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Sample records for massachusetts health study

  1. Cancer increase study methodology: A review and discussion of the ``Southeastern Massachusetts Health Study 1978--1986``

    SciTech Connect

    Sever, L.E.; Baker, D.A.; Gilbert, E.S.; Mahaffey, J.A.

    1993-09-01

    In October 1990 the Massachusetts Department of Public Health released a report of an epidemiologic study of adult leukemia occurring in the vicinity of the Pilgrim 1 Nuclear Power Plant near Plymouth, Massachusetts. The study used a case-control design in which adult leukemia cases occurring between 1978 and 1986 in 22 towns were compared with persons without leukemia (controls) selected from the same study population. Exposure scores, used to estimate potential for exposure to radioactive emissions from Pilgrim, were calculated for all cases and controls. When the exposure scores of cases were compared with those of controls, the analyses showed the scores to be higher for the leukemia cases, suggesting that individuals with the highest potential for exposure to Pilgrim emissions had a significantly increased risk of leukemia. This association was found only for cases diagnosed before 1984; for cases diagnosed during 1984, 1985, or 1986, no association was observed between leukemia case status and potential for exposure to emissions from the plant. Our review of the report and supporting documents shows no major methodologic problems that would account for the finding of an association between leukemia risk and the Pilgrim plant. Examination of the study findings in relation to what is known about leukemia risks associated with radiation exposure, however, indicates that the results of the Southeastern Massachusetts Health Study are inconsistent with a large body of evidence from a number of other studies.

  2. Massachusetts health care reform: is it working?

    PubMed

    McAdoo, Joshua; Irving, Julian; Deslich, Stacie; Coustasse, Alberto

    2013-01-01

    Before 2006, Massachusetts had more than 500 000 residents who lacked health insurance. Governor Mitt Romney enacted landmark legislation requiring all residents to obtain health insurance. Also, the legislation established a health insurance exchange for the purpose of broadening the choices of insurance plans made available to individuals in the state. The purpose of this research was to assess the Massachusetts health care reform in terms of access, cost, and sustainability. The methodology used was a literature review from 2006 to 2013; a total of 43 references were used. Health reform resulted in additional overall state spending of $2.42 billion on Medicaid for Massachusetts. Since the 2006 reform, 401 000 additional residents have obtained insurance. The number of Massachusetts residents who had access to health care increased substantially after the health care reform was enacted, to 98.1% of residents. The Massachusetts health care reform has not saved money for the state; its funding has been covered by Federal spending. However, reform has been sustained over time because of the high percentage of state residents who have supported the state mandate to obtain health care coverage.

  3. A Case Study of Environmental, Health and Safety Issues Involving the Burlington, Massachusetts Public School System. "Tips, Suggestions, and Resources for Investigating and Resolving EHS Issues in Schools."

    ERIC Educational Resources Information Center

    Dresser, Todd H.

    An investigation was initiated concerning the environmental health within the Burlington, Massachusetts public school system to determine what specific environmental hazards were present and determine ways of eliminating them. This report presents 20 case studies that detail the environmental health issues involved, the approaches taken in…

  4. Community health educators band together in Massachusetts.

    PubMed

    Sheffield, R

    1979-01-01

    Begun last year with only six participants, the Massachusetts Consumer Health Educators Association, now 100 members strong, is in the business of sharing experiences to help alleviate its members' feelings of being alone. Meetings are held once a month, and authorities in the health education field are invited to speak. The Consumer Health Educators' first major project is the compilation of an index of hospital-based health education programs in the state.

  5. Health and Risk Behaviors of Massachusetts Youth, 2007: The Report

    ERIC Educational Resources Information Center

    Massachusetts Department of Elementary and Secondary Education, 2008

    2008-01-01

    This paper presents the results of two coordinated surveys of Massachusetts adolescents, the 2007 Massachusetts Youth Risk Behavior Survey (ESE) and the Massachusetts Youth Health Survey (DPH). These two surveys were supported by funding from the Centers for Disease Control and Prevention (CDC) and administered in a random selection of 124 public…

  6. What Health Care Reform Means for Immigrants: Comparing the Affordable Care Act and Massachusetts Health Reforms.

    PubMed

    Joseph, Tiffany D

    2016-02-01

    The 2010 Patient Protection and Affordable Care Act (ACA) was passed to provide more affordable health coverage to Americans beginning in 2014. Modeled after the 2006 Massachusetts health care reform, the ACA includes an individual mandate, Medicaid expansion, and health exchanges through which middle-income individuals can purchase coverage from private insurance companies. However, while the ACA provisions exclude all undocumented and some documented immigrants, Massachusetts uses state and hospital funds to extend coverage to these groups. This article examines the ACA reform using the Massachusetts reform as a comparative case study to outline how citizenship status influences individuals' coverage options under both policies. The article then briefly discusses other states that provide coverage to ACA-ineligible immigrants and the implications of uneven ACA implementation for immigrants and citizens nationwide.

  7. The Massachusetts health insurance law: providing health insurance to all.

    PubMed

    Kleinpeter, Myra A

    2006-11-01

    There have been increasing rates of uninsured patients in the United States over the past few decades. Despite this growing problem, little progress has been made to decrease the rate of growth of uninsured patients or to provide affordable insurance coverage to those who are unable to maintain insurance coverage throughout the year. The legislature in the Commonwealth of Massachusetts has enacted legislation that requires health insurance for all in the same manner that automobile insurance is required in many states. This bold comprehensive legislation augments current Medicaid and state child health insurance program coverage and expands coverage options for part-time workers, those employed by small companies or those employed at lower-income jobs.

  8. Implementation of Competitive Food and Beverage Standards in a Sample of Massachusetts Schools: The NOURISH Study (Nutrition Opportunities to Understand Reforms Involving Student Health)

    PubMed Central

    Hoffman, Jessica A.; Rosenfeld, Lindsay; Schmidt, Nicole; Cohen, Juliana F. W.; Gorski, Mary; Chaffee, Ruth; Smith, Lauren; Rimm, Eric B.

    2015-01-01

    Background During 2012, Massachusetts adopted comprehensive school competitive food and beverage standards that closely align with Institute of Medicine recommendations and Smart Snacks in School national standards. Objective We examined the extent to which a sample of Massachusetts middle schools and high schools sold foods and beverages that were compliant with the state competitive food and beverage standards after the first year of implementation, and complied with four additional aspects of the regulations. Design Observational cohort study with data collected before implementation (Spring 2012) and 1 year after implementation (Spring 2013). Participants/setting School districts (N=37) with at least one middle school and one high school participated. Main outcome measures Percent of competitive foods and beverages that were compliant with Massachusetts standards and compliance with four additional aspects of the regulations. Data were collected via school site visits and a foodservice director questionnaire. Statistical analyses performed Multilevel models were used to examine change in food and beverage compliance over time. Results More products were available in high schools than middle schools at both time points. The number of competitive beverages and several categories of competitive food products sold in the sample of Massachusetts schools decreased following the implementation of the standards. Multilevel models demonstrated a 47-percentage-point increase in food and 46-percentage-point increase in beverage compliance in Massachusetts schools from 2012 to 2013. Overall, total compliance was higher for beverages than foods. Conclusions This study of a group of Massachusetts schools demonstrated the feasibility of schools making substantial changes in response to requirements for healthier competitive foods, even in the first year of implementation. PMID:26210085

  9. The impact of the Massachusetts health care reform on unpaid medical bills.

    PubMed

    Arrieta, Alejandro

    2013-08-01

    The Massachusetts health care reform was expected to reduce the financial burden of medical care, but literature exploring this effect is limited. In this study, we use hospital financial information and a panel data difference-in-difference model to assess the impact of the Massachusetts health care reform on unpaid medical bills. We find that the reform reduced the financial burden for patients, reflected by a 26percent decrease in hospital bad debt. The effect was more pronounced among safety-net hospitals, indicating a larger benefit for the most vulnerable population.

  10. The Massachusetts Commonwealth Health Insurance Connector: structure and functions.

    PubMed

    Lischko, Amy M; Bachman, Sara S; Vangeli, Alyssa

    2009-05-01

    The Commonwealth Health Insurance Connector Authority is the centerpiece of Massachusetts' ambitious health care reforms, which were implemented beginning in 2006. The Connector is an independent quasi-governmental agency created by the Massachusetts legislature to facilitate the purchase of affordable, high-quality health insurance by small businesses and individuals without access to employer-sponsored coverage. This issue brief describes the structure and functions of the Connector, providing a primer to policymakers interested in exploring similar reforms at the state and national level. The authors describe how the Connector works to promote administrative ease, eliminate paperwork, offer portability of coverage, and provide some standardization and choice of plans. National policymakers looking to achieve similar policy goals may find some of the structural components and functions of the Connector to be transferable to a national health reform model, say the authors.

  11. Vulnerability-Based Spatial Sampling Stratification for the National Children’s Study, Worcester County, Massachusetts: Capturing Health-Relevant Environmental and Sociodemographic Variability

    PubMed Central

    Downs, Timothy J.; Ogneva-Himmelberger, Yelena; Aupont, Onesky; Wang, Yangyang; Raj, Ann; Zimmerman, Paula; Goble, Robert; Taylor, Octavia; Churchill, Linda; Lemay, Celeste; McLaughlin, Thomas; Felice, Marianne

    2010-01-01

    Background The National Children’s Study is the most ambitious study ever attempted in the United States to assess how environmental factors impact child health and development. It aims to follow 100,000 children from gestation until 21 years of age. Success requires breaking new interdisciplinary ground, starting with how to select the sample of > 1,000 children in each of 105 study sites; no standardized protocol exists for stratification of the target population by factoring in the diverse environments it inhabits. Worcester County, Massachusetts, like other sites, stratifies according to local conditions and local knowledge, subject to probability sampling rules. Objectives We answer the following questions: How do we divide Worcester County into viable strata that represent its health-relevant environmental and sociodemographic heterogeneity, subject to sampling rules? What potential does our approach have to inform stratification at other sites? Results We developed a multivariable, vulnerability-based method for spatial sampling consisting of two descriptive indices: a hazards/stressors exposure index (comprising three proxy variables), and an adaptive capacity/sociodemographic character index (five variables). Multivariable, health-relevant stratification at the start of the study may improve detection power for environment–child health associations down the line. Eighteen strata capture countywide heterogeneity in the indices and have optimal relative homogeneity within each. They achieve comparable expected birth counts and conform to local concepts of space. Conclusion The approach offers moderate to high potential to inform other sites, limited by intersite differences in data availability, geodemographics, and technical capacity. Energetic community engagement from the start promotes local stratification coherence, plus vital researcher–community trust and co-ownership for sustainability. PMID:20211802

  12. Weight and mental health status in Massachusetts, National Survey of Children's Health, 2007.

    PubMed

    Lu, Emily; Dayalu, Rashmi; Diop, Hafsatou; Harvey, Elizabeth M; Manning, Susan E; Uzogara, Stella G

    2012-12-01

    This study explores how weight status is related to mental health status among Massachusetts children, aged 10-17 years. We used data from the 2007 National Survey of Children's Health to examine the association between weight status (body mass index-for-age) and parent-reported mental health status among Massachusetts children (N = 827). Multivariable log binomial regression was performed to calculate the adjusted prevalence ratios (aPR) of three mental health outcomes (behavioral, emotional, and social) as related to weight status, after controlling for covariates including physical activity, sex, race/ethnicity, maternal education, poverty status, special health needs, and neighborhood safety. Almost one-third (32.5 %) of Massachusetts children were either overweight or obese. Sex was a significant effect modifier of the association between weight status and negative emotions. After stratifying by sex and controlling for covariates, the relationship between weight status and negative emotions remained significant among girls (aPR = 1.8, 95 % CI 1.3-2.6). Children who did not exercise at all were significantly more likely to exhibit negative behaviors (aPR = 1.3, 95 % CI 1.0-1.6), negative emotions (boys' aPR = 3.3, 95 % CI 1.6-6.9; girls' aPR = 2.6, 95 % CI 1.5-4.5), and fewer social skills (aPR = 1.9, 95 % CI 1.3-2.9) than those who exercised at least 20 min every day of the week. Overweight/obese children, especially girls, were more likely than children of normal weight to have parent-reported negative emotions, suggesting an association between weight status and mental health. Lower levels of physical activity were associated with negative mental health outcomes, supporting the benefits of physical activity for all children.

  13. Exploring Massachusetts Health Care Reform Impact on Fee-for-Service Funded Substance Use Disorder Treatment Providers

    PubMed Central

    Fields, Dail; Pruett, Jana; Roman, Paul M.

    2016-01-01

    The Affordable Care Act (ACA) is forecast to increase the demand for and utilization of substance use disorder (SUD) treatment. Massachusetts implemented health reforms similar to the ACA in 2006 -2007 that included expanding coverage for SUD treatment. This study explored the impact of Massachusetts health reforms from 2007 to 2010 on SUD treatment providers in Massachusetts, who relied on fee-for-service billings for more than 50% of their revenue. The changes across treatment facilities located in Massachusetts were compared to changes in other similar fee-for-service funded SUD treatment providers in Northeast states bordering Massachusetts and in all other states across the US. From 2007-2010, the percentage changes for Massachusetts based providers were significantly different from the changes among providers located in the rest of the US for admissions, outpatient census, average weeks of outpatient treatment, residential/in-patient census, detoxification census, length of average inpatient and outpatient stays, and provision of medication assisted treatment. Contrary to previous studies of publicly funded treatment providers, the results of this exploratory study of providers dependent on fee-for-service revenues were consistent with some predictions for the overall effects of the ACA PMID:26514378

  14. Industry-Education Partnerships: Massachusetts Case Studies.

    ERIC Educational Resources Information Center

    Massachusetts State Dept. of Education, Quincy. Office of Community Education.

    This document consists largely of descriptions of 15 industry-education partnerships in Massachusetts, selected on the basis of their creativity; the range of partnership organizations and activity they represent; the diversity of students, teachers, businesses, and communities they affect; and their innovative and efficient coordination and…

  15. Listening to paediatric primary care nurses: a qualitative study of the potential for interprofessional oral health practice in six federally qualified health centres in Massachusetts and Maryland

    PubMed Central

    Bernstein, Judith; Gebel, Christina; Vargas, Clemencia; Geltman, Paul; Walter, Ashley; Garcia, Raul; Tinanoff, Norman

    2017-01-01

    Objectives To explore the opportunities for interprofessional collaboration (IPC) to improve paediatric oral health in federally qualified health centres (FQHCs), to identify challenges to IPC-led integration of oral health prevention into the well-child visit and to suggest strategies to overcome barriers. Sample Nurse managers (NMs), nurse practitioners (NPs), paediatric clinical staff and administrators in six FQHCs in two states were interviewed using a semistructured format. Design Grounded theory research. Topics included feasibility of integration, perceived barriers and strategies for incorporating oral health into paediatric primary care. Measurements Qualitative data were coded and analysed using NVivo 10 to generate themes iteratively. Results Nurses in diverse roles recognised the importance of oral health prevention but were unaware of professional guidelines for incorporating oral health into paediatric encounters. They valued collaborative care, specifically internal communication, joint initiatives and training and partnering with dental schools or community dental practices. Barriers to IPC included inadequate training, few opportunities for cross-communication and absence of charting templates in electronic health records. Conclusions NMs, NPs and paediatric nursing staff all value IPC to improve patients' oral health, yet are constrained by lack of oral health training and supportive charting and referral systems. With supports, they are willing to take on responsibility for introducing oral health preventive measures into the well-child visit, but will require IPC approaches to training and systems changes. IPC teams in the health centre setting can work together, if policy and administrative supports are in place, to provide oral health assessments, education, fluoride varnish application and dental referrals, decrease the prevalence of early childhood caries and increase access to a dental home for low-income children. PMID:28360245

  16. Massachusetts health reform: employers, lower-wage workers and universal coverage.

    PubMed

    Felland, Laurie; Draper, Debra; Liebhaber, Allison

    2007-07-01

    As Massachusetts' landmark effort to reach nearly universal health coverage unfolds, the state is now focusing on employers to take steps to increase coverage. All employers--except firms with fewer than 11 workers--face new requirements under the 2006 law, including establishing Section 125, or cafeteria, plans to allow workers to purchase insurance with pre-tax dollars and paying a $295 annual fee if they do not make a "fair and reasonable" contribution to the cost of workers' coverage. Through interviews with Massachusetts health care leaders (see Data Source), the Center for Studying Health System Change (HSC) examined how the law is likely to affect employer decisions to offer health insurance to workers and employee decisions to purchase coverage. Market observers believe many small firms may be unaware of specific requirements and that some could prove onerous. Moreover, the largest impact on small employers may come from the individual mandate for all residents to have a minimum level of health insurance. This mandate may add costs for firms if more workers take up coverage offers, seek more generous coverage or pressure employers to offer coverage. Despite reform of the individual and small group markets, including development of new insurance products, concerns remain about the affordability of coverage and the ability to stem rising health care costs.

  17. Including health insurance in poverty measurement: The impact of Massachusetts health reform on poverty.

    PubMed

    Korenman, Sanders D; Remler, Dahlia K

    2016-12-01

    We develop and implement what we believe is the first conceptually valid health-inclusive poverty measure (HIPM) - a measure that includes health care or insurance in the poverty needs threshold and health insurance benefits in family resources - and we discuss its limitations. Building on the Census Bureau's Supplemental Poverty Measure, we construct a pilot HIPM for the under-65 population under ACA-like health reform in Massachusetts. This pilot demonstrates the practicality, face validity and value of a HIPM. Results suggest that public health insurance benefits and premium subsidies accounted for a substantial, one-third reduction in the health inclusive poverty rate.

  18. A Model of Objectives for a Program of Continuing Education for Psychiatric Nurses in Community Mental Health Work in Massachusetts.

    ERIC Educational Resources Information Center

    Goodman, Lillian Rachel

    The purpose of this study was (1) to develop a model of required functions and effective behaviors of psychiatric nurses in mental health programs in Massachusetts and (2) to construct a model of objectives of a continuing education program for them. Perceptual data concerning functions of nurses were gathered by interviews with authorities,…

  19. Behavioral health care for children: the massachusetts child psychiatry access project.

    PubMed

    Straus, John H; Sarvet, Barry

    2014-12-01

    Access to behavioral health care for children is essential to achieving good health care outcomes. Pediatric primary care providers have an essential role to play in identifying and treating behavioral health problems in children. However, they lack adequate training and resources and thus have generally been unable to meet children's need for behavioral health care. The Massachusetts Child Psychiatry Access Project has addressed this problem by delivering telephone child psychiatry consultations and specialized care coordination support to over 95 percent of the pediatric primary care providers in Massachusetts. Established in 2004, the project consists of six regional hubs, each of which has one full-time-equivalent child psychiatrist, licensed therapist, and care coordinator. Collectively, the hubs are available to over 95 percent of the 1.5 million children in Massachusetts. In fiscal year 2013 the Massachusetts Child Psychiatry Access Project served 10,553 children. Pediatric primary care providers enrolled in the project reported a dramatic improvement in their ability to meet the psychiatric needs of their patients. Telephone child psychiatry consultation programs for pediatric primary care providers, many modeled after the Massachusetts project, have spread across the United States.

  20. Installation Restoration Program. Phase II. Problem Confirmation Study, Westover AFB, Chicopee, Massachusetts.

    DTIC Science & Technology

    1984-05-01

    Problem Confirmation Study Westover Air Force Base * Chicopee, Massachusetts Contract F33615-80..D-4006 Prepared For. United States Air Force...Occupational and Environental Health Laboratory (OEHL) Brooks Air Force Base, Texas 4 SMay 1984 r DT SEP 619 4 H Ths ocument has been approved iOT Public...8217--* .- - -. - , - . Force by Roy F. Weston, Inc.. for the purposeof aiding in the implementation of the Air Force Installation Restoration

  1. Understanding the Decisions and Values of Stakeholders in Health Information Exchanges: Experiences From Massachusetts

    PubMed Central

    Simon, Steven R.; Volk, Lynn A.; Tripathi, Micky; Bates, David

    2009-01-01

    Objectives. We studied how health information exchange systems are established by examining the decisions (and thus, indirectly, the values) of key stakeholders (health care providers) participating in a health information exchange pilot project in 3 Massachusetts communities. Our aim was to understand how these kinds of information exchanges can be made viable. Methods. We used semistructured interviews to assess health care providers' decision-making processes in selecting technical architectures and vendors for the pilot projects to uncover their needs, expectations, and motivations. Results. Our interviews indicated that, after extensive evaluations, health care providers in all 3 communities eventually selected a hybrid architecture that included a central data repository. However, the reasons for selecting this architecture varied considerably among the 3 communities, reflecting their particular values. Plans to create a community patient portal also differed across communities. Conclusions. Our findings suggest that, to become established, health information exchange efforts must foster trust, appeal to strategic interests of the medical community as a whole, and meet stakeholder expectations of benefits from quality measurements and population health interventions. If health information exchange organizations cannot address these factors, sustainability will remain precarious. PMID:19299671

  2. The accountable health care act of Massachusetts: mixed results for an experiment in universal health care coverage.

    PubMed

    Norbash, Alexander; Hindson, David; Heineke, Janelle

    2012-10-01

    The affordable health care act of Massachusetts, signed into law in 2006, resulted in 98% of Massachusetts residents' having some form of insurance coverage by 2011, the highest coverage rate for residents of any state in the nation. With a strong economy, a low unemployment rate, a robust health care delivery system, an extremely low number of undocumented immigrants, and a low baseline uninsured rate, Massachusetts was well positioned for such an effort. Ingredients included mandates, the creation of separate insurance vehicles directed to both poverty-level and non-poverty-level residents, and the reallocation of the former free care pool. The mandates included consumer mandates and employer mandates; the consumer mandate applies to all Massachusetts residents at the risk of losing personal state tax exemptions, and the employer mandate applies to all Massachusetts businesses with 10 or more employees at the risk of per employee financial penalties. The insurance vehicles were created with premiums allocated on the basis of ability to pay by income classes. Unexpected effects included escalating taxpayer health care costs, with taxpayers shouldering the burden for the newly insured, continuing escalating health care costs at a rate greater than the national average, overburdening primary caregivers as newly insured sought new primary care gatekeepers in a system with primary caregiver shortages, and deprivation of support to the safety-net hospitals as a result of siphoned commonwealth free care pool funds. This exercise demonstrates specific benefits and shortfalls of the Massachusetts health care reform experiment, given the conditions and circumstances found in Massachusetts at the time of implementation.

  3. Health reform in Massachusetts increased adult dental care use, particularly among the poor.

    PubMed

    Nasseh, Kamyar; Vujicic, Marko

    2013-09-01

    States frequently expand or limit dental benefits for adults covered by Medicaid. As part of statewide health reform in 2006, Massachusetts expanded dental benefits to all adults ages 19-64 whose annual income was at or below 100 percent of the federal poverty level. We examined the impact of this reform and found that it led to an increase in dental care use among the Massachusetts adult population, driven by gains among poor adults. Compared to the prereform period, dental care use increased by 2.9 percentage points among all nonelderly adults in Massachusetts, relative to all nonelderly adults in eight control states. For poor Massachusetts adults, the effect was larger-an eleven-percentage-point increase in dental care use above the increase among the state's nonpoor residents. The Massachusetts experience provides evidence that providing dental benefits to poor adults through Medicaid can improve dental care access and use. Our results imply that the lack of expanded dental coverage for low-income adults under the Affordable Care Act is a missed opportunity to improve access to oral care.

  4. Cape queer? A case study of Provincetown, Massachusetts.

    PubMed

    Krahulik, Karen Christel

    2006-01-01

    Cape Queer is a case study that details how sexuality intersects with race, gender, and class in the development of the gay and lesbian resort community, Provincetown, Massachusetts. It asks scholars to pay closer attention to the ways in which methodologies and practices utilizing LGBT studies and queer theory can combine rather than separate to interrogate LGBT and queer histories, politics and communities. In the process, it assesses how the global mechanics of capitalism led to the local queering and eventually un-queering of a gentrified, white, gay and lesbian enclave.

  5. Massachusetts Institute of Technology Security Studies Program

    DTIC Science & Technology

    2006-01-01

    CNBC’s “Strategy Session” and “The Wall Street Journal Report.” His most recent book, co-authored with Gregory T. Huang, Guanxi (The Art of...World War II: Was Spykman Right?” Security Studies, December 2005. Robert Buderi/Gregory T. Huang, Guanxi (The Art of Relationships): Microsoft, China

  6. Impact of the 2006 Massachusetts health care insurance reform on neurosurgical procedures and patient insurance status.

    PubMed

    Villelli, Nicolas W; Das, Rohit; Yan, Hong; Huff, Wei; Zou, Jian; Barbaro, Nicholas M

    2017-01-01

    OBJECTIVE The Massachusetts health care insurance reform law passed in 2006 has many similarities to the federal Affordable Care Act (ACA). To address concerns that the ACA might negatively impact case volume and reimbursement for physicians, the authors analyzed trends in the number of neurosurgical procedures by type and patient insurance status in Massachusetts before and after the implementation of the state's health care insurance reform. The results can provide insight into the future of neurosurgery in the American health care system. METHODS The authors analyzed data from the Massachusetts State Inpatient Database on patients who underwent neurosurgical procedures in Massachusetts from 2001 through 2012. These data included patients' insurance status (insured or uninsured) and the numbers of procedures performed classified by neurosurgical procedural codes of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Each neurosurgical procedure was grouped into 1 of 4 categories based on ICD-9-CM codes: 1) tumor, 2) other cranial/vascular, 3) shunts, and 4) spine. Comparisons were performed of the numbers of procedures performed and uninsured patients, before and after the implementation of the reform law. Data from the state of New York were used as a control. All data were controlled for population differences. RESULTS After 2008, there were declines in the numbers of uninsured patients who underwent neurosurgical procedures in Massachusetts in all 4 categories. The number of procedures performed for tumor and spine were unchanged, whereas other cranial/vascular procedures increased. Shunt procedures decreased after implementation of the reform law but exhibited a similar trend to the control group. In New York, the number of spine surgeries increased, as did the percentage of procedures performed on uninsured patients. Other cranial/vascular procedures decreased. CONCLUSIONS After the Massachusetts health care

  7. Change in Health Insurance Coverage in Massachusetts and Other New England States by Perceived Health Status: Potential Impact of Health Reform

    PubMed Central

    Zack, Matthew M.; Strine, Tara W.; Druss, Benjamin G.; Simoes, Eduardo

    2013-01-01

    Objectives. We examined the impact of Massachusetts health reform and its public health component (enacted in 2006) on change in health insurance coverage by perceived health. Methods. We used 2003–2009 Behavioral Risk Factor Surveillance System data. We used a difference-in-differences framework to examine the experience in Massachusetts to predict the outcomes of national health care reform. Results. The proportion of adults aged 18 to 64 years with health insurance coverage increased more in Massachusetts than in other New England states (4.5%; 95% confidence interval [CI] = 3.5%, 5.6%). For those with higher perceived health care need (more recent mentally and physically unhealthy days and activity limitation days [ALDs]), the postreform proportion significantly exceeded prereform (P < .001). Groups with higher perceived health care need represented a disproportionate increase in health insurance coverage in Massachusetts compared with other New England states—from 4.3% (95% CI = 3.3%, 5.4%) for fewer than 14 ALDs to 9.0% (95% CI = 4.5%, 13.5%) for 14 or more ALDs. Conclusions. On the basis of the Massachusetts experience, full implementation of the Affordable Care Act may increase health insurance coverage especially among populations with higher perceived health care need. PMID:23597359

  8. What Can Massachusetts Teach Us about National Health Insurance Reform?

    ERIC Educational Resources Information Center

    Couch, Kenneth A., Ed.; Joyce, Theodore J., Ed.

    2011-01-01

    The Patient Protection and Affordable Care Act (PPACA) is the most significant health policy legislation since Medicare in 1965. The need to address rising health care costs and the lack of health insurance coverage is widely accepted. Health care spending is approaching 17 percent of gross domestic product and yet 45 million Americans remain…

  9. Health care IT collaboration in Massachusetts: the experience of creating regional connectivity.

    PubMed

    Halamka, John; Aranow, Meg; Ascenzo, Carl; Bates, David; Debor, Greg; Glaser, John; Goroll, Allan; Stowe, Jim; Tripathi, Micky; Vineyard, Gordon

    2005-01-01

    The state of Massachusetts has significant early experience in planning for and implementing interoperability networks for exchange of clinical and financial data. Members of our evolving data-sharing organizations gained valuable experience that is of potential benefit to others regarding the governance, policies, and technologies underpinning regional health information organizations. We describe the history, roles, and evolution of organizations and their plans for and success with pilot projects.

  10. Sediment studies in the Assabet River, central Massachusetts, 2003

    USGS Publications Warehouse

    Zimmerman, Marc J.; Sorenson, Jason R.

    2005-01-01

    From its headwaters in Westborough, Massachusetts, to its confluence with the Sudbury River, the 53-kilometer-long Assabet River passes through a series of small towns and mixed land-use areas. Along the way, wastewater-treatment plants release nutrient-rich effluents that contribute to the eutrophic state of this waterway. This condition is most obvious where the river is impounded by a series of dams that have sequestered large amounts of sediment and support rooted and floating macrophytes and epiphytic algae. The water in parts of these impoundments may also have low concentrations of dissolved oxygen, another symptom of eutrophication. All of the impoundments had relatively shallow maximum water depths, which ranged from approximately 2.4 to 3.4 meters, and all had extensive shallow areas. Sediment volumes estimated for the six impoundments ranged from approximately 380 cubic meters in the Aluminum City impoundment to 580,000 cubic meters in the Ben Smith impoundment. The other impoundments had sediment volumes of 120,000 cubic meters (Powdermill), 67,000 cubic meters (Gleasondale), 55,000 cubic meters (Hudson), and 42,000 cubic meters (Allen Street). The principal objective of this study was the determination of sediment volume, extent, and chemistry, in particular, the characterization of toxic inorganic and organic chemicals in the sediments. To determine the bulk-sediment chemical-constituent concentrations, more than one hundred sediment cores were collected in pairs from the six impoundments. One core from each pair was sampled for inorganic constituents and the other for organic constituents. Most of the cores analyzed for inorganics were sectioned to provide information on the vertical distribution of analytes; a subset of the cores analyzed for organics was also sectioned. Approximately 200 samples were analyzed for inorganic constituents and 100 for organics; more than 10 percent were quality-control replicate or blank samples. Maximum bulk

  11. Health Literacy, Acculturation, and the Use of Preventive Oral Health Care by Somali Refugees Living in Massachusetts

    PubMed Central

    Hunter Adams, Jo; Penrose, Katherine L.; Cochran, Jennifer; Rybin, Denis; Doros, Gheorghe; Henshaw, Michelle; Paasche-Orlow, Michael

    2013-01-01

    Background This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. Methods 439 adult Somalis in the U.S. ≤ 10 years ago were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Results Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (p=0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (p=0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. Discussion English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills. PMID:23748902

  12. Assessment of fish health in Ashumet and Johns Ponds adjacent to the Massachusetts Military Reservation

    SciTech Connect

    Greeley, M.S. Jr.; Adams, S.M.; Hinton, D.E.

    1995-12-31

    Ashumet and Johns Ponds are located adjacent to the Massachusetts Military Reservation (MMR) on Cape Cod, and lie in or near the paths of several plumes of groundwater contamination flowing from the MMR. This study had the objective of documenting the present status of fish in both ponds in efforts to establish base-line conditions for any future biological monitoring activities and to determine whether evidence exists for current contaminant impacts. This objective was addressed through three complimentary approaches, including the determination of Health Assessment Index (HAI) scores for fish sampled from Ashumet and Johns Ponds and several reference ponds in the area, measurement of various biochemical and physiological indicators in fish tissues and fluids and histopathological examinations of fish organs. For each of the three primary fish species examined in this study, largemouth bass, brown bullhead catfish, and yellow perch, many similarities were noted in the physiological, biochemical and histopathological condition of fish in all the study ponds. However, mean HAIs tended to be slightly higher (indicative of poorer health) in Ashumet and Johns Ponds, due in part to pathologies related to a higher incidence of parasitic infection at these sites. The most striking differences between the ponds were very high prevalences of oral and body surface papillomas in brown bullhead catfish from Johns Pond (59%) and Ashumet Pond (34%). Although pesticides, PCBs, and other chemical contaminants were present in fish from all of ponds, there was no obvious relationship between chemical body burdens and the responses of any of the measured indicator parameters, nor was there any conclusive evidence of current impacts on fish from the contaminant plumes.

  13. The Early Impact Of The 'Alternative Quality Contract' On Mental Health Service Use And Spending In Massachusetts.

    PubMed

    Barry, Colleen L; Stuart, Elizabeth A; Donohue, Julie M; Greenfield, Shelly F; Kouri, Elena; Duckworth, Kenneth; Song, Zirui; Mechanic, Robert E; Chernew, Michael E; Huskamp, Haiden A

    2015-12-01

    Accountable care using global payment with performance bonuses has shown promise in controlling spending growth and improving care. This study examined how an early model, the Alternative Quality Contract (AQC) established in 2009 by Blue Cross Blue Shield of Massachusetts (BCBSMA), has affected care for mental illness. We compared spending and use for enrollees in AQC organizations that did and did not accept financial risk for mental health with enrollees not participating in the contract. Compared with BCBSMA enrollees in organizations not participating in the AQC, we found that enrollees in participating organizations were slightly less likely to use mental health services and, among mental health services users, small declines were detected in total health care spending, but no change was found in mental health spending. The declines in probability of use of mental health services and in total health spending among mental health service users attributable to the AQC were concentrated among enrollees in organizations that accepted financial risk for behavioral health. Interviews with AQC organization leaders suggested that the contractual arrangements did not meaningfully affect mental health care delivery in the program's initial years, but organizations are now at varying stages of efforts to improve mental health integration.

  14. No Further Action Decision Under CERCLA Study 43R Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    List under the Comprehensive Environmental Response, Compensation and Liability Act ( CERCLA ) as amended by the Superfund Amendments and Reauthorization... CERCLA STUDY AREA 43R HISTORIC GAS STATION SITES FORT DEVENS, MASSACHUSETTS CONTRACT DAAA15-91-D-0008 U.S. ARMY ENVIRONMENTAL CENTER ABERDEEN PROVING...ACTION DECISION UNDER CERCLA STUDY AREA 43R HISTORIC GAS STATION SITES FORT DEVENS, MASSACHUSETTS I * Prepared for: U.S. Army Environmental Center

  15. The politics of universal access: the Massachusetts Health Security Act of 1988.

    PubMed

    Goldberger, S A

    1990-01-01

    This article analyzes the passage of an unprecedented state law, promising every resident access to affordable health insurance. The Massachusetts Health Security Act of 1988 was the product of a set of political and financial pressures that had been developing for nearly a decade. Hospital, insurance, and business interests were unable to reach a new accommodation on hospital payment. This logjam created the opportunity for a policy breakthrough, but did not inherently lend itself to progressive reform. It was consumer activism that forced the traditional powers in health policy to address the interests of the uninsured. By imposing a more public-interest agenda on the process, consumers were able to change the configuration of the stalemate, but could not resolve it. The particular terms of the stalemate, however, made possible a new, more aggressive role for state government in health policy. Unable to satisfy their competing interests within a policy framework that had universal access as a goal, traditionally powerful interest groups found themselves increasingly dependent on the state to broker a new agreement. While the many concessions made to these groups are likely to prove to be the bill's undoing, the unraveling of the agreement will not end the story. The same pressures which led to passage of the Massachusetts law and which are now causing other states to act will continue to exert their effect until a more durable solution is found.

  16. Sediment quality assessment studies in Boston Harbor, Massachusetts

    SciTech Connect

    Carr, R.S.; Chapman, D.C.; Biedenbach, J.M.; Long, E.R.; Thursby, G.; MacDonald, D.D.

    1995-12-31

    As part of NOAA`s National Status and Trends program, a bioeffects assessment study was conducted in the vicinity of Boston Harbor, Massachusetts. Surficial sediment samples were collected at 55 sites and subsamples were tested for toxicity using (1) the 10-day whole sediment test with Ampelisca abdita, (2) the sea urchin (Arbacia punctulata) fertilization and embryological development assays with sediment pore water, and (3) Microtox{trademark} assay with organic sediment extracts. Eleven percent of the samples were significantly toxic in the amphipod test, only 4% were toxic in the sea urchin fertilization test whereas all of the samples were highly toxic in the sea urchin embryological development assay; the Microtox assay determined 56% of the organic sediment extracts to be significantly toxic. Sediment chemical analyses for metals, AVS/SEM, PAHs, PCBs, and pesticides were performed on 30 of the 55 samples. Twenty-seven of the 30 samples exceeded at least one probable effects level (PEL) value. For the 20 samples that exceeded 5 or more PELS, the concordance between the predicted and observed toxicity was 20% for the amphipod test, 60% for the Microtox test, and 100% for the sea urchin embryological development assay. There were no significant correlations among the different toxicity tests or between the tests and the contaminant concentrations in the bulk sediment. Possible explanations for the apparent lack of correlation between the sediment chemistry and the toxicity tests will be discussed.

  17. Design of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study

    PubMed Central

    Blaine, Rachel E.; Davison, Kirsten K.; Gortmaker, Steven; Anand, Shikha; Falbe, Jennifer; Kwass, Jo-Ann; Perkins, Meghan; Giles, Catherine; Criss, Shaniece; Colchamiro, Rachel; Woo Baidal, Jennifer; Land, Thomas; Smith, Lauren

    2015-01-01

    Abstract Background: Childhood obesity is highly prevalent, is associated with both short- and long-term adverse outcomes, disproportionately affects racial/ethnic minority and economically deprived children, and represents a major threat to public health. Among the most promising approaches for its prevention and management are multilevel, multisector strategies. Methods/Design: The Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study was a comprehensive, systematic intervention to prevent and reduce childhood obesity among low-income children ages 2–12 years in two selected cities in Massachusetts. Building on the Obesity Chronic Care Model, MA-CORD expanded a state public health department community-level obesity prevention initiative that incorporated evidence-based interventions in primary healthcare, the Women, Infants, and Children program, early care and education, schools/afterschool programs, as well as community-wide programs to improve food, beverage, physical activity (PA), and messaging environments. The study used a combination of pre– and post–time series and quasi-experimental designs to examine the extent to which the intervention resulted in changes in BMI, individual-level lifestyle behaviors, satisfaction with healthcare services, and quality of life among children, as well as changes in health policies, programs, and environments in the two intervention cities, compared to a comparison city. The intervention period was 2 years. Conclusions: MA-CORD will determine the extent to which a multisetting, multilevel intervention that integrates activities in primary care with broader public health interventions in schools, early care and education, and the community at large can improve children's dietary and PA behaviors and ultimately reduce obesity in low-income children. PMID:25469676

  18. Health consequences of the snow disaster in Massachusetts, February 6, 1978.

    PubMed Central

    Glass, R I; O'Hare, P; Conrad, J L

    1979-01-01

    On February 6, 1978, the largest New England blizzard of the century struck eastern Massachusetts. On request, four days later, the Center for Disease Control provided epidemiologic assistance. On-site disaster assistance provided decision-makers with immediate health surveillance information useful in helping the area return to normal. No outbreaks of infectious diseases and no significant increase in the number of deaths were observed in the week following the blizzard. Some of the deaths which occurred immediately after the blizzard might have been prevented if traffic had been banned earlier. PMID:225958

  19. Jacobson v Massachusetts: It’s Not Your Great-Great-Grandfather’s Public Health Law

    PubMed Central

    Mariner, Wendy K.; Annas, George J.; Glantz, Leonard H.

    2005-01-01

    Jacobson v Massachusetts, a 1905 US Supreme Court decision, raised questions about the power of state government to protect the public’s health and the Constitution’s protection of personal liberty. We examined conceptions about state power and personal liberty in Jacobson and later cases that expanded, superseded, or even ignored those ideas. Public health and constitutional law have evolved to better protect both health and human rights. States’ sovereign power to make laws of all kinds has not changed in the past century. What has changed is the Court’s recognition of the importance of individual liberty and how it limits that power. Preserving the public’s health in the 21st century requires preserving respect for personal liberty. PMID:15798113

  20. Massachusetts Study of Teacher Supply and Demand: Trends and Projections

    ERIC Educational Resources Information Center

    Levin, Jesse; Berg-Jacobson, Alex; Atchison, Drew; Lee, Katelyn; Vontsolos, Emily

    2015-01-01

    In April 2015, the Massachusetts Department of Elementary and Secondary Education (ESE) commissioned American Institutes for Research (AIR) to develop a comprehensive set of 10-year projections of teacher supply and demand in order to inform planning for future workforce needs. This included state-level projections both in the aggregate, as well…

  1. Support for National Health Insurance Seven Years Into Massachusetts Healthcare Reform: Views of Populations Targeted by the Reform.

    PubMed

    Saluja, Sonali; Zallman, Leah; Nardin, Rachel; Bor, David; Woolhandler, Steffie; Himmelstein, David U; McCormick, Danny

    2016-01-01

    Before the Affordable Care Act (ACA), many surveys showed majority support for national health insurance (NHI), also known as single payer; however, little is currently known about views of the ACA's targeted population. Massachusetts residents have had seven years of experience with state health care reform that became the model for the ACA. We surveyed 1,151 adults visiting safety-net emergency departments in Massachusetts in late 2013 on their preference for NHI or the Massachusetts reform and on their experiences with insurance. Most of the patients surveyed were low-income and non-white. The majority of patients (72.0%) preferred NHI to the Massachusetts reform. Support for NHI among those with public insurance, commercial insurance, and no insurance was 68.9%, 70.3%, and 86.3%, respectively (p < .001). Support for NHI was higher among patients dissatisfied with their insurance plan (83.3% vs. 68.9%, p = .014), who delayed medical care (81.2% vs. 69.6%, p < .001) or avoided purchasing medications due to cost (87.3% vs. 71.4%; p = .01). Majority support for NHI was observed in every demographic subgroup. Given the strong support for NHI among disadvantaged Massachusetts patients seven years after state health reform, a reappraisal of the ACA's ability to meet the needs of underserved patients is warranted.

  2. Cigarette smoke chemistry market maps under Massachusetts Department of Public Health smoking conditions.

    PubMed

    Morton, Michael J; Laffoon, Susan W

    2008-06-01

    This study extends the market mapping concept introduced by Counts et al. (Counts, M.E., Hsu, F.S., Tewes, F.J., 2006. Development of a commercial cigarette "market map" comparison methodology for evaluating new or non-conventional cigarettes. Regul. Toxicol. Pharmacol. 46, 225-242) to include both temporal cigarette and testing variation and also machine smoking with more intense puffing parameters, as defined by the Massachusetts Department of Public Health (MDPH). The study was conducted over a two year period and involved a total of 23 different commercial cigarette brands from the U.S. marketplace. Market mapping prediction intervals were developed for 40 mainstream cigarette smoke constituents and the potential utility of the market map as a comparison tool for new brands was demonstrated. The over-time character of the data allowed for the variance structure of the smoke constituents to be more completely characterized than is possible with one-time sample data. The variance was partitioned among brand-to-brand differences, temporal differences, and the remaining residual variation using a mixed random and fixed effects model. It was shown that a conventional weighted least squares model typically gave similar prediction intervals to those of the more complicated mixed model. For most constituents there was less difference in the prediction intervals calculated from over-time samples and those calculated from one-time samples than had been anticipated. One-time sample maps may be adequate for many purposes if the user is aware of their limitations. Cigarette tobacco fillers were analyzed for nitrate, nicotine, tobacco-specific nitrosamines, ammonia, chlorogenic acid, and reducing sugars. The filler information was used to improve predicting relationships for several of the smoke constituents, and it was concluded that the effects of filler chemistry on smoke chemistry were partial explanations of the observed brand-to-brand variation.

  3. Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts

    ERIC Educational Resources Information Center

    White Hughto, Jaclyn M.; Biello, Katie B.; Reisner, Sari L.; Perez-Brumer, Amaya; Heflin, Katherine J.; Mimiaga, Matthew J.

    2016-01-01

    Background: Differences in sexual health-related outcomes by sexual behavior and identity remain underinvestigated among bisexual female adolescents. Methods: Data from girls (N?=?875) who participated in the Massachusetts Youth Risk Behavior Surveillance survey were analyzed. Weighted logistic regression models were fit to examine sexual and…

  4. Circulatory disease mortality in the Massachusetts tuberculosis fluoroscopy cohort study.

    PubMed

    Little, Mark P; Zablotska, Lydia B; Brenner, Alina V; Lipshultz, Steven E

    2016-03-01

    High-dose ionizing radiation is associated with circulatory disease. Risks from lower-dose fractionated exposures, such as from diagnostic radiation procedures, remain unclear. In this study we aimed to ascertain the relationship between fractionated low-to-medium dose radiation exposure and circulatory disease mortality in a cohort of 13,568 tuberculosis patients in Massachusetts, some with fluoroscopy screenings, between 1916 and 1961 and follow-up until the end of 2002. Analysis of mortality was in relation to cumulative thyroid (cerebrovascular) or lung (all other circulatory disease) radiation dose via Poisson regression. Over the full dose range, there was no overall radiation-related excess risk of death from circulatory disease (n = 3221; excess relative risk/Gy -0.023; 95% CI -0.067, 0.028; p = 0.3574). Risk was somewhat elevated in hypertensive heart disease (n = 89; excess relative risk/Gy 0.357; 95% CI -0.043, 1.030, p = 0.0907) and slightly decreased in ischemic heart disease (n = 1950; excess relative risk/Gy -0.077; 95% CI -0.130, -0.012; p = 0.0211). However, under 0.5 Gy, there was a borderline significant increasing trend for all circulatory disease (excess relative risk/Gy 0.345; 95% CI -0.032, 0.764; p = 0.0743) and for ischemic heart disease (excess relative risk/Gy 0.465; 95% CI, -0.032, 1.034, p = 0.0682). Pneumolobectomy increased radiation-associated risk (excess relative risk/Gy 0.252; 95% CI 0.024, 0.579). Fractionation of dose did not modify excess risk. In summary, we found no evidence of radiation-associated excess circulatory death risk overall, but there are indications of excess circulatory death risk at lower doses (<0.5 Gy). Although consistent with other radiation-exposed groups, the indications of higher risk at lower doses are unusual and should be confirmed against other data.

  5. Trends in uninsured clients visiting health centers funded by the Title X family planning program - Massachusetts, 2005-2012.

    PubMed

    Carter, Marion; Desilets, Kathleen; Gavin, Lorrie; Moskosky, Sue; Clark, Jill

    2014-01-24

    In 2006, Massachusetts passed legislation that broadened access to health insurance for its residents. The percentage of the state population that had health insurance (obtained through either private insurance or publicly funded programs) subsequently increased, reaching 97% in 2011, leaving only 3% uninsured, compared with approximately 9%-20% uninsured among nonelderly residents in 2006. Given such high rates of insurance coverage, questions arise about the need for categorical public health programs designed to serve clients without health insurance. This report describes trends in the percentage of uninsured clients seen at community-based organizations in Massachusetts that received federal funding for one such program, the Title X family planning program. Title X program data from 2005-2012 indicate that client volume remained high throughout the period, and that the percentage of clients who were uninsured declined, from 59% in 2005 to 36% in 2012. Across years, young adults aged 20-29 years and persons whose incomes were 101%-250% of the federal poverty level were more likely to be uninsured than were persons in other age and income groups. After health-care reform, publicly funded family planning services in Massachusetts saw continued demand from uninsured and insured clients. Family planning services in other states implementing health-care reform might have a similar experience, and public health agencies are encouraged to track such trends to monitor the demand for such services and inform budget planning and resource allocation.

  6. Clarifying the role of the mental health peer specialist in Massachusetts, USA: insights from peer specialists, supervisors and clients.

    PubMed

    Cabral, Linda; Strother, Heather; Muhr, Kathy; Sefton, Laura; Savageau, Judith

    2014-01-01

    Mental health peer specialists develop peer-to-peer relationships of trust with clients to improve their health and well-being, functioning in ways similar to community health workers. Although the number of peer specialists in use has been increasing, their role in care teams is less defined than that of the community health worker. This qualitative study explored how the peer specialist role is defined across different stakeholder groups, the expectations for this role and how the peer specialist is utilised and integrated across different types of mental health services. Data were collected through interviews and focus groups conducted in Massachusetts with peer specialists (N = 44), their supervisors (N = 14) and clients (N = 10) between September 2009 and January 2011. A consensus coding approach was used and all data outputs were reviewed by the entire team to identify themes. Peer specialists reported that their most important role is to develop relationships with clients and that having lived mental health experience is a key element in creating that bond. They also indicated that educating staff about the recovery model and peer role is another important function. However, they often felt a lack of clarity about their role within their organisation and care team. Supervisors valued the unique experience that peer specialists bring to an organisation. However, without a defined set of expectations for this role, they struggled with training, guiding and evaluating their peer specialist staff. Clients reported that the shared lived experience is important for the relationship and that working with a peer specialist has improved their mental health. With increasing support for person-centred integrated healthcare delivery models, the demand for mental health peer specialist services will probably increase. Therefore, clearer role definition, as well as workforce development focused on team orientation, is necessary for peer specialists to be fully integrated

  7. Understanding the Basic Bargain: A Study of Charter School Accountability in Massachusetts and Texas.

    ERIC Educational Resources Information Center

    Herdman, Paul A.

    This paper examines the balance between autonomy and accountability in education from the perspective of Massachusetts and Texas charter schools and their state authorizers. By analyzing national survey data, interviews with key policymakers, and case studies of six low, medium, and high performing schools, the paper examines the organizational…

  8. Evaluation of Child Care Subsidy Strategies: Massachusetts Family Child Care Study. Executive Summary

    ERIC Educational Resources Information Center

    Collins, Ann; Goodson, Barbara

    2010-01-01

    This report presents findings from the Massachusetts Family Child Care study, a two-year evaluation designed to examine the impacts on providers and children of an early childhood education program aimed at improving the development and learning opportunities in the care settings and, as a consequence, the outcomes for children in care. The early…

  9. Evaluation of Child Care Subsidy Strategies: Massachusetts Family Child Care Study

    ERIC Educational Resources Information Center

    Collins, Ann; Goodson, Barbara; Luallen, Jeremy; Fountain, Alyssa Rulf; Checkoway, Amy

    2010-01-01

    This report presents findings from the Massachusetts Family Child Care study, a two-year evaluation of the impacts of an early childhood education program on providers and children in family child care. The program--"LearningGames"--is designed to train caregivers to stimulate children's cognitive, language, and social-emotional…

  10. Health risk behaviors in a representative sample of bisexual and heterosexual female high school students in Massachusetts

    PubMed Central

    Biello, Katie B.; Reisner, Sari L.; Perez-Brumer, Amaya; Heflin, Katherine J.; Mimiaga, Matthew J.

    2015-01-01

    BACKGROUND Differences in sexual health-related outcomes by sexual behavior and identity remain under-investigated among bisexual female adolescents. METHODS Data from girls (N = 875) who participated in the Massachusetts Youth Risk Behavior Surveillance survey were analyzed. Weighted logistic regression models were fit to examine sexual and psychosocial health by lifetime sexual behavior (behaviorally bisexual vs. behaviorally heterosexual) and sexual identity (bisexual vs. heterosexual) adjusting for grade and race/ethnicity. RESULTS Overall, 10.5% of girls reported lifetime bisexual behavior and 8.1% reported a bisexual identity. Behavior and identity were discordant for bisexual young women as 53.2% of behaviorally bisexual students had a bisexual identity and 46.8% had a heterosexual identity. Bisexual identity and behavior were associated with unprotected intercourse at last sexual encounter, early sexual debut, 4 or more lifetime partners, history of forced/unwanted sex, STI testing history, past-year depression, and past-month drug use (all ps < .05). CONCLUSION Bisexuality, whether defined by identity or behavior, is associated with adverse sexual and psychosocial health outcomes in adolescent girls. Studies that explore wellness across the lifespan, and are designed to recognize developmental differences burgeoning in adolescence, may provide insights into the differential sexual risk outcomes observed among bisexual girls. PMID:26645422

  11. Health hazard evaluation report HETA 96-0137-2607, Yankee Atomic Electric Company, Rowe, Massachusetts

    SciTech Connect

    Sylvain, D.C.

    1996-10-01

    In response to a request from the Health and Safety Supervisor at the Yankee Nuclear Power Station (SIC-4911), Rowe, Massachusetts, an investigation was begun into ozone (10028156) exposure during plasma arc cutting and welding. Welders had reported chest tightness, dry cough, and throat and bronchial irritation. The nuclear power station was in the process of being decommissioned, and workers were dismantling components using welding and cutting methods. Of the operations observed during the site visit, the highest ozone concentrations were generated during plasma arc cutting, followed by metal inert gas (MIG) welding and arc welding. During plasma arc cutting the average and peak concentrations exceeded the NIOSH ceiling recommended exposure limit of 0.1 part per million. The author concludes that ozone exposure during plasma arc cutting and MIG welding presented a health hazard to welders. The author recommends that improvements be made in the local exhaust ventilation, that nitrogen-dioxide levels be monitored during hot work, and that many exposed workers wear protective clothing, use ultraviolet blocking lotion, and continue the use appropriate shade of eye protection.

  12. What happens to the women who fall through the cracks of health care reform? Lessons from Massachusetts.

    PubMed

    Dennis, Amanda; Blanchard, Kelly; Córdova, Denisse; Wahlin, Britt; Clark, Jill; Edlund, Karen; McIntosh, Jennifer; Tsikitas, Lenore

    2013-04-01

    We investigated the impact of Massachusetts health care reform on low-income women's experiences accessing insurance and health services, specifically reproductive health services such as contraception. Our findings suggest that concentrated efforts are needed to make sure that health services are available and accessible to populations who fall through the cracks of health care reform, including immigrants, minors and young adults, and women living outside urban areas. In addition, systems changes are needed to ensure that women going through common life transitions, such as pregnancy, marriage, moving, or graduating from school, have continuous access to insurance, and therefore health services, as their lives change. These groups face barriers enrolling in and maintaining their insurance coverage as well as obtaining timely health care benefits they are eligible for through their insurance benefits or public health programs. Without intervention, many in these groups may delay or avoid seeking health care altogether, which may increase health care disparities in the long term. Family planning providers in Massachusetts have played a critical role in mitigating barriers to insurance and health care. However, recent threats to defund family planning providers call into question the ability of these providers to continue providing much-needed services.

  13. The Massachusetts BMI letter: A qualitative study of responses from parents of obese children

    PubMed Central

    Moyer, Lindsay J.; Carbone, Elena T.; Anliker, Jean A.; Goff, Sarah L.

