Effect of water injection on nitric oxide emissions of a gas turbine combustor burning natural gas fuel

NASA Technical Reports Server (NTRS)

Marchionna, N. R.; Diehl, L. A.; Trout, A. M.

1973-01-01

The effect of direct water injection on the exhaust gas emissions of a turbojet combustor burning natural gas fuel was investigated. The results are compared with the results from similar tests using ASTM Jet-A fuel. Increasing water injection decreased the emissions of oxides of nitrogen (NOX) and increased the emissions of carbon monoxide and unburned hydrocarbons. The greatest percentage decrease in NOX with increasing water injection was at the lowest inlet-air temperature tested. The effect of increasing inlet-air temperature was to decrease the effect of the water injection. The reduction in NOX due to water injection was almost identical to the results obtained with Jet-A fuel. However, the emission indices of unburned hydrocarbons, carbon monoxide, and percentage nitric oxide in NOX were not.

Compact high-speed MWIR spectrometer applied to monitor CO2 exhaust dynamics from a turbojet engine

NASA Astrophysics Data System (ADS)

Linares-Herrero, R.; Vergara, G.; Gutiérrez Álvarez, R.; Fernández Montojo, C.; Gómez, L. J.; Villamayor, V.; Baldasano Ramírez, A.; Montojo, M. T.; Archilla, V.; Jiménez, A.; Mercader, D.; González, A.; Entero, A.

2013-05-01

Dfgfdg Due to international environmental regulations, aircraft turbojet manufacturers are required to analyze the gases exhausted during engine operation (CO, CO2, NOx, particles, unburned hydrocarbons (aka UHC), among others).Standard procedures, which involve sampling the gases from the exhaust plume and the analysis of the emissions, are usually complex and expensive, making a real need for techniques that allow a more frequent and reliable emissions measurements, and a desire to move from the traditional gas sampling-based methods to real time and non-intrusive gas exhaust analysis, usually spectroscopic. It is expected that the development of more precise and faster optical methods will provide better solutions in terms of performance/cost ratio. In this work the analysis of high-speed infrared emission spectroscopy measurements of plume exhaust are presented. The data was collected during the test trials of commercial engines carried out at Turbojet Testing Center-INTA. The results demonstrate the reliability of the technique for studying and monitoring the dynamics of the exhausted CO2 by the observation of the infrared emission of hot gases. A compact (no moving parts), high-speed, uncooled MWIR spectrometer was used for the data collection. This device is capable to register more than 5000 spectra per second in the infrared band ranging between 3.0 and 4.6 microns. Each spectrum is comprised by 128 spectral subbands with aband width of 60 nm. The spectrometer operated in a passive stand-off mode and the results from the measurements provided information of both the dynamics and the concentration of the CO2 during engine operation.

Photocatalytic destruction of automobile exhaust emissions

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

Kaviranta, P.D.; Peden, C.H.F.

1996-10-01

Hydrocarbons, carbon monoxide, and nitrogen oxides contained in automobile exhaust emissions are among the major atmospheric air pollutants. During the first few minutes of a cold start of the engine, the emission levels of unburned hydrocarbon and CO pollutants are very high due to the inefficiency of the cold engine and the poor activity of the catalysts lower temperatures. Therefore, it is necessary to provide an alternative approach to deal with this specific problem in order to meet near-term regulatory requirements. Our approach has been to use known photocatalytic reactions obtainable on semiconducting powders such as titanium dioxide. In thismore » presentation we describe our recent studies aimed at the photocatalytic reduction of unburned hydrocarbons and carbon monoxide in automobile exhaust emissions. Our results demonstrate the effective destruction of propylene into water and carbon dioxide. The conversion was found to be dependent on the propylene flow rate. The reaction rate was studied as a function of time, humidity and temperature. The effect of the power of the UV source on conversion will also be presented.« less

Exhaust emission survey of an F100 afterburning turbofan engine at simulated altitude flight conditions

NASA Technical Reports Server (NTRS)

Moss, J. E.; Cullom, R. R.

1981-01-01

Emissions of carbon monoxide, total oxides of nitrogen, unburned hydrocarbons, and carbon dioxide from an F100, afterburning, two spool turbofan engine at simulated flight conditions are reported. For each flight condition emission measurements were made for two or three power levels from intermediate power (nonafterburning) through maximum afterburning. The data showed that emissions vary with flight speed, altitude, power level, and radial position across the nozzle. Carbon monoxide emissions were low for intermediate power (nonafterburning) and partial afterburning, but regions of high carbon monoxide were present downstream of the flame holder at maximum afterburning. Unburned hydrocarbon emissions were low for most of the simulated flight conditions. The local NOX concentrations and their variability with power level increased with increasing flight Mach number at constant altitude, and decreased with increasing altitude at constant Mach number. Carbon dioxide emissions were proportional to local fuel air ratio for all conditions.

A review on the engine performance and exhaust emission characteristics of diesel engines fueled with biodiesel blends.

PubMed

Damanik, Natalina; Ong, Hwai Chyuan; Tong, Chong Wen; Mahlia, Teuku Meurah Indra; Silitonga, Arridina Susan

2018-06-01

Biodiesels have gained much popularity because they are cleaner alternative fuels and they can be used directly in diesel engines without modifications. In this paper, a brief review of the key studies pertaining to the engine performance and exhaust emission characteristics of diesel engines fueled with biodiesel blends, exhaust aftertreatment systems, and low-temperature combustion technology is presented. In general, most biodiesel blends result in a significant decrease in carbon monoxide and total unburned hydrocarbon emissions. There is also a decrease in carbon monoxide, nitrogen oxide, and total unburned hydrocarbon emissions while the engine performance increases for diesel engines fueled with biodiesels blended with nano-additives. The development of automotive technologies, such as exhaust gas recirculation systems and low-temperature combustion technology, also improves the thermal efficiency of diesel engines and reduces nitrogen oxide and particulate matter emissions.

High-pressure combustor exhaust emissions with improved air-atomizing and conventional pressure-atomizing fuel nozzles

NASA Technical Reports Server (NTRS)

Ingebo, R. D.; Norgren, C. T.

1973-01-01

A high-pressure combustor segment 0.456 meter (18 in.) long with a maximum cross section of 0.153 by 0.305 meter (6 by 12 in.) was tested with specially designed air-atomizing and conventional pressure-atomizing fuel nozzles at inlet-air temperatures of 340 to 755 k (610 deg to 1360 R), reference velocities of 12.4 to 26.1 meters per second (41 to 86 ft/sec), and fuel-air ratios of 0.008 to 0.020. Increasing inlet-air pressure from 4 to 20 atmospheres generally increased smoke number and nitric oxide, but decreased carbon monoxide and unburned hydrocarbon concentrations with air-atomizing and pressure-atomizing nozzles. Emission indexes for carbon monoxide and unburned hydrocarbons were lower at 4, 10, and 20 atmospheres, and nitric oxide emission indexes were lower at 10 and 20 atmospheres with air-atomizing than with pressure-atomizing nozzles.

The Automobile and Air Pollution: A Chemical Review of the Problem

ERIC Educational Resources Information Center

Wildeman, Thomas R.

1974-01-01

Summarizes chemical principles underlying the operation of automobiles and the cause of air pollution, including concentrations of carbon monoxide, unburned hydrocarbons, and oxides of nitrogen. Comments and opinions are made concerning present and future pollution control devices. (CC)

Neural network controller development and implementation for spark ignition engines with high EGR levels.

PubMed

Vance, Jonathan Blake; Singh, Atmika; Kaul, Brian C; Jagannathan, Sarangapani; Drallmeier, James A

2007-07-01

Past research has shown substantial reductions in the oxides of nitrogen (NOx) concentrations by using 10%-25% exhaust gas recirculation (EGR) in spark ignition (SI) engines (see Dudek and Sain, 1989). However, under high EGR levels, the engine exhibits strong cyclic dispersion in heat release which may lead to instability and unsatisfactory performance preventing commercial engines to operate with high EGR levels. A neural network (NN)-based output feedback controller is developed to reduce cyclic variation in the heat release under high levels of EGR even when the engine dynamics are unknown by using fuel as the control input. A separate control loop was designed for controlling EGR levels. The stability analysis of the closed-loop system is given and the boundedness of the control input is demonstrated by relaxing separation principle, persistency of excitation condition, certainty equivalence principle, and linear in the unknown parameter assumptions. Online training is used for the adaptive NN and no offline training phase is needed. This online learning feature and model-free approach is used to demonstrate the applicability of the controller on a different engine with minimal effort. Simulation results demonstrate that the cyclic dispersion is reduced significantly using the proposed controller when implemented on an engine model that has been validated experimentally. For a single cylinder research engine fitted with a modern four-valve head (Ricardo engine), experimental results at 15% EGR indicate that cyclic dispersion was reduced 33% by the controller, an improvement of fuel efficiency by 2%, and a 90% drop in NOx from stoichiometric operation without EGR was observed. Moreover, unburned hydrocarbons (uHC) drop by 6% due to NN control as compared to the uncontrolled scenario due to the drop in cyclic dispersion. Similar performance was observed with the controller on a different engine.

Distribution of polycyclic aromatic hydrocarbons in lime spray dryer ash

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

Ping Sun; Panuwat Taerakul; Linda K. Weavers

Four lime spray dryer (LSD) ash samples were collected from a spreader stoker boiler and measured for their concentrations of 16 U.S. EPA specified polycyclic aromatic hydrocarbons (PAHs). Results showed that the total measured PAH concentration correlated with the organic carbon content of the LSD ash. Each LSD ash sample was then separated using a 140 mesh sieve into two fractions: a carbon-enriched fraction ({gt}140 mesh) and a lime-enriched fraction ({lt}140 mesh). Unburned carbon was further separated from the carbon-enriched fraction with a lithiumheteropolytungstate (LST) solution. PAH measurements on these different fractions showed that unburned carbon had the highest PAHmore » concentrations followed by the carbon-enriched fraction, indicating that PAHs were primarily associated with the carbonaceous material in LSD ash. However, detectable levels of PAHs were also found in the lime-enriched fraction, suggesting that the fine spray of slaked lime may sorb PAH compounds from the flue gas in the LSD process. 37 refs., 5 figs., 4 tabs.« less

Idle efficiency and pollution results for two-row swirl-can combustors having 72 modules

NASA Technical Reports Server (NTRS)

Biaglow, J. A.; Trout, A. M.

1975-01-01

Two 72-swirl-can-module combustors were investigated in a full annular combustor test facility at engine idle conditions typical of a 30:1 pressure-ratio engine. The effects of radial and circumferential fuel scheduling on combustion efficiency and gaseous pollutants levels were determined. Test conditions were inlet-air temperature, 452 K; inlet total pressure, 34.45 newtons per square centimeter; and reference velocity, 19.5 meters per second. A maximum combustion efficiency of 98.1 percent was achieved by radial scheduling of fuel to the inner row of swirl-can modules. Emission index values were 6.9 for unburned hydrocarbons and 50.6 for carbon monoxide at a fuel-air ratio of 0.0119. Circumferential fuel scheduling of two 90 degree sectors of the swirl-can arrays produced a maximum combustion efficiency of 97.3 percent. The emission index values were 12.0 for unburned hydrocarbons and 69.2 for carbon monoxide at a fuel-air ratio of 0.0130.

Method for converting hydrocarbon fuel into hydrogen gas and carbon dioxide

DOEpatents

Clawson, Lawrence G.; Mitchell, William L.; Bentley, Jeffrey M.; Thijssen, Johannes H. J.

2000-01-01

A method for converting hydrocarbon fuel into hydrogen gas and carbon dioxide within a reformer 10 is disclosed. According to the method, a stream including an oxygen-containing gas is directed adjacent to a first vessel 18 and the oxygen-containing gas is heated. A stream including unburned fuel is introduced into the oxygen-containing gas stream to form a mixture including oxygen-containing gas and fuel. The mixture of oxygen-containing gas and unburned fuel is directed tangentially into a partial oxidation reaction zone 24 within the first vessel 18. The mixture of oxygen-containing gas and fuel is further directed through the partial oxidation reaction zone 24 to produce a heated reformate stream including hydrogen gas and carbon monoxide. Steam may also be mixed with the oxygen-containing gas and fuel, and the reformate stream from the partial oxidation reaction zone 24 directed into a steam reforming zone 26. High- and low-temperature shift reaction zones 64,76 may be employed for further fuel processing.

Stormwater contaminant loading following southern California wildfires.

PubMed

Stein, Eric D; Brown, Jeffrey S; Hogue, Terri S; Burke, Megan P; Kinoshita, Alicia

2012-11-01

Contaminant loading associated with stormwater runoff from recently burned areas is poorly understood, despite the fact that it has the potential to affect downstream water quality. The goal of the present study is to assess regional patterns of runoff and contaminant loading from wildfires in urban fringe areas of southern California. Postfire stormwater runoff was sampled from five wildfires that each burned between 115 and 658 km(2) of natural open space between 2003 and 2009. Between two and five storm events were sampled per site over the first one to two years following the fires for basic constituents, metals, nutrients, total suspended solids, and polycyclic aromatic hydrocarbons (PAHs). Results were compared to data from 16 unburned natural areas and six developed sites. Mean copper, lead, and zinc flux (kg/km(2)) were between 112- and 736-fold higher from burned catchments and total phosphorus was up to 921-fold higher compared to unburned natural areas. Polycyclic aromatic hydrocarbon flux was four times greater from burned areas than from adjacent urban areas. Ash fallout on nearby unburned watersheds also resulted in a threefold increase in metals and PAHs. Attenuation of elevated concentration and flux values appears to be driven mainly by rainfall magnitude. Contaminant loading from burned landscapes has the potential to be a substantial contribution to the total annual load to downstream areas in the first several years following fires. Copyright © 2012 SETAC.

Source apportionment of VOCs in the Los Angeles area using positive matrix factorization

NASA Astrophysics Data System (ADS)

Brown, Steven G.; Frankel, Anna; Hafner, Hilary R.

Eight 3-h speciated hydrocarbon measurements were collected daily by the South Coast Air Quality Management District (SCAQMD) as part of the Photochemical Assessment Monitoring Stations (PAMS) program during the summers of 2001-03 at two sites in the Los Angeles air basin, Azusa and Hawthorne. Over 30 hydrocarbons from over 500 samples at Azusa and 600 samples at Hawthorne were subsequently analyzed using the multivariate receptor model positive matrix factorization (PMF). At Azusa and Hawthorne, five and six factors were identified, respectively, with a good comparison between predicted and measured mass. At Azusa, evaporative emissions (a median of 31% of the total mass), motor vehicle exhaust (22%), liquid/unburned gasoline (27%), coatings (17%), and biogenic emissions (3%) factors were identified. Factors identified at Hawthorne were evaporative emissions (a median of 34% of the total mass), motor vehicle exhaust (24%), industrial process losses (15%), natural gas (13%), liquid/unburned gasoline (13%), and biogenic emissions (1%). Together, the median contribution from mobile source-related factors (exhaust, evaporative emissions, and liquid/unburned gasoline) was 80% and 71% at Azusa and Hawthorne, respectively, similar to previous source apportionment results using the chemical mass balance (CMB) model. There is a difference in the distribution among mobile source factors compared to the CMB work, with an increase in the contribution from evaporative emissions, though the cause (changes in emissions or differences between models) is unknown.

An Experimental Study of a Catalytic Combustor for an Expendable Turbojet Engine

DTIC Science & Technology

1978-03-01

automobiles have catalytic converters in their exhaust systems for oxidizing unburned hydrocarbons, carbon monoxide, etc., to produce a cleaner exhaust. A...1 ratio for automobiles . Other noble metals are sometimes used, in varying ratio and loading (amount of catalyst. per area) configerations (Ref 7). 2

FIELD PERFORMANCE OF WOODBURNING STOVES IN CRESTED BUTTE DURING THE 1991-92 HEATING SEASON

EPA Science Inventory

The report gives results of an evaluation of the 1991-92 field performance of 11 woodburning stoves in and around Crested Butte, CO. Measurements included particulate matter (PM), carbon monoxide, total unburned hydrocarbons, and weekly average burn rates. The monitored stoves in...

Chemical Pollution from Transportation Vehicles

PubMed Central

Starkman, Ernest S.

1969-01-01

Recent publicity on electrically powered vehicles notwithstanding, the gasoline engine will probably be the principal power plant for passenger cars for at least the next decade. Chemical pollutants discharged by the gasoline engine are now under partial control. Motor cars of 1968 and 1969 model discharge only about 30 percent as much carbon monoxide and unburned hydrocarbons as do older models. In theory, carbon monoxide, unburned hydrocarbons and oxides of nitrogen ultimately can be completely removed from gasoline engine exhaust. In order to accomplish this it would be necessary to modify cars to operate satisfactorily on a lean mixture and perhaps to use a catalyst in the exhaust system. Present designs of gas turbines for aircraft and for future projected application to ground vehicles yield pollutants (except for smoke) at levels below those of gasoline engines for a decade to come. It has also been shown possible to eliminate smoke as well as odor from the gas turbine. Thus with proper effort it is feasible to reduce pollution of the atmosphere due to transportation to an acceptable level, even if electrically or alternatively powered vehicles cannot be developed for a decade. PMID:4183827

Aircraft engine pollution reduction

NASA Technical Reports Server (NTRS)

Rudey, R. A.

1972-01-01

The effect of engine operation on the types and levels of the major aircraft engine pollutants is described and the major factors governing the formation of these pollutants during the burning of hydrocarbon fuel are discussed. Methods which are being explored to reduce these pollutants are discussed and their application to several experimental research programs are pointed out. Results showing significant reductions in the levels of carbon monoxide, unburned hydrocarbons, and oxides of nitrogen obtained from experimental combustion research programs are presented and discussed to point out potential application to aircraft engines.

Diesel particle filter and fuel effects on heavy-duty diesel engine emissions.

PubMed

Ratcliff, Matthew A; Dane, A John; Williams, Aaron; Ireland, John; Luecke, Jon; McCormick, Robert L; Voorhees, Kent J

2010-11-01

The impacts of biodiesel and a continuously regenerated (catalyzed) diesel particle filter (DPF) on the emissions of volatile unburned hydrocarbons, carbonyls, and particle associated polycyclic aromatic hydrocarbons (PAH) and nitro-PAH, were investigated. Experiments were conducted on a 5.9 L Cummins ISB, heavy-duty diesel engine using certification ultra-low-sulfur diesel (ULSD, S ≤ 15 ppm), soy biodiesel (B100), and a 20% blend thereof (B20). Against the ULSD baseline, B20 and B100 reduced engine-out emissions of measured unburned volatile hydrocarbons and PM associated PAH and nitro-PAH by significant percentages (40% or more for B20 and higher percentage for B100). However, emissions of benzene were unaffected by the presence of biodiesel and emissions of naphthalene actually increased for B100. This suggests that the unsaturated FAME in soy-biodiesel can react to form aromatic rings in the diesel combustion environment. Methyl acrylate and methyl 3-butanoate were observed as significant species in the exhaust for B20 and B100 and may serve as markers of the presence of biodiesel in the fuel. The DPF was highly effective at converting gaseous hydrocarbons and PM associated PAH and total nitro-PAH. However, conversion of 1-nitropyrene by the DPF was less than 50% for all fuels. Blending of biodiesel caused a slight reduction in engine-out emissions of acrolein, but otherwise had little effect on carbonyl emissions. The DPF was highly effective for conversion of carbonyls, with the exception of formaldehyde. Formaldehyde emissions were increased by the DPF for ULSD and B20.

Avco Lycoming/NASA contract status. [on reduction of emissions from aircraft piston engines

NASA Technical Reports Server (NTRS)

Duke, L. C.

1976-01-01

The standards promulgated by the Environmental Protection Agency (EPA) for carbon monoxide (CO), unburned hydrocarbon (HC), and oxides-of-nitrogen (NOx) emissions were the basis in a study of ways to reduce emissions from aircraft piston engines. A variable valve timing system, ultrasonic fuel atomization, and ignition system changes were postulated.

Exhaust emissions survey of a turbofan engine for flame holder swirl type augmentors at simulated altitude flight conditions

NASA Technical Reports Server (NTRS)

Moss, J. E., Jr.

1981-01-01

Emissions of carbon dioxide, total oxides of nitrogen, unburned hydrocarbons, and carbon monoxide from an F100 afterburning two spool turbofan engine at simulated flight conditions are reported. Tests were run at Mach 0.8 at altitudes of 10.97 and 13.71 km (36,000 and 45,000 ft), and at Mach 1.2 at 13.71 km (45,000 ft). Emission measurements were made from intermediate power (nonafterburning) through maximum afterburning, using a single point gas sample probe traversed across the horizontal diameter of the exhaust nozzle. The data show that emissions vary with flight speed, altitude, power level, and radial position across the nozzle. Carbon monoxide emissions were low for intermediate and partial afterburning power. Unburned hydrocarbons were near zero for most of the simulated flight conditions. At maximum afterburning, there were regions of NOx deficiency in regions of high CO. The results suggest that the low NOx levels observed in the tests are a result of interaction with high CO in the thermal converter. CO2 emissions were proportional to local fuel air ratio for all test conditions.

Experimental clean combustor program, phase 2

NASA Technical Reports Server (NTRS)

Roberts, R.; Peduzzi, A.; Vitti, G. E.

1976-01-01

Combustor pollution reduction technology for commercial CTOL engines was generated and this technology was demonstrated in a full-scale JT9D engine in 1976. Component rig refinement of the two best combustor concepts were tested. These concepts are the vorbix combustor, and a hybrid combustor which combines the pilot zone of the staged premix combustor and the main zone of the swirl-can combustor. Both concepts significantly reduced all pollutant emissions relative to the JT9D-7 engine combustor. However, neither concept met all program goals. The hybrid combustor met pollution goals for unburned hydrocarbons and carbon monoxide but did not achieve the oxides of nitrogen goal. This combustor had significant performance deficiencies. The Vorbix combustor met goals for unburned hydrocarbons and oxides of nitrogen but did not achieve the carbon monoxide goal. Performance of the vorbix combustor approached the engine requirements. On the basis of these results, the vorbix combustor was selected for the engine demonstration program. A control study was conducted to establish fuel control requirements imposed by the low-emission combustor concepts and to identify conceptual control system designs. Concurrent efforts were also completed on two addendums: an alternate fuels addendum and a combustion noise addendum.

Effect of inlet temperature on the performance of a catalytic reactor. [air pollution control

NASA Technical Reports Server (NTRS)

Anderson, D. N.

1978-01-01

A 12 cm diameter by 15 cm long catalytic reactor was tested with No. 2 diesel fuel in a combustion test rig at inlet temperatures of 700, 800, 900, and 1000 K. Other test conditions included pressures of 3 and 6 x 10 to the 5th power Pa, reference velocities of 10, 15, and 20 m/s, and adiabatic combustion temperatures in the range 1100 to 1400 K. The combustion efficiency was calculated from measurements of carbon monoxide and unburned hydrocarbon emissions. Nitrogen oxide emissions and reactor pressure drop were also measured. At a reference velocity of 10 m/s, the CO and unburned hydrocarbons emissions, and, therefore, the combustion efficiency, were independent of inlet temperature. At an inlet temperature of 1000 K, they were independent of reference velocity. Nitrogen oxides emissions resulted from conversion of the small amount (135 ppm) of fuel-bound nitrogen in the fuel. Up to 90 percent conversion was observed with no apparent effect of any of the test variables. For typical gas turbine operating conditions, all three pollutants were below levels which would permit the most stringent proposed automotive emissions standards to be met.

Medicalization of global health 4: The universal health coverage campaign and the medicalization of global health.

PubMed

Clark, Jocalyn

2014-01-01

Universal health coverage (UHC) has emerged as the leading and recommended overarching health goal on the post-2015 development agenda, and is promoted with fervour. UHC has the backing of major medical and health institutions, and is designed to provide patients with universal access to needed health services without financial hardship, but is also projected to have 'a transformative effect on poverty, hunger, and disease'. Multiple reports and resolutions support UHC and few offer critical analyses; but among these are concerns with imprecise definitions and the ability to implement UHC at the country level. A medicalization lens enriches these early critiques and identifies concerns that the UHC campaign contributes to the medicalization of global health. UHC conflates health with health care, thus assigning undue importance to (biomedical) health services and downgrading the social and structural determinants of health. There is poor evidence that UHC or health care alone improves population health outcomes, and in fact health care may worsen inequities. UHC is reductionistic because it focuses on preventative and curative actions delivered at the individual level, and ignores the social and political determinants of health and right to health that have been supported by decades of international work and commitments. UHC risks commodifying health care, which threatens the underlying principles of UHC of equity in access and of health care as a collective good.

Atomization and Dispersion of a Liquid Jet Injected Into a Crossflow of Air

NASA Technical Reports Server (NTRS)

Seay, J. E.; Samuelson, G. S.

1996-01-01

In recent years, environmental regulations have become more stringent, requiring lower emissions of mainly nitrogen oxides (NOx), as well as carbon monoxide (CO) and unburned hydrocarbons (UHC). These regulations have forced the gas turbine industry to examine non-conventional combustion strategies, such as the lean burn approach. The reasoning behind operating under lean conditions is to maintain the temperature of combustion near and below temperatures required for the formation of thermal nitric oxide (NO). To be successful, however, the lean processes require careful preparation of the fuel/air mixture to preclude formation of either locally rich reaction zones, which may give rise to NO formation, or locally lean reaction zones, which may give rise to inefficient fuel processing. As a result fuel preparation is crucial to the development and success of new aeroengine combustor technologies. A key element of the fuel preparation process is the fuel nozzle. As nozzle technologies have developed, airblast atomization has been adopted for both industrial and aircraft gas turbine applications. However, the majority of the work to date has focused on prefilming nozzles, which despite their complexity and high cost have become an industry standard for conventional combustion strategies. It is likely that the new strategies required to meet future emissions goals will utilize novel fuel injector approaches, such as radial injection. This thesis proposes and demonstrates an experiment to examine, on a mechanistic level (i.e., the physics of the action), the processes associated with the atomization, evaporation, and dispersion of a liquid jet introduced, from a radial, plain-jet airblast injector, into a crossflow of air. This understanding requires the knowledge not only of what factors influence atomization, but also the underlying mechanism associated with liquid breakup and dispersion. The experimental data acquired identify conditions and geometries for improved performance of radial airblast injectors.

What Do Core Obligations under the Right to Health Bring to Universal Health Coverage?

PubMed

Forman, Lisa; Beiersmann, Claudia; Brolan, Claire E; Mckee, Martin; Hammonds, Rachel; Ooms, Gorik

2016-12-01

Can the right to health, and particularly the core obligations of states specified under this right, assist in formulating and implementing universal health coverage (UHC), now included in the post-2015 Sustainable Development Goals? In this paper, we examine how core obligations under the right to health could lead to a version of UHC that is likely to advance equity and rights. We first address the affinity between the right to health and UHC as evinced through changing definitions of UHC and the health domains that UHC explicitly covers. We then engage with relevant interpretations of the right to health, including core obligations. We turn to analyze what core obligations might bring to UHC, particularly in defining what and who is covered. Finally, we acknowledge some of the risks associated with both UHC and core obligations and consider potential avenues for mitigating these risks.

Priority-setting for achieving universal health coverage

PubMed Central

Chalkidou, Kalipso; Glassman, Amanda; Marten, Robert; Vega, Jeanette; Tritasavit, Nattha; Gyansa-Lutterodt, Martha; Seiter, Andreas; Kieny, Marie Paule; Hofman, Karen; Culyer, Anthony J

2016-01-01

Abstract Governments in low- and middle-income countries are legitimizing the implementation of universal health coverage (UHC), following a United Nation’s resolution on UHC in 2012 and its reinforcement in the sustainable development goals set in 2015. UHC will differ in each country depending on country contexts and needs, as well as demand and supply in health care. Therefore, fundamental issues such as objectives, users and cost–effectiveness of UHC have been raised by policy-makers and stakeholders. While priority-setting is done on a daily basis by health authorities – implicitly or explicitly – it has not been made clear how priority-setting for UHC should be conducted. We provide justification for explicit health priority-setting and guidance to countries on how to set priorities for UHC. PMID:27274598

Universal health coverage from multiple perspectives: a synthesis of conceptual literature and global debates.

PubMed

Abiiro, Gilbert Abotisem; De Allegri, Manuela

2015-07-04

There is an emerging global consensus on the importance of universal health coverage (UHC), but no unanimity on the conceptual definition and scope of UHC, whether UHC is achievable or not, how to move towards it, common indicators for measuring its progress, and its long-term sustainability. This has resulted in various interpretations of the concept, emanating from different disciplinary perspectives. This paper discusses the various dimensions of UHC emerging from these interpretations and argues for the need to pay attention to the complex interactions across the various components of a health system in the pursuit of UHC as a legal human rights issue. The literature presents UHC as a multi-dimensional concept, operationalized in terms of universal population coverage, universal financial protection, and universal access to quality health care, anchored on the basis of health care as an international legal obligation grounded in international human rights laws. As a legal concept, UHC implies the existence of a legal framework that mandates national governments to provide health care to all residents while compelling the international community to support poor nations in implementing this right. As a humanitarian social concept, UHC aims at achieving universal population coverage by enrolling all residents into health-related social security systems and securing equitable entitlements to the benefits from the health system for all. As a health economics concept, UHC guarantees financial protection by providing a shield against the catastrophic and impoverishing consequences of out-of-pocket expenditure, through the implementation of pooled prepaid financing systems. As a public health concept, UHC has attracted several controversies regarding which services should be covered: comprehensive services vs. minimum basic package, and priority disease-specific interventions vs. primary health care. As a multi-dimensional concept, grounded in international human rights laws, the move towards UHC in LMICs requires all states to effectively recognize the right to health in their national constitutions. It also requires a human rights-focused integrated approach to health service delivery that recognizes the health system as a complex phenomenon with interlinked functional units whose effective interaction are essential to reach the equilibrium called UHC.

A Novel Non-agonist Peroxisome Proliferator-activated Receptor γ (PPARγ) Ligand UHC1 Blocks PPARγ Phosphorylation by Cyclin-dependent Kinase 5 (CDK5) and Improves Insulin Sensitivity*

PubMed Central

Choi, Sun-Sil; Kim, Eun Sun; Koh, Minseob; Lee, Soo-Jin; Lim, Donghyun; Yang, Yong Ryoul; Jang, Hyun-Jun; Seo, Kyung-ah; Min, Sang-Hyun; Lee, In Hee; Park, Seung Bum; Suh, Pann-Ghill; Choi, Jang Hyun

2014-01-01

Thiazolidinedione class of anti-diabetic drugs which are known as peroxisome proliferator-activated receptor γ (PPARγ) ligands have been used to treat metabolic disorders, but thiazolidinediones can also cause several severe side effects, including congestive heart failure, fluid retention, and weight gain. In this study, we describe a novel synthetic PPARγ ligand UNIST HYUNDAI Compound 1 (UHC1) that binds tightly to PPARγ without the classical agonism and which blocks cyclin-dependent kinase 5 (CDK5)-mediated PPARγ phosphorylation. We modified the non-agonist PPARγ ligand SR1664 chemically to improve its solubility and then developed a novel PPARγ ligand, UHC1. According to our docking simulation, UHC1 occupied the ligand-binding site of PPARγ with a higher docking score than SR1664. In addition, UHC1 more potently blocked CDK5-mediated PPARγ phosphorylation at Ser-273. Surprisingly, UHC1 treatment effectively ameliorated the inflammatory response both in vitro and in high-fat diet-fed mice. Furthermore, UHC1 treatment dramatically improved insulin sensitivity in high-fat diet-fed mice without causing fluid retention and weight gain. Taken together, compared with SR1664, UHC1 exhibited greater beneficial effects on glucose and lipid metabolism by blocking CDK5-mediated PPARγ phosphorylation, and these data indicate that UHC1 could be a novel therapeutic agent for use in type 2 diabetes and related metabolic disorders. PMID:25100724

Can the AYUSH system be instrumental in achieving universal health coverage in India?

PubMed

Samal, Janmejaya; Dehury, Ranjit Kumar

2018-01-01

Universal health coverage (UHC) in the Indian context is understood as easily accessible and affordable health services for all citizens. The Planning Commission of India constituted a High Level Expert Group (HLEG) in October 2010 for the purpose of drafting the guidelines of UHC. While the primary focus of UHC is to provide financial protection to all citizens, its delivery requires an adequate health infrastructure, skilled health human resources, and access to affordable drugs and technologies so that all people receive the level and quality of care they are entitled to. This paper attempts to link the ayurveda, yoga and naturopathy, unani, siddha and homoeopathy (AYUSH) systems of medicine with UHC. Here, the AYUSH system refers to the AYUSH workforce, therapeutics and principles, and their individual role in delivering UHC to the citizens of India. In outlining the role of AYUSH, the paper lays stress on the 10 guiding principles of UHC, as proposed by the HLEG. However, as the AYUSH system is not the principal health service provider in India, the dominant system being that of allopathic medicine, a few components of UHC may not fit neatly into the AYUSH system. This paper has adopted the definition of UHC quoted by the HLEG.

Combustor exhaust-emissions and blowout-limits with diesel number 2 and jet A fuels utilizing air-atomizing and pressure atomizing nozzles

NASA Technical Reports Server (NTRS)

Ingebo, R. D.; Norgren, C. T.

1975-01-01

Experimental tests with diesel number 2 and Jet A fuels were conducted in a combustor segment to obtain comparative data on exhaust emissions and blowout limits. An air-atomizing nozzle was used to inject the fuels. Tests were also made with diesel number 2 fuel using a pressure-atomizing nozzle to determine the effectiveness of the air-atomizing nozzle in reducing exhaust emissions. Test conditions included fuel-air ratios of 0.008 to 0.018, inlet-air total pressures and temperatures of 41 to 203 newtons per square centimeter and 477 to 811 K, respectively, and a reference velocity of 21.3 meters per second. Smoke number and unburned hydrocarbons were twice as high with diesel number 2 as with Jet A fuel. This was attributed to diesel number 2 having a higher concentration of aromatics and lower volatility than Jet A fuel. Oxides of nitrogen, carbon monoxide, and blowout limits were approximately the same for the two fuels. The air-atomizing nozzle, as compared with the pressure-atomizing nozzle, reduced oxides-of-nitrogen by 20 percent, smoke number by 30 percent, carbon monoxide by 70 percent, and unburned hydrocarbons by 50 percent when used with diesel number 2 fuel.

A study on emission characteristics of an EFI engine with ethanol blended gasoline fuels

NASA Astrophysics Data System (ADS)

He, Bang-Quan; Wang, Jian-Xin; Hao, Ji-Ming; Yan, Xiao-Guang; Xiao, Jian-Hua

The effect of ethanol blended gasoline fuels on emissions and catalyst conversion efficiencies was investigated in a spark ignition engine with an electronic fuel injection (EFI) system. The addition of ethanol to gasoline fuel enhances the octane number of the blended fuels and changes distillation temperature. Ethanol can decrease engine-out regulated emissions. The fuel containing 30% ethanol by volume can drastically reduce engine-out total hydrocarbon emissions (THC) at operating conditions and engine-out THC, CO and NO x emissions at idle speed, but unburned ethanol and acetaldehyde emissions increase. Pt/Rh based three-way catalysts are effective in reducing acetaldehyde emissions, but the conversion of unburned ethanol is low. Tailpipe emissions of THC, CO and NO x have close relation to engine-out emissions, catalyst conversion efficiency, engine's speed and load, air/fuel equivalence ratio. Moreover, the blended fuels can decrease brake specific energy consumption.

Monitoring progress towards universal health coverage at country and global levels.

PubMed

Boerma, Ties; Eozenou, Patrick; Evans, David; Evans, Tim; Kieny, Marie-Paule; Wagstaff, Adam

2014-09-01

Universal health coverage (UHC) has been defined as the desired outcome of health system performance whereby all people who need health services (promotion, prevention, treatment, rehabilitation, and palliation) receive them, without undue financial hardship. UHC has two interrelated components: the full spectrum of good-quality, essential health services according to need, and protection from financial hardship, including possible impoverishment, due to out-of-pocket payments for health services. Both components should benefit the entire population. This paper summarizes the findings from 13 country case studies and five technical reviews, which were conducted as part of the development of a global framework for monitoring progress towards UHC. The case studies show the relevance and feasibility of focusing UHC monitoring on two discrete components of health system performance: levels of coverage with health services and financial protection, with a focus on equity. These components link directly to the definition of UHC and measure the direct results of strategies and policies for UHC. The studies also show how UHC monitoring can be fully embedded in often existing, regular overall monitoring of health sector progress and performance. Several methodological and practical issues related to the monitoring of coverage of essential health services, financial protection, and equity, are highlighted. Addressing the gaps in the availability and quality of data required for monitoring progress towards UHC is critical in most countries.

Monitoring Progress towards Universal Health Coverage at Country and Global Levels

PubMed Central

Boerma, Ties; Eozenou, Patrick; Evans, David; Evans, Tim; Kieny, Marie-Paule; Wagstaff, Adam

2014-01-01

Universal health coverage (UHC) has been defined as the desired outcome of health system performance whereby all people who need health services (promotion, prevention, treatment, rehabilitation, and palliation) receive them, without undue financial hardship. UHC has two interrelated components: the full spectrum of good-quality, essential health services according to need, and protection from financial hardship, including possible impoverishment, due to out-of-pocket payments for health services. Both components should benefit the entire population. This paper summarizes the findings from 13 country case studies and five technical reviews, which were conducted as part of the development of a global framework for monitoring progress towards UHC. The case studies show the relevance and feasibility of focusing UHC monitoring on two discrete components of health system performance: levels of coverage with health services and financial protection, with a focus on equity. These components link directly to the definition of UHC and measure the direct results of strategies and policies for UHC. The studies also show how UHC monitoring can be fully embedded in often existing, regular overall monitoring of health sector progress and performance. Several methodological and practical issues related to the monitoring of coverage of essential health services, financial protection, and equity, are highlighted. Addressing the gaps in the availability and quality of data required for monitoring progress towards UHC is critical in most countries. PMID:25243899

Reforming Central Government Health Scheme into a 'Universal Health Coverage' model.

PubMed

Sarwal, Rakesh

2015-01-01

Universal Health Coverage (UHC) is now recognized as a goal of all health systems, irrespective of income levels. In the absence of a one-size solution, each country has to develop strategies suited to its circumstances. How does the Central Government Health Scheme (CGHS) stand up to the goals and global experience of UHC, and what can be done to make it a model? I relied on publicly available documents to identify key features of UHC, and relate it to the architecture of and practices in CGHS. Combining WHO's framework of health systems functions with log frame approach, I constructed a 'UHC status tool' of key elements and expected norms of UHC. CGHS has been performing strongly on financing function and for the range of services covered. It has performed rather poorly on all other elements of UHC. I build the argument for continued public provision of health, as opposed to insurance, on grounds of cost, public good nature of outpatient care and public health services. I suggest and strategize a sequence of reforms in CGHS anchored in health system strengthening, governance and financing, comprehensive primary care and client participation. It is both possible and desirable to transform CGHS into a UHC model within the same fiscal space. Merger of finance pools of centrally administered health schemes is suggested as a step towards UHC in India. Copyright 2015, NMJI.

Universal health coverage in 'One ASEAN': are migrants included?

PubMed

Guinto, Ramon Lorenzo Luis R; Curran, Ufara Zuwasti; Suphanchaimat, Rapeepong; Pocock, Nicola S

2015-01-01

As the Association of South East Asian Nations (ASEAN) gears toward full regional integration by 2015, the cross-border mobility of workers and citizens at large is expected to further intensify in the coming years. While ASEAN member countries have already signed the Declaration on the Protection and Promotion of the Rights of Migrant Workers, the health rights of migrants still need to be addressed, especially with ongoing universal health coverage (UHC) reforms in most ASEAN countries. This paper seeks to examine the inclusion of migrants in the UHC systems of five ASEAN countries which exhibit diverse migration profiles and are currently undergoing varying stages of UHC development. A scoping review of current migration trends and policies as well as ongoing UHC developments and migrant inclusion in UHC in Indonesia, Malaysia, Philippines, Singapore, and Thailand was conducted. In general, all five countries, whether receiving or sending, have schemes that cover migrants to varying extents. Thailand even allows undocumented migrants to opt into its Compulsory Migrant Health Insurance scheme, while Malaysia and Singapore are still yet to consider including migrants in their government-run UHC systems. In terms of predominantly sending countries, the Philippines's social health insurance provides outbound migrants with portable insurance yet with limited benefits, while Indonesia still needs to strengthen the implementation of its compulsory migrant insurance which has a health insurance component. Overall, the five ASEAN countries continue to face implementation challenges, and will need to improve on their UHC design in order to ensure genuine inclusion of migrants, including undocumented migrants. However, such reforms will require strong political decisions from agencies outside the health sector that govern migration and labor policies. Furthermore, countries must engage in multilateral and bilateral dialogue as they redefine UHC beyond the basis of citizenship and reimagine UHC systems that transcend national borders. By enhancing migrant coverage, ASEAN countries can make UHC systems truly 'universal'. Migrant inclusion in UHC is a human rights imperative, and it is in ASEAN's best interest to protect the health of migrants as it pursues the path toward collective social progress and regional economic prosperity.

Universal health coverage in ‘One ASEAN’: are migrants included?

PubMed Central

Guinto, Ramon Lorenzo Luis R.; Curran, Ufara Zuwasti; Suphanchaimat, Rapeepong; Pocock, Nicola S.

2015-01-01

Background As the Association of South East Asian Nations (ASEAN) gears toward full regional integration by 2015, the cross-border mobility of workers and citizens at large is expected to further intensify in the coming years. While ASEAN member countries have already signed the Declaration on the Protection and Promotion of the Rights of Migrant Workers, the health rights of migrants still need to be addressed, especially with ongoing universal health coverage (UHC) reforms in most ASEAN countries. This paper seeks to examine the inclusion of migrants in the UHC systems of five ASEAN countries which exhibit diverse migration profiles and are currently undergoing varying stages of UHC development. Design A scoping review of current migration trends and policies as well as ongoing UHC developments and migrant inclusion in UHC in Indonesia, Malaysia, Philippines, Singapore, and Thailand was conducted. Results In general, all five countries, whether receiving or sending, have schemes that cover migrants to varying extents. Thailand even allows undocumented migrants to opt into its Compulsory Migrant Health Insurance scheme, while Malaysia and Singapore are still yet to consider including migrants in their government-run UHC systems. In terms of predominantly sending countries, the Philippines's social health insurance provides outbound migrants with portable insurance yet with limited benefits, while Indonesia still needs to strengthen the implementation of its compulsory migrant insurance which has a health insurance component. Overall, the five ASEAN countries continue to face implementation challenges, and will need to improve on their UHC design in order to ensure genuine inclusion of migrants, including undocumented migrants. However, such reforms will require strong political decisions from agencies outside the health sector that govern migration and labor policies. Furthermore, countries must engage in multilateral and bilateral dialogue as they redefine UHC beyond the basis of citizenship and reimagine UHC systems that transcend national borders. Conclusions By enhancing migrant coverage, ASEAN countries can make UHC systems truly ‘universal’. Migrant inclusion in UHC is a human rights imperative, and it is in ASEAN's best interest to protect the health of migrants as it pursues the path toward collective social progress and regional economic prosperity. PMID:25626624

Measuring Progress Toward Universal Health Coverage: Does the Monitoring Framework of Bangladesh Need Further Improvement?

PubMed

Gupta, Rajat Das; Shahabuddin, Asm

2018-01-08

This review aimed to compare Bangladesh's Universal Health Coverage (UHC) monitoring framework with the global-level recommendations and to find out the existing gaps of Bangladesh's UHC monitoring framework compared to the global recommendations. In order to reach the aims of the review, we systematically searched two electronic databases - PubMed and Google Scholar - by using appropriate keywords to select articles that describe issues related to UHC and the monitoring framework of UHC applied globally and particularly in Bangladesh. Four relevant documents were found and synthesized. The review found that Bangladesh incorporated all of the recommendations suggested by the global monitoring framework regarding mentoring the financial risk protection and equity perspective. However, a significant gap in the monitoring framework related to service coverage was observed. Although Bangladesh has a significant burden of mental illnesses, cataract, and neglected tropical diseases, indicators related to these issues were absent in Bangladesh's UHC framework. Moreover, palliative-care-related indicators were completely missing in the framework. The results of this review suggest that Bangladesh should incorporate these indicators in their UHC monitoring framework in order to track the progress of the country toward UHC more efficiently and in a robust way.

Environmental Impact Analysis Process. Draft Environmental Impact Statement, Winnersville Weapons Range, Lanier and Lowndes Counties, Georgia

DTIC Science & Technology

1985-07-01

pollutant emissions for flight activities over the proposed range (grams of pollutant per sortie)a Carbon Unburned Oxides of Particulates Oxides Aircraft...Table 4.4. HUD site acceptability standards ... ........... .. 55 Table 4.5. Predicted pollutant emissions for flight activties over the proposed range...matter, carbon monoxide, hydrocarbons, oxides of nitrogen, and oxides of sulfur to the regional pollution levels, but because of the amounts emitted and

Setting priorities to address cardiovascular diseases through universal health coverage in low- and middle-income countries.

PubMed

Watkins, David A; Nugent, Rachel A

2017-01-01

Over the past decade, universal health coverage (UHC) has emerged as a major policy goal for many low- and middle-income country governments. Yet, despite the high burden of cardiovascular diseases (CVD), relatively little is known about how to address CVD through UHC. This review covers three major topics. First, we define UHC and provide some context for its importance, and then we illustrate its relevance to CVD prevention and treatment. Second, we discuss how countries might select high-priority CVD interventions for a UHC health benefits package drawing on economic evaluation methods. Third, we explore some implementation challenges and identify research gaps that, if addressed, could improve the inclusion of CVD into UHC.

Moving towards universal health coverage: lessons from 11 country studies.

PubMed

Reich, Michael R; Harris, Joseph; Ikegami, Naoki; Maeda, Akiko; Cashin, Cheryl; Araujo, Edson C; Takemi, Keizo; Evans, Timothy G

2016-02-20

In recent years, many countries have adopted universal health coverage (UHC) as a national aspiration. In response to increasing demand for a systematic assessment of global experiences with UHC, the Government of Japan and the World Bank collaborated on a 2-year multicountry research programme to analyse the processes of moving towards UHC. The programme included 11 countries (Bangladesh, Brazil, Ethiopia, France, Ghana, Indonesia, Japan, Peru, Thailand, Turkey, and Vietnam), representing diverse geographical, economic, and historical contexts. The study identified common challenges and opportunities and useful insights for how to move towards UHC. The study showed that UHC is a complex process, fraught with challenges, many possible pathways, and various pitfalls--but is also feasible and achievable. Movement towards UHC is a long-term policy engagement that needs both technical knowledge and political know-how. Technical solutions need to be accompanied by pragmatic and innovative strategies that address the national political economy context. Copyright © 2016 Elsevier Ltd. All rights reserved.

India in search of right Universal Health Coverage (UHC) model: The risks of implementing UHC in the absence of political demand by the citizen.

PubMed

Kumar, Raman; Roy, Pritam

2016-01-01

Amid the global push for Universal Health Coverage (UHC), the agenda is being set for India's health care. In the absence of a constitutional mandate, a national policy and citizen-led political demand for UHC, there exist specific risks in rushing toward its implementation in India. As the debate of UHC continues, the health-care delivery system in India is at cross roads. UHC in India could take two different trajectories. The first one takes India toward becoming "Global Bazaar" of morbidity and ill health, founded on the pillars of a vibrant rapidly multiplying healthcare industry. The other path takes India on a course of preventing wasteful, expensive health-care expenditure by maintaining healthy populations. A poor professional blood donor cannot become rich by selling his or her own blood beyond medically permissible levels; similarly, India cannot become a developed economy by merely allowing exploitation of disease, illness, and morbidity of her citizen. It is the duty of the state and governments to protect individual citizen, population under consideration, as well as country's economy from wasteful and potentially harmful expenditure incurred to address ill health. In the economic sense, any sensible UHC implementation mechanism would seek to regulate wasteful preventable health-care expenditure for the purpose of future economic stability and growth of the country. Due diligence toward safeguarding "public health in public interest," during the process of UHC implementation, is the need of the hour.

Effects of Heat Treatments and Compositional Modification on Carbide Network and Matrix Microstructure in Ultrahigh Carbon Steels

NASA Astrophysics Data System (ADS)

Hecht, Matthew David

This dissertation investigates microstructure/property relations in ultrahigh carbon steel (UHCS) with the aim of improving toughness while retaining high hardness. Due to high C contents (ranging from 1 to 2 wt%), UHCS exhibit high strength, hardness, and wear resistance. Despite this, applications for UHCS are currently limited because they typically contain a continuous network of proeutectoid cementite that greatly reduces ductility and toughness. In previous research, thermomechanic processing had seen considerable success in breaking up the network. However, the processing is difficult and has thus far seen very limited industrial application. Chemical modification of the steel composition has also seen some success in network break-up, but is still not well understood. There have been relatively few fundamental studies of microstructure evolution in UHCS; studies in the literature typically focused on lower C steels (up to 1 wt% C) or on cast irons (>2.1 wt% C). Thus, this work was undertaken to gain a better understanding of microstructural changes that occur during heat treatment and/or chemical modification of UHCS with a focus on the distribution of proeutectoid cementite within the microstructure. This dissertation is composed of eight chapters. The first chapter presents an introduction to phases found in UHCS, descriptions of research materials used in each chapter, and the hypotheses and objectives guiding the work. The second chapter describes a study of the microstructure found in a 2C-4Cr UHCS before and after an industrial-scale austenitizating heat treatment that increased hardness and toughness and also produced discrete carbide particles in the matrix. The third chapter establishes and demonstrates a metric for measuring connectivity in carbide networks. The fourth chapter describes a series of heat treatments designed to investigate kinetics of spheroidization and coarsening of carbide particles and denuded zones near cementite network branches in 2C-4Cr UHCS. The fifth chapter describes an additional series of heat treatments comparing coarsening kinetics in 2C-1Cr and 2C-4Cr UHCS. Lowering the Cr content caused clustering of cementite particles near grain boundaries, in contrast to the denuded zones observed in the higher Cr UHCS. The fifth chapter details four in situ confocal laser scanning microscopy heat treatments of 2C-4Cr UHCS. The seventh chapter investigates the effects of a 2wt% Nb addition on 2C-4Cr UHCS. The eighth and final chapter summarizes the findings of all the experiments of the previous chapters and revisits the objectives and conclusions.

Measuring Progress Toward Universal Health Coverage: Does the Monitoring Framework of Bangladesh Need Further Improvement?

PubMed Central

Shahabuddin, ASM

2018-01-01

This review aimed to compare Bangladesh’s Universal Health Coverage (UHC) monitoring framework with the global-level recommendations and to find out the existing gaps of Bangladesh’s UHC monitoring framework compared to the global recommendations. In order to reach the aims of the review, we systematically searched two electronic databases - PubMed and Google Scholar - by using appropriate keywords to select articles that describe issues related to UHC and the monitoring framework of UHC applied globally and particularly in Bangladesh. Four relevant documents were found and synthesized. The review found that Bangladesh incorporated all of the recommendations suggested by the global monitoring framework regarding mentoring the financial risk protection and equity perspective. However, a significant gap in the monitoring framework related to service coverage was observed. Although Bangladesh has a significant burden of mental illnesses, cataract, and neglected tropical diseases, indicators related to these issues were absent in Bangladesh’s UHC framework. Moreover, palliative-care-related indicators were completely missing in the framework. The results of this review suggest that Bangladesh should incorporate these indicators in their UHC monitoring framework in order to track the progress of the country toward UHC more efficiently and in a robust way. PMID:29541562

Experimental investigations on effect of different materials and varying depths of one turn exhaust channel swiss roll combustor on its thermal performance

NASA Astrophysics Data System (ADS)

Mane Deshmukh, Sagar B.; Krishnamoorthy, A.; Bhojwani, V. K.; Pawane, Ashwini

2017-05-01

More energy density of hydrocarbon fuels compared to advanced batteries available in the market demands for development of systems which will use hydrocarbon fuels at small scale to generate power in small quantity (i.e. in few watts) and device efficiency should be reasonably good, but the basic requirement is to generate heat from the fuels like methane, propane, hydrogen, LPG and converting into power. Swiss roll combustor has proved to be best combustor at small scale. Present work is carried out on one turn exhaust channel and half turn of inlet mixture channel Swiss roll combustor. Purpose of keeping exhaust channel length more than the inlet mixture channel to ensure sufficient time for heat exchange between burned and unburned gases, which is not reported in earlier studies. Experimental study mentions effects of different design parameters like materials of combustor, various depths, equivalence ratio, mass flow rates of liquefied petroleum gas (LPG), volume of combustion space and environmental conditions (with insulation and without insulation to combustors) on fuel lean limit and fuel rich limit, temperature profile obtained on all external surfaces, in the main combustion chamber, in the channel carrying unburned gas mixture and burned gas mixture, heat loss to atmosphere from all the walls of combustor, flame location. Different combustor materials tested were stainless steel, Aluminum, copper, brass, bronze, Granite. Depths considered were 22mm, 15mm, 10mm and 5mm. It was observed that flame stability inside the combustion chamber is affected by materials, depths and flow rates. Unburned mixture carrying channel was kept below quenching distance of flame to avoid flash back. Burned gas carrying channel dimension was more than the quenching distance. Considerable temperature rise was observed with insulation to combustors. But combustors with more thermal conductivity showed more heat loss to atmosphere which led to instability of flame.

Emission response from extended length, variable geometry gas turbine combustor

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

Troth, D.L.; Verdouw, A.J.; Tomlinson, J.G.

1974-01-01

A program to analyze, select, and experimentally evaluate low emission combustors for aircraft gas turbine engines is conducted to demonstrate a final combustor concept having a 50 percent reduction in total mass emissions (carbon monoxide, unburnt hydrocarbons, oxides of nitrogen, and exhaust smoke) without an increase in any specific pollutant. Research conducted under an Army Contract established design concepts demonstrating significant reductions in CO and UHC emissions. Two of these concepts were an extended length intermediate zone to consume CO and UHC and variable geometry to control the primary zone fuel air ratio over varying power conditions. Emission reduction featuresmore » were identified by analytical methods employing both reaction kinetics and empirical correlations. Experimental results were obtained on a T63 component combustor rig operating at conditions simulating the engine over the complete power operating range with JP-4 fuel. A combustor incorporating both extended length and variable geometry was evaluated and the performance and emission results are reported. These results are compared on the basis of a helicopter duty cycle and the EPA 1979 turboprop regulation landing take off cycle. The 1979 EPA emission regulations for P2 class engines can be met with the extended length variable geometry combustor on the T63 turboprop engine.« less

Diesel Combustion Fundamentals. Phase 1. Volume 1. Technical Report.

DTIC Science & Technology

1987-07-01

C02 ), oxides of nitrogen (NOx), oxygen (02), and unburned hydrocarbons (HC). The instruments for measuring CO and CO2 emissions were Beckman *1 model...emissions. Oxygen levels in the exhaust were measured with a Beckman model 742 amperometric analyzer. These instruments were installed in a bench...nuing the use of this sensor system. First, the location of the window was such that it did not see a large enough volume of the pre-chamber to

The effect of catalyst length and downstream reactor distance on catalytic combustor performance

NASA Technical Reports Server (NTRS)

Anderson, D.

1980-01-01

A study was made to determine the effects on catalytic combustor performance which resulted from independently varying the length of a catalytic reactor and the length available for gas-phase reactions downstream of the catalyst. Monolithic combustion catalysts from three manufacturers were tested in a combustion test rig with no. 2 diesel fuel. Catalytic reactor lengths of 2.5 and 5.4 cm, and downstream gas-phase reaction distances of 7.3, 12.4, 17.5, and 22.5 cm were evaluated. Measurements of carbon monoxide, unburned hydrocarbons, nitrogen oxides, and pressure drop were made. The catalytic-reactor pressure drop was less than 1 percent of the upstream total pressure for all test configurations and test conditions. Nitrogen oxides and unburned hydrocarbons emissions were less than 0.25 g NO2/kg fuel and 0.6 g HC/kg fuel, respectively. The minimum operating temperature (defined as the adiabatic combustion temperature required to obtain carbon monoxide emissions below a reference level of 13.6 g CO/kg fuel) ranged from 1230 K to 1500 K for the various conditions and configurations tested. The minimum operating temperature decreased with increasing total (catalytic-reactor-plus-downstream-gas-phase-reactor-zone) residence time but was independent of the relative times spent in each region when the catalytic-reactor residence time was greater than or equal to 1.4 ms.

One dimensional modeling of a diesel-CNG dual fuel engine

NASA Astrophysics Data System (ADS)

Azman, Putera Adam; Fawzi, Mas; Ismail, Muammar Mukhsin; Osman, Shahrul Azmir

2017-04-01

Some of the previous studies have shown that the use of compressed natural gas (CNG) in diesel engines potentially produce engine performance improvement and exhaust gas emission reduction, especially nitrogen oxides, unburned hydrocarbons, and carbon dioxide. On the other hand, there are other researchers who claimed that the use of CNG increases exhaust gas emissions, particularly nitrogen oxides. In this study, a one-dimensional model of a diesel-CNG dual fuel engine was made based on a 4-cylinder 2.5L common rail direct injection diesel engine. The software used is GT-Power, and it was used to analyze the engine performance and exhaust gas emissions of several diesel-CNG dual fuel blend ratios, i.e. 100:0, 90:10, 80:20, 70:30, 60:40 and 50:50. The effect of 100%, 75%, 50% engine loads on the exhaust gas emissions were also studied. The result shows that all diesel-CNG fuel blends produces higher brake torque and brake power at engine speed of 2000-3000 rpm compared with 100% diesel. The 50:50 diesel-CNG blend produces the highest brake torque and brake power, but also has the highest brake specific fuel consumption. As a higher percentage of CNG added to the dual fuel blend, unburned hydrocarbons and carbon monoxide emission increased while carbon dioxide emission decreased. The nitrogen oxides emission concentration is generally unaffected by any change of the dual fuel ratio.

Indicators for Universal Health Coverage: can Kenya comply with the proposed post-2015 monitoring recommendations?

PubMed

Obare, Valerie; Brolan, Claire E; Hill, Peter S

2014-12-20

Universal Health Coverage (UHC), referring to access to healthcare without financial burden, has received renewed attention in global health spheres. UHC is a potential goal in the post-2015 development agenda. Monitoring of progress towards achieving UHC is thus critical at both country and global level, and a monitoring framework for UHC was proposed by a joint WHO/World Bank discussion paper in December 2013. The aim of this study was to determine the feasibility of the framework proposed by WHO/World Bank for global UHC monitoring framework in Kenya. The study utilised three documents--the joint WHO/World Bank UHC monitoring framework and its update, and the Bellagio meeting report sponsored by WHO and the Rockefeller Foundation--to conduct the research. These documents informed the list of potential indicators that were used to determine the feasibility of the framework. A purposive literature search was undertaken to identify key government policy documents and relevant scholarly articles. A desk review of the literature was undertaken to answer the research objectives of this study. Kenya has yet to establish an official policy on UHC that provides a clear mandate on the goals, targets and monitoring and evaluation of performance. However, a significant majority of Kenyans continue to have limited access to health services as well as limited financial risk protection. The country has the capacity to reasonably report on five out of the seven proposed UHC indicators. However, there was very limited capacity to report on the two service coverage indicators for the chronic condition and injuries (CCIs) interventions. Out of the potential tracer indicators (n = 27) for aggregate CCI-related measures, four tracer indicators were available. Moreover the country experiences some wider challenges that may impact on the implementation and feasibility of the WHO/World Bank framework. The proposed global framework for monitoring UHC will only be feasible in Kenya if systemic challenges are addressed. While the infrastructure for reporting the MDG related indicators is in place, Kenya will require continued international investment to extend its capacity to meet the data requirements of the proposed UHC monitoring framework, particularly for the CCI-related indicators.

Auditory hair cell innervational patterns in lizards.

PubMed

Miller, M R; Beck, J

1988-05-22

The pattern of afferent and efferent innervation of two to four unidirectional (UHC) and two to nine bidirectional (BHC) hair cells of five different types of lizard auditory papillae was determined by reconstruction of serial TEM sections. The species studies were Crotaphytus wislizeni (iguanid), Podarcis (Lacerta) sicula and P. muralis (lacertids), Ameiva ameiva (teiid), Coleonyx variegatus (gekkonid), and Mabuya multifasciata (scincid). The main object was to determine in which species and in which hair cell types the nerve fibers were innervating only one (exclusive innervation), or two or more hair cells (nonexclusive innervation); how many nerve fibers were supplying each hair cell; how many synapses were made by the innervating fibers; and the total number of synapses on each hair cell. In the species studies, efferent innervation was limited to the UHC, and except for the iguanid, C. wislizeni, it was nonexclusive, each fiber supplying two or more hair cells. Afferent innervation varied both with the species and the hair cell types. In Crotaphytus, both the UHC and the BHC were exclusively innervated. In Podarcis and Ameiva, the UHC were innervated exclusively by some fibers but nonexclusively by others (mixed pattern). In Coleonyx, the UHC were exclusively innervated but the BHC were nonexclusively innervated. In Mabuya, both the UHC and BHC were nonexclusively innervated. The number of afferent nerve fibers and the number of afferent synapses were always larger in the UHC than in the BHC. In Ameiva, Podarcis, and Mabuya, groups of bidirectionally oriented hair cells occur in regions of cytologically distinct UHC, and in Ameiva, unidirectionally oriented hair cells occur in cytologically distinct BHC regions.

Health financing for universal coverage and health system performance: concepts and implications for policy

PubMed Central

2013-01-01

Abstract Unless the concept is clearly understood, “universal coverage” (or universal health coverage, UHC) can be used to justify practically any health financing reform or scheme. This paper unpacks the definition of health financing for universal coverage as used in the World Health Organization’s World health report 2010 to show how UHC embodies specific health system goals and intermediate objectives and, broadly, how health financing reforms can influence these. All countries seek to improve equity in the use of health services, service quality and financial protection for their populations. Hence, the pursuit of UHC is relevant to every country. Health financing policy is an integral part of efforts to move towards UHC, but for health financing policy to be aligned with the pursuit of UHC, health system reforms need to be aimed explicitly at improving coverage and the intermediate objectives linked to it, namely, efficiency, equity in health resource distribution and transparency and accountability. The unit of analysis for goals and objectives must be the population and health system as a whole. What matters is not how a particular financing scheme affects its individual members, but rather, how it influences progress towards UHC at the population level. Concern only with specific schemes is incompatible with a universal coverage approach and may even undermine UHC, particularly in terms of equity. Conversely, if a scheme is fully oriented towards system-level goals and objectives, it can further progress towards UHC. Policy and policy analysis need to shift from the scheme to the system level. PMID:23940408

The link between UHC reforms and health system governance: lessons from Asia.

PubMed

Hort, Krishna; Jayasuriya, Rohan; Dayal, Prarthna

2017-05-15

Purpose The purpose of this paper is to examine how and to what extent the design and implementation of universal health coverage (UHC) reforms have been influenced by the governance arrangements of health systems in low- and middle-income countries (LMIC); and how governments in these countries have or have not responded to the challenges of governance for UHC. Design/methodology/approach Comparative case study analysis of three Asian countries with substantial experience of UHC reforms (Thailand, Vietnam and China) was undertaken using data from published studies and grey literature. Studies included were those which described the modifications and adaptations that occurred during design and implementation of the UHC programme, the actors and institutions involved and how these changes related to the governance of the health system. Findings Each country adapted the design of their UHC programmes to accommodate their specific institutional arrangements, and then made further modifications in response to issues arising during implementation. The authors found that these modifications were often related to the impacts on governance of the institutional changes inherent in UHC reforms. Governments varied in their response to these governance impacts, with Thailand prepared to adopt new governance modes (which the authors termed as an "adaptive" response), while China and Vietnam have tended to persist with traditional hierarchical governance modes ("reactive" responses). Originality/value This study addresses a gap in current knowledge on UHC reform, and finds evidence of a complex interaction between substantive health sector reform and governance reform in the LMIC context in Asia, confirming recent similar observations on health reforms in high-income countries.

Health financing for universal coverage and health system performance: concepts and implications for policy.

PubMed

Kutzin, Joseph

2013-08-01

Unless the concept is clearly understood, "universal coverage" (or universal health coverage, UHC) can be used to justify practically any health financing reform or scheme. This paper unpacks the definition of health financing for universal coverage as used in the World Health Organization's World health report 2010 to show how UHC embodies specific health system goals and intermediate objectives and, broadly, how health financing reforms can influence these. All countries seek to improve equity in the use of health services, service quality and financial protection for their populations. Hence, the pursuit of UHC is relevant to every country. Health financing policy is an integral part of efforts to move towards UHC, but for health financing policy to be aligned with the pursuit of UHC, health system reforms need to be aimed explicitly at improving coverage and the intermediate objectives linked to it, namely, efficiency, equity in health resource distribution and transparency and accountability. The unit of analysis for goals and objectives must be the population and health system as a whole. What matters is not how a particular financing scheme affects its individual members, but rather, how it influences progress towards UHC at the population level. Concern only with specific schemes is incompatible with a universal coverage approach and may even undermine UHC, particularly in terms of equity. Conversely, if a scheme is fully oriented towards system-level goals and objectives, it can further progress towards UHC. Policy and policy analysis need to shift from the scheme to the system level.

Effect of operating conditions on the exhaust emissions from a gas turbine combustor

NASA Technical Reports Server (NTRS)

Briehl, D.; Papathakos, L.; Strancar, R. J.

1972-01-01

Exhaust concentrations of total unburned hydrocarbons, carbon monoxide, and nitric oxide were measured from a single J-57 combustor liner installed in a 30 diameter test section. Tests were conducted over a range of inlet total pressures from 1 to 20 atmospheres, inlet total temperatures from 310 to 590 K, reference velocities from 8 to m/sec, and fuel-air ratios from 0.004 to 0.015. Most of the data were obtained using ASTM A-1 fuel; however, a limited number of tests was performed with natural gas fuel. Combustion efficiency and emission levels are correlated with operating conditions. Sampling error at operating conditions for which combustion efficiency was below about 90 percent resulted in abnormally low readings for hydrocarbon emissions.

Feasibility study of utilizing jatropha curcas oil as bio-diesel in an oil firing burner system

NASA Astrophysics Data System (ADS)

Shaiful, A. I. M.; Jaafar, M. N. Mohd; Sahar, A. M.

2017-09-01

Jatropha oil derived from the Jatropha Curcas Linnaeus is one of the high potential plants to be use as bio-diesel. The purpose of this research is to carry out a feasibility study of using jatropha oil as bio-diesel on oil firing burner system. Like other bio-diesels, jatropha oil can also be used in any combustion engine and the performance and emissions such as NOx, SO2, CO and CO2 as well as unburned hydocarbon (UHC) from the engine will vary depending on the bio-diesel blends. The properties of Conventional Diesel Fuel (CDF) obtained will be used as baseline and the jatropha oil properties will be compared as well as other bio-diesels. From several researches, the properties of jatropha oil was found to be quite similar with other bio-diesel such as palm oil, neem, keranja and pongamia bio-diesel and complying with the ASTM standard for bio-diesel. Still, there are factors and issues concerning the use of jatropha oil such as technology, economy, legislation and resource. Plus, there several challenges to the growth of bio-diesel industry development since the world right now do not totally depend on the bio-diesel.

Joint Symposium of Korean Cancer Association & UICC-ARO-Cross-boundary cancer studies: cancer and Universal Health Coverage (UHC) in Asia.

PubMed

Park, Eun-Cheol; Kawahara, Norie; Nozaki, Shinjiro; Thabrany, Hasbullah; Yoshimi, Shunya; Park, Sohee; Lee, Duk Hyoung; Akaza, Hideyuki; Roh, Jae Kyung

2017-09-01

On 16 June 2016, the Korean Cancer Association (KCA) and Union for International Cancer Control-Asia Regional Office (UICC-ARO) organized a joint symposium as part of the official program of the 42nd Annual Meeting of the Korean Cancer Association to discuss the topic 'Cross-boundary Cancer Studies: Cancer and Universal Health Coverage (UHC) in Asia.' Universal Health Coverage is included in the Sustainable Development Goals adopted by the United Nations as part of the 2030 Agenda for Sustainable Development. The objectives of UHC are to ensure that all people can receive high-quality medical services, are protected from public health risks, and are prevented from falling into poverty due to medical costs or loss of income arising from illness. The participants discussed the growing cost of cancer in the Asian region and the challenges that this poses to the establishment and deployment of UHC in the countries of Asia, all of which face budgetary and other systemic constraints in controlling cancer in the region. Representatives from Korea, Japan and Indonesia reported on the status of UHC in their countries and the challenges that are being faced, many of which are common to other countries in Asia. In addition to country-specific presentations about the progress of and challenges facing UHC, there were also presentations from WHO Kobe Centre concerning advancing UHC in non-communicable diseases and prospects for further collaboration and research on UHC. A presentation from the University of Tokyo also highlighted the need to focus on multidisciplinary studies in an age of globalization and digitization. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Variability in Standard Outcomes of Posterior Lumbar Fusion Determined by National Databases.

PubMed

Joseph, Jacob R; Smith, Brandon W; Park, Paul

2017-01-01

National databases are used with increasing frequency in spine surgery literature to evaluate patient outcomes. The differences between individual databases in relationship to outcomes of lumbar fusion are not known. We evaluated the variability in standard outcomes of posterior lumbar fusion between the University HealthSystem Consortium (UHC) database and the Healthcare Cost and Utilization Project National Inpatient Sample (NIS). NIS and UHC databases were queried for all posterior lumbar fusions (International Classification of Diseases, Ninth Revision code 81.07) performed in 2012. Patient demographics, comorbidities (including obesity), length of stay (LOS), in-hospital mortality, and complications such as urinary tract infection, deep venous thrombosis, pulmonary embolism, myocardial infarction, durotomy, and surgical site infection were collected using specific International Classification of Diseases, Ninth Revision codes. Analysis included 21,470 patients from the NIS database and 14,898 patients from the UHC database. Demographic data were not significantly different between databases. Obesity was more prevalent in UHC (P = 0.001). Mean LOS was 3.8 days in NIS and 4.55 in UHC (P < 0.0001). Complications were significantly higher in UHC, including urinary tract infection, deep venous thrombosis, pulmonary embolism, myocardial infarction, surgical site infection, and durotomy. In-hospital mortality was similar between databases. NIS and UHC databases had similar demographic patient populations undergoing posterior lumbar fusion. However, the UHC database reported significantly higher complication rate and longer LOS. This difference may reflect academic institutions treating higher-risk patients; however, a definitive reason for the variability between databases is unknown. The inability to precisely determine the basis of the variability between databases highlights the limitations of using administrative databases for spinal outcome analysis. Copyright © 2016 Elsevier Inc. All rights reserved.

Mutations in Plasmodium falciparum K13 propeller gene from Bangladesh (2009-2013).

PubMed

Mohon, Abu Naser; Alam, Mohammad Shafiul; Bayih, Abebe Genetu; Folefoc, Asongna; Shahinas, Dea; Haque, Rashidul; Pillai, Dylan R

2014-11-18

Bangladesh is a malaria hypo-endemic country sharing borders with India and Myanmar. Artemisinin combination therapy (ACT) remains successful in Bangladesh. An increase of artemisinin-resistant malaria parasites on the Thai-Cambodia and Thai-Myanmar borders is worrisome. K13 propeller gene (PF3D7_1343700 or PF13_0238) mutations have been linked to both in vitro artemisinin resistance and in vivo slow parasite clearance rates. This group undertook to evaluate if mutations seen in Cambodia have emerged in Bangladesh where ACT use is now standard for a decade. Samples were obtained from Plasmodium falciparum-infected malaria patients from Upazila health complexes (UHC) between 2009 and 2013 in seven endemic districts of Bangladesh. These districts included Khagrachari (Matiranga UHC), Rangamati (Rajasthali UHC), Cox's Bazar (Ramu and Ukhia UHC), Bandarban (Lama UHC), Mymensingh (Haluaghat UHC), Netrokona (Durgapur and Kalmakanda UHC), and Moulvibazar (Sreemangal and Kamalganj UHC). Out of 296 microscopically positive P. falciparum samples, 271 (91.6%) were confirmed as mono-infections by both real-time PCR and nested PCR. The K13 propeller gene from 253 (93.4%) samples was sequenced bi-directionally. One non-synonymous mutation (A578S) was found in Bangladeshi clinical isolates. The A578S mutation was confirmed and lies adjacent to the C580Y mutation, the major mutation causing delayed parasite clearance in Cambodia. Based on computational modeling A578S should have a significant effect on tertiary structure of the protein. The data suggest that P. falciparum in Bangladesh remains free of the C580Y mutation linked to delayed parasite clearance. However, the mutation A578S is present and based on structural analysis could affect K13 gene function. Further in vivo clinical studies are required to validate the effect of this mutation.

Roundtable discussion at the UICC World Cancer Congress: looking toward the realization of universal health coverage for cancer in Asia.

PubMed

Akaza, Hideyuki; Kawahara, Norie; Nozaki, Shinjiro; Sonoda, Shigeto; Fukuda, Takashi; Cazap, Eduardo; Trimble, Edward L; Roh, Jae Kyung; Hao, Xishan

2015-01-01

The Japan National Committee for the Union for International Cancer Control (UICC) and UICC-Asia Regional Office (ARO) organized a Roundtable Discussion as part of the official program of the UICC World Cancer Congress 2014 in Melbourne, Australia. The theme for the Roundtable Discussion was - Looking Toward the Realization of Universal Health Care (UHC) for Cancer in Asia - and it was held on December 5, 2014. The meeting was held based on the recognition that although each country may take a different path towards the realization of UHC, one point that is common to all is that cancer is projected to be the most difficult disease to address under the goals of UHC and that there is, therefore, an urgent and pressing need to come to a common understanding and awareness with regard to UHC concepts that are a priority component of a post-MDG development agenda. The presenters and participants addressed the issue of UHC for cancer in Asia from their various perspectives in academia and international organizations. Discussions covered the challenges to UHC in Asia, collaborative approaches by international organizations, the need for uniform and relevant data, ways to create an Asia Cancer Barometer that could be applied to all countries in Asia. The session concluded with the recognition that research on UHC in Asia should continue to be used as a tool for cancer cooperation in Asia and that the achievement of UHC would require research and input not only from the medical community, but from a broad sector of society in a multidisciplinary approach. Discussions on this issue will continue towards the Asia-Pacific Cancer Conference in Indonesia in August 2015.

Investigating the pros and cons of browns gas and varying EGR on combustion, performance, and emission characteristics of diesel engine.

PubMed

Thangaraj, Suja; Govindan, Nagarajan

2018-01-01

The significance of mileage to the fruitful operation of a trucking organization cannot be downplayed. Fuel is one of the biggest variable expenses in a trucking wander. An attempt is made in this research to improve the combustion efficiency of a diesel engine for better fuel economy by introducing hydroxy gas which is also called browns gas or HHO gas in the suction line, without compromising performance and emission. Brown's gas facilitates the air-fuel mixture to ignite faster and efficient combustion. By considering safety and handling issues in automobiles, HHO gas generation by electrolysis of water in the presence of sodium bicarbonate electrolytes (NaHCO 3 ) and usage was explored in this research work over compressed pure hydrogen, due to generation and capacity of immaculate hydrogen as of now confines the application in diesel engine operation. Brown's gas was utilized as a supplementary fuel in a single-cylinder, four-stroke compression ignition (CI) engine. Experiments were carried out on a constant speed engine at 1500 rpm, result shows at constant HHO flow rate of 0.73 liter per minute (LPM), brake specific fuel consumption (BSFC) decreases by 7% at idle load to 16% at full load, and increases brake thermal efficiency (BTE) by 8.9% at minimum load to 19.7% at full load. In the dual fuel (diesel +HHO) operation, CO emissions decreases by 19.4, 64.3, and 34.6% at 25, 50, and 75% load, respectively, and unburned hydrocarbon (UHC) emissions decreased by 11.3% at minimum load to 33.5% at maximum load at the expense of NO x emission increases by 1.79% at 75% load and 1.76% at full load than neat diesel operation. The negative impact of an increase in NO x is reduced by adding EGR. It was evidenced in this experimental work that the use of Brown's gas with EGR in the dual fuel mode in a diesel engine improves the fuel efficiency, performance, and reduces the exhaust emissions.

Dry ultralow NO{sub x} Green Thumb combustor for Allison`s 501-K series industrial engines

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

Puri, R.; Stansel, D.M.; Smith, D.A.

1997-01-01

This paper describes the progress made in developing an external ultralow oxides of nitrogen (NO{sub x}) Green Thumb combustor for the Allison Engine Company`s 501-K series engines. A lean premixed approach is being pursued to meet the emissions goals of 9 ppm NO{sub x}, 50 ppm carbon monoxide (CO), and 10 ppm unburned hydrocarbon (UHC). Several lean premixed (LPM) module configurations were identified computationally for the best NO{sub x}-CO trade-off by varying the location of fuel injection and the swirl angle of the module. These configurations were fabricated and screened under atmospheric conditions by direct visualization through a quartz liner;more » measurement of the stoichiometry at lean blow out (LBO); measurement of the fuel-air mixing efficiency at the module exit; and emissions measurements at the combustor exit, as well as velocity measurements. The influence of linear residence time on emissions was also examined. An LPM module featuring a radial inflow swirler demonstrated efficient fuel-air mixing and subsequent low NO{sub x} and CO production in extensive atmospheric bench and simulated engine testing. Measurements show the fuel concentration distribution at the module exit impacts the tradeoff between NO{sub x} and CO emissions. The effect of varying the swirl angle of the module also has a similar effect with the gains in NO{sub x} emissions reduction being traded for increased CO emissions. A uniform fuel-air mixture ({+-}2.5% azimuthal variation) at the exit of the module yields low NO{sub x} (5--10 ppm) at inlet conditions of 1 MPa ({approximately}10 atm) and temperatures as high as 616 K (650 F). The close proximity of adjacent modules and lower confinement in the liner most likely reduces the size of the recirculation zone associated with each module, thereby reducing the NO{sub x} formed therein. The CO emissions are probably lowered due to the reduced cool liner surface area per module resulting when several modules feed into the same liner.« less

INTRODUCTION OF UNIVERSAL HEALTH PROGRAM IN GEORGIA: PROBLEMS AND PERSPECTIVES.

PubMed

Verulava, T; Jorbenadze, R; Barkalaia, T

2017-01-01

Since 2013, Georgia enacted Universal Healthcare (UHC) program. Inclusion of uninsured population in the UHC program will have a positive impact on their financial accessibility to the health services. The study aims to analyze the referral rate of the beneficiaries to the health service providers before introduction and after application of the UHC program, particularly, how much it increased the recently uninsured population referral to primary health care units, and also to study the level of satisfaction with the UHC program. Research was conducted by qualitative and quantitative methods. The target groups' (program beneficiaries, physicians, personnel of the Social Service Agency) opinions were identified by means of face-to-face interviews. Enactment of the UHC programs significantly raised the population refferal to the family physicians, and the specialists. Insignificantly, but also increased the frequency of laboratory and diagnostic services. Despite the serious positive changes caused by UHC program implementation there still remain the problems in the primary healthcare system. Also, it is desirable to raise the financial availability of those medical services, which may cause catastrophic costs. In this respect, such medical services must be involved in the universal healthcare program and been expanded their scale. For the purpose of effective usage of the limited funds allocated for health care services provision, the private health insurance companies should be involved in UHC programs. This, together with the reduction of health care costs will increase a competition in the medical market, and enhance the quality of health service.

Impact of higher alcohols blended in gasoline on light-duty vehicle exhaust emissions.

PubMed

Ratcliff, Matthew A; Luecke, Jon; Williams, Aaron; Christensen, Earl; Yanowitz, Janet; Reek, Aaron; McCormick, Robert L

2013-12-03

Certification gasoline was splash blended with alcohols to produce four blends: ethanol (16 vol%), n-butanol (17 vol%), i-butanol (21 vol%), and an i-butanol (12 vol%)/ethanol (7 vol%) mixture; these fuels were tested in a 2009 Honda Odyssey (a Tier 2 Bin 5 vehicle) over triplicate LA92 cycles. Emissions of oxides of nitrogen, carbon monoxide, non-methane organic gases (NMOG), unburned alcohols, carbonyls, and C1-C8 hydrocarbons (particularly 1,3-butadiene and benzene) were determined. Large, statistically significant fuel effects on regulated emissions were a 29% reduction in CO from E16 and a 60% increase in formaldehyde emissions from i-butanol, compared to certification gasoline. Ethanol produced the highest unburned alcohol emissions of 1.38 mg/mile ethanol, while butanols produced much lower unburned alcohol emissions (0.17 mg/mile n-butanol, and 0.30 mg/mile i-butanol); these reductions were offset by higher emissions of carbonyls. Formaldehyde, acetaldehyde, and butyraldehyde were the most significant carbonyls from the n-butanol blend, while formaldehyde, acetone, and 2-methylpropanal were the most significant from the i-butanol blend. The 12% i-butanol/7% ethanol blend was designed to produce no increase in gasoline vapor pressure. This fuel's exhaust emissions contained the lowest total oxygenates among the alcohol blends and the lowest NMOG of all fuels tested.

Aircraft engine pollution reduction.

NASA Technical Reports Server (NTRS)

Rudey, R. A.

1972-01-01

The effect of engine operation on the types and levels of the major aircraft engine pollutants is described and the major factors governing the formation of these pollutants during the burning of hydrocarbon fuel are discussed. Methods which are being explored to reduce these pollutants are discussed and their application to several experimental research programs are pointed out. Results showing significant reductions in the levels of carbon monoxide, unburned hydrocarbons, and oxides of nitrogen obtained from experimental combustion research programs are presented and discussed to point out potential application to aircraft engines. An experimental program designed to develop and demonstrate these and other advanced, low pollution combustor design methods is described. Results that have been obtained to date indicate considerable promise for reducing advanced engine exhaust pollutants to levels significantly below current engines.

78 FR 22778 - Safety Zone; Corp. Event Finale UHC, St. Thomas Harbor; St. Thomas, U.S.V.I.

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-17

...-AA00 Safety Zone; Corp. Event Finale UHC, St. Thomas Harbor; St. Thomas, U.S.V.I. AGENCY: Coast Guard... waters of St. Thomas Harbor in St. Thomas, U.S. Virgin Islands during the Corp. Event Finale UHC, a... barge being positioned near the St. Thomas Harbor channel from which fireworks will be lit. The safety...

Promoting universal financial protection: a policy analysis of universal health coverage in Costa Rica (1940-2000).

