Twentieth Century Regional Climate Change During the Summer in the Central United States Attributed to Agricultural Intensification

NASA Astrophysics Data System (ADS)

Alter, Ross E.; Douglas, Hunter C.; Winter, Jonathan M.; Eltahir, Elfatih A. B.

2018-02-01

Both land use changes and greenhouse gas (GHG) emissions have significantly modified regional climate over the last century. In the central United States, for example, observational data indicate that rainfall increased, surface air temperature decreased, and surface humidity increased during the summer over the course of the twentieth century concurrently with increases in both agricultural production and global GHG emissions. However, the relative contributions of each of these forcings to the observed regional changes remain unclear. Results of both regional climate model simulations and observational analyses suggest that much of the observed rainfall increase—as well as the decrease in temperature and increase in humidity—is attributable to agricultural intensification in the central United States, with natural variability and GHG emissions playing secondary roles. Thus, we conclude that twentieth century land use changes contributed more to forcing observed regional climate change during the summer in the central United States than increasing GHG emissions.

22 CFR 72.30 - Provisions in a will or advanced directive regarding disposition of remains.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Provisions in a will or advanced directive... Decreased United States Citizen Or National § 72.30 Provisions in a will or advanced directive regarding disposition of remains. United States state law regarding advance directives, deaths and estates include...

Assessing Public Preferences for Forest Biomass Based Energy in the Southern United States

Treesearch

Andres Susaeta; Janaki Alavalapati; Pankaj Lal; Jagannadha R Matta; Evan Mercer

2010-01-01

This article investigated public preferences for forest biomass based liquid biofuels, particularly ethanol blends of 10% (E10) and 85% (E85). We conducted a choice experiment study in three southern states in the United States: Arkansas, Florida, and Virginia. Reducing atmospheric CO2, decreasing risk of wildfires and pest outbreaks, and enhancing biodiversity were...

Climate change impacts on extreme temperature mortality in select metropolitan areas of the United States

EPA Science Inventory

Projected mortality from climate change-driven impacts on extremely hot and cold days increases significantly over the 21st century in a large group of United States Metropolitan Statistical Areas. Increases in projected mortality from more hot days are greater than decreases in ...

Chapter 8: Droughts, Floods, and Wildfires

NASA Technical Reports Server (NTRS)

Wehner, M. F.; Arnold, J. R.; Knutson, T.; Kunkel, K. E.; LeGrande, A. N.

2017-01-01

Recent droughts and associated heat waves have reached record intensity in some regions of the United States; however, by geographical scale and duration, the Dust Bowl era of the 1930s remains the benchmark drought and extreme heat event in the historical record (very high confidence). While by some measures drought has decreased over much of the continental United States in association with long-term increases in precipitation, neither the precipitation increases nor inferred drought decreases have been confidently attributed to anthropogenic forcing. The human effect on recent major U.S. droughts is complicated. Little evidence is found for a human influence on observed precipitation deficits, but much evidence is found for a human influence on surface soil moisture deficits due to increased evapotranspiration caused by higher temperatures. Future decreases in surface (top 10 cm) soil moisture from anthropogenic forcing over most of the United States are likely as the climate warms under higher scenarios. Substantial reductions in western U.S. winter and spring snowpack are projected as the climate warms. Earlier spring melt and reduced snow water equivalent have been formally attributed to human-induced warming (high confidence) and will very likely be exacerbated as the climate continues to warm (very high confidence). Under higher scenarios, and assuming no change to current water resources management, chronic, long-duration hydrological drought is increasingly possible by the end of this century. Detectable changes in some classes of flood frequency have occurred in parts of the United States and are a mix of increases and decreases. Extreme precipitation, one of the controlling factors in flood statistics, is observed to have generally increased and is projected to continue to do so across the United States in a warming atmosphere. However, formal attribution approaches have not established a significant connection of increased riverine flooding to human-induced climate change, and the timing of any emergence of a future detectable anthropogenic change in flooding is unclear. The incidence of large forest fires in the western United States and Alaska has increased since the early 1980s and is projected to further increase in those regions as the climate warms, with profound changes to certain ecosystems.

A Community Intervention to Decrease Antibiotics Used for Self-Medication Among Latino Adults

PubMed Central

Mainous, Arch G.; Diaz, Vanessa A.; Carnemolla, Mark

2009-01-01

PURPOSE Recent evidence in Latino communities indicates substantial self-medication with antibiotics obtained without a prescription (WORx). We implemented and evaluated a culturally sensitive educational intervention to decrease antibiotic self-medication. METHODS We conducted a community-based intervention with preintervention and postintervention measures in the intervention community (Charleston, South Carolina) as well as a postintervention measure in a control community (Greenville, South Carolina) 200 miles away. The 9-month culturally sensitive intervention included multiple media sources (pamphlets, radio, newspapers). We evaluated the use of antibiotics WORx in the United States, as well as the likelihood of importing antibiotics, by surveying Latino adults in the intervention (n = 250) and in the control community (n = 250). RESULTS Most adults in the intervention community (69%) and the control community (60%) reported some exposure to messages about the inappropriate use of antibiotics, and 25.9% in the intervention community and 8.6% in the control community reported seeing our patient education pamphlets. A substantial proportion of Latino adults in both the intervention (31%) and control communities (20%) have obtained antibiotics WORx in the United States. In multivariate analyses, exposure to an educational message was not a significant predictor of having acquired antibiotics WORx in the United States in past 12 months. The primary predictor of respondents’ having acquired antibiotics WORx in the United States was whether they had bought antibiotics WORx outside the United States. CONCLUSIONS Novel approaches are needed to decrease the use of antibiotics WORx in Latino communities, as focusing only on education may not be sufficient to change behaviors common in their home countries. PMID:19901311

The impact of smoke-free workplaces on declining cigarette consumption in Australia and the United States.

PubMed Central

Chapman, S; Borland, R; Scollo, M; Brownson, R C; Dominello, A; Woodward, S

1999-01-01

OBJECTIVES: This study estimates the contribution of smoke-free workplaces to the recent national declines in cigarette consumption in Australia and the United States. METHODS: Nineteen studies of the impact of smoke-free workplaces on workday cigarette consumption were reviewed. The number and cost of cigarettes forgone were calculated and extrapolated to a scenario in which all indoor work areas were smoke-free. RESULTS: Of the 19 studies, 18 reported declines in daily smoking rates, and 17 reported declines in smoking prevalence. Smoke-free workplaces are currently responsible for an annual reduction of some 602 million cigarettes, or 1.8% of all cigarettes that might otherwise be consumed, in Australia, and an annual reduction of 9.7 billion cigarettes (2%) in the United States. Approximately 22.3% of the 2.7 billion decrease in cigarette consumption in Australia between 1988 and 1995 can be attributed to smoke-free workplaces, as can 12.7% of the 76.5 billion decrease in the United States between 1988 and 1994. CONCLUSIONS: If workplaces were universally smoke-free, the number of cigarettes forgone annually would increase to 1.14 billion (3.4%) in Australia and 20.9 billion (4.1%) in the United States. PMID:10394309

International Graduate Student Mobility in the US: What More Can We Be Doing?

ERIC Educational Resources Information Center

Roberts, Darbi L.

2012-01-01

This article examines the current growth statistics of international graduate student populations in the United States in order to present trends in international student mobility. Although many scholars suggest the United States is facing a decrease in future international student demand, recent studies seem to challenge this theory. This article…

Simulated water budget of a small forested watershed in the continental/maritime hydroclimatic region of the United States

USDA-ARS?s Scientific Manuscript database

Widespread decreases in annualized streamflow have been observed across mountain watersheds in the Pacific Northwest of the United States over the last ~70 years, however in some watersheds, observed streamflow has increased. To deconvolve the combined effects of climate and vegetation on long-term ...

Update on abortion policy.

PubMed

Conti, Jennifer A; Brant, Ashley R; Shumaker, Heather D; Reeves, Matthew F

2016-12-01

To review the status of antiabortion restrictions enacted over the last 5 years in the United States and their impact on abortion services. In recent years, there has been an alarming rise in the number of antiabortion laws enacted across the United States. In total, various states in the union enacted 334 abortion restrictions from 2011 to July 2016, accounting for 30% of all abortion restrictions since the legalization of abortion in 1973. Data confirm, however, that more liberal abortion laws do not increase the number of abortions, but instead greatly decrease the number of abortion-related deaths. Several countries including Romania, South Africa and Nepal have seen dramatic decreases in maternal mortality after liberalization of abortion laws, without an increase in the total number of abortions. In the United States, abortions are incredibly safe with very low rates of complications and a mortality rate of 0.7 per 100 000 women. With increasing abortion restrictions, maternal mortality in the United States can be expected to rise over the coming years, as has been observed in Texas recently. Liberalization of abortion laws saves women's lives. The rising number of antiabortion restrictions will ultimately harm women and their families.

A 10-year spatial and temporal trend of sulfate across the United States

NASA Astrophysics Data System (ADS)

Malm, William C.; Schichtel, Bret A.; Ames, Rodger B.; Gebhart, Kristi A.

2002-11-01

Legislative and regulatory mandates have resulted in reduced sulfur dioxide (SO2) emissions in both the eastern and western United States with anticipation that concurrent levels of ambient SO2, SO42-, and rainwater acidity would decrease. This paper examines spatial and temporal trends in ambient SO42- concentration from 1988 to 1999, SO2 emissions from 1990 to 1999, and the relationship between these two variables. The SO42- concentration data came from combining data from the Interagency Monitoring of Protected Visual Environments (IMPROVE) and the Clean Air Status and Trends Network (CASTNet). Over 70 sites spread across the continental United States are considered in this analysis. From a spatial perspective, the 90th percentile summer sulfate concentrations are highest along the Ohio River Valley and in central Tennessee where the emission density of SO2 is greatest. These concentrations are a factor of 2 greater than the Northeast, northern Michigan, and coastal areas of the Southeast and about a factor of 15 greater than the central western United States. In the East, the largest SO42- decreases in the 80th percentile concentrations occurred north of the Ohio River Valley, while most monitoring sites south of Kentucky and Virginia showed increasing and decreasing trends that were not statistically significant. Big Bend National Park, Texas, Cranberry, North Carolina, and Lassen Volcanic National Park, California, are the only areas that show a statistically significant increase in SO42- mass concentrations. The 1990-1999 annual 80th percentile SO42- time series were compared to the annual SO2 emissions over four broad United States regions. Each region had a unique time series pattern with the SO42- concentrations and SO2 emissions closely tracking each other over the 10-year period. Both the SO42- and SO2 emissions decreased in the Northeast (28%) and the West (15%), while there was little change in the Southeast and a 15% increase over Texas, New Mexico, and Colorado.

Identification of Plasmid-Mediated Quinolone Resistance in Salmonella Isolated from Swine Ceca and Retail Pork Chops in the United States.

PubMed

Tyson, Gregory H; Tate, Heather P; Zhao, Shaohua; Li, Cong; Dessai, Uday; Simmons, Mustafa; McDermott, Patrick F

2017-10-01

Fluoroquinolones are important antimicrobial drugs used to treat human Salmonella infections, and resistance is rare in the United States for isolates from human and animal sources. Recently, a number of Salmonella isolates from swine cecal contents and retail pork products from National Antimicrobial Resistance Monitoring System (NARMS) surveillance exhibited decreased susceptibility to ciprofloxacin. We identified two qnrB19 quinolone resistance plasmids that are predominantly responsible for this phenomenon and found them distributed among several Salmonella serotypes isolated throughout the United States.

Consumption of added sugars is decreasing in the United States.

PubMed

Welsh, Jean A; Sharma, Andrea J; Grellinger, Lisa; Vos, Miriam B

2011-09-01

The consumption of added sugars (caloric sweeteners) has been linked to obesity, diabetes, and heart disease. Little is known about recent consumption trends in the United States or how intakes compare with current guidelines. We examined trends in intakes of added sugars in the United States over the past decade. A cross-sectional study of US residents ≥2 y of age (n = 42,316) was conducted by using dietary data from NHANES 1999-2008 (five 2-y cycles) and data for added-sugar contents from the MyPyramid Equivalents Database. Mean intakes of added sugars (grams and percentage of total energy intake) were weighted to obtain national estimates over time across age, sex, and race-ethnic groups. Linear trends were tested by using Wald's F tests. Between 1999-2000 and 2007-2008, the absolute intake of added sugars decreased from a mean (95% CI) of 100.1 g/d (92.8, 107.3 g/d) to 76.7 g/d (71.6, 81.9 g/d); two-thirds of this decrease, from 37.4 g/d (32.6, 42.1 g/d) to 22.8 g/d (18.4, 27.3 g/d), resulted from decreased soda consumption (P-linear trend <0.001 for both). Energy drinks were the only source of added sugars to increase over the study period (P-linear trend = 0.003), although the peak consumption reached only 0.15 g/d (0.08, 0.22 g/d). The percentage of total energy from added sugars also decreased from 18.1% (16.9%, 19.3%) to 14.6% (13.7%, 15.5%) (P-linear trend <0.001). Although the consumption of added sugars in the United States decreased between 1999-2000 and 2007-2008, primarily because of a reduction in soda consumption, mean intakes continue to exceed recommended limits.

Consumption of added sugars is decreasing in the United States1234

PubMed Central

Sharma, Andrea J; Grellinger, Lisa; Vos, Miriam B

2011-01-01

Background: The consumption of added sugars (caloric sweeteners) has been linked to obesity, diabetes, and heart disease. Little is known about recent consumption trends in the United States or how intakes compare with current guidelines. Objective: We examined trends in intakes of added sugars in the United States over the past decade. Design: A cross-sectional study of US residents ≥2 y of age (n = 42,316) was conducted by using dietary data from NHANES 1999–2008 (five 2-y cycles) and data for added-sugar contents from the MyPyramid Equivalents Database. Mean intakes of added sugars (grams and percentage of total energy intake) were weighted to obtain national estimates over time across age, sex, and race-ethnic groups. Linear trends were tested by using Wald's F tests. Results: Between 1999–2000 and 2007–2008, the absolute intake of added sugars decreased from a mean (95% CI) of 100.1 g/d (92.8, 107.3 g/d) to 76.7 g/d (71.6, 81.9 g/d); two-thirds of this decrease, from 37.4 g/d (32.6, 42.1 g/d) to 22.8 g/d (18.4, 27.3 g/d), resulted from decreased soda consumption (P-linear trend <0.001 for both). Energy drinks were the only source of added sugars to increase over the study period (P-linear trend = 0.003), although the peak consumption reached only 0.15 g/d (0.08, 0.22 g/d). The percentage of total energy from added sugars also decreased from 18.1% (16.9%, 19.3%) to 14.6% (13.7%, 15.5%) (P-linear trend <0.001). Conclusion: Although the consumption of added sugars in the United States decreased between 1999–2000 and 2007–2008, primarily because of a reduction in soda consumption, mean intakes continue to exceed recommended limits. PMID:21753067

Electronic fetal heart rate monitoring and its relationship to neonatal and infant mortality in the United States.

PubMed

Chen, Han-Yang; Chauhan, Suneet P; Ananth, Cande V; Vintzileos, Anthony M; Abuhamad, Alfred Z

2011-06-01

To examine the association between electronic fetal heart rate monitoring and neonatal and infant mortality, as well as neonatal morbidity. We used the United States 2004 linked birth and infant death data. Multivariable log-binomial regression models were fitted to estimate risk ratio for association between electronic fetal heart rate monitoring and mortality, while adjusting for potential confounders. In 2004, 89% of singleton pregnancies had electronic fetal heart rate monitoring. Electronic fetal heart rate monitoring was associated with significantly lower infant mortality (adjusted relative risk, 0.75); this was mainly driven by the lower risk of early neonatal mortality (adjusted relative risk, 0.50). In low-risk pregnancies, electronic fetal heart rate monitoring was associated with decreased risk for Apgar scores <4 at 5 minutes (relative risk, 0.54); in high-risk pregnancies, with decreased risk of neonatal seizures (relative risk, 0.65). In the United States, the use of electronic fetal heart rate monitoring was associated with a substantial decrease in early neonatal mortality and morbidity that lowered infant mortality. Copyright © 2011 Mosby, Inc. All rights reserved.

Poverty and Child Development: Relevance of Research in Developing Countries to the United States.

ERIC Educational Resources Information Center

Pollitt, Ernesto

1994-01-01

Maintains that research from developing countries may help in understanding effects of poverty on child development in the United States, citing three cases: (1) the link between anemia and decreased levels of mental and motor development; (2) the positive effects of supplemental nutrition programs on child development; and (3) effects of poor…

The demise of fire and "mesophication" of forests in the eastern United States

Treesearch

Gregory J. Nowacki; Marc D. Abrams

2008-01-01

A diverse array of fire-adapted plant communities once covered the eastern United States. European settlement greatly altered fire regimes, often increasing fire occurrence (e.g., in northern hardwoods) or substantially decreasing it (e.g., in tallgrass prairies). Notwithstanding these changes, fire suppression policies, beginning around the 1920s, greatly reduced fire...

Power laws in cone production of longleaf pine across its native range in the United States

Treesearch

Xiongwen Chen; Qinfeng Guo; Dale G. Brockway

2017-01-01

Longleaf pine (Pinus palustris Mill.) forests in the southeastern United States are considered endangered ecosystems, because of their dramatic decrease in area since European colonization and poor rates of recovery related to episodic natural regeneration. Sporadic seed production constrains restoration efforts and complicates sustainable management of this species....

ADHD Symptomatology and Adjustment to College in China and the United States

ERIC Educational Resources Information Center

Norvilitis, Jill M.; Sun, Ling; Zhang, Jie

2010-01-01

This study examined ADHD symptomatology and college adjustment in 420 participants--147 from the United States and 273 from China. It was hypothesized that higher levels of ADHD symptoms in general and the inattentive symptom group in particular would be related to decreased academic and social adjustment, career decision-making self-efficacy, and…

Eastern wilderness users: perceptions from two small wilderness areas

Treesearch

Nicholas Palso; Alan Graefe

2007-01-01

This study explores perceptions of wilderness recreationists in the eastern United States, with a focus on definitions of wilderness areas and factors that may decrease enjoyment of the wilderness experience. The eventual aim is to compare these data with information collected from wilderness users in the western United States. The few studies performed on this...

Plant species invasions along the latitudinal gradient in the United States

Treesearch

Thomas J. Stohlgren; David Barnett; Curtis Flather; John Kartesz; Bruce Peterjohn

2005-01-01

It has been long established that the richness of vascular plant species and many animal taxa decreases with increasing latitude, a pattern that very generally follows declines in actual and potential evapotranspiration, solar radiation, temperature, and thus, total productivity. Using county-level data on vascular plants from the United States (3000 counties in the...

Riparian trees and aridland streams of the southwestern United States: An assessment of the past, present, and future

Treesearch

D. Max Smith; Deborah M. Finch

2016-01-01

Riparian ecosystems are vital components of aridlands within the southwestern United States. Historically, surface flows influenced population dynamics of native riparian trees. Many southwestern streams has been altered by regulation, however, and will be further affected by greenhouse warming. Our analysis of stream gage data revealed that decreases in...

Impacts of past and future climate change on wind energy resources in the United States

NASA Astrophysics Data System (ADS)

McCaa, J. R.; Wood, A.; Eichelberger, S.; Westrick, K.

2009-12-01

The links between climate change and trends in wind energy resources have important potential implications for the wind energy industry, and have received significant attention in recent studies. We have conducted two studies that provide insights into the potential for climate change to affect future wind power production. In one experiment, we projected changes in power capacity for a hypothetical wind farm located near Kennewick, Washington, due to greenhouse gas-induced climate change, estimated using a set of regional climate model simulations. Our results show that the annual wind farm power capacity is projected to decrease 1.3% by 2050. In a wider study focusing on wind speed instead of power, we analyzed projected changes in wind speed from 14 different climate simulations that were performed in support of the Fourth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC AR4). Our results show that the predicted ensemble mean changes in annual mean wind speeds are expected to be modest. However, seasonal changes and changes predicted by individual models are large enough to affect the profitability of existing and future wind projects. The majority of the model simulations reveal that near-surface wind speed values are expected to shift poleward in response to the IPCC A2 emission scenario, particularly during the winter season. In the United States, most models agree that the mean annual wind speed values will increase in a region extending from the Great Lakes southward across the Midwest and into Texas. Decreased values, though, are predicted across most of the western United States. However, these predicted changes have a strong seasonal dependence, with wind speed increases over most of the United States during the winter and decreases over the northern United States during the summer.

Epidemiology of Hospitalizations Associated with Invasive Candidiasis, United States, 2002–20121

PubMed Central

Strollo, Sara; Lionakis, Michail S.; Adjemian, Jennifer; Steiner, Claudia A.

2017-01-01

Invasive candidiasis is a major nosocomial fungal disease in the United States associated with high rates of illness and death. We analyzed inpatient hospitalization records from the Healthcare Cost and Utilization Project to estimate incidence of invasive candidiasis–associated hospitalizations in the United States. We extracted data for 33 states for 2002–2012 by using codes from the International Classification of Diseases, 9th Revision, Clinical Modification, for invasive candidiasis; we excluded neonatal cases. The overall age-adjusted average annual rate was 5.3 hospitalizations/100,000 population. Highest risk was for adults >65 years of age, particularly men. Median length of hospitalization was 21 days; 22% of patients died during hospitalization. Median unadjusted associated cost for inpatient care was $46,684. Age-adjusted annual rates decreased during 2005–2012 for men (annual change –3.9%) and women (annual change –4.5%) and across nearly all age groups. We report a high mortality rate and decreasing incidence of hospitalizations for this disease. PMID:27983497

Epidemiology of Hospitalizations Associated with Invasive Candidiasis, United States, 2002-20121.

PubMed

Strollo, Sara; Lionakis, Michail S; Adjemian, Jennifer; Steiner, Claudia A; Prevots, D Rebecca

2016-01-01

Invasive candidiasis is a major nosocomial fungal disease in the United States associated with high rates of illness and death. We analyzed inpatient hospitalization records from the Healthcare Cost and Utilization Project to estimate incidence of invasive candidiasis-associated hospitalizations in the United States. We extracted data for 33 states for 2002-2012 by using codes from the International Classification of Diseases, 9th Revision, Clinical Modification, for invasive candidiasis; we excluded neonatal cases. The overall age-adjusted average annual rate was 5.3 hospitalizations/100,000 population. Highest risk was for adults >65 years of age, particularly men. Median length of hospitalization was 21 days; 22% of patients died during hospitalization. Median unadjusted associated cost for inpatient care was $46,684. Age-adjusted annual rates decreased during 2005-2012 for men (annual change -3.9%) and women (annual change -4.5%) and across nearly all age groups. We report a high mortality rate and decreasing incidence of hospitalizations for this disease.

Concurrent Temporal and Spatial Trends in Sulfate and Organic Mass Concentrations Measured in the IMPROVE Monitoring Program

NASA Astrophysics Data System (ADS)

Malm, William C.; Schichtel, Bret A.; Hand, Jenny L.; Collett, Jeffrey L.

2017-10-01

Recent modeling and field studies have highlighted a relationship between sulfate concentrations and secondarily formed organic aerosols related to isoprene and other volatile biogenic gaseous emissions. The relationship between these biogenic emissions and sulfate is thought to be primarily associated with the effect of sulfate on aerosol acidity, increased aerosol water at high relative humidities, and aerosol volume. The Interagency Monitoring of Protected Visual Environments (IMPROVE) program provides aerosol concentration levels of sulfate (SO4) and organic carbon (OC) at 136 monitoring sites in rural and remote areas of the United States over time periods of between 15 and 28 years. This data set allows for an examination of relationships between these variables over time and space. The relative decreases in SO4 and OC were similar over most of the eastern United States, even though concentrations varied dramatically from one region to another. The analysis implied that for every unit decrease in SO4 there was about a 0.29 decrease in organic aerosol mass (OA = 1.8 × OC). This translated to a 2 μg/m3 decrease in biogenically derived secondary organic aerosol over 15 years in the southeastern United States. The analysis further implied that 35% and 27% in 2001 and 2015, respectively, of average total OA may be biogenically derived secondary organic aerosols and that there was a small but significant decrease in OA not linked to changes in SO4 concentrations. The analysis yields a constraint on ambient SO4-OC relationships that should help to refine and improve regional-scale chemical transport models.

Epidemiology and Transmission of Hepatitis A Virus and Hepatitis E Virus Infections in the United States.

PubMed

Hofmeister, Megan G; Foster, Monique A; Teshale, Eyasu H

2018-04-30

There are many similarities in the epidemiology and transmission of hepatitis A virus (HAV) and hepatitis E virus (HEV) genotype (gt)3 infections in the United States. Both viruses are enterically transmitted, although specific routes of transmission are more clearly established for HAV than for HEV: HAV is restricted to humans and primarily spread through the fecal-oral route, while HEV is zoonotic with poorly understood modes of transmission in the United States. New cases of HAV infection have decreased dramatically in the United States since infant vaccination was recommended in 1996. In recent years, however, outbreaks have occurred among an increasingly susceptible adult population. Although HEV is the most common cause of acute viral hepatitis in developing countries, it is rarely diagnosed in the United States. Copyright © 2018 Cold Spring Harbor Laboratory Press; all rights reserved.

Temporal trends in the acidity of precipitation and surface waters of New York

USGS Publications Warehouse

Peters, Norman E.; Schroeder, Roy A.; Troutman, David E.

1982-01-01

Statistical analyses of precipitation data from a nine-station monitoring network indicate little change in pH from 1965-78 within New York State as a whole but suggest that pH of bulk precipitation has decreased in the western part of the State by approximately 0.2 pH units since 1965 and increased in the eastern part by a similar amount. This trend is equivalent to an annual change in hydrogen-ion concentration of 0.2 microequivalents per liter. An average annual increase in precipitation quantity of 2 to 3 percent since 1965 has resulted in an increased acid load in the western and central parts of the State. During 1965-78, sulfate concentration in precipitation decreased an average of 1-4 percent annually. In general, no trend in nitrate was detected. Calculated trends in hydrogen-ion concentration do not correlate with measured trends of sulfate and nitrate, which suggests variable neutralization of hydrogen ion, possibly by particles from dry deposition. Neutralization has produced an increase of about 0.3 pH units in nonurban areas and 0.7 pH units in urban areas. Statistical analyses of chemical data from several streams throughout New York suggest that sulfate concentrations decreased an average of 1 to 4 percent per year. This decrease is comparable to the sulfate decrease in precipitation during the same period. In most areas of the State, chemical contributions from urbanization and farming, as well as the neutralizing effect of carbonate soils, conceal whatever effects acid precipitation may have on pH of streams.

Trends in Authoritarianism: A Study of Adolescents in West Germany and the United States Since 1945.

ERIC Educational Resources Information Center

Lederer, Gerda

1982-01-01

Surveys carried out in the United States in 1966 and 1978 and in West Germany in 1945 and 1979 showed significant decreases in authoritarianism scale scores in adolescents over time. Although the degree of attitude change was greater in West Germany, American adolescents appear somewhat more authoritarian (in relation to school, family and…

Transcontinental wilderness survey: comparing perceptions between wilderness users in the eastern and western United States

Treesearch

Nicholas Palso; Alan Graefe

2008-01-01

This study explores the differences in perceptions of wilderness between recreationists in the Eastern United States and those from the West, with a focus on definitions of wilderness areas and factors that may decrease enjoyment of the wilderness experience. The few studies performed on this comparison over the past 25 years have produced inconsistent results and...

Declining annual streamflow distributions in the Pacific Northwest United States, 1948-2006

Treesearch

C. H. Luce; Z. A. Holden

2009-01-01

Much of the discussion on climate change and water in the western United States centers on decreased snowpack and earlier spring runoff. Although increasing variability in annual flows has been noted, the nature of those changes is largely unexplored. We tested for trends in the distribution of annual runoff using quantile regression at 43 gages in the Pacific...

Mechanisms of range expansion and removal of mesquite in desert grasslands of the Southwestern United States

Treesearch

Thomas B. Wilson; Robert H. Webb; Thomas L. Thompson

2001-01-01

During the last 150 years, two species of mesquite trees in the Southwestern United States have become increasingly common in what formerly was desert grassland. These trees have spread from nearby watercourses onto relatively xeric upland areas, decreasing rangeland grass production. Management attempts to limit or reverse this spread have been largely unsuccessful....

Effect of Geography on the Analysis of Coccidioidomycosis-Associated Deaths, United States.

PubMed

Noble, Jason A; Nelson, Robert G; Fufaa, Gudeta D; Kang, Paul; Shafir, Shira Chani; Galgiani, John N

2016-10-01

Because coccidioidomycosis death rates vary by region, we reanalyzed coccidioidomycosis-associated mortality in the United States by race/ethnicity, then limited analysis to Arizona and California. Coccidioidomycosis-associated deaths were shown to increase among African-Americans but decrease among Native Americans and Hispanics. Separately, in a Native American cohort, diabetes co-varied with coccidioidomycosis-associated death.

Forest responses to increasing aridity and warmth in the southwestern United States

Treesearch

P. Williams; C.D. Allen; C.I. Millar; T.W. Swetnam; J. Michaelsen; C.J. Still; S.W. Leavitt

2010-01-01

In recent decades, intense droughts, insect outbreaks, and wildfires have led to decreasing tree growth and increasingmortality in many temperate forests. We compared annual tree-ring width data from 1,097 populations in the coterminous United States to climate data and evaluated site-specific tree responses to climate variations throughout the 20th century. For each...

Notes from the field: Shigella with decreased susceptibility to azithromycin among men who have sex with men - United States, 2002-2013.

PubMed

Heiman, Katherine E; Karlsson, Maria; Grass, Julian; Howie, Becca; Kirkcaldy, Robert D; Mahon, Barbara; Brooks, John T; Bowen, Anna

2014-02-14

Bacteria of the genus Shigella cause approximately 500,000 illnesses each year in the United States. Diarrhea (sometimes bloody), fever, and stomach cramps typically start 1-2 days after exposure and usually resolve in 5-7 days. For patients with severe disease, bloody diarrhea, or compromised immune systems, antibiotic treatment is recommended, but resistance to traditional first-line antibiotics (e.g., ampicillin and trimethoprim-sulfamethoxazole) is common. For multidrugresistant cases, azithromycin, the most frequently prescribed antibiotic in the United States, is recommended for both children and adults. However, not all Shigellae are susceptible to azithromycin. Nonsusceptible isolates exist but are not usually identified because there are no clinical laboratory guidelines for azithromycin susceptibility testing. However, to monitor susceptibility of Shigellae in the United States, CDC's National Antimicrobial Resistance Monitoring System (NARMS) has, since 2011, routinely measured the azithromycin minimum inhibitory concentration (MIC) for every 20th Shigella isolate submitted from public health laboratories to CDC, as well as outbreak-associated isolates. All known U.S. Shigella isolates with decreased susceptibility to azithromycin (DSA-Shigella), and the illnesses caused by them, are described in this report.

The effects of maternity leave on children's birth and infant health outcomes in the United States.

PubMed

Rossin, Maya

2011-03-01

This paper evaluates the impacts of unpaid maternity leave provisions of the 1993 Family and Medical Leave Act (FMLA) on children's birth and infant health outcomes in the United States. My identification strategy uses variation in pre-FMLA maternity leave policies across states and variation in which firms are covered by FMLA provisions. Using Vital Statistics data and difference-in-difference-in-difference methodology, I find that maternity leave led to small increases in birth weight, decreases in the likelihood of a premature birth, and substantial decreases in infant mortality for children of college-educated and married mothers, who were most able to take advantage of unpaid leave. My results are robust to the inclusion of numerous controls for maternal, child, and county characteristics, state, year, and month fixed effects, and state-year interactions, as well as across several different specifications. Copyright © 2011 Elsevier B.V. All rights reserved.

The Effects of Maternity Leave on Children's Birth and Infant Health Outcomes in the United States

PubMed Central

Rossin, Maya

2013-01-01

This paper evaluates the impacts of unpaid maternity leave provisions of the 1993 Family and Medical Leave Act (FMLA) on children's birth and infant health outcomes in the United States. My identification strategy uses variation in pre-FMLA maternity leave policies across states and variation in which firms are covered by FMLA provisions. Using Vital Statistics data and difference-in-difference-in-difference methodology, I find that maternity leave led to small increases in birth weight, decreases in the likelihood of a premature birth, and substantial decreases in infant mortality for children of college-educated and married mothers, who were most able to take advantage of unpaid leave. My results are robust to the inclusion of numerous controls for maternal, child, and county characteristics, state and year fixed effects, and state-year interactions, as well as across several different specifications. PMID:21300415

Food Crops Response to Climate Change

NASA Astrophysics Data System (ADS)

Butler, E.; Huybers, P.

2009-12-01

Projections of future climate show a warming world and heterogeneous changes in precipitation. Generally, warming temperatures indicate a decrease in crop yields where they are currently grown. However, warmer climate will also open up new areas at high latitudes for crop production. Thus, there is a question whether the warmer climate with decreased yields but potentially increased growing area will produce a net increase or decrease of overall food crop production. We explore this question through a multiple linear regression model linking temperature and precipitation to crop yield. Prior studies have emphasised temporal regression which indicate uniformly decreased yields, but neglect the potentially increased area opened up for crop production. This study provides a compliment to the prior work by exploring this spatial variation. We explore this subject with a multiple linear regression model from temperature, precipitation and crop yield data over the United States. The United States was chosen as the training region for the model because there are good crop data available over the same time frame as climate data and presumably the yield from crops in the United States is optimized with respect to potential yield. We study corn, soybeans, sorghum, hard red winter wheat and soft red winter wheat using monthly averages of temperature and precipitation from NCEP reanalysis and yearly yield data from the National Agriculture Statistics Service for 1948-2008. The use of monthly averaged temperature and precipitation, which neglect extreme events that can have a significant impact on crops limits this study as does the exclusive use of United States agricultural data. The GFDL 2.1 model under a 720ppm CO2 scenario provides temperature and precipitation fields for 2040-2100 which are used to explore how the spatial regions available for crop production will change under these new conditions.

Identification of Plasmid-Mediated Quinolone Resistance in Salmonella Isolated from Swine Ceca and Retail Pork Chops in the United States

PubMed Central

Tate, Heather P.; Zhao, Shaohua; Li, Cong; Dessai, Uday; Simmons, Mustafa; McDermott, Patrick F.

2017-01-01

ABSTRACT Fluoroquinolones are important antimicrobial drugs used to treat human Salmonella infections, and resistance is rare in the United States for isolates from human and animal sources. Recently, a number of Salmonella isolates from swine cecal contents and retail pork products from National Antimicrobial Resistance Monitoring System (NARMS) surveillance exhibited decreased susceptibility to ciprofloxacin. We identified two qnrB19 quinolone resistance plasmids that are predominantly responsible for this phenomenon and found them distributed among several Salmonella serotypes isolated throughout the United States. PMID:28784677

Toward disentangling the effect of hydrologic and nitrogen source changes from 1992 to 2001 on incremental nitrogen yield in the contiguous United States

NASA Astrophysics Data System (ADS)

Alam, Md Jahangir; Goodall, Jonathan L.

2012-04-01

The goal of this research was to quantify the relative impact of hydrologic and nitrogen source changes on incremental nitrogen yield in the contiguous United States. Using nitrogen source estimates from various federal data bases, remotely sensed land use data from the National Land Cover Data program, and observed instream loadings from the United States Geological Survey National Stream Quality Accounting Network program, we calibrated and applied the spatially referenced regression model SPARROW to estimate incremental nitrogen yield for the contiguous United States. We ran different model scenarios to separate the effects of changes in source contributions from hydrologic changes for the years 1992 and 2001, assuming that only state conditions changed and that model coefficients describing the stream water-quality response to changes in state conditions remained constant between 1992 and 2001. Model results show a decrease of 8.2% in the median incremental nitrogen yield over the period of analysis with the vast majority of this decrease due to changes in hydrologic conditions rather than decreases in nitrogen sources. For example, when we changed the 1992 version of the model to have nitrogen source data from 2001, the model results showed only a small increase in median incremental nitrogen yield (0.12%). However, when we changed the 1992 version of the model to have hydrologic conditions from 2001, model results showed a decrease of approximately 8.7% in median incremental nitrogen yield. We did, however, find notable differences in incremental yield estimates for different sources of nitrogen after controlling for hydrologic changes, particularly for population related sources. For example, the median incremental yield for population related sources increased by 8.4% after controlling for hydrologic changes. This is in contrast to a 2.8% decrease in population related sources when hydrologic changes are included in the analysis. Likewise we found that median incremental yield from urban watersheds increased by 6.8% after controlling for hydrologic changes—in contrast to the median incremental nitrogen yield from cropland watersheds, which decreased by 2.1% over the same time period. These results suggest that, after accounting for hydrologic changes, population related sources became a more significant contributor of nitrogen yield to streams in the contiguous United States over the period of analysis. However, this study was not able to account for the influence of human management practices such as improvements in wastewater treatment plants or Best Management Practices that likely improved water quality, due to a lack of data for quantifying the impact of these practices for the study area.

Assessment of Arbovirus Surveillance 13 Years after Introduction of West Nile Virus, United States1

PubMed Central

Patel, Dhara; Nasci, Roger S.; Petersen, Lyle R.; Hughes, James M.; Bradley, Kristy; Etkind, Paul; Kan, Lilly; Engel, Jeffrey

2015-01-01

Before 1999, the United States had no appropriated funding for arboviral surveillance, and many states conducted no such surveillance. After emergence of West Nile virus (WNV), federal funding was distributed to state and selected local health departments to build WNV surveillance systems. The Council of State and Territorial Epidemiologists conducted assessments of surveillance capacity of resulting systems in 2004 and in 2012; the assessment in 2012 was conducted after a 61% decrease in federal funding. In 2004, nearly all states and assessed local health departments had well-developed animal, mosquito, and human surveillance systems to monitor WNV activity and anticipate outbreaks. In 2012, many health departments had decreased mosquito surveillance and laboratory testing capacity and had no systematic disease-based surveillance for other arboviruses. Arboviral surveillance in many states might no longer be sufficient to rapidly detect and provide information needed to fully respond to WNV outbreaks and other arboviral threats (e.g., dengue, chikungunya). PMID:26079471

Chapter 7: Precipitation Change in the United States

NASA Technical Reports Server (NTRS)

Easterling, D. R.; Kunkel, K. E.; Arnold, J. R.; Knutson, T.; LeGrande, A. N.; Leung, L. R.; Vose, R. S.; Waliser, D. E.; Wehner, M. F.

2017-01-01

Annual precipitation has decreased in much of the West, Southwest, and Southeast and increased in most of the Northern and Southern Plains, Midwest, and Northeast. A national average increase of 4% in annual precipitation since 1901 is mostly a result of large increases in the fall season. Heavy precipitation events in most parts of the United States have increased in both intensity and frequency since 1901. There are important regional differences in trends, with the largest increases occurring in the northeastern United States. In particular, mesoscale convective systems (organized clusters of thunderstorms)-the main mechanism for warm season precipitation in the central part of the United States-have increased in occurrence and precipitation amounts since 1979. The frequency and intensity of heavy precipitation events are projected to continue to increase over the 21st century (high confidence). Mesoscale convective systems in the central United States are expected to continue to increase in number and intensity in the future. There are, however, important regional and seasonal differences in projected changes in total precipitation: the northern United States, including Alaska, is projected to receive more precipitation in the winter and spring, and parts of the southwestern United States are projected to receive less precipitation in the winter and spring. Northern Hemisphere spring snow cover extent, North America maximum snow depth, snow water equivalent in the western United States, and extreme snowfall years in the southern and western United States have all declined, while extreme snowfall years in parts of the northern United States have increased. Projections indicate large declines in snowpack in the western United States and shifts to more precipitation falling as rain than snow in the cold season in many parts of the central and eastern United States.

Response of DOC in acid-sensitive Maine lakes to decreasing sulfur deposition (1993 - 2009)

EPA Science Inventory

In response to the Clean Air Act Amendments of 1990, sulfur deposition has decreased across the northeastern United States. As a result, sulfate concentrations in lakes and streams have also decreased and many surface waters have become less acidic. Over the same time period, th...

Developing an integrated system for mechanical reduction of fuel loads at the wildland/urban interface in the southern United States

Treesearch

John A. Stanturf; Robert Rummer; M. Wimberly; Timothy G. Rials; Philip. A. Araman; Rodney Busby; James Granskog; Leslie Groom

2003-01-01

Prescribed fire is used routinely in the southern United States to reduce fuel loading and decrease the risk of catastrophic wildfires, improve forest health, and manage threatened and endangered species. With rapid human population growth, southern forests have become fragmented by an extensive road network and intertwined with urban uses in a wildland-urban interface...

Economic dynamics of forests and forest industries in the Southern United States

Treesearch

Thomas J. Brandeis; Andrew J. Hartsell; James W. Bentley; Consuelo Brandeis

2012-01-01

This report reviews how recent (2005-present) economic conditions have accelerated mill closings and job losses, and, to a lesser extent, influenced forest management in the Southern United States. We show that the number of primary roundwood-using mills has decreased across the South since the 1970s. At the same time, mill output has increased as the production of the...

Changes in U.S. hardwood lumber exports, 1990 to 2008

Treesearch

William Luppold; Matthew Bumgardner

2011-01-01

The volume of hardwood lumber exported from the United States grew by 63 percent between 1990 and 2006 before decreasing by 29 percent between 2006 and 2008. Canada is both the largest export market for U.S. hardwood lumber and the largest source country for hardwood lumber imported into the United States. In the last 19 years China/Hong Kong has displaced Japan as the...

Simulated water budget of a small forested watershed in the continental/maritime hydroclimatic region of the United States

Treesearch

Liang Wei; Timothy E. Link; Andrew T. Hudak; John D. Marshall; Kathleen L. Kavanagh; John T. Abatzoglou; Hang Zhou; Robert E. Pangle; Gerald N. Flerchinger

2016-01-01

Annual streamflows have decreased across mountain watersheds in the Pacific Northwest of the United States over the last ~70 years; however, in some watersheds, observed annual flows have increased. Physically based models are useful tools to reveal the combined effects of climate and vegetation on long-term water balances by explicitly simulating the internal...

The Incidence and Wage Consequences of Home-Based Work in the United States, 1980-2000

ERIC Educational Resources Information Center

Oettinger, Gerald S.

2011-01-01

This study documents the rapid growth in home-based wage and salary employment and the sharp decline in the home-based wage penalty in the United States between 1980 and 2000. These twin patterns, observed for both men and women in most occupation groups, suggest that employer costs of providing home-based work arrangements have decreased.…

Slope stability problems associated with timber harvesting in mountainous regions of the western United States.

Treesearch

D.N. Swanston

1974-01-01

Natural soil-mass-movements on forested slopes in the Western United States can be divided into two major groups of closely related landslide types. These include, in order of decreasing importance and regional frequency of occurrence: (1) debris slides, debris avalanches, debris flows, and debris torrents; and (2) creep, slumps, and earth flows. Each type requires the...

Outbreaks attributed to pork in the United States, 1998-2015.

PubMed

Self, J L; Luna-Gierke, R E; Fothergill, A; Holt, K G; Vieira, A R

2017-10-01

Each year in the United States, an estimated 525 000 infections, 2900 hospitalizations, and 82 deaths are attributed to consumption of pork. We analyzed the epidemiology of outbreaks attributed to pork in the United States reported to the Centers for Disease Control and Prevention (CDC) 1998-2015. During that period, 288 outbreaks were attributed to pork, resulting in 6372 illnesses, 443 hospitalizations, and four deaths. The frequency of outbreaks attributed to pork decreased by 37% during this period, consistent with a decline in total foodborne outbreaks. However, outbreaks attributed to pork increased by 73% in 2015 (19 outbreaks) compared with the previous 3 years (average of 11 outbreaks per year), without a similar increase in total foodborne outbreaks. Most (>99%) of these outbreaks occurred among people exposed in the same state. The most frequent etiology shifted from Staphylococcus aureus toxin during 1998-2001 (19%) to Salmonella during 2012-2015 (46%). Outbreaks associated with ham decreased from eight outbreaks per year during 1998-2001, to one per year during 2012-2015 (P < 0·01). Additional efforts are necessary to reduce outbreaks and sporadic illnesses associated with pork products.

Decreasing Clostridium difficile-Associated Fatality Rates Among Hospitalized Patients in the United States: 2004-2014.

PubMed

Shrestha, Manish P; Bime, Christian; Taleban, Sasha

2018-01-01

Clostridium difficile infection has emerged as a major public health problem in the United States over the last 2 decades. We examined the trends in the C. difficile-associated fatality rate, hospital length of stay, and hospital charges over the last decade. We used data from the National Inpatient Sample to identify patients with a principal diagnosis of C. difficile infection from 2004 to 2014. Outcomes included in-hospital fatality rate, hospital length of stay, and hospital charges. For each outcome, trends were also stratified by age categories because the risk of infection and associated mortality increases with age. Clostridium difficile infection discharges increased from 19.9 per 100,000 persons in 2004 to 33.8 per 100,000 persons in 2014. Clostridium difficile-associated fatality decreased from 3.6% in 2004 to 1.6% in 2014 (P < .001). Among patients aged 45-64 years, fatality decreased from 1.2% in 2004 to 0.7% in 2014 (P < .001). Among patients aged 65-84 years, fatality decreased from 4.3% in 2004 to 2.0% in 2014 (P < .001). Among patients aged ≥85 years, fatality decreased from 6.9% in 2004 to 3.6% in 2014 (P < .001). The mean length of hospital stay decreased from 6.9 days in 2004 to 5.8 days in 2014 (P < .001). The mean hospital charges increased from 2004 ($24,535) to 2014 ($35,898) (P < .001). In-hospital fatality associated with C. difficile infection in the United States has decreased more than 2-fold in the last decade, despite increasing infection rates. Copyright © 2018 Elsevier Inc. All rights reserved.

Hantavirus pulmonary syndrome, United States, 1993-2009.

PubMed

MacNeil, Adam; Ksiazek, Thomas G; Rollin, Pierre E

2011-07-01

Hantavirus pulmonary syndrome (HPS) is a severe respiratory illness identified in 1993. Since its identification, the Centers for Disease Control and Prevention has obtained standardized information about and maintained a registry of all laboratory-confirmed HPS cases in the United States. During 1993-2009, a total of 510 HPS cases were identified. Case counts have varied from 11 to 48 per year (case-fatality rate 35%). However, there were no trends suggesting increasing or decreasing case counts or fatality rates. Although cases were reported in 30 states, most cases occurred in the western half of the country; annual case counts varied most in the southwestern United States. Increased hematocrits, leukocyte counts, and creatinine levels were more common in HPS case-patients who died. HPS is a severe disease with a high case-fatality rate, and cases continue to occur. The greatest potential for high annual HPS incidence exists in the southwestern United States.

Temporal Trends in Late Preterm and Early Term Birth Rates in 6 High-Income Countries in North America and Europe and Association With Clinician-Initiated Obstetric Interventions.

PubMed

Richards, Jennifer L; Kramer, Michael S; Deb-Rinker, Paromita; Rouleau, Jocelyn; Mortensen, Laust; Gissler, Mika; Morken, Nils-Halvdan; Skjærven, Rolv; Cnattingius, Sven; Johansson, Stefan; Delnord, Marie; Dolan, Siobhan M; Morisaki, Naho; Tough, Suzanne; Zeitlin, Jennifer; Kramer, Michael R

2016-07-26

Clinicians have been urged to delay the use of obstetric interventions (eg, labor induction, cesarean delivery) until 39 weeks or later in the absence of maternal or fetal indications for intervention. To describe recent trends in late preterm and early term birth rates in 6 high-income countries and assess association with use of clinician-initiated obstetric interventions. Retrospective analysis of singleton live births from 2006 to the latest available year (ranging from 2010 to 2015) in Canada, Denmark, Finland, Norway, Sweden, and the United States. Use of clinician-initiated obstetric intervention (either labor induction or prelabor cesarean delivery) during delivery. Annual country-specific late preterm (34-36 weeks) and early term (37-38 weeks) birth rates. The study population included 2,415,432 Canadian births in 2006-2014 (4.8% late preterm; 25.3% early term); 305,947 Danish births in 2006-2010 (3.6% late preterm; 18.8% early term); 571,937 Finnish births in 2006-2015 (3.3% late preterm; 16.8% early term); 468,954 Norwegian births in 2006-2013 (3.8% late preterm; 17.2% early term); 737,754 Swedish births in 2006-2012 (3.6% late preterm; 18.7% early term); and 25,788,558 US births in 2006-2014 (6.0% late preterm; 26.9% early term). Late preterm birth rates decreased in Norway (3.9% to 3.5%) and the United States (6.8% to 5.7%). Early term birth rates decreased in Norway (17.6% to 16.8%), Sweden (19.4% to 18.5%), and the United States (30.2% to 24.4%). In the United States, early term birth rates decreased from 33.0% in 2006 to 21.1% in 2014 among births with clinician-initiated obstetric intervention, and from 29.7% in 2006 to 27.1% in 2014 among births without clinician-initiated obstetric intervention. Rates of clinician-initiated obstetric intervention increased among late preterm births in Canada (28.0% to 37.9%), Denmark (22.2% to 25.0%), and Finland (25.1% to 38.5%), and among early term births in Denmark (38.4% to 43.8%) and Finland (29.8% to 40.1%). Between 2006 and 2014, late preterm and early term birth rates decreased in the United States, and an association was observed between early term birth rates and decreasing clinician-initiated obstetric interventions. Late preterm births also decreased in Norway, and early term births decreased in Norway and Sweden. Clinician-initiated obstetric interventions increased in some countries but no association was found with rates of late preterm or early term birth.

Fragmented patterns of flood change across the United States

PubMed Central

Hirsch, R. M.; Viglione, A.; Blöschl, G.

2016-01-01

Abstract Trends in the peak magnitude, frequency, duration, and volume of frequent floods (floods occurring at an average of two events per year relative to a base period) across the United States show large changes; however, few trends are found to be statistically significant. The multidimensional behavior of flood change across the United States can be described by four distinct groups, with streamgages experiencing (1) minimal change, (2) increasing frequency, (3) decreasing frequency, or (4) increases in all flood properties. Yet group membership shows only weak geographic cohesion. Lack of geographic cohesion is further demonstrated by weak correlations between the temporal patterns of flood change and large‐scale climate indices. These findings reveal a complex, fragmented pattern of flood change that, therefore, clouds the ability to make meaningful generalizations about flood change across the United States. PMID:27917010

Fragmented patterns of flood change across the United States

USGS Publications Warehouse

Archfield, Stacey A.; Hirsch, Robert M.; Viglione, A.; Blöschl, G.

2016-01-01

Trends in the peak magnitude, frequency, duration, and volume of frequent floods (floods occurring at an average of two events per year relative to a base period) across the United States show large changes; however, few trends are found to be statistically significant. The multidimensional behavior of flood change across the United States can be described by four distinct groups, with streamgages experiencing (1) minimal change, (2) increasing frequency, (3) decreasing frequency, or (4) increases in all flood properties. Yet group membership shows only weak geographic cohesion. Lack of geographic cohesion is further demonstrated by weak correlations between the temporal patterns of flood change and large-scale climate indices. These findings reveal a complex, fragmented pattern of flood change that, therefore, clouds the ability to make meaningful generalizations about flood change across the United States.

Trypanosoma cruzi and Chagas' Disease in the United States

PubMed Central

Bern, Caryn; Kjos, Sonia; Yabsley, Michael J.; Montgomery, Susan P.

2011-01-01

Summary: Chagas' disease is caused by the protozoan parasite Trypanosoma cruzi and causes potentially life-threatening disease of the heart and gastrointestinal tract. The southern half of the United States contains enzootic cycles of T. cruzi, involving 11 recognized triatomine vector species. The greatest vector diversity and density occur in the western United States, where woodrats are the most common reservoir; other rodents, raccoons, skunks, and coyotes are also infected with T. cruzi. In the eastern United States, the prevalence of T. cruzi is highest in raccoons, opossums, armadillos, and skunks. A total of 7 autochthonous vector-borne human infections have been reported in Texas, California, Tennessee, and Louisiana; many others are thought to go unrecognized. Nevertheless, most T. cruzi-infected individuals in the United States are immigrants from areas of endemicity in Latin America. Seven transfusion-associated and 6 organ donor-derived T. cruzi infections have been documented in the United States and Canada. As improved control of vector- and blood-borne T. cruzi transmission decreases the burden in countries where the disease is historically endemic and imported Chagas' disease is increasingly recognized outside Latin America, the United States can play an important role in addressing the altered epidemiology of Chagas' disease in the 21st century. PMID:21976603

Threats to at-risk species in America's private forests: a Forests on the Edge report

Treesearch

Mary A. Carr; Ronald E. McRoberts; Lisa G. Mahal; Sara J. Comas

2010-01-01

More than 4,600 native animal and plant species associated with private forests in the United States are at risk of decline or extinction. This report identifies areas across the conterminous United States where at-risk species habitats in rural private forests are most likely to decrease because of increases in housing density from 2000 to 2030. We also identify areas...

A Meta-Analysis of the Efficacy of Behavioral Interventions to Reduce Risky Sexual Behavior and Decrease Sexually Transmitted Infections in Latinas Living in the United States

ERIC Educational Resources Information Center

Althoff, Meghan D.; Grayson, Cary T.; Witt, Lucy; Holden, Julie; Reid, Daniel; Kissinger, Patricia

2015-01-01

The objective of this meta-analysis was to determine the effect of behavioral interventions in reducing risky sexual behavior and incident sexually transmitted infections (STI) among Latina women living in the United States. Studies were found by systematically searching the MEDLINE, EMBASE, and PsychInfo databases without language restriction.…

The Theological Literacy, Beliefs, and Practices of Lay Administrators of Marianist-Sponsored Secondary Schools in the United States

ERIC Educational Resources Information Center

Thompson, John

2011-01-01

Over the past 45 years, there has been a dramatic decrease in the number of religious and priests working in Catholic schools in the United States. Currently, 96% of all elementary and secondary faculties are comprised of lay men and women (McDonald, 2010). This same phenomenon can be found in Marianist-sponsored secondary schools in the United…

‘GA 03564-12E6’: A high-yielding soft red winter wheat cultivar adapted to Georgia and the southeastern regions of the United States

USDA-ARS?s Scientific Manuscript database

Soft red winter wheat (SRWW) (Triticum aestivum L.) is a major crop in the southeastern region of the United States and in Georgia. Although wheat acreages have been decreasing in Georgia and the SE region in recent years, more than 100,000 ha were grown to SRWW in 2015. Newly released cultivars mus...

Essential/precursor chemicals and drug consumption: impacts of US sodium permanganate and Mexico pseudoephedrine controls on the numbers of US cocaine and methamphetamine users.

PubMed

Cunningham, James K; Liu, Lon-Mu; Callaghan, Russell C

2016-11-01

In December 2006 the United States regulated sodium permanganate, a cocaine essential chemical. In March 2007 Mexico, the United States' primary source for methamphetamine, closed a chemical company accused of illicitly importing 60+ tons of pseudoephedrine, a methamphetamine precursor chemical. US cocaine availability and methamphetamine availability, respectively, decreased in association. This study tested whether the controls had impacts upon the numbers of US cocaine users and methamphetamine users. Auto-regressive integrated moving average (ARIMA) intervention time-series analysis. Comparison series-heroin and marijuana users-were used. United States, 2002-14. The National Survey on Drug Use and Health (n = 723 283), a complex sample survey of the US civilian, non-institutionalized population. Estimates of the numbers of (1) past-year users and (2) past-month users were constructed for each calendar quarter from 2002 to 2014, providing each series with 52 time-periods. Downward shifts in cocaine users started at the time of the cocaine regulation. Past-year and past-month cocaine users series levels decreased by approximately 1 946 271 (-32%) (P < 0.05) and 694 770 (-29%) (P < 0.01), respectively-no apparent recovery occurred through 2014. Downward shifts in methamphetamine users started at the time of the chemical company closure. Past-year and past-month methamphetamine series levels decreased by 494 440 (-35%) [P < 0.01; 95% confidence interval (CI) = -771 897, -216 982] and 277 380 (-45%) (P < 0.05; CI = -554 073, -686), respectively-partial recovery possibly occurred in 2013. The comparison series changed little at the intervention times. Essential/precursor chemical controls in the United States (2006) and Mexico (2007) were associated with large, extended (7+ years) reductions in cocaine users and methamphetamine users in the United States. © 2016 Society for the Study of Addiction.

Vital Signs: Trends in Incidence of Cancers Associated with Overweight and Obesity - United States, 2005-2014.

PubMed

Steele, C Brooke; Thomas, Cheryll C; Henley, S Jane; Massetti, Greta M; Galuska, Deborah A; Agurs-Collins, Tanya; Puckett, Mary; Richardson, Lisa C

2017-10-03

Overweight and obesity are associated with increased risk of at least 13 different types of cancer. Data from the United States Cancer Statistics for 2014 were used to assess incidence rates, and data from 2005 to 2014 were used to assess trends for cancers associated with overweight and obesity (adenocarcinoma of the esophagus; cancers of the breast [in postmenopausal women], colon and rectum, endometrium, gallbladder, gastric cardia, kidney, liver, ovary, pancreas, and thyroid; meningioma; and multiple myeloma) by sex, age, race/ethnicity, state, geographic region, and cancer site. Because screening for colorectal cancer can reduce colorectal cancer incidence through detection of precancerous polyps before they become cancerous, trends with and without colorectal cancer were analyzed. In 2014, approximately 631,000 persons in the United States received a diagnosis of a cancer associated with overweight and obesity, representing 40% of all cancers diagnosed. Overweight- and obesity-related cancer incidence rates were higher among older persons (ages ≥50 years) than younger persons; higher among females than males; and higher among non-Hispanic black and non-Hispanic white adults compared with other groups. Incidence rates for overweight- and obesity-related cancers during 2005-2014 varied by age, cancer site, and state. Excluding colorectal cancer, incidence rates increased significantly among persons aged 20-74 years; decreased among those aged ≥75 years; increased in 32 states; and were stable in 16 states and the District of Columbia. The burden of overweight- and obesity-related cancer is high in the United States. Incidence rates of overweight- and obesity-related cancers except colorectal cancer have increased in some age groups and states. The burden of overweight- and obesity-related cancers might be reduced through efforts to prevent and control overweight and obesity. Comprehensive cancer control strategies, including use of evidence-based interventions to promote healthy weight, could help decrease the incidence of these cancers in the United States.

Identifying Opportunities to Decrease Vehicle Occupant Fatalities : Traffic Tech

DOT National Transportation Integrated Search

2017-09-01

Seat belt use in the United States increased steadily in the last decade, but significant variability exists across the States. In 2014, State seat belt use ranged from a low of 68.9 percent to a high of 97.8 percent. Although higher use rates are ge...

Impact of point-of-sale tobacco display bans: findings from the International Tobacco Control Four Country Survey

PubMed Central

Li, Lin; Borland, Ron; Fong, Geoffrey T.; Thrasher, James F.; Hammond, David; Cummings, Kenneth M.

2013-01-01

This study examined the impact of point-of-sale (POS) tobacco marketing restrictions in Australia and Canada, in relation to the United Kingdom and the United States where there were no such restrictions during the study period (2006–10). The data came from the International Tobacco Control Four Country Survey, a prospective multi-country cohort survey of adult smokers. In jurisdictions where POS display bans were implemented, smokers’ reported exposure to tobacco marketing declined markedly. From 2006 to 2010, in Canada, the percentages noticing POS tobacco displays declined from 74.1 to 6.1% [adjusted odds ratio (OR) = 0.26, P < 0.001]; and reported exposure to POS tobacco advertising decreased from 40.3 to 14.1% (adjusted OR = 0.61, P < 0.001). Similarly, in Australia, noticing of POS displays decreased from 73.9 to 42.9%. In contrast, exposure to POS marketing in the United States and United Kingdom remained high during this period. In parallel, there were declines in reported exposures to other forms of advertising/promotion in Canada and Australia, but again, not in the United States or United Kingdom. Impulse purchasing of cigarettes was lower in places that enacted POS display bans. These findings indicate that implementing POS tobacco display bans does result in lower exposure to tobacco marketing and less frequent impulse purchasing of cigarettes. PMID:23640986

Impact of point-of-sale tobacco display bans: findings from the International Tobacco Control Four Country Survey.

PubMed

Li, Lin; Borland, Ron; Fong, Geoffrey T; Thrasher, James F; Hammond, David; Cummings, Kenneth M

2013-10-01

This study examined the impact of point-of-sale (POS) tobacco marketing restrictions in Australia and Canada, in relation to the United Kingdom and the United States where there were no such restrictions during the study period (2006-10). The data came from the International Tobacco Control Four Country Survey, a prospective multi-country cohort survey of adult smokers. In jurisdictions where POS display bans were implemented, smokers' reported exposure to tobacco marketing declined markedly. From 2006 to 2010, in Canada, the percentages noticing POS tobacco displays declined from 74.1 to 6.1% [adjusted odds ratio (OR) = 0.26, P < 0.001]; and reported exposure to POS tobacco advertising decreased from 40.3 to 14.1% (adjusted OR = 0.61, P < 0.001). Similarly, in Australia, noticing of POS displays decreased from 73.9 to 42.9%. In contrast, exposure to POS marketing in the United States and United Kingdom remained high during this period. In parallel, there were declines in reported exposures to other forms of advertising/promotion in Canada and Australia, but again, not in the United States or United Kingdom. Impulse purchasing of cigarettes was lower in places that enacted POS display bans. These findings indicate that implementing POS tobacco display bans does result in lower exposure to tobacco marketing and less frequent impulse purchasing of cigarettes.

Got milk?

NASA Astrophysics Data System (ADS)

Showstack, Randy

While celebrities wear white “milk moustaches” in a popular U.S. advertising campaign to promote the drinking of milk, they should also be concerned about the decreased amount of calcium available to many trees.Calcium levels in forest soils have decreased at locations in 10 states in the eastern United States, according to a new report by the U.S. Geological Survey (USGS) released in time for National Arbor Day on April 30.

Energy Use and Energy Intensity of U.S. Manufacturing—Data from the 2014 Manufacturing Energy Consumption Survey (MECS)

EIA Publications

2017-01-01

Energy intensity in manufacturing in the United States decreased from 2010 to 2014. U.S. manufacturing overall fuel intensity decreased by 4.4% from 3.016 thousand British thermal units (Btu) per dollar of output in 2010 to 2.882 thousand Btu in 2014.[1] U.S. manufacturing fuel consumption rose 4.7% from 2010 to 2014, although real gross output[2] increased more rapidly at 9.6%.