    2015-01-01

    Objectives Massachusetts (MA) public schools conduct mandated body-mass index (BMI) screening and until recently, communicated results in a letter to parents/caregivers, to encourage primary care visits and provide aggregate data to the state Department of Public Health. This study assessed the letter's readability and qualitatively explored parents’ responses to it. Methods Readability of the BMI letter was calculated. Audio-taped 1-h focus groups were conducted with parents/caregivers of 8- to 14-year-old obese (≥95th BMI-for-age percentile) children. A semistructured interview guide was used to elicit responses. Qualitative content analysis was conducted on transcripts to identify emergent themes. Results Readability analysis showed higher grade levels than recommended. Eight focus groups consisting of two to six parents each were conducted (n = 29); 83% were female, mean age 41 ± 9 years, and 65% self-identified as Hispanic/Latino. Key themes identified included usefulness of the BMI letter, concerns about utility of BMI for screening, concerns about impacting self-esteem, and failure to understand the letter. Conclusions The MA BMI letter may not have been achieving its desired goal with some parents. Practice implications: Emergent themes from this study could be used to test effectiveness of similar BMI letters nationwide and develop strategies to improve communication to parents. PMID:24290240

  14. The impact of Immigration and Customs Enforcement on immigrant health: perceptions of immigrants in Everett, Massachusetts, USA.

    PubMed

    Hacker, Karen; Chu, Jocelyn; Leung, Carolyn; Marra, Robert; Pirie, Alex; Brahimi, Mohamed; English, Margaret; Beckmann, Joshua; Acevedo-Garcia, Dolores; Marlin, Robert P

    2011-08-01

    U.S. immigrants have faced a changing landscape with regard to immigration enforcement over the last two decades. Following the passage of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, and the creation of the Immigration and Customs Enforcement (ICE) agency after the attacks of September 11, 2001, detention and deportation activity increased substantially. As a result, immigrants today are experiencing heightened fear of profiling and deportation. Little research exists on how these activities affect the health and well-being of U.S. immigrant communities. This study sought to address this gap by using community-based participatory research to investigate the impact of enhanced immigration enforcement on immigrant health in Everett, Massachusetts, USA, a city with a large and diverse immigrant population. Community partners and researchers conducted 6 focus groups with 52 immigrant participants (documented and undocumented) in five languages in May 2009. The major themes across the groups included: 1) Fear of deportation, 2) Fear of collaboration between local law enforcement and ICE and perception of arbitrariness on the part of the former and 3) Concerns about not being able to furnish documentation required to apply for insurance and for health care. Documented and undocumented immigrants reported high levels of stress due to deportation fear, which affected their emotional well-being and their access to health services. Recommendations from the focus groups included improving relationships between immigrants and local police, educating immigrants on their rights and responsibilities as residents, and holding sessions to improve civic engagement. Immigration enforcement activities and the resulting deportation fear are contextual factors that undermine trust in community institutions and social capital, with implications for health and effective integration processes. These factors should be considered by any community seeking to

  15. Public health assessment for New Bedford Site, New Bedford, Bristol County, Massachusetts, Region 1. Cerclis No. MAD980731335. Final report

    SciTech Connect

    1995-04-21

    New Bedford Harbor drains the Acushnet River into Buzzards Bay in southeastern Massachusetts. Extensive polychlorinated biphenyl (PCB) and heavy metal contamination have been detected in the estuary that drains the river, a portion of which is exposed as a mudflat at low tide. This contamination has also been detected in sediment sampled from the remainder of the harbor. Based on the information reviewed, ATSDR has concluded that this site is of public health hazard because of the risk to human health resulting from ongoing exposure to PCBs via ingestion of contaminated fish within harbor waters and dermal contact with PCB-contaminated sediments.

  16. No Further Action Decision Under CERCLA Study Area 43L Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Comprehensive Environmental Response, Compensation and Liability Act ( CERCLA ) asg amended by the Superfund Amendments and Reauthorization Act. An... CERCLA STUDY AREA 43L HISTORIC GAS STATION SITES FORT DEVENS, MASSACHUSETTS CONTRACT DAAA15-91-D-0008 U.S. ARMY ENVIRONMENTAL CENTER ABERDEEN PROVING...DECISION UNDER CERCLA STUDY AREA 43L HISTORIC GAS STATION SITES ! FORT DEVENS, MASSACHUSETTS I I I 5 Prepared for: U.S. Army Environmental Center I

  17. No Further Action Decision Under CERCLA Study Area 43Q Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Liability Act ( CERCLA ) as amended by the Superfund Amendments and Reauthorization Act. An Enhanced Preliminary Assessment (PA) was also performed at... CERCLA STUDY AREA 43Q HISTORIC GAS STATION SITES FORT DEVENS, MASSACHUSETTS , CONTRACT DAAA15-91-D-0008 U.S. ARMY ENVIRONMENTAL CENTER ABERDEEN PROVING...ACTION DECISION UNDER CERCLA STUDY AREA 43Q HISTORIC GAS STATION SITES 5 FORT DEVENS, MASSACHUSETTS V a I i Prepared for: U.S. Army Environmental Center

  18. The Visiting Specialist Model of Rural Health Care Delivery: A Survey in Massachusetts

    ERIC Educational Resources Information Center

    Drew, Jacob; Cashman, Suzanne B.; Savageau, Judith A.; Stenger, Joseph

    2006-01-01

    Context: Hospitals in rural communities may seek to increase specialty care access by establishing clinics staffed by visiting specialists. Purpose: To examine the visiting specialist care delivery model in Massachusetts, including reasons specialists develop secondary rural practices and distances they travel, as well as their degree of…

  19. Patient turnover and nursing employment in Massachusetts hospitals before and after health insurance reform: implications for the Patient Protection and Affordable Care Act.

    PubMed

    Shindul-Rothschild, Judith; Gregas, Matt

    2013-01-01

    The Affordable Care Act is modeled after Massachusetts insurance reforms enacted in 2006. A linear mixed effect model examined trends in patient turnover and nurse employment in Massachusetts, New York, and California nonfederal hospitals from 2000 to 2011. The linear mixed effect analysis found that the rate of increase in hospital admissions was significantly higher in Massachusetts hospitals (p<.001) than that in California and New York (p=.007). The rate of change in registered nurses full-time equivalent hours per patient day was significantly less (p=.02) in Massachusetts than that in California and was not different from zero. The rate of change in admissions to registered nurses full-time equivalent hours per patient day was significantly greater in Massachusetts than California (p=.001) and New York (p<.01). Nurse staffing remained flat in Massachusetts, despite a significant increase in hospital admissions. The implications of the findings for nurse employment and hospital utilization following the implementation of national health insurance reform are discussed.

  20. No Further Action Decision Under CERCLA, Study Area 14, Landfill No. 10, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    I I I U.S. ArmyEnvironmentalCenter NO FURTHER ACTION DECISION UNDER 5 CERCLA * STUDY AREA 14 LANDFILL NO. 10 U FORT DEVENS, MASSACHUSETTS CONTRACT...45, 1 Feb 93 replaces THAMA Form 45 which is obsolete. U 1I NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 14 LANDFILL NO. 10 3 FORT DEVENS...Environmental Services, Inc. Portland, Maine Project No. 7053-12 JANUARY 1995 ! I I I U NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 14 LANDFILL NO. 10

  1. Restructuring within an academic health center to support quality and safety: the development of the Center for Quality and Safety at the Massachusetts General Hospital.

    PubMed

    Bohmer, Richard M J; Bloom, Jonathan D; Mort, Elizabeth A; Demehin, Akinluwa A; Meyer, Gregg S

    2009-12-01

    Recent focus on the need to improve the quality and safety of health care has created new challenges for academic health centers (AHCs). Whereas previously quality was largely assumed, today it is increasingly quantifiable and requires organized systems for improvement. Traditional structures and cultures within AHCs, although well suited to the tripartite missions of teaching, research, and clinical care, are not easily adaptable to the tasks of measuring, reporting, and improving quality. Here, the authors use a case study of Massachusetts General Hospital's efforts to restructure quality and safety to illustrate the value of beginning with a focus on organizational culture, using a systematic process of engaging clinical leadership, developing an organizational framework dependent on proven business principles, leveraging focus events, and maintaining executive dedication to execution of the initiative. The case provides a generalizable example for AHCs of how applying explicit management design can foster robust organizational change with relatively modest incremental financial resources.

  2. Public health assessment for Re-Solve, Incorporated, Dartmouth, Bristol County, Massachusetts, Region 1: CERCLIS number MAD980520621. Final report

    SciTech Connect

    Not Available

    1999-05-25

    The Re-Solve National Priorities List (NPL) site is a 6-acre area situated in the town of Dartmouth, Massachusetts. During the years 1956-1980 the Re-Solve Company distilled industrial solvents on-site. Waste materials from this process were disposed of by burning solvents in four on-site lagoons and spreading waste oils in various portions of the site. Elevated levels of polychlorinated biphenyls (PCBs) and volatile organic compounds (VOCs) were measured in soils throughout the site in 1981, and it was added to the NPL in December 1982. This site is characterized as a past and present public health hazard primarily due to the likely past and present exposure to PCBs through the consumption of PCB contaminated fish and eels from area water bodies. Based upon results of fish sampling that detected PCBs in area eel, the Massachusetts Department of Public Health issued and updated an advisory in 1986 and 1994 recommending that people not eat the fish and eel caught in these affected waters. The potentially exposed population; therefore, include area fishers who may be consuming contaminated fish or eel.

  3. Office-Based Opioid Treatment with Buprenorphine (OBOT-B): Statewide Implementation of the Massachusetts Collaborative Care Model in Community Health Centers.

    PubMed

    LaBelle, Colleen T; Han, Steve Choongheon; Bergeron, Alexis; Samet, Jeffrey H

    2016-01-01

    We describe a Massachusetts Bureau of Substance Abuse Services' (BSAS) initiative to disseminate the office-based opioid treatment with buprenorphine (OBOT-B) Massachusetts Model from its development at Boston Medical Center (BMC) to its implementation at fourteen community health centers (CHCs) beginning in 2007. The Massachusetts Collaborative Care Model for the delivery of opioid agonist therapy with buprenorphine, in which nurses working with physicians play a central role in the evaluation and monitoring of patients, holds promise for the effective expansion of treatment for opioid use disorders. The training of and technical assistance for the OBOT nurses as well as a limited program assessment are described. Data spanning 6years (2007-2013) report patient demographics, prior treatment for opioid use disorders, history of overdose, housing, and employment. The expansion of OBOT to the fourteen CHCs increased the number of physicians who were "waivered" (i.e., enabling their prescribing of buprenorphine) by 375%, from 24 to 114, within 3years. During this period the annual admissions of OBOT patients to CHCs markedly increased. Dissemination of the Massachusetts Model of the Office-Based Opioid Treatment with Buprenorphine employing a collaborative care model with a central role for nursing enabled implementation of effective treatment for patients with an opioid use disorder at community health centers throughout Massachusetts while effectively engaging primary care physicians in this endeavor.

  4. A health impact assessment of proposed public transportation service cuts and fare increases in Boston, Massachusetts (U.S.A.).

    PubMed

    James, Peter; Ito, Kate; Buonocore, Jonathan J; Levy, Jonathan I; Arcaya, Mariana C

    2014-08-07

    Transportation decisions have health consequences that are often not incorporated into policy-making processes. Health Impact Assessment (HIA) is a process that can be used to evaluate health effects of transportation policy. We present a rapid HIA, conducted over eight weeks, evaluating health and economic effects of proposed fare increases and service cuts to Boston, Massachusetts' public transportation system. We used transportation modeling in concert with tools allowing for quantification and monetization of multiple pathways. We estimated health and economic costs of proposed public transportation system changes to be hundreds of millions of dollars per year, exceeding the budget gap the public transportation authority was required to close. Significant health pathways included crashes, air pollution, and physical activity. The HIA enabled stakeholders to advocate for more modest fare increases and service cuts, which were eventually adopted by decision makers. This HIA was among the first to quantify and monetize multiple pathways linking transportation decisions with health and economic outcomes, using approaches that could be applied in different settings. Including health costs in transportation decisions can lead to policy choices with both economic and public health benefits.

  5. DSM-III and the College Mental Health Setting: The University of Massachusetts Experience.

    ERIC Educational Resources Information Center

    Hersch, Jeffrey B.; And Others

    1983-01-01

    A quality-assessment study was conducted at a university mental health service to review diagnostic practices, using the third edition of the American Psychiatric Association's "Diagnostic and Statistical Manual of Mental Health Disorders." Diagnostic practices of the staff and problems with student record keeping are discussed.…

  6. Impact of School Staff Health on Work Productivity in Secondary Schools in Massachusetts

    ERIC Educational Resources Information Center

    Alker, Heather J.; Wang, Monica L.; Pbert, Lori; Thorsen, Nancy; Lemon, Stephenie C.

    2015-01-01

    Background: Healthy, productive employees are an integral part of school health programs. There have been few assessments of work productivity among secondary school staff. This study describes the frequency of 3 common health risk factors--obesity, depressive symptoms, and smoking--and their impact on work productivity in secondary school…

  7. Brave new world: mental health experiences of Puerto Ricans, immigrant Latinos, and Brazilians in Massachusetts.

    PubMed

    Sánchez, Mónica; Cardemil, Esteban; Adams, Sara Trillo; Calista, Joanne L; Connell, Joy; Depalo, Alexandra; Ferreira, Juliana; Gould, Diane; Handler, Jeffrey S; Kaminow, Paula; Melo, Tatiana; Parks, Allison; Rice, Eric; Rivera, Ismael

    2014-01-01

    Depression and anxiety are of the most commonly occurring mental health disorders in the United States. Despite a variety of efficacious interventions for depression and anxiety, it is clear that ethnic minorities experience mental health care disparities in their access to mental health services and the quality of treatment they receive. Research indicates that Latino heterogeneity impacts access to depression and anxiety treatment. In addition, Brazilians are becoming an increasingly visible minority within the United States and are often depicted as Latinos. The current study sought to understand the role of acculturation and stigma in mental health symptom endorsement and treatment seeking among Puerto Ricans, immigrant Latinos, and Brazilians. A total of 250 self-identified Latinos and Brazilians were interviewed about their mental health symptom and treatment experience, acculturation, and stigma toward mental illness. Results indicated considerable variability across the three groups, with Puerto Ricans endorsing higher rates of depression and anxiety, as well as higher rates of treatment seeking, than either the immigrant Latinos or the Brazilians. Acculturation played a differential role in the endorsement of anxiety treatment seeking for Brazilians. Finally, although the three groups differed in the extent to which they experienced stigma about mental health issues, stigma did not predict symptom endorsement or treatment-seeking behavior for any of the three groups. These findings underscore the importance of attending to both between-groups and within-group differences in the mental health and mental health treatment experiences of different ethnic groups.

  8. The Cultural Basis for Oral Health Practices among Somali Refugees Pre- and Post-Resettlement in Massachusetts

    PubMed Central

    Adams, Jo Hunter; Young, Samorga; Laird, Lance D.; Geltman, Paul L.; Cochran, Jennifer J.; Hassan, Ahmed; Egal, Fadumo; Paasche-Orlow, Michael K.; Barnes, Linda L.

    2014-01-01

    Background Oral health disparities related to socioeconomic status have been well described in the U.S., but oral health among refugee groups has not been well characterized. This article examines oral health among Somali refugees in Massachusetts. Methods Eighty-three (83) participants were purposively selected for an in-depth, open-ended interview related to oral health. Results Older individuals associated use of the stick brush with the Islamic practice of cleansing before prayer. When unable to find stick brushes in the U.S., many adopted the Western toothbrush. Parents expressed concern that their children had adopted U.S. practices of brushing with a toothbrush only once or twice a day. Conclusions/implications Somali oral health practices have changed following arrival to the U.S., but the underlying model for oral health care remains rooted in Islam. By acknowledging the value of traditional practices, dentists may communicate the value of Western preventive and restorative dentistry, and recommend approaches to integrating the two. PMID:24185145

  9. Homemaker Reaction to EFNEP/Food Stamp Pilot Nutrition Education Project. A 1983 Pennsylvania and Massachusetts Survey. Extension Studies 92.

    ERIC Educational Resources Information Center

    Dunn, Polly P.; And Others

    Between 1982 and 1983, more than 750 homemakers from Pennsylvania and Massachusetts participated in a national study to test selected methods of delivering nutrition education to low-income families. The study, the Expanded Food and Nutrition Education Program (EFNEP)/Food Stamp Pilot Project, was conducted through the EFNEP in 10 states. At the…

  10. Evaluation of the Massachusetts Expanded Learning Time (ELT) Initiative: Final Study Findings

    ERIC Educational Resources Information Center

    Checkoway, Amy; Gamse, Beth; Velez, Melissa; Linkow, Tamara

    2013-01-01

    The Massachusetts Expanded Learning Time (ELT) initiative provides grants to selected schools to redesign their schedules by adding 300-plus instructional hours to the school year to improve outcomes, broaden enrichment opportunities, and provide teachers with more planning and professional development time. The Massachusetts Department of…

  11. Working conditions of Brazilian immigrants in Massachusetts.

    PubMed

    Eduardo Siqueira, C; Jansen, Tiago

    2012-06-01

    Brazilian immigration to Massachusetts and other states in the US grew significantly in the last two decades. There is a lack of data about the working conditions and health and safety hazards faced by Brazilian immigrant workers. We surveyed over 500 workers in Eastern Massachusetts through a community-based participatory research project to explore occupational and immigration factors that may represent a risk to the health of Brazilian immigrant workers, who mostly work in the construction, housecleaning, and food services segments of the state labor force. Our pilot study suggests that Brazilian immigrant workers are exposed to chemical, ergonomic, physical, and psychosocial job hazards and have experienced a variety of health symptoms that may be associated with these work environment exposures. Since most Brazilian workers have not received proper training to recognize the hazards, there is an urgent need for the implementation of culturally adequate training programs and enforcement of safety and health regulations to prevent occupational injuries and fatalities.

  12. Flooding and Emergency Room Visits for Gastrointestinal Illness in Massachusetts: A Case-Crossover Study

    PubMed Central

    Wade, Timothy J.; Lin, Cynthia J.; Jagai, Jyotsna S.; Hilborn, Elizabeth D.

    2014-01-01

    Introduction Floods and other severe weather events are anticipated to increase as a result of global climate change. Floods can lead to outbreaks of gastroenteritis and other infectious diseases due to disruption of sewage and water infrastructure and impacts on sanitation and hygiene. Floods have also been indirectly associated with outbreaks through population displacement and crowding. Methods We conducted a case-crossover study to investigate the association between flooding and emergency room visits for gastrointestinal illness (ER-GI) in Massachusetts for the years 2003 through 2007. We obtained ER-GI visits from the State of Massachusetts and records of floods from the National Oceanic and Atmospheric Association’s Storm Events Database. ER-GI visits were considered exposed if a flood occurred in the town of residence within three hazard periods of the visit: 0–4 days; 5–9 days; and 10–14 days. A time-stratified bi-directional design was used for control selection, matching on day of the week with two weeks lead or lag time from the ER-GI visit. Fixed effect logistic regression models were used to estimate the risk of ER-GI visits following the flood. Results and Conclusions A total of 270,457 ER-GI visits and 129 floods occurred in Massachusetts over the study period. Across all counties, flooding was associated with an increased risk for ER-GI in the 0–4 day period after flooding (Odds Ratio: 1.08; 95% Confidence Interval: 1.03–1.12); but not the 5–9 days (Odds Ratio: 0.995; 95% Confidence Interval: 0.955–1.04) or the 10–14 days after (Odds Ratio: 0.966, 95% Confidence Interval: 0.927–1.01). Similar results were observed for different definitions of ER-GI. The effect differed across counties, suggesting local differences in the risk and impact of flooding. Statewide, across the study period, an estimated 7% of ER-GI visits in the 0–4 days after a flood event were attributable to flooding. PMID:25329916

  13. Franchising Public Education: A Study of the Linkage of Charter Schools and Private Education Management Companies in Massachusetts.

    ERIC Educational Resources Information Center

    Rhim, Lauren Morando

    School franchising (defined as the replication of a particular product or service across a wide geographic region) marks a radical departure from the traditional view of the community-based neighborhood school. This paper reports on a study of a growing niche of charter school private management contracts in Massachusetts. The focus is on the…

  14. Neo-Democracy in Educational Policy-Making: A Critical Case Study of Neoliberal Reform in Massachusetts

    ERIC Educational Resources Information Center

    Piazza, Peter

    2017-01-01

    This paper explores changes to the educational policy-making arena through case study analysis of a Massachusetts law passed in 2012 that limits seniority-based job protections for public K-12 teachers. I use data from interviews with policy stakeholders, observations of public meetings, and policy artifacts to explore struggles over democratic…

  15. Acculturation and sociocultural influences on dietary intake and health status among Puerto Rican adults in Massachusetts

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Previous studies have shown negative consequences of acculturation on lifestyle factors, health status, and dietary intake of Hispanic immigrants in the US. Despite prevalent type 2 diabetes and low socioeconomic status (SES) among Puerto Rican adults living on the US mainland, little is known about...

  16. Using Satellite-Based Spatiotemporal Resolved Air Temperature Exposure to Study the Association between Ambient Air Temperature and Birth Outcomes in Massachusetts

    PubMed Central

    Melly, Steven J.; Coull, Brent A.; Nordio, Francesco; Schwartz, Joel D.

    2015-01-01

    Background Studies looking at air temperature (Ta) and birth outcomes are rare. Objectives We investigated the association between birth outcomes and daily Ta during various prenatal exposure periods in Massachusetts (USA) using both traditional Ta stations and modeled addresses. Methods We evaluated birth outcomes and average daily Ta during various prenatal exposure periods in Massachusetts (USA) using both traditional Ta stations and modeled address Ta. We used linear and logistic mixed models and accelerated failure time models to estimate associations between Ta and the following outcomes among live births > 22 weeks: term birth weight (≥ 37 weeks), low birth weight (LBW; < 2,500 g at term), gestational age, and preterm delivery (PT; < 37 weeks). Models were adjusted for individual-level socioeconomic status, traffic density, particulate matter ≤ 2.5 μm (PM2.5), random intercept for census tract, and mother’s health. Results Predicted Ta during multiple time windows before birth was negatively associated with birth weight: Average birth weight was 16.7 g lower (95% CI: –29.7, –3.7) in association with an interquartile range increase (8.4°C) in Ta during the last trimester. Ta over the entire pregnancy was positively associated with PT [odds ratio (OR) = 1.02; 95% CI: 1.00, 1.05] and LBW (OR = 1.04; 95% CI: 0.96, 1.13). Conclusions Ta during pregnancy was associated with lower birth weight and shorter gestational age in our study population. Citation Kloog I, Melly SJ, Coull BA, Nordio F, Schwartz JD. 2015. Using satellite-based spatiotemporal resolved air temperature exposure to study the association between ambient air temperature and birth outcomes in Massachusetts. Environ Health Perspect 123:1053–1058; http://dx.doi.org/10.1289/ehp.1308075 PMID:25850104

  17. Acculturation and Sociocultural Influences on Dietary Intake and Health Status among Puerto Rican Adults in Massachusetts

    PubMed Central

    Van Rompay, Maria I.; McKeown, Nicola M.; Castaneda-Sceppa, Carmen; Falcon, Luis M.; Ordovas, José M.; Tucker, Katherine L.

    2011-01-01

    Background Previous studies have shown negative consequences of acculturation on lifestyle factors, health status, and dietary intake of Hispanic immigrants in the US. Despite prevalent type 2 diabetes and low socioeconomic status (SES) among Puerto Rican adults living on the US mainland, little is known about acculturation in this group. Objective We investigated associations among acculturation, lifestyle characteristics, health status, and carbohydrate nutrition in Puerto Rican adults. A secondary objective was to investigate possible confounding and/or effect modification on these associations by SES. Design Cross-sectional data from the Boston Puerto Rican Health Study, which included 1219 Puerto Ricans in the Boston area, aged 45–75 years. Statistical analyses Characteristics were compared using ANCOVA, linear trend and Pearson’s chi-square tests across quartiles of acculturation. Tests for interaction by poverty status were conducted. Proportional contributions of foods to intake of total carbohydrate and fiber were assessed using SAS RANK. Results Levels of acculturation were low, despite young age at first arrival to the US mainland (25.4 ± 12.3 y) and long length of stay (34.2 ± 12.2 y). Greater English language use was associated with higher SES, alcohol consumption, physical activity, better perceived health, and less central obesity. Acculturation was associated with lower legume fiber and greater cereal fiber intake. Among those above the poverty threshold, acculturation was associated with lower dietary glycemic index and starch intake, and greater fruit and non-starchy vegetable intake. Conclusions In contrast to studies with Mexican Americans, the association of acculturation with dietary quality in these Puerto Rican adults was mixed, but tended toward better carbohydrate quality. Dietary recommendations should include maintenance of traditional, healthful dietary practices including consumption of legumes, but also reduction in refined

  18. The health of safety net hospitals following Massachusetts health care reform: changes in volume, revenue, costs, and operating margins from 2006 to 2009.

    PubMed

    Mohan, Arun; Grant, Jennifer; Batalden, Maren; McCormick, Danny

    2013-01-01

    Massachusetts health care reform, designed to expand coverage and access to care for vulnerable populations, serves as the model for national health reform in the United States that will be implemented in 2014. Yet, little is known about how the reform may have affected the demand for and the financial performance of safety net hospitals (SNH), the primary source of care for such populations before the reform. Using a quasi-experimental design that included all acute care hospitals in the state, we calculated changes in mean inpatient and outpatient volumes, revenue, and operating margins at SNH from the pre-reform (Fiscal Year 2006) to the post-reform (Fiscal Year 2009) period. We contrasted these changes with contemporaneous changes occurring among non-safety net hospitals (NSNH) using a difference-in-differences approach. We found that SNH in Massachusetts continue to play a disproportionately large role in caring for disadvantaged patients after reform, but that their financial performance has declined considerably compared with NSNH. Ongoing reform efforts in the United States should account for continued SNH demand among the most vulnerable patients and should be designed so as not to undermine the financial stability of SNH that meet this demand.

  19. Ecosystem-based management and refining governance of wind energy in the Massachusetts coastal zone: A case study approach

    NASA Astrophysics Data System (ADS)

    Kumin, Enid C.

    While there are as yet no wind energy facilities in New England coastal waters, a number of wind turbine projects are now operating on land adjacent to the coast. In the Gulf of Maine region (from Maine to Massachusetts), at least two such projects, one in Falmouth, Massachusetts, and another on the island of Vinalhaven, Maine, began operation with public backing only to face subsequent opposition from some who were initially project supporters. I investigate the reasons for this dynamic using content analysis of documents related to wind energy facility development in three case study communities. For comparison and contrast with the Vinalhaven and Falmouth case studies, I examine materials from Hull, Massachusetts, where wind turbine construction and operation has received steady public support and acceptance. My research addresses the central question: What does case study analysis of the siting and initial operation of three wind energy projects in the Gulf of Maine region reveal that can inform future governance of wind energy in Massachusetts state coastal waters? I consider the question with specific attention to governance of wind energy in Massachusetts, then explore ways in which the research results may be broadly transferable in the U.S. coastal context. I determine that the change in local response noted in Vinalhaven and Falmouth may have arisen from a failure of consistent inclusion of stakeholders throughout the entire scoping-to-siting process, especially around the reporting of environmental impact studies. I find that, consistent with the principles of ecosystem-based and adaptive management, design of governance systems may require on-going cycles of review and adjustment before the implementation of such systems as intended is achieved in practice. I conclude that evolving collaborative processes must underlie science and policy in our approach to complex environmental and wind energy projects; indeed, collaborative process is fundamental to

  20. No Further Action Decision Under CERCLA Study Area 43N Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    National Priorities List under the Comprehensive Environmental Response, Compensation and Liability Act ( CERCLA ), as amended by the Superfund ...T UT1ON STATEM4NT A Approved for Public Release Distribution Unlimited NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43N HISTORIC GAS STATION...DECISION UNDER CERCLA STUDY AREA 43N HISTORIC GAS STATION SITES FORT DEVENS, MASSACHUSETTS 3 TABLE OF CONTENTS U Section Title Page No. EXECUTIVE SUMMARY

  1. No Further Action Decision Under CERCLA Study Area 43E Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    National Priorities List under the Comprehensive Environmental Response, Compensation and Liability Act ( CERCLA ) asg amended by the Superfund ...U T7,UTION1 STA 7 TAApproved for Public Release Distribution Unlimited I U.S. Army NO FURTHER ACTION DECISION UNDER Environmental Center CERCLA STUDY...FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43E HISTORIC GAS STATION SITES I FORT DEVENS, MASSACHUSETTS i I 1 Prepared for: U.S. Army

  2. No Further Action Decision Under CERCLA, Study Area 43B, Historic Gas Station Sites, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    8217on the National Priorities List under the Comprehensive Environmental Response, Compensation and Liability Act ( CERCLA ), as amended by the Superfund ...I U.S. Army EnvironmentalCenter NO FURTHER ACTION DECISION UNDER CERCLA * STUDY AREA 43B HISTORIC GAS STATION SITES U FORT DEVENS, MASSACHUSETTS I I...AEC Form 45, 1 Feb 93 replaces THAMA Form 45 which is obsolete. I NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43B HISTORIC GAS STATION SITES I

  3. No Further Action Decision Under CERCLA, Study Area 43P Historic Gas Station Sites, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Compensation and Liability Act ( CERCLA ) as amended by the Superfund Amendments and Reauthorization Act. An Enhanced Preliminary Assessment (PA) was also...I Approved for Public ’,eas e, Distribution Unlimited E U.S. Army IEnvironmentalCenter NO FURTHER ACTION DECISION UNDER CERCLA i STUDY AREA 43P... CERCLA STUDY AREA 43P HISTORIC GAS STATION SITES FORT DEVENS, MASSACHUSETTS a I I Prepared for: U.S. Army Environmental Center Aberdeen Proving Ground

  4. Health in Day Care: A Guide for Day Care Providers in Massachusetts.

    ERIC Educational Resources Information Center

    Kendrick, Abby Shapiro, Ed.; Messenger, Katherine P., Ed.

    This reference manual and resource guide describes high standards for health policies and day care procedures that reflect current research and recommendations of experts. Chapters 1 and 2, which concern day care's role in health, cover health education in day care and the basics relating to policies, providers, and records. Chapters 3-5 concern…

  5. Long-Term Development of a “Whole Community” Best Practice Model to Address Health Disparities in the Cambodian Refugee and Immigrant Community of Lowell, Massachusetts

    PubMed Central

    Toof, Robin; Silka, Linda; Liang, Sidney; Sou, Linda; Najarian, Lisa; Peou, Sonith; Och, Sheila

    2010-01-01

    Cambodians in Lowell, Massachusetts, experience significant health disparities. Understanding the trauma they have experienced in Cambodia and as refugees has been the starting point for Lowell Community Health Center's whole community approach to developing community-based interventions. This approach places physical-psychosocial-spiritual needs at the center of focus and is attentive to individual and institutional barriers to care. Interventions are multilevel. The effect of the overall program comes from the results of each smaller program, the collaborations and coordination with the Cambodian community and community-based organizations, and the range and levels of services available through the health center. PMID:20864723

  6. Regional Charging Infrastructure for Plug-In Electric Vehicles: A Case Study of Massachusetts

    SciTech Connect

    Wood, Eric; Raghavan, Sesha; Rames, Clement; Eichman, Joshua; Melaina, Marc

    2017-01-01

    Given the complex issues associated with plug-in electric vehicle (PEV) charging and options in deploying charging infrastructure, there is interest in exploring scenarios of future charging infrastructure deployment to provide insight and guidance to national and regional stakeholders. The complexity and cost of PEV charging infrastructure pose challenges to decision makers, including individuals, communities, and companies considering infrastructure installations. The value of PEVs to consumers and fleet operators can be increased with well-planned and cost-effective deployment of charging infrastructure. This will increase the number of miles driven electrically and accelerate PEV market penetration, increasing the shared value of charging networks to an expanding consumer base. Given these complexities and challenges, the objective of the present study is to provide additional insight into the role of charging infrastructure in accelerating PEV market growth. To that end, existing studies on PEV infrastructure are summarized in a literature review. Next, an analysis of current markets is conducted with a focus on correlations between PEV adoption and public charging availability. A forward-looking case study is then conducted focused on supporting 300,000 PEVs by 2025 in Massachusetts. The report concludes with a discussion of potential methodology for estimating economic impacts of PEV infrastructure growth.

  7. No Further Action Decision Under CERCLA Study Area 43C Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Environmental Response, Compensation and Liability Act ( CERCLA ) as amended by the Superfund Amendments and Reauthorization Act. An Enhanced Preliminary...DISTRIBUTION STATEMENT A Approved for Public Release Distribution Unlimited U.S. Army Environmental NO FURTHER ACTION DECISION UNDER Center CERCLA ...NO FURTHER ACTION UNDER CERCLA STUDY AREA 43C HISTORIC GAS STATION SITES FORT DEVENS, MASSACHUSETTS 3 TABLE OF CONTENTS Section Title Page No. U

  8. A case-control study of childhood leukemia in Woburn, Massachusetts: the relationship between leukemia incidence and exposure to public drinking water.

    PubMed

    Costas, Kevin; Knorr, Robert S; Condon, Suzanne K

    2002-12-02

    A 1981 Massachusetts Department of Public Health study confirmed a childhood leukemia cluster in Woburn, Massachusetts. Our follow-up investigation attempts to identify factors potentially responsible for the cluster. Woburn has a 130-year industrial history that resulted in significant local deposition of tannery and chemical manufacturing waste. In 1979, two of the city's eight municipal drinking water wells were closed when tests identified contamination with solvents including trichloroethylene. By 1986, 21 childhood leukemia cases had been observed (5.52 expected during the seventeen year period) and the case-control investigation discussed herein was begun. Nineteen cases and 37 matched controls comprised the study population. A water distribution model provided contaminated public water exposure estimates for subject residences. Results identified a non-significant association between potential for exposure to contaminated water during maternal pregnancy and leukemia diagnosis, (odds ratio = 8.33, 95% CI 0.73-94.67). However, a significant dose-response relationship (P < 0.05) was identified for this exposure period. In contrast, the child's potential for exposure from birth to diagnosis showed no association with leukemia risk. Wide confidence intervals suggest cautious interpretation of association magnitudes. Since 1986, expected incidence has been observed in Woburn including 8 consecutive years with no new childhood leukemia diagnoses.

  9. Groundwater flow delineation study at the Massachusetts Military Reservation using the colloidal borescope

    SciTech Connect

    Kearl, P.M.; Gardner, F.G.; Gunderson, M.J.

    1993-02-01

    Observations of colloidal movement under natural conditions using the colloidal borescope were conducted at several sites in the vicinity of the Massachusetts Military Reservation (MM) located on Cape Cod. The purpose of the study was to assess the reliability of the colloidal borescope and provide additional hydrogeologic data for site-characterization work. Because of the variability observed in groundwater flow at other sites, a well-characterized site was needed to test the borescope. Results of this work indicate that existing hydrologic information specific to the various sites tested at the MM compares favorably with the borehole velocity data collected with the colloidal borescope. Direction measurements at the MM, however, appear to be less reliable than at other sites tested. Most significant among factors potentially affecting direction measurements is the relatively flat hydraulic gradient at the MM, which is an order of magnitude less than at other sites. This is due to the gentle topography and the relatively high permeability of the aquifer. Under these conditions, the geometric alignment of preferential flow paths could dominate flow direction. If the gradient is increased, flow will tend to parallel the hydraulic gradient. This report describes the field site and the colloidal borescope and discusses the results and conclusions of the field investigations.

  10. Building America Case Study: Boiler Control Replacement for Hydronically Heated Multifamily Buildings, Cambridge, Massachusetts (Fact Sheet)

    SciTech Connect

    Not Available

    2014-11-01

    The ARIES Collaborative, a U.S. Department of Energy Building America research team, partnered with NeighborWorks America affiliate Homeowners' Rehab Inc. (HRI) of Cambridge, Massachusetts, to study improvements to the central hydronic heating system in one of the nonprofit's housing developments. The heating controls in the three-building, 42-unit Columbia Cambridge Alliance for Spanish Tenants housing development were upgraded. Fuel use in the development was excessive compared to similar properties. A poorly insulated thermal envelope contributed to high energy bills, but adding wall insulation was not cost-effective or practical. The more cost-effective option was improving heating system efficiency. Efficient operation of the heating system faced several obstacles, including inflexible boiler controls and failed thermostatic radiator valves. Boiler controls were replaced with systems that offer temperature setbacks and one that controls heat based on apartment temperature in addition to outdoor temperature. Utility bill analysis shows that post-retrofit weather-normalized heating energy use was reduced by 10%-31% (average of 19%). Indoor temperature cutoff reduced boiler runtime (and therefore heating fuel consumption) by 28% in the one building in which it was implemented. Nearly all savings were obtained during night which had a lower indoor temperature cut off (68 degrees F) than day (73 degrees F). This implies that the outdoor reset curve was appropriately adjusted for this building for daytime operation. Nighttime setback of heating system supply water temperature had no discernable impact on boiler runtime or gas bills.

  11. Technology Solutions Case Study: Boiler Control Replacement for Hydronically Heated Multifamily Buildings, Cambridge, Massachusetts

    SciTech Connect

    2014-11-01

    The ARIES Collaborative, a U.S. Department of Energy Building America research team, partnered with NeighborWorks America affiliate Homeowners' Rehab Inc. (HRI) of Cambridge, Massachusetts, to study improvements to the central hydronic heating system in one of the nonprofit's housing developments. The heating controls in the three-building, 42-unit Columbia Cambridge Alliance for Spanish Tenants housing development were upgraded. Fuel use in the development was excessive compared to similar properties. A poorly insulated thermal envelope contributed to high energy bills, but adding wall insulation was not cost-effective or practical. The more cost-effective option was improving heating system efficiency, which faced several obstacles, including inflexible boiler controls and failed thermostatic radiator valves. Boiler controls were replaced with systems that offer temperature setbacks and one that controls heat based on apartment temperature in addition to outdoor temperature. Utility bill analysis shows that post-retrofit weather-normalized heating energy use was reduced by 10%-31% (average of 19%). Indoor temperature cutoff reduced boiler runtime (and therefore heating fuel consumption) by 28% in the one building in which it was implemented. Nearly all savings were obtained during night which had a lower indoor temperature cut off (68°F) than day (73° F). This implies that the outdoor reset curve was appropriately adjusted for this building for daytime operation. Nighttime setback of heating system supply water temperature had no discernable impact on boiler runtime or gas bills.

  12. New Whole-House Case Study: Transformations, Inc. Net Zero Energy Communities, Devens, Easthampton, Townsend, Massachusetts

    SciTech Connect

    2013-11-01

    In 2009, Transformations, Inc. partnered with Building America team Building Science Corporation (BSC) to build new net zero energy houses in three developments in Massachusetts. The company has been developing strategies for cost-effective super-insulated homes in the New England market since 2006. After years of using various construction techniques, it has developed a specific set of assemblies and specifications that achieve a 44.9% reduction in energy use compared with a home built to the 2009 International Residential Code, qualifying the houses for the DOE’s Challenge Home. The super-insulated houses provide data for several research topics in a cold climate. BSC studied the moisture risks in double stud walls insulated with open cell spray foam and cellulose. The mini-split air source heat pump (ASHP) research focused on the range of temperatures experienced in bedrooms as well as the homeowners’ perceptions of equipment performance. BSC also examined the developer’s financing options for the photovoltaic (PV) systems, which take advantage of Solar Renewable Energy Certificates, local incentives, and state and federal tax credits.

  13. Health assessment for Atlas Tack Corporation, Fairhaven, Massachusetts, Region 1. CERCLIS No. MAD001026319. Preliminary report

    SciTech Connect

    Not Available

    1990-06-04

    The Atlas Tack Site was listed by the U.S. Environmental Protection Agency (EPA) on the National Priorities List (NPL) in 1990. From the mid 1940s to 1978, the Atlas Tack Company discharged industrial wastes in the form of organic solvents and metal filings to an unlined lagoon, which was adjacent to a saltwater tidal marsh. The lagoon contents were removed in 1985, transported to RCRA approved landfills and the lagoon was then backfilled. Factory operations ceased in 1985 and currently only a welding company operates on the site. Ground water monitoring, conducted in 1987, detected elevated levels of benzene, toluene, arsenic, cadmium, lead, chromium, and cyanide in monitoring wells drilled in various areas of the site. Subsequent to sludge removal, extraction procedure (EP) toxicity analyses were done on various soil samples recovered from the site. Based on the available information, this site is considered to be of potential public health concern caused by the possibility of exposure to hazardous substances. In accordance with CERCLA as amended, the Atlas Tack Co. site has been evaluated for appropriate follow-up studies. If data becomes available suggesting that human exposure to significant levels of hazardous substances is currently occurring, or has occurred in the past, ATSDR will reevaluate this site for any indicated follow-up.

  14. 21 CFR 808.71 - Massachusetts.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EXEMPTIONS FROM FEDERAL PREEMPTION OF STATE AND LOCAL MEDICAL DEVICE REQUIREMENTS Listing of Specific State and Local Exemptions § 808.71 Massachusetts. (a) The following Massachusetts medical...

  15. 21 CFR 808.71 - Massachusetts.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EXEMPTIONS FROM FEDERAL PREEMPTION OF STATE AND LOCAL MEDICAL DEVICE REQUIREMENTS Listing of Specific State and Local Exemptions § 808.71 Massachusetts. (a) The following Massachusetts medical...

  16. Massachusetts Expanded Learning Time (ELT) Initiative. Case Studies 2010-2011

    ERIC Educational Resources Information Center

    Caven, Meghan; Checkoway, Amy; Fisman, Lianne; Gamse, Beth; Fountain, Alyssa Rulf

    2012-01-01

    The Massachusetts Expanded Learning Time (ELT) initiative was launched in 2005, and it provides grants to selected schools across multiple districts to increase instructional time by at least 300 hours per academic year. Participating schools receive an additional $1,300 per student to lengthen the day and/or year. Schools are expected to use the…

  17. Health Impact Assessment(HIA)of Building Renovations at Gerena Community School, Springfield, Massachusetts

    EPA Science Inventory

    The US Environmental Protection Agency (EPA) has conducted an HIA at the German Gerena Community School in Springfield, MA. HIA is a six-step systematic process that uses an array of data sources, analytic methods and stakeholder input to determine the potential health effects of...

  18. Inventory 1967: Massachusetts Health Manpower Training at Less than a Baccalaureate Level. Part I.

    ERIC Educational Resources Information Center

    Training Center for Comprehensive Care, Jamaica Plain, MA.

    Of 379 institutions receiving a questionnaire on their paramedical training programs, 369 replied. They supplied data on 465 courses in 56 job categories. Those conducting the courses include hospitals, nursing homes, high schools, colleges, universities, technical schools, community service agencies, the State Department of Public Health, and an…

  19. Perspectives on the Massachusetts Community Health Information Profile (MassCHIP): developing an online data query system to target a variety of user needs and capabilities.

    PubMed

    Cohen, Bruce B; Franklin, Saul; West, James K

    2006-01-01

    The Massachusetts Community Health Information Profile (MassCHIP) has many distinctive features. These features evolved to maximize the usefulness of this query system for a broad group of users with varied needs, differing levels of knowledge about public health, and diverse experience using public health data. Three major features of MassCHIP help target our large user population. These features are as follows: (1) multiple avenues of entry to initiate queries ranging from an alphabetical list of simple topics to detailed International Classification of Disease codes; (2) the inclusion of data sets from other state agencies in addition to those of the Massachusetts Department of Public Health to reflect a broad view of public health; and (3) the capacity to retrieve data for multiple levels of geography, from the neighborhood through the state, including planning districts and hospitals. In this article, we discuss the history and design of MassCHIP, and focus on the features of MassCHIP that target a great variety of user needs and capabilities, and which are distinctive among Web-based data query systems.

  20. No Further Action Decision Under CERCLA Study Area 43S Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    I SApr( eid for Public 𔃽ase i i D stribution Unhirnited I U.S. Army Environmental , Center NO FURTHER ACTION DECISION UNDER I : CERCLA STUDY AREA 43S...ACTION DECISION UNDER CERCLA STUDY AREA 43S HISTORIC GAS STATION SITES 3 FORT DEVENS, MASSACHUSET’TS I I, £ Prepared for: U.S. Army Environmental...JANUARY 1995 I 3 I I I I NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43S HISTORIC GAS STATION SITESU FORT DEVENS, MASSACHUSETTS 5- TABLE OF

  1. Touching Hearts, Touching Minds: Using Emotion-Based Messaging to Promote Healthful Behavior in the Massachusetts WIC Program

    ERIC Educational Resources Information Center

    Colchamiro, Rachel; Ghiringhelli, Kara; Hause, Judith

    2010-01-01

    The "Touching Hearts, Touching Minds" initiative was funded through a 2003 United States Department of Agriculture Special Projects grant to revitalize nutrition education and services in the Massachusetts Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program. The 30 nutrition education materials and…

  2. Aggregating QECB Allocations & Using QECBs to Support the Private Sector. A Case Study on Massachusetts

    SciTech Connect

    Zimring, Mark; Borgeson, Merrian

    2012-08-01

    Qualified Energy Conservation Bonds (QECBs) are federally-subsidized bonds that enable state, tribal, and local government issuers to borrow money to fund a range of energy conservation projects at very attractive interest rates and long terms. While small allocation sizes have deterred some local governments from pursuing issuances, state agencies in Massachusetts have partnered with local governments to aggregate QECBs to support a range of public and private projects. In most states, QECBs have been utilized primarily to fund energy conservation projects for public entities, but Massachusetts has facilitated over $10 million of private activity QECB issuances to support three privately-owned renewable energy projects—with more projects in the pipeline.

  3. Existing Whole-House Solutions Case Study: Multifamily Individual Heating and Ventilation Systems, Lawrence, Massachusetts

    SciTech Connect

    2013-11-01

    The conversion of an older Massachusetts building into condominiums illustrates a safe, durable, and cost-effective solution for heating and ventilation systems that can potentially benefit millions of multifamily buildings. In this project, Merrimack Valley Habitat for Humanity (MVHfH) partnered with U.S. Department of Energy Building America team Building Science Corporation (BSC) to provide high performance affordable housing for 10 families in the retrofit of an existing mass masonry building (a former convent).

  4. Parents' supportive reactions to sexual orientation disclosure associated with better health: results from a population-based survey of LGB adults in Massachusetts.

    PubMed

    Rothman, Emily F; Sullivan, Mairead; Keyes, Susan; Boehmer, Ulrike

    2012-01-01

    This study investigated associations between coming out to parents, experiences of parental support, and self-reported health behaviors and conditions among a population-based sample of LGB individuals using data collected via the 2002 Massachusetts Behavioral Risk Factor Surveillance System (BRFSS; N = 177). We explored the following two hypotheses: 1) Lesbian, gay, and bisexual (LGB) individuals who had never disclosed their sexual orientation to a parent would report higher levels of risk behaviors and poorer health conditions than those who had come out; and 2) among LGB respondents who had come out to their parents, the individuals whose parents had reacted unsupportively would report higher levels of risk behaviors and poorer health conditions than those who had come out to parents who were supportive. Approximately two thirds of gay and bisexual (GB) males and lesbian and bisexual (LB) females reported receiving adequate social and emotional support from the parent to whom they first disclosed their sexual orientation. Among LB females, no disclosure of sexual orientation to a parent was associated with significantly elevated levels of past-month illicit drug use (AOR 12.16, 95% CI 2.87-51.54), fair or poor self-reported health status (AOR 5.71, 95% CI 1.45-22.51), and >15 days of depression in the past month (AOR 5.95, 95% CI 1.78-19.90), controlling for potential confounders. However, nondisclosure to a parent by GB males was not associated with greater odds of any of the health indicators assessed. Among GB males, those with unsupportive parents were significantly more likely to report current binge drinking (AOR 6.94, 95% CI 1.70-28.35) and >15 days depression in the past month (AOR 6.08, 95% CI 1.15-32.15), and among LB females, those with unsupportive parents were significantly more likely to report lifetime illicit drug use (AOR 11.43, 95% CI 2.50-52.30), and >15 days depression in the past month (AOR 5.51, 95% CI 1.36-22.36). We conclude that coming

  5. Intelligent transportation systems case study: central artery (I-93)/tunnel (I-90) project, Boston, Massachusetts, USA

    NASA Astrophysics Data System (ADS)

    Luchian, Sergiu F.; Krechmer, Daniel

    1995-01-01

    The Central Artery/Tunnel (CA/T) project provides an excellent opportunity to implement and test the application of Intelligent Transportation Systems (ITS) technology to improve traffic safety in a congested urban corridor. As currently designed, the CA/T project will have the most extensive ITS capabilities of any highway in the U.S.A., and numerous opportunities exist to build upon these capabilities. Advances in the state-of-the-art of both ITS technology and applications can improve the safety and convenience of the travelling public in Eastern Massachusetts and provide significant regional economic benefits as well.

  6. Pathways of Thriving and Resilience: Growth Responses to Adversity and Trauma in Two Cambodian Communities: A Comparative Study between Lowell, Massachusetts and Phnom Penh, Cambodia.

    ERIC Educational Resources Information Center

    West, Cheryl D.

    This qualitative study investigated individual, contextual, and cultural factors that promote trauma-related resilience and positive growth among Cambodian survivors of the Pol Pot regime who reside in Phnom Penh, Cambodia and Lowell, Massachusetts. A thriving paradigm framed semi-structured interviews that were conducted with 21 Cambodians in…

  7. A Health Impact Assessment of a Proposed Bill to Decrease Speed Limits on Local Roads in Massachusetts (U.S.A.)

    PubMed Central

    James, Peter; Ito, Kate; Banay, Rachel F.; Buonocore, Jonathan J.; Wood, Benjamin; Arcaya, Mariana C.

    2014-01-01

    Decreasing traffic speeds increases the amount of time drivers have to react to road hazards, potentially averting collisions, and makes crashes that do happen less severe. Boston’s regional planning agency, the Metropolitan Area Planning Council (MAPC), in partnership with the Massachusetts Department of Public Health (MDPH), conducted a Health Impact Assessment (HIA) that examined the potential health impacts of a proposed bill in the state legislature to lower the default speed limits on local roads from 30 miles per hour (mph) to 25 mph. The aim was to reduce vehicle speeds on local roads to a limit that is safer for pedestrians, cyclists, and children. The passage of this proposed legislation could have had far-reaching and potentially important public health impacts. Lower default speed limits may prevent around 18 fatalities and 1200 serious injuries to motorists, cyclists and pedestrians each year, as well as promote active transportation by making local roads feel more hospitable to cyclists and pedestrians. While a lower speed limit would increase congestion and slightly worsen air quality, the benefits outweigh the costs from both a health and economic perspective and would save the state approximately $62 million annually from prevented fatalities and injuries. PMID:25279544

  8. Public health assessment for Nyanza Chemical Waste Dump, Ashland, Middlesex County, Massachusetts, Region 1. Cerclis No. MAD990685422. Final report

    SciTech Connect

    Not Available

    1994-06-29

    The Nyanza site is located in Ashland, Massachusetts, approximately 22 miles west of Boston. More than 100 different chemicals (mainly dyes, but additionally a number of semi-volatiles including benzidine, dianisidine, o-tolidine, and 2-napthylamine) have been detected at the site, which encompasses a 35-acre area. Liquid wastes from Nyanza have been discharged into the environment in several different ways including into the underground vault, unlined lagoons, and nearby brooks and wetlands. Surface water and soil on-site are known to have been contaminated. Groundwater beneath and downgradient of the site is known to be contaminated. Releases into the ambient air are known to have occurred historically. These releases have included oleum, bromine, and nitric acid. Opportunity for human exposure in the past was high and included exposures to children playing in the soils and lagoons on-site as well as in the Chemical Brook.

  9. Building America Case Study: Solar Water Heating in Multifamily Buildings, Greenfield, Massachusetts

    SciTech Connect

    2016-05-01

    Solar domestic hot water (SDHW) systems have been installed on buildings for decades, but because of relatively high costs they have not achieved significant market penetration in most of the country. As more buildings move towards zero net energy consumption, however, many designers and developers are looking more closely at SDHW. In multifamily buildings especially, SDHW may be more practical for several reasons: (1) When designing for zero net energy consumption, solar water heating may be part of the lowest cost approach to meet water heating loads. (2) Because of better scale, SDHW systems in multifamily buildings cost significantly less per dwelling than in single-family homes. (3) Many low-load buildings are moving away from fossil fuels entirely. SDHW savings are substantially greater when displacing electric resistance water heating. (4) In addition to federal tax incentives, some states have substantial financial incentives that dramatically reduce the costs (or increase the benefits) of SDHW systems in multifamily buildings. With support from the U.S. DOE Building America program, the Consortium for Advanced Residential Buildings (CARB) worked with a developer in western Massachusetts to evaluate a SDHW system on a 12-unit apartment building. Olive Street Development completed construction in spring of 2014, and CARB has been monitoring performance of the water heating systems since May 2014.

  10. Building America Case Study: Indirect Solar Water Heating Systems in Single-Family Homes, Greenfield, Massachusetts

    SciTech Connect

    2016-04-01

    Solar water heating systems are not new, but they have not become prevalent in most of the U.S. Most of the country is cold enough that indirect solar thermal systems are required for freeze protection, and average installed cost of these systems is $9,000 to $10,000 for typical systems on single-family homes. These costs can vary significantly in different markets and with different contractors, and federal and regional incentives can reduce these up-front costs by 50% or more. In western Massachusetts, an affordable housing developer built a community of 20 homes with a goal of approaching zero net energy consumption. In addition to excellent thermal envelopes and PV systems, the developer installed a solar domestic water heating system (SDHW) on each home. The Consortium for Advanced Residential Buildings (CARB), a research consortium funded by the U.S. Department of Energy Building America program, commissioned some of the systems, and CARB was able to monitor detailed performance of one system for 28 months.

  11. Technology Solutions Case Study: Monitoring of Double Stud Wall Moisture Conditions in the Northeast, Devens, Massachusetts

    SciTech Connect

    2015-03-01

    Double stud walls have a higher risk of interior-sourced condensation moisture damage when compared with high-R approaches using exterior insulating sheathing. In this project, Building Science Corporation monitored moisture conditions in double-stud walls from 2011 through 2014 at a new production house located in Devens, Massachusetts. The builder, Transformations, Inc., has been using double-stud walls insulated with 12 in. of open cell polyurethane spray foam (ocSPF); however, the company has been considering a change to netted and blown cellulose insulation for cost reasons. Cellulose is a common choice for double-stud walls because of its lower cost (in most markets). However, cellulose is an air-permeable insulation, unlike spray foams, which increases interior moisture risks. The team compared three double-stud assemblies: 12 in. of ocSPF, 12 in. of cellulose, and 5-½ in. of ocSPF at the exterior of a double-stud wall (to approximate conventional 2 × 6 wall construction and insulation levels, acting as a control wall). These assemblies were repeated on the north and south orientations, for a total of six assemblies.

