75 FR 35021 - Agency Information Collection Activities; Proposed Collection; Comment Request; Information...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-21

... per day (MGD) or more. Section 316(b) of the Clean Water Act (CWA) requires that any standard... of the rule is estimated to average 1,101 hours per respondent (i.e., an annual average of 46,228 hours of burden divided among an anticipated 42 States on average per year). Burden means the total time...

412th Test Engineering Group Vision for Future Knowledge Management (KM)

DTIC Science & Technology

2018-05-17

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1...completing and reviewing this collection of information . Send comments regarding this burden estimate or any other aspect of this collection of... information , including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations

78 FR 55723 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-11

... information as follows: Table 1--Estimated Annual Reporting Burden \\1\\ Number of Average Activity/21 CFR... 16 40 640 822.30) Periodic reports (Sec. 822.38) 131 3 393 40 15,720 Total 33,360 \\1\\ There are no.... Explanation of Reporting Burden Estimate. The burden captured in table 1 of this document is based on the data...

Applications of Electromagnetic Waves to Problems in Nondestructive Testing and Target Identification

DTIC Science & Technology

2014-09-09

public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send...comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing the burden, to the

Defence Science and Technology Strategy. Science and Technology for a Secure Canada

DTIC Science & Technology

2006-12-01

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments...regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington

Attribution In Influence: Relative Power And The Use Of Attribution

DTIC Science & Technology

2017-12-01

reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments...regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington

Conversion of Clinical Data from the NABISH I and II into FITBIR

DTIC Science & Technology

2017-10-01

OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for... information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this...burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson

Pathomechanics of Post-Traumatic OA Development in the Military Following Articular Fracture

DTIC Science & Technology

2017-10-01

Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the...collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for...reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215

Role of the U.S. Government in the Cybersecurity of Private Entities

DTIC Science & Technology

2017-12-01

reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding...this burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington

How The Democratization Of Technology Enhances Intelligence-Led Policing And Serves The Community

DTIC Science & Technology

2017-12-01

reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments...regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington

Navy And Marine Corps IT/IS Acquisition: A Way Forward

DTIC Science & Technology

2017-12-01

reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding...this burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington

Comparison of Airway Control Methods and Ventilation Success with an Automatic Resuscitator

DTIC Science & Technology

2015-10-08

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour...completing and reviewing this collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information ...including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations

DoD Software Intensive Systems Development: A Hit and Miss Process

DTIC Science & Technology

2015-05-01

searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments...Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington

Defense Advanced Research Projects Agency (DARPA) Network Archive (DNA)

DTIC Science & Technology

2008-12-01

therefore decided for an iterative development process even within such a small project. The first iteration consisted of conducting specific...Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Washington

The Unified Agenda: Implications for Rulemaking Transparency and Participation

DTIC Science & Technology

2009-07-20

R40713 Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...completing and reviewing the collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information ...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson

War in Afghanistan: Campaign Progress, Political Strategy, and Issues for Congress

DTIC Science & Technology

2013-08-29

Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...and reviewing the collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information ...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson

Economic and Disease Burden of Dengue in Mexico

PubMed Central

Undurraga, Eduardo A.; Betancourt-Cravioto, Miguel; Ramos-Castañeda, José; Martínez-Vega, Ruth; Méndez-Galván, Jorge; Gubler, Duane J.; Guzmán, María G.; Halstead, Scott B.; Harris, Eva; Kuri-Morales, Pablo; Tapia-Conyer, Roberto; Shepard, Donald S.

2015-01-01

Background Dengue imposes a substantial economic and disease burden in most tropical and subtropical countries. Dengue incidence and severity have dramatically increased in Mexico during the past decades. Having objective and comparable estimates of the economic burden of dengue is essential to inform health policy, increase disease awareness, and assess the impact of dengue prevention and control technologies. Methods and Findings We estimated the annual economic and disease burden of dengue in Mexico for the years 2010–2011. We merged multiple data sources, including a prospective cohort study; patient interviews and macro-costing from major hospitals; surveillance, budget, and health data from the Ministry of Health; WHO cost estimates; and available literature. We conducted a probabilistic sensitivity analysis using Monte Carlo simulations to derive 95% certainty levels (CL) for our estimates. Results suggest that Mexico had about 139,000 (95%CL: 128,000–253,000) symptomatic and 119 (95%CL: 75–171) fatal dengue episodes annually on average (2010–2011), compared to an average of 30,941 symptomatic and 59 fatal dengue episodes reported. The annual cost, including surveillance and vector control, was US$170 (95%CL: 151–292) million, or $1.56 (95%CL: 1.38–2.68) per capita, comparable to other countries in the region. Of this, $87 (95%CL: 87–209) million or $0.80 per capita (95%CL: 0.62–1.12) corresponds to illness. Annual disease burden averaged 65 (95%CL: 36–99) disability-adjusted life years (DALYs) per million population. Inclusion of long-term sequelae, co-morbidities, impact on tourism, and health system disruption during outbreaks would further increase estimated economic and disease burden. Conclusion With this study, Mexico joins Panama, Puerto Rico, Nicaragua, and Thailand as the only countries or areas worldwide with comprehensive (illness and preventive) empirical estimates of dengue burden. Burden varies annually; during an outbreak, dengue burden may be significantly higher than that of the pre-vaccine level of rotavirus diarrhea. In sum, Mexico’s potential economic benefits from dengue control would be substantial. PMID:25786225

Economic burden of seasonal influenza in the United States.

PubMed

Putri, Wayan C W S; Muscatello, David J; Stockwell, Melissa S; Newall, Anthony T

2018-05-22

Seasonal influenza is responsible for a large disease and economic burden. Despite the expanding recommendation of influenza vaccination, influenza has continued to be a major public health concern in the United States (U.S.). To evaluate influenza prevention strategies it is important that policy makers have current estimates of the economic burden of influenza. To provide an updated estimate of the average annual economic burden of seasonal influenza in the U.S. population in the presence of vaccination efforts. We evaluated estimates of age-specific influenza-attributable outcomes (ill-non medically attended, office-based outpatient visit, emergency department visits, hospitalizations and death) and associated productivity loss. Health outcome rates were applied to the 2015 U.S. population and multiplied by the relevant estimated unit costs for each outcome. We evaluated both direct healthcare costs and indirect costs (absenteeism from paid employment) reporting results from both a healthcare system and societal perspective. Results were presented in five age groups (<5 years, 5-17 years, 18-49 years, 50-64 years and ≥65 years of age). The estimated average annual total economic burden of influenza to the healthcare system and society was $11.2 billion ($6.3-$25.3 billion). Direct medical costs were estimated to be $3.2 billion ($1.5-$11.7 billion) and indirect costs $8.0 billion ($4.8-$13.6 billion). These total costs were based on the estimated average numbers of (1) ill-non medically attended patients (21.6 million), (2) office-based outpatient visits (3.7 million), (3) emergency department visit (0.65 million) (4) hospitalizations (247.0 thousand), (5) deaths (36.3 thousand) and (6) days of productivity lost (20.1 million). This study provides an updated estimate of the total economic burden of influenza in the U.S. Although we found a lower total cost than previously estimated, our results confirm that influenza is responsible for a substantial economic burden in the U.S. Copyright © 2018. Published by Elsevier Ltd.

77 FR 38842 - Submission for OMB Review; Comment Request: PHS Applications and Pre-Award Reporting Requirements...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-29

...) has submitted to the Office of Management and Budget (OMB) a request for review and approval of the... investigators. The annual reporting burden is as follows: Total Estimated Number of Respondents: 94,326; Estimated Number of Responses per Respondent: 1; Average Burden Hours Per Response: 21.75; Estimated Total...

75 FR 52801 - Agency Information Collection Activities: Request for Comments; Clearance of a New Information...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-27

.... Estimated Average Burden per Response: Approximately 10 minutes per survey. Estimated Total Annual Burden: An estimated 1016.6 hours. ADDRESSES: Send comments to the FAA at the following address: Ms. Carla... Business Services Division, AES-200. [FR Doc. 2010-21214 Filed 8-26-10; 8:45 am] BILLING CODE 4910-13-P ...

Maritime Military Decision Making in Environments of Extreme Information Ambiguity: An Initial Exploration

DTIC Science & Technology

2005-09-01

Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the...collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for

78 FR 56842 - Arbitrage Restrictions on Tax-Exempt Bonds

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-16

... working capital. This accounting rule recognizes that sources of funds are fungible and treats bond..., DC 20044. Submissions may be hand delivered to: CC:PA:LPD:PR Monday through Friday between the hours.... Estimated total annual recordkeeping burden: 232 hours. Estimated average annual burden hours per respondent...

Gastroesophageal reflux disease burden in Iran.

PubMed

Delavari, Alireza; Moradi, Ghobad; Elahi, Elham; Moradi-Lakeh, Maziar

2015-02-01

Gastroesophageal reflux disease is one of the most common disorders of the gastrointestinal tract. The prevalence of this disease ranges from 5% to 20% in Asia, Europe, and North America. The aim of this study was to estimate the burden of gastroesophageal reflux disease in Iran. Burden of gastroesophageal reflux disease in Iran was estimated for one year from 21 March 2006 to 20 March 2007. The definition was adjusted with ICD-code of K21. Incident-based disability-adjusted life year (DALY) was used as the unit of analysis to quantify disease burden. A simplified disease model and DisMod II software were used for modeling. The annual incidence for total population of males and females in Iran was estimated 17.72 and 28.06 per 1000, respectively. The average duration of gastroesophageal reflux disease as a chronic condition was estimated around 10 years in both sexes. Total DALYs for an average of 59 symptomatic days per year was estimated 153,554.3 (60,330.8 for males and 93,223.5 for females).   The results of this study showed that reflux imposes high burden and high financial costs on the Iranian population. The burden of this disease in Iran is more similar to that of European countries rather than Asian countries. It is recommended to consider the disease as a public health problem and make decisions and public health plans to reduce the burden and financial costs of the disease in Iran.

Total Lifetime and Cancer-related Costs for Elderly Patients Diagnosed With Anal Cancer in the United States.

PubMed

Deshmukh, Ashish A; Zhao, Hui; Franzini, Luisa; Lairson, David R; Chiao, Elizabeth Y; Das, Prajnan; Swartz, Michael D; Giordano, Sharon H; Cantor, Scott B

2018-02-01

To determine the lifetime and phase-specific cost of anal cancer management and the economic burden of anal cancer care in elderly (66 y and older) patients in the United States. For this study, we used Surveillance Epidemiology and End Results-Medicare linked database (1992 to 2009). We matched newly diagnosed anal cancer patients (by age and sex) to noncancer controls. We estimated survival time from the date of diagnosis until death. Lifetime and average annual cost by stage and age at diagnosis were estimated by combining survival data with Medicare claims. The average lifetime cost, proportion of patients who were elderly, and the number of incident cases were used to estimate the economic burden. The average lifetime cost for patients with anal cancer was US$50,150 (N=2227) (2014 US dollars). The average annual cost in men and women was US$8025 and US$5124, respectively. The overall survival after the diagnosis of cancer was 8.42 years. As the age and stage at diagnosis increased, so did the cost of cancer-related care. The anal cancer-related lifetime economic burden in Medicare patients in the United States was US$112 million. Although the prevalence of anal cancer among the elderly in the United States is small, its economic burden is considerable.

The 6,000 Mile Screwdriver is Getting Longer: Washington’s Strengthening Grip

DTIC Science & Technology

2012-04-01

OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for... information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing...this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson

The RADAR Test Methodology: Evaluating a Multi-Task Machine Learning System with Humans in the Loop

DTIC Science & Technology

2006-10-01

burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing...data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this...burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington Headquarters Services

Operative Therapy and the Growth of Breast Cancer Micrometastases: Cause and Effect

DTIC Science & Technology

2006-08-01

0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...instructions, searching existing data sources , gathering and maintaining the data needed, and completing and reviewing this collection of information...Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to

Factors Impacting Intra-District Collaboration: A Field Study in a Midwest Police Department

DTIC Science & Technology

2018-03-01

burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing...data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this...burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington headquarters Services

A Multidisciplinary Approach to Study the Role of the Gut Microbiome in Relapsing and Progressive MS

DTIC Science & Technology

2017-10-01

DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per...and reviewing this collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information ...including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and

Agent And Component Object Framework For Concept Design Modeling Of Mobile Cyber Physical Systems

DTIC Science & Technology

2018-03-01

burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing...data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this...burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington headquarters

The Role of Inflammation in Development of Alzheimer’s Disease Following Repetitive Head Trauma

DTIC Science & Technology

2017-08-01

Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including...collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for...reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188

A Multidisciplinary Approach to Study the Role of the Gut Microbiome in Relapsing and Progressive MS

DTIC Science & Technology

2017-10-01

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1...completing and reviewing this collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information ...including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations

Construction of a Bacterial Cell that Contains Only the Set of Essential Genes Necessary to Impart Life

DTIC Science & Technology

2014-11-11

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1...completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information...including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations

76 FR 20990 - Submission for OMB review; comment request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-14

... and unearned income information reported to IRS by employers and financial institutions. The IRS 1099 information is used to locate noncustodial parents and to verify income and employment. Respondents: Annual Burden Estimates Number of Average Instrument Number of responses per burden hours Total burden...

78 FR 25455 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-01

... Assessment Survey, previously approved under information collection number OMB CN: 0970-0379, expires on 7/31... American nonprofit organizations, and Tribal Colleges and Universities. Annual Burden Estimates Number of Average burden Instrument Number of responses per hours per Total burden respondents respondent response...

Developing the Navy’s NC Flying Boats: Transforming Aeronautical Engineering for the First Transatlantic Flight

DTIC Science & Technology

2011-12-01

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...searching existing data sources gathering and maintaining the data needed, and completing and reviewing this collection of information Send comments...regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden lo Department of

Evaluation of Factors on the Patterns of Ship Movement and Predictability of Future Ship Location in the Gulf of Mexico

DTIC Science & Technology

2017-03-01

0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information ...Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this burden

Contemporary Issues In Compensation With Respect To Recruiting And Retention: Questions And Opportunities For The U.S. Military

DTIC Science & Technology

2017-12-01

PAGE Form Approved OMB No. 0704–0188 Public reporting burden for this collection of information is estimated to average 1 hour per response...collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information , including...suggestions for reducing this burden, to Washington headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway

Mutual Neutralization of Atomic Rare-Gas Cations (Ne+, Ar+, Kr+, Xe+) with Atomic Halide Anions (Cl-, Br-, I-)

DTIC Science & Technology

2015-01-07

DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per...reviewing this collection of information . Send comments regarding this burden estimate or any other aspect of this collection of information , including...suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports

The Economic Burden of Child Maltreatment in the United States And Implications for Prevention

PubMed Central

Fang, Xiangming; Brown, Derek S.; Florence, Curtis; Mercy, James A.

2013-01-01

Objectives To present new estimates of the average lifetime costs per child maltreatment victim and aggregate lifetime costs for all new child maltreatment cases incurred in 2008 using an incidence-based approach. Methods This study used the best available secondary data to develop cost per case estimates. For each cost category, the paper used attributable costs whenever possible. For those categories that attributable cost data were not available, costs were estimated as the product of incremental effect of child maltreatment on a specific outcome multiplied by the estimated cost associated with that outcome. The estimate of the aggregate lifetime cost of child maltreatment in 2008 was obtained by multiplying per-victim lifetime cost estimates by the estimated cases of new child maltreatment in 2008. Results The estimated average lifetime cost per victim of nonfatal child maltreatment is $210,012 in 2010 dollars, including $32,648 in childhood health care costs; $10,530 in adult medical costs; $144,360 in productivity losses; $7,728 in child welfare costs; $6,747 in criminal justice costs; and $7,999 in special education costs. The estimated average lifetime cost per death is $1,272,900, including $14,100 in medical costs and $1,258,800 in productivity losses. The total lifetime economic burden resulting from new cases of fatal and nonfatal child maltreatment in the United States in 2008 is approximately $124 billion. In sensitivity analysis, the total burden is estimated to be as large as $585 billion. Conclusions Compared with other health problems, the burden of child maltreatment is substantial, indicating the importance of prevention efforts to address the high prevalence of child maltreatment. PMID:22300910

Disease Burden of 32 Infectious Diseases in the Netherlands, 2007-2011.

PubMed

van Lier, Alies; McDonald, Scott A; Bouwknegt, Martijn; Kretzschmar, Mirjam E; Havelaar, Arie H; Mangen, Marie-Josée J; Wallinga, Jacco; de Melker, Hester E

2016-01-01

Infectious disease burden estimates provided by a composite health measure give a balanced view of the true impact of a disease on a population, allowing the relative impact of diseases that differ in severity and mortality to be monitored over time. This article presents the first national disease burden estimates for a comprehensive set of 32 infectious diseases in the Netherlands. The average annual disease burden was computed for the period 2007-2011 for selected infectious diseases in the Netherlands using the disability-adjusted life years (DALY) measure. The pathogen- and incidence-based approach was adopted to quantify the burden due to both morbidity and premature mortality associated with all short and long-term consequences of infection. Natural history models, disease progression probabilities, disability weights, and other parameters were adapted from previous research. Annual incidence was obtained from statutory notification and other surveillance systems, which was corrected for under-ascertainment and under-reporting. The highest average annual disease burden was estimated for invasive pneumococcal disease (9444 DALYs/year; 95% uncertainty interval [UI]: 8911-9961) and influenza (8670 DALYs/year; 95% UI: 8468-8874), which represents 16% and 15% of the total burden of all 32 diseases, respectively. The remaining 30 diseases ranked by number of DALYs/year from high to low were: HIV infection, legionellosis, toxoplasmosis, chlamydia, campylobacteriosis, pertussis, tuberculosis, hepatitis C infection, Q fever, norovirus infection, salmonellosis, gonorrhoea, invasive meningococcal disease, hepatitis B infection, invasive Haemophilus influenzae infection, shigellosis, listeriosis, giardiasis, hepatitis A infection, infection with STEC O157, measles, cryptosporidiosis, syphilis, rabies, variant Creutzfeldt-Jakob disease, tetanus, mumps, rubella, diphtheria, and poliomyelitis. The very low burden for the latter five diseases can be attributed to the National Immunisation Programme. The average disease burden per individual varied from 0.2 (95% UI: 0.1-0.4) DALYs per 100 infections for giardiasis, to 5081 and 3581 (95% UI: 3540-3611) DALYs per 100 infections for rabies and variant Creutzfeldt-Jakob disease, respectively. For guiding and supporting public health policy decisions regarding the prioritisation of interventions and preventive measures, estimates of disease burden and the comparison of burden between diseases can be informative. Although the collection of disease-specific parameters and estimation of incidence is a process subject to continuous improvement, the current study established a baseline for assessing the impact of future public health initiatives.

76 FR 15049 - Agency Information Collection (Equal Opportunity Compliance Review Report); Activity Under OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-18

...) of 1995 (44 U.S.C. 3501-21), this notice announces that the Veterans Benefits Administration (VBA... schools below college level. The information is used to assure that participants have equal access to.... Estimated Annual Burden and Average Burden per Respondent: Based on past experience, VBA estimates that 76...

76 FR 18536 - Agency Information Collection Activities Under OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-04

... soliciting comments on this collection of information was published on January 11, 2011. 76 FR 1603. \\2... FR 1603, 1604. \\5\\ See CFTC NPRM: End-User Exception to Mandatory Clearing of Swaps, 75 FR 80747... FR 1603, 1604. The estimated average hourly burden was estimated at .5 hours. Burden Statement: The...

77 FR 38035 - Notice for Request To Reinstate Previously Approved Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-26

... participating lenders who make loans to income eligible borrowers in rural areas. The purpose of this program is to promote affordable housing for low- and moderate-income borrowers in rural America. Estimate of Burden: Public reporting burden for this collection of information is estimated to average 49 minutes per...

77 FR 22615 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-16

.... The Commission estimates that approximately 209 broker-dealers will spend an average of 87 hours annually to comply with this rule. Thus, the total compliance burden is approximately 18,200 burden-hours...

77 FR 29394 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-17

.... The Commission estimates that approximately 209 broker-dealers will spend an average of 87 hours annually to comply with the rule. Thus, the total compliance burden is approximately 18,183 burden-hours...

Origins of the Kuroshio and Mindanao Currents

DTIC Science & Technology

2016-03-30

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1...Objectively napped time- averaged sea surface hieght (right) and surface geostrophic current (left). The mapped fields are estimated by objectively mapping

77 FR 40889 - Proposed Data Collections Submitted for Public Comment and Recommendations

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-11

... evaluation study will be conducted using a group-randomized controlled trial multi-time series design. Four... their time. Estimated Annualized Burden Hours Number of Average burden Respondents Number of responses...

Political Revolution And Social Communication Technologies

DTIC Science & Technology

2017-12-01

this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden...estimate or any other aspect of this collection of information , including suggestions for reducing this burden, to Washington headquarters Services

SIRT3 Is a Mitochondrial Tumor Suppressor and Genetic Loss Results in a Murine Model for ER/PR-Positive Mammary Tumors Connecting Metabolism and Carcinogenesis

DTIC Science & Technology

2011-09-01

0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...instructions, searching existing data sources , gathering and maintaining the data needed, and completing and reviewing this collection of information...Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to

Determining Source Attenuation History to Support Closure by Natural Attenuation

DTIC Science & Technology

2013-11-01

of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or any other...aspect of this collection of information , including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for

Alaska Native Parkinson’s Disease Registry

DTIC Science & Technology

2008-11-01

OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for...reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of...information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this

A Scalable, Reconfigurable, and Dependable Time-Triggered Architecture

DTIC Science & Technology

2003-07-01

burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching...existing data sources, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of...information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this

Adaptive Campaigning Applied: Australian Army Operations in Iraq and Afghanistan

DTIC Science & Technology

2011-05-01

of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing this collection of information . Send comments regarding this burden estimate or any...other aspect of this collection of information , including suggestions for reducing this burden to Washington Headquarters Services, Directorate for

Optimizing Human Input in Social Network Analysis

DTIC Science & Technology

2018-01-23

of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or any...other aspect of this collection of information , including suggesstions for reducing this burden, to Washington Headquarters Services, Directorate for

Two Invariants of Human-Swarm Interaction

DTIC Science & Technology

2018-01-16

for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden...estimate or any other aspect of this collection of information , including suggestions for reducing the burden, to Department of Defense, Washington

Exceptional Information: Recognizing Threats and Exploiting Opportunities

DTIC Science & Technology

2017-06-09

EXCEPTIONAL INFORMATION : RECOGNIZING THREATS AND EXPLOITING OPPORTUNITIES A thesis presented to the Faculty of the U.S. Army...No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for... information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this

Inclusion of Disaster Resiliency in City/Neighborhood Comprehensive Plans

DTIC Science & Technology

2017-09-01

collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or...any other aspect of this collection of information , including suggestions for reducing this burden, to Washington headquarters Services, Directorate

Developing Scene Understanding Neural Software for Realistic Autonomous Outdoor Missions

DTIC Science & Technology

2017-09-01

Information Sciences Directorate, ARL Approved for public release; distribution is unlimited. ii REPORT DOCUMENTATION PAGE...Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the...collection information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing

The Economic Burden Attributable to a Child’s Inpatient Admission for Diarrheal Disease in Rwanda

PubMed Central

Ngabo, Fidele; Mvundura, Mercy; Gazley, Lauren; Gatera, Maurice; Rugambwa, Celse; Kayonga, Eugene; Tuyishime, Yvette; Niyibaho, Jeanne; Mwenda, Jason M.; Donnen, Philippe; Lepage, Philippe; Binagwaho, Agnes; Atherly, Deborah

2016-01-01

Background Diarrhea is one of the leading causes of childhood morbidity and mortality. Hospitalization for diarrhea can pose a significant burden to health systems and households. The objective of this study was to estimate the economic burden attributable to hospitalization for diarrhea among children less than five years old in Rwanda. These data can be used by decision-makers to assess the impact of interventions that reduce diarrhea morbidity, including rotavirus vaccine introduction. Methods This was a prospective costing study where medical records and hospital bills for children admitted with diarrhea at three hospitals were collected to estimate resource use and costs. Hospital length of stay was calculated from medical records. Costs incurred during the hospitalization were abstracted from the hospital bills. Interviews with the child’s caregivers provided data to estimate household costs which included transport costs and lost income. The portion of medical costs borne by insurance and household were reported separately. Annual economic burden before and after rotavirus vaccine introduction was estimated by multiplying the reported number of diarrhea hospitalizations in public health centers and district hospitals by the estimated economic burden per hospitalization. All costs are presented in 2014 US$. Results Costs for 203 children were analyzed. Approximately 93% of the children had health insurance coverage. Average hospital length of stay was 5.3 ± 3.9 days. Average medical costs for each child for the illness resulting in a hospitalization were $44.22 ± $23.74 and the total economic burden was $101, of which 65% was borne by the household. For households in the lowest income quintile, the household costs were 110% of their monthly income. The annual economic burden to Rwanda attributable to diarrhea hospitalizations ranged from $1.3 million to $1.7 million before rotavirus vaccine introduction. Conclusion Households often bear the largest share of the economic burden attributable to diarrhea hospitalization and the burden can be substantial, especially for households in the lowest income quintile. PMID:26901113

The Economic Burden Attributable to a Child's Inpatient Admission for Diarrheal Disease in Rwanda.

PubMed

Ngabo, Fidele; Mvundura, Mercy; Gazley, Lauren; Gatera, Maurice; Rugambwa, Celse; Kayonga, Eugene; Tuyishime, Yvette; Niyibaho, Jeanne; Mwenda, Jason M; Donnen, Philippe; Lepage, Philippe; Binagwaho, Agnes; Atherly, Deborah

2016-01-01

Diarrhea is one of the leading causes of childhood morbidity and mortality. Hospitalization for diarrhea can pose a significant burden to health systems and households. The objective of this study was to estimate the economic burden attributable to hospitalization for diarrhea among children less than five years old in Rwanda. These data can be used by decision-makers to assess the impact of interventions that reduce diarrhea morbidity, including rotavirus vaccine introduction. This was a prospective costing study where medical records and hospital bills for children admitted with diarrhea at three hospitals were collected to estimate resource use and costs. Hospital length of stay was calculated from medical records. Costs incurred during the hospitalization were abstracted from the hospital bills. Interviews with the child's caregivers provided data to estimate household costs which included transport costs and lost income. The portion of medical costs borne by insurance and household were reported separately. Annual economic burden before and after rotavirus vaccine introduction was estimated by multiplying the reported number of diarrhea hospitalizations in public health centers and district hospitals by the estimated economic burden per hospitalization. All costs are presented in 2014 US$. Costs for 203 children were analyzed. Approximately 93% of the children had health insurance coverage. Average hospital length of stay was 5.3 ± 3.9 days. Average medical costs for each child for the illness resulting in a hospitalization were $44.22 ± $23.74 and the total economic burden was $101, of which 65% was borne by the household. For households in the lowest income quintile, the household costs were 110% of their monthly income. The annual economic burden to Rwanda attributable to diarrhea hospitalizations ranged from $1.3 million to $1.7 million before rotavirus vaccine introduction. Households often bear the largest share of the economic burden attributable to diarrhea hospitalization and the burden can be substantial, especially for households in the lowest income quintile.

Disease Burden of 32 Infectious Diseases in the Netherlands, 2007-2011

PubMed Central

Bouwknegt, Martijn; Kretzschmar, Mirjam E.; Mangen, Marie-Josée J.; Wallinga, Jacco; de Melker, Hester E.

2016-01-01

Background Infectious disease burden estimates provided by a composite health measure give a balanced view of the true impact of a disease on a population, allowing the relative impact of diseases that differ in severity and mortality to be monitored over time. This article presents the first national disease burden estimates for a comprehensive set of 32 infectious diseases in the Netherlands. Methods and Findings The average annual disease burden was computed for the period 2007–2011 for selected infectious diseases in the Netherlands using the disability-adjusted life years (DALY) measure. The pathogen- and incidence-based approach was adopted to quantify the burden due to both morbidity and premature mortality associated with all short and long-term consequences of infection. Natural history models, disease progression probabilities, disability weights, and other parameters were adapted from previous research. Annual incidence was obtained from statutory notification and other surveillance systems, which was corrected for under-ascertainment and under-reporting. The highest average annual disease burden was estimated for invasive pneumococcal disease (9444 DALYs/year; 95% uncertainty interval [UI]: 8911–9961) and influenza (8670 DALYs/year; 95% UI: 8468–8874), which represents 16% and 15% of the total burden of all 32 diseases, respectively. The remaining 30 diseases ranked by number of DALYs/year from high to low were: HIV infection, legionellosis, toxoplasmosis, chlamydia, campylobacteriosis, pertussis, tuberculosis, hepatitis C infection, Q fever, norovirus infection, salmonellosis, gonorrhoea, invasive meningococcal disease, hepatitis B infection, invasive Haemophilus influenzae infection, shigellosis, listeriosis, giardiasis, hepatitis A infection, infection with STEC O157, measles, cryptosporidiosis, syphilis, rabies, variant Creutzfeldt-Jakob disease, tetanus, mumps, rubella, diphtheria, and poliomyelitis. The very low burden for the latter five diseases can be attributed to the National Immunisation Programme. The average disease burden per individual varied from 0.2 (95% UI: 0.1–0.4) DALYs per 100 infections for giardiasis, to 5081 and 3581 (95% UI: 3540–3611) DALYs per 100 infections for rabies and variant Creutzfeldt-Jakob disease, respectively. Conclusions For guiding and supporting public health policy decisions regarding the prioritisation of interventions and preventive measures, estimates of disease burden and the comparison of burden between diseases can be informative. Although the collection of disease-specific parameters and estimation of incidence is a process subject to continuous improvement, the current study established a baseline for assessing the impact of future public health initiatives. PMID:27097024

Temporal Trend in Lung Cancer Burden Attributed to Ambient Fine Particulate Matter in Guangzhou, China.

PubMed

Liao, Yu; Xu, Lin; Lin, Xiao; Hao, Yuan Tao

2017-10-01

To estimate the lung cancer burden that may be attributable to ambient fine particulate matter (PM2.5) pollution in Guangzhou city in China from 2005 to 2013. The data regarding PM2.5 exposure were obtained from the 'Ambient air pollution exposure estimation for the Global Burden of Disease 2013' dataset at 0.1° ×0.1° spatial resolution. Disability-adjusted life years (DALYs) were estimated based on the information of mortality and incidence of lung cancer. Comparative risk analysis and integrated exposure-response function were used to estimate attributed disease burden. The population-weighted average concentration of PM2.5 was increased by 34.6% between 1990 and 2013, from 38.37 μg/m3 to 51.31 μg/m3. The lung cancer DALYs in both men and women were increased by 36.2% from 2005 to 2013. The PM2.5 attributed lung cancer DALYs increased from 12105.0 (8181.0 for males and 3924.0 for females) in 2005 to 16489.3 (11291.7 for males and 5197.6 for females) in 2013. An average of 23.1% lung cancer burden was attributable to PM2.5 pollution in 2013. PM2.5 has caused serious but under-appreciated public health burden in Guangzhou and the trend deteriorates. Effective strategies are needed to tackle this major public health problem. Copyright © 2017 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.

78 FR 75373 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Application To...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-11

... to the form are to allow applicants to pay the transfer tax by credit or debit card, and combine... amount of time estimated for an average respondent to respond: It is estimated that 9,662 respondents will take an average of approximately 1.69 hours to complete. (6) An estimate of the total burden (in...

75 FR 4452 - Agency Information Collection (Certification of Fully Developed Claim) Activity Under OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-27

... Burden: 132 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: On Occasion... McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2010-1506 Filed 1-26-10; 8:45 am] BILLING...

The Annual Economic Burden of Syphilis: An Estimation of Direct, Productivity, and Intangible Costs for Syphilis in Guangdong Initiative for Comprehensive Control of Syphilis Sites.

PubMed

Zou, Yaming; Liao, Yu; Liu, Fengying; Chen, Lei; Shen, Hongcheng; Huang, Shujie; Zheng, Heping; Yang, Bin; Hao, Yuantao

2017-11-01

Syphilis has continuously posed a great challenge to China. However, very little data existed regarding the cost of syphilis. Taking Guangdong Initiative for Comprehensive Control of Syphilis area as the research site, we aimed to comprehensively measure the annual economic burden of syphilis from a societal perspective. Newly diagnosed and follow-up outpatient cases were investigated by questionnaire. Reported tertiary syphilis cases and medical institutions cost were both collected. The direct economic burden was measured by the bottom-up approach, the productivity cost by the human capital method, and the intangible burden by the contingency valuation method. Three hundred five valid early syphilis cases and 13 valid tertiary syphilis cases were collected in the investigation to estimate the personal average cost. The total economic burden of syphilis was US $729,096.85 in Guangdong Initiative for Comprehensive Control of Syphilis sites in the year of 2014, with medical institutions cost accounting for 73.23% of the total. Household average direct cost of early syphilis was US $23.74. Average hospitalization cost of tertiary syphilis was US $2,749.93. Of the cost to medical institutions, screening and testing comprised the largest proportion (26%), followed by intervention and case management (22%) and operational cost (21%). Household average productivity cost of early syphilis was US $61.19. Household intangible cost of syphilis was US $15,810.54. Syphilis caused a substantial economic burden on patients, their families, and society in Guangdong. Household productivity and intangible costs both shared positive relationships with local economic levels. Strengthening the prevention and effective treatment of early syphilis could greatly help to lower the economic burden of syphilis.

Contract-Based Integration of Cyber-Physical Analyses

DTIC Science & Technology

2014-10-14

Conference on Embedded Software Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is...estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the ...data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this

Management of Noncompressible Hemorrhage Using Vena Cava Ultrasound

DTIC Science & Technology

2017-10-01

AWARD NUMBER: W81XWH-15-1-0709 TITLE: Management of Noncompressible Hemorrhage Using Vena Cava Ultrasound PRINCIPAL INVESTIGATOR: Donald...No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for... information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this

Characterizing Candidate Oncogenes at 8q21 in Breast Cancer

DTIC Science & Technology

2008-03-01

this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden...estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington

Spectral Analysis for DIAL and Lidar Detection of TATP

DTIC Science & Technology

2008-08-13

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is. estimated to average 1...hour per response, including the time for reviewing instructions, searching existing data sources , gathering and maintaining the data needed, and...completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of

Far Infrared Photonic Crystals Operating in the Reststrahl Region

DTIC Science & Technology

2007-08-20

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1...hour per response, including the time for reviewing instructions, searching existing data sources , gathering and maintaining the data needed, and...completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information

Overcoming Resistance to Trastuzumab in HER2-Amplified Breast Cancers

DTIC Science & Technology

2011-08-01

Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for...reviewing instructions, searching existing data sources , gathering and maintaining the data needed, and completing and reviewing this collection of...information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing

Second-Order Active NLO Chromophores for DNA Based Electro-Optics Materials

DTIC Science & Technology

2010-09-21

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour...per response, including the time for reviewing instructions, searching existing data sources , gathering and maintaining the data needed, and...completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information

Post-Remediation Evaluation of EVO Treatment: How Can We Improve Performance

DTIC Science & Technology

2017-11-15

this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing this collection of information . Send comments regarding this burden...estimate or any other aspect of this collection of information , including suggestions for reducing this burden to Department of Defense, Washington

Correlation Immunity, Avalanche Features, and Other Cryptographic Properties of Generalized Boolean Functions

DTIC Science & Technology

2017-09-01

information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or any other aspect...of this collection of information , including suggestions for reducing this burden to Washington headquarters Services, Directorate for Information

Bioinspired Surface Treatments for Improved Decontamination: Handling andDecontamination Considerations

DTIC Science & Technology

2018-03-16

this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing this collection of information . Send comments regarding this burden...estimate or any other aspect of this collection of information , including suggestions for reducing this burden to Department of Defense, Washington

Optimizing Sparse Representations of Kinetic Distributions via Information Theory

DTIC Science & Technology

2017-07-31

for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden...estimate or any other aspect of this collection of information , including suggestions for reducing the burden, to Department of Defense, Washington

Epigenetic Regulation of microRNA Expression: Targeting the Triple-Negative Breast Cancer Phenotype

DTIC Science & Technology

2011-10-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing this collection of information . Send comments regarding this burden estimate or any...other aspect of this collection of information , including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services

The burden of gunshot injuries on orthopaedic healthcare resources in South Africa.

PubMed

Martin, Case; Thiart, Gerhard; McCollum, Graham; Roche, Stephen; Maqungo, Sithombo

2017-06-30

Injuries inflicted by gunshot wounds (GSWs) are an immense burden on the South African (SA) healthcare system. In 2005, Allard and Burch estimated SA state hospitals treated approximately 127 000 firearm victims annually and concluded that the cost of treating an abdominal GSW was approximately USD1 467 per patient. While the annual number of GSW injuries has decreased over the past decade, an estimated 54 870 firearm-related injuries occurred in SA in 2012. No study has estimated the burden of these GSWs from an orthopaedic perspective. To estimate the burden and average cost of treating GSW victims requiring orthopaedic interventions in an SA tertiary level hospital. This retrospective study surveyed more than 1 500 orthopaedic admissions over a 12-month period (2012) at Groote Schuur Hospital, Cape Town, SA. Chart review subsequently yielded data that allowed analysis of cost, theatre time, number and type of implants, duration of admission, diagnostic imaging studies performed, blood products used, laboratory studies ordered and medications administered. A total of 111 patients with an average age of 28 years (range 13 - 74) were identified. Each patient was hit by an average of 1.69 bullets (range 1 - 7). These patients sustained a total of 147 fractures, the majority in the lower extremities. Ninety-five patients received surgical treatment for a total of 135 procedures, with a cumulative surgical theatre time of >306 hours. Theatre costs, excluding implants, were in excess of USD94 490. Eighty of the patients received a total of 99 implants during surgery, which raised theatre costs an additional USD53 381 cumulatively, or USD667 per patient. Patients remained hospitalised for an average of 9.75 days, and total ward costs exceeded USD130 400. Individual patient costs averaged about USD2 940 (ZAR24 945) per patient. This study assessed the burden of orthopaedic firearm injuries in SA. It was estimated that on average, treating an orthopaedic GSW patient cost USD2 940, used just over 3 hours of theatre time per operation, and necessitated a hospital bed for an average period of 9.75 days. Improved understanding of the high incidence of orthopaedic GSWs treated in an SA tertiary care trauma centre and the costs incurred will help the state healthcare system better prioritise orthopaedic trauma funding and training opportunities, while also supporting cost-saving measures, including redirection of financial resources to primary prevention initiatives.

