Sample records for experienced severe declines

  1. Evaluation of soil saturation, soil chemistry, and early spring soil and air temperatures as risk factors in yellow-cedar decline.

    Treesearch

    D.V. D' Amore; P.E. Hennon

    2006-01-01

    Yellow-cedar (Callitropsis nootkatensis (D. Don) Oerst.) is a valuable tree species that is experiencing a widespread decline and mortality in southeast Alaska. This study evaluated the relative importance of several potential risk factors associated with yellow-cedar decline: soil saturation, soil aluminum (Al) toxicity or calcium (Ca) deficiency...

  2. Landscape predictors of pathogen prevalence and range contractions in US bumblebees.

    PubMed

    McArt, Scott H; Urbanowicz, Christine; McCoshum, Shaun; Irwin, Rebecca E; Adler, Lynn S

    2017-11-29

    Several species of bumblebees have recently experienced range contractions and possible extinctions. While threats to bees are numerous, few analyses have attempted to understand the relative importance of multiple stressors. Such analyses are critical for prioritizing conservation strategies. Here, we describe a landscape analysis of factors predicted to cause bumblebee declines in the USA. We quantified 24 habitat, land-use and pesticide usage variables across 284 sampling locations, assessing which variables predicted pathogen prevalence and range contractions via machine learning model selection techniques. We found that greater usage of the fungicide chlorothalonil was the best predictor of pathogen ( Nosema bombi ) prevalence in four declining species of bumblebees. Nosema bombi has previously been found in greater prevalence in some declining US bumblebee species compared to stable species. Greater usage of total fungicides was the strongest predictor of range contractions in declining species, with bumblebees in the northern USA experiencing greater likelihood of loss from previously occupied areas. These results extend several recent laboratory and semi-field studies that have found surprising links between fungicide exposure and bee health. Specifically, our data suggest landscape-scale connections between fungicide usage, pathogen prevalence and declines of threatened and endangered bumblebees. © 2017 The Author(s).

  3. Abundance of Grassland Sparrows on Reclaimed Surface Mines in Western Pennsylvania

    Treesearch

    Jennifer A. Mattice; Daniel W. Brauning; Duane R. Diefenbach

    2005-01-01

    Grassland songbird populations have experienced some of the most severe declines of any migratory songbird guild in North America and are continuing to disappear from portions of their historic ranges. Habitat loss and degradation have been implicated as primary causes of these declines. However, intensive surface coal mining and subsequent reclamation in western...

  4. Reduced North American terrestrial primary productivity linked to anomalous Arctic warming

    DOE PAGES

    Kim, Jin-Soo; Kug, Jong-Seong; Jeong, Su-Jong; ...

    2017-07-10

    Warming temperatures in the Northern Hemisphere have enhanced terrestrial productivity. Despite the warming trend, North America has experienced more frequent and more intense cold weather events during winters and springs. These events have been linked to anomalous Arctic warming since 1990, and may affect terrestrial processes. Here we analyse many observation data sets and numerical model simulations to evaluate links between Arctic temperatures and primary productivity in North America. We find that positive springtime temperature anomalies in the Arctic have led to negative anomalies in gross primary productivity over most of North America during the last three decades, which amountmore » to a net productivity decline of 0.31 PgC yr -1 across the continent. This decline is mainly explained by two factors: severe cold conditions in northern North America and lower precipitation in the South Central United States. In addition, United States crop-yield data reveal that during years experiencing anomalous warming in the Arctic, yields declined by approximately 1 to 4% on average, with individual states experiencing declines of up to 20%. We conclude that the strengthening of Arctic warming anomalies in the past decades has remotely reduced productivity over North America.« less

  5. Reduced North American terrestrial primary productivity linked to anomalous Arctic warming

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

    Kim, Jin-Soo; Kug, Jong-Seong; Jeong, Su-Jong

    Warming temperatures in the Northern Hemisphere have enhanced terrestrial productivity. Despite the warming trend, North America has experienced more frequent and more intense cold weather events during winters and springs. These events have been linked to anomalous Arctic warming since 1990, and may affect terrestrial processes. Here we analyse many observation data sets and numerical model simulations to evaluate links between Arctic temperatures and primary productivity in North America. We find that positive springtime temperature anomalies in the Arctic have led to negative anomalies in gross primary productivity over most of North America during the last three decades, which amountmore » to a net productivity decline of 0.31 PgC yr -1 across the continent. This decline is mainly explained by two factors: severe cold conditions in northern North America and lower precipitation in the South Central United States. In addition, United States crop-yield data reveal that during years experiencing anomalous warming in the Arctic, yields declined by approximately 1 to 4% on average, with individual states experiencing declines of up to 20%. We conclude that the strengthening of Arctic warming anomalies in the past decades has remotely reduced productivity over North America.« less

  6. Demographic and clinical characteristics related to cognitive decline in Alzheimer disease in China: A multicenter survey from 2011 to 2014.

    PubMed

    Peng, Dantao; Shi, Zhihong; Xu, Jun; Shen, Lu; Xiao, Shifu; Zhang, Nan; Li, Yi; Jiao, Jinsong; Wang, Yan-Jiang; Liu, Shuai; Zhang, Meilin; Wang, Meng; Liu, Shuling; Zhou, Yuying; Zhang, Xiao; Gu, Xiao-Hua; Yang, Ce-Ce; Wang, Yu; Jiao, Bin; Tang, Beisha; Wang, Jinhuan; Yu, Tao; Ji, Yong

    2016-06-01

    Alzheimer disease (AD) is the most frequent cause of dementia. AD diagnosis, progression, and treatment have not been analyzed nationwide in China. The primary aim of this study was to analyze demographic and clinical characteristics related to cognitive decline in AD patients treated at outpatient clinics in China.We performed a retrospective study of 1993 AD patients at 10 cognitive centers across 8 cities in China from March 2011 to October 2014. Of these, 891 patients were followed for more than 1 year.The mean age at diagnosis was 72.0 ± 10.0 years (range 38-96 years), and the mean age at onset of AD was 69.8 ± 9.5 years. Most patients (65.1%) had moderate to severe symptoms at the time of diagnosis, and mean Mini-Mental State Examination at diagnosis was 15.7 ± 7.7. AD patients showed significant cognitive decline at 12 months after diagnosis. Having more than 9 years of formal education was an independent risk factor related to rapid cognitive decline [odds ratio (OR) = 1.80; 95% confidence interval (95% CI): 1.11-2.91]. Early-onset AD patients experienced more rapid cognitive decline than late-onset patients (OR = 1.83; 95% CI: 1.09-3.06).Most AD patients in China had moderate to severe symptoms at the time of diagnosis and experienced significant cognitive decline within 1 year. Rapid cognitive decline in AD was related to having a higher educational level and younger age of onset.

  7. REGIONAL MONITORING OF CORAL CONDITION IN THE FLORIDA KEYS

    EPA Science Inventory

    Tropical reef corals have experienced unprecedented levels of bleaching and disease during the last three decades. Declining health has been attributed to several stressors, including exposures to elevated water temperature, increased solar radiation, and degraded water quality. ...

  8. Status of the amphipod Diporeia Spp. in Lake Superior, 2011

    EPA Science Inventory

    Amphipods of the genus Diporeia have historically been the dominant benthic macroinvertebrates in deeper waters of the Laurentian Great Lakes. Although Diporeia populations in the lower Great Lakes have experienced severe declines in recent years, densities have remained relativ...

  9. Status of the Amphipod Diporeia spp. in Lake Superior, poster presentation

    EPA Science Inventory

    The amphipod Diporeia has historically been the dominant benthic macroinvertebrate in deeper waters of the Laurentian Great Lakes. Although Diporeia populations in the lower Great Lakes have experienced severe declines in recent years, densities have remained relatively stable i...

  10. Urinary Bother as a Predictor of Postsurgical Changes in Urinary Function After Robotic Radical Prostatectomy.

    PubMed

    Murphy, Gregory; Haddock, Peter; Doak, Hoyt; Jackson, Max; Dorin, Ryan; Meraney, Anoop; Kesler, Stuart; Staff, Ilene; Wagner, Joseph R

    2015-10-01

    To characterize changes in indices of urinary function in prostatectomy patients with presurgical voiding symptoms. A retrospective analysis of our prostate cancer database identified robot-assisted radical prostatectomy patients between April 2007 and December 2011 who completed pre- and postsurgical (24 months) Expanded Prostate Cancer Index Composite-26 surveys. Gleason score, margins, D'Amico risk, prostate-specific antigen, radiotherapy, and nerve-sparing status were tabulated. Survey questions addressed urinary irritation/obstruction, incontinence, and overall bother. Responses were averaged to calculate a urinary sum (US) score. Patients were stratified according to the severity of their baseline urinary bother (UB), and changes in urinary indices determined at 24 months. A total of 737 patients were included. Postsurgical improvement in urinary obstruction, bother, and sum score was related to baseline UB (P <.001). Men with severe baseline bother had the greatest improvement in US (+9.3), whereas those with asymptomatic baseline UB experienced a decline in US (-2.8). All patients experienced a decline in urinary incontinence of 6.3-8.3 that was independent of baseline bother (P = .507). Patients with severe UB experienced positive outcomes, whereas those at asymptomatic baseline experienced negative US outcomes. Negative urinary incontinence outcomes were unrelated to baseline UB. Age, radiotherapy, and nerve-sparing status were not associated with improved UB (P = .029). However, baseline UB was significantly associated with improvement in postsurgical UB (P = .001). Baseline UB is a predictor of postsurgical improvement in urinary function. These data are helpful when counseling a subset of robot-assisted laparoscopic radical prostatectomy patients with severe preoperative urinary symptoms. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Fraser fir stand structure in the Black Mountains of North Carolina

    Treesearch

    Rachael H. McManamay; Lynn M. Resle; James B. Campbell

    2010-01-01

    Over the past several decades, naturally occurring populations of Fraser fir (Abies fraseri [Pursh.] Poir) have experienced devastating mortality rates due to attack by the exotic insect, balsam woolly adelgid (BWA) (Adelges piceae Ratz.). The decline in Fraser fir is particularly concerning because its natural geographic...

  12. Public Schools. Cuyahoga County Data Brief

    ERIC Educational Resources Information Center

    Center on Urban Poverty and Community Development (NJ1), 2010

    2010-01-01

    Public school enrollment has fallen in most districts in Cuyahoga County, consistent with the overall population loss. The largest decreases of more than 30% have been in Cleveland and East Cleveland districts. Several inner ring suburbs have also experienced large declines, while a few outlying suburbs show increased enrollments. High school…

  13. Regional Monitoring of Coral Condition in the Florida Keys

    Treesearch

    William S. Fisher; Deborah L. Santavy; William P. Davis; Lee A. Courtney

    2006-01-01

    Tropical reef corals have experienced unprecedented levels of bleaching and disease during the last three decades. Declining health has been attributed to several stressors, including exposures to elevated water temperature, increased solar radiation, and degraded water quality. Consequences of coral bleaching and disease vary; some recover, while others lose tissue,...

  14. Genetic diversity of flowering dogwood in the Great Smokey Mountains National Park

    USDA-ARS?s Scientific Manuscript database

    In the past three decades, flowering dogwood (Cornus florida) populations have experienced severe declines caused by dogwood anthracnose. Mortality has ranged from 48 to 98%, raising the concern that the genetic diversity of this native tree has been reduced significantly. In this study we investiga...

  15. Organizational Considerations for Advanced Manufacturing Technology

    ERIC Educational Resources Information Center

    DeRuntz, Bruce D.; Turner, Roger M.

    2003-01-01

    In the last several decades, the United States has experienced a decline in productivity, while the world has seen a maturation of the global marketplace. Nations have moved manufacturing strategy and process technology issues to the top of management priority lists. The issues surrounding manufacturing technologies and their implementations have…

  16. Mountain pine beetle infestations and Sudden Aspen Decline in Colorado: Can the Forest Inventory and Analysis annual inventory system address the issues?

    Treesearch

    Michael T. Thompson

    2009-01-01

    There are two events occurring in Colorado that are concerning forest managers in Colorado. There is severe and widespread mortality of lodgepole pine due to the mountain pine beetle and aspen forests in some areas of the state have experienced widespread, severe, and rapid crown deterioration leading to mortality. Implementation of the Forest Inventory and Analysis...

  17. Mountain gorilla genomes reveal the impact of long-term population decline and inbreeding

    PubMed Central

    Ayub, Qasim; Szpak, Michal; Frandsen, Peter; Chen, Yuan; Yngvadottir, Bryndis; Cooper, David N.; de Manuel, Marc; Hernandez-Rodriguez, Jessica; Lobon, Irene; Siegismund, Hans R.; Pagani, Luca; Quail, Michael A.; Hvilsom, Christina; Mudakikwa, Antoine; Eichler, Evan E.; Cranfield, Michael R.; Marques-Bonet, Tomas; Tyler-Smith, Chris; Scally, Aylwyn

    2015-01-01

    Mountain gorillas are an endangered great ape subspecies and a prominent focus for conservation, yet we know little about their genomic diversity and evolutionary past. We sequenced whole genomes from multiple wild individuals and compared the genomes of all four Gorilla subspecies. We found that the two eastern subspecies have experienced a prolonged population decline over the past 100,000 years, resulting in very low genetic diversity and an increased overall burden of deleterious variation. A further recent decline in the mountain gorilla population has led to extensive inbreeding, such that individuals are typically homozygous at 34% of their sequence, leading to the purging of severely deleterious recessive mutations from the population. We discuss the causes of their decline and the consequences for their future survival. PMID:25859046

  18. Marketing Activities and Usage in Historically Black College and University Libraries 2000-2008

    ERIC Educational Resources Information Center

    Walsh, Janet

    2012-01-01

    The academic library has experienced overall growth and decline based on demographics, technology, and convenience, yet several problems face academic libraries today including: (a) perceived relevance, (b) market share, and (c) competition. The purpose of this study was to explore marketing activities and library usage in HBCU libraries. The…

  19. Lek ecology of male greater sage-grouse in Carbon County, Wyoming

    Treesearch

    Aleshia Lynn Fremgen

    2014-01-01

    Greater sage-grouse (Centrocercus urophasianus, hereafter "sage-grouse") have experienced range-wide population declines for several decades, and as a result they were considered warranted for listing under the Endangered Species Act in 2010. Therefore, wildlife managers need to understand how sage-grouse breeding behavior influences long-term reproductive...

  20. Ecology of the Columbia spotted frog in northeastern Oregon.

    Treesearch

    Evelyn L. Bull

    2005-01-01

    The Columbia spotted frog (Rana luteiventris) is one of several amphibians in the Western United States experiencing population declines. The breeding, postbreeding, and overwintering habitat and ecology of this species were investigated in 10 study sites in northeastern Oregon from 1997 through 2004. A variety of habitats with permanent water were...

  1. Managing emerging threats to spotted owls

    Treesearch

    Ho Yi Wan; Joseph L. Ganey; Christina D. Vojta; Samuel A. Cushman

    2018-01-01

    The 3 spotted owl (Strix occidentalis) subspecies in North America (i.e., northern spotted owl [S. o. caurina], California spotted owl [S. o. occidentalis], Mexican spotted owl [S. o. lucida]) have all experienced population declines over the past century due to habitat loss and fragmentation from logging. Now, the emerging influences of climate change, high-severity...

  2. Declining brown-headed cowbird (Molothrus ater) populations are associated with landscape-specific reductions in brood parasitism and increases in songbird productivity

    Treesearch

    W. Andrew Cox; Frank R., III Thompson; Brian Root; John Faaborg; Csaba Moskat

    2012-01-01

    Many songbird species have experienced significant population declines, partly because of brood parasitism by the Brown-headed Cowbird (Molothrus ater), which is positively associated with increasing landscape forest cover in the midwestern United States. However, cowbirds are also experiencing long-term population declines, which should reduce...

  3. Six-month outcomes of co-occurring delirium, depression, and dementia in long-term care.

    PubMed

    McCusker, Jane; Cole, Martin G; Voyer, Philippe; Monette, Johanne; Champoux, Nathalie; Ciampi, Antonio; Vu, Minh; Belzile, Eric

    2014-12-01

    To describe the 6-month outcomes of co-occurring delirium (full syndrome and subsyndromal symptoms), depression, and dementia in a long-term care (LTC) population. Observational, prospective cohort study with 6-month follow-up conducted from 2005 to 2009. Seven LTC facilities in the province of Quebec, Canada. Newly admitted and long-term residents recruited consecutively from lists of residents aged 65 and older admitted for LTC, with stratification into groups with and without severe cognitive impairment. The study sample comprised 274 residents with complete data at baseline on delirium, dementia, and depression. Outcomes were 6-month mortality, functional decline (10-point decline from baseline on 100-point Barthel scale), and cognitive decline (3-point decline on 30-point Mini-Mental State Examination). Predictors included delirium (full syndrome or subsyndromal symptoms, using the Confusion Assessment Method), depression (Cornell Scale for Depression in Dementia), and dementia (chart diagnosis). The baseline prevalences of delirium, subsyndromal symptoms of delirium (SSD), depression, and dementia were 11%, 44%, 19%, and 66%, respectively. By 6 months, 10% of 274 had died, 19% of 233 had experienced functional decline, and 17% of 246 had experienced cognitive decline. An analysis using multivariable generalized linear models found the following significant interaction effects (P < .15): between depression and dementia for mortality, between delirium and depression for functional decline, and between SSD and dementia for cognitive decline. Co-occurrence of delirium, SSD, depression, and dementia in LTC residents appears to affect some 6-month outcomes. Because of limited statistical power, it was not possible to draw conclusions about the effects of the co-occurrence of some syndromes on poorer outcomes. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

  4. Biological annihilation via the ongoing sixth mass extinction signaled by vertebrate population losses and declines.

    PubMed

    Ceballos, Gerardo; Ehrlich, Paul R; Dirzo, Rodolfo

    2017-07-25

    The population extinction pulse we describe here shows, from a quantitative viewpoint, that Earth's sixth mass extinction is more severe than perceived when looking exclusively at species extinctions. Therefore, humanity needs to address anthropogenic population extirpation and decimation immediately. That conclusion is based on analyses of the numbers and degrees of range contraction (indicative of population shrinkage and/or population extinctions according to the International Union for Conservation of Nature) using a sample of 27,600 vertebrate species, and on a more detailed analysis documenting the population extinctions between 1900 and 2015 in 177 mammal species. We find that the rate of population loss in terrestrial vertebrates is extremely high-even in "species of low concern." In our sample, comprising nearly half of known vertebrate species, 32% (8,851/27,600) are decreasing; that is, they have decreased in population size and range. In the 177 mammals for which we have detailed data, all have lost 30% or more of their geographic ranges and more than 40% of the species have experienced severe population declines (>80% range shrinkage). Our data indicate that beyond global species extinctions Earth is experiencing a huge episode of population declines and extirpations, which will have negative cascading consequences on ecosystem functioning and services vital to sustaining civilization. We describe this as a "biological annihilation" to highlight the current magnitude of Earth's ongoing sixth major extinction event.

  5. Mountain gorilla genomes reveal the impact of long-term population decline and inbreeding.

    PubMed

    Xue, Yali; Prado-Martinez, Javier; Sudmant, Peter H; Narasimhan, Vagheesh; Ayub, Qasim; Szpak, Michal; Frandsen, Peter; Chen, Yuan; Yngvadottir, Bryndis; Cooper, David N; de Manuel, Marc; Hernandez-Rodriguez, Jessica; Lobon, Irene; Siegismund, Hans R; Pagani, Luca; Quail, Michael A; Hvilsom, Christina; Mudakikwa, Antoine; Eichler, Evan E; Cranfield, Michael R; Marques-Bonet, Tomas; Tyler-Smith, Chris; Scally, Aylwyn

    2015-04-10

    Mountain gorillas are an endangered great ape subspecies and a prominent focus for conservation, yet we know little about their genomic diversity and evolutionary past. We sequenced whole genomes from multiple wild individuals and compared the genomes of all four Gorilla subspecies. We found that the two eastern subspecies have experienced a prolonged population decline over the past 100,000 years, resulting in very low genetic diversity and an increased overall burden of deleterious variation. A further recent decline in the mountain gorilla population has led to extensive inbreeding, such that individuals are typically homozygous at 34% of their sequence, leading to the purging of severely deleterious recessive mutations from the population. We discuss the causes of their decline and the consequences for their future survival. Copyright © 2015, American Association for the Advancement of Science.

  6. Resilience of California black oak experiencing frequent fire: regeneration following two large wildfires 12 years apart

    Treesearch

    Ethan J. Hammett; Martin W. Ritchie; John-Pascal Berrill

    2017-01-01

    Historically, oak woodlands in western North America were maintained by frequent fire that killed competing conifers. Today, these woodlands are often in decline as competition from conifers intensifies. Among oak species affected is the ecologically important California black oak (Quercus kelloggii Newberry). Within its range, large high-severity...

  7. Is Welfare Reform Responsible for Low Skilled Women's Declining Health Insurance Coverage in the 1990s?

    ERIC Educational Resources Information Center

    DeLeire, Thomas; Levine, Judith A.; Levy, Helen

    2006-01-01

    We use data from the 1989-2001 March Supplements to the Current Population Survey to determine whether welfare reform contributed to declines in health insurance coverage experienced by low-skilled women. Between 1988 and 2000, women with less than a high school education experienced an 8.0 percentage point decline in the probability of having…

  8. The impact of the 2007-2009 recession on workers' health coverage.

    PubMed

    Fronstin, Paul

    2011-04-01

    IMPACT OF THE RECESSION: The 2007-2009 recession has taken its toll on the percentage of the population with employment-based health coverage. While, since 2000, there has been a slow erosion in the percentage of individuals under age 65 with employment-based health coverage, 2009 was the first year in which the percentage fell below 60 percent, and marked the largest one-year decline in coverage. FEWER WORKERS WITH COVERAGE: The percentage of workers with coverage through their own job fell from 53.2 percent in 2008 to 52 percent in 2009, a 2.4 percent decline in the likelihood that a worker has coverage through his or her own job. The percentage of workers with coverage as a dependent fell from 17 percent in 2008 to 16.3 percent in 2009, a 4.5 percent drop in the likelihood that a worker has coverage as a dependent. These declines occurred as the unemployment rate increased from an average of 5.8 percent in 2008 to 9.3 percent in 2009 (and reached a high of 10.1 percent during 2009). FIRM SIZE/INDUSTRY: The decline in the percentage of workers with coverage from their own job affected workers in private-sector firms of all sizes. Among public-sector workers, the decline from 73.4 percent to 73 percent was not statistically significant. Workers in all private-sector industries experienced a statistically significant decline in coverage between 2008 and 2009. HOURS WORKED: Full-time workers experienced a decline in coverage that was statistically significant while part-time workers did not. Among full-time workers, those employed full year experienced a statistically significant decline in coverage from their own job. Those employed full time but for only part of the year did not experience a statistically significant change in coverage. Among part-time workers, those employed full year experienced a statistically significant increase in the likelihood of having coverage in their own name, as did part-time workers employed for only part of the year. ANNUAL EARNINGS: The decline in the percentage of workers with coverage through their own job was limited to workers with lower annual earnings. Statistically significant declines were not found among any group of workers with annual earnings of at least $40,000. Workers with a high school education or less experienced a statistically significant decline in the likelihood of having coverage. Neither workers with a college degree nor those with a graduate degree experienced a statistically significant decline in coverage through their own job. Workers of all races experienced statistically significant declines in coverage between 2008 and 2009. Both men and women experienced a statistically significant decline in the percentage with health coverage through their own job. IMPACT OF STRUCTURAL CHANGES TO THE WORK FORCE: The movement of workers from the manufacturing industry to the service sector continued between 2008 and 2009. The percentage of workers employed on a full-time basis decreased while the percentage working part time increased. While there was an overall decline in the percentage of full-time workers, that decline was limited to workers employed full year. The percentage of workers employed on a full-time, part-year basis increased between 2008 and 2009. The distribution of workers by annual earnings shifted from middle-income workers to lower-income workers between 2008 and 2009.

  9. Postoperative pain and its impact on quality of life for hip-fractured older people over 12 months after hospital discharge.

    PubMed

    Shyu, Yea-Ing Lotus; Chen, Mei-Ling; Chen, Min-Chi; Wu, Chi-Chuan; Su, Juin-Yih

    2009-03-01

    To describe pain severity and pain interference and to explore the impact of pain severity on postoperative health-related quality of life of older people during their first year after discharge for hip surgery in Taiwan. Few studies have examined the impact of pain on postoperative quality of life for hip-fractured older persons. A descriptive, correlational design was used for this longitudinal study. Pain intensity, pain interference and quality of life were investigated prospectively for 87 elders within 12 months after discharge for hip surgery at a medical centre in Taiwan. Pain intensity and pain interference were measured by items from the Bodily Pain scale of the Medical Outcomes Study Short Form-36, Taiwan version. Quality of life dimensions were measured by all instrument scales, except bodily pain. Moderate to severe pain was reported by 41.3% and 24(.)8% of subjects at one and 12 months following discharge, respectively. Pain interference with life was reported as quite a bit or extreme by 31.1% of subjects at 12 months after discharge. Subjects who reported moderate/severe pain at one month after discharge experienced declines in general health (p = 0.03) and vitality (p = 0.02) from 6-12 months after discharge. Around a quarter of hip-fractured older persons experienced moderate to very severe pain and quite a bit to severe pain interference from six months to one year after discharge. Furthermore, pain experienced during the first month after discharge significantly impacted quality of life throughout the year following discharge, even after controlling for covariates. Nurses must pay attention and intervene with long-term postoperative pain in hip-fractured elders to prevent further declines in physically related outcomes. The findings of this study can be used to develop effective pain-management strategies for hip-fractured older patients.

  10. Stressful life events and cognitive decline in late life: moderation by education and age. The Cache County Study.

    PubMed

    Tschanz, Joann T; Pfister, Roxane; Wanzek, Joseph; Corcoran, Chris; Smith, Ken; Tschanz, Brian T; Steffens, David C; Østbye, Truls; Welsh-Bohmer, Kathleen A; Norton, Maria C

    2013-08-01

    Stressful life events (SLE) have been associated with increased dementia risk, but their association with cognitive decline has been inconsistent. In a longitudinal population-based study of older individuals, we examined the association between SLE and cognitive decline, and the role of potential effect modifiers. A total of 2665 non-demented participants of the Cache County Memory Study completed an SLE questionnaire at Wave 2 and were revisited 4 and 7 years later. The events were represented via several scores: total number, subjective rating (negative, positive, and unexpected), and a weighted summary based on their impact. Cognition was assessed at each visit with the modified Mini-Mental State Exam. General linear models were used to examine the association between SLE scores and cognition. Effect modification by age, education, and APOE genotype was tested. Years of formal education (p = 0.006) modified the effect of number of SLE, and age (p = 0.009) modified the effect of negative SLE on the rate of cognitive decline. Faster decline was observed among those with fewer years of education experiencing more SLE and also among younger participants experiencing more negative SLE. There was no association between other indicators of SLE and cognitive decline. APOE genotype did not modify any of the aforementioned associations. The effects of SLE on cognition in late life are complex and vary by individual factors such as age and education. These results may explain some of the contradictory findings in the literature. Copyright © 2012 John Wiley & Sons, Ltd.

  11. An Analysis of the Incidence and Outcomes of Major vs. Minor Neurological Decline after Complex Adult Spinal Deformity Surgery: A Sub-analysis of Scoli-RISK-1 Study.

    PubMed

    Kato, So; Fehlings, Michael G; Lewis, Stephen J; Lenke, Lawrence G; Shaffrey, Christopher I; Cheung, Kenneth M C; Carreon, Leah; Dekutoski, Mark B; Schwab, Frank J; Boachie-Adjei, Oheneba; Kebaish, Khaled M; Ames, Christopher P; Qiu, Yong; Matsuyama, Yukihiro; Dahl, Benny T; Mehdian, Hossein; Pellisé, Ferran; Berven, Sigurd H

    2017-11-10

    A sub-analysis from a prospective, multicenter, international cohort study in 15 sites (Scoli-RISK-1). To report detailed information regarding the severity of neurological decline related to complex adult spine deformity (ASD) surgery and to examine outcomes based on severity. The basis of post-operative neurological decline after ASD surgeries can occur due to nerve root(s) or spinal cord dysfunction. The impact of decline and the pattern of recovery may be related to the anatomic location and the severity of the injury. An investigation of 272 prospectively enrolled complex ASD surgical patients with neurological status measured by American Spinal Injury Association Lower Extremity Motor Scores (LEMS) was undertaken. Post-operative neurological decline was categorized into "major" (≥5 points loss) vs. "minor" (<5 points loss) deficits. Timing and extent of recovery in LEMS were investigated for each group. Among the 265 patients with LEMS available at discharge, 61 patients (23%) had neurological decline, with 20 (33%) experiencing major decline. Of note, 90% of the patients with major decline had deficits in 3 or more myotomes. Full recovery was seen in 24% at 6 weeks and increased to 65% at 6 months. However, 34% continued to experience some neurological decline at 24 months, with 6% demonstrating no improvement. Of 41 patients (67%) with minor decline, 73% had deficits in 1 or 2 myotomes. Full recovery was seen in 49% at 6 weeks and increased to 70% at 6 months. Of note, 26% had persistence of some neurological deficit at 24 months, with 18% demonstrating no recovery. In patients undergoing complex ASD correction, a rate of post-operative neurological decline of 23% was noted with 33% of these being "major". While most patients showed substantial recovery by 6 months, approximately one-third continued to experience neurological dysfunction. 2.

  12. Adverse Childhood and Recent Negative Life Events: Contrasting Associations With Cognitive Decline in Older Persons.

    PubMed

    Korten, Nicole C M; Penninx, Brenda W J H; Pot, Anne Margriet; Deeg, Dorly J H; Comijs, Hannie C

    2014-06-01

    To examine whether persons who experienced adverse childhood events or recent negative life events have a worse cognitive performance and faster cognitive decline and the role of depression and apolipoprotein E-∊4 in this relationship. The community-based sample consisted of 10-year follow-up data of 1312 persons participating in the Longitudinal Aging Study Amsterdam (age range 65-85 years). Persons who experienced adverse childhood events showed a faster 10-year decline in processing speed but only when depressive symptoms were experienced. Persons with more recent negative life events showed slower processing speed at baseline but no faster decline. Childhood adversity may cause biological or psychological vulnerability, which is associated with both depressive symptoms and cognitive decline in later life. The accumulation of recent negative life events did not affect cognitive functioning over a longer time period. © The Author(s) 2014.

  13. Watershed management to support coral reef recovery and resiliency

    Treesearch

    Lisa Vandiver; Tom Moore; Sean Griffin; Michael Nemeth; Rob Ferguson

    2016-01-01

    Coral reef habitats in the Caribbean region have experienced significant reductions in abundance over the past several decades. These declines are due to both global stressors, such as increases in sea surface temperatures and ocean acidification, and localized stressors, such as land-based sources of pollution (LBSPs). Climate change has led to increased occurrence ...

  14. Natural canopy damage and the ecological restoration of fire-indicative groundcover vegetation in an oak-pine forest

    Treesearch

    J. Stephen Brewer

    2016-01-01

    An important goal of restoring fire to upland oak-dominated communities that have experienced fire exclusion is restoring groundcover plant species diversity and composition indicative of fire-maintained habitats. Several studies have shown that fire alone, however, may not be sufficient to accomplish this goal. Furthermore, treatment-driven declines in rare forest...

  15. Biological annihilation via the ongoing sixth mass extinction signaled by vertebrate population losses and declines

    PubMed Central

    Ceballos, Gerardo; Ehrlich, Paul R.; Dirzo, Rodolfo

    2017-01-01

    The population extinction pulse we describe here shows, from a quantitative viewpoint, that Earth’s sixth mass extinction is more severe than perceived when looking exclusively at species extinctions. Therefore, humanity needs to address anthropogenic population extirpation and decimation immediately. That conclusion is based on analyses of the numbers and degrees of range contraction (indicative of population shrinkage and/or population extinctions according to the International Union for Conservation of Nature) using a sample of 27,600 vertebrate species, and on a more detailed analysis documenting the population extinctions between 1900 and 2015 in 177 mammal species. We find that the rate of population loss in terrestrial vertebrates is extremely high—even in “species of low concern.” In our sample, comprising nearly half of known vertebrate species, 32% (8,851/27,600) are decreasing; that is, they have decreased in population size and range. In the 177 mammals for which we have detailed data, all have lost 30% or more of their geographic ranges and more than 40% of the species have experienced severe population declines (>80% range shrinkage). Our data indicate that beyond global species extinctions Earth is experiencing a huge episode of population declines and extirpations, which will have negative cascading consequences on ecosystem functioning and services vital to sustaining civilization. We describe this as a “biological annihilation” to highlight the current magnitude of Earth’s ongoing sixth major extinction event. PMID:28696295

  16. Genetic Signatures of Demographic Changes in an Avian Top Predator during the Last Century: Bottlenecks and Expansions of the Eurasian Eagle Owl in the Iberian Peninsula

    PubMed Central

    Graciá, Eva; Ortego, Joaquín; Godoy, José Antonio; Pérez-García, Juan Manuel; Blanco, Guillermo; del Mar Delgado, María; Penteriani, Vincenzo; Almodóvar, Irene; Botella, Francisco; Sánchez-Zapata, José Antonio

    2015-01-01

    The study of the demographic history of species can help to understand the negative impact of recent population declines in organisms of conservation concern. Here, we use neutral molecular markers to explore the genetic consequences of the recent population decline and posterior recovery of the Eurasian eagle owl (Bubo bubo) in the Iberian Peninsula. During the last century, the species was the object of extermination programs, suffering direct persecution by hunters until the 70’s. Moreover, during the last decades the eagle owl was severely impacted by increased mortality due to electrocution and the decline of its main prey species, the European rabbit (Oryctolagus cuniculus). In recent times, the decrease of direct persecution and the implementation of some conservation schemes have allowed the species’ demographic recovery. Yet, it remains unknown to which extent the past population decline and the later expansion have influenced the current species’ pattern of genetic diversity. We used eight microsatellite markers to genotype 235 eagle owls from ten Spanish subpopulations and analyse the presence of genetic signatures attributable to the recent population fluctuations experienced by the species. We found moderate levels of differentiation among the studied subpopulations and Bayesian analyses revealed the existence of three genetic clusters that grouped subpopulations from central, south-western and south-eastern Spain. The observed genetic structure could have resulted from recent human-induced population fragmentation, a patchy distribution of prey populations and/or the philopatric behaviour and habitat selection of the species. We detected an old population bottleneck, which occurred approximately 10,000 years ago, and significant signatures of recent demographic expansions. However, we did not find genetic signatures for a recent bottleneck, which may indicate that population declines were not severe enough to leave detectable signals on the species genetic makeup or that such signals have been eroded by the rapid demographic recovery experienced by the species in recent years. PMID:26230922

  17. Attracting Economics Majors

    ERIC Educational Resources Information Center

    Okoye, Ifeakandu

    2011-01-01

    A disturbing concern that has been expressed by academic economists is the low interest in economics as a major, as evidenced by the declining enrollment in most of the economics departments in American colleges and universities. Though some college and university economics departments are experiencing or had experienced a decline in their majors…

  18. Twentieth-century shifts in forest structure in California: Denser forests, smaller trees, and increased dominance of oaks.

    PubMed

    McIntyre, Patrick J; Thorne, James H; Dolanc, Christopher R; Flint, Alan L; Flint, Lorraine E; Kelly, Maggi; Ackerly, David D

    2015-02-03

    We document changes in forest structure between historical (1930s) and contemporary (2000s) surveys of California vegetation through comparisons of tree abundance and size across the state and within several ecoregions. Across California, tree density in forested regions increased by 30% between the two time periods, whereas forest biomass in the same regions declined, as indicated by a 19% reduction in basal area. These changes reflect a demographic shift in forest structure: larger trees (>61 cm diameter at breast height) have declined, whereas smaller trees (<30 cm) have increased. Large tree declines were found in all surveyed regions of California, whereas small tree increases were found in every region except the south and central coast. Large tree declines were more severe in areas experiencing greater increases in climatic water deficit since the 1930s, based on a hydrologic model of water balance for historical climates through the 20th century. Forest composition in California in the last century has also shifted toward increased dominance by oaks relative to pines, a pattern consistent with warming and increased water stress, and also with paleohistoric shifts in vegetation in California over the last 150,000 y.

  19. Twentieth-century shifts in forest structure in California: Denser forests, smaller trees, and increased dominance of oaks

    USGS Publications Warehouse

    McIntyre, Patrick J.; Thorne, James H.; Dolanc, Christopher R.; Flint, Alan L.; Flint, Lorraine E.; Kelly, Maggi; Ackerly, David D.

    2015-01-01

    We document changes in forest structure between historical(1930s) and contemporary (2000s) surveys of California vegetation through comparisons of tree abundance and size across the state and within several ecoregions. Across California, tree density in forested regions increased by 30% between the two time periods, whereas forest biomass in the same regions declined, as indicated by a 19% reduction in basal area. These changes reflect a demographic shift in forest structure: larger trees (>61 cm diameter at breast height) have declined, whereas smaller trees ( < 30 cm) have increased. Large tree declines were found in all surveyed regions of California, whereas small tree increases were found in every region except the south and central coast. Large tree declines were more severe in areas experiencing greater increases in climaticwater deficit since the 1930s, based on a hydrologicmodel of water balance for historical climates through the 20th century. Forest composition in California in the last century has also shifted toward increased dominance by oaks relative to pines, a pattern consistent with warming and increased water stress, and also with paleohistoric shifts in vegetation in California over the last 150,000 y.

  20. Structural injury underlying mottling in ponderosa pine needles exposed to ambient ozone concentrations in the San Bernardino Mountains near Los Angeles, California

    Treesearch

    Pierre Vollenweider; Mark E. Fenn; Terry Menard; Madeleine Gunthardt-Goerg; Andrzej Bytnerowicz

    2013-01-01

    For several decades, southern California experienced the worst ozone pollution ever reported. Peak ozone concentrations have, however, declined steadily since 1980. In this study, the structural injuries underlying ozone symptoms in needles of ponderosa pine (Pinus ponderosa Dougl. ex Laws.) collected in summer 2006 from one of the most polluted sites in the San...

  1. Accelerating rates of cognitive decline and imaging markers associated with β-amyloid pathology.

    PubMed

    Insel, Philip S; Mattsson, Niklas; Mackin, R Scott; Schöll, Michael; Nosheny, Rachel L; Tosun, Duygu; Donohue, Michael C; Aisen, Paul S; Jagust, William J; Weiner, Michael W

    2016-05-17

    To estimate points along the spectrum of β-amyloid pathology at which rates of change of several measures of neuronal injury and cognitive decline begin to accelerate. In 460 patients with mild cognitive impairment (MCI), we estimated the points at which rates of florbetapir PET, fluorodeoxyglucose (FDG) PET, MRI, and cognitive and functional decline begin to accelerate with respect to baseline CSF Aβ42. Points of initial acceleration in rates of decline were estimated using mixed-effects regression. Rates of neuronal injury and cognitive and even functional decline accelerate substantially before the conventional threshold for amyloid positivity, with rates of florbetapir PET and FDG PET accelerating early. Temporal lobe atrophy rates also accelerate prior to the threshold, but not before the acceleration of cognitive and functional decline. A considerable proportion of patients with MCI would not meet inclusion criteria for a trial using the current threshold for amyloid positivity, even though on average, they are experiencing cognitive/functional decline associated with prethreshold levels of CSF Aβ42. Future trials in early Alzheimer disease might consider revising the criteria regarding β-amyloid thresholds to include the range of amyloid associated with the first signs of accelerating rates of decline. © 2016 American Academy of Neurology.

  2. Accelerating rates of cognitive decline and imaging markers associated with β-amyloid pathology

    PubMed Central

    Mattsson, Niklas; Mackin, R. Scott; Schöll, Michael; Nosheny, Rachel L.; Tosun, Duygu; Donohue, Michael C.; Aisen, Paul S.; Jagust, William J.; Weiner, Michael W.

    2016-01-01

    Objective: To estimate points along the spectrum of β-amyloid pathology at which rates of change of several measures of neuronal injury and cognitive decline begin to accelerate. Methods: In 460 patients with mild cognitive impairment (MCI), we estimated the points at which rates of florbetapir PET, fluorodeoxyglucose (FDG) PET, MRI, and cognitive and functional decline begin to accelerate with respect to baseline CSF Aβ42. Points of initial acceleration in rates of decline were estimated using mixed-effects regression. Results: Rates of neuronal injury and cognitive and even functional decline accelerate substantially before the conventional threshold for amyloid positivity, with rates of florbetapir PET and FDG PET accelerating early. Temporal lobe atrophy rates also accelerate prior to the threshold, but not before the acceleration of cognitive and functional decline. Conclusions: A considerable proportion of patients with MCI would not meet inclusion criteria for a trial using the current threshold for amyloid positivity, even though on average, they are experiencing cognitive/functional decline associated with prethreshold levels of CSF Aβ42. Future trials in early Alzheimer disease might consider revising the criteria regarding β-amyloid thresholds to include the range of amyloid associated with the first signs of accelerating rates of decline. PMID:27164667

  3. Accelerating rates of cognitive decline and imaging markers associated with β-amyloid pathology

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

    Insel, Philip S.; Mattsson, Niklas; Mackin, R. Scott

    Objective: Our objective is to estimate points along the spectrum of β-amyloid pathology at which rates of change of several measures of neuronal injury and cognitive decline begin to accelerate. Methods: In 460 patients with mild cognitive impairment (MCI), we estimated the points at which rates of florbetapir PET, fluorodeoxyglucose (FDG) PET, MRI, and cognitive and functional decline begin to accelerate with respect to baseline CSF Aβ 42. Points of initial acceleration in rates of decline were estimated using mixed-effects regression. Results: Rates of neuronal injury and cognitive and even functional decline accelerate substantially before the conventional threshold for amyloidmore » positivity, with rates of florbetapir PET and FDG PET accelerating early. Temporal lobe atrophy rates also accelerate prior to the threshold, but not before the acceleration of cognitive and functional decline. Conclusions: A considerable proportion of patients with MCI would not meet inclusion criteria for a trial using the current threshold for amyloid positivity, even though on average, they are experiencing cognitive/functional decline associated with prethreshold levels of CSF Aβ 42. Lastly, future trials in early Alzheimer disease might consider revising the criteria regarding β-amyloid thresholds to include the range of amyloid associated with the first signs of accelerating rates of decline.« less

  4. Accelerating rates of cognitive decline and imaging markers associated with β-amyloid pathology

    DOE PAGES

    Insel, Philip S.; Mattsson, Niklas; Mackin, R. Scott; ...

    2016-04-15

    Objective: Our objective is to estimate points along the spectrum of β-amyloid pathology at which rates of change of several measures of neuronal injury and cognitive decline begin to accelerate. Methods: In 460 patients with mild cognitive impairment (MCI), we estimated the points at which rates of florbetapir PET, fluorodeoxyglucose (FDG) PET, MRI, and cognitive and functional decline begin to accelerate with respect to baseline CSF Aβ 42. Points of initial acceleration in rates of decline were estimated using mixed-effects regression. Results: Rates of neuronal injury and cognitive and even functional decline accelerate substantially before the conventional threshold for amyloidmore » positivity, with rates of florbetapir PET and FDG PET accelerating early. Temporal lobe atrophy rates also accelerate prior to the threshold, but not before the acceleration of cognitive and functional decline. Conclusions: A considerable proportion of patients with MCI would not meet inclusion criteria for a trial using the current threshold for amyloid positivity, even though on average, they are experiencing cognitive/functional decline associated with prethreshold levels of CSF Aβ 42. Lastly, future trials in early Alzheimer disease might consider revising the criteria regarding β-amyloid thresholds to include the range of amyloid associated with the first signs of accelerating rates of decline.« less

  5. Is Chytridiomycosis Driving Darwin’s Frogs to Extinction?

    PubMed Central

    Soto-Azat, Claudio; Valenzuela-Sánchez, Andrés; Clarke, Barry T.; Busse, Klaus; Ortiz, Juan Carlos; Barrientos, Carlos; Cunningham, Andrew A.

    2013-01-01

    Darwin’s frogs (Rhinoderma darwinii and R. rufum) are two species of mouth brooding frogs from Chile and Argentina that have experienced marked population declines. Rhinoderma rufum has not been found in the wild since 1980. We investigated historical and current evidence of Batrachochytrium dendrobatidis (Bd) infection in Rhinoderma spp. to determine whether chytridiomycosis is implicated in the population declines of these species. Archived and live specimens of Rhinoderma spp., sympatric amphibians and amphibians at sites where Rhinoderma sp. had recently gone extinct were examined for Bd infection using quantitative real-time PCR. Six (0.9%) of 662 archived anurans tested positive for Bd (4/289 R. darwinii; 1/266 R. rufum and 1/107 other anurans), all of which had been collected between 1970 and 1978. An overall Bd-infection prevalence of 12.5% was obtained from 797 swabs taken from 369 extant individuals of R. darwinii and 428 individuals representing 18 other species of anurans found at sites with current and recent presence of the two Rhinoderma species. In extant R. darwinii, Bd-infection prevalence (1.9%) was significantly lower than that found in other anurans (7.3%). The prevalence of infection (30%) in other amphibian species was significantly higher in sites where either Rhinoderma spp. had become extinct or was experiencing severe population declines than in sites where there had been no apparent decline (3.0%; x 2 = 106.407, P<0.001). This is the first report of widespread Bd presence in Chile and our results are consistent with Rhinoderma spp. declines being due to Bd infection, although additional field and laboratory investigations are required to investigate this further. PMID:24278196

  6. Intraguild predation and native lady beetle decline.

    PubMed

    Gardiner, Mary M; O'Neal, Matthew E; Landis, Douglas A

    2011-01-01

    Coccinellid communities across North America have experienced significant changes in recent decades, with declines in several native species reported. One potential mechanism for these declines is interference competition via intraguild predation; specifically, increased predation of native coccinellid eggs and larvae following the introduction of exotic coccinellids. Our previous studies have shown that agricultural fields in Michigan support a higher diversity and abundance of exotic coccinellids than similar fields in Iowa, and that the landscape surrounding agricultural fields across the north central U.S. influences the abundance and activity of coccinellid species. The goal of this study was to quantify the amount of egg predation experienced by a native coccinellid within Michigan and Iowa soybean fields and explore the influence of local and large-scale landscape structure. Using the native lady beetle Coleomegilla maculata as a model, we found that sentinel egg masses were subject to intense predation within both Michigan and Iowa soybean fields, with 60.7% of egg masses attacked and 43.0% of available eggs consumed within 48 h. In Michigan, the exotic coccinellids Coccinella septempunctata and Harmonia axyridis were the most abundant predators found in soybean fields whereas in Iowa, native species including C. maculata, Hippodamia parenthesis and the soft-winged flower beetle Collops nigriceps dominated the predator community. Predator abundance was greater in soybean fields within diverse landscapes, yet variation in predator numbers did not influence the intensity of egg predation observed. In contrast, the strongest predictor of native coccinellid egg predation was the composition of edge habitats bordering specific fields. Field sites surrounded by semi-natural habitats including forests, restored prairies, old fields, and pasturelands experienced greater egg predation than fields surrounded by other croplands. This study shows that intraguild predation by both native and exotic predators may contribute to native coccinellid decline, and that landscape structure interacts with local predator communities to shape the specific outcomes of predator-predator interactions.

  7. The Balanced Budget Act of 1997 and U.S. hospital operations.

    PubMed

    Bazzoli, Gloria J; Lindrooth, Richard C; Hasnain-Wynia, Romana; Needleman, Jack

    The Balanced Budget Act (BBA) of 1997 initiated several changes to Medicare payment policy in an effort to slow the growth of hospital Medicare payments and ensure the future of the Medicare Hospital Insurance Trust Fund. Although subsequent federal legislation relaxed some original proposals, restored funds were limited and directed to specific types of hospitals. In addition, these Medicare policy changes came at a time when hospitals faced private sector payment constraints. This paper assesses the short-term effects of the BBA on operations of nonprofit hospitals in the United States and compares these effects to those observed in the early 1980s during implementation of the Medicare prospective payment system (PPS). We found that some operational changes instituted by hospitals facing financial pressures from the BBA were similar to those observed for hospitals that faced pressure from Medicare PPS, including efforts to contain Medicare cost growth, to expand outpatient service provision, and to contain hospital staffing. However, during PPS implementation hospitals experienced declining inpatient use and growing profit margins, whereas post-BBA hospitals experienced growing inpatient use and declining margins.

  8. Experimental evidence for beneficial effects of projected climate change on hibernating amphibians.

    PubMed

    Üveges, Bálint; Mahr, Katharina; Szederkényi, Márk; Bókony, Veronika; Hoi, Herbert; Hettyey, Attila

    2016-05-27

    Amphibians are the most threatened vertebrates today, experiencing worldwide declines. In recent years considerable effort was invested in exposing the causes of these declines. Climate change has been identified as such a cause; however, the expectable effects of predicted milder, shorter winters on hibernation success of temperate-zone Amphibians have remained controversial, mainly due to a lack of controlled experimental studies. Here we present a laboratory experiment, testing the effects of simulated climate change on hibernating juvenile common toads (Bufo bufo). We simulated hibernation conditions by exposing toadlets to current (1.5 °C) or elevated (4.5 °C) hibernation temperatures in combination with current (91 days) or shortened (61 days) hibernation length. We found that a shorter winter and milder hibernation temperature increased survival of toads during hibernation. Furthermore, the increase in temperature and shortening of the cold period had a synergistic positive effect on body mass change during hibernation. Consequently, while climate change may pose severe challenges for amphibians of the temperate zone during their activity period, the negative effects may be dampened by shorter and milder winters experienced during hibernation.

  9. First and recurrent ischaemic heart disease events continue to decline in New Zealand, 2005-2015.

    PubMed

    Grey, Corina; Jackson, Rod; Wells, Susan; Wu, Billy; Poppe, Katrina; White, Harvey; Chan, Wing Cheuk; Kerr, Andrew J

    2018-01-01

    To examine recent trends in first and recurrent ischaemic heart disease (IHD) deaths and hospitalisations. Using anonymous patient-linkage of routinely collected data, all New Zealanders aged 35-84 years who experienced an International Statistical Classification of Diseases and Related Health Problems I(CD)-coded IHD hospitalisation and/or IHD death between 1 January 2005 and 31 December 2015 were identified. A 10-year look-back period was used to differentiate those experiencing first from recurrent events. Age-standardised hospitalisation and mortality rates were calculated for each calendar year and trends compared by sex and age. 160 109 people experienced at least one IHD event (259 678 hospitalisations and 35 548 deaths) over the 11-year study period, and there was a steady decline in numbers (from almost 24 000 in 2005 to just over 16 000 in 2015) and in age-standardised rates each year. With the exception of deaths in younger (35-64 years) women with prior IHD, there was a significant decline in IHD events in men and women of all ages, with and without a history of IHD. The decline in IHD mortality was greater for those experiencing a first rather than recurrent IHD event (3.8%-5.2% vs 0%-3.7% annually on average). In contrast, the decline in IHD hospitalisations was greater for those experiencing a recurrent compared with a first IHD event (5.6%-7.3% vs 3.2%-5.7% annually on average). The substantial decline in IHD hospitalisations and mortality observed in New Zealanders with and without prior IHD between 2005 and 2015 suggests that primary and secondary prevention efforts have been effective in reducing the occurrence of IHD events. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  10. Accelerated cognitive decline in a rodent model for temporal lobe epilepsy.

    PubMed

    Schipper, Sandra; Aalbers, Marlien W; Rijkers, Kim; Lagiere, Melanie; Bogaarts, Jan G; Blokland, Arjan; Klinkenberg, Sylvia; Hoogland, Govert; Vles, Johan S H

    2016-12-01

    Cognitive impairment is frequently observed in patients with temporal lobe epilepsy. It is hypothesized that cumulative seizure exposure causes accelerated cognitive decline in patients with epilepsy. We investigated the influence of seizure frequency on cognitive decline in a rodent model for temporal lobe epilepsy. Neurobehavioral assessment was performed before and after surgery, after the induction of self-sustaining limbic status epilepticus (SSLSE), and in the chronic phase in which rats experienced recurrent seizures. Furthermore, we assessed potential confounders of memory performance. Rats showed a deficit in spatial working memory after the induction of the SSLSE, which endured in the chronic phase. A progressive decline in recognition memory developed in SSLSE rats. Confounding factors were absent. Seizure frequency and also the severity of the status epilepticus were not correlated with the severity of cognitive deficits. The effect of the seizure frequency on cognitive comorbidity in epilepsy has long been debated, possibly because of confounders such as antiepileptic medication and the heterogeneity of epileptic etiologies. In an animal model of temporal lobe epilepsy, we showed that a decrease in spatial working memory does not relate to the seizure frequency. This suggests for other mechanisms are responsible for memory decline and potentially a common pathophysiology of cognitive deterioration and the occurrence and development of epileptic seizures. Identifying this common denominator will allow development of more targeted interventions treating cognitive decline in patients with epilepsy. The treatment of interictal symptoms will increase the quality of life of many patients with epilepsy. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Investigating impacts of oil and gas development on greater sage-grouse

    USGS Publications Warehouse

    Green, Adam; Aldridge, Cameron L.; O'Donnell, Michael

    2017-01-01

    The sagebrush (Artemisia spp.) ecosystem is one of the largest ecosystems in western North America providing habitat for species found nowhere else. Sagebrush habitats have experienced dramatic declines since the 1950s, mostly due to anthropogenic disturbances. The greater sage-grouse (Centrocercus urophasianus) is a sagebrush-obligate species that has experienced population declines over the last several decades, which are attributed to a variety of disturbances including the more recent threat of oil and gas development. We developed a hierarchical, Bayesian state-space model to investigate the impacts of 2 measures of oil and gas development, and environmental and habitat conditions, on sage-grouse populations in Wyoming, USA using male lek counts from 1984 to 2008. Lek attendance of male sage-grouse declined by approximately 2.5%/year and was negatively related to oil and gas well density. We found little support for the influence of sagebrush cover and precipitation on changes in lek counts. Our results support those of other studies reporting negative impacts of oil and gas development on sage-grouse populations and our modeling approach allowed us to make inference to a longer time scale and larger spatial extent than in previous studies. In addition to sage-grouse, development may also negatively affect other sagebrush-obligate species, and active management of sagebrush habitats may be necessary to maintain some species. 

  12. Long and spatially variable Neolithic Demographic Transition in the North American Southwest

    PubMed Central

    Kohler, Timothy A.; Reese, Kelsey M.

    2014-01-01

    In many places of the world, a Neolithic Demographic Transition (NDT) is visible as a several-hundred-year period of increased birth rates coupled with stable mortality rates, resulting in dramatic population growth that is eventually curtailed by increased mortality. Similar processes can be reconstructed in particular detail for the North American Southwest, revealing an anomalously long and spatially variable NDT. Irrigation-dependent societies experienced relatively low birth rates but were quick to achieve a high degree of sociopolitical complexity, whereas societies dependent on dry or rainfed farming experienced higher birth rates but less initial sociopolitical complexity. Low birth rates after A.D. 1200 mark the beginning of the decline of the Hohokam. Overall in the Southwest, birth rates increased slowly from 1100 B.C. to A.D. 500, and remained at high levels with some fluctuation until decreasing rapidly beginning A.D. 1300. Life expectancy at 15 increased slowly from 900 B.C. to A.D. 700, and then increased rapidly for 200 y before fluctuating and then declining after A.D. 1400. Life expectancy at birth, on the other hand, generally declined from 1100 B.C. to A.D. 1100/1200, before rebounding. Farmers took two millennia (∼1100 B.C. to ∼A.D. 1000) to reach the carrying capacity of the agricultural niche in the Southwest. PMID:24982134

  13. Toxicity of two insecticides to California, USA, anurans and its relevance to declining amphibian populations

    USGS Publications Warehouse

    Sparling, D.W.; Fellers, G.M.

    2009-01-01

    Contaminants have been associated with population declines of several amphibian species in California (USA). Pesticides from the Central Valley of California are transported by winds into the Sierra Nevada Mountains and precipitate into wet meadows where amphibians breed. The present study examined the chronic toxicity of two of the insecticides most commonly used in the Central Valley and found in the mountains, chlorpyrifos and endosulfan, to larval Pacific treefrogs (Pseudacris regilla) and foothill yellow-legged frogs (Rana boylii) and discusses the implications of this toxicity to declining amphibian populations. Larvae were exposed to the pesticides from Gosner stages 25 to 26 through metamorphosis. The estimated median lethal concentration (LC50) for chlorpyrifos was 365 ??g/L in P. regilla and 66.5 ??g/L for R. boylii. Time to metamorphosis increased with concentration of chlorpyrifos in both species, and cholinesterase activity declined with exposure concentration in metamorphs of both species at Gosner stages 42 to 46. For endosulfan, the estimated LC50 was 15.6 ??g/L for P. regilla and 0.55 ??g/L for R. boylii. All R. boylii exposed to concentrations of greater than 0.8 ??g/L died before they entered metamorphosis. Pseudacris regilla remains relatively abundant and is broadly distributed throughout California. In contrast, R. boylii is among the species experiencing severe population declines. The present study adds to the increasing evidence that pesticides are very harmful to amphibians living in areas that are miles from sources of pesticide application. ?? 2009 SETAC.

  14. Assessing the Factors of Regional Growth Decline of Sugar Maple

    NASA Astrophysics Data System (ADS)

    Bishop, D. A.; Beier, C. M.; Pederson, N.; Lawrence, G. B.; Stella, J. C.; Sullivan, T. J.

    2014-12-01

    Sugar maple (Acer saccharum Marsh) is among the most ecologically, economically and culturally important trees in North America, but has experienced a decline disease across much of its range. We investigated the climatic and edaphic factors associated with A. saccharum growth in the Adirondack Mountains (USA) using a well-replicated tree-ring network incorporating a range of soil fertility (base cation availability). We found that nearly 3 in 4 A. saccharum trees exhibited declining growth rates during the last several decades, regardless of tree age or size. Although diameter growth was consistently higher on base-rich soils, the negative trends in growth were largely consistent across the soil chemistry gradient. Sensitivity of sugar maple growth to climatic variability was overall weaker than expected, but were also non-stationary during the 20th century. We observed increasingly positive responses to late-winter precipitation, increasingly negative responses to growing season temperatures, and strong positive responses to moisture availability during the 1960s drought that became much weaker during the recent pluvial. Further study is needed of these factors and their interactions as potential mechanisms for sugar maple growth decline.

  15. Doing good when times are bad: volunteering behaviour in economic hard times.

    PubMed

    Lim, Chaeyoon; Laurence, James

    2015-06-01

    This paper examines how the 2008-9 recession has affected volunteering behaviours in the UK. Using a large survey dataset, we assess the recession effects on both formal volunteering and informal helping behaviours. Whilst both formal volunteering and informal helping have been in decline in the UK since 2008, the size of the decline is significantly larger for informal helping than for formal volunteering. The decline is more salient in regions that experienced a higher level of unemployment during the recession and also in socially and economically disadvantaged communities. However, we find that a growing number of people who personally experienced financial insecurity and hardship do not explain the decline. We argue that the decline has more to do with community-level factors such as civic organizational infrastructure and cultural norms of trust and engagement than personal experiences of economic hardship. © London School of Economics and Political Science 2015.

  16. Persistent effects of a severe drought on Amazonian forest canopy.

    PubMed

    Saatchi, Sassan; Asefi-Najafabady, Salvi; Malhi, Yadvinder; Aragão, Luiz E O C; Anderson, Liana O; Myneni, Ranga B; Nemani, Ramakrishna

    2013-01-08

    Recent Amazonian droughts have drawn attention to the vulnerability of tropical forests to climate perturbations. Satellite and in situ observations have shown an increase in fire occurrence during drought years and tree mortality following severe droughts, but to date there has been no assessment of long-term impacts of these droughts across landscapes in Amazonia. Here, we use satellite microwave observations of rainfall and canopy backscatter to show that more than 70 million hectares of forest in western Amazonia experienced a strong water deficit during the dry season of 2005 and a closely corresponding decline in canopy structure and moisture. Remarkably, and despite the gradual recovery in total rainfall in subsequent years, the decrease in canopy backscatter persisted until the next major drought, in 2010. The decline in backscatter is attributed to changes in structure and water content associated with the forest upper canopy. The persistence of low backscatter supports the slow recovery (>4 y) of forest canopy structure after the severe drought in 2005. The result suggests that the occurrence of droughts in Amazonia at 5-10 y frequency may lead to persistent alteration of the forest canopy.

  17. Recent fertility declines in China and India: a comparative view.

    PubMed

    Kulkarni, P M; Rani, S

    1995-12-01

    This paper compares fertility transitions in China and parts of India. It is argued that China experienced a more rapid and more "impressive" decline than that of India. Socioeconomic conditions in China were more conducive to fertility decline. Kerala State in India experienced a similar decline as China but at a slower pace. The birth control campaign in China is credited with an important role in speeding the transition. It is posited that the political and administrative system and economic conditions in India are not compatible with the Chinese style program strategies. Both countries had similar fertility levels in the immediate post-revolutionary period. The most rapid decline occurred during the 1970s in China. The fertility transition was almost completed by 1981. In India, the total fertility rate (TFR) declined by only 1 point between the 1950s and 1981. In China TFR declined over 3 points during 1970-81. 76.7% of the decline in China during 1970-81 is attributed to a marked decline in marital fertility in all age groups, with the exception of ages 15-19 years. The decline in India is attributed to the decline in marital fertility. Female age at marriage rose in India, but less "impressively." In 1981 the mean age at marriage in India was 18.4 years, but it was 22.8 years in China. Marital fertility among women aged older than 30 years was considerably lower in China. Both countries experienced an increase in literacy, but in China the level of literacy was much greater. Both countries faced food shortages, but China improved food availability and calorie consumption per capita. Health services also improved in both countries, but the Chinese system of "barefoot" doctors brought services with easier reach of rural populations. Political structures differed in their dominance and organization. Family planning programs were introduced earlier in India, but prevalence was 64.4% in China in 1981 and about 22% in India.

  18. Cognitive decline in patients with Alzheimer's disease, vascular dementia and senile dementia of Lewy body type.

    PubMed

    Ballard, C; Patel, A; Oyebode, F; Wilcock, G

    1996-05-01

    One hundred and twenty-four patients with DSM-III-R dementia were assessed with a standardized battery which included the Geriatric Mental State Schedule, the History and Aetiology Schedule, the Secondary Dementia Schedule and the CAMCOG. Patients with Alzheimer's disease, vascular dementia and senile dementia of Lewy body type (SDLT) all had a similar degree of cognitive impairment at the time of the baseline interview. Patients with Alzheimer's disease and vascular dementia each experienced a mean decline of 27 points in patients with SDLT. Patients with SDLT had a significantly greater decline of verbal fluency than both the other groups. Women were significantly more impaired than men at the time of the baseline assessment but experienced a similar decline during the year of follow-up.

  19. Learning curve of speech recognition.

    PubMed

    Kauppinen, Tomi A; Kaipio, Johanna; Koivikko, Mika P

    2013-12-01

    Speech recognition (SR) speeds patient care processes by reducing report turnaround times. However, concerns have emerged about prolonged training and an added secretarial burden for radiologists. We assessed how much proofing radiologists who have years of experience with SR and radiologists new to SR must perform, and estimated how quickly the new users become as skilled as the experienced users. We studied SR log entries for 0.25 million reports from 154 radiologists and after careful exclusions, defined a group of 11 experienced radiologists and 71 radiologists new to SR (24,833 and 122,093 reports, respectively). Data were analyzed for sound file and report lengths, character-based error rates, and words unknown to the SR's dictionary. Experienced radiologists corrected 6 characters for each report and for new users, 11. Some users presented a very unfavorable learning curve, with error rates not declining as expected. New users' reports were longer, and data for the experienced users indicates that their reports, initially equally lengthy, shortened over a period of several years. For most radiologists, only minor corrections of dictated reports were necessary. While new users adopted SR quickly, with a subset outperforming experienced users from the start, identification of users struggling with SR will help facilitate troubleshooting and support.

  20. Habitat availability is a more plausible explanation than insecticide acute toxicity for U.S. grassland bird species declines

    USDA-ARS?s Scientific Manuscript database

    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 B...

  1. Assessment of Vegetation Responses and Sensitivity to the Millennium Drought in Australia

    NASA Astrophysics Data System (ADS)

    Jiao, T.; Williams, C. A.

    2016-12-01

    During the period from 1997 to 2009, Australia experienced one of the most severe and persistent drought known as the Millennium Drought (MD). Major water shortages were reported across the Australian continent as well as a great many tree mortality during and post this drought event. Given the projection of hotter and drier conditions for much of the continent, it is critical to analyze the impacts of climate extremes like MD as an indicator of possible impacts of future trends. Despite many field investigation, large-area monitoring of vegetation decline from MD remains lacking. Here, multi-source remote sensing datasets and novel methods were employed to assess the impacts of MD on vegetation in Australia in terms of the magnitude and sensitivity. Vegetation variables examined include fraction of photosynthetically absorbed radiation (fPar), vegetation optical depth (VOD) and aboveground biomass (AGB). Drought indicators are calculated based on precipitation and potential evapotranspiration from meteorological data. We found consistent spatial patterns in drought-induced declines among fPar, VOD and AGB. Common declines were observed in the east of New South Wales (NSW), the southeast of Queensland, the center and east of Victoria, and Tasmania. Severe declines (>0.2) in fPar concentrate in open forests and shrub lands while regions with more than 0.1 of decline in VOD are found widely across biome types. The net decrease in AGB could reach more than 20 Mg C per ha in the west of Victoria and the southwest of NSW. Sensitivity analysis shows that forests followed by herbaceous are more sensitive to drought than shrubs in terms of declines in fPar and VOD. In addition, vegetation tends to have larger sensitivity in semi-arid or semi-mesic regions than in areas that are either too dry or too wet.

  2. The erosion of employment-based insurance: more working families left uninsured.

    PubMed

    Gould, Elise

    2008-01-01

    The number of Americans without health insurance rose from 38.4 million in 2000 to 47.0 million in 2006, primarily due to the precipitous decline in employer-provided health coverage for workers and their families. Nearly 3.9 million fewer Americans under 65 had employer-provided coverage in 2006 than in 2000. The downward trend in the rate of employer-provided insurance continued for the sixth year in a row, falling from 68.3 to 62.9 percent. Individuals among the bottom 20 percent of household income were the least likely to have employer coverage. Jobholders experienced a significant decline in health insurance coverage, from 74.8 percent of workers in 2000 to 70.8 percent in 2006. No category of workers was insulated from loss of coverage. Children experienced declines in employer-provided health insurance coverage (through their parents) in each of the past five years, the rate falling from 65.9 percent of children in 2000 to 59.7 percent in 2006. Public health insurance (Medicaid and the State Children's Health Insurance Program) is no longer offsetting these losses. The decline in employer-provided coverage was felt throughout the country. Between the 2000-2001 and 2005-2006 periods, 38 states experienced significant losses in employment-based coverage for the under-65 population. No state experienced a significant increase in the coverage rate.

  3. Regional growth decline of sugar maple (Acer saccharum) and its potential causes

    USGS Publications Warehouse

    Bishop, Daniel A.; Beier, Colin M.; Pederson, Neil; Lawrence, Gregory B.; Stella, John C; Sullivan, Timothy J.