  12. Massachusetts: more mirage than miracle.

    PubMed

    Miller, Tom

    2006-01-01

    Enactment of the Massachusetts health reform plan stemmed primarily from several factors unique to the state. They were augmented by a questionable rationale that this latest version of health reform would forestall even greater threats ahead to the interests of the state's business community, private insurance policyholders, and taxpayers. The plan's foremost achievement involves development of a "Connector" mechanism to facilitate pooling and purchasing beyond the workplace. However, its successful implementation will be challenged by the complexities of enforcing an individual mandate and changing the long-standing course of an overregulated and high-cost health market.

  13. The Enough Abuse Campaign: Building the Movement to Prevent Child Sexual Abuse in Massachusetts

    ERIC Educational Resources Information Center

    Schober, Daniel J.; Fawcett, Stephen B.; Bernier, Jetta

    2012-01-01

    This case study describes the Enough Abuse Campaign, a multidisciplinary, statewide effort to prevent child sexual abuse in Massachusetts. The study uses the Institute of Medicine's Framework for Collaborative Community Action on Health to provide a systematic description of the campaign's process of implementation, which includes: (a) developing…

  14. Massachusetts General Hospital starts own degree programs.

    PubMed

    1979-01-01

    Massachusetts General Hospital has established a new Education Division that administers various degree programs in seven professional fields. Major emphasis is on interdisciplinary study and integration of the academic and the clinical components of training.

  15. Nutrition Counts. Massachusetts Nutrition Surveillance System. FY90 Annual Report.

    ERIC Educational Resources Information Center

    Wiecha, Jean L.; And Others

    "Nutrition Counts," the pediatric portion of the Massachusetts Department of Public Health's (MDPH) Nutrition Surveillance System, monitors and describes aspects of nutritional status among groups of young children in the state. This report presents cross-sectional data describing 5,176 infants and young children in Massachusetts. Of…

  16. Health Care Reform: America's Dilemma. Report on the National Meeting (Boston, Massachusetts, November 28-29, 1990).

    ERIC Educational Resources Information Center

    Labor/Higher Education Council, Washington, DC.

    Health care reform's direct effect on higher education and labor is the subject of this conference report. Individual, panel, and interactive work group presentations addressing the values and options on health care issues are included. Following an introduction, three papers discuss the U.S. health care system: (1) "National Health Care…

  17. Provider characteristics associated with guideline-nonadherent gonorrhea treatment, Massachusetts, 2010.

    PubMed

    Swails, Jennifer; Smock, Laura; Hsu, Katherine

    2014-02-01

    Emerging antibiotic resistance may be slowed through effective implementation of treatment guidelines. Our case-control study showed that providers who treated gonorrhea differently from guidelines in Massachusetts accounted for approximately 4% of cases and were associated with private practice/health maintenance organization settings and lower-incidence locations. Patient β-lactam allergy was also significantly associated with guideline nonadherence.

  18. Media Competition Implementation for the Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD): Adoption and Reach.

    PubMed

    Criss, Shaniece; Cheung, Lilian; Giles, Catherine; Gortmaker, Steven; Viswanath, Kasisomayajula; Kwass, Jo-Ann; Davison, Kirsten

    2016-04-05

    The Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD) was a multi-level, multi-sector community intervention with a media competition component to provide an overarching synergy and promote awareness of target behaviors to reduce childhood obesity. Students participating in the media competition were tasked with developing videos, song/rap lyrics, and artwork that reflected the goals. The aim of this study is to document the process used to develop and implement the media competition along with its reach and adoption. An adapted version of Neta and colleagues' 2015 framework on dissemination and implementation was used to summarize the process by which the media competition was developed and implemented. Adoption was defined by whether eligible schools or afterschool programs decided to implement the media competition. Reach was defined by student participation rates within schools/programs and the number of votes cast for the finalists on the coalition website and students' paper ballots. A total of 595 students participated in the media competition from 18 school and afterschool programs in two communities. Adoption of the media competitions ranged from 22% to 100% in programs and reach ranged from 3% to 33% of the student population. The documentation of the implementation should contribute to the replication of the media competition.

  19. Media Competition Implementation for the Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD): Adoption and Reach

    PubMed Central

    Criss, Shaniece; Cheung, Lilian; Giles, Catherine; Gortmaker, Steven; Viswanath, Kasisomayajula; Kwass, Jo-Ann; Davison, Kirsten

    2016-01-01

    The Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD) was a multi-level, multi-sector community intervention with a media competition component to provide an overarching synergy and promote awareness of target behaviors to reduce childhood obesity. Students participating in the media competition were tasked with developing videos, song/rap lyrics, and artwork that reflected the goals. The aim of this study is to document the process used to develop and implement the media competition along with its reach and adoption. An adapted version of Neta and colleagues’ 2015 framework on dissemination and implementation was used to summarize the process by which the media competition was developed and implemented. Adoption was defined by whether eligible schools or afterschool programs decided to implement the media competition. Reach was defined by student participation rates within schools/programs and the number of votes cast for the finalists on the coalition website and students’ paper ballots. A total of 595 students participated in the media competition from 18 school and afterschool programs in two communities. Adoption of the media competitions ranged from 22% to 100% in programs and reach ranged from 3% to 33% of the student population. The documentation of the implementation should contribute to the replication of the media competition. PMID:27058549

  20. Vulnerability, risk perception, and health profile of marginalized people exposed to multiple built-environment stressors in Worcester, Massachusetts: a pilot project.

    PubMed

    Downs, Timothy J; Ross, Laurie; Goble, Robert; Subedi, Rajendra; Greenberg, Sara; Taylor, Octavia

    2011-04-01

    Millions of low-income people of diverse ethnicities inhabit stressful old urban industrial neighborhoods. Yet we know little about the health impacts of built-environment stressors and risk perceptions in such settings; we lack even basic health profiles. Difficult access is one reason (it took us 30 months to survey 80 households); the lack of multifaceted survey tools is another. We designed and implemented a pilot vulnerability assessment tool in Worcester, Massachusetts. We answer: (1) How can we assess vulnerability to multiple stressors? (2) What is the nature of complex vulnerability-including risk perceptions and health profiles? (3) How can findings be used by our wider community, and what lessons did we learn? (4) What implications arise for science and policy? We sought a holistic picture of neighborhood life. A reasonably representative sample of 80 respondents captured data for 254 people about: demographics, community concerns and resources, time-activity patterns, health information, risk/stress perceptions, and resources/capacities for coping. Our key findings derive partly from the survey data and partly from our experience in obtaining those data. Data strongly suggest complex vulnerability dominated by psychosocial stress. Unexpected significant gender and ethnic disease disparities emerged: notably, females have twice the disease burden of males, and white females twice the burden of females of color (p < 0.01). Self-reported depression differentiated by gender and age is illustrative. Community based participatory research (CBPR) approaches require active engagement with marginalized populations, including representatives as funded partners. Complex vulnerability necessitates holistic, participatory approaches to improve scientific understanding and societal responses.

  1. Vulnerability, Risk Perception, and Health Profile of Marginalized People Exposed to Multiple Built-Environment Stressors in Worcester, Massachusetts: A Pilot Project

    PubMed Central

    Downs, Timothy J.; Ross, Laurie; Goble, Robert; Subedi, Rajendra; Greenberg, Sara; Taylor, Octavia

    2011-01-01

    Millions of low-income people of diverse ethnicities inhabit stressful old urban industrial neighborhoods. Yet we know little about the health impacts of built-environment stressors and risk perceptions in such settings; we lack even basic health profiles. Difficult access is one reason (it took us 30 months to survey 80 households); the lack of multifaceted survey tools is another. We designed and implemented a pilot vulnerability assessment tool in Worcester, Massachusetts. We answer: (1) How can we assess vulnerability to multiple stressors? (2) What is the nature of complex vulnerability—including risk perceptions and health profiles? (3) How can findings be used by our wider community, and what lessons did we learn? (4) What implications arise for science and policy? We sought a holistic picture of neighborhood life. A reasonably representative sample of 80 respondents captured data for 254 people about: demographics, community concerns and resources, time-activity patterns, health information, risk/stress perceptions, and resources/capacities for coping. Our key findings derive partly from the survey data and partly from our experience in obtaining those data. Data strongly suggest complex vulnerability dominated by psychosocial stress. Unexpected significant gender and ethnic disease disparities emerged: notably, females have twice the disease burden of males, and white females twice the burden of females of color (p < 0.01). Self-reported depression differentiated by gender and age is illustrative. Community based participatory research (CBPR) approaches require active engagement with marginalized populations, including representatives as funded partners. Complex vulnerability necessitates holistic, participatory approaches to improve scientific understanding and societal responses. PMID:21175719

  2. Massachusetts health reform’s effect on hospitals’ racial mix of patients and on patients’ use of safety-net hospitals

    PubMed Central

    Lasser, Karen E.; Hanchate, Amresh D.; McCormick, Danny; Chu, Chieh; Xuan, Ziming; Kressin, Nancy R.

    2016-01-01

    Background Due to residential segregation and a lack of health insurance, minorities often receive care in different facilities than whites. Massachusetts (MA) health reform provided insurance to previously uninsured patients, which enabled them to potentially shift inpatient care to non-minority-serving or non-safety-net hospitals. Objectives Examine whether MA health reform affected hospitals’ racial mix of patients, and individual patients’ use of safety-net hospitals. Research design Difference-in-differences analysis of 2004–2009 inpatient discharge data from MA, compared to New York (NY), and New Jersey (NJ), to identify post-reform changes, adjusting for secular changes. Subjects (1) Hospital-level analysis (discharges): 345 MA, NY, and NJ hospitals; (2) patient-level analysis (patients): 39,921 patients with ≥ 2 hospitalizations at a safety-net hospital in the pre-reform period Measures Pre- to post-reform changes in percentage of discharges that are minority (black and Hispanic) at minority-serving hospitals; adjusted odds of patient movement from safety-net hospitals (pre-reform) to non-safety-net hospitals (post-reform) by age group and state. Results Treating NJ as the comparison state, MA reform was associated with an increase of 5.8% (95% CI 1.4% to 10.3%) in the percentage of minority discharges at MA minority-serving hospitals; with NY as the comparison state, the change was 2.1% (95% CI −0.04% to 4.3%). Patient movement from safety-net to non-safety-net hospitals was slightly greater in MA than comparison states (difference-in-differences adjusted OR 1.1, 95% CI, 1.0–1.2, p=0.04). Conclusions Following MA health reform, the safety-net remains an important component of the healthcare system. PMID:27261638

  3. Food Insecurity and Cardiovascular Health in Pregnant Women: Results From the Food for Families Program, Chelsea, Massachusetts, 2013–2015

    PubMed Central

    Morales, Mary E.; Epstein, Michael H.; Marable, Danelle E.; Oo, Sarah A.

    2016-01-01

    Background Food insecurity, uncertainty about the ability to acquire adequate food, is associated with cardiometabolic disease in pregnant women. Whether food insecurity interventions improve cardiometabolic health is unknown. Methods We conducted a retrospective analysis of women who visited the obstetrics clinic in a community health center from 2013 through 2015. Patients could be referred to the Food for Families (Food for Families) program, which connects food insecure women to food resources. We hypothesized that participation in Food for Families would be associated with better blood pressure and blood glucose trends during pregnancy. We used a propensity score–matched design to reduce bias from differential entry into Food for Families. Results Eleven percent of women who visited the obstetrics clinic were referred to Food for Families. In propensity score–matched analyses, we found no difference in baseline systolic blood pressure (SBP) between those who were referred and enrolled in Food for Families (113.5 mm Hg), those who were referred and did not enroll in Food for Families (113.9 mm Hg), and those who were not referred to Food for Families (114 mm Hg) (P = .79). However, during pregnancy, women who were referred to and enrolled in Food for Families had a better SBP trend (0.2015 mm Hg/wk lower, P = .006). SBP trends did not differ between women who were referred and did not enroll in Food for Families and those who were not referred. We observed no differences in blood glucose trends between groups (P = .40). Conclusions Food for Families participation was associated with better blood pressure trends in pregnant women but no differences in blood glucose trends. Food insecurity reduction programs may improve cardiovascular health for vulnerable pregnant women, and this topic deserves further study incorporating randomized program entry. PMID:27809418

  4. Environmental and economic evaluation of the Massachusetts Smoke-Free Workplace Law.

    PubMed

    Alpert, Hillel R; Carpenter, Carrie M; Travers, Mark J; Connolly, Gregory N

    2007-08-01

    An environmental and economic evaluation of the smoke-free law in Massachusetts provides a broad appreciation of how a state-wide smoking ban affects the health of patrons and workers as well as the industries that are commonly concerned about the effects of smoking bans on business. The aim of this study is to evaluate environmental and economic effects of the statewide Massachusetts statewide Smoke-Free Workplace Law. Before and after the smoking ban, air quality testing was conducted in a sample (n = 27) of hospitality venues and state-wide economic changes were assessed. Compliance, in terms of patronage was measured by person-counts. Environmental outcomes were respirable suspended particles (RSP) less than 2.5 microns in diameter (PM2.5). Economic outcomes were meals tax collections, employment in the food services and drinking places and accommodations industries. On average, levels of respirable suspended particles (RSPs) less than 2.5 microns in diameter (PM2.5) decreased 93% in these venues after the Massachusetts Smoke-free Workplace Law went into effect. No statistically significant changes were observed among the economic indicators. This evaluation demonstrates that the state-wide Massachusetts law has effectively improved indoor air quality in a sample of Massachusetts venues and has not negatively affected several economic indicators.

  5. A Health Impact Assessment of Proposed Public Transportation Service Cuts and Fare Increases in Boston, Massachusetts (U.S.A.)

    PubMed Central

    James, Peter; Ito, Kate; Buonocore, Jonathan J.; Levy, Jonathan I.; Arcaya, Mariana C.

    2014-01-01

    Transportation decisions have health consequences that are often not incorporated into policy-making processes. Health Impact Assessment (HIA) is a process that can be used to evaluate health effects of transportation policy. We present a rapid HIA, conducted over eight weeks, evaluating health and economic effects of proposed fare increases and service cuts to Boston, Massachusetts’ public transportation system. We used transportation modeling in concert with tools allowing for quantification and monetization of multiple pathways. We estimated health and economic costs of proposed public transportation system changes to be hundreds of millions of dollars per year, exceeding the budget gap the public transportation authority was required to close. Significant health pathways included crashes, air pollution, and physical activity. The HIA enabled stakeholders to advocate for more modest fare increases and service cuts, which were eventually adopted by decision makers. This HIA was among the first to quantify and monetize multiple pathways linking transportation decisions with health and economic outcomes, using approaches that could be applied in different settings. Including health costs in transportation decisions can lead to policy choices with both economic and public health benefits. PMID:25105550

  6. Great Teachers Are Not Born, They Are Made: Case Study Evidence from Massachusetts Charters. White Paper No. 130

    ERIC Educational Resources Information Center

    Candal, Cara Stillings

    2015-01-01

    In recent decades, the Commonwealth of Massachusetts has implemented reforms aimed at improving and controlling the quality of the teaching workforce in public schools. Among those reforms are tests for licensure that assess both general and content-area specific knowledge, requirements for ongoing teacher professional development, and procedures…

  7. Active Bodies, Active Minds: A Case Study on Physical Activity and Academic Success in Lawrence, Massachusetts. Understanding Boston

    ERIC Educational Resources Information Center

    Sacheck, Jennifer; Wright, Catherine; Chomitz, Virginia; Chui, Kenneth; Economos, Christina; Schultz, Nicole

    2015-01-01

    This case study addresses two major priorities of the Boston Foundation--health and education. Since the 2007 publication of the "Understanding Boston" report "The Boston Paradox: Lots of Health Care, Not Enough Health," the Boston Foundation has worked to draw attention to the epidemic of preventable chronic disease that not…

  8. Biomanufacturing in Massachusetts: An Assessment and Educational Analysis.

    ERIC Educational Resources Information Center

    Minuteman Regional Vocational Technical School, Lexington, MA.

    A study examined the nature and requirements of biomanufacturing work force development in Massachusetts. The jobs created by biotechnology and skill requirements for the different levels of biotechnology jobs were analyzed. Next, study task force members visited 23 companies throughout Massachusetts and interviewed a wide selection of personnel,…

  9. A Methology for Assessing the Regional Transportation Energy Demands of Different Spatial Residential Development Scenarios: a Case Study for the Upper Housatonic River Basin, Massachusetts

    NASA Technical Reports Server (NTRS)

    Oski, J. A.; Fabos, J. G.; Gross, M.

    1982-01-01

    A method is suggested whereby regional landscape planning efforts can be aided by the use of a geographic information system to determine sites for more energy efficient residential and mixed use developments within a study area. The location of land parcels suited for residential and mixed land use developments in the Upper Housatonic River Basin Study Area in Berkshire County, Massachusetts is described as well as the three development options. Significant steps in the procedure are discussed and the computation of the transportation energy requirement is elaborated.

  10. Building America Case Study: Monitoring of Double Stud Wall Moisture Conditions in the Northeast, Devens, Massachusetts (Fact Sheet)

    SciTech Connect

    Not Available

    2015-03-01

    Double-stud walls insulated with cellulose or low-density spray foam can have R-values of 40 or higher. However, double stud walls have a higher risk of interior-sourced condensation moisture damage, when compared with high-R approaches using exterior insulating sheathing. Moisture conditions in double stud walls were monitored in Zone 5A (Massachusetts); three double stud assemblies were compared.

  11. Bladder cancer in Massachusetts related to chlorinated and chloraminated drinking water: a case-control study

    SciTech Connect

    Zierler, S.; Feingold, L.; Danley, R.A.; Craun, G.

    1988-03-01

    Consumers of chlorinated drinking water have a small excess of bladder cancer. Risk may have been underestimated because of confounding and misclassification of exposure status. To address these problems, we undertook a case-control study. Detailed residential histories were obtained by telephone interviews with informants of 614 individuals who died of primarily bladder cancer and 1,074 individuals who died of other causes. Their surface water has been disinfected with chlorine or a combination of chlorine and ammonia (cloramine) since 1938. The mortality ratio for bladder cancer among individuals who resided only in communities supplied with drinking water disinfected with chlorine, relative to individuals who resided only in communities supplied with drinking water disinfected with chloramine, was 1.6 (95% confidence interval = 1.2-2.1), using all controls; when the comparison group was restricted to individuals who died of lymphoma, the mortality odds ratio was 2.7 (95% confidence interval = 1.7-4.3).

  12. Bladder cancer in Massachusetts related to chlorinated and chloraminated drinking water: a case-control study.

    PubMed

    Zierler, S; Feingold, L; Danley, R A; Craun, G

    1988-01-01

    Consumers of chlorinated drinking water have a small excess of bladder cancer. Risk may have been underestimated because of confounding and misclassification of exposure status. To address these problems, we undertook a case-control study. Detailed residential histories were obtained by telephone interviews with informants of 614 individuals who died of primarily bladder cancer and 1,074 individuals who died of other causes. Their surface water has been disinfected with chlorine or a combination of chlorine and ammonia (cloramine) since 1938. The mortality ratio for bladder cancer among individuals who resided only in communities supplied with drinking water disinfected with chlorine, relative to individuals who resided only in communities supplied with drinking water disinfected with chloramine, was 1.6 (95% confidence interval = 1.2-2.1), using all controls; when the comparison group was restricted to individuals who died of lymphoma, the mortality odds ratio was 2.7 (95% confidence interval = 1.7-4.3).

  13. The Massachusetts Math Wars

    ERIC Educational Resources Information Center

    Stotsky, Sandra

    2007-01-01

    This article recounts the battle in the "math wars" that took place in Massachusetts, United States in 1999-2000 over the scope, content and teaching of the state's K-12 mathematics curriculum. Harsh controversies arose between the partisans of a "reform-math" movement stressing an undefined "conceptual understanding"…

  14. 75 FR 61220 - Massachusetts Institute of Technology: Massachusetts Institute of Technology Research Reactor...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... COMMISSION Massachusetts Institute of Technology: Massachusetts Institute of Technology Research Reactor... Massachusetts Institute of Technology (MIT, the licensee), which would authorize continued operation of the Massachusetts Institute of Technology Research Reactor (MITR-II, the facility), located in Cambridge,...

  15. Geology of Massachusetts and Rhode Island

    USGS Publications Warehouse

    Emerson, Benjamin Kendall

    1917-01-01

    In preparing the present treatise and the accompanying geologic map of Massachusetts and Rhode Island (PI. X, in pocket) I have endeavored to use all the material available. The matter has been greatly condensed, for the detailed geology of a considerable part of the area will be described in a number of forthcoming folios of the Geologic Atlas of the United States. The Holyoke folio, published in 1898, covered the major part of the Triassic rocks in Massachusetts, but as those rocks have since been more thoroughly studied they are here treated in greater detail to bring their discussion up to date.

  16. Banning tobacco sales in Massachusetts' pharmacies.

    PubMed

    Woodward, Alan C; Henley, Patricia P; Wilson, Donald J

    2012-06-01

    Bans on the sale of tobacco products in pharmacies allow pharmacies to provide health information and services without the conflict of interest posed by concurrent tobacco sales. As health care providers, pharmacies are trusted sources of information for patients. The existence of tobacco products in pharmacies is contrary to their mission as a health care entity. By May 2012, a full 27 Massachusetts municipalities had banned the sale of tobacco products in health care institutions, including pharmacies. These bans covered 30% of the state's population.

  17. CETA in Eastern Massachusetts. Final Report.

    ERIC Educational Resources Information Center

    Barocci, Thomas A.; Myers, Charles A.

    A study regarding the implementation of the Comprehensive Employment and Training Act (CETA) in four eastern Massachusetts prime sponsor areas (Cambridge, Lowell, New Bedford, and the Balance of State) was done to (1) examine the impact of the decisions made during the implementation of CETA on manpower services and institutions, program…

  18. The High School Experience in Massachusetts.

    ERIC Educational Resources Information Center

    Massachusetts State Dept. of Education, Boston. Bureau of Research and Assessment.

    This examination of high schools in Massachusetts raises questions about the meaning of the high school diploma and the role, if any, of state policymakers in influencing its meaning. The study shows: (1) students with different characteristics (e.g., male, female, white, minority) and from different kinds of communities and with different…

  19. Opportunities and Challenges for Payment Reform: Observations from Massachusetts.

    PubMed

    Mechanic, Robert E

    2016-08-01

    Policy makers and private health plans are expanding their efforts to implement new payment models that will encourage providers to improve quality and deliver health care more efficiently. Over the past five years, payment reforms have progressed faster in Massachusetts than in any other state. The reasons include a major effort by Blue Cross Blue Shield of Massachusetts to implement global payment, the presence of large integrated systems willing to take on financial risk, and a supportive state policy environment. By 2014, thirty-seven percent of Massachusetts's residents enrolled in health plans were covered under risk-based payment models tied to global budgets. But the expansion of payment reform in Massachusetts slowed between 2012 and 2015 because some commercial enrollment shifted from risk-based health maintenance organization products to fee-for-service preferred provider organization (PPO) plans, and the state Medicaid program fell short of its payment reform goals. Provider groups will not fully commit to population-based clinical models if they believe it will result in large reductions in fee-for-service revenue. The use of alternative payment models will accelerate in 2016 when Blue Cross begins implementing PPO payment reforms, but it is unknown how quickly other payers will follow. Massachusetts's experience illustrates the complexity of payment reform in pluralistic health care markets and the need for complementary efforts by public and private stakeholders.

  20. Nurses' Perceptions of Barriers and Facilitators Affecting the Shaken Baby Syndrome Education Initiative: An Exploratory Study of a Massachusetts Public Policy.

    PubMed

    Rideout, Leslie

    2016-01-01

    The objective of this study was to assess nurses' perceptions of barriers to and facilitators of implementation of the shaken baby syndrome (SBS)/abusive head trauma (AHT) public policy. A legislative Act providing for the prevention of SBS/AHT was passed in Massachusetts in November 2006. A stipulation of this Act was the provision of a program to educate parents/guardians of newborns about SBS/AHT prevention. A quantitative, cross-sectional research design with a qualitative component was used for this study. Nurses in 13 Massachusetts birthing hospitals were surveyed using a Web-based questionnaire (hosted by Qualtrics, Provo, Utah). Hospital nurses' responses (N = ∼ 922; 155 responded) revealed barriers to and facilitators of SBS/AHT guideline implementation. The disadvantage of Web-based surveys as they relate to the challenges of enlisting cooperation and a lack of direct access to the nurses may have attributed to the low response rate (17%) for this study. The outcomes of logistic regression analyses and themes from the qualitative analysis revealed a lack of SBS/AHT brochures and an inability to provide SBS/AHT education for non-English-speaking parents/guardians as barriers to SBS/AHT education. An atmosphere of supportive leadership facilitated implementation of the SBS/AHT education guidelines by nurses. It is imperative that nurse leadership support be sustained so that nurses have SBS/AHT education resources, an understanding of the SBS/AHT education guidelines, and feedback about the impact of their SBS/AHT education interventions.

  1. Effectiveness of highway-drainage systems in preventing contamination of ground water by road salt, Route 25, southeastern Massachusetts; description of study area, data collection programs, and methodology

    USGS Publications Warehouse

    Church, P.E.; Armstrong, D.S.; Granato, G.E.; Stone, V.J.; Smith, K.P.; Provencher, P.L.

    1996-01-01

    Four test sites along a 7-mile section of Route 25 in southeastern Massachusetts, each representing a specific highway-drainage system, were instrumented to determine the effectiveness of the drainage systems in preventing contamination of ground water by road salt. One of the systems discharges highway runoff onsite through local drainpipes. The other systems use trunkline drainpipes through which runoff from highway surfaces, shoulders, and median strips is diverted and discharged into either a local stream or a coastal waterway. Route 25 was completed and opened to traffic in the summer of 1987. Road salt was first applied to the highway in the winter of 1987-88. The study area is on a thick outwash plain composed primarily of sand and gravel. Water-table depths range from 15 to 60 feet below land surface at the four test sites. Ground-water flow is in a general southerly direction, approximately perpendicular to the highway. Streamflow in the study area is controlled primarily by ground-water discharge. Background concentrations of dissolved chloride, sodium, and calcium-the primary constituents of road salt-are similar in ground water and surface water and range from 5 to 20, 5 to 10, and 1 to 5 milligrams per liter, respectively. Data-collection programs were developed for monitoring the application of road salt to the highway, the quantity of road-salt water entering the ground water, diverted through the highway-drainage systems, and entering a local stream. The Massachusetts Highway Department monitored road salt applied to the highway and reported these data to the U.S. Geological Survey. The U.S. Geological Survey designed and operated the ground-water, highway- drainage, and surface-water data-collection programs. A road-salt budget will be calculated for each test site so that the effectiveness of the different highway-drainage systems in preventing contamination of ground water by road salt can be determined.

  2. Beach slopes of Massachusetts

    USGS Publications Warehouse

    Doran, Kara S.; Long, Joesph W.; Birchler, Justin J.; Weber, Kathryn M.

    2016-01-01

    The National Assessment of Coastal Change Hazards project derives features of beach morphology from lidar elevation data for the purpose of understanding and predicting storm impacts to our nation's coastlines. This dataset defines mean beach slopes along the United States Northeast Atlantic Ocean for Massachusetts for data collected at various times between 2000 and 2013. For further information regarding data collection and/or processing methods refer to USGS Open-File Report 2015–1053 (http://pubs.usgs.gov/of/2015/1053/).

  3. Economic Efficiency and Equity in Dams Removal: Case studies in Northeastern Massachusetts Doina Oglavie, Ellen Douglas, David Terkla

    NASA Astrophysics Data System (ADS)

    Oglavie, D. R.; Douglas, E. M.; Terkla, D.

    2009-12-01

    According to American Rivers (www.americanrivers.org), Massachusetts has almost 3,000 dams under state regulation, 296 of which have been classified as high hazard, meaning they pose a serious threat to human life if they should fail. Most of these dams, however, are low head, “run-of-the-river” dams that no longer serve the purpose for which they were built. The presence of these dams has fragmented aquatic and riparian ecosystems, impeded fish passage and generally impacted the natural ecological and hydrological functioning of the streams in which they reside. Dam removal should be considered when a dam no longer serves its function. Although in many cases, the removal of a dam is environmentally beneficial (at least over the long term), sometimes the removal of a dam can incur environmental costs, such as release of contaminants that were sequestered behind the dam. Dam removal is a complex issue especially with respect to privately owned dams. In many cases, dam removal is less costly than dam maintenance or upgrade, hence dam removal decisions tend to be based on purely monetary considerations, and the environmental costs or benefits associated with the dam are not considered. Typically, the main objective for the dam owner is to incur the lowest possible cost (private cost), whether it be operating and maintenance or removal; external costs (environmental degradation) are rarely, if ever, considered, hence the true cost to society is not included in the economic analysis. If dam operation and removal decisions are to be economically efficient, then they have to include both the private costs as well as the external (environmental) costs. The purpose of this work is to 1) attempt to quantify the externalities associated with the maintenance and the removal of dams, 2) assess whether or not the current dam removal evaluation process maximizes social welfare (efficiency and equity) and 3) suggest ways in which this process can be improved by including the

  4. Massachusetts Students Receive EPA Money to Conduct Environmental Research

    EPA Pesticide Factsheets

    The U.S. Environmental Protection Agency gave STAR Awards to two doctoral students in Massachusetts for environmental research. Each doctoral student will receive up to $132,000 to support their graduate research and studies.

  5. The Cheer Study to Reduce BMI in Elementary School Students: A School-Based, Parent-Directed Study in Framingham, Massachusetts

    ERIC Educational Resources Information Center

    Resnick, Elissa A.; Bishop, Marilyn; O'Connell, Anne; Hugo, Beverly; Isern, Germinal; Timm, Alison; Ozonoff, Al; Geller, Alan C.

    2009-01-01

    Childhood obesity may be lessened by parent-focused interventions. A pilot parent-directed trial with 46 parents of overweight and obese elementary school students was conducted at two ethnically diverse public schools in Framingham, Massachusetts. Parents were randomly assigned to either the Materials Group, which received mailed educational…

  6. The Enough Abuse Campaign: building the movement to prevent child sexual abuse in Massachusetts.

    PubMed

    Schober, Daniel J; Fawcett, Stephen B; Bernier, Jetta

    2012-01-01

    This case study describes the Enough Abuse Campaign, a multidisciplinary, statewide effort to prevent child sexual abuse in Massachusetts. The study uses the Institute of Medicine's Framework for Collaborative Community Action on Health to provide a systematic description of the campaign's process of implementation, which includes: (a) developing a state-level infrastructure for child sexual abuse prevention, (b) assessing child sexual abuse perceptions and public opinion, (c) developing local infrastructures in three communities and implementing training programs focused on preventing perpetration of child sexual abuse, (d) facilitating changes in local communities to child-sexual-abuse-related systems, and (e) inviting Massachusetts residents to join an advocacy-based movement to prevent child sexual abuse. This case study concludes with future directions for the campaign and topics for future research related to child sexual abuse.

  7. Existing Whole-House Solutions Case Study: National Grid Deep Energy Retrofit Pilot, Massachusetts and Rhode Island

    SciTech Connect

    2014-03-01

    Between December, 2009 and December, 2012 42 deep energy retrofit (DER) projects were completed through a pilot program sponsored by National Grid and conducted in Massachusetts and Rhode Island. Thirty-seven of these projects were comprehensive retrofits while five were partial DERs, meaning that high performance retrofit was implemented for a single major enclosure component or a limited number of major enclosure components. Building Science Corporation developed a consistent "package" of measures in terms of the performance targeted for major building components. Pre- and post-retrofit air leakage measurements were performed for each of the projects. Each project also reported information about project costs including identification of energy-related costs. Post-retrofit energy-use data was obtained for 29 of the DER projects, and was analyzed based on the net energy used by the DER project regardless of whether the energy was generated on site or delivered to the site. Based on the community experience, this DER package is expected to result in yearly source energy use near 110 MMBtu/year or approximately 40% below the Northeast regional average. Larger to medium sized homes that successful implement these retrofits can be expected to achieve source EUI that is comparable to Passive House targets for new construction. The community of DER projects show post-retrofit airtightness below 1.5 ACH50 to be eminently achievable.

  8. Saugus River and Tributaries, Lynn, Malden, Revere and Saugus, Massachusetts. Flood Damage Reduction. Volume 7. Appendix J. Feasibility Study and EIS/EIR Comments and Responses. Section A.

    DTIC Science & Technology

    1989-12-01

    accomplished primarily using existing measures such as: * The Massachusetts Wetland Protection Act * Massachusetts Ernvircumental Policy Act (MEPA...atterdant impacts. The severity of the impacts on the project or caused by the project will depend to a large degree on the public policy in existence at...the time the inpacts are reviewed. That policy , State and/or Federal, will be made in recognition of the threat caused by increases observed to that

  9. Statewide air medical transports for Massachusetts.

    PubMed

    Garthe, Elizabeth; Mango, Nicholas K; Prenney, Brad

    2002-01-01

    In 1997, the Massachusetts Department of Public Health (MDPH) established a process to centralize air medical transport information. This database is one of the first statewide, population-based sources for civilian rotary-wing air medical transports (U.S. Coast Guard, police, and military missions are not included). The purpose of this database is to facilitate MDPH review of air medical transport service utilization, with input from a multidisciplinary committee. This article discusses the challenges in producing uniform data from multiple service submissions and presents aggregate "baseline" utilization information for 1996. These data served as a starting point for later studies using data linkage. This indexed article is the first to report statewide, population-based data for all types of air medical helicopter transports. The only other indexed "statewide air medical transport" paper focused on scene transports to trauma centers in Pennsylvania. A previous article by the authors in the July-September 2000 Air Medical Journal provided an overview of air medical transports for fatal motor vehicle crashes for 1 region of the state.

  10. Delineation and Characterization of Furnace Brook Watershed in Marshfield, Massachusetts: A Study of Effects upon Conjunctive Water Use within a Watershed

    NASA Astrophysics Data System (ADS)

    Croll, E. D.; Enright, R.

    2012-12-01

    An understanding of conjunctive use between surface and ground water is essential to resource management both for sustained public use and watershed conservation practices. The Furnace Brook watershed in Marshfield, Massachusetts supplies a coastal community of 25,132 residents with nearly 50% of the town water supply. As with many other coastal communities, development pressure has increased creating a growing demand for freshwater extraction. It has been observed, however, that portions of the stream and Furnace Pond disappear entirely. This has created a conflict between protection of the designated wetland areas and meeting public pressure for water resources, even within what is traditionally viewed as a humid region. Questions have arisen as to whether the town water extraction is influencing this losing behavior by excessively lowering water-table elevations and potentially endangering the health of the stream. This study set out to initially characterize these behaviors and identify possible influences of anthropogenic and natural sources acting upon the watershed including stream flow obstructions, water extraction, and geologic conditions. The initial characterization was conducted utilizing simple, low-cost and minimally intrusive methods as outlined by Lee and Cherry (1978), Rosenberry and LaBaugh (2008) and others during a six week period. Five monitoring stations were established along a 3.0 mile reach of the basin consisting of mini-piezometers, seepage meters, survey elevation base-lines, and utilizing a Marsh-McBirney flow velocity meter. At each station stream discharge, seepage flux rates and hydraulic gradients were determined to develop trends of stream behavior. This methodology had the benefit of demonstrating the efficacy of an intrinsically low-expense, minimally intrusive initial approach to characterizing interactions between surface and ground water resources. The data was correlated with town pumping information, previous geologic

  11. Examining Climate Influences and Economic Impacts of Harmful Algal Blooms in Massachusetts: 1993 and 2005

    NASA Astrophysics Data System (ADS)

    Ngo, N.

    2005-12-01

    Although the potential causes of harmful algal blooms (HABs), or red tides, have been studied extensively, the relationships between the environmental drivers and economic impacts have not been fully explored. This paper examined the environmental-economic link by investigating similarities in the environmental conditions leading to the 1993 and 2005 HABs (caused by the dinoflagellate Alexandirum) along the Massachusetts coast, and the resulting effects on shellfish, public health, recreation, tourism, and the commercial shellfish industry in Massachusetts. Environmental influences including sea surface temperature (SST), salinity, precipitation, streamflow, and shellfish toxicity levels were examined for the years 1990 to 2005. Economic impacts on commercial fishery landings (Massachusetts mussel commercial fishery landings and Gloucester commercial fishery landings) were assessed for the years1990 to 2003. The Plume Advection hypothesis was studied and results showed that runoff from the five major rivers that contribute to the Western Maine Coastal Current, the current that carried these cells, peaked in April 1993 and 2005 relative to the mean which varied from river to river. The most intense wind stress coming from the North occurred in April 1993 and May 2005 with speeds of 15-20 m/s. A large decrease in salinity off the Massachusetts coast occurred in May 1993 and measured outside the 68% of 1993 salinity data recorded, and from the information available, in April and May 2005 waters were also less saline. Peaks in shellfish toxicity occurred in early June 1993 at approximately 400 μg toxicity/g shellfish meat and in 2005 at 700 μg toxicity/g shellfish meat. This indicated a lag time between peaks in runoff and toxicity of approximately one month and similarly with decreases in salinity. Runoff also corresponded to a large decrease in salinity during May 1993. Coincidentally, there was also a significant decrease in commercial fishery landings between

  12. Master environmental plan for Fort Devens, Massachusetts

    SciTech Connect

    Biang, C.A.; Peters, R.W.; Pearl, R.H.; Tsai, S.Y. . Energy Systems Div.)

    1991-11-01

    Argonne National Laboratory has prepared a master environmental plan (MEP) for Fort Devens, Massachusetts, for the US Army Toxic and Hazardous Materials Agency. The MEP is an assessment based on environmental laws and regulations of both the federal government and the Commonwealth of Massachusetts. The MEP assess the physical and environmental status of 58 potential hazardous waste sites, including 54 study areas (SAs) that pose a potential for releasing contamination into the environment and 4 areas of concern (AOCs) that are known to have substantial contamination. For each SA or AOC, this MEP describes the known history and environment, identifies additional data needs, and proposes possible response actions. Most recommended response actions consist of environmental sampling and monitoring and other characterization studies. 74 refs., 63 figs., 50 tabs.

  13. Effects of selected low-impact-development (LID) techniques on water quality and quantity in the Ipswich River Basin, Massachusetts-Field and modeling studies

    USGS Publications Warehouse

    Zimmerman, Marc J.; Barbaro, Jeffrey R.; Sorenson, Jason R.; Waldron, Marcus C.

    2010-01-01

    During the months of August and September, flows in the Ipswich River, Massachusetts, dramatically decrease largely due to groundwater withdrawals needed to meet increased residential and commercial water demands. In the summer, rates of groundwater recharge are lower than during the rest of the year, and water demands are higher. From 2005 to 2008, the U.S. Geological Survey, in a cooperative funding agreement with the Massachusetts Department of Conservation and Recreation, monitored small-scale installations of low-impact-development (LID) enhancements designed to diminish the effects of storm runoff on the quantity and quality of surface water and groundwater. Funding for the studies also was contributed by the U.S. Environmental Protection Agency's Targeted Watersheds Grant Program through a financial assistance agreement with Massachusetts Department of Conservation and Recreation. The monitoring studies examined the effects of (1) replacing an impervious parking lot surface with a porous surface on groundwater quality, (2) installing rain gardens and porous pavement in a neighborhood of 3 acres on the quantity and quality of stormwater runoff, and (3) installing a 3,000-square foot (ft2) green roof on the quantity and quality of stormwater runoff. In addition, the effects of broad-scale implementation of LID techniques, reduced water withdrawals, and water-conservation measures on streamflow in large areas of the basin were simulated using the U.S. Geological Survey's Ipswich River Basin model. From June 2005 to 2007, groundwater quality was monitored at the Silver Lake town beach parking lot in Wilmington, MA, prior to and following the replacement of the conventional, impervious-asphalt surface with a porous surface consisting primarily of porous asphalt and porous pavers. Changes in the concentrations of the water-quality constituents, phosphorus, nitrogen, cadmium, chromium, copper, lead, nickel, zinc, and total petroleum hydrocarbons, were monitored

  14. Benefits and Costs of Aggressive Energy Efficiency Programs and the Impacts of Alternative Sources of Funding: Case Study of Massachusetts

    SciTech Connect

    Cappers, Peter; Satchwell, Andrew; Goldman, Charles; Schlegel, Jeff

    2010-08-06

    Increased interest by state (and federal) policymakers and regulatory agencies in pursuing aggressive energy efficiency efforts could deliver significant utility bill savings for customers while having long-term implications for ratepayers (e.g. potential rate impacts). Equity and distributional concerns associated with the authorized recovery of energy efficiency program costs may necessitate the pursuit of alternative program funding approaches. In 2008, Massachusetts passed the Green Communities Act which directed its energy efficiency (EE) program administrators to obtain all cost-effective EE resources. This goal has translated into achieving annual electric energy savings equivalent to a 2.4% reduction in retail sales from energy efficiency programs in 2012. Representatives of electricity consumer groups supported the new portfolio of EE programs (and the projected bill savings) but raised concerns about the potential rate impacts associated with achieving such aggressive EE goals, leading policymakers to seek out alternative funding sources which can potentially mitigate these effects. Utility administrators have also raised concerns about under-recovery of fixed costs when aggressive energy efficiency programs are pursued and have proposed ratemaking policies (e.g. decoupling) and business models that better align the utility's financial interests with the state's energy efficiency public policy goals. Quantifying these concerns and identifying ways they can be addressed are crucial steps in gaining the support of major stakeholder groups - lessons that can apply to other states looking to significantly increase savings targets that can be achieved from their own ratepayer-funded energy efficiency programs. We use a pro-forma utility financial model to quantify the bill and rate impacts on electricity customers when very aggressive annual energy efficiency savings goals ({approx}2.4%) are achieved over the long-term and also assess the impact of different

  15. Profit and non-profit home health care agency outcomes: a study of one state's experience.

    PubMed

    Ellenbecker, C H

    1995-01-01

    The home health care industry, traditionally an industry of non-profit organizations, has increasingly become, as has the rest of the health care industry, invaded by for-profit organizations. The impetus for this invasion was the Omnibus Reconciliation Act (OBRA) of 1980 which encouraged previously restricted for-profit organizations to participate in the Medicare and Medicaid home health care program. Following enactment of OBRA, the number of for-profit organizations grew rapidly and the advantages and disadvantages of their presence in the market has been widely debated. The purpose of this study was to describe differences in behaviors and industry outcomes generated by non-profit and for-profit organizations in Massachusetts. Data for the study was from the Massachusetts State Department of Public Health's Annual Reports of Home Health Agencies. Results suggest that while profit and non-profit agencies behave similarly in many areas, there are areas of difference, with significant differences found in the amount of service delivered and the rates charged.

  16. Access and use of information resources by Massachusetts

    SciTech Connect

    West, C.R.

    1990-12-31

    This paper describes the way in which the Massachusetts Department of Environmental Protection uses risk assessment to implement the state`s environmental laws. It focuses on the Office of Research and Standards, which was created to provide information on adverse health effects of environmental contaminants, to recommend exposure levels, and to direct and manage research programs.

  17. EPA Provides State of Massachusetts $63.7 Million for Water Infrastructure Projects

    EPA Pesticide Factsheets

    The U.S. Environmental Protection Agency has awarded $63.7 million to the Commonwealth of Massachusetts to help finance improvements to water projects that are essential to protecting public health and the environment.

  18. Libraries in Massachusetts: MedlinePlus

    MedlinePlus

    ... this page: https://medlineplus.gov/libraries/massachusetts.html Libraries in Massachusetts To use the sharing features on ... please enable JavaScript. Boston Boston Children's Hospital Medical Library BCH3044 300 Longwood Ave. Boston, MA 02115 617- ...

  19. Skylab oral health studies

    NASA Technical Reports Server (NTRS)

    Brown, L. R.; Frome, W. J.; Handler, S.; Wheatcroft, M. G.; Rider, L. J.

    1977-01-01

    Evaluation of Skylab crewmembers for mission related effects on oral health in relation to possible dental injuries provided the following distinctive changes: (1) increased counts of specific anaerobic and streptococcal components; (2) elevations in levels of secretory IgA concurrent with diminutions of salivary lysozyme; and (3) increases in dental calculus and gingival inflammations. The clinical changes are considered to be more influenced by the preexisting state of dental health than by any mission related effects.

  20. Contaminant transport in Massachusetts Bay

    USGS Publications Warehouse

    Butman, Bradford

    Construction of a new treatment plant and outfall to clean up Boston Harbor is currently one of the world's largest public works projects, costing about $4 billion. There is concern about the long-term impact of contaminants on Massachusetts Bay and adjacent Gulf of Maine because these areas are used extensively for transportation, recreation, fishing, and tourism, as well as waste disposal. Public concern also focuses on Stellwagen Bank, located on the eastern side of Massachusetts Bay, which is an important habitat for endangered whales. Contaminants reach Massachusetts Bay not only from Boston Harbor, but from other coastal communities on the Gulf of Maine, as well as from the atmosphere. Knowledge of the pathways, mechanisms, and rates at which pollutants are transported throughout these coastal environments is needed to address a wide range of management questions.

  1. Health System and Personal Barriers Resulting in Decreased Utilization of HIV and STD Testing Services among At-Risk Black Men Who Have Sex with Men in Massachusetts

    PubMed Central

    Reisner, Sari L.; Bland, Sean; Skeer, Margie; Cranston, Kevin; Isenberg, Deborah; Vega, Benny A.; Mayer, Kenneth H.

    2009-01-01

    Abstract Testing for HIV and other sexually transmitted diseases (STD) remains a cornerstone of public health prevention interventions. This analysis was designed to explore the frequency of testing, as well as health system and personal barriers to testing, among a community-recruited sample of Black men who have sex with men (MSM) at risk for HIV and STDs. Black MSM (n = 197) recruited via modified respondent-driven sampling between January and July 2008 completed an interviewer-administered assessment, with optional voluntary HIV counseling and testing. Logistic regression procedures examined factors associated with not having tested in the 2 years prior to study enrollment for: (1) HIV (among HIV-uninfected participants, n = 145) and (2) STDs (among the entire mixed serostatus sample, n = 197). The odds ratios and their 95% confidence intervals obtained from this analysis were converted to relative risks. (1) HIV: Overall, 33% of HIV-uninfected Black MSM had not been tested for HIV in the 2 years prior to study enrollment. Factors uniquely associated with not having a recent HIV test included: being less educated; engaging in serodiscordant unprotected sex; and never having been HIV tested at a community health clinic, STD clinic, or jail. (2) STDs: Sixty percent had not been tested for STDs in the 2 years prior to study enrollment, and 24% of the sample had never been tested for STDs. Factors uniquely associated with not having a recent STD test included: older age; having had a prior STD; and never having been tested at an emergency department or urgent care clinic. Overlapping factors associated with both not having had a recent HIV or STD test included: substance use during sex; feeling that using a condom during sex is “very difficult”; less frequent contact with other MSM; not visiting a health care provider (HCP) in the past 12 months; having a HCP not recommend HIV or STD testing at their last visit; not having a primary care provider

  2. Lexington and Concord, Massachusetts

    NASA Technical Reports Server (NTRS)

    2007-01-01

    On the night of April 18/19, 1775, Paul Revere rode from Boston to Lexington, Mass., to warn John Hancock and Samuel Adams that the British were coming. On April 19, there was a skirmish on the Battle Green, with shots being fired both from the Battle Green and the nearby Buckman Tavern. After the rout, the British marched on toward Concord. The battle in Lexington allowed the Concord militia time to organize at the Old North Bridge, where they were able to turn back the British and prevent them from capturing and destroying the militia's arms stores.

    This image from the Advanced Spaceborne Thermal Emission and Reflection Radiometer instrument on NASA's Terra satellite, acquired in October 2006, depicts this area of great importance in U.S. history. These two small Massachusetts towns are now dwarfed by Hanscom Air Force Base between them.

    With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER images Earth to map and monitor the changing surface of our planet.

    ASTER is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra spacecraft. The instrument was built by Japan's Ministry of Economy, Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products.

    The broad spectral coverage and high spectral resolution of ASTER provides scientists in numerous disciplines with critical information for surface mapping, and monitoring of dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats; monitoring potentially active volcanoes; identifying crop stress; determining cloud morphology and physical properties; wetlands evaluation; thermal pollution monitoring; coral reef degradation; surface temperature mapping of soils and geology; and measuring surface heat balance.

    The U.S. science

  3. The Massachusetts Community Colleges Developmental Education Best Policy and Practice Audit: Final Report

    ERIC Educational Resources Information Center

    Sperling, Charmian

    2009-01-01

    The purpose of this study, funded by Jobs for the Future through a grant to the Massachusetts Community Colleges Executive Office, was to: (1) provide an update on the status of developmental education within Massachusetts community colleges; (2) shed light on the alignment between research-based best practices to advance success among…

  4. Rates of Femicide in Women of Different Races, Ethnicities, and Places of Birth: Massachusetts, 1993-2007

    ERIC Educational Resources Information Center

    Azziz-Baumgartner, Eduardo; McKeown, Loreta; Melvin, Patrice; Dang, Quynh; Reed, Joan

    2011-01-01

    To describe the epidemiology of intimate partner violence (IPV) homicide in Massachusetts, an IPV mortality data set developed by the Massachusetts Department of Public Health was analyzed. The rates of death were estimated by dividing the number of decedents over the aged-matched population and Poisson regression was used to estimate the…

  5. E-Learning in Massachusetts

    ERIC Educational Resources Information Center

    Graziano, April

    2005-01-01

    This document presents some of the many ways schools are using online technologies. The report illustrates how Massachusetts educators are taking advantage of e-learning opportunities to improve student learning. Educators across the state are using online courses and resources, engaging in online events and projects, and showing interest in…

  6. Massachusetts Special Olympics Poly Hockey.

    ERIC Educational Resources Information Center

    Morrissey, Jim

    Poly Hockey is featured in this manual of instructions for coaches and teachers to use with mentally retarded boys and girls of all ages and ability levels. It is noted that the sport has been supported by the Board of Directors of the Special Olympics and has been used in Massachusetts for over 7 years. Explained is use of the game indoors, and…

  7. Antidote: Civic Responsibility. Massachusetts Law.

    ERIC Educational Resources Information Center

    Phi Alpha Delta Law Fraternity International, Washington, DC.

    Designed for middle school through high school students, this unit contains eight lesson plans that focus on Massachusetts state law. The state lessons correspond to lessons in the volume, "Antidote: Civic Responsibility. Drug Avoidance Lessons for Middle School & High School Students." Developed to be presented by educators, law…

  8. Evidence-Based Health Promotion in Nursing Homes: A Pilot Intervention to Improve Oral Health

    ERIC Educational Resources Information Center

    Cadet, Tamara J.; Berrett-Abebe, Julie; Burke, Shanna L.; Bakk, Louanne; Kalenderian, Elsbeth; Maramaldi, Peter

    2016-01-01

    Nursing home residents over the age of 65 years are at high risk for poor oral health and related complications such as pneumonia and adverse diabetes outcomes. A preliminary study found that Massachusetts' nursing homes generally lack the training and resources needed to provide adequate oral health care to residents. In this study, an…

  9. Fiscal Year 1986 program report (Massachusetts Water Resources Research Center)

    SciTech Connect

    Godfrey, P.J.

    1987-09-01

    The FY86 Water Resources Research Center program focused on state and regional research priorities: acid-deposition impacts and drinking-water quality. Water Resources Institute Program (WRIP) support was supplemented by the Massachusetts Division of Fisheries and Wildlife, the Executive Office of Environmental Affairs, and the University of Massachusetts. Four WRIP projects were completed: studies of natural mitigation of acid deposition via sulfate reduction in lakes, the effect of ozone and acid deposition on tree seedlings, corrosion impacts on water quality, and creation of potentially hazardous chlorinated organics by drinking-water treatment. The state Cooperative Aquatic Research Program funded 5 projects. An Aquatic Toxicology Program addressed research, training, and information transfer for the Massachusetts Division of Fisheries and Wildlife. Other information transfer included a monthly water resources center newsletter, a quarterly Acid Rain Monitoring Project newsletter, and acid-rain reports to the media and general public.

  10. The Impact of Study Tours in Developing Global-Mindedness among PK-12 Educators in Southeastern Massachusetts

    ERIC Educational Resources Information Center

    DeMello, Mary Ann

    2011-01-01

    College and career readiness requires that PK-12 educators provide a global education, yet many educators have had insufficient professional training to address this need. This mixed methods study investigated the impact of international study tours in the development of global-mindedness among educators participating in a Southeastern…

  11. No Further Action Decision Under CERCLA, Study Area 31, Moore Army Airfield Fire Fighting Training Area, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    National Priorities List under the Comprehensive Environmental Response, Compensation, and Liability Act ( CERCLA ) as amended by the Superfund ...NLIl U.S. Army Environmental Center NO FURTHER ACTION DECISION UNDER I CERCLA STUDY AREA 31 MOORE ARMY AIRFIELD FIRE FIGHTING TRAINING AREA 3 FORT...RECYCLED PAPER AF AEC Form 󈧱,, 1 Feb 93 replaces THAMA Form 45 which is obsolete. I I I, NO FURTHER ACTION DECISIONU UNDER CERCLA STUDY AREA 313 MOORE

  12. No Further Action Decision Under CERCLA Study Area 43M Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Priorities List under the Comprehensive Environmental Response, Compensation and Liability Act ( CERCLA ) as amended by the Superfund Amendments and...Approwved for public Rl~eease Distribution Unhrnited U.S. Army Environmental Center NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43M HISTORIC...PRINTED ON RECYCLED PAPER 20070502728 AEC Form 45, 1 Feb 93 replaces THAMA Form 󈧱 which is obsolete. NO FURTHER ACTION DECISION UNDER CERCLA STUDY

  13. No Further Action Decision Under CERCLA Study Area 43K Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Compensation and Liability Act ( CERCLA ) as amended by the Superfund Amendments and Reauthorization Act. An Enhanced Preliminary Assessment (PA) was also...DiSTR1BUTION STATEMENT A Approved for Public Release Distribution Unlimited NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43K HISTORIC GAS...Distribution Unlimited U.S. ArmyEnvironmentalCenter NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43K HISTORIC GAS STATION SITES FORT DEVENS,9

  14. Wastewater Engineering and Management Plan for Boston Harbor-Eastern Massachusetts Metropolitan Area EMMA Study. Summary Report.

