mood disorders, including BD-I or -II, but more comorbidity in mood disorders in US versus Dutch offspring (80% versus 34%). The strongest predictors of categorical psychopathology were maternal BD (OR: 1.72, p<.05), older age of the offspring (OR: 1.19, p<.05), and country of origin (US; OR: 2.17, p<.001). Regarding comorbidity, only country of origin (OR: 7.84, p<.001) was a significant predictor. In general, we found no differences in dimensional psychopathology based on CBCL reports. Preliminary measure of inter-site reliability. We found cross-national differences in prevalence of categorical diagnoses of non-mood disorders in bipolar offspring, but not in mood disorder diagnoses nor in parent-reported dimensional psychopathology. Cross-national variation was only partially explained by between-sample differences. Cultural and methodological explanations for these findings warrant further study. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. Predictive control of water distribution in the Dutch National Hydrological Instrument (NHI)

    NASA Astrophysics Data System (ADS)

    Talsma, J.; Patzke, S.; Becker, B. P. J.; Schwanenberg, D.; Jansen, M.

    2012-04-01

    In the Netherlands, water is extracted from rivers, lakes and canals for drinking water supply as well as industrial, agricultural and environmental water demands. These water extractions must be managed in such a way that constraints such as water quality, safety and minimum water levels for navigation are maintained as long as possible. The National Hydrological Instrument (NHI) has been developed for modeling the water distribution in the Netherlands and supporting the development of water management strategies. It is also integrated into the national Dutch forecasting system for predicting dry periods and their impacts on water supply, agriculture, aquatic ecosystems and navigation. With such setup, the NHI will be a fundamental tool for drought forecast in the Netherlands. The NHI consists of a groundwater model (MODFLOW), an unsaturated zone model (Metaswap) and surface water models which interact with each other in every time step via an OpenMI interface. The surface water models consist of a hydrological model MOZART for representing the regional catchments and computing a desired water demand, a SOBEK open channel flow model for flow routing in the network of the larger rivers, lakes and canals, and a real-time control component (RTC-Tools). The latter links the water demand generated by MOZART to the availably supply in the network for generating optimum water allocation policies within the prediction horizon of 10 days of the operational forecasting system. The approach relies on predictive control consisting of a simplified internal model of the network within a system-wide optimization algorithm. In a period of water shortages, the user can refine the water allocation by defining specific objectives and related priorities. Finally, the optimum water extractions from RTC-Tools are passed back to MOZART and SOBEK as allocated values. The RTC-Tools integration into the NHI is an ongoing activity. We present the new functionality based on a pilot system

  9. 3. Historic American Buildings Survey Photocopy, National Geographic Society Photograph, ...

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

    3. Historic American Buildings Survey Photocopy, National Geographic Society Photograph, 1971 Courtesy, National Geographic Society LIBRARY, 1971 - Townsend House, 2121 Massachusetts Avenue Northwest, Washington, District of Columbia, DC

  10. 78 FR 14549 - National Contact Center; Information Collection; National Contact Center Customer Evaluation Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-06

    ... ADMINISTRATION National Contact Center; Information Collection; National Contact Center Customer Evaluation Survey AGENCY: Contact Center Services, Federal Citizen Information Center, Office of Citizen Services... requirement regarding the National Contact Center customer evaluation surveys. In this request, the previously...

  11. Transferring 2001 National Household Travel Survey

    SciTech Connect

    Hu, Patricia S; Reuscher, Tim; Schmoyer, Richard L; Chin, Shih-Miao

    2007-05-01

    Policy makers rely on transportation statistics, including data on personal travel behavior, to formulate strategic transportation policies, and to improve the safety and efficiency of the U.S. transportation system. Data on personal travel trends are needed to examine the reliability, efficiency, capacity, and flexibility of the Nation's transportation system to meet current demands and to accommodate future demand. These data are also needed to assess the feasibility and efficiency of alternative congestion-mitigating technologies (e.g., high-speed rail, magnetically levitated trains, and intelligent vehicle and highway systems); to evaluate the merits of alternative transportation investment programs; and to assess the energy-use and air-quality impacts of various policies. To address these data needs, the U.S. Department of Transportation (USDOT) initiated an effort in 1969 to collect detailed data on personal travel. The 1969 survey was the first Nationwide Personal Transportation Survey (NPTS). The survey was conducted again in 1977, 1983, 1990, 1995, and 2001. Data on daily travel were collected in 1969, 1977, 1983, 1990 and 1995. In 2001, the survey was renamed the National Household Travel Survey (NHTS) and it collected both daily and long-distance trips. The 2001 survey was sponsored by three USDOT agencies: Federal Highway Administration (FHWA), Bureau of Transportation Statistics (BTS), and National Highway Traffic Safety Administration (NHTSA). The primary objective of the survey was to collect trip-based data on the nature and characteristics of personal travel so that the relationships between the characteristics of personal travel and the demographics of the traveler can be established. Commercial and institutional travel were not part of the survey. Due to the survey's design, data in the NHTS survey series were not recommended for estimating travel statistics for categories smaller than the combination of Census division (e.g., New England, Middle

  12. Quality indicators for pharmaceutical care: a comprehensive set with national scores for Dutch community pharmacies.

    PubMed

    Teichert, Martina; Schoenmakers, Tim; Kylstra, Nico; Mosk, Berend; Bouvy, Marcel L; van de Vaart, Frans; De Smet, Peter A G M; Wensing, Michel

    2016-08-01

    Background The quality of pharmaceutical care in community pharmacies in the Netherlands has been assessed annually since 2008. The initial set has been further developed with pharmacists and patient organizations, the healthcare inspectorate, the government and health insurance companies. The set over 2012 was the first set of quality indicators for community pharmacies which was validated and supported by all major stakeholders. The aims of this study were to describe the validated set of quality indicators for community pharmacies and to report their scores over 2012. In subanalyses the score development over 5 years was described for those indicators, that have been surveyed before and remained unchanged. Methods Community pharmacists in the Netherlands were invited in 2013 to provide information for the set of 2012. Quality indicators were mapped by categories relevant for pharmaceutical care and defined for structures, processes and dispensing outcomes. Scores for categorically-measured quality indicators were presented as the percentage of pharmacies reporting the presence of a quality aspect. For numerical quality indicators, the mean of all reported scores was expressed. In subanalyses for those indicators that had been questioned previously, scores were collected from earlier measurements for pharmacies providing their scores in 2012. Multilevel analysis was used to assess the consistency of scores within one pharmacy over time by the intra-class correlation coefficient (ICC). Results For the set in 2012, 1739 Dutch community pharmacies (88 % of the total) provided information for 66 quality indicators in 10 categories. Indicator scores on the presence of quality structures showed relatively high quality levels. Scores for processes and dispensing outcomes were lower. Subanalyses showed that overall indicators scores improved within pharmacies, but this development differed between pharmacies. Conclusions A set of validated quality indicators provided

  13. Radiation Protection in Pediatric Radiology: Results of a Survey Among Dutch Hospitals.

    PubMed

    Bijwaard, Harmen; Valk, Doreth; de Waard-Schalkx, Ischa

    2016-10-01

    A survey about radiation protection in pediatric radiology was conducted among 22 general and seven children's hospitals in the Netherlands. Questions concerned, for example, child protocols used for CT, fluoroscopy and x-ray imaging, number of images and scans made, radiation doses and measures taken to reduce these, special tools used for children, and quality assurance issues. The answers received from 27 hospitals indicate that radiation protection practices differ considerably between general and children's hospitals but also between the respective general and children's hospitals. It is recommended that hospitals consult each other to come up with more uniform best practices. Few hospitals were able to supply doses that can be compared to the national Diagnostic Reference Levels (DRLs). The ones that could be compared exceeded the DRLs in one in five cases, which is more than was expected beforehand.

  14. National Lakes Assessment: A Collaborative Survey of the ...

    EPA Pesticide Factsheets

    The National Lakes Assessment A Collaborative Survey of the Nation's Lakes presents the results of an unprecedented assessment of the nation’s lakes. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys designed to provide the public and decision makers with nationally consistent and representative information on the condition of all the nation's waters. The NLA report provides information on the biological condition of the nation’s lakes and key stressors that affect them.

  15. National Health and Nutrition Examination Survey: National Youth Fitness Survey Estimation Procedures, 2012.

    PubMed

    Johnson, Clifford L; Dohrmann, Sylvia M; Kerckove, Van de; Diallo, Mamadou S; Clark, Jason; Mohadjer, Leyla K; Burt, Vicki L

    2014-11-01

    The National Health and Nutrition Examination Survey's (NHANES) National Youth Fitness Survey (NNYFS) was conducted in 2012 by the Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). NNYFS collected data on physical activity and fitness levels to evaluate the health and fitness of children aged 3-15 in the United States. The survey comprised three levels of data collection: a household screening interview (or screener), an in-home personal interview, and a physical examination. The screener's primary objective was to determine whether any children in the household were eligible for the interview and examination. Eligibility was determined by preset selection probabilities for desired sex-age subdomains. After selection, the in-home personal interview collected demographic, health, physical activity, and nutrition information about the child as well as information about the household. The examination included physical measurements and fitness tests. This report provides background on the NNYFS program and summarizes the survey's sample design specifications. The report presents NNYFS estimation procedures, including the methods used to calculate survey weights for the full sample as well as a combined NHANES/NNYFS sample for 2012 (accessible only through the NCHS Research Data Center). The report also describes appropriate variance estimation methods. Documentation of the sample selection methods, survey content, data collection procedures, and methods to assess nonsampling errors are reported elsewhere. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  16. [The national addictions survey of Mexico].

    PubMed

    Tapia-Conyer, R; Medina-Mora, M E; Sepúlveda, J; De la Fuente, R; Kumate, J

    1990-01-01

    A probabilistic household survey was made with the following objectives: to estimate the prevalence of consumption of tobacco, alcohol and legal and illegal drugs; to identify attitudes and values, risk factors and problems associated with the consumption of addictive substances in a population from 12 to 65 years old, which resides in the urban areas of Mexico. This survey forms part of the National Health Surveys System, and its sample design is based on the Master Sample Framework of the National Health Surveys System, which gathered information representative of the national population and for seven regions. In the elaboration of the questionnaire indicators proposed by the World Health Organization (WHO), validated for Mexico, were used as well as previous knowledge about the topic. Thirteen thousand and five interviews were made, of which 96.7 per cent were complete and 2.6 per cent were rejected. In the group from 12 to 17 years old, 32 per cent of the men and 23 per cent of the women already consumed alcoholic drinks. The age group with the largest proportion of men who were frequent drinkers is from 30 to 39 years of age, with 36.3 per cent. For women 34.0 per cent of the frequent drinkers were found in the 40 to 49 year age group. It was found that six per cent of the population from 18 to 65 years of age is alcohol dependent, 12.5 per cent of men and less than one per cent of women. The population which smokes reaches 26 per cent of the total, with 38.3 per cent of men and 14.4 per cent of women. Forty two and four per cent of smokers are from 18 to 29 years of age. Among the daily smokers, 17 per cent were considered dependent on cigarettes. Only 4.8 per cent of the population admits having consumed some type of drug on at least one occasion, with the men from 12 to 34 years old being the age group which is most affected by the use of drugs (8.5%). Active users in the last year made up 2.1 per cent and in the last month the proportion of active users

  17. Compliance of disease awareness campaigns in printed Dutch media with national and international regulatory guidelines.

    PubMed

    Leonardo Alves, Teresa; Martins de Freitas, Auramarina F; van Eijk, Martine E C; Mantel-Teeuwisse, Aukje K

    2014-01-01

    The European legislation prohibits prescription-only medicines' advertising but allows pharmaceutical companies to provide information to the public on health and diseases, provided there is no direct or indirect reference to a pharmaceutical product. Various forms of promotion have become increasingly common in Europe including "disease-oriented" campaigns. To explore examples of disease awareness campaigns by pharmaceutical companies in the Netherlands, by assessing their compliance with the World Health Organization (WHO) Ethical Criteria for medicinal drug promotion and the Dutch guidelines for provision of information by pharmaceutical companies. Materials referring to health/disease and treatments published in the most widely circulated newspapers and magazines were collected from March to May 2012. An evaluation tool was developed based on relevant underlying principles from the WHO ethical criteria and Dutch self-regulation guidelines. Collected disease awareness advertisements were used to pilot the evaluation tool and to explore the consistency of information provided with the WHO and Dutch criteria. Eighty materials met our inclusion criteria; 71 were published in newspapers and 9 in magazines. The large majority were news items but 21 were disease awareness advertisements, of which 5 were duplicates. Fifteen out of the 16 disease awareness campaigns were non-compliant with current guidelines mainly due to lack of balance (n = 12), absence of listed author and/or sponsor (n = 8), use of misleading or incomplete information (n = 5) and use of promotional information (n = 5). None mentioned a pharmaceutical product directly. Disease Awareness Campaigns are present in Dutch printed media. Although no brand names were mentioned, the lack of compliance of disease awareness campaigns with the current regulations is alarming. There were information deficiencies and evidence of information bias. A key concern is that the context in which the information is

  18. Compliance of Disease Awareness Campaigns in Printed Dutch Media with National and International Regulatory Guidelines

    PubMed Central

    Leonardo Alves, Teresa; Martins de Freitas, Auramarina F.; van Eijk, Martine E. C.; Mantel-Teeuwisse, Aukje K.

    2014-01-01

    Background The European legislation prohibits prescription-only medicines' advertising but allows pharmaceutical companies to provide information to the public on health and diseases, provided there is no direct or indirect reference to a pharmaceutical product. Various forms of promotion have become increasingly common in Europe including “disease-oriented” campaigns. Objectives To explore examples of disease awareness campaigns by pharmaceutical companies in the Netherlands, by assessing their compliance with the World Health Organization (WHO) Ethical Criteria for medicinal drug promotion and the Dutch guidelines for provision of information by pharmaceutical companies. Methods Materials referring to health/disease and treatments published in the most widely circulated newspapers and magazines were collected from March to May 2012. An evaluation tool was developed based on relevant underlying principles from the WHO ethical criteria and Dutch self-regulation guidelines. Collected disease awareness advertisements were used to pilot the evaluation tool and to explore the consistency of information provided with the WHO and Dutch criteria. Findings Eighty materials met our inclusion criteria; 71 were published in newspapers and 9 in magazines. The large majority were news items but 21 were disease awareness advertisements, of which 5 were duplicates. Fifteen out of the 16 disease awareness campaigns were non-compliant with current guidelines mainly due to lack of balance (n = 12), absence of listed author and/or sponsor (n = 8), use of misleading or incomplete information (n = 5) and use of promotional information (n = 5). None mentioned a pharmaceutical product directly. Conclusion Disease Awareness Campaigns are present in Dutch printed media. Although no brand names were mentioned, the lack of compliance of disease awareness campaigns with the current regulations is alarming. There were information deficiencies and evidence of information

  19. The National Geochemical Survey; database and documentation

    USGS Publications Warehouse

    ,

    2004-01-01

    The USGS, in collaboration with other federal and state government agencies, industry, and academia, is conducting the National Geochemical Survey (NGS) to produce a body of geochemical data for the United States based primarily on stream sediments, analyzed using a consistent set of methods. These data will compose a complete, national-scale geochemical coverage of the US, and will enable construction of geochemical maps, refine estimates of baseline concentrations of chemical elements in the sampled media, and provide context for a wide variety of studies in the geological and environmental sciences. The goal of the NGS is to analyze at least one stream-sediment sample in every 289 km2 area by a single set of analytical methods across the entire nation, with other solid sample media substituted where necessary. The NGS incorporates geochemical data from a variety of sources, including existing analyses in USGS databases, reanalyses of samples in USGS archives, and analyses of newly collected samples. At the present time, the NGS includes data covering ~71% of the land area of the US, including samples in all 50 states. This version of the online report provides complete access to NGS data, describes the history of the project, the methodology used, and presents preliminary geochemical maps for all analyzed elements. Future editions of this and other related reports will include the results of analysis of variance studies, as well as interpretive products related to the NGS data.

  20. Assessing the impact of cancer among Dutch non-Hodgkin lymphoma survivors compared with their American counterparts: a cross-national study.

    PubMed

    Oerlemans, Simone; Smith, Sophia K; Crespi, Catherine M; Zimmerman, Sheryl; van de Poll-Franse, Lonneke V; Ganz, Patricia A

    2013-06-01

    To understand cultural differences in the impact of cancer (IOC) by (i) performing an independent psychometric evaluation of the Dutch version of the Impact of Cancer Scale version 2 (IOCv2) in a non-Hodgkin lymphoma (NHL) sample and (ii) examining differences between Dutch and American NHL survivors in perceived IOC and identifying associations with socio-demographic and clinical characteristics. Data collected from 491 Dutch and 738 American NHL survivors were used in this study. IOCv2 responses were obtained from all survivors; the Dutch survivors also completed the European Organization for Research and Treatment of Cancer Quality of Life Core questionnaire, which measures quality of life. Exploratory factor analysis of the Dutch version yielded a factor solution similar to the American structure but with some subscales merging into single factors. Internal consistency was good; Cronbach's alpha was 0.88 for the Positive and 0.94 for the Negative summary scales. Large differences were observed between survivors, whereby Dutch survivors reported fewer Positive (Δ -0.4, p < 0.001, effect size: 0.27) and more Negative (Δ 0.2, p ≤ 0.001, effect size: 0.13) impacts of cancer independent of socio-demographic and clinical characteristics. Similar impact domains of the IOCv2 were observed in the Dutch sample, providing evidence that IOCv2 scales measure common and important survivor concerns across two different Western nations. Higher positive impacts for US survivors might be explained by more personal control and availability of supportive services. Future research should focus on determinants of the IOC in both Dutch and American survivors to gain better understanding of the factors that might improve it and suggest how health care may be modified toward that end. Copyright © 2012 John Wiley & Sons, Ltd.

  1. National Health and Nutrition Examination Survey: national youth fitness survey plan, operations, and analysis, 2012.

    PubMed

    Borrud, Lori; Chiappa, Michele M; Burt, Vicki L; Gahche, Jaime; Zipf, George; Johnson, Clifford L; Dohrmann, Sylvia M

    2014-04-01

    In October 2008, the federal government issued its first-ever Physical Activity Guidelines for Americans to provide science-based guidance on the types and amounts of physical activity that provide substantial health benefits for Americans (1). Guidelines for children and adolescents recommend 60 minutes or more of aerobic, muscle-strengthening, or bone-strengthening physical activity daily (1). While the number of children in the United States who meet the recommendations in the Physical Activity Guidelines is unknown, the percentage that is physically active in the United States may be declining. No recent national data exist on the fitness levels of children and adolescents. The National Health and Nutrition Examination Survey's (NHANES) National Youth Fitness Survey (NNYFS) was conducted in 2012 and collected data on physical activity and fitness levels for U.S. children and adolescents aged 3-15 years. The objective of NNYFS was to provide national-level estimates of the physical activity and fitness levels of children, based on interview and physical examination data. Results from the survey are intended to contribute to the development of policies and programs to improve youth fitness nationally. The data also may be used in the development of national reference standards for measures of fitness and physical activity. Methods The NNYFS survey design used the design for NHANES, which is a multistage probability sample of the civilian noninstitutionalized resident population of the United States. NNYFS consisted of a household interview and a physical activity and fitness examination in a mobile examination center. A total of 1,640 children and adolescents aged 3-15 were interviewed, and 1,576 were examined. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  2. Training for general practice: a national survey.

    PubMed Central

    Crawley, H S; Levin, J B

    1990-01-01

    OBJECTIVES--(a) To compare current vocational training in general practice with that ascertained by a survey in 1980; (b) to compare the training of trainees in formal training schemes with that of trainees arranging their own hospital and general practice posts. DESIGN--National questionnaire survey of United Kingdom and armed services trainees who were in a training practice on 1 April 1989. Questionnaires were distributed by course organisers. SETTING--Research project set up after an ad hoc meeting of trainees at the 1988 national trainee conference. SUBJECTS--2132 Of the 2281 trainees (93%) known to be in a training practice on 1 April 1989. RESULTS--1657 Trainees returned the questionnaires, representing 73% of all trainees known to be in a training practice on 1 April 1989. Between 1980 and 1989 there were significant improvements in the trainee year, and there was also evidence of improvements in general practice study release courses. There was no evidence of improvement in other aspects of training. General practice trainees spent an average of three years in junior hospital posts, which provided very little opportunity for study related to general practice. Training received during tenure of hospital posts differed significantly between trainees in formal schemes and those arranging their own hospital posts. During the trainee year training was almost the same for those in formal schemes and those arranging their own posts. Regions varied significantly in virtually all aspects of general practice training. CONCLUSIONS--The trainee year could be improved further by enforcing the guidelines of the Joint Committee on Postgraduate Training for General Practice. The poor training in junior hospital posts reflected the low priority that training is generally given during tenure of these posts. A higher proportion of general practice trainees should be attached to vocational training schemes. More hospital trainees could attend general practice study release

  3. [Summary of results from the national surveys].

    PubMed

    Passos, Afonso Dinis Costa; Silveira, Antônio Carlos

    2011-01-01

    This article aims to correlate the main results of three large national surveys on Chagas disease (entomologic, seroprevalence and electrocardiographic) carried out in Brazil from late 1970's to early 1980's, which served as baseline for definition of the control measures adopted in the country. The proportion of infected people was much higher in areas where Triatoma infestans, the most efficient vector of Chagas disease among the five principal species involved in transmission at that time, was predominant. Similar result was observed in places where Triatoma sordida was dispersed, mainly in the country's central region, which corresponds to its native area. This finding is due to the coincidence observed in the geographic distribution of both vectors, since T. sordida is not considered to play an important role in transmission. In the Northeastern semi-arid, endemic area for Triatoma brasiliensis and Triatoma pseudomaculata, rates of human infection were much lower, although both vectors may have some relevance in the maintenance of the disease. As for areas with Panstrongylus megistus, human infection varied according to the levels of domiciliation. Whenever domiciled, like in the humid northeastern coastal area, its involvement in transmission can be clearly demonstrated. In some parts of Bahia State it represented the exclusive vector of the disease. Based upon the results of the seroprevalence survey an electrocardiographic study was carried out in 11 Brazilian states, which showed marked differences in the presence of cardiac alterations when comparing different areas of the country.

  4. Health Behaviors, Care Needs and Attitudes towards Self-Prescription: A Cross-Sectional Survey among Dutch Medical Students

    PubMed Central

    Van der Veer, Tjeerd; Frings-Dresen, Monique H. W.; Sluiter, Judith K.

    2011-01-01

    Purpose There is a growing awareness of the potent ways in which the wellbeing of physicians impacts the health of their patients. The purpose of this study was to investigate the health behaviors, care needs and attitudes towards self-prescription of Dutch medical students, and any differences between junior preclinical and senior clinically active students. Methods All students (n = 2695) of a major Dutch medical school were invited for an online survey. Physical activity, eating habits, alcohol consumption, smoking, Body Mass Index, substance use and amount of sleep per night were inquired, as well as their need for different forms of care and their attitude towards self-prescription. Results Data of 902 students were used. Physical activity levels (90% sufficient) and smoking prevalence (94% non-smokers) were satisfying. Healthy eating habits (51% insufficient) and alcohol consumption (46% excessive) were worrying. Body Mass Indexes were acceptable (20% unhealthy). We found no significant differences in health behaviors between preclinical and clinically active students. Care needs were significantly lower among clinically active students. (p<0.05) Student acceptance of self-prescription was significantly higher among clinically active students. (p<0.001) Conclusions Unhealthy behaviors are prevalent among medical students, but are no more prevalent during the clinical study phase. The need for specific forms of care appears lower with study progression. This could be worrying as the acceptance of self-care and self-prescription is higher among senior clinical students. Medical faculties need to address students' unhealthy behaviors and meet their care needs for the benefit of both the future physicians as well as their patients. PMID:22132202

  5. Knowledge, attitudes and preferences regarding genetic testing for smoking cessation. A cross-sectional survey among Dutch smokers

    PubMed Central

    Smerecnik, Chris; van Schooten, Frederik J; de Vries, Hein; van Schayck, Constant P

    2012-01-01

    Objectives Recent research strongly suggests that genetic variation influences smokers' ability to stop. Therefore, the use of (pharmaco) genetic testing may increase cessation rates. This study aims to assess the intention of smokers concerning undergoing genetic testing for smoking cessation and their knowledge, attitudes and preferences about this subject. Design Online cross-sectional survey. Setting Database internet research company of which every inhabitant of the Netherlands of ≥12 years with an email address and capable of understanding Dutch can become a member. Participants 587 of 711 Dutch smokers aged ≥18 years, daily smokers for ≥5 years and smoke on average ≥10 cigarettes/day (response rate=83%). Primary and secondary outcome measures Smokers' knowledge, attitudes and preferences and their intention to undergo genetic testing for smoking cessation. Results Knowledge on the influence of genetic factors in smoking addiction and cessation was found to be low. Smokers underestimated their chances of having a genetic predisposition and the influence of this on smoking cessation. Participants perceived few disadvantages, some advantages and showed moderate self-efficacy towards undergoing a genetic test and dealing with the results. Smokers were mildly interested in receiving information and participating in genetic testing, especially when offered by their general practitioner (GP). Conclusions For successful implementation of genetic testing for smoking in general practice, several issues should be addressed, such as the knowledge on smoking cessation, genetics and genetic testing (including advantages and disadvantages) and the influence of genetics on smoking addiction and cessation. Furthermore, smokers allocate their GPs a crucial role in the provision of information and the delivery of a genetic test for smoking; however, it is unclear whether GPs will be able and willing to take on this role. PMID:22223839

  6. Work stress and satisfaction in relation to personality profiles in a sample of Dutch anaesthesiologists: A questionnaire survey.

    PubMed

    van der Wal, Raymond A B; Bucx, Martin J L; Hendriks, Jan C M; Scheffer, Gert-Jan; Prins, Judith B

    2016-11-01

    Working in anaesthesia is stressful, but also satisfying. Work-related stress can have a negative impact on mental health, whereas work-related satisfaction protects against these harmful effects. How work stress and satisfaction are experienced may be related to personality. Our aim was to study the relationship between personality and perception of work in a sample of Dutch anaesthesiologists. Questionnaire survey. Data were collected in the Netherlands from July 2012 until December 2012. We sent electronic questionnaires to all 1955 practising resident and consultant members of the Dutch Anaesthesia Society. Of those, 655 (33.5%) were returned and could be used for analysis. The questionnaires assessed general work-related stress and satisfaction and anaesthesia-specific stress. A factor analysis was performed on the stress and satisfaction questionnaires. Personality traits were assessed using the Big Five Inventory. To identify personality profiles, a cluster analysis was performed on the Big Five Inventory. Scores of the extracted factors contributing to job stress and satisfaction were compared between the profiles we identified. Our analysis extracted six factors concerning general job stress. Of those, the emotionally difficult caseload contributed the most to job stress. The analysis also extracted four factors concerning general job satisfaction. Good relationships with patients and their families and being appreciated by colleagues contributed the most to satisfaction. The cluster analysis resulted in two distinct personality profiles: a distressed profile (n = 215) and a resilient profile (n = 440). General and anaesthesia-specific job stress was significantly higher and job satisfaction was significantly lower in the distressed profile, compared with the resilient profile. Experience of the emotionally difficult caseload did not differ between the two profiles CONCLUSION: Personality profiles were found to be related to anaesthesiologists

  7. Key Statistics from the National Survey of Family Growth: Vasectomy

    MedlinePlus

    ... Sites NCHS Listservs Surveys and Data Collection Systems Vital Statistics: Birth Data NCHS Key Statistics from the National Survey of Family Growth - V Listing Recommend on Facebook Tweet Share ...

  8. Physical therapists' management of rheumatoid arthritis: results of a Dutch survey.

    PubMed

    Hurkmans, E J; Li, L; Verhoef, J; Vliet Vlieland, T P M

    2012-09-01

    For tailored implementation of evidence-based recommendations and guidelines on physical therapy in patients with rheumatoid arthritis (RA), insight into current physical therapy practice is needed. Two hundred and fifty general physical therapists and 211 specialized physical therapists with advanced arthritis training were sent a questionnaire to assess the frequency with which they applied a set of assessments (n = 10) and interventions (n = 7) included in a Dutch physical therapy guideline for RA. Differences between general and specialist physical therapists were analysed using Student's t-tests or chi-square tests where appropriate. In total, 233 physical therapists (51%) responded. Of these, 96 (41%) had completed an additional arthritis course and were designated as specialist physical therapists. Among the physical therapists who returned the questionnaire, 69% (or more) reported that they 'always' assessed limitations in daily functioning, pain, morning stiffness, muscle strength, joint range of motion, joint stability, gait and limitations in leisure activities as part of their initial assessment, and 37% and 48% reported 'always' to assess aerobic capacity and limitations in work situations, respectively. Concerning interventions, exercise therapy and education were 'always' applied by 70% and 68% of the responders, respectively. Only a minority of responders reported 'always' applying ultrasound, electrical stimulation, heat therapy, massage and passive mobilizations (0%, 0%, 5%, 5% and 14%, respectively). Apart from aerobic capacity and work limitations, all other assessments were reported as 'always' applied by significantly (p < 0.05) more specialist physical therapists than general physical therapists. Regarding interventions, significantly more specialist physical therapists reported that they 'always' applied exercise therapy and education. Significantly fewer specialist physical therapists than in the general group reported 'always

  9. Metadata - National Hospital Ambulatory Medical Care Survey (NHAMCS)

    EPA Pesticide Factsheets

    The National Hospital Ambulatory Medical Care Survey (NHAMCS) is designed to collect information on the services provided in hospital emergency and outpatient departments and in ambulatory surgery centers.

  10. 20. Historic American Buildings Survey Photocopy from National Park Service ...

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

    20. Historic American Buildings Survey Photocopy from National Park Service files POTOMAC AQUEDUCT PIERS c. 1940 - Potomac Aqueduct, Georgetown abutment at Georgetown waterfront, Washington, District of Columbia, DC

  11. Current choices in the treatment of cutaneous warts: a survey among Dutch GP.

    PubMed

    Bruggink, Sjoerd C; Waagmeester, Sanneke C; Gussekloo, Jacobijn; Assendelft, Willem J J; Eekhof, Just A H

    2010-10-01

    GPs apply several treatments for patients with cutaneous warts. Available evidence recommends salicylic acid application. We investigated whether current choices of GPs in the treatment of warts are in agreement with available evidence. A nationwide random sample of 700 Dutch GPs received a postal questionnaire on their choices in the treatment of warts. In addition, factors that influence these choices, their view on the effectiveness of treatments and their view on the natural history of warts were assessed. The questionnaire was returned by 280 GPs (40%). Cryotherapy was first choice treatment in 73% of GPs for hand warts, 49% of GPs for plantar warts and 72% of GPs for warts on other locations. Salicylic acid application or the combination of cryotherapy and salicylic acid were used less frequently, followed by an expectant awaiting policy and (electro) surgery. Most important factors influencing their treatment choice were GPs' routine and GPs' views on effectiveness. In contrast to available evidence, most GPs apply cryotherapy as first choice treatment of cutaneous warts. Pragmatic high-quality trials on the effectiveness of wart treatments conducted in primary care might solve this discrepancy between evidence and practice.

  12. Journal Articles Applying National Aquatic Resource Survey Data

    EPA Pesticide Factsheets

    The National Aquatic Resource Surveys (NARS) data are being used and applied above and beyond the regional and national assessments. This page includes a list of recent journal articles that reference NARS data.

  13. Map of National Aquatic Resource Surveys Sampling Locations

    EPA Pesticide Factsheets

    This map displays all of the lakes, rivers and streams, wetlands, and coastal waters sampled by the National Aquatic Resource Surveys, a collaborative EPA program that assesses the condition of the nation's waters using statistical designs.

  14. Intention to use emergency contraceptive pills and the role of knowledge in a Dutch national sample.

    PubMed

    Picavet, Charles; van der Vlugt, Ineke; Wijsen, Ciel

    2014-08-01

    Emergency contraceptive pills (ECPs) are underused for preventing unintended pregnancy. Not all women are willing to use them even when at risk of conceiving. This paper examines whether increased knowledge about ECPs may increase the intention to use these products. Factors associated with intention to use emergency contraception (EC) were assessed among 1310 women who participated in the nationally representative Sexual Health in the Netherlands 2009 Survey. Logistic regression models included demographics, prior use of ECPs, and ECP knowledge. Seventeen percent of the women did not intend to use EC after unprotected sexual intercourse and a further 27% were unsure whether they would use it. Intention is most strongly related to prior use and not having children. Only two of six knowledge items were related to intention in the multivariate analyses. Being aware that ECPs can be obtained without prescription upgrades intention, whereas knowing that a woman can still get pregnant after having taken the ECP has a negative impact on intention. Improving knowledge may contribute to intention to use EC, but its role will be modest. To understand the reasons behind ECP use it is essential to study the contribution of other factors, like attitudes and social norms.

  15. Sudden hearing loss: National survey in Spain.

    PubMed

    Amarillo, Elizabeth; Hernández-García, Estefanía; Herrera, Mayte; García Berrocal, José Ramón; García Arumí, Ana; Durio, Enrique; Plaza, Guillermo

    2016-01-01

    The objective of our study was to identify the diagnostic and therapeutic approaches in the different ENT Departments of Spain with respect to sudden deafness. We wanted to establish a basis to help to create a new nation-wide consensus, unifying treatment, diagnostic and follow-up criteria for this disease. We carried out an anonymous Internet survey, addressing Spanish ENT doctors nation-wide (n=2,029), gathering in 33 questions different aspects about diagnostic criteria, additional tests, treatment procedures and prognostic factors in sudden deafness, according to the different protocols and experience of the participants in the survey. A total of 293 Spanish ENT doctors (14%) took part anonymously. In relation to diagnostic criteria, is the most noteworthy was the requisite of a confirmed neurosensorial loss (91.1%) followed by "initiated in less than three days" (75%) and 3 consecutive frequencies affected (76.4%). More than half of the participants requested an MRI of the IAC/CPA (68.7%) and 88.2% used gadolinium in this test. The prognostic factor most frequently considered was delay in commencement of treatment onset (84.8%). As far as treatment of primary cases, most of the responders agreed on the use of corticosteroids (99.7%). Oral administration was the most widely used (66%), followed by intravenous (29.6%) and intratympanic (1.4%) administration. Ninety-two percent had not had any major complications with systemic steroids. Intratympanic treatments were used by 70% of responders for rescue in failure. In Spain there is currently a significant disparity of concepts regarding the diagnosis of sudden deafness, and more agreement as to using steroids as their treatment. This highlights the need to implement measures to promote a better approach, which would be homogeneous and consensual, to this condition. Copyright © 2014 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial. All rights reserved.

  16. Hypertension in Korea: a national survey.

    PubMed

    Kim, J S; Jones, D W; Kim, S J; Hong, Y P

    1994-01-01

    To determine the prevalence of hypertension (HTN) and its risk factors, we performed a population-based national cross-sectional blood pressure (BP) survey in Korea in 1990. Through cluster sampling, we selected for study individuals older than 30 years of age in 190 of 154,082 districts. Among 25,567 eligible individuals, 21,242 subjects had measurements of BP and body mass index (BMI) and underwent a standard interview. BP was recorded as the mean of two measurements on a standard mercury manometer. The prevalence of HTN varied widely by area of residence. Overall prevalence was 19.8% for HTN defined as BP > or = 140/90 mm Hg or subject on medication, and 12.4% for BP > or = 160/95 mm Hg or subject on medication. Correlates for HTN identified by logistic regression analysis included positive family history of HTN (odds ratio [OR] = 2.2,), age (10 years); OR = 1.9), alcohol intake (500 cc; OR = 1.4), urban location (versus rural; OR = 1.3), and BMI (1 BMI unit; OR = 1.2). [Am J Prev Med 1994;10:200-4

  17. National Aquatic Resource Surveys: Integration of Geospatial Data in Their Survey Design and Analysis

    EPA Science Inventory

    The National Aquatic Resource Surveys (NARS) are a series of four statistical surveys conducted by the U.S. Environmental Protection Agency working in collaboration with states, tribal nations and other federal agencies. The surveys are conducted for lakes and reservoirs, streams...

  18. National Aquatic Resource Surveys: Integration of Geospatial Data in Their Survey Design and Analysis

    EPA Science Inventory

    The National Aquatic Resource Surveys (NARS) are a series of four statistical surveys conducted by the U.S. Environmental Protection Agency working in collaboration with states, tribal nations and other federal agencies. The surveys are conducted for lakes and reservoirs, streams...

  19. Evaluation of Transition in Dutch Senior Secondary Vocational Education.

    ERIC Educational Resources Information Center

    Lazonder, Ard W.; de Jong, Frank P. C. M.

    1999-01-01

    Survey responses from 55 Dutch agricultural vocational schools show that administrators believe that transition, the ability of students to change between training modes or qualification levels easily, has enhanced the flexibility of the qualification system developed under recent national reforms. (SLD)

  20. Dutch Preschool Education: A Right and Not a Privilege.

    ERIC Educational Resources Information Center

    Sailor, Dorothy

    This document presents a survey of Dutch preschools, the Kleuterschools, and research projects in early childhood education. A brief background on the Kleuterschool is included. Both private and public schools are totally funded by the national government. Although it is not compulsory, most 4-, 5- and 6-year-olds attend preschool. The philosophy…

  1. Quantifying bias in a health survey: modeling total survey error in the national immunization survey.

    PubMed

    Molinari, NoelleAngelique M; Wolter, Kirk M; Skalland, Benjamin; Montgomery, Robert; Khare, Meena; Smith, Philip J; Barron, Martin L; Copeland, Kennon; Santos, Kathleen; Singleton, James A

    2011-02-28

    Random-digit-dial telephone surveys are experiencing both declining response rates and increasing under-coverage due to the prevalence of households that substitute a wireless telephone for their residential landline telephone. These changes increase the potential for bias in survey estimates and heighten the need for survey researchers to evaluate the sources and magnitudes of potential bias. We apply a Monte Carlo simulation-based approach to assess bias in the NIS, a land-line telephone survey of 19-35 month-old children used to obtain national vaccination coverage estimates. We develop a model describing the survey stages at which component nonsampling error may be introduced due to nonresponse and under-coverage. We use that model and components of error estimated in special studies to quantify the extent to which noncoverage and nonresponse may bias the vaccination coverage estimates obtained from the NIS and present a distribution of the total survey error. Results indicated that the total error followed a normal distribution with mean of 1.72 per cent(95 per cent CI: 1.71, 1.74 per cent) and final adjusted survey weights corrected for this error. Although small, the largest contributor to error in terms of magnitude was nonresponse of immunization providers. The total error was most sensitive to declines in coverage due to cell phone only households. These results indicate that, while response rates and coverage may be declining, total survey error is quite small. Since response rates have historically been used to proxy for total survey error, the finding that these rates do not accurately reflect bias is important for evaluation of survey data. Published in 2011 by John Wiley & Sons, Ltd.

  2. National Survey of Latinos: Education. Summary and Chartpack

    ERIC Educational Resources Information Center

    Pew Hispanic Center, 2004

    2004-01-01

    In its second annual National Survey of Latinos, the Pew Hispanic Center and the Kaiser Family Foundation extensively explored Latinos attitudes towards public schools and a variety of education issues. Substantial comparison samples of whites and African Americans were similarly polled. The survey reveals a diversity of opinion among the nation's…

  3. The Characteristics and Utility of National Faculty Surveys.

    ERIC Educational Resources Information Center

    Creswell, John W.; And Others

    1991-01-01

    It is proposed that numerous national surveys of faculty since the late 1960s provide institutional researchers and others with rich sources of descriptive data to help address the shifting national issues and institutional concerns related to faculty resources. An annotated list of 12 major faculty surveys is appended. (MSE)

  4. The Relationship Between Health, Education, and Health Literacy: Results From the Dutch Adult Literacy and Life Skills Survey

    PubMed Central

    van der Heide, Iris; Wang, Jen; Droomers, Mariël; Spreeuwenberg, Peter; Rademakers, Jany; Uiters, Ellen

    2013-01-01

    Health literacy has been put forward as a potential mechanism explaining the well-documented relationship between education and health. However, little empirical research has been undertaken to explore this hypothesis. The present study aims to study whether health literacy could be a pathway by which level of education affects health status. Health literacy was measured by the Health Activities and Literacy Scale, using data from a subsample of 5,136 adults between the ages of 25 and 65 years, gathered within the context of the 2007 Dutch Adult Literacy and Life Skills Survey. Linear regression analyses were used in separate models to estimate the extent to which health literacy mediates educational disparities in self-reported general health, physical health status, and mental health status as measured by the Short Form-12. Health literacy was found to partially mediate the association between low education and low self-reported health status. As such, improving health literacy may be a useful strategy for reducing disparities in health related to education, as health literacy appears to play a role in explaining the underlying mechanism driving the relationship between low level of education and poor health. PMID:24093354

  5. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey.

    PubMed

    van der Heide, Iris; Wang, Jen; Droomers, Mariël; Spreeuwenberg, Peter; Rademakers, Jany; Uiters, Ellen

    2013-01-01

    Health literacy has been put forward as a potential mechanism explaining the well-documented relationship between education and health. However, little empirical research has been undertaken to explore this hypothesis. The present study aims to study whether health literacy could be a pathway by which level of education affects health status. Health literacy was measured by the Health Activities and Literacy Scale, using data from a subsample of 5,136 adults between the ages of 25 and 65 years, gathered within the context of the 2007 Dutch Adult Literacy and Life Skills Survey. Linear regression analyses were used in separate models to estimate the extent to which health literacy mediates educational disparities in self-reported general health, physical health status, and mental health status as measured by the Short Form-12. Health literacy was found to partially mediate the association between low education and low self-reported health status. As such, improving health literacy may be a useful strategy for reducing disparities in health related to education, as health literacy appears to play a role in explaining the underlying mechanism driving the relationship between low level of education and poor health.

  6. Quantifying culture gaps between physicians and managers in Dutch hospitals: a survey

    PubMed Central

    2010-01-01

    Background The demands in hospitals for safety and quality, combined with limitations in financing health care require effective cooperation between physicians and managers. The complex relationship between both groups has been described in literature. We aim to add a perspective to literature, by developing a questionnaire which provides an opportunity to quantitatively report and elaborate on the size and content of differences between physicians and managers. Insight gained from use of the questionnaire might enable us to reflect on these differences and could provide practical tools to improve cooperation between physicians and managers, with an aim to enhance hospital performance. Methods The CG-Questionnaire was developed by adjusting, pre-testing, and shortening Kralewski's questionnaire, and appeared suitable to measure culture gaps. It was shortened by exploratory factor analysis, using principal-axis factoring extraction with Varimax rotation. The CG-Questionnaire was sent to all physicians and managers within 37 Dutch general hospitals. ANOVA and paired sample T-tests were used to determine significant differences between perceptions of daily work practices based in both professional cultures; culture gaps. The size and content of culture gaps were determined with descriptive statistics. Results The total response (27%) consisted of 929 physicians and 310 managers. The Cronbachs alpha's were 0.70 - 0.79. Statistical analyses showed many differences; culture gaps were found in the present situation; they were even larger in the preferred situation. Differences between both groups can be classified into three categories: (1) culture gaps in the present situation and not in the preferred, (2) culture gaps in the preferred situation and not in the present, and (3) culture gaps in both situations. Conclusions With data from the CG-Questionnaire it is now possible to measure the size and content of culture gaps between physicians and managers in hospitals

  7. National Wetland Condition Assessment 2011: A Collaborative Survey of the Nation's Wetlands

    EPA Science Inventory

    The National Wetland Condition Assessment 2011: A Collaborative Survey presents the results of an unprecedented assessment of the nation’s wetlands. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys designed to provide the publi...

  8. National Wetland Condition Assessment 2011: A Collaborative Survey of the Nation's Wetlands

    EPA Science Inventory

    The National Wetland Condition Assessment 2011: A Collaborative Survey presents the results of an unprecedented assessment of the nation’s wetlands. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys designed to provide the publi...

  9. National Aquatic Resource Surveys & Statistics: Role of statistics in the development of a national monitoring program

    EPA Science Inventory

    The National Aquatic Resource Surveys (NARS) are a series of four statistical surveys conducted by the U.S. Environmental Protection Agency working in collaboration with states, tribal nations and other federal agencies. The surveys are conducted for lakes and reservoirs, streams...

  10. National Aquatic Resource Surveys & Statistics: Role of statistics in the development of a national monitoring program

    EPA Science Inventory

    The National Aquatic Resource Surveys (NARS) are a series of four statistical surveys conducted by the U.S. Environmental Protection Agency working in collaboration with states, tribal nations and other federal agencies. The surveys are conducted for lakes and reservoirs, streams...

  11. National Lakes Assessment 2012: A Collaborative Survey of ...

    EPA Pesticide Factsheets

    The National Lakes Assessment 2012: A Collaborative Survey of Lakes in the United States presents the results of a second evaluation of the lakes in the United States. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys designed to provide the public and decision makers with nationally consistent and representative information on the condition of all the nation's waters. The NLA 2012 report provides information on the biological, chemical, physical and recreational condition of lakes, key stressors, and how the condition of lakes has changed since 2007.

  12. SURVEY OF THE NATION'S NON-WADEABLE STREAMS AND RIVERS

    EPA Science Inventory

    The U.S. EPA is engaging states, tribes and other parties in designing a national survey to assess the condition of non-wadeable rivers and streams. The river survey is one of a series of surveys beng implemented as a partnership among states, tribes and U.S. EPA, with the colla...

  13. Elementary and Secondary School Civil Rights Survey, 1986. National Summaries.

    ERIC Educational Resources Information Center

    DBS Corp., Arlington, VA.

    This document presents the results of a survey of the characteristics of students enrolled in public schools throughout the nation during the 1985-86 academic year. The survey instrument was comprised of an ED 101 form for school districts and an ED 102 form for individual schools. Surveyed were 3,455 districts, containing 37,313 schools and…

  14. THE NATIONAL APTITUDE SURVEY. FORMAL REPORT AND TEST MANUAL.

    ERIC Educational Resources Information Center

    KALTSOUNIS, GEORGE L.; AND OTHERS

    THE NATIONAL APTITUDE SURVEY ATTEMPTED TO PROVIDE A HIGH SCHOOL GUIDANCE INSTRUMENT TO IDENTIFY POTENTIAL AUTOMOTIVE REPAIRMEN. THE FORMAL REPORT INTRODUCES A GENERAL STATEMENT WITH THE NEEDS, THE ADVANTAGES, THE DEVELOPMENT, AND THE SAMPLE FOR THE SURVEY. THE SURVEY TEST MANUAL DISCUSSES ADMINISTRATION AND SCORING, NORMS AND PROFILES,…

  15. Divorce Motives in a Period of Rising Divorce: Evidence from a Dutch Life-History Survey

    ERIC Educational Resources Information Center

    de Graaf, Paul M.; Kalmijn, Matthijs

    2006-01-01

    Using survey data on 1,718 ever-divorced men and women in the Netherlands, the authors describe the motives people give for their divorce. The authors distinguish motives regarding three types of issues: relational issues, behavioral problems, and problems about work and the division of labor. They observe three important trends: the normalization…

  16. Divorce Motives in a Period of Rising Divorce: Evidence from a Dutch Life-History Survey

    ERIC Educational Resources Information Center

    de Graaf, Paul M.; Kalmijn, Matthijs

    2006-01-01

    Using survey data on 1,718 ever-divorced men and women in the Netherlands, the authors describe the motives people give for their divorce. The authors distinguish motives regarding three types of issues: relational issues, behavioral problems, and problems about work and the division of labor. They observe three important trends: the normalization…

  17. Educational Differences in Adolescents' Sexual Health: A Pervasive Phenomenon in a National Dutch Sample.

    PubMed

    De Graaf, Hanneke; Vanwesenbeeck, Ine; Meijer, Suzanne

    2015-01-01

    Educational level is strongly associated with age of first intercourse and risk of unintended pregnancies. This study examined these associations in a large representative sample of Dutch adolescents and also included associations of educational level with other sexual health aspects. Adolescents aged 12 to 25 (3,926 boys and 3,915 girls) completed an online questionnaire that included measures of romantic and sexual experience; the evaluation of their sexual debut; the risk of sexually transmitted infections (STIs) and pregnancy; and sexual attitudes, satisfaction, self-efficacy, knowledge, victimization, and functioning. The results showed that adolescents on a vocational track or who completed fewer years of education were more at risk of several adverse sexual health outcomes than adolescents on an academic track. They had their first sexual experiences at an earlier age; evaluated these experiences less favorably; had less sexual health knowledge and fewer refusal skills; and had a higher risk of unintended pregnancy, STIs, and victimization. Possible explanations for these consistent differences are discussed. Sex education and services should pay specific and targeted attention to less educated young people and tailor their efforts specifically to the needs, characteristics, and realities of this group.