    2015-01-01

    Sugar maple (Acer saccharum Marsh) has experienced poor vigor, regeneration failure, and elevated mortality across much of its range, but there has been relatively little attention to its growth rates. Based on a well-replicated dendrochronological network of range-centered populations in the Adirondack Mountains (USA), which encompassed a wide gradient of soil fertility, we observed that the majority of sugar maple trees exhibited negative growth trends in the last several decades, regardless of age, diameter, or soil fertility. Such growth patterns were unexpected, given recent warming and increased moisture availability, as well as reduced acidic deposition, which should have favored growth. Mean basal area increment was greater on base-rich soils, but these stands also experienced sharp reductions in growth. Growth sensitivity of sugar maple to temperature and precipitation was non-stationary during the last century, with overall weaker relationships than expected. Given the favorable competitive status and age structure of the Adirondack sugar maple populations sampled, evidence of widespread growth reductions raises concern over this ecologically and economically important tree. Further study will be needed to establish whether growth declines of sugar maple are occurring more widely across its range.

  4. Did the Decline in Social Connections Depress Americans' Happiness?

    ERIC Educational Resources Information Center

    Bartolini, Stefano; Bilancini, Ennio; Pugno, Maurizio

    2013-01-01

    During the last 30 years US citizens experienced, on average, a decline in reported happiness, social connections, and confidence in institutions. We show that a remarkable portion of the decrease in happiness is predicted by the decline in social connections and confidence in institutions. We carry out our investigation in three steps. First, we…

  5. Reversing Africa's Decline. Worldwatch Paper 65.

    ERIC Educational Resources Information Center

    Brown, Lester R.; Wolf, Edward C.

    This paper highlights some of the themes that any successful strategy to reverse the decline of Africa must embrace. Africa is a continent experiencing a breakdown in the relationship between people and their natural support systems. Famine and the threat of famine are among the manifestations of this breakdown. This decline can be reversed. To do…

  6. Teachers' Perspectives Regarding the Decline in Boys' Participation in Post-Compulsory Rigorous Mathematics Subjects

    ERIC Educational Resources Information Center

    Easey, Michael

    2013-01-01

    This paper explores the decline in boys' participation in post-compulsory rigorous mathematics using the perspectives of eight experienced teachers at an independent, boys' College located in Brisbane, Queensland. This study coincides with concerns regarding the decline in suitably qualified tertiary graduates with requisite mathematical skills…

  7. Racial differences in leading causes of infant death in the United States.

    PubMed

    Muhuri, Pradip K; MacDorman, Marian F; Ezzati-Rice, Trena M

    2004-01-01

    We used linked birth/infant death records of over 23 million singletons belonging to six birth cohorts (1989-91 and 1995-97) and examined changes in race differentials in the overall and cause-specific infant mortality risks across time in the United States. Results show that infant mortality declined for all races during the time period, with disproportionately greater declines among non-Hispanic American Indians (AIs). Among the leading causes of infant death, declines in mortality from sudden infant death syndrome (SIDS), respiratory distress syndrome (RDS) and congenital anomalies contributed the most to the overall decline in infant mortality in the 1995-97 cohorts, compared with the 1989-91 cohorts. Disproportionately greater reductions in mortality resulting from SIDS and congenital anomalies led to more rapid mortality declines among non-Hispanic AIs than for other races. There are disturbing findings that infants of almost every race experienced increases in mortality from newborn affected by maternal complications of pregnancy (maternal complications) and that none of the race groups experienced a significant decline in mortality from disorders resulting from short gestation/low birthweight.

  8. Effect of continued treatment with pirfenidone following clinically meaningful declines in forced vital capacity: analysis of data from three phase 3 trials in patients with idiopathic pulmonary fibrosis.

    PubMed

    Nathan, Steven D; Albera, Carlo; Bradford, Williamson Z; Costabel, Ulrich; du Bois, Roland M; Fagan, Elizabeth A; Fishman, Robert S; Glaspole, Ian; Glassberg, Marilyn K; Glasscock, Kenneth F; King, Talmadge E; Lancaster, Lisa; Lederer, David J; Lin, Zhengning; Pereira, Carlos A; Swigris, Jeffrey J; Valeyre, Dominique; Noble, Paul W; Wells, Athol U

    2016-05-01

    The assessment of treatment response in idiopathic pulmonary fibrosis (IPF) is complicated by the variable clinical course. We examined the variability in the rate of disease progression and evaluated the effect of continued treatment with pirfenidone in patients who experienced meaningful progression during treatment. The source population included patients enrolled in the ASCEND and CAPACITY trials (N=1247). Pearson's correlation coefficients were used to characterise the relationship between changes in FVC during consecutive 6-month intervals in the placebo population. Outcomes following a ≥10% decline in FVC were evaluated by comparing the proportion of patients in the pirfenidone and placebo groups who experienced a ≥10% decline in FVC or death during the subsequent 6 months. A weak negative correlation was observed between FVC changes during consecutive intervals in the placebo population (coefficient, -0.146, p<0.001), indicating substantial variability. Thirty-four (5.5%) and 68 (10.9%) patients in the pirfenidone and placebo groups, respectively, experienced a ≥10% decline in FVC by month 6. During the subsequent 6 months, fewer patients in the pirfenidone group compared with placebo experienced a ≥10% decline in FVC or death (5.9% vs 27.9%; relative difference, 78.9%). There was one (2.9%) death in the pirfenidone group and 14 (20.6%) deaths in the placebo group (relative difference, 85.7%). Longitudinal FVC data from patients with IPF showed substantial intrasubject variability, underscoring the inability to reliably assess therapeutic response using serial FVC trends. In patients who progressed during treatment, continued treatment with pirfenidone resulted in a lower risk of subsequent FVC decline or death. NCT01366209, NCT00287729, NCT00287716. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  9. Effect of continued treatment with pirfenidone following clinically meaningful declines in forced vital capacity: analysis of data from three phase 3 trials in patients with idiopathic pulmonary fibrosis

    PubMed Central

    Nathan, Steven D; Albera, Carlo; Bradford, Williamson Z; Costabel, Ulrich; du Bois, Roland M; Fagan, Elizabeth A; Fishman, Robert S; Glaspole, Ian; Glassberg, Marilyn K; King, Talmadge E; Lancaster, Lisa; Lederer, David J; Lin, Zhengning; Pereira, Carlos A; Swigris, Jeffrey J; Valeyre, Dominique; Noble, Paul W; Wells, Athol U

    2016-01-01

    Background The assessment of treatment response in idiopathic pulmonary fibrosis (IPF) is complicated by the variable clinical course. We examined the variability in the rate of disease progression and evaluated the effect of continued treatment with pirfenidone in patients who experienced meaningful progression during treatment. Methods The source population included patients enrolled in the ASCEND and CAPACITY trials (N=1247). Pearson's correlation coefficients were used to characterise the relationship between changes in FVC during consecutive 6-month intervals in the placebo population. Outcomes following a ≥10% decline in FVC were evaluated by comparing the proportion of patients in the pirfenidone and placebo groups who experienced a ≥10% decline in FVC or death during the subsequent 6 months. Results A weak negative correlation was observed between FVC changes during consecutive intervals in the placebo population (coefficient, −0.146, p<0.001), indicating substantial variability. Thirty-four (5.5%) and 68 (10.9%) patients in the pirfenidone and placebo groups, respectively, experienced a ≥10% decline in FVC by month 6. During the subsequent 6 months, fewer patients in the pirfenidone group compared with placebo experienced a ≥10% decline in FVC or death (5.9% vs 27.9%; relative difference, 78.9%). There was one (2.9%) death in the pirfenidone group and 14 (20.6%) deaths in the placebo group (relative difference, 85.7%). Conclusions Longitudinal FVC data from patients with IPF showed substantial intrasubject variability, underscoring the inability to reliably assess therapeutic response using serial FVC trends. In patients who progressed during treatment, continued treatment with pirfenidone resulted in a lower risk of subsequent FVC decline or death. Trial registration numbers NCT01366209, NCT00287729, NCT00287716. PMID:26968970

  10. Changing rates and patterns of drug resistance mutations in antiretroviral-experienced HIV-infected patients.

    PubMed

    de Mendoza, Carmen; Garrido, Carolina; Corral, Angelica; Ramírez-Olivencia, German; Jiménez-Nacher, Inmaculada; Zahonero, Natalia; Gonzalez-Lahoz, Juan; Soriano, Vincent

    2007-07-01

    Surveillance of drug resistance mutations in antiretroviral-experienced HIV(+) patients may provide useful information regarding options available for rescue interventions. All resistance tests performed from 1999 to 2005 on antiretroviral-experienced individuals at one reference laboratory in Madrid were examined. Only mutations associated with drug resistance recorded at the September 2006 IAS-USA list were considered. A total of 2137 specimens were analyzed. Overall, 71.1% showed resistance mutations to at least one drug class, 56.1% to at least two, and 21% to all three drug families. Resistance mutations were 65% for NRTI, 44.4% for NNRTI, and 42.5% for PI. Mutations T215Y/F, M184V, and M41L were the most frequent for NRTI. Their rate significantly declined since 1999. K65R significantly increased since 1999 (0.8%) to 2003 (7.3%) but declined up to 3.3% in 2005. For NNRTI, K103N significantly increased from 21.8% in 1999 to 29.5% in 2005 (p < 0.01). The most frequent PI resistance mutations were L90M (24.3%), V82X (19.9%), M46I/L (19.5%), and I54V (17.1%). The presence of five or more was 58.8% in 1999 but declined to 22.2% in 2005. The rate of drug resistance mutations causing NRTI and PI resistance has steadily declined in antiretroviral-experienced patients since 1999. The availability of a large number and/or more convenient NRTI as well as the wide use of ritonavir-boosted PI could explain these observations. However, broad PI cross-resistance was seen in nearly 25% of antiretroviral-experienced patients in 2005. Therefore, there is a still need for new antiretrovirals with different resistance profiles.

  11. Correlates of Recent Declines of Rodents in Northern and Southern Australia: Habitat Structure Is Critical

    PubMed Central

    Lawes, Michael J.; Fisher, Diana O.; Johnson, Chris N.; Blomberg, Simon P.; Frank, Anke S. K.; Fritz, Susanne A.; McCallum, Hamish; VanDerWal, Jeremy; Abbott, Brett N.; Legge, Sarah; Letnic, Mike; Thomas, Colette R.; Thurgate, Nikki; Fisher, Alaric; Gordon, Iain J.; Kutt, Alex

    2015-01-01

    Australia has experienced dramatic declines and extinctions of its native rodent species over the last 200 years, particularly in southern Australia. In the tropical savanna of northern Australia significant declines have occurred only in recent decades. The later onset of these declines suggests that the causes may differ from earlier declines in the south. We examine potential regional effects (northern versus southern Australia) on biological and ecological correlates of range decline in Australian rodents. We demonstrate that rodent declines have been greater in the south than in the tropical north, are strongly influenced by phylogeny, and are consistently greater for species inhabiting relatively open or sparsely vegetated habitat. Unlike in marsupials, where some species have much larger body size than rodents, body mass was not an important predictor of decline in rodents. All Australian rodent species are within the prey-size range of cats (throughout the continent) and red foxes (in the south). Contrary to the hypothesis that mammal declines are related directly to ecosystem productivity (annual rainfall), our results are consistent with the hypothesis that disturbances such as fire and grazing, which occur in non-rainforest habitats and remove cover used by rodents for shelter, nesting and foraging, increase predation risk. We agree with calls to introduce conservation management that limits the size and intensity of fires, increases fire patchiness and reduces grazing impacts at ecological scales appropriate for rodents. Controlling feral predators, even creating predator-free reserves in relatively sparsely-vegetated habitats, is urgently required to ensure the survival of rodent species, particularly in northern Australia where declines are not yet as severe as those in the south. PMID:26111037

  12. Correlates of Recent Declines of Rodents in Northern and Southern Australia: Habitat Structure Is Critical.

    PubMed

    Lawes, Michael J; Fisher, Diana O; Johnson, Chris N; Blomberg, Simon P; Frank, Anke S K; Fritz, Susanne A; McCallum, Hamish; VanDerWal, Jeremy; Abbott, Brett N; Legge, Sarah; Letnic, Mike; Thomas, Colette R; Thurgate, Nikki; Fisher, Alaric; Gordon, Iain J; Kutt, Alex

    2015-01-01

    Australia has experienced dramatic declines and extinctions of its native rodent species over the last 200 years, particularly in southern Australia. In the tropical savanna of northern Australia significant declines have occurred only in recent decades. The later onset of these declines suggests that the causes may differ from earlier declines in the south. We examine potential regional effects (northern versus southern Australia) on biological and ecological correlates of range decline in Australian rodents. We demonstrate that rodent declines have been greater in the south than in the tropical north, are strongly influenced by phylogeny, and are consistently greater for species inhabiting relatively open or sparsely vegetated habitat. Unlike in marsupials, where some species have much larger body size than rodents, body mass was not an important predictor of decline in rodents. All Australian rodent species are within the prey-size range of cats (throughout the continent) and red foxes (in the south). Contrary to the hypothesis that mammal declines are related directly to ecosystem productivity (annual rainfall), our results are consistent with the hypothesis that disturbances such as fire and grazing, which occur in non-rainforest habitats and remove cover used by rodents for shelter, nesting and foraging, increase predation risk. We agree with calls to introduce conservation management that limits the size and intensity of fires, increases fire patchiness and reduces grazing impacts at ecological scales appropriate for rodents. Controlling feral predators, even creating predator-free reserves in relatively sparsely-vegetated habitats, is urgently required to ensure the survival of rodent species, particularly in northern Australia where declines are not yet as severe as those in the south.

  13. A look at Asia's changing youth population.

    PubMed

    Xenos, P; Kabamalan, M; Westley, S B

    1999-01-01

    This report summarizes findings from a recent East-West Center study on demographic and social changes among young people aged 15-24 years in 17 countries in East, Southeast, and South Asia. Nearly every country in Asia has experienced fertility decline. Decline began in Japan and Singapore during the 1950s, followed by declines in Hong Kong, South Korea, Sri Lanka, the Philippines, Brunei, Taiwan, Malaysia, Thailand, and China during the 1960s. Declines occurred during the 1970s in Indonesia, India, and Myanmar. A "youth bulge" occurred about 20 years later due to declines in infant and child mortality. This bulge varies by country with the timing and magnitude of population growth and subsequent fertility decline. The proportion of youth population rises from 16% to 18% about 20 years after the beginning of fertility decline and declines to a much lower stable level after several decades. The bulge is large in countries with rapid fertility decline, such as China. Governments can minimize the effects of bulge on population growth by raising the legal age at marriage, lengthening the interval between first marriage and first birth, and increasing birth intervals. School enrollments among adolescents are rising. In South Korea, the population aged 15-24 years increased from 3.8 to 8.8 million during 1950-90, a rise of 132% compared to a rise of 653% among school enrollments. It is expected that the number of out-of-school youths will decline from 5.1 to 3.6 million during 1990-2025. Youth employment varies by gender. Policies/programs in family planning and reproductive health will need to address the changing needs of youth population.

  14. Breaking Up is Hard to do: The Impact of Unmarried Relationship Dissolution on Mental Health and Life Satisfaction

    PubMed Central

    Rhoades, Galena K.; Kamp Dush, Claire M.; Atkins, David C.; Stanley, Scott M.; Markman, Howard J.

    2011-01-01

    This study was the first to examine the impact of unmarried relationship break-up on psychological distress and life satisfaction using a within-subjects design. Among unmarried 18 to 35-year olds (N = 1295), 36.5% had one or more break-ups over a 20-month period. Experiencing a break-up was associated with an increase in psychological distress and a decline in life satisfaction (from pre- to post-dissolution). In addition, several characteristics of the relationship or of the break-up were associated with the magnitude of the changes in life satisfaction following a break-up. Specifically, having been cohabiting and having had plans for marriage were associated with larger declines in life satisfaction while having begun to date someone new was associated with smaller declines. Interestingly, having higher relationship quality at the previous wave was associated with smaller declines in life satisfaction following a break-up. No relationship or break-up characteristics were significantly associated with the magnitude of changes in psychological distress after a break-up. Existing theories are used to explain the results. Implications for clinical work and future research on unmarried relationships are also discussed. PMID:21517174

  15. Educational Opportunity, Parental Choice and Community: The Case for Reforming Public Education.

    ERIC Educational Resources Information Center

    Hawkins, Robert B., Jr.

    1982-01-01

    For the last 10 years, polling data have recorded a consistent decline in the American citizen's support for public education. While public schools experienced an 8 percent decline in enrollment between 1968 and 1978, private school enrollment grew by 12 percent. The decline in quality of public education over the last 50 years appears strongly…

  16. Persistent effects of a severe drought on Amazonian forest canopy

    PubMed Central

    Saatchi, Sassan; Asefi-Najafabady, Salvi; Malhi, Yadvinder; Aragão, Luiz E. O. C.; Anderson, Liana O.; Myneni, Ranga B.; Nemani, Ramakrishna

    2013-01-01

    Recent Amazonian droughts have drawn attention to the vulnerability of tropical forests to climate perturbations. Satellite and in situ observations have shown an increase in fire occurrence during drought years and tree mortality following severe droughts, but to date there has been no assessment of long-term impacts of these droughts across landscapes in Amazonia. Here, we use satellite microwave observations of rainfall and canopy backscatter to show that more than 70 million hectares of forest in western Amazonia experienced a strong water deficit during the dry season of 2005 and a closely corresponding decline in canopy structure and moisture. Remarkably, and despite the gradual recovery in total rainfall in subsequent years, the decrease in canopy backscatter persisted until the next major drought, in 2010. The decline in backscatter is attributed to changes in structure and water content associated with the forest upper canopy. The persistence of low backscatter supports the slow recovery (>4 y) of forest canopy structure after the severe drought in 2005. The result suggests that the occurrence of droughts in Amazonia at 5–10 y frequency may lead to persistent alteration of the forest canopy. PMID:23267086

  17. Competition amplifies drought stress in forests across broad climatic and compositional gradients

    USGS Publications Warehouse

    Gleason, Kelly; Bradford, John B.; Bottero, Alessandra; D'Amato, Tony; Fraver, Shawn; Palik, Brian J.; Battaglia, Michael; Iverson, Louis R.; Kenefic, Laura; Kern, Christel C.

    2017-01-01

    Forests around the world are experiencing increasingly severe droughts and elevated competitive intensity due to increased tree density. However, the influence of interactions between drought and competition on forest growth remains poorly understood. Using a unique dataset of stand-scale dendrochronology sampled from 6405 trees, we quantified how annual growth of entire tree populations responds to drought and competition in eight, long-term (multi-decadal), experiments with replicated levels of density (e.g., competitive intensity) arrayed across a broad climatic and compositional gradient. Forest growth (cumulative individual tree growth within a stand) declined during drought, especially during more severe drought in drier climates. Forest growth declines were exacerbated by high density at all sites but one, particularly during periods of more severe drought. Surprisingly, the influence of forest density was persistent overall, but these density impacts were greater in the humid sites than in more arid sites. Significant density impacts occurred during periods of more extreme drought, and during warmer temperatures in the semi-arid sites but during periods of cooler temperatures in the humid sites. Because competition has a consistent influence over growth response to drought, maintaining forests at lower density may enhance resilience to drought in all climates.

  18. The equivalence of numbers: The social value of avoiding health decline: An experimental web-based study

    PubMed Central

    Schwappach, David LB

    2002-01-01

    Background Health economic analysis aimed at informing policy makers and supporting resource allocation decisions has to evaluate not only improvements in health but also avoided decline. Little is known however, whether the "direction" in which changes in health are experienced is important for the public in prioritizing among patients. This experimental study investigates the social value people place on avoiding (further) health decline when directly compared to curative treatments in resource allocation decisions. Methods 127 individuals completed an interactive survey that was published in the World Wide Web. They were confronted with a standard gamble (SG) and three person trade-off tasks, either comparing improvements in health (PTO-Up), avoided decline (PTO-Down), or both, contrasting health changes of equal magnitude differing in the direction in which they are experienced (PTO-WAD). Finally, a direct priority ranking of various interventions was obtained. Results Participants strongly prioritized improving patients' health rather than avoiding decline. The mean substitution rate between health improvements and avoided decline (WAD) ranged between 0.47 and 0.64 dependent on the intervention. Weighting PTO values according to the direction in which changes in health are experienced improved their accuracy in predicting a direct prioritization ranking. Health state utilities obtained by the standard gamble method seem not to reflect social values in resource allocation contexts. Conclusion Results suggest that the utility of being cured of a given health state might not be a good approximation for the societal value of avoiding this health state, especially in cases of competition between preventive and curative interventions. PMID:11879529

  19. Are malnutrition and stress risk factors for accelerated cognitive decline? A prisoner of war study.

    PubMed

    Sulway, M R; Broe, G A; Creasey, H; Dent, O F; Jorm, A F; Kos, S C; Tennant, C C

    1996-03-01

    We set out to test the hypothesis that severe malnutrition and stress experienced by prisoners of war (POWs) are associated with cognitive deficits later in life. We assessed 101 former Australian POWs of the Japanese and 108 veteran control subjects using a battery of neuropsychological tests, a depression scale, a clinical examination for dementia, and CT. We divided the POWs into high weight loss (>35%) and low weight loss groups (<35%). We found no significant differences in cognitive performance between the POWs and control subjects or between high and low weight loss groups on any of the tests or in the prevalence of dementia. Scores on the depression scale showed that the former POWs had more depressive symptoms than the control subjects a decade previous, but the difference had diminished over time. This study does not support the hypothesis that malnutrition is a risk factor for accelerated cognitive decline nor the theory that severe stress can lead to hippocampal neuronal loss and cognitive deficits. Cognitive deficits in earlier studies of former POWs may have been associated with concurrent depression.

  20. Soil acidity and manganese in declining and nondeclining sugar maple stands in Pennsylvania.

    PubMed

    Kogelmann, Wilhelm J; Sharpe, William E

    2006-01-01

    For decades, the hardwood forests of northern Pennsylvania have been subjected to chronic atmospheric loading of acidifying agents. On marginal, high-elevation, unglaciated sites, sugar maples (Acer saccharum Marsh.) have experienced severe decline symptoms and mortality. Accelerated soil acidification, base cation leaching, and increased availability of toxic metals have been suggested as predisposing factors contributing to this decline. Manganese, an essential micronutrient, is also a potentially phytotoxic metal that may be a factor associated with poor sugar maple health on soils vulnerable to acidification from anthropogenic sources. We measured Mn levels in four compartments of the soil-tree system (soil, foliage, xylem wood, and sap) on three sugar maple stands in northern Pennsylvania. Two stands were classified as declining and one was in good health. Negative correlations were found between soil pH and Mn levels in the soil, foliage, sap, and xylem wood. Levels of Mn in these pools were consistently higher on declining sites, which correspondingly exhibited lower levels of Ca and Mg. Species differences between red maple (Acer rubrum L.) and sugar maple at the two declining sites suggested different tolerances to excessive Mn. Molar ratios of Mg/Mn and Ca/Mn were different among sites and showed potential as indicators of soil acidification. Significant correlations among soil, sap, foliage, and xylem wood Mn were also noted. These results show clear Mn differences among sites and, when viewed with recent Mn toxicity experiments and other observational studies, suggest that excessive Mn may play a role in the observed decline and mortality of sugar maple.

  1. Constituents' Perceptions in Northen California Conference: Determining What Aspects of Seventh-Day Adventist Education Are Important

    ERIC Educational Resources Information Center

    von Pohle, Berit

    2013-01-01

    Schools in the Seventh-day Adventist (SDA) school system have experienced an enrollment decline of more than 25% over the past 30 years. A wide range of anecdotal explanations for this decline are shared by SDA members of the constituency as well as many views about ways to reverse the decline. There is little empirical data, however, to provide…

  2. Evaluation of the Volvo intelligent vehicle initiative field operational test, version 1.3

    DOT National Transportation Integrated Search

    1998-08-01

    While all law enforcement agencies seem to be dealing with declining resources and increasing pressures to combat crime, urban police departments seem to be experiencing the greatest difficulty. It is in these agencies where the decline in crash repo...

  3. Increased Mortality Risk in Older Adults with Persistently Low or Declining Feelings of Usefulness to Others

    PubMed Central

    Gruenewald, Tara L.; Karlamangla, Arun S.; Greendale, Gail A.; Singer, Burton H.; Seeman, Teresa E.

    2009-01-01

    Objectives To determine if persistently low or declining feelings of usefulness to others in later life predicts increased mortality hazard in older adults. Methods Data on change in perceptions of usefulness, health, behavioral and psychosocial covariate factors, and mortality originate from the MacArthur Study of Successful Aging, a prospective study of 1,189 older adults (age 70–79 years). Results Older adults with persistently low feelings of usefulness or who experienced a decline to low feelings of usefulness over the first 3-years of the study experienced a greater hazard of mortality (sociodemographic adjusted HR = 1.75 (95% CI = 1.22 to 2.51)) over a subsequent 9-year follow-up as compared to older adults with persistently high feelings of usefulness. Discussion Older adults with persistently low perceived usefulness or feelings of usefulness that decline to a low level may be a vulnerable group with increased risk for poor health outcomes in later life. PMID:19104034

  4. What will my child's future hold? phenotypes of intellectual development in 2-8-year-olds with autism spectrum disorder.

    PubMed

    Solomon, Marjorie; Iosif, Ana-Maria; Reinhardt, Vanessa P; Libero, Lauren E; Nordahl, Christine W; Ozonoff, Sally; Rogers, Sally J; Amaral, David G

    2018-01-01

    We examined phenotypes of autism spectrum disorder (ASD) based on trajectories of intellectual development from early (ages 2-3 ½) to middle (ages 5-8) childhood in a recent clinically ascertained cohort. Participants included 102 children (82 males) initially diagnosed with ASD from the Autism Phenome Project longitudinal sample. Latent class growth analysis was used to identify distinct IQ trajectories. Baseline and developmental course differences among groups were assessed using univariate techniques and repeated measures regression models, respectively. A four class model best represented the data. Using the highest posterior probability, participants were assigned to High Challenges (25.5%), Stable Low (17.6%), Changers (35.3%), and Lesser Challenges (21.6%) groups. The High Challenges and Stable Low groups exhibited persistently low IQ, although, the High Challenges group experienced declines while the Stable Low group's scores remained more constant. Changers showed IQ improvement of > 2 standard deviations. The Lesser Challenges group had IQs in the average range at both times that were about 1 standard deviation higher at T2. In summation, 75% of the participants experienced some relative improvements in intellectual and/or other areas of functioning between ages 2 and 8 years. The Changers group demonstrated the most significant IQ change that was accompanied by adaptive communication improvement and declining externalizing symptoms. Only the Lesser Challenges group showed a significant reduction in ASD symptom severity, such that by age 8, 14% of them no longer met ADOS-2 criteria for ASD. All groups showed reductions in internalizing symptoms. Intervention history was not associated with group status. Autism Res 2018, 11: 121-132. © 2017 International Society for Autism Research, Wiley Periodicals, Inc. We examined how the IQs of children with autism spectrum disorder change between ages 2 and 8, and identified four patterns. Two groups exhibited persistently lower IQs. One group showed IQ increases of greater than 30 points with improved communicate abilities and declining disruptive behaviors. The final group had IQs in the average or better range at both time points, and 14% of them lost their diagnoses. Over half of the children experienced improved intellectual functioning between ages 2 and 8, whereas about 25% showed declines. Findings were not associated with intervention history. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.

  5. Democracy in Crisis?

    ERIC Educational Resources Information Center

    O'Neill, Brenda

    2006-01-01

    This article discusses the state of Canadian democracy. Although calling Canadian democracy as something to be in a crisis is still debatable, the author expresses worry over the declining turnout levels in recent elections. Canada--along with a number of other liberal democracies--has experienced a significant and consistent decline in election…

  6. Integrating inter- and intra-annual tree-ring width, carbon isotopes and anatomy: responses to climate variability in a temperate oak forest

    NASA Astrophysics Data System (ADS)

    Granda, Elena; Bazot, Stéphane; Fresneau, Chantal; Boura, Anaïs; Faccioni, Georgia; Damesin, Claire

    2015-04-01

    While many forests are experiencing strong tree declines due to climate change in temperate ecosystems, others nearby to those declining show no apparent signs of decline. This could be due to particular microsite conditions or, for instance, to a higher plasticity of given traits that allow a better performance under stressful conditions. We studied oak functional mechanisms (Quercus petraea) leading to the apparently healthy status of the forest and their relation to the observed climatic variability. This study was conducted in the Barbeau Forest (northern France), where cores from mature trees were collected. Three types of functional traits (secondary growth, physiological variables - δ13C and derived Δ13C and iWUE- and several anatomical ones -e.g. vessel area, density-) were recorded for each ring for the 1991-2011 period, distinguishing EW from LW in all measured traits. Among the three types of functional traits, those related to growth experienced the highest variability both between years and between individuals, followed by anatomical and physiological ones. Secondary growth maintained a constant trend during the study period. Instead, ring, EW and LW δ13C slightly declined from 1991 to 2011. Additional intra-ring δ13C analyses allowed for a more detailed understanding of the seasonal dynamics within each year. In particular, the year 2007 (an especially favorable climatic year during the growing season) showed the lowest δ13C values during the EW-LW transition for the whole study period. Inter-annual anatomical traits varied in their responses, but in general, no temporal trends were found. The results from structural equation modeling (SEM) showed direct relationships of seasonal climate and growth, as well as indirect relationships mediated by anatomical and physiological traits. We further discuss the implications of these results on future forest responses to ongoing climate changes.

  7. Patterns of Hand Grip Strength and Detection of Strength Loss in Patients Undergoing Bone Marrow Transplantation: A Feasibility Study.

    PubMed

    Sayre, Cindy A; Belza, Basia; Shannon Dorcy, Kathleen; Phelan, Elizabeth; Whitney, JoAnne D

    2017-09-01

    To determine the feasibility of measuring hand grip strength (HGS) daily in a population of recipients of bone marrow transplantation (BMT), to describe changes in strength measured by HGS, and to describe relationships between laboratory values (hematocrit, hemoglobin, and absolute neutrophil count) and HGS.
. Prospective, longitudinal, repeated measures, within subject.
. Inpatient units at the University of Washington Medical Center in Seattle.
. 33 patients admitted in preparation for BMT or for complications from BMT.
. HGS measured on admission and daily.
. HGS, absolute neutrophil count, hemoglobin, and hematocrit.
. Participants found HGS testing to be relatively easy. Average time to complete testing was 7.2 minutes (SD = 1.95). Nineteen experienced 20% or greater decline in HGS during hospitalization, with nine experiencing decline during the conditioning phase. Age, gender, and hemoglobin correlated with HGS. Strength loss was more likely in those undergoing allogeneic compared to autologous BMT.
. A majority of patients experienced strength decline during BMT, with a subgroup declining during conditioning. A positive relationship existed between HGS and hemoglobin and hematocrit in participants admitted for conditioning for BMT.
. Weakness increases risk for falls. Patients may experience as much as 50% strength loss during the course of hospitalization for BMT. Strength loss occurs in the conditioning phase for some patients.

  8. Long-term financial burden of breast cancer: experiences of a diverse cohort of survivors identified through population-based registries.

    PubMed

    Jagsi, Reshma; Pottow, John A E; Griffith, Kent A; Bradley, Cathy; Hamilton, Ann S; Graff, John; Katz, Steven J; Hawley, Sarah T

    2014-04-20

    To evaluate the financial experiences of a racially and ethnically diverse cohort of long-term breast cancer survivors (17% African American, 40% Latina) identified through population-based registries. Longitudinal study of women diagnosed with nonmetastatic breast cancer in 2005 to 2007 and reported to the SEER registries of metropolitan Los Angeles and Detroit. We surveyed 3,133 women approximately 9 months after diagnosis and 4 years later. Multivariable models evaluated correlates of self-reported decline in financial status attributed to breast cancer and of experiencing at least one type of privation (economically motivated treatment nonadherence and broader hardships related to medical expenses). Among 1,502 patients responding to both surveys, median out-of-pocket expenses were ≤ $2,000; 17% of respondents reported spending > $5,000; 12% reported having medical debt 4 years postdiagnosis. Debt varied significantly by race: 9% of whites, 15% of blacks, 17% of English-speaking Latinas, and 10% of Spanish-speaking Latinas reported debt (P = .03). Overall, 25% of women experienced financial decline at least partly attributed to breast cancer; Spanish-speaking Latinas had significantly increased odds of this decline relative to whites (odds ratio [OR], 2.76; P = .006). At least one privation was experienced by 18% of the sample; blacks (OR, 2.6; P < .001) and English-speaking Latinas (OR, 2.2; P = .02) were significantly more likely to have experienced privation than whites. Racial and ethnic minority patients appear most vulnerable to privations and financial decline attributable to breast cancer, even after adjustment for income, education, and employment. These findings should motivate efforts to control costs and ensure communication between patients and providers regarding financial distress, particularly for vulnerable subgroups.

  9. A decomposition analysis of recent fertility decline in Fiji.

    PubMed

    Gubhaju, B; Shahidullah, M

    1990-12-01

    Over the period 1966-86, both the Fijian and Indian populations of Fiji demonstrated declines in fertility. Differentials in the decline were, however, noted with the total fertility rate (TFR) of the Fijian population declining by 26% over the period compared to a 50% decline in the Indian TFR. Moreover, rate declines were not smooth and consistent over the period. Faster fertility decline was experienced in the 1st decade for both groups, slowing in the 2nd decade for Indian women, and stabilizing among the Fijians. This paper decomposes these differential changes in fertility rate into marital structure and marital fertility. The study was conducted using data from the censuses of 1966, 1976, and 1986. For the period 1966-76, declines in marital fertility contributed most to overall TFR decline for both ethnic groups. Marital structure had a reducing effect upon TFR among Indian women in the 1st decaed, but not during the 2nd. Fijian women experienced an overall negative impact from marital structure. Contraception plays an important role in limiting fertility in these 2 populations. Accordingly, differentials in acceptance were noticed, the family planning acceptance rate for Indians being almost twice that of Fijians; 35.6% and 18.7%, respectively in 1986. Compared to Indian women, Fijian women were more literate, more economically active, had higher life expectancies, and experience lower infant mortality rates. Nonetheless, they are not motivated to use family planning. Motivational, cultural, religious, and behavioral factors are suggested as causal factors determining acceptance and use of modern contraceptive methods.

  10. Impact of offspring death on cognitive health in late life: the Cache County study.

    PubMed

    Greene, Daylee; Tschanz, JoAnn T; Smith, Ken R; Ostbye, Truls; Corcoran, Chris; Welsh-Bohmer, Kathleen A; Norton, Maria C

    2014-11-01

    Experiencing the death of a child is associated with negative short-term mental health consequences, but less is known about cognitive outcomes and whether such associations extend to late life. We tested the hypothesis that experiencing an offspring death (OD) is associated with an increased rate of cognitive decline in late life. This population-based longitudinal study observed four cognitive statuses spaced 3-4 years apart, linked to an extensive database containing objective genealogic and vital statistics data. Home visits were conducted with 3,174 residents of a rural county in northern Utah, initially without dementia, aged 65-105. Cognitive status was measured with the Modified Mini-Mental State Exam at baseline and at 3-, 7-, and 10-year follow-ups. OD was obtained from the Utah Population Database, which contains statewide birth and death records. In linear mixed models, controlling for age, gender, education, and apolipoprotein E status, subjects who experienced OD while younger than age 31 years experienced a significantly faster rate of cognitive decline in late life, but only if they had an ε4 allele. Reclassifying all OD (regardless of age) according to subsequent birth of another child, OD was only related to faster cognitive decline when there were no subsequent births. Experiencing OD in early adulthood has a long-term association with cognitive functioning in late life, with a gene-environment interaction at the apolipoprotein E locus. Subsequent birth of another child attenuates this association. Copyright © 2014 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  11. Declining Student Enrollment: A Case Study Exploring How Three Suburban School Districts Crafted Coherence

    ERIC Educational Resources Information Center

    Dimmitt, Eric J.

    2012-01-01

    This qualitative multi-site case study's purpose was to prove that the crafting coherence process was evident when three suburban Midwestern school districts implemented schools' goals while experiencing reductions in instructional programming, staffing, and facilities resources along with school closings due to significant declining student…

  12. The status of Bombus occidentalis and B. moderatus in Alaska with special focus on Nosema bombi incidence

    USDA-ARS?s Scientific Manuscript database

    Technical Abstract: Four North American bumble bee species in the subgenus Bombus sensu stricto, including Bombus occidentalis (Hymenoptera: Apidae), are experiencing dramatic declines in population abundance, range and genetic diversity. The prevailing hypothesis concerning their decline is the ‘s...

  13. Rehabilitation Counseling Professional Associations: Membership, Membership Intentions, and Levels of Commitment among Rehabilitation Counseling Professionals

    ERIC Educational Resources Information Center

    Phillips, Brian N.

    2011-01-01

    Declining membership is a concerning, yet poorly understood issue affecting professional associations across many disciplines (Bauman, 2008). The discipline of rehabilitation counseling is experiencing membership decline even as the number of certified rehabilitation counselors continues to increase (Leahy, 2009). Little empirical research…

  14. Indian Residential Segregation in the Urban Southwest: 1970 and 1980.

    ERIC Educational Resources Information Center

    Bohland, James R.

    1982-01-01

    Indian segregation in 11 cities in the Southwest in 1970 and 1980 was less than the segregation of either Blacks or Spanish Americans. Indian segregation declined between 1970 and 1980, but the decline was least in cities experiencing the greatest growth in Indian population. (Author/AM)

  15. Assessing the association between homocysteine and cognition: reflections on Bradford Hill, meta-analyses, and causality.

    PubMed

    McCaddon, Andrew; Miller, Joshua W

    2015-10-01

    Hyperhomocysteinemia is a recognized risk factor for cognitive decline and incident dementia in older adults. Two recent reports addressed the cumulative epidemiological evidence for this association but expressed conflicting opinions. Here, the evidence is reviewed in relation to Sir Austin Bradford Hill's criteria for assessing "causality," and the latest meta-analysis of the effects of homocysteine-lowering on cognitive function is critically examined. The meta-analysis included 11 trials, collectively assessing 22,000 individuals, that examined the effects of B vitamin supplements (folic acid, vitamin B12, vitamin B6) on global or domain-specific cognitive decline. It concluded that homocysteine-lowering with B vitamin supplements has no significant effect on cognitive function. However, careful examination of the trials in the meta-analysis indicates that no conclusion can be made regarding the effects of homocysteine-lowering on cognitive decline, since the trials typically did not include individuals who were experiencing such decline. Further definitive trials in older adults experiencing cognitive decline are still urgently needed. © The Author(s) 2015. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  16. Effect of high-dose stereotactic body radiation therapy on liver function in the treatment of primary and metastatic liver malignancies using the Child-Pugh score classification system.

    PubMed

    Dyk, Pawel; Weiner, Ashley; Badiyan, Shahed; Myerson, Robert; Parikh, Parag; Olsen, Jeffrey

    2015-01-01

    The purpose of this study was to evaluate liver function after high-dose liver stereotactic body radiation therapy (SBRT) in the treatment of metastatic and primary malignancies of the liver using the Child-Pugh score classification system. This was a retrospective analysis of 46 patients treated with SBRT for metastatic and primary malignancies of the liver. Patient, disease, prior treatment, and SBRT dosimetric factors were analyzed to correlate with decline in Child-Pugh class after liver SBRT. Median follow-up was 11.0 months for patients alive at last follow-up. Twenty-three patients (50%) had primary liver malignancies. Median delivered dose was 55 Gy in 5 fractions (range, 36-60 Gy in 3-6 fractions) to 1 lesion (range, 1-4 lesions) measuring 4.0 cm (range, 1.3-12.4 cm). Forty-one patients (89%) received ≥50 Gy in 3 to 6 fractions. Child-Pugh score classification was A in 42 patients (91%). Seven patients (15%) received adjuvant chemotherapy or targeted therapy. Twenty-nine patients (63%) experienced an intrahepatic recurrence after treatment. Ten patients (22%) experienced a decline in Child-Pugh class at a median of 1.6 months (range, 0.2-6 months). Eighty percent experienced a one-category decline. Only the V20, V25, V30, and V50 were correlated with decline in Child-Pugh class on univariate analysis, with V25 being most significant (P = .027). A V25 >32% was associated with a 42% incidence of Child-Pugh class decline compared with 9% for V25 ≤32 (P = .029). For primary liver malignancies, a V25 >36% was associated with a 4-fold increase in the incidence of Child-Pugh class decline (60% vs 15%, P = .021). Approximately one-quarter of patients experience a decline in Child-Pugh class after high-dose liver SBRT. The V25 may be an important dosimetric parameter predicting decline in liver function after treatment. Copyright © 2015 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.

  17. Effect of Experimentally Manipulated Fire Regimes on the Response of Forests to Drought

    NASA Astrophysics Data System (ADS)

    Refsland, T. K.; Knapp, B.; Fraterrigo, J.

    2017-12-01

    Climate change is expected to increase drought stress in many forests and alter fire regimes. Fire can reduce tree density and thus competition for limited water, but the effects of changing fire regimes on forest productivity during drought remain poorly understood. We measured the annual ring-widths of adult oak (Quercus spp.) trees in Mark Twain National Forest, Missouri USA that experienced unburned, annual or periodic (every 4 years) surface fire treatments from 1951 - 2015. Severe drought events were identified using the BILJOU water balance model. We determined the effect of fire treatment on stand-level annual growth rates as well as stand-level resistance and resilience to drought, defined as the drought-induced reduction in growth and post-drought recovery in growth, respectively. During favorable wet years, annual and periodic fire treatments reduced annual growth rates by approximately 10-15% relative to unburned controls (P < 0.001). Stand-level growth rates declined 22-40% during drought events (P < 0.001), but fire-driven changes to stand basal area had no effect on the resistance or resilience of trees to drought. The decline in annual growth rates of burned stands during favorable wet years was likely caused by increased nitrogen (N) limitation in burned plots. After 60 years of treatment, burned plots experienced 30% declines in total soil N relative to unburned plots. Our finding that drought resistance and resilience were similar across all treatments suggest that fire-driven reductions in stand density may have negligible effects on soil moisture availability during drought. Our results highlight that climate-fire interactions can have important long-term effects on forest productivity.

  18. Drug and Alcohol Abuse in Booming and Depressed Communities. Services Research Report.

    ERIC Educational Resources Information Center

    Milkman, Raymond H.; And Others

    Boom towns appear to have greater problems of substance abuse associated with economic change indicators than communities suffering from sudden economic declines. A study of 14 communities experiencing sudden economic dislocations revealed a lack of consistent trends, although some depressed communities experienced increases in alcohol abuse. In…

  19. Evolution and devolution of folkbiological knowledge.

    PubMed

    Wolff, P; Medin, D L; Pankratz, C

    1999-12-07

    In this paper we present evidence in support of the hypothesis that the average person's knowledge about trees, and about the natural world in general, has declined during the 20th century. Our investigations are based on examination of a large sample of written material from the 16th through 20th centuries contained in the Oxford English Dictionary. In Analysis 1, we show a precipitous decline in the use of tree terms after, but not before, the 19th century. In Analysis 2, we analyze tree terms at different levels of organization and show that the decline observed in Analysis 1 occurs for all levels of organization. This second analysis also reveals that during the 16th to 19th centuries tree terms became progressively more specific, suggesting that during these periods knowledge about trees increased. In Analysis 3, we show similar rates of decline in other folkbiological categories, indicating that the change in tree terms reflects a general decline in knowledge about living kinds. Also in Analysis 3, we show that several non-biological categories have experienced evolution during the 20th century, indicating that the declines in the 20th century for folkbiological categories are not an inevitable outcome of the corpus. Finally, Analysis 4 also shows declines in the frequency of quotations for which the tree term was not the topic of the sentence, and thus incidental to the purposes of the writer. The results from Analysis 4 reassure us that the results from Analyses 1-3 were not solely due to change in the aims and purposes of writers over the centuries. In sum, the analyses indicate that in the domain of trees, there has been a long and sustained period of conceptual evolution followed by a recent pronounced period of devolution.

  20. Stability and predictors of change in salivary cortisol measures over six years: MESA.

    PubMed

    Wang, Xu; Sánchez, Brisa N; Golden, Sherita Hill; Shrager, Sandi; Kirschbaum, Clemens; Karlamangla, Arun S; Seeman, Teresa E; Roux, Ana V Diez

    2014-11-01

    A major challenge in characterizing features of the daily cortisol curve is variability in features over time. Few studies have examined the stability of daily features of the cortisol curve over long periods or the predictors of long term changes. Repeated salivary cortisol measures on 580 adults from the MESA Stress study were used to examine the stability of various features of the daily cortisol curve (wakeup value, the cortisol awakening response (CAR), the early and late decline slope and the area under the curve (AUC)), over short periods (several days) and long periods (approximately 6-years) and to investigate the association of demographic factors with the changes. Intraclass correlation coefficients (ICCs) were used to estimate the short and long term stability. Piecewise linear mixed models were used to assess factors associated with changes in features over time. For most features, short term stability (ICCs: 0.17-0.74) was higher than long term stability (ICCs: 0.05-0.42), and long term stability was highest when several days were averaged for each time point. The decline over the day showed the highest long term stability: when several days for each wave were averaged the stability of the daily decline slope across 6 years was similar (or higher) than the stability across short periods. AUC had high stability over short periods (ICCs: 0.65-0.74) but much lower stability across long periods (ICC: 0.05). All features of daily cortisol curve investigated changed significantly over the approximately 6 year follow-up period. The wakeup cortisol became higher; the CAR became smaller; both the early and late decline became flatter; and the AUC became larger. Hispanics experienced significantly larger increases in the wakeup value; and African-Americans and Hispanics showed less flattening over time of the early decline slope than Non-Hispanic Whites. Our findings have implications for characterization of features in studies linking cortisol to health outcomes. The presence of variability over time suggests opportunities for future investigation of the predictors of changes over time as well as the links between these changes and health outcomes. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Population genetic structure and dispersal across a fragmented landscape in cerulean warblers (Dendroica cerulea)

    Treesearch

    M.L. Veit; R.J. Robertson; P.B. Hamel; V.L. Friesen

    2005-01-01

    Cerulean warblers (Dendroica cerulea) have experienced significant declines across their breeding range and presently exist in disjunct populations, largely because of extensive loss and fragmentation of their breeding and wintering habitat. Despite this overall decline, a recent north-eastern expansion of the breeding range has been proposed, and...

  2. Propagating native milkweeds for restoring monarch butterfly habitat

    Treesearch

    Thomas D. Landis; R. Kasten Dumroese

    2015-01-01

    The number of monarch butterflies, charismatic nomads of North America, is rapidly declining. Milkweeds (Asclepias spp.), which are the sole food source for monarch caterpillars, have also experienced a decline throughout the breeding range of this butterfly. Milkweeds can be grown from seeds or vegetatively from root cuttings or rhizomes. Seed germination is often...

  3. Distance Education as Counter to Declining State Appropriations at Public Institutions

    ERIC Educational Resources Information Center

    Anderson, Theresa

    2017-01-01

    Universities and colleges have experienced a reduction in state appropriations since the 2008 Great Recession. The purpose of this phenomenological dissertation in practice study was to examine whether distance education would be a viable strategy to compensate for declining state appropriations at four-year public higher education institutions in…

  4. Red-cockaded woodpecker recovery: An integrated strategy

    Treesearch

    D. Craig Rudolph; Richard N. Conner; Jeffrey R. Walters

    2004-01-01

    Populations of the red-cockaded woodpecker (Picoides borealis) have experienced massive declines since European colonization of North America. This is due to extensive habitat loss and alteration. Logging of old-growth pine forests and alteration of the fire regime throughout the historic range of the species were the primary causes of population decline. Listing of...

  5. Widespread decline of Congo rainforest greenness in the past decade.

    PubMed

    Zhou, Liming; Tian, Yuhong; Myneni, Ranga B; Ciais, Philippe; Saatchi, Sassan; Liu, Yi Y; Piao, Shilong; Chen, Haishan; Vermote, Eric F; Song, Conghe; Hwang, Taehee

    2014-05-01

    Tropical forests are global epicentres of biodiversity and important modulators of climate change, and are mainly constrained by rainfall patterns. The severe short-term droughts that occurred recently in Amazonia have drawn attention to the vulnerability of tropical forests to climatic disturbances. The central African rainforests, the second-largest on Earth, have experienced a long-term drying trend whose impacts on vegetation dynamics remain mostly unknown because in situ observations are very limited. The Congolese forest, with its drier conditions and higher percentage of semi-evergreen trees, may be more tolerant to short-term rainfall reduction than are wetter tropical forests, but for a long-term drought there may be critical thresholds of water availability below which higher-biomass, closed-canopy forests transition to more open, lower-biomass forests. Here we present observational evidence for a widespread decline in forest greenness over the past decade based on analyses of satellite data (optical, thermal, microwave and gravity) from several independent sensors over the Congo basin. This decline in vegetation greenness, particularly in the northern Congolese forest, is generally consistent with decreases in rainfall, terrestrial water storage, water content in aboveground woody and leaf biomass, and the canopy backscatter anomaly caused by changes in structure and moisture in upper forest layers. It is also consistent with increases in photosynthetically active radiation and land surface temperature. These multiple lines of evidence indicate that this large-scale vegetation browning, or loss of photosynthetic capacity, may be partially attributable to the long-term drying trend. Our results suggest that a continued gradual decline of photosynthetic capacity and moisture content driven by the persistent drying trend could alter the composition and structure of the Congolese forest to favour the spread of drought-tolerant species.

  6. Drought and cooler temperatures are associated with higher nest survival in Mountain Plovers

    USGS Publications Warehouse

    Dreitz, V.J.; Conrey, R.Y.; Skagen, S.K.

    2012-01-01

    Native grasslands have been altered to a greater extent than any other biome in North America. The habitats and resources needed to support breeding performance of grassland birds endemic to prairie ecosystems are currently threatened by land management practices and impending climate change. Climate models for the Great Plains prairie region predict a future of hotter and drier summers with strong multiyear droughts and more frequent and severe precipitation events. We examined how fluctuations in weather conditions in eastern Colorado influenced nest survival of an avian species that has experienced recent population declines, the Mountain Plover (Charadrius montanus). Nest survival averaged 27.2% over a 7-yr period (n = 936 nests) and declined as the breeding season progressed. Nest survival was favored by dry conditions and cooler temperatures. Projected changes in regional precipitation patterns will likely influence nest survival, with positive influences of predicted declines in summer rainfall yet negative effects of more intense rain events. The interplay of climate change and land use practices within prairie ecosystems may result in Mountain Plovers shifting their distribution, changing local abundance, and adjusting fecundity to adapt to their changing environment.

  7. In situ effects of pesticides on amphibians in the Sierra Nevada.

    PubMed

    Sparling, Donald W; Bickham, John; Cowman, Deborah; Fellers, Gary M; Lacher, Thomas; Matson, Cole W; McConnell, Laura

    2015-03-01

    For more than 20 years, conservationists have agreed that amphibian populations around the world are declining. Results obtained through laboratory or mesocosm studies and measurement of contaminant concentrations in areas experiencing declines have supported a role of contaminants in these declines. The current study examines the effects of contaminant exposure to amphibians in situ in areas actually experiencing declines. Early larval Pseudacris regilla were translocated among Lassen Volcanic, Yosemite and Sequoia National Parks, California, USA and caged in wetlands in 2001 and 2002 until metamorphosis. Twenty contaminants were identified in tadpoles with an average of 1.3-5.9 (maximum = 10) contaminants per animal. Sequoia National Park, which had the greatest variety and concentrations of contaminants in 2001, also had tadpoles that experienced the greatest mortality, slowest developmental rates and lowest cholinesterase activities. Yosemite and Sequoia tadpoles and metamorphs had greater genotoxicity than those in Lassen during 2001, as determined by flow cytometry. In 2001 tadpoles at Yosemite had a significantly higher rate of malformations, characterized as hemimelia (shortened femurs), than those at the other two parks but no significant differences were observed in 2002. Fewer differences in contaminant types and concentrations existed among parks during 2002 compared to 2001. In 2002 Sequoia tadpoles had higher mortality and slower developmental rates but there was no difference among parks in cholinesterase activities. Although concentrations of most contaminants were below known lethal concentrations, simultaneous exposure to multiple chemicals and other stressors may have resulted in lethal and sublethal effects.

  8. Parental decision making around perinatal autopsy: a qualitative investigation.

    PubMed

    Meaney, Sarah; Gallagher, Stephen; Lutomski, Jennifer E; O'Donoghue, Keelin

    2015-12-01

    Decades of decline in uptake rates of perinatal autopsies has limited investigation into the causes and risk factors for stillbirth. This study aimed to qualitatively explore perinatal autopsy decision-making processes in parents who experienced antepartum and intrapartum stillbirths. A qualitative semi-structured interview format was utilized. The line of questioning centred on how parents came to decide on consenting or declining to have a perinatal autopsy undertaken. Interpretative phenomenological analysis was employed as the analytic strategy. Purposive sampling was used to recruit 10 parents who either consented or declined autopsy from a large tertiary maternity hospital in Cork Ireland, where there were 30 stillbirths in 2011. Findings revealed four superordinate themes influencing parents' decision-making which varied with type of stillbirth experienced. Those parents who experienced antepartum stillbirths were more likely to consent; thus, knowing that the child was stillborn prior to delivery rather than on the day of delivery was associated with consent. In fact, these parents had more time for meaning-making; those consenting wanted to rule out self-blame and were fearful about future pregnancies. Parents who declined autopsy wanted to protect their infant from further harm. Interestingly, parents' knowledge and understanding of the autopsy itself were acquired primarily from public discourse. Parents' decision-making regarding autopsy is profoundly affected by their emotional response to stillbirth; clinicians and other health professionals may play a key role, especially if they can address parental concerns regarding the invasiveness of the autopsy procedure. © 2014 John Wiley & Sons Ltd.

  9. Identifying the function of restored urban green space in sustainable environmental management: the ecological response, service, and function of amphibians

    EPA Science Inventory

    Over one-half of the United States population resides in urban areas and many of these areas are experiencing growth. Nevertheless, human land-use patterns are dynamic, and some locations within urban areas are experiencing declining populations and land abandonment. These abando...

  10. Bat reproduction declines when conditions mimic climate change projections for western North America.

    PubMed

    Adams, Rick A

    2010-08-01

    Climate change models predict that much of western North America is becoming significantly warmer and drier, resulting in overall reductions in availability of water for ecosystems. Herein, I demonstrate that significant declines in the reproductive success of female insectivorous bats occur in years when annual environmental conditions mimic the long-term predictions of regional climate change models. Using a data set gathered on bat populations from 1996 through 2008 along the Front Range of Colorado, I compare trends in population numbers and reproductive outcomes of six species of vespertilionid bats with data on mean annual high temperature, precipitation, snow pack, and stream discharge rates. I show that levels of precipitation and flow rates of small streams near maternity colonies is fundamentally tied to successful reproduction in female bats, particularly during the lactation phase. Across years that experienced greater than average mean temperatures with less than average precipitation and stream flow, bat populations responded by slight to profound reductions in reproductive output depending on the severity of drought conditions. In particular, reproductive outputs showed profound declines (32-51%) when discharge rates of the largest stream in the field area dropped below 7 m3/s, indicating a threshold response. Such sensitivity to environmental change portends severe impacts to regional bat populations if current scenarios for climate change in western North America are accurate. In addition, bats act as early-warning indicators of large-scale ecological effects resulting from further regional warming and drying trends currently at play in western North America.

  11. Reproduction, embryonic development, and maternal transfer of contaminants in the amphibian Gastrophryne carolinensis.

    PubMed

    Hopkins, William Alexander; DuRant, Sarah Elizabeth; Staub, Brandon Patrick; Rowe, Christopher Lee; Jackson, Brian Phillip

    2006-05-01

    Although many amphibian populations around the world are declining at alarming rates, the cause of most declines remains unknown. Environmental contamination is one of several factors implicated in declines and may have particularly important effects on sensitive developmental stages. Despite the severe effects of maternal transfer of contaminants on early development in other vertebrate lineages, no studies have examined the effects of maternal transfer of contaminants on reproduction or development in amphibians. We examined maternal transfer of contaminants in eastern narrow-mouth toads (Gastrophryne carolinensis) collected from a reference site and near a coal-burning power plant. Adult toads inhabiting the industrial area transferred significant quantities of selenium and strontium to their eggs, but Se concentrations were most notable (up to 100 microg/g dry mass). Compared with the reference site, hatching success was reduced by 11% in clutches from the contaminated site. In surviving larvae, the frequency of developmental abnormalities and abnormal swimming was 55-58% higher in the contaminated site relative to the reference site. Craniofacial abnormalities were nearly an order of magnitude more prevalent in hatchlings from the contaminated site. When all developmental criteria were considered collectively, offspring from the contaminated site experienced 19% lower viability. Although there was no statistical relationship between the concentration of Se or Sr transferred to eggs and any measure of offspring viability, our study demonstrates that maternal transfer may be an important route of contaminant exposure in amphibians that has been overlooked.

  12. Reproduction, Embryonic Development, and Maternal Transfer of Contaminants in the Amphibian Gastrophryne carolinensis

    PubMed Central

    Hopkins, William Alexander; DuRant, Sarah Elizabeth; Staub, Brandon Patrick; Rowe, Christopher Lee; Jackson, Brian Phillip

    2006-01-01

    Although many amphibian populations around the world are declining at alarming rates, the cause of most declines remains unknown. Environmental contamination is one of several factors implicated in declines and may have particularly important effects on sensitive developmental stages. Despite the severe effects of maternal transfer of contaminants on early development in other vertebrate lineages, no studies have examined the effects of maternal transfer of contaminants on reproduction or development in amphibians. We examined maternal transfer of contaminants in eastern narrow-mouth toads (Gastrophryne carolinensis) collected from a reference site and near a coal-burning power plant. Adult toads inhabiting the industrial area transferred significant quantities of selenium and strontium to their eggs, but Se concentrations were most notable (up to 100 μg/g dry mass). Compared with the reference site, hatching success was reduced by 11% in clutches from the contaminated site. In surviving larvae, the frequency of developmental abnormalities and abnormal swimming was 55–58% higher in the contaminated site relative to the reference site. Craniofacial abnormalities were nearly an order of magnitude more prevalent in hatchlings from the contaminated site. When all developmental criteria were considered collectively, offspring from the contaminated site experienced 19% lower viability. Although there was no statistical relationship between the concentration of Se or Sr transferred to eggs and any measure of offspring viability, our study demonstrates that maternal transfer may be an important route of contaminant exposure in amphibians that has been overlooked. PMID:16675417

  13. What can NSC tell us about tree drought mortality mechanism?: An meta-analysis of results from several experiments on southwest US species

    NASA Astrophysics Data System (ADS)

    Adams, H. D.; Dickman, L. T.; Sevanto, S.; McDowell, N. G.; Pockman, W.; Breshears, D. D.; Huxman, T. E.

    2012-12-01

    Widespread increases in tree mortality are now a well-documented global phenomenon that has been linked to drought, increased temperatures, and pest/pathogen outbreaks. Since forests play an important regulatory role in planetary carbon, water, and energy budgets, further widespread tree mortality could disrupt biosphere-atmosphere feedbacks with additional effects on climate. Despite these threats, few vegetation models exist that predict drought-induced tree mortality in response to climate due, in part, to uncertainty surrounding the physiological mechanism of mortality in trees. Several mechanisms for drought mortality have been proposed, relating to tree carbohydrate balance, xylem stress, and their interaction with each other and tree pests and pathogens. Carbon starvation could occur if stomatal closure in response to drought inhibits carbon assimilation and carbohydrate resources are depleted below a critical threshold for survival. Hydraulic failure could occur if excessive xylem tension during drought causes complete and irreversible cavitation and subsequent desiccation of the canopy. Here we present results from three recent experiments with trees from the southwest US, two conducted in the glasshouse with transplanted piñon pine, and one in the field with piñon pine and juniper, where non-structural carbohydrates (NSC) and hydraulic function were assessed during drought through mortality to distinguish the relative contribution of these mechanisms to mortality. In all three experiments, piñon leaf and twig NSC declined by ~30-40% from initial values to measurement at mortality and trees experienced some hydraulic failure. In the first glasshouse study the piñon leaf NSC decline of ~30%, was driven by a ~50% decline in sugar concentration despite a 100% increase in starch concentration. Surprisingly, in this experiment NSC did not decline faster for trees that died under elevated (+4.3°C) temperatures, although starch increased earlier in these trees. In the field experiment, juniper leaf and twig NSC did not decline as mortality approached, but was lower than non-drought controls. Hydraulic failure did not occur with mortality for juniper in the field experiment. In an additional treatment in the second glasshouse experiment, well-watered piñon pines that were shaded to prevent photosynthesis experienced a ~70% decline in leaf and twig NSC at mortality, without hydraulic failure. Considering the ~70% NSC reduction in this shaded treatment as a survival threshold, piñon pine in all three drought experiments appear to have died from a combination of carbon starvation and hydraulic failure, while juniper appears to have died from carbon starvation alone. These results demonstrate that proposed tree drought mortality mechanisms are often interrelated, but can act independently. Future models of tree drought mortality should include flexibility, predicting death from mechanisms acting either independently or in combination.

  14. Copperheads are common when kingsnakes are not: relationships between the abundances of a predator and one of their prey

    Treesearch

    David A. Steen; Christopher J. W. McClure; William B. Sutton; D. Craig Rudolph; Josh B. Pierce; James R. Lee; Lora L. Smith; Beau B. Gregory; Danna L. Baxley; Dirk J. Stevenson; Craig Guyer

    2014-01-01

    Common Kingsnakes (formerly known collectively as Lampropeltis getula) are experiencing localized declines throughout the southeastern United States. Because there have been limited studies to determine how snakes regulate prey populations, and because Kingsnake declines may result in ecosystem impacts, we evaluated the hypothesis that Kingsnakes regulate the abundance...

  15. The Decline of Teacher Entries into Manitoba: 1970 to 1978.

    ERIC Educational Resources Information Center

    Thompson, Joy C.

    This summary is an examination of teacher inflow into Manitoba from other provinces and other countries. Manitoba has experienced a sharp decline in the total number of teacher entries over the period of 1970 to 1978. The percentage of total provincial staff that are newly recruited from outside Manitoba has shown a corresponding drop. Declines…

  16. Origin and Decline of the First University Radio Web in France

    ERIC Educational Resources Information Center

    Giorgi, Sebastián Mariano

    2017-01-01

    "Résonances" was the first university radio web in France. It was founded at the University of Limoges, in 2010. This article is about the origin and decline of this transmedia project. Two strategies are here unfolded: historical the first one, ranging from the conception of the idea, the vicissitudes experienced by the team for…

  17. Profiles of physical and psychological violence in childhood as a risk factor for poorer adult health: evidence from the 1995-2005 National Survey of Midlife in the United States.

    PubMed

    Greenfield, Emily A; Marks, Nadine F

    2009-10-01

    This study examined linkages between physical and psychological violence in childhood from parents and three dimensions of adult health (self-rated health, functional limitations, chronic conditions). Regression models were estimated using data from the 1995 and 2005 waves of the National Survey of Midlife in the U.S. Responses to an adapted version of the Conflict Tactics Scales in 1995 were used to code respondents into one of nine profiles of violence distinguished by types and frequency of violence. Reports of both frequent physical and frequent psychological violence were associated with poorer health at baseline across the three dimensions of health, as well as with more severe declines in health across all three dimensions over the 10-year study period. Results suggest that having experienced frequent physical and psychological violence in childhood is a risk factor for poorer adult health status and declining trajectories of health throughout adulthood.

  18. Relationship Satisfaction Among Mothers of Children With Congenital Heart Defects: A Prospective Case-Cohort Study

    PubMed Central

    Solberg, Øivind; Holmstrøm, Henrik; Landolt, Markus A.; Eskedal, Leif T.; Vollrath, Margarete E.

    2013-01-01

    Objective To assess the level of partner relationship satisfaction among mothers of children with different severity of congenital heart defects (CHD) compared with mothers in the cohort. Methods Mothers of children with mild, moderate, or severe CHD (n = 182) and a cohort of mothers of children without CHD (n = 46,782) from the Norwegian Mother and Child Cohort Study were assessed at 5 time points from pregnancy to 36 months postpartum. A 5-item version of the Relationship Satisfaction scale was used, and relevant covariates were explored. Results The trajectories of relationship satisfaction among mothers of children with varying CHD severity did not differ from the trajectories in the cohort. All women in the cohort experienced decreasing relationship satisfaction from 18 months after delivery up to 36 months after delivery. Conclusions Having a child with CHD, regardless of severity, does not appear to exacerbate the decline in relationship satisfaction. PMID:23792348

  19. Decline in physical performance among women with a recent transient ischemic attack or ischemic stroke: opportunities for functional preservation a report of the Women's Estrogen Stroke Trial.

    PubMed

    Kernan, Walter N; Viscoli, Catherine M; Brass, Lawrence M; Gill, Thomas M; Sarrel, Philip M; Horwitz, Ralph I

    2005-03-01

    Physical performance for walking, reaching, turning, and other common tasks is a major determinant of functional independence after stroke. Current strategies to preserve physical performance focus on prevention of recurrent stroke. Loss of physical performance, however, may occur in the absence of recurrence. To examine this possibility, we measured change in physical performance, independent of subsequent stroke, among women with a recent ischemic stroke or transient ischemic attack (TIA). Among 664 postmenopausal women who participated in a clinical trial of estrogen therapy after stroke or TIA, we administered the Physical Performance Test (PPT) at baseline (mean 58 days from the cerebrovascular event) and annually. Women who died or had a stroke during follow-up were censored. Decline or improvement in physical performance was defined as a change in the PPT score from baseline of at least 3 points. Sustained decline or improvement was defined as 2 consecutive years during which the score had declined or improved, respectively, relative to the baseline score. With each year of follow-up, a smaller proportion of the cohort demonstrated improvement (16% in year 1, 6% in year 5) and a larger proportion demonstrated decline (15% in year 1, 35% in year 5). In an analysis restricted to 259 women with 3 years of follow-up, 46 (18%) experienced a nonsustained decline in physical performance, and 39 (15%) experienced a sustained decline. Decline in physical performance is common after an ischemic stroke or TIA even in the absence of a recurrent neurological event. Our findings suggest that specific interventions to maintain and improve physical performance may be important for reducing long-term disability.

  20. Disparities in Age-Associated Cognitive Decline Between African-American and Caucasian Populations: The Roles of Health Literacy and Education.

    PubMed

    Gupta, Vishal K; Winter, Michael; Cabral, Howard; Henault, Lori; Waite, Katherine; Hanchate, Amresh; Bickmore, Timothy W; Wolf, Michael S; Paasche-Orlow, Michael K

    2016-08-01

    To examine health literacy as a mediator of racial disparities in cognitive decline as measured by executive function in elderly adults. Prospective cohort study. Secondary analysis of ElderWalk trial in Boston, Massachusetts. English-speaking African-American and Caucasian individuals in a walking intervention for community-dwelling adults aged 65 and older without dementia at baseline who completed baseline and 12-month evaluations (N = 198). Health literacy was measured using the Short Test of Functional Health Literacy in Adults. Fluid and crystallized cognitive functions were measured at baseline and 12 months using the Trail-Making Test Part B minus Part B (TMT B-A) and the Controlled Oral Word Association Test (COWAT). Associations between health literacy and 12-month cognitive decline were modeled using multivariate linear regression. Participants with higher health literacy and education experienced less cognitive decline than those with limited health literacy according to the TMT B-A (P = .01). After adjusting for covariates, Caucasian participants (n = 63) experienced less decline than African-American participants (n = 135) on TMT B-A (P = .001) and COWAT (P = .001). Adjusting for health literacy led to a 25.3% decrease in the point estimate for racial difference in TMT B-A and a 19.5% decrease in COWAT. Although independently related to cognitive decline, educational attainment did not mediate racial differences. Health literacy is a partial mediator of racial disparities in cognitive decline. These results indicate the need to develop interventions to mitigate cognitive decline that individuals with low heath literacy can use and to modify the healthcare environment to better accommodate this population. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  1. An Investigation of the Hydroclimate Variability of Eastern Africa

    NASA Astrophysics Data System (ADS)

    Smith, K. A.; Semazzi, F. H. M.