PubMed

Vargas, Juan Rafael; Muiser, Jorine

2013-08-21

This paper explores the implementation and sustenance of universal health coverage (UHC) in Costa Rica, discussing the development of a social security scheme that covered 5% of the population in 1940, to one that finances and provides comprehensive healthcare to the whole population today. The scheme is financed by mandatory, tri-partite social insurance contributions complemented by tax funding to cover the poor. The analysis takes a historical perspective and explores the policy process including the key actors and their relative influence in decision-making. Data were collected using qualitative research instruments, including a review of literature, institutional and other documents, and in-depth interviews with key informants. Key lessons to be learned are: i) population health was high on the political agenda in Costa Rica, in particular before the 1980s when UHC was enacted and the transfer of hospitals to the social security institution took place. Opposition to UHC could therefore be contained through negotiation and implemented incrementally despite the absence of real consensus among the policy elite; ii) since the 1960s, the social security institution has been responsible for UHC in Costa Rica. This institution enjoys financial and managerial autonomy relative to the general government, which has also facilitated the UHC policy implementation process; iii) UHC was simultaneously constructed on three pillars that reciprocally strengthened each other: increasing population coverage, increasing availability of financial resources based on solidarity financing mechanisms, and increasing service coverage, ultimately offering comprehensive health services and the same benefits to every resident in the country; iv) particularly before the 1980s, the fruits of economic growth were structurally invested in health and other universal social policies, in particular education and sanitation. The social security institution became a flagship of Costa Rica's national development strategy which reinforced its political importance and contributed to its longer-term sustainability and that of UHC. UHC has been achieved in Costa Rica because it was supported at the highest political level within a favourable socio-economic and political context. Once achieved, UHC became an entitlement for the population and now enjoys broad public support.

Promoting universal financial protection: a policy analysis of universal health coverage in Costa Rica (1940–2000)

PubMed Central

2013-01-01

Background This paper explores the implementation and sustenance of universal health coverage (UHC) in Costa Rica, discussing the development of a social security scheme that covered 5% of the population in 1940, to one that finances and provides comprehensive healthcare to the whole population today. The scheme is financed by mandatory, tri-partite social insurance contributions complemented by tax funding to cover the poor. Methods The analysis takes a historical perspective and explores the policy process including the key actors and their relative influence in decision-making. Data were collected using qualitative research instruments, including a review of literature, institutional and other documents, and in-depth interviews with key informants. Results Key lessons to be learned are: i) population health was high on the political agenda in Costa Rica, in particular before the 1980s when UHC was enacted and the transfer of hospitals to the social security institution took place. Opposition to UHC could therefore be contained through negotiation and implemented incrementally despite the absence of real consensus among the policy elite; ii) since the 1960s, the social security institution has been responsible for UHC in Costa Rica. This institution enjoys financial and managerial autonomy relative to the general government, which has also facilitated the UHC policy implementation process; iii) UHC was simultaneously constructed on three pillars that reciprocally strengthened each other: increasing population coverage, increasing availability of financial resources based on solidarity financing mechanisms, and increasing service coverage, ultimately offering comprehensive health services and the same benefits to every resident in the country; iv) particularly before the 1980s, the fruits of economic growth were structurally invested in health and other universal social policies, in particular education and sanitation. The social security institution became a flagship of Costa Rica’s national development strategy which reinforced its political importance and contributed to its longer-term sustainability and that of UHC. Conclusions UHC has been achieved in Costa Rica because it was supported at the highest political level within a favourable socio-economic and political context. Once achieved, UHC became an entitlement for the population and now enjoys broad public support. PMID:24107407

Evaluation design of Urban Health Centres Europe (UHCE): preventive integrated health and social care for community-dwelling older persons in five European cities.

PubMed

Franse, Carmen B; Voorham, Antonius J J; van Staveren, Rob; Koppelaar, Elin; Martijn, Rens; Valía-Cotanda, Elisa; Alhambra-Borrás, Tamara; Rentoumis, Tasos; Bilajac, Lovorka; Marchesi, Vanja Vasiljev; Rukavina, Tomislav; Verma, Arpana; Williams, Greg; Clough, Gary; Garcés-Ferrer, Jorge; Mattace Raso, Francesco; Raat, Hein

2017-09-11

Older persons often have interacting physical and social problems and complex care needs. An integrated care approach in the local context with collaborations between community-, social-, and health-focused organisations can contribute to the promotion of independent living and quality of life. In the Urban Health Centres Europe (UHCE) project, five European cities (Greater Manchester, United Kingdom; Pallini (in Greater Athens Area), Greece; Rijeka, Croatia; Rotterdam, the Netherlands; and Valencia, Spain) develop and implement a care template that integrates health and social care and includes a preventive approach. The UHCE project includes an effect and process evaluation. In a one-year pre-post controlled trial, in each city 250 participants aged 75+ years are recruited to receive the UHCE approach and are compared with 250 participants who receive 'care as usual'. Benefits of UHCE approach in terms of healthy life styles, fall risk, appropriate medication use, loneliness level and frailty, and in terms of level of independence and health-related quality of life and health care use are assessed. A multilevel modeling approach is used for the analyses. The process evaluation is used to provide insight into the reach of the target population, the extent to which elements of the UHCE approach are executed as planned and the satisfaction of the participants. The UHCE project will provide new insight into the feasibility and effectiveness of an integrated care approach for older persons in different European settings. ISRCTN registry number is ISRCTN52788952 . Date of registration is 13/03/2017.

State budget transfers to Health Insurance to expand coverage to people outside formal sector work in Latin America.

PubMed

Mathauer, Inke; Behrendt, Thorsten

2017-02-16

Contributory social health insurance for formal sector employees only has proven challenging for moving towards universal health coverage (UHC). This is because the informally employed and the poor usually remain excluded. One way to expand UHC is to fully or partially subsidize health insurance contributions for excluded population groups through government budget transfers. This paper analyses the institutional design features of such government subsidization arrangements in Latin America and assesses their performance with respect to UHC progress. The aim is to identify UHC conducive institutional design features of such arrangements. A literature search provided the information to analyse institutional design features, with a focus on the following aspects: eligibility/enrolment rules, financing and pooling arrangements, and purchasing and benefit package design. Based on secondary data analysis, UHC progress is assessed in terms of improved population coverage, financial protection and access to needed health care services. Such government subsidization arrangements currently exist in eight countries of Latin America (Bolivia, Chile, Colombia, Costa Rica, Dominican Republic, Mexico, Peru, Uruguay). Institutional design features and UHC related performance vary significantly. Notably, countries with a universalist approach or indirect targeting have higher population coverage rates. Separate pools for the subsidized maintain inequitable access. The relatively large scopes of the benefit packages had a positive impact on financial protection and access to care. In the long term, merging different schemes into one integrated health financing system without opt-out options for the better-off is desirable, while equally expanding eligibility to cover those so far excluded. In the short and medium term, the harmonization of benefit packages could be a priority. UHC progress also depends on substantial supply side investments to ensure the availability of quality services, particularly in rural areas. Future research should generate more evidence on the implementation process and impact of subsidization arrangements on UHC progress.

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

Richard D. Boardman; B. H. O'Brien; N. R. Soelberg

About one million gallons of acidic, hazardous, and radioactive sodium-bearing waste are stored in stainless steel tanks at the Idaho Nuclear Technology and Engineering Center (INTEC), which is a major operating facility of the Idaho National Engineering and Environmental Laboratory. Calcination at high-temperature conditions (600 C, with alumina nitrate and calcium nitrate chemical addition to the feed) is one of four options currently being considered by the Department of Energy for treatment of the remaining tank wastes. If calcination is selected for future processing of the sodium-bearing waste, it will be necessary to install new off-gas control equipment in themore » New Waste Calcining Facility (NWCF) to comply with the Maximum Achievable Control Technology (MACT) standards for hazardous waste combustors and incinerators. This will require, as a minimum, installing a carbon bed to reduce mercury emissions from their current level of up to 7,500 to <45 {micro}g/dscm, and a staged combustor to reduce unburned kerosene fuel in the off-gas discharge to <100 ppm CO and <10 ppm hydrocarbons. The staged combustor will also reduce NOx concentrations of about 35,000 ppm by 90-95%. A pilot-plant calcination test was completed in a newly constructed 15-cm diameter calciner vessel. The pilot-plant facility was equipped with a prototype MACT off-gas control system, including a highly efficient cyclone separator and off-gas quench/venturi scrubber for particulate removal, a staged combustor for unburned hydrocarbon and NOx destruction, and a packed activated carbon bed for mercury removal and residual chloride capture. Pilot-plant testing was performed during a 50-hour system operability test January 14-16, followed by a 100-hour high-temperature calcination pilot-plant calcination run January 19-23. Two flowsheet blends were tested: a 50-hour test with an aluminum-to-alkali metal molar ratio (AAR) of 2.25, and a 50-hour test with an AAR of 1.75. Results of the testing indicate that sodium-bearing waste can be successfully calcined at 600 C with an AAR of 1.75. Unburned hydrocarbons are reduced to less than 10 ppm (7% O2, dry basis), with >90% reduction of NOx emissions. Mercury removal by the carbon bed reached 99.99%, surpassing the control efficiency needed to meet MACT emissions standards. No deleterious impacts on the carbon bed were observed during the tests. The test results imply that upgrading the NWCF calciner with a more efficient cyclone separator and the proposed MACT equipment can process the remaining tanks wastes in 3 years or less, and comply with the MACT standards.« less

Investigation of polycyclic aromatic hydrocarbon content in fly ash and bottom ash of biomass incineration plants in relation to the operating temperature and unburned carbon content.

PubMed

Košnář, Zdeněk; Mercl, Filip; Perná, Ivana; Tlustoš, Pavel

2016-09-01

The use of biomass fuels in incineration power plants is increasing worldwide. The produced ashes may pose a serious threat to the environment due to the presence of polycyclic aromatic hydrocarbons (PAHs), because some PAHs are potent carcinogens, mutagens and teratogens. The objective of this study was to investigate the content of total and individual PAHs in fly and bottom ash derived from incineration of phytomass and dendromass, because the data on PAH content in biomass ashes is limited. Various operating temperatures of incineration were examined and the relationship between total PAH content and unburned carbon in ashes was also considered. The analysis of PAHs was carried out in fly and bottom ash samples collected from various biomass incineration plants. PAH determination was performed using gas chromatography coupled with mass spectrometry. The correlations between the low, medium and high molecular weight PAHs and each other in ashes were conducted. The relationship between PAH content and unburned carbon, determined as a loss on ignition (L.O.I.) in biomass ashes, was performed using regression analysis. The PAH content in biomass ashes varied from 41.1±1.8 to 53,800.9±13,818.4ng/g dw. This variation may be explained by the differences in boiler operating conditions and biomass fuel composition. The correlation coefficients for PAHs in ash ranged from 0.8025 to 0.9790. The regression models were designed and the coefficients of determination varied from 0.908 to 0.980. The PAH content in ash varied widely with fuel type and the effect of operating temperature on PAH content in ash was evident. Fly ashes contained higher amounts of PAHs than bottom ashes. The low molecular weight PAHs prevailed in tested ashes. The exponential relationship between the PAH content and L.O.I. for fly ashes and the linear for bottom ashes was observed. Copyright © 2016 Elsevier B.V. All rights reserved.

India's Proposed Universal Health Coverage Policy: Evidence for Age Structure Transition Effect and Fiscal Sustainability.

PubMed

Narayana, Muttur Ranganathan

2016-12-01

India's High Level Expert Group on Universal Health Coverage in 2011 recommended a universal, public-funded and national health coverage policy. As a plausible forward-looking macroeconomic reform in the health sector, this policy proposal on universal health coverage (UHC) needs to be evaluated for age structure transition effect and fiscal sustainability to strengthen its current design and future implementation. Macroeconomic analyses of the long-term implications of age structure transition and fiscal sustainability on India's proposed UHC policy. A new measure of age-specific UHC is developed by combining the age profile of public and private health consumption expenditure by using the National Transfer Accounts methodology. Different projections of age-specific public health expenditure are calculated over the period 2005-2100 to account for the age structure transition effect. The projections include changes in: (1) levels of the expenditure as gross domestic product grows, (2) levels and shape of the expenditure as gross domestic product grows and expenditure converges to that of developed countries (or convergence scenario) based on the Lee-Carter model of forecasting mortality rates, and (3) levels of the expenditure as India moves toward a UHC policy. Fiscal sustainability under each health expenditure projection is determined by using the measures of generational imbalance and sustainability gap in the Generational Accounting methodology. Public health expenditure is marked by age specificities and the elderly population is costlier to support for their healthcare needs in the future. Given the discount and productivity growth rates, the proposed UHC is not fiscally sustainable under India's current fiscal policies except for the convergence scenario. However, if the income elasticity of public expenditure on social welfare and health expenditure is less than one, fiscal sustainability of the UHC policy is attainable in all scenarios of projected public health expenditures. These new results strengthen the proposed UHC policy by accounting for age structure transition effect and justifying its sustainability within the framework of India's current fiscal policies. The age structure transition effect is important to incorporate the age-specific cost and benefit of the proposed UHC policy, especially as India moves toward an ageing society. Fiscal sustainability is essential to ensure that the proposed UHC is implementable on a long-term basis and within the framework of current fiscal policies.

Quiet Clean Short-haul Experimental Engine (QCSEE). Double-annular clean combustor technology development report

NASA Technical Reports Server (NTRS)

Bahr, D. W.; Burrus, D. L.; Sabla, P. E.

1979-01-01

A sector combustor technology development program was conducted to define an advanced double annular dome combustor sized for use in the quiet clean short haul experimental engine (QCSEE). A design which meets the emission goals, and combustor performance goals of the QCSEE engine program was developed. Key design features were identified which resulted in substantial reduction in carbon monoxide and unburned hydrocarbon emission levels at ground idle operating conditions, in addition to very low nitric oxide emission levels at high power operating conditions. Their significant results are reported.

Parametric performance of a turbojet engine combustor using jet A and A diesel fuel

NASA Technical Reports Server (NTRS)

Butze, H. F.; Humenik, F. M.

1979-01-01

The performance of a single-can JT8D combustor was evaluated with Jet A and a high-aromatic diesel fuel over a parametric range of combustor-inlet conditions. Performance parameters investigated were combustion efficiency, emissions of CO, unburned hydrocarbons, and NOx, as well as liner temperatures and smoke. At all conditions the use of diesel fuel instead of Jet A resulted in increases in smoke numbers and liner temperatures; gaseous emissions, on the other hand, did not differ significantly between the two fuels.

BRICS countries and the global movement for universal health coverage.

PubMed

Tediosi, Fabrizio; Finch, Aureliano; Procacci, Christina; Marten, Robert; Missoni, Eduardo

2016-07-01

This article explores BRICS' engagement in the global movement for Universal Health Coverage (UHC) and the implications for global health governance. It is based on primary data collected from 43 key informant interviews, complemented by a review of BRICS' global commitments supporting UHC. Interviews were conducted using a semi-structured questionnaire that included both closed- and open-ended questions. Question development was informed by insights from the literature on UHC, Cox's framework for action, and Kingdon's multiple-stream theory of policy formation. The closed questions were analysed with simple descriptive statistics and the open-ended questions using grounded theory approach. The analysis demonstrates that most BRICS countries implicitly supported the global movement for UHC, and that they share an active engagement in promoting UHC. However, only Brazil, China and to some extent South Africa, were recognized as proactively pushing UHC in the global agenda. In addition, despite some concerted actions, BRICS countries seem to act more as individual countries rather that as an allied group. These findings suggest that BRICS are unlikely to be a unified political block that will transform global health governance. Yet the documented involvement of BRICS in the global movement supporting UHC, and their focus on domestic challenges, shows that BRICS individually are increasingly influential players in global health. So if BRICS countries should probably not be portrayed as the centre of future political community that will transform global health governance, their individual involvement in global health, and their documented concerted actions, may give greater voice to low- and middle-income countries supporting the emergence of multiple centres of powers in global health. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Integrating social determinants of health in the universal health coverage monitoring framework.

PubMed

Vega, Jeanette; Frenz, Patricia

2013-12-01

Underpinning the global commitment to universal health coverage (UHC) is the fundamental role of health for well-being and sustainable development. UHC is proposed as an umbrella health goal in the post-2015 sustainable development agenda because it implies universal and equitable effective delivery of comprehensive health services by a strong health system, aligned with multiple sectors around the shared goal of better health. In this paper, we argue that social determinants of health (SDH) are central to both the equitable pursuit of healthy lives and the provision of health services for all and, therefore, should be expressly incorporated into the framework for monitoring UHC. This can be done by: (a) disaggregating UHC indicators by different measures of socioeconomic position to reflect the social gradient and the complexity of social stratification; and (b) connecting health indicators, both outcomes and coverage, with SDH and policies within and outside of the health sector. Not locating UHC in the context of action on SDH increases the risk of going down a narrow route that limits the right to health to coverage of services and financial protection.

Comparative analysis of the Performance and Emission Characteristics of ethanol-butanol-gasoline blends

NASA Astrophysics Data System (ADS)

Taneja, Sumit; Singh, Perminderjit, Dr; Singh, Gurtej

2018-02-01

Global warming and energy security being the global problems have shifted the focus of researchers on the renewable sources of energy which could replace petroleum products partially or as a whole. Ethanol and butanol are renewable sources of energy which can be produced through fermentation of biomass. A lot of research has already been done to develop suitable ethanol-gasoline blends. In contrast very little literature available on the butanol-gasoline blends. This research focuses on the comparison of ethanol-gasoline fuels with butanol-gasoline fuels with regard to the emission and performance in an SI engine. Experiments were conducted on a variable compression ratio SI engine at 1600 rpm and compression ratio 8. The experiments involved the measurement of carbon monoxide, carbon dioxide, oxides of nitrogen and unburned hydrocarbons emission and among performance parameters brake specific fuel consumption and brake thermal efficiency were recorded at three loads of 2.5kgs (25%), 5kgs (50%) and 7.5kgs (75%). Results show that ethanol and butanol content in gasoline have decreased brake specific fuel consumption, carbon monoxide and unburned hydrocarbon emissions while the brake thermal efficiency and oxides of nitrogen are increased. Results indicate thatbutanol-gasoline blends have improved brake specific fuel consumption, carbon monoxide emissions in an SI engine as compared to ethanol-gasoline blends. The carbon dioxide emissions and brake thermal efficiencies are comparable for ethanol-gasoline blends and butanol-gasoline blends. The butanol content has a more adverse effect on emissions of oxides of nitrogen than ethanol.

Universal health coverage in Rwanda: dream or reality.

PubMed

Nyandekwe, Médard; Nzayirambaho, Manassé; Baptiste Kakoma, Jean

2014-01-01

Universal Health Coverage (UHC) has been a global concern for a long time and even more nowadays. While a number of publications are almost unanimous that Rwanda is not far from UHC, very few have focused on its financial sustainability and on its extreme external financial dependency. The objectives of this study are: (i) To assess Rwanda UHC based mainly on Community-Based Health Insurance (CBHI) from 2000 to 2012; (ii) to inform policy makers about observed gaps for a better way forward. A retrospective (2000-2012) SWOT analysis was applied to six metrics as key indicators of UHC achievement related to WHO definition, i.e. (i) health insurance and access to care, (ii) equity, (iii) package of services, (iv) rights-based approach, (v) quality of health care, (vi) financial-risk protection, and (vii) CBHI self-financing capacity (SFC) was added by the authors. The first metric with 96,15% of overall health insurance coverage and 1.07 visit per capita per year versus 1 visit recommended by WHO, the second with 24,8% indigent people subsidized versus 24,1% living in extreme poverty, the third, the fourth, and the fifth metrics excellently performing, the sixth with 10.80% versus ≤40% as limit acceptable of catastrophic health spending level and lastly the CBHI SFC i.e. proper cost recovery estimated at 82.55% in 2011/2012, Rwanda UHC achievements are objectively convincing. Rwanda UHC is not a dream but a reality if we consider all convincing results issued of the seven metrics.

Trends in, and projections of, indicators of universal health coverage in Bangladesh, 1995-2030: a Bayesian analysis of population-based household data.

PubMed

Rahman, Md Shafiur; Rahman, Md Mizanur; Gilmour, Stuart; Swe, Khin Thet; Krull Abe, Sarah; Shibuya, Kenji

2018-01-01

Many countries are implementing health system reforms to achieve universal health coverage (UHC) by 2030. To understand the progress towards UHC in Bangladesh, we estimated trends in indicators of the health service and of financial risk protection. We also estimated the probability of Bangladesh's achieving of UHC targets of 80% essential health-service coverage and 100% financial risk protection by 2030. We estimated the coverage of UHC indicators-13 prevention indicators and four treatment indicators-from 19 nationally representative population-based household surveys done in Bangladesh from Jan 1, 1991, to Dec 31, 2014. We used a Bayesian regression model to estimate the trend and to predict the coverage of UHC indicators along with the probabilities of achieving UHC targets of 80% coverage of health services and 100% coverage of financial risk protection from catastrophic and impoverishing health payments by 2030. We used the concentration index and relative index of inequality to assess wealth-based inequality in UHC indicators. If the current trends remain unchanged, we estimated that coverage of childhood vaccinations, improved water, oral rehydration treatment, satisfaction with family planning, and non-use of tobacco will achieve the 80% target by 2030. However, coverage of four antenatal care visits, facility-based delivery, skilled birth attendance, postnatal checkups, care seeking for pneumonia, exclusive breastfeeding, non-overweight, and adequate sanitation were not projected to achieve the target. Quintile-specific projections showed wide wealth-based inequality in access to antenatal care, postnatal care, delivery care, adequate sanitation, and care seeking for pneumonia, and this inequality was projected to continue for all indicators. The incidence of catastrophic health expenditure and impoverishment were projected to increase from 17% and 4%, respectively, in 2015, to 20% and 9%, respectively, by 2030. Inequality analysis suggested that wealthiest households would disproportionately face more financial catastrophe than the most disadvantaged households. Despite progress, Bangladesh will not achieve the 2030 UHC targets unless the country scales up interventions related to maternal and child health services, and reforms health financing systems to avoid high dependency on out-of-pocket payments. The introduction of a national health insurance system, increased public funding for health care, and expansion of community-based clinics in rural areas could help to move the country towards UHC. Japan Ministry of Health, Labour, and Welfare. Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd.. All rights reserved.

Universal Health Coverage and the Right to Health: From Legal Principle to Post-2015 Indicators.

PubMed

Sridhar, Devi; McKee, Martin; Ooms, Gorik; Beiersmann, Claudia; Friedman, Eric; Gouda, Hebe; Hill, Peter; Jahn, Albrecht

2015-01-01

Universal Health Coverage (UHC) is widely considered one of the key components for the post-2015 health goal. The idea of UHC is rooted in the right to health, set out in the International Covenant on Economic, Social, and Cultural Rights. Based on the Covenant and the General Comment of the Committee on Economic, Social, and Cultural Rights, which is responsible for interpreting and monitoring the Covenant, we identify 6 key legal principles that should underpin UHC based on the right to health: minimum core obligation, progressive realization, cost-effectiveness, shared responsibility, participatory decision making, and prioritizing vulnerable or marginalized groups. Yet, although these principles are widely accepted, they are criticized for not being specific enough to operationalize as post-2015 indicators for reaching the target of UHC. In this article, we propose measurable and achievable indicators for UHC based on the right to health that can be used to inform the ongoing negotiations on Sustainable Development Goals. However, we identify 3 major challenges that face any exercise in setting indicators post-2015: data availability as an essential criterion, the universality of targets, and the adaptation of global goals to local populations. © SAGE Publications 2015.

Mid-IR fiber optic sensors for internal combustion engines

NASA Astrophysics Data System (ADS)

Hall, Matthew J.

1999-12-01

Environmental regulations are driving development of cleaner spark ignition, diesel, and gas turbine engines. Emissions of unburned hydrocarbons, NOx, and CO can be affected by the characteristics of the mixing of the fuel with air in the engine, and by the amount of exhaust gas recirculated to the engine intake. Fiber optic sensors have been developed that can measure the local fuel concentration in the combustion chamber of a spark ignition engine near the spark plug. The sensors detect the absorption of 3.4 micrometer radiation corresponding to the strongest absorption band common to all hydrocarbons. The sensors have been applied to both liquid and gaseous hydrocarbon fuels, and liquid fuels injected directly into the engine combustion chamber. The sensors use white light sources and are designed to detect the absorption throughout the entire band minimizing calibration problems associated with pressure and temperature broadening. Other sensors can detect the concentration of CO2 in the engine intake manifold providing time-resolved measurement of exhaust gas recirculation (EGR). Proper EGR levels are critical for achieving low engine-out emissions of NOx while maintaining acceptable engine performance.

Exhaust emission calibration of two J-58 afterburning turbojet engines at simulated high-altitude, supersonic flight conditions

NASA Technical Reports Server (NTRS)

Holdeman, J. D.

1976-01-01

Emissions of total oxides of nitrogen, nitric oxide, unburned hydrocarbons, carbon monoxide, and carbon dioxide from two J-58 afterburning turbojet engines at simulated high-altitude flight conditions are reported. Test conditions included flight speeds from Mach 2 to 3 at altitudes from 16.0 to 23.5 km. For each flight condition exhaust measurements were made for four or five power levels, from maximum power without afterburning through maximum afterburning. The data show that exhaust emissions vary with flight speed, altitude, power level, and radial position across the exhaust. Oxides of nitrogen emissions decreased with increasing altitude and increased with increasing flight speed. Oxides of nitrogen emission indices with afterburning were less than half the value without afterburning. Carbon monoxide and hydrocarbon emissions increased with increasing altitude and decreased with increasing flight speed. Emissions of these species were substantially higher with afterburning than without.

Achieving universal health coverage in South Africa through a district health system approach: conflicting ideologies of health care provision.

PubMed

Fusheini, Adam; Eyles, John

2016-10-07

Universal Health Coverage (UHC) has emerged as a major goal for health care delivery in the post-2015 development agenda. It is viewed as a solution to health care needs in low and middle countries with growing enthusiasm at both national and global levels. Throughout the world, however, the paths of countries to UHC have differed. South Africa is currently reforming its health system with UHC through developing a national health insurance (NHI) program. This will be practically achieved through a decentralized approach, the district health system, the main vehicle for delivering services since democracy. We utilize a review of relevant documents, conducted between September 2014 and December 2015 of district health systems (DHS) and UHC and their ideological underpinnings, to explore the opportunities and challenges, of the district health system in achieving UHC in South Africa. Review of data from the NHI pilot districts suggests that as South Africa embarks on reforms toward UHC, there is a need for a minimal universal coverage and emphasis on district particularity and positive discrimination so as to bridge health inequities. The disparities across districts in relation to health profiles/demographics, health delivery performance, management of health institutions or district management capacity, income levels/socio-economic status and social determinants of health, compliance with quality standards and above all the burden of disease can only be minimised through positive discrimination by paying more attention to underserved and disadavantaged communities. We conclude that in South Africa the DHS is pivotal to health reform and UHC may be best achieved through minimal universal coverage with positive discrimination to ensure disparities across districts in relation to disease burden, human resources, financing and investment, administration and management capacity, service readiness and availability and the health access inequalities are consciously implicated. Yet ideological and practical issues make its achievement problematic.

A composite indicator to measure universal health care coverage in India: way forward for post-2015 health system performance monitoring framework.

PubMed

Prinja, Shankar; Gupta, Rakesh; Bahuguna, Pankaj; Sharma, Atul; Kumar Aggarwal, Arun; Phogat, Amit; Kumar, Rajesh

2017-02-01

There is limited work done on developing methods for measurement of universal health coverage. We undertook a study to develop a methodology and demonstrate the practical application of empirically measuring the extent of universal health coverage at district level. Additionally, we also develop a composite indicator to measure UHC. A cross-sectional survey was undertaken among 51 656 households across 21 districts of Haryana state in India. Using the WHO framework for UHC, we identified indicators of service coverage, financial risk protection, equity and quality based on the Government of India and the Haryana Government's proposed UHC benefit package. Geometric mean approach was used to compute a composite UHC index (CUHCI). Various statistical approaches to aggregate input indicators with or without weighting, along with various incremental combinations of input indicators were tested in a comprehensive sensitivity analysis. The population coverage for preventive and curative services is presented. Adjusting for inequality, the coverage for all the indicators were less than the unadjusted coverage by 0.1-6.7% in absolute term and 0.1-27% in relative term. There was low unmet need for curative care. However, about 11% outpatient consultations were from unqualified providers. About 30% households incurred catastrophic health expenditures, which rose to 38% among the poorest 20% population. Summary index (CUHCI) for UHC varied from 12% in Mewat district to 71% in Kurukshetra district. The inequality unadjusted coverage for UHC correlates highly with adjusted coverage. Our paper is an attempt to develop a methodology to measure UHC. However, careful inclusion of others indicators of service coverage is recommended for a comprehensive measurement which captures the spirit of universality. Further, more work needs to be done to incorporate quality in the measurement framework. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Effects of Nb Modification and Cooling Rate on the Microstructure in an Ultrahigh Carbon Steel

NASA Astrophysics Data System (ADS)

Hecht, Matthew D.; Webler, Bryan A.; Picard, Yoosuf N.

2018-04-01

In this study, two different melting methods were used to investigate effects of Nb modification on microstructure in ultrahigh carbon steel (UHCS). Nb-free and Nb-modified UHCS samples were produced by melting and resolidifying an industrially produced base UHCS with and without addition of Nb powder. Microstructure was characterized using scanning electron microscopy, X-ray diffraction, and electron dispersive spectroscopy. Equilibrium computations of phase fractions and compositions were utilized to help describe microstructural changes caused by the Nb additions. Nb combined with C to form NbC structures before and during austenite solidification, reducing the effective amount of carbon available for the other phases. Cementite network spacing in the Nb-free samples was controlled by the cooling rate during solidification (faster cooling led to a more refined network). Network spacing in the Nb-modified UHCS could be enlarged by NbC structures that formed cooperatively with austenite.

Financial risk protection and universal health coverage: evidence and measurement challenges.

PubMed

Saksena, Priyanka; Hsu, Justine; Evans, David B

2014-09-01

Financial risk protection is a key component of universal health coverage (UHC), which is defined as access to all needed quality health services without financial hardship. As part of the PLOS Medicine Collection on measurement of UHC, the aim of this paper is to examine and to compare and contrast existing measures of financial risk protection. The paper presents the rationale behind the methodologies for measuring financial risk protection and how this relates to UHC as well as some empirical examples of the types of measures. Additionally, the specific challenges related to monitoring inequalities in financial risk protection are discussed. The paper then goes on to examine and document the practical challenges associated with measurement of financial risk protection. This paper summarizes current thinking on the area of financial risk protection, provides novel insights, and suggests future developments that could be valuable in the context of monitoring progress towards UHC.

Financial Risk Protection and Universal Health Coverage: Evidence and Measurement Challenges

PubMed Central

Saksena, Priyanka; Hsu, Justine; Evans, David B.

2014-01-01

Financial risk protection is a key component of universal health coverage (UHC), which is defined as access to all needed quality health services without financial hardship. As part of the PLOS Medicine Collection on measurement of UHC, the aim of this paper is to examine and to compare and contrast existing measures of financial risk protection. The paper presents the rationale behind the methodologies for measuring financial risk protection and how this relates to UHC as well as some empirical examples of the types of measures. Additionally, the specific challenges related to monitoring inequalities in financial risk protection are discussed. The paper then goes on to examine and document the practical challenges associated with measurement of financial risk protection. This paper summarizes current thinking on the area of financial risk protection, provides novel insights, and suggests future developments that could be valuable in the context of monitoring progress towards UHC. PMID:25244520

The power of collaboration: using internet-based tools to facilitate networking and benchmarking within a consortium of academic health centers.

PubMed

Korner, Eli J; Oinonen, Michael J; Browne, Robert C

2003-02-01

The University HealthSystem Consortium (UHC) represents a strategic alliance of 169 academic health centers and associated institutions engaged in knowledge sharing and idea-generation. The use of the Internet as a tool in the delivery of UHC's products and services has increased dramatically over the past year and will continue to increase during the foreseeable future. This paper examines the current state of UHC-member institution driven tools and services that utilize the Web as a fundamental component in their delivery. The evolution of knowledge management at UHC, its management information and reporting tools, and expansion of e-commerce provide real world examples of Internet use in health care delivery and management. Health care workers are using these Web-based tools to help manage rising costs and optimize patient outcomes. Policy, technical, and organizational issues must be resolved to facilitate rapid adoption of Internet applications.

Effects of Nb Modification and Cooling Rate on the Microstructure in an Ultrahigh Carbon Steel

NASA Astrophysics Data System (ADS)

Hecht, Matthew D.; Webler, Bryan A.; Picard, Yoosuf N.

2018-06-01

In this study, two different melting methods were used to investigate effects of Nb modification on microstructure in ultrahigh carbon steel (UHCS). Nb-free and Nb-modified UHCS samples were produced by melting and resolidifying an industrially produced base UHCS with and without addition of Nb powder. Microstructure was characterized using scanning electron microscopy, X-ray diffraction, and electron dispersive spectroscopy. Equilibrium computations of phase fractions and compositions were utilized to help describe microstructural changes caused by the Nb additions. Nb combined with C to form NbC structures before and during austenite solidification, reducing the effective amount of carbon available for the other phases. Cementite network spacing in the Nb-free samples was controlled by the cooling rate during solidification (faster cooling led to a more refined network). Network spacing in the Nb-modified UHCS could be enlarged by NbC structures that formed cooperatively with austenite.

Universal health coverage in Rwanda: dream or reality

PubMed Central

Nyandekwe, Médard; Nzayirambaho, Manassé; Baptiste Kakoma, Jean

2014-01-01

Introduction Universal Health Coverage (UHC) has been a global concern for a long time and even more nowadays. While a number of publications are almost unanimous that Rwanda is not far from UHC, very few have focused on its financial sustainability and on its extreme external financial dependency. The objectives of this study are: (i) To assess Rwanda UHC based mainly on Community-Based Health Insurance (CBHI) from 2000 to 2012; (ii) to inform policy makers about observed gaps for a better way forward. Methods A retrospective (2000-2012) SWOT analysis was applied to six metrics as key indicators of UHC achievement related to WHO definition, i.e. (i) health insurance and access to care, (ii) equity, (iii) package of services, (iv) rights-based approach, (v) quality of health care, (vi) financial-risk protection, and (vii) CBHI self-financing capacity (SFC) was added by the authors. Results The first metric with 96,15% of overall health insurance coverage and 1.07 visit per capita per year versus 1 visit recommended by WHO, the second with 24,8% indigent people subsidized versus 24,1% living in extreme poverty, the third, the fourth, and the fifth metrics excellently performing, the sixth with 10.80% versus ≤40% as limit acceptable of catastrophic health spending level and lastly the CBHI SFC i.e. proper cost recovery estimated at 82.55% in 2011/2012, Rwanda UHC achievements are objectively convincing. Conclusion Rwanda UHC is not a dream but a reality if we consider all convincing results issued of the seven metrics. PMID:25170376

Characterization, efficacy, pharmacokinetics, and biodistribution of 5kDa mPEG modified tetrameric canine uricase variant.

PubMed

Zhang, Chun; Fan, Kai; Luo, Hua; Ma, Xuefeng; Liu, Riyong; Yang, Li; Hu, Chunlan; Chen, Zhenmin; Min, Zhiqiang; Wei, Dongzhi

2012-07-01

PEGylated uricase is a promising anti-gout drug, but the only commercially marketed 10kDa mPEG modified porcine-like uricase (Pegloticase) can only be used for intravenous infusion. In this study, tetrameric canine uricase variant was modified by covalent conjugation of all accessible ɛ amino sites of lysine residues with a smaller 5kDa mPEG (mPEG-UHC). The average modification degree and PEGylation homogeneity were evaluated. Approximately 9.4 5 kDa mPEG chains were coupled to each monomeric uricase and the main conjugates contained 7-11 mPEG chains per subunit. mPEG-UHC showed significantly therapeutic or preventive effect on uric acid nephropathy and acute urate arthritis based on three different animal models. The clearance rate from an intravenous injection of mPEG-UHC varied significantly between species, at 2.61 mL/h/kg for rats and 0.21 mL/h/kg for monkeys. The long elimination half-life of mPEG-UHC in non-human primate (191.48 h, intravenous injection) indicated the long-term effects in humans. Moreover, the acceptable bioavailability of mPEG-UHC after subcutaneous administration in monkeys (94.21%) suggested that subcutaneous injection may be regarded as a candidate administration route in clinical trails. Non-specific tissue distribution was observed after administration of (125)I-labeled mPEG-UHC in rats, and elimination by the kidneys into the urine is the primary excretion route. Copyright © 2012 Elsevier B.V. All rights reserved.

Effect of swirler-mounted mixing venturi on emissions of flame-tube combustor using jet A fuel

NASA Technical Reports Server (NTRS)

Ercegovic, D. B.

1979-01-01

Six headplate modules in a flame-tube combustor were evaluated. Unburned hydrocarbons, carbon monoxide, and oxides of nitrogen were measured for three types of fuel injectors both with and without a mixing venturi. Tests were conducted using jet A fuel at an inlet pressure of 0.69 megapascal, an inlet temperature of 478 K, and an isothermal static pressure drop of 3 percent. Oxides of nitrogen were reduced by over 50 percent with a mixing venturi with no performance penalties in either other gaseous emissions or pressure drop.

Emission calibration of a J-58 afterburning turbojet engine at simulated supersonic stratospheric flight conditions

NASA Technical Reports Server (NTRS)

Holdeman, J. D.

1974-01-01

Emissions of total oxides of nitrogen, unburned hydrocarbons, and carbon monoxide from a J-58 engine at simulated flight conditions of Mach 2.0, 2.4, and 2.8 at 19.8 km altitude are reported. For each flight condition, measurements were made for four engine power levels from maximum power without afterburning through maximum afterburning. These measurements were made 7 cm downstream of the engine primary nozzle using a single point traversing gas sample probe. Results show that emissions vary with flight speed, engine power level, and with radial position across the exhaust.

Emission calibration of a J-58 afterburning turbojet engine at simulated supersonic, stratospheric flight conditions

NASA Technical Reports Server (NTRS)

Holdeman, J. D.

1974-01-01

Emissions of total oxides of nitrogen, unburned hydrocarbons, and carbon monoxide from a J-58 engine at simulated flight conditions of Mach 2.0, 2.4, and 2.8 at 19.8 km altitude are reported. For each flight condition, measurements were made for four engine power levels from maximum power without afterburning through maximum afterburning. These measurements were made 7 cm downstream of the engine primary nozzle using a single point traversing gas sample probe. Results show that emissions vary with flight speed, engine power level, and with radial position across the exhaust.

Progress toward universal health coverage in ASEAN.

PubMed

Van Minh, Hoang; Pocock, Nicola Suyin; Chaiyakunapruk, Nathorn; Chhorvann, Chhea; Duc, Ha Anh; Hanvoravongchai, Piya; Lim, Jeremy; Lucero-Prisno, Don Eliseo; Ng, Nawi; Phaholyothin, Natalie; Phonvisay, Alay; Soe, Kyaw Min; Sychareun, Vanphanom

2014-01-01

The Association of Southeast Asian Nations (ASEAN) is characterized by much diversity in terms of geography, society, economic development, and health outcomes. The health systems as well as healthcare structure and provisions vary considerably. Consequently, the progress toward Universal Health Coverage (UHC) in these countries also varies. This paper aims to describe the progress toward UHC in the ASEAN countries and discuss how regional integration could influence UHC. Data reported in this paper were obtained from published literature, reports, and gray literature available in the ASEAN countries. We used both online and manual search methods to gather the information and 'snowball' further data. We found that, in general, ASEAN countries have made good progress toward UHC, partly due to relatively sustained political commitments to endorse UHC in these countries. However, all the countries in ASEAN are facing several common barriers to achieving UHC, namely 1) financial constraints, including low levels of overall and government spending on health; 2) supply side constraints, including inadequate numbers and densities of health workers; and 3) the ongoing epidemiological transition at different stages characterized by increasing burdens of non-communicable diseases, persisting infectious diseases, and reemergence of potentially pandemic infectious diseases. The ASEAN Economic Community's (AEC) goal of regional economic integration and a single market by 2015 presents both opportunities and challenges for UHC. Healthcare services have become more available but health and healthcare inequities will likely worsen as better-off citizens of member states might receive more benefits from the liberalization of trade policy in health, either via regional outmigration of health workers or intra-country health worker movement toward private hospitals, which tend to be located in urban areas. For ASEAN countries, UHC should be explicitly considered to mitigate deleterious effects of economic integration. Political commitments to safeguard health budgets and increase health spending will be necessary given liberalization's risks to health equity as well as migration and population aging which will increase demand on health systems. There is potential to organize select health services regionally to improve further efficiency. We believe that ASEAN has significant potential to become a force for better health in the region. We hope that all ASEAN citizens can enjoy higher health and safety standards, comprehensive social protection, and improved health status. We believe economic and other integration efforts can further these aspirations.

Progress toward universal health coverage in ASEAN

PubMed Central

Van Minh, Hoang; Pocock, Nicola Suyin; Chaiyakunapruk, Nathorn; Chhorvann, Chhea; Duc, Ha Anh; Hanvoravongchai, Piya; Lim, Jeremy; Lucero-Prisno, Don Eliseo; Ng, Nawi; Phaholyothin, Natalie; Phonvisay, Alay; Soe, Kyaw Min; Sychareun, Vanphanom

2014-01-01

Background The Association of Southeast Asian Nations (ASEAN) is characterized by much diversity in terms of geography, society, economic development, and health outcomes. The health systems as well as healthcare structure and provisions vary considerably. Consequently, the progress toward Universal Health Coverage (UHC) in these countries also varies. This paper aims to describe the progress toward UHC in the ASEAN countries and discuss how regional integration could influence UHC. Design Data reported in this paper were obtained from published literature, reports, and gray literature available in the ASEAN countries. We used both online and manual search methods to gather the information and ‘snowball’ further data. Results We found that, in general, ASEAN countries have made good progress toward UHC, partly due to relatively sustained political commitments to endorse UHC in these countries. However, all the countries in ASEAN are facing several common barriers to achieving UHC, namely 1) financial constraints, including low levels of overall and government spending on health; 2) supply side constraints, including inadequate numbers and densities of health workers; and 3) the ongoing epidemiological transition at different stages characterized by increasing burdens of non-communicable diseases, persisting infectious diseases, and reemergence of potentially pandemic infectious diseases. The ASEAN Economic Community's (AEC) goal of regional economic integration and a single market by 2015 presents both opportunities and challenges for UHC. Healthcare services have become more available but health and healthcare inequities will likely worsen as better-off citizens of member states might receive more benefits from the liberalization of trade policy in health, either via regional outmigration of health workers or intra-country health worker movement toward private hospitals, which tend to be located in urban areas. For ASEAN countries, UHC should be explicitly considered to mitigate deleterious effects of economic integration. Political commitments to safeguard health budgets and increase health spending will be necessary given liberalization's risks to health equity as well as migration and population aging which will increase demand on health systems. There is potential to organize select health services regionally to improve further efficiency. Conclusions We believe that ASEAN has significant potential to become a force for better health in the region. We hope that all ASEAN citizens can enjoy higher health and safety standards, comprehensive social protection, and improved health status. We believe economic and other integration efforts can further these aspirations. PMID:25476931

Universal Health Coverage for India by 2022: A Utopia or Reality?

PubMed Central

Singh, Zile

2013-01-01

It is the obligation of the state to provide free and universal access to quality health-care services to its citizens. India continues to be among the countries of the world that have a high burden of diseases. The various health program and policies in the past have not been able to achieve the desired goals and objectives. 65th World Health Assembly in Geneva identified universal health coverage (UHC) as the key imperative for all countries to consolidate the public health advances. Accordingly, Planning Commission of India constituted a high level expert group (HLEG) on UHC in October 2010. HLEG submitted its report in Nov 2011 to Planning Commission on UHC for India by 2022. The recommendations for the provision of UHC pertain to the critical areas such as health financing, health infrastructure, health services norms, skilled human resources, access to medicines and vaccines, management and institutional reforms, and community participation. India faces enormous challenges to achieve UHC by 2022 such as high disease prevalence, issues of gender equality, unregulated and fragmented health-care delivery system, non-availability of adequate skilled human resource, vast social determinants of health, inadequate finances, lack of inter-sectoral co-ordination and various political pull and push of different forces, and interests. These challenges can be met by a paradigm shift in health policies and programs in favor of vulnerable population groups, restructuring of public health cadres, reorientation of undergraduate medical education, more emphasis on public health research, and extensive education campaigns. There are still areas of concern in fulfilling the objectives of achieving UHC by 2022 regarding financing model for health-care delivery, entitlement package, cost of health-care interventions and declining state budgets. However, the Government's commitment to provide adequate finances, recent bold social policy initiatives and enactments such as food security bill, enhanced participation by civil society in all health matters, major initiative by some states such as Tamil Nadu to improve health, water, and sanitation services are good enough reasons for hope that UHC can be achieved by 2022. However, in the absence of sustained financial support, strong political will and leadership, dedicated involvement of all stakeholders and community participation, attainment of UHC by 2022 will remain a Utopia. PMID:23878417

Universal health coverage for India by 2022: a utopia or reality?

PubMed

Singh, Zile

2013-04-01

It is the obligation of the state to provide free and universal access to quality health-care services to its citizens. India continues to be among the countries of the world that have a high burden of diseases. The various health program and policies in the past have not been able to achieve the desired goals and objectives. 65(th) World Health Assembly in Geneva identified universal health coverage (UHC) as the key imperative for all countries to consolidate the public health advances. Accordingly, Planning Commission of India constituted a high level expert group (HLEG) on UHC in October 2010. HLEG submitted its report in Nov 2011 to Planning Commission on UHC for India by 2022. The recommendations for the provision of UHC pertain to the critical areas such as health financing, health infrastructure, health services norms, skilled human resources, access to medicines and vaccines, management and institutional reforms, and community participation. India faces enormous challenges to achieve UHC by 2022 such as high disease prevalence, issues of gender equality, unregulated and fragmented health-care delivery system, non-availability of adequate skilled human resource, vast social determinants of health, inadequate finances, lack of inter-sectoral co-ordination and various political pull and push of different forces, and interests. These challenges can be met by a paradigm shift in health policies and programs in favor of vulnerable population groups, restructuring of public health cadres, reorientation of undergraduate medical education, more emphasis on public health research, and extensive education campaigns. There are still areas of concern in fulfilling the objectives of achieving UHC by 2022 regarding financing model for health-care delivery, entitlement package, cost of health-care interventions and declining state budgets. However, the Government's commitment to provide adequate finances, recent bold social policy initiatives and enactments such as food security bill, enhanced participation by civil society in all health matters, major initiative by some states such as Tamil Nadu to improve health, water, and sanitation services are good enough reasons for hope that UHC can be achieved by 2022. However, in the absence of sustained financial support, strong political will and leadership, dedicated involvement of all stakeholders and community participation, attainment of UHC by 2022 will remain a Utopia.

Universal health coverage at the macro level: Synthetic control evidence from Thailand.

PubMed

Rieger, Matthias; Wagner, Natascha; Bedi, Arjun S

2017-01-01

As more and more countries are moving towards Universal Health Coverage (UHC), it is important to understand the macro level or aggregate impacts of such a policy. We use synthetic control methods to study the impact of UHC, introduced in Thailand in 2001, on various macroeconomic and health outcomes. Thailand is compared to a weighted average of control countries in terms of aggregate health financing indicators, aggregate health outcomes and economic performance, over the period 1995 to 2012. Our results suggest that UHC helps alleviate the financial consequences of illnesses. The estimated treatment effect of UHC on out-of-pocket payments as a percentage of overall health expenditures is negative 13 percentage points and its effect on annual government per capita health spending is US$ 79. We detect a smaller effect of US$ 60.8 on total health spending per capita which appears with a lag. We document positive health effects as captured by reductions in infant and child mortality. We do not find any effect on GDP and the share of the government budget devoted to health. Overall, our results complement micro evidence based on within country variation. The counterfactual design implemented here may be used to inform other countries on the macro level repercussions of UHC. Copyright © 2016. Published by Elsevier Ltd.

Nurses' knowledge of universal health coverage for inclusive and sustainable elderly care services

PubMed Central

Tung, Fabian Ling Ngai; Yan, Vincent Chun Man; Tai, Winnie Ling Yin; Chen, Jing Han; Chung, Joanne Wai-yee; Wong, Thomas Kwok Shing

2016-01-01

Objectives: to explore nurses' knowledge of universal health coverage (UHC) for inclusive and sustainable development of elderly care services. Method: this was a cross-sectional survey. A convenience sample of 326 currently practicing enrolled nurses (EN) or registered nurses (RN) was recruited. Respondents completed a questionnaire which was based on the implementation strategies advocated by the WHO Global Forum for Governmental Chief Nursing Officers and Midwives (GCNOMs). Questions covered the government initiative, healthcare financing policy, human resources policy, and the respondents' perception of importance and contribution of nurses in achieving UHC in elderly care services. Results: the knowledge of nurses about UHC in elderly care services was fairly satisfactory. Nurses in both clinical practice and management perceived themselves as having more contribution and importance than those in education. They were relatively indifferent to healthcare policy and politics. Conclusion: the survey uncovered a considerable knowledge gap in nurses' knowledge of UHC in elderly care services, and shed light on the need for nurses to be more attuned to healthcare policy. The educational curriculum for nurses should be strengthened to include studies in public policy and advocacy. Nurses can make a difference through their participation in the development and implementation of UHC in healthcare services. PMID:26959330

Indonesia's road to universal health coverage: a political journey.

PubMed

Pisani, Elizabeth; Olivier Kok, Maarten; Nugroho, Kharisma

2017-03-01

In 2013 Indonesia, the world's fourth most populous country, declared that it would provide affordable health care for all its citizens within seven years. This crystallised an ambition first enshrined in law over five decades earlier, but never previously realised. This paper explores Indonesia's journey towards universal health coverage (UHC) from independence to the launch of a comprehensive health insurance scheme in January 2014. We find that Indonesia's path has been determined largely by domestic political concerns – different groups obtained access to healthcare as their socio-political importance grew. A major inflection point occurred following the Asian financial crisis of 1997. To stave off social unrest, the government provided health coverage for the poor for the first time, creating a path dependency that influenced later policy choices. The end of this programme coincided with decentralisation, leading to experimentation with several different models of health provision at the local level. When direct elections for local leaders were introduced in 2005, popular health schemes led to success at the polls. UHC became an electoral asset, moving up the political agenda. It also became contested, with national policy-makers appropriating health insurance programmes that were first developed locally, and taking credit for them. The Indonesian experience underlines the value of policy experimentation, and of a close understanding of the contextual and political factors that drive successful UHC models at the local level. Specific drivers of success and failure should be taken into account when scaling UHC to the national level. In the Indonesian example, UHC became possible when the interests of politically and economically influential groups were either satisfied or neutralised. While technical considerations took a back seat to political priorities in developing the structures for health coverage nationally, they will have to be addressed going forward to achieve sustainable UHC in Indonesia.

Assessing the universal health coverage target in the Sustainable Development Goals from a human rights perspective.

PubMed

Chapman, Audrey R

2016-12-15

The UN's Sustainable Development Goals (SDGs), adopted in September 2015, include a comprehensive health goal, "to ensure healthy lives and promote well-being at all ages." The health goal (SDG 3) has nine substantive targets and four additional targets which are identified as a means of implementation. One of these commitments, to achieve universal health coverage (UHC), has been acknowledged as central to the achievement of all of the other health targets. As defined in the SDGs, UHC includes financial risk protection, access to quality essential health-care services, and access to safe, effective, quality and affordable essential medicines and vaccines for all. This article evaluates the extent to which the UHC target in the SDGs conforms with the requirements of the right to health enumerated in the International Covenant on Economic, Social and Cultural Rights, the Convention on the Rights of the Child, and other international human rights instruments and interpreted by international human rights bodies. It does so as a means to identify strengths and weaknesses in the framing of the UHC target that are likely to affect its implementation. While UHC as defined in the SDGs overlaps with human rights standards, there are important human rights omissions that will likely weaken the implementation and reduce the potential benefits of the UHC target. The most important of these is the failure to confer priority to providing access to health services to poor and disadvantaged communities in the process of expanding health coverage and in determining which health services to provide. Unless the furthest behind are given priority and strategies adopted to secure their participation in the development of national health plans, the SDGs, like the MDGs, are likely to leave the most disadvantaged and vulnerable communities behind.

Moving Toward Universal Health Coverage (UHC) to Achieve Inclusive and Sustainable Health Development: Three Essential Strategies Drawn From Asian Experience

PubMed Central

Xu, Ye; Huang, Cheng; Colón-Ramos, Uriyoán

2015-01-01

Binagwaho and colleagues’ perspective piece provided a timely reflection on the experience of Rwanda in achieving the Millennium Development Goals (MDGs) and a proposal of 5 principles to carry forward in post-2015 health development. This commentary echoes their viewpoints and offers three lessons for health policy reforms consistent with these principles beyond 2015. Specifically, we argue that universal health coverage (UHC) is an integrated solution to advance the global health development agenda, and the three essential strategies drawn from Asian countries’ health reforms toward UHC are: (1) Public financing support and sequencing health insurance expansion by first extending health insurance to the extremely poor, vulnerable, and marginalized population are critical for achieving UHC; (2) Improved quality of delivered care ensures supply-side readiness and effective coverage; (3) Strategic purchasing and results-based financing creates incentives and accountability for positive changes. These strategies were discussed and illustrated with experience from China and other Asian economies. PMID:26673477

Promoting universal financial protection: evidence from seven low- and middle-income countries on factors facilitating or hindering progress

PubMed Central

2013-01-01

Although universal health coverage (UHC) is a global health policy priority, there remains limited evidence on UHC reforms in low- and middle-income countries (LMICs). This paper provides an overview of key insights from case studies in this thematic series, undertaken in seven LMICs (Costa Rica, Georgia, India, Malawi, Nigeria, Tanzania, and Thailand) at very different stages in the transition to UHC. These studies highlight the importance of increasing pre-payment funding through tax funding and sometimes mandatory insurance contributions when trying to improve financial protection by reducing out-of-pocket payments. Increased tax funding is particularly important if efforts are being made to extend financial protection to those outside formal-sector employment, raising questions about the value of pursuing contributory insurance schemes for this group. The prioritisation of insurance scheme coverage for civil servants in the first instance in some LMICs also raises questions about the most appropriate use of limited government funds. The diverse reforms in these countries provide some insights into experiences with policies targeted at the poor compared with universalist reform approaches. Countries that have made the greatest progress to UHC, such as Costa Rica and Thailand, made an explicit commitment to ensuring financial protection and access to needed care for the entire population as soon as possible, while this was not necessarily the case in countries adopting targeted reforms. There also tends to be less fragmentation in funding pools in countries adopting a universalist rather than targeting approach. Apart from limiting cross-subsidies, fragmentation of pools has contributed to differential benefit packages, leading to inequities in access to needed care and financial protection across population groups; once such differentials are entrenched, they are difficult to overcome. Capacity constraints, particularly in purchasing organisations, are a pervasive problem in LMICs. The case studies also highlighted the critical role of high-level political leadership in pursuing UHC policies and citizen support in sustaining these policies. This series demonstrates the value of promoting greater sharing of experiences on UHC reforms across LMICs. It also identifies key areas of future research on health care financing in LMICs that would support progress towards UHC. PMID:24228762

Promoting universal financial protection: evidence from seven low- and middle-income countries on factors facilitating or hindering progress.

PubMed

McIntyre, Di; Ranson, Michael K; Aulakh, Bhupinder K; Honda, Ayako

2013-09-24

Although universal health coverage (UHC) is a global health policy priority, there remains limited evidence on UHC reforms in low- and middle-income countries (LMICs). This paper provides an overview of key insights from case studies in this thematic series, undertaken in seven LMICs (Costa Rica, Georgia, India, Malawi, Nigeria, Tanzania, and Thailand) at very different stages in the transition to UHC.These studies highlight the importance of increasing pre-payment funding through tax funding and sometimes mandatory insurance contributions when trying to improve financial protection by reducing out-of-pocket payments. Increased tax funding is particularly important if efforts are being made to extend financial protection to those outside formal-sector employment, raising questions about the value of pursuing contributory insurance schemes for this group. The prioritisation of insurance scheme coverage for civil servants in the first instance in some LMICs also raises questions about the most appropriate use of limited government funds.The diverse reforms in these countries provide some insights into experiences with policies targeted at the poor compared with universalist reform approaches. Countries that have made the greatest progress to UHC, such as Costa Rica and Thailand, made an explicit commitment to ensuring financial protection and access to needed care for the entire population as soon as possible, while this was not necessarily the case in countries adopting targeted reforms. There also tends to be less fragmentation in funding pools in countries adopting a universalist rather than targeting approach. Apart from limiting cross-subsidies, fragmentation of pools has contributed to differential benefit packages, leading to inequities in access to needed care and financial protection across population groups; once such differentials are entrenched, they are difficult to overcome. Capacity constraints, particularly in purchasing organisations, are a pervasive problem in LMICs. The case studies also highlighted the critical role of high-level political leadership in pursuing UHC policies and citizen support in sustaining these policies.This series demonstrates the value of promoting greater sharing of experiences on UHC reforms across LMICs. It also identifies key areas of future research on health care financing in LMICs that would support progress towards UHC.

Comparative effectiveness of two disparate policies on child health: experimental evidence from the Philippines.

PubMed

Peabody, John W; Quimbo, Stella; Florentino, Jhiedon; Shimkhada, Riti; Javier, Xylee; Paculdo, David; Jamison, Dean; Solon, Orville

2017-05-01

Should health systems invest more in access to care by expanding insurance coverage or in health care services including improving the quality of care? Comparing these options experimentally would shed light on the impact and cost-effectiveness of these strategies. The Quality Improvement Demonstration Study (QIDS) was a randomized policy experiment conducted across 30 districts in the Philippines. The study had a control group and two policy intervention groups intended to improve the health of young children. The demand-side intervention in QIDS was universal health insurance coverage (UHC) for children aged 5 years or younger, and a supply-side intervention, a pay-for-performance (P4P) bonus for all providers who met pre-determined quality levels. In this paper, we compare the impacts of these policies from the QIDS experiment on childhood wasting by calculating DALYs averted per US$spent. The direct per capita costs to implement UHC and P4P are US$4.08 and US$1.98 higher, respectively, compared to control. DALYs due to wasting were reduced by 334,862 in UHC and 1,073,185 in P4P. When adjustments are made for the efficiency of higher quality, the DALYS averted per US$ spent is similar in the two arms, 1.56 and 1.58 for UHC and P4P, respectively. Since the P4P quality improvements touches all patients seen by qualifying providers (32% in UHC versus 100% in P4P), there is a larger reduction in DALYs. With similar programmatic costs for either intervention, in this study, each US$spent under P4P yielded 1.52 DALYs averted compared to the standard program, while UHC yielded only a 0.50 DALY reduction. P4P had a greater impact and was more cost-effective compared to UHC as measured by DALYs averted. While expanded insurance benefit ceilings affected only those who are covered, P4P incentivizes practice quality improvement regardless of whether children are insured or uninsured. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Comparative effectiveness of two disparate policies on child health: experimental evidence from the Philippines

PubMed Central

Quimbo, Stella; Florentino, Jhiedon; Shimkhada, Riti; Javier, Xylee; Paculdo, David; Jamison, Dean; Solon, Orville

2017-01-01

Abstract Background   Should health systems invest more in access to care by expanding insurance coverage or in health care services including improving the quality of care? Comparing these options experimentally would shed light on the impact and cost-effectiveness of these strategies. Methods   The Quality Improvement Demonstration Study (QIDS) was a randomized policy experiment conducted across 30 districts in the Philippines. The study had a control group and two policy intervention groups intended to improve the health of young children. The demand-side intervention in QIDS was universal health insurance coverage (UHC) for children aged 5 years or younger, and a supply-side intervention, a pay-for-performance (P4P) bonus for all providers who met pre-determined quality levels. In this paper, we compare the impacts of these policies from the QIDS experiment on childhood wasting by calculating DALYs averted per US$spent. Results   The direct per capita costs to implement UHC and P4P are US$4.08 and US$1.98 higher, respectively, compared to control. DALYs due to wasting were reduced by 334,862 in UHC and 1,073,185 in P4P. When adjustments are made for the efficiency of higher quality, the DALYS averted per US$ spent is similar in the two arms, 1.56 and 1.58 for UHC and P4P, respectively. Since the P4P quality improvements touches all patients seen by qualifying providers (32% in UHC versus 100% in P4P), there is a larger reduction in DALYs. With similar programmatic costs for either intervention, in this study, each US$spent under P4P yielded 1.52 DALYs averted compared to the standard program, while UHC yielded only a 0.50 DALY reduction. Conclusion   P4P had a greater impact and was more cost-effective compared to UHC as measured by DALYs averted. While expanded insurance benefit ceilings affected only those who are covered, P4P incentivizes practice quality improvement regardless of whether children are insured or uninsured. PMID:28110265

Extending coverage to informal sector populations in Kenya: design preferences and implications for financing policy.

PubMed

Okungu, Vincent; Chuma, Jane; Mulupi, Stephen; McIntyre, Diane

2018-01-09

Universal health coverage (UHC) is important in terms of improving access to quality health care while protecting households from the risk of catastrophic health spending and impoverishment. However, progress to UHC has been hampered by the measures to increase mandatory prepaid funds especially in low- and middle-income countries where there are large populations in the informal sector. Important considerations in expanding coverage to the informal sector should include an exploration of the type of prepayment system that is acceptable to the informal sector and the features of such a design that would encourage prepayment for health care among this population group. The objective of the study was to document the views of informal sector workers regarding different prepayment mechanisms, and critically analyze key design features of a future health system and the policy implications of financing UHC in Kenya. This was part of larger study which involved a mixed-methods approach. The following tools were used to collect data from informal sector workers: focus group discussions [N = 16 (rural = 7; urban = 9)], individual in-depth interviews [N = 26 (rural = 14; urban = 12)] and a questionnaire survey [N = 455(rural = 129; urban = 326)]. Thematic approach was used to analyze qualitative data while Stata v.11 involving mainly descriptive analysis was used in quantitative data. The tools mentioned were used to collect data to meet various objectives of a larger study and what is presented here constitutes a small section of the data generated by these tools. The findings show that informal sector workers in rural and urban areas prefer different prepayment systems for financing UHC. Preference for a non-contributory system of financing UHC was particularly strong in the urban study site (58%). Over 70% in the rural area preferred a contributory mechanism in financing UHC. The main concern for informal sector workers regardless of the overall design of the financing approach to UHC included a poor governance culture especially one that does not punish corruption. Other reasons especially with regard to the contributory financing approach included high premium costs and inability to enforce contributions from informal sector. On average 47% of all study participants, the largest single majority, are in favor of a non-contributory financing mechanism. Strong evidence from existing literature indicates difficulties in implementing social contributions as the primary financing mechanism for UHC in contexts with large informal sector populations. Non-contributory financing should be strongly recommended to policymakers to be the primary financing mechanism and supplemented by social contributions.

Trends in future health financing and coverage: future health spending and universal health coverage in 188 countries, 2016-40.

PubMed

2018-05-05

Achieving universal health coverage (UHC) requires health financing systems that provide prepaid pooled resources for key health services without placing undue financial stress on households. Understanding current and future trajectories of health financing is vital for progress towards UHC. We used historical health financing data for 188 countries from 1995 to 2015 to estimate future scenarios of health spending and pooled health spending through to 2040. We extracted historical data on gross domestic product (GDP) and health spending for 188 countries from 1995 to 2015, and projected annual GDP, development assistance for health, and government, out-of-pocket, and prepaid private health spending from 2015 through to 2040 as a reference scenario. These estimates were generated using an ensemble of models that varied key demographic and socioeconomic determinants. We generated better and worse alternative future scenarios based on the global distribution of historic health spending growth rates. Last, we used stochastic frontier analysis to investigate the association between pooled health resources and UHC index, a measure of a country's UHC service coverage. Finally, we estimated future UHC performance and the number of people covered under the three future scenarios. In the reference scenario, global health spending was projected to increase from US$10 trillion (95% uncertainty interval 10 trillion to 10 trillion) in 2015 to $20 trillion (18 trillion to 22 trillion) in 2040. Per capita health spending was projected to increase fastest in upper-middle-income countries, at 4·2% (3·4-5·1) per year, followed by lower-middle-income countries (4·0%, 3·6-4·5) and low-income countries (2·2%, 1·7-2·8). Despite global growth, per capita health spending was projected to range from only $40 (24-65) to $413 (263-668) in 2040 in low-income countries, and from $140 (90-200) to $1699 (711-3423) in lower-middle-income countries. Globally, the share of health spending covered by pooled resources would range widely, from 19·8% (10·3-38·6) in Nigeria to 97·9% (96·4-98·5) in Seychelles. Historical performance on the UHC index was significantly associated with pooled resources per capita. Across the alternative scenarios, we estimate UHC reaching between 5·1 billion (4·9 billion to 5·3 billion) and 5·6 billion (5·3 billion to 5·8 billion) lives in 2030. We chart future scenarios for health spending and its relationship with UHC. Ensuring that all countries have sustainable pooled health resources is crucial to the achievement of UHC. The Bill & Melinda Gates Foundation. Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

Natural Cycles, Gases

NASA Technical Reports Server (NTRS)

Douglass, Anne R.; Jackman, Charles H.; Rood, R. B.; Aikin, A. C.; Stolarski, R. S.; Mccormick, M. P.; Fahey, David W.

1992-01-01

The major gaseous components of the exhaust of stratospheric aircraft are expected to be the products of combustion (CO2 and H2O), odd nitrogen (NO, NO2 HNO3), and products indicating combustion inefficiencies (CO and total unburned hydrocarbons). The species distributions are produced by a balance of photochemical and transport processes. A necessary element in evaluating the impact of aircraft exhaust on the lower stratospheric composition is to place the aircraft emissions in perspective within the natural cycles of stratospheric species. Following are a description of mass transport in the lower stratosphere and a discussion of the natural behavior of the major gaseous components of the stratospheric aircraft exhaust.

Effect of ceramic coating of JT8D combustor liner on maximum liner temperatures and other combustor performance parameters

NASA Technical Reports Server (NTRS)

Butze, H. F.; Liebert, C. H.

1976-01-01

The effect of ceramic coating of a JT8D combustor liner was investigated at simulated cruise and takeoff conditions with two fuels of widely different aromatic contents. Substantial decreases in maximum liner temperatures and flame radiation values were obtained with the ceramic-coated liner. Small reductions in exhaust gas smoke concentrations were observed with the ceramic-coated liner. Other performance parameters such as combustion efficiency and emissions of unburned hydrocarbons, CO, and NOx were not affected significantly. No deterioration of the ceramic coating was observed after about 6 hours of cyclic operation including several startups and shutdowns.

Combustor concepts for aircraft gas turbine low-power emissions reduction

NASA Technical Reports Server (NTRS)

Mularz, E. J.; Gleason, C. C.; Dodds, W. J.

1978-01-01

Several combustor concepts were designed and tested to demonstrate significant reductions in aircraft engine idle pollutant emissions. Each concept used a different approach for pollutant reductions: the hot wall combustor employs a thermal barrier coating and impingement cooled liners; the recuperative cooling combustor preheats the air before entering the combustion chamber; and the catalytic converter combustor is composed of a conventional primary zone followed by a catalytic bed for pollutant cleanup. The designs are discussed in detail and test results are presented for a range of aircraft engine idle conditions. The results indicate that ultralow levels of unburned hydrocarbons and carbon monoxide emissions can be achieved.

Hydrocarbon emissions speciation in diesel and biodiesel exhausts

NASA Astrophysics Data System (ADS)

Payri, Francisco; Bermúdez, Vicente R.; Tormos, Bernardo; Linares, Waldemar G.

Diesel engine emissions are composed of a long list of organic compounds, ranging from C 2 to C 12+, and coming from the hydrocarbons partially oxidized in combustion or produced by pyrolisis. Many of these are considered as ozone precursors in the atmosphere, since they can interact with nitrogen oxides to produce ozone under atmospheric conditions in the presence of sunlight. In addition to problematic ozone production, Brookes, P., and Duncan, M. [1971. Carcinogenic hydrocarbons and human cells in culture. Nature.] and Heywood, J. [1988. Internal Combustion Engine Fundamentals.Mc Graw-Hill, ISBN 0-07-1000499-8.] determined that the polycyclic aromatic hydrocarbons present in exhaust gases are dangerous to human health, being highly carcinogenic. The aim of this study was to identify by means of gas chromatography the amount of each hydrocarbon species present in the exhaust gases of diesel engines operating with different biodiesel blends. The levels of reactive and non-reactive hydrocarbons present in diesel engine exhaust gases powered by different biodiesel fuel blends were also analyzed. Detailed speciation revealed a drastic change in the nature and quantity of semi-volatile compounds when biodiesel fuels are employed, the most affected being the aromatic compounds. Both aromatic and oxygenated aromatic compounds were found in biodiesel exhaust. Finally, the conservation of species for off-side analysis and the possible influence of engine operating conditions on the chemical characterization of the semi-volatile compound phase are discussed. The use of oxygenated fuel blends shows a reduction in the Engine-Out emissions of total hydrocarbons. But the potential of the hydrocarbon emissions is more dependent on the compositions of these hydrocarbons in the Engine-Out, to the quantity; a large percent of hydrocarbons existing in the exhaust, when biodiesel blends are used, are partially burned hydrocarbons, and are interesting as they have the maximum reactivity, but with the use of pure biodiesel and diesel, the most hydrocarbons are from unburned fuel and they have a less reactivity. The best composition in the fuel, for the control of the hydrocarbon emissions reactivity, needs to be a fuel with high-saturated fatty acid content.

Atmospheric polycyclic aromatic hydrocarbons in the urban environment: Occurrence, toxicity and source apportionment.

PubMed

Mishra, Nitika; Ayoko, Godwin A; Morawska, Lidia

2016-01-01

Polycyclic Aromatic Hydrocarbons (PAHs) represent a major class of toxic pollutants because of their carcinogenic and mutagenic characteristics. People living in urban areas are regularly exposed to PAHs because of abundance of their emission sources. Within this context, this study aimed to: (i) identify and quantify the levels of ambient PAHs in an urban environment; (ii) evaluate their toxicity; and (iii) identify their sources as well as the contribution of specific sources to measured concentrations. Sixteen PAHs were identified and quantified in air samples collected from Brisbane. Principal Component Analysis - Absolute Principal Component Scores (PCA-APCS) was used in order to conduct source apportionment of the measured PAHs. Vehicular emissions, natural gas combustion, petrol emissions and evaporative/unburned fuel were the sources identified; contributing 56%, 21%, 15% and 8% of the total PAHs emissions, respectively, all of which need to be considered for any pollution control measures implemented in urban areas. Copyright © 2015 Elsevier Ltd. All rights reserved.

How Can We Mobilize Action to Realize UHC in Asia?

PubMed

Akaza, Hideyuki; Kawahara, Norie; Fukuda, Takashi; Horie, Shigeo; Thabrany, Hasbullah; Nozaki, Shinjiro

2017-11-26

The 2016 World Cancer Congress, organised by UICC, was held in Paris in November 2016, under the theme “Mobilizing action – Inspiring Change.” As part of Track 4 presentations on the theme of “Strengthening cancer control: optimizing outcomes of health systems,” UICC-Asian Regional Office (UICC-ARO) held a symposium to discuss the issue of mobilizing action to realize UHC in Asia. Introducing the symposium, Hideyuki Akaza noted that universal health coverage (UHC) is included in the Sustainable Development Goals and one of the key issues for achieving UHC will be how to balance patient needs with the economic burden of cancer. Speakers from Japan and Indonesia addressed various issues, including the current status and challenges for medical economic evaluation in Asia, the importance of resource stratification, prospects for precision medicine, and the outlook for cancer control and UHC in developing and emerging countries in Asia. Key issues raised included how to respond to the rising costs of treating cancer as new and increasingly expensive drugs come to the market. Speakers and participants noted that health technology assessment programs are being developed around Asia in order to evaluate the cost-effectiveness of drugs in the face of budgetary constraints within increasingly pressurized national health systems. The importance of screening and early detection was also noted as effective means that have the potential to reduce reliance on expensive drugs for advanced cancers. The symposium was chaired jointly by Hideyuki Akaza and Shinjiro Nozaki (WHO Kobe Centre). Creative Commons Attribution License

Indonesia's road to universal health coverage: a political journey

PubMed Central

Pisani, Elizabeth; Nugroho, Kharisma

2017-01-01

In 2013 Indonesia, the world's fourth most populous country, declared that it would provide affordable health care for all its citizens within seven years. This crystallised an ambition first enshrined in law over five decades earlier, but never previously realised. This paper explores Indonesia's journey towards universal health coverage (UHC) from independence to the launch of a comprehensive health insurance scheme in January 2014. We find that Indonesia's path has been determined largely by domestic political concerns – different groups obtained access to healthcare as their socio-political importance grew. A major inflection point occurred following the Asian financial crisis of 1997. To stave off social unrest, the government provided health coverage for the poor for the first time, creating a path dependency that influenced later policy choices. The end of this programme coincided with decentralisation, leading to experimentation with several different models of health provision at the local level. When direct elections for local leaders were introduced in 2005, popular health schemes led to success at the polls. UHC became an electoral asset, moving up the political agenda. It also became contested, with national policy-makers appropriating health insurance programmes that were first developed locally, and taking credit for them. The Indonesian experience underlines the value of policy experimentation, and of a close understanding of the contextual and political factors that drive successful UHC models at the local level. Specific drivers of success and failure should be taken into account when scaling UHC to the national level. In the Indonesian example, UHC became possible when the interests of politically and economically influential groups were either satisfied or neutralised. While technical considerations took a back seat to political priorities in developing the structures for health coverage nationally, they will have to be addressed going forward to achieve sustainable UHC in Indonesia. PMID:28207049

An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS).

PubMed

Marten, Robert; McIntyre, Diane; Travassos, Claudia; Shishkin, Sergey; Longde, Wang; Reddy, Srinath; Vega, Jeanette

2014-12-13

Brazil, Russia, India, China, and South Africa (BRICS) represent almost half the world's population, and all five national governments recently committed to work nationally, regionally, and globally to ensure that universal health coverage (UHC) is achieved. This analysis reviews national efforts to achieve UHC. With a broad range of health indicators, life expectancy (ranging from 53 years to 73 years), and mortality rate in children younger than 5 years (ranging from 10·3 to 44·6 deaths per 1000 livebirths), a review of progress in each of the BRICS countries shows that each has some way to go before achieving UHC. The BRICS countries show substantial, and often similar, challenges in moving towards UHC. On the basis of a review of each country, the most pressing problems are: raising insufficient public spending; stewarding mixed private and public health systems; ensuring equity; meeting the demands for more human resources; managing changing demographics and disease burdens; and addressing the social determinants of health. Increases in public funding can be used to show how BRICS health ministries could accelerate progress to achieve UHC. Although all the BRICS countries have devoted increased resources to health, the biggest increase has been in China, which was probably facilitated by China's rapid economic growth. However, the BRICS country with the second highest economic growth, India, has had the least improvement in public funding for health. Future research to understand such different levels of prioritisation of the health sector in these countries could be useful. Similarly, the role of strategic purchasing in working with powerful private sectors, the effect of federal structures, and the implications of investment in primary health care as a foundation for UHC could be explored. These issues could serve as the basis on which BRICS countries focus their efforts to share ideas and strategies. Copyright © 2014 Elsevier Ltd. All rights reserved.

The cost of free health care for all Kenyans: assessing the financial sustainability of contributory and non-contributory financing mechanisms.

PubMed

Okungu, Vincent; Chuma, Jane; McIntyre, Di

2017-02-27

The need to provide quality and equitable health services and protect populations from impoverishing health care costs has pushed universal health coverage (UHC) to the top of global health policy agenda. In many developing countries where the majority of the population works in the informal sector, there are critical debates over the best financing mechanisms to progress towards UHC. In Kenya, government health policy has prioritized contributory financing strategy (social health insurance) as the main financing mechanism for UHC. However, there are currently no studies that have assessed the cost of either social health insurance (SHI) as the contributory approach or an alternative financing mechanism involving non-contributory (general tax funding) approaches to UHC in Kenya. The aim of this study was to critically assess the financial requirements of both contributory and non-contributory mechanisms to financing UHC in Kenya in the context of large informal sector populations. SimIns Basic® model, Version 2.1, 2008 (WHO/GTZ), was used to assess the feasibility of UHC in Kenya and provide estimates of financial resource needs for UHC over a 17-year period (2013-2030). Data sources included review of national and international literature on inflation, demography, macro-economy, health insurance, health services unit costs and utilization rates. The data were triangulated across geographic regions for accuracy and integrity of the simulation. SimIns models for 10 years only so data from the final year of the model was used to project for another 7 years. The 17-year period was necessary because the Government of Kenya aims to achieve UHC by 2030. The results show that SHI is financially sustainable (Sustainability in this study is used to mean that expenditure does not outstrip revenue.) (revenues and expenditure match) within the first five years of implementation, but it becomes less sustainable with time. Modelling for a non-contributory scenario, on the other hand, showed greater sustainability both in the short- and long-term. The financial resource requirements for universal access to health care through general government revenue are compared with a contributory health insurance scheme approach. Although both funding options would require considerable government subsidies, given the magnitude of the informal sector in Kenya and their limited financial capacity, a tax-funded system would be less costly and more sustainable in the long-term than an insurance scheme approach. However, more innovative financing for health care as well as giving the health sector higher priority in government expenditure will be required to make the non-contributory financing mechanism more sustainable.

Human resources for health and universal health coverage: fostering equity and effective coverage.

PubMed

Campbell, James; Buchan, James; Cometto, Giorgio; David, Benedict; Dussault, Gilles; Fogstad, Helga; Fronteira, Inês; Lozano, Rafael; Nyonator, Frank; Pablos-Méndez, Ariel; Quain, Estelle E; Starrs, Ann; Tangcharoensathien, Viroj

2013-11-01

Achieving universal health coverage (UHC) involves distributing resources, especially human resources for health (HRH), to match population needs. This paper explores the policy lessons on HRH from four countries that have achieved sustained improvements in UHC: Brazil, Ghana, Mexico and Thailand. Its purpose is to inform global policy and financial commitments on HRH in support of UHC. The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. The AAAQ dimensions make it possible to perform tracing analysis on HRH policy actions since 1990 in the four countries of interest in relation to national trends in workforce numbers and population mortality rates. The findings inform key principles for evidence-based decision-making on HRH in support of UHC. First, HRH are critical to the expansion of health service coverage and the package of benefits; second, HRH strategies in each of the AAAQ dimensions collectively support achievements in effective coverage; and third, success is achieved through partnerships involving health and non-health actors. Facing the unprecedented health and development challenges that affect all countries and transforming HRH evidence into policy and practice must be at the heart of UHC and the post-2015 development agenda. It is a political imperative requiring national commitment and leadership to maximize the impact of available financial and human resources, and improve healthy life expectancy, with the recognition that improvements in health care are enabled by a health workforce that is fit for purpose.

Human resources for health and universal health coverage: fostering equity and effective coverage

PubMed Central

Buchan, James; Cometto, Giorgio; David, Benedict; Dussault, Gilles; Fogstad, Helga; Fronteira, Inês; Lozano, Rafael; Nyonator, Frank; Pablos-Méndez, Ariel; Quain, Estelle E; Starrs, Ann; Tangcharoensathien, Viroj

2013-01-01

Abstract Achieving universal health coverage (UHC) involves distributing resources, especially human resources for health (HRH), to match population needs. This paper explores the policy lessons on HRH from four countries that have achieved sustained improvements in UHC: Brazil, Ghana, Mexico and Thailand. Its purpose is to inform global policy and financial commitments on HRH in support of UHC. The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. The AAAQ dimensions make it possible to perform tracing analysis on HRH policy actions since 1990 in the four countries of interest in relation to national trends in workforce numbers and population mortality rates. The findings inform key principles for evidence-based decision-making on HRH in support of UHC. First, HRH are critical to the expansion of health service coverage and the package of benefits; second, HRH strategies in each of the AAAQ dimensions collectively support achievements in effective coverage; and third, success is achieved through partnerships involving health and non-health actors. Facing the unprecedented health and development challenges that affect all countries and transforming HRH evidence into policy and practice must be at the heart of UHC and the post-2015 development agenda. It is a political imperative requiring national commitment and leadership to maximize the impact of available financial and human resources, and improve healthy life expectancy, with the recognition that improvements in health care are enabled by a health workforce that is fit for purpose. PMID:24347710

Low NO/x/ heavy fuel combustor program

NASA Technical Reports Server (NTRS)

Lister, E.; Niedzwiecki, R. W.; Nichols, L.

1980-01-01

The paper deals with the 'Low NO/x/ Heavy Fuel Combustor Program'. Main program objectives are to generate and demonstrate the technology required to develop durable gas turbine combustors for utility and industrial applications, which are capable of sustained, environmentally acceptable operation with minimally processed petroleum residual fuels. The program will focus on 'dry' reductions of oxides of nitrogen (NO/x/), improved combustor durability and satisfactory combustion of minimally processed petroleum residual fuels. Other technology advancements sought include: fuel flexibility for operation with petroleum distillates, blends of petroleum distillates and residual fuels, and synfuels (fuel oils derived from coal or shale); acceptable exhaust emissions of carbon monoxide, unburned hydrocarbons, sulfur oxides and smoke; and retrofit capability to existing engines.

The NASA pollution-reduction technology program for small jet aircraft engines

NASA Technical Reports Server (NTRS)

Fear, J. S.

1976-01-01

Three advanced combustor concepts, designed for the AiResearch TFE 731-2 turbofan engine, were evaluated in screening tests. Goals for carbon monoxide and unburned hydrocarbons were met or closely approached with two of the concepts with relatively modest departures from conventional combustor design practices. A more advanced premixing/prevaporizing combustor, while appearing to have the potential for meeting the oxides of nitrogen goal as well, will require extensive development to make it a practical combustion system. Smoke numbers for the two combustor concepts were well within the EPA smoke standard. Phase 2, Combustor-Engine Compatibility Testing, which is in its early stages, and planned Phase 3, Combustor-Engine Demonstration Testing, are also described.

Results of the pollution reduction technology program for turboprop engines

NASA Technical Reports Server (NTRS)

Mularz, E. J.

