Ayele, Dawit G; Zewotir, Temesgen; Mwambi, Henry
2016-03-01
In sub-Saharan African countries, the chance of a child dying before the age of five years is high. The problem is similar in Ethiopia, but it shows a decrease over years. The 2000; 2005 and 2011 Ethiopian Demographic and Health Survey results were used for this work. The purpose of the study is to detect the pattern of under-five child mortality overtime. Indirect child mortality estimation technique is adapted to examine the under-five child mortality trend in Ethiopia. From the result, it was possible to see the trend of under-five child mortality in Ethiopia. The under-five child mortality shows a decline in Ethiopia. From the study, it can be seen that there is a positive correlation between mother and child survival which is almost certain in any population. Therefore, this study shows the trend of under-five mortality in Ethiopia and decline over time.
A climate trend analysis of Ethiopia
Funk, Christopher C.; Rowland, Jim; Eilerts, Gary; Kebebe, Emebet; Biru, Nigist; White, Libby; Galu, Gideon
2012-01-01
This brief report, drawing from a multi-year effort by the U.S. Agency for International Development (USAID) Famine Early Warning Systems Network (FEWS NET), examines recent trends in March-June, June-September, and March-September rainfall and temperature, identifying significant reductions in rainfall and increases in temperature over time in many areas of Ethiopia. Conclusions: * Spring and summer rains in parts of Ethiopia have declined by 15-20 percent since the mid-1970s. * Substantial warming across the entire country has exacerbated the dryness.* An important pattern of observed existing rainfall declines coincides with heavily populated areas of the Rift Valley in south-central Ethiopia, and is likely already adversely affecting crop yields and pasture conditions. * Rapid population growth and the expansion of farming and pastoralism under a drier, warmer climate regime could dramatically increase the number of at-risk people in Ethiopia during the next 20 years.* Many areas of Ethiopia will maintain moist climate conditions, and agricultural development in these areas could help offset rainfall declines and reduced production in other areas.
The impact of war, famine, and economic decline on marital fertility in Ethiopia.
Lindstrom, D P; Berhanu, B
1999-05-01
We examine recent fertility trends in Ethiopia for evidence of short- and long-term responses to famine, political events, and economic decline. We use retrospective data on children ever born from the 1990 National Family and Fertility Survey to estimate trends in annual marital conception probabilities, controlling for women's demographic and socioeconomic characteristics. The results of our analysis provide evidence of significant short-term declines in conception probabilities during years of famine and major political and economic upheaval. In the longer term, marital fertility in both urban and rural areas declined in the 1980s after increasing moderately in the 1970s.
NASA Astrophysics Data System (ADS)
Gummadi, Sridhar; Rao, K. P. C.; Seid, Jemal; Legesse, Gizachew; Kadiyala, M. D. M.; Takele, Robel; Amede, Tilahun; Whitbread, Anthony
2017-12-01
This article summarizes the results from an analysis conducted to investigate the spatio-temporal variability and trends in the rainfall over Ethiopia over a period of 31 years from 1980 to 2010. The data is mostly observed station data supplemented by bias-corrected AgMERRA climate data. Changes in annual and Belg (March-May) and Kiremt (June to September) season rainfalls and rainy days have been analysed over the entire Ethiopia. Rainfall is characterized by high temporal variability with coefficient of variation (CV, %) varying from 9 to 30% in the annual, 9 to 69% during the Kiremt season and 15-55% during the Belg season rainfall amounts. Rainfall variability increased disproportionately as the amount of rainfall declined from 700 to 100 mm or less. No significant trend was observed in the annual rainfall amounts over the country, but increasing and decreasing trends were observed in the seasonal rainfall amounts in some areas. A declining trend is also observed in the number of rainy days especially in Oromia, Benishangul-Gumuz and Gambella regions. Trends in seasonal rainfall indicated a general decline in the Belg season and an increase in the Kiremt season rainfall amounts. The increase in rainfall during the main Kiremt season along with the decrease in the number of rainy days leads to an increase in extreme rainfall events over Ethiopia. The trends in the 95th-percentile rainfall events illustrate that the annual extreme rainfall events are increasing over the eastern and south-western parts of Ethiopia covering Oromia and Benishangul-Gumuz regions. During the Belg season, extreme rainfall events are mostly observed over central Ethiopia extending towards the southern part of the country while during the Kiremt season, they are observed over parts of Oromia, (covering Borena, Guji, Bali, west Harerge and east Harerge), Somali, Gambella, southern Tigray and Afar regions. Changes in the intensity of extreme rainfall events are mostly observed over south-eastern parts of Ethiopia extending to the south-west covering Somali and Oromia regions. Similar trends are also observed in the greatest 3-, 5- and 10-day rainfall amounts. Changes in the consecutive dry and wet days showed that consecutive wet days during Belg and Kiremt seasons decreased significantly in many areas in Ethiopia while consecutive dry days increased. The consistency in the trends over large spatial areas confirms the robustness of the trends and serves as a basis for understanding the projected changes in the climate. These results were discussed in relation to their significance to agriculture.
Exploring Agro-Climatic Trends in Ethiopia Using CHIRPS
NASA Astrophysics Data System (ADS)
Pedreros, D. H.; Funk, C. C.; Brown, M. E.; Korecha, D.; Seid, Y. M.
2015-12-01
The Famine Early Warning Systems Network (FEWS NET) uses the Climate Hazards Group Infrared Precipitation with Stations (CHIRPS) to monitor agricultural food production in different regions of the world. CHIRPS is a 1981-present, 5 day, approximately 5km resolution, rainfall product based on a combination of geostationary satellite observations, a high resolution climatology and in situ station observations. Furthermore, FEWS NET has developed a gridded implementation of the Water Requirement Satisfaction Index (WRSI), a water balance measurement indicator of crop performance. This study takes advantage of the CHIRPS' long term period of record and high spatial and temporal resolution to examine agro-climatic trends in Ethiopia. We use the CHIRPS rainfall dataset to calculate the WRSI for the boreal spring and summer crop seasons, as well as for spring-summer rangelands conditions. We find substantial long term rainfall declines in the spring and summer seasons across southeastern and northeastern Ethiopia. Crop Model results indicate that rainfall declines in the cropped regions have been associated with water deficits during the critical grain filling periods in well populated and/or highly vulnerable parts of eastern Ethiopia. WRSI results in the pastoral areas indicate substantial reductions in rangeland health during the later part of the growing seasons. These health declines correspond to the regions of Somaliland and Afar that have experienced chronic severe food insecurity since 2010. Key words: CHIRPS, satellite estimated rainfall, agricultural production
Dangisso, Mesay Hailu; Datiko, Daniel Gemechu; Lindtjørn, Bernt
2014-01-01
Background Ethiopia is one of the high tuberculosis (TB) burden countries. An analysis of trends and differentials in case notifications and treatment outcomes of TB may help improve our understanding of the performance of TB control services. Methods A retrospective trend analysis of TB cases was conducted in the Sidama Zone in southern Ethiopia. We registered all TB cases diagnosed and treated during 2003–2012 from all health facilities in the Sidama Zone, and analysed trends of TB case notification rates and treatment outcomes. Results The smear positive (PTB+) case notification rate (CNR) increased from 55 (95% CI 52.5–58.4) to 111 (95% CI 107.4–114.4) per 105 people. The CNRs of PTB+ in people older than 45 years increased by fourfold, while the mortality of cases during treatment declined from 11% to 3% for smear negative (PTB-) (X2 trend, P<0.001) and from 5% to 2% for PTB+ (X2 trend, P<0.001). The treatment success was higher in rural areas (AOR 1.11; CI 95%: 1.03–1.2), less for PTB- (AOR 0.86; CI 95%: 0.80–0.92) and higher for extra-pulmonary TB (AOR 1.10; CI 95%: 1.02–1.19) compared to PTB+. A higher lost-to-follow up was observed in men (AOR 1.15; CI 95%: 1.06–1.24) and among PTB- cases (AOR 1.14; CI 95%: 1.03–1.25). More deaths occurred in PTB-cases (AOR 1.65; 95% CI: 1.44–1.90) and among cases older than 65 years (AOR 3.86; CI 95%: 2.94–5.10). Lastly, retreatment cases had a higher mortality than new cases (6% vs 3%). Conclusion Over the past decade TB CNRs and treatment outcomes improved, whereas the disparities of disease burden by gender and place of residence reduced and mortality declined. Strategies should be devised to address higher risk groups for poor treatment outcomes. PMID:25460363
Trends and spatial distribution of annual and seasonal rainfall in Ethiopia
Cheung, W.H.; Senay, G.B.; Singh, A.
2008-01-01
As a country whose economy is heavily dependent on low-productivity rainfed agriculture, rainfall trends are often cited as one of the more important factors in explaining various socio-economic problems such as food insecurity. Therefore, in order to help policymakers and developers make more informed decisions, this study investigated the temporal dynamics of rainfall and its spatial distribution within Ethiopia. Changes in rainfall were examined using data from 134 stations in 13 watersheds between 1960 and 2002. The variability and trends in seasonal and annual rainfall were analysed at the watershed scale with data (1) from all available years, and (2) excluding years that lacked observations from at least 25% of the gauges. Similar analyses were also performed at the gauge, regional, and national levels. By regressing annual watershed rainfall on time, results from the one-sample t-test show no significant changes in rainfall for any of the watersheds examined. However, in our regressions of seasonal rainfall averages against time, we found a significant decline in June to September rainfall (i.e. Kiremt) for the Baro-Akobo, Omo-Ghibe, Rift Valley, and Southern Blue Nile watersheds located in the southwestern and central parts of Ethiopia. While the gauge level analysis showed that certain gauge stations experienced recent changes in rainfall, these trends are not necessarily reflected at the watershed or regional levels.
Aregawi, Maru; Lynch, Michael; Bekele, Worku; Kebede, Henok; Jima, Daddi; Taffese, Hiwot Solomon; Yenehun, Meseret Aseffa; Lilay, Abraham; Williams, Ryan; Thomson, Madeleine; Nafo-Traore, Fatoumata; Admasu, Kesetebirhan; Gebreyesus, Tedros Adhanom; Coosemans, Marc
2014-01-01
Background The Government of Ethiopia and its partners have deployed artemisinin-based combination therapies (ACT) since 2004 and long-lasting insecticidal nets (LLINs) since 2005. Malaria interventions and trends in malaria cases and deaths were assessed at hospitals in malaria transmission areas during 2001–2011. Methods Regional LLINs distribution records were used to estimate the proportion of the population-at-risk protected by LLINs. Hospital records were reviewed to estimate ACT availability. Time-series analysis was applied to data from 41 hospitals in malaria risk areas to assess trends of malaria cases and deaths during pre-intervention (2001–2005) and post-interventions (2006–2011) periods. Findings The proportion of the population-at-risk potentially protected by LLINs increased to 51% in 2011. The proportion of facilities with ACTs in stock exceeded 87% during 2006–2011. Among all ages, confirmed malaria cases in 2011 declined by 66% (95% confidence interval [CI], 44–79%) and SPR by 37% (CI, 20%–51%) compared to the level predicted by pre-intervention trends. In children under 5 years of age, malaria admissions and deaths fell by 81% (CI, 47%–94%) and 73% (CI, 48%–86%) respectively. Optimal breakpoint of the trendlines occurred between January and June 2006, consistent with the timing of malaria interventions. Over the same period, non-malaria cases and deaths either increased or remained unchanged, the number of malaria diagnostic tests performed reflected the decline in malaria cases, and rainfall remained at levels supportive of malaria transmission. Conclusions Malaria cases and deaths in Ethiopian hospitals decreased substantially during 2006–2011 in conjunction with scale-up of malaria interventions. The decrease could not be accounted for by changes in hospital visits, malaria diagnostic testing or rainfall. However, given the history of variable malaria transmission in Ethiopia, more data would be required to exclude the possibility that the decrease is due to other factors. PMID:25406083
Deribew, Amare; Tessema, Gizachew Assefa; Deribe, Kebede; Melaku, Yohannes Adama; Lakew, Yihunie; Amare, Azmeraw T; Abera, Semaw F; Mohammed, Mesoud; Hiruye, Abiy; Teklay, Efrem; Misganaw, Awoke; Kassebaum, Nicholas
2016-01-01
Ethiopia has made remarkable progress in reducing child mortality over the last two decades. However, the under-5 mortality rate in Ethiopia is still higher than the under-5 mortality rates of several low- and middle-income countries (LMIC). On the other hand, the patterns and causes of child mortality have not been well investigated in Ethiopia. The objective of this study was to investigate the mortality trend, causes of death, and risk factors among children under 5 in Ethiopia during 1990-2013. We used Global Burden of Disease (GBD) 2013 data. Spatiotemporal Gaussian Process Regression (GPR) was applied to generate best estimates of child mortality with 95% uncertainty intervals (UI). Causes of death by age groups, sex, and year were measured using Cause of Death Ensemble modeling (CODEm). For estimation of HIV/AIDS mortality rate, the modified UNAIDS EPP-SPECTRUM suite model was used. Between 1990 and 2013 the under-5 mortality rate declined from 203.9 deaths/1000 live births to 74.4 deaths/1000 live births with an annual rate of change of 4.6%, yielding a total reduction of 64%. Similarly, child (1-4 years), post-neonatal, and neonatal mortality rates declined by 75%, 64%, and 52%, respectively, between 1990 and 2013. Lower respiratory tract infection (LRI), diarrheal diseases, and neonatal syndromes (preterm birth complications, neonatal encephalopathy, neonatal sepsis, and other neonatal disorders) accounted for 54% of the total under-5 deaths in 2013. Under-5 mortality rates due to measles, diarrhea, malaria, protein-energy malnutrition, and iron-deficiency anemia declined by more than two-thirds between 1990 and 2013. Among the causes of under-5 deaths, neonatal syndromes such as sepsis, preterm birth complications, and birth asphyxia ranked third to fifth in 2013. Of all risk-attributable deaths in 1990, 25% of the total under-5 deaths (112,288/435,962) and 48% (112,288/232,199) of the deaths due to diarrhea, LRI, and other common infections were attributable to childhood wasting. Similarly, 19% (43,759/229,333) of the total under-5 deaths and 45% (43,759/97,963) of the deaths due to diarrhea and LRI were attributable to wasting in 2013. Of the total diarrheal disease- and LRI-related deaths ( n = 97,963) in 2013, 59% (57,923/97,963) of them were attributable to unsafe water supply, unsafe sanitation, household air pollution, and no handwashing with soap. LRI, diarrheal diseases, and neonatal syndromes remain the major causes of under-5 deaths in Ethiopia. These findings call for better-integrated newborn and child survival interventions focusing on the main risk factors.
Climatic trends over Ethiopia: regional signals and drivers
Jury, Mark R.; Funk, Christopher C.
2013-01-01
This study analyses observed and projected climatic trends over Ethiopia, through analysis of temperature and rainfall records and related meteorological fields. The observed datasets include gridded station records and reanalysis products; while projected trends are analysed from coupled model simulations drawn from the IPCC 4th Assessment. Upward trends in air temperature of + 0.03 °C year−1 and downward trends in rainfall of − 0.4 mm month−1 year−1 have been observed over Ethiopia's southwestern region in the period 1948-2006. These trends are projected to continue to 2050 according to the Geophysical Fluid Dynamics Lab model using the A1B scenario. Large scale forcing derives from the West Indian Ocean where significant warming and increased rainfall are found. Anticyclonic circulations have strengthened over northern and southern Africa, limiting moisture transport from the Gulf of Guinea and Congo. Changes in the regional Walker and Hadley circulations modulate the observed and projected climatic trends. Comparing past and future patterns, the key features spread westward from Ethiopia across the Sahel and serve as an early warning of potential impacts.
Evapotranspiration in the Nile Basin: Identifying dynamics and drivers, 2002–2011
Alemu, Henok; Kaptue, Armel T.; Senay, Gabriel; Wimberly, Michael C.; Henebry, Geoffrey M.
2015-01-01
Analysis of the relationship between evapotranspiration (ET) and its natural and anthropogenic drivers is critical in water-limited basins such as the Nile. The spatiotemporal relationships of ET with rainfall and vegetation dynamics in the Nile Basin during 2002–2011 were analyzed using satellite-derived data. Non-parametric statistics were used to quantify ET-rainfall interactions and trends across land cover types and subbasins. We found that 65% of the study area (2.5 million km2) showed significant (p < 0.05) positive correlations between monthly ET and rainfall, whereas 7% showed significant negative correlations. As expected, positive ET-rainfall correlations were observed over natural vegetation, mixed croplands/natural vegetation, and croplands, with a few subbasin-specific exceptions. In particular, irrigated croplands, wetlands and some forests exhibited negative correlations. Trend tests revealed spatial clusters of statistically significant trends in ET (6% of study area was negative; 12% positive), vegetation greenness (24% negative; 12% positive) and rainfall (11% negative; 1% positive) during 2002–2011. The Nile Delta, Ethiopian highlands and central Uganda regions showed decline in ET while central parts of Sudan, South Sudan, southwestern Ethiopia and northeastern Uganda showed increases. Except for a decline in ET in central Uganda, the detected changes in ET (both positive and negative) were not associated with corresponding changes in rainfall. Detected declines in ET in the Nile delta and Ethiopian highlands were found to be attributable to anthropogenic land degradation, while the ET decline in central Uganda is likely caused by rainfall reduction.
Moore, Ann M; Gebrehiwot, Yirgu; Fetters, Tamara; Wado, Yohannes Dibaba; Bankole, Akinrinola; Singh, Susheela; Gebreselassie, Hailemichael; Getachew, Yonas
2016-09-01
In 2005, Ethiopia's parliament amended the penal code to expand the circumstances in which abortion is legal. Although the country has expanded access to abortion and postabortion care, the last estimates of abortion incidence date from 2008. Data were collected in 2014 from a nationally representative sample of 822 facilities that provide abortion or postabortion care, and from 82 key informants knowledgeable about abortion services in Ethiopia. The Abortion Incidence Complications Methodology and the Prospective Morbidity Methodology were used to estimate the incidence of abortion in Ethiopia and assess trends since 2008. An estimated 620,300 induced abortions were performed in Ethiopia in 2014. The annual abortion rate was 28 per 1,000 women aged 15-49, an increase from 22 per 1,000 in 2008, and was highest in urban regions (Addis Ababa, Dire Dawa and Harari). Between 2008 and 2014, the proportion of abortions occurring in facilities rose from 27% to 53%, and the number of such abortions increased substantially; nonetheless, an estimated 294,100 abortions occurred outside of health facilities in 2014. The number of women receiving treatment for complications from induced abortion nearly doubled between 2008 and 2014, from 52,600 to 103,600. Thirty-eight percent of pregnancies were unintended in 2014, a slight decline from 42% in 2008. Although the increases in the number of women obtaining legal abortions and postabortion care are consistent with improvements in women's access to health care, a substantial number of abortions continue to occur outside of health facilities, a reality that must be addressed.
Hadley, Craig; Belachew, Tefera; Lindstrom, David; Tessema, Fasil
2013-01-01
Several related demographic trends are occurring in developing countries: youth comprise a large portion of populations, fertility rates are declining, and urban dwellers are increasing. As fertility rates decline and populations age, the decline in the ratio of young dependents to working age adults is expected to free up household resources, which can be invested in human capital, including youth nutritional wellbeing. We test this hypothesis in a sample of youth (n = 1,934) in Southwestern Ethiopia. Multiple measures of achieved growth and nutritional status are explored (weight, height, mid-upper arm circumference (MUAC), body mass index (BMI) and body mass index for age z-score (BMIZ), weight for age z-score (WAZ), and height for age z-score (HAZ)). In multivariable models controlling for the effects of income, age, gender, and youth is workloads, youth living in rural settings had significantly lower weight (1.24 kg lighter), MUAC (0.67 cm lower), BMI (0.45 BMI lower), BMIZ (0.27 lower), HAZ (0.14 HAZ lower), and WAZ (0.3 WAZ lower) than urban youth (all P < 0.01). Compared with youth in the lowest dependency ratio households, results show that youth in households with the highest dependency ratios were estimated to be 1.3 kg lighter, have 0.67 cm smaller MUAC, and BMI that was 0.59 lower (all P<0.01). Similar results were found for WAZ (0.21 lower) and BMIZ (0.36 lower). Youth height and HAZ were not associated with household dependency. These results may point toward increasing levels of human capital investments in Ethiopian youth as fertility levels decline and populations urbanize. Am J Phys Anthropol 144:643–652, 2011. PMID:21404240
Misganaw, Awoke; Melaku, Yohannes Adama; Tessema, Gizachew Assefa; Deribew, Amare; Deribe, Kebede; Abera, Semaw Ferede; Dessalegn, Muluken; Lakew, Yihunie; Bekele, Tolesa; Haregu, Tilahun N; Amare, Azmeraw T; Gedefaw, Molla; Mohammed, Mesoud; Yirsaw, Biruck Desalegn; Damtew, Solomon Abrha; Achoki, Tom; Blore, Jed; Krohn, Kristopher J; Assefa, Yibeltal; Kifle, Mahlet; Naghavi, Mohsen
2017-07-21
Disability-adjusted life years (DALYs) provide a summary measure of health and can be a critical input to guide health systems, investments, and priority-setting in Ethiopia. We aimed to determine the leading causes of premature mortality and disability using DALYs and describe the relative burden of disease and injuries in Ethiopia. We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) for non-fatal disease burden, cause-specific mortality, and all-cause mortality to derive age-standardized DALYs by sex for Ethiopia for each year. We calculated DALYs by summing years of life lost due to premature mortality (YLLs) and years lived with disability (YLDs) for each age group and sex. Causes of death by age, sex, and year were measured mainly using Causes of Death Ensemble modeling. To estimate YLDs, a Bayesian meta-regression method was used. We reported DALY rates per 100,000 for communicable, maternal, neonatal, and nutritional (CMNN) disorders, non-communicable diseases, and injuries, with 95% uncertainty intervals (UI) for Ethiopia. Non-communicable diseases caused 23,118.1 (95% UI, 17,124.4-30,579.6), CMNN disorders resulted in 20,200.7 (95% UI, 16,532.2-24,917.9), and injuries caused 3781 (95% UI, 2642.9-5500.6) age-standardized DALYs per 100,000 in Ethiopia in 2015. Lower respiratory infections, diarrheal diseases, and tuberculosis were the top three leading causes of DALYs in 2015, accounting for 2998 (95% UI, 2173.7-4029), 2592.5 (95% UI, 1850.7-3495.1), and 2562.9 (95% UI, 1466.1-4220.7) DALYs per 100,000, respectively. Ischemic heart disease and cerebrovascular disease were the fourth and fifth leading causes of age-standardized DALYs, with rates of 2535.7 (95% UI, 1603.7-3843.2) and 2159.9 (95% UI, 1369.7-3216.3) per 100,000, respectively. The following causes showed a reduction of 60% or more over the last 25 years: lower respiratory infections, diarrheal diseases, tuberculosis, neonatal encephalopathy, preterm birth complications, meningitis, malaria, protein-energy malnutrition, iron-deficiency anemia, measles, war and legal intervention, and maternal hemorrhage. Ethiopia has been successful in reducing age-standardized DALYs related to most communicable, maternal, neonatal, and nutritional deficiency diseases in the last 25 years, causing a major ranking shift to types of non-communicable disease. Lower respiratory infections, diarrheal disease, and tuberculosis continue to be leading causes of premature death, despite major declines in burden. Non-communicable diseases also showed reductions as premature mortality declined; however, disability outcomes for these causes did not show declines. Recently developed non-communicable disease strategies may need to be amended to focus on cardiovascular diseases, cancer, diabetes, and major depressive disorders. Increasing trends of disabilities due to neonatal encephalopathy, preterm birth complications, and neonatal disorders should be emphasized in the national newborn survival strategy. Generating quality data should be a priority through the development of new initiatives such as vital events registration, surveillance programs, and surveys to address gaps in data. Measuring disease burden at subnational regional state levels and identifying variations with urban and rural population health should be conducted to support health policy in Ethiopia.
Misganaw, Awoke; Melaku, Yohannes Adama; Tessema, Gizachew Assefa; Deribew, Amare; Deribe, Kebede; Abera, Semaw Ferede; Dessalegn, Muluken; Lakew, Yihunie; Bekele, Tolesa; Haregu, Tilahun N; Amare, Azmeraw T; Gedefaw, Molla; Mohammed, Mesoud; Yirsaw, Biruck Desalegn; Damtew, Solomon Abrha; Achoki, Tom; Blore, Jed; Krohn, Kristopher J; Assefa, Yibeltal; Kifle, Mahlet; Naghavi, Mohsen
2017-01-01
Disability-adjusted life years (DALYs) provide a summary measure of health and can be a critical input to guide health systems, investments, and priority-setting in Ethiopia. We aimed to determine the leading causes of premature mortality and disability using DALYs and describe the relative burden of disease and injuries in Ethiopia. We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) for non-fatal disease burden, cause-specific mortality, and all-cause mortality to derive age-standardized DALYs by sex for Ethiopia for each year. We calculated DALYs by summing years of life lost due to premature mortality (YLLs) and years lived with disability (YLDs) for each age group and sex. Causes of death by age, sex, and year were measured mainly using Causes of Death Ensemble modeling. To estimate YLDs, a Bayesian meta-regression method was used. We reported DALY rates per 100,000 for communicable, maternal, neonatal, and nutritional (CMNN) disorders, non-communicable diseases, and injuries, with 95% uncertainty intervals (UI) for Ethiopia. Non-communicable diseases caused 23,118.1 (95% UI, 17,124.4-30,579.6), CMNN disorders resulted in 20,200.7 (95% UI, 16,532.2-24,917.9), and injuries caused 3781 (95% UI, 2642.9-5500.6) age-standardized DALYs per 100,000 in Ethiopia in 2015. Lower respiratory infections, diarrheal diseases, and tuberculosis were the top three leading causes of DALYs in 2015, accounting for 2998 (95% UI, 2173.7-4029), 2592.5 (95% UI, 1850.7-3495.1), and 2562.9 (95% UI, 1466.1-4220.7) DALYs per 100,000, respectively. Ischemic heart disease and cerebrovascular disease were the fourth and fifth leading causes of age-standardized DALYs, with rates of 2535.7 (95% UI, 1603.7-3843.2) and 2159.9 (95% UI, 1369.7-3216.3) per 100,000, respectively. The following causes showed a reduction of 60% or more over the last 25 years: lower respiratory infections, diarrheal diseases, tuberculosis, neonatal encephalopathy, preterm birth complications, meningitis, malaria, protein-energy malnutrition, iron-deficiency anemia, measles, war and legal intervention, and maternal hemorrhage. Ethiopia has been successful in reducing age-standardized DALYs related to most communicable, maternal, neonatal, and nutritional deficiency diseases in the last 25 years, causing a major ranking shift to types of non-communicable disease. Lower respiratory infections, diarrheal disease, and tuberculosis continue to be leading causes of premature death, despite major declines in burden. Non-communicable diseases also showed reductions as premature mortality declined; however, disability outcomes for these causes did not show declines. Recently developed non-communicable disease strategies may need to be amended to focus on cardiovascular diseases, cancer, diabetes, and major depressive disorders. Increasing trends of disabilities due to neonatal encephalopathy, preterm birth complications, and neonatal disorders should be emphasized in the national newborn survival strategy. Generating quality data should be a priority through the development of new initiatives such as vital events registration, surveillance programs, and surveys to address gaps in data. Measuring disease burden at subnational regional state levels and identifying variations with urban and rural population health should be conducted to support health policy in Ethiopia.
Hydro-meteorological trends in the Gidabo catchment of the Rift Valley Lakes Basin of Ethiopia
NASA Astrophysics Data System (ADS)
Belihu, Mamuye; Abate, Brook; Tekleab, Sirak; Bewket, Woldeamlak
2018-04-01
The global and regional variability and changes of climate and stream flows are likely to have significant influence on water resource availability. The magnitude and impacts of climate variability and change differs spatially and temporally. This study examines the long term hydroclimatic changes, analyses of the hydro-climate variability and detect whether there exist significant trend or not in the Gidabo catchment, rift valley lakes basin of Ethiopia. Precipitation, temperature and stream flow time series data were used in monthly, seasonal and annual time scales. The precipitation and temperature data span is between 1982 and 2014 and that of stream flow is between 1976 and 2006. To detect trends the analysis were done by using Mann Kendal (MK), Sen's graphical method and to detect change point using the Pettit test. The comparison of trend analysis between MK trend test and Sen graphical method results depict mostly similar pattern. The annual rainfall trends exhibited a significant decrease by about 12 mm per year in the upstream, which is largely driven by the significant decrease in the peak season rainfall. The Pettit test revealed that the years 1997 and 2007 were the change points. It is noted that the rise of temperature over a catchment might have decreased the availability of soil moisture which resulted in less runoff. The temperature analyses also revealed that the catchment was getting warmer; particularly in the upstream. The minimum temperature trend showed a significant increase about 0.08°c per annum. There is generally a decreasing trend in stream flow. The monthly stream flow also exhibited a decreasing trend in February, March and September. The decline in annual and seasonal rainfall and the increase in temperature lead to more evaporation and directly affecting the stream flow negatively. This trend compounded with the growth of population and increasing demand for irrigation water exacerbates the competing demand for water resources. It thus calls for prudence in devising appropriate intervention in the planning and sustainable development of the basin water resources.
NASA Astrophysics Data System (ADS)
Pricope, N. G.; Husak, G. J.; Funk, C. C.; Lopez-Carr, D.
2014-12-01
Increasing climate variability and extreme weather conditions along with declining trends in both rainfall and temperature represent major risk factors affecting agricultural production and food security in many regions of the world. We identify regions where significant rainfall decrease from 1979-2011 over the entire continent of Africa couples with significant human population density increase. The rangelands of Ethiopia, Kenya, and Somalia in the East African Horn remain one of the world's most food insecure regions, yet have significantly increasing human populations predominantly dependent on pastoralist and agro-pastoralist livelihoods. Vegetation in this region is characterized by a variable mosaic of land covers, generally dominated by grasslands necessary for agro-pastoralism, interspersed by woody vegetation. Recent assessments indicate that widespread degradation is occurring, adversely impacting fragile ecosystems and human livelihoods. Using two underutilized MODIS products, we observe significant changes in vegetation patterns and productivity over the last decade all across the East African Horn. We observe significant vegetation browning trends in areas experiencing drying precipitation trends in addition to increasing population pressures. We also found that the drying precipitation trends only partially statistically explain the vegetation browning trends, further indicating that other factors such as population pressures and land use changes are responsible for the observed declining vegetation health. Furthermore, we show that the general vegetation browning trends persist even during years with normal rainfall conditions such as 2012, indicating potential long-term degradation of rangelands on which approximately 10 million people depend. These findings have serious implications for current and future regional food security monitoring and forecasting as well as for mitigation and adaptation strategies in a region where population is expected to continue increasing against a backdrop of drying climate trends.
Dry spell, onset and cessation of the wet season rainfall in the Upper Baro-Akobo Basin, Ethiopia
NASA Astrophysics Data System (ADS)
Kebede, Asfaw; Diekkrüger, Bernd; Edossa, Desalegn C.
2017-08-01
In this study, maximum dry spell length and number of dry spell periods of rainy seasons in the upper Baro-Akobo River basin which is a part of the Nile basin, Western Ethiopia, were investigated to analyse the drought trend. Daily rainfall records of the period 1972-2000 from eight rain gauge stations were used in the analysis, and Mann-Kendall test was used to test trends for significance. Furthermore, the beginning and end of the trend development in the dry spell were also tested using the sequential version of Mann-Kendall test. Results have shown that there is neither clear monotonic trend found in dry spell for the basin nor significant fluctuation in the onset, cession and duration of rainfall in the Baro-Akobo river basin. This sufficiently explains why rain-fed agriculture has suffered little in the western part of Ethiopia. The predictable nature of dry spell pattern may have allowed farmers to adjust to rainfall variability in the basin. Unlike many parts of Ethiopia, the Baro-Akobo basin climate variability is not a limiting factor for rain-fed agriculture productivity which may contribute significantly to national food security.
Estimating probabilistic rainfall and food security outcomes for eastern and southern Africa
NASA Astrophysics Data System (ADS)
Verdin, J.; Funk, C.; Dettinger, M.; Brown, M.
2009-05-01
Since 1980, the number of undernourished people in eastern and southern Africa has more than doubled. Rural development stalled and rural poverty expanded during the 1990s. Population growth remains high, and declining per-capita agricultural capacity retards development. In September of 2008, Ethiopia, Kenya, Djibouti, and Somalia faced high or extreme conditions of food insecurity caused by repeated droughts and rapid food price inflation. In this talk we present research, performed for the US Agency for International Development on probabilistic projections of rainfall and food security trends for eastern and southern Africa. Analyses of station data and satellite-based estimates of precipitation have identified another problematic trend: main growing- season rainfall has diminished by ~15% in food-insecure countries clustered along the western rim of the Indian Ocean. Occurring during the main growing seasons in poor countries dependent on rain-fed agriculture, these declines constitute a long term danger to subsistence agricultural and pastoral livelihoods. Tracing moisture deficits upstream to an anthropogenically-induced warming Indian Ocean leads us to conclude that further rainfall declines are likely. We present analyses suggesting that warming in the central Indian Ocean disrupts onshore moisture transports, reducing continental rainfall. Thus, late 20th century Indian Ocean warming has probably already produced societally dangerous climate change by creating drought and social disruption in some of the world's most fragile food economies. We quantify the potential impacts of the observed precipitation and agricultural capacity trends by modeling millions of undernourished people as a function of rainfall, population, cultivated area, and seed and fertilizer use. Persistence of current trends may result in a 50% increase in undernourished people. On the other hand, modest increases in per-capita agricultural productivity could more than offset the observed precipitation declines. Increased investment in agricultural development would help mitigate climate change while decreasing rural poverty and vulnerability.
ERIC Educational Resources Information Center
Alemu, Daniel S.
2010-01-01
Private for-profit higher education has been rapidly expanding in developing countries worldwide since the early 1990s. This global trend has been particularly evident in Ethiopia, where only three public universities existed until 1996. By 2005, about 60 private for-profit higher education institutions had been founded in Ethiopia. This has led…
Moore, Ann M.; Gebrehiwot, Yirgu; Fetters, Tamara; Wado, Yohannes Dibaba; Bankole, Akinrinola; Singh, Susheela; Gebreselassie, Hailemichael; Getachew, Yonas
2017-01-01
CONTEXT In 2005, Ethiopia’s parliament amended the penal code to expand the circumstances in which abortion is legal. Although the country has expanded access to abortion and postabortion care, the last estimates of abortion incidence date from 2008. METHODS Data were collected in 2014 from a nationally representative sample of 822 facilities that provide abortion or postabortion care, and from 82 key informants knowledgeable about abortion services in Ethiopia. The Abortion Incidence Complications Methodology and the Prospective Morbidity Methodology were used to estimate the incidence of abortion in Ethiopia and assess trends since 2008. RESULTS An estimated 620,300 induced abortions were performed in Ethiopia in 2014. The annual abortion rate was 28 per 1,000 women aged 15–49, an increase from 22 per 1,000 in 2008, and was highest in urban regions (Addis Ababa, Dire Dawa and Harari). Between 2008 and 2014, the proportion of abortions occurring in facilities rose from 27% to 53%, and the number of such abortions increased substantially; nonetheless, an estimated 294,100 abortions occurred outside of health facilities in 2014. The number of women receiving treatment for complications from induced abortion nearly doubled between 2008 and 2014, from 52,600 to 103,600. Thirty-eight percent of pregnancies were unintended in 2014, a slight decline from 42% in 2008. CONCLUSIONS Although the increases in the number of women obtaining legal abortions and postabortion care are consistent with improvements in women’s access to health care, a substantial number of abortions continue to occur outside of health facilities, a reality that must be addressed. PMID:28825902
Deribew, A; Kebede, B; Tessema, GA; Adama, YA; Misganaw, A; Gebre, T; Hailu, A; Biadgilign, S; Amberbir, A; Desalegn, B; Abajobir, AA; Shafi, O; Abera, SF; Negussu, N; Mengistu, B; Amare, AT; Mulugeta, A; Kebede, Z; Mengistu, B; Tadesse, Z; Sileshi, M; Tamiru, M; Chromwel, EA; Glenn, SD; Stanaway, JD; Deribe, K
2017-01-01
Introduction Neglected tropical diseases (NTDs) are important public health problems in Ethiopia. In 2013, the Federal Ministry of Health (FMOH) has launched a national NTD master plan to eliminate major NTDs of public health importance by 2020. Benchmarking the current status of NTDs in the country is important to monitor and evaluate the progress in the implementation of interventions and their impacts. Therefore, this study aims to assess the trends of mortality and Disability-adjusted Life-Years (DALY) for the priority NTDs over the last 25 years. Methods We used the Global Burden of Disease (GBD) 2015 estimates for this study. The GBD 2015 data source for cause of death and DALY estimation included verbal autopsy (VA), Demographic and Health Surveys (DHS), and other disease specific surveys, Ministry of Health reports submitted to United Nations (UN) agencies and published scientific articles. Cause of Death Ensemble modeling (CODEm) and/or natural history models were used to estimate NTDs mortality rates. DALY were estimated as the sum of Years of Life Lost (YLL) due to premature mortality and Years Lived with Disability (YLD). Results All NTDs caused an estimated of 6,293 deaths (95% uncertainty interval (UI): 3699-10,080) in 1990 and 3,593 deaths (95% UI: 2051 – 6178) in 2015, a 43% reduction over the 25 years. Age-standardized mortality rates due to schistosomiasis, STH and leshmaniasis have declined by 91.3%, 73.5% and 21.6% respectively between 1990 to 2015. The number of DALYs due to all NTDs has declined from 814.4 thousand (95% UI: 548 thousand–1.2million) in 1990 to 579.5 thousand (95%UI: 309.4 thousand–1.3 million) in 2015. Age-standardized DALY rates due to all NTDs declined by 30.7%, from 17.6 per 1000(95%UI: 12.5-26.5) in 1990 to 12.2 per 1000(95%UI: 6.5 – 27.4) in 2015. Age-standardized DALY rate for trachoma declined from 92.7 per 100,000(95% UI: 63.2 – 128.4) in 1990 to 41.2 per 100,000(95%UI: 27.4–59.2) in 2015, a 55.6% reduction between 1990 and 2015. Age-standardized DALY rates for onchocerciasis, schistosomiasis and lymphiaticfilariasis decreased by 66.2%, 29.4% and 12.5% respectively between 1990 and 2015. DALY rate for ascariasis fell by 56.8% over the past 25 years. Conclusions Ethiopia has made a remarkable progress in reducing the DALY rates for most of the NTDs over the last 25 years. The rapid scale of interventions and broader system strengthening may have a lasting impact on achieving the 2020 goal of elimination of most of NTDs. Ethiopia should strengthen the coverage of integrated interventions of NTD through proper coordination with other health programs and sectors and community participation to eliminate NTDs by 2020. PMID:28878427
Assefa, Yibeltal; Damme, Wim Van; Williams, Owain D; Hill, Peter S
2017-01-01
We analysed the performance of Ethiopia in achieving the health-related millennium development goals (MDGs) with the aim of acquiring lessons for the sustainable development goals (SDGs). Ethiopia achieved most of the health MDGs: a 67% reduction in under-five mortality, a 71% decline in maternal mortality ratio, a 90% decline in new HIV infections, a decrease in malaria-related deaths by 73% and a more than 50% decline in mortality due to tuberculosis. We argue that these achievements are due to implementation of a mix of comprehensive strategies within the health system and across other sectors of the government. Scaling up of interventions by disease control programmes (including the health extension programme) and strengthening of the health system have played important roles towards the achievements. These health gains could not have been realised without progress in the other MDGs: poverty reduction, education, access to safe drinking-water and peace and stability of the country. However, the gains were not equitable, with differences between urban and rural areas, among regions and socioeconomic strata. Ethiopia's remarkable success in meeting most of the targets of the health-related MDGs could be explained by its comprehensive and multisectoral approach for health development. The inequity gap remains a challenge that achieving the health-related SDGs requires the country to implement strategies, which specifically target more marginal populations and geographic areas. This also needs peace and stability, without which it is almost impossible to improve health.
ERIC Educational Resources Information Center
Tekleselassie, Abebayehu A.
2005-01-01
In response to the ever-declining status of the teaching profession, and its adverse effects on the country's educational system, the Federal Ministry of Education in Ethiopia introduced a policy of the teachers' career ladder in 1994. While reformers believe that the introduction of the policy has improved the condition of the teaching…
Accorsi, Sandro; Bilal, Nejmudin Kedir; Farese, Pasquale; Racalbuto, Vincenzo
2010-05-01
Mid-way 2007 reports indicate that many low-income countries, at current rates of progress, are unlikely to reach the Millennium Development Goals (MDG) by 2015. In Ethiopia, a decline was observed in under-five mortality rates from 204 to 123 per 1000 live births between 1990 and 2005, showing good progress towards the achievement of MDG4. A downward trend was observed in the maternal mortality ratio; however, because of the high degree of sampling variability, it is not possible to reach any firm conclusion about the possibility of achieving MDG5. Regarding MDG6, good progress was observed in controlling HIV/AIDS and malaria, whereas MDG indicators related to tuberculosis are still below international standards. Therefore, performance was not uniform across programmes. In general, interventions that can be routinely scheduled, such as immunisation, had much higher coverage than those that rely on functional health systems and clinical services proximate to households with 24h availability, such as skilled care at birth. These mixed results highlight that, although MDGs focus on specific diseases and conditions, targets cannot be achieved without strengthening health systems. It is for this reason that the strategic health plan in Ethiopia is focusing on high-impact and cost-effective health interventions and on health systems strengthening. Copyright 2009 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
Misganaw, Awoke; Haregu, Tilahun N; Deribe, Kebede; Tessema, Gizachew Assefa; Deribew, Amare; Melaku, Yohannes Adama; Amare, Azmeraw T; Abera, Semaw Ferede; Gedefaw, Molla; Dessalegn, Muluken; Lakew, Yihunie; Bekele, Tolesa; Mohammed, Mesoud; Yirsaw, Biruck Desalegn; Damtew, Solomon Abrha; Krohn, Kristopher J; Achoki, Tom; Blore, Jed; Assefa, Yibeltal; Naghavi, Mohsen
2017-01-01
Ethiopia lacks a complete vital registration system that would assist in measuring disease burden and risk factors. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) estimates to describe the mortality burden from communicable, non-communicable, and other diseases in Ethiopia over the last 25 years. GBD 2015 mainly used cause of death ensemble modeling to measure causes of death by age, sex, and year for 195 countries. We report numbers of deaths and rates of years of life lost (YLL) for communicable, maternal, neonatal, and nutritional (CMNN) disorders, non-communicable diseases (NCDs), and injuries with 95% uncertainty intervals (UI) for Ethiopia from 1990 to 2015. CMNN causes of death have declined by 65% in the last two-and-a-half decades. Injury-related causes of death have also decreased by 70%. Deaths due to NCDs declined by 37% during the same period. Ethiopia showed a faster decline in the burden of four out of the five leading causes of age-standardized premature mortality rates when compared to the overall sub-Saharan African region and the Eastern sub-Saharan African region: lower respiratory infections, tuberculosis, HIV/AIDS, and diarrheal diseases; however, the same could not be said for ischemic heart disease and other NCDs. Non-communicable diseases, together, were the leading causes of age-standardized mortality rates, whereas CMNN diseases were leading causes of premature mortality in 2015. Although lower respiratory infections, tuberculosis, and diarrheal disease were the leading causes of age-standardized death rates, they showed major declines from 1990 to 2015. Neonatal encephalopathy, iron-deficiency anemia, protein-energy malnutrition, and preterm birth complications also showed more than a 50% reduction in burden. HIV/AIDS-related deaths have also decreased by 70% since 2005. Ischemic heart disease, hemorrhagic stroke, and ischemic stroke were among the top causes of premature mortality and age-standardized death rates in Ethiopia in 2015. Ethiopia has been successful in reducing deaths related to communicable, maternal, neonatal, and nutritional deficiency diseases and injuries by 65%, despite unacceptably high maternal and neonatal mortality rates. However, the country's performance regarding non-communicable diseases, including cardiovascular disease, diabetes, cancer, and chronic respiratory disease, was minimal, causing these diseases to join the leading causes of premature mortality and death rates in 2015. While the country is progressing toward universal health coverage, prevention and control strategies in Ethiopia should consider the double burden of common infectious diseases and non-communicable diseases: lower respiratory infections, diarrhea, tuberculosis, HIV/AIDS, cardiovascular disease, cancer, and diabetes. Prevention and control strategies should also pay special attention to the leading causes of premature mortality and death rates caused by non-communicable diseases: cardiovascular disease, cancer, and diabetes. Measuring further progress requires a data revolution in generating, managing, analyzing, and using data for decision-making and the creation of a full vital registration system in the country.
Misganaw, Awoke; Haregu, Tilahun N; Deribe, Kebede; Tessema, Gizachew Assefa; Deribew, Amare; Melaku, Yohannes Adama; Amare, Azmeraw T; Abera, Semaw Ferede; Gedefaw, Molla; Dessalegn, Muluken; Lakew, Yihunie; Bekele, Tolesa; Mohammed, Mesoud; Yirsaw, Biruck Desalegn; Damtew, Solomon Abrha; Krohn, Kristopher J; Achoki, Tom; Blore, Jed; Assefa, Yibeltal; Naghavi, Mohsen
2017-07-21
Ethiopia lacks a complete vital registration system that would assist in measuring disease burden and risk factors. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) estimates to describe the mortality burden from communicable, non-communicable, and other diseases in Ethiopia over the last 25 years. GBD 2015 mainly used cause of death ensemble modeling to measure causes of death by age, sex, and year for 195 countries. We report numbers of deaths and rates of years of life lost (YLL) for communicable, maternal, neonatal, and nutritional (CMNN) disorders, non-communicable diseases (NCDs), and injuries with 95% uncertainty intervals (UI) for Ethiopia from 1990 to 2015. CMNN causes of death have declined by 65% in the last two-and-a-half decades. Injury-related causes of death have also decreased by 70%. Deaths due to NCDs declined by 37% during the same period. Ethiopia showed a faster decline in the burden of four out of the five leading causes of age-standardized premature mortality rates when compared to the overall sub-Saharan African region and the Eastern sub-Saharan African region: lower respiratory infections, tuberculosis, HIV/AIDS, and diarrheal diseases; however, the same could not be said for ischemic heart disease and other NCDs. Non-communicable diseases, together, were the leading causes of age-standardized mortality rates, whereas CMNN diseases were leading causes of premature mortality in 2015. Although lower respiratory infections, tuberculosis, and diarrheal disease were the leading causes of age-standardized death rates, they showed major declines from 1990 to 2015. Neonatal encephalopathy, iron-deficiency anemia, protein-energy malnutrition, and preterm birth complications also showed more than a 50% reduction in burden. HIV/AIDS-related deaths have also decreased by 70% since 2005. Ischemic heart disease, hemorrhagic stroke, and ischemic stroke were among the top causes of premature mortality and age-standardized death rates in Ethiopia in 2015. Ethiopia has been successful in reducing deaths related to communicable, maternal, neonatal, and nutritional deficiency diseases and injuries by 65%, despite unacceptably high maternal and neonatal mortality rates. However, the country's performance regarding non-communicable diseases, including cardiovascular disease, diabetes, cancer, and chronic respiratory disease, was minimal, causing these diseases to join the leading causes of premature mortality and death rates in 2015. While the country is progressing toward universal health coverage, prevention and control strategies in Ethiopia should consider the double burden of common infectious diseases and non-communicable diseases: lower respiratory infections, diarrhea, tuberculosis, HIV/AIDS, cardiovascular disease, cancer, and diabetes. Prevention and control strategies should also pay special attention to the leading causes of premature mortality and death rates caused by non-communicable diseases: cardiovascular disease, cancer, and diabetes. Measuring further progress requires a data revolution in generating, managing, analyzing, and using data for decision-making and the creation of a full vital registration system in the country.
Blending local scale information for developing agricultural resilience in Ethiopia
Funk, Christopher C.; Husak, Gregory; Mahiny, A.S; Eilerts, Gary; Rowland, James
2013-01-01
This brief article looks at the intersection of climate, land cover/land use, and population trends in the world's most food insecure country, Ethiopia. As a result of warming in the Indian and Western Pacific oceans, Ethiopia has experienced substantial drying over the past 20 years. We intersect the spatial pattern of this drying with high resolution climatologies, maps of agricultural expansion, population data, and socioeconomic livelihoods information to suggest that the coincidence of drying and agricultural expansion in south-central Ethiopia is likely adversely affecting a densely populated region with high levels of poverty and low wage levels.
Reniers, Georges; Araya, Tekebash; Davey, Gail; Nagelkerke, Nico; Berhane, Yemane; Coutinho, Roel; Sanders, Eduard J.
2009-01-01
Objectives Assessments of population-level effects of antiretroviral therapy (ART) programs in Africa are rare. We use data from burial sites to estimate trends in adult AIDS mortality and the mitigating effects of ART in Addis Ababa. ART has been available since 2003, and for free since 2005. Methods To substitute for deficient vital registration, we use surveillance of burials at all cemeteries. We present trends in all-cause mortality, and estimate AIDS mortality (ages 20–64) from lay reports of causes of death. These lay reports are first used as a diagnostic test for the true cause of death. As reference standard we use the cause of death established via verbal autopsy interviews conducted in 2004. The Positive Predictive Value and Sensitivity are subsequently used as anchors to estimate the number of AIDS deaths for the period 2001–2007. Estimates are compared with Spectrum projections. Results Between 2001 and 2005, the number of AIDS deaths declined by 21.9% and 9.3% for men and women, respectively. Between 2005 and 2007, the number of AIDS deaths declined by 38.2% for men and 42.9% for women. Compared to the expected number in the absence of ART, the reduction in AIDS deaths in 2007 is estimated between 56.8% and 63.3%, depending on the coverage of the burial surveillance. Conclusion Five years into the ART program, adult AIDS mortality has been reduced by more than half. Following the free provision of ART in 2005, the decline accelerated and became more gender balanced. Substantial AIDS mortality, however, persists. PMID:19169138
Alam, Nazmul; Hajizadeh, Mohammad; Dumont, Alexandre; Fournier, Pierre
2015-01-01
To assess social inequalities in the use of antenatal care (ANC), facility based delivery (FBD), and modern contraception (MC) in two contrasting groups of countries in sub-Saharan Africa divided based on their progress towards maternal mortality reduction. Six countries were included in this study. Three countries (Ethiopia, Madagascar, and Uganda) had <350 MMR in 2010 with >4.5% average annual reduction rate while another three (Cameroon, Zambia, and Zimbabwe) had >550 MMR in 2010 with only <1.5% average annual reduction rate. All of these countries had at least three rounds of Demographic and Health Surveys (DHS) before 2012. We measured rate ratios and differences, as well as relative and absolute concentration indices in order to examine within-country geographical and wealth-based inequalities in the utilization of ANC, FBD, and MC. In the countries which have made sufficient progress (i.e. Ethiopia, Madagascar, and Uganda), ANC use increased by 8.7, 9.3 and 5.7 percent, respectively, while the utilization of FBD increased by 4.7, 0.7 and 20.2 percent, respectively, over the last decade. By contrast, utilization of these services either plateaued or decreased in countries which did not make progress towards reducing maternal mortality, with the exception of Cameroon. Utilization of MC increased in all six countries but remained very low, with a high of 40.5% in Zimbabwe and low of 16.1% in Cameroon as of 2011. In general, relative measures of inequalities were found to have declined overtime in countries making progress towards reducing maternal mortality. In countries with insufficient progress towards maternal mortality reduction, these indicators remained stagnant or increased. Absolute measures for geographical and wealth-based inequalities remained high invariably in all six countries. The increasing trend in the utilization of maternal care services was found to concur with a steady decline in maternal mortality. Relative inequality declined overtime in countries which made progress towards reducing maternal mortality. PMID:25853423
Berhan, Yifru; Berhan, Asres
2014-01-01
Background The major causes of maternal and perinatal deaths are mostly pregnancy related. However, there are several predisposing factors for the increased risk of pregnancy related complications and deaths in developing countries. The objective of this review was to grossly estimate the effect of selected socioeconomic and cultural factors on maternal mortality, stillbirths and neonatal mortality in Ethiopia. Methods A comprehensive literature review was conducted focusing on the effect of total fertility rate (TFR), modern contraceptive use, harmful traditional practice, adult literacy rate and level of income on maternal and perinatal mortalities. For the majority of the data, regression analysis and Pearson correlation coefficient were used as a proxy indicator for the association of variables with maternal, fetal and neonatal mortality. Results Although there were variations in the methods for estimation, the TFR of women in Ethiopia declined from 5.9 to 4.8 in the last fifteen years, which was in the middle as compared with that of other African countries. The preference of injectable contraceptive method has increased by 7-fold, but the unmet contraceptive need was among the highest in Africa. About 50% reduction in female genital cutting (FGC) was reported although some women's attitude was positive towards the practice of FGC. The regression analysis demonstrated increased risk of stillbirths, neonatal and maternal mortality with increased TFR. The increased adult literacy rate was associated with increased antenatal care and skilled person attended delivery. Low adult literacy was also found to have a negative association with stillbirths and neonatal and maternal mortality. A similar trend was also observed with income. Conclusion Maternal mortality ratio, stillbirth rate and neonatal mortality rate had inverse relations with income and adult education. In Ethiopia, the high total fertility rate, low utilization of contraceptive methods, low adult literacy rate, low income and prevalent harmful traditional practices have probably contributed to the high maternal mortality ratio, stillbirth and neonatal mortality rates. PMID:25489187
Reduction in child mortality in Ethiopia: analysis of data from demographic and health surveys.
Doherty, Tanya; Rohde, Sarah; Besada, Donela; Kerber, Kate; Manda, Samuel; Loveday, Marian; Nsibande, Duduzile; Daviaud, Emmanuelle; Kinney, Mary; Zembe, Wanga; Leon, Natalie; Rudan, Igor; Degefie, Tedbabe; Sanders, David
2016-12-01
To examine changes in under-5 mortality, coverage of child survival interventions and nutritional status of children in Ethiopia between 2000 and 2011. Using the Lives Saved Tool, the impact of changes in coverage of child survival interventions on under-5 lives saved was estimated. Estimates of child mortality were generated using three Ethiopia Demographic and Health Surveys undertaken between 2000 and 2011. Coverage indicators for high impact child health interventions were calculated and the Lives Saved Tool (LiST) was used to estimate child lives saved in 2011. The mortality rate in children younger than 5 years decreased rapidly from 218 child deaths per 1000 live births (95% confidence interval 183 to 252) in the period 1987-1991 to 88 child deaths per 1000 live births in the period 2007-2011 (78 to 98). The prevalence of moderate or severe stunting in children aged 6-35 months also declined significantly. Improvements in the coverage of interventions relevant to child survival in rural areas of Ethiopia between 2000 and 2011 were found for tetanus toxoid, DPT3 and measles vaccination, oral rehydration solution (ORS) and care-seeking for suspected pneumonia. The LiST analysis estimates that there were 60 700 child deaths averted in 2011, primarily attributable to decreases in wasting rates (18%), stunting rates (13%) and water, sanitation and hygiene (WASH) interventions (13%). Improvements in the nutritional status of children and increases in coverage of high impact interventions most notably WASH and ORS have contributed to the decline in under-5 mortality in Ethiopia. These proximal determinants however do not fully explain the mortality reduction which is plausibly also due to the synergistic effect of major child health and nutrition policies and delivery strategies.
Secular spring rainfall variability at local scale over Ethiopia: trend and associated dynamics
NASA Astrophysics Data System (ADS)
Tsidu, Gizaw Mengistu
2017-10-01
Spring rainfall secular variability is studied using observations, reanalysis, and model simulations. The joint coherent spatio-temporal secular variability of gridded monthly gauge rainfall over Ethiopia, ERA-Interim atmospheric variables and sea surface temperature (SST) from Hadley Centre Sea Ice and SST (HadISST) data set is extracted using multi-taper method singular value decomposition (MTM-SVD). The contemporaneous associations are further examined using partial Granger causality to determine presence of causal linkage between any of the climate variables. This analysis reveals that only the northwestern Indian Ocean secular SST anomaly has direct causal links with spring rainfall over Ethiopia and mean sea level pressure (MSLP) over Africa inspite of the strong secular covariance of spring rainfall, SST in parts of subtropical Pacific, Atlantic, Indian Ocean and MSLP. High secular rainfall variance and statistically significant linear trend show consistently that there is a massive decline in spring rain over southern Ethiopia. This happened concurrently with significant buildup of MSLP over East Africa, northeastern Africa including parts of the Arabian Peninsula, some parts of central Africa and SST warming over all ocean basins with the exception of the ENSO regions. The east-west pressure gradient in response to the Indian Ocean warming led to secular southeasterly winds over the Arabian Sea, easterly over central Africa and equatorial Atlantic. These flows weakened climatological northeasterly flow over the Arabian Sea and southwesterly flow over equatorial Atlantic and Congo basins which supply moisture into the eastern Africa regions in spring. The secular divergent flow at low level is concurrent with upper level convergence due to the easterly secular anomalous flow. The mechanisms through which the northwestern Indian Ocean secular SST anomaly modulates rainfall are further explored in the context of East Africa using a simplified atmospheric general circulation model (AGCM) coupled to mixed-layer oceanic model. The rainfall anomaly (with respect to control simulation), forced by the northwestern Indian Ocean secular SST anomaly and averaged over the 30-year period, exhibits prevalence of dry conditions over East and equatorial Africa in agreement with observation. The atmospheric response to secular SST warming anomaly led to divergent flow at low levels and subsidence at the upper troposphere over regions north of 5° S on the continent and vice versa over the Indian Ocean. This surface difluence over East Africa, in addition to its role in suppressing convective activity, deprives the region of moisture supply from the Indian Ocean as well as the Atlantic and Congo basins.
Trends and variability of water quality in Lake Tana, Ethiopia using MODIS-Aqua
NASA Astrophysics Data System (ADS)
DeLuca, N. M.; Zaitchik, B. F.; Monger, B. C.
2017-12-01
Determining long-term water quality trends and variability in remote inland lakes has been challenging due to a lack of continuous in situ measurements. Utilizing ocean color remote sensing techniques for these lakes is difficult due to their sizes, shapes, and optically complex waters. Lake Tana is the largest body of water in Ethiopia, and is located in the country's northwestern highlands. The lake is quite shallow, averaging at about 8 meters depth, and is characteristically turbid due to nearby land degradation and high soil erosion rates. Lake Tana is an important source of accessible water for the rapidly growing population of Ethiopia and serves as the headwaters for the Blue Nile. Therefore, understanding water quality trends and seasonal variation over the past decade is essential to better preparing for future water needs. Here we use MODIS-Aqua data spanning years 2002-2016 to investigate these trends and variability in Lake Tana, where in situ measurements are limited. Daily water quality products were first processed using SeaDAS and then aggregated by month and year for analyses. Frequent cloud cover in the June, July, and August (JJA) rainy season due to monsoon and zonal dynamics presents an obstacle for obtaining mean lake values during these months. We also performed analyses on targeted regions of Lake Tana to determine whether some of the major tributaries and their corresponding watersheds have more influence on observed trends than others.
Population dynamics of rural Ethiopia.
Bariabagar, H
1978-01-01
2 rounds of the national sample surveys, conducted by the central statistical office of Ethiopia during 1964-1967 and 1969-1971, provide the only comprehensive demographic data for the country and are the basis for this discussion of rural Ethiopia's population dynamics. The population of Ethiopia is predominantly rural. Agglomerations of 2000 and over inhabitants constitute about 14% of the population, and this indicates that Ethiopia has a low level of urbanization. In rural Ethiopia, international migration was negligent in the 1970's and the age structure can be assumed to be the results of past trends of fertility and mortality conditions. The reported crude birthrate (38.2), crude death rate (12.3) and infant mortality rate (90) of rural Ethiopia fall short of the averages for African countries. Prospects of population growth of rural Ethiopia would be immense. At the rate of natural increase of between 2.4 and 3.0% per annum, the population would double in 24-29 years. Regarding population issues, the programs of the National Democratic Revolution of Ethiopia faces the following main challenging problems: 1) carrying out national population censuses in order to obtain basic information for socialist planning; 2) minimizing or curtailing the existing high urban growth rates; 3) reducing rapidly growing population; and 5) mobilizing Ethiopian women to participate in the social, economic and political life of the country in order to create favorable conditions for future fertility reduction.
Nutritional Status of Under Five Children in Ethiopia: A Systematic Review and Meta-Analysis.
Abdulahi, Ahmed; Shab-Bidar, Sakineh; Rezaei, Shahabeddin; Djafarian, Kurosh
2017-03-01
Undernutrition is the outcome of insufficient food intake and recurrent infectious diseases. The baseline levels of undernutrition remain so high that Ethiopia still needs to continue substantial investment in nutrition.Therefore, the aim of this study was to obtain estimates of over-time trends in the prevalence of undernutrition in Ethiopia and to determine risk factors for undernutrition among children of under five years of age. Cross-sectional studies published in English from 1997 to 2015 focusing the prevalence of stunting, wasting and underweight in children aged 0-5 years (n = 39,585) in Ethiopia were included in this systematic review and meta-analysis. We searched in PubMed and Scopus databases and other articles manually. Two review authors independently selected studies for inclusion, extracted data and assessed the risk of bias in the included studies. The protocol number of the study is PROSPERO 2015: CRD42015027940. Eighteen studies were included and the overall pooled prevalence estimate of stunting, underweight and wasting was 42.0% (95% CI: 37.0, 46.0), 33.0 % (95% CI: 27.0, 39.0) and 15.0% (95% CI: 12.0, 19.0), respectively. The sensitivity analyses resulted in the prevalence of stunting, 40% (95% CI: 32.0, 48.0; I2=99.19%), prevalence of underweight, 33%(95% CI: 24.0, 42.0; I 2 =99.34%) and wasting rate equal to 19%(95% CI: 14.0, 24.0; I2=99.19%). Cumulative analysis revealed a stabilization trend of stunting and underweight (1996-2010) followed by an upward trend (2010-2014). Child age, child sex, complementary food, poor dietary diversity, diarrheal diseases, maternal education, maternal height, residential area and socio- economic status were significant risk factors for undernutrition. The result of the meta-analysis of thes observational studies revealed that the trend of undernutrition in Ethiopia indicates that there is an increment of chronic malnutrition cases in recent years, and the prevalence of undernutrition remains extremely high. Thus, the implementation of policies to reverse child undernutrition should get maximum emphasis.
NASA Astrophysics Data System (ADS)
Alemu, Daniel S.
2010-02-01
Private for-profit higher education has been rapidly expanding in developing countries worldwide since the early 1990s. This global trend has been particularly evident in Ethiopia, where only three public universities existed until 1996. By 2005, about 60 private for-profit higher education institutions had been founded in Ethiopia. This has led to mixed feelings among the Ethiopian public. While some laud the opportunities and advantages these new institutions bring, others are apprehensive that the quality of education might be compromised by an expansion motivated by monetary gain. This article sheds light on these paradoxes and provides suggestions for policy and practices.
De Coninck, Zaake; Feyissa, Ibrahim A.; Ekström, Anna Mia; Marrone, Gaetano
2014-01-01
Introduction The HIV prevalence rate in Ethiopia for married (or cohabiting) women is 3 times that found amongst women who have never been married. While marriage used to be seen as a protective factor against HIV, evidence suggests that this is no longer necessarily the case. This study analyses the trend and socio-demographic determinants of HIV awareness and safe sex negotiation among married women in Ethiopia between 2005 and 2011. Methods Data from Ethiopian Demographic and Health Surveys conducted in 2005 and in 2011 were analysed. Socio-demographic variables as well as ‘survey year’ were selected to assess their interaction with selected HIV awareness and safe sex negotiation indicators. Multivariable regression analyses were performed. Odds ratios and confidence intervals were computed. Results A significant increase in knowledge of HIV and ability to negotiate safer sex occurred between 2005 and 2011 reflecting a positive trend in gender empowerment amongst married Ethiopian women. Some of these advancements were striking, for instance respondents were 3.6 times more likely to have “Heard of AIDS” in 2011 than in 2005. HIV awareness and safer sex negotiation were significantly associated with higher education, higher socioeconomic status, those who had heard of HIV, those of the Orthodox Christian faith, and (to some extent) those living in rural areas. Conclusion HIV awareness has increased significantly in Ethiopia over the last decade but married women are still disproportionately susceptible to HIV. Community programmes, already effective in Ethiopia, also need to target this vulnerable sub-group of women. PMID:25506823
An Epidemiological Trend of Urogenital Schistosomiasis in Ethiopia
Chala, Bayissa; Torben, Workineh
2018-01-01
Schistosomiasis is a major public health problem in Ethiopia. Currently, the prevalence of the disease can possibly be heightened due to man-made ecological transformations particularly related to the recent development programs involving irrigation and construction of dams. The expansion of some of the water resource development projects has been cited enhancing the upsurge of urogenital schistosomiasis mainly in the lower altitude areas of the country. In connection to the extensive initiation of development projects in low altitude areas of the country, simultaneous and adequate attentions have never been given to address a pre-assessment of health impacts of the development programs prior to launching the projects. Helpful appraisals focusing on evaluation of epidemiology of urogenital schistosomiasis in Ethiopia have not been explored. Therefore, the current review attempts to trace an overall picture of the epidemiological status of urogenital schistosomiasis in the country; the past and existing trends of urogenital schistosomiasis surveys and control programs of the country are reviewed. Essential recommendations are highlighted for possible inputs in future control design strategies of national control program of schistosomiasis. PMID:29556490
Trends of abortion complications in a transition of abortion law revisions in Ethiopia.
Gebrehiwot, Yirgu; Liabsuetrakul, Tippawan
2009-03-01
Evidence from developed countries has shown that abortion-related mortality and morbidity has decreased with the liberalization of the abortion law. This study aimed to assess the trend of hospital-based abortion complications during the transition of legalization in Ethiopia in May 2005. Medical records of women with abortion complications from 2003 to 2007 were reviewed (n = 773). Abortion and its complications with regard to legalization were described by rates and ratios, and predictors of fatal outcomes were analyzed by logistic regression. The overall and abortion-related maternal mortality ratios (AMMRs) showed a non-statistically significant downward trend over the 5-year period. However, the case fatality rate of abortion increased from 1.1% in 2003 to 3.6% in 2007. Late gestational age, history of interference and presenting after new abortion legislation passed have been found to be significant predictors of mortality. Decreased trends of abortion ratio and the AMMR were identified, but the severity of abortion complications and the case fatality rate increased during the transition of legal revision.
The East African monsoon system: Seasonal climatologies and recent variations: Chapter 10
Funk, Christopher C.; Hoell, Andrew; Shukla, Shraddhanand; Husak, Gregory J.; Michaelsen, J.
2016-01-01
This chapter briefly reviews the complex climatological cycle of the East African monsoon system, paying special attention to its connection to the larger Indo-Pacific-Asian monsoon cycle. We examine the seasonal monsoon cycle, and briefly explore recent circulation changes. The spatial footprint of our analysis corresponds with the “Greater Horn of Africa” (GHA) region, extending from Tanzania in the south to Yemen and Sudan in the north. During boreal winter, when northeast trade winds flow across the northwest Indian Ocean and the equatorial moisture transports over the Indian Ocean exhibit strong westerly mean flows over the equatorial Indian Ocean, East African precipitation is limited to a few highland areas. As the Indian monsoon circulation transitions during boreal spring, the trade winds over the northwest Indian Ocean reverse, and East African moisture convergence supports the “long” rains. In boreal summer, the southwesterly Somali Jet intensifies over eastern Africa. Subsidence forms along the westward flank of this jet, shutting down precipitation over eastern portions of East Africa. In boreal fall, the Jet subsides, but easterly moisture transports support rainfall in limited regions of the eastern Horn of Africa. We use regressions with the trend mode of global sea surface temperatures to explore potential changes in the seasonal monsoon circulations. Significant reductions in total precipitable water are indicated in Kenya, Tanzania, Rwanda, Burundi, Uganda, Ethiopia, South Sudan, Sudan, and Yemen, with moisture transports broadly responding in ways that reinforce the climatological moisture transports over the Indian Ocean. Over Kenya, southern Ethiopia and Somalia, regressions with velocity potential indicate increased convergence aloft. Near the surface, this convergence appears to manifest as a surface high pressure system that modifies moisture transports in these countries as well as Uganda, Tanzania, Rwanda, and Burundi. An analysis of rainfall changes indicates significant declines in parts of Tanzania, Rwanda, Burundi, Uganda, Kenya, Somalia, Ethiopia, and Yemen.
Detecting Trends in Landuse and Landcover Change of Nech Sar National Park, Ethiopia.
Fetene, Aramde; Hilker, Thomas; Yeshitela, Kumelachew; Prasse, Ruediger; Cohen, Warren; Yang, Zhiqiang
2016-01-01
Nech Sar National Park (NSNP) is one of the most important biodiversity centers in Ethiopia. In recent years, a widespread decline of the terrestrial ecosystems has been reported, yet to date there is no comprehensive assessment on degradation across the park. In this study, changes in landcover were analyzed using 30 m spatial resolution Landsat imagery. Interannual variations of normalized difference vegetation index (NDVI) were examined and compared with climatic variables. The result presented seven landcover classes and five of the seven landcover classes (forest, bush/shrubland, wooded grassland, woodland and grassland) were related to natural vegetation and two landcover types (cultivated land and area under encroaching plants) were direct results of anthropogenic alterations of the landscape. The forest, grassland, and wooded grassland are the most threatened habitat types. A considerable area of the grassland has been replaced by encroaching plants, prominently by Dichrostachys cinerea, Acacia mellifera, A. nilotica, A. oerfota, and A. seyal and is greatly affected by expansion of herbaceous plants, most commonly the species of the family Malvaceae which include Abutilon anglosomaliae, A.bidentatum and A.figarianu. Thus, changes in vegetation of NSNP may be attributed to (i) degradation of existing vegetation through deforestation and (ii) replacement of existing vegetation by encroaching plants. While limited in local meteorological station, NDVI analysis indicated that climate related changes did not have major effects on park vegetation degradation, which suggests anthropogenic impacts as a major driver of observed disturbances.
NASA Astrophysics Data System (ADS)
Worku, Gebrekidan; Teferi, Ermias; Bantider, Amare; Dile, Yihun T.
2018-02-01
Climate variability has been a threat to the socio-economic development of Ethiopia. This paper examined the changes in rainfall, minimum, and maximum temperature extremes of Jemma Sub-Basin of the Upper Blue Nile Basin for the period of 1981 to 2014. The nonparametric Mann-Kendall, seasonal Mann-Kendall, and Sen's slope estimator were used to estimate annual trends. Ten rainfall and 12 temperature indices were used to study changes in rainfall and temperature extremes. The results showed an increasing trend of annual and summer rainfall in more than 78% of the stations and a decreasing trend of spring rainfall in most of the stations. An increase in rainfall extreme events was detected in the majority of the stations. Several rainfall extreme indices showed wetting trends in the sub-basin, whereas limited indices indicated dryness in most of the stations. Annual maximum and minimum temperature and extreme temperature indices showed warming trend in the sub-basin. Presence of extreme rainfall and a warming trend of extreme temperature indices may suggest signs of climate change in the Jemma Sub-Basin. This study, therefore, recommended the need for exploring climate induced risks and implementing appropriate climate change adaptation and mitigation strategies.
Plant use in Odo-Bulu and Demaro, Bale region, Ethiopia
2011-01-01
This paper reports on the plant use of laypeople of the Oromo in Southern Ethiopia. The Oromo in Bale had names/uses for 294 species in comparison to 230 species documented in the lower reaches of the Bale area. Only 13 species was used for veterinary purposes, or as human medicine (46). Plant medicine served mostly to treat common everyday ailments such as stomach problems and diarrhea, for wound treatment and as toothbrush-sticks, as anthelmintic, for skin infections and to treat sore muscles and. Interestingly, 9 species were used to treat spiritual ailments and to expel demons. In most cases of medicinal applications the leaves or roots were employed. Traditional plant knowledge has clearly declined in a large part of the research area. Western style health care services as provided by governments and NGOs, in particular in rural areas, seem to have contributed to a decline in traditional knowledge, in part because the local population simply regards western medicine as more effective and safer. PMID:21943288
Legal harvest and illegal trade: Trends, challenges, and options in khat production in Ethiopia.
Cochrane, Logan; O'Regan, Davin
2016-04-01
The production of khat in Ethiopia has boomed over the last two decades, making the country the world's leading source. Khat is now one of Ethiopia's largest crops by area of cultivation, the country's second largest export earner, and an essential source of income for millions of Ethiopian farmers. Consumption has also spread from the traditional khat heartlands in the eastern and southern regions of Ethiopia to most major cities. This steady growth in production and use has unfolded under negligible government support or regulation. Meanwhile, khat, which releases a stimulant when chewed, is considered an illicit drug in an increasing number of countries. Drawing on government data on khat production, trade, and seizures as well as research on the political, socioeconomic, and development effects of plant-based illicit narcotics industries, this commentary identifies possible considerations and scenarios for Ethiopia as the country begins to manage rising khat production, domestic consumption, and criminalization abroad. Deeply embedded in social and cultural practices and a major source of government and agricultural revenue, Ethiopian policymakers have few enviable choices. Criminalization abroad raises a small but not insignificant possibility that previously nonexistent linkages between khat and transnational organized crime and trafficking networks will emerge. Likewise, more stringent regulation of khat in Ethiopia could merge with lingering political cleavages and anti-government sentiments, exacerbating low-level domestic conflicts. Copyright © 2016 Elsevier B.V. All rights reserved.
Recent trends in the timing of first sex and marriage among young women in Ethiopia.
Reda, A Alex; Lindstrom, David
2014-07-01
Ethiopia has been characterized by high population growth. Recent social and economic developments have the potential to alter reproductive patterns in the country. Some of these developments include sustained economic growth, urbanization, rapid growth in school enrollments, expansion of primary health care, and a rise in contraceptive access and use. In other national contexts, these developments have been associated with a gradual decoupling of the transition into sexual activity and marriage among young women. We investigate recent trends in the transition into first sex and marriage among three cohorts of Ethiopian women. Using data from the 2000, 2005, and 2011 Ethiopia Demographic and Health Surveys (DHS) we estimate survival curves and discrete-time hazards models to examine recent trends in age at first sex and first marriage among women ages 20-29. Across the three survey years the median age at first sex has remained relatively stable at 17 years, although the median age at marriage has increased from 17 to 18 years between the 2005 and 2011 surveys. Net of the effects of education and place of residence, there is evidence of a slight trend away from premarital first sex to sexual initiation in the context of marriage. However, among the most educated women and women living in urban areas (who are a small minority of women), there is a much greater tendency to initiate sexual activity outside of marriage compared to women with little schooling and women living in rural areas, and once they have begun sexual activity they tend to wait longer before they get married. We also find evidence in the most recent survey that women who have first sexual intercourse before marriage are delaying marriage more than was the case among earlier cohorts.
Recent trends in the timing of first sex and marriage among young women in Ethiopia
Lindstrom, David
2015-01-01
Context Ethiopia has been characterized by high population growth. Recent social and economic developments have the potential to alter reproductive patterns in the country. Some of these developments include sustained economic growth, urbanization, rapid growth in school enrollments, expansion of primary health care, and a rise in contraceptive access and use. In other national contexts, these developments have been associated with a gradual decoupling of the transition into sexual activity and marriage among young women. We investigate recent trends in the transition into first sex and marriage among three cohorts of Ethiopian women. Methods Using data from the 2000, 2005, and 2011 Ethiopia Demographic and Health Surveys (DHS) we estimate survival curves and discrete-time hazards models to examine recent trends in age at first sex and first marriage among women ages 20–29. Results Across the three survey years the median age at first sex has remained relatively stable at 17 years, although the median age at marriage has increased from 17 to 18 years between the 2005 and 2011 surveys. Net of the effects of education and place of residence, there is evidence of a slight trend away from premarital first sex to sexual initiation in the context of marriage. However, among the most educated women and women living in urban areas (who are a small minority of women), there is a much greater tendency to initiate sexual activity outside of marriage compared to women with little schooling and women living in rural areas, and once they have begun sexual activity they tend to wait longer before they get married. We also find evidence in the most recent survey that women who have first sexual intercourse before marriage are delaying marriage more than was the case among earlier cohorts. PMID:27011431
Worku, Abebaw Gebeyehu; Tessema, Gizachew Assefa; Zeleke, Atinkut Alamirrew
2015-01-01
Introduction Accessing family planning can reduce a significant proportion of maternal, infant, and childhood deaths. In Ethiopia, use of modern contraceptive methods is low but it is increasing. This study aimed to analyze the trends and determinants of changes in modern contraceptive use over time among young married women in Ethiopia. Methods The study used data from the three Demographic Health Surveys conducted in Ethiopia, in 2000, 2005, and 2011. Young married women age 15–24 years with sample sizes of 2,157 in 2000, 1,904 in 2005, and 2,146 in 2011 were included. Logit-based decomposition analysis technique was used for analysis of factors contributing to the recent changes. STATA 12 was employed for data management and analyses. All calculations presented in this paper were weighted for the sampling probabilities and non-response. Complex sampling procedures were also considered during testing of statistical significance. Results Among young married women, modern contraceptive prevalence increased from 6% in 2000 to 16% in 2005 and to 36% in 2011. The decomposition analysis indicated that 34% of the overall change in modern contraceptive use was due to difference in women’s characteristics. Changes in the composition of young women’s characteristics according to age, educational status, religion, couple concordance on family size, and fertility preference were the major sources of this increase. Two-thirds of the increase in modern contraceptive use was due to difference in coefficients. Most importantly, the increase was due to change in contraceptive use behavior among the rural population (33%) and among Orthodox Christians (16%) and Protestants (4%). Conclusions Modern contraceptive use among young married women has showed a remarkable increase over the last decade in Ethiopia. Programmatic interventions targeting poor, younger (adolescent), illiterate, and Muslim women would help to maintain the increasing trend in modern contraceptive use. PMID:25635389
NASA Astrophysics Data System (ADS)
Mariita, N. O.; Tadesse, K.; Keller, G. R.
2003-12-01
The East African rift (EAR) is a Tertiary-Miocene system that extends from the Middle East, through East Africa, to Mozambique in southern Africa. Much of the present information is from the Ethiopian and Kenyan parts of the rift. Several characteristics of the EAR such as rift-related volcanism, faulting and topographic relief being exposed make it attractive for studying continental rift processes. Structural complexities reflected in the geometries of grabens and half-grabens, the existence of transverse fault zones and accommodation zones, and the influence of pre-existing geologic structures have been documented. In particular, the EAR traverses the Anza graben and related structures near the Kenya/Ethiopian border. The Anza graben is one in a series of Cretaceous-Paleogene failed rifts that trend across Central Africa from Nigeria through Chad to Sudan and Kenya with an overall northwest-southeast trend. In spite of a number of recent studies, we do not understand the interaction of these two rift systems. In both Ethiopia and Kenya, the rift segments share some broad similarities in timing and are related in a geographic sense. For example, volcanism appears to have generally preceded or in some cases have been contemporaneous with major rift faulting. Although, these segments are distinct entities, each with its own tectonic and magmatic evolution, and they do connect in the region crossed by the Anza graben and related structures. In our present study, we are using a combination of recently collected seismic, gravity and remote sensing data to increase our understanding of these two segments of the EAR. We hope that by analysing the satellite data, the variety and differences in the volume of magmatic products extruded along in southern Ethiopia and northern Kenya will be identified. The geometry of structures (in particular, those causing the gravity axial high) will be modelled to study the impact of the older Anza graben structural trends with the younger EAR. For example there is significant crustal thinning in the Lake Turkana area of the northern Kenya segment of the EAR system. In regard to the recent EAGLE experiment in Ethiopia, we are ivestigating if the transition from relatively thick crust (~40 km) to thinned, rifted crust is as abrupt in Ethiopia as it is in Kenya.
Magnitude of, trends in, and associated factors of road traffic collision in central Ethiopia.
Asefa, Fekede; Assefa, Demeke; Tesfaye, Gezahegn
2014-10-15
Road traffic collision (RTC) is one of many public health problems. Globally, about 1.2 million people die due to RTCs every year. Of these, 85% reside in low- and middle-income countries. Despite low road network density and vehicle ownership, Ethiopia has a relatively high collision record. Collisions in the Addis Ababa and Oromia Regions account for 58% of all fatal collisions in Ethiopia. The aim of this study was to assess the magnitude of, trends in and factors associated with RTCs in central Ethiopia. A retrospective study was conducted using relevant police reports obtained from eight police stations found between Akaki and Adama towns located in central Ethiopia. The study included reports from July 2007 to June 2012. Both quantitative and qualitative techniques were employed, and bivariate and multivariate analyses were performed to identify the factors associated with the RTCs. From July 2007 to June 2012, 2,335 collisions were registered, though the outcomes of 24 of these crashes were not recorded. Among these collisions, 389 (16.7%) resulted in death, 316 (13.5%) brought about severe injuries, 290 (12.4%) caused slight injuries, and 1,316 (56.4%) caused property damage. These collisions affected about 1,745 individuals. While 515 (29.5%) people died, 549 (31.5%) were severely injured, and the remaining 681 (39%) were slightly injured. Driving at midnight [AOR 1.67, 95% CI; 1.2-2.4], driving above the speed limit [AOR 5.3, 95% CI; 2.9-9.6], failing to give priority for other vehicles and pedestrians [AOR 5.03, 95% CI; 2.3-9.3], and vehicular technical problems [AOR 19, 95% CI; 6.4-56] were determinants of RTC fatality. RTCs steadily increased in the study area over this period of time. This calls for urgent interventions. Ensuring that drivers obey traffic rules and enforcing the speed limit appear to be the most critical parts of necessary interventions.
Shargie, Estifanos Biru; Ngondi, Jeremiah; Graves, Patricia M.; Getachew, Asefaw; Hwang, Jimee; Gebre, Teshome; Mosher, Aryc W.; Ceccato, Pietro; Endeshaw, Tekola; Jima, Daddi; Tadesse, Zerihun; Tenaw, Eskindir; Reithinger, Richard; Emerson, Paul M.; Richards, Frank O.; Ghebreyesus, Tedros Adhanom
2010-01-01
Following recent large scale-up of malaria control interventions in Ethiopia, this study aimed to compare ownership and use of long-lasting insecticidal nets (LLIN), and the change in malaria prevalence using two population-based household surveys in three regions of the country. Each survey used multistage cluster random sampling with 25 households per cluster. Household net ownership tripled from 19.6% in 2006 to 68.4% in 2007, with mean LLIN per household increasing from 0.3 to 1.2. Net use overall more than doubled from 15.3% to 34.5%, but in households owning LLIN, use declined from 71.7% to 48.3%. Parasitemia declined from 4.1% to 0.4%. Large scale-up of net ownership over a short period of time was possible. However, a large increase in net ownership was not necessarily mirrored directly by increased net use. Better targeting of nets to malaria-risk areas and sustained behavioural change communication are needed to increase and maintain net use. PMID:20936103
Tetanus in Ethiopia: unveiling the blight of an entirely vaccine-preventable disease.