The Rapid Forensic Evaluation of Microbes in Biodefense Research Program Will Develop a Rapid Screening and Detection System for Multiple Bio-Threat (BT) Agents for the Department of Defense

DTIC Science & Technology

2012-05-31

The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...comments regarding this burden estimate or any other aspect of this collection of information, including suggesstions for reducing this burden, to... stratification near or close to the tip of the fungal mycelium suggesting active protein and lipid synthesis. The device uses a DSLR camera with a 1-5x Macro

Feasibility of an Extended-Duration Aerial Platform Using Autonomous Multi-Rotor Vehicle Swapping and Battery Management

DTIC Science & Technology

2017-12-01

AN EXTENDED-DURATION AERIAL PLATFORM USING AUTONOMOUS MULTI-ROTOR VEHICLE SWAPPING AND BATTERY MANAGEMENT by Alexander G. Williams December...Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time...of information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for

Human Capital Management of Air Force SOF: Leadership Identification, Selection and Cultivation

DTIC Science & Technology

2017-12-01

MANAGEMENT OF AIR FORCE SOF: LEADERSHIP IDENTIFICATION, SELECTION AND CULTIVATION by Paul R. Andrews Jr. Brett A. Stitt December 2017...No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for... information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this

IHPRPT Improvements to the Solid Performance Program (SPP)

DTIC Science & Technology

2007-03-19

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1...completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of...other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a

Deep Ultraviolet Laser Imaging for Biology

DTIC Science & Technology

2008-08-15

AFRL-SR-AR-TR-09-0013 REPORT DOCUMENTATION PAGE The public reporting burden for this collection of information is estimated to average 1 hour per...and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information...should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of

Social and Cognitive Functioning as Risk Factors for Suicide: A Historical-Prospective Cohort Study

DTIC Science & Technology

2011-04-01

Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per...response, including the time for reviewing instructions, searching existing data sources , gathering and maintaining the data needed, and completing and...reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including

Adaptive Training in an Unmanned Aerial Vehicel: Examination of Several Candidate Real-time Metrics

DTIC Science & Technology

2010-01-01

for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data... sources , gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden... estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services

Enhancing Quality of Orthotic Services with Process and Outcome Information

DTIC Science & Technology

2017-10-01

AWARD NUMBER: W81XWH-16-1-0788 TITLE: Enhancing Quality of Orthotic Services with Process and Outcome Information PRINCIPAL INVESTIGATOR...OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for... information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this

An Analysis of the Marine Corps Selection Process: Does Increased Competition Lead to Increased Quality

DTIC Science & Technology

2018-03-01

collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or...any other aspect of this collection of information , including suggestions for reducing this burden, to Washington headquarters Services, Directorate

Reference Concepts in Ecosystem Restoration and Environmental Benefits Analysis (EBA): Principles and Practices

DTIC Science & Technology

2012-06-01

Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information... stratification by narrowing selection of reference ecosystem metrics. 5. Aids in identifying natural variability and thresholds within an ecosystem

Can Vertical Migrations of Dinoflagellates Explain Observed Bioluminescence Patterns During an Upwelling Event in Monterey Bay, California?

DTIC Science & Technology

2012-01-25

concentration of their population , physical con- ditions (currents, temperature, strength of stratification , mixed layer depth etc.), light...REPORT DOCUMENTATION PAGE Form Approved OMB No. 07040188 The public reporting burden for this collection of information is estimated to average 1...completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of

V-22 Osprey Joint Services Advanced Vertical Lift Aircraft (V-22)

DTIC Science & Technology

2013-12-01

Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response...including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the... collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions

Role of Obesity in Prostate Cancer Development

DTIC Science & Technology

2008-03-01

DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per...reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including...305.95 Maltodextrin 160.0 104 Sucrose 100.0 65 Soybean oil3 40.0 160 Cellulose 40.0 98.4742 AIN-93-MX -Mineral mix 35.0

Geochemical Characterization of Concentrated Gas Hydrate Deposits on the Hikurangi Margin, New Zealand: Preliminary Geochemical Cruise Report

DTIC Science & Technology

2008-02-29

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing this collection of information . Send comments regarding this burden estimate or any other aspect...of this collection of information , including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services

The Budget and Economic Outlook: 2015 to 2025

DTIC Science & Technology

2015-01-01

States. 19. In principle , GDI equals GDP, because each dollar of production yields a dollar of income; in practice, they differ because of diffi...Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information

Improving Government Procurement: Lessons from the Coast Guard’s Deepwater Program

DTIC Science & Technology

2010-09-17

dilemma. Ann Arbor, MI: University of Michigan Press. Mankiw , G. (2002). Macroeconomics (5th ed.). New York, NY: Worth. Martin, L. L. (2004...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response...the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including

Economic Cost and Burden of Dengue in the Philippines

PubMed Central

Edillo, Frances E.; Halasa, Yara A.; Largo, Francisco M.; Erasmo, Jonathan Neil V.; Amoin, Naomi B.; Alera, Maria Theresa P.; Yoon, In-Kyu; Alcantara, Arturo C.; Shepard, Donald S.

2015-01-01

Dengue, the world's most important mosquito-borne viral disease, is endemic in the Philippines. During 2008–2012, the country's Department of Health reported an annual average of 117,065 dengue cases, placing the country fourth in dengue burden in southeast Asia. This study estimates the country's annual number of dengue episodes and their economic cost. Our comparison of cases between active and passive surveillance in Punta Princesa, Cebu City yielded an expansion factor of 7.2, close to the predicted value (7.0) based on the country's health system. We estimated an annual average of 842,867 clinically diagnosed dengue cases, with direct medical costs (in 2012 US dollars) of $345 million ($3.26 per capita). This is 54% higher than an earlier estimate without Philippines-specific costs. Ambulatory settings treated 35% of cases (representing 10% of direct costs), whereas inpatient hospitals served 65% of cases (representing 90% of direct costs). The economic burden of dengue in the Philippines is substantial. PMID:25510723

Economic cost and burden of dengue in the Philippines.

PubMed

Edillo, Frances E; Halasa, Yara A; Largo, Francisco M; Erasmo, Jonathan Neil V; Amoin, Naomi B; Alera, Maria Theresa P; Yoon, In-Kyu; Alcantara, Arturo C; Shepard, Donald S

2015-02-01

Dengue, the world's most important mosquito-borne viral disease, is endemic in the Philippines. During 2008-2012, the country's Department of Health reported an annual average of 117,065 dengue cases, placing the country fourth in dengue burden in southeast Asia. This study estimates the country's annual number of dengue episodes and their economic cost. Our comparison of cases between active and passive surveillance in Punta Princesa, Cebu City yielded an expansion factor of 7.2, close to the predicted value (7.0) based on the country's health system. We estimated an annual average of 842,867 clinically diagnosed dengue cases, with direct medical costs (in 2012 US dollars) of $345 million ($3.26 per capita). This is 54% higher than an earlier estimate without Philippines-specific costs. Ambulatory settings treated 35% of cases (representing 10% of direct costs), whereas inpatient hospitals served 65% of cases (representing 90% of direct costs). The economic burden of dengue in the Philippines is substantial. © The American Society of Tropical Medicine and Hygiene.

["Karoshi" and causal relationships].

PubMed

Hamajima, N

1992-08-01

This paper aims to introduce a measure for use by physicians for stating the degree of probable causal relationship for "Karoshi", ie, a sudden death from cerebrovascular diseases or ischemic heart diseases under occupational stresses, as well as to give a brief description for legal procedures associated with worker's compensation and civil trial in Japan. It is a well-used measure in epidemiology, "attributable risk percent (AR%)", which can be applied to describe the extent of contribution to "Karoshi" of the excess occupational burdens the deceased worker was forced to bear. Although several standards such as average occupational burdens for the worker, average occupational burdens for an ordinary worker, burdens in a nonoccupational life, and a complete rest, might be considered for the AR% estimation, the average occupational burdens for an ordinary worker should normally be utilized as a standard for worker's compensation. The adoption of AR% could be helpful for courts to make a consistent judgement whether "Karoshi" cases are compensatable or not.

76 FR 62072 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-06

... Evaluation--Design Survey. OMB No.: New collection. Description: The Family and Youth Services Bureau. (HHS... Organizations. Annual Burden Estimates Design survey Number of Average burden Instrument Annual number responses... Total for Design 92 Survey Additional Information: Copies of the proposed collection may be obtained by...

76 FR 51970 - Agency Information Collection Activities; Proposed Collection; Comment Request; Underground...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-19

... recordkeeping burden for this collection of information is estimated to average 2.32 hours per response. Burden... . FOR FURTHER INFORMATION CONTACT: Robert E. Smith, Office of Ground Water and Drinking Water/Drinking Water Protection Division/Underground Injection Control Program, Mailcode: 4606M, Environmental...

Economic Burden of Mental Illnesses in Pakistan.

PubMed

Malik, Muhammad Ashar; Khan, Murad Moosa

2016-09-01

The economic consequences of mental illnesses are much more than health consequences. In Low and Middle Income Countries (LMIC) the economic impact of mental illnesses is rarely analyzed. This paper attempts to fill the gap in research on economics of mental health in LMIC. We provide economic burden of mental illness in Pakistan that can serve as an argument for reorienting health policy, resource allocation and priority settings. To estimate economic burden of mental illnesses in Pakistan. The study used prevalence based cost of illnesses approach using bottom-up costing methodology. We used Aga Khan University Hospital, Psychiatry department data set (N = 1882) on admission and ambulatory care for the year 2005-06. Healthcare cost data was obtained from finance department of the hospital. Productivity losses, caregiver and travel cost were estimated using socio-economic features of patients in the data set and data of national household survey. We used stratified random sampling and methods of ordinary least square multiple linear regressions to estimate cost on medicines for ambulatory care. All estimates of cost are based on 1000 bootstrap samples by ICD-10 disease classification. Prevalence data on mental illnesses from Pakistan and regional countries was used to estimate economic burden. The economic burden of mental illnesses in Pakistan was Pakistan Rupees (PKR) 250,483 million (USD 4264.27 million) in 2006. Medical care costs and productivity losses contributed 37% and 58.97% of the economic burden respectively. Tertiary care admissions costs were 70% of total medical care costs. The average length of stay (LOS) for admissions care was around 8 days. Daily average medical care cost of admitted patients was PKR 3273 (USD 55.72). For ambulatory care, on average a patient visited the clinic twice a year. The estimated average yearly cost for all mental illnesses was PKR 81,922 (USD 1394.65) and PKR 19,592 (USD 333.54) for admissions and ambulatory care respectively. In the sensitivity analysis productivity losses showed high variability (from USD 1022.17 million to USD 4007.01 million). Assuming a gate keeping role of primary healthcare (PHC) demonstrated a saving of USD 1577.19 million in total economic burden. This study set out to generate evidence using a low cost innovative approach relevant to many LMICs. In Pakistan, like many LMICs, patients access tertiary care directly, even for illness that can be efficiently managed at PHC level. In economic terms the non-medical consequences of mental illnesses are far greater than medical consequences. Based on these finding we recommend, firstly, that mental illnesses should be prioritized equally as other illnesses in health policy and secondly there needs to be integration of mental health in primary health care in Pakistan.

Intelligence Support to Personnel Recovery: Is USPACOM Ready for the Unexpected?

DTIC Science & Technology

2011-05-04

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1...completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of...other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a

Effectiveness of Acupressure Treatment for Pain Management and Fatigue Relief in Gulf War Veterans

DTIC Science & Technology

2017-12-01

AWARD NUMBER: W81XWH-12-1-0567 TITLE: Effectiveness of Acupressure Treatment for Pain Management and Fatigue Relief in Gulf War Veterans...Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time...of information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for

Alaska Native Parkinson’s Disease Registry

DTIC Science & Technology

2007-11-01

DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response...reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including...of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB

Nonlinear Oscillations of Microscale Piezoelectric Resonators and Resonator Arrays

DTIC Science & Technology

2006-06-30

REO TD C M NA INPG Form ApprovedREPO T D CUM NTATON AGEOMB No. 0704-0188 Public reporting burden for this collection of information is estimated to...average 1 hour per response, including the time for reviewing instructions, searching data sources , gathering and maintaining the data needed, and...completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information

Army Logistician. Volume 35, Issue 5, September-October 2003

DTIC Science & Technology

2003-10-01

Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per...and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information...designed to deliver performance-enhancing natu- ral food elements to troops in the field. The gel con- tains a mixture of glucose and maltodextrin —a

77 FR 70739 - Proposed Information Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-27

... clients' social ties and perceived social support. The information will be collected by trained... (HRS), an ongoing study funded by the National Institute on Aging/NIH (NIA U01AG009740) and Social...: Averages 40 minutes each. Estimated Total Burden Hours: 933. Total Burden Cost (capital/startup): None...

Understanding the Form, Function, and Logic of Clandestine Cellular Networks: The First Step in Effective Counternetwork Operations

DTIC Science & Technology

2009-04-01

REPORT ...PAGE Form ApprovedOMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per...suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports

76 FR 34083 - Agency Information Collection Activities; Proposed Collection; Comment Request; Data To Support...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-10

.... The information collected will serve two major purposes. First, as formative research it will provide... communication campaigns. Such knowledge will provide the needed target audience understanding to design... information as follows: Table 1--Estimated Annual Reporting Burden\\1\\ Number of Average burden Survey type...

The United States Marine Corps in Cyberspace: Every Marine a Cyber Warrior

DTIC Science & Technology

2008-01-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other...TillS COLLECTION OF INFORMATION IS ESTIMATED TO AVERAGE I HOUR PER RESPONSE, INCWDING TIlE TIME FOR REVIEWING INSTRUCTIONS. SEARCHING E.’\\’lSTING

Afghan National Police: More than $300 Million in Annual, U.S.-funded Salary Payments Is Based on Partially Verified or Reconciled Data

DTIC Science & Technology

2015-01-01

Data SIGAR JANUARY 2015 Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is...estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data...needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this

Exploration of Logistics Information Technology (IT) Solutions for the Royal Saudi Naval Force Within the Saudi Naval Expansion Program II (SNEP II)

DTIC Science & Technology

2017-12-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT EXPLORATION OF LOGISTICS INFORMATION TECHNOLOGY (IT) SOLUTIONS FOR THE...OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for... information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing this

The Infernal Machine: The Use of Improvised Explosive Devices (IED) against U.S. Forces

DTIC Science & Technology

2011-03-22

abandoned works near wells and springs; near flagstaffs, magazines, telegraph offices, in carpet bags, baiTels of flour , etc .... ".""vii Accurate...REPORT DOCUMENTATION ·PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information Is estimated 10 average 1 hour...reviewing !he collec!ion of information. Send comments regarding this burden estimate or any other aspect of this collection of lnformetlon, including

Cost and economic burden of illness over 15 years in Nepal: A comparative analysis.

PubMed

Swe, Khin Thet; Rahman, Md Mizanur; Rahman, Md Shafiur; Saito, Eiko; Abe, Sarah K; Gilmour, Stuart; Shibuya, Kenji

2018-01-01

With an increasing burden of non-communicable disease in Nepal and limited progress towards universal health coverage, country- and disease-specific estimates of financial hardship related to healthcare costs need to be evaluated to protect the population effectively from healthcare-related financial burden. To estimate the cost and economic burden of illness and to assess the inequality in the financial burden due to catastrophic health expenditure from 1995 to 2010 in Nepal. This study used nationally representative Nepal Living Standards Surveys conducted in 1995 and 2010. A Bayesian two-stage hurdle model was used to estimate average cost of illness and Bayesian logistic regression models were used to estimate the disease-specific incidence of catastrophic health payment and impoverishment. The concentration curve and index were estimated by disease category to examine inequality in healthcare-related financial hardship. Inflation-adjusted mean out-of-pocket (OOP) payments for chronic illness and injury increased by 4.6% and 7.3%, respectively, while the cost of recent acute illness declined by 1.5% between 1995 and 2010. Injury showed the highest incidence of catastrophic expenditure (30.7% in 1995 and 22.4% in 2010) followed by chronic illness (12.0% in 1995 and 9.6% in 2010) and recent acute illness (21.1% in 1995 and 7.8% in 2010). Asthma, diabetes, heart conditions, malaria, jaundice and parasitic illnesses showed increased catastrophic health expenditure over time. Impoverishment due to injury declined most (by 12% change in average annual rate) followed by recent acute illness (9.7%) and chronic illness (9.6%) in 15 years. Inequality analysis indicated that poorer populations with recent acute illness suffered more catastrophic health expenditure in both sample years, while wealthier households with injury and chronic illnesses suffered more catastrophic health expenditure in 2010. To minimize the economic burden of illness, several approaches need to be adopted, including social health insurance complemented with an upgraded community-based health insurance system, subsidy program expansion for diseases with high economic burden and third party liability motor insurance to reduce the economic burden of injury.

Cost and economic burden of illness over 15 years in Nepal: A comparative analysis

PubMed Central

Rahman, Md. Mizanur; Rahman, Md. Shafiur; Saito, Eiko; Abe, Sarah K.; Gilmour, Stuart; Shibuya, Kenji

2018-01-01

Background With an increasing burden of non-communicable disease in Nepal and limited progress towards universal health coverage, country- and disease-specific estimates of financial hardship related to healthcare costs need to be evaluated to protect the population effectively from healthcare-related financial burden. Objectives To estimate the cost and economic burden of illness and to assess the inequality in the financial burden due to catastrophic health expenditure from 1995 to 2010 in Nepal. Methods This study used nationally representative Nepal Living Standards Surveys conducted in 1995 and 2010. A Bayesian two-stage hurdle model was used to estimate average cost of illness and Bayesian logistic regression models were used to estimate the disease-specific incidence of catastrophic health payment and impoverishment. The concentration curve and index were estimated by disease category to examine inequality in healthcare-related financial hardship. Findings Inflation-adjusted mean out-of-pocket (OOP) payments for chronic illness and injury increased by 4.6% and 7.3%, respectively, while the cost of recent acute illness declined by 1.5% between 1995 and 2010. Injury showed the highest incidence of catastrophic expenditure (30.7% in 1995 and 22.4% in 2010) followed by chronic illness (12.0% in 1995 and 9.6% in 2010) and recent acute illness (21.1% in 1995 and 7.8% in 2010). Asthma, diabetes, heart conditions, malaria, jaundice and parasitic illnesses showed increased catastrophic health expenditure over time. Impoverishment due to injury declined most (by 12% change in average annual rate) followed by recent acute illness (9.7%) and chronic illness (9.6%) in 15 years. Inequality analysis indicated that poorer populations with recent acute illness suffered more catastrophic health expenditure in both sample years, while wealthier households with injury and chronic illnesses suffered more catastrophic health expenditure in 2010. Conclusion To minimize the economic burden of illness, several approaches need to be adopted, including social health insurance complemented with an upgraded community-based health insurance system, subsidy program expansion for diseases with high economic burden and third party liability motor insurance to reduce the economic burden of injury. PMID:29617393

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

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-05

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

The economic burden of cancer care in Canada: a population-based cost study

PubMed Central

de Oliveira, Claire; Weir, Sharada; Rangrej, Jagadish; Krahn, Murray D.; Mittmann, Nicole; Hoch, Jeffrey S.; Chan, Kelvin K.W.; Peacock, Stuart

2018-01-01

Background: Resource and cost issues are a growing concern in health care. Thus, it is important to have an accurate estimate of the economic burden of care. Previous work has estimated the economic burden of cancer care for Canada; however, there is some concern this estimate is too low. The objective of this analysis was to provide a comprehensive revised estimate of this burden. Methods: We used a case-control prevalence-based approach to estimate direct annual cancer costs from 2005 to 2012. We used patient-level administrative health care data from Ontario to correctly attribute health care costs to cancer. We employed the net cost method (cost difference between patients with cancer and control subjects without cancer) to account for costs directly and indirectly related to cancer and its sequelae. Using average patient-level cost estimates from Ontario, we applied proportions from national health expenditures data to obtain the economic burden of cancer care for Canada. All costs were adjusted to 2015 Canadian dollars. Results: Costs of cancer care rose steadily over our analysis period, from $2.9 billion in 2005 to $7.5 billion in 2012, mostly owing to the increase in costs of hospital-based care. Most expenditures for health care services increased over time, with chemotherapy and radiation therapy expenditures accounting for the largest increases over the study period. Our cost estimates were larger than those in the Economic Burden of Illness in Canada 2005-2008 report for every year except 2005 and 2006. Interpretation: The economic burden of cancer care in Canada is substantial. Further research is needed to understand how the economic burden of cancer compares to that of other diseases. PMID:29301745

In Utero Exposure to Dietary Methyl Nutrients and Breast Cancer Risk in Offspring

DTIC Science & Technology

2010-09-01

No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this...Diets (per 100g) Control Lipotrope Corn starch 39.8 38.4 Casein 20.0 20.0 Maltodextrin 13.2 13.2 Sucrose 10.0 10.0 Soybean oil 7.0 7.0

78 FR 6850 - Agency Information Collection (Request for Certificate of Veteran Status) Activities Under OMB

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-31

...: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492, FAX (202) 632-7583 or email crystal[email protected] . Please refer to... Burden: 4 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: One time...

Assisting Host Nations in Developing Health Systems

DTIC Science & Technology

2010-04-01

institutional accrediting agency recognized by the U.S. Secretary of Education and the Council for Higher Education Accreditation. REPORT ...DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per...suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports

Assessment of the body burden of chelatable lead: a model and its application to lead workers.

PubMed Central

Araki, S; Ushio, K

1982-01-01

A hypothetical model was introduced to estimate the body burden of chelatable lead from the mobilisation yield of lead by calcium disodium ethylenediamine tetra-acetate (CaEDTA). It was estimated that, on average, 14 and 19% of the body burden was mobilised into the urine during the 24 hours after an injection of 53.4 mumol (20 mg) and 107 mumol (40 mg) CaEDTA per kg bodyweight, respectively. The body burden of chelatable lead ranged from 4 mumol (0.8 mg) to 120 mumol (24.9 mg) (mean 37 mumol (7.7 mg) in lead workers with blood lead concentrations of 0.3-2.9 mumol/kg (6-60 microgram/100 g) (mean 1.4 mumol/kg (29 microgram/100 g)). There were linear relationships between blood lead concentrations and body burden of chelatable lead on a log scale. PMID:6802167

77 FR 14339 - Notice of Intent To Request Approval To Establish a New Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-09

... level is needed to augment these reports. Estimate of Burden: DOCE estimates that an average of 20..., Education, and Economics. [FR Doc. 2012-5796 Filed 3-8-12; 8:45 am] BILLING CODE 3410-22-P ...

Introducing a GP copayment in Australia: Who would carry the cost burden?

PubMed

Elkins, Rosemary Kate; Schurer, Stefanie

2017-05-01

Recent policy changes designed to contain unsustainable health expenditure growth imply that many more Australians may soon be charged a copayment to consult a GP. We explore the distributional consequences associated with a range of hypothetical GP copayment scenarios using nationally-representative Australian survey data. For each scenario, we estimate the cost burden that individuals and households across the income distribution would need to absorb to maintain their current GP service utilisation. Even when concessional patients are charged a third or a quarter of the non-concessional copayment rate, the average estimated cost burden in the lowest income quartile is typically between three and six times that of the highest, and the average cost burden for women is significantly higher than for men within every income quartile. These disparities are intensified for those with a chronic illness. We conclude that the widespread implementation of GP copayments would disproportionately burden lower-income families, who experience higher rates of chronic illness, higher demand for GP services, and lower capacity to absorb price increases. The regressive nature of GP copayments is reduced when concessional and child patients are exempted entirely, highlighting the importance of supporting GPs-particularly in disadvantaged areas-to maintain bulk-billing arrangements for vulnerable patient groups. Copyright © 2017 Elsevier B.V. All rights reserved.

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

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-03

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

Trends and Burden of Bronchiectasis-Associated Hospitalizations in the United States, 1993-2006

PubMed Central

Seitz, Amy E.; Olivier, Kenneth N.; Steiner, Claudia A.; Montes de Oca, Ruben; Holland, Steven M.

2010-01-01

Background: Current data on bronchiectasis prevalence, trends, and risk factors are lacking; such data are needed to estimate the burden of disease and for improved medical care and public health resource allocation. The objective of the present study was to estimate the trends and burden of bronchiectasis-associated hospitalizations in the United States. Methods: We extracted hospital discharge records containing International Classification of Diseases, 9th Revision, Clinical Modification codes for bronchiectasis (494, 494.0, and 494.1) as any discharge diagnosis from the State Inpatient Databases from the Agency for Healthcare Research and Quality. Discharge records were extracted for 12 states with complete and continuous reporting from 1993 to 2006. Results: The average annual age-adjusted hospitalization rate from 1993 to 2006 was 16.5 hospitalizations per 100,000 population. From 1993 to 2006, the age-adjusted rate increased significantly, with an average annual percentage increase of 2.4% among men and 3.0% among women. Women and persons aged > 60 years had the highest rate of bronchiectasis-associated hospitalizations. The median cost for inpatient care was 7,827 US dollars (USD) (range, 13-543,914 USD). Conclusions: The average annual age-adjusted rate of bronchiectasis-associated hospitalizations increased from 1993 to 2006. This study furthers the understanding of the impact of bronchiectasis and demonstrates the need for further research to identify risk factors and reasons for the increasing burden. PMID:20435655

78 FR 69748 - Agency Information Collection (

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-20

... INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email crystal[email protected] . Please refer to... hours. Estimated Average Burden Per Respondent: 75 minutes. Frequency of Response: One time. Estimated...

78 FR 19690 - Submission for OMB Review; Prompt Payment

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-02

... collected. B. Annual Reporting & Recordkeeping Burden Data from the Federal Procurement Data System (FPDS.... Based on the data, an estimated 2,679 contractors or respondents will provide an average of 18.27... withholding and others will have to provide their payment certification. This estimate also assumes automation...

77 FR 13101 - Agency Information Collection Activities Under OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-05

... renewal of 3038-0021. All comments must be submitted in English, or if not, accompanied by an English... burden this notice assumes an average of one commodity broker liquidation every three years. The CFTC... Recordkeepers per Year: .33. Estimated Reports Annually per Respondent or Recordkeeper: 2. Estimated Hours per...

CLMP-Mediated Regulation of Intestinal Homeostasis in IBD

DTIC Science & Technology

2014-10-01

allele from the wild type CLMP allele, genomic DNA was isolated from tail snips and subjected to PCR using CLMP primers. For identification of the...DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per...suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports

Laboratory Evaluation of Drop-in Solvent Alternatives to n-Propyl Bromide for Vapor Degreasing

DTIC Science & Technology

2012-05-01

Center Nikki M. Lowrey Jacobs Technology, Inc. Environment, Energy Security, & Sustainability Symposium New Orleans, LA May 21-24, 2012 Report ...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per...suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson Davis

The 2009 Future Years Defense Program: Implications and Alternatives

DTIC Science & Technology

2009-02-04

be published, transmitted, or otherwise communicated by any print, broadcast, or electronic media before that time. Report Documentation Page Form...ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for...burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson Davis Highway, Suite 1204, Arlington

Evaluation of Background Exposures of Americans to Dioxin-Like Compounds in the 1990's and the 2000's

USDA-ARS?s Scientific Manuscript database

The US Environmental Protection Agency’s 2004 Dioxin Reassessment included a characterization of background exposures to dioxin-like compounds, including an estimate of an average background intake dose and an average background body burden. These quantities were derived from data generated in the m...

Burden of Sexual Dysfunction.

PubMed

Balon, Richard

2017-01-02

Similar to the burden of other diseases, the burden of sexual dysfunction has not been systematically studied. However, there is growing evidence of various burdens (e.g., economic, symptomatic, humanistic) among patients suffering from sexual dysfunctions. The burden of sexual dysfunction has been studied a bit more often in men, namely the burden of erectile dysfunction (ED), premature ejaculation (PE) and testosterone deficiency syndrome (TDS). Erectile dysfunction is frequently associated with chronic conditions such as cardiovascular disease, diabetes, and depression. These conditions could go undiagnosed, and ED could be a marker of those diseases. The only available report from the United Kingdom estimated the total economic burden of ED at £53 million annually in terms of direct costs and lost productivity. The burden of PE includes significant psychological distress: anxiety, depression, lack of sexual confidence, poor self-esteem, impaired quality of life, and interpersonal difficulties. Some suggest that increase in female sexual dysfunction is associated with partner's PE, in addition to significant interpersonal difficulties. The burden of TDS includes depression, sexual dysfunction, mild cognitive impairment, and osteoporosis. One UK estimate of the economic burden of female sexual dysfunctions demonstrated that the average cost per patient was higher than the per annum cost of ED. There are no data on burden of paraphilic disorders. The burden of sexual dysfunctions is underappreciated and not well studied, yet it is significant for both the patients and the society.

The Pathogen- and Incidence-Based DALY Approach: An Appropriated Methodology for Estimating the Burden of Infectious Diseases

PubMed Central

Mangen, Marie-Josée J.; Plass, Dietrich; Havelaar, Arie H.; Gibbons, Cheryl L.; Cassini, Alessandro; Mühlberger, Nikolai; van Lier, Alies; Haagsma, Juanita A.; Brooke, R. John; Lai, Taavi; de Waure, Chiara; Kramarz, Piotr; Kretzschmar, Mirjam E. E.

2013-01-01

In 2009, the European Centre for Disease Prevention and Control initiated the ‘Burden of Communicable Diseases in Europe (BCoDE)’ project to generate evidence-based and comparable burden-of-disease estimates of infectious diseases in Europe. The burden-of-disease metric used was the Disability-Adjusted Life Year (DALY), composed of years of life lost due to premature death (YLL) and due to disability (YLD). To better represent infectious diseases, a pathogen-based approach was used linking incident cases to sequelae through outcome trees. Health outcomes were included if an evidence-based causal relationship between infection and outcome was established. Life expectancy and disability weights were taken from the Global Burden of Disease Study and alternative studies. Disease progression parameters were based on literature. Country-specific incidence was based on surveillance data corrected for underestimation. Non-typhoidal Salmonella spp. and Campylobacter spp. were used for illustration. Using the incidence- and pathogen-based DALY approach the total burden for Salmonella spp. and Campylobacter spp. was estimated at 730 DALYs and at 1,780 DALYs per year in the Netherlands (average of 2005–2007). Sequelae accounted for 56% and 82% of the total burden of Salmonella spp. and Campylobacter spp., respectively. The incidence- and pathogen-based DALY methodology allows in the case of infectious diseases a more comprehensive calculation of the disease burden as subsequent sequelae are fully taken into account. Not considering subsequent sequelae would strongly underestimate the burden of infectious diseases. Estimates can be used to support prioritisation and comparison of infectious diseases and other health conditions, both within a country and between countries. PMID:24278167

75 FR 61816 - Agency Information Collection Activities: Notice of Request for Extension of Currently Approved...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-06

... Friday, except Federal holidays. SUPPLEMENTARY INFORMATION: Title: Voucher for Federal-aid Reimbursements..., American Samoa, and the Virgin Islands. Frequency: Annually. Estimated Average Burden per Response: The...

Estimation of Model's Marginal likelihood Using Adaptive Sparse Grid Surrogates in Bayesian Model Averaging

NASA Astrophysics Data System (ADS)

Zeng, X.

2015-12-01

A large number of model executions are required to obtain alternative conceptual models' predictions and their posterior probabilities in Bayesian model averaging (BMA). The posterior model probability is estimated through models' marginal likelihood and prior probability. The heavy computation burden hinders the implementation of BMA prediction, especially for the elaborated marginal likelihood estimator. For overcoming the computation burden of BMA, an adaptive sparse grid (SG) stochastic collocation method is used to build surrogates for alternative conceptual models through the numerical experiment of a synthetical groundwater model. BMA predictions depend on model posterior weights (or marginal likelihoods), and this study also evaluated four marginal likelihood estimators, including arithmetic mean estimator (AME), harmonic mean estimator (HME), stabilized harmonic mean estimator (SHME), and thermodynamic integration estimator (TIE). The results demonstrate that TIE is accurate in estimating conceptual models' marginal likelihoods. The BMA-TIE has better predictive performance than other BMA predictions. TIE has high stability for estimating conceptual model's marginal likelihood. The repeated estimated conceptual model's marginal likelihoods by TIE have significant less variability than that estimated by other estimators. In addition, the SG surrogates are efficient to facilitate BMA predictions, especially for BMA-TIE. The number of model executions needed for building surrogates is 4.13%, 6.89%, 3.44%, and 0.43% of the required model executions of BMA-AME, BMA-HME, BMA-SHME, and BMA-TIE, respectively.

High Resolution Bathymetry Estimation Improvement with Single Image Super-Resolution Algorithm Super-Resolution Forests

DTIC Science & Technology

2017-01-26

Naval Research Laboratory Washington, DC 20375-5320 NRL/MR/5514--17-9692 High Resolution Bathymetry Estimation Improvement with Single Image Super...collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate

Modern Warfare From the Colombian Perspective

DTIC Science & Technology

2008-01-01

Approved: ~-e::::- - Date: 1?’ r;>-- Zd’.tf? r . Oral Defense Committee Member:~f).~ r~::Y· Approved: ...----- .) Date: 8’ ,«4’"\\ 260& Report Documentation...Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including...reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson Davis Highway, Suite 1204

The Persistence of Hazing in the Military

DTIC Science & Technology

2013-04-25

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of informalion is estimated to average 1 hour...suggestions for reducing this burden to Washington Headquarters Service, Directorate for Information Operations and Reports , 1215 Jefferson Davis...PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (00-MM-YYYY) 3. DATES COVERED (From- To) 25-04-2013 12. REPORT TYPE Master of

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

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-29

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

The global burden of cholera

PubMed Central

Lopez, Anna Lena; You, Young Ae; Kim, Young Eun; Sah, Binod; Maskery, Brian; Clemens, John

2012-01-01

Abstract Objective To estimate the global burden of cholera using population-based incidence data and reports. Methods Countries with a recent history of cholera were classified as endemic or non-endemic, depending on whether they had reported cholera cases in at least three of the five most recent years. The percentages of the population in each country that lacked access to improved sanitation were used to compute the populations at risk for cholera, and incidence rates from published studies were applied to groups of countries to estimate the annual number of cholera cases in endemic countries. The estimates of cholera cases in non-endemic countries were based on the average numbers of cases reported from 2000 to 2008. Literature-based estimates of cholera case-fatality rates (CFRs) were used to compute the variance-weighted average cholera CFRs for estimating the number of cholera deaths. Findings About 1.4 billion people are at risk for cholera in endemic countries. An estimated 2.8 million cholera cases occur annually in such countries (uncertainty range: 1.4–4.3) and an estimated 87 000 cholera cases occur in non-endemic countries. The incidence is estimated to be greatest in children less than 5 years of age. Every year about 91 000 people (uncertainty range: 28 000 to 142 000) die of cholera in endemic countries and 2500 people die of the disease in non-endemic countries. Conclusion The global burden of cholera, as determined through a systematic review with clearly stated assumptions, is high. The findings of this study provide a contemporary basis for planning public health interventions to control cholera. PMID:22461716

Estimates of economic burden of providing inpatient care in childhood rotavirus gastroenteritis from Malaysia.

PubMed

Lee, Way Seah; Poo, Muhammad Izzuddin; Nagaraj, Shyamala

2007-12-01

To estimate the cost of an episode of inpatient care and the economic burden of hospitalisation for childhood rotavirus gastroenteritis (GE) in Malaysia. A 12-month prospective, hospital-based study on children less than 14 years of age with rotavirus GE, admitted to University of Malaya Medical Centre, Kuala Lumpur, was conducted in 2002. Data on human resource expenditure, costs of investigations, treatment and consumables were collected. Published estimates on rotavirus disease incidence in Malaysia were searched. Economic burden of hospital care for rotavirus GE in Malaysia was estimated by multiplying the cost of each episode of hospital admission for rotavirus GE with national rotavirus incidence in Malaysia. In 2002, the per capita health expenditure by Malaysian Government was US$71.47. Rotavirus was positive in 85 (22%) of the 393 patients with acute GE admitted during the study period. The median cost of providing inpatient care for an episode of rotavirus GE was US$211.91 (range US$68.50-880.60). The estimated average cases of children hospitalised for rotavirus GE in Malaysia (1999-2000) was 8571 annually. The financial burden of providing inpatient care for rotavirus GE in Malaysian children was estimated to be US$1.8 million (range US$0.6 million-7.5 million) annually. The cost of providing inpatient care for childhood rotavirus GE in Malaysia was estimated to be US$1.8 million annually. The financial burden of rotavirus disease would be higher if cost of outpatient visits, non-medical and societal costs are included.

The economic burden of elevated blood glucose levels in 2012: diagnosed and undiagnosed diabetes, gestational diabetes mellitus, and prediabetes.

PubMed

Dall, Timothy M; Yang, Wenya; Halder, Pragna; Pang, Bo; Massoudi, Marjan; Wintfeld, Neil; Semilla, April P; Franz, Jerry; Hogan, Paul F

2014-12-01

To update estimates of the economic burden of undiagnosed diabetes, prediabetes, and gestational diabetes mellitus in 2012 in the U.S. and to present state-level estimates. Combined with published estimates for diagnosed diabetes, these statistics provide a detailed picture of the economic costs associated with elevated glucose levels. This study estimated health care use and medical expenditures in excess of expected levels occurring in the absence of diabetes or prediabetes. Data sources that were analyzed include Optum medical claims for ∼4.9 million commercially insured patients who were continuously enrolled from 2010 to 2012, Medicare Standard Analytical Files containing medical claims for ∼2.6 million Medicare patients in 2011, and the 2010 Nationwide Inpatient Sample containing ∼7.8 million hospital discharge records. The indirect economic burden includes reduced labor force participation, missed workdays, and reduced productivity. State-level estimates reflect geographic variation in prevalence, risk factors, and prices. The economic burden associated with diagnosed diabetes (all ages) and undiagnosed diabetes, gestational diabetes, and prediabetes (adults) exceeded $322 billion in 2012, consisting of $244 billion in excess medical costs and $78 billion in reduced productivity. Combined, this amounts to an economic burden exceeding $1,000 for each American in 2012. This national estimate is 48% higher than the $218 billion estimate for 2007. The burden per case averaged $10,970 for diagnosed diabetes, $5,800 for gestational diabetes, $4,030 for undiagnosed diabetes, and $510 for prediabetes. These statistics underscore the importance of finding ways to reduce the burden of prediabetes and diabetes through prevention and treatment. © 2014 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.

Magnitude of the Disease Burden from Neurocysticercosis in a Developing Country

PubMed Central

Bern, Caryn; Garcia, Hector H.; Evans, Carlton; Gonzalez, Armando E.; Verastegui, Manuela; Tsang, Victor C. W.; Gilman, Robert H.

2010-01-01

Cysticercosis contributes to higher epilepsy rates in developing countries than in industrialized ones, yet no estimate exists for the associated burden of disease. We used epidemiological data on neurocysticercosis in Peru to calculate the burden of disease and applied our model to the other countries of Latin America where neurocysticercosis is endemic to determine a regional estimate. Analysis of 12 population-based community studies demonstrated that neurocysticercosis was endemic in highland areas and high jungles, with seroprevalences from 6% to 24%. In one community, the adult seizure disorder rate was 9.1% among seropositive persons versus 4.6% among seronegative persons; we used this difference for estimates. On the basis of average prevalence rates in areas of endemicity of 6%–10%, we estimated that there are 23,512–39,186 symptomatic neurocysticercosis cases in Peru. In Latin America, an estimated 75 million persons live in areas where cysticercosis is endemic, and ~400,000 have symptomatic disease. Cysticercosis contributes substantially to neurological disease in Peru and in all of Latin America. PMID:10524964

The number of privately treated tuberculosis cases in India: an estimation from drug sales data.

PubMed

Arinaminpathy, Nimalan; Batra, Deepak; Khaparde, Sunil; Vualnam, Thongsuanmung; Maheshwari, Nilesh; Sharma, Lokesh; Nair, Sreenivas A; Dewan, Puneet

2016-11-01

Understanding the amount of tuberculosis managed by the private sector in India is crucial to understanding the true burden of the disease in the country, and thus globally. In the absence of quality surveillance data on privately treated patients, commercial drug sales data offer an empirical foundation for disease burden estimation. We used a large, nationally representative commercial dataset on sales of 189 anti-tuberculosis products available in India to calculate the amount of anti-tuberculosis treatment in the private sector in 2013-14. We corrected estimates using validation studies that audited prescriptions against tuberculosis diagnosis, and estimated uncertainty using Monte Carlo simulation. To address implications for numbers of patients with tuberculosis, we explored varying assumptions for average duration of tuberculosis treatment and accuracy of private diagnosis. There were 17·793 million patient-months (95% credible interval 16·709 million to 19·841 million) of anti-tuberculosis treatment in the private sector in 2014, twice as many as the public sector. If 40-60% of private-sector tuberculosis diagnoses are correct, and if private-sector tuberculosis treatment lasts on average 2-6 months, this implies that 1·19-5·34 million tuberculosis cases were treated in the private sector in 2014 alone. The midpoint of these ranges yields an estimate of 2·2 million cases, two to three times higher than currently assumed. India's private sector is treating an enormous number of patients for tuberculosis, appreciably higher than has been previously recognised. Accordingly, there is a re-doubled need to address this burden and to strengthen surveillance. Tuberculosis burden estimates in India and worldwide require revision. Bill & Melinda Gates Foundation. Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license. Published by Elsevier Ltd.. All rights reserved.

The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the UK.