  18. [National epidemiological survey on childhood obesity, 2006].

    PubMed

    Ding, Zong-yi

    2008-03-01

    The purpose of the 3rd national survey on childhood obesity was conducted not only to understand the present status and trends of childhood obesity in China since the last survey conducted 10 years ago, but also to reveal the health status of preschool children at nutrition transit period and to evaluate the efficacy and sensitivity of cited reference population, criteria and cut-off point of body mass index (BMI), adiposity rebound age, waist/hip ratio and other parameters relevant to the diagnosis of obesity made by the national task force on childhood obesity of China (NTFCOC). A total of 84,766 children aged 0 - 7 years were recruited in the survey by the random cluster sampling which represented a 1, 414, 220 children's population from 11 cities covered north, central, south and west regions of China. The criteria of screening overweight/obesity was more than 1 Z-score/2 Z-score of the medium of reference value of weight for height made by WHO. Length-height/weight for all subjects and waist/hip/thigh circumference and blood pressure data for children 3 - 6 years of age were measured. The prevalence of overweight and obesity, overweight-obesity ratio, adiposity rebound age and BMI were calculated. The enumeration and measurement data were statistically managed by chi-square test and T-test, respectively using SPSS version 12.0 and the significance level was 0.05. (1) The prevalence of obesity and overweight was 7.2% and 19.8% for all; 8.9% and 22.2% for boys, and 5.3% and 17.0% for girls, respectively, which is 3.6/4.7 times higher than that of 1996 respectively, the annual increase rate of obesity and overweight was in average 156% and 52%, respectively. The distribution pattern of prevalence of overweight and obesity in geographic areas and gender was that the northern regions had higher prevalence than the west and the central regions and the prevalence in boys was higher than in girls. The obesity/overweight ratio (OOR) was still at a high risk level. (2

  19. National Detection Surveys for Sudden Oak Death

    Treesearch

    B. M. Tkacz; S. W. Oak; W. D. Smith

    2006-01-01

    The Forest Health Monitoring program, a partnership of Federal and State forest management agencies, has developed and tested protocols for identifying and surveying forest ecosystems that may be vulnerable to invasion by Phytophthora ramorum, the cause of Sudden Oak Death in California and Oregon. This detection survey is targeting areas outside the currently known...

  20. Comparative Analysis of National Teacher Surveys

    ERIC Educational Resources Information Center

    Pressey, Briana

    2013-01-01

    As technologies gain an increasingly strong foothold in the classroom, there are more and more surveys seeking to gauge teachers' interests and attitudes towards integrating devices, software, and tools into their practice. We've noticed that while each of the major surveys that have been announced over the past year and a half offer a unique take…

  1. Postoperative pain assessment in hospitalised patients: National survey and secondary data analysis.

    PubMed

    Hoogervorst-Schilp, J; van Boekel, R L M; de Blok, C; Steegers, M A H; Spreeuwenberg, P; Wagner, C

    2016-11-01

    Measuring pain is important for the adequate pain management of postoperative patients. The actual compliance with pain assessment in postoperative patients after implementation of a national safety program is unknown. The aim of this study is to examine the compliance with pain assessment in postoperative patients after implementation of a national safety program, according to the national quality indicators for pain assessment in postoperative patients. Furthermore, organisational factors associated with this compliance were determined. In this study, two data sources were used: 1) data from an evaluation study of the Dutch Hospital Patient Safety Program; and 2) data from a questionnaire survey. The compliance with two different pain process indicators was determined: 1) 3 pain measurements a day, all three full days after surgery; and 2) ≥1 pain measurement a day, all three full days after surgery. Multilevel logistic regression analysis was used to investigate the association between organisational factors in hospitals and compliance with pain process indicators. Data of 3895 patient records from 16 hospitals was included in this study. In 12% of the postoperative patients, pain was measured 3 times a day, all three full days after surgery. In 53% of the postoperative patients, pain was measured ≥1 time a day, all three full days after surgery. Compliance was highest in general hospitals compared to tertiary teaching and academic hospitals, and was statistically significantly higher at the surgery and surgical oncology department compared to the other departments. Low compliance was shown with pain assessment in postoperative patients, according to the process indicator pain after surgery in Dutch hospitals. This suggests that the implementation of measuring pain in hospitals is still insufficient. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. A review of national health surveys in India.

    PubMed

    Dandona, Rakhi; Pandey, Anamika; Dandona, Lalit

    2016-04-01

    Several rounds of national health surveys have generated a vast amount of data in India since 1992. We describe and compare the key health information gathered, assess the availability of health data in the public domain, and review publications resulting from the National Family Health Survey (NFHS), the District Level Household Survey (DLHS) and the Annual Health Survey (AHS). We highlight issues that need attention to improve the usefulness of the surveys in monitoring changing trends in India's disease burden: (i) inadequate coverage of noncommunicable diseases, injuries and some major communicable diseases; (ii) modest comparability between surveys on the key themes of child and maternal mortality and immunization to understand trends over time; (iii) short time intervals between the most recent survey rounds; and (iv) delays in making individual-level data available for analysis in the public domain. We identified 337 publications using NFHS data, in contrast only 48 and three publications were using data from the DLHS and AHS respectively. As national surveys are resource-intensive, it would be prudent to maximize their benefits. We suggest that India plan for a single major national health survey at five-year intervals in consultation with key stakeholders. This could cover additional major causes of the disease burden and their risk factors, as well as causes of death and adult mortality rate estimation. If done in a standardized manner, such a survey would provide useable and timely data to inform health interventions and facilitate assessment of their impact on population health.

  3. [Sexual debut in Mexico: a comparison of household national surveys].

    PubMed

    Gayet, Cecilia; Gutiérrez, Juan Pablo

    2014-01-01

    To estimate calendar of sexual debut in Mexico and its trends using national representative household surveys. Analysis of five birth cohorts extracted from four national population based household surveys in Mexico (National Health Survey 2000, National Survey on Demographic Dynamics 2009, National Youth Survey 2010, and National Health & Nutrition Survey 2012), using as outcome the proportion of individuals that reported sexual debut before the age of 16 and before the age of 20. Overall, the four analyzed surveys produce consistent results, although some differences were found. While a larger proportion among younger cohorts reported sexual debut before the age of 20, that was not the case for sexual debut before 16 years. While data seems to reflect a relative stable age of sexual debut in Mexico, there is a recent trend to prepone sexual initiation that highlights the need to strengthen comprehensive sexual education and the supply of sexual & reproductive health services that are accessible and friendly to adolescents thus responding to the growing demand from this age group.

  4. A national survey of medical student suicides.

    PubMed

    Cheng, Jacklyn; Kumar, Shelley; Nelson, Elizabeth; Harris, Toi; Coverdale, John

    2014-10-01

    Because there is no current information on medical student suicides, the authors surveyed US medical schools about deaths by suicide of medical students from June 2006 to July 2011. In spring through summer of 2012, the authors sent electronic surveys to the 133 accredited US allopathic medical schools at the time, excluding Puerto Rican schools. The 15-item survey included questions about deaths by suicide and deaths by means other than suicide. In the case of a reported suicide, the survey obtained information regarding demographic characteristics and method of suicide. The 90 responding schools (response rate 69 %) reported a total of six suicides (four males, two females; five Caucasians, one Asian) from July 2006 to June 2011. Two deaths by suicide occurred in first year, two in second year, and two in third year. Two of the suicides occurred by gunshot, two by hanging, one by overdose, and for one, the cause of death was unknown. Three of the six students left a suicide note. Although the number and rate of suicides among medical students may be lower than a prior survey that was conducted more than 15 years ago, these data affirm the importance of suicide prevention programs for medical students.

  5. What factors increase Dutch child health care professionals' adherence to a national guideline on preventing child abuse and neglect?

    PubMed

    Konijnendijk, Annemieke A J; Boere-Boonekamp, Magda M; Fleuren, Margot A H; Haasnoot, Maria E; Need, Ariana

    2016-03-01

    Guidelines to support health care professionals in early detection of, and responses to, suspected Child Abuse and Neglect (CAN) have become increasingly widely available. Yet little is known about professionals' adherence to these guidelines or the determinants that affect their uptake. This study used a cross-sectional design to assess the adherence of Dutch Child Health Care (CHC) professionals to seven key activities described in a national guideline on preventing CAN. This study also examined the presence and strengths of determinants of guideline adherence. Online questionnaires were filled in between May and July 2013 by 164 CHC professionals. Adherence was defined as the extent to which professionals performed each of seven key activities when they suspected CAN. Thirty-three determinants were measured in relation to the guideline, the health professional, the organisational context and the socio-political context. Bivariate and multivariate regression analyses tested associations between determinants and guideline adherence. Most of the responding CHC professionals were aware of the guideline and its content (83.7%). Self-reported rates of full adherence varied between 19.5% and 42.7%. Stronger habit to use the guideline was the only determinant associated with higher adherence rates in the multivariate analysis. Understanding guideline adherence and associated determinants is essential for developing implementation strategies that can stimulate adherence. Although CHC professionals in this sample were aware of the guideline, they did not always adhere to its key recommended activities. To increase adherence, tailored interventions should primarily focus on enhancing habit strength.

  6. Photos: Sampling for the National Aquatic Resource Surveys

    EPA Pesticide Factsheets

    The National Aquatic Resource Surveys study all types of waters: rivers and streams, lakes and reservoirs, Great Lakes, coastal waters and wetlands. These photos were taken during in-the-field sampling for recent reports.

  7. Manuals Used in the National Aquatic Resource Surveys

    EPA Pesticide Factsheets

    Various manuals are used to communicate the methods and guidelines for the National Aquatic Resource Surveys. The Field Operations Manual: outlines the field protocols that crews will utilize to sample sites.

  8. 6. Historic American Buildings Survey, From National Archives Record Group ...

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

    6. Historic American Buildings Survey, From National Archives Record Group 77, Fortifications File, Drawer 47, Sheet 45-4, PHOTOCOPY OF WEST VIEW, 1915. - Fort Mifflin, Guard House, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  9. 16. Historic American Buildings Survey, From National Archives Record Group ...

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

    16. Historic American Buildings Survey, From National Archives Record Group 77, Fortifications File, Drawer 47, Sheet 45-14 PHOTOCOPY OF SOUTH CORNER, JULY, 1915. - Fort Mifflin, Officers' Quarters, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  10. 72. Historic American Buildings Survey, National Archives Record Group 77, ...

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

    72. Historic American Buildings Survey, National Archives Record Group 77, Fortifications File, Drawer 47, Sheet 45-9, Undated, PHOTOCOPY DETAIL OF CASEMATE GATES, EAST BASTION, JULY, 1915. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  11. 14. Historic American Buildings Survey, From the National Archives Record ...

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

    14. Historic American Buildings Survey, From the National Archives Record Group 77, Fortifications File, Drawer 47, Sheet 45-12, PHOTOCOPY OF NORTH VIEW, JULY, 1915. - Fort Mifflin, Soldiers' Barracks, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  12. 17. Historic American Buildings Survey, From National Archives Record Group ...

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

    17. Historic American Buildings Survey, From National Archives Record Group 77, Fortifications File, Drawer 47, Sheet 45-15 PHOTOCOPY OF SOUTHEAST ELEVATION, JULY, 1915. - Fort Mifflin, Officers' Quarters, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  13. EPA Survey Shows $271 Billion Needed for Nations Wastewater Infrastructure

    EPA Pesticide Factsheets

    WASHINGTON - The U.S. Environmental Protection Agency (EPA) today released a survey showing that $271 billion is needed to maintain and improve the nation's wastewater infrastructure, including the pipes that carry wastewater to treatment plants, th

  14. 2. Historic American Buildings Survey National Park Service San Francisco, ...

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

    2. Historic American Buildings Survey National Park Service San Francisco, California Year Built: 1835 Photo Taken: 1939 GENERAL VIEW - Pacific House, 200-222 Calle Principal, Monterey, Monterey County, CA

  15. A Dutch field survey on fungal infection and mycotoxin concentrations in maize.

    PubMed

    Van Asselt, E D; Azambuja, W; Moretti, A; Kastelein, P; De Rijk, T C; Stratakou, I; Van Der Fels-Klerx, H J

    2012-01-01

    Mycotoxins are secondary metabolites produced by fungi that can cause adverse health effects. Due to climate change, temperatures are expected to rise and changes in rainfall patterns are foreseen. These developments may increase fungal occurrence and mycotoxin concentrations in maize. It is therefore useful to monitor mycotoxin levels in maize and record the accompanying agronomic factors and weather parameters. This paper describes a field survey in the Netherlands in which information on soil, cultivar, green manure, tillage as well as sowing, emergence, flowering and harvest dates of silage maize were collected from 148 growers. A small number of these growers (42 in total) were visited to collect maize samples revealing that 50% of the samples were contaminated with Fusarium species and mycotoxins were detected in 25% of the samples. The Fusarium species that was most commonly found was F. crookwellense followed by F. graminearum, F. culmorum, F. sporotrichiodes and F. equiseti. In total 31 mycotoxins were analysed. The predominant mycotoxins present were (sum of 3 and 15)-acetyl-DON and nivalenol; other mycotoxins found were alternariol, beauvericin, deoxynivalenol, diacetoxyscirpenol, moniliformin and zearalenone. Nivalenol was present in concentrations up to 1670 µg kg⁻¹ and acetylated DON was usually present at higher concentrations than DON. Statistical analysis of the current data showed no correlation between mycotoxins present and agronomic factors recorded. Field studies as described in this paper are useful and need to be continued in the future in order to observe trends in mycotoxin occurrence.

  16. History of the National Aquatic Resource Surveys

    EPA Pesticide Factsheets

    Under the Clean Water Act (CWA), the U.S. Environmental Protection Agency must periodically report on the condition of the nation's water resources by summarizing water quality information provided by the states.

  17. Applying the National Aquatic Resource Survey Data

    EPA Pesticide Factsheets

    The NARS generate nationally-consistent water quality data across a variety of indicators. States have applied the NARS data to help address local policy questions and to implement changes regarding aquatic resource management.

  18. Differences in school environment, school policy and actions regarding overweight prevention between Dutch schools. A nationwide survey

    PubMed Central

    2010-01-01

    Background Schools are regarded as an important setting for the prevention of overweight. This study presents a nationally representative picture of the obesogenity of the school environment, the awareness of schools regarding overweight, and actions taken by the schools aiming at overweight prevention. In addition, differences between school levels were studied. Methods In 2006-2007, questionnaires were sent to all Dutch secondary schools (age group 12-18 years). Prevalences of the outcome variables were calculated for the schools in total and by school level. The association between school level and outcome variables were analysed by a log linear regression. Results Unhealthy foods and drinks are widely available at secondary schools. One third of the schools indicated that overweight has increased among students and half of the schools agreed that schools were (co)responsible for the prevention of overweight. Only 3% of the schools have a policy on overweight prevention. Small differences were observed between vocational education schools and higher education schools. The presence of vending machines did not differ by school level, but at vocational education schools, the content of the vending machines was less healthy. Conclusion This study describes the current situation at schools which is essential for the development and evaluation of future overweight prevention policies and interventions. In general, secondary schools are not actively involved in overweight prevention and the nutritional environment at most schools could be improved. The small differences between school levels do not give reason for a differential approach for a certain school level for overweight prevention. PMID:20109197

  19. Thermal comfort in urban green spaces: a survey on a Dutch university campus

    NASA Astrophysics Data System (ADS)

    Wang, Yafei; de Groot, Rudolf; Bakker, Frank; Wörtche, Heinrich; Leemans, Rik

    2017-01-01

    To better understand the influence of urban green infrastructure (UGI) on outdoor human thermal comfort, a survey and physical measurements were performed at the campus of the University of Groningen, The Netherlands, in spring and summer 2015. Three hundred eighty-nine respondents were interviewed in five different green spaces. We aimed to analyze people's thermal comfort perception and preference in outdoor urban green spaces, and to specify the combined effects between the thermal environmental and personal factors. The results imply that non-physical environmental and subjective factors (e.g., natural view, quiet environment, and emotional background) were more important in perceiving comfort than the actual thermal conditions. By applying a linear regression and probit analysis, the comfort temperature was found to be 22.2 °C and the preferred temperature was at a surprisingly high 35.7 °C. This can be explained by the observation that most respondents, who live in temperate regions, have a natural tendency to describe their preferred state as "warmer" even when feeling "warm" already. Using the Kruskal-Wallis H test, the four significant factors influencing thermal comfort were people's exposure time in green spaces, previous thermal environment and activity, and their thermal history. However, the effect of thermal history needs further investigation due to the unequal sample sizes of respondents from different climate regions. By providing evidence for the role of the objective and subjective factors on human thermal comfort, the relationship between UGI, microclimate, and thermal comfort can assist urban planning to make better use of green spaces for microclimate regulation.

  20. Thermal comfort in urban green spaces: a survey on a Dutch university campus.

    PubMed

    Wang, Yafei; de Groot, Rudolf; Bakker, Frank; Wörtche, Heinrich; Leemans, Rik

    2017-01-01

    To better understand the influence of urban green infrastructure (UGI) on outdoor human thermal comfort, a survey and physical measurements were performed at the campus of the University of Groningen, The Netherlands, in spring and summer 2015. Three hundred eighty-nine respondents were interviewed in five different green spaces. We aimed to analyze people's thermal comfort perception and preference in outdoor urban green spaces, and to specify the combined effects between the thermal environmental and personal factors. The results imply that non-physical environmental and subjective factors (e.g., natural view, quiet environment, and emotional background) were more important in perceiving comfort than the actual thermal conditions. By applying a linear regression and probit analysis, the comfort temperature was found to be 22.2 °C and the preferred temperature was at a surprisingly high 35.7 °C. This can be explained by the observation that most respondents, who live in temperate regions, have a natural tendency to describe their preferred state as "warmer" even when feeling "warm" already. Using the Kruskal-Wallis H test, the four significant factors influencing thermal comfort were people's exposure time in green spaces, previous thermal environment and activity, and their thermal history. However, the effect of thermal history needs further investigation due to the unequal sample sizes of respondents from different climate regions. By providing evidence for the role of the objective and subjective factors on human thermal comfort, the relationship between UGI, microclimate, and thermal comfort can assist urban planning to make better use of green spaces for microclimate regulation.

  1. Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2011

    2011-01-01

    This report presents a first look at results from the 2010 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. The report presents national estimates of rates of use, numbers of users, and other measures related to illicit drugs, alcohol,…

  2. Results From the 2014 National Wilderness Manager Survey

    Treesearch

    Ramesh Ghimire; Ken Cordell; Alan Watson; Chad Dawson; Gary T. Green

    2015-01-01

    A national survey of managers was developed to support interagency wilderness strategic planning. The focus was on major challenges, perceived needs for science and training, and accomplishments of 1995 Strategic Plan objectives. The survey was administered to managers at the four federal agencies with wilderness management responsibilities: the Bureau of Land...

  3. Curricular Implications of a National Survey of Global Understanding.

    ERIC Educational Resources Information Center

    Hill, David A.

    This paper discusses a national survey undertaken in 1980 to determine the attitudes and knowledge about world affairs of 3,000 randomly selected undergraduate students. The purpose of the survey was to provide information to aid educational decision makers as they strengthen the international perspective of the undergraduate curriculum. The…

  4. National Survey of Children's Exposure to Violence. Juvenile Justice Bulletin

    ERIC Educational Resources Information Center

    Finkelhor, David; Turner, Heather; Ormrod, Richard; Hamby, Sherry; Kracke, Kristen

    2009-01-01

    This Bulletin discusses the National Survey of Children's Exposure to Violence (NatSCEV), the most comprehensive nationwide survey of the incidence and prevalence of children's exposure to violence to date, sponsored by the Office of Juvenile Justice and Delinquency Prevention (OJJDP) and supported by the Centers for Disease Control and Prevention…

  5. Secondary Schools in 2015: Findings from the NZCER National Survey

    ERIC Educational Resources Information Center

    Wylie, Cathy; Bonne, Linda

    2016-01-01

    This report presents the main findings from New Zealand Council for Educational Research's (NZCER's) latest survey of secondary schools, conducted in July and August 2015. These surveys have been done every 3 years since 2003. They provide a comprehensive national picture of what is happening in New Zealand secondary schools, how things have…

  6. Secondary Schools in 2015: Findings from the NZCER National Survey

    ERIC Educational Resources Information Center

    Wylie, Cathy; Bonne, Linda

    2016-01-01

    This report presents the main findings from New Zealand Council for Educational Research's (NZCER's) latest survey of secondary schools, conducted in July and August 2015. These surveys have been done every 3 years since 2003. They provide a comprehensive national picture of what is happening in New Zealand secondary schools, how things have…

  7. Teaching Psychiatry Residents to Teach: A National Survey

    ERIC Educational Resources Information Center

    Crisp-Han, Holly; Chambliss, R. Bryan; Coverdale, John

    2013-01-01

    Objective: Because there have been no previously published national surveys on teaching psychiatry residents about how to teach, the authors surveyed United States psychiatry program directors on what and how residents are taught about teaching. Methods: All psychiatry training programs across the United States were mailed a semistructured…

  8. Highlights of the 2007 National Youth Gang Survey

    ERIC Educational Resources Information Center

    Egley, Jr., Arlen; O'Donnell, Christina E.

    2009-01-01

    This report presents findings from the 2007 National Youth Gang Survey. Data on the number of gangs, gang members, and gang-related homicides in larger cities, suburban counties, smaller cities, and rural counties are provided to accurately reflect youth gang activity in the United States. Based on survey results, it is estimated that nearly 3,550…

  9. Teaching Psychiatry Residents to Teach: A National Survey

    ERIC Educational Resources Information Center

    Crisp-Han, Holly; Chambliss, R. Bryan; Coverdale, John

    2013-01-01

    Objective: Because there have been no previously published national surveys on teaching psychiatry residents about how to teach, the authors surveyed United States psychiatry program directors on what and how residents are taught about teaching. Methods: All psychiatry training programs across the United States were mailed a semistructured…

  10. National survey of volunteer pharmacy preceptors.

    PubMed

    Skrabal, Maryann Z; Jones, Rhonda M; Nemire, Ruth E; Boyle, Cynthia J; Assemi, Mitra; Kahaleh, Abby A; Soltis, Denise A; Allen, Rondall E; Hritcko, Philip M; O'Sullivan, Teresa A; Destache, Christopher J

    2008-10-15

    To survey pharmacy preceptors regarding experiential education and determine the implications of the findings on colleges and schools of pharmacy. An online survey was sent to 4,396 experiential sites. The survey instrument consisted of 41 questions regarding the experiential education environment from the preceptor's perspective (eg, experiential load, time-quality issues, compensation, etc). One thousand one hundred sixty-three preceptors responded (26.5%) to the survey. Concerning experiential load, 73% took 2 or more students in the past year and almost half of the sites had to turn placements away. Nearly all preceptors felt that the more time they spent with students, the higher quality the experience, and 20% felt they didn't have enough time to provide a quality experience. Thirty-six percent of respondents chose monetary stipend as the form of compensation they valued most. This study provides insights into the issues that concern volunteer preceptors and the findings could be used to enhance the quality of experiential education in pharmacy.

  11. Primary Grade Writing Instruction: A National Survey

    ERIC Educational Resources Information Center

    Cutler, Laura; Graham, Steve

    2008-01-01

    A random sample of primary grade teachers (N = 178; 97% female) from across the United States was surveyed about their classroom instructional practices in writing. Most of the participating teachers (72%) took an eclectic approach to writing instruction, combining elements from the 2 most common methods for teaching writing: process writing and…

  12. National Survey of Veterans. Summary Report.

    ERIC Educational Resources Information Center

    Hammond, Richard

    Principal findings of a mail survey undertaken in 1977 to collect data on the socioeconomic characteristics of veterans, their usage of various veteran benefits in the past--including education benefits--and their plans for usage of other benefits in the future are summarized. Among the data reported are the following: percent of veterans…

  13. National Survey of Veterans. Summary Report.

    ERIC Educational Resources Information Center

    Hammond, Richard

    Principal findings of a mail survey undertaken in 1977 to collect data on the socioeconomic characteristics of veterans, their usage of various veteran benefits in the past--including education benefits--and their plans for usage of other benefits in the future are summarized. Among the data reported are the following: percent of veterans…

  14. National 4-H School Enrichment Survey.

    ERIC Educational Resources Information Center

    Diem, Keith G.

    2001-01-01

    A survey of 4-H school enrichment programs (813 responses) found that they reach large numbers of diverse youth and develop credibility with community and schools. Long-term programs such as 4-H clubs have proven effective in helping youth develop life skills, but Extension must carefully consider the purpose and consequences of diverting…

  15. Maintaining the Middle School: A National Survey.

    ERIC Educational Resources Information Center

    George, Paul S.; Anderson, Warren G.

    1989-01-01

    According to a 1987 survey of administrators in 154 exemplary middle schools, certain implementation strategies are essential to ensure success, including participatory decision-making, leadership and philosophical vision, windows of opportunity, staff development, and evaluation and public relations expertise. Postimplementation strategies are…

  16. Defensive medicine among neurosurgeons in the Netherlands: a national survey.

    PubMed

    Yan, Sandra C; Hulsbergen, Alexander F C; Muskens, Ivo S; van Dam, Marjel; Gormley, William B; Broekman, Marike L D; Smith, Timothy R

    2017-09-20

    In defensive medicine, practice is motivated by legal rather than medical reasons. Previous studies have analyzed the correlation between perceived medico-legal risk and defensive behavior among neurosurgeons in the United States, Canada, and South Africa, but not yet in Europe. The aim of this study is to explore perceived liability burdens and self-reported defensive behaviors among neurosurgeons in the Netherlands and compare their practices with their non-European counterparts. A survey was sent to 136 neurosurgeons. The survey included questions from several domains: surgeon characteristics, patient demographics, type of practice, surgeon liability profile, policy coverage, defensive practices, and perception of the liability environment. Survey responses were analyzed and summarized. Forty-five neurosurgeons filled out the questionnaire (response rate of 33.1%). Almost half (n = 20) reported paying less than 5% of their income to annual malpractice premiums. Nearly all respondents view their insurance premiums as a minor or no burden (n = 42) and are confident that in their coverage is sufficient (n = 41). Most neurosurgeons (n = 38) do not see patients as "potential lawsuits". Relative to their American peers, Dutch neurosurgeons view their insurance premiums as less burdensome, their patients as a smaller legal threat, and their practice as less risky in general. They are sued less often and engage in fewer defensive behaviors than their non-European counterparts. The medico-legal climate in the Netherlands may contribute to this difference.

  17. National wildlife refuge visitor survey results: 2010/2011

    USGS Publications Warehouse

    Sexton, Natalie R.; Dietsch, Alia M.; Don Carolos, Andrew W.; Miller, Holly M.; Koontz, Lynne M.; Solomon, Adam N.

    2012-01-01

    The U.S. Fish and Wildlife Service (Service) collaborated with the U.S. Geological Survey to conduct a national survey of visitors regarding their experiences on national wildlife refuges. The survey was conducted to better understand visitor needs and experiences and to design programs and facilities that respond to those needs. The survey results will inform Service performance planning, budget, and communications goals. Results will also inform Comprehensive Conservation Plan (CCPs), Visitor Services, and Transportation Planning processes. The survey was conducted on 53 refuges across the National Wildlife Refuge System (Refuge System) to better understand visitor needs and experiences and to design programs and facilities that respond to those needs. A total of 14,832 visitors agreed to participate in the survey between July 2010 and November 2011. In all, 10,233 visitors completed the survey for a 71% response rate. This report provides a summary of visitor and trip characteristics; visitor opinions about refuges and their offerings; and visitor opinions about alternative transportation and climate change, two Refuge System topics of interest. The Refuge System, established in 1903 and managed by the Service, is the leading network of protected lands and waters in the world dedicated to the conservation of fish, wildlife and their habitats. There are 556 National Wildlife Refuges and 38 wetland management districts nationwide, encompassing more than 150 million acres. The Refuge System attracts more than 45 million visitors annually, including 25 million people per year to observe and photograph wildlife, over 9 million to hunt and fish, and more than 10 million to participate in educational and interpretation programs. Understanding visitors and characterizing their experiences on national wildlife refuges are critical elements of managing these lands and meeting the goals of the Refuge System. These combined results are based on surveying at 53 participating

  18. 75 FR 32191 - National Health and Nutrition Examination Survey (NHANES) DNA Samples: Guidelines for Proposals...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-07

    ... HUMAN SERVICES Centers for Disease Control and Prevention National Health and Nutrition Examination...: The National Health and Nutrition Examination Survey (NHANES) is a program of periodic surveys... Health and Nutrition Examination Surveys, National Center for Health Statistics, Centers for Disease...

  19. Environmental Survey preliminary report, Argonne National Laboratory, Argonne, Illinois

    SciTech Connect

    Not Available

    1988-11-01

    This report presents the preliminary findings of the first phase of the Environmental Survey of the United States Department of Energy's (DOE) Argonne National Laboratory (ANL), conducted June 15 through 26, 1987. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. The team includes outside experts supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with ANL. The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. The on-site phase of the Survey involves the review of existing site environmental data, observations of the operations carried on at ANL, and interviews with site personnel. The Survey team developed a Sampling and Analysis (S A) Plan to assist in further assessing certain of the environmental problems identified during its on-site activities. The S A Plan will be executed by the Oak Ridge National Laboratory (ORNL). When completed, the S A results will be incorporated into the Argonne National Laboratory Environmental Survey findings for inclusion in the Environmental Survey Summary Report. 75 refs., 24 figs., 60 tabs.

  20. National databases and rheumatology research II: the National Health and Nutrition Examination Surveys.

    PubMed

    Sokka, Tuulikki; Krishnan, Eswar

    2004-11-01

    Three National Health and Nutrition Examination Surveys were conducted in the United States between 1971 and 1994 to provide data on the nutritional and health status of the population and on specific target conditions. This article describes features of the surveys and provides examples of research on musculoskeletal disorders that used the survey data.

  1. Buffalo: Public Attitudes About Crime; A National Crime Survey Report.

    ERIC Educational Resources Information Center

    National Criminal Justice Information and Statistics Service (Dept. of Justice/LEAA), Washington, DC.

    The National Crime Survey found that about three-fourths of the Buffalo residents perceived national crime as on the upswing, and one-third sensed an increase locally. Fewer than 10% believed crime in either place declined. Most felt their own victimization rate had increased. Fear of criminal attack appeared largely dependent upon the time of day…

  2. NATIONAL HUMAN EXPOSURE ASSESSMENT SURVEY (NHEXAS): OPPORTUNITIES AND LESSONS LEARNED

    EPA Science Inventory

    The National Human Exposure Assessment Survey (NHEXAS) in its fullest sense is a conceptual design, which upon implementation, will have long-term implications to exposure research and assessment. The ultimate goal is to document national distribution of human exposure to pote...

  3. Survey design and extent estimates for the National Lakes Assessment

    EPA Science Inventory

    The US Environmental Protection Agency (EPA) conducted a National Lake Assessment (NLA) in the conterminous USA in 2007 as part of a national assessment of aquatic resources using probability based survey designs. The USEPA Office of Water led the assessment, in cooperation with...

  4. A National Survey of Cardiopulmonary Resuscitation Training for the Deaf.

    ERIC Educational Resources Information Center

    Beck, Kenneth H.; Tomasetti, James A.

    1983-01-01

    Responses to a national survey by regional directors of the American Heart Association, American National Red Cross, and continuing education programs for the deaf indicated that little is done to train the deaf in cardiopulmonary resuscitation and that communication barriers and inadequate training resources are major reasons. (Author)

  5. NATIONAL HUMAN EXPOSURE ASSESSMENT SURVEY (NHEXAS): OPPORTUNITIES AND LESSONS LEARNED

    EPA Science Inventory

    The National Human Exposure Assessment Survey (NHEXAS) in its fullest sense is a conceptual design, which upon implementation, will have long-term implications to exposure research and assessment. The ultimate goal is to document national distribution of human exposure to pote...

  6. The Ethics of Counseling: A National Survey of Certified Counselors.

    ERIC Educational Resources Information Center

    Gibson, William T.; Pope, Kenneth S.

    1993-01-01

    Collected national survey data from 579 counselors certified by National Board for Certified Counselors concerning their beliefs about whether each of 88 behaviors was ethical and how confident they were of their judgment. Systematic patterns in responding emerged in regard to age, sex, primary work setting, and degree. Participants indicated…

  7. First Findings from the EQW National Employer Survey. EQW Results.

    ERIC Educational Resources Information Center

    National Center on the Educational Quality of the Workforce, Philadelphia, PA.

    The National Center on the Educational Quality of the Workforce (EQW) completed its first analysis of data from the EQW National Employer Survey of 4,625 establishments that was conducted in conjunction with the Census Bureau to document the practices and expectations of employers in their search for a skilled work force and that elicited 3,347…

  8. Survey design and extent estimates for the National Lakes Assessment

    EPA Science Inventory

    The US Environmental Protection Agency (EPA) conducted a National Lake Assessment (NLA) in the conterminous USA in 2007 as part of a national assessment of aquatic resources using probability based survey designs. The USEPA Office of Water led the assessment, in cooperation with...

  9. Trauma Training and Workload: A National Survey.

    PubMed

    McSorley, K; Quinlan, J

    2015-09-01

    Trauma is a major source of mortality and morbidity throughout Ireland. Training in trauma is dependant on experience gained by trainees within specific posts. Trauma services are a topical issue at present with much discussion about delivery and restructuring. With this in mind we conducted an online survey of trainees in emergency medicine, orthopaedic and general surgery to assess current experience and opinions with regard to trauma. The survey was vetted and distributed by the relevant training bodies. 59(98.33%) respondents believed smaller units should be bypassed for major trauma and 55 (91.67%) believed that larger hospitals receiving major trauma should have a trauma theatre available 24-hours a day. 55 (91.67%) also foresaw themselves covering major trauma as consultants, consequently these trainees will be the consultants developing, moulding and working in this restructured trauma service.

  10. Occupational asthma in a national disability survey

    SciTech Connect

    Blanc, P.

    1987-10-01

    The contribution of workplace exposures to the prevalence of asthma in adults has been minimized in the epidemiology of this illness. Analysis of the 1978 Social Security Disability Survey provides a population-based assessment as a novel approach utilizing self-attributed, occupationally related asthma as a measure of disease. Of 6063 respondents, 468 (7.7 percent) identified asthma as a personal medical condition; 72 (1.2 percent (15.4 percent of all those with asthma)) attributed it to workplace exposures. These subjects were older and included more men and cigarette smokers than groups of both asthmatic and nonasthmatic subjects. The relative risk for occupationally attributed asthma was elevated among industrial and agricultural workers as compared with white collar and service occupations. Analysis of disability benefit status did not indicate that this introduced major reporting bias in this survey. This study suggests that occupational factors may have a greater role in adult asthma than previously thought.

  11. 2008 National dry mill corn ethanol survey.

    PubMed

    Mueller, Steffen

    2010-09-01

    Emerging regulations require an examination of corn ethanol's greenhouse gas emissions on a life cycle basis, including emissions from energy consumed at the plant level. However, comprehensive survey data of the industry's average performance dates back to 2001, prior to the industry's expansion phase. Responding to the need for updated data, we conducted a survey to collect energy and processing data for average dry mill ethanol produced during 2008. The study finds that the average liter of anhydrous corn ethanol produced during 2008 requires 28% less thermal energy than 2001 ethanol: 7.18 MJ/l compared to 10 MJ/l. Also, 2008 ethanol requires 32% less electricity: 0.195 kWh/l compared to 0.287 kWh/l, but anhydrous ethanol yields from corn are 5.3% higher and total 0.416 l/kg compared to 0.395 l/kg. Findings also suggest that older plants installed energy efficiency retrofits.

  12. Scripts of Sexual Desire and Danger in US and Dutch Teen Girl Magazines: A Cross-National Content Analysis.

    PubMed

    Joshi, Suchi P; Peter, Jochen; Valkenburg, Patti M

    2011-04-01

    The aim of this comparative quantitative content analysis was to investigate how US and Dutch teen girl magazines cover sexual desire (i.e., sexual wanting, and pleasure) and sexual danger (i.e., sexual risk, and negative physical/health consequences of sex). Relying on the sexual scripts framework and Hofstede's cultural dimension of masculinity/femininity, we examined (a) how the coverage varied for boys and girls, (b) how it differed between the United States and the Netherlands, and (c) how gender differences varied by country. The sample comprised 627 sex-related feature stories from all 2006-2008 issues of three US (i.e., Seventeen, CosmoGirl! United States edition, and Teen) and three Dutch teen girl magazines (i.e., Fancy, CosmoGirl! Netherlands edition, and Girlz!). Overall, sexual wanting occurred more frequently in the US magazines than in the Dutch magazines. In the US coverage, boys' sexual wanting received more attention than girls' sexual wanting, whereas in the Dutch coverage sexual wanting was depicted equally often for boys and girls. The depiction of sexual pleasure did not vary by gender in either country, but was generally more visible in the Dutch magazines than in the US magazines. Sexual risks and the negative consequences of sex were associated with girls more than with boys, and were primarily depicted in the US magazines rather than in the Dutch magazines.

  13. The National Center of the U.S. Geological Survey

    USGS Publications Warehouse

    ,

    1974-01-01

    In August of 1973, the U. S. Geological Survey moved its first group of employees into the John Wesley Powell Federal Building of its newly constructed National Center at Reston, Virginia. The move signaled the fruition of more than a decade of planning and work to consolidate the agency's widespread activities into one location which could truly serve as a National Center. The Survey's leadership in the natural resources field has been materially strengthened through the availability of the Center's outstanding research and engineering facilities. Also the Center affords important professional and administrative advantages by bringing together the 2,200 Survey employees in the Washington, D.C, metropolitan area.

  14. Colloquial Dutch.

    ERIC Educational Resources Information Center

    Bloomfield, Leonard

    This course in colloquial Dutch was originally prepared for use by American Armed Forces personnel who needed to develop a working command of the spoken language in a short period of time. Thirty-one lessons, based on activities common to Dutch culture, are contained in the text. Each lesson provides three parallel columns of sentences: the…

  15. Colloquial Dutch.

    ERIC Educational Resources Information Center

    Bloomfield, Leonard

    This course in colloquial Dutch was originally prepared for use by American Armed Forces personnel who needed to develop a working command of the spoken language in a short period of time. Thirty-one lessons, based on activities common to Dutch culture, are contained in the text. Each lesson provides three parallel columns of sentences: the…

  16. Men in Midwifery: A National Survey.

    PubMed

    Kantrowitz-Gordon, Ira; Adriane Ellis, Simon; McFarlane, Ann

    2014-01-01

    Midwifery in the United States suffers from a lack of diversity. More than 91% of midwives are white, and more than 98% are women. Little research has explored the experiences of midwives who are men or transgender. Invitation to an Internet survey was sent to the membership of the American College of Nurse-Midwives. Thirty-one participants who identified as men or transgender completed the survey, which included quantitative and open-ended questions about the impact of gender on education and practice. Data analysis of qualitative responses used qualitative description methodology to identify common themes. Four themes described participating men's experiences of education and practice of midwifery. Challenges included feeling singled out as different and being excluded. Supportive factors came from the social support of family, friends, colleagues, and patients, as well as from taking pride in one's work as a midwife. Midwives who identify as transgender described the challenges of others' confusion about their gender, having to hide their true gender identity, and struggling with the resulting loneliness. This survey highlights the challenges faced by midwives who are men or transgender in education and practice. Midwifery values of respect and acceptance for all women and families need to be applied internally to all members of the profession. This will support increased diversity and openness in midwifery. © 2014 by the American College of Nurse‐Midwives.

  17. A second national questionnaire survey of TMA.

    PubMed

    Ito-Habe, Naomi; Wada, Hideo; Matsumoto, Masanori; Fujimura, Yoshihiro; Murata, Mitsuru; Izuno, Takashi; Sugita, Minoru; Ikeda, Yasuo

    2010-07-01

    A second questionnaire survey of Japanese patients with thrombotic microangiopathy (TMA) was carried out to investigate the frequency, laboratory abnormalities and outcome in 2004 and 2005. The first and second surveys evaluated 397 patients including 19 with familial TMA and 378 with acquired TMA. The patients with acquired TMA included 165 with Escherichia coli O-157 infection-related TMA (O-157 TMA), 70 with ADAMTS13-related TMA (ADAMTS13 TMA) and 38 with other types of TMA (other TMA). The rate of ADAMTS13 TMA was significantly higher in patients with collagen diseases than in patients with all other underlying diseases (p < 0.001). The treatment of acquired TMA included plasma exchange (PE), steroids, antiplatelet agents, and anticoagulants, PE was carried out in 91.4% of patients with ADAMTS13 TMA, 68.4% of patients with other TMA and 12.7% of patients with O-157 TMA. The efficacy of PE and steroid therapy tended to be higher in patients with ADAMTS13 TMA than in those with other TMA. The complete remission rate was the highest and the mortality rate was the lowest in the patients with O-157 TMA. The mortality rate tended to be lower in patients with ADAMTS13 TMA than in those with other TMA. However, not all of the patients in our study were examined for ADAMTS13 at the time that this questionnaire survey was conducted.

  18. Incidence and epidemiology of casualties treated at the Dutch role 2 enhanced medical treatment facility at multi national base Tarin Kowt, Afghanistan in the period 2006-2010.

    PubMed

    Hoencamp, Rigo; Idenburg, Floris J; Hamming, Jaap F; Tan, Edward C T H

    2014-07-01

    To improve care for the injured service member, we have analyzed battle casualty patterns and mechanisms. This study is the first documented report of wounding patterns and mechanisms of battle casualties treated at the Dutch role 2 enhanced medical treatment facility at the multi-national base Tarin Kowt, Uruzgan, Afghanistan. Participants were selected from the trauma registry at the Dutch role 2 enhanced medical treatment facility if they fitted the criteria 'battle casualty' and 'disease non-battle injury' between August 2006 and August 2010. The trauma registry query resulted in 2,736 casualties, of which 60 % (N = 1,635) were classified as 'disease non-battle casualties' and 40 % (N = 1,101) as 'battle casualties'. The battle casualties sustained 1,617 combat wounds, resulting in 1.6 wounds per battle casualty. These injuries were predominately caused by explosions (55 %) and gunshots (35 %). The wounding pattern was as follows: head and neck (21 %), thorax (13 %), abdomen (14 %), upper extremity (20 %), and lower extremity (33 %). The wounding patterns seen at the Dutch role 2 enhanced medical treatment facility at the multi-national base Tarin Kowt resemble the patterns as recorded by other coalition partners. The wounding patterns differ with previous conflicts: a greater proportion of head and neck wounds, and a lower proportion of truncal wounds.

  19. Environmental Survey preliminary report, Fermi National Accelerator Laboratory, Batavia, Illinois

    SciTech Connect

    Not Available

    1988-10-01

    This report presents the preliminary findings from the first phase of the Environmental Survey of the US Department of Energy (DOE) Fermi National Accelerator Laboratory (Fermilab), conducted September 14 through 25, 1987. The Survey is being conducted by an interdisciplinary team of environmental specialists led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Individual participants for the Survey team are being supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with Fermilab. The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. This phase of the Survey involves the review of existing site environmental data, observations of the operations performed at Fermilab, and interviews with site personnel. 110 refs., 26 figs., 41 tabs.

  20. National health and optometry--a survey of public attitudes.

    PubMed

    Allen, D C; Levi, D M

    1975-04-01

    A stratified probability sample of the Houston, Texas population was interviewed to assess public opinion of national health care and public awareness of vision care and its role in a national health care system. Over 80% of the population surveyed are in favor of a national health care bill, with a large percentage of the population favoring inclusion of vision care. Demographic trends are reported as they relate to various questions in the survey, and comparisons are made to a similar questionnaire one year earlier.

  1. Survey: Federal Aviation Administration National Communication Center

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The National Communication (NATCOM) Center (commonly known as the FAA Weather Message Switching Center), is a Federal Aviation Administration (FAA) facility with responsibility for providing communication switching services to the National Weather Service (NWS), the FAA, commercial and private flight organizations under the auspices of the FAA, and DoD. Data handled by NATCOM include weather data, flight plans, and Notices to Airmen (NOTAMS) on both national and international networks. The communications and data management functions are handled through four computer-controlled communication networks designated as WMSC, AFTN, A-BDIS, and NASNET. The functions of these networks are discussed with emphasis on those networks that support the different elements of the NWS. The primary network of concern to NASA, the WMSC (Weather Message Switching Center) network, performs approximately 60 percent of its work for the NWS, 20 percent for the State Department, and 20 percent for the FAA. This document discusses the current and future systems capabilities and workload of NATCOM in terms of new roles.

  2. A review of national health surveys in India

    PubMed Central

    Pandey, Anamika; Dandona, Lalit

    2016-01-01

    Abstract Several rounds of national health surveys have generated a vast amount of data in India since 1992. We describe and compare the key health information gathered, assess the availability of health data in the public domain, and review publications resulting from the National Family Health Survey (NFHS), the District Level Household Survey (DLHS) and the Annual Health Survey (AHS). We highlight issues that need attention to improve the usefulness of the surveys in monitoring changing trends in India’s disease burden: (i) inadequate coverage of noncommunicable diseases, injuries and some major communicable diseases; (ii) modest comparability between surveys on the key themes of child and maternal mortality and immunization to understand trends over time; (iii) short time intervals between the most recent survey rounds; and (iv) delays in making individual-level data available for analysis in the public domain. We identified 337 publications using NFHS data, in contrast only 48 and three publications were using data from the DLHS and AHS respectively. As national surveys are resource-intensive, it would be prudent to maximize their benefits. We suggest that India plan for a single major national health survey at five-year intervals in consultation with key stakeholders. This could cover additional major causes of the disease burden and their risk factors, as well as causes of death and adult mortality rate estimation. If done in a standardized manner, such a survey would provide useable and timely data to inform health interventions and facilitate assessment of their impact on population health. PMID:27034522

  3. Problem neurology residents: a national survey.

    PubMed

    Tabby, David S; Majeed, Muhammed H; Schwartzman, Robert J

    2011-06-14

    Problem residents are found across most medical specialties at a prevalence of about 10%. This study was designed to explore the prevalence and causes of problem neurology residents and to compare neurology programs' responses and outcomes. Directors of 126 US neurology residency programs were sent an electronic survey. We collected data on demographics, first and all "identifiers" of problem residents, and year of training in which the problem was found. We asked about observable signs, etiology, and who performed remediation. We asked what resources were used and what outcomes occurred. Ninety-five program directors completed surveys (75% response rate). Almost all neurology programs have problem residents (81%). Age, sex, marital status, being a US native, or attending a US medical school had no effect on problem status. Being a parent carried a lower likelihood of problems (32%). Most commonly the problem is acted on during the first year of training. Faculty members without defined educational roles were the most frequent first identifiers. Program directors were the most common remediators. The most common remediation techniques were increasing supervision and assigning a faculty mentor. Graduate medical education office and psychiatric or psychological counseling services were most often used. Eleven percent of problem residents required a program for impaired physicians and 14% required a leave of absence. Sixteen percent were dismissed from their programs. The prevalence of problem residents in neurology is similar to other disciplines, and various resources are available to remediate them.