Woldeamanuel, Yohannes Woubishet
2012-12-01
Today, tetanus exacts its toll only in resource-poor countries like Ethiopia. Agrarian rural life with limited vaccine typifies tetanus risk in Ethiopia where current tetanus control trends on expanding infant immunization and eliminating highly prevalent maternal and neonatal tetanus (MNT). Protection by infant tetanus immunization primers disappears within an average of 3 years, if not followed by boosters. Second-year of life, school-based, and universal 10-yearly tetanus immunizations need to be supplemented. Facility-based reviews in Ethiopia reveal a continued burden of tetanus at tertiary-level hospitals where ICU care is suboptimal. Quality of medical care for tetanus is low - reflected by high case-fatality-rates. Opportunities at primary-health-care-units (antenatal-care, family planning, abortion, wound-care, tetanus-survivors) need to be fully-utilized to expand tetanus immunization. Prompt wound-care with post-exposure prophylaxis and proper footwear must be promoted. Standard ICU care needs to exist. Realization of cold-chain-flexible, needle-less and mono-dose vaccine programs allow avoiding boosters, vaccine-refrigeration, and improve compliance.
Degefu, Mekonnen Adnew; Bewket, Woldeamlak
2017-04-01
This study assesses variability, trends, and teleconnections of stream flow with large-scale climate signals (global sea surface temperatures (SSTs)) for the Omo-Ghibe River Basin of Ethiopia. Fourteen hydrological indices of variability and extremes were defined from daily stream flow data series and analyzed for two common periods, which are 1972-2006 for 5 stations and 1982-2006 for 15 stations. The Mann-Kendall's test was used to detect trends at 0.05 significance level, and simple correlation analysis was applied to evaluate associations between the selected stream flow indices and SSTs. We found weak and mixed (upward and downward) trend signals for annual and wet (Kiremt) season flows. Indices generated for high-flow (flood) magnitudes showed the same weak trend signals. However, trend tests for flood frequencies and low-flow magnitudes showed little evidences of increasing change. It was also found that El Niño-Southern Oscillation (ENSO) and the Indian Ocean Dipole (IOD) are the major anomalies affecting stream flow variability in the Omo-Ghibe Basin. The strongest associations are observed between ENSO/Niño3.4 and the stream flow in August and September, mean Kiremt flow (July-September), and flood frequency (peak over threshold on average three peaks per year (POT3_Fre)). The findings of this study provide a general overview on the long-term stream flow variability and predictability of stream flows for the Omo-Ghibe River Basin.
Rainfall and runoff variability in Ethiopia
NASA Astrophysics Data System (ADS)
Billi, Paolo; Fazzini, Massimiliano; Tadesse Alemu, Yonas; Ciampalini, Rossano
2014-05-01
Rainfall and river flow variability have been deeply investigated and and the impact of climate change on both is rather well known in Europe (EEA, 2012) or in other industrialized countries. Reports of international organizations (IPCC, 2012) and the scientific literature provide results and outlooks that were found contrasting and spatially incoherent (Manton et al., 2001; Peterson et al., 2002; Griffiths et al., 2003; Herath and Ratnayake, 2004) or weakened by limitation of data quality and quantity. According to IPCC (2012), in East Africa precipitation there are contrasting regional and seasonal variations and trends, though Easterling et al. (2000) and Seleshi and Camberlin (2006) report decreasing trends in heavy precipitation over parts of Ethiopia during the period 1965-2002. Literature on the impact of climate change on river flow is scarce in Africa and IPCC Technical Paper VI (IPCC, 2008) concluded that no evidence, based on instrumental records, has been found for a climate-driven globally widespread change in the magnitude/frequency of floods during the last decades (Rosenzweig et al., 2007), though increases in runoff and increased risk of flood events in East Africa are expected. Some papers have faced issues regarding rainfall and river flow variability in Ethiopia (e.g. Seleshi and Demaree, 1995; Osman and Sauerborn, 2002; Seleshi and Zanke, 2004; Meze-Hausken, 2004; Korecha and Barnston, 2006; Cheung et al., 2008) but their investigations are commonly geographically limited or used a small number of rain and flow gauges with the most recent data bound to the beginning of the last decade. In this study an attempt to depict rainfall and river flow variability, considering the longer as possible time series for the largest as possible number of meteo-stations and flow gauge evenly distributed across Ethiopia, is presented. 25 meteo-stations and 21 flow gauges with as much as possible continuous data records were selected. The length of the time series ranges between 35 to 50 and 9 to 49 years for rainfall and river flow, respectively. In order to improve the poor linear correlation model to describe rainfall gradient with altitude a simple topographic parameter is introduced capable to better depict the spatial variability of annual rainfall and its coefficient of variation. The small rains (Belg) were found to be much more unpredictable than the long, monsoon-type rains (Kiremt) and hence much more out of phase with the variation of annual precipitation amount that is significantly influenced by the Kiremt rains. In order to investigate the long term trends, rainfall anomalies were calculated as Z score for annual, Belg and Kiremt precipitation for all the stations and average values are calculated and plotted against time. The three Z trend lines obtained show no marked deviation from the mean as only an almost negligible decreasing trend is observed. Rainfall intensity in 24 hours is analyzed and the trend line of the maximum intensity averaged over the maximum value of each year recorded at each meteo-station is constructed. These data indicate a general decrease in daily rainfall intensity across Ethiopia with clear exceptions in a few selected areas. The same procedure, based on the Z scores, used to analyze rainfall variability is applied also to the river flow data and a similar result is obtained. If compared with rainfall, annual runoff shows a much wider range of variation among the study rivers. This issue is discussed and possible explanations are presented.
Knechtle, Beat; Nikolaidis, Pantelis T; Onywera, Vincent O; Zingg, Matthias A; Rosemann, Thomas; Rüst, Christoph A
2016-01-01
In major marathon races such as the 'World Marathon Majors', female and male East African runners particularly from Ethiopia and Kenya are the fastest. However, whether this trend appears for female and male Ethiopians and Kenyans at recreational level runners (i.e. races at national level) and in shorter road races (e.g. in half-marathon races) has not been studied yet. Thus, the aim of the present study was to examine differences in the performance and the age of female and male runners from East Africa (i.e. Ethiopians and Kenyans) between half- and full marathons. Data from 508,108 athletes (125,894 female and 328,430 male half-marathoners and 10,205 female and 43,489 male marathoners) originating from 126 countries and competing between 1999 and 2014 in all road-based half-marathons and marathons held in one country (Switzerland) were analysed using Chi square (χ(2)) tests, mixed-effects regression analyses and one-way analyses of variance. In half-marathons, 48 women (0.038 %) and 63 men (0.019 %) were from Ethiopia and 80 women (0.063 %) and 134 men (0.040 %) from Kenya. In marathons, three women (0.029 %) and 15 men (0.034 %) were from Ethiopia and two women (0.019 %) and 33 men (0.075 %) from Kenya. There was no statistically significant association between the nationality of East Africans and the format of a race. In both women and men, the fastest race times in half-marathons and marathons were achieved by East African runners (p < 0.001). Ethiopian and Kenyan runners were the youngest in both sexes and formats of race (p < 0.001). In summary, women and men from Ethiopia and Kenya, despite they accounted for <0.1 % in half-marathons and marathons, achieved the fastest race times and were the youngest in both half-marathons and marathons. These findings confirmed in the case of half-marathon the trend previously observed in marathon races for a better performance and a younger age in East African runners from Ethiopia and Kenya.
ERIC Educational Resources Information Center
Molla, Tebeje; Cuthbert, Denise
2016-01-01
After decades of decline, African higher education is now arguably in a new era of revival. With the prevalence of knowledge economy discourse, national governments in Africa and their development partners have increasingly aligned higher education with poverty reduction plans and strategies. Research capacity has become a critical development…
Trends in Innovation: Basic Education in Africa.
ERIC Educational Resources Information Center
Bartels, Francis L.
A comparative study is reported of basic education in 10 African countries: Ethiopia, Kenya, Somalia, Sudan, Uganda, Zambia, Benin, Mali, Upper Volta, and Angola. Basic education is defined as learning experiences to which all citizens are entitled or which are required to help them develop their potential to function effectively as individuals…
Child health in arid areas of Ethiopia: longitudinal study of the morbidity in infectious diseases.
Lindtjørn, B; Alemu, T; Bjorvatn, B
1992-01-01
We describe the incidence of some childhood infections in drought prone areas of southern Ethiopia. Our results are based on 24 months' biweekly observations of 828 children aged 0-5 years in the pastoralist community of Dubluk and the agricultural community of Elka. An average of 23% of the children in Dubluk and 13% in Elka were sick during any 2-week period. Diarrhoeal diseases represented the main cause of morbidity, but the yearly number of diarrhoeal episodes were lower than previously reported from Ethiopia. Respiratory tract infections and to a lesser extent diarrhoeal diseases, showed highest incidence rates during the main dry season. The highest incidence of lower respiratory tract infections coincided with an outbreak of measles. In Dubluk, children who lived near to the wells had higher incidence rates than those who lived further away, probably reflecting the importance of crowding on transmission rates. In Elka, literacy of mothers was associated with reduced incidence of both diarrhoeal and respiratory tract infections, whereas the use of open pit latrines was associated with increased diarrhoeal incidence. The decline in disease incidence in this region during the last months of our study may reflect an improvement of nutritional status.
Searching for evidence of changes in extreme rainfall indices in the Central Rift Valley of Ethiopia
NASA Astrophysics Data System (ADS)
Muluneh, Alemayehu; Bewket, Woldeamlak; Keesstra, Saskia; Stroosnijder, Leo
2017-05-01
Extreme rainfall events have serious implications for economic sectors with a close link to climate such as agriculture and food security. This holds true in the Central Rift Valley (CRV) of Ethiopia where communities rely on highly climate-sensitive rainfed subsistence farming for livelihoods. This study investigates changes in ten extreme rainfall indices over a period of 40 years (1970-2009) using 14 meteorological stations located in the CRV. The CRV consists of three landscape units: the valley floor, the escarpments, and the highlands all of which are considered in our data analysis. The Belg (March-May) and Kiremt (June-September) seasons are also considered in the analysis. The Mann-Kendall test was used to detect trends of the rainfall indices. The results indicated that at the annual time scale, more than half (57 %) of the stations showed significant trends in total wet-day precipitation (PRCPTOT) and heavy precipitation days (R10mm). Only 7-35 % of stations showed significant trends, for the other rainfall indices. Spatially, the valley floor received increasing annual rainfall while the escarpments and the highlands received decreasing annual rainfall over the last 40 years. During Belg, 50 % of the stations showed significant increases in the maximum number of consecutive dry days (CDD) in all parts of the CRV. However, most other rainfall indices during Belg showed no significant changes. During Kiremt, considering both significant and non-significant trends, almost all rainfall indices showed an increasing trend in the valley floor and a decreasing trend in the escarpment and highlands. During Belg and Kiremt, the CDD generally showed increasing tendency in the CRV.
Abraham, Adane
2013-01-01
On September 9, 2009, Ethiopia enacted a highly restrictive biosafety law firmly based on precautionary principles as a foundation for its GMO regulation system. Its drafting process, led by the country's Environmental Protection Authority, was judged as biased, focusing only on protecting the environment from perceived risks, giving little attention to potential benefits of GMOs. Many of its provisions are very stringent, exceeding those of Cartagena Protocol on Biosafety, while others cannot be fulfilled by applicants, collectively rendering the emerged biosafety system unworkable. These provisions include requirements for advance informed agreement and rigorous socioeconomic assessment in risk evaluation for all GMO transactions, including contained research use-which requires the head of the competent national authority of the exporting country to take full responsibility for GMO-related information provided-and stringent labeling, insurance and monitoring requirements for all GMO activities. Furthermore, there is no provision to establish an independent national biosafety decision-making body(ies). As a result, foreign technology owners that provide highly demanded technologies like Bt cotton declined to work with Ethiopia. There is a fear that the emerged biosafety system might also continue to suppress domestic genetic engineering research and development. Thus, to benefit from GMOs, Ethiopia has to revise its biosafety system, primarily by making changes to some provisions of the law in a way that balances its diverse interests of conserving biodiversity, protecting the environment and enhancing competition in agricultural and other economic sectors.
Kassie, Belay Tseganeh; Hengsdijk, Huib; Rötter, Reimund; Kahiluoto, Helena; Asseng, Senthold; Van Ittersum, Martin
2013-11-01
Small-holder farmers in Ethiopia are facing several climate related hazards, in particular highly variable rainfall with severe droughts which can have devastating effects on their livelihoods. Projected changes in climate are expected to aggravate the existing challenges. This study examines farmer perceptions on current climate variability and long-term changes, current adaptive strategies, and potential barriers for successful further adaptation in two case study regions-the Central Rift Valley (CRV) and Kobo Valley. The study was based on a household questionnaire, interviews with key stakeholders, and focus group discussions. The result revealed that about 99 % of the respondents at the CRV and 96 % at the Kobo Valley perceived an increase in temperature and 94 % at CRV and 91 % at the Kobo Valley perceived a decrease in rainfall over the last 20-30 years. Inter-annual and intraseasonal rainfall variability also has increased according to the farmers. The observed climate data (1977-2009) also showed an increasing trend in temperature and high inter-annual and intra-seasonal rainfall variability. In contrast to farmers' perceptions of a decrease in rainfall totals, observed rainfall data showed no statistically significant decline. The interaction among various bio-physical and socio-economic factors, changes in rainfall intensity and reduced water available to crops due to increased hot spells, may have influenced the perception of farmers with respect to rainfall trends. In recent decades, farmers in both the CRV and Kobo have changed farming practices to adapt to perceived climate change and variability, for example, through crop and variety choice, adjustment of cropping calendar, and in situ moisture conservation. These relatively low-cost changes in farm practices were within the limited adaptation capacity of farmers, which may be insufficient to deal with the impacts of future climate change. Anticipated climate change is expected to impose new risks outside the range of current experiences. To enable farmers to adapt to these impacts critical technological, institutional, and market-access constraints need to be removed. Inconsistencies between farmers' perceptions and observed climate trends (e.g., decrease in annual rainfall) could lead to sub-optimal or counterproductive adaptations, and therefore must be removed by better communication and capacity building, for example through Climate Field Schools. Enabling strategies, which are among others targeted at agricultural inputs, credit supply, market access, and strengthening of local knowledge and information services need to become integral part of government policies to assist farmers to adapt to the impacts of current and future climate change.
NASA Astrophysics Data System (ADS)
Kassie, Belay Tseganeh; Hengsdijk, Huib; Rötter, Reimund; Kahiluoto, Helena; Asseng, Senthold; Van Ittersum, Martin
2013-11-01
Small-holder farmers in Ethiopia are facing several climate related hazards, in particular highly variable rainfall with severe droughts which can have devastating effects on their livelihoods. Projected changes in climate are expected to aggravate the existing challenges. This study examines farmer perceptions on current climate variability and long-term changes, current adaptive strategies, and potential barriers for successful further adaptation in two case study regions—the Central Rift Valley (CRV) and Kobo Valley. The study was based on a household questionnaire, interviews with key stakeholders, and focus group discussions. The result revealed that about 99 % of the respondents at the CRV and 96 % at the Kobo Valley perceived an increase in temperature and 94 % at CRV and 91 % at the Kobo Valley perceived a decrease in rainfall over the last 20-30 years. Inter-annual and intraseasonal rainfall variability also has increased according to the farmers. The observed climate data (1977-2009) also showed an increasing trend in temperature and high inter-annual and intra-seasonal rainfall variability. In contrast to farmers’ perceptions of a decrease in rainfall totals, observed rainfall data showed no statistically significant decline. The interaction among various bio-physical and socio-economic factors, changes in rainfall intensity and reduced water available to crops due to increased hot spells, may have influenced the perception of farmers with respect to rainfall trends. In recent decades, farmers in both the CRV and Kobo have changed farming practices to adapt to perceived climate change and variability, for example, through crop and variety choice, adjustment of cropping calendar, and in situ moisture conservation. These relatively low-cost changes in farm practices were within the limited adaptation capacity of farmers, which may be insufficient to deal with the impacts of future climate change. Anticipated climate change is expected to impose new risks outside the range of current experiences. To enable farmers to adapt to these impacts critical technological, institutional, and market-access constraints need to be removed. Inconsistencies between farmers’ perceptions and observed climate trends (e.g., decrease in annual rainfall) could lead to sub-optimal or counterproductive adaptations, and therefore must be removed by better communication and capacity building, for example through Climate Field Schools. Enabling strategies, which are among others targeted at agricultural inputs, credit supply, market access, and strengthening of local knowledge and information services need to become integral part of government policies to assist farmers to adapt to the impacts of current and future climate change.
BURDEN OF TUBERCULOSIS AMONG STUDENTS IN TWO ETHIOPIAN UNIVERSITIES
Mekonnen, Abiyu; Petros, Beyene
2017-01-01
Introduction Tuberculosis outbreaks emerge occasionally in long-term care facilities and various educational establishments. This study was designed to determine the five year overall prevalence and trend of tuberculosis and associated factors among students at Adama Science and Technology University and Addis Ababa University Sidist Kilo campus. Methods A five-year retrospective study was conducted on students medical records of tuberculosis Directly Observed Treatment Short Course clinics from September 2009 – July 2014. The overall prevalence and the trend of smear positive, smear negative and extra pulmonary tuberculosis cases was determined. Odds ratio with 95 percent confidence interval was calculated for categorical variables using a multivariate logistic regression model to assess the strength of association. Results A total of 112 and 263 tuberculos cases were recorded in Addis Ababa University Sidist Kilo campus and Adama Science and Technology University, respectively. The mean proportion of tuberculosis cases of all types among the total number of students enrolled at Adama Science and Technology University and Addis Ababa University Sidist Kilo campus was 1098.1 and 511.7 cases per 100,000 population, respectively. There was a statistically significant difference in prevalence of tuberculosis among students in Adama Science and Technology University compared to that in Addis Ababa University Sidist Kilo campus [adjusted odds ration: 2.881, 95% CI (1.76–4.71)]. The trend of tuberculosis prevalence showed a steady decline from the first to the last year of the study period. Conclusion The number of tuberculosis cases observed among university students in this study was high. Governmental and nongovernmental agencies involved in tuberculosis control must consider higher education institutions as focal points for prevention and elimination of tuberculosis in Ethiopia. PMID:29115116
BURDEN OF TUBERCULOSIS AMONG STUDENTS IN TWO ETHIOPIAN UNIVERSITIES.
Mekonnen, Abiyu; Petros, Beyene
2016-10-01
Tuberculosis outbreaks emerge occasionally in long-term care facilities and various educational establishments. This study was designed to determine the five year overall prevalence and trend of tuberculosis and associated factors among students at Adama Science and Technology University and Addis Ababa University Sidist Kilo campus. A five-year retrospective study was conducted on students’ medical records of tuberculosis Directly Observed Treatment Short Course clinics from September 2009– July 2014. The overall prevalence and the trend of smear positive, smear negative and extra pulmonary tuberculosis cases was determined. Odds ratio with 95 percent confidence interval was calculated for categorical variables using a multivariate logistic regression model to assess the strength of association. A total of 112 and 263 tuberculos cases were recorded in Addis Ababa University Sidist Kilo campus and Adama Science and Technology University, respectively. The mean proportion of tuberculosis cases of all types among the total number of students enrolled at Adama Science and Technology University and Addis Ababa University Sidist Kilo campus was 1098.1 and 511.7 cases per 100,000 population, respectively. There was a statistically significant difference in prevalence of tuberculosis among students in Adama Science and Technology University compared to that in Addis Ababa University Sidist Kilo campus [adjusted odds ration: 2.881, 95% CI (1.76-4.71)]. The trend of tuberculosis prevalence showed a steady decline from the first to the last year of the study period. The number of tuberculosis cases observed among university students in this study was high. Governmental and nongovernmental agencies involved in tuberculosis control must consider higher education institutions as focal points for prevention and elimination of tuberculosis in Ethiopia.
ERIC Educational Resources Information Center
Kraaijvanger, Richard G.; Veldkamp, Tom
2017-01-01
Purpose: This paper analyses research strategies followed by farmer groups in Tigray, that were involved in participatory experimentation. Understanding choices made by farmers in such experimentation processes is important to understand reasons why farmers in Tigray often hesitated to adopt recommended practices. Design/Methodology/Approach: A…
Energy and the agroeconomic complexity of Ethiopia
NASA Astrophysics Data System (ADS)
Karakatsanis, Georgios
2016-04-01
Since the Industrial Revolution, modern agriculture has transformed from a net energy supplier to a net energy user, via the extensive use fossil fuels -that substituted solar energy inputs- and petroleum derivative products (fertilizers) (Pimentel and Pimentel 2008; Woods et al. 2010). This condenses a significant overview of agricultural energetics, especially for economies set on their first stage of development, growth and economic diversification, such as Ethiopia. Ethiopia is the Blue Nile's most upstream country, constituting a very sensitive hydroclimatic area. Since 2008, Ethiopian agriculture experiences a boost in energy use and agricultural value-added per worker, due to the rapid introduction of oil-fueled agricultural machinery that increased productivity and allowed crop diversification. Agriculture in Ethiopia accounts for ~82% of its total exports, ~45% of its Gross Domestic Product (GDP) and ~75% of its total labor force. In addition, Ethiopia's agricultural sector is equipped with a set of new financial tools to deal with hydroclimatic extremes, like the 1983-85 droughts that deteriorated its crop output, causing a devastating famine. In fact, Ethiopia's resilience from the (most) recent drought (2015-16) has been remarkable. These facts signify that Ethiopia satisfies the necessary conditions to become a regional agritrade gravity center in the Blue Nile, granted that the dispersion of agricultural trade comprises a primary tool for securing food supply. As gravity equations have been used to model global trade webs (Tinbergen 1962), similar principles may apply to agritrade as well, for identifying emergent topological structures and supply chains. By examining the relation between energy inputs in agriculture with crop diversification and value-added chains of Ethiopia's agritrade, we could extract accurate information on the importance of energy for the country's agroeconomic complexity and regionalization trend across its first stages of development. Via the use of entropy we may identify patterns of agritrade agglomeration or dispersal; alternatively study the continuity or fragmentation of Ethiopia's agritrade gravity field. Agglomeration towards Ethiopian agricultural supply would indicate the upgrade of the country's supply stability and -therefore- importance in the global agritrade web. Keywords: Industrial Revolution, net energy, diversification, Blue Nile, hydroclimatic extremes, agritrade, gravity, value-added, complexity, regionalization, entropy References 1. Tinbergen, J. (1962), Shaping the World Economy: Suggestions for an International Economic Policy, The Twentieth Century Fund, New York 2. Pimentel, David and Marcia H. Pimentel (2008), Food, Energy and Society (3rd Ed.), CRC Press, Taylor and Francis Group 3. Woods, Jeremy et al. (2010), Energy and the food system, Philosophical Transactions of the Royal Society B, 365, 2991-3006
Alebie, Getachew; Urga, Befikadu; Worku, Amha
2017-08-01
Ethiopia is endowed with abundant medicinal plant resources and traditional medicinal practices. However, available research evidence on indigenous anti-malarial plants is highly fragmented in the country. The present systematic review attempted to explore, synthesize and compile ethno-medicinal research evidence on anti-malarial medicinal plants in Ethiopia. A systematic web search analysis and review was conducted on research literature pertaining to medicinal plants used for traditional malaria treatment in Ethiopia. Data were collected from a total of 82 Ethiopian studies meeting specific inclusion criteria including published research articles and unpublished thesis reports. SPSS Version 16 was used to summarize relevant ethno-botanical/medicinal information using descriptive statistics, frequency, percentage, tables, and bar graphs. A total of 200 different plant species (from 71 families) used for traditional malaria treatment were identified in different parts of Ethiopia. Distribution and usage pattern of anti-malarial plants showed substantial variability across different geographic settings. A higher diversity of anti-malarial plants was reported from western and southwestern parts of the country. Analysis of ethno-medicinal recipes indicated that mainly fresh leaves were used for preparation of remedies. Decoction, concoction and eating/chewing were found to be the most frequently employed herbal remedy preparation methods. Notably, anti-malarial herbal remedies were administered by oral route. Information on potential side effects of anti-malarial herbal preparations was patchy. However, some anti-malarial plants were reported to have potentially serious side effects using different local antidotes and some specific contra-indications. The study highlighted a rich diversity of indigenous anti-malarial medicinal plants with equally divergent herbal remedy preparation and use pattern in Ethiopia. Baseline information gaps were observed in key geographic settings. Likewise, herbal remedy toxicity risks and countermeasures generally entailed more exhaustive investigation. Experimental research and advanced chemical analysis are also required to validate the therapeutic potential of anti-malarial compounds from promising plant species.
Industry contributions to aggregate workplace injury and illness rate trends: 1992-2008.
Ruser, John W
2014-10-01
Aggregate workplace injury and illness rates have generally declined over the past quarter century. Assessing which industries contributed to these declines is hampered by industry coding changes that broke time series data. Ratios were estimated to convert older incidence rate data to current industry codes and to create long industry time series from data of the BLS Survey of Occupational Injuries and Illnesses. These data were used to assess contributions to aggregate trends from within-industry incidence rate trends and across-industry hours shifts. Hours shifts toward safer industries do not explain aggregate incidence rate declines. Rather declines resulted from within-industry declines. The top 20 contributors out of 307 industries account for 40 percent of the decline and include both goods-producing and service-providing industries. These data help focus future research on industries responsible for rate declines and factors hypothesized as contributing to declines. © Published 2014 by Wiley Periodicals, Inc.
Climate change impacts analysis on hydrological processes in the Weyib River basin in Ethiopia
NASA Astrophysics Data System (ADS)
Serur, Abdulkerim Bedewi; Sarma, Arup Kumar
2017-12-01
The study aims to examine the variation of hydrological processes (in terms of mean annual, seasonal, and monthly) under changing climate within the Weyib River basin in Ethiopia at both basin and sub-basin level using ArcSWAT hydrologic model. The climate change impacts on temperature and precipitation characteristics within the basin have been studied using GFDL-ESM2M, CanESM2, and GFDL-ESM2G models for RCP8.5, RCP4.5, and RCP2.6 scenarios from coupled model inter-comparison project 5 (CMIP5) which have been downscaled by SDSM. The results revealed that the mean annual temperature and precipitation reveal a statistically significant (at 5% significant level) increasing trend in the nine ESM-RCP scenarios for all the future time slices. The mean annual actual evapotranspiration, baseflow, soil water content, percolation, and water availability in the stream exhibit a rise for all the ESMs-RCP scenarios in the entire basin and in all the sub-basins. However, surface runoff and potential evapotranspiration show a decreasing trend. The mean annual water availability increases between 9.18 and 27.97% (RCP8.5), 3.98 and 19.61% (RCP4.5), and 11.82 and 17.06% (RCP2.6) in the entire basin. The sub-basin level analysis reveals that the annual, seasonal, and monthly variations of hydrological processes in all the sub-basins are similar regarding direction but different in magnitude as compared to that of the entire basin analysis. In addition, it is observed that there is a larger monthly and seasonal variation in hydrological processes as compared to the variation in annual scale. The net water availability tends to decline in the dry season; this might cause water shortage in the lowland region and greater increases in an intermediate and rainy seasons; this might cause flooding to some flood prone region of the basin. Since the variation of water availability among the sub-basins in upcoming period is high, there is a scope of meeting agriculture water demand through water transfer from sub-basin having more available water in small area to the sub-basin having less available water in a larger agricultural area.
Hestir, E.L.; Schoellhamer, David H.; Jonathan Greenberg,; Morgan-King, Tara L.; Ustin, S.L.
2016-01-01
Submerged aquatic vegetation (SAV) has well-documented effects on water clarity. SAV beds can slow water movement and reduce bed shear stress, promoting sedimentation and reducing suspension. However, estuaries have multiple controls on turbidity that make it difficult to determine the effect of SAV on water clarity. In this study, we investigated the effect of primarily invasive SAV expansion on a concomitant decline in turbidity in the Sacramento-San Joaquin River Delta. The objective of this study was to separate the effects of decreasing sediment supply from the watershed from increasing SAV cover to determine the effect of SAV on the declining turbidity trend. SAV cover was determined by airborne hyperspectral remote sensing and turbidity data from long-term monitoring records. The turbidity trends were corrected for the declining sediment supply using suspended-sediment concentration data from a station immediately upstream of the Delta. We found a significant negative trend in turbidity from 1975 to 2008, and when we removed the sediment supply signal from the trend it was still significant and negative, indicating that a factor other than sediment supply was responsible for part of the turbidity decline. Turbidity monitoring stations with high rates of SAV expansion had steeper and more significant turbidity trends than those with low SAV cover. Our findings suggest that SAV is an important (but not sole) factor in the turbidity decline, and we estimate that 21–70 % of the total declining turbidity trend is due to SAV expansion.
Hadley, Craig; Linzer, Drew A; Belachew, Tefera; Mariam, Abebe Gebre; Tessema, Fasil; Lindstrom, David
2011-11-01
The global food crisis of 2008 led to renewed interest in global food insecurity and how macro-level food prices impact household and individual level wellbeing. There is debate over the extent to which food price increases in 2008 eroded food security, the extent to which this effect was distributed across rural and urban locales, and the extent to which rural farmers might have benefited. Ethiopia's food prices increased particularly dramatically between 2005 and 2008 and here we ask whether there was a concomitant increase in household food insecurity, whether this decline was distributed equally across rural, urban, and semi-urban locales, and to what extent pre-crisis household capacities and vulnerabilities impacted 2008 household food insecurity levels. Data are drawn from a random sample of 2610 households in Southwest Ethiopia surveyed 2005/6 and again in mid to late 2008. Results show broad deterioration of household food insecurity relative to baseline but declines were most pronounced in the rural areas. Wealthier households and those that were relatively more food secure in 2005/6 tended to be more food secure in 2008, net of other factors, and these effects were most pronounced in urban areas. External shocks, such as a job loss or loss of crops, experienced by households were also associated with worse food insecurity in 2008 but few other household variables were associated with 2008 food insecurity. Our results also showed that rural farmers tended to produce small amounts for sale on markets, and thus were not able to enjoy the potential benefits that come from greater crop prices. We conclude that poverty, and not urban/rural difference, is the important variable for understanding the risk of food insecurity during a food crisis and that many rural farmers are too poor to take advantage of rapid rises in food prices. Copyright © 2011 Elsevier Ltd. All rights reserved.
Growth, Distribution, and Poverty in Africa: Messages from the 1990s. Poverty Dynamics in Africa.
ERIC Educational Resources Information Center
Christiaensen, Luc; Demery, Lionel; Paternostro, Stefano
This book reviews trends in household well-being in Africa during the 1990s. Using the better data sets now available, the main factors behind observed poverty changes are examined in eight countries: Ethiopia, Ghana, Madagascar, Mauritania, Nigeria, Uganda, Zambia, and Zimbabwe. A broad view of poverty is taken, which includes income poverty and…
Survey trends of North American shorebirds: Population declines or shifting distributions?
Bart, Jonathan; Brown, Stephen; Harrington, Brian A.; Morrison, R.I. Guy
2007-01-01
We analyzed data from two surveys of fall migrating shorebirds in central and eastern North America to estimate annual trends in means per survey and to determine whether trends indicate a change in population size or might have been caused by other factors. The analysis showed a broad decline in means per survey in Atlantic Canada and the northeastern United States (North Atlantic region). For example, 9 of 9 significant trends in this region were <1 (P=0.004), and the mean, annual rate of change among 30 species was 0.9783, a decline of −2.17% per year (P<0.001). Trends in the midwestern United States (Midwest region) showed no clear pattern. The mean among 29 species was 1.0090 (P=0.35). Only 4 of the trends were significant. Several hypotheses were evaluated to identify causes of the declining means per survey in the North Atlantic region. The most likely hypothesis appears to be a decline in the breeding populations that supply migrants to the North Atlantic region, but a change in movements, for example passing through the region more quickly in recent years, cannot be excluded as an explanation. Further surveys of arctic breeding areas coupled with analysis of long‐term survey data from western North America would be helpful in determining whether the declines found in this analysis are also occurring in other areas.
Ameha, Agazi; Karim, Ali Mehryar; Erbo, Amano; Ashenafi, Addis; Hailu, Mulu; Hailu, Berhan; Folla, Abebe; Bizuwork, Simret; Betemariam, Wuleta
2014-10-01
Consistency in the adherence to integrated Community Case Management (iCCM) protocols for common childhood illnesses provided by Ethiopia's Health Extension Program (HEP) frontline workers. One approach is to provide regular clinical mentoring to the frontline health workers of the HEP at their health posts (HP) through supportive supervision (SS) following the initial training. To Assess the effectiveness of visits to improve the consistency of iCCM skills (CoS) of the HEWs in 113 districts in Ethiopia. We analyzed data from 3,909 supportive supervision visits between January 2011 and June 2013 in 113 districts in Ethiopia. From case assessment registers, a health post was classified as consistent in managing pneumonia, malaria, or diarrhea cases if the disease classification, treatment, and follow-up of the last two cases managed at the health posts were consistent with the protocol. We used regression models to assess the effects of SS on CoS. All HPs (2,368) received at least one supportive supervision visit, 41% received two, and 15% received more than two. During the observation period, HP management consistency in pneumonia, malaria, and diarrhea increased by 3.0, 2.7 and 4.4-fold, respectively. After controlling for secular trend and other factors, significant dose-response relationships were observed between number of SS visits and CoS indicators. The SS visits following the initial training were effective in improving the CoS.
Neutropenia and eosinophilia among Ethiopian immigrants to Israel: Familial or environmental?
Tandeter, Howard; Glick, Karina; Moser, Asher
2016-12-01
Due to trends of population movements, Israeli family physicians are treating increasing numbers of African immigrants from Ethiopia. These immigrants were found to have complete blood counts (CBC) that are different from other ethnic groups, with a higher prevalence of eosinophilia and neutropenia. To evaluate haematological findings in an attempt to define whether they behave as familial (genetic) or environmental. Retrospective chart review of 300 patients from a primary care clinic: 100 individuals of Ethiopian heritage born in Ethiopia (EE); 100 individuals of Ethiopian heritage born in Israel, whose parents were born in Ethiopia (EI), and a control group of 100 patients who were not of Ethiopian heritage (C). Absolute eosinophilia (greater than 500/dl) was found in 13% of the EE study group significantly higher than the two other groups (P < 0.05), with no difference between EI and C. neutropenia (defined as less than 1500/dl) was found in 32% of EE group, 20% of EI, and 1% of C (P < 0.01). On the one hand, findings point to a marked environmental influence on the eosinophilic response (most probably due to intestinal parasites present in immigrants from Ethiopia). On the other hand, a familial-genetic nature is probably the reason for the higher prevalence of neutropenia in this population, although some environmental influence may play a role. The knowledge of these findings may be useful for physicians treating people migrating from Africa.
Temperature suitability for malaria climbing the Ethiopian Highlands
NASA Astrophysics Data System (ADS)
Lyon, Bradfield; Dinku, Tufa; Raman, Anita; Thomson, Madeleine C.
2017-06-01
While the effect of climate change on the prevalence of malaria in the highlands of Eastern Africa has been the topic of protracted debate, temperature is widely accepted as a fundamentally important environmental factor constraining its transmission. Air temperatures below approximately 18 °C and 15 °C, respectively, prohibit the development of the Plasmodium falciparum and P. vivax parasites responsible for the majority of malaria cases in Ethiopia. Low temperatures also impede the development rates of the Anopheles mosquito vectors. While locations of sufficiently high elevation have temperatures below these transmission thresholds, a fundamental question is how such temperature ‘threshold elevations’ are changing with time. A lack of high quality, high spatial resolution climate data has previously prohibited a rigorous investigation. Using a newly developed national temperature dataset for Ethiopia that combines numerous in-situ surface observations with downscaled reanalysis data, we here identify statistically significant increases in elevation for both the 18 °C and 15 °C thresholds in highland areas between 1981-2014. Substantial interannual and spatial variations in threshold elevations are identified, the former associated with the El Niño Southern-Oscillation and the latter with the complex climate of the region. The estimated population in locations with an upward trend in the 15 °C threshold elevation is approximately 6.5 million people (2.2 million for 18 °C). While not a direct prediction of the additional population made vulnerable to malaria through a shift to higher temperature, our results underscore a newly acquired ability to investigate climate variability and trends at fine spatial scales across Ethiopia, including changes in a fundamental constraint on malaria transmission in the Ethiopian Highlands.
Antihypertensive treatment and US trends in stroke mortality, 1962 to 1980.
Casper, M; Wing, S; Strogatz, D; Davis, C E; Tyroler, H A
1992-01-01
OBJECTIVES. This study examines the association between increases in antihypertensive pharmacotherapy and declines in stroke mortality among 96 US groups stratified by race, sex, age, metropolitan status, and region from 1962 to 1980. METHODS. Data on the prevalence of controlled hypertension and socioeconomic profiles were obtained from three successive national health surveys. Stroke mortality rates were calculated using data from the National Center for Health Statistics and the Bureau of the Census. The association between controlled hypertension trends and stroke mortality declines was assessed with weighted regression. RESULTS. Prior to 1972, there was no association between trends in controlled hypertension and stroke mortality declines (beta = 0.04, P = .69). After 1972, groups with larger increases in controlled hypertension experienced slower rates of decline in stroke mortality (beta = 0.16, P = .003). Faster rates of decline were modestly but consistently related to improvements in socioeconomic indicators only for the post-1972 period. CONCLUSIONS. These results do not support the hypothesis that increased antihypertensive pharmacotherapy has been the primary determinant of recent declines in stroke mortality. Additional studies should address the association between declining stroke mortality and trends in socioeconomic resources, dietary patterns, and cigarette smoking. PMID:1456333
NASA Astrophysics Data System (ADS)
Enku, Temesgen; Melesse, Assefa; Ayana, Essaya; Tilahun, Seifu; Abate, Mengiste; Steenhuis, Tammo
2017-04-01
Given the increasing demand for water resources and the need for better management of regional water resources, it is essential to quantify the groundwater use by phreatophytes in tropical monsoon climates. Phreatophytes, like eucalyptus plantations are reported to be a groundwater sink and it could significantly affect the regional groundwater resources. In our study, the consumptive groundwater use of a closed eucalyptus plantation was calculated based on the diurnal water table fluctuations observed in monitoring wells for two dry monsoon phases in the Fogera plain, northwest of Ethiopia. Automated recorders were installed to monitor the hourly groundwater table fluctuations. The groundwater table fluctuates from maximum at early in the morning to minimum in the evening daily and generally declined linearly during the dry phase averaging 3.1 cm/day during the two year period under the eucalyptus plantations. The hourly eucalypts transpiration rate over the daylight hours follows the daily solar irradiance curve for clear sky days. It is minimal during the night and reaches maximum of 1.65mm/hour at mid-day. The evapotranspiration from the groundwater by eucalyptus plantations during the dry phases was estimated at about 2300mm from October 1 to 31 May, in 2015 compared to about 900mm without eucalyptus trees. The average daily evapotranspiration was 9.6mm. This is almost twice of the reference evapotranspiration in the area and 2.5 times the actual rate under fallow agricultural fields. Thus, water resources planning and management in the region needs to consider the effect of eucalyptus plantations on the availability of groundwater resources in the highlands of Ethiopia. Key words: Eucalyptus, Evapotranspiration, Groundwater, Ethiopia, Lake Tana
Yeh, Jennifer M; Hur, Chin; Schrag, Deb; Kuntz, Karen M; Ezzati, Majid; Stout, Natasha; Ward, Zachary; Goldie, Sue J
2013-01-01
Although gastric cancer has declined dramatically in the US, the disease remains the second leading cause of cancer mortality worldwide. A better understanding of reasons for the decline can provide important insights into effective preventive strategies. We sought to estimate the contribution of risk factor trends on past and future intestinal-type noncardia gastric adenocarcinoma (NCGA) incidence. We developed a population-based microsimulation model of intestinal-type NCGA and calibrated it to US epidemiologic data on precancerous lesions and cancer. The model explicitly incorporated the impact of Helicobacter pylori and smoking on disease natural history, for which birth cohort-specific trends were derived from the National Health and Nutrition Examination Survey (NHANES) and National Health Interview Survey (NHIS). Between 1978 and 2008, the model estimated that intestinal-type NCGA incidence declined 60% from 11.0 to 4.4 per 100,000 men, <3% discrepancy from national statistics. H. pylori and smoking trends combined accounted for 47% (range = 30%-58%) of the observed decline. With no tobacco control, incidence would have declined only 56%, suggesting that lower smoking initiation and higher cessation rates observed after the 1960s accelerated the relative decline in cancer incidence by 7% (range = 0%-21%). With continued risk factor trends, incidence is projected to decline an additional 47% between 2008 and 2040, the majority of which will be attributable to H. pylori and smoking (81%; range = 61%-100%). Limitations include assuming all other risk factors influenced gastric carcinogenesis as one factor and restricting the analysis to men. Trends in modifiable risk factors explain a significant proportion of the decline of intestinal-type NCGA incidence in the US, and are projected to continue. Although past tobacco control efforts have hastened the decline, full benefits will take decades to be realized, and further discouragement of smoking and reduction of H. pylori should be priorities for gastric cancer control efforts.
Malaria in the Americas: trends from 1959 to 2011.
Carter, Keith H; Singh, Prabhjot; Mujica, Oscar J; Escalada, Rainier P; Ade, Maria Paz; Castellanos, Luis Gerardo; Espinal, Marcos A
2015-02-01
Malaria has declined in recent years in countries of the American continents. In 2011, 12 of 21 endemic countries had already met their 2015 Millennium Development Goal. However, this declining trend has not been adequately evaluated. An analysis of the number of cases per 100,000 people (annual parasite index [API]) and the percentage of positive blood slides (slide positivity rate [SPR]) during the period of 1959-2011 in 21 endemic countries was done using the joinpoint regression methodology. During 1960-1979, API and SPR increased significantly and peaked in the 1980s. Since the 1990s, there have been significant declining trends in both API and SPR. Additionally, both Plasmodium vivax and P. falciparum species-specific incidence have declined. With the exception of two countries, such a collectively declining malaria trend was not observed in previous decades. This presents a unique opportunity for the Americas to seriously consider malaria elimination as a final goal. © The American Society of Tropical Medicine and Hygiene.
Malaria in the Americas: Trends from 1959 to 2011
Carter, Keith H.; Singh, Prabhjot; Mujica, Oscar J.; Escalada, Rainier P.; Ade, Maria Paz; Castellanos, Luis Gerardo; Espinal, Marcos A.
2015-01-01
Malaria has declined in recent years in countries of the American continents. In 2011, 12 of 21 endemic countries had already met their 2015 Millennium Development Goal. However, this declining trend has not been adequately evaluated. An analysis of the number of cases per 100,000 people (annual parasite index [API]) and the percentage of positive blood slides (slide positivity rate [SPR]) during the period of 1959–2011 in 21 endemic countries was done using the joinpoint regression methodology. During 1960–1979, API and SPR increased significantly and peaked in the 1980s. Since the 1990s, there have been significant declining trends in both API and SPR. Additionally, both Plasmodium vivax and P. falciparum species-specific incidence have declined. With the exception of two countries, such a collectively declining malaria trend was not observed in previous decades. This presents a unique opportunity for the Americas to seriously consider malaria elimination as a final goal. PMID:25548378
Replacement Migration: Is It a Solution to Declining and Ageing Populations?
ERIC Educational Resources Information Center
United Nations, New York, NY. Dept. of Economic and Social Affairs.
The United Nations (UN) Population Division monitors fertility, mortality, and migration trends for all countries as a basis for producing the official UN population estimates and projections. Among recent demographic trends, two are prominent: (1) population decline and (2) population aging. Focusing on these two critical trends, a study…
C. H. Luce; J. T. Abatzoglou; Z. A. Holden
2013-01-01
Trends in streamflow timing and volume in the Pacific Northwest United States have been attributed to increased temperatures because trends in precipitation at lower elevation stations were negligible. We demonstrate that observed streamflow declines likely are associated with declines in mountain precipitation, revealing previously unexplored differential trends....
Scheper, Jeroen; Reemer, Menno; van Kats, Ruud; Ozinga, Wim A; van der Linden, Giel T J; Schaminée, Joop H J; Siepel, Henk; Kleijn, David
2014-12-09
Evidence for declining populations of both wild and managed bees has raised concern about a potential global pollination crisis. Strategies to mitigate bee loss generally aim to enhance floral resources. However, we do not really know whether loss of preferred floral resources is the key driver of bee decline because accurate assessment of host plant preferences is difficult, particularly for species that have become rare. Here we examine whether population trends of wild bees in The Netherlands can be explained by trends in host plants, and how this relates to other factors such as climate change. We determined host plant preference of bee species using pollen loads on specimens in entomological collections that were collected before the onset of their decline, and used atlas data to quantify population trends of bee species and their host plants. We show that decline of preferred host plant species was one of two main factors associated with bee decline. Bee body size, the other main factor, was negatively related to population trend, which, because larger bee species have larger pollen requirements than smaller species, may also point toward food limitation as a key factor driving wild bee loss. Diet breadth and other potential factors such as length of flight period or climate change sensitivity were not important in explaining twentieth century bee population trends. These results highlight the species-specific nature of wild bee decline and indicate that mitigation strategies will only be effective if they target the specific host plants of declining species.
Scheper, Jeroen; Reemer, Menno; van Kats, Ruud; Ozinga, Wim A.; van der Linden, Giel T. J.; Schaminée, Joop H. J.; Siepel, Henk; Kleijn, David
2014-01-01
Evidence for declining populations of both wild and managed bees has raised concern about a potential global pollination crisis. Strategies to mitigate bee loss generally aim to enhance floral resources. However, we do not really know whether loss of preferred floral resources is the key driver of bee decline because accurate assessment of host plant preferences is difficult, particularly for species that have become rare. Here we examine whether population trends of wild bees in The Netherlands can be explained by trends in host plants, and how this relates to other factors such as climate change. We determined host plant preference of bee species using pollen loads on specimens in entomological collections that were collected before the onset of their decline, and used atlas data to quantify population trends of bee species and their host plants. We show that decline of preferred host plant species was one of two main factors associated with bee decline. Bee body size, the other main factor, was negatively related to population trend, which, because larger bee species have larger pollen requirements than smaller species, may also point toward food limitation as a key factor driving wild bee loss. Diet breadth and other potential factors such as length of flight period or climate change sensitivity were not important in explaining twentieth century bee population trends. These results highlight the species-specific nature of wild bee decline and indicate that mitigation strategies will only be effective if they target the specific host plants of declining species. PMID:25422416
Are more North American species decreasing than increasing?
Droege, S.; Sauer, J.R.; Hagemeijer, E.J.M.; Verstrael, T.J.
1994-01-01
Population trends for North American species are calculated for 1966-'91 and 1982-'91 using Nonh American Breeding Bird Survey data. Species are grouped into 3 systems of guild classifications representing migration status, breeding habitat and nesting substrate. Trends for these groups are summarized by time period, bioregion and physiographic region. At the continental level, declines approximately equalled increases. There are slightly more declines during the last 10 years. Prairie populations declined more than expected, while western populations increased. Scrub and grassland nesting species declined significantly in several bioregions while woodland species increased. Most guilds did not depart significantly from a ratio of 50:50 increases to decreases or have opposing trends in different bioregions. Guild group changes are usually clustered geographically. Guild and other analyses that search for patterns among population trend estimates offer an excellent means of identifying critical conservation issues.
NASA Astrophysics Data System (ADS)
Kew, Sarah; Philip, Sjoukje; van Oldenborgh, Geert Jan; Otto, Friederike; Haustein, Karsten; King, Andrew; Karoly, David; Zegeye, Abiy; Eshetu, Zewdu; Hailu, Beza; Hailemariam, Kinfe
2017-04-01
Few publicly available observational stations, irregular records and short time series are common obstacles to trend detection and event attribution in developing countries (and in general, data sparse regions). It is developing countries, however, that also feel the impact of extreme weather events most severely and are therefore most vulnerable to climate change. There is a clear need for objective studies that quantify the extremity of the events and investigate their cause, which can be used in raising risk awareness. Here we outline our multi-method approach, which can help to indicate whether event return times and the attribution are robust and give a fairer idea of uncertainties, using the drought of 2015 in Ethiopia as an example, and share the challenges and possibilities encountered. In a drought-free year, Ethiopia experiences two rain seasons, Belg from February to May, and Kiremt from June to mid-September. In 2015, both rain seasons failed in the north east of the country, leading to one of the lowest precipitation deficits there in at least 50 years. We discuss the steps involved in defining the event, selecting precipitation and soil moisture as indicators for drought and its impact, and selecting observational data and other sources that can be used in addition to station observations, like the CHIRPS and CenTrends datasets. Besides we show the importance of using different models that are validated well, as well as the chosen approach to trend detection and attribution to both global warming and El Nino.
Trends in Global Gender Inequality (Forthcoming, Social Forces).
Dorius, Shawn F; Firebaugh, Glenn
2010-07-01
This study investigates trends in gender inequality for the world as a whole. Using data encompassing a large majority of the world's population, we examine world trends over recent decades for key indicators of gender inequality in education, mortality, political representation, and economic activity. We find that gender inequality is declining in virtually all major domains, that the decline is occurring across diverse religious and cultural traditions, and that population growth is slowing the decline because populations are growing faster in countries where there is the greatest gender inequality.
Trends in Global Gender Inequality (Forthcoming, Social Forces)
Dorius, Shawn F.; Firebaugh, Glenn
2011-01-01
This study investigates trends in gender inequality for the world as a whole. Using data encompassing a large majority of the world’s population, we examine world trends over recent decades for key indicators of gender inequality in education, mortality, political representation, and economic activity. We find that gender inequality is declining in virtually all major domains, that the decline is occurring across diverse religious and cultural traditions, and that population growth is slowing the decline because populations are growing faster in countries where there is the greatest gender inequality. PMID:21643494
Goode, Daniel J.; Senior, Lisa A.; Subah, Ali; Jaber, Ayman
2013-01-01
Changes in groundwater levels and salinity in six groundwater basins in Jordan were characterized by using linear trends fit to well-monitoring data collected from 1960 to early 2011. On the basis of data for 117 wells, groundwater levels in the six basins were declining, on average about -1 meter per year (m/yr), in 2010. The highest average rate of decline, -1.9 m/yr, occurred in the Jordan Side Valleys basin, and on average no decline occurred in the Hammad basin. The highest rate of decline for an individual well was -9 m/yr. Aquifer saturated thickness, a measure of water storage, was forecast for year 2030 by using linear extrapolation of the groundwater-level trend in 2010. From 30 to 40 percent of the saturated thickness, on average, was forecast to be depleted by 2030. Five percent of the wells evaluated were forecast to have zero saturated thickness by 2030. Electrical conductivity was used as a surrogate for salinity (total dissolved solids). Salinity trends in groundwater were much more variable and less linear than groundwater-level trends. The long-term linear salinity trend at most of the 205 wells evaluated was not increasing, although salinity trends are increasing in some areas. The salinity in about 58 percent of the wells in the Amman-Zarqa basin was substantially increasing, and the salinity in Hammad basin showed a long-term increasing trend. Salinity increases were not always observed in areas with groundwater-level declines. The highest rates of salinity increase were observed in regional discharge areas near groundwater pumping centers.
Erbas, Bircan; Akram, Muhammed; Gertig, Dorota M; English, Dallas; Hopper, John L.; Kavanagh, Anne M; Hyndman, Rob
2010-01-01
Background Mortality/incidence predictions are used for allocating public health resources and should accurately reflect age-related changes through time. We present a new forecasting model for estimating future trends in age-related breast cancer mortality for the United States and England–Wales. Methods We used functional data analysis techniques both to model breast cancer mortality-age relationships in the United States from 1950 through 2001 and England–Wales from 1950 through 2003 and to estimate 20-year predictions using a new forecasting method. Results In the United States, trends for women aged 45 to 54 years have continued to decline since 1980. In contrast, trends in women aged 60 to 84 years increased in the 1980s and declined in the 1990s. For England–Wales, trends for women aged 45 to 74 years slightly increased before 1980, but declined thereafter. The greatest age-related changes for both regions were during the 1990s. For both the United States and England–Wales, trends are expected to decline and then stabilize, with the greatest decline in women aged 60 to 70 years. Forecasts suggest relatively stable trends for women older than 75 years. Conclusions Prediction of age-related changes in mortality/incidence can be used for planning and targeting programs for specific age groups. Currently, these models are being extended to incorporate other variables that may influence age-related changes in mortality/incidence trends. In their current form, these models will be most useful for modeling and projecting future trends of diseases for which there has been very little advancement in treatment and minimal cohort effects (eg. lethal cancers). PMID:20139657
Changes in wind speed and extremes in Beijing during 1960-2008 based on homogenized observations
NASA Astrophysics Data System (ADS)
Li, Zhen; Yan, Zhongwei; Tu, Kai; Liu, Weidong; Wang, Yingchun
2011-03-01
Daily observations of wind speed at 12 stations in the Greater Beijing Area during 1960-2008 were homogenized using the Multiple Analysis of Series for Homogenization method. The linear trends in the regional mean annual and seasonal (winter, spring, summer and autumn) wind speed series were -0.26, -0.39, -0.30, -0.12 and -0.22 m s-1 (10 yr)-1, respectively. Winter showed the greatest magnitude in declining wind speed, followed by spring, autumn and summer. The annual and seasonal frequencies of wind speed extremes (days) also decreased, more prominently for winter than for the other seasons. The declining trends in wind speed and extremes were formed mainly by some rapid declines during the 1970s and 1980s. The maximum declining trend in wind speed occurred at Chaoyang (CY), a station within the central business district (CBD) of Beijing with the highest level of urbanization. The declining trends were in general smaller in magnitude away from the city center, except for the winter case in which the maximum declining trend shifted northeastward to rural Miyun (MY). The influence of urbanization on the annual wind speed was estimated to be about -0.05 m s-1 (10 yr)-1 during 1960-2008, accounting for around one fifth of the regional mean declining trend. The annual and seasonal geostrophic wind speeds around Beijing, based on daily mean sea level pressure (MSLP) from the ERA-40 reanalysis dataset, also exhibited decreasing trends, coincident with the results from site observations. A comparative analysis of the MSLP fields between 1966-1975 and 1992-2001 suggested that the influences of both the winter and summer monsoons on Beijing were weaker in the more recent of the two decades. It is suggested that the bulk of wind in Beijing is influenced considerably by urbanization, while changes in strong winds or wind speed extremes are prone to large-scale climate change in the region.
Rehm, Colin D; Drewnowski, Adam
2016-12-13
Energy intakes from fast food restaurants (FFRs) have declined among US children. Less is known about the corresponding trends for FFR-sourced solid fats, added sugars, and sodium, and food groups of interest, such as fruit and sugar-sweetened beverages (SSBs). Using data from a single 24-h dietary recall among 12,378 children aged 4-19 years from four consecutive cycles of the nationally-representative National Health and Nutrition Examination Survey (NHANES), 2003-2010 a custom algorithm segmented FFRs into burger, pizza, sandwich, Mexican cuisine, chicken, Asian cuisine, fish restaurants, and coffee shops. There was a significant population-wide decline in FFR-sourced solid fats (-32 kcal/day, p -trend < 0.001), added sugars (-16 kcal/day; p -trend < 0.001), SSBs (-0.12 servings (12 fluid ounces or 355 mL)/day; p -trend < 0.001), and sodium (-166 mg/day; p -trend < 0.001). Declines were observed when restricted to fast food consumers alone. Sharp declines were observed for pizza restaurants; added sugars, solid fats, and SSBs declined significantly from burger restaurants. Fruit did not change for fast food restaurants overall. Temporal analyses of fast food consumption trends by restaurant type allow for more precise monitoring of the quality of children's diets than can be obtained from analyses of menu offerings. Such analyses can inform public health interventions and policy measures.
Rehm, Colin D.; Drewnowski, Adam
2016-01-01
Energy intakes from fast food restaurants (FFRs) have declined among US children. Less is known about the corresponding trends for FFR-sourced solid fats, added sugars, and sodium, and food groups of interest, such as fruit and sugar-sweetened beverages (SSBs). Using data from a single 24-h dietary recall among 12,378 children aged 4–19 years from four consecutive cycles of the nationally-representative National Health and Nutrition Examination Survey (NHANES), 2003–2010 a custom algorithm segmented FFRs into burger, pizza, sandwich, Mexican cuisine, chicken, Asian cuisine, fish restaurants, and coffee shops. There was a significant population-wide decline in FFR-sourced solid fats (−32 kcal/day, p-trend < 0.001), added sugars (−16 kcal/day; p-trend < 0.001), SSBs (−0.12 servings (12 fluid ounces or 355 mL)/day; p-trend < 0.001), and sodium (−166 mg/day; p-trend < 0.001). Declines were observed when restricted to fast food consumers alone. Sharp declines were observed for pizza restaurants; added sugars, solid fats, and SSBs declined significantly from burger restaurants. Fruit did not change for fast food restaurants overall. Temporal analyses of fast food consumption trends by restaurant type allow for more precise monitoring of the quality of children’s diets than can be obtained from analyses of menu offerings. Such analyses can inform public health interventions and policy measures. PMID:27983573
Regional-Scale Declines in Productivity of Pink and Chum Salmon Stocks in Western North America
Malick, Michael J.; Cox, Sean P.
2016-01-01
Sockeye salmon (Oncorhynchus nerka) stocks throughout the southern part of their North American range have experienced declines in productivity over the past two decades. In this study, we tested the hypothesis that pink (O. gorbuscha) and chum (O. keta) salmon stocks have also experienced recent declines in productivity by investigating temporal and spatial trends in productivity of 99 wild North American pink and chum salmon stocks. We used a combination of population dynamics and time series models to quantify individual stock trends as well as common temporal trends in pink and chum salmon productivity across local, regional, and continental spatial scales. Our results indicated widespread declines in productivity of wild chum salmon stocks throughout Washington (WA) and British Columbia (BC) with 81% of stocks showing recent declines in productivity, although the exact form of the trends varied among regions. For pink salmon, the majority of stocks in WA and BC (65%) did not have strong temporal trends in productivity; however, all stocks that did have trends in productivity showed declining productivity since at least brood year 1996. We found weaker evidence of widespread declines in productivity for Alaska pink and chum salmon, with some regions and stocks showing declines in productivity (e.g., Kodiak chum salmon stocks) and others showing increases (e.g., Alaska Peninsula pink salmon stocks). We also found strong positive covariation between stock productivity series at the regional spatial scale for both pink and chum salmon, along with evidence that this regional-scale positive covariation has become stronger since the early 1990s in WA and BC. In general, our results suggest that common processes operating at the regional or multi-regional spatial scales drive productivity of pink and chum salmon stocks in western North America and that the effects of these process on productivity may change over time. PMID:26760510
Consumption of alcoholic beverages and cognitive decline at middle age: the Doetinchem Cohort Study.
Nooyens, Astrid C J; Bueno-de-Mesquita, H Bas; van Gelder, Boukje M; van Boxtel, Martin P J; Verschuren, W M Monique
2014-02-01
Accelerated cognitive decline increases the risk of dementia. Slowing down the rate of cognitive decline leads to the preservation of cognitive functioning in the elderly, who can live independently for a longer time. Alcohol consumption may influence the rate of cognitive decline. The aim of the present study was to evaluate the associations between the total consumption of alcoholic beverages and different types of alcoholic beverages and cognitive decline at middle age. In 2613 men and women of the Doetinchem Cohort Study, aged 43-70 years at baseline (1995-2002), cognitive function (global cognitive function and the domains memory, speed and flexibility) was assessed twice, with a 5-year time interval. In linear regression analyses, the consumption of different types of alcoholic beverages was analysed in relation to cognitive decline, adjusting for confounders. We observed that, in women, the total consumption of alcoholic beverages was inversely associated with the decline in global cognitive function over a 5-year period (P for trend = 0·02), while no association was observed in men. Regarding the consumption of different types of alcoholic beverages in men and women together, red wine consumption was inversely associated with the decline in global cognitive function (P for trend < 0·01) as well as memory (P for trend < 0·01) and flexibility (P for trend = 0·03). Smallest declines were observed at a consumption of about 1·5 glasses of red wine per d. No other types of alcoholic beverages were associated with cognitive decline. In conclusion, only (moderate) red wine consumption was consistently associated with less strong cognitive decline. Therefore, it is most likely that non-alcoholic substances in red wine are responsible for any cognition-preserving effects.
Tegegne, Teketo Kassaw; Sisay, Mitike Molla
2014-10-29
Adolescence in girls has been recognized as a special period marked with the onset of menarche. Even though menstruation is a natural process, it is associated with misconceptions, malpractices and challenges among girls in developing countries. However, much is not documented; school-absenteeism and dropout are a common problem among girls in rural Ethiopia. Focusing among school girls, this study has examined knowledge about menstruation, determinants of menstrual management and its influence on school-attendance in Northeast Ethiopia. We conducted a mixed-method research combining quantitative and qualitative methods in Northeast Ethiopia. The quantitative study was conducted among 595 randomly selected adolescent school girls. Nine in-depth interviews; five school-dropout girls and four female teachers, and four focus group discussions among school girls were conducted in 2013. The mean age at menarche was 13.98 (±1.17) years. About 51% of girls had knowledge about menstruation and its management. Only a third of the girls used sanitary napkins as menstrual absorbent during their last menstruation. Girls from urban areas, had mothers of secondary and above education and, families of higher monthly expenditure had more chance of using sanitary napkins than their counterparts. More than half of the girls reported to have been absent from school during their menstruation period. Those who did not use sanitary napkins were more likely to be absent from school [AOR-95% C.I: 5.37 (3.02 - 9.55)]. Fifty eight percent of girls reported that their school-performance had declined after they had menarche. In addition, the qualitative study indicated that school-dropout was common among girls who experienced teasing and humiliation by classmates when their clothes were stained with blood as they do not use sanitary napkins. Though there is an effort to increase girls' school enrollment, lack of basic needs, like sanitary napkins that facilitate routine activates of girls at early adolescence are observed to deter girls' school-attendance in rural Ethiopia. Special support for girl students, especially when they have their first menstruation and separate functioning sanitary facilities are necessities that should be in school at all times if gender equality and girls empowerment is to be achieved.
Douze, Katja; Delagnes, Anne; Rots, Veerle; Gravina, Brad
2018-05-28
Sahle and Braun's (in press) recent comments on our identification (Douze and Delagnes, 2016) of diachronic trends in Middle Stone Age point traditions in several lithic assemblages from the sites of Gademotta and Kulkuletti (Ethiopia) focuses on pointed tool function rather than the gradual technological shifts we observed between sites. Here we address several of what we consider to be inaccuracies and misinterpretations concerning our work with the Gademotta and Kulkuletti lithic assemblages (Douze, 2012, 2014), more specifically, Sahle and Braun's (in press) interpretation of the tranchet blow technique. This discussion is inseparable from a critical review of the evidence advanced by Sahle and Braun to support projectile technology being present in the Gademotta Formation as early as >279 ka. Copyright © 2018. Published by Elsevier Ltd.
David Keith; H. Resit Akcakaya; Stuart H.M. Butchart; Ben Collen; Nicholas K. Dulvy; Elizabeth E. Holmes; Jeffrey A. Hutchings; Doug Keinath; Michael K. Schwartz; Andrew O. Shelton; Robin S. Waples
2015-01-01
Population trends play a large role in species risk assessments and conservation planning, and species are often considered threatened if their recent rate of decline meets certain thresholds, regardless how large the population is. But how reliable an indicator of extinction risk is a single estimate of population trend? Given the integral role this decline-...
Landon, Matthew K.; Morita, Andrew Y.; Nawikas, Joseph M.; Christensen, Allen H.; Faunt, Claudia C.; Langenheim, Victoria E.
2015-11-24
On the basis of data from 33 wells, water levels mostly declined between the fall of 2006 and the fall of 2013; the median decline was 5.1 feet during this period, for a median rate of decline of about 0.7 feet/year. Based on data from 40 wells, water-level changes between fall 2004 and fall 2013 were variable in magnitude and trend, but had a median decline of 2.4 feet and a median rate of decline of about 0.3 feet/ year. These differences in apparent rates of groundwater-level change highlight the value of ongoing water-level measurements to distinguish decadal, or longer term, trends in groundwater storage often associated with climatic variability and trends. Fifty-four long-term hydrographs indicated the sensitivity of groundwater levels to climatic conditions; they also showed a general decline in water levels across the study area since 1986 and, in some cases, dating back to the 1950s.
Update on the nutrition situation.
Mason, J; Garcia, M
1995-01-01
The Update on the Nutrition Situation, 1994 was published in early 1995 by the United Nations Subcommittee on Nutrition. Thus, data available at the country level about estimates of the nutritional situation now provide trends of prevalences of underweight children in 35 countries for the 1990s. In Sub-Saharan Africa recent deterioration has occurred as a result of the general worsening of nutrition in Africa. However, in the Near East, North Africa, and South America the generally improving trends of the 1980s seem to be continuing with the likelihood of reaching the prevalences of the developed countries by the year 2000. A surveillance system in Bangladesh indicates improvement from 1990 to 1993; however, India data for 1991/92 indicate deterioration in 3 states and no significant change in 4, possibly connected the economic slowdown in the early 1990s. In many countries of southeast Asia, China, Middle America and the Caribbean, South America, the Near East and North Africa the improvement of rates could result in halving the prevalences of underweight children. The gross domestic product (GDP) is an important indicator of nutritional performance. During 1985-92 in Sub-Saharan Africa GDP declined by 0.8% and consequently the nutritional situation also deteriorated. In other areas of the world the GDP growth rates improved after 1990 and the underweight trends in the early 1990s were generally similar to those of the late 1980s. The nutritional improvement outside Sub-Saharan Africa and possibly India continued in the early 1990s. Rapid economic growth was associated with improving nutrition in Thailand and Vietnam in the 1980s and also to a smaller extent for Indonesia and China. Faster than average improvement is plausible for Jamaica, Sri Lanka, and Zimbabwe. Deteriorating cases are Ethiopia, Madagascar, and Rwanda. Economic growth, health, education, and community-based nutrition programs all contribute to improving nutrition.
Lawrence, Stephen J.
2016-02-25
Water-use trends in the ACF River Basin have varied during the 25 years between 1985 and 2010. Surface-water withdrawals declined between 1985 and 2000, sharply increased in 2000, and declined again between 2000 and 2010. In contrast, groundwater withdrawals increased between 1985 and 2000, declined in 2005, and increased between 2005 and 2010.
Investigating recent trends in the U.S. teen birth rate.
Kearney, Melissa S; Levine, Phillip B
2015-05-01
We investigate trends in the U.S. rate of teen childbearing between 1981 and 2010, focusing specifically on the sizable decline since 1991. We focus on establishing the role of state-level demographic changes, economic conditions, and targeted policies in driving recent aggregate trends. We offer three main observations. First, the recent decline cannot be explained by the changing racial and ethnic composition of teens. Second, the only targeted policies that have had a statistically discernible impact on aggregate teen birth rates are declining welfare benefits and expanded access to family planning services through Medicaid, but these policies can account for only 12.6 percent of the observed decline since 1991. Third, higher unemployment rates lead to lower teen birth rates and can account for 16 percent of the decline in teen birth rates since the Great Recession began. Copyright © 2015 Elsevier B.V. All rights reserved.
Trait correlates of distribution trends in the Odonata of Britain and Ireland
Cham, Steve S.A.; Smallshire, Dave; Isaac, Nick J.B.
2015-01-01
A major challenge in ecology is understanding why certain species persist, while others decline, in response to environmental change. Trait-based comparative analyses are useful in this regard as they can help identify the key drivers of decline, and highlight traits that promote resistance to change. Despite their popularity trait-based comparative analyses tend to focus on explaining variation in range shift and extinction risk, seldom being applied to actual measures of species decline. Furthermore they have tended to be taxonomically restricted to birds, mammals, plants and butterflies. Here we utilise a novel approach to estimate occurrence trends for the Odonata in Britain and Ireland, and examine trait correlates of these trends using a recently available trait dataset. We found the dragonfly fauna in Britain and Ireland has undergone considerable change between 1980 and 2012, with 22 and 53% of species declining and increasing, respectively. Distribution region, habitat specialism and range size were the key traits associated with these trends, where habitat generalists that occupy southern Britain tend to have increased in comparison to the declining narrow-ranged specialist species. In combination with previous evidence, we conclude that the lower trend estimates for the narrow-ranged specialists could be a sign of biotic homogenization with ecological specialists being replaced by warm-adapted generalists. PMID:26618083
Villena Carpio, Oswaldo; Royle, J. Andrew; Weir, Linda; Foreman, Tasha M.; Gazenski, Kimberly D.; Campbell Grant, Evan H.
2016-01-01
We present the first regional trends in anuran occupancy for eight states of the southeastern United States, based on 13 y (2001–2013) of North American Amphibian Monitoring Program (NAAMP) data. The NAAMP is a longterm monitoring program in which observers collect anuran calling observation data at fixed locations along random roadside routes. We assessed occupancy trends for 14 species. We found weak evidence for a general regional pattern of decline in calling anurans within breeding habitats along roads in the southeastern USA over the last 13 y. Two species had positive regional trends with 95% posterior intervals that did not include zero (Hyla cinerea and Pseudacris crucifer). Five other species also showed an increasing trend, while eight species showed a declining trend, although 95% posterior intervals included zero. We also assessed state level trends for 107 species/state combinations. Of these, 14 showed a significant decline and 12 showed a significant increase in occupancy (i.e., credible intervals did not include zero for these 26 trends).
Hounton, Sennen; Barros, Aluisio J. D.; Amouzou, Agbessi; Shiferaw, Solomon; Maïga, Abdoulaye; Akinyemi, Akanni; Friedman, Howard; Koroma, Desmond
2015-01-01
Background The benefits of universal access to voluntary contraception have been widely documented in terms of maternal and newborn survival, women's empowerment, and human capital. Given population dynamics, the choices and opportunities adolescents have in terms of access to sexual and reproductive health information and services could significantly affect the burden of diseases and nations’ human capital. Objectives The objectives of this paper are to assess the patterns and trends of modern contraception use among sexually active adolescents by socio-economic characteristics and by birth spacing and parity; to explore predictors of use of modern contraception in relation to the health system; and to discuss implications of the findings for family planning policy and programmes. Design Data are from the last three Demographic and Health Surveys of Ethiopia, Burkina Faso, and Nigeria. The descriptive analysis focused on sexually active adolescents (15- to 19-year age group), used modern contraception as the dependent variable, and a series of contact points with the health system (antenatal care, institutional delivery, postnatal care, immunisation) as covariates. The multivariate analysis used the same covariates, adjusting for socio-economic variables. Results There are two different groups of sexually active adolescents: those married or in a union with very low use of modern contraception and lower socio-economic status, and those unmarried, among whom nearly 50% are using modern contraception. Younger adolescents have lower modern contraceptive prevalence. There are significant inequality issues in modern contraception use by education, residence, and wealth quintile. However, while there was no significant progress in Burkina Faso and Nigeria, the data in Ethiopia point to a significant and systematic reduction of inequalities. The narrowing of the equity gap was most notable for childbearing adolescents with no education or living in rural areas. In the three countries, after adjusting for socio-economic variables, the strongest factors affecting modern contraception use among childbearing adolescents were marriage and child immunisation. Conclusions Addressing child marriage and adopting effective policies and strategies to reach married adolescents are critical for improving empowerment and human capital of adolescent girls. The reduction of the equity gap in coverage in Ethiopia warrants further studies and documentation. The results suggest a missed opportunity for maternal and newborn and family planning integration. PMID:26562143
Hounton, Sennen; Barros, Aluisio J D; Amouzou, Agbessi; Shiferaw, Solomon; Maïga, Abdoulaye; Akinyemi, Akanni; Friedman, Howard; Koroma, Desmond
2015-01-01
The benefits of universal access to voluntary contraception have been widely documented in terms of maternal and newborn survival, women's empowerment, and human capital. Given population dynamics, the choices and opportunities adolescents have in terms of access to sexual and reproductive health information and services could significantly affect the burden of diseases and nations' human capital. The objectives of this paper are to assess the patterns and trends of modern contraception use among sexually active adolescents by socio-economic characteristics and by birth spacing and parity; to explore predictors of use of modern contraception in relation to the health system; and to discuss implications of the findings for family planning policy and programmes. Data are from the last three Demographic and Health Surveys of Ethiopia, Burkina Faso, and Nigeria. The descriptive analysis focused on sexually active adolescents (15- to 19-year age group), used modern contraception as the dependent variable, and a series of contact points with the health system (antenatal care, institutional delivery, postnatal care, immunisation) as covariates. The multivariate analysis used the same covariates, adjusting for socio-economic variables. There are two different groups of sexually active adolescents: those married or in a union with very low use of modern contraception and lower socio-economic status, and those unmarried, among whom nearly 50% are using modern contraception. Younger adolescents have lower modern contraceptive prevalence. There are significant inequality issues in modern contraception use by education, residence, and wealth quintile. However, while there was no significant progress in Burkina Faso and Nigeria, the data in Ethiopia point to a significant and systematic reduction of inequalities. The narrowing of the equity gap was most notable for childbearing adolescents with no education or living in rural areas. In the three countries, after adjusting for socio-economic variables, the strongest factors affecting modern contraception use among childbearing adolescents were marriage and child immunisation. Addressing child marriage and adopting effective policies and strategies to reach married adolescents are critical for improving empowerment and human capital of adolescent girls. The reduction of the equity gap in coverage in Ethiopia warrants further studies and documentation. The results suggest a missed opportunity for maternal and newborn and family planning integration.
Job Changing and the Decline in Long-Distance Migration in the United States.
Molloy, Raven; Smith, Christopher L; Wozniak, Abigail
2017-04-01
Interstate migration in the United States has decreased steadily since the 1980s, but little is known about the causes of this decline. We show that declining migration is related to a concurrent secular decline in job changing. Neither trend is primarily due to observable demographic or socioeconomic factors. Rather, we argue that the decline in job changing has caused the decline in migration. After establishing a role for the labor market in declining migration, we turn to the question of why job changing has become less frequent over the past several decades. We find little support for several explanations, including the rise of dual-career households, the decline in middle-skill jobs, occupational licensing, and the need for employees to retain health insurance. Thus, the reasons for these dual trends remain opaque and should be explored further.
Those ubiquitous fertility trends: United States, 1945-1979.
Sweet, J A; Rindfuss, R R
1983-01-01
1970-79 US fertility trends among differnet racial, regional, age, educational, parity, and socioeconomic subgroups in the population were examined, using own children data from the 1976 Survey of Income and Education (SIE) and the March Current Population Surveys (CPS) from 1968-80. In addition, cross-sectional differences in fertility for the subgroups were compared for 1970 and 1976, using multiple regression analysis. 1st, the appropriateness of using fertility rates obtained from own children data was assessed by comparing fertility rates obtained from the SIE data with those derived from vital statistic and census data. The comparative analysis confirmed that the SIE data yielded an accurate estimate of period fertility rates for currently married women, provided the subgroup samples were sufficiently large. CPS fertility estimates were also judged to be accurate if data from 3 adjacent survey years was pooled to increase sample size. Fertility trends for 5 educational groups were assessed separately for 1967-73. During this periold, there was a marked decline in fertility for all 5 groups; for the group with 5-8 years of education the decline was only 14%, but for the other 4 groups, which included women with 9-16 or more years of education, the decline in fertility ranged from 26-29%. In assessing the 1970-76 trends, the sample was restricted to own children, aged 3 years or less, of currently married women, under 40 years of age. Among whites, there was an overall 20% decline in fertility between 1970-76 and an overall fertility increase of about 2% between 1976-79. These trends were observed in all 28 white subgroups. A similar pattern was observed for blacks. There was an overall fertility decline of 24% between 1970-76, and this decline was apparent for all subgroups except women with college degrees. Betwen 1976-79, black fertility rates, unlike white rates, continued to decline, but the rate of decline was only 3%. Furthermore, the decline in almost all the black subgroups was markedly less than in the 1970-76 periold, and for many of the subgroups the trend was reversed and fertility increased. In summary, the fertility trends noted for 1970-79 were pervasive for almost all the subgroups for both blacks and whites; i.e., there was a marked decline in fertility between 1970-76 and than a reversal or slowing down of the decline during the 1976-79 for all black and white subgroups. Cross-sectional fertility differences in the subgroups in 1970 and in 1979 were quite similar, and fertility rates differed markedly for the separate subgroups. These differences do not, of course, explain the pervasive trends observed in the analysis of the fertility rates over time. A similar study assessing fertility trends among subgroups for the early 1940's through the late 1960s also revealed the pervasive nature of period fertility trends. Demographers have not as yet been able to explain these shifts in fertility that cut across all subgroups in the US and which also characterize the period fertility rates in other developed countries. Tables provided information on 1) total fertility rates by educational level and by geographical region for 1945-1975; 2) % change in number of own children less than 3 years of age among women under age 40 by maternal age, maternal education, initial parity, geographical region, and husband's income; and 3) mean number of own children less than 3 years of age among women under age 40 by maternal age, education, parity, region, and husband's income.
Garenne, Michel; Gakusi, Enéas
2006-01-01
OBJECTIVE: To reconstruct and analyse mortality trends in children younger than 5 years in sub-Saharan Africa between 1950 and 2000. METHODS: We selected 66 Demographic and Health Surveys and World Fertility Surveys from 32 African countries for analysis. Death rates were calculated by yearly periods for each survey. When several surveys were available for the same country, overlapping years were combined. Country-specific time series were analysed to identify periods of monotonic trends, whether declining, steady or increasing. We tested changes in trends using a linear logistic model. FINDINGS: A quarter of the countries studied had monotonic declining mortality trends: i.e. a smooth health transition. Another quarter had long-term declines with some minor rises over short periods of time. Eight countries had periods of major increases in mortality due to political or economic crises, and in seven countries mortality stopped declining for several years. In eight other countries mortality has risen in recent years as a result of paediatric AIDS. Reconstructed levels and trends were compared with other estimates made by international organizations, usually based on indirect methods. CONCLUSION: Overall, major progress in child survival was achieved in sub-Saharan Africa during the second half of the twentieth century. However, transition has occurred more slowly than expected, with an average decline of 1.8% per year. Additionally, transition was chaotic in many countries. The main causes of mortality increase were political instability, serious economic downturns, and emerging diseases. PMID:16799731
Ruducha, Jenny; Mann, Carlyn; Singh, Neha S; Gemebo, Tsegaye D; Tessema, Negussie S; Baschieri, Angela; Friberg, Ingrid; Zerfu, Taddese A; Yassin, Mohammed; Franca, Giovanny A; Berman, Peter
2017-11-01
3 years before the 2015 deadline, Ethiopia achieved Millennium Development Goal 4. The under-5 mortality decreased 69%, from 205 deaths per 1000 livebirths in 1990 to 64 deaths per 1000 livebirths in 2013. To understand the underlying factors that contributed to the success in achieving MDG4, Ethiopia was selected as a Countdown to 2015 case study. We used a set of complementary methods to analyse progress in child health in Ethiopia between 1990 and 2014. We used Demographic Health Surveys to analyse trends in coverage and equity of key reproductive, maternal health, and child health indicators. Standardised tools developed by the Countdown Health Systems and Policies working group were used to understand the timing and content of health and non-health policies. We assessed longitudinal trends in health-system investment through a financial analysis of National Health Accounts, and we used the Lives Saved Tool (LiST) to assess the contribution of interventions towards reducing under-5 mortality. The annual rate of reduction in under-5 mortality increased from 3·3% in 1990-2005 to 7·8% in 2005-13. The prevalence of stunting decreased from 60% in 2000 to 40% in 2014. Overall levels of coverage of reproductive, maternal health, and child health indicators remained low, with disparities between the lowest and highest wealth quintiles despite improvement in coverage for essential health interventions. Coverage of child immunisation increased the most (21% of children in 2000 vs 80% of children in 2014), followed by coverage of satisfied demand for family planning by women of reproductive age (19% vs 63%). Provision of antenatal care increased from 10% of women in 2000 to 32% of women in 2014, but only 15% of women delivered with a skilled birth attendant by 2014. A large upturn occurred after 2005, bolstered by a rapid increase in health funding that facilitated the accelerated expansion of health infrastructure and workforce through an innovative community-based delivery system. The LiST model could explain almost 50% of the observed reduction in child mortality between 2000 and 2011; and changes in nutritional status were responsible for about 50% of the 469 000 lives saved between 2000 and 2011. These developments occurred within a multisectoral policy platform, integrating child survival and stunting goals within macro-level policies and programmes for reducing poverty and improving agricultural productivity, food security, water supply, and sanitation. The reduction of under-5 mortality in Ethiopia was the result of combined activities in health, nutrition, and non-health sectors. However, Ethiopia still has high neonatal and maternal morbidity and mortality from preventable causes and an unfinished agenda in reducing inequalities, improving coverage of effective interventions, and strengthening multisectoral partnerships for further progress. Bill & Melinda Gates Foundation and Government of Canada. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.
Getachew, Yehenew; Gotu, Butte; Enquselassie, Fikre
2010-10-01
Since early 1980s when AIDS was first recognized, there has been uncertainty about the future trend and the ultimate dimensions of the pandemic. This uncertainty persists because of difficulties in measuring HIV incidence and prevalence with a substantial degree of precision in a given population. One of the many factors for the lack of precision is the problem of obtaining representative data sources that can be extrapolated to the general population. National and regional HIV estimates for Ethiopia are derived from ANC based HIV surveillance data. Alternative data sources have not been exhaustively explored as potential tools to monitor the trend of HIV/ AIDS epidemic in the country. To estimate the magnitude and trend of HIV/AIDS epidemic using data from the routine VCT services as an alternative data source to ANC sentinel surveillance data. The study used secondary data sources from all government, private and NGO VCT centers, of the period of 2003-2005 in Addis Ababa. For the purpose of making comparative analysis of the VCT based estimations and projections, records of all five sentinel sites in Addis Ababa for the period 1983-2003 were reviewed. Both ANC and VCT data sources showed similar and regular trends from the beginning of the HIV epidemic till the year 1995 where the ANC showed a relatively higher prevalence rates than VCT data, with a maximum difference in HIV prevalence of 1.06% in 1993. However, a higher HIV prevalence was noted for the VCT than the ANC data source for the period of 1996-2002, with a maximum difference of 1.4% in 1998, the year when both the ANC and VCT modeled HIV prevalence reached the highest peak in Addis Ababa. On the contrary, the ANC based prevalence was higher than the VCT data for the period 2004-2010, with a maximum difference of 2.2%. This study suggests that VCT based HIV prevalence data closely approximates the ANC based data. Therefore VCT data source can be valuable to complement the ANC data in monitoring the HIV epidemic and trend.
Water-Quality Trends in the Neuse River Basin, North Carolina, 1974-2003
NASA Astrophysics Data System (ADS)
Harned, D. A.
