Differences across States in Higher Education Finance Policy

ERIC Educational Resources Information Center

Cheslock, John J.; Hughes, Rodney P.

2011-01-01

In the United States, public higher education finance policy is primarily decided at the state level, and policies can vary dramatically across state lines. Data was used from 1989-1990 and 2008-2009 to describe these differences and how they have changed over time. Numerous aspects of each state's higher education system were examined--average…

An Exploration of Maine Community College's Admission Process: A Recommendation to Maine's Department of Education

ERIC Educational Resources Information Center

Woodbury, Amanda L.

2012-01-01

It is no secret that the United States is falling way behind in world educational rankings. In 1995, the United States ranked 1st in the world for college graduates however, its ranking dramatically fell in 2005, earning 15th place (Woodruff, 2008). According to the U.S. Chamber of Commerce, most states earn a grade of C, D, or F when it comes to…

Transfer Payments and Investment Income in the Nonmetro United States. Rural Development Research Report Number 71.

ERIC Educational Resources Information Center

Bentley, Susan E.

Analysis of data from the Bureau of Economic Analysis shows that during the 1970s and 1980s the composition of personal income in rural America shifted dramatically. Transfer payments and investment income accounted for almost 40% of total personal income in the nonmetro United States in 1983, up from just over 20% in 1969. This report examines…

Employment and Training Policy in the United States during the Economic Crisis. Upjohn Institute Working Paper No. 10-161

ERIC Educational Resources Information Center

O'Leary, Christopher J.; Eberts, Randall W.

2009-01-01

This paper examines labor market conditions and public employment policies in the United States during what some are calling the Great Recession. We document the dramatic labor market changes that rapidly unfolded when the rate of gross domestic product growth turned negative, from the end of 2007 through early 2009. The paper reviews the…

The Correlation between Attendance and Participation with Respect to Student Achievement in an Online Learning Environment

ERIC Educational Resources Information Center

Rapposelli, Joseph Anthony

2014-01-01

The recent and rapid growth of technology during the last several years has dramatically increased the number of new online degree programs and courses in the United States. As a result, enrollment into these online programs and courses has also increased. The United States Distance Learning Association (USDLA) estimated there was a total of 12.2…

Cyber-Terrorism and China

DTIC Science & Technology

2008-04-29

continue to play an extensive role concerning how China looks to the United States as a military and economic enemy. Only Chinese capabilities that...superpowers. Although the bulk of the PLA remains lightly armed infantry, the Chinese military has made dramatic advances in its technology since the...of strategy.47 US. warfighting tactics are highly focused on and driven by technology . Military planners in the United States may study classic works

Development of prescribed fire as a silvicultural tool for the upland oak forests of the eastern United States

Treesearch

Patrick H. Brose

2014-01-01

In the past 40 years, the perception of periodic fire in upland oak (Quercus spp.) forests in the eastern United States has changed dramatically. Once thought of as a wholly destructive force, periodic fire is now considered an important disturbance whose absence is a major contributing factor to oak regeneration problems. This change in attitude and...

Toward an Asbestos Ban in the United States.

PubMed

Lemen, Richard A; Landrigan, Philip J

2017-10-26

Many developed countries have banned the use of asbestos, but not the United States. There have, however, been multiple efforts in the US to establish strict exposure standards, to limit asbestos use, and to seek compensation through the courts for asbestos-injured workers' In consequence of these efforts, asbestos use has declined dramatically, despite the absence of a legally mandated ban. This manuscript presents a historical review of these efforts.

Evaluating the Validity of the U.S. Military’s Global Empire

DTIC Science & Technology

2015-03-26

With this status came an unchecked and impressive global force posture . While the United States dramatically cut the number of personnel in Western...evaluates the currant pre-positioned equipment concepts, and evaluates Operation Enduring Freedom (Afghanistan) as a case study for Force Posture . The...conclusion offers five recommendations for the future of United States global force posture and actions that support access. 15. SUBJECT TERMS 16

Immigrant Stories: Generation 1.5 Mexican American Students and English Language Learning in an Illinois Community College

ERIC Educational Resources Information Center

Hansen, Thomas L.

2010-01-01

The number of recent immigrants to the United States has increased dramatically in the last few years, and more of these immigrants are members of a group often designated as "Generation 1.5" students. These immigrant students were born in another country, came to the United States at the age of 13 or older, and graduated from high school in this…

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…

Major regulatory changes and the impact on diagnostic imaging in the United States 2005 to 2012∗: ∗effective May 15, 2013.

PubMed

Relyea-Chew, Annemarie

2013-09-01

Federal regulation of diagnostic imaging in the United States has increased dramatically in recent years. The primary statutes aimed at curbing escalating costs and reorienting the national priorities of health care have a direct effect on the specialty of diagnostic imaging. This paper surveys the major regulations and current issues that pose challenges to the practice of diagnostic imaging in the United States, from the Deficit Reduction Act of 2005 through the American Taxpayer Relief Act of 2012. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

Toward an Asbestos Ban in the United States

PubMed Central

Lemen, Richard A.; Landrigan, Philip J.

2017-01-01

Many developed countries have banned the use of asbestos, but not the United States. There have, however, been multiple efforts in the US to establish strict exposure standards, to limit asbestos use, and to seek compensation through the courts for asbestos-injured workers’. In consequence of these efforts, asbestos use has declined dramatically, despite the absence of a legally mandated ban. This manuscript presents a historical review of these efforts. PMID:29072598

Aviation Careers Series: Pilots and Flight Engineers

DOT National Transportation Integrated Search

1996-01-31

Increasing travel in the United States is threatening the mobility the nations surface transportation system provides. Congestion, particularly in urbanized areas and along heavily traveled intercity corridors, is increasing dramatically. The cost...

The national database of wildfire mitigation programs: state, county and local efforts reduce wildfire risk

Treesearch

Terry Haines; Cheryl Renner; Margaret Reams; James Granskog

2005-01-01

The growth of residential communities within forested areas has increased the danger to life and property from uncontrolled wildfire. In response, states, counties and local governments in the United States have dramatically increased their wildfire mitigation efforts. Policymakers and fire officials are employing a wide range of regulatory and voluntary wildfire risk...

Indiana Studies: Hoosier History, Government, and People. Unit V: Depression, Response, and Growth.

ERIC Educational Resources Information Center

Barger, Harry D.; And Others

Unit 5 in this six-unit series on Indiana history designed to be taught in Indiana secondary schools covers the depression years, World War II, and the postwar era. The dramatic changes that took place in Indiana during the depression years are highlighted in chapter 1. The manner in which the state's governor tried to alleviate the effects of the…

76 FR 9529 - Migratory Birds; Draft Eagle Conservation Plan Guidance

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-18

... maintenance of land-based, wind energy facilities in the United States. DATES: We must receive any comments or... electricity from wind turbines has increased dramatically in the range [[Page 9530

Radically Reducing Radiation Exposure during Routine Medical Imaging

Cancer.gov

Exposure to radiation from medical imaging in the United States has increased dramatically. NCI and several partner organizations sponsored a 2011 summit to promote efforts to reduce radiation exposure from medical imaging.

Reinventing School Finance: Falling Forward

ERIC Educational Resources Information Center

Picus, Lawrence O.; Odden, Allan R.

2011-01-01

States and school districts are facing unprecedented financial pressure due to the continued poor performance of the United States's economy. Dramatic shortfalls in funding due to reduced tax collections were held off for 2 years thanks to federal stimulus funds, but with these revenues already consumed and little likelihood of more in the near…

Transitions in U.S. Higher Education: Implications for Geography Learning

ERIC Educational Resources Information Center

Nellis, M. Duane

2017-01-01

In the United States, higher education institutions and structures governing higher education are going through dramatic change. The implications of new technology and changing modes of course structure, and evolving federal and state policies have the potential for significant impact on higher education. The historic federal mandates regarding…

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.

Emerging Infections: Microbial Threats to Health in the United States

DTIC Science & Technology

1992-01-01

change in the U.S. public health system since the release of that report. The recent rapid increases in the incidence of measles and tuberculosis are...estimnated $3 to _S4 in savings: these savings increase dramatically when the cost of’ reatiniz multidrug-resistant tuberculosis is factored inl. We also...McNeill. 1976). Plague infection is now en/ootic in much of the rodent population in the western United States, Mexico . and Canada. Thanks to modern

Landforms of the United States

USGS Publications Warehouse

Hack, John T.

1969-01-01

The United States contains a great variety of landforms which offer dramatic contrasts to a crosscountry traveler. Mountains and desert areas, tropical jungles and areas of permanently frozen subsoil, deep canyons and broad plains are examples of the Nation's varied surface. The present-day landforms the features that make up the face of the earth are products of the slow, sculpturing actions of streams and geologic processes that have been at work throughout the ages since the earth's beginning.

Landforms of the United States

USGS Publications Warehouse

Hack, John T.

1988-01-01

The United States contains a great variety of landforms which offer dramatic contrasts to a cross-country traveler. Mountains and desert areas, tropical jungles and areas of permanently frozen subsoil, and deep canyons and broad plains are examples of the Nation's varied surface. The presentday landforms the features that make up the face of the Earth are products of the slow sculpturing actions of streams and geologic processes that have been at work throughout the ages since the Earth's beginning.

Public Law 94-553-Oct. 19, 1976. An Act For the General Revision of the Copyright Law, Title 17 of the United States Code, and for Other Purposes. Title 17-Copyrights. Ninety-Fourth Congress.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC.

The copyright law of the United States is amended in its entirety by this act that takes effect in 1978. Literary works; musical works; dramatic works; pantomimes and choreographic works; pictorial, graphic, and sculptural works; motion pictures and other audiovisual works; and sound recordings are included in the subject matter of copyright.…

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 ...

Prep-ME Software Implementation and Enhancement

DOT National Transportation Integrated Search

2017-09-01

Highway agencies across the United States are moving from empirical design procedures towards the mechanistic-empirical (ME) based pavement design. Even though the Pavement ME Design presents a new paradigm shift with several dramatic improvements, i...

LD/ESL Assessments. NetNews. Volume 6, Number 2

ERIC Educational Resources Information Center

LDA of Minnesota, 2006

2006-01-01

The population of most Minnesota communities has dramatically changed over the past ten years. The Minnesota State Demographic Center reports the Twin Cities area has the largest Hmong, Somali, and Liberian communities in the United States. In some communities where both jobs and affordable housing are available, the percentage of English as a…

Southeast Atmosphere Studies Workshop 2015

EPA Science Inventory

Concentrations of atmospheric trace species in the United States have changed dramatically over the past several decades in response to pollution control strategies, shifts in domestic energy policy, and economic development (and resulting emission changes) elsewhere in the world...

Personal health care expenditures, by State: 1966-82

PubMed Central

Levit, Katharine R.

1985-01-01

Spending per capita for health care in the United States varies dramatically by State and region. In 1982, personal health care costs per capita ranged from a low of $857 in South Carolina to a high of $1,508 in Massachusetts. The focus of this article is State and regional variation in spending levels and the mix of health care services purchased. Possible causes for these differences are presented. PMID:10311335

Internationalizing undergraduate psychology education: Trends, techniques, and technologies.

PubMed

Takooshian, Harold; Gielen, Uwe P; Plous, Scott; Rich, Grant J; Velayo, Richard S

2016-01-01

How can we best internationalize undergraduate psychology education in the United States and elsewhere? This question is more timely than ever, for at least 2 reasons: Within the United States, educators and students seek greater contact with psychology programs abroad, and outside the United States, psychology is growing apace, with educators and students in other nations often looking to U.S. curricula and practices as models. In this article, we outline international developments in undergraduate psychology education both in the United States and abroad, and analyze the dramatic rise of online courses and Internet-based technologies from an instructional and international point of view. Building on the recommendations of the 2005 APA Working Group on Internationalizing the Undergraduate Psychology Curriculum, we then advance 14 recommendations on internationalizing undergraduate psychology education--for students, faculty, and institutions. (c) 2016 APA, all rights reserved).

Implementing the Common Core State Standards: An Action Agenda for Higher Education

ERIC Educational Resources Information Center

King, Jacqueline E.

2011-01-01

Recent years have seen the pace of change in education accelerate at all levels as educators and policy makers instigate reforms aimed at raising academic achievement in the United States to a world-class level. Perhaps nowhere has the pace and scale of change been more dramatic than in the realm of K-12 academic standards. In 2009, 48 states, two…

Southeast Atmosphere Studies: learning from model-observation syntheses

EPA Science Inventory

Concentrations of atmospheric trace species in the United States have changed dramatically over the past several decades in response to pollution control strategies, shifts in domestic energy policy and economics, and economic development (and resulting emission changes) elsewher...

QUANTIFICATION OF PATHOGENIC FUNGI IN WATER

EPA Science Inventory

The rate of systemic fungal infections in humans has shown a dramatic increase since 1980. Fungal infections are difficult to treat and fungal infection account for a significant proportion of all fatal hospital acquired (nosocomial) infections in the United States. Pathogenic ...

Changes in the Transnational Family Structures of Mexican Farm Workers in the Era of Border Militarization.

PubMed

Hamilton, Erin R; Hale, Jo Mhairi

2016-10-01

Historically, undocumented Mexican farm workers migrated circularly, leaving family behind in Mexico on short trips to the United States. Scholars have argued that border militarization has disrupted circular migration as the costs of crossing the border lead to longer stays, increased settlement, and changing transnational family practices. Yet, no study has explored changes in the transnational family structures of Mexico-U.S. migrants that span the era of border militarization. Using data from the National Agricultural Workers Survey, we document a dramatic shift away from transnational family life (as measured by location of residence of dependent children) among undocumented Mexican farm workers and a less dramatic shift among documented Mexican farm workers in the United States between 1993 and 2012. These trends are not explained by changes in the sociodemographic characteristics of farm workers or by changing demographic conditions or rising violence in Mexico. One-half of the trend can be accounted for by lengthened duration of stay and increased connections to the United States among the undocumented, but none of the trend is explained by these measures of settlement among the documented, suggesting that some Mexican farm workers adopt new family migration strategies at first migration. Increases in border control are associated with lower likelihood that children reside in Mexico-a finding that holds up to instrumental variable techniques. Our findings confirm the argument that U.S. border militarization-a policy designed to deter undocumented migration-is instead disrupting transnational family life between Mexico and the United States and, in doing so, is creating a permanent population of undocumented migrants and their children in the United States.

Patterns and trends of early successional forests in the Eastern United States

Treesearch

Margaret K. Trani; Robert T. Brooks; Thomas L. Schmidt; Victor A. Rudis; Christine M. Gabbard

2001-01-01

We assessed the status of early successional forest conditions for 33 Eastern States within the New England, Middle Atlantic, Great Lakes, Central Plains, Coastal South, and Interior South subregions. We used Forest Inventory and Analysis surveys to analyze trends from 1946 to 1998. Dramatic regional differences occurred in distribution of early successional forests....

Lost in Translation: Public Policies, Evidence-Based Practice, and Autism Spectrum Disorder

ERIC Educational Resources Information Center

Dillenburger, Karola; McKerr, Lyn; Jordan, Julie-Ann

2014-01-01

Prevalence rates of autism spectrum disorder have risen dramatically over the past few decades (now estimated at 1:50 children). The estimated total annual cost to the public purse in the United States is US$137 billion, with an individual lifetime cost in the United Kingdom estimated at between £0.8 million and £1.23 million depending on the…

Multi-Modal Electronic Payment Systems Best Practices and Convergence White Paper

DOT National Transportation Integrated Search

2010-02-25

The United States transportation industry has changed dramatically in the methodologies to collect fares and fees over the past 10-15 years. Largely a cash-centric approach until the early 90s, the toll and transit industries began automating ostensi...

Measuring the benefits of intercity passenger rail : a study of the Heartland Flyer corridor.

DOT National Transportation Integrated Search

2010-04-01

In recent years, the policy and regulatory environment for intercity passenger rail in the United States has : shifted dramatically, sparking a renewed interest in intercity passenger rail among policymakers, : planners, and the general public. As th...

NREL’s Advanced Analytics Research for Buildings – Social Media Version

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

None

Forty percent of the total energy consumption in the United States comes from buildings. Working together, we can dramatically shrink that number. NREL’s advanced analytics research has already proven to reduce energy use, save money, and stabilize the grid.

Academic Readiness Indicators: Implications for State Policy. Policy Brief 2013-1

ERIC Educational Resources Information Center

Di Giacomo, F. Tony; Linn, Dane; Monthey, Wanda; Pack, Catherine; Wyatt, Jeffrey

2013-01-01

In recent decades, the United States economy has undergone a dramatic shift to a knowledge-based economy that, when coupled with simultaneous, rapid globalization, has created a greater demand for a more educated and skilled workforce. The share of U.S. jobs requiring some level of postsecondary education is expected to grow to 63% in the next…

A Bad Bargain: How Teacher Collective Bargaining Affects Students' Employment and Earnings Later in Life

ERIC Educational Resources Information Center

Lovenheim, Michael F.; Willén, Alexander

2016-01-01

Today, more than 60 percent of teachers in the United States work under a union contract. The rights of teachers to unionize and bargain together have expanded dramatically since the late 1950s, when states began passing "duty-to-bargain" (DTB) laws that required school districts to negotiate with teachers unions in good faith. Recently,…

Dollars and Sense: Analysis of Spending and Revenue Patterns to Inform Fiscal Planning for California Higher Education

ERIC Educational Resources Information Center

Shulock, Nancy; Offenstein, Jeremy; Esch, Camille

2011-01-01

After decades of focusing on expansion and access, California's institutions of higher education are now being handed a more difficult charge: to dramatically increase the number of college graduates with diminishing state funding. There is a growing consensus that the United States needs to ratchet up its production of college graduates to turn…

Networked Nation: Broadband in America, 2007

ERIC Educational Resources Information Center

National Telecommunications and Information Administration, 2008

2008-01-01

This report highlights the dramatic growth of broadband in the United States. The report shows that the Administration's technology, regulatory and fiscal policies have stimulated innovation and competition, and encouraged investment in the U.S. broadband market contributing to significantly increased accessibility of broadband services. The…

Use of technology and implications for the environment

USDA-ARS?s Scientific Manuscript database

The use of technology in beef cattle production has dramatically changed animal performance indices over the past 30 years. Several technologies such as implants, ionophores, and antimicrobial drugs have wide adoption rates in the United States. Other more recent technologies such as beta-agonists c...

Preface to the focus section on injection-induced seismicity

USGS Publications Warehouse

Eaton, David; Rubinstein, Justin L.

2015-01-01

The ongoing, dramatic increase in seismicity in the central United States that began in 2009 is believed to be the result of injection‐induced seismicity (Ellsworth, 2013). Although the basic mechanism for activation of slip on a fault by subsurface fluid injection is well established (Healy et al., 1968; Raleighet al., 1976; Nicholson and Wesson, 1992; McGarr et al., 2002; Ellsworth, 2013), the occurrence of damaging M≥5 earthquakes and the dramatic increase in seismicity in the central United States has brought heightened attention to this issue. The elevated seismicity is confined to a limited number of areas, and accumulating evidence indicates that the seismicity in these locations is directly linked to nearby industrial operations. This Seismological Research Letters (SRL) focus section presents a selected set of seven technical papers that cover various aspects of this topic, including basic seismological and ground‐motion observations, case studies, numerical simulation of fault activation, and risk mitigation.

Burning Fossil Fuels: Impact of Climate Change on Health.

PubMed

Sommer, Alfred

2016-01-01

A recent, sophisticated granular analysis of climate change in the United States related to burning fossil fuels indicates a high likelihood of dramatic increases in temperature, wet-bulb temperature, and precipitation, which will dramatically impact the health and well-being of many Americans, particularly the young, the elderly, and the poor and marginalized. Other areas of the world, where they lack the resources to remediate these weather impacts, will be even more greatly affected. Too little attention is being paid to the impending health impact of accumulating greenhouse gases. © The Author(s) 2015.

An evaluation of two H1-linked markers and their suitability for selecting Globodera rostochiensis resistant potatoes in the New York breeding program

USDA-ARS?s Scientific Manuscript database

The golden cyst nematode (Globodera rostochiensis) is a serious pest that can dramatically reduce potato crop yield. Pathotype Ro1 of G. rostochiensis was first detected in the United States in 1941 and is still present on several farms in New York State. The H1 gene confers high levels of resistan...

School District Consolidation Study in 10 Michigan Counties: Is District Consolidation Cost Effective? What Is the Alternative to Consolidation? Working Paper #15. Revised

ERIC Educational Resources Information Center

Shakrani, Sharif M.

2010-01-01

As Duncomb and Yinger (2001) have stated, "School consolidation represents the most dramatic change in education governance and management in the United States in the twentieth century. Over 100,000 school districts have been eliminated through consolidation since 1938, a drop of almost 90 percent (NCES 1999, Table 90). This longstanding…

Struggling to Overcome the State's Prescription for Practice: A Study of a Sample of Early Educators' Professional Development and Action Research Projects in a High-Stakes Teaching Context

ERIC Educational Resources Information Center

Brown, Christopher P.; Weber, Natalie Babiak

2016-01-01

Issues of standardization, student achievement, and diversity have dramatically altered teaching within early childhood programs across the United States. This has created a situation in which teacher educators need to assist practicing and preservice teachers working in these contexts with formulating instructional responses that address…

American Viticultural Areas: A Problem in Regional Geography.

ERIC Educational Resources Information Center

Macdonald, Gerald M.; Lemaire, Denyse

1995-01-01

Maintains that growing grapes for winemaking has increased dramatically in the United States. Describes a college class assignment in which students analyzed climate and soil type to identify appropriate viticulture areas. Reports high student interest in the assignment and includes four figures illustrating the approach. (CFR)

Counseling Issues with Immigrant Families.