Effects of Maternal Age and Age-Specific Preterm Birth Rates on Overall Preterm Birth Rates - United States, 2007 and 2014.

PubMed

Ferré, Cynthia; Callaghan, William; Olson, Christine; Sharma, Andrea; Barfield, Wanda

2016-11-04

Reductions in births to teens and preterm birth rates are two recent public health successes in the United States (1,2). From 2007 to 2014, the birth rate for females aged 15-19 years declined 42%, from 41.5 to 24.2 per 1,000 females. The preterm birth rate decreased 8.4%, from 10.41% to 9.54% of live births (1). Rates of preterm births vary by maternal age, being higher among the youngest and oldest mothers. It is unknown how changes in the maternal age distribution in the United States have affected preterm birth rates. CDC used birth data to assess the relative contributions of changes in the maternal age distribution and in age-specific preterm birth rates to the overall decrease in preterm birth rates. The preterm birth rate declined in all age groups. The effects of age distribution changes on the preterm birth rate decrease were different in younger and older mothers. The decrease in the proportion of births to mothers aged ≤19 and 20-24 years and reductions in age-specific preterm rates in all age groups contributed to the overall decline in the preterm birth rate. The increase in births to mothers aged ≥30 years had no effect on the overall preterm birth rate decrease. The decline in preterm births from 2007 to 2014 is related, in part, to teen pregnancy prevention and the changing maternal age distribution. Effective public health strategies for further reducing preterm birth rates need to be tailored to different age groups.

Flexibility for Survival: State Funding and Contingent Faculty Employment at Public Higher Education Institutions

ERIC Educational Resources Information Center

Frye, Joanna R.

2015-01-01

The dynamics of state funding for public higher education in the United States are changing. Per-student state appropriations to higher education have decreased over the past few decades and have become increasingly volatile from year to year. As public higher education institutions seek ways to educate more students with fewer and less…

Projected use of grazed forages in the United States: 2000 to 2050: A technical document supporting the 2000 USDA Forest Service RPA Assessment

Treesearch

Larry W. van Tassell; E. Tom Bartlett; John E. Mitchell

2001-01-01

Scenario analysis techniques were used to combine projections from 35 grazed forage experts to estimate future forage demand scenarios and examine factors that are anticipated to impact the use of grazed forages in the South, North, and West Regions of the United States. The amount of land available for forage production is projected to decrease in all regions while...

The effects of detoxification of domestic gas on suicide in the United States

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

Lester, D.

As domestic gas was detoxified in the United States, the rate of suicide by domestic gas decreased. During this time period (1950-60), there was a parallel increase in the per capita ownership of cars and an accompanying increase in the rate of suicide by motor vehicle exhaust. However, displacement of suicide method from domestic gas to car exhaust occurred only for males and not for females.

Lightning-associated deaths--United States, 1980-1995.

PubMed

1998-05-22

A lightning strike can cause death or various injuries to one or several persons. The mechanism of injury is unique, and the manifestations differ from those of other electrical injuries. In the United States, lightning causes more deaths than do most other natural hazards (e.g., hurricanes and tornadoes), although the incidence of lightning-related deaths has decreased since the 1950s. The cases described in this report illustrate diverse circumstances in which deaths attributable to lightning can occur. This report also summarizes data from the Compressed Mortality File of CDC's National Center for Health Statistics on lightning fatalities in the United States from 1980 through 1995, when 1318 deaths were attributed to lightning.

Six-year follow-up on work force and finances of the United States anesthesiology training programs: 2000 to 2006.

PubMed

Kheterpal, Sachin; Tremper, Kevin K; Shanks, Amy; Morris, Michelle

2009-01-01

In the mid 1990s, interest in the field of anesthesiology decreased significantly among medical students, resulting in a decreasing resident class size and, subsequently, fewer anesthesiologists entering the United States workforce. This apparent practitioner shortage was associated with increased salary demands, which placed anesthesiology training departments in financial jeopardy. Starting in 1999, a survey was sent to the department chairs of the United States anesthesiology training programs to assess the status of faculty and finances of their departments. Follow-up surveys have been conducted each year thereafter. We present the results of the 2006 survey and 7 yr trend data. Surveys were distributed by e-mail in September 2006 to anesthesiology department chairs of the United States training programs. The responses were received by e-mail. Descriptive statistics were performed on responder data. In addition, a linear regression model to predict institutional support was developed. One-hundred-eighteen departments were surveyed with a response rate of 61%. There were an average of 4 open faculty positions in the 71% of the departments reporting open faculty positions. This would imply an overall 5% open position rate, down from 10% in 2000. Of the 96% of departments who employ certified registered nurse anesthetists, 70% had an average of 4 open positions, or approximately 11% shortage. The average department received $5,500,000 in total institutional support annually ($120,000/faculty). When the portion of this support provided for certified registered nurse anesthetists was removed, the average amount received was $4,600,000 or $100,000/faculty. This is a 10% increase over the previous year and an approximate 300% increase over the year 2000. Faculty academic time averaged 18% (where 20% is 1 day per week). The departments billed an average of 12,200 U/faculty/year. The average anesthesia unit value collected was $31/unit, while departments would require $46/unit to meet expenses. In a linear regression model, clinical revenue per unit billed minus expenses per unit billed predicted faculty support per full-time equivalent. This current survey reveals a continuing need for institutional support to keep anesthesiology training departments financially solvent. The amount of support is associated with the reimbursement for anesthesia work. There is also a continuing, but decreasing, number of open faculty anesthesiologist positions nationwide.

Firearm Laws and Firearm Homicides: A Systematic Review.

PubMed

Lee, Lois K; Fleegler, Eric W; Farrell, Caitlin; Avakame, Elorm; Srinivasan, Saranya; Hemenway, David; Monuteaux, Michael C

2017-01-01

Firearm homicide is a leading cause of injury death in the United States, and there is considerable debate over the effectiveness of firearm policies. An analysis of the effectiveness of firearm laws on firearm homicide is important to understand optimal policies to decrease firearm homicide in the United States. To evaluate the association between firearm laws and preventing firearm homicides in the United States. We evaluated peer-reviewed articles from 1970 to 2016 focusing on the association between US firearm laws and firearm homicide. We searched PubMed, CINAHL, Lexis/Nexis, Sociological Abstracts, Academic Search Premier, the Index to Legal Periodicals and Books, and the references from the assembled articles. We divided laws into 5 categories: those that (1) curb gun trafficking, (2) strengthen background checks, (3) improve child safety, (4) ban military-style assault weapons, and (5) restrict firearms in public places and leniency in firearm carrying. The articles were assessed using the standardized Guide to Community Preventive Services data collection instrument and 5 additional quality metrics: (1) appropriate data source(s) and outcome measure(s) were used for the study, (2) the time frame studied was adequate, (3) appropriate statistical tests were used, (4) the analytic results were robust, and (5) the disaggregated results of control variables were consistent with the literature. In the aggregate, stronger gun policies were associated with decreased rates of firearm homicide, even after adjusting for demographic and sociologic factors. Laws that strengthen background checks and permit-to-purchase seemed to decrease firearm homicide rates. Specific laws directed at firearm trafficking, improving child safety, or the banning of military-style assault weapons were not associated with changes in firearm homicide rates. The evidence for laws restricting guns in public places and leniency in gun carrying was mixed. The strength of firearm legislation in general, and laws related to strengthening background checks and permit-to-purchase in particular, is associated with decreased firearm homicide rates. High-quality research is important to further evaluate the effectiveness of these laws. Legislation is just 1 part of a multipronged approach that will be necessary to decrease firearm homicides in the United States.

Recent Trends in Survival of Patients With Pancreatic Cancer in Germany and the United States.

PubMed

Sirri, Eunice; Castro, Felipe Andres; Kieschke, Joachim; Jansen, Lina; Emrich, Katharina; Gondos, Adam; Holleczek, Bernd; Katalinic, Alexander; Urbschat, Iris; Vohmann, Claudia; Brenner, Hermann

2016-07-01

Survival improvement for pancreatic cancer has not been observed in the last 4 decades. We report the most up-to-date population-based relative survival (RS) estimates and recent trends in Germany and the United States. Data for patients diagnosed in 1997 to 2010 and followed up to 2010 were drawn from 12 population-based German cancer registries and the US SEER (Surveillance, Epidemiology and End Results) 13 registries database. Using period analysis, 5-year RS for 2007 to 2010 was derived. Model-based period analysis was used to assess 5-year RS time trends, 2002-2010. In total 28,977 (Germany) and 34,793 (United States) patients aged 15 to 74 years were analyzed. Five-year RS was 10.7% and 10.3% in Germany and the United States, respectively, and strongly decreased with age and tumor spread. Prognosis slightly improved from the period 2002-2004 to 2008-2010 (overall age-adjusted RS: +2.5% units in Germany and +3.4% units in the United States); improvement was particularly strong for regional stage and head and body subsites in Germany and for localized and regional stages and tail subsite in the United States. Although pancreatic cancer survival continues to be poor for advanced-stage patients, our study disclosed encouraging indications of first improvements in 5-year RS after decades of stagnation.

Effect of a culture-based screening algorithm on tuberculosis incidence in immigrants and refugees bound for the United States: a population-based cross-sectional study.

PubMed

Liu, Yecai; Posey, Drew L; Cetron, Martin S; Painter, John A

2015-03-17

Before 2007, immigrants and refugees bound for the United States were screened for tuberculosis (TB) by a smear-based algorithm that could not diagnose smear-negative/culture-positive TB. In 2007, the Centers for Disease Control and Prevention implemented a culture-based algorithm. To evaluate the effect of the culture-based algorithm on preventing the importation of TB to the United States by immigrants and refugees from foreign countries. Population-based, cross-sectional study. Panel physician sites for overseas medical examination. Immigrants and refugees with TB. Comparison of the increase of smear-negative/culture-positive TB cases diagnosed overseas among immigrants and refugees by the culture-based algorithm with the decline of reported cases among foreign-born persons within 1 year after arrival in the United States from 2007 to 2012. Of the 3 212 421 arrivals of immigrants and refugees from 2007 to 2012, a total of 1 650 961 (51.4%) were screened by the smear-based algorithm and 1 561 460 (48.6%) were screened by the culture-based algorithm. Among the 4032 TB cases diagnosed by the culture-based algorithm, 2195 (54.4%) were smear-negative/culture-positive. Before implementation (2002 to 2006), the annual number of reported cases among foreign-born persons within 1 year after arrival was relatively constant (range, 1424 to 1626 cases; mean, 1504 cases) but decreased from 1511 to 940 cases during implementation (2007 to 2012). During the same period, the annual number of smear-negative/culture-positive TB cases diagnosed overseas among immigrants and refugees bound for the United States by the culture-based algorithm increased from 4 to 629. This analysis did not control for the decline in new arrivals of nonimmigrant visitors to the United States and the decrease of incidence of TB in their countries of origin. Implementation of the culture-based algorithm may have substantially reduced the incidence of TB among newly arrived, foreign-born persons in the United States. None.

Concentrating Solar Power Projects - Colorado Integrated Solar Project |

Science.gov Websites

Energy's Cameo Station's Unit 2 (approximately 2 MWe equivalent) in order to decrease the overall MW Status: Currently Non-Operational Start Year: 2010 Do you have more information, corrections, or comments? Background Technology: Parabolic trough Status: Currently Non-Operational Country: United States

Implementation of a Personal Fitness Unit Using the Personalized System of Instruction Model

ERIC Educational Resources Information Center

Prewitt, Steven; Hannon, James C.; Colquitt, Gavin; Brusseau, Timothy A.; Newton, Maria; Shaw, Janet

2015-01-01

Levels of physical activity and health-related fitness (HRF) are decreasing among adolescents in the United States. Several interventions have been implemented to reverse this downtrend. Traditionally, physical educators incorporate a direct instruction (DI) strategy, with teaching potentially leading students to disengage during class. An…

Health Profiles of Newly Arrived Refugee Children in the United States, 2006-2012.

PubMed

Yun, Katherine; Matheson, Jasmine; Payton, Colleen; Scott, Kevin C; Stone, Barbara L; Song, Lihai; Stauffer, William M; Urban, Kailey; Young, Janine; Mamo, Blain

2016-01-01

We conducted a large-scale study of newly arrived refugee children in the United States with data from 2006 to 2012 domestic medical examinations in 4 sites: Colorado; Minnesota; Philadelphia, Pennsylvania; and Washington State. Blood lead level, anemia, hepatitis B virus (HBV) infection, tuberculosis infection or disease, and Strongyloides seropositivity data were available for 8148 refugee children (aged < 19 years) from Bhutan, Burma, Democratic Republic of Congo, Ethiopia, Iraq, and Somalia. We identified distinct health profiles for each country of origin, as well as for Burmese children who arrived in the United States from Thailand compared with Burmese children who arrived from Malaysia. Hepatitis B was more prevalent among male children than female children and among children aged 5 years and older. The odds of HBV, tuberculosis, and Strongyloides decreased over the study period. Medical screening remains an important part of health care for newly arrived refugee children in the United States, and disease risk varies by population.

Health Profiles of Newly Arrived Refugee Children in the United States, 2006–2012

PubMed Central

Matheson, Jasmine; Payton, Colleen; Scott, Kevin C.; Stone, Barbara L.; Song, Lihai; Stauffer, William M.; Urban, Kailey; Young, Janine; Mamo, Blain

2016-01-01

Objectives. We conducted a large-scale study of newly arrived refugee children in the United States with data from 2006 to 2012 domestic medical examinations in 4 sites: Colorado; Minnesota; Philadelphia, Pennsylvania; and Washington State. Methods. Blood lead level, anemia, hepatitis B virus (HBV) infection, tuberculosis infection or disease, and Strongyloides seropositivity data were available for 8148 refugee children (aged < 19 years) from Bhutan, Burma, Democratic Republic of Congo, Ethiopia, Iraq, and Somalia. Results. We identified distinct health profiles for each country of origin, as well as for Burmese children who arrived in the United States from Thailand compared with Burmese children who arrived from Malaysia. Hepatitis B was more prevalent among male children than female children and among children aged 5 years and older. The odds of HBV, tuberculosis, and Strongyloides decreased over the study period. Conclusions. Medical screening remains an important part of health care for newly arrived refugee children in the United States, and disease risk varies by population. PMID:26562126

Monitoring and understanding changes in heat waves, cold waves, floods, and droughts in the United States: State of knowledge

USGS Publications Warehouse

Peterson, Thomas C.; Heim, Richard R.; Hirsch, Robert M.; Kaiser, Dale P.; Brooks, Harold; Diffenbaugh, Noah S.; Dole, Randall M.; Giovannettone, Jason P.; Guirguis, Kristen; Karl, Thomas R.; Katz, Richard W.; Kunkel, Kenneth E.; Lettenmaier, Dennis P.; McCabe, Gregory J.; Paciorek, Christopher J.; Ryberg, Karen R.; K Wolter, BS Silva; Schubert, Siegfried; Silva, Viviane B. S.; Stewart, Brooke C.; Vecchia, Aldo V.; Villarini, Gabriele; Vose, Russell S.; Walsh, John; Wehner, Michael; Wolock, David; Wolter, Klaus; Woodhouse, Connie A.; Wuebbles, Donald

2013-01-01

Weather and climate extremes have been varying and changing on many different time scales. In recent decades, heat waves have generally become more frequent across the United States, while cold waves have been decreasing. While this is in keeping with expectations in a warming climate, it turns out that decadal variations in the number of U.S. heat and cold waves do not correlate well with the observed U.S. warming during the last century. Annual peak flow data reveal that river flooding trends on the century scale do not show uniform changes across the country. While flood magnitudes in the Southwest have been decreasing, flood magnitudes in the Northeast and north-central United States have been increasing. Confounding the analysis of trends in river flooding is multiyear and even multidecadal variability likely caused by both large-scale atmospheric circulation changes and basin-scale “memory” in the form of soil moisture. Droughts also have long-term trends as well as multiyear and decadal variability. Instrumental data indicate that the Dust Bowl of the 1930s and the drought in the 1950s were the most significant twentieth-century droughts in the United States, while tree ring data indicate that the megadroughts over the twelfth century exceeded anything in the twentieth century in both spatial extent and duration. The state of knowledge of the factors that cause heat waves, cold waves, floods, and drought to change is fairly good with heat waves being the best understood.

Changes in Transportation-Related Air Pollution Exposures by Race-Ethnicity and Socioeconomic Status: Outdoor Nitrogen Dioxide in the United States in 2000 and 2010

PubMed Central

Clark, Lara P.; Millet, Dylan B.

2017-01-01

Background: Disparities in exposure to air pollution by race-ethnicity and by socioeconomic status have been documented in the United States, but the impacts of declining transportation-related air pollutant emissions on disparities in exposure have not been studied in detail. Objective: This study was designed to estimate changes over time (2000 to 2010) in disparities in exposure to outdoor concentrations of a transportation-related air pollutant, nitrogen dioxide (NO2), in the United States. Methods: We combined annual average NO2 concentration estimates from a temporal land use regression model with Census demographic data to estimate outdoor exposures by race-ethnicity, socioeconomic characteristics (income, age, education), and by location (region, state, county, urban area) for the contiguous United States in 2000 and 2010. Results: Estimated annual average NO2 concentrations decreased from 2000 to 2010 for all of the race-ethnicity and socioeconomic status groups, including a decrease from 17.6 ppb to 10.7 ppb (−6.9 ppb) in nonwhite [non-(white alone, non-Hispanic)] populations, and 12.6 ppb to 7.8 ppb (−4.7 ppb) in white (white alone, non-Hispanic) populations. In 2000 and 2010, disparities in NO2 concentrations were larger by race-ethnicity than by income. Although the national nonwhite–white mean NO2 concentration disparity decreased from a difference of 5.0 ppb in 2000 to 2.9 ppb in 2010, estimated mean NO2 concentrations remained 37% higher for nonwhites than whites in 2010 (40% higher in 2000), and nonwhites were 2.5 times more likely than whites to live in a block group with an average NO2 concentration above the WHO annual guideline in 2010 (3.0 times more likely in 2000). Conclusions: Findings suggest that absolute NO2 exposure disparities by race-ethnicity decreased from 2000 to 2010, but relative NO2 exposure disparities persisted, with higher NO2 concentrations for nonwhites than whites in 2010. https://doi.org/10.1289/EHP959 PMID:28930515

Changes in Transportation-Related Air Pollution Exposures by Race-Ethnicity and Socioeconomic Status: Outdoor Nitrogen Dioxide in the United States in 2000 and 2010.

PubMed

Clark, Lara P; Millet, Dylan B; Marshall, Julian D

2017-09-14

Disparities in exposure to air pollution by race-ethnicity and by socioeconomic status have been documented in the United States, but the impacts of declining transportation-related air pollutant emissions on disparities in exposure have not been studied in detail. This study was designed to estimate changes over time (2000 to 2010) in disparities in exposure to outdoor concentrations of a transportation-related air pollutant, nitrogen dioxide (NO2), in the United States. We combined annual average NO2 concentration estimates from a temporal land use regression model with Census demographic data to estimate outdoor exposures by race-ethnicity, socioeconomic characteristics (income, age, education), and by location (region, state, county, urban area) for the contiguous United States in 2000 and 2010. Estimated annual average NO2 concentrations decreased from 2000 to 2010 for all of the race-ethnicity and socioeconomic status groups, including a decrease from 17.6 ppb to 10.7 ppb (-6.9 ppb) in nonwhite [non-(white alone, non-Hispanic)] populations, and 12.6 ppb to 7.8 ppb (-4.7 ppb) in white (white alone, non-Hispanic) populations. In 2000 and 2010, disparities in NO2 concentrations were larger by race-ethnicity than by income. Although the national nonwhite-white mean NO2 concentration disparity decreased from a difference of 5.0 ppb in 2000 to 2.9 ppb in 2010, estimated mean NO2 concentrations remained 37% higher for nonwhites than whites in 2010 (40% higher in 2000), and nonwhites were 2.5 times more likely than whites to live in a block group with an average NO2 concentration above the WHO annual guideline in 2010 (3.0 times more likely in 2000). Findings suggest that absolute NO2 exposure disparities by race-ethnicity decreased from 2000 to 2010, but relative NO2 exposure disparities persisted, with higher NO2 concentrations for nonwhites than whites in 2010. https://doi.org/10.1289/EHP959.

Temporal Trends in Late Preterm and Early Term Birth Rates in 6 High-Income Countries in North America and Europe and Association With Clinician-Initiated Obstetric Interventions

PubMed Central

Richards, Jennifer L.; Kramer, Michael S.; Deb-Rinker, Paromita; Rouleau, Jocelyn; Mortensen, Laust; Gissler, Mika; Morken, Nils-Halvdan; Skjærven, Rolv; Cnattingius, Sven; Johansson, Stefan; Delnord, Marie; Dolan, Siobhan M.; Morisaki, Naho; Tough, Suzanne; Zeitlin, Jennifer; Kramer, Michael R.

2017-01-01

IMPORTANCE Clinicians have been urged to delay the use of obstetric interventions (eg, labor induction, cesarean delivery) until 39 weeks or later in the absence of maternal or fetal indications for intervention. OBJECTIVE To describe recent trends in late preterm and early term birth rates in 6 high-income countries and assess association with use of clinician-initiated obstetric interventions. DESIGN Retrospective analysis of singleton live births from 2006 to the latest available year (ranging from 2010 to 2015) in Canada, Denmark, Finland, Norway, Sweden, and the United States. EXPOSURES Use of clinician-initiated obstetric intervention (either labor induction or prelabor cesarean delivery) during delivery. MAIN OUTCOMES AND MEASURES Annual country-specific late preterm (34–36 weeks) and early term (37–38 weeks) birth rates. RESULTS The study population included 2 415 432 Canadian births in 2006–2014 (4.8% late preterm; 25.3% early term); 305 947 Danish births in 2006–2010 (3.6% late preterm; 18.8% early term); 571 937 Finnish births in 2006–2015 (3.3% late preterm; 16.8% early term); 468 954 Norwegian births in 2006–2013 (3.8% late preterm; 17.2% early term); 737 754 Swedish births in 2006–2012 (3.6% late preterm; 18.7% early term); and 25 788 558 US births in 2006–2014 (6.0% late preterm; 26.9% early term). Late preterm birth rates decreased in Norway (3.9% to 3.5%) and the United States (6.8% to 5.7%). Early term birth rates decreased in Norway (17.6% to 16.8%), Sweden (19.4% to 18.5%), and the United States (30.2% to 24.4%). In the United States, early term birth rates decreased from 33.0% in 2006 to 21.1% in 2014 among births with clinician-initiated obstetric intervention, and from 29.7% in 2006 to 27.1% in 2014 among births without clinician-initiated obstetric intervention. Rates of clinician-initiated obstetric intervention increased among late preterm births in Canada (28.0% to 37.9%), Denmark (22.2% to 25.0%), and Finland (25.1% to 38.5%), and among early term births in Denmark (38.4% to 43.8%) and Finland (29.8% to 40.1%). CONCLUSIONS AND RELEVANCE Between 2006 and 2014, late preterm and early term birth rates decreased in the United States, and an association was observed between early term birth rates and decreasing clinician-initiated obstetric interventions. Late preterm births also decreased in Norway, and early term births decreased in Norway and Sweden. Clinician-initiated obstetric interventions increased in some countries but no association was found with rates of late preterm or early term birth. PMID:27458946

Can Baird's and Clar's Rules Combined Explain Triplet State Energies of Polycyclic Conjugated Hydrocarbons with Fused 4nπ- and (4n + 2)π-Rings?

PubMed

Ayub, Rabia; Bakouri, Ouissam El; Jorner, Kjell; Solà, Miquel; Ottosson, Henrik

2017-06-16

Compounds that can be labeled as "aromatic chameleons" are π-conjugated compounds that are able to adjust their π-electron distributions so as to comply with the different rules of aromaticity in different electronic states. We used quantum chemical calculations to explore how the fusion of benzene rings onto aromatic chameleonic units represented by biphenylene, dibenzocyclooctatetraene, and dibenzo[a,e]pentalene modifies the first triplet excited states (T 1 ) of the compounds. Decreases in T 1 energies are observed when going from isomers with linear connectivity of the fused benzene rings to those with cis- or trans-bent connectivities. The T 1 energies decreased down to those of the parent (isolated) 4nπ-electron units. Simultaneously, we observe an increased influence of triplet state aromaticity of the central 4n ring as given by Baird's rule and evidenced by geometric, magnetic, and electron density based aromaticity indices (HOMA, NICS-XY, ACID, and FLU). Because of an influence of triplet state aromaticity in the central 4nπ-electron units, the most stabilized compounds retain the triplet excitation in Baird π-quartets or octets, enabling the outer benzene rings to adapt closed-shell singlet Clar π-sextet character. Interestingly, the T 1 energies go down as the total number of aromatic cycles within a molecule in the T 1 state increases.

H-theorem and Maxwell demon in quantum physics

NASA Astrophysics Data System (ADS)

Kirsanov, N. S.; Lebedev, A. V.; Sadovskyy, I. A.; Suslov, M. V.; Vinokur, V. M.; Blatter, G.; Lesovik, G. B.

2018-02-01

The Second Law of Thermodynamics states that temporal evolution of an isolated system occurs with non-diminishing entropy. In quantum realm, this holds for energy-isolated systems the evolution of which is described by the so-called unital quantum channel. The entropy of a system evolving in a non-unital quantum channel can, in principle, decrease. We formulate a general criterion of unitality for the evolution of a quantum system, enabling a simple and rigorous approach for finding and identifying the processes accompanied by decreasing entropy in energy-isolated systems. We discuss two examples illustrating our findings, the quantum Maxwell demon and heating-cooling process within a two-qubit system.

Cigarette Tax Increase and Infant Mortality

PubMed Central

Warner, Kenneth E.; Pordes, Elisabeth; Davis, Matthew M.

2016-01-01

BACKGROUND AND OBJECTIVE: Maternal smoking increases the risk for preterm birth, low birth weight, and sudden infant death syndrome, which are all causes of infant mortality. Our objective was to evaluate if changes in cigarette taxes and prices over time in the United States were associated with a decrease in infant mortality. METHODS: We compiled data for all states from 1999 to 2010. Time-series models were constructed by infant race for cigarette tax and price with infant mortality as the outcome, controlling for state per-capita income, educational attainment, time trend, and state random effects. RESULTS: From 1999 through 2010, the mean overall state infant mortality rate in the United States decreased from 7.3 to 6.2 per 1000 live births, with decreases of 6.0 to 5.3 for non-Hispanic white and 14.3 to 11.3 for non-Hispanic African American infants (P < .001). Mean inflation-adjusted state and federal cigarette taxes increased from $0.84 to $2.37 per pack (P < .001). In multivariable regression models, we found that every $1 increase per pack in cigarette tax was associated with a change in infant deaths of −0.19 (95% confidence interval −0.33 to −0.05) per 1000 live births overall, including changes of −0.21 (−0.33 to −0.08) for non-Hispanic white infants and −0.46 (−0.90 to −0.01) for non-Hispanic African American infants. Models for cigarette price yielded similar findings. CONCLUSIONS: Increases in cigarette taxes and prices are associated with decreases in infant mortality rates, with stronger impact for African American infants. Federal and state policymakers may consider increases in cigarette taxes as a primary prevention strategy for infant mortality. PMID:26628730

Cigarette Tax Increase and Infant Mortality.

PubMed

Patrick, Stephen W; Warner, Kenneth E; Pordes, Elisabeth; Davis, Matthew M

2016-01-01

Maternal smoking increases the risk for preterm birth, low birth weight, and sudden infant death syndrome, which are all causes of infant mortality. Our objective was to evaluate if changes in cigarette taxes and prices over time in the United States were associated with a decrease in infant mortality. We compiled data for all states from 1999 to 2010. Time-series models were constructed by infant race for cigarette tax and price with infant mortality as the outcome, controlling for state per-capita income, educational attainment, time trend, and state random effects. From 1999 through 2010, the mean overall state infant mortality rate in the United States decreased from 7.3 to 6.2 per 1000 live births, with decreases of 6.0 to 5.3 for non-Hispanic white and 14.3 to 11.3 for non-Hispanic African American infants (P < .001). Mean inflation-adjusted state and federal cigarette taxes increased from $0.84 to $2.37 per pack (P < .001). In multivariable regression models, we found that every $1 increase per pack in cigarette tax was associated with a change in infant deaths of -0.19 (95% confidence interval -0.33 to -0.05) per 1000 live births overall, including changes of -0.21 (-0.33 to -0.08) for non-Hispanic white infants and -0.46 (-0.90 to -0.01) for non-Hispanic African American infants. Models for cigarette price yielded similar findings. Increases in cigarette taxes and prices are associated with decreases in infant mortality rates, with stronger impact for African American infants. Federal and state policymakers may consider increases in cigarette taxes as a primary prevention strategy for infant mortality. Copyright © 2016 by the American Academy of Pediatrics.

Addressing Child Poverty: How Does the United States Compare With Other Nations?

PubMed

Smeeding, Timothy; Thévenot, Céline

2016-04-01

Poverty during childhood raises a number of policy challenges. The earliest years are critical in terms of future cognitive and emotional development and early health outcomes, and have long-lasting consequences on future health. In this article child poverty in the United States is compared with a set of other developed countries. To the surprise of few, results show that child poverty is high in the United States. But why is poverty so much higher in the United States than in other rich nations? Among child poverty drivers, household composition and parent's labor market participation matter a great deal. But these are not insurmountable problems. Many of these disadvantages can be overcome by appropriate public policies. For example, single mothers have a very high probability of poverty in the United States, but this is not the case in other countries where the provision of work support increases mothers' labor earnings and together with strong public cash support effectively reduces child poverty. In this article we focus on the role and design of public expenditure to understand the functioning of the different national systems and highlight ways for improvements to reduce child poverty in the United States. We compare relative child poverty in the United States with poverty in a set of selected countries. The takeaway is that the United States underinvests in its children and their families and in so doing this leads to high child poverty and poor health and educational outcomes. If a nation like the United States wants to decrease poverty and improve health and life chances for poor children, it must support parental employment and incomes, and invest in children's futures as do other similar nations with less child poverty. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Surveillance for traumatic brain injury-related deaths--United States, 1997-2007.

PubMed

Coronado, Victor G; Xu, Likang; Basavaraju, Sridhar V; McGuire, Lisa C; Wald, Marlena M; Faul, Mark D; Guzman, Bernardo R; Hemphill, John D

2011-05-06

Traumatic brain injury (TBI) is a leading cause of death and disability in the United States. Approximately 53,000 persons die from TBI-related injuries annually. During 1989-1998, TBI-related death rates decreased 11.4%, from 21.9 to 19.4 per 100,000 population. This report describes the epidemiology and annual rates of TBI-related deaths during 1997-2007. January 1, 1997-December 31, 2007. Data were analyzed from the CDC multiple-cause-of-death public-use data files, which contain death certificate data from all 50 states and the District of Columbia. During 1997-2007, an annual average of 53,014 deaths (18.4 per 100,000 population; range: 17.8-19.3) among U.S. residents were associated with TBIs. During this period, death rates decreased 8.2%, from 19.3 to 17.8 per 100,000 population (p = 0.001). TBI-related death rates decreased significantly among persons aged 0-44 years and increased significantly among those aged ≥75 years. The rate of TBI deaths was three times higher among males (28.8 per 100,000 population) than among females (9.1). Among males, rates were highest among non-Hispanic American Indian/Alaska Natives (41.3 per 100,000 population) and lowest among Hispanics (22.7). Firearm- (34.8%), motor-vehicle- (31.4%), and fall-related TBIs (16.7%) were the leading causes of TBI-related death. Firearm-related death rates were highest among persons aged 15-34 years (8.5 per 100,000 population) and ≥75 years (10.5). Motor vehicle-related death rates were highest among those aged 15-24 years (11.9 per 100,000 population). Fall-related death rates were highest among adults aged ≥75 years (29.8 per 100,000 population). Overall, the rates for all causes except falls decreased. Although the overall rate of TBI-related deaths decreased during 1997-2007, TBI remains a public health problem; approximately 580,000 persons died with TBI-related diagnoses during this reporting period in the United States. Rates of TBI-related deaths were higher among young and older adults and certain minority populations. The leading external causes of this condition were incidents related to firearms, motor vehicle traffic, and falls. Accurate, timely, and comprehensive surveillance data are necessary to better understand and prevent TBI-related deaths in the United States. CDC multiple-cause-of-death public-use data files can be used to monitor the incidence of TBI-related deaths and assist public health practitioners and partners in the development, implementation, and evaluation of programs and policies to reduce and prevent TBI-related deaths in the United States. Rates of TBI-related deaths are higher in certain population groups and are primarily related to specific external causes. Better enforcement of existing seat belt laws, implementation and increased coverage of more stringent helmet laws, and the implementation of existing evidence-based fall-related prevention interventions are examples of interventions that can reduce the incidence of TBI in the United States.

Decreased reproductive rates in sheep fed a high selenium diet

USDA-ARS?s Scientific Manuscript database

High Se-containing forages grow on seleniferous soils in many parts of the United States and throughout the world. Selenium is an essential trace element that is required for many physiological processes but can also be either acutely or chronically toxic to livestock. Anecdotal reports of decrease...

Elevated Influenza-Related Excess Mortality in South African Elderly Individuals, 1998–2005

PubMed Central

Cohen, Cheryl; Simonsen, Lone; Kang, Jong-Won; Miller, Mark; McAnerney, Jo; Blumberg, Lucille; Schoub, Barry; Madhi, Shabir A.; Viboud, Cécile

2010-01-01

Background. Although essential to guide control measures, published estimates of influenza-related seasonal mortality for low- and middle-income countries are few. We aimed to compare influenza-related mortality among individuals aged ⩾65 years in South Africa and the United States. Methods. We estimated influenza-related excess mortality due to all causes, pneumonia and influenza, and other influenza-associated diagnoses from monthly age-specific mortality data for 1998–2005 using a Serfling regression model. We controlled for between-country differences in population age structure and nondemographic factors (baseline mortality and coding practices) by generating age-standardized estimates and by estimating the percentage excess mortality attributable to influenza. Results. Age-standardized excess mortality rates were higher in South Africa than in the United States: 545 versus 133 deaths per 100,000 population for all causes (P < .001) and 63 vs 21 deaths per 100,000 population for pneumonia and influenza (P=.03). Standardization for nondemographic factors decreased but did not eliminate between-country differences; for example, the mean percentage of winter deaths attributable to influenza was 16% in South Africa and 6% in the United States (P < .001). For all respiratory causes, cerebrovascular disease, and diabetes, age-standardized excess death rates were 4—8-fold greater in South Africa than in the United States, and the percentage increase in winter deaths attributable to influenza was 2—4-fold higher. Conclusions. These data suggest that the impact of seasonal influenza on mortality among elderly individuals may be substantially higher in an African setting, compared with in the United States, and highlight the potential for influenza vaccination programs to decrease mortality. PMID:21070141

China's international trade and air pollution in the United States.

PubMed

Lin, Jintai; Pan, Da; Davis, Steven J; Zhang, Qiang; He, Kebin; Wang, Can; Streets, David G; Wuebbles, Donald J; Guan, Dabo

2014-02-04

China is the world's largest emitter of anthropogenic air pollutants, and measurable amounts of Chinese pollution are transported via the atmosphere to other countries, including the United States. However, a large fraction of Chinese emissions is due to manufacture of goods for foreign consumption. Here, we analyze the impacts of trade-related Chinese air pollutant emissions on the global atmospheric environment, linking an economic-emission analysis and atmospheric chemical transport modeling. We find that in 2006, 36% of anthropogenic sulfur dioxide, 27% of nitrogen oxides, 22% of carbon monoxide, and 17% of black carbon emitted in China were associated with production of goods for export. For each of these pollutants, about 21% of export-related Chinese emissions were attributed to China-to-US export. Atmospheric modeling shows that transport of the export-related Chinese pollution contributed 3-10% of annual mean surface sulfate concentrations and 0.5-1.5% of ozone over the western United States in 2006. This Chinese pollution also resulted in one extra day or more of noncompliance with the US ozone standard in 2006 over the Los Angeles area and many regions in the eastern United States. On a daily basis, the export-related Chinese pollution contributed, at a maximum, 12-24% of sulfate concentrations over the western United States. As the United States outsourced manufacturing to China, sulfate pollution in 2006 increased in the western United States but decreased in the eastern United States, reflecting the competing effect between enhanced transport of Chinese pollution and reduced US emissions. Our findings are relevant to international efforts to reduce transboundary air pollution.

JPRS Report, Near East & South Asia

DTIC Science & Technology

1988-01-28

Israel’s peace in first instance. Having guar - anteed the Jewish state the separate peace it wanted with Egypt, the United States paid no attention to...plant gums , marine prod- ucts, wool and yarn have decreased. This decrease has been compensated by the great increase in the export of dried goods...mentioned session, the requests of the "Tuli Pers" company to export 3,000 tons of powdered detergent and the Pars pump company to export 1,500

Data Encoding using Periodic Nano-Optical Features

NASA Astrophysics Data System (ADS)

Vosoogh-Grayli, Siamack

Successful trials have been made through a designed algorithm to quantize, compress and optically encode unsigned 8 bit integer values in the form of images using Nano optical features. The periodicity of the Nano-scale features (Nano-gratings) have been designed and investigated both theoretically and experimentally to create distinct states of variation (three on states and one off state). The use of easy to manufacture and machine readable encoded data in secured authentication media has been employed previously in bar-codes for bi-state (binary) models and in color barcodes for multiple state models. This work has focused on implementing 4 states of variation for unit information through periodic Nano-optical structures that separate an incident wavelength into distinct colors (variation states) in order to create an encoding system. Compared to barcodes and magnetic stripes in secured finite length storage media the proposed system encodes and stores more data. The benefits of multiple states of variation in an encoding unit are 1) increased numerically representable range 2) increased storage density and 3) decreased number of typical set elements for any ergodic or semi-ergodic source that emits these encoding units. A thorough investigation has targeted the effects of the use of multi-varied state Nano-optical features on data storage density and consequent data transmission rates. The results show that use of Nano-optical features for encoding data yields a data storage density of circa 800 Kbits/in2 via the implementation of commercially available high resolution flatbed scanner systems for readout. Such storage density is far greater than commercial finite length secured storage media such as Barcode family with maximum practical density of 1kbits/in2 and highest density magnetic stripe cards with maximum density circa 3 Kbits/in2. The numerically representable range of the proposed encoding unit for 4 states of variation is [0 255]. The number of typical set elements for an ergodic source emitting the optical encoding units compared to a bi-state encoding unit (bit) shows a 36 orders of magnitude decrease for the error probability interval of [0 0.01]. The algorithms for the proposed encoding system have been implemented in MATLAB and the Nano-optical structures have been fabricated using Electron Beam Lithography on optical medium.

Agricultural Industry Advanced Vehicle Technology: Benchmark Study for Reduction in Petroleum Use

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

Roger Hoy

2014-09-01

Diesel use on farms in the United States has remained relatively constant since 1985, decreasing slightly in 2009, which may be attributed to price increases and the economic recession. During this time, the United States’ harvested area also has remained relatively constant at roughly 300 million acres. In 2010, farm diesel use was 5.4% of the total United States diesel use. Crops accounting for an estimated 65% of United States farm diesel use include corn, soybean, wheat, hay, and alfalfa, respectively, based on harvested crop area and a recent analysis of estimated fuel use by crop. Diesel use in thesemore » cropping systems primarily is from tillage, harvest, and various other operations (e.g., planting and spraying) (Figure 3). Diesel efficiency is markedly variable due to machinery types, conditions of operation (e.g., soil type and moisture), and operator variability. Farm diesel use per acre has slightly decreased in the last two decades and diesel is now estimated to be less than 5% of farm costs per acre. This report will explore current trends in increasing diesel efficiency in the farm sector. The report combines a survey of industry representatives, a review of literature, and data analysis to identify nascent technologies for increasing diesel efficiency« less

Vital Signs: Trends in Incidence of Cancers Associated with Overweight and Obesity — United States, 2005–2014

PubMed Central

Thomas, Cheryll C.; Henley, S. Jane; Massetti, Greta M.; Galuska, Deborah A.; Agurs-Collins, Tanya; Puckett, Mary; Richardson, Lisa C.

2017-01-01

Background Overweight and obesity are associated with increased risk of at least 13 different types of cancer. Methods Data from the United States Cancer Statistics for 2014 were used to assess incidence rates, and data from 2005 to 2014 were used to assess trends for cancers associated with overweight and obesity (adenocarcinoma of the esophagus; cancers of the breast [in postmenopausal women], colon and rectum, endometrium, gallbladder, gastric cardia, kidney, liver, ovary, pancreas, and thyroid; meningioma; and multiple myeloma) by sex, age, race/ethnicity, state, geographic region, and cancer site. Because screening for colorectal cancer can reduce colorectal cancer incidence through detection of precancerous polyps before they become cancerous, trends with and without colorectal cancer were analyzed. Results In 2014, approximately 631,000 persons in the United States received a diagnosis of a cancer associated with overweight and obesity, representing 40% of all cancers diagnosed. Overweight- and obesity-related cancer incidence rates were higher among older persons (ages ≥50 years) than younger persons; higher among females than males; and higher among non-Hispanic black and non-Hispanic white adults compared with other groups. Incidence rates for overweight- and obesity-related cancers during 2005–2014 varied by age, cancer site, and state. Excluding colorectal cancer, incidence rates increased significantly among persons aged 20–74 years; decreased among those aged ≥75 years; increased in 32 states; and were stable in 16 states and the District of Columbia. Conclusions The burden of overweight- and obesity-related cancer is high in the United States. Incidence rates of overweight- and obesity-related cancers except colorectal cancer have increased in some age groups and states. Implications for Public Health Practice The burden of overweight- and obesity-related cancers might be reduced through efforts to prevent and control overweight and obesity. Comprehensive cancer control strategies, including use of evidence-based interventions to promote healthy weight, could help decrease the incidence of these cancers in the United States. PMID:28981482

Summary of estimated water use in the United States in 2015

USGS Publications Warehouse

Maupin, Molly A.

2018-06-19

A total of 322 Bgal/d of water withdrawals was reported for eight categories of use in the United States in 2015, which was 9 percent less than in 2010 (354 Bgal/d), and continued a declining trend since 2005. The decline in total withdrawals in 2015 primarily was caused by significant decreases (28.8 Bgal/d) in thermoelectric power, which accounted for 89 percent of the decrease in total withdrawals. Between 2010 and 2015, withdrawals decreased in all categories except irrigation (2 percent increase), mining (1 percent increase), and livestock (no change). Fresh surface-water withdrawals (198 Bgal/d) were 14 percent less than in 2010, and fresh groundwater withdrawals (82.3 Bgal/d) were about 8 percent more than in 2010. Saline surface-water withdrawals (38.6 Bgal/d) were 14 percent less than in 2010, and saline groundwater withdrawals (2.34 Bgal/d) were 5 percent more than in 2010. Total population in the United States in 2015 (325 million) increased by 4 percent (12.4 million) from 2010, which was similar to the increase between 2005 and 2010. For the first time since 1995, consumptive use for irrigation and thermoelectric power were reported. Consumptive use accounted for 62 percent (73.2 Bgal/d) of water used for irrigation, and 3 percent (4.31 Bgal/d) of water used for thermoelectric power in 2015.

State summaries: Illinois

USGS Publications Warehouse

Lasemi, Z.; Mikulic, Donald G.

2006-01-01

According to the United States Geological Survey (USGS), Illinois ranked third in the amount of crushed stone produced from underground mining operations. In 2004, Illinois produced more than 76.5 Mt of crushed stone and 38.7 Mt of sand-and-gravel. Preliminary data for 2005 showed an increase in the production of crushed stone and a slight decrease in the production of sand-and-gravel. The state remained 16th in total value of nonfuel mineral production. In decreasing order of value, the minerals produced included crushed stone, cement, construction sand and gravel, lime, clay, peat, tripoli, industrial sand, crushed sandstone and gemstone.

Residues of organochlorine pesticides and polychloribiphenyls [sic] in starlings (Sturnus vulgaris), from the continental United States, 1982

USGS Publications Warehouse

Bunck, C.M.; Prouty, R.M.; Krynitsky, A.J.

1987-01-01

Starlings were collected from 129 sites throughout the contiguous United States in the fall of 1982 and analyzed for organochlorine compounds as part of a nationwide monitoring program. Residues of 14 organochlorine compounds were found. Only DDE, polychlorobiphenyls (PCB), dieldrin, and heptachlor epoxide occurred in more than 50% of the lO-starling pools. Geographical variation in the occurrence of seven organochlorine compounds was noted. Mean DDE levels were higher in the southwestern United States. Mean PCB levels were higher in the eastern United States. The occurrence frequency of most organochlorines in 1982 was similar to that which was reported in the previous nationwide study in 1979. A slight increase in occurrence was noted for trans-nonachlor. Mean DDE level I in 1982 was similar to that of 1979. Mean PCB level in 1982 was lower than the 1979 mean, but this change may not reflect a decrease in environmental PCB levels.

Regional nutrient trends in streams and rivers of the United States, 1993-2003

USGS Publications Warehouse

Sprague, Lori A.; Lorenz, David L.

2009-01-01

Trends in flow-adjusted concentrations (indicators of anthropogenic changes) and observed concentrations (indicators of natural and anthropogenic changes) of total phosphorus and total nitrogen from 1993 to 2003 were evaluated in the eastern, central, and western United States by adapting the Regional Kendall trend test to account for seasonality and spatial correlation. The only significant regional trend was an increase in flow-adjusted concentrations of total phosphorus in the central United States, which corresponded to increases in phosphorus inputs from fertilizer in the region, particularly west of the Mississippi River. A similar upward regional trend in observed total phosphorus concentrations in the central United States was not found, likely because precipitation and runoff decreased during drought conditions in the region, offsetting the increased source loading on the land surface. A greater number of regional trends would have been significant if spatial correlation had been disregarded, indicating the importance of spatial correlation modifications in regional trend assessments when sites are not spatially independent.

Changing patterns in the use, recycling, and material substitution of mercury in the United States

USGS Publications Warehouse

Wilburn, David R.

2013-01-01

Environmental concerns have led to numerous regulations that have dramatically decreased the reported production and use of mercury in the United States since the 1980s. Government legislation and subsequent industry actions have led to increased collection of mercury-containing materials and the recovery of mercury through recycling. Mercury emissions have been reduced and effective alternatives to mercury products have been developed for many applications. This study updates and quantifies the changes in demand, supply, use, and material flow for mercury in various sectors in the United States that have taken place since 1996. Nearly all primary mercury produced in the United States is derived as a byproduct of processing of gold and silver ore in Nevada. Since 2001, annual production of mercury from gold and silver mining in Nevada has decreased by 22 percent overall because ore from greater depths containing low grade mercury is recovered, and mercury emissions from this source have decreased by 95 percent as a result of increased regulation and improved collection and suppression technology. The distribution of consumption of mercury in the United States has changed as a result of regulation (elimination of large-scale mercury use in the paint and battery sectors), reduction by consumers (decommissioning of mercury-cell chloralkali manufacturing capacity), and technological advances (improvements in dental, lighting, and wiring sectors). Mercury use in the chloralkali sector, the leading end-use sector in the United States in 1996, has declined by 98 percent from 136 metric tons (t) in 1996 to about 0.3 t in 2010 because of increased processing and recycling efficiencies and plant closures or conversion to other technologies. As plants were closed, mercury recovered from the infrastructure of decommissioned plants has been exported, making the United States a net exporter of mercury, even though no mercury has been produced as the primary product from mines in the United States since 1992. In 1996, the three leading end-use sectors for mercury in the United States were chloralkali manufacturing (accounting for 38 percent of consumption), electrical and electronic instrumentation (13 percent of consumption), and instruments and measuring devices (11 percent of consumption). In 2010, the three leading end-use sectors were dental amalgam (accounting for between 35 and 57 percent of consumption), electrical and electronic instrumentation (29 percent of consumption), and batteries (8 percent of consumption). Mercury use in lighting is increasing because incandescent lights are being phased out in favor of mercury-containing compact fluorescent bulbs, but the demand for mercury per unit produced is small. Dental amalgam constituted the largest amount of mercury in use in the United States. One study reported about 290 t of mercury in dental amalgam was estimated to be contained in human mouths, an estimated 30 t of mercury amalgam was treated as waste, 28.5 t of mercury amalgam was released to the environment, 6 t of amalgam was recycled, and 3.5 t was treated and stored in landfills in 2009. Mercury contained in products recovered by State, municipal, or industry collection activities is recycled, but the estimated overall recycling rate is less than 10 percent. Increasingly, the U.S. mercury recycling industry has been processing a significant amount of mercury-containing material derived from foreign gold mining operations or decommissioned mercury-cell chloralkali plants. Regulation of mercury export and storage is expected to result in surplus mercury inventories in the United States. The Mercury Export Ban Act of 2008 limits elemental mercury exports for unregulated uses such as artisanal gold mining after January 1, 2013, and requires development of adequate long-term storage facilities in the United States for elemental mercury. During the past 4 years, producers and recyclers of elemental mercury have been exporting large quantities of mercury in anticipation of this regulation, but the U.S. inventory of mercury in 2010 was estimated to have exceeded 7,000 t from Government stockpiles and industry stocks. Costs attributed to long-term storage may affect the competitiveness of mercury recycling.

Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality - United States, 2004-2013.

PubMed

Henley, S Jane; Thomas, Cheryll C; Sharapova, Saida R; Momin, Behnoosh; Massetti, Greta M; Winn, Deborah M; Armour, Brian S; Richardson, Lisa C

2016-11-11

Tobacco use causes at least 12 types of cancer and is the leading preventable cause of cancer. Data from the United States Cancer Statistics dataset for 2004-2013 were used to assess incidence and death rates and trends for cancers that can be caused by tobacco use (tobacco-related cancers: oral cavity and pharynx; esophagus; stomach; colon and rectum; liver; pancreas; larynx; lung, bronchus, and trachea; kidney and renal pelvis; urinary bladder; cervix; and acute myeloid leukemia) by sex, age, race, ethnicity, state, county-level poverty and educational attainment, and cancer site. Each year during 2009-2013, on average, 660,000 persons in the United States received a diagnosis of a tobacco-related cancer, and 343,000 persons died from these cancers. Tobacco-related cancer incidence and death rates were higher among men than women; highest among black men and women; higher in counties with low proportion of college graduates or high level of poverty; lowest in the West; and differed two-fold among states. During 2004-2013, incidence of tobacco-related cancer decreased 1.3% per year and mortality decreased 1.6% per year, with decreases observed across most groups, but not at the same rate. Tobacco-related cancer declined during 2004-2013. However, the burden remains high, and disparities persist among certain groups with higher rates or slower declines in rates. The burden of tobacco-related cancers can be reduced through efforts to prevent and control tobacco use and other comprehensive cancer control efforts focused on reducing cancer risk, detecting cancer early, improving cancer treatments, helping more persons survive cancer, improving cancer survivors' quality of life, and better assisting communities disproportionately impacted by cancer.

Automated Workflow: Balancing Reduced Personnel with Web-Based Systems

ERIC Educational Resources Information Center

Armbruster, Stephanie; Strasburger, Tom

2011-01-01

The economic crisis has caused districts throughout the United States to cut resources and limit spending, particularly with regard to staff. However, the requirements for maintaining safe, efficiently functioning schools and for remaining in compliance with state and federal regulations have not decreased; in many cases, those responsibilities…

A Multistate Life Table Analysis of Union Regimes in the United States: Trends and Racial Differentials, 1970–2002

PubMed Central

Morgan, S. Philip; Wang, Zhenglian; Gu, Danan; Yang, Chingli

2013-01-01

We estimate trends and racial differentials in marriage, cohabitation, union formation and dissolution (union regimes) for the period 1970–2002 in the United States. These estimates are based on an innovative application of multistate life table analysis to pooled survey data. Our analysis demonstrates (1) a dramatic increase in the lifetime proportions of transitions from never-married, divorced or widowed to cohabiting; (2) a substantial decrease in the stability of cohabiting unions; (3) a dramatic increase in mean ages at cohabiting after divorce and widowhood; (4) a substantial decrease in direct transition from never-married to married; (5) a significant decrease in the overall lifetime proportion of ever marrying and re-marrying in the 1970s to 1980s but a relatively stable pattern in the 1990s to 2000–2002; and (6) a substantial decrease in the lifetime proportion of transition from cohabiting to marriage. We also present, for the first time, comparable evidence on differentials in union regimes between four racial groups. PMID:24179311

Elucidation of the electronic states in polyethylene glycol by attenuated Total reflectance spectroscopy in the far-ultraviolet region

NASA Astrophysics Data System (ADS)

Ueno, Nami; Wakabayashi, Tomonari; Morisawa, Yusuke

2018-05-01

We measured the attenuated total reflectance-far ultraviolet (ATR-FUV) spectra of poly(ethylene glycol) (PEG; average molecular weights of 200, 300, and 400) and related materials in the liquid state in the 145-200-nm wavelength region. For appropriately assigning the absorption bands, we also performed theoretical simulation of the unit-number dependent electronic spectra. The FUV spectra of PEGs contain three bands, which are assigned to the transitions between n(CH2OCH2)-3s Rydberg state (176 nm), n(CH2OCH2)-3p Rydberg state (163 nm), and n(OH)-3p Rydberg state (153 nm). Since the contribution of n(OH) decreases compared to n(CH2OCH2) with increase in the number of units, the ratios of the molar absorption coefficients, ε, at 153 nm relative to 163 nm, decrease. On the other hand, the ratio of ε at 176 nm to that at 163 nm increases with increase in the number of units, because of the difference in the number of unoccupied orbitals in the transitions. The calculated results suggest that n orbitals form two electronic bands. In the upper band, the electrons expand over the ether chain, whereas in the lower band, the electrons are localized in the terminal OH in the PEGs.

The effect of child support enforcement on abortion in the United States.

PubMed

Crowley, Jocelyn E; Jagannathan, Radha; Falchettore, Galo

2012-01-01

This project aims to answer a critically important question of public policy: Does effective child support enforcement lead to a change in the incidence of abortion across the United States? Using state-level data collected from 1978–2003 from a variety of sources, we employ fixed effects regression analysis to examine whether financial security as measured by five types of child support enforcement effectiveness impacts abortion outcomes. We find that child support enforcement effectiveness decreases the incidence of abortion as measured by the abortion rate, but not the abortion ratio. Income transfer policies such as child support enforcement can affect certain fertility outcomes such as abortion rates across the states.

Colorectal Cancer Prevention

MedlinePlus

... Colorectal cancer is the second leading cause of death from cancer in the United States. The number ... new colorectal cancer cases and the number of deaths from colorectal cancer are both decreasing a little ...

HPV Infections Decrease in the U.S.

Cancer.gov

Infection with human papillomavirus (HPV) types targeted by the quadrivalent HPV vaccine has declined by nearly two-thirds among teenage girls since HPV vaccination was recommended in the United States.

Violent Death Rates: The US Compared with Other High-income OECD Countries, 2010.

PubMed

Grinshteyn, Erin; Hemenway, David

2016-03-01

Violent death is a serious problem in the United States. Previous research showing US rates of violent death compared with other high-income countries used data that are more than a decade old. We examined 2010 mortality data obtained from the World Health Organization for populous, high-income countries (n = 23). Death rates per 100,000 population were calculated for each country and for the aggregation of all non-US countries overall and by age and sex. Tests of significance were performed using Poisson and negative binomial regressions. US homicide rates were 7.0 times higher than in other high-income countries, driven by a gun homicide rate that was 25.2 times higher. For 15- to 24-year-olds, the gun homicide rate in the United States was 49.0 times higher. Firearm-related suicide rates were 8.0 times higher in the United States, but the overall suicide rates were average. Unintentional firearm deaths were 6.2 times higher in the United States. The overall firearm death rate in the United States from all causes was 10.0 times higher. Ninety percent of women, 91% of children aged 0 to 14 years, 92% of youth aged 15 to 24 years, and 82% of all people killed by firearms were from the United States. The United States has an enormous firearm problem compared with other high-income countries, with higher rates of homicide and firearm-related suicide. Compared with 2003 estimates, the US firearm death rate remains unchanged while firearm death rates in other countries decreased. Thus, the already high relative rates of firearm homicide, firearm suicide, and unintentional firearm death in the United States compared with other high-income countries increased between 2003 and 2010. Copyright © 2016 Elsevier Inc. All rights reserved.

China’s international trade and air pollution in the United States

PubMed Central

Lin, Jintai; Pan, Da; Davis, Steven J.; Zhang, Qiang; He, Kebin; Wang, Can; Streets, David G.; Wuebbles, Donald J.; Guan, Dabo

2014-01-01

China is the world’s largest emitter of anthropogenic air pollutants, and measurable amounts of Chinese pollution are transported via the atmosphere to other countries, including the United States. However, a large fraction of Chinese emissions is due to manufacture of goods for foreign consumption. Here, we analyze the impacts of trade-related Chinese air pollutant emissions on the global atmospheric environment, linking an economic-emission analysis and atmospheric chemical transport modeling. We find that in 2006, 36% of anthropogenic sulfur dioxide, 27% of nitrogen oxides, 22% of carbon monoxide, and 17% of black carbon emitted in China were associated with production of goods for export. For each of these pollutants, about 21% of export-related Chinese emissions were attributed to China-to-US export. Atmospheric modeling shows that transport of the export-related Chinese pollution contributed 3–10% of annual mean surface sulfate concentrations and 0.5–1.5% of ozone over the western United States in 2006. This Chinese pollution also resulted in one extra day or more of noncompliance with the US ozone standard in 2006 over the Los Angeles area and many regions in the eastern United States. On a daily basis, the export-related Chinese pollution contributed, at a maximum, 12–24% of sulfate concentrations over the western United States. As the United States outsourced manufacturing to China, sulfate pollution in 2006 increased in the western United States but decreased in the eastern United States, reflecting the competing effect between enhanced transport of Chinese pollution and reduced US emissions. Our findings are relevant to international efforts to reduce transboundary air pollution. PMID:24449863

Trends in precipitation and stream-water chemistry in the northeastern United States, water years 1984-96

USGS Publications Warehouse

Clow, D.W.; Mast, M. Alisa

1999-01-01

Trends in precipitation and stream-water chemistry during water years 1984-96 were examined at eight precipitation monitoring sites and five nearby streams operated by the U.S. Geological Survey in the northeastern United States. The statistical analyses indicate the following: 1)Stream-water sulfate (SO4) concentrations decreased at seven of eight precipitation monitoring sites and in each of five streams. 2)Calcium plus magnesium (Ca + Mg) concentrations decreased at seven of eight precipitation monitoring sites and in three of five streams. 3)Precipitation acidity decreased at five of eight precipitation monitoring sites, but alkalinity increased in only one stream. These results indicate that decreases in atmospheric deposition of SO4 have resulted in decreased precipitation acidity. The chemical response of stream water to changes in precipitation chemistry was complex. Decreases in stream-water SO4 concentrations generally matched decreases of precipitation SO4. In stream water, increases in alkalinity were uncommon because decreases in SO4 concentrations often were accompanied by decreases in Ca + Mg concentrations. The decreases in Ca + Mg concentrations might be related to depletion of base cations from soil caused by long-term exposure to acidic deposition. Increases in streamwater alkalinity might not occur until rates of acidic deposition are reduced to substantially less than the rate of cation resupply by weathering and atmospheric deposition. In areas where forests are aggrading, recovery of stream-water alkalinity will be delayed further because of the acidifying effect of biomass accumulation.

Rocky mountain spotted fever in the United States, 2000-2007: interpreting contemporary increases in incidence.

PubMed

Openshaw, John J; Swerdlow, David L; Krebs, John W; Holman, Robert C; Mandel, Eric; Harvey, Alexis; Haberling, Dana; Massung, Robert F; McQuiston, Jennifer H

2010-07-01

Rocky Mountain spotted fever (RMSF), a potentially fatal tick-borne infection caused by Rickettsia rickettsii, is considered a notifiable condition in the United States. During 2000 to 2007, the annual reported incidence of RMSF increased from 1.7 to 7 cases per million persons from 2000 to 2007, the highest rate ever recorded. American Indians had a significantly higher incidence than other race groups. Children 5-9 years of age appeared at highest risk for fatal outcome. Enzyme-linked immunosorbent assays became more widely available beginning in 2004 and were used to diagnose 38% of cases during 2005-2007. The proportion of cases classified as confirmed RMSF decreased from 15% in 2000 to 4% in 2007. Concomitantly, case fatality decreased from 2.2% to 0.3%. The decreasing proportion of confirmed cases and cases with fatal outcome suggests that changes in diagnostic and surveillance practices may be influencing the observed increase in reported incidence rates.

Rocky Mountain Spotted Fever in the United States, 2000–2007: Interpreting Contemporary Increases in Incidence

PubMed Central

Openshaw, John J.; Swerdlow, David L.; Krebs, John W.; Holman, Robert C.; Mandel, Eric; Harvey, Alexis; Haberling, Dana; Massung, Robert F.; McQuiston, Jennifer H.

2010-01-01

Rocky Mountain spotted fever (RMSF), a potentially fatal tick-borne infection caused by Rickettsia rickettsii, is considered a notifiable condition in the United States. During 2000 to 2007, the annual reported incidence of RMSF increased from 1.7 to 7 cases per million persons from 2000 to 2007, the highest rate ever recorded. American Indians had a significantly higher incidence than other race groups. Children 5–9 years of age appeared at highest risk for fatal outcome. Enzyme-linked immunosorbent assays became more widely available beginning in 2004 and were used to diagnose 38% of cases during 2005–2007. The proportion of cases classified as confirmed RMSF decreased from 15% in 2000 to 4% in 2007. Concomitantly, case fatality decreased from 2.2% to 0.3%. The decreasing proportion of confirmed cases and cases with fatal outcome suggests that changes in diagnostic and surveillance practices may be influencing the observed increase in reported incidence rates. PMID:20595498

Internet cigarette sales and Native American sovereignty: political and public health contexts.