2003-12-01
Data from two U.S. Geological Survey (USGS) sites in the Neuse River basin were reviewed for trends in major ions, sediment, nutrients, and pesticides during the period 1974-2003. In 1997, the North Carolina Division of Water Quality implemented management rules to reduce nitrogen loading to the Neuse River by 30 percent by 2003. Therefore, the 1997-2003 period was reviewed for trends associated with the management changes. The Neuse River at Kinston basin (2,695 square miles) includes much of Raleigh, N.C., with 8-percent urban and 30-percent agricultural land use (1992 data). The Contentnea Creek basin (734 square miles), a Neuse River tributary, is 42-percent agricultural and 3-percent urban. Agricultural land uses in the Contentnea Creek basin have changed over the last decade from predominantly corn, soybean, and tobacco row crops to corn, soybeans, and cotton, with reduced tobacco acreages, and development of the hog industry. Data for this analysis were collected by the USGS for the National Stream Quality Accounting Network and National Water-Quality Assessment Program. Data were examined for trends using the Seasonal Kendall trend test or Tobit regression. The Seasonal Kendall test, which accounts for seasonal variability and adjusts for effects of streamflow on concentration with residuals from LOWESS (LOcally Weighted Sum of Squares) curves, was used to analyze trends in major ions, nutrients, and sediment. The Tobit test, appropriate for examining values with reporting limits, was used for the pesticide analysis. Monotonic trends are considered significant at the alpha < 0.05 probability level. Long-term (1974-2003) decreasing trends in the Neuse River at Kinston were detected for dissolved oxygen, silica, and sediment concentrations; increasing trends were detected for potassium, alkalinity, and chloride. Decreasing trends in Contentnea Creek were detected for silica, sulfate, and sediment concentrations during 1979-2003; increasing trends were detected for pH, hardness, and alkalinity. A pattern of increase until 1990 followed by little change or decline was observed for specific conductance, dissolved solids, hardness, and sulfate in the Neuse River and for potassium in Contentnea Creek. No significant recent (1997-2003) trends were detected for dissolved oxygen, pH, specific conductance, hardness, dissolved solids, or major ions. The Neuse River data indicated a recent declining trend in sediment concentration. Nitrogen concentrations in the form of ammonia, total ammonia and organic nitrogen, and nitrite plus nitrate have declined in both the Neuse River and Contentnea Creek. Total nitrogen concentrations increased in the Neuse River until about 1990 and then declined, primarily because of declines in nitrate. Recent declines are evident in nitrite plus nitrate in the Neuse River and in ammonia concentrations in Contentnea Creek. The data also show a reduction in variation of extreme values after 1990 in Contentnea Creek. Both observations suggest that the 1997 Neuse River management rules have had a detectable effect on nitrogen concentrations. Concentrations of dissolved and total phosphorus and orthophosphate reduced in a step trend in 1988 at both locations. This reflects the 1988 phosphate detergent ban in North Carolina. Orthophosphate concentrations have continued a recent decline in Contentnea Creek. Contentnea Creek has sufficient period of record (1994-2003) of concentrations of atrazine, deethyl atrazine, alachlor, carbaryl, diazinon, and prometon to test for trends. Both alachlor and prometon concentrations showed significant declines. Recent changes in agricultural practices coupled with a 5-year drought probably have affected pesticide use and transport to surface waters.
NASA Astrophysics Data System (ADS)
Li, Dawei; Zhang, Rong; Knutson, Thomas R.
2017-04-01
This study aims to understand the relative roles of external forcing versus internal climate variability in causing the observed Barents Sea winter sea ice extent (SIE) decline since 1979. We identify major discrepancies in the spatial patterns of winter Northern Hemisphere sea ice concentration trends over the satellite period between observations and CMIP5 multi-model mean externally forced response. The CMIP5 externally forced decline in Barents Sea winter SIE is much weaker than that observed. Across CMIP5 ensemble members, March Barents Sea SIE trends have little correlation with global mean surface air temperature trends, but are strongly anti-correlated with trends in Atlantic heat transport across the Barents Sea Opening (BSO). Further comparison with control simulations from coupled climate models suggests that enhanced Atlantic heat transport across the BSO associated with regional internal variability may have played a leading role in the observed decline in winter Barents Sea SIE since 1979.
ERIC Educational Resources Information Center
Streuli, Natalia; Vennam, Uma; Woodhead, Martin
2011-01-01
This working paper is part of the Studies in Early Transitions series emerging from "Young Lives", a 15-year longitudinal study of childhood poverty in Ethiopia, India, Peru and Vietnam. It explores recent trends for children growing up in Andhra Pradesh, one of India's most populous states, based on Young Lives survey data collected for…
Zhaofei Fan; Xiuli Fan; Michael K. Crosby; W. Keith Moser; Hong He; Martin A. Spetich; Stephen R. Shifley
2012-01-01
At the forest landscape/region level, based on annual Forest Inventory and Analysis plot data from 1999 to 2010, oak decline and mortality trends for major oak species (groups) were examined in the Ozark Highlands of Arkansas and Missouri. Oak decline has elevated cumulative mortality of red oak species to between 11 and 15 percent in terms of relative density and...
Political Trends Affecting Nonmetropolitan America.
ERIC Educational Resources Information Center
Nachtigal, Paul M.
There are two stories about political trends affecting nonmetropolitan America. The old story, which is the story of declining rural population and declining rural influence on public policy formation, has its roots in early deliberations about governance in this country. Jefferson's republicanism focused on direct citizen involvement in decision…
Bandi, Priti; Silver, Diana; Mijanovich, Tod; Macinko, James
2015-12-01
In the past 40 years, a variety of factors might have impacted motor vehicle (MV) fatality trends in the US, including public health policies, engineering innovations, trauma care improvements, etc. These factors varied in their timing across states/localities, and many were targeted at particular population subgroups. In order to identify and quantify differential rates of change over time and differences in trend patterns between population subgroups, this study employed a novel analytic method to assess temporal trends in MV fatalities between 1968 and 2010, by age group and sex. Cause-specific MV fatality data from traffic injuries between 1968 and 2010, based on death certificates filed in the 50 states, and DC were obtained from Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER). Long-term (1968 to 2010) and short-term (log-linear piecewise segments) trends in fatality rates were compared for males and females overall and in four separate age groups using joinpoint regression. MV fatalities declined on average by 2.4% per year in males and 2.2% per year in females between 1968 and 2010, with significant declines observed in all age groups and in both sexes. In males overall and those 25 to 64 years, sharp declines between 1968 and mid-to-late 1990s were followed by a stalling until the mid-2000s, but rates in females experienced a long-term steady decline of a lesser magnitude than males during this time. Trends in those aged <1 to 14 years and 15 to 24 years were mostly steady over time, but males had a larger decline than females in the latter age group between 1968 and the mid-2000s. In ages 65+, short-term trends were similar between sexes. Despite significant long-term declines in MV fatalities, the application of Joinpoint Regression found that progress in young adult and middle-aged adult males stalled in recent decades and rates in males declined relatively more than in females in certain age groups. Future research is needed to establish the causes of these observed trends, including the potential role of contemporaneous MV-related policies and their repeal. Such research is needed in order to better inform the design and evaluation of future population interventions addressing MV fatalities nationally.
Data on spatiotemporal urban sprawl of Dire Dawa City, Eastern Ethiopia.
Taffa, Chaltu; Mekonen, Teferi; Mulugeta, Messay; Tesfaye, Bechaye
2017-06-01
The data presented in this paper shows the spatiotemporal expansion of Dire Dawa City (eastern Ethiopia) and the ensuing land use land cover changes in its peri-urban areas between 1985 and 2015. The data were generated from satellite images of Thematic Mapper (TM), Enhanced Thematic Mapper-Plus (ETM+) and OLI (Operational Land Image) with path/raw value of 166/053 by using Arc GIS 10.1 software. The precision of the images was verified by geolocation data collected from ground control points by using Geographic Positioning System (GPS) receiver. Four LULC classes (built up area, vegetation, barren land and farmland) with their respective spatiotemporal dimensions were clearly identified in the analysis. Built up area had shown an overall annual increment of 15.8% (82 ha per year) from 517 ha in 1985 to 2976 ha in 2015. Expansion took place in all directions but it was more pronounced along the main road towards other nearby towns, recently established business/service areas and the Industrial Park. Barren land, farmland and vegetation areas showed speedy decline over the years.
Influence of changing travel patterns on child death rates from injury: trend analysis.
DiGuiseppi, C.; Roberts, I.; Li, L.
1997-01-01
OBJECTIVES: To examine trends in child mortality from unintentional injury between 1985 and 1992 and to find how changes in modes of travel contributed to these trends. DESIGN: Poisson regression modelling using data from death certificates, censuses, and national travel surveys. SETTING: England and Wales. SUBJECTS: Resident children aged 0-14. MAIN OUTCOME MEASURES: Deaths from unintentional injury and poisoning. RESULTS: Child deaths from injury declined by 34% (95% confidence interval 28% to 40%) per 100,000 population between 1985 and 1992. Substantial decreases in each of the leading causes of death from injury contributed to this overall decline. On average, children walked and cycled less distance and travelled substantially more miles by car in 1992 compared with 1985. Deaths from road traffic accidents declined for pedestrians by 24% per mile walked and for cyclists by 20% per mile cycled, substantially less than the declines per 100,000 population of 37% and 38% respectively. In contrast, deaths of occupants of motor vehicles declined by 42% per mile travelled by car compared with a 21% decline per 100,000 population. CONCLUSIONS: If trends in child mortality from injury continue the government's target to reduce the rate by 33% by the year 2005 will be achieved. A substantial proportion of the decline in pedestrian traffic and pedal cycling deaths, however, seems to have been achieved at the expense of children's walking and cycling activities. Changes in travel patterns may exact a considerable price in terms of future health problems. PMID:9116546
Gebretekle, Gebremedhin Beedemariam; Serbessa, Mirgissa Kaba
2016-01-01
Over the counter sale of antibiotics is a global problem and it is increasingly recognized as a source of antibiotic misuse and is believed to increase treatment costs, adverse effects of treatment and emergence of resistance. The increasing trend of over the counter sale of antibiotics in Ethiopia calls for exploration of why such dispensing is practiced. This study aims to explore reasons for over the counter sale of antibiotics in the community pharmacies of Addis Ababa, Ethiopia. A phenomenological qualitative study was conducted in five randomly selected community pharmacies of Addis Ababa. One pharmacy professional from each pharmacy were interviewed at the spot using semi-structured, open-ended interview checklist. Besides, observation of professionals' dispensing practice was made for at least one hour in the same community pharmacies using an observation checklist. Findings were categorized into specific themes that were developed following the objectives. This was facilitated by use of OpenCode 3.6 software. All participants pointed out that antibiotics were frequently dispensed without prescription and contend that the trend of such dispensing has been increasing. The findings indicated that the nonprescription sales of antibiotics were common for Amoxicillin, Ciprofloxacin and Cotrimoxazole. The poor, less educated and younger groups of the population were reported to frequently request antibiotics without prescription. The main reasons for nonprescription sale of antibiotics by pharmacy professionals were found to be related to pharmacy owner's influence to maximize revenue, customer's pressure, weak regulatory mechanism and professional conflicts of interest. The study shows that nonprescription sale of antibiotics was common practice at least in Addis Ababa. The main reasons for this malpractice were the need to maximize revenue and weak regulatory mechanism. Hence, strong regulatory enforcement and community awareness campaign is called for to limit nonprescription sale of antibiotics.
NASA Astrophysics Data System (ADS)
Le Brocque, Andrew F.; Kath, Jarrod; Reardon-Smith, Kathryn
2018-06-01
Chronic groundwater decline is a concern in many of the world's major agricultural areas. However, a general lack of accurate long-term in situ measurement of groundwater depth and analysis of trends prevents understanding of the dynamics of these systems at landscape scales. This is particularly worrying in the context of future climate uncertainties. This study examines long-term groundwater responses to climate variability in a major agricultural production landscape in southern Queensland, Australia. Based on records for 381 groundwater bores, we used a modified Mann-Kendall non-parametric test and Sen's slope estimator to determine groundwater trends across a 26-year period (1989-2015) and in distinct wet and dry climatic phases. Comparison of trends between climatic phases showed groundwater level recovery during wet phases was insufficient to offset the decline in groundwater level from the previous dry phase. Across the entire 26-year sampling period, groundwater bore levels (all bores) showed an overall significant declining trend (p < 0.05) of an average 0.06 m year-1. Fifty-one bores (20%) exhibited significant declining groundwater levels (p < 0.05), 25 bores (10%) exhibited significant rising groundwater levels (p < 0.05), and 175 bores (70%) exhibited no significant change in groundwater levels (p > 0.05). Spatially, both declining and rising bores were highly clustered. We conclude that over 1989-2015 there is a significant net decline in groundwater levels driven by a smaller subset of highly responsive bores in high irrigation areas within the catchment. Despite a number of targeted policy interventions, chronic groundwater decline remains evident in the catchment. We argue that this is likely to continue and to occur more widely under potential climate change and that policy makers, groundwater users and managers need to engage in planning to ensure the sustainability of this vital resource.
Aurino, Elisabetta; Fernandes, Meena; Penny, Mary E
2017-01-01
To investigate changes in dietary diversity and dietary composition among adolescents in four developing countries. We analysed dietary diversity and consumption of seven food groups and foods with added sugars as reported by adolescents from two cohorts growing up 8 years apart, when they were aged about 12 years. Ethiopia, India (Andhra Pradesh), Peru and Vietnam in 2006 and 2013. Adolescents (n 3659) from the older cohort (OC) born in 1995/96 and adolescents (n 7422) from the younger cohort (YC) born in 2001/02 (N 11 081). Controlling for other factors, dietary diversity increased in Peru (OC=4·89, YC=5·34, P<0·001) and Ethiopia (OC=3·52, YC=3·94, P=0·001). Dietary diversity was stable in India (OC=4·28, YC=4·29, P=0·982) and Vietnam (OC=4·71, YC=4·73, P=0·814); however, changes in dietary composition were observed. YC adolescents were more likely to consume eggs (India: +32 %, P=0·038; Vietnam: +50 %, P<0·001) and milk and dairy (India: +12 %, P=0·029; Vietnam: +46 %, P<0·001). Other notable shifts included meat consumption in Peru (+72 %, P<0·001) and consumption of fruit and vegetables in Ethiopia (+36 %, P<0·001). Compared with OC, the prevalence of added sugar consumption was greater among the YC in Ethiopia (+35 %, P=0·001) and Vietnam (+44 % P<0·001). Between 2006 and 2013, disparities in dietary diversity associated with household wealth and place of residence declined, although this varied by country. No marked gender disparities in dietary diversity were evident. We found significant changes over time in dietary diversity among adolescents in four countries consistent with the hypothesis of the nutrition transition.
What's on the Horizon? Trends Impacting Higher Education.
ERIC Educational Resources Information Center
Corey, Del; And Others
Major national trends and their effects on the future of education are examined. Demographic events that affected schools include the postwar baby boom and the migration from the Northeast to the sunbelt region. Factors affecting the college curriculum include: (1) enrollment projections, (2) decline in literacy, (3) decline in mathematics and…
Sectoral Trends in World Employment and the Shift toward Services.
ERIC Educational Resources Information Center
Wieczorek, Jaroslaw
1995-01-01
Review of statistical data confirms worldwide trends: growth in services, decline in agriculture, and, in manufacturing, decline in industrialized economies but growth in developing ones. Although services are characterized by low productivity growth, certain types (such as research and development) exert positive influence on economic growth. (SK)
What Could Be Causing Global Ozone Depletion
NASA Technical Reports Server (NTRS)
Singer, S. Fred
1990-01-01
The reported decline trend in global ozone between 1970 and 1986 may be in part an artifact of the analysis; the trend value appears to depend on the time interval selected for analysis--in relation to the 11-year solar cycle. If so, then the decline should diminish as one approaches solar maximum and includes data from 1987 to 1990. If the decline is real, its cause could be the result of natural and human factors other than just chlorofluorocarbons.
Permian and Triassic microfloral assemblages from the Blue Nile Basin, central Ethiopia
NASA Astrophysics Data System (ADS)
Dawit, Enkurie L.
2014-11-01
Palynological investigation was carried out on surface samples from up to 400 m thick continental siliciclastic sediments, here referred to as “Fincha Sandstone”, in the Blue Nile Basin, central Ethiopia. One hundred sixty species were identified from 15 productive samples collected along a continuous road-cut exposure. Six informal palynological assemblage zones have been identified. These assemblage zones, in ascending order, are: “Central Ethiopian Permian Assemblage Zone - CEPAZ I”, earliest Permian (Asselian-Sakmarian); “CEPAZ II”, late Early Permian (Artinskian-Kungurian); CEPAZ III - Late Permian (Kazanian-Tatarian); “CETAZ IV”, Lower Triassic (Olenekian Induan); “CETAZ V”, Middle Triassic (Anisian Ladinian); “CETAZ VI”, Late Triassic (Carnian Norian). Tentative age ranges proposed herein are compared with faunally calibrated palynological zones in Gondwana. The overall composition and vertical distribution of miospores throughout the studied section reveals a wide variation both qualitatively and quantitatively. The high frequency of monosaccate pollen in CEPAZ I may reflect a Glossopterid-dominated upland flora in the earliest Permian. The succeeding zone is dominated by straite/taeniate disaccate pollen and polyplicates, suggesting a notable increase in diversity of glossopterids. The decline in the diversity of taeniate disaccate pollen and the concomitant rise in abundance of non-taeniate disaccates in CEPAZ III may suggest the decline in Glossopteris diversity, though no additional evidence is available to equate this change with End-Permian extinction. More diverse and dominant non-taeniate, disaccate, seed fern pollen assignable to FalcisporitesAlisporites in CETAZ IV may represent an earliest Triassic recovery flora. The introduction of new disaccate forms with thick, rigid sacci, such as Staurosaccites and Cuneatisporites, in CETAZ V and VI may indicate the emergence of new gymnospermous plants that might have favourably adapted to coastal plain wetland environments with the return of humid conditions in the Middle to early Late Triassic. The present data constitute the first paleontologically substantiated record for the existence of Permian strata in the Blue Nile Basin. The new results allow for the first time a reliable biostratigraphic subdivision of the central Ethiopia Karoo and its correlation with coeval strata of adjacent regions in Gondwana. From a phytogeographic point of view, the overall microfloral evidence is in support of the position of central Ethiopia occupying the northern part of the southern Gondwana palynofloral province. In view of palaeoecological and paleoclimatic conditions, the microfloral change from the base to the top of the studied section may indicate a response to shifting climatic belts from warm- and cool-temparate climate in the earliest Permian to progressively drier seasonal conditions at successively higher palaeolatitudes during the Late Permian to Middle Triassic.
Contaminant trends in lake trout and walleye from the Laurentian Great Lakes
DeVault, David S.; Hesselberg, Robert J.; Rodgers, Paul W.; Feist, Timothy J.
1996-01-01
Trends in PCBs, DDT, and other contaminants have been monitored in Great Lakes lake trout and walleye since the 1970s using composite samples of whole fish. Dramatic declines have been observed in concentrations of PCB, ΣDDT, dieldrin, and oxychlordane, with declines initially following first order loss kinetics. Mean PCB concentrations in Lake Michigan lake trout increased from 13 μg/g in 1972 to 23 μg/g in 1974, then declined to 2.6 μg/g by 1986. Between 1986 and 1992 there was little change in concentration, with 3.5 μg/g observed in 1992. ΣDDT in Lake Michigan trout followed a similar trend, decreasing from 19.2 μg/g in 1970 to 1.1 μg/g in 1986, and 1.2 μg/g in 1992. Similar trends were observed for PCBs and ΣDDT in lake trout from Lakes Superior, Huron and Ontario. Concentrations of both PCB and ΣDDT in Lake Erie walleye declined between 1977 and 1982, after which concentrations were relatively constant through 1990. When originally implemented it was assumed that trends in the mean contaminant concentrations in open-lake fish would serve as cost effective surrogates to trends in the water column. While water column data are still extremely limited it appears that for PCBs in lakes Michigan and Superior, trends in lake trout do reasonably mimic those in the water column over the long term. Hypotheses to explain the trends in contaminant concentrations are briefly reviewed. The original first order loss kinetics used to describe the initial decline do not explain the more recent leveling off of contaminant concentrations. Recent theories have examined the possibilities of multiple contaminant pools. We suggest another hypothesis, that changes in the food web may have resulted in increased bioaccumulation. However, a preliminary exploration of this hypothesis using a change point analysis was inconclusive.
Graves, Emily E; Holyoak, Marcel; Rodd Kelsey, T; Meese, Robert J
2013-01-01
Population trends represent a minimum amount of information required to assess the conservation status of a species. However, understanding and detecting trends can be complicated by variation among habitats and regions, and by dispersal connecting habitats through source-sink dynamics. We analyzed trends in breeding populations between habitats and regions to better understand the overall dynamics of a species' decline. Specifically, we analyzed historical trends in breeding populations of tricolored blackbirds (Agelaius tricolor) using breeding records from 1907 to 2009. The species breeds itinerantly and ephemerally uses multiple habitat types and breeding areas, which make interpretation of trends complex. We found overall abundance declines of 63% between 1935 and 1975. Since 1980 overall declines became nonsignificant and obscure despite large amounts of data from 1980 to 2009. Temporal trends differed between breeding habitat types and were associated with regional differences in population declines. A new habitat, triticale crops (a wheat-rye hybrid grain) produced colonies 40× larger, on average, than other breeding habitats, and contributed to a change in regional distribution since it primarily occurred in a single region. The mechanism for such an effect is not clear, but could represent the local availability of foodstuffs in the landscape rather than something specific to triticale crops. While variation in trends among habitats clearly occurred, they could not easily be ascribed to source-sink dynamics, ecological traps, habitat selection or other detailed ecological mechanisms. Nonetheless, such exchanges provide valuable information to guide management of dynamic systems. PMID:24101977
Volcanic outcrops of southeast Ethiopia and the Ogaden Dyke Swarm
NASA Astrophysics Data System (ADS)
Mège, Daniel; Purcell, Peter; Jourdan, Fred; Pochat, Stéphane
2013-04-01
A new map of Tertiary volcanics occurrences in the Ogaden region of southeast Ethiopia and adjacent areas of Somalia has been prepared. Outcrop areas, mapped using satellite images and helicopter--supported field work in 2008, are more widespread than previously recognized, while magnetic and drill data reveal the vast subsurface extent of the magmatism. Several spectacular 'meandering' outcrops, over 100 km long, are undoubtedly exhumed canyon--filling flows and magnetic data show that many other apparently isolated outcrops are actually part of similar flows, the bulk of which are now subsurface. Age dating and well intersections show several volcanic episodes, with the major outpouring occurring across a broad peneplain in the Oligocene. Geological and aeromagnetic mapping, and 40Ar/39Ar age dating, reveal a dyke swarm extending SSE from the southern Afar margin more than 600 km across the Somali Plate, and coeval with dyke injection in the Red Sea rift at ~25 Ma. The Ogaden Dyke Swarm, which occurs in an area historically considered remote from the impact of the Afro--Arabian rifting and volcanism, appears associated with the Marda Fault and marks a zone of crustal dilation along the Red Sea trend across the Horn of Africa. Contemporaneous rifts, also trending WNW/ESE and over 120 km long, occur in NE Somalia, confirming the predominantly NE/SW--directed crustal stress regime in the Ogaden and adjacent region at this time.
Potential Impact of Climate Change on Streamflow of Major Ethiopian Rivers
NASA Astrophysics Data System (ADS)
Gizaw, M. S.; Zhang, S.; Biftu, G. F.; Gan, T. Y.; Tan, X.; Moges, S. A.; Koivusalo, H.
2017-12-01
In this study, HSPF (Hydrologic Simulation Program-FORTRAN) was used to analyze the potential impact of climate change on the streamflow of four major river basins in Ethiopia: Awash, Baro, Genale and Tekeze. The calibrated and validated HSPF model was forced with daily climate data of 10 CMIP5 (Coupled Model Intercomparison Project phase 5) Global Climate Models (GCMs) for the 1971-2000 control period and the RCP4.5 and RCP8.5 climate projections of 2041-2070 (2050s) and 2071-2100 (2080s). The ensemble median of these 10 GCMs projects the temperature in the four study areas to increase by about 2.3 ˚C (3.3 ˚C) in 2050s (2080s) whereas the mean annual precipitation is projected to increase by about 6% (9%) in 2050s (2080s). This results in about 3% (6%) increase in the projected annual streamflow in Awash, Baro and Tekeze rivers whereas the annual streamflow of Genale river is projected to increase by about 18% (33%) in the 2050s (2080s). However, such projected increase in the mean annual streamflow due to increasing precipitation over Ethiopia contradicts the decreasing trends in mean annual precipitation observed in recent decades. Regional climate models of high resolutions could provide more realistic climate projections for Ethiopia's complex topography, thus reducing the uncertainties in future streamflow projections.
Difficulties in tracking the long-term global trend in tropical forest area.
Grainger, Alan
2008-01-15
The long-term trend in tropical forest area receives less scrutiny than the tropical deforestation rate. We show that constructing a reliable trend is difficult and evidence for decline is unclear, within the limits of errors involved in making global estimates. A time series for all tropical forest area, using data from Forest Resources Assessments (FRAs) of the United Nations Food and Agriculture Organization, is dominated by three successively corrected declining trends. Inconsistencies between these trends raise questions about their reliability, especially because differences seem to result as much from errors as from changes in statistical design and use of new data. A second time series for tropical moist forest area shows no apparent decline. The latter may be masked by the errors involved, but a "forest return" effect may also be operating, in which forest regeneration in some areas offsets deforestation (but not biodiversity loss) elsewhere. A better monitoring program is needed to give a more reliable trend. Scientists who use FRA data should check how the accuracy of their findings depends on errors in the data.
Gebrehiwot, Tesfay Gebregzabher; San Sebastian, Miguel; Edin, Kerstin; Goicolea, Isabel
2015-01-01
Background In 2003, the Ethiopian Ministry of Health established the Health Extension Program (HEP), with the goal of improving access to health care and health promotion activities in rural areas of the country. This paper aims to assess the association of the HEP with improved utilization of maternal health services in Northern Ethiopia using institution-based retrospective data. Methods Average quarterly total attendances for antenatal care (ANC), delivery care (DC) and post-natal care (PNC) at health posts and health care centres were studied from 2002 to 2012. Regression analysis was applied to two models to assess whether trends were statistically significant. One model was used to estimate the level and trend changes associated with the immediate period of intervention, while changes related to the post-intervention period were estimated by the other. Results The total number of consultations for ANC, DC and PNC increased constantly, particularly after the late-intervention period. Increases were higher for ANC and PNC at health post level and for DC at health centres. A positive statistically significant upward trend was found for DC and PNC in all facilities (p<0.01). The positive trend was also present in ANC at health centres (p = 0.04), but not at health posts. Conclusion Our findings revealed an increase in the use of antenatal, delivery and post-natal care after the introduction of the HEP. We are aware that other factors, that we could not control for, might be explaining that increase. The figures for DC and PNC are however low and more needs to be done in order to increase the access to the health care system as well as the demand for these services by the population. Strengthening of the health information system in the region needs also to be prioritized. PMID:26218074
Gebrehiwot, Tesfay Gebregzabher; San Sebastian, Miguel; Edin, Kerstin; Goicolea, Isabel
2015-01-01
In 2003, the Ethiopian Ministry of Health established the Health Extension Program (HEP), with the goal of improving access to health care and health promotion activities in rural areas of the country. This paper aims to assess the association of the HEP with improved utilization of maternal health services in Northern Ethiopia using institution-based retrospective data. Average quarterly total attendances for antenatal care (ANC), delivery care (DC) and post-natal care (PNC) at health posts and health care centres were studied from 2002 to 2012. Regression analysis was applied to two models to assess whether trends were statistically significant. One model was used to estimate the level and trend changes associated with the immediate period of intervention, while changes related to the post-intervention period were estimated by the other. The total number of consultations for ANC, DC and PNC increased constantly, particularly after the late-intervention period. Increases were higher for ANC and PNC at health post level and for DC at health centres. A positive statistically significant upward trend was found for DC and PNC in all facilities (p<0.01). The positive trend was also present in ANC at health centres (p = 0.04), but not at health posts. Our findings revealed an increase in the use of antenatal, delivery and post-natal care after the introduction of the HEP. We are aware that other factors, that we could not control for, might be explaining that increase. The figures for DC and PNC are however low and more needs to be done in order to increase the access to the health care system as well as the demand for these services by the population. Strengthening of the health information system in the region needs also to be prioritized.
Where Have All the Soils Students Gone?
ERIC Educational Resources Information Center
Collins, Mary E.
2008-01-01
Where have all the soils students gone? Several articles have been published recently discussing the decline in undergraduate student enrollment in soil science. Those who work directly with these students have known that this trend has existed for many years. At first we thought this trend was temporary. Now we realize that this declining trend…
Tendances de la societe francaise (Trends in French Society).
ERIC Educational Resources Information Center
Kimmel, Alain
1992-01-01
Recent trends in French society are outlined, focusing on the decline of major institutions (the state, political parties, unions, education, and church), the decline of civic consciousness, the cult of money and competition, the cult of the media, evolution of social classes, and changes in the role of the family. (MSE)
Deribew, Amare; Birhanu, Zewdie; Sena, Lelisa; Dejene, Tariku; Reda, Ayalu A; Sudhakar, Morankar; Alemseged, Fessehaye; Tessema, Fasil; Zeynudin, Ahmed; Biadgilign, Sibhatu; Deribe, Kebede
2012-01-06
Long-lasting insecticide-treated bed nets (LLITN) have demonstrated a significant effect in reducing malaria-related morbidity and mortality. However, barriers on the utilization of LLITN have hampered the desired outcomes. The aim of this study was to assess the effect of community empowerment on the burden of malaria and anaemia in under-five children in Ethiopia. A cluster randomized trial was done in 22 (11 intervention and 11 control) villages in south-west Ethiopia. The intervention consisted of tailored training of household heads about the proper use of LLITN and community network system. The burden of malaria and anaemia in under-five children was determined through mass blood investigation at baseline, six and 12 months of the project period. Cases of malaria and anaemia were treated based on the national protocol. The burden of malaria and anaemia between the intervention and control villages was compared using the complex logistic regression model by taking into account the clustering effect. Eight Focus group discussions were conducted to complement the quantitative findings. A total of 2,105 household heads received the intervention and the prevalence of malaria and anaemia was assessed among 2410, 2037 and 2612 under-five children at baseline, six and 12 months of the project period respectively. During the high transmission/epidemic season, children in the intervention arm were less likely to have malaria as compared to children in the control arm (OR = 0.42; 95%CI: 0.32, 0.57). Symptomatic malaria also steadily declined in the intervention villages compared to the control villages in the follow up periods. Children in the intervention arm were less likely to be anaemic compared to those in the control arm both at the high (OR = 0.84; 95%CI: 0.71, 0.99)) and low (OR = 0.73; 95%CI: 0.60, 0.89) transmission seasons. Training of household heads on the utilization of LLITN significantly reduces the burden of malaria in under-five children. The Ministry of Health of Ethiopia in collaboration with other partners should design similar strategies in high-risk areas to control malaria in Ethiopia. Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12610000035022.
Computing and Representing Sea Ice Trends: Toward a Community Consensus
NASA Technical Reports Server (NTRS)
Wohlleben, T.; Tivy, A.; Stroeve, J.; Meier, Walter N.; Fetterer, F.; Wang, J.; Assel, R.
2013-01-01
Estimates of the recent decline in Arctic Ocean summer sea ice extent can vary due to differences in sea ice data sources, in the number of years used to compute the trend, and in the start and end years used in the trend computation. Compounding such differences, estimates of the relative decline in sea ice cover (given in percent change per decade) can further vary due to the choice of reference value (the initial point of the trend line, a climatological baseline, etc.). Further adding to the confusion, very often when relative trends are reported in research papers, the reference values used are not specified or made clear. This can lead to confusion when trend studies are cited in the press and public reports.
Long-term decrease in phosphate concentrations in the surface layer of the southern Japan Sea
NASA Astrophysics Data System (ADS)
Kodama, Taketoshi; Igeta, Yosuke; Kuga, Mizuki; Abe, Shoko
2016-10-01
To identify possible causes for the long-term trends in nutrient concentrations in the southern Japan Sea (JS), we studied nutrient concentrations that were obtained by the Japan Meteorological Agency. Our evaluation shows that phosphate concentrations declined in the surface layers in summer (0-20 and 21-50 m depth) and winter (0-20, 21-50, and 51-100 m depth) over the last 40 years, while no significant linear trend was observed for nitrate concentrations. The declining trend in the phosphate concentration was quantified as 1.8-3.3 nM yr-1. The increase in atmospheric nutrient deposition to the JS could not explain the decline in phosphate concentration. In addition, the mixed-layer depth during winter did not demonstrate any significant trend, and an increase in phosphate concentrations was not observed in any layers; therefore, the decrease in nutrient supply from deep JS water was not considered a major possible cause for the decline in the phosphate concentration. In contrast, the phosphate concentration in the surface of the southern JS during winter showed a significant positive correlation with the concentration in the 21-50 m depth layer of the saline East China Sea (ECS) water in the preceding summer, and the surface water of the southern JS was almost entirely replaced by water originating from the ECS during May-October. Therefore, it is concluded that the declining trend in the phosphate concentrations in the southern JS is caused by horizontal advection of ECS water.
Smith, Adam C; Hudson, Marie-Anne R; Downes, Constance M; Francis, Charles M
2015-01-01
North American populations of aerial insectivorous birds are in steep decline. Aerial insectivores (AI) are a group of bird species that feed almost exclusively on insects in flight, and include swallows, swifts, nightjars, and flycatchers. The causes of the declines are not well understood. Indeed, it is not clear when the declines began, or whether the declines are shared across all species in the group (e.g., caused by changes in flying insect populations) or specific to each species (e.g., caused by changes in species' breeding habitat). A recent study suggested that population trends of aerial insectivores changed for the worse in the 1980s. If there was such a change point in trends of the group, understanding its timing and geographic pattern could help identify potential causes of the decline. We used a hierarchical Bayesian, penalized regression spline, change point model to estimate group-level change points in the trends of 22 species of AI, across 153 geographic strata of North America. We found evidence for group-level change points in 85% of the strata. Change points for flycatchers (FC) were distinct from those for swallows, swifts and nightjars (SSN) across North America, except in the Northeast, where all AI shared the same group-level change points. During the 1980s, there was a negative change point across most of North America, in the trends of SSN. For FC, the group-level change points were more geographically variable, and in many regions there were two: a positive change point followed by a negative change point. This group-level synchrony in AI population trends is likely evidence of a response to a common environmental factor(s) with similar effects on many species across broad spatial extents. The timing and geographic patterns of the change points that we identify here should provide a spring-board for research into the causes behind aerial insectivore declines.
Smith, Adam C.; Hudson, Marie-Anne R.; Downes, Constance M.; Francis, Charles M.
2015-01-01
North American populations of aerial insectivorous birds are in steep decline. Aerial insectivores (AI) are a group of bird species that feed almost exclusively on insects in flight, and include swallows, swifts, nightjars, and flycatchers. The causes of the declines are not well understood. Indeed, it is not clear when the declines began, or whether the declines are shared across all species in the group (e.g., caused by changes in flying insect populations) or specific to each species (e.g., caused by changes in species’ breeding habitat). A recent study suggested that population trends of aerial insectivores changed for the worse in the 1980s. If there was such a change point in trends of the group, understanding its timing and geographic pattern could help identify potential causes of the decline. We used a hierarchical Bayesian, penalized regression spline, change point model to estimate group-level change points in the trends of 22 species of AI, across 153 geographic strata of North America. We found evidence for group-level change points in 85% of the strata. Change points for flycatchers (FC) were distinct from those for swallows, swifts and nightjars (SSN) across North America, except in the Northeast, where all AI shared the same group-level change points. During the 1980s, there was a negative change point across most of North America, in the trends of SSN. For FC, the group-level change points were more geographically variable, and in many regions there were two: a positive change point followed by a negative change point. This group-level synchrony in AI population trends is likely evidence of a response to a common environmental factor(s) with similar effects on many species across broad spatial extents. The timing and geographic patterns of the change points that we identify here should provide a spring-board for research into the causes behind aerial insectivore declines. PMID:26147572
Population trends from the American woodcock singing-ground survey, 1970-88
Sauer, J.R.; Bortner, J.B.
1991-01-01
Population trend analysis of American woodcook (Scolopax minor) using data from a singing-ground survey indicates population declines throughout the breeding range of the species between 1970 and 1988. In the eastern United States and Canada, this decline has been quite consistent throughout the period, but in the central portion of the continent the population increased during the 1970's and declined during the early 1980's. Observers differ in their ability to hear woodcock, and we document observer differences in the singing-ground survey data and incorporate them into our analyses. Habitat changes have been suggested as the most likely cause of declines in woodcock populations.
Kyu, Hmwe H; Pinho, Christine; Wagner, Joseph A; Brown, Jonathan C; Bertozzi-Villa, Amelia; Charlson, Fiona J; Coffeng, Luc Edgar; Dandona, Lalit; Erskine, Holly E; Ferrari, Alize J; Fitzmaurice, Christina; Fleming, Thomas D; Forouzanfar, Mohammad H; Graetz, Nicholas; Guinovart, Caterina; Haagsma, Juanita; Higashi, Hideki; Kassebaum, Nicholas J; Larson, Heidi J; Lim, Stephen S; Mokdad, Ali H; Moradi-Lakeh, Maziar; Odell, Shaun V; Roth, Gregory A; Serina, Peter T; Stanaway, Jeffrey D; Misganaw, Awoke; Whiteford, Harvey A; Wolock, Timothy M; Wulf Hanson, Sarah; Abd-Allah, Foad; Abera, Semaw Ferede; Abu-Raddad, Laith J; AlBuhairan, Fadia S; Amare, Azmeraw T; Antonio, Carl Abelardo T; Artaman, Al; Barker-Collo, Suzanne L; Barrero, Lope H; Benjet, Corina; Bensenor, Isabela M; Bhutta, Zulfiqar A; Bikbov, Boris; Brazinova, Alexandra; Campos-Nonato, Ismael; Castañeda-Orjuela, Carlos A; Catalá-López, Ferrán; Chowdhury, Rajiv; Cooper, Cyrus; Crump, John A; Dandona, Rakhi; Degenhardt, Louisa; Dellavalle, Robert P; Dharmaratne, Samath D; Faraon, Emerito Jose A; Feigin, Valery L; Fürst, Thomas; Geleijnse, Johanna M; Gessner, Bradford D; Gibney, Katherine B; Goto, Atsushi; Gunnell, David; Hankey, Graeme J; Hay, Roderick J; Hornberger, John C; Hosgood, H Dean; Hu, Guoqing; Jacobsen, Kathryn H; Jayaraman, Sudha P; Jeemon, Panniyammakal; Jonas, Jost B; Karch, André; Kim, Daniel; Kim, Sungroul; Kokubo, Yoshihiro; Kuate Defo, Barthelemy; Kucuk Bicer, Burcu; Kumar, G Anil; Larsson, Anders; Leasher, Janet L; Leung, Ricky; Li, Yongmei; Lipshultz, Steven E; Lopez, Alan D; Lotufo, Paulo A; Lunevicius, Raimundas; Lyons, Ronan A; Majdan, Marek; Malekzadeh, Reza; Mashal, Taufiq; Mason-Jones, Amanda J; Melaku, Yohannes Adama; Memish, Ziad A; Mendoza, Walter; Miller, Ted R; Mock, Charles N; Murray, Joseph; Nolte, Sandra; Oh, In-Hwan; Olusanya, Bolajoko Olubukunola; Ortblad, Katrina F; Park, Eun-Kee; Paternina Caicedo, Angel J; Patten, Scott B; Patton, George C; Pereira, David M; Perico, Norberto; Piel, Frédéric B; Polinder, Suzanne; Popova, Svetlana; Pourmalek, Farshad; Quistberg, D Alex; Remuzzi, Giuseppe; Rodriguez, Alina; Rojas-Rueda, David; Rothenbacher, Dietrich; Rothstein, David H; Sanabria, Juan; Santos, Itamar S; Schwebel, David C; Sepanlou, Sadaf G; Shaheen, Amira; Shiri, Rahman; Shiue, Ivy; Skirbekk, Vegard; Sliwa, Karen; Sreeramareddy, Chandrashekhar T; Stein, Dan J; Steiner, Timothy J; Stovner, Lars Jacob; Sykes, Bryan L; Tabb, Karen M; Terkawi, Abdullah Sulieman; Thomson, Alan J; Thorne-Lyman, Andrew L; Towbin, Jeffrey Allen; Ukwaja, Kingsley Nnanna; Vasankari, Tommi; Venketasubramanian, Narayanaswamy; Vlassov, Vasiliy Victorovich; Vollset, Stein Emil; Weiderpass, Elisabete; Weintraub, Robert G; Werdecker, Andrea; Wilkinson, James D; Woldeyohannes, Solomon Meseret; Wolfe, Charles D A; Yano, Yuichiro; Yip, Paul; Yonemoto, Naohiro; Yoon, Seok-Jun; Younis, Mustafa Z; Yu, Chuanhua; El Sayed Zaki, Maysaa; Naghavi, Mohsen; Murray, Christopher J L; Vos, Theo
2016-03-01
The literature focuses on mortality among children younger than 5 years. Comparable information on nonfatal health outcomes among these children and the fatal and nonfatal burden of diseases and injuries among older children and adolescents is scarce. To determine levels and trends in the fatal and nonfatal burden of diseases and injuries among younger children (aged <5 years), older children (aged 5-9 years), and adolescents (aged 10-19 years) between 1990 and 2013 in 188 countries from the Global Burden of Disease (GBD) 2013 study. Data from vital registration, verbal autopsy studies, maternal and child death surveillance, and other sources covering 14,244 site-years (ie, years of cause of death data by geography) from 1980 through 2013 were used to estimate cause-specific mortality. Data from 35,620 epidemiological sources were used to estimate the prevalence of the diseases and sequelae in the GBD 2013 study. Cause-specific mortality for most causes was estimated using the Cause of Death Ensemble Model strategy. For some infectious diseases (eg, HIV infection/AIDS, measles, hepatitis B) where the disease process is complex or the cause of death data were insufficient or unavailable, we used natural history models. For most nonfatal health outcomes, DisMod-MR 2.0, a Bayesian metaregression tool, was used to meta-analyze the epidemiological data to generate prevalence estimates. Of the 7.7 (95% uncertainty interval [UI], 7.4-8.1) million deaths among children and adolescents globally in 2013, 6.28 million occurred among younger children, 0.48 million among older children, and 0.97 million among adolescents. In 2013, the leading causes of death were lower respiratory tract infections among younger children (905.059 deaths; 95% UI, 810,304-998,125), diarrheal diseases among older children (38,325 deaths; 95% UI, 30,365-47,678), and road injuries among adolescents (115,186 deaths; 95% UI, 105,185-124,870). Iron deficiency anemia was the leading cause of years lived with disability among children and adolescents, affecting 619 (95% UI, 618-621) million in 2013. Large between-country variations exist in mortality from leading causes among children and adolescents. Countries with rapid declines in all-cause mortality between 1990 and 2013 also experienced large declines in most leading causes of death, whereas countries with the slowest declines had stagnant or increasing trends in the leading causes of death. In 2013, Nigeria had a 12% global share of deaths from lower respiratory tract infections and a 38% global share of deaths from malaria. India had 33% of the world's deaths from neonatal encephalopathy. Half of the world's diarrheal deaths among children and adolescents occurred in just 5 countries: India, Democratic Republic of the Congo, Pakistan, Nigeria, and Ethiopia. Understanding the levels and trends of the leading causes of death and disability among children and adolescents is critical to guide investment and inform policies. Monitoring these trends over time is also key to understanding where interventions are having an impact. Proven interventions exist to prevent or treat the leading causes of unnecessary death and disability among children and adolescents. The findings presented here show that these are underused and give guidance to policy makers in countries where more attention is needed.
Analysis of satellite precipitation over East Africa during last decades
NASA Astrophysics Data System (ADS)
Cattani, Elsa; Wenhaji Ndomeni, Claudine; Merino, Andrés; Levizzani, Vincenzo
2016-04-01
Daily accumulated precipitation time series from satellite retrieval algorithms (e.g., ARC2 and TAMSAT) are exploited to extract the spatial and temporal variability of East Africa (EA - 5°S-20°N, 28°E-52°E) precipitation during last decades (1983-2013). The Empirical Orthogonal Function (EOF) analysis is applied to precipitation time series to investigate the spatial and temporal variability in particular for October-November-December referred to as the short rain season. Moreover, the connection among EA's precipitation, sea surface temperature, and soil moisture is analyzed through the correlation with the dominant EOF modes of variability. Preliminary results concern the first two EOF's modes for the ARC2 data set. EOF1 is characterized by an inter-annual variability and a positive correlation between precipitation and El Niño, positive Indian Ocean Dipole mode, and soil moisture, while EOF2 shows a dipole structure of spatial variability associated with a longer scale temporal variability. This second dominant mode is mostly linked to sea surface temperature variations in the North Atlantic Ocean. Further analyses are carried out by computing the time series of the joint CCI/CLIVAR/JCOMM Expert Team on Climate Change Detection and Indices (ETCCDI, http://etccdi.pacificclimate.org/index.shtml), i.e. RX1day, RX5day, CDD, CDD, CWD, SDII, PRCPTOT, R10, R20. The purpose is to identify the occurrenes of extreme events (droughts and floods) and extract precipitation temporal variation by trend analysis (Mann-Kendall technique). Results for the ARC2 data set demonstrate the existence of a dipole spatial pattern in the linear trend of the time series of PRCPTOT (annual precipitation considering days with a rain rate > 1 mm) and SDII (average precipitation on wet days over a year). A negative trend is mainly present over West Ethiopia and Sudan, whereas a positive trend is exhibited over East Ethiopia and Somalia. CDD (maximum number of consecutive dry days) and CWD (maximum number of consecutive wet days) time series do not exhibit a similar behavior and trends are generally weaker with a lower significance level with respect to PRCPTOT and SDII.
Hill, Jason M.; Egan, J. Franklin; Stauffer, Glenn E.; Diefenbach, Duane R.
2014-01-01
Grassland bird species have experienced substantial declines in North America. These declines have been largely attributed to habitat loss and degradation, especially from agricultural practices and intensification (the habitat-availability hypothesis). A recent analysis of North American Breeding Bird Survey (BBS) “grassland breeding” bird trends reported the surprising conclusion that insecticide acute toxicity was a better correlate of grassland bird declines in North America from 1980–2003 (the insecticide-acute-toxicity hypothesis) than was habitat loss through agricultural intensification. In this paper we reached the opposite conclusion. We used an alternative statistical approach with additional habitat covariates to analyze the same grassland bird trends over the same time frame. Grassland bird trends were positively associated with increases in area of Conservation Reserve Program (CRP) lands and cropland used as pasture, whereas the effect of insecticide acute toxicity on bird trends was uncertain. Our models suggested that acute insecticide risk potentially has a detrimental effect on grassland bird trends, but models representing the habitat-availability hypothesis were 1.3–21.0 times better supported than models representing the insecticide-acute-toxicity hypothesis. Based on point estimates of effect sizes, CRP area and agricultural intensification had approximately 3.6 and 1.6 times more effect on grassland bird trends than lethal insecticide risk, respectively. Our findings suggest that preserving remaining grasslands is crucial to conserving grassland bird populations. The amount of grassland that has been lost in North America since 1980 is well documented, continuing, and staggering whereas insecticide use greatly declined prior to the 1990s. Grassland birds will likely benefit from the de-intensification of agricultural practices and the interspersion of pastures, Conservation Reserve Program lands, rangelands and other grassland habitats into existing agricultural landscapes.
Hill, Jason M; Egan, J Franklin; Stauffer, Glenn E; Diefenbach, Duane R
2014-01-01
Grassland bird species have experienced substantial declines in North America. These declines have been largely attributed to habitat loss and degradation, especially from agricultural practices and intensification (the habitat-availability hypothesis). A recent analysis of North American Breeding Bird Survey (BBS) "grassland breeding" bird trends reported the surprising conclusion that insecticide acute toxicity was a better correlate of grassland bird declines in North America from 1980-2003 (the insecticide-acute-toxicity hypothesis) than was habitat loss through agricultural intensification. In this paper we reached the opposite conclusion. We used an alternative statistical approach with additional habitat covariates to analyze the same grassland bird trends over the same time frame. Grassland bird trends were positively associated with increases in area of Conservation Reserve Program (CRP) lands and cropland used as pasture, whereas the effect of insecticide acute toxicity on bird trends was uncertain. Our models suggested that acute insecticide risk potentially has a detrimental effect on grassland bird trends, but models representing the habitat-availability hypothesis were 1.3-21.0 times better supported than models representing the insecticide-acute-toxicity hypothesis. Based on point estimates of effect sizes, CRP area and agricultural intensification had approximately 3.6 and 1.6 times more effect on grassland bird trends than lethal insecticide risk, respectively. Our findings suggest that preserving remaining grasslands is crucial to conserving grassland bird populations. The amount of grassland that has been lost in North America since 1980 is well documented, continuing, and staggering whereas insecticide use greatly declined prior to the 1990s. Grassland birds will likely benefit from the de-intensification of agricultural practices and the interspersion of pastures, Conservation Reserve Program lands, rangelands and other grassland habitats into existing agricultural landscapes.
Tobias, Martin; Taylor, Richard; Yeh, Li-Chia; Huang, Ken; Mann, Stewart; Sharpe, Norman
2008-04-01
To estimate the contribution of trends in three risk factors--systolic blood pressure (SBP), total blood cholesterol (TBC) and cigarette smoking--to the decline in premature coronary heart disease (CHD) mortality in New Zealand from 1980-2004. Risk factor prevalence data by 10-year age group (35-64 years) and sex was sourced from six national or Auckland regional health surveys and three population censuses (the latter only for smoking). The data were smoothed using two-point moving averages, then further smoothed by fitting quadratic regression equations (SBP and TBC) or splines (smoking). Risk factor/CHD mortality hazard ratios estimated by expert working groups for the World Health Organization Global Burden of Disease Study 2001 were used to translate average annual changes in risk factor prevalences to the corresponding percentage changes in premature CHD mortality. The expected trends in CHD mortality were then compared with the observed trend to estimate the contribution of each risk factor to the decline. Approximately 80% (73% for males, 87% for females) of the decline in premature CHD mortality from 1980 to 2004 is estimated to have resulted from the joint trends in population SBP and TBC distributions and smoking prevalence. Overall, approximately 42%, 36% and 22% of the joint risk factor effect was contributed by trends in SBP, TBC and smoking respectively. Our estimate for the joint risk factor contribution to the CHD mortality decline of 80% exceeds those of two earlier New Zealand studies, but agrees closely with a similar Australian study. This provides an indicator of the scope that still remains for further reduction in CHD mortality through primary and secondary prevention.
McIntire, Russell K; Macy, Jonathan T; Seo, Dong-Chul; Nelson, Ashlyn A; Kolbe, Lloyd J
2014-06-01
Young people in the United States are exposed to secondhand smoke (SHS) primarily in 2 settings: homes and cars. Recently, researchers reported that the prevalence of U.S students exposed to SHS in cars decreased from 2000 to 2009; however, comparisons of trends across school levels, gender, and racial/ethnic groups were not assessed. Moreover, no studies have examined trends of exposure to SHS in rooms. We used data from the 2000, 2002, 2004, 2006, and 2009 waves of the National Youth Tobacco Survey, a nationally representative cross-sectional survey of U.S. middle and high school students. For SHS in cars and rooms, we identified exposure trends among nonsmokers from 2000 to 2009 and compared trends across subpopulations with binary logistic regression. We identified significant downward linear trends in SHS in cars and rooms for nearly all measured subpopulations of nonsmoking students from 2000 to 2009. SHS exposure in cars and rooms declined at a significantly greater rate for males than for females. SHS exposure in cars declined at a significantly greater rate for non-Hispanic (NH) Blacks than for NH Whites. SHS exposure in rooms declined at a significantly greater rate for NH Whites than for Hispanics and Native Hawaiians/Pacific Islanders. Although prevalence of exposure to SHS in cars and rooms among nonsmoking U.S. middle and high school students has declined from 2000 to 2009, the rates of decline were not equal across genders and racial/ethnic groups. Identification of these differing rates of exposure can help the public health community advocate for interventions focused on reducing adolescent SHS exposure.
Hill, Jason M.; Egan, J. Franklin; Stauffer, Glenn E.; Diefenbach, Duane R.
2014-01-01
Grassland bird species have experienced substantial declines in North America. These declines have been largely attributed to habitat loss and degradation, especially from agricultural practices and intensification (the habitat-availability hypothesis). A recent analysis of North American Breeding Bird Survey (BBS) “grassland breeding” bird trends reported the surprising conclusion that insecticide acute toxicity was a better correlate of grassland bird declines in North America from 1980–2003 (the insecticide-acute-toxicity hypothesis) than was habitat loss through agricultural intensification. In this paper we reached the opposite conclusion. We used an alternative statistical approach with additional habitat covariates to analyze the same grassland bird trends over the same time frame. Grassland bird trends were positively associated with increases in area of Conservation Reserve Program (CRP) lands and cropland used as pasture, whereas the effect of insecticide acute toxicity on bird trends was uncertain. Our models suggested that acute insecticide risk potentially has a detrimental effect on grassland bird trends, but models representing the habitat-availability hypothesis were 1.3–21.0 times better supported than models representing the insecticide-acute-toxicity hypothesis. Based on point estimates of effect sizes, CRP area and agricultural intensification had approximately 3.6 and 1.6 times more effect on grassland bird trends than lethal insecticide risk, respectively. Our findings suggest that preserving remaining grasslands is crucial to conserving grassland bird populations. The amount of grassland that has been lost in North America since 1980 is well documented, continuing, and staggering whereas insecticide use greatly declined prior to the 1990s. Grassland birds will likely benefit from the de-intensification of agricultural practices and the interspersion of pastures, Conservation Reserve Program lands, rangelands and other grassland habitats into existing agricultural landscapes. PMID:24846309
Assefa, Abate
2014-03-01
Sexually transmitted infections (STIs) are a serious public health problem in low income countries, including Ethiopia. Syphilis caused by Treponema pallidum remains a major cause of reproductive morbidity and poor pregnancy outcomes in low income countries. Stillbirth, perinatal death, serious neonatal infection and low-birth weight babies are common among seropositive mothers. To assess the seroprevalence of syphilis and risk factor correlates of this infection at Gondar University Teaching Hospital, Ethiopia. The study was done on 2385 pregnant women attending the antenatal care clinic (ANC) from January 2009 to December 2011. Data was abstracted from the antenatal care clinic medical database. Chi-square test was used, using SPSS version 16 and significance level was chosen at 0.05 level with a two-tailed test. Of the total, 69(2. 9%) of pregnant women were confirmed as seropositive for syphilis. Pregnant women with an age group of 21-25 years of old were the most seropositive (3.4%), followed by 26-30 years of old (3.1%). The prevalence of syphilis infection was 3.2% in urban and 2.2% in rural pregnant women. Relatively high prevalence of syphilis infection were identified among students (4.2%) followed by governmental employees (3.8%). The seroprevalence of syphilis among pregnant women attending ANC is declining. However, syphilis is more prevalent in the young and urban pregnant women. Emphasis on education to young people on STI risk behavioral change and partner follow up and notification for exposure to syphilis and treatment should be given.
Adinew, Yohannes Mehretie; Mekete, Beza Tamirat
2017-12-01
World Health Organization defines female genital mutilation/cutting as all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons. The practice is common in Ethiopia, especially among Somali (99%) ethnic groups. Even though FGM/C is labeled illegal practice according to the revised 2005 Penal Code of the country, the practice is still responsible for misery of many girls in Ethiopia. This personal testimony is presented using woman's own words. Data were collected through in-depth interview with a woman at Gursum health center, Somali regional state, eastern Ethiopia on June 19/2016. The interview was conducted in a private environment and original names were changed to overcome ethical concerns. Informed written consent was obtained from the participant prior to data collection. The interview was audio-taped using a digital voice recorder, later transcribed and translated verbatim from the local language, Amharic to English. The study participant described a range of experiences she had during her own and her daughter's circumcision. Three themes emerged from the woman's description: womanhood, social pressure and stigmatization of uncircumcised women and uncertain future. Even though the national prevalence may show a decline, FGM/C is still practiced underground. Thus, anti-FGM/C interventions shall take in to account elders influence and incorporate a human rights approach rather than relying merely on the dire health consequences. Further exploration of the determinants of FGM/C on a wider scale is recommended.
Analysis of acute flaccid paralysis surveillance in Ethiopia, 2005-2015: progress and challenges.
Tegegne, Ayesheshem Ademe; Fiona, Braka; Shebeshi, Meseret Eshetu; Hailemariam, Fasal Teshager; Aregay, Aron Kassahun; Beyene, Berhane; Asemahgne, Eshetu Wassie; Woyessa, Daddi Jima; Woyessa, Abyot Bekele
2017-01-01
Ethiopia joined the global effort to eradicate polio in 1996, and interrupted indigenous wild poliovirus transmission by December 2001. However, the country experienced numerous separate importations during 2003-2013. Sensitive Acute Flaccid (AFP) surveillance is critical to rule out undetected circulation of WPV and VDPVs. In this study described, we used a retrospective descriptive study design to characterize the surveillance performance from 2005 to 2015. The none-polio AFP rate improved from 2.6/100,000 children <15 years old in 2005 to 3.1 in 2015, while stool adequacy has also improved from 78.5% in 2005 to 92 % in 2015. At the national level, most AFP surveillance performance indicators are achieved and maintained over the years, however, AFP surveillance performance at sub-national level varies greatly particularly in pastoralist regions. In addition, the minimum standard for non-polio enterovirus isolation rate (10%) was not achieved except in 2007 and 2009. Nevertheless, the proportion of cases investigated within 2 days of notification and the proportion of specimens arriving in good condition within 3 days to the laboratory were maintained throughout all the years reviewed. We found that the AFP surveillance system was efficient and progressively improved over the past 10 years in Ethiopia. However, the subnational AFP surveillance performance varies and were not maintained, particularly in pastoralist regions, and the non-polio enterovirus isolation rate declined since 2010. We recommend the institution of community-based surveillance in pastoralist regions and conduct detail review of the laboratory sensitivity and the reverse cold chain system.
Analysis of acute flaccid paralysis surveillance in Ethiopia, 2005-2015: progress and challenges
Tegegne, Ayesheshem Ademe; Fiona, Braka; Shebeshi, Meseret Eshetu; Hailemariam, Fasal Teshager; Aregay, Aron Kassahun; Beyene, Berhane; Asemahgne, Eshetu Wassie; Woyessa, Daddi Jima; Woyessa, Abyot Bekele
2017-01-01
Introduction Ethiopia joined the global effort to eradicate polio in 1996, and interrupted indigenous wild poliovirus transmission by December 2001. However, the country experienced numerous separate importations during 2003-2013. Sensitive Acute Flaccid (AFP) surveillance is critical to rule out undetected circulation of WPV and VDPVs. Methods In this study described, we used a retrospective descriptive study design to characterize the surveillance performance from 2005 to 2015. Results The none-polio AFP rate improved from 2.6/100,000 children <15 years old in 2005 to 3.1 in 2015, while stool adequacy has also improved from 78.5% in 2005 to 92 % in 2015. At the national level, most AFP surveillance performance indicators are achieved and maintained over the years, however, AFP surveillance performance at sub-national level varies greatly particularly in pastoralist regions. In addition, the minimum standard for non-polio enterovirus isolation rate (10%) was not achieved except in 2007 and 2009. Nevertheless, the proportion of cases investigated within 2 days of notification and the proportion of specimens arriving in good condition within 3 days to the laboratory were maintained throughout all the years reviewed. Conclusion We found that the AFP surveillance system was efficient and progressively improved over the past 10 years in Ethiopia. However, the subnational AFP surveillance performance varies and were not maintained, particularly in pastoralist regions, and the non-polio enterovirus isolation rate declined since 2010. We recommend the institution of community-based surveillance in pastoralist regions and conduct detail review of the laboratory sensitivity and the reverse cold chain system. PMID:28890751
Monitoring trends in HIV prevalence among young people, aged 15 to 24 years, in Manicaland, Zimbabwe
2011-01-01
Background In June 2001, the United Nations General Assembly Special Session (UNGASS) set a target of reducing HIV prevalence among young women and men, aged 15 to 24 years, by 25% in the worst-affected countries by 2005, and by 25% globally by 2010. We assessed progress toward this target in Manicaland, Zimbabwe, using repeated household-based population serosurvey data. We also validated the representativeness of surveillance data from young pregnant women, aged 15 to 24 years, attending antenatal care (ANC) clinics, which UNAIDS recommends for monitoring population HIV prevalence trends in this age group. Changes in socio-demographic characteristics and reported sexual behaviour are investigated. Methods Progress towards the UNGASS target was measured by calculating the proportional change in HIV prevalence among youth and young ANC attendees over three survey periods (round 1: 1998-2000; round 2: 2001-2003; and round 3: 2003-2005). The Z-score test was used to compare differences in trends between the two data sources. Characteristics of participants and trends in sexual risk behaviour were analyzed using Student's and two-tailed Z-score tests. Results HIV prevalence among youth in the general population declined by 50.7% (from 12.2% to 6.0%) from round 1 to 3. Intermediary trends showed a large decline from round 1 to 2 of 60.9% (from 12.2% to 4.8%), offset by an increase from round 2 to 3 of 26.0% (from 4.8% to 6.0%). Among young ANC attendees, the proportional decline in prevalence of 43.5% (from 17.9% to 10.1%) was similar to that in the population (test for differences in trend: p value = 0.488) although ANC data significantly underestimated the population prevalence decline from round 1 to 2 (test for difference in trend: p value = 0.003) and underestimated the increase from round 2 to 3 (test for difference in trend: p value = 0.012). Reductions in risk behaviour between rounds 1 and 2 may have been responsible for general population prevalence declines. Conclusions In Manicaland, Zimbabwe, the 2005 UNGASS target to reduce HIV prevalence by 25% was achieved. However, most prevention gains occurred before 2003. ANC surveillance trends overall were an adequate indicator of trends in the population, although lags were observed. Behaviour data and socio-demographic characteristics of participants are needed to interpret ANC trends. PMID:21609449
Evaluation of stream chemistry trends in US Geological Survey reference watersheds, 1970-2010.
Mast, M Alisa
2013-11-01
The Hydrologic Benchmark Network (HBN) is a long-term monitoring program established by the US Geological Survey in the 1960s to track changes in the streamflow and stream chemistry in undeveloped watersheds across the USA. Trends in stream chemistry were tested at 15 HBN stations over two periods (1970-2010 and 1990-2010) using the parametric Load Estimator (LOADEST) model and the nonparametric seasonal Kendall test. Trends in annual streamflow and precipitation chemistry also were tested to help identify likely drivers of changes in stream chemistry. At stations in the northeastern USA, there were significant declines in stream sulfate, which were consistent with declines in sulfate deposition resulting from the reductions in SO₂ emissions mandated under the Clean Air Act Amendments. Sulfate declines in stream water were smaller than declines in deposition suggesting sulfate may be accumulating in watershed soils and thereby delaying the stream response to improvements in deposition. Trends in stream chemistry at stations in other part of the country generally were attributed to climate variability or land disturbance. Despite declines in sulfate deposition, increasing stream sulfate was observed at several stations and appeared to be linked to periods of drought or declining streamflow. Falling water tables might have enhanced oxidation of organic matter in wetlands or pyrite in mineralized bedrock thereby increasing sulfate export in surface water. Increasing sulfate and nitrate at a station in the western USA were attributed to release of soluble salts and nutrients from soils following a large wildfire in the watershed.
Trends and patterns of urbanization in Egypt during the 1966-1976 intercensal period.
Morcos, W S
1980-01-01
The author analyzes the decline in the rate of urbanization and the effects of this decline on traditional patterns of urbanization in Egypt between 1966 and 1976. Trends and patterns of urbanization in the twentieth century are briefly examined. National policies and their effects on urbanization patterns are reviewed (SUMMARY IN ARA)
Timberland area change in the Lake States: past trends, causes, and projections.
Andrew Plantinga; Joseph Buongiorno; Ralph J. Alig; John S. Jr. Spencer
1989-01-01
Between the early 1960's and the mid-1980's, the area of timberland in the Lake States declined by about 3 million acres. This study confirms the influences of population, economics, ownership, and trends in other land uses on timberland area. Future declines are expected, but probably at a slower rate.
Recent changes in the trends of teen birth rates, 1981-2006.
Wingo, Phyllis A; Smith, Ruben A; Tevendale, Heather D; Ferré, Cynthia
2011-03-01
To explore trends in teen birth rates by selected demographics. We used birth certificate data and joinpoint regression to examine trends in teen birth rates by age (10-14, 15-17, and 18-19 years) and race during 1981-2006 and by age and Hispanic origin during 1990-2006. Joinpoint analysis describes changing trends over successive segments of time and uses annual percentage change (APC) to express the amount of increase or decrease within each segment. For teens younger than 18 years, the decline in birth rates began in 1994 and ended in 2003 (APC: -8.03% per year for ages 10-14 years; APC: -5.63% per year for ages 15-17 years). The downward trend for 18- and 19-year-old teens began earlier (1991) and ended 1 year later (2004) (APC: -2.37% per year). For each study population, the trend was approximately level during the most recent time segment, except for continuing declines for 18- and 19-year-old white and Asian/Pacific Islander teens. The only increasing trend in the most recent time segment was for 18- and 19-year-old Hispanic teens. During these declines, the age distribution of teens who gave birth shifted to slightly older ages, and the percentage whose current birth was at least their second birth decreased. Teen birth rates were generally level during 2003/2004-2006 after the long-term declines. Rates increased among older Hispanic teens. These results indicate a need for renewed attention to effective teen pregnancy prevention programs in specific populations. Copyright © 2011. Published by Elsevier Inc.
Taylor, Richard; Linhart, Christine; Hayes, Geoffrey; Homasi, Steven
2014-08-01
Infant mortality rates (IMR) and under-five mortality rates (U5MR) in Tuvalu (2010 population 11,149) for 1990-2011 were evaluated to determine best estimates of levels and trends. Estimates were graphed over time to identify trends/inconsistencies, and censored for reliability/plausibility. Where possible, 95% confidence intervals (CIs) and tests for linear trend were calculated. Ministry of Health (MoH) data indicates IMR and U5MR (per 1,000 live births) declined over 1990-2008: IMR 62 (95%CI 46-81) for 1991-93 (51 deaths) to 19 (95%CI 10-33) for 2006-08 (12 deaths); U5MR 67 (95%CI 50-87) for 1991-93 (55 deaths) to 19 (95%CI 10-33) for 2006-08 (12 deaths). The 2007 Demographic and Health Survey (DHS) suggests recent trends are increasing: IMR 24 for 1998-2002 to 31 (95%CI 20-42) for 2003-07; U5MR 29 for 1998-2002 to 36 (95%CI 30-43) for 2003-07 (deaths not provided). Tests for linear trend and 95%CIs indicate MoH declines are statistically significant, but recent increased estimates from DHS are not, and could be affected by recall bias. Small populations provide challenges in interpretation of IMR/U5MR trends. To ensure the correct interpretation of rates, CIs (95%) and tests for trend should be calculated. Tuvalu has experienced steady decline in IMR/U5MR over the past 20 years. © 2014 Public Health Association of Australia.
Temporal and geographic patterns in population trends of brown-headed cowbirds
Peterjohn, B.G.; Sauer, J.R.; Schwarz, S.
2000-01-01
The temporal and geographic patterns in the population trends of Brown-headed Cowbirds are summarized from the North American Breeding Bird Survey. During 1966-1992, the survey-wide population declined significantly, a result of declining populations in the Eastern BBS Region, southern Great Plains, and the Pacific coast states. Increasing populations were most evident in the northern Great Plains. Cowbird populations were generally stable or increasing during 1966-1976, but their trends became more negative after 1976. The trends in cowbird populations were generally directly correlated with the trends of both host and nonhost species, suggesting that large-scale factors such as changing weather patterns, land use practices, or habitat availability were responsible for the observed temporal and geographic patterns in the trends of cowbirds and their hosts.
Wolleswinkel-van den Bosch, J H; Looman, C W; Van Poppel, F W; Mackenbach, J P
1997-08-01
The objective of this study is to produce a detailed yet robust description of the epidemiologic transition in The Netherlands. National mortality data on sex, age, cause of death and calendar year (1875-1992) were extracted from official publications. For the entire period, 27 causes of death could be distinguished, while 65 causes (nested within the 27) could be studied from 1901 onwards. Cluster analysis was used to determine groups of causes of death with similar trend curves over a period of time with respect to age- and sex-standardized mortality rates. With respect to the 27 causes, three important clusters were found: (1) infectious diseases which declined rapidly in the late 19th century (e.g. typhoid fever), (2) infectious diseases which showed a less precipitous decline (e.g. respiratory tuberculosis), and (3) non-infectious diseases which showed an increasing trend during most of the period 1875-1992 (e.g. cancer). The 65 causes provided more detail. Seven important clusters were found: four consisted mainly of infectious diseases, including a new cluster that declined rapidly after the Second World War (WW2) (e.g. acute bronchitis/influenza) and a new cluster showing an increasing trend in the 1920s and 1930s before declining in the years thereafter (e.g. appendicitis). Three clusters mainly contained non-infectious diseases, including a new one that declined from 1900 onwards (e.g. cancer of the stomach) and a new one that increased until WW2 but declined thereafter (e.g. chronic rheumatic heart disease). The results suggest that the conventional interpretation of the epidemiologic transition, which assumes a uniform decline of infectious diseases and a uniform increase of non-infectious diseases, needs to be modified.
NASA Astrophysics Data System (ADS)
Kassa, Tsegaye; Tilahun, Samson; Damtie, Baylie
2017-09-01
This paper was aimed at investigating the solar variations of vTEC as a function of solar activity parameters, EUV and F10.7 radio flux. The daily values of ionospheric vertical Total Electron Content (vTEC) were observed using a dual frequency GPS receiver deployed at Bahir Dar (11.6°N and 37.36°E), Ethiopia. Measurements were taken during the period of 2010-2014 for successive five years and analysis was done on only quiet day observations. A quadratic fit was used as a model to describe the daily variation of vTEC in relation to solar parameters. Linear and non-linear coefficients of the vTEC variations were calculated in order to capture the trend of the variation. The variation of vTEC have showed good agreement with the trend of solar parameters in almost all of the days we consider during the period of our observations. We have explicitly observed days with insignificant TECU deviation (eg. modeling with respect to EUV, DOY = 49 in 2010 and modeling with respect to F10.7, DOY = 125 in 2012 and the like) and days with maximum deviation (about 50 TECU). A maximum deviation were observed, on average, during months of equinox whereas minimum during solstice months. This implies that there is a need to consider more parameters, including EUV and F10.7, that can affect the variation of vTEC during equinox seasons. Relatively, small deviations was observed in modeling vTEC as a function of EUV compared to that of the variation due to F10.7 cm flux. This may also tell us that EUV can be more suitable in modeling the solar variation of vTEC especially for longterm trends. Even though, the linear trend of solar variations of vTEC was frequently observed, significant saturation and amplification trends of the solar variations of vTEC were also observed to some extent across the months of the years we have analyzed. This mixed trend of the solar variation of vTEC implies the need for thorough investigation on the effect of solar parameters on TEC. However, based on long-term dataset, we came to conclude that the solar variations of vTEC is dominated by its linear pattern.
Estimating trends in alligator populations from nightlight survey data
Fujisaki, Ikuko; Mazzotti, Frank J.; Dorazio, Robert M.; Rice, Kenneth G.; Cherkiss, Michael; Jeffery, Brian
2011-01-01
Nightlight surveys are commonly used to evaluate status and trends of crocodilian populations, but imperfect detection caused by survey- and location-specific factors makes it difficult to draw population inferences accurately from uncorrected data. We used a two-stage hierarchical model comprising population abundance and detection probability to examine recent abundance trends of American alligators (Alligator mississippiensis) in subareas of Everglades wetlands in Florida using nightlight survey data. During 2001–2008, there were declining trends in abundance of small and/or medium sized animals in a majority of subareas, whereas abundance of large sized animals had either demonstrated an increased or unclear trend. For small and large sized class animals, estimated detection probability declined as water depth increased. Detection probability of small animals was much lower than for larger size classes. The declining trend of smaller alligators may reflect a natural population response to the fluctuating environment of Everglades wetlands under modified hydrology. It may have negative implications for the future of alligator populations in this region, particularly if habitat conditions do not favor recruitment of offspring in the near term. Our study provides a foundation to improve inferences made from nightlight surveys of other crocodilian populations.
Estimating trends in alligator populations from nightlight survey data
Fujisaki, Ikuko; Mazzotti, F.J.; Dorazio, R.M.; Rice, K.G.; Cherkiss, M.; Jeffery, B.
2011-01-01
Nightlight surveys are commonly used to evaluate status and trends of crocodilian populations, but imperfect detection caused by survey- and location-specific factors makes it difficult to draw population inferences accurately from uncorrected data. We used a two-stage hierarchical model comprising population abundance and detection probability to examine recent abundance trends of American alligators (Alligator mississippiensis) in subareas of Everglades wetlands in Florida using nightlight survey data. During 2001-2008, there were declining trends in abundance of small and/or medium sized animals in a majority of subareas, whereas abundance of large sized animals had either demonstrated an increased or unclear trend. For small and large sized class animals, estimated detection probability declined as water depth increased. Detection probability of small animals was much lower than for larger size classes. The declining trend of smaller alligators may reflect a natural population response to the fluctuating environment of Everglades wetlands under modified hydrology. It may have negative implications for the future of alligator populations in this region, particularly if habitat conditions do not favor recruitment of offspring in the near term. Our study provides a foundation to improve inferences made from nightlight surveys of other crocodilian populations. ?? 2011 US Government.
Declining trend of peritoneal dialysis: a single-center experience.
Agraharkar, Mahendra; Henry, Sharon; Martinez, Dora; Bonds, Becky
2002-01-01
Peritoneal dialysis (PD), despite being advantageous to patient, physician, and society, has failed to show the growth it deserves. On the contrary, PD utilization has declined. Over the past several years, we have noticed a decline in the number of our home dialysis patients. When compared to the national trend, we find our trend to be not significantly different from other centers across the country. A similar trend has also been noticed in Canada. Although several reasons may exist for the decline, we intend to concentrate on local factors. In the first quarter of 1996, we had a total of 46 adult and pediatric end-stage renal disease (ESRD) patients on PD. That number decreased to 23 at the end of fourth quarter of the year 2001. The losses in our program far exceeded the gains. We lost our patients mainly to in-center hemodialysis (ICHD) and to transplantation. Peritonitis and membrane failure remained the major grounds for the loss to ICHD. In our center, geographic location and a lack of structured pre-ESRD education probably played a major role in the decline. Many of our patients are from distant counties that have a contract with University of Texas Medical Branch for providing health care to their indigent population. However, once those patients develop complications, the counties rely on the expertise of local physicians and nephrologists.
Trends in Student Aid, 2014. Trends in Higher Education Series
ERIC Educational Resources Information Center
Baum, Sandy; Elliott, Diane Cardenas; Ma, Jennifer; Bell, D'Wayne
2014-01-01
After increasing by 18% (in inflation-adjusted dollars) between 2007-08 and 2010-11, the total amount students borrowed in federal and non-federal education loans declined by 13% between 2010-11 and 2013-14. Growth in full-time equivalent (FTE) postsecondary enrollment of 16% over the first three years, followed by a decline of 4% over the next…
Raaijmakers, Quinten; ter Bogt, Tom; Bendtsen, Pernille; Farhat, Tilda; Ferreira, Mafalda; Godeau, Emmanuelle; Kuntsche, Emmanuel; Molcho, Michal; Pförtner, Timo-Kolja; Simons-Morton, Bruce; Vieno, Alessio; Vollebergh, Wilma; Pickett, William
2015-01-01
Background: This study examined trends in adolescent weekly alcohol use between 2002 and 2010 in 28 European and North American countries. Methods: Analyses were based on data from 11-, 13- and 15-year-old adolescents who participated in the Health Behaviour in School-Aged Children (HBSC) study in 2002, 2006 and 2010. Results: Weekly alcohol use declined in 20 of 28 countries and in all geographic regions, from 12.1 to 6.1% in Anglo-Saxon countries, 11.4 to 7.8% in Western Europe, 9.3 to 4.1% in Northern Europe and 16.3 to 9.9% in Southern Europe. Even in Eastern Europe, where a stable trend was observed between 2002 and 2006, weekly alcohol use declined between 2006 and 2010 from 12.3 to 10.1%. The decline was evident in all gender and age subgroups. Conclusions: These consistent trends may be attributable to increased awareness of the harmful effects of alcohol for adolescent development and the implementation of associated prevention efforts, or changes in social norms and conditions. Although the declining trend was remarkably similar across countries, prevalence rates still differed considerably across countries. PMID:25805792
Trends in U.S. food prices, 1950-2007.
Christian, Thomas; Rashad, Inas
2009-03-01
The potential effect that food prices may have on the health of the U.S. population needs to be further explored, particularly in light of the rising food prices currently being observed. Declining food prices over time have been singled out as a main contributor, for example, to the rising trend in obesity. In this paper we use data from the Bureau of Labor Statistics, the American Chamber of Commerce Researchers Association, the Consumer Expenditure Survey, and the United States Department of Agriculture to analyze trends in various types of food prices, to create a food price index, and to estimate the price of a calorie. Results may be used by future researchers in estimating the health implications of these trends. We find that while the general trend in food prices has been declining, that of restaurant meal prices and prices of fruits and vegetables has risen over time. It is doubtful that the decline in food prices has been sufficiently large to account for the large increase in caloric intake that is said to have contributed to the obesity epidemic in the U.S.
Progress in reducing premature deaths in Wisconsin counties, 2000-2010.
Nonnweiler, Thomas; Pollock, Elizabeth A; Rudolph, Barbara; Remington, Patrick L
2013-10-01
Measuring trends in a county's premature death rate is a straightforward method that can be used to assess a county's progress in improving the health of the population. Age-adjusted premature death rate data from Wisconsin Interactive Statistics on Health for persons less than 75 years of age were collected for the years 2000-2010. Overall 10-year percent change was calculated, compared, and ranked for all Wisconsin counties during this time period. Progress was assessed as excellent (25.0% or greater decline), very good (20.0%-24.9% decline), good (10.0%-19.9% decline), fair (0.0%-9.9% decline), or poor (any increase). Overall, premature death rates in counties declined by 16.8% over the 10-year period 2000-2010 in Wisconsin. Trends varied by county, with 8, 15, 37, 9, and 3 counties having excellent, very good, good, fair, and poor progress, respectively. The most improvement was seen in Kewaunee County (decreasing 38.3%) and the least progress in Lafayette County (increasing 4.8%). Trends in premature death rates were not related to the county's initial death rate, population, rurality, or income. Although premature death rates declined overall in Wisconsin during the 2000s, this progress varied across counties and was not related to baseline mortality rates or other county characteristics.
Evaluation of stream chemistry trends in US Geological Survey reference watersheds, 1970-2010
Mast, M. Alisa
2013-01-01
The Hydrologic Benchmark Network (HBN) is a long-term monitoring program established by the US Geological Survey in the 1960s to track changes in the streamflow and stream chemistry in undeveloped watersheds across the USA. Trends in stream chemistry were tested at 15 HBN stations over two periods (1970–2010 and 1990–2010) using the parametric Load Estimator (LOADEST) model and the nonparametric seasonal Kendall test. Trends in annual streamflow and precipitation chemistry also were tested to help identify likely drivers of changes in stream chemistry. At stations in the northeastern USA, there were significant declines in stream sulfate, which were consistent with declines in sulfate deposition resulting from the reductions in SO2 emissions mandated under the Clean Air Act Amendments. Sulfate declines in stream water were smaller than declines in deposition suggesting sulfate may be accumulating in watershed soils and thereby delaying the stream response to improvements in deposition. Trends in stream chemistry at stations in other part of the country generally were attributed to climate variability or land disturbance. Despite declines in sulfate deposition, increasing stream sulfate was observed at several stations and appeared to be linked to periods of drought or declining streamflow. Falling water tables might have enhanced oxidation of organic matter in wetlands or pyrite in mineralized bedrock thereby increasing sulfate export in surface water. Increasing sulfate and nitrate at a station in the western USA were attributed to release of soluble salts and nutrients from soils following a large wildfire in the watershed.
NASA Astrophysics Data System (ADS)
Becker, S.; Halsall, C. J.; Tych, W.; Kallenborn, R.; Schlabach, M.; Manø, S.
2009-01-01
An extensive database of organochlorine (OC) pesticide concentrations measured at the Norwegian Arctic Monitoring Station was analysed to assess longer-term trends in the Arctic atmosphere. Dynamic Harmonic Regression (DHR) is employed to investigate the seasonal and cyclical behaviour of chlordanes, DDTs and hexachlorobenzene (HCB), and to isolate underlying inter-annual trends. Although a simple comparison of annual mean concentrations (1994-2005) suggest a decline for all of the OCs investigated, the longer-term trends identified by DHR only show a significant decline for p,p'-DDT. Indeed, HCB shows an increase from 2003-2005. This is thought to be due to changes in source types and the presence of impurities in current use pesticides, together with retreating sea ice affecting air-water exchange. Changes in source types were revealed by using isomeric ratios for the chlordanes and DDTs. Declining trends in ratios of trans-chlordane/cis-chlordane (TC/CC) indicate a shift from primary sources, to more ''weathered'' secondary sources, whereas an increasing trend in o,p'-DDT/p,p'-DDT ratios indicate a shift from use of technical DDT to dicofol. Continued monitoring of these OC pesticides is required to fully understand the influence of a changing climate on the behaviour and environmental cycling of these chemicals in the Arctic as well as possible impacts from ''new'' sources.
NASA Astrophysics Data System (ADS)
Becker, S.; Halsall, C. J.; Tych, W.; Kallenborn, R.; Schlabach, M.; Manø, S.
2012-05-01
An extensive database of organochlorine (OC) pesticide concentrations measured at the Norwegian Arctic monitoring station at Ny-Ålesund, Svalbard, was analysed to assess longer-term trends in the Arctic atmosphere. Dynamic Harmonic Regression (DHR) is employed to investigate the seasonal and cyclical behaviour of chlordanes, DDTs and hexachlorobenzene (HCB), and to isolate underlying inter-annual trends. Although a simple comparison of annual mean concentrations (1994-2005) suggest a decline for all of the OCs investigated, the longer-term trends identified by DHR only show a significant decline for p,p'-DDT. Indeed, HCB shows an increase from 2003-2005. This is thought to be due to changes in source types and the presence of impurities in current use pesticides, together with retreating sea ice affecting air-water exchange. Changes in source types were revealed by using isomeric ratios for the chlordanes and DDTs. Declining trends in ratios of trans-chlordane/cis-chlordane (TC/CC) indicate a shift from primary sources, to more "weathered" secondary sources, whereas an increasing trend in o,p'-DDT/p,p'-DDT ratios indicate a shift from use of technical DDT to dicofol. Continued monitoring of these OC pesticides is required to fully understand the influence of a changing climate on the behaviour and environmental cycling of these chemicals in the Arctic as well as possible impacts from "new" sources.
Divergent mortality trends by ethnicity in Fiji.
Taylor, Richard; Carter, Karen; Naidu, Shivnay; Linhart, Christine; Azim, Syed; Rao, Chalapati; Lopez, Alan D
2013-12-01
To examine trends in infant mortality rate (IMR), adult mortality and life expectancy (LE) in the two major Fijian ethnic groups since 1975. Estimates of IMR, adult mortality (15-59 years) and LE by ethnicity are calculated from previously unreported Fiji Ministry of Health data and extracted from published sources. Over 1975-2008: IMR decreased from 33 to 20 deaths/1,000 live births in i-Taukei (Fiji Melanesians); and 38 to 18 in Fijians of Indian descent. Increased adult male mortality among i-Taukei and decline among Fijians of Indian descent led to an equal probability of dying in 2007 of 29%; while in female adults the probability trended upwards in i-Taukei to 25%, and declined in Fijians of Indian descent to 17%. Life expectancy in both ethnicities increased until 1985 (to 64 years for males; 68 for females) then forming a plateau in males of both ethnicities, and Fijian females of Indian descent, but declining in i-Taukei females to 66 years in 2007. Despite IMR declines over 1975-2008, LE for i-Taukei and Fijians of Indian descent has not increased since 1985, and has actually decreased in i-Taukei women, consistent with trends in adult mortality (15-59 years). Mortality analyses in Fiji that consider the entire population mask divergent trends in the major ethnic groups. This situation is most likely a consequence of non-communicable disease mortality, requiring further assessment and a strengthened response.