1976-01-01

A program was performed to evolve and demonstrate advanced combustor technology aimed at achieving the 1979 EPA standards for turboprop engines (Class P2). The engine selected for this program was the 501-D22A turboprop. Three combustor concepts were designed and tested in a combustor rig at the exact combustor operating conditions of the 50-D22A engine over the EPA landing-takeoff cycle. Each combustor concept exhibited pollutant emissions well below the EPA standards, achieving substantial reductions in unburned hydrocarbons, carbon monoxide, and smoke emissions compared with emissions from the production combustor of this engine. Oxides of nitrogen emissions remained well below the EPA standards, also.

Low NO(x) heavy fuel combustor program

NASA Technical Reports Server (NTRS)

Lister, E.; Niedzwiecki, R. W.; Nichols, L.

1979-01-01

The 'low nitrogen oxides heavy fuel combustor' program is described. Main program objectives are to generate and demonstrate the technology required to develop durable gas turbine combustors for utility and industrial applications, which are capable of sustained, environmentally acceptable operation with minimally processed petroleum residual fuels. The program will focus on 'dry' reductions of oxides of nitrogen, improved combustor durability, and satisfactory combustion of minimally processed petroleum residual fuels. Other technology advancements sought include: fuel flexibility for operation with petroleum distillates, blends of petroleum distillates and residual fuels, and synfuels (fuel oils derived from coal or shale); acceptable exhaust emissions of carbon monoxide, unburned hydrocarbons, sulfur oxides and smoke; and retrofit capability to existing engines.

78 FR 16211 - Safety Zone, Corp. Event Finale UHC, St. Thomas Harbor; St. Thomas, U.S. Virgin Islands

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-14

... 1625-AA00 Safety Zone, Corp. Event Finale UHC, St. Thomas Harbor; St. Thomas, U.S. Virgin Islands... establish a temporary safety zone on the waters of St. Thomas Harbor in St. Thomas, U.S. Virgin Islands... near the St. Thomas Harbor channel from which fireworks will be lit. DATES: Comments and related...

Path Dependence and Universal Health Coverage: The Case of Egypt

PubMed Central

Fouda, Ayman; Paolucci, Francesco

2017-01-01

Universal health coverage (UHC) is the big objective in health policy which several countries are seeking to achieve. Egypt is no different and its endeavors to attain UHC have been going on since the 1960s. This article discusses the status of UHC in Egypt using theories of political science and economics by analyzing the historical transformations in the Egyptian health system and its institutional settings. This article then specifically examines the path dependence theory against the sociopolitical background of Egypt and assesses any pattern between the theory and the current UHC status in Egypt. The important finding of this analysis is that the health policies and reforms in Egypt have been significantly influenced and limited by its historical institutional structure and development. Both the health policies and the institutional settings adopted a dependent path that limited Egypt’s endeavors to achieve the universal coverage. This dependent path also yielded many of the present-day challenges as in the weaknesses of the healthcare financing system and the inability to extend health coverage to the poor and the informal sector. These challenges subsequently had a negative impact on the accessibility of the healthcare services. PMID:29276704

Exploration of priority actions for strengthening the role of nurses in achieving universal health coverage

PubMed Central

Maaitah, Rowaida Al; AbuAlRub, Raeda Fawzi

2017-01-01

ABSTRACT Objective: to explore priority actions for strengthening the role of Advanced Practice Nurses (APNs) towards the achievement of Universal Health Converge (UHC) as perceived by health key informants in Jordan. Methods: an exploratory qualitative design, using a semi-structured survey, was utilized. A purposive sample of seventeen key informants from various nursing and health care sectors was recruited for the purpose of the study. Content analysis utilizing the five-stage framework approach was used for data analysis. Results: the findings revealed that policy and regulation, nursing education, research, and workforce were identified as the main elements that influence the role of APNs in contributing to the achievement of UHC. Priority actions were identified by the participants for the main four elements. Conclusion: study findings confirm the need to strengthen the role of APNs to achieve UHC through a major transformation in nursing education, practice, research, leadership, and regulatory system. Nurses should unite to come up with solid nursing competencies related to APNs, PHC, UHC, leadership and policy making to strengthen their position as main actors in influencing the health care system and evidence creation. PMID:28146176

Universal health care in India: Panacea for whom?

PubMed

Qadeer, Imrana

2013-01-01

This paper examines the current notion of universal health care (UHC) in key legal and policy documents and argues that the recommendations for UHC in these entail further abdication of the State's responsibility in health care with the emphasis shifting from public provisioning of services to merely ensuring universal access to services. Acts of commission (recommendations for public private partnership [PPPs], definition and provision of an essential health package to vulnerable populations to ensure universal access to care) and omission (silence maintained on tertiary care) will eventually strengthen the private and corporate sector at the cost of the public health care services and access to care for the marginalized. Thus, the current UHC strategy uses equity as a tool for promoting the private sector in medical care rather than health for all.

Spatial and Temporal Patterns of Unburned Areas within Fire Perimeters in the Northwestern United States from 1984 to 2014

NASA Astrophysics Data System (ADS)

Meddens, A. J.; Kolden, C.; Lutz, J. A.; Abatzoglou, J. T.; Hudak, A. T.

2016-12-01

Recently, there has been concern about increasing extent and severity of wildfires across the globe given rapid climate change. Areas that do not burn within fire perimeters can act as fire refugia, providing (1) protection from the detrimental effects of the fire, (2) seed sources, and (3) post-fire habitat on the landscape. However, recent studies have mainly focused on the higher end of the burn severity spectrum whereas the lower end of the burn severity spectrum has been largely ignored. We developed a spatially explicit database for 2,200 fires across the inland northwestern USA, delineating unburned areas within fire perimeters from 1984 to 2014. We used 1,600 Landsat scenes with one or two scenes before and one or two scenes after the fires to capture the unburned proportion of the fire. Subsequently, we characterized the spatial and temporal patterns of unburned areas and related the unburned proportion to interannual climate variability. The overall classification accuracy detecting unburned locations was 89.2% using a 10-fold cross-validation classification tree approach in combination with 719 randomly located field plots. The unburned proportion ranged from 2% to 58% with an average of 19% for a select number of fires. We find that using both an immediate post-fire image and a one-year post fire image improves classification accuracy of unburned islands over using just a single post-fire image. The spatial characteristics of the unburned islands differ between forested and non-forested regions with a larger amount of unburned area within non-forest. In addition, we show trends of unburned proportion related primarily to concurrent climatic drought conditions across the entire region. This database is important for subsequent analyses of fire refugia prioritization, vegetation recovery studies, ecosystem resilience, and forest management to facilitate unburned islands through fuels breaks, prescribed burning, and fire suppression strategies.

Perceived challenges to achieving universal health coverage: a cross-sectional survey of social health insurance managers/administrators in China.

PubMed

Shan, Linghan; Wu, Qunhong; Liu, Chaojie; Li, Ye; Cui, Yu; Liang, Zi; Hao, Yanhua; Liang, Libo; Ning, Ning; Ding, Ding; Pan, Qingxia; Han, Liyuan

2017-06-02

China has achieved over 96% health insurance coverage. However, universal health coverage (UHC) entails population coverage and the range of services covered and the extent to which health service costs are covered. This study aimed to determine the performance of the health insurance system in China in terms of its role in UHC and to identify challenges in the progress of UHC as perceived by health insurance managers/administrators. A cross-sectional questionnaire survey was conducted in Beijing, Ningbo, Harbin and Chongqing over the period of 2014 and 2015. A stratified cluster random sampling strategy was adopted to select study participants. A total of 1277 (64.8%) respondents who reported familiarity with the current health insurance system and the requirements of UHC provided valid data for analyses. They gave a rating on the role of the current health insurance system in achieving UHC. A multivariate logistic regression model was developed to determine the associations between the rating and the features of insurance arrangements. There was consensus among the respondents on the performance of the current health insurance system in terms of its role in UHC, regardless who they were and what responsibility they held in their organisation (ie, policy development, managing fund transactions, and so on). Overall, about 45% of the respondents believed that there is a long way to go to achieve UHC. The low rating was found to be associated with limited financial protection (OR=1.656, 95% CI 1.279 to 2.146), healthcare inequity (OR=1.607, 95% CI 1.268 to 2.037), poor portability (OR=1.347, 95% CI 1.065 to 1.703) and ineffective supervision and administration of funds (OR=1.339, 95% CI 1.061 to 1.692) as perceived by the respondents. Health insurance managers/administrators in China are pessimistic about the achievements of the current health insurance system. They are concerned about the overall lack of benefit that insurance programmes bring to members, including low levels of entitlements, large healthcare inequity, limited financial protection and poor portability. A singular amendment of the structural design of the existing funds may not be enough to offer a satisfactory solution to these identified barriers. There is a need to increase funding capacities, to develop unified and consistent policies and to increase the level of fund pooling. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Perceived challenges to achieving universal health coverage: a cross-sectional survey of social health insurance managers/administrators in China

PubMed Central

Shan, Linghan; Wu, Qunhong; Liu, Chaojie; Li, Ye; Cui, Yu; Liang, Zi; Hao, Yanhua; Liang, Libo; Ning, Ning; Ding, Ding; Pan, Qingxia; Han, Liyuan

2017-01-01

Objective China has achieved over 96% health insurance coverage. However, universal health coverage (UHC) entails population coverage and the range of services covered and the extent to which health service costs are covered. This study aimed to determine the performance of the health insurance system in China in terms of its role in UHC and to identify challenges in the progress of UHC as perceived by health insurance managers/administrators. Methods A cross-sectional questionnaire survey was conducted in Beijing, Ningbo, Harbin and Chongqing over the period of 2014 and 2015. A stratified cluster random sampling strategy was adopted to select study participants. A total of 1277 (64.8%) respondents who reported familiarity with the current health insurance system and the requirements of UHC provided valid data for analyses. They gave a rating on the role of the current health insurance system in achieving UHC. A multivariate logistic regression model was developed to determine the associations between the rating and the features of insurance arrangements. Results There was consensus among the respondents on the performance of the current health insurance system in terms of its role in UHC, regardless who they were and what responsibility they held in their organisation (ie, policy development, managing fund transactions, and so on). Overall, about 45% of the respondents believed that there is a long way to go to achieve UHC. The low rating was found to be associated with limited financial protection (OR=1.656, 95% CI 1.279 to 2.146), healthcare inequity (OR=1.607, 95% CI 1.268 to 2.037), poor portability (OR=1.347, 95% CI 1.065 to 1.703) and ineffective supervision and administration of funds (OR=1.339, 95% CI 1.061 to 1.692) as perceived by the respondents. Conclusion Health insurance managers/administrators in China are pessimistic about the achievements of the current health insurance system. They are concerned about the overall lack of benefit that insurance programmes bring to members, including low levels of entitlements, large healthcare inequity, limited financial protection and poor portability. A singular amendment of the structural design of the existing funds may not be enough to offer a satisfactory solution to these identified barriers. There is a need to increase funding capacities, to develop unified and consistent policies and to increase the level of fund pooling. PMID:28576890

Study of Global Health Strategy Based on International Trends

PubMed Central

HATANAKA, Takashi; EGUCHI, Narumi; DEGUCHI, Mayumi; YAZAWA, Manami; ISHII, Masami

2015-01-01

The Japanese government at present is implementing international health and medical growth strategies mainly from the viewpoint of business. However, the United Nations is set to resolve the Post-2015 Development Agenda in the fall of 2015; the agenda will likely include the achievement of universal health coverage (UHC) as a specific development goal. Japan’s healthcare system, the foundation of which is its public, nationwide universal health insurance program, has been evaluated highly by the Lancet. The World Bank also praised it as a global model. This paper presents suggestions and problems for Japan regarding global health strategies, including in regard to several prerequisite domestic preparations that must be made. They are summarized as follows. (1) The UHC development should be promoted in coordination with the United Nations, World Bank, and Asian Development Bank. (2) The universal health insurance system of Japan can be a global model for UHC and ensuring its sustainability should be considered a national policy. (3) Trade agreements such as the Trans-Pacific Partnership (TPP) should not disrupt or interfere with UHC, the form of which is unique to each nation, including Japan. (4) Japan should disseminate information overseas, including to national governments, people, and physicians, regarding the course of events that led to the establishment of the Japan’s universal health insurance system and should make efforts to develop international human resources to participate in UHC policymaking. (5) The development of separate healthcare programs and UHC preparation should be promoted by streamlining and centralizing maternity care, school health, infectious disease management such as for tuberculosis, and emergency medicine such as for traffic accidents. (6) Japan should disseminate information overseas about its primary care physicians (kakaritsuke physicians) and develop international human resources. (7) Global health should be developed in integration with global environment problem management. (8) Support systems, such as for managing large-scale disasters of international scale or preventing the spread of infectious diseases, should be developed and maintained. (9) International healthcare policy, which the Japanese government is trying to promote in accordance with international trends, and international development of Japanese healthcare industry should be reconsidered. PMID:26870622

Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage.

PubMed

Islam, Md Rashedul; Rahman, Md Shafiur; Islam, Zobida; Nurs, Cherri Zhang B; Sultana, Papia; Rahman, Md Mizanur

2017-04-04

Financial risk protection and equity are major components of universal health coverage (UHC), which is defined as ensuring access to health services for all citizens without any undue financial burden. We investigated progress towards UHC financial risk indicators and assessed variability of inequalities in financial risk protection indicators by wealth quintile. We further examined the determinants of different financial hardship indicators related to healthcare costs. A cross-sectional, three-stage probability survey was conducted in Bangladesh, which collected information from 1600 households from August to November 2011. Catastrophic health payments, impoverishment, and distress financing (borrowing or selling assets) were treated as financial hardship indicators in UHC. Poisson regression models were used to identify the determinants of catastrophic payment, impoverishment and distress financing separately. Slope, relative and concentration indices of inequalities were used to assess wealth-based inequalities in financial hardship indicators. The study found that around 9% of households incurred catastrophic payments, 7% faced distress financing, and 6% experienced impoverishing health payments in Bangladesh. Slope index of inequality indicated that the incidence of catastrophic health payment and distress financing among the richest households were 12 and 9 percentage points lower than the poorest households respectively. Multivariable Poisson regression models revealed that all UHC financial hardship indicators were significantly higher among household that had members who received inpatient care or were in the poorest quintile. The presence of a member with chronic illness in a household increased the risk of impoverishment by nearly double. This study identified a greater inequality in UHC financial hardship indicators. Rich households in Bangladesh were facing disproportionately less financial hardship than the poor ones. Households can be protected from financial hardship associated with healthcare costs by implementing risk pooling mechanism, increasing GDP spending on health, and properly monitoring subsidized programs in public health facilities.

Predictors for Perioperative Outcomes following Total Laryngectomy: A University HealthSystem Consortium Discharge Database Study.

PubMed

Rutledge, Jonathan W; Spencer, Horace; Moreno, Mauricio A

2014-07-01

The University HealthSystem Consortium (UHC) database collects discharge information on patients treated at academic health centers throughout the United States. We sought to use this database to identify outcome predictors for patients undergoing total laryngectomy. A secondary end point was to assess the validity of the UHC's predictive risk mortality model in this cohort of patients. Retrospective review. Academic medical centers (tertiary referral centers) and their affiliate hospitals in the United States. Using the UHC discharge database, we retrieved and analyzed data for 4648 patients undergoing total laryngectomy who were discharged between October 2007 and January 2011 from all of the member institutions. Demographics, comorbidities, institutional data, and outcomes were retrieved. The length of stay and overall costs were significantly higher among female patients (P < .0001), while age was a predictor of intensive care unit stay (P = .014). The overall complication rate was higher among Asians (P = .019) and in patients with anemia and diabetes compared with other comorbidities. The average institutional case load was 1.92 cases/mo; we found an inverse correlation (R = -0.47) between the institutional case load and length of stay (P < .0001). The UHC admit mortality risk estimator was found to be an accurate predictor not only of mortality (P < .0002) but also of intensive care unit admission and complication rate (P < .0001). This study provides an overview of laryngectomy outcomes in a contemporary cohort of patients treated at academic health centers. UHC admit mortality risk is an excellent outcome predictor and a valuable tool for risk stratification in these patients. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.

Understanding the impact of global trade liberalization on health systems pursuing universal health coverage.

PubMed

Missoni, Eduardo

2013-01-01

In the context of reemerging universalistic approaches to health care, the objective of this article was to contribute to the discussion by highlighting the potential influence of global trade liberalization on the balance between health demand and the capacity of health systems pursuing universal health coverage (UHC) to supply adequate health care. Being identified as a defining feature of globalization affecting health, trade liberalization is analyzed as a complex and multidimensional influence on the implementation of UHC. The analysis adopts a systems-thinking approach and refers to the six building blocks of World Health Organization's current "framework for action," emphasizing their interconnectedness. While offering new opportunities to increase access to health information and care, in the absence of global governance mechanisms ensuring adequate health protection and promotion, global trade tends to have negative effects on health systems' capacity to ensure UHC, both by causing higher demand and by interfering with the interconnected functioning of health systems' building blocks. The prevention of such an impact and the effective implementation of UHC would highly benefit from a more consistent commitment and stronger leadership by the World Health Organization in protecting health in global policymaking fora in all sectors. Copyright © 2013 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

A landscape analysis of universal health coverage for mothers and children in South Asia.

PubMed

Scammell, Katy; Noble, Douglas J; Rasanathan, Kumanan; O'Connell, Thomas; Ahmed, Aishath Shahula; Begkoyian, Genevieve; Goldner, Tania; Jayatissa, Renuka; Kuppens, Lianne; Raaijmakers, Hendrikus; Simbeye, Isabel Vashti; Varkey, Sherin; Chopra, Mickey

2016-01-01

The United Nations made universal health coverage (UHC) a key health goal in 2012 and it is one of the Sustainable Development Goals' targets. This analysis focuses on UHC for mothers and children in the 8 countries of South Asia. A high level overview of coverage of selected maternal, newborn and child health services, equity, quality of care and financial risk protection is presented. Common barriers countries face in achieving UHC are discussed and solutions explored. In countries of South Asia, except Bhutan and Maldives, between 42% and 67% of spending on health comes from out-of-pocket expenditure (OOPE) and government expenditure does not align with political aspirations. Even where reported coverage of services is good, quality of care is often low and the poorest fare worst. There are strong examples of ongoing successes in countries such as Bhutan, the Maldives and Sri Lanka. Related to this success are factors such as lower OOPE and higher spending on health. To make progress in achieving UHC, financial and non-financial barriers to accessing and receiving high-quality healthcare need to be reduced, the amount of investment in essential health services needs to be increased and allocation of resources must disproportionately benefit the poorest.

A landscape analysis of universal health coverage for mothers and children in South Asia

PubMed Central

Scammell, Katy; Noble, Douglas J; Rasanathan, Kumanan; O'Connell, Thomas; Ahmed, Aishath Shahula; Begkoyian, Genevieve; Goldner, Tania; Jayatissa, Renuka; Kuppens, Lianne; Raaijmakers, Hendrikus; Simbeye, Isabel Vashti; Varkey, Sherin; Chopra, Mickey

2016-01-01

The United Nations made universal health coverage (UHC) a key health goal in 2012 and it is one of the Sustainable Development Goals' targets. This analysis focuses on UHC for mothers and children in the 8 countries of South Asia. A high level overview of coverage of selected maternal, newborn and child health services, equity, quality of care and financial risk protection is presented. Common barriers countries face in achieving UHC are discussed and solutions explored. In countries of South Asia, except Bhutan and Maldives, between 42% and 67% of spending on health comes from out-of-pocket expenditure (OOPE) and government expenditure does not align with political aspirations. Even where reported coverage of services is good, quality of care is often low and the poorest fare worst. There are strong examples of ongoing successes in countries such as Bhutan, the Maldives and Sri Lanka. Related to this success are factors such as lower OOPE and higher spending on health. To make progress in achieving UHC, financial and non-financial barriers to accessing and receiving high-quality healthcare need to be reduced, the amount of investment in essential health services needs to be increased and allocation of resources must disproportionately benefit the poorest. PMID:28588912

Operationalizing universal health coverage in Nigeria through social health insurance

PubMed Central

Okpani, Arnold Ikedichi; Abimbola, Seye

2015-01-01

Nigeria faces challenges that delay progress toward the attainment of the national government's declared goal of universal health coverage (UHC). One such challenge is system-wide inequities resulting from lack of financial protection for the health care needs of the vast majority of Nigerians. Only a small proportion of Nigerians have prepaid health care. In this paper, we draw on existing evidence to suggest steps toward reforming health care financing in Nigeria to achieve UHC through social health insurance. This article sets out to demonstrate that a viable path to UHC through expanding social health insurance exists in Nigeria. We argue that encouraging the states which are semi-autonomous federating units to setup and manage their own insurance schemes presents a unique opportunity for rapidly scaling up prepaid coverage for Nigerians. We show that Nigeria's federal structure which prescribes a sharing of responsibilities for health care among the three tiers of government presents serious challenges for significantly extending social insurance to uncovered groups. We recommend that rather than allowing this governance structure to impair progress toward UHC, it should be leveraged to accelerate the process by supporting the states to establish and manage their own insurance funds while encouraging integration with the National Health Insurance Scheme. PMID:26778879

Multiple disparities in adult mortality in relation to social and health care perspective: results from different data sources.

PubMed

Ranabhat, Chhabi Lal; Kim, Chun-Bae; Park, Myung-Bae; Acharaya, Sambhu

2017-08-08

Disparity in adult mortality (AM) with reference to social dynamics and health care has not been sufficiently examined. This study aimed to identify the gap in the understanding of AM in relation to religion, political stability, economic level, and universal health coverage (UHC). A cross-national study was performed with different sources of data, using the administrative record linkage theory. Data was created from the 2013 World Bank data catalogue by region, The Economist (Political instability index 2013), Stuckler David et al. (Universal health coverage, 2010), and religious categories of all UN country members. Descriptive statistics, a t-test, an ANOVA followed by a post hoc test, and a linear regression were used where applicable. The average AM rate for males and females was 0.20 ± 0.10 and 0.14 ± 0.10, respectively. There was high disparity of AM between countries with and without UHC and between groups with low and high income. UHC and political stability would significantly reduce AMR by >0.41 in both sexes and high economic status would reduce male AMR by 0.44, and female AMR by 0.70. It can be concluded that effective health care; UHC and political stability significantly reduce AM.

The effect of insulated combustion chamber surfaces on direct-injected diesel engine performance, emissions, and combustion

NASA Technical Reports Server (NTRS)

Dickey, Daniel W.; Vinyard, Shannon; Keribar, Rifat

1988-01-01

The combustion chamber of a single-cylinder, direct-injected diesel engine was insulated with ceramic coatings to determine the effect of low heat rejection (LHR) operation on engine performance, emissions, and combustion. In comparison to the baseline cooled engine, the LHR engine had lower thermal efficiency, with higher smoke, particulate, and full load carbon monoxide emissions. The unburned hydrocarbon emissions were reduced across the load range. The nitrous oxide emissions increased at some part-load conditions and were reduced slightly at full loads. The poor LHR engine performance was attributed to degraded combustion characterized by less premixed burning, lower heat release rates, and longer combustion duration compared to the baseline cooled engine.

Ultrahigh Carbon Steel.

DTIC Science & Technology

1984-10-01

The unique mechanical properties achieved in UHC steels are due to the presence of micron-size ferrite grains and ultrafine spheroidized carbides. SN...unique mechanical properties achieved in UHC [0 steels are due to the presence of micron-size ferrite grains and ultrafine spheroidized carbides. 0... steel is that it has a low resistance to plastic flow upon deformation in the superplastic range at low strain rates (e.g., 2000 psi at 4 1041 e 10 s

Three Case Studies in Making Fair Choices on the Path to Universal Health Coverage.

PubMed

Voorhoeve, Alex; Edejer, Tessa T T; Kapiriri, Lydia; Norheim, Ole F; Snowden, James; Basenya, Olivier; Bayarsaikhan, Dorjsuren; Chentaf, Ikram; Eyal, Nir; Folsom, Amanda; Tun Hussein, Rozita Halina; Morales, Cristian; Ostmann, Florian; Ottersen, Trygve; Prakongsai, Phusit; Saenz, Carla; Saleh, Karima; Sommanustweechai, Angkana; Wikler, Daniel; Zakariah, Afisah

2016-12-01

The goal of achieving Universal Health Coverage (UHC) can generally be realized only in stages. Moreover, resource, capacity, and political constraints mean governments often face difficult trade-offs on the path to UHC. In a 2014 report, Making fair choices on the path to UHC , the WHO Consultative Group on Equity and Universal Health Coverage articulated principles for making such trade-offs in an equitable manner. We present three case studies which illustrate how these principles can guide practical decision-making. These case studies show how progressive realization of the right to health can be effectively guided by priority-setting principles, including generating the greatest total health gain, priority for those who are worse off in a number of dimensions (including health, access to health services, and social and economic status), and financial risk protection. They also demonstrate the value of a fair and accountable process of priority setting.

Strengthening the health workforce and rolling out universal health coverage: the need for policy analysis.

PubMed

Koon, Adam D; Mayhew, Susannah H

2013-07-24

This article opens a debate about how to think about moving forward with the emerging twin movements of human resources for health (HRH) and universal health coverage (UHC). There is sufficient evidence to warrant these movements, but actors and the policy process significantly affect which policies are adopted and how they are implemented. How exactly this occurs in low- and middle-income countries (LMICs) is not very well understood. Furthermore, it is not clear whether actors will mobilize for or against the emergent HRH and UHC agendas. Policy analysis should help illuminate potential strategies to account for multiple interests and divergent values in volatile stakeholder environments. We argue that not only should the movement for UHC be paired with current efforts to address the human resources crisis, but also, for both to succeed, we need to know more about how health policy works in LMICs.

Three Case Studies in Making Fair Choices on the Path to Universal Health Coverage

PubMed Central

Edejer, Tessa T.T.; Kapiriri, Lydia; Norheim, Ole F.; Snowden, James; Basenya, Olivier; Bayarsaikhan, Dorjsuren; Chentaf, Ikram; Eyal, Nir; Folsom, Amanda; Tun Hussein, Rozita Halina; Morales, Cristian; Ostmann, Florian; Ottersen, Trygve; Prakongsai, Phusit; Saenz, Carla; Saleh, Karima; Sommanustweechai, Angkana; Wikler, Daniel; Zakariah, Afisah

2016-01-01

Abstract The goal of achieving Universal Health Coverage (UHC) can generally be realized only in stages. Moreover, resource, capacity, and political constraints mean governments often face difficult trade-offs on the path to UHC. In a 2014 report, Making fair choices on the path to UHC, the WHO Consultative Group on Equity and Universal Health Coverage articulated principles for making such trade-offs in an equitable manner. We present three case studies which illustrate how these principles can guide practical decision-making. These case studies show how progressive realization of the right to health can be effectively guided by priority-setting principles, including generating the greatest total health gain, priority for those who are worse off in a number of dimensions (including health, access to health services, and social and economic status), and financial risk protection. They also demonstrate the value of a fair and accountable process of priority setting. PMID:28559673

Policy Choices for Progressive Realization of Universal Health Coverage

PubMed Central

Tangcharoensathien, Viroj; Patcharanarumol, Walaiporn; Panichkriangkrai, Warisa; Sommanustweechai, Angkana

2017-01-01

In responses to Norheim’s editorial, this commentary offers reflections from Thailand, how the five unacceptable trade-offs were applied to the universal health coverage (UHC) reforms between 1975 and 2002 when the whole 64 million people were covered by one of the three public health insurance systems. This commentary aims to generate global discussions on how best UHC can be gradually achieved. Not only the proposed five discrete trade-offs within each dimension, there are also trade-offs between the three dimensions of UHC such as population coverage, service coverage and cost coverage. Findings from Thai UHC show that equity is applied for the population coverage extension, when the low income households and the informal sector were the priority population groups for coverage extension by different prepayment schemes in 1975 and 1984, respectively. With an exception of public sector employees who were historically covered as part of fringe benefits were covered well before the poor. The private sector employees were covered last in 1990. Historically, Thailand applied a comprehensive benefit package where a few items are excluded using the negative list; until there was improved capacities on technology assessment that cost-effectiveness are used for the inclusion of new interventions into the benefit package. Not only cost-effectiveness, but long term budget impact, equity and ethical considerations are taken into account. Cost coverage is mostly determined by the fiscal capacities. Close ended budget with mix of provider payment methods are used as a tool for trade-off service coverage and financial risk protection. Introducing copayment in the context of fee-for-service can be harmful to beneficiaries due to supplier induced demands, inefficiency and unpredictable out of pocket payment by households. UHC achieves favorable outcomes as it was implemented when there was a full geographical coverage of primary healthcare coverage in all districts and sub-districts after three decade of health infrastructure investment and health workforce development since 1980s. The legacy of targeting population group by different prepayment mechanisms, leading to fragmentation, discrepancies and inequity across schemes, can be rectified by harmonization at the early phase when these schemes were introduced. Robust public accountability and participation mechanisms are recommended when deciding the UHC strategy. PMID:28812786

Study of Global Health Strategy Based on International Trends: -Promoting Universal Health Coverage Globally and Ensuring the Sustainability of Japan's Universal Coverage of Health Insurance System: Problems and Proposals.

PubMed

Hatanaka, Takashi; Eguchi, Narumi; Deguchi, Mayumi; Yazawa, Manami; Ishii, Masami

2015-09-01

The Japanese government at present is implementing international health and medical growth strategies mainly from the viewpoint of business. However, the United Nations is set to resolve the Post-2015 Development Agenda in the fall of 2015; the agenda will likely include the achievement of universal health coverage (UHC) as a specific development goal. Japan's healthcare system, the foundation of which is its public, nationwide universal health insurance program, has been evaluated highly by the Lancet. The World Bank also praised it as a global model. This paper presents suggestions and problems for Japan regarding global health strategies, including in regard to several prerequisite domestic preparations that must be made. They are summarized as follows. (1) The UHC development should be promoted in coordination with the United Nations, World Bank, and Asian Development Bank. (2) The universal health insurance system of Japan can be a global model for UHC and ensuring its sustainability should be considered a national policy. (3) Trade agreements such as the Trans-Pacific Partnership (TPP) should not disrupt or interfere with UHC, the form of which is unique to each nation, including Japan. (4) Japan should disseminate information overseas, including to national governments, people, and physicians, regarding the course of events that led to the establishment of the Japan's universal health insurance system and should make efforts to develop international human resources to participate in UHC policymaking. (5) The development of separate healthcare programs and UHC preparation should be promoted by streamlining and centralizing maternity care, school health, infectious disease management such as for tuberculosis, and emergency medicine such as for traffic accidents. (6) Japan should disseminate information overseas about its primary care physicians (kakaritsuke physicians) and develop international human resources. (7) Global health should be developed in integration with global environment problem management. (8) Support systems, such as for managing large-scale disasters of international scale or preventing the spread of infectious diseases, should be developed and maintained. (9) International healthcare policy, which the Japanese government is trying to promote in accordance with international trends, and international development of Japanese healthcare industry should be reconsidered.

The path towards universal health coverage in the Arab uprising countries Tunisia, Egypt, Libya, and Yemen.

PubMed

Saleh, Shadi S; Alameddine, Mohamad S; Natafgi, Nabil M; Mataria, Awad; Sabri, Belgacem; Nasher, Jamal; Zeiton, Moez; Ahmad, Shaimaa; Siddiqi, Sameen

2014-01-25

The constitutions of many countries in the Arab world clearly highlight the role of governments in guaranteeing provision of health care as a right for all citizens. However, citizens still have inequitable health-care systems. One component of such inequity relates to restricted financial access to health-care services. The recent uprisings in the Arab world, commonly referred to as the Arab spring, created a sociopolitical momentum that should be used to achieve universal health coverage (UHC). At present, many countries of the Arab spring are considering health coverage as a priority in dialogues for new constitutions and national policy agendas. UHC is also the focus of advocacy campaigns of a number of non-governmental organisations and media outlets. As part of the health in the Arab world Series in The Lancet, this report has three overarching objectives. First, we present selected experiences of other countries that had similar social and political changes, and how these events affected their path towards UHC. Second, we present a brief overview of the development of health-care systems in the Arab world with regard to health-care coverage and financing, with a focus on Egypt, Libya, Tunisia, and Yemen. Third, we aim to integrate historical lessons with present contexts in a roadmap for action that addresses the challenges and opportunities for progression towards UHC. Copyright © 2014 Elsevier Ltd. All rights reserved.

Exposure to benzene, toluene, xylenes and total hydrocarbons among snowmobile drivers in Sweden.

PubMed

Eriksson, Kåre; Tjärner, Dan; Marqvardsen, Inger; Järvholm, Bengt

2003-03-01

The exposure to benzene, toluene, xylenes and total hydrocarbons among 25 individuals exposed to exhaust from a snowmobile equipped with a two-stroke engine has been evaluated. Sampling was performed by pumped and diffusive sampling in parallel. There was a relatively bad agreement between the two air-sampling methods. The bad agreement can in part be explained by back diffusion of the substances from the samplers, a high face velocity, and deposition of droplets of unburned gasoline onto or in the vicinity of the samplers. The levels of benzene ranged from not detectable (< or =0.01 mgm(-3)) to 2.5 mgm(-3). For toluene, xylenes and total hydrocarbons the exposure was 0.10-12.0, < or =0.05-13.0 and 0.90-273 mgm(-3) respectively. The result from two measurements on individuals travelling on an open sleigh at the rear of the vehicle indicated higher levels of benzene, 0.7-0.8 mgm(-3). Children are often riding as a passenger on a sledge and may thus have a higher exposure than their parents. This study indicates that spare time driving a snowmobile may cause a considerable exposure to benzene. Using a four-stroke engine equipped with a catalyst could reduce the exposure. To reduce the exposure for the passenger on a sleigh an extension of the exhaust pipe may be effective.

Growth rate predicts mortality of Abies concolor in both burned and unburned stands

USGS Publications Warehouse

van Mantgem, Phillip J.; Stephenson, Nathan L.; Mutch, Linda S.; Johnson, Veronica G.; Esperanza, Annie M.; Parsons, David J.

2003-01-01

Tree mortality is often the result of both long-term and short-term stress. Growth rate, an indicator of long-term stress, is often used to estimate probability of death in unburned stands. In contrast, probability of death in burned stands is modeled as a function of short-term disturbance severity. We sought to narrow this conceptual gap by determining (i) whether growth rate, in addition to crown scorch, is a predictor of mortality in burned stands and (ii) whether a single, simple model could predict tree death in both burned and unburned stands. Observations of 2622 unburned and 688 burned Abies concolor (Gord. & Glend.) Lindl. (white fir) in the Sierra Nevada of California, U.S.A., indicated that growth rate was a significant predictor of mortality in the unburned stands, while both crown scorch and radial growth were significant predictors of mortality in the burned stands. Applying the burned stand model to unburned stands resulted in an overestimation of the unburned stand mortality rate. While failing to create a general model of tree death for A. concolor, our findings underscore the idea that similar processes may affect mortality in disturbed and undisturbed stands.

Minding the gaps: health financing, universal health coverage and gender

PubMed Central

Witter, Sophie; Govender, Veloshnee; Ravindran, TK Sundari; Yates, Robert

2017-01-01

Abstract In a webinar in 2015 on health financing and gender, the question was raised why we need to focus on gender, given that a well-functioning system moving towards Universal Health Coverage (UHC) will automatically be equitable and gender balanced. This article provides a reflection on this question from a panel of health financing and gender experts. We trace the evidence of how health-financing reforms have impacted gender and health access through a general literature review and a more detailed case-study of India. We find that unless explicit attention is paid to gender and its intersectionality with other social stratifications, through explicit protection and careful linking of benefits to needs of target populations (e.g. poor women, unemployed men, female-headed households), movement towards UHC can fail to achieve gender balance or improve equity, and may even exacerbate gender inequity. Political trade-offs are made on the road to UHC and the needs of less powerful groups, which can include women and children, are not necessarily given priority. We identify the need for closer collaboration between health economists and gender experts, and highlight a number of research gaps in this field which should be addressed. While some aspects of cost sharing and some analysis of expenditure on maternal and child health have been analysed from a gender perspective, there is a much richer set of research questions to be explored to guide policy making. Given the political nature of UHC decisions, political economy as well as technical research should be prioritized. We conclude that countries should adopt an equitable approach towards achieving UHC and, therefore, prioritize high-need groups and those requiring additional financial protection, in particular women and children. This constitutes the ‘progressive universalism’ advocated for by the 2013 Lancet Commission on Investing in Health. PMID:28973503

Monitoring intervention coverage in the context of universal health coverage.

PubMed

Boerma, Ties; AbouZahr, Carla; Evans, David; Evans, Tim

2014-09-01

Monitoring universal health coverage (UHC) focuses on information on health intervention coverage and financial protection. This paper addresses monitoring intervention coverage, related to the full spectrum of UHC, including health promotion and disease prevention, treatment, rehabilitation, and palliation. A comprehensive core set of indicators most relevant to the country situation should be monitored on a regular basis as part of health progress and systems performance assessment for all countries. UHC monitoring should be embedded in a broad results framework for the country health system, but focus on indicators related to the coverage of interventions that most directly reflect the results of UHC investments and strategies in each country. A set of tracer coverage indicators can be selected, divided into two groups-promotion/prevention, and treatment/care-as illustrated in this paper. Disaggregation of the indicators by the main equity stratifiers is critical to monitor progress in all population groups. Targets need to be set in accordance with baselines, historical rate of progress, and measurement considerations. Critical measurement gaps also exist, especially for treatment indicators, covering issues such as mental health, injuries, chronic conditions, surgical interventions, rehabilitation, and palliation. Consequently, further research and proxy indicators need to be used in the interim. Ideally, indicators should include a quality of intervention dimension. For some interventions, use of a single indicator is feasible, such as management of hypertension; but in many areas additional indicators are needed to capture quality of service provision. The monitoring of UHC has significant implications for health information systems. Major data gaps will need to be filled. At a minimum, countries will need to administer regular household health surveys with biological and clinical data collection. Countries will also need to improve the production of reliable, comprehensive, and timely health facility data. Please see later in the article for the Editors' Summary.

Evidenced Formal Coverage Index and universal healthcare enactment: A prospective longitudinal study of economic, social, and political predictors of 194 countries.

PubMed

Feigl, Andrea B; Ding, Eric L

2013-11-01

Determinants of universal healthcare (UHC) are poorly empirically understood. We undertook a comprehensive study of UHC development using a novel Evidenced Formal Coverage (EFC) index that combines three key UHC elements: legal framework, population coverage, and accessibility. Applying the EFC index measures (legislation, ≥90% skilled birth attendance, ≥85% formal coverage) to 194 countries, aggregating time-varying data from 1880-2008, this study investigates which macro-economic, political, and social indicators are major longitudinal predictors of developing EFC globally, and in middle-income countries. Overall, 75 of 194 countries implemented legal-text UHC legislation, of which 51 achieved EFC. In a country-year prospective longitudinal analysis of EFC prediction, higher GDP-per-capita (per GDP-per-capita doubling, relative risk [RR]=1.77, 95% CI: 1.49-2.10), higher primary school completion (per +20% completion, RR=2.30, 1.65-3.21), and higher adult literacy were significantly associated with achieving EFC. Results also identify a GDP-per-capita of I$5000 as a minimum level for development of EFC. GDP-per-capita and education were each robust predictors in middle-income countries, and education remained significant even controlling for time-varying GDP growth. For income-inequality, the GINI coefficient was suggestive in its role in predicting EFC (p=0.024). For social and political indicators, a greater degree of ethnic fractionalization (per +25%, RR=0.51, 0.38-0.70), proportional electoral system (RR=2.80, 1.22-6.40), and dictatorships (RR=0.10, 0.05-0.27) were further associated with EFC. The novel EFC index and this longitudinal prospective study together indicate that investment in both economic growth and education should be seen of equal importance for development of UHC. Our findings help in understanding the social and political drivers of universal healthcare, especially for transitioning countries. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Minding the gaps: health financing, universal health coverage and gender.

PubMed

Witter, Sophie; Govender, Veloshnee; Ravindran, T K Sundari; Yates, Robert

2017-12-01

In a webinar in 2015 on health financing and gender, the question was raised why we need to focus on gender, given that a well-functioning system moving towards Universal Health Coverage (UHC) will automatically be equitable and gender balanced. This article provides a reflection on this question from a panel of health financing and gender experts.We trace the evidence of how health-financing reforms have impacted gender and health access through a general literature review and a more detailed case-study of India. We find that unless explicit attention is paid to gender and its intersectionality with other social stratifications, through explicit protection and careful linking of benefits to needs of target populations (e.g. poor women, unemployed men, female-headed households), movement towards UHC can fail to achieve gender balance or improve equity, and may even exacerbate gender inequity. Political trade-offs are made on the road to UHC and the needs of less powerful groups, which can include women and children, are not necessarily given priority.We identify the need for closer collaboration between health economists and gender experts, and highlight a number of research gaps in this field which should be addressed. While some aspects of cost sharing and some analysis of expenditure on maternal and child health have been analysed from a gender perspective, there is a much richer set of research questions to be explored to guide policy making. Given the political nature of UHC decisions, political economy as well as technical research should be prioritized.We conclude that countries should adopt an equitable approach towards achieving UHC and, therefore, prioritize high-need groups and those requiring additional financial protection, in particular women and children. This constitutes the 'progressive universalism' advocated for by the 2013 Lancet Commission on Investing in Health. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Monitoring Intervention Coverage in the Context of Universal Health Coverage

PubMed Central

Boerma, Ties; AbouZahr, Carla; Evans, David; Evans, Tim

2014-01-01

Monitoring universal health coverage (UHC) focuses on information on health intervention coverage and financial protection. This paper addresses monitoring intervention coverage, related to the full spectrum of UHC, including health promotion and disease prevention, treatment, rehabilitation, and palliation. A comprehensive core set of indicators most relevant to the country situation should be monitored on a regular basis as part of health progress and systems performance assessment for all countries. UHC monitoring should be embedded in a broad results framework for the country health system, but focus on indicators related to the coverage of interventions that most directly reflect the results of UHC investments and strategies in each country. A set of tracer coverage indicators can be selected, divided into two groups—promotion/prevention, and treatment/care—as illustrated in this paper. Disaggregation of the indicators by the main equity stratifiers is critical to monitor progress in all population groups. Targets need to be set in accordance with baselines, historical rate of progress, and measurement considerations. Critical measurement gaps also exist, especially for treatment indicators, covering issues such as mental health, injuries, chronic conditions, surgical interventions, rehabilitation, and palliation. Consequently, further research and proxy indicators need to be used in the interim. Ideally, indicators should include a quality of intervention dimension. For some interventions, use of a single indicator is feasible, such as management of hypertension; but in many areas additional indicators are needed to capture quality of service provision. The monitoring of UHC has significant implications for health information systems. Major data gaps will need to be filled. At a minimum, countries will need to administer regular household health surveys with biological and clinical data collection. Countries will also need to improve the production of reliable, comprehensive, and timely health facility data. Please see later in the article for the Editors' Summary PMID:25243586

Optimal boiler control through real-time monitoring of unburned carbon in fly ash by laser-induced breakdown spectroscopy.

PubMed

Kurihara, Miki; Ikeda, Koji; Izawa, Yoshinori; Deguchi, Yoshihiro; Tarui, Hitoshi

2003-10-20

A laser-induced breakdown spectroscopy (LIBS) technique has been applied for detection of unburned carbon in fly ash, and an automated LIBS unit has been developed and applied in a 1000-MW pulverized-coal-fired power plant for real-time measurement, specifically of unburned carbon in fly ash. Good agreement was found between measurement results from the LIBS method and those from the conventional method (Japanese Industrial Standard 8815), with a standard deviation of 0.27%. This result confirms that the measurement of unburned carbon in fly ash by use of LIBS is sufficiently accurate for boiler control. Measurements taken by this apparatus were also integrated into a boiler-control system with the objective of achieving optimal and stable combustion. By control of the rotating speed of a mill rotary separator relative to measured unburned-carbon content, it has been demonstrated that boiler control is possible in an optimized manner by use of the value of the unburned-carbon content of fly ash.

Mercury retention by fly ashes from coal combustion: Influence of the unburned carbon content

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

Lopez-Anton, M.A.; Diaz-Somoano, M.; Martinez-Tarazona, M.R.

2007-01-31

The objective of this study was to evaluate the effect of unburned carbon particles present in fly ashes produced by coal combustion on mercury retention. To achieve this objective, the work was divided into two parts. The aim of the first part of the study was to estimate the amount of mercury captured by the fly ashes during combustion in power stations and the relationship of this retention to the unburned carbon content. The second part was a laboratory-scale study aimed at evaluating the retention of mercury concentrations greater than those produced in power stations by fly ashes of differentmore » characteristics and by unburned carbon particles. From the results obtained it can be inferred that the unburned carbon content is not the only variable that controls mercury capture in fly ashes. The textural characteristics of these unburned particles and of other components of fly ashes also influence retention.« less

Factors affecting the behavior of unburned carbon upon steam activation

NASA Astrophysics Data System (ADS)

Lu, Zhe

The main objective of this study is to investigate the factors that could affect the behavior of unburned carbon samples upon steam activation. Through this work, the relationships among the factors that could influence the carbon-steam reaction with the surface area of the produced activated carbon were explored. Statistical analysis was used to relate the chemical and physical properties of the unburned carbon to the surface area of the activated carbon. Six unburned carbons were selected as feedstocks for activated carbon, and marked as UCA through UCF. The unburned carbons were activated using steam at 850°C for 90 minutes, and the surface areas of their activated counterparts were measured using N2 adsorption isotherms at 77K. The activated carbons produced from different unburned carbon precursors presented different surface areas at similar carbon burn-off levels. Moreover, in different carbon burn-off regions, the sequences for surface area of activated carbons from different unburned carbon samples were different. The factors that may affect the carbon-steam gasification reactions, including the concentration of carbon active sites, the crystallite size of the carbon, the intrinsic porous structure of carbon, and the inorganic impurities, were investigated. All unburned carbons investigated in this study were similar in that they showed the very broad (002) and (10 ) carbon peaks, which are characteristic of highly disordered carbonaceous materials. In this study, the unburned carbon samples contained about 17--48% of inorganic impurities. Compared to coals, the unburned carbon samples contain a larger amount of inorganic impurities as a result of the burn-off, or at lease part, of the carbon during the combustion process. These inorganic particles were divided into two groups in terms of the way they are associated with carbon particles: free single particles, and particles combined with carbon particles. As indicated from the present work, unburned carbons with one of the following properties will produce activated carbons with high surface areas. These properties include: (a) large amount of O2 chemisorption capacity; (b) high concentration of surface C-O complex; and (c) small crystallite diameter; (d) high concentration of Na+K particles that are combined with carbon; (e) high concentration of isotropic carbon. (Abstract shortened by UMI.)

Effect of fuel properties on performance of a single aircraft turbojet combustor

NASA Technical Reports Server (NTRS)

Butze, H. F.; Ehlers, R. C.

1975-01-01

The performance of a single-can JT8D combustor was investigated with a number of fuels exhibiting wide variations in chemical composition and volatility. Performance parameters investigated were combustion efficiency, emissions of CO, unburned hydrocarbons and NOx, as well as liner temperatures and smoke. At the simulated idle condition no significant differences in performance were observed. At cruise, liner temperatures and smoke increased sharply with decreasing hydrogen content of the fuel. No significant differences were observed in the performance of an oil-shale derived JP-5 and a petroleum-based Jet A fuel except for emissions of NOx which were higher with the oil-shale JP-5. The difference is attributed to the higher concentration of fuel-bound nitrogen in the oil-shale JP-5.

High temperature durable catalyst development

NASA Technical Reports Server (NTRS)

Snow, G. C.; Tong, H.

1981-01-01

A program has been carried out to develop a catalytic reactor capable of operation in environments representative of those anticipated for advanced automotive gas turbine engines. A reactor consisting of a graded cell honeycomb support with a combination of noble metal and metal oxide catalyst coatings was built and successfully operated for 1000 hr. At an air preheat temperature of 740 K and a propane/air ratio of 0.028 by mass, the adiabatic flame temperature was held at about 1700 K. The graded cell monolithic reaction measured 5 cm in diameter by 10.2 cm in length and was operated at a reference velocity of 14.0 m/s at 1 atm. Measured NOx levels remained below 5 ppm, while unburned hydrocarbon concentrations registered near zero and carbon monoxide levels were nominally below 20 ppm.

Influence of H2O2 on LPG fuel performance evaluation

NASA Astrophysics Data System (ADS)

Khan, Muhammad Saad; Ahmed, Iqbal; Mutalib, Mohammad Ibrahim bin Abdul; Nadeem, Saad; Ali, Shahid

2014-10-01

The objective of this mode of combustion is to insertion of hydrogen peroxide (H2O2) to the Liquefied Petroleum Gas (LPG) combustion on spark plug ignition engines. The addition of hydrogen peroxide may probably decrease the formation of NOx, COx and unburned hydrocarbons. Hypothetically, Studies have shown that addition of hydrogen peroxide to examine the performance of LPG/H2O2 mixture in numerous volumetric compositions starting from lean LPG until obtaining a better composition can reduce the LPG fuel consumption. The theory behind this idea is that, the addition of H2O2 can cover the lean operation limit, increase the lean burn ability, diminution the burn duration along with controlling the exhaust emission by significantly reducing the greenhouse gaseous.

Implications of dual practice for universal health coverage.

PubMed

McPake, Barbara; Russo, Giuliano; Hipgrave, David; Hort, Krishna; Campbell, James

2016-02-01

Making progress towards universal health coverage (UHC) requires that health workers are adequate in numbers, prepared for their jobs and motivated to perform. In establishing the best ways to develop the health workforce, relatively little attention has been paid to the trends and implications of dual practice - concurrent employment in public and private sectors. We review recent research on dual practice for its potential to guide staffing policies in relation to UHC. Many studies describe the characteristics and correlates of dual practice and speculate about impacts, but there is very little evidence that is directly relevant to policy-makers. No studies have evaluated the impact of policies on the characteristics of dual practice or implications for UHC. We address this lack and call for case studies of policy interventions on dual practice in different contexts. Such research requires investment in better data collection and greater determination on the part of researchers, research funding bodies and national research councils to overcome the difficulties of researching sensitive topics of health systems functions.

Abundance and reproduction of songbirds in burned and unburned pine forests of the Georgia Piedmont

USGS Publications Warehouse

White, D.H.; Chapman, B.R.; Brunjes, J.H.; Raftovich, R.V.; Seginak, J.T.

1999-01-01

We studied the abundance and productivity of songbirds in prescribed burned and unburned mature (>60 yr) pine forests at Piedmont National Wildlife Refuge, Georgia, during 1993-1995. We estimated species abundance, richness, and evenness using data from 312 point counts in 18 burned sites and six unburned sites. We measured gross habitat features in 0.04-ha circles centered on each point count station. We calculated productivity estimates at nests of seven of the most common nesting species. Habitat components we measured in 1-, 2-, and 3-yr post-burn sites were similar, but most components differed between burned and unburned sites. Although 98 species were detected during point counts, we report only on the 46 species that nested in the area and were detected >10% of the counts in either habitat class. Twenty-one species preferred burned sites and six preferred unburned sites. Avian species richness and evenness were similar for burned and unburned sites. Burned sites were preferred for nesting over unburned sites. Only nine nests of six species were found in unburned sites. Productivity estimates were low in burned sites. One or more eggs hatched in only 59 of 187 nests monitored, and an average of only 0.82 chicks per nest were estimated to have fledged. Predation was the most common probable cause for nest failure, ranging from 45% in the Northern Cardinal (Cardinalis cardinalis) to 64% in the Summer Tanager (Piranga rubra). Because the sources of predation at the refuge are unknown, future research should address this issue.

Experimental investigation on regulated and unregulated emissions of a diesel/methanol compound combustion engine with and without diesel oxidation catalyst.

PubMed

Zhang, Z H; Cheung, C S; Chan, T L; Yao, C D

2010-01-15

The use of methanol in combination with diesel fuel is an effective measure to reduce particulate matter (PM) and nitrogen oxides (NOx) emissions from in-use diesel vehicles. In this study, a diesel/methanol compound combustion (DMCC) scheme was proposed and a 4-cylinder naturally-aspirated direct-injection diesel engine modified to operate on the proposed combustion scheme. The effect of DMCC and diesel oxidation catalyst (DOC) on the regulated emissions of total hydrocarbons (THC), carbon monoxide (CO), NOx and PM was investigated based on the Japanese 13 Mode test cycle. Certain unregulated emissions, including methane, ethyne, ethene, 1,3-butadiene, BTX (benzene, toluene, xylene), unburned methanol and formaldehyde were also evaluated based on the same test cycle. In addition, the soluble organic fraction (SOF) in the particulate and the particulate number concentration and size distribution were investigated at certain selected modes of operation. The results show that the DMCC scheme can effectively reduce NOx, particulate mass and number concentrations, ethyne, ethene and 1,3-butadiene emissions but significantly increase the emissions of THC, CO, NO(2), BTX, unburned methanol, formaldehyde, and the proportion of SOF in the particles. After the DOC, the emission of THC, CO, NO(2), as well as the unregulated gaseous emissions, can be significantly reduced when the exhaust gas temperature is sufficiently high while the particulate mass concentration is further reduced due to oxidation of the SOF. Copyright 2009 Elsevier B.V. All rights reserved.

Study of Periodical Flow Heat Transfer in an Internal Combustion Engine

NASA Astrophysics Data System (ADS)

Luo, Xi

In-cylinder heat transfer is one of the most critical physical behaviors which has a direct influence on engine out emission and thermal efficiency for IC engine. In-cylinder wall temperature has to be precisely controlled to achieve high efficiency and low emission. However, this cannot be done without knowing gas-to-wall heat flux. This study reports on the development of a technique suitable for engine in-cylinder surface temperature measurement, as the traditional method is "hard to reach." A laser induced phosphorescence technique was used to study in-cylinder wall temperature effects on engine out unburned hydrocarbons during the engine transitional period (warm up). A linear correlation was found between the cylinder wall surface temperature and the unburned hydrocarbons at mediate and high charge densities. At low charge density, no clear correlation was observed because of miss-fire events. A new auto background correction infrared (IR) diagnostic was developed to measure the instantaneous in-cylinder surface temperature at 0.1 CAD resolution. A numerical mechanism was designed to suppress relatively low-frequency background noise and provide an accurate in-cylinder surface temperature measurements with an error of less than 1.4% inside the IC engine. In addition, a proposed optical coating reduced time delay errors by 50% compared to more conventional thermocouple techniques. A new cycle-averaged Res number was developed for an IC engine to capture the characteristics of engine flow. Comparison and scaling between different engine flow parameters are available by matching the averaged Res number. From experimental results, the engine flow motion was classified as intermittently turbulent, and it is different from the original fully developed turbulent assumption, which has previously been used in almost all engine simulations. The intermittent turbulence could have a great impact on engine heat transfer because of the transitional turbulence effect. Engine 3D CFD model further proves the existence of transitional turbulence flow. A new multi zone heat transfer model is proposed for IC engines only. The model includes pressure work effects and improved heat transfer prediction compared to the standard Law of the wall model.

[Effect of prescribed burning on grassland nitrogen gross mineralization and nitrification].

PubMed

Li, Yuzhong; Zhu, Tingcheng; Li, Jiandong; Zhou, Daowei

2003-02-01

The seasonal dynamics of nitrogen gross mineralization, nitrification, and mineral nitrogen consumption rates in burned and unburned Leymus chinensis grasslands were studied with 15N pool dilution technique. The results indicated that the gross mineralization and nitrification rates in burned area were higher than those in unburned area in April and May, and lower than those in unburned area in September. NH4(+)-N consumption rates were higher than unburned area in April and May, and lower in September. NO3(-)-N consumption rates were higher than control in April and May, and lower than control in July and September. The NH4(+)-N concentrations were higher in burned area in April, May and July, and no difference in September. NO3(-)-N concentrations were no difference between burned and unburned areas in April and May, and higher in burned areas in July and September.

Health financing policies in Sub-Saharan Africa: government ownership or donors' influence? A scoping review of policymaking processes.

PubMed

Gautier, Lara; Ridde, Valéry

2017-01-01

The rise on the international scene of advocacy for universal health coverage (UHC) was accompanied by the promotion of a variety of health financing policies. Major donors presented health insurance, user fee exemption, and results-based financing policies as relevant instruments for achieving UHC in Sub-Saharan Africa. The "donor-driven" push for policies aiming at UHC raises concerns about governments' effective buy-in of such policies. Because the latter has implications on the success of such policies, we searched for evidence of government ownership of the policymaking process. We conducted a scoping review of the English and French literature from January 2001 to December 2015 on government ownership of decision-making on policies aiming at UHC in Sub-Saharan Africa. Thirty-five (35) results were retrieved. We extracted, synthesized and analyzed data in order to provide insights on ownership at five stages of the policymaking process: emergence, formulation, funding, implementation, and evaluation. The majority of articles (24/35) showed mixed results (i.e. ownership was identified at one or more levels of policymaking process but not all) in terms of government ownership. Authors of only five papers provided evidence of ownership at all reviewed policymaking stages. When results demonstrated some lack of government ownership at any of the five stages, we noticed that donors did not necessarily play a role: other actors' involvement was contributing to undermining government-owned decision-making, such as the private sector. We also found evidence that both government ownership and donors' influence can successfully coexist. Future research should look beyond indicators of government ownership, by analyzing historical factors behind the imbalance of power between the different actors during policy negotiations. There is a need to investigate how some national actors become policy champions and thereby influence policy formulation. In order to effectively achieve government ownership of financing policies aiming at UHC, we recommend strengthening the State's coordination and domestic funding mobilization roles, together with securing a higher involvement of governmental (both political and technical) actors by donors.

Health equity and migrants in the Greater Mekong Subregion

PubMed Central

McMichael, Celia; Healy, Judith

2017-01-01

ABSTRACT Background: Migrant health is receiving increasing international attention, reflecting recognition of the health inequities experienced among many migrant populations and the need for health systems to adapt to diverse migrant populations. In the Greater Mekong Subregion (GMS) there is increasing migration associated with uneven economic integration and growth, socio-economic vulnerabilities, and disparities between countries. There has been limited progress, however, in improving migrant access to health services in the Subregion. This paper examines the health needs, access barriers, and policy responses to cross-border migrants in five GMS countries. Methods: A review of published literature and research was conducted on migrant health and health service access in Cambodia, Lao People’s Democratic Republic, Myanmar, Thailand, and Viet Nam, as well as analysis of current migration trends and universal health coverage (UHC) indicators in the Subregion. The review included different migrant types: i.e. migrant workers, irregular migrants, victims of trafficking, refugees and asylum seekers, and casual cross-border migrants. Results: There is substantial diversity in the capacity of GMS health systems to address migrant populations. Thailand has sought to enhance migrant health coverage, including development of migrant health policies/programs, bilateral migrant worker agreements, and migrant health insurance schemes; Viet Nam provides health protection for emigrant workers. Overall, however, access to good quality health care remains weak for many citizens in GMS countries let alone migrants. Migrant workers – and irregular migrants in particular – face elevated health risks yet are not adequately covered and incur high out-of-pocket (OOP) payments for health services. Conclusions: UHC implies equity: UHC is only achieved when everyone has the opportunity to access and use good-quality health care. Efforts to achieve UHC in the GMS require deliberate policy decisions to include migrants. The emergence of the UHC agenda, and the focus on migrant health among policy makers and partners, present an opportunity to tackle barriers to health service access, extend coverage, and strengthen partnerships in order to improve migrant health. This is an opportune time for GMS countries to develop migrant-inclusive health systems. PMID:28452652

[Influence of C-Fe Lines Interference Correction on Laser-Induced Breakdown Spectroscopy Measurement of Unburned Carbon in Fly Ash].

PubMed

Yao, Shun-chun; Chen, Jian-chao; Lu, Ji-dong; Shen, Yue-liang; Pan, Gang

2015-06-01

In coal-fired plants, Unburned carbon (UC) in fly ash is the major determinant of combustion efficiency in coal-fired boiler. The balance between unburned carbon and NO(x) emissions stresses the need for rapid and accurate methods for the measurement of unburned carbon. Laser-induced breakdown spectroscopy (LIBS) is employed to measure the unburned carbon content in fly ash. In this case, it is found that the C line interference with Fe line at about 248 nm. The interference leads to C could not be quantified independently from Fe. A correction approach for extracting C integrated intensity from the overlapping peak is proposed. The Fe 248.33 nm, Fe 254.60 nm and Fe 272.36 nm lines are used to correct the Fe 247.98 nm line which interference with C 247.86 nm, respectively. Then, the corrected C integrated intensity is compared with the uncorrected C integrated intensity for constructing calibration curves of unburned carbon, and also for the precision and accuracy of repeat measurements. The analysis results show that the regression coefficients of the calibration curves and the precision and accuracy of repeat measurements are improved by correcting C-Fe interference, especially for the fly ash samples with low level unburned carbon content. However, the choice of the Fe line need to avoid a over-correction for C line. Obviously, Fe 254.60 nm is the best

Connections: Superplasticity, Damascus Steels, Laminated Steels, and Carbon Dating

NASA Astrophysics Data System (ADS)

Wadsworth, Jeffrey

2016-12-01

In this paper, a description is given of the connections that evolved from the initial development of a family of superplastic plain carbon steels that came to be known as Ultra-High Carbon Steels (UHCS). It was observed that their very high carbon contents were similar, if not identical, to those of Damascus steels. There followed a series of attempts to rediscover how the famous patterns found on Damascus steels blades were formed. At the same time, in order to improve the toughness at room temperature of the newly-developed UHCS, laminated composites were made of alternating layers of UHCS and mild steel (and subsequently other steels and other metals). This led to a study of ancient laminated composites, the motives for their manufacture, and the plausibility of some of the claims relating to the number of layers in the final blades. One apparently ancient laminated composite, recovered in 1837 from the great pyramid of Giza which was constructed in about 2750 B.C., stimulated a carbon dating study of ancient steels. The modern interest in "Bladesmithing" has connections back to many of these ancient weapons.

Treatment seeking and health financing in selected poor urban neighbourhoods in India, Indonesia and Thailand.

PubMed

Seeberg, Jens; Pannarunothai, Supasit; Padmawati, Retna Siwi; Trisnantoro, Laksono; Barua, Nupur; Pandav, Chandrakant S

2014-02-01

This article presents a comparative analysis of socio-economic disparities in relation to treatment-seeking strategies and healthcare expenditures in poor neighbourhoods within larger health systems in four cities in India, Indonesia and Thailand. About 200 households in New Delhi, Bhubaneswar, Jogjakarta and Phitsanulok were repeatedly interviewed over 12 months to relate health problems with health seeking and health financing at household level. Quantitative data were complemented with ethnographic studies involving the same neighbourhoods and a number of private practitioners at each site. Within each site, the higher and lower income groups among the poor were compared. The lower income group was more likely than the higher income group to seek care from less qualified health providers and incur catastrophic health spending. The study recommends linking quality control mechanisms with universal health coverage (UHC) policies; to monitor the impact of UHC among the poorest; intervention research to reach the poorest with UHC; and inclusion of private providers without formal medical qualification in basic healthcare. Copyright © 2013 Elsevier Ltd. All rights reserved.

Reduction of gaseous pollutant emissions from gas turbine combustors using hydrogen-enriched jet fuel

NASA Technical Reports Server (NTRS)

Clayton, R. M.

1976-01-01

Recent progress in an evaluation of the applicability of the hydrogen enrichment concept to achieve ultralow gaseous pollutant emission from gas turbine combustion systems is described. The target emission indexes for the program are 1.0 for oxides of nitrogen and carbon monoxide, and 0.5 for unburned hydrocarbons. The basic concept utilizes premixed molecular hydrogen, conventional jet fuel, and air to depress the lean flammability limit of the mixed fuel. This is shown to permit very lean combustion with its low NOx production while simulataneously providing an increased flame stability margin with which to maintain low CO and HC emission. Experimental emission characteristics and selected analytical results are presented for a cylindrical research combustor designed for operation with inlet-air state conditions typical for a 30:1 compression ratio, high bypass ratio, turbofan commercial engine.

Performance of a catalytic reactor at simulated gas turbine combustor operating conditions

NASA Technical Reports Server (NTRS)

Anderson, D. N.; Tacina, R. R.; Mroz, T. S.

1975-01-01

The performance of a catalytic reactor 12 cm in diameter and 17 cm long was evaluated at simulated gas turbine combustor operating conditions using premixed propane and air. Inlet temperatures of 600 and 800 K, pressures of 3 and 6 atm, and reference velocities of 9 to 30 m/s were tested. Data were taken for equivalence ratios as high as 0.43. The operating range was limited on the low-temperature side by very poor efficiency; the minimum exit temperature for good performance ranged from 1400 to 1600 K depending on inlet conditions. As exit temperatures were raised above this minimum, emissions of unburned hydrocarbons decreased, carbon monoxide emissions became generally less than 1 g CO/kg fuel, and nitrogen oxides were less than about 0.1 g NO2/kg fuel.

Effect of fuel properties on performance of a single aircraft turbojet combustor. [from coal and oil-shale derived syncrudes

NASA Technical Reports Server (NTRS)

Butze, H. F.; Ehlers, R. C.

1975-01-01

The performance of a single-can JT8D combustor was investigated with a number of fuels exhibiting wide variations in chemical composition and volatility. Performance parameters investigated were combustion efficiency, emissions of CO, unburned hydrocarbons and NOx, as well as liner temperatures and smoke. At the simulated idle condition no significant differences in performance were observed. At cruise, liner temperatures and smoke increased sharply with decreasing hydrogen content of the fuel. No significant differences were observed in the performance of an oil-shale derived JP-5 and a petroleum-based Jet A fuel except for emissions of NOx which were higher with the oil-shale JP-5. The difference is attributed to the higher concentration of fuel-bound nitrogen in the oil-shale JP-5.

Exhaust gas emissions of a vortex breakdown stabilized combustor

NASA Technical Reports Server (NTRS)

Yetter, R. A.; Gouldin, F. C.

1976-01-01

Exhaust gas emission data are described for a swirl stabilized continuous combustor. The combustor consists of confined concentric jets with premixed fuel and air in the inner jet and air in the outer jet. Swirl may be induced in both inner and outer jets with the sense of rotation in the same or opposite directions (co-swirl and counter-swirl). The combustor limits NO emissions by lean operation without sacrificing CO and unburned hydrocarbon emission performance, when commercial-grade methane and air fired at one atmosphere without preheat are used. Relative swirl direction and magnitude are found to have significant effects on exhaust gas concentrations, exit temperatures, and combustor efficiencies. Counter-swirl gives a large recirculation zone, a short luminous combustion zone, and large slip velocities in the interjet shear layer. For maximum counter-swirl conditions, the efficiency is low.

Pollutant Emissions and Lean Blowoff Limits of Fuel Flexible Burners Operating on Gaseous Renewable and Fossil Fuels

NASA Astrophysics Data System (ADS)

Colorado, Andres

This study provides an experimental and numerical examination of pollutant emissions and stability of gaseous fueled reactions stabilized with two premixed-fuel-flexible and ultra-low NOx burner technologies. Both burners feature lean combustion technology to control the formation of nitrogen oxides (NOx). The first fuel--flexible burner is the low-swirl burner (LSB), which features aerodynamic stabilization of the reactions with a divergent flow-field; the second burner is the surface stabilized combustion burner (SSCB), which features the stabilization of the reactions on surface patterns. For combustion applications the most commonly studied species are: NOx, carbon monoxide (CO), and unburned hydrocarbons (UHC). However these are not the only pollutants emitted when burning fossil fuels; other species such as nitrous oxide (N2O), ammonia (NH3) and formaldehyde (CH2O) can be directly emitted from the oxidation reactions. Yet the conditions that favor the emission of these pollutants are not completely understood and require further insight. The results of this dissertation close the gap existing regarding the relations between emission of pollutants species and stability when burning variable gaseous fuels. The results of this study are applicable to current issues such as: 1. Current combustion systems operating at low temperatures to control formation of NOx. 2. Increased use of alternative fuels such as hydrogen, synthetic gas and biogas. 3. Increasing recognition of the need/desire to operate combustion systems in a transient manner to follow load and to offset the intermittency of renewable power. 4. The recent advances in measurement methods allow us to quantify other pollutants, such as N 2O, NH3 and CH2O. Hence in this study, these pollutant species are assessed when burning natural gas (NG) and its binary mixtures with other gaseous fuels such as hydrogen (H2), carbon dioxide (CO2), ethane (C 2H6) and propane (C3H8) at variable operation modes including: ignition; lean blowoff; and variable air to fuel ratio. Some remarkable results of this dissertation include: • At a fixed fire rate (117kW) the addition of hydrogen to NG raises the emission of NO x for the reactions stabilized with the LSB. Under the same conditions, the addition of H2 to NG will reduce the emission levels of the reactions stabilized with the SSCB. • It was found experimentally that nitrous oxide (N2O) is emitted during ignition and blowoff events. • Ammonia (NH3) is also emitted during ignition and blowoff events. • It was found experimentally that at high concentrations of hydrogen in NG (H2>70%), reactions aerodynamically stabilized with the LSB will emit significant amounts of N2O.

Conifer regeneration on burned and unburned clearcuts on granitic soils of the Klamath National Forest

Treesearch

Danny Heavilan

1977-01-01

Regeneration was studied on a mixed conifer stand on granitic soils on the Klamath National Forest. Six years after logging and hand planting with Douglas-fir, stocking and growth on cutblocks where slash had been broadcast burned was compared with that on similar unburned cutblocks. Conifers were seven times more plentiful on the unburned areas, the average height of...

Method and apparatus of measuring unburned carbon in fly ash

DOEpatents

Brown, Robert C.

1991-12-03

A method and apparatus are shown to measure unburned carbon particles in the exhaust of a combustor. Photoacoustic absorption spectrometry is employed to measure the presence of the unburned carbon. Especially helpful in these measurements is a vertically elongated photoacoustic cell in which high flow velocities are maintained to prevent particles from settling. These measurements are useful in determining the efficiency of coal-fired combustors.

Is It More Important to Address the Issue of Patient Mobility or to Guarantee Universal Health Coverage in Europe?

PubMed Central

Legido-Quigley, Helena

2016-01-01

This paper discusses whether European institutions should devote so much attention and funding to cross-border healthcare or they should instead prioritise guaranteeing universal health coverage (UHC), “addressing inequalities” and tackling the effects of austerity measures. The paper argues through providing the evidence in both areas of research, that the priority at European level from a public health and social justice perspective should be to guarantee UHC for all the population living in Europe and prioritise protective action for those who are most in need. PMID:26673649

Policy Choices for Progressive Realization of Universal Health Coverage Comment on "Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage".

PubMed

Tangcharoensathien, Viroj; Patcharanarumol, Walaiporn; Panichkriangkrai, Warisa; Sommanustweechai, Angkana

2016-07-31

In responses to Norheim's editorial, this commentary offers reflections from Thailand, how the five unacceptable trade-offs were applied to the universal health coverage (UHC) reforms between 1975 and 2002 when the whole 64 million people were covered by one of the three public health insurance systems. This commentary aims to generate global discussions on how best UHC can be gradually achieved. Not only the proposed five discrete trade-offs within each dimension, there are also trade-offs between the three dimensions of UHC such as population coverage, service coverage and cost coverage. Findings from Thai UHC show that equity is applied for the population coverage extension, when the low income households and the informal sector were the priority population groups for coverage extension by different prepayment schemes in 1975 and 1984, respectively. With an exception of public sector employees who were historically covered as part of fringe benefits were covered well before the poor. The private sector employees were covered last in 1990. Historically, Thailand applied a comprehensive benefit package where a few items are excluded using the negative list; until there was improved capacities on technology assessment that cost-effectiveness are used for the inclusion of new interventions into the benefit package. Not only cost-effectiveness, but long term budget impact, equity and ethical considerations are taken into account. Cost coverage is mostly determined by the fiscal capacities. Close ended budget with mix of provider payment methods are used as a tool for trade-off service coverage and financial risk protection. Introducing copayment in the context of fee-for-service can be harmful to beneficiaries due to supplier induced demands, inefficiency and unpredictable out of pocket payment by households. UHC achieves favorable outcomes as it was implemented when there was a full geographical coverage of primary healthcare coverage in all districts and sub-districts after three decade of health infrastructure investment and health workforce development since 1980s. The legacy of targeting population group by different prepayment mechanisms, leading to fragmentation, discrepancies and inequity across schemes, can be rectified by harmonization at the early phase when these schemes were introduced. Robust public accountability and participation mechanisms are recommended when deciding the UHC strategy. © 2017 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Vegetation response to fire and postburn seeding treatments in juniper woodlands of the Grand Staircase-Escalante National Monument, Utah

USGS Publications Warehouse

Evangelista, P.; Stohlgren, T.J.; Guenther, D.; Stewart, S.

2004-01-01

We compared 3 naturally ignited burns with unburned sites in the Grand Staircase-Escalante National Monument. Each burn site was restored with native and nonnative seed mixes, restored with native seeds only, or regenerated naturally. In general, burned sites had significantly lower native species richness (1.8 vs. 2.9 species), native species cover (11% vs. 22.5%), and soil crust cover (4.1% vs. 15%) than unburned sites. Most burned plots, seeded or not, had significantly higher average nonnative species richness and cover and lower average native species richness and cover than unburned sites. Regression tree analyses suggest site variation was equally important to rehabilitation results as seeding treatments. Low native species richness and cover, high soil C, and low cover of biological soil crusts may facilitate increased nonnative species richness and cover. Our study also found that unburned sites in the region had equally high cover of nonnative species compared with the rest of the Monument. Cheatgrass (Bromus tectorum) dominated both burned and unburned sites. Despite the invasion of cheatgrass, unburned sites still maintain higher native species richness; however, the high cover of cheatgrass may increase fire frequency, further reduce native species richness and cover, and ultimately change vegetation composition in juniper woodlands.

Comparison of soil infiltration rates in burned and unburned mountainous watersheds

USGS Publications Warehouse

Martin, D.A.; Moody, J.A.

2001-01-01

Steady-state infiltration measurements were made at mountainous sites in New Mexico and Colorado, USA, with volcanic and granitic soils after wildfires and at comparable unburned sites. We measured infiltration in the New Mexico volcanic soils under two vegetation types, ponderosa pine and mixed conifer, and in the Colorado granitic soils under ponderosa pine vegetation. These measurements were made within high-severity burn areas using a portable infiltrometer with a 0.017 m2 infiltration area and artificial rainfall rates ranging from 97 to 440 mm h-1. Steady-state infiltration rates were less at all burned sites relative to unburned sites. The volcanic soil with ponderosa pine vegetation showed the greatest difference in infiltration rates with a ratio of steady-state infiltration rate in burned sites to unburned soils equal to 0.15. Volcanic soils with mixed conifer vegetation had a ratio (burned to unburned soils) of at most 0.38, and granitic soils with ponderosa pine vegetation had a ratio of 0.38. Steady-state infiltration rates on unburned volcanic and granitic soils with ponderosa pine vegetation are not statistically different. We present data on the particle-size distribution at all the study sites and examples of wetting patterns produced during the infiltration experiments. Published in 2001 by John Wiley and Sons, Ltd.

Understanding Differences in Administrative and Audited Patient Data in Cardiac Surgery: Comparison of the University HealthSystem Consortium and Society of Thoracic Surgeons Databases.

PubMed

Prasad, Anjali; Helder, Meghana R; Brown, Dwight A; Schaff, Hartzell V

2016-10-01

The University HealthSystem Consortium (UHC) administrative database has been used increasingly as a quality indicator for hospitals and even individual surgeons. We aimed to determine the accuracy of cardiac surgical data in the administrative UHC database vs data in the clinical Society of Thoracic Surgeons database. We reviewed demographic and outcomes information of patients with aortic valve replacement (AVR), mitral valve replacement (MVR), and coronary artery bypass grafting (CABG) surgery between January 1, 2012, and December 31, 2013. Data collected in aggregate and compared across the databases included case volume, physician specialty coding, patient age and sex, comorbidities, mortality rate, and postoperative complications. In these 2 years, the UHC database recorded 1,270 AVRs, 355 MVRs, and 1,473 CABGs. The Society of Thoracic Surgeons database case volumes were less by 2% to 12% (1,219 AVRs; 316 MVRs; and 1,442 CABGs). Errors in physician specialty coding occurred in UHC data (AVR, 0.6%; MVR, 0.8%; and CABG, 0.7%). In matched patients from each database, demographic age and sex information was identical. Although definitions differed in the databases, percentages of patients with at least one comorbidity were similar. Hospital mortality rates were similar as well, but postoperative recorded complications differed greatly. In comparing the 2 databases, we found similarity in patient demographic information and percentage of patients with comorbidities. The small difference in volumes of each operation type and the larger disparity in postoperative complications between the databases were related to differences in data definition, data collection, and coding errors. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Effectiveness and Value of Prophylactic 5-Layer Foam Sacral Dressings to Prevent Hospital-Acquired Pressure Injuries in Acute Care Hospitals: An Observational Cohort Study.

PubMed

Padula, William V

The purpose of this study was to examine the effectiveness and value of prophylactic 5-layer foam sacral dressings to prevent hospital-acquired pressure injury rates in acute care settings. Retrospective observational cohort. We reviewed records of adult patients 18 years or older who were hospitalized at least 5 days across 38 acute care hospitals of the University Health System Consortium (UHC) and had a pressure injury as identified by Patient Safety Indicator #3 (PSI-03). All facilities are located in the United States. We collected longitudinal data pertaining to prophylactic 5-layer foam sacral dressings purchased by hospital-quarter for 38 academic medical centers between 2010 and 2015. Longitudinal data on acute care, hospital-level patient outcomes (eg, admissions and PSI-03 and pressure injury rate) were queried through the UHC clinical database/resource manager from the Johns Hopkins Medicine portal. Data on volumes of dressings purchased per UHC hospital were merged with UHC data. Mixed-effects negative binomial regression was used to test the longitudinal association of prophylactic foam sacral dressings on pressure injury rates, adjusted for hospital case-mix and Medicare payments rules. Significant pressure injury rate reductions in US acute care hospitals between 2010 and 2015 were associated with the adoption of prophylactic 5-layer foam sacral dressings within a prevention protocol (-1.0 cases/quarter; P = .002) and changes to Medicare payment rules in 2014 (-1.13 cases/quarter; P = .035). Prophylactic 5-layer foam sacral dressings are an effective component of a pressure injury prevention protocol. Hospitals adopting these technologies should expect good value for use of these products.

Effectiveness and Value of Prophylactic 5-Layer Foam Sacral Dressings to Prevent Hospital-Acquired Pressure Injuries in Acute Care Hospitals

PubMed Central

2017-01-01

PURPOSE: The purpose of this study was to examine the effectiveness and value of prophylactic 5-layer foam sacral dressings to prevent hospital-acquired pressure injury rates in acute care settings. DESIGN: Retrospective observational cohort. SAMPLE AND SETTING: We reviewed records of adult patients 18 years or older who were hospitalized at least 5 days across 38 acute care hospitals of the University Health System Consortium (UHC) and had a pressure injury as identified by Patient Safety Indicator #3 (PSI-03). All facilities are located in the United States. METHODS: We collected longitudinal data pertaining to prophylactic 5-layer foam sacral dressings purchased by hospital-quarter for 38 academic medical centers between 2010 and 2015. Longitudinal data on acute care, hospital-level patient outcomes (eg, admissions and PSI-03 and pressure injury rate) were queried through the UHC clinical database/resource manager from the Johns Hopkins Medicine portal. Data on volumes of dressings purchased per UHC hospital were merged with UHC data. Mixed-effects negative binomial regression was used to test the longitudinal association of prophylactic foam sacral dressings on pressure injury rates, adjusted for hospital case-mix and Medicare payments rules. RESULTS: Significant pressure injury rate reductions in US acute care hospitals between 2010 and 2015 were associated with the adoption of prophylactic 5-layer foam sacral dressings within a prevention protocol (−1.0 cases/quarter; P = .002) and changes to Medicare payment rules in 2014 (−1.13 cases/quarter; P = .035). CONCLUSIONS: Prophylactic 5-layer foam sacral dressings are an effective component of a pressure injury prevention protocol. Hospitals adopting these technologies should expect good value for use of these products. PMID:28816929

Strengthening Health Systems of Developing Countries: Inclusion of Surgery in Universal Health Coverage.

PubMed

Okoroh, Juliet S; Chia, Victoria; Oliver, Emily A; Dharmawardene, Marisa; Riviello, Robert

2015-08-01

Universal health coverage (UHC) has its roots in the Universal Declaration of Human Rights and has recently gained momentum. Out-of-pocket payments (OPP) remain a significant barrier to care. There is an increasing global prevalence of non-communicable diseases, many of which are surgically treatable. We sought to provide a comparative analysis of the inclusion of surgical care in operating plans for UHC in low- and middle-income countries (LMIC). We systematically searched PubMed and Google Scholar using pre-defined criteria for articles published in English, Spanish, or French between January 1991 and November 2013. Keywords included "insurance," "OPP," "surgery," "trauma," "cancer," and "congenital anomalies." World Health Organization (WHO), World Bank, and Joint Learning Network for UHC websites were searched for supporting documents. Ministries of Health were contacted to provide further information on the inclusion of surgery. We found 696 articles and selected 265 for full-text review based on our criteria. Some countries enumerated surgical conditions in detail (India, 947 conditions). Other countries mentioned surgery broadly. Obstetric care was most commonly covered (19 countries). Solid organ transplantation was least covered. Cancer care was mentioned broadly, often without specifying the therapeutic modality. No countries were identified where hospitals are required to provide emergency care regardless of insurance coverage. OPP varied greatly between countries. Eighty percent of countries had OPP of 60% or more, making these services, even if partially covered, largely inaccessible. While OPP, delivery, and utilization continue to represent challenges to health care access in many LMICs, the inclusion of surgery in many UHC policies sets an important precedent in addressing a growing global prevalence of surgically treatable conditions. Barriers to access, including inequalities in financial protection in the form of high OPP, remain a fundamental challenge to providing surgical care in LMICs.

Hospital-Acquired Pressure Ulcers at Academic Medical Centers in the United States, 2008-2012: Tracking Changes Since the CMS Nonpayment Policy.