ERIC Educational Resources Information Center

Ham, MaryAnna Domokos-Cheng

With the dramatic increase of newly arrived immigrants, it is time for counselors to heighten their awareness of the special issues confronting immigrant families and to consider therapeutic paradigms for assisting immigrant families in their assimilation to the United States. Immigration families undergo cultural transition as they migrate from…

Antimicrobial susceptibility and plasmid replicon typing of Salmonella enterica serovar Kentucky isolates recovered from broilers

USDA-ARS?s Scientific Manuscript database

Salmonella Kentucky has become the predominate serotype recovered from broiler slaughter in the United States and the prevalence of antimicrobial resistance (AMR) has increased dramatically in this serotype. Relationships between AMR, genotype, and plasmid replicon types were characterized for 600 ...

39 Flavors: The Community College Classroom.

ERIC Educational Resources Information Center

Hill, Sharon A.

Multicultural education can be defined as an educational process that promotes an understanding and appreciation of the cultural diversity within a pluralistic society. By the year 2000, the number of minorities in the United States will increase dramatically. To respond appropriately and effectively to these emerging demographics, educational…

School Violent Crime and Academic Achievement in Chicago

ERIC Educational Resources Information Center

Burdick-Will, Julia

2013-01-01

Educational outcomes vary dramatically across schools in the United States. Many underperforming schools, especially in Chicago, also deal with high levels of violent crime on school grounds. Exposure to this type of frequent violence may be an important factor shaping already disadvantaged students' educational experiences. However, estimating…

Civil Military Cooperation for Counterterrorism Operations within the United States

DTIC Science & Technology

2013-03-01

as well as the subsequent attempts to contaminate Americans with anthrax , dramatically exposed the nation’s vulnerabilities to domestic terrorism and...terrorism, natural disasters, large-scale cyber-attacks, and pandemics .”23 One of the primary concerns for the U.S. is the dangerous type of weapons that

Influence of shelterbelts on organic matter of chernozems in the light of global climate change

USDA-ARS?s Scientific Manuscript database

Achieving the ambitious cellulosic biofuel production goals currently in place in the United States will require a dramatic increase in cellulosic feedstock supply. One strategy to meet this need is to utilize perennial species including short-rotation woody species on marginal agricultural lands. F...

Can We Pay for Current Education Reform?

ERIC Educational Resources Information Center

Odden, Allan

2012-01-01

For more than 30 years, the United States has been engaged in education reform efforts designed to dramatically boost student performance and close achievement gaps linked to poverty and ethnicity. Can schools afford those education ambitions? Most educators have their doubts. The author believes educators can improve student learning even when…

Quick Tips for Weight Training Exercise

ERIC Educational Resources Information Center

Perez, Saul

2004-01-01

Weight training is one of the single most popular types of fitness activities in the United States. One of the reasons for its popularity is that it dramatically contributes to improved strength, muscle tone, body composition, health and appearance. Weight training is a progressive resistance exercise in which resistance is gradually increased as…

Protecting Our Children from Skin Cancer.

ERIC Educational Resources Information Center

Martin, Paul

1993-01-01

Skin cancer in the United States is epidemic. About 90% of skin cancers are caused by sun exposure. The age of patients developing melanoma is dropping dramatically. Parents must protect their children from the sun during all outdoor activities year round. The article presents recommendations for preventing skin cancer. (SM)

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,…

Materials for Children about Nuclear War.

ERIC Educational Resources Information Center

Eiss, Harry

President Reagan's Fiscal Year 1987 budget was an attempt to increase dramatically spending on national defense, on nuclear weapons, while cutting back on social programs. The increases for almost all nuclear weapons indicate the Administration of the United States saw its major responsibility as one of providing a strong military, one centered on…

Treating Pediatric Obesity Using an Empirically Supported Treatment: A Case Report

ERIC Educational Resources Information Center

Cunningham, Phillippe B.; Ellis, Deborah A.; Naar-King, Sylvie

2010-01-01

Overweight and obesity are increasing dramatically in the United States of America, especially among children. Effective treatment of the multiple risk factors that promote youth obesity requires treatment approaches that are flexible and comprehensive enough to address each of these factors. One such treatment approach is Multisystemic Therapy…

Exploring the Digital Nation: Home Broadband Internet Adoption in the United States

ERIC Educational Resources Information Center

National Telecommunications and Information Administration, 2010

2010-01-01

The Internet has revolutionized the social and economic environment in which people live by providing an alternative or supplemental channel for communication, gathering and disseminating information, entertainment, commerce, and education. Household use of high-speed, or broadband, Internet services has risen dramatically during this decade which…

The legacy of deer overabundance: long-term delays in herbaceous understory recovery

Treesearch

Thomas H. Pendergast; Shane M. Hanlon; Zachary M. Long; Alex Royo; Walter P. Carson

2016-01-01

Decades of white-tailed deer (Odocoileus virginianus (Zimmermann, 1780)) overpopulation have dramatically homogenized forests across much of the eastern United States, creating depauperate forest understory communities. The rate at which these communities recover once deer browsing has been reduced remains an open question. We evaluate overbrowsing...

Every Lesson Needs a Storyline

ERIC Educational Resources Information Center

Ermeling, Bradley A.; Graff-Ermeling, Genevieve

2016-01-01

More than a decade ago, the Trends in International Mathematics and Science Studies observed that teachers in the United States focused more on "high-interest activities" (games, dramatic presentations, humor, and so on) than on the development of challenging concepts. Since then, the authors have worked with many teaching teams to shift…

Culture and Imperialism.

ERIC Educational Resources Information Center

Said, Edward W.

Growing out of a series of lectures given at universities in the United States, Canada, and England, this book reopens the dialogue between literature and the life of its time. It draws dramatic connections between the imperial endeavor and the culture that both reflected and reinforced it, describing a general pattern of relationships between the…

Performing Witnessing: Dramatic Engagement, Trauma and Museum Installations

ERIC Educational Resources Information Center

Hughes, Erika

2018-01-01

This article offers a discussion of two interactive museum installations, 'Remembering the Children: Daniel's Story' at the United States Holocaust Memorial Museum in Washington, DC, and the main exhibit at the Humanity House Museum in the Hague, Netherlands. Both are examples of what I term "self-guided dramas," taking the…

Producing edible landscapes in Seattle's urban forest

Treesearch

Rebecca McLain; Melissa Poe; Patrick T. Hurley; Joyce Lecompte-Mastenbrook; Marla R. Emery

2012-01-01

Over the next decades, green infrastructure initiatives such as tree planting campaigns, and ecological restoration will dramatically change the species composition, species distribution and structure of urban forests across the United States. These impending changes are accompanied by a demand for urban public spaces where people can engage in practices such as...

Public School Nursing Practice in the United States

ERIC Educational Resources Information Center

Willgerodt, Mayumi A.; Brock, Douglas M.; Maughan, Erin D.

2018-01-01

School nursing practice has changed dramatically over the past 20 years, yet few nationally representative investigations describing the school nursing workforce have been conducted. The National School Nurse Workforce Study describes the demographic and school nursing practice patterns among self-reported public school nurses and the number and…

Censorship's New Wave.

ERIC Educational Resources Information Center

Salomone, Ronald E., Ed.

1984-01-01

Focusing on the dramatic increase in the scope, intensity and frequency of censorship protests in the United States, and based on the premise that the censorship crusade is better organized, staffed, and financed than ever before, this journal issue addresses many facets of the censorship problem. In addition to an introduction by Ronald Salomone,…

Gender Equity in Higher Education

ERIC Educational Resources Information Center

Washington Higher Education Coordinating Board, 2006

2006-01-01

Title IX of the Education Amendments of 1972 bans discrimination in schools receiving federal financial assistance with regard to both academics and athletics. The law has helped ensure that women have access to both academic and athletic opportunities at most higher education institutions in the United States, dramatically increasing the range…

Fifty-Year Record of Glacier Change Reveals Shifting Climate in the Pacific Northwest and Alaska, USA

USGS Publications Warehouse

,

2009-01-01

Fifty years of U.S. Geological Survey (USGS) research on glacier change shows recent dramatic shrinkage of glaciers in three climatic regions of the United States. These long periods of record provide clues to the climate shifts that may be driving glacier change. The USGS Benchmark Glacier Program began in 1957 as a result of research efforts during the International Geophysical Year (Meier and others, 1971). Annual data collection occurs at three glaciers that represent three climatic regions in the United States: South Cascade Glacier in the Cascade Mountains of Washington State; Wolverine Glacier on the Kenai Peninsula near Anchorage, Alaska; and Gulkana Glacier in the interior of Alaska (fig. 1).

Iron and obesity in females in the United States.

PubMed

Neymotin, Florence; Sen, Urmimala

2011-01-01

Since the late 1980s, the United States has witnessed a dramatic increase in average BMI levels and the proportion of individuals categorized as obese. Obesity is a major risk factor for a variety of illnesses, and an increase in obesity is, therefore, implicated in increased health-care costs in the United States. These ultimately translate to a major health and economic problem for the United States. The present analysis examines a pathway to increased levels of obesity as of yet almost entirely unexplored. Specifically, we examine the relationship between obesity and iron deficiency via analyses of blood samples. The current analysis employs public-use data files from the continuous National Health and Nutrition Examination Survey (NHANES) (1999-2006) survey to determine the relationship between obesity and an individual's iron blood content. Results suggest a negative relationship between levels of iron blood content and individual BMI after controlling for other individual characteristics. These results hold for nearly all eight panels tested in the ordinary least squares (OLS) regressions.

Psychosocial aspects of women's lives: work, family, and life cycle issues.

PubMed

Shrier, Diane K

2003-09-01

Over the past century and continuing to evolve into the twenty-first century, there have been dramatic changes in work and personal/family lives within the United States. These changes, though strongly affecting men and children, have impacted most dramatically on women's lives, particularly white, middle-class women. Psychiatrists and other mental health clinicians need to be aware of the scope and nature of these changes and to recognize that their own personal experiences and values might differ from those of women of different generations as well as different socioeconomic and cultural backgrounds.

Further emissions cuts needed for speedier acid rain recovery

NASA Astrophysics Data System (ADS)

Showstack, Randy

Some people may have thought that the problem of acid deposition, commonly referred to as acid rain, had been solved in the United States with the passage of the Acid Deposition Control Program under Title IV of the 1990 Clean Air Act Amendments (CAAA).Although that legislation has helped to dramatically limit emissions of sulfur dioxide and nitrogen oxide—gases that can react in the atmosphere and form acidic compounds, including fine particles of sulfates and nitrates— much steeper cuts are needed for a quicker recovery from acid rain in the north-eastern United States, according to a new scientific appraisal of the effectiveness of measures called for in that law. The appraisal was issued on March 26 and is entitled “Acidic Deposition in the Northeastern United States: Sources and Inputs, Ecosystem Effects, and Management Strategies.”

Sun Protection Education for Healthy Children

ERIC Educational Resources Information Center

Fulmore, Jason S.; Geiger, Brian F.; Werner, Karen A.; Talbott, Laura L.; Jones, Dina C.

2009-01-01

The World Health Organization (WHO) estimates that between two and three million non-melanoma skin cancers and 132,000 melanoma skin cancers occur globally each year. In the event of further depletion of the ozone, these cases will increase dramatically (WHO, 2004). Within the United States, cancers of the skin are the most frequent type of…

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…

Etiology Replaces Interminability: A Historiographical Analysis of the Mental Hygiene Movement

ERIC Educational Resources Information Center

Kearl, Benjamin Kelsey

2014-01-01

The mental hygiene movement, a dramatic extension of Progressive Era delinquency prevention into America's public schools, began to take form in the United States in 1908, catalyzed by the publication of Clifford Whittingham Beers' "A Mind That Found Itself." That same year, Beers helped found the Connecticut Society for Mental Hygiene,…

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...

The Complexities of Engagement: Chinese Undergraduate Students Encountering U.S. Higher Education

ERIC Educational Resources Information Center

Chen, Yajing

2017-01-01

This dissertation investigates Chinese undergraduate student engagement at U.S. universities. Over the past decade, the number of Chinese students studying in the United States has increased dramatically, but scholars have yet to concentrate on these student experiences or on the dynamics of their interaction with host institutions. Dominant media…

Effects of climate change on forest insect and disease outbreaks

Treesearch

David W. Williams; Robert P. Long; Philip M. Wargo; Andrew M. Liebhold

2000-01-01

General circulation models (GCMs) predict dramatic future changes in climate for the northeastern and north central United States under doubled carbon dioxide (CO2) levels (Hansen et al., 1984; Manabe and Wetherald, 1987; Wilson and Mitchell, 1987; Cubasch and Cess, 1990; Mitchell et al., 1990). January temperatures are projected to rise as much...

Indigenous and Interdependent Perspectives of Healing: Implications for Counseling and Research

ERIC Educational Resources Information Center

Yeh, Christine J.; Hunter, Carla D.; Madan-Bahel, Anvita; Chiang, Lillian; Arora, Agnes K.

2004-01-01

Because of the dramatic increases of culturally diverse individuals in the United States, indigenous perspectives of healing must be understood in the context of interdependent cultural selves. The authors present an extensive review of the literature with a focus on understanding the role of spirituality, balancing energies, close social…

Postfire seeding for erosion control: Effectiveness and impacts on native plant communities

Treesearch

Jan L. Beyers

2004-01-01

Abstract: Large, high-severity wildfires remove vegetation cover and expose mineral soil, ofen causing erosion and runoff during postfire rain events to increase dramatically. Land-management agencies in the United States are required to assess site conditions after wildfire and, where necessary, implement emergency watershed rehabilitation measures to help...

DATABASE OF LANDFILL GAS TO ENERGY PROJECTS IN THE UNITED STATES

EPA Science Inventory

The paper discusses factors influencing the increase of landfill gas to energy (LFG-E) projects in the U.S. and presents recent statistics from a database,. There has been a dramatic increase in the number of LFG-E projects in the U.S., due to such factors as implementation of t...

Big Gay Church: Sermons to and for an Underserved Population in Art Education Settings

ERIC Educational Resources Information Center

Rhoades, Mindi; Cosier, Kim; Davenport, Melanie G.; Sanders, James H., III; Wolfgang, Courtnie N.

2013-01-01

While the past decade shows dramatic progress in tolerance, acceptance, and support for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) people/rights in the United States, this population remains underserved. Statistics on LGBTQ youth suicide remain troublingly high; yet, when LGBTQ youth attend schools with Gay-Straight…

Fiery Passion and Relentless Commitment: The Lived Experiences of African American Women Principals in Turnaround Model Schools

ERIC Educational Resources Information Center

Aldaco, Adrienne L. Gratten

2016-01-01

Chronically low performing schools in the United States have required targeted support and interventions to increase student achievement. In recent years, the school turnaround model has emerged as a swift, dramatic, comprehensive approach to implementing interventions in the lowest performing schools (Calkins, Guenther, Belfiore, & Lash,…

A Career that is Playing to Win

ERIC Educational Resources Information Center

Reese, Susan

2006-01-01

As the gaming industry has expanded throughout the United States, job opportunities have grown along with revenue. Holly Thomsen with the American Gaming Association says that, not only has the casino part of the hospitality business grown dramatically, but it encompasses so much--hotels, restaurants, the gaming floor and the shows. He also states…

Leading Your School to Excellence through Reading Instruction

ERIC Educational Resources Information Center

James, Salethia R.

2014-01-01

After decades of attempting to identify effective reading programs within the United States, in recent years, the emphasis on identifying these programs has made a dramatic shift. The continuous increase in federal involvement began the implementation of No Child Left Behind (NCLB). One of the primary goals for NCLB is to drastically improve…

Autism Services in Mexico: A Qualitative Survey of Education Professionals

ERIC Educational Resources Information Center

Harris, Bryn; Barton, Erin E.

2017-01-01

Many countries are experiencing a dramatic increase of Mexican immigrants in recent decades, especially the United States. It is essential that professionals understand the cultural expectations and autism spectrum disorder (ASD) diagnostic and intervention practices in Mexico to be better prepared to meet the needs of this population. In fact,…

Internal Evaluation in American Public School Districts: The Importance of Externally Driven Accountability Mandates

ERIC Educational Resources Information Center

King, Jean A.; Rohmer-Hirt, Johnna A.

2011-01-01

From the 1980s to the present, educational accountability in the United States has grown dramatically. Such accountability in U.S. school districts, although driven primarily by external demands, has internal manifestations as well. The chapter traces the historical development of internal evaluation in American school districts, then highlights…

Characterization of escherichia coli O157:H7 strains from contaminated raw beef trim during “high event periods”

USDA-ARS?s Scientific Manuscript database

The development and implementation of effective antimicrobial interventions by the beef processing industry in the United States have dramatically reduced the incidence of beef trim contamination by Escherichia coli O157:H7. However, individual processing plants still experience sporadic peaks in co...

The American Slave Narrative. Dramatic Resource Material for the Classroom

ERIC Educational Resources Information Center

Polsky, Milton

1976-01-01

Notes that the story of the black runaway who escapes the slave status under great risk to live as a free man or woman comprises one of the most meaningful chapters in United States history. The slave narrative genre offers resource material which all children should find compelling and inspiring. (Author/AM)

A critical examination of the evidence relating high fructose corn syrup and weight gain

USDA-ARS?s Scientific Manuscript database

The use of high fructose corn syrup (HFCS) has increased over the past several decades in the United States while overweight and obesity rates have risen dramatically. Some scientists hypothesize that HFCS consumption has uniquely contributed to the increasing mean body mass index (BMI) of the U.S....

Felix Adler's Universal Moral Code: Drama Activities in the Ethical Culture School.

ERIC Educational Resources Information Center

Tennyson, Jinni

2003-01-01

Discusses how Felix Adler's Ethical Culture School, through its innovative practices, impacts public education and settlement work, and plays a significant role in shaping the methodologies, practices, and content of educational drama in the United States from the inception of the field. Describes the use of story dramatization/storytelling,…

Mold inhibition on unseasoned southern pine

Treesearch

Carol A. Clausen; Vina W. Yang

2003-01-01

Concerns about indoor air quality due to mold growth have increased dramatically in the United States. In the absence of moisture management, fungicides need to be developed for indoor use to control mold establishment. An ideal fungicide for prevention of indoor mold growth on wood-based materials needs to specifically prevent spore germination and provide long-term...

Childhood Obesity: A Growing Phenomenon for Physical Educators

ERIC Educational Resources Information Center

Green, Gregory; Reese, Shirley A.

2006-01-01

The greatest health risk facing children today is obesity. The prevalence of childhood obesity in the United States has risen dramatically in the past several decades. Because children on the average spend up to five or six hours a day involved in sedentary activities, including excessive time watching television, using the computer and playing…

High-Stakes Testing in Education: Science and Practice in K-12 Settings

ERIC Educational Resources Information Center

Bovaird, James A., Ed.; Geisinger, Kurt F., Ed.; Buckendahl, Chad W., Ed.

2011-01-01

Educational assessment and, more broadly, educational research in the United States have entered into an era characterized by a dramatic increase in the prevalence and importance of test score use in accountability systems. This volume covers a selection of contemporary issues about testing science and practice that impact the nation's public…

Building Collaboration through Project-Based Theater Design

ERIC Educational Resources Information Center

Basarab, Heather

2012-01-01

With the economic collapse of 2008, there has been a dramatic increase in government emphasis on the value of science and technology-based study in the nation's high schools as a means for the United States to remain competitive in the world economic market. Financial, political and societal support for the hard sciences, coupled with…

The Uncertain Connection: Free Trade and Rural Mexican Migration to the United States.

ERIC Educational Resources Information Center

Cornelius, Wayne A.; Martin, Philip L.

1993-01-01

Argues that it is easy to overestimate the additional emigration from rural Mexico that could occur as a result of North American Free Trade Agreement (NAFTA) related economic restructuring in Mexico. Four major reasons why Mexican emigration may not increase dramatically are suggested. Phase-in recommendations related to implementation are…

Television Cameras in Congress. Freedom of Information Center Report No. 483.

ERIC Educational Resources Information Center

Watt, Phyllis

While the United States Senate debates the merits of televising its proceedings, it might consider as a model the House of Representatives, which has televised floor activities since 1979 with no dramatic changes in those activities or in members' behavior. The House system consists of inconspicuously placed cameras and microphones operated by…

The Politics of Diversity: Integration in an Era of Political and Legal Uncertainty

ERIC Educational Resources Information Center

Diem, Sarah; Frankenberg, Erica

2013-01-01

Background: The demographic landscape in the United States has shifted dramatically since "Brown v. Board of Education," leading to more complex diversity in many school districts than the diversity contemplated nearly 60 years ago. Desegregation research has shown that countywide districts are better able to maintain diverse schools,…

Discovery Camp Excites Students about Engineering and Technology Careers

ERIC Educational Resources Information Center

Massiha, G. H.

2011-01-01

In the United States and elsewhere, there is a dramatic shortage of engineers and technologists. And, unfortunately, these professions often suffer from a lack of awareness among K-12 students. Clearly, educators need to show students the very exciting and lucrative aspects of these fields. Engineering and technology are consistently listed by…

One Nation, Divided: Culture, Civic Institutions, and the Marriage Divide

ERIC Educational Resources Information Center

Wilcox, W. Bradford; Wolfinger, Nicholas H.; Stokes, Charles E.

2015-01-01

Since the 1960s, the United States has witnessed a dramatic retreat from marriage, marked by divorce, cohabitation, single parenthood, and lower overall marriage rates. Marriage is now less likely to anchor adults' lives or provide a stable framework for childrearing, especially among poor and working-class Americans. Much research on the retreat…

Does Weight Affect Children's Test Scores and Teacher Assessments Differently?