  4. A cross-national comparative study of metabolic syndrome among non-diabetic Dutch and English ethnic groups.

    PubMed

    Agyemang, Charles; Kunst, Anton E; Bhopal, Raj; Zaninotto, Paola; Nazroo, James; Unwin, Nigel; van Valkengoed, Irene; Redekop, William K; Stronks, Karien

    2013-06-01

    Evidence suggests a higher prevalence of type 2 diabetes (T2D) in The Netherlands than in England, although generalized obesity prevalence is substantially lower in The Netherlands. Metabolic syndrome (MS) is more strongly associated with the risk of progression to T2D than generalized obesity. Therefore examining MS may help to better understand the differences in T2D between the two countries. We assessed whether the Dutch and English differences in T2D prevalence reflect similar differences in MS in Whites, South-Asian Indians and African-Caribbeans living in these two countries. Secondary analyses of population-based studies of 3010 participants aged 35-60 years. Metabolic syndrome was defined according to the International Diabetes Federation criteria. Prevalence ratios (PRs) were estimated using regression models. In general, the Dutch ethnic groups had a higher prevalence of MS than their English counterparts. Adjusted PRs were 1.37[95% confidence interval (CI)1.03-1.82] and 1.52 (1.06-2.19) in White-Dutch men and women compared to White-English men and women; 2.20 (1.14-4.26) and 1.46 (0.96-2.24) in Dutch-African-Caribbean men and women compared to English-African-Caribbean men and women and 0.97 (0.74-1.27) and 1.42 (1.00-2.03) in Dutch-Indian men and women compared with their English-Indian peers, respectively. Similar patterns were also observed for some MS components, e.g. raised fasting glucose in men and central obesity in women. The comparatively high prevalence of MS among Dutch ethnic groups may contribute to their high prevalence of T2D. The high levels of some MS components, e.g. raised fasting glucose in men and central obesity in women add to the high prevalence of MS in Dutch ethnic groups.

  5. Environmental Survey preliminary report, Brookhaven National Laboratory, Upton, New York

    SciTech Connect

    Not Available

    1988-06-01

    This report presents the preliminary findings from the first phase of the Environmental Survey of the United States Department of Energy (DOE) Brookhaven National Laboratory (BNL) conducted April 6 through 17, 1987. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Individual team components are being supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with BNL. The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. This phase of the Survey involves the review of existing site environmental data, observations of the operations carried on at BNL, and interviews with site personnel. The Survey team developed a Sampling and Analysis Plan to assist in further assessing specific environmental problems identified during its on-site activities. The Sampling and Analysis Plan will be executed by Oak Ridge National Laboratory. When completed, the results will be incorporated into the BNL Environmental Survey Interim Report. The Interim Report will reflect the final determinations of the BNL Survey. 80 refs., 24 figs., 48 tabs.

  6. Sexual behaviour and sexually transmitted diseases in Dutch marines and naval personnel on a United Nations mission in Cambodia.

    PubMed Central

    Hopperus Buma, A P; Veltink, R L; van Ameijden, E J; Tendeloo, C H; Coutinho, R A

    1995-01-01

    OBJECTIVES--To determine the sexual risk behaviour and the incidence of sexually transmitted diseases (STD) among Dutch marines and naval personnel during a United Nations (UN) deployment. METHODS--Surveillance by post deployment questionnaire, administered to 2289 persons in three successive battalions who served for 6 months on a UN deployment in Cambodia during June 1992-November 1993. On site the medical history of all individuals was kept up to date in a database. All personnel received extra education on STD prevention prior to deployment. Condoms were freely obtainable during deployment. RESULTS--1885 persons (82%) handed in the questionnaire of whom 842 (45%) reported to have had sexual contacts with prostitutes or local population. Being younger and single were independent risk factors for having contact. Out of these 842 persons, 750 (89.1%) reported condom use at all times, while 82 (9.7%) reported inconsistent use and 10 persons (1.2%) reported not to have used condoms. Risk factors for inconsistent and non use were being 40 years or older and a higher number of contacts. From the 832 (750 + 82) condom users, 248 (30%) reported condom failure. Risk factors for failure were: inconsistent condom use, having had more than six contacts and being in the second battalion. The patient recording database showed 43 STD cases registered in the total population of 2289 persons (1.9%). CONCLUSIONS--A low STD incidence was found despite a considerable number of reported sexual contacts. The reported condom use was high but the failure rate was considerable and needs further attention. PMID:7635494

  7. The UK National Cyclodiode Laser Survey.

    PubMed

    Agrawal, P; Dulku, S; Nolan, W; Sung, V

    2011-02-01

    To evaluate current practice of transscleral diode laser cyclophotocoagulation (cyclodiode) laser treatment among consultant ophthalmologists in the United Kingdom. A 31-question survey was emailed to all practising consultant ophthalmologists who were members of the Royal College of Ophthalmologists. All non-responders were sent a postal version of the questionnaire. This paper looked at cyclodiode practice patterns and consisted of questions on demographic data, transillumination, and power settings, factors influencing practice, post-operative care, and repeat treatment. A total of 510 participants (53.6%) responded. A total of 180 (35.3%) responders reported performing cyclodiode laser treatment, of which 84 (46.7%) were glaucoma subspecialists (GSS). Initial median power settings used were 1500 mW and 2000 ms. The average number of applications delivered per sitting was 25.5 ± 1.2 applications for GSS vs 20.6 ± 2.0 for non-GSS in a seeing eye (P = 0.0013). In all, 65% routinely transilluminated the globe of which 78% were GSS and 52.3% were non-GSS (P = 0.0009). In all, 43% of the GSS vs 17% of the non-GSS lowered power settings in uveitic glaucoma (P = 0.013). In blind eyes, 30% of the GSS vs 12% of the non-GSS increased energy levels (P = 0.0014). In all, 60% of the responders performed cyclodiode at any visual acuity, whereas 22% performed combined cyclodiode and cataract surgery. This survey highlights a wide variation in the use of cyclodiode laser treatment amongst GSS and non-GSS. However, the most frequently used practice may not be the optimal practice. A more individualised parameter according to the condition of the eyes may optimise the outcome.

  8. Cross-national comparison of medication use in Australian and Dutch nursing homes.

    PubMed

    Taxis, Katja; Kochen, Sjoerd; Wouters, Hans; Boersma, Froukje; Jan Gerard, Maring; Mulder, Hans; Pavlovic, Jugoslav; Stevens, Gerard; McLachlan, Andrew; Pont, Lisa G

    2017-03-01

    cross-national comparisons can be used to explore therapeutic areas and identify potential medication issues. we used cross-sectional pharmacy supply data to explore medication use for nursing home residents in Australia (AU n = 26 homes, 1,560 residents) and the Netherlands (NL n = 6 homes, 2,037 residents). Binary logistic regression analysis was used to calculate the sex and aged adjusted odds ratios (OR) and associated 95% confidence intervals with a flexible Bonferroni-Holm procedure used to adjust for multiple hypothesis testing. total use of antipsychotics (AU: 37.7%, NL: 40.3%; OR 0.91 (0.79-1.04, P = 0.16) and antibacterials (66.8% AU, 62.4% NL, OR 1.08 (0.93-1.24, P = 0.31) was similar, but choice of individual agents differed between the two countries. Differences were observed in the use of antithrombotics (46.7% AU, 64.7% NL, OR 0.48 (0.42-0.56, P > 0.01), ophthalmologicals (44.3% AU, 22.1% NL, OR 2.80 (2.42-3.24, P < 0.001), laxatives (77.1% AU, 65.8% NL, OR 1.65 (1.41-1.92, P < 0.001). while the general prevalence of medication use in nursing home residents was similar across the two countries, distinct differences existed in the choice of agent among therapeutic groups. Comparing use between countries identified a number of potential medication related problem areas that need further exploration.

  9. Robotic surgery in Italy national survey (2011).

    PubMed

    Santoro, Eugenio; Pansadoro, Vito

    2013-03-01

    Robotic surgery in Italy has become a clinical reality that is gaining increasing acceptance. As of 2011 after the United States, Italy together with Germany is the country with the largest number of active Robotic centers, 46, and da Vinci Robots installed, with at least 116 operators already trained. The number of interventions performed in Italy in 2011 exceeded 6,000 and in 2010 were 4,784, with prevalence for urology, general surgery and gynecology, however these interventions have also begun to be applied in other fields such as cervicofacial, cardiothoracic and pediatric surgery. In Italy Robotic centers are mostly located in Northern Italy, while in the South there are only a few centers, and four regions are lacking altogether. Of the 46 centers which were started in 1999, the vast majority is still operational and almost half handle over 200 cases a year. The quality of the work is also especially high with large diffusion of radical prostatectomy in urology and liver resection and colic in general surgery. The method is very well accepted among operators, over 80 %, and among patients, over 95 %. From the analysis of world literature and a survey carried out in Italy, Robotic surgery, which at the moment could be better defined as telesurgery, represents a significant advantage for operators and a consistent gain for the patient. However, it still has important limits such as high cost and non-structured training of operators.

  10. Environmental Survey preliminary report, Lawrence Livermore National Laboratory, Livermore, California

    SciTech Connect

    Not Available

    1987-12-01

    This report presents the preliminary findings from the first phase of the Environmental Survey of the Department of Energy (DOE) Lawrence Livermore National Laboratory (LLNL), conducted December 1 through 19, 1986. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Individual team components are being supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with LLNL. The Survey covers all environmental media all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. This phase of the Survey involves the review of existing site environmental data, observations of the operations performed at LLNL, and interviews with site personnel. A Sampling and Analysis Plan was developed to assist in further assessing certain of the environmental problems identified during performance of on-site activities. The Sampling and Analysis Plan will be executed by a DOE National Laboratory. When completed, the results will be incorporated into the LLNL Environmental Survey Interim Report. The Interim Report will reflect the final determinations of the LLNL Survey. 70 refs., 58 figs., 52 tabs.,

  11. National Survey of the Education of Teachers. Bulletin, 1933, No. 10. Volume V: Special Survey Studies

    ERIC Educational Resources Information Center

    Frazier, Benjamin W.; Betts, Gilbert L.; Greenleaf, Walter J.; Waples, Douglas; Dearborn, Ned H.; Carney, Mabel; Alexander, Thomas

    1935-01-01

    The Seventy-first Congress authorized a survey of the education of teachers on a Nation-wide scope, conducted during the last 3 years. After the work of the survey was organized it was apparent that only a limited number of studies could be undertaken with the time and funds available. It was decided, therefore, to cooperate whenever possible with…

  12. Environmental Survey preliminary report, Sandia National Laboratories, Livermore, California

    SciTech Connect

    Not Available

    1988-01-01

    This report contains the preliminary findings based on the first phase of an Environmental Survey at the Department of Energy (DOE) Sandia National Laboratories Livermore (SNLL), located at Livermore, California. The Survey is being conducted by DOE's Office of Environment, Safety and Health. The SNLL Survey is a portion of the larger, comprehensive DOE Environmental Survey encompassing all major operating facilities of DOE. The DOE Environmental Survey is one of a series of initiatives announced on September 18, 1985, by Secretary of Energy, John S. Herrington, to strengthen the environmental, safety, and health programs and activities within DOE. The purpose of the Environmental Survey is to identify, via a no fault'' baseline Survey of all the Department's major operating facilities, environmental problems and areas of environmental risk. The identified problem areas will be prioritized on a Department-wide basis in order of importance in 1989. The findings in this report are subject to modification based on the results from the Sampling and Analysis Phase of the Survey. The findings are also subject to modification based on comments from the Albuquerque Operations Office concerning the technical accuracy of the findings. The modified preliminary findings and any other appropriate changes will be incorporated into an Interim Report. The Interim Report will serve as the site-specific source for environmental information generated by the Survey, and ultimately as the primary source of information for the DOE-wide prioritization of environmental problems in the Survey Summary Report. 43 refs., 21 figs., 24 tabs.

  13. Counseling for childbirth fear - a national survey.

    PubMed

    Larsson, Birgitta; Karlström, Annika; Rubertsson, Christine; Hildingsson, Ingegerd

    2016-06-01

    Counseling by experienced midwives is offered to women with childbirth fear in most obstetric clinics in Sweden, but information about the content of such counseling is lacking. To study comprehensiveness, content and organization of the midwife-led counseling for childbirth fear in all obstetric clinics in Sweden. In this cross-sectional study, data were collected using a questionnaire sent to all obstetric clinics in Sweden (n = 45); a total of 43 clinics responded. Descriptive and one-way ANOVA was used in the analysis. All responding obstetric clinics in Sweden offer midwife-led counseling to women with childbirth fear. Major differences were found regarding the time allocated to counseling, with a range between 5.7 and 47.6 minutes per childbirth. Supplementary education for midwives and the availability of treatment options varied at the different clinics and were not associated with the size of the clinic. The midwife-led counseling conducted at the different Swedish obstetric clinics showed considerable disparities. Women with childbirth fear would benefit from care on equal terms irrespective of place of residence. Consequently, it would be valuable to develop a national healthcare program for childbirth fear. Copyright © 2016 Elsevier B.V. All rights reserved.

  14. Quantum Electronics in the UK. A National-Survey Conference.

    DTIC Science & Technology

    1985-10-30

    RD-RI61 623 QUANTUN ELECTRONICS IN THE UK A NTIONL-SURVEY v CONFERENCE(U) OFFICE OF NAVAL RESEARCH LONDON ( ENGLAND ) UNCLSSIIEDP ROMAN 39 OCT 85...IDENTIFICATION NUMBER ORGANiZATION (if applicable) 8( ADDRE SS (City, State, and ZIP Code) 10 SOURCE OF FUNDING NUMBERS PROGRAM PROJECT TASK IWORK UNIT ...ELEMENT NO INO NO ACCESSION NO ’I TITLE (Include Security Classification) Quantum Electronics in the UK : A National-Survey Conference 12 PERSONAL AL.1

  15. Attitudes to consent--a national survey.

    PubMed

    Cleeve, Stewart; Curry, Joe

    2006-02-01

    The medicolegal case of Chester v Afshar (October 2004) raises important questions with regard to the consent process in medicine and surgery. If consent has to involve disclosure of all serious risks, regardless of frequency, how does a surgeon ensure the thoroughness of the consent procedure and minimise the risk of such litigation? Procedure-specific consent forms (PSCFs)--detailing all serious risks--are a possible solution. The aim of our study was to establish the frequency of the use of such consent forms throughout the UK. A postal questionnaire of UK consultant British Association of Pediatric Surgery (BAPS) members was conducted. Members were asked if they used PSCFs for 4 commonly performed procedures in paediatric surgery: central venous access, inguinal herniotomy, orchidopexy, and pyloromyotomy. The response rate was 89% (108/122). We obtained at least one response from every centre involved in paediatric surgery (38/38) in the UK. Seventy-nine percent (85/108) of respondents do not use PSCFs, 19% (21/108) do use PSCFs, and 2% (2/108) forms were returned blank. Thirty-one percent (33/108) of respondents included comments regarding PSCFs. A medical negligence claim will succeed if the practitioner owes the patient a duty of care, there has been a breach of this duty, and that the breach caused a loss (causation). Our duty to the patient may now need to include disclosure of all risk regardless of frequency. PSCFs allow accurate and reproducible information for families about procedures. PSCFs currently have a low uptake amongst paediatric surgeons in the UK. The use of PSCFs for 4 procedures is currently under trial in our unit. It remains to be seen whether the success of further claims leads to an increase in their use nationally.

  16. A cross-national comparative study of blood pressure and hypertension between English and Dutch South-Asian- and African-origin populations: the role of national context.

    PubMed

    Agyemang, Charles; Kunst, Anton; Bhopal, Raj; Zaninotto, Paola; Unwin, Nigel; Nazroo, James; Nicolaou, Mary; Redekop, William Ken; Stronks, Karien

    2010-06-01

    We compare patterns of blood pressure (BP) and prevalence of hypertension between white-Dutch and their South-Asian and African minority groups with their corresponding white-English and their South-Asian and African ethnic minority groups; and the contribution of physical activity, body sizes, and socioeconomic position (SEP); and the quality of BP treatment that may underlie differences in mean BP. Secondary analyses of population-based studies of 13,999 participants from the United Kingdom and the Netherlands. Compared with Dutch South-Asians, all English South-Asian men and women had lower BP and prevalence of hypertension except for systolic BP in English-Indian men. Among Africans, the systolic BP did not differ, but the diastolic BP levels were lower in English-Caribbean and English- (sub-Sahara) African men and women than in their Dutch-African counterparts. English-Caribbeans had a lower prevalence of hypertension than Dutch-Africans. Compared with white-Dutch, white-English men and women had higher systolic BP levels, but lower diastolic BP levels. There were no differences in the prevalence of hypertension between the white groups. Most differences remained unchanged after adjustment for SEP, lifestyle, and body sizes in all ethnic groups. BP control rates were substantially lower among Dutch-African and Dutch South-Asian hypertensives than among their English counterparts (except Indians). We found marked variations in BP and hypertension prevalence between comparable ethnic groups in England and the Netherlands. Poor BP control among Dutch South-Asians and Africans contributed to their disadvantage of the relatively high BP levels.

  17. Architectural Survey of Laramie Armory, Wyoming Army National Guard

    DTIC Science & Technology

    2016-07-30

    ER D C/ CE RL T R- 16 -1 1 Architectural Survey of Laramie Armory, Wyoming Army National Guard Co ns tr uc tio n En gi ne er in g R es...the right side of the south (front) elevation (ERDC-CERL, 2015). ERDC/CERL TR-16-11 July 2016 Architectural Survey of Laramie Armory, Wyoming...Number 455557, “Wyoming Armories Historical Context & Bldg Evaluation” ERDC/CERL TR-16-11 ii Abstract This document is an architectural survey of the

  18. Cross-continental comparison of national food consumption survey methods--a narrative review

    USDA-ARS?s Scientific Manuscript database

    Food consumption surveys are performed in many countries. Comparison of results from those surveys across nations is difficult because of differences in methodological approaches. While consensus about the preferred methodology associated with national food consumption surveys is increasing, no in...

  19. The National Criminal Justice Treatment Practices survey: Multilevel survey methods and procedures⋆

    PubMed Central

    Taxman, Faye S.; Young, Douglas W.; Wiersema, Brian; Rhodes, Anne; Mitchell, Suzanne

    2007-01-01

    The National Criminal Justice Treatment Practices (NCJTP) survey provides a comprehensive inquiry into the nature of programs and services provided to adult and juvenile offenders involved in the justice system in the United States. The multilevel survey design covers topics such as the mission and goals of correctional and treatment programs; organizational climate and culture for providing services; organizational capacity and needs; opinions of administrators and staff regarding rehabilitation, punishment, and services provided to offenders; treatment policies and procedures; and working relationships between correctional and other agencies. The methodology generates national estimates of the availability of programs and services for offenders. This article details the methodology and sampling frame for the NCJTP survey, response rates, and survey procedures. Prevalence estimates of juvenile and adult offenders under correctional control are provided with externally validated comparisons to illustrate the veracity of the methodology. Limitations of the survey methods are also discussed. PMID:17383548

  20. The comparison of road safety survey answers between web-panel and face-to-face; Dutch results of SARTRE-4 survey.

    PubMed

    Goldenbeld, C; de Craen, S

    2013-09-01

    In the Netherlands, a comparison of an online and a face-to-face sample of car drivers was made to study differences on a number of selected questions from the SARTRE-4 road safety survey. Contrary to expectations, there was no indication that online respondents were more likely to come from higher educated or more privileged social groups. Confirming earlier research, the results indicated that online respondents were less inclined to give socially desirable answers and were less inclined to use more extreme ratings in their opinions about measures. Contrary to expectations, face-to-face respondents did not tend to give more positive answers in judgment of road safety measures. Weighting to make samples comparable on gender, age, and education had almost no effect on outcomes. The implications for a transition from face-to-face survey to online panel method are discussed. Copyright © 2013 National Safety Council and Elsevier Ltd. All rights reserved.

  1. Parental Support and Knowledge and Adolescents' Sexual Health: Testing Two Mediational Models in a National Dutch Sample

    ERIC Educational Resources Information Center

    de Graaf, Hanneke; Vanwesenbeeck, Ine; Woertman, Liesbeth; Keijsers, Loes; Meijer, Suzanne; Meeus, Wim

    2010-01-01

    This study investigated age- and gender-specific associations between parental support and parental knowledge of the child's whereabouts, on the one hand, and sexual experience and sexual health (the ability to have safe and pleasurable sexual experiences) on the other hand. A representative Dutch sample of 1,263 males and 1,353 females (aged…

  2. Parental Support and Knowledge and Adolescents' Sexual Health: Testing Two Mediational Models in a National Dutch Sample

    ERIC Educational Resources Information Center

    de Graaf, Hanneke; Vanwesenbeeck, Ine; Woertman, Liesbeth; Keijsers, Loes; Meijer, Suzanne; Meeus, Wim

    2010-01-01

    This study investigated age- and gender-specific associations between parental support and parental knowledge of the child's whereabouts, on the one hand, and sexual experience and sexual health (the ability to have safe and pleasurable sexual experiences) on the other hand. A representative Dutch sample of 1,263 males and 1,353 females (aged…

  3. National wildlife refuge visitor survey 2012--Individual refuge results

    USGS Publications Warehouse

    Dietsch, Alia M.; Sexton, Natalie R.; Koontz, Lynne M.; Conk, Shannon J.

    2013-01-01

    The National Wildlife Refuge System (Refuge System), established in 1903 and managed by the U.S. Fish and Wildlife Service (Service), is the leading network of protected lands and waters in the world dedicated to the conservation of fish, wildlife and their habitats. There are 560 national wildlife refuges and 38 wetland management districts nationwide, encompassing more than 150 million acres. The Refuge System attracts nearly 45 million visitors annually, including 34.8 million people who observe and photograph wildlife, 9.6 million who hunt and fish, and nearly 675,000 teachers and students who use refuges as outdoor classrooms. Understanding visitor perceptions of refuges and characterizing their experiences on refuges are critical elements of managing these lands and meeting the goals of the Refuge System. The Service collaborated with the U.S. Geological Survey to conduct a national survey of visitors regarding their experiences on national wildlife refuges. The purpose of the survey was to better understand visitor experiences and trip characteristics, to gauge visitors’ levels of satisfaction with existing recreational opportunities, and to garner feedback to inform the design of programs and facilities. The survey results will inform performance, planning, budget, and communications goals. Results will also inform Comprehensive Conservation Plans (CCPs), visitor services, and transportation planning processes. This Data Series consists of 25 separate data files. Each file describes the results of the survey for an individual refuge and contains the following information: • Introduction: An overview of the Refuge System and the goals of the national surveying effort. • Methods: The procedures for the national surveying effort, including selecting refuges, developing the survey instrument, contacting visitors, and guidance for interpreting the results.• Refuge Description: A brief description of the refuge location, acreage, purpose, recreational

  4. 2012 National Survey of Science and Mathematics Education: Highlights Report

    ERIC Educational Resources Information Center

    Horizon Research, Inc., 2013

    2013-01-01

    The 2012 National Survey of Science and Mathematics Education was designed to provide up-to-date information and to identify trends in the areas of teacher background and experience, curriculum and instruction, and the availability and use of instructional resources. A total of 7,752 science and mathematics teachers in schools across the United…

  5. National College Learning Center Association 2014 Survey Report

    ERIC Educational Resources Information Center

    Toms, Marcia

    2016-01-01

    The material in this article is a compilation of the results of an National College Learning Center Association (NCLCA) study conducted by Dr. Marcia Toms under the auspices of NC State University which came from 211 unique institutions during the Spring of 2014. Invitations to complete the survey were sent to all past and present NCLCA members as…

  6. Life and Work Values of Counselor Trainees: A National Survey

    ERIC Educational Resources Information Center

    Busacca, Louis A.; Beebe, Ronald S.; Toman, Sarah M.

    2010-01-01

    This national web-based study used the Schwartz Value Survey (Schwartz, 1994) and Super's Work Values Inventory-Revised (Zytowski, n.d.) to identify general life and work value orientations of 674 female and male entry-level counselor trainees residing in 27 states. In general, trainees emphasized benevolence, self-direction, and achievement and…

  7. Mental Health Training and the Hospice Community: A National Survey.

    ERIC Educational Resources Information Center

    Garfield, Charles A.; And Others

    1982-01-01

    Summarizes a national survey of the hospice community. Results indicated that the hospice community is attempting to meet the mental health training needs of its paid staff members and volunteers. However, more than half expressed a need for further training and a more systematic and comprehensive curriculum. (Author)

  8. Providing smoking cessation counseling: a national survey among nurse anesthetists.

    PubMed

    Yankie, Vicki M; Price, Holly M; Nanfito, Emily R; Jasinski, Donna M; Crowell, Nancy A; Heath, Janie

    2006-03-01

    Current research has demonstrated that smokers have an increased incidence of intraoperative and postoperative complications. Certified registered nurse anesthetists (CRNAs) have knowledge of a patient's smoking status and are in a unique position to provide smoking cessation counseling (SCC). The results from a national survey about SCC practice among CRNAs is revealed in this article.

  9. National Household Survey on Drug Abuse: Population Estimates 1991.

    ERIC Educational Resources Information Center

    Research Triangle Inst., Research Triangle Park, NC.

    This report presents population estimates of drug use prevalence for the civilian non-institutionalized population of the United States. Information is provided on the methodology of the 1991 National Household Survey. Population estimates are presented separately for the total population and for Whites, Hispanics, and Blacks. These data are also…

  10. Multicultural Career Counseling: A National Survey of Competencies and Practices

    ERIC Educational Resources Information Center

    Vespia, Kristin M.; Fitzpatrick, Mary E.; Fouad, Nadya A.; Kantamneni, Neeta; Chen, Yung-Lung

    2010-01-01

    Career counselors' multicultural competence has not been widely investigated. In this study, a national sample of 230 career counselors completed an online survey that included measures of career counseling self-efficacy and multicultural counseling competence. Beyond these self-report instruments, counselors responded to open-ended items that…

  11. 10. Historic American Buildings Survey, From National Archives Record Group ...

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

    10. Historic American Buildings Survey, From National Archives Record Group 77, Fortifications file, Drawer 47, Sheet 9, See Catalog of Graphic Material #71, PHOTOCOPY OF 1839 PLAN OF FORT MIFFLIN, BUILDINGS, ETC. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  12. 70. Historic American Buildings Survey, National Archives Record Group 77, ...

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

    70. Historic American Buildings Survey, National Archives Record Group 77, Fortifications File, Drawer 47, Sheet 45-8, PHOTOCOPY OF GENERAL VIEW OF SOUTHEAST SALLY PORT AND THE EAST BASTION, JULY, 1915. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  13. 14. Historic American Buildings Survey, From National Archives Record Group ...

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

    14. Historic American Buildings Survey, From National Archives Record Group 77; Fortifications File, Drawer 251, Sheet 15-24, See Catalog of Graphic Material #130, PHOTOCOPY OF 1901 PLAN OF FORT MIFFLIN, 'STATE OF ARMAMENT'. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  14. 8. Historic American Buildings Survey, From National Archives Record Group ...

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

    8. Historic American Buildings Survey, From National Archives Record Group 77, Fortifications file, Drawer 47, Sheet 4, See Catalog of Graphic Material #64, PHOTOCOPY OF 1815 PLAN OF FORT MIFFLIN. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  15. 11. Historic American Buildings Survey, From National Archives Record Group ...

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

    11. Historic American Buildings Survey, From National Archives Record Group 77, Fortifications file, Drawer 47, Sheet 10, See Catalog of Graphic Material #71, PHOTOCOPY OF 1839 PLANS OF 'BUILDINGS OF FORT MIFFLIN'. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  16. 69. Historic American Buildings Survey, National Archives Record Group 77, ...

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

    69. Historic American Buildings Survey, National Archives Record Group 77, Fortifications File, Drawer 47, Sheet 45-11, Undated, PHOTOCOPY DETAIL VIEW OF THE PARADE ELEVATION OF THE SOUTHEAST SALLY PORT, JULY, 1915. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  17. Playgrounds for Young Children: National Survey and Perspectives.

    ERIC Educational Resources Information Center

    Wortham, Sue C., Ed.; Frost, Joe L., Ed.

    Data gathered by a national survey of preschool playground equipment provided comprehensive information on all aspects of the play environment for young children. This collection presents the perspectives of writers on the function of playgrounds and the nature of children's play. In adition to the introduction by Sue C. Wortham and Joe L. Frost,…

  18. Asking the Clients: Results of a National Bookmobile Survey.

    ERIC Educational Resources Information Center

    Vavrek, Bernard

    1992-01-01

    A 1991 national survey by the Center for the Study of Rural Librarianship at Clarion University of Pennsylvania measured user reaction to bookmobile services. Respondents reported that bookmobiles have an overwhelmingly positive impact on their lives, and the vast majority (71 percent) put the value of services received in excess of $20.00 per…

  19. National Household Survey on Drug Abuse: Population Estimates 1991.

    ERIC Educational Resources Information Center

    Research Triangle Inst., Research Triangle Park, NC.

    This report presents population estimates of drug use prevalence for the civilian non-institutionalized population of the United States. Information is provided on the methodology of the 1991 National Household Survey. Population estimates are presented separately for the total population and for Whites, Hispanics, and Blacks. These data are also…

  20. Life and Work Values of Counselor Trainees: A National Survey

    ERIC Educational Resources Information Center

    Busacca, Louis A.; Beebe, Ronald S.; Toman, Sarah M.

    2010-01-01

    This national web-based study used the Schwartz Value Survey (Schwartz, 1994) and Super's Work Values Inventory-Revised (Zytowski, n.d.) to identify general life and work value orientations of 674 female and male entry-level counselor trainees residing in 27 states. In general, trainees emphasized benevolence, self-direction, and achievement and…

  1. What Is Effective Supervision? A National Survey of Supervision Experts.

    ERIC Educational Resources Information Center

    Worthen, Vaughn E.; McNeill, Brian W.

    Previous research regarding the supervision of psychotherapists has been primarily based on the perceptions of supervisors and supervisees at various levels of experience. This national survey examines the attitudes and beliefs of experts in the field of supervision concerning what constitutes effective supervision. A number of themes and…

  2. Assessment of the Undergraduate Economics Major: A National Survey

    ERIC Educational Resources Information Center

    Myers, Steven C.; Nelson, Michael A.; Stratton, Richard W.

    2011-01-01

    Economics departments are faced with growing demands to document what their graduates have learned on completion of the undergraduate major. The results of a national survey of economics department chairs in the United States reveal that nearly two-thirds of the departments have a formal assessment plan. There is substantial agreement on the most…

  3. 13. Historic American Buildings Survey, Charles S. Stewart, 1868, National ...

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

    13. Historic American Buildings Survey, Charles S. Stewart, 1868, National Archives, Cartographic Archives Division, RG 77, Drawer 47, Sheet 28, See Catalog of Graphic Material #92, PHOTOCOPY OF 'NO. 1 PLAN OF FORT MIFFLIN', LEFT HALF. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  4. 7. Historic American Buildings Survey, From National Archives Record Group ...

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

    7. Historic American Buildings Survey, From National Archives Record Group 77, Buell Collection, Document 58510/111, See Catalog of Graphic Material #61 PHOTOCOPY OF 'SKETCH OF THE WALLS AND DITCHES OF FORT MIFFLIN', 1807. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  5. 12. Historic American Buildings Survey, Charles S. Stewart, 1868, National ...

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

    12. Historic American Buildings Survey, Charles S. Stewart, 1868, National Archives, Cartographic Archives Division, RG 77, Drawer 47, Sheet 28, See Catalog of Graphic Material #92, PHOTOCOPY OF 'NO. 1 PLAN OF FORT MIFFLIN', RIGHT HALF. - Fort Mifflin, Mud Island, Marine & Penrose Ferry Roads, Philadelphia, Philadelphia County, PA

  6. The Teaching of Undergraduate Health Psychology: A National Survey

    ERIC Educational Resources Information Center

    Panjwani, Aliza A.; Gurung, Regan A. R.; Revenson, Tracey A.

    2017-01-01

    We conducted an online national survey to examine how undergraduate health psychology is taught, offer information about course design and content, and provide a needs analysis. Health psychology instructors (N = 126) answered questions about course format, teaching tools, importance of covering specific topics, and needed resources. A principal…

  7. A National Survey of Revising Practices in the Primary Classroom

    ERIC Educational Resources Information Center

    Saddler, Bruce; Saddler, Kristie; Befoorhooz, Bita; Cuccio-Slichko, Julie

    2014-01-01

    A random national sampling of primary grade teachers in the United States were surveyed to determine how they teach revising to writers in the elementary grades. Our findings suggest that in our sample of teachers, little time is dedicated in the school day to writing and especially revising. The teachers believed that more time spent revising did…

  8. The Development and Application of Expert Systems: A National Survey.

    ERIC Educational Resources Information Center

    Bossinger, June; Milheim, William D.

    1993-01-01

    Discussion of expert systems focuses on a national survey that gathered information concerning the attention and investment given to expert systems by managers and computer professionals in a variety of fields. Highlights include uses of expert systems, types of computers and software used, and expert systems shells and development costs. (18…

  9. A National Survey of Revising Practices in the Primary Classroom

    ERIC Educational Resources Information Center

    Saddler, Bruce; Saddler, Kristie; Befoorhooz, Bita; Cuccio-Slichko, Julie

    2014-01-01

    A random national sampling of primary grade teachers in the United States were surveyed to determine how they teach revising to writers in the elementary grades. Our findings suggest that in our sample of teachers, little time is dedicated in the school day to writing and especially revising. The teachers believed that more time spent revising did…

  10. National College Learning Center Association 2014 Survey Report

    ERIC Educational Resources Information Center

    Toms, Marcia

    2016-01-01

    The material in this article is a compilation of the results of an National College Learning Center Association (NCLCA) study conducted by Dr. Marcia Toms under the auspices of NC State University which came from 211 unique institutions during the Spring of 2014. Invitations to complete the survey were sent to all past and present NCLCA members as…

  11. Sandia National Laboratories, California proposed CREATE facility environmental baseline survey.

    SciTech Connect

    Catechis, Christopher Spyros

    2013-10-01

    Sandia National Laboratories, Environmental Programs completed an environmental baseline survey (EBS) of 12.6 acres located at Sandia National Laboratories/California (SNL/CA) in support of the proposed Collaboration in Research and Engineering for Advanced Technology and Education (CREATE) Facility. The survey area is comprised of several parcels of land within SNL/CA, County of Alameda, California. The survey area is located within T 3S, R 2E, Section 13. The purpose of this EBS is to document the nature, magnitude, and extent of any environmental contamination of the property; identify potential environmental contamination liabilities associated with the property; develop sufficient information to assess the health and safety risks; and ensure adequate protection for human health and the environment related to a specific property.

  12. Trends in the knowledge, attitudes and practices of travel risk groups towards prevention of malaria: results from the Dutch Schiphol Airport Survey 2002 to 2009

    PubMed Central

    2012-01-01

    Background Previous studies investigating the travellers’ knowledge, attitudes and practices (KAP) profile indicated an important educational need among those travelling to risk destinations. Initiatives to improve such education should target all groups of travellers, including business travellers, those visiting friends and relatives (VFRs), and elderly travellers. Methods In the years 2002 to 2009, a questionnaire-based survey was conducted at the Dutch Schiphol Airport with the aim to study trends in KAP of travel risk groups towards prevention of malaria. The risk groups last-minute travellers, solo-travellers, business travellers, VFRs and elderly travellers were specifically studied. Results A total of 3,045 respondents were included in the survey. Travellers to destinations with a high risk for malaria had significantly more accurate risk perceptions (knowledge) than travellers to low-risk destinations. The relative risk for malaria in travellers to high-risk destinations was probably mitigated by higher protection rates against malaria as compared with travellers to low risk destinations. There were no significant differences in intended risk-taking behaviour. Trend analyses showed a significant change over time in attitude towards more risk-avoiding behaviour and towards higher protection rates against malaria in travellers to high-risk destinations. The KAP profile of last-minute travellers substantially increased their relative risk for malaria, which contrasts to the slight increase in relative risk of solo travellers, business travellers and VFRs for malaria. Conclusions The results of this sequential cohort survey in Dutch travellers suggest an annual 1.8% increase in protection rates against malaria coinciding with an annual 2.5% decrease in intended risk-seeking behaviour. This improvement may reflect the continuous efforts of travel health advice providers to create awareness and to propagate safe and healthy travel. The KAP profile of last

  13. [Key content and formulation of national Chinese materia medica resources survey at county level].

    PubMed

    Lu, Jian-Wei; Zhang, Xiao-Bo; Li, Hai-Tao; Guo, Lan-Ping; Zhao, Run-Huai; Zhang, Ben-Gang; Sun, Li-Ying; Huang, Lu-Qi

    2013-08-01

    According to National Census for Water, National Population Census, National Land and Resources Survey, and work experience of experimental measures for national Chinese materia medica resources(CMMR) survey,the national CMMR survey at the county level is the key point of whole survey, that includes organization and management, field survey, sorting data three key links. Organization and management works of national CMMR survey needs to finish four key contents, there are definite goals and tasks, practicable crew, preparation directory, and security assurance. Field survey works of the national CMMR survey needs to finish five key contents, there are preparation works for field survey, the choice of the key survey area (samples), fill in the questionnaire, video data collection, specimen and other physical collection. Sorting data works of the national CMMR survey needs to finish tree key contents, there are data, specimen and census results.

  14. Demand-driven care and hospital choice. Dutch health policy toward demand-driven care: results from a survey into hospital choice.

    PubMed

    Lako, Christiaan J; Rosenau, Pauline

    2009-03-01

    In the Netherlands, current policy opinion emphasizes demand-driven health care. Central to this model is the view, advocated by some Dutch health policy makers, that patients should be encouraged to be aware of and make use of health quality and health outcomes information in making personal health care provider choices. The success of the new health care system in the Netherlands is premised on this being the case. After a literature review and description of the new Dutch health care system, the adequacy of this demand-driven health policy is tested. The data from a July 2005, self-administered questionnaire survey of 409 patients (response rate of 94%) as to how they choose a hospital are presented. Results indicate that most patients did not choose by actively employing available quality and outcome information. They were, rather, referred by their general practitioner. Hospital choice is highly related to the importance a patient attaches to his or her physician's opinion about a hospital. Some patients indicated that their hospital choice was affected by the reputation of the hospital, by the distance they lived from the hospital, etc. but physician's advice was, by far, the most important factor. Policy consequences are important; the assumptions underlying the demand-driven model of patient health provider choice are inadequate to explain the pattern of observed responses. An alternative, more adequate model is required, one that takes into account the patient's confidence in physician referral and advice.

  15. National Natality Survey/National Maternal and Infant Health Survey (NMIHS)

    Cancer.gov

    The survey provides data on socioeconomic and demographic characteristics of mothers, prenatal care, pregnancy history, occupational background, health status of mother and infant, and types and sources of medical care received.

  16. Alcohol Use Disorders in National Samples of Mexicans and Mexican-Americans: The Mexican National Addiction Survey and the U.S. National Alcohol Survey

    ERIC Educational Resources Information Center

    Borges, Guilherme; Medina-Mora, Maria Elena; Lown, Anne; Ye, Yu; Robertson, Marjorie J.; Cherpitel, Cheryl; Greenfield, Tom

    2006-01-01

    The authors show associations between immigration and alcohol disorders using data from the 1995 and 2000 U.S. National Alcohol Surveys and the 1998 Mexico National Household Survey on Addictions. The prevalence of alcohol dependence was 4.8% for the Mexicans, 4.2% for the Mexico-born immigrants, and 6.6% for the U.S.-born Mexican Americans. They…

  17. Alcohol Use Disorders in National Samples of Mexicans and Mexican-Americans: The Mexican National Addiction Survey and the U.S. National Alcohol Survey

    ERIC Educational Resources Information Center

    Borges, Guilherme; Medina-Mora, Maria Elena; Lown, Anne; Ye, Yu; Robertson, Marjorie J.; Cherpitel, Cheryl; Greenfield, Tom

    2006-01-01

    The authors show associations between immigration and alcohol disorders using data from the 1995 and 2000 U.S. National Alcohol Surveys and the 1998 Mexico National Household Survey on Addictions. The prevalence of alcohol dependence was 4.8% for the Mexicans, 4.2% for the Mexico-born immigrants, and 6.6% for the U.S.-born Mexican Americans. They…

  18. Creating the spatial framework for National Aquatic Resource Surveys (NARS): Melding National Aquatic Data Sets with Survey Requirements

    EPA Science Inventory

    The U.S. EPA’s National Aquatic Resource Surveys (NARS) require a consistent spatial representation of the resource target populations being monitored (i.e., rivers and streams, lakes, coastal waters, and wetlands). A sample frame is the GIS representation of this target popula...

  19. Creating the spatial framework for National Aquatic Resource Surveys (NARS): Melding National Aquatic Data Sets with Survey Requirements

    EPA Science Inventory

    The U.S. EPA’s National Aquatic Resource Surveys (NARS) require a consistent spatial representation of the resource target populations being monitored (i.e., rivers and streams, lakes, coastal waters, and wetlands). A sample frame is the GIS representation of this target popula...

  20. Effects of divorce on Dutch boys' and girls' externalizing behavior in Gene × Environment perspective: diathesis stress or differential susceptibility in the Dutch Tracking Adolescents' Individual Lives Survey study?

    PubMed

    Nederhof, Esther; Belsky, Jay; Ormel, Johan; Oldehinkel, Albertine J

    2012-08-01

    The effects of divorce on children's behavioral development have proven to be quite varied across studies, and most developmental and family scholars today appreciate the great heterogeneity in divorce effects. Thus, this inquiry sought to determine whether select dopaminergic genes previously associated with externalizing behavior and/or found to moderate diverse environmental effects (dopamine receptors D2 and D4, catechol-O-methyltransferase) might moderate divorce effects on adolescent self-reported externalizing problems; and, if so, whether evidence of gene-environment (G × E) interaction would prove consistent with diathesis-stress or differential-susceptibility models of environmental action. Data from the first and third wave of the Dutch Tracking Adolescents' Individual Lives Survey (n = 1,134) revealed some evidence of G × E interaction reflecting diathesis-stress but not differential susceptibility. It is intriguing that some evidence pointed to "vantage sensitivity," which are benefits accruing to those with a specific genotype when their parents remained together, the exact opposite of diathesis-stress. The limits of this work are considered, especially with regard to the conditions for testing differential susceptibility, and future directions are outlined.

  1. The process of end-of-life decision-making in pediatrics: a national survey in the Netherlands.

    PubMed

    de Vos, Mirjam A; van der Heide, Agnes; Maurice-Stam, Heleen; Brouwer, Oebele F; Plötz, Frans B; Schouten-van Meeteren, Antoinette Y N; Willems, Dick L; Heymans, Hugo S A; Bos, Albert P

    2011-04-01

    The goal of this study was to investigate how Dutch pediatric specialists reach end-of-life decisions, how they involve parents, and how they address conflicts. We conducted a national cross-sectional survey among pediatric intensivists, oncologists, neurologists, neurosurgeons, and metabolic pediatricians practicing in the 8 Dutch university hospitals. We collected information on respondents' overall opinions and their clinical practice. Of the 185 eligible pediatric specialists, 74% returned the questionnaire. All responding physicians generally discuss an end-of-life decision with colleagues before discussing it with parents. In half of the reported cases, respondents informed parents about the intended decision and asked their permission. In one-quarter of the cases, respondents informed parents without asking for their permission. In the remaining one-quarter of the cases, respondents advised parents and consequently allowed them to have the decisive voice. The chosen approach is highly influenced by type of decision and type and duration of treatment. Conflicts within medical teams arose as a result of uncertainties about prognosis and treatment options. Most conflicts with parents arose because parents had a more positive view of the prognosis or had religious objections to treatment discontinuation. All conflicts were eventually resolved by a combination of strategies. In 66% of all cases, pain and symptom management were intensified before the child's death. Within Dutch pediatrics, end-of-life decisions are team decisions. Pediatric specialists differ considerably in how they involve parents in end-of-life decision-making, ranging from benevolent paternalism to parental autonomy. Main conflict-solving strategies are taking more time and extending discussions.

  2. [Colombia 2015 National Mental Health Survey. Study Protocol].

    PubMed

    Gómez-Restrepo, Carlos; de Santacruz, Cecilia; Rodriguez, María Nelcy; Rodriguez, Viviana; Tamayo Martínez, Nathalie; Matallana, Diana; Gonzalez, Lina M

    2016-12-01

    The 2015 National Mental Health Survey (NMHS) is the fourth mental survey conducted in Colombia, and is part of the National System of Surveys and Population Studies for health. A narrative description is used to explain the background, references, the preparation, and characteristics of the 2015 NMHS. The 2015 NMHS and its protocol emerge from the requirements that support the national and international policies related to mental health. Together with the Ministry of Health and Social Protection, the objectives, the collection tools, the sample, and the operational plan are defined. The main objective was to obtain updated information about the mental health, mental problems and disorders, accessibility to health services, and an evaluation of health conditions. Participants were inhabitants from both urban and rural areas, over 7 years old, and in whom the comprehension of social determinants and equity were privileged. An observational cross-sectional design with national, regional and age group representativity, was used. The age groups selected were 7-11, 12-17, and over 18 years old. The regions considered were Central, Orient, Atlantic, Pacific, and Bogota. The calculated sample had a minimum of 12,080 and a maximum of 14,496 participants. A brief summary of the protocol of the 2015 NMHS is presented. The full document with all the collection tools can be consulted on the Health Ministry webpage. Copyright © 2016. Publicado por Elsevier España.

  3. The National Map Customer Requirements: Findings from Interviews and Surveys

    USGS Publications Warehouse

    Sugarbaker, Larry; Coray, Kevin E.; Poore, Barbara

    2009-01-01

    The purpose of this study was to receive customer feedback and to understand data and information requirements for The National Map. This report provides results and findings from interviews and surveys and will guide policy and operations decisions about data and information requirements leading to the development of a 5-year strategic plan for the National Geospatial Program. These findings are based on feedback from approximately 2,200 customers between February and August 2008. The U.S. Geological Survey (USGS) conducted more than 160 interviews with 200 individuals. The American Society for Photogrammetry and Remote Sensing (ASPRS) and the International Map Trade Association (IMTA) surveyed their memberships and received feedback from over 400 members. The Environmental Systems Research Institute (ESRI) received feedback from over 1,600 of its U.S.-based software users through an online survey sent to customers attending the ESRI International User Conference in the summer of 2008. The results of these surveys were shared with the USGS and have been included in this report.

  4. National survey of women in physics in Austria

    NASA Astrophysics Data System (ADS)

    Berkmann, C.; Rodriguez, A.; Brodacz, I.; Dilaver, N.; Suárez, A.; Ayala, P.

    2015-12-01

    This paper reports very generally on changes in the situation of women in physics in Austria since 2008 and more specifically on a national web-based survey that was distributed among physicists in Austria. It was aimed at understanding why few women are motivated to study physics and to follow an academic path. Family responsibilities— among others—seem to have a deep impact on women's careers. In Austria, initiatives to support women in scientific careers are quite well known throughout the physics community, and a high percentage of women responding to the survey said they had participated in at least one of them.

  5. National health surveys and health policy: impact of the Jamaica Health and Lifestyle Surveys and the Reproductive Health Surveys.

    PubMed

    Ferguson, T S; Tulloch-Reid, M K; Gordon-Strachan, G; Hamilton, P; Wilks, R J

    2012-07-01

    Over the last six decades, comprehensive national health surveys have become important data-gathering mechanisms to inform countries on their health status and provide information for health policy and programme planning. Developing countries have only recently begun such surveys and Jamaica has been at the forefront of this effort. Jamaica's Reproductive Health Surveys and programme response to their findings have resulted in an almost 50% reduction infertility rates over three decades as well as a 40% reduction in unmet contraceptive needs and a 40% reduction in unplanned pregnancies over the last two decades. The Jamaica Health and Lifestyle Surveys have served to reinforce the major burden that non-communicable diseases place on the society and the extent to which these are driven by unhealthy lifestyles. These surveys have shown that obesity, hypertension, diabetes and dyslipidaemia affect approximately 50%, 25%, 10% and 10% of the adult population, respectively. These surveys have documented low rates of treatment and control for these chronic non-communicable diseases despite two major policy initiatives, the National Programme for the Promotion of Healthy Lifestyles and the creation of the National Health Fund which subsidizes healthcare provision for chronic diseases. In order to maximize the uptake of the findings of future surveys into effective health policy, there will need to be effective collaborations between academia, policy-makers, regional and international health agencies, non-government organizations and civil society. Such collaborations should take into account the social, political and economic issues, thus ensuring a more comprehensive approach to health policy and result in improvement of the nation's health status and by extension national development.

  6. Estimated Prevalence of People with Cognitive Impairment: Results from Nationally Representative Community and Institutional Surveys

    ERIC Educational Resources Information Center

    Bernstein, Amy B.; Remsburg, Robin E.