PubMed

Samuel, Kari A; Ribisl, Kurt M; Williams, Rebecca S

2012-05-01

Internet cigarette vendors (ICVs) advertise low prices for tobacco products, subverting public health policy efforts to curtail smoking by raising prices. Many online retailers in the United States claim affiliation with Native American tribes and share in tribal tax-free status. Sales of discounted cigarettes from both online vendors and brick-and-mortar stores have angered non-Native retailers and triggered enforcement actions by state and federal governments in the United States concerned over lost cigarette excise tax revenue. Examination of the history and politics of cigarette sales on reservations and attempts to regulate Internet cigarette sales highlights the potential role for greater use of negotiated intergovernmental agreements to address reservation-based tobacco sales. Our review notes global parallels and explicates history and politics of such regulation in the United States, and offers background for collaborative efforts to regulate tobacco sales and decrease tobacco use.

Population Health and Paid Parental Leave: What the United States Can Learn from Two Decades of Research

PubMed Central

Burtle, Adam; Bezruchka, Stephen

2016-01-01

Over the last two decades, numerous studies have suggested that dedicated time for parents to be with their children in the earliest months of life offers significant benefits to child health. The United States (US) is the only wealthy nation without a formalized policy guaranteeing workers paid time off when they become new parents. As individual US states consider enacting parental leave policies, there is a significant opportunity to decrease health inequities and build a healthier American population. This document is intended as a critical review of the present evidence for the association between paid parental leave and population health. PMID:27417618

Population Health and Paid Parental Leave: What the United States Can Learn from Two Decades of Research.

PubMed

Burtle, Adam; Bezruchka, Stephen

2016-06-01

Over the last two decades, numerous studies have suggested that dedicated time for parents to be with their children in the earliest months of life offers significant benefits to child health. The United States (US) is the only wealthy nation without a formalized policy guaranteeing workers paid time off when they become new parents. As individual US states consider enacting parental leave policies, there is a significant opportunity to decrease health inequities and build a healthier American population. This document is intended as a critical review of the present evidence for the association between paid parental leave and population health.

Cancer Drugs: An International Comparison of Postlicensing Price Inflation.

PubMed

Savage, Philip; Mahmoud, Sarah; Patel, Yogin; Kantarjian, Hagop

2017-06-01

The cost of cancer drugs forms a rising proportion of health care budgets worldwide. A number of studies have examined international comparisons of initial cost, but there is little work on postlicensing price increases. To examine this, we compared cancer drug prices at initial sale and subsequent price inflation in the United States and United Kingdom and also reviewed relevant price control mechanisms. The 10 top-selling cancer drugs were selected, and their prices at initial launch and in 2015 were compared. Standard nondiscounted prices were obtained from the relevant annual copies of the RED BOOK and the British National Formulary. At initial marketing, prices were on average 42% higher in the United States than in the United Kingdom. After licensing in the United States, all 10 drugs had price rises averaging an overall annual 8.8% (range, 1.4% to 24.1%) increase. In comparison, in the United Kingdom, six drugs had unchanged prices, two had decreased prices, and two had modest price increases. The overall annual increase in the United Kingdom was 0.24%. Cancer drug prices are rising substantially, both at their initial marketing price and, in the United States, at postlicensing prices. In the United Kingdom, the Pharmaceutical Price Regulation Scheme, an agreement between the government and the pharmaceutical industry, controls health care costs while allowing a return on investment and funds for research. The increasing costs of cancer drugs are approaching the limits of sustainability, and a similar government-industry agreement may allow stability for both health care provision and the pharmaceutical industry in the United States.

New insights into the source of decadal increases of dissolved organic matter in acid-sensitive lakes of the Northeastern U.S.

EPA Science Inventory

The last several decades have seen decreases in SO42- deposition across the northeastern United States. As a result, SO42- concentrations in lakes and streams have also decreased and many surface water bodies have become less acidic. During the same time period, there has been ...

SCHOOL DISTRICT ORGANIZATION FOR THE 1970'S.

ERIC Educational Resources Information Center

CRONIN, JOSEPH M.

FROM 1932 TO 1965, THE NUMBER OF SCHOOL DISTRICTS IN THE UNITED STATES DECREASED FROM 127,649 TO 26,802. IN NEW ENGLAND, HOWEVER, THERE WAS A DECREASE OF LESS THAN 100 DISTRICTS. NEW ENGLAND IS IN THE PROCESS OF CONVERTING FROM AN AGRICULTURAL ECONOMY TO AN ELECTRICAL AND TECHNICAL ECONOMY. SCHOOL REDISTRICTING MUST OCCUR ALONG WITH THIS…

76 FR 53832 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit Decrease...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-30

... Fishery; Trip Limit Decrease for the Common Pool Fishery AGENCY: National Marine Fisheries Service (NMFS... (GB) cod for Northeast (NE) multispecies common pool vessels for the 2011 fishing year (FY), through... reduce the harvest of GOM and GB cod to prevent the common pool sub-annual catch limit (sub-ACL) from...

1-MCP EFFECTS ON ANTIOXIDANT ACTIVITY AND GENE EXPRESSION OF ACC-SYNTHASE AND ACC-OXIDASE IN COTTON FLOWERS

USDA-ARS?s Scientific Manuscript database

Cotton remains an important cash crop for farmers in the southern United States. When temperatures rise above 32oC the in vivo fertilization efficiency of cotton is reduced resulting in decreased seed production and potentially decreased yields. Under stress, the plant hormone ethylene is manufact...

Dissolved Solids in Basin-Fill Aquifers and Streams in the Southwestern United States - Executive Summary

USGS Publications Warehouse

Anning, David W.

2008-01-01

The U.S. Geological Survey (USGS) recently completed a regional study in the Southwestern United States to characterize dissolved-solids conditions in major water supplies, including important rivers and aquifers. High concentrations of dissolved solids can degrade a water supply's suitability for important uses, such as drinking water or crop irrigation. In an effort to ensure the continued availability of clean surface and groundwater, USGS scientists identified areas where there have been both increasing and decreasing trends in dissolved-solids concentrations.

Teacher Technology Acceptance and Usage for the Middle School Classroom

ERIC Educational Resources Information Center

Stone, Wilton, Jr.

2014-01-01

According to the U.S. Department of Education National Center for Education Statistics, students in the United States routinely perform poorly on international assessments. This study was focused specifically on the problem of the decrease in the number of middle school students meeting the requirements for one state's standardized tests for…

An Analysis of Grade 4 Teachers' Mathematical Instructional Strategies

ERIC Educational Resources Information Center

Wilson-Patrick, Dedra

2016-01-01

The standardized math test scores of approximately 48 African American and Hispanic students from 4 different classes at a rural Title I elementary school located in the southern United States decreased by 10 points on the Palmetto Assessment of State Standards Test. For this qualitative case study, purposive sampling was used to recruit four…

Analysis of Higher Education Employee Exercise Behaviors

ERIC Educational Resources Information Center

Linder, Michele

2009-01-01

With the introduction of technology into our daily lives, the need for physical exertion has decreased, which has led to an increase in sedentary lifestyles. Sedentary lifestyles lead to the state of obesity, and nearly two-thirds of the Unites States' adult population is considered overweight or obese. This has resulted in a reduced quality of…

Geographic coincidence of richness, mass, conservation value, and response to climate of U.S. land birds

USGS Publications Warehouse

Grundel, Ralph; Frohnapple, Krystal; Zaya, David N.; Glowacki, Gary A.; Weiskerger, Chelsea J.; Patterson, Tamatha A.; Pavlovic, Noel B.

2014-01-01

Distributional patterns across the United States of five avian community breeding-season characteristics—community biomass, richness, constituent species' vulnerability to extirpation, percentage of constituent species' global abundance present in the community (conservation index, CI), and the community's position along the ecological gradient underlying species composition (principal curve ordination score, PC)—were described, their covariation was analyzed, and projected effects of climate change on the characteristics and their covariation were modeled. Higher values of biomass, richness, and CI were generally preferred from a conservation perspective. However, higher values of these characteristics often did not coincide geographically; thus regions of the United States would differ in their value for conservation depending on which characteristic was chosen for setting conservation priorities. For instance, correlation patterns between characteristics differed among Landscape Conservation Cooperatives. Among the five characteristics, community richness and the ecological gradient underlying community composition (PC) had the highest correlations with longitude, with richness declining from east to west across the contiguous United States. The ecological gradient underlying composition exhibited a demarcation near the 100th meridian, separating the contiguous United States grossly into two similar-sized avian ecological provinces. The combined score (CS), a measure of species' threat of decline or extirpation, exhibited the strongest latitudinal pattern, declining from south to north. Over ∼75% of the lower United States, projected changes in June temperature and precipitation to year 2080 were associated with decreased averaged values of richness, biomass, and CI, implying decreased conservation value for birds. The two ecological provinces demarcated near the 100th meridian diverged from each other, with projected changes in June temperatures and precipitation from the year 2000 to 2080 suggesting increased ecological dissimilarity between the eastern and western halves of the lower United States with changing climate. Anticipated climate-related changes in the five characteristics by 2080 were more weakly correlated with latitude or longitude then the responses themselves, indicating less distinct geographic patterns of characteristic change than in the characteristics themselves. Climate changes projected for 2080 included geographic shifts in avian biomass, CS, and PC values, a moderate overall decline in CI, and general decline in species richness per site.

Perceptions of Illinois Community College Administrators on the Impact of the U.S. Economic Recession and State Financial Pressures on Programs for Adults

ERIC Educational Resources Information Center

Hancock, Barry Ray

2011-01-01

The United States economic recession is now in its third year and continues to have a serious impact on the American higher education system, including Illinois' public community colleges. Illinois community colleges are seeing increases in enrollments while at the same time seeing significant decreases in state funding. The purpose of this…

Bridge condition assessment using remote sensors.

DOT National Transportation Integrated Search

2013-02-01

The challenges of a deteriorating and aged infrastructure continue to challenge transportation : authorities as they align maintenance and replacement priorities with decreasing funds. The : United States is home to nearly 600,000 highway bridges of ...

Use of preimplantation genetic diagnosis and preimplantation genetic screening in the United States: a Society for Assisted Reproductive Technology Writing Group paper.

PubMed

Ginsburg, Elizabeth S; Baker, Valerie L; Racowsky, Catherine; Wantman, Ethan; Goldfarb, James; Stern, Judy E

2011-10-01

To comprehensively report Society for Assisted Reproductive Technology (SART) member program usage of preimplantation genetic testing (PGT), preimplantation genetic diagnosis (PGD) for diagnosis of specific conditions, and preimplantation genetic screening for aneuploidy (PGS). Retrospective study. United States SART cohort data. Women undergoing a PGT cycle in which at least one embryo underwent biopsy. PGT. PGT use, indications, and delivery rates. Of 190,260 fresh, nondonor assisted reproductive technology (ART) cycles reported to SART CORS in 2007-2008, 8,337 included PGT. Of 6,971 cycles with a defined indication, 1,382 cycles were for genetic diagnosis, 3,645 for aneuploidy screening (PGS), 527 for translocation, and 1,417 for elective sex election. Although the total number of fresh, autologous cycles increased by 3.6% from 2007 to 2008, the percentage of cycles with PGT decreased by 5.8% (4,293 in 2007 and 4,044 in 2008). As a percentage of fresh, nondonor ART cycles, use dropped from 4.6% (4,293/93,433) in 2007 to 4.2% (4,044/96,827) in 2008. The primary indication for PGT was PGS: cycles performed for this indication decreased (-8.0%). PGD use for single-gene defects (+3.2%), elective sex selection (+5.3%), and translocation analysis (+0.5%) increased. PGT usage varied significantly by geographical region. PGT usage in the United States decreased between 2007 and 2008 owing to a decrease in PGS. Use of elective sex selection increased. High transfer cancellation rates correlated with reduced live-birth rates for some PGT indications. Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Factors influencing elk recruitment across ecotypes in the Western United States

USGS Publications Warehouse

Lukacs, Paul M.; Mitchell, Michael S.; Hebblewhite, Mark; Johnson, Bruce K.; Johnson, Heather; Kauffman, Matthew J.; Proffitt, Kelly M.; Zager, Peter; Brodie, Jedediah; Hersey, Kent R.; Holland, A. Andrew; Hurley, Mark; McCorquodale, Scott; Middleton, Arthur; Nordhagen, Matthew; Nowak, J. Joshua; Walsh, Daniel P.; White, P.J.

2018-01-01

Ungulates are key components in ecosystems and economically important for sport and subsistence harvest. Yet the relative importance of the effects of weather conditions, forage productivity, and carnivores on ungulates are not well understood. We examined changes in elk (Cervus canadensis) recruitment (indexed as age ratios) across 7 states and 3 ecotypes in the northwestern United States during 1989–2010, while considering the effects of predator richness, forage productivity, and precipitation. We found a broad‐scale, long‐term decrease in elk recruitment of 0.48 juveniles/100 adult females/year. Weather conditions (indexed as summer and winter precipitation) showed small, but measurable, influences on recruitment. Forage productivity on summer and winter ranges (indexed by normalized difference vegetation index [NDVI] metrics) had the strongest effect on elk recruitment relative to other factors. Relationships between forage productivity and recruitment varied seasonally and regionally. The productivity of winter habitat was more important in southern parts of the study area, whereas annual variation in productivity of summer habitat had more influence on recruitment in northern areas. Elk recruitment varied by up to 15 juveniles/100 adult females across the range of variation in forage productivity. Areas with more species of large carnivores had relatively low elk recruitment, presumably because of increased predation. Wolves (Canis lupus) were associated with a decrease of 5 juveniles/100 adult females, whereas grizzly bears (Ursus arctos) were associated with an additional decrease of 7 juveniles/100 adult females. Carnivore species can have a critical influence on ungulate recruitment because their influence rivals large ranges of variation in environmental conditions. A more pressing concern, however, stems from persistent broad‐scale decreases in recruitment across the distribution of elk in the northwestern United States, irrespective of carnivore richness. Our results suggest that wildlife managers interested in improving recruitment of elk consider the combined effects of habitat and predators. Efforts to manage summer and winter ranges to increase forage productivity may have a positive effect on recruitment. 

The causes of the municipal solid waste and the greenhouse gas emissions from the waste sector in the United States.

PubMed

Lee, Seungtaek; Kim, Jonghoon; Chong, Wai K O

2016-10-01

The United States generated approximately 730kg of waste per capita in 2013, which is the highest amount of waste among OECD countries. The waste has adverse effects to human health and the environment. One of the most serious adverse effects is greenhouse gas emissions, especially methane (CH4), which causes global warming. However, the United States' amount of waste generation is not decreasing, and the recycling rate is only 26%, which is lower than other OECD countries. In order to decrease waste generation and greenhouse gas emissions, identifying the causality of the waste generation and greenhouse gas emissions from waste sector should be made a priority. The research objective is to verify whether the Environmental Kuznets Curve relationship is supported for waste generation and GDP across the U.S. Moreover, it also confirmed that total waste generation and recycling of waste influences carbon dioxide emissions from the waste sector. Based on the results, critical insight and suggestions were offered to policymakers, which is the potential way to lower the solid waste and greenhouse gas emissions from the waste sector. This research used annually based U.S. data from 1990 to 2012, and these data were collected from various data sources. To verify the causal relationship, the Granger causality test was applied. The results showed that there is no causality between GDP and waste generation, but total waste and recycling generate significantly increasing and decreasing greenhouse gas emissions from the waste sector, respectively. This implies that waste generation will not decrease even if GDP increases. And, if waste generation decreases or the recycling rate increases, greenhouse gas emission will decrease. Based on these results, increasing the recycling rate is first suggested. The second suggestion is to break the causal relationship between MSW and greenhouse gas emission from the waste sector. The third is that the U.S. government should benchmark a successful case of waste management. Based on the research, it is expected that waste generation and carbon dioxide emission from the waste sector can be decreased more efficiently. Copyright © 2016 Elsevier Ltd. All rights reserved.

Streamflow trends in the United States

USGS Publications Warehouse

Lins, H.F.; Slack, J.R.

1999-01-01

Secular trends in streamflow are evaluated for 395 climate-sensitive streamgaging stations in the conterminous United States using the non-parametric Mann-Kendall test. Trends are calculated for selected quantiles of discharge, from the 0th to the 100th percentile, to evaluate differences between low-, medium-, and high-flow regimes during the twentieth century. Two general patterns emerge; trends are most prevalent in the annual minimum (Q0) to median (Q50) flow categories and least prevalent in the annual maximum (Q100) category; and, at all but the highest quantiles, streamflow has increased across broad sections of the United States. Decreases appear only in parts of the Pacific Northwest and the Southeast. Systematic patterns are less apparent in the Q100 flow. Hydrologically, these results indicate that the conterminous U.S. is getting wetter, but less extreme.

Spatial distribution of specialized cardiac care units in the state of Santa Catarina

PubMed Central

Cirino, Silviana; Lima, Fabiana Santos; Gonçalves, Mirian Buss

2014-01-01

OBJECTIVE To analyze the methodology used for assessing the spatial distribution of specialized cardiac care units. METHODS A modeling and simulation method was adopted for the practical application of cardiac care service in the state of Santa Catarina, Southern Brazil, using the p-median model. As the state is divided into 21 health care regions, a methodology which suggests an arrangement of eight intermediate cardiac care units was analyzed, comparing the results obtained using data from 1996 and 2012. RESULTS Results obtained using data from 2012 indicated significant changes in the state, particularly in relation to the increased population density in the coastal regions. The current study provided a satisfactory response, indicated by the homogeneity of the results regarding the location of the intermediate cardiac care units and their respective regional administrations, thereby decreasing the average distance traveled by users to health care units, located in higher population density areas. The validity of the model was corroborated through the analysis of the allocation of the median vertices proposed in 1996 and 2012. CONCLUSIONS The current spatial distribution of specialized cardiac care units is more homogeneous and reflects the demographic changes that have occurred in the state over the last 17 years. The comparison between the two simulations and the current configuration showed the validity of the proposed model as an aid in decision making for system expansion. PMID:26039394

Responses of stream nitrate and DOC loadings to hydrological forcing and climate change in an upland forest of the northeastern United States

NASA Astrophysics Data System (ADS)

Sebestyen, Stephen D.; Boyer, Elizabeth W.; Shanley, James B.

2009-06-01

In coming decades, higher annual temperatures, increased growing season length, and increased dormant season precipitation are expected across the northeastern United States in response to anthropogenic forcing of global climate. We synthesized long-term stream hydrochemical data from the Sleepers River Research Watershed in Vermont, United States, to explore the relationship of catchment wetness to stream nitrate and DOC loadings. We modeled changes in growing season length and precipitation patterns to simulate future climate scenarios and to assess how stream nutrient loadings respond to climate change. Model results for the 2070-2099 time period suggest that stream nutrient loadings during both the dormant and growing seasons will respond to climate change. During a warmer climate, growing season stream fluxes (runoff +20%, nitrate +57%, and DOC +58%) increase as more precipitation (+28%) and quick flow (+39%) occur during a longer growing season (+43 days). During the dormant season, stream water and nutrient loadings decrease. Net annual stream runoff (+8%) and DOC loading (+9%) increases are commensurate with the magnitude of the average increase of net annual precipitation (+7%). Net annual stream water and DOC loadings are primarily affected by increased dormant season precipitation. In contrast, decreased annual loading of stream nitrate (-2%) reflects a larger effect of growing season controls on stream nitrate and the effects of lengthened growing seasons in a warmer climate. Our findings suggest that leaching of nitrate and DOC from catchment soils will be affected by anthropogenic climate forcing, thereby affecting the timing and magnitude of annual stream loadings in the northeastern United States.

Characterizing climate-change impacts on the 1.5-yr flood flow in selected basins across the United States: a probabilistic approach

USGS Publications Warehouse

Walker, John F.; Hay, Lauren E.; Markstrom, Steven L.; Dettinger, Michael D.

2011-01-01

The U.S. Geological Survey Precipitation-Runoff Modeling System (PRMS) model was applied to basins in 14 different hydroclimatic regions to determine the sensitivity and variability of the freshwater resources of the United States in the face of current climate-change projections. Rather than attempting to choose a most likely scenario from the results of the Intergovernmental Panel on Climate Change, an ensemble of climate simulations from five models under three emissions scenarios each was used to drive the basin models. Climate-change scenarios were generated for PRMS by modifying historical precipitation and temperature inputs; mean monthly climate change was derived by calculating changes in mean climates from current to various future decades in the ensemble of climate projections. Empirical orthogonal functions (EOFs) were fitted to the PRMS model output driven by the ensemble of climate projections and provided a basis for randomly (but representatively) generating realizations of hydrologic response to future climates. For each realization, the 1.5-yr flood was calculated to represent a flow important for sediment transport and channel geomorphology. The empirical probability density function (pdf) of the 1.5-yr flood was estimated using the results across the realizations for each basin. Of the 14 basins studied, 9 showed clear temporal shifts in the pdfs of the 1.5-yr flood projected into the twenty-first century. In the western United States, where the annual peak discharges are heavily influenced by snowmelt, three basins show at least a 10% increase in the 1.5-yr flood in the twenty-first century; the remaining two basins demonstrate increases in the 1.5-yr flood, but the temporal shifts in the pdfs and the percent changes are not as distinct. Four basins in the eastern Rockies/central United States show at least a 10% decrease in the 1.5-yr flood; the remaining two basins demonstrate decreases in the 1.5-yr flood, but the temporal shifts in the pdfs and the percent changes are not as distinct. Two basins in the eastern United States show at least a 10% decrease in the 1.5-yr flood; the remaining basin shows little or no change in the 1.5-yr flood.

[Diagnosis and the technology for optimizing the medical support of a troop unit].

PubMed

Korshever, N G; Polkovov, S V; Lavrinenko, O V; Krupnov, P A; Anastasov, K N

2000-05-01

The work is devoted to investigation of the system of military unit medical support with the use of principles and states of organizational diagnosis; development of the method allowing to assess its functional activity; and determination of optimization trends. Basing on the conducted organizational diagnosis and expert inquiry the informative criteria were determined which characterize the stages of functioning of the military unit medical support system. To evaluate the success of military unit medical support the complex multi-criteria pattern was developed and algorithm of this process optimization was substantiated. Using the results obtained, particularly realization of principles and states of decision taking theory in machine program it is possible to solve more complex problem of comparison between any number of military units: to dispose them according to priority decrease; to select the programmed number of the best and worst; to determine the trends of activity optimization in corresponding medical service personnel.

Proactive approach to transportation resource allocation under severe winter weather emergencies.

DOT National Transportation Integrated Search

2012-01-01

Severe winter weather dramatically reduces road transportation infrastructure : serviceability and decreases safety throughout Oklahoma. Although it has relatively mild winters : when compared with northern regions of the United States, Oklahoma has ...

Pregnancy Complications: Liver Disorders

MedlinePlus

... resulting from the liver disorder and decreased bile flow. A pregnant woman should call her health care provider if she has these symptoms. How common is ICP? In the United States, ICP affects less than 1 percent of women ( ...

Iron Supplementation Decreases Severity of Allergic Inflammation in Murine Lung

PubMed Central

Hale, Laura P.; Kant, Erin Potts; Greer, Paula K.; Foster, W. Michael

2012-01-01

The incidence and severity of allergic asthma have increased over the last century, particularly in the United States and other developed countries. This time frame was characterized by marked environmental changes, including enhanced hygiene, decreased pathogen exposure, increased exposure to inhaled pollutants, and changes in diet. Although iron is well-known to participate in critical biologic processes such as oxygen transport, energy generation, and host defense, iron deficiency remains common in the United States and world-wide. The purpose of these studies was to determine how dietary iron supplementation affected the severity of allergic inflammation in the lungs, using a classic model of IgE-mediated allergy in mice. Results showed that mice fed an iron-supplemented diet had markedly decreased allergen-induced airway hyperreactivity, eosinophil infiltration, and production of pro-inflammatory cytokines, compared with control mice on an unsupplemented diet that generated mild iron deficiency but not anemia. In vitro, iron supplementation decreased mast cell granule content, IgE-triggered degranulation, and production of pro-inflammatory cytokines post-degranulation. Taken together, these studies show that iron supplementation can decrease the severity of allergic inflammation in the lung, potentially via multiple mechanisms that affect mast cell activity. Further studies are indicated to determine the potential of iron supplementation to modulate the clinical severity of allergic diseases in humans. PMID:23029172

Pediatric Invasive Pneumococcal Disease in the United States in the Era of Pneumococcal Conjugate Vaccines

PubMed Central

2012-01-01

Summary: Invasive infections caused by Streptococcus pneumoniae continue to be a major cause of morbidity and mortality worldwide, especially in children under 5 years of age. In the United States, 90% of invasive pneumococcal infections in children are caused by 13 serotypes of S. pneumoniae. The licensure (in 2000) and subsequent widespread use of a heptavalent pneumococcal conjugate vaccine (PCV7) have had a significant impact on decreasing the incidence of serious invasive pneumococcal disease (IPD) in all age groups, especially in children under 2 years of age. However, the emergence of replacement non-PCV7 serotypes, especially serotype 19A, has resulted in an increase in the incidence of serious and invasive infections. In 2010, a 13-valent PCV was licensed in the United States. However, the impact that this vaccine will have on IPD remains to be seen. The objectives of this review are to discuss the epidemiology of serious and invasive pneumococcal infections in the United States in the PCV era and to review some of the pneumococcal vaccines that are in development. PMID:22763632

Intimate partner violence, depression, and barriers to service utilization in Arab American women.

PubMed

Kulwicki, Anahid; Ballout, Suha; Kilgore, Colleen; Hammad, Adnan; Dervartanian, Hermine

2015-01-01

How intimate partner violence (IPV), depression, and barriers to services affect Arab American women in the United States is not very well documented. This cross-sectional exploratory descriptive study examines (a) the relationship between depression and IPV and (b) whether living in the United States 10 or more years decreases barriers to reporting intimate partner violence and depression in a sample (N = 312) of Arab American women 19 years and older. Findings demonstrate significant relationships between women who were at risk for IPV and depression scores (r = .44, p < .001), and number of years living in the United States and barriers to service (r = .25, p < .001). There was a significant negative relationship between barriers to service and depression (r = -.30, p < .001), and barriers to service and IPV (r = -.23, p < .001), and number of years living in the United States and depression (r = .25, p < .001). Findings underscore the importance of screening referral and follow-up for Arab American women experiencing IPV and depression. © The Author(s) 2014.

46-Year Trends in Systemic Lupus Erythematosus Mortality in the United States, 1968 to 2013: A Nationwide Population-Based Study.

PubMed

Yen, Eric Y; Shaheen, Magda; Woo, Jennifer M P; Mercer, Neil; Li, Ning; McCurdy, Deborah K; Karlamangla, Arun; Singh, Ram R

2017-12-05

No large population-based studies have been done on systemic lupus erythematosus (SLE) mortality trends in the United States. To identify secular trends and population characteristics associated with SLE mortality. Population-based study using a national mortality database and census data. United States. All U.S. residents, 1968 through 2013. Joinpoint trend analysis of annual age-standardized mortality rates (ASMRs) for SLE and non-SLE causes by sex, race/ethnicity, and geographic region; multiple logistic regression analysis to determine independent associations of demographic variables and period with SLE mortality. There were 50 249 SLE deaths and 100 851 288 non-SLE deaths from 1968 through 2013. Over this period, the SLE ASMR decreased less than the non-SLE ASMR, with a 34.6% cumulative increase in the ratio of the former to the latter. The non-SLE ASMR decreased every year starting in 1968, whereas the SLE ASMR decreased between 1968 and 1975, increased between 1975 and 1999, and decreased thereafter. Similar patterns were seen in both sexes, among black persons, and in the South. However, statistically significant increases in the SLE ASMR did not occur among white persons over the 46-year period. Females, black persons, and residents of the South had higher SLE ASMRs and larger cumulative increases in the ratio of the SLE to the non-SLE ASMR (31.4%, 62.5%, and 58.6%, respectively) than males, other racial/ethnic groups, and residents of other regions, respectively. Multiple logistic regression showed independent associations of sex, race, and region with SLE mortality risk and revealed significant racial/ethnic differences in associations of SLE mortality with sex and region. Underreporting of SLE on death certificates may have resulted in underestimates of SLE ASMRs. Accuracy of coding on death certificates is difficult to ascertain. Rates of SLE mortality have decreased since 1968 but remain high relative to non-SLE mortality, and significant sex, racial, and regional disparities persist. None.

Economic Hardship and Depression across the Life Course: The Impact of Welfare State Regimes

ERIC Educational Resources Information Center

Levecque, Katia; Van Rossem, Ronan; De Boyser, Katrien; Van de Velde, Sarah; Bracke, Piet

2011-01-01

Previous research in the United States suggests that depression related to economic hardship decreases with age. We test whether this pattern can be generalized to other developed nations. Based on data from 23 countries in the European Social Survey (2006-2007), multilevel analyses show that the moderating role of age depends on the…

The relation between tree burn severity and forest structure in the Rocky Mountains

Treesearch

Theresa B. Jain; Russell T. Graham

2007-01-01

Many wildfire events have burned thousands of hectares across the western United States, such as the Bitterroot (Montana), Rodeo-Chediski (Arizona), Hayman (Colorado), and Biscuit (Oregon) fires. These events led to Congress enacting the Healthy Forest Restoration Act of 2003, which, with other policies, encourages federal and state agencies to decrease wildfire risks...

Temporal variability of selected air toxics in the United States

NASA Astrophysics Data System (ADS)

McCarthy, Michael C.; Hafner, Hilary R.; Chinkin, Lyle R.; Charrier, Jessica G.

Ambient measurements of hazardous air pollutants (HAPs, air toxics) collected in the United States from 1990 to 2005 were analyzed for diurnal, seasonal, and/or annual variability and trends. Visual and statistical analyses were used to identify and quantify temporal variations in air toxics at national and regional levels. Sufficient data were available to analyze diurnal variability for 14 air toxics, seasonal variability for 24 air toxics, and annual trends for 26 air toxics. Four diurnal variation patterns were identified and labeled invariant, nighttime peak, morning peak, and daytime peak. Three distinct seasonal patterns were identified and labeled invariant, cool, and warm. Multiple air toxics showed consistent decreasing trends over three trend periods, 1990-2005, 1995-2005, and 2000-2005. Trends appeared to be relatively consistent within chemically similar pollutant groups. Hydrocarbons such as benzene, 1,3-butadiene, styrene, xylene, and toluene decreased by approximately 5% or more per year at more than half of all monitoring sites. Concentrations of carbonyl compounds such as formaldehyde, acetaldehyde, and propionaldehyde were equally likely to have increased or decreased at monitoring sites. Chlorinated volatile organic compounds (VOCs) such as tetrachloroethylene, dichloromethane, and methyl chloroform decreased at more than half of all monitoring sites, but decreases among these species were much more variable than among the hydrocarbons. Lead particles decreased in concentration at most monitoring sites, but trends in other metals were not consistent over time.

Impact of Scheduled Attrition Rates on Meeting Monthly Sortie Goals in United States Air Force Bomb Wings

DTIC Science & Technology

2009-06-12

predict future losses in the monthly flying schedules. The purpose of the attrition is to ensure that units meet their sortie contract consistently. In...an era of decreasing force size, it is important for units to maximize aircrew training operations, without wasting manpower and resources. Thus, the ...primary research question is as follows: Is the current USAF scheduling technique of using a 5-year historical attrition rate an effective way to

The effect of adult children living in the United States on the likelihood of cognitive impairment for older parents living in Mexico.

PubMed

Downer, Brian; González-González, Cesar; Goldman, Noreen; Pebley, Anne R; Wong, Rebeca

2018-01-01

The increased risk for poor physical and mental health outcomes for older parents in Mexico who have an adult child living in the United States may contribute to an increased risk for cognitive impairment in this population. The objective of this study was to examine if older adults in Mexico who have one or more adult children living in the United States are more or less likely to develop cognitive impairment over an 11-year period compared to older adults who do not have any adult children living in the United States. Data for this study came from Wave I (2001) and Wave III (2012) of the Mexican Health and Aging Study. The final sample included 2609 participants aged 60 and over who were not cognitively impaired in 2001 and had one or more adult children (age ≥15). Participants were matched using a propensity score that was estimated with a multivariable logistic regression model that included sociodemographic characteristics and migration history of the older parents. Having one or more adult children living in the United States is associated with lower socioeconomic status and higher number of depressive symptoms, but greater social engagement for older parents living in Mexico. No significant differences in the odds for developing cognitive impairment according to having one or more adult children living in the United States were detected. In summary, having one or more adult children living in the United States was associated with characteristics that may increase and decrease the risk for cognitive impairment. This may contribute to the non-significant relationship between migration status of adult children and likelihood for cognitive impairment for older parents living in Mexico.

Projecting climate change impacts on the stability of productivities of maize and soybean in terms of probability of concurrent failure

NASA Astrophysics Data System (ADS)

Yokozawa, M.; Sakurai, G.; Iizumi, T.

2012-12-01

The globalization of the trade of food commodities has arranged agricultural production areas in the world. Current main production areas of maize and soybean, which are major cereal crops for human food and animal diet, are localized in the United States, China and Brazil. The amounts of production of maize and soybean from these three countries reached 70% and 74% of total production in the world in 2009, respectively. These three countries are hubs for the world food supply network. Simultaneous external disturbances to the localized hubs can make the network system unstable. Here, we projected the changes in stability of the productivities of maize and soybean under climate change. We used a process-based model for evaluating crop yield at a large scale for maize and soybean. The parameters are determined based on the historical agricultural statistics issued by administrative agencies during a period of 1981 to 2006 and a reanalysis data JRA25 provided by Japan Meteorological Agency. We used the climate change scenarios from outputs of MIROC5.0 simulations. We projected the time changes in maize and soybean yields of three countries under four climate change scenarios: RCP 2.6, 4.5, 6.0 and 8.5 for a period of 2010 to 2070. The significant declining trend of maize yield with time was projected in RCP 8.5 for all countries, while the yield appeared to decrease after 2050 in other RCP scenarios. The extents to which maize yield decrease in 2060s compared to the average over 1980 to 2006 were projected to be about 20% for the United States, 10% for Brazil and China in RCP 2.6, 4.5 and 6.0; 30% for the United States and Brazil, 40% for China in RCP 8.5. On the other hand, the projected changes in soybean yield were complicated. The projected extent to which soybean yield decrease in 2060s compared to the average over 1980 to 2006 was about 30% for the United States and Brazil and 20% for China in RCP 2.6. In RCP 4.5 and 6.0, the yield was projected to be constant or slightly increase compared to the average over 1980 to 2006 in Brazil and China, while the yield decrease by 20% in the United States. Yields of all the countries were projected to decrease up to 50% in RCP 8.5. We estimated the probability of concurrent failure, which is defined as function of the extent to which yields of three countries at a year decreased compared to the average yield over the past three years. We applied copula to measure the probability, which describe the relationship among multivariate probability distribution functions. For maize, the probability was projected to significantly increase in RCP 2.6 and 8.5, while that was projected to significantly increase only in RCP8.5 for soybean. The change in the probability was attributed to the increase of yearly yield variation and decreasing trend of yield over time. We extracted the trend component due to the improvements on agricultural technologies, therefore, the yearly variation and time trend in yield examined here can be attributed to climate change. From the sensitivity analyses, we found that the time trends in yields for maize and soybean were brought about mainly by the increase trend of mean temperature during the growing season.

Effects of El Niño on summertime ozone air quality in the eastern United States

NASA Astrophysics Data System (ADS)

Shen, L.; Mickley, L. J.

2017-12-01

We investigate the effect of El Nino on maximum daily 8-hour average (MDA8) surface ozone over the eastern United States in summer (June-August, JJA) from 1980 to 2016. El Nino can influence the extra-tropical climate through the propagation of stationary waves, leading to (1) a low-pressure anomaly in the western Atlantic, which reduces transport of moist, clean air from the ocean into the mid- and southern Atlantic states, and (2) intensified southerly flow in the South Central states, which conversely enhances flux of moist, clean air into this region. El Nino can also trigger greater subsidence, reduced precipitation, and increased surface solar radiation in the mid- and southern Atlantic States. As a result, every standard deviation increase in the Nino 1+2 index is associated with an increase of 1-2 ppbv ozone in the Atlantic States and a decrease of 0.5-2 ppbv ozone in the South Central states. On average, models participating in the Atmospheric Model Intercomparison Project have difficulties capturing the El Nino influence on summertime weather in the eastern United States, implying that the freely running chemistry-climate models also cannot simulate the ozone variability related to El Nino.

United States copper metal and scrap use and trade patterns, 1995‒2014

USGS Publications Warehouse

Goonan, Thomas G.

2016-06-17

This report considers changes to the copper and copper scrap industries of the United States. For the study period, 1995 through 2014, U.S. refined copper production from all sources (primary and secondary materials) decreased from 2.28 million metric tons (Mt) of copper to 1.05 Mt (a 54 percent decrease). During the same period, U.S. copper scrap net exports increased from 0.203 Mt to 0.737 Mt (a 263 percent increase and a compound annual growth rate of about 7.0 percent per year). Copper and copper scrap prices (in constant 2014 dollars) rose such that 2014 prices were about 48 percent greater than 1995 prices. From 1995 through 2014, Chinese imports of copper scrap from the United States grew from 0.061 Mt to 0.569 Mt (an increase of about 830 percent and a compound annual growth rate of about 12.5 percent per year). In 2011, Chinese imports of U.S. copper scrap peaked at 0.745 Mt of contained copper. In 1995, Chinese imports of U.S. copper scrap accounted for 17 percent of U.S. copper scrap exports. By 2014, Chinese imports accounted for 69 percent of U.S. copper scrap exports (by weight), and Chinese imports of U.S. copper scrap were valued at $1.45 billion.

Increase in incidence of congenital syphilis - United States, 2012-2014.

PubMed

Bowen, Virginia; Su, John; Torrone, Elizabeth; Kidd, Sarah; Weinstock, Hillard

2015-11-13

Congenital syphilis (CS) occurs when a mother infected with syphilis transmits the infection to her child during pregnancy. CS can cause severe illness, miscarriage, stillbirth, and early infant death. However, among pregnant women with syphilis who deliver after 20 weeks gestation, maternal treatment with penicillin is 98% effective at preventing CS (1). In the United States, the rate of CS decreased during 1991–2005 but increased slightly during 2005–2008 (2). To assess recent trends in CS, CDC analyzed national surveillance data reported during 2008–2014, calculated rates, and described selected characteristics of infants with CS and their mothers. The overall rate of reported CS decreased from 10.5 to 8.4 cases per 100,000 live births during 2008–2012, and then increased to 11.6 cases per 100,000 live births in 2014, the highest CS rate reported since 2001. From 2012 to 2014, reported cases and rates of CS increased across all regions of the United States. To reduce CS, the timely identification of and response to increases in syphilis among women of reproductive age and men who have sex with women are essential. All women should have access to quality prenatal care, including syphilis screening and adequate treatment, during pregnancy (3).

The Effect of an Increased Minimum Wage on Infant Mortality and Birth Weight

PubMed Central

Livingston, Melvin D.; Markowitz, Sara; Wagenaar, Alexander C.

2016-01-01

Objectives. To investigate the effects of state minimum wage laws on low birth weight and infant mortality in the United States. Methods. We estimated the effects of state-level minimum wage laws using a difference-in-differences approach on rates of low birth weight (< 2500 g) and postneonatal mortality (28–364 days) by state and month from 1980 through 2011. All models included state and year fixed effects as well as state-specific covariates. Results. Across all models, a dollar increase in the minimum wage above the federal level was associated with a 1% to 2% decrease in low birth weight births and a 4% decrease in postneonatal mortality. Conclusions. If all states in 2014 had increased their minimum wages by 1 dollar, there would likely have been 2790 fewer low birth weight births and 518 fewer postneonatal deaths for the year. PMID:27310355

The Effect of an Increased Minimum Wage on Infant Mortality and Birth Weight.

PubMed

Komro, Kelli A; Livingston, Melvin D; Markowitz, Sara; Wagenaar, Alexander C

2016-08-01

To investigate the effects of state minimum wage laws on low birth weight and infant mortality in the United States. We estimated the effects of state-level minimum wage laws using a difference-in-differences approach on rates of low birth weight (< 2500 g) and postneonatal mortality (28-364 days) by state and month from 1980 through 2011. All models included state and year fixed effects as well as state-specific covariates. Across all models, a dollar increase in the minimum wage above the federal level was associated with a 1% to 2% decrease in low birth weight births and a 4% decrease in postneonatal mortality. If all states in 2014 had increased their minimum wages by 1 dollar, there would likely have been 2790 fewer low birth weight births and 518 fewer postneonatal deaths for the year.

Lithium

USGS Publications Warehouse

Jaskula, B.W.

2011-01-01

In 2010, lithium consumption in the United States was estimated to have been about 1 kt (1,100 st) of contained lithium, a 23-percent decrease from 2009. The United States was estimated to be the fourth largest consumer of lithium. It remained the leading importer of lithium carbonate and the leading producer of value-added lithium materials. Only one company, Chemetall Foote Corp. (a subsidiary of Chemetall GmbH of Germany), produced lithium compounds from domestic resources. In 2010, world lithium consumption was estimated to have been about 21 kt (22,000 st) of lithium contained in minerals and compounds, a 12-percent increase from 2009.

Lithium

USGS Publications Warehouse

Jaskula, B.W.

2010-01-01

In 2009, lithium consumption in the United States was estimated to have been about 1.2 kt (1,300 st) of contained lithium, a 40-percent decrease from 2008. The United States was estimated to be the fourth largest consumer of lithium, and remained the leading importer of lithium carbonate and the leading producer of value-added lithium materials. Only one company, Chemetall Foote Corp. (a subsidiary of Chemetall GmbH of Germany), produced lithium compounds from domestic resources. In 2009, world lithium consumption was estimated to have been about 18.7 kt (20,600 st) of lithium contained in minerals and compounds.

Is there more to yoga than exercise?

PubMed

Smith, J Andy; Greer, Tammy; Sheets, Timothy; Watson, Sheree

2011-01-01

Yoga is increasing in popularity, with an estimated 15 million practitioners in the United States, yet there is a dearth of empirical data addressing the holistic benefits of yoga. To compare the physical and mental benefits of an exercise-based yoga practice to that of a more comprehensive yoga practice (one with an ethical/spiritual component). Students with mild to moderate depression, anxiety, or stress and who agreed to participate were assigned to one of three groups: integrated yoga, yoga as exercise, control. A total of 81 undergraduate students 18 years and older at a university in the southeastern United States participated in the study. Depression, anxiety, stress, hope, and salivary cortisol. Over time, participants in both the integrated and exercise yoga groups experienced decreased depression and stress, an increased sense of hopefulness, and increased flexibility compared to the control group. However, only the integrated yoga group experienced decreased anxiety-related symptoms and decreased salivary cortisol from the beginning to the end of the study. Yoga, practiced in a more integrated form, ie, with an ethical and spiritual component, may provide additional benefits over yoga practiced as an exercise regimen.

RECS Data Show Decreased Energy Consumption per Household

EIA Publications

2012-01-01

Total United States energy consumption in homes has remained relatively stable for many years as increased energy efficiency has offset the increase in the number and average size of housing units, according to the newly released data from the Residential Energy Consumption Survey (RECS). The average household consumed 90 million British thermal units (Btu) in 2009 based on RECS. This continues the downward trend in average residential energy consumption of the last 30 years. Despite increases in the number and the average size of homes plus increased use of electronics, improvements in efficiency for space heating, air conditioning, and major appliances have all led to decreased consumption per household. Newer homes also tend to feature better insulation and other characteristics, such as double-pane windows, that improve the building envelope.

The death of marriage? The effects of new forms of legal recognition on marriage rates in the United States.

PubMed

Dillender, Marcus

2014-04-01

Some conservative groups argue that allowing same-sex couples to marry reduces the value of marriage to opposite-sex couples. This article examines how changes in U.S. legal recognition laws occurring between 1995 and 2010 designed to include same-sex couples have altered marriage rates in the United States. Using a difference-in-differences strategy that compares how marriage rates change after legal recognition in U.S. states that alter legal recognition versus states that do not, I find no evidence that allowing same-sex couples to marry reduces the opposite-sex marriage rate. Although the opposite-sex marriage rate is unaffected by same-sex couples marrying, it decreases when domestic partnerships are available to opposite-sex couples.

Comparisons and contrasts in the practice of nuclear cardiology in the United States and Japan.

PubMed

DePuey, E Gordon

2016-12-01

There are interesting differences between the practice of Nuclear Cardiology in Japan and that in the United States and associated unique challenges. Differences in patient body habitus and the perceived importance of limiting patient radiation dose have resulted in different radiopharmaceutical and imaging protocol preferences. Governmental approval and reimbursement policies for various radiopharmaceuticals have promulgated adoption of different clinical applications. Both countries have experienced a significant decline in the number of nuclear cardiology studies performed, in part due to decreased governmental funding and reimbursement and to the emergence of competing modalities. Whereas precertification and test substitution have impacted negatively on the sustainability and growth of nuclear cardiology in the United States, in Japan those deterrents have not yet been encountered. Instead, communication barriers between nuclear medicine physicians and referring cardiologists are cited as a more significant barrier.

Experiences of Nigerian Internationally Educated Nurses Transitioning to United States Health Care Settings.

PubMed

Iheduru-Anderson, Kechinyere C; Wahi, Monika M

2018-04-01

Successful transition to practice of internationally educated nurses (IENs) can critically affect quality of care. The aim of this study was to characterize the facilitators and barriers to transition of Nigerian IENs (NIENs) to the United States health care setting. Using a descriptive phenomenology approach, 6 NIENs were interviewed about their transitional experiences in the United States. Thematic methods were used for data analysis. The three major themes identified from the participants' stories were "fear/anger and disappointment" (FAD), "road/journey to success/overcoming challenges" (RJO), and "moving forward" (MF). The FAD theme predominated, including experiences of racism, bullying, and inequality. The RJO theme included resilience, and the MF theme encompassed personal growth. NIENs face personal and organizational barriers to adaptation, especially fear, anger and disappointment. Future research should seek to develop a model for optimal adaptation that focuses on improving both personal and organizational facilitators and decreasing barriers.

Sexual Intercourse Among High School Students - 29 States and United States Overall, 2005-2015.

PubMed

Ethier, Kathleen A; Kann, Laura; McManus, Timothy

2018-01-05

Early initiation of sexual activity is associated with having more sexual partners, not using condoms, sexually transmitted infection (STI), and pregnancy during adolescence (1,2). The majority of adolescents initiate sexual activity during high school, and the proportion of high school students who have ever had sexual intercourse increases by grade; black students are more likely to have ever had sexual intercourse than are white students (3). The proportion of high school students overall who had ever had sexual intercourse did not change significantly during 1995-2005 (53.1% to 46.8%) (Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, unpublished data). To assess whether changes have occurred in recent years in the proportion of high school students who have ever had sexual intercourse, CDC examined trends overall and by grade, race/ethnicity, and sex among U.S. high school students, using data from the 2005-2015 national Youth Risk Behavior Surveys (YRBSs) and data from 29 states* that conduct the YRBS and have weighted data. Nationwide, the proportion of high school students who had ever had sexual intercourse decreased significantly overall and among 9th and 10th grade students, non-Hispanic black (black) students in all grades, and Hispanic students in three grades. A similar pattern by grade was observed in nearly half the states (14), where the prevalence of ever having had sexual intercourse decreased only in 9th grade or only in 9th and 10th grades; nearly all other states saw decreases in some or all grades. The overall decrease in the prevalence of ever having had sexual intercourse during 2005-2015 is a positive change in sexual risk among adolescents (i.e., behaviors that place them at risk for human immunodeficiency virus, STI, or pregnancy) in the United States, an overall decrease that did not occur during the preceding 10 years. Further, decreases by grade and race/ethnicity represent positive changes among groups of students who have been determined in previous studies to be at higher risk for negative outcomes associated with early sexual initiation, such as greater numbers of partners, condom non-use, teen pregnancy, and STI (1-3). More work is needed to understand the reasons for these decreases and to ensure that they continue.

Increased nitrogen leaching following soil freezing is due to decreased root uptake in a northern hardwood forest

Treesearch

John L. Campbell; Anne M. Socci; Pamela H. Templer

2014-01-01

The depth and duration of snow pack is declining in the northeastern United States as a result of warming air temperatures. Since snow insulates soil, a decreased snow pack can increase the frequency of soil freezing, which has been shown to have important biogeochemical implications. One of the most notable effects of soil freezing is increased inorganic nitrogen...

Household Composition Change and Economic Welfare Inequality: 1960 to 1980. CDE Working Paper 88-18.

ERIC Educational Resources Information Center

Wojtkiewicz, Roger A.

This paper considers the following dimensions of the change in household composition of the United States population between 1960 and 1980: (1) a decrease in the number of households headed by a couple; and (2) a decrease in the number of children per household. Examination of census figures from 1960, 1970, and 1980 reveals that blacks and whites…

Earthworm invasion in North America: Food resource competition affects native millipede survival and invasive earthworm reproduction

Treesearch

Bruce Snyder; Mac Callaham; Christopher Lowe; Paul Hendrix

2013-01-01

The invasive non-native earthworm Amynthas agrestis (Goto and Hatai, 1899) has recently been documented invading forests of the Appalachian Mountains in the southeastern United States. This epigeic earthworm decreases the depth of organic soil horizons, and this may play a role in the decrease of millipede richness and abundance associated with A. agrestis invasion. To...

Losses of Ammonia and Nitrate from Agriculture and Their Effect on Nitrogen Recovery in the European Union and the United States between 1900 and 2050.

PubMed

van Grinsven, Hans J M; Bouwman, Lex; Cassman, Kenneth G; van Es, Harold M; McCrackin, Michelle L; Beusen, Arthur H W

2015-03-01

Historical trends and levels of nitrogen (N) budgets and emissions to air and water in the European Union and the United States are markedly different. Agro-environmental policy approaches also differ, with emphasis on voluntary or incentive-based schemes in the United States versus a more regulatory approach in the European Union. This paper explores the implications of these differences for attaining long-term policy targets for air and water quality. Nutrient surplus problems were more severe in the European Union than in the United States during the 1970s and 1980s. The EU Nitrates and National Emission Ceilings directives contributed to decreases in fertilizer use, N surplus, and ammonia (NH) emissions, whereas in the United States they stabilized, although NH emissions are still increasing. These differences were analyzed using statistical data for 1900-2005 and the global IMAGE model. IMAGE could reproduce NH emissions and soil N surpluses at different scales (European Union and United States, country and state) and N loads in the Rhine and Mississippi. The regulation-driven changes during the past 25 yr in the European Union have reduced public concerns and have brought agricultural N loads to the aquatic environment closer to US levels. Despite differences in agro-environmental policies and agricultural structure (more N-fixing soybean and more spatially separated feed and livestock production in the United States than in the European Union), current N use efficiency in US and EU crop production is similar. IMAGE projections for the IAASTD-baseline scenario indicate that N loading to the environment in 2050 will be similar to current levels. In the United States, environmental N loads will remain substantially smaller than in the European Union, whereas agricultural production in 2050 in the United States will increase by 30% relative to 2005, as compared with an increase of 8% in the European Union. However, in the United States, even rigorous mitigation with maximum recycling of manure N and a 25% reduction in fertilizer use will not achieve the policy target to halve the N export to the Gulf of Mexico. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Rural land-use trends in the conterminous United States, 1950-2000

USGS Publications Warehouse

Brown, Daniel G.; Johnson, Kenneth M.; Loveland, Thomas R.; Theobald, David M.

2005-01-01

In order to understand the magnitude, direction, and geographic distribution of land-use changes, we evaluated land-use trends in U.S. counties during the latter half of the 20th century. Our paper synthesizes the dominant spatial and temporal trends in population, agriculture, and urbanized land uses, using a variety of data sources and an ecoregion classification as a frame of reference. A combination of increasing attractiveness of nonmetropolitan areas in the period 1970–2000, decreasing household size, and decreasing density of settlement has resulted in important trends in the patterns of developed land. By 2000, the area of low-density, exurban development beyond the urban fringe occupied nearly 15 times the area of higher density urbanized development. Efficiency gains, mechanization, and agglomeration of agricultural concerns has resulted in data that show cropland area to be stable throughout the Corn Belt and parts of the West between 1950 and 2000, but decreasing by about 22% east of the Mississippi River. We use a regional case study of the Mid-Atlantic and Southeastern regions to focus in more detail on the land-cover changes resulting from these dynamics. Dominating were land-cover changes associated with the timber practices in the forested plains ecoregions and urbanization in the piedmont ecoregions. Appalachian ecoregions show the slowest rates of land-cover change. The dominant trends of tremendous exurban growth, throughout the United States, and conversion and abandonment of agricultural lands, especially in the eastern United States, have important implications because they affect large areas of the country, the functioning of ecological systems, and the potential for restoration.

Telemedicine in the Intensive Care Unit: Improved Access to Care at What Cost?

PubMed

Binder, William J; Cook, Jennifer L; Gramze, Nickalaus; Airhart, Sophia

2018-06-01

Health systems across the United States are adopting intensive care unit telemedicine programs to improve patient outcomes. Research demonstrates the potential for decreased mortality and length of stay for patients of these remotely monitored units. Financial models and studies point to cost-effectiveness and the possibility of cost savings in the face of abundant startup costs. Questions remain as to the true financial implications of these programs and targeted populations that may see the greatest benefit. Despite recent growth, widespread adoption may be limited until these unknowns are answered. Copyright © 2018 Elsevier Inc. All rights reserved.

The longleaf pine resource

Treesearch

John F. Kelly; William A. Bechtold

1989-01-01

Area of longleaf pine (Pinus palustris Mill.) in the Southern United States has declined from 12.2 to 3.8 million acres over the past 30 years. Longleaf pine, which once dominated vast portions of the region, now accounts for only 3 percent of the total timberland acreage in the 8 States where the species is found.Longleaf growing-stock volume has decreased by 12...

State Policies and Practices in Behavior Supports for Persons with Intellectual and Developmental Disabilities in the United States: A National Survey

ERIC Educational Resources Information Center

Rotholz, David A.; Moseley, Charles R.; Carlson, Kinsey B.

2013-01-01

Providing effective behavioral supports to decrease challenging behavior and replace it with appropriate alternative skills is essential to meeting the needs of many individuals with intellectual and developmental disabilities (IDD). It is also necessary for fulfilling the requirements of Medicaid-funded individual support plans and is important…

Response of vegetation, soil nitrogen, and sediment transport to a prescribed fire in semiarid grasslands

Treesearch

Carleton S. White; Samuel R. Loftin; Steven Hofstad

1999-01-01

Shrubs and trees have invaded semiarid grasslands throughout much of the Southwestern United States. This invasion not only has decreased grass cover, but also increased runoff and erosion. In fact, sediment from rangelands constitutes the single largest source of nonpoint stream pollutants within the state of New Mexico. Fire, which was a natural factor that shaped...

77 FR 52293 - Endangered and Threatened Wildlife and Plants; 90-Day Finding on a Petition To List Mimulus...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-29

... review. Climate Change Information Provided in the Petition The petitioner states that the western United States will likely suffer a decrease in water resources due to climate change, which will affect montane... conclusions from the Intergovernmental Panel on Climate Change (IPCC) (2007, p. 52) and RMNP (2007a, p. 6...

Pretreatment tree dominance and conifer removal treatments affect plant succession in sagebrush communities

Treesearch

Rachel E. Williams; Bruce A. Roundy; April Hulet; Richard F. Miller; Robin J. Tausch; Jeanne C. Chambers; Jeffrey Matthews; Robert Schooley; Dennis Eggett

2017-01-01

In sagebrush (Artemisia tridentata Nutt.) ecosystems, expansion and infilling of conifers decreases the abundance of understory perennial vegetation and lowers ecosystem resilience and resistance of the once shrub grass−dominated state. We prescribed burned or cut juniper (Juniperus spp. L.) and pinyon (Pinus spp. L.) trees at 10 sites across the western United States...

Nitrogen

USGS Publications Warehouse

Apodaca, L.E.

2010-01-01

Ammonia was produced by 13 companies at 23 plants in 16 states during 2009. Sixty percent of all U.S. ammonia production capacity was centered in Louisiana. Oklahoma and Texas because of those states' large reserves of natural gas, the dominant domestic feedstock. In 2009, U.S. producers operated at about 83 percent of their rated capacity (excluding plants that were idle for the entire year). Five companies — Koch Nitrogen Co.; Terra Industries Inc.; CF Industries Inc.; PCS Nitrogen Inc. and Agrium Inc., in descending order — accounted for 80 percent of the total U.S. ammonia production capacity. U.S. production was estimated to be 7.7 Mt (8.5 million st) of nitrogen (N) content in 2009 compared with 7.85 Mt (8.65 million st) of N content in 2008. Apparent consumption was estimated to have decreased to 12.1 Mt (13.3 million st) of N, a 10-percent decrease from 2008. The United States was the world's fourth-ranked ammonia producer and consumer following China, India and Russia. Urea, ammonium nitrate, ammonium phosphates, nitric acid and ammonium sulfate were the major derivatives of ammonia in the United States, in descending order of importance.

Pedestrians

DOT National Transportation Integrated Search

2008-01-01

In 2008, 4,378 pedestrians were killed in traffic crashes in the United States a decrease of 16 percent from the 5,228 pedestrians killed in 1998. On average, a pedestrian is killed in a traffic crash every 120 minutes and injured in a traffic cr...

Invasive plant management on anticipated conservation benefits: a scientific Assessment

USDA-ARS?s Scientific Manuscript database

Invasive plants negatively impact rangelands throughout the western United States by displacing desirable species, altering ecological processes, reducing wildlife habitat, degrading systems, altering fire regimes, and decreasing productivity. Assessing the influence of conservation practices on var...

Characterization of pyrolysis products from fast pyrolysis of live and dead vegetation native to the Southern United States

Treesearch

Mohammad-Saeed Safdari; Mahmood Rahmati; Elham Amini; Joel E. Howarth; Jansen P. Berryhill; Mark Dietenberger; David R. Weise; Thomas H. Fletcher

2018-01-01

Prescribed burning (controlled burning) is used to decrease accumulation of combustible materials and reduce impact of uncontrolled wildland fires. Prescribed fires are often used to burn undergrowth in Southern...

Recent blood pressure trends in adolescents from China, Korea, Seychelles and the United States of America, 1997-2012.

PubMed

Xi, Bo; Bovet, Pascal; Hong, Young M; Zong, Xin'nan; Chiolero, Arnaud; Kim, Hae S; Zhang, Tao; Zhao, Min

2016-10-01

Although the prevalence of obesity is increasing worldwide, secular trends in elevated blood pressure (BP) differ across populations. We aimed to compare recent BP and obesity trends in adolescents aged 10-19 years in China, Korea, Seychelles and the United States of America. Data in adolescents aged 10-19 years came from China (1997-2011, n = 8025), Korea (1998-2012, n = 10 119), Seychelles (1998-2012, n = 27 569) and the United States of America (1999-2012, n = 14 580). Elevated BP was defined as SBP or DBP equal to or above the referent sex, age and height-specific 95th percentile of the US Fourth Report. Overweight and obesity were defined using criteria of the International Obesity Task Force. Between 1997-2000 and 2011-2012, the prevalence of elevated BP decreased in Korea and did not change substantially in China and in the United States of America. The prevalence of elevated BP increased in Seychelles. In 2011-2012, the prevalence of elevated BP was 1.7% in the United States of America, 3.8% in China, 3.7% in Korea and 14.3% in Seychelles. The prevalence of overweight and obesity increased over time and reached in 2011-2012 41.2% in the United States of America, 18.6% in China, 25.2% in Korea and 27.4% in Seychelles. Elevated BP was strongly associated with obesity in all countries. Although the prevalence of obesity increased markedly in the four countries, secular BP trends in adolescents differed in countries of different regions.

Estimating State-Specific Contributions to PM2.5- and O3-Related Health Burden from Residential Combustion and Electricity Generating Unit Emissions in the United States.

PubMed

Penn, Stefani L; Arunachalam, Saravanan; Woody, Matthew; Heiger-Bernays, Wendy; Tripodis, Yorghos; Levy, Jonathan I

2017-03-01

Residential combustion (RC) and electricity generating unit (EGU) emissions adversely impact air quality and human health by increasing ambient concentrations of fine particulate matter (PM 2.5 ) and ozone (O 3 ). Studies to date have not isolated contributing emissions by state of origin (source-state), which is necessary for policy makers to determine efficient strategies to decrease health impacts. In this study, we aimed to estimate health impacts (premature mortalities) attributable to PM 2.5 and O 3 from RC and EGU emissions by precursor species, source sector, and source-state in the continental United States for 2005. We used the Community Multiscale Air Quality model employing the decoupled direct method to quantify changes in air quality and epidemiological evidence to determine concentration-response functions to calculate associated health impacts. We estimated 21,000 premature mortalities per year from EGU emissions, driven by sulfur dioxide emissions forming PM 2.5 . More than half of EGU health impacts are attributable to emissions from eight states with significant coal combustion and large downwind populations. We estimate 10,000 premature mortalities per year from RC emissions, driven by primary PM 2.5 emissions. States with large populations and significant residential wood combustion dominate RC health impacts. Annual mortality risk per thousand tons of precursor emissions (health damage functions) varied significantly across source-states for both source sectors and all precursor pollutants. Our findings reinforce the importance of pollutant-specific, location-specific, and source-specific models of health impacts in design of health-risk minimizing emissions control policies. Citation: Penn SL, Arunachalam S, Woody M, Heiger-Bernays W, Tripodis Y, Levy JI. 2017. Estimating state-specific contributions to PM 2.5 - and O 3 -related health burden from residential combustion and electricity generating unit emissions in the United States. Environ Health Perspect 125:324-332; http://dx.doi.org/10.1289/EHP550.

Streamflow from the United States into the Atlantic Ocean during 1931-1960

USGS Publications Warehouse

Bue, Conrad D.

1970-01-01

Streamflow from the United States into the Atlantic Ocean, between the international stream St. Croix River, inclusive, and Cape Sable, Fla., averaged about 355,000 cfs (cubic feet per second) during the 30-year period 1931-60, or roughly 20 percent of the water that, on the average flows out of the conterminous United States. The area drained by streams flowing into the Atlantic Ocean is about 288,000 square miles, including the Canadian part of the St. Croix and Connecticut River basins, or a little less than 10 percent of the area of the conterminous United States. Hence, the average streamflow into the Atlantic Ocean, in terms of cubic feet per second per square mile, is about twice the national average of the flow that leaves the conterminous United States. Flow from about three-fourths of the area draining into the Atlantic Ocean is gaged at streamflow measuring stations of the U.S. Geological Survey. The remaining one-fourth of the drainage area consists mostly of low-lying coastal areas from which the flow was estimated, largely on the basis of nearby gaging stations. Streamflow, in terms of cubic feet per second per square mile, decreases rather progressively from north to south. It averages nearly 2 cfs along the Maine coast, about 1 cfs along the North Carolina coast, and about 0.9 cfs along the Florida coast.