Post-White-nose syndrome trends in Virginia’s cave bats, 2008-2013
Powers, Karen E.; Reynolds, Richard J.; Orndorff, Wil; Ford, W. Mark; Hobson, Christopher S.
2015-01-01
Since its 2009 detection in Virginia hibernacula, the fungal pathogen Pseudogymnoascus destructans causing White-nose Syndrome (WNS) has had a marked impact on cave bats locally. From 2008-2013, we documented numeric and physiologic changes in cave bats through fall swarm (FS), early hibernation (EH), and late hibernation (LH) capture and banding surveys at 18 hibernacula in western Virginia. We coupled active surveys with passive biennial winter counts in 2009, 2011, and 2013. We compared individual body mass index (BMI) across years for FS, EH, and LH hibernation to determine if WNS impacts on extant bats would be manifested by changes in body condition (as anecdotally observed elsewhere for WNS-impacted bats) as well as a population reduction. To estimate percent declines in bat presence or relative activity, we used FS capture per-unit-effort data, and the winter hibernacula absolute counts. We captured 4,524 bats of eight species, with species-specific capture success declining by 75-100% post-WNS. Little brown bats (Myotis lucifugus) exhibited the greatest declines in winter hibernacula counts (AVG. = 99.0% decline), followed by tri-colored bats (Perimyotis subflavus; 89.5% decline) and Indiana bats (M. sodalis; 33.5% decline). Graphical analyses of captures-per-trap-hour in FS showed declines for little brown bats, tri-colored bats, and northern long-eared bats (M. septentrionalis), but suggest a modest rebound of Indiana bat numbers. Fall swarm trends in BMI suggested some drops post-WNS exposure, but these trends were not consistent across sexes or seasonal time blocks. Our inconclusive BMI metrics and little brown bat band recapture data suggest little competitive advantage or selection for surviving bats. Lesser (but apparent) declines in Indiana bat numbers mirrors trends seen elsewhere regionally, and band recoveries do show that some individuals are persisting. Additional surveys will determine if bats in Virginia will persist or face extirpation due to presumed low recruitment and survivorship.
Trends in Reported Foodborne Illness in the United States; 1996-2013.
Powell, Mark R
2016-08-01
Retrospective review is a key to designing effective food safety measures. The analysis examines trends in the reported incidence of illness due to bacterial pathogens commonly transmitted by food in the United States during 1996-2013 with and without specifying a model form for trend. The findings indicate early declines in reported incidence followed by a period of no significant trend for Campylobacter, Listeria, Shiga toxin-producing Escherichia coli O157, and Yersinia. The results are inconclusive about whether there is no trend or an increasing trend for Salmonella. While Shigella exhibits a continuous decline, Vibrio exhibits a continuous increase. Overall, the findings indicate a lack of evidence for continuous reduction in illness due to bacterial pathogens commonly transmitted by food in the United States during 1996-2013. © 2015 Society for Risk Analysis.
NASA Astrophysics Data System (ADS)
García Moreno, R.; Gameda, S.; Diaz Alvarez, M. C.; Selasie, Y. G.
2012-04-01
Agriculture in Ethiopia is one of first priority since close to 10 In this context, the Ethiopian crop production faces to the following soil management challenges: lack of updated soil data, macro and micro nutrient depletion, acidity, salinity and soil surface erosion and crusting. One of the biggest issues is the loss of arable land, above 137 T/yr, reaching during some particularly dried periods until 300 T/yr. In this context, the authors constituted a working group of experts from Spanish and Ethiopian universities, local producers and international and governmental organisms to analyse the problems related to the different agro ecological zones found in Ethiopia and the management practices of different local producers. The study produced the trends to implement in the different areas to improve soil management practices in order to contribute to increase the crop production mainly to achieve food security problems. The analyse produced different working fields for the next years for addressing soil degradation, improving land resources management practices, increasing agricultural productivity, updating the available soil data, developing an international program of education, transferring of knowledge from similar study cases and implementing economical tools to help producers to assure income after severe edapho-climatic events. The practical work and the projects developed for the next period is addressed to smallholder farms belonging to the different 34 agro ecological zones identified in Ethiopia, each of them with very specific environmental, cultural and soil management practices.
Jemberu, W T; Mourits, M C M; Sahle, M; Siraw, B; Vernooij, J C M; Hogeveen, H
2016-12-01
This study aimed at determining the incidence, distribution, risk factors, and causal serotypes of foot and mouth disease (FMD) outbreaks in Ethiopia based on 5 years of retrospective outbreak data (September 2007 until August 2012). District level outbreak data were collected from 115 randomly selected districts using a questionnaire administered to district animal health officers. The national incidence of FMD outbreaks during the study period was 1.45 outbreaks per five district years. Outbreaks were geographically widespread affecting all major regional states in the country and were more frequent in the central, southern, and southeastern parts of the country. Neither long-term nor seasonal trends were observed in the incidence of outbreaks. A mixed effects logistic regression analysis revealed that the type of production system (market oriented system versus subsistence systems), presence of a major livestock market and/or route, and adjacency to a national parks or wildlife sanctuary were found to be associated with increased risk of outbreaks in the districts. FMD virus serotypes O, A, SAT 2, and SAT 1 were identified as the causal serotypes of the outbreaks during the study period. Whereas O was the dominant serotype, SAT 2 was the serotype that showed increase in relative frequency of occurrence. The estimated incidence of outbreaks is useful in assessing the economic impacts of the disease, and the identified risk factors provide important knowledge to target a progressive FMD control policy for Ethiopia. © 2015 Blackwell Verlag GmbH.
Adverse Perinatal Outcomes among Immigrant Women from Ethiopia in Israel.
Calderon-Margalit, Ronit; Sherman, Dan; Manor, Orly; Kurzweil, Yaffa
2015-06-01
Immigration from Ethiopia to Israel started about 30 years ago. We aimed to compare birth outcomes between Israeli women of Ethiopian origin and Israeli-born, non-Ethiopian women. We hypothesized a higher frequency of adverse birth outcomes among Ethiopian women and a trend of improvement among those who were raised in Israel since early childhood. This is a descriptive study, comparing birth outcomes of Ethiopian (n = 1,319) and non-Ethiopian women (n = 27,307) who gave birth in a medical center in Central Israel in 2002 to 2009. Ethiopian women were further categorized by age at immigration. Logistic regressions were constructed to compare the incidence of adverse birth outcomes between Ethiopian and non-Ethiopian women, controlling for potential confounders. Ethiopian women had about twice the incidence of very and extremely preterm births, compared with non-Ethiopians. Ethiopian women had twice the odds for neonates who were either small for gestational age or had low 5-minute Apgar scores. Ethiopian women had about threefold increased risk of stillbirths (OR 2.9 [95% CI 1.87-4.49]). No trend of improvement was noted for women who were raised in Israel from early childhood. Ethiopian women are at increased risk of adverse birth outcomes. Future research is needed to investigate the underlying causes for the increased risks and lack of improvement among those who were raised in Israel that will lead to effective interventions. © 2015 Wiley Periodicals, Inc.
Mortality level and predictors in a rural Ethiopian population: community based longitudinal study.
Weldearegawi, Berhe; Spigt, Mark; Berhane, Yemane; Dinant, Geertjan
2014-01-01
Over the last fifty years the world has seen enormous decline in mortality rates. However, in low-income countries, where vital registration systems are absent, mortality statistics are not easily available. The recent economic growth of Ethiopia and the parallel large scale healthcare investments make investigating mortality figures worthwhile. Longitudinal health and demographic surveillance data collected from September 11, 2009 to September 10, 2012 were analysed. We computed incidence of mortality, overall and stratified by background variables. Poisson regression was used to test for a linear trend in the standardized mortality rates. Cox-regression analysis was used to identify predictors of mortality. Households located at <2300 meter and ≥ 2300 meter altitude were defined to be midland and highland, respectively. An open cohort, with a baseline population of 66,438 individuals, was followed for three years to generate 194,083 person-years of observation. The crude mortality rate was 4.04 (95% CI: 3.77, 4.34) per 1,000 person-years. During the follow-up period, incidence of mortality significantly declined among under five (P<0.001) and 5-14 years old (P<0.001), whereas it increased among 65 years and above (P<0.001). Adjusted for other covariates, mortality was higher in males (hazard ratio (HR) = 1.42, 95% CI: 1.22, 1.66), rural population (HR = 1.74, 95% CI: 1.32, 2.31), highland (HR = 1.20, 95% CI: 1.03, 1.40) and among those widowed (HR = 2.25, 95% CI: 1.81, 2.80) and divorced (HR = 1.80, 95% CI: 1.30, 2.48). Overall mortality rate was low. The level and patterns of mortality indicate changes in the epidemiology of major causes of death. Certain population groups had significantly higher mortality rates and further research is warranted to identify causes of higher mortality in those groups.
Deven, F
1985-01-01
This article highlights the findings of a 3-stage analysis conducted in 1982-85 by the Council of Europe Committee of Experts on Fertility Trends: The 1st phase involved a demographic analysis of reproductive behavior in the past decade, the 2nd focused on the background of recent fertility trends, and the 3rd examined possible consequences of these trends. Participating countries included Belgium, France, Federal Republic of Germany, Luxembourg, the Netherlands, Norway, Portugal, Spain, and Switzerland. During the 1970s; most of these countries experienced a continuation of the fertility decline begun in the mid-60s, resulting in the large majority of countries in below-replacement reproduction. In general, the effect of the fertility decline on the birth rate has been partially compensated by the favorable age structure of the reproductive age population. In the 1st half of the 1970s, both nuptiality and reproductive behavior in marriage contributed to the fertility decline; in the 2nd half, marital fertility showed increases. The fertility decline in the 1st half of the 1970s largely reflected the steep decline in fertility among younger age groups, whereas a rise in the fertility in the older age groups was a characteristic of the late 1970s. However, the stabilization or even slight increase in fertility noted in the late 1970s in several European countries reverted to a decline in the early 1980s. In general, small family size appears to be viewed as a good compromise between pyschological and economic costs and benefits. These low fertility trends have had a dramatic effect on household composition and have also facilitated women's personal growth and economic independence. These trends are expected to lead to demographic aging of the population and alleviation of pressures on the labor market. All such changes will require adaptive population policy measures. It is important that such policies do not endanger achievements of modernization such as human rights, fertility regulation, and female employment.
Brooks-Russell, Ashley; Wang, Jing; Iannotti, Ronald J.
2014-01-01
Objectives. We examined trends from 1998 to 2010 in bullying, bullying victimization, physical fighting, and weapon carrying and variations by gender, grade level, and race/ethnicity among US adolescents. Methods. The Health Behavior in School-Aged Children surveys of nationally representative samples of students in grades 6 through 10 were completed in 1998 (n = 15 686), 2002 (n = 14 818), 2006 (n = 9229), and 2010 (n = 10 926). We assessed frequency of bullying behaviors, physical fighting, and weapon carrying as well as weapon type and subtypes of bullying. We conducted logistic regression analyses, accounting for the complex sampling design, to identify trends and variations by demographic factors. Results. Bullying perpetration, bullying victimization, and physical fighting declined from 1998 to 2010. Weapon carrying increased for White students only. Declines in bullying perpetration and victimization were greater for boys than for girls. Declines in bullying perpetration and physical fighting were greater for middle-school students than for high-school students. Conclusions. Declines in most violent behaviors are encouraging; however, lack of decline in weapon carrying merits further attention. PMID:24825213
Edwards, Brenda K.; Ward, Elizabeth; Kohler, Betsy A.; Eheman, Christie; Zauber, Ann G.; Anderson, Robert N.; Jemal, Ahmedin; Schymura, Maria J.; Lansdorp-Vogelaar, Iris; Seeff, Laura C.; van Ballegooijen, Marjolein; Goede, S. Luuk; Ries, Lynn A. G.
2009-01-01
Background The American Cancer Society (ACS), the Centers for Disease Control and Prevention (CDC), the National Cancer Institute (NCI), and the North American Association of Central Cancer Registries (NAACCR) collaborate annually to provide updated information about cancer occurrence and trends in the United States (U.S.). This year’s report includes trends in colorectal cancer (CRC) incidence and death rates and highlights use of microsimulation modeling as a tool for interpreting past trends and projecting future trends to assist in cancer control planning and policy decisions. Methods Information on invasive cancers was obtained from the NCI, CDC, and NAACCR, and information on deaths from the CDC’s National Center for Health Statistics. Annual percentage changes in the age-standardized incidence and death rates (2000 U.S. population standard) for all cancers combined and for the top 15 cancers were estimated by joinpoint analysis of long-term (1975–2006) trends and short-term fixed interval (1997–2006) trends. All statistical tests were two-sided. Results Both incidence and death rates from all cancers combined significantly declined (P < .05) in the most recent time period for men and women overall and for most racial and ethnic populations. These decreases were driven largely by declines in both incidence and death rates for the 3 most common cancers in men (i.e., lung and prostate cancers and CRC) and for two of the 3 leading cancers in women (i.e., breast cancer and CRC). The long-term trends for lung cancer mortality in women showed smaller and smaller increases until 2003 when there was a change to a non-significant decline. Microsimulation modeling shows that declines in CRC death rates are consistent with a relatively large contribution from screening and with a smaller but demonstrable impact of risk factor reductions and improved treatments. These declines are projected to continue if risk factor modification, screening, and treatment remain at current rates, but could be further accelerated with favorable trends in risk factors and higher utilization of screening and optimal treatment. Conclusions Although the decrease in overall cancer incidence and death rates is encouraging, rising incidence and mortality for some cancers are of concern. PMID:19998273
Bishai, David; Opuni, Marjorie
2009-01-01
Background Time trends in infant mortality for the 20th century show a curvilinear pattern that most demographers have assumed to be approximately exponential. Virtually all cross-country comparisons and time series analyses of infant mortality have studied the logarithm of infant mortality to account for the curvilinear time trend. However, there is no evidence that the log transform is the best fit for infant mortality time trends. Methods We use maximum likelihood methods to determine the best transformation to fit time trends in infant mortality reduction in the 20th century and to assess the importance of the proper transformation in identifying the relationship between infant mortality and gross domestic product (GDP) per capita. We apply the Box Cox transform to infant mortality rate (IMR) time series from 18 countries to identify the best fitting value of lambda for each country and for the pooled sample. For each country, we test the value of λ against the null that λ = 0 (logarithmic model) and against the null that λ = 1 (linear model). We then demonstrate the importance of selecting the proper transformation by comparing regressions of ln(IMR) on same year GDP per capita against Box Cox transformed models. Results Based on chi-squared test statistics, infant mortality decline is best described as an exponential decline only for the United States. For the remaining 17 countries we study, IMR decline is neither best modelled as logarithmic nor as a linear process. Imposing a logarithmic transform on IMR can lead to bias in fitting the relationship between IMR and GDP per capita. Conclusion The assumption that IMR declines are exponential is enshrined in the Preston curve and in nearly all cross-country as well as time series analyses of IMR data since Preston's 1975 paper, but this assumption is seldom correct. Statistical analyses of IMR trends should assess the robustness of findings to transformations other than the log transform. PMID:19698144
Trends in amphibian occupancy in the United States
Adams, Michael J.; Miller, David A.W.; Muths, Erin; Corn, Paul Stephen; Grant, Evan H. Campbell; Bailey, Larissa L.; Fellers, Gary M.; Fisher, Robert N.; Sadinski, Walter J.; Waddle, Hardin; Walls, Susan C.
2013-01-01
Though a third of amphibian species worldwide are thought to be imperiled, existing assessments simply categorize extinction risk, providing little information on the rate of population losses. We conducted the first analysis of the rate of change in the probability that amphibians occupy ponds and other comparable habitat features across the United States. We found that overall occupancy by amphibians declined 3.7% annually from 2002 to 2011. Species that are Red-listed by the International Union for Conservation of Nature (IUCN) declined an average of 11.6% annually. All subsets of data examined had a declining trend including species in the IUCN Least Concern category. This analysis suggests that amphibian declines may be more widespread and severe than previously realized.
Trends in health inequalities in 27 European countries.
Mackenbach, Johan P; Valverde, José Rubio; Artnik, Barbara; Bopp, Matthias; Brønnum-Hansen, Henrik; Deboosere, Patrick; Kalediene, Ramune; Kovács, Katalin; Leinsalu, Mall; Martikainen, Pekka; Menvielle, Gwenn; Regidor, Enrique; Rychtaříková, Jitka; Rodriguez-Sanz, Maica; Vineis, Paolo; White, Chris; Wojtyniak, Bogdan; Hu, Yannan; Nusselder, Wilma J
2018-06-19
Unfavorable health trends among the lowly educated have recently been reported from the United States. We analyzed health trends by education in European countries, paying particular attention to the possibility of recent trend interruptions, including interruptions related to the impact of the 2008 financial crisis. We collected and harmonized data on mortality from ca 1980 to ca 2014 for 17 countries covering 9.8 million deaths and data on self-reported morbidity from ca 2002 to ca 2014 for 27 countries covering 350,000 survey respondents. We used interrupted time-series analyses to study changes over time and country-fixed effects analyses to study the impact of crisis-related economic conditions on health outcomes. Recent trends were more favorable than in previous decades, particularly in Eastern Europe, where mortality started to decline among lowly educated men and where the decline in less-than-good self-assessed health accelerated, resulting in some narrowing of health inequalities. In Western Europe, mortality has continued to decline among the lowly and highly educated, and although the decline of less-than-good self-assessed health slowed in countries severely hit by the financial crisis, this affected lowly and highly educated equally. Crisis-related economic conditions were not associated with widening health inequalities. Our results show that the unfavorable trends observed in the United States are not found in Europe. There has also been no discernible short-term impact of the crisis on health inequalities at the population level. Both findings suggest that European countries have been successful in avoiding an aggravation of health inequalities.
Bedada, Selamawit Yilma; Gallagher, Kathleen; Aregay, Aron Kassahun; Mohammed, Bashir; Maalin, Mohammed Adem; Hassen, Hassen Abdisemed; Ali, Yusuf Mohammed; Braka, Fiona; Kilebou, Pierre M'pele
2017-01-01
Communication is key for the successful implementation of polio vaccination campaigns. The purpose of this study is to review and analyse the sources of information utilized by caregivers during polio supplementary immunization activities (SIAs) in Somali, Ethiopia in 2014 and 2015. Data on sources of information about the polio campaign were collected post campaign from caregivers by trained data collectors as part of house to house independent monitoring. The sources of information analysed in this paper include town criers (via megaphones), health workers, religious leaders, kebele leaders (Kebele is the lowest administrative structure in Ethiopia), radio, television, text message and others. The repetition of these sources of information was analysed across years and zones for trends. Polio vaccination campaign coverage was also reviewed by year and zones within the Somali region in parallel with the major sources of information used in the respective year and zones. 57,745 responses were used for this analysis but the responses were received from < or = 57,745 individuals since some of them may provide more than one response. Moreover, because sampling of households is conducted independently during each round of independent monitoring, the same household may have been included more than once in our analysis. The methodology used for independent monitoring does not allow for the calculation of response rates. Monitors go from house to house until information from 20 households is received. From the total 57,745 responses reviewed, over 37% of respondents reported that town criers were their source for information about the 2014 and 2015 polio SIAs. Zonal trends in using town criers as a major source of information in both study years remained consistent except in two zones. 87.5% of zones that reported at least 90% coverage during both study years had utilized town criers as a major source of information while the rest (12.5%) used health workers. We found that town criers were consistently the major source of information about the polio campaigns for Somali region parents and caregivers during polio immunization days held in 2014 and 2015. Health workers and kebele leaders were also important sources of information about the polio campaign for parents.
Prevalence of Smoking in Movies As Perceived by Teenagers
Choi, Kelvin; Forster, Jean L.; Erickson, Darin J.; Lazovich, DeAnn; Southwell, Brian G.
2011-01-01
Background Smoking in movies is prevalent. However, use of content analysis to describe trends in smoking in movies has provided mixed results and has not tapped what adolescents actually perceive. Purpose To assess the prospective trends in the prevalence of smoking in movies as perceived by teenagers, and identify predictors associated with these trends. Methods Using data from the Minnesota Adolescent Community Cohort Study collected during 2000–2006 when participants were aged between 12 and 18 years (N=4735), latent variable growth models were employed to describe the longitudinal trends in the perceived prevalence of smoking in movies using a 4-level scale (never to most of the time) measured every 6 months, and examined associations between these trends and demographic, smoking-related attitudinal and socio-environmental predictors. Analysis was conducted in 2009. Results At baseline, about 50% of participants reported seeing smoking in movies “some of the time”, and another 36% reported “most of the time”. The prevalence of smoking in movies as perceived by teenagers declined over time, and the decline was steeper in those who were aged 14–16 years than those who were younger at baseline (p≤0.05). Despite the decline, teenagers still reported seeing smoking in movies some of the time. Teenagers who reported more close friends who smoked also reported a higher prevalence of smoking in movies at baseline (regression coefficients: 0.04–0.18, p<0.01). Conclusions Teenagers' perception of the prevalence of smoking in movies declined over time, which may be attributable to changes made by the movie industry. Despite the decline, teenagers were still exposed to a moderate amount of smoking imagery. Interventions that further reduce teenage exposure to smoking in movies may be needed to have an effect on adolescent smoking. PMID:21767724
Trends in job satisfaction among German nurses from 1990 to 2012.
Alameddine, Mohamad; Bauer, Jan Michael; Richter, Martin; Sousa-Poza, Alfonso
2016-04-01
Improving the job satisfaction of nurses is essential to enhance their productivity and retention and to improve patient care. Our aim was to analyse trends in German nurses' job satisfaction to enhance understanding of the nursing labour market and inform future policies. We used 1990-2012 German Socioeconomic Panel data for trends in nurses' job satisfaction. Comparisons were drawn with doctors, other health care workers, and employees in other sectors of employment. Analysis explored associations between job satisfaction trends and other aspects of employment, such as whether full time or part time and pay. To account for fluctuations across the period of analysis, linear trends were generated using ordinary least squares. Over 23 years, job satisfaction of German nurses underwent a steady and gradual decline, dropping by an average 7.5%, whereas that of doctors and other health care workers increased by 14.4% and 1%, respectively. The decline for part-time nurses (13%) was more pronounced than that for full-time nurses (3%). At the same time, nurses' pay rose by only 3.8% compared to a 23.8% increase for doctors. The steady decline in nurses' job satisfaction over the last two decades may be attributable to the multiple reforms and associated policy changes that generally disadvantaged nurses. Contributing factors to job satisfaction decline include lower pay and the demanding and strenuous work environment. Irrespective of the reason, health services researchers, leaders, and policy makers should investigate the reasons for this decline given the forecast growth in work load and complexity of care. Supportive policies for nurses would help enhance the quality and sustainability of German health care. © The Author(s) 2015.
Altukhov, Alexey V.; Andrews, Russel D.; Calkins, Donald G.; Gelatt, Thomas S.; Gurarie, Eliezer D.; Loughlin, Thomas R.; Mamaev, Evgeny G.; Nikulin, Victor S.; Permyakov, Peter A.; Ryazanov, Sergey D.; Vertyankin, Vladimir V.; Burkanov, Vladimir N.
2015-01-01
After a dramatic population decline, Steller sea lions have begun to recover throughout most of their range. However, Steller sea lions in the Western Aleutians and Commander Islands are continuing to decline. Comparing survival rates between regions with different population trends may provide insights into the factors driving the dynamics, but published data on vital rates have been extremely scarce, especially in regions where the populations are still declining. Fortunately, an unprecedented dataset of marked Steller sea lions at rookeries in the Russian Far East is available, allowing us to determine age and sex specific survival in sea lions up to 22 years old. We focused on survival rates in three areas in the Russian range with differing population trends: the Commander Islands (Medny Island rookery), Eastern Kamchatka (Kozlov Cape rookery) and the Kuril Islands (four rookeries). Survival rates differed between these three regions, though not necessarily as predicted by population trends. Pup survival was higher where the populations were declining (Medny Island) or not recovering (Kozlov Cape) than in all Kuril Island rookeries. The lowest adult (> 3 years old) female survival was found on Medny Island and this may be responsible for the continued population decline there. However, the highest adult survival was found at Kozlov Cape, not in the Kuril Islands where the population is increasing, so we suggest that differences in birth rates might be an important driver of these divergent population trends. High pup survival on the Commander Islands and Kamchatka Coast may be a consequence of less frequent (e.g. biennial) reproduction there, which may permit females that skip birth years to invest more in their offspring, leading to higher pup survival, but this hypothesis awaits measurement of birth rates in these areas. PMID:26016772
Petrovan, Silviu O; Schmidt, Benedikt R
2016-01-01
Rare and threatened species are the most frequent focus of conservation science and action. With the ongoing shift from single-species conservation towards the preservation of ecosystem services, there is a greater need to understand abundance trends of common species because declines in common species can disproportionately impact ecosystems function. We used volunteer-collected data in two European countries, the United Kingdom (UK) and Switzerland, since the 1970s to assess national and regional trends for one of Europe's most abundant amphibian species, the common toad (Bufo bufo). Millions of toads were moved by volunteers across roads during this period in an effort to protect them from road traffic. For Switzerland, we additionally estimated trends for the common frog (Rana temporaria), a similarly widespread and common amphibian species. We used state-space models to account for variability in detection and effort and included only populations with at least 5 years of data; 153 populations for the UK and 141 for Switzerland. Common toads declined continuously in each decade in both countries since the 1980s. Given the declines, this common species almost qualifies for International Union for the Conservation of Nature (IUCN) red-listing over this period despite volunteer conservation efforts. Reasons for the declines and wider impacts remain unknown. By contrast, common frog populations were stable or increasing in Switzerland, although there was evidence of declines after 2003. "Toads on Roads" schemes are vital citizen conservation action projects, and the data from such projects can be used for large scale trend estimations of widespread amphibians. We highlight the need for increased research into the status of common amphibian species in addition to conservation efforts focusing on rare and threatened species.
Trends in preterm birth and perinatal mortality among singletons: United States, 1989 through 2000.
Ananth, Cande V; Joseph, K S; Oyelese, Yinka; Demissie, Kitaw; Vintzileos, Anthony M
2005-05-01
Despite the recent increase in preterm birth in the United States, trends in preterm birth subtypes have not been adequately examined. We examined trends in preterm birth among singletons following ruptured membranes, medical indications, and spontaneous preterm birth and evaluated the impact of these trends on perinatal mortality. A population-based, retrospective cohort study comprising 46,375,578 women (16% blacks) who delivered singleton births in the United States, 1989 through 2000, was performed. Rates of preterm birth (< 37 weeks), their subtypes, and associated perinatal mortality (stillbirths at >/= 22 weeks plus neonatal deaths within 28 days), before and after adjustment for potential confounders, were derived from ecological logistic regression models. Preterm birth rates increased by 14% (95% confidence interval 13-15%) among whites from 8.3% to 9.4% and decreased by 15% (95% confidence interval 14-16%) among blacks from 18.5% to 16.2% between 1989 and 2000. Among whites, preterm birth following ruptured membranes declined by 23%, medically indicated preterm birth increased by 55%, and spontaneous preterm birth increased by 3%. Among blacks, preterm birth following ruptured membranes declined by 37%, medically indicated preterm birth increased by 32%, and spontaneous preterm birth decreased by 27%. The largest decline in perinatal mortality among whites was associated with increases in medically indicated preterm birth, whereas the largest decline in perinatal mortality among blacks was associated with declines in preterm birth following ruptured membranes and spontaneous preterm birth. Temporal trends in preterm birth varied substantially based on underlying subtype and maternal race. The recent increase in medically indicated preterm birth was associated with a favorable reduction in perinatal mortality.
[Ethiopia in Israel--an ethnopharmacological study of Ethiopian immigrants in Israel].
Danino, Dikla; Amar, Zohar
2008-07-01
There is a large Ethiopian community in Israel which preserves its unique culture and customs. Many of the members of this community still use traditional methods of healing, such as blood-letting, burns, tattooing, amulets, healing water, incense and various medicinal herbs that are prescribed based on the diagnosis of the disease. This study deals with documenting the use of the medicinal drugs implemented by the Ethiopian community in Israel, which is a rapidly vanishing world. The study is based on interviews with hundreds of informants, among them traditional healers, and it surveyed some fifty shops which sell Ethiopian medicinal drugs and spices. The survey brought to light a list of medical materials which are found in the Ethiopian markets in Israel including 89 kinds of plants (some 85%); 6 different minerals (some 6%); 5 types of animals (some 4.5%); and 5 substances of various origins (some 4.5%). Most of the drugs are imported from Ethiopia to Israel, since they are endemic. There are also other medicinal drugs that are gathered in the field in Israel or brought through personal import; in total, our estimate is that there are approximately 150 different kinds of medicinal drugs in use in Israel. This is a relatively small number when compared to the inventory of drugs in the land of origin, Ethiopia. The decline in the use of traditional drugs, due to limited availability and processes of modernization in the Ethiopian community in Israel, heightens the importance of a study that documents this unique culture. The study is also of assistance to the modern medical authorities in order to better understand and become more familiar with the Ethiopian community and with its needs and special practices, in terms of both prevention and treatment.
Feleke, Fikeremaryam Birara; Berhe, Melaku; Gebru, Getachew; Hoag, Dana
2016-01-01
The livestock sector serves as a foremost source of revenue for rural people, particularly in many developing countries. Among the livestock species, sheep and goats are the main source of livelihood for rural people in Ethiopia; they can quickly multiply, resilient and are easily convertible to cash to meet financial needs of the rural producers. The multiple contributions of sheep and goat and other livestock to rural farmers are however being challenged by climate change and variability. Farmers are responding to the impacts of climate change by adopting different mechanisms, where choices are largely dependent on many factors. This study, therefore, aims to analyze the determinants of choices of adaptation practices to climate change that causes scarcity of feed, heat stress, shortage of water and pasture on sheep and goat production. The study used 318 sample households drawn from potential livestock producing districts representing 3 agro-ecological settings. Data was analyzed using simple descriptive statistical tools, a multivariate probit model and Ordinary Least Squares (OLS). Most of the respondents (98.6 %) noted that climate is changing. Respondents' perception is that climate change is expressed through increased temperature (88 %) and decline in rainfall (73 %) over the last 10 years. The most commonly used adaptation strategy was marketing during forage shock (96.5 %), followed by home feeding (89.6 %). The estimation from the multivariate probit model showed that access to information, farming experience, number of households in one village, distance to main market, income of household, and agro-ecological settings influenced farmers' adaptation choices to climate change. Furthermore, OLS revealed that the adaptation strategies had positive influence on the household income.
Vital Signs: Recent Trends in Stroke Death Rates - United States, 2000-2015.
Yang, Quanhe; Tong, Xin; Schieb, Linda; Vaughan, Adam; Gillespie, Cathleen; Wiltz, Jennifer L; King, Sallyann Coleman; Odom, Erika; Merritt, Robert; Hong, Yuling; George, Mary G
2017-09-08
The prominent decline in U.S. stroke death rates observed for more than 4 decades has slowed in recent years. CDC examined trends and patterns in recent stroke death rates among U.S. adults aged ≥35 years by age, sex, race/ethnicity, state, and census region. Trends in the rates of stroke as the underlying cause of death during 2000-2015 were analyzed using data from the National Vital Statistics System. Joinpoint software was used to identify trends in stroke death rates, and the excess number of stroke deaths resulting from unfavorable changes in trends was estimated. Among adults aged ≥35 years, age-standardized stroke death rates declined 38%, from 118.4 per 100,000 persons in 2000 to 73.3 per 100,000 persons in 2015. The annual percent change (APC) in stroke death rates changed from 2000 to 2015, from a 3.4% decrease per year during 2000-2003, to a 6.6% decrease per year during 2003-2006, a 3.1% decrease per year during 2006-2013, and a 2.5% (nonsignificant) increase per year during 2013-2015. The last trend segment indicated a reversal from a decrease to a statistically significant increase among Hispanics (APC = 5.8%) and among persons in the South Census Region (APC = 4.2%). Declines in stroke death rates failed to continue in 38 states, and during 2013-2015, an estimated 32,593 excess stroke deaths might not have occurred if the previous rate of decline could have been sustained. Prior declines in stroke death rates have not continued in recent years, and substantial variations exist in timing and magnitude of change by demographic and geographic characteristics. These findings suggest the importance of strategically identifying opportunities for prevention and intervening in vulnerable populations, especially because effective and underused interventions to prevent stroke incidence and death are known to exist.
Vital Signs: Recent Trends in Stroke Death Rates — United States, 2000–2015
Tong, Xin; Schieb, Linda; Vaughan, Adam; Gillespie, Cathleen; Wiltz, Jennifer L.; King, Sallyann Coleman; Odom, Erika; Merritt, Robert; Hong, Yuling; George, Mary G.
2017-01-01
Introduction The prominent decline in U.S. stroke death rates observed for more than 4 decades has slowed in recent years. CDC examined trends and patterns in recent stroke death rates among U.S. adults aged ≥35 years by age, sex, race/ethnicity, state, and census region. Methods Trends in the rates of stroke as the underlying cause of death during 2000–2015 were analyzed using data from the National Vital Statistics System. Joinpoint software was used to identify trends in stroke death rates, and the excess number of stroke deaths resulting from unfavorable changes in trends was estimated. Results Among adults aged ≥35 years, age-standardized stroke death rates declined 38%, from 118.4 per 100,000 persons in 2000 to 73.3 per 100,000 persons in 2015. The annual percent change (APC) in stroke death rates changed from 2000 to 2015, from a 3.4% decrease per year during 2000–2003, to a 6.6% decrease per year during 2003–2006, a 3.1% decrease per year during 2006–2013, and a 2.5% (nonsignificant) increase per year during 2013–2015. The last trend segment indicated a reversal from a decrease to a statistically significant increase among Hispanics (APC = 5.8%) and among persons in the South Census Region (APC = 4.2%). Declines in stroke death rates failed to continue in 38 states, and during 2013–2015, an estimated 32,593 excess stroke deaths might not have occurred if the previous rate of decline could have been sustained. Conclusions and Implications for Public Health Practice Prior declines in stroke death rates have not continued in recent years, and substantial variations exist in timing and magnitude of change by demographic and geographic characteristics. These findings suggest the importance of strategically identifying opportunities for prevention and intervening in vulnerable populations, especially because effective and underused interventions to prevent stroke incidence and death are known to exist. PMID:28880858
Prevalence of smoking in movies as perceived by teenagers longitudinal trends and predictors.
Choi, Kelvin; Forster, Jean L; Erickson, Darin J; Lazovich, Deann; Southwell, Brian G
2011-08-01
Smoking in movies is prevalent. However, use of content analysis to describe trends in smoking in movies has provided mixed results and has not tapped what adolescents actually perceive. To assess the prospective trends in the prevalence of smoking in movies as perceived by teenagers and identify predictors associated with these trends. Using data from the Minnesota Adolescent Community Cohort Study collected during 2000-2006 when participants were aged between 12 and 18 years (N=4735), latent variable growth models were employed to describe the longitudinal trends in the perceived prevalence of smoking in movies using a four-level scale (never to most of the time) measured every 6 months, and examined associations between these trends and demographic, smoking-related attitudinal and socio-environmental predictors. Analysis was conducted in 2009. At baseline, about 50% of participants reported seeing smoking in movies some of the time, and another 36% reported most of the time. The prevalence of smoking in movies as perceived by teenagers declined over time, and the decline was steeper in those who were aged 14-16 years than those who were younger at baseline (p≤0.05). Despite the decline, teenagers still reported seeing smoking in movies some of the time. Teenagers who reported more close friends who smoked also reported a higher prevalence of smoking in movies at baseline (regression coefficients=0.04-0.18, p<0.01). Teenagers' perception of the prevalence of smoking in movies declined over time, which may be attributable to changes made by the movie industry. Despite the decline, teenagers were still exposed to a moderate amount of smoking imagery. Interventions that further reduce teenage exposure to smoking in movies may be needed to have an effect on adolescent smoking. Copyright © 2011 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
The contributions of risk factor trends and medical care to cardiovascular mortality trends
Ezzati, Majid; Obermeyer, Ziad; Tzoulaki, Ioanna; Mayosi, Bongani M; Elliott, Paul; Leon, David A
2016-01-01
Ischaemic heart disease, stroke, and other cardiovascular diseases (CVDs) are responsible for an estimated 17.5 million annual deaths in the world. If account is taken of population aging, death rates from CVDs are estimated to be steadily decreasing in the world as a whole, and in regions with reliable trend data. The declines in high-income countries and some countries in Latin America have been ongoing for decades with no indication of slowing. In high-income countries, these positive trends have broadly coincided with, and benefited from, declines in smoking and physiological risk factors like blood pressure and serum cholesterol. Improvements in medical care, including effective primary prevention through management of physiological risk factors, better diagnosis and treatment of acute CVDs, and post-hospital care of those with prior CVDs, are also likely to have contributed to declining CVD event and death rates, especially in the past 40 years. However, the measured risk factor and treatment variables neither explain why the decline began when it did, nor much of the similarities and differences in the start time and rate of the decline across countries or between men and women. There have been sharp changes and fluctuations in CVDs in the former communist countries of Europe and the Soviet Union since the fall of communism in the early 1990s, with changes in volume and patterns of alcohol drinking, as a major cause of the rise in Russia and some other former Soviet countries. The challenge of reaching more definitive conclusions concerning the drivers of what constitutes one of the most remarkable international trends in adult mortality in the past half-century in part reflects the paucity of time trend data not only on disease incidence, risk factors, and clinical care, but also on other potential drivers, including infection and associated inflammatory processes throughout the lifecourse. PMID:26076950
Nowossadeck, Enno; Prütz, Franziska
2018-03-01
Population aging and population decline in many regions of the Federal Republic of Germany are key elements of demographic change. In the regions concerned there is a rising number of older people and, simultaneously, a declining population. So far, the consequences of regional shrinkage and growth for inpatient care don't seem to have been analysed very well. This paper analyses the influence of population aging and declining/increasing population (demographic factors) as well as other, non-demographic factors on the number of hospitalizations in Germany and the Federal States since 2000.One result of the analysis is that there are major differences between the Federal States. The analysis shows, for example, an increase of hospitalizations in Berlin while in Saxony-Anhalt the number of hospitalizations declines. The increase in Berlin was the result of population aging and, to a lower extent, an increase in population. In Saxony-Anhalt the declining population resulted in a decreasing number of hospitalizations. Population aging and non-demographic factors were not able to compensate this trend.Overall, the effect of demographic factors on the number of hospitalizations remains constant over time. Short-term changes of hospitalizations are due to non-demographic factors, such as epidemiological trends, (for example trends of incidence or prevalence), or structural changes of health care service (for example patients shifting between different sectors of health care or the introduction of new reimbursement systems).
Declining death rates from hyperglycemic crisis among adults with diabetes, U.S., 1985-2002.
Wang, Jing; Williams, Desmond E; Narayan, K M Venkat; Geiss, Linda S
2006-09-01
To examine trends in death rates for hyperglycemic crisis (diabetic ketoacidosis or hyperglycemic hyperosmolar state) among adults with diabetes in the U.S. from 1985 to 2002. Deaths with hyperglycemic crisis as the underlying cause were identified from national mortality data. Death rates were calculated using estimates of adults with diabetes from the National Health Interview Survey as the denominator and age adjusted to the 2000 U.S. population. The trends from 1985 to 2002 were tested using joinpoint regression analysis. Deaths due to hyperglycemic crisis dropped from 2,989 in 1985 to 2,459 in 2002. During the time period, age-adjusted death rates decreased from 42.4 to 23.8 per 100,000 adults with diabetes (4.4% decrease per year, P for trend <0.01). Death rates declined in all age-groups, with the greatest decrease occurring among individuals aged > or =65 years. Age-adjusted death rates fell for all race-sex subgroups, with black men experiencing the smallest decline. About one-fifth of deaths occurred at home or on arrival at the hospital, and the death rates for hyperglycemic crisis occurring at these places declined only modestly over time (2.1% decrease per year, P for trend = 0.049). Overall death rates due to hyperglycemic crisis among adults with diabetes have declined in the U.S. However, scope for further improvement remains, especially to further reduce death rates among black men and to prevent deaths occurring at home.
Trends in rates of occupational fatal injuries in the United States (1983-92).
Bailer, A J; Stayner, L T; Stout, N A; Reed, L D; Gilbert, S J
1998-07-01
An updated version of a national surveillance system of traumatic occupational fatalities was used to explore adjusted and unadjusted trends in rates of fatal injury. Data from the national traumatic occupational fatalities surveillance system were combined with data on employment from the United States Bureau of Labor Statistics. Poisson regression was then used to examine trends in rates of occupational fatality injuries while controlling for demographic and workplace characteristics. Adjusted annual changes in rates of fatal injuries ranged from a decline of 6.2% for workers in technical and administrative support occupations--for example, health, science, and engineering technicians, pilots, computer programmers--to an increase of 1.6% in machine operators, assemblers, and inspectors. For industries, annual changes ranged from a decline of 5.3% for workers in public administration--for example, justice, public order, and safety workers--to an increase of 2.6% for workers in the wholesale trade. By comparison, the annual decline over all industries and occupations was 3.1%. In many industries and occupations, an effect modification of annual trends by the age of the worker was also found with the oldest workers experiencing either no decline or a significant increase in rates of fatal injuries. This general pattern of decline, adjusted for the effects of demographic characteristics of the worker population, is encouraging; however, increases in rates of fatal injuries found in particular industries and occupations, suggest appropriate targets for increased injury prevention efforts.
Trends in rates of occupational fatal injuries in the United States (1983-92)
Bailer, A. J.; Stayner, L. T.; Stout, N. A.; Reed, L. D.; Gilbert, S. J.
1998-01-01
OBJECTIVES: An updated version of a national surveillance system of traumatic occupational fatalities was used to explore adjusted and unadjusted trends in rates of fatal injury. METHODS: Data from the national traumatic occupational fatalities surveillance system were combined with data on employment from the United States Bureau of Labor Statistics. Poisson regression was then used to examine trends in rates of occupational fatality injuries while controlling for demographic and workplace characteristics. RESULTS: Adjusted annual changes in rates of fatal injuries ranged from a decline of 6.2% for workers in technical and administrative support occupations--for example, health, science, and engineering technicians, pilots, computer programmers--to an increase of 1.6% in machine operators, assemblers, and inspectors. For industries, annual changes ranged from a decline of 5.3% for workers in public administration--for example, justice, public order, and safety workers--to an increase of 2.6% for workers in the wholesale trade. By comparison, the annual decline over all industries and occupations was 3.1%. In many industries and occupations, an effect modification of annual trends by the age of the worker was also found with the oldest workers experiencing either no decline or a significant increase in rates of fatal injuries. CONCLUSIONS: This general pattern of decline, adjusted for the effects of demographic characteristics of the worker population, is encouraging; however, increases in rates of fatal injuries found in particular industries and occupations, suggest appropriate targets for increased injury prevention efforts. PMID:9816383
Hall, Lenwood W; Anderson, Ronald D; Killen, William D
2016-02-01
The objective of this study was to assess temporal and spatial trends for eight pyrethroids monitored in sediment spanning 10 years from 2006 to 2015 in a residential stream in California (Pleasant Grove Creek). The timeframe for this study included sampling 3 years during a somewhat normal non-drought period (2006-2008) and 3 years during a severe drought period (2013-2015). Regression analysis of pyrethroid concentrations in Pleasant Grove Creek for 2006, 2007, 2008, 2012, 2013, 2014, and 2015 using ½ the detection limit for nondetected concentrations showed statistically significant declining trends for cyfluthrin, cypermethrin, deltamethrin, permethrin, and total pyrethoids. Additional trends analysis of the Pleasant Grove Creek pyrethroid data using only measured concentrations, without nondetected values, showed similar statistically significant declining trends for cyfluthrin, cypermethrin, deltamethrin, esfenvalerate, fenpropathrin, permethrin, and total pyrethroids. Spatial trends analysis for the specific creek sites showed that six of the eight pyrethroids had a greater number of sites with statistically significant declining concentrations. Possible reasons for reduced pyrethroid concentrations in the stream bed in Pleasant Grove Creek during this 10-year period are label changes in 2012 that reduced residential use and lack of precipitation during the later severe drought years of 2013-2015.
Cohen, Ted; Jenkins, Helen E.; Lu, Chunling; McLaughlin, Megan; Floyd, Katherine; Zignol, Matteo
2015-01-01
SUMMARY Background Multidrug resistant tuberculosis (MDR-TB) poses serious challenges for tuberculosis control in many settings, but trends of MDR-TB have been difficult to measure. Methods We analyzed surveillance and population-representative survey data collected worldwide by the World Health Organization between 1993 and 2012. We examined setting-specific patterns associated with linear trends in the estimated per capita rate of MDR-TB among new notified TB cases to generate hypotheses about factors associated with trends in the transmission of highly drug resistant tuberculosis. Results 59 countries and 39 sub-national settings had at least three years of data, but less than 10% of the population in the WHO-designated 27-high MDR-TB burden settings were in areas with sufficient data to track trends. Among settings in which the majority of MDR-TB was autochthonous, we found 10 settings with statistically significant linear trends in per capita rates of MDR-TB among new notified TB cases. Five of these settings had declining trends (Estonia, Latvia, Macao, Hong Kong, and Portugal) ranging from decreases of 3-14% annually, while five had increasing trends (four individual oblasts of the Russian Federation and Botswana) ranging from 14-20% annually. In unadjusted analysis, better surveillance indicators and higher GDP per capita were associated with declining MDR-TB, while a higher existing absolute burden of MDR-TB was associated with an increasing trend. Conclusions Only a small fraction of countries in which the burden of MDR-TB is concentrated currently have sufficient surveillance data to estimate trends in drug-resistant TB. Where trend analysis was possible, smaller absolute burdens of MDR-TB and more robust surveillance systems were associated with declining per capita rates of MDR-TB among new notified cases. PMID:25458783
Long-term trends in midwestern milkweed abundances and their relevance to monarch butterfly declines
Zaya, David N.; Pearse, Ian; Spyreas, Gregory
2017-01-01
Declines in monarch butterfly populations have prompted investigation into the sensitivity of their milkweed host plants to land-use change. Documented declines in milkweed abundance in croplands have spurred efforts to promote milkweeds in other habitats. Nevertheless, our current understanding of milkweed populations is poor. We used a long-term plant survey from Illinois to evaluate whether trends in milkweed abundance have caused monarch decline and to highlight the habitat-management practices that promote milkweeds. Milkweed abundance in natural areas has not declined precipitously, although when croplands are considered, changes in agricultural weed management have led to a 68% loss of milkweed available for monarchs across the region. Midsuccessional plant communities with few invasive species provide optimal milkweed habitat. The augmentation of natural areas and the management of existing grasslands, such as less frequent mowing and woody- and exotic-species control, may replace some of the milkweed that has been lost from croplands.
Setegn, Tesfaye; Lakew, Yihunie; Deribe, Kebede
2016-01-01
Background Female genital mutilation (FGM) is a common traditional practice in developing nations including Ethiopia. It poses complex and serious long-term health risks for women and girls and can lead to death. In Ethiopia, the geographic distribution and factors associated with FGM practices are poorly understood. Therefore, we assessed the spatial distribution and factors associated with FGM among reproductive age women in the country. Method We used population based national representative surveys. Data from two (2000 and 2005) Ethiopian demographic and health surveys (EDHS) were used in this analysis. Briefly, EDHS used a stratified, two-stage cluster sampling design. A total of 15,367 (from EDHS 2000) and 14,070 (from EDHS 2005) women of reproductive age (15–49 years) were included in the analysis. Three outcome variables were used (prevalence of FGM among women, prevalence of FGM among daughters and support for the continuation of FGM). The data were weighted and descriptive statistics (percentage change), bivariate and multivariable logistic regression analyses were carried out. Multicollinearity of variables was assessed using variance inflation factors (VIF) with a reference value of 10 before interpreting the final output. The geographic variation and clustering of weighted FGM prevalence were analyzed and visualized on maps using ArcGIS. Z-scores were used to assess the statistical difference of geographic clustering of FGM prevalence spots. Result The trend of FGM weighted prevalence has been decreasing. Being wealthy, Muslim and in higher age categories are associated with increased odds of FGM among women. Similarly, daughters from Muslim women have increased odds of experiencing FGM. Women in the higher age categories have increased odds of having daughters who experience FGM. The odds of FGM among daughters decrease with increased maternal education. Mass media exposure, being wealthy and higher paternal and maternal education are associated with decreased odds of women’s support of FGM continuation. FGM prevalence and geographic clustering showed variation across regions in Ethiopia. Conclusion Individual, economic, socio-demographic, religious and cultural factors played major roles in the existing practice and continuation of FGM. The significant geographic clustering of FGM was observed across regions in Ethiopia. Therefore, targeted and integrated interventions involving religious leaders in high FGM prevalence spot clusters and addressing the socio-economic and geographic inequalities are recommended to eliminate FGM. PMID:26741488
Setegn, Tesfaye; Lakew, Yihunie; Deribe, Kebede
2016-01-01
Female genital mutilation (FGM) is a common traditional practice in developing nations including Ethiopia. It poses complex and serious long-term health risks for women and girls and can lead to death. In Ethiopia, the geographic distribution and factors associated with FGM practices are poorly understood. Therefore, we assessed the spatial distribution and factors associated with FGM among reproductive age women in the country. We used population based national representative surveys. Data from two (2000 and 2005) Ethiopian demographic and health surveys (EDHS) were used in this analysis. Briefly, EDHS used a stratified, two-stage cluster sampling design. A total of 15,367 (from EDHS 2000) and 14,070 (from EDHS 2005) women of reproductive age (15-49 years) were included in the analysis. Three outcome variables were used (prevalence of FGM among women, prevalence of FGM among daughters and support for the continuation of FGM). The data were weighted and descriptive statistics (percentage change), bivariate and multivariable logistic regression analyses were carried out. Multicollinearity of variables was assessed using variance inflation factors (VIF) with a reference value of 10 before interpreting the final output. The geographic variation and clustering of weighted FGM prevalence were analyzed and visualized on maps using ArcGIS. Z-scores were used to assess the statistical difference of geographic clustering of FGM prevalence spots. The trend of FGM weighted prevalence has been decreasing. Being wealthy, Muslim and in higher age categories are associated with increased odds of FGM among women. Similarly, daughters from Muslim women have increased odds of experiencing FGM. Women in the higher age categories have increased odds of having daughters who experience FGM. The odds of FGM among daughters decrease with increased maternal education. Mass media exposure, being wealthy and higher paternal and maternal education are associated with decreased odds of women's support of FGM continuation. FGM prevalence and geographic clustering showed variation across regions in Ethiopia. Individual, economic, socio-demographic, religious and cultural factors played major roles in the existing practice and continuation of FGM. The significant geographic clustering of FGM was observed across regions in Ethiopia. Therefore, targeted and integrated interventions involving religious leaders in high FGM prevalence spot clusters and addressing the socio-economic and geographic inequalities are recommended to eliminate FGM.
Vistnes, Jessica; Zawacki, Alice; Simon, Kosali; Taylor, Amy
2012-01-01
Objective To examine trends in employer-sponsored health insurance coverage rates and its associated components between 2000 and 2008, to provide a baseline for later evaluations of the Affordable Care Act, and to provide information to policy makers as they design the implementation details of the law. Data Sources Private sector employer data from the 2000, 2001, and 2008 Medical Expenditure Panel Survey-Insurance Component (MEPS-IC). Study Design We examine time trends in employer offer, eligibility, and take-up rates. We add a new dimension to the literature by examining dependent coverage and decomposing its trends. We investigate heterogeneity in trends by firm size. Data Collection The MEPS-IC is an annual survey, sponsored by the Agency for Healthcare Research and Quality and conducted by the U.S. Census Bureau. The MEPS-IC obtains information on establishment characteristics, whether an establishment offers health insurance, and details on up to four plans. Principal Findings We find that coverage rates for workers declined in both small and large firms. In small firms, coverage declined due to a drop in both offer and take-up rates. In the largest firms, offer rates were stable and the decline was due to falling take-up rates. In addition, enrollment shifted toward single coverage and away from dependent coverage in both small and large firms. For small firms, this shift was due to declining offer and take-up rates for dependent coverage. In large firms, offers of dependent coverage were stable but take-up rates dropped. Within the category of dependent coverage, the availability of employee-plus-one plans increased in all firm size categories, but take-up rates for these plans declined in small firms. PMID:22250730
Gunnell, David; Middleton, Nicos; Whitley, Elise; Dorling, Daniel; Frankel, Stephen
2003-08-01
Suicide rates doubled in males aged <45 in England and Wales between 1950 and 1998, in contrast rates declined in older males and females of all ages. Explanations for these divergent trends are largely speculative, but social changes are likely to have played an important role. We undertook a time-series analysis using routinely available age- and sex-specific suicide, social, economic and health data, focussing on the two age groups in which trends have diverged most-25-34 and 60+ year olds. Between 1950 and 1998 there were unfavourable trends in many of the risk factors for suicide: rises in divorce, unemployment and substance misuse and declines in births and marriage. Whilst economic prosperity has increased, so too has income inequality. Trends in suicide risk factors were generally similar in both age-sex groups, although the rises in divorce and markers of substance misuse were most marked in 25-34 year olds and young males experienced the lowest rise in antidepressant prescribing. Statistical modelling indicates that no single factor can be identified as underlying recent trends. The factors most consistently associated with the rises in young male suicide are increases in divorce, declines in marriage and increases in income inequality. These changes have had little effect on suicide in young females. This may be because the drugs commonly used in overdose-their favoured method of suicide-have become less toxic or because they are less affected by the factors underlying the rise in male suicide. In older people declines in suicide were associated with increases in gross domestic product, the size of the female workforce, marriage and the prescribing of antidepressants. Recent population trends in suicide appear to be associated with by a range of social and health related factors. It is possible that some of the patterns observed are due to declining levels of social integration, but such effects do not appear to have adversely influenced patterns in older generations.
Ecological Change Drives a Decline in Mercury Concentrations in Southern Beaufort Sea Polar Bears.
McKinney, Melissa A; Atwood, Todd C; Pedro, Sara; Peacock, Elizabeth
2017-07-18
We evaluated total mercury (THg) concentrations and trends in polar bears from the southern Beaufort Sea subpopulation from 2004 to 2011. Hair THg concentrations ranged widely among individuals from 0.6 to 13.3 μg g -1 dry weight (mean: 3.5 ± 0.2 μg g -1 ). Concentrations differed among sex and age classes: solitary adult females ≈ adult females with cubs ≈ subadults > adult males ≈ yearlings > cubs-of-the-year ≈ 2 year old dependent cubs. No variation was observed between spring and fall samples. For spring-sampled adults, THg concentrations declined by 13% per year, contrasting recent trends observed for other Western Hemispheric Arctic biota. Concentrations also declined by 15% per year considering adult males only, while a slower, nonsignificant decrease of 4.4% per year was found for adult females. Lower THg concentrations were associated with higher body mass index (BMI) and higher proportions of lower trophic position food resources consumed. Because BMI and diet were related, and the relationship to THg was strongest for BMI, trends were re-evaluated adjusting for BMI as the covariate. The adjusted annual decline was not significant. These findings indicate that changes in foraging ecology, not declining environmental concentrations of mercury, are driving short-term declines in THg concentrations in southern Beaufort Sea polar bears.
Ecological change drives a decline in mercury concentrations in southern Beaufort Sea polar bears
McKinney, Melissa A.; Atwood, Todd C.; Pedro, Sara; Peacock, Elizabeth
2017-01-01
We evaluated total mercury (THg) concentrations and trends in polar bears from the southern Beaufort Sea subpopulation from 2004 to 2011. Hair THg concentrations ranged widely among individuals from 0.6 to 13.3 μg g–1 dry weight (mean: 3.5 ± 0.2 μg g–1). Concentrations differed among sex and age classes: solitary adult females ≈ adult females with cubs ≈ subadults > adult males ≈ yearlings > cubs-of-the-year ≈ 2 year old dependent cubs. No variation was observed between spring and fall samples. For spring-sampled adults, THg concentrations declined by 13% per year, contrasting recent trends observed for other Western Hemispheric Arctic biota. Concentrations also declined by 15% per year considering adult males only, while a slower, nonsignificant decrease of 4.4% per year was found for adult females. Lower THg concentrations were associated with higher body mass index (BMI) and higher proportions of lower trophic position food resources consumed. Because BMI and diet were related, and the relationship to THg was strongest for BMI, trends were re-evaluated adjusting for BMI as the covariate. The adjusted annual decline was not significant. These findings indicate that changes in foraging ecology, not declining environmental concentrations of mercury, are driving short-term declines in THg concentrations in southern Beaufort Sea polar bears.
Cooper, R; Cutler, J; Desvigne-Nickens, P; Fortmann, S P; Friedman, L; Havlik, R; Hogelin, G; Marler, J; McGovern, P; Morosco, G; Mosca, L; Pearson, T; Stamler, J; Stryer, D; Thom, T
2000-12-19
A workshop was held September 27 through 29, 1999, to address issues relating to national trends in mortality and morbidity from cardiovascular diseases; the apparent slowing of declines in mortality from cardiovascular diseases; levels and trends in risk factors for cardiovascular diseases; disparities in cardiovascular diseases by race/ethnicity, socioeconomic status, and geography; trends in cardiovascular disease preventive and treatment services; and strategies for efforts to reduce cardiovascular diseases overall and to reduce disparities among subpopulations. The conference concluded that coronary heart disease mortality is still declining in the United States as a whole, although perhaps at a slower rate than in the 1980s; that stroke mortality rates have declined little, if at all, since 1990; and that there are striking differences in cardiovascular death rates by race/ethnicity, socioeconomic status, and geography. Trends in risk factors are consistent with a slowing of the decline in mortality; there has been little recent progress in risk factors such as smoking, physical inactivity, and hypertension control. There are increasing levels of obesity and type 2 diabetes, with major differences among subpopulations. There is considerable activity in population-wide prevention, primary prevention for higher risk people, and secondary prevention, but wide disparities exist among groups on the basis of socioeconomic status and geography, pointing to major gaps in efforts to use available, proven approaches to control cardiovascular diseases. Recommendations for strategies to attain the year 2010 health objectives were made.
Regional trends in aquatic recovery from acidification in North America and Europe
Stoddard, J.L.; Jeffries, D.S.; Lukewille, A.; Clair, T.A.; Dillon, P.J.; Driscoll, C.T.; Forsius, M.; Johannessen, M.; Kahl, J.S.; Kellogg, J.H.; Kemp, A.; Mannlo, J.; Monteith, D.T.; Murdoch, Peter S.; Patrick, S.; Rebsdorl, A.; Skjelkvale, B.L.; Stainton, M.P.; Traaen, T.; Van Dam, H.; Webster, K.E.; Wleting, J.; Wllander, A.
1999-01-01
Rates of acidic deposition from the atmosphere ('acid rain') have decreased throughout the 1980s and 1990s across large portions of North America and Europe. Many recent studies have attributed observed reversals in surface-water acidification at national and regional scales to the declining deposition. To test whether emissions regulations have led to widespread recovery in surface-water chemistry, we analysed regional trends between 1980 and 1995 in indicators of acidification (sulphate, nitrate and base-cation concentrations, and measured (Gran) alkalinity) for 205 lakes and streams in eight regions of North America and Europe. Dramatic differences in trend direction and strength for the two decades are apparent. In concordance with general temporal trends in acidic deposition, lake and stream sulphate concentrations decreased in all regions with the exception of Great Britain all but one of these regions exhibited stronger downward trends in the 1990s than in the 1980s. In contrast, regional declines in lake and stream nitrate concentrations were rare and, when detected, were very small. Recovery in alkalinity, expected wherever strong regional declines in sulphate concentrations have occurred, was observed in all regions of Europe, especially in the 1990s, but in only one region (of five) in North America. We attribute the lack of recovery in three regions (south/central Ontario, the Adirondack/Catskill mountains and midwestern North America) to strong regional declines in base-cation concentrations that exceed the decreases in sulphate concentrations.
ERIC Educational Resources Information Center
Markey, Sean; Halseth, Greg; Manson, Don
2008-01-01
In current policy discourse, rural decline is often described as an inevitable process associated with such broader structural trends as globalization and urbanization. The purpose of this paper is to challenge the supposed inevitability of rural decline in northern British Columbia (BC), Canada. We argue that rural decline in northern BC has been…
Clow, David W.; Mast, M. Alisa
1999-01-01
Stream water data from five headwater basins in the northeastern United States covering water years 1968–1996 and precipitation data from eight nearby precipitation monitoring sites covering water years 1984‐1996 were analyzed for temporal trends in chemistry using the nonparametric seasonal Kendall test. Concentrations of SO4declined at three of five streams during 1968–1996 (p < 0.1), and all of the streams exhibited downward trends in SO4 over the second half of the period (1984–1996). Concentrations of SO4 in precipitation declined at seven of eight sites from 1984 to 1996, and the magnitudes of the declines (−0.7 to −2.0 µeq L−1 yr−1) generally were similar to those of stream water SO4. These results indicate that changes in precipitation SO4 were of sufficient magnitude to account for changes in stream water SO4. Concentrations of Ca + Mg declined at three of five streams and five of eight precipitation sites from 1984 to 1996. Precipitation acidity decreased at five of eight sites during the same period, but alkalinity increased in only one stream. In most cases the decreases in stream water SO4 were similar in magnitude to declines in stream water Ca + Mg, which is consistent with the theory of leaching by mobile acid anions in soils. In precipitation the magnitudes of SO4 declines were similar to those of hydrogen, and declines in Ca +Mg were much smaller. This indicates that recent decreases in SO4 deposition are now being reflected in reduced precipitation acidity. The lack of widespread increases in stream water alkalinity, despite the prevalence of downward trends in stream water SO4, suggests that at most sites, increases in stream water pH and acid‐neutralizing capacity may be delayed until higher soil base‐saturation levels are achieved.
Projected continent-wide declines of the emperor penguin under climate change
NASA Astrophysics Data System (ADS)
Jenouvrier, Stéphanie; Holland, Marika; Stroeve, Julienne; Serreze, Mark; Barbraud, Christophe; Weimerskirch, Henri; Caswell, Hal
2014-08-01
Climate change has been projected to affect species distribution and future trends of local populations, but projections of global population trends are rare. We analyse global population trends of the emperor penguin (Aptenodytes forsteri), an iconic Antarctic top predator, under the influence of sea ice conditions projected by coupled climate models assessed in the Intergovernmental Panel on Climate Change (IPCC) effort. We project the dynamics of all 45 known emperor penguin colonies by forcing a sea-ice-dependent demographic model with local, colony-specific, sea ice conditions projected through to the end of the twenty-first century. Dynamics differ among colonies, but by 2100 all populations are projected to be declining. At least two-thirds are projected to have declined by >50% from their current size. The global population is projected to have declined by at least 19%. Because criteria to classify species by their extinction risk are based on the global population dynamics, global analyses are critical for conservation. We discuss uncertainties arising in such global projections and the problems of defining conservation criteria for species endangered by future climate change.
Leta, Samson; Mesele, Frehiwot
2014-01-01
The livestock subsector has an enormous contribution to Ethiopia's national economy and livelihoods of many Ethiopians. The subsector contributes about 16.5% of the national Gross Domestic Product (GDP) and 35.6% of the agricultural GDP. It also contributes 15% of export earnings and 30% of agricultural employment. The livestock subsector currently support and sustain livelihoods for 80% of all rural population. The GDP of livestock related activities valued at 59 billion birr. Ethiopian livestock population trends, distribution and marketing vary considerably across space and time due to a variety of reasons. This study was aimed to assess cattle and shoat population growth trend, distribution and their access to market. Regression analysis was used to assess the cattle and shoat population growth trend and Geographic Information Systems (GIS) techniques were used to determine the spatial distribution of cattle and shoats, and their relative access to market. The data sets used are agricultural census (2001/02) and annual CSA agricultural sample survey (1995/96 to 2012/13). In the past eighteen years, the livestock population namely cattle, sheep and goat grew from 54.5 million to over 103.5 million with average annual increment of 3.4 million. The current average national cattle, sheep and goat population per km(2) are estimated to be 71, 33 and 29 respectively (excluding Addis Ababa, Afar and Somali regions). From the total livestock population the country owns about 46% cattle, 43% sheep and 40% goats are reared within 10 km radius from major livestock market centres and all-weather roads. On the other hand, three fourth of the country's land mass which comprises 15% of the cattle, 20% of the sheep and 21% of goat population is not accessible to market (greater than 30 km from major livestock market centres). It is found that the central highland regions account for the largest share of livestock population and also more accessible to market. Defining the spatial and temporal variations of livestock population is crucial in order to develop a sound and geographically targeted livestock development policy.
Long-term trends in metals, PCBs, and pesticides in mussels from San Francisco Bay
DOE Office of Scientific and Technical Information (OSTI.GOV)
Stephenson, M.D.; Tjeerdema, R.S.; Taberski, K.
1995-12-31
Many contaminant programs have been established to study the geographical distributions and long-term trends of potential pollutants, but unfortunately, many have been short-lived because of economic cutbacks, providing limited information on long-term trends. The California State Mussel Watch program in conjunction with the San Francisco Estuary Institute (in the last 2 years) have provided continues funding for the past 15 years to mussel watch studies in San Francisco Bay. Long-term trends have been identified that describe declines in many organics and metals during the last 15 years. There are also some metals and organics that show no specific trends. Themore » declines indicate that the banning or restriction of usage of some of these contaminants has resulted in substantial decreases of these substances in the environment.« less
2017-01-01
Increasing attention to pollinators and their role in providing ecosystem services has revealed a paucity of studies on long-term population trends of most insect pollinators in many parts of the world. Because targeted monitoring programs are resource intensive and unlikely to be performed on most insect pollinators, we took advantage of existing collection records to examine long-term trends in northeastern United States populations of 26 species of hawk moths (family Sphingidae) that are presumed to be pollinators. We compiled over 6,600 records from nine museum and 14 private collections that spanned a 112-year period, and used logistic generalized linear mixed models (GLMMs) to examine long-term population trends. We controlled for uneven sampling effort by adding a covariate for list length, the number of species recorded during each sampling event. We found that of the 22 species for which there was sufficient data to assess population trends, eight species declined and four species increased in detection probability (the probability of a species being recorded during each year while accounting for effort, climate, and spatial effects in the GLMMs). Of the four species with too few records to statistically assess, two have disappeared from parts of their ranges. None of the four species with diurnal adults showed a trend in detection probability. Two species that are pests of solanaceous crops declined, consistent with a seven-fold drop in the area planted in tobacco and tomato crops. We found some evidence linking susceptibility to parasitoidism by the introduced fly Compsilura concinnata (Tachinidae) to declines. Moths with larvae that feed on vines and trees, where available evidence indicates that the fly is most likely to attack, had a greater propensity to decline than species that use herbs and shrubs as larval host plants. Species that develop in the spring, before Compsilura populations have increased, did not decline. However, restricting the analysis to hawk moth records from areas outside of a “refuge” area where Compsilura does not occur did not significantly increase the intensity of the declines as would be predicted if Compsilura was the primary cause of declines. Forests have recovered over the study period across most of the northeastern U.S., but this does not appear to have been a major factor because host plants of several of the declining species have increased in abundance with forest expansion and maturation. Climate variables used in the GLMMs were not consistently related to moth detection probability. Hawk moth declines may have ecological effects on both the plants pollinated by these species and vertebrate predators of the moths. PMID:28982152
Trends in cancer mortality in Spain: the influence of the financial crisis.
Ferrando, Josep; Palència, Laia; Gotsens, Mercè; Puig-Barrachina, Vanessa; Marí-Dell'Olmo, Marc; Rodríguez-Sanz, Maica; Bartoll, Xavier; Borrell, Carme
2018-02-13
To determine if the onset of the economic crisis in Spain affected cancer mortality and mortality trends. We conducted a longitudinal ecological study based on all cancer-related deaths and on specific types of cancer (lung, colon, breast and prostate) in Spain between 2000 and 2013. We computed age-standardised mortality rates in men and women, and fit mixed Poisson models to analyse the effect of the crisis on cancer mortality and trends therein. After the onset of the economic crisis, cancer mortality continued to decline, but with a significant slowing of the yearly rate of decline (men: RR = 0.987, 95%CI = 0.985-0.990, before the crisis, and RR = 0.993, 95%CI = 0.991-0.996, afterwards; women: RR = 0.990, 95%CI = 0.988-0.993, before, and RR = 1.002, 95%CI = 0.998-1.006, afterwards). In men, lung cancer mortality was reduced, continuing the trend observed in the pre-crisis period; the trend in colon cancer mortality did not change significantly and continued to increase; and the yearly decline in prostate cancer mortality slowed significantly. In women, lung cancer mortality continued to increase each year, as before the crisis; colon cancer continued to decease; and the previous yearly downward trend in breast cancer mortality slowed down following the onset of the crisis. Since the onset of the economic crisis in Spain the rate of decline in cancer mortality has slowed significantly, and this situation could be exacerbated by the current austerity measures in healthcare. Copyright © 2018 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Goodyear, C.P.
1985-01-01
Decreased survival of larval striped bass Morone saxatilis resulting from toxic chemicals in the environment and decreased survival of adults caused by fishing both are suspected as agents contributing to the decline in the Chesapeake Bay stock since the mid-1970s. The relative power of each type of mortality to cause population declines was evaluated with simulation techniques. Equivalent levels of added mortality induced qualitatively identical and quantitatively similar trends in population simulations for all conditions examined except if strong density-dependent mortality preceded the contaminant toxicity. In this case the contaminant effect caused a greater reduction in yield, but the populationmore » did not tend toward extinction. The results indicate that the observed downward trend in the Chesapeake Bay population can be halted or reversed by a reduction in fishing mortality, even if contaminant toxicity is the proximate cause for the decline. 28 references, 1 figure, 1 table.« less
Examining Trends in Adolescent Environmental Attitudes, Beliefs, and Behaviors Across Three Decades
Wray-Lake, Laura; Flanagan, Constance A.; Osgood, D. Wayne
2009-01-01
Since the Environmental Movement began, adolescents’ views have been largely ignored in studies of public opinion. The article presents a descriptive analysis of trends in the environmental attitudes, beliefs, and behaviors of high school seniors from 1976 to 2005 using data from the Monitoring the Future study. Across a range of indicators, environmental concerns of adolescents show increases during the early 1990s and declines across the remainder of the three decades. Declining trends in reports of personal responsibility for the environment, conservation behaviors, and the belief that resources are scarce are particularly noteworthy. Across all years, findings reveal that youth tended to assign responsibility for the environment to the government and consumers rather than accepting personal responsibility. Recent declines in environmental concerns for this nationally representative sample of youth signal the need for a renewed focus on young people’s views and call for better environmental education and governmental leadership. PMID:20046859
Stroke trends in an aging population. The Technology Assessment Methods Project Team.
Niessen, L W; Barendregt, J J; Bonneux, L; Koudstaal, P J
1993-07-01
Trends in stroke incidence and survival determine changes in stroke morbidity and mortality. This study examines the extent of the incidence decline and survival improvement in the Netherlands from 1979 to 1989. In addition, it projects future changes in stroke morbidity during the period 1985 to 2005, when the country's population will be aging. A state-event transition model is used, which combines Dutch population projections and existing data on stroke epidemiology. Based on the clinical course of stroke, the model describes historical national age- and sex-specific hospital admission and mortality rates for stroke. It extrapolates observed trends and projects future changes in stroke morbidity rates. There is evidence of a continuing incidence decline. The most plausible rate of change is an annual decline of -1.9% (range, -1.7% to -2.1%) for men and -2.4% (range, -2.3% to -2.8%) for women. Projecting a constant mortality decline, the model shows a 35% decrease of the stroke incidence rate for a period of 20 years. Prevalence rates for major stroke will decline among the younger age groups but increase among the oldest because of increased survival in the latter. In absolute numbers this results in an 18% decrease of acute stroke episodes and an 11% increase of major stroke cases. The increase in survival cannot fully explain the observed mortality decline and, therefore, a concomitant incidence decline has to be assumed. Aging of the population partially outweighs the effect of an incidence decline on the total burden of stroke. Increase in cardiovascular survival leads to a further increase in major stroke prevalence among the oldest age groups.
Baril, Donald T; Ghosh, Kaushik; Rosen, Allison B
2014-09-01
Acute lower extremity ischemia (ALI) is a common vascular surgery emergency associated with high rates of morbidity and mortality. The purpose of this study was to assess contemporary trends in the incidence of ALI, the methods of treatment, and the associated mortality and amputation rates in the U.S. Medicare population. This was an observational study using Medicare claims data between 1998 and 2009. Outcomes examined included trends in the incidence of ALI; trends in interventions for ALI; and trends in amputation, mortality, and amputation-free survival rates. Between 1998 and 2009, the incidence of hospitalization for ALI decreased from 45.7 per 100,000 to 26.0 per 100,000 (P for trend < .001). The percentage of patients undergoing surgical intervention decreased from 57.1% to 51.6% (P for trend < .001), whereas the percentage of patients undergoing endovascular interventions increased from 15.0% to 33.1% (P for trend < .001). In-hospital mortality rates decreased from 12.0% to 9.0% (P for trend < .001), whereas 1-year mortality rates remained stable at 41.0% and 42.5% (P for trend not significant). In-hospital amputation rates remained stable at 8.1% and 6.4% (P for trend not significant), whereas 1-year amputation rates decreased from 14.8% to 11.0% (P for trend < .001). In-hospital amputation-free survival after hospitalization for ALI increased from 81.2% to 85.4% (P for trend < .001); however, 1-year amputation-free survival remained unchanged. Between 1998 and 2009, the incidence of ALI among the U.S. Medicare population declined significantly, and the percentage of patients treated with endovascular techniques markedly increased. During this time, 1-year amputation rates declined. Furthermore, although in-hospital mortality rates declined after presentation with ALI, 1-year mortality rates remained unchanged. Copyright © 2014 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Baril, Donald T.; Ghosh, Kaushik; Rosen, Allison B.
2015-01-01
Objective Acute lower extremity ischemia (ALI) is a common vascular surgery emergency associated with high rates of morbidity and mortality. The purpose of this study was to assess contemporary trends in the incidence of ALI, the methods of treatment, and the associated mortality and amputation rates in the U.S. Medicare population. Methods This was an observational study using Medicare claims data between 1998 and 2009. Outcomes examined included trends in the incidence of ALI; trends in interventions for ALI; and trends in amputation, mortality, and amputation-free survival rates. Results Between 1998 and 2009, the incidence of hospitalization for ALI decreased from 45.7 per 100,000 to 26.0 per 100,000 (P for trend < .001). The percentage of patients undergoing surgical intervention decreased from 57.1% to 51.6% (P for trend < .001), whereas the percentage of patients undergoing endovascular interventions increased from 15.0% to 33.1% (P for trend < .001). In-hospital mortality rates decreased from 12.0% to 9.0% (P for trend < .001), whereas 1-year mortality rates remained stable at 41.0% and 42.5% (P for trend not significant). In-hospital amputation rates remained stable at 8.1% and 6.4% (P for trend not significant), whereas 1-year amputation rates decreased from 14.8% to 11.0% (P for trend < .001). In-hospital amputation-free survival after hospitalization for ALI increased from 81.2% to 85.4% (P for trend < .001); however, 1-year amputation-free survival remained unchanged. Conclusions Between 1998 and 2009, the incidence of ALI among the U.S. Medicare population declined significantly, and the percentage of patients treated with endovascular techniques markedly increased. During this time, 1-year amputation rates declined. Furthermore, although in-hospital mortality rates declined after presentation with ALI, 1-year mortality rates remained unchanged. PMID:24768362
NASA Astrophysics Data System (ADS)
Meshesha, Derege Tsegaye; Tsunekawa, Atsushi; Tsubo, Mitsuru; Haregeweyn, Nigussie; Adgo, Enyew
2015-02-01
Land degradation in many Ethiopian highlands occurs mainly due to high rainfall erosivity and poor soil conservation practices. Rainfall erosivity is an indicator of the precipitation energy and ability to cause soil erosion. In Central Rift Valley (CRV) of Ethiopia, where the climate is characterized as arid and semiarid, rainfall is the main driver of soil erosion that in turn causes a serious expansion in land degradation. In order to evaluate the spatial and temporal variability of rainfall erosivity and its impact on soil erosion, long-term rainfall data (1980-2010) was used, and the monthly Fournier index (FI) and the annual modified Fournier index (MFI) were applied. Student's t test analysis was performed particularly to examine statistical significances of differences in average monthly and annual erosivity values. The result indicated that, in a similar spatial pattern with elevation and rainfall amount, average annual erosivity is also found being higher in western highlands of the valley and gradually decreased towards the east. The long-term average annual erosivity (MFI) showed a general decreasing trend in recent 10 years (2000-2010) as compared to previous 20 years (1980-1999). In most of the stations, average erosivity of main rainy months (May, June, July, and August) showed a decreasing trend, whereby some of them (about 33.3 %) are statically significant at 90 and 95 % confidence intervals but with high variation in spatial pattern of changes. The overall result of the study showed that rainfall aggression (erosivity) in the region has a general decreasing trend in the recent decade as compared to previous decades, especially in the western highlands of the valley. Hence, it implies that anthropogenic factors such as land use change being coupled with topography (steep slope) have largely contributed to increased soil erosion rate in the region.
US lung cancer trends by histologic type.
Lewis, Denise Riedel; Check, David P; Caporaso, Neil E; Travis, William D; Devesa, Susan S
2014-09-15
Lung cancer incidence rates overall are declining in the United States. This study investigated the trends by histologic type and demographic characteristics. Surveillance, Epidemiology, and End Results (SEER) program rates of microscopically confirmed lung cancer overall and squamous cell, small cell, adenocarcinoma, large cell, other, and unspecified carcinomas among US whites and blacks diagnosed from 1977 to 2010 and white non-Hispanics, Asian/Pacific Islanders, and white Hispanics diagnosed from 1992 to 2010 were analyzed by sex and age. Squamous and small cell carcinoma rates declined since the 1990s, although less rapidly among females than males. Adenocarcinoma rates decreased among males and only through 2005, after which they then rose during 2006 to 2010 among every racial/ethnic/sex group; rates for unspecified type declined. Male/female rate ratios declined among whites and blacks more than among other groups. Recent rates among young females were higher than among males for adenocarcinoma among all racial/ethnic groups and for other specified carcinomas among whites. US lung cancer trends vary by sex, histologic type, racial/ethnic group, and age, reflecting historical cigarette smoking rates, duration, cessation, cigarette composition, and exposure to other carcinogens. Substantial excesses among males have diminished and higher rates of adenocarcinoma among young females have emerged as rates among males declined more rapidly. The recognition of EGFR mutation and ALK rearrangements that occur primarily in adenocarcinomas are the primary basis for the molecular revolution that has transformed lung cancer diagnosis and treatment over the past decade, and these changes have affected recent type-specific trends. © 2014 American Cancer Society.
A hydrologic and archeologic study of climate change in Al Ain, United Arab Emirates
NASA Astrophysics Data System (ADS)
Jorgensen, Donald G.; Yasin al-Tikiriti, Walid
2003-01-01
Aridity trends established for Al Ain, United Arab Emirates, for the past 4500 years correlate with the trends of increased well depths and declining groundwater levels. Depth of wells found at archeologic sites at Hili near Al Ain were correlated to groundwater levels. Trends of declining groundwater levels were related to trends of increasing aridity (climate change). The increasing aridity had a pronounced affect on man's development in Al Ain area as well. For example, nonirrigation farming could not be successfully sustained at the end of the Bronze Age. This thwarted the economic development until the falaj (a water conveyance structure) was introduced in the Iron Age. The aridity trends in Al Ain correspond to contemporaneous aridity trends noted in Mesopotamia and the Dead Sea area, as well as the Middle East, Mediterranean, and northern Africa, in general. Other global climatic changes that are contemporaneous with climate change at Al Ain have been noted. The increased aridity (desertification) trends at Al Ain are contemporaneous with increased atmospheric CO 2 trends as reported by Indermuhle et al. [Nature (398) 121].
NASA Astrophysics Data System (ADS)
Tulp, Ingrid; van der Veer, Henk W.; Walker, Paddy; van Walraven, Lodewijk; Bolle, Loes J.
2017-09-01
The Wadden Sea bordering the Dutch, German and Danish coast, is traditionally a region with important functions for many fish species: as a nursery area for juveniles (marine juveniles), as a feeding area, as a transit to and from fresh water, and resident species complete their whole life cycle there. Because of indications that the importance of the Dutch Wadden Sea has changed drastically for many species during the past decades, we analysed and classified trends of 24 common fish species in the last 45 years, which were assigned to 5 different ecological guilds. Trends were examined for three Wadden Sea regions and compared to trends in the adjacent two North Sea coastal regions. For these analyses we made a combined use of two longterm time series: an annual beamtrawl survey, the Demeral Fish Survey (DFS) with a high spatial but poor seasonal resolution and a fyke series with a high seasonal but poor spatial resolution. We investigated for which species the DFS survey was appropriate for trend analysis, and we evaluated whether a change in timing may contribute to patterns in DFS time trends. Total fish biomass showed a similar pattern in all tidal basins with an increase from 1970 to 1980, a peak in the mid-1980s and a strong decline from 1980 to 2000, with a subsequent stable trend. The pattern in the coastal region deviated especially in the past 10 years, with a further decline along the Dutch Wadden coast and an increase along the mainland coast. Most dramatic declines throughout the Wadden Sea occurred in species belonging to the marine juvenile guild, notably plaice, sole and dab. A declining trend in marine juveniles is on-going in the western part, while it recently stabilised or even increased in the central and eastern part and in the coastal regions. Resident species showed more variable trends in the Wadden Sea with less pronounced directions: both increases and decreases occurred. In the coastal regions, several resident species have increased considerably in the last 15 years, a pattern not observed in the Wadden Sea. Also the size structure of the fish community changed in all regions, with generally the strongest declines in the largest size classes. The combined use of the two surveys showed that for some species the DFS was not timed in the period of peak occurrence. Although the phenology of several species has changed, the DFS survey period still encompasses the peak period of most species.
Amphibian and reptile declines over 35 years at La Selva, Costa Rica.
Whitfield, Steven M; Bell, Kristen E; Philippi, Thomas; Sasa, Mahmood; Bolaños, Federico; Chaves, Gerardo; Savage, Jay M; Donnelly, Maureen A
2007-05-15
Amphibians stand at the forefront of a global biodiversity crisis. More than one-third of amphibian species are globally threatened, and over 120 species have likely suffered global extinction since 1980. Most alarmingly, many rapid declines and extinctions are occurring in pristine sites lacking obvious adverse effects of human activities. The causes of these "enigmatic" declines remain highly contested. Still, lack of long-term data on amphibian populations severely limits our understanding of the distribution of amphibian declines, and therefore the ultimate causes of these declines. Here, we identify a systematic community-wide decline in populations of terrestrial amphibians at La Selva Biological Station, a protected old-growth lowland rainforest in lower Central America. We use data collected over 35 years to show that population density of all species of terrestrial amphibians has declined by approximately 75% since 1970, and we show identical trends for all species of common reptiles. The trends we identify are neither consistent with recent emergence of chytridiomycosis nor the climate-linked epidemic hypothesis, two leading putative causes of enigmatic amphibian declines. Instead, our data suggest that declines are due to climate-driven reductions in the quantity of standing leaf litter, a critical microhabitat for amphibians and reptiles in this assemblage. Our results raise further concerns about the global persistence of amphibian populations by identifying widespread declines in species and habitats that are not currently recognized as susceptible to such risks.