PubMed

Padula, William V; Makic, Mary Beth F; Wald, Heidi L; Campbell, Jonathan D; Nair, Kavita V; Mishra, Manish K; Valuck, Robert J

2015-06-01

In 2007, the Centers for Medicare & Medicaid Services (CMS) announced its intention to no longer reimburse hospitals for costs associated with hospital-acquired pressure ulcers (HAPUs) and a list of other hospital-acquired conditions (HACs), which was followed by enactment of the nonpayment policy in October 2008. This study was conducted to define changes in HAPU incidence and variance since 2008. In a retrospective observational study, HAPU cases were identified at 210 University HealthSystem Consortium (UHC) academic medical centers in the United States. HAPU incidence rates were calculated as a ratio of HAPU cases to the total number of UHC inpatients between the first quarter of 2008 and the second quarter of 2012. HAPU cases were defined by multiple criteria: not present on admission (POA); coded for stage III or IV pressure ulcers; and a length of stay greater than four days. Among the UHC hospitals between 2008 and June 2012, 10,386 HAPU cases were identified among 4.08 million inpatients. The HAPU incidence rate decreased significantly from 11.8 cases per 1,000 inpatients in 2008 to 0.8 cases per 1,000 in 2012 (p < .001; 95% confidence interval: 8.39-8.56). Among HAPU cases were trends of more elderly patients, greater case-mix index, and more surgical cases. The analysis of covariance model identified CMS non-payment policy as a significant covariate of changing trends in HAPU incidence rates. HAPU incidence rates decreased significantly among 210 UHC AMCs after the enactment of the CMS nonpayment policy. The hospitals appeared to be reacting efficiently to economic policy incentives by improving prevention efforts.

Universal health coverage in the context of population ageing: What determines health insurance enrolment in rural Ghana?

PubMed

Van der Wielen, Nele; Channon, Andrew Amos; Falkingham, Jane

2018-05-24

Population ageing presents considerable challenges for the attainment of universal health coverage (UHC), especially in countries where such coverage is still in its infancy. Ghana presents an important case study on the effectiveness of policies aimed at achieving UHC in the context of population ageing in low and middle-income countries. It has witnessed a profound recent demographic transition, including a large increase in the number of older adults, which coincided with the development and implementation of a National Health Insurance Scheme (NHIS), designed to help achieve UHC. The objective of this paper is to examine the community, household and individual level determinants of NHIS enrolment among older adults aged 50-69 and 70 plus. The latter are exempt from NHIS premium payments. Using the Ghanaian Living Standards Survey from 2012 to 2013, determinants of NHIS enrolment for individuals aged 50-69 and 70 plus living in rural Ghana are examined through the application of multilevel regression analysis. Previous studies have mainly focused on the enrolment of young and middle aged adults and considered mainly demographic and socio-economic factors. The novel inclusion of spatial barriers within this analysis demonstrates that levels of NHIS enrolment are determined in part by the community provision of healthcare facilities. In addition, the findings imply that insurance enrolment increases with household expenditure even for those aged 70 plus who are exempt from the NHIS premium payment. Adequate and appropriate infrastructure as well as health insurance is vital to ensure movement to UHC in low and middle income countries. Overall, the results confirm that there remain significant inequalities in enrolment by expenditure quintile that future policy reform will need to address.

Flame Spread and Group-Combustion Excitation in Randomly Distributed Droplet Clouds with Low-Volatility Fuel near the Excitation Limit: a Percolation Approach Based on Flame-Spread Characteristics in Microgravity

NASA Astrophysics Data System (ADS)

Mikami, Masato; Saputro, Herman; Seo, Takehiko; Oyagi, Hiroshi

2018-03-01

Stable operation of liquid-fueled combustors requires the group combustion of fuel spray. Our study employs a percolation approach to describe unsteady group-combustion excitation based on findings obtained from microgravity experiments on the flame spread of fuel droplets. We focus on droplet clouds distributed randomly in three-dimensional square lattices with a low-volatility fuel, such as n-decane in room-temperature air, where the pre-vaporization effect is negligible. We also focus on the flame spread in dilute droplet clouds near the group-combustion-excitation limit, where the droplet interactive effect is assumed negligible. The results show that the occurrence probability of group combustion sharply decreases with the increase in mean droplet spacing around a specific value, which is termed the critical mean droplet spacing. If the lattice size is at smallest about ten times as large as the flame-spread limit distance, the flame-spread characteristics are similar to those over an infinitely large cluster. The number density of unburned droplets remaining after completion of burning attained maximum around the critical mean droplet spacing. Therefore, the critical mean droplet spacing is a good index for stable combustion and unburned hydrocarbon. In the critical condition, the flame spreads through complicated paths, and thus the characteristic time scale of flame spread over droplet clouds has a very large value. The overall flame-spread rate of randomly distributed droplet clouds is almost the same as the flame-spread rate of a linear droplet array except over the flame-spread limit.

Wildfire impacts on soil-water retention in the Colorado Front Range, United States

USGS Publications Warehouse

Ebel, Brian A.

2012-01-01

This work examined the plot-scale differences in soil-water retention caused by wildfire in the area of the 2010 Fourmile Canyon Fire in the Colorado Front Range, United States. We measured soil-water retention curves on intact cores and repacked samples, soil particle-size distributions, and organic matter content. Estimates were also made of plant-available water based on the soil-water retention curves. Parameters for use in soil-hydraulic property models were estimated; these parameters can be used in unsaturated flow modeling for comparing burned and unburned watersheds. The primary driver for measured differences in soil-water retention in burned and unburned soils was organic matter content and not soil-particle size distribution. The tendency for unburned south-facing soils to have greater organic matter content than unburned north-facing soils in this field area may explain why unburned south-facing soils had greater soil-water retention than unburned north-facing soils. Our results suggest that high-severity wildfire can “homogenize” soil-water retention across the landscape by erasing soil-water retention differences resulting from organic matter content, which for this site may be affected by slope aspect. This homogenization could have important implications for ecohydrology and plant succession/recovery in burned areas, which could be a factor in dictating the window of vulnerability of the landscape to flash floods and erosion that are a common consequence of wildfire.

Wildfire impacts on soil-water retention in the Colorado Front Range, United States

NASA Astrophysics Data System (ADS)

Ebel, Brian A.

2012-12-01

This work examined the plot-scale differences in soil-water retention caused by wildfire in the area of the 2010 Fourmile Canyon Fire in the Colorado Front Range, United States. We measured soil-water retention curves on intact cores and repacked samples, soil particle-size distributions, and organic matter content. Estimates were also made of plant-available water based on the soil-water retention curves. Parameters for use in soil-hydraulic property models were estimated; these parameters can be used in unsaturated flow modeling for comparing burned and unburned watersheds. The primary driver for measured differences in soil-water retention in burned and unburned soils was organic matter content and not soil-particle size distribution. The tendency for unburned south-facing soils to have greater organic matter content than unburned north-facing soils in this field area may explain why unburned south-facing soils had greater soil-water retention than unburned north-facing soils. Our results suggest that high-severity wildfire can "homogenize" soil-water retention across the landscape by erasing soil-water retention differences resulting from organic matter content, which for this site may be affected by slope aspect. This homogenization could have important implications for ecohydrology and plant succession/recovery in burned areas, which could be a factor in dictating the window of vulnerability of the landscape to flash floods and erosion that are a common consequence of wildfire.

Accelerating health equity: the key role of universal health coverage in the Sustainable Development Goals.

PubMed

Tangcharoensathien, Viroj; Mills, Anne; Palu, Toomas

2015-04-29

The Sustainable Development Goals (SDGs), to be committed to by Heads of State at the upcoming 2015 United Nations General Assembly, have set much higher and more ambitious health-related goals and targets than did the Millennium Development Goals (MDGs). The main challenge among MDG off-track countries is the failure to provide and sustain financial access to quality services by communities, especially the poor. Universal health coverage (UHC), one of the SDG health targets indispensable to achieving an improved level and distribution of health, requires a significant increase in government investment in strengthening primary healthcare - the close-to-client service which can result in equitable access. Given the trend of increased fiscal capacity in most developing countries, aiming at long-term progress toward UHC is feasible, if there is political commitment and if focused, effective policies are in place. Trends in high income countries, including an aging population which increases demand for health workers, continue to trigger international migration of health personnel from low and middle income countries. The inspirational SDGs must be matched with redoubled government efforts to strengthen health delivery systems, produce and retain more and relevant health workers, and progressively realize UHC.

The Role of Gap Junction Channels During Physiologic and Pathologic Conditions of the Human Central Nervous System

PubMed Central

Basilio, Daniel; Sáez, Juan C.; Orellana, Juan A.; Raine, Cedric S.; Bukauskas, Feliksas; Bennett, Michael V. L.; Berman, Joan W.

2013-01-01

Gap junctions (GJs) are expressed in most cell types of the nervous system, including neuronal stem cells, neurons, astrocytes, oligodendrocytes, cells of the blood brain barrier (endothelial cells and astrocytes) and under inflammatory conditions in microglia/macrophages. GJs connect cells by the docking of two hemichannels, one from each cell with each hemichannel being formed by 6 proteins named connexins (Cx). Unapposed hemichannels (uHC) also can be open on the surface of the cells allowing the release of different intracellular factors to the extracellular space. GJs provide a mechanism of cell-to-cell communication between adjacent cells that enables the direct exchange of intracellular messengers, such as calcium, nucleotides, IP3, and diverse metabolites, as well as electrical signals that ultimately coordinate tissue homeostasis, proliferation, differentiation, metabolism, cell survival and death. Despite their essential functions in physiological conditions, relatively little is known about the role of GJs and uHC in human diseases, especially within the nervous system. The focus of this review is to summarize recent findings related to the role of GJs and uHC in physiologic and pathologic conditions of the central nervous system. PMID:22438035

How changes to Irish healthcare financing are affecting universal health coverage.

PubMed

Briggs, Adam D M

2013-11-01

In 2010, the World Health Organisation (WHO) published the World Health Report - Health systems financing: the path to universal coverage. The Director-General of the WHO, Dr Margaret Chan, commissioned the report "in response to a need, expressed by rich and poor countries alike, for practical guidance on ways to finance health care". Given the current context of global economic hardship and difficult budgetary decisions, the report offered timely recommendations for achieving universal health coverage (UHC). This article analyses the current methods of healthcare financing in Ireland and their implications for UHC. Three questions are asked of the Irish healthcare system: firstly, how is the health system financed; secondly, how can the health system protect people from the financial consequences of ill-health and paying for health services; and finally, how can the health system encourage the optimum use of available resources? By answering these three questions, this article argues that the Irish healthcare system is not achieving UHC, and that it is unclear whether recent changes to financing are moving Ireland closer or further away from the WHO's ambition for healthcare for all. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Availability and rational use of drugs in primary healthcare facilities following the national drug policy of 1982: is Bangladesh on right track?

PubMed

Ahmed, Syed Masud; Islam, Qazi Shafayetul

2012-03-01

In Bangladesh, the National Drug Policy (NDP) 1982 was instrumental in improving the supply of essential drugs of quality at an affordable price, especially in the early years. However, over time, evidence showed that the situation deteriorated in terms of both availability of essential drugs and their rational use. The study examined the current status of the outcome of the NDP objectives in terms of the availability and rational use of drugs in the primary healthcare (PHC) facilities in Bangladesh, including affordability by consumers. The study covered a random sample (n=30) of rural Upazila Health Complexes (UHCs) and a convenient sample (n=20) of urban clinics (UCs) in the Dhaka metropolitan area. Observations on prescribing and dispensing practices were made, and exit-interviews with patients and their attendants, and a mini-market survey were conducted to collect data on the core drug-use indicators of the World Health Organization from the health facilities. The findings revealed that the availability of essential drugs for common illnesses was poor, varying from 6% in the UHCs to 15% in the UCs. The number of drugs dispensed out of the total number of drugs prescribed was higher in the UHCs (76%) than in the UCs (44%). The dispensed drugs were not labelled properly, although >70% of patients/care-givers (n=1,496) reported to have understood the dosage schedule. The copy of the list of essential drugs was available in 55% and 47% of the UCs and UHCs respectively, with around two-thirds of the drugs being prescribed from the list. Polypharmacy was higher in the UCs (46%) than in the UHCs (33%). An antibiotic was prescribed in 44% of encounters (n=1,496), more frequently for fever (36-40%) and common cold (26-34%) than for lower respiratory tract infection, including pneumonia (10-20%). The prices of key essential drugs differed widely by brands (500% or more), seriously compromising the affordability of the poor people. Thus, the availability and rational use of drugs and the affordability of the poor people have remained to be achieved in Bangladesh even 27 years after approving the much-acclaimed NDP 1982.

Cost analysis of awake versus asleep deep brain stimulation: a single academic health center experience.

PubMed

Jacob, R Lorie; Geddes, Jonah; McCartney, Shirley; Burchiel, Kim J

2016-05-01

OBJECT The objective of this study was to compare the cost of deep brain stimulation (DBS) performed awake versus asleep at a single US academic health center and to compare costs across the University HealthSystem Consortium (UHC) Clinical Database. METHODS Inpatient and outpatient demographic and hospital financial data for patients receiving a neurostimulator lead implant (from the first quarter of 2009 to the second quarter of 2014) were collected and analyzed. Inpatient charges included those associated with International Classification of Diseases, Ninth Revision (ICD-9) procedure code 0293 (implantation or replacement of intracranial neurostimulator lead). Outpatient charges included all preoperative charges ≤ 30 days prior to implant and all postoperative charges ≤ 30 days after implant. The cost of care based on reported charges and a cost-to-charge ratio was estimated. The UHC database was queried (January 2011 to March 2014) with the same ICD-9 code. Procedure cost data across like hospitals (27 UHC hospitals) conducting similar DBS procedures were compared. RESULTS Two hundred eleven DBS procedures (53 awake and 158 asleep) were performed at a single US academic health center during the study period. The average patient age ( ± SD) was 65 ± 9 years old and 39% of patients were female. The most common primary diagnosis was Parkinson's disease (61.1%) followed by essential and other forms of tremor (36%). Overall average DBS procedure cost was $39,152 ± $5340. Asleep DBS cost $38,850 ± $4830, which was not significantly different than the awake DBS cost of $40,052 ± $6604. The standard deviation for asleep DBS was significantly lower (p ≤ 0.05). In 2013, the median cost for a neurostimulator implant lead was $34,052 at UHC-affiliated hospitals that performed at least 5 procedures a year. At Oregon Health & Science University, the median cost was $17,150 and the observed single academic health center cost for a neurostimulator lead implant was less than the expected cost (ratio 0.97). CONCLUSIONS In this single academic medical center cost analysis, DBS performed asleep was associated with a lower cost variation relative to the awake procedure. Furthermore, costs compared favorably to UHC-affiliated hospitals. While asleep DBS is not yet standard practice, this center exclusively performs asleep DBS at a lower cost than comparable institutions.

Use of laser-induced spark for studying ignition stability and unburned hydrogen escaping from laminar diluted hydrogen diffusion jet flames

NASA Astrophysics Data System (ADS)

Phuoc, Tran X.; Chen, Ruey-Hung

2007-08-01

Ignition and unburned hydrogen escaping from hydrogen jet diffusion flames diluted with nitrogen up to 70% were experimentally studied. The successful ignition locations were about 2/3 of the flame length above the jet exit for undiluted flames and moved much closer to the exit for diluted flames. For higher levels of dilution or higher flow rates, there existed a region within which a diluted hydrogen diffusion flame can be ignited and burns with a stable liftoff height. This is contrary to previous findings that pure and diluted hydrogen jet diffusion cannot achieve a stable lifted flame configuration. With liftoff, the flame is noisy and short with significant amount of unburned hydrogen escaping into the product gases. If ignition is initiated below this region, the flame propagates upstream quickly and attaches to the burner rim. Results from measurements of unburned hydrogen in the combustion products showed that the amount of unburned hydrogen increased as the nitrogen dilution level was increased. Thus, hydrogen diffusion flame diluted with nitrogen cannot burn completely.

Ultra-lean combustion at high inlet temperatures

NASA Technical Reports Server (NTRS)

Anderson, D. N.

1981-01-01

Combustion at inlet air temperatures of 1100 to 1250 K was studied for application to advanced automotive gas turbine engines. Combustion was initiated by the hot environment, and therefore no external ignition source was used. Combustion was stabilized without a flameholder. The tests were performed in a 12 cm diameter test section at a pressure of 2.5 x 10 to the 5th power Pa, with reference velocities of 32 to 60 m/sec and at maximum combustion temperatures of 1350 to 1850 K. Number 2 diesel fuel was injected by means of a multiple source fuel injector. Unburned hydrocarbons emissions were negligible for all test conditions. Nitrogen oxides emissions were less than 1.9 g NO2/kg fuel for combustion temperatures below 1680 K. Carbon monoxide emissions were less than 16 g CO/kg fuel for combustion temperatures greater than 1600 K, inlet air temperatures higher than 1150 K, and residence times greater than 4.3 microseconds.

Performance and durability of improved air-atomizing splash-cone fuel nozzles

NASA Technical Reports Server (NTRS)

Ingebo, R. D.; Norgren, C. T.

1974-01-01

An improved design of air-atomizing fuel nozzles was determined from a study of four differently shaped splash-cone fuel nozzles after 56 hr of durability testing in a combustor segment. Test conditions included fuel-air ratios of 0.008 to 0.018, inlet-air total pressures of 41 to 203 N/cm, inlet-air temperatures of 477 to 811 K, and a reference velocity of 21.3 m/sec. Flat-tip fuel nozzles showed the least erosion damage and at a combustor operating condition of 700 K and 101 N/sq cm an oxides-of-nitrogen emission index of 12 and a smoke number of approximately 18 with a fuel-air ratio of 0.018. Emission indices for carbon monoxide and unburned hydrocarbons were 44 and 16, respectively, at simulated idle conditions of 477 K and 41 N/sq cm.

Effect of primary-zone water injection on pollutants from a combustor burning liquid ASTM A-1 and vaporized propane fuels

NASA Technical Reports Server (NTRS)

Ingebo, R. D.; Norgren, C. T.

1973-01-01

A combustor segment 0.457 meter (18 in.) long with a maximum cross section of 0.153 by 0.305 meter (6 by 12 in.) was operated at inlet-air temperatures of 590 and 700 K, inlet-air pressures of 4 and 10 atmospheres, and fuel-air ratios of 0.014 and 0.018 to determine the effect of primary-zone water injection on pollutants from burning either propane or ASTM A-1 fuel. At a simulated takeoff condition of 10 atmospheres and 700 K, multiple-orifice nozzles used to inject water at 1 percent of the airflow rate reduced nitrogen oxides 75 percent with propane and 65 percent with ASTM A-1 fuel. Although carbon monoxide and unburned hydrocarbons increased with water injection, they remained relatively low; and smoke numbers were well below the visibility limit.

Parametric test results of a swirl-can combustor

NASA Technical Reports Server (NTRS)

Niedzwiecki, R. W.; Jones, R. E.

1973-01-01

Pollutant levels of oxides of nitrogen, unburned hydrocarbons, and carbon monoxide were measured for three models of an experimental, annular swirl can combustor. The combustor was 1.067 meters in outer diameter, incorporated 120 modules, and was specifically designed for elevated exit temperature performance. Test conditions included combustor inlet temperatures of 589, 756 and 839 K, inlet pressures of 3 to 6.4 atmospheres, reference velocities of 21 to 38 meters per second and combustor equivalence ratios, based on total combustor flows of 0.206 to 1.028. Maximum oxides of nitrogen emission index values occurred at an equivalence ratio of 0.7 with lower values measured for both higher and lower equivalence ratios. Oxides of nitrogen concentrations, to the 0.7 level with 756 K inlet air, were correlated for the three models by a combined parameter consisting of measured flow and geometric parameters. Effects of the individual parameters comprising the correlation are also presented.

Aircraft gas turbine low-power emissions reduction technology program

NASA Technical Reports Server (NTRS)

Dodds, W. J.; Gleason, C. C.; Bahr, D. W.

1978-01-01

Advanced aircraft turbine engine combustor technology was used to reduce low-power emissions of carbon monoxide and unburned hydrocarbons to levels significantly lower than those which were achieved with current technology. Three combustor design concepts, which were designated as the hot-wall liner concept, the recuperative-cooled liner concept, and the catalyst converter concept, were evaluated in a series of CF6-50 engine size 40 degree-sector combustor rig tests. Twenty-one configurations were tested at operating conditions spanning the design condition which was an inlet temperature and pressure of 422 K and 304 kPa, a reference velocity of 23 m/s and a fuel-air-ration of 10.5 g/kg. At the design condition typical of aircraft turbine engine ground idle operation, the best configurations of all three concepts met the stringent emission goals which were 10, 1, and 4 g/kg for CO, HC, and Nox, respectively.

Design and evaluation of combustors for reducing aircraft engine pollution

NASA Technical Reports Server (NTRS)

Jones, R. E.; Grobman, J.

1973-01-01

Efforts in reducing exhaust emissions from turbine engines are reported. Various techniques employed and the results of testing are briefly described and referenced for detail. The experimental approaches taken to reduce oxides of nitrogen emissions include the use of: (1) multizone combustors incorporating reduced dwell times, (2) fuel-air premixing, (3) air atomization, (4) fuel prevaporization, and (5) gaseous fuel. Since emissions of unburned hydrocarbons and carbon monoxide are caused by poor combustion efficiency at engine idle, the studies of fuel staging in multizone combustors and air assist fuel nozzles have indicated that large reductions in these emissions can be achieved. Also, the effect of inlet-air humidity on oxides of nitrogen was studied as well as the very effective technique of direct water injection. The emission characteristics of natural gas and propane fuels were measured and compared with those of ASTM-Al kerosene fuel.

Design and evaluation of combustors for reducing aircraft engine pollution.

NASA Technical Reports Server (NTRS)

Jones, R. E.; Grobman, J.

1973-01-01

This report summarizes some of the NASA Lewis Research Center's recent efforts in reducing exhaust emissions from turbine engines. Various techniques employed and the results of testing are briefly described and referenced for detail. The experimental approaches taken to reduce oxides of nitrogen emissions include the use of: multizone combustors incorporating reduced dwell time, fuel-air premixing, air atomization, fuel prevaporization and gaseous fuel. Since emissions of unburned hydrocarbons and carbon monoxide are caused by poor combustion efficiency at engine idle, the studies of fuel staging in multizone combustors and air assist fuel nozzles have indicated that large reductions in these emissions can be achieved. Also, the effect of inlet-air humidity on oxides of nitrogen was studied as well as the very effective technique of direct water injection. The emission characteristics of natural gas and propane fuels were measured and compared with those of ASTM-Al kerosene fuel.

Pollution measurements of a swirl-can combustor

NASA Technical Reports Server (NTRS)

Niedzwiecki, R. W.; Jones, R. E.

1972-01-01

Pollutant levels of oxides of nitrogen, unburned hydrocarbons, and carbon monoxide were measured for an experimental, annular, swirl can combustor. The combustor was 42 inches in diameter, incorporated 120 modules, and was specifically designed for elevated exit temperature performance. Test conditions included combustor inlet temperatures of 600, 900 and 1050 F, inlet pressures of 5 to 6 atmospheres, reference velocities of 69 to 120 feet per second and fuel-air ratios of 0.014 to 0.0695. Tests were also conducted at a simulated engine idle condition. Results demonstrated that swirl can combustors produce oxides of nitrogen levels substantially lower than conventional combustor designs. These reductions are attributed to reduced dwell times resulting from short combustor length, quick mixing of combustion gases with diluent air, and to uniform fuel distributions resulting from the swirl can approach. Radial staging of fuel at idle conditions resulted in increases in combustion efficiencies and corresponding reductions in pollutant levels.

Durability testing at 5 atmospheres of advanced catalysts and catalyst supports for gas turbine engine combustors

NASA Technical Reports Server (NTRS)

Olson, B. A.; Lee, H. C.; Osgerby, I. T.; Heck, R. M.; Hess, H.

1980-01-01

The durability of CATCOM catalysts and catalyst supports was experimentally demonstrated in a combustion environment under simulated gas turbine engine combustor operating conditions. A test of 1000 hours duration was completed with one catalyst using no. 2 diesel fuel and operating at catalytically-supported thermal combustion conditions. The performance of the catalyst was determined by monitoring emissions throughout the test, and by examining the physical condition of the catalyst core at the conclusion of the test. Tests were performed periodically to determine changes in catalytic activity of the catalyst core. Detailed parametric studies were also run at the beginning and end of the durability test, using no. 2 fuel oil. Initial and final emissions for the 1000 hours test respectively were: unburned hydrocarbons (C3 vppm):0, 146, carbon monoxide (vppm):30, 2420; nitrogen oxides (vppm):5.7, 5.6.

Energy efficient engine sector combustor rig test program

NASA Technical Reports Server (NTRS)

Dubiel, D. J.; Greene, W.; Sundt, C. V.; Tanrikut, S.; Zeisser, M. H.

1981-01-01

Under the NASA-sponsored Energy Efficient Engine program, Pratt & Whitney Aircraft has successfully completed a comprehensive combustor rig test using a 90-degree sector of an advanced two-stage combustor with a segmented liner. Initial testing utilized a combustor with a conventional louvered liner and demonstrated that the Energy Efficient Engine two-stage combustor configuration is a viable system for controlling exhaust emissions, with the capability to meet all aerothermal performance goals. Goals for both carbon monoxide and unburned hydrocarbons were surpassed and the goal for oxides of nitrogen was closely approached. In another series of tests, an advanced segmented liner configuration with a unique counter-parallel FINWALL cooling system was evaluated at engine sea level takeoff pressure and temperature levels. These tests verified the structural integrity of this liner design. Overall, the results from the program have provided a high level of confidence to proceed with the scheduled Combustor Component Rig Test Program.

Fire effects on soil organic matter content, composition, and nutrients in boreal interior Alaska

USGS Publications Warehouse

Neff, J.C.; Harden, J.W.; Gleixner, G.

2005-01-01

Boreal ecosystems contain a substantial fraction of the earth's soil carbon stores and are prone to frequent and severe wildfires. In this study, we examine changes in element and organic matter stocks due to a 1999 wildfire in Alaska. One year after the wildfire, burned soils contained between 1071 and 1420 g/m2 less carbon than unburned soils. Burned soils had lower nitrogen than unburned soils, higher calcium, and nearly unchanged potassium, magnesium, and phosphorus stocks. Burned surface soils tended to have higher concentrations of noncombustible elements such as calcium, potassium, magnesium, and phosphorus compared with unburned soils. Combustion losses of carbon were mostly limited to surface dead moss and fibric horizons, with no change in the underlying mineral horizons. Burning caused significant changes in soil organic matter structure, with a 12% higher ratio of carbon to combustible organic matter in surface burned horizons compared with unburned horizons. Pyrolysis gas chromatography - mass spectroscopy also shows preferential volatilization of polysaccharide-derived organic matter and enrichment of lignin-and lipid-derived compounds in surface soils. The chemistry of deeper soil layers in burned and unburned sites was similar, suggesting that immediate fire impacts were restricted to the surface soil horizon. ?? 2005 NRC.

Is It More Important to Address the Issue of Patient Mobility or to Guarantee Universal Health Coverage in Europe?: Comment on "Regional Incentives and Patient Cross-Border Mobility: Evidence From the Italian Experience".

PubMed

Legido-Quigley, Helena

2015-09-02

This paper discusses whether European institutions should devote so much attention and funding to cross-border healthcare or they should instead prioritise guaranteeing universal health coverage (UHC), "addressing inequalities" and tackling the effects of austerity measures. The paper argues through providing the evidence in both areas of research, that the priority at European level from a public health and social justice perspective should be to guarantee UHC for all the population living in Europe and prioritise protective action for those who are most in need. © 2016 by Kerman University of Medical Sciences.

Great expectations for the World Health Organization: a Framework Convention on Global Health to achieve universal health coverage.

PubMed

Ooms, G; Marten, R; Waris, A; Hammonds, R; Mulumba, M; Friedman, E A

2014-02-01

Establishing a reform agenda for the World Health Organization (WHO) requires understanding its role within the wider global health system and the purposes of that wider global health system. In this paper, the focus is on one particular purpose: achieving universal health coverage (UHC). The intention is to describe why achieving UHC requires something like a Framework Convention on Global Health (FCGH) that have been proposed elsewhere,(1) why WHO is in a unique position to usher in an FCGH, and what specific reforms would help enable WHO to assume this role. Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Reduced combustion mechanism for C1-C4 hydrocarbons and its application in computational fluid dynamics flare modeling.

PubMed

Damodara, Vijaya; Chen, Daniel H; Lou, Helen H; Rasel, Kader M A; Richmond, Peyton; Wang, Anan; Li, Xianchang

2017-05-01

Emissions from flares constitute unburned hydrocarbons, carbon monoxide (CO), soot, and other partially burned and altered hydrocarbons along with carbon dioxide (CO 2 ) and water. Soot or visible smoke is of particular concern for flare operators/regulatory agencies. The goal of the study is to develop a computational fluid dynamics (CFD) model capable of predicting flare combustion efficiency (CE) and soot emission. Since detailed combustion mechanisms are too complicated for (CFD) application, a 50-species reduced mechanism, LU 3.0.1, was developed. LU 3.0.1 is capable of handling C 4 hydrocarbons and soot precursor species (C 2 H 2 , C 2 H 4 , C 6 H 6 ). The new reduced mechanism LU 3.0.1 was first validated against experimental performance indicators: laminar flame speed, adiabatic flame temperature, and ignition delay. Further, CFD simulations using LU 3.0.1 were run to predict soot emission and CE of air-assisted flare tests conducted in 2010 in Tulsa, Oklahoma, using ANSYS Fluent software. Results of non-premixed probability density function (PDF) model and eddy dissipation concept (EDC) model are discussed. It is also noteworthy that when used in conjunction with the EDC turbulence-chemistry model, LU 3.0.1 can reasonably predict volatile organic compound (VOC) emissions as well. A reduced combustion mechanism containing 50 C 1 -C 4 species and soot precursors has been developed and validated against experimental data. The combustion mechanism is then employed in the computational fluid dynamics (CFD) of modeling of soot emission and combustion efficiency (CE) of controlled flares for which experimental soot and CE data are available. The validated CFD modeling tools are useful for oil, gas, and chemical industries to comply with U.S. Environmental Protection Agency's (EPA) mandate to achieve smokeless flaring with a high CE.

Structural study of graphite materials prepared by HTT of unburned carbon concentrates from coal combustion fly ashes

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

Miguel Cabielles; Miguel A. Montes-Moran; Ana B. Garcia

2008-03-15

Unburned carbon concentrates with different mineral matter contents were obtained from coal combustion fly ashes by an oil agglomeration procedure. The concentrates were then heated in the temperature interval 1800-2700{sup o}C for the purpose of exploring their ability to graphitize. The influence of the treatment temperature and mineral matter of the unburned carbon on the structural characteristics of the materials prepared was studied. The interlayer spacing, d{sub 002}, and crystallite sizes along the c-axis, L{sub c}, and the {alpha}-axis, L{sub a}, calculated from X-ray diffractometry (XRD) as well as the relative intensity of the Raman D-band, I{sub D}/I{sub t}, weremore » used to assess the degree of structural order of the materials. Graphite materials with structural characteristics comparable to those of other oil-derived synthetic graphites were prepared from the unburned carbon concentrates at temperatures {>=}2400{sup o}C. It was also observed that more-ordered materials were obtained from the unburned carbon concentrates with higher mineral matter content. The influence of the mineral matter on the graphitization of the unburned carbon concentrates is the result of two countereffects, thus limiting its extent. On the one hand, the lateral coalescence of the crystallites is preferentially promoted. Reasonably good linear correlations were attained between the mineral matter of the unburned carbon concentrate and the XRD parameter L{sub a} of the materials. However, on the other, this coalescence also facilitates the flattening of the pores, thus decreasing the temperature at which their breakage occurs. As a consequence, from this point on, the structural evolution of the materials with increasing mineral matter is only noticeable by the slow vegetative growth of the crystallites along the a-axis. 40 refs., 2 figs., 3 tabs.« less

Fuzzy Computing Model of Activity Recognition on WSN Movement Data for Ubiquitous Healthcare Measurement.

PubMed

Chiang, Shu-Yin; Kan, Yao-Chiang; Chen, Yun-Shan; Tu, Ying-Ching; Lin, Hsueh-Chun

2016-12-03

Ubiquitous health care (UHC) is beneficial for patients to ensure they complete therapeutic exercises by self-management at home. We designed a fuzzy computing model that enables recognizing assigned movements in UHC with privacy. The movements are measured by the self-developed body motion sensor, which combines both accelerometer and gyroscope chips to make an inertial sensing node compliant with a wireless sensor network (WSN). The fuzzy logic process was studied to calculate the sensor signals that would entail necessary features of static postures and dynamic motions. Combinations of the features were studied and the proper feature sets were chosen with compatible fuzzy rules. Then, a fuzzy inference system (FIS) can be generated to recognize the assigned movements based on the rules. We thus implemented both fuzzy and adaptive neuro-fuzzy inference systems in the model to distinguish static and dynamic movements. The proposed model can effectively reach the recognition scope of the assigned activity. Furthermore, two exercises of upper-limb flexion in physical therapy were applied for the model in which the recognition rate can stand for the passing rate of the assigned motions. Finally, a web-based interface was developed to help remotely measure movement in physical therapy for UHC.

Fuzzy Computing Model of Activity Recognition on WSN Movement Data for Ubiquitous Healthcare Measurement

PubMed Central

Chiang, Shu-Yin; Kan, Yao-Chiang; Chen, Yun-Shan; Tu, Ying-Ching; Lin, Hsueh-Chun

2016-01-01

Ubiquitous health care (UHC) is beneficial for patients to ensure they complete therapeutic exercises by self-management at home. We designed a fuzzy computing model that enables recognizing assigned movements in UHC with privacy. The movements are measured by the self-developed body motion sensor, which combines both accelerometer and gyroscope chips to make an inertial sensing node compliant with a wireless sensor network (WSN). The fuzzy logic process was studied to calculate the sensor signals that would entail necessary features of static postures and dynamic motions. Combinations of the features were studied and the proper feature sets were chosen with compatible fuzzy rules. Then, a fuzzy inference system (FIS) can be generated to recognize the assigned movements based on the rules. We thus implemented both fuzzy and adaptive neuro-fuzzy inference systems in the model to distinguish static and dynamic movements. The proposed model can effectively reach the recognition scope of the assigned activity. Furthermore, two exercises of upper-limb flexion in physical therapy were applied for the model in which the recognition rate can stand for the passing rate of the assigned motions. Finally, a web-based interface was developed to help remotely measure movement in physical therapy for UHC. PMID:27918482

Health sector employment: a tracer indicator for universal health coverage in national Social Protection Floors.

PubMed

Scheil-Adlung, Xenia; Behrendt, Thorsten; Wong, Lorraine

2015-08-31

Health sector employment is a prerequisite for availability, accessibility, acceptability and quality (AAAQ) of health services. Thus, in this article health worker shortages are used as a tracer indicator estimating the proportion of the population lacking access to such services: The SAD (ILO Staff Access Deficit Indicator) estimates gaps towards UHC in the context of Social Protection Floors (SPFs). Further, it highlights the impact of investments in health sector employment equity and sustainable development. The SAD is used to estimate the share of the population lacking access to health services due to gaps in the number of skilled health workers. It is based on the difference of the density of the skilled health workforce per population in a given country and a threshold indicating UHC staffing requirements. It identifies deficits, differences and developments in access at global, regional and national levels and between rural and urban areas. In 2014, the global UHC deficit in numbers of health workers is estimated at 10.3 million, with most important gaps in Asia (7.1 million) and Africa (2.8 million). Globally, 97 countries are understaffed with significantly higher gaps in rural than in urban areas. Most affected are low-income countries, where 84 per cent of the population remains excluded from access due to the lack of skilled health workers. A positive correlation of health worker employment and population health outcomes could be identified. Legislation is found to be a prerequisite for closing access as gaps. Health worker shortages hamper the achievement of UHC and aggravate weaknesses of health systems. They have major impacts on socio-economic development, particularly in the world's poorest countries where they act as drivers of health inequities. Closing the gaps by establishing inclusive multi-sectoral policy approaches based on the right to health would significantly increase equity, reduce poverty due to ill health and ultimately contribute to sustainable development and social justice.

Subsidized health insurance coverage of people in the informal sector and vulnerable population groups: trends in institutional design in Asia.

PubMed

Vilcu, Ileana; Probst, Lilli; Dorjsuren, Bayarsaikhan; Mathauer, Inke

2016-10-04

Many low- and middle-income countries with a social health insurance system face challenges on their road towards universal health coverage (UHC), especially for people in the informal sector and vulnerable population groups or the informally employed. One way to address this is to subsidize their contributions through general government revenue transfers to the health insurance fund. This paper provides an overview of such health financing arrangements in Asian low- and middle-income countries. The purpose is to assess the institutional design features of government subsidized health insurance type arrangements for vulnerable and informally employed population groups and to explore how these features contribute to UHC progress. This regional study is based on a literature search to collect country information on the specific institutional design features of such subsidization arrangements and data related to UHC progress indicators, i.e. population coverage, financial protection and access to care. The institutional design analysis focuses on eligibility rules, targeting and enrolment procedures; financing arrangements; the pooling architecture; and benefit entitlements. Such financing arrangements currently exist in 8 countries with a total of 14 subsidization schemes. The most frequent groups covered are the poor, older persons and children. Membership in these arrangements is mostly mandatory as is full subsidization. An integrated pool for both the subsidized and the contributors exists in half of the countries, which is one of the most decisive features for equitable access and financial protection. Nonetheless, in most schemes, utilization rates of the subsidized are higher compared to the uninsured, but still lower compared to insured formal sector employees. Total population coverage rates, as well as a higher share of the subsidized in the total insured population are related with broader eligibility criteria. Overall, government subsidized health insurance type arrangements can be effective mechanism to help countries progress towards UHC, yet there is potential to improve on institutional design features as well as implementation.

Emerging challenges in implementing universal health coverage in Asia.

PubMed

Bredenkamp, Caryn; Evans, Timothy; Lagrada, Leizel; Langenbrunner, John; Nachuk, Stefan; Palu, Toomas

2015-11-01

As countries in Asia converge on the goal of universal health coverage (UHC), some common challenges are emerging. One is how to ensure coverage of the informal sector so as to make UHC truly universal; a second is how to design a benefit package that is responsive and appropriate to current health challenges, yet fiscally sustainable; and a third is how to ensure "supply-side readiness", i.e. the availability and quality of services, which is a necessary condition for translating coverage into improvements in health outcomes. Using examples from the Asia region, this paper discusses these three challenges and how they are being addressed. On the first challenge, two promising approaches emerge: using general revenues to fully cover the informal sector, or employing a combination of tax subsidies, non-financial incentives and contributory requirements. The former can produce fast results, but places pressure on government budgets and may induce informality, while the latter will require a strong administrative mandate and systems to track the ability-to-pay. With respect to benefit packages, we find considerable variation in the nature and rigor of processes underlying the selection and updating of the services included. Also, in general, packages do not yet focus sufficiently on non-communicable diseases (NCDs) and related preventive outpatient care. Finally, there are large variations and inequities in the supply-side readiness, in terms of availability of infrastructure, equipment, essential drugs and staffing, to deliver on the promises of UHC. Health worker competencies are also a constraint. While the UHC challenges are common, experience in overcoming these challenges is varied and many of the successes appear to be highly context-specific. This implies that researchers and policymakers need to rigorously, and regularly, assess different approaches, and share these findings across countries in Asia - and across the world. Copyright © 2015. Published by Elsevier Ltd.

Ambient PM2.5-bound polycyclic aromatic hydrocarbons (PAHs) in Changhua County, central Taiwan: Seasonal variation, source apportionment and cancer risk assessment.

PubMed

Chen, Yu-Cheng; Chiang, Hung-Che; Hsu, Chin-Yu; Yang, Tzu-Ting; Lin, Tzu-Yu; Chen, Mu-Jean; Chen, Nai-Tzu; Wu, Yuh-Shen

2016-11-01

This study investigates PM 2.5 -bound PAHs for rural sites (Dacheng and Fangyuan) positioned close to heavy air-polluting industries in Changhua County, central Taiwan. A total of 113 PM 2.5 samples with 22 PAHs collected from 2014 to 2015 were analyzed, and Positive Matrix Factorization (PMF) and diagnostic ratios of PAHs were applied to quantify potential PAH sources. The influences of local and regional sources were also explored using the conditional probability function (CPF) and potential source contribution function (PSCF) with PMF-modeled results, respectively. Annual mean concentrations of total PAHs were 2.91 ± 1.34 and 3.04 ± 1.40 ng/m 3 for Dacheng and Fangyuan, respectively, and their corresponding BaP eq were measured at 0.534 ± 0.255 and 0.563 ± 0.273 ng/m 3 in concentration. Seasonal variations with higher PAHs found for the winter than for the spring and summer were observed for both sites. The lifetime excess cancer risk (ECR) from inhalation exposure to PAHs was recorded as 4.7 × 10 -5 overall. Potential sources of PM 2.5 -bound PAHs include unburned petroleum and traffic emissions (42%), steel industry and coal combustion (31%), and petroleum and oil burning (27%), and unburned petroleum and traffic emission could contribute the highest ECR (2.4 × 10 -5 ). The CPF results show that directional apportionment patterns were consistent with the actual locations of local PAH sources. The PSCF results indicate that mainly northeastern regions of China have contributed elevated PM 2.5 -bound PAHs from long-range transports. Copyright © 2016 Elsevier Ltd. All rights reserved.

Economic downturns, universal health coverage, and cancer mortality in high-income and middle-income countries, 1990-2010: a longitudinal analysis.

PubMed

Maruthappu, Mahiben; Watkins, Johnathan; Noor, Aisyah Mohd; Williams, Callum; Ali, Raghib; Sullivan, Richard; Zeltner, Thomas; Atun, Rifat

2016-08-13

The global economic crisis has been associated with increased unemployment and reduced public-sector expenditure on health care (PEH). We estimated the effects of changes in unemployment and PEH on cancer mortality, and identified how universal health coverage (UHC) affected these relationships. For this longitudinal analysis, we obtained data from the World Bank and WHO (1990-2010). We aggregated mortality data for breast cancer in women, prostate cancer in men, and colorectal cancers in men and women, which are associated with survival rates that exceed 50%, into a treatable cancer class. We likewise aggregated data for lung and pancreatic cancers, which have 5 year survival rates of less than 10%, into an untreatable cancer class. We used multivariable regression analysis, controlling for country-specific demographics and infrastructure, with time-lag analyses and robustness checks to investigate the relationship between unemployment, PEH, and cancer mortality, with and without UHC. We used trend analysis to project mortality rates, on the basis of trends before the sharp unemployment rise that occurred in many countries from 2008 to 2010, and compared them with observed rates. Data were available for 75 countries, representing 2.106 billion people, for the unemployment analysis and for 79 countries, representing 2.156 billion people, for the PEH analysis. Unemployment rises were significantly associated with an increase in all-cancer mortality and all specific cancers except lung cancer in women. By contrast, untreatable cancer mortality was not significantly linked with changes in unemployment. Lag analyses showed significant associations remained 5 years after unemployment increases for the treatable cancer class. Rerunning analyses, while accounting for UHC status, removed the significant associations. All-cancer, treatable cancer, and specific cancer mortalities significantly decreased as PEH increased. Time-series analysis provided an estimate of more than 40,000 excess deaths due to a subset of treatable cancers from 2008 to 2010, on the basis of 2000-07 trends. Most of these deaths were in non-UHC countries. Unemployment increases are associated with rises in cancer mortality; UHC seems to protect against this effect. PEH increases are associated with reduced cancer mortality. Access to health care could underlie these associations. We estimate that the 2008-10 economic crisis was associated with about 260,000 excess cancer-related deaths in the Organisation for Economic Co-operation and Development alone. None. Copyright © 2016 Elsevier Ltd. All rights reserved.

Coal-water mixture fuel burner

DOEpatents

Brown, T.D.; Reehl, D.P.; Walbert, G.F.

1985-04-29

The present invention represents an improvement over the prior art by providing a rotating cup burner arrangement for use with a coal-water mixture fuel which applies a thin, uniform sheet of fuel onto the inner surface of the rotating cup, inhibits the collection of unburned fuel on the inner surface of the cup, reduces the slurry to a collection of fine particles upon discharge from the rotating cup, and further atomizes the fuel as it enters the combustion chamber by subjecting it to the high shear force of a high velocity air flow. Accordingly, it is an object of the present invention to provide for improved combustion of a coal-water mixture fuel. It is another object of the present invention to provide an arrangement for introducing a coal-water mixture fuel into a combustion chamber in a manner which provides improved flame control and stability, more efficient combustion of the hydrocarbon fuel, and continuous, reliable burner operation. Yet another object of the present invention is to provide for the continuous, sustained combustion of a coal-water mixture fuel without the need for a secondary combustion source such as natural gas or a liquid hydrocarbon fuel. Still another object of the present invention is to provide a burner arrangement capable of accommodating a coal-water mixture fuel having a wide range of rheological and combustion characteristics in providing for its efficient combustion. 7 figs.

Helicopter Dropping of 50 Free Allopathic Medicines; Prescribed by Homoeopathic Doctors at Ground: Sorry this is not Universal Health Coverage

PubMed Central

Kumar, Raman

2014-01-01

The provision of Universal Health Coverage (UHC) is being discussed in India. Crippled by the charges of corruption and unethical practice by media and public at large, medical professionals are largely unaware, disinterested, isolated and edged out from this debate. The traditional general practitioner is a dying breed and deficiency of doctors willing to work in community settings is rampant. Is UHC model proposed in present form good for an ordinary Indian citizen? This editorial looks into the underlying politics of health care in India in the past and how this ongoing debate could impact the future of primary care and health care of people in India. PMID:25161961

Biogeochemical patterns of intermittent streams over space and time as surface flows decrease

NASA Astrophysics Data System (ADS)

MacNeille, R. B.; Lohse, K. A.; Godsey, S.; McCorkle, E. P.; Parsons, S.; Baxter, C.

2016-12-01

Climate change in the western United States is projected to lead to earlier snowmelt, increasing fire risk and potentially transitioning perennial streams to intermittent ones. Differences between perennial and intermittent streams, especially the temporal and spatial patterns of carbon and nutrient dynamics during periods of drying, are understudied. We examined spatial and temporal patterns in surface water biogeochemistry in southwest Idaho and hypothesized that as streams dry, carbon concentrations would increase due to evapoconcentration and/or increased in-stream production. Furthermore, we expected that biogeochemical patterns of streams would become increasingly spatially heterogeneous with drying. Finally, we expected that these patterns would vary in response to fire. To test these hypotheses, we collected water samples every 50 meters from two intermittent streams, one burned and one unburned, in April, May and June, 2016 to determine surface water biogeochemistry. Results showed average concentrations of dissolved inorganic carbon (DIC) and dissolved organic carbon (DOC) increased 3-fold from April to June in the burned site compared to the unburned site where concentrations remained relatively constant. Interestingly, average concentrations of total nitrogen (TN) dropped substantially for the burned site over these three months, but only decreased slightly for the unburned site over the same time period. We also assessed changes in spatial correlation between the burned and unburned site: carbon concentrations were less spatially correlated at the unburned site than at the burned site. Scatterplot matrices of DIC values indicated that at a lag distance of 300 m in April and June, the unburned site had r-values of 0.7416 and 0.5975, respectively, while the burned site had r-values of 0.9468 and 0.8783, respectively. These initial findings support our hypotheses that carbon concentrations and spatial heterogeneity increased over time.

AmeriFlux US-An3 Anaktuvuk River Unburned

DOE Data Explorer

Hobbie, John [Marine Biological Laboratory; Rocha, Adrian [Marine Biological Laboratory; Shaver, Gaius [Marine Biological Laboratory

2016-01-01

This is the AmeriFlux version of the carbon flux data for the site US-An3 Anaktuvuk River Unburned. Site Description - The Anaktuvuk River fire on the North Slope of Alaska started on July 16, 2007 by lightning. It continued until the end of September when nearby lakes had already frozen over and burned >256,000 acres, creating a mosaic of patches that differed in burn severity. The Anaktuvuk River Severe Burn, Moderate Burn, and Unburned sites are 40 km to the west of the nearest road and were selected in late May 2008 to determine the effects of the fire on carbon, water, and energy exchanges during the growing season. Because the fire had burned through September of the previous year, initial deployment of flux towers occurred prior to any significant vegetative regrowth, and our sampling campaign captured the full growing season in 2008. The Unburned site was located in a large area of tundra that was unaffected by the fire.

Effects of fire on small mammal communities in frequent-fire forests in California

USGS Publications Warehouse

Roberts, Susan L.; Kelt, Douglas A.; Van Wagtendonk, Jan W.; Miles, A. Keith; Meyer, Marc D.

2015-01-01

Fire is a natural, dynamic process that is integral to maintaining ecosystem function. The reintroduction of fire (e.g., prescribed fire, managed wildfire) is a critical management tool for protecting many frequent-fire forests against stand-replacing fires while restoring an essential ecological process. Understanding the effects of fire on forests and wildlife communities is important in natural resource planning efforts. Small mammals are key components of forest food webs and essential to ecosystem function. To investigate the relationship of fire to small mammal assemblages, we live trapped small mammals in 10 burned and 10 unburned forests over 2 years in the central Sierra Nevada, California. Small mammal abundance was higher in unburned forests, largely reflecting the greater proportion of closed-canopy species such as Glaucomys sabrinus in unburned forests. The most abundant species across the entire study area was the highly adaptable generalist species, Peromyscus maniculatus. Species diversity was similar between burned and unburned forests, but burned forests were characterized by greater habitat heterogeneity and higher small mammal species evenness. The use and reintroduction of fire to maintain a matrix of burn severities, including large patches of unburned refugia, creates a heterogeneous and resilient landscape that allows for fire-sensitive species to proliferate and, as such, may help maintain key ecological functions and diverse small mammal assemblages.

Status of Technological Advancements for Reducing Aircraft Gas Turbine Engine Pollutant Emissions

NASA Technical Reports Server (NTRS)

Rudey, R. A.

1975-01-01

Combustor test rig results indicate that substantial reductions from current emission levels of carbon monoxide (CO), total unburned hydrocarbons (THC), oxides of nitrogen (NOx), and smoke are achievable by employing varying degrees of technological advancements in combustion systems. Minor to moderate modifications to existing conventional combustors produced significant reductions in CO and THC emissions at engine low power (idle/taxi) operating conditions but did not effectively reduce NOx at engine full power (takeoff) operating conditions. Staged combusiton techniques were needed to simultaneously reduce the levels of all the emissions over the entire engine operating range (from idle to takeoff). Emission levels that approached or were below the requirements of the 1979 EPA standards were achieved with the staged combustion systems and in some cases with the minor to moderate modifications to existing conventional combustion systems. Results from research programs indicate that an entire new generation of combustor technology with extremely low emission levels may be possible in the future.

Mixing Characteristics of Strongly-Forced Jet Flames in Crossflow

NASA Astrophysics Data System (ADS)

Marr, Kevin; Clemens, Noel; Ezekoye, Ofodike

2008-11-01

The effects of high frequency, large-amplitude forcing on the characteristics of a non-premixed jet flame in crossflow (JFICF) at mean Reynolds numbers of 3,200 and 4,850 are studied experimentally. Harmonic forcing of the jet fuel results in a drastic decrease in flame length and complete suppression of soot luminosity. Visualization by planar laser Mie scattering shows that forced JFICF, similar to forced free or coflow jet flames, are characterized by ejection of high-momentum, deeply penetrating vortical structures. These structures rapidly breakdown and promote intense turbulent mixing in the near region of the jet. The rapid mixing resembles a ``one-step'' process going from a fuel rich state far in the nozzle to a well-mixed, but significantly diluted, state just a few diameters from the jet exit plane. Exhaust gas emissions measurements indicate a decrease in NOx, but increases in CO and unburned hydrocarbons with increasing forcing amplitude. Acetone PLIF measurements are used to investigate the effect of partial-premixing on these emissions findings.

Hot emission model for mobile sources: application to the metropolitan region of the city of Santiago, Chile.

PubMed

Corvalán, Roberto M; Osses, Mauricio; Urrutia, Cristian M

2002-02-01

Depending on the final application, several methodologies for traffic emission estimation have been developed. Emission estimation based on total miles traveled or other average factors is a sufficient approach only for extended areas such as national or worldwide areas. For road emission control and strategies design, microscale analysis based on real-world emission estimations is often required. This involves actual driving behavior and emission factors of the local vehicle fleet under study. This paper reports on a microscale model for hot road emissions and its application to the metropolitan region of the city of Santiago, Chile. The methodology considers the street-by-street hot emission estimation with its temporal and spatial distribution. The input data come from experimental emission factors based on local driving patterns and traffic surveys of traffic flows for different vehicle categories. The methodology developed is able to estimate hourly hot road CO, total unburned hydrocarbons (THCs), particulate matter (PM), and NO(x) emissions for predefined day types and vehicle categories.

Analytical fuel property effects--small combustors

NASA Technical Reports Server (NTRS)

Sutton, R. D.; Troth, D. L.; Miles, G. A.

1984-01-01

The consequences of using broad-property fuels in both conventional and advanced state-of-the-art small gas turbine combustors are assessed. Eight combustor concepts were selected for initial screening, of these, four final combustor concepts were chosen for further detailed analysis. These included the dual orifice injector baseline combustor (a current production 250-C30 engine combustor) two baseline airblast injected modifications, short and piloted prechamber combustors, and an advanced airblast injected, variable geometry air staged combustor. Final predictions employed the use of the STAC-I computer code. This quasi 2-D model includes real fuel properties, effects of injector type on atomization, detailed droplet dynamics, and multistep chemical kinetics. In general, fuel property effects on various combustor concepts can be classified as chemical or physical in nature. Predictions indicate that fuel chemistry has a significant effect on flame radiation, liner wall temperature, and smoke emission. Fuel physical properties that govern atomization quality and evaporation rates are predicted to affect ignition and lean-blowout limits, combustion efficiency, unburned hydrocarbon, and carbon monoxide emissions.

Experimental study of the effects of secondary air on the emissions and stability of a lean premixed combustor

NASA Technical Reports Server (NTRS)

Roffe, G.; Raman, R. S. V.

1981-01-01

Tests were run using a perforated plate flameholder with a relatively short attached recirculation zone and a vee gutter flameholder with a relatively long attached recirculation zone. Combustor streamlines were traced in cold flow tests at ambient pressure. The amount of secondary air entrainment in the recirculation zones of the flameholders was determined by tracer gas testing at cold flow ambient pressure conditions. Combustion tests were caried out at entrance conditions of 0.5 MPa/630K and emission of NOx, CO and unburned hydrocarbons were measured along with lean stability and flashback limits. The degree of entrainment increases as dilution air injection decreases. Flashback appears to be a function of overall equivalence ratio and resistance to flashback increases with increasing combustor entrance velocity. Lean stability limit appears to be a function of both primary zone and flameholder recirculation zone equivalence ratios and resistance to lean blowout increases with increasing combustor entrance velocity.

Effect of Flame Stabilizer Design on Performance and Exhaust Pollutants of a Two-Row Swirl-Can Combustor Operated to Near-Stoichiometric Conditions

NASA Technical Reports Server (NTRS)

Biaglow, James A.; Trout, Arthur M.

1977-01-01

Emissions and performance characteristics were determined for two full annulus modular combustors operated to near stoichiometric fuel air ratios. The tests were conducted to obtain stoichiometric data at inlet air temperatures from 756 to 894 K and to determine the effects of a flat plate circular flame stabilizer with upstream fuel injection and a contraswirl flame stabilizer with downstream fuel injection. Levels of unburned hydrocarbons were below 0.50 gram per kilogram of fuel for both combustors and thus there was no detectable difference in the two methods of fuel injection. The contraswirl flame stabilizer did not produce the level of mixing obtained with a flat plate circular flame stabilizer. It did produce higher levels of oxides of nitrogen, which peaked at a fuel air ratio of 0.037. For the flat plate circular flame stabilizer, oxides of nitrogen emission levels were still increasing with fuel air ratio to the maximum tested value of 0.045.

Performance and emissions characteristics of aqueous alcohol fumes in a DI diesel engine

NASA Technical Reports Server (NTRS)

Heisey, J. B.; Lestz, S. S.

1981-01-01

A single cylinder DI Diesel engine was fumigated with ethanol and methanol in amounts up to 55% of the total fuel energy. The effects of aqueous alcohol fumigation on engine thermal efficiency, combustion intensity and gaseous exhaust emissions were determined. Assessment of changes in the biological activity of raw particulate and its soluble organic fraction were also made using the Salmonella typhimurium test. Alcohol fumigation improved thermal efficiency slightly at moderate and heavy loads, but increased ignition delay at all operating conditions. Carbon monoxide and unburned hydrocarbon emission generally increased with alcohol fumigation and showed no dependence on alcohol type or quality. Oxide of nitrogen emission showed a strong dependence on alcohol quality; relative emission levels decreased with increasing water content of the fumigant. Particulate mass loading rates were lower for ethanol fueled conditions. However, the biological activity of both the raw particulate and its soluble organic fraction was enhanced by ethanol fumigation at most operating conditions.

Forest ecology and management

Treesearch

William D. Boyer; James H. Miller

1994-01-01

Over a period of 16 years, unburned longleaf pine (Pinus palustris Mill.) pole stands grew an average of 27% more volume than similar stands regularly burned. Treatments included biennial burns in winter, spring, and summer plus an unburned check, each of which was combined with three supplemental treatments, namely, initial herbicide injection of...

Evasion of "mandatory" social health insurance for the formal sector: evidence from Lao PDR.

PubMed

Alkenbrack, Sarah; Hanson, Kara; Lindelow, Magnus

2015-10-19

In the last decade, almost every low- or middle-income country in the world has expressed support for universal health coverage (UHC). While at the beginning of the UHC movement, country strategies focused on increasing access to the formal sector as the first step of UHC, there is now consensus that countries should cover the entire population, with particular attention to covering the poor. However, it is often assumed that mandatory schemes will automatically cover their target populations, and consequently little is known about why firms comply or do not comply with enrolment requirements. Using the experience of Lao PDR, where the enrolment rate in the mandatory social security scheme is low and the capacity for regulation is weak, we conducted this study to better understand the determinants of enrolment of private sector firms in mandatory social security. We used a cross-sectional case-comparison design, surveying 130 firms. We applied a structured questionnaire to explore determinants of enrolment, specifically looking at firm characteristics (e.g., industry category, ownership); sociodemographic characteristics of company heads; firms' risk perceptions; details of employment contracts; employee benefits; and exposure to social security. Closed ended questions were analysed quantitatively, while content analysis was applied to open-ended questions. Logistic regression was used to examine the determinants of enrolment. Smaller privately owned firms in the services industry were the least likely to enrol in social security, while firms in the trade industry were more likely to enrol than firms in manufacturing, construction, or services. The main reason for not enrolling was that firms offered a better package of benefits to their employees, although further investigation of company benefits showed that this was not the case in practice. Additional reasons for non-compliance were lack of knowledge and poor quality of care at government hospitals. The study contributes to the dialogue on how best to increase coverage in the formal sector, which is an important element of achieving UHC. It also provides much needed information about the motivation of private sector firms to comply with mandatory schemes.

Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems.

PubMed

Pham, Julius Cuong; Williams, Tamara L; Sparnon, Erin M; Cillie, Tam K; Scharen, Hilda F; Marella, William M

2016-05-01

In 2009, researchers from Johns Hopkins University's Armstrong Institute for Patient Safety and Quality; public agencies, including the FDA; and private partners, including the Emergency Care Research Institute and the University HealthSystem Consortium (UHC) Safety Intelligence Patient Safety Organization, sought to form a public-private partnership for the promotion of patient safety (P5S) to advance patient safety through voluntary partnerships. The study objective was to test the concept of the P5S to advance our understanding of safety issues related to ventilator events, to develop a common classification system for categorizing adverse events related to mechanical ventilators, and to perform a comparison of adverse events across different adverse event reporting systems. We performed a cross-sectional analysis of ventilator-related adverse events reported in 2012 from the following incident reporting systems: the Pennsylvania Patient Safety Authority's Patient Safety Reporting System, UHC's Safety Intelligence Patient Safety Organization database, and the FDA's Manufacturer and User Facility Device Experience database. Once each organization had its dataset of ventilator-related adverse events, reviewers read the narrative descriptions of each event and classified it according to the developed common taxonomy. A Pennsylvania Patient Safety Authority, FDA, and UHC search provided 252, 274, and 700 relevant reports, respectively. The 3 event types most commonly reported to the UHC and the Pennsylvania Patient Safety Authority's Patient Safety Reporting System databases were airway/breathing circuit issue, human factor issues, and ventilator malfunction events. The top 3 event types reported to the FDA were ventilator malfunction, power source issue, and alarm failure. Overall, we found that (1) through the development of a common taxonomy, adverse events from 3 reporting systems can be evaluated, (2) the types of events reported in each database were related to the purpose of the database and the source of the reports, resulting in significant differences in reported event categories across the 3 systems, and (3) a public-private collaboration for investigating ventilator-related adverse events under the P5S model is feasible. Copyright © 2016 by Daedalus Enterprises.

Health literacy and health: rethinking the strategies for universal health coverage in Ghana.

PubMed

Amoah, Padmore Adusei; Phillips, David R

2018-06-01

Health literacy (HL) is generally thought to be associated with positive health behaviour, appropriate health service utilisation and acceptance of interventions to maximise health outcomes. It is, therefore, increasingly suggested that evidence-based research should investigate how HL may operate in the context of universal health coverage (UHC). However, the role of HL in the relationships between elements of UHC such as access to health care and health insurance has not been widely explored. This applies in particular in Sub-Saharan Africa, although service coverage and health outcomes vary hugely between and within many countries. This article addresses this lacuna in Ghana, today one of the Africa's most promising health systems. It is a cross-sectional study. The study used structured interviews to gather data from 779 rural and urban adults using a multistage cluster sampling approach. In a three-step multiple hierarchical linear regression model, HL (B = -.09, standard error [SE] = .04) and health insurance subscription (B = -.15, SE = .04) were found to be inversely associated with poor health-related quality of life (HRQoL). Access to health care did not predict HRQoL (B = -.02, SE = .02). However, the interaction between access to health care and HL produced a negative effect on poor HRQoL (B = -.08, SE = .03). The interaction between HL and health insurance subscription also showed a similar effect on HRQoL (B = -.10, SE = .03). Further analysis depicted that access to health care (β = -.09, P = .05) and health insurance subscription (β = -.24, P = .00) related positively to HRQoL only when HL was high. The article argues that where HL is low, even favourable policies for UHC are likely to miss set targets. While not losing sight of relevant sociocultural elements, enhancing HL should be a central strategy for policies aimed at bridging health inequalities and improving UHC. Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Community perceptions of health insurance and their preferred design features: implications for the design of universal health coverage reforms in Kenya

PubMed Central

2013-01-01

Background Health insurance is currently being considered as a mechanism for promoting progress to universal health coverage (UHC) in many African countries. The concept of health insurance is relatively new in Africa, it is hardly well understood and remains unclear how it will function in countries where the majority of the population work outside the formal sector. Kenya has been considering introducing a national health insurance scheme (NHIS) since 2004. Progress has been slow, but commitment to achieve UHC through a NHIS remains. This study contributes to this process by exploring communities’ understanding and perceptions of health insurance and their preferred designs features. Communities are the major beneficiaries of UHC reforms. Kenyans should understand the implications of health financing reforms and their preferred design features considered to ensure acceptability and sustainability. Methods Data presented in this paper are part of a study that explored feasibility of health insurance in Kenya. Data collection methods included a cross-sectional household survey (n = 594 households) and focus group discussions (n = 16). Results About half of the household survey respondents had at least one member in a health insurance scheme. There was high awareness of health insurance schemes but limited knowledge of how health insurance functions as well as understanding of key concepts related to income and risk cross-subsidization. Wide dissatisfaction with the public health system was reported. However, the government was the most preferred and trusted agency for collecting revenue as part of a NHIS. People preferred a comprehensive benefit package that included inpatient and outpatient care with no co-payments. Affordability of premiums, timing of contributions and the extent to which population needs would be met under a contributory scheme were major issues of concern for a NHIS design. Possibilities of funding health care through tax instead of NHIS were raised and preferred by the majority. Conclusion This study provides important information on community understanding and perceptions of health insurance. As Kenya continues to prepare for UHC, it is important that communities are educated and engaged to ensure that the NHIS is acceptable to the population it serves. PMID:24219335

Health workforce metrics pre- and post-2015: a stimulus to public policy and planning.

PubMed

Pozo-Martin, Francisco; Nove, Andrea; Lopes, Sofia Castro; Campbell, James; Buchan, James; Dussault, Gilles; Kunjumen, Teena; Cometto, Giorgio; Siyam, Amani

2017-02-15

Evidence-based health workforce policies are essential to ensure the provision of high-quality health services and to support the attainment of universal health coverage (UHC). This paper describes the main characteristics of available health workforce data for 74 of the 75 countries identified under the 'Countdown to 2015' initiative as accounting for more than 95% of the world's maternal, newborn and child deaths. It also discusses best practices in the development of health workforce metrics post-2015. Using available health workforce data from the Global Health Workforce Statistics database from the Global Health Observatory, we generated descriptive statistics to explore the current status, recent trends in the number of skilled health professionals (SHPs: physicians, nurses, midwives) per 10 000 population, and future requirements to achieve adequate levels of health care in the 74 countries. A rapid literature review was conducted to obtain an overview of the types of methods and the types of data sources used in human resources for health (HRH) studies. There are large intercountry and interregional differences in the density of SHPs to progress towards UHC in Countdown countries: a median of 10.2 per 10 000 population with range 1.6 to 142 per 10 000. Substantial efforts have been made in some countries to increase the availability of SHPs as shown by a positive average exponential growth rate (AEGR) in SHPs in 51% of Countdown countries for which there are data. Many of these countries will require large investments to achieve levels of workforce availability commensurate with UHC and the health-related sustainable development goals (SDGs). The availability, quality and comparability of global health workforce metrics remain limited. Most published workforce studies are descriptive, but more sophisticated needs-based workforce planning methods are being developed. There is a need for high-quality, comprehensive, interoperable sources of HRH data to support all policies towards UHC and the health-related SDGs. The recent WHO-led initiative of supporting countries in the development of National Health Workforce Accounts is a very promising move towards purposive health workforce metrics post-2015. Such data will allow more countries to apply the latest methods for health workforce planning.

Community perceptions of health insurance and their preferred design features: implications for the design of universal health coverage reforms in Kenya.

PubMed

Mulupi, Stephen; Kirigia, Doris; Chuma, Jane

2013-11-12

Health insurance is currently being considered as a mechanism for promoting progress to universal health coverage (UHC) in many African countries. The concept of health insurance is relatively new in Africa, it is hardly well understood and remains unclear how it will function in countries where the majority of the population work outside the formal sector. Kenya has been considering introducing a national health insurance scheme (NHIS) since 2004. Progress has been slow, but commitment to achieve UHC through a NHIS remains. This study contributes to this process by exploring communities' understanding and perceptions of health insurance and their preferred designs features. Communities are the major beneficiaries of UHC reforms. Kenyans should understand the implications of health financing reforms and their preferred design features considered to ensure acceptability and sustainability. Data presented in this paper are part of a study that explored feasibility of health insurance in Kenya. Data collection methods included a cross-sectional household survey (n = 594 households) and focus group discussions (n = 16). About half of the household survey respondents had at least one member in a health insurance scheme. There was high awareness of health insurance schemes but limited knowledge of how health insurance functions as well as understanding of key concepts related to income and risk cross-subsidization. Wide dissatisfaction with the public health system was reported. However, the government was the most preferred and trusted agency for collecting revenue as part of a NHIS. People preferred a comprehensive benefit package that included inpatient and outpatient care with no co-payments. Affordability of premiums, timing of contributions and the extent to which population needs would be met under a contributory scheme were major issues of concern for a NHIS design. Possibilities of funding health care through tax instead of NHIS were raised and preferred by the majority. This study provides important information on community understanding and perceptions of health insurance. As Kenya continues to prepare for UHC, it is important that communities are educated and engaged to ensure that the NHIS is acceptable to the population it serves.

Seed invasion filters and forest fire severity

Treesearch

Tom R. Cottrell; Paul F. Hessburg; Jonathan A. Betz

2008-01-01

Forest seed dispersal is altered after fire. Using seed traps, we studied impacts of fire severity on timing of seed dispersal, total seed rain, and seed rain richness in patches of high and low severity fire and unburned Douglas-fir (Pseudotsuga menziesii) forests in the Fischer and Tyee fire complexes in the eastern Washington Cascades. Unburned...

The effects of a wildfire on pine seedling recruitment

Treesearch

Paula C. Gnehm; Brad Hadley

2007-01-01

We investigated the effects of a single arson wildfire by comparing its impact on pine seedling recruitment with that of both prescribed fire and unburned compartments. Although a t-test detected no significant difference in pine seedling recruitment (p = 0.38), the "wildfire" treatment produced 127 more seedlings than the unburned...

Factors influencing occupancy of nest cavities in recently burned forests

USGS Publications Warehouse

Saab, V.A.; Dudley, J.; Thompson, W.L.

2004-01-01

Recently burned forests in western North America provide nesting habitat for many species of cavity-nesting birds. However, little is understood about the time frame and the variables affecting occupancy of postfire habitats by these birds. We studied factors influencing the occupancy and reuse of nest cavities from 1-7 years after fire in two burned sites of western Idaho during 1994-1999. Tree cavities were used for nesting by 12 species of cavity nesters that were classified by the original occupant (strong excavator, weak excavator, or nonexcavator) of 385 nest cavities. We used logistic regression to model cavity occupancy by strong excavators (n = 575 trials) and weak excavators (n = 206 trials). Year after fire had the greatest influence on occupancy of nest cavities for both groups, while site of the burn was secondarily important in predicting occupancy by strong excavators and less important for weak excavators. Predicted probability of cavity occupancy was highest during the early years (1-4) after fire, declined over time (5-7 years after fire), and varied by site, with a faster decline in the smaller burned site with a greater mosaic of unburned forest. Closer proximity and greater interspersion of unburned forest (15% unburned) may have allowed a quicker recolonization by nest predators into the smaller burn compared to the larger burn with few patches of unburned forest (4% unburned). In combination with time and space effects, the predicted probability of cavity occupancy was positively affected by tree and nest heights for strong and weak excavators, respectively.

High-resolution transmission electron microscopy studies of graphite materials prepared by high-temperature treatment of unburned carbon concentrates from combustion fly ashes

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

Miguel Cabielles; Jean-Nol Rouzaud; Ana B. Garcia

2009-01-15

High-resolution transmission electron microscopy (HRTEM) has been used in this work to study the microstructural (structure and microtexture) changes occurring during the high-temperature treatment of the unburned carbon concentrates from coal combustion fly ashes. Emphasis was placed on two aspects: (i) the development of graphitic carbon structures and (ii) the disordered carbon forms remaining in the graphitized samples. In addition, by coupling HRTEM with energy-dispersive spectroscopy, the transformations with the temperature of the inorganic matter (mainly iron- and silicon-based phases) of the unburned carbon concentrates were evidenced. The HRTEM results were compared to the averaged structural order of the materialsmore » as evaluated by X-ray diffraction (XRD) and Raman spectroscopy. As indicated by XRD and Raman parameters, more-ordered materials were obtained from the unburned carbon concentrates with higher mineral/inorganic matter, thus inferring the catalytic effect of some of their components. However, the average character of the information provided by these instrumental techniques seems to be inconclusive in discriminating between carbon structures with different degrees of order (stricto sensu graphite, graphitic, turbostratic, etc.) in a given graphitized unburned carbon. Unlike XRD and Raman, HRTEM is a useful tool for imaging directly the profile of the polyaromatic layers (graphene planes), thus allowing the sample heterogeneity to be looked at, specifically the presence of disordered carbon phases. 49 refs., 9 figs., 3 tabs.« less

Synthesis of soil-hydraulic properties and infiltration timescales in wildfire-affected soils

USGS Publications Warehouse

Ebel, Brian A.; Moody, John A.

2017-01-01

We collected soil-hydraulic property data from the literature for wildfire-affected soils, ash, and unburned soils. These data were used to calculate metrics and timescales of hydrologic response related to infiltration and surface runoff generation. Sorptivity (S) and wetting front potential (Ψf) were significantly different (lower) in burned soils compared with unburned soils, whereas field-saturated hydraulic conductivity (Kfs) was not significantly different. The magnitude and duration of the influence of capillarity during infiltration was greatly reduced in burned soils, causing faster ponding times in response to rainfall. Ash had large values of S and Kfs but moderate values of Ψf, compared with unburned and burned soils, indicating ash has long ponding times in response to rainfall. The ratio of S2/Kfs was nearly constant (~100 mm) for unburned soils but more variable in burned soils, suggesting that unburned soils have a balance between gravity and capillarity contributions to infiltration that may depend on soil organic matter, whereas in burned soils the gravity contribution to infiltration is greater. Changes in S and Kfs in burned soils act synergistically to reduce infiltration and accelerate and amplify surface runoff generation. Synthesis of these findings identifies three key areas for future research. First, short timescales of capillary influences on infiltration indicate the need for better measurements of infiltration at times less than 1 min to accurately characterize S in burned soils. Second, using parameter values, such as Ψf, from unburned areas could produce substantial errors in hydrologic modeling when used without adjustment for wildfire effects, causing parameter compensation and resulting underestimation of Kfs. Third, more thorough measurement campaigns that capture soil-structural changes, organic matter impacts, quantitative water repellency trends, and soil-water content along with soil-hydraulic properties could drive the development of better techniques for numerically simulating infiltration in burned areas.

Effects of fire and post-fire salvage logging on avian communities in conifer-dominated forests of the western United States

USGS Publications Warehouse

Kotliar, N.B.; Hejl, S.J.; Hutto, R.L.; Saab, V.; Melcher, Cynthia; McFadzen, M.E.; George, T.L.; Dobkin, D.S.

2002-01-01

Historically, fire was one of the most widespread natural disturbances in the western United States. More recently, however, significant anthropogenic activities, especially fire suppression and silvicultural practices, have altered fire regimes; as a result, landscapes and associated communities have changed as well. Herein, we review current knowledge of how fire and postfire salvaging practices affect avian communities in conifer-dominated forests of the western United States. Specifically, we contrast avian communities in (1) burned vs. unburned forest, and (2) unsalvaged vs. salvage-logged burns. We also examine how variation in burn characteristics (e.g., severity, age, size) and salvage logging can alter avian communities in burns.Of the 41 avian species observed in three or more studies comparing early postfire and adjacent unburned forests, 22% are consistently more abundant in burned forests, 34% are usually more abundant in unburned forests, and 44% are equally abundant in burned and unburned forests or have varied responses. In general, woodpeckers and aerial foragers are more abundant in burned forest, whereas most foliage-gleaning species are more abundant in unburned forests. Bird species that are frequently observed in stand-replacement burns are less common in understory burns; similarly, species commonly observed in unburned forests often decrease in abundance with increasing burn severity. Granivores and species common in open-canopy forests exhibit less consistency among studies. For all species, responses to tire may be influenced by a number of factors including burn severity, fire size and shape, proximity to unburned forests, pre-and post-fire cover types, and time since fire. In addition, postfire management can alter species’ responses to burns. Most cavity-nesting species do not use severely salvaged burns, whereas some cavity-nesters persist in partially salvaged burns. Early post fire specialists, in particular, appear to prefer unsalvaged burns. We discuss several alternatives to severe salvage-logging that will help provide habitat for cavity nesters.We provide an overview of critical research questions and design considerations crucial for evaluating the effects of prescribed fire and other anthropogenic disturbances, such as forest fragmentation. Management of native avifaunas may be most successful if natural disturbance regimes, including fire, are permitted to occur when possible. Natural fires could be augmented with practices, such as prescribed fire (including high-severity fire), that mimic inherent disturbance regimes.

Evaluation of the diabetes health plan to improve diabetes care and prevention.

PubMed

Duru, O Kenrik; Mangione, Carol M; Chan, Charles; Keckhafer, Abigail; Kimbro, Lindsay; Kirvan, K Anya; Turk, Norman; Luchs, Robert; Li, Jinnan; Ettner, Susan

2013-01-01

Investigators from the University of California, Los Angeles (UCLA), and members of the leadership and data analysis teams at UnitedHealthcare (UHC) are partnering to evaluate the Diabetes Health Plan (DHP), an innovative disease-specific insurance product designed by UHC specifically for patients with prediabetes or diabetes. The DHP provides improved access to care management, telephone coaching, and enhanced Internet-based communication with enrollees. The evaluation will use a quasi-experimental design, comparing patients from employer groups that offer the DHP with patients from groups that do not, to determine the effect of the DHP on incidence of diabetes, adherence to metformin, and costs of care among patients with prediabetes. Other factors studied will be cardiovascular risk factor control, adherence to preventive services, health care use, and costs of care among patients with existing diabetes.

Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries

PubMed Central

van Weel, Chris; Alnasir, Faisal; Farahat, Taghreed; Usta, Jinan; Osman, Mona; Abdulmalik, Mariam; Nashat, Nagwa; Alsharief, Wadeia Mohamed; Sanousi, Salwa; Saleh, Hassan; Tarawneh, Mohammed; Goodyear-Smith, Felicity; Howe, Amanda; Kassai, Ryuki

2018-01-01

Abstract Background: Primary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most countries, no data are available. Objectives: This paper describes and analyses the health systems of Bahrain, Egypt, Lebanon, Qatar, Sudan and the United Arab Emirates, in relation to PHC. Methods: Data were collected during a workshop at the WONCA East Mediterranean Regional Conference in 2017. Academic family physicians (FP) presented their country, using the WONCA framework of 11 PowerPoint slides with queries of the country demographics, main health challenges, and the position of PHC in the health system. Results: All six countries have improved the health of their populations, but currently face challenges of non-communicable diseases, aging populations and increasing costs. Main concerns were a lack of trained FPs in community settings, underuse of prevention and of equitable access to care. Countries differed in the extent to which this had resulted in coherent policy. Conclusion: Priorities were (i) advocacy for community-based PHC to policymakers, including the importance of coordination of healthcare at the community level, and UHC to respond to the needs of populations; (ii) collaboration with universities to include PHC as a core component of every medical curriculum; (iii) collaboration with communities to improve public understanding of PHC; (iv) engagement with the private sector to focus on PHC and UHC. PMID:29168411

[Obstetric emergency and non-emergency transfers to the university teaching hospital Yalgado ouedraogo of Ouagadougou: A 3-year study of their epidemiologic, clinical, and prognostic aspects].

PubMed

Ouattara, A; Ouedraogo, C M; Ouedraogo, A; Lankoande, J

2015-01-01

to describe the epidemiologic, clinical, and prognostic aspects of the emergency and non-emergency transfers of obstetric patients to Yalgado Ouédraogo University Hospital Center (UHC-YO) in Ouagadougou. this retrospective descriptive study looked at the outcomes of women transferred, on an emergency basis or not, to the obstetrics department of the UHC-YO. The study population comprised all women transferred to the department during 2010, 2011, and 2012. during the study period, there were 9,806 admissions for obstetric disorders: 43% were transfers. The patients' mean age was 26.11 years [(13-49]. Women transferred from health care facilities within the city of Ouagadougou accounted for 96% of the sample. The leading reason for these transfers - emergency or not - was preeclampsia and eclampsia (24.57%). We recorded a total of 161 maternal deaths, for a mortality rate of 3.9%. Approximately 26.55% of the newborns received immediate intensive care and were then transferred to the neonatology department. maternal and neonatal prognosis is always poor in cases transferred to UHC-YO, despite increased funding for emergency obstetric and neonatal care. Increased population awareness of the importance of prenatal consultation and adequate funding for health care facilities to provide equipment for emergency transfers and staff training in the management of obstetric and neonatal emergencies would probably improve these mortality and morbidity rates.

Trout Creek 1999 Burn

Treesearch

Sherel Goodrich

2008-01-01

A small prescribed fire near the mouth of Trout Creek in Strawberry Valley, Wasatch County, Utah, on the Uinta National Forest provided an opportunity to compare production and vascular plant composition in unburned and burned areas. At four years post burn, production of herbaceous plants was about four times greater in the burned area than in the unburned area. Most...

Facilitation and interference of seedling establishment by a native legume before and after wildfire.

PubMed

Goergen, Erin; Chambers, Jeanne C

2012-01-01

In semi-arid ecosystems, heterogeneous resources can lead to variable seedling recruitment. Existing vegetation can influence seedling establishment by modifying the resource and physical environment. We asked how a native legume, Lupinus argenteus, modifies microenvironments in unburned and burned sagebrush steppe, and if L. argenteus presence facilitates seedling establishment of native species and the non-native annual grass, Bromus tectorum. Field treatments examined mechanisms by which L. argenteus likely influences establishment: (1) live L. argenteus; (2) dead L. argenteus; (3) no L. argenteus; (4) no L. argenteus with L. argenteus litter; (5) no L. argenteus with inert litter; and (6) mock L. argenteus. Response variables included soil nitrogen, moisture, temperature, solar radiation, and seedling establishment of the natives Elymus multisetus and Eriogonum umbellatum, and non-native B. tectorum. In both unburned and burned communities, there was higher spring soil moisture, increased shade and reduced maximum temperatures under L. argenteus canopies. Adult L. argenteus resulted in greater amounts of soil nitrogen (N) only in burned sagebrush steppe, but L. argenteus litter increased soil N under both unburned and burned conditions. Although L. argenteus negatively affected emergence and survival of B. tectorum overall, its presence increased B. tectorum biomass and reproduction in unburned plots. However, L. argenteus had positive facilitative effects on size and survival of E. multisetus in both unburned and burned plots. Our study indicates that L. argenteus can facilitate seedling establishment in semi-arid systems, but net effects depend on the species examined, traits measured, and level of abiotic stress.

Unsaturated flow processes in structurally-variable pathways in wildfire-affected soils and ash

NASA Astrophysics Data System (ADS)

Ebel, B. A.

2016-12-01

Prediction of flash flood and debris flow generation in wildfire-affected soils and ash hinges on understanding unsaturated flow processes. Water resources issues, such as groundwater recharge, also rely on our ability to quantify subsurface flow. Soil-hydraulic property data provide insight into unsaturated flow processes and timescales. A literature review and synthesis of existing data from the literature for wildfire-affected soils, including ash and unburned soils, facilitated calculating metrics and timescales of hydrologic response related to infiltration and surface runoff generation. Sorptivity (S) and the Green-Ampt wetting front parameter (Ψf) were significantly lower in burned soils compared to unburned soils, while field-saturated hydraulic conductivity (Kfs) was not significantly different. The magnitude and duration of the influence of capillarity was substantially reduced in burned soils, leading to faster ponding times in response to rainfall. Ash had large values of S and Kfs compared to unburned and burned soils but intermediate values of Ψf, suggesting that ash has long ponding times in response to rainfall. The ratio of S2/Kfs was nearly constant ( 100 mm) for unburned soils, but was more variable in burned soils. Post-wildfire changes in this ratio suggested that unburned soils had a balance between gravity and capillarity contributions to infiltration, which may depend on soil organic matter, while burning shifted infiltration more towards gravity contributions by reducing S. Taken together, the changes in post-wildfire soil-hydraulic properties increased the propensity for surface runoff generation and may have enhanced subsurface preferential flow through pathways altered by wildfire.