    2015-12-01

    The flow of the Victoria Nile, and the productivity of the dams along it, is determined by the level of Lake Victoria, which is primarily dictated by the rainfall and temperature variability over the Lake Victoria Basin. Notwithstanding the indisputable decline of water resources over the lake basin during the Long Rains of March - May, there is a strong indication based on IPCC climate projections that this trend, which has persisted for several decades, will reverse in the next few decades. This phenomenon has come to be known as the Eastern-Central African climate change paradox and could have profound implications on sustainable development for the next few decades in Lake Victoria Basin. The purpose of this study is to investigate the climate variability associated with the East African Climate Change Paradox for the recent decades. This research analyzes observations to understand the sources of variability and potential physical mechanisms related to the decline in precipitation over Eastern Africa. We then investigate the hydrological factors involved in the decline of Lake Victoria levels in the context of the decline in rainfall. While East Africa has been experiencing persistent decline of the Long Rains for multiple decades, this same decline is not seen in annual rainfall. The remaining seasons show an increase in rainfall which is compensating for the decline of the Long Rains. It is possible that the Long Rains season is shifting in such a way that the season starts earlier, in February, and ending sooner. The corresponding annual Lake Victoria levels modeled using observed rainfall do not decline in the recent decades, except when the Long Rains seasonal variability is considered without variability from other seasons. This shift could impact hydroelectric power planning on a monthly or seasonal time scale, and could potentially have a large impact on agriculture, since it would shift the growing season in the region.

  2. Demographics and diaspora, gender and genealogy: anthropological notes on Greek population policy.

    PubMed

    Paxson, H

    1997-01-01

    Since World War II, Greece's birth rate has fallen into a worsening decline. With the steady emigration of Greeks throughout the century to North America, Australia, and Germany, Greece has experienced one of the most rapid population declines in Europe. In 1991, the PASOK government convened a special Parliamentary Commission to study the demographic problem and develop recommendations for its resolution. Released in 1993, and comparing Greece's depressed population growth rates with the markedly higher ones of Albania and Turkey, the report argues that the demographic problem is one of national survival because a decline in the population undermines the territorial integrity and national independence of the country. At least half of all pregnancies in Greece end in abortion, and the report attributes 40% of the declining population growth rate to women who have repeat abortions. To confront the population dilemma, Greek officials are downplaying the diaspora and encouraging women at home to produce more babies. Maternal pensions forwarded by the state as family and population policies are being criticized by Athenian women as a means of professionalizing motherhood and perpetuating a limited vision of female adulthood. The author explores why the declining birth rate is considered to be such a problem in Greece, even though the other countries of Europe are also experiencing birth rate declines; why and how women are blamed for the demographic situation; and why the state, despite its vehement rhetoric, has failed to implement a family policy capable of boosting fertility.

  3. Acute Respiratory Distress Syndrome, Sepsis, and Cognitive Decline: A Review and Case Study

    PubMed Central

    Jackson, James C.; Hopkins, Ramona O.; Miller, Russell R.; Gordon, Sharon M.; Wheeler, Arthur P.; Ely, E. Wesley

    2013-01-01

    The objective of this investigation is to review existing research pertaining to cognitive impairment and decline following critical illness and describe a case involving a 49-year-old female with sepsis and acute respiratory distress syndrome (ARDS) with no prior neurologic history who, compared to baseline neuropsychological test data, experienced dramatic cognitive decline and brain atrophy following treatment in the medical intensive care unit (ICU) at Vanderbilt University Medical Center. The patient participated in detailed clinical interviews and underwent comprehensive neuropsychological testing and neurological magnetic resonance imaging (MRI) at approximately 8 months and 3.5 years after ICU discharge. Compared to pre-ICU baseline test data, her intellectual function declined approximately 2 standard deviations from 139 to 106 (from the 99th to the 61st percentile) on a standardized intelligence test 8 months post-discharge, with little subsequent improvement. Initial diffusion tensor brain magnetic resonance imaging (DT-MRI) at the end of ICU hospitalization showed diffuse abnormal hyperintense areas involving predominately white matter in both hemispheres and the left cerebellum. A brain MRI nearly 4 years after ICU discharge demonstrated interval development of profound and generalized atrophy with sulcal widening and ventricular enlargement. The magnitude of cognitive decline experienced by ICU survivors is difficult to quantify due to the unavailability of pre-morbid neuropsychological data. The current case, conducted on a patient with baseline neuropsychological data, illustrates the trajectory of decline occurring after critical illness and ICU-associated brain injury with marked atrophy and concomitant cognitive impairments. PMID:19864995

  4. Adverse drug reaction (ADR) occurrence and evaluation in elderly inpatients.

    PubMed

    Bowman, L; Carlstedt, B C; Hancock, E F; Black, C D

    1996-01-01

    Determine elderly inpatient's risk ADRs and characterize the events. This is a post-hoc analysis of a comprehensive inpatient ADR survey. Charts were reviewed every four days on all internal medicine service inpatients (1024 patients over four months). Chart review were enhanced by potential indicators such as nurses' and pharmacists' reports; targeted drug orders; 'now', 'stat', and 'hold' orders; off-service physician consults; incident reports; transfers-to-ICU; and abnormal serum drug concentrations. Potential ADRs were classified according to organ system affected, pharmacological type, severity, and Naranjo causality scale. Internal medicine wards of a 350-bed county general hospital. Of 1024 inpatients, 301 were elderly. Overall, 237 patients had an ADR (23%). Elderly patients accounted for 89 (37.5%) of the 237 patients experiencing an ADR. The ADRs experienced by the elderly tended to be more severe (p <0.05) and less idiosyncratic (p <0.05). However, no preferences for organ system (p >0.1) or differences in causality rating (p = 0.25) were detected. When statistically controlled for female gender, renal function and number of drugs, age was no longer a risk factor for ADR occurrence. The elderly experience more ADRs. However, female gender, decline in renal function and polymedicine are the independent factors that account for the elderly's risk. Furthermore, the elderly's ADRs tend to be more severe and an extension of the drug's pharmacology. Therefore, ADR prevention is both important and possible.

  5. In situ effects of pesticides on amphibians in the Sierra Nevada

    USGS Publications Warehouse

    Sparling, Donald W.; Bickham, John W.; Cowman, Deborah; Fellers, Gary M.; Lacher, Thomas E.; Matson, Cole W.; McConnell, Laura

    2015-01-01

    For more than 20 years, conservationists have agreed that amphibian populations around the world are declining. Results obtained through laboratory or mesocosm studies and measurement of contaminant concentrations in areas experiencing declines have supported a role of contaminants in these declines. The current study examines the effects of contaminant exposure to amphibians in situ in areas actually experiencing declines. Early larval Pseudacris regilla were translocated among Lassen Volcanic, Yosemite and Sequoia National Parks, California, USA and caged in wetlands in 2001 and 2002 until metamorphosis. Twenty contaminants were identified in tadpoles with an average of 1.3–5.9 (maximum = 10) contaminants per animal. Sequoia National Park, which had the greatest variety and concentrations of contaminants in 2001, also had tadpoles that experienced the greatest mortality, slowest developmental rates and lowest cholinesterase activities. Yosemite and Sequoia tadpoles and metamorphs had greater genotoxicity than those in Lassen during 2001, as determined by flow cytometry. In 2001 tadpoles at Yosemite had a significantly higher rate of malformations, characterized as hemimelia (shortened femurs), than those at the other two parks but no significant differences were observed in 2002. Fewer differences in contaminant types and concentrations existed among parks during 2002 compared to 2001. In 2002 Sequoia tadpoles had higher mortality and slower developmental rates but there was no difference among parks in cholinesterase activities. Although concentrations of most contaminants were below known lethal concentrations, simultaneous exposure to multiple chemicals and other stressors may have resulted in lethal and sublethal effects.

  6. Evaluating key landscape features of a climate- induced forest decline (Project WC-EM-07-01)

    Treesearch

    Paul Hennon; Dustin Wittwer

    2013-01-01

    Yellow-cedar is a culturally, economically, and ecologically important tree in coastal Alaska that has been experiencing a widespread mortality known as yellow-cedar decline for about 100 years. Mapping during annual aerial detection surveys has identified nearly the entire geographical distribution of the problem, which totals over 500,000 acres in Alaska (Lamb and...

  7. Economic Growth, Productivity, and Public Education Funding: Is South Carolina a Death Spiral State?

    ERIC Educational Resources Information Center

    Driscoll, Lisa G.; Knoeppel, Robert C.; Della Sala, Matthew R.; Watson, Jim R.

    2014-01-01

    As a result of the Great Recession of 2007-2009, most states experienced declines in employment, consumer spending, and economic productivity (Alm, Buschman, and Sjoquist 2011). In turn, these events led to historic declines in state tax revenues (Mikesell and Mullins 2010; Boyd and Dadayan 2009), resulting in major cuts in public spending. Local…

  8. Student Perspectives on Enrolling in Undergraduate Forestry Degree Programs in the United States

    ERIC Educational Resources Information Center

    Sharik, Terry L.; Frisk, Stacey L.

    2011-01-01

    Undergraduate U.S. forestry degree programs experienced a steady decline in enrollments over a decade beginning in the mid-1990s. This decline prompted a survey of students enrolled in these programs to determine what factors led to their decisions to matriculate there and conversely, what may have made them hesitant to do so. The sample…

  9. Pre-adoptive Factors Predicting Lesbian, Gay, and Heterosexual Couples’ Relationship Quality Across the Transition to Adoptive Parenthood

    PubMed Central

    Goldberg, Abbie E.; Smith, JuliAnna Z.; Kashy, Deborah A.

    2010-01-01

    The current study examined pre-adoptive factors as predictors of relationship quality (love, ambivalence, and conflict) among 125 couples (44 lesbian couples, 30 gay couples, and 51 heterosexual couples) across the first year of adoptive parenthood. On average, all new parents experienced declines in their relationship quality across the first year of parenthood, regardless of sexual orientation, with women experiencing steeper declines in love. Parents who, pre-adoption, reported higher levels of depression, greater use of avoidant coping, lower levels of relationship maintenance behaviors, and less satisfaction with their adoption agencies reported lower relationship quality at the time of the adoption. The effect of avoidant coping on relationship quality varied by gender. Parents who, pre-adoption, reported higher levels of depression, greater use of confrontative coping, and higher levels of relationship maintenance behaviors reported greater declines in relationship quality. These findings have implications for professionals who work with adoptive parents both pre- and post-adoption. PMID:20545395

  10. Illicit drug use and marital satisfaction.

    PubMed

    Homish, Gregory G; Leonard, Kenneth E; Cornelius, Jack R

    2008-02-01

    With the acquisition of adult social roles such as marriage, more deviant or socially disapproved behaviors such as drug use often decrease. The objective of this work was to examine patterns of illicit drug use in a community sample of adults during the transition and early years of marriage. Additionally, this work examined if couples who were discrepant in their drug use (i.e., one individual reported past year drug use and the partner reported no use) experience sharper declines in marital satisfaction compared to other couples. Multilevel regression models explored these issues over the first four years of marriage (N=634 couples). Although rates of illicit drug use decline over the first four years of marriage, a significant number of husbands and wives continued to use illicit drugs (21% and 16%, respectively). At the transition to marriage, both husbands and wives who had discrepant drug use behaviors experienced lower levels of marital satisfaction compared to other couples. Over the first four years of marriage, couples in each group experienced significant declines in marital satisfaction.

  11. Illicit Drug Use and Marital Satisfaction

    PubMed Central

    Leonard, Kenneth E.; Cornelius, Jack R.

    2008-01-01

    With the acquisition of adult social roles such as marriage, more deviant or socially disapproved behaviors such as drug use often decrease. The objective of this work was to examine patterns of illicit drug use in a community sample of adults during the transition and early years of marriage. Additionally, this work examined if couples who were discrepant in their drug use (i.e., one individual reported past year drug use and the partner reported no use) experience sharper declines in marital satisfaction compared to other couples. Multilevel regression models explored these issues over the first four years of marriage (N= 634 couples). Although rates of illicit drug use decline over the first four years of marriage, a significant number of husbands and wives continued to use illicit drugs (21% and 16%, respectively). At the transition to marriage, both husbands and wives who had discrepant drug use behaviors experienced lower levels of marital satisfaction compared to other couples. Over the first four years of marriage, couples in each group experienced significant declines in marital satisfaction. PMID:17945436

  12. Changes in Tennessee's secondary hardwood processing and sawmill industries from 2005 to 2009

    Treesearch

    William G. Luppold; Delton Alderman; Doug. Schnabel

    2012-01-01

    Tennessee is in the center of the Eastern hardwood region and has experienced large declines in employment by primary and secondary hardwood processors since 2005 in a pattern similar to the one these processors have experienced nationally. The objective of this article is to examine changes in national hardwood processing industries between 2005 and 2009 and compare...

  13. Trajectories of Delinquency from Age 14 to 23 in the National Longitudinal Survey of Youth Sample

    PubMed Central

    Murphy, Debra A.; Brecht, Mary-Lynn; Huang, David; Herbeck, Diane M.

    2012-01-01

    This study utilized data from the National Longitudinal Survey of Youth to investigate risk trajectories for delinquency and factors associated with different trajectories, particularly substance use. The sample (N = 8,984) was 49% female. A group-based trajectory model was applied, which identified four distinct trajectories for both males and females: (1) a High group with delinquency rates consistently higher than other groups, with some decrease across the age range; (2) a Decreased group, beginning at high levels with substantial decrease to near zero; (3) a Moderate group experiencing some decline but remaining at moderate rates of delinquency through most of the age range; and (4) a consistently Low group, having low rates of delinquency declining to near zero by mid- to late-teens. The Low group was distinguished by several protective factors, including higher rates of maternal authoritative parenting style, possible lower acculturation (higher rates of non-English spoken at home), higher rates of religious activity, later substance use initiation, lower rates of early delinquent activity, less early experience with neighborhood or personal violence, and higher rates of perceiving penalty for wrongdoing. Conversely, the High group was characterized by several vulnerability factors—essentially the converse of the protective factors above. PMID:23105164

  14. Reproduction, embryonic development, and maternal transfer of contaminants in the amphibian Gastrophryne carolinensis

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

    Hopkins, W.A.; DuRant, S.E.; Staub, B.P.

    2006-05-15

    Although many amphibian populations around the world are declining at alarming rates, the cause of most declines remains unknown. Environmental contamination is one of several factors implicated in declines and may have particularly important effects on sensitive developmental stages. We examined maternal transfer of contaminants in eastern narrow-mouth toads (Gastrophryne carolinensis) collected from a reference site and near a coal-burning power plant. Adult toads inhabiting the industrial area transferred significant quantities of selenium and strontium to their eggs, but Se concentrations were most notable (up to 100 {mu} g/g dry mass). Compared with the reference site, hatching success was reducedmore » by 11% in clutches from the contaminated site. In surviving larvae, the frequency of developmental abnormalities and abnormal swimming was 55-58% higher in the contaminated site relative to the reference site. Craniofacial abnormalities were nearly an order of magnitude more prevalent in hatchlings from the contaminated site. When all developmental criteria were considered collectively, offspring from the contaminated site experienced 19% lower viability. Although there was no statistical relationship between the concentration of Se or Sr transferred to eggs and any measure of offspring viability, our study demonstrates that maternal transfer may be an important route of contaminant exposure in amphibians that has been overlooked.« less

  15. Effect of two years of nitrogen deposition on shoot growth and phenology of Engelmann spruce seedlings

    Treesearch

    A. W. Schoettle

    2000-01-01

    As a result of anthropogenic combustion processes, ecosystems in the eastern and western United States and Europe have experienced elevated atmospheric deposition of nitrogen for most of this century and have begun to show symptoms of decline. If there is a cause and effect relationship between nitrogen deposition and ecosystem decline, one would expect that the...

  16. Impacts of land use change and climate variations on annual inflow into the Miyun Reservoir, Beijing, China

    Treesearch

    Jiangkun Zheng; Ge Sun; Wenhong Li; Xinxiao Yu; Chi Zhang; Yuanbo Gong; Lihua Tu

    2016-01-01

    The Miyun Reservoir, the only surface water source for Beijing city, has experienced water supply decline in recent decades. Previous studies suggest that both land use change and climate contribute to the changes of water supply in this critical watershed. However, the specific causes of the decline in the Miyun Reservoir are debatable under a non-stationary climate...

  17. Employment changes in U.S. hardwood lumber consuming industries during economic expansions and contractions since 1991

    Treesearch

    William G. Luppold; Matt Bumgardner

    2016-01-01

    Understanding employment trends is important for discerning the economic vitality of U.S. hardwood lumber users. After a period of growth in the 1990s, employment in industries consuming hardwood lumber has declined in the 21st century. The wood household furniture industry has experienced the greatest decline, with North Carolina, Virginia, and California being the...

  18. Influence of age of males and nutritional condition on short- and long-term reproductive success of elk.

    Treesearch

    James H. Noyes; Bruce K. Johnson; Brian L. Dick; John G. Kie

    2004-01-01

    Rocky Mountain elk (Cervus elaphus) populations in some areas of northeastern Oregon have experienced declines in spring calf to cow ratios of nearly 80 percent over the last 40 years. Among the potential causes of these declines, the effects of age of male sires and the nutritional condition of females on conception dates and pregnancy rates have...

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

    Bartlett, J. E.; Margolis, R. M.; Jennings, C. E.

    To examine how the financial crisis has impacted expectations of photovoltaic production, demand and pricing over the next several years, we surveyed the market forecasts of industry analysts that had issued projections in 2008 and 2009. We find that the financial crisis has had a significant impact on the PV industry, primarily through increasing the cost and reducing the availability of investment into the sector. These effects have been more immediately experienced by PV installations than by production facilities, due to the different types and duration of investments, and thus PV demand has been reduced by a greater proportion thanmore » PV production. By reducing demand more than production, the financial crisis has accelerated previously expected PV overcapacity and resulting price declines.« less

  20. Changing places: the impact of rural restructuring on mental health in Australia.

    PubMed

    Fraser, Cait; Jackson, Henry; Judd, Fiona; Komiti, Angela; Robins, Garry; Murray, Greg; Humphreys, John; Pattison, Pip; Hodgins, Gene

    2005-06-01

    Significant demographic, social and economic change has come to characterise much of rural Australia, with some authors arguing there are now two sharply differentiated zones, one of growth and one of decline. This restructuring process, which has been similar to other western nations, has had a profound impact upon rural places-socially, economically and physically. Findings from research investigating the relationship between health, place and income inequality suggest that rural 'desertification', which is characterised by decline of the agricultural sector, net population loss and the deterioration of demographic structures, may negatively influence mental health outcomes in these areas. By contrast, the growth in rural areas, which is associated with expanding employment opportunities and the movement of capital and people, may confer positive benefits to mental health. The aim of this study was to investigate differences in mental health and well-being between rural communities experiencing growth and decline as measured by net population change. Utilising a survey methodology, questionnaires were distributed to 20,000 people randomly sampled from the electoral role in rural Australia. We selected four sub-regions from the sample area that were characteristic of areas experiencing population growth and decline in Australia and analysed the results of respondents from these four regions (n = 1334). The analysis provided support for our hypothesis that living in a declining area is associated with poorer mental health status; however, the factors that underpin growth and decline may also be important in influencing mental health. Discussed are the mechanisms by which demographic and social change influence mental health. The findings of this study highlight the diversity of health outcomes in rural areas and suggest that aspects of place in declining rural areas may present risk factors for mental health.

  1. Millennial-scale faunal record reveals differential resilience of European large mammals to human impacts across the Holocene.

    PubMed

    Crees, Jennifer J; Carbone, Chris; Sommer, Robert S; Benecke, Norbert; Turvey, Samuel T

    2016-03-30

    The use of short-term indicators for understanding patterns and processes of biodiversity loss can mask longer-term faunal responses to human pressures. We use an extensive database of approximately 18,700 mammalian zooarchaeological records for the last 11,700 years across Europe to reconstruct spatio-temporal dynamics of Holocene range change for 15 large-bodied mammal species. European mammals experienced protracted, non-congruent range losses, with significant declines starting in some species approximately 3000 years ago and continuing to the present, and with the timing, duration and magnitude of declines varying individually between species. Some European mammals became globally extinct during the Holocene, whereas others experienced limited or no significant range change. These findings demonstrate the relatively early onset of prehistoric human impacts on postglacial biodiversity, and mirror species-specific patterns of mammalian extinction during the Late Pleistocene. Herbivores experienced significantly greater declines than carnivores, revealing an important historical extinction filter that informs our understanding of relative resilience and vulnerability to human pressures for different taxa. We highlight the importance of large-scale, long-term datasets for understanding complex protracted extinction processes, although the dynamic pattern of progressive faunal depletion of European mammal assemblages across the Holocene challenges easy identification of 'static' past baselines to inform current-day environmental management and restoration. © 2016 The Author(s).

  2. Seizure burden is independently associated with short term outcome in critically ill children

    PubMed Central

    Payne, Eric T.; Zhao, Xiu Yan; Frndova, Helena; McBain, Kristin; Sharma, Rohit; Hutchison, James S.

    2014-01-01

    Seizures are common among critically ill children, but their relationship to outcome remains unclear. We sought to quantify the relationship between electrographic seizure burden and short-term neurological outcome, while controlling for diagnosis and illness severity. Furthermore, we sought to determine whether there is a seizure burden threshold above which there is an increased probability of neurological decline. We prospectively evaluated all infants and children admitted to our paediatric and cardiac intensive care units who underwent clinically ordered continuous video-electroencephalography monitoring over a 3-year period. Seizure burden was quantified by calculating the maximum percentage of any hour that was occupied by electrographic seizures. Outcome measures included neurological decline, defined as a worsening Paediatric Cerebral Performance Category score between hospital admission and discharge, and in-hospital mortality. Two hundred and fifty-nine subjects were evaluated (51% male) with a median age of 2.2 years (interquartile range: 0.3 days–9.7 years). The median duration of continuous video-electroencephalography monitoring was 37 h (interquartile range: 21–56 h). Seizures occurred in 93 subjects (36%, 95% confidence interval = 30–42%), with 23 (9%, 95% confidence interval = 5–12%) experiencing status epilepticus. Neurological decline was observed in 174 subjects (67%), who had a mean maximum seizure burden of 15.7% per hour, compared to 1.8% per hour for those without neurological decline (P < 0.0001). Above a maximum seizure burden threshold of 20% per hour (12 min), both the probability and magnitude of neurological decline rose sharply (P < 0.0001) across all diagnostic categories. On multivariable analysis adjusting for diagnosis and illness severity, the odds of neurological decline increased by 1.13 (95% confidence interval = 1.05–1.21, P = 0.0016) for every 1% increase in maximum hourly seizure burden. Seizure burden was not associated with mortality (odds ratio: 1.003, 95% confidence interval: 0.99–1.02, P = 0.613). We conclude that in this cohort of critically ill children, increasing seizure burden was independently associated with a greater probability and magnitude of neurological decline. Our observation that a seizure burden of more than 12 min in a given hour was strongly associated with neurological decline suggests that early antiepileptic drug management is warranted in this population, and identifies this seizure burden threshold as a potential therapeutic target. These findings support the hypothesis that electrographic seizures independently contribute to brain injury and worsen outcome. Our results motivate and inform the design of future studies to determine whether more aggressive seizure treatment can improve outcome. PMID:24595203

  3. Abortion Incidence and Service Availability In the United States, 2014

    PubMed Central

    Jones, Rachel K.; Jerman, Jenna

    2017-01-01

    CONTEXT National and state-level information about abortion incidence can help inform policies and programs intended to reduce levels of unintended pregnancy. METHODS In 2015–2016, all U.S. facilities known or expected to have provided abortion services in 2013 or 2014 were surveyed. Data on the number of abortions were combined with population data to estimate national and state-level abortion rates. The number of abortion-providing facilities and changes since a similar 2011 survey were also assessed. The number and type of new abortion restrictions were examined in the states that had experienced the largest proportionate changes in clinics providing abortion services. RESULTS In 2014, an estimated 926,200 abortions were performed in the United States, 12% fewer than in 2011; the 2014 abortion rate was 14.6 abortions per 1,000 women aged 15–44, representing a 14% decline over this period. The number of clinics providing abortions declined 6% between 2011 and 2014, and declines were steepest in the Midwest (22%) and the South (13%). Early medication abortions accounted for 31% of nonhospital abortions, up from 24% in 2011. Most states that experienced the largest proportionate declines in the number of clinics providing abortions had enacted one or more new restrictions during the study period, but reductions were not always associated with declines in abortion incidence. CONCLUSIONS The relationship between abortion access, as measured by the number of clinics, and abortion rates is not straightforward. Further research is needed to understand the decline in abortion incidence. PMID:28094905

  4. Local Ecological Knowledge and Scientific Data Reveal Overexploitation by Multigear Artisanal Fisheries in the Southwestern Atlantic

    PubMed Central

    Bender, Mariana G.; Machado, Gustavo R.; Silva, Paulo José de Azevedo; Floeter, Sergio R.; Monteiro-Netto, Cassiano; Luiz, Osmar J.; Ferreira, Carlos E. L.

    2014-01-01

    In the last decades, a number of studies based on historical records revealed the diversity loss in the oceans and human-induced changes to marine ecosystems. These studies have improved our understanding of the human impacts in the oceans. They also drew attention to the shifting baseline syndrome and the importance of assessing appropriate sources of data in order to build the most reliable environmental baseline. Here we amassed information from artisanal fishermen's local ecological knowledge, fisheries landing data and underwater visual census to assess the decline of fish species in Southeastern Brazil. Interviews with 214 fishermen from line, beach seine and spearfishing revealed a sharp decline in abundance of the bluefish Pomatomus saltatrix, the groupers Epinephelus marginatus, Mycteroperca acutirostris, M. bonaci and M. microlepis, and large parrotfishes in the past six decades. Fisheries landing data from a 16-year period support the decline of bluefish as pointed by fishermen's local knowledge, while underwater visual census campaigns show reductions in groupers' abundance and a sharp population decline of the Brazilian endemic parrotfish Scarus trispinosus. Despite the marked decline of these fisheries, younger and less experienced fishermen recognized fewer species as overexploited and fishing sites as depleted than older and more experienced fishermen, indicating the occurrence of the shifting baseline syndrome. Here we show both the decline of multigear fisheries catches – combining anecdotal and scientific data – as well as changes in environmental perceptions over generations of fishermen. Managing ocean resources requires looking into the past, and into traditional knowledge, bringing historical baselines to the present and improving public awareness. PMID:25333661

  5. Local ecological knowledge and scientific data reveal overexploitation by multigear artisanal fisheries in the southwestern Atlantic.

    PubMed

    Bender, Mariana G; Machado, Gustavo R; Silva, Paulo José de Azevedo; Floeter, Sergio R; Monteiro-Netto, Cassiano; Luiz, Osmar J; Ferreira, Carlos E L

    2014-01-01

    In the last decades, a number of studies based on historical records revealed the diversity loss in the oceans and human-induced changes to marine ecosystems. These studies have improved our understanding of the human impacts in the oceans. They also drew attention to the shifting baseline syndrome and the importance of assessing appropriate sources of data in order to build the most reliable environmental baseline. Here we amassed information from artisanal fishermen's local ecological knowledge, fisheries landing data and underwater visual census to assess the decline of fish species in Southeastern Brazil. Interviews with 214 fishermen from line, beach seine and spearfishing revealed a sharp decline in abundance of the bluefish Pomatomus saltatrix, the groupers Epinephelus marginatus, Mycteroperca acutirostris, M. bonaci and M. microlepis, and large parrotfishes in the past six decades. Fisheries landing data from a 16-year period support the decline of bluefish as pointed by fishermen's local knowledge, while underwater visual census campaigns show reductions in groupers' abundance and a sharp population decline of the Brazilian endemic parrotfish Scarus trispinosus. Despite the marked decline of these fisheries, younger and less experienced fishermen recognized fewer species as overexploited and fishing sites as depleted than older and more experienced fishermen, indicating the occurrence of the shifting baseline syndrome. Here we show both the decline of multigear fisheries catches - combining anecdotal and scientific data - as well as changes in environmental perceptions over generations of fishermen. Managing ocean resources requires looking into the past, and into traditional knowledge, bringing historical baselines to the present and improving public awareness.

  6. Child Odors and Parenting: A Survey Examination of the Role of Odor in Child-Rearing.

    PubMed

    Okamoto, Masako; Shirasu, Mika; Fujita, Rei; Hirasawa, Yukei; Touhara, Kazushige

    2016-01-01

    Parental caregiving is critical for the survival of our young and continuation of our species. In humans, visual and auditory signals from offspring have been shown to be potent facilitators of parenting. However, whether odors emitted by our young also influence human parenting remains unclear. To explore this, we conducted a series of questionnaire surveys targeting parents with children under 6 years old. First, we collected episodes on experiencing odors/sniffing various parts of a child's body (n = 507). The prevalence of experiencing events described in those episodes was examined in a separate survey (n = 384). Based on those results, the Child Odor in Parenting scale (COPs) was developed, and subsequently used in the main survey (n = 888). We found COPs to have adequate content validity, concurrent validity, and reliability. Responses to the COPs demonstrated that parents, especially mothers with infants, are aware of odors from their offspring, and actively seek them in daily child-rearing. The factor structure and content of the COPs items indicated that child odors have both affective and instrumental roles. Affective experiences induce loving feeling and affectionate sniffing, while instrumental experiences pertain to specific hygienic needs. The head was the most frequent source of affective experiences, and the child's bottom of instrumental. Each was experienced by more than 90% of the mothers with a child below 1 year of age. Affective experiences significantly declined as the child grew older, possibly associated with the decline of physical proximity between parents and child. This age-related decline was not prominent for instrumental experiences, except for the bottom, which significantly declined after 3 years of age. The present findings suggest that child odors play roles in human parenting, and that their nature and significance change during the course of a child's development.

  7. Estimation of mussel population response to hydrologic alteration in a southeastern U.S. stream

    USGS Publications Warehouse

    Peterson, J.T.; Wisniewski, J.M.; Shea, C.P.; Rhett, Jackson C.

    2011-01-01

    The southeastern United States has experienced severe, recurrent drought, rapid human population growth, and increasing agricultural irrigation during recent decades, resulting in greater demand for the water resources. During the same time period, freshwater mussels (Unioniformes) in the region have experienced substantial population declines. Consequently, there is growing interest in determining how mussel population declines are related to activities associated with water resource development. Determining the causes of mussel population declines requires, in part, an understanding of the factors influencing mussel population dynamics. We developed Pradel reverse-time, tag-recapture models to estimate survival, recruitment, and population growth rates for three federally endangered mussel species in the Apalachicola- Chattahoochee-Flint River Basin, Georgia. The models were parameterized using mussel tag-recapture data collected over five consecutive years from Sawhatchee Creek, located in southwestern Georgia. Model estimates indicated that mussel survival was strongly and negatively related to high flows during the summer, whereas recruitment was strongly and positively related to flows during the spring and summer. Using these models, we simulated mussel population dynamics under historic (1940-1969) and current (1980-2008) flow regimes and under increasing levels of water use to evaluate the relative effectiveness of alternative minimum flow regulations. The simulations indicated that the probability of simulated mussel population extinction was at least 8 times greater under current hydrologic regimes. In addition, simulations of mussel extinction under varying levels of water use indicated that the relative risk of extinction increased with increased water use across a range of minimum flow regulations. The simulation results also indicated that our estimates of the effects of water use on mussel extinction were influenced by the assumptions about the dynamics of the system, highlighting the need for further study of mussel population dynamics. ?? 2011 Springer Science+Business Media, LLC (outside the USA).

  8. Ohia forest decline: its spread and severity in Hawaii

    Treesearch

    Edwin Q. P. Petteys; Robert E. Burgan; Robert E. Nelson

    1975-01-01

    Ohia forest decline–its severity and rate of spread–was studied by aerial photographic techniques on a 197,000-acre (80,000-ha) portion of the island of Hawaii. In 1954, only 300 acres (121 ha) showed signs of severe decline; by 1972, the acreage of severely affected forest had increased to 85,200 acres (34,480 ha). Rate of decline and current severity were related to...

  9. Investigation of the decline in reported smoking-caused wildfires in the USA from 2000 to 2011

    Treesearch

    David T. Butry; Jeffrey P. Prestemon; Douglas S. Thomas

    2014-01-01

    The number of smoking-caused wildfires has been falling nationwide. In national forests in 2011, smoking-caused wildfires represented only 10% of their 1980 level. No other cause of wildfire has experienced this level of decline. For 12 states, we evaluate the rate of smoking-caused wildfires and find it is a function of weather, other ignitions, the number of adult...

  10. Biodiversity Loss following the Introduction of Exotic Competitors: Does Intraguild Predation Explain the Decline of Native Lady Beetles?

    PubMed Central

    Smith, Chelsea A.; Gardiner, Mary M.

    2013-01-01

    Exotic species are widely accepted as a leading cause of biodiversity decline. Lady beetles (Coccinellidae) provide an important model to study how competitor introductions impact native communities since several native coccinellids have experienced declines that coincide with the establishment and spread of exotic coccinellids. This study tested the central hypothesis that intraguild predation by exotic species has caused these declines. Using sentinel egg experiments, we quantified the extent of predation on previously-common (Hippodamia convergens) and common (Coleomegilla maculata) native coccinellid eggs versus exotic coccinellid (Harmonia axyridis) eggs in three habitats: semi-natural grassland, alfalfa, and soybean. Following the experiments quantifying egg predation, we used video surveillance to determine the composition of the predator community attacking the eggs. The extent of predation varied across habitats, and egg species. Native coccinellids often sustained greater egg predation than H. axyridis. We found no evidence that exotic coccinellids consumed coccinellid eggs in the field. Harvestmen and slugs were responsible for the greatest proportion of attacks. This research challenges the widely-accepted hypothesis that intraguild predation by exotic competitors explains the loss of native coccinellids. Although exotic coccinellids may not be a direct competitor, reduced egg predation could indirectly confer a competitive advantage to these species. A lower proportion of H. axyridis eggs removed by predators may have aided its expansion and population increase and could indirectly affect native species via exploitative or apparent competition. These results do not support the intraguild predation hypothesis for native coccinellid decline, but do bring to light the existence of complex interactions between coccinellids and the guild of generalist predators in coccinellid foraging habitats. PMID:24386383

  11. Declining average daily census. Part 1: Implications and options.

    PubMed

    Weil, T P

    1985-12-01

    A national trend toward declining average daily (inpatient) census (ADC) started in late 1982 even before the Medicare prospective payment system began. The decrease in total days will continue despite an increasing number of aged persons in the U.S. population. This decline could have been predicted from trends during 1978 to 1983, such as increasing available beds but decreasing occupancy, 100 percent increases in hospital expenses, and declining lengths of stay. Assuming that health care costs will remain as a relatively fixed part of the gross national product and no major medical advances will occur in the next five years, certain implications and options exist for facilities experiencing a declining ADC. This article discusses several considerations: Attempts to improve market share; Reduction of full-time equivalent employees; Impact of greater acuity of illness among remaining inpatients; Implications of increasing the number of physicians on medical staffs; Option of a closed medical staff by clinical specialty; Unbundling with not-for-profit and profit-making corporations; Review of mergers, consolidations, and multihospital systems to decide when this option is most appropriate; Sale of a not-for-profit hospital to an investor-owned chain, with implications facing Catholic hospitals choosing this option; Impact and difficulty of developing meaningful alternative health care systems with the hospital's medical staff; Special problems of teaching hospitals; The social issue of the hospital shifting from the community's health center to a cost center; Increased turnover of hospital CEOs; With these in mind, institutions can then focus on solutions that can sometimes be used in tandem to resolve this problem's impact. The second part of this article will discuss some of them.

  12. Impacts of golden alga Prymnesium parvum on fish populations in reservoirs of the upper Colorado River and Brazos River basins, Texas

    USGS Publications Warehouse

    VanLandeghem, Matthew M.; Farooqi, Mukhtar; Farquhar, B.; Patino, Reynaldo

    2013-01-01

    Several reservoirs in the upper Colorado River and Brazos River basins in Texas have experienced toxic blooms of golden alga Prymnesium parvum and associated fish kills since 2001. There is a paucity of information, however, regarding the population-level effects of such kills in large reservoirs, species-specific resistance to or recovery from kills, or potential differences in the patterns of impacts among basins. We used multiple before-after, control-impact analysis to determine whether repeated golden alga blooms have led to declines in the relative abundance and size structure of fish populations. Sustained declines were noted for 9 of 12 fish species surveyed in the upper Colorado River, whereas only one of eight species was impacted by golden alga in the Brazos River. In the upper Colorado River, White Bass Morone chrysops, White Crappie Pomoxis annularis, Largemouth Bass Micropterus salmoides, Bluegill Lepomis macrochirus, River Carpsucker Carpiodes carpio, Freshwater Drum Aplodinotus grunniens, Channel Catfish Ictalurus punctatus, Flathead Catfish Pylodictis olivaris, and Blue Catfish I. furcatus exhibited sustained declines in relative abundance, size structure, or both; Gizzard Shad Dorosoma cepedianum, Longnose Gar Lepisosteus osseus, and Common Carp Cyprinus carpio did not exhibit those declines. In the Brazos River, only the relative abundance of Blue Catfish was impacted. Overall, toxic golden alga blooms can negatively impact fish populations over the long-term, but the patterns of impact can vary considerably among river basins and species. In the Brazos River, populations of most fish species appear to be healthy, suggesting a positive angling outlook for this basin. In the upper Colorado River, fish populations have been severely impacted, and angling opportunities have been reduced. Basin-specific management plans aimed at improving water quality and quantity will likely reduce bloom intensity and allow recovery of fish populations to the abundances and size structures present before golden alga. Received August 26, 2011; accepted November 25, 2012

  13. Regional-Scale Declines in Productivity of Pink and Chum Salmon Stocks in Western North America

    PubMed Central

    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

  14. Management of Radiation-induced Severe Anophthalmic Socket Contracture in Patients with Uveal Melanoma

    PubMed Central

    Nasser, Qasiem J.; Gombos, Dan S.; Williams, Michelle D.; Guadagnolo, B. Ashleigh; Morrison, William H.; Garden, Adam S.; Beadle, Beth M.; Canseco, Elvia; Esmaeli, Bita

    2012-01-01

    Purpose High-dose radiotherapy can cause contracture of the anophthalmic socket, but the incidence of this complication in patients with enucleation for uveal melanoma has not previously been reported. We reviewed the surgical management and outcomes in terms of successful prosthesis wear in patients with severe contracture of the anophthalmic socket treated with high-dose radiotherapy for high-risk uveal melanoma and estimated the relative risk of this complication. Methods The medical records of all consecutive patients enrolled in a prospective uveal-melanoma tissue-banking protocol at our institution who underwent enucleation between January 2003 and December 2010 were reviewed. Patients who underwent adjuvant radiotherapy of the enucleated socket were further studied. Results Of the 68 patients enrolled in the prospective tissue banking protocol, 12 had high-risk histologic features (e.g., extrascleral spread or vortex vein invasion) and were treated with 60 Gy of external-beam radiotherapy after enucleation. Five of these patients (41.7%) experienced severe socket contracture precluding prosthesis wear. The median time to onset of contracture following completion of radiotherapy was 20 months. Three patients underwent surgery, which entailed scar tissue release, oral mucous membrane grafting, and socket reconstruction; 2 patients declined surgery. All 3 patients who had surgery experienced significant improvement of socket contracture that enabled patients to wear a prosthesis again. Conclusion High-dose radiotherapy after enucleation in patients with uveal melanoma caused severe socket contracture and inability to wear a prosthesis in approximately 40% of patients. Surgical repair of the contracted socket using oral mucous membrane grafting can allow resumption of prosthesis wear. PMID:22581085

  15. Hydrogel Spacer Prospective Multicenter Randomized Controlled Pivotal Trial: Dosimetric and Clinical Effects of Perirectal Spacer Application in Men Undergoing Prostate Image Guided Intensity Modulated Radiation Therapy

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

    Mariados, Neil, E-mail: nmariados@ampofny.com; Sylvester, John; Shah, Dhiren

    2015-08-01

    Purpose: Perirectal spacing, whereby biomaterials are placed between the prostate and rectum, shows promise in reducing rectal dose during prostate cancer radiation therapy. A prospective multicenter randomized controlled pivotal trial was performed to assess outcomes following absorbable spacer (SpaceOAR system) implantation. Methods and Materials: Overall, 222 patients with clinical stage T1 or T2 prostate cancer underwent computed tomography (CT) and magnetic resonance imaging (MRI) scans for treatment planning, followed with fiducial marker placement, and were randomized to receive spacer injection or no injection (control). Patients received postprocedure CT and MRI planning scans and underwent image guided intensity modulated radiation therapymore » (79.2 Gy in 1.8-Gy fractions). Spacer safety and impact on rectal irradiation, toxicity, and quality of life were assessed throughout 15 months. Results: Spacer application was rated as “easy” or “very easy” 98.7% of the time, with a 99% hydrogel placement success rate. Perirectal spaces were 12.6 ± 3.9 mm and 1.6 ± 2.0 mm in the spacer and control groups, respectively. There were no device-related adverse events, rectal perforations, serious bleeding, or infections within either group. Pre-to postspacer plans had a significant reduction in mean rectal V70 (12.4% to 3.3%, P<.0001). Overall acute rectal adverse event rates were similar between groups, with fewer spacer patients experiencing rectal pain (P=.02). A significant reduction in late (3-15 months) rectal toxicity severity in the spacer group was observed (P=.04), with a 2.0% and 7.0% late rectal toxicity incidence in the spacer and control groups, respectively. There was no late rectal toxicity greater than grade 1 in the spacer group. At 15 months 11.6% and 21.4% of spacer and control patients, respectively, experienced 10-point declines in bowel quality of life. MRI scans at 12 months verified spacer absorption. Conclusions: Spacer application was well tolerated. Increased perirectal space reduced rectal irradiation, reduced rectal toxicity severity, and decreased rates of patients experiencing declines in bowel quality of life. The spacer appears to be an effective tool, potentially enabling advanced prostate RT protocols.« less

  16. Hydrogel Spacer Prospective Multicenter Randomized Controlled Pivotal Trial: Dosimetric and Clinical Effects of Perirectal Spacer Application in Men Undergoing Prostate Image Guided Intensity Modulated Radiation Therapy.

    PubMed

    Mariados, Neil; Sylvester, John; Shah, Dhiren; Karsh, Lawrence; Hudes, Richard; Beyer, David; Kurtzman, Steven; Bogart, Jeffrey; Hsi, R Alex; Kos, Michael; Ellis, Rodney; Logsdon, Mark; Zimberg, Shawn; Forsythe, Kevin; Zhang, Hong; Soffen, Edward; Francke, Patrick; Mantz, Constantine; Rossi, Peter; DeWeese, Theodore; Hamstra, Daniel A; Bosch, Walter; Gay, Hiram; Michalski, Jeff

    2015-08-01

    Perirectal spacing, whereby biomaterials are placed between the prostate and rectum, shows promise in reducing rectal dose during prostate cancer radiation therapy. A prospective multicenter randomized controlled pivotal trial was performed to assess outcomes following absorbable spacer (SpaceOAR system) implantation. Overall, 222 patients with clinical stage T1 or T2 prostate cancer underwent computed tomography (CT) and magnetic resonance imaging (MRI) scans for treatment planning, followed with fiducial marker placement, and were randomized to receive spacer injection or no injection (control). Patients received postprocedure CT and MRI planning scans and underwent image guided intensity modulated radiation therapy (79.2 Gy in 1.8-Gy fractions). Spacer safety and impact on rectal irradiation, toxicity, and quality of life were assessed throughout 15 months. Spacer application was rated as "easy" or "very easy" 98.7% of the time, with a 99% hydrogel placement success rate. Perirectal spaces were 12.6 ± 3.9 mm and 1.6 ± 2.0 mm in the spacer and control groups, respectively. There were no device-related adverse events, rectal perforations, serious bleeding, or infections within either group. Pre-to postspacer plans had a significant reduction in mean rectal V70 (12.4% to 3.3%, P<.0001). Overall acute rectal adverse event rates were similar between groups, with fewer spacer patients experiencing rectal pain (P=.02). A significant reduction in late (3-15 months) rectal toxicity severity in the spacer group was observed (P=.04), with a 2.0% and 7.0% late rectal toxicity incidence in the spacer and control groups, respectively. There was no late rectal toxicity greater than grade 1 in the spacer group. At 15 months 11.6% and 21.4% of spacer and control patients, respectively, experienced 10-point declines in bowel quality of life. MRI scans at 12 months verified spacer absorption. Spacer application was well tolerated. Increased perirectal space reduced rectal irradiation, reduced rectal toxicity severity, and decreased rates of patients experiencing declines in bowel quality of life. The spacer appears to be an effective tool, potentially enabling advanced prostate RT protocols. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

  17. Population pressures in Latin America. [Updated reprint].

    PubMed

    Merrick, T W

    1991-04-01

    This publication examines the main demographic changes in Latin America since World War II, and considers their social and economic impact on the region. The paper looks at the following demographic trends: population growth, fertility, death rate, internal migration, international migration, and age structure. It also examines other factors such as marriage and family structure, and employment and education. Furthermore, the publication provides a discussion of the relationship between population growth and economic development from both a neo-Malthusian and Structuralist view. Finally, the paper considers the region's current population policies and future population prospects. From 1950-65, annual population growth averaged 2.8%, which decreased moderately to 2.4% from 1965-85. The report identified 3 population growth patterns in the region: 1) countries which experienced early and gradual declines in birth and death rates and generally lower population growth rates (the group includes Argentina, Cuba, Uruguay, with Chile and Panama also closely fitting the description); 2) countries which underwent rapid declines in birth rate during the 1950s and which began experiencing declines in the birth rate after 1960 (Brazil, Colombia, Costa Rica, the Dominican Republic, Mexico, Paraguay, and Venezuela, with Ecuador and Peru as borderline cases); and 3) countries which didn't begin to experience declines in mortality rates until relatively late and which lag behind in fertility declines (Bolivia, Haiti, El Salvador, Guatemala, Honduras, and Nicaragua). Although population growth has slowed and will continue to fall, UN projections do not expect the population to stabilize until late in the 21st Century.

  18. The leaky pipeline: factors associated with early decline in interest in premedical studies among underrepresented minority undergraduate students.

    PubMed

    Barr, Donald A; Gonzalez, Maria Elena; Wanat, Stanley F

    2008-05-01

    To determine the causes among underrepresented racial and ethnic minority groups (URM) of a decline in interest during the undergraduate years in pursuing a career in medicine. From fall 2002 through 2007, the authors conducted a longitudinal study of 362 incoming Stanford freshmen (23% URM) who indicated on a freshman survey that they hoped to become physicians. Using a 10-point scale of interest, the authors measured the change in students' levels of interest in continuing premedical studies between the beginning of freshman year and the end of sophomore year. Follow-up interviews were conducted with 68 participants, approximately half of whom had experienced decreases in interest in continuing as premeds, and half of whom who had experienced increases in interest. URM students showed a larger decline in interest than did non-URM students; women showed a larger decline than did men, independent of race or ethnicity. The authors found no association between scholastic ability as measured by SAT scores and changes in level of interest. The principal reason given by students for their loss of interest in continuing as premeds was a negative experience in one or more chemistry courses. Students also identified problems in the university's undergraduate advising system as a contributor. Largely because of negative experiences with chemistry classes, URM students and women show a disproportionate decline in interest in continuing in premedical studies, with the result that fewer apply to medical school.

  19. Epidemic disease decimates amphibian abundance, species diversity, and evolutionary history in the highlands of central Panama.

    PubMed

    Crawford, Andrew J; Lips, Karen R; Bermingham, Eldredge

    2010-08-03

    Amphibian populations around the world are experiencing unprecedented declines attributed to a chytrid fungal pathogen, Batrachochytrium dendrobatidis. Despite the severity of the crisis, quantitative analyses of the effects of the epidemic on amphibian abundance and diversity have been unavailable as a result of the lack of equivalent data collected before and following disease outbreak. We present a community-level assessment combining long-term field surveys and DNA barcode data describing changes in abundance and evolutionary diversity within the amphibian community of El Copé, Panama, following a disease epidemic and mass-mortality event. The epidemic reduced taxonomic, lineage, and phylogenetic diversity similarly. We discovered that 30 species were lost, including five undescribed species, representing 41% of total amphibian lineage diversity in El Copé. These extirpations represented 33% of the evolutionary history of amphibians within the community, and variation in the degree of population loss and decline among species was random with respect to the community phylogeny. Our approach provides a fast, economical, and informative analysis of loss in a community whether measured by species or phylogenetic diversity.

  20. Epidemic disease decimates amphibian abundance, species diversity, and evolutionary history in the highlands of central Panama

    PubMed Central

    Crawford, Andrew J.; Lips, Karen R.; Bermingham, Eldredge

    2010-01-01

    Amphibian populations around the world are experiencing unprecedented declines attributed to a chytrid fungal pathogen, Batrachochytrium dendrobatidis. Despite the severity of the crisis, quantitative analyses of the effects of the epidemic on amphibian abundance and diversity have been unavailable as a result of the lack of equivalent data collected before and following disease outbreak. We present a community-level assessment combining long-term field surveys and DNA barcode data describing changes in abundance and evolutionary diversity within the amphibian community of El Copé, Panama, following a disease epidemic and mass-mortality event. The epidemic reduced taxonomic, lineage, and phylogenetic diversity similarly. We discovered that 30 species were lost, including five undescribed species, representing 41% of total amphibian lineage diversity in El Copé. These extirpations represented 33% of the evolutionary history of amphibians within the community, and variation in the degree of population loss and decline among species was random with respect to the community phylogeny. Our approach provides a fast, economical, and informative analysis of loss in a community whether measured by species or phylogenetic diversity. PMID:20643927

  1. Austerity, precariousness, and the health status of Greek labour market participants: Retrospective cohort analysis of employed and unemployed persons in 2008-2009 and 2010-2011.

    PubMed

    Barlow, Pepita; Reeves, Aaron; McKee, Martin; Stuckler, David

    2015-11-01

    Greece implemented the deepest austerity package in Europe during the Great Recession (from 2008), including reductions in severance pay and redundancy notice periods. To evaluate whether these measures worsened labour market participants' health status, we compared changes in self-reported health using two cohorts of employed individuals in Greece from the European Union Statistics on Income and Living Conditions. During the initial recession (2008-2009) we found that self-reported health worsened both for those remaining in employment and those who lost jobs. Similarly, during the austerity programme (2010-2011) people who lost jobs experienced greater health declines. Importantly, individuals who remained employed in 2011 were also 25 per cent more likely to experience a health decline than in 2009. These harms appeared concentrated in people aged 45-54 who lost jobs. Our study moves beyond existing findings by demonstrating that austerity both exacerbates the negative health consequences of job loss and worsens the health of those still employed.

  2. Glasgow marathons 1982-1987. A review of medical problems.

    PubMed

    Ridley, S A; Rogers, P N; Wright, I H

    1990-02-01

    The race statistics, whether conditions and incidence of medical problems for the six consecutive years of the Glasgow Marathon are reviewed. The results suggest that the popularity of marathon running is declining but that the competitors are becoming more experienced, seeking medical assistance earlier and, as a result, experiencing fewer and less serious problems at the finish. The effect of weather conditions on the runners' performance is discussed.

  3. Declining trends in exposures to harmful policing among people who inject drugs in Vancouver, Canada.

    PubMed

    Landsberg, Adina; Kerr, Thomas; Milloy, Michael-John; Dong, Huiru; Nguyen, Paul; Wood, Evan; Hayashi, Kanna

    2016-01-01

    In 2006, the Vancouver Police Department (VPD) developed an organization-wide drug policy approach, which included endorsing harm reduction strategies for people who inject drugs (PWID). We sought to examine rates of potentially harmful policing exposures and associated HIV risk behaviour among PWID in Vancouver, Canada before and after the VPD policy change. Data were derived from two prospective cohort studies of PWID. Multivariable generalized estimating equation models were used to examine changes in the risk of confiscation of drug use paraphernalia and physical violence by the police, as well as changes in the relationship between exposures to the two policing practices and sharing of drug use paraphernalia, before and after the policy change. Among 2193 participants, including 757 (34.5%) women, the rates of experiencing police confiscation of drug use paraphernalia declined from 22.3% in 2002 to 2.8% in 2014, and the rates of reporting experiencing physical violence by the police also declined from 14.1% in 2004 to 2.9% in 2014. In multivariable analyses, the post-policy change period remained independently and negatively associated with reports of confiscation of drug use paraphernalia (adjusted odds ratio (AOR): 0.25; 95% confidence interval (CI): 0.21 to 0.31) and reported physical violence by the police (AOR: 0.76; 95% CI: 0.63 to 0.91). However, experiencing both confiscation of drug use paraphernalia and physical violence by the police (AOR: 1.92; 95% CI: 1.10 to 3.33) and experiencing only confiscation of drug use paraphernalia (AOR: 1.71; 95% CI: 1.34 to 2.19) remained independently and positively associated with sharing of drug use paraphernalia during the post-policy change period. In our study, two policing practices known to increase HIV risk among PWID have declined significantly since the local police launched an evidence-based drug policy approach. However, these practices remained independently associated with elevated HIV risk after the post-policy change. Although there remains a continued need to ensure that policing activities do not undermine public health efforts, these findings demonstrate that a major shift towards a public health approach to policing is possible for a municipal police force.

  4. The Evolution of Post-Traumatic Stress Disorder following Moderate-to-Severe Traumatic Brain Injury.

    PubMed

    Alway, Yvette; Gould, Kate Rachel; McKay, Adam; Johnston, Lisa; Ponsford, Jennie

    2016-05-01

    Increasing evidence indicates that post-traumatic stress disorder (PTSD) may develop following traumatic brain injury (TBI), despite most patients having no conscious memory of their accident. This prospective study examined the frequency, timing of onset, symptom profile, and trajectory of PTSD and its psychiatric comorbidities during the first 4 years following moderate-to-severe TBI. Participants were 85 individuals (78.8% male) with moderate or severe TBI recruited following admission to acute rehabilitation between 2005 and 2010. Using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Disorders (SCID-I), participants were evaluated for pre- and post-injury PTSD soon after injury and reassessed at 6 months, 12 months, 2 years, 3 years, and 4 years post-injury. Over the first 4 years post-injury, 17.6% developed injury-related PTSD, none of whom had PTSD prior to injury. PTSD onset peaked between 6 and 12 months post-injury. The majority of PTSD cases (66.7%) had a delayed-onset, which for a third was preceded by subsyndromal symptoms in the first 6 months post-injury. PTSD frequency increased over the first year post-injury, remained stable during the second year, and gradually declined thereafter. The majority of subjects with PTSD experienced a chronic symptom course and all developed one or more than one comorbid psychiatric disorder, with mood, other anxiety, and substance-use disorders being the most common. Despite event-related amnesia, post-traumatic stress symptoms, including vivid re-experiencing phenomena, may develop following moderate-to-severe TBI. Onset is typically delayed and symptoms may persist for several years post-injury.

  5. Effects of Withdrawals on Ground-Water Levels in Southern Maryland and the Adjacent Eastern Shore, 1980-2005

    USGS Publications Warehouse

    Soeder, Daniel J.; Raffensperger, Jeff P.; Nardi, Mark R.

    2007-01-01

    Ground water is the primary source of water supply in most areas of Maryland?s Atlantic Coastal Plain, including Southern Maryland. The counties in this area are experiencing some of the most rapid growth and development in the State, resulting in an increased demand for ground-water production. The cooperative, basic water-data program of the U.S. Geological Survey and the Maryland Geological Survey has collected long-term observations of ground-water levels in Southern Maryland and parts of the Eastern Shore for many decades. Additional water-level observations were made by both agencies beginning in the 1970s, under the Power Plant Research Program of the Maryland Department of Natural Resources. These long-term water levels commonly show significant declines over several decades, which are attributed to ground-water withdrawals. Ground-water-level trends since 1980 in major Coastal Plain aquifers such as the Piney Point-Nanjemoy, Aquia, Magothy, upper Patapsco, lower Patapsco, and Patuxent were compared to water use and withdrawal data. Potentiometric surface maps show that most of the declines in ground-water levels can be directly related to effects from major pumping centers. There is also evidence that deep drawdowns in some pumped aquifers may be causing declines in adjacent, unpumped aquifers. Water-level hydrographs of many wells in Southern Maryland show linear declines in levels year after year, instead of the gradual leveling-off that would be expected as the aquifers equilibrate with pumping. A continual increase in the volumes of water being withdrawn from the aquifers is one explanation for why they are not reaching equilibrium. Although reported ground-water production in Southern Maryland has increased somewhat over the past several decades, the reported increases are often not large enough to account for the observed water-level declines. Numerical modeling simulations indicate that a steady, annual increase in the number of small wells could account for the observed aquifer behavior. Such wells, being pumped at rates below the minimum legal reporting threshold of 10,000 gallons per day, might be the source of the additional withdrawals. More detailed water-use data, especially from domestic wells, central-pivot irrigation wells, and other small users not currently reporting withdrawals to the State, may help to determine the cause of the aquifer declines.

  6. Incidence and lifetime costs of injuries in the United States

    PubMed Central

    Corso, P; Finkelstein, E; Miller, T; Fiebelkorn, I; Zaloshnja, E

    2006-01-01

    Background Standardized methodologies for assessing economic burden of injury at the national or international level do not exist. Objective To measure national incidence, medical costs, and productivity losses of medically treated injuries using the most recent data available in the United States, as a case study for similarly developed countries undertaking economic burden analyses. Method The authors combined several data sets to estimate the incidence of fatal and non‐fatal injuries in 2000. They computed unit medical and productivity costs and multiplied these costs by corresponding incidence estimates to yield total lifetime costs of injuries occurring in 2000. Main outcome measures Incidence, medical costs, productivity losses, and total costs for injuries stratified by age group, sex, and mechanism. Results More than 50 million Americans experienced a medically treated injury in 2000, resulting in lifetime costs of $406 billion; $80 billion for medical treatment and $326 billion for lost productivity. Males had a 20% higher rate of injury than females. Injuries resulting from falls or being struck by/against an object accounted for more than 44% of injuries. The rate of medically treated injuries declined by 15% from 1985 to 2000 in the US. For those aged 0–44, the incidence rate of injuries declined by more than 20%; while persons aged 75 and older experienced a 20% increase. Conclusions These national burden estimates provide unequivocal evidence of the large health and financial burden of injuries. This study can serve as a template for other countries or be used in intercountry comparisons. PMID:16887941

  7. Trends in fatal occupational injuries and industrial restructuring in North Carolina in the 1980s.

    PubMed Central

    Richardson, D; Loomis, D

    1997-01-01

    OBJECTIVES: This study examined the relationship between changes in employment in North Carolina in the 1980s and fatal occupational injury rates. METHODS: Unintentional fatal occupational injuries (n = 1989) in North Carolina between 1978 and 1991 were identified via the medical examiner's system. RESULTS: Overall fatal injury rates declined during the 1980s, but rates increased 9.6% per year among manufacturing industries that declined in employment size; rates fell among service sector and manufacturing industries that grew. CONCLUSIONS: Increasing occupational fatal injury rates accompanied the decline in workforce in North Carolina's traditional, labor-intensive manufacturing industries during the 1980s, while service sector and expanding manufacturing industries have experienced declining fatal injury rates. PMID:9224194

  8. Climate Induced Birch Mortality in Trans-Baikal Lake Region, Siberia

    NASA Technical Reports Server (NTRS)

    Kharuk, V. I.; Ranson, K. J.; Oskorbin, P. A.; Im, S. T.; Dvinskaya, M. L.

    2013-01-01

    The Trans-Baikal (or Zabailkal'e) region includes the forest-steppe ecotones south and east of Lake Baikal in Russia and has experienced drought for several years. The decline and mortality of birch (Betula pendula) stands within the forest-steppe ecotone Trans-Baikal region was studied based on a temporal series of satellite data, ground measurements, and tree ring analysis. During the first decade of the 21st century birch stands decline and mortality were observed on )about 5% of the total area of stands within our 1250 km(exp 2 study area. Birch forest decline and mortality occurs mainly at the margins of stands, within the forest-steppe ecotone on slopes with direct insolation. During the first decade of the 21st century summer (June-August) precipitation was about 25% below normal. Soil water content measurements were lowest within dead stands and highest within healthy stands and intermediate within damaged stands. Drought impact on stands was amplified by an increase in summer air temperatures (+0.9 C) in comparison with the previous decade. Tree ring data of ''surviving'' and ''dead'' tree groups showed a positive correlation with summer/annual precipitation and negative correlation with summer air temperatures. Temperature and precipitation extreme anomalies tend to occur in the region with a period of about 27 years. The observed anomaly was the most severe since the beginning of meteorological observations in the year 1900. Data for the other sites showed a positive climate impact on the growth and expansion of Siberian forests. That is, the same species (B. pendula) showed considerable increase (1.4 times both in height and stem volume) during 20th-21st centuries as temperature increased but precipitation remained at adequate levels.

  9. Genetic implications of bottleneck effects of differing severities on genetic diversity in naturally recovering populations: An example from Hawaiian coot and Hawaiian gallinule

    USGS Publications Warehouse

    Sonsthagen, Sarah A.; Wilson, Robert E.; Underwood, Jared G.

    2017-01-01

    The evolutionary trajectory of populations through time is influenced by the interplay of forces (biological, evolutionary, and anthropogenic) acting on the standing genetic variation. We used microsatellite and mitochondrial loci to examine the influence of population declines, of varying severity, on genetic diversity within two Hawaiian endemic waterbirds, the Hawaiian coot and Hawaiian gallinule, by comparing historical (samples collected in the late 1800s and early 1900s) and modern (collected in 2012–2013) populations. Population declines simultaneously experienced by Hawaiian coots and Hawaiian gallinules differentially shaped the evolutionary trajectory of these two populations. Within Hawaiian coot, large reductions (between −38.4% and −51.4%) in mitochondrial diversity were observed, although minimal differences were observed in the distribution of allelic and haplotypic frequencies between sampled time periods. Conversely, for Hawaiian gallinule, allelic frequencies were strongly differentiated between time periods, signatures of a genetic bottleneck were detected, and biases in means of the effective population size were observed at microsatellite loci. The strength of the decline appears to have had a greater influence on genetic diversity within Hawaiian gallinule than Hawaiian coot, coincident with the reduction in census size. These species exhibit similar life history characteristics and generation times; therefore, we hypothesize that differences in behavior and colonization history are likely playing a large role in how allelic and haplotypic frequencies are being shaped through time. Furthermore, differences in patterns of genetic diversity within Hawaiian coot and Hawaiian gallinule highlight the influence of demographic and evolutionary processes in shaping how species respond genetically to ecological stressors.

  10. Microsatellite primers for the Pacific Northwest conifer Callitropsis nootkatensis (Cupressaceae)

    Treesearch

    Tar N. Jennings; Brian J. Knaus; Katherine Alderman; Paul E. Hennon; David V. D’Amore; Richard. Cronn

    2013-01-01

    Microsatellite primers were developed for Nootka cypress ( Callitropsis nootkatensis ) to provide quantitative measures for gene conservation that can assist in guiding management decisions for a species experiencing climate-induced decline.

  11. AMPHIBIAN POPULATION DYNAMICS

    EPA Science Inventory

    Agriculture has contributed to loss of vertebrate biodiversity in many regions, including the U.S. Corn Belt. Amphibian populations, in particular, have experienced widespread and often inexplicable declines, range reductions, and extinctions. However, few attempts have been made...

  12. Why Medical Schools Are Tolerant of Unethical Behavior

    PubMed Central

    de Oliveira Vidal, Edison Iglesias; Silva, Vanessa dos Santos; dos Santos, Maria Fernanda; Jacinto, Alessandro Ferrari; Boas, Paulo José Fortes Villas; Fukushima, Fernanda Bono

    2015-01-01

    The exposure to unethical and unprofessional behavior is thought to play a major role in the declining empathy experienced by medical students during their training. We reflect on the reasons why medical schools are tolerant of unethical behavior of faculty. First, there are barriers to reporting unprofessional behavior within medical schools including fear of retaliation and lack of mechanisms to ensure anonymity. Second, deans and directors do not want to look for unethical behavior in their colleagues. Third, most of us have learned to take disrespectful circumstances in health care institutions for granted. Fourth, the accreditation of medical schools around the world does not usually cover the processes or outcomes associated with fostering ethical behavior in students. Several initiatives promise to change that picture. PMID:25755040

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

    PubMed Central

    Dunlap, Eloise; Johnson, Bruce D.

    2009-01-01

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

  14. Dynamic and heterogeneous effects of sibling death on children's outcomes.

    PubMed

    Fletcher, Jason; Vidal-Fernandez, Marian; Wolfe, Barbara

    2018-01-02

    This paper explores the effects of experiencing the death of a sibling on children's developmental outcomes. Recent work has shown that experiencing a sibling death is common and long-term effects are large. We extend understanding of these effects by estimating dynamic effects on surviving siblings' cognitive and socioemotional outcomes, as well as emotional and cognitive support by parents. Using the Children of the National Longitudinal Survey of Youth 1979 (CNLSY79), we find large initial effects on cognitive and noncognitive outcomes that decline over time. We also provide evidence that the effects are larger if the surviving child is older and less prominent if the deceased child was either disabled or an infant, suggesting sensitive periods of exposure. Auxiliary results show that parental investments in the emotional support of surviving children decline following the death of their child.

  15. Identification of the Causal Agent of Shrimp Black Gill in the Coastal Southeast USA

    NASA Astrophysics Data System (ADS)

    Bassette, M. A.; Verdiyev, R.; Price, A. R.; Walters, T. L.; Landers, S. C.; Walker, A. N.; Geer, P. J.; Frischer, M. E.

    2016-02-01

    Penaeid shrimp including Litopenaeus setiferus (white shrimp), Farfantepenaeus aztecus (brown shrimp), and Farfantepenaeus duorarum (pink shrimp) support the most valuable commercial fisheries in the US Southeast Atlantic. However, since the mid 1990's the fishery has experienced a significant decline in reported harvest, due in part to declines in fishing effort (both fishing trips and licensed vessels). Another primary cause for this decline, particularly for the fall white shrimp, has been hypothesized to be due to severe outbreaks of a gill infection causing tissue melanization (Black Gill), but the agent of Black Gill has not been identified. Histological and molecular studies indicate the presence of a large ciliate with evidence of gill tissue necrosis and the formation of melanized nodules. Sequencing of nearly the complete 18S rRNA gene of the shrimp Black Gill (sBG) ciliate indicates that it is closely related to the apostomate ciliate Hyalophysa chattoni (99.6% nucleotide similarity). However, electron microscopy studies suggest that the sBG ciliate is not H. chattoni and may not even be an apostome ciliate because it lacks many of the definitive ultra-structural characteristics of this group of ciliates including well-stacked kinetodesmal fibers anchoring their basal bodies (kinetosomes), food plaquettes, trichocysts or an epiplasm. Investigations are continuing to identify definitively the sBG ciliate but these results point to the possible discovery of a new species of ciliate.

  16. 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

  17. [The demographic potential of Russia].

    PubMed

    Vishnevskii, A

    1998-05-01

    This is a general review of current demographic trends in Russia. The author analyzes the decline in population size that is taking place at the end of the twentieth century, and traces its origins as far back as the disturbances associated with World War I, the Communist revolution, and the civil war that followed it. Political repression during the Stalinist period and the tribulations experienced during World War II also contributed to the current demographic crisis. The author discusses the changes in migration patterns and the declining fertility and increasing mortality rates. The decline in life expectancy is also addressed. Some comparisons are made with the demographic situation in other European countries.