    DTIC Science & Technology

    1976-03-01

    the costs for achieving • disch ged from the Deer Island and waler quality goals and how best Nut Wand treatment plants. Included in should they be p...achieve the consultant to MDC. A Citizens Advisory Committee Study %nagement (CM) also participated in the study and assisted in the public...ified snd expanded before it is P r a c t i c a b l e Waste Treatment accepted. Pr esent scheduling calls for Technology (BPV.Tr); analysing the

  15. Geological Interpretation of the Sea Floor Offshore of Edgartown, Massachusetts

    USGS Publications Warehouse

    Poppe, L.J.; McMullen, K.Y.; Foster, D.S.; Blackwood, D.S.; Williams, S.J.; Ackerman, S.D.; Moser, M.S.; Glomb, K.A.

    2010-01-01

    Gridded bathymetry and sidescan-sonar imagery together cover approximately 37.3 square kilometers of sea floor in the vicinity of Edgartown Harbor, Massachusetts. Although originally collected for charting purposes during National Oceanic and Atmospheric Administration hydrographic survey H11346, these acoustic data, and the sea-floor stations and seismic-reflection lines subsequently occupied to verify them, 1) show the composition and terrain of the seabed, 2) provide information on sediment transport and benthic habitat, and 3) are part of an expanding series of studies that provide a fundamental framework for research and management (for example, windfarms, pipelines, and dredging) activities along the Massachusetts inner continental shelf.

  16. Case-control study of bladder cancer in Massachusetts among populations receiving chlorinated and chloraminated drinking water

    SciTech Connect

    Zierler, S.; Feingold, L.; Danley, R.A.; Craun, G.

    1989-01-01

    Studies of the occurrence of bladder cancer in relation to exposure to chlorinated drinking water, in general, have found a small excess frequency of bladder cancer among consumers of chlorinated drinking water. Despite near consistent findings of a small positive association, interpretation of the association has been cautious because of the inability to control for potential confounding by unmeasured differences in surface and ground water, as the index frequently used for exposure to levels of chlorination in drinking water compares chlorinated surface water to unchlorinated ground water. The authors undertook a case-control study to collect detailed data on residential history that was obtained from telephone interviews with informants of 614 individuals who died of primary bladder cancer and 1,074 individuals who died of other causes. The study was based in an area where surface water has been disinfected with either chlorine or a combination of chlorine and ammonia (chloramine) since 1938.

  17. No Further Action Decision Under CERCLA Study Area 59: Bridge 526. Fort Devens Main Post Site Investigation, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    National Priorities List under the Comprehensive...address study areas at Fort Devens, including a Master Environmental Plan (Argonne National Laboratory, 1992), an Enhanced Preliminary Assessment (Weston, 1992), and Site Investigation Reports (ABB, 1992 and Arthur D. Little, 1993a)....Environmental Response, Compensation and Liability Act as amended by the Superfund Amendments and Reauthorization Act on December, 21, 1989. In addition,

  18. Student and Teacher Perspectives on Channel One: A Qualitative Study of Participants in Massachusetts and Florida Schools.

    ERIC Educational Resources Information Center

    Barrett, Janice M.

    A study of Channel One, the 10 minutes of television news programs and 2 minutes of commercials in classrooms, described the opinions and evaluative comments of participant teachers, librarians, administrators, and students. Individual interviews and focus group discussions were conducted at eight secondary schools (four in Florida and four in…

  19. Agricultural Health Study

    MedlinePlus

    ... North Carolina or Iowa. Participants classified as "private pesticide applicators" are farmers or nursery workers. The study also includes a small percentage of "commercial pesticide applicators" from Iowa who work for pest control ...

  20. Agricultural Health Study

    Cancer.gov

    A prospective cohort study of commercial pesticide applicators, farmers and farmers' spouses in Iowa and North Carolina conducted in collaboration between the NIH and the U.S. Evironmental Protection Agency

  1. No Further Action Decision Under CERCLA Study Area 43F Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Act ( CERCLA ) as amended by the Superfund Amendments and Reauthorization Act. "An Enhanced Preliminary Assessment (PA) was also performed at Fort Devens...I . Approved ior Public Release Distribution Unlimited I U.S. ArmyEnvironmentalCenter NO FURTHER ACTION DECISION UNDER I CERCLA 3 STUDY AREA 43F...JANUARY 1995 PRINTED ON RECYCLED PAPER 20070502736 AEC Form 45, 1 Feb 93 replaces THAMA Form 45 which is obsolete. NO FURTHER ACTION DECISION UNDER CERCLA

  2. The Many Voices of Education for Bilingual Students in Massachusetts.

    ERIC Educational Resources Information Center

    Brisk, Maria Estela; And Others

    Massachusetts passed the first state legislation mandating bilingual education in 1971, the Transitional Bilingual Education Bill (TBE). This publication contains five case studies that demonstrate how teachers and schools have responded to the needs of their minority group students. The first case study, "Bilingual Education in a Bilingual…

  3. Building America Case Study: Field Performance of Inverter-Driven Heat Pumps in Cold Climates - Connecticut, Massachusetts, and Vermont

    SciTech Connect

    2015-09-01

    New inverter-driven ASHPs are gaining ground in colder climates. These systems operate at sub-zero temperatures without the use of electric resistance backup. There are still uncertainties, however, about cold-climate capacity and efficiency in cold weather and questions such as measuring: power consumption, supply, return, and outdoor air temperatures, and air flow through the indoor fan coil. CARB observed a wide range of operating efficiencies and outputs from site to site. Maximum capacities were found to be generally in line with manufacturer's claims as outdoor temperatures fell to -10 degrees F. The reasons for the wide range in heating performance likely include: low indoor air flow rates, poor placement of outdoor units, relatively high return air temperatures, thermostat set back, integration with existing heating systems, and occupants limiting indoor fan speed. Even with lower efficiencies than published in other studies, most of the heat pumps here still provide heat at lower cost than oil, propane, or certainly electric resistance systems.

  4. Sediment quality in the north coastal basin of Massachusetts, 2003

    USGS Publications Warehouse

    Breault, Robert F.; Ashman, Mary S.; Heath, Douglas

    2004-01-01

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Environmental Protection, completed a reconnaissance-level study of bottom-sediment quality in selected lakes, rivers, and estuaries in the North Coastal Basin of Massachusetts. Bottom-sediment grab samples were collected from 20 sites in the North River, Lake Quannapowitt, Saugus River, Mill River, Shute Brook, Sea Plane Basin, Pines River, and Bear Creek. The samples were tested for various types of potentially harmful contaminants? including 33 elements, 17 polyaromatic hydrocarbons (PAHs), 22 organochlorine pesticides, and 7 polychlorinated biphenyl (PCB) mixtures (Aroclors)?to benthic organisms (bottom-dwelling) and humans. The results were compared among sampling sites, to background concentrations, and to concen-trations measured in other urban rivers, and sediment-quality guidelines were used to predict toxicity at the sampling sites to benthic organisms and humans. Because there are no standards for human toxicity for aquatic sediment, standards for contaminated upland soil were used. Contaminant concentrations measured in sediment collected from the North Coastal Basin generally were equal to or greater than concentrations in sediment from uncontaminated rivers throughout New England. Contaminants in North Coastal Basin sediment with elevated concentrations (above back-ground levels) included arsenic, chromium, copper, lead, nickel, and zinc, some of the PAHs, dichlorodiphenyltrichloro-ethane (DDT) and its metabolites, and dieldrin. No PCBs were measured above the detection limits. Measured concentrations of arsenic, chromium, and lead were also generally greater than those measured in other urban rivers throughout the conter-minous United States. With one exception (arsenic), local con-centrations measured in sediment samples collected from the North Coastal Basin were lower than concentrations measured in sediment collected from two of three urban rivers draining to Boston

  5. Relationship between leukemia incidence and residing and/or working near the Pilgrim 1 nuclear power plant in Plymouth, Massachusetts

    SciTech Connect

    Morris, M.S.

    1992-01-01

    To determine whether a strong association between leukemia incidence between 1978 and 1986 and potential for exposure to radiation emitted from the Pilgrim 1 nuclear power plant in Plymouth, Massachusetts was a spurious finding resulting from either (1) failure to account for temporal variation in the level of radioactivity released from the plant or (2) inattention to certain potentially confounding factors, additional age/sex-matched case-control analyses controlled for the effects of socioeconomic status (SES), work history, and cigarette smoking were performed with data collected in the Southeastern Massachusetts Health Investigation -- a study of leukemia among residents aged 13 and older of 22 southeastern Massachusetts towns. None of the additional analyses, including incorporation of emissions data into the exposure-assessment scheme and crude attempts to control for (1) medical-radiation exposure, (2) potential for exposure to pesticides sprayed on cranberry bogs, or (3) workplace exposure to radiation, chemical solvents, dust, or fumes, altered the finding of a statistically significant dose-response relationship between leukemia incidence and potential for exposure to radioactive emissions. The trend in the association over time was not entirely consistent, however, with the hypothesis that unusually large amounts of radioactivity reportedly released from the plant during the mid-1970s were responsible for the observed effects. Recommendations were made for further study of the Plymouth-area population for studies of this problem elsewhere.

  6. A vehicle health monitoring system for the Space Shuttle Reaction Control System during reentry. M.S. Thesis - Massachusetts Inst. of Technology

    NASA Technical Reports Server (NTRS)

    Rosello, Anthony David

    1995-01-01

    A general two tier framework for vehicle health monitoring of Guidance Navigation and Control (GN&C) system actuators, effectors, and propulsion devices is presented. In this context, a top level monitor that estimates jet thrust is designed for the Space Shuttle Reaction Control System (RCS) during the reentry phase of flight. Issues of importance for the use of estimation technologies in vehicle health monitoring are investigated and quantified for the Shuttle RCS demonstration application. These issues include rate of convergence, robustness to unmodeled dynamics, sensor quality, sensor data rates, and information recording objectives. Closed loop simulations indicate that a Kalman filter design is sensitive to modeling error and robust estimators may reduce this sensitivity. Jet plume interaction with the aerodynamic flowfield is shown to be a significant effect adversely impacting the ability to accurately estimate thrust.

  7. Gun Possession among Massachusetts Batterer Intervention Program Enrollees

    ERIC Educational Resources Information Center

    Rothman, Emily F.; Johnson, Renee M.; Hemenway, David

    2006-01-01

    Batterers with access to firearms present a serious lethal threat to their partners. The purpose of this exploratory study is to estimate the prevalence of and risk markers for gun possession among Massachusetts men enrolled in batterer intervention programs. The authors found that 1.8% of the men reported having a gun in or around their home.…

  8. National Environmental/Energy Workforce Assessment for Massachusetts.

    ERIC Educational Resources Information Center

    National Field Research Center Inc., Iowa City, IA.

    This report presents existing workforce levels, training programs and career potentials and develops staffing level projections (1976-1982) based on available information for the State of Massachusetts. The study concerns itself with the environmental pollution control areas of air, noise, potable water, pesticides, radiation, solid waste,…

  9. The Impact of Secondary School Occupational Education in Massachusetts.

    ERIC Educational Resources Information Center

    Conroy, William G., Jr.; Diamond, Daniel E.

    The six-year study examined the impact of various secondary school occupational education programs upon the lifestyle of Massachusetts students, classes of 1969 and 1973. Focusing upon school-labor market relations, the report aims to provide a base for improving policies to prepare and guide students into successful careers. Four substantive…

  10. Massachusetts Workplace Education Initiative. Year 3 Evaluation. Final Report.

    ERIC Educational Resources Information Center

    Rayman, Paula; And Others

    An evaluation of the Massachusetts Workplace Education Initiative brings together three phases: (1) a pilot outcome study conducted with a sample of six local workplace education programs and featuring the perspectives of workers, labor, and management; (2) program profiles for seven federally funded workplace education programs coordinated by the…

  11. AGRICULTURAL HEALTH STUDY/PESTICIDE EXPOSURE STUDY

    EPA Science Inventory

    The Agricultural Health Study (AHS) is a prospective epidemiologic study of a large cohort of pesticide applicators and their spouses in Iowa and North Carolina. The Pesticide Exposure Study is a sub-study to evaluate exposure factors and to provide data to assess exposure cla...

  12. 1. Historic American Buildings Survey J. Alexander, Photographer, 1971 MASSACHUSETTS ...

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

    1. Historic American Buildings Survey J. Alexander, Photographer, 1971 MASSACHUSETTS AVENUE FACADE, 1971 - James C. Hooe House, 2230 Massachusetts Avenue Northwest, Washington, District of Columbia, DC

  13. Linking student performance in Massachusetts elementary schools with the "greenness" of school surroundings using remote sensing.

    PubMed

    Wu, Chih-Da; McNeely, Eileen; Cedeño-Laurent, J G; Pan, Wen-Chi; Adamkiewicz, Gary; Dominici, Francesca; Lung, Shih-Chun Candice; Su, Huey-Jen; Spengler, John D

    2014-01-01

    Various studies have reported the physical and mental health benefits from exposure to "green" neighborhoods, such as proximity to neighborhoods with trees and vegetation. However, no studies have explicitly assessed the association between exposure to "green" surroundings and cognitive function in terms of student academic performance. This study investigated the association between the "greenness" of the area surrounding a Massachusetts public elementary school and the academic achievement of the school's student body based on standardized tests with an ecological setting. Researchers used the composite school-based performance scores generated by the Massachusetts Comprehensive Assessment System (MCAS) to measure the percentage of 3rd-grade students (the first year of standardized testing for 8-9 years-old children in public school), who scored "Above Proficient" (AP) in English and Mathematics tests (Note: Individual student scores are not publically available). The MCAS results are comparable year to year thanks to an equating process. Researchers included test results from 2006 through 2012 in 905 public schools and adjusted for differences between schools in the final analysis according to race, gender, English as a second language (proxy for ethnicity and language facility), parent income, student-teacher ratio, and school attendance. Surrounding greenness of each school was measured using satellite images converted into the Normalized Difference Vegetation Index (NDVI) in March, July and October of each year according to a 250-meter, 500-meter, 1,000-meter, and 2000-meter circular buffer around each school. Spatial Generalized Linear Mixed Models (GLMMs) estimated the impacts of surrounding greenness on school-based performance. Overall the study results supported a relationship between the "greenness" of the school area and the school-wide academic performance. Interestingly, the results showed a consistently positive significant association between the

  14. Effects of low-impact-development (LID) practices on streamflow, runoff quantity, and runoff quality in the Ipswich River Basin, Massachusetts-A Summary of field and modeling studies

    USGS Publications Warehouse

    Zimmerman, Marc J.; Waldron, Marcus C.; Barbaro, Jeffrey R.; Sorenson, Jason R.

    2010-01-01

    Low-impact-development (LID) approaches are intended to create, retain, or restore natural hydrologic and water-quality conditions that may be affected by human alterations. Wide-scale implementation of LID techniques may offer the possibility of improving conditions in river basins, such as the Ipswich River Basin in Massachusetts, that have run dry during the summer because of groundwater withdrawals and drought. From 2005 to 2008, the U.S. Geological Survey, in a cooperative funding agreement with the Massachusetts Department of Conservation and Recreation, monitored small-scale installations of LID enhancements designed to diminish the effects of storm runoff on the quantity and quality of surface water and groundwater. Funding for the studies also was contributed by the U.S. Environmental Protection Agency's Targeted Watersheds Grant Program through a financial assistance agreement with Massachusetts Department of Conservation and Recreation. The monitoring studies examined the effects of * replacing an impervious parking-lot surface with a porous surface on groundwater quality, * installing rain gardens and porous pavement in a neighborhood of 3 acres on the quantity and quality of stormwater runoff, and * installing a 3,000-ft2 (square-foot) green roof on the quantity and quality of rainfall-generated roof runoff. In addition to these small-scale installations, the U.S. Geological Survey's Ipswich River Basin model was used to simulate the basin-wide effects on streamflow of several changes: broad-scale implementation of LID techniques, reduced water-supply withdrawals, and water-conservation measures. Water-supply and conservation scenarios for application in model simulations were developed with the assistance of two technical advisory committees that included representatives of State agencies responsible for water resources, the U.S. Environmental Protection Agency, the U.S. Geological Survey, water suppliers, and non-governmental organizations. From June

  15. 76 FR 40766 - Massachusetts Disaster #MA-00035

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... ADMINISTRATION Massachusetts Disaster MA-00035 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 06/29/2011. Incident: Johnsonia Apartment Building Fire Incident Period:...

  16. 76 FR 30748 - Massachusetts Disaster #MA-00033

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-26

    ... ADMINISTRATION Massachusetts Disaster MA-00033 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 05/19/2011. Incident: Apartment Building Fire. Incident Period: 04/30/2011. Effective...

  17. 77 FR 12350 - Massachusetts Disaster #MA-00047

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-29

    ... ADMINISTRATION Massachusetts Disaster MA-00047 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 02/21/2012. Incident: Brookline Apartment Building Fire. Incident Period:...

  18. 75 FR 79064 - Massachusetts Disaster #MA-00030

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... ADMINISTRATION Massachusetts Disaster MA-00030 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 12/07/2010. Incident: Apartment complex fire. Incident Period: 11/21/2010. Effective...

  19. 75 FR 3764 - Massachusetts Disaster # MA-00024

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-22

    ... ADMINISTRATION Massachusetts Disaster MA-00024 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 01/15/2010. Incident: Mystic Side Estates Apartment Building Fire. Incident Period:...

  20. 77 FR 33263 - Massachusetts Disaster #MA-00048

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-05

    ... ADMINISTRATION Massachusetts Disaster MA-00048 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated 05/29/2012. Incident: Lake Williams Condominium Complex Fire. Incident Period:...

  1. 77 FR 76584 - Massachusetts Disaster # MA-00051

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-28

    ...] [FR Doc No: 2012-31302] SMALL BUSINESS ADMINISTRATION [Disaster Declaration 13420 and 13421] Massachusetts Disaster MA-00051 AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the Commonwealth of Massachusetts dated...

  2. Massachusetts Small MS4 General Permit | Stormwater ...

    EPA Pesticide Factsheets

    2017-02-21

    The 2016 Massachusetts Small MS4 General Permit was signed April 4, 2016 and will become effective July 1, 2017. The final permit reflects modifications to the 2014 draft small MS4 general permit released for comment on September 30, 2014 and replaces the 2003 small MS4 general permit for MS4 operators within the Commonwealth of Massachusetts.

  3. Bringing Chinese Immersion to Western Massachusetts

    ERIC Educational Resources Information Center

    Wang, Kathleen

    2009-01-01

    This article describes the Pioneer Valley Chinese Immersion Charter School (PVCICS), a regional public charter school in western Massachusetts, which opened in 2007 and the only Chinese immersion school in New England. The school draws students from over twenty-five towns and cities in a predominantly rural area of Massachusetts that includes the…

  4. The Role of Community Education in Increasing Knowledge of Breast Health and Cancer: Findings from the Asian Breast Cancer Project in Boston, Massachusetts.

    PubMed

    Berger, Samantha; Huang, Chien-Chi; Rubin, Carolyn L

    2017-03-01

    In the past decade, cancer rates have significantly decreased in the USA, but breast cancer survival is lower in Asian American women, likely due to lower rates of screening behaviors in Asian Americans compared to other ethnicities, which could lead to later stage cancer diagnosis and increased mortality. This paper reports on the Asian Breast Cancer (ABC) Project, a three-phase peer-led community program designed to promote cancer prevention by improving breast cancer screening rates among Chinese and Vietnamese women in the Greater Boston area. The three phases of planning and coalition building, community health worker training, and the community workshop intervention are described. The workshop intervention was evaluated by comparing pre- and post-workshop questionnaires evaluating knowledge about breast cancer screening and prevention. Two hundred fifty-two women participated in the program across 14 workshops. Each participant completed questionnaires about demographics, access to health care, and a five-item self-administered questionnaire about breast cancer knowledge. Results showed that the majority of the women had received a clinical breast exam or mammogram in the past 12 months (69 and 59 %, respectively), and older women were more likely to get a mammogram (85 %) or clinical breast exams (74 %) compared to younger women. Eighty-one percent of women were interested in reminder systems. Baseline knowledge was high for three survey questions about mammograms and breast cancer risk (88-97 %). For questions with fewer correct answers at baseline, knowledge about the meaning of lumps in the breast significantly increased (69 to 80 % correct, p < 0.0001), as well as knowledge about frequency of clinical breast exam (48 to 67 % correct, p < 0.0001). This pilot project indicated a partial effectiveness of the community workshop in a population with high baseline knowledge. The education workshop increased knowledge about breast lumps and

  5. Shallow geology, sea-floor texture, and physiographic zones of Vineyard and western Nantucket Sounds, Massachusetts

    USGS Publications Warehouse

    Baldwin, Wayne E.; Foster, David S.; Pendleton, Elizabeth A.; Barnhardt, Walter A.; Schwab, William C.; Andrews, Brian D.; Ackerman, Seth D.

    2016-09-02

    Geologic, sediment texture, and physiographic zone maps characterize the sea floor of Vineyard and western Nantucket Sounds, Massachusetts. These maps were derived from interpretations of seismic-reflection profiles, high-resolution bathymetry, acoustic-backscatter intensity, bottom photographs/video, and surficial sediment samples collected within the 494-square-kilometer study area. Interpretations of seismic stratigraphy and mapping of glacial and Holocene marine units provided a foundation on which the surficial maps were created. This mapping is a result of a collaborative effort between the U.S. Geological Survey and the Massachusetts Office of Coastal Zone Management to characterize the surface and subsurface geologic framework offshore of Massachusetts.

  6. Sediment quality and polychlorinated biphenyls in the Lower Neponset River, Massachusetts, and implications for urban river restoration

    USGS Publications Warehouse

    Breault, Robert F.; Cooke, Matthew G.; Merrill, Michael

    2004-01-01

    Efforts to restore fish passage, habitat, and recreational use of the Neponset River, a tributary to Boston Harbor, Massachusetts, have raised concerns about the sediment, water, and biota quality of the river. Consequently, the U.S. Geological Survey, in cooperation with the Massachusetts Executive Office of Environmental Affairs Department of Fish and Game Riverways Program and the U.S. Environmental Protection Agency, studied sediment and water quality, with a specific focus on polychlorinated biphenyls, in the Neponset River. Sediment samples were collected throughout the Neponset River and tested for elements and organic compounds including polyaromatic hydrocarbons, organochlorine pesticides, and polychlorinated biphenyls. Although enriched compared to background concentrations, sediment quality in the Neponset River was generally better than that of other urban rivers in the United States, except with respect to one constituent, polychlorinated biphenyls. Concentrations of lead, some polyaromatic hydrocarbons, and polychlorinated biphenyls in the sediment may be toxic to aquatic organisms and may pose a risk to human health. The sediment quality also fails to meet the minimum requirements set by the Commonwealth of Massachusetts for lined landfill disposal. The locations of the source(s) of polychlorinated biphenyls to the Neponset River were determined by means of congener analysis from PISCES passive water-column samplers. The PISCES data indicate a sharp increase in polychlorinated biphenyl concentrations and a substantial shift in congener pattern downstream of one PISCES sampling location near Fairmont Avenue, Boston, Massachusetts. This result indicates that the area upstream of this sampling location may be the location of a historical source of polychlorinated biphenyls to the Neponset River. The present (2003) source to the water column may likely be PCB contaminated sediment.

  7. Does the "marriage benefit" extend to same-sex union?: Evidence from a sample of married lesbian couples in Massachusetts.

    PubMed

    Ducharme, Jamie K; Kollar, Marilou M

    2012-01-01

    This study investigated the relationship between wellbeing and marital quality in a married lesbian sample from Massachusetts. Two hundred twenty five (225) participants responded to this mailed survey study. Participants completed a demographic questionnaire, the Dyadic Adjustment Scale (DAS), and the World Health Organization Quality of Life-Brief Instrument (WHOQOL-Bref). DAS scores were a strong predictor of reported wellbeing in all quality of life domains including physical, psychological, and financial wellbeing. Results support the finding in the heterosexual marriage literature that healthy marriage is associated with distinct wellbeing benefits for lesbian couples. Implications of these findings are discussed.

  8. Electric industry restructuring in Massachusetts

    SciTech Connect

    Wadsworth, J.W.

    1998-07-01

    A law restructuring the electric utility industry in Massachusetts became effective on November 25, 1997. The law will break up the existing utility monopolies into separate generation, distribution and transmission entities, and it will allow non-utility generators access to the retail end user market. The law contains many compromises aimed at protecting consumers, ensuring savings, protecting employees and protecting the environment. While it appears that the legislation recognizes the sanctity of independent power producer contracts with utilities, it attempts to provide both carrots and sticks to the utilities and the IPP generators to encourage renegotiations and buy-down of the contracts. Waste-to-energy contracts are technically exempted from some of the obligations to remediate. Waste-to-energy facilities are classified as renewable energy sources which may have positive effects on the value to waste-to-energy derived power. On November 25, 1997, the law restructuring the electric utility industry in Massachusetts became effective. The law will have two primary effects: (1) break up the existing utility monopolies into separate generation, distribution and transmission entities, and (2) allow non-utility generators access to the retail end-user market.

  9. Technology Solutions Case Study: Long-Term Monitoring of Mini-Split Ductless Heat Pumps in the Northeast, Devens and Easthampton, Massachusetts

    SciTech Connect

    2015-07-01

    Transformations, Inc., has extensive experience building high-performance homes - production and custom - in a variety of Massachusetts locations and uses mini-split heat pumps (MSHPs) for space conditioning in most of its homes. The use of MSHPs for simplified space-conditioning distribution provides significant first-cost savings, which offsets the increased investment in the building enclosure. In this project, the U.S. Department of Energy Building America team Building Science Corporation evaluated the long-term performance of MSHPs in 8 homes during a period of 3 years. The work examined electrical use of MSHPs, distributions of interior temperatures and humidity when using simplified (two-point) heating systems in high-performance housing, and the impact of open-door/closed-door status on temperature distributions.

  10. New Whole-House Solutions Case Study: Fort Devens: Cold Climate Market-Rate Townhomes Targeting HERS Index of 40, Harvard, Massachusetts

    SciTech Connect

    2013-11-01

    Achieving aggressive energy efficiency targets requires tight coordination and clear communication among owners, designers, builders, and subcontractors. For this townhome project, MassDevelopment, the quasi-governmental agency owner, selected Metric Development of Boston, teaming with Building America team Consortium for Advanced Residential Buildings (CARB) and Cambridge Seven Architects, to build very high performing market-rate homes. Fort Devens is part of a decommissioned army base in working-class Harvard, Massachusetts, approximately one hour northwest of Boston. The team proposed 12 net zero energy-ready townhomes that were also designed to achieve a Home Energy Rating System (HERS) Index Score of 41 before adding renewables. The team carefully planned the site to maximize solar access, daylighting, and efficient building forms.

  11. Professional Nursing in State Service: Needs and Recommendations. A Skills Inventory of Registered Nurses Employed by the Commonwealth of Massachusetts.

    ERIC Educational Resources Information Center

    Woods, Barbara

    This study analyzed factors in attracting and recruiting professional nurses into Massachusetts state service. Although Massachusetts had relatively many registered nurses (RN), 45% were inactive. Resulting shortages were great, especially in state hospitals. All agencies had high turnover, with impending staffing crises in some agencies because…

  12. Governing healthcare through performance measurement in Massachusetts and the Netherlands.

    PubMed

    Van der Wees, Philip J; Nijhuis-van der Sanden, Maria W G; van Ginneken, Ewout; Ayanian, John Z; Schneider, Eric C; Westert, Gert P

    2014-05-01

    Massachusetts and the Netherlands have implemented comprehensive health reforms, which have heightened the importance of performance measurement. The performance measures addressing access to health care and patient experience are similar in the two jurisdictions, but measures of processes and outcomes of care differ considerably. In both jurisdictions, the use of health outcomes to compare the quality of health care organizations is limited, and specific information about costs is lacking. New legislation in both jurisdictions led to the establishment of public agencies to monitor the quality of care, similar mandates to make the performance of health care providers transparent, and to establish a shared responsibility of providers, consumers and insurers to improve the quality of health care. In Massachusetts a statewide mandatory quality measure set was established to monitor the quality of care. The Netherlands is stimulating development of performance measures by providers based on a mandatory framework for developing such measures. Both jurisdictions are expanding the use of patient-reported outcomes to support patient care, quality improvement, and performance comparisons with the aim of explicitly linking performance to new payment incentives.

  13. Overweight and obesity in Massachusetts: epidemic, hype or policy opportunity?

    PubMed

    Lewis, Katharine Kranz; Man, Lynne H

    2007-01-23

    In 2005, more than 56 percent of Massachusetts adults were overweight, a 40 percent increase from rates reported in 1990. Overall, nearly 21 percent of Massachusetts adults are obese. Both Blacks and Hispanics in the state are more likely than whites to be both overweight and obese, whereas Asians are the least likely to be overweight or obese. Nationally, rates of overweight and obesity are even higher. Obesity is a risk factor for multiple serious health problems in adults, including heart disease, hardening of the arteries, high cholesterol, high blood pressure, certain types of cancer, stroke, diabetes, muscle and bone disorders and gallbladder disease. In Massachusetts, it is estimated that direct costs for obesity-related medical expenditures came to a total of $1.8 billion (4.7% of total medical expenditures) in 2003. Medical expenditures for obese people are estimated to be 25-27% higher than normal weight people, and 44% higher among people who are very obese. Costs are largely attributed to higher rates of coronary heart disease, hypertension and diabetes, and longer hospital stays. Indirect costs associated with obesity approached $3.9 billion in 1995 reflecting 39.2 million lost workdays, 239 million restricted activity days, 89.5 million hospital bed-days, and 62.6 million physician visits. Causes of obesity include the wide availability of unhealthy foods, increased consumption, changing eating habits, high-calorie beverages, advertising and lack of physical activity. Although a number federal, state and local programs, policies and initiatives aimed at curbing the obesity epidemic have been implemented, more needs to be done. What is the responsibility of government in curbing the obesity epidemic, and how much of the burden should be left up to the individual? These important questions will be discussed at the Massachusetts Health Policy Forum on January 23, 2007. Overweight and obesity continue to climb steadily in the United States among both

  14. Type of disinfectant in drinking water and patterns of mortality in Massachusetts

    SciTech Connect

    Zierler, S.; Danley, R.A.; Feingold, L.

    1986-11-01

    Chlorination has been the major strategy for disinfection of drinking water in the United States. Concern about the potential health effects of the reaction by-products of chlorine has prompted use of alternative strategies. One such method is chloramination, a treatment process that does not appear to have carcinogenic by-product, but may have less potent biocidal activity than chlorination. The authors examined the patterns of mortality of residents in Massachusetts who died between 1969 and 1983 and lived in communities using drinking water that was disinfected either by chlorine or chloramine. Comparison of type of disinfectant among 51,645 cases of deaths due to selected cancer sites and 214,998 controls who died from cardiovascular, cerebrovascular, or pulmonary disease, or from lymphatic cancer showed small variation in the patterns of mortality. Bladder cancer was moderately associated with residence at death in a chlorinated community in a logistic regression analysis using controls who die from lymphatic cancer. A slight excess of deaths from pneumonia and influenza was observed in communities whose residents drink chloraminated water compared to residents from chlorinated communities, as well as to all Massachusetts residents. These results are intended to be preliminary and crude descriptions of the relationship under study. The serious potential for misclassification of exposure status and errors in death certificate classification of cause of death affect the interpretability of the overall evidence that patterns of mortality are similar according to disinfectant in drinking water.

  15. Type of disinfectant in drinking water and patterns of mortality in Massachusetts.

    PubMed

    Zierler, S; Danley, R A; Feingold, L

    1986-11-01

    Chlorination has been the major strategy for disinfection of drinking water in the United States. Concern about the potential health effects of the reaction by-products of chlorine has prompted use of alternative strategies. One such method is chloramination, a treatment process that does not appear to have carcinogenic by-products, but may have less potent biocidal activity than chlorination. We examined the patterns of mortality of residents in Massachusetts who died between 1969 and 1983 and lived in communities using drinking water that was disinfected either by chlorine or chloramine. Comparison of type of disinfectant among 51,645 cases of deaths due to selected cancer sites and 214,988 controls who died from cardiovascular, cerebrovascular, or pulmonary disease, or from lymphatic cancer showed small variation in the patterns of mortality. Bladder cancer was moderately associated with residence at death in a chlorinated community (mortality odds ratio = 1.7, 95% confidence interval = 1.3-2.2) in a logistic regression analysis using controls who died from lymphatic cancer. A slight excess of deaths from pneumonia and influenza was observed in communities whose residents drank chloraminated water compared to residents from chlorinated communities, as well as to all Massachusetts residents (standardized mortality ratio = 118, 95% confidence interval = 116-120 for chloraminated communities, and standardized mortality ratio = 98, 95% confidence interval = 95-100 for chlorinated communities). These results are intended to be preliminary and crude descriptions of the relationship under study.(ABSTRACT TRUNCATED AT 250 WORDS)

  16. 50 CFR 32.40 - Massachusetts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... hour before legal sunrise to 1/2 hour after legal sunset. 7. We prohibit night fishing or ice fishing...). The FID and LTC only apply to Massachusetts residents. All hunters regardless of age must possess...

  17. Dewatering General Permit (DGP) for Massachusetts & New ...

    EPA Pesticide Factsheets

    2017-03-31

    The Notice of Availability of the Final NPDES General Permit for Dewatering Activity Discharges in Massachusetts (MAG070000) and New Hampshire (NHG070000) was published in the Federal Register on October 7, 2008.

  18. Hospitalization records as a tool for evaluating performance of food- and water-borne disease surveillance systems: a Massachusetts case study.

    PubMed

    Mor, Siobhan M; DeMaria, Alfred; Naumova, Elena N

    2014-01-01

    We outline a framework for evaluating food- and water-borne surveillance systems using hospitalization records, and demonstrate the approach using data on salmonellosis, campylobacteriosis and giardiasis in persons aged ≥65 years in Massachusetts. For each infection, and for each reporting jurisdiction, we generated smoothed standardized morbidity ratios (SMR) and surveillance to hospitalization ratios (SHR) by comparing observed surveillance counts with expected values or the number of hospitalized cases, respectively. We examined the spatial distribution of SHR and related this to the mean for the entire state. Through this approach municipalities that deviated from the typical experience were identified and suspected of under-reporting. Regression analysis revealed that SHR was a significant predictor of SMR, after adjusting for population age-structure. This confirms that the spatial "signal" depicted by surveillance is in part influenced by inconsistent testing and reporting practices since municipalities that reported fewer cases relative to the number of hospitalizations had a lower relative risk (as estimated by SMR). Periodic assessment of SHR has potential in assessing the performance of surveillance systems.

  19. A future without health? Health dimension in global scenario studies.

    PubMed Central

    Martens, Pim; Huynen, Maud

    2003-01-01

    This paper reviews the health dimension and sociocultural, economic, and ecological determinants of health in existing global scenario studies. Not even half of the 31 scenarios reviewed gave a good description of future health developments and the different scenario studies did not handle health in a consistent way. Most of the global driving forces of health are addressed adequately in the selected scenarios, however, and it therefore would have been possible to describe the future developments in health as an outcome of these multiple driving forces. To provide examples on how future health can be incorporated in existing scenarios, we linked the sociocultural, economic, and environmental developments described in three sets of scenarios (special report on emission scenarios (SRES), global environmental outlook-3 (GEO3), and world water scenarios (WWS)) to three potential, but imaginary, health futures ("age of emerging infectious diseases", "age of medical technology", and "age of sustained health"). This paper provides useful insights into how to deal with future health in scenarios and shows that a comprehensive picture of future health evolves when all important driving forces and pressures are taken into account. PMID:14997242

  20. Shoaling of nonlinear internal waves in Massachusetts Bay

    USGS Publications Warehouse

    Scotti, A.; Beardsley, R.C.; Butman, B.; Pineda, J.

    2008-01-01

    The shoaling of the nonlinear internal tide in Massachusetts Bay is studied with a fully nonlinear and nonhydrostatic model. The results are compared with current and temperature observations obtained during the August 1998 Massachusetts Bay Internal Wave Experiment and observations from a shorter experiment which took place in September 2001. The model shows how the approaching nonlinear undular bore interacts strongly with a shoaling bottom, offshore of where KdV theory predicts polarity switching should occur. It is shown that the shoaling process is dominated by nonlinearity, and the model results are interpreted with the aid of a two-layer nonlinear but hydrostatic model. After interacting with the shoaling bottom, the undular bore emerges on the shallow shelf inshore of the 30-m isobath as a nonlinear internal tide with a range of possible shapes, all of which are found in the available observational record. Copyright 2008 by the American Geophysical Union.

  1. The new era of payment reform, spending targets, and cost containment in Massachusetts: early lessons for the nation.

    PubMed

    Mechanic, Robert E; Altman, Stuart H; McDonough, John E

    2012-10-01

    As its 2012 session drew to a close, the Massachusetts legislature passed a much-anticipated cost control bill. The bill sets annual state spending targets, encourages the formation of accountable care organizations, and establishes an independent commission to oversee health care system performance. It is Massachusetts's third law to address health spending since the state's landmark health insurance coverage reforms in 2006. The 2012 legislation is a notable step beyond other recent cost control efforts. Although it lacks strong mechanisms to enforce the new spending goals, it creates a framework for increased regulation if spending trends fail to moderate. Massachusetts's experience provides several lessons for state and federal policy makers. First, implementing near-universal coverage, as is planned under the Affordable Care Act for 2014, will increase pressure on government to begin controlling overall health care spending. Second, introduction of cost control measures takes time: Massachusetts enacted a series of incremental but increasingly strong laws over the past six years that have gradually increased its ability to influence health spending. Finally, the effectiveness of new cost control laws will depend on changes in providers' and insurers' behavior; in Massachusetts, private market activity has had a complementary impact on the pace of health system change.

  2. Spatial analysis of gastroschisis in Massachusetts and Texas

    PubMed Central

    Yazdy, Mahsa M.; Werler, Martha M.; Anderka, Marlene; Langlois, Peter H.; Vieira, Veronica M.

    2014-01-01

    Purpose Previous research has suggested gastroschisis, a congenital malformation, may be linked to environmental or infectious factors and cases can occur in clusters. The objective of this study was to identify geographic areas of elevated gastroschisis risk. Methods Cases of gastroschisis were identified from birth defect registries in Massachusetts and Texas. Random samples of live births were selected as controls. Generalized additive models were used to create a continuous map surface of odds ratios (OR) by smoothing over latitude and longitude. Maternal age, race/ethnicity, education, cigarette smoking, and insurance status (MA only) were assessed for confounding. We used permutation tests to identify statistically significant areas of increased risk. Results An area of increased risk was identified in north-central Massachusetts, but was not significant after adjustment (p-value=0.07; OR=2.0). In Texas, two statistically significant areas of increased risk were identified after adjustment (p-value=0.02; OR=1.3 and 1.2). Texas had sufficient data to assess the combination of space and time, which identified an increased risk in 2003 and 2004. Conclusion This study suggests there were areas of elevated gastroschisis risk in Massachusetts and Texas that cannot be explained by the risk factors we assessed. Additional exploration of underlying artifactual, environmental, infectious, or behavioral factors may further our understanding of gastroschisis. PMID:25454289

  3. Factors influencing riverine fish assemblages in Massachusetts

    USGS Publications Warehouse

    Armstrong, David S.; Richards, Todd A.; Levin, Sara B.

    2011-01-01

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Conservation and Recreation, Massachusetts Department of Environmental Protection, and the Massachusetts Department of Fish and Game, conducted an investigation of fish assemblages in small- to medium-sized Massachusetts streams. The objective of this study was to determine relations between fish-assemblage characteristics and anthropogenic factors, including impervious cover and estimated flow alteration, relative to the effects of environmental factors, including physical-basin characteristics and land use. The results of this investigation supersede those of a preliminary analysis published in 2010. Fish data were obtained for 669 fish-sampling sites from the Massachusetts Division of Fisheries and Wildlife fish-community database. A review of the literature was used to select fish metrics - species richness, abundance of individual species, and abundances of species grouped on life history traits - responsive to flow alteration. The contributing areas to the fish-sampling sites were delineated and used with a geographic information system to determine a set of environmental and anthropogenic factors that were tested for use as explanatory variables in regression models. Reported and estimated withdrawals and return flows were used together with simulated unaltered streamflows to estimate altered streamflows and indicators of flow alteration for each fish-sampling site. Altered streamflows and indicators of flow alteration were calculated on the basis of methods developed in a previous U.S. Geological Survey study in which unaltered daily streamflows were simulated for a 44-year period (water years 1961-2004), and streamflow alterations were estimated by use of water-withdrawal and wastewater-return data previously reported to the State for the 2000-04 period and estimated domestic-well withdrawals and septic-system discharges. A variable selection process, conducted using principal

  4. 76 FR 1337 - Asian Longhorned Beetle; Additions to Quarantined Areas in Massachusetts and New York

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... portion of Worcester County, MA, to the list of quarantined areas in Sec. 301.51-3(c) and by updating the... Quarantined Areas in Massachusetts and New York AGENCY: Animal and Plant Health Inspection Service, USDA... Worcester County, MA, to the list of quarantined areas and updating the description of the quarantined...

  5. 77 FR 31720 - Asian Longhorned Beetle; Quarantined Areas in Massachusetts, Ohio, and New York

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-30

    ... Massachusetts, Ohio, and New York AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Interim rule... and Ohio to the list of quarantined areas. This rule also removes certain areas in New York from... entities may be affected in Ohio. These businesses include landscape companies, tree service...

  6. Establishing a Practice-Based Research Network: Lessons from the Massachusetts Experience

    ERIC Educational Resources Information Center

    Pulcini, Joyce; Sheetz, Anne; DeSisto, Marie

    2008-01-01

    This article describes the recently established Massachusetts School Nurse Research Network (MASNRN) which has a mission of establishing a practice-based research network (PBRN) comprised of a representative, collaborative group of professional school nurses, nurse academicians, and other interested parties for whom school health is a priority.…

  7. Race Differences in Mental Health Service Access in a Secure Male Juvenile Justice Facility

    ERIC Educational Resources Information Center

    Dalton, Richard F.; Evans, Lisa J.; Cruise, Keith R.; Feinstein, Ronald A.; Kendrick, Rhonda F.

    2009-01-01

    This study examined whether African American and Caucasian male youths had similar rates of referral to mental health services in a juvenile justice secure facility when controlling for differences obtained in the initial screening and assessment process. Data from the Massachusetts Youth Screening Instrument-2 (MAYSI-2), Initial Health Care…

  8. 'May issue' gun carrying laws and police discretion: Some evidence from Massachusetts.

    PubMed

    Hemenway, David; Hicks, James G

    2015-08-01

    In almost all states in the United States, to carry a concealed handgun legally requires a permit from the police. Many states have changed from may-issue laws (where the local police chief has discretion about to whom to issue a license) to shall-issue laws (where the police chief must issue a permit if the applicant passes a computerized federal background check). Studies conflict on the effect on crime. None considered the situation in may-issue states when police used discretion and refused to issue a permit. We provide suggestive evidence from a December 2013 survey of police chiefs in Massachusetts' 351 cities and towns. Of the 121 responding police chiefs, a large majority favored retaining police discretion. Chiefs issued few discretionary denials - median 2 per year, citing providing false information, a history of assault (often domestic violence), a history of drug or alcohol abuse, or of mental-health issues as the most common reasons for denial.

  9. Men's Health Studies: Origins and Trends.

    ERIC Educational Resources Information Center

    Sabo, Don

    2000-01-01

    Outlines the development of men's health studies, situating its development in a general historical context; discussing the study of men's health within the context of critical feminist theories and theories of men and masculinities; outlining and illustrating a relational theory for understanding men's health in an effort to integrate this study…

  10. 75 FR 51239 - University of Massachusetts Amherst, et al.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-19

    ... International Trade Administration University of Massachusetts Amherst, et al.; Notice of Consolidated Decision... Avenue., NW., Washington, DC. Docket Number: 10-044. Applicant: University of Massachusetts Amherst... University, Boone, NC 28608. Instrument: Electron Microscope. Manufacturer: JEOL, Ltd., Japan. Intended...

  11. Risk of breast cancer following exposure to tetrachloroethylene-contaminated drinking water in Cape Cod, Massachusetts: reanalysis of a case-control study using a modified exposure assessment

    PubMed Central

    2011-01-01

    Background Tetrachloroethylene (PCE) is an important occupational chemical used in metal degreasing and drycleaning and a prevalent drinking water contaminant. Exposure often occurs with other chemicals but it occurred alone in a pattern that reduced the likelihood of confounding in a unique scenario on Cape Cod, Massachusetts. We previously found a small to moderate increased risk of breast cancer among women with the highest exposures using a simple exposure model. We have taken advantage of technical improvements in publically available software to incorporate a more sophisticated determination of water flow and direction to see if previous results were robust to more accurate exposure assessment. Methods The current analysis used PCE exposure estimates generated with the addition of water distribution modeling software (EPANET 2.0) to test model assumptions, compare exposure distributions to prior methods, and re-examine the risk of breast cancer. In addition, we applied data smoothing to examine nonlinear relationships between breast cancer and exposure. We also compared a set of measured PCE concentrations in water samples collected in 1980 to modeled estimates. Results Thirty-nine percent of individuals considered unexposed in prior epidemiological analyses were considered exposed using the current method, but mostly at low exposure levels. As a result, the exposure distribution was shifted downward resulting in a lower value for the 90th percentile, the definition of "high exposure" in prior analyses. The current analyses confirmed a modest increase in the risk of breast cancer for women with high PCE exposure levels defined by either the 90th percentile (adjusted ORs 1.0-1.5 for 0-19 year latency assumptions) or smoothing analysis cut point (adjusted ORs 1.3-2.0 for 0-15 year latency assumptions). Current exposure estimates had a higher correlation with PCE concentrations in water samples (Spearman correlation coefficient = 0.65, p < 0.0001) than estimates

  12. 30 CFR 921.700 - Massachusetts Federal program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Massachusetts Federal program. 921.700 Section 921.700 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE MASSACHUSETTS § 921.700 Massachusetts Federal program. (a) This...

  13. Local and Cumulative Impervious Cover of Massachusetts Stream Basins

    USGS Publications Warehouse

    Brandt, Sara L.; Steeves, Peter A.

    2009-01-01

    Impervious surfaces such as paved roads, parking lots, and building roofs can affect the natural streamflow patterns and ecosystems of nearby streams. This dataset summarizes the percentage of impervious area for watersheds across Massachusetts by using a newly available statewide 1-m binary raster dataset of impervious surface for 2005. In order to accurately capture the wide spatial variability of impervious surface, it was necessary to delineate a new set of finely discretized basin boundaries for Massachusetts. This new set of basins was delineated at a scale finer than that of the existing 12-digit Hydrologic Unit Code basins (HUC-12s) of the national Watershed Boundary Dataset. The dataset consists of three GIS shapefiles. The Massachusetts nested subbasins and the hydrologic units data layers consist of topographically delineated boundaries and their associated percentage of impervious cover for all of Massachusetts except Cape Cod, the Islands, and the Plymouth-Carver region. The Massachusetts groundwater-contributing areas data layer consists of groundwater contributing-area boundaries for streams and coastal areas of Cape Cod and the Plymouth-Carver region. These boundaries were delineated by using groundwater-flow models previously published by the U.S. Geological Survey. Subbasin and hydrologic unit boundaries were delineated statewide with the exception of Cape Cod and the Plymouth-Carver Region. For the purpose of this study, a subbasin is defined as the entire drainage area upstream of an outlet point. Subbasins draining to multiple outlet points on the same stream are nested. That is, a large downstream subbasin polygon comprises all of the smaller upstream subbasin polygons. A hydrologic unit is the intervening drainage area between a given outlet point and the outlet point of the next upstream unit (Fig. 1). Hydrologic units divide subbasins into discrete, nonoverlapping areas. Each hydrologic unit corresponds to a subbasin delineated from the

  14. Eleven-year descriptive analysis of closed court verdicts on medical errors in Spain and Massachusetts

    PubMed Central

    Giraldo, Priscila; Sato, Luke; Martínez-Sánchez, Jose M; Comas, Mercè; Dwyer, Kathy; Sala, Maria; Castells, Xavier

    2016-01-01

    Objectives To evaluate and compare the characteristics of court verdicts on medical errors allegedly harming patients in Spain and Massachusetts from 2002 to 2012. Design, setting and participants We reviewed 1041 closed court verdicts obtained from data on litigation in the Thomson Reuters Aranzadi Westlaw databases in Spain (Europe), and 370 closed court verdicts obtained from the Controlled Risk and Risk Management Foundation of Harvard Medical Institutions (CRICO/RMF) in Massachusetts (USA). We included closed court verdicts on medical errors. The definition of medical errors was based on that of the Institute of Medicine (USA). We excluded any agreements between parties before a judgement. Results Medical errors were involved in 25.9% of court verdicts in Spain and in 74% of those in Massachusetts. The most frequent cause of medical errors was a diagnosis-related problem (25.1%; 95% CI 20.7% to 31.1% in Spain; 35%; 95% CI 29.4% to 40.7% in Massachusetts). The proportion of medical errors classified as high severity was 34% higher in Spain than in Massachusetts (p=0.001). The most frequent factors contributing to medical errors in Spain were surgical and medical treatment (p=0.001). In Spain, 98.5% of medical errors resulted in compensation awards compared with only 6.9% in Massachusetts. Conclusions This study reveals wide differences in litigation rates and the award of indemnity payments in Spain and Massachusetts; however, common features of both locations are the high rates of diagnosis-related problems and the long time interval until resolution. PMID:27577585

  15. Jacobson v Massachusetts at 100 years: police power and civil liberties in tension.

    PubMed

    Gostin, Lawrence O

    2005-04-01

    A century ago, the US Supreme Court in Jacobson v Massachusetts upheld the exercise of the police power to protect the public's health. Despite intervening scientific and legal advances, public health practitioners still struggle with Jacobson's basic tension between individual liberty and the common good. In affirming Massachusetts' compulsory vaccination law, the Court established a floor of constitutional protections that consists of 4 standards: necessity, reasonable means, proportionality, and harm avoidance. Under Jacobson, the courts are to support public health matters insofar as these standards are respected. If the Court today were to decide Jacobson once again, the analysis would likely differ--to account for developments in constitutional law--but the outcome would certainly reaffirm the basic power of government to safeguard the public's health.

  16. Long-Term Oceanographic Observations in Western Massachusetts Bay Offshore of Boston, Massachusetts: Data Report for 1989-2002

    USGS Publications Warehouse

    Butman, Bradford; Bothner, Michael H.; Alexander, P. Soupy; Lightsom, Frances L.; Martini, Marianna A.; Gutierrez, Benjamin T.; Strahle, William S.

    2004-01-01

    This data report presents long-term oceanographic observations made in western Massachusetts Bay at two locations: (1) 42 deg 22.6' N., 70 deg 47.0' W. (Site A, 33 m water depth) from December 1989 through December 2002 (figure 1), and (2) 42 deg 9.8' N., 70 deg 38.4' W. (Site B, 21 m water depth) from October 1997 through December 2002. Site A is approximately 1 km south of the new ocean outfall that began discharging treated sewage effluent from the Boston metropolitan area into Massachusetts Bay on September 6, 2000. These long-term oceanographic observations have been collected by the U.S. Geological Survey (USGS) in partnership with the Massachusetts Water Resources Authority (MWRA) and with logistical support from the U.S. Coast Guard (USCG - http://www.uscg.mil). This report presents time series data through December 2002, updating a similar report that presented data through December 2000 (Butman and others, 2002). In addition, the Statistics and Mean Flow sections include some new plots and tables and the format of the report has been streamlined by combining yearly figures into single .pdfs. Figure 1 (PDF format) The long-term measurements are planned to continue at least through 2005. The long-term oceanographic observations at Sites A and B are part of a USGS study designed to understand the transport and long-term fate of sediments and associated contaminants in the Massachusetts bays. (See http://woodshole.er.usgs.gov/project-pages/bostonharbor/ and Butman and Bothner, 1997.) The long-term observations document seasonal and inter-annual changes in currents, hydrography, and suspended-matter concentration in western Massachusetts Bay, and the importance of infrequent catastrophic events, such as major storms or hurricanes, in sediment resuspension and transport. They also provide observations for testing numerical models of circulation. This data report presents a description of the field program and instrumentation, an overview of the data through

  17. A community participatory study of cardiovascular health and exposure to near-highway air pollution: study design and methods.

    PubMed

    Fuller, Christina H; Patton, Allison P; Lane, Kevin; Laws, M Barton; Marden, Aaron; Carrasco, Edna; Spengler, John; Mwamburi, Mkaya; Zamore, Wig; Durant, John L; Brugge, Doug

    2013-01-01

    Current literature is insufficient to make causal inferences or establish dose-response relationships for traffic-related ultrafine particles (UFPs) and cardiovascular (CV) health. The Community Assessment of Freeway Exposure and Health (CAFEH) is a cross-sectional study of the relationship between UFP and biomarkers of CV risk. CAFEH uses a community-based participatory research framework that partners university researchers with community groups and residents. Our central hypothesis is that chronic exposure to UFP is associated with changes in biomarkers. The study enrolled more than 700 residents from three near-highway neighborhoods in the Boston metropolitan area in Massachusetts, USA. All participants completed an in-home questionnaire and a subset (440+) completed an additional supplemental questionnaire and provided biomarkers. Air pollution monitoring was conducted by a mobile laboratory equipped with fast-response instruments, at fixed sites, and inside the homes of selected study participants. We seek to develop improved estimates of UFP exposure by combining spatiotemporal models of ambient UFP with data on participant time-activity and housing characteristics. Exposure estimates will then be compared with biomarker levels to ascertain associations. This article describes our study design and methods and presents preliminary findings from east Somerville, one of the three study communities.

  18. A community participatory study of cardiovascular health and exposure to near-highway air pollution: study design and methods

    PubMed Central

    Patton, Allison P.; Lane, Kevin; Laws, M. Barton; Marden, Aaron; Carrasco, Edna; Spengler, John; Mwamburi, Mkaya; Zamore, Wig; Durant, John L.