    2007-01-01

    Purpose: We address how the national prevalence of cognitive impairment can be estimated from two nationally representative surveys. Design and Methods: Data are from the 1999-2001 National Health Interview Survey (NHIS) and the 1999 National Nursing Home Survey (NNHS). The NHIS represents all community-dwelling people living in the United States,…

  7. Estimated Prevalence of People with Cognitive Impairment: Results from Nationally Representative Community and Institutional Surveys

    ERIC Educational Resources Information Center

    Bernstein, Amy B.; Remsburg, Robin E.

    2007-01-01

    Purpose: We address how the national prevalence of cognitive impairment can be estimated from two nationally representative surveys. Design and Methods: Data are from the 1999-2001 National Health Interview Survey (NHIS) and the 1999 National Nursing Home Survey (NNHS). The NHIS represents all community-dwelling people living in the United States,…

  8. Social surveys and health policy implications for national health insurance.

    PubMed Central

    Aday, L A; Andersen, R; Anderson, O W

    1977-01-01

    The authors explore the utility of applying social survey data (a) to evaluate the impact of existing health programs and (b) to rank-order priorities concerning future health care policies. Based on national survey data from 1963, 1970, and 1976, they concluded that although Medicare and Medicaid have enabled more people to see a physician than ever before, a large proportion of the population still registers dissatisfaction with the health care they received--particularly with respect to their out-of-pocket costs for obtaining it. However, national health insurance options favored by the majority of the population--particularly those who can best afford the cost of care--suggest preferences for programs that incorporate some mix of existing modes of financing rather than those that provide for substantial restructuring of the current system. PMID:337340

  9. [Methodological design of the National Health and Nutrition Survey 2016].

    PubMed

    Romero-Martínez, Martín; Shamah-Levy, Teresa; Cuevas-Nasu, Lucía; Gómez-Humarán, Ignacio Méndez; Gaona-Pineda, Elsa Berenice; Gómez-Acosta, Luz María; Rivera-Dommarco, Juan Ángel; Hernández-Ávila, Mauricio

    2017-01-01

    Describe the design methodology of the halfway health and nutrition national survey (Ensanut-MC) 2016. The Ensanut-MC is a national probabilistic survey whose objective population are the inhabitants of private households in Mexico. The sample size was determined to make inferences on the urban and rural areas in four regions. Describes main design elements: target population, topics of study, sampling procedure, measurement procedure and logistics organization. A final sample of 9 479 completed household interviews, and a sample of 16 591 individual interviews. The response rate for households was 77.9%, and the response rate for individuals was 91.9%. The Ensanut-MC probabilistic design allows valid statistical inferences about interest parameters for Mexico´s public health and nutrition, specifically on overweight, obesity and diabetes mellitus. Updated information also supports the monitoring, updating and formulation of new policies and priority programs.

  10. Familiarity, opinions, experiences and knowledge about scalp cooling: a Dutch survey among breast cancer patients and oncological professionals

    PubMed Central

    Peerbooms, Mijke; van den Hurk, Corina JG; Breed, Wim PM

    2015-01-01

    Objective: Scalp cooling (SC) is applied to reduce chemotherapy-induced alopecia (CIA). The aim of this study was to investigate patients’ familiarity and opinions and oncological professionals’ attitude and knowledge about SC in the Netherlands. Methods: Ex breast cancer patients, nurses and medical oncologists (MDs) from SC and non-SC hospitals filled out questionnaires. Results: The majority of MDs and nurses were satisfied with the results of SC, as were SC patients. Over 33% of MDs and nurses perceived their knowledge level insufficient to inform patients about effectiveness, which was over 43% for information about safety. MDs main reason to not apply SC was doubt about effectiveness and safety. Nurses generally offered SC to a minority of eligible patients. Patients were frequently unfamiliar with SC before diagnosis. Seventy percent of SC patients with insufficient results (20/52) reported to mind it very much. With expected success rates of 35% and 50%, respectively, 36% and 54% of patients would use SC again. Conclusion: Room for improvement has been shown for both patients’ familiarity and oncological professionals’ knowledge about SC. Sharing knowledge about results, safety and patients’ experiences will improve patient counseling and SC availability. The results of this survey led to the development of a national standard on CIA and SC. PMID:27981090

  11. 75 FR 18240 - Comment Request: National Science Foundation-Applicant Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-09

    ... From the Federal Register Online via the Government Publishing Office NATIONAL SCIENCE FOUNDATION Comment Request: National Science Foundation--Applicant Survey AGENCY: National Science Foundation. ACTION: Notice. SUMMARY: The National Science Foundation (NSF) is announcing plans to request renewed clearance...

  12. Food security in South Africa: a review of national surveys

    PubMed Central

    Labadarios, Demetre; Steyn, Nelia Patricia; Gericke, Gerda; Maunder, Eleni Maria Winifred; Davids, Yul Derek; Parker, Whadi-ah

    2011-01-01

    Abstract Objective To assess the status of food security – i.e. access to food, food availability and food utilization – in South Africa. Methods A systematic search of national surveys that used the Community Childhood Hunger Identification Project (CCHIP) index to measure food security in South Africa over a period of 10 years (1999–2008) was conducted. Anthropometric data for children aged 1–9 years were used to assess food utilization, and household food inventory data were used to assess food availability. Findings Only three national surveys had used the CCHIP index, namely, the 1999 and 2005 National Food Consumption Surveys (NFCS) and the 2008 South African Social Attitudes Survey. These surveys showed a relatively large decrease in food insecurity between 1999 and 2008. However, the consistent emerging trend indicated that in poorer households women were either feeding their children a poor diet or skipping meals so their children could eat. In terms of food access and availability, the 1999 NFCS showed that households that enjoyed food security consumed an average of 16 different food items over 24 hours, whereas poorer households spent less money on food and consumed fewer than 8 different food items. Moreover, children had low mean scores for dietary diversity (3.58; standard deviation, SD: ± 1.37) and dietary variety (5.52; SD: ± 2.54) scores. In terms of food utilization, the NFCS showed that stunting in children decreased from 21.6% in 1999 to 18% in 2005. Conclusion The South African government must implement measures to improve the undesirably high level of food insecurity in poorer households. PMID:22271946

  13. Wastewater Characterization Survey, Hayward Air National Guard Station (ANGS), California

    DTIC Science & Technology

    1994-02-01

    odor; (e) air pollution by the release of toxic or malodorous gases or malodorous gas- producing substances; (f) interference with the wastewater...that it has a program in place to reduce the volume and toxi - city of hazardous wastes generated to the degree it has determined to be eco- nomically...IIII I ALJOE-TR-11993416 AD-A279 641 A WASTEWATER CHARACTERIZATION SURVEY, R HAYWARD AIR NATIONAL GUARD STATION M (ANGS), CALIFORNIA S T R Robert P

  14. A National Survey of Emergency Department Triage in Sweden

    PubMed Central

    Göransson, Katarina; Ehrenberg, Anna; Ehnfors, Margareta

    2003-01-01

    The aim of this study was to identify the organisation of and knowledge about triage work in Swedish emergency departments (ED) as a first step to understanding what is necessary for decision support in ED triage systems in Sweden. A national survey using telephone interviews for data collection was used. Results showed great variety in how work regarding ED triage is organised and performed. The variety occurs in several areas including education, personnel performing triage, facilities available and scales used. PMID:14728356

  15. Spoken Dutch.

    ERIC Educational Resources Information Center

    Bloomfield, Leonard

    This course in spoken Dutch is intended for use in introductory conversational classes. The book is divided into five major parts, each containing five learning units and one unit devoted to review. Each unit contains sections including (1) basic sentences, (2) word study and review of basic sentences, (3) listening comprehension, and (4)…

  16. [National Health and Nutrition Survey 2012: design and coverage].

    PubMed

    Romero-Martínez, Martín; Shamah-Levy, Teresa; Franco-Núñez, Aurora; Villalpando, Salvador; Cuevas-Nasu, Lucía; Gutiérrez, Juan Pablo; Rivera-Dommarco, Juan Ángel

    2013-01-01

    To describe the design and population coverage of the National Health and Nutrition Survey 2012 (NHNS 2012). The design of the NHNS 2012 is reported, as a probabilistic population based survey with a multi-stage and stratified sampling, as well as the sample inferential properties, the logistical procedures, and the obtained coverage. Household response rate for the NHNS 2012 was 87%, completing data from 50,528 households, where 96 031 individual interviews selected by age and 14,104 of ambulatory health services users were also obtained. The probabilistic design of the NHNS 2012 as well as its coverage allowed to generate inferences about health and nutrition conditions, health programs coverage, and access to health services. Because of their complex designs, all estimations from the NHNS 2012 must use the survey design: weights, primary sampling units, and stratus variables.

  17. National Association of Neonatal Nurse Practitioners (NANNP) Workforce Survey.

    PubMed

    Kaminski, Mary M; Meier, Susan; Staebler, Suzanne

    2015-06-01

    As an integral member of a healthcare team, neonatal nurse practitioners (NNPs) provide care in a variety of settings that include but are not limited to all levels of inpatient care, transport, acute and chronic care settings; delivery rooms; and outpatient care settings. Anecdotal evidence indicates that responsibilities, practice environment, and workload vary widely between regions and practice settings. Historically, the supply of neonatal nurse practitioners has rarely met the demand for services, although needs vary by region at any given time. Because the NNP role is a collaborative one, a shortage of NNPs leaves a gap in the team approach to care. In 2011, the National Association of Neonatal Nurse Practitioners (NANNP) commissioned the first national study of the current NNP workforce in the United States and Canada. In an effort to further explore the NNP workforce population, the NANNP Council partnered with the National Certification Corporation to perform a second workforce survey of NNPs in the spring of 2014. The online survey was conducted between March and April 2014. The goal of the study was to describe the demographics, practice environment, scope of responsibilities, benefits and reimbursement, and job satisfaction for the current NNP workforce. Key areas of concern identified by the 2014 Neonatal Nurse Practitioner Workforce Survey include an aging workforce; the need for NNP faculty; inadequate staffing ratios; the lack of downtime during prolonged shifts; and the need to assisting practices in developing competency and mentoring programs.

  18. Applying national survey results for strategic planning and program improvement: the National Diabetes Education Program.

    PubMed

    Griffey, Susan; Piccinino, Linda; Gallivan, Joanne; Lotenberg, Lynne Doner; Tuncer, Diane

    2015-02-01

    Since the 1970s, the federal government has spearheaded major national education programs to reduce the burden of chronic diseases in the United States. These prevention and disease management programs communicate critical information to the public, those affected by the disease, and health care providers. The National Diabetes Education Program (NDEP), the leading federal program on diabetes sponsored by the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC), uses primary and secondary quantitative data and qualitative audience research to guide program planning and evaluation. Since 2006, the NDEP has filled the gaps in existing quantitative data sources by conducting its own population-based survey, the NDEP National Diabetes Survey (NNDS). The NNDS is conducted every 2–3 years and tracks changes in knowledge, attitudes and practice indicators in key target audiences. This article describes how the NDEP has used the NNDS as a key component of its evaluation framework and how it applies the survey results for strategic planning and program improvement. The NDEP's use of the NNDS illustrates how a program evaluation framework that includes periodic population-based surveys can serve as an evaluation model for similar national health education programs.

  19. Public health financial management needs: report of a national survey.

    PubMed

    Costich, Julia F; Honoré, Peggy A; Scutchfield, F Douglas

    2009-01-01

    The work reported here builds on the identification of public health financial management practice competencies by a national expert panel. The next logical step was to provide a validity check for the competencies and identify priority areas for educational programming. We developed a survey for local public health finance officers based on the public health finance competencies and field tested it with a convenience sample of officials. We asked respondents to indicate the importance of each competency area and the need for training to improve performance; we also requested information regarding respondent education, jurisdiction size, and additional comments. Our local agency survey sample drew on the respondent list from the National Association of County and City Health Officials 2005 local health department survey, stratified by agency size and limited to jurisdiction populations of 25,000 to 1,000,000. Identifying appropriate respondents was a major challenge. The survey was fielded electronically, yielding 112 responses from 30 states. The areas identified as most important and needing most additional training were knowledge of budget activities, financial data interpretation and communication, and ability to assess and correct the organization's financial status. The majority of respondents had some postbaccalaureate education. Many provided additional comments and recommendations. Health department finance officers demonstrated a high level of general agreement regarding the importance of finance competencies in public health and the need for training. The findings point to a critical need for additional training opportunities that are accessible, cost-effective, and targeted to individual needs.

  20. The use of outpatient mental health care services of migrants vis-a-vis Dutch natives: equal access?

    PubMed

    Koopmans, G T; Uiters, E; Devillé, W; Foets, M

    2013-06-01

    Although the use of outpatient mental health care services by migrants in the Netherlands has increased in recent years, whether it aligns with the need for care is unclear. To investigate ethnic-related differences in utilization in outpatient mental health care, taking need into account, and to examine whether socio-economic or cultural barriers explain such differences. Data for the native population was taken from the second Dutch National Survey of General Practice (N = 7,772). An additional random sample was drawn (N = 1,305) from four migrant groups (Surinamese, Dutch Antilleans, Moroccans and Turks) living in the Netherlands. Participants were surveyed on mental health care utilization, indicators of need, educational level, proficiency in Dutch and acculturation. Use of outpatient mental health care was about 5% for the indigenous population. Among migrants, percentages of use ranged from 6.5% (Moroccans) to 9.0% (Turks). Corrected for need, however, all non-Dutch groups had a lower chance of service utilization than the native group. Acculturation predicted utilization but did not explain all ethnic-related differences; proficiency in Dutch and health beliefs were not explanatory factors. In non-Dutch-speaking migrant groups, utilization is about half the level of the native Dutch, suggesting that a substantial gap exists. Our study found that acculturation only partially explains the differences.

  1. Implementation of the external cephalic version in breech delivery. Dutch national implementation study of external cephalic version

    PubMed Central

    2010-01-01

    Background Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV) is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV) and the Dutch Society for Obstetrics and Gynaecology (NVOG). Implementation of ECV does not exceed 50 to 60% and probably less. We aim to improve the implementation of ECV to decrease maternal and neonatal morbidity and mortality due to breech presentations. This will be done by defining barriers and facilitators of implementation of ECV in the Netherlands. An innovative implementation strategy will be developed based on improved patient counselling and thorough instructions of health care providers for counselling. Method/design The ultimate purpose of this implementation study is to improve counselling of pregnant women and information of clinicians to realize a better implementation of ECV. The first phase of the project is to detect the barriers and facilitators of ECV. The next step is to develop an implementation strategy to inform and counsel pregnant women with a breech presentation, and to inform and educate care providers. In the third phase, the effectiveness of the developed implementation strategy will be evaluated in a randomised trial. The study population is a random selection of midwives and gynaecologists from 60 to 100 hospitals and practices. Primary endpoints are number of counselled women. Secondary endpoints are process indicators, the amount of fetes in cephalic presentation at birth, complications due to ECV, the number of caesarean sections and perinatal condition of mother and child. Cost effectiveness of the implementation strategy will be measured. Discussion This study will provide evidence for the cost effectiveness of a structural implementation of external cephalic versions to reduce the number of breech presentations at term. Trial Registration Dutch Trial Register

  2. Specialized Prisons and Services: Results From a National Survey.

    PubMed

    Cropsey, Karen L; Wexler, Harry K; Melnick, Gerald; Taxman, Faye S; Young, Douglas W

    2007-01-01

    Findings from the National Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) National Criminal Justice Treatment Practices survey are examined to describe types of services provided by three types of prisons: those that serve a cross-section of offenders, those that specialize in serving offenders with special psychosocial and medical needs, and those that specialize in serving legal status or gender specific populations. Information is presented on the prevalence and type of specialized prisons and services provided to offenders as reported by wardens and other facility directors drawn from a nationally representative sample of prisons. Additional analyses explore organizational factors that differentiate prisons that serve specialized populations including staffing, training, other resources, leadership, and climate for change and innovation. Implications for expanding and improving services for special populations in correctional settings and the values of specialized prisons are discussed.

  3. Attitudes toward Lesbians and Gays among American and Dutch Adolescents

    PubMed Central

    Collier, Kate L.; Horn, Stacey S.; Bos, Henny M. W.; Sandfort, Theo G. M.

    2014-01-01

    Attitudes toward lesbians and gays vary across national populations, and previous research has found relatively more accepting attitudes in the Netherlands as compared to the U.S. In this study, we compared beliefs about and attitudes toward lesbians and gays in samples of Dutch and American heterosexual adolescents, utilizing survey data from 1,080 American adolescents (mean age = 15.86 years) attending two schools and from 1,391 Dutch adolescents (mean age = 16.27 years) attending eight schools. Findings indicated the Dutch participants were more tolerant of lesbians and gays, after adjusting for the gender, age, and racial/ethnic minority status of the participants. However, between-country differences were attenuated by accounting for the beliefs about lesbians and gays that participants used to justify their attitudes. American participants were more likely to justify their attitudes using beliefs related to social norms and religious opposition, while the Dutch participants were more likely to justify their attitudes using beliefs related to individual rights and the biological/genetic basis of homosexuality. The results suggest that the relative importance of particular beliefs about lesbians and gays to attitudes at the group level may be context-dependent but also that certain beliefs are salient to attitudes across national contexts. PMID:24512056

  4. National survey of pharmacy residency on-call programs.

    PubMed

    Holder, Martina; Smith, Kelly M; Fugit, Ann; Macaulay, Tracy; Cook, Aaron M

    2013-10-01

    The results of a national survey to evaluate on-call practices and responsibilities of pharmacy residents nationwide, as well as opinions related to duty-hour changes, are reported. A 39-question survey was distributed to 1292 residency program directors (RPDs) listed in the American Society of Health-System Pharmacists (ASHP) online residency directory, which includes programs in all stages of the accreditation process. The survey opened on November 7, 2011, and closed on November 28, 2011. The survey collected demographic information and answers to questions about the residency's on-call component (if applicable) and barriers to the creation of an on-call component. Respondents were also asked to indicate their support of or opposition to the adoption of the 2011 Accreditation Council for Graduate Medical Education (ACGME) duty-hour rules and identify the areas of greatest concern. Of the 1292 RPDs listed in the ASHP online residency directory to whom the survey was sent, 521 surveys were completed, yielding a response rate of 40%. Of these, 471 identified their residency program as including or excluding an on-call component. Of the 138 programs with on-call services, 102 programs (74%) indicated the inclusion of an overnight experience. Programs that did not utilize an on-call component indicated barriers such as a perceived lack of demand (39%) and duty-hour limitations (21%). Common on-call activities included drug information consults and therapeutic drug monitoring. There was not a clear consensus from RPDs regarding the adoption of the 2011 ACGME duty-hour standards. Among usable responses to a survey of pharmacy residency programs, 29% indicated that their program included an on-call component. On-call programs varied greatly in activities, location, hours, and requirements.

  5. [Second national survey of intestinal parasitic infections in Cuba, 2009].

    PubMed

    Rojas, C Lázara; Angel Núñez, C Fidel; Aguiar, Pablo Héctor; Silva Ayçaguer, C Luis Carlos; Alvarez, Delmis; Martínez, Raydel; Cabrera, Mateo; Cordoví, Raúl; Kourí, C Gustavo

    2012-01-01

    the intestinal parasitic infections are still endemic in Cuba, with a higher frequency in rural and mountain regions. Twenty five years after the last national survey, it deemed necessary to carry out a new national survey in order to know the prevalence of intestinal parasitic infections and to compare the obtained results between both studies. That knowledge would be valuable to work out strategies of health and to design a control program for intestinal parasitic infections in Cuba. to determine the current prevalence of intestinal parasitic infections in Cuba and to compare these results with those obtained from the previous survey after a 25 year-period. a cross sectional study was conducted from May to August of 2009 in a sample of Cuban population. A stool sample was collected from each individual, which was analyzed by direct examination, Willis' brine flotation method and the Kato-Katz thick smear technique. Additionally, a questionnaire was administered. the comparison between 1984 and 2009 surveys showed a general decrease of frequencies of intestinal parasitic infections caused by both helminths and pathogenic protozoa; however, the percentage of infections with commensal protozoa increased in 2009. In this last survey, there was observed decline of frequencies of infections with soil transmitted species, Trichuris trichiura, Ascaris lumbricoides, hookworm, and Strongyloides stercoralis and the pathogenic protozoa: Giardiau lamblia, Entamoeba histolytica/E. dispar, and the commensals: Endolimax nana and Entamoeba coli. The intestinal parasite Enterobius vermicularis was the only parasitic species that increased the frequency of infections with respect to the 1984 survey. The frequencies of parasitic and commensal infections in both studies were higher in the 5-14 y age group (school age). the comparison between the intestinal parasitic infections surveys of 1984 and 2009 showed a reduction in the frequencies of intestinal parasitic infections in the

  6. 77 FR 20887 - Proposed Information Collection (National Acquisition Center Customer Response Survey) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-06

    ... solicits comments on the information needed to measure customer satisfaction with delivered products and... AFFAIRS Proposed Information Collection (National Acquisition Center Customer Response Survey) Activity...: Department of Veterans Affairs (VA) National Acquisition Center Customer Response Survey, VA Form 0863....

  7. National journals of physical rehabilitation medicine in Europe: a survey.

    PubMed

    Negrini, S; Fusco, C; Ilieva, E; Moslavac, S; Zampolini, M; Giustini, A

    2010-06-01

    The European Physical and Rehabilitation Medicine Journal Network (EPRMJN), a joint initiative between the European Society Physical and Rehabilitation Medicine (ESPRM) and the European Journal of Physical and Rehabilitation Medicine (EJPRM), has the aim to increase scientific knowledge among PRM specialists and foster collaboration among physical and rehabilitation medicine (PRM) journals. This article reports the results of a survey of national PRM journals in Europe we conducted to obtain an overview of the current state of PRM research in the European setting. Every year 682 PRM papers are published in a total of 66 issues per 3 294 page in the 16 national journals that responded to our survey, out of the 21 published in 15 countries; 12 countries have no PRM journals and two did not respond. Some 94% of the journals responding to the survey have a research aim and 88% an educational aim; all journals use a peer-review process (75% blinded); on average, 58.8 submissions are received per year, of which 6.7% are invited papers; the rejection rate is 21.4%. The majority of papers report original research, and main topics are musculoskeletal and neurological rehabilitation. Since the national journals published in Europe have a good peer review process and publish mainly original articles, it is possible that good research can be found. A major problem is the English language barrier to wider readerships, as many researchers publish only in their native language. The EPRMJN aims to discover this research and make it accessible to international audiences through systematic collection of articles appearing in the national journals of the EPRMJN and publication of content summaries on the ESPRM website.

  8. Disease prevalence in flounder (Platichthys flesus) from the Dutch Wadden Sea as indicator of environmental quality: A summary of 1988-2005 surveys

    NASA Astrophysics Data System (ADS)

    Vethaak, A. D.

    2013-09-01

    In 1988, epizootics of ulcer disease in the flatfish flounder in the Dutch Wadden Sea were reported near freshwater drainage sluices of IJsselmeer Lake, locally affecting up to 38.9% of fish. Other diseases such as fin rot and lymphocystis were less frequent, but followed a similar pattern. Results of follow-up surveys in the Wadden Sea in 1994-2005 confirm previous findings and also show significantly elevated ulcer prevalences at other smaller drainage works. The most likely stress factors that contributed to the development of the epizootics at these sites include osmotic stress, adverse water quality conditions including chemical contaminants, nutritional deficiencies, and obstruction to fish migration. It was shown that discharges of IJsselmeer Lake freshwater in 1988-96 had a wide effect on the prevalence and distribution of ulcers and lymphocystis in the western Wadden Sea. A general reduction in disease prevalence in flounder in the entire Dutch Wadden Sea was observed during 1988-2005, which was most likely due to a general improvement in water quality and locally improved habitat conditions for flounder near drainage sluices. Ulcer prevalences outside the two IJsselmeer Lake sluices (Den Oever and Kornwerderzand) declined in this period from approximately 30% to 10% for medium-sized fish. Other skin diseases have also displayed a downward trend at both sites in recent years, with prevalences falling sharply to below 1%. Elsewhere in the Wadden Sea and the Ems-Dollard estuary, disease prevalences have declined towards natural background levels (< 1%). It is concluded that skin diseases, especially ulcers, are useful indicators of environmental quality in the Wadden Sea.

  9. Results from the 2006 National Survey on Drug Use and Health: National Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2007

    2007-01-01

    This updated report from Substance Abuse and Mental Health Services Administration's (SAMHSA's) Office of Applied Studies presents the first information from the 2006 National Survey on Drug Use and Health (NSDUH) and is the primary source of information on the prevalence, patterns, and consequences of alcohol, tobacco, and illegal drug use and…

  10. A national survey of physician-industry relationships.

    PubMed

    Campbell, Eric G; Gruen, Russell L; Mountford, James; Miller, Lawrence G; Cleary, Paul D; Blumenthal, David

    2007-04-26

    Relationships between physicians and pharmaceutical, medical device, and other medically related industries have received considerable attention in recent years. We surveyed physicians to collect information about their financial associations with industry and the factors that predict those associations. We conducted a national survey of 3167 physicians in six specialties (anesthesiology, cardiology, family practice, general surgery, internal medicine, and pediatrics) in late 2003 and early 2004. The raw response rate for this probability sample was 52%, and the weighted response rate was 58%. Most physicians (94%) reported some type of relationship with the pharmaceutical industry, and most of these relationships involved receiving food in the workplace (83%) or receiving drug samples (78%). More than one third of the respondents (35%) received reimbursement for costs associated with professional meetings or continuing medical education, and more than one quarter (28%) received payments for consulting, giving lectures, or enrolling patients in trials. Cardiologists were more than twice as likely as family practitioners to receive payments. Family practitioners met more frequently with industry representatives than did physicians in other specialties, and physicians in solo, two-person, or group practices met more frequently with industry representatives than did physicians practicing in hospitals and clinics. The results of this national survey indicate that relationships between physicians and industry are common and underscore the variation among such relationships according to specialty, practice type, and professional activities. Copyright 2007 Massachusetts Medical Society.

  11. HIV testing in national population-based surveys: experience from the Demographic and Health Surveys.

    PubMed Central

    Mishra, Vinod; Vaessen, Martin; Boerma, J. Ties; Arnold, Fred; Way, Ann; Barrere, Bernard; Cross, Anne; Hong, Rathavuth; Sangha, Jasbir

    2006-01-01

    OBJECTIVES: To describe the methods used in the Demographic and Health Surveys (DHS) to collect nationally representative data on the prevalence of human immunodeficiency virus (HIV) and assess the value of such data to country HIV surveillance systems. METHODS: During 2001-04, national samples of adult women and men in Burkina Faso, Cameroon, Dominican Republic, Ghana, Mali, Kenya, United Republic of Tanzania and Zambia were tested for HIV. Dried blood spot samples were collected for HIV testing, following internationally accepted ethical standards. The results for each country are presented by age, sex, and urban versus rural residence. To estimate the effects of non-response, HIV prevalence among non-responding males and females was predicted using multivariate statistical models for those who were tested, with a common set of predictor variables. RESULTS: Rates of HIV testing varied from 70% among Kenyan men to 92% among women in Burkina Faso and Cameroon. Despite large differences in HIV prevalence between the surveys (1-16%), fairly consistent patterns of HIV infection were observed by age, sex and urban versus rural residence, with considerably higher rates in urban areas and in women, especially at younger ages. Analysis of non-response bias indicates that although predicted HIV prevalence tended to be higher in non-tested males and females than in those tested, the overall effects of non-response on the observed national estimates of HIV prevalence are insignificant. CONCLUSIONS: Population-based surveys can provide reliable, direct estimates of national and regional HIV seroprevalence among men and women irrespective of pregnancy status. Survey data greatly enhance surveillance systems and the accuracy of national estimates in generalized epidemics. PMID:16878227

  12. [Hungarian national dietary survey, 2003-2004. Micronutrients: mineral salts].

    PubMed

    Biró, Lajos; Zajkás, Gábor; Greiner, Erika; Szórád, Ildikó; Varga, Anna; Domonkos, Andrea; Agoston, Helga; Balázs, Anikó; Mozsáry, Erzsébet; Vitrai, József; Hermann, Dóra; Boros, Julianna; Németh, Renáta; Kéki, Zsuzsanna; Martos, Eva

    2007-04-15

    In the course of the 3rd national nutritional survey data were collected in 2003, and the paper on the energy and nutrition intake of a sample group consisting of 1179 people all aged above 19, was published in the Hungarian Medical Journal (Vol. 146, No. 34, 2005). The present paper focuses on one group of micronutrients, namely the minerals' intake. The authors evaluated the results mainly in comparison with the data of the two previous Hungarian national surveys, and the international and national recommendations. The average magnesium intake was considered adequate in both sexes, while iron, zinc and copper intakes also met the recommended level in men. On the other hand, the insufficient calcium and the excessive phosphorus intakes, as well as the disproportionate calcium-phosphorus ratio in both sexes are unfavourable facts. The adverse results include insufficient iron, zinc and copper intake in women and the excessive sodium intake in both sexes, as well. The authors emphasize the importance of spreading the principles of healthy nutrition as well as co-operating with the food industry in order to prevent the occurrence of mineral nutrients deficiency.

  13. The health information national trends survey: research from the baseline.

    PubMed

    Hesse, Bradford W; Moser, Richard P; Rutten, Lila J Finney; Kreps, Gary L

    2006-01-01

    The decades surrounding the turn of the millennium will be remembered as a time of extraordinary opportunity in cancer communication. In 1990, the number of age-adjusted deaths due to cancer in the U.S. population began a slow steady decline after a century of disparaging increase. Reasons for this decline have been attributed to long-awaited successes in primary prevention, especially related to tobacco, and early detection for cervical, breast, prostate, and colorectal cancers, as well as advances in treatment. This was also a time of unparalleled change in the cancer communication environment. Scientific health discoveries escalated with the completion of the Human Genome project in 2003, and penetration of the Internet made health information available directly to consumers. To seize the opportunity afforded by these changes, the National Cancer Institute (NCI) launched the Health Information National Trends Survey (HINTS). Fielded for the first time in 2003, the HINTS is a nationally representative, general population survey of noninstitutionalized adults in the United States 18 years and older. This supplement contains a compilation of original research conducted using the data generated by the first administration of the HINTS telephone interviews. Covering topics in cancer knowledge, cancer cognition, risk perception, and information seeking, the articles represent an interdisciplinary view of cancer communication at the turn of the millennium and offer insight into the road ahead.

  14. The importance of job characteristics in determining medical care-seeking in the Dutch working population, a longitudinal survey study.

    PubMed

    Steenbeek, Romy

    2012-08-31

    The working population is ageing, which will increase the number of workers with chronic health complaints, and, as a consequence, the number of workers seeking health care. It is very important to understand factors that influence medical care-seeking in order to control the costs. I will investigate which work characteristics independently attribute to later care-seeking in order to find possibilities to prevent unnecessary or inefficient care-seeking. Data were collected in a longitudinal two-wave study (n = 2305 workers). The outcome measures were visits (yes/no and frequency) to a general practitioner (GP), a physical therapist, a medical specialist and/or a mental health professional. Multivariate regression analyses were carried out separately for men and women for workers with health complaints. In the Dutch working population, personal, health, and work characteristics, but not sickness absence, were associated with later care-seeking. Work characteristics independently attributed to medical care-seeking but only for men and only for the frequency of visits to the GP. Women experience more health complaints and seek health care more often than men. For women, experiencing a work handicap (health complaints that impede work performance) was the only work characteristic associated with more care-seeking (GP). For men, work characteristics that led to less care-seeking were social support by colleagues (GP frequency), high levels of decision latitude (GP frequency) and high levels of social support by the supervisor (medical specialist). Other work characteristics led to more care-seeking: high levels of engagement (GP), full time work (GP frequency) and experiencing a work handicap (physical therapist). We can conclude that personal and health characteristics are most important when explaining medical care-seeking in the Dutch working population. Work characteristics independently attributed to medical care-seeking but only for men and only for the

  15. 76 FR 72417 - National Health and Nutrition Examination Survey (NHANES) DNA Samples

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-23

    ... National Health and Nutrition Examination Survey (NHANES) DNA Samples AGENCY: Centers for Disease Control... National Health and Nutrition Examination Survey (NHANES) will not be receiving DNA proposals in 2012... of Health and Nutrition Examination Surveys, National Center for Health Statistics, Centers for...

  16. Work and Home: Data from the National Health Interview Survey on Disability. Research/Practice.

    ERIC Educational Resources Information Center

    Gilmore, Dana Scott; Butterworth, John

    This issue brief provides a national profile of individuals with developmental disabilities based on the National Health Interview Survey on Disability, Phase 1. This in-depth survey of 107,400 individuals uses a complex sampling strategy which is designed to provide national incidence estimates for each survey item. Data are reported which were…

  17. San Diego: Public Attitudes About Crime. A National Crime Survey Report.

    ERIC Educational Resources Information Center

    Paez, Adolfo L., Ed.

    The National Crime Survey program has conducted a continuous national survey and separate surveys in 26 central cities to study the impact of crime on American society. Attitudinal information obtained from a 1974 survey of occupants of 4,906 housing units (9,125 residents age 16 and over) in San Diego reflects crime trends, fear of crime,…

  18. Overview of Findings from the 2002 National Survey on Drug Use and Health.

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Office of Applied Studies.

    This report presents the first information from the 2002 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. Prior to 2002, the survey was called the National Household Survey on Drug Abuse (NHSDA). This brief Overview report provides a…

  19. [The National Survey on Working Conditions: data for reflection].

    PubMed

    Zimmermann Verdejo, M; Maqueda Blasco, J; Almodóvar Molina, A; de la Orden Rivera, M V

    1996-01-01

    This work presents some data of relevance from the National Survey on Working Conditions, carried out in Spain in 1993. A cross-section survey was undertaken on a representative sample of the industry and services sectors (3,148 workers), both through an individual interview which took place at their places of work, and a questionnaire. The study revealed that preventive activities are few and far between. Only 11.8% of the companies carried out surveys into the risk of occupational accidents and/or illnesses. This datum contrasts with the high incidence among workers of exposure to the risk of accidents (59%), noise (33%) or the inhaling of chemical substances (32%). Furthermore, approximately 50% of workers spend at least a quarter of their work time in a static posture or making repetitive hand-arm movements. It is estimated that 60% are exposed to high work rates or repetitive tasks of short duration. Where the question of morbidity is concerned, 60% of workers suffer from posture problems associated with their work. In this study, a comparison is made between these findings per activity sector, together with a detailed analysis of morbidity. Finally, it should be borne in mind, that the subjectivity in the responses and answers, which is inherent to any qualitative survey, should not be regarded as a negative aspect. The way in which the worker perceives and experiences his or her work environment, provides essential information for the preventionists.

  20. Report on the 2013 national cholelithiasis survey in Japan.

    PubMed

    Tazuma, Susumu; Kanno, Keishi; Kubota, Keiichi; Tsuyuguchi, Toshio; Kamisawa, Terumi; Isayama, Hiroyuki; Nakagohri, Toshio; Inui, Kazuo

    2015-05-01

    The Academic Committee of the Japan Biliary Association conducted a national survey of cholelithiasis and analyzed its current management centering on epidemiology. To allow comparison with previous results, a prospective survey was performed on the treatment of cholelithiasis during the month of August 2013, using the same questionnaire as that used for the 1997 Cholelithiasis Survey Project by the Japan Biliary Association. A personal questionnaire was sent to 71 institutions, and 612 individual survey sheets were collected from 56 institutions as treated during August 2013. Compared with the results obtained in 1997, the gender ratio was reversed in 2013 with male predominance. There were increases in the mean age, asymptomatic ratio, use of magnetic resonance cholangiopantreatography for diagnosis, and cholesterol stone type was also increased. Laparoscopic cholecystectomy was performed for 79.8% of gallbladder stones, and treatment of common bile duct stones generally involved endoscopic procedures, among which endoscopic sphincterotomy (EST) was performed more often compared with endoscopic papillary balloon dilation (EPBD), suggesting that EST is the mainstream treatment for common bile duct stones. © 2015 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

  1. Sub-tenon's block: a national United Kingdom survey.

    PubMed

    Vohra, Shashi B; Murray, Philip I

    2008-01-01

    A survey was undertaken to ascertain current practices in ophthalmic regional anesthesia with an emphasis on sub-Tenon's block. Despite its increasing use, there are currently no guidelines for its explicit management. An anonymized postal questionnaire survey was sent to 173 consultant anesthesiologist members of the British Ophthalmic Anaesthesia Society. Sub-Tenon's blocks were regularly performed by 87.8% of respondents. The majority used a blunt metal cannula via the inferonasal quadrant. Local anesthetic was placed post-equatorially by 58% of respondents and deep posteriorly by 16.7%; 18% used vasopressors. There was no agreement for aseptic precautions, international normalized ratio, platelet levels, or venous access. Complications included vascular and muscular injuries, a case of fainting, and several cases of dysrhythmias. Current United Kingdom guidelines for monitoring patients were not being followed. These results show a need for robust national guidelines, especially in view of increasing use, indications, and potential risks of sub-Tenon's block.

  2. Obesity and prostate cancer detection: insights from three national surveys

    PubMed Central

    Parekh, Niyati; Lin, Yong; DiPaola, Robert S.; Marcella, Stephen; Lu-Yao, Grace

    2013-01-01

    Background Previous studies suggest that obesity is associated with higher prostate cancer progression and mortality despite an association with lower prostate cancer incidence. This study aims to better understand these apparently inconsistent relationships among obese men, by combining evidence from three nationally representative cross-sectional surveys. Methods We evaluated relationships between obesity and (1) testosterone concentrations in the Third National Health and Nutrition Examination Survey (NHANES III; n=845), (2) prostate-specific antigen (PSA) in NHANES 2001–2004 (n=2,458) and (3) prostate biopsy rates in the National Health Interview Survey (NHIS 2000; n=4,789) population. Mean testosterone, PSA concentrations and biopsy rates were computed for body mass index (BMI) categories. Results Testosterone concentrations were inversely associated with obesity (p-trend<0.0001) in NHANES III. In NHANES 2001–2004 obese (BMI >35) versus lean (BMI <25) men were less likely to have PSA concentrations that reached the biopsy threshold of >4 ng/ml (3% versus 8%; p<0.0001). Among NHIS participants all BMI groups had similar rates of PSA testing (p=0.24). However, among men who had PSA tests, 11% of men with BMI >30 versus 16% with BMI <25, achieved a PSA threshold of 4 ng/ml; p=0.01. Furthermore, biopsy rates were lower among men with BMI >30 versus BMI <25 in NHIS participants (4.6% vs. 5.8%; p=0.05). Conclusions Obesity was associated with lower PSA-driven biopsy rates. These data support further studies to test the hypothesis that obesity affects prostate cancer detection independent of prostate cancer risk by decreasing the PSA-driven biopsy rates. PMID:20800152

  3. Obesity and prostate cancer detection: insights from three national surveys.

    PubMed

    Parekh, Niyati; Lin, Yong; Dipaola, Robert S; Marcella, Stephen; Lu-Yao, Grace

    2010-09-01

    Previous studies suggest that obesity is associated with higher prostate cancer progression and mortality despite an association with lower prostate cancer incidence. This study aims to better understand these apparently inconsistent relationships among obese men by combining evidence from 3 nationally representative cross-sectional surveys. We evaluated relationships between obesity and 1) testosterone concentrations in the Third National Health and Nutrition Examination Survey (NHANES III; n=845); 2) prostate-specific antigen (PSA) in NHANES 2001-2004 (n=2458); and 3) prostate biopsy rates in the National Health Interview Survey (NHIS 2000; n=4789) population. Mean testosterone, PSA concentrations, and biopsy rates were computed for Body Mass Index (BMI) categories. Testosterone concentrations were inversely associated with obesity (P-trend <.0001) in NHANES III. In NHANES 2001-2004, obese (BMI >35) versus lean (BMI <25) men were less likely to have PSA concentrations that reached the biopsy threshold of >4 ng/mL (3% vs 8%; P <.0001). Among NHIS participants, all BMI groups had similar rates of PSA testing (P=.24). However, among men who had PSA tests, 11% of men with BMI >30 versus 16% with BMI <25, achieved a PSA threshold of 4 ng/mL; P=.01. Furthermore, biopsy rates were lower among men with BMI >30 versus BMI <25 in NHIS participants (4.6% vs 5.8%; P=.05). Obesity was associated with lower PSA-driven biopsy rates. These data support further studies to test the hypothesis that obesity affects prostate cancer detection independent of prostate cancer risk by decreasing the PSA-driven biopsy rates.

  4. Homeopathy Use by US Adults: Results of a National Survey.

    PubMed

    Dossett, Michelle L; Davis, Roger B; Kaptchuk, Ted J; Yeh, Gloria Y

    2016-04-01

    We used the 2012 National Health Interview Survey to compare homeopathy users with supplement users and those using other forms of complementary and integrative medicine. Among US adults, 2.1% used homeopathy within the past 12 months. Respiratory and otorhinolaryngology complaints were most commonly treated (18.5%). Homeopathy users were more likely to use multiple complementary and integrative medicine therapies and to perceive the therapy as helpful than were supplement users. US homeopathy use remains uncommon; however, users perceive it as helpful.

  5. Financial aspects of adult day care: National survey results

    PubMed Central

    Zelman, William M.; Elston, Jennifer M.; Weissert, William G.

    1991-01-01

    Using data from a national survey of adult day care centers, it was found that a typical center had revenues of approximately $140,000 and expenses that were slightly higher. Most of the revenue was from Federal sources, with Medicaid being the largest single source. The median cost per participant day was $29.50, over one-half of which was attributable to labor expenses. To the extent that adult day care programs can better utilize their capacity, considerable savings could be made in cost per participant day. PMID:10110877

  6. National Hospital Ambulatory Medical Care Survey: 1992 Emergency Department Summary.

    PubMed

    Schappert, S M

    1997-03-01

    This report presents data on the provision and utilization of ambulatory medical care services in hospital emergency departments during 1992. Ambulatory medical care services are described in terms of patient, visit, and facility characteristics. Among these are the patient's reason for the visit, diagnostic and screening services ordered or provided, diagnosis, and medications provided or prescribed. Cause of injury data are presented for injury-related visits. Data presented in this report are from the 1992 National Hospital Ambulatory Medical Care Survey (NHAMCS), a national survey of non-Federal, general and short-stay hospitals, conducted by the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention. This report reflects the survey's first year of data collection. A four-stage probability sample design was used, resulting in a sample of 524 non-Federal, general and short-stay hospitals. Ninety-two percent of eligible facilities participated in the survey. Hospital staff were asked to complete Patient Record forms for a systematic random sample of patient visits occurring during a randomly assigned 4-week reporting period, and 36,271 forms were completed by participating emergency departments. Diagnosis and cause of injury were coded according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). Reason for visit and medications were coded according to systems developed by the National Center for Health Statistics. An estimated 89.8 million visits were made to the emergency departments of non-Federal, general and short-stay hospitals in the United States during 1992-357.1 visits per 1,000 persons. Persons 75 years of age and over had a higher visit rate than persons in five other age categories. White persons accounted for 78.5 percent of all visits. However, the visit rate for black persons was significantly higher than for white persons overall and for

  7. [Attitudes of Brazilian pulmonologists toward nicotine dependence: a national survey].

    PubMed

    Viegas, Carlos Alberto de Assis; Valentim, Antonio Gabriel Teles; Amoras, Jaene Andrade Pacheco; Nascimento, Euler Junior Moreira

    2010-01-01

    Smoking is a medical condition, since there is drug dependence, and health professionals should treat it as a chronic disease. In order to understand the attitudes of Brazilian pulmonologists toward smokers, we conducted a national survey, using a questionnaire posted on the Internet, of 2,800 pulmonologists, 587 (21%) of whom completed and returned the questionnaires. We found that 3.2% of the respondents did not believe that smoking is a medical condition. Only 14.7% treated smokers, and 32.4% stated that they would refer smokers to another professional for treatment. These results suggest that Brazilian pulmonologists have insufficient knowledge of smoking cessation therapies.

  8. Conservation landmarks: bureau of biological survey and national biological service

    USGS Publications Warehouse

    Friend, M.

    1995-01-01

    A century separates the recent development of the National Biological Service (NBS) and an early predecessor, the Bureau of Biological Survey (BBS). Both organizations were established at critical crossroads for the conservation of the nation's living biological resources and are conservation landmarks of their times. The BBS of the 192()'s was described as 'a government Bureau of the first rank, handling affairs of great scientific, educational, social, and above all, economic importance throughout the United States and its outlying possessions'' (Cameron 1929:144-145). This stature was achieved at a time of great social, economic, and ecological change. BBS had the vision to pioneer new approaches that led to enhanced understanding of the relation between people, other living things, and the environment. The NBS faces similar challenges to address the issues of the 1990's and beyond.

  9. 2010 Ecological Survey of the Pacific Northwest National Laboratory Site

    SciTech Connect

    Chamness, Michele A.; Perry, Christopher; Downs, Janelle L.; Powell, Sylvia D.

    2011-02-16

    The U.S. Department of Energy (DOE) Pacific Northwest Site Office (PNSO) oversees and manages the DOE contract for the Pacific Northwest National Laboratory (PNNL), a DOE Office of Science multi-program laboratory located in Richland, Washington. PNSO is responsible for ensuring that all activities conducted on the PNNL Site comply with applicable laws, policies, and DOE orders. The DOE Pacific Northwest Site Office Cultural and Biological Resources Management Plan (DOE/PNSO 2008) addresses the requirement for annual surveys and monitoring for species of concern and to identify and map invasive species. In addition to the requirement for an annual survey, proposed project activities must be reviewed to assess any potential environmental consequences of conducting the project. The assessment process requires a thorough understanding of the resources present, the potential impacts of a proposed action to those resources, and the ultimate consequences of those actions. The PNNL Site is situated on the southeastern corner of the DOE Hanford Site, located at the north end of the city of Richland in south-central Washington. The site is bordered on the east by the Columbia River, on the west by Stevens Drive, and on the north by the Hanford Site 300 Area (Figure 1). The environmental setting of the PNNL Site is described in Larson and Downs (2009). There are currently two facilities on the PNNL Site: the William R. Wiley Environmental Molecular Sciences Laboratory (EMSL), and the recently completed Physical Sciences Facility (PSF). This report describes the results of the annual survey of the biological resources found on the undeveloped portions of the PNNL Site in 2010. A brief description of the methods PNNL ecologists used to conduct the surveys and the results of the surveys are presented. Actions taken to fully delineate noxious weed populations discovered in 2009 and efforts in 2010 to control those weeds also are described. Appendix A provides a list of plant and

  10. Results of the 2015 National Certified Pharmacy Technician Workforce Survey.

    PubMed

    Desselle, Shane P; Holmes, Erin R

    2017-07-01

    The results of the 2015 National Certified Pharmacy Technician Workforce Survey are described. A survey was e-mailed to a randomized sample of 5,000 certified pharmacy technicians (CPhTs) throughout the United States, with response reminders employed. Survey items eliciting demographic and work characteristics and work life attitudes were generated from the literature and qualitative interviews. This study aimed to describe job satisfaction, sources of stress, profession and employer commitment, education and training, and reasons for entry into the profession among CPhTs and determine relationships between those variables and CPhTs' level of involvement in various work activities, with particular attention paid to differences in practice setting. Frequency statistics, correlation analysis, and means testing were used to meet study objectives and identify significant differences. A total of 516 CPhTs currently working as a pharmacy technician responded to the survey. The CPhTs reported high levels of involvement in more traditional activities but less involvement in those that involve greater cognitive load. Respondents reported moderate levels of job satisfaction and commitment and somewhat high levels of stress overall. Most CPhTs chose to be a pharmacy technician because they desired to enter a healthcare field and help people and were recruited. CPhTs derived benefit from all aspects of education and training evaluated and most from on-the-job training. Perceived value of education and training was associated with higher satisfaction and commitment and with lower stress. There were a number of differences in these work life attitudes across practice settings and by involvement in various job functions. The results of the survey indicated that job satisfaction and commitment were moderate and that stress levels were somewhat high among CPhTs. There were a number of differences in work life attitudes across practice settings and by involvement in various job

  11. 75 FR 41213 - National Protection and Programs Directorate; Infrastructure Protection Data Call Survey; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-15

    ... SECURITY National Protection and Programs Directorate; Infrastructure Protection Data Call Survey; Correction AGENCY: National Protection and Programs Directorate, DHS. ACTION: Notice; correction. SUMMARY: On December 22, 2009, the Department of Homeland Security (DHS), National Protection and Programs...