  18. The impact of food price increases on caloric intake in China

    PubMed Central

    Jensen, Robert T.; Miller, Nolan H.

    2011-01-01

    World food prices have increased dramatically in recent years. We use panel data from 2006 to examine the impact of these increases on the consumption and nutrition of poor households in two Chinese provinces. We find that households in Hunan suffered no nutrition declines. Households in Gansu experienced a small decline in calories, though the decline is on par with usual seasonal effects. The overall nutritional impact of the world price increase was small because households were able to substitute to cheaper foods and because the domestic prices of staple foods remained low due to government intervention in grain markets. PMID:21625411

  19. Role of transit service providers in land development.

    DOT National Transportation Integrated Search

    2013-06-01

    While various transit development initiatives, such as integrated transit and land development and transit-oriented development, have been proposed in the past, many transit agencies in the United States are experiencing declining ridership and incre...

  20. Childhood adversity, mental ill-health and aggressive behavior in an African orphanage: Changes in response to trauma-focused therapy and the implementation of a new instructional system.

    PubMed

    Hermenau, Katharin; Hecker, Tobias; Ruf, Martina; Schauer, Elisabeth; Elbert, Thomas; Schauer, Maggie

    2011-09-25

    The number of orphans in Sub-Saharan Africa is constantly rising. While it is known that family or community care is preferable over institutional care of African orphans, little is known about the quality of care in orphanages and possibilities of improvement. STUDY 1: Exposure to traumatic stress, experiences of violence in the home, school and orphanage, as well as mental ill-health and aggression of 38 children (mean age of M = 8.64 years) living in an orphanage in rural Tanzania were assessed at two time points. The severity of post-traumatic stress disorder symptoms (PTSD), depressive symptoms, and internalizing and externalizing problems were used as indicators of mental ill-health. Violence experienced in the orphanage correlated more strongly with all indicators of mental ill-health than violence in the former home, school or neighborhood at time point 1. Additionally, violence experienced in the orphanage had a positive relationship with the aggressive behavior of the children at time point 2. STUDY 2: With the help of the pre-post assessment of Study 1, the implementation of a new instructional system and psychotherapeutic treatment (KIDNET) for trauma-related illness were evaluated. In response to both, a change in the instructional system and psychotherapeutic treatment of PTSD, a massive decline in experienced violence and in the severity of PTSD-symptoms was found, whereas depressive symptoms and internalizing and externalizing problems exhibited little change. These studies show that violence, especially in the orphanage, can severely contribute to mental ill-health in orphans and that mental health can be improved by implementing a new instructional system and psychotherapeutic treatment in an orphanage. Moreover, the results indicate that the experience of violence in an orphanage also plays a crucial role in aggressive behavior of the orphans.

  1. Marital Quality and Congruent Drinking*

    PubMed Central

    HOMISH, GREGORY G.; LEONARD, KENNETH E.

    2006-01-01

    Objective This research considered whether changes in marital quality over the early years of marriage were related to patterns of alcohol use among three groups of couples: congruent nondrinkers, congruent drinkers who usually drank with their spouses and congruent drinkers who usually drank apart from their spouses. Method Newlywed couples (N = 418) were assessed for marital satisfaction and drinking behaviors and then were reassessed at their first and second anniversaries, Cross-sectional analyses compared couples at each assessment mid multilevel modeling assessed changes in marital satisfaction over time. Results At each assessment, husbands and wives who usually drank with their partners reported greater levels of marital satisfaction. Over time, marital satisfaction declined for both husbands and wives. When we assessed changes in mental quality based on the three groups, husbands in each group experienced similar declines in marital quality. Among wives, however, the rate of decline was not the same. Although wives in the nondrinking group and wives who usually drank with their husbands had similar initial marital satisfaction, the nondrinkers experienced a greater decline in marital satisfaction than the wives who drank with their husbands. The rate of change for the wives in the nondrinking group was quite similar to wives who more often drank apart from their spouses. Conclusion These findings suggest that alcohol use may be a part of the couple’s socializing and may increase interaction, thereby increasing marital satisfaction. PMID:16240556

  2. Estimates of performance in the rate of decline of under-five mortality for 113 low- and middle-income countries, 1970-2010.

    PubMed

    Verguet, Stéphane; Jamison, Dean T

    2014-03-01

    BACKGROUND; Measuring country performance in health has focused on assessing predicted vs observed levels of outcomes, an indicator that varies slowly over time. An alternative is to measure performance in terms of the rate of change in how a selected outcome compares to what would be expected given contextual determinants. Rates of change in health indicators can prove more sensitive than levels to changes in social, intersectoral or health policy context. It is thus similar to the growth rate of gross domestic product in the economic context. We assess performance in the rate of change (decline) of under-five mortality for 113 low- and middle-income countries. For 1970-2010, we study the evolution in rates of decline of under-five mortality. For each decade, we define performance as the average of the difference between the observed rate of decline and a rate of decline predicted by a model controlling for the contextual factors of income, female education levels, decade and geographical location. In the 1970s, the top performer in the rate of decline of under-five mortality was Costa Rica. In the 2000s, the top performer was Turkey. Overall, performance in rates of decline correlated little with performance in levels of under-five mortality. A major transition in performance between decades suggests a change in underlying determinants and we report the magnitude of these transitions. For example, heavily AIDS impacted countries, such as Botswana, experienced major drops in performance between the 1980s and the 1990s and some, including Botswana, experienced major compensatory improvements between the 1990s and the 2000s. Rate-based measures of country performance in health provide a starting point for assessments of the importance of health system, social and intersectoral determinants of performance.

  3. Rapid regional recovery from sulfate and nitrate pollution in streams of the western Czech Republic - Comparison to other recovering areas

    USGS Publications Warehouse

    Majer, V.; Kram, P.; Shanley, J.B.

    2005-01-01

    Hydrochemical changes between 1991 and 2001 were assessed based on two synoptic stream surveys from the 820-km2 region of the Slavkov Forest and surrounding area, western Czech Republic. Marked declines of sulfate, nitrate, chloride, calcium and magnesium in surface waters were compared with other areas of Europe and North America recovering from acidification. Declines of sulfate concentration in the Slavkov Forest (-30 ??eq L-1 yr-1) were more dramatic than declines reported from other sites. However, these dramatic declines of strong acid anions did not generate a widespread increase of stream water pH in the Slavkov Forest. Only the most acidic streams experienced a slight increase of pH by 0.5 unit. An unexpected decline of stream water pH occurred in slightly alkaline streams. ?? 2004 Elsevier Ltd. All rights reserved.

  4. Does Black Socioeconomic Mobility Explain Recent Progress Toward Black-White Residential Integration?

    PubMed

    Wagmiller, Robert L; Gage-Bouchard, Elizabeth; Karraker, Amelia

    2017-08-01

    Studies of racial residential segregation have found that black-white segregation in U.S. metropolitan areas has declined slowly but steadily since the early 1970s. As of this writing, black-white residential segregation in the United States is approximately 25 % lower than it was in 1970. To identify the sources of this decline, we used individual-level, geocoded data from the Panel Study of Income Dynamics (PSID) to compare the residential attainment of different cohorts of blacks. We analyzed these data using Blinder-Oaxaca regression decomposition techniques that partition the decline in residential segregation among cohorts into the decline resulting from (1) changes in the social and economic characteristics of blacks and (2) changes in the association between blacks' social and economic characteristics and the level of residential segregation they experience. Our findings show that black cohorts entering adulthood prior to the civil rights movement of the 1960s experienced consistently high levels of residential segregation at middle age, but that cohorts transitioning to adulthood during and after this period of racial progress experienced significantly lower levels of residential segregation. We find that the decline in black-white residential segregation for these later cohorts reflects both their greater social and economic attainment and a strengthening of the association between socioeconomic characteristics and residential segregation. Educational gains for the post-civil rights era cohorts and improved access to integrated neighborhoods for high school graduates and college attendees in these later cohorts were the principal source of improved residential integration over this period.

  5. Widowhood Status as a Risk Factor for Cognitive Decline among Older Adults.

    PubMed

    Shin, Su Hyun; Kim, Giyeon; Park, Soohyun

    2018-07-01

    This study investigated whether widowhood status has an effect on cognitive decline among older adults in the United States. Longitudinal analysis of existing secondary data. The 1996-2012 waves of the Health and Retirement Study. A total of 6,766 individuals (28,420 observations) aged 50 years and older who responded to all questions. Widow/widower status, cognitive functioning score, and various covariates. Growth-curve models show that after controlling for covariates, widowhood status was related to cognitive decline (95% CI: -0.8090, -0.4674). We also found a linear relationship between time since spousal loss and cognitive decline. Conditional upon spousal bereavement status, higher education and having at least one living sibling were found to be protective factors against cognitive decline. Widowhood status accelerated cognitive decline over time among widowed older adults. Findings suggest that extra support is needed to monitor cognitive functioning for those experiencing widowhood. Copyright © 2018 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  6. Global amphibian declines: perspectives from the United States and beyond

    USGS Publications Warehouse

    Densmore, Christine L.; Cipriano, R.C.; Bruckner, A.W.; Shchelkunov, I.S.

    2011-01-01

    Over recent decades, amphibians have experienced population declines, extirpations and species-level extinctions at an alarming rate. Numerous potential etiologies for amphibian declines have been postulated including climate and habitat degradation. Other potential anthropogenic causes including overexploitation and the frequent introductions of invasive predatory species have also been blamed for amphibian declines. Still other underlying factors may include infectious diseases caused by the chytrid fungus Batrachochytrium dendrobatidis, pathogenic viruses (Ranavirus), and other agents. It is nearly certain that more than one etiology is to blame for the majority of the global amphibian declines, and that these causal factors include some combination of climatological or physical habitat destabilization and infectious disease, most notably chytridiomycosis. Scientific research efforts are aimed at elucidating these etiologies on local, regional, and global scales that we might better understand and counteract the driving forces behind amphibian declines. Conservation efforts as outlined in the Amphibian Conservation Action Plan of 2005 are also being made to curtail losses and prevent further extinctions wherever possible.

  7. Tempting Fate or Inviting Happiness? Unrealistic idealization prevents the decline of marital satisfaction

    PubMed Central

    Murray, Sandra L.; Griffin, Dale W.; Derrick, Jaye L.; Harris, Brianna; Aloni, Maya; Leder, Sadie

    2014-01-01

    The authors examine whether unrealistically viewing a romantic partner as the image of one’s ideal partner accelerates or slows declines in marital satisfaction among newlyweds. A longitudinal study linked unrealistic idealization at the point of marriage to changes in satisfaction over the first three years of marriage. Overall, satisfaction declined markedly, consistent with past research. However, seeing a less-than-ideal partner as a reflection of one’s ideals predicted a certain level of immunity to the corrosive effects of time: People who initially idealized their partner highly experienced no declines in satisfaction. The obtained benefits of idealization remained in analyses that separately controlled for the positivity of partner perceptions and the possibility that better adjusted people might be in better relationships. PMID:21467549

  8. Declining Fertility and the Use of Cesarean Delivery: Evidence from a Population-Based Study in Taiwan

    PubMed Central

    Ma, Ke-Zong M; Norton, Edward C; Lee, Shoou-Yih D

    2010-01-01

    Objective To test the hypothesis that declining fertility would affect the number of cesarean sections (c-sections) on maternal demand, but not medically indicated c-sections. Data Sources The 1996–2004 National Health Insurance Research Database in Taiwan for all singleton deliveries. Study Design Retrospective population-based, longitudinal study. Estimation was performed using multinomial probit models. Principal Findings Results revealed that declining fertility had a significant positive effect on the probability of having a c-section on maternal request but not medically indicated c-section. Conclusions Our findings offer a precautionary note to countries experiencing a fertility decline. Policies to contain the rise of c-sections should understand the role of women's preferences, especially regarding cesarean deliveries on maternal request. PMID:20545781

  9. Cumulative effects of wildfires on forest dynamics in the eastern Cascade Mountains, USA.

    PubMed

    Reilly, Matthew J; Elia, Mario; Spies, Thomas A; Gregory, Matthew J; Sanesi, Giovanni; Lafortezza, Raffaele

    2018-03-01

    Wildfires pose a unique challenge to conservation in fire-prone regions, yet few studies quantify the cumulative effects of wildfires on forest dynamics (i.e., changes in structural conditions) across landscape and regional scales. We assessed the contribution of wildfire to forest dynamics in the eastern Cascade Mountains, USA from 1985 to 2010 using imputed maps of forest structure (i.e., tree size and canopy cover) and remotely sensed burn severity maps. We addressed three questions: (1) How do dynamics differ between the region as a whole and the unburned portion of the region? (2) How do dynamics vary among vegetation zones differing in biophysical setting and historical fire frequency? (3) How have forest structural conditions changed in a network of late successional reserves (LSRs)? Wildfires affected 10% of forests in the region, but the cumulative effects at this scale were primarily slight losses of closed-canopy conditions and slight gains in open-canopy conditions. In the unburned portion of the region (the remaining 90%), closed-canopy conditions primarily increased despite other concurrent disturbances (e.g., harvest, insects). Although the effects of fire were largely dampened at the regional scale, landscape scale dynamics were far more variable. The warm ponderosa pine and cool mixed conifer zones experienced less fire than the region as a whole despite experiencing the most frequent fire historically. Open-canopy conditions increased slightly in the mixed conifer zone, but declined across the ponderosa pine zone even with wildfires. Wildfires burned 30% of the cold subalpine zone, which experienced the greatest increase in open-canopy conditions and losses of closed-canopy conditions. LSRs were more prone to wildfire than the region as a whole, and experienced slight declines in late seral conditions. Despite losses of late seral conditions, wildfires contributed to some conservation objectives by creating open habitats (e.g., sparse early seral and woodland conditions) that otherwise generally decreased in unburned landscapes despite management efforts to increase landscape diversity. This study demonstrates the potential for wildfires to contribute to regional scale conservation objectives, but implications for management and biodiversity at landscape scales vary geographically among biophysical settings, and are contingent upon historical dynamics and individual species habitat preferences. © 2017 by the Ecological Society of America.

  10. Long-Term Follow-Up of the Edmonton Protocol of Islet Transplantation in the United States.

    PubMed

    Brennan, D C; Kopetskie, H A; Sayre, P H; Alejandro, R; Cagliero, E; Shapiro, A M J; Goldstein, J S; DesMarais, M R; Booher, S; Bianchine, P J

    2016-02-01

    We report the long-term follow-up of the efficacy and safety of islet transplantation in seven type 1 diabetic subjects from the United States enrolled in the multicenter international Edmonton Protocol who had persistent islet function after completion of the Edmonton Protocol. Subjects were followed up to 12 years with serial testing for sustained islet allograft function as measured by C-peptide. All seven subjects demonstrated continued islet function longer than a decade from the time of first islet transplantation. One subject remained insulin independent without the need for diabetic medications or supplemental transplants. One subject who was insulin-independent for over 8 years experienced graft failure 10.9 years after the first islet transplant. The remaining six subjects demonstrated continued islet function upon trial completion, although three had received a supplemental islet transplant each. At trial completion, five subjects were receiving insulin and two remained insulin independent, although one was treated with liraglutide. The median hemoglobin A1c was 6.3% (45 mmol/mol). All subjects experienced progressive decline in the C-peptide/glucose ratio. No patients experienced severe hypoglycemia, opportunistic infection, or lymphoma. Thus, although the rate and duration of insulin independence was low, the Edmonton Protocol was safe in the long term. Alternative approaches to islet transplantation are under investigation. © Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.

  11. CORAL REEF BIOCRITERIA

    EPA Science Inventory

    Coral reefs worldwide are experiencing the greatest decline of their known existence and few tools are available to offset the growing impacts of human coastal and watershed activities. Biocriteria are a potentially effective means to evaluate and restore impaired waters, but are...

  12. The Development of Future Orientation is Associated with Faster Decline in Hopelessness during Adolescence.

    PubMed

    Mac Giollabhui, Naoise; Nielsen, Johanna; Seidman, Sam; Olino, Thomas M; Abramson, Lyn Y; Alloy, Lauren B

    2018-01-05

    Hopelessness is implicated in multiple psychological disorders. Little is known, however, about the trajectory of hopelessness during adolescence or how emergent future orientation may influence its trajectory. Parallel process latent growth curve modelling tested whether (i) trajectories of future orientation and hopelessness and (ii) within-individual change in future orientation and hopelessness were related. The study was comprised of 472 adolescents [52% female, 47% Caucasian, 47% received free lunch] recruited at ages 12-13 who completed measures of future orientation and hopelessness at five annual assessments. The results indicate that a general decline in hopelessness across adolescence occurs quicker for those experiencing faster development of future orientation, when controlling for age, sex, low socio-economic status in addition to stressful life events in childhood and adolescence. Stressful childhood life events were associated with worse future orientation at baseline and negative life events experienced during adolescence were associated with both an increase in the trajectory of hopelessness as well as a decrease in the trajectory of future orientation. This study provides compelling evidence that the development of future orientation during adolescence is associated with a faster decline in hopelessness.

  13. Gender differences in the relationship between marital status transitions and life satisfaction in later life.

    PubMed

    Chipperfield, J G; Havens, B

    2001-05-01

    This study examined life satisfaction among individuals who had undergone a transition in marital status and those whose marital status remained stable over a 7-year period. In particular, using data from a large-scale, longitudinal study we assessed life satisfaction as measured in 1983 and 1990 among 2,180 men and women between the ages of 67 and 102. Groups of individuals were identified on the basis of whether a spouse was present or absent at the two measurement points. This allowed for a classification of groups who experienced stability or transitions in marital status. Among those individuals whose marital status remained stable over the 7 years, women's life satisfaction declined and men's remained constant. Among those who experienced a transition--in particular, the loss of a spouse--a decline in life satisfaction was found for both men and women, decline being more predominant for men. In addition, men's life satisfaction increased over the 7-year period if they gained a spouse, whereas the same was not true for women. Generally, these findings imply that the relationship between marital status transitions or stability differs for men and women.

  14. Child Odors and Parenting: A Survey Examination of the Role of Odor in Child-Rearing

    PubMed Central

    Okamoto, Masako; Shirasu, Mika; Fujita, Rei; Hirasawa, Yukei; Touhara, Kazushige

    2016-01-01

    Parental caregiving is critical for the survival of our young and continuation of our species. In humans, visual and auditory signals from offspring have been shown to be potent facilitators of parenting. However, whether odors emitted by our young also influence human parenting remains unclear. To explore this, we conducted a series of questionnaire surveys targeting parents with children under 6 years old. First, we collected episodes on experiencing odors/sniffing various parts of a child’s body (n = 507). The prevalence of experiencing events described in those episodes was examined in a separate survey (n = 384). Based on those results, the Child Odor in Parenting scale (COPs) was developed, and subsequently used in the main survey (n = 888). We found COPs to have adequate content validity, concurrent validity, and reliability. Responses to the COPs demonstrated that parents, especially mothers with infants, are aware of odors from their offspring, and actively seek them in daily child-rearing. The factor structure and content of the COPs items indicated that child odors have both affective and instrumental roles. Affective experiences induce loving feeling and affectionate sniffing, while instrumental experiences pertain to specific hygienic needs. The head was the most frequent source of affective experiences, and the child’s bottom of instrumental. Each was experienced by more than 90% of the mothers with a child below 1 year of age. Affective experiences significantly declined as the child grew older, possibly associated with the decline of physical proximity between parents and child. This age-related decline was not prominent for instrumental experiences, except for the bottom, which significantly declined after 3 years of age. The present findings suggest that child odors play roles in human parenting, and that their nature and significance change during the course of a child’s development. PMID:27138751

  15. Blood Leukocyte Concentrations, FEV1 Decline, and Airflow Limitation. A 15-Year Longitudinal Study of World Trade Center-exposed Firefighters.

    PubMed

    Zeig-Owens, Rachel; Singh, Ankura; Aldrich, Thomas K; Hall, Charles B; Schwartz, Theresa; Webber, Mayris P; Cohen, Hillel W; Kelly, Kerry J; Nolan, Anna; Prezant, David J; Weiden, Michael D

    2018-02-01

    Rescue/recovery work at the World Trade Center disaster site (WTC) caused a proximate decline in lung function in Fire Department of the City of New York firefighters. A subset of this cohort experienced an accelerated rate of lung function decline over 15 years of post-September 11, 2001 (9/11) follow-up. To determine if early postexposure blood leukocyte concentrations are biomarkers for subsequent FEV 1 decline and incident airflow limitation. Individual rates of forced expiratory volume in 1 second (FEV 1 ) change were calculated for 9,434 firefighters using 88,709 spirometric measurements taken between September 11, 2001, and September 10, 2016. We categorized FEV 1 change rates into three trajectories: accelerated FEV 1 decline (FEV 1 loss >64 ml/yr), expected FEV 1 decline (FEV 1 loss between 0 and 64 ml/yr), and improved FEV 1 (positive rate of change >0 ml/yr). Occurrence of FEV 1 /FVC less than 0.70 after 9/11 defined incident airflow limitation. Using regression models, we assessed associations of post-9/11 blood eosinophil and neutrophil concentrations with subsequent FEV 1 decline and airflow limitation, adjusted for age, race, smoking, height, WTC exposure level, weight change, and baseline lung function. Accelerated FEV 1 decline occurred in 12.7% of participants (1,199 of 9,434), whereas post-9/11 FEV 1 improvement occurred in 8.3% (780 of 9,434). Higher blood eosinophil and neutrophil concentrations were each associated with accelerated FEV 1 decline after adjustment for covariates (odds ratio [OR], 1.10 per 100 eosinophils/μl; 95% confidence interval [CI], 1.05-1.15; and OR, 1.10 per 1,000 neutrophils/μl; 95% CI, 1.05-1.15, respectively). Multivariable-adjusted linear regression models showed that a higher blood neutrophil concentration was associated with a faster rate of FEV 1 decline (1.14 ml/yr decline per 1,000 neutrophils/μl; 95% CI, 0.69-1.60 ml/yr; P < 0.001). Higher blood eosinophil concentrations were associated with a faster rate of FEV 1 decline in ever-smokers (1.46 ml/yr decline per 100 eosinophils/μl; 95% CI, 0.65-2.26 ml/yr; P < 0.001) but not in never-smokers (P for interaction = 0.004). Higher eosinophil concentrations were also associated with incident airflow limitation (adjusted hazard ratio, 1.10 per 100 eosinophils/μl; 95% CI, 1.04-1.15). Compared with the expected FEV 1 decline group, individuals experiencing accelerated FEV 1 decline were more likely to have incident airflow limitation (adjusted OR, 4.12; 95% CI, 3.30-5.14). Higher post-9/11 blood neutrophil and eosinophil concentrations were associated with subsequent accelerated FEV 1 decline in WTC-exposed firefighters. Both higher blood eosinophil concentrations and accelerated FEV 1 decline were associated with incident airflow limitation in WTC-exposed firefighters.

  16. Age-period-cohort analysis of infectious disease mortality in urban-rural China, 1990-2010.

    PubMed

    Li, Zhi; Wang, Peigang; Gao, Ge; Xu, Chunling; Chen, Xinguang

    2016-03-31

    Although a number of studies on infectious disease trends in China exist, these studies have not distinguished the age, period, and cohort effects simultaneously. Here, we analyze infectious disease mortality trends among urban and rural residents in China and distinguish the age, period, and cohort effects simultaneously. Infectious disease mortality rates (1990-2010) of urban and rural residents (5-84 years old) were obtained from the China Health Statistical Yearbook and analyzed with an age-period-cohort (APC) model based on Intrinsic Estimator (IE). Infectious disease mortality is relatively high at age group 5-9, reaches a minimum in adolescence (age group 10-19), then rises with age, with the growth rate gradually slowing down from approximately age 75. From 1990 to 2010, except for a slight rise among urban residents from 2000 to 2005, the mortality of Chinese residents experienced a substantial decline, though at a slower pace from 2005 to 2010. In contrast to the urban residents, rural residents experienced a rapid decline in mortality during 2000 to 2005. The mortality gap between urban and rural residents substantially narrowed during this period. Overall, later birth cohorts experienced lower infectious disease mortality risk. From the 1906-1910 to the 1941-1945 birth cohorts, the decrease of mortality among urban residents was significantly faster than that of subsequent birth cohorts and rural counterparts. With the rapid aging of the Chinese population, the prevention and control of infectious disease in elderly people will present greater challenges. From 1990 to 2010, the infectious disease mortality of Chinese residents and the urban-rural disparity have experienced substantial declines. However, the re-emergence of previously prevalent diseases and the emergence of new infectious diseases created new challenges. It is necessary to further strengthen screening, immunization, and treatment for the elderly and for older cohorts at high risk.

  17. Daily stressor reactivity during adolescence: The buffering role of parental warmth.

    PubMed

    Lippold, Melissa A; Davis, Kelly D; McHale, Susan M; Buxton, Orfeu M; Almeida, David M

    2016-09-01

    This study examined youth stressor reactivity in the form of links between daily stressors and adolescents' negative affect, physical health symptoms, and cortisol patterns. We also tested whether youth gender and parental warmth moderated these linkages. Participants were the children of employees in the information technology division of a large company (N = 132, mean age = 13.39 years, 55% female). Youth completed daily diary telephone interviews on 8 consecutive evenings and provided saliva samples at 4 time points over 4 days to assess daily stressors and youth physiological and affective functioning. Parental warmth was assessed during in-home interviews. Multilevel modeling was used to account for interdependencies in the data. Youth who experienced more daily stressors, on average, reported more negative affect and physical health symptoms, on average. Furthermore, on days youth reported more stressors than usual (compared to their own across-day average), they also exhibited more physical health symptoms, reduced evening cortisol decline (e.g., flatter slopes), higher bedtime cortisol, and more negative affect. Girls had stronger within-person linkages between daily stressors and daily negative affect than boys. Parental warmth moderated these within-person linkages: Youth who experienced more parental warmth had lower negative affect and steeper cortisol decline than usual on less stressful days. However, youth who experienced less parental warmth had higher negative affect and their cortisol levels declined less, even on days with lower-than-usual stress. Daily stressors are associated with youth's affective and physiological functioning, but parental warmth can support youth's stress recovery. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  18. Land-cover change in the conterminous United States from 1973 to 2000

    USGS Publications Warehouse

    Sleeter, Benjamin M.; Sohl, Terry L.; Loveland, Thomas R.; Auch, Roger F.; Acevedo, William; Drummond, Mark A.; Sayler, Kristi L.; Stehman, Stephen V.

    2013-01-01

    Land-cover change in the conterminous United States was quantified by interpreting change from satellite imagery for a sample stratified by 84 ecoregions. Gross and net changes between 11 land-cover classes were estimated for 5 dates of Landsat imagery (1973, 1980, 1986, 1992, and 2000). An estimated 673,000 km2(8.6%) of the United States’ land area experienced a change in land cover at least one time during the study period. Forest cover experienced the largest net decline of any class with 97,000 km2 lost between 1973 and 2000. The large decline in forest cover was prominent in the two regions with the highest percent of overall change, the Marine West Coast Forests (24.5% of the region experienced a change in at least one time period) and the Eastern Temperate Forests (11.4% of the region with at least one change). Agriculture declined by approximately 90,000 km2 with the largest annual net loss of 12,000 km2 yr−1 occurring between 1986 and 1992. Developed area increased by 33% and with the rate of conversion to developed accelerating rate over time. The time interval with the highest annual rate of change of 47,000 km2 yr−1 (0.6% per year) was 1986–1992. This national synthesis documents a spatially and temporally dynamic era of land change between 1973 and 2000. These results quantify land change based on a nationally consistent monitoring protocol and contribute fundamental estimates critical to developing understanding of the causes and consequences of land change in the conterminous United States.

  19. Daily Stressor Reactivity during Adolescence: The Buffering Role of Parental Warmth

    PubMed Central

    Lippold, Melissa; Davis, Kelly D.; McHale, Susan M.; Buxton, Orfeu; Almeida, David M.

    2016-01-01

    Objective This study examined youth stressor reactivity in the form of links between daily stressors and adolescents’ negative affect, physical health symptoms, and cortisol patterns. We also tested whether youth gender and parental warmth moderated these linkages. Method Participants were the children of employees in the Information Technology division of a large company (N = 132, mean age = 13.39 years, 55% female). Youth completed daily diary telephone interviews on 8 consecutive evenings and provided saliva samples at 4 time points over 4 days to assess daily stressors and youth physiological and affective functioning. Parental warmth was assessed during in-home interviews. Multi-level modeling was used to account for interdependencies in the data. Results Youth who experienced more daily stressors, on average, reported more negative affect and physical health symptoms, on average. Further, on days youth reported more stressors than usual (compared to their own across-day average), they also exhibited more physical health symptoms, reduced evening cortisol decline (e.g., flatter slopes), higher bedtime cortisol, and more negative affect. Girls had stronger within-person linkages between daily stressors and daily negative affect than boys. Parental warmth moderated these within-person linkages: Youth who experienced more parental warmth had lower negative affect and steeper cortisol decline than usual on less stressful days. Yet, youth who experienced less parental warmth had higher negative affect and their cortisol levels declined less, even on days with lower-than-usual stress. Conclusions Daily stressors are associated with youth's affective and physiological functioning, but parental warmth can support youth's stress recovery. PMID:27175577

  20. Agroecology for the Shrinking City

    EPA Science Inventory

    Many cities are experiencing long-term declines in population and economic activity. As a result, frameworks for urban sustainability need to address the unique challenges and opportunities of such shrinking cities. Shrinking, particularly in the U.S., has led to extensive vacant...

  1. Declining trends in exposures to harmful policing among people who inject drugs in Vancouver, Canada

    PubMed Central

    Landsberg, Adina; Kerr, Thomas; Milloy, Michael-John; Dong, Huiru; Nguyen, Paul; Wood, Evan; Hayashi, Kanna

    2016-01-01

    Introduction In 2006, the Vancouver Police Department (VPD) developed an organization-wide drug policy approach, which included endorsing harm reduction strategies for people who inject drugs (PWID). We sought to examine rates of potentially harmful policing exposures and associated HIV risk behaviour among PWID in Vancouver, Canada before and after the VPD policy change. Methods Data were derived from two prospective cohort studies of PWID. Multivariable generalized estimating equation models were used to examine changes in the risk of confiscation of drug use paraphernalia and physical violence by the police, as well as changes in the relationship between exposures to the two policing practices and sharing of drug use paraphernalia, before and after the policy change. Results Among 2193 participants, including 757 (34.5%) women, the rates of experiencing police confiscation of drug use paraphernalia declined from 22.3% in 2002 to 2.8% in 2014, and the rates of reporting experiencing physical violence by the police also declined from 14.1% in 2004 to 2.9% in 2014. In multivariable analyses, the post-policy change period remained independently and negatively associated with reports of confiscation of drug use paraphernalia (adjusted odds ratio (AOR): 0.25; 95% confidence interval (CI): 0.21 to 0.31) and reported physical violence by the police (AOR: 0.76; 95% CI: 0.63 to 0.91). However, experiencing both confiscation of drug use paraphernalia and physical violence by the police (AOR: 1.92; 95% CI: 1.10 to 3.33) and experiencing only confiscation of drug use paraphernalia (AOR: 1.71; 95% CI: 1.34 to 2.19) remained independently and positively associated with sharing of drug use paraphernalia during the post-policy change period. Conclusions In our study, two policing practices known to increase HIV risk among PWID have declined significantly since the local police launched an evidence-based drug policy approach. However, these practices remained independently associated with elevated HIV risk after the post-policy change. Although there remains a continued need to ensure that policing activities do not undermine public health efforts, these findings demonstrate that a major shift towards a public health approach to policing is possible for a municipal police force. PMID:27435707

  2. Why medical schools are tolerant of unethical behavior.

    PubMed

    de Oliveira Vidal, Edison Iglesias; Silva, Vanessa Dos Santos; Santos, Maria Fernanda Dos; Jacinto, Alessandro Ferrari; Boas, Paulo José Fortes Villas; Fukushima, Fernanda Bono

    2015-03-01

    The exposure to unethical and unprofessional behavior is thought to play a major role in the declining empathy experienced by medical students during their training. We reflect on the reasons why medical schools are tolerant of unethical behavior of faculty. First, there are barriers to reporting unprofessional behavior within medical schools including fear of retaliation and lack of mechanisms to ensure anonymity. Second, deans and directors do not want to look for unethical behavior in their colleagues. Third, most of us have learned to take disrespectful circumstances in health care institutions for granted. Fourth, the accreditation of medical schools around the world does not usually cover the processes or outcomes associated with fostering ethical behavior in students. Several initiatives promise to change that picture. © 2015 Annals of Family Medicine, Inc.

  3. Public Policy and Pharmaceutical Innovation

    PubMed Central

    Grabowski, Henry G.

    1982-01-01

    Historically, new drug introductions have played a central role in medical progress and the availability of cost-effective therapies. Nevertheless, public policy toward pharmaceuticals has been characterized in recent times by increasingly stringent regulatory controls, shorter effective patent terms, and increased encouragement of generic product usage. This has had an adverse effect on the incentives and capabilities of firms to undertake new drug research and development activity. The industry has experienced sharply rising research and development costs, declining annual new drug introductions, and fewer independent sources of drug development. This paper considers the effects of government regulatory policies on the pharmaceutical innovation process from several related perspectives. It also examines the merits of current public policy proposals designed to stimulate drug innovation including patent restoration and various regulatory reform measures. PMID:10309721

  4. Public housing relocations in Atlanta, Georgia, and declines in spatial access to safety net primary care

    PubMed Central

    Cooper, Hannah LF; Wodarski, Stephanie; Cummings, Janet; Hunter-Jones, Josalin; Karnes, Conny; Ross, Zev; Druss, Ben; Bonney, Loida E

    2012-01-01

    This analysis investigates changes in spatial access to safety-net primary care in a sample of US public housing residents relocating via the HOPE VI initiative from public housing complexes to voucher-subsidized rental units; substance misusers were oversampled. We used gravity-based models to measure spatial access to care, and used mixed models to assess pre-/post-relocation changes in access. Half the sample experienced declines in spatial access of ≥79.83%; declines did not vary by substance misuse status. Results suggest that future public housing relocation initiatives should partner with relocaters, particularly those in poor health, to help them find housing near safety-net clinics. PMID:23060002

  5. Health Human Capital in Sub-Saharan Africa: Conflicting Evidence from Infant Mortality Rates and Adult Heights

    PubMed Central

    Akachi, Yoko; Canning, David

    2011-01-01

    We investigate trends in cohort infant mortality rates and adult heights in 39 developing countries since 1960. In most regions of the world improved nutrition, and reduced childhood exposure to disease, have lead to improvements in both infant mortality and adult stature. In Sub-Saharan Africa, however, despite declining infant mortality rates, adult heights have not increased. We argue that in Sub-Saharan Africa the decline in infant mortality may have been due to interventions that prevent infant deaths rather than improved nutrition and childhood morbidity. Despite declining infant mortality, Sub-Saharan Africa may not be experiencing increases in health human capital. PMID:20634153

  6. Use of multiple dispersal pathways facilitates amphibian persistence in stream networks.

    PubMed

    Campbell Grant, Evan H; Nichols, James D; Lowe, Winsor H; Fagan, William F

    2010-04-13

    Although populations of amphibians are declining worldwide, there is no evidence that salamanders occupying small streams are experiencing enigmatic declines, and populations of these species seem stable. Theory predicts that dispersal through multiple pathways can stabilize populations, preventing extinction in habitat networks. However, empirical data to support this prediction are absent for most species, especially those at risk of decline. Our mark-recapture study of stream salamanders reveals both a strong upstream bias in dispersal and a surprisingly high rate of overland dispersal to adjacent headwater streams. This evidence of route-dependent variation in dispersal rates suggests a spatial mechanism for population stability in headwater-stream salamanders. Our results link the movement behavior of stream salamanders to network topology, and they underscore the importance of identifying and protecting critical dispersal pathways when addressing region-wide population declines.

  7. Use of multiple dispersal pathways facilitates amphibian persistence in stream networks

    USGS Publications Warehouse

    Campbell, Grant E.H.; Nichols, J.D.; Lowe, W.H.; Fagan, W.F.

    2010-01-01

    Although populations of amphibians are declining worldwide, there is no evidence that salamanders occupying small streams are experiencing enigmatic declines, and populations of these species seem stable. Theory predicts that dispersal through multiple pathways can stabilize populations, preventing extinction in habitat networks. However, empirical data to support this prediction are absent for most species, especially those at risk of decline. Our mark-recapture study of stream salamanders reveals both a strong upstream bias in dispersal and a surprisingly high rate of overland dispersal to adjacent headwater streams. This evidence of route-dependent variation in dispersal rates suggests a spatial mechanism for population stability in headwater-stream salamanders. Our results link the movement behavior of stream salamanders to network topology, and they underscore the importance of identifying and protecting critical dispersal pathways when addressing region-wide population declines.

  8. Use of multiple dispersal pathways facilitates amphibian persistence in stream networks

    PubMed Central

    Campbell Grant, Evan H.; Nichols, James D.; Lowe, Winsor H.; Fagan, William F.

    2010-01-01

    Although populations of amphibians are declining worldwide, there is no evidence that salamanders occupying small streams are experiencing enigmatic declines, and populations of these species seem stable. Theory predicts that dispersal through multiple pathways can stabilize populations, preventing extinction in habitat networks. However, empirical data to support this prediction are absent for most species, especially those at risk of decline. Our mark-recapture study of stream salamanders reveals both a strong upstream bias in dispersal and a surprisingly high rate of overland dispersal to adjacent headwater streams. This evidence of route-dependent variation in dispersal rates suggests a spatial mechanism for population stability in headwater-stream salamanders. Our results link the movement behavior of stream salamanders to network topology, and they underscore the importance of identifying and protecting critical dispersal pathways when addressing region-wide population declines. PMID:20351269

  9. Cowbird parasitism in grassland and cropland in the northern Great Plains: Chapter 27

    USGS Publications Warehouse

    Koford, Rolf R.; Bowen, B.S.; Lokemoen, John T.; Kruse, Arnold D.; Smith, James N.M.; Cook, T.L.; Rothstein, S. IU.; Robinson, S.K.; Sealy, S.G.

    2000-01-01

    The landscape of the Great Plains has been greatly altered by human activities in the past century, and several grassland passerines have experienced significant population declines in recent decades. We explore here whether brood parasitism by Brown-headed Cowbirds, which are abundant in the Great Plains, has contributed to these declines. We measured the frequency of cowbird parasitism of passerine species in seeded grassland, natural grassland, and cropland in studies conducted in North Dakota during 1981-1993. The proportions of parasitized nests were 25%, 34%, and 39% in seeded grassland, natural grassland, and cropland, respectively. We speculate that much of the variation in parasitism rate among these habitats is related to the local abundance of cowbirds, to nest visibility, and to the presence of suitable perches for female cowbirds. Local abundance of cowbirds may be high in areas with cattle pastures. Nests and nesting behavior are probably more visible to female cowbirds in cropland than in grassland. Female cowbirds may use shrubs as perches while searching for host nests, and shrubs are more common in natural grasslands than in the other habitats we examined. Experimental work on the determinants of cowbird abundance in grasslands is needed.

  10. Patterns of distribution, abundance, and change over time in a subarctic marine bird community

    NASA Astrophysics Data System (ADS)

    Cushing, Daniel A.; Roby, Daniel D.; Irons, David B.

    2018-01-01

    Over recent decades, marine ecosystems of Prince William Sound (PWS), Alaska, have experienced concurrent effects of natural and anthropogenic perturbations, including variability in the climate system of the northeastern Pacific Ocean. We documented spatial and temporal patterns of variability in the summer marine bird community in relation to habitat and climate variability using boat-based surveys of marine birds conducted during the period 1989-2012. We hypothesized that a major factor structuring marine bird communities in PWS would be proximity to the shoreline, which is theorized to relate to aspects of food web structure. We also hypothesized that shifts in physical ecosystem drivers differentially affected nearshore-benthic and pelagic components of PWS food webs. We evaluated support for our hypotheses using an approach centered on community-level patterns of spatial and temporal variability. We found that an environmental gradient related to water depth and distance from shore was the dominant factor spatially structuring the marine bird community. Responses of marine birds to this onshore-offshore environmental gradient were related to dietary specialization, and separated marine bird taxa by prey type. The primary form of temporal variability over the study period was monotonic increases or decreases in abundance for 11 of 18 evaluated genera of marine birds; 8 genera had declined, whereas 3 had increased. The greatest declines occurred in genera associated with habitats that were deeper and farther from shore. Furthermore, most of the genera that declined primarily fed on pelagic prey resources, such as forage fish and mesozooplankton, and few were directly affected by the 1989 Exxon Valdez oil spill. Our observations of synchronous declines are indicative of a shift in pelagic components of PWS food webs. This pattern was correlated with climate variability at time-scales of several years to a decade.

  11. Patterns of distribution, abundance, and change over time in a subarctic marine bird community

    USGS Publications Warehouse

    Cushing, Daniel; Roby, Daniel D.; Irons, David B.

    2017-01-01

    Over recent decades, marine ecosystems of Prince William Sound (PWS), Alaska, have experienced concurrent effects of natural and anthropogenic perturbations, including variability in the climate system of the northeastern Pacific Ocean. We documented spatial and temporal patterns of variability in the summer marine bird community in relation to habitat and climate variability using boat-based surveys of marine birds conducted during the period 1989–2012. We hypothesized that a major factor structuring marine bird communities in PWS would be proximity to the shoreline, which is theorized to relate to aspects of food web structure. We also hypothesized that shifts in physical ecosystem drivers differentially affected nearshore-benthic and pelagic components of PWS food webs. We evaluated support for our hypotheses using an approach centered on community-level patterns of spatial and temporal variability. We found that an environmental gradient related to water depth and distance from shore was the dominant factor spatially structuring the marine bird community. Responses of marine birds to this onshore-offshore environmental gradient were related to dietary specialization, and separated marine bird taxa by prey type. The primary form of temporal variability over the study period was monotonic increases or decreases in abundance for 11 of 18 evaluated genera of marine birds; 8 genera had declined, whereas 3 had increased. The greatest declines occurred in genera associated with habitats that were deeper and farther from shore. Furthermore, most of the genera that declined primarily fed on pelagic prey resources, such as forage fish and mesozooplankton, and few were directly affected by the 1989 Exxon Valdez oil spill. Our observations of synchronous declines are indicative of a shift in pelagic components of PWS food webs. This pattern was correlated with climate variability at time-scales of several years to a decade.

  12. The role of thermal physiology in recent declines of birds in a biodiversity hotspot.

    PubMed

    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.

  13. The role of thermal physiology in recent declines of birds in a biodiversity hotspot

    PubMed Central

    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

  14. Influence of marital status on testosterone levels-A ten year follow-up of 1113 men.

    PubMed

    Holmboe, Stine A; Priskorn, Lærke; Jørgensen, Niels; Skakkebaek, Niels E; Linneberg, Allan; Juul, Anders; Andersson, Anna-Maria

    2017-06-01

    Based on a large population of 1113 men aged 30-60 at baseline (mean: 44.1 years, standard deviation: 10.5), we investigated whether intra-individual changes in testosterone (T) and related reproductive hormones during a ten year period were dependent of marital status at baseline and follow-up. The studied men were part of a health survey in Denmark, conducted between 1982 and 1984 with a follow-up examination approximately ten years later. Data on reproductive hormones, measured in serum, and lifestyle and marital status were obtained at both time points. As expected, an age-related decline in testosterone was observed. However, independent of age and lifestyle, we observed that men who went from unmarried to married (n=81) during the study period experienced an accelerated age-related decline in testosterone (-6.6nmol/L) whereas men who went from married to unmarried (n=67) experienced an attenuated age-related decline (-2.3nmol/L). Men who were either married or unmarried at both time points (n=167, n=798, respectively) had a testosterone decline in between (-3.7nmol/L and -4.6nmol/L, respectively). Changes in T/LH ratio did not differ according to marital status indicating that the lowered T level is not compensated by increasing LH levels. This could suggest a modification of the gonadostat due to an adaptation to changing life circumstances. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Labor force participation among persons with musculoskeletal conditions, 1970-1987. National estimates derived from a series of cross-sections.

    PubMed

    Yelin, E H; Katz, P P

    1991-11-01

    In the present study, we estimated the labor force participation rate among persons with musculoskeletal conditions in 1987, compared this rate with that experienced by persons with other chronic conditions or with none, and estimated the change in labor force participation rates among persons with musculoskeletal conditions for the period 1970-1987. Rates were estimated from 18 years of National Health Interview Survey data, and the sampling weights from this survey were used to obtain population estimates. To ensure statistically stable estimates, we averaged the rates over 6 years of data. In 1987, 42.9% of all working-age persons with musculoskeletal conditions were out of the labor force, this study's definition of work disability. Overall labor force participation rates among persons with musculoskeletal conditions declined from 71% to 56% between 1976-1981 and 1982-1987, 22% in relative terms. Much of this decline was concentrated among men, especially men 55-64 years of age. However, women 55-64 years of age with musculoskeletal conditions also experienced declining labor force participation rates. Labor force participation patterns among persons with musculoskeletal conditions fit more general labor market trends, with gains among younger women more than offset by declines among older men and women. However, these trends appear to be more accentuated among persons with musculoskeletal conditions, suggesting that enforcement of the employment provisions of the Americans with Disabilities Act of 1990 place special emphasis on labor force participation among such persons.

  16. Parenting changes in adults with cancer.

    PubMed

    Moore, Cynthia W; Rauch, Paula K; Baer, Lee; Pirl, William F; Muriel, Anna C

    2015-10-01

    Children whose parents have cancer are at risk for psychosocial difficulties; however, the mechanisms are not well understood. This cross-sectional study sought support for a model connecting parental cancer to child distress through its impact on parenting self-efficacy beliefs and parenting behaviors by examining relations among parental illness, quality of life/parent functioning, parenting efficacy beliefs, and concerns about children's emotional distress. One hundred ninety-four adult oncology outpatients with children who were 18 years old or younger completed questionnaires assessing their health-related quality of life (Functional Assessment of Cancer Therapy-General), depression and anxiety symptoms (Hospital Anxiety and Depression Scale), overall distress (Distress Thermometer), and parenting efficacy beliefs and parenting concerns (Parenting Concerns Questionnaire). Parenting efficacy scores for parents and coparents declined significantly after diagnosis. This decline correlated with more visits to a medical clinic, treatment with intravenous chemotherapy in the past month, poorer health-related quality of life, and more depression and distress. Parents experiencing the most concern about the impact of mood, physical limitations, and changes in routines on their children experienced the biggest declines in their own sense of efficacy as parents and in their belief in their coparent's efficacy. Finally, declines in parenting efficacy beliefs correlated with parental concerns about children's emotional distress about aspects of the parent's illness. This study highlights the importance of identifying and addressing parenting concerns to alleviate patient distress, and it may help to guide future intervention efforts. © 2015 American Cancer Society.

  17. Coral Reef Biological Criteria

    EPA Science Inventory

    Coral reefs worldwide are experiencing decline from a variety of stressors. Some important stressors are land-based sources of pollution and human activities in the coastal zone. However, few tools are available to offset the impact of these stressors. The Clean Water Act (CWA...

  18. The rise of the mesopredator

    USDA-ARS?s Scientific Manuscript database

    Apex predators have experienced catastrophic declines throughout the world due to human persecution and habitat loss. These collapses in top predator populations are commonly associated with dramatic increases in the abundance of smaller predators. Known as ‘mesopredator release,’ this trophic inte...

  19. Asthma Is a Risk Factor for Respiratory Exacerbations Without Increased Rate of Lung Function Decline: Five-Year Follow-up in Adult Smokers From the COPDGene Study.

    PubMed

    Hayden, Lystra P; Hardin, Megan E; Qiu, Weiliang; Lynch, David A; Strand, Matthew J; van Beek, Edwin J; Crapo, James D; Silverman, Edwin K; Hersh, Craig P

    2018-02-01

    Previous investigations in adult smokers from the COPDGene Study have shown that early-life respiratory disease is associated with reduced lung function, COPD, and airway thickening. Using 5-year follow-up data, we assessed disease progression in subjects who had experienced early-life respiratory disease. We hypothesized that there are alternative pathways to reaching reduced FEV 1 and that subjects who had childhood pneumonia, childhood asthma, or asthma-COPD overlap (ACO) would have less lung function decline than subjects without these conditions. Subjects returning for 5-year follow-up were assessed. Childhood pneumonia was defined by self-reported pneumonia at < 16 years. Childhood asthma was defined as self-reported asthma diagnosed by a health professional at < 16 years. ACO was defined as subjects with COPD who self-reported asthma diagnosed by a health-professional at ≤ 40 years. Smokers with and those without these early-life respiratory diseases were compared on measures of disease progression. Follow-up data from 4,915 subjects were examined, including 407 subjects who had childhood pneumonia, 323 subjects who had childhood asthma, and 242 subjects with ACO. History of childhood asthma or ACO was associated with an increased exacerbation frequency (childhood asthma, P < .001; ACO, P = .006) and odds of severe exacerbations (childhood asthma, OR, 1.41; ACO, OR, 1.42). History of childhood pneumonia was associated with increased exacerbations in subjects with COPD (absolute difference [β], 0.17; P = .04). None of these early-life respiratory diseases were associated with an increased rate of lung function decline or progression on CT scans. Subjects who had early-life asthma are at increased risk of developing COPD and of having more active disease with more frequent and severe respiratory exacerbations without an increased rate of lung function decline over a 5-year period. ClinicalTrials.gov; No. NCT00608764; https://clinicaltrials.gov. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  20. [Political crises in Africa and infant and child mortality].

    PubMed

    Garenne, M

    1997-01-01

    Many African countries experienced severe political crises after independence, and in a number of cases the crises had significant demographic consequences, especially for child mortality. Data based on maternity histories allowed the reconstruction of child mortality trends over the past 20-30 years in Uganda, Ghana, Rwanda, Madagascar, and Mozambique. The indicator used was the child mortality quotient (number of deaths of under-5 children per 1000 births). Uganda's child mortality declined from 227/1000 in 1960 to 154/1000 in 1970, but the trend was reversed in 1971, when Idi Amin Dada came to power, and the rate reached 204/1000 in 1982 before beginning to decline again. The level of mortality remained high, however, and was still 160/1000 in 1988. Ghana suffered a political and economic crisis during 1979-84. Child mortality rose from 130/1000 in 1978 to 175/1000 in 1983. Mortality rates began a rapid decline after structural adjustment programs were begun, possibly due to improved management of health services. The child mortality rate in Rwanda increased from around 220/1000 in 1960 to 240/1000 in 1975, before beginning a decline in the late 1970s that reached 140/1000 by 1990. The period of political stability and relative prosperity during the 15-year reign of Juvenal Habyarimana was associated with the decline. Political crises marked by student and peasant uprisings were associated with Madagascar's child mortality rate increase from about 145/1000 in 1960 to 185/1000 in 1985. Mozambique was beset by civil war after independence, in which destruction of the health infrastructure was a strategy. The child mortality rate increased from 270/1000 to 470/1000 between 1975 and 1986, a peak war year. The factors by which political crises affect mortality so profoundly remain to be explained, but particular attention should be given to studying the health sector.

  1. Impacts of the Brown Tree Snake: Patterns of Decline and Species Persistence in Guam's Avifauna

    USGS Publications Warehouse

    Wiles, G.J.; Bart, J.; Beck, R.E.; Aguon, C.F.

    2003-01-01

    Predation by brown tree snakes (Boiga irregularis ) devastated the avifauna of Guam in the Mariana Islands during the last half of the twentieth century, causing the extirpation or serious reduction of most of the island's 25 resident bird species. Past studies have provided qualitative descriptions of the decline of native forest birds but have not considered all species or presented quantitative analyses. We analyzed two sets of survey data gathered in northern Guam between 1976 and 1998 and reviewed unpublished sources to provide a comprehensive account of the impact of brown tree snakes on the island's birds. Our results indicate that 22 species, including 17 of 18 native species, were severely affected by snakes. Twelve species were likely extirpated as breeding residents on the main island, 8 others experienced declines of ≥90% throughout the island or at least in the north, and 2 were kept at reduced population levels during all or much of the study. Declines of ≥90% occurred rapidly, averaging just 8.9 years along three roadside survey routes combined and 1.6 years at a 100-ha forested study site. Declines in northern Guam were also relatively synchronous and occurred from about 1976 to 1986 for most species. The most important factor predisposing a species to coexistence with brown tree snakes was its ability to nest and roost at locations where snakes were uncommon. Large clutch size and large body size were also related to longer persistence times, although large body size appeared to delay, but not prevent, extirpation. Our results draw attention to the enormous detrimental impact that brown tree snakes are likely to have upon invading new areas. Increased containment efforts on Guam are needed to prevent further colonizations, but a variety of additional management efforts would also benefit the island's remaining bird populations.

  2. Testing the relationship between human occupancy in the landscape and tadpole developmental stress.

    PubMed

    Eterovick, Paula C; Bar, Luís F F; Souza, Jorge B; Castro, José F M; Leite, Felipe S F; Alford, Ross A

    2015-01-01

    Amphibian population declines are widespread; the main causal factors are human related and include habitat fragmentation due to agriculture, mining, fires, and urban development. Brazil is the richest country in species of amphibians, and the Brazilian regions with the greatest amphibian diversity are experiencing relatively high rates of habitat destruction, but there are presently relatively few reports of amphibian declines. It is thus important to develop research methods that will detect deterioration in population health before severe declines occur. We tested the use of measurements of fluctuating asymmetry (FA) taken on amphibian larvae to detect anthropogenic stress. We hypothesized that greater human occupancy in the landscape might result in more stressful conditions for amphibians. We conducted this study at the Espinhaço mountain range in southeastern Brazil, using as a model an endemic species (Bokermannohyla saxicola, Hylidae). We chose two tadpole denticle rows and eye-nostril distance as traits for FA measurement. We measured percent cover of human-altered habitats in the landscape around tadpole sampling points and measured FA levels in sampled tadpoles. We found FA levels to differ among localities but found no relationship between human modification of the landscape and tadpole FA levels. Levels of FA in the traits we examined may not be strongly affected by environmental conditions, or may be affected by local variables that were not captured by our landscape-scale measures. Alternatively, populations may be genetically differentiated, affecting how FA levels respond to stress and obscuring the effects of anthropogenic disturbance.

  3. Lifecycle effects of a recession on health behaviors: Boom, bust, and recovery in Iceland.

    PubMed

    Ásgeirsdóttir, Tinna Laufey; Corman, Hope; Noonan, Kelly; Reichman, Nancy E

    2016-03-01

    This study uses individual-level longitudinal data from Iceland, a country that experienced a severe economic crisis in 2008 and substantial recovery by 2012, to investigate the extent to which the effects of a recession on health behaviors are lingering or short-lived and to explore trajectories in health behaviors from pre-crisis boom, to crisis, to recovery. Health-compromising behaviors (smoking, heavy drinking, sugared soft drinks, sweets, fast food, and tanning) declined during the crisis, and all but sweets continued to decline during the recovery. Health-promoting behaviors (consumption of fruit, fish oil, and vitamins/minerals and getting recommended sleep) followed more idiosyncratic paths. Overall, most behaviors reverted back to their pre-crisis levels or trends during the recovery, and these short-term deviations in trajectories were probably too short-lived in this recession to have major impacts on health or mortality. A notable exception is for binge drinking, which declined by 10% during the 2 crisis years, continued to fall (at a slower rate of 8%) during the 3 recovery years, and did not revert back to the upward pre-crisis trend during our observation period. These lingering effects, which directionally run counter to the pre-crisis upward trend in consumption and do not reflect price increases during the recovery period, suggest that alcohol is a potential pathway by which recessions improve health and/or reduce mortality. Copyright © 2015 Elsevier B.V. All rights reserved.

  4. Analysis of the supply chain and conservation status of sharks (Elasmobranchii: Superorder Selachimorpha) based on fisher knowledge.

    PubMed

    Martins, Ana Paula Barbosa; Feitosa, Leonardo Manir; Lessa, Rosangela Paula; Almeida, Zafira Silva; Heupel, Michelle; Silva, Wagner Macedo; Tchaicka, Ligia; Nunes, Jorge Luiz Silva

    2018-01-01

    Increasing fishing effort has caused declines in shark populations worldwide. Understanding biological and ecological characteristics of sharks is essential to effectively implement management measures, but to fully understand drivers of fishing pressure social factors must be considered through multidisciplinary and integrated approaches. The present study aimed to use fisher and trader knowledge to describe the shark catch and product supply chain in Northeastern Brazil, and evaluate perceptions regarding the regional conservation status of shark species. Non-systematic observations and structured individual interviews were conducted with experienced fishers and traders. The demand and economic value of shark fins has reportedly decreased over the last 10 years while the shark meat trade has increased slightly, including a small increase in the average price per kilogram of meat. Several threatened shark species were reportedly often captured off shore and traded at local markets. This reported and observed harvest breaches current Brazilian environmental laws. Fishing communities are aware of population declines of several shark species, but rarely take action to avoid capture of sharks. The continuing capture of sharks is mainly due to a lack of knowledge of environmental laws, lack of enforcement by responsible authorities, and difficulties encountered by fishers in finding alternative income streams. National and regional conservation measures are immediately required to reduce overfishing on shark populations in Northeastern Brazil. Social and economic improvements for poor fishing communities must also be implemented to achieve sustainable fisheries.

  5. Analysis of the supply chain and conservation status of sharks (Elasmobranchii: Superorder Selachimorpha) based on fisher knowledge

    PubMed Central

    Almeida, Zafira Silva; Heupel, Michelle; Silva, Wagner Macedo; Tchaicka, Ligia

    2018-01-01

    Increasing fishing effort has caused declines in shark populations worldwide. Understanding biological and ecological characteristics of sharks is essential to effectively implement management measures, but to fully understand drivers of fishing pressure social factors must be considered through multidisciplinary and integrated approaches. The present study aimed to use fisher and trader knowledge to describe the shark catch and product supply chain in Northeastern Brazil, and evaluate perceptions regarding the regional conservation status of shark species. Non-systematic observations and structured individual interviews were conducted with experienced fishers and traders. The demand and economic value of shark fins has reportedly decreased over the last 10 years while the shark meat trade has increased slightly, including a small increase in the average price per kilogram of meat. Several threatened shark species were reportedly often captured off shore and traded at local markets. This reported and observed harvest breaches current Brazilian environmental laws. Fishing communities are aware of population declines of several shark species, but rarely take action to avoid capture of sharks. The continuing capture of sharks is mainly due to a lack of knowledge of environmental laws, lack of enforcement by responsible authorities, and difficulties encountered by fishers in finding alternative income streams. National and regional conservation measures are immediately required to reduce overfishing on shark populations in Northeastern Brazil. Social and economic improvements for poor fishing communities must also be implemented to achieve sustainable fisheries. PMID:29534100

  6. Antihypertensive treatment and US trends in stroke mortality, 1962 to 1980.

    PubMed Central

    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

  7. Industrial distributions of severe occupational injuries among workers in Thailand.

    PubMed

    Yamakawa, Michiyo; Sithisarankul, Pornchai; Yorifuji, Takashi; Hengpraprom, Sarunya; Hiransuthikul, Narin; Doi, Hiroyuki; Takao, Soshi

    2014-01-01

    In industrializing countries, occupational safety and health have been affected by globalization. However, a lack of reliable data prevents evaluation of this situation. Therefore, we examined industrial distributions and risks of severe occupational injuries among workers in Thailand, which is one of the few industrializing countries that compiles nationwide data. Data on workers who made claims for occupational injuries from 2007 to 2009 were extracted from the Workmen's Compensation Fund records in Thailand. Among 501,334 claimants, we evaluated the industrial distributions of severe occupational injuries (i.e., permanent disability and death). We then examined the associations between industry and those injuries, using proportionate ratios (PRs) between each industrial category and the overall distribution of occupational injuries. The number of workers in manufacturing making claims for severe occupational injuries was the largest among all industrial categories (319,114/501,334 injuries), although the total number of occupational injuries recently declined. Additionally, workers in manufacturing experienced severe occupational injuries more often compared with the overall distribution of occupational injuries. The PRs (95% confidence interval) for manufacturing were 1.17 (1.14-1.20) in men and 1.33 (1.27-1.38) in women. After adjusting for individual characteristics, the results did not substantially change. Manufacturing seems to have the largest burden of occupational injuries in industrializing countries like Thailand.

  8. Immediate effects of lumacaftor/ivacaftor administration on lung function in patients with severe cystic fibrosis lung disease.

    PubMed

    Popowicz, Natalia; Wood, Jamie; Tai, Anna; Morey, Sue; Mulrennan, Siobhain

    2017-05-01

    Safety-data for lumacaftor/ivacaftor (LUM/IVA) combination therapy in patients with severe lung disease (percent predicted forced expiratory volume in 1s [ppFEV 1 ] <40) remain limited. We report immediate post-dose respiratory-related adverse events in 12 patients with severe cystic fibrosis (CF) lung disease (median [IQR] ppFEV 1 : 34 [31-36]) prescribed LUM/IVA. All patients experienced a decline in ppFEV 1 from baseline at 2-hours (median [IQR] relative change: -19 [-21 to -11]%, p<0.001) that persisted at 24-hours but recovered in most patients at 1-month. No pre- and post-differences in bronchodilator response were observed. Ten (83.3%) patients reported non-severe respiratory-related adverse events within 24-hours of LUM/IVA initiation. At 1-month, eight (67%) patients had persistent symptoms and six (50%) were treated for a pulmonary exacerbation. Our results highlight that LUM/IVA respiratory-related adverse events are common in patients with a ppFEV 1 <40. We recommend close assessment of adverse events. Further studies are required to evaluate the efficacy of LUM/IVA in patients with severe lung disease. Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.

  9. Higher Education for Our Time

    ERIC Educational Resources Information Center

    Burnett, Dana D.; Collins, Natalia D.

    2010-01-01

    Public higher education is currently experiencing a decline in financial support from state governments, an acceleration of enrollment growth, and a shift from a transformational to a transactional student relationship. Private institutions are also struggling with increasing operational costs, and decreases in revenue from endowments and…

  10. The Haitian Economy and the HOPE Act

    DTIC Science & Technology

    2010-03-05

    questioned, its economic effects were concrete and devastating. Haiti was already experiencing a decline in output, employment, and income, but the...over increasing the minimum wage produced protests and political conflagration , an outrage that attests to the importance that the Haitian people place

  11. The Haitian Economy and the HOPE Act

    DTIC Science & Technology

    2010-06-24

    political behavior has been questioned, its economic effects were concrete and devastating. Haiti was already experiencing a decline in output... conflagration , an outrage that attests to the importance that the Haitian people place on the need for policy responses to address persistent poverty

  12. CORAL CONDITION: HOW TO FATHOM THE DECLINE OF CORAL REEF ECOSYSTEMS

    EPA Science Inventory

    Coral reefs have experienced unprecedented levels of bleaching, disease and mortality during the last three decades. The goal of EPA-ORD research is to identify the culpable stressors in different species, reefs and regions using integrated field and laboratory studies.

  13. Social Network Structures among Groundnut Farmers

    ERIC Educational Resources Information Center

    Thuo, Mary; Bell, Alexandra A.; Bravo-Ureta, Boris E.; Okello, David K.; Okoko, Evelyn Nasambu; Kidula, Nelson L.; Deom, C. Michael; Puppala, Naveen

    2013-01-01

    Purpose: Groundnut farmers in East Africa have experienced declines in production despite research and extension efforts to increase productivity. This study examined how social network structures related to acquisition of information about new seed varieties and productivity among groundnut farmers in Uganda and Kenya.…

  14. Patient-reported outcomes following stereotactic body radiation therapy for clinically localized prostate cancer

    PubMed Central

    2014-01-01

    Background Stereotactic body radiation therapy (SBRT) delivers high doses of radiation to the prostate while minimizing radiation to adjacent normal tissues. Large fraction sizes may increase the risk of functional decrements. Treatment-related bother may be more important to a patient than treatment-related dysfunction. This study reports on patient-reported outcomes following SBRT for clinically localized prostate cancer. Methods Between August 2007 and July 2011, 228 consecutive hormone-naïve patients with clinically localized prostate cancer were treated with 35–36.25 Gy SBRT delivered using the CyberKnife Radiosurgical System (Accuray) in 5 fractions. Quality of life was assessed using the American Urological Association Symptom Score (AUA) and the Expanded Prostate Cancer Index Composite (EPIC)-26. Urinary symptom flare was defined as an AUA score 15 or more with an increase of 5 or more points above baseline 6 months after treatment. Results 228 patients (88 low-, 126 intermediate- and 14 high-risk) at a median age of 69 (44–90) years received SBRT with a minimum follow-up of 24 months. EPIC urinary and bowel summary scores declined transiently at 1 month and experienced a second, more protracted decline between 9 months and 18 months before returning to near baseline 2 years post-SBRT. 14.5% of patients experienced late urinary symptom flare following treatment. Patients who experienced urinary symptom flare had poorer bowel quality of life following SBRT. EPIC scores for urinary bother declined transiently, first at 1 month and again at 12 months, before approaching pre-treatment scores by 2 years. Bowel bother showed a similar pattern, but the second decline was smaller and lasted 9 months to 18 months. EPIC sexual summary and bother scores progressively declined over the 2 years following SBRT without recovery. Conclusions In the first 2 years, the impact of SBRT on urination and defecation was minimal. Transient late increases in urinary and bowel dysfunction and bother were observed. However, urinary and bowel function and bother recovered to near baseline by 2 years post-SBRT. Sexual dysfunction and bother steadily increased following treatment without recovery. SBRT for clinically localized prostate cancer was well tolerated with treatment-related dysfunction and bother comparable to conventionally fractionated radiation therapy or brachytherapy. PMID:24512837

  15. Environment: Language Ecology and Language Death

    NASA Astrophysics Data System (ADS)

    Romaine, Suzanne

    Global linguistic diversity is rapidly declining. As the world becomes less linguistically diverse, it is becoming culturally less diverse as well as the world's tribes and languages are dying out or being assimilated into modern civilization because their habitats are being destroyed. At the same time the world is experiencing a substantial decline in biodiversity. The extinction of languages is part of the larger picture of near total collapse of the worldwide ecosystem, and languages are vital parts of complex local ecologies that must be supported if global biodiversity is to be maintained.

  16. The use of body condition and haematology to detect widespread threatening processes in sleepy lizards (Tiliqua rugosa) in two agricultural environments.

    PubMed

    Smyth, Anita K; Smee, Elizabeth; Godfrey, Stephanie S; Crowther, Mathew; Phalen, David

    2014-12-01

    Agricultural practices, including habitat alteration and application of agricultural chemicals, can impact wildlife resulting in their decline. Determining which of these practices are contributing to declines is essential if the declines are to be reversed. In this study, the health of two geographically separated sleepy lizard (Tiliqua rugosa) populations was compared between a rangeland environment and cropping environment using linear body size index (LBSI) and haematology. Animals in the cropping site were smaller, suggesting genetic differences as the result of geographical isolation. The animals in the cropping site had a lower LBSI and many were experiencing a regenerative anaemia. The anaemia was postulated to be the cause of the low LBSI. The anaemia appeared to be the result of haemolysis and was likely to be caused by exposure to agricultural chemicals applied in the cropping site but not the rangeland site. Elevated white blood cell counts in lizards in the rangeland site suggested that they were experiencing an inflammatory disease of possible ecological significance. Together, these results demonstrate the value of combining physical and haematological parameters when studying the impact of agricultural practices on wildlife. They also show that reptiles may be useful as sentinel species for livestock and humans.