PubMed

Guest, J F; Vowden, K; Vowden, P

2017-06-02

To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)/health board and corresponding National Health Service (NHS) costs in the UK. This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG/health board with a catchment population of 250,000 adults ≥18 years of age, and the corresponding NHS cost of patient management was estimated at 2013/2014 prices. An average CCG/health board was estimated to be managing 11,200 wounds in 2012/2013. Of these, 40% were considered to be acute wounds, 48% chronic and 12% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9%, 12% and 13% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1% per annum across all wound types in order to slow down the increasing prevalence. Otherwise, an average CCG/health board is predicted to manage ~23,200 wounds per annum by 2019/2020 and is predicted to spend a discounted (the process of determining the present value of a payment that is to be received in the future) £50 million on managing these wounds and associated comorbidities. Real-world evidence highlights the substantial burden that acute and chronic wounds impose on an average CCG/health board. Strategies are required to improve the accuracy of diagnosis and healing rates.

Economic Impact of Dengue Illness and the Cost-Effectiveness of Future Vaccination Programs in Singapore

PubMed Central

Carrasco, Luis R.; Lee, Linda K.; Lee, Vernon J.; Ooi, Eng Eong; Shepard, Donald S.; Thein, Tun L.; Gan, Victor; Cook, Alex R.; Lye, David; Ng, Lee Ching; Leo, Yee Sin

2011-01-01

Background Dengue illness causes 50–100 million infections worldwide and threatens 2.5 billion people in the tropical and subtropical regions. Little is known about the disease burden and economic impact of dengue in higher resourced countries or the cost-effectiveness of potential dengue vaccines in such settings. Methods and Findings We estimate the direct and indirect costs of dengue from hospitalized and ambulatory cases in Singapore. We consider inter alia the impacts of dengue on the economy using the human-capital and the friction cost methods. Disease burden was estimated using disability-adjusted life years (DALYs) and the cost-effectiveness of a potential vaccine program was evaluated. The average economic impact of dengue illness in Singapore from 2000 to 2009 in constant 2010 US$ ranged between $0.85 billion and $1.15 billion, of which control costs constitute 42%–59%. Using empirically derived disability weights, we estimated an annual average disease burden of 9–14 DALYs per 100 000 habitants, making it comparable to diseases such as hepatitis B or syphilis. The proportion of symptomatic dengue cases detected by the national surveillance system was estimated to be low, and to decrease with age. Under population projections by the United Nations, the price per dose threshold for which vaccines stop being more cost-effective than the current vector control program ranged from $50 for mass vaccination requiring 3 doses and only conferring 10 years of immunity to $300 for vaccination requiring 2 doses and conferring lifetime immunity. The thresholds for these vaccine programs to not be cost-effective for Singapore were $100 and $500 per dose respectively. Conclusions Dengue illness presents a serious economic and disease burden in Singapore. Dengue vaccines are expected to be cost-effective if reasonably low prices are adopted and will help to reduce the economic and disease burden of dengue in Singapore substantially. PMID:22206028

75 FR 9474 - Reports, Forms, and Record Keeping Requirements; Agency Information Collection Activity Under OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-02

... traffic behaviors and design interventions to reduce speeding and other hazardous traffic actions. Some of... voluntary and anonymous. Estimated Total Annual Burden: 2,005 hours (15 pretest interviews averaging 20...

78 FR 36576 - Agency Information Collection Activities; Reinstatement of a Previously Approved Collection...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-18

... estimate of the burden of the proposed collection of information, including the validity of the methodology... contacted a second time to participate in reliability testing for selected items. This testing will average...

HMM and Auction-based Formulations of ISR Coordination Mechanisms for the Expeditionary Strike Group Missions

DTIC Science & Technology

2009-06-01

CA 93943, United States kemple@nps.edu * To whom correspondence should be addressed: krishna@engr.uconn.edu 1 Report Documentation Page Form...ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for...burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson Davis Highway, Suite 1204, Arlington

Enhancing the NS-2 Network Simulator for Near Real-Time Control Feedback and Distributed Simulation

DTIC Science & Technology

2009-03-21

Communication Mediator, see mediator Constant Bit Rate, see cbr Emulation, 8 Georgia Tech Network Simulator, see GT- NetS Globlal Mobile Information ...PAGE Form ApprovedOMB No. 0704–0188 The public reporting burden for this collection of information is estimated to average 1 hour per response...for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704–0188

The Bush Doctrine: Power Concepts, Preemption and the Global War on Terror

DTIC Science & Technology

2004-03-19

17013 Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson...subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE

China’s Holdings of U.S. Securities: Implications for the U.S. Economy

DTIC Science & Technology

2008-10-02

137.8 billion as of June 2007) and Macao ($2.0 billion). These entities , though part of China, are reported separately by Treasury. 10 In...Division Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson

China’s Holdings of U.S. Securities: Implications for the U.S. Economy

DTIC Science & Technology

2008-11-20

holdings by Hong Kong (which totaled $137.8 billion as of June 2007) and Macao ($2.0 billion). These entities , though part of China, are reported ...Division Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215

Supply Chain Management/Strategic Acquisition: The Case for Professional Pay in the Army Acquisition Corps

DTIC Science & Technology

2012-04-01

Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson...subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE

78 FR 40550 - Agency Information Collection (Veterans Application for Assistance in Acquiring Special Housing...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-05

... INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 461-7485 or email crystal[email protected]va.gov . Please refer to.... Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: One time. Estimated Number of...

77 FR 64383 - Agency Information Collection (Application for Voluntary Service) Activities Under OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-19

... INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492, fax (202) 632-7583 or email crystal[email protected] Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One time. Estimated Number of...

Special Operations Forces Interagency Counterterrorism Reference Manual

DTIC Science & Technology

2009-03-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other...Presidential Review Directives and Presidential Decision Directives (Clin- ton administration) and National Security Study Directives and National

Human metabolism and ecological transfer of radioactive caesium: Comparative studies of Chernobyl debris and nuclear weapons fallout, in Southern Sweden and in Bryansk, Russia

NASA Astrophysics Data System (ADS)

Raaf, Christopher Leopold

The whole-body content of radiocaesium was measured in a South-Swedish urban group of people residing in the city of Lund (55.7°N, 13.2°E) between 1960 and 1994. The results from the survey have been analysed in order to estimate the ecological half-time, Teff,eco, of fallout radiocaesium and the aggregate transfer from ground deposition to man in the region. After 1987, the biological half-times, Ts, of 137Cs and 40K in man were also determined in the reference group through whole-body content measurements in combination with 24-hour urine sampling. Relationships between 24-hour urinary excretion and body burden of 137Cs in the group together with data from the literature were then applied to urine samples collected in 1994 and 1995 from adult subjects living in the highly contaminated region of Bryansk, Russia, in order to estimate their average body burden of 137Cs. The equivalent biological half-time for 137Cs in females of the Lund reference group was, on average (+/-1 WSE), 66 +/- 3 d, which agrees with other findings, whereas the value for the males, 81 +/- 4 d, was, on average, significantly lower than what is found in the literature. This is partly explained by the elevated mean age and relatively low mean body muscle mass of the males investigated in the group during the post-Chernobyl study period. The effective ecological half-time for 137Cs from Chernobyl was found to be 1.8 +/- 0.2 y. The aggregate transfer of 137Cs from deposition to mean activity concentration in man was estimated to be 1.7 Bq kg-1/kBq m-2. These vales may be compared with an effective ecological half-time of 1.3 years found in the reference group in the 1960s, and an aggregate transfer factor of 9.8 Bq kg-1/kBq m-2. The average committed effective dose from ingested 137Cs Chernobyl fallout in the study group was estimated to be 0.02 mSv and from the nuclear weapons fallout to 0.20 mSv. The estimates of whole-body content of 137Cs in the Russian subjects obtained through creatinine normalisation of the 137Cs content in urine were, on average, a factor of 2 higher than estimates obtained through a potassium normalisation procedure; 55 +/- 8 (1 SE) kBq for creatinine and 29 +/- 4 (1 SE) kBq for potassium normalisation in the year 1994. This was due to a significant difference in the relationship between the urinary potassium and creatinine concentration between the Swedish and Russian group. The elevated potassium concentration found in the rural Russian subjects indicated a higher dietary intake of potassium, which greatly influences the accuracy and applicability of the potassium normalisation method when estimating body burden of 137Cs through urine assay. It is therefore recommended not to use the potassium normalisation procedure in cases where the daily intake of potassium is unknown. The estimated body burden of 137Cs in the Bryansk group in 1994 corresponds to a contribution to the estimated annual effective dose of 1.8 mSv y-1, which is approximately 200 times greater than the average annual dose received from ingested 137Cs by the subjects of the Lund reference group during the period 1987-1994.

Dengue in Thailand and Cambodia: An Assessment of the Degree of Underrecognized Disease Burden Based on Reported Cases

PubMed Central

Wichmann, Ole; Yoon, In-Kyu; Vong, Sirenda; Limkittikul, Kriengsak; Gibbons, Robert V.; Mammen, Mammen P.; Ly, Sowath; Buchy, Philippe; Sirivichayakul, Chukiat; Buathong, Rome; Huy, Rekol; Letson, G. William; Sabchareon, Arunee

2011-01-01

Background Disease incidence data are needed to guide decision-making for public health interventions. Although dengue is a reportable disease in Thailand and Cambodia, the degree that reported incidence underrecognizes true disease burden is unknown. We utilized dengue incidence calculated from laboratory-confirmed outpatient and inpatient cases in prospective cohort studies to estimate the magnitude of dengue underrecognition and to establish more accurate disease burden estimates for these countries. Methods and Findings Cohort studies were conducted among children aged <15 years by members of a dengue field site consortium over at least 2 dengue seasons. Age-group specific multiplication factors (MFs) were computed by comparing data from three cohort studies to national surveillance data in the same province and year. In Thailand, 14,627 person-years of prospective cohort data were obtained in two provinces and 14,493 person-years from one province in Cambodia. Average annual incidence of laboratory-confirmed dengue was 23/1,000 and 25/1,000 in Thailand, and 41/1,000 in Cambodia. Calculated MFs in these provinces varied by age-group and year (range 0.4–29). Average age-group specific MFs were then applied to country-level reporting data and indicated that in Thailand a median 229,886 (range 210,612–331,236) dengue cases occurred annually during 2003–2007 and a median 111,178 (range 80,452–357,135) cases occurred in Cambodia in children <15 years of age. Average underrecognition of total and inpatient dengue cases was 8.7 and 2.6-fold in Thailand, and 9.1 and 1.4-fold in Cambodia, respectively. During the high-incidence year 2007, >95,000 children in Thailand and >58,000 children in Cambodia were estimated to be hospitalized due to dengue. Conclusion Calculating MFs by comparing prospective cohort study data to locally-reported national surveillance data is one approach to more accurately assess disease burden. These data indicate that although dengue is regularly reported in many countries, national surveillance data significantly underrecognize the true burden of disease. PMID:21468308

Estimating source-attributable health impacts of ambient fine particulate matter exposure: global premature mortality from surface transportation emissions in 2005

NASA Astrophysics Data System (ADS)

Chambliss, S. E.; Silva, R.; West, J. J.; Zeinali, M.; Minjares, R.

2014-10-01

Exposure to ambient fine particular matter (PM2.5) was responsible for 3.2 million premature deaths in 2010 and is among the top ten leading risk factors for early death. Surface transportation is a significant global source of PM2.5 emissions and a target for new actions. The objective of this study is to estimate the global and national health burden of ambient PM2.5 exposure attributable to surface transportation emissions. This share of health burden is called the transportation attributable fraction (TAF), and is assumed equal to the proportional decrease in modeled ambient particulate matter concentrations when surface transportation emissions are removed. National population-weighted TAFs for 190 countries are modeled for 2005 using the MOZART-4 global chemical transport model. Changes in annual average concentration of PM2.5 at 0.5 × 0.67 degree horizontal resolution are based on a global emissions inventory and removal of all surface transportation emissions. Global population-weighted average TAF was 8.5 percent or 1.75 μg m-3 in 2005. Approximately 242 000 annual premature deaths were attributable to surface transportation emissions, dominated by China, the United States, the European Union and India. This application of TAF allows future Global Burden of Disease studies to estimate the sector-specific burden of ambient PM2.5 exposure. Additional research is needed to capture intraurban variations in emissions and exposure, and to broaden the range of health effects considered, including the effects of other pollutants.

Estimating Burdens of Neglected Tropical Zoonotic Diseases on Islands with Introduced Mammals.

PubMed

de Wit, Luz A; Croll, Donald A; Tershy, Bernie; Newton, Kelly M; Spatz, Dena R; Holmes, Nick D; Kilpatrick, A Marm

2017-03-01

AbstractMany neglected tropical zoonotic pathogens are maintained by introduced mammals, and on islands the most common introduced species are rodents, cats, and dogs. Management of introduced mammals, including control or eradication of feral populations, which is frequently done for ecological restoration, could also reduce or eliminate the pathogens these animals carry. Understanding the burden of these zoonotic diseases is crucial for quantifying the potential public health benefits of introduced mammal management. However, epidemiological data are only available from a small subset of islands where these introduced mammals co-occur with people. We examined socioeconomic and climatic variables as predictors for disease burdens of angiostrongyliasis, leptospirosis, toxoplasmosis, toxocariasis, and rabies from 57 islands or island countries. We found strong correlates of disease burden for leptospirosis, Toxoplasma gondii infection, angiostrongyliasis, and toxocariasis with more than 50% of the variance explained, and an average of 57% (range = 32-95%) predictive accuracy on out-of-sample data. We used these relationships to provide estimates of leptospirosis incidence and T. gondii seroprevalence infection on islands where nonnative rodents and cats are present. These predicted estimates of disease burden could be used in an initial assessment of whether the costs of managing introduced mammal reservoirs might be less than the costs of perpetual treatment of these diseases on islands.

The economic burden of child sexual abuse in the United States.

PubMed

Letourneau, Elizabeth J; Brown, Derek S; Fang, Xiangming; Hassan, Ahmed; Mercy, James A

2018-05-01

The present study provides an estimate of the U.S. economic impact of child sexual abuse (CSA). Costs of CSA were measured from the societal perspective and include health care costs, productivity losses, child welfare costs, violence/crime costs, special education costs, and suicide death costs. We separately estimated quality-adjusted life year (QALY) losses. For each category, we used the best available secondary data to develop cost per case estimates. All costs were estimated in U.S. dollars and adjusted to the reference year 2015. Estimating 20 new cases of fatal and 40,387 new substantiated cases of nonfatal CSA that occurred in 2015, the lifetime economic burden of CSA is approximately $9.3 billion, the lifetime cost for victims of fatal CSA per female and male victim is on average $1,128,334 and $1,482,933, respectively, and the average lifetime cost for victims of nonfatal CSA is of $282,734 per female victim. For male victims of nonfatal CSA, there was insufficient information on productivity losses, contributing to a lower average estimated lifetime cost of $74,691 per male victim. If we included QALYs, these costs would increase by approximately $40,000 per victim. With the exception of male productivity losses, all estimates were based on robust, replicable incidence-based costing methods. The availability of accurate, up-to-date estimates should contribute to policy analysis, facilitate comparisons with other public health problems, and support future economic evaluations of CSA-specific policy and practice. In particular, we hope the availability of credible and contemporary estimates will support increased attention to primary prevention of CSA. Copyright © 2018. Published by Elsevier Ltd.

Decision-model estimation of the age-specific disability weight for schistosomiasis japonica: a systematic review of the literature.

PubMed

Finkelstein, Julia L; Schleinitz, Mark D; Carabin, Hélène; McGarvey, Stephen T

2008-03-05

Schistosomiasis is among the most prevalent parasitic infections worldwide. However, current Global Burden of Disease (GBD) disability-adjusted life year estimates indicate that its population-level impact is negligible. Recent studies suggest that GBD methodologies may significantly underestimate the burden of parasitic diseases, including schistosomiasis. Furthermore, strain-specific disability weights have not been established for schistosomiasis, and the magnitude of human disease burden due to Schistosoma japonicum remains controversial. We used a decision model to quantify an alternative disability weight estimate of the burden of human disease due to S. japonicum. We reviewed S. japonicum morbidity data, and constructed decision trees for all infected persons and two age-specific strata, <15 years (y) and > or =15 y. We conducted stochastic and probabilistic sensitivity analyses for each model. Infection with S. japonicum was associated with an average disability weight of 0.132, with age-specific disability weights of 0.098 (<15 y) and 0.186 (> or =15 y). Re-estimated disability weights were seven to 46 times greater than current GBD measures; no simulations produced disability weight estimates lower than 0.009. Nutritional morbidities had the greatest contribution to the S. japonicum disability weight in the <15 y model, whereas major organ pathologies were the most critical variables in the older age group. GBD disability weights for schistosomiasis urgently need to be revised, and species-specific disability weights should be established. Even a marginal increase in current estimates would result in a substantial rise in the estimated global burden of schistosomiasis, and have considerable implications for public health prioritization and resource allocation for schistosomiasis research, monitoring, and control.

Decision-Model Estimation of the Age-Specific Disability Weight for Schistosomiasis Japonica: A Systematic Review of the Literature

PubMed Central

Finkelstein, Julia L.; Schleinitz, Mark D.; Carabin, Hélène; McGarvey, Stephen T.

2008-01-01

Schistosomiasis is among the most prevalent parasitic infections worldwide. However, current Global Burden of Disease (GBD) disability-adjusted life year estimates indicate that its population-level impact is negligible. Recent studies suggest that GBD methodologies may significantly underestimate the burden of parasitic diseases, including schistosomiasis. Furthermore, strain-specific disability weights have not been established for schistosomiasis, and the magnitude of human disease burden due to Schistosoma japonicum remains controversial. We used a decision model to quantify an alternative disability weight estimate of the burden of human disease due to S. japonicum. We reviewed S. japonicum morbidity data, and constructed decision trees for all infected persons and two age-specific strata, <15 years (y) and ≥15 y. We conducted stochastic and probabilistic sensitivity analyses for each model. Infection with S. japonicum was associated with an average disability weight of 0.132, with age-specific disability weights of 0.098 (<15 y) and 0.186 (≥15 y). Re-estimated disability weights were seven to 46 times greater than current GBD measures; no simulations produced disability weight estimates lower than 0.009. Nutritional morbidities had the greatest contribution to the S. japonicum disability weight in the <15 y model, whereas major organ pathologies were the most critical variables in the older age group. GBD disability weights for schistosomiasis urgently need to be revised, and species-specific disability weights should be established. Even a marginal increase in current estimates would result in a substantial rise in the estimated global burden of schistosomiasis, and have considerable implications for public health prioritization and resource allocation for schistosomiasis research, monitoring, and control. PMID:18320018

Updated Global Burden of Cholera in Endemic Countries

PubMed Central

Ali, Mohammad; Nelson, Allyson R.; Lopez, Anna Lena; Sack, David A.

2015-01-01

Background The global burden of cholera is largely unknown because the majority of cases are not reported. The low reporting can be attributed to limited capacity of epidemiological surveillance and laboratories, as well as social, political, and economic disincentives for reporting. We previously estimated 2.8 million cases and 91,000 deaths annually due to cholera in 51 endemic countries. A major limitation in our previous estimate was that the endemic and non-endemic countries were defined based on the countries’ reported cholera cases. We overcame the limitation with the use of a spatial modelling technique in defining endemic countries, and accordingly updated the estimates of the global burden of cholera. Methods/Principal Findings Countries were classified as cholera endemic, cholera non-endemic, or cholera-free based on whether a spatial regression model predicted an incidence rate over a certain threshold in at least three of five years (2008-2012). The at-risk populations were calculated for each country based on the percent of the country without sustainable access to improved sanitation facilities. Incidence rates from population-based published studies were used to calculate the estimated annual number of cases in endemic countries. The number of annual cholera deaths was calculated using inverse variance-weighted average case-fatality rate (CFRs) from literature-based CFR estimates. We found that approximately 1.3 billion people are at risk for cholera in endemic countries. An estimated 2.86 million cholera cases (uncertainty range: 1.3m-4.0m) occur annually in endemic countries. Among these cases, there are an estimated 95,000 deaths (uncertainty range: 21,000-143,000). Conclusion/Significance The global burden of cholera remains high. Sub-Saharan Africa accounts for the majority of this burden. Our findings can inform programmatic decision-making for cholera control. PMID:26043000

ASSESSING THE COST BURDEN OF DENGUE INFECTION TO HOUSEHOLDS IN SEREMBAN, MALAYSIA.

PubMed

Mia, Md Shahin; Begum, Rawshan Ara; Er, A C; Pereira, Joy Jacqueline

2016-11-01

Dengue is endemic in all parts of Malaysia. However, there is limited data regarding the cost burden of this disease at household level. We aimed to examine the cost of dengue infection at the household level in Seremban District, Malaysia. This cost assessment can provide an insight to policy-makers about economic impact of dengue infection in order to guide and prioritize control strategies. The data were collected via interview. We evaluated120 previous dengue infection patients registered at the Tuanku Ja’afar Hospital, Seremban District, Malaysia. The average duration of dengue illness was 9.69 days. The average household days lost was 18.7; students lost an average of 6.3 days of school and patients and caregivers lost an average of 12.5 days of work. The mean total cost per case of dengue infection was estimated to be USD365.16 with the indirect cost being USD327.90 (89.8% of the total cost) and the direct cost being USD37.26 (10.2% of the total cost). Our findings suggest each episode of dengue infection imposes a significant financial burden at the household level in Seremban District, Malaysia; most of the burden being indirect cost. This cost needs to be factored into the overall cost to society of dengue infection. This data can inform policy makers when allocating resources to manage public health problems in Malaysia.

Prevalence, clinical and economic burden of mucormycosis-related hospitalizations in the United States: a retrospective study.

PubMed

Kontoyiannis, Dimitrios P; Yang, Hongbo; Song, Jinlin; Kelkar, Sneha S; Yang, Xi; Azie, Nkechi; Harrington, Rachel; Fan, Alan; Lee, Edward; Spalding, James R

2016-12-01

Mucormycosis is a rare but devastating fungal infection primarily affecting immunocompromised patients such as those with hematological malignancy, bone marrow and solid organ transplantation, and patients with diabetes, and, even more rarely, immunocompetent patients. The objective of this study was to assess the prevalence and burden, both clinical and economic, of mucormycosis among hospitalized patients in the U.S. This is a retrospective study using the Premier Perspective TM Comparative Database, with more than 560 participating hospitals covering 104 million patients (January 2005-June 2014). All hospitalizations in the database were evaluated for the presence of mucormycosis using either an ICD-9 code of 117.7 or a positive laboratory result for Mucorales. Hospitalizations were further required to have prescriptions of amphotericin B or posaconazole to be considered as mucormycosis-related hospitalizations. The prevalence of mucormycosis-related hospitalizations among all hospital discharges was estimated. Mortality rate at discharge, length of hospital stay, and readmission rates at 1 and 3 months were evaluated among mucormycosis-related hospitalizations. Cost per hospital stay and average per diem cost (inflated to 2014 USD) were reported. The prevalence of mucormycosis-related hospitalizations was estimated as 0.12 per 10,000 discharges during January 2005-June 2014. It increased to 0.16 per 10,000 discharges if the definition of mucormycosis was relaxed to not require the use of amphotericin B or posaconazole. The median length of stay was 17 days, with 23% dead at discharge; readmission rates were high, with 30 and 37% of patients readmitted within one and three months of discharge, respectively. The average cost per hospital stay was $112,419, and the average per diem cost was $4,096. The study provides a recent estimate of the prevalence and burden of mucormycosis among hospitalized patients. The high clinical and economic burden associated with mucormycosis highlights the importance of establishing active surveillance and optimizing prophylactic and active treatment in susceptible patients.

Military Personnel: Status of Accession, Retention, and End Strength for Military Medical Officers and Preliminary Observations Regarding Accession and Retention Challenges

DTIC Science & Technology

2009-04-16

Report 110-335 accompanying the National Defense Authorization Act for Fiscal Year 2009. The Senate Report required the Comptroller General to... Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson Davis

Estimation of financial burden due to oversupply of medications for chronic diseases.

PubMed

Chaiyakunapruk, Nathorn; Thanarungroj, Aekdisak; Cheewasithirungrueng, Nonglak; Srisupha-olarn, Warunee; Nimpitakpong, Piyarat; Dilokthornsakul, Piyameth; Jeanpeerapong, Napawan

2012-05-01

Given the potential of financial burden due to oversupply of medications for chronic diseases, this study aims to determine the prevalence of oversupply and to estimate the magnitude of financial loss in Thailand. Electronic patient database in a university-affiliated hospital in Thailand was used. Based on the utilization of top 5 high drug expenditure in 2005, the prevalence and the financial loss of oversupply (medication possession ratio [MPR] >1.00) were estimated. In total, 1893 patients were included in this study. The average age was 65.2 years and the majority were female (56%). The prevalence of oversupply ranged from 23.2% to 62.8%, whereas the annual financial loss ranged from US $4108 to US $10 517. The total amount of loss was US $32 903 or 3.77% of total medication costs. In summary, because of the high prevalence and associated high financial loss, oversupply of medication is a significant financial burden on hospitals and society.

A 6-year trend of the healthcare costs of arthritis in a population-based cohort of older women.

PubMed

Lo, Tkt; Parkinson, Lynne; Cunich, Michelle; Byles, Julie

2016-06-01

To provide an accurate representation of the economic burden of arthritis by estimating the adjusted incremental healthcare cost of arthritis at multiple percentiles and reporting the cost trends across time. A healthcare cost study based on health survey and linked administrative data, where costs were estimated from the government's perspective in dollars per person per year. Quantile regression was used to estimate the adjusted incremental cost at the 25th, 50th, 75th, 90th, and 95th percentiles. Data from 4287 older Australian women were included. The median incremental healthcare cost of arthritis was, in 2012 Australian dollars, $480 (95% CI: $498-759) in 2009; however, 5% of individuals had 5-times higher costs than the 'average individual' with arthritis. Healthcare cost of arthritis did not increase significantly from 2003 to 2009. Healthcare cost of arthritis represents a substantial burden for the governments. Future research should continue to monitor the economic burden of arthritis.

National cost of trauma care by payer status.

PubMed

Velopulos, Catherine G; Enwerem, Ngozi Y; Obirieze, Augustine; Hui, Xuan; Hashmi, Zain G; Scott, Valerie K; Cornwell, Edward E; Schneider, Eric B; Haider, Adil H

2013-09-01

Several studies have described the burden of trauma care, but few have explored the economic burden of trauma inpatient costs from a payer's perspective or highlighted the differences in the average costs per person by payer status. The present study provides a conservative inpatient national trauma cost estimate and describes the variation in average inpatient trauma cost by payer status. A retrospective analysis of patients who had received trauma care at hospitals in the Nationwide Inpatient Sample from 2005-2010 was conducted. Our sample patients were selected using the appropriate "International Classification of Diseases, Ninth Revision, Clinical Modification" codes to identify admissions due to traumatic injury. The data were weighted to provide national population estimates, and all cost and charges were converted to 2010 US dollar equivalents. Generalized linear models were used to describe the costs by payer status, adjusting for patient characteristics, such as age, gender, and race, and hospital characteristics, such as location, teaching status, and patient case mix. A total of 2,542,551 patients were eligible for the present study, with the payer status as follows: 672,960 patients (26.47%) with private insurance, 1,244,817 (48.96%) with Medicare, 262,256 (10.31%) with Medicaid, 195,056 (7.67%) with self-pay, 18,506 (0.73%) with no charge, and 150,956 (5.94%) with other types of insurance. The estimated yearly trauma inpatient cost burden was highest for Medicare at $17,551,393,082 (46.79%), followed by private insurance ($10,772,025,421 [28.72%]), Medicaid ($3,711,686,012 [9.89%], self-pay ($2,831,438,460 [7.55%]), and other payer types ($2,370,187,494 [6.32%]. The estimated yearly trauma inpatient cost burden was $274,598,190 (0.73%) for patients who were not charged for their inpatient trauma treatment. Our adjusted national inpatient trauma yearly costs were estimated at $37,511,328,659 US dollars. Privately insured patients had a significantly higher mean cost per person than did the Medicare, Medicaid, self-pay, or no charge patients. The results of the present study have demonstrated that the distribution of trauma burden across payers is significantly different from that of the overall healthcare system and suggest that although the burden of trauma is high, the burden of self-pay or nonreimbursed inpatient services is actually lower than that of overall medical care. Copyright © 2013 Elsevier Inc. All rights reserved.

30 CFR 207.1 - Required recordkeeping.

Code of Federal Regulations, 2010 CFR

2010-07-01

... part have been approved by OMB under 44 U.S.C. 3501 et seq. and assigned OMB Clearance Number 1010-0061... Management Act of 1982, 30 U.S.C. 1701 et seq. (b) Public reporting burden is estimated to average 30 minutes...

Communication Breakdown: DHS Operations During a Cyber Attack

DTIC Science & Technology

2010-12-01

is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of...Presidential Directive, Malware, National Exercise, Quadrennial Homeland Security Review , Trusted Internet Connections, Zero-Day Exploits 16. PRICE CODE 17

MABLE Final Report

DTIC Science & Technology

2011-11-30

modulates or controls the state of Y). The process of identifying these relationships is analogous to what statisticians do during exploratory data ...for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or

Development of an Air-Deployable Ocean Profiler

DTIC Science & Technology

2009-01-01

select the most appropriate technology for each component; sanity check that the selected technolgies can meet the design goals; and detailed...collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate

The Reality Of The Homeland Security Enterprise Information Sharing Environment

DTIC Science & Technology

2017-12-01

THE HOMELAND SECURITY ENTERPRISE INFORMATION SHARING ENVIRONMENT by Michael E. Brown December 2017 Thesis Advisors: Erik Dahl Robert...collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or

Microscopic approaches to quantum nonequilibriumthermodynamics and information

DTIC Science & Technology

2018-02-09

Microscopic approaches to quantum non- equilibrium thermodynamics and information The views, opinions and/or findings contained in this report are... information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or any other

Unitary Transformations in 3 D Vector Representation of Qutrit States

DTIC Science & Technology

2018-03-12

Representation of Qutrit States Vinod K Mishra Computational and Information Sciences Directorate, ARL Approved for public... information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection information . Send comments regarding this burden estimate or any other aspect

75 FR 35710 - Extended Carryback of Losses to or From a Consolidated Group

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-23

... proposed regulations, Grid Glyer, (202) 622-7930, concerning submissions of comments, Regina Johnson (202... these proposed regulations is in Sec. Sec. 1.1502-21(b)(3)(ii)(C)(2) and 1.1502-21(b)(3)(ii)(C)(3). The...: 1,000 hours. Estimated average annual burden hours per respondent: 0.25 hours. Estimated number of...

Activity Recognition for Agent Teams

DTIC Science & Technology

2007-07-01

Uncertainty in Artifcial Intelligence (UAI), 1994. [47] S. Intille and A. Bobick. Visual tracking using closed-worlds. Technical Report 294, MIT Media Lab...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other

The Economic Burden of Child Maltreatment in the United States and Implications for Prevention

ERIC Educational Resources Information Center

Fang, Xiangming; Brown, Derek S.; Florence, Curtis S.; Mercy, James A.

2012-01-01

Objectives: To present new estimates of the average lifetime costs per child maltreatment victim and aggregate lifetime costs for all new child maltreatment cases incurred in 2008 using an incidence-based approach. Methods: This study used the best available secondary data to develop cost per case estimates. For each cost category, the paper used…

The Effects of Physical Impairment on Shooting Performance

DTIC Science & Technology

2012-08-01

Anthropometry Anthropometric data were collected from each participant. Summary anthropometric statistics are shown in table 1. Table 1...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection information. Send comments regarding this burden estimate or any other aspect of

Sasebo, A Case Study in Optimizing Official Vehicles

DTIC Science & Technology

2012-12-01

is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering and maintaining...the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of...that were estimated to reduce federal budget deficits by a total of at least $2.1 trillion over the 2012–2021 period…At least another $1.2 trillion

Application of Density Estimation Methods to Datasets from a Glider

DTIC Science & Technology

2013-09-30

sperm whales as well as different dolphin species. OBJECTIVES The objective of this research is to extend existing methods for cetacean...Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...a cue counting approach, where a cue has been defined as a clicking event (Küsel et al., 2011), to density estimation from data recorded by single

COSTS OF CHILDHOOD ASTHMA DUE TO TRAFFIC-RELATED POLLUTION IN TWO CALIFORNIA COMMUNITIES

PubMed Central

Brandt, Sylvia J.; Perez, Laura; Künzli, Nino; Lurmann, Fred; McConnell, Rob

2015-01-01

Recent research suggests the burden of childhood asthma attributable to air pollution has been underestimated in traditional risk assessments, and there are no estimates of these associated costs. We estimated the yearly childhood asthma-related costs attributable to air pollution for Riverside and Long Beach, California, including: 1) the indirect and direct costs of health care utilization due to asthma exacerbations linked to traffic-related pollution (TRP); and 2) the costs of health care for asthma cases attributable to local TRP exposure. We estimated these costs using estimates from peer-reviewed literature and the authors' analysis of surveys (Medical Expenditure Panel Survey, California Health Interview Survey, National Household Travel Survey, and Health Care Utilization Project). A lower-bound estimate of the asthma burden attributable to air pollution was $18 million yearly. Asthma cases attributable to TRP exposure accounted for almost half of this cost. The cost of bronchitic episodes was a major proportion of both the annual cost of asthma cases attributable to TRP and of pollution-linked exacerbations. Traditional risk assessment methods underestimate both the burden of disease and cost of asthma associated with air pollution, and these costs are borne disproportionately by communities with higher than average TRP. PMID:22267764

75 FR 45632 - Proposed Information Collection Activity; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-03

... into agreements with financial institutions doing business in States for the purpose of securing...: Financial institutions doing business in two or more States. Annual Burden Estimates Number of Average... Information Collection Activity; Comment Request Proposed Projects: Title: Financial Institution Data Match...

Peering through Different Bombsights: Military Historians, Diplomatic Historians, and the Decision to Drop the Atomic Bomb

DTIC Science & Technology

1998-01-01

sion, while the revi sion ists can of fer various hypothe ses as to the under ly­ ing reasons behind President Harry Tru­ man’s deci sion. Their... Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per...including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson

The burden of rotavirus hospitalizations among Medicaid and non-Medicaid children younger than 5 years old.

PubMed

Ma, Liyuan; El Khoury, Antoine C; Itzler, Robbin F

2009-10-01

We sought to compare the burden of hospitalizations associated with rotavirus gastroenteritis (RGE) in children younger than 5 years in US Medicaid and non-Medicaid populations in 2000 and 2003. We used the Kids' Inpatient Database (KID) to examine the burden of RGE-associated hospitalizations in terms of numbers and rates of hospitalizations, lengths of stay, and hospital charges. Two indirect methods were also used to estimate RGE-associated hospitalizations, because rotavirus testing is not routinely performed. Approximately 40% of children younger than 5 years were enrolled in Medicaid in 2003, but this population accounted for nearly 50% of all RGE-associated hospitalizations and 60% of total charges. Children enrolled in Medicaid had significantly greater hospitalization rates, average lengths of stay, and average charges per stay than did those not enrolled. Although RGE affects all socioeconomic groups, the Medicaid population accounted for a disproportionate number of the hospitalizations. With the inclusion of rotavirus vaccines in the pediatric immunization schedule, it is important that US children, especially those enrolled in Medicaid programs, are vaccinated to reduce the burden of RGE.

The burden of acute respiratory infections in Ecuador 2011-2015.

PubMed

Chicaiza-Ayala, Wilson; Henríquez-Trujillo, Aquiles R; Ortiz-Prado, Esteban; Douce, Richard W; Coral-Almeida, Marco

2018-01-01

Burden of disease studies intend to improve public health decision-making and to measure social and economic impact in population. The objective of this study was to describe the burden of acute respiratory infections (ARI) in Ecuador between 2011 and 2015. Five-year period morbidity and mortality data available from national agencies of statistics was analyzed to estimate the burden of disease attributable to acute respiratory infections. Cases and deaths registered were grouped according to their ICD-10 code into three diagnostic groups: Acute upper respiratory infections (J00-J06), Influenza and pneumonia (J09-J18), and Bronchitis and other acute lower respiratory infections (J20-J22, J85, J86). Disability-adjusted life years stratified by diagnostic and age group were calculated using the "DALY" package for R. The productivity loss in monetary terms was estimated using the human capital method. Over the 5-year period studied there were a total of 14.84 million cases of acute respiratory infections, with 17 757 deaths reported (0.12%). The yearly burden of disease ranged between 98 944 to 118 651 disability-adjusted life years, with an estimated average loss of productivity of US$152.16 million (±19.6) per year. Approximately 99% of the burden can be attributed to years life lost due to premature mortality in population under 5 years old and over 60 years-old. The burden of acute respiratory infections remained steady during the analyzed period. Evidence-based prevention and control policies to tackle acute respiratory infections in Ecuador should focus on the population at extreme ages of life.

Economic burden of informal care attributable to stroke among those aged 65 years or older in China.

PubMed

Joo, Heesoo; Liang, Di

2017-02-01

Stroke is a leading cause of disability in China, frequently resulting in the need for informal care. No information, however, is available on costs of informal care associated with stroke, required to understand the true cost of stroke in China. Using the 2011 China Health and Retirement Longitudinal Study, we identified 4447 respondents aged ≥65 years suitable for analyses, including 184 stroke survivors. We estimated the economic burden of informal care associated with stroke using a two-part model. The monthly number of hours of informal caregiving associated with stroke was 29.2 h/stroke survivor, and the average annual cost of informal care associated with stroke was 10,612 RMB per stroke survivor. The findings stress the necessity of proper interventions to prevent stroke and will be useful for estimating the economic burden of stroke.

Mems-Based Waste Vibration and Acoustic Energy Harvesters

DTIC Science & Technology

2014-12-01

information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other...Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork

Coupled Ocean-Atmosphere Dynamics and Predictability of MJO’s

DTIC Science & Technology

2012-09-30

chlorophyll modulation by the MJO Previous studies analyzed ocean color satellite data and suggested that the primary mechanism of surface...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of

Coupled Ocean-Atmosphere Dynamics and Predictability of MJO’s

DTIC Science & Technology

2012-09-30

mechanisms of surface chlorophyll modulation by the MJO Previous studies analyzed ocean color satellite data and suggested that the primary mechanism of...estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the... data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this

An Evaluation of Shipyard Practices and Their Correlation to Ship Costs

DTIC Science & Technology

2017-12-01

Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and...collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate

Direct Thermodynamic Measurements of the Energetics of Information Processing

DTIC Science & Technology

2017-08-08

Report: Direct thermodynamic measurements of the energetics of information processing The views, opinions and/or findings contained in this report are... information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or any other

Workshop on Information Engines at the Frontiers of Nanoscale Thermodynamics

DTIC Science & Technology

2017-11-01

Report: Workshop on Information Engines at the Frontiers of Nanoscale Thermodynamics The views, opinions and/or findings contained in this report are... information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or any other

Propagation of Statistical Noise Through a Two-Qubit Maximum Likelihood Tomography

DTIC Science & Technology

2018-04-01

University Daniel E Jones, Brian T Kirby, and Michael Brodsky Computational and Information Sciences Directorate, ARL Approved for...collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection information . Send comments regarding this burden estimate or any other

Rand National Security Division Annual Report 2006

DTIC Science & Technology

2007-01-01

collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any...this opportunity, they need to control enough personnel and material resources to secure and supply at least the capital. Marshaling Resources to Meet

Neuron Design in Neuromorphic Computing Systems and Its Application in Wireless Communications

DTIC Science & Technology

2017-03-01

0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...for data representation using hardware spike timing dependent encoding for neuromorphic processors; (b) explore the applications of neuromorphic...envisioned architecture will serve as the foundation for unprecedented capabilities in real- time applications such as the MIMO channel estimation that

Pathfinder. Volume 9, Number 2, March/April 2011

DTIC Science & Technology

2011-03-01

vides audio, video, desktop sharing and chat.” The platform offers a real-time, Web- based presentation tool to create information and general...collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or

The Effect of Modified Eye Position on Shooting Performance

DTIC Science & Technology

2011-04-01

participants was 20/20, with one participant aided by corrective contact lenses. 3.3 Anthropometry Anthropometric data was collected from each...estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the... data needed, and completing and reviewing the collection information. Send comments regarding this burden estimate or any other aspect of this

Human Systems Integration (HSI) in Acquisition. HSI Domain Guide

DTIC Science & Technology

2009-08-01

job simulation that includes posture data , force parameters, and anthropometry . Output includes the percentage of men and women who have the strength...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of

Lifetime Economic Burden of Rape Among U.S. Adults.