  12. The National Food Consumption Survey (NFCS): South Africa, 1999.

    PubMed

    Labadarios, D; Steyn, N P; Maunder, E; MacIntryre, U; Gericke, G; Swart, R; Huskisson, J; Dannhauser, A; Vorster, H H; Nesmvuni, A E; Nel, J H

    2005-08-01

    The aim of the National Food Consumption Survey (NFCS) in South Africa was to determine the nutrient intakes and anthropometric status of children (1-9 years old), as well as factors that influence their dietary intake. This was a cross-sectional survey of a nationally representative sample of all children aged 1-9 years in South Africa. A nationally representative sample with provincial representation was selected using 1996 Census information. Of the 3120 children who were originally sampled data were obtained from 2894, a response rate of 93%. The sociodemographic status of each household was assessed by a questionnaire. Dietary intake was assessed by means of a 24-hour recall and a food-frequency questionnaire from the caregivers of the children. Food purchasing practices were determined by means of a food procurement questionnaire. Hunger was assessed by a modified hunger scale questionnaire. Nutritional status was determined by means of anthropometric measurements: height, weight, head circumference and arm circumference. At the national level, stunting (height-for-age below minus two standard deviations (< -2SD) from the reference median) was by far the most common nutritional disorder, affecting nearly one in five children. The children least affected (17%) were those living in urban areas. Even with regard to the latter, however, children living in informal urban areas were more severely affected (20%) compared with those living in formal urban areas (16%). A similar pattern emerged for the prevalence of underweight (weight-for-age < -2SD), with one in 10 children being affected at the national level. Furthermore, one in 10 (13%) and one in four (26%) children aged 1-3 years had an energy intake less than half and less than two-thirds of their daily energy needs, respectively. For South African children as a whole, the intakes of energy, calcium, iron, zinc, selenium, vitamins A, D, C and E, riboflavin, niacin, vitamin B6 and folic acid were below two

  13. A high-resolution seismic survey of the Holocene section offshore part of the Dutch mesotidal barrier shoreline

    SciTech Connect

    Kosters, E.C.; McGee, T.; Posthumus, B.; Brouwer, J. )

    1990-05-01

    Genetic stratigraphy of the Holocene section offshore the Dutch mesotidal barrier islands Terschelling and Ameland was studied using a 220-mi-grid of both analog and digitally acquired high-resolution seismic records, obtained with a 300 Joule boomer and 10{sup 3}-in. air gun. The southern North Sea basin was subaerially exposed during the most recent (Wurm) Pleistocene lowstand and covered by glaciers during the previous (Saale) glacial. The Pleistocene surface in the area is approximately 30 m below the sediment surface and shows strong erosional and glaciotectonic characteristics. Holocene inundation began after 10 Ka. The investigated area has been fully marine since approximately 8 Ka. The Holocene energy regime has maximum tidal currents of 10-15 knots and a semidiurnal tide range of approximately 2 m. Pleistocene erosional relief may have been used for early Holocene tidal drainage, as evidenced by lateral accretion reflectors filling this relief. Locally, these reflectors become sigmoidal in expression, where they may represent early Holocene ebb-tidal deltas. This seismic expression is similar to that of recent ebb-tidal deltas in the area. In one location Holocene sediments offlap a Pleistocene topographic high. In the western part of the study area, the sea floor offshore the barrier island Terschelling is relatively flat. The Holocene section appears to consist of two transgressive stratigraphic units. The lower unit contains a number of coast-parallel sediment bodies, measuring roughly 3 {times} 7 {times} 5 m. It is uncertain at this time whether these represent either part of an early Holocene barrier island chain, or tidal ridges of that age. A number of approximately 2-3-m high sand ridges lies in a northwest-southeast section at an angle of approximately 25{degree}, with the present barrier shoreline offshore the barrier island Ameland in the eastern part of the area.

  14. 2011 Annual Ecological Survey: Pacific Northwest National Laboratory Site

    SciTech Connect

    Becker, James M.; Chamness, Michele A.

    2012-02-27

    The U.S. Department of Energy (DOE) Pacific Northwest Site Office (PNSO) oversees and manages the DOE contract for the Pacific Northwest National Laboratory (PNNL), a DOE Office of Science multi-program laboratory located in Richland, Washington. PNSO is responsible for ensuring that all activities conducted on the PNNL site comply with applicable laws, policies, and DOE Orders. The DOE Pacific Northwest Site Office Cultural and Biological Resources Management Plan (DOE/PNSO 2008) addresses the requirement for annual surveys and monitoring for species of concern and to identify and map invasive species. In addition to the requirement for an annual survey, proposed project activities must be reviewed to assess any potential environmental consequences of conducting the project. The assessment process requires a thorough understanding of the resources present, the potential impacts of a proposed action to those resources, and the ultimate consequences of those actions. The PNNL site is situated on the southeastern corner of the DOE Hanford Site, located at the north end of the city of Richland in south-central Washington. The site is bordered on the east by the Columbia River, on the west by Stevens Drive, and on the north by the Hanford Site 300 Area (Figure 1). The environmental setting of the PNNL site is described in Larson and Downs (2009). There are currently two facilities on the PNNL site: the William R. Wiley Environmental Molecular Sciences Laboratory and the Physical Sciences Facility. This report describes the annual survey of biological resources found on the undeveloped upland portions of the PNNL site. The annual survey is comprised of a series of individual field surveys conducted on various days in late May and throughout June 2011. A brief description of the methods PNNL ecologists used to conduct the baseline surveys and a summary of the results of the surveys are presented. Appendix A provides a list of plant and animal species identified in the

  15. Teaching psychiatry residents to teach: a national survey.

    PubMed

    Crisp-Han, Holly; Chambliss, R Bryan; Coverdale, John

    2013-01-01

    Because there have been no previously published national surveys on teaching psychiatry residents about how to teach, the authors surveyed United States psychiatry program directors on what and how residents are taught about teaching. All psychiatry training programs across the United States were mailed a semistructured questionnaire; 95 responded (response rate: 53%). The survey included questions on what, if anything, was provided in the way of formal instruction; the number of seminars offered each year; texts and other materials that were used for teaching; and how seminars were evaluated. The majority (N=69, 73%) of all responding programs provided formal instruction to residents about how to teach. Topics most commonly taught included evaluation and feedback (N=57; 60%), lecturing skills (N=43; 45%), small-group skills (N=40; 42%), learning theory (N=37; 39%), and problem-based learning (N=36; 38%). Instructional methods used were predominantly group discussion (N=62; 65%), lecturing (N=59; 62%), reading of relevant literature (N=35; 37%), role-playing (N=33; 35%), and audiovisual instruction (N=32; 34%). There was a heterogeneity of texts and materials used for teaching. Few of the programs utilized formal validated and reliable tools for evaluating their teaching. Although most programs provided formal teaching, there remains a need to further develop teaching programs and to create model ones.

  16. National supply-chain survey of drug manufacturer back orders.

    PubMed

    Wellman, G S

    2001-07-01

    The impact of manufacturer back orders on the supply chain for pharmaceuticals in the institutional setting was studied. A questionnaire was distributed during May and June 2000 to 600 institutional pharmacies affiliated with a major national drug and supply group purchasing organization. The instrument included questions on basic institutional demographics, perceptions about the frequency of manufacturer back orders for pharmaceuticals, the quality of communication with manufacturers and wholesalers about back orders, the two most significant back orders that had occurred in the 12 months preceding the survey, and the reasons for and impact of back orders. A total of 170 usable surveys were returned (net response rate, 28.3%). Reported manufacturer back orders included an array of drug classes, including blood products, antimicrobials, antiarrhythmics, benzodiazepine antagonists, thrombolytics, corticosteroids, and antihypertensives. Respondents perceived significant back orders as increasing in frequency. Communication by manufacturers and wholesalers about back orders was reported to be relatively poor. A raw-material shortage was the most common reason given by manufacturers for back orders (36.5%), followed by a regulatory issue (23.2%). In most cases (92%), medical staff members had to be contacted, indicating an interruption in the normal drug distribution process. In over a third of instances, respondents stated that the back order resulted in less optimal therapy. A survey found that manufacturer back orders for pharmaceuticals were increasing in frequency and that information flow within the supply chain was insufficient to meet the needs of end users.

  17. A national online survey on the effectiveness of clinical alarms.

    PubMed

    Korniewicz, Denise M; Clark, Tobey; David, Yadin

    2008-01-01

    To develop a national online survey to be administered by the American College of Clinical Engineers Healthcare Technology Foundation to hospitals and healthcare workers to determine the problems associated with alarms in hospitals. An online survey was developed by a 16-member task force representing professionals from clinical engineering, nursing, and technology to evaluate the reasons health-care workers do not respond to clinical alarms. A total of 1327 persons responded to the survey; most (94%) worked in acute care hospitals. About half of the respondents were registered nurses (51%), and one-third of respondents (31%) worked in a critical care unit. Most respondents (>90%) agreed or strongly agreed with the statements covering the purpose of clinical alarms and the need for prioritized and easily differentiated audible and visual alarms. Likewise, many respondents identified nuisance alarms as problematic; most agreed or strongly agreed that the alarms occur frequently (81%), disrupt patient care (77%), and can reduce trust in alarms and cause caregivers to disable them (78%). Effective clinical alarm management relies on (1) equipment designs that promote appropriate use, (2) clinicians who take an active role in learning how to use equipment safely over its full range of capabilities, and (3) hospitals that recognize the complexities of managing clinical alarms and devote the necessary resources to develop effective management schemes.

  18. Pediatricians' Experience with Clinical Ethics Consultation: A National Survey.

    PubMed

    Morrison, Wynne; Womer, James; Nathanson, Pamela; Kersun, Leslie; Hester, D Micah; Walsh, Corbett; Feudtner, Chris

    2015-10-01

    To conduct a national survey of pediatricians' access to and experience with clinical ethics consultation. We surveyed a randomly selected sample of 3687 physician members of the American Academy of Pediatrics. We asked about their experiences with ethics consultation, the helpfulness of and barriers to consultation, and ethics education. Using a discrete choice experiment with maximum difference scaling, we evaluated which traits of ethics consultants were most valuable. Of the total sample of 3687 physicians, 659 (18%) responded to the survey. One-third of the respondents had no experience with clinical ethics consultation, and 16% reported no access to consultation. General pediatricians were less likely to have access. The vast majority (90%) who had experience with consultation had found it helpful. Those with fewer years in practice were more likely to have training in ethics. The most frequently reported issues leading to consultation concerned end-of-life care and conflicts with patients/families or among the team. Intensive care unit physicians were more likely to have requested consultation. Mediation skills and ethics knowledge were the most highly valued consultant characteristics, and representing the official position of the hospital was the least-valued characteristic. There is variability in pediatricians' access to ethics consultation. Most respondents reported that consultation had been helpful in the past. Determining ethically appropriate end-of-life care and mediation of disagreements are common reasons that pediatricians request consultation. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. National coal resource investigations of the United States Geological Survey

    USGS Publications Warehouse

    Wood, Gordon H.

    1977-01-01

    The objective of this report is to provide a record of some of the goals and accomplishments of the coal resource investigations of the U. S. Geological Survey for 1977. Successful completion of these goals will aid the Nation in the years ahead because proper usage of coal resource data may lessen economic displacements resulting from the energy shortage.This report is concerned only with one mineral fuel -- coal -- and only with coal resource investigations in the Geologic Division of the U. S. Geological Survey. Other divisions involved with coal or coal-related work are the Conservation, Water Resources, and Topographic Divisions. It is one of a series of reports on the energy resource studies conducted by the Geological Survey that provide a public record of the objectives, activities, and accomplishments of these programs. Similar reports have been prepared on oil and gas, oil shale, uranium, thorium, and energy-related industrial minerals.This report includes descriptions of the program, each sub-element of the program, individual projects, and a selected list of program publications from 1970-76. It also describes how the program is responsive to Presidential pronouncements and Congressional mandates. The program is cooperative with several Federal bureaus, many state agencies, universities, and industry. This coordination assures that the program supplements the work of these interested groups and is not duplicative.A scientific program such as the coal resource investigations is difficult for the non-involved person to understand solely from the existing reports on various studies made in the program. This report provides an explanation that the scientist, decision maker, personnel of other government agencies, and the layman can use to relate various activities and to gain a better understanding of the relation of coal to the Nation's requirements for energy and of the importance of a carefully planned program on this energy resource.

  20. Pragmatic Randomized Trials Without Standard Informed Consent?: A National Survey

    PubMed Central

    Nayak, Rahul K; Wendler, David; Miller, Franklin G.; Kim, Scott Y.H.

    2017-01-01

    Background There is significant debate over whether written consent is necessary for low-risk, pragmatic randomized controlled trials (RCT). Objective To assess the U.S. public’s views regarding alternatives to written consent for low-risk pragmatic RCTs. Design National experimental survey (2-by-2 factorial design) examining support for written consent versus general notification or verbal consent in two research scenarios. Setting Web-based survey conducted in December 2014. Participants 2130 U.S. adults sampled from a nationally representative probability-based online panel (response rate, 64%). Measurements Respondent’s recommendation to an ethics review board and personal preference as a potential participant for how to obtain consent/notification in the two research scenarios. Results A majority in each of the four arms (ranging from 60.3% to 71.5%) recommended written informed consent. Personal preferences generally tracked that advice. Most (78.9%) believed the pragmatic RCTs did not pose additional risks but 62.5% of these respondents would still recommend written consent. In contrast, a substantial minority in all arms (28.5% to 39.7%) recommended the alternative option (general notification or verbal consent) over written consent. Limitations Framing effects could impact respondents’ attitudes and non-respondents may differ in levels of trust towards research or healthcare institutions. Conclusions A majority of the public endorsed written informed consent over the most widely considered alternatives for low-risk pragmatic RCTs; however, a substantial minority endorsed general notification or verbal consent. Primary Funding Source Time-sharing Experiments in the Social Sciences and Intramural Research Program of the National Institutes of Health, Clinical Center. PMID:26215125

  1. Remote age verification to prevent underage alcohol sales. First results from Dutch liquor stores and the economic viability of national adoption.

    PubMed

    van Hoof, Joris J; van Velthoven, Ben C J

    2015-04-01

    Alcohol consumption among minors is a popular topic in the public health debate, also in the Netherlands. Compliance with the legal age limits for selling alcohol proves to be rather low. Some Dutch liquor stores (outlets with an exclusive license to sell off-premise drinks with 15% alcohol or more) have recently adopted a remote age verification system. This paper discusses the first results of the use of the system. We use data from 67 liquor stores that adopted Ageviewers, a remote age verification system, in 2011. A remote validator judges the customer's age using camera footage and asks for an ID if there is any doubt. The system then sends a signal to the cash register, which approves or rejects the alcohol purchase. From the 367346 purchase attempts in the database, 8374 were rejected or aborted for age-related reasons. This figure amounts to an average ratio of 1.12 underage alcohol purchase attempts per sales day in each participating liquor store. Scaling up to a national level, the figures suggest at least 1 million underage alcohol purchase attempts per year in Dutch liquor stores. Underage alcohol purchases can be prevented by the nationwide adoption of remote age verification. However, given the lax enforcement of the age limits by the government, adopting such a system on a voluntary basis is generally not in the economic interest of the liquor stores. Obligatory installation of the system in off-premise alcohol outlets may pass a social cost-benefit test if certain conditions are fulfilled. Copyright © 2014 Elsevier B.V. All rights reserved.

  2. Annual incidence of non-specific low back pain as an occupational disease attributed to whole-body vibration according to the National Dutch Register 2005-2012.

    PubMed

    Kuijer, P Paul F M; van der Molen, Henk F; Schop, Astrid; Moeijes, Fred; Frings-Dresen, Monique H W; Hulshof, Carel T J

    2015-01-01

    Non-specific low back pain (nLBP) is the second most important reason for sick leave in the Netherlands, and more than 50% of the workers on sick leave attribute these complaints to their work. To stimulate recognition and prevention, an occupational disease (OD) registration-guideline was implemented for the assessment of the work-relatedness of nLBP in the Netherlands in 2005. The aim of this study is to present the annual incidence of nLBP as an OD and specifically for whole-body vibration (WBV) including patient characteristics such as age, sick leave and actions initiated by the occupational physician (OP). The data were retrieved from the National Dutch Register for 2005-2012. Each year about 118 OPs reported 509 cases (SD 139) of nLBP as an OD in a Dutch working population of 7.5 million workers (8% of all annual reported ODs). Less than 1% of these cases were attributed to WBV: 94% were men, 45% were between 51 and 60 years and 35% were on sick leave for more than 2 weeks. Most initiated actions were ergonomic interventions (35%). The number of notified cases of nLPB as an occupational disease attributed to whole-body vibration is low with less than 1% of all cases in the Netherlands. An explanation is that other work-related risk factors for nLBP such as lifting are more frequently occurring, more visible and have a higher attributable risk than WBV. However, continuing attention for WBV remains warranted given a higher percentage of cases with sick leave of more than 2 weeks.

  3. A preliminary survey of the National Wetlands Inventory as mapped for the Idaho National Engineering Laboratory

    SciTech Connect

    Hampton, N.L.; Rope, R.C.; Glennon, J.M.; Moor, K.S.

    1995-02-01

    Approximately 135 areas within the boundaries of the Idaho National Engineering Laboratory (INEL) have been mapped as wetland habitat as part of the United States Fish and Wildlife Service (FWS) National Wetlands Inventory (NWI). A preliminary survey of these wetlands was conducted to examine their general characteristics and status, to provide an estimation of relative ecological importance, to identify additional information needed to complete ecological characterization of important INEL wetlands, and to identify high priority wetland areas on the INEL. The purpose of the survey was to provide information to support the preparation of the Environmental Restoration and Waste Management (ER&WM) Environmental Impact Statement (EIS). Information characterizing general vegetation, hydrology, wildlife use, and archaeology was collected at 105 sample sites on the INEL. Sites representing NWI palustrine, lacustrine, and riverine wetlands (including manmade), and areas unmapped or unclassified by the NWI were included in the sample. The field information was used to develop a preliminary ranking of relative ecological importance for each wetland visited during this survey. Survey limitations are identified.

  4. Mass-casualty events at schools: a national preparedness survey.

    PubMed

    Graham, James; Shirm, Steve; Liggin, Rebecca; Aitken, Mary E; Dick, Rhonda

    2006-01-01

    Recent school shootings and terrorist events have demonstrated the need for well-coordinated planning for school-based mass-casualty events. The objective of this study was to document the preparedness of public schools in the United States for the prevention of and the response to a mass-casualty event. A survey was mailed to 3670 school superintendents of public school districts that were chosen at random from a list of school districts from the National Center for Education Statistics of the US Department of Education in January 2004. A second mailing was sent to nonresponders in May 2004. Descriptive statistics were used for survey variables, and the chi2 test was used to compare urban versus rural preparedness. The response rate was 58.2% (2137 usable surveys returned). Most (86.3%) school superintendents reported having a response plan, but fewer (57.2%) have a plan for prevention. Most (95.6%) have an evacuation plan, but almost one third (30%) had never conducted a drill. Almost one quarter (22.1%) have no disaster plan provisions for children with special health care needs, and one quarter reported having no plans for postdisaster counseling. Almost half (42.8%) had never met with local ambulance officials to discuss emergency planning. Urban school districts were better prepared than rural districts on almost all measures in the survey. There are important deficiencies in school emergency/disaster planning. Rural districts are less well prepared than urban districts. Disaster/mass-casualty preparedness of schools should be improved through coordination of school officials and local medical and emergency officials.

  5. Dutch audiology.

    PubMed

    Grobben, L M; van Ligtenberg, C L

    1977-01-01

    In the Netherlands audiological care is given at different stages. An attempt is made to screen the hearing of all Dutch babies between the ages of 8 and 12 months. At the age of 4 or over, general audiological care is given by the school medical service; referral is first to a family doctor, who may refer to an otolaryngologist. Curative medical care (examination and therapy) is the province of the family doctor and the otolaryngologist. Otolaryngologists and pediatricians can refer patients to one of 19 Audiological Centers distributed around the country, where a number of workers in different disciplines cooperate for habilitation and rehabilitation. These may include an otolaryngologist in charge, a psychologist, a speech and hearing therapist, an audiologist (usually a physicist or university-trained engineer), social worker, technician, ortho-pedagogue, audiology assistant, and teacher. There are at the moment 25 schools for the hard of hearing and 5 institutes for the deaf. These are often found in conjunction with Audiological Centers, the latter providing paramedical assistance to the pupils by agreement. Finally, the Dutch Organization for Preventive Medicine works to prevent hearing loss in noisy industries.

  6. Profiles of Participants in the National School Lunch Program: Data from Two National Surveys. Economic Information Bulletin Number 17

    ERIC Educational Resources Information Center

    Newman, Constance; Ralston, Katherine

    2006-01-01

    The National School Lunch Program (NSLP) serves more than 29 million children each day, but there is little information on the characteristics of those children. This study reports new estimates of NSLP participant characteristics using two national surveys: the 2001 Panel of the Survey of Income and Program Participation (SIPP) and the 1999-2002…

  7. A national survey of practical airway training in UK anaesthetic departments. Time for a national policy?

    PubMed

    Lindkaer Jensen, N H; Cook, T M; Kelly, F E

    2016-11-01

    The Fourth National Audit Project (NAP4) recommended airway training for trainee and trained anaesthetists. As the skills required for management of airway emergencies differ from routine skills and these events are rare, practical training is likely to require training workshops. In 2013, we surveyed all UK National Health Service hospitals to examine the current practices regarding airway training workshops. We received responses from 206 hospitals (62%) covering all regions. Regarding airway workshops, 16% provide none and 51% only for trainees. Of those providing workshops, more than half are run less than annually. Workshop content varies widely, with several Difficult Airway Society (DAS) guideline techniques not taught or only infrequently. Reported barriers to training include lack of time and departmental or individual interest. Workshop-based airway training is variable in provision, frequency and content, and is often not prioritised by departments or individual trainers. It could be useful if guidance on workshop organisation, frequency and content was considered nationally.

  8. A concept for a decision support system based on practical experiences from a national disease emergency. The Dutch experience.

    PubMed

    Crauwels, A P; de Koning, R; Nielen, M; Elbers, A R; Dijkhuizen, A A; Tielen, M J

    2001-01-01

    In 1997-1998, the Netherlands experienced a large epidemic of classical swine fever (CSF). The magnitude of this epidemic stressed the role information systems could play in supporting the management during an eradication campaign. The enforcement of an eradication strategy can become very complicated, especially with large epidemics, due to time pressure and many different procedures that have to be executed at the same time. The application of comprehensive information systems may result in more control over the process and in a relief of the operational management. After a brief description of the Dutch epidemic the authors provide an overview and the general application of four different types of information systems, classified as decision support systems. The application of these information systems in animal disease control is illustrated by providing concepts for a system architecture for transaction processing, management and executive information support and decision support. The application of a data warehouse as part of this systems architecture is explained. The eradication of CSF from the Netherlands was complicated by several factors. It is important to notice that information systems cannot prevent these factors. However, information systems can support disease control authorities in controlling these factors.

  9. National Rivers and Streams Assessment 2008-2009: A Collaborative Survey

    EPA Science Inventory

    The National Rivers and Streams Assessment 2008–2009: A Collaborative Survey (NRSA) presents the results of an unprecedented assessment of the nation’s rivers and streams. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys design...

  10. National Lakes Assessment 2012: A Collaborative Survey of Lakes in the United States

    EPA Science Inventory

    The National Lakes Assessment 2012: A Collaborative Survey of Lakes in the United States presents the results of a second evaluation of the lakes in the United States. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys designed t...

  11. Applying Models to National Surveys of Undergraduate Science Students: What Affects Ratings of Satisfaction?

    ERIC Educational Resources Information Center

    Langan, Anthony Mark; Dunleavy, Peter; Fielding, Alan

    2013-01-01

    Many countries use national-level surveys to capture student opinions about their university experiences. It is necessary to interpret survey results in an appropriate context to inform decision-making at many levels. To provide context to national survey outcomes, we describe patterns in the ratings of science and engineering subjects from the…

  12. National Lakes Assessment 2012: A Collaborative Survey of Lakes in the United States

    EPA Science Inventory

    The National Lakes Assessment 2012: A Collaborative Survey of Lakes in the United States presents the results of a second evaluation of the lakes in the United States. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys designed t...

  13. National Rivers and Streams Assessment 2008-2009: A Collaborative Survey

    EPA Science Inventory

    The National Rivers and Streams Assessment 2008–2009: A Collaborative Survey (NRSA) presents the results of an unprecedented assessment of the nation’s rivers and streams. This report is part of the National Aquatic Resource Surveys, a series of statistically based surveys design...

  14. Nursing professionalism: a national survey of professionalism among Japanese nurses.

    PubMed

    Tanaka, Michiko; Yonemitsu, Yoshikazu; Kawamoto, Rieko

    2014-12-01

    The aim of this study was to quantify the professionalism of nurses in Japan. The Japanese version of the Behavioural Inventory for Professionalism in Nursing was conducted as a national survey. Computer-generated random selection of nurses in Japan obtained responses from 1501 nurses. A descriptive design examined the levels of and differences in nursing professionalism. Comparisons of the total level of professionalism in educational preparation, current position, years of experience, and current practice setting were analysed by one-way analysis of variance and post hoc Tukey-Kramer multiple comparison test. The results revealed that Japanese nurses had low levels of professionalism, and professionalism was related significantly to higher educational preparation, years of experience as a nurse, and current position as a nursing administrator or faculty. The results can be used as a benchmark for continued assessments of the level of nursing professionalism and for further development of nursing professionalism. © 2013 Wiley Publishing Asia Pty Ltd.

  15. [Family planning. A survey of United Nations around the world].

    PubMed

    1974-01-01

    Responses to the second worldwide survey of 80 nations on their population policy can be divided into 3 categories. First are countries with large official programs of family planning in existence: Egypt, Kenya, Tunisia, Barbados, Colombia, Panama, Trinidad and Tobago, China, India, Iran, Japan, Nepal, Pakistan, Philippines, Republic of Viet-nam, Singapore, Sri Lanka, Thailand, Turkey, Denmark, Netherlands, United Kingdom, Yugoslavia, Canada, and Fiji. Madagascar and New Zealand are starting programs. The second category is countries that encourage private family planning programs: Tanzania, Mexico, Israel, Cambodia, Bahrain, Jordan, Laos, Syria, Austria, France, West Germany, Finland, and Norway. Third are listed countries that do not officially support, or that forbid contraception: Gabon, Malawi, Zambia, Greece, Italy, and Spain. Thus Asia and North Africa have the most ambitious programs, but Europe and North America practice contraception universally.

  16. NATIONAL WATER INFORMATION SYSTEM OF THE U. S. GEOLOGICAL SURVEY.

    USGS Publications Warehouse

    Edwards, Melvin D.

    1985-01-01

    National Water Information System (NWIS) has been designed as an interactive, distributed data system. It will integrate the existing, diverse data-processing systems into a common system. It will also provide easier, more flexible use as well as more convenient access and expanded computing, dissemination, and data-analysis capabilities. The NWIS is being implemented as part of a Distributed Information System (DIS) being developed by the Survey's Water Resources Division. The NWIS will be implemented on each node of the distributed network for the local processing, storage, and dissemination of hydrologic data collected within the node's area of responsibility. The processor at each node will also be used to perform hydrologic modeling, statistical data analysis, text editing, and some administrative work.

  17. National alpine ski team career and education survey.

    PubMed

    Salmoni, A W; Rogers, R J

    1988-12-01

    Past and current National Alpine Ski Team (NAST) members were surveyed via a mailed questionnaire regarding their educational progress and attainment, career path, parental education and income, as well as their perceptions as to the effect of skiing on dimensions of personal development. The questionnaire was completed by 86% of the total possible (64 of 74) respondents. Although it was found that educational progress was retarded by involvement in elite level skiing, this conclusion could only be drawn if it was assumed that in skiers between 13 and 21 years of age, each one year change in chronological age is 'normally' accompanied by similar academic progress. It was found that upon retirement from NAST 78% of the skiers continued their formal education, with a high level of success. These results were compared to other studies concerning educational attainment.

  18. Media and secondhand smoke exposure: results from a national survey.

    PubMed

    Evans, W Douglas; Crankshaw, Erik; Nimsch, Christian; Morgan-Lopez, Antonio; Farrelly, Matthew C; Allen, Jane

    2006-01-01

    To investigate whether associations between anti-secondhand smoke (SHS) media, social cognitions about SHS, and home restrictions on smoking follow patterns observed in smoking behavior. Based on a nationally representative sample of 2348 US adults drawn from the American Legacy Foundation's American Smoking and Health Survey, we tested relationships among scales of anti-SHS media, social cognitions, and home restrictions. We found anti-SHS media and SHS cognitions, as well as social cognitions and home restrictions, to be significantly associated. Social cognitions mediated the relationship between anti-SHS media and home restrictions. Previously observed relationships between media, social cognitions, and smoking also exist for SHS. Anti-SHS media campaigns to increase home restrictions may help to reduce SHS exposure.

  19. Topical management of anterior epistaxis: a national survey.

    PubMed

    Kara, N; Spinou, C; Gardiner, Q

    2009-01-01

    The use of nasal creams and ointments in the conservative management of anterior epistaxis is well documented and supported. This study set out to obtain a national opinion, in order to establish current practice. A survey of all Scotland-based otolaryngology clinicians was conducted. Participants were asked which topical treatment they used in their practice, how often and for how long they advocated its use, and how they advised their patients to apply it. The overall response rate was 91 per cent. We discuss and compare the varying responses for the questions posed, and discuss the possible reasons for these in greater detail. This study demonstrates a high degree of variation in this practice, arising from a lack of concrete evidence and influenced by anecdotal experience and personal preferences. Definitive comparative studies are required if a 'gold standard' topical approach for the management of anterior epistaxis is to emerge.

  20. [National survey on school lunches and demand of special diets].

    PubMed

    Martínez Álvarez, J R; García Alcón, R; Villarino Marín, A; Serrano Morago, L; Marrodán Serrano, Ma D

    2012-01-01

    It is well known that to improve the feeding of the students it would improve its health and wellbeing, contributing to the reduction of the risk of chronic diseases in adults. In Spain, this is especially important considering the data of prevalence of infantile obesity. To know the number of users of school cafeterias in Spain as well as different considerations on its management, nutritional supervision and the number of special diets served to students with specific requirements due to pathologies or other causes. The II national Survey has been realized on school cafeterias: 7,710 used daily by 678,587 users. They provide near the 2.8% of special diets (allergies 38.9%, other pathologies 23.2%, religious causes 26.7% causes and celiac disease 11.1%). The numbers of prevalence of obesity and infantile overweight indicate that it is necessary to improve the diet of the students.

  1. Volunteer activity in specialist paediatric palliative care: a national survey

    PubMed Central

    Burbeck, Rachel; Low, Joe; Sampson, Elizabeth L; Scott, Rosalind; Bravery, Ruth; Candy, Bridget

    2015-01-01

    Objective To assess the involvement of volunteers with direct patient/family contact in UK palliative care services for children and young people. Method Cross-sectional survey using a web-based questionnaire. Setting UK specialist paediatric palliative care services. Participants Volunteer managers/coordinators from all UK hospice providers (n=37) and one National Health Service palliative care service involving volunteers (covering 53 services in total). Main outcomes Service characteristics, number of volunteers, extent of volunteer involvement in care services, use of volunteers’ professional skills and volunteer activities by setting. Results A total of 21 providers covering 31 hospices/palliative care services responded (30 evaluable responses). Referral age limit was 16–19 years in 23 services and 23–35 years in seven services; three services were Hospice at Home or home care only. Per service, there was a median of 25 volunteers with direct patient/family contact. Services providing only home care involved fewer volunteers than hospices with beds. Volunteers entirely ran some services, notably complementary therapy and pastoral/faith-based care. Complementary therapists, school teachers and spiritual care workers most commonly volunteered their professional skills. Volunteers undertook a wide range of activities including emotional support and recreational activities with children and siblings. Conclusions This is the most detailed national survey of volunteer activity in palliative care services for children and young people to date. It highlights the range and depth of volunteers’ contribution to specialist paediatric palliative care services and will help to provide a basis for future research, which could inform expansion of volunteers’ roles. PMID:24644170

  2. [Survey of noise exposure level of national forestry workers].

    PubMed

    Taoda, K; Watanabe, S; Nishiyama, K; Fukuchi, Y; Miyakita, T

    1998-05-01

    Eighty-one national forestry workers who were using chain saws, log cutters, log cutting machines, bush cleaners, timber-collecting cable machines and forklifts were examined for their level of noise exposure in a working day by using a portable sound meter. And their noise exposure levels Leq (8 h) for a year were estimated based on the measured noise levels and on the number of noise exposure days and hours in a year recorded in their work documents. The survey was made from July to December, 1988. The maximum noise levels with all the machines except a case of the forklift were above 100 dB, and with most chain saws they were above 110 dB. The amount of time that workers were exposed to the noise of logging and lumbering with chain saws, cutting by bush cleaners and timber-collecting cable machines without a cabin was longer than the allowable time for 90 dB and 95 dB. The number of noise exposure days in a year is fewer than reported in the past. The estimated Leq (8 h) for 32 out of 34 lumbermen surveyed was more than 85 dB, and for 5 lumbermen the Leq (8 h) was more than 90 dB. From these results, it can be concluded that there is a danger of noise induced hearing loss in national forestry workers using chain saws, log cutters, log cutting machines and timber-collecting cable machines without a cabin in 1987.

  3. Breastfeeding support in neonatal intensive care: a national survey.

    PubMed

    Maastrup, Ragnhild; Bojesen, Susanne Norby; Kronborg, Hanne; Hallström, Inger

    2012-08-01

    The incidence of breastfeeding of preterm infants is affected by the support provided at the hospital and in the neonatal intensive care unit (NICU). However, policies and guidelines promoting breastfeeding vary both nationally and internationally. The aim of this survey was to describe breastfeeding support in Danish NICUs, where approximately 98% of mothers initiate lactation. A national survey of all 19 Danish NICUs was conducted in 2009. Four NICUs were at designated Baby-Friendly hospitals, and 5 had a lactation consultant. In all NICUs, it was possible for some parents to stay overnight; 2 units had short restrictions on parents' presence. Five NICUs had integrated postpartum care for mothers. Breastfeeding policies, written guidelines, and systematic breastfeeding training for the staff were common in most NICUs. Seventeen NICUs recommended starting breast milk expression within 6 hours after birth, and mothers were encouraged to double pump. Most NICUs aimed to initiate skin-to-skin contact the first time the parents were in the NICU, and daily skin-to-skin contact was estimated to last for 2-4 hours in 63% and 4-8 hours in 37% of the units. The use of bottle-feeding was restricted. The Danish NICUs described the support of breastfeeding as a high priority, which was reflected in the recommended policies for breast milk pumping, skin-to-skin contact, and the parents' presence in the NICU, as well as in the restricted use of bottle-feeding. However, support varied between units, and not all units supported optimal breastfeeding.

  4. [Report on fourth national epidemiological sampling survey of tuberculosis].

    PubMed

    Duanmu, Hongjin

    2002-01-01

    To investigate the epidemiological trend of tuberculosis, to evaluate the efficacy of control measures and to provide scientific basis for making National Tuberculosis Control Programme 2001 approximately 2010. Tuberculin testing was carried out among 0 approximately 14 years old children; fluroscopy was carried out for >/= 15 years old population and children with >/= 10 mm reaction of tuberculin testing; chest X-ray film, sputum smear and culture were done for the patients of fluroscopy abnormal and suspects of tuberculosis symptom (persistent cough for 3 weeks or more); drug sensitivity test was done for the patients with culture positive; a retrospective study of tuberculosis mortality in 1999 was conducted at all investigation points; social economic study was done for the active pulmonary tuberculosis cases; the survey of tuberculosis infection rate for all population was carried out in 59 investigation points. The population actually examined in this survey numbered 365 097. The examination rate was more than 95%. The prevalence of active pulmonary tuberculosis was 367/100 000, the prevalence of smear positive pulmonary tuberculosis was 122/100 000 and the prevalence of bacteriological positive pulmonary tuberculosis was 160/100 000. In comparison with 1979, the annual reduction rates were 4.5% for the standardized prevalence of active pulmonary tuberculosis and 3.8% for the standardized prevalence of smear positive pulmonary tuberculosis. In comparison with 1990, the annual reduction rates were 5.4% and 3.2%, respectively. The smear positive prevalence standardized showed a 44.4% decrease in the regions of implementing project of Health V but only 12.3% decrease in the regions without the project. The prevalence in the west region was higher than national average prevalence. The epidemic of tuberculosis is still serious and prevalence decrease was slow. The governments at different levels must pay more attention to tuberculosis control programme, increase

  5. Simulation in Canadian postgraduate emergency medicine training - a national survey.

    PubMed

    Russell, Evan; Hall, Andrew Koch; Hagel, Carly; Petrosoniak, Andrew; Dagnone, Jeffrey Damon; Howes, Daniel

    2017-05-17

    Simulation-based education (SBE) is an important training strategy in emergency medicine (EM) postgraduate programs. This study sought to characterize the use of simulation in FRCPC-EM residency programs across Canada. A national survey was administered to residents and knowledgeable program representatives (PRs) at all Canadian FRCPC-EM programs. Survey question themes included simulation program characteristics, the frequency of resident participation, the location and administration of SBE, institutional barriers, interprofessional involvement, content, assessment strategies, and attitudes about SBE. Resident and PR response rates were 63% (203/321) and 100% (16/16), respectively. Residents reported a median of 20 (range 0-150) hours of annual simulation training, with 52% of residents indicating that the time dedicated to simulation training met their needs. PRs reported the frequency of SBE sessions ranging from weekly to every 6 months, with 15 (94%) programs having an established simulation curriculum. Two (13%) of the programs used simulation for resident assessment, although 15 (94%) of PRs indicated that they would be comfortable with simulation-based assessment. The most common PR-identified barriers to administering simulation were a lack of protected faculty time (75%) and a lack of faculty experience with simulation (56%). Interprofessional involvement in simulation was strongly valued by both residents and PRs. SBE is frequently used by Canadian FRCPC-EM residency programs. However, there exists considerable variability in the structure, frequency, and timing of simulation-based activities. As programs transition to competency-based medical education, national organizations and collaborations should consider the variability in how SBE is administered.

  6. Addictive internet use among Korean adolescents: a national survey.

    PubMed

    Heo, Jongho; Oh, Juhwan; Subramanian, S V; Kim, Yoon; Kawachi, Ichiro

    2014-01-01

    A psychological disorder called 'Internet addiction' has newly emerged along with a dramatic increase of worldwide Internet use. However, few studies have used population-level samples nor taken into account contextual factors on Internet addiction. We identified 57,857 middle and high school students (13-18 year olds) from a Korean nationally representative survey, which was surveyed in 2009. To identify associated factors with addictive Internet use, two-level multilevel regression models were fitted with individual-level responses (1st level) nested within schools (2nd level) to estimate associations of individual and school characteristics simultaneously. Gender differences of addictive Internet use were estimated with the regression model stratified by gender. Significant associations were found between addictive Internet use and school grade, parental education, alcohol use, tobacco use, and substance use. Female students in girls' schools were more likely to use Internet addictively than those in coeducational schools. Our results also revealed significant gender differences of addictive Internet use in its associated individual- and school-level factors. Our results suggest that multilevel risk factors along with gender differences should be considered to protect adolescents from addictive Internet use.

  7. Addictive Internet Use among Korean Adolescents: A National Survey

    PubMed Central

    Heo, Jongho; Oh, Juhwan; Subramanian, S. V.; Kim, Yoon; Kawachi, Ichiro

    2014-01-01

    Background A psychological disorder called ‘Internet addiction’ has newly emerged along with a dramatic increase of worldwide Internet use. However, few studies have used population-level samples nor taken into account contextual factors on Internet addiction. Methods and Findings We identified 57,857 middle and high school students (13–18 year olds) from a Korean nationally representative survey, which was surveyed in 2009. To identify associated factors with addictive Internet use, two-level multilevel regression models were fitted with individual-level responses (1st level) nested within schools (2nd level) to estimate associations of individual and school characteristics simultaneously. Gender differences of addictive Internet use were estimated with the regression model stratified by gender. Significant associations were found between addictive Internet use and school grade, parental education, alcohol use, tobacco use, and substance use. Female students in girls' schools were more likely to use Internet addictively than those in coeducational schools. Our results also revealed significant gender differences of addictive Internet use in its associated individual- and school-level factors. Conclusions Our results suggest that multilevel risk factors along with gender differences should be considered to protect adolescents from addictive Internet use. PMID:24505318

  8. Student civility in nursing programs: a national survey.

    PubMed

    Lashley, F R; De Meneses, M

    2001-01-01

    A survey of 611 nursing programs was performed to determine the extent to which certain problematic student behaviors existed in schools of nursing, and how they were being addressed. Participants were also asked about specific behaviors of current students compared with those of 5 years ago. Of the 611 surveys sent to program directors, 2 were undeliverable and 409 responded for a response rate of 67 per cent. The majority of respondents (48.8 per cent) were from associate degree programs, followed by baccalaureate degree (43.9 per cent), and diploma programs (7 per cent). Three disruptive behaviors were identified by all respondents: inattentiveness in class, attendance problems, and lateness. Objectionable physical contact between students and instructors were identified by 24.8 per cent, and verbal abuse toward instructors in the clinical setting by 42.8 per cent. Demographic variables examined in terms of their relationship to the behaviors included type of program, nursing program size, size of the parent institution, geographic region, location of program, and sponsorship of program. Administrators in different types of educational programs and from various geographic locations reported problematic student behaviors with high frequency. Identifying strategies for handling disruptive behaviors and assistance in implementing them is recommended along with a national forum to discuss the issue.

  9. Recovery practice in community mental health teams: national survey.

    PubMed

    Leamy, M; Clarke, E; Le Boutillier, C; Bird, V; Choudhury, R; MacPherson, R; Pesola, F; Sabas, K; Williams, J; Williams, P; Slade, M

    2016-10-01

    There is consensus about the importance of 'recovery' in mental health services, but the link between recovery orientation of mental health teams and personal recovery of individuals has been underresearched. To investigate differences in team leader, clinician and service user perspectives of recovery orientation of community adult mental health teams in England. In six English mental health National Health Service (NHS) trusts, randomly chosen community adult mental health teams were surveyed. A random sample of ten patients, one team leader and a convenience sample of five clinicians were surveyed from each team. All respondents rated the recovery orientation of their team using parallel versions of the Recovery Self Assessment (RSA). In addition, service users also rated their own personal recovery using the Questionnaire about Processes of Recovery (QPR). Team leaders (n = 22) rated recovery orientation higher than clinicians (n = 109) or patients (n = 120) (Wald(2) = 7.0, P = 0.03), and both NHS trust and team type influenced RSA ratings. Patient-rated recovery orientation was a predictor of personal recovery (b = 0.58, 95% CI 0.31-0.85, P<0.001). Team leaders and clinicians with experience of mental illness (39%) or supporting a family member or friend with mental illness (76%) did not differ in their RSA ratings from other team leaders or clinicians. Compared with team leaders, frontline clinicians and service users have less positive views on recovery orientation. Increasing recovery orientation may support personal recovery. © The Royal College of Psychiatrists 2016.

  10. Intoxicated workers: findings from a national Australian survey.

    PubMed

    Pidd, Ken; Roche, Ann M; Buisman-Pijlman, Femke

    2011-09-01

    To identify prevalence of alcohol and drug use and intoxication at work. A total of 9,828 Australian workers ≥14 years old. Australia 2007. Work-place alcohol use and drug use, intoxication at work, industry and occupation of employment. Secondary analysis of a large nationally representative survey involving descriptive and weighted multivariate logistic regressions. Differential patterns were identified by drug type, worker characteristics and occupational setting, controlling for demographic variables. Nearly 9% of workers surveyed (8.7%) usually drank alcohol at work and 0.9% usually used drugs at work. Attending work under the influence of alcohol was more prevalent (5.6%) than attending work under the influence of drugs (2.0%), and significantly more likely among young, male, never married workers with no dependent children. Hospitality industry workers were 3.5 times more likely than other workers to drink alcohol and two to three times more likely to use drugs at work or attend work under the influence of alcohol or drugs. Other high-risk industries and occupations included construction, financial services, tradespersons and unskilled workers. More than one in 20 Australian workers admit to having worked under the influence of alcohol and almost one in 50 report attending work under the influence of psychoactive drugs. The rates are higher for some industries, such as the hospitality industry, than others. © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.

  11. National survey of the Portuguese elderly nutritional status: study protocol.

    PubMed

    Madeira, Teresa; Peixoto-Plácido, Catarina; Goulão, Beatriz; Mendonça, Nuno; Alarcão, Violeta; Santos, Nuno; de Oliveira, Rita Machado; Yngve, Agneta; Bye, Asta; Bergland, Astrid; Lopes, Carla; Nicola, Paulo; Santos, Osvaldo; Clara, João Gorjão

    2016-07-16

    Worldwide we are facing a serious demographic challenge due to the dramatic growth of the population over 60 years. It is expected that the proportion of this population will nearly double from 12 to 22 %, between 2015 and 2050. This demographic shift comes with major health and socio-economic concerns. Nutrition is a fundamental determinant of both health and disease and its role in extending a healthy lifespan is the object of considerable research. Notably, malnutrition is one of the main threats to health and quality of life among the elderly. Therefore, knowledge about nutritional status among the elderly is essential for the promotion and maintenance of healthy ageing and to support the development of health protection policies and equity in elderly health care. This is a nationwide nutrition survey of the Portuguese population over 65 years old, with data collection through face-to-face interviews. A representative and random sample of community dwelling elderly and nursing homes residents will be obtained by multistage sampling stratified per main Portuguese regions, sex and age groups. Minimum sample size was estimated to be 2077 elderly (979 in the community and 1098 in nursing homes). Data will be collected on food habits and eating patterns, nutritional status, food insecurity, lifestyle, self-rated general health status and self-reported diseases, functionality, loneliness, cognitive function, emotional status and demographic and socio-economic characterization. This is the first national survey to evaluate the prevalence of nutritional risk and malnutrition of the Portuguese population above 65 years old, including those living in nursing homes. It will allow the identification of population subgroups of elderly with increased odds of malnutrition and nutritional risk. In addition, this survey will contribute to the identification of psychosocial and clinical predictors of malnutrition among elderly, which is an important risk factor for other

  12. Yoga in Australia: Results of a national survey.

    PubMed

    Penman, Stephen; Cohen, Marc; Stevens, Philip; Jackson, Sue

    2012-07-01

    The therapeutic benefits of yoga and meditation are well documented, yet little is known about the practice of yoga in Australia or elsewhere, whether as a physical activity, a form of therapy, a spiritual path or a lifestyle. To investigate the practice of yoga in Australia, a national survey of yoga practitioners was conducted utilizing a comprehensive web-based questionnaire. Respondents were self-selecting to participate. A total of 3,892 respondents completed the survey. Sixty overseas respondents and 1265 yoga teachers (to be reported separately) were excluded, leaving 2,567 yoga practitioner respondents. The typical yoga survey respondent was a 41-year-old, tertiary educated, employed, health-conscious female (85% women). Asana (postures) and vinyasa (sequences of postures) represented 61% of the time spent practicing, with the other 39% devoted to the gentler practices of relaxation, pranayama (breathing techniques), meditation and instruction. Respondents commonly started practicing yoga for health and fitness but often continued practicing for stress management. One in five respondents practiced yoga for a specific health or medical reason which was seen to be improved by yoga practice. Of these, more people used yoga for stress management and anxiety than back, neck or shoulder problems, suggesting that mental health may be the primary health-related motivation for practicing yoga. Healthy lifestyle choices were seen to be more prevalent in respondents with more years of practice. Yoga-related injuries occurring under supervision in the previous 12 months were low at 2.4% of respondents. Yoga practice was seen to assist in the management of specific health issues and medical conditions. Regular yoga practice may also exert a healthy lifestyle effect including vegetarianism, non-smoking, reduced alcohol consumption, increased exercise and reduced stress with resulting cost benefits to the community.