Housing growth in and near United States protected areas limits their conservation value.

PubMed

Radeloff, Volker C; Stewart, Susan I; Hawbaker, Todd J; Gimmi, Urs; Pidgeon, Anna M; Flather, Curtis H; Hammer, Roger B; Helmers, David P

2010-01-12

Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern "Noah's Ark." Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries.

Housing growth in and near United States protected areas limits their conservation value

PubMed Central

Radeloff, Volker C.; Stewart, Susan I.; Hawbaker, Todd J.; Gimmi, Urs; Pidgeon, Anna M.; Flather, Curtis H.; Hammer, Roger B.; Helmers, David P.

2009-01-01

Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern “Noah’s Ark.” Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries. PMID:20080780

Housing growth in and near United States protected areas limits their conservation value

USGS Publications Warehouse

Radeloff, V.C.; Stewart, S.I.; Hawbaker, T.J.; Gimmi, U.; Pidgeon, A.M.; Flather, C.H.; Hammer, R.B.; Helmers, D.P.

2010-01-01

Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern "Noah's Ark." Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries.

Lean and Green Hand Surgery.

PubMed

Van Demark, Robert E; Smith, Vanessa J S; Fiegen, Anthony

2018-02-01

Health care in the United States is both expensive and wasteful. The cost of health care in the United States continues to increase every year. Health care spending for 2016 is estimated at $3.35 trillion. Per capita spending ($10,345 per person) is more than twice the average of other developed countries. The United States also leads the world in solid waste production (624,700 metric tons of waste in 2011). The health care industry is second only to the food industry in annual waste production. Each year, health care facilities in the United States produce 4 billion pounds of waste (660 tons per day), with as much as 70%, or around 2.8 billion pounds, produced directly by operating rooms. Waste disposal also accounts for up to 20% of a hospital's annual environmental services budget. Since 1992, waste production by hospitals has increased annually by a rate of at least 15%, due in part to the increased usage of disposables. Reduction in operating room waste would decrease both health care costs and potential environmental hazards. In 2015, the American Association for Hand Surgery along with the American Society for Surgery of the Hand, American Society for Peripheral Nerve Surgery, and the American Society of Reconstructive Microsurgery began the "Lean and Green" surgery project to reduce the amount of waste generated by hand surgery. We recently began our own "Lean and Green" project in our institution. Using "minor field sterility" surgical principles and Wide Awake Local Anesthesia No Tourniquet (WALANT), both surgical costs and surgical waste were decreased while maintaining patient safety and satisfaction. As the current reimbursement model changes from quantity to quality, "Lean and Green" surgery will play a role in the future health care system. Copyright © 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Responses of stream nitrate and DOC loadings to hydrological forcing and climate change in an upland forest of the northeastern United States

USGS Publications Warehouse

Sebestyen, S.D.; Boyer, E.W.; Shanley, J.B.

2009-01-01

In coming decades, higher annual temperatures, increased growing season length, and increased dormant season precipitation are expected across the northeastern United States in response to anthropogenic forcing of global climate. We synthesized long-term stream hydrochemical data from the Sleepers River Research Watershed in Vermont, United States, to explore the relationship of catchment wetness to stream nitrate and DOC loadings. We modeled changes in growing season length and precipitation patterns to simulate future climate scenarios and to assess how stream nutrient loadings respond to climate change. Model results for the 2070-2099 time period suggest that stream nutrient loadings during both the dormant and growing seasons will respond to climate change. During a warmer climate, growing season stream fluxes (runoff+20%, nitrate +57%, and DOC +58%) increase as more precipitation (+28%) and quick flow (+39%) occur during a longer growing season (+43 days). During the dormant season, stream water and nutrient loadings decrease. Net annual stream runoff (+8%) and DOC loading (+9%) increases are commensurate with the magnitude of the average increase of net annual precipitation (+7%). Net annual stream water and DOC loadings are primarily affected by increased dormant season precipitation. In contrast, decreased annual loading of stream nitrate (-2%) reflects a larger effect of growing season controls on stream nitrate and the effects of lengthened growing seasons in a warmer climate. Our findings suggest that leaching of nitrate and DOC from catchment soils will be affected by anthropogenic climate forcing, thereby affecting the timing and magnitude of annual stream loadings in the northeastern United States. Copyright 2009 by the American Geophysical Union.

Alcohol Consumption and Chronic Liver Disease Mortality in New Mexico and the United States, 1999-2013.

PubMed

Tomedi, Laura E; Roeber, Jim; Landen, Michael

Current chronic liver disease (CLD) mortality surveillance methods may not adequately capture data on all causes of CLD mortality. The objective of this study was to calculate and compare CLD death rates in New Mexico and the United States by using both an expanded definition of CLD and estimates of the fractional impact of alcohol on CLD deaths. We defined CLD mortality as deaths due to alcoholic liver disease, cirrhosis, viral hepatitis, and other liver conditions. We estimated alcohol-attributable CLD deaths by using national and state alcohol-attributable fractions from the Centers for Disease Control and Prevention's Alcohol-Related Disease Impact application. We classified causes of CLD death as being alcohol-attributable, non-alcohol-attributable, or hepatitis C. We calculated average annual age-adjusted CLD death rates during five 3-year periods from 1999 through 2013, and we stratified those rates by sex, age, and race/ethnicity. By cause of death, CLD death rates were highest for alcohol-attributable CLD. By sex and race/ethnicity, CLD death rates per 100 000 population increased from 1999-2001 to 2011-2013 among American Indian men in New Mexico (67.4-90.6) and the United States (38.9-49.4), American Indian women in New Mexico (48.4-63.0) and the United States (27.5-39.5), Hispanic men in New Mexico (48.6-52.0), Hispanic women in New Mexico (16.9-24.0) and the United States (12.8-13.1), non-Hispanic white men in New Mexico (17.4-21.3) and the United States (15.9-18.4), and non-Hispanic white women in New Mexico (9.7-11.6) and the United States (7.6-9.7). CLD death rates decreased among Hispanic men in the United States (30.5-27.4). An expanded CLD definition and alcohol-attributable fractions can be used to create comprehensive data on CLD mortality. When stratified by CLD cause and demographic characteristics, these data may help states and jurisdictions improve CLD prevention programs.

Landscape change in the southern Piedmont: challenges, solutions, and uncertainty across scales

USGS Publications Warehouse

Conroy, M.J.; Allen, Craig R.; Peterson, J.T.; Pritchard, L.J.; Moore, C.T.

2003-01-01

The southern Piedmont of the southeastern United States epitomizes the complex and seemingly intractable problems and hard decisions that result from uncontrolled urban and suburban sprawl. Here we consider three recurrent themes in complicated problems involving complex systems: (1) scale dependencies and cross-scale, often nonlinear relationships; (2) resilience, in particular the potential for complex systems to move to alternate stable states with decreased ecological and/or economic value; and (3) uncertainty in the ability to understand and predict outcomes, perhaps particularly those that occur as a result of human impacts. We consider these issues in the context of landscape-level decision making, using as an example water resources and lotic systems in the Piedmont region of the southeastern United States.

Health Benefits of Decreases in PM2.5 and Ozone in the United States from 1998 to 2016

NASA Astrophysics Data System (ADS)

Nawaz, O.; Zhang, Y.; Tong, D.; van Donkelaar, A.; Martin, R.; West, J. J.

2017-12-01

Between 1990 and 2015 the US average concentration of PM2.5 decreased by 37% and ozone decreased by 22%, driven by environmental regulations and technological advances. These decreases in pollutants are expected to have brought substantial benefits for public health in the US. Here we assess the effects of this decrease by estimating the total burden of PM2.5 and ozone on premature mortality, each year between 1998-2016. Two data sets of ambient concentration were implemented in the health impact analysis that included different subsets of the time period. First, we use data from the North American Chemical Reanalysis project, which uses OMI NO2 and MODIS AOD observations for data assimilation to constrain ozone and PM2.5 between 2009-2016. Second, we use satellite-derived estimates of ground-level PM2.5 using AOD retrievals from NASA satellites combined with the GEOS-Chem chemical transport model between 1998-2015; these estimates are calibrated to ground-based observations using a geographically weighted regression. Using yearly data on population and baseline mortality provided by the Centers for Disease Control (CDC), we assess how air pollution-related mortality has changed annually within the continental United States, and analyze trends to determine how effectively the health burden has been reduced by environmental regulations and other factors.

Routine Prenatal Care Visits by Provider Specialty in the United States, 2009-2010

MedlinePlus

... routine prenatal care visits at which women saw non-ob/gyn providers generally decreased with age. Overall, ... 2009–2010. The percentage of prenatal visits to non-ob/gyn providers did not differ by race ...

Vulnerability of US and European electricity supply to climate change

NASA Astrophysics Data System (ADS)

van Vliet, Michelle T. H.; Yearsley, John R.; Ludwig, Fulco; Vögele, Stefan; Lettenmaier, Dennis P.; Kabat, Pavel

2012-09-01

In the United States and Europe, at present 91% and 78% (ref. ) of the total electricity is produced by thermoelectric (nuclear and fossil-fuelled) power plants, which directly depend on the availability and temperature of water resources for cooling. During recent warm, dry summers several thermoelectric power plants in Europe and the southeastern United States were forced to reduce production owing to cooling-water scarcity. Here we show that thermoelectric power in Europe and the United States is vulnerable to climate change owing to the combined impacts of lower summer river flows and higher river water temperatures. Using a physically based hydrological and water temperature modelling framework in combination with an electricity production model, we show a summer average decrease in capacity of power plants of 6.3-19% in Europe and 4.4-16% in the United States depending on cooling system type and climate scenario for 2031-2060. In addition, probabilities of extreme (>90%) reductions in thermoelectric power production will on average increase by a factor of three. Considering the increase in future electricity demand, there is a strong need for improved climate adaptation strategies in the thermoelectric power sector to assure futureenergy security.

Iodine insufficiency: a global health problem?

PubMed

Swanson, Christine A; Pearce, Elizabeth N

2013-09-01

As a result of collaborative efforts with international organizations and the salt industry, many developing and developed countries practice universal salt iodization (USI) or have mandatory salt fortification programs. As a consequence, the prevalence of iodine deficiency decreased dramatically. The United States and Canada are among the few developed countries that do not practice USI. Such an undertaking would require evidence of deficiency among vulnerable population groups, including pregnant women, newborns, and developing infants. Government agencies in the United States rely heavily on data from NHANES to assess the iodine status of the general population and pregnant women in particular. NHANES data suggest that pregnant women in the United States remain mildly deficient. This is important, because the developing fetus is dependent on maternal iodine intake for normal brain development throughout pregnancy. Professional societies have recommended that pregnant and lactating women, or those considering pregnancy, consume a supplement providing 150 μg iodine daily. The United States and Canada collaborate on the daily recommended intake and are also confronted with the challenge of identifying the studies needed to determine if USI is likely to be beneficial to vulnerable population groups without exposing them to harm.

The United States should forego a damage-limitation capability against China

NASA Astrophysics Data System (ADS)

Glaser, Charles L.

2017-11-01

Bottom Lines • THE KEY STRATEGIC NUCLEAR CHOICE. Whether to attempt to preserve its damage-limitation capability against China is the key strategic nuclear choice facing the United States. The answer is much less clear-cut than when the United States faced the Soviet Union during the Cold War. • FEASIBILITY OF DAMAGE LIMITATION. Although technology has advanced significantly over the past three decades, future military competition between the U.S. and Chinese forces will favor large-scale nuclear retaliation over significant damage limitation. • BENEFITS AND RISKS OF A DAMAGE-LIMITATION CAPABILITY. The benefits provided by a modest damage-limitation capability would be small, because the United States can meet its most important regional deterrent requirements without one. In comparison, the risks, which include an increased probability of accidental and unauthorized Chinese attacks, as well as strained U.S.—China relations, would be large. • FOREGO DAMAGE LIMITATION. These twin findings—the poor prospects for prevailing in the military competition, and the small benefits and likely overall decrease in U.S. security—call for a U.S. policy that foregoes efforts to preserve or enhance its damage-limitation capability.

Common clay and shale

USGS Publications Warehouse

Virta, R.L.

2006-01-01

At present, 150 companies produce common clay and shale in 41 US states. According to the United States Geological Survey (USGS), domestic production in 2005 reached 24.8 Mt valued at $176 million. In decreasing order by tonnage, the leading producer states include North Carolina, Texas, Alabama, Georgia and Ohio. For the whole year, residential and commercial building construction remained the major market for common clay and shale products such as brick, drain tile, lightweight aggregate, quarry tile and structural tile.

Expected ozone benefits of reducing nitrogen oxide (NOx) emissions from coal-fired electricity generating units in the eastern United States.

PubMed

Vinciguerra, Timothy; Bull, Emily; Canty, Timothy; He, Hao; Zalewsky, Eric; Woodman, Michael; Aburn, George; Ehrman, Sheryl; Dickerson, Russell R

2017-03-01

On hot summer days in the eastern United States, electricity demand rises, mainly because of increased use of air conditioning. Power plants must provide this additional energy, emitting additional pollutants when meteorological conditions are primed for poor air quality. To evaluate the impact of summertime NO x emissions from coal-fired electricity generating units (EGUs) on surface ozone formation, we performed a series of sensitivity modeling forecast scenarios utilizing EPA 2018 version 6.0 emissions (2011 base year) and CMAQ v5.0.2. Coal-fired EGU NO x emissions were adjusted to match the lowest NO x rates observed during the ozone seasons (April 1-October 31) of 2005-2012 (Scenario A), where ozone decreased by 3-4 ppb in affected areas. When compared to the highest emissions rates during the same time period (Scenario B), ozone increased ∼4-7 ppb. NO x emission rates adjusted to match the observed rates from 2011 (Scenario C) increased ozone by ∼4-5 ppb. Finally in Scenario D, the impact of additional NO x reductions was determined by assuming installation of selective catalytic reduction (SCR) controls on all units lacking postcombustion controls; this decreased ozone by an additional 2-4 ppb relative to Scenario A. Following the announcement of a stricter 8-hour ozone standard, this analysis outlines a strategy that would help bring coastal areas in the mid-Atlantic region closer to attainment, and would also provide profound benefits for upwind states where most of the regional EGU NO x originates, even if additional capital investments are not made (Scenario A). With the 8-hr maximum ozone National Ambient Air Quality Standard (NAAQS) decreasing from 75 to 70 ppb, modeling results indicate that use of postcombustion controls on coal-fired power plants in 2018 could help keep regions in attainment. By operating already existing nitrogen oxide (NO x ) removal devices to their full potential, ozone could be significantly curtailed, achieving ozone reductions by up to 5 ppb in areas around the source of emission and immediately downwind. Ozone improvements are also significant (1-2 ppb) for areas affected by cross-state transport, especially Mid-Atlantic coast regions that had struggled to meet the 75 ppb standard.

Maternal blood lead level during pregnancy in South Central Los Angeles.

PubMed

Rothenberg, S J; Manalo, M; Jiang, J; Khan, F; Cuellar, R; Reyes, S; Sanchez, M; Reynoso, B; Aguilar, A; Diaz, M; Acosta, S; Jauregui, M; Johnson, C

1999-01-01

Twenty-five years of public health efforts produced a striking reduction in lead exposure; the blood lead average in the United States has decreased to less than 20% of levels measured in the 1970s. However, poor minority groups that live in large urban centers are still at high risk for elevated lead levels. In this study, our data showed that pregnant immigrants (n = 1,428) who live in South Central Los Angeles--one of the most economically depressed regions of California--have significantly higher (p < .0001) blood lead levels (geometric mean = 2.3 microg/dl [0.11 micromol/l]) than 504 pregnant nonimmigrants (geometric mean = 1.9 microg/dl [0.09 micromol/l]). The most important factors associated with lower blood lead levels in both groups were younger age; more-recent date of blood sampling (i.e., decreasing secular trend); and blood sampling in mid-autumn, instead of mid-spring (i.e., seasonal trend). Blood lead levels of immigrants were strongly dependent on time elapsed since immigration to the United States; each natural log increase in years of residence was associated with an approximately 19% decrease in blood lead levels. Although blood lead means for both groups were almost the same as the estimated national average, 25 of the 30 cases of elevated blood lead (i.e., > or = 10 microg/dl [0.48 micromol/l) occurred in the immigrant group. The odds ratio (95% confidence intervals within parentheses) for having elevated blood lead levels (a) was 9.3 (1.9, 45.8) if the immigrant engaged in pica; (b) was 3.8 (1.4, 10.5) if the immigrant had low dietary calcium intake during pregnancy; and (c) was .65 (.43, .98) for every natural log unit increase of years of residence in the United States. The control of pica and dietary calcium intake may offer a means of reducing lead exposure in immigrants.

Thyroid Function Changes Related to Use of Iodinated Water in United States Space Program

NASA Technical Reports Server (NTRS)

McMonigal, Kathleen A.; Braverman, Lewis E.; Dunn, John T.; Stanbury, John B.; Wear, Mary L.; Hamm, Peggy B.; Sauer, Richard L.; Billica, Roger D.; Pool, Sam L.

1999-01-01

The National Aeronautics and Space Administration (NASA) has used iodination as a method of microbial disinfection of potable water systems in United States spacecraft and long-duration habitability modules. A review of the effects on the thyroid following consumption o iodinated water by NASA astronauts was conducted. Pharmacological doses of iodine consumed by astronauts transiently decreased thyroid function, as reflected in serum TSH values. Although the adverse effects of excess iodine consumption in susceptible individuals are well documented, exposure to high doses of iodine during space flight did not result in a statistically significant increase in long-term thyroid disease in the astronaut population.

Hispanic Americans living in the United States and their risk for obesity, diabetes and kidney disease: Genetic and environmental considerations.

PubMed

Yracheta, Joseph M; Alfonso, Javier; Lanaspa, Miguel A; Roncal-Jimenez, Carlos; Johnson, Sarah B; Sánchez-Lozada, Laura G; Johnson, Richard J

2015-06-01

The Hispanic American, the largest minority population in the United States, is at increased risk for obesity, diabetes and end-stage renal disease. Here we review genetic and environmental factors that might account for their increased risk for these conditions. Whereas many environmental and genetic factors have important roles in driving the increased risk for obesity and kidney disease in this population, a case is made that excessive intake of sugary beverages is a contributory cause. Studies focusing on decreasing intake of sugary beverages among the Hispanic American could potentially reduce renal and cardiovascular complications in this population.

Children's health retention in South Korea and the United States: a cross-cultural comparison.

PubMed

McDowell, Betsy M; Chang, Nahn Joo; Choi, Sang Soon

2003-12-01

In recent decades, great strides have been made globally in decreasing child mortality. However, given that many countries still do not have basic healthcare, additional emphasis is being placed on health promotion activities among industrialized nations. As cultural differences of individual countries impact these health promotion practices, the cultural characteristics influencing children and families in two countries, South Korea and the United States, were compared. Major child health risk factors were examined, and health retention strategies tailored to the cultural characteristics and needs of the populations of each country are proposed, using the Neuman Systems Model as a guideline.

Rare earths, the lanthanides, yttrium and scandium

USGS Publications Warehouse

Hedrick, J.B.

2006-01-01

In 2005, rare earths were not mined in the United States. The major supplier, Molycorp, continued to maintain a large stockpile of rare-earth concentrates and compounds. Consumption decreased of refined rare-earth products. The United States remained a major importer and exporter of rare earths in 2005. During the same period, yttrium was not mined or refined in the US. Hence, supply of yttrium compounds for refined yttrium products came from China, France and Japan. Scandium was not also mined. World production was primarily in China, Russia and Ukraine. Demand for rare earths in 2006 is expected to be closely tied to economic conditions in the US.

Rabies surveillance in the United States during 2008.

PubMed

Blanton, Jesse D; Robertson, Kis; Palmer, Dustyn; Rupprecht, Charles E

2009-09-15

During 2008, 49 states and Puerto Rico reported 6,841 cases of rabies in animals and 2 cases in humans to the CDC, representing a 3.1% decrease from the 7,060 cases in animals and 1 case in a human reported in 2007. Approximately 93% of the cases were in wildlife, and 7% were in domestic animals. Relative contributions by the major animal groups were as follows: 2,389 (34.9%) raccoons, 1,806 (26.4%) bats, 1,589 (23.2%) skunks, 454 (6.6%) foxes, 294 (4.3%) cats, 75 (1.1%) dogs, and 59 (0.9%) cattle. Compared with numbers of cases reported in 2007, numbers of cases reported in 2008 increased among cats, cattle, and skunks and decreased among dogs, raccoons, bats, and foxes. Numbers of rabid raccoons reported during 2008 decreased in 11 of the 20 eastern states where raccoon rabies was enzootic; overall number of rabid raccoons reported decreased by 8.6% during 2008, compared with 2007. On a national level, the number of rabies cases involving skunks increased by 7.7% during 2008, compared with the number reported in 2007; this was the first increase in the number of reported rabid skunks since 2006. The total number of cases of rabies reported nationally in foxes decreased 1.7% in 2008, compared with 2007. The 1,806 cases of rabies reported in bats represented a 6.7% decrease, compared with the number reported in 2007. One case of rabies in a dog imported from Iraq was reported at a quarantine station in New Jersey during 2008. Follow-up of potentially exposed animals in the same shipment did not reveal any secondary transmission. The United States remained free from dog-to-dog transmission of canine rabies virus variants. Total number of rabid dogs reported decreased 19.4% in 2008, compared with 2007. Two human rabies cases were reported from California and Missouri during 2008. The California case involved a recent immigrant from Mexico and was attributed to a newly identified rabies virus variant most likely associated with Mexican free-tailed bats. The case in Missouri was attributed to a rabies virus variant associated with eastern pipistrelle and silver-haired bats.

Shear test of high performance steel hybrid girders.

DOT National Transportation Integrated Search

2005-06-01

High performance steel (HPS) has been used in hundreds of bridges in the United States. A large percentage of these bridges have used HPS in the form of hybrid girder design. One limit with hybrid girder design, which decreases the beneficial aspects...

Health Status and Performance of United States Air Force Airmen Following Mild Traumatic Brain Injury

DTIC Science & Technology

2010-09-01

adrenal insufficiency, hypopituitarism, hypothyroidism , growth- hormone deficiency and posterior pituitary dysfunction [53, 54, 56-60]. Growth...central hypothyroidism which can result in fatigue, apathy, decreased strength and cognitive dysfunction, symptoms commonly observed in PTSD [54

Traffic safety facts 1998 : pedestrians

DOT National Transportation Integrated Search

1999-01-01

In 1998, 5,220 pedestrians were killed in traffic crashes in the United States - a decrease of 24 percent from the 6,870 pedestrians killed in 1988. On average, a pedestrian is killed in a traffic crash every 101 minutes. There were 69,000 pedestrian...

Traffic safety facts 1999 : pedestrians

DOT National Transportation Integrated Search

2000-01-01

In 1999, 4,906 pedestrians were killed in traffic crashes in the United States - a decrease of 25 percent from the 6,556 pedestrians killed in 1989. On average, a pedestrian is killed in a traffic crash every 107 minutes. There were 85,000 pedestrian...

Traffic safety facts 2000 : pedestrians

DOT National Transportation Integrated Search

2001-01-01

In 2000, 4,739 pedestrians were killed in traffic crashes in the United States - a decrease of 27 percent from the 6,482 pedestrians killed in 1990. On average, a pedestrian is killed in a traffic crash every 111 minutes. There were 78,000 pedestrian...

Traffic safety facts 1998 : pedestrian

DOT National Transportation Integrated Search

1998-01-01

In 1998, 5,220 pedestrians were killed in traffic crashes in the United States - a decrease of 24% from the 6,870 pedestrians killed in 1988. On average, a pedestrian is killed in a traffic crash every 101 minutes. There were 69,000 pedestrians injur...

Why Young People Don't Vote.

ERIC Educational Resources Information Center

Gans, Curtis; And Others

1988-01-01

Discusses several reasons for decreasing voter participation in the United States, specifically focusing on lack of voter participation by youth. Highlights recommendations for increasing young voter turnout. Presents three voting activity lesson plans for middle school students and three activities entitled "Increasing Participation in…

Ground motion models used in the 2014 U.S. National Seismic Hazard Maps

USGS Publications Warehouse

Rezaeian, Sanaz; Petersen, Mark D.; Moschetti, Morgan P.

2015-01-01

The National Seismic Hazard Maps (NSHMs) are an important component of seismic design regulations in the United States. This paper compares hazard using the new suite of ground motion models (GMMs) relative to hazard using the suite of GMMs applied in the previous version of the maps. The new source characterization models are used for both cases. A previous paper (Rezaeian et al. 2014) discussed the five NGA-West2 GMMs used for shallow crustal earthquakes in the Western United States (WUS), which are also summarized here. Our focus in this paper is on GMMs for earthquakes in stable continental regions in the Central and Eastern United States (CEUS), as well as subduction interface and deep intraslab earthquakes. We consider building code hazard levels for peak ground acceleration (PGA), 0.2-s, and 1.0-s spectral accelerations (SAs) on uniform firm-rock site conditions. The GMM modifications in the updated version of the maps created changes in hazard within 5% to 20% in WUS; decreases within 5% to 20% in CEUS; changes within 5% to 15% for subduction interface earthquakes; and changes involving decreases of up to 50% and increases of up to 30% for deep intraslab earthquakes for most U.S. sites. These modifications were combined with changes resulting from modifications in the source characterization models to obtain the new hazard maps.

Metabolic syndrome in the Military Health System based on electronic health data, 2009-2012.

PubMed

Herzog, Catherine M; Chao, Susan Y; Eilerman, Patricia A; Luce, Beverly K; Carnahan, David H

2015-01-01

Metabolic syndrome prevalence in the United States rose from 27% to 34.2% between 1999-2000 and 1999-2006. However, prevalence has not been determined in the Military Health System. This retrospective descriptive study included enrolled Military Health System adults during fiscal years 2009-2012. We explored three populations (nonactive duty, active duty, and Air Force active duty) and their metabolic syndrome components (body mass index or waist circumference, blood glucose test, triglyceride, high density lipoprotein, and blood pressure). The active duty sample (who had all five components measured) was representative of its population, but the nonactive duty sample was not. Therefore, we reported component-wise prevalence for both nonactive and active duty populations, but only reported prevalence of metabolic syndrome for active duty. A decreasing trend, greater in men, was seen. Crude prevalence in 2012 was higher among men and highest among males and females aged 45-64. Only Air Force active duty data contained waist circumference measurements, enabling comparison to the United States. This subgroup prevalence was significantly lower than the United States prevalence in 2010 for both genders in every age group. Although decreasing metabolic syndrome prevalence is promising, prevalence is still high and future research should explore policies to help lower the prevalence. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

Advanced power generation systems for the 21st Century: Market survey and recommendations for a design philosophy

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

Andriulli, J.B.; Gates, A.E.; Haynes, H.D.

1999-11-01

The purpose of this report is to document the results of a study designed to enhance the performance of future military generator sets (gen-sets) in the medium power range. The study includes a market survey of the state of the art in several key component areas and recommendations comprising a design philosophy for future military gen-sets. The market survey revealed that the commercial market is in a state of flux, but it is currently or will soon be capable of providing the technologies recommended here in a cost-effective manner. The recommendations, if implemented, should result in future power generation systemsmore » that are much more functional than today's gen-sets. The number of differing units necessary (both family sizes and frequency modes) to cover the medium power range would be decreased significantly, while the weight and volume of each unit would decrease, improving the transportability of the power source. Improved fuel economy and overall performance would result from more effective utilization of the prime mover in the generator. The units would allow for more flexibility and control, improved reliability, and more effective power management in the field.« less

Exploring longitudinal shifts in international nurse migration to the United States between 2003 and 2013 through a random effects panel data analysis.

PubMed

Squires, Allison; Ojemeni, Melissa T; Jones, Simon

2016-06-30

No study has examined the longitudinal trends in National Council Licensure Exam for Registered Nurse (NCLEX-RN) applicants and pass rates among internationally-educated nurses (IENs) seeking to work in the United States, nor has any analysis explored the impact of specific events on these trends, including changes to the NCLEX-RN exam, the role of the economic crisis, or the passing of the WHO Code on the International Recruitment of Health Personnel. This study seeks to understand the impact of the three aforementioned factors that may be influencing current and future IEN recruitment patterns in the United States. In this random effects panel data analysis, we analyzed 11 years (2003-2013) of annual IEN applicant numbers and pass rates for registered nurse credentialing. Data were obtained from publicly available reports on exam pass rates. With the global economic crisis and NCLEX-RN changes in 2008 coupled with the WHO Code passage in 2010, we sought to compare if (1) the number of applicants changed significantly after those 2 years and (2) if pass rates changed following exam modifications implemented in 2008 and 2011. A total of 177 countries were eligible for inclusion in this analysis, representing findings from 200,453 IEN applicants to the United States between 2003 and 2013. The majority of applicants were from the Philippines (58 %) and India (11 %), with these two countries combined representing 69 % of the total. Candidates from Sub-Saharan African countries totalled 7133 (3 % of all applications) over the study period, with half of these coming from Nigeria alone. No significant changes were found in the number of candidates following the 2008 economic crisis or the 2010 WHO Code, although pass rates decreased significantly following the 2008 exam modifications and the WHO Code implementation. This study suggests that, while the WHO Code has had an influence on overall IEN migration dynamics to the United States by decreasing candidate numbers, in most cases, the WHO Code was not the single cause of these fluctuations. Indeed, the impact of the NCLEX-RN exam changes appears to exert a larger influence.

Comparison of the U.S. lead recycling industry in 1998 and 2011

USGS Publications Warehouse

Wilburn, David R.

2014-01-01

Since 1998, the structure of the lead recycling industry has changed and trade patterns of the domestic lead recycling industry have shifted. Although the domestic demand for lead has remained relatively constant since 1998, production of lead has increasingly shifted to the domestic secondary lead industry. The last primary lead smelter in the United States closed at the end of 2013, at which time the secondary lead industry became the sole source of domestic lead production. The amount of lead recovered annually from scrap batteries generally increased from about 900,000 metric tons in 1995 to more than 1,100,000 metric tons in 2012. The percentage of total U.S. lead production attributed to battery scrap increased from 65 percent in 1995 to 87 percent in 2012. Since the North American Free Trade Agreement took effect in 1994, trade patterns among the United States, Canada, and Mexico have changed for recycled lead products. In the late 1990s, the principal sources of lead waste and scrap not derived from batteries were Canada, Mexico, and South America; by 2011, the principal sources were Central America and Asia, with decreasing amounts from Canada and South America. Since 1998, the amount of lead derived from imported batteries and scrap from Canada has ranged from 50 to 90 percent, and the amount imported from Mexico has ranged from 3 to 20 percent. Canada received about 50 percent of the lead contained in spent lead-acid batteries and scrap exported from the United States in 1998, and Mexico received about 4 percent. By 2012, however, the amount of lead scrap exported to Canada had decreased to about 10 percent, and the amount of lead-based scrap products, primarily batteries, exported to Mexico from the United States had increased to 47 percent. Vertical integration of the domestic secondary lead industry and higher costs required to implement more stringent ambient air standards in the United States have led some companies to shift lead recycling operations to Mexico. U.S. secondary lead producers are increasingly competing with Canadian and Mexican facilities for market share.

Trends in Hysteropexy and Apical Support for Uterovaginal Prolapse in the United States from 2002 to 2012.

PubMed

Madsen, Annetta M; Raker, Christina; Sung, Vivian W

Our objective was to describe trends in hysteropexy and apical support for uterovaginal prolapse (UVP) from 2002 to 2012 in the United States. We identified patient and hospital variables associated with hysteropexy and apical support. We used the Nationwide Inpatient Sample and International Classification of Diseases, Ninth Revision codes to identify a population of women 18 years or older with UVP undergoing pelvic organ prolapse surgery from January 1, 2002, to December 31, 2012. Procedures were categorized as (1) hysteropexy, (2) obliterative with uterine preservation, (3) hysterectomy with apical support, (4) hysterectomy without apical support, and (5) other reconstruction without apical support. Categories were dichotomized into those with and without apical support. We used survey weights to obtain nationally representative estimates; χ and linear and logistic regression compared procedure groups. An estimated 815,184 hospital discharges of pelvic organ prolapse procedures for UVP occurred from 2002 to 2012. During this time, hysteropexies increased from 1.81% to 5.00% (P < 0.0001). From 2002 to 2012, hysterectomies with apical support increased (10.07% to 32.51%, P < 0.0001), hysterectomy without apical support decreased (27.14% to 17.12%, P < 0.0001), and reconstruction without apical support decreased (59.07% to 40.48%, P < 0.0001). In most recent years 2011 to 2012, 60% of women with UVP underwent inpatient surgery without an apical procedure. Age 52 years or older, Medicare payment, Northeast region, and urban teaching hospitals were associated with increased odds of apical support for UVP (P < 0.001 for all). Hysteropexy significantly increased in the United States from 2002 to 2012, although the overall proportion remains low. While hysterectomy without apical support is decreasing, approximately 60% of inpatient procedures performed for UVP do not address the apex.

Time Trends in Incidence and Severity of Injury Among Collegiate Soccer Players in the United States: NCAA Injury Surveillance System, 1990-1996 and 2004-2009.

PubMed

Chandran, Avinash; Barron, Mary J; Westerman, Beverly J; DiPietro, Loretta

2016-12-01

A number of sociocultural and environmental changes have occurred over the past several decades that may affect the risk of injury among young athletes playing soccer. To identify trends in injury incidence and severity between 2 time periods (1990-1996 and 2004-2009) in both male and female National Collegiate Athletic Association (NCAA) soccer players in the United States. Descriptive epidemiology study. Data were analyzed from the NCAA Injury Surveillance System. The rate ratio (RR), along with the 95% Wald CI, compared incidence density in 2004-2009 relative to that in 1990-1996. Overall sex-pooled injury rates were significantly lower in the 2004-2009 cohort compared with the 1990-1996 cohort (RR = 0.88; 95% CI = 0.86-0.91), and this was true for almost every category of injury studied. We observed only 1 significant sex difference between the time periods with regard to noncontact injuries, as men experienced a significant increase in rate of noncontact injuries between 1990-1996 and 2004-2009 (RR = 1.09; 95% CI = 1.02-1.17), whereas women experienced a significant decrease (RR = 0.70; 95% CI = 0.67-0.75). These surveillance data show decreasing trends in collegiate soccer injuries. Whether these decreases are attributable to greater resources being allocated toward athlete health, injury management, or the safety of the playing environment cannot be determined. Given the prominence of soccer play in the United States, public health efforts should promote the use of this surveillance system to better inform and evaluate injury prevention practices and policies directed toward player safety. © 2016 The Author(s).

Trends in Acute Ischemic Stroke Hospitalizations in the United States.

PubMed

Ramirez, Lucas; Kim-Tenser, May A; Sanossian, Nerses; Cen, Steven; Wen, Ge; He, Shuhan; Mack, William J; Towfighi, Amytis

2016-05-11

Population-based studies have revealed declining acute ischemic stroke (AIS) hospitalization rates in the United States, but no study has assessed recent temporal trends in race/ethnic-, age-, and sex-specific AIS hospitalization rates. Temporal trends in hospitalization for AIS from 2000 to 2010 were assessed among adults ≥25 years using the Nationwide Inpatient Sample. Age-, sex-, and race/ethnic-specific and age-adjusted stroke hospitalization rates were calculated using the weighted number of hospitalizations and US census data. From 2000 to 2010, age-adjusted stroke hospitalization rates decreased from 250 to 204 per 100 000 (overall rate reduction 18.4%). Age-specific AIS hospitalization rates decreased for individuals aged 65 to 84 years (846 to 605 per 100 000) and ≥85 years (2077 to 1618 per 100 000), but increased for individuals aged 25 to 44 years (16 to 23 per 100 000) and 45 to 64 years (149 to 156 per 100 000). Blacks had the highest age-adjusted yearly hospitalization rates, followed by Hispanics and whites (358, 170, and 155 per 100 000 in 2010). Age-adjusted AIS hospitalization rates increased for blacks but decreased for Hispanics and whites. Age-adjusted AIS hospitalization rates were lower in women and declined more steeply compared to men (272 to 212 per 100 000 in women versus 298 to 245 per 100 000 in men). Although overall stroke hospitalizations declined in the United States, the reduction was more pronounced among older individuals, women, Hispanics, and whites. Renewed efforts at targeting risk factor control among vulnerable individuals may be warranted. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Tuberculosis epidemiology, diagnosis and infection control recommendations for dental settings: an update on the Centers for Disease Control and Prevention guidelines.

PubMed

Cleveland, Jennifer L; Robison, Valerie A; Panlilio, Adelisa L

2009-09-01

Although rates of tuberculosis (TB) in the United States have decreased in recent years, disparities in TB incidence still exist between U.S.-born and foreign-born people (people living in the United States but born outside it) and between white people and nonwhite people. In addition, the number of TB outbreaks among health care personnel and patients has decreased since the implementation of the 1994 Centers for Disease Control and Prevention (CDC) guidelines to prevent transmission of Mycobacterium tuberculosis. In this article, the authors provide updates on the epidemiology of TB, advances in TB diagnostic methods and TB infection control guidelines for dental settings. In 2008, 83 percent of all reported TB cases in the United States occurred in nonwhite people and 17 percent occurred in white people. Foreign-born people had a TB rate about 10 times higher than that of U.S.-born people. New blood assays for M. tuberculosis have been developed to diagnose TB infection and disease. Changes from the 1994 CDC guidelines incorporated into CDC's "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005" include revised risk classifications, new TB diagnostic methods, decreased frequencies of tuberculin skin testing in various settings and changes in terminology. Although the principles of TB infection control have remained the same, the changing epidemiology of TB and the advent of new diagnostic methods for TB led to the development of the 2005 update to the 1994 guidelines. Dental health care personnel should be aware of the modifications that are pertinent to dental settings and incorporate them into their overall infection control programs.

Dramatic decline in substance use by HIV-infected pregnant women in the United States from 1990 to 2012.

PubMed

Rough, Kathryn; Tassiopoulos, Katherine; Kacanek, Deborah; Griner, Raymond; Yogev, Ram; Rich, Kenneth C; Seage, George R

2015-01-02

We aimed to describe temporal changes in substance use among HIV-infected pregnant women in the United States from 1990 to 2012. Data came from two prospective cohort studies (Women and Infants Transmission Study and Surveillance Monitoring for Antiretroviral Therapy Toxicities Study). Women were classified as using a substance during pregnancy if they self-reported use or had a positive biological sample. To account for correlation between repeated pregnancies by the same woman, generalized estimating equation models were used to test for temporal trends and evaluate predictors of substance use. Over the 23-year period, substance use among the 5451 HIV-infected pregnant women sharply declined; 82% of women reported substance use during pregnancy in 1990, compared with 23% in 2012. Use of each substance decreased significantly (P < 0.001 for each substance) in an approximately linear fashion, until reaching a plateau in 2006. Multivariable models showed substance use was inversely associated with receiving antiretroviral therapy. Among the subset of 824 women with multiple pregnancies under observation, women who used a substance in their previous pregnancy were at elevated risk of substance use during their next pregnancy (risk ratio, 5.71; 95% confidence interval, 4.63-7.05). A substantial decrease in substance use during pregnancy was observed between 1990 and 2012 in two large US cohorts of HIV-infected women. Substance use prevalence in these cohorts became similar to that of pregnant women in the general US population by the mid-2000s, suggesting that the observed decrease may be due to an epidemiological transition of the HIV epidemic among women in the United States.

Prophylactic Sacral Dressing for Pressure Ulcer Prevention in High-Risk Patients.

PubMed

Byrne, Jaime; Nichols, Patricia; Sroczynski, Marzena; Stelmaski, Laurie; Stetzer, Molly; Line, Cynthia; Carlin, Kristen

2016-05-01

Patients in intensive care units are likely to have limited mobility owing to hemodynamic instability and activity orders for bed rest. Bed rest is indicated because of the severity of the disease process, which often involves intubation, sedation, paralysis, surgical procedures, poor nutrition, low flow states, and poor circulation. These patients are predisposed to the development and/or the progression of pressure ulcers not only because of their underlying diseases, but also because of limited mobility and deconditioned states of health. To assess whether treating high-risk patients with a prophylactic sacral dressing decreases the incidence of unit-acquired sacral pressure ulcers. An evidence-based tool for identifying patients at high risk for pressure ulcers was used in 3 intensive care units at an urban tertiary care hospital and academic medical center. Those patients deemed at high risk had a prophylactic sacral dressing applied. Incidence rates were collected and compared for the 7 months preceding use of the dressings and for 7 months during the trial period when the dressing was used. After the sacral dressing began being used, the number of unit-acquired sacral pressure ulcers decreased by 3.4 to 7.6 per 1000 patient days depending on the unit. A prophylactic sacral dressing may help prevent unit-acquired sacral pressure ulcers. Implementation of an involved care team with heightened awareness and increased education along with a prophylactic sacral dressing in patients deemed high risk for skin breakdown are all essential for success. ©2016 American Association of Critical-Care Nurses.

Alcohol Use among Recent Latino Immigrants Before and After Immigration to the United States

PubMed Central

De La Rosa, Mario; Dillon, Frank R.; Sastre, Francisco; Babino, Rosa

2013-01-01

Background US-born Latinos have higher rates of alcohol use than Latinos who have immigrated to the United States. However, little is known about the pre-immigration drinking patterns of Latino immigrants or about the changes in their drinking behaviors in the 2 years post-immigration. Objectives This article reports findings of a longitudinal study that compared rates of regular, binge, and heavy drinking among a cohort of recent Latino immigrants, ages 18–34, prior to immigration to the United States and in the 2 years post-immigration. Methods Baseline data were collected on the drinking patterns of 405 Latino immigrants living in the United States for 12 months or less. A follow-up assessment occurred during their second year in the United States. Results Findings indicate that number of days of drinking declined significantly post-immigration. Binge alcohol use (five or more drinks on the same occasion during the past 90 days) significantly declined during the post-immigration period. Heavy alcohol use (five or more drinks on the same occasion on five or more days during the past 90 days) also significantly decreased. Conclusions Results suggest a need for continued exploration of pre-immigration drinking patterns and research to uncover underlying factors associated with declines in rates of problematic alcohol use among recent Latino immigrants. Scientific Significance The results of this study can aid in furthering our understanding of the alcohol use of Latino immigrants ages 18–34 prior to and post immigration to the United States to guide future research and the development of culturally tailored clinical interventions. (Am J Addict 2013;22:162–168) PMID:23414503

Survival of patients with gastric lymphoma in Germany and in the United States.

PubMed

Castro, Felipe A; Jansen, Lina; Krilaviciute, Agne; Katalinic, Alexander; Pulte, Dianne; Sirri, Eunice; Ressing, Meike; Holleczek, Bernd; Luttmann, Sabine; Brenner, Hermann

2015-10-01

This study aims to examine survival for gastric lymphomas and its main subtypes, mucosa-associated lymphoid tissue lymphoma (MALT), and diffuse large B-cell lymphoma (DLBCL), in Germany and in the United States. Data for patients diagnosed in 1997-2010 were used from 10 population-based German cancer registries and compared to the data from the US Surveillance, Epidemiology and End Results (SEER) 13 registries database. Patients age 15-74 diagnosed with gastric lymphomas were included in the analysis. Period analysis and modeled period analysis were used to estimate 5-year and 10-year relative survival (RS) in 2002-2010 and survival trends from 2002-2004 to 2008-2010. Overall, the database included 1534 and 2688 patients diagnosed with gastric lymphoma in 1997-2010 in Germany and in the United States, respectively. Survival was substantially higher for MALT (5-year and 10-year RS: 89.0% and 80.9% in Germany, 93.8% and 86.8% in the United States) than for DLBCL (67.5% and 59.2% in Germany, and 65.3% and 54.7% in the United States) in 2002-2010. Survival was slightly higher among female patients and decreased by age for gastric lymphomas combined and its main subtypes. A slight, nonsignificant, increase in the 5-year RS for gastric lymphomas combined was observed in Germany and the United States, with increases in 5-year RS between 2002-2004 and 2008-2010 from 77.1% to 81.0% and from 77.3% to 82.0%, respectively. Five-year RS of MALT exceeded 90% in 2008-2010 in both countries. Five-year RS of MALT meanwhile exceeds 90% in both Germany and the United States, but DLBCL has remained below 70% in both countries. © 2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.

Protocols and Hospital Mortality in Critically ill Patients: The United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study

PubMed Central

Sevransky, Jonathan E.; Checkley, William; Herrera, Phabiola; Pickering, Brian W.; Barr, Juliana; Brown, Samuel M; Chang, Steven Y; Chong, David; Kaufman, David; Fremont, Richard D; Girard, Timothy D; Hoag, Jeffrey; Johnson, Steven B; Kerlin, Mehta P; Liebler, Janice; O'Brien, James; O'Keefe, Terence; Park, Pauline K; Pastores, Stephen M; Patil, Namrata; Pietropaoli, Anthony P; Putman, Maryann; Rice, Todd W.; Rotello, Leo; Siner, Jonathan; Sajid, Sahul; Murphy, David J; Martin, Greg S

2015-01-01

Objective Clinical protocols may decrease unnecessary variation in care and improve compliance with desirable therapies. We evaluated whether highly protocolized intensive care units have superior patient outcomes compared with less highly protocolized intensive care units. Design Observational study in which participating intensive care units completed a general assessment and enrolled new patients one day each week. Setting and Patients 6179 critically ill patients across 59 intensive care units in the United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study Interventions: None Measurements and Main Results The primary exposure was the number of intensive care unit protocols; the primary outcome was hospital mortality. 5809 participants were followed prospectively and 5454 patients in 57 intensive care units had complete outcome data. The median number of protocols per intensive care unit was 19 (IQR 15 to 21.5). In single variable analyses, there were no differences in intensive care unit and hospital mortality, length of stay, use of mechanical ventilation, vasopressors, or continuous sedation among individuals in intensive care units with a high vs. low number of protocols. The lack of association was confirmed in adjusted multivariable analysis (p=0.70). Protocol compliance with two ventilator management protocols was moderate and did not differ between intensive care units with high vs. low numbers of protocols for lung protective ventilation in ARDS (47% vs. 52%; p=0.28) and for spontaneous breathing trials (55% vs. 51%; p=0.27). Conclusions Clinical protocols are highly prevalent in United States intensive care units. The presence of a greater number of protocols was not associated with protocol compliance or patient mortality. PMID:26110488

Laryngeal cancer in the United States: changes in demographics, patterns of care, and survival.

PubMed

Hoffman, Henry T; Porter, Kimberly; Karnell, Lucy H; Cooper, Jay S; Weber, Randall S; Langer, Corey J; Ang, Kie-Kian; Gay, Greer; Stewart, Andrew; Robinson, Robert A

2006-09-01

Survival has decreased among patients with laryngeal cancer during the past 2 decades in the United States. During this same period, there has been an increase in the nonsurgical treatment of laryngeal cancer. The objectives of this study were to identify trends in the demographics, management, and outcome of laryngeal cancer in the United States and to analyze factors contributing to the decreased survival. The authors conducted a retrospective, longitudinal study of laryngeal cancer cases. Review of the National Cancer Data Base (NCDB) revealed 158,426 cases of laryngeal squamous cell carcinoma (excluding verrucous carcinoma) diagnosed between the years 1985 and 2001. Analysis of these case records addressed demographics, management, and survival for cases grouped according to stage, site, and specific TNM classifications. This review of data from the NCDB analysis confirms the previously identified trend toward decreasing survival among patients with laryngeal cancer from the mid-1980s to mid-1990s. Patterns of initial management across this same period indicated an increase in the use of chemoradiation with a decrease in the use of surgery despite an increase in the use of endoscopic resection. The most notable decline in the 5-year relative survival between the 1985 to 1990 period and the 1994 to 1996 period occurred among advanced-stage glottic cancer, early-stage supraglottic cancers, and supraglottic cancers classified as T3N0M0. Initial treatment of T3N0M0 laryngeal cancer (all sites) in the 1994 to 1996 period resulted in poor 5-year relative survival for those receiving either chemoradiation (59.2%) or irradiation alone (42.7%) when compared with that of patients after surgery with irradiation (65.2%) and surgery alone (63.3%). In contrast, identical 5-year relative survival (65.6%) rates were observed during this same period for the subset of T3N0M0 glottic cancers initially treated with either chemoradiation or surgery with irradiation. The decreased survival recorded for patients with laryngeal cancer in the mid-1990s may be related to changes in patterns of management. Future studies are warranted to further evaluate these associations.

Age, sex, and racial differences in harsh physical punishment: Results from a nationally representative United States sample

PubMed Central

Taillieu, Tamara L.; Afifi, Tracie O.; Mota, Natalie; Keyes, Katherine M.; Sareen, Jitender

2015-01-01

The purpose of this research was to examine age, sex, and racial differences in the prevalence of harsh physical punishment in childhood in a nationally representative sample of the United States. Data were from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) collected in 2004 and 2005 (n = 34,653). Logistic regression analyses were conducted to examine age, sex, and racial differences in the prevalence of harsh physical punishment. Results suggest that the prevalence of harsh physical punishment has been decreasing among more recently born age groups; however, there appear to be sex and racial differences in this trend over time. The magnitude of the decrease appears to be stronger for males than for females. By race, the decrease in harsh physical punishment over time is only apparent among Whites; Black participants demonstrate little change over time, and harsh physical punishment seems to be increasing over time among Hispanics. Prevention and intervention efforts that educate about the links of physical punishment to negative outcomes and alternative non-physical discipline strategies may be particularly useful in reducing the prevalence of harsh physical punishment over time. PMID:25466426

Age, sex, and racial differences in harsh physical punishment: results from a nationally representative United States sample.

PubMed

Taillieu, Tamara L; Afifi, Tracie O; Mota, Natalie; Keyes, Katherine M; Sareen, Jitender

2014-12-01

The purpose of this research was to examine age, sex, and racial differences in the prevalence of harsh physical punishment in childhood in a nationally representative sample of the United States. Data were from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) collected in 2004 and 2005 (n=34,653). Logistic regression analyses were conducted to examine age, sex, and racial differences in the prevalence of harsh physical punishment. Results suggest that the prevalence of harsh physical punishment has been decreasing among more recently born age groups; however, there appear to be sex and racial differences in this trend over time. The magnitude of the decrease appears to be stronger for males than for females. By race, the decrease in harsh physical punishment over time is only apparent among Whites; Black participants demonstrate little change over time, and harsh physical punishment seems to be increasing over time among Hispanics. Prevention and intervention efforts that educate about the links of physical punishment to negative outcomes and alternative non-physical discipline strategies may be particularly useful in reducing the prevalence of harsh physical punishment over time. Copyright © 2014 Elsevier Ltd. All rights reserved.

Rabies surveillance in the United States during 2015.

PubMed

Birhane, Meseret G; Cleaton, Julie M; Monroe, Ben P; Wadhwa, Ashutosh; Orciari, Lillian A; Yager, Pamela; Blanton, Jesse; Velasco-Villa, Andres; Petersen, Brett W; Wallace, Ryan M

2017-05-15

OBJECTIVE To describe rabies and rabies-related events occurring during 2015 in the United States. DESIGN Observational study based on passive surveillance data. ANIMALS All animals submitted for rabies testing in the United States during 2015. PROCEDURES State and territorial public health programs provided data on animals submitted for rabies testing in 2015. Data were analyzed temporally and geographically to assess trends in domestic and sylvatic animal rabies cases. RESULTS During 2015, 50 states and Puerto Rico reported 5,508 rabid animals to the CDC, representing an 8.7% decrease from the 6,033 rabid animals reported in 2014. Of the 5,508 cases of animal rabies, 5,088 (92.4%) involved wildlife. Relative contributions by the major animal groups were as follows: 1,704 (30.9%) bats, 1,619 (29.4%) raccoons, 1,365 (24.8%) skunks, 325 (5.9%) foxes, 244 (4.4%) cats, 85 (1.5%) cattle, and 67 (1.2%) dogs. There was a 4.1% decrease in the number of samples submitted for testing in 2015, compared with the number submitted in 2014. Three human rabies deaths were reported in 2015, compared with only 1 in 2014. A 65-year-old man in Massachusetts was bitten by a rabid dog while abroad. A 77-year-old woman in Wyoming had contact with a bat. A 54-year-old man in Puerto Rico was bitten by a mongoose. The only connection among these 3 cases was that none received postexposure prophylaxis. CONCLUSIONS AND CLINICAL RELEVANCE Laboratory testing of animals suspected to be rabid remains a critical public health function and continues to be a cost-effective method to directly influence human rabies postexposure prophylaxis recommendations. (J Am Vet Med Assoc 2017;250:1117-1130).

Effects of El Niño on Summertime Ozone Air Quality in the Eastern United States

NASA Astrophysics Data System (ADS)

Shen, Lu; Mickley, Loretta J.

2017-12-01

We investigate the effect of El Niño on maximum daily 8 h average surface ozone over the eastern United States in summer during 1980-2016. El Niño can influence the extratropical climate through the propagation of stationary waves, leading to (1) reduced transport of moist, clean air into the middle and southern Atlantic states and greater subsidence, reduced precipitation, and increased surface solar radiation in this region, as well as (2) intensified southerly flow into the south central states, which here enhances flux of moist and clean air. As a result, each standard deviation increase in the Niño 1 + 2 index is associated with an increase of 1-2 ppbv ozone in the Atlantic states and a decrease of 0.5-2 ppbv ozone in the south central states. These influences can be predicted 4 months in advance. We show that U.S. summertime ozone responds differently to eastern-type El Niño events compared to central-type events.

Reducing Potentially Excess Deaths from the Five Leading Causes of Death in the Rural United States

PubMed

Garcia, Macarena C; Faul, Mark; Massetti, Greta; Thomas, Cheryll C; Hong, Yuling; Bauer, Ursula E; Iademarco, Michael F

2017-01-13

In 2014, the all-cause age-adjusted death rate in the United States reached a historic low of 724.6 per 100,000 population (1). However, mortality in rural (nonmetropolitan) areas of the United States has decreased at a much slower pace, resulting in a widening gap between rural mortality rates (830.5) and urban mortality rates (704.3) (1). During 1999–2014, annual age-adjusted death rates for the five leading causes of death in the United States (heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke) were higher in rural areas than in urban (metropolitan) areas (Figure 1). In most public health regions (Figure 2), the proportion of deaths among persons aged <80 years (U.S. average life expectancy) (2) from the five leading causes that were potentially excess deaths was higher in rural areas compared with urban areas (Figure 3). Several factors probably influence the rural-urban gap in potentially excess deaths from the five leading causes, many of which are associated with sociodemographic differences between rural and urban areas. Residents of rural areas in the United States tend to be older, poorer, and sicker than their urban counterparts (3). A higher proportion of the rural U.S. population reports limited physical activity because of chronic conditions than urban populations (4). Moreover, social circumstances and behaviors have an impact on mortality and potentially contribute to approximately half of the determining causes of potentially excess deaths (5).

Domino Effect

ERIC Educational Resources Information Center

Carrell, Scott E.; Hoekstra, Mark L.

2009-01-01

Each year, between 10 and 20 percent of schoolchildren in the United States are exposed to domestic violence. According to psychologists, such exposure can lead to aggressive behavior, decreased social competence, and diminished academic performance. A majority of parents and school officials believe that children who are troubled, whatever the…

United States housing brief, August 2017

Treesearch

Delton Alderman

2018-01-01

The bright spot in September was new single-family sales, but housing starts appear to have stalled on a monthly basis. Regionally, data were mixed across all sectors. New construction spending’s contribution to U.S. gross domestic product decreased on a quarterly basis.

United States housing brief, September 2017

Treesearch

Delton Alderman

2018-01-01

The bright spot in September was new single-family sales, but housing starts appear to have stalled on a monthly basis. Regionally, data were mixed across all sectors. New construction spending’s contribution to U.S. gross domestic product decreased on a quarterly basis.

Rare earths

USGS Publications Warehouse

Gambogi, J.

2013-01-01

Global mine production of rare earths was estimated to have declined slightly in 2012 relative to 2011 (Fig. 1). Production in China was estimated to have decreased to 95 from 105 kt (104,700 from 115,700 st) in 2011, while new mine production in the United States and Australia increased.

Understanding Cancer Prevention, Detection, Treatment, Control

MedlinePlus

... on cancer research and treatment. August 5 of this year marks the 70th anniversary of the National Cancer ... the United States in 2003 than in 2002. This was the first decrease in cancer deaths since 1930, the year our country began compiling statistics on the disease's ...

Trends in Atmospheric Reactive Nitrogen for the Eastern United States

EPA Science Inventory

Reactive nitrogen can travel far from emission sources and impact sensitive ecosystems. From 2002-2006, policy actions have led to decreases in NO_x emissions from power plants and motor vehicles. In this study, atmospheric chemical transport modeling demonstrates tha...

Aviation and the environment : transition to quieter aircraft occurred as planned, but concerns about noise persist

DOT National Transportation Integrated Search

2001-09-01

Aircraft noise is a major concern in communities around airports despite considerable reductions in such noise and a corresponding decrease in the population exposed to it. Recently, the United states participated with other countries in the Internat...

Some Heartland Farmers Just Say No to Chemicals.

ERIC Educational Resources Information Center

McDermott, Jeanne

1990-01-01

Discusses how the increasing pollution and decreasing effectiveness of agrichemicals has spurred a new interest in "natural" farming practices in the midwestern United States. Provides the testimony of farmers who have converted their farming operations from chemically intensive to sustainable or alternative agricultural practices. (MCO)

Long-Term Depressive Symptoms and Acculturative Stress Issues Among Immigrants From the Former Soviet Union.

PubMed

Baker, Cathy J

2016-09-01

Previous studies regarding depressive symptoms and acculturative stress among immigrants have been limited to the initial period after immigration. The relationships between depressive symptoms, acculturation, and acculturative stress among immigrants from the former Soviet Union were examined in this descriptive study. Eighty immigrants from the former Soviet Union who had immigrated within the past 20 years were recruited in various community locations. Participants (N = 80), including recent and longer residing immigrants, reported elevated depressive symptoms and acculturative stress. Acculturative stress predicted depressive symptoms, controlling for dominant culture (American) immersion. However, length of time in the United States was not associated with depressive symptoms, ethnic culture immersion, or acculturative stress. Our results suggest that elevated depressive symptoms are related to acculturative stress but are not confined to the initial adjustment period. Steps to decrease acculturative stress might help decrease depressive symptoms in immigrants regardless of the number of years lived in the United States. © The Author(s) 2016.

Mexican demand for US natural gas

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

Kanter, M.A.; Kier, P.H.

1993-09-01

This study describes the Mexican natural gas industry as it exists today and the factors that have shaped the evolution of the industry in the past or that are expected to influence its progress; it also projects production and use of natural gas and estimates the market for exports of natural gas from the United States to Mexico. The study looks ahead to two periods, a near term (1993--1995) and an intermediate term (1996--2000). The bases for estimates under two scenarios are described. Under the conservative scenario, exports of natural gas from the United States would decrease from the 1992more » level of 250 million cubic feet per day (MMCF/d), would return to that level by 1995, and would reach about 980 MMCF/D by 2000. Under the more optimistic scenario, exports would decrease in 1993 and would recover and rise to about 360 MMCF/D in 1995 and to 1,920 MMCF/D in 2000.« less

Is April to July runoff really decreasing in the Western United States?

USGS Publications Warehouse

Wahl, Kenneth L.

1991-01-01

Global warming has been the topic of a great deal of heated discussion and debate in recent years, both in the lay press and in scientific journals. The debate is about whether we are beginning to detect signs of a buildup of greenhouse gases on a global scale. A major part of the debate concerns the possible effects on climate and on the future availability of water resources. The ongoing drought in California has added impetus to the debate, serving notice of the serious consequences of any prolonged decrease in the availability of adequate water supplies. This paper has three primary objectives: (1) To evaluate the ramifications of using fractional runoff rather than total runoff to define trends in runoff; (2) to analyze additional streamflow data for the presence and extent of trends in annual and seasonal runoff volume for the conterminous Western United States; and (3) to examine the influence of the current California drought on indicators of trend.

Use of Technology for HIV Prevention among Adolescent and Adult Women in the United States

PubMed Central

Patel, Viraj V.; Cunningham, Chinazo O.

2015-01-01

Although the proportion of new HIV infections in the United States among women has decreased over the last few years, still, approximately 20% of new infections occur annually among adolescent and adult women. The development of effective evidence-based prevention interventions remains an important approach to further decreasing these numbers. Technology-delivered prevention interventions hold tremendous potential due, in part, to their ability to reach beyond the walls of brick-and-mortar intervention sites to engage individuals where they are. While most technology-delivered interventions have focused on adolescents and men who have sex with men, much fewer have specifically targeted adolescent or adult women despite evidence showing interventions tailored to specific target populations are most effective. We summarize the recently published literature on technology-delivered HIV prevention interventions for U.S. adolescent and adult women and provide suggestions for next steps in this nascent but emergent area of prevention research. PMID:26412086

Trends in record-breaking temperatures for the conterminous United States

NASA Astrophysics Data System (ADS)

Rowe, Clinton M.; Derry, Logan E.

2012-08-01

In an unchanging climate, record-breaking temperatures are expected to decrease in frequency over time, as established records become increasingly more difficult to surpass. This inherent trend in the number of record-breaking events confounds the interpretation of actual trends in the presence of any underlying climate change. Here, a simple technique to remove the inherent trend is introduced so that any remaining trend can be examined separately for evidence of a climate change. As this technique does not use the standard definition of a broken record, our records* are differentiated by an asterisk. Results for the period 1961-2010 indicate that the number of record* low daily minimum temperatures has been significantly and steadily decreasing nearly everywhere across the United States while the number of record* high daily minimum temperatures has been predominantly increasing. Trends in record* low and record* high daily maximum temperatures are generally weaker and more spatially mixed in sign. These results are consistent with other studies examining changes expected in a warming climate.