PubMed

Peterson, Cora; DeGue, Sarah; Florence, Curtis; Lokey, Colby N

2017-06-01

This study estimated the per-victim U.S. lifetime cost of rape. Data from previous studies was combined with current administrative data and 2011 U.S. National Intimate Partner and Sexual Violence Survey data in a mathematical model. Rape was defined as any lifetime completed or attempted forced penetration or alcohol- or drug-facilitated penetration, measured among adults not currently institutionalized. Costs included attributable impaired health, lost productivity, and criminal justice costs from the societal perspective. Average age at first rape was assumed to be 18 years. Future costs were discounted by 3%. The main outcome measures were the average per-victim (female and male) and total population discounted lifetime cost of rape. Secondary outcome measures were marginal outcome probabilities among victims (e.g., suicide attempt) and perpetrators (e.g., incarceration) and associated costs. Analysis was conducted in 2016. The estimated lifetime cost of rape was $122,461 per victim, or a population economic burden of nearly $3.1 trillion (2014 U.S. dollars) over victims' lifetimes, based on data indicating >25 million U.S. adults have been raped. This estimate included $1.2 trillion (39% of total) in medical costs; $1.6 trillion (52%) in lost work productivity among victims and perpetrators; $234 billion (8%) in criminal justice activities; and $36 billion (1%) in other costs, including victim property loss or damage. Government sources pay an estimated $1 trillion (32%) of the lifetime economic burden. Preventing sexual violence could avoid substantial costs for victims, perpetrators, healthcare payers, employers, and government payers. These findings can inform evaluations of interventions to reduce sexual violence. Published by Elsevier Inc.

Lifetime Economic Burden of Rape Among U.S. Adults

PubMed Central

Peterson, Cora; DeGue, Sarah; Florence, Curtis; Lokey, Colby N.

2017-01-01

Introduction This study estimated the per-victim U.S. lifetime cost of rape. Methods Data from previous studies was combined with current administrative data and 2011 U.S. National Intimate Partner and Sexual Violence Survey data in a mathematical model. Rape was defined as any lifetime completed or attempted forced penetration or alcohol- or drug-facilitated penetration, measured among adults not currently institutionalized. Costs included attributable impaired health, lost productivity, and criminal justice costs from the societal perspective. Average age at first rape was assumed to be 18 years. Future costs were discounted by 3%. The main outcome measures were the average per-victim (female and male) and total population discounted lifetime cost of rape. Secondary outcome measures were marginal outcome probabilities among victims (e.g., suicide attempt) and perpetrators (e.g., incarceration) and associated costs. Analysis was conducted in 2016. Results The estimated lifetime cost of rape was $122,461 per victim, or a population economic burden of nearly $3.1 trillion (2014 U.S. dollars) over victims’ lifetimes, based on data indicating >25 million U.S. adults have been raped. This estimate included $1.2 trillion (39% of total) in medical costs; $1.6 trillion (52%) in lost work productivity among victims and perpetrators; $234 billion (8%) in criminal justice activities; and $36 billion (1%) in other costs, including victim property loss or damage. Government sources pay an estimated $1 trillion (32%) of the lifetime economic burden. Conclusions Preventing sexual violence could avoid substantial costs for victims, perpetrators, healthcare payers, employers, and government payers. These findings can inform evaluations of interventions to reduce sexual violence. PMID:28153649

Ultrafast Spectroscopy of Chromophores

DTIC Science & Technology

2012-01-31

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 ...currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1 . REPORT DATE (DD-MM-YYYY) 2. REPORT TYPE 3. DATES... 1

77 FR 30499 - Information Collection Activity; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-23

... purposes. These financial statements are audited by a certified public accountant to provide independent... that interested members of the public and affected agencies have an opportunity to comment on...: Public reporting burden for this collection of information is estimated to average 3.20 hours per...

76 FR 70165 - Proposed Collection, Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-10

... vacancies, labor hires, and labor separations. As the monthly JOLTS time series grow longer, their value in... ensure that requested data can be provided in the desired format, reporting burden (time and financial... businesses and organizations. Total Total Average time Estimated Affected public respondents Frequency...

Synthesis and Characterization of Partial Biobased Furan Polyamides

DTIC Science & Technology

2014-02-01

Approved for public release; distribution is unlimited. NOTICES Disclaimers The...Weapons and Materials Research Directorate, ARL Approved for public release; distribution is unlimited...ii REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average

A risk adjustment approach to estimating the burden of skin disease in the United States.

PubMed

Lim, Henry W; Collins, Scott A B; Resneck, Jack S; Bolognia, Jean; Hodge, Julie A; Rohrer, Thomas A; Van Beek, Marta J; Margolis, David J; Sober, Arthur J; Weinstock, Martin A; Nerenz, David R; Begolka, Wendy Smith; Moyano, Jose V

2018-01-01

Direct insurance claims tabulation and risk adjustment statistical methods can be used to estimate health care costs associated with various diseases. In this third manuscript derived from the new national Burden of Skin Disease Report from the American Academy of Dermatology, a risk adjustment method that was based on modeling the average annual costs of individuals with or without specific diseases, and specifically tailored for 24 skin disease categories, was used to estimate the economic burden of skin disease. The results were compared with the claims tabulation method used in the first 2 parts of this project. The risk adjustment method estimated the direct health care costs of skin diseases to be $46 billion in 2013, approximately $15 billion less than estimates using claims tabulation. For individual skin diseases, the risk adjustment cost estimates ranged from 11% to 297% of those obtained using claims tabulation for the 10 most costly skin disease categories. Although either method may be used for purposes of estimating the costs of skin disease, the choice of method will affect the end result. These findings serve as an important reference for future discussions about the method chosen in health care payment models to estimate both the cost of skin disease and the potential cost impact of care changes. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Estimating the Economic Burden of Rheumatoid Arthritis in Taiwan Using the National Health Insurance Database.

PubMed

Wang, Bruce C M; Hsu, Ping-Ning; Furnback, Wesley; Ney, John; Yang, Ya-Wen; Fang, Chi-Hui; Tang, Chao-Hsiun

2016-03-01

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by inflammation and destruction of the joints. This research aims to estimate the economic burden of RA in Taiwan. The National Health Insurance Research Database (NHIRD), a claims-based dataset encompassing 99 % of Taiwan's population, was applied. We used a micro-costing approach for direct healthcare costs and indirect social costs by estimating the quantities and prices of cost categories. Direct costs included surgeries, hospitalizations, medical devices and materials, laboratory tests, and drugs. The costs and quantities of the direct economic burden were calculated based on 2011 data of NHIRD. We identified RA patients and a control cohort matched 1:4 on demographic and clinical covariates to calculate the incremental cost related to RA. Indirect costs were evaluated by missed work (absenteeism) and worker productivity (presenteeism). For the indirect burden, we estimated the rate of absenteeism and presenteeism from a patient survey. Costs were presented in US dollars (US$1 = 30 TWD). A total of 41,269 RA patients were included in the database with incremental total direct cost of US$86,413,971 and indirect cost of US$138,492,987. This resulted in an average incremental direct cost of US$2050 per RA patient. Within direct costs, the largest burdens were associated with drugs (US$73,028,944), laboratory tests (US$6,132,395), and hospitalizations (US$3,208,559). For indirect costs, absenteeism costs and presenteeism costs were US$16,059,681 and US$114,291,687, respectively. The economic burden of RA in Taiwan is driven by indirect healthcare costs, most notably presenteeism.

Estimating the Economic Burden of Rheumatoid Arthritis in Taiwan Using the National Health Insurance Database.

PubMed

Wang, Bruce C M; Hsu, Ping-Ning; Furnback, Wesley; Ney, John; Yang, Ya-Wen; Fang, Chi-Hui; Tang, Chao-Hsiun

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by inflammation and destruction of the joints. This research aims to estimate the economic burden of RA in Taiwan. The National Health Insurance Research Database (NHIRD), a claims-based dataset encompassing 99 % of Taiwan's population, was applied. We used a micro-costing approach for direct healthcare costs and indirect social costs by estimating the quantities and prices of cost categories. Direct costs included surgeries, hospitalizations, medical devices and materials, laboratory tests, and drugs. The costs and quantities of the direct economic burden were calculated based on 2011 data of NHIRD. We identified RA patients and a control cohort matched 1:4 on demographic and clinical covariates to calculate the incremental cost related to RA. Indirect costs were evaluated by missed work (absenteeism) and worker productivity (presenteeism). For the indirect burden, we estimated the rate of absenteeism and presenteeism from a patient survey. Costs were presented in US dollars (US$1 = 30 TWD). A total of 41,269 RA patients were included in the database with incremental total direct cost of US$86,413,971 and indirect cost of US$138,492,987. This resulted in an average incremental direct cost of US$2050 per RA patient. Within direct costs, the largest burdens were associated with drugs (US$73,028,944), laboratory tests (US$6,132,395), and hospitalizations (US$3,208,559). For indirect costs, absenteeism costs and presenteeism costs were US$16,059,681 and US$114,291,687, respectively. The economic burden of RA in Taiwan is driven by indirect healthcare costs, most notably presenteeism.

Estimated Global Mortality Attributable to Smoke from Landscape Fires

PubMed Central

Henderson, Sarah B.; Chen, Yang; Randerson, James T.; Marlier, Miriam; DeFries, Ruth S.; Kinney, Patrick; Bowman, David M.J.S.; Brauer, Michael

2012-01-01

Background: Forest, grass, and peat fires release approximately 2 petagrams of carbon into the atmosphere each year, influencing weather, climate, and air quality. Objective: We estimated the annual global mortality attributable to landscape fire smoke (LFS). Methods: Daily and annual exposure to particulate matter ≤ 2.5 μm in aerodynamic diameter (PM2.5) from fire emissions was estimated globally for 1997 through 2006 by combining outputs from a chemical transport model with satellite-based observations of aerosol optical depth. In World Health Organization (WHO) subregions classified as sporadically affected, the daily burden of mortality was estimated using previously published concentration–response coefficients for the association between short-term elevations in PM2.5 from LFS (contrasted with 0 μg/m3 from LFS) and all-cause mortality. In subregions classified as chronically affected, the annual burden of mortality was estimated using the American Cancer Society study coefficient for the association between long-term PM2.5 exposure and all-cause mortality. The annual average PM2.5 estimates were contrasted with theoretical minimum (counterfactual) concentrations in each chronically affected subregion. Sensitivity of mortality estimates to different exposure assessments, counterfactual estimates, and concentration–response functions was evaluated. Strong La Niña and El Niño years were compared to assess the influence of interannual climatic variability. Results: Our principal estimate for the average mortality attributable to LFS exposure was 339,000 deaths annually. In sensitivity analyses the interquartile range of all tested estimates was 260,000–600,000. The regions most affected were sub-Saharan Africa (157,000) and Southeast Asia (110,000). Estimated annual mortality during La Niña was 262,000, compared with 532,000 during El Niño. Conclusions: Fire emissions are an important contributor to global mortality. Adverse health outcomes associated with LFS could be substantially reduced by curtailing burning of tropical rainforests, which rarely burn naturally. The large estimated influence of El Niño suggests a relationship between climate and the burden of mortality attributable to LFS. PMID:22456494

Estimation of disease burdens on preterm births and low birth weights attributable to maternal fine particulate matter exposure in Shanghai, China.

PubMed

Liu, Anni; Qian, Naisi; Yu, Huiting; Chen, Renjie; Kan, Haidong

2017-12-31

Studies have shown that maternal exposure to particulate matter ≤2.5μm in aerodynamic diameter (PM 2.5 ) was associated with adverse birth outcomes such as preterm birth (PTB) and low birth weight (LBW). However, the burdens of PTB and LBW attributable to PM 2.5 were rarely evaluated, especially in developing countries. To estimate the burdens of PTBs and LBWs attributable to outdoor PM 2.5 in Shanghai, China. We collected annual-average PM 2.5 concentrations, concentration-response relationships between PM 2.5 exposure during pregnancy and PTBs and LBWs, rates of PTB and LBW, number of live births, and population sizes in grids of 10km×10km in Shanghai in 2013. Then, they were combined to estimate the odds ratios (ORs), relative risks (RRs), attributable fractions (AFs), and numbers of PTBs and LBWs associated with PM 2.5 exposure. The population-weighted annual-average concentration of PM 2.5 in Shanghai was 56.19μg/m 3 in 2013. According to the first-class limit of PM 2.5 (15μg/m 3 ) in the Ambient Air Quality Standards of China, the weighted RRs of PTBs or LBWs associated with PM 2.5 in Shanghai were 1.49 [95% confidence interval (CI): 1.16-1.80] and 1.31 (95% CI: 1.04-1.67), respectively. There might be 32.61% (95% CI: 13.93%-44.42%) or 4160 (95% CI: 1778-5667) PTBs and 23.36% (95% CI: 3.86%-40.02%) or 1882 (95% CI: 311-3224) LBWs attributable to PM 2.5 exposure. The estimates varied appreciably among different districts of Shanghai. Our analysis suggested that outdoor PM 2.5 air pollution might have led to considerable burdens of PTBs and LBWs in Shanghai, China. Copyright © 2017. Published by Elsevier B.V.

Estimating the burden of respiratory syncytial virus (RSV) on respiratory hospital admissions in children less than five years of age in England, 2007-2012.

PubMed

Reeves, Rachel Melanie; Hardelid, Pia; Gilbert, Ruth; Warburton, Fiona; Ellis, Joanna; Pebody, Richard G

2017-03-01

Respiratory syncytial virus (RSV) is a leading cause of hospital admission in young children. With several RSV vaccines candidates undergoing clinical trials, recent estimates of RSV burden are required to provide a baseline for vaccine impact studies. To estimate the number of RSV-associated hospital admissions in children aged <5 years in England over a 5-year period from 2007 using ecological time series modelling of national hospital administrative data. Multiple linear regression modelling of weekly time series of laboratory surveillance data and Hospital Episode Statistics (HES) data was used to estimate the number of hospital admissions due to major respiratory pathogens including RSV in children <5 years of age in England from mid-2007 to mid-2012, stratified by age group (<6 months, 6-11 months, 1-4 years) and primary diagnosis: bronchiolitis, pneumonia, unspecified lower respiratory tract infection (LRTI), bronchitis and upper respiratory tract infection (URTI). On average, 33 561 (95% confidence interval 30 429-38 489) RSV-associated hospital admissions in children <5 years of age occurred annually from 2007 to 2012. Average annual admission rates were 35.1 (95% CI: 32.9-38.9) per 1000 children aged <1 year and 5.31 (95% CI: 4.5-6.6) per 1000 children aged 1-4 years. About 84% (95% CI: 81-91%) of RSV-associated admissions were for LRTI. The diagnosis-specific burden of RSV-associated admissions differed significantly by age group. RSV remains a significant cause of hospital admissions in young children in England. Individual-level analysis of RSV-associated admissions is required to fully describe the burden by age and risk group and identify optimal prevention strategies. © 2017 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

77 FR 23514 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-19

... purchaser, prior to or at the time of purchase, a signed document acknowledging the restrictions on... with. This requirement enhances the Commission's ability to monitor utilization of and compliance with... does not include in the estimate of average burden hours the time preparing registration statements and...

76 FR 50186 - Submission for OMB Emergency Review

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-12

... (ICR) to the Office of Management and Budget (OMB) for review and clearance in accordance with the.... Agency Number: None. Affected Public: Nonprofit organizations and congregations. Total Respondents: 600. Frequency: One time. Average Time per Response: 40 hours. Estimated Total Burden Hours: 24,000 hours. Total...

76 FR 19177 - Agency Information Collection Activities: Notice of Request for Extension of Currently Approved...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-06

..., except Federal holidays. FOR FURTHER INFORMATION CONTACT: Greg Wolf, 202-366-4655, Department of...., Washington, DC 20590, Monday through Friday, except Federal holidays. SUPPLEMENTARY INFORMATION: Title..., American Samoa, Northern Mariana Islands, and the Virgin Islands. Estimated Average Annual Burden: The...

Disease burden of chronic hepatitis B among immigrants in Canada.

PubMed

Wong, William W L; Woo, Gloria; Heathcote, E Jenny; Krahn, Murray

2013-03-01

The prevalence of chronic hepatitis B (CHB) infection among immigrants to North America ranges from 2% to 15%, 40% of whom develop advanced liver disease. Screening for hepatitis B surface antigen is not recommended for immigrants. To estimate the disease burden of CHB among immigrants in Canada using Markov cohort models comparing a cohort of immigrants with CHB versus a control cohort of immigrants without CHB. Markov cohort models were used to estimate life years, quality-adjusted life years and lifetime direct medical costs (adjusted to 2008 Canadian dollars) for a cohort of immigrants with CHB living in Canada in 2006, and an age-matched control cohort of immigrants without CHB living in Canada in 2006. Parameter values were derived from the published literature. At the baseline estimate, the model suggested that the cohort of immigrants with CHB lost an average of 4.6 life years (corresponding to 1.5 quality-adjusted life years), had an increased average of $24,249 for lifetime direct medical costs, and had a higher lifetime risk for decompensated cirrhosis (12%), hepatocellular carcinoma (16%) and need for liver transplant (5%) when compared with the control cohort. Results of the present study showed that the socio-economic burden of CHB among immigrants living in Canada is substantial. Governments and health systems need to develop policies that promote early recognition of CHB and raise public awareness regarding hepatitis B to extend the lives of infected immigrants.

Disease burden of chronic hepatitis B among immigrants in Canada

PubMed Central

Wong, William WL; Woo, Gloria; Heathcote, E Jenny; Krahn, Murray

2013-01-01

BACKGROUND: The prevalence of chronic hepatitis B (CHB) infection among immigrants to North America ranges from 2% to 15%, 40% of whom develop advanced liver disease. Screening for hepatitis B surface antigen is not recommended for immigrants. OBJECTIVE: To estimate the disease burden of CHB among immigrants in Canada using Markov cohort models comparing a cohort of immigrants with CHB versus a control cohort of immigrants without CHB. METHODS: Markov cohort models were used to estimate life years, quality-adjusted life years and lifetime direct medical costs (adjusted to 2008 Canadian dollars) for a cohort of immigrants with CHB living in Canada in 2006, and an age-matched control cohort of immigrants without CHB living in Canada in 2006. Parameter values were derived from the published literature. RESULTS: At the baseline estimate, the model suggested that the cohort of immigrants with CHB lost an average of 4.6 life years (corresponding to 1.5 quality-adjusted life years), had an increased average of $24,249 for lifetime direct medical costs, and had a higher lifetime risk for decompensated cirrhosis (12%), hepatocellular carcinoma (16%) and need for liver transplant (5%) when compared with the control cohort. DISCUSSION: Results of the present study showed that the socio-economic burden of CHB among immigrants living in Canada is sub-stantial. Governments and health systems need to develop policies that promote early recognition of CHB and raise public awareness regarding hepatitis B to extend the lives of infected immigrants. PMID:23516678

Racial and ethnic disparities in the financial burden of prescription drugs among older Americans.

PubMed

Xu, K Tom; Borders, Tyrone F

2007-01-01

This study examines racial and ethnic disparities in the financial burden of prescription drugs among older Americans using a market and an egalitarian model. A nationally representative data set, the Medical Expenditure Panel Survey 2002, was used. The financial burden of prescription drugs was measured by the out-of-pocket expenditure and proportion. In the market model (utilization adjustment)., utilization was measured at the annual aggregate level by the total number of prescription drugs, the average refills and the average quantity per prescription drug. In the egalitarian model (need adjustment)., health was measured by 15 chronic and costly diseases and the SF-12. Individuals 65 years or older were included. Nationally representative estimates were calculated. Raw racial and ethnic disparities were observed in the bivariate analyses between non-Hispanic whites and Hispanics in the out-of-pocket expenditure and proportion, and between non-Hispanic whites and non-Hispanic blacks in the out-of-pocket proportion. However, these disparities disappeared after controlling for utilization or health needs. Insurance status contributed the most to the disparities in the financial burden of prescription drugs. In conclusion, The disparities in the financial burden of prescription drugs between non-Hispanic elderly whites and Hispanics may be attributable to differences in utilization patterns. However, whether health disparities contribute to disparities in the financial burden of prescription drugs requires studies of specific diseases.

An ensemble approach to predicting the impact of vaccination on rotavirus disease in Niger.

PubMed

Park, Jaewoo; Goldstein, Joshua; Haran, Murali; Ferrari, Matthew

2017-10-13

Recently developed vaccines provide a new way of controlling rotavirus in sub-Saharan Africa. Models for the transmission dynamics of rotavirus are critical both for estimating current burden from imperfect surveillance and for assessing potential effects of vaccine intervention strategies. We examine rotavirus infection in the Maradi area in southern Niger using hospital surveillance data provided by Epicentre collected over two years. Additionally, a cluster survey of households in the region allows us to estimate the proportion of children with diarrhea who consulted at a health structure. Model fit and future projections are necessarily particular to a given model; thus, where there are competing models for the underlying epidemiology an ensemble approach can account for that uncertainty. We compare our results across several variants of Susceptible-Infectious-Recovered (SIR) compartmental models to quantify the impact of modeling assumptions on our estimates. Model-specific parameters are estimated by Bayesian inference using Markov chain Monte Carlo. We then use Bayesian model averaging to generate ensemble estimates of the current dynamics, including estimates of R 0 , the burden of infection in the region, as well as the impact of vaccination on both the short-term dynamics and the long-term reduction of rotavirus incidence under varying levels of coverage. The ensemble of models predicts that the current burden of severe rotavirus disease is 2.6-3.7% of the population each year and that a 2-dose vaccine schedule achieving 70% coverage could reduce burden by 39-42%. Copyright © 2017. Published by Elsevier Ltd.

Hospital burden of road traffic injury: major concern in primary and secondary level hospitals in Bangladesh.

PubMed

Mashreky, S R; Rahman, A; Khan, T F; Faruque, M; Svanström, L; Rahman, F

2010-04-01

To assess the burden of road traffic injury (RTI) in primary and secondary level hospitals in Bangladesh, and its economic impact on affected families. Cross-sectional study. The study was carried out in February and March 2001. To estimate the burden of RTI patients and the length of stay in hospital, the discharge records of primary and secondary level hospitals were used as data sources. Records from 16 district hospitals and 45 Upazila health complexes (subdistrict level hospitals), selected at random, were included in this study. A direct interview method was adopted to estimate the patient costs of RTI; this involved interviewing patients or their attendants. In this study, patient costs included money spent by the patient for medicine, transport, food and lodging (including attendants). Approximately 33% of the beds in primary and secondary level hospitals in Bangladesh were occupied by injury-related patients, and more than 19% of the injury patients had been injured in a road traffic accident. People aged 18-45 years were the major victims of RTI, and constituted 70% of the total RTI-related admissions in primary and secondary level hospitals. More than two-thirds of RTI patients were male. The average duration of hospital stay was 5.7 days, and the average patient cost for each RTI patient was US$86 (5834 BDT). RTI is a major cause of hospital admission in Bangladesh, and represents an economic and social burden for the family and the nation. A national strategy and road safety programme need to be developed to reduce the hospital burden and minimize the economic and social impact. 2010 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Assessment of Voting Assistance Programs for Calendar Year 2011

DTIC Science & Technology

2012-03-30

is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of...emphasis. We reviewed the Service IG reports and certain supporting data , as needed; met with senior IG representatives from the Army, Navy, Air Force

Assessment of the Accountability of Night Vision Devices Provided to the Security Forces of Iraq

DTIC Science & Technology

2009-03-17

of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other... data in this project. The qualitative data consisted of individual interviews, direct observation, and written documents. Quantitative data

Acquisition Program Lead Systems Integration/Lead Capabilities Integration Decision Support Methodology and Tool

DTIC Science & Technology

2015-04-30

from the MIT Sloan School that provide a relative complexity score for functions (Product and Context Complexity). The PMA assesses the complexity...collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or

Launch and Recovery System Literature Review

DTIC Science & Technology

2010-12-01

information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing he collection of information. Send comments regarding this burden estimate or any other aspect...if it does not display a currently valid OMB control number. PLEASE DO NOT RETURNYOU FORM TO THE AVOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY) 31-12

An Approach Using MIP Products for the Development of the Coalition Battle Management Language Standard

DTIC Science & Technology

2013-06-01

collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or...Control Information Exchange Data Model (JC3IEDM). The Coalition Battle Management Language (CBML) being developed by the Simulation Interoperability

Deformation Mechanisms and High Strain Rate Properties of Magnesium (Mg) and Mg Alloys

DTIC Science & Technology

2012-08-01

collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection information. Send comments regarding this burden estimate or...conference in June 2010 (2). A comprehensive historical review of the U.S. military applications of Mg alloys has recently been published (3

Radiative Transfer in Submerged Macrophyte Canopies

DTIC Science & Technology

2001-09-30

estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources , gathering and maintaining the data...needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection...person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control

Enabling Software Acquisition Improvement: Government and Industry Software Development Team Acquisition Model

DTIC Science & Technology

2010-04-30

estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources , gathering and maintaining...previous and current complex SW development efforts, the program offices will have a source of objective lessons learned and metrics that can be applied...the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this

Blind, Deaf, and Dumb: We Must Be Prepared to Fight for Information

DTIC Science & Technology

2017-05-25

Blind, Deaf, and Dumb: We Must Be Prepared to Fight for Information A Monograph By LTC Stephen M. Johnson United States Army... information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing this collection of information . Send comments regarding this burden estimate or any other aspect

China’s War by Other Means: Unveiling China’s Quest for Information Dominance

DTIC Science & Technology

2017-06-09

CHINA’S WAR BY OTHER MEANS: UNVEILING CHINA’S QUEST FOR INFORMATION DOMINANCE A thesis presented to the Faculty of the U.S...collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing this collection of information . Send comments regarding this burden estimate

Scalable Matrix Algorithms for Interactive Analytics of Very Large Informatics Graphs

DTIC Science & Technology

2017-06-14

information networks. Depending on the situation, these larger networks may not fit on a single machine. Although we considered traditional matrix and graph...collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden estimate or

Optimization of an Innovative Biofiltration System as a VOC Control Technology for Aircraft Painting Facilities

DTIC Science & Technology

2004-04-20

EUROPE (Leson, 1991). Chemical Operations Coffee Roasting Composting Facilities Chemical Storage Coca Roasting Landfill Gas Extraction Film Coating...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect

A Case Study in Transnational Crime: Ukraine and Modern Slavery

DTIC Science & Technology

2007-06-01

remained unable to appropriate resources or plan efficiently. The full extent of the decline remains unknown, because statistics were manipulated to hide...information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of

F-35 Risk during Department of Defense Financial Crisis

DTIC Science & Technology

2013-03-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other...program, an approach intended to save time and money by launching construction at an early stage and at the same time the aircraft was put through

Learning to Leave. The Preeminence of Disengagement in US Military Strategy

DTIC Science & Technology

2008-05-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of...Information center cataloging Data Brown, R. Greg. Learning to leave : the preeminence of disengagement in US military strategy / R. Greg Brown. p. ; cm

Multimodal Signal Processing for Personnel Detection and Activity Classification for Indoor Surveillance

DTIC Science & Technology

2013-11-15

features and designed a classifier that achieves up to 95% classification accuracy on classifying the occupancy with indoor footstep data. MDL-based...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other

A Qualitative Analysis of the Navy’s HSI Billet Structure

DTIC Science & Technology

2008-06-01

of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering...and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other...subspecialty code. The research results support the hypothesis that the work requirements of the July 2007 data set of 4600P-coded billets (billets

Human Systems Integration (HSI) in Acquisition. Acquisition Phase Guide

DTIC Science & Technology

2009-08-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of...available Concept of Operations (CONOPS) and other available data 1.1 Select and review Baseline Comparison System(s) (BCS) documentation 1.2 Assess

Applicability of Human Simulation for Enhancing Operations of Dismounted Soldiers

DTIC Science & Technology

2010-10-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect...consisted of a data capturing phase, in which field-trials at a German MOUT training facility were observed, a subsequent data -processing including

Effects of Turbulence Model on Prediction of Hot-Gas Lateral Jet Interaction in a Supersonic Crossflow

DTIC Science & Technology

2015-07-01

performance computing time from the US Department of Defense (DOD) High Performance Computing Modernization program at the US Army Research Laboratory...Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time ...dimensional, compressible, Reynolds-averaged Navier-Stokes (RANS) equations are solved using a finite volume method. A point-implicit time - integration

Participation in CAPPS/IUCRC

DTIC Science & Technology

2013-04-17

Schwartz Steven J . Schwartz 633001 c. THIS PAGE The public reporting burden for this collection of information is estimated to average 1 hour per...Barbosa-Canovas, V.M. Balasubramaniam, P. Dunne, D. Farkas, J . Yuan. Handbook of Nonthermal Processing Technologies for Food, Chicago: IFT Press...thermogram. The average values for latent heat of melting for SLN, 1% NLC and 10% NLC were 134.78, 121.1, 80.2 J /g respectively. Based on the ratio of the

The burden of acute respiratory infections in Ecuador 2011-2015

PubMed Central

2018-01-01

Background Burden of disease studies intend to improve public health decision-making and to measure social and economic impact in population. The objective of this study was to describe the burden of acute respiratory infections (ARI) in Ecuador between 2011 and 2015. Methods Five-year period morbidity and mortality data available from national agencies of statistics was analyzed to estimate the burden of disease attributable to acute respiratory infections. Cases and deaths registered were grouped according to their ICD-10 code into three diagnostic groups: Acute upper respiratory infections (J00-J06), Influenza and pneumonia (J09-J18), and Bronchitis and other acute lower respiratory infections (J20-J22, J85, J86). Disability-adjusted life years stratified by diagnostic and age group were calculated using the “DALY” package for R. The productivity loss in monetary terms was estimated using the human capital method. Results Over the 5-year period studied there were a total of 14.84 million cases of acute respiratory infections, with 17 757 deaths reported (0.12%). The yearly burden of disease ranged between 98 944 to 118 651 disability-adjusted life years, with an estimated average loss of productivity of US$152.16 million (±19.6) per year. Approximately 99% of the burden can be attributed to years life lost due to premature mortality in population under 5 years old and over 60 years-old. Conclusions The burden of acute respiratory infections remained steady during the analyzed period. Evidence-based prevention and control policies to tackle acute respiratory infections in Ecuador should focus on the population at extreme ages of life. PMID:29715314

How much is the cost of multiple sclerosis--systematic literature review.

PubMed

Kolasa, Katarzyna

2013-01-01

In Poland, a data on MS costs is lacking. The systematic review of cost of illness studies was conducted to estimate the average annual cost of MS patient and its breakdown. The PubMed database was searched for relevant literature. Following search criteria were used: "multiple sclerosis", "costs", "cost of illness" and "disease burden". Articles written in English including total costs published 2002-2012 were included. In total 17 studies were classified. The costs were re-calculated into USD Purchasing Power Parity (PPP). The available approach from the literature was used for the cost breakdown presentation. The average patient was 47 years old with EDSS equals 4 and 13 years from the date of diagnosis. The average annual cost was 41 133 US$ PPP. The direct costs did not exceed 70% of total costs in any study. The pharmaceutical expenses were one of the most important contributors to the direct costs. Only 40% of patients were active on the labor market what translated into the loss of productivity and consequently an increase in total costs. The preformed systematic review revealed that multiple sclerosis imposes a huge economic burden on the healthcare system and society. It happens due to productivity loss and caregiver burden.

76 FR 16847 - Agency Information Collection Activities: Proposed Request and Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-25

... Collections The DDSs collect MER from the claimant's medical sources to determine the claimant's physical or mental status prior to making a disability determination. Average burden Estimated Collection instrument... emergency care, treatment of on-the-job illnesses and injuries, and health care for employees with chronic...

75 FR 43229 - Agency Information Collection Activities: Notice of Request for Extension of Currently Approved...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-23

... Federal holidays. FOR FURTHER INFORMATION CONTACT: Aquilla Carter, (202) 493-2906, Office of the Chief...., Washington, DC 20590, Monday through Friday, except Federal holidays. SUPPLEMENTARY INFORMATION: Title..., Puerto Rico, Guam, American Samoa, and the Virgin Islands. Frequency: Annually. Estimated Average Burden...

75 FR 42817 - Agency Information Collection Activities: Notice of Request for Extension of Currently Approved...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-22

... Federal holidays. FOR FURTHER INFORMATION CONTACT: Mr. Anthony DeSimone, (317) 226-5307, Office of Program... 254, Indianapolis, Indiana, 46204, Monday through Friday, except Federal holidays. SUPPLEMENTARY... Virgin Islands and American Samoa. Frequency: Annually. Estimated Average Burden per Response: There is...

78 FR 57003 - Agency Information Collection (Statement of Purchaser or Owner Assuming Seller's Loans) Activity...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-16

.... 2900- 0111'' in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records...-7492 or email crystal[email protected] . Please refer to ``OMB Control No. 2900-0111.'' SUPPLEMENTARY... Average Burden Per Respondent: 15 minutes. Frequency of Response: One-time. Estimated Number of...

78 FR 57926 - Agency Information Collection (Application for Accrued Amounts Due a Deceased Beneficiary...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-20

... Control No. 2900- 0216'' in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie... 20420, (202) 632-7492 or email crystal[email protected] . Please refer to ``OMB Control No. 2900-0216... Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of...

78 FR 47317 - Agency Information Collection Activities; Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-05

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78 FR 69843 - Commission Information Collection Activities (Ferc-Ferc-549d); Comment Request; Extension

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-21

... materials in the Federal Register. Type of Respondents: Intrastate natural gas and Hinshaw pipelines...: Title: Quarterly Transportation and Storage Report for Intrastate Natural Gas and Hinshaw Pipelines. OMB... Report for Intrastate Natural Gas and Hinshaw Pipelines Number of Average burden Estimated Format of...

[Direct and indirect costs associated with respiratory allergic diseases in Italy. A probabilistic cost of illness study].

PubMed

Marcellusi, Andrea; Viti, Raffaella; Incorvaia, Cristoforo; Mennini, Francesco Saverio

2015-10-01

The respiratory allergies, including allergic rhinitis and allergic asthma, represent a substantial medical and economic burden worldwide. Despite their dimension and huge economic-social burden, no data are available on the costs associated with the management of respiratory allergic diseases in Italy. The objective of this study was to estimate the average annual cost incurred by the National Health Service (NHS), as well as society, due to respiratory allergies and their main co-morbidities in Italy. A probabilistic prevalence-based cost of illness model was developed to estimate an aggregate measure of the economic burden associated with respiratory allergies and their main co-morbidities in terms of direct and indirect costs. A systematic literature review was performed in order to identify both the cost per case (expressed in present value) and the number of affected patients, by applying an incidence-based estimation method. Direct costs were estimated multiplying the hospitalization, drugs and management costs derived by the literature with the Italian epidemiological data. Indirect costs were calculated based on lost productivity according to the human capital approach. Furthermore, a one-way and probabilistic sensitivity analysis with 5,000 Monte Carlo simulations were performed, in order to test the robustness of the results and define the proper 95% Confidence Interval (CI). Overall, the total economic burden associated with respiratory allergies and their main co-morbidities was € 7.33 billion (95% CI: € 5.99-€ 8.82). A percentage of 27.5% was associated with indirect costs (€ 2.02; 95% CI: € 1.72-€ 2.34 billion) and 72.5% with direct costs (€ 5.32; 95% CI: € 4.04-€ 6.77 billion). In allergic asthma, allergic rhinitis, combined allergic rhinitis and asthma, turbinate hypertrophy and allergic conjunctivitis, the model estimate an average annual economic burden of € 1,35 (95% CI: € 1,14-€ 1,58) billion, € 1,72 (95% CI: € 1,14-€ 2,43) billion, € 1,62 billion (€ 0,91-€ 2,53) billion, € 0,12 (€ 0,07-€ 0,17) billion, € 0,46 (€ 0,16-€ 0,92) billion respectively. To our knowledge, this is the first study in which direct costs (incurred by NHS) and indirect ones (incurred by the society) were taken into account to estimate the overall burden associated with respiratory allergies and their main co-morbidities in our Country. In conclusion, this work may be considered an efficient tool for public decision-makers to correctly understand the economic aspects involved by the management and treatment of respiratory allergies-induced diseases in Italy.

The Burden of Rotavirus Hospitalizations Among Medicaid and Non-Medicaid Children Younger Than 5 Years Old

PubMed Central

El Khoury, Antoine C.; Itzler, Robbin F.

2009-01-01

Objectives. We sought to compare the burden of hospitalizations associated with rotavirus gastroenteritis (RGE) in children younger than 5 years in US Medicaid and non-Medicaid populations in 2000 and 2003. Methods. We used the Kids' Inpatient Database (KID) to examine the burden of RGE-associated hospitalizations in terms of numbers and rates of hospitalizations, lengths of stay, and hospital charges. Two indirect methods were also used to estimate RGE-associated hospitalizations, because rotavirus testing is not routinely performed. Results. Approximately 40% of children younger than 5 years were enrolled in Medicaid in 2003, but this population accounted for nearly 50% of all RGE-associated hospitalizations and 60% of total charges. Children enrolled in Medicaid had significantly greater hospitalization rates, average lengths of stay, and average charges per stay than did those not enrolled. Conclusions. Although RGE affects all socioeconomic groups, the Medicaid population accounted for a disproportionate number of the hospitalizations. With the inclusion of rotavirus vaccines in the pediatric immunization schedule, it is important that US children, especially those enrolled in Medicaid programs, are vaccinated to reduce the burden of RGE. PMID:19797754

The Unrecognized Burden of Influenza in Young Kenyan Children, 2008-2012.

PubMed

McMorrow, Meredith L; Emukule, Gideon O; Njuguna, Henry N; Bigogo, Godfrey; Montgomery, Joel M; Nyawanda, Bryan; Audi, Allan; Breiman, Robert F; Katz, Mark A; Cosmas, Leonard; Waiboci, Lilian W; Duque, Jazmin; Widdowson, Marc-Alain; Mott, Joshua A

2015-01-01

Influenza-associated disease burden among children in tropical sub-Saharan Africa is not well established, particularly outside of the 2009 pandemic period. We estimated the burden of influenza in children aged 0-4 years through population-based surveillance for influenza-like illness (ILI) and acute lower respiratory tract illness (ALRI). Household members meeting ILI or ALRI case definitions were referred to health facilities for evaluation and collection of nasopharyngeal and oropharyngeal swabs for influenza testing by real-time reverse transcription polymerase chain reaction. Estimates were adjusted for health-seeking behavior and those with ILI and ALRI who were not tested. During 2008-2012, there were 9,652 person-years of surveillance among children aged 0-4 years. The average adjusted rate of influenza-associated hospitalization was 4.3 (95% CI 3.0-6.0) per 1,000 person-years in children aged 0-4 years. Hospitalization rates were highest in the 0-5 month and 6-23 month age groups, at 7.6 (95% CI 3.2-18.2) and 8.4 (95% CI 5.4-13.0) per 1,000 person-years, respectively. The average adjusted rate of influenza-associated medically attended (inpatient or outpatient) ALRI in children aged 0-4 years was 17.4 (95% CI 14.2-19.7) per 1,000 person-years. Few children who had severe laboratory-confirmed influenza were clinically diagnosed with influenza by the treating clinician in the inpatient (0/33, 0%) or outpatient (1/109, 0.9%) settings. Influenza-associated hospitalization rates from 2008-2012 were 5-10 times higher than contemporaneous U.S. estimates. Many children with danger signs were not hospitalized; thus, influenza-associated severe disease rates in Kenyan children are likely higher than hospital-based estimates suggest.

Economic burden of illness associated with diabetic foot ulcers in Canada.