Restoring fire to long-unburned Pinus palustris ecosystems: novel fire effects and consequences for long-unburned ecosystems

Treesearch

Morgan J. Varner; Doria r. Gordon; Francis E. Putz; J. Kevin Hiers

2005-01-01

Biologically rich savannas and woodlands dominated by Pinus palustris once dominated the southeastern U.S. landscape. With European settlement, fire suppression, and landscape fragmentation, this ecosystem has been reduced in area by 97%. Half of remnant forests are not burned with sufficient frequency, leading to declines in plant and animal species...

Habitat suitability and nest survival of white-headed woodpeckers in unburned forests of Oregon

Treesearch

Jeff P. Hollenbeck; Vicki Saab; Richard W. Frenzel

2011-01-01

We evaluated habitat suitability and nest survival of breeding white-headed woodpeckers (Picoides albolarvatus) in unburned forests of central Oregon, USA. Daily nest-survival rate was positively related to maximum daily temperature during the nest interval and to density of large-diameter trees surrounding the nest tree. We developed a niche-based habitat suitability...

Analysis of dioxin-like compounds in vegetation and soil samples burned in Catalan forest fires. Comparison with the corresponding unburned material.

PubMed

Martínez, M; Díaz-Ferrero, J; Martí, R; Broto-Puig, F; Comellas, L; Rodríguez-Larena, M C

2000-12-01

Only a few data are reported about the formation of polychlorinated dibenzo-p-dioxins (PCDD) and dibenzofurans (PCDF) in forest fires. However, the inventories of sources undertaken by several European and American countries consider natural fires as a possible source of PCDD/F and, in some cases, as one of the most important. In our work we have analysed vegetation and soil samples burned in four forest fires which happened in Catalonia in the summer of 1998. The concentration of dioxin-like compounds (PCDD/F, non-ortho polychlorinated bi-phenyls (PCB) and mono-ortho PCB) has been compared to the concentration present in the corresponding unburned material collected in places near the fires but not affected. The results of this preliminary study show very low concentrations in all the samples, both burned and unburned. Although a change in the profile (proportional increase of tetrachlorinated congeners in PCDD/F) is observed in burned samples compared to unburned ones, the absolute values of concentration decrease in most samples. Therefore, natural fires seem not to be an important source of dioxin-like compounds. These results will be confirmed with air emissions measurements in future studies.

Quality improvement and emerging global health priorities

PubMed Central

Mensah Abrampah, Nana; Syed, Shamsuzzoha Babar; Hirschhorn, Lisa R; Nambiar, Bejoy; Iqbal, Usman; Garcia-Elorrio, Ezequiel; Chattu, Vijay Kumar; Devnani, Mahesh; Kelley, Edward

2018-01-01

Abstract Quality improvement approaches can strengthen action on a range of global health priorities. Quality improvement efforts are uniquely placed to reorient care delivery systems towards integrated people-centred health services and strengthen health systems to achieve Universal Health Coverage (UHC). This article makes the case for addressing shortfalls of previous agendas by articulating the critical role of quality improvement in the Sustainable Development Goal era. Quality improvement can stimulate convergence between health security and health systems; address global health security priorities through participatory quality improvement approaches; and improve health outcomes at all levels of the health system. Entry points for action include the linkage with antimicrobial resistance and the contentious issue of the health of migrants. The work required includes focussed attention on the continuum of national quality policy formulation, implementation and learning; alongside strengthening the measurement-improvement linkage. Quality improvement plays a key role in strengthening health systems to achieve UHC. PMID:29873793

[Using the concept of universal health coverage to promote the health system reform in China].

PubMed

Hu, S L

2016-11-06

The paper is systematically explained the definition, contents of universal health coverage (UHC). Universal health coverage calls for all people to have access to quality health services they need without facing undue financial burden. The relationship between five main attributes, i.e., quality, efficiency, equity, accountability and resilience, and their 15 action plans has been explained. The nature of UHC is belonged to the State and government. The core function is commitment with equality. The whole-of-system method is used to promoting the health system reform. In China, the universal health coverage has been reached to the preliminary achievements, which include universal coverage of social medical insurance, basic medical services, basic public health services, and the provision of essential medicines. China has completed millennium development goals (MDG) and is being stepped to the sustainable development goals (SDG).

Effects of piston surface treatments on performance and emissions of a methanol-fueled, direct injection, stratified charge engine

NASA Astrophysics Data System (ADS)

West, B.; Green, J. B.

1994-07-01

The purpose of this study was to investigate the effects of thermal barrier coatings and/or surface treatments on the performance and emissions of a methanol-fueled, direct-injection, stratified-charge (DISC) engine. A Ricardo Hydra Mark III engine was used for this work and in previous experiments at Oak Ridge National Laboratory (ORNL). The primary focus of the study was to examine the effects of various piston insert surface treatments on hydrocarbon (HC) and oxides of nitrogen (NO(x)) emissions. Previous studies have shown that engines of this class have a tendency to perform poorly at low loads and have high unburned fuel emissions. A blank aluminum piston was modified to employ removable piston bowl inserts. Four different inserts were tested in the experiment: aluminum, stainless steel with a 1.27-mm (0.050-in.) air gap (to act as a thermal barrier), and two stainless steel/air-gap inserts with coatings. Two stainless steel inserts were dimensionally modified to account for the coating thickness (1.27-mm) and coated identically with partially stabilized zirconia (PSZ). One of the coated inserts then had an additional seal-coat applied. The coated inserts were otherwise identical to the stainless steel/air-gap insert (i.e., they employed the same 1.27-mm air gap). Thermal barrier coatings were employed in an attempt to increase combustion chamber surface temperatures, thereby reducing wall quenching and promoting more complete combustion of the fuel in the quench zone. The seal-coat was applied to the zirconia to reduce the surface porosity; previous research suggested that despite the possibly higher surface temperatures obtainable with a ceramic coating, the high surface area of a plasma-sprayed coating may actually allow fuel to adhere to the surface and increase the unburned fuel emissions and fuel consumption.

Equity-Oriented Monitoring in the Context of Universal Health Coverage

PubMed Central

Hosseinpoor, Ahmad Reza; Bergen, Nicole; Koller, Theadora; Prasad, Amit; Schlotheuber, Anne; Valentine, Nicole; Lynch, John; Vega, Jeanette

2014-01-01

Monitoring inequalities in health is fundamental to the equitable and progressive realization of universal health coverage (UHC). A successful approach to global inequality monitoring must be intuitive enough for widespread adoption, yet maintain technical credibility. This article discusses methodological considerations for equity-oriented monitoring of UHC, and proposes recommendations for monitoring and target setting. Inequality is multidimensional, such that the extent of inequality may vary considerably across different dimensions such as economic status, education, sex, and urban/rural residence. Hence, global monitoring should include complementary dimensions of inequality (such as economic status and urban/rural residence) as well as sex. For a given dimension of inequality, subgroups for monitoring must be formulated taking into consideration applicability of the criteria across countries and subgroup heterogeneity. For economic-related inequality, we recommend forming subgroups as quintiles, and for urban/rural inequality we recommend a binary categorization. Inequality spans populations, thus appropriate approaches to monitoring should be based on comparisons between two subgroups (gap approach) or across multiple subgroups (whole spectrum approach). When measuring inequality absolute and relative measures should be reported together, along with disaggregated data; inequality should be reported alongside the national average. We recommend targets based on proportional reductions in absolute inequality across populations. Building capacity for health inequality monitoring is timely, relevant, and important. The development of high-quality health information systems, including data collection, analysis, interpretation, and reporting practices that are linked to review and evaluation cycles across health systems, will enable effective global and national health inequality monitoring. These actions will support equity-oriented progressive realization of UHC. PMID:25243463

Residency application screening tools: A survey of academic medical centers.

PubMed

Hillebrand, Kristen; Leinum, Corey J; Desai, Sonya; Pettit, Natasha N; Fuller, Patrick D

2015-06-01

The current use and content of screening tools utilized by ASHP-accredited pharmacy residency programs were assessed. A survey consisting of 19 questions assessing residency programs and the screening of pharmacy residency program applicants was e-mailed to residency directors of 362 pharmacy residency programs at 105 University HealthSystem Consortium (UHC)-member institutions. Questions gathered general program demographic information, data related to applicant growth from residency years 2010-11 to 2011-12, and information about the residency screening processes currently used. Responses were received from 73 residency program sites (69.5%) of the 105 UHC-member institutions to whom the e-mail was sent. Many sites used screening tools to calculate applicants' scores and then determined which candidates to invite for an onsite interview based on applicants' scores and group discussion. Seventy-eight percent (n = 57) of the 73 responding institutions reported the use of a screening tool or rubric to select applicants to invite for onsite interviews. The most common method of evaluation was individual applicant review before meeting as a group to discuss candidate selection. The most important factor for determining which residency candidate to interview was the overall impression based on the candidate's curriculum vitae (CV) and letters of recommendation. Most residency programs in UHC-member hospitals used a screening tool to determine which applicants to invite for an onsite interview. The most important factor for determining which residency candidate to interview was the overall impression based on the candidate's CV and letters of recommendation. Copyright © 2015 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

Financing for universal health coverage in small island states: evidence from the Fiji Islands

PubMed Central

Asante, Augustine D; Irava, Wayne; Limwattananon, Supon; Hayen, Andrew; Martins, Joao; Guinness, Lorna; Ataguba, John E; Price, Jennifer; Jan, Stephen; Mills, Anne; Wiseman, Virginia

2017-01-01

Background Universal health coverage (UHC) is critical to global poverty alleviation and equity of health systems. Many low-income and middle-income countries, including small island states in the Pacific, have committed to UHC and reforming their health financing systems to better align with UHC goals. This study provides the first comprehensive evidence on equity of the health financing system in Fiji, a small Pacific island state. The health systems of such states are poorly covered in the international literature. Methods The study employs benefit and financing incidence analyses to evaluate the distribution of health financing benefits and burden across the public and private sectors. Primary data from a cross-sectional survey of 2000 households were used to assess healthcare benefits and secondary data from the 2008–2009 Fiji Household Income and Expenditure Survey to assess health financing contributions. These were analysed by socioeconomic groups to determine the relative benefit and financing incidence across these groups. Findings The distribution of healthcare benefits in Fiji slightly favours the poor—around 61% of public spending for nursing stations and 26% of spending for government hospital inpatient care were directed to services provided to the poorest 20% of the population. The financing system is significantly progressive with wealthier groups bearing a higher share of the health financing burden. Conclusions The healthcare system in Fiji achieves a degree of vertical equity in financing, with the poor receiving a higher share of benefits from government health spending and bearing a lower share of the financing burden than wealthier groups. PMID:28589017

[Equity-oriented monitoring in the context of universal health coverage].

PubMed

Hosseinpoor, Ahmad Reza; Bergen, Nicole; Koller, Theadora; Prasad, Amit; Schlotheuber, Anne; Valentine, Nicole; Lynch, John; Vega, Jeanette

2015-07-01

Monitoring inequalities in health is fundamental to the equitable and progressive realization of universal health coverage (UHC). A successful approach to global inequality monitoring must be intuitive enough for widespread adoption, yet maintain technical credibility. This article discusses methodological considerations for equity-oriented monitoring of UHC, and proposes recommendations for monitoring and target setting. Inequality is multidimensional, such that the extent of inequality may vary considerably across different dimensions such as economic status, education, sex, and urban/rural residence. Hence, global monitoring should include complementary dimensions of inequality (such as economic status and urban/rural residence) as well as sex. For a given dimension of inequality, subgroups for monitoring must be formulated taking into consideration applicability of the criteria across countries and subgroup heterogeneity. For economic-related inequality, we recommend forming subgroups as quintiles, and for urban/rural inequality we recommend a binary categorization. Inequality spans populations, thus appropriate approaches to monitoring should be based on comparisons between two subgroups (gap approach) or across multiple subgroups (whole spectrum approach). When measuring inequality absolute and relative measures should be reported together, along with disaggregated data; inequality should be reported alongside the national average. We recommend targets based on proportional reductions in absolute inequality across populations. Building capacity for health inequality monitoring is timely, relevant, and important. The development of high-quality health information systems, including data collection, analysis, interpretation, and reporting practices that are linked to review and evaluation cycles across health systems, will enable effective global and national health inequality monitoring. These actions will support equity-oriented progressive realization of UHC.

Financing for universal health coverage in small island states: evidence from the Fiji Islands.

PubMed

Asante, Augustine D; Irava, Wayne; Limwattananon, Supon; Hayen, Andrew; Martins, Joao; Guinness, Lorna; Ataguba, John E; Price, Jennifer; Jan, Stephen; Mills, Anne; Wiseman, Virginia

2017-01-01

Universal health coverage (UHC) is critical to global poverty alleviation and equity of health systems. Many low-income and middle-income countries, including small island states in the Pacific, have committed to UHC and reforming their health financing systems to better align with UHC goals. This study provides the first comprehensive evidence on equity of the health financing system in Fiji, a small Pacific island state. The health systems of such states are poorly covered in the international literature. The study employs benefit and financing incidence analyses to evaluate the distribution of health financing benefits and burden across the public and private sectors. Primary data from a cross-sectional survey of 2000 households were used to assess healthcare benefits and secondary data from the 2008-2009 Fiji Household Income and Expenditure Survey to assess health financing contributions. These were analysed by socioeconomic groups to determine the relative benefit and financing incidence across these groups. The distribution of healthcare benefits in Fiji slightly favours the poor-around 61% of public spending for nursing stations and 26% of spending for government hospital inpatient care were directed to services provided to the poorest 20% of the population. The financing system is significantly progressive with wealthier groups bearing a higher share of the health financing burden. The healthcare system in Fiji achieves a degree of vertical equity in financing, with the poor receiving a higher share of benefits from government health spending and bearing a lower share of the financing burden than wealthier groups.

Family Planning in the Context of Latin America's Universal Health Coverage Agenda.

PubMed

Fagan, Thomas; Dutta, Arin; Rosen, James; Olivetti, Agathe; Klein, Kate

2017-09-27

Countries in Latin America and the Caribbean (LAC) have substantially improved access to family planning over the past 50 years. Many have also recently adopted explicit declarations of universal rights to health and universal health coverage (UHC) and have begun implementing UHC-oriented health financing schemes. These schemes will have important implications for the sustainability and further growth of family planning programs throughout the region. We examined the status of contraceptive methods in major health delivery and financing schemes in 9 LAC countries. Using a set of 37 indicators on family planning coverage, family planning financing, health financing, and family planning inclusion in UHC-oriented schemes, we conducted a desk review of secondary sources, including population surveys, health financing assessments, insurance enrollment reports, and unit cost estimates, and interviewed in-country experts. Findings: Although the modern contraceptive prevalence rate (mCPR) has continued to increase in the majority of LAC countries, substantial disparities in access for marginalized groups remain. On average, mCPR is 20% lower among indigenous women than the general population, 5% lower among uninsured women than insured, and 7% lower among the poorest women than the wealthiest. Among the poorest quintile of women, insured women had an mCPR 16.5 percentage points higher than that of uninsured women, suggesting that expansion of insurance coverage is associated with increased family planning access and use. In the high- and upper-middle-income countries we reviewed, all modern contraceptive methods are typically available through the social health insurance schemes that cover a majority of the population. However, in low- and lower-middle-income countries, despite free provision of most family planning services in public health facilities, stock-outs and implicit rationing present substantial barriers that prevent clients from accessing their preferred method or force them to pay out of pocket. Leveraging UHC-oriented schemes to sustain and further increase family planning progress will require that governments take deliberate steps to (1) target poor and informal sector populations, (2) include family planning in benefits packages, (3) ensure sufficient financing for family planning, and (4) reduce nonfinancial barriers to access. Through these steps, countries can increase financial protection for family planning and better ensure the right to health of poor and marginalized populations. © Fagan et al.

Health facility and skilled birth deliveries among poor women with Jamkesmas health insurance in Indonesia: a mixed-methods study.

PubMed

Brooks, Mohamad I; Thabrany, Hasbullah; Fox, Matthew P; Wirtz, Veronika J; Feeley, Frank G; Sabin, Lora L

2017-02-02

The growing momentum for quality and affordable health care for all has given rise to the recent global universal health coverage (UHC) movement. As part of Indonesia's strategy to achieve the goal of UHC, large investments have been made to increase health access for the poor, resulting in the implementation of various health insurance schemes targeted towards the poor and near-poor, including the Jamkesmas program. In the backdrop of Indonesia's aspiration to reach UHC is the high rate of maternal mortality that disproportionally affects poor women. The objective of this study was to evaluate the association of health facility and skilled birth deliveries among poor women with and without Jamkesmas and explore perceived barriers to health insurance membership and maternal health service utilization. We used a mixed-methods design. Utilizing data from the 2012 Indonesian Demographic and Health Survey (n = 45,607), secondary analysis using propensity score matching was performed on key outcomes of interest: health facility delivery (HFD) and skilled birth delivery (SBD). In-depth interviews (n = 51) were conducted in the provinces of Jakarta and Banten among poor women, midwives, and government representatives. Thematic framework analysis was performed on qualitative data to explore perceived barriers. In 2012, 63.0% of women did not have health insurance; 19.1% had Jamkesmas. Poor women with Jamkesmas were 19% (OR = 1.19 [1.03-1.37]) more likely to have HFD and 17% (OR = 1.17 [1.01-1.35]) more likely to have SBD compared to poor women without insurance. Qualitative interviews highlighted key issues, including: lack of proper documentation for health insurance registration; the preference of pregnant women to deliver in their parents' village; the use of traditional birth attendants; distance to health facilities; shortage of qualified health providers; overcrowded health facilities; and lack of health facility accreditation. Poor women with Jamkesmas membership had a modest increase in HFD and SBD. These findings are consistent with economic theory that health insurance coverage can reduce financial barriers to care and increase service uptake. However, factors such as socio-cultural beliefs, accessibility, and quality of care are important elements that need to be addressed as part of the national UHC agenda to improve maternal health services in Indonesia.

Analysis of selected social determinants of health and their relationships with maternal health service coverage and child mortality in Vietnam.

PubMed

Van Minh, Hoang; Giang, Kim Bao; Hoat, Luu Ngoc; Chung, Le Hong; Huong, Tran Thi Giang; Phuong, Nguyen Thi Kim; Valentine, Nicole B

2016-01-01

Achieving a fair and equitable distribution of health in the population while progressing toward universal health coverage (UHC) is a key focus of health policy in Vietnam. This paper describes health barriers experienced by women (and children by inference) in Vietnam, and measures how UHC, with reference to maternal health services and child mortality rates, is affected by selected social determinants of health (SDH), termed 'barriers'. Our study uses a cross-sectional design with data from the 2011 Vietnam Multiple Indicator Cluster Survey. The study sample includes 11,663 women, aged 15-49 years. Weighted frequency statistics are cross-tabulated with socioeconomic characteristics of the population to describe the extent and distribution of health barriers experienced by disadvantaged women and children in Vietnam. A subset of women who had a live birth in the preceding two years (n=1,383) was studied to assess the impact of barriers to UHC and health. Six multiple logistic regressions were run using three dependent variables in the previous two years: 1) antenatal care, 2) skilled birth attendants, and 3) child death in the previous 15 years. Independent predictor variables were: 1) low education (incomplete secondary education), 2) lack of access to one of four basic amenities. In a second set of regressions, a constructed composite barrier index replaced these variables. Odds ratios (ORs) and 95% confidence intervals (95% CI) were used to report regression results. In Vietnam, about 54% of women aged 15-49 years in 2011, had low education or lacked access to one of four basic amenities. About 38% of poor rural women from ethnic minorities experienced both barriers, compared with less than 1% of rich urban women from the ethnic majority. Incomplete secondary education or lack of one of four basic amenities was a factor significantly associated with lower access to skilled birth attendants (OR=0.28, 95% CI: 0.14-0.55; OR=0.19, 95% CI: 0.05-0.80) and a higher risk of having had a child death in the previous two years (OR=1.71, 95% CI: 1.28-2.30; OR=1.59, 95% CI: 1.20-2.10). Our study shows the need for accelerating education and infrastructure investments for ethnic minority communities living in rural areas so as to be able to contribute to equity-oriented progress toward UHC.

Family Planning in the Context of Latin America's Universal Health Coverage Agenda

PubMed Central

Fagan, Thomas; Dutta, Arin; Rosen, James; Olivetti, Agathe; Klein, Kate

2017-01-01

ABSTRACT Background: Countries in Latin America and the Caribbean (LAC) have substantially improved access to family planning over the past 50 years. Many have also recently adopted explicit declarations of universal rights to health and universal health coverage (UHC) and have begun implementing UHC-oriented health financing schemes. These schemes will have important implications for the sustainability and further growth of family planning programs throughout the region. Methods: We examined the status of contraceptive methods in major health delivery and financing schemes in 9 LAC countries. Using a set of 37 indicators on family planning coverage, family planning financing, health financing, and family planning inclusion in UHC-oriented schemes, we conducted a desk review of secondary sources, including population surveys, health financing assessments, insurance enrollment reports, and unit cost estimates, and interviewed in-country experts. Findings: Although the modern contraceptive prevalence rate (mCPR) has continued to increase in the majority of LAC countries, substantial disparities in access for marginalized groups remain. On average, mCPR is 20% lower among indigenous women than the general population, 5% lower among uninsured women than insured, and 7% lower among the poorest women than the wealthiest. Among the poorest quintile of women, insured women had an mCPR 16.5 percentage points higher than that of uninsured women, suggesting that expansion of insurance coverage is associated with increased family planning access and use. In the high- and upper-middle-income countries we reviewed, all modern contraceptive methods are typically available through the social health insurance schemes that cover a majority of the population. However, in low- and lower-middle-income countries, despite free provision of most family planning services in public health facilities, stock-outs and implicit rationing present substantial barriers that prevent clients from accessing their preferred method or force them to pay out of pocket. Conclusion: Leveraging UHC-oriented schemes to sustain and further increase family planning progress will require that governments take deliberate steps to (1) target poor and informal sector populations, (2) include family planning in benefits packages, (3) ensure sufficient financing for family planning, and (4) reduce nonfinancial barriers to access. Through these steps, countries can increase financial protection for family planning and better ensure the right to health of poor and marginalized populations. PMID:28765156

Resistance to wildfire and early regeneration in natural broadleaved forest and pine plantation

NASA Astrophysics Data System (ADS)

Proença, Vânia; Pereira, Henrique M.; Vicente, Luís

2010-11-01

The response of an ecosystem to disturbance reflects its stability, which is determined by two components: resistance and resilience. We addressed both components in a study of early post-fire response of natural broadleaved forest ( Quercus robur, Ilex aquifolium) and pine plantation ( Pinus pinaster, Pinus sylvestris) to a wildfire that burned over 6000 ha in NW Portugal. Fire resistance was assessed from fire severity, tree mortality and sapling persistence. Understory fire resistance was similar between forests: fire severity at the surface level was moderate to low, and sapling persistence was low. At the canopy level, fire severity was generally low in broadleaved forest but heterogeneous in pine forest, and mean tree mortality was significantly higher in pine forest. Forest resilience was assessed by the comparison of the understory composition, species diversity and seedling abundance in unburned and burned plots in each forest type. Unburned broadleaved communities were dominated by perennial herbs (e.g., Arrhenatherum elatius) and woody species (e.g., Hedera hibernica, Erica arborea), all able to regenerate vegetatively. Unburned pine communities presented a higher abundance of shrubs, and most dominant species relied on post-fire seeding, with some species also being able to regenerate vegetatively (e.g., Ulex minor, Daboecia cantabrica). There were no differences in diversity measures in broadleaved forest, but burned communities in pine forest shared less species and were less rich and diverse than unburned communities. Seedling abundance was similar in burned and unburned plots in both forests. The slower reestablishment of understory pine communities is probably explained by the slower recovery rate of dominant species. These findings are ecologically relevant: the higher resistance and resilience of native broadleaved forest implies a higher stability in the maintenance of forest processes and the delivery of ecosystem services.

Influence of fire on black-tailed prairie dog colony expansion in shortgrass steppe

USGS Publications Warehouse

Augustine, D.J.; Cully, J.F.; Johnson, T.L.

2007-01-01

Factors influencing the distribution and abundance of black-tailed prairie dog (Cynomys ludovicianus) colonies are of interest to rangeland managers because of the significant influence prairie dogs can exert on both livestock and biodiversity. We examined the influence of 4 prescribed burns and one wildfire on the rate and direction of prairie dog colony expansion in shortgrass steppe of southeastern Colorado. Our study was conducted during 2 years with below-average precipitation, when prairie dog colonies were expanding throughout the study area. Under these dry conditions, the rate of black-tailed prairie dog colony expansion into burned grassland (X?? = 2.6 ha??100-m perimeter-1??y-1; range = 0.8-5.9 ha??100-m perimeter-1??y-1; N = 5 colonies) was marginally greater than the expansion rate into unburned grassland (X?? =1.3 ha??100-m perimeter-1??y-1; range = 0.2-4.9 ha??100-m perimeter-1??y-1; N = 23 colonies; P = 0.066). For 3 colonies that were burned on only a portion of their perimeter, we documented consistently high rates of expansion into the adjacent burned grassland (38%-42% of available burned habitat colonized) but variable expansion rates into the adjacent unburned grassland (2%-39% of available unburned habitat colonized). While our results provide evidence that burning can increase colony expansion rate even under conditions of low vegetative structure, this effect was minor at the scale of the overall colony complex because some unburned colonies were also able to expand at high rates. This result highlights the need to evaluate effects of fire on colony expansion during above-average rainfall years, when expansion into unburned grassland may be considerably lower.

Performance and emission characteristics of swirl-can combustors to near-stoichiometric fuel-air ratio

NASA Technical Reports Server (NTRS)

Diehl, L. A.; Trout, A. M.

1976-01-01

Emissions and performance characteristics were determined for two full annular swirl-can combustors operated to near stoichiometric fuel-air ratio. Test condition variations were as follows: combustor inlet-air temperatures, 589, 756, 839, and 894 K; reference velocities, 24 to 37 meters per second; inlet pressure, 62 newtons per square centimeter; and fuel-air ratios, 0.015 to 0.065. The combustor average exit temperature and combustor efficiency were calculated from the combustor exhaust gas composition. For fuel-air ratios greater than 0.04, the combustion efficiency decreased with increasing fuel-air ratios in a near-linear manner. Increasing the combustor inlet air temperature tended to offset this decrease. Maximum oxides of nitrogen emission indices occurred at intermediate fuel-air ratios and were dependent on combustor design. Carbon monoxide levels were extremely high and were the primary cause of poor combustion efficiency at the higher fuel-air ratios. Unburned hydrocarbons were low for all test conditions. For high fuel-air ratios SAE smoke numbers greater than 25 were produced, except at the highest inlet-air temperatures.

Gas sampling method for determining pollutant concentrations in the flame zone of two swirl-can combustor modules

NASA Technical Reports Server (NTRS)

Duerr, R. A.

1975-01-01

A gas sampling probe and traversing mechanism were developed to obtain detailed measurements of gaseous pollutant concentrations in the primary and mixing regions of combustors in order to better understand how pollutants are formed. The gas sampling probe was actuated by a three-degree-of-freedom traversing mechanism and the samples obtained were analyzed by an on-line gas analysis system. The pollutants in the flame zone of two different swirl-can combustor modules were measured at an inlet-air temperature of 590 K, pressure of 6 atmospheres, and reference velocities of 23 and 30 meters per second at a fuel-air ratio of 0.02. Typical results show large spatial gradients in the gaseous pollutant concentration close to the swirl-can module. Average concentrations of unburned hydrocarbons and carbon monoxide decrease rapidly in the downstream wake regions of each module. By careful and detailed probing, the effect of various module design features on pollutant formation can be assessed. The techniques presently developed seem adequate to obtain the desired information.

A Study on the Effect of Stratified Mixture Formation on Combustion Characteristics in a Constant Volume Combustion Chamber

NASA Astrophysics Data System (ADS)

Lee, Kihyung; Lee, Changhee; Jeoung, Haeyoung

It is well known that a lean burn engine caused by stratified mixture formation has many kinds of advantages to combustion characteristics, such as higher thermal efficiency and lower CO, NOx levels than conventional homogeneous mixture combustion. Although this combustion can achieve low fuel consumption, it produces much unburned hydrocarbon and soot because of inhomogeneity of the charge mixture in the combustion chamber. Therefore, it is necessary to investigate the effect of mixture formation on combustion characteristics in order to obtain the stable lean combustion. In this paper, fundamental studies for stratified combustion were carried out using a constant volume combustion chamber. The effect of mixture formation on the combustion characteristics in the chamber was examined experimentally. In addition, the effect of turbulence on stratified charge combustion process was observed by schlieren photography. From this study, as the swirl intensity increases, (Sv)max is rapidly enhanced and the period of combustion is shortened. We also find that the stratification degree can be quantified by using burning velocity and it was controlled by induced air pressure and turbulent intensity.

The experimental clean combustor program: Description and status to November 1975

NASA Technical Reports Server (NTRS)

Niedzwiecki, R. W.

1975-01-01

The generation of technology was studied for the development of advanced commercial CTOL aircraft engines with lower exhaust emissions than current aircraft. The program is in three phases. Phase 1, already completed, consisted of screening tests of low pollution combustor concepts. Phase 2, currently in progress, consists of test rig refinement of the most promising combustor concepts. Phase 2 test results are reported. Phase 3, also currently in progress, consists of incorporating and evaluating the best combustors as part of a complete engine. Engine test plans and pollution sampling techniques are described in this report. Program pollution goals, specified at engine idle and take-off conditions, are idle emission index value of 20 and 4 for carbon monoxide (CO) and total unburned hydrocarbons (THC), respectively, and at take-off are an oxides of nitrogen (NOx) emission index level of 10 and a smoke number of 15. Pollution data were obtained at all engine operating conditions. Results are presented in terms of emission index and also in terms of the Environmental Protection Agency's 1979 Standards Parameter.

An investigation of the treatment of particulate matter from gasoline engine exhaust using non-thermal plasma.

PubMed

Ye, Dan; Gao, Dengshan; Yu, Gang; Shen, Xianglin; Gu, Fan

2005-12-09

A plasma reactor with catalysts was used to treat exhaust gas from a gasoline engine in order to decrease particulate matter (PM) emissions. The effect of non-thermal plasma (NTP) of the dielectric discharges on the removal of PM from the exhaust gas was investigated experimentally. The removal efficiency of PM was based on the concentration difference in PM for particle diameters ranging from 0.3 to 5.0 microm as measured by a particle counter. Several factors affecting PM conversion, including the density of plasma energy, reaction temperature, flow rate of exhaust gas, were investigated in the experiment. The results indicate that PM removal efficiency ranged approximately from 25 to 57% and increased with increasing energy input in the reactor, reaction temperature and residence time of the exhaust gas in the reactor. Enhanced removal of the PM was achieved by filling the discharge gap of the reactor with Cu-ZSM-5 catalyst pellets. In addition, the removal of unburned hydrocarbons was studied. Finally, available approaches for PM conversion were analyzed involving the interactions between discharge and catalytic reactions.

2001 NASA Seal/secondary Air System Workshop, Volume 1. Volume 1

NASA Technical Reports Server (NTRS)

Steinetz, Bruce M. (Editor); Hendricks, Robert C. (Editor)

2002-01-01

The 2001 NASA Seal/Secondary Air System Workshop covered the following topics: (i) overview of NASA's Vision for 21st Century Aircraft; (ii) overview of NASA-sponsored Ultra-Efficient Engine Technology (UEET); (iii) reviews of sealing concepts, test results, experimental facilities, and numerical predictions; and (iv) reviews of material development programs relevant to advanced seals development. The NASA UEET overview illustrates for the reader the importance of advanced technologies, including seals, in meeting future turbine engine system efficiency and emission goals. The NASA UEET program goals include an 8-to 15-percent reduction in fuel burn, a 15-percent reduction in CO2, a 70-percent reduction in NOx, CO, and unburned hydrocarbons, and a 30-dB noise reduction relative to program baselines. The workshop also covered several programs NASA is funding to investigate advanced reusable space vehicle technologies (X-38) and advanced space ram/scramjet propulsion systems. Seal challenges posed by these advanced systems include high-temperature operation, resiliency at the operating temperature to accommodate sidewall flexing, and durability to last many missions.

Spatial distribution of ponderosa pine seedlings along environmental gradients within burned areas in the Black Hills, South Dakota

Treesearch

V. H. Bonnet; A. W. Schoettle; W. D. Shepperd

2004-01-01

In 2000, the Jasper fire in the Black Hills, SD, created a mosaic of burned and unburned patches of different sizes within the contiguous ponderosa pine forest. To study the spatial regeneration of ponderosa pine seedlings and the ecological gradients existing between burned and unburned areas two years after fire, we used a transect approach. We demonstrated that...

Effects of prescribed burning on small mammal, reptile, and tick populations on the Talladega National Forest, Alabama

Treesearch

Jonathan Adams; Chris Edmondson; Damien Willis; Robert Carter

2013-01-01

A study of the relationship between prescribed burning and tick populations was conducted in the Talladega National Forest, AL. The study area for mammal and tick sampling consisted of 12 plots ranging from the unburned control site to sites burned within the previous 5 years. The study area for reptile sampling consisted of four plots ranging from the unburned control...

Afterburning in spherical premixed turbulent explosions

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

Bradley, D.; Lawes, M.; Scott, M.J.

1994-12-01

During the early stages of spherical turbulent flame propagation, more than half of the gas behind the visible flame front may be unburned. Previous models of the afterburning of the gas behind the apparent flame front have been extended in the present work, to include the effects of flame quenching, consequent upon localized flame stretch. The predictions of the model cover, the spatial and temporal variations of the fraction burned, the flame propagation rate, and the mass burning rate. They are all in dimensionless form and are well supported by associated experimental measurements in a fan-stirred bomb with controlled turbulence.more » The proportion of the gas that is unburned decreases with time and increases with the product of the Karlovitz stretch factor and the Lewis number. Simultaneous photographs were taken of the spherical schlieren image and of that due to Mie scattering from small seed particles in a thin laser sheet that sectioned the spherical flame. These clearly showed the amount of unburned gas within the sphere and, along with other evidence suggest laminar flamelet burning across a scale of distance which is close to the Taylor confirm the predictions of the fraction of gas unburned and of the rate at which it is burning.« less

Quantification of prairie restoration for phytostability at a remediated defense plant.

PubMed

Franson, Raymond L; Scholes, Chad M

2011-01-01

In June 2008 and 2009, cover, density, and species diversity were measured on two areas of the prairie at the U. S. Department of Energy Weldon Spring Site to begin quantification of the prairie establishment and the effects of a prairie burn. Sampling began by testing for the most appropriate transect length (cover) and quadrat size (density) for quantification of vegetation. Total cover increased in the first growing season after burning. Conversely, total cover decreased in the unburned area in one year. The trend in litter cover is the opposite with litter decreasing after burning, but increasing in one year in the unburned area. Bare ground decreased in one year in the unburned area, but was unchanged after burning. Species diversity tripled after fire, but was unchanged in one year in the unburned area. The results show that litter and fire both affect plant cover. If land reclamation activities are to be an integral part of hazardous waste remediation at contaminated sites, then the success of reclamation efforts needs to be quantified along with success criteria for waste remediation of the sites. The results show that plant cover can be easily quantified, but that density measures are more biased which makes it more difficult to achieve adequate sample size for plant density.

Load-Dependent Emission Factors and Chemical Characteristics of IVOCs from a Medium-Duty Diesel Engine.

PubMed

Cross, Eben S; Sappok, Alexander G; Wong, Victor W; Kroll, Jesse H

2015-11-17

A detailed understanding of the climate and air quality impacts of mobile-source emissions requires the characterization of intermediate-volatility organic compounds (IVOCs), relatively-low-vapor-pressure gas-phase species that may generate secondary organic aerosol with high yields. Due to challenges associated with IVOC detection and quantification, IVOC emissions remain poorly understood at present. Here, we describe measurements of the magnitude and composition of IVOC emissions from a medium-duty diesel engine. Measurements are made on an engine dynamometer and utilize a new mass-spectrometric instrument to characterize the load dependence of the emissions in near-real-time. Results from steady-state engine operation indicate that IVOC emissions are highly dependent on engine power, with highest emissions at engine idle and low-load operation (≤25% maximum rated power) with a chemical composition dominated by saturated hydrocarbon species. Results suggest that unburned fuel components are the dominant IVOCs emitted at low loads. As engine load increases, IVOC emissions decline rapidly and become increasingly characterized by unsaturated hydrocarbons and oxygenated organics, newly formed from incomplete combustion processes at elevated engine temperatures and pressures. Engine transients, including a cold-start ignition and engine acceleration, show IVOC emission profiles that are different in amount or composition compared to steady-state combustion, underscoring the utility of characterizing IVOC emissions with high time resolution across realistic engine operating conditions. We find possible evidence for IVOC losses on unheated dilution and sampling surfaces, which need to be carefully accounted for in IVOC emission studies.

Application of modern online instrumentation for chemical analysis of gas and particulate phases of exhaust at the European Commission heavy-duty vehicle emission laboratory.

PubMed

Adam, T W; Chirico, R; Clairotte, M; Elsasser, M; Manfredi, U; Martini, G; Sklorz, M; Streibel, T; Heringa, M F; Decarlo, P F; Baltensperger, U; De Santi, G; Krasenbrink, A; Zimmermann, R; Prevot, A S H; Astorga, C

2011-01-01

The European Commission recently established a novel test facility for heavy-duty vehicles to enhance more sustainable transport. The facility enables the study of energy efficiency of various fuels/scenarios as well as the chemical composition of evolved exhaust emissions. Sophisticated instrumentation for real-time analysis of the gas and particulate phases of exhaust has been implemented. Thereby, gas-phase characterization was carried out by a Fourier transform infrared spectrometer (FT-IR; carbonyls, nitrogen-containing species, small hydrocarbons) and a resonance-enhanced multiphoton ionization time-of-flight mass spectrometer (REMPI-TOFMS; monocyclic and polycyclic aromatic hydrocarbons). For analysis of the particulate phase, a high-resolution time-of-flight aerosol mass spectrometer (HR-TOF-AMS; organic matter, chloride, nitrate), a condensation particle counter (CPC; particle number), and a multiangle absorption photometer (MAAP; black carbon) were applied. In this paper, the first application of the new facility in combination with the described instruments is presented, whereby a medium-size truck was investigated by applying different driving cycles. The goal was simultaneous chemical characterization of a great variety of gaseous compounds and particulate matter in exhaust on a real-time basis. The time-resolved data allowed new approaches to view the results; for example, emission factors were normalized to time-resolved consumption of fuel and were related to emission factors evolved during high speeds. Compounds could be identified that followed the fuel consumption, others showed very different behavior. In particular, engine cold start, engine ignition (unburned fuel), and high-speed events resulted in unique emission patterns.

Trans-Pacific and Regional Atmospheric Transport of Polycyclic Aromatic Hydrocarbons and Pesticides in Biomass Burning Emissions to Western North America

PubMed Central

Genualdi, Susan A.; Killin, Robert K.; Woods, Jim; Wilson, Glenn; Schmedding, David; Massey Simonich, Staci L.

2014-01-01

The trans-Pacific and regional North American atmospheric transport of polycyclic aromatic hydrocarbons (PAHs) and pesticides in biomass burning emissions was measured in air masses from April to September 2003 at two remote sites in western North America. Mary’s Peak Observatory (MPO) is located in Oregon’s Coast Range and Cheeka Peak Observatory (CPO) is located on the tip of the Olympic Peninsula in Washington State. During this time period, both remote sites were influenced by PAH and pesticide emissions from forest fires in Siberia and regional fires in Oregon and Washington State. Concurrent samples were taken at both sites on June 2 and August 4, 2003. On these dates, CPO had elevated gas phase PAH, alpha-hexachlorocyclohexane and retene concentrations (p<0.05) and MPO had elevated retene, particulate phase PAH and levoglucosan concentrations due to trans-Pacific transport of emissions from fires in Siberia. In addition, during the April to September 2003 sampling period, CPO and MPO were influenced by emissions from regional fires that resulted in elevated levoglucosan, dacthal, endosulfan and gas phase PAH concentrations. Burned and unburned forest soil samples collected from the regional forest fire area showed that 34 to 100% of the pesticide mass was lost from soil due to burning. These data suggest that the transPacific and regional atmospheric transport of biomass burning emissions results in elevated PAH and pesticide concentrations in western North America. The elevated pesticide concentrations are likely due to re-emission of historically deposited pesticides from the soil and vegetation during the fire event. PMID:19320158

The influence of wildfire severity on soil char composition and nitrogen dynamics

NASA Astrophysics Data System (ADS)

Rhoades, Charles; Fegel, Timothy; Chow, Alex; Tsai, Kuo-Pei; Norman, John, III; Kelly, Eugene

2017-04-01

Forest fires cause lasting ecological changes and alter the biogeochemical processes that control stream water quality. Decreased plant nutrient uptake is the mechanism often held responsible for lasting post-fire shifts in nutrient supply and demand, though other upland and in-stream factors also likely contribute to elevated stream nutrient losses. Soil heating, for example, creates pyrogenic carbon (C) and char layers that influence C and nitrogen (N) cycling. Char layer composition and persistence vary across burned landscapes and are influenced first by fire behavior through the temperature and duration of combustion and then by post-fire erosion. To evaluate the link between soil char and stream C and N export we studied areas burned by the 2002 Hayman Fire, the largest wildfire in Colorado, USA history. We compared soil C and N pools and processes across ecotones that included 1) unburned forests, 2) areas with moderate and 3) high wildfire severity. We analyzed 1-2 cm thick charred organic layers that remain visible 15 years after the fire, underlying mineral soils, and soluble leachate from both layers. Unburned soils released more dissolved organic C and N (DOC and DON) from organic and mineral soil layers than burned soils. The composition of DOC leachate characterized by UV-fluorescence, emission-excitation matrices (EEMs) and Fluorescence Regional Integration (FRI) found similarity between burned and unburned soils, underscoring a common organic matter source. Humic and fulvic acid-like fractions, contained in regions V and III of the FRI model, comprised the majority of the fluorescing DOM in both unburned and char layers. Similarity between two EEMs indices (Fluorescence and Freshness), further denote that unburned soils and char layers originate from the same source and are consistent with visual evidence char layers contain significant amounts of unaltered OM. However, the EEMs humification index (HIX) and compositional analysis with pyrolysis GCMS both indicate that C contained or leached from severely-burned char layers has higher aromaticity and thus chemical stability compared to C in unburned soils. Mineral soil (0-5 cm depth) beneath char layers in high severity portions of the Hayman Fire had significantly more soil N and C and lower pH. Potential net mineralization - an index of the supply of plant-available nitrogen - differed between the severely-burned areas and both unburned and moderately-burn areas. Negative net mineralization in unburned and moderately burned soils indicates immobilization or retention of inorganic N by soil microbes. In contrast, soils burned at high severity produced inorganic N sources available to plants, leaching and gas losses. Water soluble nitrate comprised a larger proportion of inorganic N leached from the char layer of high severity burns. Mineral soil in those areas had both higher water soluble nitrate and total inorganic N in leachate. Char layers that have persisted for fifteen years influence soil N turnover within the Hayman Fire affected area and may contribute to elevated N losses in streams burned at high severity. The chemical stability of soil char layers perpetuates their importance for C sequestration and N dynamics in burned landscapes.

Photographic handbook for comparing burned and unburned sites within a dry forested and grassland mosiac: a tool for communication, calibration, and monitoring post-fire effects

Treesearch

Theresa Jain; Molly Juillerat; Jonathan Sandquist; Mike Ford; Brad Sauer; Robert Mitchell; Scott McAvoy; Justin Hanley; Jon David

2007-01-01

This photograph handbook describes characteristics and burn severity of a dry forested and grassland mosaic that burned within the last decade. We show photographs of different burned and unburned sites to help compare fire occurrence in similar stands. The handbook provides local land managers with a quick, inexpensive, and efficient way to evaluate effects of...

Several organic parameters on underlying hazardous constituents list can not be measured at the universal treatment standards

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

Johnson, H.C.

1998-07-01

The Idaho National Engineering and Environmental Laboratory (INEEL) has several permitted treatment, storage and disposal facilities. The INEEL Sample Management Office (SMO) conducts all analysis subcontracting activities for Department of Energy Environmental Management programs at the INEEL. In this role, the INEEL SMO has had the opportunity to subcontract the analyses of various wastes (including ash from an interim status incinerator) requesting a target analyte list equivalent to the constituents listed in 40 Code of Federal Regulations. These analyses are required to ensure that treated wastes do not contain underlying hazardous constituents (UHC) at concentrations greater than the universal treatmentmore » standards (UTS) prior to land disposal. The INEEL SMO has conducted a good-faith effort by negotiating with several commercial laboratories to identify the lowest possible quantitation and detection limits that can be achieved for the organic UHC analytes. The results of this negotiating effort has been the discovery that no single laboratory (currently under subcontract with the INEEL SMO) can achieve a detection level that is within an order of magnitude of the UTS for all organic parameters on a clean sample matrix (e.g., sand). This does not mean that there is no laboratory that can achieve the order of magnitude requirements for all organic UHCs on a clean sample matrix. The negotiations held to date indicate that it is likely that no laboratory can achieve the order of magnitude requirements for a difficult sample matrix (e.g., an incinerator ash). The authors suggest that the regulation needs to be revised to address the disparity between what is achievable in the laboratory and the regulatory levels required by the UTS.« less

Antimicrobial utilization and bacterial resistance at three different hospitals.

PubMed

Vlahović-Palcevski, V; Morović, M; Palcevski, G; Betica-Radić, L

2001-01-01

It has been generally recognized that the prevalence of bacterial resistance among bacteria is an unavoidable consequence of antibiotic use and is positively linked to the overall use of antibacterial drugs. The purpose of this study was to investigate the extent of antimicrobial usage and to evaluate the antimicrobial resistance at three different hospital settings in Croatia: a clinical hospital, a general hospital and a specialized clinic for infectious diseases. In this survey the antimicrobial drug consumption and antimicrobial susceptibility test results were analyzed for the first 6 months of 1997 in three different hospitals in Croatia: the University Hospital Center (UHC), Rijeka, the Clinic for Infectious Diseases 'Dr Fran Mihaljević', Zagreb and the Dubrovnik General Hospital. The data were collected from corresponding hospital pharmacy records and microbiology laboratories. Antimicrobial drug utilization was expressed in number of defined daily doses (DDDs) per 100 bed days. High antimicrobial utilization and high resistance rates were found in all three hospitals. At the Clinic for Infectious Diseases, the most frequently used antimicrobials where those of narrow spectrum while at the UHC Rijeka and the Dubrovnik General Hospital the broad spectrum antimicrobials were mostly used. The highest antimicrobial consumption was noted at the Susak locality of the UHC, Rijeka, where the highest resistance rates of bacteria to antimicrobials were also found. Results of this observational study indicate that attempts should be made to reduce the influence of factors that may lead to emergent resistance. The most effective approach to the prevention of transmission of multidrug-resistant pathogens is preventing the initial emergence of resistance. A rational and strict antibiotic policy is thus of great importance for the optimal use of these agents.

Health care-seeking behaviours and health expenditures in adults aged 45 years and older in China, 2011-2013.

PubMed

Li, Jiasen; Feng, Xing Lin

2017-05-01

To provide an assessment of China's progress to universal health coverage (UHC) from the perspective of people-centred care. We obtained data on 28 103 participants from the China Health and Retirement Longitudinal Study (CHALRS) during 2011-2013. We used logistic regressions and generalised linear models to analyse care-seeking behaviours and medical expenditures. We found that 95.5% of the subjects were covered by social health insurance in 2013, and nearly 60% subjects in need of medical care were self-medicated. Health insurance was a strong predictor for the access to outpatient care. Use of pure and mixed self-medication increased by 15% and 32% respectively, while use of pure outpatient care fell by 10% between 2011 and 2013, after adjusting for predisposing, service needs and enabling factors. Such trends were particularly evident for the Urban Resident Basic Medical Insurance and the New Cooperative Medical Scheme, which covered more than 80%. The monthly out-of-pocket medical expenditures and the probability of encountering catastrophic health expenditures for outpatient care were four times larger than that for self-medication. Between 2011 and 2013, outpatient care medical costs rose by nearly 50%, whereas there was no such obvious trend for self-medication. People with insurance schemes offering lower cost sharing incurred consistently higher out-of-pocket outpatient payments. The monitoring of global progress to UHC should incorporate self-medication. In China, it seems that the current reform and the huge government investment have not resulted in access to affordable quality care. To achieve UHC, not only universal insurance, but system-level efforts are needed. © 2017 John Wiley & Sons Ltd.

[Study of the Consumers' preference on the universal health coverage development strategy through health mutual in Ziguinchor Region, Southwest of Senegal].

PubMed

Sagna, O; Seck, I; Dia, A T; Sall, F L; Diouf, S; Mendy, J; Ka, O; Kassoka, B

2016-08-01

In Senegal, the informal and rural sector that accounts for over 80% of the population is covered only up to 7% by a health insurance system. That is why, for the implementation of development strategy of the universal health coverage (UHC) through mutual health insurance providers, the Government of Senegal has focused on this sector. The objective of this study was to assess the consumer's preference on the UHC development strategies through mutual health insurance providers. This was a qualitative and exploratory study based on a literature review, and indepth interview with the heads of households. It was also based on focus groups of people with and without health mutual membership, and the Expert Committee meetings. The results showed that the most critical attributes in the decision-making of consumers to join the health mutual in Ziguinchor were the membership units; the content of the benefit package, the payment modalities of the premium, the premium amount, the availability of transportation, the co-payment level, convention arrangement with health facilities, and health mutual governance. For a successful implementation of the UHC development strategy through health mutual organizations, policymakers should explore the possibility of introducing the modality of payment in kind, the revision of the co-payment amount, and the promotion of equity through the introduction of a differentiated premium contribution by income. They should also establish a crossborder strategy with The Gambia and Guinea-Bissau to improve health care access to people living in the borders. The promotion of innovative funding and risk equalization between health insurance schemes is also recommended. In areas where the microfinance institutions are well organized and structured their substitution to health mutuals should be an option the decision-makers have to explore.

Physician-owned Surgical Hospitals Outperform Other Hospitals in the Medicare Value-based Purchasing Program

PubMed Central

Ramirez, Adriana G; Tracci, Margaret C; Stukenborg, George J; Turrentine, Florence E; Kozower, Benjamin D; Jones, R Scott

2016-01-01

Background The Hospital Value-Based Purchasing Program measures value of care provided by participating Medicare hospitals while creating financial incentives for quality improvement and fostering increased transparency. Limited information is available comparing hospital performance across healthcare business models. Study Design 2015 hospital Value-Based Purchasing Program results were used to examine hospital performance by business model. General linear modeling assessed differences in mean total performance score, hospital case mix index, and differences after adjustment for differences in hospital case mix index. Results Of 3089 hospitals with Total Performance Scores (TPS), categories of representative healthcare business models included 104 Physician-owned Surgical Hospitals (POSH), 111 University HealthSystem Consortium (UHC), 14 US News & World Report Honor Roll (USNWR) Hospitals, 33 Kaiser Permanente, and 124 Pioneer Accountable Care Organization affiliated hospitals. Estimated mean TPS for POSH (64.4, 95% CI 61.83, 66.38) and Kaiser (60.79, 95% CI 56.56, 65.03) were significantly higher compared to all remaining hospitals while UHC members (36.8, 95% CI 34.51, 39.17) performed below the mean (p < 0.0001). Significant differences in mean hospital case mix index included POSH (mean 2.32, p<0.0001), USNWR honorees (mean 2.24, p 0.0140) and UHC members (mean =1.99, p<0.0001) while Kaiser Permanente hospitals had lower case mix value (mean =1.54, p<0.0001). Re-estimation of TPS did not change the original results after adjustment for differences in hospital case mix index. Conclusions The Hospital Value-Based Purchasing Program revealed superior hospital performance associated with business model. Closer inspection of high-value hospitals may guide value improvement and policy-making decisions for all Medicare Value-Based Purchasing Program Hospitals. PMID:27502368

Can Japan Contribute to the Post Millennium Development Goals? Making Human Security Mainstream through the TICAD Process

PubMed Central

Takahashi, Kenzo; Kobayashi, Jun; Nomura-Baba, Marika; Kakimoto, Kazuhiro; Nakamura, Yasuhide

2013-01-01

In 2013, the fifth Tokyo International Conference on African Development (TICAD V) will be hosted by the Japanese government. TICAD, which has been held every five years, has played a catalytic role in African policy dialogue and a leading role in promoting the human security approach (HSA). We review the development of the HSA in the TICAD dialogue on health agendas and recommend TICAD’s role in the integration of the HSA beyond the 2015 agenda. While health was not the main agenda in TICAD I and II, the importance of primary health care, and the development of regional health systems was noted in TICAD III. In 2008, when Japan hosted both the G8 summit and TICAD IV, the Takemi Working Group developed strong momentum for health in Africa. Their policy dialogues on global health in Sub-Saharan Africa incubated several recommendations highlighting HSA and health system strengthening (HSS). HSA is relevant to HSS because it focuses on individuals and communities. It has two mutually reinforcing strategies, a top-down approach by central or local governments (protection) and a bottom-up approach by individuals and communities (empowerment). The “Yokohama Action Plan,” which promotes HSA was welcomed by the TICAD IV member countries. Universal health coverage (UHC) is a major candidate for the post-2015 agenda recommended by the World Health Organization. We expect UHC to provide a more balanced approach between specific disease focus and system-based solutions. Japan’s global health policy is coherent with HSA because human security can be the basis of UHC-compatible HSS. PMID:24155655

Universal coverage challenges require health system approaches; the case of India.

PubMed

Duran, Antonio; Kutzin, Joseph; Menabde, Nata

2014-02-01

This paper uses the case of India to demonstrate that Universal Health Coverage (UHC) is about not only health financing; personal and population services production issues, stewardship of the health system and generation of the necessary resources and inputs need to accompany the health financing proposals. In order to help policy makers address UHC in India and sort out implementation issues, the framework developed by the World Health Organization (WHO) in the World Health Report 2000 and its subsequent extensions are advocated. The framework includes final goals, generic intermediate objectives and four inter-dependent functions which interact as a system; it can be useful by diagnosing current shortcomings and facilitating the filling up of gaps between functions and goals. Different positions are being defended in India re the preconditions for UHC to succeed. This paper argues that more (public) money will be important, but not enough; it needs to be supplemented with broad interventions at various health system levels. The paper analyzes some of the most important issues in relation to the functions of service production, generation of inputs and the necessary stewardship. It also pays attention to reform implementation, as different from its design, and suggests critical aspects emanating from a review of recent health system reforms. Precisely because of the lack of comparative reference for India, emphasis is made on the need to accompany implementation with analysis, so that the "solutions" ("what to do?", "how to do it?") are found through policy analysis and research embedded into flexible implementation. Strengthening "evidence-to-policy" links and the intelligence dimension of stewardship/leadership as well as accountability during implementation are considered paramount. Countries facing similar challenges to those faced by India can also benefit from the above approaches. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

[System of telesonography with synchronous teleconsultations and asynchronous telediagnoses (Togo)].

PubMed

Adambounou, K; Farin, F; Boucher, A; Adjenou, K V; Gbeassor, M; N'dakena, K; Vincent, N; Arbeille, P

2012-01-01

Ultrasonography is an important nonirradiating diagnostic medical imaging procedure, frequently used, especially in urgent circumstances. This relatively inexpensive noninvasive examination makes it possible to diagnose disorders in various parts of the human body, by examining, for example, the abdomen and pelvis, the cardiovascular system, and the muscles and joints. Ultrasound is also an operator-dependent examination, in that the quality of the result depends on precision in the manipulation of the probe. Unfortunately, many small medical centers and isolated sites do not have an appropriate well-trained sonographer to perform initial evaluations, and an untrained operator cannot capture the appropriate echographic views required for a safe diagnosis of current patients, even with realtime vocal guidance (personal data). The lack of experienced physicians or qualified technicians means that diagnostic ultrasound is not always accessible to patients for rapid examination worldwide, especially in Africa, Amazonia or near the North or South Poles. This situation has led to the development of a new concept of telemedicine: telesonography, with a remote ultrasound diagnosis either in real time (synchronous) or delayed (asynchronous; store-and-forward). These systems of real-time telesonography and data transmission require expensive and complex technology with sophisticated equipment not available in many developing countries. The purpose of this study is to design a low-cost real-time system of telesonography for teleconsultations with experts and a delayed telediagnostic mode between isolated peripheral hospitals and a University Hospital center (UHC). An IP camera and an internet video server were installed in a geographically isolated site equipped with an ultrasound machine and an operator with basic training in its use. Synchronous teleconsultation (second-opinion diagnosis) is possible via internet with a UHC expert. If no ultrasound operator is available at the isolated center, volume capture-and-store software is used. Later on, the UHC expert uses Echo-Cnes 3D software to reconstruct the organs scanned. The expert can then navigate within the reconstructed volume and display any plane. Volume capture is performed by tilting (± 40°) to both sides vertically to the skin. To locate the probe on the organ acoustic window, the novice operator uses acoustic window mapping designed by our laboratory (UMPS-Tours). The system was tested between the Tsévié regional hospital in Togo (40 km from Lomé, Togo, and 4500 km from Tours, France) and the UHC at Lomé and the Trousseau UHC in Tours. With an average internet connection of 2 Mbps, the quality of transmission of the background video and ultrasound sequence videos from Tsévié towards Lomé was satisfactory (16 images/s) with a maximal transmission delay of 1.5 s (almost in real time). A video conference between the Trousseau UHC in Tours, the UHC Campus in Lomé and the Tsévié Hospital was possible and the bandwidth allowed the Lomé experts (radiologists) to perform real-time telesonography with very satisfactory results (ultrasound diagnoses obtained) for abdominal (n = 5), pelvic (n = 3), obstetric (n = 2), prostate (n = 2) and mammary (n = 2) ultrasound, both normal and pathological. Because the doctors at Tsévié had minimal experience with ultrasound, complete ultrasound diagnoses were obtained by combining remote voice instruction for image capture and full diagnosis by Echo-Cnes. Asynchronous telediagnosis was also performed with Tsévié operators who lacked ultrasound expertise but could perform the required tilt movements (after 3 training sessions). The expert at Trousseau UHC performed real-time telesonography with the Tsévié Hospital for two cases requiring abdominal images and another viewing of the prostate. He also performed asynchronous reconstruction of the abdominal organs with Echo-Cnes. A demonstration seminar of our platform was organized successfully for 2 days during the 9(th) Congress of the French-speaking Black Africa Society of Radiology (SRANF in French) held from 4 till 6 May 2011 at the hotel EDA OBA. During this seminar, 4 ultrasound teleconsultations were performed from the hotel by eminent African radiologists. This preliminary study, although limited in the number of patients, allowed us to assess the technical features of our telesonography system. Togo, a developing country with a very modest infrastructure for information and communication, was an ideal site for a first test of this platform. Our system of remote ultrasound requires the local patient center to be equipped simply with a 2D ultrasound machine. The cost is quite low, in comparison to the asynchronous techniques requiring 3D devices. The high cost of 3D or 4D ultrasound machines and their fragility make it difficult to install them at the isolated sites and was a serious obstacle in the development of this system. If the center already has a 2D device and a computer, the cost to equip it with the remaining communications materials is 1,500 €. The experience in Togo clearly highlighted the possibility of teletraining and complete teleradiology with our system. The next stage of this work will seek to validate the results of this preliminary experience on a larger sample with more precise assessment criteria in 2012. The results will allow the widespread dissemination and routine use of this system in developing countries.

Realizing Universal Health Coverage in East Africa: the relevance of human rights.

PubMed

Yamin, Alicia Ely; Maleche, Allan

2017-08-03

Applying a robust human rights framework would change thinking and decision-making in efforts to achieve Universal Health Coverage (UHC), and advance efforts to promote women's, children's, and adolescents' health in East Africa, which is a priority under the Sustainable Development Agenda. Nevertheless, there is a gap between global rhetoric of human rights and ongoing health reform efforts. This debate article seeks to fill part of that gap by setting out principles of human rights-based approaches (HRBAs), and then applying those principles to questions that countries undertaking efforts toward UHC and promoting women's, children's and adolescents' health, will need to face, focusing in particular on ensuring enabling legal and policy frameworks, establishing fair financing; priority-setting processes, and meaningful oversight and accountability mechanisms. In a region where democratic institutions are notoriously weak, we argue that the explicit application of a meaningful human rights framework could enhance equity, participation and accountability, and in turn the democratic legitimacy of health reform initiatives being undertaken in the region.

Diesel engine fuel consumption and emission analysis using steam generated non-surfactant water-in-diesel emulsion fuel

NASA Astrophysics Data System (ADS)

Avianto Sugeng, Dhani; Zahari, Mohamad Fathur Hafeezat Mohd; Muhsin Ithnin, Ahmad; Jazair Yahya, Wira

2017-10-01

Efforts in making water in diesel emulsion (W/D) with the absence of surfactant have been developed to address the issues of long-term stability and the dependence on surfactants. This paper discusses an alternative formation method of a non-surfactant W/D, e.g. by steam condensation. By injecting steam into a batch of colder diesel fuel, fine water droplets are formed and suspended in the fuel forming an emulsion. The droplets are confirmed to be in the size range of hundreds of nanometers. The emissions of NOx is reduced by a maximum of 71%, whereas the CO and UHC emissions are increased by maximum respectively 180% and a surprising 517%. Not less interesting is the lower BSFC which was measured at a maximum reduction of 18.4%. These results on emission analysis together with the brake specific fuel consumption confirm this method to resemble the combustion behaviour of a conventional emulsion fuel of lower NOx and BSFC, yet higher CO and UHC

Evaluation of a staged fuel combustor for turboprop engines

NASA Technical Reports Server (NTRS)

Verdouw, A. J.

1976-01-01

Proposed EPA emission regulations require emission reduction by 1979 for various gas turbine engine classes. Extensive combustion technology advancements are required to meet the proposed regulations. The T56 turboprop engine requires CO, UHC, and smoke reduction. A staged fuel combustor design was tested on a combustion rig to evaluate emission reduction potential in turboprop engines from fuel zoning. The can-type combustor has separately fueled-pilot and main combustion zones in series. The main zone fueling system was arranged for potential incorporation into the T56 with minor or no modifications to the basic engine. Three combustor variable geometry systems were incorporated to evaluate various airflow distributions. Emission results with fixed geometry operation met all proposed EPA regulations over the EPA LTO cycle. CO reduction was 82 percent, UHC reduction was 96 percent, and smoke reduction was 84 percent. NOx increased 14 percent over the LTO cycle. At high power, NOx reduction was 40 to 55 percent. This NOx reduction has potential application to stationary gas turbine powerplants which have different EPA regulations.

Health sector governance: should we be investing more?

PubMed Central

Fryatt, Robert; Bennett, Sara; Soucat, Agnes

2017-01-01

Governance is central to improving health sector performance and achieving Universal Health Coverage (UHC). However, the growing body of research on governance and health has not yet led to a global consensus on the need for more investment in governance interventions to improve health. This paper aims to summarise the latest evidence on the influence of governance on health, examines how we can assess governance interventions and considers what might constitute good investments in health sector governance in resource constrained settings. The paper concludes that agendas for improving governance need to be realistic and build on promising in-country innovation and the growing evidence base of what works in different settings. For UHC to be achieved, governance will require new partnerships and opportunities for dialogue, between state and non-state actors. Countries will require stronger platforms for effective intersectoral actions and more capacity for applied policy research and evaluation. Improved governance will also come from collective action across countries in research, norms and standards, and communicable disease control. PMID:29225938

Health sector governance: should we be investing more?

PubMed

Fryatt, Robert; Bennett, Sara; Soucat, Agnes

2017-01-01

Governance is central to improving health sector performance and achieving Universal Health Coverage (UHC). However, the growing body of research on governance and health has not yet led to a global consensus on the need for more investment in governance interventions to improve health. This paper aims to summarise the latest evidence on the influence of governance on health, examines how we can assess governance interventions and considers what might constitute good investments in health sector governance in resource constrained settings. The paper concludes that agendas for improving governance need to be realistic and build on promising in-country innovation and the growing evidence base of what works in different settings. For UHC to be achieved, governance will require new partnerships and opportunities for dialogue, between state and non-state actors. Countries will require stronger platforms for effective intersectoral actions and more capacity for applied policy research and evaluation. Improved governance will also come from collective action across countries in research, norms and standards, and communicable disease control.

Effects of a fire on a population of treefrogs (Scinax cf. alter, Lutz) in a restinga habitat in southern Brazil.

PubMed

Rocha, C F D; Ariani, C V; Menezes, V A; Vrcibradic, D

2008-08-01

The area of the Dunas da Joaquina, in Santa Catarina island, contains one of the most important remnants of restinga habitat in Santa Catarina State, southern Brazil. In December 2003, a fire occurred in a portion of this area, affecting most of the vegetation, including the bromeliad community. In this study, the density of individuals and the diet composition of the bromelicolous treefrog Scinax cf. alter were compared between the area affected by the fire and an adjacent unburned area. One-hundred-and-fifty-eight ground bromeliads (Vriesea friburguensis) were dissected and searched for the presence of treefrogs among their leaves. We found 30 frogs in 29.5% (23/78) of the bromeliads from the unburned site, with a mean of 1.3 frogs per rosette, and 15 frogs in 12.5% (10/80) of the bromeliads from the burned site, with a mean of 1.6 frogs per rosette. Eight (27%) of the frogs from the unburned site and eleven (73%) of those from the burned site had empty stomachs. Frogs from the burned site also contained less prey per stomach than those from the unburned site. The data suggest that the fire has negatively affected the local population of Scinax cf. alter, though it is possible that the population can recover.

Ecosystem Dynamics and Fate of Warm Permafrost after Tundra Wildfire on the Yukon-Kuskokwim Delta

NASA Astrophysics Data System (ADS)

Frost, G. V., Jr.; Macander, M. J.; Saperstein, L. B.; Loehman, R.; Nelson, P.; Bhatt, U. S.; Bieniek, P.; Hendricks, A.

2017-12-01

The Yukon-Kuskokwim Delta (YKD) encompasses the southernmost, warmest parts of the arctic tundra biome. Ice-rich permafrost currently is widespread and strongly influences terrestrial and aquatic environments. In 2015, the YKD experienced large wildfires across >1,200 km2 of permafrost-affected upland tundra. Although the 2015 fire season was exceptional, tundra fire is common in this region with episodes of historical fire circa 2005, 1985, and 1971, offering a natural laboratory for understanding the ecosystem impacts of tundra fire in a discontinuous permafrost region during a period of warming air and ground temperatures. In 2017, we collected field data on vegetation, soils, and burn severity within recent and historical burns and unburned tundra. Using these data we mapped the cover of plant functional types (PFTs) using Landsat imagery and analyzed patterns of correspondence between vegetation species-composition and structure; soil properties; fire history; and long-term changes associated with pond drainage. We also tested for differences in biophysical properties among the tundra fire epochs and unburned tundra. Vegetation in unburned tundra was dominated by lichens, whereas burned areas support enhanced cover of shrubs and mosses; however, post-fire shrub cover was composed of the same low-statured species common to unburned tundra and we seldom observed sites colonized by taller, canopy-forming species. Geomorphology and soils were similar between 1971 and 1985 burn areas and unburned tundra, likely because thick peat layers protected ice-rich permafrost and conferred ecosystem resilience after fire. While this historical perspective suggests that peaty soils will moderate the impact of the 2015 fires, we observed secondary impacts related to permafrost degradation in circa 2005 fires that were not evident in older burns, such as thaw-settlement, increased surface wetness, complex microtopography, and progressive mortality of shrubs. These contrasts represent persistent, rather than successional shifts and suggest that upland ecosystems of the YKD may be less resilient to wildfire disturbance than they were in the past.

Thermal characteristics of amphibian microhabitats in a fire-disturbed landscape

USGS Publications Warehouse

Hossack, B.R.; Eby, L.A.; Guscio, C.G.; Corn, P.S.

2009-01-01

Disturbance has long been a central issue in amphibian conservation, often regarding negative effects of logging or other forest management activities, but some amphibians seem to prefer disturbed habitats. After documenting increased use of recently burned forests by boreal toads (Bufo boreas), we hypothesized that burned habitats provided improved thermal opportunities in terrestrial habitats. We tested this hypothesis by conducting a radio telemetry study of habitat use (reported previously) and by using physical models that simulated the temperature of adult toads. We deployed 108 physical models in and adjacent to a 1-year old burn using a fully-replicated design with three burn severities (unburned, partial, high severity) and four microhabitats (open surface, under vegetation, under log, in burrow). Model temperatures were compared to a range of preferred temperatures in published studies. We found 70% more observations within the preferred temperature range of B. boreas in forests burned with high severity than in unburned areas. Burned forest was warmer than unburned forest across all microhabitats, but the largest relative difference was in burrows, which averaged 3 ??C warmer in high-severity burn areas and remained warmer though the night. More than twice as many observations were within the preferred temperature range in high-severity burrows than in unburned burrows. Areas burned with high severity were still warmer than unburned forest 3 years after the fire. Habitat use of toads during the concurrent radio telemetry study matched that predicted by the physical models. These results suggest there are fitness-linked benefits to toads using burned habitats, such as increased growth, fertility, and possibly disease resistance. However, increased soil temperatures that result from wildfire may be detrimental to other amphibian species that prefer cooler temperatures and stable environments. More broadly, our data illustrate the use of physical models to measure and interpret changes that amphibians may experience from disturbance, and highlight the need for research linking vital rates such as growth and survival to disturbance.

Quantifying Post-Fire Aeolian Sediment Transport Using Rare Earth Element Tracers.

NASA Astrophysics Data System (ADS)

Dukes, D.; Ravi, S.; Grandstaff, D. E.; Gonzales, H. B.; Li, J. J.; Sankey, J. B.; Wang, G.; Van Pelt, R. S.

2016-12-01

Grasslands and rangelands in arid and semi-arid regions of the world, which provide fundamental ecosystem services, are undergoing rapid increases in fire activity and are highly susceptible to post-fire accelerated soil erosion by wind. A quantitative assessment that integrates fire-wind erosion feedbacks is therefore critically needed in understanding vegetation change, soil biogeochemical cycling, air quality, and landscape evolution. We investigated the applicability of a novel tracer technique - the use of rare earth element (REE) tracers - to quantify soil erosion by wind and to identify sources and sinks of wind-blown sediments in both a burned and unburned shrub-grass transition zone within the Chihuahuan desert (New Mexico, USA). At the beginning of the windy season, March 2016, silt and sand sized particles in shrub, grass, and bare microsites were each tagged with a unique REE oxide, Ho, Eu, and Yb respectively. Samples were then taken directly after application prior to a prescribed fire and again at the end of the windy season in June 2016. All REE tracers showed signs of depletion and mixing, with the depletion in the burned site up to 20% greater than the unburned. REE concentration comparisons between the burned and unburned plots reveal a shift in the source and sink dynamics of sediment post fire. In unburned plots, changes in microsite REE concentrations indicate that sediment moved from the bare to vegetated microsites, whereas the opposite occurred in burned plots. However, burned plot grass microsites acted as a sink for sediment from shrub microsites, whereas unburned plot grass microsites exhibited no enrichment from shrub microsite-sourced sediment. Though fires are known to immediately increase aeolian sediment transport, accompanying changes in the sources and sinks of wind borne sediment may influence biogeochemical cycling and vegetation shifts possibly providing a feedback mechanism for land degradation in dryland ecosystems.

Analysis of selected social determinants of health and their relationships with maternal health service coverage and child mortality in Vietnam

PubMed Central

Minh, Hoang Van; Giang, Kim Bao; Hoat, Luu Ngoc; Chung, Le Hong; Huong, Tran Thi Giang; Phuong, Nguyen Thi Kim; Valentine, Nicole B.

2016-01-01

Introduction Achieving a fair and equitable distribution of health in the population while progressing toward universal health coverage (UHC) is a key focus of health policy in Vietnam. This paper describes health barriers experienced by women (and children by inference) in Vietnam, and measures how UHC, with reference to maternal health services and child mortality rates, is affected by selected social determinants of health (SDH), termed ‘barriers’. Methods Our study uses a cross-sectional design with data from the 2011 Vietnam Multiple Indicator Cluster Survey. The study sample includes 11,663 women, aged 15–49 years. Weighted frequency statistics are cross-tabulated with socioeconomic characteristics of the population to describe the extent and distribution of health barriers experienced by disadvantaged women and children in Vietnam. A subset of women who had a live birth in the preceding two years (n=1,383) was studied to assess the impact of barriers to UHC and health. Six multiple logistic regressions were run using three dependent variables in the previous two years: 1) antenatal care, 2) skilled birth attendants, and 3) child death in the previous 15 years. Independent predictor variables were: 1) low education (incomplete secondary education), 2) lack of access to one of four basic amenities. In a second set of regressions, a constructed composite barrier index replaced these variables. Odds ratios (ORs) and 95% confidence intervals (95% CI) were used to report regression results. Results In Vietnam, about 54% of women aged 15–49 years in 2011, had low education or lacked access to one of four basic amenities. About 38% of poor rural women from ethnic minorities experienced both barriers, compared with less than 1% of rich urban women from the ethnic majority. Incomplete secondary education or lack of one of four basic amenities was a factor significantly associated with lower access to skilled birth attendants (OR=0.28, 95% CI: 0.14–0.55; OR=0.19, 95% CI: 0.05–0.80) and a higher risk of having had a child death in the previous two years (OR=1.71, 95% CI: 1.28–2.30; OR=1.59, 95% CI: 1.20–2.10). Conclusions Our study shows the need for accelerating education and infrastructure investments for ethnic minority communities living in rural areas so as to be able to contribute to equity-oriented progress toward UHC. PMID:26850052

Effect of wildfire and fireline construction on the annual depth of thaw in a black spruce permafrost forest in interior Alaska: a 36-year record of recovery

Treesearch

Leslie A. Viereck; Nancy R. Werdin-Pfisterer; Phyllis C. Adams; Kenji Yoshikawa

2008-01-01

Maximum thaw depths were measured annually in an unburned stand, a heavily burned stand, and a fireline in and adjacent to the 1971 Wickersham fire. Maximum thaw in the unburned black spruce stand ranged from 36 to 52 cm. In the burned stand, thaw increased each year to a maximum depth of 302 cm in 1995. In 1996, the entire layer of seasonal frost remained, creating a...

[Predicting low NOx combustion property of a coal-fired boiler].

PubMed

Zhou, Hao; Mao, Jianbo; Chi, Zuohe; Jiang, Xiao; Wang, Zhenhua; Cen, Kefa

2002-03-01

More attention was paid to the low NOx combustion property of the high capacity tangential firing boiler, but the NOx emission and unburned carbon content in fly ash of coal burned boiler were complicated, they were affected by many factors, such as coal character, boiler's load, air distribution, boiler style, burner style, furnace temperature, excess air ratio, pulverized coal fineness and the uniformity of the air and coal distribution, etc. In this paper, the NOx emission property and unburned carbon content in fly ash of a 600 MW utility tangentially firing coal burned boiler was experimentally investigated, and taking advantage of the nonlinear dynamics characteristics and self-learning characteristics of artificial neural network, an artificial neural network model on low NOx combustion property of the high capacity boiler was developed and verified. The results illustrated that such a model can predicate the NOx emission concentration and unburned carbon content under various operating conditions, if combined with the optimization algorithm, the operator can find the best operation condition of the low NOx combustion.

Differential Diptera succession patterns onto partially burned and unburned pig carrion in southeastern Brazil.

PubMed

Oliveira-Costa, J; Lamego, C M D; Couri, M S; Mello-Patiu, C A

2014-11-01

In the present contribution we compared the entomological succession pattern of a burned carcass with that of an unburned one. For that, we used domestic pig carcasses and focused on Calliphoridae, Muscidae and Sarcophagidae flies, because they are the ones most commonly used in Postmortem Interval estimates. Adult and immature flies were collected daily. A total of 27 species and 2,498 specimens were collected, 1,295 specimens of 26 species from the partially burned carcass and 1,203 specimens of 22 species from the control carcass (unburned). The species composition in the two samples differed, and the results of the similarity measures were 0.875 by Sorensen and 0.756 by Bray-Curtis index. The results obtained for both carcasses also differ with respect to the decomposition process, indicating that the post mortem interval would be underestimated if the entomological succession pattern observed for a carcass under normal conditions was applied to a carbonized carcass.

Continuous 1985-2012 Landsat monitoring to assess fire effects on meadows in Yosemite National Park, California

USGS Publications Warehouse

Soulard, Christopher E.; Albano, Christine M.; Villarreal, Miguel; Walker, Jessica

2016-01-01

To assess how montane meadow vegetation recovered after a wildfire that occurred in Yosemite National Park, CA in 1996, Google Earth Engine image processing was applied to leverage the entire Landsat Thematic Mapper archive from 1985 to 2012. Vegetation greenness (normalized difference vegetation index [NDVI]) was summarized every 16 days across the 28-year Landsat time series for 26 meadows. Disturbance event detection was hindered by the subtle influence of low-severity fire on meadow vegetation. A hard break (August 1996) was identified corresponding to the Ackerson Fire, and monthly composites were used to compare NDVI values and NDVI trends within burned and unburned meadows before, immediately after, and continuously for more than a decade following the fire date. Results indicate that NDVI values were significantly lower at 95% confidence level for burned meadows following the fire date, yet not significantly lower at 95% confidence level in the unburned meadows. Burned meadows continued to exhibit lower monthly NDVI in the dormant season through 2012. Over the entire monitoring period, the negative-trending, dormant season NDVI slopes in the burned meadows were also significantly lower than unburned meadows at 90% confidence level. Lower than average NDVI values and slopes in the dormant season compared to unburned meadows, coupled with photographic evidence, strongly suggest that evergreen vegetation was removed from the periphery of some meadows after the fire. These analyses provide insight into how satellite imagery can be used to monitor low-severity fire effects on meadow vegetation.

Experimental clean combustor program, phase 1. [aircraft exhaust/gas analysis - gas turbine engines

NASA Technical Reports Server (NTRS)

Roberts, R.; Peduzzi, A.; Vitti, G. E.

1975-01-01

A program of screening three low emission combustors for conventional takeoff and landing, by testing and analyzing thirty-two configurations is presented. Configurations were tested that met the emission goals at idle operating conditions for carbon monoxide and for unburned hydrocarbons (emission index values of 20 and 4, respectively). Configurations were also tested that met a smoke number goal of 15 at sea-level take-off conditions. None of the configurations met the goal for oxides of nitrogen emissions at sea-level take-off conditions. The best configurations demonstrated oxide of nitrogen emission levels that were approximately 61 percent lower than those produced by the JT9D-7 engine, but these levels were still approximately 24 percent above the goal of an emission index level of 10. Additional combustor performance characteristics, including lean blowout, exit temperature pattern factor and radial profile, pressure loss, altitude stability, and altitude relight characteristics were documented. The results indicate the need for significant improvement in the altitude stability and relight characteristics. In addition to the basic program for current aircraft engine combustors, seventeen combustor configurations were evaluated for advanced supersonic technology applications. The configurations were tested at cruise conditions, and a conceptual design was evolved.

Eucalyptus Biodiesel as an Alternative to Diesel Fuel: Preparation and Tests on DI Diesel Engine

PubMed Central

Tarabet, Lyes; Loubar, Khaled; Lounici, Mohand Said; Hanchi, Samir; Tazerout, Mohand

2012-01-01

Nowadays, the increasing oil consumption throughout the world induces crucial economical, security, and environmental problems. As a result, intensive researches are undertaken to find appropriate substitution to fossil fuels. In view of the large amount of eucalyptus trees present in arid areas, we focus in this study on the investigation of using eucalyptus biodiesel as fuel in diesel engine. Eucalyptus oil is converted by transesterification into biodiesel. Eucalyptus biodiesel characterization shows that the physicochemical properties are comparable to those of diesel fuel. In the second phase, a single cylinder air-cooled, DI diesel engine was used to test neat eucalyptus biodiesel and its blends with diesel fuel in various ratios (75, 50, and 25 by v%) at several engine loads. The engine combustion parameters such as peak pressure, rate of pressure rise, and heat release rate are determined. Performances and exhaust emissions are also evaluated at all operating conditions. Results show that neat eucalyptus biodiesel and its blends present significant improvements of carbon monoxide, unburned hydrocarbon, and particulates emissions especially at high loads with equivalent performances to those of diesel fuel. However, the NOx emissions are slightly increased when the biodiesel content is increased in the blend. PMID:22675246

Eucalyptus biodiesel as an alternative to diesel fuel: preparation and tests on DI diesel engine.

PubMed

Tarabet, Lyes; Loubar, Khaled; Lounici, Mohand Said; Hanchi, Samir; Tazerout, Mohand

2012-01-01

Nowadays, the increasing oil consumption throughout the world induces crucial economical, security, and environmental problems. As a result, intensive researches are undertaken to find appropriate substitution to fossil fuels. In view of the large amount of eucalyptus trees present in arid areas, we focus in this study on the investigation of using eucalyptus biodiesel as fuel in diesel engine. Eucalyptus oil is converted by transesterification into biodiesel. Eucalyptus biodiesel characterization shows that the physicochemical properties are comparable to those of diesel fuel. In the second phase, a single cylinder air-cooled, DI diesel engine was used to test neat eucalyptus biodiesel and its blends with diesel fuel in various ratios (75, 50, and 25 by v%) at several engine loads. The engine combustion parameters such as peak pressure, rate of pressure rise, and heat release rate are determined. Performances and exhaust emissions are also evaluated at all operating conditions. Results show that neat eucalyptus biodiesel and its blends present significant improvements of carbon monoxide, unburned hydrocarbon, and particulates emissions especially at high loads with equivalent performances to those of diesel fuel. However, the NOx emissions are slightly increased when the biodiesel content is increased in the blend.

Lab-scale Lidar Sensing of Diesel Engines Exhausts

NASA Technical Reports Server (NTRS)

Borghese, A.

1992-01-01

Combustion technology and its environmental concerns are being considered with increasing attention, not only for global-scale effects, but also for toxicological implications, particularly in the lift conditions of traffic-congested areas and industrial sites. Majority combustion by-products (CO, NO(sub x)) and unburned hydrocarbons (HC), are already subject to increasingly severe regulations; however other, non-regulated minority species, mainly soot and heavy aromatic molecules, involve higher health risks, as they are suspected to be agents of serious pathologies and even mutagenic effects. This is but one of the reasons why much research work is being carried out worldwide on the physical properties of these substances. Correspondingly, the need arises to detect their presence in urban environments, with as high a sensitivity as is required by their low concentrations, proper time- and space-resolutions, and 'real-time' capabilities. Lidar techniques are excellent candidates to this purpose, although severe constraints limit their applicability, eye-safety problems and aerosol Mie scattering uncertainties above all. At CNR's Istituto Motori in Napels, a Lidar-like diagnostic system is being developed, aimed primarily at monitoring the dynamic behavior of internal combustion engines, particularly diesel exhausts, and at exploring the feasibility of a so-called 'Downtown Lidar'.