ERIC Educational Resources Information Center

Zavodny, Madeline

2013-01-01

The prevalence of childhood overweight and obesity increased dramatically in the United States during the past three decades. This increase has adverse public health implications, but its implication for children's academic outcomes is less clear. This paper uses data from five waves of the Early Childhood Longitudinal Study-Kindergarten to…

Healthy Eating and Exercise: Strategies for Weight Management in the Rural Midwest

ERIC Educational Resources Information Center

Nothwehr, Faryle; Peterson, N. Andrew

2005-01-01

Obesity prevalence has increased dramatically in the United States. Rural areas have been especially affected, yet few weight management studies have been conducted in these populations. This study was designed to assess weight management attitudes and strategies used when rural adults in particular attempt to lose weight, employing measures that…

The Founding Entrepreneurs: America's Prosperity

ERIC Educational Resources Information Center

Gunderson, Gerald

2007-01-01

The American economy has had the fastest and most dramatic development of all the world's major economies. Four hundred years ago, the economic output of the area that became the United States was negligible by world standards. Yet only 250 years later, the U.S. economy had become the largest in the world, surpassing all other countries, including…

Antifungal metabolites of lactobacilli

Treesearch

Vina A. Yang; Carol A. Clausen

2004-01-01

In recent years, public concern about indoor mold growth has increased dramatically in the United States. In this study, lactic acid bacteria, which are known to produce antimicrobial compounds important in the biopreservation of food, were evaluated to determine if the same antimicrobial properties can be used to protect wood from mold establishment. Based on biomass...

The Chicago Project: An Alternative Resettlement Approach.

ERIC Educational Resources Information Center

Refugee Policy Group, Washington, DC.

This document reports on a model refugee resettlement project implemented in Chicago by the United States Catholic Conference. The project was initiated to document the incorrectness of the claim that the current dramatic reduction in U.S. refugee admissions is necessary due to the purported high cost of resettlement. The project served all…

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

JPRS Report, Soviet Union, World Economy and International Affairs, No. 4, April 1988.

DTIC Science & Technology

1988-08-03

platform of the group of UN socialist states which presented at the session a joint memoran- dum on this question. I would not either dramatize or...threats to mankind (an "ecospasm," the unsettled state of international economic relations, including foreign debt, nonequivalent commodity exchange...mechanisms. When we speak of a nuclear-free, nonvio- lent world, it is inconceivable without the controlling influence of the United Nations. [Question

Trends in Spouses’ Shared Time in the United States, 1965–2012

PubMed Central

Genadek, Katie R.; Flood, Sarah M.; Roman, Joan Garcia

2016-01-01

Despite major demographic changes over the past 50 years and strong evidence that time spent with a spouse is important for marriages, we know very little about how time with a spouse has changed—or not—in the United States. Using time diary data from 1965–2012, we examine trends in couples’ shared time in the United States during a period of major changes in American marriages and families. We find that couples without children spent more total time together and time alone together n 2012 than they did in 1965, with total time and time alone together both peaking in 1975. For parents, time spent together increased between 1965 and 2012, most dramatically for time spent with a spouse and children. Decomposition analyses show that changes in behavior rather than changing demographics explain these trends, and we find that the increases in couples’ shared time are primarily concentrated in leisure activities. PMID:27730493

Arms Against Illness: Crack Cocaine and Drug Policy in the United States.

PubMed

Watkins; Fullilove; Fullilove

1998-01-01

The emergence of crack cocaine use in the United States during the mid-1980s was one of the most significant public health problems of that era. Crack use contributed to a series of sexually transmitted disease epidemics, to epidemic increases in violent injuries and homicides, and to significant increases in the incidence and prevalence of cocaine addiction. Despite these threats to health and safety, a national public health campaign to counter crack-related morbidity and mortality was never mounted. To the contrary, the strongest response to the crack epidemic has come from the police and the courts. As a result, crack-related crimes have accounted for dramatic increases in the numbers of adolescents and adults imprisoned in the United States. Scarce attention to the public health dimensions of these policies, let alone the human rights implications, has been catastrophic for affected individuals and communities.

Community Economic Identity: The Coal Industry and Ideology Construction in West Virginia

ERIC Educational Resources Information Center

Bell, Shannon Elizabeth; York, Richard

2010-01-01

Economic changes and the machinations of the treadmill of production have dramatically reduced the number of jobs provided by extractive industries, such as mining and timber, in the United States and other affluent nations in the post-World War II era. As the importance of these industries to national, regional, and local economies wanes,…

The Engineer of 2020: Visions of Engineering in the New Century

ERIC Educational Resources Information Center

National Academies Press, 2004

2004-01-01

To enhance the nation's economic productivity and improve the quality of life worldwide, engineering education in the United States must anticipate and adapt to the dramatic changes of engineering practice. The Engineer of 2020 urges the engineering profession to recognize what engineers can build for the future through a wide range of leadership…

Flood control surveys in the northeast

Treesearch

Arthur Bevan

1947-01-01

Floods are a grave danger to our Nation's resources. It is estimated that floods cost the United States at least $100 million every year. The recent Mississippi floods, which dramatically brought the seriousness of the situation to public attention, cost half a billion dollars in direct-damages. The Northeast carries a heavy burden of flood losses. In 1936, floods...

Advancing the Speaking and Listening Skills of K-2 English Language Learners through Creative Drama

ERIC Educational Resources Information Center

Brouillette, Liane

2012-01-01

In recent decades the United States has experienced a dramatic increase in children entering school whose home language is not English. If they are to achieve to their full potential, these children need direct and frequent interaction with individuals who can provide English language learners with accurate feedback. Creative drama activities that…

Crash Testing in the Lab: Putting a New Stop to the CO2 Car!

ERIC Educational Resources Information Center

Decker, Rob

2005-01-01

Every year in the United States, the federal government, insurance companies and automobile manufacturers wreck hundreds of cars for safety-testing purposes. All this crashing comes in an effort to rate vehicular safety for the public. Inspired by numerous movies with car chases, dramatic wrecks and television commercials showing car safety tests,…

Decision support for integrated landscape evaluation and restoration planning.

Treesearch

Keith M. Reynolds; Paul F. Hessburg

2005-01-01

The historical patterns of Inland Northwest United States forests have been dramatically altered by a little more than two centuries of human settlement and land use. Spatial patterns of forest structural conditions, tree species composition, snags and down wood, and temporal variation in these patterns, have been altered to such an extent that the natural ebb and flow...

Comparing soil carbon of short rotation poplar plantations with agricultural crops and woodlots in north central United States

Treesearch

Mark D. Coleman; J.G. Isebrands; David N. Tolsted; Virginia R. Tolbert

2004-01-01

Atmospheric carbon dioxide (CO2) has increased dramatically since the beginning of the Industrial Revolution as a result of human activities (Keeling and others 1995, Houghton and others 2001). The primary cause of CO2 increases are worldwide fossil fuel burning, biomass burning, and cement manufacturing. These activities...

Solicitation and Donation: An Econometric Evaluation of Alumni Generosity in Higher Education

ERIC Educational Resources Information Center

Gottfried, Michael A.; Johnson, Erica L.

2006-01-01

This paper evaluates the relationship between alumni solicitation and alumni donation within institutions of higher education. The issue of alumni giving is important for universities because the average cost of university tuition has increased dramatically over the past 20 years at an annual growth rate larger than the United States CPI (Harvard…

The Educational Trajectories of English Language Learners in Texas

ERIC Educational Resources Information Center

Flores, Stella M.; Batalova, Jeanne; Fix, Michael

2012-01-01

About 5.3 million English Language Learners (ELLs)--students whose primary language is not English and whose English language skills are not sufficient to keep up with classes conducted only in English--are enrolled in PK-12 public schools across the United States. The number of these students increased dramatically in ten years, from 3.5 million…

The Evolving Role of Marriage: 1950-2010

ERIC Educational Resources Information Center

Lundberg, Shelly; Pollak, Robert A.

2015-01-01

Since 1950, marriage behavior in the United States has changed dramatically. Though most men and women still marry at some point in their lives, they now do so later and are more likely to divorce. Cohabitation has become commonplace as either a precursor or an alternative to marriage, and a growing fraction of births take place outside marriage.…

Twenty Years of Medicating Youth: Are We Better off?

ERIC Educational Resources Information Center

Foltz, Robert

2012-01-01

One would like to believe that advances in science have resulted in improved outcomes for troubled youth. Trends in treatment have changed dramatically in two decades. Technology to understand the brain and its functions are highly advanced. But the United States is now medicating youth more than any other country. There is growing concern about…

More than just timber: silvicultural options and ecosystem services from managed southern pine stands

Treesearch

Don C. Bragg; Jamie L. Schuler; Matthew H Pelkki; D. Andrew Scott; James M. Guldin

2015-01-01

The dramatic decline of timber harvests on public lands in the western United States (U.S.) has helped intensify silviculture in the southern U.S. Today, intensive southern pine management usually involves establishment of plantations using site preparation, genetically improved seedlings, chemical fertilization and competition control, early stand density regulation,...

Managing Labor Market Changes: Essential Skills for Entrepreneurs and Intrapreneurs

ERIC Educational Resources Information Center

O'Neill, Barbara

2014-01-01

The United States labor market has undergone a dramatic sea change with increasing numbers of permanent freelancers and temporary workers. One in three workers has a temporary freelance job. It is estimated that, by 2020, more than 40% of the American labor force-60 million people-will be self-employed. This article discusses labor force trends,…

Hispanic Faces: An Exploratory Study of How University-Level Spanish Language Instruction Impacts Perceptions of Hispanics

ERIC Educational Resources Information Center

de Gordon, Maria Teresa; McDonough, Colleen; Palmerio-Roberts, Ramona

2016-01-01

Immigration and globalization have dramatically changed the ethnic landscape of the United States, yet stereotypes about race continue to exist. Foreign language classrooms are at the heart of teaching about diversity. We investigated whether undergraduates (with varying exposure to Spanish language education) could accurately identify the race of…

Challenges Confronting a First-Year Elementary School Principal: Distributed Leadership, Social Capital, and Supported Change

ERIC Educational Resources Information Center

Cruz, Luis Felipe

2009-01-01

Leadership expectations for school principals have dramatically changed since the 1983 report to Congress, "A Nation at Risk", inspired a renewed focus on the persistent educational underachievement of minority students in the United States. Today, school leaders must get out from behind the desk and actively empower an increasingly…

Good to Great: Do Award Winning Schools Meet Successful School Criteria?

ERIC Educational Resources Information Center

Searcey, Chad J.; Snodgrass, Jason T.; Copple, William Bryan, II

2010-01-01

Since the inception of the No Child Left Behind Act, school accountability has increased dramatically. The federal government has taken a much more active role in public education than it did prior to NCLB becoming law. Schools across the United States are working diligently to meet increased accountability standards. As schools and districts meet…

Modeling the Role of Community Colleges in Increasing Educational Attainment and Workforce Preparedness. BHEF Working Paper

ERIC Educational Resources Information Center

Business-Higher Education Forum (NJ1), 2010

2010-01-01

In light of recent data showing that educational attainment rates in the United States have stagnated, the Obama administration and others have called for renewed efforts to bolster higher education outcomes. Strengthening the role of community colleges is undoubtedly an important component of any plan to dramatically increase the number of…

The Effects of Scholarship Amount on Yield and Success for Master's Students in Education

ERIC Educational Resources Information Center

Porter, Andy; Yang, Rui; Hwang, Jun; McMaken, Jennifer; Rorison, Jamey

2014-01-01

The amount of merit-based scholarship support for graduate students in the United States has increased dramatically. Given this increased investment, does increasing the size of scholarships awarded to the most academically able admitted students substantially increase their probability of enrollment? We found no support for a positive answer to…

Suicidality in African American Men: The Roles of Southern Residence, Religiosity, and Social Support

ERIC Educational Resources Information Center

Wingate, LaRicka R.; Bobadilla, Leonardo; Burns, Andrea B.; Cukrowicz, Kelly C.; Hernandez, Annya; Ketterman, Rita L.; Minnix, Jennifer; Petty, Scharles; Richey, J. Anthony; Sachs-Ericsson, Natalie; Stanley, Sheila; Williams, Foluso M.; Joiner, Thomas E., Jr.

2005-01-01

The rise in suicide by African Americans in the United States is directly attributable to the dramatic, nearly three-fold increase in suicide rates of African American males. Gibbs (1997) hypothesized high social support, religiosity, and southern residence are protective factors against suicidality for Black people. This hypothesis was tested…

Million Dollar Busing: Saving Money through Privatization

ERIC Educational Resources Information Center

Crates, Cheryl

2009-01-01

The economic crisis has had--and will continue to have--a dramatic effect on tax revenue and education spending throughout the United States and beyond. Yet children still show up for school every day in need of an education. In times like these, educators and school business managers must be as committed as ever to providing it. The economic…

Status and trends of dam removal research in the United States

Treesearch

J. Ryan Bellmore; Jeffrey J. Duda; Laura S. Craig; Samantha L. Greene; Christian E. Torgersen; Mathias J. Collins; Katherine Vittum

2016-01-01

Aging infrastructure coupled with growing interest in river restoration has driven a dramatic increase in the practice of dam removal. With this increase, there has been a proliferation of studies that assess the physical and ecological responses of rivers to these removals. As more dams are considered for removal, scientific information from these dam-removal studies...

Determining the suitability of Lactobacilli antifungal metabolites for inhibiting mould growth

Treesearch

Vina W. Yang; Carol A. Clausen

2005-01-01

In recent years, public concern about indoor mould growth has increased dramatically in the United States. In this study, lactic acid bacteria (LAB), which are known to produce antimicrobial compounds important in the biopreservation of food, were evaluated to determine if the same antimicrobial properties can be used to inhibit mould fungi that typically colonize wood...

Reliability of the Attitudes Toward Women Scale (AWS) and the Personal Attributes Questionnaire (PAQ).

ERIC Educational Resources Information Center

Yoder, Jan D.; And Others

In recent years, there has been a dramatic increase in the volume of empirical research directed toward the issue of sex-roles, including the development of evaluative instruments such as the Attitudes Toward Women Scale (AWS) and the Personal Attributes Questionnaire (PAQ). The United States Military Academy's Project Athena, designed to examine…

The Role of School Counselors in the Childhood Obesity Epidemic

ERIC Educational Resources Information Center

Larrier, Yvonne I.; Bakerson, Michelle A.; Linton, Jeremy M.; Walker, Lynne R.; Woolford, Susan J.

2011-01-01

Childhood obesity is a significant public health concern. Since 1960, the prevalence of childhood obesity in the United States increased dramatically from 5% to 16.9%. To date many interventions to address obesity in schools have focused on healthy changes to the content of vending machines, school lunches, and the addition of after school…

Major Employers' Hiring Practices and the Evolving Function of the Professional Master's Degree

ERIC Educational Resources Information Center

Gallagher, Sean R.

2014-01-01

Across the last decade, master's degree attainment has grown dramatically in the United States, as bachelor's degrees have become more common and economic growth has been driven by knowledge industries. A significant value and purpose of degrees is their use as qualifications for jobs. Despite the prominence of degrees in the hiring process, why…

Exotic pests of eastern forests conference proceedings

Treesearch

Kerry O. Britton

1998-01-01

Invasive exotic pest plants, diseases, and insects, have had a dramatic impact on the health and composition of the Eastern forests for many decades. Chestnut blight was discovered in the United States in 1904. Since then, it has virtually destroyed the chestnut population, which once occupied 25 percent of the eastern forest. In the 1860's, the gypsy moth was...

The Federal Role in Confronting the Crisis in Adolescent Literacy

ERIC Educational Resources Information Center

Haynes, Mariana

2011-01-01

For the United States to compete in a global knowledge economy, high schools need to improve dramatically. Young people leave high school without the advanced reading and writing skills required for career and college success. Beginning in the 1980s, reports such as "A Nation at Risk" documented the links between education, reading and…

A Tale of Two Diets: What Can We Learn from the Diet Wars?

ERIC Educational Resources Information Center

Larsen, Dawn; Murray-Davis, Margaret

2005-01-01

During the last two decades, obesity rates in the United States have escalated dramatically, and intense media coverage of obesity issues has fueled consumer interest in low-carbohydrate diets designed to promote rapid weight loss. The food industry has fostered the assumption that a drop in carbohydrate consumption will translate into a drop in…

Education, Information, and Smoking Decisions: Evidence from Smoking Histories in the United States, 1940-2000

ERIC Educational Resources Information Center

de Walque, Damien

2010-01-01

This paper tests the hypothesis that education improves health and increases life expectancy. The analysis of smoking histories shows that after 1950, when information about the dangers of tobacco started to diffuse, the prevalence of smoking declined earlier and most dramatically for college graduates. I construct panels based on smoking…

Brutal Borders? Examining the Treatment of Deportees during Arrest and Detention

ERIC Educational Resources Information Center

Phillips, Scott; Hagan, Jacqueline Maria; Rodriguez, Nestor

2006-01-01

Recent legislation has produced a dramatic rise in the detention and removal of immigrants from the United States. Drawing on interviews with a random sample of Salvadoran deportees, we examine treatment during arrest and detention. Our findings indicate: (1) deportees are often subject to verbal harassment, procedural failings and use of force;…

Integrating a process-based ecosystem model with Landsat imagery to assess impacts of forest disturbance on terrestrial carbon dynamics: Case studies in Alabama and Mississippi

USDA-ARS?s Scientific Manuscript database

Forest ecosystems in the southern United States are dramatically altered by three major 26 disturbances: timber harvesting, hurricane, and permanent land conversion. Understanding and quantifying effects of disturbance on forest carbon, nitrogen, and water cycles is critical for sustainable forest m...

Relative deer density and sustainability: a conceptual framework for integrating deer management with ecosystem management

Treesearch

David S. deCalesta; Susan L. Stout

1997-01-01

White-tailed deer (Odocoileus virginianus) populations and harvests of white-tailed deer have increased dramatically in the eastern United States on public and private lands during the 20th century (Porter 1992, Kroll 1994). Recognition of the impacts of deer on ecosystem components (deCalesta 1997) and controversy over management of deer...

The Principal's Role in Implementation of Effective Teaching Strategies/Curriculum on the Reading Achievement of African American Middle School Students

ERIC Educational Resources Information Center

Booker, Kimberley Haynes

2009-01-01

The challenges for secondary schools and principals in the United States include changing demographics, schools and curricula that are inappropriately designed for today's adolescents, principals trained to be managers rather than instructional leaders, and a dramatic shortage of qualified candidates willing to take on the principalship. The…

Workforce Development and Wind for Schools (Poster)

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

Newcomb, C.; Baring-Gould, I.

2012-06-01

As the United States dramatically expands wind energy deployment, the industry is faced with the need to quickly develop a skilled workforce and to address public acceptance. Wind Powering America's Wind for Schools project addresses these challenges. This poster, produced for the American Wind Energy Association's annual WINDPOWER conference, provides an overview of the project, including objectives, methods, and results.

"Betwixt Brewings": A History of College Students and Alcohol, 1820-1933

ERIC Educational Resources Information Center

Hevel, Michael Stephen

2011-01-01

This dissertation offers a history of white college students' relationship with alcohol between 1820 and 1933. The years that frame this study represent a long crisis regarding alcohol in the United States. A dramatic rise in alcohol consumption began around 1800, the negative consequences of which led growing numbers of Americans, for the first…

Healthier Lifestyles for Young Children: Partnering with Families

ERIC Educational Resources Information Center

Simpson, Cynthia G.; Gray, Jon P.; Waldrep, Staci; Gaus, Mark D.

2009-01-01

Children in the United States are less active and more overweight today than at any time in history, and there has been a dramatic increase in obesity. Obesity can lead to physical and psychological health issues. Many adults recognize the health issues that can stem from childhood obesity, but may not be aware of the clear implication of the…

77 FR 1677 - FIFRA Scientific Advisory Panel; Notice of Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-11

... serve as ad hoc members of the FIFRA SAP for this meeting. As part of a broader process for developing a... overall balance of different scientific perspectives on the panel. In order to have the collective breadth... populations dropped dramatically during the mid-20th century. The United States is one of many countries now...

Enhancing the Resilience of Young Single Mothers of Color: A Review of Programs and Services

ERIC Educational Resources Information Center

Romo, Laura F.; Segura, Denise A.

2010-01-01

Within the last decade, births to unmarried women in the United States have risen dramatically, presenting challenges for young women to complete high school and attend college. This article presents a review of programs and services designed to support single mothers in completing high school and accessing postsecondary education. We highlight…

Nuclear Power and the Environment: Questions and Answers. Revised.

ERIC Educational Resources Information Center

Campana, Robert J.; Langer, Sidney

This publication is a complete revision of an earlier booklet brought on by the dramatic changes in the energy outlook of the United States that occurred in 1973 and 1974. The purpose of this document is to inform the public on the overall U.S. energy situation, in particular electricity generated from nuclear reactors and other sources. The…

Sowing seeds: transperineal implantation.

PubMed

Amerine, E; Nagle, G M; Bollinger, J R

2000-02-01

Prostate cancer, the second leading cause of male deaths in the United States, has increased by 126% since 1987 (Stephenson, 1998). Early diagnosis is attributed to public awareness and technologic advances. Multiple options for definitive treatment with equally positive outcomes dramatically influence the patient's decision-making process. One popular option for these patients is transperineal implantation of radioactive seeds into the prostate.

Kyle Lives with His Granny--Where Are His Mommy and Daddy?

ERIC Educational Resources Information Center

Birckmayer, Jennifer; Cohen, Janette; Jensen, Isabelle; Variano, Denyse

2005-01-01

In the past 10 years the United States has seen a dramatic increase in the number of children who live without their parents in a household headed by a relative. More than 2.5 million grandparents now raise grandchildren without a biological parent present in the home. Grandparents who assume responsibility for their grandchildren are unsung…

United States public policy and the elderly: the disproportionate risk to the well-being of women.

PubMed

Burkhauser, R V; Duncan, G J

1991-01-01

"Cross-sectional comparisons show that poverty among the aged in the United States has dropped dramatically over the last two decades. We use longitudinal data to identify economic events associated with unfavorable economic outcomes and to trace the influence of these events on women and men at different ages. We find that while social insurance programs appear to prevent severe financial hardship from the most frequent work-related events, they are far less effective in cushioning the economic impact of widowhood and divorce, especially for women. We suggest a number of policy changes that would provide some measure of social insurance against adverse family-related events." excerpt

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.