PubMed

Hopkins, Robert B; Burke, Natasha; Harlock, John; Jegathisawaran, Jathishinie; Goeree, Ron

2015-01-22

The primary objective was to estimate the national burden of illness in Canada for diabetic foot ulcer (DFU) for 2011. Secondary objectives included estimating the national incidence and prevalence of DFU, and the 3-year average cost for DFU incident cases. Analyses were conducted using four national databases for the period April 1, 2006 to March 31, 2011, with cases being identified by ICD-10 CA codes. Resource utilization and costs, expressed in 2011 Canadian dollars, were estimated for DFU-related hospitalizations, emergency care (ER), same day surgeries, home care, long term care, physician visits and caregiver time losses. In Canada in the year 2011, DFU was associated with 16,883 hospital admissions (327,140 days), 31,095 ER or clinic visits, 41,367 rehabilitation clinic visits, and 26,493 interventions, including 6,036 amputations and 5,796 surgical debridements. This acute institution care represented $320.5 M, and with an additional $125.4 M for home care and $63.1 M for long term care, the annual cost associated with DFU-related care was $547.0 M, or $21,371 annual cost per prevalent case. In 2011, the national prevalence of DFU was 25,597 cases (75.1 per 100,000 population), consisting of 16,161 men (63.1%) and 9,436 women (36.9%), and an estimated 14,449 incident cases. For an incident case of DFU, the average 3-year cumulative cost was $52,360. The annual burden for DFU cases that have at least one admission or ER/clinic visit over a 5 year period is higher than previously reported.

Indonesian dengue burden estimates: review of evidence by an expert panel.

PubMed

Wahyono, T Y M; Nealon, J; Beucher, S; Prayitno, A; Moureau, A; Nawawi, S; Thabrany, H; Nadjib, M

2017-08-01

Routine, passive surveillance systems tend to underestimate the burden of communicable diseases such as dengue. When empirical methods are unavailable, complimentary opinion-based or extrapolative methods have been employed. Here, an expert Delphi panel estimated the proportion of dengue captured by the Indonesian surveillance system, and associated health system parameters. Following presentation of medical and epidemiological data and subsequent discussions, the panel made iterative estimates from which expansion factors (EF), the ratio of total:reported cases, were calculated. Panelists estimated that of all symptomatic Indonesian dengue episodes, 57·8% (95% confidence interval (CI) 46·6-59·8) enter healthcare facilities to seek treatment; 39·3% (95% CI 32·8-42·0) are diagnosed as dengue; and 20·3% (95% CI 16·1-24·3) are subsequently reported in the surveillance system. They estimated most hospitalizations occur in the public sector, while ~55% of ambulatory episodes are seen privately. These estimates gave an overall EF of 5·00; hospitalized EF of 1·66; and ambulatory EF of 34·01 which, when combined with passive surveillance data, equates to an annual average (2006-2015) of 612 005 dengue cases, and 183 297 hospitalizations. These estimates are lower than those published elsewhere, perhaps due to case definitions, local clinical perceptions and treatment-seeking behavior. These findings complement global burden estimates, support health economic analyses, and can be used to inform decision-making.

Design, Monitoring, and Validation of a High Performance Sustainable Building

DTIC Science & Technology

2013-08-01

normalized by building average population and square footage. Longstreet had a larger number of emergency calls than CESS, but the ESTCP team did not have...system was measured sUSEPArately from the domestic water use. The rainwater was used to displace potable water for toilet flushing and vehicle washing...ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for

Identification of Genes and Genetic Variants Associated with Poor Treatment Response in Patients with Prostate Cancer

DTIC Science & Technology

2013-10-01

collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate...variants which explain much more than a small amount of risk for prostate cancer among a small population of men. Even less progress has been made

Imperishable Networks: Complexity Theory and Communication Networking-Bridging the Gap Between Algorithmic Information Theory and Communication Networking

DTIC Science & Technology

2003-04-01

gener- ally considered to be passive data . Instead the genetic material should be capable of being algorith - mic information, that is, program code or...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other

Identifying Enterprise Leverage Points in Defense Acquisition Program Performance

DTIC Science & Technology

2009-09-01

estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining...the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this...of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB

Biomarker Discovery in Gulf War Veterans: Development of a War Illness Diagnostic Panel

DTIC Science & Technology

2014-10-17

estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the... data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this...that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it

Design and Analysis of Low Frequency Communication System in Persian Gulf

DTIC Science & Technology

2008-09-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources , gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other...other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently

Development of a Tetrathioether (S4) Bifunctional Chelate System for Rh-105

DTIC Science & Technology

2013-07-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources , gathering and...maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect...information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY

Development of a Tetrathioether (S4) Bifunctional Chelate System for Rh-105

DTIC Science & Technology

2013-06-01

is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources , gathering and...maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of...if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY) June

sarA as a Target for the Treatment and Prevention of Staphylococcal Biofilm-Associated Infection

DTIC Science & Technology

2015-02-01

M.S., Compadre, C.M. 2011. Sesquiterpene lactons from Gynoxys verrucosa and their anti - MRSA activity. Journal of Ethnopharmacology, 137:1055-1059. 11...estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data...needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this

The impact of individual-level heterogeneity on estimated infectious disease burden: a simulation study.

PubMed

McDonald, Scott A; Devleesschauwer, Brecht; Wallinga, Jacco

2016-12-08

Disease burden is not evenly distributed within a population; this uneven distribution can be due to individual heterogeneity in progression rates between disease stages. Composite measures of disease burden that are based on disease progression models, such as the disability-adjusted life year (DALY), are widely used to quantify the current and future burden of infectious diseases. Our goal was to investigate to what extent ignoring the presence of heterogeneity could bias DALY computation. Simulations using individual-based models for hypothetical infectious diseases with short and long natural histories were run assuming either "population-averaged" progression probabilities between disease stages, or progression probabilities that were influenced by an a priori defined individual-level frailty (i.e., heterogeneity in disease risk) distribution, and DALYs were calculated. Under the assumption of heterogeneity in transition rates and increasing frailty with age, the short natural history disease model predicted 14% fewer DALYs compared with the homogenous population assumption. Simulations of a long natural history disease indicated that assuming homogeneity in transition rates when heterogeneity was present could overestimate total DALYs, in the present case by 4% (95% quantile interval: 1-8%). The consequences of ignoring population heterogeneity should be considered when defining transition parameters for natural history models and when interpreting the resulting disease burden estimates.

State and national household concentrations of PM2.5 from solid cookfuel use: Results from measurements and modeling in India for estimation of the global burden of disease

PubMed Central

2013-01-01

Background Previous global burden of disease (GBD) estimates for household air pollution (HAP) from solid cookfuel use were based on categorical indicators of exposure. Recent progress in GBD methodologies that use integrated–exposure–response (IER) curves for combustion particles required the development of models to quantitatively estimate average HAP levels experienced by large populations. Such models can also serve to inform public health intervention efforts. Thus, we developed a model to estimate national household concentrations of PM2.5 from solid cookfuel use in India, together with estimates for 29 states. Methods We monitored 24-hr household concentrations of PM2.5, in 617 rural households from 4 states in India on a cross-sectional basis between November 2004 and March 2005. We then, developed log-linear regression models that predict household concentrations as a function of multiple, independent household level variables available in national household surveys and generated national / state estimates using The Indian National Family and Health Survey (NFHS 2005). Results The measured mean 24-hr concentration of PM2.5 in solid cookfuel using households ranged from 163 μg/m3 (95% CI: 143,183; median 106; IQR: 191) in the living area to 609 μg/m3 (95% CI: 547,671; median: 472; IQR: 734) in the kitchen area. Fuel type, kitchen type, ventilation, geographical location and cooking duration were found to be significant predictors of PM2.5 concentrations in the household model. k-fold cross validation showed a fair degree of correlation (r = 0.56) between modeled and measured values. Extrapolation of the household results by state to all solid cookfuel-using households in India, covered by NFHS 2005, resulted in a modeled estimate of 450 μg/m3 (95% CI: 318,640) and 113 μg/m3 (95% CI: 102,127) , for national average 24-hr PM2.5 concentrations in the kitchen and living areas respectively. Conclusions The model affords substantial improvement over commonly used exposure indicators such as “percent solid cookfuel use” in HAP disease burden assessments, by providing some of the first estimates of national average HAP levels experienced in India. Model estimates also add considerable strength of evidence for framing and implementation of intervention efforts at the state and national levels. PMID:24020494

Burden of disease and costs of aneurysmal subarachnoid haemorrhage (aSAH) in the United Kingdom

PubMed Central

2010-01-01

Background To estimate life years and quality-adjusted life years (QALYs) lost and the economic burden of aneurysmal subarachnoid haemorrhage (aSAH) in the United Kingdom including healthcare and non-healthcare costs from a societal perspective. Methods All UK residents in 2005 with aSAH (International Classification of Diseases 10th revision (ICD-10) code I60). Sex and age-specific abridged life tables were generated for a general population and aSAH cohorts. QALYs in each cohort were calculated adjusting the life tables with health-related quality of life (HRQL) data. Healthcare costs included hospital expenditure, cerebrovascular rehabilitation, primary care and community health and social services. Non-healthcare costs included informal care and productivity losses arising from morbidity and premature death. Results A total of 80,356 life years and 74,807 quality-adjusted life years were estimated to be lost due to aSAH in the UK in 2005. aSAH costs the National Health Service (NHS) £168.2 million annually with hospital inpatient admissions accounting for 59%, community health and social services for 18%, aSAH-related operations for 15% and cerebrovascular rehabilitation for 6% of the total NHS estimated costs. The average per patient cost for the NHS was estimated to be £23,294. The total economic burden (including informal care and using the human capital method to estimate production losses) of a SAH in the United Kingdom was estimated to be £510 million annually. Conclusion The economic and disease burden of aSAH in the United Kingdom is reported in this study. Decision-makers can use these results to complement other information when informing prevention policies in this field and to relate health care expenditures to disease categories. PMID:20423472

Estimating the burden of disease attributable to physical inactivity in South Africa in 2000.

PubMed

Joubert, Jané; Norman, Rosana; Lambert, Estelle V; Groenewald, Pam; Schneider, Michelle; Bull, Fiona; Bradshaw, Debbie

2007-08-01

To quantify the burden of disease attributable to physical inactivity in persons 15 years or older, by age group and sex, in South Africa for 2000. The global comparative risk assessment (CRA) methodology of the World Health Organization was followed to estimate the disease burden attributable to physical inactivity. Levels of physical activity for South Africa were obtained from the World Health Survey 2003. A theoretical minimum risk exposure of zero, associated outcomes, relative risks, and revised burden of disease estimates were used to calculate population-attributable fractions and the burden attributed to physical inactivity. Monte Carlo simulation-modelling techniques were used for the uncertainty analysis. South Africa. Adults >or= 15 years. Deaths and disability-adjusted life years (DALYs) from ischaemic heart disease, ischaemic stroke, breast cancer, colon cancer, and type 2 diabetes mellitus. Overall in adults >or= 15 years in 2000, 30% of ischaemic heart disease, 27% of colon cancer, 22% of ischaemic stroke, 20% of type 2 diabetes, and 17% of breast cancer were attributable to physical inactivity. Physical inactivity was estimated to have caused 17,037 (95% uncertainty interval 11,394 - 20,407), or 3.3% (95% uncertainty interval 2.2 - 3.9%) of all deaths in 2000, and 176,252 (95% uncertainty interval 133,733 - 203,628) DALYs, or 1.1% (95% uncertainty interval 0.8 - 1.3%) of all DALYs in 2000. Compared with other regions and the global average, South African adults have a particularly high prevalence of physical inactivity. In terms of attributable deaths, physical inactivity ranked 9th compared with other risk factors, and 12th in terms of DALYs. There is a clear need to assess why South Africans are particularly inactive, and to ensure that physical activity/inactivity is addressed as a national health priority.

Burden of hospitalizations for bicycling injuries by motor vehicle involvement: United States, 2002 to 2009.

PubMed

Hamann, Cara; Peek-Asa, Corinne; Lynch, Charles F; Ramirez, Marizen; Torner, James

2013-11-01

Bicycling and bicycling injuries have increased during the past decade in the United States, but research on the extent and outcomes of injuries has lagged behind. This study aimed to estimate the current burden of injury from bicycling injury hospitalizations by motor vehicle crash (MVC) and non-MVC in the United States. We included patients with primary or secondary diagnosis e-codes corresponding to MVC or non-MVC bicycle injury, drawn from the US Nationwide Inpatient Sample (2002-2009). Descriptive statistics, linear regression, and logistic regression were used to examine patient and hospital characteristics (length of stay, total charges, nonroutine discharges, and demographics) associated with hospitalizations for bicycling injuries by motor vehicle involvement. On average, from 2002 to 2009, there were an annually estimated 6,877 MVC and 18,457 non-MVC bicycle injury hospitalizations nationwide. This translates to more than $1 billion of hospital charges overall, $425 million for MVC and $588 million for non-MVC per year. After controlling for covariates, MVC bicycling injury hospitalizations had an average length of stay that was 2 days longer (95% confidence interval [CI], 1.8-2.3) and an average hospitalization charge of $23,424 more (95% CI, $21,360-$25,538) than non-MVC. Those with MVC bicycling injuries were more than two times as likely to have a nonroutine hospital discharge than non-MVC (odds ratio, 2.22; 95% CI, 2.06-2.39). The burden of injury from bicycle crashes is large overall, and MVC-related bicycling injuries result in longer hospital stays, higher costs, and more nonroutine hospital discharges than non-MVC, despite the fact that non-MVC hospitalizations are more frequent and result in higher total charges, overall. To have the greatest impact on reducing the burden of injury from bicycle crashes, educational interventions, policy, and infrastructure changes should include all age groups and prioritize reducing bicycle-motor vehicle collisions. Epidemiologic study, level III.

Wireless Cloud Computing on Guided Missile Destroyers: A Business Case Analysis

DTIC Science & Technology

2013-06-01

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction...to the Office of Management and Budget, Paperwork Reduction Project (0704–0188) Washington DC 20503. 1 . AGENCY USE ONLY (Leave blank) 2. REPORT...INTRODUCTION........................................................................................................ 1   A.  OVERVIEW

78 FR 21162 - Notice of Intent to Establish an Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-09

... Programs. NCSES, under generic clearance (OMB 3145-0174), has conducted a methodological study to test a.... Estimate of Burden: In the methodological study, HAs required 1 hour on average to complete these tasks...,206 hours. Most ECs were able to complete this task in less than 30 minutes in the methodological...

Alternative Fuels Data Center: Plug-In Electric Vehicle Readiness Scorecard

Science.gov Websites

track progress toward PEV readiness. Get started evaluating your community. Create Account Log in to your account. Email Password Forgot your password? LOG IN Public reporting burden for this collection of information is estimated to average (20.5 hours) per response, including the time for reviewing

78 FR 13370 - Agency Information Collection Activities: Consideration of Deferred Action for Childhood Arrivals...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-27

... may be submitted to: DHS, USCIS, Office of Policy and Strategy, Chief, Regulatory Coordination... estimates on the burden in terms of time and money incurred by applicants for the following aspects of this... service. The average time required and money expended to secure secondary evidence such as an affidavit...

78 FR 53010 - Agency Information Collection (Statement of Disappearance) Activity Under OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-27

... Control No. 2900- 0036'' in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie... 20420, (202) 632-7492 or email crystal[email protected] . Please refer to ``OMB Control No. 2900-0036... Average Burden per Respondent: 2 hours 45 minutes. Frequency of Response: One-time. Estimated Number of...

Time On Station Requirements: Costs, Policy Change, and Perceptions

DTIC Science & Technology

2016-12-01

Travel Management Office (2016). .........................................................................6  Table 3.  Time it took spouses to find...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT TIME ON STATION REQUIREMENTS: COSTS, POLICY CHANGE, AND...reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching

International Disability Educational Alliance (IDEAnet)

DTIC Science & Technology

2009-03-01

this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden...educational services ................................................32 R2: Conduct literature review and evaluation of cost-effective delivery options

Feedback Drug Delivery Vehicles

DTIC Science & Technology

2012-06-28

The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...policy or decision, unless so designated by other documentation. 12. DISTRIBUTION AVAILIBILITY STATEMENT Approved for Public Release; Distribution... publications (other than abstracts): Received Paper TOTAL: Number of Non Peer-Reviewed Conference Proceeding publications (other than abstracts): Peer

Spring 2008 Industry Study: Aircraft Industry

DTIC Science & Technology

2008-01-01

Spring 2008 Industry Study Final Report Aircraft Industry The Industrial College of the...Armed Forces National Defense University Fort McNair, Washington, D.C. 20319-5062 Report Documentation Page Form ApprovedOMB No. 0704...0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing

A Human Factors Engineering Assessment of the Buffalo Mine Protection Clearance Vehicle Roof Hatch

DTIC Science & Technology

2007-10-01

this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data ...sources, gathering and maintaining the data needed, and completing and reviewing the collection information. Send comments regarding this burden...3 2. Method 4 2.1 Anthropometric Data

77 FR 26068 - Reports, Forms and Record Keeping Requirements; Agency Information Collection Activity Under OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-02

... driving practices when these vehicles are operated. Estimated Annual Burden: 300 hours. Number of... information because of model changes. The light truck manufacturers gather only pre-existing data for the... average of $35.00 per hour for professional and clerical staff to gather data, distribute and print...

Development of Hydrophobic Coatings for Water-Repellent Surfaces Using Hybrid Methodology

DTIC Science & Technology

2014-04-01

Bujanda, and Daphne Pappas ARL-TR-6898 April 2014 Approved for public release...Approved for public release; distribution is unlimited. ii REPORT DOCUMENTATION PAGE Form Approved OMB No...0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing

Perchlorate Remediation Using New Nanoscale Polymer Technology

DTIC Science & Technology

2009-11-01

Michigan University/Dendritic Nanotechnologies, Inc./CMU-RC Distribution Statement A: Approved for Public Release, Distribution is...Unlimited Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT Principal Ideas

Estimating Global Burden of Disease due to congenital anomaly: an analysis of European data

PubMed Central

Boyle, Breidge; Addor, Marie-Claude; Arriola, Larraitz; Barisic, Ingeborg; Bianchi, Fabrizio; Csáky-Szunyogh, Melinda; de Walle, Hermien E K; Dias, Carlos Matias; Draper, Elizabeth; Gatt, Miriam; Garne, Ester; Haeusler, Martin; Källén, Karin; Latos-Bielenska, Anna; McDonnell, Bob; Mullaney, Carmel; Nelen, Vera; Neville, Amanda J; O’Mahony, Mary; Queisser-Wahrendorf, Annette; Randrianaivo, Hanitra; Rankin, Judith; Rissmann, Anke; Ritvanen, Annukka; Rounding, Catherine; Tucker, David; Verellen-Dumoulin, Christine; Wellesley, Diana; Wreyford, Ben; Zymak-Zakutnia, Natalia; Dolk, Helen

2018-01-01

Objective To validate the estimates of Global Burden of Disease (GBD) due to congenital anomaly for Europe by comparing infant mortality data collected by EUROCAT registries with the WHO Mortality Database, and by assessing the significance of stillbirths and terminations of pregnancy for fetal anomaly (TOPFA) in the interpretation of infant mortality statistics. Design, setting and outcome measures EUROCAT is a network of congenital anomaly registries collecting data on live births, fetal deaths from 20 weeks’ gestation and TOPFA. Data from 29 registries in 19 countries were analysed for 2005–2009, and infant mortality (deaths of live births at age <1 year) compared with the WHO Mortality Database. Eight EUROCAT countries were excluded from further analysis on the basis that this comparison showed poor ascertainment of survival status. Results According to WHO, 17%–42% of infant mortality was attributed to congenital anomaly. In 11 EUROCAT countries, average infant mortality with congenital anomaly was 1.1 per 1000 births, with higher rates where TOPFA is illegal (Malta 3.0, Ireland 2.1). The rate of stillbirths with congenital anomaly was 0.6 per 1000. The average TOPFA prevalence was 4.6 per 1000, nearly three times more prevalent than stillbirths and infant deaths combined. TOPFA also impacted on the prevalence of postneonatal survivors with non-lethal congenital anomaly. Conclusions By excluding TOPFA and stillbirths from GBD years of life lost (YLL) estimates, GBD underestimates the burden of disease due to congenital anomaly, and thus declining YLL over time may obscure lack of progress in primary, secondary and tertiary prevention. PMID:28667189

Burden of injury of serious road injuries in six EU countries.

PubMed

Weijermars, Wendy; Bos, Niels; Filtness, Ashleigh; Brown, Laurie; Bauer, Robert; Dupont, Emmanuelle; Martin, Jean Louis; Perez, Katherine; Thomas, Pete

2018-02-01

Information about the burden of (non-fatal) road traffic injury is very useful to further improve road safety policy. Previous studies calculated the burden of injury in individual countries. This paper estimates and compares the burden of non-fatal serious road traffic injuries in six EU countries/regions: Austria, Belgium, England, The Netherlands, the Rhône region in France and Spain. It is a cross-sectional study based on hospital discharge databases. of study are patients hospitalized with MAIS3+ due to road traffic injuries. The burden of injury (expressed in years lived with disability (YLD)) is calculated applying a method that is developed within the INTEGRIS study. The method assigns estimated disability information to the casualties using the EUROCOST injury classification. The average burden per MAIS3+ casualty varies between 2.4 YLD and 3.2 YLD per casualty. About 90% of the total burden of injury of MAIS3+ casualties is due to lifelong consequences that are experienced by 19% to 33% of the MAIS3+ casualties. Head injuries, spinal cord injuries and injuries to the lower extremities are responsible for more than 90% of the total burden of MAIS3+ road traffic injuries. Results per transport mode differ between the countries. Differences between countries are mainly due to differences in age distribution and in the distribution over EUROCOST injury groups of the casualties. The analyses presented in this paper can support further improvement of road safety policy. Countermeasures could for example be focused at reducing skull and brain injuries, spinal cord injuries and injuries to the lower extremities, as these injuries are responsible for more than 90% of the total burden of injury of MAIS3+ casualties. Copyright © 2017 Elsevier Ltd. All rights reserved.

Costs of childhood asthma due to traffic-related pollution in two California communities.

PubMed

Brandt, Sylvia J; Perez, Laura; Künzli, Nino; Lurmann, Fred; McConnell, Rob

2012-08-01

Recent research suggests the burden of childhood asthma that is attributable to air pollution has been underestimated in traditional risk assessments, and there are no estimates of these associated costs. We aimed to estimate the yearly childhood asthma-related costs attributable to air pollution for Riverside and Long Beach, CA, USA, including: 1) the indirect and direct costs of healthcare utilisation due to asthma exacerbations linked with traffic-related pollution (TRP); and 2) the costs of health care for asthma cases attributable to local TRP exposure. We calculated costs using estimates from peer-reviewed literature and the authors' analysis of surveys (Medical Expenditure Panel Survey, California Health Interview Survey, National Household Travel Survey, and Health Care Utilization Project). A lower-bound estimate of the asthma burden attributable to air pollution was US$18 million yearly. Asthma cases attributable to TRP exposure accounted for almost half of this cost. The cost of bronchitic episodes was a major proportion of both the annual cost of asthma cases attributable to TRP and of pollution-linked exacerbations. Traditional risk assessment methods underestimate both the burden of disease and cost of asthma associated with air pollution, and these costs are borne disproportionately by communities with higher than average TRP.

The Global Burden of Dengue: an analysis from the Global Burden of Disease Study 2013

PubMed Central

Stanaway, Jeffrey D.; Shepard, Donald S.; Undurraga, Eduardo A.; Halasa, Yara A.; Coffeng, Luc E.; Brady, Oliver J.; Hay, Simon I.; Bedi, Neeraj; Bensenor, Isabela M.; Castañeda-Orjuela, Carlos A.; Chuang, Ting-Wu; Gibney, Katherine B.; Memish, Ziad A.; Rafay, Anwar; Ukwaja, Kingsley N.; Yonemoto, Naohiro; Murray, Christopher J.L.

2016-01-01

Background Dengue is the most common arbovirus infection globally, but its burden is poorly quantified. We estimated dengue mortality, incidence, and burden for the Global Burden of Disease Study 2013. Methods We modelled mortality from vital registration, verbal autopsy, and surveillance data using the Cause of Death Ensemble Modelling tool. We modelled incidence from officially reported cases, and adjusted our raw estimates for under-reporting based on published estimates of expansion factors. In total, we had 1780 country-years of mortality data from 130 countries, 1636 country-years of dengue case reports from 76 countries, and expansion factor estimates for 14 countries. Findings We estimated an average of 9221 dengue deaths per year between 1990 and 2013, increasing from a low of 8277 (95% uncertainty estimate 5353–10 649) in 1992, to a peak of 11 302 (6790–13 722) in 2010. This yielded a total of 576 900 (330 000–701 200) years of life lost to premature mortality attributable to dengue in 2013. The incidence of dengue increased greatly between 1990 and 2013, with the number of cases more than doubling every decade, from 8∙3 million (3∙3 million–17∙2 million) apparent cases in 1990, to 58∙4 million (23∙6 million–121∙9 million) apparent cases in 2013. When accounting for disability from moderate and severe acute dengue, and post-dengue chronic fatigue, 566 000 (186 000–1 415 000) years lived with disability were attributable to dengue in 2013. Considering fatal and non-fatal outcomes together, dengue was responsible for 1∙14 million (0∙73 million–1∙98 million) disability-adjusted life-years in 2013. Interpretation Although lower than other estimates, our results offer more evidence that the true symptomatic incidence of dengue probably falls within the commonly cited range of 50 million to 100 million cases per year. Our mortality estimates are lower than those presented elsewhere and should be considered in light of the totality of evidence suggesting that dengue mortality might, in fact, be substantially higher. PMID:26874619

A Posteriori Quantification of Rate-Controlling Effects from High-Intensity Turbulence-Flame Interactions Using 4D Measurements

DTIC Science & Technology

2016-11-22

Unclassified REPORT DOCUMENTATION PAGE Form ApprovedOMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1...compact at all conditions tested, as indicated by the overlap of OH and CH2O distributions. 5. We developed analytical techniques for pseudo- Lagrangian ...condition in a constant density flow requires that the flow divergence is zero, ∇ · ~u = 0. Three smoothing schemes were examined, a moving average (i.e

A Multidisciplinary Optimization Framework for Occupant Centric Ground Vehicle System Design. Part 1: Vehicle Design Parameter Screening Study

DTIC Science & Technology

2014-08-01

Madan Vunnam, Sudhakar Arepally, Dave Bednarz, Ph.D. System Engineering-Analytics TARDEC, Warren, MI Ching Hsieh, Ph.D. Altair Engineering...blast events were estimated to be responsible for 60% of coalition deaths in Iraq [ 1 , 2] and 75% of casualties in Afghanistan [3]. However, other...ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time

MIZMAS: Modeling the Evolution of Ice Thickness and Floe Size Distributions in the Marginal Ice Zone of the Chukchi and Beaufort Seas

DTIC Science & Technology

2013-09-30

is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of... downscaling future projection simulations. APPROACH To address the scientific objectives, we plan to develop, implement, and validate a new

Feedback Control and Estimation Applied to Boundary Layers Subject to Free-Stream Turbulence

DTIC Science & Technology

2006-11-01

technological importance in many applications. Under free-stream turbulence intensities of 1 % or more it is observed experimen- tally [ 1 ] that transition occurs...wider and longer. Note also that lam- inar streaks can be observed downstream of the spots. The turbulent region at the end of the domain is created by...REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour

Core Temperature and Surface Heat Flux During Exercise in Heat While Wearing Body Armor

DTIC Science & Technology

2015-10-26

Table 7, overall dry > humid, there were no significant differences for energy costs (M) between environments. When compared to the estimated M...KB, Givoni B, & Goldman RF. Predicting energy expenditure with loads while standing or walking very slowly. J Appl Physiol 43(4): 577-581, 1977...No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for

Retrospective Evaluation of the Protocol for US Army Corps of Engineers Aquatic Ecosystem Restoration Projects. Part 2. Database Content and Data Entry Guidelines

DTIC Science & Technology

2014-01-01

entry and review procedures; (2) explain the various database components; (3) outline included datafields and datasets; and (4) document the...collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources...gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or

An Analysis of the Navy’s Fiscal Year 2012 Shipbuilding Plan

DTIC Science & Technology

2011-06-01

Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response...penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1 . REPORT DATE JUN 2011 2...Raymond Hall of CBO’s Budget Analysis Division produced the cost estimates under the general supervision of Sarah Jennings . Bernard Kempinski

The Annual Burden of Seasonal Influenza in the US Veterans Affairs Population.

PubMed

Young-Xu, Yinong; van Aalst, Robertus; Russo, Ellyn; Lee, Jason K H; Chit, Ayman

2017-01-01

Seasonal influenza epidemics have a substantial public health and economic burden in the United States (US). On average, over 200,000 people are hospitalized and an estimated 23,000 people die from respiratory and circulatory complications associated with seasonal influenza virus infections each year. Annual direct medical costs and indirect productivity costs across the US have been found to average respectively at $10.4 billion and $16.3 billion. The objective of this study was to estimate the economic impact of severe influenza-induced illness on the US Veterans Affairs population. The five-year study period included 2010 through 2014. Influenza-attributed outcomes were estimated with a statistical regression model using observed emergency department (ED) visits, hospitalizations, and deaths from the Veterans Health Administration of the Department of Veterans Affairs (VA) electronic medical records and respiratory viral surveillance data from the Centers for Disease Control and Prevention (CDC). Data from VA's Managerial Cost Accounting system were used to estimate the costs of the emergency department and hospital visits. Data from the Bureau of Labor Statistics were used to estimate the costs of lost productivity; data on age at death, life expectancy and economic valuations for a statistical life year were used to estimate the costs of a premature death. An estimated 10,674 (95% CI 8,661-12,687) VA ED visits, 2,538 (95% CI 2,112-2,964) VA hospitalizations, 5,522 (95% CI 4,834-6,210) all-cause deaths, and 3,793 (95% CI 3,375-4,211) underlying respiratory or circulatory deaths (inside and outside VA) among adult Veterans were attributable to influenza each year from 2010 through 2014. The annual value of lost productivity amounted to $27 (95% CI $24-31) million and the annual costs for ED visits were $6.2 (95% CI $5.1-7.4) million. Ninety-six percent of VA hospitalizations resulted in either death or a discharge to home, with annual costs totaling $36 (95% CI $30-43) million. The remaining 4% of hospitalizations were followed by extended care at rehabilitation and skilled nursing facilities with annual costs totaling $5.5 (95% CI $4.4-6.8) million. The annual monetary value of quality-adjusted life years (QALYs) lost amounted to $1.1 (95% CI $1.0-1.2) billion. In total, the estimated annual economic burden was $1.2 (95% CI $1.0-1.3) billion, indicating the substantial burden of seasonal influenza epidemics on the US Veterans Affairs population. Premature death was found to be the largest driver of these costs, followed by hospitalization.

Economic costs of hospitalized diarrheal disease in Bangladesh: a societal perspective.

PubMed

Sarker, Abdur Razzaque; Sultana, Marufa; Mahumud, Rashidul Alam; Ali, Nausad; Huda, Tanvir M; Salim Uzzaman, M; Haider, Sabbir; Rahman, Hafizur; Islam, Ziaul; Khan, Jahangir A M; Van Der Meer, Robert; Morton, Alec

2018-01-01

Diarrheal diseases are a major threat to human health and still represent a leading cause of morbidity and mortality worldwide. Although the burden of the diarrheal diseases is much lower in developed countries, it is a significant public health problem in low and middle-income countries like Bangladesh. Though diarrhea is preventable and managed with low-cost interventions, it is still the leading cause of morbidity according to the patient who sought care from public hospitals in Bangladesh indicating that significant resources are consumed in treating those patients. The aim of the study is to capture the inpatients and outpatient treatment cost of diarrheal disease and to measure the cost burden and coping mechanisms associated with diarrheal illness. This study was conducted in six randomly selected district hospitals from six divisions (larger administrative units) in Bangladesh. The study was performed from the societal perspective which means all types of costs were identified, measured and valued no matter who incurred them. Cost analysis was estimated using the guideline proposed by the World Health Organization for estimating the economic burden of diarrheal diseases. The study adopted quantitative techniques to collect the household and hospital level data including structured and semi-structured questionnaires, observation checklists, analysis of hospital database, telephone interviews and compilation of service statistics. The average total societal cost of illness per episode was BDT 5274.02 (US $ 67.18) whereas the average inpatient and outpatient costs were BDT 8675.09 (US $ 110.51) and BDT 1853.96 (US $ 23.62) respectively. The cost burden was significantly highest for poorest households, 21.45% of household income, compared to 4.21% of the richest quintile. Diarrheal diseases continue to be an overwhelming problem in Bangladesh. The economic impact of any public health interventions (either preventive or promotive) that can reduce the prevalence of diarrheal diseases can be estimated from the data generated from this study.

Economic burden of managing Type 2 diabetes mellitus: Analysis from a Teaching Hospital in Malaysia.

PubMed

Ismail, Aniza; Suddin, Leny Suzana; Sulong, Saperi; Ahmed, Zafar; Kamaruddin, Nor Azmi; Sukor, Norlela

2017-01-01

Type 2 diabetes mellitus (T2DM) is a chronic disease that consumes a large amount of health-care resources. It is essential to estimate the cost of managing T2DM to the society, especially in developing countries. Economic studies of T2DM as a primary diagnosis would assist efficient health-care resource allocation for disease management. This study aims to measure the economic burden of T2DM as the primary diagnosis for hospitalization from provider's perspective. A retrospective prevalence-based costing study was conducted in a teaching hospital. Financial administrative data and inpatient medical records of patients with primary diagnosis (International Classification Disease-10 coding) E11 in the year 2013 were included in costing analysis. Average cost per episode of care and average cost per outpatient visit were calculated using gross direct costing allocation approach. Total admissions for T2DM as primary diagnosis in 2013 were 217 with total outpatient visits of 3214. Average cost per episode of care was RM 901.51 (US$ 286.20) and the average cost per outpatient visit was RM 641.02 (US$ 203.50) from provider's perspective. The annual economic burden of T2DM for hospitalized patients was RM 195,627.67 (US$ 62,104) and RM 2,061,520.32 (US$ 654,450) for those being treated in the outpatient setting. Economic burden to provide T2DM care was higher in the outpatient setting due to the higher utilization of the health-care service in this setting. Thus, more focus toward improving T2DM outpatient service could mitigate further increase in health-care cost from this chronic disease.

Global Role and Burden of Influenza in Pediatric Respiratory Hospitalizations, 1982-2012: A Systematic Analysis.

PubMed

Lafond, Kathryn E; Nair, Harish; Rasooly, Mohammad Hafiz; Valente, Fátima; Booy, Robert; Rahman, Mahmudur; Kitsutani, Paul; Yu, Hongjie; Guzman, Guiselle; Coulibaly, Daouda; Armero, Julio; Jima, Daddi; Howie, Stephen R C; Ampofo, William; Mena, Ricardo; Chadha, Mandeep; Sampurno, Ondri Dwi; Emukule, Gideon O; Nurmatov, Zuridin; Corwin, Andrew; Heraud, Jean Michel; Noyola, Daniel E; Cojocaru, Radu; Nymadawa, Pagbajabyn; Barakat, Amal; Adedeji, Adebayo; von Horoch, Marta; Olveda, Remigio; Nyatanyi, Thierry; Venter, Marietjie; Mmbaga, Vida; Chittaganpitch, Malinee; Nguyen, Tran Hien; Theo, Andros; Whaley, Melissa; Azziz-Baumgartner, Eduardo; Bresee, Joseph; Campbell, Harry; Widdowson, Marc-Alain

2016-03-01

The global burden of pediatric severe respiratory illness is substantial, and influenza viruses contribute to this burden. Systematic surveillance and testing for influenza among hospitalized children has expanded globally over the past decade. However, only a fraction of the data has been used to estimate influenza burden. In this analysis, we use surveillance data to provide an estimate of influenza-associated hospitalizations among children worldwide. We aggregated data from a systematic review (n = 108) and surveillance platforms (n = 37) to calculate a pooled estimate of the proportion of samples collected from children hospitalized with respiratory illnesses and positive for influenza by age group (<6 mo, <1 y, <2 y, <5 y, 5-17 y, and <18 y). We applied this proportion to global estimates of acute lower respiratory infection hospitalizations among children aged <1 y and <5 y, to obtain the number and per capita rate of influenza-associated hospitalizations by geographic region and socio-economic status. Influenza was associated with 10% (95% CI 8%-11%) of respiratory hospitalizations in children <18 y worldwide, ranging from 5% (95% CI 3%-7%) among children <6 mo to 16% (95% CI 14%-20%) among children 5-17 y. On average, we estimated that influenza results in approximately 374,000 (95% CI 264,000 to 539,000) hospitalizations in children <1 y-of which 228,000 (95% CI 150,000 to 344,000) occur in children <6 mo-and 870,000 (95% CI 610,000 to 1,237,000) hospitalizations in children <5 y annually. Influenza-associated hospitalization rates were more than three times higher in developing countries than in industrialized countries (150/100,000 children/year versus 48/100,000). However, differences in hospitalization practices between settings are an important limitation in interpreting these findings. Influenza is an important contributor to respiratory hospitalizations among young children worldwide. Increasing influenza vaccination coverage among young children and pregnant women could reduce this burden and protect infants <6 mo.

Physical activity, motor function, and white matter hyperintensity burden in healthy older adults.

PubMed

Fleischman, Debra A; Yang, Jingyun; Arfanakis, Konstantinos; Arvanitakis, Zoe; Leurgans, Sue E; Turner, Arlener D; Barnes, Lisa L; Bennett, David A; Buchman, Aron S

2015-03-31

To test the hypothesis that physical activity modifies the association between white matter hyperintensity (WMH) burden and motor function in healthy older persons without dementia. Total daily activity (exercise and nonexercise physical activity) was measured for up to 11 days with actigraphy (Actical; Philips Respironics, Bend, OR) in 167 older adults without dementia participating in the Rush Memory and Aging Project. Eleven motor performances were summarized into a previously described global motor score. WMH volume was expressed as percent of intracranial volume. Linear regression models, adjusted for age, education, and sex, were performed with total WMH volume as the predictor and global motor score as the outcome. Terms for total daily physical activity and its interaction with WMH volume were then added to the model. Higher WMH burden was associated with lower motor function (p = 0.006), and total daily activity was positively associated with motor function (p = 0.002). Total daily activity modified the association between WMH and motor function (p = 0.007). WMH burden was not associated with motor function in persons with high activity (90th percentile). By contrast, higher WMH burden remained associated with lower motor function in persons with average (50th percentile; estimate = -0.304, slope = -0.133) and low (10th percentile; estimate = -1.793, slope = -0.241) activity. Higher levels of physical activity may reduce the effect of WMH burden on motor function in healthy older adults. © 2015 American Academy of Neurology.

Physical activity, motor function, and white matter hyperintensity burden in healthy older adults

PubMed Central

Yang, Jingyun; Arfanakis, Konstantinos; Arvanitakis, Zoe; Leurgans, Sue E.; Turner, Arlener D.; Barnes, Lisa L.; Bennett, David A.; Buchman, Aron S.