The Control of Rotavirus Gastroenteritis in The United States

PubMed Central

Glass, Roger I.; Parashar, Umesh; Patel, Manish; Tate, Jacqueline; Jiang, Baoming; Gentsch, Jon

2012-01-01

Since 2006, two new vaccines have been licensed to prevent rotavirus, the cause of 20% to 50% of severe acute gastroenteritis in young children worldwide. These vaccines have been implemented in national immunization programs in about 30 high- and middle-income countries, including the United States, and vaccine use has led to substantial decreases in diarrhea-related health care visits. In addition to reductions in diarrhea burden in vaccinated children, decreases have been observed in older, unvaccinated age groups in many settings, suggesting indirect benefits (i.e., herd immunity) from vaccination. Although the efficacy of these oral rotavirus vaccines is expectedly lower in developing countries in Asia and Africa, the public health benefits of vaccination in these settings, where more than 90% of the estimated 453,000 annual deaths from rotavirus occur, are likely to be substantial. Efforts continue to develop alternative rotavirus vaccines that could have a better efficacy and safety profile and may be less expensive. PMID:23303967

Decline in Ocular Toxoplasmosis over 40 Years at a Tertiary Referral Practice in the United States.

PubMed

Hou, Joshua H; Patel, Sarju S; Farooq, Asim V; Qadir, Asad A; Tessler, Howard H; Goldstein, Debra A

2018-01-01

To identify whether there has been a decline in ocular toxoplasmosis at a tertiary uveitis practice. Retrospective review of new patients at the University of Illinois Uveitis Service from 1973 to 2012. There were 6820 patients with adequate records for inclusion; 323 (4.7%) were diagnosed with ocular toxoplasmosis. There was a 78.0% decline in prevalence of ocular toxoplasmosis from 2008 to 2012 compared with 1973 to 1977. Compared with the aggregate uveitis population, toxoplasmosis patients were more likely to be Hispanic (p<0.0001) and less likely to be African American (p<0.0001). Ocular toxoplasmosis in Hispanics commonly occurred in foreign-born patients (85.3%). The diagnosis of ocular toxoplasmosis at our clinic declined, with Hispanics accounting for an increasing proportion of cases. These trends are consistent with the decreasing toxoplasmosis seropositivity in the United States, but may also reflect decreased referrals due to improved management of ocular toxoplasmosis in primary clinics.

Landsat mapping of rocks associated with copper mineralization, northern Bahia State, Brazil

NASA Technical Reports Server (NTRS)

Stone, T. A.; Birnie, R. W.; Zantop, H.

1983-01-01

This project has applied Landsat digital data to a study of the geology of a mineralized zone in northern Bahia State, Brazil. The study accomplished two tasks: (1) production of a 1:100,000 geologic map of approximately 3300 sq km and (2) development of a two tiered geobotanical index that exploits increased vegetation density and decreased soil brightness on the mafic rock units.

Exciplex-like emission from a closely-spaced, orthogonally-sited anthracenyl-boron dipyrromethene (Bodipy) molecular dyad.

PubMed

Benniston, Andrew C; Harriman, Anthony; Whittle, Victoria L; Zelzer, Mischa; Harrington, Ross W; Clegg, William

2010-07-30

A molecular dyad, , has been prepared that incorporates a boron dipyrromethene (Bodipy) group functionalized at the meso position with an anthracenyl unit. Emission from the dyad contains contributions from both localized fluorescence from the Bodipy unit and exciplex-like emission associated with an intramolecular charge-transfer state. The peak position, intensity and lifetime of this exciplex emission are solvent dependent and the shift in the emission maximum shows a linear relationship to the solvent polarity function (Deltaf). The calculated dipole moment for the exciplex is 22.5 +/- 2.2 D. The radiative rate constant (k(RAD)) for exciplex emission decreases progressively with increasing solvent polarity. In this latter case, k(RAD) shows an obvious dependence on the energy gap between the exciplex state and the first-excited singlet state resident on the Bodipy unit. The emission characteristics for dissolved in perfluorooctane are used to characterize the refractive index and dielectric constant of the solvent.

Adolescent gun violence prevention: what we know, and what we can do to keep young people safe.

PubMed

Dodson, Nancy A

2016-08-01

This review will focus on recent research, initiatives, and legislation regarding the issue of gun violence as it pertains to adolescents. Homicide and suicide continue to be major killers of adolescents in the United States. Gun homicide kills teens in the most urban areas of the United States at the same rate as suicide kills teens in the most rural areas of the United States. Research on assault-injured youth sheds light on risk factors for teen gun homicide, and has found high rates of illegal gun carrying and retaliatory attitudes among at-risk teens. Suicide research continues to show a strong correlation between gun ownership and accessibility, and risk of completed suicide. Stand Your Ground laws and campus carry laws present unique threats to different populations of American teens. Given the enormous toll that gun violence takes on adolescent lives, pediatricians should ask about guns in the home and become involved in efforts to strengthen laws that would decrease gun violence.

Inactivation kinetics and steady-state current noise in the anomalous rectifier of tunicate egg cell membranes.

PubMed Central

Ohmori, H

1978-01-01

1. Inward K current through the anomalous rectifier in the tunicate egg (Halocynthis roretzi, Drashe) was studied under voltage clamp. The transient inward current in response to a step change of membrane potential was measured. The steady-state current fluctuations were analysed using the power density spectrum (p.d.s.). 2. The inward current showed time-dependent changes, which were described by a pair of the first order kinetic parameters, n and s for activation and inactivation, respectively. The steady-state channel open probability due to the activation process (n infinity) was assumed to be 1.0 for V more negative than about--100 mV, but that of the inactivation process (s infinity) and the time constant of inactivation (taus) were membrane potential dependent in the same potential range; both decreased with increasing hyperpolarization. 3. The inward currents in Na-free choline medium did not inactivate, but were decreased in size. In Na-free Li medium, inactivation was very small; the steady-state conductance was not affected significantly. 4. After exposure to high Ca media, an increase of the conductance was observed. This effect is probably caused by an increase of intracellular Ca due to Ca ions entering through the Na channels. Mg ions slightly decreased the conductance. 5. In the hyperpolarized membrane (-160 less than or equal to V less than or equal to -80mV), steady-state current noise was recorded and analysed using p.d.s. A p.d.s. of the 1/[1 + (f/fc)2] type as well a p.d.s. of the 1/f type was observed; f, frequency, fc, cut-off frequency. 6. fc was translated into time constant tauN (= 1/2pIfC) and compared with the time constant of inactivation, taus. There was a significant correlation betwen these values with a regression coefficient of 0.82. 7. Changing from 400 mM-Li abloshied inactivation and changed the p.d.s. from the 1/[1 + (f/fc)2] into the 1/f type. These results (paragraphs 5--7)suggest that the fluctuations in the steady-state currents originatte in the inactivation gatin kinetics of the an ofthe anomalous rectifier. 8. The number of anomalous rectifier channels and the unit channel conductance were estimated from the 1/[1 + (f/fc)2] type current noise according to the formula : (see text), where I infinity = gamma Nninfinity s infinity (V--VK), gamma the unit channel conductance, N the maximum number of channels that can be opened by a hyperpolarizing pulse per egg. The unit conductance was 6 pmho in standard artificial sea water and the channel density was 0.028/micrometer2. 9. The unit channel conductance (gamma) was dependent upon external K concentration, but the number ofchannels (N) was not. 10. The increase in chord conductance evoked by higher Ca concentrations was due to the increase of the channel number. By contrast, Mg ions seem to decrease the unit channel conductance slightly. PMID:568176

Impact of income and income inequality on infant health outcomes in the United States.

PubMed

Olson, Maren E; Diekema, Douglas; Elliott, Barbara A; Renier, Colleen M

2010-12-01

The goal was to investigate the relationships of income and income inequality with neonatal and infant health outcomes in the United States. The 2000-2004 state data were extracted from the Kids Count Data Center. Health indicators included proportion of preterm births (PTBs), proportion of infants with low birth weight (LBW), proportion of infants with very low birth weight (VLBW), and infant mortality rate (IMR). Income was evaluated on the basis of median family income and proportion of federal poverty levels; income inequality was measured by using the Gini coefficient. Pearson correlations evaluated associations between the proportion of children living in poverty and the health indicators. Linear regression evaluated predictive relationships between median household income, proportion of children living in poverty, and income inequality for the 4 health indicators. Median family income was negatively correlated with all birth outcomes (PTB, r = -0.481; LBW, r = -0.295; VLBW, r = -0.133; IMR, r = -0.432), and the Gini coefficient was positively correlated (PTB, r = 0.339; LBW, r = 0.398; VLBW, r = 0.460; IMR, r = 0.114). The Gini coefficient explained a significant proportion of the variance in rate for each outcome in linear regression models with median family income. Among children living in poverty, the role of income decreased as the degree of poverty decreased, whereas the role of income inequality increased. Both income and income inequality affect infant health outcomes in the United States. The health of the poorest infants was affected more by absolute wealth than relative wealth.

Baseline traits of low vision patients served by private outpatient clinical centers in the United States.

PubMed

Goldstein, Judith E; Massof, Robert W; Deremeik, James T; Braudway, Sonya; Jackson, Mary Lou; Kehler, K Bradley; Primo, Susan A; Sunness, Janet S

2012-08-01

To characterize the traits of low vision patients who seek outpatient low vision rehabilitation (LVR) services in the United States. In a prospective observational study, we enrolled 764 new low vision patients seeking outpatient LVR services from 28 clinical centers in the United States. Before their initial appointment, multiple questionnaires assessing daily living and vision, physical, psychological, and cognitive health states were administered by telephone. Baseline clinical visual impairment measures and disorder diagnoses were recorded. Patients had a median age of 77 years, were primarily female (66%), and had macular disease (55%), most of which was nonneovascular age-related macular degeneration. More than one-third of the patients (37%) had mild vision impairment with habitual visual acuity (VA) of 20/60 or greater. The VA correlated well with contrast sensitivity (r = -0.52) but poorly with self-reported vision quality. The intake survey revealed self-reported physical health limitations, including decreased endurance (68%) and mobility problems (52%). Many patients reported increased levels of frustration (42%) and depressed mood (22%); memory and cognitive impairment (11%) were less frequently endorsed. Patients relied on others for daily living support (87%), but many (31%) still drove. Most patients seeking LVR are geriatric and have macular disease with relatively preserved VA. The disparity between VA and subjective quality of vision suggests that LVR referrals are based on symptoms rather than on VA alone. Patients seen for LVR services have significant physical, psychological, and cognitive disorders that can amplify vision disabilities and decrease rehabilitation potential.

Characterizing the HIV/AIDS Epidemic in the United States and China

PubMed Central

Huang, Ming-Bo; Ye, Li; Liang, Bing-Yu; Ning, Chuan-Yi; Roth, William W.; Jiang, Jun-Jun; Huang, Jie-Gang; Zhou, Bo; Zang, Ning; Powell, Michael D.; Liang, Hao; Bond, Vincent C.

2015-01-01

The HIV/AIDS data from the national surveillance systems of China and the United States from 1985 to 2014 were compared to characterize the HIV/AIDS epidemic in both countries. The current estimated national HIV prevalence rate in China and the United States are 0.0598% and 0.348%, respectively. In the United States, the annual number of new HIV infections has remained relatively stable (~50,000 each year) and has shown a downward trend in recent years. The Chinese national HIV prevalence is still low, and new HIV infections have been contained at a low level (50,000–100,000 each year). However, the epidemic has showed an increasing trend since 2012. By risk group, in both countries, men who have sex with men (MSM), heterosexual sex, and injection drug use (IDU) are the most common modes of transmission of new HIV infections. However, in the United States, MSM is the dominant transmission route, accounting for >60% of new infections; whereas in China, heterosexual sex has now become the dominant route, also accounting for >60% of new infections. A rapid increase in the proportion of HIV cases that were attributed to MSM and an obvious decrease in the proportion of HIV cases attributed to IDU in China in recent years imply that the China’s epidemic is still evolving, to some extent, copying what was experienced in the United States. By age group, the proportions of HIV cases that were attributed to the age group 25–59 were comparable between the two countries. However, the United States had a higher proportion of cases that were attributed to age groups 15–19 and 20–24 than China, indicating that youth account for more infections in the United States. One other fact worth noting: in China there is a significant increase in the number of HIV new infections in individuals over 50 years of age, which results in much higher proportion of cases that were attributed to age groups 60–64 and over 65 in China than those in the United States. By race/ethnicity, in the United States, Blacks/African Americans continue to experience the most severe HIV burden, followed by Hispanics/Latinos. In China, no official data on race/ethnicity disparities are currently available. Thus, region, risk group, age are important factors in the HIV epidemics in both countries. PMID:26703667

Effects of emissions change, climate change and long-range transport on regional modeling of future U.S. particulate matter pollution and speciation

NASA Astrophysics Data System (ADS)

He, Hao; Liang, Xin-Zhong; Wuebbles, Donald J.

2018-04-01

This study investigates the future U.S. PM2.5 pollution under multiple emissions scenarios, climate states, and long-range transport (LRT) effects using the regional Community Multi-scale Air Quality (CMAQ) model integrated with a regional climate model. CMAQ with fixed chemical lateral boundary conditions (LBCs) successfully reproduces the present-day PM2.5 pollution and its major species in rural and suburban areas, but has some discrepancies in urban areas such as the Los Angeles Basin, where detailed emissions and meteorology conditions cannot be resolved by the 30 km grid. Its performance is slightly worsened when using dynamic chemical LBCs from global chemical transport model (CTM) simulations, which provide cleaner conditions into the CMAQ lateral boundaries. Under future Intergovernmental Panel on Climate Change (IPCC) emission scenarios, CMAQ projects large PM2.5 reductions (∼40% for A1B and ∼20% for A1Fi scenario) in the eastern United States, but slight to moderate increases (∼5% for A1B and ∼10% for A1Fi) in the western United States. The projected increases are particularly large (up to 30%) near the Mexico-U.S. border, suggesting that Mexico is a major source for future U.S. PM2.5 pollution. The effect from climate change alone is estimated to increase PM2.5 levels ubiquitously (∼5% for both A1B and A1Fi) over the United States, except for a small decrease in the Houston, Texas area, where anthropogenic non-methane volatile organic compounds (NMVOCs) emissions dominate. This climate penalty, however, is substantially smaller than effects of emissions change, especially in the eastern United States. Future PM2.5 pollution is affected substantially (up to -20%) by changes in SO2 emissions and moderately (3-5%) by changes in NOx and NH3 emissions. The long-range transport (LRT) effects, which are estimated by comparing CMAQ simulations with fixed and dynamic LBCs, are regional dependent, causing up to 10-20% decrease over the western United States in future summertime PM2.5 pollution. Therefore, it is important to consider the relative contributions of emissions scenarios, climate conditions, and LRT to the major PM2.5 components in future U.S. air quality regulation.

Trends in Rate of Seizure-Associated Hospitalizations Among Children <5 Years Old Before and After Rotavirus Vaccine Introduction in the United Sates, 2000-2013.

PubMed

Pringle, Kimberly D; Burke, Rachel M; Steiner, Claudia A; Parashar, Umesh D; Tate, Jacqueline E

2018-01-30

Rotavirus is a common cause of acute gastroenteritis and has also been associated with generalized tonic-clonic afebrile seizures. Since rotavirus vaccine introduction, hospitalizations for treatment of acute gastroenteritis have decreased. We assess whether there has been an associated decrease in seizure-associated hospitalizations. We used discharge codes to abstract data on seizure hospitalizations among children <5 years old from the State Inpatient Databases of the Healthcare Cost and Utilization Project. We compared seizure hospitalization rates before and after vaccine introduction, using Poisson regression, stratifying by age and by month and year of admission. We performed a time-series analysis with negative binomial models, constructed using prevaccine data from 2000 to 2006 and controlling for admission month and year. We examined 962899 seizure hospitalizations among children <5 years old during 2000-2013. Seizure rates after vaccine introduction were lower than those before vaccine introduction by 1%-8%, and rate ratios decreased over time. Time-series analyses demonstrated a decrease in the number of seizure-coded hospitalizations in 2012 and 2013, with notable decreases in children 12-17 months and 18-23 months. Our analysis provides evidence for a decrease in seizure hospitalizations following rotavirus vaccine introduction in the United States, with the greatest impact in age groups with a high rotavirus-associated disease burden and during rotavirus infection season. Published by Oxford University Press for the Infectious Diseases Society of America 2018. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Getting a piece of the pie? The economic boom of the 1990s and declining teen birth rates in the United States.

PubMed

Colen, Cynthia G; Geronimus, Arline T; Phipps, Maureen G

2006-09-01

In the United States, the 1990s was a decade of dramatic economic growth as well as a period characterized by substantial declines in teenage childbearing. This study examines whether falling teen fertility rates during the 1990s were responsive to expanding employment opportunities and whether the implementation of the Personal Responsibility and Work Opportunities Act (PRWORA), increasing rates of incarceration, or restrictive abortion policies may have affected this association. Fixed-effects Poisson regression models were estimated to assess the relationship between age-specific birth rates and state-specific unemployment rates from 1990 to 1999 for Black and White females aged 10-29. Falling unemployment rates in the 1990s were associated with decreased childbearing among African-American women aged 15-24, but were largely unrelated to declines in fertility for Whites. For 18-19 year-old African-Americans, the group for whom teen childbearing is most normative, our model accounted for 85% of the decrease in rates of first births. Young Black women, especially older teens, may have adjusted their reproductive behavior to take advantage of expanded labor market opportunities.

THE ENVIRONMENTAL PROTECTION AGENCY'S CHILDREN'S HEALTH PROGRAMS: REVIEW OF PROGRESS AND RECOMMENDATIONS FOR FUTURE DIRECTION

EPA Science Inventory

While trend data indicate aggregate levels of environmental pollution in the United States is decreasing, the health effects associated with such pollution in children appear to be increasing. The rising recognition that behavioral, developmental, and metabolic differences in chi...

Immigrant Education: A Fact Sheet.

ERIC Educational Resources Information Center

Aleman, Steven R.

This report provides information on immigrant education in the United States in the areas of funding, participation, population, services, and allocation method. Additionally, it explores reauthorization issues confronting the Emergency Immigrant Education Act for fiscal year 1994. The report shows that: (1) there has been a steady decrease in…

Estimating State-Specific Contributions to PM2.5- and O3-Related Health Burden from Residential Combustion and Electricity Generating Unit Emissions in the United States

PubMed Central

Penn, Stefani L.; Arunachalam, Saravanan; Woody, Matthew; Heiger-Bernays, Wendy; Tripodis, Yorghos; Levy, Jonathan I.

2016-01-01

Background: Residential combustion (RC) and electricity generating unit (EGU) emissions adversely impact air quality and human health by increasing ambient concentrations of fine particulate matter (PM2.5) and ozone (O3). Studies to date have not isolated contributing emissions by state of origin (source-state), which is necessary for policy makers to determine efficient strategies to decrease health impacts. Objectives: In this study, we aimed to estimate health impacts (premature mortalities) attributable to PM2.5 and O3 from RC and EGU emissions by precursor species, source sector, and source-state in the continental United States for 2005. Methods: We used the Community Multiscale Air Quality model employing the decoupled direct method to quantify changes in air quality and epidemiological evidence to determine concentration–response functions to calculate associated health impacts. Results: We estimated 21,000 premature mortalities per year from EGU emissions, driven by sulfur dioxide emissions forming PM2.5. More than half of EGU health impacts are attributable to emissions from eight states with significant coal combustion and large downwind populations. We estimate 10,000 premature mortalities per year from RC emissions, driven by primary PM2.5 emissions. States with large populations and significant residential wood combustion dominate RC health impacts. Annual mortality risk per thousand tons of precursor emissions (health damage functions) varied significantly across source-states for both source sectors and all precursor pollutants. Conclusions: Our findings reinforce the importance of pollutant-specific, location-specific, and source-specific models of health impacts in design of health-risk minimizing emissions control policies. Citation: Penn SL, Arunachalam S, Woody M, Heiger-Bernays W, Tripodis Y, Levy JI. 2017. Estimating state-specific contributions to PM2.5- and O3-related health burden from residential combustion and electricity generating unit emissions in the United States. Environ Health Perspect 125:324–332; http://dx.doi.org/10.1289/EHP550 PMID:27586513

Depression Among Arab American and Arab Immigrant Women in the United States.

PubMed

Abuelezam, Nadia N; Fontenot, Holly B

The difficult and tense political climate Arab populations are currently facing may be exacerbating mental health issues, reducing forms of social support in friend circles, and decreasing the desire to seek health care. There is room to better understand the mental health needs of Arab women residing in the United States and to develop policies and interventions that keep these women safe and in care. This column reviews two recent studies; the first examines barriers to reporting intimate partner violence and depression among Arab American women and the second highlights stressors and social support for Arab women immigrants throughout their immigration experience. © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses.

Intensified dust storm activity and Valley fever infection in the southwestern United States

NASA Astrophysics Data System (ADS)

Tong, Daniel Q.; Wang, Julian X. L.; Gill, Thomas E.; Lei, Hang; Wang, Binyu

2017-05-01

Climate models have consistently projected a drying trend in the southwestern United States, aiding speculation of increasing dust storms in this region. Long-term climatology is essential to documenting the dust trend and its response to climate variability. We have reconstructed long-term dust climatology in the western United States, based on a comprehensive dust identification method and continuous aerosol observations from the Interagency Monitoring of Protected Visual Environments (IMPROVE) network. We report here direct evidence of rapid intensification of dust storm activity over American deserts in the past decades (1988-2011), in contrast to reported decreasing trends in Asia and Africa. The frequency of windblown dust storms has increased 240% from 1990s to 2000s. This dust trend is associated with large-scale variations of sea surface temperature in the Pacific Ocean, with the strongest correlation with the Pacific Decadal Oscillation. We further investigate the relationship between dust and Valley fever, a fast-rising infectious disease caused by inhaling soil-dwelling fungus (Coccidioides immitis and C. posadasii) in the southwestern United States. The frequency of dust storms is found to be correlated with Valley fever incidences, with a coefficient (r) comparable to or stronger than that with other factors believed to control the disease in two endemic centers (Maricopa and Pima County, Arizona).

Changes in the chemistry of precipitation in the United States, 1981-1998

USGS Publications Warehouse

Nilles, M.A.; Conley, B.E.

2001-01-01

Regulatory measures in the United States, such as Title IV of the Clean Air Act Amendments of 1990, have primarily restricted sulfur dioxide emissions as a way to control acidic deposition. These restrictions, coupled with increasing concentrations of NH4+ in wet deposition in some regions of the U.S. and continued high emissions of nitrogen oxides have generated a significant shift in the chemistry of precipitation as measured at National Atmospheric Deposition Program/National Trends Network sites. Trends in precipitation chemistry at NADP/NTN sites were evaluated for statistical significance for the period 1981-1998 using a Seasonal Mann-Kendall Test, a robust non-parametric test for detection of monotonic trends. SO42- declines were detected at 100 of the 147 sites examined while no sites exhibited increasing SO42- trends. On average, SO42- declined 35% over the period 1981-1998 with downward SO42- trends being most pronounced in the northeastern United States. In contrast, no consistent trends in NO3- concentrations were observed in precipitation in any major region of the United States. Although the majority of sites did not exhibit significant trends in NH4+ concentration, 30 sites exhibited upward trends. For Ca2+ concentration in precipitation, 64 sites exhibited a significant decreasing trend and no sites exhibited an upward trend.

The Burden of Cardiovascular Diseases Among US States, 1990-2016.

PubMed

Roth, Gregory A; Johnson, Catherine O; Abate, Kalkidan Hassen; Abd-Allah, Foad; Ahmed, Muktar; Alam, Khurshid; Alam, Tahiya; Alvis-Guzman, Nelson; Ansari, Hossein; Ärnlöv, Johan; Atey, Tesfay Mehari; Awasthi, Ashish; Awoke, Tadesse; Barac, Aleksandra; Bärnighausen, Till; Bedi, Neeraj; Bennett, Derrick; Bensenor, Isabela; Biadgilign, Sibhatu; Castañeda-Orjuela, Carlos; Catalá-López, Ferrán; Davletov, Kairat; Dharmaratne, Samath; Ding, Eric L; Dubey, Manisha; Faraon, Emerito Jose Aquino; Farid, Talha; Farvid, Maryam S; Feigin, Valery; Fernandes, João; Frostad, Joseph; Gebru, Alemseged; Geleijnse, Johanna M; Gona, Philimon Nyakauru; Griswold, Max; Hailu, Gessessew Bugssa; Hankey, Graeme J; Hassen, Hamid Yimam; Havmoeller, Rasmus; Hay, Simon; Heckbert, Susan R; Irvine, Caleb Mackay Salpeter; James, Spencer Lewis; Jara, Dube; Kasaeian, Amir; Khan, Abdur Rahman; Khera, Sahil; Khoja, Abdullah T; Khubchandani, Jagdish; Kim, Daniel; Kolte, Dhaval; Lal, Dharmesh; Larsson, Anders; Linn, Shai; Lotufo, Paulo A; Magdy Abd El Razek, Hassan; Mazidi, Mohsen; Meier, Toni; Mendoza, Walter; Mensah, George A; Meretoja, Atte; Mezgebe, Haftay Berhane; Mirrakhimov, Erkin; Mohammed, Shafiu; Moran, Andrew Edward; Nguyen, Grant; Nguyen, Minh; Ong, Kanyin Liane; Owolabi, Mayowa; Pletcher, Martin; Pourmalek, Farshad; Purcell, Caroline A; Qorbani, Mostafa; Rahman, Mahfuzar; Rai, Rajesh Kumar; Ram, Usha; Reitsma, Marissa Bettay; Renzaho, Andre M N; Rios-Blancas, Maria Jesus; Safiri, Saeid; Salomon, Joshua A; Sartorius, Benn; Sepanlou, Sadaf Ghajarieh; Shaikh, Masood Ali; Silva, Diego; Stranges, Saverio; Tabarés-Seisdedos, Rafael; Tadele Atnafu, Niguse; Thakur, J S; Topor-Madry, Roman; Truelsen, Thomas; Tuzcu, E Murat; Tyrovolas, Stefanos; Ukwaja, Kingsley Nnanna; Vasankari, Tommi; Vlassov, Vasiliy; Vollset, Stein Emil; Wakayo, Tolassa; Weintraub, Robert; Wolfe, Charles; Workicho, Abdulhalik; Xu, Gelin; Yadgir, Simon; Yano, Yuichiro; Yip, Paul; Yonemoto, Naohiro; Younis, Mustafa; Yu, Chuanhua; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Zipkin, Ben; Afshin, Ashkan; Gakidou, Emmanuela; Lim, Stephen S; Mokdad, Ali H; Naghavi, Mohsen; Vos, Theo; Murray, Christopher J L

2018-04-11

Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously. To quantify and describe levels and trends of lost health due to CVD within the United States from 1990 to 2016 as well as risk factors driving these changes. Using the Global Burden of Disease methodology, cardiovascular disease mortality, nonfatal health outcomes, and associated risk factors were analyzed by age group, sex, and year from 1990 to 2016 for all residents in the United States using standardized approaches for data processing and statistical modeling. Burden of disease was estimated for 10 groupings of CVD, and comparative risk analysis was performed. Data were analyzed from August 2016 to July 2017. Residing in the United States. Cardiovascular disease disability-adjusted life-years (DALYs). Between 1990 and 2016, age-standardized CVD DALYs for all states decreased. Several states had large rises in their relative rank ordering for total CVD DALYs among states, including Arkansas, Oklahoma, Alabama, Kentucky, Missouri, Indiana, Kansas, Alaska, and Iowa. The rate of decline varied widely across states, and CVD burden increased for a small number of states in the most recent years. Cardiovascular disease DALYs remained twice as large among men compared with women. Ischemic heart disease was the leading cause of CVD DALYs in all states, but the second most common varied by state. Trends were driven by 12 groups of risk factors, with the largest attributable CVD burden due to dietary risk exposures followed by high systolic blood pressure, high body mass index, high total cholesterol level, high fasting plasma glucose level, tobacco smoking, and low levels of physical activity. Increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors. Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden. Differences in CVD burden are largely attributable to modifiable risk exposures.

General-circulation-model simulations of future snowpack in the western United States

USGS Publications Warehouse

McCabe, G.J.; Wolock, D.M.

1999-01-01

April 1 snowpack accumulations measured at 311 snow courses in the western United States (U.S.) are grouped using a correlation-based cluster analysis. A conceptual snow accumulation and melt model and monthly temperature and precipitation for each cluster are used to estimate cluster-average April 1 snowpack. The conceptual snow model is subsequently used to estimate future snowpack by using changes in monthly temperature and precipitation simulated by the Canadian Centre for Climate Modeling and Analysis (CCC) and the Hadley Centre for Climate Prediction and Research (HADLEY) general circulation models (GCMs). Results for the CCC model indicate that although winter precipitation is estimated to increase in the future, increases in temperatures will result in large decreases in April 1 snowpack for the entire western US. Results for the HADLEY model also indicate large decreases in April 1 snowpack for most of the western US, but the decreases are not as severe as those estimated using the CCC simulations. Although snowpack conditions are estimated to decrease for most areas of the western US, both GCMs estimate a general increase in winter precipitation toward the latter half of the next century. Thus, water quantity may be increased in the western US; however, the timing of runoff will be altered because precipitation will more frequently occur as rain rather than as snow.

Economic hardship and depression across the life course: the impact of welfare state regimes.

PubMed

Levecque, Katia; Van Rossem, Ronan; De Boyser, Katrien; Van de Velde, Sarah; Bracke, Piet

2011-06-01

Previous research in the United States suggests that depression related to economic hardship decreases with age. We test whether this pattern can be generalized to other developed nations. Based on data from 23 countries in the European Social Survey (2006--2007), multilevel analyses show that the moderating role of age depends on the socio-political context. While the hardship--depression link is not significantly different across the life course in Nordic and Bismarckian regimes, the hardship--depression link increases with age in Southern and Eastern European countries and decreases with age in strength in Anglo-Saxon welfare states. Our findings suggest that welfare state regimes play a significant role in attenuating, boosting, or even reversing the health effects of social experiences such as economic hardship on aging. Health knowledge gained through research that ignores the socio-political context may be limited in terms of generalization.

Acetochlor in the hydrologic system in the midwestern United States, 1994

USGS Publications Warehouse

Kolpin, D.W.; Nations, B.K.; Goolsby, D.A.; Thurman, E.M.

1996-01-01

The herbicide acetochlor [2-chloro-N-(ethoxymethyl)-N-(2-ethyl-6-methylphenyl)acetamide] was given conditional registration in the United States by the U.S. Environmental Protection Agency in March 1994. This registration provided a rare opportunity to investigate the occurrence of a pesticide during its first season of extensive use in the midwestern United States. Water samples collected and analyzed by the U.S. Geological Survey during 1994 documented the distribution of acetochlor in the hydrologic system; it was detected in 29% of the rain samples from four sites in Iowa, 17% of the stream samples from 51 sites across nine states, and 0% of the groundwater samples from 38 wells across eight states. Acetochlor exhibited concentration increases in rain and streams following its application to corn in the midwestern United States, with 75% of the rainwater and 35% of the stream samples having acetochlor detected during this time period. Acetochlor concentrations in rain decreased as the growing season progressed. Based on the limited data collected for this study, it is anticipated that acetochlor concentrations will have a seasonal pattern in rain and streams similar to those of other acetanilide herbicides examined. Possible explanations for the absence of acetochlor in groundwater for this study include the rapid degradation of acetochlor in the soil zone, insufficient time for this first extensive use of acetochlor to have reached the aquifers sampled, and the possible lack of acetochlor use in the recharge areas for the wells examined.

Challenges with secondary use of multi-source water-quality data in the United States

USGS Publications Warehouse

Sprague, Lori A.; Oelsner, Gretchen P.; Argue, Denise M.

2017-01-01

Combining water-quality data from multiple sources can help counterbalance diminishing resources for stream monitoring in the United States and lead to important regional and national insights that would not otherwise be possible. Individual monitoring organizations understand their own data very well, but issues can arise when their data are combined with data from other organizations that have used different methods for reporting the same common metadata elements. Such use of multi-source data is termed “secondary use”—the use of data beyond the original intent determined by the organization that collected the data. In this study, we surveyed more than 25 million nutrient records collected by 488 organizations in the United States since 1899 to identify major inconsistencies in metadata elements that limit the secondary use of multi-source data. Nearly 14.5 million of these records had missing or ambiguous information for one or more key metadata elements, including (in decreasing order of records affected) sample fraction, chemical form, parameter name, units of measurement, precise numerical value, and remark codes. As a result, metadata harmonization to make secondary use of these multi-source data will be time consuming, expensive, and inexact. Different data users may make different assumptions about the same ambiguous data, potentially resulting in different conclusions about important environmental issues. The value of these ambiguous data is estimated at \\$US12 billion, a substantial collective investment by water-resource organizations in the United States. By comparison, the value of unambiguous data is estimated at \\$US8.2 billion. The ambiguous data could be preserved for uses beyond the original intent by developing and implementing standardized metadata practices for future and legacy water-quality data throughout the United States.

Effect of Simazine on pubertal development and thyroid function in the female Wistar rat

EPA Science Inventory

Simazine is a chlorotriazine used to control broadleaf weeds, and is one of the most widely used herbicides in the United States. Studies with similar chlorotriazines (atrazine and its metabolites) have demonstrated a disruption in estrous cycle regularity by decreasing the ovu...

Contemporary trends in dyslipidemia in the Framingham Heart Study

USDA-ARS?s Scientific Manuscript database

Recent cross-sectional population studies in the United States have shown an increase in obesity, a decrease in cholesterol values, but no changes in levels of high-density lipoprotein cholesterol (HDL-C) or triglycerides (TG). Plasma total cholesterol, HDL-C, and TG levels, measured by the same met...

Antibacterial activity of plant defensins against alfalfa crown rot pathogens

USDA-ARS?s Scientific Manuscript database

Alfalfa (Medicago sativa) is the fourth most widely grown crop in the United States. Alfalfa crown rot is a disease complex that severely decreases alfalfa stand density and productivity in all alfalfa-producing areas. Currently, there are no viable methods of disease control. Plant defensins are sm...

How School Principals Influence Student Learning

ERIC Educational Resources Information Center

Dhuey, Elizabeth; Smith, Justin

2012-01-01

In recent decades, much attention has been focused on student achievement in the United States. Many policy initiatives have been attempted in an effort to bolster achievement, including increasing school revenue, decreasing class size, expanding early childhood programs, and introducing vouchers and charter schools, to name a few, but not all of…

United States Air Force Research Initiation Program for 1987. Volume 4.

DTIC Science & Technology

1989-04-01

devices containing an initial volume of 1.Oml TCE showed a decrease in performance and activity. 83-1 Acknowledgements Debbie Hollenbach (who completed...the Old German word for birch .) Parchment, the f’crvor of monks in medieval monasteries, and advancements in calligraphy and illumination turned books

Athletics and Students with Disabilities: What Principals Should Know

ERIC Educational Resources Information Center

Losinski, Mickey; Katsiyannis, Antonis; Yell, Mitchell L.

2014-01-01

Public concern over the general health of children in the United States has risen during recent years due to dramatic decreases in physical activity levels and increases in obesity and other health-related issues. This article examines the participation of students with disabilities in extracurricular activities, particularly athletic activities,…

School-Based Peer Mentoring in High School: A Program Evaluation Study

ERIC Educational Resources Information Center

Cooper, Felicia Cecile

2017-01-01

The dissertation is an initial investigation of a peer mentoring program in a suburban high school in the southeastern United States. Additionally, the Peer Mentoring Program (PMP) study examined whether the Program improves academic performance and attendance, and decreases referrals. Utilizing an experimental design, a Participant and a…

The genetic diversity of contemporary swine influenza A viruses in the United States

USDA-ARS?s Scientific Manuscript database

Introduction: Influenza A virus (IAV) is one of the most important respiratory pathogens of swine. It impacts mortality and causes significant financial losses through decreased production and the costs associated with vaccination and treatment. Further, due to the susceptibility of swine to transie...

Cephalosporin Resistance among Non-Typhi Salmonella from Humans, Retail Meats and Food Animals in the United States

USDA-ARS?s Scientific Manuscript database

Background: The National Antimicrobial Resistance Monitoring System (NARMS) is a collaboration among the Food and Drug Administration (FDA), U.S. Department of Agriculture (USDA), and the Centers for Disease Control and Prevention (CDC). Here we report on decreased susceptibility to cephalosporins ...

Decisions and Barriers to First-in-Family College Student Enrollment

ERIC Educational Resources Information Center

Vonk, Garrett B.

2013-01-01

United States Government scrutiny of enrollment practices at for-profit colleges has caused significant decreases in profitability at career colleges. The phenomenological problem explored in this study was the declining enrollment at career colleges. Systems theory and Maslow's hierarchy of needs theory formed the conceptual framework for this…

Evaluation of Methods for Analysis of Lead in Air Particulates: An Intra-Laboratory and Inter-Laboratory Comparison

EPA Science Inventory

In 2008, the United States Environmental Protection Agency (USEPA) set a new National Ambient Air Quality Standard (NAAQS) for lead (Pb) in total suspended particulate matter (Pb-TSP) which called for significant decreases in the allowable limits. The Federal Reference Method (FR...

Food for Thought - The Use of Hazard and Critical Control Point Analysis to Assess Vulnerability of Food to Terrorist Attack in Deployment Locations, A Case Study

DTIC Science & Technology

1997-01-01

employing food have not kept pace with the potential threat to food safety . Recommendations to potentially decrease the vulnerability of the United States military food supply to intentional contamination are also provided.

Making the Fitness Connection

ERIC Educational Resources Information Center

Brock, Sheri J.; Fittipaldi-Wert, Jeanine

2005-01-01

Children's fitness levels are decreasing at an alarming rate. The Centers for Disease Control has determined that approximately 33% of children do not regularly engage in vigorous physical activity (CDC, 2002). As a result, childhood obesity has increased 100% since 1980 in the United States due to physical inactivity (CDC, 2004). A well-planned…

Exploring the Relationship of Outdoor Recreational Resources to Physical Inactivity, Obesity and Diabetes for the Continental United States

EPA Science Inventory

Background: Access to outdoor recreational resources is important for promoting healthy behavior and physical activity, which may decrease the risk of disease. To date, no study has examined the relationship between access to outdoor recreational resources (including protected l...

USE AND RELEASE OF MERCURY IN THE UNITED STATES

EPA Science Inventory

Although mercury use is decreasing in the U.S., mercury continues to pose a serious risk to human health and the environment. This report presents the results of a two-year effort sponsored by EPA's office of Research & Development to quantify and map the flows of mercury throug...

Substance Abuse and the Workplace. Technical Assistance Packet.

ERIC Educational Resources Information Center

Join Together, Boston, MA.

According to the United States Department of Labor, 73% of drug users in 1997 were employed. Numerous studies, reports, and surveys suggest that substance abuse is having a negative effect on the workplace in terms of decreased productivity; increased accidents; absenteeism; turnover; and medical costs. However, workplace substance abuse is a…

Symposium on Manpower and the War on Hunger (Washington, D.C., May 3-5, 1967).

ERIC Educational Resources Information Center

1967

Approximately 75 specialists from government, universities, foundations, international organizations, trade unions, cooperatives, and business organizations participated in a 3-day symposium to contribute to efforts of the United States Government and international organizations to decrease the gap between world food production and population…

Traffic safety facts 1999 : young drivers

DOT National Transportation Integrated Search

2000-01-01

There were 187.2 million licensed drivers in the United States in 1999. Young drivers, between 15 and 20 years old, accounted for 6.8% (12.7 million) of the total, a 1.2% decrease from the 12.8 million young drivers in 1989. In 1999, 8,175 15- to 20-...

Shrub-steppe early succession following invasive juniper cutting and prescribed fire

USDA-ARS?s Scientific Manuscript database

Piñon-juniper woodlands of the western United States have expanded in area nearly 10-fold since the late 1800’s. Woodland dominance in sagebrush steppe has several negative consequences including reductions in herbaceous production and diversity, decreased wildlife habitat, higher erosion and runof...

Preventing and Treating Type 2 Diabetes through a Physically Active Lifestyle

ERIC Educational Resources Information Center

Leung, Raymond W.; Kamla, Jim; Lee, Man-Cheong; Mak, Jennifer Y.

2007-01-01

The general decrease in physical activity in the United States population has led to an increase of cases of type 2 diabetes (non-insulin-dependent diabetes mellitus, NIDDM), obesity, dyslipidemia, hypertension, and arteriosclerosis. Remarkable scientific advancements have been made toward understanding the beneficial effects of physical activity…

Do climate model predictions agree with long-term precipitation trends in the arid southwestern United States?

USDA-ARS?s Scientific Manuscript database

Researchers evaluating climate projections across southwestern North America observed a decreasing precipitation trend. Aridification was most pronounced in the cold (non-monsoonal) season, whereas downward trends in precipitation were smaller in the warm (monsoonal) season. In this region, based up...

Evaluation: An Imperative for Public Education and Training Programs. Professorial Inaugural Lecture Series.

ERIC Educational Resources Information Center

McCaslin, N. L.

Evaluation is important to public education and training programs if the United States is to be competitive in a global economy. Six major factors have had an impact on evaluation efforts: decreased financial resources, increased public dissatisfaction, changed management approaches, enhanced evaluation methods and procedures, redesigned…

Temporal trends in early clinical outcomes and health care resource utilization for liver transplantation in the United States.

PubMed

Scarborough, John E; Pietrobon, Ricardo; Marroquin, Carlos E; Tuttle-Newhall, Janet E; Kuo, Paul C; Collins, Bradley H; Desai, Dev M; Pappas, Theodore N

2007-01-01

Procedures such as liver transplantation, which entail large costs while benefiting only a small percentage of the population, are being increasingly scrutinized by third-party payors. The purpose of our study was to conduct a longitudinal analysis of the early clinical outcomes and health care resource utilization for liver transplantation in the United States. The Nationwide Inpatient Sample database was used to conduct a longitudinal analysis of the clinical outcome and resource utilization data for liver transplantation procedures in adult recipients performed in the United States over three time periods (Period I: 1988-1993; Period II: 1994-1998: Period III: 1999-2003). Compared to Period I, adult liver transplant recipients were more likely to be male, older, and non-White in Period III. Recipients were more likely to have at least one major comorbidity preoperatively than in Period I. The in-hospital mortality rate after liver transplantation decreased significantly from Period I to Period III, but the major intraoperative and postoperative complication rates increased over the same time period. Mean length of hospital stay decreased over the 15-year period, but the percentage of patients with a non-routine discharge status increased. Our findings indicate that the rate of postoperative complications and non-routine discharges after liver transplantation is increasing. However, these negative changes in the cost-outcomes relationship for liver transplantation are balanced by improving postoperative survival rates and reductions in the length of hospital stay.

Demographic amplification of climate change experienced by the contiguous United States population during the 20(th) century.

PubMed

Samson, Jason; Berteaux, Dominique; McGill, Brian J; Humphries, Murray M

2012-01-01

Better understanding of the changing relationship between human populations and climate is a global research priority. The 20(th) century in the contiguous United States offers a particularly well-documented example of human demographic expansion during a period of radical socioeconomic and environmental change. One would expect that as human society has been transformed by technology, we would become increasingly decoupled from climate and more dependent on social infrastructure. Here we use spatially-explicit models to evaluate climatic, socio-economic and biophysical correlates of demographic change in the contiguous United States between 1900 and 2000. Climate-correlated variation in population growth has caused the U.S. population to shift its realized climate niche from cool, seasonal climates to warm, aseasonal climates. As a result, the average annual temperature experienced by U.S. citizens between 1920 and 2000 has increased by more than 1.5°C and the temperature seasonality has decreased by 1.1°C during a century when climate change accounted for only a 0.24°C increase in average annual temperature and a 0.15°C decrease in temperature seasonality. Thus, despite advancing technology, climate-correlated demographics continue to be a major feature of contemporary U.S. society. Unfortunately, these demographic patterns are contributing to a substantial warming of the climate niche during a period of rapid environmental warming, making an already bad situation worse.

Demographic Amplification of Climate Change Experienced by the Contiguous United States Population during the 20th Century

PubMed Central

Samson, Jason; Berteaux, Dominique; McGill, Brian J.; Humphries, Murray M.

2012-01-01

Better understanding of the changing relationship between human populations and climate is a global research priority. The 20th century in the contiguous United States offers a particularly well-documented example of human demographic expansion during a period of radical socioeconomic and environmental change. One would expect that as human society has been transformed by technology, we would become increasingly decoupled from climate and more dependent on social infrastructure. Here we use spatially-explicit models to evaluate climatic, socio-economic and biophysical correlates of demographic change in the contiguous United States between 1900 and 2000. Climate-correlated variation in population growth has caused the U.S. population to shift its realized climate niche from cool, seasonal climates to warm, aseasonal climates. As a result, the average annual temperature experienced by U.S. citizens between 1920 and 2000 has increased by more than 1.5°C and the temperature seasonality has decreased by 1.1°C during a century when climate change accounted for only a 0.24°C increase in average annual temperature and a 0.15°C decrease in temperature seasonality. Thus, despite advancing technology, climate-correlated demographics continue to be a major feature of contemporary U.S. society. Unfortunately, these demographic patterns are contributing to a substantial warming of the climate niche during a period of rapid environmental warming, making an already bad situation worse. PMID:23115624

Statistical Comparisons of watershed scale response to climate change in selected basins across the United States

USGS Publications Warehouse

Risley, John; Moradkhani, Hamid; Hay, Lauren E.; Markstrom, Steve

2011-01-01

In an earlier global climate-change study, air temperature and precipitation data for the entire twenty-first century simulated from five general circulation models were used as input to precalibrated watershed models for 14 selected basins across the United States. Simulated daily streamflow and energy output from the watershed models were used to compute a range of statistics. With a side-by-side comparison of the statistical analyses for the 14 basins, regional climatic and hydrologic trends over the twenty-first century could be qualitatively identified. Low-flow statistics (95% exceedance, 7-day mean annual minimum, and summer mean monthly streamflow) decreased for almost all basins. Annual maximum daily streamflow also decreased in all the basins, except for all four basins in California and the Pacific Northwest. An analysis of the supply of available energy and water for the basins indicated that ratios of evaporation to precipitation and potential evapotranspiration to precipitation for most of the basins will increase. Probability density functions (PDFs) were developed to assess the uncertainty and multimodality in the impact of climate change on mean annual streamflow variability. Kolmogorov?Smirnov tests showed significant differences between the beginning and ending twenty-first-century PDFs for most of the basins, with the exception of four basins that are located in the western United States. Almost none of the basin PDFs were normally distributed, and two basins in the upper Midwest had PDFs that were extremely dispersed and skewed.

Intestinal parasitism in the United States: update on a continuing problem.

PubMed

Kappus, K D; Lundgren, R G; Juranek, D D; Roberts, J M; Spencer, H C

1994-06-01

To document patterns of intestinal parasitism in the United States, we analyzed results of 216,275 stool specimens examined by the state diagnostic laboratories in 1987; parasites were found in 20.0%. Percentages were highest for protozoans: Giardia lamblia (7.2%), Entamoeba coli and Endolimax nana (4.2% each), Blastocystis hominis (2.6%), and Entamoeba histolytica (0.9%). The most commonly identified helminths were nematodes: hookworm (1.5%), Trichuris trichiura (1.2%), and Ascaris lumbricoides (0.8%). Identifications of G. lamblia increased broadly from the 4.0% average found in 1979, with 40 states reporting increases and seven reporting decreases. Seasonally, Giardia identifications increased in the summer and fall, especially in the Midwest. Nine states reported hookworms in more than 2% of specimens; none were states with indigenous transmission. We analyzed similar, but abbreviated, data for 1991; parasites were found in 19.7% of the 178,786 specimens and Giardia was found in 5.6%. States reporting percentages of Giardia identification in the highest quartile for both 1987 and 1991 were located in the Midwest or in the Northwest. Cryptosporidium was identified in both the 1987 and 1991 surveys; it had not been identified in a previous survey. For each year, Cryptosporidium was reported from 25 states across the country (for both years in 17 states). We conclude that intestinal parasitism should not be overlooked as a cause of gastrointestinal illness in the United States and that the prevalence of Giardia may be increasing.

Landscape change in the Southern Piedmont: Challenges, solutions and uncertainty across scales

USGS Publications Warehouse

Conroy, M.J.; Allen, Craig R.; Peterson, J.T.; Pritchard, L.; Moore, C.T.

2003-01-01

The southern Piedmont of the southeastern United States epitomizes the complex and seemingly intractable problems and hard decisions that result from uncontrolled urban and suburban sprawl. Here we consider three recurrent themes in complicated problems involving complex systems: (1) scale dependencies and cross-scale, often nonlinear relationships; (2) resilience, in particular the potential for complex systems to move to alternate stable states with decreased ecological and/or economic value; and (3) uncertainty in the ability to understand and predict outcomes, perhaps particularly those that occur as a result of human impacts. We consider these issues in the context of landscape-level decision making, using as an example water resources and lotic systems in the Piedmont region of the southeastern United States. Copyright ?? 2003 by the author(s). Published here under licence by The Resilience Alliance.

National and state patterns of teen births in the United States, 1940-2013.

PubMed

Ventura, Stephanie J; Hamilton, Brady E; Matthews, T J

2014-08-20

This report presents trends from 1940 through 2013 in national birth rates for teenagers, with particular focus on the period since 1991. The percent changes in rates for 1991-2012 and for 2007-2012 are presented for the United States and for states. Preliminary data for 2013 are shown where available. Tabular and graphical descriptions of the trends in teen birth rates for the United States and each state, by age group, race, and Hispanic origin, are presented and discussed. Data are shown for the U.S. territories. Birth rates for U.S. teenagers have generally fallen in the United States since peaking in 1957. The rate fell 57% between 1991 and 2013. The 2013 preliminary rate (26.6 per 1,000 aged 15-19) is less than one-third of the historically highest rate (96.3 in 1957). During 1991-2012, rates fell for all race and Hispanic ethnicity groups, with the largest declines measured for non-Hispanic black teenagers. In the more recent period, 2007-2012, the declines have been steepest for Hispanic teenagers. Birth rates declined significantly for teenagers in all states during 1991-2012; during 2007-2012, rates fell for all but two states. The drop in teen birth rates translates into an estimated 4 million fewer births to teenagers from 1992 through 2012. The declines in teen birth rates reflect a number of behavioral changes, including decreased sexual activity, increases in the use of contraception at first sex and at most recent sex, and the adoption and increased use of hormonal contraception, injectables, and intrauterine devices. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Unexpected decline in tuberculosis cases coincident with economic recession -- United States, 2009

PubMed Central

2011-01-01

Background Since 1953, through the cooperation of state and local health departments, the U.S. Centers for Disease Control and Prevention (CDC) has collected information on incident cases of tuberculosis (TB) disease in the United States. In 2009, TB case rates declined -11.4%, compared to an average annual -3.8% decline since 2000. The unexpectedly large decline raised concerns that TB cases may have gone unreported. To address the unexpected decline, we examined trends from multiple sources on TB treatment initiation, medication sales, and laboratory and genotyping data on culture-positive TB. Methods We analyzed 142,174 incident TB cases reported to the U. S. National Tuberculosis Surveillance System (NTSS) during January 1, 2000-December 31, 2009; TB control program data from 59 public health reporting areas; self-reported data from 50 CDC-funded public health laboratories; monthly electronic prescription claims for new TB therapy prescriptions; and complete genotyping results available for NTSS cases. Accounting for prior trends using regression and time-series analyses, we calculated the deviation between observed and expected TB cases in 2009 according to patient and clinical characteristics, and assessed at what point in time the deviation occurred. Results The overall deviation in TB cases in 2009 was -7.9%, with -994 fewer cases reported than expected (P < .001). We ruled out evidence of surveillance underreporting since declines were seen in states that used new software for case reporting in 2009 as well as states that did not, and we found no cases unreported to CDC in our examination of over 5400 individual line-listed reports in 11 areas. TB cases decreased substantially among both foreign-born and U.S.-born persons. The unexpected decline began in late 2008 or early 2009, and may have begun to reverse in late 2009. The decline was greater in terms of case counts among foreign-born than U.S.-born persons; among the foreign-born, the declines were greatest in terms of percentage deviation from expected among persons who had been in the United States less than 2 years. Among U.S.-born persons, the declines in percentage deviation from expected were greatest among homeless persons and substance users. Independent information systems (NTSS, TB prescription claims, and public health laboratories) reported similar patterns of declines. Genotyping data did not suggest sudden decreases in recent transmission. Conclusions Our assessments show that the decline in reported TB was not an artifact of changes in surveillance methods; rather, similar declines were found through multiple data sources. While the steady decline of TB cases before 2009 suggests ongoing improvement in TB control, we were not able to identify any substantial change in TB control activities or TB transmission that would account for the abrupt decline in 2009. It is possible that other multiple causes coincident with economic recession in the United States, including decreased immigration and delayed access to medical care, could be related to TB declines. Our findings underscore important needs in addressing health disparities as we move towards TB elimination in the United States. PMID:22059421

The effect of atmospheric sulfate reductions on diffuse radiation and photosynthesis in the eastern United States

NASA Astrophysics Data System (ADS)

Keppel-Aleks, G.; Washenfelder, R. A.

2016-12-01

Aerosol optical depth (AOD) has been shown to influence ecosystem carbon uptake by increasing the fraction of diffuse light, which increases photosynthesis over a greater fraction of the vegetated canopy. Several modeling studies have hypothesized that this effect may be a significant driver of the historical terrestrial carbon sink, and may therefore be an important climate feedback associated with changing air quality. In this study, we quantify the impact of anthropogenic aerosols on gross primary production (GPP) in the eastern United States. We focus on the eastern U.S. because 1) rapid decreases in SO2 emissions over the past two decades create an opportunity to examine the effects of reduced SO4 mass and aerosol optical depth; 2) SO2 emissions in the United States have been well quantified; 3) carbon fluxes within temperate ecosystems in the eastern United States have been well observed. We use accurate SO2 emission data for 1995-2013 in the Community Earth System Model (CESM) to determine trends in AOD, surface radiation, and photosynthesis. Between 1995 and 2013, U.S. SO2 emissions declined by over 70%, coinciding with observed AOD reductions of 3.0 ± 0.6% y-1 over the eastern U.S. In the Community Earth System Model (CESM), these trends cause diffuse light to decrease regionally by almost 0.6% y-1, leading to declines GPP of 0.07% y-1. Integrated over the analysis period and domain, this represents 0.5 PgC of omitted GPP. A separate upscaling calculation that used published relationships between GPP and diffuse light agreed with the CESM model results within 20%. The agreement between simulated and data-constrained upscaling results strongly suggests that anthropogenic sulfate trends have a small impact on carbon uptake in temperate forests due to scattered light.

Impact of the Cornea Donor Study (CDS) on Acceptance of Corneas from Older Donors

PubMed Central

Sugar, Alan; Montoya, Monty M.; Beck, Roy; Cowden, John W.; Dontchev, Mariya; Gal, Robin L.; Kollman, Craig; Malling, Jackie; Mannis, Mark J.; Tennant, Bradley

2014-01-01

Purpose Evaluate retrospectively whether findings from the Cornea Donor Study (CDS) led to changes in the transplantation of corneas from older donors. Methods United States eye banks provided complete data on donor age and placement (domestic or international) for 86,273 corneas from 1998 to 2009. The data were analyzed by 3 time periods: preceding CDS (1998–1999), during CDS (2000–2007) and after publication of CDS 5 year results (2008–2009), and separately for corneas placed within vs. outside the United States. Results For corneal tissues transplanted in the United States, the percentage of donors ≥66 years old increased from 19% before CDS to 21% during CDS and 25% after CDS (p<0.001). Corresponding median (25th-75th percentile) donor ages were 53 (39–63), 54 (41–64) and 57 (46–66), respectively (p<0.001). The opposite trend was observed for corneas distributed outside the United States with the percentage of donors ≥66 years old decreasing from 56% to 42% to 34%, respectively. Donor age trends over time varied by eye bank. Conclusions There was a modest overall increase in the donor age of corneas transplanted in the United States from 1998 to 2009, but the retrospective nature of the study limits our ability to attribute this change to the CDS. The modest increases in the donor age of corneas transplanted is a positive finding, but wider acceptance of older corneal donor tissue should be encouraged based on the five-year evidence generated by the CDS. PMID:22262218

Cigarette tax and public health: what are the implications of financially stressed smokers for the effects of price increases on smoking prevalence?

PubMed

Martire, Kristy A; Mattick, Richard P; Doran, Christopher M; Hall, Wayne D

2011-03-01

This paper models the predicted impact of tobacco price increases proposed in the United States and Australia during 2009 on smoking prevalence in 2010 while taking account of the effects of financial stress among smokers on cessation rates. Two models of smoking prevalence were developed for each country. In model 1, prevalence rates were determined by price elasticity estimates. In model 2 price elasticity was moderated by financial stress. Each model was used to estimate smoking prevalence in 2010 in Australia and the United States. Proposed price increases resulted in a 1.89% and 7.84% decrease in smoking participation among low socio-economic status (SES) groups in the United States and Australia, respectively. Model 1 overestimated the number of individuals expected to quit in both the United States (0.13% of smokers) and Australia (0.36% of smokers) by failing to take account of the differential effects of the tax on financially stressed smokers. The proportion of low-income smokers under financial stress increased in both countries in 2010 (by 1.06% in the United States and 3.75% in Australia). The inclusion of financial stress when modelling the impact of price on smoking prevalence suggests that the population health returns of increased cigarette price will diminish over time. As it is likely that the proportion of low-income smokers under financial stress will also increase in 2010, future population-based approaches to reducing smoking will need to address this factor. © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction.

Abortion surveillance--United States, 2004.

PubMed

Strauss, Lilo T; Gamble, Sonya B; Parker, Wilda Y; Cook, Douglas A; Zane, Suzanne B; Hamdan, Saeed

2007-11-23

CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions. This report summarizes and describes data voluntarily reported to CDC regarding legal induced abortions obtained in the United States in 2004. For each year since 1969, CDC has compiled abortion data by state or area of occurrence. During 1973-1997, data were received from or estimated for 52 reporting areas in the United States: 50 states, the District of Columbia, and New York City. In 1998 and 1999, CDC compiled abortion data from 48 reporting areas. Alaska, California, New Hampshire, and Oklahoma did not report, and data for these states were not estimated. During 2000-2002, Oklahoma again reported these data, increasing the number of reporting areas to 49; for 2003 and 2004, Alaska again reported and West Virginia did not, maintaining the number of reporting areas at 49. A total of 839,226 legal induced abortions were reported to CDC for 2004 from 49 reporting areas, representing a 1.1% decline from the 848,163 legal induced abortions reported by 49 reporting areas for 2003. The abortion ratio, defined as the number of abortions per 1,000 live births, was 238 in 2004, a decrease from the 241 in 2003. The abortion rate was 16 per 1,000 women aged 15-44 years for 2004, the same since 2000. For the same 47 reporting areas, the abortion rate remained relatively constant during 1998-2004. In 2003 (the most recent years for which data are available), 10 women died as a result of complications from known legal induced abortion. No death was associated with known illegal abortion. The highest percentages of reported abortions were for women who were known to be unmarried (80%), white (53%), and aged <25 years (50%). Of all abortions for which gestational age was reported, 61% were performed at < or =8 weeks' gestation and 88% at <13 weeks. From 1992 (when detailed data regarding early abortions were first collected) through 2004, steady increases have occurred in the percentage of abortions performed at < or =6 weeks' gestation, except for a slight decline in 2003. A limited number of abortions were obtained at >15 weeks' gestation, including 4.0% at 16-20 weeks and 1.4% at > or =21 weeks. A total of 35 reporting areas submitted data stating that they performed and enumerated medical (nonsurgical) procedures, making up 9.7% of all known reported procedures from the 45 areas with adequate reporting on type of procedure. During 1990--1997, the number of legal induced abortions gradually declined. When the same 47 reporting areas are compared, the number of abortions decreased during 1996-2001, then slightly increased in 2002 and again decreased in 2003 and 2004. In 2000 and 2001, even with one additional reporting state, the number of abortions declined slightly, with a minimal increase in 2002 and a further decrease in both 2003 and 2004. In 2003, as in the previous years, deaths related to legal induced abortions occurred rarely. Abortion surveillance in the United States continues to provide the data necessary for examining trends in numbers and characteristics of women who obtain legal induced abortions and to increase understanding of this pregnancy outcome. Policymakers and program planners use these data to improve the health and well-being of women and infants.

Have the annual trends of total hip arthroplasty in rheumatoid arthritis patients decreased?

PubMed Central

Onuoha, Kemjika O.; Solow, Max; Newman, Jared M.; Sodhi, Nipun; Pivec, Robert; Khlopas, Anton; Sultan, Assem A.; Chughtai, Morad; Shah, Neil V.; George, Jaiben

2017-01-01

Background Rheumatoid arthritis (RA) is characterized by chronic systemic and synovial inflammation, resulting in damage to both cartilage and bone. Medical treatment, which has increasingly relied upon disease modifying anti-rheumatic drugs (DMARDs), may fail to slow disease progression and limit joint damage, ultimately warranting surgical intervention. Up to 25% of RA patients will require lower extremity total joint arthroplasty. Though total hip arthroplasty (THA) is known to improve quality of life and functional measures, clarification is still required with respect to the impact of increased DMARD use on annual rates of THA. Thus, the purpose of this study was to evaluate: (I) the annual trends of THAs due to RA in the United States population; (II) the annual trends in the proportion of THAs due to RA in the United States. Methods This study utilized the Nationwide Inpatient Sample (NIS) to identify all patients who underwent THA between 2002 and 2013 (n=3,135,904). Then, THA patients who had a diagnosis of RA, which was defined by the International Classification of Disease 9th revision diagnosis code 714.0, were identified. The incidence of THAs with a diagnosis of RA in the United States was calculated using the United States population as the denominator. Regression models were used to analyze the annual trends of RA in patients who underwent THA. Results Review of the database identified 90,487 patients who had a diagnosis of RA and underwent THA from 2002 to 2013. The annual prevalence of RA in those who underwent THA slightly decreased over the specified time period, with 28.7 per 1,000 THAs in 2002 and 28.6 per 1,000 THAs in 2013; however, this change was not statistically significant (R2=0.158, P=0.200). Conclusions The annual rates of THA among RA patients did not show any significant change between 2002 and 2013. DMARD use has decreased both disease progression and joint destruction, and DMARDs are now often utilized as primary treatment. The increase in population of the country during the study period may have overestimated THA trends. Moreover, patients may be more likely to opt for surgical management, given the advances in operative techniques as well as peri- and post-operative course. PMID:29299482

Residues of organochlorine compounds in starlings (Sturnus vulgaris), 1979

USGS Publications Warehouse

Cain, B.W.; Bunck, C.M.