Pollution technology program, can-annular combustor engines

NASA Technical Reports Server (NTRS)

Roberts, R.; Fiorentino, A. J.; Greene, W.

1976-01-01

A Pollution Reduction Technology Program to develop and demonstrate the combustor technology necessary to reduce exhaust emissions for aircraft engines using can-annular combustors is described. The program consisted of design, fabrication, experimental rig testing and assessment of results and was conducted in three program elements. The combustor configurations of each program element represented increasing potential for meeting the 1979 Environmental Protection Agency (EPA) emission standards, while also representing increasing complexity and difficulty of development and adaptation to an operational engine. Experimental test rig results indicate that significant reductions were made to the emission levels of the baseline JT8D-17 combustor by concepts in all three program elements. One of the Element I single-stage combustors reduced carbon monoxide to a level near, and total unburned hydrocarbons (THC) and smoke to levels below the 1979 EPA standards with little or no improvement in oxides of nitrogen. The Element II two-stage advanced Vorbix (vortex burning and mixing) concept met the standard for THC and achieved significant reductions in CO and NOx relative to the baseline. Although the Element III prevaporized-premixed concept reduced high power NOx below the Element II results, there was no improvement to the integrated EPA parameter relative to the Vorbix combustor.

Estimating regional evapotranspiration from remotely sensed data by surface energy balance models

NASA Technical Reports Server (NTRS)

Asrar, Ghassem; Kanemasu, Edward; Myneni, R. B.; Lapitan, R. L.; Harris, T. R.; Killeen, J. M.; Cooper, D. I.; Hwang, C.

1987-01-01

Spatial and temporal variations of surface radiative temperatures of the burned and unburned areas of the Konza tallgrass prairie were studied. The role of management practices, topographic conditions and the uncertainties associated with in situ or airborne surface temperature measurements were assessed. Evaluation of diurnal and seasonal spectral characteristics of the burned and unburned areas of the prairie was also made. This was accomplished based on the analysis of measured spectral reflectance of the grass canopies under field conditions, and modelling their spectral behavior using a one dimensional radiative transfer model.

Collaborating to improve the global competitiveness of US academic medical centers.

PubMed

Allen, Molly; Garman, Andrew; Johnson, Tricia; Hohmann, Samuel; Meurer, Steve

2012-01-01

President Obama announced the National Export Initiative in his 2010 State of the Union address and set the ambitious goal of doubling US exports by the end of 2014 to support millions of domestic jobs. Understanding the competitive position of US health care in the global market for international patients, University Health System Consortium (UHC), an alliance of 116 academic medical centers and 272 of their affiliated hospitals, representing 90 percent of the nation's non-profit academic medical centers partnered with Rush University, a private University in Chicago, IL and the International Trade Administration of the US Department of Commerce International Trade Administration (ITA) to participate in the Market Development Cooperator Program. The goal of this private-public partnership is to increase the global competitiveness of the US health care industry, which represents over 16 percent of the GDP, amongst foreign health care providers. This article provides an overview of the US health care market and outlines the aims of the US Cooperative for International Patient Programs, the end result of the partnership between UHC, ITA and Rush University.

Burning transformations: Fire history effects on organic matter processing from hillslopes to streams

NASA Astrophysics Data System (ADS)

Barnes, R. T.; Gilbertson, A.; Maxwell, K.

2017-12-01

Disturbance strongly regulates material and energy flows, changing ecosystem pattern and process. An increase in the size and severity of fire, particularly in the Intermountain West, over the last several decades is expected to continue due to a warming climate. Predicting how fire will alter the net ecosystem carbon balance requires us to understand how carbon is stored, processed, and transferred. Here we present results from paired watersheds focused on five 2002 severe fires in Colorado to examine how organic matter is processed along the hillslope and within the stream. Comparing soil samples and water extractable organic matter (WEOM) between burned and unburned sites illustrates the impact of fire: burned soils have 50% organic matter (OM) content as unburned soils, regardless of geomorphic position. While a smaller pool, soil OM (SOM) in burned sites is more susceptible to microbial degradation (p<0.001 for 4 of 6 sites), especially in systems with slower vegetative recovery. This is explained, in part, to the water extractable organic matter (WEOM) from unburned soils having a higher C:N than burned sites (p<0.02). This shift in SOM quality is likely due to differing OM inputs (e.g. grasses and forbes vs. trees in burned vs. unburned sites). Comparing results from intact soil column experiments to soil extractions and stream samples, suggests that the majority of this soil derived WEOM does not make it to the stream, potentially getting sorbed deeper in the mineral rich, organic poor, portion of the soil. Interestingly, the systematic shifts in OM amounts and quality (as measured by SUVA, E2:E3, and fluorescence) within the terrestrial system in response to fire, are not seen in stream exports. As such, while there are significant relationships (p<0.05) between stream DOM quality, DOM bioavailability, and stream metabolism, burned watersheds are not exporting DOM that is more bioavailable. In addition, despite different terrestrial OM pools, burned and unburned watersheds export statistically similar amounts of DOM per unit area, suggesting that a larger fraction of OM is transferred from the terrestrial to aquatic ecosystem within fire affected landscapes.

Disturbance-driven Changes in Soil Exoenzyme Activity and Biogeochemistry of Colorado Forests

NASA Astrophysics Data System (ADS)

Lybrand, R. A.; Gallery, R. E.; Trahan, N. A.; Dynes, E.; Moore, D. J.

2015-12-01

Forest disturbances alter rates of organic matter decomposition by microbes, which introduces uncertainty to the fate of soil carbon and aboveground carbon stocks. Quantifying soil microbial response to disturbance will reduce this uncertainty in dynamic, heterogeneous ecosystems. Here, we assessed how potential exoenzyme activities and biogeochemistry vary across Colorado landscapes disturbed by insect, fire, and flooding. We sampled 56 plots that spanned a burn severity gradient following the 2012 High Park Fire and a beetle kill chronosequence. Topsoil biogeochemistry, potential exoenzyme activity, and microbial biomass were quantified within each plot, and for a subset of 16 plots visited before and after a 2014 rainfall event. Terrain variables were generated from a LiDAR-derived DTM. Our results documented a shift in exoenzyme activity that corresponded to fire-driven changes in pH, which averaged 4.8 ± 0.2 in unburned plots to 6.3 ± 0.4 in severe burn plots. Stepwise multiple linear regressions were employed to predict exoenzyme activity using principal components derived from biogeochemical and terrain variables. The models explained up to 50% of the variance in exoenzyme activity, with the strongest relationships identified for phosphatase and the carbon degrading enzymes, β-Glucosidase and 4-MUB-β-D-cellobioside. The unexplained variance may result from the legacy of disturbance across sites. For example, burned and unburned plots presented contrasting geochemical responses to the 2014 rainfall event. Specifically, PO43- did not differ significantly between the burned and unburned plots in the pre-flood soils. Interestingly, PO43- was significantly different between the two groups in the post-flood soils due to a decrease in PO43- at the unburned plots and a slight increase at the burned plots. Similar trends were recognized for DIN and NH4+ in the burned and unburned sites yet the beetle kill plots exhibited little geochemical response pre- and post-flood. Our results demonstrate that exoenzyme activities are controlled, in part, by topography and disturbance-driven changes in biogeochemistry. Future work will examine how microclimate and disturbance history, such as undocumented flood events, contribute to soil ecological and geochemical variability across complex terrain.

Stream structure at low flow: biogeochemical patterns in intermittent streams over space and time

NASA Astrophysics Data System (ADS)

MacNeille, R. B.; Lohse, K. A.; Godsey, S.; McCorkle, E. P.; Parsons, S.; Baxter, C.

2017-12-01

Climate change in the western United States is projected to lead to earlier snowmelt, increasing fire risk and potentially transitioning perennial streams to intermittent ones. Differences between perennial and intermittent streams, especially the temporal and spatial patterns of carbon and nutrient dynamics during periods of drying, are understudied. We examined spatial and temporal patterns in surface water biogeochemistry during a dry (2016) and a wet (2017) water year in southwest Idaho. We hypothesized that as streams dry, carbon concentrations would increase due to evapoconcentration and/or increased in-stream production, and that the heterogeneity of constituents within each stream would increase. We expected these patterns to differ in a high water year compared to a low water year due to algae scour. Finally, we expected that the spatial heterogeneity of biogeochemistry would decrease with time following fire. To test these hypotheses, in 2016 we collected surface water samples at 50 meter intervals from two intermittent headwater streams over 2,500 meter reaches in April, May, and June. One stream is burned and one remains unburned. In 2017, we collected surface water at the 50, 25 and 10 meter intervals from each stream once during low flow. 2016 results showed average concentrations of dissolved inorganic carbon (DIC) and dissolved organic carbon (DOC) increased 3-fold from April to June in the burned site compared to the unburned site. Interestingly, average concentrations of total nitrogen (TN) dropped substantially for the burned site over these three months, but only decreased slightly for the unburned site over the same time period. Between wet and dry water years, we observed a decrease in the spatial heterogeneity as measured by the standard deviation (SD) in conductivity at 50 meter intervals; the burned stream had a SD of 23.08 in 2016 and 11.40 in 2017 whereas the unburned stream had similar SDs. We conclude that the burned stream experienced more inter and intra-annual surface water change in chemistry patterns than did the unburned stream.

Effect of prescribed fire on soil properties and N transformation in two vegetation types in South China.

PubMed

Wang, Faming; Li, Jian; Zou, Bi; Xu, Xin; Li, Zhian

2013-06-01

Prescribed fire is a common site preparation practice in forest management in southern China. However, the effect of fire on soil properties and N transformations is still poorly understood in this region. In this study, soil properties and N transformations in burned and unburned site of two vegetation types (Eucalyptus plantation and shrubland) were compared in rainy and dry seasons after 2 years' prescribed fire. Soil pH and soil NH4-N were all higher in the burned site compared to the unburned control. Furthermore, burned sites had 30-40 % lower of soil total phosphorus than conspecific unburned sites. There was no difference in soil organic matter, total N, soil exchangeable cations, available P or NO3-N. Nitrogen mineralization rate of 0-5 cm soil in the unburned site ranged from 8.24 to 11.6 mg N kg(-1) soil month(-1) in the rainy season, compared to a lower level of 4.82-5.25 mg N kg(-1) soil month(-1) in the burned sites. In contrast, 0-5 cm layer nitrification rate was overall 2.47 mg N kg(-1) soil month(-1) in the rainy season, and was not significantly affected by burning. The reduced understory vegetation coverage after burning may be responsible for the higher soil NH4-N in the burned site. This study highlights that a better understanding the effect of prescribed burning on soil nutrients cycling would provide a critical foundation for management decision and be beneficial to afforestation in southern China.

Universal Coverage without Universal Access: Institutional Barriers to Health Care among Women Sex Workers in Vancouver, Canada.

PubMed

Socías, M Eugenia; Shoveller, Jean; Bean, Chili; Nguyen, Paul; Montaner, Julio; Shannon, Kate

2016-01-01

Access to health care is a crucial determinant of health. Yet, even within settings that purport to provide universal health coverage (UHC), sex workers' experiences reveal systematic, institutionally ingrained barriers to appropriate quality health care. The aim of this study was to assess prevalence and correlates of institutional barriers to care among sex workers in a setting with UHC. Data was drawn from an ongoing community-based, prospective cohort of women sex workers in Vancouver, Canada (An Evaluation of Sex Workers' Health Access). Multivariable logistic regression analyses, using generalized estimating equations (GEE), were employed to longitudinally investigate correlates of institutional barriers to care over a 44-month follow-up period (January 2010-August 2013). In total, 723 sex workers were included, contributing to 2506 observations. Over the study period, 509 (70.4%) women reported one or more institutional barriers to care. The most commonly reported institutional barriers to care were long wait times (54.6%), limited hours of operation (36.5%), and perceived disrespect by health care providers (26.1%). In multivariable GEE analyses, recent partner- (adjusted odds ratio [AOR] = 1.46, % 95% Confidence Interval [CI] 1.10-1.94), workplace- (AOR = 1.31, 95% CI 1.05-1.63), and community-level violence (AOR = 1.41, 95% CI 1.04-1.92), as well as other markers of vulnerability, such as self-identification as a gender/sexual minority (AOR = 1.32, 95% CI 1.03-1.69), a mental illness diagnosis (AOR = 1.66, 95% CI 1.34-2.06), and lack of provincial health insurance card (AOR = 3.47, 95% CI 1.59-7.57) emerged as independent correlates of institutional barriers to health services. Despite Canada's UHC, women sex workers in Vancouver face high prevalence of institutional barriers to care, with highest burden among most marginalized women. These findings underscore the need to explore new models of care, alongside broader policy changes to fulfill sex workers' health and human rights.

Factors Influencing Adoption of Hospital-Acquired Pressure Ulcer Prevention Programs in US Academic Medical Centers.

PubMed

Padula, William V; Valuck, Robert J; Makic, Mary Beth F; Wald, Heidi L

2015-01-01

Recent data show a decrease in hospital-acquired pressure ulcers (PUs) throughout US hospitals; these changes may be associated with increased success in implementing evidence-based practices for PU prevention. The purpose of this study was to identify wound care nurse perceptions of the primary factors that influenced the overall reduction of PUs. Cross-sectional descriptive survey. Surveys were sent to wound care nurses at 98 University HealthSystem Consortium (UHC) hospitals. The UHC consists of more than 120 academic medical centers and affiliated facilities across the United States. Responses solicited from this survey represented a geographically diverse set of hospitals from less than 200 beds to more than 1000 beds. The survey questionnaire used a framework of 7 internal and 5 external influential factors for implementing evidence-based practices for PU prevention. Internal influential factors queried included availability of nurse specialists, high nursing job turnover, high PU rates, and prevention campaigns. External influential factors included data sharing, Medicare nonpayment policy, and applications for Magnet recognition. Hospital-acquired PU prevention experts at UHC hospitals were contacted through the Wound, Ostomy and Continence Nurses Society membership directory to complete the questionnaire. Consenting participants were e-mailed a disclosure and online questionnaire; they were also sent monthly reminders until they either responded to the survey or declined participation. Fifty-five respondents (59% response rate) indicated several internal factors that influenced evidence-based practice: hospital prevention campaigns; the availability of nursing specialists; and the level of preventive knowledge among hospital staff. External influential factors included financial concerns; application for Magnet recognition; data sharing among peer institutions; and regulatory issues. These findings suggest that the Centers for Medicare & Medicaid Services nonpayment policy influenced a large majority of hospital's changes in practice. The availability of nursing specialists for wound consult influenced hospitals internally. These factors are informative of the impact policy has on changes in hospital prioritization of adopting evidence-based practices for PU prevention.

Assessing income redistributive effect of health financing in Zambia.

PubMed

Mulenga, Arnold; Ataguba, John Ele-Ojo

2017-09-01

Ensuring an equitable health financing system is a major concern particularly in many developing countries. Internationally, there is a strong debate to move away from excessive reliance on direct out-of-pocket (OOP) spending towards a system that incorporates a greater element of risk pooling and thus affords greater protection for the poor. This is a major focus of the move towards universal health coverage (UHC). Currently, Zambia with high levels of poverty and income inequality is implementing health sector reforms for UHC through a social health insurance scheme. However, the way to identify the health financing mechanisms that are best suited to achieving this goal is to conduct empirical analysis and consider international evidence on funding universal health systems. This study assesses, for the first time, the progressivity of health financing and how it impacts on income inequality in Zambia. Three broad health financing mechanisms (general tax, a health levy and OOP spending) were considered. Data come from the 2010 nationally representative Zambian Living Conditions and Monitoring Survey with a sample size of 19,397 households. Applying standard methodologies, the findings show that total health financing in Zambia is progressive. It also leads to a statistically significant reduction in income inequality (i.e. a pro-poor redistributive effect estimated at 0.0110 (p < 0.01)). Similar significant pro-poor redistribution was reported for general taxes (0.0101 (p < 0.01)) and a health levy (0.0002 (p < 0.01)). However, the redistributive effect was not significant for OOP spending (0.0006). These results further imply that health financing redistributes income from the rich to the poor with a greater potential via general taxes. This points to areas where government policy may focus in attempting to reduce the high level of income inequality and to improve equity in health financing towards UHC in Zambia. Copyright © 2017 Elsevier Ltd. All rights reserved.

Historical account of the national health insurance formulation in Kenya: experiences from the past decade.

PubMed

Abuya, Timothy; Maina, Thomas; Chuma, Jane

2015-02-12

Many Low-and-Middle-Income countries are considering reviewing their health financing systems to meet the principles of Universal Health Coverage (UHC). One financing mechanism, which has dominated UHC reforms, is the development of health insurance schemes. We trace the historical development of the National Health Insurance (NHI) policy, illuminate stakeholders' perceptions on the design to inform future development of health financing policies in Kenya. We conducted a retrospective policy analysis of the development of a NHI policy in Kenya using data from document reviews and seven in depth interviews with key stakeholders involved in the NHI design. Analysis was conducted using a thematic framework. The design of a NHI scheme was marked by complex interaction of the actor's understanding of the design, proposed implementation strategies and the covert opposition of the reform due to several reasons. First, actor's perception of the cost of the NHI design and its implication to the economy generated opposition. This was due to inadequate communication strategies to articulate the policy, leading to a vacuum of factual information flow to various players. Secondly, perceived fear of implications of the changes among private sector players threatened support and success gained. Thirdly, underlying mistrust associated with perceived lack of government's commitment towards transparency and good governance affected active engagement of all key players dampening the spirit of collective bargain breeding opposition. Finally, some international actors perceived a clash of their role and that of international programs based on vertical approaches that were inherent in the health system. The thrust towards UHC using NHI schemes should not only focus on the design of a viable NHI package but should also involve stakeholder engagements, devise ways of improving the health care system, enhance transparency and develop adequate governance structures to institutions mandated to provide leadership in the reform process to overcome covert opposition.

The "Universal" in UHC and Ghana's National Health Insurance Scheme: policy and implementation challenges and dilemmas of a lower middle income country.

PubMed

Agyepong, Irene Akua; Abankwah, Daniel Nana Yaw; Abroso, Angela; Chun, ChangBae; Dodoo, Joseph Nii Otoe; Lee, Shinye; Mensah, Sylvester A; Musah, Mariam; Twum, Adwoa; Oh, Juwhan; Park, Jinha; Yang, DoogHoon; Yoon, Kijong; Otoo, Nathaniel; Asenso-Boadi, Francis

2016-09-21

Despite universal population coverage and equity being a stated policy goal of its NHIS, over a decade since passage of the first law in 2003, Ghana continues to struggle with how to attain it. The predominantly (about 70 %) tax funded NHIS currently has active enrolment hovering around 40 % of the population. This study explored in-depth enablers and barriers to enrolment in the NHIS to provide lessons and insights for Ghana and other low and middle income countries (LMIC) into attaining the goal of universality in Universal Health Coverage (UHC). We conducted a cross sectional mixed methods study of an urban and a rural district in one region of Southern Ghana. Data came from document review, analysis of routine data on enrolment, key informant in-depth interviews with local government, regional and district insurance scheme and provider staff and community member in-depth interviews and focus group discussions. Population coverage in the NHIS in the study districts was not growing towards near universal because of failure of many of those who had ever enrolled to regularly renew annually as required by the NHIS policy. Factors facilitating and enabling enrolment were driven by the design details of the scheme that emanate from national level policy and program formulation, frontline purchaser and provider staff implementation arrangements and contextual factors. The factors inter-related and worked together to affect client experience of the scheme, which were not always the same as the declared policy intent. This then also affected the decision to enrol and stay enrolled. UHC policy and program design needs to be such that enrolment is effectively compulsory in practice. It also requires careful attention and responsiveness to actual and potential subscriber, purchaser and provider (stakeholder) incentives and related behaviour generated at implementation levels.

[Influence of fire disturbance on aboveground deadwood debris carbon storage in Huzhong forest region of Great Xing'an Mountains, Northeast China].

PubMed

Yang, Da; He, Hong-shi; Wu, Zhi-wei; Liang, Yu; Huang, Chao; Luo, Xu; Xiao, Jiang-tao; Zhang, Qing-long

2015-02-01

Based on the field inventory data, the aboveground deadwood debris carbon storage under different fire severities was analyzed in Huzhong forest region of Great Xing' an Mountains. The results showed that the fire severity had a significant effect on aboveground deadwood debris carbon storage. The deadwood debris carbon storage was in the order of high-severity > low-severity > unburned in Larix gmelinii stands, and mixed conifer-broadleaf stands ( L. gmelinii and Betula platyphylla), and in the order of high severity > unburned > low-severity in B. platyphylla stands. Fire disturbance significantly changed the component percentage of the deadwood debris carbon storage. The component percentage of snags increased and litter decreased with the increasing fire severity. Logs and stumps did not change significantly with the increasing fire severity. The spatial variation of deadwood debris carbon storage in forests burned with low-severity fire was higher than that in unburned forests. The spatial variation of deadwood debris carbon storage with high-severity fires was lowest. This spatial variation needed to be accounted when calculating forest deadwood debris carbon storage.

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

Halvorson, J.J.; Bolton, H. Jr.; Smith, J.L.

Artemisia tridentata is a prominent shrub of cool deserts that affects the soil in which it grows. We sampled adjacent burned and unburned sites to see if resource islands persisted in locations where shrubs had been removed by fire. The concentrations of soil variables near the location of burned Artemisia tridentata were smaller than under live Artemisia tridentata and did not vary as much with distance away from the plant axis. However, the patterns of soil variables in these remnant resource islands were still substantial. Significantly higher concentrations of total N and soil microbial C, and significantly higher electrical conductivitymore » were observed at the location of a burned Artemisia tridentata stem than at distances further away. The differences between burned and unburned soil were greatest in samples collected near the plant. In contrast, samples of burned or unburned soil were not distinguishable from each other at locations greater than about 50 cm away from a live Artemisia tridentata axis or a burned stump indicating that the resource island effect was most affected by removal of the plant and not by the fire.« less

Does the operations of the National Health Insurance Scheme (NHIS) in Ghana align with the goals of Primary Health Care? Perspectives of key stakeholders in northern Ghana.

PubMed

Awoonor-Williams, John Koku; Tindana, Paulina; Dalinjong, Philip Ayizem; Nartey, Harry; Akazili, James

2016-08-30

In 2005, the World Health Assembly (WHA) of the World Health Organization (WHO) urged member states to aim at achieving affordable universal coverage and access to key promotive, preventive, curative, rehabilitative and palliative health interventions for all their citizens on the basis of equity and solidarity. Since then, some African countries, including Ghana, have taken steps to introduce national health insurance reforms as one of the key strategies towards achieving universal health coverage (UHC). The aim of this study was to get a better understanding of how Ghana's health insurance institutions interact with stakeholders and other health sector programmes in promoting primary health care (PHC). Specifically, the study identified the key areas of misalignment between the operations of the NHIS and that of PHC. Using qualitative and survey methods, this study involved interviews with various stakeholders in six selected districts in the Upper East region of Ghana. The key stakeholders included the National Health Insurance Authority (NHIA), district coordinators of the National Health Insurance Schemes (NHIS), the Ghana Health Service (GHS) and District Health Management Teams (DHMTs) who supervise the district hospitals, health centers/clinics and the Community-based Health and Planning Services (CHPS) compounds as well as other public and private PHC providers. A stakeholders' workshop was organized to validate the preliminary results which provided a platform for stakeholders to deliberate on the key areas of misalignment especially, and to elicit additional information, ideas and responses, comments and recommendations from participants for the achievement of the goals of UHC and PHC. The key areas of misalignments identified during this pilot study included: delays in reimbursements of claims for services provided by health care providers, which serves as a disincentive for service providers to support the NHIS, inadequate coordination among stakeholders in PHC delivery; and inadequate funding for PHC, particularly on preventive and promotive services. Other areas are: the bypassing of PHC facilities due to lack of basic services at the PHC level such as laboratory services, as well as proximity to the district hospitals; and finally the lack of clear understanding of the national policy on PHC. This study suggests that despite the progress that has been made since the establishment of the NHIS in Ghana, there are still huge gaps that need urgent attention to ensure that the goals of UHC and PHC are met. The key areas of misalignment identified in this study, particularly on the delays in reimbursements need to be taken seriously. It is also important for more dialogue between the NHIA and service providers to address key concerns in the implementation of the NHIS which is key to achieving UHC.

Does the operations of the National Health Insurance Scheme (NHIS) in Ghana align with the goals of Primary Health Care? Perspectives of key stakeholders in northern Ghana.

PubMed

Awoonor-Williams, John Koku; Tindana, Paulina; Dalinjong, Philip Ayizem; Nartey, Harry; Akazili, James

2016-09-05

In 2005, the World Health Assembly (WHA) of the World Health Organization (WHO) urged member states to aim at achieving affordable universal coverage and access to key promotive, preventive, curative, rehabilitative and palliative health interventions for all their citizens on the basis of equity and solidarity. Since then, some African countries, including Ghana, have taken steps to introduce national health insurance reforms as one of the key strategies towards achieving universal health coverage (UHC). The aim of this study was to get a better understanding of how Ghana's health insurance institutions interact with stakeholders and other health sector programmes in promoting primary health care (PHC). Specifically, the study identified the key areas of misalignment between the operations of the NHIS and that of PHC. Using qualitative and survey methods, this study involved interviews with various stakeholders in six selected districts in the Upper East region of Ghana. The key stakeholders included the National Health Insurance Authority (NHIA), district coordinators of the National Health Insurance Schemes (NHIS), the Ghana Health Service (GHS) and District Health Management Teams (DHMTs) who supervise the district hospitals, health centers/clinics and the Community-based Health and Planning Services (CHPS) compounds as well as other public and private PHC providers. A stakeholders' workshop was organized to validate the preliminary results which provided a platform for stakeholders to deliberate on the key areas of misalignment especially, and to elicit additional information, ideas and responses, comments and recommendations from respondents for the achievement of the goals of UHC and PHC. The key areas of misalignments identified during this pilot study included: delays in reimbursements of claims for services provided by health care providers, which serves as a disincentive for service providers to support the NHIS; inadequate coordination among stakeholders in PHC delivery; and inadequate funding for PHC, particularly on preventive and promotive services. Other areas are: the bypassing of PHC facilities due to lack of basic services at the PHC level such as laboratory services, as well as proximity to the district hospitals; and finally the lack of clear understanding of the national policy on PHC. This study suggests that despite the progress that has been made since the establishment of the NHIS in Ghana, there are still huge gaps that need urgent attention to ensure that the goals of UHC and PHC are met. The key areas of misalignment identified in this study, particularly on the delays in reimbursements need to be taken seriously. It is also important for more dialogue between the NHIA and service providers to address key concerns in the implementation of the NHIS which is key to achieving UHC.

Desert tortoise use of burned habitat in the Eastern Mojave desert

USGS Publications Warehouse

Drake, Karla K.; Esque, Todd C.; Nussear, Kenneth E.; DeFalco, Lesley; Scoles, Sara; Modlin, Andrew T.; Medica, Philip A.

2015-01-01

Wildfires burned 24,254 ha of critical habitat designated for the recovery of the threatened Mojave desert tortoise (Gopherus agassizii) in southern Nevada during 2005. The proliferation of non-native annual grasses has increased wildfire frequency and extent in recent decades and continues to accelerate the conversion of tortoise habitat across the Mojave Desert. Immediate changes to vegetation are expected to reduce quality of critical habitat, yet whether tortoises will use burned and recovering habitat differently from intact unburned habitat is unknown. We compared movement patterns, home-range size, behavior, microhabitat use, reproduction, and survival for adult desert tortoises located in, and adjacent to, burned habitat to understand how tortoises respond to recovering burned habitat. Approximately 45% of home ranges in the post-fire environment contained burned habitat, and numerous observations (n = 12,223) corroborated tortoise use of both habitat types (52% unburned, 48% burned). Tortoises moved progressively deeper into burned habitat during the first 5 years following the fire, frequently foraging in burned habitats that had abundant annual plants, and returning to adjacent unburned habitat for cover provided by intact perennial vegetation. However, by years 6 and 7, the live cover of the short-lived herbaceous perennial desert globemallow (Sphaeralcea ambigua) that typically re-colonizes burned areas declined, resulting in a contraction of tortoise movements from the burned areas. Health and egg production were similar between burned and unburned areas indicating that tortoises were able to acquire necessary resources using both areas. This study documents that adult Mojave desert tortoises continue to use habitat burned once by wildfire. Thus, continued management of this burned habitat may contribute toward the recovery of the species in the face of many sources of habitat loss.

Effects of winter marsh burning on abundance and nesting activity of Louisiana seaside sparrows in the Gulf Coast Chenier Plain

USGS Publications Warehouse

Gabrey, S.W.; Afton, A.D.

2000-01-01

Louisiana Seaside Sparrows (Ammodramus maritimus fisheri) breed and winter exclusively in brackish and saline marshes along the northern Gulf of Mexico. Many Gulf Coast marshes, particularly in the Chenier Plain of southwestern Louisiana and southeastern Texas, are burned intentionally in fall or winter as part of waterfowl management programs. Fire reportedly has negatively affected two Seaside Sparrow subspecies (A. m. nigrescens and A. m. mirabilis) in Florida, but there is no published information regarding effects of fire on A. m. fisheri. We compared abundance of territorial male Louisiana Seaside Sparrows, number of nesting activity indicators, and vegetation structure in paired burned and unburned plots in Chenier Plain marshes in southwestern Louisiana during the 1996 breeding season (April-July) before experimental winter burns (January 1997) and again during two breeding seasons post-burn (1997-1998). We found that abundance of male sparrows decreased in burned plots during the first breeding season post-burn, but was higher than that of unburned plots during the second breeding season post-burn. Indicators of nesting activity showed a similar but non-significant pattern in response to burning. Sparrow abundance and nesting activity seemingly are linked to dead vegetation cover, which was lower in burned plots during the first breeding season post-burn, but did not differ from that in unburned plots during the second breeding season post-burn. We recommend that marsh management plans in the Gulf Coast Chenier Plain integrate waterfowl and Seaside Sparrow management by maintaining a mosaic of burned and unburned marshes and allowing vegetation to recover for at least two growing seasons before reburning a marsh.

β-adrenergic blockade does not impair the skin blood flow sensitivity to local heating in burned and non-burned skin under neutral and hot environments in children

PubMed Central

Rivas, Eric; McEntire, Serina J.; Herndon, David N.; Mlcak, Ronald P.; Suman, Oscar E.

2017-01-01

Objective Tested the hypothesis that propranolol, a drug given to burn patients to reduce hypermetabolism/cardiac stress, may inhibit heat dissipation by changing the sensitivity of skin blood flow (SkBF) to local heating under neutral and hot conditions. Methods In a randomized double-blind study, a placebo was given to 8 burned children while propranolol was given to 13 burned children with similar characteristics (mean ± SD: 11.9±3y, 147±20cm, 45±23kg, 56±12% TBSA). Non-burned children (n=13, 11.4±3y, 152±15cm, 52±13kg) served as healthy controls. A progressive local heating protocol characterized SkBF responses in burned and unburned skin and non-burned control skin under the two environmental conditions (23°C and 34°C) via laser-Doppler flowmetry. Results Resting SkBF was greater in burned and unburned skin compared to the non-burned control (main effect: skin, P<0.0001; 57±32 burned; 38±36 unburned vs 9±8 control %SkBFmax). No difference was found for maximal SkBF capacity to local heating between groups. Additionally, dose response curves for the sensitivity of SkBF to local heating were not different among burned or unburned skin, and non-burned control skin (EC50, P>0.05) under either condition. Conclusion Therapeutic propranolol does not negatively affect SkBF under neutral or hot environmental conditions and further compromise temperature regulation in burned children. PMID:28071840

Plant and soil carbon accumulation following fire in Mediterranean woodlands in Spain.

PubMed

Kaye, Jason Philip; Romanyà, Joan; Vallejo, V Ramón

2010-10-01

We measured plant and soil carbon (C) storage following canopy-replacing wildfires in woodlands of northeastern Spain that include an understory of shrubs dominated by Quercus coccifera and an overstory of Pinus halepensis trees. Established plant succession models predict rapid shrub recovery in these ecosystems, and we build on this model by contrasting shrub succession with long-term C storage in soils, trees, and the whole ecosystem. We used chronosequence and repeated sampling approaches to detect change over time. Aboveground plant C increased from <100 to ~3,000 g C m(-2) over 30 years following fire, which is substantially less than the 5,942 ± 487 g C m(-2) (mean ±1 standard error) in unburned sites. As expected, shrubs accumulated C rapidly, but the capacity for C storage in shrubs was <600 g C m(-2). Pines were the largest plant C pool in sites >20 years post fire, and accounted for all of the difference in plant C between older burned sites and unburned sites. In contrast, soil C was initially higher in burned sites (~4,500 g C m(-2)) than in unburned sites (3,264 ± 261 g C m(-2)) but burned site C declined to unburned levels within 10 years after fire. Combining these results with prior research suggests two states for C storage. When pine regeneration is successful, ~9,200 g C m(-2) accumulate in woodlands but when tree regeneration fails (due to microclimatic stress or short fire return intervals), ecosystem C storage of ~4,000 g C m(-2) will occur in the resulting shrublands.

β-Adrenergic blockade does not impair the skin blood flow sensitivity to local heating in burned and nonburned skin under neutral and hot environments in children.

PubMed

Rivas, Eric; McEntire, Serina J; Herndon, David N; Mlcak, Ronald P; Suman, Oscar E

2017-05-01

We tested the hypothesis that propranolol, a drug given to burn patients to reduce hypermetabolism/cardiac stress, may inhibit heat dissipation by changing the sensitivity of skin blood flow (SkBF) to local heating under neutral and hot conditions. In a randomized double-blind study, a placebo was given to eight burned children, while propranolol was given to 13 burned children with similar characteristics (mean±SD: 11.9±3 years, 147±20 cm, 45±23 kg, 56±12% Total body surface area burned). Nonburned children (n=13, 11.4±3 years, 152±15 cm, 52±13 kg) served as healthy controls. A progressive local heating protocol characterized SkBF responses in burned and unburned skin and nonburned control skin under the two environmental conditions (23 and 34°C) via laser Doppler flowmetry. Resting SkBF was greater in burned and unburned skin compared to the nonburned control (main effect: skin, P<.0001; 57±32 burned; 38±36 unburned vs 9±8 control %SkBF max ). No difference was found for maximal SkBF capacity to local heating between groups. Additionally, dose-response curves for the sensitivity of SkBF to local heating were not different among burned or unburned skin, and nonburned control skin (EC 50 , P>.05) under either condition. Therapeutic propranolol does not negatively affect SkBF under neutral or hot environmental conditions and further compromise temperature regulation in burned children. © 2017 John Wiley & Sons Ltd.

Impact of wildfire and slope aspect on soil temperature in a mountainous environment

USGS Publications Warehouse

Ebel, Brian A.

2012-01-01

Soil temperature changes after landscape disturbance impact hydrology, ecology, and geomorphology. This study used field measurements to examine wildfire and aspect effects on soil temperatures. Combustion of the litter and duff layers on north-facing slopes removed pre-fire aspect-driven soil temperature controls.Wildfire is one of the most significant disturbances in mountainous landscapes and can affect soil temperature, which can in turn impact ecologic and geomorphologic processes. This study measured the temperature in near-surface soil (i.e., top 30 cm) during the first summer after a wildfire. In mountainous environments, aspect can also affect soil temperature, so north- vs. south-facing aspects were compared using a fully factorial experimental design to explore the effects of both wildfire and aspect on soil temperature. The data showed major wildfire impacts on soil temperatures on north-facing aspects (unburned ∼4–5°C cooler, on average) but little impact on south-facing aspects. Differences in soil temperatures between north-facing and south-facing unburned aspects (north ∼5°C cooler, on average) were also observed. The data led to the conclusion that, for this field site during the summer period, the forest canopy and litter and duff layers on north-facing slopes (when unburned) substantially decreased mean soil temperatures and temperature variability. The sparse trees on south-facing slopes caused little to no difference in soil temperatures following wildfire in south-facing soils for unburned compared with burned conditions. The results indicate that wildfire can reduce or even remove aspect impacts on soil temperature by combusting the forest canopy and litter and duff layers, which then homogenizes soil temperatures across the landscape.

COMPARISON OF THE POPULATIONS OF COMMON WOOD-NYMPH BUTTERFLIES IN BURNED PRAIRIE, UNBURNED PRAIRIE AND OLD FIELD GRASSES

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

Hahn, M.; Walton, R.

2007-01-01

Common wood-nymph butterfl ies are found throughout the United States and Canada. However, not much is known about how they overwinter or their preferences for particular grasses and habitats. In this study, the impact of prairie management plans on the abundance of the wood-nymph population was assessed, as well as the preference of these butterfl ies for areas with native or non-native grasses. The abundance of common wood-nymph butterfl ies was determined using Pollard walks; more common wood-nymph butterfl ies were found in the European grasses than were found in the burned and unburned prairie sites. The majority of themore » vegetation at each of the three sites was identifi ed and documented. Using a 1 X 3 ANOVA analysis, it was determined there were signifi cantly more butterfl ies in the European grasses than in the burned and unburned prairie sites (p < 0.0005). There was no signifi cant difference between the burned and unburned treatments of the prairie on the common wood-nymph population. A multiple variable linear regression model described the effect of temperature and wind speed on the number of observed common wood-nymph butterfl ies per hour (p = 0.026). These preliminary results need to be supplemented with future studies. Quadrat analysis of the vegetation from all three sites should be done to search for a correlation between common wood-nymph butterfl y abundance per hour and the specifi c types or quantity of vegetation at each site. The effect of vegetation height and density on the observer’s visual fi eld should also be assessed.« less

Can salvage logging affect seed dispersal by birds into burned forests?

NASA Astrophysics Data System (ADS)

Rost, J.; Pons, P.; Bas, J. M.

2009-09-01

The recovery of vegetation in Mediterranean ecosystems after wildfire is mostly a result of direct regeneration, since the same species existing before the fire regenerate on-site by seeding or resprouting. However, the possibility of plant colonization by dispersal of seeds from unburned areas remains poorly studied. We addressed the role of the frugivorous, bird-dependent seed dispersal (seed rain) of fleshy-fruited plants in a burned and managed forest in the second winter after a fire, before on-site fruit production had begun. We also assessed the effect on seed rain of different microhabitats resulting from salvage logging (erosion barriers, standing snags, open areas), as well as the microhabitats of unlogged patches and an unburned control forest, taking account of the importance of perches as seed rain sites. We found considerable seed rain by birds in the burned area. Seeds, mostly from Olive trees Olea europaea and Evergreen pistaches Pistacia lentiscus, belonged to plants fruiting only in surrounding unburned areas. Seed rain was heterogeneous, and depended on microhabitat, with the highest seed density in the unburned control forest but closely followed by the wood piles of erosion barriers. In contrast, very low densities were found under perches of standing snags. Furthermore, frugivorous bird richness seemed to be higher in the erosion barriers than elsewhere. Our results highlight the importance of this specific post-fire management in bird-dependent seed rain and also may suggest a consequent heterogeneous distribution of fleshy-fruited plants in burned and managed areas. However, there needs to be more study of the establishment success of dispersed seeds before an accurate assessment can be made of the role of bird-mediated seed dispersal in post-fire regeneration.

Using lean Six Sigma to improve hospital based outpatient imaging satisfaction.

PubMed

McDonald, Angelic P; Kirk, Randy

2013-01-01

Within the hospital based imaging department at Methodist Willowbrook, outpatient, inpatient, and emergency patients are all performed on the same equipment with the same staff. The critical nature of the patient is the deciding factor as to who gets done first and in what order procedures are performed. After an aggressive adoption of Intentional Tools, the imaging department was finally able to move from a two year mean Press Ganey, outpatient satisfaction average score of 91.2 and UHC percentile ranking of 37th to a mean average of 92.1 and corresponding UHC ranking of 60th percentile. It was at the 60th percentile ranking that the department flat lined. Using the Six Sigma DMAIC process, opportunity for further improvement was identified. A two week focus pilot was conducted specifically on areas identified through the Six Sigma process. The department was able to jump to 88th percentile ranking and a mean of 93.7. With pay for performance focusing on outpatient satisfaction and a financial incentive to improving and maintaining the highest scores, it was important to know where the imaging department should apply its financial resources to obtain the greatest impact.

Soils, vegetation, and woody debris data from the 2001 Survey Line fire and a comparable unburned site, Tanana Flats region, Alaska

USGS Publications Warehouse

Manies, Kristen L.; Harden, Jennifer W.; Holingsworth, Teresa N.

2014-01-01

This report describes the collection and processing methodologies for samples obtained at two sites within Interior Alaska: (1) a location within the 2001 Survey Line burn, and (2) an unburned location, selected as a control. In 2002 and 2004 U.S. Geological Survey investigators measured soil properties including, but not limited to, bulk density, volumetric water content, carbon content, and nitrogen content from samples obtained from these sites. Stand properties, such as tree density, the amount of woody debris, and understory vegetation, were also measured and are presented in this report.

Changes in assembly processes in soil bacterial communities following a wildfire disturbance.

PubMed

Ferrenberg, Scott; O'Neill, Sean P; Knelman, Joseph E; Todd, Bryan; Duggan, Sam; Bradley, Daniel; Robinson, Taylor; Schmidt, Steven K; Townsend, Alan R; Williams, Mark W; Cleveland, Cory C; Melbourne, Brett A; Jiang, Lin; Nemergut, Diana R

2013-06-01

Although recent work has shown that both deterministic and stochastic processes are important in structuring microbial communities, the factors that affect the relative contributions of niche and neutral processes are poorly understood. The macrobiological literature indicates that ecological disturbances can influence assembly processes. Thus, we sampled bacterial communities at 4 and 16 weeks following a wildfire and used null deviation analysis to examine the role that time since disturbance has in community assembly. Fire dramatically altered bacterial community structure and diversity as well as soil chemistry for both time-points. Community structure shifted between 4 and 16 weeks for both burned and unburned communities. Community assembly in burned sites 4 weeks after fire was significantly more stochastic than in unburned sites. After 16 weeks, however, burned communities were significantly less stochastic than unburned communities. Thus, we propose a three-phase model featuring shifts in the relative importance of niche and neutral processes as a function of time since disturbance. Because neutral processes are characterized by a decoupling between environmental parameters and community structure, we hypothesize that a better understanding of community assembly may be important in determining where and when detailed studies of community composition are valuable for predicting ecosystem function.

Changes in assembly processes in soil bacterial communities following a wildfire disturbance

PubMed Central

Ferrenberg, Scott; O'Neill, Sean P; Knelman, Joseph E; Todd, Bryan; Duggan, Sam; Bradley, Daniel; Robinson, Taylor; Schmidt, Steven K; Townsend, Alan R; Williams, Mark W; Cleveland, Cory C; Melbourne, Brett A; Jiang, Lin; Nemergut, Diana R

2013-01-01

Although recent work has shown that both deterministic and stochastic processes are important in structuring microbial communities, the factors that affect the relative contributions of niche and neutral processes are poorly understood. The macrobiological literature indicates that ecological disturbances can influence assembly processes. Thus, we sampled bacterial communities at 4 and 16 weeks following a wildfire and used null deviation analysis to examine the role that time since disturbance has in community assembly. Fire dramatically altered bacterial community structure and diversity as well as soil chemistry for both time-points. Community structure shifted between 4 and 16 weeks for both burned and unburned communities. Community assembly in burned sites 4 weeks after fire was significantly more stochastic than in unburned sites. After 16 weeks, however, burned communities were significantly less stochastic than unburned communities. Thus, we propose a three-phase model featuring shifts in the relative importance of niche and neutral processes as a function of time since disturbance. Because neutral processes are characterized by a decoupling between environmental parameters and community structure, we hypothesize that a better understanding of community assembly may be important in determining where and when detailed studies of community composition are valuable for predicting ecosystem function. PMID:23407312

Post-breeding habitat use by adult Boreal Toads (Bufo boreas) after wildfire in Glacier National Park, USA

USGS Publications Warehouse

Guscio, C.G.; Hossack, B.R.; Eby, L.A.; Corn, P.S.

2008-01-01

Effects of wildfire on amphibians are complex, and some species may benefit from the severe disturbance of stand-replacing fire. Boreal Toads (Bufo boreas boreas) in Glacier National Park, Montana, USA increased in occurrence after fires in 2001 and 2003. We used radio telemetry to track adult B. boreas in a mosaic of terrestrial habitats with different burn severities to better understand factors related to the post-fire pulse in breeding activity. Toads used severely burned habitats more than expected and partially burned habitats less than expected. No toads were relocated in unburned habitat, but little of the study area was unburned and the expected number of observations in unburned habitat was < 3. High vagility of B. boreas and preference for open habitats may predispose this species to exploit recently disturbed landscapes. The long-term consequences of fire suppression likely have had different effects in different parts of the range of B. boreas. More information is needed, particularly in the northern Rocky Mountains, where toads are more likely to occupy habitats that have diverged from historic fire return intervals. Copyright ?? 2008. C. Gregory Guscio. All rights reserved.

Analysis of Knock Phenomenon Induced in a Constant Volume Chamber by Local Gas Temperature Measurement and Visualization

NASA Astrophysics Data System (ADS)

Moriyoshi, Yasuo; Kobayashi, Shigemi; Enomoto, Yoshiteru

Knock phenomenon in SI engines is regarded as an auto-ignition of unburned end-gas, and it has been widely examined by using rapid compression machines (RCM), shock-tubes or test engines. Recent researches point out the importance of the low temperature chemical reaction and the negative temperature coefficient (NTC). To investigate the effects, analyses of instantaneous local gas temperature, flow visualization and gaseous pressure were conducted in this study. As measurements using real engines are too difficult to analyze, the authors aimed to make measurements using a constant volume vessel under knock conditions where propagating flame exists during the induction time of auto-ignition. Adopting the two-wire thermocouple method enabled us to measure the instantaneous local gas temperature until the moment when the flame front passes by. High-speed images inside the unburned region were also recorded simultaneously using an endoscope. As a result, it was found that when knock occurs, the auto-ignition initiation time seems slightly early compared to the results without knock. This causes a higher volume ratio of unburned mixture and existence of many hot spots and stochastically leads to an initiation of knock.

Interactive effects of fire, soil climate, and moss on CO2 fluxes in black spruce ecosystems of interior Alaska

USGS Publications Warehouse

O'Donnell, J. A.; Turetsky, M.R.; Harden, J.W.; Manies, K.L.; Pruett, L.E.; Shetler, G.; Neff, J.C.

2009-01-01

Fire is an important control on the carbon (C) balance of the boreal forest region. Here, we present findings from two complementary studies that examine how fire modifies soil organic matter properties, and how these modifications influence rates of decomposition and C exchange in black spruce (Picea mariana) ecosystems of interior Alaska. First, we used laboratory incubations to explore soil temperature, moisture, and vegetation effects on CO2 and DOC production rates in burned and unburned soils from three study regions in interior Alaska. Second, at one of the study regions used in the incubation experiments, we conducted intensive field measurements of net ecosystem exchange (NEE) and ecosystem respiration (ER) across an unreplicated factorial design of burning (2 year post-fire versus unburned sites) and drainage class (upland forest versus peatland sites). Our laboratory study showed that burning reduced the sensitivity of decomposition to increased temperature, most likely by inducing moisture or substrate quality limitations on decomposition rates. Burning also reduced the decomposability of Sphagnum-derived organic matter, increased the hydrophobicity of feather moss-derived organic matter, and increased the ratio of dissolved organic carbon (DOC) to total dissolved nitrogen (TDN) in both the upland and peatland sites. At the ecosystem scale, our field measurements indicate that the surface organic soil was generally wetter in burned than in unburned sites, whereas soil temperature was not different between the burned and unburned sites. Analysis of variance results showed that ER varied with soil drainage class but not by burn status, averaging 0.9 ?? 0.1 and 1.4 ?? 0.1 g C m-2d-1 in the upland and peatland sites, respectively. However, a more complex general linear model showed that ER was controlled by an interaction between soil temperature, moisture, and burn status, and in general was less variable over time in the burned than in the unburned sites. Together, findings from these studies across different spatial scales suggest that although fire can create some soil climate conditions more conducive to rapid decomposition, rates of C release from soils may be constrained following fire by changes in moisture and/or substrate quality that impede rates of decomposition. ?? 2008 Springer Science+Business Media, LLC.

Interactive effects of fire, soil climate, and moss on CO2 fluxes in black spruce ecosystems of interior Alaska

USGS Publications Warehouse

O'Donnell, Jonathan A.; Turetsky, Merritt R.; Harden, Jennifer W.; Manies, Kristen L.; Pruett, L.E.; Shetler, Gordon; Neff, Jason C.

2009-01-01

Fire is an important control on the carbon (C) balance of the boreal forest region. Here, we present findings from two complementary studies that examine how fire modifies soil organic matter properties, and how these modifications influence rates of decomposition and C exchange in black spruce (Picea mariana) ecosystems of interior Alaska. First, we used laboratory incubations to explore soil temperature, moisture, and vegetation effects on CO2 and DOC production rates in burned and unburned soils from three study regions in interior Alaska. Second, at one of the study regions used in the incubation experiments, we conducted intensive field measurements of net ecosystem exchange (NEE) and ecosystem respiration (ER) across an unreplicated factorial design of burning (2 year post-fire versus unburned sites) and drainage class (upland forest versus peatland sites). Our laboratory study showed that burning reduced the sensitivity of decomposition to increased temperature, most likely by inducing moisture or substrate quality limitations on decomposition rates. Burning also reduced the decomposability of Sphagnum-derived organic matter, increased the hydrophobicity of feather moss-derived organic matter, and increased the ratio of dissolved organic carbon (DOC) to total dissolved nitrogen (TDN) in both the upland and peatland sites. At the ecosystem scale, our field measurements indicate that the surface organic soil was generally wetter in burned than in unburned sites, whereas soil temperature was not different between the burned and unburned sites. Analysis of variance results showed that ER varied with soil drainage class but not by burn status, averaging 0.9 ± 0.1 and 1.4 ± 0.1 g C m−2 d−1 in the upland and peatland sites, respectively. However, a more complex general linear model showed that ER was controlled by an interaction between soil temperature, moisture, and burn status, and in general was less variable over time in the burned than in the unburned sites. Together, findings from these studies across different spatial scales suggest that although fire can create some soil climate conditions more conducive to rapid decomposition, rates of C release from soils may be constrained following fire by changes in moisture and/or substrate quality that impede rates of decomposition.

Low NOx, Lean Direct Wall Injection Combustor Concept Developed

NASA Technical Reports Server (NTRS)

Tacina, Robert R.; Wey, Changlie; Choi, Kyung J.

2003-01-01

The low-emissions combustor development at the NASA Glenn Research Center is directed toward advanced high-pressure aircraft gas turbine applications. The emphasis of this research is to reduce nitrogen oxides (NOx) at high-power conditions and to maintain carbon monoxide and unburned hydrocarbons at their current low levels at low-power conditions. Low-NOx combustors can be classified into rich burn and lean burn concepts. Lean burn combustors can be further classified into lean-premixed-prevaporized (LPP) and lean direct injection (LDI) combustors. In both concepts, all the combustor air, except for liner cooling flow, enters through the combustor dome so that the combustion occurs at the lowest possible flame temperature. The LPP concept has been shown to have the lowest NOx emissions, but for advanced high-pressure-ratio engines, the possibly of autoignition or flashback precludes its use. LDI differs from LPP in that the fuel is injected directly into the flame zone and, thus, does not have the potential for autoignition or flashback and should have greater stability. However, since it is not premixed and prevaporized, the key is good atomization and mixing of the fuel quickly and uniformly so that flame temperatures are low and NOx formation levels are comparable to those of LPP.

Indoor air pollutants from unvented kerosene heater emissions in mobile homes: Studies on particles, semivolatile organics, carbon monoxide, and mutagenicity

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

Mumford, J.L.; Burton, R.M.; Svendsgaard, D.J.

1991-10-01

This study assessed human exposure to air pollutants from unvented kerosene heaters in mobile homes. Eight electric homes with no smokers were monitored for airborne particles of < 10 {mu}m in diameter (PM{sub 10}), semivolatile organics, and carbon monoxide with the kerosene heaters on and off. The organic emissions were assayed for polycyclic aromatic hydrocarbon (PAH), nitro-PAH, and for mutagenicity in a Salmonella typhimurium reverse mutation assay. Usage of kerosene heaters resulted in (a) a significant increase in CO and organic levels (including carcinogenic PAH and nitro-PAH), (b) no significant effect on PM{sub 10} levels, except in two homes, (c)more » the presence of unburned kerosene fuel, (d) an increase in mutagenicity (in TA98) of particle-phase organics in five homes, and (e) little mutagenicity in the semivolatile organics in TA98 and TA100. Four of the eight heaters investigated emitted pollutants that exceeded the US ambient air standards for the 24-h PM{sub 10} standard and/or CO standards (the 1-h peak or 8-h average standard). This study showed that kerosene heater emissions can significantly impact indoor air quality in mobile homes.« less

Experiments on Induction Times of Diesel-Fuels and its Surrogates

NASA Astrophysics Data System (ADS)

Eigenbrod, Christian; Reimert, Manfredo; Marks, Guenther; Rickmers, Peter; Klinkov, Konstantin; Moriue, Osamu

Aiming for as low polluting combustion control as possible in Diesel-engines or gas-turbines, pre-vaporized and pre-mixed combustion at low mean temperature levels marks the goal. Low-est emissions of nitric-oxides are achievable at combustion temperatures associated to mixture ratios close to the lean flammability limit. In order to prevent local mixture ratios to be below the flammability limit (resulting in flame extinction or generation of unburned hydrocarbons and carbon-monoxide) or to be richer than required (resulting in more nitric-oxide than possi-ble), well-stirred conditioning is required. The time needed for spray generation, vaporization and turbulent mixing is limited through the induction time to self-ignition in a hot high-pressure ambiance. Therefore, detailed knowledge about the autoignition of fuels is a pre-requisit. Experiments were performed at the Bremen drop tower to investigate the self-ignition behavior of single droplets of fossil-Diesel oil, rapeseed-oil, Gas-to-Liquid (GTL) synthetic Diesel-oil and the fossil Diesel surrogates n-heptane, n-tetradecane, 50 n-tetradecane/ 50 1-methylnaphthalene as well as on the GTL-surrogates n-tetradecane / bicyclohexyl and n-tetradecane / 2,2,4,4,6,8,8-heptamethylnonane (iso-cetane). The rules for selection of the above fuels and the experimental results are presented and dis-cussed.

Pulsed Turbulent Diffusion Flames in a Coflow

NASA Astrophysics Data System (ADS)

Usowicz, James E.; Hermanson, James C.; Johari, Hamid

2000-11-01

Fully modulated diffusion flames were studied experimentally in a co-flow combustor using unheated ethylene fuel at atmospheric pressure. A fast solenoid valve was used to fully modulate (completely shut-off) the fuel flow. The fuel was released from a 2 mm diameter nozzle with injection times ranging from 2 to 750 ms. The jet exit Reynolds number was 2000 to 10,000 with a co-flow air velocity of up to 0.02 times the jet exit velocity. Establishing the effects of co-flow for the small nozzle and short injection times is required for future tests of pulsed flames under microgravity conditions. The very short injection times resulted in compact, burning puffs. The compact puffs had a mean flame length as little as 20flame for the same Reynolds number. As the injection time and fuel volume increased, elongated flames resembling starting jets resulted with a flame length comparable to that of a steady flame. For short injection times, the addition of an air co-flow resulted in an increase in flame length of nearly 50flames with longer injection times was correspondingly smaller. The effects of interaction of successive pulses on the flame length were most pronounced for the compact puffs. The emissions of unburned hydrocarbon and NOx from the pulsed flames were examined.

Experimental investigation of regulated and unregulated emissions from a diesel engine fueled with Euro V diesel fuel and fumigation methanol

NASA Astrophysics Data System (ADS)

Zhang, Z. H.; Cheung, C. S.; Chan, T. L.; Yao, C. D.

2010-03-01

Experiments were conducted on a four-cylinder direct-injection diesel engine with part of the engine load taken up by fumigation methanol injected into the air intake of each cylinder to investigate the regulated and unregulated gaseous emissions and particulate emission of the engine under five engine loads at an engine speed of 1920 rev min -1. The fumigation methanol was injected to top up 10%, 20% and 30% of the engine load under different engine operating conditions. The experimental results show that at low engine loads, the brake thermal efficiency (BTE) decreases with increase in fumigation methanol; but at high engine loads, the BTE is not significantly affected by fumigation methanol. The fumigation methanol results in significant increase in hydrocarbon (HC), carbon monoxide (CO) and nitrogen dioxide (NO 2) emissions, but decrease in nitrogen oxides (NO x). For the unregulated gaseous emissions, unburned methanol, formaldehyde and BTX (benzene, toluene and xylene) emissions increase but ethyne, ethene and 1,3-butadiene emissions decrease. Particulate mass and number concentrations also decrease with increase in fumigation methanol. A diesel oxidation catalyst (DOC) is found to reduce significantly most of the pollutants, including the air toxics, when the exhaust gas temperature is sufficiently high.

2002 NASA Seal/Secondary Air System Workshop. Volume 1

NASA Technical Reports Server (NTRS)

Steinetz, Bruce M. (Editor); Hendricks, Robert C. (Editor)

2003-01-01

The 2002 NASA Seal/Secondary Air System Workshop covered the following topics: (i) Overview of NASA s perspective of aeronautics and space technology for the 21st century; (ii) Overview of the NASA-sponsored Ultra-Efficient Engine Technology (UEET), Turbine-Based Combined-Cycle (TBCC), and Revolutionary Turbine Accelator (RTA) programs; (iii) Overview of NASA Glenn's seal program aimed at developing advanced seals for NASA's turbomachinery, space propulsion, and reentry vehicle needs; (iv) Reviews of sealing concepts, test results, experimental facilities, and numerical predictions; and (v) Reviews of material development programs relevant to advanced seals development. The NASA UEET and TBCC/RTA program overviews illustrated for the reader the importance of advanced technologies, including seals, in meeting future turbine engine system efficiency and emission goals. For example, the NASA UEET program goals include an 8- to 15-percent reduction in fuel burn, a 15-percent reduction in CO2, a 70-percent reduction in NOx, CO, and unburned hydrocarbons, and a 30-dB noise reduction relative to program baselines. The workshop also covered several programs NASA is funding to investigate advanced reusable space vehicle technologies (X-38) and advanced space ram/scramjet propulsion systems. Seal challenges posed by these advanced systems include high-temperature operation, resiliency at the operating temperature to accommodate sidewall flexing, and durability to last many missions.

Investigation of engine performance and emissions of a diesel engine with a blend of marine gas oil and synthetic diesel fuel.

PubMed

Nabi, Md Nurun; Hustad, Johan Einar

2012-01-01

This paper investigates diesel engine performance and exhaust emissions with marine gas oil (MGO) and a blend of MGO and synthetic diesel fuel. Ten per cent by volume of Fischer-Tropsch (FT), a synthetic diesel fuel, was added to MGO to investigate its influence on the diesel engine performance and emissions. The blended fuel was termed as FT10 fuel, while the neat (100 vol%) MGO was termed as MGO fuel. The experiments were conducted with a fourstroke, six-cylinder, turbocharged, direct injection, Scania DC 1102 diesel engine. It is interesting to note that all emissions including smoke (filter smoke number), total particulate matter (TPM), carbon monoxide (CO), total unburned hydrocarbon (THC), oxides of nitrogen (NOx) and engine noise were reduced with FT10 fuel compared with the MGO fuel. Diesel fine particle number and mass emissions were measured with an electrical low pressure impactor. Like other exhaust emissions, significant reductions in fine particles and mass emissions were observed with the FT10 fuel. The reduction was due to absence of sulphur and aromatic compounds in the FT fuel. In-cylinder gas pressure and engine thermal efficiency were identical for both FT10 and MGO fuels.

Rapid and selective enzymatic debridement of porcine comb burns with bromelain-derived Debrase: acute-phase preservation of noninjured tissue and zone of stasis.

PubMed

Singer, Adam J; McClain, Steve A; Taira, Breena R; Rooney, Jean; Steinhauff, Nicole; Rosenberg, Lior

2010-01-01

Deep burns are associated with the formation of an eschar, which delays healing and increases the risk of infection. Surgical debridement of the eschar is, at present, the fastest means to achieve an eschar-free bed, but the process can not differentiate between the viable tissue and the eschar and follow the minute irregularities of the interface between the two. We evaluated the efficacy and selectivity of a novel enzymatic bromelain-based debriding agent, Debrase Gel Dressing (Debrase), in a porcine comb burn model. We hypothesized that Debrase would result in rapid debridement of the eschar without adverse effects on the surrounding uninjured skin. This is a prospective, controlled, animal experiment. Five domestic pigs (20-25 kg) were used in this study. Sixteen burns were created on each animal's dorsum using a brass comb with four rectangular prongs preheated in boiling water and applied for 30 seconds, resulting in four rectangular 10 x 20 mm full-thickness burns and separated by three 5 x 20 mm unburned interspaces representing the zone of stasis. The burned keratin layer (blisters) was removed, and the burns were treated with a single, topical, Debrase or control vehicle application for 4 hours. The Debrase/control was then wiped off using a metal forceps handle, and the burns were treated with a topical silver sulfadiazine (SSD). The wounds were observed, and full-thickness biopsies were obtained at 4 and 48 hours for evidence of dermal thickness, vascular thrombosis, and burn depth, both within the comb burns and the unburned interspaces in between them. Chi-square and t tests are used for data analysis. A single 4-hour topical application of Debrase resulted in rapid and complete eschar dissolution of all the burns in which the keratin layer was removed. The remaining dermis was thinner (1.1 +/- 0.7 mm) than in the control burns (2.1 +/- 0.3 mm; difference 0.9 mm [95% confidence interval: 0.3-1.4]) and was viable with no injury to the normal surrounding skin or to the unburned interspaces between the burns, which represents the zone of stasis. In control burns, the entire thickness of the dermis was necrotic. At 48 hours, Debrase-treated areas were found partially desiccated under SSD treatment. The unburned interspaces demonstrated partial-thickness necrosis in two third and full-thickness necrosis in one third of wounds. In contrast, full-thickness necrosis was noted in all control interspaces (P = .05). In a porcine comb burn model, a single, 4-hour topical application of Debrase resulted in rapid removal of the necrotic layer of the dermis with preservation of unburned tissues. At 48 hours, SSD treatment resulted in superficial tissue damage and partial preservation of the unburned interspaces.

Comparing Spray Characteristics from Reynolds Averaged Navier-Stokes (RANS) National Combustion Code (NCC) Calculations Against Experimental Data for a Turbulent Reacting Flow

NASA Technical Reports Server (NTRS)

Iannetti, Anthony C.; Moder, Jeffery P.

2010-01-01

Developing physics-based tools to aid in reducing harmful combustion emissions, like Nitrogen Oxides (NOx), Carbon Monoxide (CO), Unburnt Hydrocarbons (UHC s), and Sulfur Dioxides (SOx), is an important goal of aeronautics research at NASA. As part of that effort, NASA Glenn Research Center is performing a detailed assessment and validation of an in-house combustion CFD code known as the National Combustion Code (NCC) for turbulent reacting flows. To assess the current capabilities of NCC for simulating turbulent reacting flows with liquid jet fuel injection, a set of Single Swirler Lean Direct Injection (LDI) experiments performed at the University of Cincinnati was chosen as an initial validation data set. This Jet-A/air combustion experiment operates at a lean equivalence ratio of 0.75 at atmospheric pressure and has a 4 percent static pressure drop across the swirler. Detailed comparisons of NCC predictions for gas temperature and gaseous emissions (CO and NOx) against this experiment are considered in a previous work. The current paper is focused on detailed comparisons of the spray characteristics (radial profiles of drop size distribution and at several radial rakes) from NCC simulations against the experimental data. Comparisons against experimental data show that the use of the correlation for primary spray break-up implemented by Raju in the NCC produces most realistic results, but this result needs to be improved. Given the single or ten step chemical kinetics models, use of a spray size correlation gives similar, acceptable results

Stop the supply chain insanity. Retail as a model for hospitals.

PubMed

Belkoski, David A

2008-04-01

The healthcare supply chain has yet to embrace any single industrywide source for synchronized product data. A synchronized product data system is a keystone in other multibillion-dollar markets. University Health Care System (UHCS), Augusta, Ga., developed a pilot program that demonstrates the benefits of data standardization and synchronization and enabled the system to recognize productivity gains in the supply chain.

Universal Coverage without Universal Access: Institutional Barriers to Health Care among Women Sex Workers in Vancouver, Canada

PubMed Central

Socías, M. Eugenia; Shoveller, Jean; Bean, Chili; Nguyen, Paul; Montaner, Julio; Shannon, Kate

2016-01-01

Background Access to health care is a crucial determinant of health. Yet, even within settings that purport to provide universal health coverage (UHC), sex workers’ experiences reveal systematic, institutionally ingrained barriers to appropriate quality health care. The aim of this study was to assess prevalence and correlates of institutional barriers to care among sex workers in a setting with UHC. Methods Data was drawn from an ongoing community-based, prospective cohort of women sex workers in Vancouver, Canada (An Evaluation of Sex Workers’ Health Access). Multivariable logistic regression analyses, using generalized estimating equations (GEE), were employed to longitudinally investigate correlates of institutional barriers to care over a 44-month follow-up period (January 2010-August 2013). Results In total, 723 sex workers were included, contributing to 2506 observations. Over the study period, 509 (70.4%) women reported one or more institutional barriers to care. The most commonly reported institutional barriers to care were long wait times (54.6%), limited hours of operation (36.5%), and perceived disrespect by health care providers (26.1%). In multivariable GEE analyses, recent partner- (adjusted odds ratio [AOR] = 1.46, % 95% Confidence Interval [CI] 1.10–1.94), workplace- (AOR = 1.31, 95% CI 1.05–1.63), and community-level violence (AOR = 1.41, 95% CI 1.04–1.92), as well as other markers of vulnerability, such as self-identification as a gender/sexual minority (AOR = 1.32, 95% CI 1.03–1.69), a mental illness diagnosis (AOR = 1.66, 95% CI 1.34–2.06), and lack of provincial health insurance card (AOR = 3.47, 95% CI 1.59–7.57) emerged as independent correlates of institutional barriers to health services. Discussion Despite Canada’s UHC, women sex workers in Vancouver face high prevalence of institutional barriers to care, with highest burden among most marginalized women. These findings underscore the need to explore new models of care, alongside broader policy changes to fulfill sex workers’ health and human rights. PMID:27182736

Catastrophic healthcare expenditure and poverty related to out-of-pocket payments for healthcare in Bangladesh-an estimation of financial risk protection of universal health coverage.

PubMed

Khan, Jahangir A M; Ahmed, Sayem; Evans, Timothy G

2017-10-01

The Sustainable Development Goals target to achieve Universal Health Coverage (UHC), including financial risk protection (FRP) among other dimensions. There are four indicators of FRP, namely incidence of catastrophic health expenditure (CHE), mean positive catastrophic overshoot, incidence of impoverishment and increase in the depth of poverty occur for high out-of-pocket (OOP) healthcare spending. OOP spending is the major payment strategy for healthcare in most low-and-middle-income countries, such as Bangladesh. Large and unpredictable health payments can expose households to substantial financial risk and, at their most extreme, can result in poverty. The aim of this study was to estimate the impact of OOP spending on CHE and poverty, i.e. status of FRP for UHC in Bangladesh. A nationally representative Household Income and Expenditure Survey 2010 was used to determine household consumption expenditure and health-related spending in the last 30 days. Mean CHE headcount and its concentration indices (CI) were calculated. The propensity of facing CHE for households was predicted by demographic and socioeconomic characteristics. The poverty headcount was estimated using 'total household consumption expenditure' and such expenditure without OOP payments for health in comparison with the poverty-line measured by cost of basic need. In absolute values, a pro-rich distribution of OOP payment for healthcare was found in urban and rural Bangladesh. At the 10%-threshold level, in total 14.2% of households faced CHE with 1.9% overshoot. 16.5% of the poorest and 9.2% of the richest households faced CHE. An overall pro-poor distribution was found for CHE (CI = -0.064) in both urban and rural households, while the former had higher CHE incidences. The poverty headcount increased by 3.5% (5.1 million individuals) due to OOP payments. Reliance on OOP payments for healthcare in Bangladesh should be reduced for poverty alleviation in urban and rural Bangladesh in order to secure FRP for UHC. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Internal combustion engine having a reactor for afterburning of unburned exhaust gas constituents

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

Maurhoff, G.; Steinwart, J.

1974-08-07

An internal combustion engine is described which has an engine housing and a reactor for afterburning of unburned constituents in the exhaust gas. The reactor has a shell with a periphery and contains a heat-insulated, reactor chamber which is freely movable beyond the point of connection to the shell. The reactor has an inlet nozzle extending freely through the shell and connected to an outlet passage of the engine and has an outlet for escape of the exhaust gases from the reactor chamber. The inlet nozzle protrudes freely into the outlet passage, and the shell has a portion around themore » inlet nozzle in contact with the engine housing.« less

Photosynthetic, hydraulic and biomechanical responses of Juglans californica shoots to wildfire.

PubMed

Utsumi, Yasuhiro; Bobich, Edward G; Ewers, Frank W

2010-10-01

Leaf gas exchange and stem xylem hydraulic and mechanical properties were studied for unburned adults and resprouting burned Juglans californica (southern California black walnut) trees 1 year after a fire to explore possible trade-offs between mechanical and hydraulic properties of plants. The CO(2) uptake rates and stomatal conductance were 2-3 times greater for resprouting trees than for unburned adults. Both predawn and midday water potentials were more negative for unburned adult trees, indicating that the stems were experiencing greater water stress than the stems of resprouting trees. In addition, the xylem specific conductivity was similar in the two growth forms, even though the stems of resprouting trees were less vulnerable to water-stress-induced embolism than similar diameter, but older, stems of adult trees. The reduced vulnerability may have been due to less cavitation fatigue in stems of resprouts. The modulus of elasticity, modulus of rupture and xylem density were all greater for resprouts, indicating that resprouts have greater mechanical strength than do adult trees. The data suggest that there is no trade-off between stem mechanical strength and shoot hydraulic and photosynthetic efficiency in resprouts, which may have implications for the success of this species in the fire-prone plant communities of southern California.

Fire, red squirrels, whitebark pine, and Yellowstone grizzly bears

USGS Publications Warehouse

Podruzny, Shannon; Reinhart, Daniel P.; Mattson, David J.

1999-01-01

Whitebark pine (Pinus albicaulis) habitats are important to Yellowstone grizzly bears (Ursus arctos) as refugia and sources of food. Ecological relationships between whitebark pine, red squirrels (Tamiasciurus hudsonicus), and grizzly bear use of pine seeds on Mt. Washburn in Yellowstone National Park, Wyoming, were examined during 1984-86. Following large-scale fires in 1988, we repeated the study in 1995-97 to examine the effects of fire on availability of whitebark pine seed in red squirrel middens and on bear use of middens. Half of the total length of the original line transects burned. We found no red squirrel middens in burned areas. Post-fire linear-abundance (no./km) of active squirrel middens that were pooled from burned and unburned areas decreased 27% compared to pre-fire abundance, but increased in unburned portions of some habitat types. Mean size of active middens decreased 54% post-fire. Use of pine seeds by bears (linear abundance of excavated middens) in pooled burned and unburned habitats decreased by 64%, likely due to the combined effects of reduced midden availability and smaller midden size. We discourage any further large-scale losses of seed producing trees from management-prescribed fires or timber harvesting until the effects of fire on ecological relationships in the whitebark pine zone are better understood.

The response of Arctic vegetation and soils following an unusually severe tundra fire

PubMed Central

Bret-Harte, M. Syndonia; Mack, Michelle C.; Shaver, Gaius R.; Huebner, Diane C.; Johnston, Miriam; Mojica, Camilo A.; Pizano, Camila; Reiskind, Julia A.

2013-01-01

Fire causes dramatic short-term changes in vegetation and ecosystem function, and may promote rapid vegetation change by creating recruitment opportunities. Climate warming likely will increase the frequency of wildfire in the Arctic, where it is not common now. In 2007, the unusually severe Anaktuvuk River fire burned 1039 km2 of tundra on Alaska's North Slope. Four years later, we harvested plant biomass and soils across a gradient of burn severity, to assess recovery. In burned areas, above-ground net primary productivity of vascular plants equalled that in unburned areas, though total live biomass was less. Graminoid biomass had recovered to unburned levels, but shrubs had not. Virtually all vascular plant biomass had resprouted from surviving underground parts; no non-native species were seen. However, bryophytes were mostly disturbance-adapted species, and non-vascular biomass had recovered less than vascular plant biomass. Soil nitrogen availability did not differ between burned and unburned sites. Graminoids showed allocation changes consistent with nitrogen stress. These patterns are similar to those seen following other, smaller tundra fires. Soil nitrogen limitation and the persistence of resprouters will likely lead to recovery of mixed shrub–sedge tussock tundra, unless permafrost thaws, as climate warms, more extensively than has yet occurred. PMID:23836794

The response of Arctic vegetation and soils following an unusually severe tundra fire.

PubMed

Bret-Harte, M Syndonia; Mack, Michelle C; Shaver, Gaius R; Huebner, Diane C; Johnston, Miriam; Mojica, Camilo A; Pizano, Camila; Reiskind, Julia A

2013-08-19

Fire causes dramatic short-term changes in vegetation and ecosystem function, and may promote rapid vegetation change by creating recruitment opportunities. Climate warming likely will increase the frequency of wildfire in the Arctic, where it is not common now. In 2007, the unusually severe Anaktuvuk River fire burned 1039 km(2) of tundra on Alaska's North Slope. Four years later, we harvested plant biomass and soils across a gradient of burn severity, to assess recovery. In burned areas, above-ground net primary productivity of vascular plants equalled that in unburned areas, though total live biomass was less. Graminoid biomass had recovered to unburned levels, but shrubs had not. Virtually all vascular plant biomass had resprouted from surviving underground parts; no non-native species were seen. However, bryophytes were mostly disturbance-adapted species, and non-vascular biomass had recovered less than vascular plant biomass. Soil nitrogen availability did not differ between burned and unburned sites. Graminoids showed allocation changes consistent with nitrogen stress. These patterns are similar to those seen following other, smaller tundra fires. Soil nitrogen limitation and the persistence of resprouters will likely lead to recovery of mixed shrub-sedge tussock tundra, unless permafrost thaws, as climate warms, more extensively than has yet occurred.

A DNS study of the physical mechanisms associated with density ratio influence on turbulent burning velocity in premixed flames

NASA Astrophysics Data System (ADS)

Lipatnikov, Andrei N.; Chomiak, Jerzy; Sabelnikov, Vladimir A.; Nishiki, Shinnosuke; Hasegawa, Tatsuya

2018-01-01

Data obtained in 3D direct numerical simulations of statistically planar, 1D weakly turbulent flames characterised by different density ratios σ are analysed to study the influence of thermal expansion on flame surface area and burning rate. Results show that, on the one hand, the pressure gradient induced within a flame brush owing to heat release in flamelets significantly accelerates the unburned gas that deeply intrudes into the combustion products in the form of an unburned mixture finger, thus causing large-scale oscillations of the burning rate and flame brush thickness. Under the conditions of the present simulations, the contribution of this mechanism to the creation of the flame surface area is substantial and is increased by σ, thus implying an increase in the burning rate by σ. On the other hand, the total flame surface areas simulated at σ = 7.53 and 2.5 are approximately equal. The apparent inconsistency between these results implies the existence of another thermal expansion effect that reduces the influence of σ on the flame surface area and burning rate. Investigation of the issue shows that the flow acceleration by the combustion-induced pressure gradient not only creates the flame surface area by pushing the finger tip into the products, but also mitigates wrinkling of the flame surface (the side surface of the finger) by turbulent eddies. The latter effect is attributed to the high-speed (at σ = 7.53) axial flow of the unburned gas, which is induced by the axial pressure gradient within the flame brush (and the finger). This axial flow acceleration reduces the residence time of a turbulent eddy in an unburned zone of the flame brush (e.g. within the finger). Therefore, the capability of the eddy for wrinkling the flamelet surface (e.g. the side finger surface) is weakened owing to a shorter residence time.

The Phenology of Ticks and the Effects of Long-Term Prescribed Burning on Tick Population Dynamics in Southwestern Georgia and Northwestern Florida

PubMed Central

Gleim, Elizabeth R.; Conner, L. Mike; Berghaus, Roy D.; Levin, Michael L.; Zemtsova, Galina E.; Yabsley, Michael J.

2014-01-01

Some tick populations have increased dramatically in the past several decades leading to an increase in the incidence and emergence of tick-borne diseases. Management strategies that can effectively reduce tick populations while better understanding regional tick phenology is needed. One promising management strategy is prescribed burning. However, the efficacy of prescribed burning as a mechanism for tick control is unclear because past studies have provided conflicting data, likely due to a failure of some studies to simulate operational management scenarios and/or account for other predictors of tick abundance. Therefore, our study was conducted to increase knowledge of tick population dynamics relative to long-term prescribed fire management. Furthermore, we targeted a region, southwestern Georgia and northwestern Florida (USA), in which little is known regarding tick dynamics so that basic phenology could be determined. Twenty-one plots with varying burn regimes (burned surrounded by burned [BB], burned surrounded by unburned [BUB], unburned surrounded by burned [UBB], and unburned surrounded by unburned [UBUB]) were sampled monthly for two years while simultaneously collecting data on variables that can affect tick abundance (e.g., host abundance, vegetation structure, and micro- and macro-climatic conditions). In total, 47,185 ticks were collected, of which, 99% were Amblyomma americanum, 0.7% were Ixodes scapularis, and fewer numbers of Amblyomma maculatum, Ixodes brunneus, and Dermacentor variabilis. Monthly seasonality trends were similar between 2010 and 2011. Long-term prescribed burning consistently and significantly reduced tick counts (overall and specifically for A. americanum and I. scapularis) regardless of the burn regimes and variables evaluated. Tick species composition varied according to burn regime with A. americanum dominating at UBUB, A. maculatum at BB, I. scapularis at UBB, and a more even composition at BUB. These data indicate that regular prescribed burning is an effective tool for reducing tick populations and ultimately may reduce risk of tick-borne disease. PMID:25375797

Impacts of prescribed fire on Pinus rigida Mill. in upland forests of the Atlantic Coastal Plain.

PubMed

Carlo, Nicholas J; Renninger, Heidi J; Clark, Kenneth L; Schäfer, Karina V R

2016-08-01

A comparative analysis of the impacts of prescribed fire on three upland forest stands in the Northeastern Atlantic Plain, NJ, USA, was conducted. Effects of prescribed fire on water use and gas exchange of overstory pines were estimated via sap-flux rates and photosynthetic measurements on Pinus rigida Mill. Each study site had two sap-flux plots, one experiencing prescribed fire and one control (unburned) plot for comparison before and after the fire. We found that photosynthetic capacity in terms of Rubisco-limited carboxylation rate and intrinsic water-use efficiency was unaffected, while light compensation point and dark respiration rate were significantly lower in the burned vs control plots post-fire. Furthermore, quantum yield in pines in the pine-dominated stands was less affected than pines in the mixed oak/pine stand, as there was an increase in quantum yield in the oak/pine stand post-fire compared with the control (unburned) plot. We attribute this to an effect of forest type but not fire per se. Average daily sap-flux rates of the pine trees increased compared with control (unburned) plots in pine-dominated stands and decreased in the oak/pine stand compared with control (unburned) plots, potentially due to differences in fuel consumption and pre-fire sap-flux rates. Finally, when reference canopy stomatal conductance was analyzed, pines in the pine-dominated stands were more sensitive to changes in vapor pressure deficit (VPD), while stomatal responses of pines in the oak/pine stand were less affected by VPD. Therefore, prescribed fire affects physiological functioning and water use of pines, but the effects may be modulated by forest stand type and fuel consumption pattern, which suggests that these factors may need to be taken into account for forest management in fire-dominated systems. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Restoring forbs for sage grouse habitat: Fire, microsites, and establishment methods

USGS Publications Warehouse

Wirth, Troy A.; Pyke, David A.

2003-01-01

The decline and range reduction of sage grouse populations are primarily due to permanent loss and degradation of sagebrusha??grassland habitat. Several studies have shown that sage grouse productivity may be limited by the availability of certain preferred highly nutritious forb species that have also declined within sagebrush ecosystems of the Intermountain West, U.S.A. The purpose of this study was to determine the suitability of three species of forbs for revegetation projects where improving sage grouse habitat is a goal. Species suitability was determined by evaluating the emergence, survival, and reproduction of Crepis modocensis, C. occidentalis, and Astragalus purshii in response to method of establishment (seeding or transplanting), site preparation treatment (burned or unburned), and microsite (mound or interspace) in an Artemisia tridentata ssp. wyomingensis vegetation association in south central Oregon. For seeded plants A. purshii had the lowest emergence (8%) of all three species. Both seeded Crepis species had similar overall emergence (38%). Significantly more Crepis seedlings emerged from shrub mounds in unburned areas (50%) than in any other fire-by-microsite treatment (33 to 36%). Approximately 10% more Crepis seedlings survived in mounds compared with interspaces. Nearly twice as many emerging Crepis seedlings survived in the burned areas as opposed to unburned areas (p < 0.01). This resulted in more plant establishment in burned mounds despite higher emergence in unburned mounds. Astragalus purshii seedlings also survived better in burned areas (p = 0.06) but had no differential response to microsite. Fire enhanced survival of both Crepis and A. purshii transplants (p = 0.08 and p = 0.001). We believe additional research is needed to improve A. purshii emergence before it will become an effective plant for restoring sage grouse habitat. Conversely, we conclude that these Crepis species provide a viable revegetation option for improving sage grouse habitat in south central Oregon.

Burn Severity Based Stream Buffers for Post Wildfire Salvage Logging Erosion

NASA Astrophysics Data System (ADS)

Bone, E. D.; Robichaud, P. R.; Brooks, E. S.; Brown, R. E.