    2013-01-01

    Current literature is insufficient to make causal inferences or establish dose-response relationships for traffic-related ultrafine particles (UFPs) and cardiovascular (CV) health. The Community Assessment of Freeway Exposure and Health (CAFEH) is a cross-sectional study of the relationship between UFP and biomarkers of CV risk. CAFEH uses a community-based participatory research framework that partners university researchers with community groups and residents. Our central hypothesis is that chronic exposure to UFP is associated with changes in biomarkers. The study enrolled more than 700 residents from three near-highway neighborhoods in the Boston metropolitan area in Massachusetts, USA. All participants completed an in-home questionnaire and a subset (440 +) completed an additional supplemental questionnaire and provided biomarkers. Air pollution monitoring was conducted by a mobile laboratory equipped with fast-response instruments, at fixed sites, and inside the homes of selected study participants. We seek to develop improved estimates of UFP exposure by combining spatiotemporal models of ambient UFP with data on participant time-activity and housing characteristics. Exposure estimates will then be compared with biomarker levels to ascertain associations. This article describes our study design and methods and presents preliminary findings from east Somerville, one of the three study communities. PMID:23612527

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

    ERIC Educational Resources Information Center

    McCoy, Henrika

    2011-01-01

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

  20. Integration of Oral Health Into the Well-Child Visit at Federally Qualified Health Centers: Study of 6 Clinics, August 2014–March 2015

    PubMed Central

    Gebel, Christina; Vargas, Clemencia; Geltman, Paul; Walter, Ashley; Garcia, Raul I.; Tinanoff, Norman

    2016-01-01

    Introduction Early childhood caries, the most common chronic childhood disease, affects primary dentition and can impair eating, sleeping, and school performance. The disease is most prevalent among vulnerable populations with limited access to pediatric dental services. These same children generally receive well-child care at federally qualified health centers. The objective of this study was to identify facilitators and barriers to the integration of oral health into pediatric primary care at health centers to improve problem recognition, delivery of preventive measures, and referral to a dentist. Methods We collected and analyzed background data and data from structured observations and 39 interviews with administrators and staff at 6 clinics in 2 states, Maryland and Massachusetts. Results Participants valued oral health across professional roles but cited limited time, lack of training and expertise, low caregiver literacy, and lack of shared medical and dental electronic records as barriers to cooperation. Facilitators included an upper-level administration with the vision to see the value of integration, designated team leaders, and champions. An administration’s vision, not structural determinants, patient characteristics, or geographic location, predicted the level of integration. Interviewees generated multilevel recommendations to promote delivery of oral health preventive measures and services during a well-child visit. Conclusion Poor oral health contributes to health care disparities. Barriers to integrating dental care into pediatric medical practice at health centers must be overcome to improve oral health for children living in poverty, with a disability, at a rural address, or any combination of these. Implementation will require adapting delivery systems to support multidisciplinary collaboration. Strategies suggested here may point the way to enhancing children’s oral health. PMID:27126556

  1. 42 CFR 90.8 - Conduct of health assessments and health effects studies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Conduct of health assessments and health effects studies. 90.8 Section 90.8 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND...

  2. 42 CFR 90.11 - Reporting of results of health assessments and health effects studies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Reporting of results of health assessments and health effects studies. 90.11 Section 90.11 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES...

  3. 42 CFR 90.8 - Conduct of health assessments and health effects studies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Conduct of health assessments and health effects studies. 90.8 Section 90.8 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND...

  4. 42 CFR 90.11 - Reporting of results of health assessments and health effects studies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Reporting of results of health assessments and health effects studies. 90.11 Section 90.11 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES...

  5. Embedding health literacy into health systems: a case study of a regional health service.

    PubMed

    Vellar, Lucia; Mastroianni, Fiorina; Lambert, Kelly

    2016-10-28

    Objective The aim of the present study was to describe how one regional health service the Illawarra Shoalhaven Local Health District embedded health literacy principles into health systems over a 3-year period.Methods Using a case study approach, this article describes the development of key programs and the manner in which clinical incidents were used to create a health environment that allows consumers the right to equitably access quality health services and to participate in their own health care.Results The key outcomes demonstrating successful embedding of health literacy into health systems in this regional health service include the creation of a governance structure and web-based platform for developing and testing plain English consumer health information, a clearly defined process to engage with consumers, development of the health literacy ambassador training program and integrating health literacy into clinical quality improvement processes via a formal program with consumers to guide processes such as improvements to access and navigation around hospital sites.Conclusions The Illawarra Shoalhaven Local Health District has developed an evidence-based health literacy framework, guided by the core principles of universal precaution and organisational responsibility. Health literacy was also viewed as both an outcome and a process. The approach taken by the Illawarra Shoalhaven Local Health District to address poor health literacy in a coordinated way has been recognised by the Australian Commission on Safety and Quality in Health Care as an exemplar of a coordinated approach to embed health literacy into health systems.What is known about the topic? Poor health literacy is a significant national concern in Australia. The leadership, governance and consumer partnership culture of a health organisation can have considerable effects on an individual's ability to access, understand and apply the health-related information and services available to them

  6. The Cost and Quality of Full-Day Year-Round Early Care and Education in Massachusetts: Infant and Toddler Classrooms

    ERIC Educational Resources Information Center

    Marshall, Nancy L.; Creps, Cindy L.; Burstein, Nancy R.; Roberts, Joanne; Glantz, Frederic B.; Robeson, Wendy Wagner

    2004-01-01

    The Massachusetts Cost and Quality Study assessed the quality and costs of early care and education services in Massachusetts, the relationship between quality and costs, and the relationship between the family income of children served and the quality of care provided by early care and education programs. This report presents the findings from…

  7. Integrated solid waste management of Springfield, Massachusetts

    SciTech Connect

    1995-11-01

    The subject document reports the results of an in-depth investigation of the fiscal year 1993 cost of the city of Springfield, Massachusetts, integrated municipal solid waste management (IMSWM) system, the energy consumed to operate the system, and the environmental performance requirements for each of the system`s waste-processing and disposal facilities. The document reports actual data from records kept by participants. Every effort was made to minimize the use of assumptions, and no attempt is made to interpret the data reported. Analytical approaches are documented so that interested analysts may perform manipulation or further analysis of the data. As such, the report is a reference document for Municipal Solid Waste management professionals who are interested in the actual costs and energy consumption, for a 1-year period, of an operating IMSWM system. The report is organized into two main parts. The first part is the executive summary and case study portion of the report. The executive summary provides a basic description of the study area and selected economic and energy information. Within the case study are detailed descriptions of each component operating during the study period; the quantities of solid waste collected, processed, and marketed within the study boundaries; the cost of managing MSW in Springfield; an energy usage analysis; a review of federal, state, and local environmental requirement compliance; a reference section; and a glossary of terms. The second part of the report focuses on a more detailed discourse on the above topics. In addition, the methodology used to determine the economic costs and energy consumption of the system components is found in the second portion of this report. The methodology created for this project will be helpful for those professionals who wish to break out the costs of their own integrated systems.

  8. Defining Workplace Literacy Education in Massachusetts. A Survey of Workplace Literacy Education Programs in Massachusetts, Conducted in September and October 1989.

    ERIC Educational Resources Information Center

    Rosen, David J.; Kale, Cerci

    A survey of 42 Massachusetts workplace literacy programs was conducted in fall 1989 to determine whether the programs generally fit a standard definition of workplace literacy derived from "A Guide to Developing Instruction for Workforce Literacy Programs" by Jorie W. Philippi. The study's seven-item questionnaire included the definition…

  9. Massachusetts Science and Technology Engineering Curriculum Framework

    ERIC Educational Resources Information Center

    Massachusetts Department of Education, 2006

    2006-01-01

    This 2006 "Massachusetts Science and Technology/Engineering Curriculum Framework" provides a guide for teachers and curriculum coordinators regarding specific content to be taught from PreK through high school. Following this "Organization" chapter, the "Framework" contains the following sections: (1) Philosophy and…

  10. 40 CFR 81.322 - Massachusetts.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... AREAS FOR AIR QUALITY PLANNING PURPOSES Section 107 Attainment Status Designations § 81.322... Pittsfield X All other cities and towns X Central Massachusetts AQCR: Worcester X Athol X Gardner X Grafton X Leominster X Millbury X Shrewsbury X All other cities and towns X Merrimack Valley AQCR: Haverhill X...

  11. 40 CFR 81.322 - Massachusetts.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... AREAS FOR AIR QUALITY PLANNING PURPOSES Section 107 Attainment Status Designations § 81.322... Pittsfield X All other cities and towns X Central Massachusetts AQCR: Worcester X Athol X Gardner X Grafton X Leominster X Millbury X Shrewsbury X All other cities and towns X Merrimack Valley AQCR: Haverhill X...

  12. University of Massachusetts Amherst: An Innovative Partnership

    ERIC Educational Resources Information Center

    McClure, William S.; Miller, Marla R.

    2011-01-01

    In 2009 the University of Massachusetts Amherst (UMass Amherst), in collaboration with Hancock Shaker Village (HSV), created a new two-year master's degree in historic preservation and architectural conservation for professionals in the field. Combining university courses with training and classes on site at a national historic landmark, the…

  13. 40 CFR 81.322 - Massachusetts.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... AREAS FOR AIR QUALITY PLANNING PURPOSES Section 107 Attainment Status Designations § 81.322... Pittsfield X All other cities and towns X Central Massachusetts AQCR: Worcester X Athol X Gardner X Grafton X Leominster X Millbury X Shrewsbury X All other cities and towns X Merrimack Valley AQCR: Haverhill X...

  14. 40 CFR 81.322 - Massachusetts.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... AREAS FOR AIR QUALITY PLANNING PURPOSES Section 107 Attainment Status Designations § 81.322... Pittsfield X All other cities and towns X Central Massachusetts AQCR: Worcester X Athol X Gardner X Grafton X Leominster X Millbury X Shrewsbury X All other cities and towns X Merrimack Valley AQCR: Haverhill X...

  15. 40 CFR 81.322 - Massachusetts.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AREAS FOR AIR QUALITY PLANNING PURPOSES Section 107 Attainment Status Designations § 81.322... Pittsfield X All other cities and towns X Central Massachusetts AQCR: Worcester X Athol X Gardner X Grafton X Leominster X Millbury X Shrewsbury X All other cities and towns X Merrimack Valley AQCR: Haverhill X...

  16. Live Site Demonstrations - Massachusetts Military Reservation

    DTIC Science & Technology

    2014-09-26

    MetalMapper Sensor; Advanced electromagnetic induction ; UXO; Classification; Live Site Demonstration; Massachusetts Military Reservation 16. SECURITY...Berkeley UXO Discriminator CD cultural debris CIA Central Impact Area cm centimeter DAQ data acquisition computer EMI electromagnetic induction ...advanced electromagnetic induction sensors developed specifically for discrimination on real sites under operational conditions. • Investigate in

  17. Closing the Massachusetts Public Training Schools

    ERIC Educational Resources Information Center

    Behn, Robert D.

    1976-01-01

    Examines the closing of the Massachusetts public training schools, using it as a successful example of public policy termination. Describes how the barriers to policy termination were overcome and the replacement policy was consolidated, and evaluates the termination tactics and the new policy. Available from Elsevier Scientific Publishing…

  18. Teacher Certification and Preparation in Massachusetts.

    ERIC Educational Resources Information Center

    Stiles, Lindley J.; And Others

    The first section of this report presents (1) an overview of a "comprehensive investigation of ways to improve the certification and preparation of educational personnel in Massachusetts"; (2) a one-chapter discussion with recommendations on each of four focal issues: personnel for education services, personnel certification, reform of…

  19. All Our Children: Massachusetts Kids Count 1994.

    ERIC Educational Resources Information Center

    Diamond, Franna, Ed.

    This Kids Count report examines statewide trends from 1990 to 1994 in the well-being of Massachusetts' children. The statistical portrait is based on indicators of well-being in five areas: (1) economic well-being of children and their families, including child poverty rate, family income, job loss, earnings of male high school dropouts and…

  20. 76 FR 13697 - Massachusetts Disaster #MA-00032

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-14

    ... for the State of Massachusetts (FEMA--1959--DR), dated 03/07/2011. Incident: Severe Winter Storm and Snowstorm. Incident Period: 01/11/2011 through 01/12/2011. Effective Date: 03/07/2011. Physical Loan Application Deadline Date: 05/06/2011. Economic Injury (EIDL) Loan Application Deadline Date:...

  1. Massachusetts Regional Alignment Workshops: Final Report

    ERIC Educational Resources Information Center

    Conley, David T.; McGaughy, Charis; Ward, Terri; Martinez, Mary

    2008-01-01

    In April 2008, the Massachusetts Department of Elementary and Secondary Education (DESE) contracted with the Educational Policy Improvement Center (EPIC) to facilitate a series of regional workshops and provide technical assistance to strengthen efforts to improve college readiness for all students. This final report summarizes these activities…

  2. 78 FR 25336 - Massachusetts Disaster #MA-00054

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-30

    ... From the Federal Register Online via the Government Publishing Office SMALL BUSINESS ADMINISTRATION Massachusetts Disaster MA-00054 AGENCY: U.S. Small Business Administration. ACTION: Notice...: 01/21/2014. ADDRESSES: Submit completed loan applications to: U.S. Small Business...

  3. Walden Pond, Massachusetts: Environmental Setting and Current Investigations

    USGS Publications Warehouse

    Colman, John A.; Waldron, Marcus C.

    1998-01-01

    as plant nutrients, organic matter, and soil are leached and eroded from the surrounding watershed. This process is known as eutrophication. The term 'cultural eutrophication' refers to an accelerated form of the natural process in which extra soil and nutrients are derived from people's use of fertilizer, rerouting of surface drainage, and disposal of domestic and industrial waste. Cultural eutrophication can lead to excessive growth of aquatic plants, pond filling by decayed plants and eroded soils, reduced water clarity, and depletion of dissolved oxygen in deep water with subsequent loss of cold-water fish habitat. In order to document the longterm ecological health of Walden Pond, the U.S. Geological Survey (USGS), working in cooperation with the Massachusetts Department of Environmental Management (MDEM), is investigating factors that could contribute to cultural eutrophication of Walden. Through measurements of mass balance of nutrients and oxygen in the pond's deep water, the investigation will establish a baseline data set on Walden's trophic state, which is a measure of the pond's ability to support plant growth. The baseline data will be used to detect trends and give early warning of trophic changes or trophic response to pond remediation projects. This Fact Sheet provides background information on the environmental setting, limnological features, and cultural eutrophication of Walden Pond, and describes the joint USGS/MDEM study.

  4. Cohort studies in health sciences librarianship

    PubMed Central

    Eldredge, Jonathan

    2002-01-01

    Question: What are the key characteristics of the cohort study design and its varied applications, and how can this research design be utilized in health sciences librarianship? Data Sources: The health, social, behavioral, biological, library, earth, and management sciences literatures were used as sources. Study Selection: All fields except for health sciences librarianship were scanned topically for either well-known or diverse applications of the cohort design. The health sciences library literature available to the author principally for the years 1990 to 2000, supplemented by papers or posters presented at annual meetings of the Medical Library Association. Data Extraction: A narrative review for the health, social, behavioral, biological, earth, and management sciences literatures and a systematic review for health sciences librarianship literature for the years 1990 to 2000, with three exceptions, were conducted. The author conducted principally a manual search of the health sciences librarianship literature for the years 1990 to 2000 as part of this systematic review. Main Results: The cohort design has been applied to answer a wide array of theoretical or practical research questions in the health, social, behavioral, biological, and management sciences. Health sciences librarianship also offers several major applications of the cohort design. Conclusion: The cohort design has great potential for answering research questions in the field of health sciences librarianship, particularly evidence-based librarianship (EBL), although that potential has not been fully explored. PMID:12398244

  5. CANCER INCIDENCE IN THE AGRICULTURAL HEALTH STUDY

    EPA Science Inventory

    The Agricultural Health Study (AHS) was undertaken to ascertain the etiology of cancers observed to be elevated in agricultural populations. Methods: The AHS is a large prospective, cohort study of private applicators and commercial applicators licensed to apply restricted use ...

  6. Elementary Particle Physics Experiment at the University of Massachusetts, Amherst

    SciTech Connect

    Brau, Benjamin; Dallapiccola, Carlo; Willocq, Stephane

    2013-07-30

    In this progress report we summarize the activities of the University of Massachusetts- Amherst group for the three years of this research project. We are fully engaged in research at the energy frontier with the ATLAS experiment at the CERN Large Hadron Collider. We have made leading contributions in software development and performance studies for the ATLAS Muon Spectrometer, as well as on physics analysis with an emphasis on Standard Model measurements and searches for physics beyond the Standard Model. In addition, we have increased our contributions to the Muon Spectrometer New Small Wheel upgrade project.

  7. Evolution of Massachusetts Physician Attitudes, Knowledge, and Experience Regarding the Use of Antiretrovirals for HIV Prevention

    PubMed Central

    White, Jaclyn M.; Mimiaga, Matthew J.; Krakower, Douglas S.

    2012-01-01

    Abstract The Center for the AIDS Programme of Research in South Africa (CAPRISA) 004 and Pre-exposure Prophylaxis Initiative (iPrEx) studies demonstrated that topical or oral chemoprophylaxis could decrease HIV transmission. Yet to have an appreciable public health impact, physicians will need to be educated about these new HIV prevention modalities. Massachusetts physicians were recruited via e-mail to complete an online survey of their knowledge and use of HIV prevention interventions. Data were collected before (July–December, 2010) (n=178) and after (December, 2010–April, 2011) (n=115) the release of iPrEx data. Over the two time intervals, knowledge of oral PrEP significantly increased (79% to 92%, p<0.01), whereas knowledge about topical microbicides was already high (89% pre-iPrEx). Post-iPrEx, specialists were more knowledgeable about oral PrEP (p<0.01) and topical microbicides (p<0.001) than generalists. The majority of the respondents would prefer to prescribe topical microbicides (75%) than oral PrEP (25%; p<0.001), primarily because they perceived fewer side effects (95%). Respondents indicated that PrEP should be available if it were a highly effective, daily pill; however, ongoing concerns included: potential drug resistance (93%), decreased funds for other forms of HIV prevention (88%), medication side effects (83%), and limited data regarding PrEP's clinical efficacy (75%). Participants indicated that formal CDC guidelines would have the greatest impact on their willingness to prescribe PrEP (96%). Among Massachusetts physicians sampled, chemoprophylaxis knowledge was high, but current experience was limited. Although topical gel was preferred, responses suggest a willingness to adapt practices pending additional efficacy data and further guidance from normative bodies. Educational programs aimed at incorporating antiretroviral chemoprophylaxis into physicians' HIV prevention practices are warranted. PMID:22694239

  8. Smoke and mirrors: how Massachusetts diverted millions in tobacco tax revenues

    PubMed Central

    Ritch, W.; Begay, M.

    2001-01-01

    OBJECTIVE—This study examines the politics of appropriating Question 1 tobacco tax revenues in the first budget year after Massachusetts voters passed the ballot initiative in 1992. The initiative increased the tobacco tax on cigarettes by 25 cents per pack and on smokeless tobacco by 25% of the wholesale price.
METHODS—Data were collected from newspapers, letters, memoranda, budgets, press releases, legislative floor debates, government documents, legislative journals, personal interviews, and tobacco industry documents that were downloaded from the Tobacco Archives internet site.
RESULTS—During the first budget year, programmes mentioned by the initiative that were not exclusively tobacco related accounted for 27% of total Question 1 expenditures, while 50% of the revenues were allocated for programmes that were neither mentioned by the initiative nor provided any tobacco education, prevention, and cessation services. Only 23% of Question 1 funds were appropriated for programmes that provided exclusively tobacco education, prevention, and cessation services. Question 1 revenues were also used to supplant funding for pre-existing programmes, which was explicitly prohibited by the initiative. The first budget year became the template for Question 1 appropriations in subsequent fiscal years.
CONCLUSION—Politics did not end after voters passed Question 1. Public health advocates lacked a strategy and budget plan to influence the appropriation of Question 1 funds after the passage of this ballot initiative.


Keywords: Massachusetts; Question 1; tobacco tax PMID:11740020

  9. High-resolution geophysical data from the sea floor surrounding the Western Elizabeth Islands, Massachusetts

    USGS Publications Warehouse

    Pendleton, Elizabeth A.; Twichell, David C.; Foster, David S.; Worley, Charles R.; Irwin, Barry J.; Danforth, William W.

    2011-01-01

    Geophysical and geospatial data were collected in the nearshore area surrounding the western Elizabeth Islands, Massachusetts on the U.S. Geological Survey research vessel Rafael during September 2010 in a collaborative effort between the U.S. Geological Survey and the Massachusetts, Office of Coastal Zone Management. This report describes the results of the short-term goals of this collaborative effort, which were to map the geology of the inner shelf zone of the western Elizabeth Islands and study the geologic processes that have contributed to its evolution. Data collected during the survey include: Bathymetric and sidescan-sonar data, chirp seismic-reflection data , sound velocity profiles, and navigation data. The long-term goals of this project are to provide high-resolution geophysical data that will support research on the influence of sea-level change and sediment supply on coastal evolution and inventory subtidal marine habitat type and distribution within the coastal zone of Massachusetts.

  10. Survey of electronic veterinary medical record adoption and use by independent small animal veterinary medical practices in Massachusetts

    PubMed Central

    Krone, Lauren M.; Brown, Catherine M.; Lindenmayer, Joann M.

    2016-01-01

    Objective To estimate the proportion of independent small animal veterinary medical practices in Massachusetts that use electronic veterinary medical records (EVMRs), determine the purposes for which EVMRs are used, and identify perceived barriers to their use. Design Survey. Sample 100 veterinarians. Procedures 213 of 517 independent small animal veterinary practices operating in Massachusetts were randomly chosen for study recruitment. One veterinarian at each practice was invited by telephone to answer a hardcopy survey regarding practice demographics, medical records type (electronic, paper, or both), purposes of EVMR use, and perceived barriers to adoption. Surveys were mailed to the first 100 veterinarians who agreed to participate. Practices were categorized by record type and size (large [≥ 5 veterinarians], medium [3 to 4 veterinarians], or small [1 to 2 veterinarians]). Results 84 surveys were returned; overall response was 84 of 213 (39.4%). The EVMRs were used alone or together with paper records in 66 of 82 (80.5%) practices. Large and medium-sized practices were significantly more likely to use EVMRs combined with paper records than were small practices. The EVMRs were most commonly used for ensuring billing, automating reminders, providing cost estimates, scheduling, recording medical and surgical information, and tracking patient health. Least common uses were identifying emerging infectious diseases, research, and insurance. Eleven veterinarians in paper record–only practices indicated reluctance to change, anticipated technological problems, time constraints, and cost were barriers to EVMR use. Conclusions and Clinical Relevance Results indicated EVMRs were underutilized as a tool for tracking and improving population health and identifying emerging infectious diseases. Efforts to facilitate adoption of EVMRs for these purposes should be strengthened by the veterinary medical, human health, and public health professions. PMID:25029312

  11. Breast Health Belief System Study

    DTIC Science & Technology

    2001-08-01

    prospect list, selecting study participants, confidentially, data collection , recording keeping, making referrals, following research protocols, and...examination, preparation of the participant prospect list, selecting study participants, confidentially, data collection , recording keeping, making referrals

  12. Fiscal year 1987 program report (Massachusetts Water Resources Research Center). Annual report

    SciTech Connect

    Godfrey, P.J.

    1988-12-01

    The 1987-88 Massachusetts WRRC program (Federal FY87) focused on areas of high priority for the state and region: acid-deposition impacts, minimization of nitrate ground-water contamination, drinking water pricing, and proposed water diversion from a 'Wild and Scenic' river. The Water Resources Institute Program (WRIP) projects studied central Massachusetts cloud and fog acidity, peat use in rural sewage systems to minimize nitrate ground-water contamination, and determination of true water costs to help plan new sources or infrastructure renovation.

  13. Massachusetts Shoreline Change Mapping and Analysis Project, 2013 Update

    USGS Publications Warehouse

    Thieler, E. Robert; Smith, Theresa L.; Knisel, Julia M.; Sampson, Daniel W.

    2013-01-01

    Information on rates and trends of shoreline change can be used to improve the understanding of the underlying causes and potential effects of coastal erosion on coastal populations and infrastructure and can support informed coastal management decisions. In this report, we summarize the changes in the historical positions of the shoreline of the Massachusetts coast for the 165 years from 1844 through 2009. The study area includes the Massachusetts coastal region from Salisbury to Westport, including Cape Cod, as well as Martha’s Vineyard, Nantucket, and the Elizabeth Islands. New statewide shoreline data were developed for approximately 1,804 kilometers (1,121 miles) of shoreline using color aerial orthoimagery from 2008 and 2009 and topographic lidar from 2007. The shoreline data were integrated with existing historical shoreline data from the U.S. Geological Survey (USGS) and Massachusetts Office of Coastal Zone Management (CZM) to compute long- (about 150 years) and short-term (about 30 years) rates of shoreline change. A linear regression method was used to calculate long- and short-term rates of shoreline change at 26,510 transects along the Massachusetts coast. In locations where shoreline data were insufficient to use the linear regression method, short-term rates were calculated using an end-point method. Long-term rates of shoreline change are calculated with (LTw) and without (LTwo) shorelines from the 1970s and 1994 to examine the effect of removing these data on measured rates of change. Regionally averaged rates are used to assess the general characteristics of the two-rate computations, and we find that (1) the rates of change for both LTw and LTwo are essentially the same; (2) including more data slightly reduces the uncertainty of the rate, which is expected as the number of shorelines increases; and (3) the data for the shorelines from the 1970s and 1994 are not outliers with respect to the long-term trend. These findings are true for regional

  14. The Impact of Vocational Education on Ex-Offenders in Massachusetts. Final Report.

    ERIC Educational Resources Information Center

    McClain, Thomas W.

    A two-year study was undertaken in Massachusetts to evaluate the impact of vocational education on released ex-offenders. In the first year, evaluation procedures and interview instruments were developed, a survey of inmates was conducted, and the data collected was analyzed and summarized in a report. Since the second year of the study was not…

  15. Massachusetts One-Stop Career Centers: Job Placement for Disadvantaged Students

    ERIC Educational Resources Information Center

    Matrundola, Lisa A.

    2010-01-01

    This study investigated the services provided to students' participating in career preparation programs (e.g., career counseling, mentoring, apprenticeships, work-based learning, or GED programs) provided by the Massachusetts One-Stop Career Centers. A study conducted by the President's Task Force for Disadvantaged Students (2003) found that…

  16. Evaluation of Massachusetts Expanded Learning Time (ELT) Initiative: Implementation and Outcomes after Four Years

    ERIC Educational Resources Information Center

    Boulay, Beth; Gamse, Beth; Checkoway, Amy; Maree, Kenyon; Fox, Lindsay

    2011-01-01

    The Massachusetts Department of Elementary and Secondary Education (ESE) has supported a multi-year study of the Expanded Learning Time (ELT) initiative to learn about the process and impact of ELT. Abt Associates Inc. is conducting this research. The study has two components: 1) a planning and implementation component that explores the…

  17. Improvement in Mortality Risk Prediction Following Percutaneous Coronary Intervention Through Addition of a “Compassionate Use” Variable to the National Cardiovascular Data Registry CathPCI® Dataset: A Study from the Massachusetts Angioplasty Registry

    PubMed Central

    Resnic, Frederic S.; Normand, Sharon-Lise T.; Piemonte, Thomas C.; Shubrooks, Samuel J.; Zelevinsky, Katya; Lovett, Ann; Ho, Kalon K.L.

    2011-01-01

    Objectives This study investigated the impact of adding novel elements to models predicting in-hospital mortality following percutaneous coronary interventions (PCIs). Background Massachusetts (MA) mandated public reporting of hospital-specific PCI mortality in 2003. In 2006, a physician advisory group recommended adding to the prediction models three attributes not collected by the National Cardiovascular Data Registry instrument. These “compassionate use” (CU) features included coma on presentation, active hemodynamic support during PCI, and cardiopulmonary resuscitation at PCI initiation. Methods From October 2005 through September 2007, PCI was performed during 29,784 admissions in MA non-federal hospitals. Of these, 5,588 involved patients with ST segment elevation myocardial infarction or cardiogenic shock. Cases with CU criteria identified were adjudicated by trained physician reviewers. Regression models with and without the CU composite variable (presence of any of the 3 features) were compared using areas under the receiver operator characteristic curves (AUC). Results Unadjusted mortality in this high-risk subset was 5.7%. Among these admissions, 96 (1.7%) had at least one CU feature, with 69.8% mortality. The adjusted odds ratio for in-hospital death for CU PCIs (vs. no CU criteria) was 27.3 (95% CI 14.5–47.6). Discrimination of the model improved after including CU, with AUC increasing from 0.87 to 0.90 (p<0.01), while goodness of fit was preserved. Conclusions A small proportion of patients at extreme risk for post-PCI mortality can be identified using pre-procedural factors not routinely collected, but that heighten predictive accuracy. Such improvements in model performance may result in greater confidence in reporting of risk-adjusted PCI outcomes. PMID:21329835

  18. Contributions of the Nurses’ Health Studies to Reproductive Health Research

    PubMed Central

    Rich-Edwards, Janet W.; Gaskins, Audrey J.; Farland, Leslie V.; Terry, Kathryn L.; Zhang, Cuilin; Missmer, Stacey A.

    2016-01-01

    Objectives. To review the Nurses’ Health Study’s (NHS’s) contribution to identifying risk factors and long-term health consequences of reproductive events. Methods. We performed a narrative review of the NHS I, NHS II, NHS3, and Growing Up Today Study (GUTS) publications between 1976 and 2016. Results. Collection of detailed reproductive history to identify breast cancer risk factors allowed the NHS to document an association between menstrual irregularities, a proxy for polycystic ovary syndrome (PCOS), and increased risk of diabetes and cardiovascular disease. The NHS II found that infertility associated with ovulation problems and gestational diabetes are largely preventable through diet and lifestyle modification. It also identified developmental and nutritional risk factors for pregnancy loss, endometriosis, and uterine leiomyomata. As women in NHS II age, it has become possible to address questions regarding long-term health consequences of pregnancy complications and benign gynecologic conditions on chronic disease risk. Furthermore, the NHS3 and GUTS are allowing new lines of research into human fertility, PCOS, and transgenerational effects of environmental exposures. Conclusions. The multigenerational resources of the NHSs and GUTS, including linkages of related individuals across cohorts, can improve women’s health from preconception through late adulthood and onto the next generation. PMID:27459445

  19. Barriers to Transition Planning for Parents of Adolescents with Special Health Care Needs.

    ERIC Educational Resources Information Center

    Timmons, Jaimie Ciulla; McIntyre, James P., Jr.; Whitney-Thomas, Jean; Butterworth, John; Allen, Deborah

    1998-01-01

    This study used a focus group approach to examine the transition planning experiences and concerns of 30 family members of young adults with special health care needs throughout Massachusetts. Findings indicated: (1) parents experienced challenges with service delivery systems, day-to-day living, residential location, and uncertainty about the…

  20. Geothermal Mill Redevelopment Project in Massachusetts

    SciTech Connect

    Vale, A.Q.

    2009-03-17

    Anwelt Heritage Apartments, LLC redeveloped a 120-year old mill complex into a mixed-use development in a lower-income neighborhood in Fitchburg, Massachusetts. Construction included 84 residential apartments rented as affordable housing to persons aged 62 and older. The Department of Energy (“DOE”) award was used as an essential component of financing the project to include the design and installation of a 200 ton geothermal system for space heating and cooling.

  1. Tides of Massachusetts and Cape Cod Bays

    DTIC Science & Technology

    1992-09-01

    Massachusetts Bays records. (1) The classic method of harmonic analysis was dcevised by Lord Kelvin in 1867, expanded by the work of Sir George Darwin , A...method which has been further ievised itý the program used here (Irish and Brown, 1986). (2) The response method ’Aas devised hk Munk and Cartwright ... Cartwright et al., 1969). Therefore. the analysis selects the amount of S2 which is consistent with a smooth admittance of all constituents in the band

  2. [Studies on tea and health].

    PubMed

    Han, Chi

    2011-11-01

    Many studies, both national and international, have shown that tea has protective effects on many chronic diseases and their risk factors. In cancer prevention, our studies indicated that tea drinking could inhibit the carcinogenicity of various chemical carcinogens, including oral tumors induced by 7,12-dimethylbenz[a]anthracene (DMBA) in Golden hamsters, esophageal tumors in rats by blocking in vivo synthesis of N-Nitroso-methylbenzylamine (NMBzA), esophageal cancer induced by NMBzA in rats, precancerous liver lesions (r-GT and GST-P) induced by diethylnitrosamine (DENA) in rats, intestinal preneoplastic lesion (ACF) and intestinal tumors induced by 1,2-dimethyl-hydrazine (DMH) in rats, lung carcinoma induced by nitrosamine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone(NNK) in A/J mice. Our studies have also shown that the protective effects of tea against cancer is a combined effects of various tea ingredients, among which the major ones are polyphenols and tea pigments. Based on animal studies, antioxidant properties, protection against DNA damage and modulation of immune functions were found to be the main mechanisms of anticancer effects of tea. In human trials, tea drinking showed protective effects against oxidative damage and DNA damage caused by cigarette smoking. Mixed tea drinking significantly blocked lesion progress in patients with oral mucosa leukoplakia, therefore, demonstrated its protective effects on oral cancer. Our studies have also shown effects of tea on prevention of cardiovascular diseases (CVD). For example, tea pigments was found to significantly inhibit LDL oxidation induced by Cu2+, Fe2+ in in vitro studies. In vivo studies showed that tea could prevent blood coagulation, facilitate fibrinogen dissolution, inhibit platelet aggregation, lower endothelin levels, enhance GSH-Px activities, protect against oxidated LDL-induced damage in endothelium cells, and prevent atherosclerosis of coronary arteries. The mechanisms of these protective

  3. 75 FR 435 - Notice of Inventory Completion: Department of Anthropology, University of Massachusetts, Amherst, MA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    ...: Department of Anthropology, University of Massachusetts, Amherst, MA AGENCY: National Park Service, Interior... the possession and control of the Department of Anthropology, University of Massachusetts, Amherst, MA... Department of Anthropology, University of Massachusetts, Amherst professional staff in consultation...

  4. Enhanced Sidescan-Sonar Imagery Offshore of Southeastern Massachusetts

    USGS Publications Warehouse

    Poppe, Lawrence J.; McMullen, Kate Y.; Williams, S. Jeffress; Ackerman, Seth D.; Glomb, K.A.; Forfinski, N.A.

    2008-01-01

    The U.S. Geological Survey (USGS), National Oceanic and Atmospheric Administration (NOAA), and Massachusetts Office of Coastal Zone Management (CZM) have been working cooperatively to map and study the coastal sea floor. The sidescan-sonar imagery collected during NOAA hydrographic surveys has been included as part of these studies. However, the original sonar imagery contains tonal artifacts from environmental noise (for example, sea state), equipment settings (for example, power and gain changes), and processing (for example, inaccurate cross-track and line-to-line normalization), which impart a quilt-like patchwork appearance to the mosaics. These artifacts can obscure the normalized backscatter properties of the sea floor. To address this issue, sidescan-sonar imagery from surveys H11076 and H11079 offshore of southeastern Massachusetts was enhanced by matching backscatter tones of adjacent sidescan-sonar lines. These mosaics provide continuous grayscale perspectives of the backscatter, more accurately reveal the sea-floor geologic trends, and minimize the environment-, acquisition-, and processing-related noise.

  5. [Ecological studies in environmental health: Beyond epidemiology].

    PubMed

    Blanco-Becerra, Luis C; Pinzón-Flórez, Carlos E; Idrovo, Álvaro J

    2015-08-01

    Ecological studies provide important and frequent sources of evidence of environmental health, since their unit of analysis is populations. This review summarizes the foundations of ecological studies with the premise that they can be performed using quantitative, qualitative or mixed methods. It presents the logic behind their design, their role in exploring causality, the variables and categories of analysis and the design principles and techniques used to collect data. Examples of ecological studies performed in Latin America are then presented, as well as some common methodological problems and options to address them. Lastly, the relevance of quantitative and qualitative ecological studies to environmental health as a way to overcome the dominance of conceptual and methodological individualism is highlighted, though ecological studies alone do not suffice for studying population health.

  6. Posttraumatic stress disorder and health: a preliminary study of group differences in health and health behaviors

    PubMed Central

    2013-01-01

    Background Individuals with posttraumatic stress disorder (PTSD) are more likely to undertake harmful health behaviors like substance use. Less is known about the association of PTSD with healthful behaviors such as healthy diet and exercise. The purpose of this study was to examine differences across physical health indicators and health behaviors in individuals with and without PTSD. Methods A cross-sectional, case–control study of health indicators and self-reported health behaviors in a community and military veteran sample was used. Results Based on a structured psychiatric interview, 25 participants had PTSD, and the remaining 55 without PTSD served as the comparison group. Participants were 40 years old on average and 45% were female. Multivariate analysis of variance analyses revealed that participants with PTSD had significantly higher body mass index (p = 0.004), had more alcohol use (p = 0.007), and reported fewer minutes of vigorous exercise (p = 0.020) than those without PTSD. Chi-square analysis of diet content and eating behavior constructs found that individuals with PTSD ate fewer fruits (p = 0.035) and had more guilt after overeating (p = 0.006). Conclusions These findings replicate prior research on the link between PTSD and negative health outcomes and engagement in harmful health behaviors and highlight the need for further examination of the association between PTSD and other health behaviors like diet content, eating behaviors, and exercise. PMID:24070007

  7. The Implementation of CETA in Eastern Massachusetts and Boston. R & D Monograph 57.

    ERIC Educational Resources Information Center

    Barocci, Thomas A.; And Others

    This monograph includes two reports describing the results of three years of field research on the implementation and impact of the Comprehensive Employment and Training Act (CETA) in Eastern Massachusetts. They represent a thorough and detailed study of the problems faced by prime sponsors in the initial years of CETA. The first report, CETA in…

  8. Focusing on the Whole Student: An Evaluation of Massachusetts' Wraparound Zones Initiative

    ERIC Educational Resources Information Center

    Gandhi, Allison Gruner; Slama, Rachel; Park, So Jung

    2016-01-01

    Over the past twenty years, efforts to turn around low-performing schools have increasingly become a central component of federal and state education policy agendas. The purpose of the study was to evaluate the impact of the Wraparound Zones Initiative (WAZ), a program supported by the Massachusetts Department of Elementary and Secondary Education…

  9. Part of the Job? Workplace Violence in Massachusetts Social Service Agencies

    ERIC Educational Resources Information Center

    Zelnick, Jennifer R.; Slayter, Elspeth; Flanzbaum, Beth; Butler, Nanci Ginty; Domingo, Beryl; Perlstein, Judith; Trust, Carol

    2013-01-01

    Workplace violence is a serious and surprisingly understudied occupational hazard in social service settings. The authors of this study conducted an anonymous, Internet-based survey of Massachusetts social service agencies to estimate the incidence of physical assault and verbal threat of violence in social service agencies, understand how social…

  10. Feedback: How One Massachusetts School District Facilitates and Sustains Teacher Growth

    ERIC Educational Resources Information Center

    Panarese, Christine M.

    2014-01-01

    This qualitative case study examined teacher and administrator perceptions of how one Massachusetts school district used the feedback processes to facilitate teacher growth and development. Feedback was defined as any type of information about performance or progress towards a goal that is transferred from one individual or group to another…

  11. New Teacher Support: How One Massachusetts School District Facilitates and Sustains Teacher Growth

    ERIC Educational Resources Information Center

    McManus, Philip B., II.

    2014-01-01

    This qualitative case study examined the structures and conditions in one Massachusetts school district that supported new teachers. Data was gathered from semi-structured interviews with teachers and administrators, artifact analyses and participant observations of district meetings. While the existing literature on new teacher support focuses on…

  12. Journeys to Transformation: South Sudanese Refugees Negotiate Community College Education in Massachusetts

    ERIC Educational Resources Information Center

    Reyes, Andres Ray F.

    2013-01-01

    Using narrative inquiry, this qualitative study sought to examine the community college experiences of 12 South Sudanese refugees resettled in Massachusetts. Through interviews, I gathered participants' narratives around three focal areas: the impact of culturally responsive practices on their learning experiences, the challenges and obstacles…

  13. Coastal flood of February 7, 1978, in Maine, Massachusetts, and New Hampshire

    USGS Publications Warehouse

    Gadoury, Russell A.

    1979-01-01

    This report contains data which document the flooding along parts of the New England coast. Elevations of 203 floodmarks in Massachusetts, 104 in Maine, and 46 in New Hampshire are given. Also included are some historical coastal flood data and a list of other storm-related studies

  14. An Examination of Latino Experiences in Vocational Education: Implications for Educational Policy and Reform in Massachusetts.

    ERIC Educational Resources Information Center

    Jennings, James

    The reported participation rates and status of Latinos in vocational-technical education programs approved by the Massachusetts Board of Education were reviewed. The study was restricted to persons in grades 9-12 during the 1990-91 school year. Fifteen members of a panel were also interviewed regarding their understanding of Latino experiences in…

  15. Teachers' Perceptions of the New Massachusetts Teacher Evaluation Instrument and Process on Instructional Practice

    ERIC Educational Resources Information Center

    Thomson, David L.

    2013-01-01

    This mixed methods study explored whether teachers who have experienced the new Massachusetts evaluation system as a member of three pilot or early adopter districts perceive it as a valuable process. The Race to the Top federal grant process required states to redesign evaluation systems that fostered effective teaching and included student…

  16. Coping Methods: Personal and Community Resources Used among Cambodians in Cambodia and Cambodian-Americans in Lowell, Massachusetts.

    ERIC Educational Resources Information Center

    pierSath, Chath

    This qualitative research assesses mental health resources from the perspective of providers in Cambodia and in Lowell, Massachusetts. The research documents culturally relevant coping strategies available to Cambodians for combating the effects of trauma and stress. Interviews were conducted with 11 caregivers in Cambodia and with 6 providers in…

  17. Generation and propagation of nonlinear internal waves in Massachusetts Bay

    USGS Publications Warehouse

    Scotti, A.; Beardsley, R.C.; Butman, B.

    2007-01-01

    During the summer, nonlinear internal waves (NLIWs) are commonly observed propagating in Massachusetts Bay. The topography of the area is unique in the sense that the generation area (over Stellwagen Bank) is only 25 km away from the shoaling area, and thus it represents an excellent natural laboratory to study the life cycle of NLIWs. To assist in the interpretation of the data collected during the 1998 Massachusetts Bay Internal Wave Experiment (MBIWE98), a fully nonlinear and nonhydrostatic model covering the generation/shoaling region was developed, to investigate the response of the system to the range of background and driving conditions observed. Simplified models were also used to elucidate the role of nonlinearity and dispersion in shaping the NLIW field. This paper concentrates on the generation process and the subsequent evolution in the basin. The model was found to reproduce well the range of propagation characteristics observed (arrival time, propagation speed, amplitude), and provided a coherent framework to interpret the observations. Comparison with a fully nonlinear hydrostatic model shows that during the generation and initial evolution of the waves as they move away from Stellwagen Bank, dispersive effects play a negligible role. Thus the problem can be well understood considering the geometry of the characteristics along which the Riemann invariants of the hydrostatic problem propagate. Dispersion plays a role only during the evolution of the undular bore in the middle of Stellwagen Basin. The consequences for modeling NLIWs within hydrostatic models are briefly discussed at the end.

  18. Bedrock geologic map of the Grafton quadrangle, Worcester County, Massachusetts

    USGS Publications Warehouse

    Walsh, Gregory J.; Aleinikoff, John N.; Dorais, Michael J.

    2011-01-01

    The bedrock geology of the 7.5-minute Grafton, Massachusetts, quadrangle consists of deformed Neoproterozoic to early Paleozoic crystalline metamorphic and intrusive igneous rocks. Neoproterozoic intrusive, metasedimentary, and metavolcanic rocks crop out in the Avalon zone, and Cambrian to Silurian intrusive, metasedimentary, and metavolcanic rocks crop out in the Nashoba zone. Rocks of the Avalon and Nashoba zones, or terranes, are separated by the Bloody Bluff fault. The bedrock geology was mapped to study the tectonic history of the area and to provide a framework for ongoing hydrogeologic characterization of the fractured bedrock of Massachusetts. This report presents mapping by G.J. Walsh, geochronology by J.N. Aleinikoff, geochemistry by M.J. Dorais, and consists of a map, text pamphlet, and GIS database. The map and text pamphlet are available in paper format or as downloadable files (see frame at right). The GIS database is available for download. The database includes contacts of bedrock geologic units, faults, outcrops, structural geologic information, and photographs.

  19. Inventory of selected freshwater-ecology studies from the New England Coastal Basins (Maine, New Hampshire, Massachusetts, Rhode Island), 1937-97

    USGS Publications Warehouse

    Tessler, Steven; Coles, J.F.; Beaulieu, K.M.

    1999-01-01

    An inventory of published studies that address freshwater ecology within the New England Coastal Basins was created through computerized bibliographic literature searches and consultation with environmental agencies. Assembled papers were classified to associate their contents with one or more states, ecoregions, river basins, and ecological topics. Full references and their classifications were entered into a bibliographic software program and then exported to a data-base application to generate a checklist summary of study contents. This report presents a listing and classification of 154 selected studies, published between 1937 and 1997, that provide background knowledge and serve as general aquatic-ecology references for the New England Coastal Basins study area.

  20. Statewide water-quality network for Massachusetts

    USGS Publications Warehouse

    DeSimone, Leslie A.; Steeves, Peter A.; Zimmerman, Marc James

    2001-01-01

    A water-quality monitoring program is proposed that would provide data to meet multiple information needs of Massachusetts agencies and other users concerned with the condition of the State's water resources. The program was designed by the U.S. Geological Survey and the Massachusetts Department of Environmental Protection, Division of Watershed Management, with input from many organizations involved in water-quality monitoring in the State, and focuses on inland surface waters (streams and lakes). The proposed monitoring program consists of several components, or tiers, which are defined in terms of specific monitoring objectives, and is intended to complement the Massachusetts Watershed Initiative (MWI) basin assessments. Several components were developed using the Neponset River Basin in eastern Massachusetts as a pilot area, or otherwise make use of data from and sampling approaches used in that basin as part of a MWI pilot assessment in 1994. To guide development of the monitoring program, reviews were conducted of general principles of network design, including monitoring objectives and approaches, and of ongoing monitoring activities of Massachusetts State agencies.Network tiers described in this report are primarily (1) a statewide, basin-based assessment of existing surface-water-quality conditions, and (2) a fixed-station network for determining contaminant loads carried by major rivers. Other components, including (3) targeted programs for hot-spot monitoring and other objectives, and (4) compliance monitoring, also are discussed. Monitoring programs for the development of Total Maximum Daily Loads for specific water bodies, which would constitute another tier of the network, are being developed separately and are not described in this report. The basin-based assessment of existing conditions is designed to provide information on the status of surface waters with respect to State water-quality standards and designated uses in accordance with the

  1. Spondylitic changes in long-finned pilot whales (Globicephala melas) stranded on Cape Cod, Massachusetts, USA, between 1982 and 2000.

    PubMed

    Sweeny, Melinda M; Price, Janet M; Jones, Gwilym S; French, Thomas W; Early, Greg A; Moore, Michael J

    2005-10-01

    The primary bone pathology diagnoses recognized in cetacea are osteomyelitis and spondylosis deformans. In this study, we determined the prevalence, type, and severity of vertebral pathology in 52 pilot whales, a mass stranding species that stranded on Cape Cod, Massachusetts, between 1982 and 2000. Eleven whales (21%) had hyperostosis and ossification of tendon insertion points on and between vertebrae, chevron bones, and costovertebral joints, with multiple fused blocks of vertebrae. These lesions are typical of a group of interrelated diseases described in humans as spondyloarthropathies, specifically ankylosing spondylitis, which has not been fully described in cetacea. In severe cases, ankylosing spondylitis in humans can inhibit mobility. If the lesions described here negatively affect the overall health of the whale, these lesions may be a contributing factor in stranding of this highly sociable species.

  2. Inventory of Selected Freshwater-Ecology Studies From the New England Coastal Basins (Maine, New Hampshire, Massachusetts, Rhode Island), 1937-1997

    DTIC Science & Technology

    1999-01-01

    following ecological subjects of field study relevant to the NAWQA program: algae, macroinvertebrates, fish , habitat, and tissue or sediment...Coastal Basins by decade and ecological topic [--, no citations found] Decade Algae Macroinvertebrates Fish Habitat Tissue Sediment 1930’s 2 -- 2 2...management survey: Rhode Island Department of Fish and Wildlife, Fisheries Report 1, 59 p. Table 6. Citations of selected ecological studies in the New

  3. Space Radar Image of Cape Cod, Massachusetts

    NASA Technical Reports Server (NTRS)

    1994-01-01

    This spaceborne radar image shows the famous 'hook' of Cape Cod, Massachusetts. The Cape, which juts out into the Atlantic Ocean about 100 kilometers (62 miles) southeast of Boston, actually consists of sandy debris left behind by the great continental ice sheets when they last retreated from southern New England about 20,000 years ago. Today's landscape consists of sandy forests, fields of scrub oak and other bushes and grasses, salt marshes, freshwater ponds, as well as the famous beaches and sand dunes. In this image, thickly forested areas appear green, marshes are dark blue, ponds and sandy areas are black, and developed areas are mostly pink. The dark L-shape in the lower center is the airport runways in Hyannis, the Cape's largest town. The dark X-shape left of the center is Otis Air Force Base. The Cape Cod Canal, above and left of center, connects Buzzards Bay on the left with Cape Cod Bay on the right. The northern tip of the island of Martha's Vineyard is seen in the lower left. The tip of the Cape, in the upper right, includes the community of Provincetown, which appears pink, and the protected National Seashore areas of sand dunes that parallel the Atlantic coast east of Provincetown. Scientists are using radar images like this one to study delicate coastal environments and the effects of human activities on the ecosystem and landscape. This image was acquired by Spaceborne Imaging Radar-C/X-band Synthetic Aperture Radar (SIR-C/X-SAR) onboard the space shuttle Endeavour on April 15, 1994. The image is 81.7 kilometers by 43.1 kilometers (50.7 miles by 26.7 miles) and is centered at 41.8 degrees north latitude, 70.3 degrees west longitude. North is toward the upper right. The colors are assigned to different radar frequencies and polarizations of the radar as follows: red is L-band, horizontally transmitted and received; green is C-band, horizontally transmitted, vertically received; and blue is C-band, horizontally transmitted and received. SIR

  4. Gazetteer of hydrologic characteristics of streams in Massachusetts; coastal river basins of the North Shore and Massachusetts Bay

    USGS Publications Warehouse

    Wandle, S.W.

    1984-01-01

    The coastal river basins of the North Shore and Boston Bay include streams draining the Parker River (60.4 square miles), Rowley River (9.9 square miles), Ipswich River (156 miles), Mystic River (66.0 square miles), Charles River (311 square miles), Neponset River (117 square miles), Weymouth Fore and Weymouth Back Rivers (about 63 square miles) and Weir River (about 20 square miles) basins. The study area in eastern and northeastern Massachusetts also includes the minor river basins draining into Massachusetts Bay, Ipswich Bay, or the Atlantic Ocean. Drainage areas using the latest available 1:24,000 scale topographic maps were computed for the first time for streams draining more than 3 square miles and were recomputed for data-collection sites. Streamflow characteristics at 15 gaging stations were calculated using a new data base with daily flow records through 1981. These characteristics include annual and monthly flow statistics, duration of daily flow values, and the annual 7-day mean low flow at the 2-year and 10-year recurrence intervals. Seven-day low-flow statistics are presented for 95 partial-record sites and the procedures used to determine the hydrologic characteristics of a basin are summarized. Basin characteristics representing 14 commonly used indices to estimate various streamflows are presented for 15 gaged streams. This gazetteer will aid in the planning and siting of water-resources related activities and will provide a common data base for governmental agencies and the engineering and planning communities. (USGS)

  5. Unhealthy weight control behaviors and related risk factors in Massachusetts middle and high school students.

    PubMed

    Gonsalves, Diane; Hawk, Helen; Goodenow, Carol

    2014-10-01

    Unhealthy weight control behaviors may be precursors to clinical eating disorders; therefore, it is important to identify these actions, and what may trigger them, as early as possible. We used 2009 and 2011 Massachusetts Youth Health Survey data for middle and high school students. We studied age, sex, and race disparities related to unhealthy weight control behaviors in conjunction with other risk factors such as body mass index (BMI), body weight perception, involvement in bullying, and depressive symptoms. The surveys were completed in public schools. Bivariate and multinomial regression analyses were conducted to assess associations between weight control behaviors and BMI categories, body weight perception, bullying involvement, and depressive symptoms. Poor body weight perception, bullying involvement, and depressive symptoms were associated with significantly elevated odds of reporting unhealthy weight control behaviors in both middle and high school students. Most patterns were consistent for middle and high school students, with obesity and bullying involvement being prevailing risks for high school students. Though females were more likely to report unhealthy weight control behaviors we also showed the rarely presented prevalence of male involvement in disordered eating behaviors including those who perceived themselves to be underweight. Health education classes and school-based interventions may be two strategies to help prevent the development of unhealthy weight control behaviors. Continuation of youth surveys that gather data on weight control behaviors and known risk factors is essential for observing changes in behaviors over time.

  6. No Further Action Decision Under CERCLA Study Area 35: Former Directorate of Engineering and Housing Entomology Shop. Fort Devens Main Post Site Investigation, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-09-01

    National Priorities List under the Comprehensive Environmental Response, Compensation, and Liability Act as amended by the Superfund Amendments and...closure, numerous studies have been conducted that address SAs at Fort Devens, including a Master Environmental Plan , an Enhanced Preliminary Assessment, and Site Investigation Reports.

  7. No Further Action Decision Under CERCLA Study Area 16: Shoppette Debris Disposal Area. Fort Devens Main Post Site Investigation, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Agency and the U.S. Department of Defense as a potential site of contamination. Fort Devens was placed on the National Priorities List under the...Comprehensive Environmental Response, Compensation and Liability Act as amended by the Superfund Amendments and Reauthorization Act on December, 21, 1989...conducted that address Study Areas at Fort Devens, including a Master Environmental Plan , an Enhanced Preliminary Assessment, and Site Investigation Reports.

  8. No Further Action Decision Under CERCLA Study Area 10: Construction Debris Area. Fort Devens Main Post Site Investigation, Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    Agency and the U.S. Department of Defense as a potential site of contamination. Fort Devens was placed on the National Priorities List under the...Comprehensive Environmental Response, Compensation and Liability Act as amended by the Superfund Amendments and Reauthorization Act on December, 21, 1989. In...conducted that address Study Areas at Fort Devens, including a Master Environmental Plan , an Enhanced Preliminary Assessment, and Site Investigation Reports.

  9. Massachusetts Career Development Institute in Partnership with the Geriatric Authority of Holyoke, Massachusetts. Final Report.

    ERIC Educational Resources Information Center

    Massachusetts Career Development Inst., Springfield.