  17. The population slide.

    PubMed

    Mukerjee, M

    1998-12-01

    The level of total fertility in Bangladesh has fallen from 7 in 1975 to 3 today, the sharpest fertility transition in South Asia. Fertility decline in Bangladesh and Nepal follows such transition occurring first in Sri Lanka, then in India. While in Western countries, levels of fertility began to fall once an advanced stage of development had been reached, these new declines in South Asia are not directly correlated with indicators of development such as increased literacy or the alleviation of poverty. Bangladesh has experienced major fertility decline despite being one of the world's 20 poorest countries. Fertility decline in Bangladesh may be attributed to a combination of an effective government family planning program, a general desire among Bangladesh's population to bear fewer children, reductions in mortality, the availability of microcredit, changes in women's status, and the provision of health and family planning information over the radio 6 hours per day.

  18. Marked Campylobacteriosis Decline after Interventions Aimed at Poultry, New Zealand

    PubMed Central

    Sears, Ann; Wilson, Nick; Marshall, Jonathan; Muellner, Petra; Campbell, Donald M.; Lake, Robin J.; French, Nigel P.

    2011-01-01

    Beginning in the 1980s, New Zealand experienced rising annual rates of campylobacteriosis that peaked in 2006. We analyzed notification, hospitalization, and other data to explore the 2007–2008 drop in campylobacteriosis incidence. Source attribution techniques based on genotyping of Campylobacter jejuni isolates from patients and environmental sources were also used to examine the decline. In 2008, the annual campylobacteriosis notification rate was 161.5/100,000 population, representing a 54% decline compared with the average annual rate of 353.8/100,000 for 2002–2006. A similar decline was seen for hospitalizations. Source attribution findings demonstrated a 74% (95% credible interval 49%–94%) reduction in the number of cases attributed to poultry. These reductions coincided with the introduction of a range of voluntary and regulatory interventions to reduce Campylobacter spp. contamination of poultry. The apparent success of these interventions may inform approaches other countries could consider to help control foodborne campylobacteriosis. PMID:21749761

  19. A discrete stage-structured model of California newt population dynamics during a period of drought.

    PubMed

    Jones, Marjorie T; Milligan, William R; Kats, Lee B; Vandergon, Thomas L; Honeycutt, Rodney L; Fisher, Robert N; Davis, Courtney L; Lucas, Timothy A

    2017-02-07

    We introduce a mathematical model for studying the population dynamics under drought of the California newt (Taricha torosa), a species of special concern in the state of California. Since 2012, California has experienced a record-setting drought, and multiple studies predict drought conditions currently underway will persist and even increase in severity. Recent declines and local extinctions of California newt populations in Santa Monica Mountain streams motivate our study of the impact of drought on newt population sizes. Although newts are terrestrial salamanders, they migrate to streams each spring to breed and lay eggs. Since egg and larval stages occur in water, a precipitation deficit due to drought conditions reduces the space for newt egg-laying and the necessary habitat for larval development. To mathematically forecast newt population dynamics, we develop a nonlinear system of discrete equations that includes demographic parameters such as survival rates for newt life stages and egg production, which depend on habitat availability and rainfall. We estimate these demographic parameters using 15 years of stream survey data collected from Cold Creek in Los Angeles County, California, and our model captures the observed decline of the parameterized Cold Creek newt population. Based upon data analysis, we predict how the number of available newt egg-laying sites varies with annual precipitation. Our model allows us to make predictions about how the length and severity of drought can affect the likelihood of persistence and the time to critical endangerment of a local newt population. We predict that sustained severe drought will critically endanger the newt population but that the newt population can rebound if a drought is sufficiently short. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. A discrete stage-structured model of California newt population dynamics during a period of drought

    USGS Publications Warehouse

    Jones, Marjorie T.; Milligan, William R.; Kats, Lee B.; Vandergon, Thomas L.; Honeycutt, Rodney L.; Fisher, Robert N.; Davis, Courtney L.; Lucas, Timothy A.

    2017-01-01

    We introduce a mathematical model for studying the population dynamics under drought of the California newt (Taricha torosa), a species of special concern in the state of California. Since 2012, California has experienced a record-setting drought, and multiple studies predict drought conditions currently underway will persist and even increase in severity. Recent declines and local extinctions of California newt populations in Santa Monica Mountain streams motivate our study of the impact of drought on newt population sizes. Although newts are terrestrial salamanders, they migrate to streams each spring to breed and lay eggs. Since egg and larval stages occur in water, a precipitation deficit due to drought conditions reduces the space for newt egg-laying and the necessary habitat for larval development. To mathematically forecast newt population dynamics, we develop a nonlinear system of discrete equations that includes demographic parameters such as survival rates for newt life stages and egg production, which depend on habitat availability and rainfall. We estimate these demographic parameters using 15 years of stream survey data collected from Cold Creek in Los Angeles County, California, and our model captures the observed decline of the parameterized Cold Creek newt population. Based upon data analysis, we predict how the number of available newt egg-laying sites varies with annual precipitation. Our model allows us to make predictions about how the length and severity of drought can affect the likelihood of persistence and the time to critical endangerment of a local newt population. We predict that sustained severe drought will critically endanger the newt population but that the newt population can rebound if a drought is sufficiently short.

  1. Reproductive behaviour in the 1980s: Europe revisited. Council of Europe: an account of the work of a committee of experts on fertility trends.

    PubMed

    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.

  2. Health symptoms during midlife in relation to menopausal transition: British prospective cohort study

    PubMed Central

    Kuh, Diana

    2012-01-01

    Objective To characterise symptoms experienced by women during the transition into natural menopause, to classify women into distinct symptom profiles or trajectories, and to relate these profiles to sociodemographic factors and health behaviours. Design Nationally representative cohort study. Setting England, Scotland, and Wales. Participants 695 women followed-up since birth in 1946 and annually from age 47 to 54 who experienced natural menopause and reported on 20 common health symptoms. Main outcome measure Longitudinal profiles for reported bothersome symptoms. Results Of 20 individual symptoms, 18 formed into four stable symptom groups: psychological, somatic, vasomotor, and sexual discomfort. Using latent class analyses, all except the somatic group of symptoms showed a clear relation with the timing of menopause for some women. A small proportion of women (10%, n=63) had a severe psychological symptom profile that peaked at or in the year after menopause. For vasomotor symptoms, 14% of women (n=83) had the early severe profile that also peaked around early postmenopause and then declined noticeably; 11% (n=67) had the late severe profile of bothersome symptoms that increased rapidly in perimenopause and remained high for four years or more after menopause. Women were less likely to have a profile for severe vasomotor symptoms if they were from a non-manual social class (odds ratio 0.79, 95% confidence interval 0.57 to 1.01) or had degree level qualifications (0.37, 0.18 to 0.77). The 14% of women (n=85) who had the late severe profile for sexual discomfort showed a similar increase in symptoms until menopause, with symptoms persisting after menopause. Married women were more likely to have the late severe or late moderate profile than women of other marital status (2.40, 1.30 to 4.41). Four profiles each were identified for somatic symptoms (mild, moderate, severe, and very severe), although these did not vary by chronological age or age at menopause. Conclusion Profiles for psychological, vasomotor, and sexual discomfort symptoms relative to age at menopause could help health professionals to tailor their advice for women with natural menopause. PMID:22318435

  3. Association between experience of child abuse and severity of drug addiction measured by the Addiction Severity Index among Japanese drug-dependent patients.

    PubMed

    Ogai, Yasukazu; Senoo, Eiichi; Gardner, Fumiyuki Chin; Haraguchi, Ayako; Saito, Tamaki; Morita, Nobuaki; Ikeda, Kazutaka

    2015-03-03

    The aim of the present study was to clarify the association between child abuse experiences and drug addiction severity among Japanese drug-dependent patients using the Addiction Severity Index-Japanese version (ASI-J). One hundred and eleven inpatients and outpatients with drug dependence participated in the study. Some of the questions on the ASI-J asked about lifetime experiences of abuse. A higher percentage of female participants experienced child abuse compared with male participants. Male participants who experienced child abuse (MEA) had a significantly higher severity of drug use than men who did not experience it (MNEA). Female participants who experienced child abuse (FEA) had significantly more serious problems in family/social relationships than female participants who did not experience it (FNEA). Patients in the MEA group were arrested less frequently for drug charges, experienced more serious problems with their fathers, and experienced more severe anxiety in their lifetime compared with the MNEA group. The FEA group experienced more serious troubles with their sexual partners, close friends, and families and experienced more severe psychiatric problems in their lifetime compared with the FNEA group. These results suggest gender differences in the problems experienced by drug-dependent patients with child abuse experiences, and gender-specific interventions may be more effective in treating their drug dependence.

  4. Association between Experience of Child Abuse and Severity of Drug Addiction Measured by the Addiction Severity Index among Japanese Drug-Dependent Patients

    PubMed Central

    Ogai, Yasukazu; Senoo, Eiichi; Gardner, Fumiyuki Chin; Haraguchi, Ayako; Saito, Tamaki; Morita, Nobuaki; Ikeda, Kazutaka

    2015-01-01

    The aim of the present study was to clarify the association between child abuse experiences and drug addiction severity among Japanese drug-dependent patients using the Addiction Severity Index-Japanese version (ASI-J). One hundred and eleven inpatients and outpatients with drug dependence participated in the study. Some of the questions on the ASI-J asked about lifetime experiences of abuse. A higher percentage of female participants experienced child abuse compared with male participants. Male participants who experienced child abuse (MEA) had a significantly higher severity of drug use than men who did not experience it (MNEA). Female participants who experienced child abuse (FEA) had significantly more serious problems in family/social relationships than female participants who did not experience it (FNEA). Patients in the MEA group were arrested less frequently for drug charges, experienced more serious problems with their fathers, and experienced more severe anxiety in their lifetime compared with the MNEA group. The FEA group experienced more serious troubles with their sexual partners, close friends, and families and experienced more severe psychiatric problems in their lifetime compared with the FNEA group. These results suggest gender differences in the problems experienced by drug-dependent patients with child abuse experiences, and gender-specific interventions may be more effective in treating their drug dependence. PMID:25741639

  5. Menopause and Crisis? Fake or Real: Comprehensive Search to The Depth of Crisis Experienced: A Mixed-method Study

    PubMed Central

    avar, Nehle Parand; Mosalanejad, Leili; Ramezanli, Somaye; Ghavi, Fatemeh

    2014-01-01

    Introduction: Menopause is beyond the lack of menstruation and fertility decline in estrogen. Menopause is associated with at least three types of crisis: Biological, psychological and social. The aim of this study was to investigate psychiatric problems related to menopausal stress and experiences about psychological conditions related to menopause as a developmental crisis. Material and Methods: This mixed-method study (by triangulation approach) was done on 300 women in menopause age (44-54 years) by consensus sampling. Data gathering was from questionnaire conclude psychosomatic listed and hypochondria’s criterion that has been specified by DSMIV. The severity of the disorder was also collected by self-reported question. In the qualitative part, as a phenomenology study, data were gathered with Purposive sampling by a deep semi-structured interview. Data analysis was from content analysis). Results: Results showed that most of the disorders from psychosomatic listed experienced by women conclude: sexual problems 101(33.7%), hypertension 39(13%), and constipation 30(10%); 2.9% had experienced hypochondrias disorder. In the qualitative part, 5 themes were driven from the results of this study which described the structures of psychological experiences of the menopause as follows: change in emotion and mood, change in attitude, change in self-concept and change in interpersonal relationships. Conclusion: Menopause is a physiological process in women’s life, but due to many symptoms and complications, it requires culturally appropriate education, appropriate coping with problems and mental health promotion in this sexual crisis. PMID:24576387

  6. Menopause and crisis? Fake or real: comprehensive search to the depth of crisis experienced: a mixed-method study.

    PubMed

    Parand avar, Nehle; Mosalanejad, Leili; Ramezanli, Somaye; Ghavi, Fatemeh

    2014-02-21

    Menopause is beyond the lack of menstruation and fertility decline in estrogen. Menopause is associated with at least three types of crisis: Biological, psychological and social. The aim of this study was to investigate psychiatric problems related to menopausal stress and experiences about psychological conditions related to menopause as a developmental crisis. This mixed-method study (by triangulation approach) was done on 300 women in menopause age (44-54 years) by consensus sampling. Data gathering was from questionnaire conclude psychosomatic listed and hypochondria's criterion that has been specified by DSMIV. The severity of the disorder was also collected by self-reported question. In the qualitative part, as a phenomenology study, data were gathered with Purposive sampling by a deep semi-structured interview. Data analysis was from content analysis). Results showed that most of the disorders from psychosomatic listed experienced by women conclude: sexual problems 101(33.7%), hypertension 39(13%), and constipation 30(10%); 2.9% had experienced hypochondrias disorder. In the qualitative part, 5 themes were driven from the results of this study which described the structures of psychological experiences of the menopause as follows: change in emotion and mood, change in attitude, change in self-concept and change in interpersonal relationships. Menopause is a physiological process in women's life, but due to many symptoms and complications, it requires culturally appropriate education, appropriate coping with problems and mental health promotion in this sexual crisis.

  7. Pollinator Research at EPA

    EPA Science Inventory

    Of great concern, honey bee populations have experienced dramatic declines in the US and in many other countries. In response to this issue, the White House instructed the EPA and USDA to lead a Federal Task Force to develop a National Strategy on Pollinator Health which called f...

  8. PHYLOGEOGRAPHY OF RANA YAVAPAIENSIS AND RANA ONCA: PRELIMINARY FINDINGS WITH CONSERVATION IMPLICATIONS

    EPA Science Inventory

    The closely related aridland frogs Rana onca (Relict Leopard Frog) and Rana yavapaiensis (Lowland Leopard Frog) have both experienced dramatic population declines. Rana onca currently occurs naturally at only 6 disjunct sites in southern Nevada. Rana yavapaiensis is present acros...

  9. New York in the new world economy : the I-90 corridor study : final report

    DOT National Transportation Integrated Search

    2002-12-01

    The I-90 Corridor in upstate New York is a classic example of the de-industrialization of the Northeastern United States. With few exceptions, all counties along the corridor have experienced marked declined in manufacturing employment over the past ...

  10. Age and Race Differences in the Trajectories of Self-Esteem

    PubMed Central

    Shaw, Benjamin A.; Liang, Jersey; Krause, Neal

    2010-01-01

    The purpose of this research was to assess age- and race-based variation in within-persons changes in self-esteem over a 16-year period. We used hierarchical linear modeling with data from 3,617 adults aged 25 and older who were interviewed up to four times. Self-esteem increased, on average, over the course of the study period. At the same time, significant age variations around this trend were observed, with younger adults experiencing increases in self-esteem and older adults experiencing decreases. In general, race differences were not evident with respect to average levels or rates of change in self-esteem. However, a significant age by race interaction suggested that late life declines in self-esteem were steeper for blacks compared to whites. These findings suggest the presence of age- and race-based stratification with respect to self-esteem. Future work in this area should examine the health and well-being effects of declining self-esteem during old age. PMID:20230130

  11. Deforestation control in Mato Grosso: a new model for slowing the loss of Brazil's Amazon forest.

    PubMed

    Fearnside, Philip M

    2003-08-01

    Controlling deforestation in Brazil's Amazon region has long been illusive despite repeated efforts of government authorities to slow the process. From 1997 to 2000, deforestation rates in Brazil's 9-state "Legal Amazon" region continually crept upward. Now, a licensing and enforcement program for clearing by large farmers and ranchers in the state of Mato Grosso appears to be having an effect. The deforestation rate in Mato Grosso was already beginning to slacken before initiation of the program in 1999, but examination of county-level data suggests that deforestation in already heavily cleared areas was falling due to lack of suitable uncleared land, while little-cleared areas were experiencing rapid deforestation. Following initiation of the program, the clearing rates declined in the recent frontiers. Areas with greater enforcement effort also appear to have experienced greater declines. Demonstration of government ability to enforce regulations and influence trends is important to domestic and international debates regarding use of avoided deforestation to mitigate global warming.

  12. Oak Decline and Red Oak Borer in the Interior Highlands of Arkansas an Missouri: Natural Phenomena, Severe Occurrences

    Treesearch

    Dale A. Starkey; Forrest Oliveria; Alexander Mangini; Manfred Mielke

    2004-01-01

    Oak decline is a complex disease resulting in dieback and mortality of oaks. A number of factors are involved and can be classified as predisposing, inciting, or contributing, according to their roles. Decline events have been noted repeatedly during the past century in the eastern U.S. A severe episode of oak decline is occurring in the Interior Highlands region of...

  13. The role of environmental factors in oak decline and mortality in the Ozark Highlands

    Treesearch

    John M. Kabrick; Daniel C. Dey; Randy G. Jensen; Michael Wallendorf

    2008-01-01

    Oak decline is a chronic problem in Missouri Ozark forests. Red oak group species are most susceptible and decline is reportedly more severe on droughty, nutrient-poor sites. However, it was not clear whether greater decline severity was caused by poor site conditions or is simply due to the greater abundance of red oak group species found on poorer sites. We conducted...

  14. Dramatic declines in neotropical salamander populations are an important part of the global amphibian crisis

    PubMed Central

    Rovito, Sean M.; Parra-Olea, Gabriela; Vásquez-Almazán, Carlos R.; Papenfuss, Theodore J.; Wake, David B.

    2009-01-01

    We document major declines of many species of salamanders at several sites in Central America and Mexico, with emphasis on the San Marcos region of Guatemala, one of the best studied and most diverse salamander communities in the Neotropics. Profound declines of several formerly abundant species, including 2 apparent extinctions, are revealed. Terrestrial microhabitat specialists at mid- to high elevations have declined more than microhabitat generalists. These terrestrial microhabitat specialists have largely disappeared from multiple sites in western Guatemala, including in well-protected areas, suggesting that the phenomenon cannot be explained solely by localized habitat destruction. Major declines in southern Mexican plethodontid salamanders occurred in the late 1970s to early 1980s, concurrent with or preceding many reported frog declines. The species in decline comprise several major evolutionary lineages of tropical salamanders, underscoring that significant portions of the phylogenetic diversity of Neotropical salamanders are at risk. Our results highlight the urgent need to document and understand Neotropical salamander declines as part of the larger effort to conserve global amphibian diversity. PMID:19204286

  15. A phase II study of sulforaphane-rich broccoli sprout extracts in men with recurrent prostate cancer

    PubMed Central

    Alumkal, Joshi J.; Slottke, Rachel; Schwartzman, Jacob; Cherala, Ganesh; Munar, Myrna; Graff, Julie N.; Beer, Tomasz M.; Ryan, Christopher W.; Koop, Dennis R.; Gibbs, Angela; Gao, Lina; Flamiatos, Jason F.; Tucker, Erin; Kleinschmidt, Richard; Mori, Motomi

    2014-01-01

    Diets high in cruciferous vegetables are associated with lower risk of incidence of prostate cancer, including aggressive forms of this disease. Human intervention studies with cruciferous vegetable-rich diets also demonstrate modulation of gene expression in important pathways in prostate cells. Sulforaphane is a constituent of these foods postulated to harbor the anti-neoplastic activity based on multiple tumor models. Our own work demonstrates that sulforaphane inhibits AR signaling in prostate cancer cells. Here, we report results from the first clinical trial of sulforaphane-rich extracts in men with prostate cancer. We treated 20 patients who had recurrent prostate cancer with 200μmoles/day of sulforaphane-rich extracts for a maximum period of 20 weeks and determined the proportion of patients with ≥50% PSA declines, the primary endpoint. Only one subject experienced a ≥50% PSA decline. Thus, the primary endpoint was not achieved. Seven patients experienced smaller PSA declines (<50%). There was also a significant lengthening of the on-treatment PSA doubling time (PSADT) compared with the pre-treatment PSADT [6.1 months pre-treatment vs. 9.6 months on-treatment (p=0.044)]. Finally, treatment with sulforaphane-rich extracts was safe with no Grade 3 adverse events. Treatment with 200μmoles/day of sulforaphane-rich extracts did not lead to ≥50% PSA declines in the majority of patients. However, because of the safety of treatment and the effects on PSADT modulation, further studies, including those with higher doses, may be warranted to clarify the role of sulforaphane as a prevention agent or treatment agent. PMID:25431127

  16. A phase II study of sulforaphane-rich broccoli sprout extracts in men with recurrent prostate cancer.

    PubMed

    Alumkal, Joshi J; Slottke, Rachel; Schwartzman, Jacob; Cherala, Ganesh; Munar, Myrna; Graff, Julie N; Beer, Tomasz M; Ryan, Christopher W; Koop, Dennis R; Gibbs, Angela; Gao, Lina; Flamiatos, Jason F; Tucker, Erin; Kleinschmidt, Richard; Mori, Motomi

    2015-04-01

    Diets high in cruciferous vegetables are associated with lower risk of incidence of prostate cancer, including aggressive forms of this disease. Human intervention studies with cruciferous vegetable-rich diets also demonstrate modulation of gene expression in important pathways in prostate cells. Sulforaphane is a constituent of these foods postulated to harbor the anti-neoplastic activity based on multiple tumor models. Our own work demonstrates that sulforaphane inhibits AR signaling in prostate cancer cells. Here, we report results from the first clinical trial of sulforaphane-rich extracts in men with prostate cancer. We treated 20 patients who had recurrent prostate cancer with 200 μmoles/day of sulforaphane-rich extracts for a maximum period of 20 weeks and determined the proportion of patients with ≥50% PSA declines, the primary endpoint. Only one subject experienced a ≥50% PSA decline. Thus, the primary endpoint was not achieved. Seven patients experienced smaller PSA declines (<50%). There was also a significant lengthening of the on-treatment PSA doubling time (PSADT) compared with the pre-treatment PSADT [6.1 months pre-treatment vs. 9.6 months on-treatment (p = 0.044)]. Finally, treatment with sulforaphane-rich extracts was safe with no Grade 3 adverse events. Treatment with 200 μmoles/day of sulforaphane-rich extracts did not lead to ≥50% PSA declines in the majority of patients. However, because of the safety of treatment and the effects on PSADT modulation, further studies, including those with higher doses, may be warranted to clarify the role of sulforaphane as a prevention agent or treatment agent.

  17. Differential 5-year brain atrophy rates in cognitively declining and stable APOE-ε4 elders.

    PubMed

    Kelly, Dana A; Seidenberg, Michael; Reiter, Katherine; Nielson, Kristy A; Woodard, John L; Smith, J Carson; Durgerian, Sally; Rao, Stephen M

    2018-06-18

    The apolipoprotein E (APOE) ε4 allele is the most important genetic risk factor for late-onset Alzheimer's disease. Many ε4 carriers, however, never develop Alzheimer's disease. The purpose of this study is to characterize the variability in phenotypic expression of the ε4 allele, as measured by the longitudinal trajectory of cognitive test scores and MRI brain volumes, in cognitively intact elders. Healthy older adults, ages 65-85, participated in a 5-year longitudinal study that included structural MRI and cognitive testing administered at baseline and at 1.5 and 5 years postenrollment. Participants included 22 ε4 noncarriers, 15 ε4 carriers who experienced a decline in cognition over the 5-year interval, and 11 ε4 carriers who remained cognitively stable. No baseline cognitive or volumetric group differences were observed. Compared to noncarriers, declining ε4 carriers had significantly greater rates of atrophy in left (p = .001, Cohen's d = .691) and right (p = .003, d = .622) cortical gray matter, left (p = .003, d = .625) and right (p = .020, d = .492) hippocampi, and greater expansion of the right inferior lateral ventricle (p < .001, d = .751) over 5 years. This study illustrates the variability in phenotypic expression of the ε4 allele related to neurodegeneration. Specifically, only those individuals who exhibited longitudinal declines in cognitive function experienced concomitant changes in brain volume. Future research is needed to better understand the biological and lifestyle factors that may influence the expression of the ε4 allele. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  18. 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…

  19. Changing Roles of a University Cooperative Extension Service in Response to Social Change

    ERIC Educational Resources Information Center

    Barnes, Thelma C.

    2013-01-01

    Researchers have acknowledged that cooperative extension organizations should rethink dominant agricultural foci and be more inclusive of nontraditional audiences. An extension organization in the southeastern United States has experienced declining workshop participation, requests for technical assistance, and local office visits. These declines…

  20. Assessment of Regional Variation in Streamflow Responses to Urbanization and the Persistence of Physiography

    EPA Science Inventory

    Aquatic ecosystems are sensitive to the modification of hydrologic regimes, experiencing declines in stream health as the streamflow regime is altered during urbanization. This study uses streamflow records to quantify the type and magnitude of hydrologic changes across urbanizat...

  1. 32 Years’ Experience of Peritoneal Dialysis-Related Peritonitis in a University Hospital

    PubMed Central

    van Esch, Sadie; Krediet, Raymond T.; Struijk, Dirk G.

    2014-01-01

    ♦ Background: Peritonitis in peritoneal dialysis (PD) patients can lead to technique failure and contributes to infection-related mortality. Peritonitis prevention and optimization of treatment are therefore important in the care for PD patients. In the present study, we analyzed the incidence of peritonitis, causative pathogens, clinical outcomes, and trends in relation to three major treatment changes that occurred from 1979 onward: use of a disconnect system since 1988, daily mupirocin at the exit-site since 2001, and exclusive use of biocompatible dialysis solutions since 2004. ♦ Methods: In this analysis of prospectively collected data, we included peritonitis episodes from the start of PD at our center in August 1979 to July 2010. Incident PD patients were allocated to one of four groups: Group 1 - 182 patients experiencing 148 first peritonitis episodes between 1979 and 1987, before the introduction of the disconnect system; Group 2 - 352 patients experiencing 239 first episodes of peritonitis between 1988 and 2000, before implementation of daily mupirocin application at the catheter exit-site; Group 3 - 79 patients experiencing 50 first peritonitis episodes between 2001 and 2003, before the switch to biocompatible solutions; and Group 4-118 patients experiencing 91 first peritonitis episodes after 2004. Cephradine was used as initial antibiotic treatment. ♦ Results: In 32 years, 731 adult patients started PD, and 2234 episodes of peritonitis in total were diagnosed and treated. Of those episodes, 88% were cured with medical treatment only, and 10% resulted in catheter removal. In 3% of the episodes, the patient died during peritonitis. Median time to a first peritonitis episode increased from 40 days for group 1 to 150 for group 2, 269 for group 3, and 274 for group 4. The overall peritonitis rate and the gram-positive and gram-negative peritonitis rates showed a time-trend of decline. However, the duration of antibiotic treatment increased over time, with groups 3 and 4 having the longest duration of treatment, accompanied by a higher percentage of antibiotic switch. Increased resistance to cephradine was found for coagulase-negative Staphylococcus. ♦ Conclusions: Peritonitis rates declined significantly over the years because of several changes in PD treatment. However, the need to change the initial antibiotic increased because of diminished antibiotic susceptibility rates over time. Nevertheless, the cure rate was high and remained stable during the entire period analyzed, and the death rate remained low. Consequently, peritonitis is a manageable complication of PD that cannot be considered a contraindication to this mode of renal replacement therapy. PMID:24584620

  2. Job Changing and the Decline in Long-Distance Migration in the United States.

    PubMed

    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.

  3. Severe Hemolysis in a Patient With Erythrocytosis During Coupled Plasma Filtration Adsorption Therapy Was Prevented by Changing From Membrane-Based Technique to a Centrifuge-Based One.

    PubMed

    Fan, Rong; Wu, Buyun; Kong, Ling; Gong, Dehua

    2016-01-01

    Coupled plasma filtration adsorption (CPFA) usually adopts membrane to separate plasma from blood. Here, we reported a case with erythrocytosis experienced severe hemolysis and membrane rupture during CPFA, which was avoided by changing from membrane-based technique to a centrifuge-based one. A 66-year-old man was to receive CPFA for severe hyperbilirubinemia (total bilirubin 922 μmol/L, direct bilirubin 638 μmol/L) caused by obstruction of biliary tract. He had erythrocytosis (hemoglobin 230 g/L, hematocrit 0.634) for years because of untreated tetralogy of Fallot. Severe hemolysis and membrane rupture occurred immediately after blood entering into the plasma separator even at a low flow rate (50 mL/min) and persisted after changing a new separator. Finally, centrifugal plasma separation technique was used for CPFA in this patient, and no hemolysis occurred. After 3 sessions of CPFA, total bilirubin level decreased to 199 μmol/L with an average decline by 35% per session. Thereafter, the patient received endoscopic biliary stent implantation, and total bilirubin level returned to nearly normal. Therefore, centrifugal-based plasma separation can also be used in CPFA and may be superior to a membrane-based one in patients with hyperviscosity.

  4. The association between cognitive decline and incident depressive symptoms in a sample of older Puerto Rican adults with diabetes.

    PubMed

    Bell, Tyler; Dávila, Ana Luisa; Clay, Olivio; Markides, Kyriakos S; Andel, Ross; Crowe, Michael

    2017-08-01

    Older Puerto Rican adults have particularly high risk of diabetes compared to the general US population. Diabetes is associated with both higher depressive symptoms and cognitive decline, but less is known about the longitudinal relationship between cognitive decline and incident depressive symptoms in those with diabetes. This study investigated the association between cognitive decline and incident depressive symptoms in older Puerto Rican adults with diabetes over a four-year period. Households across Puerto Rico were visited to identify a population-based sample of adults aged 60 years and over for the Puerto Rican Elderly: Health Conditions study (PREHCO); 680 participants with diabetes at baseline and no baseline cognitive impairment were included in analyses. Cognitive decline and depressive symptoms were measured using the Mini-Mental Cabán (MMC) and Geriatric Depression Scale (GDS), respectively. We examined predictors of incident depressive symptoms (GDS ≥ 5 at follow-up but not baseline) and cognitive decline using regression modeling. In a covariate-adjusted logistic regression model, cognitive decline, female gender, and greater diabetes-related complications were each significantly associated with increased odds of incident depressive symptoms (p < 0.05). In a multiple regression model adjusted for covariates, incident depressive symptoms and older age were associated with greater cognitive decline, and higher education was related to less cognitive decline (p < 0.05). Incident depressive symptoms were more common for older Puerto Ricans with diabetes who also experienced cognitive decline. Efforts are needed to optimize diabetes management and monitor for depression and cognitive decline in this population.

  5. Evaluating the impact of future climate change on irrigated maize production in Kansas

    USDA-ARS?s Scientific Manuscript database

    The United States southern and central High Plains including western Kansas are experiencing declining ground water supplies from the Ogallala as a result of withdrawals for irrigation exceeding annual recharge, this situation will be exacerbated by future climate change. The purpose of this simulat...

  6. Milkweed Matters: Monarch butterfly (Lepidoptera: Nymphalidae) survival and development on nine Midwestern milkweed species

    USDA-ARS?s Scientific Manuscript database

    The population of monarch butterflies east of the Rocky Mountains has experienced a significant decline over the past twenty years. In order to increase monarch numbers in the breeding range, habitat restoration that includes planting milkweed plants is essential. Milkweeds in the genus Asclepias ...

  7. Monarch butterfly oviposition preference supports a diversity of milkweed species on the landscape

    USDA-ARS?s Scientific Manuscript database

    Over the past two decades, the population of monarch butterflies east of the Rocky Mountains has experienced a significant decline in overwintering numbers. Habitat restoration that includes planting milkweeds is essential to boost monarch numbers within the breeding range. Milkweeds are the only ho...

  8. Soils under conservation agriculture with vegetables in Siem Reap, Cambodia

    USDA-ARS?s Scientific Manuscript database

    Smallholder vegetable farmers in Siem Reap, Cambodia experienced declining crop productivity. It could be a result of a mixture of factors such as nutrient and pest problems and extreme weather events such as droughts and/or heavy rains. The no-till, continuous mulch and diverse species principles o...

  9. The Anthropology of Anthropologists.

    ERIC Educational Resources Information Center

    Turner, Paul R.

    Anthropology as an academic discipline in the United States experienced an explosive growth during the late 1960's and early 1970's, when the Woodstock generation embraced anthropology. However, interest in anthropology as a discipline declined in the late 1970's and early 1980's, when the new work-oriented generation held anthropologists at arms…

  10. Russia’s Demographic Trend: A Population in Steady Decline

    DTIC Science & Technology

    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

  11. Verification of ELISA Test Kits to Determine EDCs in Animal Feedlot Runoff

    EPA Science Inventory

    The key points discussed in this presentation are: (1) Climate change will very likely exacerbate the already stressed water supply in the U.S. Southeast, the only region that has experienced precipitation decline over >100 years; (2) The effect in precipitation change is locati...

  12. The similarity and appropriate usage of three honey bee (Hymenoptera: Apidae) datasets for longitudinal studies

    USDA-ARS?s Scientific Manuscript database

    Honey bee (Apis mellifera, Hymenoptera: Apidae) colonies have experienced profound fluctuations, especially declines, in the past few decades. Long-term datasets on honey bees are needed to identify the most important environmental and cultural factors associated with these changes. While a few suc...

  13. Geolocator reveals migratory and winter movements of a Prothonotary Warbler

    Treesearch

    Jared D. Wolfe; Erik I. Johnson

    2015-01-01

    Prothonotary Warblers (Protonotaria citrea) are Nearctic-Neotropic migrants that have experienced declining populations over the past 50 yr. Determining their migration routes and wintering areas are critical steps in identifying habitats used by species and populations of conservation concern. We captured a male Prothonotary Warbler on its...

  14. Information and Communication Technologies and Rural Development. Territorial Economy.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France).

    Information and communication technologies (ICTs) offer opportunities for renewed development for many rural and remote areas that have long experienced economic decline and outmigration. But there is a risk of a territorial digital divide between urban and rural areas. Investments in telecommunications infrastructure and services tend to be…

  15. School Finances, Reforms, and Revenue Needs.

    ERIC Educational Resources Information Center

    Odden, Allan

    This study presents California's recent history of public revenue funding for elementary and secondary education and projects the state's educational and fiscal needs for the next five years. California has experienced a roller-coaster pattern in funding support since 1978, the year of Proposition 13. School financing declined from a position of…

  16. Fragrance composition of Dendrophylax lindenii (Orchidaceae) using novel technique applied in situ

    USDA-ARS?s Scientific Manuscript database

    The ghost orchid, Dendrophylax lindenii (Lindley) Bentham ex Rolfe (Orchidaceae), is one of North America’s rarest and well-known orchids. Native to Cuba and SW Florida where it frequents shaded swamps as an epiphyte, the species has experienced steady decline. Little information exists on D. linden...

  17. Changing Demographics and Needs Assessment for Learning Centers in the 21st Century

    ERIC Educational Resources Information Center

    Payne, Emily Miller; Hodges, Russ; Hernandez, Elda Patricia

    2017-01-01

    Students entering postsecondary education embody America's growing diversity. Rapid demographics shifts and changing student attendance patterns pose new challenges for higher education. Enrollment trends vary across states and regions with some areas seeing increased student populations while others are experiencing declining enrollments (Center…

  18. Status of a wood turtle (Glyptemys Insculpta) population in northeastern Minnesota

    Treesearch

    Madaline M. Cochrane; Donald J. Brown; Mark D. Nelson; Richard R. Buech; Mike Schrage; Dan Ryan; Ron A. Moen

    2018-01-01

    Wood Turtles (Glyptemys insculpta) have experienced population declines across their North American range and are state-listed as threatened in Minnesota, USA. To improve our understanding of the current conservation status of one population in northeastern Minnesota, we: (1) performed a snapshot comparison of population structure and relative...

  19. Predicting National Council Licensure Examination for Registered Nurses Performance

    ERIC Educational Resources Information Center

    Whitehead, Charles D.

    2016-01-01

    The Baccalaureate Nursing program in San Antonio, Texas experienced a decrease in National Council Licensure Examination for Registered Nurses (NCLEX-RN) on the first attempt for students graduating between 2009 and 2014 without a clear explanation for the decline. The purpose of this quantitative non-experimental correlational study was to…

  20. Understanding Business Majors' Learning Styles

    ERIC Educational Resources Information Center

    Giordano, James; Rochford, Regina A.

    2005-01-01

    Recently, business education programs have experienced a decline in enrollment and an increase in attrition. To understand these issues and recommend solutions, the learning styles of 503 first-year business majors at an urban community college were examined. The results demonstrated that: (a) 94% of the participants were analytic learners; (b)…

  1. Relationship Between Catastrophic Health Expenditures and Income Quintile Decline

    PubMed Central

    Kang, Jeong-Hee; Kim, Chul-Woung

    2018-01-01

    Objectives The aims of this study were to investigate the proportion of households facing catastrophic health expenditures based on household income quintiles, and to analyze the relationship between expenditures and household income quintile decline. Methods Study data were obtained from an annually conducted survey of the 2012–2013 Korean health panel. There were 12,909 subjects aged 20–64 years from economically active households, whose income quintile remained unchanged or declined by more than one quintile from 2012 to 2013. Logistic regression analysis was performed to determine whether catastrophic health expenditures in 2012 were related to more than one quintile income decline in 2013. Results Households facing catastrophic health expenditures of ≥ 40%, ≥ 30%, and ≥ 10% of a household’s capacity to pay, were 1.58 times (p < 0.003), 1.75 times (p < 0.000), and 1.23 times (p < 0.001) more likely to face a decline in income quintile, respectively. Conclusion Over a 1 year period, the proportion of households facing more than one quintile income decline was 16.4%, while 2.1% to 2.5% of households in Korea faced catastrophic health expenditures. Catastrophic health expenditure experienced in 2012 was significantly associated with income quintile decline 1 year later. Therefore, lowering the proportion of households with catastrophic health expenditure may reduce the proportion of households with income quintiles decline. PMID:29740531

  2. Cholesteryl ester transfer protein genotype modifies the effect of apolipoprotein ε4 on memory decline in older adults.

    PubMed

    Sundermann, Erin Elizabeth; Wang, Cuiling; Katz, Mindy; Zimmerman, Molly E; Derby, Carol A; Hall, Charles B; Ozelius, Laurie J; Lipton, Richard B

    2016-05-01

    Apolipoprotein ε4 (ApoE4) is a strong genetic risk factor for sporadic Alzheimer's disease and memory decline in older adults. A single-nucleotide polymorphism in the cholesteryl ester transfer protein (CETP) gene (isoleucine to valine; V405) is associated with slower memory decline and a lower risk of Alzheimer's disease. As both genes regulate cholesterol, we hypothesized that the favorable CETPV405 allele may buffer the effect of ApoE4 on memory decline in older adults. Using linear regression, we examined the interactive effect of ApoE4 by CETPV405 on memory decline among 909 community-dwelling, nondemented, older adults (≥70 years) from the Einstein Aging Study. Episodic memory was measured using the picture version of the Free and Cued Selective Reminding Test with immediate recall (pFCSRT+IR). There was a significant ApoE × CETP interaction on decline in pFCSRT+IR scores (p = 0.01). ApoE4 carriers experienced faster decline than noncarriers among CETPI405I homozygotes (p = 0.007) and in CETPI405V heterozygotes (p = 0.015) but not in CETPV405V homozygotes (p = 0.614). Results suggest that the CETPV405 allele buffers ApoE4-associated memory decline in a gene dose-dependent manner. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Colonies of Bumble Bees (Bombus impatiens) Produce Fewer Workers, Less Bee Biomass, and Have Smaller Mother Queens Following Fungicide Exposure.

    PubMed

    Bernauer, Olivia M; Gaines-Day, Hannah R; Steffan, Shawn A

    2015-06-01

    Bees provide vital pollination services to the majority of flowering plants in both natural and agricultural systems. Unfortunately, both native and managed bee populations are experiencing declines, threatening the persistence of these plants and crops. Agricultural chemicals are one possible culprit contributing to bee declines. Even fungicides, generally considered safe for bees, have been shown to disrupt honey bee development and impair bumble bee behavior. Little is known, however, how fungicides may affect bumble bee colony growth. We conducted a controlled cage study to determine the effects of fungicide exposure on colonies of a native bumble bee species (Bombus impatiens). Colonies of B. impatiens were exposed to flowers treated with field-relevant levels of the fungicide chlorothalonil over the course of one month. Colony success was assessed by the number and biomass of larvae, pupae, and adult bumble bees. Bumble bee colonies exposed to fungicide produced fewer workers, lower total bee biomass, and had lighter mother queens than control colonies. Our results suggest that fungicides negatively affect the colony success of a native bumble bee species and that the use of fungicides during bloom has the potential to severely impact the success of native bumble bee populations foraging in agroecosystems.

  4. The evolution of child health programmes in developing countries: from targeting diseases to targeting people.

    PubMed Central

    Claeson, M.; Waldman, R. J.

    2000-01-01

    Mortality rates among children and the absolute number of children dying annually in developing countries have declined considerably over the past few decades. However, the gains made have not been distributed evenly: childhood mortality remains higher among poorer people and the gap between rich and poor has grown. Several poor countries, and some poorer regions within countries, have experienced a levelling off of or even an increase in childhood mortality over the past few years. Until now, two types of programmes--short-term, disease-specific initiatives and more general programmes of primary health care--have contributed to the decline in mortality. Both types of programme can contribute substantially to the strengthening of health systems and in enabling households and communities to improve their health care. In order for them to do so, and in order to complete the unfinished agenda of improving child health globally, new strategies are needed. On the one hand, greater emphasis should be placed on promoting those household behaviours that are not dependent on the performance of health systems. On the other hand, more attention should be paid to interventions that affect health at other stages of the life cycle while efforts that have been made to develop interventions that can be used during childhood continue. PMID:11100618

  5. Climate Change and Its Impact on the Eco-Environment of the Three-Rivers Headwater Region on the Tibetan Plateau, China.

    PubMed

    Jiang, Chong; Zhang, Linbo

    2015-09-25

    This study analyzes the impact of climate change on the eco-environment of the Three-Rivers Headwater Region (TRHR), Tibetan Plateau, China. Temperature and precipitation experienced sharp increases in this region during the past 57 years. A dramatic increase in winter temperatures contributed to a rise in average annual temperatures. Moreover, annual runoff in the Lancang (LRB) and Yangtze (YARB) river basins showed an increasing trend, compared to a slight decrease in the Yellow River Basin (YRB). Runoff is predominantly influenced by rainfall, which is controlled by several monsoon systems. The water temperature in the YRB and YARB increased significantly from 1958 to 2007 (p < 0.001), driven by air temperature changes. Additionally, owing to warming and wetting trends in the TRHR, the net primary productivity (NPP) and normalized difference vegetation index (NDVI) showed significant increasing trends during the past half-century. Furthermore, although an increase in water erosion due to rainfall erosivity was observed, wind speeds declined significantly, causing a decline in wind erosion, as well as the frequency and duration of sandstorms. A clear regional warming trend caused an obvious increasing trend in glacier runoff, with a maximum value observed in the 2000s.

  6. Climate Change and Its Impact on the Eco-Environment of the Three-Rivers Headwater Region on the Tibetan Plateau, China

    PubMed Central

    Jiang, Chong; Zhang, Linbo

    2015-01-01

    This study analyzes the impact of climate change on the eco-environment of the Three-Rivers Headwater Region (TRHR), Tibetan Plateau, China. Temperature and precipitation experienced sharp increases in this region during the past 57 years. A dramatic increase in winter temperatures contributed to a rise in average annual temperatures. Moreover, annual runoff in the Lancang (LRB) and Yangtze (YARB) river basins showed an increasing trend, compared to a slight decrease in the Yellow River Basin (YRB). Runoff is predominantly influenced by rainfall, which is controlled by several monsoon systems. The water temperature in the YRB and YARB increased significantly from 1958 to 2007 (p < 0.001), driven by air temperature changes. Additionally, owing to warming and wetting trends in the TRHR, the net primary productivity (NPP) and normalized difference vegetation index (NDVI) showed significant increasing trends during the past half-century. Furthermore, although an increase in water erosion due to rainfall erosivity was observed, wind speeds declined significantly, causing a decline in wind erosion, as well as the frequency and duration of sandstorms. A clear regional warming trend caused an obvious increasing trend in glacier runoff, with a maximum value observed in the 2000s. PMID:26404333

  7. Testing the Relationship between Human Occupancy in the Landscape and Tadpole Developmental Stress

    PubMed Central

    Eterovick, Paula C.; Bar, Luís F. F.; Souza, Jorge B.; Castro, José F. M.; Leite, Felipe S. F.; Alford, Ross A.

    2015-01-01

    Amphibian population declines are widespread; the main causal factors are human related and include habitat fragmentation due to agriculture, mining, fires, and urban development. Brazil is the richest country in species of amphibians, and the Brazilian regions with the greatest amphibian diversity are experiencing relatively high rates of habitat destruction, but there are presently relatively few reports of amphibian declines. It is thus important to develop research methods that will detect deterioration in population health before severe declines occur. We tested the use of measurements of fluctuating asymmetry (FA) taken on amphibian larvae to detect anthropogenic stress. We hypothesized that greater human occupancy in the landscape might result in more stressful conditions for amphibians. We conducted this study at the Espinhaço mountain range in southeastern Brazil, using as a model an endemic species (Bokermannohyla saxicola, Hylidae). We chose two tadpole denticle rows and eye-nostril distance as traits for FA measurement. We measured percent cover of human-altered habitats in the landscape around tadpole sampling points and measured FA levels in sampled tadpoles. We found FA levels to differ among localities but found no relationship between human modification of the landscape and tadpole FA levels. Levels of FA in the traits we examined may not be strongly affected by environmental conditions, or may be affected by local variables that were not captured by our landscape-scale measures. Alternatively, populations may be genetically differentiated, affecting how FA levels respond to stress and obscuring the effects of anthropogenic disturbance. PMID:25793699

  8. Local and landscape drivers of predation services in urban gardens.

    PubMed

    Philpott, Stacy M; Bichier, Peter

    2017-04-01

    In agroecosystems, local and landscape features, as well as natural enemy abundance and richness, are significant predictors of predation services that may result in biological control of pests. Despite the increasing importance of urban gardening for provisioning of food to urban populations, most urban gardeners suffer from high pest problems, and have little knowledge about how to manage their plots to increase biological control services. We examined the influence of local, garden scale (i.e., herbaceous and arboreal vegetation abundance and diversity, ground cover) and landscape (i.e., landscape diversity and surrounding land use types) characteristics on predation services provided by naturally occurring predators in 19 urban gardens in the California central coast. We introduced sentinel pests (moth eggs and larvae and pea aphids) onto greenhouse-raised plants taken to gardens and assigned to open or bagged (predator exclosure) treatments. We found high predation rates with between 40% and 90% of prey items removed in open treatments. Predation services varied with local and landscape factors, but significant predictors differed by prey species. Predation of eggs and aphids increased with vegetation complexity in gardens, but larvae predation declined with vegetation complexity. Smaller gardens experienced higher predation services, likely due to increases in predator abundance in smaller gardens. Several ground cover features influenced predation services. In contrast to patterns in rural agricultural landscapes, predation on aphids declined with increases in landscape diversity. In sum, we report the relationships between several local management factors, as well as landscape surroundings, and implications for garden management. © 2017 by the Ecological Society of America.

  9. Fouling of nanofiltration, reverse osmosis, and ultrafiltration membranes by protein mixtures: the role of inter-foulant-species interaction.

    PubMed

    Wang, Yi-Ning; Tang, Chuyang Y

    2011-08-01

    Protein fouling of nanofiltration (NF), reverse osmosis (RO), and ultrafiltration (UF) membranes by bovine serum albumin (BSA), lysozyme (LYS), and their mixture was investigated under cross-flow conditions. The effect of solution chemistry, membrane properties, and permeate flux level was systematically studied. When the solution pH was within the isoelectric points (IEPs) of the two proteins (i.e., pH 4.7-10.4), the mixed protein system experienced more severe flux decline compared to the respective single protein systems, which may be attributed to the electrostatic attraction between the negatively charged BSA and positively charged LYS molecules. Unlike a typical single protein system, membrane fouling by BSA-LYS mixture was only weakly dependent on solution pH within this pH range, and increased ionic strength was found to enhance the membrane flux as a result of the suppressed BSA-LYS electrostatic attraction. Membrane fouling was likely controlled by foulant-fouled-membrane interaction under severe fouling conditions (elevated flux level and unfavorable solution chemistry that promotes fouling), whereas it was likely dominated by foulant-clean-membrane interaction under mild fouling conditions. Compared to nonporous NF and RO membranes, the porous UF membrane was more susceptible to dramatic flux decline due to the increased risk of membrane pore plugging. This study reveals that membrane fouling by mixed macromolecules may behave very differently from that by typical single foulant system, especially when the inter-foulant-species interaction dominates over the intra-species interaction in the mixed foulant system.

  10. Therapeutic response and side effects of repeated radioligand therapy with 177Lu-PSMA-DKFZ-617 of castrate-resistant metastatic prostate cancer

    PubMed Central

    Ahmadzadehfar, Hojjat; Eppard, Elisabeth; Kürpig, Stefan; Fimmers, Rolf; Yordanova, Anna; Schlenkhoff, Carl Diedrich; Gärtner, Florian; Rogenhofer, Sebastian; Essler, Markus

    2016-01-01

    Prostate-specific membrane antigen (PSMA) is highly expressed on prostate epithelial cells and strongly up-regulated in prostate cancer (PC), making it an optimal target for the treatment of metastasized PC. Radioligand therapy (RLT) with 177Lu-PSMA-DKFZ-617 (Lu-PSMA) is a targeted therapy for metastatic PC. In this study, we retrospectively analyzed the side effects and the response rate of 24 hormone and/or chemorefractory PC patients with a mean age of 75.2 years (range: 64–82) with distant metastases and progressive disease according to the PSA level, who were treated with Lu-PSMA. Median PSA was 522 ng/ml (range: 17–2360). Forty-six cycles of Lu-PSMA were performed. Of the 24 patients, 22 received two cycles. Eight weeks after the first cycle of Lu-PSMA therapy 79.1% experienced a decline in PSA level. Eight weeks after the second cycle of Lu-PSMA therapy 68.2% experienced a decline in PSA relative to the baseline value. Apart from two cases of grade 3 anemia, there was no relevant hemato- or nephrotoxicity (grade 3 or 4). These results confirmed that Lu-PSMA is a safe treatment option for metastatic PC patients and has a low toxicity profile. A positive response to therapy in terms of decline in PSA occurs in about 70% of patients. PMID:26871285

  11. Bighorn sheep (Ovis canadensis) survivorship and habitat studies in Bighorn Canyon National Recreation Area and surrounding lands, Wyoming and Montana, 2000–2003

    USGS Publications Warehouse

    Schoenecker, Kathryn A.; Singer, Francis J.; Grams, Kayla A.; Roelle, James E.

    2004-01-01

    In the 1850s, bighorn sheep (Ovis canadensis) were numerous and distributed throughout the Bighorn and Pryor Mountains of Montana and Wyoming. After European settlement, bighorn sheep populations declined, and local extinctions occurred in much of their historic range in the western United States. The current bighorn sheep population of Bighorn Canyon National Recreation Area (BICA) is the product of several reintroductions into BICA and surrounding lands. Following a release in 1973 and growth rates near maximum potential of 19.8% per year, the population grew to an estimated peak population of about 211 animals in 1993 and 1994 (Kissell and others, 1996). Recent counts indicate the bighorn sheep population has declined. Kissell and others (1996) reported that the population began to decline rapidly in 1995 and 1996. He noted low ewe:lamb ratios during the decline phase. Bighorn sheep numbers declined to the lowest minimum viable population size of 100 animals recommended by several bighorn sheep experts (Bailey, 1990; Berger, 1990; Smith and others, 1991). National Park Service (NPS) and Bureau of Land Management (BLM) managers were concerned about the decline and requested a study of its causes. In 2000, the U.S. Geological Survey- Biological Resources Division (USGS-BRD) received funding to start a 3-year study of survivorship, condition, and population growth rate of the BICA bighorn sheep population.Several possibilities exist for the bighorn sheep decline. The herd may have experienced a rapid population expansion, followed by a decline to stability at a lower long-term carrying capacity. This pattern of apparently overshooting carrying capacity following an initial release has been reported for a number of ungulates (Caughley, 1976). Disease may have caused the decline; predation and/or competition with wild horses (Equus caballus) may also have been factors. A spatial model of wild horse carrying capacity (Coughenour, 1999) was developed to assist managers in evaluating wild horse population numbers. Studies of summer consumption rates by wild horses and other ungulates were conducted by James Detling and students from Colorado State University (Peterson and others, 1997; Gerhardt and Detling, 1998; Fahnestock, 1998). Diets and habitat use of wild horses, bighorn sheep and mule deer were studied by Coates and Schemnitz (1989) and Kissell and others (1996). Both Coates and Schemnitz (1989) and Kissell and others (1996) reported a high degree of dietary overlap between wild horses and bighorn sheep. However, Kissell and others (1996) concluded that a high degree of spatial separation between wild horses and bighorn sheep, at least under the study conditions, precluded any significant negative competitive influences. The most important overlap of bighorn sheep and wild horses seems to be on winter range. Competition can be difficult to determine, since current conditions may not reveal competition that has already occurred. Managers remained concerned about the declining bighorn population for the following reasons: Our objectives for the study were to: Evaluate current disease problems and mortality rates, including predation rates, in bighorn sheep through captures and monitoring of bighorn sheep.Determine winter spatial relations of wild horses and bighorn sheep through aerial surveys of winter range.Conduct habitat measurements to determine why bighorn sheep were not using what had been mapped with a GIS-based habitat model as suitable bighorn sheep habitat, and sample winter and summer consumption rates of key forage species to see if there were other factors precluding use of these areas by bighorn sheep.Compare winter lamb recruitment rates and total vegetation consumption rates on bighorn sheep winter use areas, with and without wild horses present.Complete year-round GIS-based distribution maps for wild horses and bighorn sheep in order to identify key areas of species overlap and key areas of species separation for potential habitat improvements.NPS park staff asked USGS to answer the following questions: (a) how large is the population?; (b) how many rams are in the population?; (c) in addition to low lamb recruitment, is mortality or dispersal of adults likely contributing to the decline?; and (d) is trophy hunting of rams contributing to the decline?

  12. Machine Learning Algorithms Utilizing Quantitative CT Features May Predict Eventual Onset of Bronchiolitis Obliterans Syndrome After Lung Transplantation.

    PubMed

    Barbosa, Eduardo J Mortani; Lanclus, Maarten; Vos, Wim; Van Holsbeke, Cedric; De Backer, William; De Backer, Jan; Lee, James

    2018-02-19

    Long-term survival after lung transplantation (LTx) is limited by bronchiolitis obliterans syndrome (BOS), defined as a sustained decline in forced expiratory volume in the first second (FEV 1 ) not explained by other causes. We assessed whether machine learning (ML) utilizing quantitative computed tomography (qCT) metrics can predict eventual development of BOS. Paired inspiratory-expiratory CT scans of 71 patients who underwent LTx were analyzed retrospectively (BOS [n = 41] versus non-BOS [n = 30]), using at least two different time points. The BOS cohort experienced a reduction in FEV 1 of >10% compared to baseline FEV 1 post LTx. Multifactor analysis correlated declining FEV 1 with qCT features linked to acute inflammation or BOS onset. Student t test and ML were applied on baseline qCT features to identify lung transplant patients at baseline that eventually developed BOS. The FEV 1 decline in the BOS cohort correlated with an increase in the lung volume (P = .027) and in the central airway volume at functional residual capacity (P = .018), not observed in non-BOS patients, whereas the non-BOS cohort experienced a decrease in the central airway volume at total lung capacity with declining FEV 1 (P = .039). Twenty-three baseline qCT parameters could significantly distinguish between non-BOS patients and eventual BOS developers (P < .05), whereas no pulmonary function testing parameters could. Using ML methods (support vector machine), we could identify BOS developers at baseline with an accuracy of 85%, using only three qCT parameters. ML utilizing qCT could discern distinct mechanisms driving FEV 1 decline in BOS and non-BOS LTx patients and predict eventual onset of BOS. This approach may become useful to optimize management of LTx patients. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  13. Cognitive Changes After Adjuvant Treatment in Older Adults with Early-Stage Breast Cancer.

    PubMed

    Lange, Marie; Heutte, Natacha; Noal, Sabine; Rigal, Olivier; Kurtz, Jean-Emmanuel; Lévy, Christelle; Allouache, Djelila; Rieux, Chantal; Lefel, Johan; Clarisse, Bénédicte; Leconte, Alexandra; Veyret, Corinne; Barthélémy, Philippe; Longato, Nadine; Tron, Laure; Castel, Hélène; Eustache, Francis; Giffard, Bénédicte; Joly, Florence

    2018-06-22

    Group-based trajectory modeling is particularly important to identify subgroups of patients with pathological cognitive changes after cancer treatment. To date, only one study has explored cognitive trajectories in older patients with cancer. The present article describes objective cognitive changes before to after adjuvant treatment in older adults with early-stage breast cancer (EBC) after adjuvant treatment compared with healthy controls. Participants were patients ≥65 years of age with newly diagnosed EBC and healthy controls (age-, sex-, and education-matched). The pretreatment assessment was conducted before adjuvant therapy, and the post-treatment assessment after the end of the first adjuvant treatment. Objective cognitive changes before to after treatment were evaluated based on the Reliable Change Index for cognitive decline accounting for cognitive impairment status. The sample consisted of women newly diagnosed with EBC ( n  = 118) and healthy controls ( n  = 62). Five patterns of changes before to after treatment were identified based on the presence of cognitive decline and cognitive impairment. The distribution of these five change patterns was statistically significant ( p  = .0001). Thirty-six percent of patients had phase shift changes, 31% without initial objective cognitive impairment developed impairment, 15% had a normal aging, 12% had a nonpathological decline, and 6% experienced accelerated cognitive decline. This study described for the first time objective cognitive changes before to after treatment of older adults with EBC immediately after the end of adjuvant treatment. A longer-term remote follow-up of adjuvant treatment is needed to better understand the cognitive trajectories of older patients with EBC. The Oncologist IMPLICATIONS FOR PRACTICE: After the end of adjuvant treatment, 31% of older adults with early-stage breast cancer without initial objective cognitive impairment developed impairment, and 6% experienced accelerated cognitive decline. Initial cognitive functioning should be included in the balance of benefits and harms of systemic therapy for patients who are likely to be at highest risk for cognitive decline after cancer treatments. Regular cognitive follow-up of patients who had cognitive impairment before cancer treatment should monitor symptoms suggestive of neurodegenerative disease and avert the effect of cognitive disorders on patients' autonomy. © AlphaMed Press 2018.

  14. Changes in Neuroticism Following Trauma Exposure

    PubMed Central

    Ogle, Christin M.; Rubin, David C.; Siegler, Ilene C.

    2014-01-01

    Objective Using longitudinal data, the present study examined change in midlife neuroticism following trauma exposure. Method Our primary analyses included 670 participants (M age = 60.55, 65.22% male, 99.70% Caucasian) who completed the NEO Personality Inventory at mean age 42 and 50 and reported their lifetime exposure to traumatic events approximately 10 years later. Results No differences in pre-and post-trauma neuroticism scores were found among individuals who experienced all of their lifetime traumas in the interval between the personality assessments. Results were instead consistent with normative age-related declines in neuroticism throughout adulthood. Furthermore, longitudinal changes in neuroticism scores did not differ between individuals with and without histories of midlife trauma exposure. Examination of change in neuroticism following life-threatening traumas yielded a comparable pattern of results. Analysis of facet-level scores largely replicated findings from the domain scores. Supplemental analyses indicated that individuals exposed to life-threatening traumas in childhood or adolescence reported higher midlife neuroticism than individuals who experienced severe traumas in adulthood. Conclusions Overall, our findings suggest that neuroticism does not reliably change following exposure to traumatic events in middle adulthood. Life-threatening traumatic events encountered early in life may have a more pronounced impact on adulthood personality than recent traumatic events. PMID:23550961

  15. Spatial patterns and recent trends in the climate of tropical rainforest regions.

    PubMed

    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.

  16. Trajectories of care: spouses coping with changes related to mild cognitive impairment.

    PubMed

    Roberto, Karen A; McCann, Brandy Renee; Blieszner, Rosemary

    2013-01-01

    Mild cognitive impairment (MCI) refers to non-normative changes in memory and cognition. While researchers are beginning to address the social consequences of MCI, no investigations have tracked how married couples respond to MCI over time as symptoms stabilize or become more severe. Guided by life course and symbolic interactionist tenets, we examined how 40 older couples in the United States adjusted to daily life after one partner was diagnosed with MCI and how their marital roles and relationship changed over a three- to four-year period. Data were collected from 2004 through 2010. All couples experienced an initial period of transition in coping with MCI where they made adjustments in their daily lives and interactions. Following this adjustment period, four trajectories of care emerged depending on the extent of the older adult's decline and the spouse's response. We conclude that changes associated with MCI affect role identity and have consequences for spousal relationships.

  17. Rapid clinical deterioration in an individual with Down syndrome.

    PubMed

    Jacobs, Julia; Schwartz, Alison; McDougle, Christopher J; Skotko, Brian G

    2016-07-01

    A small percentage of adolescents and young adults with Down syndrome experience a rapid and unexplained deterioration in cognitive, adaptive, and behavioral functioning. Currently, there is no standardized work-up available to evaluate these patients or treat them. Their decline typically involves intellectual deterioration, a loss of skills of daily living, and prominent behavioral changes. Certain cases follow significant life events such as completion of secondary school with friends who proceed on to college or employment beyond the individual with DS. Others develop this condition seemingly unprovoked. Increased attention in the medical community to clinical deterioration in adolescents and young adults with Down syndrome could provide a framework for improved diagnosis, evaluation, and treatment. This report presents a young adult male with Down syndrome who experienced severe and unexplained clinical deterioration, highlighting specific challenges in the systematic evaluation and treatment of these patients. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  18. Conjuring the ghosts of missing children: a Monte Carlo simulation of reproductive restraint in Tokugawa Japan.

    PubMed

    Drixler, Fabian F

    2015-04-01

    This article quantifies the frequency of infanticide and abortion in one region of Japan by comparing observed fertility in a sample of 4.9 million person-years (1660-1872) with a Monte Carlo simulation of how many conceptions and births that population should have experienced. The simulation uses empirical values for the determinants of fertility from Eastern Japan itself as well as the best available studies of comparable populations. This procedure reveals that in several decades of the eighteenth century, at least 40% of pregnancies must have ended in either an induced abortion or an infanticide. In addition, the simulation results imply a rapid decline in the incidence of infanticide and abortion during the nineteenth century, when in a reverse fertility transition, this premodern family-planning regime gave way to a new age of large families.

  19. Sex-related risks of trauma in medieval to early modern Denmark, and its relationship to change in interpersonal violence over time.

    PubMed

    Milner, G R; Boldsen, J L; Weise, S; Lauritsen, J M; Freund, U H

    2015-06-01

    Skeletons from three Danish cemeteries, Sortebrødre, Tirup, and St. Mikkel, that collectively held 822 adults (>15 years) and spanned the medieval to early modern periods (ca. AD 1100-1610) show that men, in general, experienced more bone fractures than women. Men were three times more likely to have healed cranial vault and ulnar shaft fractures than women, with many of these bones presumably broken in interpersonal violence. More women, however, broke distal radii, presumably often the result of falls. Both sexes suffered more cranial fractures than modern Danes, with the proportional difference for men and women being about the same. The difference in cranial trauma frequencies between historic-period and modern Danes has implications for a decline over the past several centuries in interpersonal violence that scholars in other disciplines have inferred from historical sources. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Nativity Differentials in Older Age Mortality in Taiwan: Do They Exist and Why?

    PubMed Central

    Hermalin, Albert I.; Ofstedal, Mary Beth; Sun, Cathy; Liu, I-Wen

    2011-01-01

    Comparisons of migrants versus native populations have become increasingly important as a means of gaining insight into the factors affecting health and mortality levels and the relationship between them. Taiwan underwent a unique migration in 1949–50, as more than a million people, mostly young men, arrived from Mainland China following the Communist civil war victory. The Mainlanders were distinct from the original settlers in several ways: they represented different provinces in China, were better educated, and had distinct occupational profiles. Since 1950, Taiwan has experienced a rapid demographic transition and notable economic development, resulting in mortality decline. In this paper, we generate age- and cause-specific death rates circa 1990 by education and nativity to evaluate the relative importance of each factor. We also use longitudinal survey data to help interpret the differentials in terms of selection, risk factors, and other dynamics of health and mortality. PMID:21887404

  1. Victimization experiences and adolescent substance use: does the type and degree of victimization matter?

    PubMed

    Pinchevsky, Gillian M; Fagan, Abigail A; Wright, Emily M

    2014-01-01

    Evidence indicates an association between victimization and adolescent substance use, but the exact nature of this relationship remains unclear. Some research focuses solely on the consequences of experiencing indirect victimization (e.g., witnessing violence), others examine direct victimization (e.g., being personally victimized), and still others combine both forms of victimization without assessing the relative impact of each on substance use. Furthermore, many of these studies only assess these relationships in the short-term using cross-sectional data. This study uses data from the Project on Human Development in Chicago Neighborhoods (PHDCN) to explore the impact of experiencing only indirect victimization, only direct victimization, both forms of victimization, and no victimization on substance use at two time points during adolescence. We find that of those adolescents who are victimized, the majority experience indirect victimization only, followed by experiencing both forms of victimization, and experiencing direct victimization only. Each of the victimization experiences were associated with increased contemporaneous substance use, with the strongest effects for those experiencing multiple forms of violence. For all victims, however, the impact on substance use declined over time.

  2. Victimization Experiences and Adolescent Substance Use: Does the Type and Degree of Victimization Matter?

    PubMed Central

    Pinchevsky, Gillian M.; Fagan, Abigail A.; Wright, Emily M.

    2014-01-01

    Evidence indicates an association between victimization and adolescent substance use, but the exact nature of this relationship remains unclear. Some research focuses solely on the consequences of experiencing indirect victimization (e.g., witnessing violence), others examine direct victimization (e.g., being personally victimized), and still others combine both forms of victimization without assessing the relative impact of each on substance use. Furthermore, many of these studies only assess these relationships in the short-term using cross-sectional data. This study uses data from the Project on Human Development in Chicago Neighborhoods (PHDCN) to explore the impact of experiencing only indirect victimization, only direct victimization, both forms of victimization, and no victimization on substance use at two time points during adolescence. We find that of those adolescents who are victimized, the majority experience indirect victimization only, followed by experiencing both forms of victimization, and experiencing direct victimization only. Each of the victimization experiences were associated with increased contemporaneous substance use, with the strongest effects for those experiencing multiple forms of violence. For all victims, however, the impact on substance use declined over time. PMID:24144722

  3. Trends in afforestation in southern Missouri

    Treesearch

    W. Keith Moser; Mark D. Nelson; Mark H. Hansen; Sean Healey; Warren Cohen

    2009-01-01

    Past studies of forest disturbance traditionally have focused on biomass loss, e.g., blowdown in the Boundary Waters Canoe Area Wilderness, gypsy moth infestation, the impacts of Hurricanes Hugo and Katrina. Using FIA data and satellite imagery, this study examined a region of the country that is simultaneously experiencing biomass loss due to oak decline and biomass...

  4. Reducing impacts of brood parasitism by Brown-headed Cowbirds on riparian-nesting migratory songbirds

    Treesearch

    Sara H. Schweitzer; Deborah M. Finch; David M. Leslie

    1996-01-01

    Riparian habitats throughout the Southwest have been altered directly and indirectly by human activities. Many migrant songbird species specific to riparian communities during the breeding season are experiencing population declines. Conversely, the Brown-headed Cowbird (Molothrus ater) benefits from fragmentation of, and livestock grazing in and near riparian habitat...

  5. Using spatial statistics and point pattern simulations to assess the spatial dependency between greater sage-grouse and man-made features

    USDA-ARS?s Scientific Manuscript database

    The Greater Sage-grouse (Centrocercus urophasianus; hereafter Sage-grouse), a candidate species for listing under the Endangered Species Act, has experienced population declines across its range in the sagebrush (Artemisia spp.) steppe ecosystems of western North America. One factor contributing to...