2017-12-01

Riparian buffers may be managed for timber harvest disturbances to decrease the risk of hillslope erosion entering stream channels during runoff events. After a wildfire, burned riparian buffers may become less efficient at infiltrating runoff and reducing sedimentation, requiring wider dimensions. Testing riparian buffers under post-wildfire conditions may provide managers guidance on how to manage post-fire salvage logging operations on hillslopes and protect water quality in adjacent streams. We tested burned, unlogged hillslopes at the 2015 North Star Fire and 2016 Cayuse Mountain Fire locations in Washington, USA for their ability to reduce runoff flows and sedimentation. Our objectives were to: 1) measure the travel distances of concentrated flows using three sediment-laden flow rates, 2) measure the change in sediment concentration as each flow moves downslope, 3) test hillslopes under high burn-severity, low burn-severity and unburned conditions, and 4) conduct experiments at 0, 1 and 2 years since the fire events. Mean total flow length at the North Star Fire in year 1 was 211% greater at low burn-severity sites than unburned sites, and 467% greater at high burn-severity sites than unburned sites. Results decreased for all burned sites in year 2; by 40% at the high burn-severity sites, and by 30% at the low burn-severity sites, with no significant changes at the unburned sites. We tested only high burn-severity sites at the Cayuse Mountain Fire in year 0 and 1 where the mean total flow length between year 0 and year 1 decreased by 65%. The results of sediment concentration changes tracked closely with the magnitude of changes in flow travel lengths between treatments. Results indicate that managers may need to increase the widths of burned stream buffers during post-wildfire salvage logging for water quality protection, but stream buffer widths may decrease with less severe burn severity and increasing elapsed time (years) since fire.

Dynamics of the Leaf-Litter Arthropod Fauna Following Fire in a Neotropical Woodland Savanna

PubMed Central

Vasconcelos, Heraldo L.; Pacheco, Renata; Silva, Raphael C.; Vasconcelos, Pedro B.; Lopes, Cauê T.; Costa, Alan N.; Bruna, Emilio M.

2009-01-01

Fire is an important agent of disturbance in tropical savannas, but relatively few studies have analyzed how soil-and-litter dwelling arthropods respond to fire disturbance despite the critical role these organisms play in nutrient cycling and other biogeochemical processes. Following the incursion of a fire into a woodland savanna ecological reserve in Central Brazil, we monitored the dynamics of litter-arthropod populations for nearly two years in one burned and one unburned area of the reserve. We also performed a reciprocal transplant experiment to determine the effects of fire and litter type on the dynamics of litter colonization by arthropods. Overall arthropod abundance, the abundance of individual taxa, the richness of taxonomic groups, and the species richness of individual taxa (Formiciade) were lower in the burned site. However, both the ordinal-level composition of the litter arthropod fauna and the species-level composition of the litter ant fauna were not dramatically different in the burned and unburned sites. There is evidence that seasonality of rainfall interacts with fire, as differences in arthropod abundance and diversity were more pronounced in the dry than in the wet season. For many taxa the differences in abundance between burned and unburned sites were maintained even when controlling for litter availability and quality. In contrast, differences in abundance for Collembola, Formicidae, and Thysanoptera were only detected in the unmanipulated samples, which had a lower amount of litter in the burned than in the unburned site throughout most of our study period. Together these results suggest that arthropod density declines in fire-disturbed areas as a result of direct mortality, diminished resources (i.e., reduced litter cover) and less favorable microclimate (i.e., increased litter desiccation due to reduction in tree cover). Although these effects were transitory, there is evidence that the increasingly prevalent fire return interval of only 1–2 years may jeopardize the long-term conservation of litter arthropod communities. PMID:19898619

The phenology of ticks and the effects of long-term prescribed burning on tick population dynamics in southwestern Georgia and northwestern Florida.

PubMed

Gleim, Elizabeth R; Conner, L Mike; Berghaus, Roy D; Levin, Michael L; Zemtsova, Galina E; Yabsley, Michael J

2014-01-01

Some tick populations have increased dramatically in the past several decades leading to an increase in the incidence and emergence of tick-borne diseases. Management strategies that can effectively reduce tick populations while better understanding regional tick phenology is needed. One promising management strategy is prescribed burning. However, the efficacy of prescribed burning as a mechanism for tick control is unclear because past studies have provided conflicting data, likely due to a failure of some studies to simulate operational management scenarios and/or account for other predictors of tick abundance. Therefore, our study was conducted to increase knowledge of tick population dynamics relative to long-term prescribed fire management. Furthermore, we targeted a region, southwestern Georgia and northwestern Florida (USA), in which little is known regarding tick dynamics so that basic phenology could be determined. Twenty-one plots with varying burn regimes (burned surrounded by burned [BB], burned surrounded by unburned [BUB], unburned surrounded by burned [UBB], and unburned surrounded by unburned [UBUB]) were sampled monthly for two years while simultaneously collecting data on variables that can affect tick abundance (e.g., host abundance, vegetation structure, and micro- and macro-climatic conditions). In total, 47,185 ticks were collected, of which, 99% were Amblyomma americanum, 0.7% were Ixodes scapularis, and fewer numbers of Amblyomma maculatum, Ixodes brunneus, and Dermacentor variabilis. Monthly seasonality trends were similar between 2010 and 2011. Long-term prescribed burning consistently and significantly reduced tick counts (overall and specifically for A. americanum and I. scapularis) regardless of the burn regimes and variables evaluated. Tick species composition varied according to burn regime with A. americanum dominating at UBUB, A. maculatum at BB, I. scapularis at UBB, and a more even composition at BUB. These data indicate that regular prescribed burning is an effective tool for reducing tick populations and ultimately may reduce risk of tick-borne disease.

Decision Making and Priority Setting: The Evolving Path Towards Universal Health Coverage.

PubMed

Paolucci, Francesco; Redekop, Ken; Fouda, Ayman; Fiorentini, Gianluca

2017-12-01

Health technology assessment (HTA) is widely viewed as an essential component in good universal health coverage (UHC) decision-making in any country. Various HTA tools and metrics have been developed and refined over the years, including systematic literature reviews (Cochrane), economic modelling, and cost-effectiveness ratios and acceptability curves. However, while the cost-effectiveness ratio is faithfully reported in most full economic evaluations, it is viewed by many as an insufficient basis for reimbursement decisions. Emotional debates about the reimbursement of cancer drugs, orphan drugs, and end-of-life treatments have revealed fundamental disagreements about what should and should not be considered in reimbursement decisions. Part of this disagreement seems related to the equity-efficiency tradeoff, which reflects fundamental differences in priorities. All in all, it is clear that countries aiming to improve UHC policies will have to go beyond the capacity building needed to utilize the available HTA toolbox. Multi-criteria decision analysis (MCDA) offers a more comprehensive tool for reimbursement decisions where different weights of different factors/attributes can give policymakers important insights to consider. Sooner or later, every country will have to develop their own way to carefully combine the results of those tools with their own priorities. In the end, all policymaking is based on a mix of facts and values.

Rotavirus vaccines contribute towards universal health coverage in a mixed public-private healthcare system.

PubMed

Loganathan, Tharani; Jit, Mark; Hutubessy, Raymond; Ng, Chiu-Wan; Lee, Way-Seah; Verguet, Stéphane

2016-11-01

To evaluate rotavirus vaccination in Malaysia from the household's perspective. The extended cost-effectiveness analysis (ECEA) framework quantifies the broader value of universal vaccination starting with non-health benefits such as financial risk protection and equity. These dimensions better enable decision-makers to evaluate policy on the public finance of health programmes. The incidence, health service utilisation and household expenditure related to rotavirus gastroenteritis according to national income quintiles were obtained from local data sources. Multiple birth cohorts were distributed into income quintiles and followed from birth over the first five years of life in a multicohort, static model. We found that the rich pay more out of pocket (OOP) than the poor, as the rich use more expensive private care. OOP payments among the poorest although small are high as a proportion of household income. Rotavirus vaccination results in substantial reduction in rotavirus episodes and expenditure and provides financial risk protection to all income groups. Poverty reduction benefits are concentrated amongst the poorest two income quintiles. We propose that universal vaccination complements health financing reforms in strengthening Universal Health Coverage (UHC). ECEA provides an important tool to understand the implications of vaccination for UHC, beyond traditional considerations of economic efficiency. © 2016 John Wiley & Sons Ltd.

Monitoring Soil Erosion on a Burned Site in the Mojave-Great Basin Transition Zone: Final Report for the Jacob Fire Site

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

Miller, Julianne; Etyemezian, Vic; Cablk, Mary E.

A historic return interval of 100 years for large fires in the U.S. southwestern deserts is being replaced by one where fires may reoccur as frequently as every 20 to 30 years. The shortened return interval, which translates to an increase in fires, has implications for management of Soil Corrective Action Units (CAUs) and Corrective Action Sites (CASs) for which the Department of Energy, National Nuclear Security Administration Nevada Field Office has responsibility. A series of studies was initiated at uncontaminated analog sites to better understand the possible impacts of erosion and transport by wind and water should contaminated soilmore » sites burn. The first of these studies was undertaken at the Jacob Fire site approximately 12 kilometers (7.5 miles) north of Hiko, Nevada. A lightning-caused fire burned approximately 200 hectares during August 6-8, 2008. The site is representative of a transition between Mojave and Great Basin desert ecoregions on the Nevada National Security Site (NNSS), where the largest number of Soil CAUs/CASs are located. The area that burned at the Jacob Fire site was primarily a Coleogyne ramosissima (blackbrush) and Ephedra nevadensis (Mormon tea) community, also an abundant shrub assemblage in the similar transition zone on the NNSS. This report summarizes three years of measurements after the fire. Seven measurement campaigns at the Jacob Fire site were completed. Measurements were made on burned ridge (upland) and drainage sites, and on burned and unburned sites beneath and between vegetation. A Portable In-Situ Wind Erosion Lab (PI-SWERL) was used to estimate emissions of suspended particles at different wind speeds. Context for these measurements was provided through a meteorological tower that was installed at the Jacob Fire site to obtain local, relevant environmental parameters. Filter samples, collected from the exhaust of the PI-SWERL during measurements, were analyzed for chemical composition. Runoff and water erosion were quantified through a series of rainfall/runoff simulation tests in which controlled amounts of water were delivered to the soil surface in a specified amount of time. Runoff data were collected from understory and interspace soils on burned ridge and drainage areas. Runoff volume and suspended sediment in the runoff were sampled; the particle size distribution of the sediment was determined by laboratory analysis. Several land surface and soil characteristics associated with runoff were integrated by the calculation of site-specific curve numbers. Several vegetation surveys were conducted to assess post-burn recovery. Data from plots in both burned and unburned areas included species identification, counts, and location. Characterization of fire-affected area included measures at both the landscape scale and at specific sites. Although wind erosion measurements indicate that there are seasonal influences on almost all parameters measured, several trends were observed. PI-SWERL measurements indicated the potential for PM10 windblown dust emissions was higher on areas that were burned compared to areas that were not. Among the burned areas, understory soils in drainage areas were the most emissive, and interspace soils along burned ridges were least emissive. By 34 months after the burn (MAB), at the end of the study, emissions from all burned soil sites were virtually indistinguishable from unburned levels. Like the amount of emissions, the chemical signature of the fire (indicated by the EC-Soil ratio) was elevated immediately after the fire and approached pre-burn levels by 24 MAB. Thus, the potential for wind erosion at the Jacob Fire site, as measured by the amount and type of emissions, increased significantly after the fire and returned to unburned levels by 24 MAB. The effect of fire on the potential for water erosion at the Jacob Fire site was more ambiguous. Runoff and sediment from ridge interspace soils and unburned interspace soils were similar throughout the study period. Seldom, if ever, did runoff and sediment occur in burned drainage area soils. For burned soils where runoff occurred at 1 MAB, the sediment size was finer than on unburned sites, but this effect disappeared by 3 MAB. For the three year study under the conditions tested at the Jacob Fire site, the potential for water erosion appeared relatively unaffected by the fire. Vegetation responses were documented for each year following the fire. By the end of the study, there was a substantial difference in plant densities and richness between drainage and ridge sites. Cheatgrass densities were higher in unburned plots, and cheatgrass was also more dominant in the community composition in unburned plots. Cheatgrass had increased in the burned area but so did other native species. Three years after the fire, the burned landscape continued to revegetate but had yet to approximate the condition of an unburned landscape. The results from the vegetation surveys support the wind erosion results, where the primary source of windborne particles originate from the understory, where lower plant diversity and densities were found. The soil appears to be more resilient and have a much shorter recovery time than the vegetation in this particular community.« less

Analysis of Selection Process for Management Education: Korean Military Case.

DTIC Science & Technology

1984-06-01

applicable to selecting Korean military officers for postgraduate education in management, is proposed. 1! 6! 6i N 0102. L r * 014- 6601 2 Unclassified...officers uhc can manage the ailitary Fersctrel Ard modern uea~ons efficiently. As a result, the military has begun to educate some of its cfficers in the...referal, advisinj 4 aiplicant- about alternatives in employment, and furthering public relations. Oijectives cf group interview might te to assess

The cleaning of burned and contaminated archaeological maize prior to 87Sr/86Sr analysis

USGS Publications Warehouse

Benson, Larry V.; Taylor, Howard E.; Plowman, Terry I.; Roth, David A.; Antweiler, Ronald C.

2010-01-01

Accurate trace-metal and strontium-isotope analyses of archaeological corn cobs require that metal contaminants be removed prior to chemical analysis. Archaeological cobs are often coated with construction debris, dust, or soil which contains mineral particles. In addition, most archaeological cobs are partially or completely burned and the burned parts incorporate mineral debris in their hardened residual structures. Unburned cobs are weak ion exchangers and most metals within a cob are not firmly bound to cob organic matter; therefore, immersing cobs in acids and rinsing them in deionized water to remove mineral contaminants may result in the undesirable loss of metals, including strontium, from the cob.In this paper we show that some cob metal-pair ratios are not substantially changed when the cob is “cleaned” with deionized water, if the water-cob contact time does not exceed five minutes. Additionally, we introduce a method for eliminating mineral contaminants in both burned and unburned cobs, thus rendering them acceptable for strontium-isotope analysis. However, the decontamination procedure results in the rapid non-stoichiometric leaching of trace metals from the unburned cobs and it is possible that most metals will be extracted from the cobs during the lengthy decontamination process. Trace metals, in particular Al and Ca, should be analyzed in order to determine the presence and level of mineral contamination after cleaning.

The measurement of unburned carbon in fly ash using infrared photoacoustics

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

Waller, D.J.; Brown, R.C.

1995-12-31

Unburned carbon in fly ash yields valuable information on coal combustion efficiency in coal-fired boilers. The carbon content of fly ash is also an important parameters in the sale of fly ash for Portland cement. Unfortunately, a reliable and inexpensive instrument for measuring unburned carbon is not commercially available. The authors have developed an off-line instrument that detects carbon in fly ash via the photoacoustic effect. In this process, amplitude-modulated radiation is absorbed by a bulk sample of fly ash. The wavelength of the radiation is chosen such that mineral compounds and moisture in the fly ash are transparent tomore » the radiation but carbon is strongly absorbing. The modulated absorption generates a periodic pressure wave at the surface of the sample which propagates through the surrounding air as an acoustic wave. This wave is detected by a sensitive microphone, and is dependent on the carbon content of the sample. The resulting instrument has been used to measure fly ash carbon concentrations from less than 0.1% to nearly 7% by mass. The precision of these measurements is nominally within 4%, which is equivalent to the precision of the chemical analysis used to develop the calibration standards. The applicability of a theoretical model to the empirical results is discussed with respect to fly ash sample preparation.« less

Radiocarbon of Respired CO2 Following Fire in Alaskan Boreal Forest: Can Disturbance Release Old Soil Carbon to the Atmosphere?

NASA Astrophysics Data System (ADS)

Schuur, E. A.; Randerson, J. A.; Fessenden, J.; Trumbore, S. E.

2002-12-01

Fire in the boreal forest releases carbon stored in vegetation and soil to the atmosphere. Following fire, microbial decomposition is stimulated by inputs of plant detritus and changes in soil microclimate, which can result in large losses of carbon. Furthermore, warmer summer soil temperatures and deeper thaw depths in burned ecosystems may make carbon that was previously climatically protected by low soil temperatures susceptible to decomposition. We used radiocarbon measurements to estimate the age of carbon released by soil respiration following fire in two black spruce (Picea mariana) forests in interior Alaska that burned during the summer of 1999. To isolate soil respiration, we established manipulated plots where vegetation was prevented from recolonizing, and paired control plots in nearby unburned forest. Soil respiration radiocarbon signatures in the burned manipulation ranged from +112\\permil to +192\\permil and differed significantly from the unburned controls that ranged from +100\\permil to +130\\permil. Burned plots appear to respire older carbon than unburned forest, which could either be due to the stimulation of decomposition of intermediate age soil organic matter pools, to the lack of plant respiration that reflects the atmospheric radiocarbon signature of +92\\permil, or both. At least during the initial phase following fire, these data suggest that carbon fluxes from soil are dominated by soil organic matter pools with decadal scale turnover times.

Divergent patterns of abundance and age-class structure of headwater stream tadpoles in burned and unburned watersheds

USGS Publications Warehouse

Hossack, B.R.; Corn, P.S.; Fagre, D.B.

2006-01-01

Wildfire is a potential threat to many species with narrow environmental tolerances like the Rocky Mountain tailed frog (Ascaphus montanus Mittleman and Myers, 1949), which inhabits a region where the frequency and intensity of wildfires are expected to increase. We compared pre- and post-fire counts of tadpoles in eight streams in northwestern Montana to determine the effects of wildfire on A. montanus. All streams were initially sampled in 2001, 2 years before four of them burned in a large wildfire, and were resampled during the 2 years following the fire. Counts of tadpoles were similar in the two groups of streams before the fire. After the fire, tadpoles were almost twice as abundant in unburned streams than in burned streams. The fire seemed to have the greatest negative effect on abundance of age-1 tadpoles, which was reflected in the greater variation in same-stream age-class structure compared with those in unburned streams. Despite the apparent effect on tadpoles, we do not expect the wildfire to be an extirpation threat to populations in the streams that we sampled. Studies spanning a chronosequence of fires, as well as in other areas, are needed to assess the effects of fires on streams with A. montanus and to determine the severity and persistence of these effects.

Composition of breeding bird communities in Gulf Coast Chenier Plain marshes: Effects of winter burning

USGS Publications Warehouse

Gabrey, S.W.; Afton, A.D.

2004-01-01

Marsh managers along the Gulf Coast Chenier Plain frequently use winter burns to alter marsh vegetation and improve habitat quality for wintering waterfowl. However, effects of these burns on marsh avifauna are not well documented. We recorded abundances of breeding bird species and vegetation structure in burned and unburned control marshes during one breeding season before (1996) and two breeding seasons after (1997, 1998) experimental winter burns. We used non-metric multidimensional scaling analysis to assess the extent and direction of changes in bird community compositions of burned and unburned control marshes and to investigate the influence of vegetation structure on bird community composition. Overall, we found that Seaside Sparrows (Emberizidae: Ammodramus maritimus [Wilson]) and Red-winged Blackbirds and Boat-tailed Grackles (Icteridae: Agelaius phoeniceus [L.] and Quiscalus major Vieillot, respectively) comprised > 85% of observed birds. In burned marshes during the first breeding season following experimental burns (1997), icterid abundance increased while Seaside Sparrow abundance decreased relative to pre-burn (1996) conditions. This pattern was reversed during the second breeding season post-burn. No obvious patterns of change in avian abundance were detected in unburned control marshes over the 3-year period. Qualitative changes in breeding bird community composition were related to effects of winter burning on percent cover of dead vegetation and Spartina patens (Aiton) Muhl.

HSCT Sector Combustor Hardware Modifications for Improved Combustor Design

NASA Technical Reports Server (NTRS)

Greenfield, Stuart C.; Heberling, Paul V.; Moertle, George E.

2005-01-01

An alternative to the stepped-dome design for the lean premixed prevaporized (LPP) combustor has been developed. The new design uses the same premixer types as the stepped-dome design: integrated mixer flameholder (IMFH) tubes and a cyclone swirler pilot. The IMFH fuel system has been taken to a new level of development. Although the IMFH fuel system design developed in this Task is not intended to be engine-like hardware, it does have certain characteristics of engine hardware, including separate fuel circuits for each of the fuel stages. The four main stage fuel circuits are integrated into a single system which can be withdrawn from the combustor as a unit. Additionally, two new types of liner cooling have been designed. The resulting lean blowout data was found to correlate well with the Lefebvre parameter. As expected, CO and unburned hydrocarbons emissions were shown to have an approximately linear relationship, even though some scatter was present in the data, and the CO versus flame temperature data showed the typical cupped shape. Finally, the NOx emissions data was shown to agree well with a previously developed correlation based on emissions data from Configuration 3 tests performed at GEAE. The design variations of the cyclone swirler pilot that were investigated in this study did not significantly change the NOx emissions from the baseline design (GEAE Configuration 3) at supersonic cruise conditions.

Seasonal changes, identification and source apportionment of PAH in PM1.0

NASA Astrophysics Data System (ADS)

Agudelo-Castañeda, Dayana Milena; Teixeira, Elba Calesso

2014-10-01

The objective of this research was to evaluate the seasonal variation of PAHs in PM1.0, as well as to identify and quantify the contributions of each source profile using the PMF receptor model. PM1.0 samples were collected on PTFE filters from August 2011 to July 2013 in the Metropolitan Area of Porto Alegre, Rio Grande do Sul, Brazil. The samples were extracted using the EPA method TO-13A and 16 Polycyclic Aromatic Hydrocarbons (PAHs) were analyzed using a gaseous chromatograph coupled with a mass spectrometer (GC-MS). Also, the data discussed in this study were analyzed to identify the relations of the PAHs concentrations with NOx, NO, O3 and meteorological parameters (temperature, solar radiation, wind speed, relative humidity). The results showed that in winter, concentrations of total PAHs were significantly higher than in summer, thus showing their seasonal variation. The identification of emission sources by applying diagnostic ratios confirmed that PAHs in the study area originate from mobile sources, especially, from diesel and gasoline emissions. The analysis by PMF receptor model showed the contribution of these two main sources of emissions, too, followed by coal combustion, incomplete combustion/unburned petroleum and wood combustion. The toxic equivalent factors were calculated to characterize the risk of cancer from PAH exposure to PM1.0 samples, and BaP and DahA dominated BaPeq levels.

Universal Health Coverage in Francophone Sub-Saharan Africa: Assessment of Global Health Experts' Confidence in Policy Options.

PubMed

Paul, Elisabeth; Fecher, Fabienne; Meloni, Remo; van Lerberghe, Wim

2018-05-29

Many countries rely on standard recipes for accelerating progress toward universal health coverage (UHC). With limited generalizable empirical evidence, expert confidence and consensus plays a major role in shaping country policy choices. This article presents an exploratory attempt conducted between April and September 2016 to measure confidence and consensus among a panel of global health experts in terms of the effectiveness and feasibility of a number of policy options commonly proposed for achieving UHC in low- and middle-income countries, such as fee exemptions for certain groups of people, ring-fenced domestic health budgets, and public-private partnerships. To ensure a relative homogeneity of contexts, we focused on French-speaking sub-Saharan Africa. We initially used the Delphi method to arrive at expert consensus, but since no consensus emerged after 2 rounds, we adjusted our approach to a statistical analysis of the results from our questionnaire by measuring the degree of consensus on each policy option through 100 (signifying total consensus) minus the size of the interquartile range of the individual scores. Seventeen global health experts from various backgrounds, but with at least 20 years' experience in the broad region, participated in the 2 rounds of the study. The results provide an initial "mapping" of the opinions of a group of experts and suggest interesting lessons. For the 18 policy options proposed, consensus emerged only on strengthening the supply of quality primary health care services (judged as being effective with a confidence score of 79 and consensus score of 90), and on fee exemptions for the poorest (judged as being fairly easy to implement with a confidence score of 66 and consensus score of 85). For none of the 18 common policy options was there consensus on both potential effectiveness and feasibility, with very diverging opinions concerning 5 policy options. The lack of confidence and consensus within the panel seems to reflect the lack of consistent evidence on the proposed policy options. This suggests that experts' opinions should be framed within strengthened inclusive and "evidence-informed deliberative processes" where the trade-offs along the 3 dimensions of UHC-extending the population covered against health hazards, expanding the range of services and benefits covered, and reducing out-of-pocket expenditures-can be discussed in a transparent and contextualized setting. © Paul et al.

Universal Health Coverage’s evolving location in the post-2015 development agenda: Key informant perspectives within multilateral and related agencies during the first phase of post-2015 negotiations

PubMed Central

Brolan, Claire E; Hill, Peter S

2016-01-01

In 2001, technocrats from four multilateral organizations selected the Millennium Development Goals mainly from the previous decade of United Nations (UN) summits and conferences. Few accounts are available of that significant yet cloistered synthesis process: none contemporaneous. In contrast, this study examines health’s evolving location in the first-phase of the next iteration of global development goal negotiation for the post-2015 era, through the synchronous perspectives of representatives of key multilateral and related organizations. As part of the Go4Health Project, in-depth interviews were conducted in mid-2013 with 57 professionals working on health and the post-2015 agenda within multilaterals and related agencies. Using discourse analysis, this article reports the results and analysis of a Universal Health Coverage (UHC) theme: contextualizing UHC’s positioning within the post-2015 agenda-setting process immediately after the Global Thematic Consultation on Health and High-Level Panel of Eminent Persons on the Post-2015 Development Agenda (High-Level Panel) released their post-2015 health and development goal aspirations in April and May 2013, respectively. After the findings from the interview data analysis are presented, the Results will be discussed drawing on Shiffman and Smith (Generation of political priority for global health initiatives: a framework and case study of maternal mortality. The Lancet 2007; 370: 1370–79) agenda-setting analytical framework (examining ideas, issues, actors and political context), modified by Benzian et al. (2011). Although more participants support the High-Level Panel’s May 2013 report’s proposal—‘Ensure Healthy Lives’—as the next umbrella health goal, they nevertheless still emphasize the need for UHC to achieve this and thus be incorporated as part of its trajectory. Despite UHC’s conceptual ambiguity and cursory mention in the High-Level Panel report, its proponents suggest its re-emergence will occur in forthcoming State led post-2015 negotiations. However, the final post-2015 SDG framework for UN General Assembly endorsement in September 2015 confirms UHC’s continued distillation in negotiations, as UHC ultimately became one of a litany of targets within the proposed global health goal. PMID:26494847

Social health insurance contributes to universal coverage in South Africa, but generates inequities: survey among members of a government employee insurance scheme.

PubMed

Goudge, Jane; Alaba, Olufunke A; Govender, Veloshnee; Harris, Bronwyn; Nxumalo, Nonhlanhla; Chersich, Matthew F

2018-01-04

Many low- and middle-income countries are reforming their health financing mechanisms as part of broader strategies to achieve universal health coverage (UHC). Voluntary social health insurance, despite evidence of resulting inequities, is attractive to policy makers as it generates additional funds for health, and provides access to a greater range of benefits for the formally employed. The South African government introduced a voluntary health insurance scheme (GEMS) for government employees in 2005 with the aim of improving access to care and extending health coverage. In this paper we ask whether the new scheme has assisted in efforts to move towards UHC. Using a cross-sectional survey across four of South Africa's nine provinces, we interviewed 1329 government employees, from the education and health sectors. Data were collected on socio-demographics, insurance coverage, health status and utilisation of health care. Multivariate logistic regression was used to determine if service utilisation was associated with insurance status. A quarter of respondents remained uninsured, even higher among 20-29 year olds (46%) and lower-skilled employees (58%). In multivariate analysis, the odds of an outpatient visit and hospital admission for the uninsured was 0.3 fold that of the insured. Cross-subsidisation within the scheme has provided lower-paid civil servants with improved access to outpatient care at private facilities and chronic medication, where their outpatient (0.54 visits/month) and inpatient utilisation (10.1%/year) approximates that of the overall population (29.4/month and 12.2% respectively). The scheme, however, generated inequities in utilisation among its members due to its differential benefit packages, with, for example, those with the most benefits having 1.0 outpatient visits/month compared to 0.6/month with lowest benefits. By introducing the scheme, the government chose to prioritise access to private sector care for government employees, over improving the availability and quality of public sector services available to all. Government has recently regained its focus on achieving UHC through the public system, but is unlikely to discontinue GEMS, which is now firmly established. The inequities generated by the scheme have thus been institutionalised within the country's financing system, and warrant attention. Raising scheme uptake and reducing differentials between benefit packages will ameliorate inequities within civil servants, but not across the country as a whole.

"Perspectives on financing population-based health care towards Universal Health Coverage among employed individuals in Ghanzi district, Botswana: A qualitative study".

PubMed

Mbogo, Barnabas Africanus; McGill, Deborah

2016-08-19

Globally, about 150 million people experience catastrophic healthcare expenditure services annually. Among low and middle income countries, out-of-pocket expenditure pushes about 100 million people into poverty annually. In Botswana, 83 % of the general population and 58 % of employed individuals do not have medical aid coverage. Moreover, inequity allocation of financial resources between health services suggests marginalization of population-based health care services (i.e. diseases prevention and health promotion). The purpose of the study is to explore perspectives on employed individuals regarding financing population based health care interventions towards Universal Health Coverage (UHC) in order to make recommendations to the Ministry of Health on health financing options to cover population-based health services. A qualitative design grounded in interpretivist epistemology through social constructivism lens was critical for exploring perspectives of employed individuals. Through purposive and snowballing sampling techniques, a total of 15 respondents including 8 males and 7 females were recruited and interviewed using a semi-structured format. Their age ranged from 23 to 59 years with a median of 36 years. Data was analyzed using Thematic Content Analysis technique. Use of social constructivism lens enabled to classify emerging themes into population coverage, health services coverage and financial protection issues. Despite broad understanding of health coverage schemes among participants, knowledge appears insignificant in increasing enrolment. Participants indicated limited understanding of UHC concepts, however showed willingness to embrace UHC upon brief description. Main thematic issues raised include: exclusion of population-based health services from coverage scheme; disparity in financial protection and health services coverage among enrollees; inability to sustain contracted employees; and systematic exclusion of unemployed individuals and informal sector employees. Increasing enrolment in health coverage schemes requires targeted campaign for information dissemination through use of myriads mass media including: social networks, TV, Radio and others. Moreover, re-designing health insurance schemes is critical in order to include population-based interventions; expand uptake of unemployed and informal sector employees; flexibility in monthly premiums payment plan and use of technology to increase access to payment points. Further study need to evaluate the content of health financing policy in Botswana measured against the World Health Organization Universal Health Coverage conceptual requirements for Low and Middle Income Countries.

Soil microbial abundance, activity and diversity response in two different altitude-adapted plant communities affected by wildfire in Sierra Nevada National Park (Granada, Spain)

NASA Astrophysics Data System (ADS)

Bárcenas-Moreno, Gema; Zavala, Lorena; Jordan, Antonio; Bååth, Erland; Mataix-Beneyto, Jorge

2013-04-01

Plant communities can play an important role in fire severity and post-fire ecosystem recovery due to their role as combustible and different plant-soil microorganisms interactions. Possible differences induced by plant and microorganisms response after fire could affect the general ecosystem short and long-term response and its sustainability. The main objective of this work was the evaluation of the effect of wildfire on soil microbial abundance, activity and diversity in two different plant communities associated to different altitudes in Sierra Nevada National Park (Granada, Spain). Samples were collected in two areas located on the Sierra Nevada Mountain between 1700 and 2000 m above sea level which were affected by a large wildfire in 2005. Two samplings were carried out 8 and 20 months after fire and samples were collected in both burned and unburned (control) zones in each plant community area. Area A is located at 1700m and it is formed by Quercus rotundifolia forest while area B is located at 2000 m altitude and is composed of alpine vegetation formed by creeping bearing shrubs. Microbial biomass measured by Fumigation-Extraction method followed the same trend in both areas showing slight and no significant differences between burned and unburned area during the study period while viable and cultivable bacteria abundance were markedly higher in fire affected samples than in the control ones in both samplings. Viable and cultivable filamentous fungi had different behavior depending of plant vegetation community studied showing no differences between burned and unburned area in area A while was significantly higher in burned samples than in the control ones in area B. Microbial activity monitoring with soil microbial respiration appears to had been affected immediately after fire since microbial respiration was lower in burned samples from area A than in unburned one only 8 months after fire and no significant differences were observed between burned and unburned samples in area B. Soil microbial community composition studied by Principal Component Analyses (PCA) of the PLFA pattern revealed both fire and seasonal effects. General overview of the results could lead to think in a slight negative or even positive effect of fire on soil microbial parameters studied, mainly in zone B. Nevertheless if we calculate the ratio between C-biomass and organic-C we find lower ratio in fire-affected samples than in the control ones in both areas, showing the most marked effect on area B which remain with this tendency 20 months after fire. Acknowledgements: This research was supported by the CICYT co-financed FEDER project CGL2006-11107-C02-01/BOS. We are grateful for the Sierra Nevada National Park support during the study.

Non-Equilibrium Sediment Transport Modeling - Extensions and Applications

DTIC Science & Technology

2013-01-01

which considers the bed slope effect but can be lumped in the Manning’s n coefficient.      2 2 2 1/3 1 2 s b t t Uh U h UVh t x y z n m UUU U...n m UUU U h h gh gh g x x y y x x h C C C UhC m q U h h x x y y p L

Institutionalising health technology assessment: establishing the Medical Technology Assessment Board in India.

PubMed

Downey, Laura E; Mehndiratta, Abha; Grover, Ashoo; Gauba, Vijay; Sheikh, Kabir; Prinja, Shankar; Singh, Ravinder; Cluzeau, Francoise A; Dabak, Saudamini; Teerawattananon, Yot; Kumar, Sanjiv; Swaminathan, Soumya

2017-01-01

India is at crossroads with a commitment by the government to universal health coverage (UHC), driving efficiency and tackling waste across the public healthcare sector. Health technology assessment (HTA) is an important policy reform that can assist policy-makers to tackle inequities and inefficiencies by improving the way in which health resources are allocated towards cost-effective, appropriate and feasible interventions. The equitable and efficient distribution of health budget resources, as well as timely uptake of good value technologies, are critical to strengthen the Indian healthcare system. The government of India is set to establish a Medical Technology Assessment Board to evaluate existing and new health technologies in India, assist choices between comparable technologies for adoption by the healthcare system and improve the way in which priorities for health are set. This initiative aims to introduce a more transparent, inclusive, fair and evidence-based process by which decisions regarding the allocation of health resources are made in India towards the ultimate goal of UHC. In this analysis article, we report on plans and progress of the government of India for the institutionalisation of HTA in the country. Where India is home to one-sixth of the global population, improving the health services that the population receives will have a resounding impact not only for India but also for global health.

Information Filtering Based on Users' Negative Opinions

NASA Astrophysics Data System (ADS)

Guo, Qiang; Li, Yang; Liu, Jian-Guo

2013-05-01

The process of heat conduction (HC) has recently found application in the information filtering [Zhang et al., Phys. Rev. Lett.99, 154301 (2007)], which is of high diversity but low accuracy. The classical HC model predicts users' potential interested objects based on their interesting objects regardless to the negative opinions. In terms of the users' rating scores, we present an improved user-based HC (UHC) information model by taking into account users' positive and negative opinions. Firstly, the objects rated by users are divided into positive and negative categories, then the predicted interesting and dislike object lists are generated by the UHC model. Finally, the recommendation lists are constructed by filtering out the dislike objects from the interesting lists. By implementing the new model based on nine similarity measures, the experimental results for MovieLens and Netflix datasets show that the new model considering negative opinions could greatly enhance the accuracy, measured by the average ranking score, from 0.049 to 0.036 for Netflix and from 0.1025 to 0.0570 for Movielens dataset, reduced by 26.53% and 44.39%, respectively. Since users prefer to give positive ratings rather than negative ones, the negative opinions contain much more information than the positive ones, the negative opinions, therefore, are very important for understanding users' online collective behaviors and improving the performance of HC model.

Institutionalising health technology assessment: establishing the Medical Technology Assessment Board in India

PubMed Central

Downey, Laura E; Mehndiratta, Abha; Grover, Ashoo; Gauba, Vijay; Sheikh, Kabir; Prinja, Shankar; Singh, Ravinder; Cluzeau, Francoise A; Dabak, Saudamini; Teerawattananon, Yot; Kumar, Sanjiv; Swaminathan, Soumya

2017-01-01

India is at crossroads with a commitment by the government to universal health coverage (UHC), driving efficiency and tackling waste across the public healthcare sector. Health technology assessment (HTA) is an important policy reform that can assist policy-makers to tackle inequities and inefficiencies by improving the way in which health resources are allocated towards cost-effective, appropriate and feasible interventions. The equitable and efficient distribution of health budget resources, as well as timely uptake of good value technologies, are critical to strengthen the Indian healthcare system. The government of India is set to establish a Medical Technology Assessment Board to evaluate existing and new health technologies in India, assist choices between comparable technologies for adoption by the healthcare system and improve the way in which priorities for health are set. This initiative aims to introduce a more transparent, inclusive, fair and evidence-based process by which decisions regarding the allocation of health resources are made in India towards the ultimate goal of UHC. In this analysis article, we report on plans and progress of the government of India for the institutionalisation of HTA in the country. Where India is home to one-sixth of the global population, improving the health services that the population receives will have a resounding impact not only for India but also for global health. PMID:29225927

Effect of Wildfire on Sequoiadendron giganteum Growth and CO2 Flux

NASA Astrophysics Data System (ADS)

Barwegen, S.

2016-12-01

Due to global warming, parts of the United States are becoming drier than ever before. In 2015, we surpassed 9 million acres burned by wildfires nationally (Rice 2015). Wildfires are most common in the Western United States due to drought, and the fact that the summer months are drier than other areas such as the East Coast, so there is a higher risk for wildland fires (Donegan 2016). These high-growth forests that are more frequently burned by wildfires each year are located near mountain ranges on the west side of the United States. They are important to tourism, contain many endangered species, and need to maintain the natural cycle of fire and regrowth for the continued success of the native plant life. This project investigated the effect of burnt soil on Sequoiadendron giganteum trees. Three were grown in burnt potting soil that had been roasted over a grill for 45 minutes (which is the average destructive fire time), and the other three were the control group in unburned potting soil. We assessed growth by measuring height, color, photosynthetically active radiation (PAR), and CO2 flux to evaluate the health of the trees in the two soil conditions. We noted that after two weeks the trunks of the trees growing in burnt soil began to brown in color, and they lost leaves. Over the course of the experiment, the trees growing in burnt soil had reduced levels of photosynthesis as compared to the unburned soil (as measured by the net change in CO2 concentration in a sealed chamber over the course of fifteen minutes intervals). On average, the trees growing in burnt soil had flux rates that were 19.59 ppm CO2 /min. more than those growing in unburned soil. In the dark reactions, the burnt soil flux was 54.5 ppm CO2/min., while the unburned soil averaged 40.5 ppm CO2/min. Our results help quantify the impact of fire on delicate ecosystems that are experiencing an increase in fire activity caused by global warming.

Inundation and Fire Shape the Structure of Riparian Forests in the Pantanal, Brazil

PubMed Central

Arruda, Wellinton de Sá; Oldeland, Jens; Paranhos Filho, Antonio Conceição; Pott, Arnildo; Cunha, Nicolay L.; Ishii, Iria Hiromi; Damasceno-Junior, Geraldo Alves

2016-01-01

Inundation and fire can affect the structure of riparian vegetation in wetlands. Our aim was to verify if there are differences in richness, abundance, basal area, composition and topographic preference of woody species in riparian forests related to the fire history, flooding duration, or the interaction between both. The study was conducted in the riparian forests of the Paraguay River some of which were burned three times between 2001 and 2011. We sampled trees with a girth of at least 5 cm at breast height in 150 5 × 10 m plots (79 burned and 71 unburned). We also measured height of the flood mark and estimated the flooding duration of each plot. We performed Generalized Linear Mixed Models to verify differences in richness, basal area, and abundance of individuals associated to interaction of fire and inundation. We used an analysis of similarity (ANOSIM) and indicator species analysis to identify differences in composition of species and the association with burned and unburned area according to different levels of inundation. Finally, we used a hierarchical set of Generalized Linear Models (GLM), the so-called HOF models, to analyse each species’ specific response to inundation based on topography and to determine their preferred optimal topographic position for both burned as well as unburned areas. Richness was positively associated with elevation only in burned areas while abundance was negatively influenced by inundation only in burned areas. Basal area was negatively associated with time of inundation independent of fire history. There were 15 species which were significant indicators for at least one combination of the studied factors. We found nine species in burned areas and 15 in unburned areas, with response curves in HOF models along the inundation gradient. From these, five species shifted their optimal position along the inundation gradient in burned areas. The interaction of fire and inundation did not appear to affect the basal area, but it did affect the richness, number of individuals, success of some species, and seemed to shape the boundary of these forests as shown by the difference in the positioning of these species along the inundation gradient. PMID:27280879

Wildfire and aspect effects on hydrologic states after the 2010 Fourmile Canyon Fire

USGS Publications Warehouse

Ebel, Brian A.

2013-01-01

Wildfire can change how soils take in, store, and release water. This study examined differences in how burned and unburned plots on north versus south-facing slope aspects respond to rainfall. The largest wildfire impacts were litter/duff combustion on burned north-facing slopes versus soil-water retention reduction on burned south-facing slopes.Wildfire is one of the most significant disturbances in mountainous landscapes, affecting water supply and ecologic function and setting the stage for natural hazards such as flash floods. The impacts of wildfire can affect the entire hydrologic cycle. Measurements of soil-water content and matric potential in the near surface (top 30 cm) captured the hydrologic state in both burned and unburned hillslopes during the first spring through fall period (1 June–1 Oct. 2011) after the 2010 Fourmile Canyon Fire near Boulder, CO. This time span included different hydrologic periods characterized by cyclonic frontal storms (low-intensity, long duration), convective storms (high-intensity, short duration), and dry periods. In mountainous environments, aspect can also control hydrologic states, so north- vs. south-facing slopes were compared. Wildfire tended to homogenize soil-water contents across aspects and with depth in the soil, yet it also may have introduced an aspect control on matric potential that was not observed in unburned soils. Post-wildfire changes in hydrologic state were observed in south-facing soils, probably reflecting decreased soil-water retention after wildfire. North-facing soils were impacted the most, in terms of hydrologic state, by the loss of water storage in the combusted litter–duff layer and forest canopy, which had provided a large “hydrologic buffering” capacity when unburned. Unsaturated zone measurements showed increased variability in hydrologic states and more rapid state transitions in wildfire-impacted soils. A simple, qualitative analysis suggested that the range of unsaturated-zone processes along the gravity–capillarity–adsorption continuum was expanded by wildfire for a given soil. The small number of experimental plots in this study suggests that further work is needed before these conclusions can be generalized to other geographic areas.

Grassland restoration with and without fire: evidence from a tree-removal experiment.

PubMed

Halpern, Charles B; Haugo, Ryan D; Antos, Joseph A; Kaas, Sheena S; Kilanowski, Allyssa L

2012-03-01

Forest encroachment threatens the biological diversity of grasslands globally. Positive feedbacks can reinforce the process, affecting soils and ground vegetation, ultimately leading to replacement of grassland by forest species. We tested whether restoration treatments (tree removal, with or without fire) reversed effects of nearly two centuries of encroachment by Abies grandis and Pinus contorta into dry, montane meadows in the Cascade Range, Oregon, USA. In nine, 1-ha plots containing a patchy mosaic of meadow openings and forests of varying age (20 to > 140 yr), we compared three treatments affecting the ground vegetation: control (no trees removed), unburned (trees removed, slash burned in piles leaving 90% of the area unburned), and burned (trees removed, slash broadcast burned). We quantified changes over 3-4 years in soils, abundance and richness of species with differing habitat associations (meadow, forest, and ruderal), and recruitment of conifers. Except for a transient increase in available N (especially in burn scars), effects of burning on soils were minimal due, in part, to mixing by gophers. Tree removal greatly benefited meadow species at the expense of forest herbs. Cover and richness of meadow species increased by 47% and 38% of initial values in unburned plots, but changed minimally in burned plots. In contrast, cover and richness of forest herbs declined by 44% and 26% in unburned plots and by 79% and 58% in burned plots. Ruderal species and conifer seedlings were uncommon in both treatments. Although vegetation was consumed beneath burn piles, meadow species recovered significantly after three years. Long-term tree presence did not preclude recovery of meadow species; in fact, colonization was greater in older than in younger forests. In sum, temporal trends were positive for most indicators, suggesting strong potential for restoration. Contrary to conventional wisdom, tree removal without fire may be sufficient to shift the balance from forest to meadow species. In meadows characterized by historically infrequent fire, small-scale disturbances and competitive interactions may be more critical to ecosystem maintenance and restoration. Managers facing the worldwide phenomenon of tree invasion should critically evaluate the ecological vs. operational need for fire in ecosystem restoration.

Inundation and Fire Shape the Structure of Riparian Forests in the Pantanal, Brazil.

PubMed

Arruda, Wellinton de Sá; Oldeland, Jens; Paranhos Filho, Antonio Conceição; Pott, Arnildo; Cunha, Nicolay L; Ishii, Iria Hiromi; Damasceno-Junior, Geraldo Alves

2016-01-01

Inundation and fire can affect the structure of riparian vegetation in wetlands. Our aim was to verify if there are differences in richness, abundance, basal area, composition and topographic preference of woody species in riparian forests related to the fire history, flooding duration, or the interaction between both. The study was conducted in the riparian forests of the Paraguay River some of which were burned three times between 2001 and 2011. We sampled trees with a girth of at least 5 cm at breast height in 150 5 × 10 m plots (79 burned and 71 unburned). We also measured height of the flood mark and estimated the flooding duration of each plot. We performed Generalized Linear Mixed Models to verify differences in richness, basal area, and abundance of individuals associated to interaction of fire and inundation. We used an analysis of similarity (ANOSIM) and indicator species analysis to identify differences in composition of species and the association with burned and unburned area according to different levels of inundation. Finally, we used a hierarchical set of Generalized Linear Models (GLM), the so-called HOF models, to analyse each species' specific response to inundation based on topography and to determine their preferred optimal topographic position for both burned as well as unburned areas. Richness was positively associated with elevation only in burned areas while abundance was negatively influenced by inundation only in burned areas. Basal area was negatively associated with time of inundation independent of fire history. There were 15 species which were significant indicators for at least one combination of the studied factors. We found nine species in burned areas and 15 in unburned areas, with response curves in HOF models along the inundation gradient. From these, five species shifted their optimal position along the inundation gradient in burned areas. The interaction of fire and inundation did not appear to affect the basal area, but it did affect the richness, number of individuals, success of some species, and seemed to shape the boundary of these forests as shown by the difference in the positioning of these species along the inundation gradient.

Kinetic calculations of explosives with slow-burning constituents

NASA Astrophysics Data System (ADS)

Howard, W. Michael; Souers, P. Clark; Fried, Laurence E.

1998-07-01

The equilibrium thermochemical code CHEETAH V1.40 has been modified to detonate part of the explosive and binder. An Einstein thermal description of the unreacted constituents is used, and the Einstein temperature may be increased to reduce heat absorption. We study the effect of the reactivity and thermal transport on the detonation velocity. Hydroxy-terminated-polybutadiene binders have low energy and density and would degrade the detonation velocity if they burned. Runs with unburned binder are closer to the measured values. Aluminum and ammonium perchlorate are also largely unburned within the sonic reaction zone that determines the detonation velocity. All three materials appear not to fully absorb heat as well. The normal assumption of total reaction in a thermochemical code is clearly not true for these special cases, where the detonation velocities have widely different values for different combinations of processes.

Thermal reactor for afterburning automotive internal combustion engine exhaust gases

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

Masaki, K.; Nagaishi, H.

1974-08-08

A thermal reactor for burning unburned components in exhaust gases of an internal combustion engine before emission to the atmosphere is described. An outer casing has an exhaust gas inlet connected to the exhaust ports, and an inner casing divides the reactor into an outer chamber and an inner chamber. The inner casing has an inlet from the outer chamber, an outlet to the atmosphere, and perforations opening to the outer chamber. An oxidation catalyst in the inner chamber promotes oxidation of the unburned components in the exhaust gases to generate oxidation reaction heat. A first secondary air injection nozzlemore » in the inner chamber between the oxidation catalyst and the outlet and a second secondary air injection nozzle in a portion upstream of the oxidation catalyst inject secondary air into oxidation catalyst.« less

Plant community patterns in unburned and burned blackbrush (Coleogyne ramosissima) shrublands in the Mojave Desert

USGS Publications Warehouse

Brooks, Matthew L.; Matchett, John R.

2003-01-01

The blackbrush vegetation type is dominated by Coleogyne ramossisima, which is thought to preclude the coexistence of many other plant species. Fire can remove blackbrush cover and possibly increase plant species richness and evenness. Fire also may increase the frequency and cover of alien annual grasses, thereby intensifying landscape flammability. We tested these predictions in unburned and burned (6-14 years postfire) blackbrush at 3 sites spanning the range of this vegetation type in the Mojave Desert. Species richness in unburned blackbrush was similar to published values for other vegetation types in western North America, but richness varied significantly among the 3 sites and 4 spatial scales (1, 10, 100, and 1000 m2). Richness values declined in order from annual forbs, woody perennials, herbaceous perennials, annual grasses, cacti, to perennial grasses. Fire reduced Coleogyne cover, thus boosting species evenness. In contrast, species richness decreased after burning, although the results varied among spatial scales. Total cover was unaffected by fire because cover of woody perennials decreased, while cover of annual forbs, annual grasses, herbaceous perennials, and perennial grasses increased. Native species richness and cover decreased, whereas alien richness and cover increased after burning, especially where the alien forb Erodium cicutarium was present. Fire had no effect on frequency and variable effects on cover of alien annual grasses. These results indicate that in blackbrush species richness can vary among sites and local spatial scales, and effects of fire can vary among plant life-forms and between natives and aliens.

Quantifying the effects of wildfire on changes in soil properties by surface burning of soils from the Boulder Creek Critical Zone Observatory

USGS Publications Warehouse

Wieting, Celeste; Ebel, Brian A.; Singha, Kamini

2017-01-01

Study regionThis study used intact soil cores collected at the Boulder Creek Critical Zone Observatory near Boulder, Colorado, USA to explore fire impacts on soil properties.Study focusThree soil scenarios were considered: unburned control soils, and low- and high-temperature burned soils. We explored simulated fire impacts on field-saturated hydraulic conductivity, dry bulk density, total organic carbon, and infiltration processes during rainfall simulations.New hydrological insights for the regionSoils burned to high temperatures became more homogeneous with depth with respect to total organic carbon and bulk density, suggesting reductions in near-surface porosity. Organic matter decreased significantly with increasing soil temperature. Tension infiltration experiments suggested a decrease in infiltration rates from unburned to low-temperature burned soils, and an increase in infiltration rates in high-temperature burned soils. Non-parametric statistical tests showed that field-saturated hydraulic conductivity similarly decreased from unburned to low-temperature burned soils, and then increased with high-temperature burned soils. We interpret these changes result from the combustion of surface and near-surface organic materials, enabling water to infiltrate directly into soil instead of being stored in the litter and duff layer at the surface. Together, these results indicate that fire-induced changes in soil properties from low temperatures were not as drastic as high temperatures, but that reductions in surface soil water repellency in high temperatures may increase infiltration relative to low temperatures.

Ecosystem Carbon Emissions from 2015 Forest Fires in Interior Alaska

NASA Technical Reports Server (NTRS)

Potter, Christopher S.

2018-01-01

In the summer of 2015, hundreds of wildfires burned across the state of Alaska, and consumed more than 1.6 million ha of boreal forest and wetlands in the Yukon-Koyukuk region. Mapping of 113 large wildfires using Landsat satellite images from before and after 2015 indicated that nearly 60% of this area was burned at moderate-to-high severity levels. Field measurements near the town of Tanana on the Yukon River were carried out in July of 2017 in both unburned and 2015 burned forested areas (nearly adjacent to one-another) to visually verify locations of different Landsat burn severity classes (low, moderate, or high). Results: Field measurements indicated that the loss of surface organic layers in boreal ecosystem fires is a major factor determining post-fire soil temperature changes, depth of thawing, and carbon losses from the mineral topsoil layer. Measurements in forest sites showed that soil temperature profiles to 30 cm depth at burned forest sites increased by an average of 8o - 10o C compared to unburned forest sites. Sampling and laboratory analysis indicated a 65% reduction in soil carbon content and a 58% reduction in soil nitrogen content in severely burned sample sites compared to soil mineral samples from nearby unburned spruce forests. Conclusions: Combined with nearly unprecedented forest areas severely burned in the Interior region of Alaska in 2015, total ecosystem fire emission of carbon to the atmosphere exceeded most previous estimates for the state.

Universal Health Coverage – The Critical Importance of Global Solidarity and Good Governance

PubMed Central

Reis, Andreas A.

2016-01-01

This article provides a commentary to Ole Norheim’ s editorial entitled "Ethical perspective: Five unacceptable trade-offs on the path to universal health coverage." It reinforces its message that an inclusive, participatory process is essential for ethical decision-making and underlines the crucial importance of good governance in setting fair priorities in healthcare. Solidarity on both national and international levels is needed to make progress towards the goal of universal health coverage (UHC). PMID:27694683

Non-methane hydrocarbon characteristics of motor vehicular emissions in the Pearl River Delta region

NASA Astrophysics Data System (ADS)

Tsai, Wai Yan

2007-12-01

Air pollution problem in Hong Kong and the Pearl River Delta (PRD) region has raised much concern from the public in recent years. The primary aim of this research is to use field measurement data to characterize non-methane hydrocarbons (NMHCs) in emission from motor vehicles. Fuel vapor compositions for several commonly used vehicular fuels in Hong Kong, Macau, Guangzhou and Zhuhai were analyzed in 2003, and they are believed to be the first one reported for the PRD region. These profiles were used to study the impact of evaporative loss of the fuels on air quality. From the roadside and tunnel samples collected in the four cities mentioned above from 2000 to 2003, results showed that vehicular engine combustion was a main NMHC source, while gasoline evaporative losses also contributed much to the total NMHC emission, besides, LPG leakage was also found to be significant from the tunnel measurement data collected in Hong Kong. Characteristics of vehicular engine exhaust emissions were also studied. Measurements of diesel emission showed a large influence on the emission profile due to the change of diesel compositions. The E/E ratios implied that gasoline-powered vehicles in Hong Kong were equipped with well functioning catalysts, while those in Guangzhou and Zhuhai, especially the motorcycles, were found dirtier in NMHC emission. Although the E/E ratios showed that private cars in Hong Kong had high combustion efficiency, the existence of significant amounts of unburned gasoline in their exhaust stream pointed out that they still had low fuel economy. From the results of a simple model, it was found that the evaporative losses of gasoline and LPG contributed much to the total NMHC pollution from vehicle. The preliminary results from the dynamometer study conducted in Hong Kong showed large variations of exhaust characteristics for private cars and taxis during different driving speeds. The results can be used as scientific basis for regulatory parties in designing standards and strategies to improve the air quality in this region, and will certainly add substantially to the scientific database for the international community.

Source apportionment of ambient non-methane hydrocarbons in Hong Kong: application of a principal component analysis/absolute principal component scores (PCA/APCS) receptor model.

PubMed

Guo, H; Wang, T; Louie, P K K

2004-06-01

Receptor-oriented source apportionment models are often used to identify sources of ambient air pollutants and to estimate source contributions to air pollutant concentrations. In this study, a PCA/APCS model was applied to the data on non-methane hydrocarbons (NMHCs) measured from January to December 2001 at two sampling sites: Tsuen Wan (TW) and Central & Western (CW) Toxic Air Pollutants Monitoring Stations in Hong Kong. This multivariate method enables the identification of major air pollution sources along with the quantitative apportionment of each source to pollutant species. The PCA analysis identified four major pollution sources at TW site and five major sources at CW site. The extracted pollution sources included vehicular internal engine combustion with unburned fuel emissions, use of solvent particularly paints, liquefied petroleum gas (LPG) or natural gas leakage, and industrial, commercial and domestic sources such as solvents, decoration, fuel combustion, chemical factories and power plants. The results of APCS receptor model indicated that 39% and 48% of the total NMHCs mass concentrations measured at CW and TW were originated from vehicle emissions, respectively. 32% and 36.4% of the total NMHCs were emitted from the use of solvent and 11% and 19.4% were apportioned to the LPG or natural gas leakage, respectively. 5.2% and 9% of the total NMHCs mass concentrations were attributed to other industrial, commercial and domestic sources, respectively. It was also found that vehicle emissions and LPG or natural gas leakage were the main sources of C(3)-C(5) alkanes and C(3)-C(5) alkenes while aromatics were predominantly released from paints. Comparison of source contributions to ambient NMHCs at the two sites indicated that the contribution of LPG or natural gas at CW site was almost twice that at TW site. High correlation coefficients (R(2) > 0.8) between the measured and predicted values suggested that the PCA/APCS model was applicable for estimation of sources of NMHCs in ambient air.

Effects of wildfire on soil water repellency in pine and eucalypt forest in central Portugal

NASA Astrophysics Data System (ADS)

Faria, Sílvia; Eufemia Varela, María.; Keizer, Jan Jacob

2010-05-01

Soil water repellency is a naturally occurring phenomenon that can be intensified by soil heating during fires. Fire-induced or -enhanced water repellency, together with the loss of plant cover, is widely regarded as a key factor in increased surface runoff and accelerated erosion in recently burnt areas. The present study is part of the EROSFIRE-II project, whose main aim is to assess and predict post-wildfire hydrological and erosion processes at multiple spatial scales, ranging from micro-plot (< 1 m2) to small catchments (< 1 km2). This work concerns the occurrence and severity of topsoil water repellency in the two forest types occurring in the Colmeal study area, i.e. Maritime Pine and eucalypt stands The objectives are: (i) to clarify the role of wildfire, by comparing recently burnt and adjacent long unburned stands; (ii) to determine the temporal patterns in repellency, through monthly measurements during the first year following the wildfire, and relate them to soil moisture variations in particular. The Colmeal study area is located in the Lousã mountain range in central Portugal. The wildfire occurred in August 2008 and consumed a total area of about 70 ha. Within the burnt area, two slopes were selected with the same parent material (schist) but different forest types (Pinus pinaster and Eucaliptus globulus). In addition, two similar but long unburned slopes were selected in the immediate surroundings. For a period of 10 months, starting November 2008, water repellency and moisture content of the 0-5 cm topsoil layer were measured in the field at monthly intervals. Repellency was measured using the ‘Molarity of an Ethanol Droplet' (MED) test, soil moisture content using a DECAGON EC5 sensor. The results revealed a very strong repellency (ethanol classes 6-7) at all four sites during the first sampling period in November 2008, suggesting that the immediate wildfire effects were minor for both forest types. In the subsequent 5 to 6 months, however, there was a definite tendency for higher ethanol classes at the recently burnt than the adjacent unburned sites. Especially in the case of the pine stands, this tendency was inverted during the remaining months. The above-mentioned differences between the neighboring sites reflected more pronounced temporal patters in the case of the unburned sites, where median repellency levels corresponded none to slight severity ratings from December to March (pine) or April (eucalypt). Such seasonal drops in repellency were considerably shorter at the two burnt sites (1-2 months) and also less pronounced, without median ethanol classes becoming zero as occurred at the burnt sites. The seasonal repellency patterns at the unburned sites could be explained rather well by changes in soil moisture content. The same was not true, however, for the burnt sites.

On ionization and luminescence in flames

NASA Technical Reports Server (NTRS)

Sanger, E; Goercke, P; BREDT I

1951-01-01

An explanation based upon reaction kinetics is presented to account for the deviation of measured ionization levels obtained from reflection experiments from the values computed assuming chemical equilibrium. The heat transfer to the unburned fuel is also considered.

Today's challange in MSW incineration

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

Vaux, W.G.

A decade ago, incinerator ash was of little concern. There wasn't much of it, and it was treated like soil of fill and therefore disposed of without much concern. Today, however, the situation is far different. Waste-to-energy plants reduce the amount of trash they process by 90%, but they require environmentally sound landfills to dispose of residue. This paper examines the management of incinerator ash. At its best, incinerator ash is well burned out; at worst, it is more pyrolized and contains unburned carbon. This latter case is likely following receipt of rain-saturated waste at the incinerator. Ash contains aboutmore » 15 to 20 weight of unburnables; for example metal cans, ceramics, other metals and so on. According to the author, recent work on presence of combustion products in the ash does not show appreciable levels of dioxins leaching form ash.« less

Nesting ecology of grassland birds following a wildfire in the southern Great Plains

USGS Publications Warehouse

Roberts, Anthony J.; Boal, Clint W.; Whitlaw, Heather A.

2017-01-01

We studied the response of nesting grassland birds occupying short-grass and mixed-grass prairie sites 2 and 3 y following two, large-scale wildfires that burned ≥360,000 ha in the Texas Panhandle in March 2006. Nest success was greater on burned plots compared to unburned plots, though this varied by species and year. Woody vegetation cover was greater around nests on unburned plots compared to burned plots for Cassin's sparrow (Peucaea cassinii) and lark sparrow (Chondestes grammacus). Cassin's sparrows and lark sparrows nested in more-woody vegetation than did grasshopper sparrows (Ammodramus savannarum), and woody vegetation was reduced following the wildfires. The wildfires appear to have had few if any negative influences on the avian community 3 years postfire. This may be due to grassland breeding birds being adapted to landscapes in which, historically, periodic disturbance (e.g., wildfire, intensive grazing by bison [Bison bison]) resulted in vegetation heterogeneity.

Modelling of Carbon Monoxide Air Pollution in Larg Cities by Evaluetion of Spectral LANDSAT8 Images

NASA Astrophysics Data System (ADS)

Hamzelo, M.; Gharagozlou, A.; Sadeghian, S.; Baikpour, S. H.; Rajabi, A.

2015-12-01

Air pollution in large cities is one of the major problems that resolve and reduce it need multiple applications and environmental management. Of The main sources of this pollution is industrial activities, urban and transport that enter large amounts of contaminants into the air and reduces its quality. With Variety of pollutants and high volume manufacturing, local distribution of manufacturing centers, Testing and measuring emissions is difficult. Substances such as carbon monoxide, sulfur dioxide, and unburned hydrocarbons and lead compounds are substances that cause air pollution and carbon monoxide is most important. Today, data exchange systems, processing, analysis and modeling is of important pillars of management system and air quality control. In this study, using the spectral signature of carbon monoxide gas as the most efficient gas pollution LANDSAT8 images in order that have better spatial resolution than appropriate spectral bands and weather meters،SAM classification algorithm and Geographic Information System (GIS ), spatial distribution of carbon monoxide gas in Tehran over a period of one year from the beginning of 2014 until the beginning of 2015 at 11 map have modeled and then to the model valuation ،created maps were compared with the map provided by the Tehran quality comparison air company. Compare involved plans did with the error matrix and results in 4 types of care; overall, producer, user and kappa coefficient was investigated. Results of average accuracy were about than 80%, which indicates the fit method and data used for modeling.

Premixed-Gas Flame Propagation in Hele-Shaw Cells

NASA Technical Reports Server (NTRS)

Sharif, J.; Abid, M.; Ronney, P. D.

1999-01-01

It is well known that buoyancy and thermal expansion affect the propagation ra and shapes of premixed gas flames. The understanding of such effects is complicated by the large density ratio between the reactants and products, which induces a baroclinic production of vorticity due to misalignment of density and pressure gradients at the front, which in turn leads to a complicated multi-dimensional flame/flow interaction. The Hele-Shaw cell, i.e., the region between closely-spaced flat parallel plates, is probably the simplest system in which multi-dimensional convection is presents consequently, the behavior of fluids in this system has been studied extensively (Homsy, 1987). Probably the most important characteristic of Hele-Shaw flows is that when the Reynolds number based on gap width is sufficiently small, the Navier-Stokes equations averaged over the gap reduce to a linear relation, namely a Laplace equation for pressure (Darcy's law). In this work, flame propagation in Hele-Shaw cells is studied to obtain a better understanding of buoyancy and thermal expansion effects on premixed flames. This work is also relevant to the study of unburned hydrocarbon emissions produced by internal combustion engines since these emissions are largely a result of the partial burning or complete flame quenching in the narrow, annular gap called the "crevice volume" between the piston and cylinder walls (Heywood, 1988). A better understanding of how flames propagate in these volumes through experiments using Hele-Shaw cells could lead to identification of means to reduce these emissions.

Characterization of Emissions and Residues from Simulations ...

EPA Pesticide Factsheets

The surface oil burns conducted by the U.S. Coast Guard from April to July 2010 during the Deepwater Horizon disaster in the Gulf of Mexico were simulated by small scale burns to characterize the pollutants, determine emission factors, and gather particulate matter for subsequent toxicity testing. A representative crude oil (Bayou Sweet) was burned in ocean-salinity seawater and emissions were collected from the plume by means of a crane-suspended emission sampling platform. A comprehensive array of emissions was characterized, accounting for over 92% by mass of the combustion products even without accounting for H2O. The particulate matter emissions were 70 g/kg (±8.3) of oil consumed, composed of 81% (±8) elemental carbon, and 80% were 1 µm in diameter or less. The particulate matter emissions were strongly light absorbing and had a single scattering albedo of 0.4 (±0.01) at 532 nm. Emissions of the 16 polycyclic aromatic hydrocarbons (PAHs) were approximately 1 g/kg of oil consumed. While the oil burn particles were highly PAH-enriched, less than 30% of the PAHs were particle-bound, the rest being in the gas phase. Formation of polychlorinated dibenzodioxin/dibenzofuran (PCDD/DF) was observed at 1.2 ng toxic equivalency (TEQ)/kg of oil consumed. Analysis of the particles showed the major elements to be Na, S, Cl and Si with no other elements, including metals, exceeding 5 mg/kg oil consumed. The unburned oil mass was 29% of the original crude oil mas

South Africa's universal health coverage reforms in the post-apartheid period.

PubMed

van den Heever, Alexander Marius

2016-12-01

In 2011, the South African government published a Green Paper outlining proposals for a single-payer National Health Insurance arrangement as a means to achieve universal health coverage (UHC), followed by a White Paper in 2015. This follows over two decades of health reform proposals and reforms aimed at deepening UHC. The most recent reform departure aims to address pooling and purchasing weaknesses in the health system by internalising both functions within a single scheme. This contrasts with the post-apartheid period from 1994 to 2008 where pooling weaknesses were to be addressed using pooling schemes, in the form of government subsidies and risk-equalisation arrangements, external to the public and private purchasers. This article reviews both reform paths and attempts to reconcile what may appear to be very different approaches. The scale of the more recent set of proposals requires a very long reform path because in the mid-term (the next 25 years) no single scheme will be able to raise sufficient revenue to provide a universal package for the entire population. In the interim, reforms that maintain and improve existing forms of coverage are required. The earlier reform framework (1994-2008) largely addressed this concern while leaving open the final form of the system. Both reform approaches are therefore compatible: the earlier reforms addressed medium- to long-term coverage concerns, while the more recent define the long-term institutional goal. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Endorsement of universal health coverage financial principles in Burkina Faso.

PubMed

Agier, Isabelle; Ly, Antarou; Kadio, Kadidiatou; Kouanda, Seni; Ridde, Valéry

2016-02-01

In West Africa, health system funding rarely involves cross-subsidization among population segments. In some countries, a few community-based or professional health insurance programs are present, but coverage is very low. The financial principles underlying universal health coverage (UHC) sustainability and solidarity are threefold: 1) anticipation of potential health risks; 2) risk sharing and; 3) socio-economic status solidarity. In Burkina Faso, where decision-makers are favorable to national health insurance, we measured endorsement of these principles and discerned which management configurations would achieve the greatest adherence. We used a sequential exploratory design. In a qualitative step (9 interviews, 12 focus groups), we adapted an instrument proposed by Goudge et al. (2012) to the local context and addressed desirability bias. Then, in a quantitative step (1255 respondents from the general population), we measured endorsement. Thematic analysis (qualitative) and logistic regressions (quantitative) were used. High levels of endorsement were found for each principle. Actual practices showed that anticipation and risk sharing were not only intentions. Preferences were given to solidarity between socio-economic status (SES) levels and progressivity. Although respondents seemed to prefer the national level for implementation, their current solidarity practices were mainly focused on close family. Thus, contribution levels should be set so that the entire family benefits from healthcare. Some critical conditions must be met to make UHC financial principles a reality through health insurance in Burkina Faso: trust, fair and mandatory contributions, and education. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Stand-replacing wildfires increase nitrification for decades in southwestern ponderosa pine forests.

PubMed

Kurth, Valerie J; Hart, Stephen C; Ross, Christopher S; Kaye, Jason P; Fulé, Peter Z

2014-05-01

Stand-replacing wildfires are a novel disturbance within ponderosa pine (Pinus ponderosa) forests of the southwestern United States, and they can convert forests to grasslands or shrublands for decades. While most research shows that soil inorganic N pools and fluxes return to pre-fire levels within a few years, we wondered if vegetation conversion (ponderosa pine to bunchgrass) following stand-replacing fires might be accompanied by a long-term shift in N cycling processes. Using a 34-year stand-replacing wildfire chronosequence with paired, adjacent unburned patches, we examined the long-term dynamics of net and gross nitrogen (N) transformations. We hypothesized that N availability in burned patches would become more similar to those in unburned patches over time after fire as these areas become re-vegetated. Burned patches had higher net and gross nitrification rates than unburned patches (P < 0.01 for both), and nitrification accounted for a greater proportion of N mineralization in burned patches for both net (P < 0.01) and gross (P < 0.04) N transformation measurements. However, trends with time-after-fire were not observed for any other variables. Our findings contrast with previous work, which suggested that high nitrification rates are a short-term response to disturbance. Furthermore, high nitrification rates at our site were not simply correlated with the presence of herbaceous vegetation. Instead, we suggest that stand-replacing wildfire triggers a shift in N cycling that is maintained for at least three decades by various factors, including a shift from a woody to an herbaceous ecosystem and the presence of fire-deposited charcoal.

Regeneration and invasion of cottonwood riparian forest following wildfire

USGS Publications Warehouse

Wonkka, Carissa L.; Twidwell, Dirac; Bielski, Christine H.; Allen, Craig R.; Stambaugh, Michael C.

2018-01-01

Populus deltoides is considered to be a weak resprouter and highly susceptible to wildfire, but few post-wildfire studies have tracked P. deltoides response and resprouting within the Great Plains of North America. Following a wildfire in southwestern Kansas, U.S.A., we surveyed burned and unburned areas of a cottonwood riparian forest along the Cimarron River that included a major understory invader, tamarisk (Tamarix ramosissima Ledeb.). We tested the following hypotheses, which are consistent with the current understanding of P. deltoides response to wildfire in the Great Plains: (1) regeneration of P. deltoides will be low in areas burned by the wildfire; (2) the number of dead P. deltoides individuals will be greater in the wildfire than unburned areas; and (3) tamarisk regeneration will be higher than P. deltoides regeneration in the wildfire areas because tamarisk is considered a stronger resprouter. We found evidence contrary to two of our hypotheses 3 years following the wildfire. (1) P. deltoides regeneration was high following the wildfire, averaging 692 individuals/ha. (2) The number of dead mature cottonwood trees was greater in wildfire plots than in unburned plots. (3) There was more P. deltoides regeneration than tamarisk regeneration following wildfire. These findings, which diverge from the majority of studies examining P. deltoides regeneration in the Great Plains, suggest that differing local environmental and forest stand conditions, coupled with the timing and intensity of the fire, could be important determinants of riparian forest species' responses to wildfire.

Factors affecting the abundance of leaf-litter arthropods in unburned and thrice-burned seasonally-dry Amazonian forests.

PubMed

Silveira, Juliana M; Barlow, Jos; Louzada, Julio; Moutinho, Paulo

2010-09-21

Fire is frequently used as a land management tool for cattle ranching and annual crops in the Amazon. However, these maintenance fires often escape into surrounding forests, with potentially severe impacts for forest biodiversity. We examined the effect of experimental fires on leaf-litter arthropod abundance in a seasonally-dry forest in the Brazilian Amazon. The study plots (50 ha each) included a thrice-burned forest and an unburned control forest. Pitfall-trap samples were collected at 160 randomly selected points in both plots, with sampling stratified across four intra-annual replicates across the dry and wet seasons, corresponding to 6, 8, 10 and 12 months after the most recent fire. Arthropods were identified to the level of order (separating Formicidae). In order to better understand the processes that determine arthropod abundance in thrice-burned forests, we measured canopy openness, understory density and litter depth. All arthropod taxa were significantly affected by fire and season. In addition, the interactions between burn treatment and season were highly significant for all taxa but Isoptera. The burned plot was characterized by a more open canopy, lower understory density and shallower litter depth. Hierarchical partitioning revealed that canopy openness was the most important factor explaining arthropod order abundances in the thrice-burned plot, whereas all three environmental variables were significant in the unburned control plot. These results reveal the marked impact of recurrent wildfires and seasonality on litter arthropods in this transitional forest, and demonstrate the overwhelming importance of canopy-openness in driving post-fire arthropod abundance.

Dietary response of sympatric deer to fire using stable isotope analysis of liver tissue

USGS Publications Warehouse

Walter, W. David; Zimmerman, T.J.; Leslie, David M.; Jenks, J.A.

2009-01-01

Carbon (??13C) and nitrogen (??15N) isotopes in biological samples from large herbivores identify photosynthetic pathways (C3 vs. C4) of plants they consumed and can elucidate potential nutritional characteristics of dietary selection. Because large herbivores consume a diversity of forage types, ??13C and ??15N in their tissue can index ingested and assimilated diets through time. We assessed ??13C and ??15N in metabolically active liver tissue of sympatric mule deer (Odocoileus hemionus) and white-tailed deer (O. virginianus) to identify dietary disparity resulting from use of burned and unburned areas in a largely forested landscape. Interspecific variation in dietary disparity of deer was documented 2-3 years post-fire in response to lag-time effects of vegetative response to burning and seasonal (i.e., summer, winter) differences in forage type. Liver ??13C for mule deer were lower during winter and higher during summer 2 years post-fire on burned habitat compared to unburned habitat suggesting different forages were consumed by mule deer in response to fire. Liver ??15N for both species were higher on burned than unburned habitat during winter and summer suggesting deer consumed more nutritious forage on burned habitat during both seasons 2 and 3 years post-fire. Unlike traditional methods of dietary assessment that do not measure uptake of carbon and nitrogen from dietary components, analyses of stable isotopes in liver or similar tissue elucidated ??13C and ??15N assimilation from seasonal dietary components and resulting differences in the foraging ecology of sympatric species in response to fire.

Factors Affecting the Abundance of Leaf-Litter Arthropods in Unburned and Thrice-Burned Seasonally-Dry Amazonian Forests

PubMed Central

Silveira, Juliana M.; Barlow, Jos; Louzada, Julio; Moutinho, Paulo

2010-01-01

Fire is frequently used as a land management tool for cattle ranching and annual crops in the Amazon. However, these maintenance fires often escape into surrounding forests, with potentially severe impacts for forest biodiversity. We examined the effect of experimental fires on leaf-litter arthropod abundance in a seasonally-dry forest in the Brazilian Amazon. The study plots (50 ha each) included a thrice-burned forest and an unburned control forest. Pitfall-trap samples were collected at 160 randomly selected points in both plots, with sampling stratified across four intra-annual replicates across the dry and wet seasons, corresponding to 6, 8, 10 and 12 months after the most recent fire. Arthropods were identified to the level of order (separating Formicidae). In order to better understand the processes that determine arthropod abundance in thrice-burned forests, we measured canopy openness, understory density and litter depth. All arthropod taxa were significantly affected by fire and season. In addition, the interactions between burn treatment and season were highly significant for all taxa but Isoptera. The burned plot was characterized by a more open canopy, lower understory density and shallower litter depth. Hierarchical partitioning revealed that canopy openness was the most important factor explaining arthropod order abundances in the thrice-burned plot, whereas all three environmental variables were significant in the unburned control plot. These results reveal the marked impact of recurrent wildfires and seasonality on litter arthropods in this transitional forest, and demonstrate the overwhelming importance of canopy-openness in driving post-fire arthropod abundance. PMID:20877720

Quantifying postfire aeolian sediment transport using rare earth element tracers

USGS Publications Warehouse

Dukes, David; Gonzales, Howell B.; Ravi, Sujith; Grandstaff, David E.; Van Pelt, R. Scott; Li, Junran; Wang, Guan; Sankey, Joel B.

2018-01-01

Grasslands, which provide fundamental ecosystem services in many arid and semiarid regions of the world, are undergoing rapid increases in fire activity and are highly susceptible to postfire-accelerated soil erosion by wind. A quantitative assessment of physical processes that integrates fire-wind erosion feedbacks is therefore needed relative to vegetation change, soil biogeochemical cycling, air quality, and landscape evolution. We investigated the applicability of a novel tracer technique—the use of multiple rare earth elements (REE)—to quantify soil transport by wind and to identify sources and sinks of wind-blown sediments in both burned and unburned shrub-grass transition zone in the Chihuahuan Desert, NM, USA. Results indicate that the horizontal mass flux of wind-borne sediment increased approximately threefold following the fire. The REE tracer analysis of wind-borne sediments shows that the source of the horizontal mass flux in the unburned site was derived from bare microsites (88.5%), while in the burned site it was primarily sourced from shrub (42.3%) and bare (39.1%) microsites. Vegetated microsites which were predominantly sinks of aeolian sediments in the unburned areas became sediment sources following the fire. The burned areas showed a spatial homogenization of sediment tracers, highlighting a potential negative feedback on landscape heterogeneity induced by shrub encroachment into grasslands. Though fires are known to increase aeolian sediment transport, accompanying changes in the sources and sinks of wind-borne sediments may influence biogeochemical cycling and land degradation dynamics. Furthermore, our experiment demonstrated that REEs can be used as reliable tracers for field-scale aeolian studies.

Effects of fire on spotted owl site occupancy in a late-successional forest

USGS Publications Warehouse

Roberts, Susan L.; van Wagtendonk, Jan W.; Miles, A. Keith; Kelt, Douglas A.

2011-01-01

The spotted owl (Strix occidentalis) is a late-successional forest dependent species that is sensitive to forest management practices throughout its range. An increase in the frequency and spatial extent of standreplacing fires in western North America has prompted concern for the persistence of spotted owls and other sensitive late-successional forest associated species. However, there is sparse information on the effects of fire on spotted owls to guide conservation policies. In 2004-2005, we surveyed for California spotted owls during the breeding season at 32 random sites (16 burned, 16 unburned) throughout late-successional montane forest in Yosemite National Park, California. Our burned areas burned at all severities, but predominately involved low to moderate fire severity. Based on an information theoretic approach, spotted owl detection and occupancy rates were similar between burned and unburned sites. Nest and roost site occupancy was best explained by a model that combined total tree basal area (positive effect) with cover by coarse woody debris (negative effect). The density estimates of California spotted owl pairs were similar in burned and unburned forests, and the overall mean density estimate for Yosemite was higher than previously reported for montane forests. Our results indicate that low to moderate severity fires, historically common within montane forests of the Sierra Nevada, California, maintain habitat characteristics essential for spotted owl site occupancy. These results suggest that managed fires that emulate the historic fire regime of these forests may maintain spotted owl habitat and protect this species from the effects of future catastrophic fires.

Effects of wildfire and permafrost on soil organic matter and soil climate in interior Alaska

USGS Publications Warehouse

Harden, J.W.; Manies, K.L.; Turetsky, M.R.; Neff, J.C.

2006-01-01

The influence of discontinuous permafrost on ground-fuel storage, combustion losses, and postfire soil climates was examined after a wildfire near Delta Junction, AK in July 1999. At this site, we sampled soils from a four-way site comparison of burning (burned and unburned) and permafrost (permafrost and nonpermafrost). Soil organic layers (which comprise ground-fuel storage) were thicker in permafrost than nonpermafrost soils both in burned and unburned sites. While we expected fire severity to be greater in the drier site (without permafrost), combustion losses were not significantly different between the two burned sites. Overall, permafrost and burning had significant effects on physical soil variables. Most notably, unburned permafrost sites with the thickest organic mats consistently had the coldest temperatures and wettest mineral soil, while soils in the burned nonpermafrost sites were warmer and drier than the other soils. For every centimeter of organic mat thickness, temperature at 5cm depth was about 0.5??C cooler during summer months. We propose that organic soil layers determine to a large extent the physical and thermal setting for variations in vegetation, decomposition, and carbon balance across these landscapes. In particular, the deep organic layers maintain the legacies of thermal and nutrient cycling governed by fire and revegetation. We further propose that the thermal influence of deep organic soil layers may be an underlying mechanism responsible for large regional patterns of burning and regrowth, detected in fractal analyses of burn frequency and area. Thus, fractal geometry can potentially be used to analyze changes in state of these fire prone systems. ?? 2006 Blackwell Publishing Ltd.

Early recruitment responses to interactions between frequent fires, nutrients, and herbivory in the southern Amazon.

PubMed

Massad, Tara Joy; Balch, Jennifer K; Mews, Cândida Lahís; Porto, Pábio; Marimon Junior, Ben Hur; Quintino, Raimundo Mota; Brando, P M; Vieira, Simone A; Trumbore, Susan E

2015-07-01

Understanding tropical forest diversity is a long-standing challenge in ecology. With global change, it has become increasingly important to understand how anthropogenic and natural factors interact to determine diversity. Anthropogenic increases in fire frequency are among the global change variables affecting forest diversity and functioning, and seasonally dry forest of the southern Amazon is among the ecosystems most affected by such pressures. Studying how fire will impact forests in this region is therefore important for understanding ecosystem functioning and for designing effective conservation action. We report the results of an experiment in which we manipulated fire, nutrient availability, and herbivory. We measured the effects of these interacting factors on the regenerative capacity of the ecotone between humid Amazon forest and Brazilian savanna. Regeneration density, diversity, and community composition were severely altered by fire. Additions of P and N + P reduced losses of density and richness in the first year post-fire. Herbivory was most important just after germination. Diversity was positively correlated with herbivory in unburned forest, likely because fire reduced the number of reproductive individuals. This contrasts with earlier results from the same study system in which herbivory was related to increased diversity after fire. We documented a significant effect of fire frequency; diversity in triennially burned forest was more similar to that in unburned than in annually burned forest, and the community composition of triennially burned forest was intermediate between unburned and annually burned areas. Preventing frequent fires will therefore help reduce losses in diversity in the southern Amazon's matrix of human-altered landscapes.

Plant community composition and biomass in Gulf Coast Chenier Plain marshes: Responses to winter burning and structural marsh management

USGS Publications Warehouse

Gabrey, S.W.; Afton, A.D.