1983-01-01

Starlings were collected for the National Pesticides Monitoring Program from 112 sites throughout the contiguous United States and analyzed for organochlorine compounds. Starling samples from 14 sites had greater than 1.0 ppm DDE residues with the highest DDE level being 15.8 ppm in a sample taken near Roswell, New Mexico. The occurrence of PCBs and chlordane isomers increased since the 1976 collection, but DDT, and dieldrin occurrences decreased. DDE and dieldrin levels decreased since the 1976 collection, but the level of PCBs has increased

Obesity-related cardiovascular risk factors: intervention recommendations to decrease adolescent obesity

NASA Technical Reports Server (NTRS)

Calderon, Kristine S.; Yucha, Carolyn B.; Schaffer, Susan D.

2005-01-01

The incidence of adolescent obesity is increasing dramatically in the United States with associated risks of hypertension, adverse lipid profiles, and Type II diabetes. Unless reversed, this trend predicts an epidemic of adult cardiovascular disease. Interventions at home, at school, and in the community are required to empower teens to increase physical activity and to modify eating habits. This article describes assessment for obesity-related health problems as well as scientific guidelines and research-based intervention strategies to decrease obesity in adolescents.

A Prospective Investigation of Biomechanical Risk Factors for Patellofemoral Pain Syndrome. The Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) Cohort

DTIC Science & Technology

2009-09-24

flexion angle, decreased vertical ground-reaction force , and increased hip internal rotation angle during the jump -landing task. Additionally, decreased...was to determine the biomechanical risk factors for PFPS. The specific factors examined were lower extremity kinematics and kinetics during a jump ...ACL Injury [ JUMP -ACL] study) in which baseline data are collected for participants at all 3 service academies (USNA, United States Air Force Academy

Bibliometric analysis of the orthopedic literature.

PubMed

Hui, Zhaoyang; Yi, Zhongmei; Peng, Jun

2013-10-01

Bibliometric indicators are used to assess research performance. The goal of this study was to explore publication output to construct a picture of orthopedics that may be beneficial to researchers and orthopedic specialists. All orthopedics articles published in 61 journals from 2000 to 2011 were retrieved from the Science Citation Index Expanded database. The numbers of articles, citations, authors, institutions, and journals were analyzed and subjected to quantitative and qualitative comparisons. The number of published orthopedics articles increased between 2000 and 2011. Articles published by authors from the United States always ranked first in number, although the United States' share is decreasing in the world literature. Authors from the United States published the most-cited articles and the most articles in journals with top-10 impact factors; moreover, the United States also had the greatest share of experts and highly ranked institutions. The United Kingdom, Germany, and Japan were always within the world's top 4 in terms of numbers of articles and citations. The shares of Germany, South Korea, and China among total orthopedics articles increased, especially that of China. In 2011, China ranked the fifth in the world, with its world share increasing from 0.64% in 2000 to 5.05% in 2011. However, China lags behind in average citations per article, top research institutions, and most prolific authors. According to the total citations per article, the University of Pittsburgh, Harvard University, and the Hospital for Special Surgery were the most prolific institutions. Copyright 2013, SLACK Incorporated.

Births to teenagers in the United States, 1940-2000.

PubMed

Ventura, S J; Mathews, T J; Hamilton, B E

2001-09-25

This report presents trends in national birth rates for teenagers, with particular focus on the decade of the 1990s. The percent change in rates for 1991-2000 is presented for the United States, and the change for 1991-99 is presented for States. Tabular and graphical descriptions of the trends in teenage birth rates for the Nation and each State, by age group, race, and Hispanic origin, are discussed. Birth rates for teenagers 15-19 years generally declined in the United States since the late 1950s, except for a brief, but steep, upward climb in the late 1980s until 1991. The 2000 rate (49 births per 1,000) is about half the peak rate recorded in 1957 (96 per 1,000). Still the U.S. rate is considerably higher than rates for other developed countries. During the 1990s rate declines were especially large for black teenagers. State-specific rates fell significantly in all States for ages 15-19 and 15-17 years, and in all but three States for ages 18-19 years. Overall the range of decline in State rates for ages 15-19 years was 11 to 36 percent. For teenagers 15-17 years, the range of decline by State was 13 to 43 percent. Reductions by State were largest for black teenagers 15-19 years, with rates falling 40 percent or more in seven States. The factors accounting for these declines include decreased sexual activity reflecting changing attitudes towards premarital sex, increases in condom use, and adoption of newly available hormonal contraception, implants, and injectables.

State-by-state Variation in Prostate-specific Antigen Screening Trends Following the 2011 United States Preventive Services Task Force Panel Update.

PubMed

Vetterlein, Malte W; Dalela, Deepansh; Sammon, Jesse D; Karabon, Patrick; Sood, Akshay; Jindal, Tarun; Meyer, Christian P; Löppenberg, Björn; Sun, Maxine; Trinh, Quoc-Dien; Menon, Mani; Abdollah, Firas

2018-02-01

To evaluate state-by-state trends in prostate-specific antigen (PSA) screening prevalence after the 2011 United States Preventive Services Task Force (USPSTF) recommendation against this practice. We included 222,475 men who responded to the Behavioral Risk Factor Surveillance System 2012 and 2014 surveys, corresponding to early and late post-USPSTF populations. Logistic regression was used to identify predictors of PSA screening and to calculate the adjusted and weighted state-by-state PSA screening prevalence and respective relative percent changes between 2012 and 2014. To account for unmeasured factors, the correlation between changes in PSA screening over time and changes in screening for colorectal and breast cancer were assessed. All analyses were conducted in 2016. Overall, 38.9% (95% confidence interval [CI] = 38.6%-39.2%) reported receiving PSA screening in 2012 vs 35.8% (95% CI = 35.1%-36.2%) in 2014. State of residence, age, race, education, income, insurance, access to care, marital status, and smoking status were independent predictors of PSA screening in both years (all P <.001). In adjusted analyses, the nationwide PSA screening prevalence decreased by a relative 8.5% (95% CI = 6.4%-10.5%; P <.001) between 2012 and 2014. There was a vast state-by-state heterogeneity, ranging from a relative 26.6% decrease in Vermont to 10.2% increase in Hawaii. Overall, 81.5% and 84.0% of the observed changes were not accompanied by matching changes in respective colorectal and breast cancer screening utilization, for which there were no updates in USPSTF recommendations. There is a significant state-by-state variation in PSA screening trends following the 2011 USPSTF recommendation. Further research is needed to elucidate the reasons for this heterogeneity in screening behavior among the states. Copyright © 2017 Elsevier Inc. All rights reserved.

Sensitivity analysis of a multilayer, finite-difference model of the Southeastern Coastal Plain regional aquifer system; Mississippi, Alabama, Georgia, and South Carolina

USGS Publications Warehouse

Pernik, Meribeth

1987-01-01

The sensitivity of a multilayer finite-difference regional flow model was tested by changing the calibrated values for five parameters in the steady-state model and one in the transient-state model. The parameters that changed under the steady-state condition were those that had been routinely adjusted during the calibration process as part of the effort to match pre-development potentiometric surfaces, and elements of the water budget. The tested steady-state parameters include: recharge, riverbed conductance, transmissivity, confining unit leakance, and boundary location. In the transient-state model, the storage coefficient was adjusted. The sensitivity of the model to changes in the calibrated values of these parameters was evaluated with respect to the simulated response of net base flow to the rivers, and the mean value of the absolute head residual. To provide a standard measurement of sensitivity from one parameter to another, the standard deviation of the absolute head residual was calculated. The steady-state model was shown to be most sensitive to changes in rates of recharge. When the recharge rate was held constant, the model was more sensitive to variations in transmissivity. Near the rivers, the riverbed conductance becomes the dominant parameter in controlling the heads. Changes in confining unit leakance had little effect on simulated base flow, but greatly affected head residuals. The model was relatively insensitive to changes in the location of no-flow boundaries and to moderate changes in the altitude of constant head boundaries. The storage coefficient was adjusted under transient conditions to illustrate the model 's sensitivity to changes in storativity. The model is less sensitive to an increase in storage coefficient than it is to a decrease in storage coefficient. As the storage coefficient decreased, the aquifer drawdown increases, the base flow decreased. The opposite response occurred when the storage coefficient was increased. (Author 's abstract)

Medical use of cannabis and cannabinoids containing products - Regulations in Europe and North America.

PubMed

Abuhasira, Ran; Shbiro, Liat; Landschaft, Yuval

2018-03-01

In 1937, the United States of America criminalized the use of cannabis and as a result its use decreased rapidly. In recent decades, there is a growing interest in the wide range of medical uses of cannabis and its constituents; however, the laws and regulations are substantially different between countries. Laws differentiate between raw herbal cannabis, cannabis extracts, and cannabinoid-based medicines. Both the European Medicines Agency (EMA) and the United States Food and Drug Administration (FDA) do not approve the use of herbal cannabis or its extracts. The FDA approved several cannabinoid-based medicines, so did 23 European countries and Canada. However, only four of the reviewed countries have fully authorized the medical use of herbal cannabis - Canada, Germany, Israel and the Netherlands, together with more than 50% of the states in the United States. Most of the regulators allow the physicians to decide what specific indications they will prescribe cannabis for, but some regulators dictate only specific indications. The aim of this article is to review the current (as of November 2017) regulations of medical cannabis use in Europe and North America. Copyright © 2018 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

Seasonal and annual precipitation time series trend analysis in North Carolina, United States

NASA Astrophysics Data System (ADS)

Sayemuzzaman, Mohammad; Jha, Manoj K.

2014-02-01

The present study performs the spatial and temporal trend analysis of the annual and seasonal time-series of a set of uniformly distributed 249 stations precipitation data across the state of North Carolina, United States over the period of 1950-2009. The Mann-Kendall (MK) test, the Theil-Sen approach (TSA) and the Sequential Mann-Kendall (SQMK) test were applied to quantify the significance of trend, magnitude of trend, and the trend shift, respectively. Regional (mountain, piedmont and coastal) precipitation trends were also analyzed using the above-mentioned tests. Prior to the application of statistical tests, the pre-whitening technique was used to eliminate the effect of autocorrelation of precipitation data series. The application of the above-mentioned procedures has shown very notable statewide increasing trend for winter and decreasing trend for fall precipitation. Statewide mixed (increasing/decreasing) trend has been detected in annual, spring, and summer precipitation time series. Significant trends (confidence level ≥ 95%) were detected only in 8, 7, 4 and 10 nos. of stations (out of 249 stations) in winter, spring, summer, and fall, respectively. Magnitude of the highest increasing (decreasing) precipitation trend was found about 4 mm/season (- 4.50 mm/season) in fall (summer) season. Annual precipitation trend magnitude varied between - 5.50 mm/year and 9 mm/year. Regional trend analysis found increasing precipitation in mountain and coastal regions in general except during the winter. Piedmont region was found to have increasing trends in summer and fall, but decreasing trend in winter, spring and on an annual basis. The SQMK test on "trend shift analysis" identified a significant shift during 1960 - 70 in most parts of the state. Finally, the comparison between winter (summer) precipitations with the North Atlantic Oscillation (Southern Oscillation) indices concluded that the variability and trend of precipitation can be explained by the Oscillation indices for North Carolina.

Effects of El Niño on Summertime Ozone Air Quality in the Eastern United States

PubMed Central

Mickley, Loretta J.

2017-01-01

Abstract We investigate the effect of El Niño on maximum daily 8 h average surface ozone over the eastern United States in summer during 1980–2016. El Niño can influence the extratropical climate through the propagation of stationary waves, leading to (1) reduced transport of moist, clean air into the middle and southern Atlantic states and greater subsidence, reduced precipitation, and increased surface solar radiation in this region, as well as (2) intensified southerly flow into the south central states, which here enhances flux of moist and clean air. As a result, each standard deviation increase in the Niño 1 + 2 index is associated with an increase of 1–2 ppbv ozone in the Atlantic states and a decrease of 0.5–2 ppbv ozone in the south central states. These influences can be predicted 4 months in advance. We show that U.S. summertime ozone responds differently to eastern‐type El Niño events compared to central‐type events. PMID:29622852

Trends in Water Quality in the Southeastern United States, 1973-2005

USGS Publications Warehouse

Harned, Douglas A.; Staub, Erik L.; Peak, Kelly L.; Tighe, Kirsten M.; Terziotti, Silvia

2009-01-01

As part of the U.S. Geological Survey National Water-Quality Assessment Program, water-quality data for 334 streams in eight States of the Southeastern United States were assessed for trends from 1973 to 2005. Forty-four U.S. Geological Survey sites were examined for trends in pH, specific conductance, and dissolved oxygen, and in concentrations of dissolved solids, suspended sediment, chloride, sodium, sulfate, silica, potassium, dissolved organic carbon, total nitrogen, total ammonia, total ammonia plus organic nitrogen, dissolved nitrite plus nitrate, and total phosphorus. An additional 290 sites from the U.S. Environmental Protection Agency Storage and Retrieval database were tested for trends in total nitrogen and phosphorus concentrations for the 1975-2004 and 1993-2004 periods. The seasonal Kendall test or Tobit regression was used to detect trends. Concentrations of dissolved constituents have increased in the Southeast during the last 30 years. Specific conductance increased at 62 percent and decreased at 3 percent of the sites, and pH increased at 31 percent and decreased at 11 percent of the sites. Decreasing trends in total nitrogen were detected at 49 percent of the sites, and increasing trends were detected at 10 percent of the sites. Ammonia concentrations decreased at 27 percent of the sites and increased at 6 percent of the sites. Nitrite plus nitrate concentrations increased at 29 percent of the sites and decreased at 10 percent of the sites. These results indicate that the changes in stream nitrogen concentrations generally coincided with improved municipal wastewater-treatment methods. Long-term decreasing trends in total phosphorus were detected at 56 percent of the sites, and increasing trends were detected at 8 percent of the sites. Concentrations of phosphorus have decreased over the last 35 years, which coincided with phosphate-detergent bans and improvements in wastewater treatment that were implemented beginning in 1972. Multiple regression analysis indicated a relation between changes in atmospheric inputs and agricultural practices, and changes in water quality. A long-term water-quality and landscape trends-assessment network for the Southeast is needed to assess changes in water quality over time in response to variations in population, agricultural, wastewater, and landscape variables.

Hospital use by the elderly in Poland and the United States.

PubMed Central

Bacon, W E; Wotjyniak, B; Krzyzanowski, M

1984-01-01

Hospital use by elderly patients in Poland and the United States was compared using data from the 1980 General Hospital Morbidity Study (Poland) and the National Hospital Discharge Survey (US). Discharge and days-of-care rates were higher in the US but average lengths of stay were longer in Poland. All three measures increased with advancing age in the US but remained relatively constant or decreased with age in Poland. Although the most frequent causes of hospitalization were similar in the two countries, the characteristic use patterns across age were evident for most frequently occurring disease conditions. The greater use of hospitals in the US is not associated with marked differences between the two countries in health status of the elderly. PMID:6388364

Seroprevalence of West Nile Virus in feral horses on Sheldon National Wildlife Refuge, Nevada, United States

USGS Publications Warehouse

Franson, J. Christian; Hofmeister, Erik K.; Collins, Gail H.; Dusek, Robert J.

2011-01-01

We screened 1,397 feral horses (Equus caballus) on Sheldon National Wildlife Refuge, Nevada, United States, for IgM and IgG against flavivirus during 2004–2006, 2008, and 2009. Positive serum samples were tested for neutralizing antibodies to West Nile virus (WNV) and St. Louis encephalitis virus (SLEV). One animal was positive for antibody against WNV in 2004, but all others tested in 2004–2006 were negative. In 2008 and 2009, we found evidence of increasing seropositive horses with age, whereas seroprevalence of WNV decreased from 19% in 2008 to 7.2% in 2009. No horses were positive for antibody against SLEV. Being unvaccinated, feral horses can be useful for WNV surveillance.

Leisure inequality in the United States: 1965-2003.

PubMed

Sevilla, Almudena; Gimenez-Nadal, Jose I; Gershuny, Jonathan

2012-08-01

This article exploits the complex sequential structure of the diary data in the American Heritage Time Use Study (AHTUS) and constructs three classes of indicators that capture the quality of leisure (pure leisure, co-present leisure, and leisure fragmentation) to show that the relative growth in leisure time enjoyed by low-educated individuals documented in previous studies has been accompanied by a relative decrease in the quality of that leisure time. These results are not driven by any single leisure activity, such as time spent watching television. Our findings may offer a more comprehensive picture of inequality in the United States and provide a basis for weighing the relative decline in earnings and consumption for the less-educated against the simultaneous relative growth of leisure.

The uncertain connection: free trade and rural Mexican migration to the United States.

PubMed

Cornelius, W A; Martin, P L

1993-01-01

"Will a North American Free Trade Agreement (NAFTA) decrease Mexican migration to the United States, as the U.S. and Mexican governments assert, or increase migration beyond the movement that would otherwise occur, as NAFTA critics allege? This article argues that it is easy to overestimate the additional emigration from rural Mexico owing to NAFTA-related economic restructuring in Mexico. The available evidence suggests four major reasons why Mexican emigration may not increase massively, despite extensive restructuring and displacement from traditional agriculture....NAFTA-related economic displacement in Mexico may yield an initial wave of migration to test the U.S. labor market, but this migration should soon diminish if the jobs that these migrants seek shift to Mexico." excerpt

The evolution of comprehensive haemophilia care in the United States: perspectives from the frontline.

PubMed

Aledort, L M

2016-09-01

The establishment of dedicated comprehensive treatment centres more than a half century ago transformed the management of haemophilia in the United States. Formerly, a disease associated with crippling disability and premature death, today, persons with haemophilia who are treated appropriately from infancy and do not develop inhibitors can expect a normal life expectancy and relatively few bleeding episodes. The evolution of the comprehensive haemophilia care, while chastened by the viral epidemics of the 1980s, has been marked by ongoing advances, including prophylaxis, immune tolerance induction, new drugs and gene therapy research. Current challenges include sustaining the comprehensive care model despite decreased funding and expanding the delivery and affordability of comprehensive haemophilia care. © 2016 John Wiley & Sons Ltd.

Trends in groundwater quality in principal aquifers of the United States, 1988-2012

USGS Publications Warehouse

Lindsey, Bruce D.; Rupert, Michael G.

2014-01-01

The U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Program analyzed trends in groundwater quality throughout the nation for the sampling period of 1988-2012. Trends were determined for networks (sets of wells routinely monitored by the USGS) for a subset of constituents by statistical analysis of paired water-quality measurements collected on a near-decadal time scale. The data set for chloride, dissolved solids, and nitrate consisted of 1,511 wells in 67 networks, whereas the data set for methyl tert-butyl ether (MTBE) consisted of 1, 013 wells in 46 networks. The 25 principal aquifers represented by these networks account for about 75 percent of withdrawals of groundwater used for drinking-water supply for the nation. Statistically significant changes in chloride, dissolved-solids, or nitrate concentrations were found in many well networks over a decadal period. Concentrations increased significantly in 48 percent of networks for chloride, 42 percent of networks for dissolved solids, and 21 percent of networks for nitrate. Chloride, dissolved solids, and nitrate concentrations decreased significantly in 3, 3, and 10 percent of the networks, respectively. The magnitude of change in concentrations was typically small in most networks; however, the magnitude of change in networks with statistically significant increases was typically much larger than the magnitude of change in networks with statistically significant decreases. The largest increases of chloride concentrations were in urban areas in the northeastern and north central United States. The largest increases of nitrate concentrations were in networks in agricultural areas. Statistical analysis showed 42 or the 46 networks had no statistically significant changes in MTBE concentrations. The four networks with statistically significant changes in MTBE concentrations were in the northeastern United States, where MTBE was widely used. Two networks had increasing concentrations, and two networks had decreasing concentrations. Production and use of MTBE peaked in about 2000 and has been effectively banned in many areas since about 2006. The two networks that had increasing concentrations were sampled for the second time close to the peak of MTBE production, whereas the two networks that had decreasing concentrations were sampled for the second time 10 years after the peak of MTBE production.

Black carbon emissions from trucks and trains in the Midwestern and Northeastern United States from 1977 to 2007

NASA Astrophysics Data System (ADS)

Brown-Steiner, Benjamin; Hess, Peter; Chen, Jialie; Donaghy, Kieran

2016-03-01

We have developed a framework to estimate BC emissions from heavy-duty diesel trucks and trains engaged in transporting freight in the Midwestern and Northeastern United States (MNUS) from 1977 to 2007. We first expand on a previous development of a regional econometric input-output model (REIM) that has been used to estimate commodity flows between 13 states in the MNUS (plus the rest of the US) and 13 industrial sectors. These commodity flow data are then distributed over the MNUS using a stylized link-and-node network, which creates great circle transportation links between nodes in each state at the county with the largest population. Freight flows are converted to BC transportation emissions and the resulting BC emissions are compared to the MACCity BC emissions inventory. We find that from 1977 to 2007 potential emission growth from the continued increase in freight tonnage in the MWUS is counteracted by decreases in the BC emission factor of heavy-duty diesel trucks, which results in an overall decrease of BC emissions by 2007. One sector (fabricated metal product manufacturing) has dominated the BC transportation emissions throughout 1977 to 2007 with transportation emissions remaining relatively unchanged from 1977 to 1997 and then decreasing out to 2007. The BC transportation emissions are concentrated in and around the urban centers, which serve as transportation and production nodes for industrial manufacturing. Our BC emissions are distributed along stylized transportation corridors that are not well represented in emissions inventories that largely distribute emissions via a population proxy. The framework established in this study can be used to estimate future BC transportation emissions under a set of stylized economic, technological, and regulatory scenarios.

An update on progress and the changing epidemiology of causes of childhood blindness worldwide.

PubMed

Kong, Lingkun; Fry, Melinda; Al-Samarraie, Mohannad; Gilbert, Clare; Steinkuller, Paul G

2012-12-01

To summarize the available data on pediatric blinding disease worldwide and to present current information on childhood blindness in the United States. A systematic search of world literature published since 1999 was conducted. Data also were solicited from each state school for the blind in the United States. In developing countries, 7% to 31% of childhood blindness and visual impairment is avoidable, 10% to 58% is treatable, and 3% to 28% is preventable. Corneal opacification is the leading cause of blindness in Africa, but the rate has decreased significantly from 56% in 1999 to 28% in 2012. There is no national registry of the blind in the United States, and most schools for the blind do not maintain data regarding the cause of blindness in their students. From those schools that do have such information, the top three causes are cortical visual impairment, optic nerve hypoplasia, and retinopathy of prematurity, which have not changed in past 10 years. There are marked regional differences in the causes of blindness in children, apparently based on socioeconomic factors that limit prevention and treatment schemes. In the United States, the 3 leading causes of childhood blindness appear to be cortical visual impairment, optic nerve hypoplasia, and retinopathy of prematurity; a national registry of the blind would allow accumulation of more complete and reliable data for accurate determination of the prevalence of each. Copyright © 2012 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

Prominent emerging diseases within the United States

USGS Publications Warehouse

Cipriano, R.C.; Bowser, A.; Dove, A.; Goodwin, A.; Puzach, C.; Cipriano, R.C.; Bruckner, A.W.; Shchelkunov, I.S.

2011-01-01

This manuscript reviews disease syndromes that have become significant aquatic animal health issues within the United States since 2003. The emergence of Viral Hemorrhagic Septicemia (VHS) disease among wild fish in the Great Lakes is probably the most problematic and political issue. The emergence of this pathogen resulted in the issuance of a 2006 VHSV Federal order that placed restrictions on the movement of certain species of fish in the eight states that border the Great Lakes (New York, Pennsylvania, Ohio, Indiana, Illinois, Michigan, and Wisconsin and Minnesota) as well as the movement of live fish into the United States from the Ontario and Quebec Provinces, Canada. Spring Viremia of Carp (SVC) was identified for the first times in the United States during 2002. It was diagnosed as the source of mortality among koi at a private facility in North Carolina as well as from feral carp in Cedar Lake (WI). In 2004, Koi Herpesvirus (KHV) killed 8,000 adult common carp (Cyprinus carpio) in the Chadakoin River (NY); it reoccurred the next year within Chautauqua Lake (NY), killing an estimated 25,000 carp (20–30 lbs. apiece). During the summers of 2007 and 2008, KHV epizootics also occurred among carp in Ontario (Canada). Finally, outbreaks of epizootic shell disease in American lobster (Homarus americanus) have generated concern along the southern New England coast and eastern Long Island Sound. The prevalence and severity of shell disease have increased within inshore areas of southern New England and resulted in significant decreases in lobster catches and marketability.

Seed ecology of a rare sage, Salvia dorrii ssp. mearnsii

Treesearch

Kristin D. Huisinga

2001-01-01

Although related taxa occur throughout the western United States, Salvia dorrii ssp. mearnsii is endemic to central Arizona. In part, its narrow distribution may be attributed to its limited fruit production, low seedling establishment, and germination requirements. Heavy herbivory pressures decreased the numbers of mature fruits in populations in two different...

Life-Cycle Assessment of a Distributed-Scale Thermochemical Bioenergy Conversion System

Treesearch

Hongmei Gu; Richard Bergman

2016-01-01

Expanding bioenergy production from woody biomass has the potential to decrease net greenhouse gas (GHG) emissions and improve the energy security of the United States. Science-based and internationally accepted life-cycle assessment (LCA) is an effective tool for policy makers to make scientifically informed decisions on expanding renewable energy production from...

Use of aluminum sulfate (alum) to decrease ammonia emissions from beef cattle bedded manure packs

USDA-ARS?s Scientific Manuscript database

Confined cattle facilities are an increasingly common housing system in the Northern Great Plains of the United States. Ammonia volatilization from the surface of the floor and bedding in these confined facilities depends on several variables including pH, temperature, and moisture content. When pH ...

The Role of Capital in Improving Productivity and Creating Jobs.

ERIC Educational Resources Information Center

Carnoy, Martin

Causes of the significant decrease in productivity growth and dramatic increase in unemployment in the United States since the mid-1960's are examined in order to test the underlying assumption of current economic policies that increasing capital savings and investments will create fuller and more productive employment. Data on trends in…

THE WIND ENERGY RESEARCH PROGRAM (WERP): DESIGN AND CONSTRUCTION OF A WIND TURBINE TO FACILITATE EDUCATION AND RESEARCH IN SUSTAINABLE TECHNOLOGIES

EPA Science Inventory

The United States currently generates a majority of its electrical power from finite natural resources: an unsustainable practice. The Wind Energy Research Program (WERP) seeks to expand knowledge and awareness of wind power while further decreasing the cost of implem...

Teaching Graphics in Technical Communication Classes.

ERIC Educational Resources Information Center

Spurgeon, Kristene C.

Perhaps because the United States is undergoing a video revolution, perhaps because of its increasing sales of goods to non-English speaking markets where graphics can help explain the products, perhaps because of the decreasing communication skills of the work force, graphic aids are becoming more and more widely used and more and more important.…

Evaluation of safe routes to school programs : qualitative and quantitative analysis of parental decision-making.

DOT National Transportation Integrated Search

2011-08-01

In the United States, walking to school declined from 42% of 5-18 year olds in 1969 to 16% in 20011. The US : Department of Transportation has responded to this dramatic decrease by funding the Safe Routes to School program : for $612 million in SAFE...

Decreased atmospheric sulfur deposition across the southeastern U.S.: When will watersheds release stored sulfate?

Treesearch

Karen C. Rice; Todd M. Scanlon; Jason A. Lynch; Bernard J. Cosby

2014-01-01

Emissions of sulfur dioxide (SO2) to the atmosphere lead to atmospheric deposition of sulfate (SO42-), which is the dominant strong acid anion causing acidification of surface waters and soils in the eastern United States. Since passage of the Clean Air Act and its Amendments, atmospheric deposition...

A Community of Support for Music Education.

ERIC Educational Resources Information Center

Stitgen, Stan F.

1988-01-01

Notes that the well-being of the music industry is related to the number of people who are taught to make music. Compares the greater amount of music education in Germany and Japan with the decreasing levels of music education in the United States. Suggests changes required to better promote music education. (JDH)

Increasing importance of deposition of reduced nitrogen in the United States

Treesearch

Yi Li; Bret A. Schichtel; John T. Walker; Donna B. Schwede; Xi Chen; Christopher M. B. Lehmann; Melissa A. Puchalski; David A. Gay; Jeffrey L. Collett

2016-01-01

Rapid development of agriculture and fossil fuel combustion greatly increased US reactive nitrogen emissions to the atmosphere in the second half of the 20th century, resulting in excess nitrogen deposition to natural ecosystems. Recent efforts to lower nitrogen oxides emissions have substantially decreased nitrate wet deposition. Levels of wet ammonium...

Design of Novice Principal Induction for a Central North Carolina School District

ERIC Educational Resources Information Center

Hicks, Edward L.

2017-01-01

School districts across the nation are grappling with the issue of high principal turnover coupled with a decrease in number of experienced applicants to fill vacancies (Guterman, 2007; Hall, 2008; Johnson, 2005; United States Department of Education, 2010; Villani, 2008). In addition, college preparation programs are being called into question as…

Forest responses to climate change in the northwestern United States: ecophysiological foundations for adaptive management

Treesearch

Daniel J. Chmura; Paul D. Anderson; Glenn T. Howe; Constance A. Harrington; Jessica E. Halofsky; David L. Peterson; David C. Shaw; Brad J. St Clair

2011-01-01

Climate change resulting from increased concentrations of atmospheric carbon dioxide ([C02]) is expected to result in warmer temperatures and changed precipitation regimes during this century. In the northwestern U.S., these changes will likely decrease snowpack, cause earlier snowmelt, increase summer evapotranspiration, and increase the...

Labor Force Nonparticipation of Older People: United States, 1890-1970.

ERIC Educational Resources Information Center

Graney, Marshall J.; Cottam, Doris M.

1981-01-01

Analysis of U.S. census data provides evidence that decreased labor force participation of older people, 1980 to 1970, was due to the disproportionate growth in numbers of persons aged 65 or older and the growing economic dominance of industries that provide relatively few opportunities for older people's participation. (Author)

Cardiorespiratory Fitness and Unintentional Nonfatal Injury Among the United States Air Force Active Duty

DTIC Science & Technology

2005-10-01

it follows that a sedentary lifestyle contributes to the decline in cardiorespiratory function characterized by decreases in VO2max, muscle mass and...to the musculoskeletal region of the spinal column as these injuries have been found to be associated with a sedentary lifestyle (Garg A and Moore JS

Responses Of Tree Crown Conditions To Natural And Induced Variations In Throughfall

Treesearch

Theodor D. Leininger

2002-01-01

Abstract - Concentrations of greenhouse gases, such as carbon dioxide, methane, and oxides of nitrogen, in the atmosphere are predicted to double in the next one hundred years. Forecasts of climatic variation across the southeastern United States resulting from these increases range from higher average temperatures and decreased summertime...

Older Worker Retraining: An Important New Direction for Higher Education.

ERIC Educational Resources Information Center

Caro, Francis G.; Morris, Robert

Colleges and universities throughout the United States are faced with the new mission of offering comprehensive educational programs designed to strengthen the employment skills of mature adults. In the coming decades, as the number of young people entering the labor force decreases by an expected one-third, the number of available workers aged…

Community ecology, climate change and ecohydrology in desert grassland and shrubland

Treesearch

Mathew Daniel Petrie

2014-01-01

This dissertation explores the climate, ecology and hydrology of Chihuahuan Desert ecosystems in the context of global climate change. In coming decades, the southwestern United States is projected to experience greater temperature-driven aridity, possible small decreases in annual precipitation, and a later onset of summer monsoon rainfall. These changes may have...

Equity and Information: Information Regulation, Environmental Justice, and Risks from Toxic Chemicals

ERIC Educational Resources Information Center

Shapiro, Marc D.

2005-01-01

Decreases over time in pounds of industrial chemical emissions have led to concerns that nonminority, higher-income communities have benefited disproportionately in reductions in risk. Toxic chemical release data, modeled for toxicity and dispersion in square kilometer units across 45 states, are used to test six sets of hypotheses of potential…

Poverty in the United States: 2000. Consumer Income. Current Population Reports.

ERIC Educational Resources Information Center

Dalaker, Joseph

This report illustrates how poverty rates vary by selected characteristics (age, race, and Hispanic origin, nativity, family composition, work experience, and geography), using data from the Census Bureau's March 2001 Current Population Survey. The 2000 poverty rate dropped half a percentage point from 1999, to 11.3 percent. This decrease was not…

Youth Crime Drop. Report.

ERIC Educational Resources Information Center

Butts, Jeffrey A.

This report examines the recent drop in violent crime in the United States, discussing how much of the decrease seen between 1995-99 is attributable to juveniles (under age 18 years) and older youth (18-24 years). Analysis of current FBI arrest data indicates that not only did America's violent crime drop continue through 1999, but falling youth…

Perceived Barriers to Optimum Nutrition among Congregate (Sheltered) Housing Residents in the USA

ERIC Educational Resources Information Center

Mahadevan, Meena; Hartwell, Heather; Feldman, Charles; Raines, Emily

2014-01-01

Objective: Malnutrition, secondary to decreased food intake, is a public health problem of epidemic proportions among older adults in the United States of America (USA). Compared to community-dwelling senior citizens, congregate (sheltered) housing residents are found to be frailer, with documented deficiencies in several major and minor…

The missing mountain water: Slower westerlies decrease orographic enhancement in the Pacific Northwest USA

Treesearch

C. H. Luce; J. T. Abatzoglou; Z. A. Holden

2013-01-01

Trends in streamflow timing and volume in the Pacific Northwest United States have been attributed to increased temperatures because trends in precipitation at lower elevation stations were negligible. We demonstrate that observed streamflow declines likely are associated with declines in mountain precipitation, revealing previously unexplored differential trends....

Soil response to skidder trafficking and slash application

Treesearch

Brian M. Parkhurst; W. Michael Aust; M. Chad Bolding; Scott M. Barrett; Emily A. Carter

2018-01-01

Ground-based timber harvesting systems are common in the United States. Harvesting machinery can negatively influence soils by increasing erosion and decreasing site productivity. Skid trails can become compacted and erosive. Slash applications to skid trails are effective for erosion control, yet few investigations have examined effects of slash on soil physical...

Use of fluctuating thermal regimes and decreased oxygen during storage improves survival of post-diapause Megachile rotundata

USDA-ARS?s Scientific Manuscript database

The alfalfa leafcutting bee, Megachile rotundata, is the world’s most intensively managed solitary bee. M. rotundata is used primarily for alfalfa seed production in the northwestern United States and western Canada, but also provides pollination services for carrot, hybrid canola, onion, various le...

National Children's Television, United States (1970-1990).

ERIC Educational Resources Information Center

Condry, John C.; Scheibe, Cynthia L.

Trends in the content and structure of television programs and commercials during children's viewing hours on U.S. network television over the past 20 years reveal a steady decrease in educational programs for children and an increase in violent acts. In addition, characters in both programs and commercials have remained remarkably sex-typed. A…

Forest carbon trends in the Southern United States

Treesearch

Robert A. Mickler; James E. Smith; Linda S. Heath

2004-01-01

Forest, agricultural, rangeland, wetland, and urban landscapes have different rates of carbon (C) sequestration and total C sequestration potential under alternative management options. Future changes in the proportion and spatial distribution of land use could increase or decrease the capacity of areas to sequester C in terrestrial ecosystems. As the ecosystems within...

International Implications of Lead Poisoning in School Aged Children

ERIC Educational Resources Information Center

Schultz, Susan M.

2016-01-01

The United States and the World Health Organization have worked to decrease lead exposure in children, but despite these efforts lead poisoning continues to exist in industrialized and developing countries. Prevention is the only way to preclude the health, academic and behavioral problems that occur due to the effects of lead. Public awareness…

Aviation Centers Take Off as Airlines Face Pilot Shortfall.

ERIC Educational Resources Information Center

Mangan, Katherine S.

2000-01-01

Addresses aviation training requirements for pilots planning to fly for commercial airlines within or outside the United States. Describes two aviation training programs at Western Michigan University, a fast-track 13-month program and the traditional four-year program required for U.S. pilots. Notes that decreasing numbers of pilots trained in…

Examining Factors That Decrease Attrition among Special Educators

ERIC Educational Resources Information Center

Hampton, Jessica Daneen

2013-01-01

Recruiting and retaining special educators has been a major concern for the department of education, school administration, and parents across the United States. Attrition, defined as the exit of teachers from their positions, has been a contributing factor to the shortage of teachers. The theoretical foundation for this study was based on the…

Incorporating Texting into Your Communications Mix

ERIC Educational Resources Information Center

Marshall, David Wallace

2010-01-01

St. Mary's University is the oldest Catholic university in Texas and the Southwest United States. Like many institutions, it is in a highly competitive market. Numerous other colleges and universities (including other private and Catholic institutions) are in the San Antonio area. Along with a decrease in the number of search responses, St. Mary's…

Adolescent Student Use of School-Based Salad Bars

ERIC Educational Resources Information Center

Andersen, Lori; Myers, Leann; O'Malley, Keelia; Mundorf, Adrienne R.; Harris, Diane M.; Johnson, Carolyn C.

2015-01-01

Background: Childhood obesity continues to be a public health problem in the United States. Increasing consumption of fruits and vegetables (F/V) is one strategy for decreasing high consumption of energy-dense, high-fat foods, thereby improving weight status. Many Orleans Parish public schools were provided with salad bars (SBs) to augment school…

Alkalinity generation in snowmelt and rain runoff during short distance flow over rock

Treesearch

James L. Clayton

1998-01-01

High-elevation ecosystems in the western United States typically have patchy, discontinuous areas of surficial soils surrounded by large areas of rock outcrop, talus, and scree. Snowmelt and precipitation that percolate through soil increase in alkalinity, principally by increasing base cation concentration through cation exchange, and by decreasing acid anion...

Genetic characterization of quantitative resistance to Bremia lactucae, the causal organism of lettuce downy mildew

USDA-ARS?s Scientific Manuscript database

Lettuce (Lactuca sativa) is one of the most valuable vegetable crops in the United States. Downy mildew (DM), caused by Bremia lactucae, is the most important foliar disease of lettuce worldwide, which decreases the quality of the marketable portion of the crop. The use of resistant varieties carryi...

Riparian fuel treatments in the western USA: Challenges and considerations

Treesearch

Kathleen A. Dwire; Kristen E. Meyer; Gregg Riegel; Timothy Burton

2016-01-01

Fuel reduction treatments are being conducted throughout watersheds of the western United States to reduce hazardous fuels in efforts to decrease the risk of high-severity fire. The number of fuel reduction projects that include near-stream environments is increasing, bringing new challenges to riparian management. Riparian areas are protected by administrative...

The Newspaper Preservation Act: Is It a Necessary Loophole in Antitrust Laws?

ERIC Educational Resources Information Center

Jones, Fredrick

Decreasing competition between daily newspapers led the United States Congress to pass the Newspaper Preservation Act (NPA) of 1970, providing limited exemption from antitrust laws for newspapers working under joint operating agreements. The bill was passed after the Justice Department successfully brought suit against two Arizona newspapers that…

Voices from the Field: Stakeholder Perspectives on PBIS Implementation in Alternative Educational Settings

ERIC Educational Resources Information Center

Swain-Bradway, Jessica; Swoszowski, Nicole Cain; Boden, Lauren J.; Sprague, Jeffrey R.

2013-01-01

The positive behavior interventions and supports (PBIS) framework is currently implemented in over 18,000 schools in the United States. Schools implementing PBIS with fidelity report school level benefits including decreases in problem behavior, increases in academic engaged time, and improved perceptions of school safety. While potential benefits…

Ecologically unequal exchange, recessions, and climate change: A longitudinal study.

PubMed

Huang, Xiaorui

2018-07-01

This study investigates how the ecologically unequal exchange of carbon dioxide emissions varies with economic recessions. I propose a country-specific approach to examine (1) the relationship between carbon dioxide emissions in developing countries and the "vertical flow" of exports to the United States; and (2) the variations of the relationship before, during, and after two recent economic recessions in 2001 and 2008. Using data on 69 developing nations between 2000 and 2010, I estimate time-series cross-sectional regression models with two-way fixed effects. Results suggest that the vertical flow of exports to the United States is positively associated with carbon dioxide emissions in developing countries. The magnitude of this relationship increased in 2001, 2009, and 2010, and decreased in 2008, but remained stable in non-recession periods, suggesting that economic recessions in the United States are associated with variations of ecologically unequal exchange. Results highlight the impacts of U.S. recessions on carbon emissions in developing countries through the structure of international trade. Copyright © 2018 Elsevier Inc. All rights reserved.

Couples' immigration status and ethnicity as determinants of breastfeeding.

PubMed

Gibson-Davis, Christina M; Brooks-Gunn, Jeanne

2006-04-01

We investigated how couples' immigration status and ethnicity determined the decision to initiate breastfeeding and to breastfeed at 6 months. From data collected on 4207 mothers and 3013 fathers participating in a longitudinal birth cohort study, we used linear regression and covariate-adjusted proportions to estimate the determinants of breastfeeding behaviors. The sample was divided by immigration status (either foreign born or born in the United States) and further subdivided by ethnicity (Mexican Hispanic, non-Mexican Hispanic, and non-Hispanic). Mothers born in the United States had an 85% reduction in the odds of breastfeeding as compared to foreign-born mothers and a 66% reduction in the odds of breastfeeding at 6 months. Each additional year of US residency decreased the odds of breastfeeding by 4%. These differences by immigration status were seen for Mexicans, other Hispanics, and non-Hispanics. The Hispanic paradox may extend to other non-Hispanic immigrants for breastfeeding behaviors, but may not be true for Hispanic mothers born in the United States. Low rates of breastfeeding for Hispanic American mothers indicate that they should not be overlooked by breastfeeding promotion programs.

The impact of summer rainfall on the temperature gradient along the United States-Mexico border

NASA Technical Reports Server (NTRS)

Balling, Robert C., Jr.

1989-01-01

The international border running through the Sonoran Desert in southern Arizona and northern Sonora is marked by a sharp discontinuity in albedo and grass cover. The observed differences in surface properties are a result of long-term, severe overgrazing of the Mexican lands. Recently, investigators have shown the Mexican side of the border to have higher surface and air temperatures when compared to adjacent areas in the United State. The differences in temperatures appear to be more associated with differential evapotranspiration rates than with albedo changes along the border. In this study, the impact of summer rainfall on the observed seasonal and daily gradient in maximum temperature is examined. On a seasonal time scale, the temperature gradient increases with higher moisture levels, probably due to a vegetative response on the United States' side of the border; at the daily level, the gradient in maximum temperature decreases after a rain event as evaporation rates equalize between the countries. The results suggest that temperature differences between vegetated and overgrazed landscapes in arid areas are highly dependent upon the amount of moisture available for evapotranspiration.

Loneliness as a public health issue: the impact of loneliness on health care utilization among older adults.

PubMed

Gerst-Emerson, Kerstin; Jayawardhana, Jayani

2015-05-01

We aimed to determine whether loneliness is associated with higher health care utilization among older adults in the United States. We used panel data from the Health and Retirement Study (2008 and 2012) to examine the long-term impact of loneliness on health care use. The sample was limited to community-dwelling persons in the United States aged 60 years and older. We used negative binomial regression models to determine the impact of loneliness on physician visits and hospitalizations. Under 2 definitions of loneliness, we found that a sizable proportion of those aged 60 years and older in the United States reported loneliness. Regression results showed that chronic loneliness (those lonely both in 2008 and 4 years later) was significantly and positively associated with physician visits (β = 0.075, SE = 0.034). Loneliness was not significantly associated with hospitalizations. Loneliness is a significant public health concern among elders. In addition to easing a potential source of suffering, the identification and targeting of interventions for lonely elders may significantly decrease physician visits and health care costs.

How much runoff originates as snow in the western United States, and how will that change in the future?

NASA Astrophysics Data System (ADS)

Li, Dongyue; Wrzesien, Melissa L.; Durand, Michael; Adam, Jennifer; Lettenmaier, Dennis P.

2017-06-01

In the western United States, the seasonal phase of snow storage bridges between winter-dominant precipitation and summer-dominant water demand. The critical role of snow in water supply has been frequently quantified using the ratio of snowmelt-derived runoff to total runoff. However, current estimates of the fraction of annual runoff generated by snowmelt are not based on systematic analyses. Here based on hydrological model simulations and a new snowmelt tracking algorithm, we show that 53% of the total runoff in the western United States originates as snowmelt, despite only 37% of the precipitation falling as snow. In mountainous areas, snowmelt is responsible for 70% of the total runoff. By 2100, the contribution of snowmelt to runoff will decrease by one third for the western U.S. in the Intergovernmental Panel on Climate Change Representative Concentration Pathway 8.5 scenario. Snowmelt-derived runoff currently makes up two thirds of the inflow to the region's major reservoirs. We argue that substantial impacts on water supply are likely in a warmer climate.

Long-term groundwater depletion in the United States

USGS Publications Warehouse

Konikow, Leonard F.

2015-01-01

The volume of groundwater stored in the subsurface in the United States decreased by almost 1000 km3 during 1900–2008. The aquifer systems with the three largest volumes of storage depletion include the High Plains aquifer, the Mississippi Embayment section of the Gulf Coastal Plain aquifer system, and the Central Valley of California. Depletion rates accelerated during 1945–1960, averaging 13.6 km3/year during the last half of the century, and after 2000 increased again to about 24 km3/year. Depletion intensity is a new parameter, introduced here, to provide a more consistent basis for comparing storage depletion problems among various aquifers by factoring in time and areal extent of the aquifer. During 2001–2008, the Central Valley of California had the largest depletion intensity. Groundwater depletion in the United States can explain 1.4% of observed sea-level rise during the 108-year study period and 2.1% during 2001–2008. Groundwater depletion must be confronted on local and regional scales to help reduce demand (primarily in irrigated agriculture) and/or increase supply.

Orange juice, a marker of diet quality, contributes to essential micronutrient and antioxidant intakes in the United States population.

PubMed

Yang, Meng; Lee, Sang-Gil; Wang, Ying; Lloyd, Beate; Chung, Sang-Jin; Song, Won O; Chun, Ock K

2013-01-01

To evaluate the impact of 100% orange juice (OJ) on the healthy diet and micronutrient intakes of the United States population. Cross-sectional study of 13,971 people in the United States aged ≥ 4 years using 2 24-hour diet recalls from the National Health and Nutrition Examination Survey, 2003-2006. Consumption of OJ was higher among 4- to 8-year-old children, older adults (> 50 y old), non-Hispanic blacks, those with lower body mass index, those of lower income level, nonsmokers, dietary supplement users, and those participating in regular exercise (P < .05). Consumption of OJ was positively associated with the percentage of participants meeting MyPyramid recommendations for fruit consumption. Increased OJ consumption was correlated with increased daily intakes of certain micronutrients and antioxidants (P < .05). Percentages of participants with intakes below Estimated Average Requirements for these micronutrients decreased with increased OJ consumption (P < .001). The implicated nutritional and potential health benefits of OJ warrant further investigation in clinical research studies. Copyright © 2013 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

First-time blood donors: demographic trends.

PubMed

Wu, Y; Glynn, S A; Schreiber, G B; Wright, D J; Lo, A; Murphy, E L; Kleinman, S H; Garratty, G

2001-03-01

With changing demographics of the United States population and the continuous need to recruit new donors, it is important to monitor the demographic profile of first-time donors and to evaluate changes in the donor pool to improve recruitment targeting. First-time whole blood (n = 901,862) donors at five United States blood centers between 1991 and 1996 were analyzed. The total number of first-time donors appears to be decreasing. Over the 6-year period, there was an overall increase in the proportion of Hispanic and other minority first-time donors and a concurrent decrease in the proportion of white donors at Retrovirus Epidemiology Donor Study centers. Other variables, including age, sex, and education, did not show a consistent trend. The demographic profile of first-time donors is changing. These data highlight the importance for blood centers to continuously monitor the donor population. A better understanding of the donor population may help blood centers adjust their donor outreach, recruitment, and retention programs. New recruitment efforts appear needed to counter general apathy toward donating blood, and minority groups appear to be receptive to becoming blood donors.

Shifts in intended and unintended pregnancies in the United States, 2001-2008.

PubMed

Finer, Lawrence B; Zolna, Mia R

2014-02-01

We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationally and for key subgroups between 2001 and 2008. Data on pregnancy intentions from the National Survey of Family Growth (NSFG) and a nationally representative survey of abortion patients were combined with counts of births (from the National Center for Health Statistics), counts of abortions (from a census of abortion providers), estimates of miscarriages (from the NSFG), and population denominators from the US Census Bureau to obtain pregnancy rates by intendedness. In 2008, 51% of pregnancies in the United States were unintended, and the unintended pregnancy rate was 54 per 1000 women ages 15 to 44 years. Between 2001 and 2008, intended pregnancies decreased and unintended pregnancies increased, a shift previously unobserved. Large disparities in unintended pregnancy by relationship status, income, and education increased; the percentage of unintended pregnancies ending in abortion decreased; and the rate of unintended pregnancies ending in birth increased, reaching 27 per 1000 women. Reducing unintended pregnancy likely requires addressing fundamental socioeconomic inequities, as well as increasing contraceptive use and the uptake of highly effective methods.

A new mechanism for calcium loss in forest-floor soils

USGS Publications Warehouse

Lawrence, G.B.; David, M.B.; Shortle, W.C.

1995-01-01

CALCIUM is the fifth most abundant element in trees, and is an essential component for wood formation and the maintenance of cell walls. Depletion of Ca from the rooting zone can result in acidification of soil1 and surface water2 and possibly growth decline and dieback of red spruce3,4. During the past six decades, concentrations of root-available Ca (exchangeable and acid-ex tract able forms) in forest-floor soils have decreased in the northeastern United States5,6. Both net forest growth and acid deposition have been put forth as mechanisms that can account for this Ca depletion5,6. Here, however, we present data collected in red spruce forests in the northeastern United States that are inconsistent with either of these mechanisms. We propose that aluminium, mobilized in the mineral soil by acid deposition, is transported into the forest floor in a reactive form that reduces storage of Ca, and thus its availability for root uptake. This results in potential stress to trees and, by increasing the demand for Ca, also decreases neutralization of drainage waters, thereby leading to acidification of lakes and streams.

Attribution of Trends and Variability in Surface Ozone over the United States

NASA Technical Reports Server (NTRS)

Strode, Sarah; Cooper, Owen; Damo, Megan; Logan, Jennifer; Rodriquez, Jose; Strahan, Susan; Witte, Jacquie

2013-01-01

Concentrations of tropospheric ozone, a greenhouse gas and air pollutant, are impacted by changes in precursor emissions as well meteorology and influx from the stratosphere. Observations show a decreasing trend in summertime surface ozone at rural stations in the eastern United States, while some western stations show increasing trends, particularly in springtime. We use the Global Modeling Initiative (GMI) global chemical transport model to investigate the roles of precursor emission changes, meteorological variability, and stratosphere-troposphere exchange (STE) in explaining observed trends in surface ozone from rural sites in the United States from 1991-2010. The model's interannual variability shows significant correlations with observations from many of the surface sites. We also compare the simulated ozone to ozonesonde data for several locations with sufficiently long records. We compare a simulation with time-dependent precursor emissions, including emission reductions over the United States and Europe and increases over Asia, to a simulation with fixed emissions to quantify the impact of changing emissions on the surface trends. The simulation with varying emissions reproduces much of the east-west difference in summertime ozone over the U.S., although it generally underestimates the negative trend in the East. In contrast, the fixed-emission simulation shows increasing ozone at both eastern and western sites. We will discuss possible causes of this behavior, including long-range transport and STE.

Outbreaks of Salmonella infections attributed to beef --United States, 1973-2011.

PubMed

Laufer, A S; Grass, J; Holt, K; Whichard, J M; Griffin, P M; Gould, L H

2015-07-01

Non-typhoidal Salmonella is estimated to be the most common bacterial cause of foodborne illness in the United States, causing an estimated one million domestically acquired foodborne illnesses annually. Recent, large outbreaks have highlighted the importance of ground beef as an important source of multidrug-resistant Salmonella. We analysed the epidemiology of salmonellosis outbreaks that were attributed to beef in the United States reported to the Centers for Disease Control and Prevention (CDC) from 1973 to 2011. During 1973-2011, of the 1965 outbreaks of Salmonella where a food vehicle was implicated, 96 were attributed to beef, accounting for 3684 illnesses. We observed a shift in the type of beef implicated in salmonellosis outbreaks, from roast to ground beef. Delicatessen-style roast beef cooked in commercial processing establishments was the predominant type during the 1970s and early 1980s; regulations on cooking and processing essentially eliminated this problem by 1987. Ground beef emerged as an important vehicle in the 2000s; it was implicated in 17 (45%) of the 38 beef-attributed outbreaks reported during 2002-2011. Although this emergence was likely due in part to increased participation in CDC's PulseNet, which was established in 1996, and proactive decisions by the United States Department of Agriculture's Food Safety and Inspection Service, stronger measures are needed to decrease contamination of ground beef with Salmonella.

Prevalence of circumcision among men and boys aged 14 to 59 years in the United States, National Health and Nutrition Examination Surveys 2005-2010.

PubMed

Introcaso, Camille E; Xu, Fujie; Kilmarx, Peter H; Zaidi, Akbar; Markowitz, Lauri E

2013-07-01

In 2009, an estimated 3590 new heterosexually acquired HIV infections occurred in males in the United States. Three randomized controlled trials demonstrated that male circumcision decreased a man's risk for HIV acquisition through heterosexual sex. We describe circumcision prevalence in US males and determine circumcision prevalence among males potentially at increased risk for heterosexually acquired HIV infection. We estimated circumcision prevalence among men and boys aged 14 to 59 years using data from the National Health and Nutrition Examination Surveys 2005-2010. We defined men and boys with 2 or more female partners in the last year as potentially at increased risk for heterosexually acquired HIV infection. Estimated circumcision prevalence was 80.5%. Prevalence varied significantly by year of birth, race/ethnicity, health insurance type, and family income. Circumcision prevalence among men and boys reporting 2 or more female partners in the last year was 80.4%, which corresponded to an estimated 3.5 million uncircumcised men and boys potentially at increased risk for heterosexually acquired HIV infection. Of these men and boys, 48.3% lacked health insurance. Circumcision prevalence in the United States differs by demographic group, and half of uncircumcised men and boys potentially at increased risk for heterosexually acquired HIV are uninsured. These data could inform recommendations and cost analyses concerning circumcision in the United States.

Outbreaks of Salmonella Infections Attributed to Beef – United States, 1973–2011

PubMed Central

Laufer, A.S.; Grass, J.; Holt, K.; Whichard, J.M.; Griffin, P.M.; Gould, L.H.

2015-01-01

Summary Nontyphoidal salmonella is estimated to be the most common bacterial cause of foodborne illness in the United States, causing an estimated one million domestically-acquired foodborne illnesses annually. Recent, large outbreaks have highlighted the importance of ground beef as an important source of multidrug resistant salmonella. We analysed the epidemiology of salmonellosis outbreaks that were attributed to beef in the United States reported to the Centers for Disease Control and Prevention (CDC) from 1973 through 2011. During 1973–2011, of the 1965 outbreaks of salmonella where a food vehicle was implicated, 96 were attributed to beef, accounting for 3684 illnesses. We observed a shift in the type of beef implicated in salmonellosis outbreaks, from roast to ground beef. Delicatessen-style roast beef cooked in commercial processing establishments was the predominant type during the 1970s and early 1980s; regulations on cooking and processing essentially eliminated this problem by 1987. Ground beef emerged as an important vehicle in the 2000s; it was implicated in 17 (45%) of the 38 beef-attributed outbreaks reported during 2002–2011. Although this emergence was likely due in part to increased participation in CDC’s PulseNet, which was established in 1996, and proactive decisions by the United States Department of Agriculture’s Food Safety and Inspection Service, stronger measures are needed to decrease contamination of ground beef with salmonella. PMID:25427978

Abortion surveillance--United States, 2003.

PubMed

Strauss, Lilo T; Gamble, Sonya B; Parker, Wilda Y; Cook, Douglas A; Zane, Suzanne B; Hamdan, Saeed

2006-11-24

CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions. This report summarizes and describes data voluntarily reported to CDC regarding legal induced abortions obtained in the United States in 2003. For each year since 1969, CDC has compiled abortion data by state or area of occurrence. During 1973-1997, data were received from or estimated for 52 reporting areas in the United States: 50 states, the District of Columbia, and New York City. In 1998 and 1999, CDC compiled abortion data from 48 reporting areas. Alaska, California, New Hampshire, and Oklahoma did not report, and data for these states were not estimated. During 2000-2002, Oklahoma again reported these data, increasing the number of reporting areas to 49, and for 2003, Alaska again reported and West Virginia did not, maintaining the number of reporting areas at 49. A total of 848,163 legal induced abortions were reported to CDC for 2003 from 49 reporting areas, representing a 0.7% decline from the 854,122 legal induced abortions reported by 49 reporting areas for 2002. The abortion ratio, defined as the number of abortions per 1,000 live births, was 241 in 2003, a decrease from the 246 in 2002. The abortion rate was 16 per 1,000 women aged 15-44 years for 2003, the same as for 2002. For the same 47 reporting areas, the abortion rate remained relatively constant during 1998-2003. During 2001-2002 (the most recent years for which data are available), 15 women died as a result of complications from known legal induced abortion. One death was associated with known illegal abortion. The highest percentages of reported abortions were for women who were unmarried (82%), white (55%), and aged <25 years (51%). Of all abortions for which gestational age was reported, 61% were performed at < or =8 weeks' gestation and 88% at <13 weeks. From 1992 (when detailed data regarding early abortions were first collected) through 2002, steady increases have occurred in the percentage of abortions performed at < or =6 weeks' gestation, with a slight decline in 2003. A limited number of abortions were obtained at >15 weeks' gestation, including 4.2% at 16--20 weeks and 1.4% at > or =21 weeks. A total of 36 reporting areas submitted data documenting that they performed and enumerated medical (nonsurgical) procedures, making up 8.0% of all known reported procedures from the 45 areas with adequate reporting on type of procedure. During 1990-1997, the number of legal induced abortions gradually declined. When the same 47 reporting areas are compared, the number of abortions decreased during 1996-2001, then slightly increased in 2002 and again decreased in 2003. In 2000 and 2001, even with one additional reporting state, the number of abortions declined slightly, with a minimal increase in 2002 and a further decrease in 2003. In 2001 and 2002, as in the previous years, deaths related to legal induced abortions occurred rarely. Abortion surveillance in the United States continues to provide the data necessary for examining trends in numbers and characteristics of women who obtain legal induced abortions and to increase understanding of this pregnancy outcome. Policymakers and program planners use these data to improve the health and well-being of women and infants.

Abortion surveillance--United States, 2000.

PubMed

Elam-Evans, Laurie D; Strauss, Lilo T; Herndon, Joy; Parker, Wilda Y; Bowens, Sonya V; Zane, Suzanne; Berg, Cynthia J

2003-11-28

CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions. This report summarizes and describes data reported to CDC regarding legal induced abortions obtained in the United States in 2000. For each year since 1969, CDC has compiled abortion data by state or area of occurrence. During 1973-1997, data were received from or estimated for 52 reporting areas in the United States: 50 states, the District of Columbia, and New York City. In 1998 and 1999, CDC compiled abortion data from 48 reporting areas. Alaska, California, New Hampshire, and Oklahoma did not report, and data for these areas were not estimated. In 2000, Oklahoma again reported these data, increasing the number of reporting areas to 49. A total of 857,475 legal induced abortions were reported to CDC for 2000 from 49 reporting areas, representing a 0.5% decrease from the 861,789 legal induced abortions reported by 48 reporting areas for 1999 and a 1.3% decrease for the same 48 reporting areas that reported in 1999. The abortion ratio, defined as the number of abortions per 1,000 live births, was 246 in 2000 (for the same 48 reporting areas as 1999), compared with 256 reported for 1999. This represents a 3.8% decline in the abortion ratio. The abortion rate (for the same 48 reporting areas as 1999) was 16 per 1,000 women aged 15-44 years for 2000. This was also a 3.8% decrease from the rate reported for procedures performed during 1997-1999 for the same 48 reporting areas. The highest percentages of reported abortions were for women aged <25 years (52%), women who were white (57%), and unmarried women (81%). Fifty-eight percent of all abortions for which gestational age was reported were performed at < or =8 weeks of gestation, and 88% were performed before 13 weeks. From 1992 (when detailed data regarding early abortions were first collected) through 2000, steady increases have occurred in the percentage of abortions performed at < or =6 weeks of gestation. Few abortions were performed after 15 weeks of gestation; 4.3% were obtained at 16-20 weeks and 1.4% were obtained at > or =21 weeks. A total of 31 reporting areas submitted data stating that they performed medical (nonsurgical) procedures, making up 1.0% of all reported procedures from the 42 areas with adequate reporting on type of procedure. In 1998 and 1999 (the most recent years for which data are available), 14 women died as a result of complications from known legal induced abortion. Ten of these deaths occurred in 1998 and four occurred in 1999; no deaths were associated with known illegal abortion. From 1990 through 1997, the number of legal induced abortions gradually declined. In 1998 and 1999, the number of abortions continued to decrease when comparing the same 48 reporting areas. In 2000, even with one additional reporting state, the number of abortions declined slightly. In 1998 and 1999, as in previous years, deaths related to legal induced abortions occurred rarely (<1 death per 100,000 abortions). Abortion surveillance in the United States continues to provide data necessary for examining trends in numbers and characteristics of women who obtain legal induced abortions and for increasing understanding of one additional aspect of the spectrum of pregnancy outcomes. Policy makers and program planners need these data to improve the health and well-being of women and infants.