Potential and Innovations in Rooftop Photovoltaics

NASA Astrophysics Data System (ADS)

Bierman, Ben

2011-11-01

Photovoltaic technology has reached a point where its cost and capability make it one of a handful of carbon-free sources of electrical energy that could meet a meaningful fraction of US energy demand. In this paper we will first compare Photovoltaics with several other carbon free energy technologies, then look at the economics of Solyndra's rooftop photovoltaic solution as an example of the current state of the art, as well as the market dynamics that have resulted in dramatically faster adoption in Germany vs. the United States.

The Eighteenth Delphine Hanna Commemorative Lecture 2009: The Times Are a Changing--Implications for Kinesiology

ERIC Educational Resources Information Center

Dunn, John M.

2009-01-01

The demographics of the United States are changing dramatically with a significant shift in the racial and ethnic mix. This creates enormous opportunities for all of society, including the field of kinesiology, to be far more inclusive in its curricular and research approaches. The history of kinesiology as a field, however, is one that has not…

The High Return to Private Schooling in a Low-Income Country. Africa Growth Initiative. Working Paper 5

ERIC Educational Resources Information Center

Bold, Tessa; Kimenyi, Mwangi; Mwabu, Germano; Sandefur, Justin

2013-01-01

Existing studies from the United States, Latin America and Asia provide scant evidence that private schools dramatically improve academic performance relative to public schools. Using data from Kenya--a poor country with weak public institutions--we find a large effect of private schooling on test scores, equivalent to one full standard deviation.…

Student Knowledge and Attitudes toward Older People and Their Impact on Pursuing Aging Careers

ERIC Educational Resources Information Center

Lun, Man Wai Alice

2011-01-01

The international community is facing the pressure of aging societies. In the United States of America, we will shortly be facing the aging of baby boomers, a dramatically large population expected to peak as senior citizens in 2030 at 70 million. Global societies are facing a crisis: lack of adequately trained and emotionally oriented personnel…

Architecture and Impact of an Open, Online, Remixable, and Multimedia-Rich Algebra 1 Course

ERIC Educational Resources Information Center

Bissell, Ahrash N.

2012-01-01

Less than half of the students in the United States graduate from high school and are ready to take college-level math courses. Many years and varieties of remedial math programs have failed to dramatically improve outcomes, especially at scale. The question we face is whether technology in general, and open educational resources in particular,…

The Amazing Nellie Bly: Teaching about Women in United States History

ERIC Educational Resources Information Center

Risinger, C. Frederick

2013-01-01

March is Women's History Month. While the approach to the study of the role of women in U.S. history has changed dramatically since the author was a classroom teacher, there is still a need to do more to fully integrate women into history throughout the curriculum and throughout the school year. Finding good sites to help classroom teachers and…

Pension Enhancements and the Retention of Public Employees: Evidence from Teaching. Working Paper 123

ERIC Educational Resources Information Center

Koedel, Cory; Xiang, P. Brett

2015-01-01

We use data from workers in the largest public-sector occupation in the United States -- teaching -- to examine the effect of pension enhancements on employee retention. Specifically, we study a 1999 enhancement to the benefit formula for public school teachers in St. Louis that resulted in an immediate and dramatic increase in their incentives to…

What Works (and What Does Not) in Youth Violence Prevention: Rethinking the Questions and Finding New Answers

ERIC Educational Resources Information Center

Guerra, Nancy G.; Boxer, Paul; Cook, Clayton R.

2006-01-01

Dramatic rises in youth violence in the United States beginning in the 1980s coupled with high visibility acts such as school shootings have resulted in a corresponding proliferation of programs designed to prevent aggression and violence in children and youth. Parallel with this increasing programmatic expansion, there have been repeated calls…

Transitioning to Online Teaching: An Inquiry into Qualities, Skills, and Support Structures of Online Instructors

ERIC Educational Resources Information Center

Moskowitz, Steven Charles

2013-01-01

Online education has grown dramatically over the past decade in both higher education and the K-12 environment in the United States. As this growth continues, the need for qualified online instructors has increased. Several questions arise about what educators are best suited to teach in this environment. What are the skills, qualities, and…

3 CFR 8841 - Proclamation 8841 of July 16, 2012. Captive Nations Week, 2012

Code of Federal Regulations, 2013 CFR

2013-01-01

... 3 The President 1 2013-01-01 2013-01-01 false Proclamation 8841 of July 16, 2012. Captive Nations... Cold War, he affirmed that “the citizens of the United States are linked by bonds of family and principle to those who love freedom and justice on every continent.” Our world has changed dramatically...

"From Behind the Veil": Teaching the Literature of the Enemy.

ERIC Educational Resources Information Center

Hurlbert, Claude Mark

2003-01-01

Dramatizes what can happen when educators teach literature for cross-cultural understanding, especially when the literature being taught is written by citizens of a country with which the students' country is at war. Describes the events of one class in the United States in 1990 on the eve of the first Gulf War, and it theorizes these vents in…

Effectiveness of thinning and prescribed fire in reducing wildfire severity

Treesearch

Philip N. Omi; Erik J. Martinson

2004-01-01

The severity of recent fire seasons in the United States has provided dramatic evidence of the increasing complexity of wildfire problems. A wide variety of indicators suggest worsening dilemmas: extent of area burned, ecosystems at risk, funds expended, homes destroyed or evacuated, and human fatalities and injuries; all seem to be on the increase or have peaked in...

Current Trends in Psychological and Educational Approaches for Training and Teaching Students with Autism in California

ERIC Educational Resources Information Center

Sugita, Trisha

2016-01-01

Within the United States, Autism Spectrum Disorder (ASD) has seen a dramatic increase over the past twenty years. As the prevalence rate of ASD increases, an increased need for expertise in the field of education has become apparent. Psychological and educational practices for training and teaching students with ASD continue to evolve in…

Oceans Crossing: Factors Contributing to the Social and Academic Integration of Korean, Malaysian, and Taiwanese International Undergraduate Students at a Research University

ERIC Educational Resources Information Center

Pham, Hoa

2013-01-01

The number of international students, especially Asian international students, studying at colleges and universities in the United States has increased dramatically during the past 50 years. As the fastest growing population on campus, Asian international students are also attracting more attention than ever before in higher education. However,…

A Person-in-Context Approach to Student Engagement in Science: Examining Learning Activities and Choice

ERIC Educational Resources Information Center

Schmidt, Jennifer A.; Rosenberg, Joshua M.; Beymer, Patrick N.

2018-01-01

Science education reform efforts in the Unites States call for a dramatic shift in the way students are expected to engage with scientific concepts, core ideas, and practices in the classroom. This new vision of science learning demands a more complex conceptual understanding of student engagement and research models that capture both the…

Rupturing the Codes: The Use of Drama and Dramatic Literature in the History Classroom.

ERIC Educational Resources Information Center

Leistler, John D.

This paper discusses plays and companion art pieces suitable for use in the United States history classroom. After a poster from a production of Max Frisch's "Biedermann und die Brandstifter," the paper presents a list of 18 questions ("lenses") for the study of plays with a historical connection; a list of 15 plays for…

Integrating Curriculum and Practice with Students and Their Field Supervisors: Reflections on Spirituality and The Aging (Rosa) Model

ERIC Educational Resources Information Center

Birkenmaier, Julie; Behrman, Gary; Berg-Weger, Marla

2005-01-01

Knowledge and sensitivity about diverse aging populations is a rapidly emerging area of interest in higher education. The next decades will see dramatic increases in the number of older adults in the United States (Administration on Aging (AOA), 2000). Recognizing and utilizing spiritual and religious traditions holds special significance when…

Pathology of wildfire risk: A characterization of social and ecological dimensions

Treesearch

A. Paige Fischer; Thomas A Spies; Toddi A Steelman; Cassandra Moseley; Bart R Johnson; John D Bailey; Alan A Ager; Patrick Bourgeron; Susan Charnley; Brandon M Collins; Jeffrey D Kline; Jessica E Leahy; Jeremy S Littell; James DA Millington; Max Nielsen-Pincus; Christine S Olsen; Travis B Paveglio; Christopher I Roos; Michelle M Steen-Adams; Forrest R Stevens; Jelena Vukomanovic; Eric M White; David M. J. S. Bowman

2016-01-01

Despite dramatic increases in suppression spending, the risk of life and property loss associated with wildfire has continued to rise in recent decades. Economic losses from wildfires have doubled in the United States and suppression expenses have tripled between 2002 and 2012 compared to the decade prior. Loss of property to wildfire has outpaced efforts to reduce...

Treating the Illness: The School Practitioner's Response to Health-Related Student Death and Children's Grief

ERIC Educational Resources Information Center

Jimerson, Shane R.; Miller, David N.

2008-01-01

Although childhood death from health-related disorders has decreased dramatically in the United States due largely to advances in medical technology, it is an unfortunate fact of life that children can and do die from medical and health-related problems. A possible role for school psychologists in dealing with this situation is providing direct…

Educating (More and More) Students Experiencing Homelessness: An Analysis of Recession-Era Policy and Practice

ERIC Educational Resources Information Center

Miller, Peter M.

2013-01-01

Rates of student homelessness have increased dramatically throughout the United States in recent years, yet there has been a dearth of scholarly analysis devoted to key organizations' engagement of the issue. Given that the federal McKinney-Vento Homeless Assistance Act has taken on a central, but underexamined role in shaping this engagement,…

Opportunities for development of local forest markets: the case of Amish furniture manufacturing

Treesearch

Matt Bumgardner; Gary Graham; Charles Goebel

2012-01-01

A dramatic decline in the production of hardwood furniture in the United States has had profound impacts on employment and hardwood markets. Against this backdrop, the Amish-based furniture manufacturing cluster in Ohio has expanded and hardwood lumber consumption by the cluster is significant. Recent research suggests that 71 percent of firms in the cluster expanded...

Distribution and demographics of Ailanthus altissima in an oak forest landscape managed with timber harvesting and prescribed fire

Treesearch

Joanne Rebbeck; Todd Hutchinson; Louis Iverson; Daniel Yaussy; Timothy Fox

2017-01-01

Ailanthus altissima ((Mill.) Swingle, tree-of-heaven), an exotic invasive tree that is common throughout much of the eastern United States, can invade and expand dramatically when forests are disturbed. Anecdotal evidence suggests that fire facilitates its spread, but the relationship between fire and this prolific invasive tree is poorly...

A Language-Based Approach to Content Instruction (LACI) for English Language Learners: Examples from Two Elementary Teachers

ERIC Educational Resources Information Center

de Oliveira, Luciana C.

2016-01-01

The number of English language learners (ELLs) in the United States has increased dramatically. Given this increase it is vital for teacher education programs at the pre-service level and professional learning programs at eh in-service level to address the needs of ELLs. This article presents a teacher preparation model--"a language-based…

Atmospheric and biospheric interactions of gases and energy in the Pacific region of the United States, Mexico, and Brazil

Treesearch

Andrzej Bytnerowicz

1997-01-01

Anthropogenic activities of the past century have caused a dramatic increase in global air pollution. This process has accelerated in the past few decades, and emissions of carbon dioxide, nitrogen oxides, or chlorofluorocarbons caused serious changes in the earth's climate, e.g., increased temperatures or elevated ultraviolet-B radiation. These changes, together...

Spatial and temporal trends of deer harvest and deer-vehicle accidents in Ohio

Treesearch

Aaron L. Iverson; Louis R. Iverson

1999-01-01

White-tailed deer (Odocoileus virginianus} have been increasing dramatically in the eastern United States, with concomitant increases in impacts resulting from deer browsing and deer-vehicle collisions. In Ohio, the number of deer were estimated at near zero in 1940 to over 450,000 in 1995. We analyzed estimates of deer harvest and deer-vehicle...

Small Rural School District Consolidation in Texas: An Analysis of Its Impact on Cost and Student Achievement

ERIC Educational Resources Information Center

Cooley, Dwight A.; Floyd, Koy A.

2013-01-01

Historically, the number of public school districts in the United States has decreased despite a dramatic increase in the number of students enrolled. Although public school district consolidation has impacted districts of all sizes, since the late 1930's smaller rural districts facing dwindling community resources have merged or consolidated with…

Removal of pinyon-juniper woodlands on the Colorado Plateau

Treesearch

Michael Peters; Neil S. Cobb

2008-01-01

(Please note, this is an abstract only) Pinyon-Juniper (PJ) woodland is the 3rd largest vegetation type in the United States, covering 35.5% of the Colorado Plateau, it is the largest vegetation type administered by the Bureau of Land Management (BLM) on the Colorado Plateau. These woodlands have been increasing dramatically in density and extent over the last 100...

The Development of Drury University's Undergraduate Global Awareness Curriculum: An Appreciative Study

ERIC Educational Resources Information Center

Jones, Suzanne K.

2013-01-01

The United States is becoming more culturally diverse. One hundred years ago, "1 out of 8 Americans was of a race other than White; at the end of the century, the ratio was 1 out of 4" (Hobbs & Stoops, 2002, p. 71). With this changing ratio, communities and school populations have dramatically diversified; however, the methods for…

Latina/o Student Success at an Emerging Hispanic Serving Community College: Understanding the Heuristics at Work in the Black Box

ERIC Educational Resources Information Center

Brandes, Derek R.

2013-01-01

Like many colleges across the United States, Pipe Lake Community College (PLCC), (a pseudonym) has experienced a dramatic increase in enrollment of Latina/o students and is considered an emerging Hispanic Serving Institution (HSI). Other than Santiago & Andrade's (2010) survey, little research has been conducted on emerging HSIs. Also, little…

Moving to a low-carbon future: perspectives on nuclear and alternative power sources.

PubMed

Morgan, M Granger

2007-11-01

This paper summarizes key findings from climate science to make the case that the United States (and ultimately the world) will need to dramatically reduce carbon dioxide emissions from the energy system over the next few decades. While transportation energy is an important consideration, the focus of this paper is on electric power. Today, the United States generates just over half of its electric power from coal. The average size-weighted age of the fleet of U.S. coal plants is 35 y, and many will have to be replaced in the next few years. If that capacity were to be replaced with new conventional coal plants, it would commit the nation (and the world) to many more decades of high carbon-dioxide emissions, or it would make the cost of meeting a future carbon-dioxide emission constraint much higher than it needs to be. A range of low- and no-carbon energy technologies offers great potential to create a portfolio of options that can dramatically reduce emissions. A few of the advantages and disadvantages of these technologies are discussed. Policy and regulatory advances that will be needed to move the energy system to a low-carbon future are identified.

The blending of competitive and regulatory strategies: a second opinion.

PubMed

Weil, T P

1996-01-01

A comparison of the 10 states that as of 30 June 1994 witnessed the highest and lowest percent of health maintenance organization market penetration, and the findings reported in the Dartmouth Atlas of Health Care in the United States, both illustrate dramatic differences among the various states in the distribution, utilization, and cost of hospital and other health services. This article thereafter focuses on the implications of these findings in the context of the states eventually blending competitive and regulatory strategies to constrain hospital expenditures-a conceptual framework that is consistent with Americans being advocates of pluralism when organizing and financing their health care system.

Modeled historical land use and land cover for the conterminous United States

USGS Publications Warehouse

Sohl, Terry L.; Reker, Ryan R.; Bouchard, Michelle A.; Sayler, Kristi L.; Dornbierer, Jordan; Wika, Steve; Quenzer, Robert; Friesz, Aaron M.

2016-01-01

The landscape of the conterminous United States has changed dramatically over the last 200 years, with agricultural land use, urban expansion, forestry, and other anthropogenic activities altering land cover across vast swaths of the country. While land use and land cover (LULC) models have been developed to model potential future LULC change, few efforts have focused on recreating historical landscapes. Researchers at the US Geological Survey have used a wide range of historical data sources and a spatially explicit modeling framework to model spatially explicit historical LULC change in the conterminous United States from 1992 back to 1938. Annual LULC maps were produced at 250-m resolution, with 14 LULC classes. Assessment of model results showed good agreement with trends and spatial patterns in historical data sources such as the Census of Agriculture and historical housing density data, although comparison with historical data is complicated by definitional and methodological differences. The completion of this dataset allows researchers to assess historical LULC impacts on a range of ecological processes.

Health beliefs, practice, and priorities for health care of Arab Muslims in the United States.

PubMed

Yosef, Abdel Raheem Odeh

2008-07-01

The Arab Muslim population is one of the dramatically increasing minorities in the United States. In addition to other factors, religion and cultural background influence individuals' beliefs, behaviors, and attitudes toward health and illness. The author describes health beliefs and practices of the Arab Muslim population in the United States. That population is at an increased risk for several diseases and faces many barriers to accessing the American health care system. Some barriers, such as modesty, gender preference in healthcare providers, and illness causation misconceptions, arise out of their cultural beliefs and practices. Other barriers are related to the complexity of the health care system and the lack of culturally competent services within it. Nurses need to be aware of these religious and cultural factors to provide culturally competent health promotion services for this population. Nurses also need to integrate Islamic teachings into their interventions to provide appropriate care and to motivate healthy behaviors.

Managing waste from confined animal feeding operations in the United States: the need for sanitary reform.

PubMed

Graham, Jay P; Nachman, Keeve E

2010-12-01

Confined food-animal operations in the United States produce more than 40 times the amount of waste than human biosolids generated from US wastewater treatment plants. Unlike biosolids, which must meet regulatory standards for pathogen levels, vector attraction reduction and metal content, no treatment is required of waste from animal agriculture. This omission is of concern based on dramatic changes in livestock production over the past 50 years, which have resulted in large increases in animal waste and a high degree of geographic concentration of waste associated with the regional growth of industrial food-animal production. Regulatory measures have not kept pace with these changes. The purpose of this paper is to: 1) review trends that affect food-animal waste production in the United States, 2) assess risks associated with food-animal wastes, 3) contrast food-animal waste management practices to management practices for biosolids and 4) make recommendations based on existing and potential policy options to improve management of food-animal waste.

Causes and consequences of decreasing atmospheric organic aerosol in the United States.

PubMed

Ridley, D A; Heald, C L; Ridley, K J; Kroll, J H

2018-01-09

Exposure to atmospheric particulate matter (PM) exacerbates respiratory and cardiovascular conditions and is a leading source of premature mortality globally. Organic aerosol contributes a significant fraction of PM in the United States. Here, using surface observations between 1990 and 2012, we show that organic carbon has declined dramatically across the entire United States by 25-50%; accounting for more than 30% of the US-wide decline in PM. The decline is in contrast with the increasing organic aerosol due to wildfires and no clear trend in biogenic emissions. By developing a carbonaceous emissions database for the United States, we show that at least two-thirds of the decline in organic aerosol can be explained by changes in anthropogenic emissions, primarily from vehicle emissions and residential fuel burning. We estimate that the decrease in anthropogenic organic aerosol is responsible for averting 180,000 (117,000-389,000) premature deaths between 1990 and 2012. The unexpected decrease in organic aerosol, likely a consequence of the implementation of Clean Air Act Amendments, results in 84,000 (30,000-164,000) more lives saved than anticipated by the EPA between 2000 and 2010.

Causes and consequences of decreasing atmospheric organic aerosol in the United States

NASA Astrophysics Data System (ADS)

Ridley, D. A.; Heald, C. L.; Ridley, K. J.; Kroll, J. H.

2018-01-01

Exposure to atmospheric particulate matter (PM) exacerbates respiratory and cardiovascular conditions and is a leading source of premature mortality globally. Organic aerosol contributes a significant fraction of PM in the United States. Here, using surface observations between 1990 and 2012, we show that organic carbon has declined dramatically across the entire United States by 25–50%; accounting for more than 30% of the US-wide decline in PM. The decline is in contrast with the increasing organic aerosol due to wildfires and no clear trend in biogenic emissions. By developing a carbonaceous emissions database for the United States, we show that at least two-thirds of the decline in organic aerosol can be explained by changes in anthropogenic emissions, primarily from vehicle emissions and residential fuel burning. We estimate that the decrease in anthropogenic organic aerosol is responsible for averting 180,000 (117,000–389,000) premature deaths between 1990 and 2012. The unexpected decrease in organic aerosol, likely a consequence of the implementation of Clean Air Act Amendments, results in 84,000 (30,000–164,000) more lives saved than anticipated by the EPA between 2000 and 2010.

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.

Examining How Video-Elicited Reflection Mediates Teacher Candidates' Beliefs about English Language Learners: A Multiple Case Study

ERIC Educational Resources Information Center

Gonzalez, Monica M.

2017-01-01

English Language Learners (ELLs) are students who speak a language other than English; they are the fastest growing student population in United States' (US) public schools and will include over 17 million students by the year 2020 (NCES,2015). The dramatic increase in the ELL student population means that all mainstream classroom teachers will…

2013 Annual Survey of Journalism Mass Communication Enrollments: Enrollments Decline for Third Consecutive Year

ERIC Educational Resources Information Center

Becker, Lee Bernard; Vlad, Tudor; Simpson, Holly Anne

2014-01-01

Enrollments in journalism and mass communication programs in the United States in the fall of 2013 were down from a year earlier for the third year in a row. Enrollments dropped at the bachelor's, master's, and doctoral levels, and the number of freshmen and sophomores were down dramatically from a year earlier. Enrollments in the…

Response of sunshine bass (Morone chrysops x M. saxatilis) to digestible protein/dietary lipid density and ration size at summer culture temperatures in the Southern United States

USDA-ARS?s Scientific Manuscript database

Temperature and ammonia levels often increase dramatically in ponds during summer production of sunshine bass and summer temperatures are projected to increase in the Southern US. Extended periods of high ammonia result in fish stress, disease, mortality and significant loss of feeding days as pro...

Fires of differing intensities rapidly select distinct soil fungal communities in a Northwest US ponderosa pine forest ecosystem

Treesearch

C. Reazin; S. Morris; Jane Smith; A.D. Cowan; A. Jumpponen

2016-01-01

Environmental change and long-term fire management in the western United States have created conditions that facilitate high-intensity burn areas in forested systems. Such burns may have dramatic effects on the soil microbial communities. In this study, we utilized experimental infrastructure in the Pringle Falls Experimental Forest in Oregon, where ten pairs of sites...