    Onsite workplace education was provided for employees of the Geriatric Authority of Holyoke (GAH), Massachusetts. Instructional programs in English as a Second Language, adult basic education, and General Educational Development (GED) preparation were offered. The union and supervisors assisted in a broad recruitment effort. Individualized…

  10. A Management Review and Analysis of the University of Massachusetts at Amherst Libraries, Amherst, Massachusetts.

    ERIC Educational Resources Information Center

    Fretwell, Gordon; And Others

    In response to the institutional change, a Management Review and Analysis Program (MRAP) was conducted at the University of Massachusetts at Amherst Library during 1974-1975. The first two chapters of the report describe the library, its institutional setting, missions, and goals. The other nine chapters discuss issues, problems, and…

  11. Psychedelics and Mental Health: A Population Study

    PubMed Central

    Krebs, Teri S.; Johansen, Pål-Ørjan

    2013-01-01

    Background The classical serotonergic psychedelics LSD, psilocybin, mescaline are not known to cause brain damage and are regarded as non-addictive. Clinical studies do not suggest that psychedelics cause long-term mental health problems. Psychedelics have been used in the Americas for thousands of years. Over 30 million people currently living in the US have used LSD, psilocybin, or mescaline. Objective To evaluate the association between the lifetime use of psychedelics and current mental health in the adult population. Method Data drawn from years 2001 to 2004 of the National Survey on Drug Use and Health consisted of 130,152 respondents, randomly selected to be representative of the adult population in the United States. Standardized screening measures for past year mental health included serious psychological distress (K6 scale), mental health treatment (inpatient, outpatient, medication, needed but did not receive), symptoms of eight psychiatric disorders (panic disorder, major depressive episode, mania, social phobia, general anxiety disorder, agoraphobia, posttraumatic stress disorder, and non-affective psychosis), and seven specific symptoms of non-affective psychosis. We calculated weighted odds ratios by multivariate logistic regression controlling for a range of sociodemographic variables, use of illicit drugs, risk taking behavior, and exposure to traumatic events. Results 21,967 respondents (13.4% weighted) reported lifetime psychedelic use. There were no significant associations between lifetime use of any psychedelics, lifetime use of specific psychedelics (LSD, psilocybin, mescaline, peyote), or past year use of LSD and increased rate of any of the mental health outcomes. Rather, in several cases psychedelic use was associated with lower rate of mental health problems. Conclusion We did not find use of psychedelics to be an independent risk factor for mental health problems. PMID:23976938

  12. Massachusetts reservoir simulation tool—User’s manual

    USGS Publications Warehouse

    Levin, Sara B.

    2016-10-06

    IntroductionThe U.S. Geological Survey developed the Massachusetts Reservoir Simulation Tool to examine the effects of reservoirs on natural streamflows in Massachusetts by simulating the daily water balance of reservoirs. The simulation tool was developed to assist environmental managers to better manage water withdrawals in reservoirs and to preserve downstream aquatic habitats.

  13. 30 CFR 921.700 - Massachusetts Federal program.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... by the Office of Management and Budget under 44 U.S.C. 3507. (e) There are no Massachusetts laws.... (f) The following are Massachusetts laws that interfere with the achievement of the purposes and... Regulatory and Reclamation Act of 1977, as amended, Mass. Ann. Laws. Ch. 21B, Sections 1-15. (2)...

  14. 30 CFR 921.700 - Massachusetts Federal program.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... by the Office of Management and Budget under 44 U.S.C. 3507. (e) There are no Massachusetts laws.... (f) The following are Massachusetts laws that interfere with the achievement of the purposes and... Regulatory and Reclamation Act of 1977, as amended, Mass. Ann. Laws. Ch. 21B, Sections 1-15. (2)...

  15. Massachusetts Adult Basic Education Curriculum Framework for Mathematics and Numeracy

    ERIC Educational Resources Information Center

    Massachusetts Department of Education, 2005

    2005-01-01

    Over the past number of years, several initiatives have set the stage for writing the Massachusetts ABE (Adult Basic Education) Curriculum Frameworks for Mathematics and Numeracy. This current version of the "Massachusetts ABE Mathematics Curriculum Frameworks" is a second revision of that first framework, but it is heavily influenced by…

  16. 76 FR 53019 - Massachusetts Disaster Number MA-00036

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... of Massachusetts (FEMA-1994-DR), dated 06/ 15/2011 . Incident: Severe Storms and Tornadoes. Incident Period: 06/01/2011. Effective Date: 08/11/2011. Physical Loan Application Deadline Date: 08/22/2011. EIDL... the President's major disaster ] declaration for the State of Massachusetts, dated 06/15/2011...

  17. Western Massachusetts Five College/Public School Partnership.

    ERIC Educational Resources Information Center

    Wilson, Mary Alice B.

    The Western Massachusetts Five College/Public School Partnership was organized to strengthen communication and share resources among the schools in western Massachusetts and the members of a higher education consortium called Five Colleges, Inc. (comprising Amherst, Hampshire, Mount Holyoke, and Smith Colleges and the University of Massachusetts…

  18. Report of the Massachusetts Business Task Force for School Management.

    ERIC Educational Resources Information Center

    Massachusetts Advisory Council on Education, Boston.

    This report is a detailed analysis of business practices within the Massachusetts public school system. It is the result of a three-month examination and evaluation of Massachusetts' schools by a volunteer task force of 33 corporation executives and managers. The evaluations and recommendations are organized into four major sections of the report.…

  19. The Tuskegee Syphilis Study and women's health.

    PubMed

    Gamble, V N

    1997-01-01

    In May 1997, President Bill Clinton apologized for the Tuskegee Syphilis Study. The President's action underscores that in the 25 years since its public revelation, the study has moved from a singular historical event to a powerful metaphor that symbolizes racism in medicine, misconduct in human research, the arrogance of physicians, and government abuse of black people. The Tuskegee Syphilis Study also has implications for women's health. Discussion of the study usually ignores its impact on the wives of the victims. In addition, African-American women may be more reluctant to participate in clinical trials because of the shadow cast by the syphilis study and other incidents of medical abuse. Finally, the Tuskegee Syphilis Study reminds us that the battle against racism must be an integral part of the campaign to improve women's health.

  20. Creativity and connections: the future of nursing education and practice: the Massachusetts Initiative.

    PubMed

    Sroczynski, Maureen; Gravlin, Gayle; Route, Paulette Seymour; Hoffart, Nancy; Creelman, Patricia

    2011-01-01

    Education and practice partnerships are key to effective academic program design and implementation in a time of decreasing supply and increasing demands on the nursing profession. An integrated education/practice competency model can positively impact patient safety, improve patient care, increase retention, and ensure a sufficient and competent nursing workforce, which is paramount to survival of the health care system. Through the contributions of nursing leaders from the broad spectrum of nursing and industry organizations within the state, the Massachusetts Nurse of the Future project developed a competency-based framework for the future design of nursing educational programs to meet current and future practice needs. The Massachusetts Nurse of the Future Nursing Core Competencies(©) expand on the Institute of Medicine's core competencies for all health care professionals and the Quality and Safety Education for Nurses competencies for quality and safety to define the expectations for all professional nurses of the future. The Massachusetts Nurse of the Future Nursing Core Competencies define the knowledge, attitude, and skills required as the minimal expectations for initial nursing practice following completion of a prelicensure professional nursing education program. These competencies are now being integrated into new models for seamless, coordinated nursing curriculum and transition into practice within the state and beyond.

  1. Preliminary assessment report for National Guard Facility, Installation 25255, Rehoboth, Massachusetts. Installation Restoration Program

    SciTech Connect

    Haffenden, R.; Flaim, S.; Krokosz, M.

    1993-08-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Massachusetts Army National Guard (MAARNG) property known as the Rehoboth National Guard Facility (RNGF) in Rehoboth, Massachusetts. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for ftirther action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the RNGF property, phase I of the Department of Defense Installation Restoration Program (IRP). The scope of this assessment is limited to the facilities under the control of the MAARNG and the past activities contained within that area.

  2. Health Manpower Study of Selected Health Professions in California. 1976.

    ERIC Educational Resources Information Center

    Wong, John C., Comp.

    The need for health personnel in California and recommended targets for expansion of health sciences programs are presented in this report prepared for the California PostsecondarV Education Commission. The report focuses on the role of physicians, mid-level practitioners, nurses, pharmacists, dentists, optometrists, and health sciences education.…

  3. Linking Student Performance in Massachusetts Elementary Schools with the “Greenness” of School Surroundings Using Remote Sensing

    PubMed Central

    Wu, Chih-Da; McNeely, Eileen; Cedeño-Laurent, J. G.; Pan, Wen-Chi; Adamkiewicz, Gary; Dominici, Francesca; Lung, Shih-Chun Candice; Su, Huey-Jen; Spengler, John D.

    2014-01-01

    Various studies have reported the physical and mental health benefits from exposure to “green” neighborhoods, such as proximity to neighborhoods with trees and vegetation. However, no studies have explicitly assessed the association between exposure to “green” surroundings and cognitive function in terms of student academic performance. This study investigated the association between the “greenness” of the area surrounding a Massachusetts public elementary school and the academic achievement of the school’s student body based on standardized tests with an ecological setting. Researchers used the composite school-based performance scores generated by the Massachusetts Comprehensive Assessment System (MCAS) to measure the percentage of 3rd-grade students (the first year of standardized testing for 8–9 years-old children in public school), who scored “Above Proficient” (AP) in English and Mathematics tests (Note: Individual student scores are not publically available). The MCAS results are comparable year to year thanks to an equating process. Researchers included test results from 2006 through 2012 in 905 public schools and adjusted for differences between schools in the final analysis according to race, gender, English as a second language (proxy for ethnicity and language facility), parent income, student-teacher ratio, and school attendance. Surrounding greenness of each school was measured using satellite images converted into the Normalized Difference Vegetation Index (NDVI) in March, July and October of each year according to a 250-meter, 500-meter, 1,000-meter, and 2000-meter circular buffer around each school. Spatial Generalized Linear Mixed Models (GLMMs) estimated the impacts of surrounding greenness on school-based performance. Overall the study results supported a relationship between the “greenness” of the school area and the school-wide academic performance. Interestingly, the results showed a consistently positive significant

  4. The Unit Manning System Family Health Study

    DTIC Science & Technology

    1988-08-01

    American Public Health Association, Los Angeles, CA. Durkheim , Emile . (1951). Suicide: A study in sociology. trans. J. A. Spaulding and G. Simpson. New York...originate in social interaction, while Durkheim (1951) proposed that belonging to a socially cohesive group promotes a sense of certainty and purpose in

  5. Iowa Health Occupations Education Followup Study.

    ERIC Educational Resources Information Center

    Petersen, Dale F.

    Graduates of health occupations education (HOE) programs in Iowa which were partially supported by State and/or Federal funds were studied. The purpose was to assemble an information base useful in planning new programs or expanding existing ones. Coordinators of 47 HOE programs were able to locate 3,207 persons in 1969. A questionnaire was used…

  6. Unequal exposure to ecological hazards: environmental injustices in the Commonwealth of Massachusetts.

    PubMed Central

    Faber, Daniel R; Krieg, Eric J

    2002-01-01

    This study analyzes the social and geographic distribution of ecological hazards across 368 communities in the Commonwealth of Massachusetts. Combining census data with a variety of environmental data, we tested for and identified both income-based and racially based biases to the geographic distribution of 17 different types of environmentally hazardous sites and industrial facilities. We also developed a composite measure of cumulative exposure to compare the relative overall risks characteristic of each community. To the best of our knowledge, this point system makes this the first environmental justice study to develop a means for measuring and ranking cumulative exposure for communities. The study also controls for the intensity of hazards in each community by accounting for the area across which hazards are distributed. The findings indicate that ecologically hazardous sites and facilities are disproportionately located and concentrated in communities of color and working-class communities. The implication of this research for policymakers and citizen advocates is that cumulative exposure of residents to environmentally hazardous facilities and sites should receive greater consideration regarding community demographics and environmental health indicators. We conclude that the provision of additional resources for environmental monitoring and ranking, as well as yearly progress reports, is necessary for communities and state agencies to achieve equal access to clean and healthy environments for all residents. PMID:11929739

  7. Part of the job? Workplace violence in Massachusetts social service agencies.

    PubMed

    Zelnick, Jennifer R; Slayter, Elspeth; Flanzbaum, Beth; Butler, Nanci Ginty; Domingo, Beryl; Perlstein, Judith; Trust, Carol

    2013-05-01

    Workplace violence is a serious and surprisingly understudied occupational hazard in social service settings. The authors of this study conducted an anonymous, Internet-based survey of Massachusetts social service agencies to estimate the incidence of physical assault and verbal threat of violence in social service agencies, understand how social service agencies collect data on workplace violence, and identify disparities in who is at risk in terms of staff education and training level and the work setting. The study gathered general descriptions of each agency and compiled incidence data on workplace violence that were collected by agencies in fiscal year 2009. The key findings of this descriptive study showed high rates of workplace violence against social services providers and a pattern of risk disparity, with significantly more risk for direct care versus clinical staff. These results are based on data routinely collected by social service agencies that typically remain unexamined. A research agenda that is sensitive to potential occupational health disparities and focuses on maximizing workplace safety in social services is needed.

  8. Taming Healthcare Costs: Promise and Pitfalls for Women's Health

    PubMed Central

    Glynn, Amy; MacKenzie, Rose

    2016-01-01

    Abstract When it comes to healthcare, women are often the primary decision makers for their families. Therefore, focusing on women and their health needs can have a profound effect on health reform efforts to control costs and improve quality for all segments of the population. The promise and pitfalls of cost containment reform in Massachusetts can serve as an informative case study for policymakers at the local, state, and federal levels as they attempt to reduce costs while maintaining quality of care. Massachusetts cost containment law, Chapter 224, seeks to control the healthcare cost growth through innovative approaches to increase efficiency and transparency including the adoption of new delivery system models, investments in wellness and prevention programs, and implementation of standard quality and evaluation measures. In this paper, we outline four approaches to delivering on the promise of cost containment reform to maximize women's access to comprehensive, quality healthcare while avoiding the pitfalls of cost containment's adverse impact on women's health. PMID:26488183

  9. AGRICULTURAL HEALTH STUDY/PESTICIDE EXPOSURE STUDY DESIGN

    EPA Science Inventory

    The Agricultural Health Study (AHS) is a prospective epidemiologic study of a large cohort of pesticide applicators and their spouses in Iowa and North Carolina. The Pesticide Exposure Study is a sub-study to evaluate exposure factors and to provide data to assess exposure cla...

  10. Pharmaceutical compounds in Merrimack River water used for public supply, Lowell, Massachusetts, 2008-09

    USGS Publications Warehouse

    Massey, Andrew J.; Waldron, Marcus C.

    2011-01-01

    This report presents results of a study conducted by the U.S. Geological Survey (USGS), in cooperation with the Massachusetts Department of Environmental Protection, to determine the occurrence of 14 commonly used human-health pharmaceutical compounds and fecal-indicator bacteria in Merrimack River water used as a drinking-water source by 135,000 residents in eastern Massachusetts. The study was designed to complement the USGS National Water-Quality Assessment Program's Source Water-Quality Assessment, which identifies patterns of occurrence of 280 primarily unregulated organic wastewater contaminants in source water used by community water systems and determines whether these patterns also occur in treated drinking water prior to distribution. The study involved periodic collection and analysis of raw Merrimack River water and treated drinking water over the course of 1 year. Water samples were collected periodically without regard to flow regime or antecedent weather conditions at the Lowell Regional Water Utility's Merrimack River intake upstream from Lowell, Mass. The same parcel of water was then sampled as finished water following treatment. Despite the presence of many potential sources of contamination in the drinking-water source area, only 2 of the 14 pharmaceutical analytes were detected at reportable concentrations in the source-water samples, and these occurred in only one set of periodic samples. Acetaminophen, a nonprescription analgesic, and caffeine were detected in the September source-water samples at concentrations of 0.084 and 0.068 micrograms per liter, respectively. Three other compounds-carbamazepine, an antiepileptic; cotinine, a metabolite of nicotine; and diphenhydramine, a nonprescription antihistamine-were detected in source-water samples, but at concentrations too low to be reliably quantified. None of the 14 pharmaceuticals was found in the finished water at a reportable concentration, defined as two times the long-term detection

  11. EVA Health and Human Performance Benchmarking Study

    NASA Technical Reports Server (NTRS)

    Abercromby, A. F.; Norcross, J.; Jarvis, S. L.

    2016-01-01

    Multiple HRP Risks and Gaps require detailed characterization of human health and performance during exploration extravehicular activity (EVA) tasks; however, a rigorous and comprehensive methodology for characterizing and comparing the health and human performance implications of current and future EVA spacesuit designs does not exist. This study will identify and implement functional tasks and metrics, both objective and subjective, that are relevant to health and human performance, such as metabolic expenditure, suit fit, discomfort, suited postural stability, cognitive performance, and potentially biochemical responses for humans working inside different EVA suits doing functional tasks under the appropriate simulated reduced gravity environments. This study will provide health and human performance benchmark data for humans working in current EVA suits (EMU, Mark III, and Z2) as well as shirtsleeves using a standard set of tasks and metrics with quantified reliability. Results and methodologies developed during this test will provide benchmark data against which future EVA suits, and different suit configurations (eg, varied pressure, mass, CG) may be reliably compared in subsequent tests. Results will also inform fitness for duty standards as well as design requirements and operations concepts for future EVA suits and other exploration systems.

  12. An Examination of Change Resulting from a Public Policy Shift from "Falls the Shadow: Changes in Funding Massachusetts K12 Public Education in the First Decade of Proposition 2 1/2, 1982-91."

    ERIC Educational Resources Information Center

    Greyser, Linda L.

    In November 1980, Massachusetts citizens voted to limit the allowable increase in local property tax revenue by supporting a state-ballot referendum named Proposition 2 1/2. This paper presents findings of a study that examined changes in both the sources and extent of funding for public education in Massachusetts communities during the first…

  13. Availability of ground water in the Blackstone River area Rhode Island and Massachusetts

    USGS Publications Warehouse

    Johnston, Herbert E.; Dickerman, David C.

    1974-01-01

    The Blackstone River study area covers 83 square miles of northern Rhode Island and 5 square miles of adjacent Massachusetts (fig. 1). It includes parts of the Blackstone, Moshassuck, and Tenmile River basins, and a coastal area that drains to the brackish Seekonk and Providence Rivers. In Rhode Island, all or parts of the suburban towns of Cumberland, Lincoln, North Smithfield, and Smithfield and all or parts of the cities of Central Falls, East Povidence, Pawtucket, Providence, and Woonsocket are within the study area. Also included are parts of the towns Attleboro and North Attleborough in Massachusetts. In 1970, total population was about 240,000, which was equivalent to about one-fourth of the total population of Rhode Island. Fresh water usage in 1970 by public-supply systems and self-supplied industry was about 33 mgd (million gallons per day), which was equal to 22 percent of total fresh water use in Rhode Island for all purposes except generation of electric power (fig. 2). Anticipated increases in population and per capita water requirements are likely to cause the demand for water to more than double within the next 50 years. A significant part of this demand can be met from wells that tap the principal streams. This aquifer yielded an average of 10 mgd in 1970 and is capable of sustaining a much higher yield. The primary objectives of the study were to determine and map the saturated thickness and transmissivity of the stratified-drift aquifer and to assess the potential sustained yield of those parts of the aquifer favorable for large-scale development of water. A secondary objective was to describe ground-water quality and to evaluate the impact of induced infiltration of polluted stream water on the quality of native ground water. This report is based on analysis of drillers' records of more than 700 wells and borings which include 462 lithologic logs; 35 specific-capacity determinations; 12 aquifer tests, including detailed tests at two sites to

  14. People and water in the Assabet River basin, eastern Massachusetts

    USGS Publications Warehouse

    DeSimone, Leslie A.

    2005-01-01

    An accounting of the inflows, outflows, and uses of water in the rapidly developing Assabet River Basin, along Interstate 495 in eastern Massachusetts, was done to quantify how people's activities alter the hydrologic system. The study identified subbasins and seasons in which outflows resulting from people's activities were relatively large percentages of total flows, and quantified the fraction of streamflow in the Assabet River that is treated wastewater. Computer models of ground-water flow were also used to test how the components of the hydrologic system, particularly streamflow, would change with future development and increased water use. Computer simulations showed that, when water use was increased to currently permitted levels, streamflows in tributaries would decrease, particularly during the low-flow period. In the Assabet River, increased wastewater discharges resulted in a slight increase in total streamflow and an increase in the fraction of streamflow in the river that is wastewater, relative to existing conditions.

  15. Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014

    PubMed Central

    Ganter, Claudia; Aftosmes-Tobio, Alyssa; Chuang, Emmeline; Kwass, Jo-Ann; Land, Thomas

    2017-01-01

    Introduction Childhood obesity is a multifaceted disease that requires sustainable, multidimensional approaches that support change at the individual, community, and systems levels. The Massachusetts Childhood Obesity Research Demonstration project addressed this need by using clinical and public health evidence-based methods to prevent childhood obesity. To date, little information is known about successes and lessons learned from implementing such large-scale interventions. To address this gap, we examined perspectives of community stakeholders from various sectors on successes achieved and lessons learned during the implementation process. Methods We conducted 39 semistructured interviews with key stakeholders from 6 community sectors in 2 low-income communities from November 2013 through April 2014, during project implementation. Interviews were audio-recorded, transcribed, and analyzed by using the constant comparative method. Data were analyzed by using QSR NVivo 10. Results Successes included increased parental involvement in children’s health and education, increased connections within participating organizations and within the broader community, changes in organizational policies and environments to better support healthy living, and improvements in health behaviors in children, parents, and stakeholders. Lessons learned included the importance of obtaining administrative and leadership support, involving key stakeholders early in the program planning process, creating buffers that allow for unexpected changes, and establishing opportunities for regular communication within and across sectors. Conclusion Study findings indicate that multidisciplinary approaches support health behavior change and provide insight into key issues to consider in developing and implementing such approaches in low-income communities. PMID:28125400

  16. Concepts for NASA longitudinal health studies

    NASA Technical Reports Server (NTRS)

    Nicogossian, A. E.; Pool, S. L.; Leach, C. S.; Moseley, E.; Rambaut, P. C.

    1983-01-01

    Clinical data collected from a 15-year study of the homogenous group of pre-Shuttle astronauts have revealed no significant long-term effects from spaceflight. The current hypothesis suggests that repeated exposures to the space environment in the Shuttle era will similarly have no long-term health effects. However, a much more heterogenous group of astronauts and non-astronaut scientists will fly in Shuttle, and data on this group's adaptation to the space environment and readaptation to earth are currently sparse. In addition, very little information is available concerning the short- and long-term medical consequences of long duration exposure to space and subsequent readaptation to the earth environment. In this paper, retrospective clinical information on astronauts is reviewed and concepts for conducting epidemiological studies examining long-term health effects of spaceflight on humans, including associated occupational risks factors, are presented.

  17. Severe Maternal Morbidity and the Use of Assisted Reproductive Technology in Massachusetts

    PubMed Central

    Belanoff, Candice; Declercq, Eugene R.; Diop, Hafsatou; Gopal, Daksha; Kotelchuck, Milton; Luke, Barbara; Nguyen, Thien; Stern, Judy E.

    2016-01-01

    Objectives To assess whether risk of severe maternal morbidity at delivery differed for women who conceived using assisted reproductive technology (ART), those with indicators of subfertility but no ART (“subfertile”), and those who had neither ART nor subfertility (“fertile”). Methods This retrospective cohort study was part of the larger Massachusetts Outcomes Study of Assisted Reproductive Technology (MOSART). To construct the MOSART database and identify ART deliveries, we linked ART treatment records to birth certificates and maternal and infant hospitalization records occurring in Massachusetts between 2004 and 2010. An algorithm of ICD-9-CM diagnosis and procedure codes identified severe maternal morbidity. We used Logistic Generalized Estimating Equations to estimate odds of severe maternal morbidity associated with fertility status, adjusting for maternal demographic and health factors and gestational age, stratifying on plurality and method of delivery. Results The prevalence of severe maternal morbidity among this population (n = 458,918) was 1.16%. The overall, crude prevalences of severe maternal morbidity among fertile, subfertile and ART deliveries were 1.09%, 1.44% and 3.14%, respectively. The most common indicator of severe maternal morbidity was blood transfusion. In multivariable analyses, among singletons, ART was associated with increased odds of severe maternal morbidity compared to both fertile (Vaginal: aOR 2.27, 95% CI: 1.78 – 2.88; cesarean: aOR 1.67, 95% CI: 1.40 – 1.98, respectively) and subfertile (vaginal: aOR 1.97, 95% CI: 1.30 – 3.00; cesarean: aOR 1.75, 95% CI: 1.30 – 2.35, respectively) deliveries. Among twins, only cesarean ART deliveries had significantly greater severe maternal morbidity compared to cesarean fertile deliveries (aOR 1.48, 95% CI: 1.14, 1.93). Conclusions Women who conceive through ART may have elevated risk severe maternal morbidity at delivery, largely indicated by blood transfusion, even when

  18. Photographs of the Sea Floor of Western Massachusetts Bay, Offshore of Boston, Massachusett, July 1999

    USGS Publications Warehouse

    Gutierrez, Benjamin T.; Butman, Bradford; Blackwood, Dann S.

    2001-01-01

    This CD-ROM contains photographs and sediment sample analyses of the sea floor obtained at 142 sites in western Massachusetts Bay (Figure 1) during a research cruise (USGS cruise ISBL99024) aboard the Fishing Vessel (FV) Isabel S. (Figure 2) conducted July 18-21, 1999. These photographs and samples provide critical ground truth information for the interpretation of shaded relief and backscatter intensity maps created using data collected with a multibeam echo sounder system (Butman and others, in press, a, b, c; Valentine and others, in press, a, b, c). Collection of these photographs and samples was undertaken in support of a large project whose overall objective is to map and describe the sea floor of Massachusetts Bay.

  19. Proceedings of the Annual Meeting of the Association for Education in Journalism and Mass Communication (74th, Boston, Massachusetts, August 7-10, 1991). Part XII: Health, Science, and the Environment.

    ERIC Educational Resources Information Center

    Association for Education in Journalism and Mass Communication.

    The Health, Science, and the Environment section of the proceedings contains the following 14 papers: "Privacy and the AIDS Crisis: Newspaper Practices Regarding Obituaries and Outings" (Joseph Bernt and Marilyn Greenwald); "Testing Truisms about Science and the Mass Media: The Case of Cold Fusion" (Bruce V. Lewenstein and…

  20. Women's health and oral health implications of the curriculum study.

    PubMed

    Silverton, S F

    2001-07-01

    This article discusses the effect of medical school and dental school curriculum surveys, which allowed interdisciplinary analysis of the status of women's issues in the health profession. With this documentation of the status of women's health and oral issues, changes in the curriculum can now occur to close the gaps in education and training exposed in the surveys. Changes in the curriculum are aimed at improving clinical practice by practitioners and lowering barriers to care experienced by women. These changes must be incorporated into not only the medical school and dental school curriculums, but also into the practices of the current health care practitioners to be effective.

  1. The Early Determinants of Adult Health Study.

    PubMed

    Susser, E; Buka, S; Schaefer, C A; Andrews, H; Cirillo, P M; Factor-Litvak, P; Gillman, M; Goldstein, J M; Henry, P Ivey; Lumey, L H; McKeague, I W; Michels, K B; Terry, M B; Cohn, B A

    2011-01-01

    This issue of the Journal features collaborative follow-up studies of two unique pregnancy cohorts recruited during 1959-1966 in the United States. Here we introduce the Early Determinants of Adult Health (EDAH) study. EDAH was designed to compare health outcomes in midlife (age 40s) for same-sex siblings discordant on birthweight for gestational age. A sufficient sample of discordant siblings could only be obtained by combining these two cohorts in a single follow-up study. All of the subsequent six papers are either based upon the EDAH sample or are related to it in various ways. For example, three papers report results from studies that significantly extended the 'core' EDAH sample to address specific questions. We first present the overall design of and rationale for the EDAH study. Then we offer a synopsis of past work with the two cohorts to provide a context for both EDAH and the related studies. Next, we describe the recruitment and assessment procedures for the core EDAH sample. This includes the process of sampling and recruitment of potential participants; a comparison of those who were assessed and not assessed based on archived data; the methods used in the adult follow-up assessment; and the characteristics at follow-up of those who were assessed. We provide online supplementary tables with much further detail. Finally, we note further work in progress on EDAH and related studies, and draw attention to the broader implications of this endeavor.

  2. The Early Determinants of Adult Health Study

    PubMed Central

    Susser, E.; Buka, S.; Schaefer, C. A.; Andrews, H.; Cirillo, P. M.; Factor-Litvak, P.; Gillman, M.; Goldstein, J. M.; Henry, P. Ivey; Lumey, L. H.; McKeague, I. W.; Michels, K. B.; Terry, M. B.; Cohn, B. A.

    2014-01-01

    This issue of the Journal features collaborative follow-up studies of two unique pregnancy cohorts recruited during 1959–1966 in the United States. Here we introduce the Early Determinants of Adult Health (EDAH) study. EDAH was designed to compare health outcomes in midlife (age 40s) for same-sex siblings discordant on birthweight for gestational age. A sufficient sample of discordant siblings could only be obtained by combining these two cohorts in a single follow-up study. All of the subsequent six papers are either based upon the EDAH sample or are related to it in various ways. For example, three papers report results from studies that significantly extended the ‘core’ EDAH sample to address specific questions. We first present the overall design of and rationale for the EDAH study. Then we offer a synopsis of past work with the two cohorts to provide a context for both EDAH and the related studies. Next, we describe the recruitment and assessment procedures for the core EDAH sample. This includes the process of sampling and recruitment of potential participants; a comparison of those who were assessed and not assessed based on archived data; the methods used in the adult follow-up assessment; and the characteristics at follow-up of those who were assessed. We provide online supplementary tables with much further detail. Finally, we note further work in progress on EDAH and related studies, and draw attention to the broader implications of this endeavor. PMID:25126404

  3. Spatial and temporal variability of fine particle composition and source types in five cities of Connecticut and Massachusetts

    PubMed Central

    Lee, Hyung Joo; Gent, Janneane F.; Leaderer, Brian P.; Koutrakis, Petros

    2011-01-01

    To protect public health from PM2.5 air pollution, it is critical to identify the source types of PM2.5 mass and chemical components associated with higher risks of adverse health outcomes. Source apportionment modeling using Positive Matrix Factorization (PMF), was used to identify PM2.5 source types and quantify the source contributions to PM2.5 in five cities of Connecticut and Massachusetts. Spatial and temporal variability of PM2.5 mass, components and source contributions were investigated. PMF analysis identified five source types: regional pollution as traced by sulfur, motor vehicle, road dust, oil combustion and sea salt. The sulfur-related regional pollution and traffic source type were major contributors to PM2.5. Due to sparse ground-level PM2.5 monitoring sites, current epidemiological studies are susceptible to exposure measurement errors. The higher correlations in concentrations and source contributions between different locations suggest less spatial variability, resulting in less exposure measurement errors. When concentrations and/or contributions were compared to regional averages, correlations were generally higher than between-site correlations. This suggests that for assigning exposures for health effects studies, using regional average concentrations or contributions from several PM2.5 monitors is more reliable than using data from the nearest central monitor. PMID:21429560

  4. Perceptions of evidence-based programs among community-based organizations tackling health disparities: a qualitative study.

    PubMed

    Ramanadhan, Shoba; Crisostomo, Josephine; Alexander-Molloy, Jaclyn; Gandelman, Ediss; Grullon, Milagro; Lora, Vilma; Reeves, Chrasandra; Savage, Clara; Viswanath, Kasisomayajula

    2012-08-01

    Dissemination of prevention-focused evidence-based programs (EBPs) from research to community settings may improve population health and reduce health disparities, but such flow has been limited. Academic-community partnerships using community-based participatory research (CBPR) principles may support increased dissemination of EBPs to community-based organizations (CBOs). This qualitative study examined the EBP-related perceptions and needs of CBOs targeting underserved populations. As part of PLANET MassCONECT, a CBPR study, we conducted six key informant interviews with community leaders and four focus groups with CBO staff members in Boston, Worcester and Lawrence, Massachusetts, in 2008. Working definitions of EBPs among CBO staff members varied greatly from typical definitions used by researchers or funders. Key barriers to using EBPs included: resource constraints, program adaptation challenges and conflicts with organizational culture. Important facilitators of EBP usage included: program supports for implementation and adaptation, collaborative technical assistance and perceived benefits of using established programs. This exploratory study highlights differences among key stakeholders regarding the role of evidence in program planning and delivery. An updated perspective should better incorporate CBO perspectives on evidence and place greater, and much needed, emphasis on the impact of context for EBP dissemination in community settings.

  5. Sea-floor geology and sedimentary processes in the vicinity of Cross Rip Channel, Nantucket Sound, offshore southeastern Massachusetts

    USGS Publications Warehouse

    Poppe, L.J.; McMullen, K.Y.; Ackerman, S.D.; Schaer, J.D.; Wright, D.B.

    2012-01-01

    Gridded multibeam bathymetry covers approximately 10.4 square kilometers of sea floor in the vicinity of Cross Rip Channel in Nantucket Sound, offshore southeastern Massachusetts. Although originally collected for charting purposes during National Oceanic and Atmospheric Administration hydrographic survey H12007, these acoustic data, and the sea-floor sediment sampling and bottom photography stations subsequently occupied to verify them, show the composition and terrain of the seabed and provide information on sediment transport and benthic habitat. This report is part of an expanding series of cooperative studies by the U.S. Geological Survey, National Oceanic and Atmospheric Administration, and Massachusetts Office of Coastal Zone Management that provide a fundamental framework for research and resource-management activities (for example, windfarms, pipelines, and dredging) along the inner continental shelf offshore of Massachusetts.

  6. Mapping the seafloor geology offshore of Massachusetts

    USGS Publications Warehouse

    Barnhardt, Walter A.; Andrews, Brian D.

    2006-01-01

    Geologic and bathymetric maps help us understand the evolutionary history of the Massachusetts coast and the processes that have shaped it. The maps show the distribution of bottom types (for example, bedrock, gravel, sand, mud) and water depths over large areas of the seafloor. In turn, these two fundamental parameters largely determine the species of flora and fauna that inhabit a particular area. Knowledge of bottom types and water depths provides a framework for mapping benthic habitats and managing marine resources. The need for coastal–zone mapping to inform policy and management is widely recognized as critical for mitigating hazards, creating resource inventories, and tracking environmental changes (National Research Council, 2004; U.S. Commission on Ocean Policy, 2004).

  7. Submerged and eroded drumlins off northeastern Massachusetts

    USGS Publications Warehouse

    Oldale, R.N.; Knebel, H. J.; Bothner, Michael H.

    1994-01-01

    Streamlined, oval-shaped, oriented topographic highs in Massachusetts Bay are identified as the erosional remnants of drumlins. The topographic highs correlate with outlines of lag gravel deposits on the sea floor and both the highs and lag gravel seafloor footprint have a distinct east-southeast long axis trend. This trend is similar to the preferred orientation of the long axes of drumlins in the Boston Basin and indicates the flow direction of the late Wisconsinan Laurentide Ice Sheet. Modification of the drumlins occurred during two passages of the shoreline, the first during the late Wisconsinan regression when the drumlins were only slightly eroded. The second passage of the shoreline occurred during the marine transgression, when erosion, in the form of cliff-face retreat, removed the upper part of the drumlins. ?? 1994.

  8. US Hydropower Resource Assessment for Massachusetts

    SciTech Connect

    Francfort, J.E.; Rinehart, B.N.

    1995-07-01

    The Department of Energy is developing an estimate of the undeveloped hydropower potential in the United States. The Hydropower Evaluation Software (HES) is a computer model that was developed by the Idaho National Engineering Laboratory for this purpose. The software measures the undeveloped hydropower resources available in the United States, using uniform criteria for measurement. The software was developed and tested using hydropower information and data provided by the Southwestern Power Administration. It is a menu-driven software program that allows the personal computer user to assign environmental attributes to potential hydropower sites, calculate development suitability factors for each site based on the environmental attributes present, and generate reports based on these suitability factors. This report details the resource assessment results for the Commonwealth of Massachusetts.

  9. Massachusetts | No Discharge Zones | New England | US EPA

    EPA Pesticide Factsheets

    2017-04-10

    The 'No Discharge Zones' in Massachusetts have a significant boat population and are sensitive environmental resources. Find how long each designated area has been a 'No Discharge Area' and locations of pumpout facilities there.

  10. Massachusetts Organizations and Residents Recognized by EPA for Environmental Achievements

    EPA Pesticide Factsheets

    Eleven winners in Massachusetts were recognized today at EPA's 2015 Environmental Merit Awards ceremony. The environmental leaders were among 27 recipients across New England honored for helping to improve New England's environment.

  11. 10. Photocopy of photograph (original in Memorial Hall, Deerfield, Massachusetts) ...

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

    10. Photocopy of photograph (original in Memorial Hall, Deerfield, Massachusetts) VIEW OF MAIN ELEVATION, SHOOTING FROM ROAD THROUGH TREES - Kennedy Farm, Chestnut Grove Road, Samples Manor, Washington County, MD

  12. EPA Awards Environmental Education Grants to Four Massachusetts Organizations

    EPA Pesticide Factsheets

    Four Massachusetts organizations were awarded a total of $275,332 by the US Environmental Protection Agency for programs that will educate the community about climate change and other environmental issues.

  13. WIC Participation and Pregnancy Outcomes: Massachusetts Statewide Evaluation Project.

    ERIC Educational Resources Information Center

    Kotelchuck, Milton; And Others

    1984-01-01

    Using 1978 data from the Massachusetts Birth and Death Registry, examined the effects of WIC prenatal participation. Found that increased WIC participation was associated with enhanced pregnancy outcomes, but suggested that other causal factors also should be considered. (GC)

  14. Program Planning and Grant Writing in One Massachusetts School System.

    ERIC Educational Resources Information Center

    Maloy, Robert W.; Seldin, Clement A.

    1982-01-01

    The Greenfield Secondary Schools Project in Greenfield (Massachusetts) includes a planning and grant-writing system, a grantsperson, and a structure encouraging community involvement and interagency cooperation, and has enabled Greenfield to finance innovation in lean times. (Author/JM)

  15. Preliminary Results of Recent Deep Drilling on Cape Cod, Massachusetts.

    PubMed

    Koteff, C; Cotton, J E

    1962-07-06

    In 1961 a 1000-foot drill hole near Harwich on Cape Cod, Massachusetts, penetrated 435 feet of Pleistocene deposits above 50 to 60 feet of crystalline limestone and phyllitic schist, and more than 500 feet of phyllitic schist with abundant quartz veins. Similar rock is known in the Pennsylvanian and Precambrian (?) sections of Massachusetts and Rhode Island. Material of Eocene age was found in earlier drilling near Provincetown, but none was identified from this hole.

  16. Connection: Schwartz Center Rounds at Massachusetts General Hospital Cancer Center

    PubMed Central

    Schapira, Lidia; Mack, Sally; Stanzler, Marjorie; Lynch, Thomas J.

    2010-01-01

    Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital, founded the Kenneth B. Schwartz Center®, a nonprofit organization dedicated to supporting and advancing compassionate health care. The Center sponsors Schwartz Rounds®, a multidisciplinary forum in which doctors, nurses, chaplains, social workers, and other staff reflect on important psychosocial issues that arise in caring for patients. Attendees participate in an interactive discussion about issues anchored in a case presentation and share their experiences, thoughts, and feelings. The patient narratives may center on wonderful events and transcendent experiences or tragic stories, during which staff can only bear witness to the suffering. The Rounds focus on caregivers' experiences, and encourage staff to share insights, own their vulnerabilities, and support each other. The primary objective is to foster healing relationships and provide support to professional caregivers, enhance communication among caregivers, and improve the connection between patients and caregivers. Currently, >50,000 clinicians attend monthly Schwartz Rounds at 195 sites in 31 states, numbers that are rapidly growing. In this article we explore the reasons that contribute to the success of this model of multidisciplinary reflection. PMID:20584809

  17. Factors Influencing Teachers' Views of Health and Health Education: A Study in 15 Countries

    ERIC Educational Resources Information Center

    Jourdan, D.; Pironom, J.; Berger, D.; Carvalho, G. S.

    2013-01-01

    Objective: To analyse teachers' health views in order to obtain general trends in factors influencing health and health education and to fit them into the negative-positive model of health proposed by Downie and collaborators. Method: This large international study involved 15 countries from Western and Eastern Europe, North and Sub-Saharan…

  18. An Examination of Advanced Placement Scores for Black Male Students from Connecticut, Florida, Maryland, Massachusetts, and Texas

    ERIC Educational Resources Information Center

    Wilson, Jeanine L.

    2013-01-01

    Purpose: The purpose of this study was to analyze the extent to which differences in student performance were present between Black males in Connecticut, Florida, Maryland, Massachusetts, and Texas on selected AP examinations from the 2001 through the 2012 exam years. Specific AP exams included in this study were the English Language and…

  19. Adolescents' health identities: a qualitative and theoretical study of health education courses.

    PubMed

    Grabowski, D; Rasmussen, K K

    2014-11-01

    In this paper we highlight the role of health identity in health education for adolescents. In school-based approaches to health education, it is often difficult to present health information and health communication in ways that make sense and appeal to adolescents. The concept of health identity has the potential of providing an analytical framework as well as practical recommendations for these issues and problem areas. The paper reports on an empirical study of elements of health identity in the context of health courses for adolescents--using interview data, observation studies and a theoretical construction focussing on self-observation, horizons of significance, expectational structures and social imaginaries. We present our findings in four main themes: 1) Adolescents' health identities are observed and developed when things matter, 2) Adolescents' health identities are observed and developed in relational contexts, 3) Adolescents' health identities are developed on the basis of observations of past, present and future health and 4) Adolescents' health identities are clearly defined. The paper provides health practitioners with important knowledge about why and how health-educational approaches should focus on health identity in order to provide conditions that create a significant health educating effect for all adolescents--not just for those who are already healthy.

  20. "Sufficient health" as perceived by Thai villagers: A qualitative study.

    PubMed

    Arpanantikul, Manee; Phuphaibul, Rutja; Khuwatsumrit, Kusuma

    2017-01-05

    Globalization has led to the rapid modernization of Thai villagers' traditional lifestyle, with significant consequential changes in health. The integration of the sufficiency economy philosophy with health - a concept known as "sufficient health" - can improve health and wellbeing; however, little is known of the actual meaning of "sufficient health." This qualitative study explored the meaning of sufficient health as perceived by Thai villagers. Data were collected from 122 villagers living in a rural Thai community and analyzed using content analysis. The findings revealed five themes reflecting the meaning of sufficient health: being healthy and not having an illness, having regular health check-ups, performing self-care, living sufficiently, and avoiding risks. Understanding the meaning attributed to sufficient health can help nurses provide appropriate health care for villagers while retaining concern and respect for their cultural backgrounds. Importantly, providing opportunities to villagers to participate in health activities could help them recognize and sustain sufficient health.

  1. Higher hazard substances under The Massachusetts Toxics Use Reduction Act: lessons from the first four years.

    PubMed

    Massey, Rachel I; Tenney, Heather; Harriman, Elizabeth

    2011-01-01

    The Massachusetts Toxics Use Reduction Act (TURA) has achieved significant reductions in toxic chemical use in Massachusetts, using a combination of regulatory and voluntary measures. Historically the program has regulated only users of relatively large quantities of toxic chemicals, with services provided to facilities of all sizes on a voluntary basis. Statutory amendments adopted in 2006 created an authority to designate Higher and Lower Hazard Substances (HHS and LHS). The HHS designation extends TURA program requirements to smaller quantity chemical users. This article reports on experiences from the first four years of implementing this new authority. A case study of trichloroethylene is provided as an example. The article also discusses steps taken to regulate n-propyl bromide, a drop-in substitute for TCE that is minimally regulated at the federal level. TURA program experiences may be of interest to other jurisdictions that are working to reach small-quantity chemical users, and to categorize and prioritize chemicals.

  2. Assessment of Data for Use in the Development of Nutrient Criteria for Massachusetts Rivers and Streams

    USGS Publications Warehouse

    Zimmerman, Marc J.; Campo, Kimberly W.

    2007-01-01

    The U.S. Geological Survey synthesized, reviewed, and assessed Massachusetts water-quality data for use in the development of either numerical nutrient criteria for rivers and streams or a science-based framework for interpreting narrative criterial for nutrients. Water-quality data collected from 65 Massachusetts locations were selected to represent a wide range, but not a statistical selection, of drainage basins and high-, intermediate-, and low-nutrient ecoregions. Additional sites were selected at some locations to provide data to compare open- and closed-canopy effects on periphyton chlorophyll a concentrations. Nutrient and chlorophyll a concentrations are the primary focus of this study. Data for turbidity, color, dissolved oxygen, specific conductance, pH, and measures of aquatic-plant density also were examined. Water-quality data were analyzed by categories of year, ecoregion, drainage-basin size, Massachusetts nutrient ecoregion, presence of upstream wastewater dischargers, and canopy openness. Graphs and statistical analyses were used to evaluate data. The U.S. Environmental Protection Agency recommends the 25th-percentile value of a water-quality constituent as the numerical nutrient criterion when using all available data for the constituent. In this study of Massachusetts waters, the 25th percentiles of median values at all sampling stations were: total phosphorus, 0.019 milligram per liter (mg/L); total nitrogen, 0.44 (mg/L); and turbidity, 1.2 nephelometric turbidity units (NTU). When the data are sorted by the two USEPA nutrient ecoregions in Massachusetts (VIII and XIV), the new values are: for Ecoregion VIII, total phosphorus, 0.009 (mg/L); total nitrogen, 0.289 (mg/L); and turbidity, 1.7 NTU; for Ecoregion XIV, total phosphorus, 0.028 (mg/L); total nitrogen, 0.583 (mg/L); and turbidity, 3.1 NTU. For the three Massachusetts lake-based nutrient ecoregions, the values are: high-nutrient ecoregion, total phosphorus, 0.030 (mg/L); total nitrogen, 0

  3. Yields of bedrock wells in Massachusetts

    USGS Publications Warehouse

    Hansen, B.P.; Simcox, A.C.

    1994-01-01

    Six to seven percent of the population of Massachusetts obtains its water from domestic bedrock wells. Additional public, commercial, industrial, and domestic supplies from bedrock will be needed in the future. Information about the factors that are related to large well yields is needed. The factors associated with well yields were identified by use of statistical analysis of reported data from 4,218 bedrock wells. The median reported yield of all bedrock wells was 7 gallons per minute, and the median depth was 170 feet. Wells in valleys and lowlands had the largest median yield--I0 gallons per minute. The median well yield on hilltops and slopes was 6 gallons per minute. In valleys and lowlands, significant increases in well yields corresponded to increasing thickness of overburden. On hilltops and slopes, only small increases in well yield corresponded to increases in overburden thickness. Increases in well diameter corresponded to significant increases in well yields for all well locations, depths, and use categories. The common assumptions that fractured crystalline rocks generally yield only small quantities of water to wells and that the fractures that yield water to wells pinch out or are closed because of lithostatic pressure at depths greater than 300 to 400 feet may be in error. Analysis of well data indicates that the median yield of all bedrock wells decreased as well depth increased to 400 feet and increased slightly with well depths greater than 600 feet. The median yield of bedrock wells located in valleys and lowlands reached 50 gallons per minute at depths of 600 to 700 feet. The median yield of wells located on hilltops and slopes reached 15 gallons per minute at depths of 600 to 700 feet. Carbonate bedrock, with a median well yield of 25 gallons per minute, seemed to be the most productive bedrock type. A reported yield of 1,700 gallons per minute from an industrial well completed in carbonate bedrock is the largest reported yield from a bedrock

  4. Validation of Random Sampling as an Estimation Procedure for Lyme Disease Surveillance in Massachusetts and Minnesota.

    PubMed

    Bjork, J; Brown, C; Friedlander, H; Schiffman, E; Neitzel, D

    2016-08-03

    Many disease surveillance programs, including the Massachusetts Department of Public Health and the Minnesota Department of Health, are challenged by marked increases in Lyme disease (LD) reports. The purpose of this study was to retrospectively analyse LD reports from 2005 through 2012 to determine whether key epidemiologic characteristics were statistically indistinguishable when an estimation procedure based on sampling was utilized. Estimates of the number of LD cases were produced by taking random 20% and 50% samples of laboratory-only reports, multiplying by 5 or 2, respectively, and adding the number of provider-reported confirmed cases. Estimated LD case counts were compared to observed, confirmed cases each year. In addition, the proportions of cases that were male, were ≤12 years of age, had erythema migrans (EM), had any late manifestation of LD, had a specific late manifestation of LD (arthritis, cranial neuritis or carditis) or lived in a specific region were compared to the proportions of cases identified using standard surveillance to determine whether estimated proportions were representative of observed proportions. Results indicate that the estimated counts of confirmed LD cases were consistently similar to observed, confirmed LD cases and accurately conveyed temporal trends. Most of the key demographic and disease manifestation characteristics were not significantly different (P < 0.05), although estimates for the 20% random sample demonstrated greater deviation than the 50% random sample. Applying this estimation procedure in endemic states could conserve limited resources by reducing follow-up effort while maintaining the ability to track disease trends.

  5. Air Pollution Exposure Model for Individuals (EMI) in Health Studies

    EPA Science Inventory

    In health studies, traffic-related air pollution is associated with adverse respiratory effects. Due to cost and participant burden of personal measurements, health studies often estimate exposures using local ambient air monitors. Since outdoor levels do not necessarily reflect ...

  6. A comparison of Massachusetts and Texas high school biology teachers' attitudes towards the teaching of evolution

    NASA Astrophysics Data System (ADS)

    Howarth, Richard T.

    Darwin's theory of evolution by natural selection is considered to be the unifying theory for all life sciences (American Association for the Advancement of Science, AAAS, 1990; National Academy of Sciences, 1998; National Research Council, NRC, 1996; National Science Teachers Association, NSTA, 2010a) and as such, the biology topic has been established as a central learning standard by the National Science Education Science Standards (NSES, 2005). The purpose of this study was to compare how Massachusetts and Texas high school biology teachers' attitudes toward the teaching of evolution differ as compared to other biology topics. Texas and Massachusetts are two states that exemplify standards based education yet differ dramatically in their histories surrounding the topic of evolution. A survey was conducted among 217 Massachusetts and 139 Texas in-service high school biology teachers to help provide a sense of the phenomena surrounding biology teachers in respect to how their attitudes towards the teaching of evolution are shaped. Additionally, an open-ended question was asked to help contextualize the results of the survey between teachers of these two states. The findings in this study suggest that community appears to be a powerful persuasive message and socialization experience that shapes the development of attitudes towards evolution for some educators, especially when it is highly intertwined with religion. For biology teachers in the state of Texas, the synergistic result of this relationship has resulted in statistically significant differences in regards to attitudes towards evolution as compared to teachers in Massachusetts. These findings yield implications regarding scientific literacy, student learning, assessment, the quality of science instruction, curriculum, undergraduate biology programs, and the needs of biology teachers in terms of professional development.

  7. SHPPS 2006: School Health Policies and Programs Study--Asthma

    ERIC Educational Resources Information Center

    Centers for Disease Control and Prevention, 2007

    2007-01-01

    The School Health Policies and Programs Study (SHPPS) is a national survey periodically conducted to assess school health policies and practices at the state, district, school, and classroom levels. This brief contains information on asthma relative to health education, physical education and activity, and health services. Included is data on the…

  8. Global Health in the Social Studies Classroom

    ERIC Educational Resources Information Center

    Smith, David J.

    2005-01-01

    It may surprise students to realize that health problems in other countries affect them, too. Where people live and the conditions under which they live directly affect their health. The health of a population can also offer insight into a region's social, political, and economic realities. As a powerful lens into how human societies function,…

  9. Canadian Institutes of Health Research funding of prison health research: a descriptive study

    PubMed Central

    Kouyoumdjian, Fiona G.; McIsaac, Kathryn E.; Foran, Jessica E.; Matheson, Flora I.

    2017-01-01

    Background: Health research provides a means to define health status and to identify ways to improve health. Our objective was to define the proportion of grants and funding from the Government of Canada's health research investment agency, the Canadian Institutes of Health Research (CIHR), that was awarded for prison health research, and to describe the characteristics of funded grants. Methods: In this descriptive study, we defined prison health research as research on the health and health care of people in prisons and at the time of their release. We searched the CIHR Funding Decisions Database by subject and by investigator name for funded grants for prison health research in Canada in all competitions between 2010 and 2014. We calculated the proportion of grants and funding awarded for prison health research, and described the characteristics of funded grants. Results: During the 5-year study period, 21 grants were awarded that included a focus on prison health research, for a total of $2 289 948. Six of these grants were operating grants and 6 supported graduate or fellowship training. In total, 0.13% of all grants and 0.05% of all funding was for prison health research. Interpretation: A relatively small proportion of CIHR grants and funding were awarded for prison health research between 2010 and 2014. If prison health is a priority for Canada, strategic initiatives that include funding opportunities could be developed to support prison health research in Canada.

  10. Women's political participation and health: a health capability study in rural India.

    PubMed

    Feldman, Candace H; Darmstadt, Gary L; Kumar, Vishwajeet; Ruger, Jennifer Prah

    2015-02-01

    Understanding the relationship between women's political participation and health has eluded researchers and cannot be adequately studied using traditional epidemiological or social scientific methodologies. We employed a health capability framework to understand dimensions of health agency to illuminate how local political economies affect health. Exploiting a cluster-randomized controlled trial of a community-based behavior change management intervention in northern India, we conducted a qualitative study with semistructured, in-depth focus groups in both intervention and nonintervention villages. We presented scenarios to each group regarding the limitations and motivations involved in women's political participation and health. Thematic analysis focused on four domains of health agency -- participation, autonomy, self-efficacy, and health systems -- relevant for understanding the relationship between political participation and health. Elder women demonstrated the greatest sense of self-efficacy and as a group cited the largest number of successful health advocacy efforts. Participation in an associated community-based neonatal intervention had varying effects, showing some differences in self-efficacy, but only rare improvements in participation, autonomy, or health system functioning. Better understanding of cultural norms surrounding autonomy, the local infrastructure and health system, and male and female perceptions of political participation and self-efficacy are needed to improve women's health agency. For a community-based participatory health intervention to improve health capability effectively, explicit strategies focused on health agency should be as central as health indicators.

  11. The Dartmouth Health Promotion Study: a failed quest for synergy in school health promotion.

    PubMed

    Mclntyre, L; Belzer, E G; Manchester, L; Blanchard, W; Officer, S; Simpson, A C

    1996-04-01

    The Dartmouth Health Promotion Study was a longitudinal, quasi-experimental field study with a qualitative research arm, designed to learn whether coordinating school health instruction, health services, and a healthful environment enhanced the program's effect on the heart health and mental health of children. The research strategy-the Coordinated Approach-was applied to approximately 300 children in each of two cohorts in grades four to six attending nine trial schools; a further 600 children attended 10 comparison schools in Dartmouth and nine distal comparison schools. Although the qualitative analysis demonstrated that positive feelings were engendered in most areas of the study, when either the classroom or the individual was used as the unit of analysis, the Coordinated Approach did not have a more favorable effect on the heart or mental health of children than did the standard school health program. Thus, the effect of an existing school health program was not directly enhanced through coordinating its components.