  6. Using spatial statistics and point-pattern simulations to assess the spatial dependency between greater sage-grouse and anthropogenic features

    USDA-ARS?s Scientific Manuscript database

    The greater sage-grouse (Centrocercus urophasianus; hereafter, sage-grouse), a candidate species for listing under the Endangered Species Act, has experienced population declines across its range in the sagebrush (Artemisia spp.) steppe ecosystems of western North America. One factor contributing to...

  7. Seems like I hardly see them around anymore: Historical geographies of Cottonwood decline along the Wind River

    USDA-ARS?s Scientific Manuscript database

    Cottonwoods—as well as the water birch, bull berry, and currants that flourish in their galleries—hold special significance for Tribes of the Intermountain American West. These species have served ceremonial and practical purposes for generations. Yet cottonwoods have experienced well-documented dec...

  8. A Team Training Model: A Regional Approach to Changing Economic Conditions. Hard Times: Communities in Transition.

    ERIC Educational Resources Information Center

    Butler, Lorna Michael; Coppedge, Robert O.

    A guide for community leaders, extension staff, and community or rural development practitioners outlines the evolution of a regional training model for community-based problem solving in rural areas experiencing economic decline. The paper discusses the model's underlying concepts and implementation process and includes descriptions of four…

  9. Reversing the Trend of Engineering Enrollment Declines with Innovative Outreach, Recruiting, and Retention Programs

    ERIC Educational Resources Information Center

    Davis, C. E.; Yeary, M. B.; Sluss, J. J., Jr.

    2012-01-01

    This paper discusses an all-encompassing approach to increase the number of students in engineering through innovative outreach, recruiting, and retention programs. Prior to adopting these programs, the School of Electrical and Computer Engineering (ECE) at the University of Oklahoma (OU), Norman, experienced a reduction in engineering enrollment…

  10. A Profile of Conditions and Trends in Rural Illinois. Second Printing.

    ERIC Educational Resources Information Center

    Gruidl, John; Walzer, Norman

    Rapid economic and population growth characterized the 1970s in much of rural America. Unfortunately, this "Rural Renaissance" was short-lived. Although some rural areas grew or remained stable during the 1980s, many others experienced stagnation and decline, evidenced by a variety of indicators. This document consists of graphic maps…

  11. Introducing a Culture of Civility in First-Year College Classes

    ERIC Educational Resources Information Center

    Connelly, Robert J.

    2009-01-01

    Higher education, as well as the larger society appears to be experiencing a serious decline in civility. In this article the author presents the case for introducing civility education in first-year general education courses. After citing some of the research documenting both faculty and student perceptions of incivility in the university and…

  12. Colonies of bumble bees (Bombus impatiens) produce fewer workers, less bee biomass, and have smaller mother queens following fungicide exposure

    USDA-ARS?s Scientific Manuscript database

    Bees provide vital pollination services to the majority of flowering plants in both natural and agricultural systems. Unfortunately, both native and managed bee populations are experiencing serious declines, threatening the persistence of these plants and crops. Agricultural chemicals are one possib...

  13. Integrated crop pollination: Combining strategies to ensure stable and sustainable yields of pollination-dependent crops

    USDA-ARS?s Scientific Manuscript database

    Meeting the nutritional needs of our growing human population will be increasingly dependent on bees and other pollinators that provide the essential delivery of pollen to crop flowers during bloom. Honey bees have experienced population declines in some regions, and similar changes are evident for ...

  14. Towards Transparent Computing: Content Authoring Using Open Standards

    ERIC Educational Resources Information Center

    Godwin-Jones, Robert

    2014-01-01

    With today's rapid developments in digital technologies, technical obsolescence can occur much faster than in the past. Who would have predicted five years ago that Adobe's Flash would have seen the rapid decline it has experienced as a development environment? Using open, internationally accepted standards for materials development is…

  15. Foothill yellow-legged frog conservation assessment in California

    Treesearch

    Marc P. Hayes; Clara A. Wheeler; Amy J. Lind; Gregory A. Green; Diane C. Macfarlane

    2016-01-01

    The foothill yellow-legged frog (Rana boylii) is a stream-breeding amphibian that has experienced significant population declines over a large portion of its historical range. This frog is nearing extirpation in much of the Sierra Nevada region where existing populations are sparse. Water development and diversions are likely to be the primary...

  16. Which native milkweeds are acceptable host plants for larval monarch butterflies (Danaus plexippus) within the Midwestern U.S.

    USDA-ARS?s Scientific Manuscript database

    Over the past two decades, the population of monarch butterflies east of the Rocky Mountains has experienced a significant decline. Habitat restoration within the summer breeding range is crucial to boost population numbers. Monarch butterfly larvae use milkweeds as their only host plant. However, l...

  17. Fine-scale habitat characteristics related to occupancy of the Yosemite Toad, Anaxyrus canorus

    Treesearch

    Christina T. Liang; Robert L. Grasso; Julie J. Nelson-Paul; Kim E. Vincent; Amy J. Lind

    2017-01-01

    Fine-scale habitat information can provide insight into species occupancy and persistence that is not apparent at the landscape-scale. Such information is particularly important for rare species that are experiencing population declines, such as the threatened Yosemite Toad (Anaxyrus canorus). Our study examined differences in physical...

  18. Developing and Implementing a Marketing Strategy for College Recruiting and Admissions.

    ERIC Educational Resources Information Center

    Johnson, Mark D.; Gilmour, Joseph E.

    Analyzed is the development of marketing strategies at two major universities that have been successful in reversing enrollment declines that they experienced in the early 1970's. First, the organizational context of recruiting and admissions is examined, and the major phases of the admissions calendar are reviewed. Then the application of…

  19. Demographic response of a shrubland bird to habitat creation, succession, and disturbance in a dynamic landscape

    Treesearch

    Michael E. Akresh; David I. King; Robert T. Brooks

    2015-01-01

    Shrubland birds have experienced widespread declines in the eastern United States. Habitat for shrubland birds is typically dynamic, in which available habitat changes temporally and spatially in response to disturbance and succession. Despite widespread concerns among conservationists about shrubland birds, much is still poorly understood regarding fundamental...

  20. Avian community and microhabitat associations of Cerulean Warblers in Alabama

    Treesearch

    John P. Carpenter; Yong Wang; Callie Schweitzer; Paul B. Hamel

    2011-01-01

    Cerulean Warblers (Dendroica cerulea) have experienced one of the highest population declines of any neotropical-Nearctic migratory species in North America. We performed point counts and habitat assessments in areas used and unused by Cerulean Warblers in northern Alabama during the 2005 and 2006 breeding seasons to examine their avian associations and identify...

  1. Projecting Enrollment in Rural Schools: A Study of Three Vermont School Districts

    ERIC Educational Resources Information Center

    Grip, Richard S.

    2004-01-01

    Large numbers of rural districts have experienced sharp declines in enrollment, unlike their suburban counterparts. Accurate enrollment projections are required, whether a district needs to build new schools or consolidate existing ones. For school districts having more than 600 students, a quantitative method such as the Cohort-Survival Ratio…

  2. To Close Middle-Skills Gap, Improve Community College Outcomes

    ERIC Educational Resources Information Center

    Salomon-Fernandez, Yves

    2014-01-01

    For southern New England, the middle-skills gap is projected to become acute by 2020, according to the Federal Reserve Bank of Boston. Historically and currently, the middle-skills labor pool in Massachusetts has been significantly below national rates and has been recently experiencing a decline. Closing the middle-skills gap depends on improving…

  3. Consumer preferences for fresh citrus: Impacts of demographic and behavioral characteristics

    USDA-ARS?s Scientific Manuscript database

    From 2000 to 2006, per capita consumption of fresh citrus fruit increased by 11.0%, but the relative shares of types of citrus consumed changed. Per capita consumption of the historically dominant citrus fruit, fresh oranges, experienced a continuous decline from 12.4 pounds to 7.4 pounds from 1990 ...

  4. Cadres Decide Everything: The Pay and Pension Security of Workers in Science

    ERIC Educational Resources Information Center

    Rimashevskaia, N. M.; Zubova, L. T.; Antropova, O. A.

    2011-01-01

    Russian science is experiencing processes of personnel aging and stagnation, which are disrupting the continuity of the generations and are limiting prospective workers' opportunities for professional and career growth. The decline in the prestige of science work, the exodus of specialists into other, more attractive segments of economic activity…

  5. Bacterial flora on Cascades frogs in the Klamath Mountains of California

    Treesearch

    Karen Pope

    2013-01-01

    Amphibians are experiencing global declines due in part to the infectious disease chytridiomycosis. Some symbiotic bacteria residents on frog skin have been shown to inhibit the growth of Batrachochytrium dendrobatitis (Bd) but few studies have attempted to fully describe the resident bacterial flora of frog skin. We cultured and sequenced 130...

  6. New and Effective Approaches to Adult Basic Skills Advocacy

    ERIC Educational Resources Information Center

    Rosen, David J.

    2016-01-01

    US public adult basic skills education, as adult education researcher Thomas Sticht has often pointed out, is on the margins of public education. By many measures, in the past decade it has experienced significant further decline. In the last decade and a half, according to Sticht's (2015) analysis, "enrollments in the Adult Education and…

  7. Survival and breeding of polar bears in the southern Beaufort Sea in relation to sea ice.

    PubMed

    Regehr, Eric V; Hunter, Christine M; Caswell, Hal; Amstrup, Steven C; Stirling, Ian

    2010-01-01

    1. Observed and predicted declines in Arctic sea ice have raised concerns about marine mammals. In May 2008, the US Fish and Wildlife Service listed polar bears (Ursus maritimus) - one of the most ice-dependent marine mammals - as threatened under the US Endangered Species Act. 2. We evaluated the effects of sea ice conditions on vital rates (survival and breeding probabilities) for polar bears in the southern Beaufort Sea. Although sea ice declines in this and other regions of the polar basin have been among the greatest in the Arctic, to date population-level effects of sea ice loss on polar bears have only been identified in western Hudson Bay, near the southern limit of the species' range. 3. We estimated vital rates using multistate capture-recapture models that classified individuals by sex, age and reproductive category. We used multimodel inference to evaluate a range of statistical models, all of which were structurally based on the polar bear life cycle. We estimated parameters by model averaging, and developed a parametric bootstrap procedure to quantify parameter uncertainty. 4. In the most supported models, polar bear survival declined with an increasing number of days per year that waters over the continental shelf were ice free. In 2001-2003, the ice-free period was relatively short (mean 101 days) and adult female survival was high (0.96-0.99, depending on reproductive state). In 2004 and 2005, the ice-free period was longer (mean 135 days) and adult female survival was low (0.73-0.79, depending on reproductive state). Breeding rates and cub litter survival also declined with increasing duration of the ice-free period. Confidence intervals on vital rate estimates were wide. 5. The effects of sea ice loss on polar bears in the southern Beaufort Sea may apply to polar bear populations in other portions of the polar basin that have similar sea ice dynamics and have experienced similar, or more severe, sea ice declines. Our findings therefore are relevant to the extinction risk facing approximately one-third of the world's polar bears.

  8. Survival and breeding of polar bears in the southern Beaufort Sea in relation to sea ice

    USGS Publications Warehouse

    Regehr, E.V.; Hunter, C.M.; Caswell, H.; Amstrup, Steven C.; Stirling, I.

    2010-01-01

    1. Observed and predicted declines in Arctic sea ice have raised concerns about marine mammals. In May 2008, the US Fish and Wildlife Service listed polar bears (Ursus maritimus) - one of the most ice-dependent marine mammals - as threatened under the US Endangered Species Act. 2. We evaluated the effects of sea ice conditions on vital rates (survival and breeding probabilities) for polar bears in the southern Beaufort Sea. Although sea ice declines in this and other regions of the polar basin have been among the greatest in the Arctic, to date population-level effects of sea ice loss on polar bears have only been identified in western Hudson Bay, near the southern limit of the species' range. 3. We estimated vital rates using multistate capture-recapture models that classified individuals by sex, age and reproductive category. We used multimodel inference to evaluate a range of statistical models, all of which were structurally based on the polar bear life cycle. We estimated parameters by model averaging, and developed a parametric bootstrap procedure to quantify parameter uncertainty. 4. In the most supported models, polar bear survival declined with an increasing number of days per year that waters over the continental shelf were ice free. In 2001-2003, the ice-free period was relatively short (mean 101 days) and adult female survival was high (0 ∙ 96-0 ∙ 99, depending on reproductive state). In 2004 and 2005, the ice-free period was longer (mean 135 days) and adult female survival was low (0 ∙ 73-0 ∙ 79, depending on reproductive state). Breeding rates and cub litter survival also declined with increasing duration of the ice-free period. Confidence intervals on vital rate estimates were wide. 5. The effects of sea ice loss on polar bears in the southern Beaufort Sea may apply to polar bear populations in other portions of the polar basin that have similar sea ice dynamics and have experienced similar, or more severe, sea ice declines. Our findings therefore are relevant to the extinction risk facing approximately one-third of the world's polar bears. 

  9. Impact of Malaria Control on Mortality and Anemia among Tanzanian Children Less than Five Years of Age, 1999–2010

    PubMed Central

    Smithson, Paul; Florey, Lia; Salgado, S. Rene; Hershey, Christine L.; Masanja, Honorati; Bhattarai, Achuyt; Mwita, Alex; McElroy, Peter D.

    2015-01-01

    Background Mainland Tanzania scaled up multiple malaria control interventions between 1999 and 2010. We evaluated whether, and to what extent, reductions in all-cause under-five child mortality (U5CM) tracked with malaria control intensification during this period. Methods Four nationally representative household surveys permitted trend analysis for malaria intervention coverage, severe anemia (hemoglobin <8 g/dL) prevalence (SAP) among children 6–59 months, and U5CM rates stratified by background characteristics, age, and malaria endemicity. Prevalence of contextual factors (e.g., vaccination, nutrition) likely to influence U5CM were also assessed. Population attributable risk percentage (PAR%) estimates for malaria interventions and contextual factors that changed over time were used to estimate magnitude of impact on U5CM. Results Household ownership of insecticide-treated nets (ITNs) rose from near zero in 1999 to 64% (95% CI, 61.7–65.2) in 2010. Intermittent preventive treatment of malaria in pregnancy reached 26% (95% CI, 23.6–28.0) by 2010. Sulfadoxine-pyrimethamine replaced chloroquine in 2002 and artemisinin-based combination therapy was introduced in 2007. SAP among children 6–59 months declined 50% between 2005 (11.1%; 95% CI, 10.0–12.3%) and 2010 (5.5%; 95% CI, 4.7–6.4%) and U5CM declined by 45% between baseline (1995–9) and endpoint (2005–9), from 148 to 81 deaths/1000 live births, respectively. Mortality declined 55% among children 1–23 months of age in higher malaria endemicity areas. A large reduction in U5CM was attributable to ITNs (PAR% = 11) with other malaria interventions adding further gains. Multiple contextual factors also contributed to survival gains. Conclusion Marked declines in U5CM occurred in Tanzania between 1999 and 2010 with high impact from ITNs and ACTs. High-risk children (1–24 months of age in high malaria endemicity) experienced the greatest declines in mortality and SAP. Malaria control should remain a policy priority to sustain and further accelerate progress in child survival. PMID:26536354

  10. Seven-Year Follow-Up Assessment of Cardiac Function in NSABP B-31, a Randomized Trial Comparing Doxorubicin and Cyclophosphamide Followed by Paclitaxel (ACP) With ACP Plus Trastuzumab As Adjuvant Therapy for Patients With Node-Positive, Human Epidermal Growth Factor Receptor 2–Positive Breast Cancer

    PubMed Central

    Romond, Edward H.; Jeong, Jong-Hyeon; Rastogi, Priya; Swain, Sandra M.; Geyer, Charles E.; Ewer, Michael S.; Rathi, Vikas; Fehrenbacher, Louis; Brufsky, Adam; Azar, Catherine A.; Flynn, Patrick J.; Zapas, John L.; Polikoff, Jonathan; Gross, Howard M.; Biggs, David D.; Atkins, James N.; Tan-Chiu, Elizabeth; Zheng, Ping; Yothers, Greg; Mamounas, Eleftherios P.; Wolmark, Norman

    2012-01-01

    Purpose Cardiac dysfunction (CD) is a recognized risk associated with the addition of trastuzumab to adjuvant chemotherapy for human epidermal growth factor receptor 2–positive breast cancer, especially when the treatment regimen includes anthracyclines. Given the demonstrated efficacy of trastuzumab, ongoing assessment of cardiac safety and identification of risk factors for CD are important for optimal patient care. Patients and Methods In National Surgical Adjuvant Breast and Bowel Project B-31, a phase III adjuvant trial, 1,830 patients who met eligibility criteria for initiation of trastuzumab were evaluated for CD. Recovery from CD was also assessed. A statistical model was developed to estimate the risk of severe congestive heart failure (CHF). Baseline patient characteristics associated with anthracycline-related decline in cardiac function were also identified. Results At 7-year follow-up, 37 (4.0%) of 944 patients who received trastuzumab experienced a cardiac event (CE) versus 10 (1.3%) of 743 patients in the control arm. One cardiac-related death has occurred in each arm of the protocol. A Cardiac Risk Score, calculated using patient age and baseline left ventricular ejection fraction (LVEF) by multiple-gated acquisition scan, statistically correlates with the risk of a CE. After stopping trastuzumab, the majority of patients who experienced CD recovered LVEF in the normal range, although some decline from baseline often persists. Only two CEs occurred more than 2 years after initiation of trastuzumab. Conclusion The late development of CHF after the addition of trastuzumab to paclitaxel after doxorubicin/ cyclophosphamide chemotherapy is uncommon. The risk versus benefit of trastuzumab as given in this regimen remains strongly in favor of trastuzumab. PMID:22987084

  11. Emulating natural disturbances for declining late-successional species: a case study of the consequences for cerulean warblers (Setophaga cerulea).

    PubMed

    Boves, Than J; Buehler, David A; Sheehan, James; Wood, Petra Bohall; Rodewald, Amanda D; Larkin, Jeffrey L; Keyser, Patrick D; Newell, Felicity L; George, Gregory A; Bakermans, Marja H; Evans, Andrea; Beachy, Tiffany A; McDermott, Molly E; Perkins, Kelly A; White, Matthew; Wigley, T Bently

    2013-01-01

    Forest cover in the eastern United States has increased over the past century and while some late-successional species have benefited from this process as expected, others have experienced population declines. These declines may be in part related to contemporary reductions in small-scale forest interior disturbances such as fire, windthrow, and treefalls. To mitigate the negative impacts of disturbance alteration and suppression on some late-successional species, strategies that emulate natural disturbance regimes are often advocated, but large-scale evaluations of these practices are rare. Here, we assessed the consequences of experimental disturbance (using partial timber harvest) on a severely declining late-successional species, the cerulean warbler (Setophaga cerulea), across the core of its breeding range in the Appalachian Mountains. We measured numerical (density), physiological (body condition), and demographic (age structure and reproduction) responses to three levels of disturbance and explored the potential impacts of disturbance on source-sink dynamics. Breeding densities of warblers increased one to four years after all canopy disturbances (vs. controls) and males occupying territories on treatment plots were in better condition than those on control plots. However, these beneficial effects of disturbance did not correspond to improvements in reproduction; nest success was lower on all treatment plots than on control plots in the southern region and marginally lower on light disturbance plots in the northern region. Our data suggest that only habitats in the southern region acted as sources, and interior disturbances in this region have the potential to create ecological traps at a local scale, but sources when viewed at broader scales. Thus, cerulean warblers would likely benefit from management that strikes a landscape-level balance between emulating natural disturbances in order to attract individuals into areas where current structure is inappropriate, and limiting anthropogenic disturbance in forests that already possess appropriate structural attributes in order to maintain maximum productivity.

  12. Evaluating Ultraviolet Radiation Exposures Determined from TOMS Satellite Data at Sites of Amphibian Declines in Central and South America

    NASA Technical Reports Server (NTRS)

    Middleton, Elizabeth M.; Smith, David E. (Technical Monitor)

    2000-01-01

    Many amphibian species have experienced substantial population declines, or have disappeared altogether, during the last several decades at a number of amphibian census sites in Central and South America. This study addresses the use of satellite-derived trends in solar ultraviolet-B (UV-B; 280-320 nm) radiation exposures at these sites over the last two decades, and is intended to demonstrate a role for satellite observations in determining whether UV-B radiation is a contributing factor in amphibian declines. UV-B radiation levels at the Earth's surface were derived from the Total Ozone Mapping Spectrometer (TOMS) satellite data, typically acquired daily since 1979. These data were used to calculate the daily erythemal (sunburning) UV-B, or UV-B(sub ery), exposures at the latitude, longitude, and elevation of each of 20 census sites. The annually averaged UV-B(sub ery) dose, as well as the maximum values, have been increasing in both Central and South America, with higher levels received at the Central American sites. The annually averaged UV-B(sub ery) exposures increased significantly from 1979-1998 at all 11 Central American sites examined (r(exp 2) = 0.60 - 0.79; P<=0.015), with smaller but significant increases at five of the nine South American sites (r(exp 2) = 0.24-0.42; P<=0.05). The contribution of the highest UV-B(sub ery) exposure levels (>= 6750 J/sq m*d) to the annual UV-B(sub ery) total has increased from approx. 5% to approx. 15% in Central America over the 19 year period, but actual daily exposures for each species are unknown. Synergy among UV-B radiation and other factors, especially those associated with alterations of water chemistry (e.g., acidification) in aqueous habitats is discussed. These findings justify further research concerning whether UV-B(sub ery) radiation plays a role in amphibian population declines and extinctions.

  13. Emulating natural disturbances for declining late-successional species: A case study of the consequences for Cerulean Warblers (Setophaga cerulea)

    USGS Publications Warehouse

    Boves, Than J.; Buehler, David A.; Sheehan, James; Wood, Petra Bohall; Rodewald, Amanda D.; Larkin, Jeffrey L.; Keyser, Patrick D.; Newell, Felicity L.; George, Gregory A.; Bakermans, Marja H.; Evans, Andrea; Beachy, Tiffany A.; McDermott, Molly E.; Perkins, Kelly A.; White, Matthew; Wigley, T. Bently

    2013-01-01

    Forest cover in the eastern United States has increased over the past century and while some late-successional species have benefited from this process as expected, others have experienced population declines. These declines may be in part related to contemporary reductions in small-scale forest interior disturbances such as fire, windthrow, and treefalls. To mitigate the negative impacts of disturbance alteration and suppression on some late-successional species, strategies that emulate natural disturbance regimes are often advocated, but large-scale evaluations of these practices are rare. Here, we assessed the consequences of experimental disturbance (using partial timber harvest) on a severely declining late-successional species, the cerulean warbler (Setophaga cerulea), across the core of its breeding range in the Appalachian Mountains. We measured numerical (density), physiological (body condition), and demographic (age structure and reproduction) responses to three levels of disturbance and explored the potential impacts of disturbance on source-sink dynamics. Breeding densities of warblers increased one to four years after all canopy disturbances (vs. controls) and males occupying territories on treatment plots were in better condition than those on control plots. However, these beneficial effects of disturbance did not correspond to improvements in reproduction; nest success was lower on all treatment plots than on control plots in the southern region and marginally lower on light disturbance plots in the northern region. Our data suggest that only habitats in the southern region acted as sources, and interior disturbances in this region have the potential to create ecological traps at a local scale, but sources when viewed at broader scales. Thus, cerulean warblers would likely benefit from management that strikes a landscape-level balance between emulating natural disturbances in order to attract individuals into areas where current structure is inappropriate, and limiting anthropogenic disturbance in forests that already possess appropriate structural attributes in order to maintain maximum productivity.

  14. Airway hyperresponsiveness in chronic obstructive pulmonary disease: A marker of asthma-chronic obstructive pulmonary disease overlap syndrome?

    PubMed

    Tkacova, Ruzena; Dai, Darlene L Y; Vonk, Judith M; Leung, Janice M; Hiemstra, Pieter S; van den Berge, Maarten; Kunz, Lisette; Hollander, Zsuzsanna; Tashkin, Donald; Wise, Robert; Connett, John; Ng, Raymond; McManus, Bruce; Paul Man, S F; Postma, Dirkje S; Sin, Don D

    2016-12-01

    The impact of airway hyperreactivity (AHR) on respiratory mortality and systemic inflammation among patients with chronic obstructive pulmonary disease (COPD) is largely unknown. We used data from 2 large studies to determine the relationship between AHR and FEV 1 decline, respiratory mortality, and systemic inflammation. We sought to determine the relationship of AHR with FEV 1 decline, respiratory mortality, and systemic inflammatory burden in patients with COPD in the Lung Health Study (LHS) and the Groningen Leiden Universities Corticosteroids in Obstructive Lung Disease (GLUCOLD) study. The LHS enrolled current smokers with mild-to-moderate COPD (n = 5887), and the GLUCOLD study enrolled former and current smokers with moderate-to-severe COPD (n = 51). For the primary analysis, we defined AHR by a methacholine provocation concentration of 4 mg/mL or less, which led to a 20% reduction in FEV 1 (PC 20 ). The primary outcomes were FEV 1 decline, respiratory mortality, and biomarkers of systemic inflammation. Approximately 24% of LHS participants had AHR. Compared with patients without AHR, patients with AHR had a 2-fold increased risk of respiratory mortality (hazard ratio, 2.38; 95% CI, 1.38-4.11; P = .002) and experienced an accelerated FEV 1 decline by 13.2 mL/y in the LHS (P = .007) and by 12.4 mL/y in the much smaller GLUCOLD study (P = .079). Patients with AHR had generally reduced burden of systemic inflammatory biomarkers than did those without AHR. AHR is common in patients with mild-to-moderate COPD, affecting 1 in 4 patients and identifies a distinct subset of patients who have increased risk of disease progression and mortality. AHR may represent a spectrum of the asthma-COPD overlap phenotype that urgently requires disease modification. Copyright © 2016 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  15. Oak Decline in Missouri: History Revisited

    Treesearch

    Jay R. Law; Ross Melick; Charly Studyvin; James R. Steinman

    2004-01-01

    In the 1980s, following extreme winters in the late 1970s and severe droughts in 1976, 1980, and 1983, dead and dying scarlet and black oaks were found on 185,000 acres of the Mark Twain National Forest. That decline event was linked to environmental stresses (Law and Gott 1987). Severe oak decline is now affecting an estimated 500,000 acres on the Mark Twain. High-...

  16. Geographic and socioeconomic variation in the onset of decline of coronary heart disease mortality in white women.

    PubMed Central

    Wing, S; Barnett, E; Casper, M; Tyroler, H A

    1992-01-01

    BACKGROUND. Regional, metropolitan, and socioeconomic factors related to the onset of decline of coronary heart disease (CHD) mortality among White women are reported. Such studies are important for planning population-level interventions. METHODS. Mortality data for 1962 to 1978 were used, to estimate the year of onset of decline. Ecological analyses of socioeconomic data from the US census were used to emphasize structural and organizational aspects of changes in disease, rather than as a substitute for an individual-level design. RESULTS. Onset of decline of CHD mortality among White women was estimated to have occurred by 1962 in 53% of 507 state economic areas (SEAs), ranging from 79% in the Northeast to 39% in the South. Metropolitan areas experienced earlier onset of decline than did nonmetropolitan areas. Average income, education, and occupational levels were highest in early onset areas and declined across onset categories. CONCLUSIONS. The results provide additional evidence for previously observed geographic and social patterns of CHD decline. Emphasis on structural economic factors determining the shape of the CHD epidemic curve does not detract from the medical importance of risk factors, but underscores the importance of community development to public health improvements. The results are consistent with the idea that the course of the CHD epidemic in the United States has been strongly influenced by socioeconomic development. PMID:1739148

  17. Association Between Cognitive Decline in Older Adults and Utilization of Primary Care Physician Services in Pennsylvania

    PubMed Central

    Fowler, Nicole R.; Morrow, Lisa A.; Tu, Li-Chuan; Landsittel, Douglas P.; Snitz, Beth E.; Rodriquez, Eric G.; Saxton, Judith A.

    2012-01-01

    OBJECTIVE To assess the relationship between cognitive decline of older patients (≥65 years) and utilization of primary care physician (PCP) services over 24-months. DESIGN Retrospective analysis of prospectively collected data from a cluster randomized trial that took place from 2006 to 2010 and investigated the relationship between formal neuropsychological evaluation and patient outcomes in primary care. SETTING Twenty-four PCPs in 11 practices in southwestern Pennsylvania. Most practices were suburban and included more than 5 PCPs. PARTICIPANTS A sample of 423 primary care patients 65 years or older. MEASUREMENTS The association between the number of PCP visits and a decline in cognitive status, as determined by multivariable analyses that controlled for patient-level, physician-level, and practice-level factors (e.g., patient age, comorbidities, and symptoms of depression; practice location and size; PCP age and sex) and used a linear mixed model with a random intercept to adjust for clustering. RESULTS Over a two year follow-up, 199 patients (47.0%) experienced a decline in cognitive status. Patients with a cognitive decline had a mean of 0.69 more PCP visits than did patients without a cognitive decline (P<0.05). CONCLUSIONS Early signs of cognitive decline may be an indicator of greater utilization of primary care. Given the demographic trends, more PCPs are likely to be needed to meet the increasing needs of the older population. PMID:22798988

  18. Demography of Symbiotic Nitrogen-Fixing Trees Explains Their Rarity and Successional Decline in Temperate Forests in the United States.

    PubMed

    Liao, Wenying; Menge, Duncan N L

    2016-01-01

    Symbiotic nitrogen (N) fixation is the major N input to many ecosystems. Although temperate forests are commonly N limited, symbiotic N-fixing trees ("N fixers") are rare and decline in abundance as succession proceeds-a challenging paradox that remains unexplained. Understanding demographic processes that underlie N fixers' rarity and successional decline would provide a proximate answer to the paradox. Do N fixers grow slower, die more frequently, or recruit less in temperate forests? We quantified demographic rates of N-fixing and non-fixing trees across succession using U.S. forest inventory data. We used an individual-based model to evaluate the relative contribution of each demographic process to community dynamics. Compared to non-fixers, N fixers had lower growth rates, higher mortality rates, and lower recruitment rates throughout succession. The mortality effect contributed more than the growth effect to N fixers' successional decline. Canopy and understory N fixers experienced these demographic disadvantages, indicating that factors in addition to light limitation likely contribute to N fixers' successional decline. We show that the rarity and successional decline of N-fixing trees in temperate forests is due more to their survival disadvantage than their growth disadvantage, and a recruitment disadvantage might also play a large role.

  19. Demography of Symbiotic Nitrogen-Fixing Trees Explains Their Rarity and Successional Decline in Temperate Forests in the United States

    PubMed Central

    Liao, Wenying; Menge, Duncan N. L.

    2016-01-01

    Symbiotic nitrogen (N) fixation is the major N input to many ecosystems. Although temperate forests are commonly N limited, symbiotic N-fixing trees (“N fixers”) are rare and decline in abundance as succession proceeds–a challenging paradox that remains unexplained. Understanding demographic processes that underlie N fixers’ rarity and successional decline would provide a proximate answer to the paradox. Do N fixers grow slower, die more frequently, or recruit less in temperate forests? We quantified demographic rates of N-fixing and non-fixing trees across succession using U.S. forest inventory data. We used an individual-based model to evaluate the relative contribution of each demographic process to community dynamics. Compared to non-fixers, N fixers had lower growth rates, higher mortality rates, and lower recruitment rates throughout succession. The mortality effect contributed more than the growth effect to N fixers’ successional decline. Canopy and understory N fixers experienced these demographic disadvantages, indicating that factors in addition to light limitation likely contribute to N fixers’ successional decline. We show that the rarity and successional decline of N-fixing trees in temperate forests is due more to their survival disadvantage than their growth disadvantage, and a recruitment disadvantage might also play a large role. PMID:27780268

  20. Symptomatic BK Virus Infection Is Associated with Kidney Function Decline and Poor Overall Survival in Allogeneic Hematopoietic Stem Cell Recipients

    PubMed Central

    Abudayyeh, Ala; Hamdi, Amir; Lin, Heather; Abdelrahim, Maen; Rondon, Gabriela; Andersson, Borje S; Afrough, Aimaz; Martinez, Charles S; Tarrand, Jeffrey J; Kontoyiannis, Dimitrios P.; Marin, David; Gaber, A. Osama; Salahudeen, Abdulla; Oran, Betul; Chemaly, Roy F.; Olson, Amanda; Jones, Roy; Popat, Uday; Champlin, Richard E; Shpall, Elizabeth J.; Winkelmayer, Wolfgang C.; Rezvani, Katayoun

    2017-01-01

    Nephropathy due to BK virus infection is an evolving challenge in patients undergoing hematopoietic stem cell transplantation. We hypothesized that BKV infection was a marker of Kidney Function Decline and a poor prognostic factor in HSCT recipients who experience this complication. In this retrospective study, we analyzed all patients who underwent their first allogeneic hematopoietic stem cell transplantation at our institution between 2004 and 2012. We evaluated the incidence of persistent kidney function decline, which was defined as a confirmed reduction in estimated glomerular filtration rate of at least 25% from baseline using the CKD-EPI equation. Cox proportional hazard regression was used to model the cause-specific hazard of kidney function decline and Fine and Gray’s method was used to account for the competing risks of death. Among 2477 recipients of a first allogeneic hematopoietic stem cell transplantation, BK viruria was detected in 25% (n=629) and kidney function decline in 944 (38.1%). On multivariate analysis, after adjusting for age, sex, acute graft-versus-host disease, chronic graft versus host disease, preparative conditioning regimen, and graft source, BK viruria remained a significant risk factor for kidney function decline (P <0.001). In addition, patients with BKV infection and kidney function decline experienced worse overall survival. Post-allogeneic hematopoietic stem cell transplantation, BKV infection was strongly and independently associated with subsequent kidney function decline and worse patient survival after HSCT. PMID:26608093

  1. Monitoring and Evaluation of Supplemented Spring Chinook Salmon and Life Histories of Wild Summer Steelhead in the Grande Ronde Basin, 2007 Annual Report.

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

    Boe, Stephen J.; Crump, Carrie A.; Weldert, Rey L.

    2009-04-10

    This is the ninth annual report for a multi-year project designed to monitor and evaluate supplementation of endemic spring Chinook salmon in Catherine Creek and the upper Grande Ronde River. These two streams historically supported anadromous fish populations that provided significant tribal and non-tribal fisheries, but in recent years, have experienced severe declines in abundance. Conventional and captive broodstock supplementation methods are being used to restore these spring Chinook salmon populations. Spring Chinook salmon populations in Catherine Creek and the upper Grande Ronde River, and other streams in the Snake River Basin have experienced severe declines in abundance over themore » past two decades (Nehlsen et al. 1991). A supplementation program was initiated in Catherine Creek and the upper Grande Ronde River, incorporating the use of both captive and conventional broodstock methods, in order to prevent extinction in the short term and eventually rebuild populations. The captive broodstock component of the program (BPA Project 199801001) uses natural-origin parr collected by seining and reared to maturity at facilities near Seattle, Washington (Manchester Marine Laboratory) and Hood River, Oregon (Bonneville Hatchery). Spawning occurs at Bonneville Hatchery, and resulting progeny are reared in hatcheries. Shortly before outmigration in the spring, juveniles are transferred to acclimation facilities. After an acclimation period of about 2-4 weeks, volitional release begins. Any juveniles remaining after the volitional release period are forced out. The conventional broodstock component uses returning adults collected at traps near the spawning areas, transported to Lookingglass Hatchery near Elgin, Oregon, held, and later spawned. The resulting progeny are reared, acclimated, and released similar to the captive broodstock component. All progeny released receive one or more marks including a fin (adipose) clip, codedwire tag, PIT tag, or visual implant elastomer tag. The numbers of adults used for conventional broodstock are determined by an agreement among comanagers (Zimmerman and Patterson 2002). Activities for this project focus on two life stages of spring Chinook salmon: juveniles during the migration from freshwater to the ocean and adults during prespawning migration through the end of spawning. Life history, production, and genetics are monitored and used to evaluate program effectiveness.« less

  2. Organizational resilience: Sustained institutional effectiveness among smaller, private, non-profit US higher education institutions experiencing organizational decline.

    PubMed

    Moran, Kenneth A

    2016-06-04

    Recent changes in the United States (US) economy have radically disrupted revenue generation among many institutions within higher education within the US. Chief among these disruptions has been fallout associated with the financial crisis of 2008-2009, which triggered a change in the US higher education environment from a period of relative munificence to a prolonged period of scarcity. The hardest hit by this disruption have been smaller, less wealthy institutions which tend to lack the necessary reserves to financially weather the economic storm. Interestingly, a review of institutional effectiveness among these institutions revealed that while many are struggling, some institutions have found ways to not only successfully cope with the impact of declining revenue, but have been able to capitalize on the disruption and thrive. Organizational response is an important factor in successfully coping with conditions of organizational decline. The study examined the impacts of organizational response on institutional effectiveness among higher education institutions experiencing organizational decline. The study's research question asked why some US higher educational institutions are more resilient at coping with organizational decline than other institutions operating within the same segment of the higher education sector. More specifically, what role does organizational resilience have in helping smaller, private non-profit institutions cope and remain effective during organizational decline? A total of 141 US smaller, private non-profit higher educational institutions participated in the study; specifically, the study included responses from participant institutions' key administrators. 60-item survey evaluated administrator responses corresponding to organizational response and institutional effectiveness. Factor analysis was used to specify the underlying structures of rigidity response, resilience response, and institutional effectiveness. Multiple regression analysis was used to examine the direct and interaction effects between organizational decline, organizational rigidity response, organizational resilience response, and institutional effectiveness, controlling for age of institution and level of endowment. The study validated previous threat-rigidity response findings that organizational decline alone does not adversely impact institutional effectiveness. The direct effect of Goal-Directed Solution Seeking and Role Dependency organizational resilience factors had a positive, significant correlation with the Student Personal Development institutional effectiveness factor. The interactive effect of Goal-Directed Solution Seeking organizational resilience factor during organizational decline had a positive, significant correlation with the Professional Development and Quality of Faculty institutional effectiveness factor. The interactive effect of Avoidance during organizational decline had a positive, significant correlation with the Faculty and Administrator Employment Satisfaction institutional effectiveness factor. The interactive effect of Diminished Innovation, Morale, and Leader Credibility rigidity response factor and Avoidance organizational resilience factor during organizational decline had a positive, significant correlation with the Professional Development and Quality of Faculty institutional effectiveness factor. Lastly, the interactive effect of Increased Scapegoating of Leaders, Interest group Activities, and Conflict rigidity response factor and Avoidance organizational resilience factor during organizational decline had a positive, significant correlation with the Faculty and Administrator Employment Satisfaction institutional effectiveness factor. Factors of organizational resilience were found to have a positive effect among smaller, private non-profit higher educational institutions associated with this study toward sustaining institutional effectiveness during organizational decline. Specifically, the organizational resilience factors of Goal-Directed Solution Seeking (i.e., mission-driven solutions) and Avoidance (i.e., skepticism toward new ideas) play a significant, collaborative role among smaller, private non-profit higher educational institutions when it comes to sustaining institutional effectiveness during organizational decline.

  3. The impact of differential patterns of physical violence and stalking on mental health and help-seeking among women with protective orders.

    PubMed

    Logan, T K; Shannon, Lisa; Cole, Jennifer; Walker, Robert

    2006-09-01

    This study examined the severity of partner violence on women's mental health and help-seeking as well as perceptions of safety and protective-order effectiveness. Three groups based on partner violence victimization in the past year were compared: (a) women who reported experiencing moderate physical violence but no history of severe violence or stalking (n = 102), (b) women who experienced severe violence but no history of stalking (n = 142), and (c) women who experienced severe violence and stalking (n = 145). Results suggest that stalking has a unique impact on victims' mental health and perceived safety, and that protections afforded by protective orders may not be adequate for women experiencing stalking.

  4. Poaching and human encroachment reverse recovery of African savannah elephants in south-east Angola despite 14 years of peace.

    PubMed

    Schlossberg, Scott; Chase, Michael J; Griffin, Curtice R

    2018-01-01

    With populations of African savannah elephants (Loxodonta africana) declining across the continent, assessing the status of individual elephant populations is important for conservation. Angola's elephant population represents a key linkage between the larger populations of Namibia and Botswana. Elephants in Angola were decimated during the 1975-2002 Angolan civil war, but a 2005 survey showed that populations were recolonizing former habitats. Between 2005 and 2015, no research was permitted on elephants in Angola, but elsewhere in Africa many elephant populations experienced a poaching crisis. In 2015, we were able to resume elephant research in Angola. We used aerial surveys and satellite monitoring of collared elephants to determine the current status of elephant populations in Angola and to learn how human populations may be affecting elephant habitat usage. The aerial survey revealed a population of 3,395 ± SE of 797 elephants, but populations had declined 21% from the 2005 estimate. The high number of carcasses observed on the survey suggests that populations may have increased after the 2005 survey but were declining rapidly as of 2015. Satellite-collared elephants avoided areas <6 km from human indicators but preferred areas nearer humans at scales of 6-40 km, suggesting that humans may be displacing elephants from preferred habitats near rivers. Taken together, these results suggest that Angola's elephant population is experiencing intense poaching and may be losing habitat to human settlements. Without action to conserve their populations, Angola's elephants face an uncertain future.

  5. Economic Downturns, Retirement and Long-Term Cognitive Function Among Older Americans.

    PubMed

    Hessel, Philipp; Riumallo-Herl, Carlos J; Leist, Anja K; Berkman, Lisa F; Avendano, Mauricio

    2018-04-16

    Workers approaching retirement may be particularly vulnerable to economic downturns. This study assesses whether exposure to economic downturns around retirement age leads to poorer cognitive function in later life. Longitudinal data for 13,577 individuals in the Health and Retirement Study were linked to unemployment rates in state of residence. Random- and fixed-effect models were used to examine whether downturns at 55-64 years of age were associated with cognitive functioning levels and decline at ≥65 years, measured by the Wechsler Adult Intelligence Scale-Revised. Longer exposure to downturns at 55-64 years of age was associated with lower levels of cognitive function at ≥65 years. Compared to individuals experiencing only up to 1 year in a downturn at 55-64 years of age, individuals experiencing two downturns at these ages had 0.09 point (95% Confidence Interval [CI, -0.17, -0.02]) lower cognitive functioning scores at ≥65 years (3 years: b = -0.17, 95%CI [-0.29, -0.06]; 4 years: b = -0.14, 95%CI [-0.25, -0.02]; ≥5 years: b = -0.22, 95%CI [-0.38, -0.06]). Downturns at 55-64 years of age were not associated with rates of cognitive decline. Exposure to downturns around retirement is associated with a long-lasting decline in cognitive function in later life. Policies mitigating the impact of downturns on older workers may help to maintain cognitive function in later life.

  6. Level, trends and differentials of infant and child mortality in Yemen.

    PubMed

    Suchindran, C M; Adlakha, A L

    1985-12-01

    This study investigates the levels, trends and differentials of infant and child mortality in Yemen. The data used are from the 1979 Yemen Fertility Survey, part of the World Fertility Survey. Mortality rates for 4 age intervals of life are presented: neonatal, postnatal, infant and child. For the birth cohort immediately preceding the survey (1976 1978), the level of infant mortality was estimated as 157/1000 for both sexes and 163 for males and 145 for females. For the birth cohort 1971 1975, the level of child mortality was 95/1000 for both sexes, 78 for males and 112 for females. Analysis of time trends in mortality for the years from 1961 to 1978 indicated substantial declines in neonatal, postneonatal, infant and child mortality. Neonatal mortality declined by almost 33%, and postneonatal mortality by almost 43%. During 1961-1975, child mortality declined by about 39%. A persistent pattern of mortality differentials by sex was found in the data. For all birth cohorts between 1961 and 1978, male neonatal and postneonatal mortality exceeded female neonatal mortality, but male childhood mortality was less than corresponding female mortality. This pattern suggests preferential care and treatment of male offspring. Estimates of infant and child mortality showed considerable regional differences. The eastern region experienced considerably lower risk of infant and childhood mortality than other regions. Breastfeeders aged 1-5 experienced lower mortality rates than nonbreastfeeders. Multivariate analysis with a logistic regression model show the net effect of demographic and socioeconomic factors on mortality.

  7. Linkages Between Terrestrial Carbon Uptake and Interannual Climate Variability over the Texas-northern Mexico High Plains

    NASA Astrophysics Data System (ADS)

    Parazoo, N.; Barnes, E. A.; Worden, J.; Harper, A. B.; Bowman, K. W.; Frankenberg, C.

    2014-12-01

    The Texas-northern Mexico high plains experienced record drought conditions in 2011 during strong negative phases of ENSO and the NAO. Given predictions of increased frequency and severity of drought under projected climate change [e.g., Reichstein et al., 2013] and recent findings of CO2 growth rate sensitivity to interannual variability of carbon uptake in semi-arid ecosystems [Poulter et al., 2014], we investigate the response of carbon uptake in the Texas high plains to interannual climate variability with the goal of improved mechanistic understanding of climate-carbon cycle links. Specifically, we examine (1) observed tendencies in regional scale carbon uptake and soil moisture from 2010 to 2011 using satellite observations of gross primary production (GPP) (from plant fluorescence) from GOSAT and soil moisture from SMOS, and (2) the interannual relationship between GPP and ENSO & NAO variability using terrestrial biosphere simulations from 1950-2012. Observations reveal widespread decline of GPP in 2011 (0.42 +/- 0.04 Pg C yr-1) correlated with negative soil moisture tendencies (r = 0.85 +/- 0.21) which leads to corresponding declines in net carbon uptake and transpiration (according to model simulations). Further examination of model results over the period 1950-2012 indicates that negative GPP anomalies are linked systematically to winter and spring precipitation deficits associated with overlapping negative phases of winter NAO and ENSO, with increasing magnitude of negative anomalies in strong La Niña years. Furthermore, the strongest decline of GPP, carbon uptake, and transpiration on record occurred during the 2011 drought and were associated with extreme negative phases of ENSO and NAO, with 2011 being the only year since 1950 that both indices exceeded 1 σ standard deviation.

  8. A prospective 10-year study of individualized, intensified enzyme replacement therapy in advanced Fabry disease.

    PubMed

    Schiffmann, Raphael; Swift, Caren; Wang, Xuan; Blankenship, Derek; Ries, Markus

    2015-11-01

    To test the hypothesis that more frequent enzyme replacement therapy (ERT) slows the decline in kidney function in adult patients with Fabry disease. A single center open label 10-year prospective clinical trial of 12 patients with advanced Fabry disease who, after having experienced an ongoing decline in renal function after 2-4 years of receiving ERT at the approved dose of 0.2 mg/kg agalsidase alfa every other week (EOW), were switched to weekly (EW) ERT at the same dose. We used linear regression to fit each individual patient's longitudinal estimated glomerular filtration rate (eGFR) record in order to compare the deterioration rates between EOW and EW ERT. For the entire group, mean slope on agalsidase alfa every 2 weeks was -7.92 ± 2.88 ml/min/1.73 m(2)/year and 3.84 ± 4.08 ml/min/1.73 m(2)/year on weekly enzyme infusions (p = 0.01, two-tailed paired t test). Three patients (25 %) completed the entire study with relatively preserved renal function while 50 % of patients reached end-stage renal disease (ESRD) during the 10 years of this study. The estimated average delay to ESRD was 13.8 years [n = 11; 95 % CI 0.66, 27]. One patient had a positive eGFR slope on weekly infusions while the patient with the highest antibody titer had a steeper slope after switching. Mean globotriaosylceramide concentrations in urine and plasma as well as urine protein excretion remained unchanged. Weekly enzyme infusions slow the decline of renal function in a subgroup of more severe patients thus showing that existing ERT can be further optimized.

  9. High-deductible insurance: two-year emergency department and hospital use.

    PubMed

    Wharam, J Frank; Landon, Bruce E; Zhang, Fang; Soumerai, Stephen B; Ross-Degnan, Dennis

    2011-10-01

    To determine the 2-year impact of high-deductible health plans (HDHPs) on high-acuity, expensive medical care. Retrospective pre-post, with propensity score-matched comparison group. We studied emergency department visits, hospitalizations, and related expenditures among 15,847 HMO members for 1 year before and up to 2 years after an employer-mandated switch to HDHPs, compared with 15,847 propensity-matched controls who remained in HMOs. Members were aged 1 to 64 years and insured between 2001 and 2008. Emergency department visits among HDHP members declined by 15.0% and 15.7% from baseline to the first and second follow-up years, respectively (95% confidence intervals -21.1% to -8.4% and -24.1% to -6.4%, respectively). Rates of nonemergent visits declined significantly in both years (-19.6% [-28.2% to-9.9%] and -18.1% [-29.8% to -4.4%], respectively), while intermediate-severity visits declined to a lesser degree (-13.4% [-23.0% to -2.5%] in the first and -10.9% [-24.4% to 5.1%] in the second follow-up year). Reductions in emergent visits were not detectable in either the first or second follow-up year (-9.7% [-26.9% to 11.5%] and -15.3% [-36.8% to 13.3%], respectively). Hospitalization rates decreased in the first follow-up year (-22.8% [-33.8% to -10.0%]), but hospitalization and cost reductions were not detectable by the second follow-up year (-11.8% [-27.9% to 7.9%] and 1.9% [-22.2% to 33.4%], respectively). HDHP members experienced sustained reductions in emergency department visits over 2 years, but reductions in hospital utilization and costs were not apparent by the second year. Longer-term studies that assess deferred utilization and its effects are needed.

  10. The rise and fall of tuberculosis in Malawi: associations with HIV infection and antiretroviral therapy.

    PubMed

    Kanyerere, Henry; Harries, Anthony D; Tayler-Smith, Katie; Jahn, Andreas; Zachariah, Rony; Chimbwandira, Frank M; Mpunga, James

    2016-01-01

    Since 1985, Malawi has experienced a dual epidemic of HIV and tuberculosis (TB) which has been moderated recently by the advent of antiretroviral therapy (ART). The aim of this study was to describe the association over several decades between HIV/AIDS, the scale-up of ART and TB case notifications. Aggregate data were extracted from annual reports of the National TB Control Programme, the Ministry of Health HIV Department and the National Statistics Office. ART coverage was calculated using the total HIV population as denominator (derived from UNAIDS Spectrum software). In 1970, there were no HIV-infected persons but numbers had increased to a maximum of 1.18 million by 2014. HIV prevalence reached a maximum of 10.8% in 2000, thereafter decreasing to 7.5% by 2014. Numbers alive on ART increased from 2586 in 2003 to 536 527 (coverage 45.3%) by 2014. In 1985, there were 5286 TB cases which reached a maximum of 28 234 in 2003 and then decreased to 17 723 by 2014 (37% decline from 2003). There were increases in all types of new TB between 1998-2003 which then declined by 30% for extrapulmonary TB, by 37% for new smear-positive PTB and by 50% for smear-negative PTB. Previously treated TB cases reached a maximum of 3443 in 2003 and then declined by 42% by 2014. The rise and fall of TB in Malawi between 1985 and 2014 was strongly associated with HIV infection and ART scale-up; this has implications for ending the TB epidemic in high HIV-TB burden countries. © 2015 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  11. Lung Function before and after a Large Chlorine Gas Release in Graniteville, South Carolina

    PubMed Central

    Karmaus, Wilfried J. J.; Mohr, Lawrence C.; Cai, Bo; Balte, Pallavi; Gibson, James J.; Ownby, Dennis; Lawson, Andrew B.; Vena, John E.; Svendsen, Erik R.

    2016-01-01

    Rationale: On January 6, 2005 a train derailment led to an estimated 54,915-kg release of chlorine at a local textile mill in Graniteville, South Carolina. Objectives: We used the employee health spirometry records of the textile to identify enduring effects of chlorine gas exposure resulting from the incident on the lung function of workers employed at the textile mill. Methods: Spirometry records from 1,807 mill workers (7,332 observations) were used from 4 years before and 18 months after the disaster. Longitudinal analysis using marginal regression models produced annual population mean estimates for FEV1, FVC, and FEV1/FVC ratio. Covariate adjustment was made for sex, age, smoking, height, season tested, technician, obesity, season × year interactions, and smoker × year interactions. The increased prevalence of mill workers having accelerated FEV1 decline was also evaluated after the chlorine spill. Measurements and Main Results: In the year of the accident, we observed a significant reduction in mean FEV1 (–4.2% predicted; P = 0.019) when compared with the year before the incident. In the second year, partial recovery in the mean FVC % predicted level was seen, but the cohort’s average FEV1/FVC ratio continued to decrease over time. Severe annual FEV1 decline was most prevalent in the year of the accident, and independent of mill worker smoking status. Conclusions: The Graniteville mill worker cohort revealed significant reductions in lung function immediately after the chlorine incident. Improvement was seen in the second year; but the proportion of mill workers experiencing accelerated FEV1 annual decline significantly increased in the 18 months after the chlorine incident. PMID:26695511

  12. The decline in child mortality: a reappraisal.

    PubMed Central

    Ahmad, O. B.; Lopez, A. D.; Inoue, M.

    2000-01-01

    The present paper examines, describes and documents country-specific trends in under-five mortality rates (i.e., mortality among children under five years of age) in the 1990s. Our analysis updates previous studies by UNICEF, the World Bank and the United Nations. It identifies countries and WHO regions where sustained improvement has occurred and those where setbacks are evident. A consistent series of estimates of under-five mortality rate is provided and an indication is given of historical trends during the period 1950-2000 for both developed and developing countries. It is estimated that 10.5 million children aged 0-4 years died in 1999, about 2.2 million or 17.5% fewer than a decade earlier. On average about 15% of newborn children in Africa are expected to die before reaching their fifth birthday. The corresponding figures for many other parts of the developing world are in the range 3-8% and that for Europe is under 2%. During the 1990s the decline in child mortality decelerated in all the WHO regions except the Western Pacific but there is no widespread evidence of rising child mortality rates. At the country level there are exceptions in southern Africa where the prevalence of HIV is extremely high and in Asia where a few countries are beset by economic difficulties. The slowdown in the rate of decline is of particular concern in Africa and South-East Asia because it is occurring at relatively high levels of mortality, and in countries experiencing severe economic dislocation. As the HIV/AIDS epidemic continues in Africa, particularly southern Africa, and in parts of Asia, further reductions in child mortality become increasingly unlikely until substantial progress in controlling the spread of HIV is achieved. PMID:11100613

  13. Hard-Pressed to Achieve the EFA Goals by 2015 in the Philippines

    ERIC Educational Resources Information Center

    Caoli-Rodriguez, Rhona B.

    2008-01-01

    The Philippines has experienced a setback in its progress towards EFA 2015 Goals. In particular, a decline in primary and secondary education performance indicators and a widening gap between boys' and girls' performance were noted. While the present policy environment in the country has been conducive to education reforms, a lack of political…

  14. Survival and growth of northern white-cedar and balsam fir seedlings in riparian management zones in northern Minnesota, USA

    Treesearch

    Brian J. Palik; Brooke K. Haworth; Andrew J. David; Randall K. Kolka

    2015-01-01

    Northern white-cedar (Thuja occidentalis) and balsam fir (Abies balsamea.) are co-occurring species in riparian forests of the western Great Lakes region. Throughout much of the region, northern white-cedar has been experiencing population declines due to herbivory by white-tailed deer (Odocoileus virginianus)....

  15. The Influence of Developmental Reading Education on Student Achievement

    ERIC Educational Resources Information Center

    Spain, Shafonda

    2013-01-01

    For the past 10 years, government reports have documented an increase in college developmental reading courses. However, a community college in the southeastern United States has experienced a decline in enrollment and attendance in these courses since they began in 1999. The purpose of this study was to determine (a) the impact of taking a…

  16. Advancing the science of forest hydrology A challenge to agricultural and biological engineers

    Treesearch

    Devendra Amatya; Wayne Skaggs; Carl Trettin

    2009-01-01

    For more than a century, agricultural and biological engineers have provided major advances in science, engineering, and technology to increase food and fiber production to meet the demands of a rapidly growing global population. The land base for these technological advances has originated largely from forested lands, which have experienced dramatic declines over the...

  17. Teen Pregnancy Prevention Program Recommendations from Urban and Reservation Northern Plains American Indian Community Members

    ERIC Educational Resources Information Center

    McMahon, Tracey R.; Hanson, Jessica D.; Griese, Emily R.; Kenyon, DenYelle Baete

    2015-01-01

    Despite declines over the past few decades, the United States has one of the highest rates of teen pregnancy compared to other industrialized nations. American Indian youth have experienced higher rates of teen pregnancy compared to the overall population for decades. Although it's known that community and cultural adaptation enhance program…

  18. Faculty Retraining for Lateral Transfer: An Alternative to Reduction in Force in Community Colleges. A Study and Progress Report.

    ERIC Educational Resources Information Center

    McDaniel, Walter A.; Gullo, Philip T.

    Declining enrollment and financial setbacks faced by California community colleges have necessitated discontinuing programs and terminating the services of experienced, tenured, certified personnel. Laws and policies in California, Connecticut, and at Miami-Dade (Florida) related to reduction in force (RIF) are discussed in terms of termination…

  19. Albuquerque Public Schools Student Enrollment: History & Forecast 1954-1994. 1975 APS Planning Document 1.

    ERIC Educational Resources Information Center

    Albuquerque Public Schools, NM.

    The material in this report was developed primarily as a basis for better planning and allocation of limited resources in a district experiencing a declining enrollment for the foreseeable future. The charts were developed on the basis of historical enrollment information by grade level, and forecasts were based on a standard regression formula…

  20. Grass Woman Stories. Blackfeet Heritage Program.

    ERIC Educational Resources Information Center

    Ground, Mary

    During her lifetime Mary Ground, whose Indian name is Grass Woman, has experienced extreme changes in the life of Blackfeet Indians. Born in 1883, she remembers the travois and teepee days as well as the change to reservation life when the reservation was a fenced compound patrolled by the U.S. military. She has seen the decline in the use of…

  1. Teachers Need Teachers: An Induction Program for First Year Bilingual Teachers.

    ERIC Educational Resources Information Center

    Sosa, Alicia Salinas; Gonzales, Frank

    A critical shortage of bilingual teachers exists in Texas. While the Hispanic population has grown at a 39% rate, the number of Hispanic teachers has declined. The Teachers Need Teachers program in San Antonio pairs about 75 new bilingual education teachers with experienced bilingual education teachers, who serve as mentors. Its purpose is to…

  2. A Study of Admission Officers' Perceptions of and Attitudes Toward Homeschool Students

    ERIC Educational Resources Information Center

    Jones, Paul; Gloeckner, Gene

    2004-01-01

    While the recent growth of homeschooling in America may not be an overall threat to public education in America today, some school districts are reporting that they are experiencing declines in their enrollments, which ultimately means a revenue loss in their school districts (Hetzner, 2000; Vater, 2001). The U.S. homeschool population (K-12) is…

  3. Where Do Graduates Go? The First Destinations of University Graduates, 1961/62-1986/87.

    ERIC Educational Resources Information Center

    Bee, M.; Dolton, P. J.

    1990-01-01

    The paper analyzes trends in the first destinations of British university graduates since 1961-62. There has been a decline in the proportion of graduates entering education, research, and teacher training and a rise in numbers entering commerce. Industry and public service have experienced considerable fluctuation in attracting new graduates.…

  4. Small Schools in a Big World: Thinking about a Wicked Problem

    ERIC Educational Resources Information Center

    Corbett, Michael; Tinkham, Jennifer

    2014-01-01

    The position of small rural schools is precarious in much of rural Canada today. What is to be done about small schools in rural communities which are often experiencing population decline and aging, economic restructuring, and the loss of employment and services? We argue this issue is a classic "wicked" policy problem. Small schools…

  5. Condition varies with habitat choice in postbreeding forest birds

    Treesearch

    Scott H. Stoleson

    2013-01-01

    Many birds that are experiencing population declines require extensive tracts of mature forest habitat for breeding. Recent work suggests that at least some may shift their habitat use to early-successional areas after nesting but before migration. I used constant-effort mist netting in regenerating clearcuts (4-8 years postcut) and dense mature-forest understories to...

  6. It's Perfect for You: The 1994 Recruitment Effort of Chattanooga State Technical Community College.

    ERIC Educational Resources Information Center

    Miller, Larry; Fuchcar, Paul

    In 1993, Chattanooga State Technical Community College (CSTCC), in Tennessee, experienced its first drop in enrollment in 7 years. In an effort to increase enrollment, the CSTCC adopted a new approach to marketing. First, external factors that indicated a potential further decline in enrollment were examined and a four-part strategy that included…

  7. The Poor Little Rich District: The Effects of Suburbanization on a Rural School and Community

    ERIC Educational Resources Information Center

    Howley, Aimee; Carnes, Marilyn; Eldridge, Anita; Huber, Donna; Lado, Longun Moses; Kotler, Ruth; Turner, Maryalice

    2005-01-01

    Contextualized in relationship to other case studies about rural districts that have experienced population growth and decline as well as in relationship to the small sociological literature on "boom towns," this study considered the dynamics that seem to be interfering with one previously rural and now suburbanizing district's ability to address…

  8. Students' and Instructors' Perceived Value of Language and Content Curricular Goals

    ERIC Educational Resources Information Center

    Mills, Nicole; Moulton, Samuel T.

    2017-01-01

    Universities across the country are experiencing a decline in the number of undergraduates choosing to major in the humanities in general, and similar trends have been observed specifically in the study of foreign languages (FLs), cultures, and literatures. The educational and social psychological literature has explored uptake, or a student's…

  9. A Predominately Female Accounting Profession: Lessons from the Past and Other Professions

    ERIC Educational Resources Information Center

    Whitten, Donna

    2016-01-01

    Currently, the accounting profession is in the process of transitioning from a male dominated profession to a predominantly female one. Other professions that have undergone this switch experienced declines in the status of the profession and the salaries. So, although women have not yet gained equal access to all levels of the accounting…

  10. Relationships between forest songbird populations and managed forests in Idaho

    Treesearch

    Diane M. Evans; Deborah M. Finch

    1994-01-01

    Many species of songbirds have experienced population declines. In the eastern U.S. in recent years, but conclusive data on population trends and factors affecting populations in the West are lacking. Few studies have evaluated the importance of surrounding land configuration to songbird abundances. In 1992, we initiated a study in mixed conifer forest in west-central...

  11. High Performance Work Organization: Improving Oregon's Competitiveness in the Global Economy.

    ERIC Educational Resources Information Center

    Lohman, Tami

    Because of increasing competition resulting from globalization of the economy, Oregonians have, in the past 8 years, experienced declines in income and standard of living despite the creation of 300,000 new jobs in the state. Many experts have stated that work organization and management style are the key to gaining the competitive edge in an…

  12. Environmental conditions of 2 river drainages into the Northern Gulf of Mexico during successful hatching of Alabama shad (Alosa alabamae)

    Treesearch

    Paul F. Mickle; Jacob F. Schaefer; Susan B. Adams; Brian R. Kreiser; Wiliam T. Slack

    2016-01-01

    In recent years, the Alabama shad (Alosa alabamae) has experienced dramatic declines and extirpations from portions of its native range. Habitat degradation and barriers to migration are considered contributing factors to contraction in the distributional range this species. To identify conditions during successful spawning, river temperatures and...

  13. Solar on the Rise: How Cost Declines and Grid Integration Shape Solar's Growth Potential in the United States

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

    Cole, Wesley J; Denholm, Paul L; Feldman, David J

    During the past decade, solar power has experienced transformative price declines, enabling it to become a viable electricity source that is supplying 1% of U.S. and world electricity. Further cost reductions are expected to enable substantially greater solar deployment, and new Department of Energy cost targets for utility-scale photovoltaics (PV) and concentrating solar thermal power are $0.03/kW h and $0.05/kW h by 2030, respectively. However, cost reductions are no longer the only significant challenge for PV - addressing grid integration challenges and increasing grid flexibility are critical as the penetration of PV electricity on the grid increases. The development ofmore » low cost energy storage is particularly synergistic with low cost PV, as cost declines in each technology are expected to support greater market opportunities for the other.« less

  14. Does inequality erode social trust? Results from multilevel models of US states and counties.

    PubMed

    Fairbrother, Malcolm; Martin, Isaac W

    2013-03-01

    Previous research has argued that income inequality reduces people's trust in other people, and that declining social trust in the United States in recent decades has been due to rising levels of income inequality. Using multilevel models fitted to data from the General Social Survey, this paper substantially qualifies these arguments. We show that while people are less trusting in US states with higher income inequality, this association holds only cross-sectionally, not longitudinally; since the 1970s, states experiencing larger increases in inequality have not suffered systematically larger declines in trust. For counties, there is no statistically significant relationship either cross-sectionally or longitudinally. There is therefore only limited empirical support for the argument that inequality influences generalized social trust; and the declining trust of recent decades certainly cannot be attributed to rising inequality. Copyright © 2012 Elsevier Inc. All rights reserved.

  15. The biological standard of living and mortality in Central Italy at the beginning of the 19th century.

    PubMed

    Coppola, Michela

    2013-12-01

    The biological standard of living in Central Italy at the beginning of the 19th century is analyzed using newly collected data on the height of recruits in the army of the Papal States. The results reveal a decline in height for the cohorts born under French rule (1796-1815). Although this trend was common to many parts of Europe, the estimated magnitude of the decline suggests a worsening of the biological standard of living of the working classes in the Papal States even relative to that of other countries. Despite the differences in the economic systems within the Papal States, no significant geographical variation in height has been found: even the most dynamic and advanced regions experienced a dramatic height decline. Mortality also increased during the period under consideration. Copyright © 2012 Elsevier B.V. All rights reserved.

  16. Efficacy of pirfenidone for idiopathic pulmonary fibrosis: An Italian real life study.

    PubMed

    Harari, S; Caminati, A; Albera, C; Vancheri, C; Poletti, V; Pesci, A; Luppi, F; Saltini, C; Agostini, C; Bargagli, E; Sebastiani, A; Sanduzzi, A; Giunta, V; Della Porta, R; Bandelli, G P; Puglisi, S; Tomassetti, S; Biffi, A; Cerri, S; Mari, A; Cinetto, F; Tirelli, F; Farinelli, G; Bocchino, M; Specchia, C; Confalonieri, M

    2015-07-01

    In this retrospective Italian study, which involved all major national interstitial lung diseases centers, we evaluated the effect of pirfenidone on disease progression in patients with IPF. We retrospectively studied 128 patients diagnosed with mild, moderate or severe IPF, and the decline in lung function monitored during the one-year treatment with pirfenidone was compared with the decline measured during the one-year pre-treatment period. At baseline (first pirfenidone prescription), the mean percentage forced vital capacity (FVC) was 75% (35-143%) of predicted, and the mean percentage diffuse lung capacity (DLCO) was 47% (17-120%) of predicted. Forty-eight patients (37.5%) had mild disease (GAP index stage I), 64 patients (50%) had moderate IPF (stage II), and 8 patients (6.3%) had severe disease (stage III). In the whole population, pirfenidone attenuated the decline in FVC (p = 0.065), but did not influence the decline in DLCO (p = 0.355) in comparison to the pre-treatment period. Stratification of patients into mild and severe disease groups based on %FVC level at baseline (>75% and ≤75%) revealed that attenuation of decline in FVC (p = 0.002) was more pronounced in second group of patients. Stratification of patients according to GAP index at baseline (stage I vs. II/III) also revealed that attenuation of decline in lung function was more pronounced in patients with more severe disease. In this national experience, pirfenidone reduced the rate of annual FVC decline (p = 0.065). Since pirfenidone provided significant treatment benefit for patients with moderate-severe disease, our results suggest that the drug may also be effective in patients with more advanced disease. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Early changes in physical tree characteristics during an oak decline event in the Ozark highlands

    Treesearch

    Martin A. Spetich

    2006-01-01

    An oak decline event is severely affecting up to 120 000 ha in the Ozark National Forest of Arkansas. Results of early changes in physical tree characteristics during that event are presented. In the fall and winter of 1999 and 2000, we established research plots on a site that would become a center of severe oak decline. In August 2000, standing trees > 14 cm in...