Multicomponent biocide systems protect wood from decay fungi, mold fungi, and termites for interior applications

Treesearch

Carol A. Clausen; Vina W. Yang

2004-01-01

Concerns about indoor air quality due to mold growth have increased dramatically in the United States. In the absence of proper moisture management, fungicides need to be developed for indoor use to control mold establishment. An ideal fungicide for prevention of indoor mold growth on wood-based materials needs to specifically prevent spore germination and provide long...

Conceptualizing Stress and Coping Strategies of Korean Social Work Students in the United States: A Concept Mapping Application

ERIC Educational Resources Information Center

Chun, Jongserl; Poole, Dennis L.

2009-01-01

The number of Asian international students pursuing graduate degrees in social work in the U.S. has increased dramatically in recent years, especially among Koreans. Despite the growth and the need for culturally competent practices in higher education, no research has been devoted to the adjustment problems of this population. This study is the…

Fire and fire surrogate study in the Sierra Nevada: evaluating restoration treatments at Blodgett Forest and Sequoia National Park

Treesearch

Eric E. Knapp; Scott L. Stephens; James D. McIver; Jason J. Moghaddas; Jon E. Keeley

2004-01-01

Management practices have altered both the structure and function of forests throughout the United States. Some of the most dramatic changes have resulted from fire exclusion, especially in forests that historically experienced relatively frequent, low- to moderate-intensity fire regimes. In the Sierra Nevada, fire exclusion is believed to have resulted in widespread...

A Comparison of Trap Versus Ground Collection of Acorns to Assess Insect Infestation

Treesearch

Roger W. Perry; Alex Mangini

1997-01-01

Oak (Quercus spp.) species are a significant portion of the forest in the Eastern United States. Oaks provide valuable timber products and habitat for many wildlife species. Acorns are essential for oak regeneration and are a major food source for more than 186 species of birds and mammals. Great variation in annual acorn production causes dramatic fluctuations in seed...

The Advantages of Using Technology in Second Language Education: Technology Integration in Foreign Language Teaching Demonstrates the Shift from a Behavioral to a Constructivist Learning Approach

ERIC Educational Resources Information Center

Wang, Li

2005-01-01

With the advent of networked computers and Internet technology, computer-based instruction has been widely used in language classrooms throughout the United States. Computer technologies have dramatically changed the way people gather information, conduct research and communicate with others worldwide. Considering the tremendous startup expenses,…

Dewey and the American Movement to Homeschooling

ERIC Educational Resources Information Center

Gray, John Scott

2018-01-01

The last 10 years has seen a dramatic increase in the number of parents in the United States choosing to homeschool their children instead of sending them to public school. One report had the number increasing by 61.8% from 2003 to 2012, with the total number of homeschooled children reaching nearly 2 million (Snyder, T. D., and S. A. Dillow.…

Fast, Broad, and Frequent: Campus Crisis Communications Today Demand Social Media

ERIC Educational Resources Information Center

Liggett, Billy

2012-01-01

The importance of communication during a school crisis has not changed in the 21st century. What has changed--and quite dramatically since 1999--is the way people communicate. Social media tools are now used in some form by 100 percent of all four-year universities in the United States as a way to reach students, according to a 2011 University of…

Eliminate Bullying--A Legal Imperative. A Legal Memorandum: Quarterly Law Topics for School Leaders. Vol. 8, No. 2, Winter 2008

ERIC Educational Resources Information Center

Kirby, Elizabeth

2008-01-01

Recent incidents of school violence have brought bullying to the nation's attention in a dramatic way. Research shows that approximately 30% of teens in the United States either bully, are targets of bullying, or both (National Youth, n.d.). Bullying causes adverse physical, psychological, and social effects. It erodes feelings of self-worth and…

Preparing to Teach Newcomer Students: The Significance of Critical Pedagogy and the Study of Ideology in Teacher Education

ERIC Educational Resources Information Center

Bartolome, Lilia I.

2010-01-01

In recent decades, the number of school-aged linguistic-minority students in the United States has increased dramatically. Society at large and public schools in particular must be prepared to respond to these students' needs. In public education, the bulk of this responsibility falls on teachers, who are called upon to apply educational policies…

Emissions from oil and gas operations in the United States and their air quality implications.

PubMed

Allen, David T

2016-06-01

The energy supply infrastructure in the United States has been changing dramatically over the past decade. Increased production of oil and natural gas, particularly from shale resources using horizontal drilling and hydraulic fracturing, made the United States the world's largest producer of oil and natural gas in 2014. This review examines air quality impacts, specifically, changes in greenhouse gas, criteria air pollutant, and air toxics emissions from oil and gas production activities that are a result of these changes in energy supplies and use. National emission inventories indicate that volatile organic compound (VOC) and nitrogen oxide (NOx) emissions from oil and gas supply chains in the United States have been increasing significantly, whereas emission inventories for greenhouse gases have seen slight declines over the past decade. These emission inventories are based on counts of equipment and operational activities (activity factors), multiplied by average emission factors, and therefore are subject to uncertainties in these factors. Although uncertainties associated with activity data and missing emission source types can be significant, multiple recent measurement studies indicate that the greatest uncertainties are associated with emission factors. In many source categories, small groups of devices or sites, referred to as super-emitters, contribute a large fraction of emissions. When super-emitters are accounted for, multiple measurement approaches, at multiple scales, produce similar results for estimated emissions. Challenges moving forward include identifying super-emitters and reducing their emission magnitudes. Work done to date suggests that both equipment malfunction and operational practices can be important. Finally, although most of this review focuses on emissions from energy supply infrastructures, the regional air quality implications of some coupled energy production and use scenarios are examined. These case studies suggest that both energy production and use should be considered in assessing air quality implications of changes in energy infrastructures, and that impacts are likely to vary among regions. The energy supply infrastructure in the United States has been changing dramatically over the past decade, leading to changes in emissions from oil and natural gas supply chain sources. In many source categories along these supply chains, small groups of devices or sites, referred to as super-emitters, contribute a large fraction of emissions. Effective emission reductions will require technologies for both identifying super-emitters and reducing their emission magnitudes.

Justice for the Poor in a Land of Plenty: A Place at the Table

ERIC Educational Resources Information Center

Brady, Judith Ann

2006-01-01

This article examines the dramatic increase in poverty in the United States of America. An analysis of data from the U.S. Census Bureau for 2004 reveals the extent of poverty. The official poverty threshold is lower than what is needed for a person or family to provide for the necessities of life. The effects of poverty on women and children are…

Assessing Students' Learning Outcomes, Self-Efficacy and Attitudes toward the Integration of Virtual Science Laboratory in General Physics

ERIC Educational Resources Information Center

Ghatty, Sundara L.

2013-01-01

Over the past decade, there has been a dramatic rise in online delivery of higher education in the United States. Recent developments in web technology and access to the internet have led to a vast increase in online courses. For people who work during the day and whose complicated lives prevent them from taking courses on campus, online courses…

Regional Characteristics of U.S. Farms and Farmers in the 1980's. ERS Staff Report No. AGES880128.

ERIC Educational Resources Information Center

Smith, Matthew G.; Hines, Fred

Farms and the people who live on them differ dramatically from one part of the United States to another. These differences are prominent both from one region to the next as well as between farms and people in the same region. The varying characteristics of agriculture and the farm population have helped shape regional experiences in the 1980s. In…

Eurabia: Strategic Implications for the United States

DTIC Science & Technology

2010-03-01

display a currently valid OMB control number. 1. REPORT DATE 30 MAR 2010 2. REPORT TYPE 3. DATES COVERED 4. TITLE AND SUBTITLE Eurabia: Strategic...projecting current trends into the future seldom holds true in the face of demographic realities, i.e. nature gets a vote so to speak. These social welfare...portion of the population. Nevertheless, current predictions have it rising dramatically over the coming decades. Most demographers predict that by

Toward Critical Data-Scientific Literacy: An Intersectional Analysis of the Development of Student Identities in An Introduction to Data Science Course

ERIC Educational Resources Information Center

Olivares Pasillas, Maria Concepción

2017-01-01

The national imperative to increase the presence of women and people of color in science, technology, engineering, and mathematics (STEM) coupled with the growing presence of Latinos in the United States has led to the dramatic rise of programs and initiatives aimed at improving access to and equity in STEM careers and education for Latino youth.…

Reflections on End of Life: Comparison of American Indian and Non-Indian Peoples in South Dakota

ERIC Educational Resources Information Center

Schrader, Susan L.; Nelson, Margot L.; Eidsness, LuAnn M.

2009-01-01

During the past century, dramatic changes have occurred in the way death is experienced in the United States. A death in 1900 typically occurred as a result of sudden illness and injury among the young at home. Today, Americans are more likely to die from long-term, chronic illness in later life, often in institutional settings. In addition to the…

Decline in the U.S. furniture industry: a case study of the impacts to the hardwood lumber supply chain

Treesearch

Shawn T. Grushecky; Urs Buehlmann; Al Schuler; William Luppold; Ed Cesa

2006-01-01

Traditionally, the wood household furniture industry has accounted for a sizeable portion of total hardwood lumber use in the United States. However, for more than a decade, imports have gained an increasing share of the hardwood furniture market, and lumber consumption by this industry has declined dramatically in the last 5 years. We used a case study methodology to...

Encyclopedia of Minorities in American Politics. Volume 1: African Americans and Asian Americans. The American Political Landscape Series.

ERIC Educational Resources Information Center

Schultz, Jeffrey D., Ed.; Haynie, Kerry L., Ed.; McCulloch, Anne M., Ed.; Aoki, Andrew L., Ed.

The last 30 years of U.S. political history have seen dramatic strides in the impact that minorities play in U.S. politics. This first volume of a two-volume set addresses the historical and contemporary impact of two of the largest minority groups in the United States. Divided into two sections, the encyclopedia addresses the political struggles…

Wind for Schools: Developing Educational Programs to Train a New Workforce and the Next Generation of Wind Energy Experts (Poster)

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

Flowers, L.; Baring-Gould, I.

2010-04-01

As the United States dramatically expands wind energy deployment, the industry is challenged with developing a skilled workforce and addressing public resistance. Wind Powering America's Wind for Schools project addresses these issues by: Developing Wind Application Centers (WACs) at universities; installing small wind turbines at community "host" schools; and implementing teacher training with interactive curricula at each host school.

Impact of the great recession on the forest products industry in the western United States

Treesearch

Charles E. Keegan; Collin B. Sorenson; Todd A. Morgan; Jean M. Daniels; Steven W. Hayes

2012-01-01

Wood product prices and production fell dramatically in 2009 as a severe recession and massive decline in U.S. housing led to a global financial crisis. In 2009 and 2010, virtually every major western mill suffered curtailments and 30 large mills closed permanently. Sales value of wood and paper products in the West dropped from $49 billion in 2005 to $34 billion in...

Evidence-Based Practice in Online Higher Education: An Exploratory Study of the Online Policies and Practices of United States Doctoral/Research-Extensive Universities

ERIC Educational Resources Information Center

Bruce, Peter A.

2010-01-01

The availability of online education in universities and colleges across the nation has significantly increased during the past decade. The increase has been due in part to recent federal policy changes authorizing access to financial aid for online higher education students. The dramatic growth in the number of students taking online courses and…

United States interests in South Asia

DTIC Science & Technology

2009-12-11

dramatically due to the government policy of opening the industry to the private sector . As of now there are mobile phone service providers including CDMA...of the transport sector in the country. They are vital for the movement of people and goods and play an important role in integrating the country...Telecommunications is the next infrastructural fact discussed in the analysis. Telecommunications is one sector that Sri Lanka has vastly improved during the

Dramatic action: A theater-based paradigm for analyzing human interactions

PubMed Central

Raindel, Noa; Alon, Uri

2018-01-01

Existing approaches to describe social interactions consider emotional states or use ad-hoc descriptors for microanalysis of interactions. Such descriptors are different in each context thereby limiting comparisons, and can also mix facets of meaning such as emotional states, short term tactics and long-term goals. To develop a systematic set of concepts for second-by-second social interactions, we suggest a complementary approach based on practices employed in theater. Theater uses the concept of dramatic action, the effort that one makes to change the psychological state of another. Unlike states (e.g. emotions), dramatic actions aim to change states; unlike long-term goals or motivations, dramatic actions can last seconds. We defined a set of 22 basic dramatic action verbs using a lexical approach, such as ‘to threaten’–the effort to incite fear, and ‘to encourage’–the effort to inspire hope or confidence. We developed a set of visual cartoon stimuli for these basic dramatic actions, and find that people can reliably and reproducibly assign dramatic action verbs to these stimuli. We show that each dramatic action can be carried out with different emotions, indicating that the two constructs are distinct. We characterized a principal valence axis of dramatic actions. Finally, we re-analyzed three widely-used interaction coding systems in terms of dramatic actions, to suggest that dramatic actions might serve as a common vocabulary across research contexts. This study thus operationalizes and tests dramatic action as a potentially useful concept for research on social interaction, and in particular on influence tactics. PMID:29518101

Puppetry and Creative Dramatics in Storytelling.

ERIC Educational Resources Information Center

Champlin, Connie

The 14 units in this book are designed to help teachers and librarians motivate children to express emotions, pantomime characters, and create a full story environment through puppetry and creative dramatics. Each unit is built around a specific piece of literature, and each provides instructions for the educator concerning the necessary…

Cultural Competency in Nursing Research.

PubMed

Cope, Diane G

2015-05-01

According to data from the U.S. Census Bureau (2010), the demographics of the United States will change dramatically in the next 50 years. Non-Caucasians will more than double from 116.2 million in 2012 to 241.3 million by 2060, representing 57% of the U.S. population (U.S. Census Bureau, 2010). The Asian population also is expected to double in the next five years and comprise 8% of the U.S. population (U.S. Census Bureau, 2012). The United States also is becoming an aging population. By 2060, about one in five residents will be aged 65 years and older (U.S. Census Bureau, 2012). Individuals aged 85 years and older will more than triple to 18.2 million and represent 4% of the U.S. population (U.S. Census Bureau, 2012). 
.

An Analysis of Information Technology Adoption by IRBs of Large Academic Medical Centers in the United States.

PubMed

He, Shan; Botkin, Jeffrey R; Hurdle, John F

2015-02-01

The clinical research landscape has changed dramatically in recent years in terms of both volume and complexity. This poses new challenges for Institutional Review Boards' (IRBs) review efficiency and quality, especially at large academic medical centers. This article discusses the technical facets of IRB modernization. We analyzed the information technology used by IRBs in large academic institutions across the United States. We found that large academic medical centers have a high electronic IRB adoption rate; however, the capabilities of electronic IRB systems vary greatly. We discuss potential use-cases of a fully exploited electronic IRB system that promise to streamline the clinical research work flow. The key to that approach utilizes a structured and standardized information model for the IRB application. © The Author(s) 2014.

The "Apollo" of Aeronautics: NASA's Aircraft Energy Efficiency Program, 1973-1987

NASA Technical Reports Server (NTRS)

Bowles, Mark D.

2010-01-01

In fall 1975, 10 distinguished United States Senators from the Aeronautical and Space Sciences Committee summoned a group of elite aviation experts to Washington, DC. The Senators were holding hearings regarding the state of the American airline industry, which was struggling in the wake of the 1973 Arab oil embargo and the dramatically increasing cost of fuel. Providing testimony were presidents or vice presidents of United Airlines, Boeing, Pratt & Whitney, and General Electric. Other witnesses included high-ranking officials from the National Aeronautics and Space Administration (NASA), the U.S. Air Force, and the American Institute of Aeronautics and Astronautics. Their Capitol Hill testimony painted a bleak economic picture, described in phrases that included immediate crisis condition, long-range trouble, serious danger, and economic dislocation.

Childbearing across Partnerships in Australia, the United States, Norway and Sweden

PubMed Central

Thomson, Elizabeth; Lappegård, Trude; Carlson, Marcia; Evans, Ann; Gray, Edith

2017-01-01

This paper compares mothers’ experience of having children with more than one partner in two liberal welfare regimes (the United States and Australia) and two social democratic regimes (Sweden and Norway). We use survey-based union and birth histories in Australia and the United States and data from national population registers in Norway and Sweden to estimate the likelihood of experiencing childbearing across partnerships at any point in the childbearing career. We find that births with new partners constitute a substantial proportion of all births in each country we study. Despite quite different arrangements for social welfare, the determinants of childbearing across partnerships are very similar. Women who had their first birth at a very young age or who are less well educated are most likely to have children with different partners. Socioeconomic differentials in childbearing across partnerships appeared to be stronger in the United States, but not in comparison to differentials in childbearing in the same union. Thus, no strong evidence was found for a steeper educational gradient in the liberal as opposed to social democratic welfare regimes. The risk of childbearing across partnerships increased dramatically in all countries from the 1980s to the 2000s, and the educational differential also increased; again, however, the increases were not associated with welfare regime. PMID:24399143

Substance use during pregnancy: time for policy to catch up with research

PubMed Central

Lester, Barry M; Andreozzi, Lynne; Appiah, Lindsey

2004-01-01

The phenomenon of substance abuse during pregnancy has fostered much controversy, specifically regarding treatment vs. punishment. Should the pregnant mother who engages in substance abuse be viewed as a criminal or as someone suffering from an illness requiring appropriate treatment? As it happens, there is a noticeably wide range of responses to this matter in the various states of the United States, ranging from a strictly criminal perspective to one that does emphasize the importance of the mother's treatment. This diversity of dramatically different responses illustrates the failure to establish a uniform policy for the management of this phenomenon. Just as there is lack of consensus among those who favor punishment, the same lack of consensus characterizes those states espousing treatment. Several general policy recommendations are offered here addressing the critical issues. It is hoped that by focusing on these fundamental issues and ultimately detailing statistics, policymakers throughout the United States will consider the course of action that views both pregnant mother and fetus/child as humanely as possible. PMID:15169566

Why Brilliant Military Leaders Fail: Learning from Their Mistakes

DTIC Science & Technology

2009-03-24

systemic issue, military culture holds the commander or leader ultimately responsible for that happens within the command. A military commander is...Johnson, Wang Labs, Samsung Motors, 5 Schwinn, and even the Boston Red Sox have met with dramatic failure.13 From the numerous theories of why a...of the need for a convoy system to protect merchant shipping. Yet, it was not until six months after the United States entered the war, May 1942

Drug Prohibition in the United States: Costs, Consequences, and Alternatives

NASA Astrophysics Data System (ADS)

Nadelmann, Ethan A.

1989-09-01

``Drug legalization'' increasingly merits serious consideration as both an analytical model and a policy option for addressing the ``drug problem.'' Criminal justice approaches to the drug problem have proven limited in their capacity to curtail drug abuse. They also have proven increasingly costly and counterproductive. Drug legalization policies that are wisely implemented can minimize the risks of legalization, dramatically reduce the costs of current policies, and directly address the problems of drug abuse.

Strategies for data management engagement.

PubMed

Charbonneau, Deborah H

2013-01-01

The research landscape is growing dramatically, and librarians are examining new roles, services, and types of collaborations to support data-intensive research. This column describes curricular enhancements at one School of Library and Information Science in the United States. Several key areas of data management in which health sciences librarians may wish to build or enhance their skills are outlined. Possible roles and opportunities for health sciences librarians to strategically engage in data management initiatives are also presented.

Educational Assistance Overpayments, A Billion Dollar Problem--A Look at the Causes, Solutions, and Collection Efforts. Veterans Administration. Report to the Congress by the Comptroller General of the United States.

ERIC Educational Resources Information Center

Comptroller General of the U.S., Washington, DC.

Overpayments to veterans and veterans' dependents under the VA's educational assistance programs have increased dramatically in recent years; as of the end of 1975, cumulative overpayments totaled almost $1.4 billion. In fiscal year 1967, overpayments represented 0.7 percent of VA's total educational benefits paid, whereas in the first six months…

Vietnam’s South China Sea Territorial Disputes: A Path to Resolution

DTIC Science & Technology

2013-11-01

under Communist rule , but the South rejected the unification. From the mid-1960s until the mid-1970s the United States intervened in an unsuccessful...Southeast Asia’s long- term stability. China, Vietnam, and Taiwan all have claims based on history. Malaysia , Philippines, and Brunei have claims...the Spratly Islands presents an obstacle to dramatic improvements in regional relationships. The Philippines, Brunei, and Malaysia all claim

The origin of the medical research grant in the United States: the Rockefeller Foundation and the NIH Extramural Funding Program.

PubMed

Schneider, William H

2015-04-01

The establishment of National Institutes of Health (NIH) extramural grants in the second half of the twentieth century marked a signal shift in support for medical research in the United States and created an influential model for the rest of the world. A similar landmark development occurred in the first half of the twentieth century with the creation of the Rockefeller Foundation and its funding programs for medical research. The programs and support of the foundation had a dramatic impact on medical research in the United States and globally. This paper examines early connections between these two developments. The NIH grants have usually been seen as having their roots primarily in the government programs of the Second World War. This article finds direct and indirect influence by the Rockefeller Foundation, as well as parallel developments in these two monumental programs of support for medical research. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Seismic imaging of extended crust with emphasis on the western United States

USGS Publications Warehouse

McCarthy, J.; Thompson, G.A.

1988-01-01

Understanding of the crust has improved dramatically following the application of seismic reflection and refraction techniques to studies of the deep crust. This is particularly true in areas where the last tectonic event was extensional, such as the Basin and Range province of the western United States and much of western Europe. In these regions, a characteristic reflective pattern has emerged, whereby the lower crust is highly reflective and the upper crust and upper mantle are either poorly reflective or strikingly nonreflective. In the metamorphic-core-complex belt in the western United States, where extension can be as much as an order of magnitude greater than in the more classic continental rift zones, the lower crustal reflectivity thickens and rises, yielding a picture of a crust that is reflective throughout. If metamorphic core complexes are representative of extended continental crust world-wide, then these results suggest that magmatism and ductile flow have also contributed to the evolution of the middle and lower crust in many other areas around the world. -from Authors

Pediatric obesity. An introduction ☆

PubMed Central

Yanovski, Jack A.