Sabo, Robert D.; Scanga, Sara E.; Lawrence, Gregory B.; Nelson, David M.; Eshleman, Keith N.; Zabala, Gabriel A.; Alinea, Alexandria A.; Schirmer, Charles D.
2016-01-01
Recent reports suggest that decreases in atmospheric nitrogen (N) deposition throughout Europe and North America may have resulted in declining nitrate export in surface waters in recent decades, yet it is unknown if and how terrestrial N cycling was affected. During a period of decreased atmospheric N deposition, we assessed changes in forest N cycling by evaluating trends in tree-ring δ15N values (between 1980 and 2010; n = 20 trees per watershed), stream nitrate yields (between 2000 and 2011), and retention of atmospherically-deposited N (between 2000 and 2011) in the North and South Tributaries (North and South, respectively) of Buck Creek in the Adirondack Mountains, USA. We hypothesized that tree-ring δ15N values would decline following decreases in atmospheric N deposition (after approximately 1995), and that trends in stream nitrate export and retention of atmospherically deposited N would mirror changes in tree-ring δ15N values. Three of the six sampled tree species and the majority of individual trees showed declining linear trends in δ15N for the period 1980–2010; only two individual trees showed increasing trends in δ15N values. From 1980 to 2010, trees in the watersheds of both tributaries displayed long-term declines in tree-ring δ15N values at the watershed scale (R = −0.35 and p = 0.001 in the North and R = −0.37 and p <0.001 in the South). The decreasing δ15N trend in the North was associated with declining stream nitrate concentrations (−0.009 mg N L−1 yr−1, p = 0.02), but no change in the retention of atmospherically deposited N was observed. In contrast, nitrate yields in the South did not exhibit a trend, and the watershed became less retentive of atmospherically deposited N (−7.3% yr−1, p < 0.001). Our δ15N results indicate a change in terrestrial N availability in both watersheds prior to decreases in atmospheric N deposition, suggesting that decreased atmospheric N deposition was not the sole driver of tree-ring δ15N values at these sites. Other factors, such as decreased sulfur deposition, disturbance, long-term successional trends, and/or increasing atmospheric CO2concentrations, may also influence trends in tree-ring δ15N values. Furthermore, declines in terrestrial N availability inferred from tree-ring δ15N values do not always correspond with decreased stream nitrate export or increased retention of atmospherically deposited N.
Epidemiologic contributions to recent cancer trends among HIV-infected people in the United States.
Robbins, Hilary A; Shiels, Meredith S; Pfeiffer, Ruth M; Engels, Eric A
2014-03-27
HIV-infected people have elevated risk for some cancers. Changing incidence of these cancers over time may reflect changes in three factors: HIV population demographic structure (e.g. age distribution), general population (background) cancer rates, and HIV-associated relative risks. We assessed the contributions of these factors to time trends for 10 cancers during 1996-2010. Population-based registry linkage study. We applied Poisson models to data from the U.S. HIV/AIDS Cancer Match Study to estimate annual percentage changes (APCs) in incidence rates of AIDS-defining cancers [ADCs: Kaposi sarcoma, non-Hodgkin lymphoma (NHL), and cervical cancer] and seven non-AIDS-defining cancers (NADCs). We evaluated HIV-infected cancer trends with and without adjustment for demographics, trends in background rates, and trends in standardized incidence ratios (SIRs, to capture relative risk). Cancer rates among HIV-infected people rose over time for anal (APC 3.8%), liver (8.5%), and prostate (9.8%) cancers, but declined for Kaposi sarcoma (1996-2000: -29.3%; 2000-2010: -7.8%), NHL (1996-2003: -15.7%; 2003-2010: -5.5%), cervical cancer (-11.1%), Hodgkin lymphoma (-4.0%), and lung cancer (-2.8%). Breast and colorectal cancer incidence did not change over time. Based on comparison to adjusted models, changing demographics contributed to trends for Kaposi sarcoma and breast, colorectal, liver, lung, and prostate cancers (all P < 0.01). Trends in background rates were notable for liver (APC 5.6%) and lung (-3.2%) cancers. SIRs declined for ADCs, Hodgkin lymphoma (APC -3.2%), and lung cancer (-4.4%). Demographic shifts influenced several cancer trends among HIV-infected individuals. Falling relative risks largely explained ADC declines, while background incidence contributed to some NADC trends.
Recent trends in elderly suicide rates in England and Wales.
Hoxey, K; Shah, A
2000-03-01
The proportion of elderly in the population is increasing due to increased life expectancy and falling birth rate, and suicide rates increase with age. This study examined the following in England and Wales: (i) recent trends in the elderly suicide rate; (ii) recent trends in method-specific elderly suicide rate; (iii) the relationship between elderly population size and elderly suicide rate in recent years; and (iv) the sex difference in overall and method-specific elderly suicide rate. Data on the various suicide variables were ascertained from the annually published mortality data for years 1985 to 1996. The main findings of this study were: (i) there is a trend towards decline in the overall pure and combined suicide rates for elderly men and women over the 12 year study period; (ii) the main contributors to this decline are suicides due to poisoning by solid and liquid substances (E950), hanging, strangulation and suffocation (E953), drowning (E954), firearms and explosives (E955), and jumping from high places (E957); (iii) the overall pure and combined suicide rates and that for most categories of suicide was higher in men compared to women; and (iv) suicide rates decreased with an increase in the elderly population size. Suicide rates can decline due to a number of reasons. The challenge now is to ensure further decline in suicide rates to meet the Our Healthier Nations target.
Decreasing annual nest counts in a globally important loggerhead sea turtle population.
Witherington, Blair; Kubilis, Paul; Brost, Beth; Meylan, Anne
2009-01-01
The loggerhead sea turtle (Caretta caretta) nests on sand beaches, has both oceanic and neritic life stages, and migrates internationally. We analyzed an 18-year time series of Index Nesting Beach Survey (Index) nest-count data to describe spatial and temporal trends in loggerhead nesting on Florida (USA) beaches. The Index data were highly resolved: 368 fixed zones (mean length 0.88 km) were surveyed daily during annual 109-day survey seasons. Spatial and seasonal coverage averaged 69% of estimated total nesting by loggerheads in the state. We carried out trend analyses on both annual survey-region nest-count totals (N = 18) and annual zone-level nest densities (N = 18 x 368 = 6624). In both analyses, negative binomial regression models were used to fit restricted cubic spline curves to aggregated nest counts. Between 1989 and 2006, loggerhead nest counts on Florida Index beaches increased and then declined, with a net decrease over the 18-year period. This pattern was evident in both a trend model of annual survey-region nest-count totals and a mixed-effect, "single-region" trend model of annual zone-level nest densities that took into account both spatial and temporal correlation between counts. We also saw this pattern in a zone-level model that allowed trend line shapes to vary between six coastal subregions. Annual mean zone-level nest density declined significantly (-28%; 95% CI: -34% to -21%) between 1989 and 2006 and declined steeply (-43%; 95% CI: -48% to -39%) during 1998-2006. Rates of change in annual mean nest density varied more between coastal subregions during the "mostly increasing" period prior to 1998 than during the "steeply declining" period after 1998. The excellent fits (observed vs. expected count R2 > 0.91) of the mixed-effect zone-level models confirmed the presence of strong, positive, within-zone autocorrelation (R > 0.93) between annual counts, indicating a remarkable year-to-year consistency in the longshore spatial distribution of nests over the survey region. We argue that the decline in annual loggerhead nest counts in peninsular Florida can best be explained by a decline in the number of adult female loggerheads in the population. Causes of this decline are explored.
Recent Northern Hemisphere snow cover extent trends and implications for the snow-albedo feedback
NASA Astrophysics Data System (ADS)
Déry, Stephen J.; Brown, Ross D.
2007-11-01
Monotonic trend analysis of Northern Hemisphere snow cover extent (SCE) over the period 1972-2006 with the Mann-Kendall test reveals significant declines in SCE during spring over North America and Eurasia, with lesser declines during winter and some increases in fall SCE. The weekly mean trend attains -1.28, -0.78, and -0.48 × 106 km2 (35 years)-1 over the Northern Hemisphere, North America, and Eurasia, respectively. The standardized SCE time series vary and trend coherently over Eurasia and North America, with evidence of a poleward amplification of decreasing SCE trends during spring. Multiple linear regression analyses reveal a significant dependence of the retreat of the spring continental SCE on latitude and elevation. The poleward amplification is consistent with an enhanced snow-albedo feedback over northern latitudes that acts to reinforce an initial anomaly in the cryospheric system.
Declining Trends in Student Performance in Lower Secondary Education
ERIC Educational Resources Information Center
Wijsman, Lindy A.; Warrens, Matthijs J.; Saab, Nadira; van Driel, Jan H.; Westenberg, P. Michiel
2016-01-01
Student performance is related to motivation to learn. As motivation generally declines during lower secondary education, one might expect performance to decline as well during this period. Though, until now, it has been unclear whether this pattern exists. In the present study, we examined student performance during the early years of secondary…
Ten-year change in plasma amyloid beta levels and late-life cognitive decline.
Okereke, Olivia I; Xia, Weiming; Selkoe, Dennis J; Grodstein, Francine
2009-10-01
Plasma levels of amyloid beta peptide (Abeta) are potential biomarkers of early cognitive impairment and decline and of Alzheimer disease risk. To relate midlife plasma Abeta measures and 10-year change in plasma Abeta measures since midlife to late-life cognitive decline. Prospective study of a population-based sample. Academic research. Plasma Abeta40 and Abeta42 levels were measured in 481 Nurses' Health Study participants in late midlife (mean age, 63.6 years) and again 10 years later (mean age, 74.6 years). Cognitive testing also began 10 years after the initial blood draw. Participants completed 3 repeated telephone-based assessments (mean span, 4.1 years). Multivariable linear mixed-effects models were used to estimate relations of midlife plasma Abeta40 to Abeta42 ratios and Abeta42 levels to late-life cognitive decline, as well as relations of 10-year change in Abeta40 to Abeta42 ratios and Abeta42 levels to cognitive decline. The 3 primary outcomes were the Telephone Interview for Cognitive Status (TICS) findings, a global score averaging the results of all tests (TICS, immediate and delayed verbal recall, category fluency, and attention), and a verbal memory score averaging the results of 4 tests of verbal recall. Higher midlife plasma Abeta40 to Abeta42 ratios were associated with worse late-life decline on the global score (P = .04 for trend). Furthermore, increase in Abeta40 to Abeta42 ratios since midlife predicted greater decline in the global score (P = .03 for trend) and in the TICS (P = .02 for trend). There was no association of cognitive decline with midlife plasma Abeta42 levels alone or with change in Abeta42 levels since midlife. In this large community-dwelling sample, higher plasma Abeta40 to Abeta42 ratios in late midlife and increases in Abeta40 to Abeta42 ratios 10 years later were significantly associated with greater decline in global cognition at late life.
Dunn, Michael J; Jackson, Jennifer A; Adlard, Stacey; Lynnes, Amanda S; Briggs, Dirk R; Fox, Derren; Waluda, Claire M
2016-01-01
We report long-term changes in population size of three species of sympatrically breeding pygoscelid penguins: Adélie (Pygoscelis adeliae), chinstrap (Pygoscelis antarctica) and gentoo (Pygoscelis papua ellsworthii) over a 38 year period at Signy Island, South Orkney Islands, based on annual counts from selected colonies and decadal all-island systematic counts of occupied nests. Comparing total numbers of breeding pairs over the whole island from 1978/79 to 2015/16 revealed varying fortunes: gentoo penguin pairs increased by 255%, (3.5% per annum), chinstrap penguins declined by 68% (-3.6% per annum) and Adélie penguins declined by 42% (-1.5% per annum). The chinstrap population has declined steadily over the last four decades. In contrast, Adélie and gentoo penguins have experienced phases of population increase and decline. Annual surveys of selected chinstrap and Adélie colonies produced similar trends from those revealed by island-wide surveys, allowing total island population trends to be inferred relatively well. However, while the annual colony counts of chinstrap and Adélie penguins showed a trend consistent in direction with the results from all-island surveys, the magnitude of estimated population change was markedly different between colony wide and all island counts. Annual population patterns suggest that pair numbers in the study areas partly reflect immigration and emigration of nesting birds between different parts of the island. Breeding success for all three species remained broadly stable over time in the annually monitored colonies. Breeding success rates in gentoo and chinstrap penguins were strongly correlated, despite the differing trends in population size. This study shows the importance of effective, standardised monitoring to accurately determine long-term population trajectories. Our results indicate significant declines in the Adélie and chinstrap penguin populations at Signy Island over the last five decades, and a gradual increase in gentoo breeding pairs.
Impact of the post-2008 economic crisis on harmful drinking in the Dutch working-age population.
de Goeij, Moniek C M; van der Wouden, Bregje; Bruggink, Jan-Willem; Otten, Ferdy; Kunst, Anton E
2016-04-01
Studies on the impact of economic crises on alcohol consumption have yielded ambiguous results. Therefore, we studied changes in trends in harmful drinking among Dutch working-age men and women after the post-2008 economic crisis started. We also assessed whether these trend changes differed across age and socioeconomic groups. We used repeated cross-sectional data from the Dutch Health Interview Survey conducted by Statistics Netherlands. Representative samples were independently drawn each month (January, 2004-December, 2013). Our working-age study population consisted of 20,140 men and 22,394 women aged 25-64. For men and women, episodic drinking was defined as drinking ≥6 glasses on one day at least once a week. Chronic drinking was defined as consuming ≥14 glasses/week for women and ≥21 for men. Segmented logistic regression was used to model trend changes separately in men and women. A downward trend in episodic and chronic drinking before the crisis slowed down after the crisis started. For episodic drinking, we observed a ceasing-of-decline among men aged 35-44/45-54/55-64, compared to a start-of-decline among those aged 25-34 (p-interaction=0.042/0.020/0.047). For chronic drinking, we observed a ceasing-of-decline among women (p=0.023) but not among men in general (p=0.238). Among men, a ceasing-of-decline did occur in those with a high income, but a start-of-decline was found among those with a low income (p-interaction=0.049). In some subgroups of the Dutch working-age population, the downward trend in episodic and chronic drinking ceased after the crisis started. This suggests that the crisis had an upward effect on harmful drinking, but only in specific populations. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Dunn, Michael J.; Jackson, Jennifer A.; Adlard, Stacey; Lynnes, Amanda S.; Briggs, Dirk R.; Fox, Derren; Waluda, Claire M.
2016-01-01
We report long-term changes in population size of three species of sympatrically breeding pygoscelid penguins: Adélie (Pygoscelis adeliae), chinstrap (Pygoscelis antarctica) and gentoo (Pygoscelis papua ellsworthii) over a 38 year period at Signy Island, South Orkney Islands, based on annual counts from selected colonies and decadal all-island systematic counts of occupied nests. Comparing total numbers of breeding pairs over the whole island from 1978/79 to 2015/16 revealed varying fortunes: gentoo penguin pairs increased by 255%, (3.5% per annum), chinstrap penguins declined by 68% (-3.6% per annum) and Adélie penguins declined by 42% (-1.5% per annum). The chinstrap population has declined steadily over the last four decades. In contrast, Adélie and gentoo penguins have experienced phases of population increase and decline. Annual surveys of selected chinstrap and Adélie colonies produced similar trends from those revealed by island-wide surveys, allowing total island population trends to be inferred relatively well. However, while the annual colony counts of chinstrap and Adélie penguins showed a trend consistent in direction with the results from all-island surveys, the magnitude of estimated population change was markedly different between colony wide and all island counts. Annual population patterns suggest that pair numbers in the study areas partly reflect immigration and emigration of nesting birds between different parts of the island. Breeding success for all three species remained broadly stable over time in the annually monitored colonies. Breeding success rates in gentoo and chinstrap penguins were strongly correlated, despite the differing trends in population size. This study shows the importance of effective, standardised monitoring to accurately determine long-term population trajectories. Our results indicate significant declines in the Adélie and chinstrap penguin populations at Signy Island over the last five decades, and a gradual increase in gentoo breeding pairs. PMID:27783668
An American Challenge: A Report on Economic Trends and Social Issues in Appalachia.
ERIC Educational Resources Information Center
Couto, Richard A.
This book provides an overview of economic trends and social issues in the 13 states and 399 counties of Appalachia, with emphasis on implications for families, children, and communities. It places the trends and issues of the Appalachian region within a national context. These trends include declining employment opportunities and wages, increased…
Centola, G M; Blanchard, A; Demick, J; Li, S; Eisenberg, M L
2016-03-01
Controversy exists regarding stability of semen quality over time with papers reporting decrease, increase or stable parameters in heterogeneous populations. The current study examined semen parameters of young adult men from 2003 to 2013 at an urban U.S. sperm bank. Semen parameters were analyzed before and after cryopreservation for a total of 9425 specimens from 489 individuals. Demographic information was obtained from a social and medical history questionnaire. Following 2-3 days abstinence, the specimens were collected at the laboratory and assessed by uniform technicians and techniques. The data were analyzed using generalized linear regression after adjustment for age, days of abstinence, for repeated samples, as well as by the Cochran-Armitage trend test. The within variability was accounted for by the repeated measures model. All p values were two-sided with p < 0.05 considered significant. There was a significant decline in sperm concentration (-3.55, 95% CI -4.87, -2.23; p < 0.001), total motility (-1.23, 95% CI -1.65, -0.82; p < 0.001), total count (-10.75, 95% CI -15.95, -5.54; p < 0.001) and total motile count (-9.43, 95% CI -13.14, -5.73; p < 0.001). There was no significant change in semen volume (0.03, 95% CI -0.02, 0.09; p = 0.2). The post-thaw total motility significantly (-2.30, 95% CI -2.72, -1.87; p < 0.001) decreased with time. Importantly, demographic and lifestyle factors were stable or improved over the study period. There was a decline in age (p(trend) = 0.003) and alcohol use (p(trend) = 0.005) and an increase in college GPA (Grade Point Average) (p(trend) = 0.02). BMI (p(trend) = 0.73), educational attainment (p(trend) = 0.2), race/ethnicity (p(trend) = 0.53), and lifestyle habits (weekly exercise, p(trend) = 0.21; smoking, p(trend) = 0.99; marital status, p(trend) = 0.85) remained constant. Uniform technicians and techniques over the study period make measurement bias unlikely. This report demonstrates a decline in semen quality among young adult men in the Boston area who were attending or completed a college education during the past 10 years, and requires further study. © 2016 American Society of Andrology and European Academy of Andrology.
Trends in Global Gender Inequality
ERIC Educational Resources Information Center
Dorius, Shawn F.; Firebaugh, Glenn
2010-01-01
This study investigates trends in gender inequality throughout the world. Using data encompassing a large majority of the world's population, we examine trends in recent decades for key indicators of gender inequality in education, mortality, political representation and economic activity. We find that gender inequality is declining in virtually…
Murdoch, Peter S; Shanley, James B
2006-09-01
Two new methods for assessing temporal trends in stream-solute concentrations at specific streamflow ranges were applied to long (40 to 50-year) but sparse (bi-weekly to quarterly sampling) stream-water quality data collected at three forested mesoscale basins along an atmospheric deposition gradient in the northeastern United States (one in north-central Pennsylvania, one in southeastern New York, and one in eastern Maine). The three data sets span the period since the implementation of the Clean Air Act in 1970 and its subsequent amendments. Declining sulfate (O4(2-)) trends since the mid 1960s were identified for all 3 rivers by one or more of the 4 methods of trend detection used. Flow-specific trends were assessed by segmenting the data sets into 3-year and 6-year blocks, then determining concentration-discharge relationships for each block. Declining sulfate (O4(2-)) trends at median flow were similar to trends determined using a Seasonal Kendall Tau test and Sen slope estimator. The trend of declining O4(2-) concentrations differed at high, median and low flow since the mid 1980s at YWC and NR, and at high and low flow at WR, but the trends leveled or reversed at high flow from 1999 through 2002. Trends for the period of record at high flows were similar to medium- and low-flow trends for Ca2++ Mg2+ concentrations at WR, non-significant at YWC, and were more negative at low flow than at high flow at NR; trends in nitrate (NO3-), and alkalinity (ALK) concentrations were different at different flow conditions, and in ways that are consistent with the hydrology and deposition history at each watershed. Quarterly sampling is adequate for assessing average-flow trends in the chemical parameters assessed over long time periods (approximately decades). However, with even a modest effort at sampling a range of flow conditions within each year, trends at specified flows for constituents with strong concentration-discharge relationships can be evaluated and may allow early detection of ecosystem response to climate change and pollution management strategies.
Planning and Management in the Face of the Changing Demographic Picture.
ERIC Educational Resources Information Center
Hodgkinson, Harold L.
Demographic trends promise to force sweeping changes on postsecondary higher education, particularly the inevitable steady decline in 18-year-olds and the birthrate decline since the early 1960's in the white middle class. The decline in public confidence in American institutions is also a factor to be considered in educational planning. In…
Possible causes of Arctic Tundra Vegetation Productivity Declines
NASA Astrophysics Data System (ADS)
Bhatt, U. S.; Walker, D. A.; Raynolds, M. K.; Bieniek, P.; Epstein, H. E.; Comiso, J. C.; Pinzon, J. E.; Tucker, C. J.
2017-12-01
Three decades of remotely sensed Normalized Difference Vegetation Index (NDVI) data document an overall increase in Arctic tundra vegetation greenness but the trends display considerable spatial variability. Pan-Arctic tundra vegetation greening is associated with increases in summer warmth that are, in large-part, driven by summer sea-ice retreat along Arctic coasts. Trends covering the period 1982-2016 are overall positive for summer open water, Summer Warmth Index (SWI, the sum of the degree months above zero from May-August), MaxNDVI (peak NDVI) and time integrated NDVI (TI-NDVI, sum of biweekly NDVI above 0.05 from May-September). Upon closer examination, it is clear that not all regions have positive trends, for example, there is an area of cooling in western Eurasia, which is broadly co-located with maxNDVI and TI-NDVI declines. While sea ice decline has continued over the satellite record, summer landsurface temperatures and vegetation productivity measures have not simply increased. Regional differences between warming and greening trends suggest that it is likely that multiple processes influence vegetation productivity beyond secular greening with increased summer warmth. This paper will present Pan-Arctic and regional analyses of the NDVI data in the context of climate drivers. Other possible drivers of vegetation productivity decline will be discussed such as increased standing water, delayed spring snow-melt, and winter thaw events. The status and limitations of data sets and modeling needed to advance our understanding of tundra vegetation productivity will be summarized and will serve as a starting point for planning the next steps in this topic. Methodical multi-disciplinary synthesis research that jointly considers vegetation type, permafrost conditions, altitude, as well as climate factors such as temperature, heat and moisture transport, and timing of snowfall and spring snowmelt is needed to better understand recent tundra vegetation productivity declines.
Decreasing trends in cardiovascular mortality in Turkey between 1988 and 2008
2013-01-01
Background Cardiovascular disease (CVD) mortality increased in developed countries until the 1970s then started to decline. Turkey is about to complete its demographic transition, which may also influence mortality trends. This study evaluated trends in coronary heart disease (CHD) and stroke mortality between 1988 and 2008. Methods The number of deaths by cause (ICD-8), age and sex were obtained from the Turkish Statistical Institute (TurkStat) annually between 1988 and 2008. Population statistics were based on census data (1990 and 2000) and Turkstat projections. European population standardised mortality rates for CHD and stroke were calculated for men and women over 35 years old. Joinpoint Regression was used to identify the points at which a statistically significant (p < 0.05) change of the trend occurred. Results The CHD mortality rate increased by 2.9% in men and 2.0% in women annually from 1988 to 1994, then started to decline. The annual rate of decline for men was 1.7% between 1994–2008, whilst in women it was 2.8% between 1994–2000 and 6.7% between 2005–2008 (p < 0.05 for all periods). Stroke mortality declined between 1990–1994 (annual fall of 3.8% in both sexes), followed by a slight increase between 1994–2004 (0.6% in men, 1.1% in women), then a further decline until 2008 (annual reduction of 4.4% in men, 7.9% in women) (p < 0.05 for all periods). Conclusions A decrease in CVD mortality was observed from 1995 onwards in Turkey. The causes need to be explored in detail to inform future policy priorities in noncommunicable disease control. PMID:24079269
Andriuzzi, W S; Adams, B J; Barrett, J E; Virginia, R A; Wall, D H
2018-02-01
Long-term observations of ecological communities are necessary for generating and testing predictions of ecosystem responses to climate change. We investigated temporal trends and spatial patterns of soil fauna along similar environmental gradients in three sites of the McMurdo Dry Valleys, Antarctica, spanning two distinct climatic phases: a decadal cooling trend from the early 1990s through the austral summer of February 2001, followed by a shift to the current trend of warming summers and more frequent discrete warming events. After February 2001, we observed a decline in the dominant species (the nematode Scottnema lindsayae) and increased abundance and expanded distribution of less common taxa (rotifers, tardigrades, and other nematode species). Such diverging responses have resulted in slightly greater evenness and spatial homogeneity of taxa. However, total abundance of soil fauna appears to be declining, as positive trends of the less common species so far have not compensated for the declining numbers of the dominant species. Interannual variation in the proportion of juveniles in the dominant species was consistent across sites, whereas trends in abundance varied more. Structural equation modeling supports the hypothesis that the observed biological trends arose from dissimilar responses by dominant and less common species to pulses of water availability resulting from enhanced ice melt. No direct effects of mean summer temperature were found, but there is evidence of indirect effects via its weak but significant positive relationship with soil moisture. Our findings show that combining an understanding of species responses to environmental change with long-term observations in the field can provide a context for validating and refining predictions of ecological trends in the abundance and diversity of soil fauna. © 2018 by the Ecological Society of America.
Global trends in ocean phytoplankton: a new assessment using revised ocean colour data.
Gregg, Watson W; Rousseaux, Cécile S; Franz, Bryan A
2017-01-01
A recent revision of the NASA global ocean colour record shows changes in global ocean chlorophyll trends. This new 18-year time series now includes three global satellite sensors, the Sea-viewing Wide Field of view Sensor (SeaWiFS), Moderate Resolution Imaging Spectroradiometer (MODIS-Aqua), and Visible Infrared Imaging Radiometer Suite (VIIRS). The major changes are radiometric drift correction, a new algorithm for chlorophyll, and a new sensor VIIRS. The new satellite data record shows no significant trend in global annual median chlorophyll from 1998 to 2015, in contrast to a statistically significant negative trend from 1998 to 2012 in the previous version. When revised satellite data are assimilated into a global ocean biogeochemical model, no trend is observed in global annual median chlorophyll. This is consistent with previous findings for the 1998-2012 time period using the previous processing version and only two sensors (SeaWiFS and MODIS). Detecting trends in ocean chlorophyll with satellites is sensitive to data processing options and radiometric drift correction. The assimilation of these data, however, reduces sensitivity to algorithms and radiometry, as well as the addition of a new sensor. This suggests the assimilation model has skill in detecting trends in global ocean colour. Using the assimilation model, spatial distributions of significant trends for the 18-year record (1998-2015) show recent decadal changes. Most notable are the North and Equatorial Indian Oceans basins, which exhibit a striking decline in chlorophyll. It is exemplified by declines in diatoms and chlorophytes, which in the model are large and intermediate size phytoplankton. This decline is partially compensated by significant increases in cyanobacteria, which represent very small phytoplankton. This suggests the beginning of a shift in phytoplankton composition in these tropical and subtropical Indian basins.
McCartney, G; Bouttell, J; Craig, N; Craig, P; Graham, L; Lakha, F; Lewsey, J; McAdams, R; MacPherson, M; Minton, J; Parkinson, J; Robinson, M; Shipton, D; Taulbut, M; Walsh, D; Beeston, C
2016-03-01
This paper tests the extent to which differing trends in income, demographic change and the consequences of an earlier period of social, economic and political change might explain differences in the magnitude and trends in alcohol-related mortality between 1991 and 2011 in Scotland compared to England & Wales (E&W). Comparative time trend analyses and arithmetic modelling. Three approaches were utilised to compare Scotland with E&W: 1. We modelled the impact of changes in income on alcohol-related deaths between 1991-2001 and 2001-2011 by applying plausible assumptions of the effect size through an arithmetic model. 2. We used contour plots, graphical exploration of age-period-cohort interactions and calculation of Intrinsic Estimator coefficients to investigate the effect of earlier exposure to social, economic and political adversity on alcohol-related mortality. 3. We recalculated the trends in alcohol-related deaths using the white population only to make a crude approximation of the maximal impact of changes in ethnic diversity. Real incomes increased during the 1990s but declined from around 2004 in the poorest 30% of the population of Great Britain. The decline in incomes for the poorest decile, the proportion of the population in the most deprived decile, and the inequality in alcohol-related deaths, were all greater in Scotland than in E&W. The model predicted less of the observed rise in Scotland (18% of the rise in men and 29% of the rise in women) than that in E&W (where 60% and 68% of the rise in men and women respectively was explained). One-third of the decline observed in alcohol-related mortality in Scottish men between 2001 and 2011 was predicted by the model, and the model was broadly consistent with the observed trends in E&W and amongst women in Scotland. An age-period interaction in alcohol-related mortality was evident for men and women during the 1990s and 2000s who were aged 40-70 years and who experienced rapidly increasing alcohol-related mortality rates. Ethnicity is unlikely to be important in explaining the trends or differences between Scotland and E&W. The decline in alcohol-related mortality in Scotland since the early 2000s and the differing trend to E&W were partly described by a model predicting the impact of declining incomes. Lagged effects from historical social, economic and political change remain plausible from the available data. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.
Alcohol consumption trends in Australia: Comparing surveys and sales-based measures.
Livingston, Michael; Callinan, Sarah; Raninen, Jonas; Pennay, Amy; Dietze, Paul M
2018-04-01
Survey data remain a crucial means for monitoring alcohol consumption, but there has been limited work done to ensure that surveys adequately capture changes in per-capita consumption in Australia. In this study, we explore how trends in consumption from two major Australian surveys compare with an official measure of per-capita consumption between 2001 and 2014 and examine age-specific trends in drinking. Data were from five waves of the cross-sectional National Health Survey (total n = 113 279) and 12 waves of the longitudinal Household Income and Labour Dynamics in Australia Study (average n = 12 347). Overall and age-specific estimates of annual alcohol consumption were derived and compared with official per-capita consumption and previous analyses of the National Drug Strategy Household Survey. In terms of overall consumption, both surveys broadly reflected trends in per-capita consumption, especially the decline that has been observed since 2007/2008. Age-specific trends were broadly similar, with the recent decline in consumption clearly concentrated among teenagers and young adults. The main Australian monitoring surveys remain useful monitoring tools for alcohol consumption in Australia. There is consistent evidence that the recent declines in Australian per-capita consumption have been driven by sharp falls in drinking among young people, a trend that requires further study. [Livingston M, Callinan S, Raninen J, Pennay A, Dietze PM. Alcohol consumption trends in Australia: Comparing surveys and sales-based measures. Drug Alcohol Rev 2017;00:000-000]. © 2017 Australasian Professional Society on Alcohol and other Drugs.
Amphibian and reptile declines over 35 years at La Selva, Costa Rica
Whitfield, Steven M.; Bell, Kristen E.; Philippi, Thomas; Sasa, Mahmood; Bolaños, Federico; Chaves, Gerardo; Savage, Jay M.; Donnelly, Maureen A.
2007-01-01
Amphibians stand at the forefront of a global biodiversity crisis. More than one-third of amphibian species are globally threatened, and over 120 species have likely suffered global extinction since 1980. Most alarmingly, many rapid declines and extinctions are occurring in pristine sites lacking obvious adverse effects of human activities. The causes of these “enigmatic” declines remain highly contested. Still, lack of long-term data on amphibian populations severely limits our understanding of the distribution of amphibian declines, and therefore the ultimate causes of these declines. Here, we identify a systematic community-wide decline in populations of terrestrial amphibians at La Selva Biological Station, a protected old-growth lowland rainforest in lower Central America. We use data collected over 35 years to show that population density of all species of terrestrial amphibians has declined by ≈75% since 1970, and we show identical trends for all species of common reptiles. The trends we identify are neither consistent with recent emergence of chytridiomycosis nor the climate-linked epidemic hypothesis, two leading putative causes of enigmatic amphibian declines. Instead, our data suggest that declines are due to climate-driven reductions in the quantity of standing leaf litter, a critical microhabitat for amphibians and reptiles in this assemblage. Our results raise further concerns about the global persistence of amphibian populations by identifying widespread declines in species and habitats that are not currently recognized as susceptible to such risks. PMID:17449638
Changes in the chemistry of precipitation in the United States, 1981-1998
Nilles, M.A.; Conley, B.E.
2001-01-01
Regulatory measures in the United States, such as Title IV of the Clean Air Act Amendments of 1990, have primarily restricted sulfur dioxide emissions as a way to control acidic deposition. These restrictions, coupled with increasing concentrations of NH4+ in wet deposition in some regions of the U.S. and continued high emissions of nitrogen oxides have generated a significant shift in the chemistry of precipitation as measured at National Atmospheric Deposition Program/National Trends Network sites. Trends in precipitation chemistry at NADP/NTN sites were evaluated for statistical significance for the period 1981-1998 using a Seasonal Mann-Kendall Test, a robust non-parametric test for detection of monotonic trends. SO42- declines were detected at 100 of the 147 sites examined while no sites exhibited increasing SO42- trends. On average, SO42- declined 35% over the period 1981-1998 with downward SO42- trends being most pronounced in the northeastern United States. In contrast, no consistent trends in NO3- concentrations were observed in precipitation in any major region of the United States. Although the majority of sites did not exhibit significant trends in NH4+ concentration, 30 sites exhibited upward trends. For Ca2+ concentration in precipitation, 64 sites exhibited a significant decreasing trend and no sites exhibited an upward trend.
Population trends of red-cockaded woodpeckers in Texas
Richard N. Conner; Daniel Saenz; D. Craig Rudolph
2006-01-01
tracked population trends of Red-cockaded Woodpeckers (Picoides borealis) in eastern Texas from 1983 through 2004. After declining precipitously during the 1980s, woodpecker population trends on federal lands (National Forests and Grasslands in Texas, but excluding the Big Thicket National Preserve) increased between 1990 and 2000, and have been...
Indoor and Outdoor Air Pollution- related Health Problem in Ethiopia: Review of Related Literature
Tefera, Worku; Asfaw, Araya; Gilliland, Frank; Worku, Alemayehu; Wondimagegn, Mehari; Kumie, Abera; Samet, Jonathan; Berhane, Kiros
2017-01-01
Background The health effects of air pollution are generally global problems, but they have, since recently become issues of particular concern for developing countries. This review assessed the situation of air pollution and related health effects in the context of Ethiopia. Methods The materials reviewed in this publication are published scientific papers from online search engines, unpublished government reports and academic theses/dissertations. In addition, interview data obtained from authorities and experts involved in the management of air quality were analyzed, interpreted and reported in the article. Results Review of the few studies conducted in Ethiopia showed that average concentrations of PM2.5 reached as high as 280 µg/m3 for 24-hour measurements (range: 2,417–12,739 µg/m3). Indoor carbon monoxide (CO) levels were universally higher than regulatory limits for the United States and were found to be much higher among households using traditional stoves and solid biomass fuels. The use of traditional stoves and solid biomass fuels was reported in >95% of the households considered. High average levels of NO2 (97 ppb) were reported in a large longitudinal study. The ambient PM10 level was below the WHO guideline values in the majority of the samples. About 50% of the on-road CO samples taken from traffic roads in Addis Ababa were found to be less than the guideline values while the number of motor vehicles in Ethiopia is reported to be increasing by more than 9% per annum. There is a very limited air quality monitoring capacity in the country. The co-ordination between stakeholders in this regard is also inadequate. The limited evidence available on health effects of air pollution indicates that the prevalence of acute respiratory illness among children living in households using crude biomass fuels is significantly higher than the national average figures. Conclusion The limited evidence reviewed and reported in this article indicates high levels of indoor air pollution and trends of worsening outdoor air pollution. This tentative conclusion carries with it the urgent need for more evidence-based research and capacity building in the areas of indoor and outdoor air pollution PMID:28890631
Indoor and Outdoor Air Pollution- related Health Problem in Ethiopia: Review of Related Literature.
Tefera, Worku; Asfaw, Araya; Gilliland, Frank; Worku, Alemayehu; Wondimagegn, Mehari; Kumie, Abera; Samet, Jonathan; Berhane, Kiros
2016-01-01
The health effects of air pollution are generally global problems, but they have, since recently become issues of particular concern for developing countries. This review assessed the situation of air pollution and related health effects in the context of Ethiopia. The materials reviewed in this publication are published scientific papers from online search engines, unpublished government reports and academic theses/dissertations. In addition, interview data obtained from authorities and experts involved in the management of air quality were analyzed, interpreted and reported in the article. Review of the few studies conducted in Ethiopia showed that average concentrations of PM 2.5 reached as high as 280 µg/m 3 for 24-hour measurements (range: 2,417-12,739 µg/m 3 ). Indoor carbon monoxide (CO) levels were universally higher than regulatory limits for the United States and were found to be much higher among households using traditional stoves and solid biomass fuels. The use of traditional stoves and solid biomass fuels was reported in >95% of the households considered. High average levels of NO 2 (97 ppb) were reported in a large longitudinal study. The ambient PM 10 level was below the WHO guideline values in the majority of the samples. About 50% of the on-road CO samples taken from traffic roads in Addis Ababa were found to be less than the guideline values while the number of motor vehicles in Ethiopia is reported to be increasing by more than 9% per annum. There is a very limited air quality monitoring capacity in the country. The co-ordination between stakeholders in this regard is also inadequate. The limited evidence available on health effects of air pollution indicates that the prevalence of acute respiratory illness among children living in households using crude biomass fuels is significantly higher than the national average figures. The limited evidence reviewed and reported in this article indicates high levels of indoor air pollution and trends of worsening outdoor air pollution. This tentative conclusion carries with it the urgent need for more evidence-based research and capacity building in the areas of indoor and outdoor air pollution.
NASA Astrophysics Data System (ADS)
Tadesse, Tsegaye; Senay, Gabriel B.; Berhan, Getachew; Regassa, Teshome; Beyene, Shimelis
2015-08-01
Satellite-derived evapotranspiration anomalies and normalized difference vegetation index (NDVI) products from Moderate Resolution Imaging Spectroradiometer (MODIS) data are currently used for African agricultural drought monitoring and food security status assessment. In this study, a process to evaluate satellite-derived evapotranspiration (ETa) products with a geospatial statistical exploratory technique that uses NDVI, satellite-derived rainfall estimate (RFE), and crop yield data has been developed. The main goal of this study was to evaluate the ETa using the NDVI and RFE, and identify a relationship between the ETa and Ethiopia's cereal crop (i.e., teff, sorghum, corn/maize, barley, and wheat) yields during the main rainy season. Since crop production is one of the main factors affecting food security, the evaluation of remote sensing-based seasonal ETa was done to identify the appropriateness of this tool as a proxy for monitoring vegetation condition in drought vulnerable and food insecure areas to support decision makers. The results of this study showed that the comparison between seasonal ETa and RFE produced strong correlation (R2 > 0.99) for all 41 crop growing zones in Ethiopia. The results of the spatial regression analyses of seasonal ETa and NDVI using Ordinary Least Squares and Geographically Weighted Regression showed relatively weak yearly spatial relationships (R2 < 0.7) for all cropping zones. However, for each individual crop zones, the correlation between NDVI and ETa ranged between 0.3 and 0.84 for about 44% of the cropping zones. Similarly, for each individual crop zones, the correlation (R2) between the seasonal ETa anomaly and de-trended cereal crop yield was between 0.4 and 0.82 for 76% (31 out of 41) of the crop growing zones. The preliminary results indicated that the ETa products have a good predictive potential for these 31 identified zones in Ethiopia. Decision makers may potentially use ETa products for monitoring cereal crop yields and early warning of food insecurity during drought years for these identified zones.
NASA Astrophysics Data System (ADS)
Gani, N. D.; Bowden, S. M.
2017-12-01
At present, tectonic features of Ethiopia are dominated by the 2.5 km high Ethiopian Plateau, and the NE-SW striking continental rift, the East African Rift System (EARS) that dissected the plateau into the northwest and southeast plateaus. The stress direction of the EARS is nearly perpendicular to the stress direction of the Mesozoic rifts of the Central African Rift System (CARS), located mostly in Sudan, Ethiopia and Kenya. During the Gondwana splitting in Mesozoic, active lithospheric extension within the CARS resulted in several NW-SE striking continental rifts including the Blue Nile, Muglad, Melut and Anza that are well documented in Sudan and Kenya, from a combination of geophysical and drill core analysis and field investigations. However, the timing and evolution of the poorly documented Blue Nile Rift in Ethiopia, now hidden in the subsurface of the Ethiopian Plateau and the EARS, is largely unknown. This study investigates, for the first time, the timing of tectono-thermal evolution of the Blue Nile Rift from cooling ages deduced from apatite fission track (AFT) thermochronology to understand the rift flank exhumation. Here, we report the AFT results from basement samples collected in a vertical transect from the Ethiopian Plateau. The fission track ages of the samples show a general trend of increasing cooling ages with elevations. The time-temperature simulations of the fission track ages illustrate that the cooling started at least 80 Ma ago with a significant amount of rapid cooling between 80 and 70 Ma, followed by a slow cooling after 70 Ma and then another accelerated cooling starting around 10 Ma. The Cretaceous rapid cooling event likely related to the flank uplift of the Blue Nile Rift and associated faulting, during which much of the exhumation occurred. Today, the Blue Nile Rift is buried under the thick cover of Mesozoic sedimentary rocks and Cenozoic volcanics. The late Neogene rapid cooling agrees well with our previous thermal model simulation from apatite (U-Th)/He ages that shows a rapid exhumation of the Ethiopian Plateau during late Neogene.
Hadley, Craig; Linzer, Drew A.; Belachew, Tefera; Mariam, Abebe Gebre; Tessema, Fasil; Lindstrom, David
2014-01-01
The global food crisis of 2008 led to renewed interest in global food insecurity and how macro-level food prices impact household and individual level wellbeing. There is debate over the extent to which food price increases in 2008 eroded food security, the extent to which this effect was distributed across rural and urban locales, and the extent to which rural farmers might have benefited. Ethiopia’s food prices increased particularly dramatically between 2005 and 2008 and here we ask whether there was a concomitant increase in household food insecurity, whether this decline was distributed equally across rural, urban, and semi-urban locales, and to what extent pre-crisis household capacities and vulnerabilities impacted 2008 household food insecurity levels. Data are drawn from a random sample of 2610 households in Southwest Ethiopia surveyed 2005/6 and again in mid to late 2008. Results show broad deterioration of household food insecurity relative to baseline but declines were most pronounced in the rural areas. Wealthier households and those that were relatively more food secure in 2005/6 tended to be more food secure in 2008, net of other factors, and these effects were most pronounced in urban areas. External shocks, such as a job loss or loss of crops, experienced by households were also associated with worse food insecurity in 2008 but few other household variables were associated with 2008 food insecurity. Our results also showed that rural farmers tended to produce small amounts for sale on markets, and thus were not able to enjoy the potential benefits that come from greater crop prices. We conclude that poverty, and not urban/rural difference, is the important variable for understanding the risk of food insecurity during a food crisis and that many rural farmers are too poor to take advantage of rapid rises in food prices. PMID:21996022
Amiri, M; Kunst, A E; Janssen, F; Mackenbach, J P
2006-12-01
To assess, in a population-based study, whether secular trends in cardiovascular disease mortality in seven European countries were correlated with past trends in infant mortality rate (IMR) in these countries. Data on ischemic heart disease (IHD) and stroke mortality in 1950-1999 in the Netherlands, England & Wales, France, and four Nordic countries were analyzed. We used Poisson regression to describe trends in mortality according to birth cohort, for the cohorts born between 1860 and 1939. Pearson correlation coefficients were calculated to determine associations between IMR and IHD, or stroke mortality. IHD mortality increased for successive cohorts up to 1900, and then started to decline. Stroke mortality levels were virtually stable among birth cohorts up to 1880, but declined rapidly among later cohorts. A strong positive association was found between cohort-specific IMR levels and stroke mortality rates. There were no strong cohort-wise associations between IMR and IHD mortality. These results support other studies in suggesting that living conditions in early childhood may influence population levels of stroke mortality. Future studies should determine the contribution of specific early life factors to the mortality decline in IHD and especially stroke.
Nelson, David E; Mowery, Paul; Asman, Kat; Pederson, Linda L; O'Malley, Patrick M; Malarcher, Ann; Maibach, Edward W; Pechacek, Terry F
2008-05-01
We sought to describe long-term adolescent and young adult smoking trends and patterns. We analyzed adolescent data from Monitoring the Future, 1976 to 2005, and young adult (aged 18-24 years) data from the National Health Interview Survey, 1974 to 2005, overall and in subpopulations to identify trends in current cigarette smoking prevalence. Five metapatterns emerged: we found (1) a large increase and subsequent decrease in overall smoking over the past 15 years, (2) a steep decline in smoking among Blacks through the early 1990s, (3) a gender gap reversal among older adolescents and young adults who smoked over the past 15 years, (4) similar trends in smoking for most subgroups since the early 1990s, and (5) a large decline in smoking among young adults with less than a high school education. Long-term patterns for adolescent and young adult cigarette smoking were decidedly nonlinear, and we found evidence of a cohort effect among young adults. Continued strong efforts and a long-term societal commitment to tobacco use prevention are needed, given the unprecedented declines in smoking among most subpopulations since the mid- to late 1990s.
The decline in BMI among Japanese women after World War II.
Maruyama, Shiko; Nakamura, Sayaka
2015-07-01
The body mass index (BMI) of the Japanese is significantly lower than is found in other high-income countries. Moreover, the average BMI of Japanese women is lower than that of Japanese men, and the age-specific BMI of Japanese women has decreased over time. The average BMI of Japanese women at age 25 decreased from 21.8 in 1948 to 20.4 in 2010 whereas that of men increased from 21.4 to 22.3 over the same period. We examine the long-term BMI trend in Japan by combining several historical data sources spanning eleven decades, from 1901 to 2012, to determine not only when but also how the BMI decline among women began: whether its inception was period-specific or cohort-specific. Our nonparametric regression analysis generated five findings. First, the BMI of Japanese women peaked with the 1930s birth cohort. This means that the trend is cohort-specific. Second, the BMI of men outpaced that of women in the next cohort. Third, the BMI of Japanese children, boys and girls alike, increased steadily throughout the 20th century. Fourth, the gender difference in the BMI trend is due to a gender difference in the weight trend, not the height trend. Fifth, these BMI trends are observed in urban and rural populations alike. We conclude that the BMI decline among Japanese women began with those who were in their late teens shortly after World War II. Copyright © 2015 Elsevier B.V. All rights reserved.
NASA Technical Reports Server (NTRS)
Casey, Kimberly A.; Polashenski, Chris M.; Chen, Justin; Tedesco, Marco
2017-01-01
We evaluate Greenland Ice Sheet (GrIS) surface reflectance and albedo trends using the newly released Collection 6 (C6) MODIS (Moderate Resolution Imaging Spectroradiometer) products over the period 2001-2016. We find that the correction of MODIS sensor degradation provided in the new C6 data products reduces the magnitude of the surface reflectance and albedo decline trends obtained from previous MODIS data (i.e., Collection 5, C5). Collection 5 and 6 data product analysis over GrIS is characterized by surface (i.e., wet vs. dry) and elevation (i.e., 500-2000 m, 2000 m and greater) conditions over the summer season from 1 June to 31 August. Notably, the visible-wavelength declining reflectance trends identified in several bands of MODIS C5 data from previous studies are only slightly detected at reduced magnitude in the C6 versions over the dry snow area. Declining albedo in the wet snow and ice area remains over the MODIS record in the C6 product, albeit at a lower magnitude than obtained using C5 data. Further analyses of C6 spectral reflectance trends show both reflectance increases and decreases in select bands and regions, suggesting that several competing processes are contributing to Greenland Ice Sheet albedo change. Investigators using MODIS data for other ocean, atmosphere and/or land analyses are urged to consider similar re-examinations of trends previously established using C5 data.
Trends in Rocky Mountain amphibians and the role of beaver as a keystone species
Hossack, Blake R.; Gould, William R.; Patla, Debra A.; Muths, Erin L.; Daley, Rob; Legg, Kristin; Corn, P. Stephen
2015-01-01
Despite prevalent awareness of global amphibian declines, there is still little information on trends for many widespread species. To inform land managers of trends on protected landscapes and identify potential conservation strategies, we collected occurrence data for five wetland-breeding amphibian species in four national parks in the U.S. Rocky Mountains during 2002–2011. We used explicit dynamics models to estimate variation in annual occupancy, extinction, and colonization of wetlands according to summer drought and several biophysical characteristics (e.g., wetland size, elevation), including the influence of North American beaver (Castor canadensis). We found more declines in occupancy than increases, especially in Yellowstone and Grand Teton national parks (NP), where three of four species declined since 2002. However, most species in Rocky Mountain NP were too rare to include in our analysis, which likely reflects significant historical declines. Although beaver were uncommon, their creation or modification of wetlands was associated with higher colonization rates for 4 of 5 amphibian species, producing a 34% increase in occupancy in beaver-influenced wetlands compared to wetlands without beaver influence. Also, colonization rates and occupancy of boreal toads (Anaxyrus boreas) and Columbia spotted frogs (Rana luteiventris) were ⩾2 times higher in beaver-influenced wetlands. These strong relationships suggest management for beaver that fosters amphibian recovery could counter declines in some areas. Our data reinforce reports of widespread declines of formerly and currently common species, even in areas assumed to be protected from most forms of human disturbance, and demonstrate the close ecological association between beaver and wetland-dependent species.
Post universal health coverage trend and geographical inequalities of mortality in Thailand.
Aungkulanon, Suchunya; Tangcharoensathien, Viroj; Shibuya, Kenji; Bundhamcharoen, Kanitta; Chongsuvivatwong, Virasakdi
2016-11-22
Thailand has achieved remarkable improvement in health status since the achievement of universal health coverage in 2002. Health equity has improved significantly. However, challenges on health inequity still remain.This study aimed to determine the trends of geographical inequalities in disease specific mortality in Thailand after the country achieved universal health coverage. National vital registration data from 2001 to 2014 were used to calculate age-adjusted mortality rate and standardized mortality ratio (SMR). To minimize large variations in mortality across administrative districts, the adjacent districts were systematically grouped into "super-districts" by taking into account the population size and proximity. Geographical mortality inequality among super-districts was measured by the coefficient of variation. Mixed effects modeling was used to test the difference in trends between super-districts. The overall SMR steadily declined from 1.2 in 2001 to 0.9 in 2014. The upper north and upper northeast regions had higher SMR whereas Greater Bangkok achieved the lowest SMR. Decreases in SMR were mostly seen in Greater Bangkok and the upper northern region. Coefficient of variation of SMR rapidly decreased from 20.0 in 2001 to 12.5 in 2007 and remained close to this value until 2014. The mixed effects modelling revealed significant differences in trends of SMR across super-districts. Inequality in mortality declined among adults (≥15 years old) but increased in children (0-14 years old). A declining trend in inequality of mortality was seen in almost all regions except Greater Bangkok where the inequality in SMR remained high throughout the study period. A decline in the adult mortality inequality across almost all regions of Thailand followed universal health coverage. Inequalities in child mortality rates and among residents of Greater Bangkok need further exploration.
Maniscalco, John M.; Springer, Alan M.; Adkison, Milo D.; Parker, Pamela
2015-01-01
Steller sea lion (Eumetopias jubatus) numbers are beginning to recover across most of the western distinct population segment following catastrophic declines that began in the 1970s and ended around the turn of the century. This study makes use of contemporary vital rate estimates from a trend-site rookery in the eastern Gulf of Alaska (a sub-region of the western population) in a matrix population model to estimate the trend and strength of the recovery across this region between 2003 and 2013. The modeled population trend was projected into the future based on observed variation in vital rates and a prospective elasticity analysis was conducted to determine future trends and which vital rates pose the greatest threats to recovery. The modeled population grew at a mean rate of 3.5% per yr between 2003 and 2013 and was correlated with census count data from the local rookery and throughout the eastern Gulf of Alaska. If recent vital rate estimates continue with little change, the eastern Gulf of Alaska population could be fully recovered to pre-decline levels within 23 years. With density dependent growth, the population would need another 45 years to fully recover. Elasticity analysis showed that, as expected, population growth rate (λ) was most sensitive to changes in adult survival, less sensitive to changes in juvenile survival, and least sensitive to changes in fecundity. A population decline could be expected with only a 6% decrease in adult survival, whereas a 32% decrease in fecundity would be necessary to bring about a population decline. These results have important implications for population management and suggest current research priorities should be shifted to a greater emphasis on survival rates and causes of mortality. PMID:26488901
Spatial patterns and recent trends in the climate of tropical rainforest regions.
Malhi, Yadvinder; Wright, James
2004-03-29
We present an analysis of the mean climate and climatic trends of tropical rainforest regions over the period 1960-1998, with the aid of explicit maps of forest cover and climatological databases. Until the mid-1970s most regions showed little trend in temperature, and the western Amazon experienced a net cooling probably associated with an interdecadal oscillation. Since the mid-1970s, all tropical rainforest regions have experienced a strong warming at a mean rate of 0.26 +/- 0.05 degrees C per decade, in synchrony with a global rise in temperature that has been attributed to the anthropogenic greenhouse effect. Over the study period, precipitation appears to have declined in tropical rainforest regions at a rate of 1.0 +/- 0.8% per decade (p < 5%), declining sharply in northern tropical Africa (at 3-4% per decade), declining marginally in tropical Asia and showing no significant trend in Amazonia. There is no evidence so far of a decline in precipitation in eastern Amazonia, a region thought vulnerable to climate-change-induced drying. The strong drying trend in Africa suggests that this should be a priority study region for understanding the impact of drought on tropical rainforests. We develop and use a dry-season index to study variations in the length and intensity of the dry season. Only African and Indian tropical rainforests appear to have seen a significant increase in dry-season intensity. In terms of interannual variability, the El Niño-Southern Oscillation (ENSO) is the primary driver of temperature variations across the tropics and of precipitation fluctuations for large areas of the Americas and southeast Asia. The relation between ENSO and tropical African precipitation appears less direct.
Kiadaliri, Aliasghar A; Woolf, Anthony D; Englund, Martin
2017-02-02
Due to low mortality rate of musculoskeletal disorders (MSK) less attention has been paid to MSK as underlying cause of death in the general population. The aim was to examine trend in MSK as underlying cause of death in 58 countries across globe during 1986-2011. Data on mortality were collected from the WHO mortality database and population data were obtained from the United Nations. Annual sex-specific age-standardized mortality rates (ASMR) were calculated by means of direct standardization using the WHO world standard population. We applied joinpoint regression analysis for trend analysis. Between-country disparities were examined using between-country variance and Gini coefficient. The changes in number of MSK deaths between 1986 and 2011 were decomposed using two counterfactual scenarios. The number of MSK deaths increased by 67% between 1986 and 2011 mainly due to population aging. The mean ASMR changed from 17.2 and 26.6 per million in 1986 to 18.1 and 25.1 in 2011 among men and women, respectively (median: 7.3% increase in men and 9.0% reduction in women). Declines in ASMR of 25% or more were observed for men (women) in 13 (19) countries, while corresponding increases were seen for men (women) in 25 (14) countries. In both sexes, ASMR declined during 1986-1997, then increased during 1997-2001 and again declined over 2001-2011. Despite decline over time, there were substantial between-country disparities in MSK mortality and its temporal trend. We found substantial variations in MSK mortality and its trends between countries, regions and also between sex and age groups. Promoted awareness and better management of MSK might partly explain reduction in MSK mortality, but variations across countries warrant further investigations.
Trends in asthma mortality in the 0- to 4-year and 5- to 34-year age groups in Brazil
Graudenz, Gustavo Silveira; Carneiro, Dominique Piacenti; Vieira, Rodolfo de Paula
2017-01-01
ABSTRACT Objective: To provide an update on trends in asthma mortality in Brazil for two age groups: 0-4 years and 5-34 years. Methods: Data on mortality from asthma, as defined in the International Classification of Diseases, were obtained for the 1980-2014 period from the Mortality Database maintained by the Information Technology Department of the Brazilian Unified Health Care System. To analyze time trends in standardized asthma mortality rates, we conducted an ecological time-series study, using regression models for the 0- to 4-year and 5- to 34-year age groups. Results: There was a linear trend toward a decrease in asthma mortality in both age groups, whereas there was a third-order polynomial fit in the general population. Conclusions: Although asthma mortality showed a consistent, linear decrease in individuals ≤ 34 years of age, the rate of decline was greater in the 0- to 4-year age group. The 5- to 34-year group also showed a linear decline in mortality, and the rate of that decline increased after the year 2004, when treatment with inhaled corticosteroids became more widely available. The linear decrease in asthma mortality found in both age groups contrasts with the nonlinear trend observed in the general population of Brazil. The introduction of inhaled corticosteroid use through public policies to control asthma coincided with a significant decrease in asthma mortality rates in both subsets of individuals over 5 years of age. The causes of this decline in asthma-related mortality in younger age groups continue to constitute a matter of debate. PMID:28380185
Vijayaraghavan, Krish; DenBleyker, Allison; Ma, Lan; Lindhjem, Chris; Yarwood, Greg
2014-07-01
On-road vehicle emissions of carbon monoxide (CO), nitrogen oxides (NO(x)), and volatile organic compounds (VOCs) during 1995-2009 in the Atlanta Metropolitan Statistical Area were estimated using the Motor Vehicle Emission Simulator (MOVES) model and data from the National Emissions Inventories and the State of Georgia. Statistically significant downward trends (computed using the nonparametric Theil-Sen method) in annual on-road CO, NO(x), and VOC emissions of 6.1%, 3.3%, and 6.0% per year, respectively, are noted during the 1995-2009 period despite an increase in total vehicle distance traveled. The CO and NO(x) emission trends are correlated with statistically significant downward trends in ambient air concentrations of CO and NO(x) in Atlanta ranging from 8.0% to 11.8% per year and from 5.8% to 8.7% per year, respectively, during similar time periods. Weather-adjusted summertime ozone concentrations in Atlanta exhibited a statistically significant declining trend of 2.3% per year during 2001-2009. Although this trend coexists with the declining trends in on-road NO(x), VOC, and CO emissions, identifying the cause of the downward trend in ozone is complicated by reductions in multiple precursors from different source sectors. Implications: Large reductions in on-road vehicle emissions of CO and NO(x) in Atlanta from the late 1990s to 2009, despite an increase in total vehicle distance traveled, contributed to a significant improvement in air quality through decreases in ambient air concentrations of CO and NO(x) during this time period. Emissions reductions in motor vehicles and other source sectors resulted in these improvements and the observed declining trend in ozone concentrations over the past decade. Although these historical trends cannot be extrapolated to the future because pollutant concentration contributions due to on-road vehicle emissions will likely become an increasingly smaller fraction of the atmospheric total, they provide an indication of the benefits of past control measures.
Bedada, Selamawit Yilma; Gallagher, Kathleen; Aregay, Aron Kassahun; Mohammed, Bashir; Maalin, Mohammed Adem; Hassen, Hassen Abdisemed; Ali, Yusuf Mohammed; Braka, Fiona; Kilebou, Pierre M’pele
2017-01-01
Introduction Communication is key for the successful implementation of polio vaccination campaigns. The purpose of this study is to review and analyse the sources of information utilized by caregivers during polio supplementary immunization activities (SIAs) in Somali, Ethiopia in 2014 and 2015. Methods Data on sources of information about the polio campaign were collected post campaign from caregivers by trained data collectors as part of house to house independent monitoring. The sources of information analysed in this paper include town criers (via megaphones), health workers, religious leaders, kebele leaders (Kebele is the lowest administrative structure in Ethiopia), radio, television, text message and others. The repetition of these sources of information was analysed across years and zones for trends. Polio vaccination campaign coverage was also reviewed by year and zones within the Somali region in parallel with the major sources of information used in the respective year and zones. 57,745 responses were used for this analysis but the responses were received from < or = 57,745 individuals since some of them may provide more than one response. Moreover, because sampling of households is conducted independently during each round of independent monitoring, the same household may have been included more than once in our analysis. The methodology used for independent monitoring does not allow for the calculation of response rates. Monitors go from house to house until information from 20 households is received. Results From the total 57,745 responses reviewed, over 37% of respondents reported that town criers were their source for information about the 2014 and 2015 polio SIAs. Zonal trends in using town criers as a major source of information in both study years remained consistent except in two zones. 87.5% of zones that reported at least 90% coverage during both study years had utilized town criers as a major source of information while the rest (12.5%) used health workers. Conclusion We found that town criers were consistently the major source of information about the polio campaigns for Somali region parents and caregivers during polio immunization days held in 2014 and 2015. Health workers and kebele leaders were also important sources of information about the polio campaign for parents. PMID:28983395
Cardiovascular disease mortality in the Americas: current trends and disparities.
de Fatima Marinho de Souza, Maria; Gawryszewski, Vilma Pinheiro; Orduñez, Pedro; Sanhueza, Antonio; Espinal, Marcos A
2012-08-01
To describe the current situation and trends in mortality due to cardiovascular disease (CVD) in the Americas and explore their association with economic indicators. This time series study analysed mortality data from 21 countries in the region of the Americas from 2000 to the latest available year. Age-adjusted death rates, annual variation in death rates. Regression analysis was used to estimate the annual variation and the association between age-adjusted rates and country income. Currently, CVD comprised 33.7% of all deaths in the Americas. Rates were higher in Guyana (292/100 000), Trinidad and Tobago (289/100 000) and Venezuela (246/100 000), and lower in Canada (108/100 000), Puerto Rico (121/100 000) and Chile (125/100 000). Male rates were higher than female rates in all countries. The trend analysis showed that CVD death rates in the Americas declined -19% overall (-20% among women and -18% among men). Most countries had a significant annual decline, except Guatemala, Guyana, Suriname, Paraguay and Panama. The largest annual declines were observed in Canada (-4.8%), the USA (-3.9%) and Puerto Rico (-3.6%). Minor declines were in Mexico (-0.8%) and Cuba (-1.1%). Compared with high-income countries the difference between the median of death rates in lower middle-income countries was 56.7% higher and between upper middle-income countries was 20.6% higher. CVD death rates have been decreasing in most countries in the Americas. Considerable disparities still remain in the current rates and trends.
Tadesse, Mulualem; Abebe, Gemeda; Bekele, Alemayehu; Bezabih, Mesele; de Rijk, Pim; Meehan, Conor J; de Jong, Bouke C; Rigouts, Leen
2017-11-01
Ethiopia has an extremely high rate of extrapulmonary tuberculosis, dominated by tuberculous lymphadenitis (TBLN). However, little is known about Mycobacterium tuberculosis complex (MTBc) lineages responsible for TBLN in Southwest Ethiopia. A total of 304 MTBc isolates from TBLN patients in Southwest Ethiopia were genotyped primarily by spoligotyping. Isolates of selected spoligotypes were further analyzed by 15-loci mycobacterial interspersed repetitive unit-variable number tandem repeat (MIRU-VNTR) (n=167) and qPCR-based single nucleotide polymorphism (n=38). Isolates were classified into main phylogenetic lineages and families by using the reference strain collections and identification tools available at MIRU-VNTRplus data base. Resistance to rifampicin was determined by Xpert MTB/RIF. The majority of isolates (248; 81.6%) belonged to the Euro-American lineage (Lineage 4), with the ill-defined T and Haarlem as largest families comprising 116 (38.2%) and 43 (14.1%) isolates respectively. Of the T family, 108 isolates were classified as being part of the newly described Ethiopian families, namely Ethiopia_2 (n=44), Ethiopia_3 (n=34) and Ethiopia_H 37 Rv-like (n=30). Other sub-lineages included URAL (n=18), S (n=17), Uganda I (n=16), LAM (n=13), X (n=5), TUR (n=5), Uganda II (n=4) and unknown (n=19). Lineage 3 (Delhi/CAS) was the second most common lineage comprising 44 (14.5%) isolates. Interestingly, six isolates (2%) were belonged to Lineage 7, unique to Ethiopia. Lineage 1 (East-African Indian) and Lineage 2 (Beijing) were represented by 3 and 1 isolates respectively. M. bovis was identified in only two (0.7%) TBLN cases. The cluster rate was highest for Ethiopia_3 isolates showing clonal similarity with isolates from North Ethiopia. Lineage 3 was significantly associated with rifampicin resistance. In TBLN in Southwest Ethiopia, the recently described Ethiopia specific Lineage 4 families were predominant, followed by Lineage 3 and Lineage 4-Haarlem. The contribution of M. bovis in TBLN infection is minimal. Copyright © 2017. Published by Elsevier B.V.
Declines and Plateaux in Smoking Prevalence Over Three Decades in Fiji
Linhart, Christine; Tukana, Isimeli; Lin, Sophia; Taylor, Richard; Morrell, Stephen; Vatucawaqa, Penina; Magliano, Dianna J; Zimmet, Paul
2017-01-01
Abstract Objectives To examine trends from 1980 to 2011 in daily tobacco smoking by sex, ethnicity, age, and urban/rural in Fiji Melanesian (i-Taukei) and Indian adults aged 25–64 years. Methods Unit record data from five population-based surveys (n = 14 528) allowed classification of participants as: (1) never-smoker, ex-smoker, or non-daily smoker; or (2) daily smoker, reporting smoking <20 or ≥20 tobacco products (cigarettes/cigars/pipes) a day. Trends were examined using spline analyses. Results Over 1980–2011 the prevalence of reported daily tobacco smoking decreased significantly in both sexes and ethnicities, with the greatest decline during 1980–2000. Declines were from 81.7% to 27.0% in i-Taukei men; 55.3% to 26.3% in Indian men; 48.1% to 9.5% in i-Taukei women; and 13.8% to 1.3% in Indian women (p < .0001). Declines were consistent across all age groups in men, while there were greater declines among older age groups in women; and greater declines from higher prevalences in rural compared to urban areas in both sexes and ethnicities. Smoking ≥20 tobacco products per day declined significantly in i-Taukei men from 8.0% to 1.9% (p < .0001); there were also declines in Indian men (4.6% to 2.0%) and i-Taukei women (2.6% to 0.6%), but these were not statistically significant; and Indian women remained <0.2% throughout the period. Conclusions Significant declines in daily tobacco smoking have occurred in Fiji in both sexes and ethnicities during the past 30 years, which is consistent with declines in tobacco apparent consumption and household expenditure. However, prevalence remains high in men at around 27% in 2011, with plateau at this level in i-Taukei. Implications This is the first study to show nationally representative population trends in tobacco smoking in a developing country over such a long period (>30 years) based on empirical unit record data (n = 14 528). Cardiovascular disease is a leading cause of mortality throughout the Pacific Island region. This is the first study to show evidence of substantial declines over several decades in a cardiovascular disease risk factor in a Pacific Island country, and provides important evidence for further research into the interventions and events which may have facilitated this decline. PMID:27807124
Assessing recent declines in Upper Rio Grande runoff efficiency from a paleoclimate perspective
NASA Astrophysics Data System (ADS)
Lehner, Flavio; Wahl, Eugene R.; Wood, Andrew W.; Blatchford, Douglas B.; Llewellyn, Dagmar
2017-05-01
Recent decades have seen strong trends in hydroclimate over the American Southwest, with major river basins such as the Rio Grande exhibiting intermittent drought and declining runoff efficiencies. The extent to which these observed trends are exceptional has implications for current water management and seasonal streamflow forecasting practices. We present a new reconstruction of runoff ratio for the Upper Rio Grande basin back to 1571 C.E., which provides evidence that the declining trend in runoff ratio from the 1980s to present day is unprecedented in context of the last 445 years. Though runoff ratio is found to vary primarily in proportion to precipitation, the reconstructions suggest a secondary influence of temperature. In years of low precipitation, very low runoff ratios are made 2.5-3 times more likely by high temperatures. This temperature sensitivity appears to have strengthened in recent decades, implying future water management vulnerability should recent warming trends in the region continue.
Projecting range-wide sun bear population trends using tree cover and camera-trap bycatch data.
Scotson, Lorraine; Fredriksson, Gabriella; Ngoprasert, Dusit; Wong, Wai-Ming; Fieberg, John
2017-01-01
Monitoring population trends of threatened species requires standardized techniques that can be applied over broad areas and repeated through time. Sun bears Helarctos malayanus are a forest dependent tropical bear found throughout most of Southeast Asia. Previous estimates of global population trends have relied on expert opinion and cannot be systematically replicated. We combined data from 1,463 camera traps within 31 field sites across sun bear range to model the relationship between photo catch rates of sun bears and tree cover. Sun bears were detected in all levels of tree cover above 20%, and the probability of presence was positively associated with the amount of tree cover within a 6-km2 buffer of the camera traps. We used the relationship between catch rates and tree cover across space to infer temporal trends in sun bear abundance in response to tree cover loss at country and global-scales. Our model-based projections based on this "space for time" substitution suggested that sun bear population declines associated with tree cover loss between 2000-2014 in mainland southeast Asia were ~9%, with declines highest in Cambodia and lowest in Myanmar. During the same period, sun bear populations in insular southeast Asia (Malaysia, Indonesia and Brunei) were projected to have declined at a much higher rate (22%). Cast forward over 30-years, from the year 2000, by assuming a constant rate of change in tree cover, we projected population declines in the insular region that surpassed 50%, meeting the IUCN criteria for endangered if sun bears were listed on the population level. Although this approach requires several assumptions, most notably that trends in abundance across space can be used to infer temporal trends, population projections using remotely sensed tree cover data may serve as a useful alternative (or supplement) to expert opinion. The advantages of this approach is that it is objective, data-driven, repeatable, and it requires that all assumptions be clearly stated.
Hung, Hayley; Katsoyiannis, Athanasios A; Brorström-Lundén, Eva; Olafsdottir, Kristin; Aas, Wenche; Breivik, Knut; Bohlin-Nizzetto, Pernilla; Sigurdsson, Arni; Hakola, Hannele; Bossi, Rossana; Skov, Henrik; Sverko, Ed; Barresi, Enzo; Fellin, Phil; Wilson, Simon
2016-10-01
Temporal trends of Persistent Organic Pollutants (POPs) measured in Arctic air are essential in understanding long-range transport to remote regions and to evaluate the effectiveness of national and international chemical control initiatives, such as the Stockholm Convention (SC) on POPs. Long-term air monitoring of POPs is conducted under the Arctic Monitoring and Assessment Programme (AMAP) at four Arctic stations: Alert, Canada; Stórhöfði, Iceland; Zeppelin, Svalbard; and Pallas, Finland, since the 1990s using high volume air samplers. Temporal trends observed for POPs in Arctic air are summarized in this study. Most POPs listed for control under the SC, e.g. polychlorinated biphenyls (PCBs), dichlorodiphenyltrichloroethanes (DDTs) and chlordanes, are declining slowly in Arctic air, reflecting the reduction of primary emissions during the last two decades and increasing importance of secondary emissions. Slow declining trends also signifies their persistence and slow degradation under the Arctic environment, such that they are still detectable after being banned for decades in many countries. Some POPs, e.g. hexachlorobenzene (HCB) and lighter PCBs, showed increasing trends at specific locations, which may be attributable to warming in the region and continued primary emissions at source. Polybrominated diphenyl ethers (PBDEs) do not decline in air at Canada's Alert station but are declining in European Arctic air, which may be due to influence of local sources at Alert and the much higher historical usage of PBDEs in North America. Arctic air samples are screened for chemicals of emerging concern to provide information regarding their environmental persistence (P) and long-range transport potential (LRTP), which are important criteria for classification as a POP under SC. The AMAP network provides consistent and comparable air monitoring data of POPs for trend development and acts as a bridge between national monitoring programs and SC's Global Monitoring Plan (GMP). Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.
Watkins, James M.; Rudstam, Lars G.; Crabtree, Darran L.; Walsh, Maureen
2013-01-01
Benthic monitoring by USGS off the southern shore of Lake Ontario from October 1993 to October 1995 provides a detailed view of the early stages of the decline of the native amphipod Diporeia. A loss of the 1994 and 1995 year classes of Diporeia preceded the disappearance of the native amphipod at sites near Oswego and Rochester at depths from 55 to 130 m. In succeeding years, Diporeia populations continued to decline in Lake Ontario and were nearly extirpated by 2008. Explanations for Diporeia 's decline in the Great Lakes include several hypotheses often linked to the introduction and expansion of exotic zebra and quagga mussels (Dreissena sp.). We compare the timeline of the Diporeia decline in Lake Ontario with trends in two sources of organic matter to the sediments — spring diatom blooms and late summer whiting events. The 1994–95 decline of Diporeia coincided with localized dreissenid effects on phytoplankton in the nearshore and a year (April 1994 to May 1995) of decreased flux of organic carbon recorded by sediment traps moored offshore of Oswego. Later declines of profundal (> 90 m) Diporeia populations in 2003 were poorly associated with trends in spring algal blooms and late summer whiting events. Lake Ontario/Diporeia/Dreissena/remote sensing.
Factors associated with place of death in Addis Ababa, Ethiopia.
Anteneh, Aderaw; Araya, Tekebash; Misganaw, Awoke
2013-03-26
Dying at home is highly prevalent in Africa partly due to lack of accessibility of modern health services. In turn, limited infrastructure and health care deliveries in Africa complicate access to health services. A weak infrastructure and limited health facilities with lower quality in Ethiopia resulted poor health service utilization and coverage, high morbidity and mortality rates. We examined whether people in Addis Ababa died in health facilities and investigated the basic factors associated with place of death. We used verbal autopsy data of 4,776 adults (age>14 years) for the years 2006-2010 from the Addis Ababa Mortality Surveillance Program (AAMSP). The main data source of AAMSP is the burial surveillance from all cemeteries in Addis Ababa. We provide descriptive statistics of place of adult deaths and discussed their covariates using multivariate analyses. Only 28.7% died at health facilities, while the remaining died out of health facilities. There was an increase trend in the proportion of health facility deaths from 25.3% in 2006 to 32.5% in 2010. The risk of health facility death versus out of health facility deaths decreased with age. Compared with those who had no education educated people were more likely to die at health facilities. The chance of in health facility death was a little higher for females than males while religion, occupational status and ethnicity of the deceased had no any significance difference in place of death. Both demographic and social factors determine where adults will die in Addis Ababa, Ethiopia. The majority of people in Addis Ababa died out of health facilities. The health system should also give special attention to the emerging non communicable diseases like cancer for effective treatment of patients.
Factors associated with place of death in Addis Ababa, Ethiopia
2013-01-01
Background Dying at home is highly prevalent in Africa partly due to lack of accessibility of modern health services. In turn, limited infrastructure and health care deliveries in Africa complicate access to health services. A weak infrastructure and limited health facilities with lower quality in Ethiopia resulted poor health service utilization and coverage, high morbidity and mortality rates. We examined whether people in Addis Ababa died in health facilities and investigated the basic factors associated with place of death. Methods We used verbal autopsy data of 4,776 adults (age>14 years) for the years 2006–2010 from the Addis Ababa Mortality Surveillance Program (AAMSP). The main data source of AAMSP is the burial surveillance from all cemeteries in Addis Ababa. We provide descriptive statistics of place of adult deaths and discussed their covariates using multivariate analyses. Results Only 28.7% died at health facilities, while the remaining died out of health facilities. There was an increase trend in the proportion of health facility deaths from 25.3% in 2006 to 32.5% in 2010. The risk of health facility death versus out of health facility deaths decreased with age. Compared with those who had no education educated people were more likely to die at health facilities. The chance of in health facility death was a little higher for females than males while religion, occupational status and ethnicity of the deceased had no any significance difference in place of death. Conclusion Both demographic and social factors determine where adults will die in Addis Ababa, Ethiopia. The majority of people in Addis Ababa died out of health facilities. The health system should also give special attention to the emerging non communicable diseases like cancer for effective treatment of patients. PMID:23530478
Karakochuk, Crystal; van den Briel, Tina; Stephens, Derek; Zlotkin, Stanley
2012-10-01
Moderate and severe acute malnutrition affects 13% of children <5 y of age worldwide. Severe acute malnutrition affects fewer children but is associated with higher rates of mortality and morbidity. Supplementary feeding programs aim to treat moderate acute malnutrition and prevent the deterioration to severe acute malnutrition. The aim was to compare recovery rates of children with moderate acute malnutrition in supplementary feeding programs by using the newly recommended ration of ready-to-use supplementary food (RUSF) and the more conventional ration of corn-soya blend (CSB) in Ethiopia. A total of 1125 children aged 6-60 mo with moderate acute malnutrition received 16 wk of CSB or RUSF. Children were randomly assigned to receive one or the other food. The daily rations were purposely based on the conventional treatment rations distributed at the time of the study in Ethiopia: 300 g CSB and 32 g vegetable oil in the control group (1413 kcal) and 92 g RUSF in the intervention group (500 kcal). The higher ration size of CSB was provided because of expected food sharing. The HR for children in the CSB group was 0.85 (95% CI: 0.73, 0.99), which indicated that they had 15% lower recovery (P = 0.039). Recovery rates of children at the end of the 16-wk treatment period trended higher in the RUSF group (73%) than in the CSB group (67%) (P = 0.056). In comparison with CSB, the treatment of moderate acute malnutrition with RUSF resulted in higher recovery rates in children, despite the large ration size and higher energy content of the conventional CSB ration.
Explaining the Decline in Special Education Teacher Employment from 2005 to 2012
ERIC Educational Resources Information Center
Dewey, Jim; Sindelar, Paul T.; Bettini, Elizabeth; Boe, Erling E.; Rosenberg, Michael S.; Leko, Chris
2017-01-01
Demand for special education teachers grew continuously from the passage of Public Law 94-142 in 1975 through 2005, when this trend reversed. From 2005 to 2012, the number of special education teachers employed by U.S. schools declined by >17%. The primary purpose of this investigation was to determine factors that contributed to this decline.…
California's Youth and Young Adult Arrest Rates Continue a Historic Decline. Fact Sheet
ERIC Educational Resources Information Center
Males, Mike
2016-01-01
This Center on Juvenile and Criminal Justice (CJCJ) fact sheet shows that, in 2015, arrests of young people under age 25 dropped below 2014 levels and continue a decades-long trend of decline. While the causes of these declines are unknown, falling youth arrests rates coupled with decreased youth incarceration suggest that high rates of…
Contemporary Trends in the Acid-Base Status of the Two Acid-Sensitive Streams in Western Maryland
NASA Technical Reports Server (NTRS)
Eshleman, Keith N.; Kline, Kathleen M.; Morgan, Raymond P., II; Castro, Nancy M.; Negley, Timothy L.
2008-01-01
Recovery of streamwater acid neutralizing capacity (ANC) resulting from declines in regional acid deposition was examined using contemporary (1990-2005) data from two long-term monitoring stations located on the Appalachian Plateau in western Maryland, U.S. Two computational methods were used to estimate daily, monthly, and annual fluxes and discharge-weighted concentrations of ANC, sulfate, nitrate, and base cations over the period of record, and two statistical methods were used to evaluate long-term trends in fluxes and concentrations. The methods used to estimate concentrations, as well as the, statistical techniques, produced very similar results, underlining the robustness of the identified trends. We found clear evidence that streamwater sulfate concentrations have declined at an average rate of about 3 (microns)eq L(exp -1) yr(exp -1) at the two sites due to a 34% reduction in wet atmospheric sulfur deposition. Trends in nitrate concentrations appear to be related to other watershed factors, especially forest disturbance. The best evidence of recovery is based on a doubling of ANC (from 21 to 42 (microns)eq L(exp -1) at the more acid-sensitive site over the 16-year period. A slowing, or possible reversal, in the sulfate, nitrate, and SBC trends is evident in our data and may portend a decline in the rate of--or end to--further recovery.
Srivastava, Joydeep; Oza, Shweta S; Koukova, Nevena T
2017-12-01
Generic advertising campaigns such as "Got Milk?" and "Pork: The Other White Meat" are intended to increase demand for the entire product category rather than demand for a specific brand. This research examines the influence of industry (or product category) sales trend and solicitation messages on voluntary contributions toward such campaigns. Based on the idea that the context in which decisions are made may induce goals, a theoretical framework is developed to suggest that a declining versus an increasing industry sales trend induces different goal orientations. Although contributing to a generic advertising campaign may be viewed as 1 means to achieve the induced goal, the means-goal association is likely to be stronger when the trend is declining rather than increasing. Further, the authors propose that a solicitation message that is congruent with the induced goal and the associated mean is likely to be most effective in increasing contributions relative to incongruent messages. Consistent with the framework, three studies demonstrate that voluntary contributions are higher when the industry sales trend is declining versus increasing, and the solicitation message that reinforces the association between the induced goal and the means to achieve the goal is most effective in increasing contributions. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Research productivity of Pakistan in medical sciences during the period 1996-2012.
Meo, S A; Almasri, A A; Usmani, A M
2013-11-01
This study aimed to investigate the degree of research outcome in medical science subjects in Pakistan during the period 1996-2012. In this study, the research papers published in various global science journals during the period 1996-2012 were accessed. We recorded the total number of research documents having an affiliation with a Pakistan. The main source for information was Institute of Scientific Information (ISI) Web of Science, Thomson Reuters and SCI-mago/Scopus. In global science, Pakistan contributed 58133 research papers in all science and social sciences both in ISI and non ISI indexed journals. However, in medical sciences the total number of research papers from Pakistan are 25604, citable documents 23874, citations 128061, mean citations per documents 6.45 and mean Hirsch index is 35.33. In Pakistan, the upward trend of articles published in global medical science was from the period 1996-2008. However, from 2008 the trend is markedly declined. Pakistan significantly improved its international ranking positions in research during the period 2000-2008. However, the upward trend of research papers published in global medical science could not be retained and from the year 2008 the trend started declining. This trend of research papers further declined in year 2012 compared to year 2011. It is suggested that, Pakistan must take strategic steps to enhance the research culture and increase the research and development expenditure in the country.
Trends in Mortality of Tuberculosis Patients in the United States: The Long-term Perspective
Barnes, Richard F.W.; Moore, Maria Luisa; Garfein, Richard S.; Brodine, Stephanie; Strathdee, Steffanie A.; Rodwell, Timothy C.
2011-01-01
PURPOSE To describe long-term trends in TB mortality and to compare trends estimated from two different sources of public health surveillance data. METHODS Trends and changes in trend were estimated by joinpoint regression. Comparisons between datasets were made by fitting a Poisson regression model. RESULTS Since 1900, TB mortality rates estimated from death certificates have declined steeply, except for a period of no change in the 1980s. This decade had long-term consequences resulting in more TB deaths in later years than would have occurred had there been no flattening of the trend. Recent trends in TB mortality estimated from National Tuberculosis Surveillance System (NTSS) data, which record all-cause mortality, differed from trends based on death certificates. In particular, NTSS data showed TB mortality rates flattening since 2002. CONCLUSIONS Estimates of trends in TB mortality vary by data source, and therefore interpretation of the success of control efforts will depend upon the surveillance dataset used. The datasets may be subject to different biases that vary with time. One dataset showed a sustained improvement in the control of TB since the early 1990s while the other indicated that the rate of TB mortality was no longer declining. PMID:21820320
Long-term decline and short-term crash of the once abundant Rusty Blackbird
Greenberg, R.; Blancher, P.; Niven, D.; Droege, S.