  12. Effects of water-supply reservoirs on streamflow in Massachusetts

    USGS Publications Warehouse

    Levin, Sara B.

    2016-10-06

    reservoir simulation tool was used to simulate 35 single- and multiple-reservoir systems in Massachusetts over a 44-year period (water years 1961 to 2004) under two water-use scenarios. The no-pumping scenario assumes no water withdrawal pumping, and the pumping scenario incorporates average annual pumping rates from 2000 to 2004. By comparing the results of the two scenarios, the total streamflow alteration can be parsed into the portion of streamflow alteration caused by the presence of a reservoir and the additional streamflow alteration caused by the level of water use of the system.For each reservoir system, the following metrics were computed to characterize the frequency, duration, and magnitude of reservoir outflow volumes compared with unaltered streamflow conditions: (1) the median number of days per year in which the reservoir did not spill, (2) the median duration of the longest consecutive period of no-spill days per year, and (3) the lowest annual flow duration exceedance probability at which the outflows are significantly different from estimated unaltered streamflow at the 95-percent confidence level. Most reservoirs in the study do not spill during the summer months even under no-pumping conditions. The median number of days during which there was no spillage was less than 365 for all reservoirs in the study, indicating that, even under reported pumping conditions, the reservoirs refill to full volume and spill at least once during nondrought years, typically in the spring.Thirteen multiple-reservoir systems consisting of two or three hydrologically connected reservoirs were included in the study. Because operating rules used to manage multiple-reservoir systems are not available, these systems were simulated under two pumping scenarios, one in which water transfers between reservoirs are minimal and one in which reservoirs continually transferred water to intermediate or terminal reservoirs. These two scenarios provided upper and lower estimates of

  13. Explaining the Paradox: Perceived Instructor Benefits and Costs of Contributing to Massachusetts Institute of Technology OpenCourseWare

    ERIC Educational Resources Information Center

    Parker, Preston Paul

    2011-01-01

    This study examines perceived benefits and costs of instructors who contributed to the Massachusetts Institute of Technology (MIT) OpenCourseWare (OCW) project. While previous research has investigated the benefits and costs of OCW from the perspectives of the users and institution, the instructor's perspective is the focus of this qualitative…

  14. A Rasch Differential Item Functioning Analysis of the Massachusetts Youth Screening Instrument: Identifying Race and Gender Differential Item Functioning among Juvenile Offenders

    ERIC Educational Resources Information Center

    Cauffman, Elizabeth; MacIntosh, Randall

    2006-01-01

    The juvenile justice system needs a tool that can identify and assess mental health problems among youths quickly with validity and reliability. The goal of this article is to evaluate the racial/ethnic and gender differential item functioning (DIF) of the Massachusetts Youth Screening Instrument-Second Version (MAYSI-2) using the Rasch Model.…

  15. Successful Strategies for Educating Hard-to-Reach Populations: Lessons Learned from Massachusetts' Train-the-Trainer Project Using the "Helping You Take Care of Yourself" Curriculum

    ERIC Educational Resources Information Center

    Besculides, Melanie; Trebino, Lisa; Nelson, Heather

    2012-01-01

    Objective: To assess the effectiveness of providing education on breast, cervical and cardiovascular health to hard-to-reach women throughout Massachusetts using an innovative derivation of the "train-the-trainer" approach. Innovation included use of contracts with community-based organizations (CBOs) that required data collection in…

  16. Borehole Characterization of a Methane-Yielding Bedrock Well, Tyngsborough, Massachusetts

    USGS Publications Warehouse

    Pierce, Herbert A.; Walsh, Gregory J.; Burruss, Robert A.; Degnan, James R.

    2007-01-01

    In August 2004, a domestic water well was drilled into granitoid metamorphic rocks 5.38 kilometers southwest of Tyngsborough, Massachusetts, on Scribner Hill. According to well driller Roger Skillings of Skillings and Sons, Inc. (oral commun., 2005), no water was encountered during drilling and when the borehole reached a depth of approximately 305.1 m, a blue flame exploded out of the well casing and ignited the drill rig, resulting in a total loss of the equipment (cover). Follow up water quality studies by the Massachusetts Department of Environmental Protection detected low levels of methane in the groundwater extracted from the well. Discussions with the Stephen Hallem, Massachusetts Departments of Environmental Protection and David Wunsch, the New Hampshire State Geologist, prompted the USGS to further investigate this methane occurrence in granitoid rock. Borehole characterization and water quality sampling reported here were completed in May and June 2006, in an effort to identify the potential source of the methane. Follow up samples yielded no detectable methane, and for that reason this report presents a brief summary of our preliminary findings.

  17. Long-Term Oceanographic Observations in Massachusetts Bay, 1989-2006

    USGS Publications Warehouse

    Butman, Bradford; Alexander, P. Soupy; Bothner, Michael H.; Borden, Jonathan; Casso, Michael A.; Gutierrez, Benjamin T.; Hastings, Mary E.; Lightsom, Frances L.; Martini, Marianna A.; Montgomery, Ellyn T.; Rendigs, Richard R.; Strahle, William S.

    2009-01-01

    This data report presents long-term oceanographic observations made in western Massachusetts Bay at long-term site A (LT-A) (42 deg 22.6' N., 70 deg 47.0' W.; nominal water depth 32 meters) from December 1989 through February 2006 and long-term site B (LT-B) (42 deg 9.8' N., 70 deg 38.4' W.; nominal water depth 22 meters) from October 1997 through February 2004 (fig. 1). The observations were collected as part of a U.S. Geological Survey (USGS) study designed to understand the transport and long-term fate of sediments and associated contaminants in Massachusetts Bay. The observations include time-series measurements of current, temperature, salinity, light transmission, pressure, oxygen, fluorescence, and sediment-trapping rate. About 160 separate mooring or tripod deployments were made on about 90 research cruises to collect these long-term observations. This report presents a description of the 16-year field program and the instrumentation used to make the measurements, an overview of the data set, more than 2,500 pages of statistics and plots that summarize the data, and the digital data in Network Common Data Form (NetCDF) format. This research was conducted by the USGS in cooperation with the Massachusetts Water Resources Authority and the U.S. Coast Guard.

  18. Stratigraphic test well, Nantucket Island, Massachusetts

    USGS Publications Warehouse

    Folger, David W.; Hathaway, J.C.; Christopher, R.A.; Valentine, P.C.; Poag, C.W.

    1978-01-01

    The U.S. Geological Survey, in cooperation with the Massachusetts Water Resources Commission and the Nantucket Conservation Foundation, continuously cored 514 m of sediment and volcanic rock in a stratigraphic and water-quality test near the geographic center of Nantucket Island. Stratified sediments were divided texturally into three zones: the upper zone (0-128 m) contains mostly coarse sand and gravel; the middle zone (128-349 m) contains mostly silty clay and a few beds of sand and silt; and the lower zone (349-457 m) contains soft, unconsolidated, clayey sand. Below the lower zone, a saprolite, composed mostly of clay, grades abruptly downward at 470 m into partially altered basalt that extends to the bottom of the hole at 514 m. Calculations based on the Ghyben-Herzberg principle predicted a zone of freshwater 120-150 m thick. This principle is the theory of hydrostatic equilibrium between freshwater and more dense seawater in a coastal aquifer; it states that for each meter of ground-water elevation above sea level, the freshwater lens will depress the saltwater interface about 40 m below sea level. Freshwater or low-salinity brackish water was found in sediments far below the depth predicted by the Ghyben-Herzberg principle. These interstitial waters are probably relict ground water emplaced during times of low sea level during the Pleistocene. (Woodard-USGS)

  19. Massachusetts Large Blade Test Facility Final Report

    SciTech Connect

    Rahul Yarala; Rob Priore

    2011-09-02

    Project Objective: The Massachusetts Clean Energy Center (CEC) will design, construct, and ultimately have responsibility for the operation of the Large Wind Turbine Blade Test Facility, which is an advanced blade testing facility capable of testing wind turbine blades up to at least 90 meters in length on three test stands. Background: Wind turbine blade testing is required to meet international design standards, and is a critical factor in maintaining high levels of reliability and mitigating the technical and financial risk of deploying massproduced wind turbine models. Testing is also needed to identify specific blade design issues that may contribute to reduced wind turbine reliability and performance. Testing is also required to optimize aerodynamics, structural performance, encourage new technologies and materials development making wind even more competitive. The objective of this project is to accelerate the design and construction of a large wind blade testing facility capable of testing blades with minimum queue times at a reasonable cost. This testing facility will encourage and provide the opportunity for the U.S wind industry to conduct more rigorous testing of blades to improve wind turbine reliability.

  20. Modeling the seasonal circulation in Massachusetts Bay

    USGS Publications Warehouse

    Signell, Richard P.; Jenter, Harry L.; Blumberg, Alan F.; ,

    1994-01-01

    An 18 month simulation of circulation was conducted in Massachusetts Bay, a roughly 35 m deep, 100??50 km embayment on the northeastern shelf of the United States. Using a variant of the Blumberg-Mellor (1987) model, it was found that a continuous 18 month run was only possible if the velocity field was Shapiro filtered to remove two grid length energy that developed along the open boundary due to mismatch in locally generated and climatologically forced water properties. The seasonal development of temperature and salinity stratification was well-represented by the model once ??-coordinate errors were reduced by subtracting domain averaged vertical profiles of temperature, salinity and density before horizontal differencing was performed. Comparison of modeled and observed subtidal currents at fixed locations revealed that the model performance varies strongly with season and distance from the open boundaries. The model performs best during unstratified conditions, and in the interior of the bay. The model performs poorest during stratified conditions and in the regions where the bay is driven predominantly by remote fluctuations from the Gulf of Maine.

  1. Wind Turbine Acoustic Investigation: Infrasound and Low-Frequency Noise--A Case Study

    ERIC Educational Resources Information Center

    Ambrose, Stephen E.; Rand, Robert W.; Krogh, Carmen M. E.

    2012-01-01

    Wind turbines produce sound that is capable of disturbing local residents and is reported to cause annoyance, sleep disturbance, and other health-related impacts. An acoustical study was conducted to investigate the presence of infrasonic and low-frequency noise emissions from wind turbines located in Falmouth, Massachusetts, USA. During the…

  2. Qingdao Port Cardiovascular Health Study: a prospective cohort study

    PubMed Central

    Spatz, Erica S; Jiang, Xianyan; Lu, Jiapeng; Masoudi, Frederick A; Spertus, John A; Wang, Yongfei; Li, Xi; Downing, Nicholas S; Nasir, Khurram; Du, Xue; Li, Jing; Krumholz, Harlan M; Liu, Xiancheng; Jiang, Lixin

    2015-01-01

    Purpose In China, efforts are underway to respond to rapidly increasing rates of heart disease and stroke. Yet the epidemiology of cardiovascular disease in China may be different from that of other populations. Thus, there is a critical need for population-based studies that provide insight into the risk factors, incidence and outcomes of cardiovascular disease in China. The Qingdao Port Cardiovascular Health Study is designed to investigate the burden of cardiovascular disease and the sociodemographic, biological, environmental and clinical risk factors associated with disease onset and outcomes. Participants For this study, from 2000 through 2013, 32 404 employees aged 18 years or older were recruited from the Qingdao Port Group in China, contributing 221 923 annual health assessments. The mean age at recruitment was 43.4 (SD=12.9); 79% were male. In this ongoing study, annual health assessments, governed by extensive quality control mechanisms, include a questionnaire (capturing demographic and employment information, medical history, medication use, health behaviours and health outcomes), physical examination, ECG, and blood and urine analysis. Additional non-annual assessments include an X-ray, echocardiogram and carotid ultrasound; bio-samples will be collected for future genetic and proteomic analyses. Cardiovascular outcomes are accessed via self-report and are actively being verified with medical insurance claims; efforts are underway to adjudicate outcomes with hospital medical records. Findings to date Early findings reveal a significant increase in cardiovascular risk factors from 2000 to 2010 (hypertension: 26.4–39.4%; diabetes: 3.3–8.9%; hyperlipidaemia: 5.0–33.6%; body mass index >28 m/kg2: 14.1–18.6%). Future Plans We aim to generate novel insights about the epidemiology and outcomes of cardiovascular disease in China, with specific emphasis on the potentially unique risk factor profiles of this Chinese population. Knowledge

  3. Development of the Massachusetts School Nurse Research Network (MASNRN): A Practice-Based Research Network to improve the quality of school nursing practice.

    PubMed

    Vessey, Judith A

    2007-04-01

    When school nurses embrace evidence-based practice (EBP), higher-quality care is provided to students, their families, and the larger community. Despite this, school nursing has been slow to embrace EBP. Practice-Based Research Networks (PBRNs), which capitalize on the combined strengths of clinicians and researchers to study clinical questions, are one approach to overcoming barriers towards advancing evidence-based practice (EBP) in school nursing. This article will briefly review EBP and PBRNs. The development of Massachusetts School Nurse Research Network (MASNRN), a PBRN designed to investigate health issues common across schools and to validate school nursing practice, will then be described. Details regarding MASNRN's mission, governance, communications systems, staffing, and network maintenance and funding will be explicated. MASNRN can serve as a model for PBRN development within the broader school nursing community.

  4. Health, equity, and reproductive risks in the workplace.

    PubMed

    Daniels, C R; Paul, M; Rosofsky, R

    1990-01-01

    Potential exposure to occupational reproductive hazards raises complex questions regarding health and gender discrimination in the workplace. On the one hand, growing scientific evidence suggests that workplace exposures to either sex can cause a wide range of disorders ranging from infertility to adverse pregnancy outcomes. On the other hand, policies alleging to protect workers from reproductive risks have often reinforced gender inequalities in the workplace. This article sheds new light on this continuing debate through an examination of the policy insights suggested by a recent study of reproductive hazard policies in Massachusetts. In what ways do policies evidenced in this study reflect or differ from historical patterns of protectionism? The article presents a political-legal review of reproductive hazard policies in the workplace, then examines the policy implications of the Massachusetts study, and finally presents the prescriptions for change that are implied by both the historical and contemporary evidence.

  5. eHealth in Denmark: a case study.

    PubMed

    Kierkegaard, Patrick

    2013-12-01

    Denmark is widely regarded as a leading country in terms of eHealth integration and healthcare delivery services. The push for eHealth adoption over that past 20 years in the Danish health sector has led to the deployment of multiple eHealth technologies. However, in reality the Danish healthcare suffers from eHealth system fragmentation which has led to eHealth's inability to reach full potential in delivering quality healthcare service. This paper will presents a case study of the current state of eHealth in the Danish healthcare system and discuss the current challenges the country is facing today.

  6. The Lolland-Falster Health Study

    ClinicalTrials.gov

    2016-10-06

    Impaired Health; Disease; Wellbeing; Mental Disorders; Atherosclerosis; Renal Insufficiency, Chronic; Skin Diseases; Urinary Incontinence; Personality; Coronary Disease; Ear Diseases; Nose Diseases; Pharyngeal Diseases; Chronic Disease

  7. A Snapshot of Homelessness in Massachusetts Public High Schools: 2005 Massachusetts Youth Risk Behavior Survey and Massachusetts Annual Homeless Enrollment Data

    ERIC Educational Resources Information Center

    Massachusetts Department of Education, 2007

    2007-01-01

    Data collected by the Massachusetts Department of Education (Department) during the 2005 Youth Risk Behavior Survey (YRBS) suggest that, despite significant efforts to identify homeless students, many are going undetected by their schools. Since the reauthorization of the McKinney Vento Homeless Assistance Education Improvement Act under the No…

  8. Cancer risk and residential proximity to cranberry cultivation in Massachusetts.

    PubMed Central

    Aschengrau, A; Ozonoff, D; Coogan, P; Vezina, R; Heeren, T; Zhang, Y

    1996-01-01

    OBJECTIVES: This study evaluated the relationship between cancer risk and residential proximity to cranberry cultivation. METHODS: A population-based case-control study was conducted. Cases, diagnosed during 1983 through 1986 among residents of the Upper Cape Cod area of Massachusetts, involved incident cancers of the lung (n = 252), breast (n = 265), colon-rectum (n = 326), bladder (n = 63), kidney (n = 35), pancreas (n = 37), and brain (n = 37), along with leukemia (n = 35). Control subjects were randomly selected from among telephone subscribers (n = 184), Medicare beneficiaries (n = 464), and deceased individuals (n = 723). RESULTS: No meaningful increases in risk were seen for any of the cancer sites except for the brain. When latency was considered, subjects who had ever lived within 2600 ft (780 m) of a cranberry bog had a twofold increased risk of brain cancer overall (95% confidence interval [CI] = 0.8, 4.9) and a 6.7-fold increased risk of astrocytoma (95% CI = 1.6, 27.8). CONCLUSIONS: Residential proximity to cranberry bog cultivation was not associated with seven of the eight cancers investigated; however, an association was observed with brain cancer, particularly astrocytoma. Larger, more detailed studies are necessary to elucidate this relationship. PMID:8806382

  9. Circulation and effluent dilution modeling in Massachusetts Bay : model implementation, verification and results

    USGS Publications Warehouse

    Signell, Richard P.; Jenter, Harry L.; Blumberg, Alan F.

    1996-01-01

    A three-dimensional hydrodynamic model was developed as part of a cooperative U.S. Geological Survey/Massachusetts Water Resources Authority program to study contaminated sediment accumulation and transport in Massachusetts Bay. This report details the development of the model and assesses how well the model represents observed currents and water properties in the bay. It also summarizes circulation and comparative effluent dilution simulations from existing and future Boston sewage outfalls over a three-year period from October 1, 1989 to December 31, 1992. The ECOM-si model, a semi-implicit version of the Blumberg and Mellor (1987) Estuarine, Coastal and Ocean Model, is shown to reproduce many of the important hydrodynamical features of Massachusetts Bay: the seasonal evolution of the pycnocline, the mean flow pattern, and the strength of sub-tidal current fluctuations. Throughout the simulation period, during both vertically well-mixed and stratified conditions, the seasonal statistics of observed currents are well-represented by the model. The model is therefore appropriate for studying the average dilution of sewage effluent and other continuously discharged substances over seasonal time scales. The ability of the model to reproduce individual flow events varies with season and location within the bay. Flow events during unstratified conditions in western Massachusetts Bay are particularly well-represented, indicating that the model is appropriate for studying processes such as the transport of suspended material from the future outfall site due to winter storms. Individual flow events during stratified conditions and in the offshore Stellwagen Bank region, however, are less well-represented due to small length scales (caused by upwelling and river discharge events) coupled with insufficient data to specify open boundary forcing from the Gulf of Maine. Thus while the model might be used to answer issues such as the frequency with which Gulf of Maine river

  10. Comparison of health risk behavior, awareness, and health benefit beliefs of health science and non-health science students: An international study.

    PubMed

    Peltzer, Karl; Pengpid, Supa; Yung, Tony K C; Aounallah-Skhiri, Hajer; Rehman, Rehana

    2016-06-01

    This study determines the differences in health risk behavior, knowledge, and health benefit beliefs between health science and non-health science university students in 17 low and middle income countries. Anonymous questionnaire data were collected in a cross-sectional survey of 13,042 undergraduate university students (4,981 health science and 8,061 non-health science students) from 17 universities in 17 countries across Asia, Africa, and the Americas. Results indicate that overall, health science students had the same mean number of health risk behaviors as non-health science university students. Regarding addictive risk behavior, fewer health science students used tobacco, were binge drinkers, or gambled once a week or more. Health science students also had a greater awareness of health behavior risks (5.5) than non-health science students (4.6). Linear regression analysis found a strong association with poor or weak health benefit beliefs and the health risk behavior index. There was no association between risk awareness and health risk behavior among health science students and an inverse association among non-health science students.

  11. Cost-Effectiveness Analysis of the Residential Provisions of the 2015 IECC for Massachusetts

    SciTech Connect

    Mendon, Vrushali V.; Zhao, Mingjie; Taylor, Zachary T.; Poehlman, Eric A.

    2016-02-15

    The 2015 IECC provides cost-effective savings for residential buildings in Massachusetts. Moving to the 2015 IECC from the 2012 IECC base code is cost-effective for residential buildings in all climate zones in Massachusetts.

  12. 76 FR 14067 - Notice of Inventory Completion: University of Massachusetts, Department of Anthropology, Amherst...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... Anthropology, Amherst, MA and Nantucket Historical Association, Nantucket, MA AGENCY: National Park Service... funerary object in the possession of the University of Massachusetts, Department of Anthropology, Amherst... human remains was made by University of Massachusetts, Department of Anthropology, professional staff...

  13. 75 FR 4548 - Energy Efficiency Program for Consumer Products: Commonwealth of Massachusetts Petition for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Office of Energy Efficiency and Renewable Energy Energy Efficiency Program for Consumer Products: Commonwealth of Massachusetts Petition for Exemption From Federal Preemption of Massachusetts'...

  14. Final Storm Sewer General Permit Issued for 260 Massachusetts Municipalities to Help Keep Local Waters Clean

    EPA Pesticide Factsheets

    BOSTON - Today, EPA issued final general permits updating requirements for small Municipal Separate Storm Sewer Systems (MS4) located in Massachusetts. The new permits will update stormwater management efforts across Massachusetts, better protecti

  15. Public health accreditation and metrics for ethics: a case study on environmental health and community engagement.

    PubMed

    Bernheim, Ruth Gaare; Stefanak, Matthew; Brandenburg, Terry; Pannone, Aaron; Melnick, Alan

    2013-01-01

    As public health departments around the country undergo accreditation using the Public Health Accreditation Board standards, the process provides a new opportunity to integrate ethics metrics into day-to-day public health practice. While the accreditation standards do not explicitly address ethics, ethical tools and considerations can enrich the accreditation process by helping health departments and their communities understand what ethical principles underlie the accreditation standards and how to use metrics based on these ethical principles to support decision making in public health practice. We provide a crosswalk between a public health essential service, Public Health Accreditation Board community engagement domain standards, and the relevant ethical principles in the Public Health Code of Ethics (Code). A case study illustrates how the accreditation standards and the ethical principles in the Code together can enhance the practice of engaging the community in decision making in the local health department.

  16. CONSIDERATION OF CHILDREN'S DISTINCTIVE SUSCEPTIBILITY IN ENVIRONMENTAL HEALTH STUDIES

    EPA Science Inventory

    Consideration of children's distinctive susceptibility in environmental health studies.
    Pauline Mendola (US EPA, National Health and Environmental Effects Research Laboratory, Research Triangle Park, NC 27711)

    Children are a particularly susceptible subpopulation with ...

  17. One Health and the Environment: Toxic Cyanobacteria, a Case Study

    EPA Science Inventory

    The study of environmental health typically focuses on human populations. However, companion animals, livestock and wildlife also experience adverse health effects from environmental pollutants. Animals may experience direct exposure to pollutants in ambient exposure situations. ...

  18. Spring 2006. Industry Study. Health Care Industry

    DTIC Science & Technology

    2006-01-01

    among 191 member countries in the extent to which caregivers are responsive to a patient’s expectations of receiving treatment with dignity and...other health practitioners. This segment of the industry includes the offices of chiropractors , optometrists, podiatrists, occupational and physical...Health Administration (OSHA), which mandates facility safety; Emergency Medical Treatment and Active Labor Act (EMTALA), which mandates policies to

  19. Shared Responsibility: Massachusetts Legislators, Physicians, and An Act Relative to Substance Use Treatment, Education, and Prevention.

    PubMed

    Rudder, Meghan; Tsao, Lulu; Jack, Helen E

    2016-09-01

    Recent passage of the Massachusetts law, An Act Relative to Substance Use, Treatment, Education, and Prevention, represents an admirable public health approach to substance use disorder (SUD), a stigmatized chronic disease that affects some of society's most vulnerable people. With its seven-day supply limit on first-time opioid prescriptions, this legislation takes an unusual approach to state government involvement in health care. By intervening in individual physicians' practices, state legislators have entered a space traditionally reserved for clinical teams. The seven-day supply limit and the process through which it was developed highlight competing priorities and dialogue between physicians and legislators, limits of physician self-regulation, and standards of evidence in policy making and health care. Addressing these issues requires both physicians and legislators to recognize and fulfill new responsibilities in order to better assist the populations they serve.

  20. Time-Series Photographs of the Sea Floor in Western Massachusetts Bay, 1996 - 2005

    USGS Publications Warehouse

    Butman, Bradford; Dalyander, P. Soupy; Bothner, Michael H.; Lange, William N.

    2008-01-01

    Time-series photographs of the sea floor were obtained from an instrumented tripod deployed in western Massachusetts Bay at LT-A (42? 22.6' N, 70? 47.0' W; 32 m water depth; fig. 1) from December 1989 through September 2005. The photographs provide time-series observations of physical changes of the sea floor, near-bottom water turbidity, and life on the sea floor. Two reports present these photographs in digital form (table 1) and chronological order. U.S. Geological Survey Data Series 265 (Butman and others, 2008a) contains the photographs obtained from December 1989 to October 1996. This report, U.S. Geological Survey Data Series 266 (Butman and others, 2008b), contains photographs obtained from October 1996 through September 2005. The photographs are published in separate reports because the data files are too large for distribution on a single DVD. This report also contains photographs that were published previously in an uncompressed format (Butman and others 2004a, b, and c; table 1); they have been compressed and included in this publication so that all of the photographs are available in the same format. The photographs, obtained every 4 or every 6 hours, are presented as individual photographs (in .png format, each accessible through a page of thumbnails) and as a movie (in .avi format). The time-series photographs taken at LT-A were collected as part of a U.S. Geological Survey (USGS) study to understand the transport and fate of sediments and associated contaminants in Massachusetts Bay and Cape Cod Bay (Bothner and Butman, 2007). This long-term study was carried out by the USGS in partnership with the Massachusetts Water Resources Authority (MWRA) (http://www.mwra.state.ma.us/) and with logistical support from the U.S. Coast Guard (USCG). Long-term oceanographic observations help to identify the processes causing bottom sediment resuspension and transport and provide data for developing and testing numerical models. The observations document seasonal

  1. HEALTH AND EXPOSURE RESEARCH FOR THE AGRICULTURAL COMMUNITY: THE AGRICULTURAL HEALTH STUDY

    EPA Science Inventory

    The Agricultural Health Study (AHS) is a collaborative effort between the National Cancer Institute, the National Institute of Environmental Health Sciences, the U.S. Environmental Protection Agency, and the National Institute for Occupational Safety and Health. The AHS is the...

  2. Healthy Sex and Sexual Health: New Directions for Studying Outcomes of Sexual Health

    ERIC Educational Resources Information Center

    Lefkowitz, Eva S.; Vasilenko, Sara A.

    2014-01-01

    Sexual behavior is an important aspect of adolescent development with implications for well-being. These chapters highlight important perspectives on studying sexual health from a normative, developmental perspective, such as viewing a range of sexual behaviors as life events; considering potentially positive physical health, mental health, social…

  3. Study on Student Health Literacy Gained through Health Education in Elementary and Middle Schools in China

    ERIC Educational Resources Information Center

    Yu, Xiaoming; Yang, Tubao; Wang, Shumei; Zhang, Xin

    2012-01-01

    Background: Health education in primary and middle schools in China has been implemented for more than two decades since 1990s. This study aims to assess the students' health literacy gained through school health education, and provide scientific base to the concerned government agencies for updating the relevant national policy for school-based…

  4. From the School Health Education Study to the National Health Education Standards: Concepts Endure

    ERIC Educational Resources Information Center

    Nobiling, Brandye D.; Lyde, Adrian R.

    2015-01-01

    Background: The landmark School Health Education Study (SHES) project influenced by the conceptual approach to teaching and learning provides perspective on modern school health instruction. Conceptual education, the cornerstone of the SHES curriculum framework (CF), "Health Education: A Conceptual Approach to Curriculum Design," fosters…

  5. Hepatitis C Is Poorly Associated With Drug Use in Cambodian Americans in Lowell, Massachusetts

    PubMed Central

    Yu, Catherine; Gifford, Allen L.; Christiansen, Cindy L.; Drainoni, Mari-Lynn

    2016-01-01

    Background. Hepatitis C (HCV) is the most common chronic blood-borne infection in the United States and affects Asian and non-Asian Americans comparably. Injection drug use, the most common national transmission risk, is not as prevalent in Asian-Americans, but prior studies do not include many Cambodian Americans. Lowell, Massachusetts has the second largest population of Cambodian Americans, allowing a direct comparison of HCV-infected Cambodian and non-Cambodian Americans not previously done. Improving our understanding of HCV risks in this unique community may improve their linkage to care. Methods. In this cross-sectional study, medical data were collected regarding HCV risk factors for HCV-infected Cambodian and non-Cambodian Americans seen at Lowell Community Health Center from 2009 to 2012. Results. Cambodian Americans (n = 128) were older (mean age 53 vs 43 years old) and less likely to be male (41% vs 67%, P < .001) compared with non-Cambodians (n = 541). Cambodians had lower rates of injection drug use (1.6% vs 33.6%, P < .001) and any drug use (2.3% vs 82.1%, P < .001). More Cambodians were born between 1945 and 1965 (66.4% vs 44.5%). Within this birth cohort, more Cambodians had no other risk factor (82% vs 69%, P = .02). Fewer Cambodians had chronic HCV (53% vs 74%, P < .001). Conclusions. Birth between 1945 and 1965 was the major HCV risk factor for Cambodian Americans. Cambodians had lower rates of injection drug use or any drug use history. Risk behavior screening fails to describe HCV transmission for Cambodian Americans and creates a barrier to their linkage to care. PMID:27419171

  6. Doctorate in nursing practice: a survey of massachusetts nurses.

    PubMed

    DeMarco, Rosanna F; Pulcini, Joyce; Haggerty, Lois A; Tang, Trinh

    2009-01-01

    Recently, the American Association of Colleges of Nursing (AACN) resolved that a new practice degree, the doctorate in nursing practice (DNP), is to become the terminal practice degree and minimum education standard for advanced practice nurses by the year 2015(American Association of Colleges of Nursing. (2004). AACN position statement on the practice doctorate in nursing. Retrieved July 1, 2007, from http://www.aacn.nche.edu.html). The DNP will have a clinical-intensive focus. Advanced practice nurses potentially impacted by this resolution will include nurse practitioners, nurse anesthetists, nurse midwives, and clinical nurse specialists. A task force at the William F. Connell School of Nursing at Boston College conducted an electronic survey in 2006 in an attempt to understand nurses' thoughts about doctoral preparation and the interest of nurses in Massachusetts in pursuing doctoral study. A self-selected group of 376 nurses participated in the study. Nurses identified both positive and negative perceptions related to the degree's viability and practicality, with a majority (55%) preferring the DNP as an educational option.

  7. Associations of PM2.5 Constituents and Sources with Hospital Admissions: Analysis of Four Counties in Connecticut and Massachusetts (USA) for Persons ≥ 65 Years of Age

    PubMed Central

    Ebisu, Keita; Leaderer, Brian P.; Gent, Janneane F.; Lee, Hyung Joo; Koutrakis, Petros; Wang, Yun; Dominici, Francesca; Peng, Roger D.

    2013-01-01

    Background: Epidemiological studies have demonstrated associations between short-term exposure to PM2.5 and hospital admissions. The chemical composition of particles varies across locations and time periods. Identifying the most harmful constituents and sources is an important health and regulatory concern. Objectives: We examined pollutant sources for associations with risk of hospital admissions for cardiovascular and respiratory causes. Methods: We obtained PM2.5 filter samples for four counties in Connecticut and Massachusetts and analyzed them for PM2.5 elements. Source apportionment was used to estimate daily PM2.5 contributions from sources (traffic, road dust, oil combustion, and sea salt as well as a regional source representing coal combustion and other sources). Associations between daily PM2.5 constituents and sources and risk of cardiovascular and respiratory hospitalizations for the Medicare population (> 333,000 persons ≥ 65 years of age) were estimated with time-series analyses (August 2000–February 2004). Results: PM2.5 total mass and PM2.5 road dust contribution were associated with cardiovascular hospitalizations, as were the PM2.5 constituents calcium, black carbon, vanadium, and zinc. For respiratory hospitalizations, associations were observed with PM2.5 road dust, and sea salt as well as aluminum, calcium, chlorine, black carbon, nickel, silicon, titanium, and vanadium. Effect estimates were generally robust to adjustment by co-pollutants of other constituents. An interquartile range increase in same-day PM2.5 road dust (1.71 μg/m3) was associated with a 2.11% (95% CI: 1.09, 3.15%) and 3.47% (95% CI: 2.03, 4.94%) increase in cardiovascular and respiratory admissions, respectively. Conclusions: Our results suggest some particle sources and constituents are more harmful than others and that in this Connecticut/Massachusetts region the most harmful particles include black carbon, calcium, and road dust PM2.5. Citation: Bell ML, Ebisu K

  8. Vertical Migration Potential of Metal Contaminants at Small Arms Firing Ranges, Camp Edwards Military Reservation, Massachusetts.

    DTIC Science & Technology

    1998-03-01

    Vertical Migration Potential of Metal Contaminants at Small Arms Firing Ranges. Camp Edwards Military Reservation, Massachusetts by R. Mark Bricka , Yilda...Military Reservation, Massachusetts by R. Mark Bricka , Yilda B. Rivera, Patrick N. Deliman U.S. Army Corps of Engineers Waterways Experiment...Reservation, Massachusetts / by R. Mark Bricka , Yiida B. Rivera, Patrick N. Deliman; prepared for Massachusetts Military Reservation. 198 p.: ill.; 28

  9. AGRICULTURAL HEALTH STUDY/PESTICIDE EXPOSURE STUDY: STUDY DESIGN AND PRELIMINARY BIOMARKER RESULTS

    EPA Science Inventory

    The Agricultural Health Study (AHS) is a collaborative effort between the National Cancer Institute, the National Institute of Environmental Health Sciences, and the U.S. Environmental Protection Agency to quantify cancer and non-cancer health risks in the agricultural communit...

  10. High-water marks from tropical storm Irene for selected river reaches in northwestern Massachusetts, August 2011

    USGS Publications Warehouse

    Bent, Gardner C.; Medalie, Laura; Nielsen, Martha G.

    2013-01-01

    A Presidential Disaster Declaration was issued for Massachusetts, with a focus on the northwestern counties, following flooding from tropical storm Irene on August 28–29, 2011. Three to 10 inches of rain fell during the storm on soils that were susceptible to flash flooding because of wet antecedent conditions. The gage height at one U.S. Geological Survey (USGS) streamgage rose nearly 20 feet in less than 4 hours because of the combination of saturated soils and intense rainfall. Eight of 16 USGS long-term streamgages in western Massachusetts set new peaks of record on August 28 or 29, 2011. To document the historic water levels of the streamflows from tropical storm Irene, the USGS identified, flagged, and surveyed 323 high-water marks in the Deerfield and Hudson- Hoosic River basins in northwestern Massachusetts. Areas targeted for high-water marks were generally upstream and downstream from structures along selected river reaches. Elevations from high-water marks can be used to confirm peak river stages or help compute peak streamflows, to calibrate hydraulic models, or to update flood-inundation and recovery maps. For areas in western Massachusetts that flooded as a result of tropical storm Irene, high-water marks surveyed for this study have helped to confirm or determine instantaneous peak river gage heights at several USGS streamgages.

  11. Feminist health care in a hostile environment: a case study of the Womancare Health Center.

    PubMed

    Hyde, Cheryl A

    2008-01-01

    This article presents a case study of the Womancare Health Center in order to illustrate the development of and challenges to the feminist health movement in the United States. Specific attention is placed on the legislative, fiscal, and direct actions by the New Right against this organization. Analysis focuses on the means through which Womancare survived. The repercussions of constant intimidation and harassment for women's health programs and for health care policy overall are discussed.

  12. Petrography of the Athol quadrangle, Massachusetts

    USGS Publications Warehouse

    Mook, Anita Louise

    1967-01-01

    The Athol quadrangle of north-central Massachusetts is underlain by high-grade metamorphosed amphibolites, gneisses, schists, calc-silicate gneisses, quartzites, and orthogneisses. These include the Monson Gneiss of Middle Ordovician or older age, the Partridge Formation of Middle Ordovician age, and the Middle to Late Devonian Hardwick Granite of the New Hampshire Plutonic Series. The Monson Gneiss is a series of interlayered biotite and hornblende gneisses and amphibolites. They were originally felsic to mafic tuffs and minor flows that were deposited in shallow seas.- The light-gray gneisses are characterized by uniform bedding and minor magnetite and hornblende. The amphibolites generally show bedding and contain quartz, some of which is thought to have been introduced during deposition and consolidation in their marine environment. The Partridge Formation includes schists generally having graphite, sillimanite, cordierite, and a lack of potash feldspar; fine-grained, equigranular calc-silicate gneisses; minor quartzites; and minor amphibolites similar to those of the Monson Gneiss. The Hardwick Granite is an undifferentiated igneous complex which includes the Bethlehem. Gneiss, Kinsman Quartz Monzonite, Spaulding Quartz Diorite, and Concord Granite of the New Hampshire Plutonic Series. In general there are two distinctive rock types: granite and tonalite. The granite is characterized by red-brown biotite and zoned apatite crystals; the tonalite is finer grained, has dark-olive or green-brown biotite, and has relatively large amounts of sphene and allanite. A non-foliated, crosscutting, sulfidic mafic dike is thought to belong to the Late Devonian Plutonic Series of Page (in preparation).

  13. Welfare state regimes, health and health inequalities in adolescence: a multilevel study in 32 countries.

    PubMed

    Richter, Matthias; Rathman, Katharina; Nic Gabhainn, Saoirse; Zambon, Alessio; Boyce, William; Hurrelmann, Klaus

    2012-07-01

    Comparative research on health and health inequalities has recently started to establish a welfare regime perspective. The objective of this study was to determine whether different welfare regimes are associated with health and health inequalities among adolescents. Data were collected from the 'Health Behaviour in School-aged Children' study in 2006, including 11- to 15-year-old students from 32 countries (N = 141,091). Prevalence rates and multilevel logistic regression models were calculated for self-rated health (SRH) and health complaints. The results show that between 4 per cent and 7 per cent of the variation in both health outcomes is attributable to differences between countries. Compared to the Scandinavian regime, the Southern regime had lower odds ratios for SRH, while for health complaints the Southern and Eastern regime showed high odds ratios. The association between subjective health and welfare regime was largely unaffected by adjusting for individual socioeconomic position. After adjustment for the welfare regime typology, the country-level variations were reduced to 4.6 per cent for SRH and to 2.9 per cent for health complaints. Regarding cross-level interaction effects between welfare regimes and socioeconomic position, no clear regime-specific pattern was found. Consistent with research on adults this study shows that welfare regimes are important in explaining variations in adolescent health across countries.

  14. 40 CFR 81.142 - Central Massachusetts Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Air Quality Control Regions § 81.142 Central Massachusetts Intrastate Air Quality Control Region. The Central Massachusetts Intrastate Air Quality Control Region consists of the territorial area encompassed... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Central Massachusetts Intrastate...

  15. Massachusetts Primer on Special Education and Charter Schools. Section II: Information for State Officials and Others

    ERIC Educational Resources Information Center

    Massachusetts Department of Elementary and Secondary Education, 2009

    2009-01-01

    This paper presents the second part of "Massachusetts Primer on Special Education and Charter Schools." This section is an introduction for new staff members of state agencies and others who need an overview of topics related to Massachusetts students with disabilities enrolled in Massachusetts charter schools. The information focuses on…

  16. Reform, Redistribution, and Relief for Massachusetts Public School Districts. Part I.

    ERIC Educational Resources Information Center

    Zollo, Felix J., Jr.

    This practicum report describes a step-by-step plan followed by the author and his employer, the Massachusetts Teachers' Association (MTA), to correct the fiscal disparities that existed in the Massachusetts school finance system and to provide property tax relief to Massachusetts taxpayers. The plan included assessing the existing Massachusetts…

  17. 75 FR 62115 - Energy Conservation Program for Consumer Products: Commonwealth of Massachusetts Petition for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-07

    .... Massachusetts' Petition Summary IV. DOE Analysis and Discussion A. Massachusetts Has More Heating Degree-Days.... Massachusetts Residential Heating Loads Compete with Power Plant Loads D. The High Percentage of Rental Housing..., and Heating Institute (AHRI) and American Gas Association (AGA)), utilities (Bay State Gas...

  18. Healthy sex and sexual health: new directions for studying outcomes of sexual health.

    PubMed

    Lefkowitz, Eva S; Vasilenko, Sara A

    2014-01-01

    Sexual behavior is an important aspect of adolescent development with implications for well-being. These chapters highlight important perspectives on studying sexual health from a normative, developmental perspective, such as viewing a range of sexual behaviors as life events; considering potentially positive physical health, mental health, social health, and identity outcomes; examining both intraindividual and interindividual differences in outcomes; recognizing the romantic relationship context of sexual behavior; and understanding how sexual media may impact sexual health outcomes. We suggest new directions for studying sexual health outcomes, such as studying behaviors beyond vaginal sex and condom use, new methodologies such as latent class analysis, sophisticated longitudinal designs, and collection and analysis of dyadic data. We recommend research on populations underrepresented in sexual health research such as late adolescents who do not attend traditional universities and adolescents from ethnic/racial minorities. Finally, we consider future directions for sexuality education and prevention efforts.

  19. A Study of Global Health Elective Outcomes

    PubMed Central

    Russ, Christiana M.; Tran, Tony; Silverman, Melanie; Palfrey, Judith

    2017-01-01

    Background and Objectives: To identify the effects of global health electives over a decade in a pediatric residency program. Methods: This was an anonymous email survey of the Boston Combined Residency alumni funded for global health electives from 2002 to 2011. A test for trend in binomial proportions and logistic regression were used to document associations between elective and participant characteristics and the effects of the electives. Qualitative data were also analyzed. Results: Of the 104 alumni with available email addresses, 69 (66%) responded, describing 94 electives. Elective products included 27 curricula developed, 11 conference presentations, and 7 academic publications. Thirty-two (46%) alumni continued global health work. Previous experience, previous travel to the site, number of global electives, and cumulative global elective time were associated with postresidency work in global health or with the underserved. Conclusions: Resident global electives resulted in significant scholarship and teaching and contributed to long-term career trajectories. PMID:28229096

  20. Modeling the tides of Massachusetts and Cape Cod bays

    USGS Publications Warehouse

    Jenter, H.L.; Signell, R.P.; Blumberg, A.F.; ,

    1993-01-01

    A time-dependent, three-dimensional numerical modeling study of the tides of Massachusetts and Cape Code Bays, motivated by construction of a new sewage treatment plant and ocean outfall for the city of Boston, has been undertaken by the authors. The numerical model being used is a hybrid version of the Blumberg and Mellor ECOM3D model, modified to include a semi-implicit time-stepping scheme and transport of a non-reactive dissolved constituent. Tides in the bays are dominated by the semi-diurnal frequencies, in particular by the M2 tide, due to the resonance of these frequencies in the Gulf of Maine. The numerical model reproduces, well, measured tidal ellipses in unstratified wintertime conditions. Stratified conditions present more of a problem because tidal-frequency internal wave generation and propagation significantly complicates the structure of the resulting tidal field. Nonetheless, the numerical model reproduces qualitative aspects of the stratified tidal flow that are consistent with observations in the bays.

  1. Employee health benefit redesign at the academic health center: a case study.

    PubMed

    Marshall, Julie; Weaver, Deirdre C; Splaine, Kevin; Hefner, David S; Kirch, Darrell G; Paz, Harold L

    2013-03-01

    The rapidly escalating cost of health care, including the cost of providing health care benefits, is a significant concern for many employers. In this article, the authors examine a case study of an academic health center that undertook a complete redesign of its health benefit structure to control rising costs, encourage use of its own provider network, and support employee wellness. With the implementation in 2006 of a high-deductible health plan combined with health reimbursement arrangements and wellness incentives, the Penn State Hershey Medical Center (PSHMC) was able to realize significant cost savings and increase use of its own network while maintaining a high level of employee satisfaction. By contracting with a single third-party administrator for its self-insured plan, PSHMC reduced its administrative costs and simplified benefit choices for employees. In addition, indexing employee costs to salary ensured that this change was equitable for all employees, and the shift to a consumer-driven health plan led to greater employee awareness of health care costs. The new health benefit plan's strong focus on employee wellness and preventive health has led to significant increases in the use of preventive health services, including health risk assessments, cancer screenings, and flu shots. PSHMC's experience demonstrates the importance of clear and ongoing communication with employees throughout--before, during, and even after--the process of health benefit redesign.

  2. Health Literacy among Adults: A Study from Turkey

    ERIC Educational Resources Information Center

    Ozdemir, H.; Alper, Z.; Uncu, Y.; Bilgel, N.

    2010-01-01

    Patients' health literacy is increasingly recognized as a critical factor affecting health communication and outcomes. We performed this study to assess the levels of health literacy by using Rapid Estimate of Adult Literacy in Medicine (REALM) and Newest Vital Sign (NVS) instruments. Patients (n = 456) at a family medicine clinic completed…

  3. The Georgia Health Education Study: A Summary Report.

    ERIC Educational Resources Information Center

    Georgia Univ., Athens. Dept. of Health and Safety.

    This summary review of the Georgia Health Education Study is a statistical presentation of scores achieved by over four thousand freshman college students in the university system of Georgia to questions on health knowledge. Data compiled from the administration of the Fast-Tyson Health Knowledge Test (1975 revision) indicates that subject…

  4. The first decade of the Massachusetts Tobacco Control Program.

    PubMed Central

    Koh, Howard K.; Judge, Christine M.; Robbins, Harriet; Celebucki, Carolyn Cobb; Walker, Deborah K.; Connolly, Gregory N.

    2005-01-01

    This article provides a comprehensive overview of the first decade of the Massachusetts Tobacco Control Program (MTCP). Born after Massachusetts passed a 1992 ballot initiative raising cigarette excise taxes to fund the program, MTCP greatly reduced statewide cigarette consumption before being reduced to a skeletal state by funding cuts. The article describes the program's components and goals, details outcomes, presents a summary of policy accomplishments, and reviews the present status of MTCP in the current climate of national and state fiscal crises. The first decade of the MTCP offers many lessons learned for the future of tobacco control. PMID:16224981

  5. Computerized mental health assessment in integrative health clinics: a cross-sectional study using structured interview.

    PubMed

    Leung, Sau Fong; French, Peter; Chui, Caroline; Arthur, David

    2007-12-01

    Computerized mental health assessment is gaining popularity. It enables the standardization of assessment of clinical problems, increases the capacity to collect sensitive or confidential information, facilitates personal assessment at one's own pace, and offers rapid screening of mental health status. The use of computer technology to conduct mental health assessment was an initiative proposed for two nurse-led integrative health clinics affiliated to a University in Hong Kong. It was intended to provide an efficient screening for depression, anxiety, alcohol abuse, and problem gambling common in the primary health-care settings to facilitate early intervention. This study was conducted to assess the effectiveness of using a computerized health assessment kiosk to perform mental health assessment. The assessment items were derived from an abbreviated World Health Organization Mental Disorders Checklist and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Criteria for Pathological Gambling. The study involved an opportunity sample of 31 subjects who volunteered to complete the computerized mental health assessment during their waiting time in the clinics. The results showed that most subjects had positive feelings about using a computer to perform a mental health assessment and had increased understanding of their mental health. Suggestions made to improve computerized mental health assessments included touch screen, voice instructions, and enlarged print font size.

  6. Health literacy practices and educational competencies for health professionals: a consensus study.

    PubMed

    Coleman, Clifford A; Hudson, Stan; Maine, Lucinda L

    2013-01-01

    Health care professionals often lack adequate knowledge about health literacy and the skills needed to address low health literacy among patients and their caregivers. Many promising practices for mitigating the effects of low health literacy are not used consistently. Improving health literacy training for health care professionals has received increasing emphasis in recent years. The development and evaluation of curricula for health professionals has been limited by the lack of agreed-upon educational competencies in this area. This study aimed to identify a set of health literacy educational competencies and target behaviors, or practices, relevant to the training of all health care professionals. The authors conducted a thorough literature review to identify a comprehensive list of potential health literacy competencies and practices, which they categorized into 1 or more educational domains (i.e., knowledge, skills, attitudes) or a practice domain. The authors stated each item in operationalized language following Bloom's Taxonomy. The authors then used a modified Delphi method to identify consensus among a group of 23 health professions education experts representing 11 fields in the health professions. Participants rated their level of agreement as to whether a competency or practice was both appropriate and important for all health professions students. A predetermined threshold of 70% agreement was used to define consensus. After 4 rounds of ratings and modifications, consensus agreement was reached on 62 out of 64 potential educational competencies (24 knowledge items, 27 skill items, and 11 attitude items), and 32 out of 33 potential practices. This study is the first known attempt to develop consensus on a list of health literacy practices and to translate recommended health literacy practices into an agreed-upon set of measurable educational competencies for health professionals. Further work is needed to prioritize the competencies and practices in

  7. Public sexual health promotion interventions and strategies: A qualitative study

    PubMed Central

    Khalesi, Zahra Bostani; Simbar, Masoumeh; Azin, Seyed Ali; Zayeri, Farid

    2016-01-01

    Introduction Sexual health promotion is the process of enabling people to increase control over their sexual health that should be based on people’s needs and abilities. The aim of this study was to explore public sexual health promotion interventions and strategies. Methods This study was a qualitative content analysis approach. This qualitative study was a qualitative part of an exploratory sequential qualitative-quantitative study that took place between November 2014 and May 2015 and was conducted in Rasht, Iran. Data were collected using semi-structured interviews with 38 engaged and married men and women as well as nine key informants. The data were analyzed by the content analysis method and by using qualitative data analysis software MAXqda 2011. Results Analyzing participants’ perspectives and experiences revealed two main categories, i.e., 1) General actions to promote sexual health (with three sub-categories: public policies promoting sexual health, development of sexual health supporting environments, and removal of barriers to receiving services) and 2) Specific actions in the current health system (with three sub-categories: economic policy, empowering individuals and the society, and reviewing the current health system). Conclusions General actions (public policies, supporting environments developed, and removal of barriers to receiving services) and integration of specific actions in the health system, such as empowering individuals’ needs for promoting sexual health. Achieving these goals necessitates the review of the current health system in Iran. PMID:27504163

  8. Drinking water quality and hospital admissions of elderly people for gastrointestinal illness in Eastern Massachusetts, 1998-2008.

    PubMed

    Beaudeau, Pascal; Schwartz, Joel; Levin, Ronnie

    2014-04-01

    We used a Poisson regression to compare daily hospital admissions of elderly people for acute gastrointestinal illness in Boston against daily variations in drinking water quality over an 11-year period, controlling for weather, seasonality and time trends. The Massachusetts Water Resources Authority (MWRA), which provides non-filtered water to 1.5 million people in the greater Boston area, changed its disinfection method from chlorination to ozonation during the study period so we were also able to evaluate changes in risk associated with the change in disinfection method. Other available water quality data from the MWRA included turbidity, fecal coliforms, UV-absorbance, and planktonic algae and cyanobacteriae concentrations. Daily weather, rainfall data and water temperature were also available. Low water temperature, increases in turbidity and, to a lesser extent, in fecal coliform and cyanobacteriae were associated with a higher risk of hospital admissions, while the shift from chlorination to ozonation has possibly reduced the health risk. The MWRA complied with US drinking water regulations throughout the study period.

  9. Ombudsmen in health care: case study of a municipal health ombudsman

    PubMed Central

    da Silva, Rita de Cássia Costa; Pedroso, Marcelo Caldeira; Zucchi, Paola

    2014-01-01

    OBJECTIVE To analyze the role of a Municipal Health Ombudsman and its contribution to the public health management from the perspective of the public health system users and the municipal health counselors. METHODS Qualitative research approach using the case study, descriptive and transversal methods. The unit of analysis was a Municipal Health Ombudsman, in the state of Minas Gerais, Southeastern Brazil, between May and August 2010. The study was observational in nature and data were collected through interviews with two groups of stakeholders: users and municipal health counselors. We interviewed 44 Brazilian Unified Health System users who had made direct use of the Municipal Health Ombudsman and all 20 municipal health counselors. The data obtained were analyzed based on three issues: (1) nature of the data obtained; (2) discussion of subsidies to qualify the ombudsman’s functioning as a management tool; (3) proposals for actions to improve democratic management in the area of public health. RESULTS The complaints to the ombudsman denoted difficulties in access to health care services running the risk of their being perceived as shortcuts to gaining accessibility, disregarding the principle of social justice. The role of the ombudsman has the citizens’ approval. Users reported the following main functions of the ombudsman: to support the resolution of health problems, to listen and to clarify issues regarding Brazilian Unified Health System operations and procedures. Information was emphasized by health counselors as an instrument of power and access to the rights of Brazilian Unified Health System users. They highlighted that the ombudsman has the role of ensuring justice to foster an effective health policy, besides playing an important mediating role between the board of the municipal health system, its managers and citizens. Furthermore, the ombudsman was shown to have an execution role that transcends its regular functions. CONCLUSIONS The study found

  10. Qualitative methods in environmental health research.

    PubMed Central

    Brown, Phil

    2003-01-01

    Public health researchers increasingly turn to qualitative methods either on their own or in combination with quantitative methods. Qualitative methods are especially important to community environmental health research, as they provide a way to produce community narratives that give voice to individuals and characterize the community in a full and complex fashion. This article first traces the legacy of qualitative research in environmental health, then uses a case study of the author's experiences studying the Woburn, Massachusetts, childhood leukemia cluster to provide personal and scholarly insights on qualitative approaches. That material then informs a discussion of important components of qualitative methods in environmental health research, including flexible study design, access, trust, empathy, and personal shifts in the researcher's worldview, bias, and the nature of the researcher's roles. A concluding discussion addresses issues in funding policy and research practices. PMID:14594634

  11. Health Services Mobility Study, Plan of Work.

    ERIC Educational Resources Information Center

    City Univ. of New York Research Foundation, NY.

    To determine ways and means of facilitating horizontal and vertical mobility within New York City's Health Services Administration and selected private hospitals, a systems approach was adopted. Methodology for manpower development and training in an organizational setting related to the educational system and other accrediting institutions will…

  12. Substance abuse treatment in the Commonwealth of Massachusetts: gaps, consequences and solutions.

    PubMed

    Brolin, Mary F; Horgan, Constance; Amaro, Hortensia; Doonan, Michael

    2005-11-17

    This issue brief outlines five strategies for improving the quality of treatment in Massachusetts: (1) Engaging detoxification clients in a broader continuum of treatment, (2) Improving retention in treatment, (3) Providing client/family-centered services, (4) Increasing the use of evidence-based treatment approaches, and (5) Supporting recovery to address the chronic nature of substance use disorders. These strategies are essential to maximizing the impact of our substance abuse dollars. We need to do it right and then expand access to treatment more broadly and fill the treatment gap. Although not the focus of this report we need to think harder about upfront prevention and efforts to encourage more people to seek care. Part of the public strategy also requires better coordination between BSAS, MassHealth, provider organizations, and other state agencies, including criminal justice and mental health agencies. Through these efforts we can reduce the costs and consequences of substance abuse and build a healthier, more productive community.