2015-01-01

Objective: To test the hypothesis that physical activity modifies the association between white matter hyperintensity (WMH) burden and motor function in healthy older persons without dementia. Methods: Total daily activity (exercise and nonexercise physical activity) was measured for up to 11 days with actigraphy (Actical; Philips Respironics, Bend, OR) in 167 older adults without dementia participating in the Rush Memory and Aging Project. Eleven motor performances were summarized into a previously described global motor score. WMH volume was expressed as percent of intracranial volume. Linear regression models, adjusted for age, education, and sex, were performed with total WMH volume as the predictor and global motor score as the outcome. Terms for total daily physical activity and its interaction with WMH volume were then added to the model. Results: Higher WMH burden was associated with lower motor function (p = 0.006), and total daily activity was positively associated with motor function (p = 0.002). Total daily activity modified the association between WMH and motor function (p = 0.007). WMH burden was not associated with motor function in persons with high activity (90th percentile). By contrast, higher WMH burden remained associated with lower motor function in persons with average (50th percentile; estimate = −0.304, slope = −0.133) and low (10th percentile; estimate = −1.793, slope = −0.241) activity. Conclusions: Higher levels of physical activity may reduce the effect of WMH burden on motor function in healthy older adults. PMID:25762710

Systems Engineering and Project Management for Product Development: Optimizing Their Working Interfaces

DTIC Science & Technology

2013-09-01

reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction...Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington DC 20503. 1 . AGENCY USE ONLY (Leave blank) 2. REPORT DATE... 1   A.  BACKGROUND ................................................................................... 1   B.  PRODUCT DEVELOPMENT

Develop Efficient Leak Proof M1 Abrams Plenum Seal

DTIC Science & Technology

2014-05-07

burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching...ADDRESS. 1 . REPORT DATE (DD-MM-YYYY) 2. REPORT TYPE 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c... 1 Background ................................................................................................................. 6 1.1 Problem

Organizing the National Guard to Provide Effective Domestic Operations

DTIC Science & Technology

2011-12-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release; distribution is unlimited ORGANIZING THE ...this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden

Whole Sky Imaging of Clouds in the Visible and IR for Starfire Optical Range

DTIC Science & Technology

2007-07-31

burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing...data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this...30 Fig. 36 Nearly cloud-free moonlight case..................................................................31 Fig. 37

Semantic Analysis of Military Relevant Texts for Intelligence Purposes

DTIC Science & Technology

2011-06-01

Topic 8: Architectures, Technologies, and Tools Topic 4: Information and Knowledge Exploitation Topic 3: Information and Knowledge... Information Processing and Ergonomics FKIE Fraunhofer Institute for Communication, Dr. Matthias Hecking Sandra Noubours (point of contact...Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour

Broadening the Efficiency Bandwidth Product of Electrically small Antenna through Direct Antenna Modulation (DAM) Transmitting

DTIC Science & Technology

2017-12-04

public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...Project Contribution: International Collaboration: International Travel : National Academy Member: N Person Months Worked: 6.00 Funding...Support: Project Contribution: International Collaboration: International Travel : National Academy Member: N Participant Type

78 FR 11652 - Agency Information Collection Activities; Proposed Collection; Comment Request; Evaluation of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-19

... responses per Total annual Average burden Total hours respondents respondent responses per response Pretest... and maintenance costs associated with this collection of information. ERG will conduct a pretest of... complete the pretest, for a total of a maximum of 7.5 hours. We estimate that up to 135 [[Page 11654...

Scientific Visualization of Landscapes and Landforms

DTIC Science & Technology

2012-01-01

on high resolution elevation data readily available in laboratory and mobile environments. Acknowledgements The authors would like to gratefully... The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send

Non-Chromate Aluminum Pretreatments

DTIC Science & Technology

2012-03-01

2) Potassium permanganate, seal: polyacrylic acid, poly propylene glycol, fatty acid esters Two solution (coating and seal), elevated temp...OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for...reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of

76 FR 36172 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-21

... commercial launch site are required by 49 U.S.C. Subtitle IX, 701-- Commercial Space Launch Activities, 49 U.S.C. 70101-70119 (1994). The information is needed in order to demonstrate to the FAA Office of.... Frequency: Information is collected on occasion. Estimated Average Burden per Response: 2,322 hours...

Integrated Ion Exchange Regeneration Process for Drinking Water

DTIC Science & Technology

2010-04-01

Volatile Organic Carbon 1 . INTRODUCTION - This report describes an evaluation of the synthesis of an ion exchange (IX) process for perchlorate...Absorption Spectroscopy 1 ,2-dibromo-3- chloropropane Dibenzofurans Disinfectants and disinfection by-products Decafluorotriphenylphosphine The...Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions

Determining Optimal Allocation of Naval Obstetric Resources with Linear Programming

DTIC Science & Technology

2013-12-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT DETERMINING OPTIMAL ALLOCATION OF NAVAL OBSTETRIC RESOURCES...Davis Approved for public release; distribution is unlimited THIS PAGE INTENTIONALLY LEFT BLANK REPORT DOCUMENTATION PAGE Form Approved...OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for

Base Stability of Aminocyclopropeniums

DTIC Science & Technology

2017-11-01

stability, a series of aminocyclopropeniums were synthesized and their base stability probed in situ using time -resolved proton nuclear magnetic resonance...reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...tested for their utility in anion exchange membranes for alkaline fuel cells. A series of aminocyclopropeniums were synthesized and their base

The FY2011 Federal Budget

DTIC Science & Technology

2010-03-09

the largest source of federal revenues, followed by social insurance (payroll) taxes. Federal individual and corporate income tax revenues typically...unemployment, while federal revenues have fallen as individuals’ incomes drop and corporate profits sink. Federal Response to Economic and Financial...reporting burden for the collection of information is estimated to average 1 hour per response , including the time for reviewing instructions, searching

Synthesis of Bioinorganic Antimicrobial Peptide Nanoparticles with Potential Therapeutic Properties (POSTPRINT)

DTIC Science & Technology

2008-07-01

Laboratory JULY 2008 Approved for public release; distribution unlimited. See additional restrictions described on inside pages... public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...2010-4134 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited. 13. SUPPLEMENTARY NOTES Journal article

Forecasting the future burden of opioids for osteoarthritis.

PubMed

Ackerman, I N; Zomer, E; Gilmartin-Thomas, J F-M; Liew, D

2018-03-01

To quantify the current national burden of opioids for osteoarthritis (OA) pain in Australia in terms of number of dispensed opioid prescriptions and associated costs, and to forecast the likely burden to the year 2030/31. Epidemiological modelling. Published data were obtained on rates of opioid prescribing for people with OA and national OA prevalence projections. Trends in opioid dispensing from 2006 to 2016, and average costs for common opioid subtypes were obtained from the Pharmaceutical Benefits Scheme and Medicare Australia Statistics. Using these inputs, a model was developed to estimate the likely number of dispensed opioid prescriptions and costs to the public healthcare system by 2030/31. In 2015/16, an estimated 1.1 million opioid prescriptions were dispensed in Australia for 403,954 people with OA (of a total 2.2 million Australians with OA). Based on recent dispensing trends and OA prevalence projections, the number of dispensed opioid prescriptions is expected to nearly triple to 3,032,332 by 2030/31, for an estimated 562,610 people with OA. The estimated cost to the Australian healthcare system was $AUD25.2 million in 2015/16, rising to $AUD72.4 million by 2030/31. OA-related opioid dispensing and associated costs are set to increase substantially in Australia from 2015/16 to 2030/31. Use of opioids for OA pain is concerning given joint disease chronicity and the risk of adverse events, particularly among older people. These projections represent a conservative estimate of the full financial burden given additional costs associated with opioid-related harms and out-of-pocket costs borne by patients. Copyright © 2017 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

Interactions Between Boreal Summer Intraseasonal Oscillations and Synoptic-Scale Disturbances over the Western North Pacific, Part I: Energetics Diagnosis

DTIC Science & Technology

2010-08-23

typhoon. Part I: Satel- lite data analyses. J. Atmos. Sci., 63, 1377–1389. ——, ——, X. Ge, B. Wang, and M. Peng, 2003: Satellite data analysis and numerical...is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining...the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this

Integrating SHM and Time Variant System Performance of Naval Ship Structures For Near Real Time Decision Making Under Uncertainty: A Comprehensive Framework

DTIC Science & Technology

2016-12-06

direction and speed based on cost minimization and best estimated time of arrival (ETA). Sometimes, ships are forced to travel 43 Lehigh Technical...the allowable time to complete the travel . Another important aspect, addressed in the case study, is to investigate the optimal routing of aged...The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing

Breast Cancer and Early Onset Childhood Obesity: Cell Specific Gene Expression in Mammary Epithelia and Adipocytes

DTIC Science & Technology

2006-07-01

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other...Western Diet with representative Sucrose 29.1 25.2 17 medium and high fat diets (Ghibaudi, Maltodextrin 8.5 6.5 10 et al., Obesity Research, pp 956-963 10(9

Burden of rheumatoid arthritis from a societal perspective: A prevalence-based study on cost of illness for patients with rheumatoid arthritis in China.

PubMed

Hu, Hao; Luan, Luan; Yang, Keqin; Li, Shu-Chuen

2017-02-17

To provide a comprehensive estimation of the economic burden of rheumatoid arthritis (RA) in China, especially for patients from less developed areas, and to explore the cost transferability between regions to assist healthcare decision-making. The study was conducted in south and north China from May 2013 to December 2013. The burden of RA was investigated by interviewing participants with a questionnaire battery containing socio-demographic, cost of illness (COI) and medical treatments. The COI questionnaire captured direct, indirect and intangible costs. Direct costs included hospitalizations, outpatient visits and medications. Indirect costs were estimated using the human capital approach, and intangible costs valued through the willingness-to-pay approach. All cost data were converted to 2013 US dollars by purchasing power parity, and then summarized descriptively and analyzed with mixed models. Questionnaires were administered to 133 RA patients. The average direct costs were $1917.21 ± $2559.06 per patient year, with medications at $1283.89 ± $1898.15 comprising more than 50% of the total. The average indirect costs were $492.88 ± $1739.74 per patient year, while intangible costs were $20396.30 ± $31145.10. There was no significant difference detected between regions. Recent hospitalization was tested as a significant predictor of the direct costs. Age and income were significantly associated with indirect and intangible costs. Besides the substantial burden in terms of direct medical costs and productivity lost, there were notable intangible costs, especially among older patients. This conclusion could be potentially expanded to other provinces in China or even other countries through the adjustments for transferability. © 2017 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.

Economic burden of asthma in Korea.

PubMed

Lee, Yo-Han; Yoon, Seok-Jun; Kim, Eun-Jung; Kim, Young-Ae; Seo, Hye-Young; Oh, In-Hwan

2011-01-01

Understanding the magnitude of the economic impact of an illness on society is fundamental to planning and implementing relevant policies. South Korea operates a compulsory universal health insurance system providing favorable conditions for evaluating the nationwide economic burden of illnesses. The aim of this study was to estimate the economic costs of asthma imposed on Korean society. The Korean National Health Insurance claims database was used for determining the health care services provided to asthma patients defined as having at least one inpatient or outpatient claim(s) with a primary diagnosis of asthma in 2008. Both direct and indirect costs were included. Direct costs were those associated directly with treatment, medication, and transportation. Indirect costs were assessed in terms of the loss of productivity in asthma patients and their caregivers and consisted of morbidity cost, mortality cost, and caregivers' time cost. The estimated cost for 2,273,290 asthma patients in 2008 was $831 million, with an average per capita cost of $336. Among the cost components, outpatient and medication costs represented the largest cost burden. Although the costs for children accounted for the largest proportion of the total cost, the per capita cost was highest among patients ≥50 years old. The economic burden of asthma in Korea is considerable. Considering that the burden will increase with the rising prevalence, implementation of effective national prevention approaches aimed at the appropriate target populations is imperative.

Natural Selection on Individual Variation in Tolerance of Gastrointestinal Nematode Infection

PubMed Central

Hayward, Adam D.; Nussey, Daniel H.; Wilson, Alastair J.; Berenos, Camillo; Pilkington, Jill G.; Watt, Kathryn A.; Pemberton, Josephine M.; Graham, Andrea L.

2014-01-01

Hosts may mitigate the impact of parasites by two broad strategies: resistance, which limits parasite burden, and tolerance, which limits the fitness or health cost of increasing parasite burden. The degree and causes of variation in both resistance and tolerance are expected to influence host–parasite evolutionary and epidemiological dynamics and inform disease management, yet very little empirical work has addressed tolerance in wild vertebrates. Here, we applied random regression models to longitudinal data from an unmanaged population of Soay sheep to estimate individual tolerance, defined as the rate of decline in body weight with increasing burden of highly prevalent gastrointestinal nematode parasites. On average, individuals lost weight as parasite burden increased, but whereas some lost weight slowly as burden increased (exhibiting high tolerance), other individuals lost weight significantly more rapidly (exhibiting low tolerance). We then investigated associations between tolerance and fitness using selection gradients that accounted for selection on correlated traits, including body weight. We found evidence for positive phenotypic selection on tolerance: on average, individuals who lost weight more slowly with increasing parasite burden had higher lifetime breeding success. This variation did not have an additive genetic basis. These results reveal that selection on tolerance operates under natural conditions. They also support theoretical predictions for the erosion of additive genetic variance of traits under strong directional selection and fixation of genes conferring tolerance. Our findings provide the first evidence of selection on individual tolerance of infection in animals and suggest practical applications in animal and human disease management in the face of highly prevalent parasites. PMID:25072883

Estimating Global Burden of Disease due to congenital anomaly: an analysis of European data.

PubMed

Boyle, Breidge; Addor, Marie-Claude; Arriola, Larraitz; Barisic, Ingeborg; Bianchi, Fabrizio; Csáky-Szunyogh, Melinda; de Walle, Hermien E K; Dias, Carlos Matias; Draper, Elizabeth; Gatt, Miriam; Garne, Ester; Haeusler, Martin; Källén, Karin; Latos-Bielenska, Anna; McDonnell, Bob; Mullaney, Carmel; Nelen, Vera; Neville, Amanda J; O'Mahony, Mary; Queisser-Wahrendorf, Annette; Randrianaivo, Hanitra; Rankin, Judith; Rissmann, Anke; Ritvanen, Annukka; Rounding, Catherine; Tucker, David; Verellen-Dumoulin, Christine; Wellesley, Diana; Wreyford, Ben; Zymak-Zakutnia, Natalia; Dolk, Helen

2018-01-01

To validate the estimates of Global Burden of Disease (GBD) due to congenital anomaly for Europe by comparing infant mortality data collected by EUROCAT registries with the WHO Mortality Database, and by assessing the significance of stillbirths and terminations of pregnancy for fetal anomaly (TOPFA) in the interpretation of infant mortality statistics. EUROCAT is a network of congenital anomaly registries collecting data on live births, fetal deaths from 20 weeks' gestation and TOPFA. Data from 29 registries in 19 countries were analysed for 2005-2009, and infant mortality (deaths of live births at age <1 year) compared with the WHO Mortality Database. Eight EUROCAT countries were excluded from further analysis on the basis that this comparison showed poor ascertainment of survival status. According to WHO, 17%-42% of infant mortality was attributed to congenital anomaly. In 11 EUROCAT countries, average infant mortality with congenital anomaly was 1.1 per 1000 births, with higher rates where TOPFA is illegal (Malta 3.0, Ireland 2.1). The rate of stillbirths with congenital anomaly was 0.6 per 1000. The average TOPFA prevalence was 4.6 per 1000, nearly three times more prevalent than stillbirths and infant deaths combined. TOPFA also impacted on the prevalence of postneonatal survivors with non-lethal congenital anomaly. By excluding TOPFA and stillbirths from GBD years of life lost (YLL) estimates, GBD underestimates the burden of disease due to congenital anomaly, and thus declining YLL over time may obscure lack of progress in primary, secondary and tertiary prevention. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Economic Burden of Thalassemia Major in Iran, 2015.

PubMed

Esmaeilzadeh, Firooz; Azarkeivan, Azita; Emamgholipour, Sara; Akbari Sari, Ali; Yaseri, Mehdi; Ahmadi, Batoul; Ghaffari, Mohtasham

2016-01-01

Major Thalassemia is an autosomal recessive disease with complications, mortality and serious pathology. Today, the life expectancy of patients with major thalassemia has increased along with therapeutic advances. Therefore, they need lifelong care, and caring for them would incur many costs. Being aware of the patients' costs can be effective for controlling and managing the costs and providing efficient treatments for the care of patients. Hence, this study was conducted to estimate the economic burden of the patients with major thalassemia. Totally, 198 patients with major thalassemia were randomly selected from among the patients with major thalassemia in Tehran, Iran in 2015. The economic burden of the patients was estimated from a social perspective and through a bottom-up, prevalence-based approach. The average annual cost per patient was estimated $ 8321.8 regardless of the cost of lost welfare. Of this amount, $ 7286.8 was related to direct medical costs, $ 461.4 to direct non-medical costs, and $ 573.5 to indirect costs. In addition, the annual cost per patient was estimated $ 1360.5 due to the distress caused by the disease CONCLUSIONS: Considering the high costs of the treatment of patients with major thalassemia, adopting new policies to reduce the costs that patients have to pay seems necessary. In addition, making new decisions regarding thalassemia screening, even with higher costs than the usual screening costs, can be useful since the costs of treatment are high.

The Burden of Rabies in Tanzania and Its Impact on Local Communities

PubMed Central

Sambo, Maganga; Cleaveland, Sarah; Ferguson, Heather; Lembo, Tiziana; Simon, Cleophas; Urassa, Honorati; Hampson, Katie

2013-01-01

Background Rabies remains a major public health threat in many parts of the world and is responsible for an estimated 55,000 human deaths annually. The burden of rabies is estimated to be around US$20 million in Africa, with the highest financial expenditure being the cost of post-exposure prophylaxis (PEP). However, these calculations may be substantial underestimates because the costs to households of coping with endemic rabies have not been investigated. We therefore aimed to estimate the household costs, health-seeking behaviour, coping strategies, and outcomes of exposure to rabies in rural and urban communities in Tanzania. Methods and Findings Extensive investigative interviews were used to estimate the incidence of human deaths and bite exposures. Questionnaires with bite victims and their families were used to investigate health-seeking behaviour and costs (medical and non-medical costs) associated with exposure to rabies. We calculated that an average patient in rural Tanzania, where most people live on less than US$1 per day, would need to spend over US$100 to complete WHO recommended PEP schedules. High costs and frequent shortages of PEP led to poor compliance with PEP regimens, delays in presentation to health facilities, and increased risk of death. Conclusion The true costs of obtaining PEP were twice as high as those previously reported from Africa and should be considered in re-evaluations of the burden of rabies. PMID:24244767

Health resource utilization and the economic burden of patients with wet age-related macular degeneration in Thailand

PubMed Central

Dilokthornsakul, Piyameth; Chaiyakunapruk, Nathorn; Ruamviboonsuk, Paisan; Ratanasukon, Mansing; Ausayakhun, Somsanguan; Tungsomeroengwong, Akrapope; Pokawattana, Nattapol; Chanatittarat, Chalakorn

2014-01-01

AIM To determine healthcare resource utilization and the economic burden associated with wet age-related macular degeneration (AMD) in Thailand METHODS This study included patients diagnosed with wet AMD that were 60 years old or older, and had best corrected visual acuity (BCVA) measured at least two times during the follow-up period. We excluded patients having other eye diseases. Two separate sub-studies were conducted. The first sub-study was a retrospective cohort study; electronic medical charts were reviewed to estimate the direct medical costs. The second sub-study was a cross-sectional survey estimating the direct non-medical costs based on face-to-face interviews using a structured questionnaire. For the first sub-study, direct medical costs, including the cost of drugs, laboratory, procedures, and other treatments were obtained. For the second sub-study, direct non-medical costs, e.g. transportation, food, accessories, home renovation, and caregiver costs, were obtained from face-to-face interviews with patients and/or caregivers. RESULTS For the first sub-study, sixty-four medical records were reviewed. The annual average number of medical visits was 11.1±6.0. The average direct medical costs were $3 604±4 530 per year. No statistically-significant differences of the average direct medical costs among the BCVA groups were detected (P=0.98). Drug costs accounted for 77% of total direct medical costs. For direct non-medical costs, 67 patients were included. Forty-eight patients (71.6%) required the accompaniment of a person during the out-patient visit. Seventeen patients (25.4%) required a caregiver at home. The average direct non-medical cost was $2 927±6 560 per year. There were no statistically-significant differences in the average costs among the BCVA groups (P=0.74). Care-giver cost accounted for 87% of direct non-medical costs. CONCLUSION Our study indicates that wet AMD is associated with a substantial economic burden, especially concerning drug and care-giver costs. PMID:24634881

Global Economic Impact of Dental Diseases.

PubMed

Listl, S; Galloway, J; Mossey, P A; Marcenes, W

2015-10-01

Reporting the economic burden of oral diseases is important to evaluate the societal relevance of preventing and addressing oral diseases. In addition to treatment costs, there are indirect costs to consider, mainly in terms of productivity losses due to absenteeism from work. The purpose of the present study was to estimate the direct and indirect costs of dental diseases worldwide to approximate the global economic impact. Estimation of direct treatment costs was based on a systematic approach. For estimation of indirect costs, an approach suggested by the World Health Organization's Commission on Macroeconomics and Health was employed, which factored in 2010 values of gross domestic product per capita as provided by the International Monetary Fund and oral burden of disease estimates from the 2010 Global Burden of Disease Study. Direct treatment costs due to dental diseases worldwide were estimated at US$298 billion yearly, corresponding to an average of 4.6% of global health expenditure. Indirect costs due to dental diseases worldwide amounted to US$144 billion yearly, corresponding to economic losses within the range of the 10 most frequent global causes of death. Within the limitations of currently available data sources and methodologies, these findings suggest that the global economic impact of dental diseases amounted to US$442 billion in 2010. Improvements in population oral health may imply substantial economic benefits not only in terms of reduced treatment costs but also because of fewer productivity losses in the labor market. © International & American Associations for Dental Research 2015.

A distributional assessment of Rhode Island's Catastrophic Health Insurance Plan (CHIP)

PubMed Central

Lord, Blair M.

1984-01-01

Since 1975, Rhode Island has operated a government-sponsored catastrophic health insurance program that is consistent in spirit with several of the national health insurance proposals. An important but often overlooked effect of such a program is its effect on the distribution of income. Actual claims data for the years 1975-79 are available for the Rhode Island program permitting direct estimation of an average benefit per family and an average tax burden per family in each of 12 income classes. This permits an assessment of the program's redistributional effects. PMID:10310850

Report to Congress on the Activities of the DoD Office of Technology Transition

DTIC Science & Technology

2000-01-01

Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the...development of military rations that look freshly prepared yet can be kept at room temperature for up to three years; • Dr. Mark Spano and Dr. Visarath In of...In the late 1990’s, an average of 1 million new people per year are certified or take introductory Scuba classes. If sales reach just 1% of new

Full-chain health impact assessment of traffic-related air pollution and childhood asthma.

PubMed

Khreis, Haneen; de Hoogh, Kees; Nieuwenhuijsen, Mark J

2018-05-01

Asthma is the most common chronic disease in children. Traffic-related air pollution (TRAP) may be an important exposure contributing to its development. In the UK, Bradford is a deprived city suffering from childhood asthma rates higher than national and regional averages and TRAP is of particular concern to the local communities. We estimated the burden of childhood asthma attributable to air pollution and specifically TRAP in Bradford. Air pollution exposures were estimated using a newly developed full-chain exposure assessment model and an existing land-use regression model (LUR). We estimated childhood population exposure to NO x and, by conversion, NO 2 at the smallest census area level using a newly developed full-chain model knitting together distinct traffic (SATURN), vehicle emission (COPERT) and atmospheric dispersion (ADMS-Urban) models. We compared these estimates with measurements and estimates from ESCAPE's LUR model. Using the UK incidence rate for childhood asthma, meta-analytical exposure-response functions, and estimates from the two exposure models, we estimated annual number of asthma cases attributable to NO 2 and NO x in Bradford, and annual number of asthma cases specifically attributable to traffic. The annual average census tract levels of NO 2 and NO x estimated using the full-chain model were 15.41 and 25.68 μg/m 3 , respectively. On average, 2.75 μg/m 3 NO 2 and 4.59 μg/m 3 NO x were specifically contributed by traffic, without minor roads and cold starts. The annual average census tract levels of NO 2 and NO x estimated using the LUR model were 21.93 and 35.60 μg/m 3 , respectively. The results indicated that up to 687 (or 38% of all) annual childhood asthma cases in Bradford may be attributable to air pollution. Up to 109 cases (6%) and 219 cases (12%) may be specifically attributable to TRAP, with and without minor roads and cold starts, respectively. This is the first study undertaking full-chain health impact assessment of TRAP and childhood asthma in a disadvantaged population with public concern about TRAP. It further adds to scarce literature exploring the impact of different exposure assessments. In conservative estimates, air pollution and TRAP are estimated to cause a large, but largely preventable, childhood asthma burden. Future progress with childhood asthma requires a move beyond the prevalent disease control-based approach toward asthma prevention. Copyright © 2018 Elsevier Ltd. All rights reserved.

Emissions of nitrogen oxides from US urban areas: estimation from Ozone Monitoring Instrument retrievals for 2005-2014

DOE PAGES

Lu, Z.; Streets, D. G.; de Foy, B.; ...

2015-05-28

Satellite remote sensing of tropospheric nitrogen dioxide (NO 2) can provide valuable information for estimating surface nitrogen oxides (NO x) emissions. Using an exponentially-modified Gaussian (EMG) method and taking into account the effect of wind on observed NO 2 distributions, we estimate three-year moving-average emissions of summertime NO x from 35 US urban areas directly from NO 2 retrievals of the Ozone Monitoring Instrument (OMI) during 2005–2014. Following the conclusions of previous studies that the EMG method provides robust and accurate emission estimates under strong-wind conditions, we derive top-down NO x emissions from each urban area by applying the EMGmore » method to OMI data with wind speeds greater than 3–5 m s -1. Meanwhile, we find that OMI NO 2 observations under weak-wind conditions (i.e., < 3 m s -1) are qualitatively better correlated with the surface NO x source strength in comparison to all-wind OMI maps; and therefore we use them to calculate the satellite-observed NO 2 burdens of urban areas and compare with NO x emission estimates. The EMG results show that OMI-derived NO x emissions are highly correlated ( R > 0.93) with weak-wind OMI NO 2 burdens as well as bottom-up NO x emission estimates over 35 urban areas, implying a linear response of the OMI observations to surface emissions under weak-wind conditions. The simultaneous, EMG-obtained, effective NO 2 lifetimes (~3.5 ± 1.3 h), however, are biased low in comparison to the summertime NO 2 chemical lifetimes. In general, isolated urban areas with NO x emission intensities greater than ~ 2 Mg h -1 produce statistically significant weak-wind signals in three-year average OMI data. From 2005 to 2014, we estimate that total OMI-derived NO x emissions over all selected US urban areas decreased by 49%, consistent with reductions of 43, 47, 49, and 44% in the total bottom-up NO x emissions, the sum of weak-wind OMI NO 2 columns, the total weak-wind OMI NO 2 burdens, and the averaged NO 2 concentrations, respectively, reflecting the success of NO x control programs for both mobile sources and power plants. The decrease rates of these NO x-related quantities are found to be faster (i.e., -6.8 to -9.3% yr -1) before 2010 and slower (i.e., -3.4 to -4.9% yr -1) after 2010. For individual urban areas, we calculate the R values of pair-wise trends among the OMI-derived and bottom-up NO x emissions, the weak-wind OMI NO 2 burdens, and ground-based NO 2 measurements; and high correlations are found for all urban areas (median R = 0.8), particularly large ones ( R up to 0.97). The results of the current work indicate that using the EMG method and considering the wind effect, the OMI data allow for the estimation of NO x emissions from urban areas and the direct constraint of emission trends with reasonable accuracy.« less

Emissions of nitrogen oxides from US urban areas: estimation from Ozone Monitoring Instrument retrievals for 2005–2014

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

Lu, Z.; Streets, D. G.; de Foy, B.

Satellite remote sensing of tropospheric nitrogen dioxide (NO 2) can provide valuable information for estimating surface nitrogen oxides (NO x) emissions. Using an exponentially modified Gaussian (EMG) method and taking into account the effect of wind on observed NO 2 distributions, we estimate 3-year moving-average emissions of summertime NO x from 35 US (United States) urban areas directly from NO 2 retrievals of the Ozone Monitoring Instrument (OMI) during 2005–2014. Following conclusions of previous studies that the EMG method provides robust and accurate emission estimates under strong-wind conditions, we derive top-down NO x emissions from each urban area by applyingmore » the EMG method to OMI data with wind speeds greater than 3–5 m s -1. Meanwhile, we find that OMI NO 2 observations under weak-wind conditions (i.e., < 3 m s −1) are qualitatively better correlated to the surface NO x source strength in comparison to all-wind OMI maps; therefore, we use them to calculate the satellite-observed NO 2 burdens of urban areas and compare with NO x emission estimates. The EMG results show that OMI-derived NO x emissions are highly correlated ( R > 0.93) with weak-wind OMI NO 2 burdens as well as with bottom-up NO x emission estimates over 35 urban areas, implying a linear response of the OMI observations to surface emissions under weak-wind conditions. The simultaneous EMG-obtained effective NO 2 lifetimes (~ 3.5 ± 1.3 h), however, are biased low in comparison to the summertime NO 2 chemical lifetimes. In general, isolated urban areas with NO x emission intensities greater than ~ 2 Mg h -1 produce statistically significant weak-wind signals in 3-year average OMI data. From 2005 to 2014, we estimate that total OMI-derived NO x emissions over all selected US urban areas decreased by 49 %, consistent with reductions of 43, 47, 49, and 44 % in the total bottom-up NO x emissions, the sum of weak-wind OMI NO 2 columns, the total weak-wind OMI NO 2 burdens, and the averaged NO 2 concentrations, respectively, reflecting the success of NO x control programs for both mobile sources and power plants. The decrease rates of these NO x-related quantities are found to be faster (i.e., -6.8 to -9.3 % yr −1) before 2010 and slower (i.e., -3.4 to -4.9 % yr −1) after 2010. For individual urban areas, we calculate the R values of pair-wise trends among the OMI-derived and bottom-up NO x emissions, the weak-wind OMI NO 2 burdens, and ground-based NO 2 measurements, and high correlations are found for all urban areas (median R= 0.8), particularly large ones ( R up to 0.97). The results of the current work indicate that using the EMG method and considering the wind effect, the OMI data allow for the estimation of NO x emissions from urban areas and the direct constraint of emission trends with reasonable accuracy.« less

Emissions of nitrogen oxides from US urban areas: estimation from Ozone Monitoring Instrument retrievals for 2005-2014

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

Lu, Z.; Streets, D. G.; de Foy, B.

Satellite remote sensing of tropospheric nitrogen dioxide (NO 2) can provide valuable information for estimating surface nitrogen oxides (NO x) emissions. Using an exponentially-modified Gaussian (EMG) method and taking into account the effect of wind on observed NO 2 distributions, we estimate three-year moving-average emissions of summertime NO x from 35 US urban areas directly from NO 2 retrievals of the Ozone Monitoring Instrument (OMI) during 2005–2014. Following the conclusions of previous studies that the EMG method provides robust and accurate emission estimates under strong-wind conditions, we derive top-down NO x emissions from each urban area by applying the EMGmore » method to OMI data with wind speeds greater than 3–5 m s -1. Meanwhile, we find that OMI NO 2 observations under weak-wind conditions (i.e., < 3 m s -1) are qualitatively better correlated with the surface NO x source strength in comparison to all-wind OMI maps; and therefore we use them to calculate the satellite-observed NO 2 burdens of urban areas and compare with NO x emission estimates. The EMG results show that OMI-derived NO x emissions are highly correlated ( R > 0.93) with weak-wind OMI NO 2 burdens as well as bottom-up NO x emission estimates over 35 urban areas, implying a linear response of the OMI observations to surface emissions under weak-wind conditions. The simultaneous, EMG-obtained, effective NO 2 lifetimes (~3.5 ± 1.3 h), however, are biased low in comparison to the summertime NO 2 chemical lifetimes. In general, isolated urban areas with NO x emission intensities greater than ~ 2 Mg h -1 produce statistically significant weak-wind signals in three-year average OMI data. From 2005 to 2014, we estimate that total OMI-derived NO x emissions over all selected US urban areas decreased by 49%, consistent with reductions of 43, 47, 49, and 44% in the total bottom-up NO x emissions, the sum of weak-wind OMI NO 2 columns, the total weak-wind OMI NO 2 burdens, and the averaged NO 2 concentrations, respectively, reflecting the success of NO x control programs for both mobile sources and power plants. The decrease rates of these NO x-related quantities are found to be faster (i.e., -6.8 to -9.3% yr -1) before 2010 and slower (i.e., -3.4 to -4.9% yr -1) after 2010. For individual urban areas, we calculate the R values of pair-wise trends among the OMI-derived and bottom-up NO x emissions, the weak-wind OMI NO 2 burdens, and ground-based NO 2 measurements; and high correlations are found for all urban areas (median R = 0.8), particularly large ones ( R up to 0.97). The results of the current work indicate that using the EMG method and considering the wind effect, the OMI data allow for the estimation of NO x emissions from urban areas and the direct constraint of emission trends with reasonable accuracy.« less

China Naval Modernization: Implications for U.S. Navy Capabilities -- Background and Issues for Congress

DTIC Science & Technology

2008-04-04

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...information if it does not display a currently valid OMB control number. 1 . REPORT DATE 04 APR 2008 2. REPORT TYPE 3. DATES COVERED 00-00-2008 to... 1 Issue for Congress

China Naval Modernization: Implications for U.S. Navy Capabilities -- Background and Issues for Congress

DTIC Science & Technology

2008-09-12

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...information if it does not display a currently valid OMB control number. 1 . REPORT DATE 12 SEP 2008 2. REPORT TYPE 3. DATES COVERED 00-00-2008... 1 Issue for Congress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Scope, Sources, and

China Naval Modernization: Implications for U.S. Navy Capabilities - Background and Issues for Congress

DTIC Science & Technology

2008-08-11

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...information if it does not display a currently valid OMB control number. 1 . REPORT DATE 11 AUG 2008 2. REPORT TYPE N/A 3. DATES COVERED - 4... 1 Issue for Congress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Scope, Sources

China Naval Modernization: Implications for U.S. Navy Capabilities - Background and Issues for Congress

DTIC Science & Technology

2008-02-04

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...information if it does not display a currently valid OMB control number. 1 . REPORT DATE 04 FEB 2008 2. REPORT TYPE 3. DATES COVERED 00-00-2008...events warrant. Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Waste-to-Energy Projects at Army Installations

DTIC Science & Technology

2011-01-13

JAN 2011 US Army Corps of Engineers BUILDING STRONG® Distribution Statement A -- Approved for public release; distribution is unlimited. Report...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response...NUMBER(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES presented at the DOE

The Nature of the Planning Environment: And the Effects of Guidance, Organization and Authority

DTIC Science & Technology

2013-05-23

home reading the newspaper, and notice a small blurb buried beneath the fold in the back of ... THE NATURE OF THE PLANNING ENVIRONMENT: AND THE EFFECTS OF GUIDANCE, ORGANIZATION AND AUTHORITY A Monograph by Major...0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for

Portable Fuel Quality Analyzer

DTIC Science & Technology

2014-01-27

other transportation industries, such as trucking. The PFQA could also be used in fuel blending operations performed at petroleum, ethanol and biodiesel plants. ...Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per...24476 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT The

Incentive Contracts: The Attributes that Matter Most in Driving Favorable Outcomes

DTIC Science & Technology

2007-04-30

A standardized questionnaire- survey was used to capture the data. This presentation prepared for the Fourth Annual Acquisition Research Symposium...Naval Postgraduate School: Approved for public release, distribution unlimited. Prepared for : Naval Postgraduate School, Monterey, California 93943...reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching

Total Ownership Cost Reduction Case Study: AEGIS Microwave Power Tubes

DTIC Science & Technology

2006-05-31

processes. The center would also maintain crucial capabilities and knowledge required for test and evaluation, Logistics, and for certain...of the research presented herein. Reproduction of all or part of this report is authorized. The report was prepared by...burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching

Heuristics for Solving Problem of Evacuating Non-Ambulatory People in a Short-Notice Disaster

DTIC Science & Technology

2012-12-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT Heuristics for Solving Problem of Evacuating Non...Approved for public release; distribution is unlimited THIS PAGE INTENTIONALLY LEFT BLANK i REPORT DOCUMENTATION PAGE Form Approved...OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for

Multi Resonance Shear Mode Transducers

DTIC Science & Technology

2016-11-21

burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing...ABSTRACT Crystallographic engineering of single crystal relaxor-based ferroelectrics was used to design broadband, compact, high power, low frequency...using multiple d36 crystal geometries or combinations of d36 and other crystal cuts. 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17

2010 Army Modernization Strategy

DTIC Science & Technology

2010-01-01

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...Science and Technology (S&T) Program, and shortening the time between requirement identification and solution delivery. • Continuously modernize equipment...available, as quickly as possible, so they can succeed anywhere, every time . Our Soldiers deserve nothing less. Army Strong! U.S. Soldiers engage enemy

Cold Regions - Environmental Testing of Individual Soldier Equipment

DTIC Science & Technology

2011-10-17

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 ...currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1 . REPORT DATE (DD-MM-YYYY) 17-10-2011 2. REPORT...TOP. 15. SUBJECT TERMS Soldier equipment HFE MANPRINT cold region environment CRTC 16. SECURITY

Trauma-Informed Guilt Reduction (TrIGR) Intervention

DTIC Science & Technology

2017-10-01

AWARD NUMBER: W81XWH-15-1-0331 TITLE: Trauma- Informed Guilt Reduction (TrIGR) Intervention PRINCIPAL INVESTIGATOR: Christy Capone, PhD...Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information . Send comments

Intelligent Command and Control Demonstration Setup and Presentation Instructions

DTIC Science & Technology

2017-12-01

and Control Demonstration Setup and Presentation Instructions by Laurel C Sadler and Somiya Metu Computational and Information Sciences...0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection information . Send

Development of Information Assurance Protocol for Low Bandwidth Nanosatellite Communications

DTIC Science & Technology

2017-09-01

INFORMATION ASSURANCE PROTOCOL FOR LOW BANDWIDTH NANOSATELLITE COMMUNICATIONS by Cervando A. Banuelos II September 2017 Thesis Advisor...reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction...searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments

Coexistence of Named Data Networking (NDN) and Software-Defined Networking (SDN)

DTIC Science & Technology

2017-09-01

Networking (NDN) and Software-Defined Networking (SDN) by Vinod Mishra Computational and Information Sciences Directorate, ARL...reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection information . Send comments regarding this

Treating ALS by Targeting Pathological TDP-43

DTIC Science & Technology

2017-09-01

RECIPIENT: Seattle Institute for Biomedical and Clinical Research Seattle, WA 98108 REPORT DATE: September 2017 TYPE OF REPORT: Annual PREPARED FOR...U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION STATEMENT: Approved for public release; distribution...0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing

Navy Operational Planner: Anti-Submarine Warfare with Time-Dependent Performance

DTIC Science & Technology

2017-09-01

PLANNER: ANTI-SUBMARINE WARFARE WITH TIME -DEPENDENT PERFORMANCE by Anthony M. Baldessari September 2017 Thesis Advisor: W. Matthew...reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE NAVY OPERATIONAL PLANNER: ANTI-SUBMARINE WARFARE WITH TIME -DEPENDENT

Strategic Materials

DTIC Science & Technology

2007-01-01

Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the...George Featherstonhaugh linked mineral availability with national defense. He suggested to Secretary of War Lewis Cass that a geological map of the...from military tactical vehicle armor (ArmorWorks) to concealable armor protection for civilians (Point Blank Body Armor, Inc. and PACA Body Armor

Army Requirement to Acquire Individual Carbine Not Justified

DTIC Science & Technology

2013-09-16

ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for...AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT 15. SUBJECT TERMS 16. SECURITY...of the Department of Defense that: supports the warfighter; promotes accountability, integrity , and efficiency; advises the Secretary of Defense and

Reusable Military Launch Systems (RMLS)

DTIC Science & Technology

2008-02-01

described on inside pages STINFO COPY AIR FORCE RESEARCH LABORATORY AIR VEHICLES DIRECTORATE WRIGHT-PATTERSON AIR FORCE BASE, OH 45433...7542 AIR FORCE MATERIEL COMMAND UNITED STATES AIR FORCE NOTICE AND SIGNATURE PAGE Using Government drawings, specifications, or other data...DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response

Educating Normal Breast Mucosa to Prevent Breast Cancer

DTIC Science & Technology

2013-05-01

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average...cells 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON USAMRMC a. REPORT U...b. ABSTRACT U c. THIS PAGE U UU 19b. TELEPHONE NUMBER (include area code) Table of Contents Page

Efficient and Robust Signal Approximations

DTIC Science & Technology

2009-05-01

otherwise. Remark. Permutation matrices are both orthogonal and doubly- stochastic [62]. We will now show how to further simplify the Robust Coding...reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching...Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 Keywords: signal processing, image compression, independent component analysis , sparse

Complexity Theory and Network Centric Warfare

DTIC Science & Technology

2003-09-01

realms of the unknown. Defence thinkers everywhere are searching forward for the science and alchemy that will deliver operational success. CCRP...0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing...instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send

OSA Imaging and Applied Optics Congress Support

DTIC Science & Technology

2017-02-16

ranged from theoretical to experimental demonstration and verification of the latest advances in computational imaging research . This meeting covered...Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time ...Applied Optics Congress was a four-day meeting that encompassed the latest advances in computational imaging research . emphasizing integration of

Time Orientation and Human Performance

DTIC Science & Technology

2004-06-01

Work with Computing Systems 2004. H.M. Khalid, M.G. Helander, A.W. Yeo (Editors) . Kuala Lumpur: Damai Sciences. 1 Time Orientation and Human...Multi-tasking. 1 . Introduction With increased globalization, understanding the various cultures and people’s attitudes and behaviours is crucial...reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching

Tunable Bandwidth Quantum Well Infrared Photo Detector (TB-QWIP)

DTIC Science & Technology

2003-12-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release; distribution is unlimited. TUNABLE...Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for...STATEMENT Approved for public release; distribution is unlimited 12b. DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) In this thesis a

Spectroscopic Imaging with an Uncooled Microbolometer Infrared Camera and Step-Scan FTIR

DTIC Science & Technology

2006-12-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public released; distribution is unlimited SPECTROSCOPIC...Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the...STATEMENT Approved for public release; distribution is unlimited 12b. DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) The purpose of this

Development of Electro-Optical Standard Processes for Application

DTIC Science & Technology

2011-11-01

AERONAUTICS AND SPACE ADMINISTRATION DISTRIBUTION A: APPROVED FOR PUBLIC RELEASE DISTRIBUTION IS UNLIMITED Report Documentation Page Form ApprovedOMB No...0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing...DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT Defines the process of

Modeling and Simulations on the Effects of Shortwave Energy on Micropartile and Nanoparticle Filled Composites

DTIC Science & Technology

2014-06-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release; distribution is unlimited MODELING AND... Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction...12a. DISTRIBUTION / AVAILABILITY STATEMENT Approved for public release; distribution is unlimited 12b. DISTRIBUTION CODE A 13. ABSTRACT

Cancer incidence attributable to air pollution in Alberta in 2012

PubMed Central

Poirier, Abbey E.; Grundy, Anne; Khandwala, Farah; Friedenreich, Christine M.; Brenner, Darren R.