Mussel watch

NASA Astrophysics Data System (ADS)

Contamination of U.S. coastal areas may be decreasing as a result of environmental regulations that have banned or curtailed toxic chemicals, concludes a report by the National Oceanic and Atmospheric Administration. The report, “Recent Trends in Coastal Environmental Quality: Results from the Mussel Watch Project,” presents results of analyzing chemical concentrations found in mussel and oyster tissues collected every year since 1986.These mollusks are collected once a year at more than 240 sites nationwide and analyzed for over 70 polycyclic aromatic hydrocarbons, polychlorinated biphenyls, chlorinated pesticides, butyltins, and toxic trace elements such as copper, cadmium, and lead. The report states that from 1986 to 1993 there were many more decreases than increases in chemical concentrations in coastal regions. These decreasing trends were not unexpected; all of the monitored chlorinated hydrocarbons have been banned for use in the United States, and tributyltin has been banned as a biocide on recreational boats.

Effects of sulfur dioxide emissions on stream chemistry in the western United States

USGS Publications Warehouse

Campbell, D.H.; Turk, J.T.

1988-01-01

A 20-year record of water chemistry for seven headwater streams in the Rocky Mountain region of the western United States is compared to estimates of local and regional sulfur dioxide emissions for the same period. Emissions from smelters in the region comprise a significant part of sulfur dioxide emissions for the 11 states upwind of acid-sensitive watersheds in the Rocky Mountains, but smelter emissions have steadily decreased since 1970. Analysis of stream chemistry indicates conservative behavior of watershed sulfate, with atmospheric deposition as the dominant source of sulfate. No relation between regional stream chemistry and smelter or regional sulfur dioxide emissions is detected for the watersheds. Local emissions trends, however, do appear to affect sulfate concentrations in the streams. Year-to-year variability in stream sulfate concentration is much greater than any long-term trends that might be inferred.

Rabies surveillance in the United States during 2011.

PubMed

Blanton, Jesse D; Dyer, Jessie; McBrayer, Jesse; Rupprecht, Charles E

2012-09-15

During 2011, 49 states and Puerto Rico reported 6,031 rabid animals and 6 human rabies cases to the CDC, representing a 1.9% decrease from the 6,153 rabid animals and 2 human cases reported in 2010. Approximately 92% of reported rabid animals were wildlife. Relative contributions by the major animal groups were as follows: 1,981 raccoons (32.8%), 1,627 skunks (27.0%), 1,380 bats (22.9%), 427 foxes (7.1%), 303 cats (5.0%), 65 cattle (1.1%), and 70 dogs (1.2%). Compared with 2010, there was a substantial increase in the number of rabid skunks reported. Six cases of rabies involving humans were reported from California, Massachusetts, New Jersey, New York, and South Carolina. Three cases reported from Massachusetts, New Jersey, and New York were determined to be a result of canine rabies virus variants acquired outside the United States.

Rabies surveillance in the United States during 2011

PubMed Central

Blanton, Jesse D.; Dyer, Jessie; McBrayer, Jesse; Rupprecht, Charles E.

2016-01-01

Summary During 2011, 49 states and Puerto Rico reported 6,031 rabid animals and 6 human rabies cases to the CDC, representing a 1.9% decrease from the 6,153 rabid animals and 2 human cases reported in 2010. Approximately 92% of reported rabid animals were wildlife. Relative contributions by the major animal groups were as follows: 1,981 raccoons (32.8%), 1,627 skunks (270%), 1,380 bats (22.9%), 427 foxes (71%), 303 cats (5.0%), 65 cattle (1.1%), and 70 dogs (1.2%). Compared with 2010, there was a substantial increase in the number of rabid skunks reported. Six cases of rabies involving humans were reported from California, Massachusetts, New Jersey, New York, and South Carolina. Three cases reported from Massachusetts, New Jersey, and New York were determined to be a result of canine rabies virus variants acquired outside the United States. PMID:22947154

Potential air quality benefits from increased solar photovoltaic electricity generation in the Eastern United States

NASA Astrophysics Data System (ADS)

Abel, David; Holloway, Tracey; Harkey, Monica; Rrushaj, Arber; Brinkman, Greg; Duran, Phillip; Janssen, Mark; Denholm, Paul

2018-02-01

We evaluate how fine particulate matter (PM2.5) and precursor emissions could be reduced if 17% of electricity generation was replaced with solar photovoltaics (PV) in the Eastern United States. Electricity generation is simulated using GridView, then used to scale electricity-sector emissions of sulfur dioxide (SO2) and nitrogen oxides (NOX) from an existing gridded inventory of air emissions. This approach offers a novel method to leverage advanced electricity simulations with state-of-the-art emissions inventories, without necessitating recalculation of emissions for each facility. The baseline and perturbed emissions are input to the Community Multiscale Air Quality Model (CMAQ version 4.7.1) for a full accounting of time- and space-varying air quality changes associated with the 17% PV scenario. These results offer a high-value opportunity to evaluate the reduced-form AVoided Emissions and geneRation Tool (AVERT), while using AVERT to test the sensitivity of results to changing base-years and levels of solar integration. We find that average NOX and SO2 emissions across the region decrease 20% and 15%, respectively. PM2.5 concentrations decreased on average 4.7% across the Eastern U.S., with nitrate (NO3-) PM2.5 decreasing 3.7% and sulfate (SO42-) PM2.5 decreasing 9.1%. In the five largest cities in the region, we find that the most polluted days show the most significant PM2.5 decrease under the 17% PV generation scenario, and that the greatest benefits are accrued to cities in or near the Ohio River Valley. We find summer health benefits from reduced PM2.5 exposure estimated as 1424 avoided premature deaths (95% Confidence Interval (CI): 284 deaths, 2 732 deaths) or a health savings of 13.1 billion (95% CI: 0.6 billion, 43.9 billion) These results highlight the potential for renewable energy as a tool for air quality managers to support current and future health-based air quality regulations.

Survey of veterinary extension in the United States.

PubMed

Sischo, W M; Floyd, J G; McKean, J D; Hueston, W D

1999-11-15

To assess veterinary extension in the United States as perceived by veterinary extension personnel. Cross-sectional survey. Extension veterinarians in the United States. 2 surveys were designed and mailed to extension veterinarians listed by the USDA and the American Association of Extension Veterinarians. 34 states had > or = 1 extension veterinarian. The majority (> 60%) of extension veterinarians did not commit time to resident education and were not involved in research activities. Paradoxically, 23% of responding extension veterinarians did not report extension work. Programs for food animal producers, horse owners, and companion animal owners were provided by 100, 63, and 37% of states, respectively. Continuing education (CE) programs were provided for food animal veterinarians, equine veterinarians, and companion animal veterinarians by 96, 63, and 52% of states, respectively. Challenges facing veterinary extension included limited recognition of veterinary extension activities by universities, lack of university personnel to support CE programs, and decreased support for companion animal extension programs. Extension veterinarians need to identify and clearly articulate the mission of veterinary extension, develop more collaborative programs across regions, and continue to serve as catalysts to bring diverse constituents together. Extension veterinarians must distinguish their mission not solely as information transfer, which can be accomplished in a variety of ways outside of extension, but as a coherent and consistent program of education and policy developed on a national level and distributed locally.

Extreme hydrological changes in the southwestern US drive reductions in water supply to Southern California by mid century

DOE PAGES

Pagán, Brianna R.; Ashfaq, Moetasim; Rastogi, Deeksha; ...

2016-09-21

The Southwestern United States has a greater vulnerability to climate change impacts on water security due to a reliance on snowmelt driven imported water. The State of California, which is the most populous and agriculturally productive in the United States, depends on an extensive artificial water storage and conveyance system primarily for irrigated agriculture, municipal and industrial supply and hydropower generation. Here we take an integrative high-resolution ensemble approach to examine near term climate change impacts on all imported and local sources of water supply to Southern California. While annual precipitation is projected to remain the same or slightly increase,more » rising temperatures result in a shift in precipitation type towards more rainfall, reducing cold season snowpack and earlier snowmelt. Associated with these hydrological changes are substantial increases in both dry and flood event frequency and intensity. On one hand, the greater probability of drought decreases imported water supply availability. On the other hand, earlier snowmelt and significantly stronger winter precipitation events pose increased flood risk requiring water releases from reservoirs for flood control, also potentially decreasing water availability. As a result, lack of timely local water resource expansion coupled with climate change projections and population increases may leave the area in extended periods of shortages.« less

Extreme hydrological changes in the southwestern US drive reductions in water supply to Southern California by mid century

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

Pagán, Brianna R.; Ashfaq, Moetasim; Rastogi, Deeksha

The Southwestern United States has a greater vulnerability to climate change impacts on water security due to a reliance on snowmelt driven imported water. The State of California, which is the most populous and agriculturally productive in the United States, depends on an extensive artificial water storage and conveyance system primarily for irrigated agriculture, municipal and industrial supply and hydropower generation. Here we take an integrative high-resolution ensemble approach to examine near term climate change impacts on all imported and local sources of water supply to Southern California. While annual precipitation is projected to remain the same or slightly increase,more » rising temperatures result in a shift in precipitation type towards more rainfall, reducing cold season snowpack and earlier snowmelt. Associated with these hydrological changes are substantial increases in both dry and flood event frequency and intensity. On one hand, the greater probability of drought decreases imported water supply availability. On the other hand, earlier snowmelt and significantly stronger winter precipitation events pose increased flood risk requiring water releases from reservoirs for flood control, also potentially decreasing water availability. As a result, lack of timely local water resource expansion coupled with climate change projections and population increases may leave the area in extended periods of shortages.« less

Overview of deaths associated with natural events, United States, 1979-2004.

PubMed

Thacker, Maria T F; Lee, Robin; Sabogal, Raquel I; Henderson, Alden

2008-06-01

Analysis of the National Center for Health Statistics' Compressed Mortality File showed that between 1979 and 2004, natural events caused 21,491 deaths in the United States. During this 26-year period, there were 10,827 cold-related deaths and 5,279 heat-related deaths. Extreme cold or heat accounted for 75 per cent of the total number of deaths attributed to natural events--more than all of deaths resulting from lightning, storms and foods, and earth movements, such as earthquakes and landslides. Cold-related death rates were highest in the states of Alaska, Montana, New Mexico, and South Dakota, while heat-related deaths were highest in the states of Arizona, Missouri, and Arkansas. These deaths occurred more often among the elderly and black men. Other deaths were attributed to lightning (1,906), storms and foods (2,741), and earth movements (738). Most deaths associated with natural events are preventable and society can take action to decrease the morbidity and mortality connected with them.

Prevalence of and outcomes from Staphylococcus aureus pneumonia among hospitalized patients in the United States, 2009-2012.

PubMed

Jacobs, David M; Shaver, Amy

2017-04-01

The burden of Staphylococcus aureus pneumonia is unknown despite being a major cause of mortality. We investigated national estimates of methicillin-resistant S aureus (MRSA) and methicillin-susceptible S aureus (MSSA) pneumonias and predictors of in-hospital mortality and hospital length of stay (LOS). This was a retrospective analysis of the National Inpatient Sample from 2009-2012. Adult patients with an ICD-9-CM primary diagnosis code for MRSA or MSSA pneumonia were included. Data weights were used to derive national estimates. Prevalence rates were reported per 100,000 hospital discharges, with trends presented descriptively. There were 104,562 patients who had a primary diagnosis of S aureus pneumonia, with 81,275 from MRSA. MRSA pneumonia prevalence decreased steadily from 2009 (75.6 cases per 100,000 discharges) to 2012 (56.6 cases per 100,000 discharges), with MSSA pneumonia experiencing a slight decrease. Mortality rates decreased between 2009 and 2012 for MRSA pneumonia (7.9% to 6.4%) and MSSA pneumonia (6.9% to 4.7%; P = .008). LOS was higher for MRSA (6.9-7.8 days) compared with MSSA (6.1-6.4 days). The prevalence of MRSA pneumonia has decreased among hospitalized adults in the United States in recent years accompanied by improvements in mortality and LOS. Although the prevalence of MRSA pneumonia is declining, national vigilance is still warranted. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Cellulosic biofuels from crop residue and groundwater extraction in the US Plains: the case of Nebraska.

PubMed

Sesmero, Juan P

2014-11-01

This study develops a model of crop residue (i.e. stover) supply and derived demand for irrigation water accounting for non-linear effects of soil organic matter on soil's water holding capacity. The model is calibrated for typical conditions in central Nebraska, United States, and identifies potential interactions between water and biofuel policies. The price offered for feedstock by a cost-minimizing plant facing that stover supply response is calculated. Results indicate that as biofuel production volumes increase, soil carbon depletion per unit of biofuel produced decreases. Consumption of groundwater per unit of biofuel produced first decreases and then increases (after a threshold of 363 dam(3) of biofuels per year) due to plants' increased reliance on the extensive margin for additional biomass. The analysis reveals a tension between biofuel and water policies. As biofuel production raises the economic benefits of relaxing water conservation policies (measured by the "shadow price" of water) increase. Copyright © 2014 Elsevier Ltd. All rights reserved.

Changes in Treatment Patterns and Overall Survival in Patients With Early-Stage Non-Small Cell Lung Cancer in the United States After the Incorporation of Stereotactic Ablative Radiation Therapy: A Population-based Analysis.

PubMed

Haque, Waqar; Szeja, Sean; Tann, Anne; Kalra, Sarathi; Teh, Bin S

2018-03-01

Technologic developments have made radiation therapy (RT) more effective and have introduced new treatment options, such as stereotactic ablative radiation therapy (SABR). This study sought to determine changes in practice patterns for treatment of stage IA non-small cell lung cancer (NSCLC) after the introduction of SABR into the United States. This population-based study also examined changes in survival during this time period for all patients and specifically for patients treated with RT, surgery, or observation. We included patients in the Surveillance, Epidemiology, and End Results database diagnosed with stage IA NSCLC diagnosed between 2004 and 2012. Changes in treatment patterns were assessed. Outcomes were compared across 2 time periods: 2004 to 2008 (pre-SABR) and 2009 to 2012 (post-SABR). Kaplan-Meier and Cox regression were performed to compare overall survival (OS) for patients treated with surgery, RT, or observation. A total of 32,249 patients met the specified criteria. Comparing patients diagnosed in 2004 to those diagnosed in 2012, RT use increased from 13% to 29% (P<0.001), surgery use decreased from 76% to 61% (P<0.001), and patients observed decreased from 11% to 10% (P=0.3). There was no significant OS improvement in all patients or those patients who were observed; there were significant improvements in OS for patients treated with RT (hazard ratio=0.768; 95% confidence interval, 0.711-0.829) and those patients treated with surgery (hazard ratio=0.9; 95% confidence interval, 0.855-0.962). There has been an increase in RT utilization and decrease in surgical utilization after the incorporation of SABR by radiation oncologists within the United States. In addition, there has been an improvement in OS for patients treated with definitive RT for early-stage NSCLC between 2004 and 2012 that may be associated with increased utilization of SABR.

The epidemiology of firework-related injuries in the United States: 2000-2010.

PubMed

Moore, Justin Xavier; McGwin, Gerald; Griffin, Russell L

2014-11-01

The purpose of this study is to examine the epidemiology of firework-related injuries among an emergency department (ED) nationally representative population of the United States for the years 2000-2010, including whether the type of firework causing the injury is differential by patient demographics and whether the severity of injury is associated with the firework type. The data analysed in this study was collected from the Consumer Product Safety Commission's (CPSC's) National Electronic Injury Surveillance System (NEISS). A total of 2812 injuries represented an estimated 97,562 firework-related injuries treated in emergency departments within the United States from 2000 to 2010. The incidence generally decreased over time. With respect to age, the rate was higher for children, with the highest rates being observed for 10-19 year olds (7.28 per 100,000 persons) and 0-9 year olds (5.45 per 100,000 persons). The injury rate was nearly three times higher for males compared to the female counterparts (4.48 vs. 1.57 per 100,000 persons). Females were less likely than males to severely injure themselves with all types of fireworks besides sparklers/novelty devices (OR 1.08, CI 0.26-4.38). The results from this suggest that firework-related injuries have decreased by nearly 30% over the 11-year period between 2000 and 2010. Moreover, there has been a decreasing trend in the type of firework causing injury for every firework type excluding the unspecified firework type. However, adolescents of 10-19 years old had the highest rate of injury for fireworks over the 11-year period. In addition odds of injury are differential by firework type. Understanding the specific types of fireworks may lead to better preventative methods and regulations. Moreover, preventative methods should be taken to reduce the rate of firework-related injuries among U.S. youths [1], and possibly more regulations and enforcement of laws geared towards prohibiting novice use of fireworks. Published by Elsevier Ltd.

Trends in Critical Care Beds and Use Among Population Groups and Medicare and Medicaid Beneficiaries in the United States: 2000-2010.

PubMed

Halpern, Neil A; Goldman, Debra A; Tan, Kay See; Pastores, Stephen M

2016-08-01

To analyze patterns of critical care medicine beds, use, and costs in acute care hospitals in the United States and relate critical care medicine beds and use to population shifts, age groups, and Medicare and Medicaid beneficiaries from 2000 to 2010. Retrospective study of data from the federal Healthcare Cost Report Information System, American Hospital Association, and U.S. Census Bureau. None. None. Acute care U.S. hospitals with critical care medicine beds. From 2000 to 2010, U.S. hospitals with critical care medicine beds decreased by 17% (3,586-2,977), whereas the U.S. population increased by 9.6% (282.2-309.3M). Although hospital beds decreased by 2.2% (655,785-641,395), critical care medicine beds increased by 17.8% (88,235-103,900), a 20.4% increase in the critical care medicine-to-hospital bed ratio (13.5-16.2%). There was a greater percentage increase in premature/neonatal (29%; 14,391-18,567) than in adult (15.9%; 71,978-83,417) or pediatric (2.7%; 1,866-1,916) critical care medicine beds. Hospital occupancy rates increased by 10.4% (58.6-64.6%), whereas critical care medicine occupancy rates were stable (range, 65-68%). Critical care medicine beds per 100,000 total population increased by 7.4% (31.3-33.6). The proportional use of critical care medicine services by Medicare beneficiaries decreased by 17.3% (37.9-31.4%), whereas that by Medicaid rose by 18.3% (14.5-17.2%). Between 2000 and 2010, annual critical care medicine costs nearly doubled (92.2%; $56-108 billion). In the same period, the proportion of critical care medicine cost to the gross domestic product increased by 32.1% (0.54-0.72%). Critical care medicine beds, use, and costs in the United States continue to rise. The increasing use of critical care medicine by the premature/neonatal and Medicaid populations should be considered by healthcare policy makers, state agencies, and hospitals as they wrestle with critical care bed growth and the associated costs.

Congestion estimation technique in the optical network unit registration process.

PubMed

Kim, Geunyong; Yoo, Hark; Lee, Dongsoo; Kim, Youngsun; Lim, Hyuk

2016-07-01

We present a congestion estimation technique (CET) to estimate the optical network unit (ONU) registration success ratio for the ONU registration process in passive optical networks. An optical line terminal (OLT) estimates the number of collided ONUs via the proposed scheme during the serial number state. The OLT can obtain congestion level among ONUs to be registered such that this information may be exploited to change the size of a quiet window to decrease the collision probability. We verified the efficiency of the proposed method through simulation and experimental results.

Evapotranspiration Controls Imposed by Soil Moisture: A Spatial Analysis across the United States

NASA Astrophysics Data System (ADS)

Rigden, A. J.; Tuttle, S. E.; Salvucci, G.

2014-12-01

We spatially analyze the control over evapotranspiration (ET) imposed by soil moisture across the United States using daily estimates of satellite-derived soil moisture and data-driven ET over a nine-year period (June 2002-June 2011) at 305 locations. The soil moisture data are developed using 0.25-degree resolution satellite observations from the Advanced Microwave Scanning Radiometer for the Earth Observing System (AMSR-E), where the 9-year time series for each 0.25-degree pixel was selected from three potential algorithms (VUA-NASA, U. Montana, & NASA) based on the maximum mutual information between soil moisture and precipitation (Tuttle & Salvucci (2014), Remote Sens Environ, 114: 207-222). The ET data are developed independent of soil moisture using an emergent relationship between the diurnal cycle of the relative humidity profile and ET. The emergent relation is that the vertical variance of the relative humidity profile is less than what would occur for increased or decreased ET rates, suggesting that land-atmosphere feedback processes minimize this variance (Salvucci and Gentine (2013), PNAS, 110(16): 6287-6291). The key advantage of using this approach to estimate ET is that no measurements of surface limiting factors (soil moisture, leaf area, canopy conductance) are required; instead, ET is estimated from meteorological data measured at 305 common weather stations that are approximately uniformly distributed across the United States. The combination of these two independent datasets allows for a unique spatial analysis of the control on ET imposed by the availability of soil moisture. We fit evaporation efficiency curves across the United States at each of the 305 sites during the summertime (May-June-July-August-September). Spatial patterns are visualized by mapping optimal curve fitting coefficients across the Unites States. An analysis of efficiency curves and their spatial patterns will be presented.

Conditional vulnerability of plant diversity to atmospheric nitrogen deposition across the United States

USGS Publications Warehouse

Simkin, Samuel M.; Allen, Edith B.; Bowman, William D.; Clark, Christopher M.; Belnap, Jayne; Brooks, Matthew L.; Cade, Brian S.; Collins, Scott L.; Geiser, Linda H.; Gilliam, Frank S.; Jovan, Sarah E.; Pardo, Linda H.; Schulz, Bethany K.; Stevens, Carly J.; Suding, Katharine N.; Throop, Heather L.; Waller, Donald M.

2016-01-01

Atmospheric nitrogen (N) deposition has been shown to decrease plant species richness along regional deposition gradients in Europe and in experimental manipulations. However, the general response of species richness to N deposition across different vegetation types, soil conditions, and climates remains largely unknown even though responses may be contingent on these environmental factors. We assessed the effect of N deposition on herbaceous richness for 15,136 forest, woodland, shrubland, and grassland sites across the continental United States, to address how edaphic and climatic conditions altered vulnerability to this stressor. In our dataset, with N deposition ranging from 1 to 19 kg N⋅ha−1⋅y−1, we found a unimodal relationship; richness increased at low deposition levels and decreased above 8.7 and 13.4 kg N⋅ha−1⋅y−1 in open and closed-canopy vegetation, respectively. N deposition exceeded critical loads for loss of plant species richness in 24% of 15,136 sites examined nationwide. There were negative relationships between species richness and N deposition in 36% of 44 community gradients. Vulnerability to N deposition was consistently higher in more acidic soils whereas the moderating roles of temperature and precipitation varied across scales. We demonstrate here that negative relationships between N deposition and species richness are common, albeit not universal, and that fine-scale processes can moderate vegetation responses to N deposition. Our results highlight the importance of contingent factors when estimating ecosystem vulnerability to N deposition and suggest that N deposition is affecting species richness in forested and nonforested systems across much of the continental United States.

Consumption of Combustible and Smokeless Tobacco - United States, 2000-2015.

PubMed

Wang, Teresa W; Kenemer, Brandon; Tynan, Michael A; Singh, Tushar; King, Brian

2016-12-09

Combustible and smokeless tobacco use causes adverse health outcomes, including cardiovascular disease and multiple types of cancer (1,2). Standard approaches for measuring tobacco use include self-reported surveys of use and consumption estimates based on tobacco excise tax data (3,4). To provide the most recently available tobacco consumption estimates in the United States, CDC used federal excise tax data to estimate total and per capita consumption during 2000-2015 for combustible tobacco (cigarettes, roll-your-own tobacco, pipe tobacco, small cigars, and large cigars) and smokeless tobacco (chewing tobacco and dry snuff). During this period, total combustible tobacco consumption decreased 33.5%, or 43.7% per capita. Although total cigarette consumption decreased 38.7%, cigarettes remained the most commonly used combustible tobacco product. Total noncigarette combustible tobacco (i.e., cigars, roll-your-own, and pipe tobacco) consumption increased 117.1%, or 83.8% per capita during 2000-2015. Total consumption of smokeless tobacco increased 23.1%, or 4.2% per capita. Notably, total cigarette consumption was 267.0 billion cigarettes in 2015 compared with 262.7 billion in 2014. These findings indicate that although cigarette smoking declined overall during 2000-2015, and each year from 2000 to 2014, the number of cigarettes consumed in 2015 was higher than in 2014, and the first time annual cigarette consumption was higher than the previous year since 1973. Moreover, the consumption of other combustible and smokeless tobacco products remains substantial. Implementation of proven tobacco prevention interventions (5) is warranted to further reduce tobacco use in the United States.

Quantifying Contemporary Terrestrial Carbon Sources and Sinks in the Conterminous United States

NASA Astrophysics Data System (ADS)

Liu, S.; Loveland, T.

2003-12-01

U.S. land likely accounts for a significant portion of the unidentified global carbon sink, although the magnitude is highly uncertain. The ultimate goal of this study is to quantify the contemporary temporal and spatial patterns of carbon sources and sinks in the conterminous United States from the early 1970s to 2000, and to explain the mechanisms that cause the variability and changes. Because of the difficulty and massive cost for developing land cover change databases for the conterminous United States, we adopt an ecoregion-based sampling approach. Carbon dynamics within thousands of 20 km by 20 km or 10 km by 10 km sampling blocks, stratified by Omernik Level III ecoregions, are simulated using the General Ensemble Biogeochemical Modeling System at the spatial resolution of 60 m by 60 m. The land use change data, providing unprecedented accuracy and consistency, are derived from Landsat imagery for five time points (nominally 1972, 1980, 1986, 1992, and 2000). Mechanisms have been implemented to assimilate data from key national benchmark databases (including the USDA Forest Service­_s Forest Inventory and Analysis data and the USDA­_s agricultural census data). The dynamics of carbon stocks in vegetation, soil, and harvested wood materials are quantified. Results from three ecoregions (i.e., Southeastern Plains, Piedmont, and Northern Piedmont) indicated that the carbon sink strength has been decreasing from the 1970s to 2000. The relative contribution of biomass accumulation to the sink decreased during this period, while those of soil organic carbon and harvested wood materials increased.

Changes in the chemistry of lakes and precipitation in high-elevation national parks in the western United States, 1985–1999

USGS Publications Warehouse

Clow, David W.; Sickman, James O.; Striegl, Robert G.; Krabbenhoft, David P.; Elliott, John G.; Dornblaser, Mark M.; Roth, David A.; Campbell, Donald H.

2003-01-01

High-elevation lakes in the western United States are sensitive to atmospheric deposition of sulfur and nitrogen due to fast hydrologic flushing rates, short growing seasons, an abundance of exposed bedrock, and a lack of well-developed soils. This sensitivity is reflected in the dilute chemistry of the lakes, which was documented in the U.S. Environmental Protection Agency's Western Lake Survey of 1985. Sixty-nine lakes in seven national parks sampled during the 1985 survey were resampled during fall 1999 to investigate possible decadal-scale changes in lake chemistry. In most lakes, SO4 concentrations were slightly lower in 1999 than in 1985, consistent with a regional decrease in precipitation SO4 concentrations and in SO2 emissions in the western United States. Nitrate concentrations also tended to be slightly lower in 1999 than in 1985, in contrast with generally stable or increasing inorganic N deposition in the west. Differences in alkalinity were variable among parks but were relatively consistent within each park. Possible effects of annual and seasonal-scale variations in precipitation amount on lake chemistry were evaluated based on climate data available for the parks and an analysis of climatic effects at two research watersheds with long-term records. Results suggest that rain prior to sampling in 1985 may have caused elevated NO3 in some lakes due to direct runoff of precipitation and flushing of NO3 from alpine soils, which may explain some of the decrease in NO3 concentrations observed in survey lakes.

Leading Causes of Death Contributing to Decrease in Life Expectancy Gap Between Black and White Populations: United States, 1999-2013.

PubMed

Kochanek, Kenneth D; Anderson, Robert N; Arias, Elizabeth

2015-11-01

Life expectancy at birth has increased steadily since 1900 to a record 78.8 years in 2013. But differences in life expectancy between the white and black populations still exist, despite a decrease in the life expectancy gap from 5.9 years in 1999 to 3.6 years in 2013. Differences in the change over time in the leading causes of death for the black and white populations have contributed to this decrease in the gap in life expectancy. Between 1999 and 2013, the decrease in the life expectancy gap between the black and white populations was mostly due to greater decreases in mortality from heart disease, cancer, HIV disease, unintentional injuries, and perinatal conditions among the black population. Similarly, the decrease in the gap between black and white male life expectancy was due to greater decreases in death rates for HIV disease, cancer, unintentional injuries, heart disease, and perinatal conditions in black males. For black females, greater decreases in diabetes death rates, combined with decreased rates for heart disease and HIV disease, were the major causes contributing to the decrease in the life expectancy gap with white females. The decrease in the gap in life expectancy between the white and black populations would have been larger than 3.6 years if not for increases in death rates for the black population for aortic aneurysm, Alzheimer’s disease, and maternal conditions. For black males, the causes that showed increases in death rates over white males were hypertension, aortic aneurysm, diabetes, Alzheimer’s disease, and kidney disease, while the causes that showed increases in death rates for black females were Alzheimer’s disease, maternal conditions, and atherosclerosis. This NCHS Data Brief is the second in a series of data briefs that explore the causes of death contributing to differences in life expectancy between detailed ethnic and racial populations in the United States. The first data brief focused on the racial differences in life expectancy for a single year, 2010 (3). All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

LOCAL POPULATION CHANGE AND VARIATIONS IN RACIAL INTEGRATION IN THE UNITED STATES, 2000-2010.

PubMed

Bellman, Benjamin; Spielman, Seth E; Franklin, Rachel S

2018-03-01

While population growth has been consistently tied to decreasing racial segregation at the metropolitan level in the United States, little work has been done to relate small-scale changes in population size to integration. We address this question through a novel technique that tracks population changes by race and ethnicity for comparable geographies in both 2000 and 2010. Using the Theil Index, we analyze the fifty most populous Metropolitan Statistical Areas in 2010 for changes in multigroup segregation. We classify local areas by their net population change between 2000 and 2010 using a novel unit of analysis based on aggregating census blocks. We find strong evidence that growing parts of rapidly growing metropolitan areas of the United States are crucial to understanding regional differences in segregation that have emerged in past decades. Multigroup segregation declined the most in growing parts of growing metropolitan areas. Comparatively, growing parts of shrinking or stagnant metropolitan areas were less diverse and had smaller declines in segregation. We also find that local areas with shrinking populations had disproportionately high minority representation in 2000 before population loss took place. We conclude that the regional context of population growth or decline has important consequences for the residential mixing of racial groups.

Government funding of health research in New Zealand.

PubMed

Reid, Ian R; Joyce, Peter; Fraser, John; Crampton, Peter

2014-02-14

An analysis of levels of government health research funding carried out in 2008 demonstrated that funding in New Zealand, after adjustment for population size, was less than one-third of that in Australia, less than one-fifth of that in the United Kingdom, and about 10% of that in the United States. This was perceived to be a major obstacle to the recruitment and retention of clinical and academic staff in our hospitals and universities. We have now repeated these analyses to determine the current state of these comparisons. From 2009 to the present funds for direct funding of research through the Health Research Council (HRC) have remained static at $54m. As a result of inflation of research costs (principally salaries) this represents a decrease of approximately one-quarter in the quantum of research funded by the HRC over the last 4 years. Current funding rates in the comparator countries, population-adjusted and converted to NZ$, are 3.4-fold higher in Australia, 4.5-fold higher in the United Kingdom, and 9.7-fold higher in the United States. Urgent and sustained action is needed to correct these major disparities in government health research funding if the quality of academic and clinical staff in our public institutions is to be maintained.

Saving Citrus: Does the Next Generation See GM Science as a Solution?

ERIC Educational Resources Information Center

Rumble, Joy N.; Ruth, Taylor K.; Owens, Courtney T.; Lamm, Alexa J.; Taylor, Melissa R.; Ellis, Jason D.

2016-01-01

Citrus is one of Florida's most prominent commodities, providing 66% of the total United States' value for oranges. Florida's citrus production decreased 21% in 2014 from the previous season, partly due to the disease citrus greening. The science of genetic modification (GM) is one of the most promising solutions to the problem. However, a…

77 FR 31340 - Notice of Intent To Grant Partially Exclusive License of the United States Patent No. 7,824,569...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-25

... product as a natural soil amendment and seed coating that promotes more efficient growth of crops and... synthetic, petroleum-based polymers for soil amendment applications to achieve increased soil strength, reduced air transport, and decreased soil erosion. During processing, the biopolymer also can be...

77 FR 29619 - Notice of Intent to Grant Partially Exclusive License of the United States Patent No. 7,824,569...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-18

... formulation related to soil stabilization and dust control. DATES: Written objections must be filed not later... resulting biopolymer material can be used in place of synthetic, petroleum-based polymers for soil amendment applications to achieve increased soil strength, reduced air transport, and decreased soil erosion. During...

77 FR 75554 - Drawbridge Operation Regulation; Apalachicola River, FL

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-21

... documented decrease in the number of requests for openings in the last three years. In 2010, the bridge opened 12 times for the passage of vessels. Eight of those openings were for either a United States Coast... opened four times for the passage of vessels. Three of those openings were for either a USCG vessel or...

A history of annual streamflows from the 21 water-resource regions in the United States and Puerto Rico, 1951-83

USGS Publications Warehouse

Graczyk, D.J.; Krug, W.R.; Gebert, W.A.

1986-01-01

Streamflow from the Upper and Lower Colorado (Regions 14 and 15) appear to be heavily affected by large storage reservoirs. Streamflow from the Upper Colorado (Region 14) shows a decreasing streamflow in 1963 and 1964, which may be due to filling of Lake Powell.

The Urgent Need for Teacher Preparation in Religious and Secular Worldview Education

ERIC Educational Resources Information Center

Gardner, Ryan S.; Soules, Kate; Valk, John

2017-01-01

In a world that is becoming increasingly globalized, it is ironic--as well as unfortunate and sometimes tragic--that secular and religious worldview education is decreasing, in the United States, Canada, and elsewhere. This article argues for the immediate need for programs that intentionally prepare teachers for all aspects of the educational…

Early Female Puberty: A Review of Research on Etiology and Implications

ERIC Educational Resources Information Center

Daniel, Eileen; Balog, Linda F.

2009-01-01

The age of female puberty appears to have decreased in the United States and western countries as child health and nutrition have improved and obesity has become more prevalent. Also, environmental contaminants, particularly endocrine disruptors, may also play a role in lowering the age of puberty. Puberty at an early age increases the risk of…

40 CFR 1045.730 - What ABT reports must I send to EPA?

Code of Federal Regulations, 2010 CFR

2010-07-01

... volumes for the model year with a point of retail sale in the United States, as described in § 1045.701(j...) Show that your net balance of emission credits from all your participating families in each averaging... errors mistakenly decreased your balance of emission credits, you may correct the errors and recalculate...

40 CFR 1051.730 - What ABT reports must I send to EPA?

Code of Federal Regulations, 2010 CFR

2010-07-01

... the model year with a point of retail sale in the United States, as described in § 1051.701(d). For... following additional information: (1) Show that your net balance of emission credits in each averaging set... that errors mistakenly decreased your balance of emission credits, you may correct the errors and...

Improving Parental Involvement in an Inner-City School

ERIC Educational Resources Information Center

Marion, Veronica D.

2017-01-01

A pattern of low parental involvement exists at in an inner-city school in the northeast region of the United States, where 90% of the students are students of color and fewer than 10% of parents attend school-based activities. Low parental involvement at the local school may lead to decreased student achievement and limited access to needed…

Effective Aspects of Reengagement and Recovery Programs in Southeastern Wisconsin High Schools

ERIC Educational Resources Information Center

Litzau, Christopher; Rice, Nancy

2017-01-01

The number of students in the United States who did not complete high school decreased by 27% from 2008 to 2012 (Alliance for Excellent Education, America's Promise Alliance, Civic Enterprises, & The Everyone Graduates Center at Johns Hopkins University, 2015). This is a positive trend. High schools can help students complete school and…

Exploring the Middle School Science Achievement Gap: Influences of Curriculum, Instruction and Students' Perceptions

ERIC Educational Resources Information Center

Winning, Rosalie Anne

2012-01-01

Students' science achievement has been subject to scrutiny and criticism in the United States. The decline in rankings on standardized international assessments has been the focus of concern for educators, policy makers, parents and society at large. This study, designed as an action research, explored the factors contributing to the decrease in…

Demography in the United States: Some Twentieth Century Myths.

ERIC Educational Resources Information Center

Egbert, Robert L.

Five demographic myths related to education pose dangers to educational planning and thinking. The first myth says the return of service personnel after World War II caused the baby boom. Actually the baby boom began in 1939 and was not related to service personnel. The second myth claims the Great Depression decreased the birth and fertility…

Children in Poverty: Trends, Consequences, and Policy Options. Child Trends Research Brief.

ERIC Educational Resources Information Center

Moore, Kristin Anderson; Redd, Zakia

Noting that the U.S. child poverty rate is no longer declining, this research brief uses 2001 Census data to present a statistical portrait of poor children in the United States. The research brief also highlights some consequences of poverty for children and considers promising approaches for decreasing poverty among low-income children and their…

Public Elementary and Secondary School Arts Education Instructors. Stats in Brief. NCES 2015-085

ERIC Educational Resources Information Center

Sparks, Dinah; Zhang, Jizhi; Bahr, Steven

2015-01-01

Amid reports of decreased instructional time in music and art in some districts (Heilig, Cole, and Aguilar 2010; McMurrer 2008; Rabkin and Hedberg 2011), researchers, policymakers, and practitioners have questioned the status of arts education in the United States (Sabol 2013). Evidence about how elementary and secondary schools staff their arts…

From Static Stretching to Dynamic Exercises: Changing the Warm-Up Paradigm

ERIC Educational Resources Information Center

Young, Shawna

2010-01-01

In the United States, pre-exercise static stretching seems to have become common practice and routine. However, research suggests that it is time for a paradigm shift--that pre-exercise static stretching be replaced with dynamic warm-up exercises. Research indicates that a dynamic warm-up elevates body temperature, decreases muscle and joint…

Vegetative Measures for Streambank Stabilization: Case Studies from Illinois and Missouri

Treesearch

Teri Heyer

1997-01-01

Streambank erosion is a common problem throughout the United States. A stream naturally loses bank material and redeposits it elsewhere. However, sediment carried by the stream can decrease water quality especially for the aquatic population by covering substrate and increasing turbidity. Once begun, streambank erosion can be a chronic problem, causing continual loss...

Conditional vulnerability of plant diversity to atmospheric nitrogen deposition across the United States

Treesearch

Samuel M. Simkin; Edith B. Allen; William D. Bowman; Christopher M. Clark; Jayne Belnap; Matthew L. Brooks; Brian S. Cade; Scott L. Collins; Linda H. Geiser; Frank S. Gilliam; Sarah E. Jovan; Linda H. Pardo; Bethany K. Schulz; Carly J. Stevens; Katharine N. Suding; Heather L. Throop; Donald M. Waller

2016-01-01

Atmospheric nitrogen (N) deposition has been shown to decrease plant species richness along regional deposition gradients in Europe and in experimental manipulations. However, the general response of species richness to N deposition across different vegetation types, soil conditions, and climates remains largely unknown even though responses may be contingent on these...

Law Students' Attitudes toward and Preparedness for Mentally Ill Clients

ERIC Educational Resources Information Center

Doherty, Lisa-Marie

2013-01-01

Currently in the United States, there are far more mentally ill individuals in jails and prisons than in mental hospitals or other treatment facilities. Stigma toward this population presents as a major barrier to eradicating this indictment, yet research has shown that education can help to reduce stigma and, in turn, possibly decreasing the…

Decreasing Excessive Media Usage while Increasing Physical Activity: A Single-Subject Research Study

ERIC Educational Resources Information Center

Larwin, Karen H.; Larwin, David A.

2008-01-01

The Kaiser Family Foundation released a report entitled "Kids and Media Use" in the United States that concluded that children's use of media--including television, computers, Internet, video games, and phones--may be one of the primary contributor's to the poor fitness and obesity of many of today's adolescents. The present study examines the…

Crucial factors influencing public acceptance of fuels treatments

Treesearch

Sarah McCaffrey

2009-01-01

An important component of the wildland fire problem in the United States is the growing number of people living in high fire hazard areas. How people in these areas contribute to fire risk--or potentially decrease it--will be shaped by their attitudes and beliefs toward different fuel treatment approaches. Understanding the issues and concerns that influence public...

An Anti-Bullying Training Course for Adults

ERIC Educational Resources Information Center

Ridgeway, Richard

2012-01-01

Workplace bullying is a phenomenon that is currently affecting as many as 70% of the workforce in the United States (Lutgen-Sandvic & McDermott, 2011). This phenomenon decreases morale, increases turn-over, and could soon lead to massive and costly litigation. In response to this I have proposed a two hour training course meant to educate workers…

Educators' Perceptions of Experiential Learning Credits at a Proprietary School: An Exploratory Case Study

ERIC Educational Resources Information Center

Jackson, Linda Ann

2018-01-01

College graduation rates have been on the academic and political agenda. The United States graduation rate is 59%, however, 68% of nontraditional students do not graduate with baccalaureate degrees within the time frame of six years. Scholars are attributing the decreasing graduation rates to barriers encountered by nontraditional undergraduate…

United States housing, second quarter 2013

Treesearch

Delton Alderman

2017-01-01

The U.S. housing market’s quarter two results were disap¬pointing compared with the first quarter. Although overall expected gains did not materialize, certain sectors improved slightly. Housing under construction, completions, and new and existing home sales exhibited slight increases. Overall permit data declined, and the decrease in starts was due primarily to a...

Effects of conifer treatments on soil nutrient availability and plant composition in sagebrush steppe

USDA-ARS?s Scientific Manuscript database

Piñon-juniper woodlands of the western United States have expanded 2 to 10-fold since the late 1800’s. Since the 1950’s woodland control measures using chainsaws, heavy equipment and prescribed fire have been used to reduce woodlands and restore big sagebrush steppe and decrease woody fuel loading. ...

Avian nest box selection and nest success in burned and unburned southwestern riparian forests

Treesearch

D. Max Smith; Jeffrey F. Kelly; Deborah M. Finch

2007-01-01

Riparian forest communities in the southwestern United States were historically structured by a disturbance regime of annual flooding. In recent decades, however, frequency of flooding has decreased and frequency of wildfires has increased. Riparian forests provide important breeding habitat for a large variety of bird species, and the effects of this altered...

Association of UV Index and Sunscreen Use among White High School Students in the United States

ERIC Educational Resources Information Center

Everett Jones, Sherry; O'Malley Olsen, Emily; Michael, Shannon L.; Saraiya, Mona

2013-01-01

Background: When used appropriately, sunscreen decreases the amount of ultraviolet (UV) radiation exposure to the skin and is recommended to prevent skin cancer. This study examined the association between annual average UV index and sunscreen use among White, non-Hispanic youth. Methods: The 2007 and 2009 national Youth Risk Behavior Survey…

Incidence rates and deaths of tuberculosis in HIV-negative patients in the United States and Germany as analyzed by new predictive model for infection

USDA-ARS?s Scientific Manuscript database

Incidence and mortality due to tuberculosis (TB) have been decreasing worldwide. Given that TB is a cosmopolitan disease, proper surveillance and evaluation are critical for controlling dissemination. Herein, mathematical modeling was performed in order to: 1) demonstrate a correlation between the i...

Exploring Student Perceptions of Retention Issues in a 3-Year Baccalaureate-Level Nursing Program

ERIC Educational Resources Information Center

Taulbee, Rebecca

2017-01-01

The nursing shortage, a major concern for the United States, has a multitude of causative factors. Nursing education has been tasked with helping to decrease the shortage of qualified registered nurses. Poor retention of nursing students in higher education is impacting the number of qualified nurses entering the workforce. Nursing education has…

Species richness and patterns of invasion in plants, birds, and fishes in the United States

Treesearch

Thomas J. Stohlgren; David T. Barnett; Curtis H. Flather; Pam L. Fuller; Bruce G. Peterjohn; John T. Kartesz; Lawrence L. Master

2006-01-01

We quantified broad-scale patterns of species richness and species density (mean # species/km2) for native and non-indigenous plants, birds, and fishes in the continental USA and Hawaii. We hypothesized that the species density of native and non-indigenous taxa would generally decrease in northern latitudes and higher elevations following...

Overcoming weed management challenges in cover crop-based organic rotational no-till soybean production in the Eastern US

USDA-ARS?s Scientific Manuscript database

Cover crop-based, organic rotational no-till soybean production has been gaining traction in the Eastern region of the United States because of the ability of this new system to enhance soil conservation, reduce labor requirements, and decrease diesel fuel use compared to traditional organic product...

Report of the Task Force on Pertussis and Pertussis Immunization--1988.

ERIC Educational Resources Information Center

American Academy of Pediatrics, Elk Grove Village, IL.

Pertussis is a severe epidemic and endemic disease with significant morbidity and mortality. The use of whole-cell pertussis vaccines in the United States has been effective in controlling the disease but not in decreasing the circulation of the organism. Whole-cell vaccines commonly cause reactions in children, and in addition, they are often…

The Impact of Bar Code Medication Administration Technology on Reported Medication Errors

ERIC Educational Resources Information Center

Holecek, Andrea

2011-01-01

The use of bar-code medication administration technology is on the rise in acute care facilities in the United States. The technology is purported to decrease medication errors that occur at the point of administration. How significantly this technology affects actual rate and severity of error is unknown. This descriptive, longitudinal research…

Decreased Susceptibility to Ciprofloxacin among Shigella Isolates in the United States, 2006 to 2009▿

PubMed Central

Folster, Jason P.; Pecic, Gary; Bowen, Anna; Rickert, Regan; Carattoli, Alessandra; Whichard, Jean M.

2011-01-01

We characterized 20 Shigella isolates with decreased susceptibility to fluoroquinolones. Most patients (80%) from whom a travel history was obtained reported travel to South or Southeast Asia. Mutations within the quinolone resistance determining regions of gyrA and parC and plasmid-mediated resistance determinants (qnrB, qnrS, and aac(6′)-Ib-cr) were identified. The rise in antimicrobial resistance among Shigella isolates may necessitate the increased use of extended-spectrum cephalosporins or macrolides in some patients. PMID:21220535

Waterborne Commerce of the United States, Calendar Year 1985. Part 5. National Summaries.

DTIC Science & Technology

1987-05-01

raomts the perfomsac* of the water carrier industry in toerm of con-miles on a typo of service basis a"d provides detailed data on typos of traffic and...Group 24-Lumber and Wood Products 1Ml Coal and lignite Except furniture Group 13-Crude Petroleum 2411 Logs 2412 Rafted logs 1311 Crude petroleum 2413...7.8 percent in 1985. 19 5 amonted to 1,788.4 million tons. a decrease of Export. to Candian Great Lakes ports decreased 4.617.6 million tone

Energy System and Thermoeconomic Analysis of Combined Heat and Power High Temperature Proton Exchange Membrane Fuel Cell Systems for Light Commercial Buildings

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

Colella, Whitney G.; Pilli, Siva Prasad

2015-06-01

The United States (U.S.) Department of Energy (DOE)’s Pacific Northwest National Laboratory (PNNL) is spearheading a program with industry to deploy and independently monitor five kilowatt-electric (kWe) combined heat and power (CHP) fuel cell systems (FCSs) in light commercial buildings. This publication discusses results from PNNL’s research efforts to independently evaluate manufacturer-stated engineering, economic, and environmental performance of these CHP FCSs at installation sites. The analysis was done by developing parameters for economic comparison of CHP installations. Key thermodynamic terms are first defined, followed by an economic analysis using both a standard accounting approach and a management accounting approach. Keymore » economic and environmental performance parameters are evaluated, including (1) the average per unit cost of the CHP FCSs per unit of power, (2) the average per unit cost of the CHP FCSs per unit of energy, (3) the change in greenhouse gas (GHG) and air pollution emissions with a switch from conventional power plants and furnaces to CHP FCSs; (4) the change in GHG mitigation costs from the switch; and (5) the change in human health costs related to air pollution. From the power perspective, the average per unit cost per unit of electrical power is estimated to span a range from $15–19,000/ kilowatt-electric (kWe) (depending on site-specific changes in installation, fuel, and other costs), while the average per unit cost of electrical and heat recovery power varies between $7,000 and $9,000/kW. From the energy perspective, the average per unit cost per unit of electrical energy ranges from $0.38 to $0.46/kilowatt-hour-electric (kWhe), while the average per unit cost per unit of electrical and heat recovery energy varies from $0.18 to $0.23/kWh. These values are calculated from engineering and economic performance data provided by the manufacturer (not independently measured data). The GHG emissions were estimated to decrease by one-third by shifting from a conventional energy system to a CHP FCS system. The GHG mitigation costs were also proportional to the changes in the GHG gas emissions. Human health costs were estimated to decrease significantly with a switch from a conventional system to a CHP FCS system.« less

Increased variability of tornado occurrence in the United States.

PubMed

Brooks, Harold E; Carbin, Gregory W; Marsh, Patrick T

2014-10-17

Whether or not climate change has had an impact on the occurrence of tornadoes in the United States has become a question of high public and scientific interest, but changes in how tornadoes are reported have made it difficult to answer it convincingly. We show that, excluding the weakest tornadoes, the mean annual number of tornadoes has remained relatively constant, but their variability of occurrence has increased since the 1970s. This is due to a decrease in the number of days per year with tornadoes combined with an increase in days with many tornadoes, leading to greater variability on annual and monthly time scales and changes in the timing of the start of the tornado season. Copyright © 2014, American Association for the Advancement of Science.

A Cross-Cultural Comparison of Knowledge and Stigma Associated with Autism Spectrum Disorder Among College Students in Lebanon and the United States.

PubMed

Obeid, Rita; Daou, Nidal; DeNigris, Danielle; Shane-Simpson, Christina; Brooks, Patricia J; Gillespie-Lynch, Kristen

2015-11-01

Although misconceptions associated with ASD are apparent worldwide, they may differ across cultures. This study compares knowledge and stigma associated with ASD in a country with limited autism resources, Lebanon, and a country with substantial autism resources, the United States (US). College students in the US (N = 346) and Lebanon (N = 329) completed assessments of knowledge and stigma associated with ASD before and after an online ASD training. Although students in the US exhibited higher overall knowledge and lower stigma towards ASD, certain misconceptions were more apparent in the US than in Lebanon. Participation in the training was associated with decreased stigma and increased knowledge in both countries. Thus, online training may be useful for increasing understanding about ASD internationally.

Ongoing drought-induced uplift in the western United States.

USGS Publications Warehouse

Borsa, Adrian Antal; Agnew, Duncan Carr; Cayan, Daniel R.

2014-01-01

The western United States has been experiencing severe drought since 2013. The solid earth response to the accompanying loss of surface and near-surface water mass should be a broad region of uplift. We use seasonally adjusted time series from continuously operating global positioning system stations to measure this uplift, which we invert to estimate mass loss. The median uplift is 5 millimeters (mm), with values up to 15 mm in California’s mountains. The associated pattern of mass loss, ranging up to 50 centimeters (cm) of water equivalent, is consistent with observed decreases in precipitation and streamflow. We estimate the total deficit to be ~240 gigatons, equivalent to a 10-cm layer of water over the entire region, or the annual mass loss from the Greenland Ice Sheet.

Accidental hazardous material releases with human impacts in the United States: exploration of geographical distribution and temporal trends.

PubMed

Sengul, Hatice; Santella, Nicholas; Steinberg, Laura J; Chermak, Christina

2010-09-01

To investigate the circumstances and geographic and temporal distributions of hazardous material releases and resulting human impacts in the United States. Releases with fatalities, injuries, and evacuations were identified from reports to the National Response Center between 1990 and 2008, correcting for data quality issues identified in previous studies. From more than 550,000 reports, 861 deaths, 16,348 injuries and 741,427 evacuations were identified. Injuries from releases of chemicals at fixed facilities and natural gas from pipelines have decreased whereas evacuations from petroleum releases at fixed facilities have increased. Results confirm recent advances in chemical and pipeline safety and suggest directions for further improvement including targeted training and inspections and adoption of inherently safer design principles.

Burden of invasive squamous cell carcinoma of the penis in the United States, 1998-2003.

PubMed

Hernandez, Brenda Y; Barnholtz-Sloan, Jill; German, Robert R; Giuliano, Anna; Goodman, Marc T; King, Jessica B; Negoita, Serban; Villalon-Gomez, Jose M

2008-11-15

Invasive squamous cell carcinoma (SCC) of the penis is rare in the United States. Although human papillomavirus (HPV) infection is an established etiologic agent in at least 40% of penile SCCs, relatively little is known about the epidemiology of this malignancy. Population-based data from the National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) program, the Centers for Disease Control and Prevention's National Program for Cancer Registries, and the National Center for Health Statistics were used to examine invasive penile SCC incidence and mortality in the United States. SEER data were used to examine treatment of penile SCC. From 1998 to 2003, 4967 men were diagnosed with histologically confirmed invasive penile SCC in the United States, representing less than 1% of new cancers in men. The annual, average age-adjusted incidence rate was 0.81 cases per 100,000 men, and rates increased steadily with age. Overall, penile SCC incidence was comparable in whites and blacks, but approximately 2-fold lower in Asians/Pacific Islanders. Rates among Hispanics were 72% higher compared with non-Hispanics. Blacks compared with whites and Asians/Pacific Islanders and Hispanics compared with non-Hispanics were diagnosed at significantly younger ages. Higher rates of mortality were also observed among blacks compared with whites and Hispanics compared with non-Hispanics. Penile SCC incidence and mortality were elevated in Southern states and in regions of low socioeconomic status (SES). Some histologic and anatomic site differences were observed by race and ethnicity. Treatment of penile SCC varied with age, stage, and other tumor characteristics. There are considerable disparities in invasive penile cancer incidence and mortality in the United States. Key risk factors for excess incidence include Hispanic ethnicity and residence in the South and in low SES regions. Risks for excess mortality include these factors in addition to black race. Decreases in penile cancer incidence and mortality in the United States may be realized in the future as the indirect result of prophylactic HPV vaccination of females. Further research is needed to better understand the epidemiology of penile cancer including the role of HPV.

Burden of Invasive Squamous Cell Carcinoma of the Penis in the United States, 1998–2003

PubMed Central

Hernandez, Brenda Y.; Barnholtz-Sloan, Jill; German, Robert R.; Giuliano, Anna; Goodman, Marc T.; King, Jessica B.; Negoita, Serban; Villalon-Gomez, Jose M.

2009-01-01

BACKGROUND Invasive squamous cell carcinoma (SCC) of the penis is rare in the United States. Although human papillomavirus (HPV) infection is an established etiologic agent in at least 40% of penile SCCs, relatively little is known about the epidemiology of this malignancy. METHODS Population-based data from the National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) program, the Centers for Disease Control and Prevention's National Program for Cancer Registries, and the National Center for Health Statistics were used to examine invasive penile SCC incidence and mortality in the United States. SEER data were used to examine treatment of penile SCC. RESULTS From 1998 to 2003, 4967 men were diagnosed with histologically confirmed invasive penile SCC in the United States, representing less than 1% of new cancers in men. The annual, average age-adjusted incidence rate was 0.81 cases per 100,000 men, and rates increased steadily with age. Overall, penile SCC incidence was comparable in whites and blacks, but approximately 2-fold lower in Asians/Pacific Islanders. Rates among Hispanics were 72% higher compared with non-Hispanics. Blacks compared with whites and Asians/Pacific Islanders and Hispanics compared with non-Hispanics were diagnosed at significantly younger ages. Higher rates of mortality were also observed among blacks compared with whites and Hispanics compared with non-Hispanics. Penile SCC incidence and mortality were elevated in Southern states and in regions of low socioeconomic status (SES). Some histologic and anatomic site differences were observed by race and ethnicity. Treatment of penile SCC varied with age, stage, and other tumor characteristics. CONCLUSIONS There are considerable disparities in invasive penile cancer incidence and mortality in the United States. Key risk factors for excess incidence include Hispanic ethnicity and residence in the South and in low SES regions. Risks for excess mortality include these factors in addition to black race. Decreases in penile cancer incidence and mortality in the United States may be realized in the future as the indirect result of prophylactic HPV vaccination of females. Further research is needed to better understand the epidemiology of penile cancer including the role of HPV. PMID:18980292

National Estimates of Marijuana Use and Related Indicators - National Survey on Drug Use and Health, United States, 2002-2014.

PubMed

Azofeifa, Alejandro; Mattson, Margaret E; Schauer, Gillian; McAfee, Tim; Grant, Althea; Lyerla, Rob

2016-09-02

In the United States, marijuana is the most commonly used illicit drug. In 2013, 7.5% (19.8 million) of the U.S. population aged ≥12 years reported using marijuana during the preceding month. Because of certain state-level policies that have legalized marijuana for medical or recreational use, population-based data on marijuana use and other related indicators are needed to help monitor behavioral health changes in the United States. 2002-2014. The National Survey on Drug Use and Health (NSDUH) is a national- and state-level survey of a representative sample of the civilian, noninstitutionalized U.S. population aged ≥12 years. NSDUH collects information about the use of illicit drugs, alcohol, and tobacco; initiation of substance use; frequency of substance use; substance dependence and abuse; perception of substance harm risk or no risk; and other related behavioral health indicators. This report describes national trends for selected marijuana use and related indicators, including prevalence of marijuana use; initiation; perception of harm risk, approval, and attitudes; perception of availability and mode of acquisition; dependence and abuse; and perception of legal penalty for marijuana possession. In 2014, a total of 2.5 million persons aged ≥12 years had used marijuana for the first time during the preceding 12 months, an average of approximately 7,000 new users each day. During 2002-2014, the prevalence of marijuana use during the past month, past year, and daily or almost daily increased among persons aged ≥18 years, but not among those aged 12-17 years. Among persons aged ≥12 years, the prevalence of perceived great risk from smoking marijuana once or twice a week and once a month decreased and the prevalence of perceived no risk increased. The prevalence of past year marijuana dependence and abuse decreased, except among persons aged ≥26 years. Among persons aged ≥12 years, the percentage reporting that marijuana was fairly easy or very easy to obtain increased. The percentage of persons aged ≥12 reporting the mode of acquisition of marijuana was buying it and growing it increased versus getting it for free and sharing it. The percentage of persons aged ≥12 years reporting that the perceived maximum legal penalty for the possession of an ounce or less of marijuana in their state is a fine and no penalty increased versus probation, community service, possible prison sentence, and mandatory prison sentence. Since 2002, marijuana use in the United States has increased among persons aged ≥18 years, but not among those aged 12-17 years. A decrease in the perception of great risk from smoking marijuana combined with increases in the perception of availability (i.e., fairly easy or very easy to obtain marijuana) and fewer punitive legal penalties (e.g., no penalty) for the possession of marijuana for personal use might play a role in increased use among adults. National- and state-level data can help federal, state, and local public health officials develop targeted prevention activities to reduce youth initiation of marijuana use, prevent marijuana dependence and abuse, and prevent adverse health effects. As state-level laws on medical and recreational marijuana use change, modifications might be needed to national- and state-level surveys and more timely and comprehensive surveillance systems might be necessary to provide these data. Marijuana use in younger age groups is a particular public health concern, and changing the perception of harm risk from smoking marijuana is needed.

State Gun Law Environment and Youth Gun Carrying in the United States.

PubMed

Xuan, Ziming; Hemenway, David

2015-11-01

Gun violence and injuries pose a substantial threat to children and youth in the United States. Existing evidence points to the need for interventions and policies for keeping guns out of the hands of children and youth. (1) To examine the association between state gun law environment and youth gun carrying in the United States, and (2) to determine whether adult gun ownership mediates this association. This was a repeated cross-sectional observational study design with 3 years of data on youth gun carrying from US states. The Youth Risk Behavior Survey comprises data of representative samples of students in grades 9 to 12 from biennial years of 2007, 2009, and 2011. We hypothesized that states with more restrictive gun laws have lower rates of youth gun carrying, and this association is mediated by adult gun ownership. State gun law environment as measured by state gun law score. Youth gun carrying was defined as having carried a gun on at least 1 day during the 30 days before the survey. In the fully adjusted model, a 10-point increase in the state gun law score, which represented a more restrictive gun law environment, was associated with a 9% decrease in the odds of youth gun carrying (adjusted odds ratio [AOR], 0.91 [95% CI, 0.86-0.96]). Adult gun ownership mediated the association between state gun law score and youth gun carrying (AOR, 0.94 [ 95% CI, 0.86-1.01], with 29% attenuation of the regression coefficient from -0.09 to -0.07 based on bootstrap resampling). More restrictive overall gun control policies are associated with a reduced likelihood of youth gun carrying. These findings are relevant to gun policy debates about the critical importance of strengthening overall gun law environment to prevent youth gun carrying.

Relationship Between Labor and Delivery Unit Management Practices and Maternal Outcomes.

PubMed

Plough, Avery C; Galvin, Grace; Li, Zhonghe; Lipsitz, Stuart R; Alidina, Shehnaz; Henrich, Natalie J; Hirschhorn, Lisa R; Berry, William R; Gawande, Atul A; Peter, Doris; McDonald, Rory; Caldwell, Donna L; Muri, Janet H; Bingham, Debra; Caughey, Aaron B; Declercq, Eugene R; Shah, Neel T

2017-08-01

To define, measure, and characterize key competencies of managing labor and delivery units in the United States and assess the associations between unit management and maternal outcomes. We developed and administered a management measurement instrument using structured telephone interviews with both the primary nurse and physician managers at 53 diverse hospitals across the United States. A trained interviewer scored the managers' interview responses based on management practices that ranged from most reactive (lowest scores) to most proactive (highest scores). We established instrument validity by conducting site visits among a subsample of 11 hospitals and established reliability using interrater comparison. Using a factor analysis, we identified three themes of management competencies: management of unit culture, patient flow, and nursing. We constructed patient-level regressions to assess the independent association between these management themes and maternal outcomes. Proactive management of unit culture and nursing was associated with a significantly higher risk of primary cesarean delivery in low-risk patients (relative risk [RR] 1.30, 95% CI 1.02-1.66 and RR 1.47, 95% CI 1.13-1.92, respectively). Proactive management of unit culture was also associated with a significantly higher risk of prolonged length of stay (RR 4.13, 95% CI 1.98-8.64), postpartum hemorrhage (RR 2.57, 95% CI 1.58-4.18), and blood transfusion (RR 1.87, 95% CI 1.12-3.13). Proactive management of patient flow and nursing was associated with a significantly lower risk of prolonged length of stay (RR 0.23, 95% CI 0.12-0.46 and RR 0.27, 95% CI 0.11-0.62, respectively). Labor and delivery unit management varies dramatically across and within hospitals in the United States. Some proactive management practices may be associated with increased risk of primary cesarean delivery and maternal morbidity. Other proactive management practices may be associated with decreased risk of prolonged length of stay, indicating a potential opportunity to safely improve labor and delivery unit efficiency.