  13. Japanese Practicing Physicians' Relationships with Pharmaceutical Representatives: A National Survey

    PubMed Central

    Saito, Sayaka; Mukohara, Kei; Bito, Seiji

    2010-01-01

    Background Previous surveys on the relationship between physicians and pharmaceutical representatives (PRs) have been of limited quality. The purpose of our survey of practicing physicians in Japan was to assess the extent of their involvement in pharmaceutical promotional activities, physician characteristics that predict such involvement, attitudes toward relationships with PRs, correlations between the extent of involvement and attitudes, and differences in the extent of involvement according to self-reported prescribing behaviors. Methods and Findings From January to March 2008, we conducted a national survey of 2621 practicing physicians in seven specialties: internal medicine, general surgery, orthopedic surgery, pediatrics, obstetrics-gynecology, psychiatry, and ophthalmology. The response rate was 54%. Most physicians met with PRs (98%), received drug samples (85%) and stationery (96%), and participated in industry-sponsored continuing medical education (CME) events at the workplace (80%) and outside the workplace (93%). Half accepted meals outside the workplace (49%) and financial subsidies to attend CME events (49%). Rules at the workplace banning both meetings with PRs and gifts predicted less involvement of physicians in promotional activities. Physicians valued information from PRs. They believed that they were unlikely to be influenced by promotional activities, but that their colleagues were more susceptible to such influence than themselves. They were divided about the appropriateness of low-value gifts. The extent of physician involvement in promotional activities was positively correlated with the attitudes that PRs are a valuable source of information and that gifts are appropriate. The extent of such involvement was higher among physicians who prefer to ask PRs for information when a new medication becomes available, physicians who are not satisfied with patient encounters ending only with advice, and physicians who prefer to prescribe brand

  14. Yoga in Australia: Results of a national survey

    PubMed Central

    Penman, Stephen; Cohen, Marc; Stevens, Philip; Jackson, Sue

    2012-01-01

    Introduction: The therapeutic benefits of yoga and meditation are well documented, yet little is known about the practice of yoga in Australia or elsewhere, whether as a physical activity, a form of therapy, a spiritual path or a lifestyle. Materials and Methods: To investigate the practice of yoga in Australia, a national survey of yoga practitioners was conducted utilizing a comprehensive web-based questionnaire. Respondents were self-selecting to participate. A total of 3,892 respondents completed the survey. Sixty overseas respondents and 1265 yoga teachers (to be reported separately) were excluded, leaving 2,567 yoga practitioner respondents. Results: The typical yoga survey respondent was a 41-year-old, tertiary educated, employed, health-conscious female (85% women). Asana (postures) and vinyasa (sequences of postures) represented 61% of the time spent practicing, with the other 39% devoted to the gentler practices of relaxation, pranayama (breathing techniques), meditation and instruction. Respondents commonly started practicing yoga for health and fitness but often continued practicing for stress management. One in five respondents practiced yoga for a specific health or medical reason which was seen to be improved by yoga practice. Of these, more people used yoga for stress management and anxiety than back, neck or shoulder problems, suggesting that mental health may be the primary health-related motivation for practicing yoga. Healthy lifestyle choices were seen to be more prevalent in respondents with more years of practice. Yoga-related injuries occurring under supervision in the previous 12 months were low at 2.4% of respondents. Conclusions: Yoga practice was seen to assist in the management of specific health issues and medical conditions. Regular yoga practice may also exert a healthy lifestyle effect including vegetarianism, non-smoking, reduced alcohol consumption, increased exercise and reduced stress with resulting cost benefits to the

  15. Malpractice Liability and Defensive Medicine: A National Survey of Neurosurgeons

    PubMed Central

    Smith, Timothy R.; Heary, Robert F.

    2012-01-01

    Background Concern over rising healthcare expenditures has led to increased scrutiny of medical practices. As medical liability and malpractice risk rise to crisis levels, the medical-legal environment has contributed to the practice of defensive medicine as practitioners attempt to mitigate liability risk. High-risk specialties, such as neurosurgery, are particularly affected and neurosurgeons have altered their practices to lessen medical-legal risk. We present the first national survey of American neurosurgeons’ perceptions of malpractice liability and defensive medicine practices. Methods A validated, 51-question online-survey was sent to 3344 practicing U.S. neurosurgeon members of the American Association of Neurological Surgeons, which represents 76% of neurosurgeons in academic and private practices. Results A total of 1028 surveys were completed (31% response rate) by neurosurgeons representing diverse sub-specialty practices. Respondents engaged in defensive medicine practices by ordering additional imaging studies (72%), laboratory tests (67%), referring patients to consultants (66%), or prescribing medications (40%). Malpractice premiums were considered a “major or extreme” burden by 64% of respondents which resulted in 45% of respondents eliminating high-risk procedures from their practice due to liability concerns. Conclusions Concerns and perceptions about medical liability lead practitioners to practice defensive medicine. As a result, diagnostic testing, consultations and imaging studies are ordered to satisfy a perceived legal risk, resulting in higher healthcare expenditures. To minimize malpractice risk, some neurosurgeons have eliminated high-risk procedures. Left unchecked, concerns over medical liability will further defensive medicine practices, limit patient access to care, and increase the cost of healthcare delivery in the United States. PMID:22761745

  16. Malpractice liability and defensive medicine: a national survey of neurosurgeons.

    PubMed

    Nahed, Brian V; Babu, Maya A; Smith, Timothy R; Heary, Robert F

    2012-01-01

    Concern over rising healthcare expenditures has led to increased scrutiny of medical practices. As medical liability and malpractice risk rise to crisis levels, the medical-legal environment has contributed to the practice of defensive medicine as practitioners attempt to mitigate liability risk. High-risk specialties, such as neurosurgery, are particularly affected and neurosurgeons have altered their practices to lessen medical-legal risk. We present the first national survey of American neurosurgeons' perceptions of malpractice liability and defensive medicine practices. A validated, 51-question online-survey was sent to 3344 practicing U.S. neurosurgeon members of the American Association of Neurological Surgeons, which represents 76% of neurosurgeons in academic and private practices. A total of 1028 surveys were completed (31% response rate) by neurosurgeons representing diverse sub-specialty practices. Respondents engaged in defensive medicine practices by ordering additional imaging studies (72%), laboratory tests (67%), referring patients to consultants (66%), or prescribing medications (40%). Malpractice premiums were considered a "major or extreme" burden by 64% of respondents which resulted in 45% of respondents eliminating high-risk procedures from their practice due to liability concerns. Concerns and perceptions about medical liability lead practitioners to practice defensive medicine. As a result, diagnostic testing, consultations and imaging studies are ordered to satisfy a perceived legal risk, resulting in higher healthcare expenditures. To minimize malpractice risk, some neurosurgeons have eliminated high-risk procedures. Left unchecked, concerns over medical liability will further defensive medicine practices, limit patient access to care, and increase the cost of healthcare delivery in the United States.

  17. A national survey of gambling problems in Canada.

    PubMed

    Cox, Brian J; Yu, Nancy; Afifi, Tracie O; Ladouceur, Robert

    2005-03-01

    The 1990s saw widespread expansion of new forms of legalized gambling involving video lottery terminals (VLTs) in community settings (that is, in bars and restaurant lounges) and permanent casinos in several Canadian provinces. To date, there has never been a national survey of gambling problems with representative interprovincial data. Using a new survey, we sought to compare prevalence figures across the 10 Canadian provinces. Using the Canadian Problem Gambling Index, we investigated the current 12-month prevalence of gambling problems in the Canadian Community Health Survey: Cycle 1.2--Mental Health and Well-Being, in which a random sample of 34,770 community-dwelling respondents aged 15 years and over were interviewed. The response rate was 77%. The data are representative at the provincial level and were compared with the availability of VLTs per 1000 population and with the presence of permanent casinos for each province. Manitoba (2.9%) and Saskatchewan (also 2.9%) had the highest prevalence of gambling problems (specifically, moderate and severe problem levels combined). These 2 provinces had significantly higher levels than the 2 provinces with the lowest prevalence of gambling problems: Quebec (1.7%) and New Brunswick (1.5%). The 12-month prevalence of gambling problems in Canada was 2.0%, with interprovincial variability. The highest prevalence emerged in areas with high concentrations of VLTs in the community combined with permanent casinos. These findings support earlier predictions that the rapid and prolific expansion of new forms of legalized gambling in many regions of the country would be associated with a considerable public health cost.

  18. Prevalence of asthma in Portugal - The Portuguese National Asthma Survey

    PubMed Central

    2012-01-01

    Background Asthma is a frequent chronic respiratory disease in both children and adults. However, few data on asthma prevalence are available in Portugal. The Portuguese National Asthma Survey is the first nationwide study that uses standardized methods. We aimed to estimate the prevalence of current asthma in the Portuguese population and to assess the association between ‘Current asthma’ and comorbidities such as upper airways disease. Methods A cross-sectional, population-based, telephone interview survey including all municipalities of Portugal was undertaken. Participants were randomly selected to answer a questionnaire based on the Portuguese version of the GA2LEN survey. ‘Current asthma’ was defined as self-reported lifetime asthma and at least one of 3 symptoms in the last 12 months: wheezing, waking with breathlessness or having an asthma attack. Results Data were obtained for 6 003 respondents, with mean age of 38.9 (95%CI 38.2-39.6) years and 57.3% females. In the Portuguese population, the prevalence of ‘Current asthma’ was 6.8% (95%CI 6.0-7.7) and of ‘Lifetime asthma’ was 10.5% (95%CI 9.5-11.6) Using GA2LEN definition for asthma, our prevalence estimate was 7.8% (95%CI 7.0-8.8). Rhinitis had a strong association with asthma (Adjusted OR 3.87, 95%CI 2.90-5.18) and the association between upper airway diseases and asthma was stronger in patients with both rhinitis and sinusitis (Adjusted OR 13.93, 95%CI 6.60-29.44). Conclusions Current asthma affects 695 000 Portuguese, with a prevalence of 6.8%. People who reported both rhinitis and sinusitis had the highest risk of having asthma. PMID:22931550

  19. Japanese practicing physicians' relationships with pharmaceutical representatives: a national survey.

    PubMed

    Saito, Sayaka; Mukohara, Kei; Bito, Seiji

    2010-08-13

    Previous surveys on the relationship between physicians and pharmaceutical representatives (PRs) have been of limited quality. The purpose of our survey of practicing physicians in Japan was to assess the extent of their involvement in pharmaceutical promotional activities, physician characteristics that predict such involvement, attitudes toward relationships with PRs, correlations between the extent of involvement and attitudes, and differences in the extent of involvement according to self-reported prescribing behaviors. From January to March 2008, we conducted a national survey of 2621 practicing physicians in seven specialties: internal medicine, general surgery, orthopedic surgery, pediatrics, obstetrics-gynecology, psychiatry, and ophthalmology. The response rate was 54%. Most physicians met with PRs (98%), received drug samples (85%) and stationery (96%), and participated in industry-sponsored continuing medical education (CME) events at the workplace (80%) and outside the workplace (93%). Half accepted meals outside the workplace (49%) and financial subsidies to attend CME events (49%). Rules at the workplace banning both meetings with PRs and gifts predicted less involvement of physicians in promotional activities. Physicians valued information from PRs. They believed that they were unlikely to be influenced by promotional activities, but that their colleagues were more susceptible to such influence than themselves. They were divided about the appropriateness of low-value gifts. The extent of physician involvement in promotional activities was positively correlated with the attitudes that PRs are a valuable source of information and that gifts are appropriate. The extent of such involvement was higher among physicians who prefer to ask PRs for information when a new medication becomes available, physicians who are not satisfied with patient encounters ending only with advice, and physicians who prefer to prescribe brand-name medications. Involvement in

  20. 78 FR 77204 - Proposed Information Collection (VA National Veterans Sports Programs and Special Event Surveys...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... AFFAIRS Proposed Information Collection (VA National Veterans Sports Programs and Special Event Surveys... solicits comments on the information needed to evaluate the National Veterans Sports Programs and Special... ``OMB Control No. 2900-NEW (VA National Veterans Sports Programs and Special Event Surveys)'' in any...

  1. Highlights of the 2004 National Youth Gang Survey. OJJDP Fact Sheet. FS-200601

    ERIC Educational Resources Information Center

    Egley, Arlen, Jr.; Ritz, Christina E.

    2006-01-01

    Annually since 1995, the National Youth Gang Center (NYGC) has conducted the National Youth Gang Survey (NYGS) of law enforcement agencies across the United States regarding the presences and characteristics of local gang problems. This Fact Sheet summarizes NYGS findings from the 2004 survey. The nationally representative sample included the…

  2. Selection bias of Internet panel surveys: a comparison with a paper-based survey and national governmental statistics in Japan.

    PubMed

    Tsuboi, Satoshi; Yoshida, Honami; Ae, Ryusuke; Kojo, Takao; Nakamura, Yosikazu; Kitamura, Kunio

    2015-03-01

    To investigate the selection bias of an Internet panel survey organized by a commercial company. A descriptive study was conducted. The authors compared the characteristics of the Internet panel survey with a national paper-based survey and with national governmental statistics in Japan. The participants in the Internet panel survey were composed of more women, were older, and resided in large cities. Regardless of age and sex, the prevalence of highly educated people in the Internet panel survey was higher than in the paper-based survey and the national statistics. In men, the prevalence of heavy drinkers among the 30- to 49-year-old population and of habitual smokers among the 20- to 49-year-old population in the Internet panel survey was lower than what was found in the national statistics. The estimated characteristics of commercial Internet panel surveys were quite different from the national statistical data. In a commercial Internet panel survey, selection bias should not be underestimated. © 2012 APJPH.

  3. A national quality assurance survey of Neisseria gonorrhoeae testing.

    PubMed

    Trembizki, Ella; Lahra, Monica; Stevens, Kerrie; Freeman, Kevin; Hogan, Tiffany; Hogg, Geoff; Lawrence, Andrew; Limnios, Athena; Pearson, Julie; Smith, Helen; Nissen, Michael; Sloots, Theo; Whiley, David

    2014-01-01

    The aims of this study were to (1) conduct a national survey of Neisseria gonorrhoeae identification by National Neisseria Network (NNN) reference laboratories contributing data to the Australian Gonococcal Surveillance Programme and (2) determine the prevalence in Australia of strains of N. gonorrhoeae lacking gene sequences commonly targeted by in-house PCR assays for confirmation of gonococcal nucleic acid amplification tests. Gonococcal clinical isolates referred to NNN laboratories for the first half of 2012 were screened using in-house real-time PCR assays targeting multicopy opa, porA pseudogene and cppB genes. There were 2455 clinical gonococcal isolates received in the study period; 98.6 % (2420/2455) of isolates harboured all three gene targets, 0.12 % (3/2455) were porA-negative, 0.04 % (1/2455) opa-negative and 1.14 % (28/2455) cppB-negative by PCR. Notably, no isolates were simultaneously negative for two targets. However, three isolates failed to be amplified by all three PCR methods, one isolate of which was shown to be a commensal Neisseria strain by 16S rRNA sequencing. Using PCR as the reference standard the results showed that (1) identification of N. gonorrhoeae isolates by NNN laboratories was highly specific (99.96 %) and (2) strains of N. gonorrhoeae lacking gene sequences commonly targeted by in-house PCR assays are present but not widespread throughout Australia at this point in time.

  4. National Geothermal Data System: State Geological Survey Contributions to Date

    NASA Astrophysics Data System (ADS)

    Patten, K.; Allison, M. L.; Richard, S. M.; Clark, R.; Love, D.; Coleman, C.; Caudill, C.; Matti, J.; Musil, L.; Day, J.; Chen, G.

    2012-12-01

    In collaboration with the Association of American State Geologists the Arizona Geological Survey is leading the effort to bring legacy geothermal data to the U.S. Department of Energy's National Geothermal Data System (NGDS). NGDS is a national, sustainable, distributed, interoperable network of data and service (application) providers entering its final stages of development. Once completed the geothermal industry, the public, and policy makers will have access to consistent and reliable data, which in turn, reduces the amount of staff time devoted to finding, retrieving, integrating, and verifying information. With easier access to information, the high cost and risk of geothermal power projects (especially exploration drilling) is reduced. This presentation focuses on the scientific and data integration methodology as well as State Geological Survey contributions to date. The NGDS is built using the U.S. Geoscience Information Network (USGIN) data integration framework to promote interoperability across the Earth sciences community and with other emerging data integration and networking efforts. Core to the USGIN concept is that of data provenance; by allowing data providers to maintain and house their data. After concluding the second year of the project, we have nearly 800 datasets representing over 2 million data points from the state geological surveys. A new AASG specific search catalog based on popular internet search formats enables end users to more easily find and identify geothermal resources in a specific region. Sixteen states, including a consortium of Great Basin states, have initiated new field data collection for submission to the NGDS. The new field data includes data from at least 21 newly drilled thermal gradient holes in previously unexplored areas. Most of the datasets provided to the NGDS are being portrayed as Open Geospatial Consortium (OGC) Web Map Services (WMS) and Web Feature Services (WFS), meaning that the data is compatible with a

  5. Mood Instability and Psychosis: Analyses of British National Survey Data

    PubMed Central

    Bebbington, Paul E.

    2014-01-01

    Background: We used British national survey data to test specific hypotheses that mood instability (1) is associated with psychosis and individual psychotic phenomena, (2) predicts the later emergence of auditory hallucinations and paranoid ideation, and (3) mediates the link between child sexual abuse and psychosis. Methods: We analyzed data from the 2000 and 2007 UK national surveys of psychiatric morbidity (N = 8580 and 7403, respectively). The 2000 survey included an 18-month follow-up of a subsample (N = 2406). Mood instability was assessed from the Structured Clinical Interview for DSM-IV Axis II (SCID-II) questionnaire. Our dependent variables comprised auditory hallucinations, paranoid ideation, the presence of psychosis overall, and a 15-item paranoia scale. Results: Mood instability was strongly associated in cross-sectional analyses with psychosis (2000: OR: 7.5; 95% CI: I 4.1–13.8; 2007: OR: 21.4; CI: 9.7–41.2), paranoid ideation (2000: OR: 4.7; CI: 4.1–5.4; 2007: OR: 5.7; CI: 4.9–6.7), auditory hallucinations (2000: OR: 3.4; CI: 2.6–4.4; 2007: OR 3.5; CI: 2.7–4.7), and paranoia total score (2000: Coefficient: 3.6; CI: 3.3–3.9), remaining so after adjustment for current mood state. Baseline mood instability significantly predicted 18-month inceptions of paranoid ideation (OR: 2.3; CI: 1.6–3.3) and of auditory hallucinations (OR: 2.6; CI: 1.5–4.4). Finally, it mediated a third of the total association of child sexual abuse with psychosis and persecutory ideation and a quarter of that with auditory hallucinations. Conclusions: Mood instability is a prominent feature of psychotic experience and may have a role in its genesis. Targeting mood instability could lead to innovative treatments for psychosis. PMID:24162517

  6. Snakebite Mortality in India: A Nationally Representative Mortality Survey

    PubMed Central

    Mohapatra, Bijayeeni; Warrell, David A.; Suraweera, Wilson; Bhatia, Prakash; Dhingra, Neeraj; Jotkar, Raju M.; Rodriguez, Peter S.; Mishra, Kaushik; Whitaker, Romulus; Jha, Prabhat

    2011-01-01

    Background India has long been thought to have more snakebites than any other country. However, inadequate hospital-based reporting has resulted in estimates of total annual snakebite mortality ranging widely from about 1,300 to 50,000. We calculated direct estimates of snakebite mortality from a national mortality survey. Methods and Findings We conducted a nationally representative study of 123,000 deaths from 6,671 randomly selected areas in 2001–03. Full-time, non-medical field workers interviewed living respondents about all deaths. The underlying causes were independently coded by two of 130 trained physicians. Discrepancies were resolved by anonymous reconciliation or, failing that, by adjudication. A total of 562 deaths (0.47% of total deaths) were assigned to snakebites. Snakebite deaths occurred mostly in rural areas (97%), were more common in males (59%) than females (41%), and peaked at ages 15–29 years (25%) and during the monsoon months of June to September. This proportion represents about 45,900 annual snakebite deaths nationally (99% CI 40,900 to 50,900) or an annual age-standardised rate of 4.1/100,000 (99% CI 3.6–4.5), with higher rates in rural areas (5.4/100,000; 99% CI 4.8–6.0), and with the highest state rate in Andhra Pradesh (6.2). Annual snakebite deaths were greatest in the states of Uttar Pradesh (8,700), Andhra Pradesh (5,200), and Bihar (4,500). Conclusions Snakebite remains an underestimated cause of accidental death in modern India. Because a large proportion of global totals of snakebites arise from India, global snakebite totals might also be underestimated. Community education, appropriate training of medical staff and better distribution of antivenom, especially to the 13 states with the highest prevalence, could reduce snakebite deaths in India. PMID:21532748

  7. A National Survey of Physician Practices Regarding Influenza Vaccine

    PubMed Central

    Davis, Matthew M; McMahon, Shawn R; Santoli, Jeanne M; Schwartz, Benjamin; Clark, Sarah J

    2002-01-01

    OBJECTIVE To characterize U.S. physicians' practices regarding influenza vaccine, particularly regarding the capacity to identify high-risk patients, the use of reminder systems, and the typical period of administration of vaccine. DESIGN Cross-sectional mail survey administered in October and November 2000. PARTICIPANTS National random sample of internists and family physicians (N = 1,606). RESULTS Response rate was 60%. Family physicians are significantly more likely than internists to administer influenza vaccine in their practices (82% vs 76%; P < .05). Eighty percent of physicians typically administer influenza vaccine for 3 to 5 months, but only 27% continue administering vaccine after the typical national peak of influenza activity. Only one half of physicians said their practices are able to generate lists of patients with chronic illnesses at high risk for complications of influenza, and only one quarter had used mail or telephone reminder systems to contact high-risk patients. Physicians working in a physician network (including managed care organizations) are more than twice as likely to use reminders as physicians in other practice settings (odds ratio, 2.04; 95% confidence interval, 1.17 to 3.55). CONCLUSIONS Over three quarters of U.S. internists and family physicians routinely administer influenza vaccine, but few continue immunization efforts past the typical national peak of influenza activity. Many physicians may be limited by their practice data systems' capacity to identify high-risk patients. Despite the known effectiveness and cost-effectiveness of reminder systems, few physicians use reminders for influenza vaccination efforts. These findings raise concerns about meeting domestic influenza vaccination goals—especially for individuals with chronic illness and during periods of delayed vaccine availability—and the possibility of increased morbidity and mortality attributable to influenza as a result. PMID:12220362

  8. Tonometer prism sterilisation: a local and UK national survey.

    PubMed

    Chandra, Aman; Barsam, Allon; Hammond, Christopher J

    2008-02-01

    First to audit local adherence to a protocol of use of an alcohol wipe for each tonometry, and secondly to assess current practice nationally in the UK. The audit was carried out at two units: The West Kent Eye Centre at the Princess Royal University Hospital (Orpington, UK) and Queen Mary's Hospital (Sidcup, UK). The standard set for this audit was 100% sterilisation. During a 1-week period in November 2005, the number of alcohol wipes was counted in each consultation room after outpatient clinics, with the doctors being assessed blind to the survey. The number of Goldman applanation tonometry intra-ocular pressures recorded by each clinician was counted by inspection of the medical records of patients seen. Secondly, departments listed in the UK Directory of Training Posts were contacted by telephone and the senior nurse was interviewed. They were asked directly about their department's tonometer prism sterilisation and management. The local audit showed only 54% of tonometry measurements were associated with sterilisation using an alcohol-impregnated wipe. The national survey included 140 of the 152 UK training departments. Thirty-three (23.6%) departments used disposable tonometer prisms routinely. The remaining 107 (76.4%) used non-disposable prisms. Eighty-five (60.7%) departments provided sodium hypochlorite for prism sterilisation, with 69 (81.2%) of these departments providing more than one prism/clinician to allow full exposure to the disinfectant. Twenty-two (15.7%) departments used alcohol wipes. Only 8 (7.5%) of the 107 departments using non-disposable prisms tracked these prisms, despite Royal College of Ophthalmologists guidelines that they should be. These same 8 (7.5%) departments replaced the non-disposable prisms as per manufacturer guidelines. 19.3% of charge nurses were aware of a policy for tonometry in patients with, or at risk of, prion disease. This study highlights that sterilisation of tonometer prisms was inconsistent in a local audit

  9. Survey of invasive ants at Hakalau Forest National Wildlife Refuge

    USGS Publications Warehouse

    Peck, Robert W.; Banko, Paul C.

    2011-01-01

    We conducted a survey for invasive ants at Hakalau Forest National Wildlife Refuge, Hawai‘i Island, during 2009–2010 to evaluate potential threats to native arthropod communities and food webs. The focal area of the survey was the upper portion of the Hakalau Unit of the refuge, where native forest was being restored in abandoned cattle pastures. This area, between 1575 and 1940 m elevations, contained much alien kikuyu grass (Pennisetum clandestinum), but koa (Acacia koa) trees and other native species that were planted in the past 20 years were rapidly filling in the pasture. We surveyed for ants at predetermined points along roads, fences, and corridors of planted koa. Sampling methods primarily consisted of hand searching and pitfall traps, but bait cards were used additionally in some instances. Our results indicated that a single species, Cardiocondyla kagutsuchi, was widespread across the upper portion of the refuge. Cardiocondyla kagutsuchi seemed absent, or at least rare, in areas of tall, dense grass. Due to the undulating topography of the area, however, the dense grass cover was interspersed with outcroppings of exposed, gravelly soil. Presumably due to warming by the sun, many of the outcropped habitats supported colonies of C. kagutsuchi. We did not detect ants in the old-growth forest below the abandoned pastures, presumably because microhabitat conditions under the forest canopy were unsuitable. Although ecological impacts of C. kagutsuchi have not been reported, they may be limited by the small size of the ant, the relatively small size of colonies, and the apparent preference of the ant for disturbed areas that are dominated by alien species. Notably, our survey of Keanakolu-Mana Road between the Observatory Road (John A. Burns Way) and the town of Waimea detected a population of Argentine ants (Linepithema humile) approximately 5.1 km north of the Maulua Section of the refuge. We also surveyed for ants on the Kona Forest Unit of the refuge

  10. Benchmarks in Clinical Productivity: A National Comprehensive Cancer Network Survey

    PubMed Central

    Stewart, F. Marc; Wasserman, Robert L.; Bloomfield, Clara D.; Petersdorf, Stephen; Witherspoon, Robert P.; Appelbaum, Frederick R.; Ziskind, Andrew; McKenna, Brian; Dodson, Jennifer M.; Weeks, Jane; Vaughan, William P.; Storer, Barry; Perkel, Sara; Waldinger, Marcy

    2007-01-01

    Purpose Oncologists in academic cancer centers usually generate professional fees that are insufficient to cover salaries and other expenses, despite significant clinical activity; therefore, supplemental funding is frequently required in order to support competitive levels of physician compensation. Relative value units (RVUs) allow comparisons of productivity across institutions and practice locations and provide a reasonable point of reference on which funding decisions can be based. Methods We reviewed the clinical productivity and other characteristics of oncology physicians practicing in 13 major academic cancer institutions with membership or shared membership in the National Comprehensive Cancer Network (NCCN). The objectives of this study were to develop tools that would lead to better-informed decision making regarding practice management and physician deployment in comprehensive cancer centers and to determine benchmarks of productivity using RVUs accrued by physicians at each institution. Three hundred fifty-three individual physician practices across the 13 NCCN institutions in the survey provided data describing adult hematology/medical oncology and bone marrow/stem-cell transplantation programs. Data from the member institutions participating in the survey included all American Medical Association Current Procedural Terminology (CPT®) codes generated (billed) by each physician during each organization's fiscal year 2003 as a measure of actual clinical productivity. Physician characteristic data included specialty, clinical full-time equivalent (CFTE) status, faculty rank, faculty track, number of years of experience, and total salary by funding source. The average adult hematologist/medical oncologist in our sample would produce 3,745 RVUs if he/she worked full-time as a clinician (100% CFTE), compared with 4,506 RVUs for a 100% CFTE transplant oncologist. Results and Conclusion Our results suggest specific clinical productivity targets for academic

  11. [French national survey on incoming phone calls in oncology departments].

    PubMed

    Joly, Florence; Guillot, Aline; Vano, Yann-Alexandre; Spaeth, Dominique; Topart, Delphine; Roffet, Pascal; El Amarti, Rachid; Hasbini, Ali; Fléchon, Aude

    2017-06-01

    Oral therapies have shifted the follow-up of patients with cancer from hospital to home. As a consequence, the number of incoming calls has increased. To understand the source, reasons, management and burden of calls, we underwent a French national survey. The objective was to describe the way calls are managed in oncology departments. The study was a prospective survey in a representative sample of French oncology specialists using oral therapies. Among 51 participating onco/radiotherapy departments, 86 % of specialists were oncologists or hematologists and 14 % radiation oncologists. Eighty percent were from public centers and 20 % from private ones. The median number of calls/week was 110. Sixty-six percent of calls were from patients and families and 23 % from general practitioners. Upon calls reception by the secretaries, half of them corresponded to a medical question. Sixty-five percent of centers did not have an established specific procedure and 70 % of responders did not specifically train their teams to address the management of calls. Sixty-five percent of the specialists spent more than 30min/day. Most of them considered it disturbing medical activities. Sixty-six percent of patients calls were related to adverse effects of treatments. Twenty-two percent of specialists declared at least one severe adverse effect linked to misinterpretation of a call. With the increase of oral therapies, incoming phone calls represent an important burden of work. To improve calls management, adaptations of organizations are needed. Copyright © 2017 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

  12. National Survey of Burnout among US General Surgery Residents

    PubMed Central

    Elmore, Leisha C; Jeffe, Donna B; Jin, Linda; Awad, Michael M; Turnbull, Isaiah R

    2017-01-01

    Background Burnout is a complex syndrome of emotional distress that can disproportionately affect individuals who work in healthcare professions. Study Design For a national survey of burnout in US general surgery residents, we asked all Accreditation Council for Graduate Medical Education-accredited general surgery program directors to email their general surgery residents an invitation to complete an anonymous, online survey. Burnout was assessed with the Maslach Burnout Inventory; total scores for Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA) subscales were calculated. Burnout was defined as having a score in the highest tertile for EE or DP or lowest tertile for PA. Chi-square tests and one-way analyses of variance were used to test associations between burnout tertiles for each subscale and various resident and training-program characteristics as appropriate. Results From April–December, 2014, 665 residents actively engaged in clinical training had data for analysis; 69% met the criterion for burnout on at least one subscale. Higher burnout on each subscale was reported by residents planning private practice compared with academic careers. A greater proportion of women than men reported burnout on EE and PA. Higher burnout on EE and DP was associated with greater work hours per week. Having a structured mentoring program was associated with lower burnout on each subscale. Conclusions The high rates of burnout among general surgery residents are concerning given the potential impact of burnout on the quality of patient care. Efforts to identify at-risk populations and to design targeted interventions to mitigate burnout in surgical trainees are warranted. PMID:27238875

  13. Children's surgery: a national survey of consultant clinical practice

    PubMed Central

    Mason, David G; Shotton, Hannah; Wilkinson, Kathleen A; Gough, Michael J; Alleway, Robert; Freeth, Heather; Mason, Marisa

    2012-01-01

    Objectives To survey clinical practice and opinions of consultant surgeons and anaesthetists caring for children to inform the needs for training, commissioning and management of children's surgery in the UK. Design The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) hosted an online survey to gather data on current clinical practice of UK consultant surgeons and anaesthetists caring for children. Setting The questionnaire was circulated to all hospitals and to Anaesthetic and Surgical Royal Colleges, and relevant specialist societies covering the UK and the Channel Islands and was mainly completed by consultants in District General Hospitals. Participants 555 surgeons and 1561 anaesthetists completed the questionnaire. Results 32.6% of surgeons and 43.5% of anaesthetists considered that there were deficiencies in their hospital's facilities that potentially compromised delivery of a safe children's surgical service. Almost 10% of all consultants considered that their postgraduate training was insufficient for current paediatric practice and 20% felt that recent Continued Professional Development failed to maintain paediatric expertise. 45.4% of surgeons and 39.2% of anaesthetists considered that the current specialty curriculum should have a larger paediatric component. Consultants in non-specialist paediatric centres were prepared to care for younger children admitted for surgery as emergencies than those admitted electively. Many of the surgeons and anaesthetists had <4 h/week in paediatric practice. Only 55.3% of surgeons and 42.8% of anaesthetists participated in any form of regular multidisciplinary review of children undergoing surgery. Conclusions There are significant obstacles to consultant surgeons and anaesthetists providing a competent surgical service for children. Postgraduate curricula must meet the needs of trainees who will be expected to include children in their caseload as consultants. Trusts must ensure appropriate

  14. Recovery practice in community mental health teams: national survey

    PubMed Central

    Leamy, M.; Clarke, E.; Le Boutillier, C.; Bird, V.; Choudhury, R.; MacPherson, R.; Pesola, F.; Sabas, K.; Williams, J.; Williams, P.; Slade, M.

    2016-01-01

    Background There is consensus about the importance of ‘recovery’ in mental health services, but the link between recovery orientation of mental health teams and personal recovery of individuals has been underresearched. Aims To investigate differences in team leader, clinician and service user perspectives of recovery orientation of community adult mental health teams in England. Method In six English mental health National Health Service (NHS) trusts, randomly chosen community adult mental health teams were surveyed. A random sample of ten patients, one team leader and a convenience sample of five clinicians were surveyed from each team. All respondents rated the recovery orientation of their team using parallel versions of the Recovery Self Assessment (RSA). In addition, service users also rated their own personal recovery using the Questionnaire about Processes of Recovery (QPR). Results Team leaders (n = 22) rated recovery orientation higher than clinicians (n = 109) or patients (n = 120) (Wald(2) = 7.0, P = 0.03), and both NHS trust and team type influenced RSA ratings. Patient-rated recovery orientation was a predictor of personal recovery (b = 0.58, 95% CI 0.31–0.85, P<0.001). Team leaders and clinicians with experience of mental illness (39%) or supporting a family member or friend with mental illness (76%) did not differ in their RSA ratings from other team leaders or clinicians. Conclusions Compared with team leaders, frontline clinicians and service users have less positive views on recovery orientation. Increasing recovery orientation may support personal recovery. PMID:27340113

  15. National Survey of Yoga Practitioners: Mental and Physical Health Benefits

    PubMed Central

    Ross, Alyson; Friedmann, Erika; Bevans, Margaret; Thomas, Sue

    2013-01-01

    Summary Objectives to describe yoga practice and health characteristics of individuals who practice yoga, and to explore their beliefs regarding the effects of their yoga practice on their health. Design a cross-sectional design with anonymous online surveys Setting 4307 randomly selected individuals from 15 US Iyengar yoga studios (n = 18,160), representing 41 states; 1087 individuals responded, with 1045 (24.3%) surveys completed. Outcome Measures Freiberg Mindfulness Inventory, Mental Health Continuum (subjective well-being), Multi-factor Screener (diet), PROMIS sleep disturbance, fatigue, and social support, International Physical Activity Questionnaire. Results Age: 19 to 87 years (M = 51.7 ± 11.7), 84.2% female, 89.2% white, 87.4% well educated (≥ bachelor’s degree). Mean years of yoga practice = 11.4 (± 7.5). BMI = 12.1–49.4 (M = 23.1 ± 3.9). Levels of obesity (4.9%), smoking (2%), and fruit and vegetable consumption (M = 6.1 ± 1.1) were favorable compared to national norms. 60% reported at least one chronic/serious health condition, yet most reported very good (46.3%) or excellent (38.8%) general health. Despite high levels of depression (24.8 %), nearly all were moderately mentally healthy (55.2%) or flourishing (43.8%). Participants agreed yoga improved: energy (84.5%), happiness (86.5%), social relationships (67%), sleep (68.5%), and weight (57.3%), and beliefs did not differ substantially according to race or gender. The more they practiced yoga, whether in years or in amount of class or home practice, the higher their odds of believing yoga improved their health. Conclusions Individuals who practice yoga are not free of health concerns, but most believe their health improved because of yoga. Yoga might be beneficial for a number of populations including elderly women and those with chronic health conditions. PMID:23876562

  16. Diet in Saudi Arabia: findings from a nationally representative survey.

    PubMed

    Moradi-Lakeh, Maziar; El Bcheraoui, Charbel; Afshin, Ashkan; Daoud, Farah; AlMazroa, Mohammad A; Al Saeedi, Mohammad; Basulaiman, Mohammed; Memish, Ziad A; Al Rabeeah, Abdullah A; Mokdad, Ali H

    2017-04-01

    No recent original studies on the pattern of diet are available for Saudi Arabia at the national level. The present study was performed to describe the consumption of foods and beverages by Saudi adults. The Saudi Health Interview Survey (SHIS) was conducted in 2013. Data were collected through interviews and anthropometric measurements were done. A diet history questionnaire was used to determine the amount of consumption for eighteen food or beverage items in a typical week. The study was a household survey in all thirteen administrative regions of Saudi Arabia. Participants were 10 735 individuals aged 15 years or older. Mean daily consumption was 70·9 (se 1·3) g for fruits, 111·1 (se 2·0) g for vegetables, 11·6 (se 0·3) g for dark fish, 13·8 (se 0·3) g for other fish, 44·2 (se 0·7) g for red meat, 4·8 (se 0·2) g for processed meat, 10·9 (se 0·3) g for nuts, 219·4 (se 5·1) ml for milk and 115·5 (se 2·6) ml for sugar-sweetened beverages. Dietary guideline recommendations were met by only 5·2 % of individuals for fruits, 7·5 % for vegetables, 31·4 % for nuts and 44·7 % for fish. The consumption of processed foods and sugar-sweetened beverages was high in young adults. Only a small percentage of the Saudi population met the dietary recommendations. Programmes to improve dietary behaviours are urgently needed to reduce the current and future burden of disease. The promotion of healthy diets should target both the general population and specific high-risk groups. Regular assessments of dietary status are needed to monitor trends and inform interventions.

  17. Volume and stream of migrants from the National Migration Survey.

    PubMed

    Choe, E H

    1985-07-01

    This paper analyzes the results of the 1983 Korea National Migration Survey (KNMS), and utilizes these findings to formulate population settlement plans and regional development policies. The information gathered in this survey is very comprehensive in nature, intended to cover a wide range of socioeconomic, sociopsychological, demographic and cultural factors affecting population movements. The KNMS was planned as a single round survey of households selected from metropolitan Seoul and other urban and rural localities. Spatial movements may involve an absence ranging from a few hours to many years over a distance travelled which may range from a few meters to many kilometers. Classification of the migration streams defined in this report are: 1) nonmigrant, 2) lifetime migrant -- short term, 3) lifetime migrant -- long term, 4) migrant -- short term, 5) migrant -- long term, 6) lifetime return migrant -- long term, and 7) lifetime return migrant -- short term. The results show that: 1) 45% of those people residing within the Seoul Metropolitan Area(SMA) (31.5% of the total population) had been born there and 55% had migrated, 2) 52.9% of those urban dwellers were born there, and the remaining 47.1% had migrated there, and 3) of those 36.6% of the total population residing in rural areas, 90% had been born there. Of the total population, 57.6% had migrated in their life time; the SMA has the greatest proportion of migrants (63.7%), followed by that in the rural areas (49.3%). About 5% of the total population were return migrants who have left their place of birth but returned later. The proportion of migrants was greater for females (61.4%) than for males (53.8%). In addition, 72% of the total population have been living in their current place of residence for more than 10 years, 14.3% have for 5 to 9 years, and 7.9% for less than 1 year. The largest proportion of interregional lifetime migrants are found within the SMA, while the smallest proportion is observed

  18. Misperceptions of "light" cigarettes abound: National survey data

    PubMed Central

    Wilson, Nick; Weerasekera, Deepa; Peace, Jo; Edwards, Richard; Thomson, George; Devlin, Miranda

    2009-01-01

    Background Many smokers believe that "light" cigarettes are less harmful than regular cigarettes, which is at variance with the scientific evidence. The Framework Convention on Tobacco Control (FCTC) aims to address this problem in Article 11 which deals with misleading labelling of tobacco products. In this study we aimed to determine smokers' use and beliefs concerning "light" and "mild" cigarettes ("lights"), including in relation to ethnicity, deprivation and other socio-demographic characteristics. Methods The New Zealand (NZ) arm of the International Tobacco Control Policy Evaluation Survey (ITC Project) uses as its sampling frame the NZ Health Survey. This is a national sample with boosted sampling of Maori, Pacific peoples and Asians. From this sample we surveyed adult smokers (n = 1376) about use and beliefs relating to "light" cigarettes. We assessed the associations with smoking "lights" after adjusting for socio-demographic variables, and smoking-related behaviours and beliefs. Results Many smokers of "lights" believed that smoking "lights" made it easier to quit smoking (25%), that "lights" are less harmful (42%), and that smokers of "lights" take in less tar (43%). Overall most "lights" smokers (60%) had at least one of these three beliefs, a proportion significantly higher than for smokers of "regular" cigarettes at 45% (adjusted odds ratio (aOR) = 1.96, 95% CI = 1.29 – 2.96). While "lights" smokers had significantly lower tobacco consumption and were more aware of smoking harms, they were no more likely to be intending to quit or have made a previous quit attempt. By ethnicity, both Maori and Pacific people were less likely to smoke "lights" than Europeans (aOR = 0.53, 95% CI = 0.35 – 0.80 and aOR = 0.14, 95% CI = 0.05 – 0.40 respectively). In contrast there was no significant difference by level of deprivation. Roll-your-own (RYO) tobacco smokers were less likely to smoke "light" forms of RYO tobacco while both older and women smokers were

  19. Misperceptions of "light" cigarettes abound: national survey data.

    PubMed

    Wilson, Nick; Weerasekera, Deepa; Peace, Jo; Edwards, Richard; Thomson, George; Devlin, Miranda

    2009-05-08

    Many smokers believe that "light" cigarettes are less harmful than regular cigarettes, which is at variance with the scientific evidence. The Framework Convention on Tobacco Control (FCTC) aims to address this problem in Article 11 which deals with misleading labelling of tobacco products. In this study we aimed to determine smokers' use and beliefs concerning "light" and "mild" cigarettes ("lights"), including in relation to ethnicity, deprivation and other socio-demographic characteristics. The New Zealand (NZ) arm of the International Tobacco Control Policy Evaluation Survey (ITC Project) uses as its sampling frame the NZ Health Survey. This is a national sample with boosted sampling of Maori, Pacific peoples and Asians. From this sample we surveyed adult smokers (n = 1376) about use and beliefs relating to "light" cigarettes. We assessed the associations with smoking "lights" after adjusting for socio-demographic variables, and smoking-related behaviours and beliefs. Many smokers of "lights" believed that smoking "lights" made it easier to quit smoking (25%), that "lights" are less harmful (42%), and that smokers of "lights" take in less tar (43%). Overall most "lights" smokers (60%) had at least one of these three beliefs, a proportion significantly higher than for smokers of "regular" cigarettes at 45% (adjusted odds ratio (aOR) = 1.96, 95% CI = 1.29 - 2.96). While "lights" smokers had significantly lower tobacco consumption and were more aware of smoking harms, they were no more likely to be intending to quit or have made a previous quit attempt. By ethnicity, both Maori and Pacific people were less likely to smoke "lights" than Europeans (aOR = 0.53, 95% CI = 0.35 - 0.80 and aOR = 0.14, 95% CI = 0.05 - 0.40 respectively). In contrast there was no significant difference by level of deprivation. Roll-your-own (RYO) tobacco smokers were less likely to smoke "light" forms of RYO tobacco while both older and women smokers were more likely to smoke "lights". Most

  20. Medical Pluralism among American Women: Results of a National Survey

    PubMed Central

    Chao, Maria; Kronenberg, Fredi; Cushman, Linda; Kalmuss, Debra

    2008-01-01

    Abstract Background Medical pluralism can be defined as the employment of more than one medical system or the use of both conventional and complementary and alternative medicine (CAM) for health and illness. American women use a variety of health services and practices for women's health conditions, yet no national study has specifically characterized women's medical pluralism. Our objective was to describe medical pluralism among American women. Methods A nationally representative telephone survey of 808 women ≥18 years of age was conducted in 2001. Cross-sectional observations of the use of 11 CAM domains and the use of an additional domain—spirituality, religion, or prayer for health—during the past year are reported. Women's health conditions, treatments used, reasons for use, and disclosure to conventional physicians are described, along with predictors of CAM use. Results Over half (53%) of respondents used CAM for health conditions, especially for those involving chronic pain. The majority of women disclosed such practices at clinical encounters with conventional providers. Biologically based CAM therapies, such as nutritional supplements and herbs, were commonly used with prescription and over-the-counter (OTC) pharmaceuticals for health conditions. Conclusions Medical pluralism is common among women and should be accepted as a cultural norm. Although disclosure rates of CAM use to conventional providers were higher than in previous population-based studies, disclosure should be increased, especially for women who are pregnant and those with heart disease and cancer. The health risks and benefits of polypharmacy should be addressed at multiple levels of the public health system. PMID:18537484

  1. Identifying Sedentary Subgroups: The NCI Health Information National Trends Survey

    PubMed Central

    Atienza, Audie A.; Yaroch, Amy L.; Mâsse, Louise C.; Moser, Richard P.; Hesse, Bradford W.; King, Abby C.

    2007-01-01

    Background Developing effective interventions for the 24%–28% of U.S. adults who are sedentary requires a better understanding of the factors related to sedentary lifestyles as well as the communication channels to reach various subgroups. This study identified key sociodemographic and health communication characteristics of various subgroups with high rates of inactivity using signal detection methodology (SDM). Methods The sample from the nationally representative Health Information National Trends Survey 2003 (HINTS; N=6369) was randomly split into two samples. Exploratory analyses (conducted 2004–2005) were employed on the first sample to identify various subgroups, and the stability of inactivity rates in those subgroups was examined in the second sample. Results Eight subgroups with varying levels of inactivity were identified. Three subgroups had inactivity levels ≥40%, while the lowest subgroup had a level of <15%. The highest inactivity subgroup consisted of individuals with at least some college education who were in fair/poor health and who watched 4+ hours of television/day. The second highest inactivity subgroup was composed of those without a college education who tended not to utilize nor attend to many communication channels. The third highest inactive subgroup consisted of those without a college education who read the newspaper and were obese. Levels of subgroup inactivity in the second independent sample were not significantly different from those found in the exploratory sample. Conclusions This study identified empirically-based, physically inactive subgroups that differed on sociodemographic and health communication characteristics. This information should be useful in creating future evidence-based, targeted, and tailored intervention strategies. PMID:17046409

  2. Reasons for accepting or declining Down syndrome screening in Dutch prospective mothers within the context of national policy and healthcare system characteristics: a qualitative study.