  18. Predicting Substance Use Patterns Among Rural Adults: The Roles of Mothers, Fathers, and Parenthood.

    PubMed

    Wong, Jessie J; Cucciare, Michael A; Booth, Brenda M; Timko, Christine

    2018-04-16

    This study examined the role of parenthood and parental influences on substance use patterns for 710 stimulant users age 18-61 living in the rural Midwest and Mid-south U.S. Longitudinal growth analyses showed that a maternal history of drug use was associated with increased baseline drug use severity, lesser declines in severity, and greater plateau of drug use severity over time. Parental conflict was associated with lesser declines in drug use severity, and drug use severity declined more steeply for participants who were themselves parents. Participants with two parents having a history of alcohol use had a greater baseline severity of alcohol use, with paternal history of drug use associated with lower baseline alcohol use severity. These findings demonstrate the importance of identifying parental influences in evaluating adult substance use, and point to the inclusion of parents in efforts to prevent and treat substance use disorders. © 2018 Family Process Institute.

  19. Non-stationary recruitment dynamics of rainbow smelt: the influence of environmental variables and variation in size structure and length-at-maturation

    USGS Publications Warehouse

    Feiner, Zachary S.; Bunnell, David B.; Hook, Tomas O.; Madenjian, Charles P.; Warner, David M.; Collingsworth, Paris D.

    2015-01-01

    Fish stock-recruitment dynamics may be difficult to elucidate because of nonstationary relationships resulting from shifting environmental conditions and fluctuations in important vital rates such as individual growth or maturation. The Great Lakes have experienced environmental stressors that may have changed population demographics and stock-recruitment relationships while causing the declines of several prey fish species, including rainbow smelt (Osmerus mordax). We investigated changes in the size and maturation of rainbow smelt in Lake Michigan and Lake Huron and recruitment dynamics of the Lake Michigan stock over the past four decades. Mean lengths and length-at-maturation of rainbow smelt generally declined over time in both lakes. To evaluate recruitment, we used both a Ricker model and a Kalman filter-random walk (KF-RW) model which incorporated nonstationarity in stock productivity by allowing the productivity term to vary over time. The KF-RW model explained nearly four times more variation in recruitment than the Ricker model, indicating the productivity of the Lake Michigan stock has increased. By accounting for this nonstationarity, we were able identify significant variations in stock productivity, evaluate its importance to rainbow smelt recruitment, and speculate on potential environmental causes for the shift. Our results suggest that investigating mechanisms driving nonstationary shifts in stock-recruit relationships can provide valuable insights into temporal variation in fish population dynamics.

  20. Airway persistence by the emerging multi-azole-resistant Rasamsonia argillacea complex in cystic fibrosis.

    PubMed

    Abdolrasouli, Alireza; Bercusson, Amelia C; Rhodes, Johanna L; Hagen, Ferry; Buil, Jochem B; Tang, Alison Y Y; de Boer, Leonard L; Shah, Anand; Milburn, Andrew J; Elborn, J Stuart; Jones, Andrew L; Meis, Jacques F; Fisher, Matthew C; Schelenz, Silke; Simmonds, Nicholas J; Armstrong-James, Darius

    2018-04-27

    Infections caused by Rasamsonia argillacea complex have been reported in various clinical settings. Cystic fibrosis (CF) is one of the main underlying conditions. An observational cohort study of CF patients with Rasamsonia in respiratory samples was conducted. Eight isolates from six patients were identified as R. argillacea complex and tested for antifungal susceptibility. All isolates had high MICs to voriconazole and posaconazole and low MECs to echinocandins. Four patients experienced lung function decline in the year preceding first Rasamsonia isolation. This continued in the year following first isolation in three out of four cases. Antifungal therapy was initiated in two patients, to which only one exhibited a clinical response. Three out of six patients died within three years of isolating Rasamsonia. Genotyping suggests that similar genotypes of Rasamsonia can persist in CF airways. Consistent with other fungi in CF, the clinical impact of airway colonization by Rasamsonia is variable. In certain patients, Rasamsonia may be able to drive clinical decline. In others, though a clear impact on lung function may be difficult to determine, the appearance of Rasamsonia acts as a marker of disease severity. In others it does not appear to have an obvious clinical impact on disease progression. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  1. Influence of Age, Thought Content, and Anxiety on Suppression of Intrusive Thoughts

    PubMed Central

    Beadel, Jessica R.; Green, Jennifer S.; Hosseinbor, Shahrzad; Teachman, Bethany A.

    2013-01-01

    Understanding differences in responses following attempts to suppress versus simply monitor intrusive thoughts is important given the established relationship between intrusive thinking and numerous forms of psychopathology. Moreover, these differences may vary as a function of age. Because of the links between aging and both enhancement in emotion regulation skills and decline in inhibition skills, older and younger adults were expected to differ in their responses (e.g., experience of negative affect and thought recurrence) to attempts at suppressing intrusive thoughts. This study examined whether efforts to suppress thought content that varied in valence and age-relevance differentially affected older (N = 40, aged 66–92) and younger (N = 42, aged 16–25) adults’ ability to inhibit intrusive thought recurrence and their resulting negative affect. Interestingly, older adults experienced less recurrence for most thoughts than younger adults. Also, for several dependent variables (negative affect and perceived difficulty suppressing intrusive thoughts), older adults showed less decline in their magnitude of response across thinking periods (i.e., from suppression to monitoring) than did younger adults. These age effects were not generally moderated by level of trait anxiety, though higher anxiety did predict intrusive thought responding in expected directions, such as greater negative affect. These findings point to independent influences of age and anxiety, and suggest a complex mix of risk and protective factors for older adults’ responses to intrusive thoughts. PMID:23395408

  2. Oak decline around the world

    Treesearch

    Kurt W. Gottschalk; Philip M. Wargo

    1997-01-01

    Oak (Quercus spp.) decline is a malady related to the consequences of stress and successful attack of stressed trees by opportunistic (secondary) organisms (Wargo et al. 1983). It is a progressive process where trees decline in health for several years before they die. Houston (1981) developed a model of declines that is presented in Figure 1. So...

  3. Multivariate Latent Change Modeling of Developmental Decline in Academic Intrinsic Math Motivation and Achievement: Childhood through Adolescence

    ERIC Educational Resources Information Center

    Gottfried, Adele Eskeles; Marcoulides, George A.; Gottfried, Allen W.; Oliver, Pamella H.; Guerin, Diana Wright

    2007-01-01

    Research has established that academic intrinsic motivation, enjoyment of school learning without receipt of external rewards, significantly declines across childhood through adolescence. Math intrinsic motivation evidences the most severe decline compared with other subject areas. This study addresses this developmental decline in math intrinsic…

  4. Differential rate in decline in ovarian reserve markers in women with polycystic ovary syndrome compared with control subjects: results of a longitudinal study.

    PubMed

    Ahmad, Asima K; Kao, Chia-Ning; Quinn, Molly; Lenhart, Nikolaus; Rosen, Mitchell; Cedars, Marcelle I; Huddleston, Heather

    2018-03-01

    To estimate rates of ovarian aging in polycystic ovary syndrome (PCOS) subjects versus a community control population. Longitudinal. Tertiary academic center. PCOS subjects diagnosed according to the 2004 Rotterdam criteria were systematically enrolled in a PCOS cohort study. The comparison control subjects were from the Ovarian Aging study, a prospective longitudinal study of ovarian aging in healthy women with regular menstrual cycles. Clinical data collection over two study visits. Antral follicle count (AFC), ovarian volume (OV), and antimüllerian hormone level (AMH). PCOS subjects were found to have higher baseline values for all ovarian reserve markers compared with control subjects. Univariate models indicated that, compared with control subjects, PCOS patients experienced significantly faster rates of decline for both AFC and AMH. Change in OV did not differ significantly. To account for potential confounder effects, multiple analysis of covariance models were evaluated for the best fit, considering age, body mass index, and baseline ovarian reserve markers. Adjusted models demonstrated that PCOS patients do not experience a significant difference in AFC decline compared with control subjects, but they do experience a faster rate of decline in AMH (P<.01) and slower rate of decline in OV (P<.01). Ovarian aging in PCOS is characterized by a more rapid decline in AMH and a slower decline in OV compared with control subjects. Copyright © 2017 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  5. Prevalence of violence against pregnant women and associated maternal and neonatal complications in Leon, Mexico.

    PubMed

    Romero-Gutiérrez, Gustavo; Cruz-Arvizu, Víctor Hugo; Regalado-Cedillo, Claudia Araceli; Ponce-Ponce de León, Ana Lilia

    2011-10-01

    to determine the prevalence of violence against women and associated maternal and neonatal complications in a developing country setting. cross-sectional study using a face-to-face questionnaire. postpartum area at a tertiary care referral hospital in Leon, Mexico. 1623 postpartum women. women were recruited at 24-72 h post partum. The diagnosis and severity of violence were assessed using a modified questionnaire based on the Index of Spouse Abuse and Severity of Violence against Women Scale. of 1623 women, 711 (43.8%) were diagnosed with violence during pregnancy; 563 (79.1%) experienced mild violence and 148 (20.9%) experienced severe violence. Of the women who experienced violence, 72.9% experienced psychological violence, 15.8% experienced physical violence and 11.3% experienced sexual violence. Maternal complications were higher in women who experienced violence (30.2% vs 23.6%, p = 0.004). Women who experienced sexual violence had more maternal complications (43.2%), and women who experienced psychological violence had more neonatal complications (54.2%). violence during pregnancy is quite common in the study setting. Maternal complications are higher in women who experience violence during pregnancy. The type of violence has different effects on maternal and neonatal health. it is recommended that pregnant women who are experiencing violence should be identified during antenatal care to avoid maternal or neonatal complications. Copyright © 2010 Elsevier Ltd. All rights reserved.

  6. Teen Birth Rates for Urban and Rural Areas in the United States, 2007-2015.

    PubMed

    Hamilton, Brady E; Rossen, Lauren M; Branum, Amy M

    2016-11-01

    Data from the National Vital Statistics System •Birth rates for teenagers aged 15-19 declined in urban and rural counties from 2007 through 2015, with the largest declines in large urban counties and the smallest declines in rural counties. •From 2007 through 2015, the teen birth rate was lowest in large urban counties and highest in rural counties. •Declines in teen birth rates in all urban counties between 2007 and 2015 were largest in Arizona, Massachusetts, Connecticut, Minnesota, and Colorado, with 17 states experiencing a decline of 50% or more. •Declines in teen birth rates in all rural counties between 2007 and 2015 were largest (50% or more) in Colorado and Connecticut. •In 2015, teen birth rates were highest in rural counties and lowest in large urban counties for non-Hispanic white, non-Hispanic black, and Hispanic females. Teen birth rates have demonstrated an unprecedented decline in the United States since 2007 (1). Declines occurred in all states and among all major racial and Hispanic-origin groups, yet disparities by both geography and demographic characteristics persist (2,3). Although teen birth rates and related declines have been described by state, patterns by urban-rural location have not yet been examined. This report describes trends in teen birth rates in urban (metropolitan) and rural (nonmetropolitan) areas in the United States overall and by state from 2007 through 2015 and by race and Hispanic origin for 2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  7. The Influence of Stressor Exposure and Psychosocial Resources on the Age-Anger Relationship.

    PubMed

    Brown, Robyn Lewis

    2016-12-01

    This study examined the processes linking age, stressor exposure, psychosocial coping resources, and two dimensions of anger proneness (i.e., experienced anger and expressed anger). Longitudinal change regression analysis of data from a two-wave community panel study including a sample of people aged 18 to 93 ( N = 1,473) is performed. Age is significantly associated with declines in both experienced anger and expressed anger over the 3-year study period. These associations are substantially mediated by the lower levels of chronic stressors and discrimination-related stressors experienced among older adults. In contrast, self-esteem amplifies the association between age and expressed anger. These findings clarify the circumstances in which age matters most for changes over time in the experience and expression of anger. They highlight how certain forms of stressor exposure and psychosocial resources are linked with anger proneness and in ways that vary by age.

  8. Emotional abuse in intimate relationships: The role of gender and age

    PubMed Central

    Karakurt, Günnur; Silver, Kristin E.

    2012-01-01

    The present study aimed to investigate the moderating roles of gender and age on emotional abuse within intimate relationships. This study included 250 participants with an average age of 27 years. Participants completed the Emotional Abuse Questionnaire (EAQ; Jacobson and Gottman, 1998), whose four subscales are isolation, degradation, sexual abuse, and property damage. Multigroup analysis with two groups, female (n = 141) and male (n = 109), was used to test the moderation effect. Younger men reported experiencing higher levels of emotional abuse, which declined with age. Older females reported experiencing less emotional abuse than older males. Overall, emotional abuse was more common in younger participants. Younger women experienced higher rates of isolation, and women’s overall experience of property damage was higher than that of men and increased with age. Results are interpreted through the Social Exchange and Conflict frameworks. PMID:24364124

  9. Recent Advances in Maya Studies Using Remotely Sensed Data

    NASA Technical Reports Server (NTRS)

    Sever, Tom; Irwin, Daniel; Arnold, James E. (Technical Monitor)

    2001-01-01

    The Peten region of northern Guatemala is one of the last places on earth where major archeological sites remain to be discovered. It was in this region that the Maya civilization began, flourished, and abruptly disappeared. Remote sensing technology is helping to locate and map ancient Maya sites that are threatened today by accelerating deforestation and looting. Thematic Mapper and IKONOS satellite and airborne Star3i radar data, combined with Global Positioning System (GPS) technology, are successfully detecting ancient Maya features such as cities, roadways, canals, and water reservoirs. Satellite imagery is also being used to map the bajos, which are seasonally flooded swamps that cover over 40% of the land surface. The use of baJos for farming has been a source of debate within the professional community for many years. But the recent detection and verification of cultural features within the baJo system by our research team are providing conclusive evidence that the ancient Maya had adapted well to wetland environments from the earliest times and utilized them until the time of the Maya collapse. The combination of water management and baJo farming is an important resource for the future of the current inhabitants who are experiencing rapid population growth. Remote sensing imagery is also demonstrating that in the Preclassic period (600 BC- AD 250), the Maya had already achieved a high organizational level as evidenced by the construction of massive temples and an elaborate inter-connecting roadway system. Although they experienced several setbacks such as droughts and hurricanes, the Maya nevertheless managed the delicate forest ecosystem successfully for several centuries. However, around AD 800, something happened to the Maya to cause their rapid decline and eventual disappearance from the region. The evidence indicates that at this time there was increased climatic dryness, extensive deforestation, overpopulation, and widespread warfare. This raises a relevant question today-namely, how severe do internal stresses in a civilization have to become before relatively minor climate shifts can cause a widespread cultural collapse?

  10. Recent Advances in Maya Studies Using Remotely Sensed Data

    NASA Technical Reports Server (NTRS)

    Sever, Tom; Irwin, Daniel; Arnold, James E. (Technical Monitor)

    2001-01-01

    The Peten region of northern Guatemala is one of the last places on earth where major archeological sites remain to be discovered. It was in this region that the Maya civilization began, flourished, and abruptly disappeared. Remote sensing technology is helping to locate and map ancient Maya sites that are threatened today by accelerating deforestation and looting. Thematic Mapper and IKONOS satellite and airborne Star3i radar data, combined with Global Positioning System (GPS) technology, are successfully detecting ancient Maya features such as cities, roadways, canals, and water reservoirs. Satellite imagery is also being used to map the baJos, which are seasonally flooded swamps that cover over 40% of the land surface. The use of bajos for farming has been a source of debate within the professional community for many years. But the recent detection and verification of cultural features within the bajo system by our research team are providing conclusive evidence that the ancient Maya had adapted well to wetland environments from the earliest times and utilized them until the time of the Maya collapse. The combination of water management and bajo farming is an important resource for the future of the current inhabitants who are experiencing rapid population growth. Remote sensing imagery is also demonstrating that in the Preclassic period (600 BC- AD 250), the Maya had already achieved a high organizational level as evidenced by the construction of massive temples and an elaborate inter-connecting roadway system. Although they experienced several setbacks such as droughts and hurricanes, the Maya nevertheless managed the delicate forest ecosystem successfully for several centuries. However, around AD 800, something happened to the Maya to cause their rapid decline and eventual disappearance from the region. The evidence indicates that at this time there was increased climatic dryness, extensive deforestation, overpopulation, and widespread warfare. This raises a relevant question today-namely, how severe do internal stresses in a civilization have to become before relatively minor climate shifts can cause a widespread cultural collapse?

  11. Mapping The Ancient Maya Landscape From Space

    NASA Technical Reports Server (NTRS)

    Sever, Tom; Arnold, James E. (Technical Monitor)

    2002-01-01

    The Peten region of northern Guatemala is one of the last places on earth where major archeological sites remain to be discovered. It was in this region that the Maya civilization began, flourished, and abruptly disappeared. Remote sensing technology is helping to locate and map ancient Maya sites that are threatened today by accelerating deforestation and looting. Thematic Mapper and IKONOS satellite and airborne Star3-I radar data, combined with Global Positioning System (GPS) technology, are successfully detecting ancient Maya features such as cities, roadways, canals, and water reservoirs. Satellite imagery is also being used to map the bajos, which are seasonally flooded swamps that cover over 40% of the land surface. The use of bajos for farming has been a source of debate within the professional community for many years. But the recent detection and verification of cultural features within the bajo system by our research team are providing conclusive evidence that the ancient Maya had adapted well to wetland environments from the earliest times and utilized them until the time of the Maya collapse. The use of the bajos for farming is also an important resource for the future of the current inhabitants who are experiencing rapid population growth. Remote sensing imagery is also demonstrating that in the Preclassic period (600 BC- AD 250), the Maya had already achieved a high organizational level as evidenced by the construction of massive temples and an elaborate inter-connecting roadway system. Although they experienced several setbacks such as droughts and hurricanes, the Maya nevertheless managed the delicate forest ecosystem successfully for several centuries. However, around AD 800, something happened to the Maya to cause their rapid decline and eventual disappearance from the region. The evidence indicates that at this time there was increased climatic dryness, extensive deforestation, overpopulation, and widespread warfare. This raises a question that is relevant to the contemporary world-namely, how severe do internal stresses in a civilization have to become before relatively minor climate shifts can trigger a widespread cultural collapse?

  12. Predicting early cognitive decline in newly-diagnosed Parkinson's patients: A practical model.

    PubMed

    Hogue, Olivia; Fernandez, Hubert H; Floden, Darlene P

    2018-06-19

    To create a multivariable model to predict early cognitive decline among de novo patients with Parkinson's disease, using brief, inexpensive assessments that are easily incorporated into clinical flow. Data for 351 drug-naïve patients diagnosed with idiopathic Parkinson's disease were obtained from the Parkinson's Progression Markers Initiative. Baseline demographic, disease history, motor, and non-motor features were considered as candidate predictors. Best subsets selection was used to determine the multivariable baseline symptom profile that most accurately predicted individual cognitive decline within three years. Eleven per cent of the sample experienced cognitive decline. The final logistic regression model predicting decline included five baseline variables: verbal memory retention, right-sided bradykinesia, years of education, subjective report of cognitive impairment, and REM behavior disorder. Model discrimination was good (optimism-adjusted concordance index = .749). The associated nomogram provides a tool to determine individual patient risk of meaningful cognitive change in the early stages of the disease. Through the consideration of easily-implemented or routinely-gathered assessments, we have identified a multidimensional baseline profile and created a convenient, inexpensive tool to predict cognitive decline in the earliest stages of Parkinson's disease. The use of this tool would generate prediction at the individual level, allowing clinicians to tailor medical management for each patient and identify at-risk patients for clinical trials aimed at disease modifying therapies. Copyright © 2018. Published by Elsevier Ltd.

  13. Forms of attrition in a longitudinal study of religion and health in older adults and implications for sample bias

    PubMed Central

    Hayward, R. David; Krause, Neal

    2014-01-01

    The use of longitudinal designs in the field of religion and health makes it important to understand how attrition bias may affect findings in this area. This study examines attrition in a 4-wave, 8-year study of older adults. Attrition resulted in a sample biased towards more educated and more religiously-involved individuals. Conditional linear growth curve models found that trajectories of change for some variables differed among attrition categories. Ineligibles had worsening depression, declining control, and declining attendance. Mortality was associated with worsening religious coping styles. Refusers experienced worsening depression. Nevertheless, there was no evidence of bias in the key religion and health results. PMID:25257794

  14. Forms of Attrition in a Longitudinal Study of Religion and Health in Older Adults and Implications for Sample Bias.

    PubMed

    Hayward, R David; Krause, Neal

    2016-02-01

    The use of longitudinal designs in the field of religion and health makes it important to understand how attrition bias may affect findings in this area. This study examines attrition in a 4-wave, 8-year study of older adults. Attrition resulted in a sample biased toward more educated and more religiously involved individuals. Conditional linear growth curve models found that trajectories of change for some variables differed among attrition categories. Ineligibles had worsening depression, declining control, and declining attendance. Mortality was associated with worsening religious coping styles. Refusers experienced worsening depression. Nevertheless, there was no evidence of bias in the key religion and health results.

  15. Tufted capuchin monkeys (Sapajus sp) learning how to crack nuts: does variability decline throughout development?

    PubMed

    Resende, Briseida Dogo; Nagy-Reis, Mariana Baldy; Lacerda, Fernanda Neves; Pagnotta, Murillo; Savalli, Carine

    2014-11-01

    We investigated the process of nut-cracking acquisition in a semi-free population of tufted capuchin monkeys (Sapajus sp) in São Paulo, Brazil. We analyzed the cracking episodes from monkeys of different ages and found that variability of actions related to cracking declined. Inept movements were more frequent in juveniles, which also showed an improvement on efficient striking. The most effective behavioral sequence for cracking was more frequently used by the most experienced monkeys, which also used non-optimal sequences. Variability in behavior sequences and actions may allow adaptive changes to behavior under changing environmental conditions. Copyright © 2014 Elsevier B.V. All rights reserved.

  16. Spacelab

    NASA Image and Video Library

    1983-11-01

    In this Spacelab-1 mission onboard photograph, astronaut Byron Lichtenberg performs a drop experiment, one of the Vestibular Experiments in Space investigations. The experiment examined spinal reflexes to determine whether they changed in microgravity. In Earth's environment, the otoliths signal the muscles to prepare for jolts associated with falling. During the flight, the normal reflex between the otoliths and the muscles was partially inhibited early in flight, declined further as the flight progressed, and returned to normal immediately after landing, suggesting that the brain ignored or reinterpreted otolith signals during space flight. Crewmembers reported a lack of awareness of position and location of feet, difficulty in maintaining balance, and a perception that falls were more sudden, faster, and harder than similar drops experienced in preflight. Crewmembers experienced illusions as they performed prescribed movement tests. When crew members viewed various targets and then pointed at them while blindfolded, their perception of target location and position of their own limbs was inaccurate in flight compared with similar tests on the ground. The Spacelab-1 was a multidisciplinary mission; that is, investigations were performed in several different fields of scientific research. The overall goal of the mission was to verify Spacelab performance through a variety of scientific experiments. The Spacelab-1 was launched aboard the Space Shuttle Orbiter Columbia for the STS-9 mission on November 28, 1983. The Marshall Space Flight Center had management responsibilities for the mission.

  17. Recruitment variability of alewives in Lake Michigan

    USGS Publications Warehouse

    Madenjian, C.P.; Hook, T.O.; Rutherford, E.S.; Mason, D.M.; Croley, T.E.; Szalai, E.B.; Bence, J.R.

    2005-01-01

    We used a long-term series of observations on alewife Alosa pseudoharengus abundance that was based on fall bottom-trawl catches to assess the importance of various abiotic and biotic factors on alewife recruitment in Lake Michigan during 1962–2002. We first fit a basic Ricker spawner–recruit model to the lakewide biomass estimates of age-3 recruits and the corresponding spawning stock size; we then fit models for all possible combinations of the following four external variables added to the basic model: an index of salmonine predation on an alewife year-class, an index for the spring–summer water temperatures experienced by alewives during their first year in the lake, an index of the severity of the first winter experienced by alewives in the lake, and an index of lake productivity during an alewife year-class's second year in the lake. Based on an information criterion, the best model for alewife recruitment included indices of salmonine predation and spring–summer water temperatures as external variables. Our analysis corroborated the contention that a decline in alewife abundance during the 1970s and early 1980s in Lake Michigan was driven by salmonine predation. Furthermore, our findings indicated that the extraordinarily warm water temperatures during the spring and summer of 1998 probably led to a moderately high recruitment of age-3 alewives in 2001, despite abundant salmonines.

  18. Life Course Trajectories of Labour Market Participation among Young Adults Who Experienced Severe Alcohol-Related Health Outcomes: A Retrospective Cohort Study.

    PubMed

    Paljärvi, Tapio; Martikainen, Pekka; Pensola, Tiina; Leinonen, Taina; Herttua, Kimmo; Mäkelä, Pia

    2015-01-01

    Long-term employment trajectories of young problem drinkers are poorly understood. We constructed retrospective labour market participation histories at ages 18-34 of 64 342 persons born in 1969-1982. Beginning from the year of each subject's 18th birthday, we extracted information from the records of Statistics Finland on educational attainment, main type of economic activity, months in employment, and months in unemployment for a minimum of seven years (range 7-16 years). We used information on the timing of alcohol-related hospitalizations and deaths in the same period to define problem drinkers with early onset limited course, early onset persistent course, and late onset problem drinking. Early onset limited course problem drinkers improved their employment considerably by age, whereas early onset persistent problem drinkers experienced a constant decline in their employment by age. From the age of 18 to 34, early onset persistent problem drinkers were in employment merely 12% of the time, in comparison with 39% among the early onset limited course problem drinkers, and 58% among the general population. These results indicate that young adults who were retrospectively defined as having early onset persistent course problem drinking were extensively marginalized from the labour market early on during their life course, and that their employment trajectory was significantly worse compared to other problem drinkers.

  19. Coral community response to bleaching on a highly disturbed reef

    PubMed Central

    Guest, J. R.; Low, J.; Tun, K.; Wilson, B.; Ng, C.; Raingeard, D.; Ulstrup, K. E.; Tanzil, J. T. I.; Todd, P. A.; Toh, T. C.; McDougald, D.; Chou, L. M.; Steinberg, P. D.

    2016-01-01

    While many studies of coral bleaching report on broad, regional scale responses, fewer examine variation in susceptibility among coral taxa and changes in community structure, before, during and after bleaching on individual reefs. Here we report in detail on the response to bleaching by a coral community on a highly disturbed reef site south of mainland Singapore before, during and after a major thermal anomaly in 2010. To estimate the capacity for resistance to thermal stress, we report on: a) overall bleaching severity during and after the event, b) differences in bleaching susceptibility among taxa during the event, and c) changes in coral community structure one year before and after bleaching. Approximately two thirds of colonies bleached, however, post-bleaching recovery was quite rapid and, importantly, coral taxa that are usually highly susceptible were relatively unaffected. Although total coral cover declined, there was no significant change in coral taxonomic community structure before and after bleaching. Several factors may have contributed to the overall high resistance of corals at this site including Symbiodinium affiliation, turbidity and heterotrophy. Our results suggest that, despite experiencing chronic anthropogenic disturbances, turbid shallow reef communities may be remarkably resilient to acute thermal stress. PMID:26876092

  20. Coral community response to bleaching on a highly disturbed reef.

    PubMed

    Guest, J R; Low, J; Tun, K; Wilson, B; Ng, C; Raingeard, D; Ulstrup, K E; Tanzil, J T I; Todd, P A; Toh, T C; McDougald, D; Chou, L M; Steinberg, P D

    2016-02-15

    While many studies of coral bleaching report on broad, regional scale responses, fewer examine variation in susceptibility among coral taxa and changes in community structure, before, during and after bleaching on individual reefs. Here we report in detail on the response to bleaching by a coral community on a highly disturbed reef site south of mainland Singapore before, during and after a major thermal anomaly in 2010. To estimate the capacity for resistance to thermal stress, we report on: a) overall bleaching severity during and after the event, b) differences in bleaching susceptibility among taxa during the event, and c) changes in coral community structure one year before and after bleaching. Approximately two thirds of colonies bleached, however, post-bleaching recovery was quite rapid and, importantly, coral taxa that are usually highly susceptible were relatively unaffected. Although total coral cover declined, there was no significant change in coral taxonomic community structure before and after bleaching. Several factors may have contributed to the overall high resistance of corals at this site including Symbiodinium affiliation, turbidity and heterotrophy. Our results suggest that, despite experiencing chronic anthropogenic disturbances, turbid shallow reef communities may be remarkably resilient to acute thermal stress.

  1. Coral community response to bleaching on a highly disturbed reef

    NASA Astrophysics Data System (ADS)

    Guest, J. R.; Low, J.; Tun, K.; Wilson, B.; Ng, C.; Raingeard, D.; Ulstrup, K. E.; Tanzil, J. T. I.; Todd, P. A.; Toh, T. C.; McDougald, D.; Chou, L. M.; Steinberg, P. D.

    2016-02-01

    While many studies of coral bleaching report on broad, regional scale responses, fewer examine variation in susceptibility among coral taxa and changes in community structure, before, during and after bleaching on individual reefs. Here we report in detail on the response to bleaching by a coral community on a highly disturbed reef site south of mainland Singapore before, during and after a major thermal anomaly in 2010. To estimate the capacity for resistance to thermal stress, we report on: a) overall bleaching severity during and after the event, b) differences in bleaching susceptibility among taxa during the event, and c) changes in coral community structure one year before and after bleaching. Approximately two thirds of colonies bleached, however, post-bleaching recovery was quite rapid and, importantly, coral taxa that are usually highly susceptible were relatively unaffected. Although total coral cover declined, there was no significant change in coral taxonomic community structure before and after bleaching. Several factors may have contributed to the overall high resistance of corals at this site including Symbiodinium affiliation, turbidity and heterotrophy. Our results suggest that, despite experiencing chronic anthropogenic disturbances, turbid shallow reef communities may be remarkably resilient to acute thermal stress.

  2. Predicting survival in AIDS: refining the model.

    PubMed

    Hutchinson, S J; Brettle, R P; Gore, S M

    1997-11-01

    We tested the validity of a previously-published AIDS staging system by examining AIDS-defining diseases (ADDs) and CD4 counts as prognostic factors for survival of the 248 AIDS patients in the Edinburgh City Hospital Cohort, of whom 56% were injecting drug-users (IDUs). Cox regression was used to model the proportionality of risk of death as the CD4 count declined and more ADDs were experienced, and dependence upon post-AIDS treatment. Using the system of Mocroft et al. (Lancet 1995; 346:12-17) to grade severity, our data were well enough modelled, but we suggest: (i) regrading of HIV dementia (RR 3.9, 95% CI 2.5-6.0), mainly attributed to the drug users, to a very severe ADD; (ii) reduction in risk from zidovudine (RR 0.7, 95% CI 0.5-1.0) during AIDS follow-up for patients starting treatment at or after AIDS diagnosis; (iii) improved management of first mild ADDs (from 1987-89 to 1994-95: 40% reduction in IDUs appearing with mild index diseases, and an approximate three-fold reduction in risk associated with a mild ADD). This study supports previous findings on the significance of ADDs and lowest CD4 count in predicting the lifetime of AIDS patients.

  3. Indicators of Population Viabllity in Red Spruce, Picea rubens. I. Reproductive Traits and Fecundity

    Treesearch

    A. Mosseler; J.E. Major; J.D. Simpson; B. Daigle; K. Lange; Y.S. Park; K.H Johnsen; O.P. Rajora

    2000-01-01

    Red spruce (Picea rubens Sarg.) has experienced a substantial decline across most of its range in eastern North America over the past centmy and probably also in the disjunct Ontario populations where it now occurs only in small isolated stands. Measurements of cone and seed traits from natural populations were used as indicators of the...

  4. Post-1900 mule deer irruptions in the Intermountain West: Principal cause and influences

    Treesearch

    George E. Gruell

    1986-01-01

    Tests hypotheses for mule deer population increases between the early 1930's and mid-1960's. Concludes that livestock grazing and absence of fire converted vast areas of grasses and forbs to woody plants favored by mule deer. Mule deer populations, therefore, irrupted between 1930 and 1965 and have since experienced a decline as plant succession moves toward...

  5. Renewing Quality Assurance at a Time of Turbulence: An Attempt to Reenergise Quality in Australian Higher Education

    ERIC Educational Resources Information Center

    Shah, Mahsood; Nair, Chenicheri Sid

    2011-01-01

    The renewal of quality assurance in Australian higher education comes at a time when the higher education sectors in Australia and around the world are experiencing a number of key challenges. These include: ongoing decline in public funding of universities; the massification of higher education and demand for it during global recession;…

  6. Moderate-scale mapping methods of aspen stand types: a case study for Cedar Mountain in southern Utah

    Treesearch

    Chad M. Oukrop; David M. Evans; Dale L. Bartos; R. Douglas Ramsey; Ronald J. Ryel

    2011-01-01

    Quaking aspen (Populus tremuloides Michx.) are the most widely distributed tree species across North America, but its dominance is declining in many areas of the western United States, with certain areas experiencing rapid mortality events over the past decade. The loss of aspen from western landscapes will continue to profoundly impact biological, commercial, and...

  7. How the Economy Influences Pedagogy: The Great Recession's Influence on Elementary Teaching Practices

    ERIC Educational Resources Information Center

    Sawyer, Amanda G.

    2017-01-01

    From 2007 to 2009, the United States experienced one of the greatest economic declines reported in the previous decades, known as the Great Recession (Bureau of Labor Statistics, 2012). While a great deal of media attention focused on the immediate financial effects of the recession, little discussion was made about the influence of this crisis…

  8. The surprising recovery of red spruce growth shows links to decreased acid deposition and elevated temperature

    Treesearch

    Alexandra M. Kosiba; Paul G. Schaberg; Shelly A. Rayback; Gary J. Hawley

    2018-01-01

    Following growth declines and increased mortality linked to acid deposition-induced calcium depletion, red spruce (Picea rubens Sarg.) in the northeastern United States are experiencing a recovery. We found that more than 75% of red spruce trees and 90% of the plots examined in this study exhibited increasing growth since 2001. To understand this...

  9. Nitrogen deposition effects on coastal sage vegetation of southern California

    Treesearch

    Edith B. Allen; Pamela E. Padgett; Andrzej Bytnerowicz; Richard Minnich

    1998-01-01

    The coastal sage scrub (CSS) vegetation of southern California has been declining in land area and in shrub density over the past 60 years or more, and is being replaced by Mediterranean annual grasses in many areas. Although much of this loss is attributable to agriculture, grazing, urbanization and frequent fire, even protected areas have experienced a loss in native...

  10. The Lasting Effects of Process-Specific versus Stimulus-Specific Learning during Infancy

    ERIC Educational Resources Information Center

    Hadley, Hillary; Pickron, Charisse B.; Scott, Lisa S.

    2015-01-01

    The capacity to tell the difference between two faces within an infrequently experienced face group (e.g. other species, other race) declines from 6 to 9 months of age unless infants learn to match these faces with individual-level names. Similarly, the use of individual-level labels can also facilitate differentiation of a group of non-face…

  11. Challenges for Children and Women in the 1990s: Eastern and Southern Africa in Profile.

    ERIC Educational Resources Information Center

    United Nations Children's Fund, Nairobi (Kenya). Eastern and Southern Africa Regional Office.

    This report profiles conditions in the lives of children and women in Eastern and Southern Africa (ESA), and attempts to identify and analyze trends and issues which are emerging in ESA and which have particular significance for UNICEF activities. During the 1980s, ESA experienced unprecedented economic decline due to falling commodity prices and…

  12. Factors that influence the export success of forest products companies in the Pacific Northwest

    Treesearch

    I. Eastin; K. Cunningham; J. Roos

    2004-01-01

    Although most North American firms reported a decline in export revenues from Japan over the period 1997 to 1998, some firms experienced increases. This anomaly prompted an investigation into why some firms were successful in increasing their exports while other firms were not. The primary objective of this study was to identify the key characteristics of successful...

  13. What Do Regional Changes in Lumber Production Tell Us About Future Competitiveness?

    Treesearch

    William G. Luppold

    2005-01-01

    Between 1984 and 1999 Eastern hardwood lumber production increased by nearly 3 billion board feet (Figure I). More amazingly, hardwood lumber production in the 1990's was 10 percent higher than the previous peak period of 1904 to 1913. Since 1999, the hardwood lumber industry has suffered through four years of declining production and demand before experiencing a...

  14. Productivity of early successional shrubland birds in clearcuts and groupcuts in an eastern deciduous forest

    Treesearch

    David I. King; Richard M. DeGraaf; Curtice R. Griffin

    2001-01-01

    Uneven-aged forest management has been advocated as a silvicultural practice because of concerns about the negative effects of even-aged management on birds that dwell in mature forests. Recent evidence, however, indicates that in the northeastern United States, bird species that inhabit early successional habitats may be experiencing more widespread declines than...

  15. A History of the World Esperanto Youth Organization. Esperanto Documents No. 35A.

    ERIC Educational Resources Information Center

    Saletti, Norberto

    From the beginning, the Esperanto movement has flourished because of the work of young people. They were among the pioneers in promoting the language and its use. The World Esperanto Youth Organization was formed in 1920, and has experienced periods of growth and decline in interest and participation. A 1969 declaration calling on youth throughout…

  16. Ecophysiology of seedling establishment in contrasting spruce-fir forests of southern Appalachian and Rocky Mountain ecotones, USA

    Treesearch

    William K. Smith; Keith N.C. Reinhardt; Daniel M. Johnson

    2010-01-01

    Fraser fir (Abies fraseri [Pursh] Poiret) and red spruce (Picea rubens Sarg.) occur as codominant trees in six relic, mountain-top populations that make up the high-elevation forests of the Southern Appalachian Mountains (SA). These two relic species of the former boreal forest have experienced a significant decline over the past...

  17. Using the Theory of Planned Behaviour to Understand Students' Subject Choices in Post-Compulsory Education

    ERIC Educational Resources Information Center

    Taylor, Rachel Charlotte

    2015-01-01

    In recent years, there have been concerns in the UK regarding the uptake of particular subjects in post-compulsory education. Whilst entries for Advanced level (A-level) subjects such as media studies have experienced considerable growth, entries for A-level physics have, until recently, been declining, prompting fears of a skills crisis in future…

  18. Influence of hiking trails on montane birds

    Treesearch

    William V. Deluca; David I. King

    2014-01-01

    Montane forests contribute significantly to regional biodiversity. Long-term monitoring data, often located along hiking trails, suggests that several indicator species of this ecosystem have declined in recent decades. Declining montane bird populations have been attributed to anthropogenic stressors such as climate change and atmospheric deposition. Several studies...

  19. A retrospective analysis of pollen host plant use by stable and declining bumble bee species.

    PubMed

    Kleijn, David; Raemakers, Ivo

    2008-07-01

    Understanding population declines has been the objective of a wide range of ecological studies. When species have become rare such studies are complicated because particular behavior or life history traits may be the cause but also the result of the decline of a species. We approached this problem by studying species' characteristics on specimens that were collected before the onset of their decline and preserved in natural history museums. In northwestern Europe, some bumble bee species declined dramatically during the 20th century whereas other, ecologically similar, species maintained stable populations. A long-standing debate focuses on whether this is caused by declining species having stricter host plant preferences. We compared the composition of pollen loads of five bumble bee species with stable populations and five with declining populations using museum specimens collected before 1950 in Belgium, England, and The Netherlands. Prior to 1950, the number of plant taxa in pollen loads of declining species was almost one-third lower than that in stable species even though individuals of stable and declining species generally originated from the same areas. There were no systematic differences in the composition of pollen loads between stable and declining species, but the plant taxa preferred by declining species before 1950 had experienced a stronger decline in the 20th century than those preferred by stable species. In 2004 and 2005, we surveyed the areas where bumble bees had been caught in the past and compared the composition of past and present pollen loads of the stable, but not of the by now locally extinct declining species. The number of collected pollen taxa was similar, but the composition differed significantly between the two periods. Differences in composition reflected the major changes in land use in northwestern Europe but also the spread of the invasive plant species Impatiens glandulifera. The main question now is why declining species apparently were not able to switch to less preferred food plants when stable species were. This study shows that natural history collections can play an important role in improving our understanding of the ecological mechanisms driving species population change.

  20. Change in mobility function and its causes in adults with cerebral palsy by Gross Motor Function Classification System level: A cross-sectional questionnaire study.

    PubMed

    Himuro, Nobuaki; Mishima, Reiko; Seshimo, Takashi; Morishima, Toshibumi; Kosaki, Keisuke; Ibe, Shigeharu; Asagai, Yoshimi; Minematsu, Koji; Kurita, Kazuhiro; Okayasu, Tsutomu; Shimura, Tsukasa; Hoshino, Kotaro; Suzuki, Toshiro; Yanagizono, Taiichiro

    2018-04-07

    The prognosis for mobility function by Gross Motor Function Classification System (GMFCS) level is vital as a guide to rehabilitation for people with cerebral palsy. This study sought to investigate change in mobility function and its causes in adults with cerebral palsy by GMFCS level. We conducted a cross-sectional questionnaire study. A total of 386 participants (26 y 8 m, SD 5 y 10 m) with cerebral palsy were analyzed. Participant numbers by GMFCS level were: I (53), II (139), III (74) and IV (120). The median age of participants with peak mobility function in GMFCS level III was younger than that in the other levels. 48% had experienced a decline in mobility. A Kaplan-Meier plot showed the risk of mobility decline increased in GMFCS level III; the hazard ratio was 1.97 (95% CI, 1.20-3.23) compared with level I. The frequently reported causes of mobility decline were changes in environment, and illness and injury in GMFCS level III, stiffness and deformity in level IV, and reduced physical activity in level II and III. Peak mobility function and mobility decline occurred at a younger age in GMFCS level III, with the cause of mobility decline differing by GMFCS level.

  1. Climate and ecosystem linkages explain widespread declines in North American Atlantic salmon populations.

    PubMed

    Mills, Katherine E; Pershing, Andrew J; Sheehan, Timothy F; Mountain, David

    2013-10-01

    North American Atlantic salmon (Salmo salar) populations experienced substantial declines in the early 1990s, and many populations have persisted at low abundances in recent years. Abundance and productivity declined in a coherent manner across major regions of North America, and this coherence points toward a potential shift in marine survivorship, rather than local, river-specific factors. The major declines in Atlantic salmon populations occurred against a backdrop of physical and biological shifts in Northwest Atlantic ecosystems. Analyses of changes in climate, physical, and lower trophic level biological factors provide substantial evidence that climate conditions directly and indirectly influence the abundance and productivity of North American Atlantic salmon populations. A major decline in salmon abundance after 1990 was preceded by a series of changes across multiple levels of the ecosystem, and a subsequent population change in 1997, primarily related to salmon productivity, followed an unusually low NAO event. Pairwise correlations further demonstrate that climate and physical conditions are associated with changes in plankton communities and prey availability, which are ultimately linked to Atlantic salmon populations. Results suggest that poor trophic conditions, likely due to climate-driven environmental factors, and warmer ocean temperatures throughout their marine habitat area are constraining the productivity and recovery of North American Atlantic salmon populations. © 2013 John Wiley & Sons Ltd.

  2. Aging children of long-lived parents experience slower cognitive decline.

    PubMed

    Dutta, Ambarish; Henley, William; Robine, Jean-Marie; Llewellyn, David; Langa, Kenneth M; Wallace, Robert B; Melzer, David

    2014-10-01

    Parental longevity confers lower risks for some age-related diseases in offspring. We tested the association between parental longevity and late-life cognitive decline or dementia. Data were from the Health and Retirement Study (HRS), a US national sample. Biennial cognitive assessment (Telephone Interview of Cognitive Status-Modified [TICS-m]) occurred for ages 64 years or older in 1996 through 2008 (maximum, 79 years), including physician-diagnosed memory disorder. Offspring were categorized into parental longevity groups based on gender-specific distributional cut points. Model covariates included race, respondents' education, and income status during childhood and adulthood. Offspring groups did not differ on TICS-m scores at baseline. During follow-up, offspring of two long-lived parents experienced 40% slower rates of TICS-m decline than those with no long-lived parents (95% confidence interval, 12-72; P=.003; n=4731). Increased parental longevity was also associated with lower risk of physician-diagnosed memory disorder. Estimates did not change after controlling for environmental variables. Parental longevity is associated inversely with cognitive decline and self-reported diagnosed memory disorders in aging offspring. Parental longevity may be a valuable trait for identifying early biomarkers for resistance to cognitive decline in aging. Copyright © 2014 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

  3. Hydrologic analysis of the High Plains aquifer system in Box Butte County, Nebraska

    USGS Publications Warehouse

    Pettijohn, R.A.; Chen, Hsiu-Hsiung

    1984-01-01

    During the past 40 years, pumpage of ground water for irrigation from the High Plains aquifer system underlying Box Butte County, Nebraska, has resulted in a steady decline of water levels. Consequently, a digital model of the aquifer system was constructed to evaluate various water-management alternatives. The hydraulic conductivity of the aquifer system ranges from 6 to 60 feet per day; the specific yield ranges from 12 to 21 percent; and natural recharge ranges from 0.06 to 4.33 inches annually. Predevelopment saturated thickness (1938) ranged from 190 to 510 feet. Water pumped in 1980 was estimated at 104,000 acre-feet from an estimated recoverable volume of 34.4 million acre-feet in the aquifer system. Results from model simulation predict that the area of water-level declines of 10 feet or more will increase from 336 square miles (1981) to 630 square miles by 1991 if pumpage is increased at the maximum annual rate experienced for the period 1972-81. Maximum water-level declines would increase from 50 feet (1981) to 79 feet (1991). However, pumpage rates held at the 1981 level (no further development) would limit the decline area of 10 feet or more to 530 square miles by 1991 and the maximum decline to 63 feet. (USGS)

  4. Decline in Kidney Function among Apparently Healthy Young Adults at Risk of Mesoamerican Nephropathy.

    PubMed

    Gonzalez-Quiroz, Marvin; Smpokou, Evangelia-Theano; Silverwood, Richard J; Camacho, Armando; Faber, Dorien; Garcia, Brenda La Rosa; Oomatia, Amin; Hill, Michael; Glaser, Jason; Le Blond, Jennifer; Wesseling, Catharina; Aragon, Aurora; Smeeth, Liam; Pearce, Neil; Nitsch, Dorothea; Caplin, Ben

    2018-06-15

    Background Epidemic levels of CKD of undetermined cause, termed Mesoamerican nephropathy in Central America, have been found in low- and middle-income countries. We investigated the natural history of, and factors associated with, loss of kidney function in a population at high risk for this disease. Methods We conducted a 2-year prospective, longitudinal study with follow-up every 6 months in nine rural communities in northwestern Nicaragua and included all men ( n =263) and a random sample of women ( n =87) ages 18-30 years old without self-reported CKD, diabetes, or hypertension. We used growth mixture modeling to identify subgroups of eGFR trajectory and weighted multinomial logistic regression to examine associations with proposed risk factors. Results Among men, we identified three subpopulations of eGFR trajectory (mean baseline eGFR; mean eGFR change over follow-up): 81% remained stable (116 ml/min per 1.73 m 2 ; -0.6 ml/min per 1.73 m 2 per year), 9.5% experienced rapid decline despite normal baseline function (112 ml/min per 1.73 m 2 ; -18.2 ml/min per 1.73 m 2 per year), and 9.5% had baseline dysfunction (58 ml/min per 1.73 m 2 ; -3.8 ml/min per 1.73 m 2 per year). Among women: 96.6% remained stable (121 ml/min per 1.73 m 2 ; -0.6 ml/min per 1.73 m 2 per year), and 3.4% experienced rapid decline (132 ml/min per 1.73 m 2 ; -14.6 ml/min per 1.73 m 2 per year; n =3 women). Among men, outdoor and agricultural work and lack of shade availability during work breaks, reported at baseline, were associated with rapid decline. Conclusions Although Mesoamerican nephropathy is associated with agricultural work, other factors may also contribute to this disease. Copyright © 2018 by the American Society of Nephrology.

  5. The fertility decline in Kenya.

    PubMed

    Robinson, W C; Harbison, S F

    1995-01-01

    In Sub-Saharan Africa Kenya is a prime example of a country experiencing a rapid decline in fertility and greater contraceptive prevalence. These changes have occurred since 1980 when fertility was high at 8.0 children per woman. In 1993 the total fertility rate (TFR) was 5.4, and the growth rate declined to about 2.0%. This transition is swifter than any country in contemporary Asia or historical Europe. The likely projection for Kenya is attainment of replacement level fertility during the 2020s and a leveling of population at about 100 million persons. Fertility has declined the most in urban areas and central and eastern regions. Bongaarts' proximate determinants (TFR, total marital fertility rate, total natural marital fertility rate, and total fecundity) are reduced to the proportion of currently married women using contraception, the proportion in lactational nonfecund status, and the proportion currently married. Actual fertility change is accounted for by total fertility change of 3.0 children. Lactational infecundability accounts for 0.5 potential births, and changes in marital fertility account for 1.0 reduced births per woman. About 70% of fertility reduction is accounted for by contraception and abortion. During 1977-78 80% of fertility control was due to lactational nonfecundity, 10% to nonmarriage, and 10% to contraception. In 1993 lactational nonfecundity accounted for 50% of the reduction, nonmarriage for 20%, and abortion about 30%. Future fertility is expected to be dependent on contraceptive prevalence. Kenya has experienced the Coale paradigm of preconditions necessary for demographic transition (willing, ready, and able). High fertility in Africa is not intractable. Creating the change in attitudes that leads to readiness is linked to education, health, and exposure to modernizing media and urban lifestyles. The public sector family planning program in Kenya has created the opportunity for access and availability of contraception. The key features of reform appear to be political stability, public sector programs, and supply of contraception through the health service.

  6. Poaching and human encroachment reverse recovery of African savannah elephants in south-east Angola despite 14 years of peace

    PubMed Central

    Chase, Michael J.; Griffin, Curtice R.

    2018-01-01

    With populations of African savannah elephants (Loxodonta africana) declining across the continent, assessing the status of individual elephant populations is important for conservation. Angola’s elephant population represents a key linkage between the larger populations of Namibia and Botswana. Elephants in Angola were decimated during the 1975–2002 Angolan civil war, but a 2005 survey showed that populations were recolonizing former habitats. Between 2005 and 2015, no research was permitted on elephants in Angola, but elsewhere in Africa many elephant populations experienced a poaching crisis. In 2015, we were able to resume elephant research in Angola. We used aerial surveys and satellite monitoring of collared elephants to determine the current status of elephant populations in Angola and to learn how human populations may be affecting elephant habitat usage. The aerial survey revealed a population of 3,395 ± SE of 797 elephants, but populations had declined 21% from the 2005 estimate. The high number of carcasses observed on the survey suggests that populations may have increased after the 2005 survey but were declining rapidly as of 2015. Satellite-collared elephants avoided areas <6 km from human indicators but preferred areas nearer humans at scales of 6–40 km, suggesting that humans may be displacing elephants from preferred habitats near rivers. Taken together, these results suggest that Angola’s elephant population is experiencing intense poaching and may be losing habitat to human settlements. Without action to conserve their populations, Angola’s elephants face an uncertain future. PMID:29538387

  7. Predicting Impacts of Climate Change on the Aboveground Carbon Sequestration Rate of a Temperate Forest in Northeastern China

    PubMed Central

    Ma, Jun; Hu, Yuanman; Bu, Rencang; Chang, Yu; Deng, Huawei; Qin, Qin

    2014-01-01

    The aboveground carbon sequestration rate (ACSR) reflects the influence of climate change on forest dynamics. To reveal the long-term effects of climate change on forest succession and carbon sequestration, a forest landscape succession and disturbance model (LANDIS Pro7.0) was used to simulate the ACSR of a temperate forest at the community and species levels in northeastern China based on both current and predicted climatic data. On the community level, the ACSR of mixed Korean pine hardwood forests and mixed larch hardwood forests, fluctuated during the entire simulation, while a large decline of ACSR emerged in interim of simulation in spruce-fir forest and aspen-white birch forests, respectively. On the species level, the ACSR of all conifers declined greatly around 2070s except for Korean pine. The ACSR of dominant hardwoods in the Lesser Khingan Mountains area, such as Manchurian ash, Amur cork, black elm, and ribbed birch fluctuated with broad ranges, respectively. Pioneer species experienced a sharp decline around 2080s, and they would finally disappear in the simulation. The differences of the ACSR among various climates were mainly identified in mixed Korean pine hardwood forests, in all conifers, and in a few hardwoods in the last quarter of simulation. These results indicate that climate warming can influence the ACSR in the Lesser Khingan Mountains area, and the largest impact commonly emerged in the A2 scenario. The ACSR of coniferous species experienced higher impact by climate change than that of deciduous species. PMID:24763409

  8. Predicting impacts of climate change on the aboveground carbon sequestration rate of a temperate forest in northeastern China.

    PubMed

    Ma, Jun; Hu, Yuanman; Bu, Rencang; Chang, Yu; Deng, Huawei; Qin, Qin

    2014-01-01

    The aboveground carbon sequestration rate (ACSR) reflects the influence of climate change on forest dynamics. To reveal the long-term effects of climate change on forest succession and carbon sequestration, a forest landscape succession and disturbance model (LANDIS Pro7.0) was used to simulate the ACSR of a temperate forest at the community and species levels in northeastern China based on both current and predicted climatic data. On the community level, the ACSR of mixed Korean pine hardwood forests and mixed larch hardwood forests, fluctuated during the entire simulation, while a large decline of ACSR emerged in interim of simulation in spruce-fir forest and aspen-white birch forests, respectively. On the species level, the ACSR of all conifers declined greatly around 2070s except for Korean pine. The ACSR of dominant hardwoods in the Lesser Khingan Mountains area, such as Manchurian ash, Amur cork, black elm, and ribbed birch fluctuated with broad ranges, respectively. Pioneer species experienced a sharp decline around 2080s, and they would finally disappear in the simulation. The differences of the ACSR among various climates were mainly identified in mixed Korean pine hardwood forests, in all conifers, and in a few hardwoods in the last quarter of simulation. These results indicate that climate warming can influence the ACSR in the Lesser Khingan Mountains area, and the largest impact commonly emerged in the A2 scenario. The ACSR of coniferous species experienced higher impact by climate change than that of deciduous species.

  9. Atrial fibrillation in patients with severe mental disorders and the risk of stroke, fatal thromboembolic events and bleeding: a nationwide cohort study

    PubMed Central

    Søgaard, Mette; Skjøth, Flemming; Kjældgaard, Jette Nordstrøm; Larsen, Torben Bjerregaard; Hjortshøj, Søren Pihlkjær; Riahi, Sam

    2017-01-01

    Objectives Outcomes of atrial fibrillation (AF) in patients with severe mental disorders are largely unknown. We compared rates of stroke, fatal thromboembolic events and bleeding in patients with AF with and without mental disorders. Design Nationwide registry-based cohort study. Setting Denmark (population 5.6 million), 2000–2015. Participants Patients with AF with schizophrenia (n=534), severe depression (n=400) or bipolar disease (n=569) matched 1:5 on age, sex and calendar time to patients with AF without mental disorders. Exposure Inpatient or hospital-based outpatient diagnosis of schizophrenia, severe depression or bipolar disease. Primary and secondary outcome measures HRs for stroke, fatal thromboembolic events and major bleeding comparing patients with and without mental disorders estimated by Cox regression with sequential adjustment for risk factors for stroke and bleeding, comorbidity and initiation of oral anticoagulant therapy (OAT). Results Compared with matched comparisons, crude 5-year HRs of ischaemic stroke were 1.37 (95% CI 0.88 to 2.14) for schizophrenia, 1.36 (95% CI 0.89 to 2.08) for depression and 1.04 (95% CI 0.69 to 1.56) for bipolar disease. After adjusting for risk factors, comorbidity and OAT, these HRs declined towards the null. Crude HRs of fatal thromboembolic events were 3.16 (95% CI 1.78 to 5.61) for schizophrenia, 1.31 (95% CI 0.67 to 2.56) for depression and 1.53 (95% CI 0.93 to 2.53) for bipolar disease. Rates of major bleeding were increased in patients with schizophrenia (crude HR 1.37, 95% CI 0.99 to 1.90) and severe depression (HR 1.25, 95% CI 0.87 to 1.78) but not bipolar disease (HR 0.82, 95% CI 0.58 to 1.15). Conclusion Patients with AF with schizophrenia or severe depression experienced increased rates of stroke and major bleeding compared with matched comparisons. This increase was largely explained by differences in the prevalence of risk factors for stroke and bleeding, comorbidity and initiation of OAT during follow-up. Patients with AF with schizophrenia further experienced higher mortality following thromboembolic events than matched comparisons without mental disorders. PMID:29217725

  10. Biotic agents responsible for rapid crown decline and mortality of hickory in northeastern and north central USA

    Treesearch

    Jennifer Juzwik; Hi-Hyun Park; Mark T. Banik; Linda Haugen

    2013-01-01

    Severe decline and mortality of hickory (Carya spp.) occur periodically in the eastern United States. Recently, rapidly declining crowns followed by tree mortality were found to be the predominant symptoms based on a 2 year survey in six north central and northeastern states. Stems of actively declining bitternut hickory (Carya cordiformis...

  11. The Potential Utility of Eye Movements in the Detection and Characterization of Everyday Functional Difficulties in Mild Cognitive Impairment.

    PubMed

    Seligman, Sarah C; Giovannetti, Tania

    2015-06-01

    Mild cognitive impairment (MCI) refers to the intermediate period between the typical cognitive decline of normal aging and more severe decline associated with dementia, and it is associated with greater risk for progression to dementia. Research has suggested that functional abilities are compromised in MCI, but the degree of impairment and underlying mechanisms remain poorly understood. The development of sensitive measures to assess subtle functional decline poses a major challenge for characterizing functional limitations in MCI. Eye-tracking methodology has been used to describe visual processes in everyday, naturalistic action among healthy older adults as well as several case studies of severely impaired individuals, and it has successfully differentiated healthy older adults from those with MCI on specific visual tasks. These studies highlight the promise of eye-tracking technology as a method to characterize subtle functional decline in MCI. However, to date no studies have examined visual behaviors during completion of naturalistic tasks in MCI. This review describes the current understanding of functional ability in MCI, summarizes findings of eye-tracking studies in healthy individuals, severe impairment, and MCI, and presents future research directions to aid with early identification and prevention of functional decline in disorders of aging.

  12. Optimistic expectations in early marriage: a resource or vulnerability for adaptive relationship functioning?

    PubMed

    Neff, Lisa A; Geers, Andrew L

    2013-07-01

    Do optimistic expectations facilitate or hinder adaptive responses to relationship challenges? Traditionally, optimism has been characterized as a resource that encourages positive coping efforts within relationships. Yet, some work suggests optimism can be a liability, as expecting the best may prevent individuals from taking proactive steps when confronted with difficulties. To reconcile these perspectives, the current article argues that greater attention must be given to the way in which optimistic expectancies are conceptualized. Whereas generalized dispositional optimism may predict constructive responses to relationship difficulties, more focused relationship-specific forms of optimism may predict poor coping responses. A multi-method, longitudinal study of newly married couples confirmed that spouses higher in dispositional optimism (a) reported engaging in more positive problem-solving behaviors on days in which they experienced greater relationship conflict, (b) were observed to display more constructive problem-solving behaviors when discussing important marital issues with their partner in the lab, and (c) experienced fewer declines in marital well-being over the 1st year of marriage. Conversely, spouses higher in relationship-specific optimism (a) reported engaging in fewer constructive problem-solving behaviors on high conflict days, (b) were observed to exhibit worse problem-solving behaviors in the lab-particularly when discussing marital issues of greater importance-and (c) experienced steeper declines in marital well-being over time. All findings held controlling for self-esteem and neuroticism. Together, results suggest that whereas global forms of optimism may represent a relationship asset, specific forms of optimism can place couples at risk for marital deterioration. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  13. Maternal exposure to neighborhood soil Pb and eclampsia risk in New Orleans, Louisiana (USA): evidence from a natural experiment in flooding.

    PubMed

    Zahran, Sammy; Magzamen, Sheryl; Breunig, Ian M; Mielke, Howard W

    2014-08-01

    Previous studies link maternal blood lead (Pb) levels and pregnancy-related hypertensive disorders. Assess the relationship between neighborhood soil Pb and maternal eclampsia risk. Zip code summarized high density soil survey data of New Orleans collected before and after Hurricanes Katrina and Rita (HKR) were merged with pregnancy outcome data on 75,501 mothers from the Louisiana office of public health. Cross-sectional logistic regression analyses are performed testing the association between pre-HKR accumulation of Pb in soils in thirty-two neighborhoods and eclampsia risk. Then we examine whether measured declines in soil Pb following the flooding of the city resulted in corresponding reductions of eclampsia risk. Cross-sectional analyses show that a one standard deviation increase in soil Pb increases the odds of eclampsia by a factor of 1.48 (95% CI: 1.31, 1.66). Mothers in zip code areas with soil Pb>333 mg/kg were 4.00 (95% CI: 3.00, 5.35) times more likely to experience eclampsia than mothers residing in neighborhoods with soil Pb<50mg/kg. Difference-in-differences analyses capturing the exogenous reduction in soil Pb following the 2005 flooding of New Orleans indicate that mothers residing in zip codes experiencing decrease in soil Pb (-387.9 to -33.6 mg/kg) experienced a significant decline in eclampsia risk (OR=0.619; 95% CI: 0.397, 0.963). Mothers residing in neighborhoods with high accumulation of Pb in soils are at heightened risk of experiencing eclampsia. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Idiopathic Pulmonary Fibrosis: Gender-Age-Physiology Index Stage for Predicting Future Lung Function Decline.

    PubMed

    Salisbury, Margaret L; Xia, Meng; Zhou, Yueren; Murray, Susan; Tayob, Nabihah; Brown, Kevin K; Wells, Athol U; Schmidt, Shelley L; Martinez, Fernando J; Flaherty, Kevin R

    2016-02-01

    Idiopathic pulmonary fibrosis is a progressive lung disease with variable course. The Gender-Age-Physiology (GAP) Index and staging system uses clinical variables to stage mortality risk. It is unknown whether clinical staging predicts future decline in pulmonary function. We assessed whether the GAP stage predicts future pulmonary function decline and whether interval pulmonary function change predicts mortality after accounting for stage. Patients with idiopathic pulmonary fibrosis (N = 657) were identified retrospectively at three tertiary referral centers, and baseline GAP stages were assessed. Mixed models were used to describe average trajectories of FVC and diffusing capacity of the lung for carbon monoxide (Dlco). Multivariable Cox proportional hazards models were used to assess whether declines in pulmonary function ≥ 10% in 6 months predict mortality after accounting for GAP stage. Over a 2-year period, GAP stage was not associated with differences in yearly lung function decline. After accounting for stage, a 10% decrease in FVC or Dlco over 6 months independently predicted death or transplantation (FVC hazard ratio, 1.37; Dlco hazard ratio, 1.30; both, P ≤ .03). Patients with GAP stage 2 with declining pulmonary function experienced a survival profile similar to patients with GAP stage 3, with 1-year event-free survival of 59.3% (95% CI, 49.4-67.8) vs 56.9% (95% CI, 42.2-69.1). Baseline GAP stage predicted death or lung transplantation but not the rate of future pulmonary function decline. After accounting for GAP stage, a decline of ≥ 10% over 6 months independently predicted death or lung transplantation. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  15. Physical function and independence 1 year after myocardial infarction: observations from the Translational Research Investigating Underlying disparities in recovery from acute Myocardial infarction: Patients' Health status registry.

    PubMed

    Dodson, John A; Arnold, Suzanne V; Reid, Kimberly J; Gill, Thomas M; Rich, Michael W; Masoudi, Frederick A; Spertus, John A; Krumholz, Harlan M; Alexander, Karen P

    2012-05-01

    Acute myocardial infarction (AMI) may contribute to health status declines including "independence loss" and "physical function decline." Despite the importance of these outcomes for prognosis and quality of life, their incidence and predictors have not been well described. We studied 2,002 patients with AMI enrolled across 24 sites in the TRIUMPH registry who completed assessments of independence and physical function at the time of AMI and 1 year later. Independence was evaluated by the EuroQol-5D (mobility, self-care, and usual activities), and physical function was assessed with the Short Form-12 physical component score. Declines in ≥1 level on EuroQol-5D and >5 points in PCS were considered clinically significant changes. Hierarchical, multivariable, modified Poisson regression models accounting for within-site variability were used to identify predictors of independence loss and physical function decline. One-year post AMI, 43.0% of patients experienced health status declines: 12.8% independence loss alone, 15.2% physical function decline alone, and 15.0% both. After adjustment, variables that predicted independence loss included female sex, nonwhite race, unmarried status, uninsured status, end-stage renal disease, and depression. Variables that predicted physical function decline were uninsured status, lack of cardiac rehabilitation referral, and absence of pre-AMI angina. Age was not predictive of either outcome after adjustment. >40% of patients experience independence loss or physical function decline 1 year after AMI. These changes are distinct but can occur simultaneously. Although some risk factors are not modifiable, others suggest potential targets for strategies to preserve patients' health status. Copyright © 2012 Mosby, Inc. All rights reserved.

  16. Changes in Everyday and Digital Health Technology Use Among Seniors in Declining Health.

    PubMed

    Levine, David M; Lipsitz, Stuart R; Linder, Jeffrey A

    2018-03-14

    U.S. seniors' digital health and everyday technology use when their health declines are unknown. Longitudinal cohort using the National Health and Aging Trends Study, a nationally representative, annually administered sample of community-dwelling Medicare beneficiaries (n = 4,037). We used difference-in-differences to assess the adjusted difference (AD) in technology use from 2011 to 2014 between those with and without health declines. Health decline measures included new-onset dementia; new-onset depression; decreases in activities of daily living (ADLs), short physical performance battery (SPPB), grip strength, and self-reported health; relocation to nursing facility; increased hospitalizations; and new-onset comorbidity. Digital health included use of the Internet to research health conditions, contact clinicians, fill prescriptions, and address insurance matters. Between 2011 and 2014, seniors experiencing health decline used various digital health technologies at low absolute rates (range: 1%-20%). Between 2011 and 2014, use of everyday technology decreased significantly among seniors with new-onset dementia (from 73% to 51%; AD, -26%), decreased ADLs (from 76% to 67%; AD, -10%), decreased SPPB (from 88% to 86%; AD, -3%), and relocation to a nursing facility (from 49% to 22%; AD, -31%) compared to seniors without comparable decline (all p < .05). Use of digital health decreased significantly among seniors with new-onset probable dementia (from 9% to 4%; AD, -6%) and decreased SPPB (from 24% to 25%; AD, -4%; all p < .05). The type of health decline a senior experiences predicts technology use, which may allow better targeting of digital health to specific seniors. Seniors with new dementia, relocation to a nursing home, and declining physical performance seem especially poor candidates for technology interventions.