Long-term changes in soil and stream chemistry across an acid deposition gradient in the northeastern United States

USGS Publications Warehouse

Siemion, Jason; McHale, Michael; Lawrence, Gregory B.; Burns, Douglas A.; Antidormi, Michael

2018-01-01

Declines in acidic deposition across Europe and North America have led to decreases in surface water acidity and signs of chemical recovery of soils from acidification. To better understand the link between recovery of soils and surface waters, chemical trends in precipitation, soils, and streamwater were investigated in three watersheds representing a depositional gradient from high to low across the northeastern United States. Significant declines in concentrations of H+ (ranging from −1.2 to −2.74 microequivalents [μeq] L−1 yr−1), NO3− (ranging from −0.6 to −0.84 μeq L−1 yr−1), and SO42− (ranging from −0.95 to −2.13 μeq L−1 yr−1) were detected in precipitation in the three watersheds during the period 1999 to 2013. Soil chemistry in the A horizon of the watershed with the greatest decrease in deposition showed significant decreases in exchangeable Al and increases in exchangeable bases. Soil chemistry did not significantly improve during the study in the other watersheds, and base saturation in the Oa and upper B horizons significantly declined in the watershed with the smallest decrease in deposition. Streamwater SO42−concentrations significantly declined in all three streams (ranging from −2.01 to −2.87 μeq L−1 yr−1) and acid neutralizing capacity increased (ranging from 1.38 to 1.60 μeq L−1 yr−1) in the two streams with the greatest decreases in deposition. Recovery of soils has likely been limited by decades of acid deposition that have leached base cations from soils with base-poor parent material.

Changes in urine parameters after desert exposure: assessment of stone risk in United States Marines transiently exposed to a desert environment.

PubMed

Masterson, James H; Jourdain, Victor J; Collard, Daniel A; Choe, Chong H; Christman, Matthew S; L'Esperance, James O; Auge, Brian K

2013-01-01

Living in a desert environment has been associated with a higher incidence of kidney stone formation, likely because of concentrated urine output, higher production of vitamin D and genetic predisposition. We determined the changes in urinary parameters after a group of United States Marines temporarily transitioned from a temperate environment to a desert environment. A total of 50 Marines completed a questionnaire and performed 3, 24-hour urine collections before mobilization to the desert, after 30 days in the desert and 2 weeks after returning from the desert. Daily urine output decreased 68% to 0.52 L despite marked increased fluid intake (17 L per day). Total daily urinary excretion of calcium, uric acid, sodium, magnesium and potassium in the desert decreased by 70%, 41%, 53%, 22% and 36%, respectively. Urinary pH decreased from 6.1 to 5.6 while in the desert, and citrate and oxalate had minimal changes. After their return from the desert, apart from a decrease of 22% in oxalate, there were no statistically significant differences from baseline. While in the desert, relative supersaturation risks of uric acid and sodium urate were increased 153% and 56%, respectively. Brushite relative supersaturation decreased 24%. After their return there was no statistical difference from baseline. Our findings suggest that the kidneys preserved water and electrolytes while the Marines were subjected to the desert environment. Despite this conservation, relative saturations indicate increased risk of stones in healthy men exposed to a desert environment with rapid resolution upon return. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Decreasing airborne contamination levels in high-risk hospital areas using a novel mobile air-treatment unit.

PubMed

Bergeron, V; Reboux, G; Poirot, J L; Laudinet, N

2007-10-01

To evaluate the performance of a new mobile air-treatment unit that uses nonthermal-plasma reactors for lowering the airborne bioburden in critical hospital environments and reducing the risk of nosocomial infection due to opportunistic airborne pathogens, such as Aspergillus fumigatus. Tests were conducted in 2 different high-risk hospital areas: an operating room under simulated conditions and rooms hosting patients in a pediatric hematology ward. Operating room testing provided performance evaluations of removal rates for airborne contamination (ie, particles larger than 0.5 microm) and overall lowering of the airborne bioburden (ie, colony-forming units of total mesophilic flora and fungal flora per cubic meter of air). In the hematology service, opportunistic and nonpathogenic airborne fungal levels in a patient's room equipped with an air-treatment unit were compared to those in a control room. In an operating room with a volume of 118 m(3), the time required to lower the concentration of airborne particles larger than 0.5 microm by 90% was decreased from 12 minutes with the existing high-efficiency particulate air filtration system to less than 2 minutes with the units tested, with a 2-log decrease in the steady-state levels of such particles (P<.01). Concurrently, total airborne mesophilic flora concentrations dropped by a factor of 2, and the concentrations of fungal species were reduced to undetectable levels (P<.01). The 12-day test period in the hematology ward revealed a significant reduction in airborne fungus levels (P<.01), with average reductions of 75% for opportunistic species and 82% for nonpathogenic species. Our data indicate that the mobile, nonthermal-plasma air treatment unit tested in this study can rapidly reduce the levels of airborne particles and significantly lower the airborne bioburden in high-risk hospital environments.

Element concentrations in soils and other surficial materials of the conterminous United States

USGS Publications Warehouse

Shacklette, Hansford T.; Boerngen, Josephine G.

1984-01-01

Samples of soils or other regoliths, taken at a depth of approximately 20 cm form locations about 80 km apart, throughout the conterminous United States, were analyzed for their content of elements. In this manner, 1,318 sampling sites were chosen, and the results of the sample analyses for 50 elements were plotted on maps. The arithmetic and geometric mean, the geometric deviation, and a histogram showing frequencies of analytical values are given for 47 elements. The lower concentrations of some elements (notable, aluminum, barium, calcium, magnesium, potassium, sodium, and strontium) in most samples of surficial materials from the Eastern United States, and the greater abundance of heavy metals in the same materials of the Western United States, indicates a regional geochemical pattern of the largest scale. The low concentrations of many elements in soils characterize the Atlantic Coastal Plain. Souls of the Pacific Northwest generally have high concentrations of aluminum, cobalt, iron, scandium, and vanadium, but are low in boron. Soils of the Rocky Mountain region tend to have high concentrations of copper, lead, and zinc. High mercury concentrations in surficial materials are characteristic of Gulf Coast sampling sites and the Atlantic coast sites of Connecticut, Massachusetts, and Maine. At the State level, Florida has the most striking geochemical pattern by having soils that are low in concentrations of most elements considered in this study. Some smaller patterns of element abundance can be noted, but the degree of confidence in the validity of these patterns decreases as the patterns become less extensive.

Reduced Prevalence of Obesity in 14 Disadvantaged Black Communities in the United States: A Successful 4-Year Place-Based Participatory Intervention

PubMed Central

Liao, Youlian; Siegel, Paul Z.; Garraza, Lucas G.; Xu, Ye; Yin, Shaoman; Scardaville, Melissa; Gebreselassie, Tesfayi; Stephens, Robert L.

2016-01-01

Objectives To assess the impact of a large-scale place-based intervention on obesity prevalence in Black communities. Methods The Racial and Ethnic Approaches to Community Health across the United States (REACH US) project was conducted in 14 predominantly Black communities in California, Illinois, Massachusetts, New York, Ohio, Pennsylvania, South Carolina, Virginia, Washington, and West Virginia. We measured trends from 2009 to 2012 in the prevalence of obesity. We used Behavioral Risk Factor Surveillance System data to compare these trends with trends among non-Hispanic Whites and non-Hispanic Blacks in the United States and in the 10 states where REACH communities were located, and with a propensity score–matched national sample of non-Hispanic Blacks. Results The age-standardized prevalence of obesity decreased in REACH US communities (P = .045), but not in the comparison populations (P = .435 to P = .996). The relative change was −5.3% in REACH US communities versus +2.4% in propensity score–matched controls (P value for the difference = .031). The net effect on the reduction of obesity prevalence was about 1 percentage point per year for REACH. Conclusions Obesity prevalence was reduced in 14 disadvantaged Black communities that participated in the REACH project. PMID:27310344

Dental problems and Familismo: social network discussion of oral health issues among adults of Mexican origin living in the Midwest United States.

PubMed

Maupome, G; McConnell, W R; Perry, B L

2016-12-01

To examine the influence of collectivist orientation (often called familismo when applied to the Latino sub-group in the United States) in oral health discussion networks. Through respondent-driven sampling and face-to-face interviews, we identified respondents' (egos) personal social network members (alters). Egos stated whom they talked with about oral health, and how often they discussed dental problems in the preceding 12 months. An urban community of adult Mexican-American immigrants in the Midwest United States. We interviewed 332 egos (90% born in Mexico); egos named an average of 3.9 alters in their networks, 1,299 in total. We applied egocentric network methods to examine the ego, alter, and network variables that characterize health discussion networks. Kin were most often leveraged when dental problems arose; egos relied on individuals whom they perceive to have better knowledge about dental matters. However, reliance on knowledgeable alters decreased among egos with greater behavioral acculturation. This paper developed a network-based conceptualization of familismo. We describe the structure of oral health networks, including kin, fictive kin, peers, and health professionals, and examine how networks and acculturation help shape oral health among these Mexican-Americans. Copyright© 2016 Dennis Barber Ltd

A High Resolution Tropical Cyclone Power Outage Forecasting Model for the Continental United States

NASA Astrophysics Data System (ADS)

Pino, J. V.; Quiring, S. M.; Guikema, S.; Shashaani, S.; Linger, S.; Backhaus, S.

2017-12-01

Tropical cyclones cause extensive damage to the power infrastructure system throughout the United States. This damage can leave millions without power for extended periods of time, as most recently seen with Hurricane Matthew (2016). Accurate and timely prediction of power outages are essential for utility companies, emergency management agencies, and governmental organizations. Here we present a high-resolution (250 m x 250 m) hurricane power outage model for the United States. The model uses only publicly-available data to make predictions. It uses forecasts of storm variables such as maximum 3-second wind gust, duration of strong winds > 20 m s-2, soil moisture, and precipitation. It also incorporates static environmental variables such as elevation characteristics, land cover type, population density, tree species data, and root zone depth. A web tool was established for use by the Department of Energy (DOE) so that the model can be used for real-time outage forecasting or for synthetic tropical cyclones as an exercise in emergency management. This web tool provides DOE decision-makers with high impact analytic results and products that can be disseminated to federal, local, and state agencies. The results then aid utility companies in their pre- and post-storm activities, thus decreasing restoration times and lowering costs.

Reduced Prevalence of Obesity in 14 Disadvantaged Black Communities in the United States: A Successful 4-Year Place-Based Participatory Intervention.

PubMed

Liao, Youlian; Siegel, Paul Z; Garraza, Lucas G; Xu, Ye; Yin, Shaoman; Scardaville, Melissa; Gebreselassie, Tesfayi; Stephens, Robert L

2016-08-01

To assess the impact of a large-scale place-based intervention on obesity prevalence in Black communities. The Racial and Ethnic Approaches to Community Health across the United States (REACH US) project was conducted in 14 predominantly Black communities in California, Illinois, Massachusetts, New York, Ohio, Pennsylvania, South Carolina, Virginia, Washington, and West Virginia. We measured trends from 2009 to 2012 in the prevalence of obesity. We used Behavioral Risk Factor Surveillance System data to compare these trends with trends among non-Hispanic Whites and non-Hispanic Blacks in the United States and in the 10 states where REACH communities were located, and with a propensity score-matched national sample of non-Hispanic Blacks. The age-standardized prevalence of obesity decreased in REACH US communities (P = .045), but not in the comparison populations (P = .435 to P = .996). The relative change was -5.3% in REACH US communities versus +2.4% in propensity score-matched controls (P value for the difference = .031). The net effect on the reduction of obesity prevalence was about 1 percentage point per year for REACH. Obesity prevalence was reduced in 14 disadvantaged Black communities that participated in the REACH project.

Changes in Severe Weather Characteristics in Response to Increase in Radiative Forcing by Mid 21st Century

NASA Astrophysics Data System (ADS)

Alifa, M.; Batibeniz, F.; Rastogi, D.; Evans, K. J.; Ashfaq, M.; Pal, J. S.

2017-12-01

Severe thunderstorms are a main cause of catastrophic loss in the United States, due to their production of severe weather conditions such as torrential rainfall, hail, destructive surface winds, dangerous lightning, and tornadoes. Using an eleven-member, high resolution ensemble of global climate model experiments, we investigate the change in severe thunderstorm frequency associated with enhanced global radiative forcing under the RCP 8.5 emissions scenario for the period 1966-2050. We find a mid-century increase in the occurrence of severe thunderstorm environments by manifold, especially in the spring and summer seasons of the southeastern United States. This positive trend is driven by an increase in atmospheric water vapor, which causes increases in convective available potential energy (CAPE) and decreases in convective inhibition encouraging severe thunderstorm environments. Vertical wind shear, another measure that characterizes thunderstorm environments, is predicted to decrease by 2050, suggesting less severe storms. However, the significant increase in CAPE overcompensates for the decrease in shear, leading to mid-century increases in the number of days with severe thunderstorm environmental conditions and hence in the frequency of severe thunderstorm environments. The projected changes can potentially increase the vulnerability of our urban populations and ecosystems, which in the absence of climate change mitigation, suggest the need for adaptation strategies by our policy makers.

Bauxite and alumina

USGS Publications Warehouse

Bray, E.L.

2012-01-01

The United States is import-reliant for nearly all of the bauxite that it consumes. Small amounts of bauxite and bauxitic clays are produced in Alabama, Arkansas and Georgia for nonmetallurgical uses. Metallurgical-grade bauxite (crude dry) imports in 2011 totaled 9.54 Mt (10.5 million st), 18 percent more than the quantity imported in 2010. Jamaica (54 percent). Guinea (25 percent) and Brazil (18 percent) were the leading suppliers to the United States in 2011. In 2011,117 kt (129,000 st) of refractory-grade calcined bauxite was imported, a 69-percent decrease compared with imports in 2010. This decrease was partly attributed to an increase in net imports of refractory products such as bricks and crucibles, which were 39 percent higher than in the prior year. Imports of refractory-grade calcined bauxite from Brazil declined by 99 percent and by 75 percent from Greece. Restrictions on exports of raw materials from China also might have contributed a small amount to the decrease in imports. Imports from China declined by 45 percent. Guyana (42 percent), China (35 percent) and Greece (22 percent) were the leading sources of U.S. refractory-grade calcined bauxite imports. Imports of nonrefractory-grade calcined bauxite in 2011 totaled 236 kt (260,000 st), 23 percent less than the quantity imported in 2010. Guyana (51 percent), Australia (37 percent) and China (7 percent) were the leading sources

Implications of demographics on future blood supply: a population-based cross-sectional study.

PubMed

Greinacher, Andreas; Fendrich, Konstanze; Brzenska, Ralf; Kiefel, Volker; Hoffmann, Wolfgang

2011-04-01

Data on blood recipients are sparse and unconnected to data on blood donors. The objective was to analyze the impact of the demographic change on future blood demand and supply in a German federal state. A population-based cross-sectional study was conducted. For all in-hospital transfused red blood cells (RBCs; n = 95,477), in the German federal state Mecklenburg-Pomerania in 2005, characteristics of the patient and the blood donor (118,406 blood donations) were obtained. Population data were used to predict blood demand and supply until 2020. By 2020 the population increase of those aged 65 years or more (+26.4%) in Mecklenburg-Pomerania will be paralleled by a decrease of the potential donor population (18-68 years; -16.1%). Assuming stable rates per age group until 2020, the demand for in-hospital blood transfusions will increase by approximately 25% (24,000 RBC units) while blood donations will decrease by approximately 27% (32,000 RBC units). The resulting, predicted shortfall is 47% of demand for in-hospital patients (56,000 RBC units). Validation using historical data (1997-2007) showed that the model predicted the RBC demand with a deviation of only 1.2%. Demographic changes are particularly pronounced in former East Germany, but by 2030 most European countries will face a similar situation. The decrease of younger age groups requires an increase of blood donation rates and interdisciplinary approaches to reduce the need for transfusion to maintain sufficient blood supply. Demography is a major determinant of future transfusion demand. All efforts should be made by Western societies to systematically obtain data on blood donors and recipients to develop strategies to meet future blood demand. © 2010 American Association of Blood Banks.

Evaluation of mobile source emission trends in the United States

NASA Astrophysics Data System (ADS)

Dallmann, Timothy R.; Harley, Robert A.

2010-07-01

A fuel-based approach is used to estimate exhaust emissions of nitrogen oxides (NOx) and fine particulate matter (PM2.5) from mobile sources in the United States for the years 1996-2006. Source categories considered include on-road and off-road gasoline and diesel engines. Pollutant emissions for each mobile source category were estimated by combining fuel consumption with emission factors expressed per unit of fuel burned. Over the 10-year time period that is the focus of this study, sales of gasoline and diesel fuel intended for on-road use increased by 15 and 43%, respectively. Diesel fuel use by off-road equipment increased by ˜20% over the same time period. Growth in fuel consumption offset some of the reductions in pollutant emission factors that occurred during this period. For NOx, there have been dramatic (factor of 2) decreases in emission factors for on-road gasoline engines between 1996 and 2006. In contrast, diesel NOx emission factors decreased more gradually. Exhaust PM2.5 emission factors appear to have decreased for most engine categories, but emission uncertainties are large for this pollutant. Diesel engines appear to be the dominant mobile source of both NOx and PM2.5; the diesel share of total NOx has increased over time as gasoline engine emissions have declined. Comparing fuel-based emission estimates with U.S. Environmental Protection Agency's national emission inventory led to the following conclusions: (1) total emissions of NOx and PM2.5 estimated by two different methods were similar, (2) source contributions to these totals differ significantly, with higher relative contributions coming from on-road diesel engines in this study.

The effect of lack of insurance, poverty and paediatrician supply on immunization rates among children 19-35 months of age in the United States.

PubMed

Becton, James L; Cheng, Lee; Nieman, Linda Z

2008-04-01

Previous studies found that the increasing number of paediatricians in the United States was associated with improved childhood immunization coverage, while the increasing poverty level and the lack of health insurance reduced access to health care. We evaluated whether changes in the number of paediatricians, poverty level and health insurance affected national childhood immunization coverage in the state levels of the United States. Data were collected primarily from the US National Immunization Surveys, series 4:3:1:3:3 from years 1995 and 2003. Ordinal logistic regression analysis was used to analyse the relationships among variables. Over 8 years studied, immunization coverage increased for children aged 19-35 months from 52.3% to 79.8% in the 50 states. The average number of paediatricians per 1000 births increased 28.7% while the percentage of children without health insurance declined 15.6%, and the percentage of children who lived in poverty level declined 17.3%. In 1995, the states with higher immunization coverage were associated with higher numbers of paediatricians [odds ratio (OR), 32.73; 95% confidence interval (CI), 5.96-179.77]. In 2003, the higher numbers of paediatricians still played a role in the increased immunization coverage (OR, 4.69; 95% CI, 1.01-21.78); however, the higher rate of uninsured children in 2003 had an even greater effect upon immunization coverage. Compared with states with lower rates of uninsured children, states with intermediate and higher rates of uninsured children had sixfold (OR, 0.16; 95% CI, 0.03-0.81) and 16-fold (OR, 0.06; 95% CI, 0.01-0.40) decreased childhood immunization coverage, respectively. Between 1995 and 2003 in the United States, the lack of health insurance became more prominent than the supply of paediatricians in affecting immunization coverage for children aged 19-35 months. Future improvements in insurance coverage for children will likely lead to greater immunization coverage.

A population-based study of the association of medical manpower with county trauma death rates in the United States.

PubMed Central

Rutledge, R; Fakhry, S M; Baker, C C; Weaver, N; Ramenofsky, M; Sheldon, G F; Meyer, A A

1994-01-01

OBJECTIVE: To determine the association between measures of medical manpower available to treat trauma patients and county trauma death rates in the United States. The primary hypothesis was that greater availability of medical manpower to treat trauma injury would be associated with lower trauma death rates. SUMMARY BACKGROUND DATA: When viewed from the standpoint of the number of productive years of life lost, trauma has a greater effect on health care and lost productivity in the United States than any disease. Allocation of health care manpower to treat injuries seems logical, but studies have not been done to determine its efficacy. The effect of medical manpower and hospital resource allocation on the outcome of injury in the United States has not been fully explored or adequately evaluated. METHODS: Data on trauma deaths in the United States were obtained from the National Center for Health Statistics. Data on the number of surgeons and emergency medicine physicians were obtained from the American Hospital Association and the American Medical Association. Data on physicians who have participated in the American College of Surgeons (ACS) Advanced Trauma Life Support Course (ATLS) were obtained from the ACS. Membership information for the American Association for Surgery of Trauma (AAST) was obtained from that organization. Demographic data were obtained from the United States Census Bureau. Multivariate stepwise linear regression and cluster analysis were used to model the county trauma death rates in the United States. The Statistical Analysis System (Cary, NC) for statistical analysis was used. RESULTS: Bivariate and multivariate analyses showed that a variety of medical manpower measures and demographic factors were associated with county trauma death rates in the United States. As in other studies, measures of low population density and high levels of poverty were found to be strongly associated with increased trauma death rates. After accounting for these variables, using multivariate analysis and cluster analysis, an increase in the following medical manpower measures were associated with decreased county trauma death rates: number of board-certified general surgeons, number of board-certified emergency medicine physicians, number of AAST members, and number of ATLS-trained physicians. CONCLUSIONS: This study confirms previous work that showed a strong relation among measures of poverty, rural setting, and increased county trauma death rates. It also found that counties with more board-certified surgeons per capita and with more surgeons with an increased interest (AAST membership) or increased training (ATLS) in trauma care have lower per-capita trauma death rates.(ABSTRACT TRUNCATED AT 400 WORDS) Images Figure 1. PMID:8185404

National and State Trends in Sales of Cigarettes and E-Cigarettes, U.S., 2011–2015

PubMed Central

Marynak, Kristy L.; Gammon, Doris G.; King, Brian A.; Loomis, Brett R.; Fulmer, Erika B.; Wang, Teresa W.; Rogers, Todd

2017-01-01

Introduction In recent years, self-reported cigarette smoking has declined among youth and adults, while electronic cigarette (e-cigarette) use has increased. However, sales trends for these products are less certain. This study assessed national and state patterns of U.S. cigarette and e-cigarette unit sales. Methods Trends in cigarette and e-cigarette unit sales were analyzed using retail scanner data from September 25, 2011 through January 9, 2016 for: (1) convenience stores; and (2) all other outlets combined, including supermarkets, mass merchandisers, drug, dollar, and club stores, and military commissaries (online, tobacco-only, and “vape“ shops were not available). Data by store type were available for the total contiguous U.S. and 29 states; combined data were available for the remaining states, except Alaska, Hawaii, and DC. Results During 2011–2015, cigarette sales exhibited a small, significant decrease; however, positive year-over-year growth occurred in convenience stores throughout most of 2015. E-cigarette unit sales significantly increased during 2011–2015, but year-over-year growth slowed and was occasionally negative. Cigarette unit sales exceeded e-cigarettes by 64:1 during the last 4-week period. During 2014–2015, cigarette sales increases occurred in 15 of 48 assessed states; e-cigarette sales increased in 18 states. Conclusions Despite overall declines during 2011–2015, cigarette sales in 2015 grew for the first time in a decade. E-cigarette sales growth was positive, but slowed over the study period in assessed stores. Cigarette sales continued to exceed e-cigarette sales, reinforcing the importance of efforts to reduce the appeal and accessibility of cigarettes and other combusted tobacco products. PMID:28285828

National and State Trends in Sales of Cigarettes and E-Cigarettes, U.S., 2011-2015.

PubMed

Marynak, Kristy L; Gammon, Doris G; King, Brian A; Loomis, Brett R; Fulmer, Erika B; Wang, Teresa W; Rogers, Todd

2017-07-01

In recent years, self-reported cigarette smoking has declined among youth and adults, while electronic cigarette (e-cigarette) use has increased. However, sales trends for these products are less certain. This study assessed national and state patterns of U.S. cigarette and e-cigarette unit sales. Trends in cigarette and e-cigarette unit sales were analyzed using retail scanner data from September 25, 2011 through January 9, 2016 for: (1) convenience stores; and (2) all other outlets combined, including supermarkets, mass merchandisers, drug, dollar, and club stores, and military commissaries (online, tobacco-only, and "vape" shops were not available). Data by store type were available for the total contiguous U.S. and 29 states; combined data were available for the remaining states, except Alaska, Hawaii, and DC. During 2011-2015, cigarette sales exhibited a small, significant decrease; however, positive year-over-year growth occurred in convenience stores throughout most of 2015. E-cigarette unit sales significantly increased during 2011-2015, but year-over-year growth slowed and was occasionally negative. Cigarette unit sales exceeded e-cigarettes by 64:1 during the last 4-week period. During 2014-2015, cigarette sales increases occurred in 15 of 48 assessed states; e-cigarette sales increased in 18 states. Despite overall declines during 2011-2015, cigarette sales in 2015 grew for the first time in a decade. E-cigarette sales growth was positive, but slowed over the study period in assessed stores. Cigarette sales continued to exceed e-cigarette sales, reinforcing the importance of efforts to reduce the appeal and accessibility of cigarettes and other combusted tobacco products. Published by Elsevier Inc.

Visual Impairment in Preschool Children in the United States: Demographic and Geographic Variations From 2015 to 2060.

PubMed

Varma, Rohit; Tarczy-Hornoch, Kristina; Jiang, Xuejuan

2017-06-01

Visual impairment (VI) in early childhood can significantly impair development. To determine demographic and geographic variations in VI in children aged 3 to 5 years in the United States in 2015 and to estimate projected prevalence through 2060. Descriptive study reporting statistics estimated based on prevalence data from 2 major population-based studies conducted in the United States between 2003 and 2011. Using US census projections, prevalence of VI and cause-specific VI in the better eye were reported by race/ethnicity, state and region, and per capita prevalence of VI by state. The study included preschool children in the United States. Analyses for this study were conducted between February 2016 and March 2017. Prevalence of VI among children aged 3 to 5 years in the United States. In 2015, more than 174 000 children aged 3 to 5 years in the United States were visually impaired. Almost 121 000 of these cases (69%) arose from simple uncorrected refractive error, and 43 000 (25%) from bilateral amblyopia. By 2060, the number of children aged 3 to 5 years with VI is projected to increase by 26%. In 2015, Hispanic white children accounted for the highest number of VI cases (66 000); this group will remain the most affected through 2060, with an increasingly large proportion of cases (37.7% in 2015 and 43.6% in 2060). The racial/ethnic group with the second most VI is projected to shift from non-Hispanic white children (26.3% in 2015 decreasing to 16.5% in 2060) to African American children (24.5% in 2015 and 22.0% in 2060). From 2015 to 2060, the states projected to have the most children with VI are California (26 600 in 2015 and 38 000 in 2060), Texas (21 500 in 2015 and 29 100 in 2060), and Florida (10 900 in 2015 and 13 900 in 2060). These data suggest that the number of preschool children with VI is projected to increase disproportionally, especially among minority populations. Vision screening for refractive error and related eye diseases may prevent a high proportion of preschool children from experiencing unnecessary VI and associated developmental delays.

Visual Impairment in Preschool Children in the United States

PubMed Central

Tarczy-Hornoch, Kristina; Jiang, Xuejuan

2017-01-01

Importance Visual impairment (VI) in early childhood can significantly impair development. Objective To determine demographic and geographic variations in VI in children aged 3 to 5 years in the United States in 2015 and to estimate projected prevalence through 2060. Design, Setting, and Participants Descriptive study reporting statistics estimated based on prevalence data from 2 major population-based studies conducted in the United States between 2003 and 2011. Using US census projections, prevalence of VI and cause-specific VI in the better eye were reported by race/ethnicity, state and region, and per capita prevalence of VI by state. The study included preschool children in the United States. Analyses for this study were conducted between February 2016 and March 2017. Main Outcomes and Measures Prevalence of VI among children aged 3 to 5 years in the United States. Results In 2015, more than 174 000 children aged 3 to 5 years in the United States were visually impaired. Almost 121 000 of these cases (69%) arose from simple uncorrected refractive error, and 43 000 (25%) from bilateral amblyopia. By 2060, the number of children aged 3 to 5 years with VI is projected to increase by 26%. In 2015, Hispanic white children accounted for the highest number of VI cases (66 000); this group will remain the most affected through 2060, with an increasingly large proportion of cases (37.7% in 2015 and 43.6% in 2060). The racial/ethnic group with the second most VI is projected to shift from non-Hispanic white children (26.3% in 2015 decreasing to 16.5% in 2060) to African American children (24.5% in 2015 and 22.0% in 2060). From 2015 to 2060, the states projected to have the most children with VI are California (26 600 in 2015 and 38 000 in 2060), Texas (21 500 in 2015 and 29 100 in 2060), and Florida (10 900 in 2015 and 13 900 in 2060). Conclusions and Relevance These data suggest that the number of preschool children with VI is projected to increase disproportionally, especially among minority populations. Vision screening for refractive error and related eye diseases may prevent a high proportion of preschool children from experiencing unnecessary VI and associated developmental delays. PMID:28472231

Recent trends in the variability of halogenated trace gases over the United States

NASA Astrophysics Data System (ADS)

Hurst, Dale F.; Bakwin, Peter S.; Elkins, James W.

1998-10-01

Recent trends in the atmospheric variability of seven halogenated trace gases are determined from three years (November 1994 through October 1997) of hourly gas chromatographic measurements at a 610 m tower in North Carolina and 17 months (June 1996 through October 1997) of similar measurements at a 450 m tower in Wisconsin. Production of five of these gases, CCl3F (CFC-11), CCl2F2 (CFC-12), CCl2FCClF2 (CFC-113), CH3CCl3 (methyl chloroform), and CCl4 (carbon tetrachloride), is now strictly regulated in the United States and other developed countries under international legislation. C2Cl4 (tetrachloroethene) and SF6 (sulfur hexafluoride) are currently produced without restriction, but requests for voluntary cutbacks in C2Cl4 emissions have been made, at least in the United States. Atmospheric variability of these gases is examined at several sampling heights on the towers, but trends are deduced using only nighttime data at the top sampling level of each tower to minimize variability driven by local emissions and the diurnal cycle of the planetary boundary layer, leaving regional emissions as the main source of day-to-day variability. Significant downward trends are determined for CFC-12, CFC-113, CH3CCl3, and C2Cl4 variability at both towers, reflecting decreased emissions of these gases in two regions of the United States. Trends in CFC-11, CCl4, and SF6 variability at both towers are not significantly different from zero.

Ability of field populations of Coptotermes spp., Reticulitermes flavipes, and Mastotermes darwiniensis (Isoptera: Rhinotermitidae; Mastotermitidae) to damage plastic cable sheathings.

PubMed

Lenz, Michael; Kard, Brad; Creffield, James W; Evans, Theodore A; Brown, Kenneth S; Freytag, Edward D; Zhong, Jun-Hong; Lee, Chow-Yang; Yeoh, Boon-Hoi; Yoshimura, Tsuyoshi; Tsunoda, Kunio; Vongkaluang, Charunee; Sornnuwat, Yupaporn; Roland, Ted A; de Santi, Marie Pommier

2013-06-01

A comparative field study was conducted to evaluate the ability of subterranean termites to damage a set of four different plastic materials (cable sheathings) exposed below- and above-ground. Eight pest species from six countries were included, viz., Coptotermes formosanus (Shiraki) in China, Japan, and the United States; Coptotermes gestroi (Wasmann) in Thailand and Malaysia; Coptotermes curvignathus (Holmgren) and Coptotermes kalshoveni (Kemner) in Malaysia; Coptotermes acinaciformis (Froggatt) with two forms of the species complex and Mastotermes darwiniensis (Froggatt) in Australia; and Reticulitermes flavipes (Kollar) in the United States. Termite species were separated into four tiers relative to decreasing ability to damage plastics. The first tier, most damaging, included C. acinaciformis, mound-building form, and M. darwiniensis, both from tropical Australia. The second tier included C. acinaciformis, tree-nesting form, from temperate Australia and C. kalshoveni from Southeast Asia. The third tier included C. curcignathus and C. gestroi from Southeast Asia and C. formosanus from China, Japan, and the United States, whereas the fourth tier included only R. flavipes, which caused no damage. A consequence of these results is that plastics considered resistant to termite damage in some locations will not be so in others because of differences in the termite fauna, for example, resistant plastics from the United States and Japan will require further testing in Southeast Asia and Australia. However, plastics considered resistant in Australia will be resistant in all other locations.

New analysis reexamines the value of cancer care in the United States compared to Western Europe.

PubMed

Soneji, Samir; Yang, JaeWon

2015-03-01

Despite sharp increases in spending on cancer treatment since 1970 in the United States compared to Western Europe, US cancer mortality rates have decreased only modestly. This has raised questions about the additional value of US cancer care derived from this additional spending. We calculated the number of US cancer deaths averted, compared to the situation in Western Europe, between 1982 and 2010 for twelve cancer types. We also assessed the value of US cancer care, compared to that in Western Europe, by estimating the ratio of additional spending on cancer to the number of quality-adjusted life-years saved. Compared to Western Europe, for three of the four costliest US cancers-breast, colorectal, and prostate-there were approximately 67,000, 265,000, and 60,000 averted US deaths, respectively, and for lung cancer there were roughly 1,120,000 excess deaths in the study period. The ratio of incremental cost to quality-adjusted life-years saved equaled $402,000 for breast cancer, $110,000 for colorectal cancer, and $1,979,000 for prostate cancer-amounts that exceed most accepted thresholds for cost-effective medical care. The United States lost quality-adjusted life-years despite additional spending for lung cancer: -$19,000 per quality-adjusted life-year saved. Our results suggest that cancer care in the United States may provide less value than corresponding cancer care in Western Europe for many leading cancers. Project HOPE—The People-to-People Health Foundation, Inc.

Occupational fatalities in the United States commercial fishing industry, 2000-2009.

PubMed

Lincoln, Jennifer M; Lucas, Devin L

2010-10-01

The occupational fatality rate among commercial fishermen decreased in the United States during 1992-2008; however, commercial fishing continues to be one of the most dangerous occupations in the United States, with an average annual fatality rate of 129 deaths per 100,000 fishermen in 2008. By contrast, the average annual occupational fatality rate among all US workers during the same period was four deaths per 100,000 workers. During the 1990s, numerous safety interventions were developed for Alaska fisheries that resulted in a significant decline in the state's commercial fishing fatality rate. In 2007, the National Institute for Occupational Safety and Health (NIOSH) expanded surveillance of commercial fishing fatalities to the rest of the United States. The purpose of this report is to identify the hazards and risk factors for all causes of occupational mortality in the US commercial fishing industry, and to explore how those hazards and risk factors differ among fisheries and locations. During 2000-2009, 504 commercial fishing fatalities occurred in the United States. Most (261, 52%) occurred following a vessel disaster (defined as a sinking, capsizing, or other event in which the crew was forced to abandon ship) or a fall overboard (155, 31%). Fatalities occurred in Alaska (133, 26%), Northeast (124, 25%), Gulf of Mexico (116, 23%), West Coast (83, 16%), and the Mid- and South Atlantic (41, 8%) regions. Fatalities occurred most commonly while fishing for shellfish (226, 47%), groundfish (144, 30%) and pelagic fish (97, 20%). Average annual fatality rates were calculated for selected fisheries. The Northeast multispecies groundfish fleet had the highest average annual fatality rate (600 deaths per 100,000 full-time equivalent [FTE] fishermen) followed by the Atlantic scallop fleet (425 deaths per 100,000 FTE fishermen) and the West Coast Dungeness crab fleet (310 deaths per 100,000 FTE fishermen). To reduce fatalities among fishermen at greatest risk, additional prevention measures tailored to specific high-risk fisheries should be considered.

Pb isotope signatures in the North Atlantic: initial results from the U.S. GEOTRACES North Atlantic Transect

NASA Astrophysics Data System (ADS)

Noble, A.; Echegoyen-Sanz, Y.; Boyle, E. A.

2012-12-01

This study presents Pb isotope data from the US GEOTRACES North Atlantic Transect (US-GT-NAT) sampled during two cruises that took place during Fall 2010 and 2011. Almost all of the Pb in the modern ocean is derived from anthropogenic sources, and the North Atlantic has received major Pb inputs from the United States and Europe due to emissions from leaded gasoline and high temperature industrial processes. During the past three decades, Pb fluxes to the North Atlantic have decreased following the phasing out of leaded gasoline in the United States and Europe. Following the concentrations and isotope ratios of Pb in this basin over time reveals the temporal evolution of Pb in this highly-affected basin. The Pb isotope signatures reflect the relative importance of changing inputs from the United States and Europe as leaded gasoline was phased out faster in the United States relative to Europe. In the western North Atlantic, a shallow (~100-200m) low Pb-206/Pb-207 ratio feature was observed near the Subtropical Underwater salinity peak at many stations across the transect, coincident with shallow subsurface maxima in Pb concentration. This water mass originates from high-salinity surface water near 25°N (Defant), which is in the belt of European-Pb-gas-contaminated African aerosols, which we confirmed by Pb-206/Pb-207 ~ 1.17 from upper ocean samples from US-GT-NAT station 18 (23.24degN,38.04degW). At the Mid-Atlantic Ridge station, Pb scavenging onto iron oxides and sulfide was observed by a decrease in Pb concentrations within the TAG hydrothermal plume, although the isotopic signature within the plume was slightly (~3 permil) lower than the surrounding waters possibly indicating a small contribution of hydrothermal Pb or preferential uptake of the lighter isotope. In the Mediteranean Outflow plume near Lisbon, Pb-206/Pb-207 (~1.178) is also strongly influenced by European Pb. Further results from the section will be presented as more data will be available by the conference.

Trends in Unintentional Fall-Related Traumatic Brain Injury Death Rates in Older Adults in the United States, 1980-2010: A Joinpoint Analysis.

PubMed

Sung, Kuan-Chin; Liang, Fu-Wen; Cheng, Tain-Junn; Lu, Tsung-Hsueh; Kawachi, Ichiro

2015-07-15

Unintentional fall-related traumatic brain injury (TBI) death rate is high in older adults in the United States, but little is known regarding trends of these death rates. We sought to examine unintentional fall-related TBI death rates by age and sex in older adults from 1980 through 2010 in the United States. We used multiple-cause mortality data from 1980 through 2010 (31 years of data) to identify fall-related TBI deaths. Using a joinpoint regression program, we determined the joinpoints (years at which trends change significantly) and annual percentage changes (APCs) in mortality trends. The fall-related TBI death rates (deaths per 100,000 population) in older adults ages 65-74, 75-84, and 85 years and above were 2.7, 9.2, and 21.5 for females and 8.5, 18.2, and 40.8 for males, respectively, in 1980. The rate was about the same in 1992, yet increased markedly to 5.9, 23.4, and 68.9 for females and 11.6, 41.2, and 112.4 for males, respectively, in 2010. For males all 65 years years of age and above, we found the first joinpoint in 1992, when the APC for 1980 through 1992, -0.8%, changed to 6.2% for 1992-2005. The second joinpoint occurred in 2005, when the APC decreased to 3.7% for 2005-2010. For all females 65 years of age and above, the first joinpoint was in 1993 when the APC for 1980 through 1993, -0.2%, changed to 7.6% from 1993 to 2005. The second joinpoint occurred in 2005 when the APC decreased to 3.8% for 2005-2010. This descriptive epidemiological study suggests increasing fall-related TBI death rates from 1992 to 2005 and then a slowdown of increasing trends between 2005 and 2010. Continued monitoring of fall-related TBI death rate trends is needed to determine the burden of this public health problem among older adults in the United States.

Modeling resting-state functional networks when the cortex falls asleep: local and global changes.

PubMed

Deco, Gustavo; Hagmann, Patric; Hudetz, Anthony G; Tononi, Giulio

2014-12-01

The transition from wakefulness to sleep represents the most conspicuous change in behavior and the level of consciousness occurring in the healthy brain. It is accompanied by similarly conspicuous changes in neural dynamics, traditionally exemplified by the change from "desynchronized" electroencephalogram activity in wake to globally synchronized slow wave activity of early sleep. However, unit and local field recordings indicate that the transition is more gradual than it might appear: On one hand, local slow waves already appear during wake; on the other hand, slow sleep waves are only rarely global. Studies with functional magnetic resonance imaging also reveal changes in resting-state functional connectivity (FC) between wake and slow wave sleep. However, it remains unclear how resting-state networks may change during this transition period. Here, we employ large-scale modeling of the human cortico-cortical anatomical connectivity to evaluate changes in resting-state FC when the model "falls asleep" due to the progressive decrease in arousal-promoting neuromodulation. When cholinergic neuromodulation is parametrically decreased, local slow waves appear, while the overall organization of resting-state networks does not change. Furthermore, we show that these local slow waves are structured macroscopically in networks that resemble the resting-state networks. In contrast, when the neuromodulator decrease further to very low levels, slow waves become global and resting-state networks merge into a single undifferentiated, broadly synchronized network. © The Author 2013. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Comparison of Orthodontic Medicaid Funding in the United States 2006 to 2015.

PubMed

Minick, Gerald; Tilliss, Terri; Shellhart, W Craig; Newman, Sheldon M; Carey, Clifton M; Horne, Andrew; Whitt, Susan; Oesterle, Larry J

2017-01-01

Orthodontic treatment is reimbursed by Medicaid based on orthodontic and financial need with qualifiers determined by individual states. Changes in Medicaid-funded orthodontic treatment following the "Great Recession" in 2007 and the enactment of the Affordable Care Act in 2010 were compared for the 50 United States and the District of Columbia to better understand disparities in access to care. The results from this 2015 survey were compared to data gathered in 2006 (1). Medicaid officials were contacted by email, telephone, or postal mail regarding the age limit for treatment, practitioner type who can determine eligibility and provide treatment, records required for case review, and rate and frequency of reimbursement. When not attained by direct contact, the information was gleaned from online websites, provider manuals, and state orthodontists. Information gathered from 50 states and the District of Columbia documents that Medicaid program characteristics and expenditures continue to vary by state. Expenditures and reimbursement rates have decreased since 2006 and vary widely by geographic region. Some states have tightened restrictions on qualifiers and increased submission requirements by providers. The variation and lack of uniformity that still exists among Medicaid orthodontic programs in different states creates disparities in orthodontic care for US citizens. Barriers to care for Medicaid-funded orthodontic treatment have increased since 2006.

The Influence of Stratigraphic History on Landscape Evolution

NASA Astrophysics Data System (ADS)

Forte, A. M.; Yanites, B.; Whipple, K. X.

2016-12-01

Variation in rock erodibility can play a significant role in landscape evolution. Using a version of the CHILD landscape evolution model that allows for variations in rock erodibility, we found surprisingly complex landscape evolution in simulations with simple, two unit stratigraphies with contrasting erodibility. This work indicated that the stratigraphic order of units in terms of erodibility, the orientation of the contact with respect to the main drainage direction, and the contact dip angle all have pronounced effects on landscape evolution. Here we expand that work to explore the implications of more complicated stratigraphies on landscape evolution. Introducing multiple units adds additional controls on landscape evolution, namely the thicknesses and relative erodibility of rock layers. In models with a sequence of five alternating hard and soft units embedded within arbitrarily thick over- and underlying units, the number of individual layers that noticeably influence landscape morphology decreases as the thickness of individual layers reduces. Contacts with soft rocks over hard produce the most noticeable effect in model output such as erosion rate and channel steepness. For large contrasts in erodibility of 25 m thick layers, only one soft over hard contact is clearly manifest in the landscape. Between 50 and 75 m, two such contacts are manifest, and by 100 m thickness, all three of these contacts are manifest. However, for a given thickness of layers, more units are manifest in the landscape as the erodibility contrast between units decreases. This is true even though the magnitude of landscape effects away from steady-state erosion rates or channel steepness also decrease with decreasing erodibility contrast. Finally, we explore suites of models with alternating layers reflecting either `hardening-' or `softening-upwards' stratigraphies and find that the two scenarios result in decidedly different landscape forms. Hardening-upwards sections produce a gradational change where as individual layers have more influence in the landscape form in softening-upwards sections. Generally, our modeling highlights that past depositional history can exert a fundamental control on landscape evolution during later erosion through the resulting layered stratigraphy.

Large Dog Relinquishment to Two Municipal Facilities in New York City and Washington, D.C.: Identifying Targets for Intervention

PubMed Central

Weiss, Emily; Slater, Margaret; Garrison, Laurie; Drain, Natasha; Dolan, Emily; Scarlett, Janet M.; Zawistowski, Stephen L.

2014-01-01

Simple Summary While the overall trend in euthanasia has been decreasing nationally, large dogs are at a higher risk of euthanasia than other-sized dogs in most animal shelters in the United States. We hypothesized that one way to increase the lives saved with regard to large dogs in shelters is to keep them home in the first place when possible. Our research is the first to collect data in New York City and Washington, D.C., identifying the process leading to the owner relinquishment of large dogs. We found that targets for interventions to decrease large dog relinquishment are likely different in each community. Abstract While the overall trend in euthanasia has been decreasing nationally, large dogs are at a higher risk of euthanasia than other sized dogs in most animal shelters in the United States. We hypothesized one way to increase the lives saved with respect to these large dogs is to keep them home when possible. In order to develop solutions to decrease relinquishment, a survey was developed to learn more about the reasons owners relinquish large dogs. The survey was administered to owners relinquishing their dogs at two large municipal facilities, one in New York City and one in Washington, D.C. There were 157 responses between the two facilities. We found both significant similarities and differences between respondents and their dogs from the two cities. We identified opportunities to potentially support future relinquishers and found that targets for interventions are likely different in each community. PMID:26480315

How run-of-river operation affects hydropower generation and value.

PubMed

Jager, Henriette I; Bevelhimer, Mark S

2007-12-01

Regulated rivers in the United States are required to support human water uses while preserving aquatic ecosystems. However, the effectiveness of hydropower license requirements nationwide has not been demonstrated. One requirement that has become more common is "run-of-river" (ROR) operation, which restores a natural flow regime. It is widely believed that ROR requirements (1) are mandated to protect aquatic biota, (2) decrease hydropower generation per unit flow, and (3) decrease energy revenue. We tested these three assumptions by reviewing hydropower projects with license-mandated changes from peaking to ROR operation. We found that ROR operation was often prescribed in states with strong water-quality certification requirements and migratory fish species. Although benefits to aquatic resources were frequently cited, changes were often motivated by other considerations. After controlling for climate, the overall change in annual generation efficiency across projects because of the change in operation was not significant. However, significant decreases were detected at one quarter of individual hydropower projects. As expected, we observed a decrease in flow during peak demand at 7 of 10 projects. At the remaining projects, diurnal fluctuations actually increased because of operation of upstream storage projects. The economic implications of these results, including both producer costs and ecologic benefits, are discussed. We conclude that regional-scale studies of hydropower regulation, such as this one, are long overdue. Public dissemination of flow data, license provisions, and monitoring data by way of on-line access would facilitate regional policy analysis while increasing regulatory transparency and providing feedback to decision makers.

Impact of a comprehensive smoke-free law following a partial smoke-free law on incidence of heart attacks at a rural community hospital.

PubMed

Johnson, Eric L; Beal, James R

2013-03-01

Secondhand smoking (passive smoking) is associated with many negative health effects, primarily respiratory and cardiovascular diseases. Approximately, 46,000 deaths from cardiovascular disease are associated with secondhand smoke exposure annually in the United States, which is roughly 150 deaths in North Dakota. Studies show that passage of smoke-free laws at the community level can reduce the incidence of heart attack. We conducted a retrospective review of electronic medical records of patients admitted for heart attacks 4 months prior (April 15, 2010 through August 14, 2010) to implementation of the smoke-free ordinance and 4 months following (August 15, 2010 through December 14, 2010) implementation of the comprehensive smoke-free ordinance in Grand Forks, ND, United States. We found an association between the heart attack rate and implementation of the comprehensive smoke-free law. The heart attack rate prior to the ban was 0.5% (83/16,702) compared with 0.3% (63/18,513) after the ban (p = .023). Thus, the rate of heart attacks decreased 30.6% and number of heart attack admissions decreased 24.1%, from 83 to 63, after implementation of a comprehensive smoke-free law. We found an implementation of the comprehensive smoke-free law was associated with a decrease in the heart attack rate. The heart attack rate decreased 30.6%. Our finding was similar to previous community level smoke-free law implementation studies and notable for the change going from a partial smoke-free law to a comprehensive smoke-free law.

Perlite

USGS Publications Warehouse

Bolen, W.P.

2010-01-01

Consumption, imports and domestic production of perlite in the United States continued to be severely affected by the multi-year downturn in construction activity and decreased consumer spending. The estimated amount of processed perlite sold or used from U.S. mines in 2009 fell to 380 kt (418,000 st), the lowest amount of domestic perlite sold or used since 1967.The U.S. consumption of crude processed perlite in 2009 was estimated to have decreased to 480 kt (530,000 st), the lowest level of consumption since 1984 when consumption was 474 kt (522,000 st). Preliminary reports indicate that perlite imports decreased for the third consecutive year and have fallen about 45 percent since peaking in 2006.

Predictors of cervical cancer screening adherence in the United States: a systematic review.

PubMed

Limmer, Karen; LoBiondo-Wood, Geri; Dains, Joyce

2014-01-01

Cervical cancer incidence rates have decreased dramatically since the implementation of the Papanicolaou (Pap) smear. Nevertheless, the American Cancer Society (ACS) estimates for 2013 predicted more than 12,000 new cases of cervical cancer in the United States. Given that some subpopulations in the United States are at a higher risk for cervical cancer than others, efforts to increase screening adherence are warranted. Many studies have explored the demographics of underscreened women, but no systematic reviews of screening demographics in adult US women were identified in the past 10 years, after release of the 2002 ACS cervical cancer screening guidelines. Knowledge of adherence to these guidelines becomes important as new guidelines were developed and released in 2012. The purpose of this systematic review of relevant studies was to identify factors that predict the use of cervical cancer screening in US women. Variables found to be significantly associated with adherence to screening included education, financial status, acculturation, psychosocial issues, and marital status. Using this information, nurse practitioners and other providers can target specific at-risk populations to increase screening by educating women about the need for cervical cancer screening and ensuring access to methods for prevention and early detection of the disease.

Climate remains an important driver of post-European vegetation change in the eastern United States

USGS Publications Warehouse

Neil Pederson,; Anthony W. D’Amato,; James M. Dyer,; Foster, David R.; Goldblum, David; Hart, Justin L.; Hessl, Amy E.; Iverson, Louis R.; Jackson, Stephen T.; Martin-Benito, Dario; McCarthy, Brian C.; McEwan, Ryan W.; Mladenoff, David J.; Parker, Albert J.; Shuman, Bryan; Williams, John W.

2014-01-01

The influence of climate on forest change during the past century in the eastern United States was evaluated in a recent paper (Nowacki & Abrams, 2014) that centers on an increase in ‘highly competitive mesophytic hardwoods’ (Nowacki & Abrams, 2008) and a concomitant decrease in the more xerophytic Quercus species. Nowacki & Abrams (2014) concluded that climate change has not contributed significantly to observed changes in forest composition. However, the authors restrict their focus to a single element of climate: increasing temperature since the end of the Little Ice Age ca. 150 years ago. In their study, species were binned into four classifications (e.g., Acer saccharum – ‘cool-adapted’, Acer rubrum – ‘warm-adapted’) based on average annual temperature within each species range in the United States, reducing the multifaceted character of climate into a single, categorical measure. The broad temperature classes not only veil the many biologically relevant aspects of temperature (e.g., seasonal and extreme temperatures) but they may also mask other influences, both climatic (e.g., moisture sensitivity) and nonclimatic (e.g., competition).

Loneliness as a Public Health Issue: The Impact of Loneliness on Health Care Utilization Among Older Adults

PubMed Central

Jayawardhana, Jayani

2015-01-01

Objectives. We aimed to determine whether loneliness is associated with higher health care utilization among older adults in the United States. Methods. We used panel data from the Health and Retirement Study (2008 and 2012) to examine the long-term impact of loneliness on health care use. The sample was limited to community-dwelling persons in the United States aged 60 years and older. We used negative binomial regression models to determine the impact of loneliness on physician visits and hospitalizations. Results. Under 2 definitions of loneliness, we found that a sizable proportion of those aged 60 years and older in the United States reported loneliness. Regression results showed that chronic loneliness (those lonely both in 2008 and 4 years later) was significantly and positively associated with physician visits (β = 0.075, SE = 0.034). Loneliness was not significantly associated with hospitalizations. Conclusions. Loneliness is a significant public health concern among elders. In addition to easing a potential source of suffering, the identification and targeting of interventions for lonely elders may significantly decrease physician visits and health care costs. PMID:25790413

Characterization of Radiation Fields in Biological Shields of Nuclear Power Plants for Assessing Concrete Degradation

NASA Astrophysics Data System (ADS)

Remec, Igor; Rosseel, Thomas M.; Field, Kevin G.; Le Pape, Yann

2016-02-01

Life extensions of nuclear power plants to 60 and potentially 80 years of operation have renewed interest in long-term material degradation. One material being considered is concrete, with a particular focus on radiation-induced effects. Based on the projected neutron fluence values (E > 0.1 MeV) in the concrete biological shields of the US pressurized water reactor fleet and the available data on radiation effects on concrete, some decrease in mechanical properties of concrete cannot be ruled out during extended operation beyond 60 years. An expansion of the irradiated concrete database and a reliable determination of relevant neutron fluence energy cutoff value are necessary to ensure reliable risk assessment for extended operation of nuclear power plants. Notice: This manuscript has been authored by UT-Battelle, LLC, under contract DE-AC0500OR22725 with the US Department of Energy. The United States Government retains and the publisher, by accepting the article for publication, acknowledges that the United States Government retains a nonexclusive, paid-up, irrevocable, worldwide license to publish or reproduce the published form of this manuscript, or allow others to do so, for United States Government purposes.

Drought trends indicated by evapotranspiration deficit over the contiguous United States during 1896-2013

NASA Astrophysics Data System (ADS)

Kim, Daeha; Rhee, Jinyoung

2016-04-01

Evapotranspiration (ET) has received a great attention in drought assessment as it is closely related to atmospheric water demand. The hypothetical potential ET (ETp) has been predominantly used, nonetheless it does not actually exist in the hydrologic cycle. In this work, we used a complementary method for ET estimation to obtain wet-environment ET (ETw) and actual ET (ETa) from routinely observed climatic data. By combining ET deficits (ETw minus ETa) and the structure of the Standardized Precipitation-Evapotranspiration Index (SPEI), we proposed a novel ET-based drought index, the Standardized Evapotranspiration Deficit Index (SEDI). We carried out historical drought identification for the contiguous United States using temperature datasets of the PRISM Climate Group. SEDI presented spatial distributions of drought areas similar to the Palmer Drought Severity Index (PDSI) and Standardized Precipitation Index (SPI) for major drought events. It indicates that SEDI can be used for validating other drought indices. Using the non-parametric Mann-Kendall test, we found a significant decreasing trend of SEDI (increasing drought risk) similar to PDSI and SPI in the western United States. This study suggests a potential of ET-based indices for drought quantification even with no involvement of precipitation data.

The Air Quality and Economic Impact of Atmospheric Lead from General Aviation Aircraft in the United States

NASA Astrophysics Data System (ADS)

Wolfe, P. J.; Selin, N. E.; Barrett, S. R. H.

2015-12-01

While leaded fuels for automobiles were phased-out of use in the United States by 1996, lead (Pb) continues to be used as an anti-knock additive for piston-driven aircraft. We model the annual concentration of atmospheric lead attributable to piston driven aircraft emissions in the continental United States using the Community Multi-scale Air Quality (CMAQ) model. Using aircraft emissions inventories for 2008, we then calculate annual economic damages from lead as lifetime employment losses for a one-year cohort exposed to elevated atmospheric lead concentrations using a range of concentration response functions from literature. Mean and median estimates of annual damages attributable to lifetime lost earnings are 1.06 and 0.60 billion respectively. Economy-wide impacts of IQ-deficits on productivity and labor increase expected damages by 54%. Damages are sensitive to background lead concentrations; as emissions decrease from other sources, the damages attributable to aviation are expected to increase holding aviation emissions constant. The monetary impact of General Aviation lead emissions on the environment is the same order of magnitude as noise, climate change, and air quality degradation from all commercial operations.

Economic and environmental impacts of the corn grain ethanol industry on the United States agricultural sector

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

Larson, J.A.; English, B.C.; De La Torre Ugarte, D. G.

2010-09-10

This study evaluated the impacts of increased ethanol production from corn starch on agricultural land use and the environment in the United States. The Policy Analysis System simulation model was used to simulate alternative ethanol production scenarios for 2007 through 2016. Results indicate that increased corn ethanol production had a positive effect on net farm income and economic wellbeing of the US agricultural sector. In addition, government payments to farmers were reduced because of higher commodity prices and enhanced net farm income. Results also indicate that if Conservation Reserve Program land was converted to crop production in response to highermore » demand for ethanol in the simulation, individual farmers planted more land in crops, including corn. With a larger total US land area in crops due to individual farmer cropping choices, total US crop output rose, which decreased crop prices and aggregate net farm income relative to the scenario where increased ethanol production happened without Conservation Reserve Program land. Substantial shifts in land use occurred with corn area expanding throughout the United States, especially in the traditional corn-growing area of the midcontinent region.« less

Physical therapists' perceptions of sexual boundaries in clinical practice in the United States.

PubMed

Roush, Susan E; Cox, Kenneth; Garlick, John; Kane, Molly; Marchand, Lauren

2015-07-01

Physical therapists' perceptions of sexual boundaries in clinic settings in the United States have not been studied. Given the magnitude of potential consequences of sexual boundary violations, examination of this topic is imperative. The purpose of this study was to describe the perceptions of sexual boundaries among licensed physical therapists in the United States. Licensed physical therapists from Arkansas, Kansas, Maine, Ohio, and Oregon were contacted by email and asked to complete a sexual boundaries questionnaire via Survey Monkey™; 967 surveys (7.3%) were returned. While most physical therapists practice within the profession's Code of Ethics, there are practitioners who date current and former patients, and condone patients' sexual banter in the clinic. Almost half (42%) of the participants acknowledged feeling sexually attracted to a patient. While gender differences were seen throughout the analyses, generally, the demographic and professional variables did not account for meaningful variance. Results were similar to previous research on physiotherapists in other countries. Sexuality is part of the physical therapy practice environment and physical therapists' understanding of sexual boundaries is ambiguous. These data can inform professional conversation on sexual boundaries in physical therapy practice leading to greater understanding and decreased potential for violations.

A Comparative Study on Retirement Process in Korea, Germany, and the United States: Identifying Determinants of Retirement Process.

PubMed

Cho, Joonmo; Lee, Ayoung; Woo, Kwangho

2016-10-01

This study classifies the retirement process and empirically identifies the individual and institutional characteristics determining the retirement process of the aged in South Korea, Germany, and the United States. Using data from the Cross-National Equivalent File, we use a multinomial logistic regression with individual factors, public pension, and an interaction term between an occupation and an education level. We found that in Germany, the elderly with a higher education level were more likely to continue work after retirement with a relatively well-developed social support system, while in Korea, the elderly, with a lower education level in almost all occupation sectors, tended to work off and on after retirement. In the United States, the public pension and the interaction terms have no statistically significant impact on work after retirement. In both Germany and Korea, receiving a higher pension decreased the probability of working after retirement, but the influence of a pension in Korea was much greater than that of Germany. In South Korea, the elderly workers, with lower education levels, tended to work off and on repeatedly because there is no proper security in both the labor market and pension system. © The Author(s) 2016.

Characteristics of HIV-Positive Transgender Men Receiving Medical Care: United States, 2009-2014.

PubMed

Lemons, Ansley; Beer, Linda; Finlayson, Teresa; McCree, Donna Hubbard; Lentine, Daniel; Shouse, R Luke

2018-01-01

To present the first national estimate of the sociodemographic, clinical, and behavioral characteristics of HIV-positive transgender men receiving medical care in the United States. This analysis included pooled interview and medical record data from the 2009 to 2014 cycles of the Medical Monitoring Project, which used a 3-stage, probability-proportional-to-size sampling methodology. Transgender men accounted for 0.16% of all adults and 11% of all transgender adults receiving HIV medical care in the United States from 2009 to 2014. Of these HIV-positive transgender men receiving medical care, approximately 47% lived in poverty, 69% had at least 1 unmet ancillary service need, 23% met criteria for depression, 69% were virally suppressed at their last test, and 60% had sustained viral suppression over the previous 12 months. Although they constitute a small proportion of all HIV-positive patients, more than 1 in 10 transgender HIV-positive patients were transgender men. Many experienced socioeconomic challenges, unmet needs for ancillary services, and suboptimal health outcomes. Attention to the challenges facing HIV-positive transgender men may be necessary to achieve the National HIV/AIDS Strategy goals of decreasing disparities and improving health outcomes among transgender persons.

Peak streamflows and runoff volumes for the Central United States, February through September, 2011: Chapter C in 2011 floods of the central United States

USGS Publications Warehouse

Holmes, Robert R.; Wiche, Gregg J.; Koenig, Todd A.; Sando, Steven K.

2013-01-01

During 2011, excessive precipitation resulted in widespread flooding in the Central United States with 33 fatalities and approximately $4.2 billion in damages reported in the Souris/Red River of the North (Souris/Red) and Mississippi River Basins. At different times, beginning in late February 2011 and extending through September 2011, various rivers in these basins had major flooding, with some locations receiving multiple rounds of flooding. Peak streamflow records were broken at 105 streamgages in the Souris/Red and Mississippi River Basins and annual runoff volume records set at 47 of the 211 streamgages analyzed for annual runoff. For the period of 1950 through 2011, the Ohio River provided almost one-half of the annual runoff at Vicksburg; the Missouri River contributed less than one-fourth, and the lower Mississippi River less than one-fourth. Those relative contribution patterns also occurred in 1973 and 2011, with the notable exception of the decrease in contribution of the lower Mississippi River tributaries and the increase in contribution from the upper Missouri River Basin in 2011 as compared to 1973 and the long-term average from 1950 to 2011.