  13. Women's health bridges and barriers: a qualitative study.

    PubMed

    Parvizy, Soroor; Kiani, Kiandokht; Ivbijaro, Gabriel

    2013-01-01

    The authors aimed to understand the social bridges and social barriers to women's health in Iran. We used a qualitative content analysis method and interviewed 22 women. The participants identified appropriate employment, physical exercise, and cultural and educational development as social bridges to women's health. Social barriers to women's health included gender inequalities, burden of responsibility, and financial difficulties. Based on the results of this study, we suggest an interdisciplinary approach to plan social-based health programs in order to improve women's health outcomes in the developing countries such as Iran.

  14. Massachusetts Educational Assessment Program. Science and Ecology 1976-1977.

    ERIC Educational Resources Information Center

    Massachusetts State Dept. of Education, Boston.

    Biology, Chemistry, Earth Science, Physics, and Ecology assessment instruments were administered to approximately 1,800 nine year old and 1,800 seventeen year old Massachusetts students. The 9 year old students exceeded the performance of a national and international sampling of students. They equaled the performance of a sampling of students from…

  15. Massachusetts Institute of Technology Artificial Intelligence Laboratory Bibliography.

    ERIC Educational Resources Information Center

    Massachusetts Inst. of Tech., Cambridge. Artificial Intelligence Lab.

    Massachusetts Institute of Technology (MIT) presents a bibliography of more than 350 reports, theses, and papers from its artificial intelligence laboratory. Title, author, and identification number are given for all items, and most also have a date and contract number. Some items are no longer available, and others may be obtained from National…

  16. An Analysis of the Charter School Facility Landscape in Massachusetts

    ERIC Educational Resources Information Center

    National Alliance for Public Charter Schools, 2013

    2013-01-01

    In the spring of 2012, the Massachusetts Charter Public School Association, the Colorado League of Charter Schools, and the National Alliance for Public Charter Schools worked to collect data that would reveal and accurately portray the adequacy of charter school facilities and the average spending for facilities out of charter schools' operating…

  17. Schools and Programs of Choice: Voluntary Desegregation in Massachusetts.

    ERIC Educational Resources Information Center

    Missal, Gerald E., Ed.

    Described in this document are a number of magnet school programs developed and operating in Massachusetts as part of a voluntary school desegregation plan. A historical perspective of magnet school development is provided along with definitions and guidelines of both magnet schools and magnet education programs. These definitions and guidelines…

  18. The Massachusetts Board of Higher Education, 1990-2002.

    ERIC Educational Resources Information Center

    Massachusetts State Board of Higher Education, Boston.

    This report traces the history and accomplishments of the Massachusetts Board of Higher Education over the past 12 years, during 3 state administrations. In the early 1990s, as the Commonwealth was feeling the impact of recession, the perceived quality of the system was declining, as were enrollments and retention. State policymakers and leaders…

  19. Preliminary Analysis of the Massachusetts Preservation Needs Assessment Survey.

    ERIC Educational Resources Information Center

    Trinkaus-Randall, Gregor

    As a result of a lack of information about the preservation of library and archives materials in Massachusetts libraries and records repositories, a survey was conducted to determine the preservation needs of public, academic and special libraries (including museums), manuscript repositories, historical societies and town clerks' offices. The…

  20. Building an Activist Union: The Massachusetts Society of Professors

    ERIC Educational Resources Information Center

    Page, Max; Clawson, Dan

    2009-01-01

    In 2002, during yet another budget crisis produced in large measure by the state's tax-cutting mania, Massachusetts proposed a massive cut in the university's budget. Through an early retirement incentive, the state wanted to reduce the faculty by 10 percent. No one was prepared to fight back. Despite UMass Amherst's long history of activism, and…

  1. North looking view of portion of Massachusetts and New Hampshire

    NASA Technical Reports Server (NTRS)

    1973-01-01

    A north looking view of portions of Massachusetts and New Hampshire in this Skylab 3 Earth Resources Experiments Package S190-B (five-inch earth terrain camera) infrared photograph taken from the Skylab space station in Earth orbit. This picture includes a view of Boston and Boston Bay, Lowell, Manchester, Lawrence, and Salem.

  2. Lead Policy and Academic Performance: Insights from Massachusetts

    ERIC Educational Resources Information Center

    Reyes, Jessica Wolpaw

    2015-01-01

    In this article, Jessica Wolpaw Reyes investigates the link between lead exposure and student achievement in Massachusetts. Childhood exposure to even low levels of lead can adversely affect neurodevelopment, behavior, and cognitive performance. Using a panel dataset of cohorts of children born in the 1990s who were third and fourth graders in the…

  3. A Look at the Condition of Education in Massachusetts

    ERIC Educational Resources Information Center

    d'Entremont, Chad

    2014-01-01

    Leaders engaged in Massachusetts' public higher education system--including at community colleges, state universities, and UMass--have demonstrated their strong commitment to improvement in recent years. The state Department of Higher Education's Vision Project is focused on reforms necessary to "produce the best educated citizenry and…

  4. Drunken Driver Education and Rehabilitation in Massachusetts. FY '89.

    ERIC Educational Resources Information Center

    Jaffee, Kim

    In Massachusetts, rehabilitation opportunities are graduated, increasingly intensive, and determined by the number of prior convictions for driving under the influence of liquor (DUIL). Convicted first offenders may choose participation in a 40-hour educational rehabilitation program. Individuals convicted of a second DUIL offense may participate…

  5. Hydrologic conditions in Massachusetts during water year 2014

    USGS Publications Warehouse

    Verdi, Richard J.

    2015-01-01

    Hydrologic data and conditions throughout Massachusetts during water year 2014 (October 1, 2013, to September 30, 2014) are presented in this report. Stream discharge and groundwater levels during water year 2014 varied geographically across the State. The data are described as being above, below, or near normal in relation to long-term averages for the period of record.

  6. Massachusetts Taxes: A Factual Guide to Future Action.

    ERIC Educational Resources Information Center

    Massachusetts Advisory Council on Education, Boston.

    Without making recommendations, this pamphlet compares Massachusetts taxes with those of other States, projects major tax revenues, compares growth experience of major taxes, considers the incidence of various taxes on high and low income groups, examines recent tax legislation, shows what revenues could be expected with changed tax rates, and…

  7. Massachusetts Expanded Learning Time Initiative 2010-11 Update

    ERIC Educational Resources Information Center

    Massachusetts 2020, 2011

    2011-01-01

    2010 was a pioneering year for Massachusetts public schools. State leaders recognized that while the Commonwealth leads the nation in student achievement on national measures such as NAEP (National Assessment of Educational Progress), more needed to be done to close the persistent achievement gaps between our wealthy and poor students. Combining a…

  8. Massachusetts Changes Its Approach to Educator Preparation Programs

    ERIC Educational Resources Information Center

    Peske, Heather; Losee, Liz; Comb, Meagan

    2015-01-01

    One of the core priorities of the Massachusetts Board of Elementary and Secondary Education (BESE), articulated in its most recent strategic plan, focuses on educator capacity. In 2012, BESE passed new program approval standards for educator preparation programs across the state. The standards ushered in new expectations for the 80 sponsoring…

  9. 40 CFR 282.71 - Massachusetts State-Administered Program.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 28 2012-07-01 2012-07-01 false Massachusetts State-Administered Program. 282.71 Section 282.71 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID... do not relate to underground storage tanks and with respect to underground storage tanks insofar...

  10. Profile of State High School Exit Exam Policies. Massachusetts

    ERIC Educational Resources Information Center

    Center on Education Policy, 2011

    2011-01-01

    This individual profile provides information on Massachusetts' high school exit exam standards and policies. Some of the categories presented include: (1) State exit exam policy; (2) Type of Test; (3) Purpose; (4) Major changes in exit exam policy since the 2009-10 school year for financial reasons; (5) Subjects tested on exam; (6) Grade exam…

  11. Ethnic Group Schooling and the Massachusetts Transitional Bilingual Education Act.

    ERIC Educational Resources Information Center

    Chin, Big-Qu; Duda, Halyna

    Ethnic schools (supplementary schools conducted on Saturday and weekday afternoons and religion-affiliated day schools) in the Boston area were surveyed in order to determine the effect of the Massachusetts Transitional Bilingual Education Act (TBEA) on ethnic schooling and the possibilities of ethnic school involvement with TBEA. The schools…

  12. 40 CFR 282.71 - Massachusetts State-Administered Program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Environmental Protection, 1 Winter Street, Boston, MA 02108 or Massachusetts Department of Fire Services, P.O. Box 1025, State Road, Stowe, MA 01775. The elements are listed below: (1) State statutes and... Program Description (PD) and any other material submitted as part of the original application in...

  13. 40 CFR 282.71 - Massachusetts State-Administered Program.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Environmental Protection, 1 Winter Street, Boston, MA 02108 or Massachusetts Department of Fire Services, P.O. Box 1025, State Road, Stowe, MA 01775. The elements are listed below: (1) State statutes and... Program Description (PD) and any other material submitted as part of the original application in...

  14. Cost effectiveness of the 1995 model energy code in Massachusetts

    SciTech Connect

    Lucas, R.G.

    1996-02-01

    This report documents an analysis of the cost effectiveness of the Council of American Building Officials` 1995 Model Energy Code (MEC) building thermal-envelope requirements for single-family houses and multifamily housing units in Massachusetts. The goal was to compare the cost effectiveness of the 1995 MEC to the energy conservation requirements of the Massachusetts State Building Code-based on a comparison of the costs and benefits associated with complying with each.. This comparison was performed for three cities representing three geographical regions of Massachusetts--Boston, Worcester, and Pittsfield. The analysis was done for two different scenarios: a ``move-up`` home buyer purchasing a single-family house and a ``first-time`` financially limited home buyer purchasing a multifamily condominium unit. Natural gas, oil, and electric resistance heating were examined. The Massachusetts state code has much more stringent requirements if electric resistance heating is used rather than other heating fuels and/or equipment types. The MEC requirements do not vary by fuel type. For single-family homes, the 1995 MEC has requirements that are more energy-efficient than the non-electric resistance requirements of the current state code. For multifamily housing, the 1995 MEC has requirements that are approximately equally energy-efficient to the non-electric resistance requirements of the current state code. The 1995 MEC is generally not more stringent than the electric resistance requirements of the state code, in fact; for multifamily buildings the 1995 MEC is much less stringent.

  15. A Common Wealth: Views in Massachusetts Humanities Education.

    ERIC Educational Resources Information Center

    Manuel, J. Jack, Ed.

    Descriptions of ways in which educators are humanizing the educative process comprise this collection of articles by Humanities teachers in Massachusetts. The Process of Humanizing discusses the Quincy Method after 25 years of progress, why contemporary man must learn to humanize the product of education, and how a popular song can show ways to…

  16. Asian Pacific Americans in Quincy. Community Profiles in Massachusetts.

    ERIC Educational Resources Information Center

    Massachusetts Univ., Boston. Inst. for Asian American Studies.

    The Community Profiles Project uses data from the 1990 U.S. Census to describe some of the population characteristics of Asian Pacific Americans in selected Massachusetts cities and towns. The profiles include basic statistics relating to income, employment, education, and housing. This information can assist policy makers and practitioners in…

  17. Hydrologic Data of the Neponset and Weymouth River Basins, Massachusetts

    USGS Publications Warehouse

    Brackley, R.A.; Fleck, William B.; Willey, Richard E.

    1973-01-01

    The well and boring data contained herein were selected from a larger group of data in order to minimize redundancy of information for intensely drilled areas. All of the data are on filed and available for inspection at the office of the U.S. Geological Survey, Water Resources Division, Boston, Massachusetts.

  18. 46 CFR 7.15 - Massachusetts Bay, MA.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... § 7.15 Massachusetts Bay, MA. A line drawn from latitude 42°37.9′ N. longitude 70°31.2′ W. (Cape Ann Lighted Whistle Buoy “2”) to latitude 42°22.7′ N. longitude 70°47.0′ W. (Boston Lighted Horn Buoy...

  19. Serials Conversion at the University of Massachusetts at Amherst.

    ERIC Educational Resources Information Center

    Banach, Patricia; Spell, Cynthia

    1988-01-01

    Describes a project in which OCLC retrospectively converted more than 27,000 serial titles held by the University of Massachusetts Library at Amherst. Details of the reasons for choosing OCLC, the contract between the library and OCLC, and the effectiveness of the project in meeting the library's goals are discussed. (Author/CLB)

  20. Enrichment in Massachusetts Expanded Learning Time (ELT) Schools. Issue Brief

    ERIC Educational Resources Information Center

    Caven, Meghan; Checkoway, Amy; Gamse, Beth; Luck, Rachel; Wu, Sally

    2012-01-01

    This brief highlights key information about enrichment activities, which represent one of the main components of the Massachusetts Expanded Learning Time (ELT) initiative. Over time, the ELT initiative has supported over two dozen schools across the Commonwealth. A comprehensive evaluation of the ELT initiative found that implementation of the…

  1. Collaborative Planning in Massachusetts Expanded Learning Time (ELT). Issue Brief

    ERIC Educational Resources Information Center

    Caven, Meghan; Checkoway, Amy; Gamse, Beth

    2012-01-01

    The Massachusetts Expanded Learning Time (ELT) initiative is designed to improve academic outcomes by increasing the amount of learning time for students. Schools are expected to provide opportunities to teachers for collaborative planning and professional development as well as add time to the school day or year for instructional and enrichment…

  2. Reproductive deficits in male freshwater turtle Chrysemys picta from Cape Cod, Massachusetts.

    PubMed

    Kitana, Noppadon; Won, Seung Jae; Callard, Ian P

    2007-03-01

    Contaminated groundwater plumes have formed on the Massachusetts Military Reservation (MMR), a Superfund site on Cape Cod, Massachusetts, as a result of chemical waste disposal. The plumes are of concern to the local people who rely on groundwater as a drinking water source. We used the freshwater turtle as a sentinel species to monitor the reproductive effects of exposure and, by inference, the potential for impact on human health. Our observations of male Chrysemys picta field-trapped from Moody Pond (an impacted site) and Washburn Pond (a reference site) on Cape Cod extended and supported prior observations of reproductive deficits. Morphometric comparison of precloacal length (PCL), which is a sexually dimorphic trait in the turtle, showed that Moody Pond males had a significantly longer PCL than Washburn Pond males. Moody Pond turtles showed reduced testicular weight, which was associated with significantly smaller seminiferous tubule diameter. Epididymal sperm counts were also markedly reduced in Moody Pond animals compared to Washburn Pond animals. Testicular histology and gonial proliferation, as determined by PCNA, were similar in both male populations, while the Moody Pond males had significantly higher germ cell apoptosis than the animals in Washburn Pond. These results suggest that a low-level mixture of xenobiotic contaminants impairs the reproductive functions of turtles exposed to the impacted site but not to the reference site environment.

  3. The Norwegian Institute of Public Health Twin Study of Mental Health: Examining Recruitment and Attrition Bias

    PubMed Central

    Tambs, Kristian; Rønning, Torbjørn; Prescott, C. A.; Kendler, Kenneth S.; Reichborn-Kjennerud, Ted; Torgersen, Svenn; Harris, Jennifer R.

    2009-01-01

    All Norwegian twin pairs born 1967–1974 and still living in Norway in 1992 were invited to a health questionnaire study (Q1). 2,570 pairs (65%) participated. These cohorts and the twin cohorts born 1967–1979 were invited to a new questionnaire study (Q2) in 1998. This time 3,334 pairs (53%) participated. Almost all pairs having participated in the 1998 study were invited to an interview study of mental health (MHS), taking place 1999–2004. 1,391 complete pairs (44%) participated. The questionnaire studies included extensive data on somatic health with fewer items on mental health and demography. Health-related and demographic information available from the Medical Birth Registry on all invited twins was applied to predict participation to the first study. A few registry variables indicating poor health predicted nonparticipation in Q1. Health information and demography from Q1 were tested as predictors of participation in the follow-up study (Q2). Monozygosity, female sex, being unmarried, having no children, and high education predicted participation, whereas few indicators of poor mental and somatic health and unhealthy lifestyle moderately predicted nonparticipation in Q2. No health indicators reported in Q2 predicted further participation. Standard genetic twin analyses of indicators of various mental disorders from Q2, validated by diagnostic data from the MHS, did not indicate differences in genetic/environmental covariance structures between participants and nonparticipants in MHS. In general the results show a moderate selection towards good mental and somatic health. Attrition from Q2 to the MHS does not appear to affect twin analyses of mental health related variables. PMID:19335186

  4. Preliminary assessment report for Army Aviation Support Facility 2, Installation 25075, Westover Air Force Base, Chicopee, Massachusetts. Installation Restoration Program

    SciTech Connect

    Haffenden, R.; Flaim, S.

    1993-08-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Massachusetts Army National Guard (MAARNG) property known as the Army Aviation Support Facility 2 (AASF 2) near Chicopee, Massachusetts. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, quantities of hazardous substances present, and potential pathways by which contamination could affect public health and the environment. The AASF 2 is a 10-acre site located in the western portion of Massachusetts, in the town of Chicopee, in the county of Hampden. The facilities included in this PA are Building 7400, adjacent paved areas, grassy areas, and the hazardous waste drum storage buildings. The environmentally significant operations (ESOS) associated with the property are (1) the waste drum storage area, (2) abandoned underground storage tanks (USTs), and (3) refueling activities.

  5. Health Auctions: a Valuation Experiment (HAVE) study protocol

    PubMed Central

    Kularatna, Sanjeewa; Petrie, Dennis; Scuffham, Paul A; Byrnes, Joshua

    2016-01-01

    Introduction Quality-adjusted life years are derived using health state utility weights which adjust for the relative value of living in each health state compared with living in perfect health. Various techniques are used to estimate health state utility weights including time-trade-off and standard gamble. These methods have exhibited limitations in terms of complexity, validity and reliability. A new composite approach using experimental auctions to value health states is introduced in this protocol. Methods and analysis A pilot study will test the feasibility and validity of using experimental auctions to value health states in monetary terms. A convenient sample (n=150) from a population of university staff and students will be invited to participate in 30 auction sets with a group of 5 people in each set. The 9 health states auctioned in each auction set will come from the commonly used EQ-5D-3L instrument. At most participants purchase 2 health states, and the participant who acquires the 2 ‘best’ health states on average will keep the amount of money they do not spend in acquiring those health states. The value (highest bid and average bid) of each of the 24 health states will be compared across auctions to test for reliability across auction groups and across auctioneers. A test retest will be conducted for 10% of the sample to assess reliability of responses for health states auctions. Feasibility of conducting experimental auctions to value health states will also be examined. The validity of estimated health states values will be compared with published utility estimates from other methods. This pilot study will explore the feasibility, reliability and validity in using experimental auction for valuing health states. Ethics and dissemination Ethical clearance was obtained from Griffith University ethics committee. The results will be disseminated in peer-reviewed journals and major international conferences. PMID:27056589

  6. eHealth and mHealth initiatives in Bangladesh: A scoping study

    PubMed Central

    2014-01-01

    Background The health system of Bangladesh is haunted by challenges of accessibility and affordability. Despite impressive gains in many health indicators, recent evidence has raised concerns regarding the utilization, quality and equity of healthcare. In the context of new and unfamiliar public health challenges including high population density and rapid urbanization, eHealth and mHealth are being promoted as a route to cost-effective, equitable and quality healthcare in Bangladesh. The aim of this paper is to highlight such initiatives and understand their true potential. Methods This scoping study applies a combination of research tools to explore 26 eHealth and mHealth initiatives in Bangladesh. A screening matrix was developed by modifying the framework of Arksey & O’Malley, further complemented by case study and SWOT analysis to identify common traits among the selected interventions. The WHO health system building blocks approach was then used for thematic analysis of these traits. Results Findings suggest that most eHealth and mHealth initiatives have proliferated within the private sector, using mobile phones. The most common initiatives include tele-consultation, prescription and referral. While a minority of projects have a monitoring and evaluation framework, less than a quarter have undertaken evaluation. Most of the initiatives use a health management information system (HMIS) to monitor implementation. However, these do not provide for effective sharing of information and interconnectedness among the various actors. There are extremely few individuals with eHealth training in Bangladesh and there is a strong demand for capacity building and experience sharing, especially for implementation and policy making. There is also a lack of research evidence on how to design interventions to meet the needs of the population and on potential benefits. Conclusion This study concludes that Bangladesh needs considerable preparation and planning to sustain eHealth

  7. A mixed methods study of Canadian adolescents’ perceptions of health

    PubMed Central

    Pickett, William; Vandemeer, Eleanor; Taylor, Brian; Davison, Colleen

    2016-01-01

    Health perceptions adopted during childhood lay foundations for adult health trajectories and experiences. This study used a sequential mixed methods design to generate new evidence about child perceptions of health in two samples of Canadian children. A core qualitative study was followed by a complementary quantitative analysis to aid interpretation. Generational theory was used as a lens through which to interpret all data. Findings suggested that good health is perceived as customized and subjective. The strengths and liabilities of these perceptions are discussed, as well as implications for health promotion and prevention strategies. Through intentional consideration of the perspectives of this population group, this study makes both empirical and theoretical contributions to appreciating how cultural environments shape health perceptions. PMID:27741955

  8. A mixed methods study of Canadian adolescents' perceptions of health.

    PubMed

    Michaelson, Valerie; Pickett, William; Vandemeer, Eleanor; Taylor, Brian; Davison, Colleen

    2016-01-01

    Health perceptions adopted during childhood lay foundations for adult health trajectories and experiences. This study used a sequential mixed methods design to generate new evidence about child perceptions of health in two samples of Canadian children. A core qualitative study was followed by a complementary quantitative analysis to aid interpretation. Generational theory was used as a lens through which to interpret all data. Findings suggested that good health is perceived as customized and subjective. The strengths and liabilities of these perceptions are discussed, as well as implications for health promotion and prevention strategies. Through intentional consideration of the perspectives of this population group, this study makes both empirical and theoretical contributions to appreciating how cultural environments shape health perceptions.

  9. The Porto Alegre Early Life Nutrition and Health Study

    PubMed Central

    Chaffee, Benjamin W.; Vitolo, Márcia Regina; Feldens, Carlos Alberto

    2015-01-01

    Early childhood caries is a persistent worldwide problem. The etiologic contribution of feeding practices has been less frequently investigated in prospective studies of young children. The Porto Alegre Early Life Nutrition and Health Study has followed a birth cohort of 715 mother-child pairs, recruited from municipal health centers, originally involved in a cluster-randomized controlled trial of healthcare worker training. The birth cohort links prospectively collected socio-demographic, infant feeding, and general and oral health information. To date, oral health data, including caries status and oral health related quality of life, have been collected for 458 children at age 2-3 years. Studies are underway to investigate possible determinants and consequences of oral health among these children. PMID:25388499

  10. Health Information Management System for Elderly Health Sector: A Qualitative Study in Iran

    PubMed Central

    Sadoughi, Farahnaz; Shahi, Mehraban; Ahmadi, Maryam; Davaridolatabadi, Nasrin

    2016-01-01

    Background: There are increasing change and development of information in healthcare systems. Given the increase in aging population, managers are in need of true and timely information when making decision. Objectives: The aim of this study was to investigate the current status of the health information management system for the elderly health sector in Iran. Materials and Methods: This qualitative study was conducted in two steps. In the first step, required documents for administrative managers were collected using the data gathering form and observed and reviewed by the researcher. In the second step, using an interview guide, the required information was gathered through interviewing experts and faculty members. The convenience, purposeful and snowball sampling methods were applied to select interviewees and the sampling continued until reaching the data saturation point. Finally, notes and interviews were transcribed and content analysis was used to analyze them. Results: The results of the study showed that there was a health information management system for the elderly health sector in Iran. However, in all primary health care centers the documentation of data was done manually; the data flow was not automated; and the analysis and reporting of data are also manually. Eventually, decision makers are provided with delayed information. Conclusions: It is suggested that the steward of health in Iran, the ministry of health, develops an appropriate infrastructure and finally puts a high priority on the implementation of the health information management system for elderly health sector in Iran. PMID:27186383

  11. ASSESSING EXPOSURE CLASSIFICATION IN THE AGRICULTURAL HEALTH STUDY

    EPA Science Inventory

    The Agricultural Health Study (AHS) is a prospective epidemiologic study examining cancer and non-cancer health outcomes for over 55,000 pesticide applicators and 34,000 spouses in Iowa and North Carolina. Questionnaires were used to collect information about the use of specific ...

  12. Telecourse Study Guide to "Here's to Your Health."

    ERIC Educational Resources Information Center

    Richards, Donna

    This study guide was prepared to accompany "Here's to Your Health," a telecourse focusing on lifestyle factors influencing health, which was designed to provide the tools necessary for achieving and maintaining an optimal, healthy lifestyle. For each of 27 lessons, the study guide presents learning objectives, an overview of content, study…

  13. The curious case of cyberchondria: A longitudinal study on the reciprocal relationship between health anxiety and online health information seeking.

    PubMed

    Te Poel, Fam; Baumgartner, Susanne E; Hartmann, Tilo; Tanis, Martin

    2016-10-01

    The current study is the first to longitudinally investigate the reciprocal relationship between online health information seeking and health anxiety, i.e., cyberchondria. Expectations were that health anxious individuals who go online to find health information, experience an increase in health anxiety, which in turn will reinforce online seeking. A 4-wave longitudinal survey study among 5322 respondents aged 16-93 was conducted. Our results showed that individuals who are more health anxious than others, search online for health information more. Moreover, the results provided initial evidence for the expected reciprocal relationship between health anxiety and online health information seeking in respondents with non-clinical levels of health anxiety at the start of the study. However, this reciprocal relationship could not be found in a subsample of clinically health anxious individuals. Although for these individuals online health information seeking did not seem to exacerbate health anxiety levels, it might still serve as a maintaining factor of clinical health anxiety.

  14. Health promotion in local churches in Victoria: an exploratory study.

    PubMed

    Ayton, Darshini; Manderson, Lenore; Smith, Ben J; Carey, Gemma

    2016-11-01

    Church-based health promotion has increasingly gained attention in strategies to address health disparities. In Australia, we have limited understanding of the role of local churches in health promotion and without this, how they might be involved in meaningful partnerships to tackle public health challenges. The objective of this qualitative study was to explore how churches are involved in health promotion in the state of Victoria. The research involved in-depth interviews with ministers from 30 churches in urban and rural Victoria, and case studies with 10 of these churches to enable further exploration. These case studies, conducted in 2010, included interviews with church staff, focus groups with volunteers, participant observation and document analysis. Analysis was iterative, utilising open, axial and thematic coding. Three different expressions of church - traditional, new modern and emerging - were identified and found to differentiate the levels and types of health promotion activity. Case studies illustrate the different expressions of how church mission influences health promotion activity. The traditional churches were involved particularly in disease screening and health education activities with their own, predominantly older congregation members. The new modern churches tended to have the material and human resources to be harnessed in health promotion activities involving congregation members and others. Emerging churches, in contrast, engaged in broad health-promoting activities, including disease prevention, lifestyle activities and socio-ecological approaches at a community level. These research findings highlight the opportunities and challenges of engaging with local churches in health promotion efforts and public health programmes to address health inequities.

  15. Sediment quantity and quality in three impoundments in Massachusetts

    USGS Publications Warehouse

    Zimmerman, Marc James; Breault, Robert F.

    2003-01-01

    As part of a study with an overriding goal of providing information that would assist State and Federal agencies in developing screening protocols for managing sediments impounded behind dams that are potential candidates for removal, the U.S Geological Survey determined sediment quantity and quality at three locations: one on the French River and two on Yokum Brook, a tributary to the west branch of the Westfield River. Data collected with a global positioning system, a geographic information system, and sediment-thickness data aided in the creation of sediment maps and the calculation of sediment volumes at Perryville Pond on the French River in Webster, Massachusetts, and at the Silk Mill and Ballou Dams on Yokum Brook in Becket, Massachusetts. From these data the following sediment volumes were determined: Perryville Pond, 71,000 cubic yards, Silk Mill, 1,600 cubic yards, and Ballou, 800 cubic yards. Sediment characteristics were assessed in terms of grain size and concentrations of potentially hazardous organic compounds and metals. Assessment of the approaches and methods used at study sites indicated that ground-penetrating radar produced data that were extremely difficult and time-consuming to interpret for the three study sites. Because of these difficulties, a steel probe was ultimately used to determine sediment depth and extent for inclusion in the sediment maps. Use of these methods showed that, where sampling sites were accessible, a machine-driven coring device would be preferable to the physically exhausting, manual sediment-coring methods used in this investigation. Enzyme-linked immunosorbent assays were an effective tool for screening large numbers of samples for a range of organic contaminant compounds. An example calculation of the number of samples needed to characterize mean concentrations of contaminants indicated that the number of samples collected for most analytes was adequate; however, additional analyses for lead, copper, silver

  16. Mental health nurses' contributions to community mental health care: An Australian study.

    PubMed

    Heslop, Brett; Wynaden, Dianne; Tohotoa, Jenny; Heslop, Karen

    2016-10-01

    Australian mental health policy is focused on providing mental health care in the community setting and community mental health teams provide services to clients in a shared model with primary care. The historical literature reports that community mental health nurses' experience high levels of stress and are often allocated the most complex and challenging clients managed by the team. Yet information on their specific roles remains limited. This paper reports on research conducted at one Australian public mental health service to identify the components of the community mental health nursing role and to quantify the time nurses spent in each component during the study period. Six focus groups were conducted with community mental health nurses to identify their perceived role within the team. Data analysis identified 18 components of which 10 were related to direct clinical contact with clients and eight covered administrative and care coordination activities. A data collection tool based on the findings of the focus groups was designed and nurses recorded workload data on the tool in 15-min intervals over a 4-week period. Seventeen nurses collected 1528 hours of data. Internal coordination of care was identified as the top workload item followed by clinical documentation and national data collection responsibilities supporting the complexity of the community mental health nursing role. The high rating attached to the internal coordination of care role demonstrates an important contribution that community mental health nurses make to the functioning of the team and the delivery of quality mental health care.

  17. Bioaccumulation of metals by blue mussel (Mytilus edulis) deployed in New Bedford Harbor, Massachusetts

    SciTech Connect

    McGovern, D.G.; Bergen, B.J.; Nelson, W.G.

    1995-12-31

    As part of a marine Superfund site remedial monitoring program, blue mussels, Mytilus edulis, were deployed for 28 day intervals to monitor the levels of bioavailable copper, cadmium, lead, nickel and zinc in New Bedford Harbor, Massachusetts. Dissolved and particulate seawater samples were collected periodically during twelve separate deployments and analyzed for these metals also. Bioconcentration factors, the concentration in mussel tissue normalized to dissolved, particulate and total seawater concentrations, were calculated. Previous studies conducted at this site demonstrated that these six metals bioconcentrate in blue mussels and that bioaccumulation patterns vary for each metal. The sources of this variability are discussed with respect to the partitioning of each metal in seawater.

  18. Bedrock geologic map of the Worcester South quadrangle, Worcester County, Massachusetts

    USGS Publications Warehouse

    Walsh, Gregory J.; Merschat, Arthur J.

    2015-09-29

    The bedrock geology was mapped to study the tectonic history of the area and to provide a framework for ongoing hydrogeologic characterization of the fractured bedrock of Massachusetts. This report presents mapping by Gregory J. Walsh and Arthur J. Merschat from 2008 to 2010. The report consists of a map and GIS database, both of which are available for download at http://dx.doi.org/ 10.3133/sim3345. The database includes contacts of bedrock geologic units, faults, outcrop locations, structural information, and photographs.

  19. Development of the drug-exposed infant identification algorithm (DEIIA) and its application to measuring part C early intervention referral and eligibility in Massachusetts, 1998-2005.

    PubMed

    Derrington, Taletha Mae

    2013-11-01

    The objectives of this study were to develop an algorithm using government-collected administrative data to identify prenatally drug-exposed infants (DEI) and determine the percent who were referred to and eligible for Part C Early Intervention (EI) in Massachusetts. Data from the population-based Pregnancy to Early Life Longitudinal (PELL) Data System were used to develop the Drug-Exposed Infant Identification Algorithm (DEIIA). The DEIIA uses positive toxicology screens on the birth certificate and International Classification of Diseases, 9th Edition, Clinical Modification diagnostic codes in hospital records of the mother (prenatal and birth) and infant (birth and postnatal) to identify infants affected by substance abuse/dependence, withdrawal, and/or prenatal exposure to non-medical use of controlled substances. PELL-EI data linkages were used to determine the percent referred, evaluated, and eligible. The DEIIA identified 7,348 drug-exposed infants born in Massachusetts from 1998 to 2005 to resident mothers (1.2 % of all births). Most DEI (82.6 %) were identified from maternal/infant birth hospital records. Sixty-one percent of all DEI were referred to EI; 87.2 % of those referred were evaluated, and 89.4 % of those evaluated were found eligible. EI data contained information on drug exposure for 59.9 % of referred DEI. Only 2.8 % of MA resident births who were referred to EI but not identified by the DEIIA had drug indicators in EI data. DEI referrals to EI are federally mandated, but many are not referred. The DEIIA uses data available in most states and could be used as a public health screening tool to improve access to developmental services for DEI.

  20. RESPIRATORY HEALTH OF RURAL AND FARM WOMEN IN THE KEOKUK COUNTY RURAL HEALTH STUDY

    EPA Science Inventory

    RESPIRATORY HEALTH OF RURAL AND FARM WOMEN IN THE KEOKUK COUNTY RURAL HEALTH STUDY
    Allison L. Naleway*, Nancy L. Sprince?, Erik R. Svendsen?, Ann M. Stromquist?, James A. Merchant?
    *Marshfield Medical Research and Education Foundation, Marshfield, WI; ?University of Iowa Co...

  1. Health Status and Satisfaction with Health Care: Results from the Medical Outcomes Study.

    ERIC Educational Resources Information Center

    Marshall, Grant N.; And Others

    1996-01-01

    Relations between self-assessed health status and satisfaction with health care were examined using two waves of data obtained from participants in the Medical Outcomes Study. Using a multisample covariance modeling framework, separate models were examined for patients with significant symptoms of depression (N=417) and patients with chronic…

  2. Cardiovascular Health and Arterial Stiffness: The Maine Syracuse Longitudinal Study

    PubMed Central

    Crichton, Georgina E; Elias, Merrill F; Robbins, Michael A

    2014-01-01

    Ideal cardiovascular health is a recently defined construct by the American Heart Association (AHA) to promote cardiovascular disease reduction. Arterial stiffness is a major risk factor for cardiovascular disease. The extent to which the presence of multiple prevalent cardiovascular risk factors and health behaviors is associated with arterial stiffness is unknown. The aim of this study was to examine the association between the AHA construct of cardiovascular health and arterial stiffness, as indexed by pulse wave velocity and pulse pressure. The AHA health metrics, comprising of four health behaviors (smoking, body mass index, physical activity, and diet) and three health factors (total cholesterol, blood pressure, and fasting plasma glucose) were evaluated among 505 participants in the Maine-Syracuse Longitudinal Study. Outcome measures were carotid-femoral pulse wave velocity (PWV) and pulse pressure measured at 4 to 5-year follow-up. Better cardiovascular health, comprising both health factors and behaviors, was associated with lower arterial stiffness, as indexed by pulse wave velocity and pulse pressure. Those with at least five health metrics at ideal levels had significantly lower PWV (9.8 m/s) than those with two or less ideal health metrics (11.7 m/s) (P<0.001). This finding remained with the addition of demographic and PWV-related variables (P=0.004). PMID:24384629

  3. PRELIMINARY HEALTH BURDEN ANALYSIS FOR EPIDEMIOLOGIC RECREATIONAL WATER STUDY

    EPA Science Inventory

    Introduction: The National Epidemiological and Environmental Assessment of Recreational Water Study (NEEAR) offers a rare opportunity for researchers. The study's design involves the collection of health data before and after visiting the beach in conjunction with water quality...

  4. Workplace Health and Safety.

    ERIC Educational Resources Information Center

    Massachusetts Career Development Inst., Springfield.

    This booklet is one of six texts from a workplace literacy curriculum designed to assist learners in facing the increased demands of the workplace. It is a short guide to workplace health and safety issues, laws, and regulations, especially in Massachusetts. Topics covered include the following: (1) safety issues--workplace ergonomics, the…

  5. Nutrition and health - the association between eating behavior and various health parameters: a matched sample study.

    PubMed

    Burkert, Nathalie T; Muckenhuber, Johanna; Großschädl, Franziska; Rásky, Eva; Freidl, Wolfgang

    2014-01-01

    Population-based studies have consistently shown that our diet has an influence on health. Therefore, the aim of our study was to analyze differences between different dietary habit groups in terms of health-related variables. The sample used for this cross-sectional study was taken from the Austrian Health Interview Survey AT-HIS 2006/07. In a first step, subjects were matched according to their age, sex, and socioeconomic status (SES). After matching, the total number of subjects included in the analysis was 1320 (N = 330 for each form of diet - vegetarian, carnivorous diet rich in fruits and vegetables, carnivorous diet less rich in meat, and carnivorous diet rich in meat). Analyses of variance were conducted controlling for lifestyle factors in the following domains: health (self-assessed health, impairment, number of chronic conditions, vascular risk), health care (medical treatment, vaccinations, preventive check-ups), and quality of life. In addition, differences concerning the presence of 18 chronic conditions were analyzed by means of Chi-square tests. Overall, 76.4% of all subjects were female. 40.0% of the individuals were younger than 30 years, 35.4% between 30 and 49 years, and 24.0% older than 50 years. 30.3% of the subjects had a low SES, 48.8% a middle one, and 20.9% had a high SES. Our results revealed that a vegetarian diet is related to a lower BMI and less frequent alcohol consumption. Moreover, our results showed that a vegetarian diet is associated with poorer health (higher incidences of cancer, allergies, and mental health disorders), a higher need for health care, and poorer quality of life. Therefore, public health programs are needed in order to reduce the health risk due to nutritional factors.

  6. A search strategy for occupational health intervention studies

    PubMed Central

    Verbeek, J; Salmi, J; Pasternack, I; Jauhiainen, M; Laamanen, I; Schaafsma, F; Hulshof, C; van Dijk, F

    2005-01-01

    Background: As a result of low numbers and diversity in study type, occupational health intervention studies are not easy to locate in electronic literature databases. Aim: To develop a search strategy that facilitates finding occupational health intervention studies in Medline, both for researchers and practitioners. Methods: A gold standard of articles was created by going through two whole volumes of 19 biomedical journals, both occupational health specialty and non-occupational health journals. Criteria for occupational health intervention studies were: evaluating an intervention with an occupational health outcome and a study design with a control group. Each journal was searched independently by two of the authors. Search terms were developed by asking specialists and counting word frequencies in gold standard articles. Results: Out of 11 022 articles published we found 149 occupational health intervention studies. The most sensitive single terms were work*[tw] (sensitivity 71%, specificity 88%) and effect*[tw] (sensitivity 75%, specificity 63%). The most sensitive string was (effect*[tw] OR control*[tw] OR evaluation*[tw] OR program*[tw]) AND (work*[tw] OR occupation*[tw] OR prevention*[tw] OR protect*[tw]) (sensitivity 89%, specificity 78%). The most specific single terms were "occupational health"[tw] (sensitivity 22%, specificity 98%) and effectiveness[tw] (sensitivity 22%, specificity 98%). The most specific string was (program[tw] OR "prevention and control"[sh]) AND (occupational[tw] OR worker*[tw]) (sensitivity 47%, specificity 98%). Conclusion: No single search terms are available that can locate occupational health intervention studies sufficiently. The authors' search strings have acceptable sensitivity and specificity to be used by researchers and practitioners respectively. Redefinition and elaboration of keywords in Medline could greatly facilitate the location of occupational health intervention studies. PMID:16169913

  7. Health promotion activities of sports clubs and coaches, and health and health behaviours in youth participating in sports clubs: the Health Promoting Sports Club study

    PubMed Central

    Kokko, Sami; Selänne, Harri; Alanko, Lauri; Heinonen, Olli J; Korpelainen, Raija; Savonen, Kai; Vasankari, Tommi; Kannas, Lasse; Kujala, Urho M; Aira, Tuula; Villberg, Jari; Parkkari, Jari

    2015-01-01

    Introduction Sports clubs form a potential setting for health promotion, but the research is limited. The aim of the Health Promoting Sports Club (HPSC) study was to elucidate the current health promotion activities of youth sports clubs and coaches, and to investigate the health behaviours and health status of youth participating in sports clubs compared to non-participants. Methods and analysis The study design employs cross-sectional multilevel and multimethod research with aspirations to a prospective cohort study in the next phase. The setting-based variables at sports clubs and coaching levels, and health behaviour variables at the individual level, are investigated using surveys; and total levels of physical activity are assessed using objective accelerometer measurements. Health status variables will be measured by preparticipation screening. The health promotion activity of sports clubs (n=154) is evaluated by club officials (n=313) and coaches (n=281). Coaches and young athletes aged 14–16 (n=759) years evaluate the coaches’ health promotion activity. The survey of the adolescents’ health behaviours consist of two data sets—the first is on their health behaviours and the second is on musculoskeletal complaints and injuries. Data are collected via sports clubs (759 participants) and schools 1650 (665 participants and 983 non-participants). 591 (418 athletes and 173 non-athletes) youth, have already participated in preparticipation screening. Screening consists of detailed personal medical history, electrocardiography, flow-volume spirometry, basic laboratory analyses and health status screening, including posture, muscle balance, and static and dynamic postural control tests, conducted by sports and exercise medicine specialists. Ethics and dissemination The HPSC study is carried out conforming with the declaration of Helsinki. Ethical approval was received from the Ethics Committee of Health Care District of Central Finland. The HPSC study is

  8. Income and Health in Accra, Ghana: Results from a Time Use and Health Study

    PubMed Central

    Fink, Günther; Weeks, John R.; Hill, Allan G.

    2012-01-01

    This paper uses newly collected household survey data from Accra, Ghana, to investigate whether incomes affect acute and chronic health outcomes in settings that can be considered representative for the large and rapidly growing urban centers of sub-Saharan Africa. The Time Use and Health Study in Accra collected information on incomes, current health status, and health care use from 5,484 persons in 1,250 households, each repeatedly sampled on a rolling basis for a period of 13 weeks. Data collection took place during September 2008–March 2010 to capture seasonal variations. The study found that incomes varied widely between households, and that a high fraction of persons lived below the poverty line. Despite this level of income poverty and an overall remarkably high burden of treatable disease, no systematic differences in self-reported and objectively measured health conditions were detected across socioeconomic groups. PMID:22927498

  9. Study on environmental health strategy after earthquake.

    PubMed

    Lin, Y

    1989-12-01

    The first task in prevention of diseases after an earthquake is to quickly provide an adequate source of safe drinking water. Otherwise, the incidence of infectious intestinal diseases in the disaster area residents will increase rapidly. Additional health measures, such as disinfecting drinking water, protecting the water source, and treating disaster area residents, must be taken at the same time. The sensory test of meat is a useful index of meat decomposition levels. Corpse alkali is a kind of toxic chemical, and personal protective measures must be taken in handling corpses. In general, all of these measures are important not only for achieving the goal of "no severe epidemic after strong earthquake disaster" in the affected areas, but also for enriching knowledge of disaster medicine.

  10. Prevalence of Tumors in Brown Bullhead from Three Lakes in Southeastern Massachusetts, 2002

    USGS Publications Warehouse

    Baumann, Paul C.; LeBlanc, Denis R.; Blazer, Vicki; Meier, John R.; Hurley, Stephen T.; Kiryu, Yasu

    2008-01-01

    The Massachusetts Military Reservation (MMR) has been a military base on western Cape Cod since the early 1900s. Contaminated surface water and ground water from the MMR have discharged into several kettle lakes on or near the base. To discover whether the prevalences of tumors and other lesions in brown bullhead (Ameiurus nebulosus) in these lakes, particularly Ashumet Pond, were elevated above normal, the U.S. Geological Survey (USGS), assisted by the U.S. Environmental Protection Agency (USEPA) and the Massachusetts Division of Fisheries and Wildlife (MADFW), conducted a study in 2002 of brown bullhead in Ashumet Pond and in two reference lakes, Santuit Pond (on Cape Cod) and Great Herring Pond (on the mainland of Massachusetts). Brown bullhead from Great Herring Pond had few external raised lesions (2.8 percent), a low prevalence of liver neoplasms (5 percent), and little genetic damage to their red blood cell nuclei. Brown bullhead from Ashumet Pond had a high prevalence of raised lesions (62.1 percent), which included histopathologically verified papillomas and squamous carcinoma; an elevated incidence of liver neoplasms (16.7 percent); and an elevated level of genetic damage to their red blood cell nuclei. Because red blood cells in fish have a lifespan of about 100 days, these results indicate an ongoing exposure to genotoxins in Ashumet Pond. Brown bullhead from Santuit Pond also had elevated prevalences of raised lesions (48.3 percent) and liver neoplasms (15 percent), although the prevalences of large and multiple lesions were significantly lower than those in fish from Ashumet Pond. These differences may indicate differing causes of pathology in the two lakes. The high prevalence of melanistic lesions on brown bullhead from Ashumet Pond, combined with the tumor pathology and genetic damage, implicates chemical carcinogens as one of the causal factors in that lake.

  11. Estimating costs of low-level radioactive waste disposal alternatives for the Commonwealth of Massachusetts

    SciTech Connect

    Not Available

    1994-02-01

    This report was prepared for the Commonwealth of Massachusetts by the Idaho National Engineering Laboratory, National Low-Level Waste Management Program. It presents planning life-cycle cost (PLCC) estimates for four sizes of in-state low-level radioactive waste (LLRW) disposal facilities. These PLCC estimates include preoperational and operational expenditures, all support facilities, materials, labor, closure costs, and long-term institutional care and monitoring costs. It is intended that this report bc used as a broad decision making tool for evaluating one of the several complex factors that must be examined when deciding between various LLRW management options -- relative costs. Because the underlying assumptions of these analyses will change as the Board decides how it will manage Massachusett`s waste and the specific characteristics any disposal facility will have, the results of this study are not absolute and should only be used to compare the relative costs of the options presented. The disposal technology selected for this analysis is aboveground earth-mounded vaults. These vaults are reinforced concrete structures where low-level waste is emplaced and later covered with a multi-layered earthen cap. The ``base case`` PLCC estimate was derived from a preliminary feasibility design developed for the Illinois Low-Level Radioactive Waste Disposal Facility. This PLCC report describes facility operations and details the procedure used to develop the base case PLCC estimate for each facility component and size. Sensitivity analyses were performed on the base case PLCC estimate by varying several factors to determine their influences upon the unit disposal costs. The report presents the results of the sensitivity analyses for the five most significant cost factors.

  12. Severe Brain Injury in Massachusetts: Assessing the Continuum of Care.

    PubMed

    Lorenz, Laura; Katz, Gabrielle

    2015-12-10

    Acquired brain injury (ABI) is a major public health problem in Massachusetts (Hackman et al, 2014) and includes traumatic brain injury (TBI), stroke, ABI-related infectious diseases, metabolic disorders affecting the central nervous system (brain and spinal cord), and brain tumor. Advances in emergency medical care and neurosurgery mean that more people are surviving severe traumatic brain injury (Trexler et al, 2014). Yet many patients with severe TBI in particular, are not receiving inpatient services after initial treatment (Hackman et al, 2014; CDC, 2014) or later that are known to be effective (Malec & Kean, 2015; Lewis & Horn, 2015; BI Commission, 2011; Kolakowsky-Hayner et al, 2000; Interviews). These services include post-acute rehabilitation, case management, and brain injury-specific community programming (CDC, 2014; BI Commission, 2011; Interviews). Governance and data for decision-making are also major gaps in the continuum of care for severe brain injury in MA (Interviews; NASHIA, 2005). The last two decades saw a surge in interest in the brain, with advances in neuroscience, diagnosis and measurement of brain injury, rehabilitation services, and brain theory (Boyle, 2001). Severe brain injury however is the new "hidden epidemic" in our society. For many, an injury to the brain is not a short-term event that can be "cured" but the beginning of a life-long disability (CDC, 2014; Langlois et al, 2006). Fortunately, even after a severe brain injury, when the right rehabilitation is provided at the right time, the "rest of life" journey can be a positive one for many (Marquez de la Plata, 2015; Langlois et al, 2006). Severe brain injury can lead to a "new normal" as patients regain skills, find new meaning and in life, and take on new family, volunteer, and work roles. Throughout this brief, the term "severe brain injury" refers to "severe acquired brain injury," or any injury to the brain that occurs after birth. This definition does not include

  13. Police and mental health clinician partnership in response to mental health crisis: A qualitative study.

    PubMed

    McKenna, Brian; Furness, Trentham; Oakes, Jane; Brown, Steve

    2015-10-01

    Police officers as first responders to acute mental health crisis in the community, commonly transport people in mental health crisis to a hospital emergency department. However, emergency departments are not the optimal environments to provide assessment and care to those experiencing mental health crises. In 2012, the Northern Police and Clinician Emergency Response (NPACER) team combining police and mental health clinicians was created to reduce behavioural escalation and provide better outcomes for people with mental health needs through diversion to appropriate mental health and community services. The aim of this study was to describe the perceptions of major stakeholders on the ability of the team to reduce behavioural escalation and improve the service utilization of people in mental health crisis. Responses of a purposive sample of 17 people (carer or consumer advisors, mental health or emergency department staff, and police or ambulance officers) who had knowledge of, or had interfaced with, the NPACER were thematically analyzed after one-to-one semistructured interviews. Themes emerged about the challenge created by a stand-alone police response, with the collaborative strengths of the NPACER (communication, information sharing, and knowledge/skill development) seen as the solution. Themes on improvements in service utilization were revealed at the point of community contact, in police stations, transition through the emergency department, and admission to acute inpatient units. The NPACER enabled emergency department diversion, direct access to inpatient mental health services, reduced police officer 'down-time', improved interagency collaboration and knowledge transfer, and improvements in service utilization and transition.

  14. English Language Learners with Disabilities in Massachusetts: Current Status and Next Steps for Identification and Instruction. A Report to the Massachusetts Department of Elementary and Secondary Education

    ERIC Educational Resources Information Center

    Parker, Caroline E.

    2012-01-01

    While the overall student population in Massachusetts has dropped slightly in the last 10 years, the number of English language learners (ELLs) has increased by more than 50 percent. In April 2012, the Massachusetts Department of Elementary and Secondary Education (MA DESE) contracted with researchers at Education Development Center, Inc. (EDC),…

  15. Feasibility Study of Economics and Performance of Solar Photovoltaics at Massachusetts Military Reservation. A Study Prepared in Partnership with the Environmental Protection Agency for the RE-Powering America's Land Initiative: Siting Renewable Energy on Potentially Contaminated Land and Mine Sites

    SciTech Connect

    Stafford, B.; Robichaud, R.; Mosey, G.

    2011-07-01

    This report presents the results of an assessment of the technical and economic feasibility of deploying photovoltaics (PV) systems on a superfund site located within the Massachusetts Military Reservation (MMR). The site was assessed for possible PV installations. The cost, performance, and site impacts of different PV options were estimated. The economics of the potential systems were analyzed using an electric rate of $0.17/kWh and incentives offered in the State of Massachusetts, such as the solar renewable energy credits. According to calculations, MMR can place 8 MW of ballast-weighted, ground-mounted PV systems on the crowns of the three landfill caps and the borrow pit with the PV modules tilted at 30 degrees.

  16. A qualitative study on adolescence, health and family

    PubMed Central

    2009-01-01

    Family is important to both health and adolescence. Adolescence is a time of peak health, but there are some important family based risk factors. The aim of this study was to explore the perspective of adolescent Iranians on issues of family and their health. We used descriptive, qualitative methodology and purposeful sampling and interviews for collecting the data. Forty‐one participants explained their perspectives on health and family. Data were analysed using qualitative content analysis. Analysis revealed three categories of risk factors: a widening generation gap, effective parenting and family financial situation. To have healthy adolescents, both children and parents need more knowledge and better skills about adolescent health and development and about social trends. To understand adolescents in a more realistic way, parents should develop healthy communication to avoid family health problems. PMID:22477907

  17. Exploring nurses' confirmed expectations regarding health IT: a phenomenological study.

    PubMed

    Zadvinskis, Inga M; Chipps, Esther; Yen, Po-Yin

    2014-02-01

    Health information technology (IT) benefits both patients and providers with respect to health care quality and perceived usefulness. Although existing research provides a preliminary understanding of nurses' perception of health IT, perceptions do not guide actions. This phenomenological study explored nurses' perceptions regarding electronic health records and bar code medication administration four months post implementation on a medical-surgical unit in an academic medical center. Ten staff nurses (8 females and 2 males) participated. We categorized the results into five themes from personal-level to organizational-level confirmed expectations: (1) nurses' interaction with computer, (2) nursing performance regarding task accomplishment, (3) unit-specific teamwork, (4) interdisciplinary teamwork, and (5) quality of care. We discovered that effective health IT must be congruent with nursing expectations. IT professionals, nursing and organizational leaders may use findings to structure an environment supportive of effective health IT in nursing practice.

  18. Danish Health Professionals' Experiences of Being Coached: A Pilot Study

    ERIC Educational Resources Information Center

    Ammentorp, Jette; Jensen, Hanne Irene; Uhrenfeldt, Lisbeth

    2013-01-01

    Introduction: In recent years, coaching, as a supplement to professional development, has received increased attention, especially in nursing. Still, only little is known about how health professionals experience participating in coaching sessions. The purpose of this pilot study was to describe and analyze health professionals' experiences from…

  19. Mortality in the Agricultural Health Study: 1993 - 2007

    EPA Science Inventory

    Comparing agricultural cohorts with the general population is challenging because the general healthiness of farmers may mask potential adverse health effects of farming. Using data from the Agricultural Health Study, a cohort of 89,656 pesticide applicators and their spouses (

  20. Study of Engineering in Medicine and Health Care. Final Report.

    ERIC Educational Resources Information Center

    National Academy of Engineering, Washington, DC. Committee on the Interplay of Engineering with Biology and Medicine.

    The focus of this summary volume reporting on several parallel studies is an application of technology to the problems of health care and the role of the university in responding to health care needs through biomedical engineering. A brief description of the National Academy of Engineering (NAE) is presented. A list of reports, issued by the…