2015-01-01

The prevalence of child and adolescent obesity in the United States increased dramatically between 1970 and 2000, and there are few indications that the rates of childhood obesity are decreasing. Obesity is associated with myriad medical, psychological, and neurocognitive abnormalities that impact children’s health and quality of life. Genotypic variation is important in determining the susceptibility of individual children to undue gains in adiposity; however, the rapid increase in pediatric obesity prevalence suggests that changes to children’s environments and/or to their learned behaviors may dramatically affect body weight regulation. This paper presents an overview of the epidemiology, consequences, and etiopathogenesis of pediatric obesity, serving as a general introduction to the subsequent papers in this Special Issue that address aspects of childhood obesity and cognition in detail. PMID:25836737

Out of the tropics: the Pacific, Great Basin lakes, and late Pleistocene water cycle in the western United States.

PubMed

Lyle, Mitchell; Heusser, Linda; Ravelo, Christina; Yamamoto, Masanobu; Barron, John; Diffenbaugh, Noah S; Herbert, Timothy; Andreasen, Dyke

2012-09-28

The water cycle in the western United States changed dramatically over glacial cycles. In the past 20,000 years, higher precipitation caused desert lakes to form which have since dried out. Higher glacial precipitation has been hypothesized to result from a southward shift of Pacific winter storm tracks. We compared Pacific Ocean data to lake levels from the interior west and found that Great Basin lake high stands are older than coastal wet periods at the same latitude. Westerly storms were not the source of high precipitation. Instead, air masses from the tropical Pacific were transported northward, bringing more precipitation into the Great Basin when coastal California was still dry. The changing climate during the deglaciation altered precipitation source regions and strongly affected the regional water cycle.

Converging Streams of Opportunity for Prison Nursery Programs in the United States

PubMed Central

GOSHIN, LORIE SMITH; BYRNE, MARY WOODS

2009-01-01

Prison nursery programs allow departments of correction to positively intervene in the lives of both incarcerated mothers and their infant children. The number of prison nurseries in the United States has risen dramatically in the past decade, yet there remains a significant gap between predominant correctional policy in this area and what is known about parenting and infant development. Using Kingdon’s streams metaphor, this article examines the recent convergence of problem, policy, and political events related to incarcerated women with infant children and argues that this has created a window of opportunity for development of prison nursery programs. Aday’s policy analysis criteria are also used to analyze available evidence regarding the effectiveness, efficiency, and equity of prison nursery programs as policy alternatives for incarcerated women with infant children. PMID:19865610

Nomenclature of regional hydrogeologic units of the Southeastern Coastal Plain aquifer system

USGS Publications Warehouse

Miller, J.A.; Renken, R.A.

1988-01-01

Clastic sediments of the Southeastern Coastal Plain aquifer system can be divided into four regional aquifers separated by three regional confining units. The four regional aquifers have been named for major rivers that cut across their outcrop areas and expose the aquifer materials. From youngest to oldest, the aquifers are called the Chickasawhay River, Pearl River, Chattahoochee River, and Black Warrior River aquifers, and the regional confining units separating them are given the same name as the aquifer they overlie. Most of the regional hydrogeologic units are subdivided within each of the four States that comprise the study area. Correlation of regional units is good with hydrogeologic units delineated by a similar regional study to the west and southwest. Because of complexity created by a major geologic structure to the northeast of the study area and dramatic facies change from clastic to carbonate strata to the southeast, correlation of regional hydrogeologic units is poor in these directions. (Author 's abstract)

Drug-induced iatrogenic intraparenchymal hemorrhage.

PubMed

Lapsiwala, Samir; Moftakhar, Roham; Badie, Behnam

2002-07-01

Intracerebral hemorrhage is bleeding into the brain parenchyma with possible extension into the ventricles and subarachnoid space. Each year, approximately 37,000 to 52,400 people suffer from intraparenchymal hemorrhage (IPH) in the United States. This rate is expected to rise dramatically in the next few decades as a result of the increasing age of the population and a change in racial demographics. IPH accounts for 8% to 13% of all stroke cases and is associated with the highest mortality rate.

Saving our backs: safe patient handling and mobility for home care.

PubMed

Beauvais, Audrey; Frost, Lenore

2014-01-01

Predicted work-related injuries for nurses and home healthcare workers are on the rise given the many risk factors in the home environment and the escalating demands for home healthcare workers in the United States. Fortunately, safe patient handling and mobility programs can dramatically decrease injuries. Despite strides being made to promote safe patient handling and mobility programs in acute care, more can be done to establish such initiatives in the home care setting.

Relationship of Gender to Promotion and Retention Rates in the United States Air Force

DTIC Science & Technology

1989-01-01

organizational career ladders and the tendency for men to dominate promotion opportunities (Baron & Bielby, 1985; Blau, 1977; Grimm & Stern, 1974; Kanter, 1977...Department of Health and Human Services, 1985), yet men still continue to occupy the formal positions or power in management. Women represent only 13.4...has risen dramatically over the last two decades occupational segregation still exists and women continue to earn less than men . The majority of women

NREL’s Advanced Analytics Research for Energy-Efficient Buildings

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

Kutscher, Chuck; Livingood, Bill; Wilson, Eric

At NREL, we believe in building better buildings. More importantly, high-performance buildings that can do more and be smarter than ever before. Forty percent of the total energy consumption in the United States comes from buildings. Working together, we can dramatically shrink that number. But first, it starts with the research: our observations, experiments, modeling, analysis, and more. NREL’s advanced analytics research has already proven to reduce energy use, save money, and stabilize the grid.

Changes in Suicide Rates by Hanging/Suffocation and Firearms among Young Persons Aged 10 to 24 Years in the United States: 1992–2006

PubMed Central

Bridge, Jeffrey A.; Greenhouse, Joel B.; Sheftall, Arielle H.; Fabio, Anthony; Campo, John V.; Kelleher, Kelly J.

2009-01-01

We examined changes in suicide rates among 10–24-year-olds in the US from 1992–2006. The overall suicide rate and the rate by firearms, poisoning, and other methods declined markedly, whereas the hanging/suffocation rate rose significantly from 1992–2006. This increase occurred across every major demographic subgroup, but was most dramatic for females. PMID:20413089

Changes in the Geographic Patterns of Heart Disease Mortality in the United States

PubMed Central

Casper, Michele; Kramer, Michael R.; Quick, Harrison; Schieb, Linda J.; Vaughan, Adam S.; Greer, Sophia

2016-01-01

Background Although many studies have documented the dramatic declines in heart disease mortality in the United States at the national level, little attention has been given to the temporal changes in the geographic patterns of heart disease mortality. Methods and Results Age-adjusted and spatially smoothed county-level heart disease death rates were calculated for 2-year intervals from 1973 to 1974 to 2009 to 2010 for those aged ≥35 years. Heart disease deaths were defined according to the International Classification of Diseases codes for diseases of the heart in the eighth, ninth, and tenth revisions of the International Classification of Diseases. A fully Bayesian spatiotemporal model was used to produce precise rate estimates, even in counties with small populations. A substantial shift in the concentration of high-rate counties from the Northeast to the Deep South was observed, along with a concentration of slow-decline counties in the South and a nearly 2-fold increase in the geographic inequality among counties. Conclusions The dramatic change in the geographic patterns of heart disease mortality during 40 years highlights the importance of small-area surveillance to reveal patterns that are hidden at the national level, gives communities the historical context for understanding their current burden of heart disease, and provides important clues for understanding the determinants of the geographic disparities in heart disease mortality. PMID:27002081

Changes in the Geographic Patterns of Heart Disease Mortality in the United States: 1973 to 2010.

PubMed

Casper, Michele; Kramer, Michael R; Quick, Harrison; Schieb, Linda J; Vaughan, Adam S; Greer, Sophia

2016-03-22

Although many studies have documented the dramatic declines in heart disease mortality in the United States at the national level, little attention has been given to the temporal changes in the geographic patterns of heart disease mortality. Age-adjusted and spatially smoothed county-level heart disease death rates were calculated for 2-year intervals from 1973 to 1974 to 2009 to 2010 for those aged ≥35 years. Heart disease deaths were defined according to the International Classification of Diseases codes for diseases of the heart in the eighth, ninth, and tenth revisions of the International Classification of Diseases. A fully Bayesian spatiotemporal model was used to produce precise rate estimates, even in counties with small populations. A substantial shift in the concentration of high-rate counties from the Northeast to the Deep South was observed, along with a concentration of slow-decline counties in the South and a nearly 2-fold increase in the geographic inequality among counties. The dramatic change in the geographic patterns of heart disease mortality during 40 years highlights the importance of small-area surveillance to reveal patterns that are hidden at the national level, gives communities the historical context for understanding their current burden of heart disease, and provides important clues for understanding the determinants of the geographic disparities in heart disease mortality. © 2016 American Heart Association, Inc.

A Staged Reading of the Play: Reykjavik

NASA Astrophysics Data System (ADS)

2017-01-01

Reykjavik is the capital of Iceland, an island country located about 500 miles northwest of Scotland in the North Atlantic. In 1986 Mikhail Gorbachev, the Chairman of the Politburo of the Soviet Union and General Secretary of the Soviet Communist Party, invited Ronald Reagan, the President of the United States, to meet with him. The play Reykjavik is a dramatic reconstruction of the two-day summit meeting during which the world leaders almost reached agreement on the total abolition of their countries' nuclear weapons. The play uses the actual transcripts of the Reykjavik meeting as well as the memoirs of both Reagan and Gorbachev. Join us for a dramatic staged reading of Reykjavik and find out how close the two superpowers, the Soviet Union and the United States, came to eliminating their nuclear weapons. He playwright is Richard Rhodes, the Pulitzer Prize-winning author of 24 books. He has written his first play, and it spins off of his research into the history of nuclear weapons. The staged reading is performed by the Washington based Tonic Theater Company: http://www.tonictheater.org/[tonictheater.org]. After the performance, the play director and actors as well as experts on nuclear disarmament will be available for a talk-back discussion of the play with the audience. Produced by Brian Schwartz, Brooklyn College and the Graduate Center of the City University of New York and Gregory Mack of the APS Washington office.

AYA in the USA. International Perspectives on AYAO, Part 5

PubMed Central

2013-01-01

Within the past decade, the discipline of adolescent and young adult (AYA) oncology has taken root in the United States. It arose from the observation that survival improvements for 15–39-year-olds have lagged behind those of both children and older adults. Rapid progress in this new area has resulted from energetic work by researchers, clinicians, and non-profit organizations focusing on AYA-aged cancer patients and survivors. The term “AYA” is now well recognized within both pediatric and medical oncology, and AYA-specific aims are increasingly included in clinical trials and also basic and translational oncology research. The AYA oncology movement in the United States was spearheaded by the LIVESTRONG Young Adult Alliance (the Alliance), a coalition of AYA-focused non-profit organizations and academic institutions that has recently transitioned into a successor organization—Critical Mass: The Young Adult Cancer Alliance, composed of individual AYAO professionals. The work of groups such as the Alliance/Critical Mass and key collaborators—including the National Cancer Institute, National Comprehensive Cancer Network, Children's Oncology Group, and advocacy organizations—provides a useful platform for the discussion of progress in AYA oncology in the United States, including advances in (1) research and tool development; (2) public and professional education; (3) advocacy and patient support; (4) awareness; and (5) service delivery. AYA oncology programs are now burgeoning dramatically throughout the United States, and many well-established U.S. programs share distinctive features in clinical programming. The United States is now entering an era of larger-scale coordinated efforts in research, advocacy, and clinical care for AYAs with cancer. PMID:24380035

AYA in the USA. International Perspectives on AYAO, Part 5.

PubMed

Johnson, Rebecca H

2013-12-01

Within the past decade, the discipline of adolescent and young adult (AYA) oncology has taken root in the United States. It arose from the observation that survival improvements for 15-39-year-olds have lagged behind those of both children and older adults. Rapid progress in this new area has resulted from energetic work by researchers, clinicians, and non-profit organizations focusing on AYA-aged cancer patients and survivors. The term "AYA" is now well recognized within both pediatric and medical oncology, and AYA-specific aims are increasingly included in clinical trials and also basic and translational oncology research. The AYA oncology movement in the United States was spearheaded by the LIVESTRONG Young Adult Alliance (the Alliance), a coalition of AYA-focused non-profit organizations and academic institutions that has recently transitioned into a successor organization-Critical Mass: The Young Adult Cancer Alliance, composed of individual AYAO professionals. The work of groups such as the Alliance/Critical Mass and key collaborators-including the National Cancer Institute, National Comprehensive Cancer Network, Children's Oncology Group, and advocacy organizations-provides a useful platform for the discussion of progress in AYA oncology in the United States, including advances in (1) research and tool development; (2) public and professional education; (3) advocacy and patient support; (4) awareness; and (5) service delivery. AYA oncology programs are now burgeoning dramatically throughout the United States, and many well-established U.S. programs share distinctive features in clinical programming. The United States is now entering an era of larger-scale coordinated efforts in research, advocacy, and clinical care for AYAs with cancer.

Dramatic Arts in the Secondary School. Michigan Speech Association Curriculum Guide Series, No. 1.

ERIC Educational Resources Information Center

Ratliffe, Sharon

The 15 units in this curriculum guide for dramatic arts in the high school are intended to provide learning experiences to facilitate the student's personal development. Eight of the units deal with various aspects of acting, criticism, and history (e.g., building a character, presenting a one-act play, the history of the drama and the theater,…

American Indian and Alaska native aboriginal use of alcohol in the United States.

PubMed

Abbott, P J

1996-01-01

Alcohol beverages prior to White contact originated with the Mayan and the Aztec Nations and spread to the American Indians of the Southwest. Surprisingly, there are a number of accounts of alcohol use among other American Indians and Alaska Natives. Beverages were limited to wine and beer, and included: balche, pulque, and "haren a pitahaya" wines, tulpi beer and other beverages. White contact brought dramatic shifts in the use and function of alcoholic beverages in American Indian and Alaska Native societies.

An interactive quality of work life model applied to organizational transition.

PubMed

Knox, S; Irving, J A

1997-01-01

Most healthcare organizations in the United States are in the process of some type of organizational change or transition. Professional nurses and other healthcare providers practicing in U.S. healthcare delivery organizations are very aware of the dramatic effects of restructuring processes. A phenomenal amount of change and concern is occurring with organizational redesign, generating many questions and uncertainties. These transitions challenge the basic assumptions and principles guiding the practice of clinical and management roles in healthcare.

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.

Wind for Schools: A National Data and Curricula Development Activity for Schools (Poster)

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

Baring-Gould, I.

As the United States dramatically expands wind energy deployment, the industry is challenged with developing a skilled workforce and addressing public resistance. Wind Powering America?s Wind for Schools project addresses these issues by: 1) Developing Wind Application Centers (WACs) at universities; WAC students assist in implementing school wind turbines and participate in wind courses. 2) Installing small wind turbines at community 'host' schools. 3) Implementing teacher training with interactive curricula at each host school.

Wind for Schools: Fostering the Human Talent Supply Chain for a 20% Wind Energy Future (Poster)

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

Baring-Gould, I.

2011-03-01

As the United States dramatically expands wind energy deployment, the industry is challenged with developing a skilled workforce and addressing public resistance. Wind Powering America's Wind for Schools project addresses these issues by: 1) Developing Wind Application Centers (WACs) at universities; WAC students assist in implementing school wind turbines and participate in wind courses. 2) Installing small wind turbines at community "host" schools. 3) Implementing teacher training with interactive curricula at each host school.

Border Enforcement and Return Migration by Documented and Undocumented Mexicans

PubMed Central

Massey, Douglas S.; Durand, Jorge; Pren, Karen A.

2014-01-01

Using data from the Mexican Migration Project we compute probabilities of departure and return for first and later trips to the United States in both documented and undocumented status. We then estimate statistical models to analyze the determinants of departure and return according to legal status. Prior to 1986, Mexico-U.S. migration was characterized by great circularity, but since then circularity has declined markedly for undocumented migrants but increased dramatically for documented migrants. Whereas return migration by undocumented migrants dropped in response to the massive increase in border enforcement, that of documented migrants did not. At present, the Mexico-U.S. migration system has reached a new equilibrium in which undocumented migrants are caged in as long term settlers in the United States while documented migrants increasingly range freely and circulate back and forth across the border within rising frequency. PMID:26273210

The economics of sexuality: the effect of HIV/AIDS on homosexual behavior in the United States.

PubMed

Francis, Andrew M

2008-05-01

In this paper, I test a simple microeconomic theory of sexuality. I apply the theory to make predictions about the effect of AIDS on sexuality, since AIDS dramatically altered the cost of sexual activities. Using a nationally representative dataset on sexuality in the United States, I estimate the effect of AIDS on male and female homosexual behavior. To do so, I postulate that people who have a relative with AIDS, on average, have more knowledge, awareness, and fear of AIDS. Empirically, this variable is uncorrelated with a number of individual background characteristics. I present evidence that AIDS causes some men to shift from homosexual to heterosexual behavior, whereas AIDS causes some women to shift from heterosexual to homosexual behavior. Thus, sexual behavior may respond to incentives. I consider alternative hypotheses, including biological theories of sexual orientation and stigma-related survey bias, and argue that they are unlikely to explain the results.

Assessing, Modeling, and Monitoring the Impacts of Extreme Climate Events

NASA Astrophysics Data System (ADS)

Murnane, Richard J.; Diaz, Henry F.

2006-01-01

Extreme weather and climate events provide dramatic content for the news media, and the past few years have supplied plenty of material. The 2004 and 2005 Atlantic hurricane seasons were very active; the United States was struck repeatedly by landfalling major hurricanes. A five-year drought in the southwestern United States was punctuated in 2003 by wildfires in southern California that caused billions of dollars in losses. Ten cyclones of at least tropical storm strength struck Japan in 2004, easily breaking the 1990 and 1993 records of six cyclones each year. Hurricane Catarina was the first recorded hurricane in the South Atlantic. Europe's summer of 2003 saw record-breaking heat that caused tens of thousands of deaths. These events have all been widely publicized, and they naturally raise several questions: Is climate changing, and if so, why? What can we expect in the future? How can we better respond to climate variability regardless of its source?

Fighting 'personhood' initiatives in the United States.

PubMed

Collins, Lee Rubin; Crockin, Susan L

2012-06-01

'Personhood' initiatives filed in many states within the United States threaten to impose potentially significant restrictions on infertility treatment, embryo disposition, pre-natal care, abortion, contraception, and stem-cell research, all through attempts to redefine a 'person' or 'human being' as existing from the moment of fertilization or conception, and endowed with the full legal and Constitutional rights of personhood. Virginia's recent, unsuccessful attempt to pass such legislation provides both a dramatic example of these efforts and valuable lessons in the fight against them by infertility advocates and others. Arguments over loss of infertility treatment seemed more persuasive to legislatures than did restrictions on abortion or stem cell research. Indeed, persuading legislators or voters that they could be 'pro-life' and still anti-personhood initiatives was a key strategy, and consumer efforts and media attention were instrumental. The most central lessons, however, may be the degree of intensity and coordinated strategy to shift public perception that lie behind these numerous state efforts, regardless of whether the actual initiatives are won or lost. Copyright © 2012 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

Physician supply and medical education in California. A comparison with national trends.

PubMed Central

Grumbach, K; Coffman, J M; Young, J Q; Vranizan, K; Blick, N

1998-01-01

Concerns have been voiced about an impending oversupply of physicians in the United States. Do these concerns also apply to California, a state with many unique demographic characteristics? We examined trends in physician supply and medical education in California and the United States between 1980 and 1995 to better inform the formulation of workforce policies appropriate to the state's requirements for physicians. We found that similar to the United States, California has more than an ample supply of physicians in the aggregate, but too many specialists, too few underrepresented racial/ethnic minority physicians, and poor distribution of physicians across the state. However, recent growth in the supply of practicing physicians and resident physicians per capita in California has been much less dramatic than in the country overall. The state's unusually high rate of population growth has enabled California, unlike the United States as a whole, to absorb large increases in the number of practicing physicians and residents during 1980 to 1995 without substantially increasing the physician-to-population ratio. Due to a projected slowing of the state's rate of population growth, the supply of physicians per capita in the state will begin to rise steeply in coming years unless the state implements prompt reductions in the production of specialists. An immediate 25% reduction in specialist residency positions would be necessary to bring the state's supply of practicing specialists in line with projected physician requirements for the state by 2020. We conclude that major changes will be required if the state's residency programs and medical schools are to produce the number and mix of physicians the state requires. California's medical schools and residency programs will need to act in concert with federal and state government to develop effective policies to address the imbalance between physician supply and state requirements. Images Figure 2. Figure 3. Figure 4. PMID:9614798

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.

When patients are harmed, but are not wronged: ethics, law, and history.