2017-01-01

Background: The International Agency for Research on Cancer has classified outdoor air pollution (fine particulate matter [PM2.5]) as a Group 1 lung carcinogen in humans. We aimed to estimate the proportion of lung cancer cases attributable to PM2.5 exposure in Alberta in 2012. Methods: Annual average concentrations of PM2.5 in 2011 for 22 communities across Alberta were extracted from the Clean Air Strategic Alliance Data Warehouse and were population-weighted across the province. Using 7.5 µg/m3 and 3.18 µg/m3 as the annual average theoretical minimum risk concentrations of PM2.5, we estimated the proportion of the population above this cut-off to determine the population attributable risk of lung cancer due to PM2.5 exposure. Results: The mean population-weighted concentration of PM2.5 for Alberta in 2011 was 10.03 µg/m3. We estimated relative risks of 1.02 and 1.06 for theoretical minimum risk PM2.5 concentration thresholds of 7.5 µg/m3 and 3.18 µg/m3, respectively. About 1.87%-5.69% of incident lung cancer cases in Alberta were estimated to be attributable to PM2.5 exposure. Interpretation: Our estimate of attributable burden is low compared to that reported in studies in other areas of the world owing to the relatively low levels of PM2.5 recorded in Alberta. Reducing PM2.5 emissions in Alberta should continue to be a priority to help decrease the burden of lung cancer in the population. PMID:28659352

The Unrecognized Burden of Influenza in Young Kenyan Children, 2008-2012

PubMed Central

McMorrow, Meredith L.; Emukule, Gideon O.; Njuguna, Henry N.; Bigogo, Godfrey; Montgomery, Joel M.; Nyawanda, Bryan; Audi, Allan; Breiman, Robert F.; Katz, Mark A.; Cosmas, Leonard; Waiboci, Lilian W.; Duque, Jazmin; Widdowson, Marc-Alain; Mott, Joshua A.

2015-01-01

Influenza-associated disease burden among children in tropical sub-Saharan Africa is not well established, particularly outside of the 2009 pandemic period. We estimated the burden of influenza in children aged 0–4 years through population-based surveillance for influenza-like illness (ILI) and acute lower respiratory tract illness (ALRI). Household members meeting ILI or ALRI case definitions were referred to health facilities for evaluation and collection of nasopharyngeal and oropharyngeal swabs for influenza testing by real-time reverse transcription polymerase chain reaction. Estimates were adjusted for health-seeking behavior and those with ILI and ALRI who were not tested. During 2008–2012, there were 9,652 person-years of surveillance among children aged 0–4 years. The average adjusted rate of influenza-associated hospitalization was 4.3 (95% CI 3.0–6.0) per 1,000 person-years in children aged 0–4 years. Hospitalization rates were highest in the 0–5 month and 6–23 month age groups, at 7.6 (95% CI 3.2–18.2) and 8.4 (95% CI 5.4–13.0) per 1,000 person-years, respectively. The average adjusted rate of influenza-associated medically attended (inpatient or outpatient) ALRI in children aged 0–4 years was 17.4 (95% CI 14.2–19.7) per 1,000 person-years. Few children who had severe laboratory-confirmed influenza were clinically diagnosed with influenza by the treating clinician in the inpatient (0/33, 0%) or outpatient (1/109, 0.9%) settings. Influenza-associated hospitalization rates from 2008–2012 were 5–10 times higher than contemporaneous U.S. estimates. Many children with danger signs were not hospitalized; thus, influenza-associated severe disease rates in Kenyan children are likely higher than hospital-based estimates suggest. PMID:26379030

The financial burden of cancer: estimates from patients undergoing cancer care in a tertiary care hospital.

PubMed

Zaidi, Adnan A; Ansari, Tayyaba Z; Khan, Aziz

2012-10-15

The emotional burden associated with the diagnosis of cancer is sometimes overshadowed by financial burden sustained by patient and the family. This is especially relevant for a developing country as there is limited state support for cancer treatment. We conducted this study to estimate the cost of cancer care for two major types of cancer and to assess the perception of patients and families regarding the burden of the cost for undergoing cancer treatment at a private tertiary care hospital. This cross-sectional study was conducted at day care and radiotherapy unit of Aga Khan University, Hospital (AKUH) Karachi, Pakistan. All adult patients with breast and head & neck cancers diagnosed for 3 months or more were included. Data was collected using a structured questionnaire and analysed using SPSS. Sixty seven patients were interviewed during the study period. The mean and median monthly income of these patients was 996.4 USD and 562.5 USD respectively. Comparatively the mean and median monthly cost of cancer care was 1093.13 USD and 946.42 USD respectively. The cost of the treatment either fully or partially was borne by the family in most cases (94%). The financial burden of cancer was perceived as significant by 28 (42%) patients and unmanageable by 18 (27%) patients. This perceived level of burden was associated significantly with average monthly income (p = <0.001). Our study indicates that the financial burden of cancer care is substantial and can be overwhelming. There is a desperate need for treatment support programs either by the government or other welfare organisations to support individuals and families who are already facing a difficult and challenging situation.

THE RELATION BETWEEN DIFFERENT DIMENSIONS OF ALCOHOL CONSUMPTION AND BURDEN OF DISEASE - AN OVERVIEW

PubMed Central

Rehm, Jürgen; Baliunas, Dolly; Borges, Guilherme L. G.; Graham, Kathryn; lrving, Hyacinth; Kehoe, Tara; Parry, Charles D.; Patra, Jayadeep; Popova, Svetlana; Poznyak, Vladimir; Roerecke, Michael; Room, Robin; Samokhvalov, Andriy V.; Taylor, Benjamin

2012-01-01

AIMS As part of a larger study to estimate the global burden of disease and injury attributable to alcohol: To evaluate the evidence for a causal impact of average volume of alcohol consumption and pattern of drinking on diseases and injuries;To quantify relationships identified as causal based on published meta-analyses;To separate the impact on mortality vs. morbidity where possible; andTo assess the impact of the quality of alcohol on burden of disease. METHODS Systematic literature reviews were used to identify alcohol-related diseases, birth complications and injuries using standard epidemiologic criteria to determine causality. The extent of the risk relations was taken from meta-analyses. RESULTS Evidence of a causal impact of average volume of alcohol consumption was found for the following major diseases: tuberculosis, mouth, nasopharynx, other pharynx and oropharynx cancer, oesophageal cancer, colon and rectum cancer, liver cancer, female breast cancer, diabetes mellitus, alcohol use disorders, unipolar depressive disorders, epilepsy, hypertensive heart disease, ischaemic heart disease (IHD), ischaemic and haemorrhagic stroke, conduction disorders and other dysrhythmias, lower respiratory infections (pneumonia), cirrhosis of the liver, preterm birth complications, foetal alcohol syndrome. Dose-response relationships could be quantified for all disease categories except for depressive disorders, with the relative risk increasing with increased level of alcohol consumption for most diseases. Both average volume and drinking pattern were causally linked to IHD, foetal alcohol syndrome, and unintentional and intentional injuries. For IHD, ischaemic stroke and diabetes mellitus beneficial effects were observed for patterns of light to moderate drinking without heavy drinking occasions (as defined by 60+ grams pure alcohol per day). For several disease and injury categories, the effects were stronger on mortality compared to morbidity. There was insufficient evidence to establish whether quality of alcohol had a major impact on disease burden. CONCLUSIONS Overall, these findings indicate that alcohol causally impacts many disease outcomes, both chronic and acute, and injuries. In addition, a pattern of heavy episodic drinking increases risk for some disease and all injury outcomes. Future studies need to address a number of methodological issues, especially the differential role of average volume versus drinking pattern, in order to obtain more accurate risk estimates and to better understand the nature of alcohol-disease relationships. PMID:20331573

The global burden of dengue: an analysis from the Global Burden of Disease Study 2013.

PubMed

Stanaway, Jeffrey D; Shepard, Donald S; Undurraga, Eduardo A; Halasa, Yara A; Coffeng, Luc E; Brady, Oliver J; Hay, Simon I; Bedi, Neeraj; Bensenor, Isabela M; Castañeda-Orjuela, Carlos A; Chuang, Ting-Wu; Gibney, Katherine B; Memish, Ziad A; Rafay, Anwar; Ukwaja, Kingsley N; Yonemoto, Naohiro; Murray, Christopher J L

2016-06-01

Dengue is the most common arbovirus infection globally, but its burden is poorly quantified. We estimated dengue mortality, incidence, and burden for the Global Burden of Disease Study 2013. We modelled mortality from vital registration, verbal autopsy, and surveillance data using the Cause of Death Ensemble Modelling tool. We modelled incidence from officially reported cases, and adjusted our raw estimates for under-reporting based on published estimates of expansion factors. In total, we had 1780 country-years of mortality data from 130 countries, 1636 country-years of dengue case reports from 76 countries, and expansion factor estimates for 14 countries. We estimated an average of 9221 dengue deaths per year between 1990 and 2013, increasing from a low of 8277 (95% uncertainty estimate 5353-10 649) in 1992, to a peak of 11 302 (6790-13 722) in 2010. This yielded a total of 576 900 (330 000-701 200) years of life lost to premature mortality attributable to dengue in 2013. The incidence of dengue increased greatly between 1990 and 2013, with the number of cases more than doubling every decade, from 8·3 million (3·3 million-17·2 million) apparent cases in 1990, to 58·4 million (23·6 million-121·9 million) apparent cases in 2013. When accounting for disability from moderate and severe acute dengue, and post-dengue chronic fatigue, 566 000 (186 000-1 415 000) years lived with disability were attributable to dengue in 2013. Considering fatal and non-fatal outcomes together, dengue was responsible for 1·14 million (0·73 million-1·98 million) disability-adjusted life-years in 2013. Although lower than other estimates, our results offer more evidence that the true symptomatic incidence of dengue probably falls within the commonly cited range of 50 million to 100 million cases per year. Our mortality estimates are lower than those presented elsewhere and should be considered in light of the totality of evidence suggesting that dengue mortality might, in fact, be substantially higher. Bill & Melinda Gates Foundation. Copyright © 2016 Elsevier Ltd. All rights reserved.

Global economic burden of Chagas disease: a computational simulation model.

PubMed

Lee, Bruce Y; Bacon, Kristina M; Bottazzi, Maria Elena; Hotez, Peter J

2013-04-01

As Chagas disease continues to expand beyond tropical and subtropical zones, a growing need exists to better understand its resulting economic burden to help guide stakeholders such as policy makers, funders, and product developers. We developed a Markov simulation model to estimate the global and regional health and economic burden of Chagas disease from the societal perspective. Our Markov model structure had a 1 year cycle length and consisted of five states: acute disease, indeterminate disease, cardiomyopathy with or without congestive heart failure, megaviscera, and death. Major model parameter inputs, including the annual probabilities of transitioning from one state to another, and present case estimates for Chagas disease came from various sources, including WHO and other epidemiological and disease-surveillance-based reports. We calculated annual and lifetime health-care costs and disability-adjusted life-years (DALYs) for individuals, countries, and regions. We used a discount rate of 3% to adjust all costs and DALYs to present-day values. On average, an infected individual incurs US$474 in health-care costs and 0·51 DALYs annually. Over his or her lifetime, an infected individual accrues an average net present value of $3456 and 3·57 DALYs. Globally, the annual burden is $627·46 million in health-care costs and 806,170 DALYs. The global net present value of currently infected individuals is $24·73 billion in health-care costs and 29,385,250 DALYs. Conversion of this burden into costs results in annual per-person costs of $4660 and lifetime per-person costs of $27,684. Global costs are $7·19 billion per year and $188·80 billion per lifetime. More than 10% of these costs emanate from the USA and Canada, where Chagas disease has not been traditionally endemic. A substantial proportion of the burden emerges from lost productivity from cardiovascular disease-induced early mortality. The economic burden of Chagas disease is similar to or exceeds those of other prominent diseases globally (eg, rotavirus $2·0 billion, cervical cancer $4·7 billion) even in the USA (Lyme disease $2·5 billion), where Chagas disease has not been traditionally endemic, suggesting an economic argument for more attention and efforts towards control of Chagas disease. Bill & Melinda Gates Foundation, the National Institute of General Medical Sciences Models of Infectious Disease Agent Study. Copyright © 2013 Elsevier Ltd. All rights reserved.

Alcohol consumption and burden of disease in the Americas in 2012: implications for alcohol policy.

PubMed

Shield, Kevin D; Monteiro, Maristela; Roerecke, Michael; Smith, Blake; Rehm, Jürgen

2015-12-01

To describe the volume and patterns of alcohol consumption up to and including 2012, and to estimate the burden of disease attributable to alcohol consumption as measured in deaths and disability-adjusted life years (DALYs) lost in the Americas in 2012. Measures of alcohol consumption were obtained from the World Health Organization (WHO) Global Information System on Alcohol and Health (GISAH). The burden of alcohol consumption was estimated in both deaths and DALYs lost based on mortality data obtained from WHO, using alcohol-attributable fractions. Regional groupings for the Americas were based on the WHO classifications for 2004 (according to child and adult mortality). Regional variations were observed in the overall volume of alcohol consumed, the proportion of the alcohol market attributable to unrecorded alcohol consumption, drinking patterns, prevalence of drinking, and prevalence of heavy episodic drinking, with inhabitants of the Americas consuming more alcohol (8.4 L of pure alcohol per adult in 2012) compared to the world average. The Americas also experienced a high burden of disease attributable to alcohol consumption (4.7% of all deaths and 6.7% of all DALYs lost), especially in terms of injuries attributable to alcohol consumption. Alcohol is consumed in a harmful manner in the Americas, leading to a high burden of disease, especially in terms of injuries. New cost-effective alcohol policies, such as increasing alcohol taxation, increasing the minimum legal age to purchase alcohol, and decreasing the maximum legal blood alcohol content while driving, should be implemented to decrease the harmful consumption of alcohol and the resulting burden of disease.

Metabolic concentration of lipid soluble organochlorine burdens in the blubber of southern hemisphere humpback whales through migration and fasting.

PubMed

Bengtson Nash, Susan M; Waugh, Courtney A; Schlabach, Martin

2013-08-20

Southern hemisphere humpback whales undertake the longest migrations and associated periods of fasting of any mammal. Fluctuations in lipid energy stores are known to profoundly affect the toxicokinetics of lipophilic organochlorine compound (OC) burdens. Results from blubber biopsy sampling of adult, male humpback whales at two time points of the annual migration journey revealed dramatic concentration effects for the majority of OC compounds. The observed concentration effect was, however, not linear with measured average blubber lipid loss indicating significant redistribution of OCs and hence the importance of alternate lipid depots for meeting the energetic demands of the migration journey. Applying lipophilic OC burdens as novel tracers of whole-body lipid dynamics, the observed average concentration index suggests an average individual weight loss of 13% over 4 months of the migration journey. This value is based upon lipid derived energy and is in good agreement with previous weight prediction formulas. Notably, however, these estimates may greatly underestimate individual weight loss if significant protein catabolism occurs. Biomagnification factors between migrating southern hemisphere humpback whales and their principal prey item, Antarctic krill, closely resembled those of baleen whales feeding on herbivorous zooplankton in the Arctic. This study emphasizes the importance of considering prolonged periods of food deprivation when assessing chemical risks posed to wildlife. This is of particular importance for Polar biota adapted to extremes in ecosystem productivity.

An evaluation of health care expenditures in Crohn's disease using the United States Medical Expenditure Panel Survey from 2003 to 2013.

PubMed

Bounthavong, Mark; Li, Meng; Watanabe, Jonathan H

Previous estimates of the economic burden of Crohn's disease (CD) varied widely from $2.0 to $18.2 billion per year (adjusted to 2015 $US). However, these estimates do not reflect recent changes in pharmaceutical treatment options and guidelines. The goal of this study was to update cost estimates of Crohn's disease based on a representative sample of the US population from the most recent 11 years (2003-2013) of the Medical Expenditure Panel Survey (MEPS). A secondary aim described expenditure trends in respondents with and without Crohn's disease pre-post FDA approvals of new biologics and the American College of Gastroenterology Crohn's disease treatment guidelines. Average annual expenditures (total, prescription, inpatient, and outpatient) were evaluated using a pooled cross-sectional design. Respondent data from the most recent 11 years (2003-2013) of MEPS were analyzed. Two-part generalized linear models with power-link were used to estimate the average annual expenditures per patient adjusted to multiple covariates. Confidence intervals (CI) were estimated using bootstrap methods. Difference-in-differences estimations were performed to compare the changes in health care expenditures pre-post FDA approvals of new biologics and the American College of Gastroenterology Crohn's disease treatment guidelines. The annual aggregate economic burden of CD was $6.3 billion in the US. Respondents with CD had higher total (+$6442; 95% CI: $4864 to $8297), prescription (+$3283; 95% CI: $2289 to $4445), inpatient (+$1764; 95% CI: $748 to $3551), and outpatient (+$1191; 95% CI: $592 to $2160) expenditures compared to respondents without CD. In the difference-in-differences estimation, respondents with CD had significantly higher total (P = 0.001) and prescription (P < 0.001) expenditures compared with respondents without CD. Although inpatient and outpatient expenditures were higher in respondents with CD, they were not statistically significant. Respondents with CD diagnosis had higher expenditures compared to respondents without CD diagnosis from 2003 to 2013. This study captured the most recent availability of new treatment options and changes to treatment guidelines, while providing updated estimates of the economic burden of CD in the US. However, this research was unable to study the causes of these increased health care expenditures in respondents with CD. Future investigations will need to determine the causal factors for increased expenditures in CD. Copyright © 2016 Elsevier Inc. All rights reserved.

Economic Impact of Dengue Illness in the Americas

PubMed Central

Shepard, Donald S.; Coudeville, Laurent; Halasa, Yara A.; Zambrano, Betzana; Dayan, Gustavo H.

2011-01-01

The growing burden of dengue in endemic countries and outbreaks in previously unaffected countries stress the need to assess the economic impact of this disease. This paper synthesizes existing studies to calculate the economic burden of dengue illness in the Americas from a societal perspective. Major data sources include national case reporting data from 2000 to 2007, prospective cost of illness studies, and analyses quantifying underreporting in national routine surveillance systems. Dengue illness in the Americas was estimated to cost $2.1 billion per year on average (in 2010 US dollars), with a range of $1–4 billion in sensitivity analyses and substantial year to year variation. The results highlight the substantial economic burden from dengue in the Americas. The burden for dengue exceeds that from other viral illnesses, such as human papillomavirus (HPV) or rotavirus. Because this study does not include some components (e.g., vector control), it may still underestimate total economic consequences of dengue. PMID:21292885

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

PubMed Central

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

2017-01-01

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

Objective and Subjective Burden of Informal Caregivers 4 Years After a Severe Traumatic Brain Injury: Results From the PariS-TBI Study.

PubMed

Bayen, Eléonore; Jourdan, Claire; Ghout, Idir; Darnoux, Emmanuelle; Azerad, Sylvie; Vallat-Azouvi, Claire; Weiss, Jean-Jacques; Aegerter, Philippe; Pradat-Diehl, Pascale; Joël, Marie-Eve; Azouvi, Philippe

2016-01-01

Prospective assessment of informal caregiver (IC) burden 4 years after the traumatic brain injury of a relative. Longitudinal cohort study (metropolitan Paris, France). Home dwelling adults (N = 98) with initially severe traumatic brain injury and their primary ICs. Informal caregiver objective burden (Resource Utilization in Dementia measuring Informal Care Time [ICT]), subjective burden (Zarit Burden Inventory), monetary self-valuation of ICT (Willingness-to-pay, Willingness-to-accept). Informal caregivers were women (81%) assisting men (80%) of mean age of 37 years. Fifty-five ICs reported no objective burden (ICT = 0) and no/low subjective burden (average Zarit Burden Inventory = 12.1). Forty-three ICs reported a major objective burden (average ICT = 5.6 h/d) and a moderate/severe subjective burden (average Zarit Burden Inventory = 30.3). In multivariate analyses, higher objective burden was associated with poorer Glasgow Outcome Scale-Extended scores, with more severe cognitive disorders (Neurobehavioral Rating Scale-revised) and with no coresidency status; higher subjective burden was associated with poorer Glasgow Outcome Scale-Extended scores, more Neurobehavioral Rating Scale-revised disorders, drug-alcohol abuse, and involvement in litigation. Economic valuation showed that on average, ICs did not value their ICT as free and preferred to pay a mean Willingness-to-pay = &OV0556;17 per hour to be replaced instead of being paid for providing care themselves (Willingness-to-accept = &OV0556;12). Four years after a severe traumatic brain injury, 44% of ICs experienced a heavy multidimensional burden.

The economic burden of cancer in Korea in 2009.

PubMed

Kim, So Young; Park, Jong-Hyock; Kang, Kyoung Hee; Hwang, Inuk; Yang, Hyung Kook; Won, Young-Joo; Seo, Hong-Gwan; Lee, Dukhyoung; Yoon, Seok-Jun

2015-01-01

Cancer imposes a significant economic burden on individuals, families and society. The purpose of this study was to estimate the economic burden of cancer using the healthcare claims and cancer registry data in Korea in 2009. The economic burden of cancer was estimated using the prevalence data where patients were identified in the Korean Central Cancer Registry. We estimated the medical, non-medical, morbidity and mortality cost due to lost productivity. Medical costs were calculated using the healthcare claims data obtained from the Korean National Health Insurance (KNHI) Corporation. Non-medical costs included the cost of transportation to visit health providers, costs associated with caregiving for cancer patients, and costs for complementary and alternative medicine (CAM). Data acquired from the Korean National Statistics Office and Ministry of Labor were used to calculate the life expectancy at the time of death, age- and gender-specific wages on average, adjusted for unemployment and labor force participation rate. Sensitivity analysis was performed to derive the current value of foregone future earnings due to premature death, discounted at 3% and 5%. In 2009, estimated total economic cost of cancer amounted to $17.3 billion at a 3% discount rate. Medical care accounted for 28.3% of total costs, followed by non-medical (17.2%), morbidity (24.2%) and mortality (30.3%) costs. Given that the direct medical cost sharply increased over the last decade, we must strive to construct a sustainable health care system that provides better care while lowering the cost. In addition, a comprehensive cancer survivorship policy aimed at lower caregiving cost and higher rate of return to work has become more important than previously considered.

[Analysis of occupational chronic n-hexane poisoning economic burden].

PubMed

Yu, Xintian; Qiu, Xingyuan; Bian, Huanfeng; Zhang, Suli; Zhu, Zhiliang; Wu, Junhua

2014-07-01

To study the economic burden caused by occupational chronic n-hexane poisoning. Information about the cost of treatment, compensation, board, wage, diagnosis, escorts, transportation and the days off work were collected in a 34 cases of occupational chronic n-hexane poisoning accident to estimate the economic burden. There were 4 mild, 19 moderate, 11 severe in the 34 cases and the total cost was 6 084 809 yuan. The hospitalization days was respectively (204.0 ± 3.7) d, (226.6 ± 78.3) d and (417.6 ± 94.1) d, averaging (285.8 ± 96.3) d. The treatment cost was respectively 62 525.8, 69 409.7 and 128 155.6 yuan. The compensation was respectively 20 000.0, 20 052.6 and 30 290.9 yuan. The wage was respectively 23 460.0, 26 062.6 and 47 644.0 yuan. The board was respectively 17 566.5, 19 499.8 and 36 230.1 yuan. The days of work was respectively (176.8 ± 3.2) d, (196.4 ± 67.9) d and (361.4 ± 81.6) d, averaging (247.7 ± 83.5). The lost productivity was respectively 1 809 724.8, 2 010 350.4 and 3 699 290.4 yuan. The economic burden of occupational chronic n-hexane poisoning was so heavy that prevention measures should be strengthened.

The global economic burden of diabetes in adults aged 20-79 years: a cost-of-illness study.

PubMed

Bommer, Christian; Heesemann, Esther; Sagalova, Vera; Manne-Goehler, Jennifer; Atun, Rifat; Bärnighausen, Till; Vollmer, Sebastian

2017-06-01

Differences in methods and data used in past studies have limited comparisons of the cost of illness of diabetes across countries. We estimate the full global economic burden of diabetes in adults aged 20-79 years in 2015, using a unified framework across all countries. Our objective was to highlight patterns of diabetes-associated costs as well as to identify the need for further research in low-income regions. Epidemiological and economic data for 184 countries were used to estimate the global economic burden of diabetes, regardless of diabetes type. Direct costs were derived using a top-down approach based on WHO general health expenditure figures and prevalence data from the 2015 International Diabetes Federation Diabetes Atlas. Indirect costs were assessed using a human-capital approach, including diabetes-associated morbidity and premature mortality. We estimate the global cost of diabetes for 2015 was US$1·31 trillion (95% CI 1·28-1·36) or 1·8% (95% CI 1·8-1·9) of global gross domestic product (GDP). Notably, indirect costs accounted for 34·7% (95% CI 34·7-35·0) of the total burden, although substantial variations existed both in the share and the composition of indirect costs across countries. North America was the most affected region relative to GDP and also the largest contributor to global absolute costs. However, on average, the economic burden as percentage of GDP was larger in middle-income countries than in high-income countries. Our results suggest a substantial global economic burden of diabetes. Although limited data were available for low-income and middle-income countries, our findings suggest that large diabetes-associated costs are not only a problem in high-income settings but also affect poorer world regions. None. Copyright © 2017 Elsevier Ltd. All rights reserved.

NSFC Health Research Funding and Burden of Disease in China

PubMed Central

Xu, Gelin; Zhang, Zhizhong; Lv, Qiushi; Li, Yun; Ye, Ruidong; Xiong, Yunyun; Jiang, Yongjun; Liu, Xinfeng

2014-01-01

Background Allocation of health research funds among diseases has never been evaluated in China. This study aimed to examine the relationship between disease-specific funding levels of National Nature Science Foundation of China (NSFC), the main governmental resource for health research in China, and burden of disease. Methods Funding magnitudes for 53 diseases or conditions were obtained from the website of NSFC. Measures of disease burden, mortality, years of life lost (YLLs) and disability-adjusted life years (DALYs), were derived from the Global Burden of Disease Study 2010. The relationship between NSFC funding and disease burden was analyzed with univariate linear regression. For each measure associated with funding, regression-derived estimates were used to calculate the expected funds for each disease. The actual and expected funds were then compared. We also evaluated the impacts of changes of disease burden metrics since 1990, and differences from the world averages on NSFC funding. Results NSFC health research funding was associated with disease burden measured in mortality (R = 0.33, P = 0.02), YLLs (R = 0.39, P = 0.004), and DALYs (R = 0.40, P = 0.003). But none of the changes of mortality (R = 0.22, P = 0.12), YLLs (R = −0.04, P = 0.79) and DALYs (R = −0.003, P = 0.98) since 1990 was associated with the funding magnitudes. None of the differences of mortality (R = −0.11, P = 0.45), YLLs (R = −0.11, P = 0.43) and DALYs (R = −0.12, P = 0.38) from that of the concurrent world averages were associated with the funding magnitudes. Measured by DALY, stroke and COPD received the least funding compared to expected; while leukemia and diabetes received the most funding compared to expected. Conclusion Although NSFC funding were roughly associated with disease burden as measured in mortality, YLLs and DALYs. Some major diseases such as stroke were underfunded; while others such as leukaemia were overfunded. Change of disease burden during the last 20 years and country-specialized disease burden were not reflected in current allocation of NSFC funds. PMID:25369330

NSFC health research funding and burden of disease in China.

PubMed

Xu, Gelin; Zhang, Zhizhong; Lv, Qiushi; Li, Yun; Ye, Ruidong; Xiong, Yunyun; Jiang, Yongjun; Liu, Xinfeng

2014-01-01

Allocation of health research funds among diseases has never been evaluated in China. This study aimed to examine the relationship between disease-specific funding levels of National Nature Science Foundation of China (NSFC), the main governmental resource for health research in China, and burden of disease. Funding magnitudes for 53 diseases or conditions were obtained from the website of NSFC. Measures of disease burden, mortality, years of life lost (YLLs) and disability-adjusted life years (DALYs), were derived from the Global Burden of Disease Study 2010. The relationship between NSFC funding and disease burden was analyzed with univariate linear regression. For each measure associated with funding, regression-derived estimates were used to calculate the expected funds for each disease. The actual and expected funds were then compared. We also evaluated the impacts of changes of disease burden metrics since 1990, and differences from the world averages on NSFC funding. NSFC health research funding was associated with disease burden measured in mortality (R = 0.33, P = 0.02), YLLs (R = 0.39, P = 0.004), and DALYs (R  = 0.40, P = 0.003). But none of the changes of mortality (R = 0.22, P = 0.12), YLLs (R =  -0.04, P = 0.79) and DALYs (R =  -0.003, P = 0.98) since 1990 was associated with the funding magnitudes. None of the differences of mortality (R =  -0.11, P = 0.45), YLLs (R =  -0.11, P = 0.43) and DALYs (R =  -0.12, P = 0.38) from that of the concurrent world averages were associated with the funding magnitudes. Measured by DALY, stroke and COPD received the least funding compared to expected; while leukemia and diabetes received the most funding compared to expected. Although NSFC funding were roughly associated with disease burden as measured in mortality, YLLs and DALYs. Some major diseases such as stroke were underfunded; while others such as leukaemia were overfunded. Change of disease burden during the last 20 years and country-specialized disease burden were not reflected in current allocation of NSFC funds.

Global Project Management: Graduate Course

DTIC Science & Technology

2006-01-01

They take advantage of the fact that the other party assumes the counterparty is acting in good faith and telling the truth . , One common trick is...average 1 h our per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed...and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of

Deceptive Tactics for Protecting Cities Against Vehicle Borne Improvised Explosive Devices

DTIC Science & Technology

2008-03-01

burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...INTENTIONALLY LEFT BLANK xiii LIST OF ABBREVIATIONS ABS Agent Based Simulation ANA Agent Network Attack DVF Detection Value Function GIS Geographic...any other behavior (than perceptive) may be advantageous to the attacker. - A communicative behavior proves particularly effective over time for the

DOD Manufacturing Arsenals: Actions Needed to Identify and Sustain Critical Capabilities

DTIC Science & Technology

2015-11-01

to each develop their own unique method. A senior OSD official described the resulting process as unsound . Each manufacturing arsenal declared what...Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments

Thucydides was Right: Defining the Future Threat

DTIC Science & Technology

2015-04-01

and the historical parallel, because the former is fun- damentally empirically unsound . History does not repeat itself in ways essential for analogy...ADVANCING STRATEGIC THOUGHT SERIES THUCYDIDES WAS RIGHT: DEFINING THE FUTURE THREAT Colin S. Gray FOR THIS AND OTHER PUBLICATIONS, VISIT US AT...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response

Fire Protection Safety Evaluations of Hydro-Treated Renewable Jet (HRJ) and Synthetic Paraffinic Kerosene (SPK) Fuels

DTIC Science & Technology

2012-04-30

OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for...NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1 . REPORT DATE (DD-MM-YYYY) 2. REPORT TYPE 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE 5a. CONTRACT... 1 . SUMMARY ......................................................................................................................... 1 2

Triangular Mesh Generation of Elevation Versus Distance Course Profiles for use with Road Property Files

DTIC Science & Technology

2010-09-01

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503 1 . AGENCY USE ONLY (Leave blank) 2. REPORT DATE... 1 2.0 ROAD GEOMETRY CREATION ............................................................. 1 3.0 NODE AND ELEMENT CREATION

Measuring Blast-Related Intracranial Pressure Within the Human Head

DTIC Science & Technology

2011-02-01

AWARD NUMBER: W81XWH-09- 1 -0498 TITLE: Measuring Blast-Related Intracranial Pressure Within...REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour...valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1 . REPORT DATE 1 February 2011 2. REPORT TYPE Final 3. DATES

Global Ionospheric Processes

DTIC Science & Technology

2008-10-29

DOCUMENTATION PAGE Form ApprovedOMB No. 0704-01-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response...person shall be PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1 . REPORT DATE (DD-MM-YYYY) 2. REPORT TYPE 3. DATES COVERED (From - To) 4. TITLE...iii Contents 1 . INTRODUCTION 1 1.1 Task History and Overview 1 1.2 Objectives

China Naval Modernization: Implications for U.S. Navy Capabilities - Background and Issues for Congress

DTIC Science & Technology

2008-10-08

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...information if it does not display a currently valid OMB control number. 1 . REPORT DATE 08 OCT 2008 2. REPORT TYPE 3. DATES COVERED 00-00-2008 to... 1 Issue for Congress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Scope, Sources, and

China Naval Modernization: Implications for U.S. Navy Capabilities -- Background and Issues for Congress

DTIC Science & Technology

2008-07-10

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...information if it does not display a currently valid OMB control number. 1 . REPORT DATE 10 JUL 2008 2. REPORT TYPE 3. DATES COVERED 00-00-2008 to 00... 1 Issue for Congress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Scope, Sources, and

China Naval Modernization: Implications for U.S. Navy Capabilities - Background and Issues for Congress

DTIC Science & Technology

2008-11-19

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...information if it does not display a currently valid OMB control number. 1 . REPORT DATE 19 NOV 2008 2. REPORT TYPE 3. DATES COVERED 00-00-2008 to... 1 Issue for Congress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Scope, Sources, and

Joint Combined Exchange Training Evaluation Framework: A Crucial Tool in Security Cooperation Assessment

DTIC Science & Technology

2015-12-01

DOD, joint, or armed service component’s manuals , and other publications . Obviously, JCETs fall under the broader spectrum of security cooperation...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release; distribution is unlimited JOINT COMBINED...No. 0704–0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing

A Biophysico-computational Perspective of Breast Cancer Pathogenesis and Treatment Response

DTIC Science & Technology

2006-03-01

of Breast Cancer Pathogenesis and Treatment Response PRINCIPAL INVESTIGATOR: Valerie M. Weaver Ph.D. CONTRACTING...burden for this collection of information is estimated to average 1 hour per response , including the time for reviewing instructions, searching existing...Biophysico-computational Perspective of Breast Cancer Pathogenesis and 5a. CONTRACT NUMBER Treatment Response 5b. GRANT NUMBER W81XWH-05-1-0330 5c

Naval Sea Systems Command On Watch 2010

DTIC Science & Technology

2010-01-01

surface targets, such as zodiacs and fast patrol boats found in the littoral environment. As for future capabilities and goals for the program, An...Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing

The Future of U.S.-India Naval Relations

DTIC Science & Technology

2017-02-01

Cleared for Public Release DISTRIBUTION STATEMENT A. Approved for public release: distribution unlimited. The Future of U.S.-India...STATEMENT A. Approved for public release: distribution unlimited. PUBLIC  RELEASE. 2/1/2017 Other requests for this document shall be referred to...DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per

Comprehensive Energy and Water Master Plan, Redstone Arsenal

DTIC Science & Technology

2009-01-01

Facility Energy Decision System (FEDS) analysis completed by the Pacific Northwest National Laboratory ( PNNL ). This model presents a clear picture of...steam options analysis conducted by Pacific Northwest National Laboratory ( PNNL ) giving priority to strategies that maximize the use of waste for...0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing

Defense Forensic Enterprise: Assessment and Status Report Personnel Accounting Extract

DTIC Science & Technology

2013-12-01

represent the opinion of the Department of the Navy. APPROVED FOR PUBLIC RELEASE. DISTRIBUTION UNLIMITED. Copies of this document can be obtained through...Roberts Director, Aviation Systems and Technology Advanced Technology and Systems Analysis REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188... Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions

Predicting Cigarette Initiation and Re-Initiation Among Active Duty Air Force Recruits

DTIC Science & Technology

2017-10-17

interventions, focusing on benefits associated with being tobacco- free and avoiding costs of tobacco use, an approach incorporating principles of behavioral...REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1...REPORT 210-292-7141 NUMBER(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release. Distribution is unlimited. 13. SUPPLEMENTARY

Minding the Factors of Public Support: How Lessons From Panama Could Prevent Future Iraqs

DTIC Science & Technology

2017-06-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release. Distribution is unlimited. MINDING THE FACTORS...OF PUBLIC SUPPORT: HOW LESSONS FROM PANAMA COULD PREVENT FUTURE IRAQS by Michael S. Handlan Michael D. Salazar June 2017 Thesis... Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing

Effective Client Management: Maximizing The Influence of External Sponsors Over Affiliated Armed Groups

DTIC Science & Technology

2017-12-01

MANAGEMENT : MAXIMIZING THE INFLUENCE OF EXTERNAL SPONSORS OVER AFFILIATED ARMED GROUPS by Anders C. Hamlin December 2017 Thesis Co...burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this

Communication Needs Assessment for Distributed Turbine Engine Control (Postprint)

DTIC Science & Technology

2008-07-01

and implementation, and enable new opportunities for performance optimization and increased awareness about system health. The transition from a...must be integrated into the communication network.10 These could include new sensors, actuators, or even complex subsystems for more advanced...No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for

Numerical Modeling of the Vertical Heat Transport Through the Diffusive Layer of the Arctic Ocean

DTIC Science & Technology

2013-03-01

vertical heat transport through Arctic thermohaline staircases over time . Re-engaging in the inverse modeling technique that was started by Chaplin ...reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...function. ........................................42 Figure 23. Temperature—Salinity plots for ITPs 1-6 (After Chaplin 2009

Naval Expeditionary Logistics: A Handbook for Complementing and Supporting Land Forces

DTIC Science & Technology

2006-09-01

required for Navy or Marine Corps forces assigned or attached to other commands, services, or nations. (5) (U) Assign responsibilities to support...PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response , including...accomplished by reviewing numerous documents of military units and federal agencies whose principal responsibility is expeditionary warfare and