    PubMed

    Crombag, Neeltje M T H; Boeije, Hennie; Iedema-Kuiper, Rita; Schielen, Peter C J I; Visser, Gerard H A; Bensing, Jozien M

    2016-05-26

    Uptake rates for Down syndrome screening in the Netherlands are low compared to other European countries. To investigate the low uptake, we explored women's reasons for participation and possible influences of national healthcare system characteristics. Dutch prenatal care is characterised by an approach aimed at a low degree of medicalisation, with pregnant women initially considered to be at low risk. Prenatal screening for Down syndrome is offered to all women, with a 'right not to know' for women who do not want to be informed on this screening. At the time this study was performed, the test was not reimbursed for women aged 35 and younger. We conducted a qualitative study to explore reasons for participation and possible influences of healthcare system characteristics. Data were collected via ten semi-structured focus groups with women declining or accepting the offer of Down syndrome screening (n = 46). All focus groups were audio- and videotaped, transcribed verbatim, coded and content analysed. Women declining Down syndrome screening did not consider Down syndrome a condition severe enough to justify termination of pregnancy. Young women declining felt supported in their decision by perceived confirmation of their obstetric caregiver and reassured by system characteristics (costs and age restriction). Women accepting Down syndrome screening mainly wanted to be reassured or be prepared to care for a child with Down syndrome. By weighing up the pros and cons of testing, obstetric caregivers supported young women who accepted in the decision-making process. This was helpful, although some felt the need to defend their decision to accept the test offer due to their young age. For some young women accepting testing, costs were considered a disincentive to participate. Presentation of prenatal screening affects how the offer is attended to, perceived and utilised. By offering screening with age restriction and additional costs, declining is considered the

  3. Do patient surveys work? The influence of a national survey programme on local quality-improvement initiatives

    PubMed Central

    Reeves, R; Seccombe, I

    2008-01-01

    Objectives: To assess current attitudes towards the national patient survey programme in England, establish the extent to which survey results are used and identify barriers and incentives for using them. Design: Qualitative interviews with hospital staff responsible for implementing the patient surveys (survey leads). Setting: National Health Service (NHS) hospital organisations (trusts) in England. Participants: Twenty-four patient survey leads for NHS trusts. Results: Perceptions of the patient surveys were mainly positive and were reported to be improving. Interviewees welcomed the surveys’ regular repetition and thought the questionnaires, survey methods and reporting of results, particularly inter-organisational benchmark charts, were of a good standard. The survey results were widely used in action planning and were thought to support organisational patient-centredness. There was variation in the extent to which trusts disseminated survey findings to patients, the public, staff and their board members. The most common barrier to using results was difficulty engaging clinicians because survey findings were not sufficiently specific to specialties, departments or wards. Limited statistical expertise and concerns that the surveys only covered a short time frame also contributed to some scepticism. Other perceived barriers included a lack of knowledge of effective interventions, and limited time and resources. Actual and potential incentives for using survey findings included giving the results higher weightings in the performance management system, financial targets, Payment by Results (PbR), Patient Choice, a patient-centred culture, leadership by senior members of the organisation, and boosting staff morale by disseminating positive survey findings. Conclusion: The national patient surveys are viewed positively, their repetition being an important factor in their success. The results could be used more effectively if they were more specific to smaller units

  4. National nutrition surveys in Asian countries: surveillance and monitoring efforts to improve global health.

    PubMed

    Song, SuJin; Song, Won O

    2014-01-01

    Asian regions have been suffering from growing double burden of nutritional health problems, such as undernutrition and chronic diseases. National nutrition survey plays an essential role in helping to improve both national and global health and reduce health disparities. The aim of this review was to compile and present the information on current national nutrition surveys conducted in Asian countries and suggest relevant issues in implementation of national nutrition surveys. Fifteen countries in Asia have conducted national nutrition surveys to collect data on nutrition and health status of the population. The information on national nutrition survey of each country was obtained from government documents, international organizations, survey website of governmental agencies, and publications, including journal articles, books, reports, and brochures. The national nutrition survey of each country has different variables and procedures. Variables of the surveys include sociodemographic and lifestyle variables; foods and beverages intake, dietary habits, and food security of individual or household; and health indicators, such as anthropometric and biochemical variables. The surveys have focused on collecting data about nutritional health status in children aged under five years and women of reproductive ages, nutrition intake adequacy and prevalence of obesity and chronic diseases for all individuals. To measure nutrition and health status of Asian populations accurately, improvement of current dietary assessment methods with various diet evaluation tools is necessary. The information organized in this review is important for researchers, policy makers, public health program developers, educators, and consumers in improving national and global health.

  5. National total survey of German adolescent suicide in prison.

    PubMed

    Radeloff, D; Lempp, T; Herrmann, E; Kettner, M; Bennefeld-Kersten, K; Freitag, C M

    2015-02-01

    Incarcerated adolescents are a high-risk group for suicidal behaviour, but data on completed suicide are scarce in this population. The present study aimed at calculating relative risks (RR) of suicide in detention and identifying age-related risk factors. We compared data of a German national total survey of completed suicide of young detainees (14 to <21 years, N = 79) during the years 2000-2010 with age- and gender-adjusted suicide deaths in non-incarcerated adolescents (N = 3,484) and incarcerated adults (N = 781). Prison suicide accounted for 2.3% of all suicide deaths in adolescents, but only 0.1% of this age group was detained. The RR = 23.0 for adolescent suicide in detention exceeded the RR = 7.7 of adults by far. In adults, suicide rates in pre-trial detention was fivefold higher than in criminal detention; suicide rates were more balanced in adolescent detainees. Our results underline the need for age-specific suicide prevention strategies in detention.

  6. GPS orbit determination at the National Geodetic Survey

    NASA Technical Reports Server (NTRS)

    Schenewerk, Mark S.

    1992-01-01

    The National Geodetic Survey (NGS) independently generates precise ephemerides for all available Global Positioning System (GPS) satellites. Beginning in 1991, these ephemerides were produced from double-differenced phase observations solely from the Cooperative International GPS Network (CIGNET) tracking sites. The double-difference technique combines simultaneous observations of two satellites from two ground stations effectively eliminating satellite and ground receiver clock errors, and the Selective Availability (S/A) signal degradation currently in effect. CIGNET is a global GPS tracking network whose primary purpose is to provide data for orbit production. The CIGNET data are collected daily at NGS and are available to the public. Each ephemeris covers a single week and is available within one month after the data were taken. Verification is by baseline repeatability and direct comparison with other ephemerides. Typically, an ephemeris is accurate at a few parts in 10(exp 7). This corresponds to a 10 meter error in the reported satellite positions. NGS is actively investigating methods to improve the accuracy of its orbits, the ultimate goal being one part in 10(exp 8) or better. The ephemerides are generally available to the public through the Coast Guard GPS Information Center or directly from NGS through the Geodetic Information Service. An overview of the techniques and software used in orbit generation will be given, the current status of CIGNET will be described, and a summary of the ephemeris verification results will be presented.

  7. [French residents' training in instrumental deliveries: A national survey].

    PubMed

    Saunier, C; Raimond, E; Dupont, A; Pelissier, A; Bonneau, S; Gabriel, R; Graesslin, O

    2016-11-01

    To evaluate French residents in Obstetrics and Gynaecology's training in instrumental deliveries in 2015. We conducted a national descriptive survey among 758 residents between December 2014 and January 2015. Respondents were invited by email to specify their University Hospital, their current university term, the number of instrumental deliveries performed by vacuum extractor, forceps or spatulas, and whether they made systematic ultrasound exams before performing the extraction. Response rate was 34.7 % (n=263). There were important differences between regions in terms of type of instruments used. Vacuum extractor was the most commonly used instrument for instrumental deliveries by French residents (56.9 %), more than forceps (25.2 %) and spatulas (17.9 %). At the end of the residency, all the residents had been trained in instrumental deliveries with at least two instruments. The training of difficult techniques as well as their perfect control is required for instrumental deliveries. Yet, we are forced to note that there are substantial differences in the French residents' training in instrumental deliveries depending on their region. So, teaching at least two techniques seems essential as well as improving the training capacities and standardizing practices. A greater systematization of the teaching of the mechanics and obstetric techniques might be a solution to be considered too. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  8. Perspectives on global health amongst obstetrician gynecologists: A national survey.

    PubMed

    Easter, Sarah Rae; Raglan, Greta B; Little, Sarah E; Schulkin, Jay; Robinson, Julian N

    2016-08-25

    To characterize contemporary attitudes toward global health amongst board-certified obstetricians-gynecologists (Ob-Gyns) in the US. A questionnaire was mailed to members of the American College of Obstetricians and Gynecologists. Respondents were stratified by interest and experience in global health and group differences were reported. A total of 202 of 400 (50.5%) surveys were completed; and 67.3% (n = 136) of respondents expressed an interest in global health while 25.2% (n = 51) had experience providing healthcare abroad. Personal safety was the primary concern of respondents (88 of 185, 47.6%), with 44.5% (57 of 128) identifying 2 weeks as an optimal period of time to spend abroad. The majority (113 of 186, 60.8%) cited hosting of local physicians in the US as the most valuable service to developing a nation's healthcare provision. Despite high interest in global health, willingness to spend significant time abroad was limited. Concerns surrounding personal safety dovetailed with the belief that training local physicians in the US provides the most valuable service to international efforts. These attitudes and concerns suggest novel solutions will be required to increase involvement of Ob-Gyns in global women's health. © The Author(s) 2016.

  9. [National multicenter survey: the use of intravenous antimicrobial agents].

    PubMed

    Gutiérrez Zufiaurre, M N; García-Rodríguez, J A

    2006-12-01

    Infectious diseases are currently one of the major health problems worldwide. As a consequence, both nosocomial and community-acquired infections are responsible for a significant increase in workload and health costs for hospitals, particularly in Intensive Care Units (ICU), Internal Medicine and Surgery. The use of intravenous antimicrobial agents is common in hospitalized patients. In order to determine the use of antimicrobial agents and the most frequent procedures used for their administration in Spanish hospitals, a national multicenter survey was undertaken among ICU, Internal Medicine and Surgery health staff from 63 hospitals, in which data were collected on central and peripheral catheter manipulation and intravenous administration. Results showed that, in Spain, both catheter manipulation (insertion, maintenance and removal) and administration of antimicrobial agents are performed by the nursing staff following established protocols, particularly for central catheters. Moreover, the ICUs had the highest rates of catheter-bearing patients, as well as patients undergoing antimicrobial treatment, sometimes in combination. The use of intravenous antimicrobial agents in Spanish hospitals results in an increased workload for the nursing staff and higher health costs, not to mention the risk involved with the use of vascular catheters.

  10. National Training Center Fort Irwin expansion area aquatic resources survey

    SciTech Connect

    Cushing, C.E.; Mueller, R.P.

    1996-02-01

    Biologists from Pacific Northwest National Laboratory (PNNL) were requested by personnel from Fort Irwin to conduct a biological reconnaissance of the Avawatz Mountains northeast of Fort Irwin, an area for proposed expansion of the Fort. Surveys of vegetation, small mammals, birds, reptiles, amphibians, and aquatic resources were conducted during 1995 to characterize the populations and habitats present with emphasis on determining the presence of any species of special concern. This report presents a description of the sites sampled, a list of the organisms found and identified, and a discussion of relative abundance. Taxonomic identifications were done to the lowest level possible commensurate with determining the status of the taxa relative to its possible listing as a threatened, endangered, or candidate species. Consultation with taxonomic experts was undertaken for the Coleoptera ahd Hemiptera. In addition to listing the macroinvertebrates found, the authors also present a discussion related to the possible presence of any threatened or endangered species or species of concern found in Sheep Creek Springs, Tin Cabin Springs, and the Amargosa River.

  11. Assessment of Social Network Change in a National Longitudinal Survey

    PubMed Central

    Schumm, L. Philip; Laumann, Edward O.; Kim, Juyeon; Kim, Young-Jin

    2014-01-01

    Objectives. This article describes new longitudinal data on older adults’ egocentric social networks collected by the National Social Life, Health, and Aging Project (NSHAP). We describe a novel survey technique that was used to record specific personnel changes that occurred within respondents’ networks during the 5-year study period, and we make recommendations regarding usage of the resulting data. Method. Descriptive statistics are presented for measures of network size, composition, and structure at both waves, respondent-level summary measures of change in these characteristics between waves, as well as measures that distinguish between changes associated with losses of Wave 1 network members, additions of new ones, and changes in relationships with network members who were present at both waves. Results. The NSHAP network change module was successful in providing reliable information about specific changes that occurred within respondents’ confidant networks. Most respondents lost at least one confidant from W1 and added at least one new confidant between waves as well. Network growth was more common than network shrinkage. Both lost and new ties were weaker than ties that persisted throughout the study period. Discussion. These data provide new insight into the dynamic nature of networks in later life, revealing norms of network turnover, expansion, and weakening. Data limitations are discussed. PMID:25360026

  12. Serious violence by people with mental illness: national clinical survey.

    PubMed

    Flynn, Sandra; Rodway, Cathryn; Appleby, Louis; Shaw, Jenny

    2014-05-01

    This study aimed to estimate the prevalence of mental disorder in offenders convicted of serious violence, examine their social and clinical characteristics, and compare them with patients convicted of homicide. We examined a national clinical survey of all people convicted of serious violence in England and Wales in 2004. Mental disorder was measured by contact with mental health services within 12 months of the offense. Of the 5,966 serious violent offenders, 293 (5%) had been in recent contact with mental health services. Personality disorder (63, 22%) and schizophrenia (55, 19%) were the most common diagnoses. Most had previous convictions for violence (168, 61%). Seventy-two (25%) patients were at high risk of violence and 34 (49%) were not subject to the Care Programme Approach. Compared with serious violence offenders, homicide offenders were more likely to have been patients (293, 5% vs. 65, 10%; p < .01). We conclude that patients were responsible for a small proportion of serious violent offenses; however, high-risk patients require closer supervision, and regular inquiry about changing delusional beliefs, thoughts of violence, and weapon carriage.

  13. Multiple race reporting for children in a national health survey.

    PubMed

    Parker, J D; Lucas, J B

    2000-01-01

    The 1997 standard for race and ethnicity data from the Office of Management and Budget requires the collection of data for multiple race groups. The aims of this study were to compare characteristics of multiple race children and describe race reporting for children within interracial and multiple race families. Descriptive statistics were estimated using the 1993-1995 National Health Interview Surveys. In this time period, 2.6% of children had more than one race reported. Multiple race children were a diverse group who differed from each other and their single race counterparts. For example, the percent of children reported as both Black and White who lived in a two-parent household (58.9%), was significantly less than the corresponding percents for other multiple race children (65.8%-79.6%), and between the corresponding percents for single race Black (42.7%) and single race White children (83.2%). The relationships between parental race and child's race varied. Although 3.1% of children in two-parent households lived with interracial parents, fewer than half of these children had more than one race reported. Sociodemographic variables were not associated with child's reported race among interracial families. These findings indicate that generalizations about multiple race children for research or policy purposes will be problematic.

  14. GPS orbit determination at the National Geodetic Survey

    NASA Technical Reports Server (NTRS)

    Schenewerk, Mark S.

    1992-01-01

    The National Geodetic Survey (NGS) independently generates precise ephemerides for all available Global Positioning System (GPS) satellites. Beginning in 1991, these ephemerides were produced from double-differenced phase observations solely from the Cooperative International GPS Network (CIGNET) tracking sites. The double-difference technique combines simultaneous observations of two satellites from two ground stations effectively eliminating satellite and ground receiver clock errors, and the Selective Availability (S/A) signal degradation currently in effect. CIGNET is a global GPS tracking network whose primary purpose is to provide data for orbit production. The CIGNET data are collected daily at NGS and are available to the public. Each ephemeris covers a single week and is available within one month after the data were taken. Verification is by baseline repeatability and direct comparison with other ephemerides. Typically, an ephemeris is accurate at a few parts in 10(exp 7). This corresponds to a 10 meter error in the reported satellite positions. NGS is actively investigating methods to improve the accuracy of its orbits, the ultimate goal being one part in 10(exp 8) or better. The ephemerides are generally available to the public through the Coast Guard GPS Information Center or directly from NGS through the Geodetic Information Service. An overview of the techniques and software used in orbit generation will be given, the current status of CIGNET will be described, and a summary of the ephemeris verification results will be presented.

  15. Nursing procedures during continuous renal replacement therapies: a national survey.

    PubMed

    Ricci, Zaccaria; Benelli, Sonia; Barbarigo, Fabio; Cocozza, Giulia; Pettinelli, Noemi; Di Luca, Emanuela; Mettifogo, Mariangela; Toniolo, Andrea; Ronco, Claudio

    2015-01-01

    The current role of nurses in the management of critically ill patients needing continuous renal replacement therapies is clearly fundamental. The care of these complex patients is typically shared by critical care and dialysis nurses: their precise duties may vary from country to country. To clarify this issue we conducted a national-level survey at a recent Italian course on nursing practices during continuous renal replacement therapies. A total of 119 questionnaires were analysed. The participants, who were equally divided between critical care and dialysis nurses, came from 44 different hospitals and 35 Italian cities. Overall, 23% of participants answered that "the dialysis staff" were responsible for continuous renal replacement therapies in the Intensive Care Unit, while 39% answered "the critical care nurse", and 38% "a shared organization". Interestingly, less than the half of participants claimed specific continuous renal replacement therapies training was provided to employees before handling an acute dialysis machine. Finally, about 60% of participants had experience of extra-corporeal membrane oxygenation machines used in conjunction with continuous renal replacement therapies. Workload coordination and management of critically ill patients undergoing continuous renal replacement therapies in Italy is not standardized. At present, the duties of critical care and dialysis nurses vary significantly across the country. They frequently overlap or leave gaps in the assistance received by patients. The role of nurses involved in the care of continuous renal replacement therapies patients in Italy currently requires better organization, possibly starting with intensive standardized training and educational programs.

  16. National survey on patient's fears before a general surgery procedure.

    PubMed

    Fernandez Lobato, Rosa Carmen; Soria-Aledo, Víctor; Jover Navalón, José María; Calvo Vecino, José María

    2015-12-01

    To assess the magnitude of the different causes of anxiety in patients and families, facing surgery. Cross-sectional multicenter national survey recruiting 1,260 participants between patients and companions, analyzing the impact of 14 areas selected based on scientific publications aimed at the general public, concerning patients and/or companions, focused on concern about surgery. Patient sex, age, type of surgery (minor/major) and expected inpatient or ambulatory surgery were analyzed. For the companions sex and age, and relationship to patient were analyzed. In both cases it was assessed based on a unidimensional scale of 0 to 10, with 0 being be minimal cause for concern and 10, maximum. The most prominent have been the fear of the unknown, possible complications, the impact on quality of life, the accuracy of diagnosis and possible malignancy of the disease, as well as anesthesia and pain control. There are significant differences in the involvement of patients and companions; and are also differences by sex and age of the patient; type of surgery (minor/major) and expected hospital admission or not. The patient faces surgery with a number of fears that can be reduced with increased information. Copyright © 2014 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. An Introduction to the National Crime Survey. Applications of the National Crime Survey Victimization and Attitude Data, Analytic Report SD-VAD-4.

    ERIC Educational Resources Information Center

    Garofalo, James; Hindelang, Michael J.

    The purpose of the document is to identify ways in which National Crime Survey (NCS) data can be used by criminal justice researchers and programs. The report provides an overview of the Application of Victimization Survey Results Project, describes the analytic reports compiled by the project staff, and cites the kinds of systematic information…

  18. Survey of the occurrence of residues of methyl tertiary butyl ether (MTBE) in Dutch drinking water sources and drinking water.

    PubMed

    Morgenstern, Pepijn; Versteegh, Ans F M; de Korte, Gert A L; Hoogerbrugge, Ronald; Mooibroek, Dennis; Bannink, André; Hogendoorn, Elbert A

    2003-12-01

    An indicative survey has been carried out in The Netherlands investigating the presence of methyl tertiary butyl ether (MTBE) in drinking water and the corresponding sources. In total, 71 different sites used for the preparation of drinking water in The Netherlands were sampled in two successive seasons in 2001 involving the analysis of 156 samples. (ground water (n = 88), surface water (n = 17), bank filtrate water (n = 6) and drinking water (n = 45)). To combine high sample throughput with high selectivity and sensitivity, off-line purge and trap for sampling and gas chromatography mass spectrometry equipped with an automated thermal desorption sampler (TDS-GC-MS) was selected as the preferred analytical methodology. The developed procedure enabled the analysis of at least 40 samples per day and provided a limit of quantification of 2 ng l(-1). In the first period 63 samples of raw water were analyzed. Concentrations ranged between < 10 ng l(-1) and 420 ng l(-1) with a median concentration below 10 ng l(-1). The second period was focused at the re-sampling of positive locations (MTBE > 10 ng l(-1)) and a few additional drinking water utilities of which both the raw and drinking water of the utilities were analyzed. The median concentration of MTBE in the selected set of drinking water samples was 20 ng l(-1) (n = 45). At one location MTBE was found at a level of 2900 ng l(-1) caused by point source contamination of the ground water (11 900 ng l(-1)). Special attention has been paid to the quality of the results by analyzing all samples in duplicate and the analysis of control samples during each series of analyses.

  19. Describing Primary Care Encounters: The Primary Care Network Survey and the National Ambulatory Medical Care Survey

    PubMed Central

    Binns, Helen J.; Lanier, David; Pace, Wilson D.; Galliher, James M.; Ganiats, Theodore G.; Grey, Margaret; Ariza, Adolfo J.; Williams, Robert

    2007-01-01

    PURPOSE The purpose of this study was to describe clinical encounters in primary care research networks and compare them with those of the National Ambulatory Medical Care Survey (NAMCS). METHODS Twenty US primary care research networks collected data on clinicians and patient encounters using the Primary Care Network Survey (PRINS) Clinician Interview (PRINS-1) and Patient Record (PRINS-2), which were newly developed based on NAMCS tools. Clinicians completed a PRINS-1 about themselves and a PRINS-2 for each of 30 patient visits. Data included patient characteristics; reason for the visit, diagnoses, and services ordered or performed. We compared PRINS data with data obtained from primary care physicians during 5 cycles of NAMCS (1997–2001). Data were weighted; PRINS reflects participating networks and NAMCS provides national estimates. RESULTS By discipline, 89% of PRINS clinicians were physicians, 4% were physicians in residency training, 5% were advanced practice nurses/nurse-practitioners, and 2% were physician’s assistants. The majority (53%) specialized in pediatrics (34% specialized in family medicine, 9% in internal medicine, and 4% in other specialties). All NAMCS clinicians were physicians, with 20% specializing in pediatrics. When NAMCS and PRINS visits were compared, larger proportions of PRINS visits involved preventive care and were made by children, members of minority racial groups, and individuals who did not have private health insurance. A diagnostic or other assessment service was performed for 99% of PRINS visits and 76% of NAMCS visits (95% confidence interval, 74.9%–78.0%). A preventive or counseling/education service was provided at 64% of PRINS visits and 37% of NAMCS visits (95% confidence interval, 35.1%–38.0%). CONCLUSIONS PRINS presents a view of diverse primary care visits and differs from NAMCS in its methods and findings. Further examinations of PRINS data are needed to assess their usefulness for describing encounters that

  20. Dutch Young Adults Ratings of Behavior Change Techniques Applied in Mobile Phone Apps to Promote Physical Activity: A Cross-Sectional Survey.

    PubMed

    Belmon, Laura S; Middelweerd, Anouk; Te Velde, Saskia J; Brug, Johannes

    2015-11-12

    Interventions delivered through new device technology, including mobile phone apps, appear to be an effective method to reach young adults. Previous research indicates that self-efficacy and social support for physical activity and self-regulation behavior change techniques (BCT), such as goal setting, feedback, and self-monitoring, are important for promoting physical activity; however, little is known about evaluations by the target population of BCTs applied to physical activity apps and whether these preferences are associated with individual personality characteristics. This study aimed to explore young adults' opinions regarding BCTs (including self-regulation techniques) applied in mobile phone physical activity apps, and to examine associations between personality characteristics and ratings of BCTs applied in physical activity apps. We conducted a cross-sectional online survey among healthy 18 to 30-year-old adults (N=179). Data on participants' gender, age, height, weight, current education level, living situation, mobile phone use, personality traits, exercise self-efficacy, exercise self-identity, total physical activity level, and whether participants met Dutch physical activity guidelines were collected. Items for rating BCTs applied in physical activity apps were selected from a hierarchical taxonomy for BCTs, and were clustered into three BCT categories according to factor analysis: "goal setting and goal reviewing," "feedback and self-monitoring," and "social support and social comparison." Most participants were female (n=146), highly educated (n=169), physically active, and had high levels of self-efficacy. In general, we observed high ratings of BCTs aimed to increase "goal setting and goal reviewing" and "feedback and self-monitoring," but not for BCTs addressing "social support and social comparison." Only 3 (out of 16 tested) significant associations between personality characteristics and BCTs were observed: "agreeableness" was related to

  1. Dutch Young Adults Ratings of Behavior Change Techniques Applied in Mobile Phone Apps to Promote Physical Activity: A Cross-Sectional Survey

    PubMed Central

    Belmon, Laura S; te Velde, Saskia J; Brug, Johannes

    2015-01-01

    Background Interventions delivered through new device technology, including mobile phone apps, appear to be an effective method to reach young adults. Previous research indicates that self-efficacy and social support for physical activity and self-regulation behavior change techniques (BCT), such as goal setting, feedback, and self-monitoring, are important for promoting physical activity; however, little is known about evaluations by the target population of BCTs applied to physical activity apps and whether these preferences are associated with individual personality characteristics. Objective This study aimed to explore young adults’ opinions regarding BCTs (including self-regulation techniques) applied in mobile phone physical activity apps, and to examine associations between personality characteristics and ratings of BCTs applied in physical activity apps. Methods We conducted a cross-sectional online survey among healthy 18 to 30-year-old adults (N=179). Data on participants’ gender, age, height, weight, current education level, living situation, mobile phone use, personality traits, exercise self-efficacy, exercise self-identity, total physical activity level, and whether participants met Dutch physical activity guidelines were collected. Items for rating BCTs applied in physical activity apps were selected from a hierarchical taxonomy for BCTs, and were clustered into three BCT categories according to factor analysis: “goal setting and goal reviewing,” “feedback and self-monitoring,” and “social support and social comparison.” Results Most participants were female (n=146), highly educated (n=169), physically active, and had high levels of self-efficacy. In general, we observed high ratings of BCTs aimed to increase “goal setting and goal reviewing” and “feedback and self-monitoring,” but not for BCTs addressing “social support and social comparison.” Only 3 (out of 16 tested) significant associations between personality

  2. Wilderness - between the promise of hell and paradise: A cultural-historical exploration of a Dutch National Park

    Treesearch

    Koen Arts; Anke Fischer; Rene van der Wal

    2011-01-01

    ‘Wilderness' is often seen as an ideal state in contemporary debates on ecological restoration. This paper asks what is left of ‘wilderness' in present-day Western Europe and explores this question by drawing on a case study of the Hoge Veluwe National Park in the Netherlands. An overview of intellectual histories of wilderness ideas is used as a backdrop to...

  3. National Aquatic Resource Surveys: Multiple objectives and constraints lead to design complexity

    EPA Science Inventory

    The US Environmental Protection Agency began conducting the National Aquatic resource Surveys (NARS) in 2007 with a national survey of lakes (NLA 2007) followed by rivers and streams in 2008-9 (NRSA 2008), coastal waters in 2010 (NCCA 2010) and wetlands in 2011 (NWCA). The surve...

  4. 77 FR 2349 - Proposed Information Collection (Nation-wide Customer Satisfaction Surveys) Activity: Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-17

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Nation-wide Customer Satisfaction Surveys) Activity: Comment... forms of information technology. Title: Nation-wide Customer Satisfaction Surveys, VA Forms 10-1465-...

  5. 77 FR 64382 - Agency Information Collection (Nation-Wide Customer Satisfaction Surveys) Activities Under OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection (Nation-Wide Customer Satisfaction Surveys) Activities Under OMB....'' SUPPLEMENTARY INFORMATION: Title: Nation-wide Customer Satisfaction Surveys, VA Forms 10-1465- 2 through...

  6. 75 FR 25320 - Agency Information Collection (Nation-wide Customer Satisfaction Surveys) Activities Under OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection (Nation-wide Customer Satisfaction Surveys) Activities Under OMB... INFORMATION: Title: Nation-wide Customer Satisfaction Surveys, VA Forms 1465-2 through 1465-4. OMB...

  7. 75 FR 9277 - Proposed Information Collection (Nation-Wide Customer Satisfaction Surveys) Activity: Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Nation-Wide Customer Satisfaction Surveys) Activity: Comment.... Title: Nation-wide Customer Satisfaction Surveys, VA Forms 1465-2 through 1465-4. OMB Control...

  8. Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2012

    2012-01-01

    This report presents results pertaining to mental health from the 2010 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. This report presents national estimates of the prevalence of past year mental disorders and past year mental health…

  9. Finding the State Story in the National Lake Survey Data with an Excel Exploratory Tool

    EPA Science Inventory

    The National Lakes Assessment (NLA) surveyed over 1200 U.S. lakes in the summer of 2007, evaluating lake quality based on water quality, physical habitat, and indicators of biological and recreational condition. An upcoming national report will summarize survey results primarily ...

  10. National Aquatic Resource Surveys: Multiple objectives and constraints lead to design complexity

    EPA Science Inventory

    The US Environmental Protection Agency began conducting the National Aquatic resource Surveys (NARS) in 2007 with a national survey of lakes (NLA 2007) followed by rivers and streams in 2008-9 (NRSA 2008), coastal waters in 2010 (NCCA 2010) and wetlands in 2011 (NWCA). The surve...

  11. State survey of silviculture nonpoint source programs: a comparison of the 2000 northeastern and national results

    Treesearch

    Pamela J. Edwards; Gordon W. Stuart

    2002-01-01

    The National Association of State Foresters conducts surveys of silviculture nonpoint source (NPS) pollution control programs to measure progress and identify needs. The 2000 survey results are summarized here for the nation and for the 20-state northeastern region. Current emphasis of NPS pollution programs is on education, training, and monitoring. Educational...

  12. Beyond the Incidence of Training: Evidence from a National Employer Survey. EQW Working Papers WP35.

    ERIC Educational Resources Information Center

    Lynch, Lisa M.; Black, Sandra E.

    The National Center on the Educational Quality of the Workforce's National Employer Survey represents a unique source of information on how employers recruit workers, organize work, invest in physical capital, and use education and training in the workplace. The U.S. Bureau of the Census administered it as a telephone survey to a nationally…

  13. Psychotropic Medication Treatment of Adolescents: Results from the National Comorbidity Survey-Adolescent Supplement

    ERIC Educational Resources Information Center

    Olfson, Mark; He, Jian-ping; Merikangas, Kathleen Ries

    2013-01-01

    Objective: To examine the 12-month prevalence of psychotropic medication use among adolescents, and the match between mental disorder diagnoses and past-year antidepressant and stimulant use. Method: Data are from the National Comorbidity Survey--Adolescent Supplement (2002-2004), a nationally representative survey of 10,123 adolescents aged 13 to…

  14. Psychotropic Medication Treatment of Adolescents: Results from the National Comorbidity Survey-Adolescent Supplement

    ERIC Educational Resources Information Center

    Olfson, Mark; He, Jian-ping; Merikangas, Kathleen Ries

    2013-01-01

    Objective: To examine the 12-month prevalence of psychotropic medication use among adolescents, and the match between mental disorder diagnoses and past-year antidepressant and stimulant use. Method: Data are from the National Comorbidity Survey--Adolescent Supplement (2002-2004), a nationally representative survey of 10,123 adolescents aged 13 to…

  15. Finding the State Story in the National Lake Survey Data with an Excel Exploratory Tool

    EPA Science Inventory

    The National Lakes Assessment (NLA) surveyed over 1200 U.S. lakes in the summer of 2007, evaluating lake quality based on water quality, physical habitat, and indicators of biological and recreational condition. An upcoming national report will summarize survey results primarily ...

  16. Technical Report and Data File User's Manual for the 1992 National Adult Literacy Survey.

    ERIC Educational Resources Information Center

    Kirsch, Irwin; Yamamoto, Kentaro; Norris, Norma; Rock, Donald; Jungeblut, Ann; O'Reilly, Patricia; Berlin, Martha; Mohadjer, Leyla; Waksberg, Joseph; Goksel, Huseyin; Burke, John; Rieger, Susan; Green, James; Klein, Merle; Campbell, Anne; Jenkins, Lynn; Kolstad, Andrew; Mosenthal, Peter; Baldi, Stephane

    Chapter 1 of this report and user's manual describes design and implementation of the 1992 National Adult Literacy Survey (NALS). Chapter 2 reviews stages of sampling for national and state survey components; presents weighted and unweighted response rates for the household component; and describes non-incentive and prison sample designs. Chapter…

  17. The 2003 National School Climate Survey. The School-Related Experiences of Our Nation's Lesbian, Gay, Bisexual and Transgender Youth

    ERIC Educational Resources Information Center

    Kosciw, Joseph G.

    2004-01-01

    The experiences of lesbian, gay, bisexual and transgender (LGBT) students in schools have been under-documented. For this reason, a third national survey was conducted by the Gay, Lesbian and Straight Education Network (GLSEN). As in previous surveys, LGBT youth were asked about biased language in their schools, feelings of comfort and safety in…

  18. Identifying advanced practice: A national survey of a nursing workforce.

    PubMed

    Gardner, Glenn; Duffield, Christine; Doubrovsky, Anna; Adams, Margaret

    2016-03-01

    The size and flexibility of the nursing workforce has positioned nursing as central to the goals of health service improvement. Nursing's response to meeting these goals has resulted in proliferation of advanced practice nursing with a confusing array of practice profiles, titles and roles. Whilst numerous models and definitions of advanced practice nursing have been developed there is scant published research of significant scope that supports these models. Consequently there is an ongoing call in the literature for clarity and stability in nomenclature, and confusion in the health industry on how to optimise the utility of advanced practice nursing. To identify and delineate advanced practice from other levels of nursing practice through examination of a national nursing workforce. A cross-sectional electronic survey of nurses using the validated Advanced Practice Role Delineation tool based on the Strong Model of Advanced Practice. Study participants were registered nurses employed in a clinical service environment across all states and territories of Australia. A sample of 5662 registered nurses participated in the study. Domain means for each participant were calculated then means for nursing position titles were calculated. Position titles were grouped by delineation and were compared with one-way analysis of variance on domain means. The alpha for all tests was set at 0.05. Significant effects were examined with Scheffe post hoc comparisons to control for Type 1 error. The survey tool was able to identify position titles where nurses were practicing at an advanced level and to delineate this cohort from other levels of nursing practice, including nurse practitioner. The results show that nurses who practice at an advanced level are characterised by high mean scores across all Domains of the Strong Model of Advanced Practice. The mean scores of advanced practice nurses were significantly different from nurse practitioners in the Direct Care Domain and

  19. Characteristics of Yoga Users: Results of a National Survey

    PubMed Central

    Legedza, Anna T.; Saper, Robert B.; Bertisch, Suzanne M.; Eisenberg, David M.; Phillips, Russell S.

    2008-01-01

    Background There are limited data on the characteristics of yoga users in the U.S. Objective To characterize yoga users, medical reasons for use, perceptions of helpfulness, and disclosure of use to medical professionals. Methods Utilizing cross-sectional survey data from the 2002 National Health Interview Survey (NHIS) Alternative Medicine Supplement (n = 31044), we examined correlates of yoga use for health. The estimated prevalence from 2002 NHIS of yoga for health was 5.1% corresponding to over 10 million adults. Results In 2002, yoga users were predominately Caucasian (85%) and female (76%) with a mean age of 39.5 years. Compared to non-yoga users, yoga users were more likely female (OR 3.76, 95% CI 3.11–4.33); less likely black than white (OR 0.65, 95% CI 0.53–0.80); tended to be younger; and more likely college educated (OR 2.70, 95% CI 2.37–3.08). Musculoskeletal conditions (OR 1.61, 95% CI 1.42–1.83), mental health conditions (OR 1.43, 95% CI 1.22–1.67), severe sprains in the last 12 months (OR 1.49, 95% CI 1.22–1.81), and asthma (OR 1.27, 95% CI 1.05–1.54) were independently associated with higher yoga use, while hypertension (OR 0.78, 95% CI 0.64–0.95) and chronic obstructive lung disease (OR 0.69, 95% CI 0.48–1.00) were associated with lower use. Yoga was most commonly used to treat musculoskeletal or mental health conditions, and most users reported yoga to be helpful for these conditions. A majority of yoga users (61%) felt yoga was important in maintaining health, though only 25% disclosed yoga practice to their medical professional. Conclusions We found that yoga users are more likely to be white, female, young and college educated. Yoga users report benefit for musculoskeletal conditions and mental health, indicating that further research on the efficacy of yoga for the treatment and/or prevention of these conditions is warranted. PMID:18651193

  20. Participant referral rate in the National Eye Health Survey (NEHS)

    PubMed Central

    Keel, Stuart; Lee, Pei Ying; Foreman, Joshua; van Wijngaarden, Peter; Taylor, Hugh R.; Dirani, Mohamed

    2017-01-01

    Purpose To present the rates of referral of participants in the National Eye Health Survey (NEHS) for further eye care. Materials & methods A national sample of 3098 non-Indigenous Australians aged 50–98 and 1738 Indigenous Australians aged 40–92 years living in 30 randomly selected sites was recruited using a door-to-door approach. Participants completed a general questionnaire and a series of eye tests, including vision and anterior segment assessment, intra-ocular pressure measurement, visual field testing and fundus photography. A predefined protocol was used to guide the referral of participants for follow up eye care. An ophthalmologist was on-call to assist with the triaging of participants. Results Of the total sample, 32.1% (994/3098) of non-Indigenous participants and 43.6% (757/1738) of Indigenous participants were referred for further eye care (p<0.001). A significant difference in referral rates for Indigenous Australians was observed between regions of differing geographic remoteness [range = 32.2% (Inner Regional)—60.4% (Very Remote), p <0.001]. After adjusting for covariates, males (OR = 1.24, 95% CI: 1.06–1.46), older age (OR = 1.02 per year, 95% CI: 1.01, 1.02) and longer time since previous eye examination (OR = 1.15 per year, 95% CI: 1.12, 1.19) were associated with higher rates of eye care referral in the non-Indigenous population. In the Indigenous population, older age (OR = 1.02 per year, 95% CI: 1.01–1.03), self-reported diabetes (OR = 1.70, 95% CI: 1.37–2.12), greater geographical remoteness (OR = 1.19, 95% CI: 1.09–1.29) and longer time since previous eye examination (OR = 1.10 per year, 95% CI: 1.07, 1.13) were associated with a higher rate of referral after multivariate adjustments. A total of 25 participants (1.4%) were referred for urgent follow-up of potentially sight threatening conditions. Conclusions Our data has identified several high risk groups that required ophthalmic referral including older Australians, non

  1. U.S. EPA'S SURVEY OF THE NATION'S NON-WADEABLE STREAMS AND RIVERS

    EPA Science Inventory

    The U.S. EPA is engaging states, tribes and other parties in designing a national survey to assess the condition of non-wadeable rivers and streams. The rivers survey is one of a series of surveys being implemented as a partnership among states, tribes and U.S. EPA, with the coll...

  2. Attitudes and Opinions from the Nation's High Achieving Teens. 24th Annual Survey of High Achievers.

    ERIC Educational Resources Information Center

    Who's Who among American High School Students, Lake Forest, IL.

    This survey represents information compiled by the largest national survey of adolescent leaders and high achievers. Of the 5,000 students selected demographically from "Who's Who Among American High School Students," 1,957 responded. All students surveyed had "A" or "B" averages, and 98% planned on attending college. Questions were asked about…

  3. Human impact surveys in Mount Rainier National Park : past, present, and future

    Treesearch

    Regina M. Rochefort; Darin D. Swinney

    2000-01-01

    Three survey methods were utilized to describe human impacts in one wilderness management zone of Mount Rainier National Park: wilderness impact cards, social trail and campsite surveys, and condition class surveys. Results were compared with respect to assessment of wilderness condition and ecological integrity. Qualitative wilderness impact cards provided location of...

  4. Current Social Issues: The Public's View. Findings from a Series of National Surveys, Spring 1975.

    ERIC Educational Resources Information Center

    Institute of Life Insurance, New York, NY.

    The findings of this national survey of public attitudes are the second in a series of reports reflecting important trends in American society. The survey is one of a number made on behalf of the life insurance business by the Institute of Life Insurance. Data for the survey were collected in personal interviews with 1,500 to 3,000 adults.…

  5. Customer satisfaction survey with the National Vaccine Cold Chain Delivery Service.

    PubMed

    Meara, M O; Morrissey, Y; Corcoran, B

    2009-05-01

    In 2008 the Health Service Executive (HSE) carried out a survey to assess general practitioners (GPs) satisfaction with the National Vaccine Cold Chain Service. This survey found high levels of satisfaction (> 90%) with the service. Over half of those surveyed had used the vaccine returns service with the majority (89.2%) finding it good or very good.

  6. National Household Education Surveys of 2003: Data File User's Manual, Volume I. NCES 2004-001

    ERIC Educational Resources Information Center

    Hagedorn, Mary; Montaquila, Jill; Vaden-Kiernan, Nancy; Kim, Kwang; Chapman, Christopher

    2004-01-01

    This manual describes the development of the surveys fielded in 2003 under the National Household Education Surveys Program (NHES: 2003). It describes how the questionnaires were designed, how the samples were developed, data collection experiences, and file information needed to analyze the NHES: 2003 data sets. The surveys fielded as part of…

  7. National Survey of American Attitudes on Substance Abuse VIII: Teens and Parents.

    ERIC Educational Resources Information Center

    Columbia Univ., New York, NY. National Center on Addiction and Substance Abuse.

    For eight years, the National Center on Addiction and Substance Abuse (CASA) has been engaged in the undertaking of surveying attitudes of teens and those who most influence them--parents, teachers and school principals. While other surveys seek to measure the extent of substance abuse in the population, the CASA back to school survey probes…

  8. Attitudes and Opinions from the Nation's High Achieving Teens. 25th Annual Survey of High Achievers.

    ERIC Educational Resources Information Center

    Who's Who among American High School Students, Lake Forest, IL.

    This survey was conducted during the spring of 1994 for the purpose of determining the attitudes of student leaders in the nation's high schools. Eight thousand surveys were sent out to students, of which 3177 were returned. All students surveyed were members of the junior or senior class during the 1993-94 academic year. They were selected for…

  9. How Doctors View and Use Social Media: A National Survey

    PubMed Central

    Ryan, Christopher; Harris, Anthony

    2014-01-01

    Background Doctors are uncertain of their ethical and legal obligations when communicating with patients online. Professional guidelines for patient-doctor interaction online have been written with limited quantitative data about doctors’ current usage and attitudes toward the medium. Further research into these trends will help to inform more focused policy and guidelines for doctors communicating with patients online. Objective The intent of the study was to provide the first national profile of Australian doctors’ attitudes toward and use of online social media. Methods The study involved a quantitative, cross-sectional online survey of Australian doctors using a random sample from a large representative database. Results Of the 1500 doctors approached, 187 participated (12.47%). Most participants used social media privately, with only one-quarter not using any social media websites at all (48/187, 25.7%). One in five participants (30/155, 19.4%) had received a “friend request” from a patient. There was limited use of online communication in clinical practice: only 30.5% (57/187) had communicated with a patient through email and fewer than half (89/185, 48.1%) could offer their patients electronic forms of information if that were the patients’ preference. Three in five participants (110/181, 60.8%) reported not being uncomfortable about interacting with patients who had accessed personal information about them online, prior to the consultation. Most of the participants (119/181, 65.8%) were hesitant to immerse themselves more fully in social media and online communication due to worries about public access and legal concerns. Conclusions Doctors have different practices and views regarding whether or how to communicate appropriately with patients on the Internet, despite online and social media becoming an increasingly common feature of clinical practice. Additional training would assist doctors in protecting their personal information online

  10. How doctors view and use social media: a national survey.

    PubMed

    Brown, James; Ryan, Christopher; Harris, Anthony

    2014-12-02

    Doctors are uncertain of their ethical and legal obligations when communicating with patients online. Professional guidelines for patient-doctor interaction online have been written with limited quantitative data about doctors' current usage and attitudes toward the medium. Further research into these trends will help to inform more focused policy and guidelines for doctors communicating with patients online. The intent of the study was to provide the first national profile of Australian doctors' attitudes toward and use of online social media. The study involved a quantitative, cross-sectional online survey of Australian doctors using a random sample from a large representative database. Of the 1500 doctors approached, 187 participated (12.47%). Most participants used social media privately, with only one-quarter not using any social media websites at all (48/187, 25.7%). One in five participants (30/155, 19.4%) had received a "friend request" from a patient. There was limited use of online communication in clinical practice: only 30.5% (57/187) had communicated with a patient through email and fewer than half (89/185, 48.1%) could offer their patients electronic forms of information if that were the patients' preference. Three in five participants (110/181, 60.8%) reported not being uncomfortable about interacting with patients who had accessed personal information about them online, prior to the consultation. Most of the participants (119/181, 65.8%) were hesitant to immerse themselves more fully in social media and online communication due to worries about public access and legal concerns. Doctors have different practices and views regarding whether or how to communicate appropriately with patients on the Internet, despite online and social media becoming an increasingly common feature of clinical practice. Additional training would assist doctors in protecting their personal information online, integrating online communication in patient care, and guidance on

  11. National Survey of Patients’ Bill of Rights Statutes

    PubMed Central

    Jacob, Dan M.; Hochhauser, Mark; Parker, Ruth M.

    2009-01-01

    BACKGROUND Despite vigorous national debate between 1999–2001 the federal patients’ bill of rights (PBOR) was not enacted. However, states have enacted legislation and the Joint Commission defined an accreditation standard to present patients with their rights. Because such initiatives can be undermined by overly complex language, we surveyed the readability of hospital PBOR documents as well as texts mandated by state law. METHODS State Web sites and codes were searched to identify PBOR statutes for general patient populations. The rights addressed were compared with the 12 themes presented in the American Hospital Association’s (AHA) PBOR text of 2002. In addition, we obtained PBOR texts from a sample of hospitals in each state. Readability was evaluated using Prose, a software program which reports an average of eight readability formulas. RESULTS Of 23 states with a PBOR statute for the general public, all establish a grievance policy, four protect a private right of action, and one stipulates fines for violations. These laws address an average of 7.4 of the 12 AHA themes. Nine states’ statutes specify PBOR text for distribution to patients. These documents have an average readability of 15th grade (range, 11.6, New York, to 17.0, Minnesota). PBOR documents from 240 US hospitals have an average readability of 14th grade (range, 8.2 to 17.0). CONCLUSIONS While the average U.S. adult reads at an 8th grade reading level, an advanced college reading level is routinely required to read PBOR documents. Patients are not likely to learn about their rights from documents they cannot read. PMID:19189192

  12. National survey of patients' bill of rights statutes.

    PubMed

    Paasche-Orlow, Michael K; Jacob, Dan M; Hochhauser, Mark; Parker, Ruth M

    2009-04-01

    Despite vigorous national debate between 1999-2001 the federal patients' bill of rights (PBOR) was not enacted. However, states have enacted legislation and the Joint Commission defined an accreditation standard to present patients with their rights. Because such initiatives can be undermined by overly complex language, we surveyed the readability of hospital PBOR documents as well as texts mandated by state law. State Web sites and codes were searched to identify PBOR statutes for general patient populations. The rights addressed were compared with the 12 themes presented in the American Hospital Association's (AHA) PBOR text of 2002. In addition, we obtained PBOR texts from a sample of hospitals in each state. Readability was evaluated using Prose, a software program which reports an average of eight readability formulas. Of 23 states with a PBOR statute for the general public, all establish a grievance policy, four protect a private right of action, and one stipulates fines for violations. These laws address an average of 7.4 of the 12 AHA themes. Nine states' statutes specify PBOR text for distribution to patients. These documents have an average readability of 15th grade (range, 11.6, New York, to 17.0, Minnesota). PBOR documents from 240 US hospitals have an average readability of 14th grade (range, 8.2 to 17.0). While the average U.S. adult reads at an 8th grade reading level, an advanced college reading level is routinely required to read PBOR documents. Patients are not likely to learn about their rights from documents they cannot read.

  13. Firearm Acquisition Without Background Checks: Results of a National Survey.

    PubMed

    Miller, Matthew; Hepburn, Lisa; Azrael, Deborah

    2017-02-21

    In 1994, 40% of U.S. gun owners who had recently acquired a firearm did so without a background check. No contemporary estimates exist. To estimate the proportion of current U.S. gun owners who acquired their most recent firearm without a background check, by time since and manner of acquisition, for the nation as a whole and separately in states with and without legislation regulating private sales. Probability-based online survey. United States, 2015. 1613 adult gun owners. Current gun owners were asked where and when they acquired their last firearm; if they purchased the firearm; and whether, as part of that acquisition, they had a background check (or were asked to show a firearm license or permit). 22% (95% CI, 16% to 27%) of gun owners who reported obtaining their most recent firearm within the previous 2 years reported doing so without a background check. For firearms purchased privately within the previous 2 years (that is, other than from a store or pawnshop, including sales between individuals in person, online, or at gun shows), 50% (CI, 35% to 65%) were obtained without a background check. This percentage was 26% (CI, 5% to 47%) for owners residing in states regulating private firearm sales and 57% (CI, 40% to 75%) for those living in states without regulations on private firearm sales. Potential inaccuracies due to recall and social desirability bias. 22% of current U.S. gun owners who acquired a firearm within the past 2 years did so without a background check. Although this represents a smaller proportion of gun owners obtaining firearms without background checks than in the past, millions of U.S. adults continue to acquire guns without background checks, especially in states that do not regulate private firearm sales. Fund for a Safer Future and the Joyce Foundation.