2008-01-01
The Rusty Blackbird (Euphagus carolinus), a formerly common breeding species of boreal wetlands, has exhibited the most marked decline of any North American landbird. North American Breeding Bird Survey (BBS) trends in abundance are estimated to be -12.5% / yr over the last 40 years, which is tantamount to a >95% cumulative decline. Trends in abundance calculated from Christmas Bird Counts (CBC) for a similar period indicate a range-wide decline of -5.6% / yr. Qualitative analyses of ornithological accounts suggest the species has been declining for over a century before the period covered by the estimated declines. Several studies document range retraction in the southern boreal forest, whereas limited data suggest that abundance may be more stable in more northerly areas. This pattern is both supported and contradicted by winter declines based in CBC data. The lower estimates of decline in the CBC data compared to BBS is consistent with the idea that the coverage of BBS is biased towards the southern boreal whereas CBC covers the entire winter range. However, the CBC declines are similar between the South Atlantic coast (with populations derived from the southeastern boreal) and the Mississippi Valley (populations from the northwest boreal). The major hypotheses for the decline include degradation of boreal habitats from logging and agricultural agricultural development, mercury contamination, and wetland desiccation resulting from global warming. Other likely reasons for decline include loss or degradation of wooded wetlands of the southeastern U.S and mortality associated with abatement efforts targeting nuisance blackbirds. We present a matrix of hypotheses and predictions that test them based on the geography of decline and more detailed indicators of population health which should form the strategic basis of future research.
Vaughan, Adam S; Quick, Harrison; Pathak, Elizabeth B; Kramer, Michael R; Casper, Michele
2015-12-15
Examining small-area differences in the strength of declining heart disease mortality by race and sex provides important context for current racial and geographic disparities and identifies localities that could benefit from targeted interventions. We identified and described temporal trends in declining county-level heart disease mortality by race, sex, and geography between 1973 and 2010. Using a Bayesian hierarchical model, we estimated age-adjusted mortality with diseases of the heart listed as the underlying cause for 3099 counties. County-level percentage declines were calculated by race and sex for 3 time periods (1973-1985, 1986-1997, 1998-2010). Strong declines were statistically faster or no different than the total national decline in that time period. We observed county-level race-sex disparities in heart disease mortality trends. Continual (from 1973 to 2010) strong declines occurred in 73.2%, 44.6%, 15.5%, and 17.3% of counties for white men, white women, black men, and black women, respectively. Delayed (1998-2010) strong declines occurred in 15.4%, 42.0%, 75.5%, and 76.6% of counties for white men, white women, black men, and black women, respectively. Counties with the weakest patterns of decline were concentrated in the South. Since 1973, heart disease mortality has declined substantially for these race-sex groups. Patterns of decline differed by race and geography, reflecting potential disparities in national and local drivers of these declines. Better understanding of racial and geographic disparities in the diffusion of heart disease prevention and treatment may allow us to find clues to progress toward racial and geographic equity in heart disease mortality. © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.
Cross-National Trends in Mortality Rates among the Elderly.
ERIC Educational Resources Information Center
Myers, GeorgeC.
1978-01-01
An examination of death rates among the elderly and trends over the period 1950-1975 and 1970-1975 for selected developed nations provides evidence of continued strong mortality declines for females and somewhat mixed results for males. Implications of these trends for forecasting the mortality component of U.S. population projections are…
Financing the Public Schools in the Great Lake States: Declining Revenues in the 1980s?
ERIC Educational Resources Information Center
Geske, Terry G.
1984-01-01
Analyzes data on the economic prospects of Illinois, Indiana, Michigan, Ohio, and Wisconsin--including demographic and economic trends, trends in taxation systems, school revenue and expenditure trends, and future revenue prospects--and offers prognoses for individual states. Generally, short-range revenue prospects are bleak, and long-range…
Amugsi, Dickson A; Mittelmark, Maurice B; Lartey, Anna
2013-10-16
A small but growing body of research indicates that progress in reducing child malnutrition is substantially uneven from place to place, even down to the district level within countries. Yet child malnutrition prevalence and trend estimates available for public health planning are mostly available only at the level of global regions and/or at country level. To support carefully targeted intervention to reduce child malnutrition, public health planners and policy-makers require access to more refined prevalence data and trend analyses than are presently available. Responding to this need in Ghana, this report presents trends in child malnutrition prevalence in socio-demographic groups within the country's geographic regions. The study uses the Ghana Demographic and Health Surveys (GDHS) data. The GDHS are nationally representative cross-sectional surveys that have been carried out in many developing countries. These surveys constitute one of the richest sources of information currently available to examine time trends in child malnutrition. Data from four surveys were used for the analysis: 1993, 1998, 2003 and 2008. The results show statistically significant declining trends at the national level for stunting (F (1, 7204) = 7.89, p ≤ .005), underweight (F (1, 7441) = 44.87, p ≤ .001) and wasting (F (1, 7130) = 6.19, p ≤ .013). However, analyses of the sex-specific trends revealed that the declining trends in stunting and wasting were significant among males but not among females. In contrast to the national trend, there were significantly increasing trends in stunting for males (F (1, 2004) = 3.92, p ≤ .048) and females (F (1, 2004) = 4.34, p ≤ .037) whose mothers had higher than primary education, while the trends decreased significantly for males and females whose mothers had no education. At the national level in Ghana, child malnutrition is significantly declining. However, the aggregate national trend masks important deviations in certain socio-demographic segments, including worsening levels of malnutrition. This paper shows the importance of disaggregated analyses of national child malnutrition data, to unmask underlying geographic and socio-demographic differences.
2010-01-01
Background Cessation of smoking reduces morbidity and mortality related to tobacco smoking. It is essential to explore the intention of individuals to quit smoking to design effective interventions. The objective of this study was to assess cigarette smokers' intention to quit smoking in Dire Dawa town using the Transtheoretical model. Methods From February 15 to 19, 2009, we conducted a community based cross-sectional study among 384 current cigarette smokers in Dire Dawa town east Ethiopia. Data was collected by trained personnel using a pretested structured questionnaire. The data was analyzed using SPSS version 16.0. Results Two hundred and nineteen (57%) smokers in the study area had the intention to quit cigarette smoking within the next six months and all the process of change had an increasing trend across the stages. Based on the Fragestrom test of nicotine dependence of cigarette, 35 (9.1%), 69 (18%) and 48(12.5%) were very high, high and medium dependent on nicotine respectively. For the majority 247(64.3%) of the respondents, the mean score of cons of smoking outweighs the pros score (negative decisional balance). Only 66(17.2%) had high self efficacy not to smoke in places and situations that can aggravate smoking. Conclusions Majority of the smokers had the intention to quit smoking. All the process of change had an increasing trend across the stages. Those who had no intention to quit smoking had high level of dependence on nicotine and low self efficacy. The pros of smoking were decreasing while the cons were increasing across the stages. Stage based interventions should be done to move the smokers from their current stage to an advanced stages of quitting cigarette smoking. PMID:20529337
NASA Astrophysics Data System (ADS)
Brune, Sascha; Corti, Giacomo; Ranalli, Giorgio
2017-09-01
Inherited rheological structures in the lithosphere are expected to have large impact on the architecture of continental rifts. The Turkana depression in the East African Rift connects the Main Ethiopian Rift to the north with the Kenya rift in the south. This region is characterized by a NW-SE trending band of thinned crust inherited from a Mesozoic rifting event, which is cutting the present-day N-S rift trend at high angle. In striking contrast to the narrow rifts in Ethiopia and Kenya, extension in the Turkana region is accommodated in subparallel deformation domains that are laterally distributed over several hundred kilometers. We present both analog experiments and numerical models that reproduce the along-axis transition from narrow rifting in Ethiopia and Kenya to a distributed deformation within the Turkana depression. Similarly to natural observations, our models show that the Ethiopian and Kenyan rifts bend away from each other within the Turkana region, thus forming a right-lateral step over and avoiding a direct link to form a continuous N-S depression. The models reveal five potential types of rift linkage across the preexisting basin: three types where rifts bend away from the inherited structure connecting via a (1) wide or (2) narrow rift or by (3) forming a rotating microplate, (4) a type where rifts bend towards it, and (5) straight rift linkage. The fact that linkage type 1 is realized in the Turkana region provides new insights on the rheological configuration of the Mesozoic rift system at the onset of the recent rift episode.
Our "increasingly mobile society"? The curious persistence of a false belief.
Wolf, Douglas A; Longino, Charles F
2005-02-01
We call attention to the widespread belief that the United States is an "increasingly mobile society," despite the fact that overall mobility has generally declined since about 1950, and interstate mobility has generally not increased during the same period. We review and extend past research documenting these mobility trends. We describe population-level mobility for people of all ages as well as for several adult age groups, using published data from the U.S. Current Population Survey. We use simple regression methods to estimate the size and significance of mobility trends. Overall mobility rates have declined for individuals of all ages and among all age groups. The largest average annual declines occur for 20- to 29-year-olds, although the rate of decline for those aged 65 and older is also large. Interstate mobility has declined slightly or remained constant, except among adults between 45 and 64 years old. Although there may be good reasons to worry about the future of family care provided to elderly individuals, increased geographic mobility does not appear to be one of them. We speculate on reasons why the false belief persists.
Tracking the demise of state hospital rate setting.
McDonough, J E
1997-01-01
From its once preeminent position in state health policy, prospective hospital rate setting has declined in use from more than thirty states in 1980 to two today. This essay tracks the trend toward deregulation in various states--especially Massachusetts, New Jersey, and New York-- and examines the continuation of rate setting in Maryland. Principally, the decline reflects the development of managed care and capitation as alternative means to control health spending growth. This trend represents both an evolution in prospective payment methodology and a renewed preference for private over public-sector price controls.
Publication Trends in Model Organism Research
Dietrich, Michael R.; Ankeny, Rachel A.; Chen, Patrick M.
2014-01-01
In 1990, the National Institutes of Health (NIH) gave some organisms special status as designated model organisms. This article documents publication trends for these NIH-designated model organisms over the past 40 years. We find that being designated a model organism by the NIH does not guarantee an increasing publication trend. An analysis of model and nonmodel organisms included in GENETICS since 1960 does reveal a sharp decline in the number of publications using nonmodel organisms yet no decline in the overall species diversity. We suggest that organisms with successful publication records tend to share critical characteristics, such as being well developed as standardized, experimental systems and being used by well-organized communities with good networks of exchange and methods of communication. PMID:25381363
Multigenerational Family Households: Recent Trends and Implications for the Future.
ERIC Educational Resources Information Center
Mindel, Charles H.
1979-01-01
This paper concerns elderly individuals who share households with kin. Examines historical trends in multigenerational households. In spite of the decline, the multigenerational household is still viable for approximately 2,000,000 persons. (Author)
Trends in radiopharmaceutical dispensing in a regional nuclear pharmacy
DOE Office of Scientific and Technical Information (OSTI.GOV)
Basmadjian, G.P.; Johnston, J.; Barker, K.
1982-11-01
Dispensing trends for radiopharmaceuticals at a regional nuclear pharmacy over a 51-month period were studied. dispensing records of a regional nuclear pharmacy were analyzed with a forecasting procedure that uses univariate time data to produce time trends and autoregressive models. The overall number of prescriptions increased from 3500 to 5500 per quarter. Radiopharmaceuticals used in nuclear cardiology studies increased from less than 0.1% to 17.5% of total prescriptions dispensed, while radiopharmaceuticals used for brain imaging showed a steady decline from 29% to 11% of total prescriptions dispensed. The demand for other radiopharmaceuticals increased in areas such as renal studies, bonemore » studies, lung studies, liver-function studies, and /sup 67/Ga tumor-uptake studies, and declined slightly for static liver studies. Changes in dispensing trends for radiopharmaceuticals will continue as the practice of nuclear medicine concentrates more on functional studies and as newer imaging techniques become used for other purposes.« less
Changing Seasonality of Panarctic Tundra Vegetation in Relationship to Climatic Variables
NASA Technical Reports Server (NTRS)
Bhatt, Uma S.; Walker, Donald A.; Raynolds, Martha K.; Bieniek, Peter A.; Epstein, Howard E.; Comiso, Josefino C.; Pinzon, Jorge E.; Tucker, Compton J.; Steele, Michael; Ermold, Wendy;
2017-01-01
Potential climate drivers of Arctic tundra vegetation productivity are investigated to understand recent greening and browning trends documented by maximum normalized difference vegetation index (NDVI) (MaxNDVI) and time-integrated NDVI (TI-NDVI) for 19822015. Over this period, summer sea ice has continued to decline while oceanic heat content has increased. The increases in summer warmth index (SWI) and NDVI have not been uniform over the satellite record. SWI increased from 1982 to the mid-1990s and remained relatively flat from 1998 onwards until a recent upturn. While MaxNDVI displays positive trends from 19822015, TI-NDVI increased from 1982 until 2001 and has declined since. The data for the first and second halves of the record were analyzed and compared spatially for changing trends with a focus on the growing season. Negative trends for MaxNDVI and TI-NDVI were more common during 19992015 compared to 19821998.
Mast, M. Alisa; Ingersoll, George P.
2011-01-01
In 2010, the U.S. Geological Survey, in cooperation with the U.S. Department of Agriculture Forest Service, Air Resource Management, began a study to evaluate long-term trends in lake-water chemistry for 64 high-elevation lakes in selected Class I wilderness areas in Colorado, Idaho, Utah, and Wyoming during 1993 to 2009. The purpose of this report is to describe trends in the chemical composition of these high-elevation lakes. Trends in emissions, atmospheric deposition, and climate variables (air temperature and precipitation amount) are evaluated over a similar period of record to determine likely drivers of changing lake chemistry. Sulfate concentrations in precipitation decreased over the past two decades at high-elevation monitoring stations in the Rocky Mountain region. The trend in deposition chemistry is consistent with regional declines in sulfur dioxide emissions resulting from installation of emission controls at large stationary sources. Trends in nitrogen deposition were not as widespread as those for sulfate. About one-half of monitoring stations showed increases in ammonium concentrations, but few showed significant changes in nitrate concentrations. Trends in nitrogen deposition appear to be inconsistent with available emission inventories, which indicate modest declines in nitrogen emissions in the Rocky Mountain region since the mid-1990s. This discrepancy may reflect uncertainties in emission inventories or changes in atmospheric transformations of nitrogen species that may be affecting deposition processes. Analysis of long-term climate records indicates that average annual mean air temperature minimums have increased from 0.57 to 0.75 °C per decade in mountain areas of the region with warming trends being more pronounced in Colorado. Trends in annual precipitation were not evident over the period 1990 to 2006, although wetter than average years during 1995 to 1997 and drier years during 2001 to 2004 caused a notable decline in precipitation in the middle part of the record.
A human-driven decline in global burned area
NASA Astrophysics Data System (ADS)
Andela, N.; Morton, D. C.; Chen, Y.; van der Werf, G.; Giglio, L.; Kasibhatla, P. S.; Randerson, J. T.
2016-12-01
Fire is an important and dynamic ecosystem process that influences many aspects of the global Earth system. Here, we used several different satellite datasets to assess trends in global burned area during 1998 to 2014. Global burned area decreased by about 21.6 ± 8.5% over the period from 1998-2014, with large regional declines observed in savanna and grassland ecosystems in northern Africa, Eurasia, and South America. The decrease in burned area remained robust after removing the influence of climate (16.0 ± 6.0%), implicating human activity as a likely driver. To further investigate the mechanisms contributing to regional and global trends, we conducted several kinds of analysis, including separation of burned area into ignition and fire size components and geospatial analysis of fire trends in relationship with demographic and land use variables. We found that fire number was a more important factor contributing to burned area trends than fire size, suggesting a reduction in the use of fire for management purposes. Concurrent decreases in fire size also contributed to the trend outside of North and South America, suggesting a role for greater landscape fragmentation. From our geospatial analysis, we developed a conceptual model that incorporates a range of drivers for human-driven changes in biomass burning that can be used to guide global fire models, currently unable to reproduce these large scale recent trends. Patterns of agricultural expansion and land use intensification are likely to further contribute to declining burned area trends in future decades, with important consequences for Earth system processes mediated by surface albedo, greenhouse gas emissions, and aerosols. Our results also highlight the vulnerability of savannas and grassland to land use changes with unprecedented global scale consequences for vegetation structure and the carbon cycle.
Keyes, Katherine M; Gary, Dahsan S; Beardslee, Jordan; Prins, Seth J; O'Malley, Patrick M; Rutherford, Caroline; Schulenberg, John
2018-03-01
Although arrest rates among juveniles have substantially decreased since the 1990s, US national trends in conduct problems are unknown. Population variation in conduct problems would imply changes in the social environment, which would include emergent or receding risk factors. In the present study, we separated age, period, and cohort effects on conduct problems using nationally representative surveys of 375,879 US students conducted annually (1991-2015). The summed score of 7 items measuring the frequency of conduct problems was the outcome. Conduct problems have decreased during the past 25 years among boys; the total amount of the decrease was approximately 0.4 standard deviations (P < 0.01), and by item prevalence, the total amount of the decrease was 8%-11%. Declines are best explained by period effects beginning approximately in 2008, and a declining cohort effect beginning among those born after 1992, which suggests not only declines in population levels, but more rapid declines among younger cohorts of boys. Trends were also consistent with age-period-cohort effects on evenings spent out, which suggest a possible mechanism. Conduct problems among girls were lower than boys and did not demonstrate trends across time. These changes may reflect the changing nature of adolescence toward less unsupervised interaction.
A model for sex ratio decline in India.
Thukral, A K
1996-01-01
"The sex ratio in India has declined from 972 females per 1,000 males in 1901 to 929 females per 1,000 males in 1991. A model [is] proposed for the quantitative analysis of the problem.... The study reveals that there has been a sex discriminated population growth in India in the twentieth century, although the rate of decline of the female has decreased. If the current trend of population growth continues, there will be a further decline in the [sex ratio]." excerpt
Annual Report to the Nation: Overall cancer mortality declines
The 2018 Annual Report to the Nation on the Status of Cancer finds overall cancer death rates continue to decline and cancer incidence dropped in men and remained stable in women. A companion study reports on recent changes in prostate cancer trends.
Changing Seasonality of Tundra Vegetation and Associated Climatic Variables
NASA Astrophysics Data System (ADS)
Bhatt, U. S.; Walker, D. A.; Raynolds, M. K.; Bieniek, P.; Epstein, H. E.; Comiso, J. C.; Pinzon, J.; Tucker, C. J.; Steele, M.; Ermold, W. S.; Zhang, J.
2014-12-01
This study documents changes in the seasonality of tundra vegetation productivity and its associated climate variables using long-term data sets. An overall increase of Pan-Arctic tundra greenness potential corresponds to increased land surface temperatures and declining sea ice concentrations. While sea ice has continued to decline, summer land surface temperature and vegetation productivity increases have stalled during the last decade in parts of the Arctic. To understand the processes behind these features we investigate additional climate parameters. This study employs remotely sensed weekly 25-km sea ice concentration, weekly surface temperature, and bi-weekly NDVI from 1982 to 2013. Maximum NDVI (MaxNDVI, Maximum Normalized Difference Vegetation Index), Time Integrated NDVI (TI-NDVI), Summer Warmth Index (SWI, sum of degree months above freezing during May-August), ocean heat content (PIOMAS, model incorporating ocean data assimilation), and snow water equivalent (GlobSnow, assimilated snow data set) are explored. We analyzed the data for the full period (1982-2013) and for two sub-periods (1982-1998 and 1999-2013), which were chosen based on the declining Pan-Arctic SWI since 1998. MaxNDVI has increased from 1982-2013 over most of the Arctic but has declined from 1999 to 2013 over western Eurasia, northern Canada, and southwest Alaska. TI-NDVI has trends that are similar to those for MaxNDVI for the full period but displays widespread declines over the 1999-2013 period. Therefore, as the MaxNDVI has continued to increase overall for the Arctic, TI-NDVI has been declining since 1999. SWI has large relative increases over the 1982-2013 period in eastern Canada and Greenland and strong declines in western Eurasia and southern Canadian tundra. Weekly Pan-Arctic tundra land surface temperatures warmed throughout the summer during the 1982-1998 period but display midsummer declines from 1999-2013. Weekly snow water equivalent over Arctic tundra has declined over most seasons but shows slight increases in spring in North America and during fall over Eurasia. Later spring or earlier fall snow cover can both lead to reductions in TI-NDVI. The time-varying spatial patterns of NDVI trends can be largely explained using either snow cover or land surface temperature trends.
Does conservation on farmland contribute to halting the biodiversity decline?
Kleijn, David; Rundlöf, Maj; Scheper, Jeroen; Smith, Henrik G; Tscharntke, Teja
2011-09-01
Biodiversity continues to decline, despite the implementation of international conservation conventions and measures. To counteract biodiversity loss, it is pivotal to know how conservation actions affect biodiversity trends. Focussing on European farmland species, we review what is known about the impact of conservation initiatives on biodiversity. We argue that the effects of conservation are a function of conservation-induced ecological contrast, agricultural land-use intensity and landscape context. We find that, to date, only a few studies have linked local conservation effects to national biodiversity trends. It is therefore unknown how the extensive European agri-environmental budget for conservation on farmland contributes to the policy objectives to halt biodiversity decline. Based on this review, we identify new research directions addressing this important knowledge gap. Copyright © 2011 Elsevier Ltd. All rights reserved.
Adimassu, Zenebe; Kessler, Aad; Yirga, Chilot; Stroosnijder, Leo
2013-05-01
To combat land degradation in the Central Rift Valley (CRV) of Ethiopia, farmers are of crucial importance. If farmers perceive land degradation as a problem, the chance that they invest in land management measures will be enhanced. This study presents farmers' perceptions of land degradation and their investments in land management, and to what extent the latter are influenced by these perceptions. Water erosion and fertility depletion are taken as main indicators of land degradation, and the results show that farmers perceive an increase in both indicators over the last decade. They are aware of it and consider it as a problem. Nevertheless, farmers' investments to control water erosion and soil fertility depletion are very limited in the CRV. Results also show that farmers' awareness of both water erosion and soil fertility decline as a problem is not significantly associated with their investments in land management. Hence, even farmers who perceive land degradation on their fields and are concerned about its increase over the last decade do not significantly invest more in water erosion and soil fertility control measures than farmers who do not perceive these phenomena. Further research is needed to assess which other factors might influence farmers' investments in land management, especially factors related to socioeconomic characteristics of farm households and plot characteristics which were not addressed by this study.
Mannsverk, Jan; Wilsgaard, Tom; Mathiesen, Ellisiv B; Løchen, Maja-Lisa; Rasmussen, Knut; Thelle, Dag S; Njølstad, Inger; Hopstock, Laila Arnesdatter; Bønaa, Kaare Harald
2016-01-05
Few studies have used individual person data to study whether contemporary trends in the incidence of coronary heart disease are associated with changes in modifiable coronary risk factors. We identified 29 582 healthy men and women ≥25 years of age who participated in 3 population surveys conducted between 1994 and 2008 in Tromsø, Norway. Age- and sex-adjusted incidence rates were calculated for coronary heart disease overall, out-of-hospital sudden death, and hospitalized ST-segment-elevation and non-ST-segment-elevation myocardial infarction. We measured coronary risk factors at each survey and estimated the relationship between changes in risk factors and changes in incidence trends. A total of 1845 participants had an incident acute coronary heart disease event during 375 064 person-years of follow-up from 1994 to 2010. The age- and sex-adjusted incidence of total coronary heart disease decreased by 3% (95% confidence interval, 2.0-4.0; P<0.001) each year. This decline was driven by decreases in out-of-hospital sudden death and hospitalized ST-segment-elevation myocardial infarction. Changes in coronary risk factors accounted for 66% (95% confidence interval, 48-97; P<0.001) of the decline in total coronary heart disease. Favorable changes in cholesterol contributed 32% to the decline, whereas blood pressure, smoking, and physical activity each contributed 14%, 13%, and 9%, respectively. We observed a substantial decline in the incidence of coronary heart disease that was driven by reductions in out-of-hospital sudden death and hospitalized ST-segment-elevation myocardial infarction. Changes in modifiable coronary risk factors accounted for 66% of the decline in coronary heart disease events. © 2015 American Heart Association, Inc.
Contrasting drivers and trends of coniferous and deciduous tree growth in interior Alaska.
Cahoon, Sean M P; Sullivan, Patrick F; Brownlee, Annalis H; Pattison, Robert R; Andersen, Hans-Erik; Legner, Kate; Hollingsworth, Teresa N
2018-03-22
The boreal biome represents approximately one third of the world's forested area and plays an important role in global biogeochemical and energy cycles. Numerous studies in boreal Alaska have concluded that growth of black and white spruce is declining as a result of temperature-induced drought stress. The combined evidence of declining spruce growth and changes in the fire regime that favor establishment of deciduous tree species has led some investigators to suggest the region may be transitioning from dominance by spruce to dominance by deciduous forests and/or grasslands. Although spruce growth trends have been extensively investigated, few studies have evaluated long-term radial growth trends of the dominant deciduous species (Alaska paper birch and trembling aspen) and their sensitivity to moisture availability. We used a large and spatially extensive sample of tree cores from interior Alaska to compare long-term growth trends among contrasting tree species (white and black spruce vs. birch and aspen). All species showed a growth peak in the mid-1940s, although growth following the peak varied strongly across species. Following an initial decline from the peak, growth of white spruce showed little evidence of a trend, while black spruce and birch growth showed slight growth declines from ~1970 to present. Aspen growth was much more variable than the other species and showed a steep decline from ~1970 to present. Growth of birch, black and white spruce was sensitive to moisture availability throughout most of the tree-ring chronologies, as evidenced by negative correlations with air temperature and positive correlations with precipitation. However, a positive correlation between previous July precipitation and aspen growth disappeared in recent decades, corresponding with a rise in the population of the aspen leaf miner (Phyllocnistis populiella), an herbivorous moth, which may have driven growth to a level not seen since the early 20th century. Our results provide important historical context for recent growth and raise questions regarding competitive interactions among the dominant tree species and exchanges of carbon and energy in the warming climate of interior Alaska. © 2018 by the Ecological Society of America.
Murdoch, Peter S.; Shanley, J.B.
2006-01-01
Two new methods for assessing temporal trends in stream-solute concentrations at specific streamflow ranges were applied to long (40 to 50-year) but sparse (bi-weekly to quarterly sampling) stream-water quality data collected at three forested mesoscale basins along an atmospheric deposition gradient in the northeastern United States (one in north-central Pennsylvania, one in southeastern New York, and one in eastern Maine). The three data sets span the period since the implementation of the Clean Air Act in 1970 and its subsequent amendments. Declining sulfate (SO2-4) trends since the mid 1960s were identified for all 3 rivers by one or more of the 4 methods of trend detection used. Flow-specific trends were assessed by segmenting the data sets into 3-year and 6-year blocks, then determining concentration-discharge relationships for each block. Declining sulfate (SO2-4) trends at median flow were similar to trends determined using a Seasonal Kendall Tau test and Sen slope estimator. The trend of declining SO2-4 concentrations differed at high, median and low flow since the mid 1980s at YWC and NR, and at high and low flow at WR, but the trends leveled or reversed at high flow from 1999 through 2002. Trends for the period of record at high flows were similar to medium- and low-flow trends for Ca2+ + Mg2+ concentrations at WR, non-significant at YWC, and were more negative at low flow than at high flow at NR; trends in nitrate (NO-3), and alkalinity (ALK) concentrations were different at different flow conditions, and in ways that are consistent with the hydrology and deposition history at each watershed. Quarterly sampling is adequate for assessing average-flow trends in the chemical parameters assessed over long time periods (???decades). However, with even a modest effort at sampling a range of flow conditions within each year, trends at specified flows for constituents with strong concentration-discharge relationships can be evaluated and may allow early detection of ecosystem response to climate change and pollution management strategies. ?? Springer Science+Business Media, B.V. 2006.
2013-01-01
Background There has been a rapid decline in the number of young heterosexuals diagnosed with genital warts at outpatient sexual health services since the national human papillomavirus (HPV) vaccination program started in Australia in 2007. We assessed the impact of the vaccination program on the number of in-patient treatments for genital warts. Methods Data on in-patient treatments of genital warts in all private hospitals were extracted from the Medicare website. Medicare is the universal health insurance scheme of Australia. In the vaccine period (2007–2011) and pre-vaccine period (2000–2007) we calculated the percentage change in treatment numbers and trends in annual treatment rates in private hospitals. Australian population data were used to calculate rates. Summary rate ratios of average annual trends were determined. Results Between 2000 and 2011, 6,014 women and 936 men aged 15–44 years underwent in-patient treatment for genital warts in private hospitals. In 15–24 year old women, there was a significant decreasing trend in annual treatment rates of vulval/vaginal warts in the vaccine period (overall decrease of 85.3% in treatment numbers from 2007 to 2011) compared to no significant trend in the pre-vaccine period (summary rate ratio (SRR) = 0.33, p < 0.001). In 25–34 year old women, declining trends were seen in both vaccine and pre-vaccine periods (overall decrease of 33% vs. 24.3%), but the rate of change was greater in the vaccine period (SRR = 0.60, p < 0.001). In 35–44 year old women, there was no significant change in both periods (SRR = 0.91, p = 0.14). In 15–24 year old men, there was a significant decreasing trend in annual treatment rates of penile warts in the vaccine period (decrease of 70.6%) compared to an increasing trend in the pre-vaccine period (SRR = 0.76, p = 0.02). In 25–34 year old men there was a significant decreasing trend in the vaccine period compared to no change in the pre-vaccine period (SRR = 0.81, p = 0.04) and in 35–44 year old men there was no significant change in rates of penile warts both periods, but the rate of change was greater in the vaccine period (SRR = 0.70, p = 0.02). Conclusions The marked decline in in-patient treatment of vulval/vaginal warts in the youngest women is probably attributable to the HPV vaccine program. The moderate decline in in-patient treatments for penile warts in men probably reflects herd immunity. PMID:23506489
Ali, Hammad; Guy, Rebecca J; Wand, Handan; Read, Tim Rh; Regan, David G; Grulich, Andrew E; Fairley, Christopher K; Donovan, Basil
2013-03-18
There has been a rapid decline in the number of young heterosexuals diagnosed with genital warts at outpatient sexual health services since the national human papillomavirus (HPV) vaccination program started in Australia in 2007. We assessed the impact of the vaccination program on the number of in-patient treatments for genital warts. Data on in-patient treatments of genital warts in all private hospitals were extracted from the Medicare website. Medicare is the universal health insurance scheme of Australia. In the vaccine period (2007-2011) and pre-vaccine period (2000-2007) we calculated the percentage change in treatment numbers and trends in annual treatment rates in private hospitals. Australian population data were used to calculate rates. Summary rate ratios of average annual trends were determined. Between 2000 and 2011, 6,014 women and 936 men aged 15-44 years underwent in-patient treatment for genital warts in private hospitals. In 15-24 year old women, there was a significant decreasing trend in annual treatment rates of vulval/vaginal warts in the vaccine period (overall decrease of 85.3% in treatment numbers from 2007 to 2011) compared to no significant trend in the pre-vaccine period (summary rate ratio (SRR) = 0.33, p < 0.001). In 25-34 year old women, declining trends were seen in both vaccine and pre-vaccine periods (overall decrease of 33% vs. 24.3%), but the rate of change was greater in the vaccine period (SRR = 0.60, p < 0.001). In 35-44 year old women, there was no significant change in both periods (SRR = 0.91, p = 0.14). In 15-24 year old men, there was a significant decreasing trend in annual treatment rates of penile warts in the vaccine period (decrease of 70.6%) compared to an increasing trend in the pre-vaccine period (SRR = 0.76, p = 0.02). In 25-34 year old men there was a significant decreasing trend in the vaccine period compared to no change in the pre-vaccine period (SRR = 0.81, p = 0.04) and in 35-44 year old men there was no significant change in rates of penile warts both periods, but the rate of change was greater in the vaccine period (SRR = 0.70, p = 0.02). The marked decline in in-patient treatment of vulval/vaginal warts in the youngest women is probably attributable to the HPV vaccine program. The moderate decline in in-patient treatments for penile warts in men probably reflects herd immunity.
The browning of Alaska's boreal forest
Mary Beth Parent; David Verbyla
2010-01-01
We used twelve Landsat scenes from the 1980s-2009 and regional 2000-2009 MODIS data to examine the long-term trend in the normalized difference vegetation index (NDVI) within unburned areas of the Alaskan boreal forest. Our analysis shows that there has been a declining trend in NDVI in this region, with the strongest "browning trend" occurring in eastern...
Regional variation in coronary heart disease mortality trends in Portugal, 1981-2012.
Araújo, Carla; Pereira, Marta; Viana, Marta; Rocha, Olga Laszczyńska; Bennett, Kathleen; Lunet, Nuno; Azevedo, Ana
2016-12-01
Information is scarce about the geographic variation in time trends of mortality from coronary heart disease (CHD). We aimed to describe trends in death rates, absolute number of deaths and years of life lost (YLL) due to CHD among men and women in Portugal, by region, from 1981 to 2012. The age-standardized mortality rates from CHD were estimated by sex and region. We used joinpoint regression analysis to calculate the annual percent change (APC) in mortality and to identify points of significant change in the trend. The YLL due to premature mortality for CHD were computed using the Global Burden of Disease method. The age-adjusted mortality from CHD decreased between 1981 and 2012, both in men and women, but with significantly different APC by region. Smaller declines in rates were observed in Alentejo (men: APC 1993-2012: -2.4%; women: APC 1991-2012: -2.4%). The greatest decline was observed in Madeira between 2003 and 2012, in men (APC: -7.6%) and women (APC: -9.7%). The decline in rates in Algarve started only after 2003, whereas it was consistent from 1981 in the North and started in the 1990s in most other regions. A decrease in the number of deaths was only observed after 2000. The YLL from CHD decreased from 1981 to 2012, mainly after 2000. In Portugal, between 1981 and 2012, relative declines of CHD mortality indicators were different by geographic region. Consistent decreases in mortality rates were only observed in the Centre, Lisbon and North, the most populated and urbanized regions. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Neural tube defects in Latin America and the impact of fortification: a literature review
Rosenthal, Jorge; Casas, Jessica; Taren, Douglas; Alverson, Clinton J; Flores, Alina; Frias, Jaime
2015-01-01
Objective Data on the prevalence of birth defects and neural tube defects (NTD) in Latin America are limited. The present review summarizes NTD prevalence and time trends in Latin American countries and compares pre- and post-fortification periods to assess the impact of folic acid fortification in these countries. Design We carried out a literature review of studies and institutional reports published between 1990 and 2010 that contained information on NTD prevalence in Latin America. Results NTD prevalence in Latin American countries varied from 0.2 to 9.6 per 1000 live births and was influenced by methods of ascertainment. Time trends from Bogota, Costa Rica, Dominican Republic, Guatemala City, México and Puerto Rico showed average annual declines of 2.5% to 21.8%. Pre- and post-fortification comparisons were available for Argentina, Brazil, Chile, Costa Rica, Puerto Rico and México. The aggregate percentage decline in NTD prevalence ranged from 33% to 59%. Conclusions The present publication is the first to review data on time trends and the impact of folic acid fortification on NTD prevalence in Latin America. Reported NTD prevalence varied markedly by geographic region and in some areas of Latin America was among the lowest in the world, while in other areas it was among the highest. For countries with available information, time trends showed significant declines in NTD prevalence and these declines were greater in countries where folic acid fortification of staples reached the majority of the population at risk, such as Chile and Costa Rica. PMID:23464652
Tuberculosis mortality trends in cuba, 1998 to 2007.
González, Edilberto; Risco, Grisel E; Borroto, Susana; Perna, Abel; Armas, Luisa
2009-01-01
Introduction Tuberculosis (TB) is a major cause of illness and death throughout the world. The World Health Organization's Global Plan to Stop TB 2006-2015 proposes that countries cut TB mortality by half compared to 1990 rates. In Cuba, TB mortality declined steadily throughout the 20th century, particularly after 1960. Objective Describe TB mortality distribution and trends in Cuba from January 1998 to December 2007 by infection site, sex, age and province, and determine progress towards the WHO's 2015 target for TB mortality reduction. Methods A time series ecological study was conducted. Death certificates stating TB as cause of death were obtained from the Ministry of Public Health's National Statistics Division, and population data by age group, sex, and province were obtained from the National Statistics Bureau. Crude and specific death rate trends and variation were analyzed. Results TB mortality declined from 0.4 per 100,000 population in 1998 to 0.2 (under half the 1990 rate) in 2007. Clinical forms of the disease, both pulmonary and extrapulmonary, also declined. The highest mortality rates were found in males and in the group aged ≥ 65 years. Rates were also highest in the capital, Havana, with extreme values of 0.73 and 0.39 per 100,000 population at the beginning and end of the period, respectively. Conclusions Deaths from TB declined steadily compared to total deaths and deaths caused by infectious diseases. The Global Plan to Stop TB target was met well ahead of 2015. If this trend continues, TB is likely to become an exceptional cause of death in Cuba.
Nowakowski, Andrzej; Wojciechowska, Urszula; Wieszczy, Paulina; Cybulski, Marek; Kamiński, Michał F; Didkowska, Joanna
2017-06-01
Aside from existing opportunistic screening, an organised screening programme (OSP) for cervical cancer (CC) was implemented in 2006/2007 in Poland. We applied joinpoint regression and age-period-cohort model to look for the impact of the OSP on CC incidence/mortality trends. Decline of age-standardised incidence rates (ASIRs) in the screening-age group (25-59 years) accelerated from -2.2% (95% CI -2.7 to -1.7%) between 1993 and 2008 to -6.1% (95% CI -7.7 to -4.4%) annually after 2008. In women aged 60+ years, ASIRs declined from 1986 until 2005 [annual percent change (APC) = -2.6%, 95% CI -2.9 to -2.4%] and stabilised thereafter. Decline of age-standardised mortality rates (ASMRs) in the screening-age group accelerated from -1.3% (95% CI -1.5 to -1.1%) between 1980 and 2005 to -4.7% (95% CI -5.6 to -3.8%) annually after 2005. In women aged 60+ ASMR declined between 1991 and 2004 (APC = -2.9%, 95% CI -3.5 to -2.3%) and stabilised thereafter. Relative risks of CC diagnosis and death were 0.63 (95% CI 0.62-0.65) and 0.61 (95% CI 0.59-0.63), respectively, for the most recent period compared to the reference around 1982. Implementation of the OSP possibly accelerated downward trends in the burden of CC in Polish women under the age of 60, but recent stabilisation of trends in older women requires actions.
Medicare Cancer Screening in the Context of Clinical Guidelines: 2000 to 2012.
Maroongroge, Sean; Yu, James B
2018-04-01
Cancer screening is a ubiquitous and controversial public health issue, particularly in the elderly population. Despite extensive evidence-based guidelines for screening, it is unclear how cancer screening has changed in the Medicare population over time. We characterize trends in cancer screening for the most common cancer types in the Medicare fee-for-service (FFS) program in the context of conflicting guidelines from 2000 to 2012. We performed a descriptive analysis of retrospective claims data from the Medicare FFS program based on billing codes. Our data include all claims for Medicare part B beneficiaries who received breast, colorectal (CRC), or prostate cancer screening from 2000 to 2012 based on billing codes. We utilize a Monte Carlo permutation method to detect changes in screening trends. In total, 231,416,732 screening tests were analyzed from 2000 to 2012, representing an average of 436.8 tests per 1000 beneficiaries per year. Mammography rates declined 7.4%, with digital mammography extensively replacing film. CRC cancer screening rates declined overall. As a percentage of all CRC screening tests, colonoscopy grew from 32% to 71%. Prostate screening rates increased 16% from 2000 to 2007, and then declined to 7% less than its 2000 rate by 2012. Both the aggressiveness of screening guidelines and screening rates for the Medicare FFS population peaked and then declined from 2000 to 2012. However, guideline publications did not consistently precede utilization trend shifts. Technology adoption, practical and financial concerns, and patient preferences may have also contributed to the observed trends. Further research should be performed on the impact of multiple, conflicting guidelines in cancer screening.
Losing confidence in medicine in an era of medical expansion?
Zheng, Hui
2015-07-01
Has the expansion of the medical field inspired more or less confidence in medicine among the American public? This study investigates how confidence in medicine has changed over the past three decades, whether this trend is uniform across social groups and which aspects of medicine are most affected. Data are from repeated cross-sectional U.S. General Social Surveys spanning the years 1973-2008, including the 2002 Doctors and Patients Module and the 1998 Pressing Issues in Health and Medical Care Module. Americans' confidence in medicine has declined continuously over the past three decades, and the extent of this decline did not vary by gender, age group, cohort, or income level. Analysis of differences across socio-demographic groups suggests that confidence in medicine is related to trust in doctors' ethics but different from obedience to doctors' authority. Therefore, the downward trend in confidence in medicine may suggest a decline in public trust in doctors' ethics, but not necessarily a decline in obedience to doctors' authority. Copyright © 2014 Elsevier Inc. All rights reserved.
Eight thousand years of economic and political history in Latin America revealed by anthropometry.
Bogin, B; Keep, R
1999-01-01
Human growth in height may be used as a cumulative record of the nutritional and health history of a person or a population, and often reflects the economic, social and political environment in which those people live. This paper explores the relationship between growth in height and the economic, social and political environment in Latin American populations. Adult height is analysed over an 8250 year period. It is shown that economic, social and political change prior to the European conquest of the Americas resulted in positive and negative trends in mean stature. Following the European conquest, there was a decline in mean adult stature in Middle and South America that continued until about 1939. From 1940 to 1989 there was a trend for increasing mean stature. A negative trend in stature for children is found in a second analysis. Economic decline and political unrest in Guatemala since 1978 is associated with a significant decline in the mean stature of 10- and 11-year-old children from families from very high, moderate, and very low socioeconomic status.
Van Buskirk, R. D.; Kantner, C. L. S.; Gerke, B. F.; ...
2014-11-14
We perform a retrospective investigation of multi-decade trends in price and life-cycle cost (LCC) for home appliances in periods with and without energy efficiency (EE) standards and labeling polices. In contrast to the classical picture of the impact of efficiency standards, the introduction and updating of appliance standards is not associated with a long-term increase in purchase price; rather, quality-adjusted prices undergo a continued or accelerated long-term decline. In addition, long term trends in appliance LCCs—which include operating costs—consistently show an accelerated long term decline with EE policies. We also show that the incremental price of efficiency improvements has declinedmore » faster than the baseline product price for selected products. These observations are inconsistent with a view of EE standards that supposes a perfectly competitive market with static supply costs. These results suggest that EE policies may be associated with other forces at play, such as innovation and learning-by-doing in appliance production and design, that can affect long term trends in quality-adjusted prices and LCCs.« less
Biondini, Davide; Balestro, Elisabetta; Lacedonia, Donato; Cerri, Stefania; Milaneschi, Rosanna; Luppi, Fabrizio; Cocconcelli, Elisabetta; Bazzan, Erica; Clini, Enrico; Foschino Barbaro, Maria Pia; Gregori, Dario; Cosio, Manuel G; Saetta, Marina; Spagnolo, Paolo
2018-04-13
Pirfenidone reduces functional decline in patients with Idiopathic Pulmonary Fibrosis (IPF). However, response to treatment is highly heterogeneous. We sought to evaluate whether response to pirfenidone is influenced by the pretreatment rate of forced vital capacity (FVC) decline. Fifty-six IPF patients were categorized as rapid (RP) or slow progressors (SP) based on whether their FVC decline in the year preceding pirfenidone treatment was > or ≤ 10% predicted. Following pirfenidone treatment patients were followed-up every 6 months and up to 24 months. In the entire population, pirfenidone reduced significantly FVC decline from 231 to 49 ml/year at 6 months (T6) (p = 0.003) and this effect was maintained at the 12-, 18- and 24-month time points (p value for trend n.s.). In RP, the reduction of FVC decline was evident at 6 months (36 vs 706 ml/year pretreatment; p = 0.002) and maintained, though to a lesser degree, at 12 (106 ml/year), 18 (176 ml/year) and 24 months (162 ml/year; p value for trend n.s). Among SP, the reduction in FVC decline was not significant at any of the time points analyzed. In conclusion, pirfenidone reduces FVC decline in IPF patients. However, its beneficial effect is more pronounced in patients with rapidly progressive disease.
Slowdown in the decline of stroke mortality in the United States, 1978-1986.
Cooper, R; Sempos, C; Hsieh, S C; Kovar, M G
1990-09-01
The gradual decline in stroke mortality rates observed in the United States since 1900 accelerated markedly around 1973 for whites and around 1968 for blacks. During the next decade stroke mortality rates decreased by almost 50% so that the United States now experiences one of the lowest stroke mortality rates in the world. Beginning in 1979, however the annual rate of decline in stroke mortality began to slow considerably. Comparing the period 1979-1986 with the previous decade, a 57% slowing in the absolute rate of decline (as estimated by the slope of the linear portion of the mortality curve) was observed for white men; the corresponding slowdowns in the rate of decline were 58% for white women, 44% for black men, and 62% for black women. If the decline during the 1980s had continued at the rate observed for the period 1968/73-1978, there would have been 131,000 fewer stroke deaths during the period 1979-1986, 28,000 fewer in 1986 alone. This slowdown in the rate of decline in stroke mortality is occurring while mortality rates for both coronary heart disease and all causes are leveling off. The reasons for this change in the mortality trend remain unknown, and corresponding trends in the treatment and control of hypertension do not provide an entirely satisfactory explanation.
The seismicity of Ethiopia; active plate tectonics
Mohr, P.
1981-01-01
Ethiopia, descended from the semimythical Kingdom of Punt, lies at the strategic intersection of Schmidt's jigsaw puzzle where the Red Sea, Gulf of Aden, and the African Rift System meet. Because of geologically recent uplift combined with rapid downcutting erosion by rivers, notably the Blue Nile (Abbay), Ethiopia is the most mountainous country in Africa. It is also the most volcanically active, while its historical seismicity matches that of the midocean ridges. And, in a sense, Ethiopia is host to an evoloving ocean ridge system.
The DOPPS Practice Monitor for US dialysis care: trends through August 2011.
Pisoni, Ronald L; Fuller, Douglas S; Bieber, Brian A; Gillespie, Brenda W; Robinson, Bruce M
2012-07-01
We have examined trends in hemodialysis practice from August 2010 to August 2011, a time frame spanning the implementation of the bundled PPS, a major ESA label change by the FDA, and announcements from CMS on the proposed and final rules for the first year of the Quality Incentive Program (QIP) plus the proposed rules for the second and third years of the QIP. Although many hemodialysis practices have remained stable during this 1-year time period, substantial changes have been seen. These include a decline in epoetin dose and hemoglobin levels, an increase in IV iron use and serum ferritin levels, and an increase in PTH levels. The rates of decline in hemoglobin and epoetin dosing levels were greatest in the 2 months after the ESA label change in June 2011. Trends in anemia care in ensuing months, with more follow-up time after the label change, will be of great interest. In view of declining hemoglobin levels, a mechanism for comprehensive monitoring of transfusion rates is warranted to understand this important aspect of care for hemodialysis patients. Regarding clinical outcomes, no trend in all-cause mortality has been evident during this 1-year time period. Additional follow-up is warranted to understand if findings reported here persist over time, and require confirmation with national data as these become available. Trends in clinical care may not necessarily affect patient outcomes, and careful evaluation is required to understand effects on patient outcomes.
Trends in US movie tobacco portrayal since 1950: a historical analysis.
Jamieson, Patrick E; Romer, Dan
2010-06-01
Portrayal of tobacco use in films has been causally linked to youth smoking initiation. However, findings regarding trends in portrayal in US films since 1950 are inconsistent, potentially due to differences in sampling densities, intercoder reliabilities and time periods covered. The present study was designed to overcome these inconsistencies with a common sampling frame and methodology. A half sample of the 30 top-grossing US films per year from 1950 to 2006 (N=855) was coded in 5-min segments for total tobacco-related content and main character tobacco use. Film tobacco trends were identified using linear regression and compared to national per capita cigarette consumption and historically significant tobacco control events. Tobacco content declined considerably since 1950. Total tobacco-related content peaked around 1961, while the decline in portrayal of main character use was already underway in 1950. Cigarette consumption peaked around 1966 with a trend that closely paralleled total tobacco content and that coincided with major tobacco control events. This study, which had high reliability, dense sampling and covered a long time period, indicates that tobacco content has declined in top-ranked US movies since 1950 with a trend in total tobacco content that closely paralleled the drop in per capita cigarette consumption and the increase in significant tobacco control efforts. Despite the inability to draw causal conclusions, tobacco portrayal in films may serve as barometer of societal support for the habit and thus efforts should continue to limit exposure to such content.
Elective oocyte cryopreservation for deferred childbearing.
Goldman, Kara N; Grifo, Jamie A
2016-12-01
Elective oocyte cryopreservation for deferred childbearing has gained popularity worldwide, commensurate with increased knowledge regarding age-related fertility decline. The purpose of this review is to summarize recent data regarding trends in delayed childbearing, review recent findings surrounding age-related fertility decline, acknowledge significant gaps in knowledge among patients and providers regarding fertility decline and review outcomes following elective oocyte cryopreservation. Despite an inevitable decline in fertility and increase in miscarriage with increasing female age, there is a growing worldwide trend to delay childbearing. Patients and providers alike demonstrate large gaps in knowledge surrounding age-related fertility decline. Oocyte cryopreservation is clinically approved for medically indicated fertility preservation, but a growing number of women are using oocyte cryopreservation to defer childbearing and maintain reproductive autonomy. Mounting data support the efficacy and safety of oocyte cryopreservation when used to electively defer childbearing, with recent studies demonstrating rates of euploidy, implantation and live birth rates equivalent to in-vitro fertilization (IVF) with fresh oocytes. Oocyte cryopreservation provides women with an option to defer childbearing and maintain reproductive autonomy, with IVF success rates on par with fresh IVF. However, it is critical that patients understand the limitations of oocyte cryopreservation. Greater education regarding age-related fertility decline should be geared toward patients and providers to prevent unintended childlessness.
The changing pattern and determinants of declining consanguinity in Jordan during 1990-2012.
Islam, M Mazharul
2018-03-01
Consanguinity is a deep rooted cultural trait in Jordan. To examine the patterns and determinants of declining rates of consanguineous marriage in Jordan during 1990-2012 in the context of the changing pattern of socio-economic and demographic conditions. The data come from the 1990 and 2012 Jordan Population and Family Health Surveys (JPFHSs). A total of 6461 women in 1990 and 11,352 women in 2012 were successfully interviewed. Descriptive and multivariate statistical techniques were used for data analysis. Consanguinity was found to be widely practiced (35% in 2012) until recent times in Jordan. However, there has been a secular declining trend over the last few decades as the practice of consanguinity has declined from 56% in 1990 to 35% in 2012. Increasing age at marriage and female education, higher level of education of husbands, declining family size, increasing rate of urbanisation and female employment, exposure to mass media and higher economic status appeared as significant predictors of declining consanguinity in Jordan. The findings of this study support Goode's hypothesis of a decrease of consanguinity with modernisation. Although consanguinity is a deeply rooted cultural trend in Jordan, it is gradually losing ground due to modernisation and socio-demographic transition of the country.
Comparison of Decadal Water Storage Trends from Global Hydrological Models and GRACE Satellite Data
NASA Astrophysics Data System (ADS)
Scanlon, B. R.; Zhang, Z. Z.; Save, H.; Sun, A. Y.; Mueller Schmied, H.; Van Beek, L. P.; Wiese, D. N.; Wada, Y.; Long, D.; Reedy, R. C.; Doll, P. M.; Longuevergne, L.
2017-12-01
Global hydrology is increasingly being evaluated using models; however, the reliability of these global models is not well known. In this study we compared decadal trends (2002-2014) in land water storage from 7 global models (WGHM, PCR-GLOBWB, and GLDAS: NOAH, MOSAIC, VIC, CLM, and CLSM) to storage trends from new GRACE satellite mascon solutions (CSR-M and JPL-M). The analysis was conducted over 186 river basins, representing about 60% of the global land area. Modeled total water storage trends agree with those from GRACE-derived trends that are within ±0.5 km3/yr but greatly underestimate large declining and rising trends outside this range. Large declining trends are found mostly in intensively irrigated basins and in some basins in northern latitudes. Rising trends are found in basins with little or no irrigation and are generally related to increasing trends in precipitation. The largest decline is found in the Ganges (-12 km3/yr) and the largest rise in the Amazon (43 km3/yr). Differences between models and GRACE are greatest in large basins (>0.5x106 km2) mostly in humid regions. There is very little agreement in storage trends between models and GRACE and among the models with values of r2 mostly <0.1. Various factors can contribute to discrepancies in water storage trends between models and GRACE, including uncertainties in precipitation, model calibration, storage capacity, and water use in models and uncertainties in GRACE data related to processing, glacier leakage, and glacial isostatic adjustment. The GRACE data indicate that land has a large capacity to store water over decadal timescales that is underrepresented by the models. The storage capacity in the modeled soil and groundwater compartments may be insufficient to accommodate the range in water storage variations shown by GRACE data. The inability of the models to capture the large storage trends indicates that model projections of climate and human-induced changes in water storage may be mostly underestimated. Future GRACE and model studies should try to reduce the various sources of uncertainty in water storage trends and should consider expanding the modeled storage capacity of the soil profiles and their interaction with groundwater.
Declines and Plateaux in Smoking Prevalence Over Three Decades in Fiji.
Linhart, Christine; Tukana, Isimeli; Lin, Sophia; Taylor, Richard; Morrell, Stephen; Vatucawaqa, Penina; Magliano, Dianna J; Zimmet, Paul
2017-11-01
To examine trends from 1980 to 2011 in daily tobacco smoking by sex, ethnicity, age, and urban/rural in Fiji Melanesian (i-Taukei) and Indian adults aged 25-64 years. Unit record data from five population-based surveys (n = 14 528) allowed classification of participants as: (1) never-smoker, ex-smoker, or non-daily smoker; or (2) daily smoker, reporting smoking <20 or ≥20 tobacco products (cigarettes/cigars/pipes) a day. Trends were examined using spline analyses. Over 1980-2011 the prevalence of reported daily tobacco smoking decreased significantly in both sexes and ethnicities, with the greatest decline during 1980-2000. Declines were from 81.7% to 27.0% in i-Taukei men; 55.3% to 26.3% in Indian men; 48.1% to 9.5% in i-Taukei women; and 13.8% to 1.3% in Indian women (p < .0001). Declines were consistent across all age groups in men, while there were greater declines among older age groups in women; and greater declines from higher prevalences in rural compared to urban areas in both sexes and ethnicities. Smoking ≥20 tobacco products per day declined significantly in i-Taukei men from 8.0% to 1.9% (p < .0001); there were also declines in Indian men (4.6% to 2.0%) and i-Taukei women (2.6% to 0.6%), but these were not statistically significant; and Indian women remained <0.2% throughout the period. Significant declines in daily tobacco smoking have occurred in Fiji in both sexes and ethnicities during the past 30 years, which is consistent with declines in tobacco apparent consumption and household expenditure. However, prevalence remains high in men at around 27% in 2011, with plateau at this level in i-Taukei. This is the first study to show nationally representative population trends in tobacco smoking in a developing country over such a long period (>30 years) based on empirical unit record data (n = 14 528). Cardiovascular disease is a leading cause of mortality throughout the Pacific Island region. This is the first study to show evidence of substantial declines over several decades in a cardiovascular disease risk factor in a Pacific Island country, and provides important evidence for further research into the interventions and events which may have facilitated this decline. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.
NASA Astrophysics Data System (ADS)
Su, Feng-Chiao; Mukherjee, Bhramar; Batterman, Stuart
2011-09-01
Exposures to volatile organic compounds (VOCs) are ubiquitous due to emissions from personal, commercial and industrial products, but quantitative and representative information regarding long term exposure trends is lacking. This study characterizes trends from 1988 to 2004 for the 15 VOCs measured in blood in five cohorts of the National Health and Nutrition Examination Survey (NHANES), a large and representative sample of U.S. adults. Trends were evaluated at various percentiles using linear quantile regression (QR) models, which were adjusted for solvent-related occupations and cotinine levels. Most VOCs showed decreasing trends at all quantiles, e.g., median exposures declined by 2.5 (m,p-xylene) to 6.4 (tetrachloroethene) percent per year over the 15 year period. Trends varied by VOC and quantile, and were grouped into three patterns: similar decreases at all quantiles (including benzene, toluene); most rapid decreases at upper quantiles (ethylbenzene, m,p-xylene, o-xylene, styrene, chloroform, tetrachloroethene); and fastest declines at central quantiles (1,4-dichlorobenzene). These patterns reflect changes in exposure sources, e.g., upper-percentile exposures may result mostly from occupational exposure, while lower percentile exposures arise from general environmental sources. Both VOC emissions aggregated at the national level and VOC concentrations measured in ambient air also have declined substantially over the study period and are supportive of the exposure trends, although the NHANES data suggest the importance of indoor sources and personal activities on VOC exposures. While piecewise QR models suggest that exposures of several VOCs decreased little or any during the 1990's, followed by more rapid decreases from 1999 to 2004, questions are raised concerning the reliability of VOC data in several of the NHANES cohorts and its applicability as an exposure indicator, as demonstrated by the modest correlation between VOC levels in blood and personal air collected in the 1999/2000 cohort. Despite some limitations, the NHANES data provides a unique, long term and direct measurement of VOC exposures and trends.
ERIC Educational Resources Information Center
Wilsey, Matthew; Kloser, Matthew
2015-01-01
Imagine middle and high school science classes without a science fair. Participation in science fairs is declining (Harmon 2011), a trend that some teachers, parents, and students find disturbing. The authors opine that the decline in science fairs calls for critically reviewing the potential disconnect between the aims and outcomes of science…
Moore, Jeffrey E.; Barlow, Jay P.
2013-01-01
Beaked whales are among the most diverse yet least understood groups of marine mammals. A diverse set of mostly anthropogenic threats necessitates improvement in our ability to assess population status for this cryptic group. The Southwest Fisheries Science Center (NOAA) conducted six ship line-transect cetacean abundance surveys in the California Current off the contiguous western United States between 1991 and 2008. We used a Bayesian hidden-process modeling approach to estimate abundance and population trends of beaked whales using sightings data from these surveys. We also compiled records of beaked whale stranding events (3 genera, at least 8 species) on adjacent beaches from 1900 to 2012, to help assess population status of beaked whales in the northern part of the California Current. Bayesian posterior summaries for trend parameters provide strong evidence of declining beaked whale abundance in the study area. The probability of negative trend for Cuvier's beaked whale (Ziphius cavirostris) during 1991–2008 was 0.84, with 1991 and 2008 estimates of 10771 (CV = 0.51) and ≈7550 (CV = 0.55), respectively. The probability of decline for Mesoplodon spp. (pooled across species) was 0.96, with 1991 and 2008 estimates of 2206 (CV = 0.46) and 811 (CV = 0.65). The mean posterior estimates for average rate of decline were 2.9% and 7.0% per year. There was no evidence of abundance trend for Baird's beaked whale (Berardius bairdii), for which annual abundance estimates in the survey area ranged from ≈900 to 1300 (CV≈1.3). Stranding data were consistent with the survey results. Causes of apparent declines are unknown. Direct impacts of fisheries (bycatch) can be ruled out, but impacts of anthropogenic sound (e.g., naval active sonar) and ecosystem change are plausible hypotheses that merit investigation. PMID:23341907
Schellekens, Jona; van Poppel, Frans
2012-08-01
Previous studies of the fertility decline in Europe are often limited to an earlier stage of the marital fertility decline, when the decline tended to be slower and before the large increase in earnings in the 1920s. Starting in 1860 (before the onset of the decline), this study follows marital fertility trends until 1939, when fertility reached lower levels than ever before. Using data from the Historical Sample of the Netherlands (HSN), this study shows that mortality decline, a rise in real income, and unemployment account for the decline in the Netherlands. This finding suggests that marital fertility decline was an adjustment to social and economic change, leaving little room for attitudinal change that is independent of social and economic change.
Hessen, Erik; Nordlund, Arto; Stålhammar, Jacob; Eckerström, Marie; Bjerke, Maria; Eckerström, Carl; Göthlin, Mattias; Fladby, Tormod; Reinvang, Ivar; Wallin, Anders
2015-01-01
There is a need to find very early markers for pre-clinical Alzheimer's disease as interventions early in the disease process are thought to be most effective. The present study aimed to address the potential relation between cerebrospinal fluid (CSF) biomarkers and reduced cognitive function in a relatively young cohort of memory clinic patients with subjective cognitive decline. 122 patients (mean age 63 years) with subjective cognitive decline were recruited from two university memory clinics and followed for two years. The main finding was that the subgroup with objective memory decline during the study period had significantly higher T-tau at baseline than the group with improved memory. Baseline CSF variables showed a trend toward more pathological values in the patients with memory decline compared to those who improved or remained stable. The baseline memory score of those who declined was significantly better than the baseline score of those who improved over two years. The general trend for the whole group was improved memory and executive test scores. There were no differences in cognitive scores based on CSF quartiles at baseline, nor were there differences in cognitive outcome for patients with early amnestic mild cognitive impairment versus average cognitive function at baseline. The main finding that T-tau rather than amyloid-β was associated with memory decline do not support the prevailing opinion about the chain of events assumed to take place in Alzheimer's disease. In addition, memory decline was not associated with poor baseline memory score. Thus, a memory cut-off indicating low baseline memory would not would have identified the declining group.
1988-07-01
Ethiopia lies in the Horn of Africa at the southern end of the Red Sea. It has the distinction of being the oldest independent country in Africa. In 1936, fascist Italy invaded and occupied Ethiopia, but Ethiopia regained its independence 5 years later with the help of colonial British forces. In 1974, civil unrest led to a coup and the armed forces deposed Emperor Haile Selassie. Today, the socialist government has a national legislature and a new constitution, both of which were created 13 years after the revolution. This government is faced with armed separatist movements in the autonomous regions of Eritrea and Tigre and also with periodic border conflicts with Somali forces. These conflicts combined with a massive drought in 1983-1985 and another in 1987 led to widespread famine in which an estimated 7.9 million people faced starvation and up to 1 million people died. Ethiopia has the potential for self-sufficiency in grains, livestock, vegetables, and fruits. Yet it's agriculture has been plagued not only with drought; but also soil degradation caused by overgrazing, deforestation, and high population density; dislocation due to the economy's rapid centralization; and government policies that do not provide incentives to producers. Still agriculture provides the basis of the nation's economy. Ethiopia has good relations with the Soviet Union, and the foreign policy of Ethiopia generally supports and parallels that of the USSR. After the revolution, the United States' relationship with Ethiopia has cooled because of differences over human rights. The US does assist with drought relief, however.
NASA Astrophysics Data System (ADS)
Kline, Kathleen M.; Eshleman, Keith N.; Garlitz, James E.; U'Ren, Sarah H.
2016-12-01
Long-term changes in acid-base chemistry resulting from declining regional acid deposition were examined using data from repeating synoptic surveys conducted within the 275 km2 Upper Savage River Watershed (USRW) in western Maryland (USA); a randomly-selected set of 40 stream reaches was sampled 36 times between 1999 and 2014 to: (1) repeatedly characterize the acid-base status of the entire river basin; (2) determine whether an extensive network of streams of varying order has shown signs of recovery in acid neutralizing capacity (ANC); and (3) understand the key factors controlling the rate of ANC recovery across the river network. Several non-parametric analyses of trends (i.e., Mann Kendall Trend: MKT tests; and Regional Kendall Trend: RKT) in streamwater acid-base chemistry suggest that USRW has significantly responded to declining acid deposition during the study period; the two most robust, statistically significant trends were decreasing surface water SO42- (∼1.5 μeq L-1 yr-1) and NO3- (∼1 μeq L-1 yr-1) concentrations-consistent with observed downward trends in regional wet S and N deposition. Basin-wide decreasing trends in K+, Mg2+, and Ca2+ were also observed, while Na+ concentrations increased. Significant ANC recovery was observed in 10-20% of USRW stream reaches (depending on the p level used), but the magnitude of the trend relative to natural variability was apparently insufficient to allow detection of a basin-wide ANC trend using the RKT test. Watershed factors, such as forest disturbances and increased application of road deicing salts, appeared to contribute to substantial variability in concentrations of NO3- and Na+ in streams across the basin, but these factors did not affect our overall interpretation of the results as a systematic recovery of USRW from regional acidification. Methodologically, RKT appears to be a robust method for identifying basin-wide trends using synoptic data, but MKT results for individual systems should be examined closely (e.g., to identify trends for specific subpopulations).
Long-Term Trends in Private School Enrollments by Family Income. CEPA Working Paper No. 17-07
ERIC Educational Resources Information Center
Murnane, Richard J.; Reardon, Sean F.
2017-01-01
We use data from multiple national surveys to describe trends in private elementary school enrollment by family income from 1968-2013. We note several important trends. First, the private school enrollment rate of middle-income families declined substantially over the last five decades, while that of high-income families remained quite stable.…
Long-term trends in breeding birds in an old-growth Adirondack forest and the surrounding region
McNulty, S.A.; Droege, S.; Masters, R.D.
2008-01-01
Breeding bird populations were sampled between 1954 and 1963, and 1990 and 2000 in an old-growth forest, the Natural Area of Huntington Wildlife Forest (HWF), in the Adirondack Mountains of New York. Trends were compared with data from regional North American Breeding Bird Surveys (BBS) and from a forest plot at Hubbard Brook Experimental Forest, New Hampshire. Trends for 22 species in the HWF Natural Area were negative, eight were positive, and one was zero; 20 were significant. Fifteen of 17 long-distance migrants declined, whereas 7 of 14 short-distance migrants and permanent residents declined. Most (74%) HWF Natural Area species, despite differences in sampling periods and local habitat features, matched in sign of trend when compared to Adirondack BBS routes, 61% matched northeastern BBS routes, and 71% matched eastern United States BBS routes, while 66% matched Hubbard Brook species. The agreement in population trends suggests that forest interior birds, especially long-distance migrants, are affected more by regional than local factors. The analysis indicated that bird trends generated from BBS routes may not be as biased toward roads as previously suggested.
Declining incidence of imported malaria in the Netherlands, 2000-2007
2010-01-01
Background To describe the epidemiology and trends of imported malaria in the Netherlands from 2000 through 2007. Methods Based on national surveillance data regarding all reported infections of imported malaria, diagnosed 2000 through 2007, incidence and trends of imported malaria in the Netherlands were estimated. Travellers statistics were used to estimate incidence, and data on malaria chemoprophylaxis prescriptions were used to estimate the number of unprotected travellers. Results Importation of malaria to the Netherlands is declining even as more travellers visit malaria-endemic countries. On average, 82% were acquired in sub-Saharan Africa, and 75% were caused by Plasmodium falciparum. The overall incidence in imported falciparum malaria fell from 21.5 to 6.6/10,000 of unprotected travellers. The percentage of unprotected travellers rose from 47% to 52% of all travellers. The incidence of imported falciparum infections is greatest from Middle and West Africa, and decreased from 121.3 to 36.5/10,000 travellers. The import of malaria from this region by immigrants visiting friends and relatives (VFR) decreased from 138 infections in 2000, to 69 infections in 2007. Conclusion The annual number of imported malaria shows a continuing declining trend, even with an increasing number of travellers visiting malaria endemic countries. VFR import less malaria than previously, and contribute largely to the declining incidence seen. The decline is not readily explained by increased use of chemoprophylaxis and may reflect a reduced risk of infection due to decreasing local malaria transmission as observed in some malaria endemic areas. Nevertheless, the increasing number of unprotected travellers remains worrisome. PMID:21029424
Ward, Derek J; Martino, Orsolina I; Simpson, Sue; Stevens, Andrew J
2013-01-01
Objective To describe trends in new drugs launched in the UK from 1982 to 2011 and test the hypothesis that the rate of new drug introductions has declined over the study period. There is wide concern that pharmaceutical innovation is declining. Reported trends suggest that fewer new drugs have been launched over recent decades, despite increasing investment into research and development. Design Retrospective observational study. Setting and data source Database of new preparations added annually to the British National Formulary (BNF). Main outcome measures The number of new drugs entered each year, including new chemical entities(NCEs) and new biological drugs, based on first appearance in the BNF. Results There was no significant linear trend in the number of new drugs introduced into the UK from 1982 to 2011. Following a dip in the mid-1980s (11–12 NCEs/new biologics introduced annually from 1985 to 1987), there was a variable increase in the numbers of new drugs introduced annually to a peak of 34 in 1997. This peak was followed by a decline to approximately 20 new drugs/year between 2003 and 2006, and another peak in 2010. Extending the timeline further back with existing published data shows an overall slight increase in new drug introductions of 0.16/year over the entire 1971 to 2011 period. Conclusions The purported ‘innovation dip’ is an artefact of the time periods previously studied. Reports of declining innovation need to be considered in the context of their timescale and perspective. PMID:23427198
Mumbare, Sachin S; Gosavi, Shriram; Almale, Balaji; Patil, Aruna; Dhakane, Supriya; Kadu, Aniruddha
2014-10-01
India's National Family Welfare Programme is dominated by sterilization, particularly tubectomy. Sterilization, being a terminal method of contraception, decides the final number of children for that couple. Many studies have shown the declining trend in the average number of living children at the time of sterilization over a short period of time. So this study was planned to do time series analysis of the average children at the time of terminal contraception, to do forecasting till 2020 for the same and to compare the rates of change in various subgroups of the population. Data was preprocessed in MS Access 2007 by creating and running SQL queries. After testing stationarity of every series with augmented Dickey-Fuller test, time series analysis and forecasting was done using best-fit Box-Jenkins ARIMA (p, d, q) nonseasonal model. To compare the rates of change of average children in various subgroups, at sterilization, analysis of covariance (ANCOVA) was applied. Forecasting showed that the replacement level of 2.1 total fertility rate (TFR) will be achieved in 2018 for couples opting for sterilization. The same will be achieved in 2020, 2016, 2018, and 2019 for rural area, urban area, Hindu couples, and Buddhist couples, respectively. It will not be achieved till 2020 in Muslim couples. Every stratum of population showed the declining trend. The decline for male children and in rural area was significantly faster than the decline for female children and in urban area, respectively. The decline was not significantly different in Hindu, Muslim, and Buddhist couples.
Sector Distinctions and the Privatization of Public Education Policymaking
ERIC Educational Resources Information Center
Lubienski, Christopher
2016-01-01
Current trends indicate declining distinctions between "public" and "private" sectors in education. Reformers see sector barriers as unnecessary impediments to innovation, distracting attention and effort from "what works". This analysis questions whether trends in education policy are simply a natural evolution away…
Geographic and racial variation in teen pregnancy rates in Wisconsin.
Layde, Molly M; Remington, Patrick L
2013-08-01
Despite recent declines in teen birth rates, teenage pregnancy remains an important public health problem in Wisconsin with significant social, economic, and health-related effects. Compare and contrast teen birth rate trends by race, ethnicity, and county in Wisconsin. Teen (ages 15-19 years) birth rates (per 1000 teenage females) in Wisconsin from 2001-2010 were compared by racelethnicity and county of residence using data from the Wisconsin Interactive Statistics on Health. Teen birth rates in Wisconsin have declined by 20% over the past decade, from 35.5/1000 teens in 2001 to 28.3/1000 teens in 2010-a relative decline of 20.3%. However, trends vary by race, with declines among blacks (-33%) and whites (-26%) and increases among American Indians (+21%) and Hispanics (+30%). Minority teen birth rates continue to be 3 to 5 times greater than birth rates among whites. Rates varied even more by county, with an over 14-fold difference between Ozaukee County (7.8/1000) and Menominee County (114.2). Despite recent declines, teen pregnancy continues to be an important public health problem in Wisconsin. Pregnancy prevention programs should be targeted toward the populations and counties with the highest rates.
Smyth, Bobby P; Lyons, Suzi; Cullen, Walter
2017-09-01
New psychoactive substances (NPS) have hedonic effects that may lead to dependence. Headshops selling NPS increased in number in Ireland from late 2009. Legislation was enacted in May and August of 2010 that caused their closure. It is unknown whether such events impact the rate of NPS use disorders. We conducted a population-based study using the Irish national database of episodes of addiction treatment between 2009 and 2012. We examined trends in the rate of NPS-related treatment episodes among young adults. Joinpoint trend analysis software was used to identify significant changes in trend. Of the 31 284 episodes of addiction treatment commenced by adults aged 18 to 34 years, 756 (2.4%) were NPS related. In 2012, the 12-month moving average rate had fallen 48% from its peak in 2010, from 9.0/100 000 to 4.7/100 000. Joinpoint analysis indicated that the rate of NPS related episodes increased by 218% (95% confidence interval 86 to 445, P = 0.001) every 4 months until the first third of 2010. From that point, the rate declined by 9.8% (95% confidence interval -14.1 to -5.4, P = 0.001) per 4-month period. There was no significant trend change in the rate of non-NPS related treatment episodes. Over the 2 years after the enactment of prohibition-styled legislation targeting NPS and headshops, the rate of NPS related addiction treatment episodes among young adults declined progressively and substantially. We found no coinciding trend change in the rate of episodes linked to other drug groups. [Smyth BP, Lyons S, Cullen W. Decline in new psychoactive substance use disorders following legislation targeting headshops: Evidence fromnational addiction treatment data. Drug Alcohol Rev 2017;00:000-000]. © 2017 Australasian Professional Society on Alcohol and other Drugs.
Collin, Simon M; Martin, Richard M; Metcalfe, Chris; Gunnell, David; Albertsen, Peter; Neal, David; Hamdy, Freddie; Stephens, Peter; Lane, J Athene; Moore, Rollo; Donovan, Jenny
2009-01-01
Background There is no conclusive evidence that screening based on prostate-specific antigen (PSA) tests reduces prostate cancer mortality. In the USA uptake of PSA testing has been rapid, but is much less common in the UK. Purpose To investigate trends in prostate cancer mortality and incidence in the USA and UK from 1975-2004, contrasting these with trends in screening and treatment. Methods Joinpoint regression analysis of cancer mortality statistics from Cancer Research UK and the USA National Cancer Institute Surveillance Epidemiology and End Results (SEER) program was used to estimate the annual percentage change in prostate cancer mortality in each country and the points in time when trends changed. Results Age-specific and age-adjusted prostate cancer mortality peaked in the early 1990s at almost identical rates in both countries, but age-adjusted mortality in the USA subsequently declined by 4.2% (95% CI 4.0-4.3%) per annum, four times the rate of decline in the UK (1.1%; 0.8-1.4%). The mortality decline in the USA was greatest and most sustained in those ≥75 years, whereas death rates had plateaued in this age group in the UK by 2000. Conclusion The striking decline in prostate cancer mortality in the USA compared with the UK between 1994-2004 coincided with much higher uptake of PSA screening in the USA. Explanations for the different trends in mortality include the possibility of an early impact of initial screening rounds on men with more aggressive asymptomatic disease in the USA, different approaches to treatment in the two countries, and bias related to the misattribution of cause of death. Speculation over the role of screening will continue until evidence from randomised controlled trials is published. PMID:18424233
2014-01-01
Background Examination of historical trends and projections in estimated energy expenditure in Russia is important given the country’s economic downturns and growth. Methods Nationally representative data from the Russia Longitudinal Monitoring Survey (RLMS) from 1995–2011 was used to determine the metabolic equivalents of task (MET)-hours per week from occupational, domestic, travel, and active leisure physical activity (PA) domains, as well as sedentary leisure time (hours per week) among adults 18–60 years. Additionally, we projected what these values would be like in 2020 and 2030 if observed trends continue. Results Among male adults, the largest contributor to total PA was occupational PA followed by travel PA. In contrast, domestic PA followed by occupational PA contributed most to total PA among female adults. Total PA was 282.9 MET-hours per week in 1995 and declined to 231.7 in 2011. Total PA is projected to decrease to 216.5 MET-hours per week in 2020 and to 193.0 MET-hours per week in 2030. The greatest relative declines are occurring in travel PA. Female adults are also exhibiting significant declines in domestic PA. Changes in occupational and active leisure PA are less distinct. Conclusions Policies and initiatives are needed to counteract the long-term decline of overall physical activity linked with a modernizing lifestyle and economy among Russian adults. PMID:24475868
McRae, Louise; Deinet, Stefanie; Freeman, Robin
2017-01-01
As threats to species continue to increase, precise and unbiased measures of the impact these pressures are having on global biodiversity are urgently needed. Some existing indicators of the status and trends of biodiversity largely rely on publicly available data from the scientific and grey literature, and are therefore prone to biases introduced through over-representation of well-studied groups and regions in monitoring schemes. This can give misleading estimates of biodiversity trends. Here, we report on an approach to tackle taxonomic and geographic bias in one such indicator (Living Planet Index) by accounting for the estimated number of species within biogeographical realms, and the relative diversity of species within them. Based on a proportionally weighted index, we estimate a global population decline in vertebrate species between 1970 and 2012 of 58% rather than 20% from an index with no proportional weighting. From this data set, comprising 14,152 populations of 3,706 species from 3,095 data sources, we also find that freshwater populations have declined by 81%, marine populations by 36%, and terrestrial populations by 38% when using proportional weighting (compared to trends of -46%, +12% and +15% respectively). These results not only show starker declines than previously estimated, but suggests that those species for which there is poorer data coverage may be declining more rapidly.
Observed surface wind speed declining induced by urbanization in East China
NASA Astrophysics Data System (ADS)
Li, Zhengquan; Song, Lili; Ma, Hao; Xiao, Jingjing; Wang, Kuo; Chen, Lian
2018-02-01
Monthly wind data from 506 meteorological stations and ERA-Interim reanalysis during 1991-2015, are used to examine the surface wind trend over East China. Furthermore, combining the urbanization information derived from the DMSP/OLS nighttime light data during 1992-2013, the effects of urbanization on surface wind change are investigated by applying the observation minus reanalysis (OMR) method. The results show that the observed surface wind speed over East China is distinctly weakening with a rate of -0.16 m s-1 deca-1 during 1991-2015, while ERA-Interim wind speed does not have significant decreasing or increasing trend in the same period. The observed surface wind declining is mainly attributed to underlying surface changes of stations observational areas that were mostly induced by the urbanization in East China. Moreover, the wind declining intensity is closely related to the urbanization rhythms. The OMR annual surface wind speeds of Rhythm-VS, Rhythm-S, Rhythm-M, Rhythm-F and Rhythm-VF, have decreasing trends with the rates of -0.02 to -0.09, -0.16 to -0.26, -0.22 to -0.30, -0.26 to -0.36 and -0.33 to -0.51 m s-1 deca-1, respectively. The faster urbanization rhythm is, the stronger wind speed weakening presents. Additionally urban expansion is another factor resulted in the observed surface wind declining.
Deinet, Stefanie; Freeman, Robin
2017-01-01
As threats to species continue to increase, precise and unbiased measures of the impact these pressures are having on global biodiversity are urgently needed. Some existing indicators of the status and trends of biodiversity largely rely on publicly available data from the scientific and grey literature, and are therefore prone to biases introduced through over-representation of well-studied groups and regions in monitoring schemes. This can give misleading estimates of biodiversity trends. Here, we report on an approach to tackle taxonomic and geographic bias in one such indicator (Living Planet Index) by accounting for the estimated number of species within biogeographical realms, and the relative diversity of species within them. Based on a proportionally weighted index, we estimate a global population decline in vertebrate species between 1970 and 2012 of 58% rather than 20% from an index with no proportional weighting. From this data set, comprising 14,152 populations of 3,706 species from 3,095 data sources, we also find that freshwater populations have declined by 81%, marine populations by 36%, and terrestrial populations by 38% when using proportional weighting (compared to trends of -46%, +12% and +15% respectively). These results not only show starker declines than previously estimated, but suggests that those species for which there is poorer data coverage may be declining more rapidly. PMID:28045977
Dearth-Wesley, Tracy; Popkin, Barry M; Ng, Shu Wen
2014-01-30
Examination of historical trends and projections in estimated energy expenditure in Russia is important given the country's economic downturns and growth. Nationally representative data from the Russia Longitudinal Monitoring Survey (RLMS) from 1995-2011 was used to determine the metabolic equivalents of task (MET)-hours per week from occupational, domestic, travel, and active leisure physical activity (PA) domains, as well as sedentary leisure time (hours per week) among adults 18-60 years. Additionally, we projected what these values would be like in 2020 and 2030 if observed trends continue. Among male adults, the largest contributor to total PA was occupational PA followed by travel PA. In contrast, domestic PA followed by occupational PA contributed most to total PA among female adults. Total PA was 282.9 MET-hours per week in 1995 and declined to 231.7 in 2011. Total PA is projected to decrease to 216.5 MET-hours per week in 2020 and to 193.0 MET-hours per week in 2030. The greatest relative declines are occurring in travel PA. Female adults are also exhibiting significant declines in domestic PA. Changes in occupational and active leisure PA are less distinct. Policies and initiatives are needed to counteract the long-term decline of overall physical activity linked with a modernizing lifestyle and economy among Russian adults.
ERIC Educational Resources Information Center
Wakefield, Howard E.; Donnelly, Richard A.
The five sections in this loose-leaf binder are intended to provide Wisconsin school board members with information necessary for decision-making on the problem of declining enrollment. Section 1 contains information about the extent of the problem and summarizes recent trends in population and school enrollments in the nation and the state.…
Inclusion of Students with Disabilities in Formal Vocational Education Programs in Ethiopia
ERIC Educational Resources Information Center
Malle, Abebe Yehualawork; Pirttimaa, Raija; Saloviita, Timo
2015-01-01
In Ethiopia, individuals with disabilities have limited access to educational and vocational training opportunities. This study investigates prevailing challenges and opportunities for the participation of students with disabilities in vocational education programs in Ethiopia. Data for the study were gathered from the five biggest regions out of…
Extension Agents' Awareness of Climate Change in Ethiopia
ERIC Educational Resources Information Center
Abegaz, Dagmawi M.; Wims, Padraig
2015-01-01
Purpose: The fact that highly vulnerable countries like Ethiopia face far greater challenges from climate change makes agricultural adaptation a top priority. Even though the public agriculture extension system in Ethiopia plays a central role in facilitating and supporting adaptation, very limited information is available on how aware the actual…
ERIC Educational Resources Information Center
Gupta, Sushma
1995-01-01
Describes the historical development of libraries in Ethiopia. Examines the National Library of Ethiopia, Addis Ababa University Libraries, the Institute of Ethiopian Studies Library, and the Ethiopian Science and Technology Documentation and Information Center. Discusses the development of special libraries, libraries and documentation centers of…
Secular Trends in Menarcheal Age in India-Evidence from the Indian Human Development Survey
Pathak, Praveen Kumar; Tripathi, Niharika; Subramanian, S. V.