PubMed

Klaas, Paul B; Berge, Keith H; Klaas, Kelsey M; Klaas, James P; Larson, Annalise Noelle

2014-09-01

Iatrogenic injury-injury caused unintentionally by medical treatment-breaks the oldest and most famous rule of medical ethics: primum non nocere, or above all, do no harm. Medical malpractice law, however, focuses on whether an injury was caused by negligence, not on whether an injury was iatrogenic. Iatrogenic injury inflicted without negligence is a common pattern in medical malpractice lawsuits; it is likely the pattern of Jacobs v Cross (Minnesota, 1872), in which Dr W. W. Mayo testified as an expert witness. As a matter of law, the doctor defendants should win all those lawsuits, for iatrogenic injury inflicted without negligence is not a legal wrong in the United States and has not been considered a legal wrong for hundreds of years. However, the medical ethics applicable to doctors' duties to report incompetence in colleagues, including those who inflict excessive iatrogenic injury, have developed dramatically over time. In 1872, the ethical codes in the United States exhorted doctors not to criticize another doctor, even if incompetent. Today, doctors in the United States are ethically required to report an incompetent colleague. Copyright © 2014 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

Recent Advances for LGBT Astronomers in the United States

NASA Astrophysics Data System (ADS)

Dixon, William V.; Rigby, Jane; Oppenheimer, Rebecca

2015-08-01

The legal environment for lesbian, gay, bisexual, and transgender (LGBT) astronomers in the United States has changed dramatically in recent years. In 2013, the Supreme Court ruled that Section 3 of the Defense of Marriage Act (DOMA), which had barred the federal government from recognizing same-sex marriages, was unconstitutional. This decision particularly affects astronomers, since astronomers in the U.S. are more likely than the general population to be foreign nationals, to have a foreign-born spouse, or to work for the federal government. In 2014, the Attorney General directed the Department of Justice to take the position in litigation that the protection of Title VII of the Civil Rights Act of 1964 extends to claims of discrimination based on an individual’s gender identity, including transgender status. Title VII makes it unlawful for employers to discriminate in the employment of an individual “because of such individual’s... sex,” among other protected characteristics. As of March 2015, more than 70% of the population lives in states that recognize same-sex marriage, and the Supreme Court is expected to rule on the constitutionality of the remaining same-sex marriage bans during the current term. In this poster, we discuss these advances and their implications for the personal and professional lives of LGBT astronomers across the United States.

Is there a shortage of neurosurgeons in the United States?

PubMed

Rosman, Judy; Slane, Steve; Dery, Beth; Vogelbaum, Michael A; Cohen-Gadol, Aaron A; Couldwell, William T

2013-08-01

Neurosurgical workforce decision-making is typically driven by the 1 neurosurgeon per 100,000 population ratio proposed in 1977 in the Study on Surgical Services for the United States report. The actual ratio has always been higher than suggested. We evaluated whether the 1:100,000 ratio from the Study on Surgical Services for the United States report is still valid, whether there are enough neurosurgeons in the United States to meet patient needs, and whether demand is driven by patient need. For our analysis, the distribution of practicing US neurosurgeons was merged with census data to yield density indices of neurosurgeons by state; a survey assessing practice characteristics was e-mailed to practicing neurosurgeons; and a compilation of job advertisements for US neurosurgeons was evaluated. Multivariant statistical analyses yielded inconclusive results regarding patient demand because existing data sets are not designed to establish patient demand and many neurosurgeons are subspecialized. The data indicated that the ratio of neurosurgeons to total US population is 1:65,580. In the survey responses, neurosurgeon-to-patient ratios varied dramatically by state and were inconsistently correlated with whether neurosurgeons indicated they were overworked or underworked. The 305 job advertisements may indicate a shortage. Twenty-four percent of advertising practices indicated that they are recruiting only for emergency department coverage, and an additional 26% indicated that they might not be recruiting if not for the need for emergency coverage. Demand ratios should be reevaluated by region and subspecialty to consider changes in neurosurgery practice. A "shortage" in the employment market may reflect factors other than patient need.

Is Acute Myocardial Infarction Disappearing?

PubMed Central

Luepker, Russell V.; Berger, Alan K.

2017-01-01

Following a peak in the mid 1960s, there has been a steady decline in coronary heart disease (CHD) mortality in the United States of 2.8%/y to 5.1%/y.1,2 This shift in mortality patterns is most dramatic in the age-adjusted rates. Age adjustment compensates for the transition of CHD in older age groups and the increase in the aged population. The absolute number of total CHD deaths showed little change until recently (Figure 1). Life expectancy of adults dramatically increased, largely as a result of these improved CHD outcomes.3 However, the reduction in mortality was not associated with a decline in hospital morbidity as CHD was pushed into the older age groups.1 Prevalence actually increased with more individuals diagnosed, treated, and surviving.1 CHD hospitalizations for those >65 years of age increased from 1965 to 2000 while declining in younger age groups.1 PMID:20212286

Variation in critical care services across North America and Western Europe.

PubMed

Wunsch, Hannah; Angus, Derek C; Harrison, David A; Collange, Olivier; Fowler, Robert; Hoste, Eric A J; de Keizer, Nicolette F; Kersten, Alexander; Linde-Zwirble, Walter T; Sandiumenge, Alberto; Rowan, Kathryn M

2008-10-01

Critical care represents a large percentage of healthcare spending in developed countries. Yet, little is known regarding international variation in critical care services. We sought to understand differences in critical care delivery by comparing data on the distribution of services in eight countries. Retrospective review of existing national administrative data. We identified sources of data in each country to provide information on acute care hospitals and beds, intensive care units and beds, intensive care admissions, and definitions of intensive care beds. Data were all referenced and from as close to 2005 as possible. United States, France, United Kingdom, Canada, Belgium, Germany, The Netherlands, and Spain. Not available. None. No standard definition existed for acute care hospital or intensive care unit beds across countries. Hospital beds varied three-fold from 221/100,000 population in the United States to 593/100,000 in Germany. Adult intensive care unit beds also ranged seven-fold from 3.3/100,000 population in the United Kingdom to 24.0/100,000 in Germany. Volume of intensive care unit admissions per year varied ten-fold from 216/100,000 population in the United Kingdom to 2353/100,000 in Germany. The ratio of intensive care unit beds to hospital beds was highly correlated across all countries except the United States (r = .90). There was minimal correlation between the number of intensive care unit beds per capita and health care spending per capita (r = .45), but high inverse correlation between intensive care unit beds and hospital mortality for intensive care unit patients across countries (r = -.82). Absolute critical care services vary dramatically between countries with wide differences in both numbers of beds and volume of admissions. The number of intensive care unit beds per capita is not strongly correlated with overall health expenditure, but does correlate strongly with mortality. These findings demonstrate the need for critical care data from all countries, as they are essential for interpretation of studies, and policy decisions regarding critical care services.

The impact of reforestation in the northeast United States on precipitation and surface temperature

NASA Astrophysics Data System (ADS)

Clark, Allyson

Since the 1920s, forest coverage in the northeastern United States has recovered from disease, clearing for agricultural and urban development, and the demands of the timber industry. Such a dramatic change in ground cover can influence heat and moisture fluxes to the atmosphere, as measured in altered landscapes in Australia, Israel, and the Amazon. In this study, the impacts of recent reforestation in the northeastern United States on summertime precipitation and surface temperature were quantified by comparing average modern values to 1950s values. Weak positive (negative) relationships between reforestation and average monthly precipitation and daily minimum temperatures (average daily maximum surface temperature) were found. There was no relationship between reforestation and average surface temperature. Results of the observational analysis were compared with results obtained from reforestation scenarios simulated with the BUGS5 global climate model. The single difference between the model runs was the amount of forest coverage in the northeast United States; three levels of forest were defined - a grassland state, with 0% forest coverage, a completely forested state, with approximately 100% forest coverage, and a control state, with forest coverage closely resembling modern forest coverage. The three simulations were compared, and had larger magnitude average changes in precipitation and in all temperature variables. The difference in magnitudes between the model simulations observations was much larger than the difference in the amount of reforestation in each case. Additionally, unlike in observations, a negative relationship was found between average daily minimum temperature and amount of forest coverage, implying that additional factors influence temperature and precipitation in the real world that are not accounted for in the model.

Design characteristics of acute care units in china.

PubMed

Lu, Yi; Wang, Yijia

2014-01-01

To describe the current state of design characteristics of acute care units in China's public hospitals and compare these with characteristics with acute care units in the United States. The healthcare construction industry in China is one of the fastest growing sectors in China and, arguably, in the world. Understanding the physical design of acute care units in China is of great importance because it will influence a large population. Descriptive study was performed of unit configuration, size, patient visibility, distance to nursing station and supplies, and lighting conditions in 25 units in 19 public hospitals built after 2003. Data and information were collected based on spatial and visibility analysis. The study identified major design characteristics of the recently built (from 2003 onward) acute care units in China, comparing them, where appropriate, with those in U.S. It found there are three dominant types of unit layout: single-corridor (52%), triangular (36%), and double-corridor (12%). The number of private rooms is very low (11%), compared with two- or three-bed rooms. Centralized nursing stations are the only type of nurses' working area. China also has a large unit size in terms of number of patient beds. The average number of patient beds in a unit is 40.6 in China (versus 32.9 in U.S.). The care units in China have longer walking distance from nursing station to patient bedside. The percentage of beds visible from a nursing station is lower in China than in the U.S. The access to natural light and direct sunlight in patient rooms is greater in China compared with those in U.S.-100% of patient rooms in China have natural lighting. A majority of them face south or southeast and thus receiving direct sunlight (91.4%). Because of the differences in economies and building codes, there are dramatic differences between the spatial characteristics of acute care units in China and the United States. © 2014 Vendome Group, LLC.

A survey of dermatophytes isolated from human patients in the United States from 1979 to 1981 with chronological listings of worldwide incidence of five dermatophytes often isolated in the United States.

PubMed

Sinski, J T; Flouras, K

1984-03-15

A survey of dermatophytes isolated from patients seeking medical advice was made from 1979 to 1981 in the United States. The survey included 54 locations with data from 40 cities and 2 states. Correlations of these data with that of the other localities of the world were made to illustrate the dynamic epidemiology of several common dermatophytes. The most often isolated dermatophyte in this survey was Trichophyton rubrum having 53.66% of the total for these three calendar years. In a chronological listing of ringworm infections caused by this organism, many areas of the world have reported similar increased incidence of this pathogen. Trichophyton tonsurans was isolated 27.85% of the total. A dramatic increase of this pathogen as a cause of tinea capitis has been observed in most cities of the United States. It has been isolated in 25 different countries of the world. The percentage of isolation of Trichophyton mentagrophytes was 8.56%. This percentage may not be near the true incidence of infection by this dermatophyte because the infections are mild and respond to treatment without the individual seeking medical advice. Since the 1950s the percentage of isolations of the total has dropped for T. mentagrophytes in the United States. Epidermophyton floccosum accounted for 4.36% of the total. In a few areas of the world it causes over 30% of the total of dermatophytoses. Microsporum canis was isolated 3.72% of the total in the United States. It has recently been reported to be the dominant agent of tinea capitis in several South American countries, Tucson, Arizona and Kuwait. Once the dominant pathogen of tinea capitis in children in the United States, it was replaced by Microsporum audouinii before 1960. Today in the United States, M. audouinii only accounts for 0.30% of the total. It is considered eliminated as a pathogen in England. In this survey, isolated less than 1.0% of the total were Microsporum gypseum. Microsporum ferrugineum , Microsporum nanum , Microsporum fulvum and Trichophyton schoenleinii . Trichophyton meginii and Trichophyton terrestre were reported isolated but no numerical data were available.

Goddard Conference on Mass Storage Systems and Technologies, volume 2

NASA Technical Reports Server (NTRS)

Kobler, Ben (Editor); Hariharan, P. C. (Editor)

1993-01-01

Papers and viewgraphs from the conference are presented. Discussion topics include the IEEE Mass Storage System Reference Model, data archiving standards, high-performance storage devices, magnetic and magneto-optic storage systems, magnetic and optical recording technologies, high-performance helical scan recording systems, and low end helical scan tape drives. Additional discussion topics addressed the evolution of the identifiable unit for processing (file, granule, data set, or some similar object) as data ingestion rates increase dramatically, and the present state of the art in mass storage technology.

Paying for disease management.

PubMed

Levy, Phillip; Nocerini, Robert; Grazier, Kyle

2007-08-01

Disease Management (DM) first appeared in the United States in the early 1990s. Since then its incorporation into health plans has increased dramatically, yet proof of its effectiveness in terms of quality improvement and cost reduction remains to be seen. The following review provides an exploratory analysis of the basic principles of DM, its evolution and differences from traditional managed care, the ways in which programs are currently being used in the private and public sectors, and the challenges to determining a payment structure for incorporating DM into the current health insurance system.

Clinical process examples of cognitive behavioral therapy for psychosis.

PubMed

Sivec, Harry J; Montesano, Vicki L

2013-09-01

Interest in the practice of Cognitive Behavioral Therapy for persistent psychotic symptoms (CBT-p) has increased dramatically in the last decade. Despite the widespread interest, it remains challenging to obtain adequate training in this approach in the United States. This article provides a few hypothetical examples of the types of interventions commonly used in CBT-p. We provide information about the theoretical basis for the techniques and related research support. We also provide references that offer more detailed discussion of the theory and application of the techniques. 2013 APA, all rights reserved

Shanghai: Front-Runner of Community-Based Eldercare in China.

PubMed

Chen, Lin; Han, Wen-Jui

2016-01-01

Facing dramatic growth in its elderly population, Shanghai, China's economic center, has strategically exercised decentralized policy-making power to develop community-based service centers for the elderly. A growing number of elders have been using such services, particular dining services, since 2007. We discuss the evolution in community-based eldercare services in Shanghai, using dining services as an example. We also compare these service centers in Shanghai to multipurpose senior centers in the United States to offer policy recommendations for Shanghai and China's growing eldercare industry. Tailored policy recommendations are discussed.

Economic drivers of mineral supply

USGS Publications Warehouse

Wagner, Lorie A.; Sullivan, Daniel E.; Sznopek, John L.

2003-01-01

The debate over the adequacy of future supplies of mineral resources continues in light of the growing use of mineral-based materials in the United States. According to the U.S. Geological Survey, the quantity of new materials utilized each year has dramatically increased from 161 million tons2 in 1900 to 3.2 billion tons in 2000. Of all the materials used during the 20th century in the United States, more than half were used in the last 25 years. With the Earth?s endowment of natural resources remaining constant, and increased demand for resources, economic theory states that as depletion approaches, prices rise. This study shows that many economic drivers (conditions that create an economic incentive for producers to act in a particular way) such as the impact of globalization, technological improvements, productivity increases, and efficient materials usage are at work simultaneously to impact minerals markets and supply. As a result of these economic drivers, the historical price trend of mineral prices3 in constant dollars has declined as demand has risen. When price is measured by the cost in human effort, the price trend also has been almost steadily downward. Although the United States economy continues its increasing mineral consumption trend, the supply of minerals has been able to keep pace. This study shows that in general supply has grown faster than demand, causing a declining trend in mineral prices.

Detection and Prediction of Hail Storms in Satellite Imagery using Deep Learning

NASA Astrophysics Data System (ADS)

Pullman, M.; Gurung, I.; Ramachandran, R.; Maskey, M.

2017-12-01

Natural hazards, such as damaging hail storms, dramatically disrupt both industry and agriculture, having significant socio-economic impacts in the United States. In 2016, hail was responsible for 3.5 billion and 23 million dollars in damage to property and crops, respectively, making it the second costliest 2016 weather phenomenon in the United States. The destructive nature and high cost of hail storms has driven research into the development of more accurate hail-prediction algorithms in an effort to mitigate societal impacts. Recently, weather forecasting efforts have turned to deep learning neural networks because neural networks can more effectively model complex, nonlinear, dynamical phenomenon that exist in large datasets through multiple stages of transformation and representation. In an effort to improve hail-prediction techniques, we propose a deep learning technique that leverages satellite imagery to detect and predict the occurrence of hail storms. The technique is applied to satellite imagery from 2006 to 2016 for the contiguous United States and incorporates hail reports obtained from the National Center for Environmental Information Storm Events Database for training and validation purposes. In this presentation, we describe a novel approach to predicting hail via a neural network model that creates a large labeled dataset of hail storms, the accuracy and results of the model, and its applications for improving hail forecasting.

Cost-Effectiveness of Pertussis Vaccination During Pregnancy in the United States

PubMed Central

Atkins, Katherine E.; Fitzpatrick, Meagan C.; Galvani, Alison P.; Townsend, Jeffrey P.

2016-01-01

Vaccination against pertussis has reduced the disease burden dramatically, but the most severe cases and almost all fatalities occur in infants too young to be vaccinated. Recent epidemiologic evidence suggests that targeted vaccination of mothers during pregnancy can reduce pertussis incidence in their infants. To evaluate the cost-effectiveness of antepartum maternal vaccination in the United States, we created an age-stratified transmission model, incorporating empirical data on US contact patterns and explicitly modeling parent-infant exposure. Antepartum maternal vaccination incurs costs of $114,000 (95% prediction interval: 82,000, 183,000) per quality-adjusted life-year, in comparison with the strategy of no adult vaccination, and is cost-effective in the United States according to World Health Organization criteria. By contrast, vaccinating a second parent is not cost-effective, and vaccination of either parent postpartum is strongly dominated by antepartum maternal vaccination. Nonetheless, postpartum vaccination of mothers who were not vaccinated antepartum improves upon the current recommendation of untargeted adult vaccination. Additionally, the temporary direct protection of the infant due to maternal antibody transfer has efficacy for infants comparable to that conferred to toddlers by the full primary vaccination series. Efficient protection against pertussis for infants begins before birth. We highly recommend antepartum vaccination for as many US mothers as possible. PMID:27188951

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.

Microbiological safety of drinking water: United States and global perspectives.

PubMed Central

Ford, T E

1999-01-01

Waterborne disease statistics only begin to estimate the global burden of infectious diseases from contaminated drinking water. Diarrheal disease is dramatically underreported and etiologies seldom diagnosed. This review examines available data on waterborne disease incidence both in the United States and globally together with its limitations. The waterborne route of transmission is examined for bacterial, protozoal, and viral pathogens that either are frequently associated with drinking water (e.g., Shigella spp.), or for which there is strong evidence implicating the waterborne route of transmission (e.g., Leptospira spp.). In addition, crucial areas of research are discussed, including risks from selection of treatment-resistant pathogens, importance of environmental reservoirs, and new methodologies for pathogen-specific monitoring. To accurately assess risks from waterborne disease, it is necessary to understand pathogen distribution and survival strategies within water distribution systems and to apply methodologies that can detect not only the presence, but also the viability and infectivity of the pathogen. Images Figure 1 Figure 2 PMID:10229718

Barriers and Facilitators to Engaging Communities in Gender-Based Violence Prevention following a Natural Disaster

PubMed Central

Sloand, Elizabeth; Killion, Cheryl; Gary, Faye A.; Dennis, Betty; Glass, Nancy; Hassan, Mona; Campbell, Doris W.; Callwood, Gloria B

2016-01-01

Humanitarian workers in disaster settings report a dramatic increase in gender-based violence (GBV). This was true after the 2010 Haiti earthquake when women and girls lost the relative security of their homes and families. Researchers from the United States Virgin Islands and the United States mainland responded by collaborating with Haitian colleagues to develop GBV-focused strategies. To start, the research team performed a situational analysis to insure that the project was culturally, ethically, and logistically appropriate. The aim of this paper is to describe how the situational analysis framework helped the researchers effectively approach this community. Using post-earthquake Haiti as an exemplar, we identify key steps, barriers, and facilitators to undertaking a situational analysis. Barriers included logistics, infrastructure, language and community factors. Facilitators included established experts, organizations and agencies. Researchers in such circumstances need to be respectful of community members as experts and patient with local environmental and cultural conditions. PMID:26548685

Threats to North American Forests from Southern Pine Beetle with Warming Winters

NASA Technical Reports Server (NTRS)

Lesk, Corey; Coffel, Ethan; D'Amato, Anthony W.; Dodds, Kevin; Horton, Radley M.

2016-01-01

In coming decades, warmer winters are likely to lift range constraints on many cold-limited forest insects. Recent unprecedented expansion of the southern pine beetle (SPB, Dendroctonus frontalis) into New Jersey, New York, Connecticut, and Massachusetts in concert with warming annual temperature minima highlights the risk that this insect pest poses to the pine forests of the northern United States and Canada under continued climate change. Here we present the first projections of northward expansion in SPB-suitable climates using a statistical bioclimatic range modeling approach and current-generation general circulation model (GCM) output under the RCP 4.5 and 8.5 emissions scenarios. Our results show that by the middle of the 21st century, the climate is likely to be suitable for SPB expansion into vast areas of previously unaffected forests throughout the northeastern United States and into southeastern Canada. This scenario would pose a significant economic and ecological risk to the affected regions, including disruption oflocal ecosystem services, dramatic shifts in forest structure, and threats to native biodiversity.

Barriers and Facilitators to Engaging Communities in Gender-Based Violence Prevention following a Natural Disaster.

PubMed

Sloand, Elizabeth; Killion, Cheryl; Gary, Faye A; Dennis, Betty; Glass, Nancy; Hassan, Mona; Campbell, Doris W; Callwood, Gloria B

2015-11-01

Humanitarian workers in disaster settings report a dramatic increase in gender-based violence (GBV). This was true after the 2010 Haiti earthquake when women and girls lost the relative security of their homes and families. Researchers from the United States Virgin Islands and the United States mainland responded by collaborating with Haitian colleagues to develop GBV-focused strategies. To start, the research team performed a situational analysis to insure that the project was culturally, ethically, and logistically appropriate. The aim of this paper is to describe how the situational analysis framework helped the researchers effectively approach this community. Using post-earthquake Haiti as an exemplar, we identify key steps, barriers, and facilitators to undertaking a situational analysis. Barriers included logistics, infrastructure, language and community factors. Facilitators included established experts, organizations and agencies. Researchers in such circumstances need to be respectful of community members as experts and patient with local environmental and cultural conditions.

Antibody Prevalence of Select Arboviruses in Mute Swans (Cygnus olor) in the Great Lakes Region and Atlantic Coast of the United States

PubMed Central

Pedersen, Kerri; Marks, David R.; Arsnoe, Dustin M.; Bevins, Sarah N.; Wang, Eryu; Weaver, Scott C.; Mickley, Randall M.; DeLiberto, Thomas J.

2014-01-01

Mute swans (Cygnus olor) are an invasive species in the United States. The dramatic increase in their populations in localized areas has led to various problems, among them competition with native species and attacks on humans by aggressive swans. However, very little is known about the ability of these swans to transmit pathogens to humans, domestic birds, or wildlife or participate in enzootic maintenance. To learn more about select pathogens that mute swans may harbor, a survey was conducted from April of 2011 to August of 2012 in the Great Lakes region and localized areas of the Atlantic coast, which revealed serologic evidence of arbovirus exposure in mute swans. Of 497 mute swans tested, antibodies were detected for eastern equine encephalitis (4.8%), St. Louis encephalitis (1.4%), West Nile (1.2%), and Turlock (0.6%) viruses. Samples were also tested for evidence of antibodies to La Crosse virus, but none were positive. PMID:25266351

The deethylatrazine/atrazine ratio as an indicator of the onset of the spring flush of herbicides into surface water of the Midwestern United States

USGS Publications Warehouse

Thurman, E.M.; Fallon, J.D.