Test Operations Procedure (TOP) 2-2-650 Engine Cold-Starting and Warm-Up Tests

DTIC Science & Technology

2008-02-12

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 ...currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1 . REPORT DATE (DD-MM-YYYY) 12-02-2008 2. REPORT...Page Paragraph 1 . SCOPE................................................................................ 2 2. FACILITIES AND INSTRUMENTATION

Optimal Preventive Maintenance Schedule based on Lifecycle Cost and Time-Dependent Reliability

DTIC Science & Technology

2011-11-10

Page 1 of 16 UNCLASSIFIED: Distribution Statement A. Approved for public release. 12IDM-0064 Optimal Preventive Maintenance Schedule based... 1 . INTRODUCTION Customers and product manufacturers demand continued functionality of complex equipment and processes. Degradation of material...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response

Acquisition Planning for the Armed Forces of the Philippines Modernization Program

DTIC Science & Technology

2002-12-01

to address these issues with the goal of providing defense planners with stable financial and structural strategic assumptions. The Guidelines are...Antonio Atanacio A. Habulan, Jr. December 2002 Thesis Advisor: Jeffrey R. Cuskey Second Reader: Ron Tudor Approved for public ...Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time

Countering Air and Missile Threats

DTIC Science & Technology

2012-03-23

information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources , gathering... apportionment guidance by the JFC. Functional component commands serve to ease the burden on the theater and joint task force staffs, free the JFC to focus...action (COA) to attain the desired objectives. Counterair requires a combination of OCA and DCA operations based on the JFC’s air apportionment

Trauma Informed Guilt Reduction (TrIGR) Intervention

DTIC Science & Technology

2017-10-01

AWARD NUMBER: W81XWH-15-1-0330 TITLE: Trauma- Informed Guilt Reduction (TrIGR) Intervention PRINCIPAL INVESTIGATOR: Sonya Norman, PhD CONTRACTING...Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information . Send comments

SWCC Prediction: Seep/W Add-In Functions

DTIC Science & Technology

2017-11-01

acquire this information is to investigate from which soil data set the predictive method was derived. ERDC/GSL SR-17-4 rev. 38 References...Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information . Send

Fake News, Conspiracy Theories, and Lies: An Information Laundering Model for Homeland Security

DTIC Science & Technology

2018-03-01

THEORIES, AND LIES: AN INFORMATION LAUNDERING MODEL FOR HOMELAND SECURITY by Samantha M. Korta March 2018 Co-Advisors: Rodrigo Nieto...for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing...data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this burden

Hacking the Silos: Eliminating Information Barriers Between Public Health and Law Enforcement

DTIC Science & Technology

2018-03-01

ELIMINATING INFORMATION BARRIERS BETWEEN PUBLIC HEALTH AND LAW ENFORCEMENT by Cody L. Minks March 2018 Thesis Advisor: Anke Richter...burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding this

Limiting Regret: Building the Army We Will Need

DTIC Science & Technology

2015-08-01

burden for the collection of information is estimated to average 1 hour per response , including the time for reviewing instructions, searching existing...NUMBER OF PAGES 23 19a. NAME OF RESPONSIBLE PERSON a. REPORT unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified Standard Form 298...Army’s ability to help execute the national defense strategy against key threats. The documentation for this analysis was funded by philanthropic

Globalization vs National Sovereignty

DTIC Science & Technology

2017-06-09

separation. The difference in today’s time is the speed of all aspects of our current life, social media, travel , news stories both verified and...Extremists use the mechanisms of globalization to plan and carry out attacks on the homeland. In a time where world travel is affordable and convenient...burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching

Equatorial Ionospheric Irregularities Study from ROCSAT Data

DTIC Science & Technology

2017-10-20

ApprovedOMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time ...scintillation in the Indian and Taiwan sector, it was concluded that the longitudinal/local- time dependence of irregularity/scintillation occurrences...irregularities/scintillation in the Indian and Taiwan sector, we have concluded that the longitudinal/local- time dependence of irregularity/scintillation

Incontinentia Pigmenti

DTIC Science & Technology

2008-01-01

BE POSTED ON THE WORLD -WIDE WEB: II SOCIAL SECURITY ACCOUNT NUMBERS 2) DATES OF BIRTH 3) HOME ADDRESSES 4) TELEPHONE NUMBERS OTHER THAN NUMBERS OF ... eosinophilia is seen during the vesicular stage of incontinentia pigmenti (Carney 1976). The presence of cone-shaped teeth, nail dysplasia, patchy...REPORT DOCUMENTATION PAGE Form ApprovedOMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1

Super Corr-A Solvent Replacement Study

DTIC Science & Technology

2011-05-12

Horizontal Vertical BUSINESS SENSITIVE 23 Conclusions • No tested lubricants met all first article testing requirements • DuPont Vertrel SDG and Kyzen...John Stropki Battelle Distribution Statement A Approved for public release; distribution is unlimited Report Documentation Page Form ApprovedOMB No...0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing

Cortical Photostimulation Technology for Vision Prosthesis

DTIC Science & Technology

2017-05-01

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...SUPPLEMENTARY NOTES 14. ABSTRACT The overall goal of the project is to evaluate the feasibility of using photochemical stimulation of cortical neurons as the...glutamate, which can directly stimulate cortical neurons. The new caged molecule has an absorption peak in the visible wavelength range, at 458 nm

Investigation of Chemical Reactivity, Mass Recovery and Biological Activity During Thermal Treatment of DNAPL Source Zones

DTIC Science & Technology

2009-10-01

Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response...penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1 . REPORT DATE OCT 2009 2...xvi E. 1 . Research Approach .........................................................................................................xvi E.2

Femtosecond Broad-Band Sum Frequency Generation Spectroscopy: Measurements of Ethanol Fuel Cell Catalysis

DTIC Science & Technology

2012-12-03

The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson Davis Highway, Suite 1204, Arlington VA, 22202-4302... REPORT Femtosecond Broad-Band Sum Frequency Generation Spectroscopy: Measurements of Ethanol Fuel Cell Catalysis 14. ABSTRACT 16. SECURITY

A Seakeeping Study on the Autonomous Sustainment Cargo Container Delivery System

DTIC Science & Technology

2008-03-01

reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching...Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington DC 20503. 1 . AGENCY USE ONLY (Leave blank) 2. REPORT DATE March...THIS PAGE INTENTIONALLY LEFT BLANK vii TABLE OF CONTENTS I. THE AUTONOMOUS SUSTAINMENT CONTAINER CONCEPT .................... 1 A. BACKGROUND

Contrast Analysis for Side-Looking Sonar

DTIC Science & Technology

2013-09-30

bound for shadow depth that can be used to validate modeling tools such as SWAT (Shallow Water Acoustics Toolkit). • Adaptive Postprocessing: Tune image...0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send

Computational Study of the Structure and Mechanical Properties of the Molecular Crystal RDX

DTIC Science & Technology

2011-01-01

Doctor of Philosophy, 2011 Directed By: Assistant Professor Santiago D. Solares , Department of Mechanical Engineering Molecular crystals...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response...NAME OF RESPONSIBLE PERSON a. REPORT unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified Standard Form 298 (Rev. 8-98) Prescribed

Bacterial Degradation of DNT and TNT Mixtures

DTIC Science & Technology

2005-10-31

deletion derivatives and subclones that allowed isolated synthesis of the other gene products shown in Figure II- 1 , did not provide activity to transform...Research Laboratories, Tyndall AFB, Florida) Glenn R. Johnson Air Force Research Laboratories, Tyndall AFB, Florida October 31, 2005 Version 1 ...burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing

Influence of the Pulse Duration in the Anthropomorphic Test Device (ATD) Lower-Leg Loading Mechanics

DTIC Science & Technology

2015-08-01

this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data ...sources, gathering and maintaining the data needed, and completing and reviewing the collection information. Send comments regarding this burden...its specialists for supporting the numerical analysis, experiment, data processing, and various discussions that gave me valuable ideas. 1 1

Towards a General Theory of Counterdeception

DTIC Science & Technology

2015-02-20

AFRL-OSR-VA-TR-2015-0067 TOWARDS A GENERAL THEORY OF COUNTERDECEPTION Scott Craver RESEARCH FOUNDATION OF STATE UNIVERSITY OF NEW YORK THE Final...reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . Send comments regarding

XDATA

DTIC Science & Technology

2017-12-01

6028 Date Cleared: 30 NOV 2017 13. SUPPLEMENTARY NOTES 14. ABSTRACT Data analysis tools which operate on varied data sources including time series ...public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...and raw detections from geo-located tweets Micro-paths (10M) (No distance/ time filter) Raw Tracks (10M) Raw Detections (10M) APPROVED FOR PUBLIC

Hangar Fire Suppression Utilizing Novec 1230

DTIC Science & Technology

2018-01-01

The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...fuel fires in aircraft hangars. A 30×30×8-ft concrete-and-steel test structure was constructed for this test series . Four discharge assemblies...structure. System discharge parameters---discharge time , discharge rate, and quantity of agent discharged---were adjusted to produce the desired Novec 1230

Defense: FY2011 Authorization and Appropriations

DTIC Science & Technology

2010-09-17

CRS Report for Congress Prepared for Members and Committees of Congress Defense: FY2011 Authorization and Appropriations Pat Towell...Coordinator Specialist in U.S. Defense Policy and Budget September 17, 2010 Congressional Research Service 7-5700 www.crs.gov R41254 Report ...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response

Transitions: Managing the Transfer of Security Responsibility

DTIC Science & Technology

2010-02-05

Index 1.2_Transitions-ConceptNote_v2.0_draft Index Transitions: Managing the Transfer of Security Responsibility A Concept Paper...reporting burden for the collection of information is estimated to average 1 hour per response , including the time for reviewing instructions...TITLE AND SUBTITLE Transitions: Managing the Transfer of Security Responsibility 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6

Hybrid Antimicrobial Enzyme and Silver Nanoparticle Coatings for Medical Instruments (Postprint)

DTIC Science & Technology

2009-01-01

December 2008 DISTRIBUTION A: Approved for release to the public ; distribution unlimited. This work is copyrighted. The United...Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including...RXQL AFRL-RX-TY-TP-2008-4630 Distribution Statement A: Approved for public release; distribution unlimited. Document contains color images. Ref

Demonstration of a Near and Mid-Infrared Detector Using Multiple Step Quantum Wells

DTIC Science & Technology

2003-09-01

MONTEREY, CALIFORNIA THESIS Approved for public release; distribution is unlimited. DEMONSTRATION OF A NEAR AND MID-INFRARED... Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction...AVAILABILITY STATEMENT Approved for public release; distribution is unlimited 12b. DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) In this

Reactions Between Contaminants and Functionalized Organic Self-Assembled Monolayers in Aqueous Solutions

DTIC Science & Technology

2006-05-16

Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including...DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT The interaction of...Introduction The subject of microbiological contamination in water has long been a major public concern, where microorganisms such as coliform bacteria

The NASA Meter Class Autonomous Telescope: Ascension Island

DTIC Science & Technology

2013-09-01

understand the debris environment by providing high fidelity data in a timely manner to protect satellites and spacecraft in orbit around the Earth...gigabytes of image data nightly. With fainter detection limits, precision detection, acquisition and tracking of targets, multi-color photometry ...ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for

Global Role and Burden of Influenza in Pediatric Respiratory Hospitalizations, 1982–2012: A Systematic Analysis

PubMed Central

Lafond, Kathryn E.; Nair, Harish; Rasooly, Mohammad Hafiz; Valente, Fátima; Booy, Robert; Rahman, Mahmudur; Kitsutani, Paul; Yu, Hongjie; Guzman, Guiselle; Coulibaly, Daouda; Armero, Julio; Jima, Daddi; Howie, Stephen R. C.; Ampofo, William; Mena, Ricardo; Chadha, Mandeep; Sampurno, Ondri Dwi; Emukule, Gideon O.; Nurmatov, Zuridin; Corwin, Andrew; Heraud, Jean Michel; Noyola, Daniel E.; Cojocaru, Radu; Nymadawa, Pagbajabyn; Barakat, Amal; Adedeji, Adebayo; von Horoch, Marta; Olveda, Remigio; Nyatanyi, Thierry; Venter, Marietjie; Mmbaga, Vida; Chittaganpitch, Malinee; Nguyen, Tran Hien; Theo, Andros; Whaley, Melissa; Azziz-Baumgartner, Eduardo; Bresee, Joseph; Campbell, Harry; Widdowson, Marc-Alain

2016-01-01

Background The global burden of pediatric severe respiratory illness is substantial, and influenza viruses contribute to this burden. Systematic surveillance and testing for influenza among hospitalized children has expanded globally over the past decade. However, only a fraction of the data has been used to estimate influenza burden. In this analysis, we use surveillance data to provide an estimate of influenza-associated hospitalizations among children worldwide. Methods and Findings We aggregated data from a systematic review (n = 108) and surveillance platforms (n = 37) to calculate a pooled estimate of the proportion of samples collected from children hospitalized with respiratory illnesses and positive for influenza by age group (<6 mo, <1 y, <2 y, <5 y, 5–17 y, and <18 y). We applied this proportion to global estimates of acute lower respiratory infection hospitalizations among children aged <1 y and <5 y, to obtain the number and per capita rate of influenza-associated hospitalizations by geographic region and socio-economic status. Influenza was associated with 10% (95% CI 8%–11%) of respiratory hospitalizations in children <18 y worldwide, ranging from 5% (95% CI 3%–7%) among children <6 mo to 16% (95% CI 14%–20%) among children 5–17 y. On average, we estimated that influenza results in approximately 374,000 (95% CI 264,000 to 539,000) hospitalizations in children <1 y—of which 228,000 (95% CI 150,000 to 344,000) occur in children <6 mo—and 870,000 (95% CI 610,000 to 1,237,000) hospitalizations in children <5 y annually. Influenza-associated hospitalization rates were more than three times higher in developing countries than in industrialized countries (150/100,000 children/year versus 48/100,000). However, differences in hospitalization practices between settings are an important limitation in interpreting these findings. Conclusions Influenza is an important contributor to respiratory hospitalizations among young children worldwide. Increasing influenza vaccination coverage among young children and pregnant women could reduce this burden and protect infants <6 mo. PMID:27011229

Quantifying the medication burden of kidney transplant recipients in the first year post-transplantation.

PubMed

Low, Jac Kee; Crawford, Kimberley; Manias, Elizabeth; Williams, Allison

2018-06-28

Background Kidney transplantation is an effective treatment, but it is not a cure. Since the risk of graft rejection and the presence of comorbid conditions remain for a lifetime, medications are necessary. Objective To examine the prescription medication burden of adult kidney transplant recipients from 3- to 12-months post-transplantation. Setting All five adult kidney transplant units in Victoria, Australia. Method As part of a larger intervention study, we conducet a retrospective review of prescription refill records and medical records containing the history of medication changes of 64 participants who completed the study was undertaken. The complexity of the medication management was studied, and we looked at the burden of maintaining the medications supply. Outcome measures Pill burden, administration frequency, dose changes frequency, immunosuppressive medication changes, the estimated out-of-pocket costs of medications and frequency of pharmacy visits. Results At 3 months, the average daily pill burden was 22 (SD = 9) whilst at 12 months, it was 23 (SD = 10). Some participants required long-term prophylaxis of fungal infections up to 4 times a day whilst those with diabetes had to manage up to 4 insulin doses a day. The average out-of-pocket cost per person and the frequency of pharmacy visits at 6, 9 and 12 months post-transplantation remained relatively unchanged. Conclusion The medication regimen prescribed for kidney transplant recipients is complex and for most patients, it did not simplify over time post transplantation. Strategies are needed to support patients in managing the complexity of their medication regimen following kidney transplantation.

Economic Valuation of the Global Burden of Cleft Disease Averted by a Large Cleft Charity.

PubMed

Poenaru, Dan; Lin, Dan; Corlew, Scott

2016-05-01

This study attempts to quantify the burden of disease averted through the global surgical work of a large cleft charity, and estimate the economic impact of this effort over a 10-year period. Anonymized data of all primary cleft lip and cleft palate procedures in the Smile Train database were analyzed and disability-adjusted life years (DALYs) calculated using country-specific life expectancy tables, established disability weights, and estimated success of surgery and residual disability probabilities; multiple age weighting and discounting permutations were included. Averted DALYs were calculated and gross national income (GNI) per capita was then multiplied by averted DALYs to estimate economic gains. 548,147 primary cleft procedures were performed in 83 countries between 2001 and 2011. 547,769 records contained complete data available for the study; 58 % were cleft lip and 42 % cleft palate. Averted DALYs ranged between 1.46 and 4.95 M. The mean economic impact ranged between USD 5510 and 50,634 per person. This corresponded to a global economic impact of between USD 3.0B and 27.7B USD, depending on the DALY and GNI values used. The estimated cost of providing these procedures based on an average reimbursement rate was USD 197M (0.7-6.6 % of the estimated impact). The immense economic gain realized through procedures focused on a small proportion of the surgical burden of disease highlights the importance and cost-effectiveness of surgical treatment globally. This methodology can be applied to evaluate interventions for other conditions, and for evidence-based health care resource allocation.

Burden and trends of type-specific human papillomavirus infections and related diseases in the latin america and Caribbean region.

PubMed

Parkin, D Maxwell; Almonte, Maribel; Bruni, Laia; Clifford, Gary; Curado, Maria-Paula; Piñeros, Marion

2008-08-19

We present the burden of human papillomavirus (HPV)-related cancers (cancers of the cervix, anogenital region, oral cavity and pharynx) in terms of incidence and mortality, for the countries of the Latin America and Caribbean region. The region is a high-risk area for cancer of the cervix and, although incidence has declined since the 1960s, projected demographic changes imply that the actual burden of new cases will increase by more than 75% in the next 20 years, while the average and at diagnosis will increase. Approximately 65% of cervical cancer cases and 50% of the high risk lesions are associated with HPV-16 and 18. Incidence rates of other HPV-related cancers are significantly lower. The paper also describes the estimated impact of genital warts and the limited data available on the occurrence of HPV infections of the upper aerodigestive tract in the region.

The costs of coping with poor water supply in rural Kenya

NASA Astrophysics Data System (ADS)

Cook, Joseph; Kimuyu, Peter; Whittington, Dale

2016-02-01

As the disease burden of poor access to water and sanitation declines around the world, the nonhealth benefits-mainly the time burden of water collection - will likely grow in importance in sector funding decisions and investment analyses. We measure the coping costs incurred by households in one area of rural Kenya. Sixty percent of the 387 households interviewed were collecting water outside the home, and household members were spending an average of 2-3 h doing so per day. We value these time costs using an individual-level value of travel time estimate based on a stated preference experiment. We compare these results to estimates obtained assuming that the value of time saved is a fraction of unskilled wage rates. Coping cost estimates also include capital costs for storage and rainwater collection, money paid either to water vendors or at sources that charge volumetrically, costs of treating diarrhea cases, and expenditures on drinking water treatment (primarily boiling in our site). Median total coping costs per month are approximately US$20 per month, higher than average household water bills in many utilities in the United States, or 12% of reported monthly cash income. We estimate that coping costs are greater than 10% of income for over half of households in our sample. They are higher among larger and wealthier households, and households whose primary source is not at home. Even households with unprotected private wells or connections to an intermittent piped network spend money on water storage containers and on treating water they recognize as unsafe.

Global mortality estimates for the 2009 Influenza Pandemic from the GLaMOR project: a modeling study.

PubMed

Simonsen, Lone; Spreeuwenberg, Peter; Lustig, Roger; Taylor, Robert J; Fleming, Douglas M; Kroneman, Madelon; Van Kerkhove, Maria D; Mounts, Anthony W; Paget, W John

2013-11-01

Assessing the mortality impact of the 2009 influenza A H1N1 virus (H1N1pdm09) is essential for optimizing public health responses to future pandemics. The World Health Organization reported 18,631 laboratory-confirmed pandemic deaths, but the total pandemic mortality burden was substantially higher. We estimated the 2009 pandemic mortality burden through statistical modeling of mortality data from multiple countries. We obtained weekly virology and underlying cause-of-death mortality time series for 2005-2009 for 20 countries covering ∼35% of the world population. We applied a multivariate linear regression model to estimate pandemic respiratory mortality in each collaborating country. We then used these results plus ten country indicators in a multiple imputation model to project the mortality burden in all world countries. Between 123,000 and 203,000 pandemic respiratory deaths were estimated globally for the last 9 mo of 2009. The majority (62%-85%) were attributed to persons under 65 y of age. We observed a striking regional heterogeneity, with almost 20-fold higher mortality in some countries in the Americas than in Europe. The model attributed 148,000-249,000 respiratory deaths to influenza in an average pre-pandemic season, with only 19% in persons <65 y. Limitations include lack of representation of low-income countries among single-country estimates and an inability to study subsequent pandemic waves (2010-2012). We estimate that 2009 global pandemic respiratory mortality was ∼10-fold higher than the World Health Organization's laboratory-confirmed mortality count. Although the pandemic mortality estimate was similar in magnitude to that of seasonal influenza, a marked shift toward mortality among persons <65 y of age occurred, so that many more life-years were lost. The burden varied greatly among countries, corroborating early reports of far greater pandemic severity in the Americas than in Australia, New Zealand, and Europe. A collaborative network to collect and analyze mortality and hospitalization surveillance data is needed to rapidly establish the severity of future pandemics. Please see later in the article for the Editors' Summary.

Global Mortality Estimates for the 2009 Influenza Pandemic from the GLaMOR Project: A Modeling Study

PubMed Central

Simonsen, Lone; Spreeuwenberg, Peter; Lustig, Roger; Taylor, Robert J.; Fleming, Douglas M.; Kroneman, Madelon; Van Kerkhove, Maria D.; Mounts, Anthony W.; Paget, W. John

2013-01-01

Background Assessing the mortality impact of the 2009 influenza A H1N1 virus (H1N1pdm09) is essential for optimizing public health responses to future pandemics. The World Health Organization reported 18,631 laboratory-confirmed pandemic deaths, but the total pandemic mortality burden was substantially higher. We estimated the 2009 pandemic mortality burden through statistical modeling of mortality data from multiple countries. Methods and Findings We obtained weekly virology and underlying cause-of-death mortality time series for 2005–2009 for 20 countries covering ∼35% of the world population. We applied a multivariate linear regression model to estimate pandemic respiratory mortality in each collaborating country. We then used these results plus ten country indicators in a multiple imputation model to project the mortality burden in all world countries. Between 123,000 and 203,000 pandemic respiratory deaths were estimated globally for the last 9 mo of 2009. The majority (62%–85%) were attributed to persons under 65 y of age. We observed a striking regional heterogeneity, with almost 20-fold higher mortality in some countries in the Americas than in Europe. The model attributed 148,000–249,000 respiratory deaths to influenza in an average pre-pandemic season, with only 19% in persons <65 y. Limitations include lack of representation of low-income countries among single-country estimates and an inability to study subsequent pandemic waves (2010–2012). Conclusions We estimate that 2009 global pandemic respiratory mortality was ∼10-fold higher than the World Health Organization's laboratory-confirmed mortality count. Although the pandemic mortality estimate was similar in magnitude to that of seasonal influenza, a marked shift toward mortality among persons <65 y of age occurred, so that many more life-years were lost. The burden varied greatly among countries, corroborating early reports of far greater pandemic severity in the Americas than in Australia, New Zealand, and Europe. A collaborative network to collect and analyze mortality and hospitalization surveillance data is needed to rapidly establish the severity of future pandemics. Please see later in the article for the Editors' Summary PMID:24302890

The disease burden of human cystic echinococcosis based on HDRs from 2001 to 2014 in Italy

PubMed Central

Brundu, Diego; Stegel, Giovanni; Loi, Federica; Rolesu, Sandro; Masu, Gabriella; Ledda, Salvatore; Masala, Giovanna

2017-01-01

Background Cystic echinococcosis (CE) is an important neglected zoonotic parasitic infection belonging to the subgroup of seven Neglected Zoonotic Disease (NZDs) included in the World Health Organization’s official list of 18 Neglected Tropical Diseases (NTDs). CE causes serious global human health concerns and leads to significant economic losses arising from the costs of medical treatment, morbidity, life impairments and fatality rates in human cases. Moreover, CE is endemic in several Italian Regions. The aim of this study is to perform a detailed analysis of the economic burden of hospitalization and treatment costs and to estimate the Disability Adjusted Life Years (DALYs) of CE in Italy. Methods and findings In the period from 2001 to 2014, the direct costs of 21,050 Hospital Discharge Records (HDRs) belonging to 12,619 patients with at least one CE-related diagnosis codes were analyzed in order to quantify the economic burden of CE. CE cases average per annum are 901 (min—max = 480–1,583). Direct costs include expenses for hospitalizations, medical and surgical treatment incurred by public and private hospitals and were computed on an individual basis according to Italian Health Ministry legislation. Moreover, we estimated the DALYs for each patient. The Italian financial burden of CE is around € 53 million; the national average economic burden per annum is around € 4 million; the DALYs of the population from 2001 to 2014 are 223.35 annually and 5.26 DALYs per 105 inhabitants. Conclusion In Italy, human CE is responsible for significant economic losses in the public health sector. In humans, costs associated with CE have been shown to have a great impact on affected individuals, their families and the community as a whole. This study could be used as a tool to prioritize and make decisions with regard to a surveillance system for this largely preventable yet neglected disease. It demonstrates the need of implementing a CE control program aimed at preventing the considerable economic and social losses it causes in high incidence areas. PMID:28746395

The direct and indirect costs of Dravet Syndrome.

PubMed

Whittington, Melanie D; Knupp, Kelly G; Vanderveen, Gina; Kim, Chong; Gammaitoni, Arnold; Campbell, Jonathan D

2018-03-01

The objective of this study was to estimate the annual direct and indirect costs associated with Dravet Syndrome (DS). A survey was electronically administered to the caregivers of patients with DS treated at Children's Hospital Colorado. Survey domains included healthcare utilization of the patient with DS and DS caregiver work productivity and activity impairment. Patient healthcare utilization was measured using modified questions from the National Health Interview Survey; caregiver work productivity and activity impairment were measured using modified questions from the Work Productivity and Activity Impairment questionnaire. Direct costs were calculated by multiplying the caregiver-reported healthcare utilization rates by the mean unit cost for each healthcare utilization category. Indirect costs included lost productivity, income loss, and lost leisure time. The indirect costs were a function of caregiver-reported hours spent caregiving and an hourly unit cost. The survey was emailed to 60 DS caregivers, of which 34 (57% response rate) responded. Direct costs on average were $27,276 (95% interval: $15,757, $41,904) per patient with DS. Hospitalizations ($11,565 a year) and in-home medical care visits ($9894 a year) were substantial cost drivers. Additionally, caregivers reported extensive time spent providing care to an individual with DS. This caregiver time resulted in average annual indirect costs of $81,582 (95% interval: $57,253, $110,151), resulting in an average total annual financial burden of $106,378 (95% interval: $78,894, $137,906). Dravet Syndrome results in substantial healthcare utilization, financial burden, and time commitment. Establishing evidence on the financial burden of DS is essential to understanding the overall impact of DS, identifying potential areas for support needs, and assessing the impact of novel treatments as they become available. Based on the study findings, in-home visits, hospitalizations, and lost productivity and leisure time of caregivers are key domains for DS economic evaluations. Future research should extend these estimates to include the potential additional healthcare utilization of the DS caregiver. Copyright © 2018 Elsevier Inc. All rights reserved.

High-Fidelity Simulations of Moving and Flexible Airfoils at Low Reynolds Numbers (Postprint)

DTIC Science & Technology

2010-02-01

1 hour per response, including the time for reviewing instructions, searching existing data sources, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other...phased-averaged structures for both values of Reynolds number are found to be in good agreement with the experimental data . Finally, the effect of

DOD HPC Insights. Spring 2012

DTIC Science & Technology

2012-04-01

spr2012-Final.indd 1 5/9/2012 10:54:32 AM DOD Spring 2012 INSIGHTS A publication of the Department of Defense High Performance Computing...0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing...collection of information if it does not display a currently valid OMB control number. 1 . REPORT DATE 2012 2. REPORT TYPE 3. DATES COVERED 4. TITLE

Bridging the Gap (BRIEFING CHARTS)

DTIC Science & Technology

2007-03-05

1 Defense Advanced Research Projects Agency “Bridging the Gap” Dr. Robert F. Leheny Deputy Director Report Documentation Page Form ApprovedOMB No...0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing...collection of information if it does not display a currently valid OMB control number. 1 . REPORT DATE 05 MAR 2007 2. REPORT TYPE N/A 3. DATES COVERED

Unmanned Systems Roadmap 2007-2032

DTIC Science & Technology

2007-01-01

Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour...subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1 . REPORT DATE...unmanned systems technology to ensure an effective return on the Department’s investment. 1 . Reconnaissance and Surveillance. Some form of reconnaissance

Minimization of Thruster Plume Effects on Spacecraft Surfaces

DTIC Science & Technology

2007-05-01

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 ...currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1 . REPORT DATE (DD-MM-YYYY) 26-03-2007 2. REPORT TYPE...Approved for public release; distribution is unlimited 1 The surfaces from user-defined CAD models of the spacecraft are loaded into COLISEUM

Decomposing Huge Networks into Skeleton Graphs by Reachable Relations

DTIC Science & Technology

2017-06-07

AFRL-AFOSR-JP-TR-2017-0047 Decomposing Huge Networks into Skeleton Graphs by Reachable Relations Kazumi Saito University Of Shizuoka Final Report 06...07/2017 DISTRIBUTION A: Distribution approved for public release. AF Office Of Scientific Research (AFOSR)/ IOA Arlington, Virginia 22203 Air Force...ApprovedOMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including the

Past Government Shutdowns: Key Resources

DTIC Science & Technology

2013-11-25

R41759 Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour ...effects of a hypothetical three-day shutdown during a nonholiday workweek . House and Senate Committee Prints and Hearings Committee Prints The ...Attorney General from 1979 to 1981. 4 The opinions stated that, with some exceptions, the head of an agency could avoid violating the Antideficiency Act

The Interoperability Score

DTIC Science & Technology

2007-03-01

Additionally, research shows that many over the past decade have proposed interoperability measures, notable of which have been: 1 ) the DoD...Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the...to comply with a collection of information if it does not display a currently valid OMB control number. 1 . REPORT DATE MAR 2007 2. REPORT TYPE 3

Total Ownership Cost a Decade Into the 21st Century

DTIC Science & Technology

2012-04-30

Approved for public release; distribution is unlimited. Prepared for the Naval Postgraduate School, Monterey, CA 93943. Total Ownership Cost a Decade...ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for...Naval Postgraduate School,Graduate School of Business and Public Policy,Monterey,CA,93943 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING

Can the 2014 Comprehensive Agreement on the Bangsamoro (CAB) Succeed in Mindanao Where Previous Agreements Failed?

DTIC Science & Technology

2015-03-01

International Studies (RSIS) at Nanyang Technological University , Singapore, argues that “small arms proliferation and a weak rule of law” will hurt...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release; distribution is unlimited CAN THE 2014...0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing

Workshop on Robotics Materials

DTIC Science & Technology

2017-12-28

TELEPHONE NUMBER Nicolaus Correll 611102 c. THIS PAGE The public reporting burden for this collection of information is estimated to average 1 hour per...Period: 12-Sep-2017 Submitted By: Ph.D Nicolaus Correll Phone: (303) 492-2233 STEM Degrees: 4 STEM Participants: 1 RPPR Final Report as of 15-Feb...Transfer: Nothing to Report Report Date: 12-Dec-2017 INVESTIGATOR(S): Phone Number: 3034922233 Principal: Y Name: Ph.D Nicolaus Correll Email

Israel’s Blockade of Gaza, the Mavi Marmara Incident, and Its Aftermath

DTIC Science & Technology

2010-06-16

navy zodiac boats intercepted them and naval commandos took over five ships, reportedly without incident. However, the Marmara resisted and...CRS Report for Congress Prepared for Members and Committees of Congress Israel’s Blockade of Gaza, the Mavi Marmara Incident, and Its...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response

Special Operations Research Topics 2015

DTIC Science & Technology

2014-01-01

McNally) Upper Right: A U.S. Navy SEAL provides cover while two Zodiac fast boats with soldiers from the U.S. Special Forces and the Jordanian Special...Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per...response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and

Common Ground: An Interactive Visual Exploration and Discovery for Complex Health Data

DTIC Science & Technology

2015-12-01

PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION STATEMENT: Approved for public ...Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for...Maryland 21702-5012 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 12. DISTRIBUTION / AVAILABILITY STATEMENT Approved for Public Release; Distribution

Bluffing with a Pair of Deuces: The Downside of Successful Deception

DTIC Science & Technology

2006-06-01

was further showcased in the media, and in successive visits by dignitaries from France and Great Britain, who regaled leaders at home with tales of ...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS BLUFFING WITH A PAIR OF DEUCES: THE DOWNSIDE OF SUCCESSFUL DECEPTION by...Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction

Improving Balance in TBI Using a Low-Cost Customized Virtual Reality Rehabilitation Tool

DTIC Science & Technology

2017-10-01

AWARD NUMBER: W81XWH-14-2-0150 TITLE: Improving Balance in TBI Using a Low- Cost Customized Virtual Reality Rehabilitation Tool PRINCIPAL...PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION STATEMENT: Approved for Public ...DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per

Converting Existing Copper Wire Firing System to a Fiber Optically Controlled Firing System for Electromagnetic Pulsed Power Experiments

DTIC Science & Technology

2017-12-19

Firing System for Electromagnetic Pulsed Power Experiments by Robert Borys Jr and Colby Adams Approved for public release...Belcamp, MD Approved for public release; distribution is unlimited. ii REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188... Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions

Retirement Planning: Important Factors Influencing a Service Member’s Decision to Prepare for Retirement

DTIC Science & Technology

2017-12-01

management planning, the FRS shall address, at a minimum, “investing; taxes; insurance; education; wills and trusts; transition/retirement, and information ...of socialization and information source on financial management behaviors among low- and moderate-income adults. Family and Consumer Sciences...Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the

Development of a Semi-Autonomous Underwater Vehicle for Intervention Missions (SAUVIM Phase III-B)

DTIC Science & Technology

2009-03-20

burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing...phase 7 people have been working under the SAUVIM project in ASL, consisting of 1 faculty member, 3 full- time researchers, 2 undergraduate interns...and significant time delay inherent in acoustic subsea communications represent a considerable obstacle to remotely operate a manipulation system

Experimental and Computational Analysis of a Miniature Ramjet at Mach 4.0

DTIC Science & Technology

2013-09-01

this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden...intermittent after the second World War, with the most well-known example being Lockheed Martin’s SR-71 Blackbird using the Pratt & Whitney J58 turbojet

Environmental Assessment: T-10 Hush House Tinker Air Force Base, Oklahoma

DTIC Science & Technology

2008-07-01

the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden...require modification of Tinker AFB’s current permits. PUBLIC COMMENTS: A Notice of Availability for public review of the Draft EA was published in the

Standardized Verification, Validation, and Accreditation (VV&A) Documentation Schema Description Document

DTIC Science & Technology

2008-10-31

SSC Charleston; Mr. David Broyles, SSC Charleston; Dr. Richard Daehler-Wilking, SSC Charleston; Ms. Marcy Stutzman, Northrop Grumman ; and Tammie...PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including...1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington DC 20503. 1 . AGENCY

Modeling of the Electric Ship

DTIC Science & Technology

2010-06-01

2009, Northrop Grumman and American Superconductor, under an Office of Naval Research contract, successfully tested a HTS AC synchronous motor (HTS ACSM...BLANK i REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 ...Washington DC 20503. 1 . AGENCY USE ONLY (Leave blank) 2. REPORT DATE June 2010 3. REPORT TYPE AND DATES COVERED Master’s Thesis 4. TITLE AND

Optimization of Microgrids at Military Remote Base Camps

DTIC Science & Technology

2017-12-01

DOCUMENTATION PAGE Form Approved OMB No. 0704–0188 Public reporting burden for this collection of information is estimated to average 1 hour per... Form 298 (Rev. 2–89) Prescribed by ANSI Std. 239–18 i THIS PAGE INTENTIONALLY LEFT BLANK ii Approved for public release. Distribution is unlimited...Operational Energy Office Initiatives Quickly after establishment, the newly formed Operational Energy Office developed a list of initiatives aimed

Fluorescent Lamp Replacement Study

DTIC Science & Technology

2017-07-01

DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per...information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. 1. REPORT DATE (DD-MM...Unclassified 19b. TELEPHONE NUMBER (Include area code) Standard Form 298 (Rev. 8/98) Prescribed by ANSI Std. Z39.18 TABLE OF CONTENTS

Artificial Intelligence: A Revolution Waiting to Happen

DTIC Science & Technology

2017-06-09

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1...currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY) 9-06-2017 2. REPORT TYPE...important RMAs, limited by innovative concepts and organizational desire to change. General AI, on the other hand, looms in theoretical form as a

Transition Control with Dielectric Barrier Discharge Plasmas

DTIC Science & Technology

2013-01-01

release; distribution is unlimited. of transition is observed . For higher applied body forces, the transition delay effect is enhanced, but care has...REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 ...currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1 . REPORT DATE (DD-MM-YYYY) 3 January 2013 2. REPORT TYPE

Corrosion: It’s Your Fault

DTIC Science & Technology

2010-02-09

the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden...Screw It Up  If You Start With a Corrosion Resistant Design…  No Skip Welds  Abundant Drain Holes  Sound Material Selection  State of the Art

Programming Retinal Stem Cells into Cone Photoreceptors

DTIC Science & Technology

2015-12-01

0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response , including the time for reviewing...development. 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON USAMRMC a. REPORT...PERIOD: Nothing to report. This is the final report for this award. However, using funds from philanthropic sources we have recently secured (11/2015

Frequency Dependent Harmonic Powers in a Modified Uni-Traveling Carrier (MUTC) Photodetector

DTIC Science & Technology

2017-01-27

Naval Research Laboratory Washington, DC 20375-5320 NRL/MR/5651--17-9712 Frequency Dependent Harmonic Powers in a Modified Uni- Traveling Carrier...burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing...Modified Uni- Traveling Carrier (MUTC) Photodetector Yue Hu,* Meredith N. Hutchinson, and Curtis R. Menyuk* Naval Research Laboratory 4555 Overlook

A Source Term for Wave Attenuation by Sea Ice in WAVEWATCH III (registered trademark): IC4

DTIC Science & Technology

2017-06-07

by ANSI Std. Z39.18 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for... time . Diamonds indicate active, moored AWACs. Circle indicates location of R/V Sikuliaq. Thick magenta and white lines indicate path of R/V Sikuliaq...past and future ship position, respectively). .................................................................. 15 Figure 10 Time series of

Evaluation of the Department of Defense Combating Trafficking in Persons Program

DTIC Science & Technology

2014-06-16

1 6 , 2 0 1 4 Evaluation of the Department of Defense Combating Trafficking in Persons Program Report No. DODIG-2014-079 Report Documentation...Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the ...time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the

NATO’s Relevance in the Twenty-First Century

DTIC Science & Technology

2012-03-22

reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching...5d. PROJECT NUMBER Colonel John K. Jones 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES...Christopher Coker, Globalisation and Insecurity in the Twenty-first Century: NATO and the Management of Risk (The International Institute for Strategic

Understanding Energy Absorption Behaviors of Nanoporous Materials

DTIC Science & Technology

2008-05-23

induced liquid infiltration in nanopores. J. Appl. Phys. 100, 014308.1-3 (2006). 26. Surani, F. B. and Qiao, Y. Energy absorption of a polyacrylic ...that the infiltration pressure decreases as the cation size increases (Fig.K-2). The ionic radii of cesium, potassium , sodium and lithium are...REPORT DOCUMENTATION PAGE Form Approved OMB NO. 0704-0188 Public Reporting burden for this collection of information is estimated to average 1 hour

Restructuring Civil Affairs for Persistent Engagement

DTIC Science & Technology

2010-04-29

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour...and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any...currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE (DD-MM-YYYY) 29-04-2010 2. REPORT TYPE SAMS