2014-01-01
Background Evidence from a number of countries in Europe and North America point towards the secular declining trend in menarcheal age with considerable spatial variations over the past two centuries. Similar trends were reported in several developing countries from Asia, Africa and Latin America. However, data corroborating any secular trend in the menarcheal age of the Indian population remained sparse and inadequately verified. Methods We examined secular trends, regional heterogeneity and association of socioeconomic, anthropometric and contextual factors with menarcheal age among ever-married women (15–49 years) in India. Using the pseudo cohort data approach, we fit multiple linear regression models to estimate secular trends in menarcheal age of 91394 ever-married women using the Indian Human Development Survey. Results The mean age at menarche among Indian women was 13.76 years (95 % CI: 13.75, 13.77) in 2005. It declined by three months from 13.83 years (95% CI: 13.81, 13.85) among women born prior to 1955–1964, to nearly 13.62 years (95% CI: 13.58, 13.67) among women born during late 1985–1989. However, these aggregate national figures mask extensive spatial heterogeneity as mean age at menarche varied from 15.0 years in Himachal Pradesh during 1955–1964 (95% CI: 14.89–15.11) to about 12.1 years in Assam (95% CI: 11.63–12.56) during 1985–1989. Conclusion The regression analysis established a reduction of nearly one month per decade, suggesting a secular decline in age at menarche among Indian women. Notably, the menarcheal age was significantly associated with the area of residence, geographic region, linguistic groups, educational attainment, wealth status, caste and religious affiliations among Indian women. PMID:25369507
Changing trends of rainfall and sediment fluxes in the Kinta River catchment, Malaysia
NASA Astrophysics Data System (ADS)
Ismail, W. R.; Hashim, M.
2015-03-01
The Kinta River, draining an area of 2566 km2, originates in the Korbu Mountain in Perak, Malaysia, and flows through heterogeneous, mixed land uses ranging from extensive forests to mining, rubber and oil palm plantations, and urban development. A land use change analysis of the Kinta River catchment was carried out together with assessment of the long-term trend in rainfall and sediment fluxes. The Mann-Kendall test was used to examine and assess the long-term trends in rainfall and its relationship with the sediment discharge trend. The land use analysis shows that forests, water bodies and mining land declined whilst built and agricultural land use increased significantly. This has influenced the sediment flux of the catchment. However, most of the rainfall stations and river gauging stations are experiencing an increasing trends, except at Kinta river at Tg. Rambutan. Sediment flux shows a net erosion for the period from 1961 to 1969. The total annual sediment discharge in the Kinta River catchment was low with an average rate of 1,757 t/km2/year. From 1970 to 1985, the annual sediment yield rose to an average rate of 4062 t/km2/year. Afterwards, from 1986 to 1993, the total annual sediment discharge decreased to an average rate of 1,306 t/km2/year and increased back during the period 1994 to 2000 to 2109 t/km2/year. From 2001 to 2006 the average sediment flux rate declined to 865 t/km2/year. The decline was almost 80% from the 1970s. High sediment flux in the early 1970s is partly associated with reduced tin mining activities in the area. This decreasing trend in sediment delivery leaving the Kinta River catchment is expected to continue dropping in the future.
Sheldenkar, Anita; Crichton, Siobhan; Douiri, Abdel; Rudd, Anthony G; Wolfe, Charles D A; Chen, Ruoling
2014-08-01
Survival after stroke has dramatically increased in the last two decades as the treatment of stroke has improved. However, time-trend analyses of health-related quality of life in stroke patients covering this time period are still not well investigated. The study aims to examine temporal trends in mental and physical health-related quality of life of stroke survivors between the period of 1995 and 2011. First in a lifetime strokes were registered in the South London Stroke Register between 1995 and 2011. Using the Short Form-12 Health Survey, trends in self-reported health-related quality of life at one-year after stroke were assessed over a 17-year period using linear regression, adjusting for socio-demographics, risk factors, and case-mix variables. Analyses stratifying by age, gender, race-ethnicity, and functional impairment were also performed. The overall trends of mental and physical health-related quality of life scores at one-year after stroke remained relatively unchanged over the period 1995-2011. However, mental health-related quality of life scores significantly improved between the period of 1995-2007 [β = 0·94 (95% CI; 0·15 to 1·74), P = 0·02], after which scores deteriorated [β = -2·02 (-3·82 to -0·22), P = 0·03]. Physical health-related quality of life scores remained stable until 2007, after which scores declined [β = -1·63 (-3·25 to -0·01), P = 0·05]. Despite declining health-related quality of life trends within the general population, stroke survivors' overall health-related quality of life remained unchanged, possibly due to lower expectations of health among stroke survivors. However, in recent years there has been a significant unexplained decline in both physical and mental health-related quality of life, suggesting that despite stroke policy aims to improve health-related quality of life, more needs to be done to target this decline. © 2014 The Authors. International Journal of Stroke © 2014 World Stroke Organization.
2013-01-01
Background A small but growing body of research indicates that progress in reducing child malnutrition is substantially uneven from place to place, even down to the district level within countries. Yet child malnutrition prevalence and trend estimates available for public health planning are mostly available only at the level of global regions and/or at country level. To support carefully targeted intervention to reduce child malnutrition, public health planners and policy-makers require access to more refined prevalence data and trend analyses than are presently available. Responding to this need in Ghana, this report presents trends in child malnutrition prevalence in socio-demographic groups within the country’s geographic regions. Methods The study uses the Ghana Demographic and Health Surveys (GDHS) data. The GDHS are nationally representative cross-sectional surveys that have been carried out in many developing countries. These surveys constitute one of the richest sources of information currently available to examine time trends in child malnutrition. Data from four surveys were used for the analysis: 1993, 1998, 2003 and 2008. Results The results show statistically significant declining trends at the national level for stunting (F (1, 7204) = 7.89, p ≤ .005), underweight (F (1, 7441) = 44.87, p ≤ .001) and wasting (F (1, 7130) = 6.19, p ≤ .013). However, analyses of the sex-specific trends revealed that the declining trends in stunting and wasting were significant among males but not among females. In contrast to the national trend, there were significantly increasing trends in stunting for males (F (1, 2004) = 3.92, p ≤ .048) and females (F (1, 2004) = 4.34, p ≤ .037) whose mothers had higher than primary education, while the trends decreased significantly for males and females whose mothers had no education. Conclusions At the national level in Ghana, child malnutrition is significantly declining. However, the aggregate national trend masks important deviations in certain socio-demographic segments, including worsening levels of malnutrition. This paper shows the importance of disaggregated analyses of national child malnutrition data, to unmask underlying geographic and socio-demographic differences. PMID:24131558
Diet of Australopithecus afarensis from the Pliocene Hadar Formation, Ethiopia
NASA Astrophysics Data System (ADS)
Wynn, Jonathan G.; Sponheimer, Matt; Kimbel, William H.; Alemseged, Zeresenay; Reed, Kaye; Bedaso, Zelalem K.; Wilson, Jessica N.
2013-06-01
The enhanced dietary flexibility of early hominins to include consumption of C4/crassulacean acid metabolism (CAM) foods (i.e., foods derived from grasses, sedges, and succulents common in tropical savannas and deserts) likely represents a significant ecological and behavioral distinction from both extant great apes and the last common ancestor that we shared with great apes. Here, we use stable carbon isotopic data from 20 samples of Australopithecus afarensis from Hadar and Dikika, Ethiopia (>3.4-2.9 Ma) to show that this species consumed a diet with significant C4/CAM foods, differing from its putative ancestor Au. anamensis. Furthermore, there is no temporal trend in the amount of C4/CAM food consumption over the age of the samples analyzed, and the amount of C4/CAM food intake was highly variable, even within a single narrow stratigraphic interval. As such, Au. afarensis was a key participant in the C4/CAM dietary expansion by early australopiths of the middle Pliocene. The middle Pliocene expansion of the eastern African australopith diet to include savanna-based foods represents a shift to use of plant food resources that were already abundant in hominin environments for at least 1 million y and sets the stage for dietary differentiation and niche specialization by subsequent hominin taxa.
Hartwell H. Welsh Jr.; Gary M. Fellers; Amy J. Lind
2007-01-01
Amphibian declines have been documented worldwide; however the vast majority are species associated with aquatic habitats. Information on the status and trends of terrestrial amphibians is almost entirely lacking. Here we use data collected across a 12-yr period (sampling from 1984â86 and from 1993â95) to address the question of whether evidence exists for declines...
Quantitative evidence for the effects of multiple drivers on continental-scale amphibian declines
Evan H. Campbell Grant; David A. W. Miller; Benedikt R. Schmidt; Michael J. Adams; Staci M. Amburgey; Thierry Chambert; Sam S. Cruickshank; Robert N. Fisher; David M. Green; Blake R. Hossack; Pieter T. J. Johnson; Maxwell B. Joseph; Tracy A. G. Rittenhouse; Maureen E. Ryan; J. Hardin Waddle; Susan C. Walls; Larissa L. Bailey; Gary M. Fellers; Thomas A. Gorman; Andrew M. Ray; David S. Pilliod; Steven J. Price; Daniel Saenz; Walt Sadinski; Erin Muths
2016-01-01
Since amphibian declines were first proposed as a global phenomenon over a quarter century ago, the conservation community has made little progress in halting or reversing these trends. The early search for a âsmoking gunâ was replaced with the expectation that declines are caused by multiple drivers. While field observations and experiments have identified factors...
Association Between Gun Law Reforms and Intentional Firearm Deaths in Australia, 1979-2013.
Chapman, Simon; Alpers, Philip; Jones, Michael
2016-07-19
Rapid-fire weapons are often used by perpetrators in mass shooting incidents. In 1996 Australia introduced major gun law reforms that included a ban on semiautomatic rifles and pump-action shotguns and rifles and also initiated a program for buyback of firearms. To determine whether enactment of the 1996 gun laws and buyback program were followed by changes in the incidence of mass firearm homicides and total firearm deaths. Observational study using Australian government statistics on deaths caused by firearms (1979-2013) and news reports of mass shootings in Australia (1979-May 2016). Changes in intentional firearm death rates were analyzed with negative binomial regression, and data on firearm-related mass killings were compared. Implementation of major national gun law reforms. Changes in mass fatal shooting incidents (defined as ≥5 victims, not including the perpetrator) and in trends of rates of total firearm deaths, firearm homicides and suicides, and total homicides and suicides per 100,000 population. From 1979-1996 (before gun law reforms), 13 fatal mass shootings occurred in Australia, whereas from 1997 through May 2016 (after gun law reforms), no fatal mass shootings occurred. There was also significant change in the preexisting downward trends for rates of total firearm deaths prior to vs after gun law reform. From 1979-1996, the mean rate of total firearm deaths was 3.6 (95% CI, 3.3-3.9) per 100,000 population (average decline of 3% per year; annual trend, 0.970; 95% CI, 0.963-0.976), whereas from 1997-2013 (after gun law reforms), the mean rate of total firearm deaths was 1.2 (95% CI, 1.0-1.4) per 100,000 population (average decline of 4.9% per year; annual trend, 0.951; 95% CI, 0.940-0.962), with a ratio of trends in annual death rates of 0.981 (95% CI, 0.968-0.993). There was a statistically significant acceleration in the preexisting downward trend for firearm suicide (ratio of trends, 0.981; 95% CI, 0.970-0.993), but this was not statistically significant for firearm homicide (ratio of trends, 0.975; 95% CI, 0.949-1.001). From 1979-1996, the mean annual rate of total nonfirearm suicide and homicide deaths was 10.6 (95% CI, 10.0-11.2) per 100,000 population (average increase of 2.1% per year; annual trend, 1.021; 95% CI, 1.016-1.026), whereas from 1997-2013, the mean annual rate was 11.8 (95% CI, 11.3-12.3) per 100,000 (average decline of 1.4% per year; annual trend, 0.986; 95% CI, 0.980-0.993), with a ratio of trends of 0.966 (95% CI, 0.958-0.973). There was no evidence of substitution of other lethal methods for suicides or homicides. Following enactment of gun law reforms in Australia in 1996, there were no mass firearm killings through May 2016. There was a more rapid decline in firearm deaths between 1997 and 2013 compared with before 1997 but also a decline in total nonfirearm suicide and homicide deaths of a greater magnitude. Because of this, it is not possible to determine whether the change in firearm deaths can be attributed to the gun law reforms.
Craig, Elizabeth D; Mantell, Colin D; Ekeroma, Alec J; Stewart, Alistair W; Mitchell, Ed A
2004-12-01
New Zealand Government policy during the past decade has placed a high priority on closing socioeconomic and ethnic gaps in health outcome. To analyse New Zealand's trends in preterm and small for gestational age (SGA) births and late fetal deaths during 1980-2001 and to undertake ethnic specific analyses, resulting in risk factor profiles, for each ethnic group. De-identified birth registration data from 1 189 120 singleton live births and 5775 stillbirths were analysed for the period 1980-2001. Outcomes of interest included preterm birth, SGA and late fetal death while explanatory variables included maternal ethnicity, age and New Zealand Deprivation Index decile. Trend analysis was undertaken for 1980-1994 while multivariate logistic regression was used to explore risk factors for 1996-2001. During 1980-1994, preterm birth rates were highest amongst Maori women. Preterm rates increased by 30% for European/other women, in contrast to non-significant declines of 7% for Maori women and 4% for Pacific women during this period. During the same period, rates of SGA were highest amongst Maori women. Rates of SGA declined by 30% for Pacific women, 25% for Maori women and 19% for European/other women during this period. Rates of late fetal death were highest amongst Pacific women during 1980-1994, but declined by 49% during this period, the rate of decline being similar for all ethnic groups. The marked differences in both trend data and risk factor profiles for women in New Zealand's largest ethnic groups would suggest that unless ethnicity is specifically taken into account in future policy and planning initiatives, the disparities seen in this analysis might well persist into future generations.
The Relation of Education and Income to Cognitive Function among Professional Women
Lee, Sunmin; Buring, Julie E.; Cook, Nancy R.; Grodstein, Francine
2005-01-01
We investigated the relation of educational attainment and annual household income to cognitive function and cognitive decline in community-dwelling women aged 66 years or older. Subjects were 6,314 health professionals participating in the Women’s Health Study, among whom information on education and income was self-reported. From 1998 to 2000, we administered five cognitive tests, measuring general cognition, episodic memory and verbal fluency, using a validated telephone interview. Second cognitive assessments were conducted approximately two years later; information was complete for 5,573 women at the time of analysis, with 94% follow-up. We used linear and logistic regression to calculate multivariate-adjusted mean differences, and odds of cognitive impairment (defined as worst 10% of test distribution) and of substantial decline in performance (worst 10% of distribution), across various levels of education and income. After adjusting for numerous potential confounding factors, we found strong trends of increasing mean cognitive performance with increasing level of education (p-trend<0.0005 on all cognitive measures). Odds of cognitive impairment also consistently decreased with increasing education (eg, on summary score combining all tests, OR=0.6, 95% CI 0.3–0.9 comparing those with a doctoral degree to those with a 3-year associate’s degree). For income, we found significant trends of increasing mean cognitive performance with increasing income on the summary score and on episodic memory (p-trends<0.0001). For example, the OR was 0.6 (95% CI 0.4–0.8) comparing those with the highest income to the lowest income on the summary score. Results were generally similar for cognitive decline over two years, although somewhat weaker. Thus, in these well-educated, professional women, educational attainment and income both predicted cognitive function and decline. PMID:16352912
Changes in the atmospheric evaporative demand in Mexico
NASA Astrophysics Data System (ADS)
Agustin Brena-Naranjo, Jose; Pedrozo-Acuña, Adrian; Laverde-Barajas, Miguel
2015-04-01
An important driver of the hydrological cycle is the atmospheric evaporative demand (AED). Previous studies using measurements of evaporation in pans have found evidence that AED has been declining over the second half of the 20th century. Such trends have been mostly attributed to a global decline in near surface wind speed (mainly driven by changes in land cover such as the terrestrial surface roughness) whereas other variables controlling AED such as the vapor pressure deficit, solar radiation and air temperature having a more limited role (such changes are driven by long-term climatic variations). The objective of this work is to assess the temporal and spatial observed changes in pan evaporation in 151 meteorological stations located across Mexico for the period 1961-2010. The stations were located on a climatic gradient, with aridity indexes ranging between 0.3 and 10. The radiative and aerodynamic controls attributed to the observed trends are analyzed with outputs by the Noah model from the Global Land Data Assimilation System (GLDAS). The results show a consistent decline in annual pan evaporation between 1961 and 1992 whereas the trend was reverted from 1992 until 2010. Statistically significant negative changes using the non-parametric Mann-Kendall test were found in 43% of the stations for the 1961-1992 and 20% for 1992-2010, respectively. Among the climatological variables extracted from GLDAS, it was the annual wind speed that gave the highest statistical correlation. This work agrees with previous studies in other regions of the world suggesting that pan evaporation has been on average declining until 1990 followed by a slightly positive trend during the last twenty years. Finally, we show that the magnitude of change in those regions dominated by wind and those dominated by radiative processes are strongly different.
Sustained progress, but no room for complacency: Results of 2015 HIV estimations in India
Pandey, Arvind; Dhingra, Neeraj; Kumar, Pradeep; Sahu, Damodar; Reddy, D.C.S.; Narayan, Padum; Raj, Yujwal; Sangal, Bhavna; Chandra, Nalini; Nair, Saritha; Singh, Jitenkumar; Chavan, Laxmikant; Srivastava, Deepika Joshi; Jha, Ugra Mohan; Verma, Vinita; Kant, Shashi; Bhattacharya, Madhulekha; Swain, Pushpanjali; Haldar, Partha; Singh, Lucky; Bakkali, Taoufik; Stover, John; Ammassari, Savina
2017-01-01
Background & objectives: Evidence-based planning has been the cornerstone of India's response to HIV/AIDS. Here we describe the process, method and tools used for generating the 2015 HIV estimates and provide a summary of the main results. Methods: Spectrum software supported by the UNAIDS was used to produce HIV estimates for India as a whole and its States/Union Territories. This tool takes into consideration the size and HIV prevalence of defined population groups and programme data to estimate HIV prevalence, incidence and mortality over time as well as treatment needs. Results: India's national adult prevalence of HIV was 0.26 per cent in 2015. Of the 2.1 million people living with HIV/AIDS, the largest numbers were in Andhra Pradesh, Maharashtra and Karnataka. New HIV infections were an estimated 86,000 in 2015, reflecting a decline by around 32 per cent from 2007. The declining trend in incidence was mirrored in most States, though an increasing trend was detected in Assam, Chandigarh, Chhattisgarh, Gujarat, Sikkim, Tripura and Uttar Pradesh. AIDS-related deaths were estimated to be 67,600 in 2015, reflecting a 54 per cent decline from 2007. There were variations in the rate and trend of decline across India for this indicator also. Interpretation & conclusions: While key indicators measured through Spectrum modelling confirm success of the National AIDS Control Programme, there is no room for complacency as rising incidence trends in some geographical areas and population pockets remain the cause of concern. Progress achieved so far in responding to HIV/AIDS needs to be sustained to end the HIV epidemic. PMID:29168464
NABS RESPONSE OF A MULTI-METRIC FISH BIOTIC INDEX TO SPECIES DECLINES
Multi-metric indices of biotic integrity (IBI) are commonly used to compare fish communities among streams, but ability to monitor trends within streams is largely unknown. We assessed the IBI trend detection ability using simulations which progressively degraded the fish assembl...
Biadglegne, Fantahun; Merker, Matthias; Sack, Ulrich; Rodloff, Arne C.; Niemann, Stefan
2015-01-01
Background Recently, newly defined clades of Mycobacterium tuberculosis complex (MTBC) strains, namely Ethiopia 1–3 and Ethiopia H37Rv-like strains, and other clades associated with pulmonary TB (PTB) were identified in Ethiopia. In this study, we investigated whether these new strain types exhibit an increased ability to cause TB lymphadenitis (TBLN) and raised the question, if particular MTBC strains derived from TBLN patients in northern Ethiopia are genetically adapted to their local hosts and/or to the TBLN. Methods Genotyping of 196 MTBC strains isolated from TBLN patients was performed by spoligotyping and 24-loci mycobacterial interspersed repetitive unit-variable number of tandem repeats (MIRU-VNTR) typing. A statistical analysis was carried out to see possible associations between patient characteristics and phylogenetic MTBC strain classification. Results Among 196 isolates, the majority of strains belonged to the Delhi/CAS (38.8%) lineage, followed by Ethiopia 1 (9.7%), Ethiopia 3 (8.7%), Ethiopia H37RV-like (8.2%), Ethiopia 2 and Haarlem (7.7% each), URAL (3.6%), Uganda l and LAM (2% each), S-type (1.5%), X-type (1%), and 0.5% isolates of TUR, EAI, and Beijing genotype, respectively. Overall, 15 strains (7.7%) could not be allocated to a previously described phylogenetic lineage. The distribution of MTBC lineages is similar to that found in studies of PTB samples. The cluster rate (35%) in this study is significantly lower (P = 0.035) compared to 45% in the study of PTB in northwestern Ethiopia. Conclusion In the studied area, lymph node samples are dominated by Dehli/CAS genotype strains and strains of largely not yet defined clades based on MIRU-VNTR 24-loci nomenclature. We found no indication that strains of particular genotypes are specifically associated with TBLN. However, a detailed analysis of specific genetic variants of the locally contained Ethiopian clades by whole genome sequencing may reveal new insights into the host-pathogen co-evolution and specific features that are related to the local host immune system. PMID:26376441
Earth Observations taken by the Expedition 16 Crew
2007-11-16
ISS016-E-010784 (16 Nov. 2007) --- Semien Mountains, Gonder, northern Ethiopia are featured in this image photographed by an Expedition 16 crewmember on the International Space Station. The Semien Mountains, the highest parts of the Ethiopian Plateau (above 2,000 meters--6,560 feet), are surrounded by a steep, ragged escarpment (step) with dramatic vertical cliffs, pinnacles, and rock spires - scenery that draws international tourists. Included in the range is the highest point in Ethiopia, Ras Dashen at 4,533 meters (14,926 feet) - an altitude only recently computed with any accuracy. The plateau and surrounding areas are made up of numerous flood basalts, totaling probably more than 3,000 meters in thickness. According to scientists, the lavas erupted quickly (in about one million years) 31 million years ago, as Ethiopia passed above what is known as the Afar "hotspot." The hotspot caused the general region of Ethiopia to be elevated, which encouraged extensive river erosion. This erosion has cut the highly dramatic canyons that ring the plateau. Although the plateau lies in the latitude of the Sahara--Arabia deserts, its great altitude makes for a cool, wet climate. This is shown by light green vegetation, compared with the brown canyons which are hot and dry. The green tinge on the biggest escarpment (trending across the top third of the image) is also vegetation, showing that this part of the escarpment also receives more rain than other parts of the escarpment wall. The Semien Mountains are one of the few places in Africa to regularly receive snow, and they receive plentiful rainfall (more than 1,280 millimeters--55 inches). A major canyon cuts the flatter plateau surface (center), with several more surrounding the plateau. These canyons are hot because they reach low altitudes, more than 2,000 meters below the plateau surface. The Semien Mountains National Park has been declared a World Heritage Site by UNESCO for its rugged beauty. In addition, several extremely rare species are found here, such as the Gelada baboon with its thick coat to protect against the cold; the critically-endangered Walia ibex with long, heavy scimitar-like horns; and the Ethiopian wolf--also known as the Semien jackal, the "most endangered canid."
Scantlebury, Claire E; Peachey, Laura; Hodgkinson, Jane; Matthews, Jacqui B; Trawford, Andrew; Mulugeta, Getachew; Tefera, Gebre; Pinchbeck, Gina L
2013-09-11
Gastrointestinal nematode infections constitute a threat to the health and welfare of donkeys worldwide. Their primary means of control is via anthelmintic treatments; however, use of these drugs has constraints in developing countries, including cost, limited availability, access to cheaper generic forms of variable quality and potential anthelmintic resistance. As an alternative, bioactive plants have been proposed as an option to treat and control gastrointestinal helminths in donkeys. This study aimed to use participatory methodology to explore donkey owner knowledge, attitudes and beliefs relating to the use of plant-based treatments for gastrointestinal parasites of donkeys in Ethiopia. In focus groups, 22/29 groups stated they knew of plants used for the treatment of gastrointestinal parasites in donkeys. All groups volunteered plants that were used in cattle and/or small ruminants. In total, 21 plants were named by participants. 'Koso' (Hagenia abyssinica) 'Grawa' (Vernonia amygdalina) and a mixed roots and leaves preparation were the most frequently named plant preparations. 'Enkoko' (Embelia shimperi) and 'a mixture of roots and leaves' were ranked highly for effectiveness in donkeys. However, 'Grawa' and 'Koso' were the highest ranked when taking into account both the rank position and the number of groups ranking the plant.Thematic analysis of participants' current attitudes and beliefs surrounding traditional plant-based remedies for gastrointestinal parasites revealed that anthelmintics obtained from clinics were generally favoured due to their ease of administration and perceived higher effectiveness. There was doubt surrounding the effectiveness of some plant-based treatments, but there were also perceived advantages including their low cost, ease of cultivation and availability. However, plant-based treatments were considered a "past trend" and people favoured "modern" medicine, particularly among the younger generation. There was extensive knowledge of plant-based treatments for gastrointestinal parasites in livestock in Ethiopia. In donkeys, Koso (Hagenia abyssinica), Grawa (Vernonia amygdalina), Enkoko (Embelia shimperi) and 'mixed roots and leaves' were the most frequently named and/or highest ranked plants with reported efficacy against gastrointestinal parasites. Further in vitro and in vivo investigation of these plants is now required to determine viable alternatives for the treatment and control of gastrointestinal parasites in Ethiopia.
Baaten, Gijs G; Sonder, Gerard J B; Van Der Loeff, Maarten F Schim; Coutinho, Roel A; Van Den Hoek, Anneke
2010-01-01
To evaluate whether changes in attack rates of fecal-orally transmitted diseases among travelers are related to changes in pretravel vaccination practices or better hygienic standards at travel destination. National surveillance data on all laboratory-confirmed cases of travel-related hepatitis A, shigellosis, and typhoid fever diagnosed in the Netherlands from 1995 to 2006 were matched with the number of Dutch travelers to developing countries to calculate region-specific annual attack rates. Trends in attack rates of non-vaccine-preventable shigellosis were compared with those of vaccine-preventable hepatitis A and typhoid fever. Trends were also compared with three markers for hygienic standards of the local population at travel destinations, drawn from the United Nations Development Programme database: the human development index, the sanitation index, and the water source index. Attack rates among Dutch travelers to developing regions declined for hepatitis A, shigellosis, and typhoid fever. Region-specific trends in attack rates of shigellosis resembled trends of hepatitis A and typhoid fever. Declining attack rates of the three fecal-orally transmitted diseases correlated with improvements in socioeconomic, sanitary, and water supply conditions of the local population at travel destination. These findings suggest that improved hygienic standards at travel destination strongly contributed to the overall decline in attack rates of fecal-orally transmitted diseases among visiting travelers. © 2010 International Society of Travel Medicine.
Pool, Andrew C; Patterson, Freda; Luna, Ingrid Y; Hohl, Bernadette; Bauer, Katherine W
2017-04-01
Youth violence reduction is a public health priority, yet few studies have examined secular trends in violence among urban youth, who may be particularly vulnerable to numerous forms of violence. This study examines 10-year secular trends in the prevalence of violence-related behaviors among Philadelphia high school students. Repeated cross-sectional data were analyzed from 5 waves of the Philadelphia Youth Risk Behavior Survey (YRBS) from 2003 to 2013. Sex-specific multivariate regression models were used to examine secular trends in multiple types of violence, accounting for age, race/ethnicity, and sampling strategy. In 2013, the most prevalent violent behavior was physical fighting among boys (38.4%) and girls (32.7%). Among girls, the prevalence of sexual assault and suicide attempts declined between 2003 and 2013 (β = -0.13, p = .04 and β = -0.14, p = .007, respectively). Among boys, significant declines in carrying a weapon (β = -0.31, p < .001), carrying a gun (β = -0.16, p = .01), and physical fighting (β = -0.35, p = .001) were observed. Whereas the prevalence of some forms of violence stabilized or declined among Philadelphia youth during 2003-2013 time span, involvement in violence-related behaviors remains common among this population. Continued surveillance and evidence-based violence reduction strategies are needed to address violence among urban youth. © 2017, American School Health Association.
Trends in cancer mortality in Mexico, 1981-2007.
Bosetti, Cristina; Rodríguez, Teresa; Chatenoud, Liliane; Bertuccio, Paola; Levi, Fabio; Negri, Eva; La Vecchia, Carlo
2011-09-01
The objective of this study was to provide information on recent trends in cancer mortality in Mexico. We analyzed data provided by the World Health Organization, using joinpoint analysis to detect changes in trends between 1981 and 2007. For most cancers, mortality was upward but started to decline in the late 1980's/early 1990's for both sexes. Overall cancer mortality was 75.53/100 000 men, world standard, and 69.2/100 000 women in 2005-2007. Mortality from uterine cancer declined by approximately 2.5% per year in the 1990s, and by approximately 5% per year in the last decade, but its rates remained exceedingly high (9.7/100 000 in 2005-2007). Other major declines over recent years were those of stomach cancer (approximately 2.5% per year, with rates of 6.6/100 000 in men and 4.9/100 000 in women in 2005-2007) and lung cancer (2-2.5% per year, 11.0/100 000 in men and 4.5/100 000 in women in 2005-2007). Mortality leveled off only since the early 1990s for breast and prostate, and since the late 1990s for colorectal cancer. Death rates from cancer in Mexico remained low on a worldwide scale and showed favorable trends over more recent calendar years. Mortality from (cervix) uterine cancer still represents a major public health priority in this country.
Decompression illness in divers treated in Auckland, New Zealand, 1996-2012.
Haas, Rachel M; Hannam, Jacqueline A; Sames, Christopher; Schmidt, Robert; Tyson, Andrew; Francombe, Marion; Richardson, Drew; Mitchell, Simon J
2014-03-01
The treatment of divers for decompression illness (DCI) in Auckland, New Zealand, has not been described since 1996, and subsequent trends in patient numbers and demographics are unmeasured. This was a retrospective audit of DCI cases requiring recompression in Auckland between 01 January 1996 and 31 December 2012. Data describing patient demographics, dive characteristics, presentation of DCI and outcomes were extracted from case notes and facility databases. Trends in annual case numbers were evaluated using Spearman's correlation coefficients (ρ) and compared with trends in entry-level diver certifications. Trends in patient demographics and delay between diving and recompression were evaluated using regression analyses. There were 520 DCI cases. Annual caseload decreased over the study period (ρ = 0.813, P < 0.0001) as did entry level diving certifications in New Zealand (ρ = 0.962, P < 0.0001). Mean diver age was 33.6 (95% confidence limits (CI) 32.7 to 34.5) years and age increased (P < 0.0001) over the study period. Median (range) delay to recompression was 2.06 (95% CI 0.02 to 23.6) days, and delay declined over the study period (P = 0.005). Numbers of DCI cases recompressed in Auckland have declined significantly over the last 17 years. The most plausible explanation is declining diving activity but improvements in diving safety cannot be excluded. The delay between diving and recompression has reduced.
Secular trends in ischemic stroke subtypes and stroke risk factors.
Bogiatzi, Chrysi; Hackam, Daniel G; McLeod, A Ian; Spence, J David
2014-11-01
Early diagnosis and treatment of a stroke improves patient outcomes, and knowledge of the cause of the initial event is crucial to identification of the appropriate therapy to maximally reduce risk of recurrence. Assumptions based on historical frequency of ischemic subtypes may need revision if stroke subtypes are changing as a result of recent changes in therapy, such as increased use of statins. We analyzed secular trends in stroke risk factors and ischemic stroke subtypes among patients with transient ischemic attack or minor or moderate stroke referred to an urgent transient ischemic attack clinic from 2002 to 2012. There was a significant decline in low-density lipoprotein cholesterol and blood pressure, associated with a significant decline in large artery stroke and small vessel stroke. The proportion of cardioembolic stroke increased from 26% in 2002 to 56% in 2012 (P<0.05 for trend). Trends remained significant after adjusting for population change. With more intensive medical management in the community, a significant decrease in atherosclerotic risk factors was observed, with a significant decline in stroke/transient ischemic attack caused by large artery atherosclerosis and small vessel disease. As a result, cardioembolic stroke/transient ischemic attack has increased significantly. Our findings suggest that more intensive investigation for cardiac sources of embolism and greater use of anticoagulation may be warranted. © 2014 American Heart Association, Inc.
The Practices of Student Network as Cooperative Learning in Ethiopia
ERIC Educational Resources Information Center
Reda, Weldemariam Nigusse; Hagos, Girmay Tsegay
2015-01-01
Student network is a teaching strategy introduced as cooperative learning to all educational levels above the upper primary schools (grade 5 and above) in Ethiopia. The study was, therefore, aimed at investigating to what extent the student network in Ethiopia is actually practiced in line with the principles of cooperative learning. Consequently,…
Historical Analysis of the Challenges and Opportunities of Higher Education in Ethiopia
ERIC Educational Resources Information Center
Bishaw, Alemayehu; Melesse, Solomon
2017-01-01
There is a massive higher education expansion in Ethiopia. However, the efforts to expand higher education are characterized by great opportunities and significant challenges. The current higher education policy formulation and practice are the result of long history of traditional education in Ethiopia, the western countries' influence and the…
Rights of the Child in Ethiopia.
ERIC Educational Resources Information Center
Schonveld, Ben; Mejia, Fernando
This report to the United Nations Committee on the Rights of the Child contains observations of the World Organisation Against Torture (OMCT) concerning the application of the U.N. Convention on the Rights of the Child by the nation of Ethiopia. The report's introduction asserts that despite the considerable lip service being paid by Ethiopia's…
ERIC Educational Resources Information Center
Meleta, Fufa E.; Zhang, Weizhong
2017-01-01
The main objective of this study is to compare the process of the senior secondary school mathematics curricula development in Ethiopia and Australia. The study was investigated qualitatively with document analysis and semi-structured interview research methods. The documents were collected from Federal Democratic Republic of Ethiopia Ministry of…
ERIC Educational Resources Information Center
Semaan, Leslie
This document is a text dealing mainly with Ethiopia's rich cultural heritage and current lifestyles. It gives students the opportunity to go beyond the media coverage that has led to the perception of the whole of Ethiopia as a famine stricken land, and to discover the realities of this new nation, that about 15 percent of the population, mainly…
McPhedran, Samara; Baker, Jeanine; Singh, Pooja
2011-01-01
Although firearm homicide remains a topic of interest within criminological and policy discourse, existing research does not generally undertake longitudinal comparisons between countries. However, cross-country comparisons provide insight into whether "local" trends (e.g., declines in firearm homicide in one particular country) differ from broader, international trends. This in turn can improve knowledge about the role of factors such as policing practices and socioeconomic variables in the incidence of lethal violence using firearms. The current study compares long-term firearm homicide trends in three countries with similar social histories but different legislative regimes: Australia, Canada, and New Zealand. Using negative binomial regression, the study found that the most pronounced decline in firearm homicide over the past two decades occurred in New Zealand. Connections between social disadvantage, policing policy, and violence are discussed.
Centennial changes in North Pacific anoxia linked to tropical trade winds
Deutsch, Curtis; Berelson, William; Thunell, Robert; Weber, Thomas; Tems, Caitlin; McManus, James; Crusius, John; Ito, Taka; Baumgartner, Timothy; Ferreira, Vicente; Mey, Jacob; van Geen, Alexander
2014-01-01
Climate warming is expected to reduce oxygen (O2) supply to the ocean and expand its oxygen minimum zones (OMZs). We reconstructed variations in the extent of North Pacific anoxia since 1850 using a geochemical proxy for denitrification (δ15N) from multiple sediment cores. Increasing δ15N since ~1990 records an expansion of anoxia, consistent with observed O2 trends. However, this was preceded by a longer declining δ15N trend that implies that the anoxic zone was shrinking for most of the 20th century. Both periods can be explained by changes in winds over the tropical Pacific that drive upwelling, biological productivity, and O2 demand within the OMZ. If equatorial Pacific winds resume their predicted weakening trend, the ocean’s largest anoxic zone will contract despite a global O2 decline.
J.C.G. Goelz; Thomas E. Burk; Shepard M. Zedaker
1999-01-01
Cross-sectional area growth and height growth of Fraser fir and red spruce trees growing in Virginia and North Carolina were analyzed to identify possible long-term growth trends. Cross-sectional area growth provided no evidence of growth decline. The individual discs were classified according to parameter estimates of the growth trend equation. The predominant pattern...
Removing the tree-ring width biological trend using expected basal area increment
Franco Biondi; Fares Qeadan
2008-01-01
One of the main elements of dendrochronological standardization is the removal of the biological trend, i.e., the progressive decline of ring width along a cross-sectional radius that is mostly caused by the corresponding increase in stem diameter over time. A very common option for removing this biological trend is to fit a modified negative exponential curve to the...
Friedman, Lee S; Forst, Linda
2007-07-01
The Survey of Occupational Injuries and Illnesses (SOII), based on Occupational Safety and Health Administration (OSHA) logs, indicates that the number of occupational injuries and illnesses in the US has steadily declined by 35.8% between 1992-2003. However, major changes to the OSHA recordkeeping standard occurred in 1995 and 2001. The authors assessed the relation between changes in OSHA recordkeeping regulations and the trend in occupational injuries and illnesses. SOII data available from the Bureau of Labor Statistics for years 1992-2003 were collected. The authors assessed time series data using join-point regression models. Before the first major recordkeeping change in 1995, injuries and illnesses declined annually by 0.5%. In the period 1995-2000 the slope declined by 3.1% annually (95% CI -3.7% to -2.5%), followed by another more precipitous decline occurring in 2001-2003 (-8.3%; 95% CI -10.0% to -6.6%). When stratifying the data, the authors continued to observe significant changes occurring in 1995 and 2001. The substantial declines in the number of injuries and illnesses correspond directly with changes in OSHA recordkeeping rules. Changes in employment, productivity, OSHA enforcement activity and sampling error do not explain the large decline. Based on the baseline slope (join-point regression analysis, 1992-4), the authors expected a decline of 407 964 injuries and illnesses during the period of follow-up if no intervention occurred; they actually observed a decline of 2.4 million injuries and illnesses of which 2 million or 83% of the decline can be attributed to the change in the OSHA recordkeeping rules.
Friedman, Lee S; Forst, Linda
2007-01-01
Objectives The Survey of Occupational Injuries and Illnesses (SOII), based on Occupational Safety and Health Administration (OSHA) logs, indicates that the number of occupational injuries and illnesses in the US has steadily declined by 35.8% between 1992–2003. However, major changes to the OSHA recordkeeping standard occurred in 1995 and 2001. The authors assessed the relation between changes in OSHA recordkeeping regulations and the trend in occupational injuries and illnesses. Methods SOII data available from the Bureau of Labor Statistics for years 1992–2003 were collected. The authors assessed time series data using join‐point regression models. Results Before the first major recordkeeping change in 1995, injuries and illnesses declined annually by 0.5%. In the period 1995–2000 the slope declined by 3.1% annually (95% CI −3.7% to −2.5%), followed by another more precipitous decline occurring in 2001–2003 (−8.3%; 95% CI −10.0% to −6.6%). When stratifying the data, the authors continued to observe significant changes occurring in 1995 and 2001. Conclusions The substantial declines in the number of injuries and illnesses correspond directly with changes in OSHA recordkeeping rules. Changes in employment, productivity, OSHA enforcement activity and sampling error do not explain the large decline. Based on the baseline slope (join‐point regression analysis, 1992–4), the authors expected a decline of 407 964 injuries and illnesses during the period of follow‐up if no intervention occurred; they actually observed a decline of 2.4 million injuries and illnesses of which 2 million or 83% of the decline can be attributed to the change in the OSHA recordkeeping rules. PMID:17303676
2014-01-01
Background Bilateral regional brain oxygen saturation (rSO2) trends, reflecting intraoperative brain oxygen imbalance, could warn of brain dysfunction. Various types of cognitive impairment, such as memory decline, alterations in executive function or subjective complaints, have been described three months after surgery. Our aim was to explore the potential utility of rSO2 values as a warning sign for the development of different types of decline in postoperative psychological function. Methods Observational post-hoc analysis of data for the patient sample (n = 125) of a previously conducted clinical trial in patients over the age of 65 years undergoing total knee replacement under spinal anesthesia. Demographic, hemodynamic and bilateral rSO2 intraoperative values were recorded. An absolute rSO2 value of <50% or a reduction of >20% or >25% below baseline were chosen as relevant cutoffs. Composite function test scores were created from baseline to three months for each patient and adjusted for the mean (SD) score changes for a control group (n = 55). Tests were used to assess visual-motor coordination and executive function (VM-EF) (Wechsler Digit Symbol-Coding and Visual Reproduction, Trail Making Test) and memory (Auditory Verbal Learning, Wechsler Memory Scale); scales were used to assess psychological symptoms. Results We observed no differences in baseline rSO2 values; rSO2 decreased significantly in all patients during surgery (P < 0.0001). Seventy-five patients (60%) had no sign of cognitive decline or psychological symptoms. Twenty-one patients (16.8%) had memory decline, 3 (2.4%) had VM-EF decline, and 33 (26.4%) had psychological symptoms. Left and right rSO2 values were asymmetric in patients who had memory decline (mean [SD] left-right ratio of 95.03 [8.51] vs 101.29 [6.7] for patients with no changes, P = 0.0012). The mean right-left difference in rSO2 was also significant in these patients (-2.87% [4.73%], lower on the right, P = 0.0034). Conclusions Detection of a trend to asymmetry in rSO2 values can warn of possible postoperative onset of memory decline. Psychological symptoms and memory decline were common three months after knee replacement in our patients over the age of 65 years. PMID:25061427
Salazar, Fátima; Doñate, Marta; Boget, Teresa; Bogdanovich, Ana; Basora, Misericordia; Torres, Ferran; Gracia, Isabel; Fàbregas, Neus
2014-01-01
Bilateral regional brain oxygen saturation (rSO2) trends, reflecting intraoperative brain oxygen imbalance, could warn of brain dysfunction. Various types of cognitive impairment, such as memory decline, alterations in executive function or subjective complaints, have been described three months after surgery. Our aim was to explore the potential utility of rSO2 values as a warning sign for the development of different types of decline in postoperative psychological function. Observational post-hoc analysis of data for the patient sample (n = 125) of a previously conducted clinical trial in patients over the age of 65 years undergoing total knee replacement under spinal anesthesia. Demographic, hemodynamic and bilateral rSO2 intraoperative values were recorded. An absolute rSO2 value of <50% or a reduction of >20% or >25% below baseline were chosen as relevant cutoffs. Composite function test scores were created from baseline to three months for each patient and adjusted for the mean (SD) score changes for a control group (n = 55). Tests were used to assess visual-motor coordination and executive function (VM-EF) (Wechsler Digit Symbol-Coding and Visual Reproduction, Trail Making Test) and memory (Auditory Verbal Learning, Wechsler Memory Scale); scales were used to assess psychological symptoms. We observed no differences in baseline rSO2 values; rSO2 decreased significantly in all patients during surgery (P < 0.0001). Seventy-five patients (60%) had no sign of cognitive decline or psychological symptoms. Twenty-one patients (16.8%) had memory decline, 3 (2.4%) had VM-EF decline, and 33 (26.4%) had psychological symptoms. Left and right rSO2 values were asymmetric in patients who had memory decline (mean [SD] left-right ratio of 95.03 [8.51] vs 101.29 [6.7] for patients with no changes, P = 0.0012). The mean right-left difference in rSO2 was also significant in these patients (-2.87% [4.73%], lower on the right, P = 0.0034). Detection of a trend to asymmetry in rSO2 values can warn of possible postoperative onset of memory decline. Psychological symptoms and memory decline were common three months after knee replacement in our patients over the age of 65 years.
2012-01-01
Background Neglected tropical diseases (NTDs) are a group of chronic parasitic diseases and related conditions that are the most common diseases among the 2·7 billion people globally living on less than US$2 per day. In response to the growing challenge of NTDs, Ethiopia is preparing to launch a NTD Master Plan. The purpose of this review is to underscore the burden of NTDs in Ethiopia, highlight the state of current interventions, and suggest ways forward. Results This review indicates that NTDs are significant public health problems in Ethiopia. From the analysis reported here, Ethiopia stands out for having the largest number of NTD cases following Nigeria and the Democratic Republic of Congo. Ethiopia is estimated to have the highest burden of trachoma, podoconiosis and cutaneous leishmaniasis in sub-Saharan Africa (SSA), the second highest burden in terms of ascariasis, leprosy and visceral leishmaniasis, and the third highest burden of hookworm. Infections such as schistosomiasis, trichuriasis, lymphatic filariasis and rabies are also common. A third of Ethiopians are infected with ascariasis, one quarter is infected with trichuriasis and one in eight Ethiopians lives with hookworm or is infected with trachoma. However, despite these high burdens of infection, the control of most NTDs in Ethiopia is in its infancy. In terms of NTD control achievements, Ethiopia reached the leprosy elimination target of 1 case/10,000 population in 1999. No cases of human African trypanosomiasis have been reported since 1984. Guinea worm eradication is in its final phase. The Onchocerciasis Control Program has been making steady progress since 2001. A national blindness survey was conducted in 2006 and the trachoma program has kicked off in some regions. Lymphatic Filariasis, podoconiosis and rabies mapping are underway. Conclusion Ethiopia bears a significant burden of NTDs compared to other SSA countries. To achieve success in integrated control of NTDs, integrated mapping, rapid scale up of interventions and operational research into co implementation of intervention packages will be crucial. PMID:23095679
Trend of hypertension morbidity and mortality in Tigray Region from 2011 to 2015, Tigray, Ethiopia.
Gerensea, Hadgu; Teklay, Hafte
2018-06-08
Hypertension in developing countries were not considered as a major concern. This lack of concern can be explained by the health policy and research of the past years, which had its main focus on infectious diseases but this study focuses on 4 years trend of hypertension mortality and morbidity. A facility based retrospective health management information system record assessment was carried out. Of the total 66,099 cases registered in the Health Management Information system book, 27,601 were males and 38,498 females. Considering the variation in each year, the overall trend of hypertension mortality has decreased from 32 in 2011/12 to 25 in 2014/15. The number of patients died in 2011 was 1.6 times higher than those who died in 2012. The rate admission of in inpatient and outpatient department visit is increasing from 9257 to 23,633 and 9799 to 24,425 respectively with in 4 years. Though there is variation among reports regarding the rate of morbidity and mortality, Tigray region has been improving its health care for hypertensive patients, which results in a decreasing mortality rate while the morbidity is still alarming.
Isocyanate exposure and asthma in the UK vehicle repair industry.
Stocks, S J; Jones, K; Piney, M; Agius, R M
2015-12-01
Organic diisocyanates are a common cause of occupational asthma, particularly in motor vehicle repair (MVR) workers. The UK Health & Safety Laboratory provides screening for urinary hexamethylenediamine (UHDA), a biomarker of exposure to 1,6-hexamethylene diisocyanate (HDI). The UK Surveillance of Work-related and Occupational Respiratory Disease scheme (SWORD) has collected reports of occupational asthma since 1996. To compare trends in HDI exposure with trends in the incidence of work-related asthma attributed to isocyanates or paint spraying in MVR workers reported to SWORD. Two-level regression models were used to estimate trends in UHDA levels and work-related asthma in MVR workers reported to SWORD. The direction and magnitude of the trends were compared descriptively. From 2006 to 2014, there was a significant decline in the number of urine samples with detectable levels of UHDA (odds ratio = 0.96; 95% confidence intervals 0.94-0.98) and minimal change in those over the guidance value (1.03; 1.00-1.06). Over the same period, there was a significant decline in all asthma cases attributed to isocyanates or paint spraying reported to SWORD (0.90; 0.86-0.94) and a non-significant decline among MVR workers (0.94; 0.86-1.02). The simultaneous decrease in HDI exposure and incident cases of asthma reported to SWORD is temporally consistent with a reduction in exposure to airborne isocyanate leading to a reduction in asthma. Although this is not direct evidence of a causal relationship between the two trends, it is suggestive. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine.
Isocyanate exposure and asthma in the UK vehicle repair industry
Jones, K.; Piney, M.; Agius, R. M.
2015-01-01
Background Organic diisocyanates are a common cause of occupational asthma, particularly in motor vehicle repair (MVR) workers. The UK Health & Safety Laboratory provides screening for urinary hexamethylenediamine (UHDA), a biomarker of exposure to 1,6-hexamethylene diisocyanate (HDI). The UK Surveillance of Work-related and Occupational Respiratory Disease scheme (SWORD) has collected reports of occupational asthma since 1996. Aims To compare trends in HDI exposure with trends in the incidence of work-related asthma attributed to isocyanates or paint spraying in MVR workers reported to SWORD. Methods Two-level regression models were used to estimate trends in UHDA levels and work-related asthma in MVR workers reported to SWORD. The direction and magnitude of the trends were compared descriptively. Results From 2006 to 2014, there was a significant decline in the number of urine samples with detectable levels of UHDA (odds ratio = 0.96; 95% confidence intervals 0.94–0.98) and minimal change in those over the guidance value (1.03; 1.00–1.06). Over the same period, there was a significant decline in all asthma cases attributed to isocyanates or paint spraying reported to SWORD (0.90; 0.86–0.94) and a non-significant decline among MVR workers (0.94; 0.86–1.02). Conclusions The simultaneous decrease in HDI exposure and incident cases of asthma reported to SWORD is temporally consistent with a reduction in exposure to airborne isocyanate leading to a reduction in asthma. Although this is not direct evidence of a causal relationship between the two trends, it is suggestive. PMID:26209793
Trends in the crash involvement of older drivers in Australia.
Thompson, James P; Baldock, Matthew R J; Dutschke, Jeffrey K
2018-05-03
Research from the USA and Great Britain indicates that the number of fatal crashes (as well as the rates of crashes of all levels of injury and property damage) involving older drivers declined between approximately 1997 and 2010 despite increases in the number of older drivers on the road and in their driving exposure. Differing results have been found in Australian research with the number of older driver fatalities having been steady and even slightly increasing between 2004 and 2013. The present study further examined trends in the crash involvement of older drivers in Australia to determine whether their involvement has been increasing or decreasing, and how this compares to trends for younger aged drivers. Crash, injury, population and licensure data were examined by age group for the years 2003-2012. There were increases in the population and licensure of drivers aged 65 years and older, while the total crashes, serious injuries, and fatalities remained steady for drivers aged 65-84 and increased for the oldest group (85+) between 2003 and 2012. Increasing trends were also found for drivers 85 and older for rates of serious or fatal injuries per head of population and per licensed driver. Population and licensure among younger age groups also increased but their crash numbers and crash rates remained steady or declined. The stable or slightly increasing fatal crash involvement of older drivers in Australia contrasts with the declining trends in the USA and Great Britain. Therefore, greater attention should be given to the road safety of older drivers in Australia. Copyright © 2018 Elsevier Ltd. All rights reserved.
Hounton, Sennen; Winfrey, William; Barros, Aluisio J. D.; Askew, Ian
2015-01-01
Background The first 12 months following childbirth are a period when a subsequent pregnancy holds the greatest risk for mother and baby, but also when there are numerous contacts with the healthcare system for postnatal care for mother and baby (immunisation, nutrition, etc.). The benefits and importance of postpartum family planning are well documented. They include a reduction in risk of miscarriage, as well as mitigation of (or protection against) low birth weight, neonatal and maternal death, preterm birth, and anaemia. Objectives The objectives of this paper are to assess patterns and trends in the use of postpartum family planning at the country level, to determine whether postpartum family planning is associated with birth interval and parity, and to identify the health services most closely associated with postpartum family planning after adjusting for socio-economic characteristics. Design Data were used from Demographic and Health Surveys that contain a reproductive calendar, carried out within the last 10 years, from Ethiopia, Malawi, and Nigeria. All women for whom the calendar was completed and who gave birth between 57 and 60 months prior to data collection were included in the analysis. For each of the births, we merged the reproductive calendar with the birth record into a survey for each country reflecting the previous 60 months. The definition of the postpartum period in this paper is based on a period of 3 months postpartum. We used this definition to assess early adoption of postpartum family planning. We assessed variations in postpartum family planning according to demographic and socio-economic variables, as well as its association with various contact opportunities with the health system [antenatal care (ANC), childbirth in facilities, immunisation, etc.]. We did simple descriptive analysis with tabular, graphic, and ‘equiplot’ displays and a logistic regression controlling for important background characteristics. Results Overall, variation in postpartum use of modern contraception was not affected over the years by age or marital status. One contrast to this is in Ethiopia, where the data show a significant increase in uptake of postpartum contraception among adolescents from 2005 to 2011. There are systematic and pervasive equity issues in the use of modern postpartum family planning by education level, place of residence, and wealth quintile, especially in Ethiopia where the gaps are very large. Disaggregation of data also point to significant sub-national variations. After adjusting for socio-economic variables, the most consistent health sector services associated with modern postpartum contraception are institutional childbirth and child immunisation. ANC is less likely to be associated with the use of modern postpartum family planning. Conclusion Postpartum use of modern family planning has remained very low over the years, including for childbearing adolescents. Our results indicate that improving postpartum family planning requires policies and strategies to address the inequalities caused by socio-economic factors and the integration of family planning with maternal and newborn health services, particularly with childbirth in facilities and child immunisation. Scaling up systematic screening, training of providers, and generation of demand are some possible ways forward. PMID:26562144
Hounton, Sennen; Winfrey, William; Barros, Aluisio J D; Askew, Ian
2015-01-01
The first 12 months following childbirth are a period when a subsequent pregnancy holds the greatest risk for mother and baby, but also when there are numerous contacts with the healthcare system for postnatal care for mother and baby (immunisation, nutrition, etc.). The benefits and importance of postpartum family planning are well documented. They include a reduction in risk of miscarriage, as well as mitigation of (or protection against) low birth weight, neonatal and maternal death, preterm birth, and anaemia. The objectives of this paper are to assess patterns and trends in the use of postpartum family planning at the country level, to determine whether postpartum family planning is associated with birth interval and parity, and to identify the health services most closely associated with postpartum family planning after adjusting for socio-economic characteristics. Data were used from Demographic and Health Surveys that contain a reproductive calendar, carried out within the last 10 years, from Ethiopia, Malawi, and Nigeria. All women for whom the calendar was completed and who gave birth between 57 and 60 months prior to data collection were included in the analysis. For each of the births, we merged the reproductive calendar with the birth record into a survey for each country reflecting the previous 60 months. The definition of the postpartum period in this paper is based on a period of 3 months postpartum. We used this definition to assess early adoption of postpartum family planning. We assessed variations in postpartum family planning according to demographic and socio-economic variables, as well as its association with various contact opportunities with the health system [antenatal care (ANC), childbirth in facilities, immunisation, etc.]. We did simple descriptive analysis with tabular, graphic, and 'equiplot' displays and a logistic regression controlling for important background characteristics. Overall, variation in postpartum use of modern contraception was not affected over the years by age or marital status. One contrast to this is in Ethiopia, where the data show a significant increase in uptake of postpartum contraception among adolescents from 2005 to 2011. There are systematic and pervasive equity issues in the use of modern postpartum family planning by education level, place of residence, and wealth quintile, especially in Ethiopia where the gaps are very large. Disaggregation of data also point to significant sub-national variations. After adjusting for socio-economic variables, the most consistent health sector services associated with modern postpartum contraception are institutional childbirth and child immunisation. ANC is less likely to be associated with the use of modern postpartum family planning. Postpartum use of modern family planning has remained very low over the years, including for childbearing adolescents. Our results indicate that improving postpartum family planning requires policies and strategies to address the inequalities caused by socio-economic factors and the integration of family planning with maternal and newborn health services, particularly with childbirth in facilities and child immunisation. Scaling up systematic screening, training of providers, and generation of demand are some possible ways forward.
Parallel declines in pollinators and insect-pollinated plants in Britain and the Netherlands.
Biesmeijer, J C; Roberts, S P M; Reemer, M; Ohlemüller, R; Edwards, M; Peeters, T; Schaffers, A P; Potts, S G; Kleukers, R; Thomas, C D; Settele, J; Kunin, W E
2006-07-21
Despite widespread concern about declines in pollination services, little is known about the patterns of change in most pollinator assemblages. By studying bee and hoverfly assemblages in Britain and the Netherlands, we found evidence of declines (pre-versus post-1980) in local bee diversity in both countries; however, divergent trends were observed in hoverflies. Depending on the assemblage and location, pollinator declines were most frequent in habitat and flower specialists, in univoltine species, and/or in nonmigrants. In conjunction with this evidence, outcrossing plant species that are reliant on the declining pollinators have themselves declined relative to other plant species. Taken together, these findings strongly suggest a causal connection between local extinctions of functionally linked plant and pollinator species.
Demographic Trends: Impact on Schools
ERIC Educational Resources Information Center
Chong, Sylvia N. Y.; Cheah, Horn Mun
2010-01-01
Background: Singapore is experiencing great demographic change. These demographic trends show fewer young people and declining birth rates, greater longevity for ageing generations and an increase in the number of non-Singaporean residents. Statistics also show that more than half of the total population increase in the last decades was…
Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
2009-01-01
Background Gastric cancer is the second leading cause of oncologic death worldwide. One of the most noteworthy characteristics of this tumor's epidemiology is the marked decline reported in its incidence and mortality in almost every part of the globe in recent decades. This study sought to describe gastric cancer mortality time trends in Spain's regions for both sexes. Methods Mortality data for the period 1976 through 2005 were obtained from the Spanish National Statistics Institute. Cases were identified using the International Classification of Diseases 9th and 10th revision (codes 151 and C16, respectively). Crude and standardized mortality rates were calculated by geographic area, sex, and five-year period. Joinpoint regression analyses were performed to ascertain whether changes in gastric cancer mortality trends had occurred, and to estimate the annual percent change by sex and geographic area. Results Gastric cancer mortality decreased across the study period, with the downward trend being most pronounced in women and in certain regions situated in the interior and north of mainland Spain. Across the study period, there was an overall decrease of 2.90% per annum among men and 3.65% per annum among women. Generally, regions in which the rate of decline was sharpest were those that had initially registered the highest rates. However, the rate of decline was not constant throughout the study period: joinpoint analysis detected a shift in trend for both sexes in the early 1980s. Conclusion Gastric cancer mortality displayed in both sexes a downward trend during the study period, both nationally and regionally. The different trend in rates in the respective geographic areas translated as greater regional homogeneity in gastric cancer mortality by the end of the study period. In contrast, rates in women fell more than did those in men. The increasing differences between the sexes could indicate that some risk factors may be modifying the sex-specific pattern of this tumor. PMID:19785726
Eaton, Jeffrey W; Rehle, Thomas M; Jooste, Sean; Nkambule, Rejoice; Kim, Andrea A; Mahy, Mary; Hallett, Timothy B
2014-11-01
National population-wide HIV prevalence and incidence trends in sub-Saharan Africa (SSA) are indirectly estimated using HIV prevalence measured among pregnant women attending antenatal clinics (ANC), among other data. We evaluated whether recent HIV prevalence trends among pregnant women are representative of general population trends. Serial population-based household surveys in 13 SSA countries. We calculated HIV prevalence trends among all women aged 15-49 years and currently pregnant women between surveys conducted from 2003 to 2008 (period 1) and 2009 to 2012 (period 2). Log-binomial regression was used to test for a difference in prevalence trend between the two groups. Prevalence among pregnant women was age-standardized to represent the age distribution of all women. Pooling data for all countries, HIV prevalence declined among pregnant women from 6.5 [95% confidence interval (CI) 5.3-7.9%] to 5.3% (95% CI 4.2-6.6%) between periods 1 and 2, whereas it remained unchanged among all women at 8.4% (95% CI 8.0-8.9%) in period 1 and 8.3% (95% CI 7.9-8.8%) in period 2. Prevalence declined by 18% (95% CI -9-38%) more in pregnant women than nonpregnant women. Estimates were similar in Western, Eastern, and Southern regions of SSA; none were statistically significant (P>0.05). HIV prevalence decreased significantly among women aged 15-24 years while increasing significantly among women 35-49 years, who represented 29% of women but only 15% of pregnant women. Age-standardization of prevalence in pregnant women did not reconcile the discrepant trends because at older ages prevalence was lower among pregnant women than nonpregnant women. As HIV prevalence in SSA has shifted toward older, less-fertile women, HIV prevalence among pregnant women has declined more rapidly than prevalence in women overall. Interpretation of ANC prevalence data to inform national HIV estimates should account for both age-specific fertility patterns and HIV-related sub-fertility.
Statistical power for detecting trends with applications to seabird monitoring
Hatch, Shyla A.
2003-01-01
Power analysis is helpful in defining goals for ecological monitoring and evaluating the performance of ongoing efforts. I examined detection standards proposed for population monitoring of seabirds using two programs (MONITOR and TRENDS) specially designed for power analysis of trend data. Neither program models within- and among-years components of variance explicitly and independently, thus an error term that incorporates both components is an essential input. Residual variation in seabird counts consisted of day-to-day variation within years and unexplained variation among years in approximately equal parts. The appropriate measure of error for power analysis is the standard error of estimation (S.E.est) from a regression of annual means against year. Replicate counts within years are helpful in minimizing S.E.est but should not be treated as independent samples for estimating power to detect trends. Other issues include a choice of assumptions about variance structure and selection of an exponential or linear model of population change. Seabird count data are characterized by strong correlations between S.D. and mean, thus a constant CV model is appropriate for power calculations. Time series were fit about equally well with exponential or linear models, but log transformation ensures equal variances over time, a basic assumption of regression analysis. Using sample data from seabird monitoring in Alaska, I computed the number of years required (with annual censusing) to detect trends of -1.4% per year (50% decline in 50 years) and -2.7% per year (50% decline in 25 years). At ??=0.05 and a desired power of 0.9, estimated study intervals ranged from 11 to 69 years depending on species, trend, software, and study design. Power to detect a negative trend of 6.7% per year (50% decline in 10 years) is suggested as an alternative standard for seabird monitoring that achieves a reasonable match between statistical and biological significance.
Changes in American children’s time – 1997 to 2003
Hofferth, Sandra L.
2010-01-01
Over the six-year period between 1997 and 2003 broad social changes occurred in the United States: welfare rules changed, the nation’s school policies were overhauled, America was attacked by terrorists, and American values shifted in a conservative direction. Changes in children’s time were consistent with these trends. Discretionary time declined. Studying and reading increased over the period, whereas participation in sports declined, suggesting that the increased emphasis on academics at the school level has altered children’s behavior at home as well. Increased participation in religious and youth activities and declines in outdoor activities may reflect changes in parental values and security concerns. The results suggest continuation of the upward trend in reading and studying from the 1980s and early 1990s, but increased religious attendance and youth group participation rather than increased participation in sports characterized this recent period. PMID:20852679
Family planning and fertility decline: a global overview.
Tabah, L
1977-01-01
Family planning and development policy concerns are not incompatible. The emphasis on development policies at the 1974 World Population Conference at Bucharest did not mean that world governments had lost interest in the population and family planning issue. Although worldwide attitudes toward family planning have become more and more favorable, this has not yet meant great impact on world demographic trends. The "inertia factor," i.e., the effects of high birthrates in the previous generation, will camouflage declining birthrates for some time to come. The trend of fertility reduction which was perceptible only among small populations a few years ago is also becoming manifest in larger Third World countries. Mortality rate declines have slowed down but there is no rising mortality due to starvation in any country. At present, food demand exceeds availability for 80% of the Third World population. It is predicted that the food deficit will increase 70% by the year 2000.
Bialek, Stephanie R.; Thoroughman, Douglas A.; Hu, Diana; Simard, Edgar P.; Chattin, Jody; Cheek, Jim; Bell, Beth P.
2004-01-01
Objectives. We assessed the effect on trends in hepatitis A incidence of the 1996 recommendation for routine hepatitis A vaccination of American Indian/Alaska Native (AIAN) children. Methods. We examined trends in hepatitis A incidence among AIAN peoples during 1990–2001 and vaccination coverage levels among children on the largest American Indian reservation. Results. Hepatitis A rates among AIANs declined 20-fold during 1997–2001. Declines in hepatitis A incidence occurred among AIANs in reservation and metropolitan areas. Among 1956 children living on the Navajo Nation whose medical records were reviewed, 1508 (77.1%) had received at least one dose of hepatitis A vaccine, and 1020 (52.1%) had completed the vaccine series. Conclusions. Hepatitis A rates among AIAN peoples have declined dramatically coincident with implementation of routine hepatitis A vaccination of AIAN children. PMID:15249305
Population trends and management opportunities for neotropical migrants
Chandler S. Robbins; John. R. Sauer; Bruce G. Peterjohn
1993-01-01
The Breeding Bird Survey shows that certain Neotropical migrant songbird populations have been declining over the past 26 years. Among them are forest birds that require extensive forest on the breeding grounds and also forested habitats on tropical wintering grounds. Other species have shown significant declines only since the early 1980's. Birds with broader...
ERIC Educational Resources Information Center
Moore, Kristin Anderson, Comp.; Manlove, Jennifer, Comp.; Terry-Humen, Elizabeth, Comp.; Williams, Stephanie, Comp.; Papillo, Angela Romano, Comp.; Scarpa, Juliet, Comp.
This publication reports trends in teen childbearing in the Nation, in each state, and in large cities using data from the 2000 National Center for Health Statistics (NCHS). Rates of teenage childbearing steadily declined during the 1990s, reaching a record low in 2000. Rates declined for both younger and older teens and for blacks, whites, and…
Cutback Management in Public Organizations. Information Series Volume 7, Number 3.
ERIC Educational Resources Information Center
Stefonek, Tom
In this paper a review of the Wisconsin declining enrollment trend is presented and implications are noted for Wisconsin districts involved in school closing efforts. The author suggests that districts can best meet the challenge of declining enrollment by considering local enrollment projections, taking a facilities and program inventory,…
Life Cycles, Educational Attainment and Labor Markets.
ERIC Educational Resources Information Center
Winsborough, H.H., Sweet, J.A.
Two social changes are cited as particularly important to the projection of college enrollment trends. One is the rising educational attainment of the parents of future potential college attenders; the other is the fact that declines in fertility accompany declines in average family size. Overall, the illustration in this paper suggests that the…
Breeding bird communities of the hardwood ecosystem experiment
Melissa C. Malloy; John B. Dunning
2013-01-01
Declining population trends of breeding birds associated with mature forests of the eastern and central United States have been a major concern for conservationists and land managers. As a landscape-scale, long-term, manipulative experiment, the Hardwood Ecosystem Experiment (HEE) in Indiana may provide important insights into factors associated with these declines....
The "Decline" of Private Higher Education
ERIC Educational Resources Information Center
Levy, Daniel C.
2013-01-01
No topic in private higher education study has attracted as great attention globally as has growth. This is appropriate as private growth has soared to nearly a third of the world's total higher education enrolment. But while private growth continues to be the dominant trend, important declines in private shares have emerged. These must be…
Restoring whitebark pine ecosystems in the face of climate change
Robert E. Keane; Lisa M. Holsinger; Mary F. Mahalovich; Diana F. Tomback
2017-01-01
Whitebark pine (Pinus albicaulis) forests have been declining throughout their range in western North America from the combined effects of mountain pine beetle (Dendroctonus ponderosae) outbreaks, fire exclusion policies, and the exotic disease white pine blister rust (Cronartium ribicola). Projected warming and drying trends in climate may exacerbate this decline;...
Alexandra M. Kosiba; Paul G. Schaberg; Shelly A. Rayback; Gary J. Hawley
2017-01-01
In the northeastern United States, tree declines associated with acid deposition induced calcium depletion have been documented, notably for red spruce (Picea rubens Sarg.) and sugar maple (Acer saccharum Marsh.). There is conflicting evidence concerning whether co-occurring tree species capitalized on these declines or...
Texas Public School Attrition Study, 2011-12. IDRA Report
ERIC Educational Resources Information Center
Johnson, Roy L.; Montes, Felix
2012-01-01
This document contains 3 statistical reports. The first report, "Attrition Rate Decline Seems Promising--Though High Schools are Still Losing One in Four Students" (by Roy L. Johnson), presents results of long-term trend assessments of attrition data in Texas public high schools. The second report, "Slow Declining Pace Keeps Zero…
Colleges Look for Ways To Reverse a Decline in Enrollment of Men.
ERIC Educational Resources Information Center
Gose, Ben
1999-01-01
Reports data showing declining male undergraduate enrollment and offers two possible explanations: that women are better prepared, psychologically and academically, for college, and/or that men are more opportunistic and are taking jobs that pay well without a college degree. Suggestions for reversing this trend include countering the…
Basal area growth of sugar maple in relation to acid deposition, stand health, and soil nutrients.
Duchesne, Louis; Ouimet, Rock; Houle, Daniel
2002-01-01
Previous studies have shown in noncalcareous soils that acid deposition may have increased soil leaching of basic cations above the input rate from soil weathering and atmospheric depositions. This phenomenon may have increased soil acidity levels, and, as a consequence, may have reduced the availability of these essential nutrients for forest growth. Fourteen plots of the Forest Ecosystem Research and Monitoring Network in Québec were used to examine the relation between post-industrial growth trends of sugar maple (Acer saccharum Marsh.) and acid deposition (N and S), stand decline rate, and soil exchangeable nutrient concentrations. Atmospheric N and S deposition and soil exchangeable acidity were positively associated with stand decline rate, and negatively with the average tree basal area increment trend. The growth rate reduction reached on average 17% in declining stands compared with healthy ones. The results showed a significant sugar maple growth rate reduction since 1960 on acid soils. The appearance of the forest decline phenomenon in Québec can be attributed, at least partially, to soil acidification and acid deposition levels.
Medicinal Plants Used for Treatment of Diarrhoeal Related Diseases in Ethiopia
Woldeab, Bizuneh; Regassa, Reta
2018-01-01
This paper presents a review of relevant antidiarrhoeal medicinal plants based on the fundamental knowledge accumulated by indigenous people of Ethiopia. The review includes an inventory carried out on the phytochemical and pharmacological analysis of plant species used in the treatments of diarrhoeal diseases. This study is based on a review of the literature published in scientific journals, books, theses, proceedings, and reports. A total of 132 medicinal plants used by local people of Ethiopia are reported in the reviewed literature. Herbs (43.6%) were the primary source of medicinal plants, followed by trees (27%). Some findings include the predominance of leaf material used (78%), as well as the frequent use of crushing of the plant parts (38%) as a mode of preparation. This study demonstrates the importance of traditional medicines in the treatment of basic human ailments such as diarrhoeal diseases in Ethiopia. Baseline information gaps were observed in different regions of Ethiopia. Thus, documentation of the knowledge held by other regions of Ethiopia that have so far received less attention and urban ethnobotany is recommended for future ethnobotanical studies. In addition, phytochemical studies are recommended mainly on frequently utilized medicinal plants for treatment of diarrhoeal diseases which can serve as a basis for future investigation of modern drug development. Although societies in Ethiopia have long used medicinal plants for diarrhoeal diseases treatment, it is also a good practice to perform toxicological tests. PMID:29743923
Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia
Endris, Neima; Asefa, Henok
2017-01-01
Background Child malnutrition continues to be the leading public health problem in developing countries. In Ethiopia, malnutrition is a leading cause of child illness and death. Recently the composite index of anthropometric failure (CIAF) has been implemented to measure the prevalence of malnutrition. This index presents a more complete picture compared with the previous conventional indices. In this study, CIAF was used to determine the prevalence of malnutrition among children aged 0–59 months in rural Ethiopia. Methods Data was extracted from the 2014 Ethiopian Mini Demographic and Health Survey (EMDHS) for this study. A total of 3095 children were included in the analysis. The composite index of anthropometric failure (CIAF) was used to measure the nutritional status of the children. Logistic regression was fitted, to identify factors associated with malnutrition among children in rural Ethiopia, using STATA 13. Result The prevalence of malnutrition among rural children in Ethiopia was 48.5%. Age of the children, preceding birth interval, educated status of mother, wealth status, and region were factors independently associated with nutritional status of children in rural Ethiopia. Conclusion The prevalence of malnutrition among children in rural Ethiopia was high. A child older than 12 months, having uneducated mother, living in a household with poor wealth status, born with short birth interval, and living in some region of the country are associated with increased odds of being malnourished. PMID:28596966
Visceral Leishmaniasis in Ethiopia: An Evolving Disease
Leta, Samson; Dao, Thi Ha Thanh; Mesele, Frehiwot; Alemayehu, Gezahegn
2014-01-01
Visceral leishmaniasis (also known as kala-azar) is classified as one of the most neglected tropical diseases. It is becoming a growing health problem in Ethiopia, with endemic areas that are continually spreading. The annual burden of visceral leishmaniasis (VL) in Ethiopia is estimated to be between 4,500 and 5,000 cases, and the population at risk is more than 3.2 million. There has been a change in the epidemiology of VL in Ethiopia. Over the last decades, almost all cases and outbreaks of VL were reported from arid and semi-arid parts of the country; however, recent reports indicated the introduction of this disease into the highlands. Migration of labourers to and from endemic areas, climatic and environmental changes, and impaired immunity due to HIV/AIDS and malnutrition resulted in the change of VL epidemiology. HIV spurs the spread of VL by increasing the risk of progression from asymptomatic infection towards full VL. Conversely, VL accelerates the onset of AIDS. In Ethiopia, VL epidemiology remains complex because of the diversity of risk factors involved, and its control is becoming an increasing challenge. This paper reviews the changes in epidemiology of VL in Ethiopia and discusses some of the possible explanations for these changes. The prospects for novel approaches to VL control are discussed, as are the current and future challenges facing Ethiopia's public health development program. PMID:25188253
Some structural aspects of urbanization in Ethiopia.
Rafiq, M; Hailemariam, A
1987-07-01
This article studies the emerging patterns of urbanization in Ethiopia. Over the period from 1967-1984, a number of structural changes have occurred which are likely to play a dominant role in the future urban growth in Ethiopia. In spite of its long history of settled population, Ethiopia did not witness sustained growth of urban centers. Ethiopia is 1 of the least urbanized areas in the Third World. A 3rd aspect of urbanization in Ethiopia is the wide range of regional differentials in the level of urbanization. Most of the urban population is concentrated in 2 administrative regions--Shoa and Eritrea. A more balanced urban growth may, inter alia, involve a better spread in terms of higher education, industrialization, provision of health and social services, and the development of communication and commercial infrastructure. Another striking feature of urbanization in Ethiopia is that growth has not been disproportionately concentrated in the largest urban centers. The largest urban centers have not assumed an inordinately higher level of primacy. The basic form of the curve depicting the relationship between the size of a locality and its rank has remained unchanged over the period. The post-revolution land reforms and the new socioeconomic structure emerging from reorganization of the society appear to have a rural-urban migration inhibiting effect. Some of the country's regional differentials may be associated with environmental factors.
Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia.
Endris, Neima; Asefa, Henok; Dube, Lamessa
2017-01-01
Child malnutrition continues to be the leading public health problem in developing countries. In Ethiopia, malnutrition is a leading cause of child illness and death. Recently the composite index of anthropometric failure (CIAF) has been implemented to measure the prevalence of malnutrition. This index presents a more complete picture compared with the previous conventional indices. In this study, CIAF was used to determine the prevalence of malnutrition among children aged 0-59 months in rural Ethiopia. Data was extracted from the 2014 Ethiopian Mini Demographic and Health Survey (EMDHS) for this study. A total of 3095 children were included in the analysis. The composite index of anthropometric failure (CIAF) was used to measure the nutritional status of the children. Logistic regression was fitted, to identify factors associated with malnutrition among children in rural Ethiopia, using STATA 13. The prevalence of malnutrition among rural children in Ethiopia was 48.5%. Age of the children, preceding birth interval, educated status of mother, wealth status, and region were factors independently associated with nutritional status of children in rural Ethiopia. The prevalence of malnutrition among children in rural Ethiopia was high. A child older than 12 months, having uneducated mother, living in a household with poor wealth status, born with short birth interval, and living in some region of the country are associated with increased odds of being malnourished.
NASA Astrophysics Data System (ADS)
Levin, Naomi E.; Zipser, Edward J.; Cerling, Thure E.
2009-12-01
Oxygen and deuterium isotopic values of meteoric waters from Ethiopia are unusually high when compared to waters from other high-elevation settings in Africa and worldwide. These high values are well documented; however, the climatic processes responsible for the isotopic anomalies in Ethiopian waters have not been thoroughly investigated. We use isotopic data from waters and remote data products to demonstrate how different moisture sources affect the distribution of stable isotopes in waters from eastern Africa. Oxygen and deuterium stable isotopic data from 349 surface and near-surface groundwaters indicate isotopic distinctions between waters in Ethiopia and Kenya and confirm the anomalous nature of Ethiopian waters. Remote data products from the Tropical Rainfall Measuring Mission (TRMM) and National Centers for Environmental Prediction (NCEP) reanalysis project show strong westerly and southwesterly components to low-level winds during precipitation events in western and central Ethiopia. This is in contrast to the easterly and southeasterly winds that bring rainfall to Kenya and southeastern Ethiopia. Large regions of high equivalent potential temperatures (θe) at low levels over the Sudd and the Congo Basin demonstrate the potential for these areas as sources of moisture and convective instability. The combination of wind direction data from Ethiopia and θe distribution in Africa indicates that transpired moisture from the Sudd and the Congo Basin is likely responsible for the high isotopic values of rainfall in Ethiopia.
Perspectives from the Aldo Leopold Wilderness Research Institute: Amphibians and wilderness
Corn, Paul Stephen
2001-01-01
The decline of amphibian species has emerged as a major global conservation issue in the last decade. Last year, the Department of the Interior (DOI) initiated a major national initiative to detect trends in amphibian populations and research the causes of declines. The program, conducted principally by the U.S. Geological Survey (USGS), emphasizes lands managed by DOI, but collaboration with the Forest Service is encouraged to increase the scope of inference about population trends. Although amphibians are not usually the first group of animals that comes to mind when one thinks of wilderness, conservation of amphibian populations is clearly a wilderness issue.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Klosiewski, S.P.; Laing, K.K.
We estimated the summer and winter abundance of marine birds in Prince William Sound, Alaska, following the 1989 Exxon Valdez oil spill, examined changes in population size between pre-spill and post-spill surveys, and compared pre- to post-oil spill population trends in the oiled zone of the Sound relative to trends in the unoiled zone. Ninety-nine species of birds were observed on surveys. Estimated populations of 15 to 32 species/species groups demonstrated declines over the 17-19 year period between pre- and post-spill surveys. However, because of the long time period between surveys, we could not directly associate overall population declines withmore » the oil spill.« less
Empirical analyses on the development trend of non-ferrous metal industry under China’s new normal
NASA Astrophysics Data System (ADS)
Li, C. X.; Liu, C. X.; Zhang, Q. L.
2017-08-01
The CGE model of Yunnan’s macro economy was constructed based on the input-output data of Yunnan in 2012, and the development trend of the non-ferrous metals industry (NMI) under the China’s new normal was simulated. In view of this, according to different expected economic growth, and optimized economic structure, the impact on development of Yunnan NMI was simulated. The results show that the NMI growth rate is expected to decline when the economic growth show a downward trend, but the change of the proportion is relatively small. Moreover, the structure in proportion was adjusted to realize the economic structure optimization, while the proportion of NMI in GDP will decline. In contrast, the biggest influence on the NMI is the change of economic structure. From the statistics of last two years, we can see that NMI is growing, and at the same time, its proportion is declining, which is consistent with the results of simulation. But the adjustment of economic structure will take a long time. It is need to improve the proportion of deep-processing industry, extend the industrial chain, enhance the value chain, so as to be made good use of resource advantage.
ERIC Educational Resources Information Center
Adaye, Abebe Alaro
This paper reports on past educational objectives of the old political regime in Ethiopia and new educational objectives of revolutionary Ethiopia. It is reported that these new objectives focus on education for production, scientific research, and socialist consciousness, and that all subjects are based on Marxism-Leninism. Curricular objectives…
ERIC Educational Resources Information Center
Alemu, Daniel S.; Tekleselassie, Abebayehu A.
2006-01-01
The purpose of this study is to explain the formulation, implementation, and outcome of Ethiopia's instructional language policy in light of the PRINCE system of power analysis as adapted by Fowler (2004), along with several literature references pertinent to the issue. After providing a brief background on Ethiopia and its education and language…
The role of thermal physiology in recent declines of birds in a biodiversity hotspot.
Milne, Robyn; Cunningham, Susan J; Lee, Alan T K; Smit, Ben
2015-01-01
We investigated whether observed avian range contractions and population declines in the Fynbos biome of South Africa were mechanistically linked to recent climate warming. We aimed to determine whether there were correlations between preferred temperature envelope, or changes in temperature within species' ranges, and recent changes in range and population size, for 12 Fynbos-resident bird species, including six that are endemic to the biome. We then measured the physiological responses of each species at air temperatures ranging from 24 to 42°C to determine whether physiological thermal thresholds could provide a mechanistic explanation for observed population trends. Our data show that Fynbos-endemic species occupying the coolest regions experienced the greatest recent reductions in range and population size (>30% range reduction between 1991 and the present). In addition, species experiencing the largest increases in air temperature within their ranges showed the greatest declines. However, evidence for a physiological mechanistic link between warming and population declines was equivocal, with only the larger species showing low thermal thresholds for their body mass, compared with other birds globally. In addition, some species appear more vulnerable than others to air temperatures in their ranges above physiological thermal thresholds. Of these, the high-altitude specialist Cape rockjumper (Chaetops frenatus) seems most at risk from climate warming. This species showed: (i) the lowest threshold for increasing evaporative water loss at high temperatures; and (ii) population declines specifically in those regions of its range recording significant warming trends. Our findings suggest that caution must be taken when attributing causality explicitly to thermal stress, even when population trends are clearly correlated with rates of warming. Studies explicitly investigating the mechanisms underlying such correlations will be key to appropriate conservation planning.
The role of thermal physiology in recent declines of birds in a biodiversity hotspot
Milne, Robyn; Cunningham, Susan J; Lee, Alan T K
2015-01-01
Abstract We investigated whether observed avian range contractions and population declines in the Fynbos biome of South Africa were mechanistically linked to recent climate warming. We aimed to determine whether there were correlations between preferred temperature envelope, or changes in temperature within species' ranges, and recent changes in range and population size, for 12 Fynbos-resident bird species, including six that are endemic to the biome. We then measured the physiological responses of each species at air temperatures ranging from 24 to 42°C to determine whether physiological thermal thresholds could provide a mechanistic explanation for observed population trends. Our data show that Fynbos-endemic species occupying the coolest regions experienced the greatest recent reductions in range and population size (>30% range reduction between 1991 and the present). In addition, species experiencing the largest increases in air temperature within their ranges showed the greatest declines. However, evidence for a physiological mechanistic link between warming and population declines was equivocal, with only the larger species showing low thermal thresholds for their body mass, compared with other birds globally. In addition, some species appear more vulnerable than others to air temperatures in their ranges above physiological thermal thresholds. Of these, the high-altitude specialist Cape rockjumper (Chaetops frenatus) seems most at risk from climate warming. This species showed: (i) the lowest threshold for increasing evaporative water loss at high temperatures; and (ii) population declines specifically in those regions of its range recording significant warming trends. Our findings suggest that caution must be taken when attributing causality explicitly to thermal stress, even when population trends are clearly correlated with rates of warming. Studies explicitly investigating the mechanisms underlying such correlations will be key to appropriate conservation planning. PMID:27293732
Johnston, Heidi Bart; Ganatra, Bela; Nguyen, My Huong; Habib, Ndema; Afework, Mesganaw Fantahun; Harries, Jane; Iyengar, Kirti; Moodley, Jennifer; Lema, Hailu Yeneneh; Constant, Deborah; Sen, Swapnaleen
2016-01-01
To assess the accuracy of assessment of eligibility for early medical abortion by community health workers using a simple checklist toolkit. Diagnostic accuracy study. Ethiopia, India and South Africa. Two hundred seventeen women in Ethiopia, 258 in India and 236 in South Africa were enrolled into the study. A checklist toolkit to determine eligibility for early medical abortion was validated by comparing results of clinician and community health worker assessment of eligibility using the checklist toolkit with the reference standard exam. Accuracy was over 90% and the negative likelihood ratio <0.1 at all three sites when used by clinician assessors. Positive likelihood ratios were 4.3 in Ethiopia, 5.8 in India and 6.3 in South Africa. When used by community health workers the overall accuracy of the toolkit was 92% in Ethiopia, 80% in India and 77% in South Africa negative likelihood ratios were 0.08 in Ethiopia, 0.25 in India and 0.22 in South Africa and positive likelihood ratios were 5.9 in Ethiopia and 2.0 in India and South Africa. The checklist toolkit, as used by clinicians, was excellent at ruling out participants who were not eligible, and moderately effective at ruling in participants who were eligible for medical abortion. Results were promising when used by community health workers particularly in Ethiopia where they had more prior experience with use of diagnostic aids and longer professional training. The checklist toolkit assessments resulted in some participants being wrongly assessed as eligible for medical abortion which is an area of concern. Further research is needed to streamline the components of the tool, explore optimal duration and content of training for community health workers, and test feasibility and acceptability.