  14. Exhibitionistic and voyeuristic behavior in a Swedish national population survey.

    PubMed

    Långström, Niklas; Seto, Michael C

    2006-08-01

    We examined the prevalence and correlates of self-reported sexual arousal from exposing one's genitals to a stranger (exhibitionistic behavior) and spying on others having sex (voyeuristic behavior) in a representative national sample. In 1996, 2,450 randomly selected 18-60 year-olds from the general population of Sweden were interviewed in a broad survey of sexuality and health. A total of 76 (3.1%) respondents reported at least one incident of being sexually aroused by exposing their genitals to a stranger and 191 (7.7%) respondents reported at least one incident of being sexually aroused by spying on others having sex. Exhibitionistic and voyeuristic behaviors were examined for possible associations with 9 sociodemographic, 5 health, 4 risk-taking, and 17 sexuality variables. Both paraphilia-like behaviors were positively associated with being male and having more psychological problems, lower satisfaction with life, greater alcohol and drug use, and greater sexual interest and activity in general, including more sexual partners, greater sexual arousability, higher frequency of masturbation, higher frequency of pornography use, and greater likelihood of having had a same-sex sexual partner. Consistent with previous research in clinical samples of men with paraphilias, respondents who reported either exhibitionistic or voyeuristic behavior had substantially greater odds of reporting other atypical sexual behavior (sadomasochistic or cross-dressing behavior). There was evidence both for general and specific associations between sexual fantasies and their corresponding paraphilia-like behaviors. The implications of these findings for research on atypical sexual interests, atypical sexual behavior, and paraphilias are discussed.

  15. Do parents understand immunizations? A national telephone survey.

    PubMed

    Gellin, B G; Maibach, E W; Marcuse, E K

    2000-11-01

    Immunization may now be undervalued because vaccines have largely eliminated the threat of serious infectious diseases in childhood. As the incidence of vaccine-preventable diseases has declined, concern about vaccine safety has increased. Significant erosion of public confidence in vaccine safety could lead to reduced immunization rates and a resurgence of vaccine-preventable diseases. To assess parents' understanding of vaccine-preventable diseases, vaccines, immunization practices, and policies, we conducted a telephone survey in the United States with a nationally representative sample (n = 1600) of parents with children

  16. Determinants of underdiagnosis of COPD in national and international surveys.

    PubMed

    Bernd, Lamprecht; Joan, B Soriano; Michael, Studnicka; Bernhard, Kaiser; Lowie, E Vanfleteren; Louisa, Gnatiuc; Peter, Burney; Marc, Miravitlles; Francisco, García-Rio; Kaveh, Akbari; Julio, Ancochea; Ana, M Menezes; Rogelio, Perez-Padilla; Maria, Montes de Oca; Carlos, A Torres-Duque; Andres, Caballero; Mauricio, González-García; Sonia, Buist

    2015-10-01

    COPD ranks within the top three causes of mortality in the global burden of disease, yet it remains largely underdiagnosed. We assessed the underdiagnosis of COPD and its determinants in national and international surveys of general populations. We analyzed representative samples of adults aged ≥ 40 years randomly selected from well-defined administrative areas worldwide (44 sites from 27 countries). Postbronchodilator FEV1/FVC < lower limit of normal (LLN) was used to define chronic airflow limitation consistent with COPD. Undiagnosed COPD was considered when participants had postbronchodilator FEV1/FVC < LLN but were not given a diagnosis of COPD. Among 30,874 participants with a mean age of 56 years, 55.8% were women, and 22.9% were current smokers. Population prevalence of (spirometrically defined) COPD ranged from 3.6% in Barranquilla, Colombia, to 19.0% in Cape Town, South Africa. Only 26.4% reported a previous lung function test, and only 5.0% reported a previous diagnosis of COPD, whereas 9.7% had a postbronchodilator FEV1/FVC < LLN. Overall, 81.4% of (spirometrically defined) COPD cases were undiagnosed, with the highest rate in Ile-Ife, Nigeria (98.3%) and the lowest rate in Lexington, Kentucky (50.0%). In multivariate analysis, a greater probability of underdiagnosis of COPD was associated with male sex, younger age, never and current smoking, lower education, no previous spirometry, and less severe airflow limitation. Even with substantial heterogeneity in COPD prevalence, COPD underdiagnosis is universally high. Because effective management strategies are available for COPD, spirometry can help in the diagnosis of COPD at a stage when treatment will lead to better outcomes and improved quality of life.

  17. [Thalassaemia minor: national survey of uraemic patients under substitutive treatment].

    PubMed

    Di Iorio, B R; Aucella, F; Stallone, C; Bellizzi, V

    2002-01-01

    The incidence of thalassaemia minor in end-stage renal disease patients is similar to that of the general population. Both these conditions are characterized by anaemia, but the underlying pathophysiology is quite different. Current literature lacks an adequate clinical survey of haemodialysis patients with thalassaemia minor. The prevalence of thalassaemia minor (thal-m) in haemodialysis patients was assessed by a national survey collecting general information as well as clinical and haematological parameters. Data were also collected on the use of recombinant erythropoietin in these subjects. A dedicated questionnaire was sent to all Italian dialysis units. Only 116/705 dialysis units returned the questionnaire (16.4%): 33 units did not have any patients affected by thalassaemia minor. No response was obtained from six Italian regions whereas ten regions returned only partial answers. The response from four regions was satisfactory (20%) while the completed questionnaire was returned by all units in only two small regions. A total of 7731 ESRD patients were collected, 240 (3.1%) were also affected by thal-m, 142 males and 98 females. In the four regions with the highest response rates, Calabria 45%, Puglia 65%, Basilicata and Molise 100%, the prevalence of thal-m were 3.68%, 4.56%, 3.3% and 1%, respectively. A total of 3623 uraemic patients (47% of all enrolled subjects) were collected from these four regions. Here is the patient geographic distribution: northern Italy 2.16% (response rate of 9.44%); central Italy 1.69% (response rate of 7.64%), southern Italy 3.77% (response rate of 29.46%). The age range of thal-m patients was 17 to 90 years, the time spent on dialysis was between 3 and 384 months, the body weight was between 35 and 93 kg, the Hb value was between 6.2 and 13.6 g/dl, and the Htc value was between 19 and 44%. A total of 230 thal-m patients were on haemodialysis while 10 patients were on peritoneal dialysis (4.2%). The mean haemoglobin level for

  18. The 2011 National School Climate Survey: The Experiences of Lesbian, Gay, Bisexual and Transgender Youth in Our Nation's Schools

    ERIC Educational Resources Information Center

    Kosciw, Joseph G.; Greytak, Emily A.; Bartkiewicz, Mark J.; Boesen, Madelyn J.; Palmer, Neal A.

    2012-01-01

    In 1999, the Gay, Lesbian and Straight Education Network (GLSEN) identified the need for national data on the experiences of lesbian, gay, bisexual, and transgender (LGBT) students and launched the first National School Climate Survey (NSCS). At the time, the school experiences of LGBT youth were under-documented and nearly absent from national…

  19. Outsourcing in the Italian National Health Service: findings from a national survey.

    PubMed

    Macinati, Manuela S

    2008-01-01

    Over the last decade, outsourcing has become one of the major issues in health care. Two major concerns are related to public health care outsourcing practice. The first one involves the suitability of the outsourcing strategy in the public sector, principally with reference to the outsourcing of essential clinical services. The second one relates to the actual benefits of the outsourcing practice in health care, in terms of cost reduction and increasing efficiency. This paper aims to contribute to the debate and literature on outsourcing through a national survey carried out in the Italian National Health Service. In order to achieve the research objective, a questionnaire was developed and, after a pilot test, it was mailed to all Italian public providers. The total response rate was around 42%. Results showed that outsourcing is a widespread phenomenon within health care, especially in the ancillary services area. Moreover, results showed many criticalities of the outsourcing practice in the Italian health-care sector. On the one hand, criticalities concerned the reasons for outsourcing, the characteristics of the outsourced services and the management of the relationship with the vendor. With reference to essential clinical service, outsourcing, as currently managed by health-care providers, may potentially weaken their ability to reach its own objectives. On the other hand, criticalities related to respondent-perceived benefits. Despite the overall positive outsourcing experience expressed in the survey, the results on perceived benefits showed that the effects of outsourcing did not always align to managers' expectations, especially in the cost containment and efficiency area.

  20. A Comparison of National Estimates From the National Health Interview Survey and the Behavioral Risk Factor Surveillance System

    PubMed Central

    Nelson, David E.; Powell-Griner, Eve; Town, Machell; Kovar, Mary Grace

    2003-01-01

    Objectives. The purpose of this study was to compare national estimates from the National Health Interview Survey (NHIS) and the Behavioral Risk Factor Surveillance System (BRFSS). Methods. The authors compared data from the 2 surveys on smoking, height, weight, body mass index, diabetes, hypertension, immunization, lack of insurance coverage, cost as a barrier to medical care, and health status. Results. Overall national estimates were similar for 13 of the 14 measures examined. Small differences according to demographic characteristics were found for height and body mass index, with larger differences for health status. Conclusions. Although estimates differed within subgroups, the BRFSS provided national estimates comparable to those of the NHIS. BRFSS national data could provide rapidly available information to guide national policy and program decisions. PMID:12893624

  1. Factors facilitating a national quality registry to aid clinical quality improvement: findings of a national survey

    PubMed Central

    Eldh, Ann Catrine; Wallin, Lars; Fredriksson, Mio; Vengberg, Sofie; Winblad, Ulrika; Halford, Christina; Dahlström, Tobias

    2016-01-01

    Objectives While national quality registries (NQRs) are suggested to provide opportunities for systematic follow-up and learning opportunities, and thus clinical improvements, features in registries and contexts triggering such processes are not fully known. This study focuses on one of the world's largest stroke registries, the Swedish NQR Riksstroke, investigating what aspects of the registry and healthcare organisations facilitate or hinder the use of registry data in clinical quality improvement. Methods Following particular qualitative studies, we performed a quantitative survey in an exploratory sequential design. The survey, including 50 items on context, processes and the registry, was sent to managers, physicians and nurses engaged in Riksstroke in all 72 Swedish stroke units. Altogether, 242 individuals were presented with the survey; 163 responded, representing all but two units. Data were analysed descriptively and through multiple linear regression. Results A majority (88%) considered Riksstroke data to facilitate detection of stroke care improvement needs and acknowledged that their data motivated quality improvements (78%). The use of Riksstroke for quality improvement initiatives was associated (R2=0.76) with ‘Colleagues’ call for local results’ (p=<0.001), ‘Management Request of Registry data’ (p=<0.001), and it was said to be ‘Simple to explain the results to colleagues’ (p=0.02). Using stepwise regression, ‘Colleagues’ call for local results’ was identified as the most influential factor. Yet, while 73% reported that managers request registry data, only 39% reported that their colleagues call for the unit's Riksstroke results. Conclusions While an NQR like Riksstroke demonstrates improvement needs and motivates stakeholders to make progress, local stroke care staff and managers need to engage to keep the momentum going in terms of applying registry data when planning, performing and evaluating quality initiatives. PMID

  2. Cross-continental comparison of national food consumption survey methods--a narrative review.

    PubMed

    De Keyzer, Willem; Bracke, Tatiana; McNaughton, Sarah A; Parnell, Winsome; Moshfegh, Alanna J; Pereira, Rosangela A; Lee, Haeng-Shin; van't Veer, Pieter; De Henauw, Stefaan; Huybrechts, Inge

    2015-05-13

    Food consumption surveys are performed in many countries. Comparison of results from those surveys across nations is difficult because of differences in methodological approaches. While consensus about the preferred methodology associated with national food consumption surveys is increasing, no inventory of methodological aspects across continents is available. The aims of the present review are (1) to develop a framework of key methodological elements related to national food consumption surveys, (2) to create an inventory of these properties of surveys performed in the continents North-America, South-America, Asia and Australasia, and (3) to discuss and compare these methodological properties cross-continentally. A literature search was performed using a fixed set of search terms in different databases. The inventory was completed with all accessible information from all retrieved publications and corresponding authors were requested to provide additional information where missing. Surveys from ten individual countries, originating from four continents are listed in the inventory. The results are presented according to six major aspects of food consumption surveys. The most common dietary intake assessment method used in food consumption surveys worldwide is the 24-HDR (24 h dietary recall), occasionally administered repeatedly, mostly using interview software. Only three countries have incorporated their national food consumption surveys into continuous national health and nutrition examination surveys.

  3. Cross-Continental Comparison of National Food Consumption Survey Methods—A Narrative Review

    PubMed Central

    De Keyzer, Willem; Bracke, Tatiana; McNaughton, Sarah A.; Parnell, Winsome; Moshfegh, Alanna J.; Pereira, Rosangela A.; Lee, Haeng-Shin; van’t Veer, Pieter; De Henauw, Stefaan; Huybrechts, Inge

    2015-01-01

    Food consumption surveys are performed in many countries. Comparison of results from those surveys across nations is difficult because of differences in methodological approaches. While consensus about the preferred methodology associated with national food consumption surveys is increasing, no inventory of methodological aspects across continents is available. The aims of the present review are (1) to develop a framework of key methodological elements related to national food consumption surveys, (2) to create an inventory of these properties of surveys performed in the continents North-America, South-America, Asia and Australasia, and (3) to discuss and compare these methodological properties cross-continentally. A literature search was performed using a fixed set of search terms in different databases. The inventory was completed with all accessible information from all retrieved publications and corresponding authors were requested to provide additional information where missing. Surveys from ten individual countries, originating from four continents are listed in the inventory. The results are presented according to six major aspects of food consumption surveys. The most common dietary intake assessment method used in food consumption surveys worldwide is the 24-HDR (24 h dietary recall), occasionally administered repeatedly, mostly using interview software. Only three countries have incorporated their national food consumption surveys into continuous national health and nutrition examination surveys. PMID:25984745

  4. QUINAULT INDIAN NATIONAL DEVELOPMENT OF TRIBAL SEAFOOD CONSUMPTION SURVEY SOFTWARE

    EPA Science Inventory

    The Quinault Indian Nation needed to determine appropriate seafood consumption rates for development of their water quality standards. EPA Region 10 and EPA's National Health and Environmental Effects Research Laboratory had been collaborating on computer assisted personal inter...

  5. QUINAULT INDIAN NATIONAL DEVELOPMENT OF TRIBAL SEAFOOD CONSUMPTION SURVEY SOFTWARE

    EPA Science Inventory

    The Quinault Indian Nation needed to determine appropriate seafood consumption rates for development of their water quality standards. EPA Region 10 and EPA's National Health and Environmental Effects Research Laboratory had been collaborating on computer assisted personal inter...

  6. State geological surveys: Their growing national role in policy

    USGS Publications Warehouse

    Gerhard, L.C.

    2000-01-01

    State geological surveys vary in organizational structure, but are political powers in the field of geology by virtue of their intimate knowledge of and involvement in legislative and political processes. Origins of state geological surveys lie in the recognition of society that settlement and prosperity depended on access to a variety of natural resources, resources that are most familiar to geologists. As the surveys adapt to modern societal pressures, making geology serve the public has become the new mission for many state geological surveys. Geologic mapping was the foundation of most early surveys, and the state surveys have brought mapping back into the public realm to meet today's challenges of growing population density, living environment desires, and resource access.

  7. Cerebrovascular events, secondary intracranial tumors, and mortality after radiotherapy for nonfunctioning pituitary adenomas: a subanalysis from the Dutch National Registry of Growth Hormone Treatment in Adults.

    PubMed

    van Varsseveld, N C; van Bunderen, C C; Ubachs, D H H; Franken, A A M; Koppeschaar, H P F; van der Lely, A J; Drent, M L

    2015-03-01

    Radiotherapy is frequently administered as adjuvant treatment in patients with clinically nonfunctioning pituitary adenomas (NFPAs). However, concerns have been raised about potential long-term side effects, including cerebrovascular events (CVEs) and secondary intracranial tumors. The aim of this study was to analyze the risk of CVEs, secondary intracranial tumors, and mortality in irradiated (IRR) NFPA patients, compared with NFPA patients who were not irradiated (non-IRR). The study cohort included 806 patients with a NFPA from the Dutch National Registry of Growth Hormone Treatment in Adults, a nationwide long-term surveillance study in severe GH-deficient adult patients. IRR patients (n = 456) were compared with non-IRR patients (n = 350). CVEs, secondary intracranial tumors, and mortality were measured. Sixty-nine subjects developed a CVE. In men, but not in women, the incidence of a CVE was significantly higher in IRR patients than in non-IRR patients (hazard ratio 2.99, 95% confidence interval 1.31-6.79). A secondary intracranial tumor developed in five IRR patients and two non-IRR patients. After adjustment for age, radiotherapy was not associated with mortality. The incidence of secondary intracranial tumors and mortality did not differ between IRR and non-IRR patients. However, a CVE was found significantly more frequently in IRR men but not in women. Further research into the long-term effects of cranial radiotherapy seems mandatory. The potential risks of radiotherapy have to be taken into account when radiotherapy is considered in NFPA patients, and long-term follow-up is recommended.

  8. The Dutch hospital standardised mortality ratio (HSMR) method and cardiac surgery: benchmarking in a national cohort using hospital administration data versus a clinical database.

    PubMed

    Siregar, S; Pouw, M E; Moons, K G M; Versteegh, M I M; Bots, M L; van der Graaf, Y; Kalkman, C J; van Herwerden, L A; Groenwold, R H H

    2014-05-01

    To compare the accuracy of data from hospital administration databases and a national clinical cardiac surgery database and to compare the performance of the Dutch hospital standardised mortality ratio (HSMR) method and the logistic European System for Cardiac Operative Risk Evaluation, for the purpose of benchmarking of mortality across hospitals. Information on all patients undergoing cardiac surgery between 1 January 2007 and 31 December 2010 in 10 centres was extracted from The Netherlands Association for Cardio-Thoracic Surgery database and the Hospital Discharge Registry. The number of cardiac surgery interventions was compared between both databases. The European System for Cardiac Operative Risk Evaluation and hospital standardised mortality ratio models were updated in the study population and compared using the C-statistic, calibration plots and the Brier-score. The number of cardiac surgery interventions performed could not be assessed using the administrative database as the intervention code was incorrect in 1.4-26.3%, depending on the type of intervention. In 7.3% no intervention code was registered. The updated administrative model was inferior to the updated clinical model with respect to discrimination (c-statistic of 0.77 vs 0.85, p<0.001) and calibration (Brier Score of 2.8% vs 2.6%, p<0.001, maximum score 3.0%). Two average performing hospitals according to the clinical model became outliers when benchmarking was performed using the administrative model. In cardiac surgery, administrative data are less suitable than clinical data for the purpose of benchmarking. The use of either administrative or clinical risk-adjustment models can affect the outlier status of hospitals. Risk-adjustment models including procedure-specific clinical risk factors are recommended.

  9. The Dutch Hospital Standardised Mortality Ratio (HSMR) method and cardiac surgery: benchmarking in a national cohort using hospital administration data versus a clinical database

    PubMed Central

    Siregar, S; Pouw, M E; Moons, K G M; Versteegh, M I M; Bots, M L; van der Graaf, Y; Kalkman, C J; van Herwerden, L A; Groenwold, R H H

    2014-01-01

    Objective To compare the accuracy of data from hospital administration databases and a national clinical cardiac surgery database and to compare the performance of the Dutch hospital standardised mortality ratio (HSMR) method and the logistic European System for Cardiac Operative Risk Evaluation, for the purpose of benchmarking of mortality across hospitals. Methods Information on all patients undergoing cardiac surgery between 1 January 2007 and 31 December 2010 in 10 centres was extracted from The Netherlands Association for Cardio-Thoracic Surgery database and the Hospital Discharge Registry. The number of cardiac surgery interventions was compared between both databases. The European System for Cardiac Operative Risk Evaluation and hospital standardised mortality ratio models were updated in the study population and compared using the C-statistic, calibration plots and the Brier-score. Results The number of cardiac surgery interventions performed could not be assessed using the administrative database as the intervention code was incorrect in 1.4–26.3%, depending on the type of intervention. In 7.3% no intervention code was registered. The updated administrative model was inferior to the updated clinical model with respect to discrimination (c-statistic of 0.77 vs 0.85, p<0.001) and calibration (Brier Score of 2.8% vs 2.6%, p<0.001, maximum score 3.0%). Two average performing hospitals according to the clinical model became outliers when benchmarking was performed using the administrative model. Conclusions In cardiac surgery, administrative data are less suitable than clinical data for the purpose of benchmarking. The use of either administrative or clinical risk-adjustment models can affect the outlier status of hospitals. Risk-adjustment models including procedure-specific clinical risk factors are recommended. PMID:24334377

  10. The consequences of implementing non-invasive prenatal testing in Dutch national health care: a cost-effectiveness analysis.

    PubMed

    Beulen, Lean; Grutters, Janneke P C; Faas, Brigitte H; Feenstra, Ilse; van Vugt, John M G; Bekker, Mireille N

    2014-11-01

    Non-invasive prenatal testing (NIPT) using cell-free fetal DNA in maternal plasma has been developed for the detection of fetal aneuploidy. Clinical trials have shown high sensitivity and specificity for trisomy 21 (T21) in both high-risk and average-risk populations. Although its great potential for prenatal medicine is evident, more information regarding the consequences of implementing NIPT in a national programme for prenatal screening is required. A decision-analytic model was developed to compare costs and outcomes of current clinical practice in The Netherlands using conventional screening only, with two alternatives: implementing NIPT as an optional secondary screening test for those pregnancies complicated by a high risk for T21, and implementing NIPT as primary screening test, replacing conventional screening. Probability estimates were derived from a systematic review of international literature. Costs were determined from a health-care perspective. Data were analysed to obtain outcomes, total costs, relative costs and incremental cost-effectiveness ratios (ICERs) for the different strategies. Sensitivity analysis was used to assess the impact of assumptions on model results. Implementing NIPT as an optional secondary, or as primary screening test will increase T21 detection rate by 36% (from 46.8% to 63.5%) and 54% (from 46.8% to 72.0%), simultaneously decreasing the average risk of procedure-related miscarriage by 44% (from 0.0168% to 0.0094% per pregnant woman) and 62% (from 0.0168% to 0.0064% per pregnant woman), respectively. None of the strategies clearly dominated: current clinical practice is the least costly, whereas implementing NIPT will cause total costs of the programme to increase by 21% (from €257.09 to €311.74 per pregnant woman), leading to an ICER of k€94 per detected case of T21, when utilised as an optional secondary screening test and by 157% (from €257.09 to €660.94 per pregnant woman), leading to an ICER of k€460 per

  11. 1981 national survey of compensation paid scientists and engineers engaged in research and development activities

    SciTech Connect

    Not Available

    1981-12-01

    The results of a compensation survey conducted by the Columbus Laboratories of Battelle are presented. The survey was entitled A National Survey of Compensation Paid to Scientists and Engineers Engaged in Research and Development Activities. Information is included on the: sampling procedures; basic data for survey analysis; beginning salaries for recent graduates with bachelor, master, or doctorate degrees; salary trends; geographic analysis; interpretation of results; and salary tables. (LCL)

  12. Initiation Rites and Athletics: A National Survey of NCAA Sports Teams. Final Report.

    ERIC Educational Resources Information Center

    Alfred Univ., NY.

    Alfred University conducted a national survey of college athletes, coaches, and staff members at National Collegiate Athletic Association (NCAA) institutions early in 1999 to determine the extent of hazing and initiation rites. A national random sample of 10,000 athletes was taken from a composite list of all athletes from 224 NCAA institutions…

  13. 77 FR 34387 - National Health and Nutrition Examination Survey (NHANES) DNA Samples

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... HUMAN SERVICES Centers for Disease Control and Prevention National Health and Nutrition Examination... Health and Human Services (DHHS). ACTION: Notice. SUMMARY: The National Health and Nutrition Examination...: Geraldine McQuillan, Ph.D., Division of Health and Nutrition Examination Surveys, National Center for Health...

  14. A National Survey of Undergraduate Teaching in Obstetrics and Gynecology.

    ERIC Educational Resources Information Center

    And Others; Stenchever, Morton A.

    1979-01-01

    A survey of academic departments of obstetrics and gynecology was designed to assess undergraduate educational programs and the impact of efforts made to improve teaching in the specialty. It focuses on instructional patterns, the clinical clerkship, student evaluation, and program administration and evaluation. Prior surveys are noted.…

  15. Cell Phones in American High Schools: A National Survey

    ERIC Educational Resources Information Center

    Obringer, S. John; Coffey, Kent

    2007-01-01

    A survey instrument to determine school policy and practice regarding cell phone use by teachers and students was developed using a literature review, a panel of experts, and then a pilot study with typical respondents. The survey was mailed out randomly to 200 high school principals representing all 50 states. The return rate was 56 percent with…

  16. Worksite Health Promotion Activities. 1992 National Survey. Summary Report.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD. Office of Disease Prevention and Health Promotion.

    The survey reported in this document examined worksite health promotion and disease prevention activities in 1,507 private worksites in the United States. Specificlly, the survey assessed policies, practices, services, facilities, information, and activities sponsored by employers to improve the health of their employees, and assessed health…

  17. A National Survey of Undergraduate Teaching in Obstetrics and Gynecology.

    ERIC Educational Resources Information Center

    And Others; Stenchever, Morton A.

    1979-01-01

    A survey of academic departments of obstetrics and gynecology was designed to assess undergraduate educational programs and the impact of efforts made to improve teaching in the specialty. It focuses on instructional patterns, the clinical clerkship, student evaluation, and program administration and evaluation. Prior surveys are noted.…

  18. Student Affairs Research. A National Survey Report on University Programs.

    ERIC Educational Resources Information Center

    Poduska, Paul R.

    The current status of student affairs research programs at universities throughout the U.S. is examined in a survey project. The need for the development of student affairs management systems is cited. The questionnaire used in the survey covered four broad areas: (1) background information on responding institutions; (2) information about the…

  19. ACT National Curriculum Survey[R], 2005-2006

    ERIC Educational Resources Information Center

    ACT, Inc., 2007

    2007-01-01

    ACT conducts the only nationwide curriculum survey that empirically identifies current instructional practices and postsecondary expectations in order to develop tests that measure critical skills and knowledge. Every three years, it surveys thousands of middle school/junior high school, secondary, and postsecondary teachers in English/writing,…

  20. [Formulation of technical specification for national survey of Chinese materia medica resources].

    PubMed

    Guo, Lan-Ping; Lu, Jian-Wei; Zhang, Xiao-Bo; Zhao, Run-Huai; Zhang, Ben-Gang; Sun, Li-Ying; Huang, Lu-Qi

    2013-04-01

    According to the process of the technical specification (TS) design for the fourth national survey of the Chinese materia medica resources (CMMR), we analyzed the assignment and objectives of the national survey and pointed out that the differences about CMMR management around China, the distribution of CMMR and their habitat, the economic and technological level, and even enthusiasm and initiative of the staff, etc. are the most difficult points for TS design. And we adopt the principle of combination of the mandatory and flexibility in TS design. We fixed the key points which would affect the quality of national survey first, then proposed the framework of TS which including 3 parts of organization and 11 parts of technique itself. The framework will serve and lead the TS preparation, which will not only provide an action standard to the national survey but will also have a profound influence to the popularization and application of the survey technology of CMMR. [Key words

  1. The U.S. Geological Survey National Helium Resource Assessment

    NASA Astrophysics Data System (ADS)

    Brennan, S. T.; East, J. A., II

    2015-12-01

    In 2013, the U.S. Congress passed legislation directing the U.S. Geological Survey (USGS) to complete a national assessment of subsurface helium gas resources. As part of this assessment, the USGS has constructed a database of helium concentration from compositional analyses of produced gas. Though most data of this data is non-proprietary, helium data have been taken from both public and proprietary sources, with a majority taken from the USGS geochemical database (http://energy.usgs.gov/GeochemistryGeophysics/GeochemistryLaboratories/GeochemistryLaboratories-GeochemistryDatabase.aspx#4413382-introduction) and from the U.S. Bureau of Land Management (BLM) natural gas database. Altogether, there are over 16,000 analyses of natural gas composition compiled. In order to complete the assessment, it was necessary to correlate the well data with geologic reservoir data so that the helium concentrations could be compared with the reservoir and field-level gas production, in place gas volumes, and gas recovery factors. The well data from the compiled database were initially cross-referenced with the proprietary IHS Inc. well database, where possible. The results of that effort were then cross-referenced with three additional databases: the proprietary NRG Associates database of significant oil and gas fields of the United States, the non-proprietary U.S. Department of Energy's gas information system (GASIS), and an internal BLM reservoir and field database. These field and reservoir databases provide the data needed to estimate the in-place helium resources for fields with economic concentrations of helium. In order for helium production to be economic, the gas produced from geologic reservoirs must be greater than 0.3 mole percent (mol%), or in the case of liquefied natural gas processing, greater than 0.04 mol%. The field and reservoir specific estimates of total gas in place volumes, gas recovery factors, and helium concentrations, can be used as inputs for a

  2. National health and nutrition examination survey: plan and operations, 1999-2010.

    PubMed

    Zipf, George; Chiappa, Michele; Porter, Kathryn S; Ostchega, Yechiam; Lewis, Brenda G; Dostal, Jennifer

    2013-08-01

    Background-Starting in 1999, the National Health and Nutrition Examination Survey (NHANES) became a continuous, ongoing annual survey of the noninstitutionalized civilian resident population of the United States. A continuous survey allowed content to change to meet emerging needs. Objective-This report describes how NHANES for 1999-2010 was designed and implemented. NHANES is a national survey designed to provide national estimates on various health-related topics. Methods-The survey used in-person face-to-face interviews and physical examinations for data collection. Approximately 5,000 people per year participated in NHANES. The 5,000 people surveyed each year are representative of the entire U.S. population. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  3. The impact of national accreditation reform on survey reliability: a 2-year investigation of survey coordinators' perspectives.

    PubMed

    Greenfield, David; Hogden, Anne; Hinchcliff, Reece; Mumford, Virginia; Pawsey, Marjorie; Debono, Deborah; Westbrook, Johanna I; Braithwaite, Jeffrey

    2016-10-01

    Accrediting health care organizations against standards is a recognized safety and quality intervention. The credibility of an accreditation programme relies on surveying reliability. We investigated accreditation survey coordinators' perceptions of reliability issues and their continued relevancy, during a period of national accreditation reform. In 2013 and 2014, questionnaire surveys were developed using survey coordinators' feedback of their experiences and concerns regarding the accreditation process. Each year, a purpose-designed questionnaire survey was administered during the accrediting agency survey coordinator training days. Participants reported that survey reliability was informed by five categories of issues: the management of the accreditation process, including standards and health care organizational issues; surveyor workforce management; survey coordinator role; survey team; and individual surveyors. A new accreditation system and programme did not alter the factors reported to shape survey reliability. However, across the reform period, there was a noted change within each category of the specific issues that were of concern. Furthermore, consensus between coordinators that existed in 2013 appears to have diminished in 2014. Across all categories, in 2014 there was greater diversity of opinion than in 2013. The known challenges to the reliability of an accreditation programme retained their potency and relevancy during a period of reform. The diversity of opinion identified across the coordinator workforce could potentially place the credibility and reliability of the new scheme at risk. The study highlights that reliability of an accreditation scheme is an ongoing achievement, not a one-off attainment. © 2016 John Wiley & Sons, Ltd.

  4. Assessing the National School Social Work Practice Model: Findings from the Second National School Social Work Survey.

    PubMed

    Kelly, Michael S; Frey, Andy; Thompson, Aaron; Klemp, Heather; Alvarez, Michelle; Berzin, Stephanie Cosner

    2016-01-01

    The Second National School Social Work Survey in 2014 aimed to update knowledge of school social work practice by examining how practitioner characteristics, practice context, and practice choices have evolved since the last national survey in 2008. This second survey was also developed to assess how the new national school social work practice model created by the School Social Work Association of America aligns with early 21st century school social work practice realities. The second survey was conducted from February through April 2014 (3,769 total responses were collected) and represents the largest sample of American school social workers surveyed in two decades. Data from the Second National School Social Work Survey showed a field that still has not fully responded to calls to implement evidence-informed and data-driven practices. This article notes the need to better integrate pre- and postservice training in data-driven practices and provides recommendations for ways to overcome barriers that school social workers report facing.

  5. Health Information National Trends Survey in American Sign Language (HINTS-ASL): Protocol for the Cultural Adaptation and Linguistic Validation of a National Survey.

    PubMed

    Kushalnagar, Poorna; Harris, Raychelle; Paludneviciene, Raylene; Hoglind, TraciAnn

    2017-09-13

    The Health Information National Trends Survey (HINTS) collects nationally representative data about the American's public use of health-related information. This survey is available in English and Spanish, but not in American Sign Language (ASL). Thus, the exclusion of ASL users from these national health information survey studies has led to a significant gap in knowledge of Internet usage for health information access in this underserved and understudied population. The objectives of this study are (1) to culturally adapt and linguistically translate the HINTS items to ASL (HINTS-ASL); and (2) to gather information about deaf people's health information seeking behaviors across technology-mediated platforms. We modified the standard procedures developed at the US National Center for Health Statistics Cognitive Survey Laboratory to culturally adapt and translate HINTS items to ASL. Cognitive interviews were conducted to assess clarity and delivery of these HINTS-ASL items. Final ASL video items were uploaded to a protected online survey website. The HINTS-ASL online survey has been administered to over 1350 deaf adults (ages 18 to 90 and up) who use ASL. Data collection is ongoing and includes deaf adult signers across the United States. Some items from HINTS item bank required cultural adaptation for use with deaf people who use accessible services or technology. A separate item bank for deaf-related experiences was created, reflecting deaf-specific technology such as sharing health-related ASL videos through social network sites and using video remote interpreting services in health settings. After data collection is complete, we will conduct a series of analyses on deaf people's health information seeking behaviors across technology-mediated platforms. HINTS-ASL is an accessible health information national trends survey, which includes a culturally appropriate set of items that are relevant to the experiences of deaf people who use ASL. The final HINTS

  6. [SWOT Analysis of the National Survey on Current Status of Major Human Parasitic Diseases in China].

    PubMed

    ZHU, Hui-hui; ZHOU, Chang-hai; CHEN, Ying-dan; ZANG, Wei; XIAO, Ning; ZHOU, Xiao-nong

    2015-10-01

    The National Survey on Current Status of Major Human Parasitic Diseases in China has been carried out since 2014 under the organization of the National Health and Family Planning Commission of the People's Republic of China. The National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (NIPD, China CDC) provided technical support and was responsible for quality control in this survey. This study used SWOT method to analyze the strengths, weaknesses, opportunities and threats that were encountered by he NIPD, China CDC during the completion of the survey. Accordingly, working strategies were proposed to facilitate the future field work.

  7. Integrity of the National Resident Matching Program for Radiation Oncology: National Survey of Applicant Experiences

    SciTech Connect

    Holliday, Emma B.; Thomas, Charles R.; Kusano, Aaron S.

    2015-07-01

    Purpose: The aim of this study was to examine the experiences of radiation oncology applicants and to evaluate the prevalence of behaviors that may be in conflict with established ethical standards. Methods and Materials: An anonymous survey was sent to all 2013 applicants to a single domestic radiation oncology residency program through the National Resident Matching Program (NRMP). Questions included demographics, survey of observed behaviors, and opinions regarding the interview and matching process. Descriptive statistics were presented. Characteristics and experiences of respondents who matched were compared with those who did not match. Results: Questionnaires were returned by 87 of 171 applicants for a 51% response rate. Eighty-two questionnaires were complete and included for analysis. Seventy-eight respondents (95.1%) reported being asked at least 1 question in conflict with the NRMP code of conduct. When asked where else they were interviewing, 64% stated that this query made them uncomfortable. Forty-five respondents (54.9%) reported unsolicited post-interview contact by programs, and 31 (37.8%) felt pressured to give assurances. Fifteen respondents (18.3%) reported being told their rank position or that they were “ranked to match” prior to Match day, with 27% of those individuals indicating this information influenced how they ranked programs. Half of respondents felt applicants often made dishonest or misleading assurances, one-third reported that they believed their desired match outcome could be improved by deliberately misleading programs, and more than two-thirds felt their rank position could be improved by having faculty from their home institutions directly contact programs on their behalf. Conclusions: Radiation oncology applicants report a high prevalence of behaviors in conflict with written NRMP policies. Post-interview communication should be discouraged in order to enhance fairness and support the professional development of future

  8. Parent Group Training Programs in Juvenile Courts: A National Survey

    ERIC Educational Resources Information Center

    Windell, James O.; Windell, Ellen A.

    1977-01-01

    This survey of juvenile courts across the country indicates that only one of five courts have a parent group program and few use procedures reported in the growing literature relating to changing the behavior of agressive children. (Author)

  9. Dutch surgery in Japan.

    PubMed

    van Gulik, Thomas M; Nimura, Yuji

    2005-01-01

    An isolation policy was adopted in feudal Japan from 1639 to 1853 owing to the fear of foreign influence. During those 200 years of isolation, all foreigners were withheld from the country with the exception of the Dutch, who were permitted to establish a trading post on a small island in the Bay of Nagasaki, called Decima. Western culture and science reached the Japanese exclusively through the Dutch on Decima. Health care on Decima was provided by Dutch barber-surgeons, who introduced Western surgical practice in Japan. Official interpreters were the only Japanese allowed on Decima. It was from among these interpreters that the first Japanese surgeons arose who, having mastered the Dutch language, translated several Dutch anatomic and surgical texts. Genpaku Sugita translated a Dutch anatomy textbook into Japanese, which was completed in 1774. This book, entitled Kaitai Shinsho [New Book on Anatomy], was the first Western scientific monograph to be translated entirely into Japanese. Several Dutch surgical schools were founded through which Dutch surgery, known in Japan as "surgery of the red-haired" was propagated. According to the custom of the surgical guilds in Holland, certificates were granted to Japanese apprentices who had completed their training in Dutch surgery. About 60 Dutch surgeons had served on Decima up to 1850, providing the basis for surgery to develop in Japan. Among them, Philipp Franz von Siebold was an exceptional scholar who also had a great impact in making Japanese culture known to the Western world.

  10. Identifying sedentary subgroups: the National Cancer Institute's Health Information National Trends Survey.

    PubMed

    Atienza, Audie A; Yaroch, Amy L; Mãsse, Louise C; Moser, Richard P; Hesse, Bradford W; King, Abby C

    2006-11-01

    Developing effective interventions for the 24% to 28% of U.S. adults who are sedentary requires a better understanding of the factors related to sedentary lifestyles as well as the communication channels to reach various subgroups. This study identified key sociodemographic and health communication characteristics of various subgroups with high rates of inactivity using signal detection methodology. The sample from the nationally representative Health Information National Trends Survey 2003 (n=6369) was randomly split into two samples. Exploratory analyses (conducted 2004 and 2005) were employed on the first sample to identify various subgroups, and the stability of inactivity rates in those subgroups was examined in the second sample. Eight subgroups with varying levels of inactivity were identified. Three subgroups had inactivity levels of 40% or higher, while the lowest subgroup had a level of less than 15%. The highest inactivity subgroup consisted of individuals with at least some college education who were in fair/poor health and who watched 4 or more hours of television per day. The second-highest inactivity subgroup was composed of those without a college education who tended not to use or attend to many communication channels. The third highest inactive subgroup consisted of those without a college education who read the newspaper and were obese. Levels of inactivity in the second independent sample subgroups were not significantly different from those found in the exploratory sample. This study identified empirically based, physically inactive subgroups that differed on sociodemographic and health communication characteristics. This information should be useful in creating future evidence-based, targeted, and tailored intervention strategies.

  11. Prerequisites for national health insurance in South Africa: results of a national household survey.

    PubMed

    McIntyre, Diane; Goudge, Jane; Harris, Bronwyn; Nxumalo, Nonhlanhla; Nkosi, Moremi

    2009-10-01

    National Health Insurance (NHI) is currently high on the health policy agenda. The intention of this financing system is to promote efficiency and the equitable distribution of financial and human resources, improving health outcomes for the majority. However, there are some key prerequisites that need to be in place before an NHI can achieve these goals. To explore public perceptions on what changes in the public health system are necessary to ensure acceptability and sustainability of an NHI, and whether South Africans are ready for a change in the health system. A cross-sectional nationally representative survey of 4 800 households was undertaken, using a structured questionnaire. Data were analysed in STATA IC10. There is dissatisfaction with both public and private sectors, suggesting South Africans are ready for health system change. Concerns about the quality of public sector services relate primarily to patient-provider engagements (empathic staff attitudes, communication and confidentiality issues), cleanliness of facilities and drug availability. There are concerns about the affordability of medical schemes and how the profit motive affects private providers' behaviour. South Africans do not appear to be well acquainted or generally supportive of the notion of risk cross-subsidies. However, there is strong support for income cross-subsidies. Public engagement is essential to improve understanding of the core priniciples of universal pre-payment mechanisms and the rationale for the development of NHI. Importantly, public support for pre-payment is unlikely to be forthcoming unless there is coinfidence in the availability of quality health services.

  12. Language Surveys in Developing Nations. Papers and Reports on Sociolinguistic Surveys.

    ERIC Educational Resources Information Center

    Ohannessian, Sirirpi, Ed.; And Others

    This volume is a selection of papers prepared for a conference on sociolinguistically oriented language surveys organized by the Center for Applied Linguistics and held in New York in September 1971. The purpose of the conference was to review the role and function of such language surveys in the light of surveys conducted in recent years. The…

  13. Secondary Data Analysis of National Surveys in Japan Toward Improving Population Health.

    PubMed

    Ikeda, Nayu

    2016-01-01

    Secondary data analysis of national health surveys of the general population is a standard methodology for health metrics and evaluation; it is used to monitor trends in population health over time and benchmark the performance of health systems. In Japan, the government has established electronic databases of individual records from national surveys of the population's health. However, the number of publications based on these datasets is small considering the scale and coverage of the surveys. There appear to be two major obstacles to the secondary use of Japanese national health survey data: strict data access control under the Statistics Act and an inadequate interdisciplinary research environment for resolving methodological difficulties encountered when dealing with secondary data. The usefulness of secondary analysis of survey data is evident with examples from the author's previous studies based on vital records and the National Health and Nutrition Surveys, which showed that (i) tobacco smoking and high blood pressure are the major risk factors for adult mortality from non-communicable diseases in Japan; (ii) the decrease in mean blood pressure in Japan from the late 1980s to the early 2000s was partly attributable to the increased use of antihypertensive medication and reduced dietary salt intake; and (iii) progress in treatment coverage and control of high blood pressure is slower in Japan than in the United States and Britain. National health surveys in Japan are an invaluable asset, and findings from secondary analyses of these surveys would provide important suggestions for improving health in people around the world.

  14. Design methodology of Dutch banknotes

    NASA Astrophysics Data System (ADS)

    de Heij, Hans A. M.

    2000-04-01

    Since the introduction of a design methodology for Dutch banknotes, the quality of Dutch paper currency has improved in more than one way. The methodology is question provides for (i) a design policy, which helps fix clear objectives; (ii) design management, to ensure a smooth cooperation between the graphic designer, printer, papermaker an central bank, (iii) a program of requirements, a banknote development guideline for all parties involved. This systematic approach enables an objective selection of design proposals, including security features. Furthermore, the project manager obtains regular feedback from the public by conducting market surveys. Each new design of a Netherlands Guilder banknote issued by the Nederlandsche Bank of the past 50 years has been an improvement on its predecessor in terms of value recognition, security and durability.

  15. Development of a National Occupational Exposure Survey and Database associated with NIOSH hazard surveillance initiatives.

    PubMed

    Boiano, J M; Hull, R D

    2001-02-01

    NIOSH pioneered hazard surveillance in the workplace by designing and conducting the 1972 to 1974 National Occupational Hazard Survey (NOHS), the 1981 to 1983 National Occupational Exposure Survey (NOES), and the 1984 to 1989 National Occupational Health Survey of Mining (NOHSM). The databases developed from these three on-site surveys represent unique resources for associating potential chemical, physical and biological agents with industries and occupational groups. The data have been a primary source of information for NIOSH, regulatory agencies, health professionals, researchers, and labor organizations in establishing priorities for prevention strategies that include medical and engineering interventions, development of occupational standards, and the identification of research needs. Recognizing that the data from these surveys are becoming dated, a multidisciplinary team comprising members from various NIOSH research divisions was established to develop a hazard surveillance strategy for the Institute, including options for a national hazard surveillance survey and database. The proposed new hazard survey builds on lessons learned from the previous surveys, seeks opportunities to incorporate existing data from other sources, expands the scope of industries and hazards, and takes advantage of advances in data gathering, processing and dissemination technology. This article presents current considerations and recommendations for a new hazard survey and database.

  16. National survey on sports injuries in the Netherlands: target populations for sports injury prevention programs.

    PubMed

    Schmikli, Sandor L; Backx, Frank J G; Kemler, Helena J; van Mechelen, Willem

    2009-03-01

    To define target populations for sports injury prevention programs. A computer-assisted telephone survey on sports injuries and sports participation during 2000-2005 using a 3-month recall period. Data obtained from a representative sample of Dutch citizens. Fifty-eight thousand four hundred five Dutch citizens aged older than 3 years. Age, gender, and type of sports were used to distinguish subgroups with a substantial contribution to sports injuries. The absolute number of sports injuries, the incidence of sports injuries per 10,000 hours, the severity, and costs of sports injuries. Sports participation was associated with 1.5 million injuries per year and 10 injuries per 10,000 hours; of these, 50% had to be treated medically. Two-thirds of all medically treated sports injuries were associated with 9 sports (representing 18 subpopulations, all younger than 55 years): outdoor soccer (males 4-54 years and females 4-17 years), indoor soccer (males 18-34 years), tennis (males/females 35-54 years), volleyball (females 18-54 years), field hockey (males 18-34 years and females 4-17 years), running/jogging (males/females 35-54 years), gymnastics (males/females 4-17 years), skiing/snowboarding (males 4-17 years and females 18-34 years), and equestrian sports (females 18-34 years). These groups showed more than average injury rates and covered two-thirds of all direct and indirect costs (euro 400 million). The survey identified the most important (sports-, age-, and gender-specific) target populations for injury prevention programs in the Netherlands. Sports participants aged older than 55 years were excluded from these target groups because of their limited contribution to the total sports injury problem.

  17. A survey of macromycete diversity at Los Alamos National Laboratory, Bandelier National Monument, and Los Alamos County; A preliminary report

    SciTech Connect

    Jarmie, N.; Rogers, F.J.

    1997-11-01

    The authors have completed a 5-year survey (1991--1995) of macromycetes found in Los Alamos County, Los Alamos National Laboratory, and Bandelier National Monument. The authors have compiled a database of 1,048 collections, their characteristics, and identifications. The database represents 123 (98%) genera and 175 (73%) species reliably identified. Issues of habitat loss, species extinction, and ecological relationships are addressed, and comparisons with other surveys are made. With this baseline information and modeling of this baseline data, one can begin to understand more about the fungal flora of the area.

  18. AN OVERVIEW OF THE NATIONAL HUMAN EXPOSURE ASSESSMENT SURVEY (NHEXAS) PHASE I STUDIES

    EPA Science Inventory

    The National Human Exposure Assessment Survey (NHEXAS) Phase I studies were sponsored by EPA's Office of Research and Development (ORD) to address critical information needs for assessing human exposures to multiple chemicals from multiple pathways and media. These studies were...

  19. AN OVERVIEW OF THE NATIONAL HUMAN EXPOSURE ASSESSMENT SURVEY (NHEXAS) PHASE I STUDIES

    EPA Science Inventory

    The National Human Exposure Assessment Survey (NHEXAS) Phase I studies were sponsored by EPA's Office of Research and Development (ORD) to address critical information needs for assessing human exposures to multiple chemicals from multiple pathways and media. These studies were...

  20. Dietary Screener Questionnaire in the National Health Interview Survey Cancer Control Supplement 2010: Overview

    Cancer.gov

    The National Health Interview Survey (NHIS) Cancer Control Supplement (CCS) is administered every five years and focuses on knowledge, attitudes, and practices in cancer-related health behaviors, screening, and risk assessment.