2001-01-01

Many marshes in the Gulf Coast Chenier Plain, USA, are managed through a combination of fall or winter burning and structural marsh management (i.e., levees and water control structures; hereafter SMM). The goals of winter burning and SMM include improvement of waterfowl and furbearer habitat, maintenance of historic isohaline lines, and creation and maintenance of emergent wetlands. Although management practices are intended to influence the plant community, effects of these practices on primary productivity have not been investigated. Marsh processes, such as vertical accretion and nutrient cycles, which depend on primary productivity may be affected directly or indirectly by winter burning or SMM. We compared Chenier Plain plant community characteristics (species composition and above- and belowground biomass) in experimentally burned and unburned control plots within impounded and unimpounded marshes at 7 months (1996), 19 months (1997), and 31 months (1998) after burning. Burning and SMM did not affect number of plant species or species composition in our experiment. For all three years combined, burned plots had higher live above-ground biomass than did unburned plots. Total above-ground and dead above-ground biomasses were reduced in burned plots for two and three years, respectively, compared to those in unburned control plots. During all three years, belowground biomass was lower in impounded than in unimpounded marshes but did not differ between burn treatments. Our results clearly indicate that current marsh management practices influence marsh primary productivity and may impact other marsh processes, such as vertical accretion, that are dependent on organic matter accumulation and decay.

The effects of fire on ant trophic assemblage and sex allocation

PubMed Central

Caut, Stephane; Jowers, Michael J; Arnan, Xavier; Pearce-Duvet, Jessica; Rodrigo, Anselm; Cerda, Xim; Boulay, Raphaël R

2014-01-01

Fire plays a key role in ecosystem dynamics worldwide, altering energy flows and species community structure and composition. However, the functional mechanisms underlying these effects are not well understood. Many ground-dwelling animal species can shelter themselves from exposure to heat and therefore rarely suffer direct mortality. However, fire-induced alterations to the environment may change a species' relative trophic level within a food web and its mode of foraging. We assessed how fire could affect ant resource utilization at different scales in a Mediterranean forest. First, we conducted isotopic analyses on entire ant species assemblages and their potential food resources, which included plants and other arthropods, in burned and unburned plots 1 year postfire. Second, we measured the production of males and females by nests of a fire-resilient species, Aphaenogaster gibbosa, and analyzed the differences in isotopic values among workers, males, and females to test whether fire constrained resource allocation. We found that, in spite of major modifications in biotic and abiotic conditions, fire had little impact on the relative trophic position of ant species. The studied assemblage was composed of species with a wide array of diets. They ranged from being mostly herbivorous to completely omnivorous, and a given species' trophic level was the same in burned and unburned plots. In A. gibbosa nests, sexuals had greater δ15N values than workers in both burned and unburned plots, which suggests that the former had a more protein-rich diet than the latter. Fire also appeared to have a major effect on A. gibbosa sex allocation: The proportion of nests that produced male brood was greater on burned zones, as was the mean number of males produced per nest with the same reproductive investment. Our results show that generalist ants with relatively broad diets maintained a constant trophic position, even following a major disturbance like fire. However, the dramatically reduced production of females on burned zones compared to unburned zones 1 year postfire may result in considerably reduced recruitment of new colonies in the mid to long term, which could yield genetic bottlenecks and founder effects. Our study paves the way for future functional analyses of fire-induced modifications in ant populations and communities. PMID:24455159

The Union Health Center: a working model of clinical care linked to preventive occupational health services.

PubMed

Herbert, R; Plattus, B; Kellogg, L; Luo, J; Marcus, M; Mascolo, A; Landrigan, P J

1997-03-01

As health care provision in the United States shifts to primary care settings, it is vital that new models of occupational health services be developed that link clinical care to prevention. The model program described in this paper was developed at the Union Health Center (UHC), a comprehensive health care center supported by the International Ladies Garment Workers Union (now the Union of Needletrades, Industrial and Textile Employees) serving a population of approximately 50,000 primarily minority, female garment workers in New York City. The objective of this paper is to describe a model occupational medicine program in a union-based comprehensive health center linking accessible clinical care with primary and secondary disease prevention efforts. To assess the presence of symptoms suggestive of occupational disease, a health status questionnaire was administered to female workers attending the UHC for routine health maintenance. Based on the results of this survey, an occupational medicine clinic was developed that integrated direct clinical care with worker and employer education and workplace hazard abatement. To assess the success of this new approach, selected cases of sentinel health events were tracked and a chart review was conducted after 3 years of clinic operation. Prior to initiation of the occupational medicine clinic, 64% (648) of the workers surveyed reported symptoms indicative of occupational illnesses. However, only 42 (4%) reported having been told by a physician that they had an occupational illness and only 4 (.4%) reported having field a workers' compensation claim for an occupational disease. In the occupational medicine clinic established at the UHC, a health and safety specialist acts as a case manager, coordinating worker and employer education as well as workplace hazard abatement focused on disease prevention, ensuring that every case of occupational disease is treated as a potential sentinel health event. As examples of the success of this approach, index cases of rotator cuff tendonitis, lead poisoning, and formaldehyde overexposure in three patients and their preventative workplace follow-up, affecting approximately 150 workers at three worksites, are described. Work-related conditions diagnosed during the first 3 years of clinic operation included cumulative trauma disorders (141 cases), carpal tunnel syndrome (47 cases), low back disorders (33 cases), lead poisoning (20 cases), and respiratory disease (9 cases). This pilot project represents a new model for effective integration of clinical care and occupational disease prevention efforts within a primary care center. It could serve as a prototype for development of such services in other managed and primary care settings.

Effect of prescribed burning on soil moisture and germination of southwestern ponderosa pine seed on basaltic soils

Treesearch

Sally M Haase

1986-01-01

Prescribed burning created a more favorable seedbed by exposing mineral soil and increasing soil moisture, resulting in a twenty-fold increase in the number of seeds germinating on burned compared to unburned sites.

Fire-mediated dieback and compositional cascade in an Amazonian forest.

PubMed

Barlow, Jos; Peres, Carlos A

2008-05-27

The only fully coupled land-atmosphere global climate model predicts a widespread dieback of Amazonian forest cover through reduced precipitation. Although these predictions are controversial, the structural and compositional resilience of Amazonian forests may also have been overestimated, as current vegetation models fail to consider the potential role of fire in the degradation of forest ecosystems. We examine forest structure and composition in the Arapiuns River basin in the central Brazilian Amazon, evaluating post-fire forest recovery and the consequences of recurrent fires for the patterns of dominance of tree species. We surveyed tree plots in unburned and once-burned forests examined 1, 3 and 9 years after an unprecedented fire event, in twice-burned forests examined 3 and 9 years after fire and in thrice-burned forests examined 5 years after the most recent fire event. The number of trees recorded in unburned primary forest control plots was stable over time. However, in both once- and twice-burned forest plots, there was a marked recruitment into the 10-20cm diameter at breast height tree size classes between 3 and 9 years post-fire. Considering tree assemblage composition 9 years after the first fire contact, we observed (i) a clear pattern of community turnover among small trees and the most abundant shrubs and saplings, and (ii) that species that were common in any of the four burn treatments (unburned, once-, twice- and thrice-burned) were often rare or entirely absent in other burn treatments. We conclude that episodic wildfires can lead to drastic changes in forest structure and composition, with cascading shifts in forest composition following each additional fire event. Finally, we use these results to evaluate the validity of the savannization paradigm.

Recovery of biological soil crust richness and cover 12-16 years after wildfires in Idaho, USA

NASA Astrophysics Data System (ADS)

Root, Heather T.; Brinda, John C.; Dodson, E. Kyle

2017-09-01

Changing fire regimes in western North America may impact biological soil crust (BSC) communities that influence many ecosystem functions, such as soil stability and C and N cycling. However, longer-term effects of wildfire on BSC abundance, species richness, functional groups, and ecosystem functions after wildfire (i.e., BSC resilience) are still poorly understood. We sampled BSC lichen and bryophyte communities at four sites in Idaho, USA, within foothill steppe communities that included wildfires from 12 to 16 years old. We established six plots outside each burn perimeter and compared them with six plots of varying severity within each fire perimeter at each site. BSC cover was most strongly negatively impacted by wildfire at sites that had well-developed BSC communities in adjacent unburned plots. BSC species richness was estimated to be 65 % greater in unburned plots compared with burned plots, and fire effects did not vary among sites. In contrast, there was no evidence that vascular plant functional groups or fire severity (as measured by satellite metrics differenced normalized burn ratio (dNBR) or relativized differenced normalized burn ratio (RdNBR)) significantly affected longer-term BSC responses. Three large-statured BSC functional groups that may be important in controlling wind and water erosion (squamulose lichens, vagrant lichens, and tall turf mosses) exhibited a significant decrease in abundance in burned areas relative to adjacent unburned areas. The decreases in BSC cover and richness along with decreased abundance of several functional groups suggest that wildfire can negatively impact ecosystem function in these semiarid ecosystems for at least 1 to 2 decades. This is a concern given that increased fire frequency is predicted for the region due to exotic grass invasion and climate change.

Interacting factors driving a major loss of large trees with cavities in a forest ecosystem.

PubMed

Lindenmayer, David B; Blanchard, Wade; McBurney, Lachlan; Blair, David; Banks, Sam; Likens, Gene E; Franklin, Jerry F; Laurance, William F; Stein, John A R; Gibbons, Philip

2012-01-01

Large trees with cavities provide critical ecological functions in forests worldwide, including vital nesting and denning resources for many species. However, many ecosystems are experiencing increasingly rapid loss of large trees or a failure to recruit new large trees or both. We quantify this problem in a globally iconic ecosystem in southeastern Australia--forests dominated by the world's tallest angiosperms, Mountain Ash (Eucalyptus regnans). Tree, stand and landscape-level factors influencing the death and collapse of large living cavity trees and the decay and collapse of dead trees with cavities are documented using a suite of long-term datasets gathered between 1983 and 2011. The historical rate of tree mortality on unburned sites between 1997 and 2011 was >14% with a mortality spike in the driest period (2006-2009). Following a major wildfire in 2009, 79% of large living trees with cavities died and 57-100% of large dead trees were destroyed on burned sites. Repeated measurements between 1997 and 2011 revealed no recruitment of any new large trees with cavities on any of our unburned or burned sites. Transition probability matrices of large trees with cavities through increasingly decayed condition states projects a severe shortage of large trees with cavities by 2039 that will continue until at least 2067. This large cavity tree crisis in Mountain Ash forests is a product of: (1) the prolonged time required (>120 years) for initiation of cavities; and (2) repeated past wildfires and widespread logging operations. These latter factors have resulted in all landscapes being dominated by stands ≤72 years and just 1.16% of forest being unburned and unlogged. We discuss how the features that make Mountain Ash forests vulnerable to a decline in large tree abundance are shared with many forest types worldwide.

Wildfire and forest disease interaction lead to greater loss of soil nutrients and carbon.

PubMed

Cobb, Richard C; Meentemeyer, Ross K; Rizzo, David M

2016-09-01

Fire and forest disease have significant ecological impacts, but the interactions of these two disturbances are rarely studied. We measured soil C, N, Ca, P, and pH in forests of the Big Sur region of California impacted by the exotic pathogen Phytophthora ramorum, cause of sudden oak death, and the 2008 Basin wildfire complex. In Big Sur, overstory tree mortality following P. ramorum invasion has been extensive in redwood and mixed evergreen forests, where the pathogen kills true oaks and tanoak (Notholithocarpus densiflorus). Sampling was conducted across a full-factorial combination of disease/no disease and burned/unburned conditions in both forest types. Forest floor organic matter and associated nutrients were greater in unburned redwood compared to unburned mixed evergreen forests. Post-fire element pools were similar between forest types, but lower in burned-invaded compared to burned-uninvaded plots. We found evidence disease-generated fuels led to increased loss of forest floor C, N, Ca, and P. The same effects were associated with lower %C and higher PO4-P in the mineral soil. Fire-disease interactions were linear functions of pre-fire host mortality which was similar between the forest types. Our analysis suggests that these effects increased forest floor C loss by as much as 24.4 and 21.3 % in redwood and mixed evergreen forests, respectively, with similar maximum losses for the other forest floor elements. Accumulation of sudden oak death generated fuels has potential to increase fire-related loss of soil nutrients at the region-scale of this disease and similar patterns are likely in other forests, where fire and disease overlap.

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

NASA Astrophysics Data System (ADS)

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

2017-12-01

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

Critical shear stress for erosion of cohesive soils subjected to temperatures typical of wildfires

USGS Publications Warehouse

Moody, J.A.; Dungan, Smith J.; Ragan, B.W.

2005-01-01

[1] Increased erosion is a well-known response after wildfire. To predict and to model erosion on a landscape scale requires knowledge of the critical shear stress for the initiation of motion of soil particles. As this soil property is temperature-dependent, a quantitative relation between critical shear stress and the temperatures to which the soils have been subjected during a wildfire is required. In this study the critical shear stress was measured in a recirculating flume using samples of forest soil exposed to different temperatures (40??-550??C) for 1 hour. Results were obtained for four replicates of soils derived from three different types of parent material (granitic bedrock, sandstone, and volcanic tuffs). In general, the relation between critical shear stress and temperature can be separated into three different temperature ranges (275??C), which are similar to those for water repellency and temperature. The critical shear stress was most variable (1.0-2.0 N m-2) for temperatures 2.0 N m-2) between 175?? and 275??C, and was essentially constant (0.5-0.8 N m-2) for temperatures >275??C. The changes in critical shear stress with temperature were found to be essentially independent of soil type and suggest that erosion processes in burned watersheds can be modeled more simply than erosion processes in unburned watersheds. Wildfire reduces the spatial variability of soil erodibility associated with unburned watersheds by eliminating the complex effects of vegetation in protecting soils and by reducing the range of cohesion associated with different types of unburned soils. Our results indicate that modeling the erosional response after a wildfire depends primarily on determining the spatial distribution of the maximum soil temperatures that were reached during the wildfire. Copyright 2005 by the American Geophysical Union.

Declines revisited: Long-term recovery and spatial population dynamics oftailed frog larvae after wildfire

USGS Publications Warehouse

Hossack, Blake R.; Honeycutt, Richard

2017-01-01

Drought has fueled an increased frequency and severity of large wildfires in many ecosystems. Despite an increase in research on wildfire effects on vertebrates, the vast majority of it has focused on short-term (< 5 years) effects and there is still little information on the time scale of population recovery for species that decline in abundance after fire. In 2003, a large wildfire in Montana (USA) burned the watersheds of four of eight streams that we sampled for larval Rocky Mountain tailed frogs (Ascaphus montanus) in 2001. Surveys during 2004–2005 revealed reduced abundance of larvae in burned streams relative to unburned streams, with greater declines associated with increased fire extent. Rocky Mountain tailed frogs have low vagility and have several unusual life-history traits that could slow population recovery, including an extended larval period (4 years), delayed sexual maturity (6–8 years), and low fecundity (< 50 eggs/year). To determine if abundance remained depressed since the 2003 wildfire, we repeated surveys during 2014–2015 and found relative abundance of larvae in burned and unburned streams had nearly converged to pre-fire conditions within two generations. The negative effects of burn extent on larval abundance weakened> 58% within 12 years after the fire. We also found moderate synchrony among populations in unburned streams and negative spatial autocorrelation among populations in burned streams. We suspect negative spatial autocorrelation among spatially-clustered burned streams reflected increased post-fire patchiness in resources and different rates of local recovery. Our results add to a growing body of work that suggests populations in intact ecosystems tend to be resilient to habitat changes caused by wildfire. Our results also provide important insights into recovery times of populations that have been negatively affected by severe wildfire.

A common-garden study of resource-island effects on a native and an exotic, annual grass after fire

USGS Publications Warehouse

Hoover, Amber N.; Germino, Matthew J.

2012-01-01

Plant-soil variation related to perennial-plant resource islands (coppices) interspersed with relatively bare interspaces is a major source of heterogeneity in desert rangelands. Our objective was to determine how native and exotic grasses vary on coppice mounds and interspaces (microsites) in unburned and burned sites and underlying factors that contribute to the variation in sagebrush-steppe rangelands of the Idaho National Lab, where interspaces typically have abiotic crusts. We asked how the exotic cheatgrass (Bromus tectorum L.) and native bluebunch wheatgrass (Pseudoroegneria spicata [Pursh] A. Löve) were distributed among the microsites and measured their abundances in three replicate wildfires and nearby unburned areas. We conducted a common-garden study in which soil cores from each burned microsite type were planted with seed of either species to determine microsite effects on establishment and growth of native and exotic grasses. We assessed soil physical properties in the common-garden study to determine the intrinsic properties of each microsite surface and the retention of microsite soil differences following transfer of soils to the garden, to plant growth, and to wetting/drying cycles. In the field study, only bluebunch wheatgrass density was greater on coppice mounds than interspaces, in both unburned and burned areas. In the common-garden experiment, there were microsite differences in soil physical properties, particularly in crust hardness and its relationship to moisture, but soil properties were unaffected by plant growth. Also in the experiment, both species had equal densities yet greater dry mass production on coppice-mound soils compared to interspace soils, suggesting microsite differences in growth but not establishment (likely related to crust weakening resulting from watering). Coppice-interspace patterning and specifically native-herb recovery on coppices is likely important for postfire resistance of this rangeland to cheatgrass.

Fluid Chemistry Dynamics Before and After Fire in the Jemez River Basin Critical Zone Observatory

NASA Astrophysics Data System (ADS)

Chorover, J.; Perdrial, J. N.; Field, J. P.; Pelletier, J. D.; Pohlmann, M. A.; Losleben, M. V.; Lasharr, K.; Amistadi, M.; Brooks, P. D.; McIntosh, J. C.; Meixner, T.; Gallery, R.; Rich, V. I.; Rasmussen, C.; Schaap, M. G.; Breshears, D. D.

2013-12-01

The largest wildfire in New Mexico state history (prior to the Whitewater-Baldy fire of 2012) burned the eastern portion of the Jemez River Basin Critical Zone Observatory (JRB CZO) in June-July 2011. This Los Conchas fire burned large stands of ponderosa pine and mixed conifer (MC) forest within the East Fork Jemez River watershed generating massive post-fire erosion. We asked the question: What are the implications of wildfire on pulsed carbon and other bio-active element redistributions in impacted soils and catchments? As soon as possible following the fire, our research group installed sensor and sampler instrumentation in soil profiles in an intensively burned zero order basin (ZOB), enabling the initiation of comparisons to a similarly instrumented, unburned MC ZOB. The signal of biomass combustion was propagated through soil and stream. Post-burn solute fluxes were dominated by highly-aromatic character DOM, as well as elevated DIC, sulfate, chloride and non-hydrolyzing cation (Ca, Mg, K) concentrations deriving from biomass combustion. Supporting an apparent trend of increasing wildfire in western montane forests, the Thompson Ridge wildfire burned MC forest throughout much of the western previously unburned portion of the Valles Caldera National Preserve in June 2013, including the (until then) "unburned" MC ZOB sites comprising CZO sensor and sampler network arrays. Post-burn soil samples were collected for geochemical, physical, and microbial composition characterizations. Solute and gas fluxes were monitored in situ to compare CZ response following this high intensity burn to three years of pre-burn data. Results indicate that the post-fire pulse of water soluble, biomass-derived ions and carbon into underlying and downslope soils is generating landscape-scale element distribution that could affect recolonization by biota in the ensuing secondary succession.

Bat Response to Differing Fire Severity in Mixed-Conifer Forest California, USA

PubMed Central

Heady, Paul A.; Hayes, John P.; Frick, Winifred F.

2013-01-01

Wildlife response to natural disturbances such as fire is of conservation concern to managers, policy makers, and scientists, yet information is scant beyond a few well-studied groups (e.g., birds, small mammals). We examined the effects of wildfire severity on bats, a taxon of high conservation concern, at both the stand (<1 ha) and landscape scale in response to the 2002 McNally fire in the Sierra Nevada region of California, USA. One year after fire, we conducted surveys of echolocation activity at 14 survey locations, stratified in riparian and upland habitat, in mixed-conifer forest habitats spanning three levels of burn severity: unburned, moderate, and high. Bat activity in burned areas was either equivalent or higher than in unburned stands for all six phonic groups measured, with four groups having significantly greater activity in at least one burn severity level. Evidence of differentiation between fire severities was observed with some Myotis species having higher levels of activity in stands of high-severity burn. Larger-bodied bats, typically adapted to more open habitat, showed no response to fire. We found differential use of riparian and upland habitats among the phonic groups, yet no interaction of habitat type by fire severity was found. Extent of high-severity fire damage in the landscape had no effect on activity of bats in unburned sites suggesting no landscape effect of fire on foraging site selection and emphasizing stand-scale conditions driving bat activity. Results from this fire in mixed-conifer forests of California suggest that bats are resilient to landscape-scale fire and that some species are preferentially selecting burned areas for foraging, perhaps facilitated by reduced clutter and increased post-fire availability of prey and roosts. PMID:23483936

Does prescribed fire promote resistance to drought in low elevation forests of the Sierra Nevada, California, USA?

USGS Publications Warehouse

van Mantgem, Phillip J.; Caprio, Anthony C.; Stephenson, Nathan L.; Das, Adrian J.

2016-01-01

Prescribed fire is a primary tool used to restore western forests following more than a century of fire exclusion, reducing fire hazard by removing dead and live fuels (small trees and shrubs).  It is commonly assumed that the reduced forest density following prescribed fire also reduces competition for resources among the remaining trees, so that the remaining trees are more resistant (more likely to survive) in the face of additional stressors, such as drought.  Yet this proposition remains largely untested, so that managers do not have the basic information to evaluate whether prescribed fire may help forests adapt to a future of more frequent and severe drought.During the third year of drought, in 2014, we surveyed 9950 trees in 38 burned and 18 unburned mixed conifer forest plots at low elevation (<2100 m a.s.l.) in Kings Canyon, Sequoia, and Yosemite national parks in California, USA.  Fire had occurred in the burned plots from 6 yr to 28 yr before our survey.  After accounting for differences in individual tree diameter, common conifer species found in the burned plots had significantly reduced probability of mortality compared to unburned plots during the drought.  Stand density (stems ha-1) was significantly lower in burned versus unburned sites, supporting the idea that reduced competition may be responsible for the differential drought mortality response.  At the time of writing, we are not sure if burned stands will maintain lower tree mortality probabilities in the face of the continued, severe drought of 2015.  Future work should aim to better identify drought response mechanisms and how these may vary across other forest types and regions, particularly in other areas experiencing severe drought in the Sierra Nevada and on the Colorado Plateau.

The helminth community component species of the wood mouse as biological tags of a ten post-fire-year regeneration process in a Mediterranean ecosystem.

PubMed

Sáez-Durán, Sandra; Debenedetti, Ángela L; Sainz-Elipe, Sandra; Galán-Puchades, M Teresa; Fuentes, Màrius V

2018-05-10

Serra Calderona Natural Park, a Mediterranean ecosystem, has been in post-fire regeneration for 10 years. To elucidate which helminth community component species of the wood mouse, Apodemus sylvaticus, can be considered biological tags of this process, the influence of intrinsic (host density; host sex and age) and extrinsic factors (site, year, and period of capture; vegetation recovery) on their prevalence and abundance has been analysed, comparing a burned and an unburned area. A total of 564 wood mice (408 from the burned and 156 from the unburned area), from the 2nd to the10th post-fire year, was included in this helminthoecological study. The results suggest that the area in post-fire regeneration is still more vulnerable to periodic environmental changes than the unburned area as deduced from the analysis of the helminth populations of Pseudocatenotaenia matovi, Skrjabinotaenia lobata, Trichuris muris, Eucoleus bacillatus and Aonchotheca annulosa. The intermediate and definitive host populations presented a greater variability to these environmental changes in the burned area (Taenia parva, P. matovi, S. lobata, A. annulosa, Syphacia stroma and S. frederici). In the regenerating area, some behavioural changes in certain populations determined by the host sex are taking place (T. parva, Helgimosomoides polygyrus and S. frederici). During the last years studied, a greater similarity in the populational development of some component species between both areas can be appreciated (H. polygyrus and S. stroma). The role of the wood mouse and its helminth parasites as biological tags of the post-fire regeneration process in Mediterranean ecosystems has been confirmed.

Lizard activity and abundance greater in burned habitat of a xeric montane forest

USGS Publications Warehouse

Fouts, Kevin L.; Moore, Clinton; Johnson, Kristine D.; Maerz, John C.

2017-01-01

Restoring the natural or historical state of ecosystems is a common objective among resource managers, but determining whether desired system responses to management actions are occurring is often protracted and challenging. For wildlife, the integration of mechanistic habitat modeling with population monitoring may provide expedited measures of management effectiveness and improve understanding of how management actions succeed or fail to recover populations. Southern Appalachia is a region of high biodiversity that has undergone dramatic change as a result of human activities such as historic logging, exotic invasions, and alteration of disturbance regimes—including reduction in application of fire. Contemporary efforts to restore fire-maintained ecosystems within southern Appalachian forests require tools to assess the effects of fire management practices on individual animal fitness and relate them to corresponding influences on species abundance. Using automated sensing equipment, we investigated the effects of burned forests on reptile habitat suitability within the western portion of Great Smoky Mountains National Park, Tennessee. Specifically, we used microclimate measurements to model northern fence lizard Sceloporus undulatus hyacinthinus diurnal activity budgets in unburned and variable burn age (3–27-y) forest stands. We estimated northern fence lizard occurrence and abundance along transects through burned and unburned forests. Burned forest stands had microclimates that resulted in longer modeled daily activity periods under most conditions during summer. S. undulatus abundance was 4.75 times greater on burned stands compared to paired unburned stands, although the relationship between burn age and abundance was not well determined. Results suggest the more open habitat structure of burned areas within these xeric pine–oak forests may benefit S. undulatus.

Characterization of the dust/smoke aerosol that settled east of the World Trade Center (WTC) in lower Manhattan after the collapse of the WTC 11 September 2001.

PubMed Central

Lioy, Paul J; Weisel, Clifford P; Millette, James R; Eisenreich, Steven; Vallero, Daniel; Offenberg, John; Buckley, Brian; Turpin, Barbara; Zhong, Mianhua; Cohen, Mitchell D; Prophete, Colette; Yang, Ill; Stiles, Robert; Chee, Glen; Johnson, Willie; Porcja, Robert; Alimokhtari, Shahnaz; Hale, Robert C; Weschler, Charles; Chen, Lung Chi

2002-01-01

The explosion and collapse of the World Trade Center (WTC) was a catastrophic event that produced an aerosol plume impacting many workers, residents, and commuters during the first few days after 11 September 2001. Three bulk samples of the total settled dust and smoke were collected at weather-protected locations east of the WTC on 16 and 17 September 2001; these samples are representative of the generated material that settled immediately after the explosion and fire and the concurrent collapse of the two structures. We analyzed each sample, not differentiated by particle size, for inorganic and organic composition. In the inorganic analyses, we identified metals, radionuclides, ionic species, asbestos, and inorganic species. In the organic analyses, we identified polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls, polychlorinated dibenzodioxins, polychlorinated dibenzofurans, pesticides, phthalate esters, brominated diphenyl ethers, and other hydrocarbons. Each sample had a basic pH. Asbestos levels ranged from 0.8% to 3.0% of the mass, the PAHs were > 0.1% of the mass, and lead ranged from 101 to 625 microg/g. The content and distribution of material was indicative of a complex mixture of building debris and combustion products in the resulting plume. These three samples were composed primarily of construction materials, soot, paint (leaded and unleaded), and glass fibers (mineral wool and fiberglass). Levels of hydrocarbons indicated unburned or partially burned jet fuel, plastic, cellulose, and other materials that were ignited by the fire. In morphologic analyses we found that a majority of the mass was fibrous and composed of many types of fibers (e.g., mineral wool, fiberglass, asbestos, wood, paper, and cotton). The particles were separated into size classifications by gravimetric and aerodynamic methods. Material < 2.5 microm in aerodynamic diameter was 0.88-1.98% of the total mass. The largest mass concentrations were > 53 microm in diameter. The results obtained from these samples can be used to understand the contact and types of exposures to this unprecedented complex mixture experienced by the surviving residents, commuters, and rescue workers directly affected by the plume from 11 to 12 September and the evaluations of any acute or long-term health effects from resuspendable dust and smoke to the residents, commuters, and local workers, as well as from the materials released after 11 September until the fires were extinguished. Further, these results support the need to have the interior of residences, buildings, and their respective HVAC systems professionally cleaned to reduce long-term residential risks before rehabitation. PMID:12117648

The Impact of Redistricting Proposals on Health Care Expenditures for Liver Transplant Candidates and Recipients.

PubMed

Gentry, S E; Chow, E K H; Dzebisashvili, N; Schnitzler, M A; Lentine, K L; Wickliffe, C E; Shteyn, E; Pyke, J; Israni, A; Kasiske, B; Segev, D L; Axelrod, D A

2016-02-01

Redistricting, which means sharing organs in novel districts developed through mathematical optimization, has been proposed to reduce pervasive geographic disparities in access to liver transplantation. The economic impact of redistricting was evaluated with two distinct data sources, Medicare claims and the University HealthSystem Consortium (UHC). We estimated total Medicare payments under (i) the current allocation system (Share 35), (ii) full regional sharing, (iii) an eight-district plan, and (iv) a four-district plan for a simulated population of patients listed for liver transplant over 5 years, using the liver simulated allocation model. The model predicted 5-year transplant volumes (Share 35, 29,267; regional sharing, 29,005; eight districts, 29,034; four districts, 28,265) and a reduction in overall mortality, including listed and posttransplant patients, of up to 676 lives. Compared with current allocation, the eight-district plan was estimated to reduce payments for pretransplant care ($1638 million to $1506 million, p < 0.001), transplant episode ($5607 million to $5569 million, p < 0.03) and posttransplant care ($479 million to $488 million, p < 0.001). The eight-district plan was estimated to increase per-patient transportation costs for organs ($8988 to $11,874 per patient, p < 0.001) and UHC estimated hospital costs ($4699 per case). In summary, redistricting appears to be potentially cost saving for the health care system but will increase the cost of performing liver transplants for some transplant centers. © Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.

Analysis of health promotion and prevention financing mechanisms in Thailand

PubMed Central

Watabe, Akihito; Wongwatanakul, Weranuch; Thamarangsi, Thaksaphon; Prakongsai, Phusit; Yuasa, Motoyuki

2017-01-01

Summary In the transition to the post-2015 agenda, many countries are striving towards universal health coverage (UHC). Achieving this, governments need to shift from curative care to promotion and prevention services. This research analyses Thailand's financing system for health promotion and prevention, and assesses policy options for health financing reforms. The study employed a mixed-methods approach and integrates multiple sources of evidence, including scientific and grey literature, expenditure data, and semi-structured interviews with key stakeholders in Thailand. The analysis was underpinned by the use of a well-known health financing framework. In Thailand, three agencies plus local governments share major funding roles for health promotion and prevention services: the Ministry of Public Health (MOPH), the National Health Security Office, the Thai Health Promotion Foundation and Tambon Health Insurance Funds. The total expenditure on prevention and public health in 2010 was 10.8% of the total health expenditure, greater than many middle-income countries that average 7.0–9.2%. MOPH was the largest contributor at 32.9%, the Universal Coverage scheme was the second at 23.1%, followed by the local governments and ThaiHealth at 22.8 and 7.3%, respectively. Thailand's health financing system for promotion and prevention is strategic and innovative due to the three complementary mechanisms in operation. There are several methodological limitations to determine the adequate level of spending. The health financing reforms in Thailand could usefully inform policymakers on ways to increase spending on promotion and prevention. Further comparative policy research is needed to generate evidence to support efforts towards UHC. PMID:26989011

Equity and Blindness: Closing Evidence Gaps to Support Universal Eye Health.

PubMed

Ramke, Jacqueline; Zwi, Anthony B; Palagyi, Anna; Blignault, Ilse; Gilbert, Clare E

2015-01-01

The World Health Organization Program for the Prevention of Blindness adopted the principles of universal health coverage (UHC) in its latest plan, Universal Eye Health: A Global Action Plan, 2014-2019. This plan builds on the achievements of Vision 2020, which aimed to reduce the global prevalence of avoidable blindness, and its unequal distribution, by the year 2020. We reviewed the literature on health equity and the generation and use of evidence to promote equity, particularly in eye health. We describe the nature and extent of the equity-focused evidence to support and inform eye health programs on the path to universal eye health, and propose ways to improve the collection and reporting of this evidence. Blindness prevalence decreased in all regions of the world between 1990 and 2010, albeit not at the same rate or to the same extent. In 2010, the prevalence of blindness in West Africa (6.0%) remained 15 times higher than in high-income regions (0.4%); within all regions, women had a higher prevalence of blindness than men. Beyond inter-regional and sex differences, there is little comparable data on the distribution of blindness across social groups within regions and countries, or on whether this distribution has changed over time. Similarly, interventions known to address inequity in blindness are few, and equity-relevant goals, targets and indicators for eye health programs are scarce. Equity aims of eye health programs can benefit from the global momentum towards achieving UHC, and the progress being made on collecting, communicating and using equity-focused evidence.

Study of strains of Candida spp. Isolated from catheters in UHC of Oran (Algeria): Identification and antifungal susceptibility.

PubMed

Bendjelloul, M; Boucherit-Otmani, Z; Boucherit, K

2016-09-01

The increasing incidence of Candida spp., and the vital prognosis often compromise for patients with Candida species make urgent the exact knowledge of their distribution worldwide and exhaust action antifungals currently used in clinical. That why we carry out an epidemiological study of Candida species and testing their susceptibility against two antifungals: amphotericin B and caspofungin. Samplings of peripheral venous catheters (PVC) were carried out from during 8months on the services of Internal medicine, Surgery A and Neonatology of Oran's University Hospital Center (UHC). The study of the susceptibility of Candida species to antifungal agents was performed according to the Clinical Laboratory Standards Institute (CLSI 2008). From 300 samples, 25 yeasts were isolated. The rate of colonization PVC was 8.33% by Candida spp. The most isolated strains were Candida parapsilosis with 64% of cases, followed by Candida albicans (12%) then 8% for Candida glabrata and Candida krusei. However, only 4% of isolates were Candida famata or Candida lusitaniae. Furthermore all isolated strains were susceptible to amphotericin B with Minimum Inhibitory Concentrations (MIC) ranging from 0.25 to 1μg/mL. MIC obtained with caspofungin vary from 0.0625 to 2μg/mL for all strains. Moreover, one strain of C. krusei is resistant to caspofungin with a MIC superior to 8μg/mL. All though caspofungin is at least as effective as amphotericin B, it is better tolerated for the treatment of invasive fungal infections. Copyright © 2016. Published by Elsevier Masson SAS.

State budget transfers to health insurance funds: extending universal health coverage in low- and middle-income countries of the WHO European Region.

PubMed

Mathauer, Inke; Theisling, Mareike; Mathivet, Benoit; Vilcu, Ileana

2016-04-02

Many low-and middle-income countries (LMIC) of the World Health Organization (WHO) European Region have introduced social health insurance payroll taxes after the political transition in the late 1980s, combined with budget transfers to allow for exempting specific population groups from paying contributions, such as those outside formal sector work and in particular vulnerable groups. This paper assesses the institutional design aspects of such financing arrangements and their performance with respect to universal health coverage progress in LMIC of the European region. The study is based on a literature review and review of secondary databases for the performance assessment. Such financing arrangements currently exist in 13 LMIC of that region, with strong commonalities in institutional design: This includes a wide range of different eligible population groups, mostly mandatory membership, integrated pools for both the exempted and contributors, and relatively comprehensive benefit packages. Performance is more varied. Enrolment rates range from about 65 % to above 95 %, and access to care and financial protection has improved in several countries. Yet, inequities between income quintiles persist. Budget transfers to health insurance arrangements have helped to deepen UHC or maintain achievements with respect to UHC in these European LMICs by covering those outside formal sector work, and in particular vulnerable population groups. However, challenges remain: a comprehensive benefit package on paper is not enough as long as supply side constraints and quality gaps as well as informal payments prevail. A key policy question is how to reach those so far uncovered.

Achieving universal health coverage in small island states: could importing health services provide a solution?

PubMed Central

Walls, Helen; Smith, Richard

2018-01-01

Background Universal health coverage (UHC) is difficult to achieve in settings short of medicines, health workers and health facilities. These characteristics define the majority of the small island developing states (SIDS), where population size negates the benefits of economies of scale. One option to alleviate this constraint is to import health services, rather than focus on domestic production. This paper provides empirical analysis of the potential impact of this option. Methods Analysis was based on publicly accessible data for 14 SIDS, covering health-related travel and health indicators for the period 2003–2013, together with in-depth review of medical travel schemes for the two highest importing SIDS—the Maldives and Tuvalu. Findings Medical travel from SIDS is accelerating. The SIDS studied generally lacked health infrastructure and technologies, and the majority of them had lower than the recommended number of physicians in a country, which limits their capacity for achieving UHC. Tuvalu and the Maldives were the highest importers of healthcare and notably have public schemes that facilitate medical travel and help lower the out-of-pocket expenditure on medical travel. Although different in approach, design and performance, the medical travel schemes in Tuvalu and the Maldives are both examples of measures used to increase access to health services that cannot feasibly be provided in SIDS. Interpretation Our findings suggest that importing health services (through schemes to facilitate medical travel) is a potential mechanism to help achieve universal healthcare for SIDS but requires due diligence over cost, equity and quality control. PMID:29527349

Health worker remuneration in WHO Member States

PubMed Central

Poullier, JP; Van Mosseveld, CJM; Van de Maele, N; Cherilova, V; Indikadahena, C; Lie, G; Tan-Torres, T; Evans, David B

2013-01-01

Abstract Objective To present the available data on the money spent by Member States of the World Health Organization (WHO) on remunerating health workers in the public and private sectors. Methods Data on government and total expenditure on health worker remuneration were obtained through a review of official documents in WHO’s Global Health Expenditure Database and directly from country officials and country official web sites. Such data are presented in this paper, by World Bank country income groups, in millions of national currency units per calendar year for salaried and non-salaried health workers. They are presented as a share of gross domestic product (GDP), total health expenditure and general government health expenditure. The average yearly change in remuneration (i.e. compound annual growth rate) between 2000 and 2012 as a function of these parameters was also assessed. Findings On average, payments to health workers of all types accounted for more than one third of total health expenditure across countries. Such payments have grown faster than countries’ GDPs but less rapidly than total health expenditure and general government health expenditure. Remuneration of health workers, on the other hand, has grown faster than that of other types of workers. Conclusion As they seek to attain universal health coverage (UHC), countries will need to devote an increasing proportion of their GDPs to health and health worker remuneration. However, the fraction of total health expenditure devoted to paying health workers seems to be declining, partly because the pursuit of UHC calls for strengthening the health system as a whole. PMID:24347704

Analysis of health promotion and prevention financing mechanisms in Thailand.

PubMed

Watabe, Akihito; Wongwatanakul, Weranuch; Thamarangsi, Thaksaphon; Prakongsai, Phusit; Yuasa, Motoyuki

2017-08-01

In the transition to the post-2015 agenda, many countries are striving towards universal health coverage (UHC). Achieving this, governments need to shift from curative care to promotion and prevention services. This research analyses Thailand's financing system for health promotion and prevention, and assesses policy options for health financing reforms. The study employed a mixed-methods approach and integrates multiple sources of evidence, including scientific and grey literature, expenditure data, and semi-structured interviews with key stakeholders in Thailand. The analysis was underpinned by the use of a well-known health financing framework. In Thailand, three agencies plus local governments share major funding roles for health promotion and prevention services: the Ministry of Public Health (MOPH), the National Health Security Office, the Thai Health Promotion Foundation and Tambon Health Insurance Funds. The total expenditure on prevention and public health in 2010 was 10.8% of the total health expenditure, greater than many middle-income countries that average 7.0-9.2%. MOPH was the largest contributor at 32.9%, the Universal Coverage scheme was the second at 23.1%, followed by the local governments and ThaiHealth at 22.8 and 7.3%, respectively. Thailand's health financing system for promotion and prevention is strategic and innovative due to the three complementary mechanisms in operation. There are several methodological limitations to determine the adequate level of spending. The health financing reforms in Thailand could usefully inform policymakers on ways to increase spending on promotion and prevention. Further comparative policy research is needed to generate evidence to support efforts towards UHC. © The Author 2016. Published by Oxford University Press.

Improving equity in health care financing in China during the progression towards Universal Health Coverage.

PubMed

Chen, Mingsheng; Palmer, Andrew J; Si, Lei

2017-12-29

China is reforming the way it finances health care as it moves towards Universal Health Coverage (UHC) after the failure of market-oriented mechanisms for health care. Improving financing equity is a major policy goal of health care system during the progression towards universal coverage. We used progressivity analysis and dominance test to evaluate the financing channels of general taxation, pubic health insurance, and out-of-pocket (OOP) payments. In 2012 a survey of 8854 individuals in 3008 households recorded the socioeconomic and demographic status, and health care payments of those households. The overall Kakwani index (KI) of China's health care financing system is 0.0444. For general tax KI was -0.0241 (95% confidence interval (CI): -0.0315 to -0.0166). The indices for public health schemes (Urban Employee Basic Medical Insurance, Urban Resident's Basic Medical Insurance, New Rural Cooperative Medical Scheme) were respectively 0.1301 (95% CI: 0.1008 to 0.1594), -0.1737 (95% CI: -0.2166 to -0.1308), and -0.5598 (95% CI: -0.5830 to -0.5365); and for OOP payments KI was 0.0896 (95%CI: 0.0345 to 0.1447). OOP payments are still the dominant part of China's health care finance system. China's health care financing system is not really equitable. Reducing the proportion of indirect taxes would considerably improve health care financing equity. The flat-rate contribution mechanism is not recommended for use in public health insurance schemes, and more attention should be given to optimizing benefit packages during China's progression towards UHC.

SEASONAL SOIL FLUXES OF CARBON MONOXIDE IN BURNED AND UNBURNED BRAZILIAN SAVANNAS

EPA Science Inventory

Soil-atmosphere fluxes of carbon monoxide (CO) were measured from September 1999 through November 2000 in savanna areas in central Brazil (Cerrado) under different fire regimes using transparent and opaque static chambers. Studies focused on two vegetation types, cerrado stricto...

Geoenvironmental impacts of using high carbon fly ash in structural fill applications.

DOT National Transportation Integrated Search

2013-03-01

Fly ash produced by power plants in the United States occasionally contains significant amounts of unburned carbon due to the : use of the increased prevalence of low nitrogen-oxide and sulphur-oxide burners in recent years. This ash cannot be reused...

Development and use of hydrogen-air torches in an altitude facility

NASA Technical Reports Server (NTRS)

Lottig, Roy A.; Huber, Gary T.

1993-01-01

A hydrogen-air ignition torch concept that had been used successfully in two rocket engine test facilities to consume excess hydrogen in their exhausters at atmospheric conditions was experimentally evaluated and developed in an altitude test facility at NASA Lewis Research Center. The idea was to use several of these torches in conjunction with hydrogen detectors and dilution air to prevent excess accumulation of unburned hydrogen or mixtures of hydrogen and air exceeding the sea-level lower flammability limit in the altitude facility exhaust system during hydrogen-fueled propulsion system tests. The torches were evaluated for a range of fuel-to-air ratios from 0.09 to 0.39 and for a range of exit diameters from 19/64 to 49/64 in. From the results of these tests a torch geometry and a fuel-to-air ratio were selected that produced a reasonably sized torch exhaust flame for consumption of unburned hydrogen at altitude pressures from sea level to 4 psia.

Turbulent flame propagation and combustion in spark ignition engines

NASA Technical Reports Server (NTRS)

Beretta, G. P.; Rashidi, M.; Keck, J. C.

1983-01-01

Pressure measurements synchronized with high-speed motion-picture records of flame propagation have been made in a transparent-piston engine. The data show that the initial expansion speed of the flame front is close to that of a laminar flame. As the flame expands, its speed rapidly accelerates to a quasi-steady value comparable with that of the turbulent velocity fluctuations in the unburned gas. During the quasi-steady propagation phase, a significant fraction of the gas behind the visible front is unburned. Final burnout of the charge may be approximated by an exponential decay in time. The data have been analyzed in a model-independent way to obtain a set of empirical equations for calculating mass burning rates in spark-ignition engines. The burning equations contain three parameters: the laminar burning speed, a characteristic speed (uT), and a characteristic length (lT). The laminar burning speed is known from laboratory measurements. Tentative correlations relating uT and lT to engine geometry and operating variables have been derived from the engine data.

The role of fire on soil mounds and surface roughness in the Mojave Desert

USGS Publications Warehouse

Soulard, Christopher E.; Esque, Todd C.; Bedford, David R.; Bond, Sandra

2013-01-01

A fundamental question in arid land management centers on understanding the long-term effects of fire on desert ecosystems. To assess the effects of fire on surface topography, soil roughness, and vegetation, we used terrestrial (ground-based) LiDAR to quantify the differences between burned and unburned surfaces by creating a series of high-resolution vegetation structure and bare-earth surface models for six sample plots in the Grand Canyon-Parashant National Monument, Arizona. We find that 11 years following prescribed burns, mound volumes, plant heights, and soil-surface roughness were significantly lower on burned relative to unburned plots. Results also suggest a linkage between vegetation and soil mounds, either through accretion or erosion mechanisms such as wind and/or water erosion. The biogeomorphic implications of fire-induced changes are significant. Reduced plant cover and altered soil surfaces from fire likely influence seed residence times, inhibit seed germination and plant establishment, and affect other ecohydrological processes.

Detection of unburned fuel as contaminant in engine oil by a gas microsensor array

NASA Astrophysics Data System (ADS)

Capone, Simonetta; Zuppa, Marzia; Presicce, Dominique S.; Epifani, Mauro; Francioso, Luca; Siciliano, Pietro; Distante, C.

2007-05-01

We developed a novel method to detect the presence of unburned diesel fuel in used diesel fuel engine oil. The method is based on the use of an array of different gas microsensors based on metal oxide thin films deposited by sol-gel technique on Si substrates. The sensor array, exposed to the volatile chemical species of different diesel fuel engine oil samples contaminated in different percentages by diesel fuel, resulted to be appreciable sensitive to them. Principal Component Analysis (PCA) and Self-Organizing Map (SOM) applied to the sensor response data-set gave a first proof of the sensor array ability to discriminate among the different diesel fuel diluted lubricating oils. Moreover, in order to get information about the headspace composition of the diesel fuel-contaminated engine oils used for gas-sensing tests, we analyzed the engine oil samples by Static Headspace Solid Phase Micro Extraction/Gas Chromatograph/Mass Spectrometer (SHS-SPME/ GC/MS).

Hydrogen disposal investigation for the Space Shuttle launch complex at Vandenberg Air Force Base

NASA Technical Reports Server (NTRS)

Breit, Terry J.; Elliott, George

1987-01-01

The concern of an overpressure condition on the aft end of the Space Shuttle caused by ignition of unburned hydrogen being trapped in the Space Shuttle Main Engine exhaust duct at the Vandenberg AFB launch complex has been investigated for fifteen months. Approximately twenty-five concepts have been reviewed, with four concepts being thoroughly investigated. The four concepts investigated were hydrogen burnoff ignitors (ignitors located throughout the exhaust duct to continuously ignite any unburned hydrogen), jet mixing (utilizing large volumes of high pressure air to ensure complete combustion of the hydrogen), steam inert (utilizing flashing hot water to inert the duct with steam) and open duct concept (design an open duct or above grade J-deflector to avoid trapping hydrogen gas). Extensive studies, analyses and testing were performed at six test sites with technical support from twenty-two major organizations. In December 1986, the Air Force selected the steam inert concept to be utilized at the Vandenberg launch complex and authorized the design effort.

Post-wildfire effects on carbon and water vapour dynamics in a Spanish black pine forest.

PubMed

Dadi, T; Rubio, E; Martínez-García, E; López-Serrano, F R; Andrés-Abellán, M; García-Morote, F A; De las Heras, J

2015-04-01

Two eddy covariance systems were installed in a high-severity burned zone (BZ) and an adjacent unburned (UNB) zone to monitor water vapour and carbon dioxide fluxes for 21 months (from June 2011 to February 2013) at a Spanish black pine forest affected by a stand-replacing wildfire and located in a mountainous area of central-eastern Spain. The differences between both sites were significant especially during the growing season, affecting gross primary productivity (GPP) more than ecosystem respiration (Reco). Net ecosystem exchange (NEE) for 2012 was -3.97 and 1.80 t C ha(-1) year(-1) for the unburned and burned sites, respectively, the GPP being 64% lower for the BZ than the UNB zone. Evapotranspiration (ET) at the UNB was 18% greater than at the BZ. Difference between sites was 160 mm during the whole studied period. This study reflects the effect of one of the major disturbances that can affect Mediterranean ecosystems, showing that carbon fluxes are more dramatically concerned than water vapour fluxes.

A small single-nozzle rainfall simulator to measure erosion response on different burn severities in southern British Columbia, Canada

NASA Astrophysics Data System (ADS)

Covert, Ashley; Jordan, Peter

2010-05-01

To study the effects of wildfire burn severity on runoff generation and soil erosion from high intensity rainfall, we constructed an effective yet simple rainfall simulator that was inexpensive, portable and easily operated by two people on steep, forested slopes in southern British Columbia, Canada. The entire apparatus, including simulator, pumps, hoses, collapsible water bladders and sample bottles, was designed to fit into a single full-sized pick-up truck. The three-legged simulator extended to approximately 3.3 metres above ground on steep slopes and used a single Spraying Systems 1/2HH-30WSQ nozzle which can easily be interchanged for other sized nozzles. Rainfall characteristics were measured using a digital camera which took images of the raindrops against a grid. Median drop size and velocity 5 cm above ground were measured and found to be 3/4 of the size of natural rain drops of that diameter class, and fell 7% faster than terminal velocity. The simulator was used for experiments on runoff and erosion on sites burned in 2007 by two wildfires in southern British Columbia. Simulations were repeated one and two years after the fires. Rainfall was simulated at an average rate of 67 mm hr-1 over a 1 m2 plot for 20 minutes. This rainfall rate is similar to the 100 year return period rainfall intensity for this duration at a nearby weather station. Simulations were conducted on five replicate 1 m2 plots in each experimental unit including high burn severity, moderate burn severity, unburned, and unburned with forest floor removed. During the simulation a sample was collected for 30 seconds every minute, with two additional samples until runoff ceased, resulting in 22 samples per simulation. Runoff, overland flow coefficient, infiltration and sediment yield were compared between treatments. Additional simulations were conducted immediately after a 2009 wildfire to test different mulch treatments. Typical results showed that runoff on plots with high burn severity and with forest floor removed was similar, reaching on average a steady rate of about 60% of rainfall rate after about 7 minutes. Runoff on unburned plots with intact forest floor was much lower, typically less than 20% of rainfall rate. Sediment yield was greatest on plots with forest floor removed, followed by severely burned plots. Sediment yield on unburned and moderately burned plots was very low to zero. These results are consistent with qualitative observations made following several extreme rainfall events on recent burns in the region.

Soil geochemistry controls fire severity: A soil approach to improved understanding of forest fire consequences in southwest Montana.

NASA Astrophysics Data System (ADS)

Callahan, R.; Hartshorn, T.

2014-12-01

Fire severity can be defined using satellite imagery to ratio mid (~2.2 um) to near (~0.8 um) infrared reflectance values. We examined how lithology and topography affected burn severity, and how post-fire soils data could be used to ground-truth burn severity at two sites in southwestern Montana. A burned area reflectance classification (BARC), lithology, and terrain attributes were used to predict burn severity for the Millie Fire, which was triggered two years ago by lightning and burned ~4,000 ha. Burn severity showed a strong dependence on lithology: the ratio of areas with high burn severity vs. low or moderate burn severities was 2.9 for gneiss (vs. 0.3 for volcanics). The high-severity burn area for the gneiss was larger than the volcanics, despite the latter lithology covering ~270% greater area (~2,600 ha). Aspect and elevation also influenced burn severity with lower severity at higher elevations (2,600-3,000 m) and higher severity at lower elevations (1,800-2,400 m). Southern and western aspects burned more severely than northern and eastern aspects. To clarify whether post-fire soil geochemical changes might predict ground-based estimates of fire severity, a lab experiment was carried out . We expected residual enrichment of trace metal concentrations, as soil organic matter (SOM) was combusted, which we quantified as loss on ignition (LOI). To test this approach, burned and unburned soils were sampled from the ~6000 ha Beartrap 2 fire, which also burned two years. We simulated differing fire severities on unburned soil using a muffle furnace factorially (duration [5, 15, 30, 45, or 60 minutes] x temperature [50, 100, 200, 300, 400, or 500ºC]). Consistent with expectations, unburned samples had a lower mean (±1SD) concentrations for 23 of 30 elements than field-burned samples. For example, barium concentrations ([Ba]) in unburned samples were (708±37μg/g), 16% lower than field-burned [Ba] (841±7 μg/g). Simulated burning yielded smaller [Ba] (732±9 μg/g). Of the 30 trace metals examined, barium explained the greatest fraction of variance in post-burn LOI (R2 =0.79); gallium explained slightly less variance (R2=0.67). Our results document the promise of post-burn soil geochemistry to indicate soil burn severity, which could complement vegetation-based and remotely sensed indices.

Unvented kerosene-heater emissions in mobile homes: Studies on indoor air particles, semivolatile organics, carbon monoxide, and mutagenicity

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

Mumford, J.L.; Lewtas, J.; Burton, R.M.

1990-01-01

The study was conducted to assess human exposure to air pollutants resulting from the use of kerosene heaters in mobile homes. It has been estimated that 15-17 million unvented kerosene heaters have been sold in the United States, and 33% of these heaters have been sold to mobile home residents. The emissions from kerosene heaters can result in high pollutants levels in mobile homes that have a small air volume and low ventilation rate. Indoor air exchange rate, temperature, and humidity were measured. Chemical analyses, including polycyclic aromatic hydrocarbon (PAH) and nitro PAH, also were performed on the indoor airmore » samples from a selected home with the kerosene heater on and off. Increases in CO and organic concentrations resulting from the use of kerosene heaters were found in most homes monitored. Chemical analysis data also suggested the presence of evaporated, unburned kerosene fuel present in semivolatile organics collected in the XAD samples. When kerosene heaters were on, 56% of the sampling days (in all homes) showed dose-response mutagenic activity and 19% showed mutagenic activity on the heater-off days. In comparison with the U.S. national ambient air standards, four out of the eight heaters investigated in this study emitted pollutants that exceeded the ambient air standards some days. These data suggested that emissions from unvented kerosene heaters can significantly impact indoor air quality in mobile homes and that these emissions contain carcinogenic compounds and can be potentially carcinogenic in humans.« less

Comparison of gaseous exhaust indices of the F109 turbofan using three different blends of petroleum-based Jet-A and camelina-based Jet-A

NASA Astrophysics Data System (ADS)

Kozak, Brian John

This research project focused on the collection and comparison of gaseous exhaust emissions of the F109 turbofan engine using petroleum-based Jet-A and two different blends of camelina-based Jet-A. Simulated landing and takeoff cycles were used to collect gaseous exhaust emissions. Unburned hydrocarbon (HC), nitrogen oxide (NOx), and carbon moNOxide (CO) exhaust indices (EIm) were calculated using ICAO Annex 16 Volume II formulae. Statistical analyses were performed on the Elm data. There was no significant difference in HC EIm and CO EI m among the three fuels at takeoff thrust. There were significant differences among the fuels for NOx EIm. 50% Jet-A 50% camelina produced the highest NOx EIm, then 75% Jet-A 25% camelina and finally Jet-A. At climb thrust, both blends of camelina fuel produced higher NOx EIm but no difference in CO EIm and HC EIm as Jet-A. At approach thrust, both blends of camelina fuel produced higher NOx EIm, lower CO EIm, and no difference in HC EIm as Jet-A. At idle thrust, there was no significant difference among the fuels for NOx EIm. There were significant differences among the fuels for HC EIm. Jet-A and 50% Jet-A 50% both produced higher HC EIm as 75% Jet-A 25% camelina. There were significant differences among the fuels for CO EI m. Jet-A produced the highest CO EIm, then 75% Jet-A 25% camelina and finally 50% Jet-A 50% camelina.

Flame behavior and thermal structure of combusting plane jets with and without self-excited transverse oscillations

NASA Astrophysics Data System (ADS)

Huang, Rong Fung; Kivindu, Reuben Mwanza; Hsu, Ching Min

2017-12-01

The flame behavior and thermal structure of combusting plane jets with and without self-excited transverse oscillations were investigated experimentally. The transversely-oscillating plane jet was generated by a specially designed fluidic oscillator. Isothermal flow patterns were observed using the laser-assisted smoke flow visualization method. Meanwhile, the flame behaviour was studied using instantaneous and long-exposure photography techniques. Temperature distributions and combustion-product concentrations were measured using a fine-wire type R thermocouple and a gas analyzer, respectively. The results showed that the combusting transversely-oscillating plane jets had distributed turbulent blue flames with plaited-like edges, while the corresponding combusting non-oscillating plane jet had laminar blue-edged flames in the near field. At a high Reynolds number, the transversely-oscillating jet flames were significantly shorter and wider with shorter reaction-dominated zones than those of the non-oscillating plane jet flames. In addition, the transversely-oscillating combusting jets presented larger carbon dioxide and smaller unburned hydrocarbon concentrations, as well as portrayed characteristics of partially premixed flames. The non-oscillating combusting jets presented characteristics of diffusion flames, and the transversely-oscillating jet flame had a combustion performance superior to its non-oscillating plane jet flame counterpart. The high combustion performance of the transversely-oscillating jets was due to the enhanced entrainment, mixing, and lateral spreading of the jet flow, which were induced by the vortical flow structure generated by lateral periodic jet oscillations, as well as the high turbulence created by the breakup of the vortices.

Reinforcement-learning-based output-feedback control of nonstrict nonlinear discrete-time systems with application to engine emission control.

PubMed

Shih, Peter; Kaul, Brian C; Jagannathan, Sarangapani; Drallmeier, James A

2009-10-01

A novel reinforcement-learning-based output adaptive neural network (NN) controller, which is also referred to as the adaptive-critic NN controller, is developed to deliver the desired tracking performance for a class of nonlinear discrete-time systems expressed in nonstrict feedback form in the presence of bounded and unknown disturbances. The adaptive-critic NN controller consists of an observer, a critic, and two action NNs. The observer estimates the states and output, and the two action NNs provide virtual and actual control inputs to the nonlinear discrete-time system. The critic approximates a certain strategic utility function, and the action NNs minimize the strategic utility function and control inputs. All NN weights adapt online toward minimization of a performance index, utilizing the gradient-descent-based rule, in contrast with iteration-based adaptive-critic schemes. Lyapunov functions are used to show the stability of the closed-loop tracking error, weights, and observer estimates. Separation and certainty equivalence principles, persistency of excitation condition, and linearity in the unknown parameter assumption are not needed. Experimental results on a spark ignition (SI) engine operating lean at an equivalence ratio of 0.75 show a significant (25%) reduction in cyclic dispersion in heat release with control, while the average fuel input changes by less than 1% compared with the uncontrolled case. Consequently, oxides of nitrogen (NO(x)) drop by 30%, and unburned hydrocarbons drop by 16% with control. Overall, NO(x)'s are reduced by over 80% compared with stoichiometric levels.

Experimental investigation of engine emissions with marine gas oil-oxygenate blends.

PubMed

Nabi, Md Nurun; Hustad, Johan Einar

2010-07-15

This paper investigates the diesel engine performance and exhaust emissions with marine gas oil-alternative fuel additive. Marine gas oil (MGO) was selected as base fuel for the engine experiments. An oxygenate, diethylene glycol dimethyl ether (DGM), and a biodiesel (BD) jatropha oil methyl ester (JOME) with a volume of 10% were blended with the MGO fuel. JOME was derived from inedible jatropha oil. Lower emissions with diesel-BD blends (soybean methyl ester, rapeseed methyl ester etc.) have been established so far, but the effect of MGO-BD (JOME) blends on engine performance and emissions has been a growing interest as JOME (BD) is derived from inedible oil and MGO is frequently used in maritime transports. No phase separation between MGO-DGM and MGO-JOME blends was found. The neat MGO, MGO-DGM and MGO-JOME blends are termed as MGO, Ox10 and B10 respectively. The experiments were conducted with a six-cylinder, four-stroke, turbocharged, direct-injection Scania DC 1102 (DI) diesel engine. The experimental results showed significant reductions in fine particle number and mass emissions, PM and smoke emissions with Ox10 and B10 fuels compared to the MGO fuel. Other emissions including total unburned hydrocarbon (THC), carbon monoxide (CO) and engine noise were also reduced with the Ox10 and B10 fuels, while maintaining similar brake specific fuel consumption (BSFC) and thermal efficiency with MGO fuel. Oxides of nitrogen (NOx) emissions, on the other hand, were slightly higher with the Ox10 and B10 fuels at high engine load conditions. Copyright 2010 Elsevier B.V. All rights reserved.

2004 NASA Seal/Secondary Air System Workshop, Volume 1

NASA Technical Reports Server (NTRS)

2005-01-01

The 2004 NASA Seal/Secondary Air System workshop covered the following topics: (1) Overview of NASA s new Exploration Initiative program aimed at exploring the Moon, Mars, and beyond; (2) Overview of the NASA-sponsored Ultra-Efficient Engine Technology (UEET) program; (3) Overview of NASA Glenn s seal program aimed at developing advanced seals for NASA s turbomachinery, space, and reentry vehicle needs; (4) Reviews of NASA prime contractor and university advanced sealing concepts including tip clearance control, test results, experimental facilities, and numerical predictions; and (5) Reviews of material development programs relevant to advanced seals development. The NASA UEET overview illustrated for the reader the importance of advanced technologies, including seals, in meeting future turbine engine system efficiency and emission goals. For example, the NASA UEET program goals include an 8- to 15-percent reduction in fuel burn, a 15-percent reduction in CO2, a 70-percent reduction in NOx, CO, and unburned hydrocarbons, and a 30-dB noise reduction relative to program baselines. The workshop also covered several programs NASA is funding to develop technologies for the Exploration Initiative and advanced reusable space vehicle technologies. NASA plans on developing an advanced docking and berthing system that would permit any vehicle to dock to any on-orbit station or vehicle, as part of NASA s new Exploration Initiative. Plans to develop the necessary mechanism and androgynous seal technologies were reviewed. Seal challenges posed by reusable re-entry space vehicles include high-temperature operation, resiliency at temperature to accommodate gap changes during operation, and durability to meet mission requirements.

Flame behavior and thermal structure of combusting plane jets with and without self-excited transverse oscillations

NASA Astrophysics Data System (ADS)

Huang, Rong Fung; Kivindu, Reuben Mwanza; Hsu, Ching Min

2018-06-01

The flame behavior and thermal structure of combusting plane jets with and without self-excited transverse oscillations were investigated experimentally. The transversely-oscillating plane jet was generated by a specially designed fluidic oscillator. Isothermal flow patterns were observed using the laser-assisted smoke flow visualization method. Meanwhile, the flame behaviour was studied using instantaneous and long-exposure photography techniques. Temperature distributions and combustion-product concentrations were measured using a fine-wire type R thermocouple and a gas analyzer, respectively. The results showed that the combusting transversely-oscillating plane jets had distributed turbulent blue flames with plaited-like edges, while the corresponding combusting non-oscillating plane jet had laminar blue-edged flames in the near field. At a high Reynolds number, the transversely-oscillating jet flames were significantly shorter and wider with shorter reaction-dominated zones than those of the non-oscillating plane jet flames. In addition, the transversely-oscillating combusting jets presented larger carbon dioxide and smaller unburned hydrocarbon concentrations, as well as portrayed characteristics of partially premixed flames. The non-oscillating combusting jets presented characteristics of diffusion flames, and the transversely-oscillating jet flame had a combustion performance superior to its non-oscillating plane jet flame counterpart. The high combustion performance of the transversely-oscillating jets was due to the enhanced entrainment, mixing, and lateral spreading of the jet flow, which were induced by the vortical flow structure generated by lateral periodic jet oscillations, as well as the high turbulence created by the breakup of the vortices.

Universal Health Coverage - The Critical Importance of Global Solidarity and Good Governance Comment on "Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage".

PubMed

Reis, Andreas A

2016-06-07

This article provides a commentary to Ole Norheim' s editorial entitled "Ethical perspective: Five unacceptable trade-offs on the path to universal health coverage." It reinforces its message that an inclusive, participatory process is essential for ethical decision-making and underlines the crucial importance of good governance in setting fair priorities in healthcare. Solidarity on both national and international levels is needed to make progress towards the goal of universal health coverage (UHC). © 2016 by Kerman University of Medical Sciences.

Frequency of floods from a burned chaparral watershed

Treesearch

Iraj Nasseri

1989-01-01

Effects of brush fire on hydrologic characteristics of chaparral watersheds were analyzed. An unburned chaparral produces moderate surface runoff. The vegetation promotes infiltration by retarding the runoff and providing temporary storage during intense rainfall. The hydrologic characteristics of chaparral watershed, however, are drastically changed by fires. The high...

Predicting root biomass of burned and unburned white oak advance reproduction from diameter and height

Treesearch

Benjamin O. Knapp; G. Geoff Wang; David H. Van Lear; Joan L. Walker

2006-01-01

The size, especially the root size, of advance oak (Quercus spp.) reproduction provides the best indication of the growth potential after release or top-kill. This study examined the relationship between the size of the root system and various diameter height measurements for small (

Vegetation Cover Change in Yellowstone National Park Detected Using Landsat Satellite Image Analysis

NASA Technical Reports Server (NTRS)

Potter, Christopher S.

2015-01-01

Results from Landsat satellite image analysis since 1987 in all unburned areas (since the 1880s) of Yellowstone National Park (YNP) showed that consistent decreases in the normalized difference vegetation index (NDVI) have been strongly dependent on periodic variations in peak annual snow water equivalents (SWE).

Carbon, water, and heat flux responses to experimental burning and drought in a tallgrass prarie.

USDA-ARS?s Scientific Manuscript database

Natural fires and prescribed burning represent long-standing and currently prevalent disturbances to biogeochemical cycling in grassland ecosystems. We report eddy covariance ecosystem-atmosphere fluxes and biometric variables measured in paired, burned and unburned plots in two paddocks in the US S...

Advanced modeling of nitrogen oxide emissions in circulating fluidized bed combustors: Parametric study of coal combustion and nitrogen compound chemistries

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

Kilpinen, P.; Kallio, S.; Hupa, M.

1999-07-01

This paper describes work-in-progress aimed at developing an emission model for circulating fluidized bed combustors using detailed homogeneous and heterogeneous chemical kinetics. The main emphasis is on nitrogen oxides (NO{sub x}, N{sub 2}O) but also unburned gases (CO, C{sub x}H{sub y}) and sulfur dioxide (SO{sub 2}) will be investigated in the long run. The hydrodynamics is described by a 1.5-dimensional model where the riser is divided into three regions: a dense bubbling bed at the bottom, a vigorously mixed splash zone, and a transport zone. The two latter zones are horizontally split into a core region and an annular region.more » The solids circulation rate is calculated from the known solids inventory and the pressure and mass balances over the entire circulation loop. The solids are divided into classes according to size and type or particle. The model assumes instantaneous fuel devolatilization at the bottom and an even distribution of volatiles in the suspension phase of the dense bed. For addition of secondary air, a complete penetration and an instantaneous mixing with the combustor gases in the core region is assumed. The temperature distribution is assumed to be known, and no energy balance is solved. A comprehensive kinetic scheme of about 300 elementary gas-phase reactions is used to describe the homogeneous oxidation of the volatiles including both hydrocarbon and volatile-nitrogen components (NH{sub 3}, HCN). Heterogeneous char combustion to CO and CO{sub 2}, and char-nitrogen conversion to NO, N{sub 2}O, and N{sub 2} are described by a single particle model that includes 15 reaction steps given in the form of 6 net reaction paths. In the paper, the model is briefly described. A special emphasis is put on the evaluation of chemistry submodels. Modeling results on nitrogen oxides' formation are compared with measured concentration profiles in a 12 MW CFBC riser from literature. The importance of accurate chemistry description on predictions is illustrated by comparing modeling results using detailed kinetics to those obtained when hydrocarbon and volatile-nitrogen oxidation are described with empirical, global kinetic rate expressions from literature. Submodels that need further improvements are discussed.« less

Growth of health maintenance organisations in Nigeria and the potential for a role in promoting universal coverage efforts.

PubMed

Onoka, Chima A; Hanson, Kara; Mills, Anne

2016-08-01

There has been growing interest in the potential for private health insurance (PHI) and private organisations to contribute to universal health coverage (UHC). Yet evidence from low and middle income countries remains very thin. This paper examines the evolution of health maintenance organisations (HMOs) in Nigeria, the nature of the PHI plans and social health insurance (SHI) programmes and their performance, and the implications of their business practices for providing PHI and UHC-related SHI programmes. An embedded case study design was used with multiple subunits of analysis (individual HMOs and the HMO industry) and mixed (qualitative and quantitative) methods, and the study was guided by the structure-conduct-performance paradigm that has its roots in the neo-classical theory of the firm. Quantitative data collection and 35 in-depth interviews were carried out between October 2012 to July 2013. Although HMOs first emerged in Nigeria to supply PHI, their expansion was driven by their role as purchasers in the government's national health insurance scheme that finances SHI programmes, and facilitated by a weak accreditation system. HMOs' characteristics distinguish the market they operate in as monopolistically competitive, and HMOs as multiproduct firms operating multiple risk pools through parallel administrative systems. The considerable product differentiation and consequent risk selection by private insurers promote inefficiencies. Where HMOs and similar private organisations play roles in health financing systems, effective regulatory institutions and mandates must be established to guide their behaviours towards attainment of public health goals and to identify and control undesirable business practices. Lessons are drawn for policy makers and programme implementers especially in those low and middle-income countries considering the use of private organisations in their health financing systems. Copyright © 2016 Elsevier Ltd. All rights reserved.

Assessing the relevance of indicators in tracking social determinants and progress toward equitable population health in Brazil

PubMed Central

Rasella, Davide; Machado, Daiane Borges; Castellanos, Marcelo Eduardo Pfeirrer; Paim, Jairnilson; Szwarcwald, Celia Landmann; Lima, Diana; Magno, Laio; Pedrana, Leo; Medina, Maria Guadalupe; Penna, Gerson Oliveira; Barreto, Mauricio Lima

2016-01-01

Background The importance of the social determinants of health (SDH) and barriers to the access and utilization of healthcare have been widely recognized but not previously studied in the context of universal healthcare coverage (UHC) in Brazil and other developing countries. Objective To evaluate a set of proposed indicators of SDH and barriers to the access and utilization of healthcare – proposed by the SDH unit of the World Health Organization – with respect to their relevance in tracking progress in moving toward equitable population health and UHC in Brazil. Design This study had a mixed methodology, combining a quantitative analysis of secondary data from governmental sources with a qualitative study comprising two focus group discussions and six key informant interviews. The set of indicators tested covered a broad range of dimensions classified by three different domains: environment quality; accountability and inclusion; and livelihood and skills. Indicators were stratified according to income quintiles, urbanization, race, and geographical region. Results Overall, the indicators were adequate for tracking progress in terms of the SDH, equity, gender, and human rights in Brazil. Stratifications showed inequalities. The qualitative analysis revealed that many of the indicators were well known and already used by policymakers and health sector managers, whereas others were considered less useful in the Brazilian context. Conclusions Monitoring and evaluation practices have been developed in Brazil, and the set of indicators assessed in this study could further improve these practices, especially from a health equity perspective. Socioeconomic inequalities have been reduced in Brazil in the last decade, but there is still much work to be done in relation to addressing the SDH. PMID:26853898

Transforming Patient Value: Comparison of Hospital, Surgical, and General Surgery Patients.

PubMed

Pitt, Henry A; Tsypenyuk, Ella; Freeman, Susan L; Carson, Steven R; Shinefeld, Jonathan A; Hinkle, Sally M; Powers, Benjamin D; Goldberg, Amy J; DiSesa, Verdi J; Kaiser, Larry R

2016-04-01

Patient value (V) is enhanced when quality (Q) is increased and cost (C) is diminished (V = Q/C). However, calculating value has been inhibited by a lack of risk-adjusted cost data. The aim of this analysis was to measure patient value before and after implementation of quality improvement and cost reduction programs. Multidisciplinary efforts to improve patient value were initiated at a safety-net hospital in 2012. Quality improvement focused on adoption of multiple best practices, and minimizing practice variation was the strategy to control cost. University HealthSystem Consortium (UHC) risk-adjusted quality (patient mortality + safety + satisfaction + effectiveness) and cost (length of stay + direct cost) data were used to calculate patient value over 3 fiscal years. Normalized ranks in the UHC Quality and Accountability Scorecard were used in the value equation. For all hospital patients, quality scores improved from 50.3 to 66.5, with most of the change occurring in decreased mortality. Similar trends were observed for all surgery patients (42.6 to 48.4) and for general surgery patients (30.9 to 64.6). For all hospital patients, cost scores improved from 71.0 to 2.9. Similar changes were noted for all surgical (71.6 to 27.1) and general surgery (85.7 to 23.0) patients. Therefore, value increased more than 30-fold for all patients, 3-fold for all surgical patients, and almost 8-fold for general surgery patients. Multidisciplinary quality and cost efforts resulted in significant improvements in value for all hospitalized patients as well as general surgery patients. Mortality improved the most in general surgery patients, and satisfaction was highest among surgical patients. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

National income inequality and ineffective health insurance in 35 low- and middle-income countries.

PubMed

Alvarez, Francisco N; El-Sayed, Abdulrahman M

2017-05-01

Global health policy efforts to improve health and reduce financial burden of disease in low- and middle-income countries (LMIC) has fuelled interest in expanding access to health insurance coverage to all, a movement known as Universal Health Coverage (UHC). Ineffective insurance is a measure of failure to achieve the intended outcomes of health insurance among those who nominally have insurance. This study aimed to evaluate the relation between national-level income inequality and the prevalence of ineffective insurance. We used Standardized World Income Inequality Database (SWIID) Gini coefficients for 35 LMICs and World Health Survey (WHS) data about insurance from 2002 to 2004 to fit multivariable regression models of the prevalence of ineffective insurance on national Gini coefficients, adjusting for GDP per capita. Greater inequality predicted higher prevalence of ineffective insurance. When stratifying by individual-level covariates, higher inequality was associated with greater ineffective insurance among sub-groups traditionally considered more privileged: youth, men, higher education, urban residence and the wealthiest quintile. Stratifying by World Bank country income classification, higher inequality was associated with ineffective insurance among upper-middle income countries but not low- or lower-middle income countries. We hypothesize that these associations may be due to the imprint of underlying social inequalities as countries approach decreasing marginal returns on improved health insurance by income. Our findings suggest that beyond national income, income inequality may predict differences in the quality of insurance, with implications for efforts to achieve UHC. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Adaptive neuro-fuzzy inference system (ANFIS) to predict CI engine parameters fueled with nano-particles additive to diesel fuel

NASA Astrophysics Data System (ADS)

Ghanbari, M.; Najafi, G.; Ghobadian, B.; Mamat, R.; Noor, M. M.; Moosavian, A.

2015-12-01

This paper studies the use of adaptive neuro-fuzzy inference system (ANFIS) to predict the performance parameters and exhaust emissions of a diesel engine operating on nanodiesel blended fuels. In order to predict the engine parameters, the whole experimental data were randomly divided into training and testing data. For ANFIS modelling, Gaussian curve membership function (gaussmf) and 200 training epochs (iteration) were found to be optimum choices for training process. The results demonstrate that ANFIS is capable of predicting the diesel engine performance and emissions. In the experimental step, Carbon nano tubes (CNT) (40, 80 and 120 ppm) and nano silver particles (40, 80 and 120 ppm) with nanostructure were prepared and added as additive to the diesel fuel. Six cylinders, four-stroke diesel engine was fuelled with these new blended fuels and operated at different engine speeds. Experimental test results indicated the fact that adding nano particles to diesel fuel, increased diesel engine power and torque output. For nano-diesel it was found that the brake specific fuel consumption (bsfc) was decreased compared to the net diesel fuel. The results proved that with increase of nano particles concentrations (from 40 ppm to 120 ppm) in diesel fuel, CO2 emission increased. CO emission in diesel fuel with nano-particles was lower significantly compared to pure diesel fuel. UHC emission with silver nano-diesel blended fuel decreased while with fuels that contains CNT nano particles increased. The trend of NOx emission was inverse compared to the UHC emission. With adding nano particles to the blended fuels, NOx increased compared to the net diesel fuel. The tests revealed that silver & CNT nano particles can be used as additive in diesel fuel to improve combustion of the fuel and reduce the exhaust emissions significantly.

Achieving universal health coverage goals in Thailand: the vital role of strategic purchasing

PubMed Central

Tangcharoensathien, Viroj; Limwattananon, Supon; Patcharanarumol, Walaiporn; Thammatacharee, Jadej; Jongudomsuk, Pongpisut; Sirilak, Supakit

2015-01-01

Strategic purchasing is one of the key policy instruments to achieve the universal health coverage (UHC) goals of improved and equitable access and financial risk protection. Given favourable outcomes of Universal Coverage Scheme (UCS), this study synthesized strategic purchasing experiences in the National Health Security Office (NHSO) responsible for the UCS in contributing to achieving UHC goals. The UCS applied the purchaser–provider split concept where NHSO, as a purchaser, is in a good position to enforce accountability by public and private providers to the UCS beneficiaries, through active purchasing. A comprehensive benefit package resulted in high level of financial risk protection as reflected by low incidence of catastrophic health spending and impoverished households. The NHSO contracted the District Health System (DHS) network, to provide outpatient, health promotion and disease prevention services to the whole district population, based on an annual age-adjusted capitation payment. In most cases, the DHS was the only provider in a district without competitors. Geographical monopoly hampered the NHSO to introduce a competitive contractual agreement, but a durable, mutually dependent relationship based on trust was gradually evolved, while accreditation is an important channel for quality improvement. Strategic purchasing services from DHS achieved a pro-poor utilization due to geographical proximity, where travel time and costs were minimal. Inpatient services paid by Diagnostic Related Group within a global budget ceiling, which is estimated based on unit costs, admission rates and admission profiles, contained cost effectively. To prevent potential under-provisions of the services, some high cost interventions were unbundled from closed end payment and paid on an agreed fee schedule. Executing monopsonistic purchasing power by NHSO brought down price of services given assured quality. Cost saving resulted in more patients served within a finite annual budget. PMID:25378527

A field protocol to monitor cavity-nesting birds

Treesearch

J. Dudley; V. Saab

2003-01-01

We developed a field protocol to monitor populations of cavity-nesting birds in burned and unburned coniferous forests of western North America. Standardized field methods are described for implementing long-term monitoring strategies and for conducting field research to evaluate the effects of habitat change on cavity-nesting birds. Key references (but not...

Forage quality in burned and unburned aspen communities

Treesearch

Norbert V. DeByle; Philip J. Urness; Deborah L. Blank

1989-01-01

Selected forage species were sampled during the first and second summers after autumn prescribed burning of three sites in southeastern Idaho. They were analyzed for in vitro dry matter digestibility, protein, calcium, and phosphorus. This aspen type has a highly nutritious understory. Burning further improved the quality of the selected species only during the first...

78 FR 45956 - Notice of Inventory Completion: Hamilton County Department of Parks and Recreation, Hamilton...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-30

... area. In some instances, bone samples were removed from the burials to undergo further archaeological investigation. The bone samples that were recovered are included in the human remains intended for repatriation... funerary objects are 4 lots of animal bone (burned and unburned); 1 animal incisor tool; 1 antler...

Facilitation and interference of seedling establishment by a native legume before and after wildfire

Treesearch

Erin Goergen; Jeanne C. Chambers

2011-01-01

In semi-arid ecosystems, heterogeneous resources can lead to variable seedling recruitment. Existing vegetation can influence seedling establishment by modifying the resource and physical environment. We asked how a native legume, Lupinus argenteus, modifies microenvironments in unburned and burned sagebrush steppe, and if L. argenteus presence facilitates seedling...

Evaluating habitat suitability models for nesting white-headed woodpeckers in unburned forest

Treesearch

Quresh S. Latif; Victoria A. Saab; Kim Mellen-Mclean; Jonathan G. Dudley

2015-01-01

Habitat suitability models can provide guidelines for species conservation by predicting where species of interest are likely to occur. Presence-only models are widely used but typically provide only relative indices of habitat suitability (HSIs), necessitating rigorous evaluation often using independently collected presence-absence data. We refined and evaluated...

Truffle abundance in recently prescribed burned and unburned forests in Yosemite National Park: Implications for mycophagous mammals

Treesearch

M. Meyer; M. North; S. Roberts

2008-01-01

Truffles are an important food resource for wildlife in North American forests, but decades of fire exclusion have altered the availability of this resource. In Yosemite National Park, resource management policies seek to restore essential forest processes such as fire while minimizing adverse...

Scheduling prescribed burns for hazard reduction in the southeast

Treesearch

Stephen S. Sackett

1975-01-01

Twelve-year studies in the southeastern Coastal Plain revealed that pine stands should be burned every three years to reduce natural fuels and thus forestall damage from possible wildfires. Rates of overstory growth were not significantly different in burned and unburned stands. Guidelines for prescribed burning of pine stands in this region are presented.

Fire and mice: Seed predation moderates fire's influence on conifer recruitment

Treesearch

Rafal Zwolak; Dean E. Pearson; Yvette K. Ortega; Elizabeth E. Crone

2010-01-01

In fire-adapted ecosystems, fire is presumed to be the dominant ecological force, and little is known about how consumer interactions influence forest regeneration. Here, we investigated seed predation by deer mice (Peromyscus maniculatus) and its effects on recruitment of ponderosa pine (Pinus ponderosa) and Douglas-fir (Pseudotsuga menziesii) seedlings in unburned...

Biodiversity and fire in shortgrass steppe

Treesearch

P. L. (Paulette) Ford

2001-01-01

Effects of fire at two levels of intensity on beetle diversity in shortgrass steppe were examined. The experimental design was completely randomized, with 3 treatments and 4 replicates per treatment. Treatments were two levels of fire 1) dormant-season fire (relatively hot), and 2) growing-season fire (relatively cool), and unburned plots. The response variables were...

Does Prescribed Burning Have a Place in Regenerating Uneven-Aged Loblolly-Shortleaf Pine Stands?

Treesearch

Michael D. Cain; Michael G. Shelton

2002-01-01

Before the 1981 growing season, a study was installed in southeastern Arkansas to examine the effects of three dormant-season burn intervals (low, moderate, and high frequency) and an unburned treatment on natural regeneration in uneven-aged stands of loblolly and shortleaf pines (Pinus taeda and P. echinata, respectively)....