Wade, P.R.; Burkanov, V.N.; Dahlheim, M.E.; Friday, N.A.; Fritz, L.W.; Loughlin, Thomas R.; Mizroch, S.A.; Muto, M.M.; Rice, D.W.; Barrett-Lennard, L. G.; Black, N.A.; Burdin, A.M.; Calambokidis, J.; Cerchio, S.; Ford, J.K.B.; Jacobsen, J.K.; Matkin, C.O.; Matkin, D.R.; Mehta, A.V.; Small, R.J.; Straley, J.M.; McCluskey, S.M.; VanBlaricom, G.R.; Clapham, P.J.
2007-01-01
Springer et al. (2003) contend that sequential declines occurred in North Pacific populations of harbor and fur seals, Steller sea lions, and sea otters. They hypothesize that these were due to increased predation by killer whales, when industrial whaling's removal of large whales as a supposed primary food source precipitated a prey switch. Using a regional approach, we reexamined whale catch data, killer whale predation observations, and the current biomass and trends of potential prey, and found little support for the prey-switching hypothesis. Large whale biomass in the Bering Sea did not decline as much as suggested by Springer et al., and much of the reduction occurred 50-100 yr ago, well before the declines of pinnipeds and sea otters began; thus, the need to switch prey starting in the 1970s is doubtful. With the sole exception that the sea otter decline followed the decline of pinnipeds, the reported declines were not in fact sequential. Given this, it is unlikely that a sequential megafaunal collapse from whales to sea otters occurred. The spatial and temporal patterns of pinniped and sea otter population trends are more complex than Springer et al. suggest, and are often inconsistent with their hypothesis. Populations remained stable or increased in many areas, despite extensive historical whaling and high killer whale abundance. Furthermore, observed killer whale predation has largely involved pinnipeds and small cetaceans; there is little evidence that large whales were ever a major prey item in high latitudes. Small cetaceans (ignored by Springer et al.) were likely abundant throughout the period. Overall, we suggest that the Springer et al. hypothesis represents a misleading and simplistic view of events and trophic relationships within this complex marine ecosystem. ?? 2007 by the Society for Marine Mammalogy.
Kiadaliri, Aliasghar A; Englund, Martin
2016-04-14
The aim was to assess time trend of mortality with musculoskeletal disorders (MSD) as underlying cause of death in Sweden from 1997 to 2013. We obtained data on MSD as underlying cause of death across age and sex groups from the National Board of Health and Welfare's Cause of Death Register. Age-standardized mortality rates per million population for all MSD, its six major subgroups, and all other ICD-10 (International Classification of Disease) chapters were calculated. We computed the average annual percent change (AAPC) in the mortality rates across age/sex groups using joinpoint regression analysis by fitting a regression line to the natural logarithm of the age-standardized mortality rates and calendar year as a predictor. There were a total of 7 976 deaths (0.5% of all causes deaths) with MSD as the underlying cause of death (32.5% of these deaths caused by rheumatoid arthritis [RA]). The overall age-standardized mortality rates (95% CI) were 16.0 (15.4 to 16.7) and 24.9 (24.1 to 25.7) per million among men and women, respectively (women/men rate ratio 1.55; 95%CI 1.47 to 1.63). On average, mortality rate declined by 2.3% per year and only circulatory system mortality had a more favourable decline than mortality with MSD as underlying cause. Among MSD the highest decline was observed in RA (3.7% per year) during study period. Across age groups, while there were generally stable or declining trends, spondylopathies and osteoporosis mortality among people ≥ 75 years increased by 2 and 1.5% per year, respectively. In overall, mortality with MSD as underlying cause has declined in Sweden over last two decades, with the highest decline for RA. However, there are variations across MSD subgroups which warrants further investigations.
Is the risk of Alzheimer's disease and dementia declining?
Langa, Kenneth M
2015-01-01
The number of older adults with dementia will increase around the world in the decades ahead as populations age. Current estimates suggest that about 4.2 million adults in the US have dementia and that the attributable economic cost of their care is about $200 billion per year. The worldwide dementia prevalence is estimated at 44.3 million people and the total cost at $604 billion per year. It is expected that the worldwide prevalence will triple to 135.5 million by 2050. However, a number of recent population-based studies from countries around the world suggest that the age-specific risk of dementia may be declining, which could help moderate the expected increase in dementia cases that will accompany the growing number of older adults. At least nine recent population-based studies of dementia incidence or prevalence have shown a declining age-specific risk in the US, England, The Netherlands, Sweden, and Denmark. A number of factors, especially rising levels of education and more aggressive treatment of key cardiovascular risk factors such as hypertension and hypercholesterolemia, may be leading to improving 'brain health' and declining age-specific risk of Alzheimer's disease and dementia in countries around the world. Multiple epidemiological studies from around the world suggest an optimistic trend of declining population dementia risk in high-income countries over the past 25 years. Rising levels of education and more widespread and successful treatment of key cardiovascular risk factors may be the driving factors accounting for this decline in dementia risk. Whether this optimistic trend will continue in the face of rising worldwide levels of obesity and diabetes and whether this trend is also occurring in low- and middle-income countries are key unanswered questions which will have enormous implications for the extent of the future worldwide impact of Alzheimer's disease and dementia on patients, families, and societies in the decades ahead.
Marriage and fertility in the developed countries.
Westoff, C F
1978-12-01
Most developed countries have reached zero population growth or less and, while population projections have often proved badly off-target, it seems that currently low fertility levels are the result of a long-term trend, which was interrupted in the last 100 years only by the still-unexplained postwar baby boom, and which will probably continue. The declining trend has accompanied economic development and modernization, which have transformed the economic value of children, making them a drain on resources rather than a source of income. The concomitant social changes seem largely irreversible: urban economy, the decline in traditional authority, universal, prolonged education, equality of women, low infant mortality, high consumer demands and sophisticated birth control technology are all here to stay. The theory that fertility exhibits a cyclical pattern based on people's perception of their degree of economic and social opportunity ignores the other elements affecting fertility behavior, especially the radical change in the status and expectations of women. Several trends in marriage and reproductive behavior in the U.S., Denmark and Sweden reinforce the presumption that fertility will remain low: declining number of marriages; postponement of marriage; increased tendency for unmarried couples to live together; instability of marriage shown by high divorce rates and declining remarriage rates; and increasing economic activity by women. The traditional institution of marriage is losing its economic, sexual, sociological and parenting rationales. Thus, declining fertility is both cause and consequence of changes in marriage. In Europe, where the decline is more advanced than in the U.S., governments are concerned that population growth will be too low and have instituted social welfare measures to induce and facilitate childbearing and childrearing. As women become more career-oriented, greater incentives will have to be provided. Manipulating immigration quotas may solve the short-term numbers problem but creates other social problems. Serious thought must be given to the effects of negative population growth.
Career Direction during the '90s.
ERIC Educational Resources Information Center
Cetron, Marvin J.
1990-01-01
Strong trends in the economy and upcoming major changes in the American way of business are described, along with their implications for career seekers and counselors. These trends include the evaporation of midsized firms, the decline of manufacturing, the proliferation of information technology, and the growth of the services sector. (TE)
Troubling Trends: The Health of America's Next Generation.
ERIC Educational Resources Information Center
National Commission To Prevent Infant Mortality, Washington, DC.
Trends during the 1980s are described including high infant mortality, no decline in low birthweight percentages, an increase in the black-white infant mortality gap, more high-risk pregnancies, and inadequate prenatal care. Inadequate progress in reducing infant mortality is attributed in part to the limited technological ability to save…
Russia’s Demographic Trend: A Population in Steady Decline
2009-03-26
epidemic, but a combination of demographic factors that are irreversible in the short term: birth rates well below replacement level, abnormally high death ... rates , and lowered life expectancies. Exacerbating the trend in the future will be the high rate of HIV/AIDS infection Russia is experiencing. This
Survey of Biochemical Education in Japanese Universities.
ERIC Educational Resources Information Center
Kagawa, Yasuo
1995-01-01
Reports findings of questionnaires sent to faculty in charge of biochemical education in medical schools and other programs from dentistry to agriculture. Total class hours have declined since 1984. New trends include bioethics and computer-assisted learning. Tables show trends in lecture hours, lecture content, laboratory hours, core subject…
Abstract
Trends of polycyclic aromatic hydrocarbons (PAHs) for 1992-1996 (cold season) and their mutagenic activity were investigated in organic extracts from the Santiago. Chile. inhalable particles (PM10). The highest PAH concentrations were observed in 1992 and decline...
Red-cockaded woodpecker population trends and management on Texas national forests
Richard N. Conner; D. Craig Rudolph
1994-01-01
Red-cockaded Woodpecker (Picoides borealis) population trends and concurrent management on four national forests in eastern Texas were evaluated from 1983 through 1993. Following years of decline, populations stabilized and began to increase after intensive management efforts were initiated. Management activities included control of hardwood midstory and understory,...
ERIC Educational Resources Information Center
Schmidtlein, Frank A.; Popovich, Joseph J., Jr.
Trends affecting postsecondary education finance, including declining enrollments, are considered, including: demographic changes, changes in student enrollment rates, fundamental shifts in the economy, and the changing social priority assigned to postsecondary education. Major demographic trends that have major implications for postsecondary…
Elizabeth Keppeler
2016-01-01
The 52-year record of streamflow from the Caspar Creek Experimental Watersheds shows a trend toward decreasing rainfall and streamflow during the fall season when coho salmon (Oncorhynchus kisutch) migrate upstream to spawn. Rainfall records show a slight declining trend in fall totals and a slight increasing trend in spring totals since 1962, but only November shows a...
Ivan Arismendi; Sherri L. Johnson; Jason B. Dunham; Roy Haggerty
2012-01-01
Temperature is a fundamentally important driver of ecosystem processes in streams. Recent warming of terrestrial climates around the globe has motivated concern about consequent increases in stream temperature. More specifically, observed trends of increasing air temperature and declining stream flow are widely believed to result in corresponding increases in stream...
Land use in Maine: determinants of past trends and projections of future changes.
Andrew J. Plantinga; Thomas Mauldlin; Ralph J. Alig
1999-01-01
About 90 percent of the land in Maine is in forests. We analyzed past land use trends in Maine and developed projections of future land use. Since the 1950s, the area of forest in Maine has increased by almost 400,000 acres; however, the trends differ among ownerships, as the area of nonindustrial private timberland declined by 800,000 acres since 1950, while private...
Nghiem, Le T. P.; Papworth, Sarah K.; Lim, Felix K. S.; Carrasco, Luis R.
2016-01-01
With the continuous growth of internet usage, Google Trends has emerged as a source of information to investigate how social trends evolve over time. Knowing how the level of interest in conservation topics—approximated using Google search volume—varies over time can help support targeted conservation science communication. However, the evolution of search volume over time and the mechanisms that drive peaks in searches are poorly understood. We conducted time series analyses on Google search data from 2004 to 2013 to investigate: (i) whether interests in selected conservation topics have declined and (ii) the effect of news reporting and academic publishing on search volume. Although trends were sensitive to the term used as benchmark, we did not find that public interest towards conservation topics such as climate change, ecosystem services, deforestation, orangutan, invasive species and habitat loss was declining. We found, however, a robust downward trend for endangered species and an upward trend for ecosystem services. The quantity of news articles was related to patterns in Google search volume, whereas the number of research articles was not a good predictor but lagged behind Google search volume, indicating the role of news in the transfer of conservation science to the public. PMID:27028399
Nghiem, Le T P; Papworth, Sarah K; Lim, Felix K S; Carrasco, Luis R
2016-01-01
With the continuous growth of internet usage, Google Trends has emerged as a source of information to investigate how social trends evolve over time. Knowing how the level of interest in conservation topics--approximated using Google search volume--varies over time can help support targeted conservation science communication. However, the evolution of search volume over time and the mechanisms that drive peaks in searches are poorly understood. We conducted time series analyses on Google search data from 2004 to 2013 to investigate: (i) whether interests in selected conservation topics have declined and (ii) the effect of news reporting and academic publishing on search volume. Although trends were sensitive to the term used as benchmark, we did not find that public interest towards conservation topics such as climate change, ecosystem services, deforestation, orangutan, invasive species and habitat loss was declining. We found, however, a robust downward trend for endangered species and an upward trend for ecosystem services. The quantity of news articles was related to patterns in Google search volume, whereas the number of research articles was not a good predictor but lagged behind Google search volume, indicating the role of news in the transfer of conservation science to the public.
Population-level impact of white-nose syndrome on the endangered Indiana bat
Thogmartin, Wayne E.; King, R. Andrew; McKann, Patrick C.; Szymanski, Jennifer A.; Pruitt, Lori
2012-01-01
Establishing status and trend for an endangered species is critical to recovery, especially when it is faced with a nascent extinction agent. We calculated, with hierarchical log-linear change-point models, hibernaculum-level population trends between 1983 and 2009 for the endangered Indiana bat (Myotis sodalis) now subjected to the fast-spreading fungal disease white-nose syndrome. We combined trends from 222 wintering populations before and after onset of the disease to determine trend for clusters of interacting wintering populations, recovery units, and the species. Before onset of the disease, a west-to-east gradient in trends existed, with westernmost populations declining and easternmost populations increasing in abundance. The species as a whole, however, was stationary between 1983 and 2005 (-0.5% mean annual change; 95% confidence interval [CI] = -2.8, +1.8%). Estimated mean population size in 2009 was 377,124 bats (195,398-957,348), with large variance apparently caused by white-nose syndrome. With the onset of white-nose syndrome (2006-2009), the species exhibited a 10.3% annual decline (95% CI = -21.1, +2.0%). White-nose syndrome is having an appreciable influence on the status and trends of Indiana bat populations, stalling and in some cases reversing population gains made in recent years.
Kannus, P; Niemi, S; Parkkari, J; Sievänen, H; Palvanen, M
2009-01-01
The study assessed the recent secular trend in the incidence of low-trauma knee fractures among older Finns in the years 1970-2006. The clear rise in women's fracture incidence from early 1970s until the late 1990s was followed by a declining fracture rate. Exact reasons for the decline are unknown, but a cohort effect toward a healthier female population with improved functionality and reduced risk of injurious slips, trips and falls could partly explain the phenomenon. Although low-trauma fractures of elderly adults have been recognized as a major public health concern in modern societies with aging populations, fresh nationwide information on their secular trends is sparse. We determined the current trend in the number and incidence (per 100,000 persons) of low-trauma knee fractures among elderly people in Finland, an EU country with a well-defined white population of 5.3 million, by taking into account all persons 60 years of age or older who were admitted to our hospitals for primary treatment of such fractures from 1970 to 2006. The number and incidence of low-trauma knee fractures among 60-year-old or older Finnish women sharply rose between 1970 and 1997, from 218 (number) and 55 (incidence) in 1970 to 733 and 124 in 1997. However, thereafter both the number and incidence of fractures have continuously declined so that there were only 626 fractures in these women in 2006 (incidence 94). In the age-adjusted fracture incidence, the findings were similar. During 1970-1997, the age-adjusted incidence of low-trauma knee fractures in our elderly women clearly rose (from 60 to 118), but thereafter, this incidence declined to 85 in 2006. In men, the fracture incidence did not show consistent trend changes over time (30 in 1970 and 36 in 2006). The sharp rise in the incidence of low-trauma knee fractures in Finnish elderly women from early 1970s until late 1990s has been followed by a declining fracture rate. Exact reasons for this are unknown, but a cohort effect toward a healthier aging female population with improved functional ability and reduced risk of injurious slips, trips and falls cannot be excluded.
Incidence and mortality of lung cancer: global trends and association with socioeconomic status.
Wong, Martin C S; Lao, Xiang Qian; Ho, Kin-Fai; Goggins, William B; Tse, Shelly L A
2017-10-30
We examined the correlation between lung cancer incidence/mortality and country-specific socioeconomic development, and evaluated its most recent global trends. We retrieved its age-standardized incidence rates from the GLOBOCAN database, and temporal patterns were assessed from global databases. We employed simple linear regression analysis to evaluate their correlations with Human Development Index (HDI) and Gross Domestic Product (GDP) per capita. The average annual percent changes (AAPC) of the trends were evaluated from join-point regression analysis. Country-specific HDI was strongly correlated with age-standardized incidence (r = 0.70) and mortality (r = 0.67), and to a lesser extent GDP (r = 0.24 to 0.55). Among men, 22 and 30 (out of 38 and 36) countries showed declining incidence and mortality trends, respectively; whilst among women, 19 and 16 countries showed increasing incidence and mortality trends, respectively. Among men, the AAPCs ranged from -2.8 to -0.6 (incidence) and -3.6 to -1.1 (mortality) in countries with declining trend, whereas among women the AAPC range was 0.4 to 8.9 (incidence) and 1 to 4.4 (mortality) in countries with increasing trend. Among women, Brazil, Spain and Cyprus had the greatest incidence increase, and all countries in Western, Southern and Eastern Europe reported increasing mortality. These findings highlighted the need for targeted preventive measures.
Trend differences in men and women in rural and urban U.S. settings.
Cepeda-Benito, A; Doogan, N J; Redner, R; Roberts, M E; Kurti, A N; Villanti, A C; Lopez, A A; Quisenberry, A J; Stanton, C A; Gaalema, D E; Keith, D R; Parker, M A; Higgins, S T
2018-04-05
Smoking prevalence is declining at a slower rate in rural than urban settings in the United States (U.S.), and known predictors of smoking do not readily account for this trend difference. Given that socioeconomic and psychosocial determinants of health disparities accumulate in rural settings and that life-course disadvantages are often greater in women than men, we examined whether smoking trends are different for rural and urban men and women. We used yearly cross-sectional data (n = 303,311) from the U.S. National Survey on Drug Use and Health (NSDUH) from 2007 through 2014 to compare cigarette smoking trends in men and women across rural and urban areas. Current smoking status was modelled using logistic regression controlling for confounding risk factors. Regression derived graphs predicting unadjusted prevalence estimates and 95% confidence bands revealed that whereas the smoking trends of rural men, urban men, and urban women significantly declined from 2007 to 2014, the trend for rural women was flat. Controlling for demographic, socioeconomic and psychosocial predictors of smoking did not explain rural women's significantly different trend from those of the other three groups. Rural women lag behind rural men, urban men and urban women in decreasing smoking, a health disparity finding that supports the need for tobacco control and regulatory policies and interventions that are more effective in reducing smoking among rural women. Copyright © 2018 Elsevier Inc. All rights reserved.
Kreiling, Rebecca; Houser, Jeff N.
2016-01-01
Long-term trends in tributaries provide valuable information about temporal changes in inputs of nutrients and sediments to large rivers. Data collected from 1991 to 2014 were used to investigate trends in total nitrogen (TN), total phosphorus (TP), nitrate (NO3–N), soluble-reactive P (SRP), and total suspended solids (TSS) in the following six tributaries of the upper Mississippi River: Cannon (CaR; Minnesota (MN)), Maquoketa (MR; Iowa (IA)), Wapsipinicon (WR; IA), Cuivre (CuR; Missouri (MO)), Chippewa (ChR; Wisconsin (WI)), and Black (BR; WI) rivers. Weighted regression on time discharge and season was used to statistically remove effects of random variation in discharge from estimated trends in flow-normalized concentrations and flux. Concentration and flux of TSS declined in all six rivers. Concentration of P declined in four of the rivers, and P flux declined in five rivers. Concentration and flux of N exhibited small changes relative to TP. TN concentration and flux did not change substantially in four of the rivers and decreased in two (ChR, CuR). Nitrate concentration and flux increased in three rivers (ChR, BR, CaR) and remained relatively constant in the other three rivers. General declines in P and TSS suggest that improvements in agricultural land management, such as the adoption of conservation tillage and enrollment of vulnerable acreage into the Conservation Reserve Program, may have reduced surface runoff; similar reductions in N were not observed.
Never enough sleep: a brief history of sleep recommendations for children.
Matricciani, Lisa Anne; Olds, Tim S; Blunden, Sarah; Rigney, Gabrielle; Williams, Marie T
2012-03-01
There is a common belief that children are not getting enough sleep and that children's total sleep time has been declining. Over the century, many authors have proposed sleep recommendations. The aim of this study was to describe historical trends in recommended and actual sleep durations for children and adolescents, and to explore the rationale of sleep recommendations. A systematic literature review was conducted to identify recommendations for children's sleep requirements and data reporting children's actual total sleep time. For each recommendation identified, children's actual sleep time was determined by identifying studies reporting the sleep duration of children of the same age, gender, and country in the same years. Historical trends in age-adjusted recommended sleep times and trends in children's actual sleep time were calculated. A thematic analysis was conducted to determine the rationale and evidence-base for recommendations. Thirty-two sets of recommendations were located dating from 1897 to 2009. On average, age-specific recommended sleep decreased at the rate of -0.71 minute per year. This rate of decline was almost identical to the decline in the actual sleep duration of children (-0.73 minute per year). Recommended sleep was consistently ∼37 minutes greater than actual sleep, although both declined over time. A lack of empirical evidence for sleep recommendations was universally acknowledged. Inadequate sleep was seen as a consequence of "modern life," associated with technologies of the time. No matter how much sleep children are getting, it has always been assumed that they need more.
Raninen, Jonas; Livingston, Michael; Leifman, Håkan
2014-11-01
To analyse trends in alcohol consumption among young people in Sweden between 2004 and 2012, to test whether the theory of collectivity of drinking cultures is valid for a population of young people and to investigate the impact of an increasing proportion of abstainers on the overall per capita trends. Data were drawn from an annual survey of a nationally representative sample of students in year 11 (17-18 years old). The data covered 9 years and the total sample comprised 36,141 students. Changes in the overall per capita consumption were tested using linear regression on log-transformed data, and changes in abstention rates were tested using logistic regression. The analyses were then continued by calculating average consumption in deciles. Alcohol consumption among year 11 students declined significantly among both boys and girls between 2004 and 2012. These changes were reflected at all levels of consumption, and the same results were found when abstainers were excluded from the analyses. The increasing proportion of abstainers had a minimal effect on the overall decline in consumption; rather, this was driven by a decline in consumption among the heaviest drinkers. The theory of collectivity of drinking cultures seems valid for understanding changes in alcohol consumption among Swedish year 11 students. No support was found for a polarization of alcohol consumption in this nationally representative sample. © The Author 2014. Medical Council on Alcohol and Oxford University Press. All rights reserved.
Schall, Megan K.; Blazer, Vicki S.; Lorantas, Robert M.; Smith, Geoffrey; Mullican, John E.; Keplinger, Brandon J.; Wagner, Tyler
2018-01-01
Detecting temporal changes in fish abundance is an essential component of fisheries management. Because of the need to understand short‐term and nonlinear changes in fish abundance, traditional linear models may not provide adequate information for management decisions. This study highlights the utility of Bayesian dynamic linear models (DLMs) as a tool for quantifying temporal dynamics in fish abundance. To achieve this goal, we quantified temporal trends of Smallmouth Bass Micropterus dolomieu catch per effort (CPE) from rivers in the mid‐Atlantic states, and we calculated annual probabilities of decline from the posterior distributions of annual rates of change in CPE. We were interested in annual declines because of recent concerns about fish health in portions of the study area. In general, periods of decline were greatest within the Susquehanna River basin, Pennsylvania. The declines in CPE began in the late 1990s—prior to observations of fish health problems—and began to stabilize toward the end of the time series (2011). In contrast, many of the other rivers investigated did not have the same magnitude or duration of decline in CPE. Bayesian DLMs provide information about annual changes in abundance that can inform management and are easily communicated with managers and stakeholders.
Early serum human chorionic gonadotropin (hCG) trends after medication abortion.
Pocius, Katherine D; Maurer, Rie; Fortin, Jennifer; Goldberg, Alisa B; Bartz, Deborah
2015-06-01
Despite increased reliance on human chorionic gonadotropin (hCG) for early pregnancy monitoring, there is limited information about hCG trends soon after medication abortion. The purpose of this study was to determine if there is a predictable decline in serum hCG values shortly after medication abortion. This is a retrospective study of women with early intrauterine pregnancies who underwent medication abortion with mifepristone and misoprostol and had a serum hCG level on Day 1 (day of mifepristone) and a repeat value on Day 2 to 6. The percent hCG decline was calculated from baseline to repeat measure, with repeat values from the same patient accounted for through repeated measure analysis of variance. Eighty-eight women with a mean gestational age of 5.5 weeks and median baseline hCG of 5220 IU met study criteria over a 3-year period. The mean decline (±SD) in hCG from the Day 1 baseline value was 56.9%±29.5% on Day 3, 73.5%±38.6% on Day 4, 86.1%±8.8% on Day 5, and 92.9%±3.4% on Day 6. Eighty-two women (93% of the cohort) had a complete abortion without further intervention. The least square means hCG decline among these women was 57.6% [95% confidence interval (CI): 50.3-64.9%] on Day 3, 78.9% (95% CI: 75.0-82.8%) on Day 4 and 86.2% (95% CI: 81.3-91.1%) on Day 5. There is a rapid decline in serum hCG within the first few days after early medication abortion. Further research is needed to delineate how soon after medication abortion this decline may be specific enough to confirm abortion completion. This study provides the largest cohort of patients followed with serial hCG values in the first few days after medication abortion. Our findings demonstrate the trend in hCG decline in this population, which may be predictable by Day 5. Copyright © 2015 Elsevier Inc. All rights reserved.
E.A. Wheeler; M.C. Wiemann; J.G. Fleagle
2007-01-01
An assemblage of permineralized woods from the Miocene Bakate Formation, Fejej Plain, Ethiopia, is described. This assemblage of twelve wood types differs from other Miocene wood assemblages known from Ethiopia. Cell wall percentages of the woods were determined to estimate the original specific gravities of the woods in order to better understand the Miocene...
ERIC Educational Resources Information Center
Iyer, Padmini; Moore, Rhiannon
2017-01-01
This paper examines the way in which learning quality has been conceptualised and measured in school effectiveness surveys conducted by Young Lives, a longitudinal study of child poverty. Primary school surveys were conducted in Vietnam in 2010-11 and Ethiopia in 2012-13, and surveys at upper-primary and secondary level were conducted in Ethiopia,…
The 1999-2003 Summary of the North American Breeding Bird Survey
Pardieck, K.L.; Sauer, J.R.
2007-01-01
Data from the North American Breeding Bird Survey were used to estimate continental and regional changes in bird populations for the 5-yr period 1999-2003 and the 2-yr period 2002-2003. These short-term changes were placed in the context of population trends estimated over the 1966-2003 interval. During 1999-2003, 41% of all species exhibited positive trends over the entire survey area, while 64% of all species exhibited positive change between 2002-2003. The continental and regional percentages of species with positive trends were also analyzed for 12 species groups having shared life-history traits. Survey-wide for the entire survey period, grassland birds exhibited the lowest percentage of increasing species (14%), with their sharpest declines occurring in the West during 1999-2003 (10% increasing). During 1999-2003, short-distance migrants experienced significant declines in all regions, where numbers of species with increasing trends ranged from 22% - 34%. Most species fared well during the 2002-2003 period, with 64% (P < 0.05) increasing survey-wide. This was primarily a result of increases in the Central and Western BBS regions where 21 of 24 species groups exhibited significant increases in the number of species with positive trends.
The trophic fingerprint of marine fisheries.
Branch, Trevor A; Watson, Reg; Fulton, Elizabeth A; Jennings, Simon; McGilliard, Carey R; Pablico, Grace T; Ricard, Daniel; Tracey, Sean R
2010-11-18
Biodiversity indicators provide a vital window on the state of the planet, guiding policy development and management. The most widely adopted marine indicator is mean trophic level (MTL) from catches, intended to detect shifts from high-trophic-level predators to low-trophic-level invertebrates and plankton-feeders. This indicator underpins reported trends in human impacts, declining when predators collapse ("fishing down marine food webs") and when low-trophic-level fisheries expand ("fishing through marine food webs"). The assumption is that catch MTL measures changes in ecosystem MTL and biodiversity. Here we combine model predictions with global assessments of MTL from catches, trawl surveys and fisheries stock assessments and find that catch MTL does not reliably predict changes in marine ecosystems. Instead, catch MTL trends often diverge from ecosystem MTL trends obtained from surveys and assessments. In contrast to previous findings of rapid declines in catch MTL, we observe recent increases in catch, survey and assessment MTL. However, catches from most trophic levels are rising, which can intensify fishery collapses even when MTL trends are stable or increasing. To detect fishing impacts on marine biodiversity, we recommend greater efforts to measure true abundance trends for marine species, especially those most vulnerable to fishing.
Podoconiosis in Ethiopia: From Neglect to Priority Public Health Problem
Deribe, Kebede; Kebede, Biruck; Mengistu, Belete; Negussie, Henok; Sileshi, Mesfin; Tamiru, Mossie; Tomczyk, Sara; Tekola-Ayele, Fasil; Davey, Gail; Fentaye, Amha
2017-01-01
Podoconiosis is a geochemical disease occurring in individuals exposed to red clay soil of volcanic origin. This Neglected Tropical Disease (NTD) is highly prevalent in Ethiopia. According to the nationwide mapping in 2013, the disease is endemic in 345 districts, where an estimated 35 million people live. The government of Ethiopia prioritized podoconiosis as one of eight priority NTDs and included it in the national integrated master plan for NTDs. An integrated lymphoedema management guideline has been developed. Service expansion has continued in the last few years and lymphoedema management services have been expanded to over one hundred endemic districts. The last few years have been critical in generating evidence about the distribution, burden and effective interventions for podoconiosis in Ethiopia. Although the extent of the problem within Ethiopia is considerable, the country is well positioned to now scale-up elimination efforts. Given the extraordinary progress of the past ten years and the current commitment of government, private and third sectors, Ethiopia seems to be on course for the elimination of podoconiosis in our lifetime. We need continued strong partner commitment, evidence-building, and scale-up of activities to accomplish this. PMID:28878431
Podoconiosis in Ethiopia: From Neglect to Priority Public Health Problem.
Deribe, Kebede; Kebede, Biruck; Mengistu, Belete; Negussie, Henok; Sileshi, Mesfin; Tamiru, Mossie; Tomczyk, Sara; Tekola-Ayele, Fasil; Davey, Gail; Fentaye, Amha
2017-01-01
Podoconiosis is a geochemical disease occurring in individuals exposed to red clay soil of volcanic origin. This Neglected Tropical Disease (NTD) is highly prevalent in Ethiopia. According to the nationwide mapping in 2013, the disease is endemic in 345 districts, where an estimated 35 million people live. The government of Ethiopia prioritized podoconiosis as one of eight priority NTDs and included it in the national integrated master plan for NTDs. An integrated lymphoedema management guideline has been developed. Service expansion has continued in the last few years and lymphoedema management services have been expanded to over one hundred endemic districts. The last few years have been critical in generating evidence about the distribution, burden and effective interventions for podoconiosis in Ethiopia. Although the extent of the problem within Ethiopia is considerable, the country is well positioned to now scale-up elimination efforts. Given the extraordinary progress of the past ten years and the current commitment of government, private and third sectors, Ethiopia seems to be on course for the elimination of podoconiosis in our lifetime. We need continued strong partner commitment, evidence-building, and scale-up of activities to accomplish this.
NASA Astrophysics Data System (ADS)
Frankl, Amaury; Nyssen, Jan; De Dapper, Morgan; Haile, Mitiku; Billi, Paolo; Munro, R. Neil; Deckers, Jozef; Poesen, Jean
2011-06-01
In the Highlands of Northern Ethiopia gully occurrence is linked to poverty-driven unsustainable use of the land in a vulnerable semi-arid and mountainous environment, where intensive rainfall challenges the physical integrity of the landscape. Trends in gully and river channel erosion, and their relation to triggering environmental changes can proffer valuable insights into sustainable development in Northern Ethiopia. In order to assess the region-wide change in gully and river channel morphology over 140 years, a set of 57 historical photographs taken in Tigray, and, clearly displaying gully cross-sections, were precisely repeated from 2006 till 2009. Ninety-two percent of the gully and river sections (n = 38) increased in cross-sectional area during the studied period, especially after 1975. Two repeatedly photographed catchments of Lake Ashenge and Atsela allowed a detailed study of gully development from 1936 until 2009. A conceptual hydrogeomorphic model was devised for these catchments and validated for the Northern Ethiopian Highlands. Three major phases can be distinguished in the hydrological regime of the catchments. In the first phase, between 1868 (or earlier) and ca. 1965, the relatively stable channels showed an oversized morphology inherited from a previous period when external forcing in environmental conditions had caused the channels to shape. In the second phase (ca. 1965 - ca. 2000), increased aridity and continued vegetation clearance accelerated the channel dynamics of the gully and river system. The third phase (ca. 2000 - present) started after the large-scale implementation of soil and water conservation measures. In 2009, 23% of the gully and river sections were stabilizing. This paper validates previous research indicating severe land degradation in the second half of the 20th century. Additionally, it demonstrates that the recent erosive cycle started around 1965 and, that at the present time, improved land management stabilizes headwater streams.
Strategies for Early Outbreak Detection of Malaria in the Amhara Region of Ethiopia
NASA Astrophysics Data System (ADS)
Nekorchuk, D.; Gebrehiwot, T.; Mihretie, A.; Awoke, W.; Wimberly, M. C.
2017-12-01
Traditional epidemiological approaches to early detection of disease outbreaks are based on relatively straightforward thresholds (e.g. 75th percentile, standard deviations) estimated from historical case data. For diseases with strong seasonality, these can be modified to create separate thresholds for each seasonal time step. However, for disease processes that are non-stationary, more sophisticated techniques are needed to more accurately estimate outbreak threshold values. Early detection for geohealth-related diseases that also have environmental drivers, such as vector-borne diseases, may also benefit from the integration of time-lagged environmental data and disease ecology models into the threshold calculations. The Epidemic Prognosis Incorporating Disease and Environmental Monitoring for Integrated Assessment (EPIDEMIA) project has been integrating malaria case surveillance with remotely-sensed environmental data for early detection, warning, and forecasting of malaria epidemics in the Amhara region of Ethiopia, and has five years of weekly time series data from 47 woredas (districts). Efforts to reduce the burden of malaria in Ethiopia has been met with some notable success in the past two decades with major reduction in cases and deaths. However, malaria remains a significant public health threat as 60% of the population live in malarious areas, and due to the seasonal and unstable transmission patterns with cyclic outbreaks, protective immunity is generally low which could cause high morbidity and mortality during the epidemics. This study compared several approaches for defining outbreak thresholds and for identifying a potential outbreak based on deviations from these thresholds. We found that model-based approaches that accounted for climate-driven seasonality in malaria transmission were most effective, and that incorporating a trend component improved outbreak detection in areas with active malaria elimination efforts. An advantage of these early detection techniques is that they can detect climate-driven outbreaks as well as outbreaks driven by social factors such as human migration.
Temporal trends in sperm count: a systematic review and meta-regression analysis.
Levine, Hagai; Jørgensen, Niels; Martino-Andrade, Anderson; Mendiola, Jaime; Weksler-Derri, Dan; Mindlis, Irina; Pinotti, Rachel; Swan, Shanna H
2017-11-01
Reported declines in sperm counts remain controversial today and recent trends are unknown. A definitive meta-analysis is critical given the predictive value of sperm count for fertility, morbidity and mortality. To provide a systematic review and meta-regression analysis of recent trends in sperm counts as measured by sperm concentration (SC) and total sperm count (TSC), and their modification by fertility and geographic group. PubMed/MEDLINE and EMBASE were searched for English language studies of human SC published in 1981-2013. Following a predefined protocol 7518 abstracts were screened and 2510 full articles reporting primary data on SC were reviewed. A total of 244 estimates of SC and TSC from 185 studies of 42 935 men who provided semen samples in 1973-2011 were extracted for meta-regression analysis, as well as information on years of sample collection and covariates [fertility group ('Unselected by fertility' versus 'Fertile'), geographic group ('Western', including North America, Europe Australia and New Zealand versus 'Other', including South America, Asia and Africa), age, ejaculation abstinence time, semen collection method, method of measuring SC and semen volume, exclusion criteria and indicators of completeness of covariate data]. The slopes of SC and TSC were estimated as functions of sample collection year using both simple linear regression and weighted meta-regression models and the latter were adjusted for pre-determined covariates and modification by fertility and geographic group. Assumptions were examined using multiple sensitivity analyses and nonlinear models. SC declined significantly between 1973 and 2011 (slope in unadjusted simple regression models -0.70 million/ml/year; 95% CI: -0.72 to -0.69; P < 0.001; slope in adjusted meta-regression models = -0.64; -1.06 to -0.22; P = 0.003). The slopes in the meta-regression model were modified by fertility (P for interaction = 0.064) and geographic group (P for interaction = 0.027). There was a significant decline in SC between 1973 and 2011 among Unselected Western (-1.38; -2.02 to -0.74; P < 0.001) and among Fertile Western (-0.68; -1.31 to -0.05; P = 0.033), while no significant trends were seen among Unselected Other and Fertile Other. Among Unselected Western studies, the mean SC declined, on average, 1.4% per year with an overall decline of 52.4% between 1973 and 2011. Trends for TSC and SC were similar, with a steep decline among Unselected Western (-5.33 million/year, -7.56 to -3.11; P < 0.001), corresponding to an average decline in mean TSC of 1.6% per year and overall decline of 59.3%. Results changed minimally in multiple sensitivity analyses, and there was no statistical support for the use of a nonlinear model. In a model restricted to data post-1995, the slope both for SC and TSC among Unselected Western was similar to that for the entire period (-2.06 million/ml, -3.38 to -0.74; P = 0.004 and -8.12 million, -13.73 to -2.51, P = 0.006, respectively). This comprehensive meta-regression analysis reports a significant decline in sperm counts (as measured by SC and TSC) between 1973 and 2011, driven by a 50-60% decline among men unselected by fertility from North America, Europe, Australia and New Zealand. Because of the significant public health implications of these results, research on the causes of this continuing decline is urgently needed. © The Author 2017. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com
Oceanography. Centennial changes in North Pacific anoxia linked to tropical trade winds.
Deutsch, Curtis; Berelson, William; Thunell, Robert; Weber, Thomas; Tems, Caitlin; McManus, James; Crusius, John; Ito, Taka; Baumgartner, Timothy; Ferreira, Vicente; Mey, Jacob; van Geen, Alexander
2014-08-08
Climate warming is expected to reduce oxygen (O2) supply to the ocean and expand its oxygen minimum zones (OMZs). We reconstructed variations in the extent of North Pacific anoxia since 1850 using a geochemical proxy for denitrification (δ(15)N) from multiple sediment cores. Increasing δ(15)N since ~1990 records an expansion of anoxia, consistent with observed O2 trends. However, this was preceded by a longer declining δ(15)N trend that implies that the anoxic zone was shrinking for most of the 20th century. Both periods can be explained by changes in winds over the tropical Pacific that drive upwelling, biological productivity, and O2 demand within the OMZ. If equatorial Pacific winds resume their predicted weakening trend, the ocean's largest anoxic zone will contract despite a global O2 decline. Copyright © 2014, American Association for the Advancement of Science.
NASA Astrophysics Data System (ADS)
Laing, James R.; Hopke, Philip K.; Hopke, Eleanor F.; Husain, Liaquat; Dutkiewicz, Vincent A.; Paatero, Jussi; Viisanen, Yrjö
2013-10-01
years of week-long total suspended particle samples from Kevo Finland were analyzed for methane sulfonic acid (MSA) and sulfate. Kevo is located 350 km north of the Arctic Circle. MSA and non-sea-salt sulfate (NSS-SO4) showed clear seasonal trends. MSA peaks from May to July, coinciding with warmer waters and increased biogenic activity in the surrounding seas. NSS-SO4 peaks in March with a minimum during the summer, the typical pattern for Arctic haze. MSA concentrations were found to be positively correlated (p < 0.001) with sea surface temperature anomalies in the surrounding seas. MSA showed a trend of 0.405 ng/m3/yr (0.680%/yr) for June and July. NSS-SO4 concentrations at Kevo declined dramatically in the early 1990s, probably as a result of the collapse of the Soviet Union. The decline has continued since the mid-1990s.
Patterns of breast cancer mortality trends in Europe.
Amaro, Joana; Severo, Milton; Vilela, Sofia; Fonseca, Sérgio; Fontes, Filipa; La Vecchia, Carlo; Lunet, Nuno
2013-06-01
To identify patterns of variation in breast cancer mortality in Europe (1980-2010), using a model-based approach. Mortality data were obtained from the World Health Organization database and mixed models were used to describe the time trends in the age-standardized mortality rates (ASMR). Model-based clustering was used to identify clusters of countries with homogeneous variation in ASMR. Three patterns were identified. Patterns 1 and 2 are characterized by stable or slightly increasing trends in ASMR in the first half of the period analysed, and a clear decline is observed thereafter; in pattern 1 the median of the ASMR is higher, and the highest rates were achieved sooner. Pattern 3 is characterised by a rapid increase in mortality until 1999, declining slowly thereafter. This study provides a general model for the description and interpretation of the variation in breast cancer mortality in Europe, based in three main patterns. Copyright © 2013 Elsevier Ltd. All rights reserved.
Trends in PM2.5 emissions, concentrations and apportionments in Detroit and Chicago
NASA Astrophysics Data System (ADS)
Milando, Chad; Huang, Lei; Batterman, Stuart
2016-03-01
PM2.5 concentrations throughout much of the U.S. have decreased over the last 15 years, but emissions and concentration trends can vary by location and source type. Such trends should be understood to inform air quality management and policies. This work examines trends in emissions, concentrations and source apportionments in two large Midwest U.S. cities, Detroit, Michigan, and Chicago, Illinois. Annual and seasonal trends were investigated using National Emission Inventory (NEI) data for 2002 to 2011, speciated ambient PM2.5 data from 2001 to 2014, apportionments from positive matrix factorization (PMF) receptor modeling, and quantile regression. Over the study period, county-wide data suggest emissions from point sources decreased (Detroit) or held constant (Chicago), while emissions from on-road mobile sources were constant (Detroit) or increased (Chicago), however changes in methodology limit the interpretation of inventory trends. Ambient concentration data also suggest source and apportionment trends, e.g., annual median concentrations of PM2.5 in the two cities declined by 3.2-3.6%/yr (faster than national trends), and sulfate concentrations (due to coal-fired facilities and other point source emissions) declined even faster; in contrast, organic and elemental carbon (tracers of gasoline and diesel vehicle exhaust) declined more slowly or held constant. The PMF models identified nine sources in Detroit and eight in Chicago, the most important being secondary sulfate, secondary nitrate and vehicle emissions. A minor crustal dust source, metals sources, and a biomass source also were present in both cities. These apportionments showed that the median relative contributions from secondary sulfate sources decreased by 4.2-5.5% per year in Detroit and Chicago, while contributions from metals sources, biomass sources, and vehicles increased from 1.3 to 9.2% per year. This first application of quantile regression to trend analyses of speciated PM2.5 data reveals that source contributions to PM2.5 varied as PM2.5 concentrations decreased, and that the fraction of PM2.5 due to emissions from vehicles and other local emissions has increased. Each data source has uncertainties, but emissions, monitoring and PMF data provide complementary information that can help to discern trends and identify contributing sources. Study results emphasize the need to target specific sources in policies and regulations aimed at decreasing PM2.5 concentrations in urban areas.
Spatial and temporal variation of rainfall trends of Sri Lanka
NASA Astrophysics Data System (ADS)
Wickramagamage, P.
2016-08-01
This study was based on daily rainfall data of 48 stations distributed over the entire island covering a 30-year period from 1981 to 2010. Data analysis was done to identify the spatial pattern of rainfall trends. The methods employed in data analysis are linear regression and interpolation by Universal Kriging and Radial Basis function. The slope of linear regression curves of 48 stations was used in interpolation. The regression coefficients show spatially and seasonally variable positive and negative trends of annual and seasonal rainfall. About half of the mean annual pentad series show negative trends, while the rest shows positive trends. By contrast, the rainfall trends of the Southwest Monsoon (SWM) season are predominantly negative throughout the country. The first phase of the Northeast Monsoon (NEM1) displays downward trends everywhere, with the exception of the Southeastern coastal area. The strongest negative trends were found in the Northeast and in the Central Highlands. The second phase (NEM2) is mostly positive, except in the Northeast. The Inter-Monsoon (IM) periods have predominantly upward trends almost everywhere, but still the trends in some parts of the Highlands and Northeast are negative. The long-term data at Watawala Nuwara Eliya and Sandringham show a consistent decline in the rainfall over the last 100 years, particularly during the SWM. There seems to be a faster decline in the rainfall in the last 3 decades. These trends are consistent with the observations in India. It is generally accepted that there has been changes in the circulation pattern. Weakening of the SWM circulation parameters caused by global warming appears to be the main causes of recent changes. Effect of the Asian Brown Cloud may also play a role in these changes.
Su, Feng-Chiao; Mukherjee, Bhramar; Batterman, Stuart
2015-01-01
Exposures to volatile organic compounds (VOCs) are ubiquitous due to emissions from personal, commercial and industrial products, but quantitative and representative information regarding long term exposure trends is lacking. This study characterizes trends from1988 to 2004 for the 15 VOCs measured in blood in five cohorts of the National Health and Nutrition Examination Survey (NHANES), a large and representative sample of U.S. adults. Trends were evaluated at various percentiles using linear quantile regression (QR) models, which were adjusted for solvent-related occupations and cotinine levels. Most VOCs showed decreasing trends at all quantiles, e.g., median exposures declined by 2.5 (m, p-xylene) to 6.4 (tetrachloroethene) percent per year over the 15 year period. Trends varied by VOC and quantile, and were grouped into three patterns: similar decreases at all quantiles (including benzene, toluene); most rapid decreases at upper quantiles (ethylbenzene, m, p-xylene, o-xylene, styrene, chloroform, tetrachloroethene); and fastest declines at central quantiles (1,4-dichlorobenzene). These patterns reflect changes in exposure sources, e.g., upper-percentile exposures may result mostly from occupational exposure, while lower percentile exposures arise from general environmental sources. Both VOC emissions aggregated at the national level and VOC concentrations measured in ambient air also have declined substantially over the study period and are supportive of the exposure trends, although the NHANES data suggest the importance of indoor sources and personal activities on VOC exposures. While piecewise QR models suggest that exposures of several VOCs decreased little or any during the 1990’s, followed by more rapid decreases from 1999 to 2004, questions are raised concerning the reliability of VOC data in several of the NHANES cohorts and its applicability as an exposure indicator, as demonstrated by the modest correlation between VOC levels in blood and personal air collected in the 1999/2000 cohort. Despite some limitations, the NHANES data provides a unique, long term and direct measurement of VOC exposures and trends. PMID:25705111
Rodgers, Kirk D.
2015-01-01
Linear regression analysis of long-term hydrographs was used to determine the mean annual water-level rise and decline in the Wilcox aquifer in the northeastern and southern areas of Arkansas. In the northeastern area, the mean annual water level declined in all seven counties. The mean annual declines ranged from -0.55 ft/yr in Craighead County to -1.46 ft/yr in St. Francis County. In the southern area, the annual rise and decline calculations for wells with over 20 years of records indicate rising and declining water levels in Clark, Hot Spring, and Nevada Counties. The mean annual water level declined in all counties except Hot Spring County.
ERIC Educational Resources Information Center
Edwards, David J.; Dainty, Andrew R. J.; Love, Peter E. D.
2004-01-01
Undergraduate applications to civil engineering courses have been declining at an alarming rate despite the industry's healthy economic activity. Concerns abound as to the long-term impact of this decline as the sector is already suffering skills shortages across virtually all of its occupations. This paper investigates the likely future trends in…
Permanent Shift?: Library Budgets 2010
ERIC Educational Resources Information Center
Oder, Norman
2010-01-01
It's no surprise that libraries in "LJ"'s annual budget survey reported an overall downward trend, with the expected decline in total budgets some 2.6% and the change in materials budgets 3.5%. Per capita funding is nudging down after years of steady if sometimes modest increases, with a projected decline of 1.6% in FY10. After all, the country…
Wilderness recreation use: the current situation
Joseph W. Roggenbuck; Alan E. Watson
1989-01-01
The total amount of recreational use of the National Wilderness Preservation System is currently at about 14.5 million visitor days per annum. Trends indicate a stable or declining overall use; use on a per acre basis is declining. The common stereotype of the wilderness user as young, wealthy, urban, leisured, and a nonresident of the State or region is largely...
NASA Astrophysics Data System (ADS)
Azorin-Molina, C.; Iacono, M. J.
2014-12-01
The Blue Hill Meteorological Observatory, located on the 635-foot summit of Great Blue Hill ten miles south of Boston, Massachusetts, has been the site of continuous monitoring of the local weather and climate since its founding in 1885. The meticulous, extensive and high-quality climate record maintained at this location has included the measurement of wind among many other parameters since its earliest days, and this provides a unique opportunity to examine wind speed trends at this site over nearly 130 years. Although multiple wind sensors have been in use during this time and the height of the anemometers was raised in 1908, the wind records have been made as consistent as possible through careful analysis of these changes and the application of adjustments to ensure consistency. The 30-year mean wind speed at this location has decreased from 6.8 m s-1 in the middle 20th century to its present value of 6.0 m s-1 with an increase in the rate of the decline beginning around 1980. The wind speed time series shows a significant (p < 0.05) downward trend over the entire period from 1885-2013 (-0.085 m s-1 decade-1) that is stronger and also significant for the sub-periods from 1961-2013 (-0.266 m s-1 decade-1) and 1979-2008 (-0.342 m s-1 decade-1). This declining trend persists in all seasons and has significant implications for the efficiency of wind power generation in the area, if it reflects a regional change in the near-surface wind regime. The wind instruments in use since the 19th century will be described, and the official long-term record will be compared with measurements from other wind sensors at the Observatory and surrounding locations. In addition, initial investigations of the possible causes of the wind speed decline will be presented in the context of global stilling (i.e. the theory of a widespread decline in measured near-surface wind speed), including an analysis of the wind speed change as a function of wind direction.
2017-01-01
Initiated by World Health Organization (WHO) Global Chronic Respiratory Disease (CRD)-oriented programmes, Global Initiative on Asthma (GINA), GOLD—Global Initiative for Chronic Obstructive Pulmonary Disease (COPD), Allergic Rhinitis and its Impact on Asthma (ARIA), and Practical Approach to Lung Health (PAL) have catalyzed creation of the Global Alliance Against CRD (GARD). Forty-five countries sharing GARD’s goal to reduce the burden of CRD joint GARD. In 20 countries with reliable death estimates, CRD mortality has been analyzed in 2000, 2005, 2010 and 2015. Dramatic decline in CRD mortality is seen in Kyrgyzstan, Netherlands, Italy and Republic of Korea (69%, 55%, 48%, and 48%). Positive trend in COPD mortality is seen for Lithuania (36% decline) and Spain (21%). In France, Japan, Mexico, Romania and Costa Rica, positive trend for asthma mortality is obvious from 2000 to 2015 from about 40% in France and Romania, 50% and Mexico and Czech Republic, 65% in Japan and 69% in Belgium. In Costa Rica zero asthma mortality was registered in 2015. In Czechia and Belgium decline is seen from 2000 to 2005, which then stabilized in Czech Republic and went further down in Belgium. In Finland initially, low asthma mortality remains practically unchanged with slight decline in 2015. In other countries analyzed, we did not see any positive trend in CRD mortality. In all countries with positive CRD dynamic WHO introduced activities remained active, they have been taken into local guidelines and practice and supported national authorities in implementing these evidence-based guidelines. Before GARD launch WHO initiated activities produced a good basis for further GARD movement and by 2010 we see a visible positive trend in CRD mortality in success countries. By 2015 when WHO noncommunicable disease (NCD) Global Action Plan 2013–2020 rollouts globally dramatic decline in total CRD mortality and particularly in Asthma and COPD mortality became obvious. Global disease oriented programmes, national and international partnerships combined with the Global NCD Action Plan most probable produce a positive synergistic effect on the mortality from CRD. PMID:29268538
Blight, Louise K; Hobson, Keith A; Kyser, T Kurt; Arcese, Peter
2015-04-01
The world's oceans have undergone significant ecological changes following European colonial expansion and associated industrialization. Seabirds are useful indicators of marine food web structure and can be used to track multidecadal environmental change, potentially reflecting long-term human impacts. We used stable isotope (δ(13)C, δ(15)N) analysis of feathers from glaucous-winged gulls (Larus glaucescens) in a heavily disturbed region of the northeast Pacific to ask whether diets of this generalist forager changed in response to shifts in food availability over 150 years, and whether any detected change might explain long-term trends in gull abundance. Sampled feathers came from birds collected between 1860 and 2009 at nesting colonies in the Salish Sea, a transboundary marine system adjacent to Washington, USA and British Columbia, Canada. To determine whether temporal trends in stable isotope ratios might simply reflect changes to baseline environmental values, we also analysed muscle tissue from forage fishes collected in the same region over a multidecadal timeframe. Values of δ(13)C and δ(15)N declined since 1860 in both subadult and adult gulls (δ(13)C, ~ 2-6‰; δ(15)N, ~4-5‰), indicating that their diet has become less marine over time, and that birds now feed at a lower trophic level than previously. Conversely, forage fish δ(13)C and δ(15)N values showed no trends, supporting our conclusion that gull feather values were indicative of declines in marine food availability rather than of baseline environmental change. Gradual declines in feather isotope values are consistent with trends predicted had gulls consumed less fish over time, but were equivocal with respect to whether gulls had switched to a more garbage-based diet, or one comprising marine invertebrates. Nevertheless, our results suggest a long-term decrease in diet quality linked to declining fish abundance or other anthropogenic influences, and may help to explain regional population declines in this species and other piscivores. © 2014 John Wiley & Sons Ltd.
Khaltaev, Nikolai
2017-11-01
Initiated by World Health Organization (WHO) Global Chronic Respiratory Disease (CRD)-oriented programmes, Global Initiative on Asthma (GINA), GOLD-Global Initiative for Chronic Obstructive Pulmonary Disease (COPD), Allergic Rhinitis and its Impact on Asthma (ARIA), and Practical Approach to Lung Health (PAL) have catalyzed creation of the Global Alliance Against CRD (GARD). Forty-five countries sharing GARD's goal to reduce the burden of CRD joint GARD. In 20 countries with reliable death estimates, CRD mortality has been analyzed in 2000, 2005, 2010 and 2015. Dramatic decline in CRD mortality is seen in Kyrgyzstan, Netherlands, Italy and Republic of Korea (69%, 55%, 48%, and 48%). Positive trend in COPD mortality is seen for Lithuania (36% decline) and Spain (21%). In France, Japan, Mexico, Romania and Costa Rica, positive trend for asthma mortality is obvious from 2000 to 2015 from about 40% in France and Romania, 50% and Mexico and Czech Republic, 65% in Japan and 69% in Belgium. In Costa Rica zero asthma mortality was registered in 2015. In Czechia and Belgium decline is seen from 2000 to 2005, which then stabilized in Czech Republic and went further down in Belgium. In Finland initially, low asthma mortality remains practically unchanged with slight decline in 2015. In other countries analyzed, we did not see any positive trend in CRD mortality. In all countries with positive CRD dynamic WHO introduced activities remained active, they have been taken into local guidelines and practice and supported national authorities in implementing these evidence-based guidelines. Before GARD launch WHO initiated activities produced a good basis for further GARD movement and by 2010 we see a visible positive trend in CRD mortality in success countries. By 2015 when WHO noncommunicable disease (NCD) Global Action Plan 2013-2020 rollouts globally dramatic decline in total CRD mortality and particularly in Asthma and COPD mortality became obvious. Global disease oriented programmes, national and international partnerships combined with the Global NCD Action Plan most probable produce a positive synergistic effect on the mortality from CRD.
NASA Astrophysics Data System (ADS)
Elias, E.; Rango, A.; James, D.; Maxwell, C.; Anderson, J.; Abatzoglou, J. T.
2016-12-01
Researchers evaluating climate projections across southwestern North America observed a decreasing precipitation trend. Aridification was most pronounced in the cold (non-monsoonal) season, whereas downward trends in precipitation were smaller in the warm (monsoonal) season. In this region, based upon a multimodel mean of 20 Coupled Model Intercomparison Project 5 models using a business-as-usual (Representative Concentration Pathway 8.5) trajectory, midcentury precipitation is projected to increase slightly during the monsoonal time period (July-September; 6%) and decrease slightly during the remainder of the year (October-June; -4%). We use observed long-term (1915-2015) monthly precipitation records from 16 weather stations to investigate how well measured trends corroborate climate model predictions during the monsoonal and non-monsoonal timeframe. Running trend analysis using the Mann-Kendall test for 15 to 101 year moving windows reveals that half the stations showed significant (p≤0.1), albeit small, increasing trends based on the longest term record. Trends based on shorter-term records reveal a period of significant precipitation decline at all stations representing the 1950s drought. Trends from 1930 to 2015 reveal significant annual, monsoonal and non-monsoonal increases in precipitation (Fig 1). The 1960 to 2015 time window shows no significant precipitation trends. The more recent time window (1980 to 2015) shows a slight, but not significant, increase in monsoonal precipitation and a larger, significant decline in non-monsoonal precipitation. GCM precipitation projections are consistent with more recent trends for the region. Running trends from the most recent time window (mid-1990s to 2015) at all stations show increasing monsoonal precipitation and decreasing Oct-Jun precipitation, with significant trends at 6 of 16 stations. Running trend analysis revealed that the long-term trends were not persistent throughout the series length, but depended on the period examined. Recent trends in Southwest precipitation are directionally consistent with anthropogenic climate change.
Advances in development reverse fertility declines.
Myrskylä, Mikko; Kohler, Hans-Peter; Billari, Francesco C
2009-08-06
During the twentieth century, the global population has gone through unprecedented increases in economic and social development that coincided with substantial declines in human fertility and population growth rates. The negative association of fertility with economic and social development has therefore become one of the most solidly established and generally accepted empirical regularities in the social sciences. As a result of this close connection between development and fertility decline, more than half of the global population now lives in regions with below-replacement fertility (less than 2.1 children per woman). In many highly developed countries, the trend towards low fertility has also been deemed irreversible. Rapid population ageing, and in some cases the prospect of significant population decline, have therefore become a central socioeconomic concern and policy challenge. Here we show, using new cross-sectional and longitudinal analyses of the total fertility rate and the human development index (HDI), a fundamental change in the well-established negative relationship between fertility and development as the global population entered the twenty-first century. Although development continues to promote fertility decline at low and medium HDI levels, our analyses show that at advanced HDI levels, further development can reverse the declining trend in fertility. The previously negative development-fertility relationship has become J-shaped, with the HDI being positively associated with fertility among highly developed countries. This reversal of fertility decline as a result of continued economic and social development has the potential to slow the rates of population ageing, thereby ameliorating the social and economic problems that have been associated with the emergence and persistence of very low fertility.
Barzi, Federica; Jones, Graham R D; Hughes, Jaquelyne T; Lawton, Paul D; Hoy, Wendy; O'Dea, Kerin; Jerums, George; MacIsaac, Richard J; Cass, Alan; Maple-Brown, Louise J
2018-03-01
Being able to estimate kidney decline accurately is particularly important in Indigenous Australians, a population at increased risk of developing chronic kidney disease and end stage kidney disease. The aim of this analysis was to explore the trend of decline in estimated glomerular filtration rate (eGFR) over a four year period using multiple local creatinine measures, compared with estimates derived using centrally-measured enzymatic creatinine and with estimates derived using only two local measures. The eGFR study comprised a cohort of over 600 Aboriginal Australian participants recruited from over twenty sites in urban, regional and remote Australia across five strata of health, diabetes and kidney function. Trajectories of eGFR were explored on 385 participants with at least three local creatinine records using graphical methods that compared the linear trends fitted using linear mixed models with non-linear trends fitted using fractional polynomial equations. Temporal changes of local creatinine were also characterized using group-based modelling. Analyses were stratified by eGFR (<60; 60-89; 90-119 and ≥120ml/min/1.73m 2 ) and albuminuria categories (<3mg/mmol; 3-30mg/mmol; >30mg/mmol). Mean age of the participants was 48years, 64% were female and the median follow-up was 3years. Decline of eGFR was accurately estimated using simple linear regression models and locally measured creatinine was as good as centrally measured creatinine at predicting kidney decline in people with an eGFR<60 and an eGFR 60-90ml/min/1.73m 2 with albuminuria. Analyses showed that one baseline and one follow-up locally measured creatinine may be sufficient to estimate short term (up to four years) kidney function decline. The greatest yearly decline was estimated in those with eGFR 60-90 and macro-albuminuria: -6.21 (-8.20, -4.23) ml/min/1.73m 2 . Short term estimates of kidney function decline can be reliably derived using an easy to implement and simple to interpret linear mixed effect model. Locally measured creatinine did not differ to centrally measured creatinine, thus is an accurate cost-efficient and timely means to monitoring kidney function progression. Copyright © 2018 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.
Hoshiko, Sumi; Smith, Daniel; Fan, Cathyn; Jones, Carrie R; McNeel, Sandra V; Cohen, Ronald A
2014-05-01
Radiation exposure from medical sources now equals or exceeds that from natural background sources, largely attributable to a 20-fold increase in CT use since 1980. Increasing exposure to children and fetuses is of most concern due to their heightened susceptibility. More recently, CT use may be leveling or decreasing, but it is unclear whether this change is widespread or varies by type of institution. We sought to characterize trends in CT utilization in California hospitals and emergency departments among children and pregnant women, looking at different types of facilities, such as teaching, private, public and nonprofit institutions. We examined frequency of CT examinations by year from 229 facilities reporting CT usage in routinely collected California statewide data for 2005-2012. We modeled trends overall and by facility type. CT scans for pediatric and pregnant patient visits in the emergency department increased initially, then started to decline after 2008. Among hospital admissions, rates declined or leveled after 2005. In the emergency department, CT rates varied between types of facilities, with teaching hospitals reducing use sooner and more sharply than other types of facilities. CT utilization in California among children and pregnant women has begun to level or decline. Still, population exposure remains at historically high levels, warranting consideration of potential public health implications. Further examination of reasons for trends among hospital types, particularly how teaching hospitals have reduced rates of CT utilization, may help identify strategies for CT reduction without compromising patient care.
Suicide mortality trends in the Nordic countries 1980-2009.
Titelman, David; Oskarsson, Høgni; Wahlbeck, Kristian; Nordentoft, Merete; Mehlum, Lars; Jiang, Guo-Xin; Erlangsen, Annette; Nrugham, Latha; Wasserman, Danuta
2013-12-01
The Nordic countries provide a suitable setting for comparing trends in suicide mortality. The aim of this report is to compare suicide trends by age, gender, region and methods in Denmark, Finland, Iceland, Norway and Sweden 1980-2009. Suicide statistics 1980-2009 were analyzed for men and women aged 15 years and above and the age group 15-24 years. Regional suicide rates in 2009 were presented in maps. The suicide rates across the Nordic countries declined from 25-50 per 100,000 in 1980 to 20-36 in 2009 for men and from 9-26 in 1980 to 8-11 in 2009 for women. The rates in Finland were consistently higher than those of the other countries. A significant increase of suicides in young women in Finland and Norway and a lack of a decline among young women in Sweden were noted. The male- female ratio of suicide converged to approximately 3:1 across the region during the study period. Rural areas in Finland, Norway and Sweden saw the highest suicide rates, whereas the rates in the capital regions of Denmark, Norway and Sweden were lower than the respective national rates. We hold that the overall decline of suicide rates in the Nordic countries reflects the socio-economic development and stability of the region, including the well-functioning healthcare. The increasing rates in Finland and Norway and the unchanged rate in Sweden of suicide in young women are an alarming trend break that calls for continued monitoring.
Comparative Longterm Mortality Trends in Cancer vs. Ischemic Heart Disease in Puerto Rico.
Torres, David; Pericchi, Luis R; Mattei, Hernando; Zevallos, Juan C
2017-06-01
Although contemporary mortality data are important for health assessment and planning purposes, their availability lag several years. Statistical projection techniques can be employed to obtain current estimates. This study aimed to assess annual trends of mortality in Puerto Rico due to cancer and Ischemic Heart Disease (IHD), and to predict shorterm and longterm cancer and IHD mortality figures. Age-adjusted mortality per 100,000 population projections with a 50% interval probability were calculated utilizing a Bayesian statistical approach of Age-Period-Cohort dynamic model. Multiple cause-of-death annual files for years 1994-2010 for Puerto Rico were used to calculate shortterm (2011-2012) predictions. Longterm (2013-2022) predictions were based on quinquennial data. We also calculated gender differences in rates (men-women) for each study period. Mortality rates for women were similar for cancer and IHD in the 1994-1998 period, but changed substantially in the projected 2018-2022 period. Cancer mortality rates declined gradually overtime, and the gender difference remained constant throughout the historical and projected trends. A consistent declining trend for IHD historical annual mortality rate was observed for both genders, with a substantial changepoint around 2004-2005 for men. The initial gender difference of 33% (80/100,00 vs. 60/100,000) in mortality rates observed between cancer and IHD in the 1994-1998 period increased to 300% (60/100,000 vs. 20/100,000) for the 2018-2022 period. The APC projection model accurately projects shortterm and longterm mortality trends for cancer and IHD in this population: The steady historical and projected cancer mortality rates contrasts with the substantial decline in IHD mortality rates, especially in men.
Webb, Penelope M; Green, Adèle C; Jordan, Susan J
2017-05-01
To compare trends in ovarian cancer incidence in the USA and Australia in relation to changes in oral contraceptive pill (OCP) and menopausal hormone therapy (MHT) use. US cancer incidence data (1973-2013) were accessed via SEER*Stat; Australian data (1982-2012) were accessed from the Australian Institute of Health and Welfare Cancer Incidence and Mortality books. Age-period-cohort models were constructed to assess trends in ovarian cancer incidence by birth cohort and year of diagnosis. Ovarian cancer rates were increasing until the cohorts born around 1918 in the USA and 1923 in Australia who were the first to use the OCP. They then declined dramatically across subsequent cohorts such that rates for the 1968 cohort were about half those of women born 45 years earlier; however, there are early suggestions that this decline may not continue in more recent cohorts. In contrast, despite the large reduction in MHT use, there was no convincing evidence that ovarian cancer incidence rates in either country were lower after 2002 than would have been expected based on the declining trend from 1985. The major driver of ovarian cancer incidence rates appears to be the OCP. This means that when those women born since the late 1960s (who have used the OCP at high rates from an early age) reach their 60s and 70s, incidence rates are likely to stop falling and may even increase with changes in the prevalence of other factors such as tubal ligation and obesity. Forward predictions based on past trends may thus underestimate future rates and numbers of women likely to be affected.
Interannual Change Detection of Mediterranean Seagrasses Using RapidEye Image Time Series
Traganos, Dimosthenis; Reinartz, Peter
2018-01-01
Recent research studies have highlighted the decrease in the coverage of Mediterranean seagrasses due to mainly anthropogenic activities. The lack of data on the distribution of these significant aquatic plants complicates the quantification of their decreasing tendency. While Mediterranean seagrasses are declining, satellite remote sensing technology is growing at an unprecedented pace, resulting in a wealth of spaceborne image time series. Here, we exploit recent advances in high spatial resolution sensors and machine learning to study Mediterranean seagrasses. We process a multispectral RapidEye time series between 2011 and 2016 to detect interannual seagrass dynamics in 888 submerged hectares of the Thermaikos Gulf, NW Aegean Sea, Greece (eastern Mediterranean Sea). We assess the extent change of two Mediterranean seagrass species, the dominant Posidonia oceanica and Cymodocea nodosa, following atmospheric and analytical water column correction, as well as machine learning classification, using Random Forests, of the RapidEye time series. Prior corrections are necessary to untangle the initially weak signal of the submerged seagrass habitats from satellite imagery. The central results of this study show that P. oceanica seagrass area has declined by 4.1%, with a trend of −11.2 ha/yr, while C. nodosa seagrass area has increased by 17.7% with a trend of +18 ha/yr throughout the 5-year study period. Trends of change in spatial distribution of seagrasses in the Thermaikos Gulf site are in line with reported trends in the Mediterranean. Our presented methodology could be a time- and cost-effective method toward the quantitative ecological assessment of seagrass dynamics elsewhere in the future. From small meadows to whole coastlines, knowledge of aquatic plant dynamics could resolve decline or growth trends and accurately highlight key units for future restoration, management, and conservation. PMID:29467777
NASA Astrophysics Data System (ADS)
Bhatt, U. S.; Walker, D. A.; Raynolds, M. K.; Epstein, H. E.
2017-12-01
Amplified Arctic warming linked to declining sea-ice extent led to generally enhanced productivity of the tundra biome during the period 1982-2008. After about 2002, coinciding with a recent precipitous decline in sea ice, large areas of the Arctic began showing reversals of previous positive productivity trends. To better understand these recent vegetation productivity declines and whether they are associated with differences in a general humidification of portions of the Arctic, we focus analysis on two transects with ground information: the more continental North America Arctic Transect (NAAT) and the more maritime Eurasia Arctic Transect (EAT). We compare ground information with satellite-derived trends in open water, summer terrestrial temperatures, and vegetation greenness and changes in continentality of the two transects, as indicated by the differences in the annual maximum and minimum mean monthly temperatures. Areas adjacent to perennial sea ice along in the northern parts of the NAAT exhibit climates with positive trends in summer warmth, but negative greening trends, possibly due to soil drying. Southern parts of the NAAT in the vicinity of more open water show positive greenness trends. Along the EAT, cooling midsummer conditions and reduced greenness appear to be caused by cloudier conditions, and possibly later snow melt during the period of maximum potential photosynthesis. Ground-based environmental and vegetation data indicate that biomass, particularly moss biomass is much greater along the more maritime EAT, indicating a buffering effect of the vegetation that will act to damp productivity as humidification of the Arctic proceeds. This multi-scale analysis is one step in the direction of understanding the drivers of tundra vegetation productivity in the Arctic.
Interannual Change Detection of Mediterranean Seagrasses Using RapidEye Image Time Series.
Traganos, Dimosthenis; Reinartz, Peter
2018-01-01
Recent research studies have highlighted the decrease in the coverage of Mediterranean seagrasses due to mainly anthropogenic activities. The lack of data on the distribution of these significant aquatic plants complicates the quantification of their decreasing tendency. While Mediterranean seagrasses are declining, satellite remote sensing technology is growing at an unprecedented pace, resulting in a wealth of spaceborne image time series. Here, we exploit recent advances in high spatial resolution sensors and machine learning to study Mediterranean seagrasses. We process a multispectral RapidEye time series between 2011 and 2016 to detect interannual seagrass dynamics in 888 submerged hectares of the Thermaikos Gulf, NW Aegean Sea, Greece (eastern Mediterranean Sea). We assess the extent change of two Mediterranean seagrass species, the dominant Posidonia oceanica and Cymodocea nodosa , following atmospheric and analytical water column correction, as well as machine learning classification, using Random Forests, of the RapidEye time series. Prior corrections are necessary to untangle the initially weak signal of the submerged seagrass habitats from satellite imagery. The central results of this study show that P. oceanica seagrass area has declined by 4.1%, with a trend of -11.2 ha/yr, while C. nodosa seagrass area has increased by 17.7% with a trend of +18 ha/yr throughout the 5-year study period. Trends of change in spatial distribution of seagrasses in the Thermaikos Gulf site are in line with reported trends in the Mediterranean. Our presented methodology could be a time- and cost-effective method toward the quantitative ecological assessment of seagrass dynamics elsewhere in the future. From small meadows to whole coastlines, knowledge of aquatic plant dynamics could resolve decline or growth trends and accurately highlight key units for future restoration, management, and conservation.
Population trends influence species ability to track climate change.
Ralston, Joel; DeLuca, William V; Feldman, Richard E; King, David I
2017-04-01
Shifts of distributions have been attributed to species tracking their fundamental climate niches through space. However, several studies have now demonstrated that niche tracking is imperfect, that species' climate niches may vary with population trends, and that geographic distributions may lag behind rapid climate change. These reports of imperfect niche tracking imply shifts in species' realized climate niches. We argue that quantifying climate niche shifts and analyzing them for a suite of species reveal general patterns of niche shifts and the factors affecting species' ability to track climate change. We analyzed changes in realized climate niche between 1984 and 2012 for 46 species of North American birds in relation to population trends in an effort to determine whether species differ in the ability to track climate change and whether differences in niche tracking are related to population trends. We found that increasingly abundant species tended to show greater levels of niche expansion (climate space occupied in 2012 but not in 1980) compared to declining species. Declining species had significantly greater niche unfilling (climate space occupied in 1980 but not in 2012) compared to increasing species due to an inability to colonize new sites beyond their range peripheries after climate had changed at sites of occurrence. Increasing species, conversely, were better able to colonize new sites and therefore showed very little niche unfilling. Our results indicate that species with increasing trends are better able to geographically track climate change compared to declining species, which exhibited lags relative to changes in climate. These findings have important implications for understanding past changes in distribution, as well as modeling dynamic species distributions in the face of climate change. © 2016 John Wiley & Sons Ltd.
Guo, Pi; Li, Ke
2012-04-01
Esophageal cancer is one of the most commonly diagnosed malignant tumors in China. The aim of this study was to provide the representative and comprehensive informations about the long-term mortality trends of this disease in China between 1987 and 2009, using joinpoint regression and generalized additive models (GAMs). Age-standardized mortality rates (ASMR), overall and truncated (35-64 years), were calculated using the direct calculation method, and joinpoint regression was performed to obtain the estimated annual percentage changes (EAPC). GAMs were fitted to study the effects of age, period and birth cohort on mortality trends. ASMR exhibited an overall remarked decline for rural females (EAPC=-2.3 95%CI: -3.3, -1.2), urban males (EAPC=-1.8 95%CI: -2.6, -1.0) and urban females (EAPC=-3.7 95%CI: -4.9, -2.4), but a small drop observed was not statistically significant for rural males (EAPC=-0.9 95%CI: -2.0, 0.3). The declines in ASMR were more noticeable for urban residents in recent years. Among all the residents, age effect showed an progressively increasing trend, whereas cohort effect declined steadily after the year corresponding to the maximum risk value. Period effect seemed to remain substantially unchanged throughout the years. Although variations in mortality rates were observed according to sex and area, the overall decreasing trends in esophageal cancer mortality were found in most Chinese people, aside from rural males. The findings could correspond to the changes in age- and cohort-related factors in the population. Further study is required to understand these potential factors. Copyright © 2011 Elsevier Ltd. All rights reserved.
Higher Education Financing in Nigeria: Issues and Trends
ERIC Educational Resources Information Center
Adewuyi, Jacob Olusayo; Okemakinde, Timothy
2013-01-01
The potential of the higher education system to act as an agent of growth and development in Nigeria is being challenged by the long-standing problems of limited access, inadequate financing, poor governance, declining quality and relevance. Thus, this paper provides an overview of the trends and nature of public funding of higher education in…
Population Trends and Their Implications for Association Planning, 1981.
ERIC Educational Resources Information Center
Constant, Anne P., Ed.; And Others
Population trends will have a significant impact on educators' decision making, not only because of declining enrollment, but also because employment patterns and staffing in schools and colleges will be affected. Among the factors that educators must contend with are: (1) The birth rate has been increasing slowly since 1974; (2) The reduction in…
ERIC Educational Resources Information Center
Newman, Sally
Several studies have reported that older persons' decline in life satisfaction and younger persons' increase in negative stereotypes toward the aged seem to be connected to the societal trend of separation between the generations. To counteract this trend intergenerational programs are being developed nationwide that provide for frequent and…
Shifting Trends in Special Education
ERIC Educational Resources Information Center
Scull, Janie; Winkler, Amber M.
2011-01-01
This report examines trends in the number of special-education students and personnel at both the national and state levels from 2000-01 to 2009-10. It finds that the overall population of special-education students, after decades of increases, peaked in the 2004-05 school year and has declined since. But within this population, individual…
Research Journal Prices--Trends and Problems. Update. CRS Report for Congress.
ERIC Educational Resources Information Center
Rowberg, Richard E.
This report highlights the trends and problems associated with rapid price increases of foreign-published journals, especially science and technology journals. It is observed that a combination of effects--e.g., discriminatory pricing on the part of some foreign publishers, the sharp decline of the U.S. dollar--have resulted in subscription…
Std trends in chengalpattu hospital.
Krishnamurthy, V R; Ramachandran, V
1996-01-01
A retrospective data analysis was carried out to find the trends in frequency and distribution of different STDs at Chengalpattu during 1988-1994. Of the 4549 patients who attended the clinic 3621 (79.6%) were males and 928 (20.4%) were females. The commonest STD was Chancroid (24.4%) in men and Syphillis (29%) in women. Balanoposthitis (11.4%) ranked third among STDs in males. Though the STD attendance showed a declining trend, most diseases showed a constant distribution. The percentage composition of secondary and latent syphillis, Genital Warts, Genital Herpes and the Non-Venereal group showed an increased composition in recent years. Primary syphillis in females showed a definite declining trend. The HIV sero-positive detection rate was 2.06%. Of the 1116 patients screened for HIV antibody, 23 patients were detected sero-positive. Time Series Regression Analysis was used to predict the number of patients who would attend the STD clinic with various STDs in 1995 and 1996 to help in the understanding of the disease load and pattern in future, in resources management and in developing and evaluating preventive measures.
Gains Made By Walmart's Healthier Food Initiative Mirror Preexisting Trends.
Taillie, Lindsey Smith; Ng, Shu Wen; Popkin, Barry M
2015-11-01
Healthier food initiatives conducted by national food retailers may offer opportunities to improve the nutritional profile of food purchases. Using a longitudinal data set of packaged food purchases made by US households, we examined the effect of a healthier food initiative officially launched by Walmart in 2011. From 2000 to 2013, household-level purchases of packaged foods at Walmart showed major declines in energy, sodium, and total sugar density, as well as in quantities of sugary beverages, grain-based desserts, snacks, and candy. These trends in packaged food purchases were more pronounced than similar concurrent trends seen at other major food retailers. However, the declines seen at Walmart after the initiative's official implementation did not exceed what would have been expected had pre-implementation trends continued, and therefore they cannot be attributed to the initiative. These results suggest that food retailer-based initiatives that purportedly create a healthier food environment may not suffice to improve the nutritional profile of food purchases. More systemic shifts in consumers' characteristics and preferences may be needed. Project HOPE—The People-to-People Health Foundation, Inc.
Ozone trends over the United States at different times of day
NASA Astrophysics Data System (ADS)
Lin, J.; Yan, Y.
2017-12-01
In the United States, the decline of summertime daytime peak ozone in the last 20 years has been clearly connected to reductions in anthropogenic emissions. Yet questions remain on how and through what mechanisms ozone at other times of day have changed over the recent decades. Here we analyze the interannual variability and trends of ozone at different hours of day, using observations from about 1000 US sites during 1990-2014. We find a clear diurnal cycle both in the magnitude of ozone trends and in the relative importance of climate variability versus anthropogenic emissions to ozone changes. Interannual climate variability has mainly been associated with the de-trended fluctuation in the US annual daytime ozone over 1990-2014, with a much smaller effect on the nighttime ozone. Reductions in anthropogenic emissions of nitrogen oxides have led to substantial growth in the US annual average nighttime ozone due to reduced ozone titration, while the summertime daytime ozone has declined. Environmental policymaking might consider further improvements to reduce ozone levels at night and other non-peak hours.
LaMontagne, Anthony D.; Oakes, J. Michael; Lopez Turley, Ruth N.
2004-01-01
Objectives. We assessed long-term trends in ethylene oxide (EtO) worker exposures for the purposes of exposure surveillance and evaluation of the impacts of the Occupational Safety and Health Administration (OSHA) 1984 and 1988 EtO standards. Methods. We obtained exposure data from a large commercial vendor and processor of EtO passive dosimeters. Personal samples (87 582 workshift [8-hr] and 46 097 short-term [15-min] samples) from 2265 US hospitals were analyzed for time trends from 1984 through 2001 and compared with OSHA enforcement data. Results. Exposures declined steadily for the first several years after the OSHA standards were set. Workshift exposures continued to taper off and have remained low and constant through 2001. However, since 1996, the probability of exceeding the short-term excursion limit has increased. This trend coincides with a decline in enforcement of the EtO standard. Conclusions. Results indicate the need for renewed intervention efforts to preserve gains made following the passage and implementation of the 1984 and 1988 EtO standards. PMID:15333324
A climate trend analysis of Senegal
Funk, Christopher C.; Rowland, Jim; Adoum, Alkhalil; Eilerts, Gary; Verdin, James; White, Libby
2012-01-01
This brief report, drawing from a multi-year effort by the U.S. Agency for International Development (USAID) Famine Early Warning Systems Network (FEWS NET), identifies modest declines in rainfall, accompanied by increases in air temperatures. These analyses are based on quality-controlled station observations. Conclusions: * Summer rains have remained steady in Senegal over the past 20 years but are 15 percent below the 1920-1969 average. * Temperatures have increased by 0.9° Celsius since 1975, amplifying the effect of droughts. * Cereal yields are low but have been improving. * The amount of farmland per person is low and declining rapidly. * Current population and agriculture trends could lead to a 30-percent reduction in per capita cereal production by 2025.
Status and trends in the fish community of Lake Superior, 2012
Gorman, Owen T.; Evrard, Lori M.; Cholwek, Gary A.; Vinson, Mark
2012-01-01
Due to ship mechanical failures, nearshore sampling was delayed from mid-May to mid-June to mid-June to late August. The shift to summer sampling when the lake was stratified may have affected our estimates, thus our estimates of status and trends for the nearshore fish community in 2012 are tentative, pending results of future surveys. However, the results of the 2012 survey are comparable with those during 2009 and 2010 when lake-wide fish biomass declined to < 1.40 kg/ha. Declines in prey fish biomass since the late 1990s can be attributed to a combination of increased predation by recovered lake trout populations and infrequent and weak recruitment by the principal prey fishes, cisco and bloater. In turn declines in lake trout biomass since the mid-2000s are likely linked to declines in prey fish biomass. If lean and siscowet lake trout populations in nearshore waters continue to remain at current levels, predation mortality will likely maintain the relatively low prey fish biomass observed in recent years. Alternatively, if lake trout populations show a substantial decline in abundance in upcoming years, prey fish populations may rebound in a fashion reminiscent to what occurred in the late 1970s to mid-1980s. However, this scenario depends on substantial increases in harvest of lake trout, which seems unlikely given that levels of lake trout harvest have been flat or declining in many regions of Lake Superior since 2000.