  17. Injecting drug use is associated with a more rapid CD4 cell decline among treatment naïve HIV-positive patients in Indonesia

    PubMed Central

    Meijerink, Hinta; Wisaksana, Rudi; Iskandar, Shelly; den Heijer, Martin; van der Ven, Andre J A M; Alisjahbana, Bachti; van Crevel, Reinout

    2014-01-01

    Background It remains unclear whether the natural course of human immunodeficiency virus (HIV) differs in subjects infected through injecting drug use (IDU) and no data have been published from low- or middle-income countries. We addressed this question in an urban cohort in Indonesia, which is experiencing a rapidly growing HIV epidemic strongly driven by IDU. Methods All antiretroviral treatment (ART) naïve HIV-positive patients who had at least two subsequent CD4 cell counts available before starting ART were included in this study. We examined the association between IDU and CD4 cell decline using a linear mixed model, with adjustment for possible confounders such as HIV viral load and hepatitis C antibodies. Results Among 284 HIV-positive ART naïve patients, the majority were male (56%) with a history of IDU (79% among men). People with a history of IDU had a statistically significant faster decline in CD4 cells (p<0.001). Based on our data, patients with a history of IDU would have an average 33% decline in CD4 cells after one year without ART, compared with a 22% decline among non-users. At two years, the decline would average 66 and 40%, respectively. No other factor was significantly associated with CD4 cell decline. Conclusions We show that a history of IDU is associated with a more rapid CD4 cell natural decline among HIV-positive individuals in Indonesia. These findings have implications for monitoring ART naïve patients with a history of IDU and for starting ART in this group. PMID:24388495

  18. The legacy of slavery and contemporary declines in heart disease mortality in the U.S. South.

    PubMed

    Kramer, Michael R; Black, Nyesha C; Matthews, Stephen A; James, Sherman A

    2017-12-01

    This study aims to characterize the role of county-specific legacy of slavery in patterning temporal (i.e., 1968-2014), and geographic (i.e., Southern counties) declines in heart disease mortality. In this context, the U.S. has witnessed dramatic declines in heart disease mortality since the 1960's, which have benefitted place and race groups unevenly, with slower declines in the South, especially for the Black population. Age-adjusted race- and county-specific mortality rates from 1968-2014 for all diseases of the heart were calculated for all Southern U.S. counties. Candidate confounding and mediating covariates from 1860, 1930, and 1970, were combined with mortality data in multivariable regression models to estimate the ecological association between the concentration of slavery in1860 and declines in heart disease mortality from 1968-2014. Black populations, in counties with a history of highest versus lowest concentration of slavery, experienced a 17% slower decline in heart disease mortality. The association for Black populations varied by region (stronger in Deep South than Upper South states) and was partially explained by intervening socioeconomic factors. In models accounting for spatial autocorrelation, there was no association between slave concentration and heart disease mortality decline for Whites. Nearly 50 years of declining heart disease mortality is a major public health success, but one marked by uneven progress by place and race. At the county level, progress in heart disease mortality reduction among Blacks is associated with place-based historical legacy of slavery. Effective and equitable public health prevention efforts should consider the historical context of place and the social and economic institutions that may play a role in facilitating or impeding diffusion of prevention efforts thereby producing heart healthy places and populations. Graphical abstract.

  19. Effects of polymorphic variations in tumor necrosis factor alpha and occupational exposure to grain dust on longitudinal decline in pulmonary function.

    PubMed

    Pahwa, Punam; Nakagawa, Kazuko; Koehncke, Niels; McDuffie, Helen H

    2009-01-01

    Longitudinal declines in pulmonary function are associated with individuals experiencing occupational exposure to organic dusts in combination with lifestyle factors such as cigarette smoking and with genetic factors, and interactions between these factors. To investigate the relationship between polymorphism of genes encoding Tumor Necrosis Factor Alpha (TNF-alpha) and longitudinal lung function decline in grain workers exposed to grain dust. Male grain handlers who participated in the Saskatchewan Grain Workers Surveillance Program from 2002 through 2005 provided demographic, occupational, lifestyle, and respiratory symptoms information as well as pulmonary function measurements and DNA for genotyping. Marginal models using the generalized estimating equations approach were fitted by using a SAS PROC GENMOD to predict the annual decline in Forced Expired Volume in one second (FEV(1)) and Forced Vital Capacity (FVC). Smoking intensity contributed to the decline in FEV(1.)Among *1/*1 homozygotes and *1/*2 heterozygotes, grain workers with <10 years in the grain industry had significantly lower FEV(1)declines compared to those of the other two exposure groups (>10 and < or =20 years, and >20 years in the grain industry). The annual declines in FEV(1)for grain workers who were either *1/*1 homozygote or *1/*2 heterozygote and had been in the grain industry for <10 years were lower by comparison to those of grain workers who were *2/*2 genotype and had been in the industry for <10 years. This research demonstrates that years in the grain industry is an effect modifier between TNF-alpha 308 genotype and longitudinal decline in FEV(1)in male subjects exposed to grain dust.

  20. Severity of Kyphosis and Decline in Lung Function: The Framingham Study.

    PubMed

    Lorbergs, Amanda L; O'Connor, George T; Zhou, Yanhua; Travison, Thomas G; Kiel, Douglas P; Cupples, L Adrienne; Rosen, Hillel; Samelson, Elizabeth J

    2017-05-01

    Hyperkyphosis reduces the amount of space in the chest, mobility of the rib cage, and expansion of the lungs. Decline in pulmonary function may be greater in persons with more severe kyphosis; however, no prospective studies have assessed this association. We conducted a longitudinal study to quantify the impact of kyphosis severity on decline in pulmonary function over 16 years in women and men. Participants included a convenience sample of 193 women and 82 men in the Framingham Study original cohort (mean age: 63 years; range: 50-79 years), who had measurements of kyphosis angle from lateral spine radiographs obtained in 1972-1976 and forced expiratory volume in 1 second (FEV1) from spirometry taken four times over 16 (±1.87) years from 1972 through 1988. Kyphosis severity was associated with greater decline in FEV1 in women but not in men. Adjusted mean change in FEV1 over 16 years was -162, -245, and -261mL (trend, p = .02) with increasing tertile of kyphosis angle in women and -372, -297, and -257mL (trend, p = .20) in men, respectively. This longitudinal study found that kyphosis severity increased subsequent decline in pulmonary function in women but not in men. Reasons for an association between kyphosis and pulmonary function in women but in not men may be due, at least in part, to the small number of men in our study. Nevertheless, our findings suggest that preventing or slowing kyphosis progression may reduce the burden of pulmonary decline in older adults. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. The Montana earthquake of June 27, 1925

    USGS Publications Warehouse

    Pardee, J.T.

    1927-01-01

    The earthquake of June 27, 1925, in Montana caused considerable damage within an area of 600 square miles or more, the center of which is in latitude 46° 5' N. and longitude 111° 20' W., a short distance southeast of Lombard. It was a seismic disturbance of the first order of magnitude, but, owing to the hour at which it occurred and to other fortunate circumstances, no lives were lost and no fires broke out. The shock was startling throughout an area extending 75 miles or more in all directions from the epicenter and was sensible to persons within an area of 310,000 square miles. Within the epicentral area brick buildings suffered severely, rocks fell from cliffs, cracks opened in the ground, and the inhabitants experienced the usual symptoms of illness and emotions of alarm. Isoseismals drawn according to the Rossi-Forel scale show a wide indentation at the south due to a rapid decline of intensity in the volcanic area of Snake River Plain and Yellowstone Park.

  2. Lead in ammunition: a persistent threat to health and conservation.

    PubMed

    Johnson, C K; Kelly, T R; Rideout, B A

    2013-12-01

    Many scavenging bird populations have experienced abrupt declines across the globe, and intensive recovery activities have been necessary to sustain several species, including the critically endangered California condor (Gymnogyps californianus). Exposure to lead from lead-based ammunition is widespread in condors and lead toxicosis presents an immediate threat to condor recovery, accounting for the highest proportion of adult mortality. Lead contamination of carcasses across the landscape remains a serious threat to the health and sustainability of scavenging birds, and here we summarize recent evidence for exposure to lead-based ammunition and health implications across many species. California condors and other scavenging species are sensitive indicators of the occurrence of lead contaminated carcasses in the environment. Transdisciplinary science-based approaches have been critical to managing lead exposure in California condors and paving the way for use of non-lead ammunition in California. Similar transdisciplinary approaches are now needed to translate the science informing on this issue and establish education and outreach efforts that focus on concerns brought forth by key stakeholders.

  3. A preliminary study of the impact of long-term psychotic disorder on patients' families.

    PubMed

    de Silva, D; de Silva, S

    2001-12-01

    To assess impact of long term psychotic disorders on caregivers. A questionnaire based, interviewer administered, cross-sectional survey using the translated version of a Burden Assessment scale (BAS). Outpatient clinic of the University Psychiatry Unit, National Hospital, Sri Lanka. 50 caregivers of patients suffering from psychotic disorders for more than 2 years. The BAS was administered to 50 caregivers to assess degree of distress and domains of concerns. 60% of caregivers felt very anxious and depressed. 54% experienced a financial decline, and 82% felt responsible for meeting the entire financial needs of the patient. 54% felt that their workload increased due to the illness. 58% of the caregivers were parents. Caregivers of patients with long term psychotic disorders are distressed, and have several concerns. Interventions focused on these will relieve the distress of caregivers and help patients. A majority of caregivers are parents. This has future implications, as many patients are not capable of independent living.

  4. Global warming in the context of 2000 years of Australian alpine temperature and snow cover.

    PubMed

    McGowan, Hamish; Callow, John Nikolaus; Soderholm, Joshua; McGrath, Gavan; Campbell, Micheline; Zhao, Jian-Xin

    2018-03-13

    Annual resolution reconstructions of alpine temperatures are rare, particularly for the Southern Hemisphere, while no snow cover reconstructions exist. These records are essential to place in context the impact of anthropogenic global warming against historical major natural climate events such as the Roman Warm Period (RWP), Medieval Climate Anomaly (MCA) and Little Ice Age (LIA). Here we show for a marginal alpine region of Australia using a carbon isotope speleothem reconstruction, warming over the past five decades has experienced equivalent magnitude of temperature change and snow cover decline to the RWP and MCA. The current rate of warming is unmatched for the past 2000 years and seasonal snow cover is at a minimum. On scales of several decades, mean maximum temperatures have undergone considerable change ≈ ± 0.8 °C highlighting local scale susceptibility to rapid temperature change, evidence of which is often masked in regional to hemisphere scale temperature reconstructions.

  5. And deregulation shall lead me to lie down in green pastures

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

    Weidinger, G.

    1995-06-01

    This presentation briefly reviews the history of the IPP industry, the current state of competition, and potential opportunities for IPPs in a deregulated environment. Since the beginning of the PURPA created IPP industry, we have experienced many market phases. These began with {open_quotes}beat avoided cost,{close_quotes} followed by {open_quotes}find a need and fill it,{close_quotes} followed by {open_quotes}the bid fest,{close_quotes} to today`s {open_quotes}anything goes.{close_quotes} During this time, market clearing prices have declined from over 80/KwHr to 2-40/KwHr. Today`s partially deregulated electric market includes fierce competition and several new players in the game. Where surplus capacity exists, IPPs must compete with subsidized power.more » Long-term contracts are no longer widely available. Access to markets is constrained by less than open transmission. Even with these challenges, opportunities remain for the IPP supplier. Opportunities for advanced coal-fired power systems will be explored.« less

  6. Unstable relationships between tree ring δ18O and climate variables over southwestern China: possible impacts from increasing central Pacific SSTs

    NASA Astrophysics Data System (ADS)

    An, Wenling; Liu, Xiaohong; Hou, Shugui; Zeng, Xiaomin; Sun, Weizhen; Wang, Wenzhi; Wang, Yu; Xu, Guobao; Ren, Jiawen

    2018-05-01

    In this study, we investigated the potential influence of central and eastern Pacific sea surface temperatures (SSTs) on the unstable relationship between earlywood δ18O and climatic factors in the southwestern China from 1902 to 2005. The results show that the strength of the climate signals recorded in the earlywood δ18O series has declined since the late 1970s. This reduction in signal strength may have been caused by the changes in the local hydroclimate, which is associated with the increasing SSTs in the central Pacific Ocean over recent decades. Alongside these increasing SSTs in the central Pacific, southwestern China has experienced more droughts, as well as more severe droughts through the late spring and early summer during the central Pacific (CP) El Niño years than during the eastern Pacific (EP) El Niño years in recent decades. This increased drought frequency may have weakened the response of earlywood δ18O to climate variables.

  7. New evidence of Yangtze delta recession after closing of the Three Gorges Dam

    PubMed Central

    Luo, X. X.; Yang, S. L.; Wang, R. S.; Zhang, C. Y.; Li, P.

    2017-01-01

    Many deltas are likely undergoing net erosion because of rapid decreases in riverine sediment supply and rising global sea levels. However, detecting erosion in subaqueous deltas is usually difficult because of the lack of bathymetric data. In this study, by comparing bathymetric data between 1981 and 2012 and surficial sediment grain sizes from the Yangtze subaqueous delta front over the last three decades, we found severe erosion and significant sediment coarsening in recent years since the construction of Three Gorges Dam (TGD), the largest dam in the world. We attributed these morphological and sedimentary variations mainly to the human-induced drastic decline of river sediment discharge. Combined with previous studies based on bathymetric data from different areas of the same delta, we theorize that the Yangtze subaqueous delta is experiencing overall (net) erosion, although local accumulation was also noted. We expect that the Yangtze sediment discharge will further decrease in the near future because of construction of new dams and delta recession will continue to occur. PMID:28145520

  8. Globalisation, rural restructuring and health service delivery in Australia: policy failure and the role of social work?

    PubMed

    Alston, Margaret

    2007-05-01

    The impacts of globalisation and rural restructuring on health service delivery in rural Australia have been significant. In the present paper, it is argued that declining health service access represents a failure of policy. Rural communities across the world are in a state of flux, and Australia is no different: rural communities are ageing at faster rates than urban communities and young people are out-migrating in large numbers. During the past 5 years, rural Australia has also experienced a severe and widespread drought that has exacerbated rural poverty, and impacted on the health and well-being of rural Australians. Australian governments have responded to globalising forces by introducing neoliberal policy initiatives favouring market solutions and championing the need for self-reliance among citizens. The result for rural Australia has been a withdrawal of services at a time of increased need. This paper addresses the social work response to these changes.

  9. Predicting functional decline in older emergency patients-the Safe Elderly Emergency Discharge (SEED) project.

    PubMed

    Lowthian, Judy A; Straney, Lahn D; Brand, Caroline A; Barker, Anna; Smit, P de Villiers; Newnham, Harvey; Hunter, Peter; Smith, Cathie; Cameron, Peter A

    2017-03-01

    to profile the trajectory of, and risk factors for, functional decline in older patients in the 30 days following Emergency Department (ED) discharge. prospective cohort study of community-dwelling patients aged ≥65 years, discharged home from a metropolitan Melbourne ED, 31 July 2012 to 30 November 2013. The primary outcome was functional decline, comprising either increased dependency in personal activities of daily living (ADL) or in skills required for living independently instrumental ADL (IADL), deterioration in cognitive function, nursing home admission or death. Univariate analyses were used to select risk factors and logistic regression models constructed to predict functional decline. at 30 days, 34.4% experienced functional decline; with 16.7% becoming more dependent in personal ADL, 17.5% more dependant in IADL and 18.4% suffering deterioration in cognitive function. Factors independently associated with decline were functional impairment prior to the visit in personal ADL (Odds Ratio [OR] 3.21, 95% confidence interval [CI] 2.26-4.53) or in IADL (OR 6.69, 95% CI 4.31-10.38). The relative odds were less for patients with moderately impaired cognition relative to those with normal cognition (OR 0.38, 95% CI 0.19-0.75). There was a 68% decline in the relative odds of functional decline for those with any impairment in IADL who used an aid for mobility (OR 0.32, 95% CI 0.14-0.7). older people with pre-existing ADL impairment were at high risk of functional decline in the 30 days following ED presentation. This effect was largely mitigated for those who used a mobility aid. Early intervention with functional assessments and appropriate implementation of support services and mobility aids could reduce functional decline after discharge. © The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com

  10. Browsing patterns of white-tailed deer following increased timber harvest and a decline in population density

    Treesearch

    Shawn M. Crimmins; John W. Edwards; W. Mark Ford; Patrick D. Keyser; James M. Crum

    2010-01-01

    We examined browsing patterns of white-tailed deer (Odocoileus virginianus) on a site in the central Appalachians that experienced a substantial (>50%) reduction in deer population density and an increase in the amount of timber harvest since 2001. We sampled woody browse in and immediately adjacent to 12 clearcuts ranging in age from 0-5 years...

  11. Hunter demand for deer on Prince of Wales Island, Alaska: an analysis of influencing factors.

    Treesearch

    Rhonda Mazza

    2003-01-01

    Overall hunter demand for deer on Prince of Wales Island, Alaska, has not changed significantly in the last 10 years, although demand has increased in five communities on the island. These five communities each experienced a decline in household median income between 1989 and 1999. In communities with a smaller percentage of Native Alaskans, deer was a larger component...

  12. U.S. Army Deployment Resilience & Retention: Wave II

    DTIC Science & Technology

    2014-08-04

    recovery from stressful and sometimes traumatic experiences. Implications for Military Nursing : This research is instrumental in understanding the ...frequency, length, location) on job and family stresses and strains of the soldiers. Using longitudinal data from both Waves 1 and 2 (N=382) we...predicted, more support was related to a decline in depression. In contrast among those who experienced low levels of combat exposure, the association

  13. The Impact of Motion Induced Interruptions on Cognitive Performance

    DTIC Science & Technology

    2014-07-23

    found that even participants presenting with minor physiological effects of motion experienced a decline in multitasking performance. Further, Yu...literature has investigated the impact of task based interruptions such as being inter- rupted by a phone call or writing an email . In these...Engineers Journal. 102 (2) 65-72. Matsangas, P. (2013). The Effect of Mild Motion Sickness and Sopite Syndrome on Multitasking Cognitive Performance

  14. The Sustainability of Aquaculture as a Farm Enterprise: Impacts and Consequences of Fish Culture in Rwanda.

    ERIC Educational Resources Information Center

    Molnar, Joseph J.; And Others

    Rwanda, a small country in Africa, has experienced declines in per capita food production. Fish culture is one part of a many-stranded effort to increase food production and food security by intensifying the use of land resources to produce a much-needed protein crop. Beginning in 1983, the Rwanda National Fish Culture Project has assisted farmers…

  15. Pinus albicaulis Engelm. (whitebark pine) in mixed-species stands throughout its US range: Broad-scale indicators of extent and recent decline

    Treesearch

    Sara A. Goeking; Deborah Kay Izlar

    2018-01-01

    We used data collected from >1400 plots by a national forest inventory to quantify population-level indicators for a tree species of concern. Whitebark pine (Pinus albicaulis) has recently experienced high mortality throughout its US range, where we assessed the area of land with whitebark pine present, size-class distribution of individual whitebark pine,...

  16. Monitoring oak-hickory forest change during an unprecedented red oak borer outbreak in the Ozark Mountains: 1990 to 2006

    Treesearch

    Joshua S. Jones; Jason A. Tullis; Laurel J. Haavik; James M. Guldin; Fred M. Stephen

    2014-01-01

    Upland oak-hickory forests in Arkansas, Missouri, and Oklahoma experienced oak decline in the late 1990s and early 2000s during an unprecedented outbreak of a native beetle, the red oak borer (ROB), Enaphalodes rufulus (Haldeman). Although remote sensing supports frequent monitoring of continuously changing forests, comparable in situ observations are critical for...

  17. U.of Hawaii Struggles To Adjust to Huge Cuts in State Funds and Steep Tuition Increases.

    ERIC Educational Resources Information Center

    Healy, Patrick

    1997-01-01

    The ten-campus University of Hawaii system is experiencing a 15% cut in state funding since 1995, tuition rates rising 70% by 1997-98, sharply declining enrollment, rising deferred maintenance, and loss of 900 teaching and staff positions. An ambitious long-term plan aims to turn the system into the leading center of higher learning in the Asian…

  18. The cerulean warbler in Morgan-Monroe and Yellowwood State Forests, Indiana: pre-treatment data on abundance and spatial characteristics of territories

    Treesearch

    Kamal Islam; Kyle J. Kaminski; Margaret M. MacNeil; Lila Prichard. Young

    2013-01-01

    The cerulean warbler (Setophaga cerulea) is a small Neotropical migrant songbird that is currently experiencing population declines. We monitored the number of cerulean warblers, as well as size and spatial attributes of territories, before two methods of silvicultural treatments took place in six of nine study units involved in the Hardwood...

  19. Climate warming, reduced snow, and freezing injury could explain the demise of yellow-cedar in southeast Alaska, USA

    Treesearch

    P. Hennon; D. D' Amore; D. Wittwer; A. Johnson; P. Schaberg; G. Hawley; C. Beier; S. Sink; G. Juday

    2006-01-01

    Yellow-cedar (Chamaecyparis nootkatensis) is a valuable tree species that has been experiencing concentrated mortality known as yellow-cedar decline on 200,000 ha of largely pristine forests in Southeast Alaska. Mature trees that regenerated and grew during the Little Ice Age have been dying on low elevation sites with wet soils and open canopies for...

  20. No free lunch: Observations on seed predation, cone collection, and controlled germination of whitebark pine from the Canadian Rockies

    Treesearch

    Adrian Leslie; Brendan Wilson

    2011-01-01

    Whitebark pine is a keystone species of high elevation forests in western North America that is experiencing rapid decline due to fire exclusion policies, mountain pine beetle, and the introduced pathogen, white pine blister rust. Restoration activities include collecting cones and growing seedlings from individuals that show mechanisms for resistance to blister rust...

  1. The state of hardwood lumber markets

    Treesearch

    Gilbert P. Dempsey; William G. Luppold

    1992-01-01

    Although the 1990-91 recession has temporarily dampened the demand for hardwood lumber, the decade of the 1980s was a period of strong growth in the hardwood market. After experiencing a flat market in 1980 and a decline in 1982, the demand for hardwood lumber by both the domestic industry and the export market increased strongly—from 8 billion board feet in 1982 to 11...

  2. Planning and Implementing Health Promotion in the Workplace: A Case Study of the Du Pont Company Experience.

    ERIC Educational Resources Information Center

    Bertera, Robert L.

    1990-01-01

    The PRECEDE framework was used to focus planning and evaluation of key areas of health knowledge, attitudes, and behavior in designing a workplace health promotion program for Du Pont. One pilot location experienced a 47.5 percent decline in absenteeism over six years as a result of the comprehensive needs assessment and health intervention. (SK)

  3. Oak decline and red oak borer outbreak: impact in upland oak-hickory forests of Arkansas, USA

    Treesearch

    Laurel J. Haavik; Joshua S. Jones; Larry D. Galligan; James M. Guldin; Fred M. Stephen

    2012-01-01

    Oak-hickory forests in the Ozark and Ouachita Mountains of Arkansas recently experienced an episode of oak mortality in concert with an outbreak of the red oak borer (Enaphalodes rufulus (Haldeman) (Coleoptera: Cerambycidae)). We utilized data from the Forest Inventory and Analysis (FIA) program of the USDA Forest Service to explore changes in percent red oak (Quercus...

  4. Increase of EEG Spectral Theta Power Indicates Higher Risk of the Development of Severe Cognitive Decline in Parkinson’s Disease after 3 Years

    PubMed Central

    Cozac, Vitalii V.; Chaturvedi, Menorca; Hatz, Florian; Meyer, Antonia; Fuhr, Peter; Gschwandtner, Ute

    2016-01-01

    Objective: We investigated quantitative electroencephalography (qEEG) and clinical parameters as potential risk factors of severe cognitive decline in Parkinson’s disease. Methods: We prospectively investigated 37 patients with Parkinson’s disease at baseline and follow-up (after 3 years). Patients had no severe cognitive impairment at baseline. We used a summary score of cognitive tests as the outcome at follow-up. At baseline we assessed motor, cognitive, and psychiatric factors; qEEG variables [global relative median power (GRMP) spectra] were obtained by a fully automated processing of high-resolution EEG (256-channels). We used linear regression models with calculation of the explained variance to evaluate the relation of baseline parameters with cognitive deterioration. Results: The following baseline parameters significantly predicted severe cognitive decline: GRMP theta (4–8 Hz), cognitive task performance in executive functions and working memory. Conclusions: Combination of neurocognitive tests and qEEG improves identification of patients with higher risk of cognitive decline in PD. PMID:27965571

  5. Coral reef management and conservation in light of rapidly evolving ecological paradigms.

    PubMed

    Mumby, Peter J; Steneck, Robert S

    2008-10-01

    The decline of many coral reef ecosystems in recent decades surprised experienced managers and researchers. It shattered old paradigms that these diverse ecosystems are spatially uniform and temporally stable on the scale of millennia. We now see reefs as heterogeneous, fragile, globally stressed ecosystems structured by strong positive or negative feedback processes. We review the causes and consequences of reef decline and ask whether management practices are addressing the problem at appropriate scales. We conclude that both science and management are currently failing to address the comanagement of extractive activities and ecological processes that drive ecosystems (e.g. productivity and herbivory). Most reef conservation efforts are directed toward reserve implementation, but new approaches are needed to sustain ecosystem function in exploited areas.

  6. Bird community composition

    USGS Publications Warehouse

    Antrobus, T.J.; Guilfoyle, M.P.; Barrow, W.C.; Hamel, P.B.; Wakeley, J.S.

    2000-01-01

    Neotropical migrants are birds that breed in North America and winter primarily in Central and South America. Long-term population studies of birds in the Eastern United States indicated declines of some forest-dwelling birds, many of which winter in the Neotropics (Peterjohn and others 1995). These declines were attributed to loss of wintering and breeding habitat due to deforestation and fragmentation, respectively. Many species of Nearctic migrants--birds that breed in the northern regions of North America and winter in the Southern United States--are also experiencing population declines. Because large areas of undistrubed, older, bottomland hardwood forests oftern contain large numbers of habitat specialists, including forest-interior neotropical migrants and wintering Nearctic migrants, these forests may be critical in maintaining avian diversity. This study had two primary objectivs: (1) to create a baseline data set that can be used as a standard against which other bottomland hardwood forests can be compared, and (2) to establish long-term monitoring stations during both breeding and wintering seasons to discern population trends of avian species using bottomland hardwood forests.

  7. Declining suburbs in Europe and Latin America.

    PubMed

    Audirac, Ivonne; Cunningham-Sabot, Emmanuèle; Fol, Sylvie; Moraes, Sergio Torres

    2012-01-01

    Suburban shrinkage, understood as a degenerative urban process stemming from the demise of the Fordist mode of urbanism, is generally manifested in a decline in population, industry and employment. It is also intimately linked to the global restructuring of industrial organization associated with the rise of the post-Fordist mode of urbanism and, more recently, the thrust of Asian industrialization. Framed in the discourse of industrial urbanism, this article examines the first ring of industrial suburbs that developed around large cities in their most rapid Fordist urbanization phase. These industrial suburbs, although they were formed at different times, are today experiencing specific mutations and undergoing profound restructuring on account of their particular spatial position between the central area and the expanding peripheries of the post-Fordist metropolis. This article describes and compares suburban decline in two European cities (Glasgow and Paris) and two Latin American Cities (São Paulo, Brazil and Guadalajara, Mexico), as different instances of places asymmetrically and fragmentarily integrated into the geography of globalization.

  8. Impact of migration on fertility in sub-Saharan Africa.

    PubMed

    Brockerhoff, M; Yang, X

    1994-01-01

    Much lower levels of fertility in urban than rural areas throughout sub-Saharan Africa imply that fertility decline in the region may be facilitated by rapid urbanization and rural-to-urban migration. The present study uses data from Demographic and Health Surveys in six countries--Ghana, Kenya, Mali, Senegal, Togo and Uganda--to assess the impact of long-term rural-urban female migration on fertility. Results of logit analyses indicate that in most countries women who leave the countryside represent the higher fertility segment of the rural population in the years before migration. Migrants' risk of conception declines dramatically in all countries around the time of migration and remains lower in the long run among most migrant groups than among rural and urban nonmigrants. Descriptive analyses suggest that the decline in migrant fertility is related to the rapid and pronounced improvement in standard of living experienced by migrants after settling in the urban area and may be due in part to temporary spousal separation.

  9. Mechanical regulation of plant growth and development

    NASA Technical Reports Server (NTRS)

    Mitchell, C. A.

    1984-01-01

    Soybean and eggplant grown and shaken in a greenhouse exhibited decreased internode length, internode diameter, leaf area, and fresh and dry weight of roots and shoots in much the same way as outdoor-exposed plants. Perhaps more important than decreased dimensions of plant parts resulting from periodic seismic treatment is the inhibition of photosynthetic productivity that accompanies this stress. Soybeam plants briefly shaken or rubbed twice daily experienced a decrease in relative as well as absolute growth rate compared to that of undisturbed controls. Growth dynamics analysis revealed that virtually all of the decline in relative growth rate (RGR) was due to a decline in net assimilation rate (NAR), but not in leaf area ratio (LAR). Lower NAR suggests that the stress-induced decrease in dry weight gain is due to a decline in photosynthetic efficiency. Possible effects on stomatal aperture was investigated by measuring rates of whole plant transpiration as a function of seismo-stress, and a transitory decrease followed by a gradual, partial recovery was detected.

  10. Dance as Prevention of Late Life Functional Decline Among Nursing Home Residents.

    PubMed

    Machacova, Katerina; Vankova, Hana; Volicer, Ladislav; Veleta, Petr; Holmerova, Iva

    2017-12-01

    Late life deterioration of functional status is associated with adverse health outcomes and increased cost of care. This trial was conducted to determine whether dance-based intervention could reverse functional decline among nursing home (NH) residents. A total of 189 residents of seven NHs in the Czech Republic were randomly assigned to intervention and control groups. More detailed data were collected in a subsample of 52 participants. Intervention consisted of 3-month dance-based exercise. Functional status was assessed by the get-up-and-go test, basic activities of daily living (ADL), instrumental activities of daily living (IADL), and senior fitness tests (SFTs). Participants in the control group experienced a significant decline in get-up-and-go test, IADL, and in four of the six SFTs. The intervention proved to be effective in preventing this deterioration and improved chair stand test and chair sit-and-reach test. The findings indicate that a relatively simple dance-based exercise can slow down deterioration of functional status in NH residents.

  11. Acculturative Stress and Diminishing Family Cohesion Among Recent Latino Immigrants

    PubMed Central

    De La Rosa, Mario; Ibañez, Gladys E.

    2012-01-01

    This study investigates a theorized link between Latino immigrants’ experience of acculturative stress during their two initial years in the United States (US) and declines in family cohesion from pre- to post-immigration contexts. This retrospective cohort study included 405 adult participants. Baseline assessment occurred during participants’ first 12 months in the US. Follow-up assessment occurred during participants’ second year in the US. General linear mixed models were used to estimate change in family cohesion and sociocultural correlates of this change. Inverse associations were determined between acculturative stress during initial years in the US and declines in family cohesion from pre-immigration to post-immigration contexts. Participants with undocumented immigration status, those with lower education levels, and those without family in the US generally indicated lower family cohesion. Participants who experienced more acculturative stress and those without family in the US evidenced a greater decline in family cohesion. Results are promising in terms of implications for health services for recent Latino immigrants. PMID:22790880

  12. The turn-of-the-century drought in North America: The new normal?

    NASA Astrophysics Data System (ADS)

    Schwalm, C. R.; Williams, C. A.; Schaefer, K. M.; NACP Site Synthesis Team

    2011-12-01

    At the turn of the century, from 2000 to 2004, western North America (25°-50°N, 100°-125°W) experienced a severe drought with far reaching consequences for the terrestrial biosphere. We quantified the drought's water and carbon cycle implications using upscaled flux tower data, observed and simulated fluxes from the NACP Site Synthesis, remote sensing products, weather reanalysis, crop yield, and river discharge. During the turn of the century drought we found a widespread drydown of the terrestrial biosphere, large decreases in river discharge and greenness, and a ~10% loss in cropland productivity. At the footprint scale carbon uptake declined with an anomalous carbon source of 0.11 Pg C/yr integrated over the full domain. Flux towers also recorded a clear signal of reduced latent and increased sensible heat fluxes, apart from grasslands. Dendrochronological reconstructions of drought extent, duration, and severity, based on the Palmer Drought Severity Index drought metric, indicated that the turn of the century drought was unprecedented since 1200 CE. Predicted changes in precipitation and drought, based on the CMIP3 multi-model mean, could permanently disable the weak sink (NEE = -0.19 Pg C/yr) in western North America by the midpoint of the 21st Century. Projections indicate the turn-of-the-century drought will be wet compared to the latter half of the 21st Century.

  13. Declining Minamata male birth ratio associated with increased male fetal death due to heavy methylmercury pollution.

    PubMed

    Sakamoto, M; Nakano, A; Akagi, H

    2001-10-01

    The purpose of this retrospective study was to examine the effect of methylmercury pollution on the sex ratio of offspring at birth and of fetuses at stillbirth in Minamata City, Japan, in the 1950s when severe and widespread methylmercury pollution was experienced. In 4 of 5 years from 1955 to 1959 when methylmercury pollution was most severe, lower numbers of male offspring at birth were observed in the city population. The offspring sex distributions from 1950 to 1969 by 5-year period were calculated in the overall population of Minamata City, in the most prevalent area, in fishermen (most heavily exposed occupation group) and among Minamata disease patients using data from birth certificates. We also similarly calculated the sex ratio of stillborn fetuses in the city population using Kumamoto Prefecture's vital statistics on still-birth. Decreases in male births were observed in offspring in the overall city population, in fishermen, and in maternal Minamata disease patients in the city in 1955-1959, when the methylmercury pollution was most severe. An increase in the proportion of male stillborn fetuses in the city was observed at the time. It is possible that male fetuses were more susceptible to the pollution than their female counterparts, and this could be a cause for the lower numbers of male offspring at birth. Copyright 2001 Academic Press.

  14. Declining physical activity and the socio-cultural context of the geography of industrial restructuring: a novel conceptual framework.

    PubMed

    Rind, Esther; Jones, Andy

    2014-05-01

    At the population level, the prevalence of physical activity has declined considerably in many developed countries in recent decades. There is some evidence that areas exhibiting the lowest activity levels are those which have undergone a particularly strong transition away from employment in physically demanding occupations. We propose that processes of deindustrialization may be causally linked to unexplained geographical disparities in levels of physical activity. While the sociocultural correlates of physical activity have been well studied, and prior conceptual frameworks have been developed to explain more general patterns of activity, none have explicitly attempted to identify the components of industrial change that may impact physical activity. In this work we review the current literature on sociocultural correlates of health behaviors before using a case study centered on the United Kingdom to present a novel framework that links industrial change to declining levels of physical activity. We developed a comprehensive model linking sociocultural correlates of physical activity to processes associated with industrial restructuring and discuss implication for policy and practice. A better understanding of sociocultural processes may help to ameliorate adverse health consequences of employment decline in communities that have experienced substantial losses of manual employment.

  15. Earliest functional declines in Huntington disease

    PubMed Central

    Beglinger, Leigh J.; O'Rourke, Justin J.F.; Wang, Chiachi; Langbehn, Douglas R.; Duff, Kevin; Paulsen, Jane S.

    2013-01-01

    We examined the gold standard for Huntington disease (HD) functional assessment, the Unified Huntington's Disease Rating Scale (UHDRS), in a group of at-risk participants not yet diagnosed but who later phenoconverted to manifest HD. We also sought to determine which skill domains first weaken and the clinical correlates of declines. Using the UHDRS Total Functional Capacity (TFC) and Functional Assessment Scale (FAS), we examined participants from Huntington Study Group clinics who were not diagnosed at their baseline visit but were diagnosed at a later visit (N = 265). Occupational decline was the most common with 65.1% (TFC) and 55.6% (FAS) reporting some loss of ability to engage in their typical work. Inability to manage finances independently (TFC 49.2%, FAS 35.1%) and drive safely (FAS 33.5%) were also found. Functional decline was significantly predicted by motor, cognitive, and depressive symptoms. The UHDRS captured early functional losses in individuals with HD prior to formal diagnosis, however, fruitful areas for expanded assessment of early functional changes are performance at work, ability to manage finances, and driving. These are also important areas for clinical monitoring and treatment planning as up to 65% experienced loss in at least one area prior to diagnosis. PMID:20471695

  16. Increasingly inbred and fragmented populations of Plasmodium vivax associated with the eastward decline in malaria transmission across the Southwest Pacific

    PubMed Central

    Waltmann, Andreea; Koepfli, Cristian; Tessier, Natacha; Karl, Stephan; Fola, Abebe; Darcy, Andrew W.; Wini, Lyndes; Harrison, G. L. Abby; Barnadas, Céline; Jennison, Charlie; Karunajeewa, Harin; Boyd, Sarah; Whittaker, Maxine; Kazura, James; Bahlo, Melanie; Mueller, Ivo

    2018-01-01

    The human malaria parasite Plasmodium vivax is more resistant to malaria control strategies than Plasmodium falciparum, and maintains high genetic diversity even when transmission is low. To investigate whether declining P. vivax transmission leads to increasing population structure that would facilitate elimination, we genotyped samples from across the Southwest Pacific region, which experiences an eastward decline in malaria transmission, as well as samples from two time points at one site (Tetere, Solomon Islands) during intensified malaria control. Analysis of 887 P. vivax microsatellite haplotypes from hyperendemic Papua New Guinea (PNG, n = 443), meso-hyperendemic Solomon Islands (n = 420), and hypoendemic Vanuatu (n = 24) revealed increasing population structure and multilocus linkage disequilibrium yet a modest decline in diversity as transmission decreases over space and time. In Solomon Islands, which has had sustained control efforts for 20 years, and Vanuatu, which has experienced sustained low transmission for many years, significant population structure was observed at different spatial scales. We conclude that control efforts will eventually impact P. vivax population structure and with sustained pressure, populations may eventually fragment into a limited number of clustered foci that could be targeted for elimination. PMID:29373596

  17. History of ground-water pumpage and water-level decline in the Black Creek and upper Cape Fear aquifers of the central coastal plain of North Carolina

    USGS Publications Warehouse

    Winner, M.D.; Lyke, W.L.

    1986-01-01

    Historical ground-water withdrawals and a general water-level decline in the Black Creek and upper Cape Fear aquifers of the central Coastal Plain of North Carolina are documented. Total municipal and industrial pumpage from these aquifers has increased from approximately 120,000 gal/day (gpd) in 1910 to >21 million gpd in 1980. Major pumpage, > 10,000 gpd, began around 1900. Since that time, per capita water use in the central Coastal Plain area has ranged from 17 to 172 gpd/person. The higher values partially represent the increasing availability and use of modern conveniences since the World War II era. The range of per capita water use can be subdivided according to general water-use and population characteristics for both urban and rural areas. The pumpage of ground water from the Black Creek and upper Cape Fear aquifers has created water-level declines from 0.5 to 4.9 ft/year since 1900. Approximately a third of the study area has experienced a decline > 50 ft up to the period 1979-1981, with 148 ft being the maximum.

  18. Increasingly inbred and fragmented populations of Plasmodium vivax associated with the eastward decline in malaria transmission across the Southwest Pacific.

    PubMed

    Waltmann, Andreea; Koepfli, Cristian; Tessier, Natacha; Karl, Stephan; Fola, Abebe; Darcy, Andrew W; Wini, Lyndes; Harrison, G L Abby; Barnadas, Céline; Jennison, Charlie; Karunajeewa, Harin; Boyd, Sarah; Whittaker, Maxine; Kazura, James; Bahlo, Melanie; Mueller, Ivo; Barry, Alyssa E

    2018-01-01

    The human malaria parasite Plasmodium vivax is more resistant to malaria control strategies than Plasmodium falciparum, and maintains high genetic diversity even when transmission is low. To investigate whether declining P. vivax transmission leads to increasing population structure that would facilitate elimination, we genotyped samples from across the Southwest Pacific region, which experiences an eastward decline in malaria transmission, as well as samples from two time points at one site (Tetere, Solomon Islands) during intensified malaria control. Analysis of 887 P. vivax microsatellite haplotypes from hyperendemic Papua New Guinea (PNG, n = 443), meso-hyperendemic Solomon Islands (n = 420), and hypoendemic Vanuatu (n = 24) revealed increasing population structure and multilocus linkage disequilibrium yet a modest decline in diversity as transmission decreases over space and time. In Solomon Islands, which has had sustained control efforts for 20 years, and Vanuatu, which has experienced sustained low transmission for many years, significant population structure was observed at different spatial scales. We conclude that control efforts will eventually impact P. vivax population structure and with sustained pressure, populations may eventually fragment into a limited number of clustered foci that could be targeted for elimination.

  19. Impacts of climate and insect defoliators on productivity and function of trembling aspen (Populus tremuloides) in Alaskan boreal forests

    NASA Astrophysics Data System (ADS)

    Boyd, M. A.; Walker, X. J.; Rogers, B. M.; Goetz, S. J.; Wagner, D.; Mack, M. C.

    2017-12-01

    Climate change has increased tree mortality and growth decline in forested ecosystems worldwide. In response to warming and drying of the boreal forest, trembling aspen (Populus tremuloides) has experienced recent large-scale productivity declines. Although declines in productivity are thought to be primarily a result of moistures stress, infestation is another major driver of aspen decline and may interact strongly with climate. Throughout interior Alaska widespread and consistent foliar damage by the aspen epidermal leaf miner Phyllocnistis populiella has been observed concurrent with some of the warmest and driest growing seasons on record. Here we use tree ring measurements and remote sensing indices of vegetation productivity (NDVI) to study the influence of leaf miner and climate on aspen productivity and physiology in the Alaskan boreal forest, and assess if NDVI reflects variations in these ground-based measurements. We assessed ring width and tree ring stable carbon isotope (d13C) response of aspen to infestation and a climate moisture index (CMI) from 2004 - 2014. We found that when growth was negatively correlated to infestation, then it was no longer positively influenced by moisture availability during the growing season. Regardless of the radial growth response to leaf mining, tree ring d13C decreased with increasing infestation. We also found that NDVI was influenced by leaf mining and showed a positive correlation with tree ring d13C, which suggests that NDVI is reflective of changes in tree characteristics under leaf mining that influence tree ring d13C. This finding also reveals the prospect of using satellite data to monitor fluctuations in tree physiology during leaf miner infestation. Our results indicate that aspen productivity will be severely hindered during leaf miner infestation, and that infestation will inhibit the ability of aspen to respond to favorable climate conditions by increasing growth and potentially photosynthesis. This suggests that the productivity, reproduction, and health of aspen in boreal forests, and in turn any related biophysical or carbon sequestration benefits, may become limited under future warming if infestation by leaf miner continues or accelerates.

  20. Postpartum Post-Traumatic Stress Disorder

    MedlinePlus

    ... experienced a previous trauma, such as rape or sexual abuse, are also at a higher risk for experiencing postpartum PTSD. Women who have experienced a severe physical complication or injury related to pregnancy or childbirth, ...

  1. Interactive Performance and Focus Groups with Adolescents: The Power of Play

    PubMed Central

    Norris, Anne E.; Aroian, Karen J.; Warren, Stefanie

    2012-01-01

    Conducting focus groups with adolescents can be challenging given their developmental needs, particularly with sensitive topics. These challenges include intense need for peer approval, declining social trust, short attention span, and reliance on concrete operations thinking. In this article we describe an adaptation of interactive performance as an alternative to traditional focus group method. We used this method in a study of discrimination experienced by Muslims (ages 13-17) and of peer pressure to engage in sexual behavior experienced by Hispanic girls (ages 10-14). Recommendations for use of this method include using an interdisciplinary team, planning for large amounts of disclosure towards the end of the focus group, and considering the fit of this method to the study topic. PMID:22949032

  2. Clinical Characterization and Treatment Patterns for the Frequent Exacerbator Phenotype in Chronic Obstructive Pulmonary Disease with Severe or Very Severe Airflow Limitation.

    PubMed

    Blasi, Francesco; Neri, Luca; Centanni, Stefano; Falcone, Franco; Di Maria, Giuseppe

    2017-02-01

    Chronic obstructive pulmonary disease (COPD) patients experiencing several episodes of acute clinical derangement suffer from increased morbidity, mortality, and accelerated decline in lung function. Nevertheless, the relationship between co-morbidity profile and exacerbation rates in the frequent exacerbator phenotype is poorly characterized, and evidence-based management guidelines are lacking. We sought to evaluate the co-morbidity profile and treatment patterns of "frequent exacerbators" with severe or very severe airflow limitation. We conducted a cross-sectional, multicenter study in 50 Italian hospitals. Pulmonologists abstracted clinical information from medical charts of 743 COPD frequent exacerbators. We evaluated the exacerbation risk and center-related variations in diagnostic testing. One-third of patients (n = 210) underwent a bronchodilator response test, and 163 (22%) received a computerized tomography (CT) scan; 35 had a partial response to bronchodilators, while 119 had a diagnosis of emphysema; 584 (79%) lacked sufficient diagnostic testing for classification. Only 17% of patients did not have any coexistent disease. Cardiovascular conditions were the most frequent co-morbidities. A history of heart failure [odds ratio (OR): 1.89; 95% confidence interval (CI) 1.48-2.3] and affective disorders (OR: 1.66; 95% CI 1.24-2.1) was associated with the frequency of exacerbations. Center membership was strongly associated with exacerbation risk, independent of casemix (variance partition coefficient = 29.6%). Examining the regional variation in health outcomes and health care behavior may help identify the best practices, especially when evidence-based recommendations are lacking and uncertainties surround clinical decision-making.

  3. Exercise self-efficacy and symptoms of depression after cardiac rehabilitation: predicting changes over time using a piecewise growth curve analysis.

    PubMed

    Howarter, Alisha D; Bennett, Kymberley K; Barber, Carolyn E; Gessner, Stacia N; Clark, Jillian M R

    2014-01-01

    Cardiac rehabilitation is often recommended after experiencing a cardiac event and has been shown to significantly improve health outcomes among patients. Several psychosocial variables have been linked with cardiac rehabilitation program success, including exercise self-efficacy. However, little is known about temporal patterns in patients' exercise self-efficacy after program completion. This study examined changes in exercise self-efficacy among 133 cardiac rehabilitation patients and whether symptoms of depression impacted the rate of change in exercise self-efficacy. Participants completed questionnaires at the beginning and end of cardiac rehabilitation and at 6-month intervals for 2 years. Growth curve analyses showed that exercise self-efficacy levels were highest at the beginning of cardiac rehabilitation, significantly declined 6 months after cardiac rehabilitation, and leveled off over the next 18 months. Results also showed that baseline depressive symptoms interacted with time: Compared with participants with fewer symptoms, participants high in depressive symptoms began cardiac rehabilitation with lower levels of exercise self-efficacy and evidenced significant declines 6 months after cardiac rehabilitation. At no time were they equal to their counterparts in exercise self-efficacy, and their means were lower 2 years after cardiac rehabilitation than before cardiac rehabilitation. Our findings imply that patients show unrealistic optimism surrounding the ease of initiating and maintaining an exercise program and that integrating efficacy-building activities into cardiac rehabilitation, especially for patients who show signs of distress, is advisable.

  4. Evidence of a Shift in the Littoral Fish Community of the Sacramento-San Joaquin Delta

    PubMed Central

    Farruggia, Mary Jade; Schreier, Brian; Sommer, Ted

    2017-01-01

    Many estuarine and freshwater ecosystems worldwide have undergone substantial changes due to multiple anthropogenic stressors. Over the past two decades, the Sacramento-San Joaquin Delta (Delta) in California, USA, saw a severe decline in pelagic fishes, a shift in zooplankton community composition, and a rapid expansion of invasive aquatic vegetation. To evaluate whether major changes have also occurred in the littoral fish community, we analyzed a beach seine survey dataset collected from 1995 to 2015 from 26 sites within the Delta. We examined changes in the Delta fish community at three different ecological scales (species, community, and biomass), using clustering analyses, trend tests, and change-point analyses. We found that the annual catch per effort for many introduced species and some native species have increased since 1995, while few experienced a decline. We also observed a steady pattern of change over time in annual fish community composition, driven primarily by a steady increase in non-native Centrarchid species. Lastly, we found that littoral fish biomass has essentially doubled over the 21-year study period, with Mississippi Silverside Menidia audens and fishes in the Centrarchidae family driving most of this increase. The changes in the catch per effort, fish community composition, and biomass per volume indicate that a shift has occurred in the Delta littoral fish community and that the same factors affecting the Delta’s pelagic food web may have been a key driver of change. PMID:28118393

  5. Clinical characteristics in patients with asymmetric idiopathic pulmonary fibrosis.

    PubMed

    Callahan, Sean J; Xia, Meng; Murray, Susan; Flaherty, Kevin R

    2016-10-01

    A group of patients with idiopathic pulmonary fibrosis (IPF) presents with disease affecting one lung markedly more than the other. At this time, it is unclear how this population differs from those who present with more symmetric disease. We sought to explain the characteristics of the asymmetric group and how their disease progresses. In this retrospective case-control study we accessed an interstitial lung disease (ILD) database and identified 14 asymmetric IPF cases via high-resolution computed tomography (HRCT) scoring of each lung lobe's disease severity. We identified 28 symmetric IPF controls from the same database using the same methods, and compared the clinical features of each group. Patients with asymmetric disease exhibited similar demographics as those in the general IPF population; they were predominantly male (64%), elderly (69 years old), and used tobacco (57%). We found a trend toward significantly increased all-cause mortality in the case population two years following diagnosis (p = 0.089). Pulmonary function tests were significantly lower in the case group at the time of diagnosis, then both groups experienced gradual decline. We found no statistically significant differences in number of IPF exacerbations (cases 43%, controls 39%, p = 0.824) and gastro-esophageal reflux (both groups 50%). Patients with asymmetric IPF resemble patients in the general IPF population but may have a lower overall survival rate. Further systemic factors may be studied to identify reasons for disease asymmetry and clinical decline in this population. Published by Elsevier Ltd.

  6. Evidence of a Shift in the Littoral Fish Community of the Sacramento-San Joaquin Delta.

    PubMed

    Mahardja, Brian; Farruggia, Mary Jade; Schreier, Brian; Sommer, Ted

    2017-01-01

    Many estuarine and freshwater ecosystems worldwide have undergone substantial changes due to multiple anthropogenic stressors. Over the past two decades, the Sacramento-San Joaquin Delta (Delta) in California, USA, saw a severe decline in pelagic fishes, a shift in zooplankton community composition, and a rapid expansion of invasive aquatic vegetation. To evaluate whether major changes have also occurred in the littoral fish community, we analyzed a beach seine survey dataset collected from 1995 to 2015 from 26 sites within the Delta. We examined changes in the Delta fish community at three different ecological scales (species, community, and biomass), using clustering analyses, trend tests, and change-point analyses. We found that the annual catch per effort for many introduced species and some native species have increased since 1995, while few experienced a decline. We also observed a steady pattern of change over time in annual fish community composition, driven primarily by a steady increase in non-native Centrarchid species. Lastly, we found that littoral fish biomass has essentially doubled over the 21-year study period, with Mississippi Silverside Menidia audens and fishes in the Centrarchidae family driving most of this increase. The changes in the catch per effort, fish community composition, and biomass per volume indicate that a shift has occurred in the Delta littoral fish community and that the same factors affecting the Delta's pelagic food web may have been a key driver of change.

  7. On the possible origins of DNA damage in human spermatozoa.

    PubMed

    Aitken, R J; De Iuliis, G N

    2010-01-01

    DNA damage in the male germ line has been linked with a variety of adverse clinical outcomes including impaired fertility, an increased incidence of miscarriage and an enhanced risk of disease in the offspring. The origins of this DNA damage could, in principle, involve: (i) abortive apoptosis initiated post meiotically when the ability to drive this process to completion is in decline (ii) unresolved strand breaks created during spermiogenesis to relieve the torsional stresses associated with chromatin remodelling and (iii) oxidative stress. In this article, we present a two-step hypothesis for the origins of DNA damage in human spermatozoa that highlights the significance of oxidative stress acting on vulnerable, poorly protaminated cells generated as a result of defective spermiogenesis. We further propose that these defective cells are characterized by several hallmarks of 'dysmaturity' including the retention of excess residual cytoplasm, persistent nuclear histones, poor zona binding and disrupted chaperone content. The oxidative stress experienced by these cells may originate from infiltrating leukocytes or, possibly, the entry of spermatozoa into an apoptosis-like cascade characterized by the mitochondrial generation of reactive oxygen species. This oxidative stress may be exacerbated by a decline in local antioxidant protection, particularly during epididymal maturation. Finally, if oxidative stress is a major cause of sperm DNA damage then antioxidants should have an important therapeutic role to play in the clinical management of male infertility. Carefully controlled studies are now needed to critically examine this possibility.

  8. A prospective study of health-related quality-of-life outcomes for patients with low-risk prostate cancer managed by active surveillance or radiation therapy.

    PubMed

    Banerji, John S; Hurwitz, Lauren M; Cullen, Jennifer; Wolff, Erika M; Levie, Katherine E; Rosner, Inger L; Brand, Timothy C; LʼEsperance, James O; Sterbis, Joseph R; Porter, Christopher R

    2017-05-01

    Patients with low-risk prostate cancer (PCa) often have excellent oncologic outcomes. However, treatment with curative intent can lead to decrements in health-related quality of life (HRQoL). Patients treated with radical prostatectomy have been shown to suffer declines in urinary and sexual HRQoL as compared to those managed with active surveillance (AS). Similarly, patients treated with external-beam radiation therapy (EBRT) are hypothesized to experience greater declines in bowel HRQoL. As health-related quality-of-life (HRQoL) concerns are paramount when selecting among treatment options for low-risk PCa, this study examined HRQoL outcomes in men undergoing EBRT as compared to AS in a prospective, racially diverse cohort. A prospective study of HRQoL in patients with PCa enrolled in the Center for Prostate Disease Research (CPDR) Multicenter National Database was initiated in 2007. The current study included patients diagnosed through April 2014. HRQoL was assessed with the Expanded Prostate Cancer Index Composite (EPIC) and the Medical Outcomes Study Short Form (SF-36). Temporal changes in HRQoL were compared for patients with low-risk PCa managed on AS vs. EBRT at baseline, 1-, 2-, and 3 years post-PCa diagnosis. Longitudinal patterns were modeled using linear regression models fitted with generalized estimating equations (GEE), adjusting for baseline HRQoL, demographic, and clinical patient characteristics. Of the 499 eligible patients with low-risk PCa, 103 (21%) selected AS and 60 (12%) were treated with EBRT. Demographic characteristics of the treatment groups were similar, though a greater proportion of patients in the EBRT group were African American (P = 0.0003). At baseline, both treatment groups reported comparable HRQoL. EBRT patients experienced significantly worse bowel function and bother at 1 year (adjusted mean score: 87 vs. 95, P = 0.001 and 89 vs. 95, P = 0.008, respectively) and 2 years (87 vs. 93, P = 0.007 and 87 vs. 96, P = 0.002, respectively) compared to patients managed on AS. In contrast to those on AS, more than half the number of patients who received EBRT experienced a decline in bowel function (52% vs. 17%, p=0.003) and bother (52% vs. 15%, P = 0.002) from baseline to 1 year. Patients who received EBRT were significantly more likely to experience a decrease in more than one functional domain (urinary, sexual, bowel, or hormonal) at 1 year when compared with those on AS (60% vs. 28%, P = 0.004). Patients receiving EBRT for low-risk prostate cancer suffer declines in bowel HRQoL. These declines are not experienced by patients on AS, suggesting that management of low-risk prostate cancer with AS may offer a means for preserving HRQoL following prostate cancer diagnosis. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Evaluation of virus resistant rootstocks to manage watermelon vine decline and diseases caused by other potyviruses

    USDA-ARS?s Scientific Manuscript database

    Watermelon vine decline caused by Squash vein yellowing virus (SqVYV) is an emerging disease that has caused severe losses to Florida watermelon growers in recent years. Papaya ringspot virus type W (PRSV-W) is one of several watermelon-infecting potyviruses long present in the southeastern U.S. L...

  10. Hierarchy and Speed of Loss in Physical Functioning: A Comparison Across Older U.S. and English Men and Women.

    PubMed

    Bendayan, Rebecca; Cooper, Rachel; Wloch, Elizabeth G; Hofer, Scott M; Piccinin, Andrea M; Muniz-Terrera, Graciela

    2017-08-01

    We aimed to identify the hierarchy of rates of decline in 16 physical functioning measures in U.S. and English samples, using a systematic and integrative coordinated data analysis approach. The U.S. sample consisted of 13,612 Health and Retirement Study participants, and the English sample consisted of 5,301 English Longitudinal Study of Ageing participants. Functional loss was ascertained using self-reported difficulties performing 6 activities of daily living and 10 mobility tasks. The variables were standardized, rates of decline were computed, and mean rates of decline were ranked. Mann-Whitney U tests were performed to compare rates of decline between studies. In both studies, the rates of decline followed a similar pattern; difficulty with eating was the activity that showed the slowest decline and climbing several flights of stairs and stooping, kneeling, or crouching the fastest declines. There were statistical differences in the speed of decline in all 16 measures between countries. American women had steeper declines in 10 of the measures than English women. Similar differences were found between American and English men. Reporting difficulties climbing several flights of stairs without resting, and stooping, kneeling, or crouching are the first indicators of functional loss reported in both populations. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America.

  11. Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India - a community based cross sectional study.

    PubMed

    Charles, Bimal; Jeyaseelan, Lakshmanan; Pandian, Arvind Kumar; Sam, Asirvatham Edwin; Thenmozhi, Mani; Jayaseelan, Visalakshi

    2012-06-21

    India has around 2.27 million adults living with HIV/AIDS who face several challenges in the medical management of their disease. Stigma, discrimination and psychosocial issues are prevalent. The objective of the study was to determine the prevalence of severe stigma and to study the association between this, depression and the quality of life (QOL) of people living with HIV/AIDS (PLHA) in Tamil Nadu. This was a community based cross sectional study carried out in seven districts of Tamil Nadu, India, among 400 PLHA in the year 2009. The following scales were used for stigma, depression and quality of life, Berger scale, Major Depression Inventory (MDI) scale and the WHO BREF scale. Both Stigma and QOL were classified as none, moderate or severe/poor based on the tertile cut off values of the scale scores. Depression was classified as none, mild, moderate and severe. Logistic regression analyses were performed to study the risk factors. Twenty seven per cent of PLHA had experienced severe forms of stigma. These were severe forms of personalized stigma (28.8%), negative self-image (30.3%), perceived public attitude (18.2%) and disclosure concerns (26%). PLHA experiencing severe depression were 12% and those experiencing poor quality of life were 34%. Poor QOL reported in the physical, psychological, social and environmental domains was 42.5%, 40%, 51.2% and 34% respectively. PLHA who had severe personalized stigma and negative self-image had 3.4 (1.6-7.0) and 2.1 (1.0-4.1) times higher risk of severe depression respectively (p < .001). PLHA who had severe depression had experienced 2.7(1.1-7.7) times significantly poorer QOL. Severe forms of stigma were equivalently prevalent among all the categories of PLHA. However, PLHA who had experienced severe depression had only developed poor QOL. A high level of social support was associated with a high level of QOL.

  12. Material Resources and Population Health: Disadvantages in Health Care, Housing, and Food Among Adults Over 50 Years of Age

    PubMed Central

    Soldo, Beth J.; Pagán, José A.; McCabe, John; deBlois, Madeleine; Field, Samuel H.; Asch, David A.; Cannuscio, Carolyn

    2009-01-01

    Objectives. We examined associations between material resources and late-life declines in health. Methods. We used logistic regression to estimate the odds of declines in self-rated health and incident walking limitations associated with material disadvantages in a prospective panel representative of US adults aged 51 years and older (N = 15 441). Results. Disadvantages in health care (odds ratio [OR] = 1.39; 95% confidence interval [CI] = 1.23, 1.58), food (OR = 1.69; 95% CI = 1.29, 2.22), and housing (OR = 1.20; 95% CI = 1.07, 1.35) were independently associated with declines in self-rated health, whereas only health care (OR = 1.43; 95% CI = 1.29, 1.58) and food (OR = 1.64; 95% CI = 1.31, 2.05) disadvantage predicted incident walking limitations. Participants experiencing multiple material disadvantages were particularly susceptible to worsening health and functional decline. These effects were sustained after we controlled for numerous covariates, including baseline health status and comorbidities. The relations between health declines and non-Hispanic Black race/ethnicity, poverty, marital status, and education were attenuated or eliminated after we controlled for material disadvantage. Conclusions. Material disadvantages, which are highly policy relevant, appear related to health in ways not captured by education and poverty. Policies to improve health should address a range of basic human needs, rather than health care alone. PMID:19890175

  13. Continent-wide tracking to determine migratory connectivity and tropical habitat associations of a declining aerial insectivore.

    PubMed

    Fraser, Kevin C; Stutchbury, Bridget J M; Silverio, Cassandra; Kramer, Patrick M; Barrow, John; Newstead, David; Mickle, Nanette; Cousens, Bruce F; Lee, J Charlene; Morrison, Danielle M; Shaheen, Tim; Mammenga, Paul; Applegate, Kelly; Tautin, John

    2012-12-22

    North American birds that feed on flying insects are experiencing steep population declines, particularly long-distance migratory populations in the northern breeding range. We determine, for the first time, the level of migratory connectivity across the range of a songbird using direct tracking of individuals, and test whether declining northern populations have higher exposure to agricultural landscapes at their non-breeding grounds in South America. We used light-level geolocators to track purple martins, Progne subis, originating from North American breeding populations, coast-to-coast (n = 95 individuals). We show that breeding populations of the eastern subspecies, P. s. subis, that are separated by ca. 2000 km, nevertheless have almost completely overlapping non-breeding ranges in Brazil. Most (76%) P. s. subis overwintered in northern Brazil near the Amazon River, not in the agricultural landscape of southern Brazil. Individual non-breeding sites had an average of 91 per cent forest and only 4 per cent agricultural ground cover within a 50 km radius, and birds originating from declining northern breeding populations were not more exposed to agricultural landscapes than stable southern breeding populations. Our results show that differences in wintering location and habitat do not explain recent trends in breeding population declines in this species, and instead northern populations may be constrained in their ability to respond to climate change.

  14. Effect of fast pH decline during the early postmortem period on calpain activity and cytoskeletal protein degradation of broiler M. pectoralis major.

    PubMed

    Huang, J C; Yang, J; Huang, F; Huang, M; Chen, K J; Xu, X L; Zhou, G H

    2016-10-01

    The objective of this study was to determine the effects of fast pH decline during the early postmortem period on calpain activity and the degradation of cytoskeletal proteins in broilers. Eighty broilers were randomly categorized into two groups: physical restraint (PR) and free struggle (FS). M. pectoralis major (PM) was used for determination of calpain activity, shear value, ultrastructure of myofibrils, and the degradation of desmin, titin, nebulin, and troponin-T. The pH (6.05) of FS group is significantly low than PR group (6.38) at 0.3 h postmortem. Fast pH decline during the early postmortem period led to a decrease of μ/m-calpain activities at 0.3 and 3 h postmortem (P < 0.05), but did not affect the ultimate μ/m-calpain activity. An initial fast decrease in pH increased the degradation of desmin, titin, nebulin, and increased the 30 kDa degradation fragments of troponin-T. Therefore, the fast pH decline during the early postmortem period decreased the μ/m-calpain activity and increased the degradation of cytoskeletal proteins in broiler muscle. It is possible that the fast pH decline experienced an earlier activation of calpains that resulted in earlier protein degradation and ultimately lower shear force. © 2016 Poultry Science Association Inc.

  15. Long-term trajectories of lower extremity function in older adults: estimating gender differences while accounting for potential mortality bias.

    PubMed

    Botoseneanu, Anda; Allore, Heather G; Gahbauer, Evelyne A; Gill, Thomas M

    2013-07-01

    Gender-specific trajectories of lower extremity function (LEF) and the potential for bias in LEF estimation due to differences in survival have been understudied. We evaluated longitudinal data from 690 initially nondisabled adults age 70 or older from the Precipitating Events Project. LEF was assessed every 18 months for 12 years using a modified Short Physical Performance Battery (mSPPB). Hierarchical linear models with adjustments for length-of-survival estimated the intraindividual trajectory of LEF and differences in trajectory intercept and slope between men and women. LEF declined following a nonlinear trajectory. In the full sample, and among participants with high (mSPPB 10-12) and intermediate (mSPPB 7-9) baseline LEF, the rate-of-decline in mSPPB was slower in women than in men, with no gender differences in baseline mSPPB scores. Among participants with low baseline LEF (mSPPB ≤6), men had a higher starting mSPPB score, whereas women experienced a deceleration in the rate-of-decline over time. In all groups, participants who survived longer had higher starting mSPPB scores and slower rates-of-decline compared with those who died sooner. Over the course of 12 years, older women preserve LEF better than men. Nonadjustment for differences in survival results in overestimating the level and underestimating the rate-of-decline in LEF over time.

  16. Effects of the men's program on U.S. Army soldiers' intentions to commit and willingness to intervene to prevent rape: a pretest posttest study.

    PubMed

    Foubert, John D; Masin, Ryan C

    2012-01-01

    Noncommissioned male officers in the U.S. Army stationed in Germany were trained to present a 1-hour rape prevention workshop--The Men's Program--to 237 enlisted male soldiers. A comparison group of 244 male soldiers received a briefing focused on reducing the individual's risk for experiencing sexual assault, discussion of myths and facts about sexual assault, and how to avoid being accused of sexual assault. Participants in The Men's Program experienced significant change in the predicted direction for bystander willingness to help, bystander efficacy, rape myth acceptance, likelihood of raping, and likelihood of committing sexual assault with low to medium effect sizes. Comparison group participants experienced no effect on these variables except for a significant decline in rape myth acceptance with a very low effect size. Between-group differences pointed to the efficacy of The Men's Program. Implications of these results for rape prevention programming in the military are discussed.

  17. Geographical trends in infant mortality: England and Wales, 1970-2006.

    PubMed

    Norman, Paul; Gregory, Ian; Dorling, Danny; Baker, Allan

    2008-01-01

    At national level in England and Wales, infant mortality rates fell rapidly from the early 1970s and into the 1980s. Subnational areas have also experienced a reduction in levels of infant mortality. While rates continued to fall to 2006, the rate of reduction has slowed. Although the Government Office Regions Yorkshire and The Humber, the North West and the West Midlands and the Office for National Statistics local authority types Cities and Services and London Cosmopolitan have experienced relatively large absolute reductions in infant mortality, their rates remained high compared with the national average. Within all regions and local authority types, a strong relationship was found between ward level deprivation and infant mortality rates. Nevertheless, levels of infant mortality declined over time even in the most deprived areas with a narrowing of absolute differences in rates between areas. Areas in which the level of deprivation eased have experienced greater than average reductions in levels of infant mortality.

  18. Growth and collapse of a resource system: an adaptive cycle of change in public lands governance and forest management in Alaska

    Treesearch

    Colin M. Beier; Amy Lauren Lovecraft; F. Stuart Chapin

    2009-01-01

    Large-scale government efforts to develop resources for societal benefit have often experienced cycles of growth and decline that leave behind difficult social and ecological legacies. To understand the origins and outcomes of these failures of resource governance, scholars have applied the framework of the adaptive cycle. In this study, we used the adaptive cycle as a...

  19. A Head Start: Of All the Lessons Students Learn in College, How to Be Supportive Alumni Is among the Most Important

    ERIC Educational Resources Information Center

    Coleman, Toni

    2011-01-01

    There is growing acknowledgement in higher education, particularly among institutions experiencing a steady decline in giving by graduates, that alumni donors need to be cultivated while they are students. If a school wants to have a generous alumni body giving time and money once they graduate, they need to be aware of the importance of…

  20. Toward an Understanding of Career Construction in the 21st Century: A Phenomenological Study of the Life Experiences of Graduating Student-Athletes at a Large Highly-Selective Midwestern University

    ERIC Educational Resources Information Center

    Navarro, Kristina Meissen

    2012-01-01

    During the 21st century, the American labor force has experienced significant challenges (Savickas 2002, 2005; Savickas, Nota, Rossier, Dauwalder, Duarte, Guichard, Salvatore, Van Esbroeck, & Van Vianen, 2009). As the job market has become increasingly unstable and economy has drastically declined during this time period, how individuals…

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