1996-01-01

The ratio of deethylatrazine to atrazine (DAR) may be used to record the first major runoff of herbicides from non-point-source corn fields to surface water in the Midwestern United States. The DAR dramatically decreases from ∼0.5 to < 0.1 upon application of herbicide and the first major runoff event of a basin. The DAR then gradually increases to values of approximately 0.4–0.6 during the harvest season. Furthermore, the DAR may be used in studies of surface water movement to give a temporal indicator of water moving into reservoirs for possible storage of herbicides. It is hypothesized that deethylatrazine, which accounts for only 6% of the degradation of atrazine, becomes a significant metabolite in surface water (∼ 50% of parent compound) because of its selective removal from soil. This removal process may be an important concept for consideration in studies of herbicide contamination of rivers and reservoirs.

Results from the NOAA National Status and Trends Program on distribution and effects of chemical contamination in the coastal and estuarine United States.

PubMed

O'Connor, T P; Ehler, C N

1991-04-01

The NOAA National Status and Trends (NS&T) Program has been monitoring chemical contamination in fish livers, and surface sediments since 1984 and in molluscan tissue and sediments since 1986. Data from fine-grained sediment at 175 sites are used to describe the spatial distribution of contamination throughout the coastal and estuarine United States. Highest levels are generally found in, and considered representative of, urban areas. It should be noted, however, that these levels are not as high as have been found near discharge pipes or in isolated industrial areas through other monitoring efforts. Dramatic biological responses, such as liver tumors in fish or apparently toxic contaminant levels in sediment, are found infrequently. Subtle biological changes, especially those that affect reproductive ability, are being sought. Data from three annual collections of mollusks have been used to identify early signals of temporal trends in contamination at NS&T sites.

On the Path to SunShot - Emerging Opportunities and Challenges in U.S. Solar Manufacturing

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

Chung, Donald; Horowitz, Kelsey; Kurup, Parthiv

Innovation-driven cost and performance improvements, along with strong projected solar demand in the United States and across the Americas, could increase the attractiveness of U.S.-based solar manufacturing (see Chung et al. 2016). Although improvements to standard PV modules have produced deep cost reductions over the past 5 years, the returns on such incremental improvements appear to be diminishing, and more dramatic innovations in module design and manufacturing are required to continue along the path of rapid progress. At the same time, major opportunities exist for innovation to unlock the potential of CSP technologies. This need for innovation could benefit U.S.more » PV and CSP manufacturers. The United States has been rated one of the world’s most competitive and innovative countries as well as one of the best locations for PV manufacturing. It is a global leader in PV and CSP R&D and patent production, and U.S. PV manufacturers are already pursuing highly differentiated innovations.« less

ATS-6 - A satellite for human needs. [Health, Education, Telecommunications Experiment

NASA Technical Reports Server (NTRS)

Whalen, A. A.; Johnston, W. A., Jr.

1975-01-01

On May 30, 1974, NASA launched the ATS-6 experimental communications satellite into a geosynchronous orbit at a station centered over the United States. The 1400 kg satellite was designed to be body-stabilized with a 3-axis control system capable of precision offset pointing. It deployed a 9.1 meter (30 foot) parabolic reflector antenna with a transponder that covered a frequency range from VHF through C-band. The high RF gains obtained with the antenna were to be used for many dramatic communications experiments, one of which was the Health/Education Telecommunications Experiment (HET), a demonstration of direct broadcast of color television to low cost terminals in remote regions of the United States. More than 120 terminals with 3-meter antennas were deployed in Alaska, Washington, the Rocky Mountains, and Appalachia to provide educational and health services to selected community centers. After 11 months of nearly continuous service, the performance of both the satellite and the experiment have exceeded all expectations.

Cryptococcal Meningitis Treatment Strategies Affected by the Explosive Cost of Flucytosine in the United States: A Cost-effectiveness Analysis.

PubMed

Merry, Matthew; Boulware, David R

2016-06-15

In the United States, cryptococcal meningitis causes approximately 3400 hospitalizations and approximately 330 deaths annually. The US guidelines recommend treatment with amphotericin B plus flucytosine for at least 2 weeks, followed by fluconazole for a minimum of 8 weeks. Due to generic drug manufacturer monopolization, flucytosine currently costs approximately $2000 per day in the United States, with a 2-week flucytosine treatment course costing approximately $28 000. The daily flucytosine treatment cost in the United Kingdom is approximately $22. Cost-effectiveness analysis was performed to determine the value of flucytosine relative to alternative regimens. We estimated the incremental cost-effectiveness ratio (ICER) of 3 cryptococcal induction regimens: (1) amphotericin B deoxycholate for 4 weeks; (2) amphotericin and flucytosine (100 mg/kg/day) for 2 weeks; and (3) amphotericin and fluconazole (800 mg/day) for 2 weeks. Costs of care were calculated using 2015 US prices and the medication costs. Survival estimates were derived from a randomized trial and scaled relative to published US survival data. Cost estimates were $83 227 for amphotericin monotherapy, $75 121 for amphotericin plus flucytosine, and $44 605 for amphotericin plus fluconazole. The ICER of amphotericin plus flucytosine was $23 842 per quality-adjusted life-year. Flucytosine is currently cost-effective in the United States despite a dramatic increase in price in recent years. Combination therapy with amphotericin and flucytosine is the most attractive treatment strategy for cryptococcal meningitis, though the rising price may be creating access issues that will exacerbate if the trend of profiteering continues. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

The relationship of state Medicaid coverage to Medicaid acceptance among substance abuse providers in the United States.

PubMed

Andrews, Christina M

2014-10-01

The Affordable Care Act will dramatically increase the number of Americans with Medicaid coverage for substance abuse treatment (SAT). Currently, few SAT providers accept Medicaid, and consequently, there is concern that newly-eligible Medicaid enrollees will have difficulty finding SAT providers willing to serve them. However, little is known about why few SAT providers accept Medicaid. In response, this study examines how features of state Medicaid coverage for SAT, including benefits, eligibility, and oversight, are associated with Medicaid acceptance among SAT providers. Medicaid acceptance was positively associated with the number of SAT services covered, and the number of optional categorical expansions implemented by the state. Requirements for physician involvement were associated with lower odds of acceptance. The results suggest that more generous Medicaid coverage may encourage SAT providers to accept Medicaid, but regulatory policies may inhibit their ability to do so.

Fulcrum of Change: Leveraging 50 States to Turn around 5000 Schools

ERIC Educational Resources Information Center

Rhim, Lauren Morando; Redding, Sam

2011-01-01

In 2010, unprecedented levels of resources began to flow through state education agencies (SEAs) to support dramatic change in persistently low-performing schools under the expanded federal School Improvement Grant (SIG) program. The challenge for states is to leverage the federal investment to drive dramatic and sustainable change efforts in…

Gaps in vaccine financing for underinsured children in the United States.

PubMed

Lee, Grace M; Santoli, Jeanne M; Hannan, Claire; Messonnier, Mark L; Sabin, James E; Rusinak, Donna; Gay, Charlene; Lett, Susan M; Lieu, Tracy A

2007-08-08

The number of new vaccines recommended for children and adolescents has nearly doubled during the past 5 years, and the cost of fully vaccinating a child has increased dramatically in the past decade. Anecdotal reports from state policy makers and clinicians suggest that new gaps have arisen in financial coverage of vaccines for children who are underinsured (ie, have private insurance that does not cover all recommended vaccines). In 2000, approximately 14% of children were underinsured for vaccines in the United States. To describe variation among states in the provision of new vaccines to underinsured children and to identify barriers to state purchase and distribution of new vaccines. A 2-phase mixed-methods study of state immunization program managers in the United States. The first phase included 1-hour qualitative telephone interviews conducted from November to December 2005 with 9 program managers chosen to represent different state vaccine financing policies. The second phase incorporated findings from phase 1 to develop a national telephone and paper-based survey of state immunization program managers that was conducted from January to June 2006. Percentage of states in which underinsured children are unable to receive publicly purchased vaccines in the private or public sectors. Immunization program managers from 48 states (96%) participated in the study. Underinsured children were not eligible to receive publicly purchased meningococcal conjugate or pneumococcal conjugate vaccines in the private sector in 70% and 50% of states, respectively, or in the public sector in 40% and 17% of states, respectively. Due to limited financing for new vaccines, 10 states changed their policies for provision of publicly purchased vaccines between 2004 and early 2006 to restrict access to selected new vaccines for underinsured children. The most commonly cited barriers to implementation in underinsured children were lack of sufficient federal and state funding to purchase vaccines. The current vaccine financing system has resulted in gaps for underinsured children in the United States, many of whom are now unable to receive publicly purchased vaccines in either the private or public sectors. Additional strategies are needed to ensure financial coverage for all vaccines, particularly new vaccines, among this vulnerable population.

A Study of the Effects of Creative Dramatics on the Progress in Use of the Library, Reading Interests, Reading Achievement, Self-Concept, Creativity, and Empathy of Fourth and Fifth Grade Children.

ERIC Educational Resources Information Center

Ziegler, Elsie Mae

To appraise the value of a creative dramatics program in a public library setting was the purpose of this study. Nine public library branches comprised the setting for the experiment. At each branch there were three units: (1) creative dramatics, (2) storytelling, and (3) library usage. Storytelling and library usage were the control group. Pre…

Implications of sustainability for the United States light-duty transportation sector

DOE PAGES

Gearhart, Chris

2016-08-08

This article reviews existing literature to assess the consensus of the scientific and engineering communities concerning the potential for the United States’ light-duty transportation sector to meet a goal of 80% reduction in vehicle emissions and examine what it will take to meet this target. Climate change is a problem that must be solved. The primary cause of this problem is burning of fossil fuels to generate energy. A dramatic reduction in carbon emissions must happen soon, and a significant fraction of this reduction must come from the transportation sector. This paper reviews existing literature to assess the consensus ofmore » the scientific and engineering communities concerning the potential for the United States' light-duty transportation sector to meet a goal of 80% reduction in vehicle emissions and examine what it will take to meet this target. It is unlikely that reducing energy consumption in just vehicles with gasoline-based internal combustion drivetrains will be sufficient to meet GHG emission-reduction targets. This paper explores what additional benefits are possible through the adoption of alternative energy sources, looking at three possible on-vehicle energy carriers: carbon-based fuels, hydrogen, and batteries.« less

A Record of NASA Space Missions Since 1958

NASA Technical Reports Server (NTRS)

Rosenthal, Alfred (Compiler)

1982-01-01

Dedicated men and women together with a unique team of industries and universities created the U.S. space program. They provided the ideas, developed the hardware, launched the satellites, safely returned our astronauts, and successfully retrieved hard-won data from outer space. In an attempt to document, between two covers, the accomplishments of the 1958-1981 period, this report has been compiled. It is a record of an exciting and often dramatic period in the history of the United States. The National Aeronautic and Space Administration is proud to have been permitted to play such an important role in challenging man's spirit.

Physician-executives past, present, and future.

PubMed

Smallwood, K G; Wilson, C N

1992-08-01

The dramatic changes in the United States' health care system during the last decade have sparked increasing interest in physician-executives. These executives, skilled in both clinical medicine and health care management, can be found in hospitals, managed care organizations, group practices, and government institutions. This paper outlines the physician-executive's roles and the development process. The remarkable growth in the number of physician-executives is expected to continue as they demonstrate their abilities to help health care providers expand ambulatory services, facilitate provider-physician relationships and physician recruitment, and lend expertise in quality improvement and risk management issues.

The evolving high: new designer drugs of abuse.

PubMed

Pourmand, A; Armstrong, P; Mazer-Amirshahi, M; Shokoohi, H

2014-10-01

Over the past decade, emerging drugs of abuse and synthetic derivatives of more traditional agents have flooded the market. While Europe was the first to experience a surge in the use of drugs such as synthetic cathinones and cannabinoids, poison centers throughout the United States have seen a dramatic rise in calls related to these new designer drugs of abuse. In the majority of cases, care is largely supportive but significant medical and traumatic complications may occur. Providers must be aware of the ever-changing trends in abuse, so that they may optimally care for poisoned patients. © The Author(s) 2014.

Managing the Delivery of Health Care: What Can Health Care Learn From the Business Community?

PubMed

Sharan, Alok D; Millhouse, Paul W; West, Michael E; Schroeder, Gregory D; Vaccaro, Alexander R

2015-08-01

The passage of the Patient Protection and Affordable Care Act in March 2010 has resulted in dramatic changes to the delivery of health care in the United States toward a value-based system. While this is a significant change from the previous model, it presents an opportunity for high-quality health care providers to improve patient outcomes while also increasing revenue. However, those that lack a clear strategy to effectively implement change and communicate the increased value to the patients likely will suffer, regardless of how successful or prestigious they seem today.

Phytoestrogens: a viable option?

PubMed

Russell, Lori; Hicks, G Swink; Low, Annette K; Shepherd, Jinna M; Brown, C Andrew

2002-10-01

Estrogen replacement therapy is one of the most commonly prescribed medicines in the United States by traditional medical professionals. Over the past decade, the market for complementary/ alternative therapies for hormone replacement has dramatically increased. Women are seeking more "natural" alternatives to treat menopausal symptoms. Well-designed randomized clinical trials are often lacking, as is the information on efficacy and safety. This article will review several popular herbal therapies for menopausal symptoms including phytoestrogens, black cohosh (Cimicifuga racemosa), dong quai (Angelica sinensis), chast tree (Vitex agnus-castus), and wild Mexican yam. Their use, mechanism of action, and adverse effects are outlined.

Doing without: serving allied health programs at universities without medical schools.

PubMed

Devin, Robin B

2009-01-01

This article compares libraries in the United States that serve allied health programs at universities without medical schools. Although these university libraries all serve a similar array of health sciences programs, the organization of their library services differ dramatically. There is also little similarity in their collections, particularly in their choice of indexing and abstracting databases. Yet librarians serving as liaisons to allied health programs at universities without medical schools face comparable challenges in meeting the needs of their users. All reported concerns about gaps in their collections and felt hard pressed to provide optimal library service.

Should Body Size Categories Be More Common in Endurance Running Events?

PubMed

Buresh, Robert

2018-05-01

Thousands of endurance running events are held each year in the United States, and most of them use age and sex categories to account for documented effects of those factors on running performance. However, most running events do not provide categories of body mass, despite abundant evidence that it, too, dramatically influences endurance running performance. The purposes of this article are to (1) discuss how body mass affects endurance running performance, (2) explain several mechanisms through which body mass influences endurance running performance, and (3) suggest possible ways in which body mass might be categorized in endurance running events.

Wind for Schools (Poster)

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

Baring-Gould, I.

2010-05-01

As the United States dramatically expands wind energy deployment, the industry is challenged with developing a skilled workforce and addressing public resistance. Wind Powering America's Wind for Schools project addresses these issues by developing Wind Application Centers (WACs) at universities; WAC students assist in implementing school wind turbines and participate in wind courses, by installing small wind turbines at community "host" schools, by implementing teacher training with interactive curricula at each host school. This poster provides an overview of the first two years of the Wind for Schools project, primarily supporting activities in Colorado, Kansas, Nebraska, South Dakota, Montana, andmore » Idaho.« less

Clinical Information Systems - From Yesterday to Tomorrow.

PubMed

Gardner, R M

2016-06-30

To review the history of clinical information systems over the past twenty-five years and project anticipated changes to those systems over the next twenty-five years. Over 250 Medline references about clinical information systems, quality of patient care, and patient safety were reviewed. Books, Web resources, and the author's personal experience with developing the HELP system were also used. There have been dramatic improvements in the use and acceptance of clinical computing systems and Electronic Health Records (EHRs), especially in the United States. Although there are still challenges with the implementation of such systems, the rate of progress has been remarkable. Over the next twenty-five years, there will remain many important opportunities and challenges. These opportunities include understanding complex clinical computing issues that must be studied, understood and optimized. Dramatic improvements in quality of care and patient safety must be anticipated as a result of the use of clinical information systems. These improvements will result from a closer involvement of clinical informaticians in the optimization of patient care processes. Clinical information systems and computerized clinical decision support have made contributions to medicine in the past. Therefore, by using better medical knowledge, optimized clinical information systems, and computerized clinical decision, we will enable dramatic improvements in both the quality and safety of patient care in the next twenty-five years.

Managed care market share and cesarean section rates in the United States: is there a link?

PubMed

Hueston, W J; Sutton, A

2000-11-01

After peaking during the early 1980s, cesarean section rates in the United States have been falling for the last decade. At the same time, managed care enrollment has increased dramatically. This study examines whether managed care penetration in local markets is associated with lower cesarean section rates in those geographic area. A cross-sectional comparison of cesarean section rates and health maintenance organization (HMO) market penetration in 61 selected metropolitan areas in the United States was conducted. National birth certificate data for 1996 were used to calculate crude and race-adjusted cesarean section rates for residents in each area. No relationship between overall cesarean section rates in the metropolitan areas and managed care penetration was observed. Subanalyses of racial groups demonstrated the existence of a weak association between managed care penetration and cesarean section rates for white women (21.2% for the highest quartile of HMO penetration, compared with 19.1% for the lowest quartile; P = .03), but not for African-Americans or other minorities. Managed care penetration in a market may have an association with cesarean section rates for white women, but the strength of this relationship is small. Even if managed care delivery systems reduce cesarean section rates in their own populations, this change is likely to have only a small impact on overall cesarean rates. HMO penetration is unlikely to influence national cesarean section rates, nor does it appear to explain state variations in these rates.

United Nations Charter, Chapter VII, Article 43: Now or Never.

PubMed

Burkle, Frederick M

2018-04-25

For more than 75 years, the United Nations Charter has functioned without the benefit of Chapter VII, Article 43, which commits all United Nations member states "to make available to the Security Council, on its call, armed forces, assistance, facilities, including rights of passage necessary for the purpose of maintaining international peace and security." The consequences imposed by this 1945 decision have had a dramatic negative impact on the United Nation's functional capacity as a global body for peace and security. This article summarizes the struggle to implement Article 43 over the decades from the onset of the Cold War, through diplomatic attempts during the post-Cold War era, to current and often controversial attempts to provide some semblance of conflict containment through peace enforcement missions. The rapid growth of globalization and the capability of many nations to provide democratic protections to their populations are again threatened by superpower hegemony and the development of novel unconventional global threats. The survival of the United Nations requires many long overdue organizational structure and governance power reforms, including implementation of a robust United Nations Standing Task Force under Article 43. (Disaster Med Public Health Preparedness. 2018;page 1 of 8).

Physician Dispensing of Oxycodone and Other Commonly Used Opioids, 2000-2015, United States.

PubMed

Mack, Karin Ann; Jones, Christopher McCall; McClure, Roderick John

2018-05-01

An average of 91 people in the United States die every day from an opioid-related overdose (including prescription opioids and heroin). The direct dispensing of opioids from health care practitioner offices has been linked to opioid-related harms. The objective of this study is to describe the changing nature of the volume of this type of prescribing at the state level. This descriptive study examines the distribution of opioids by practitioners using 1999-2015 Automation of Reports and Consolidated Orders System data. Analyses were restricted to opioids distributed to practitioners. Amount distributed (morphine milligram equivalents [MMEs]) and number of practitioners are presented. Patterns of distribution to practitioners and the number of practitioners varied markedly by state and changed dramatically over time. Comparing 1999 with 2015, the MME distributed to dispensing practitioners decreased in 16 states and increased in 35. Most notable was the change in Florida, which saw a peak of 8.94 MMEs per 100,000 persons in 2010 (the highest distribution in all states in all years) and a low of 0.08 in 2013. This study presents the first state estimates of office-based dispensing of opioids. Increases in direct dispensing in recent years may indicate a need to monitor this practice and consider whether changes are needed. Using controlled substances data to identify high prescribers and dispensers of opioids, as well as examining overall state trends, is a foundational activity to informing the response to potentially high-risk clinical practices.

Trends in Fatalities From Distracted Driving in the United States, 1999 to 2008

PubMed Central

Stimpson, Jim P.

2010-01-01

Objectives. We examined trends in distracted driving fatalities and their relation to cell phone use and texting volume. Methods. The Fatality Analysis Reporting System (FARS) records data on all road fatalities that occurred on public roads in the United States from 1999 to 2008. We studied trends in distracted driving fatalities, driver and crash characteristics, and trends in cell phone use and texting volume. We used multivariate regression analysis to estimate the relation between state-level distracted driving fatalities and texting volumes. Results. After declining from 1999 to 2005, fatalities from distracted driving increased 28% after 2005, rising from 4572 fatalities to 5870 in 2008. Crashes increasingly involved male drivers driving alone in collisions with roadside obstructions in urban areas. By use of multivariate analyses, we predicted that increasing texting volumes resulted in more than 16 000 additional road fatalities from 2001 to 2007. Conclusions. Distracted driving is a growing public safety hazard. Specifically, the dramatic rise in texting volume since 2005 appeared to be contributing to an alarming rise in distracted driving fatalities. Legislation enacting texting bans should be paired with effective enforcement to deter drivers from using cell phones while driving. PMID:20864709

Trends in fatalities from distracted driving in the United States, 1999 to 2008.

PubMed

Wilson, Fernando A; Stimpson, Jim P

2010-11-01

We examined trends in distracted driving fatalities and their relation to cell phone use and texting volume. The Fatality Analysis Reporting System (FARS) records data on all road fatalities that occurred on public roads in the United States from 1999 to 2008. We studied trends in distracted driving fatalities, driver and crash characteristics, and trends in cell phone use and texting volume. We used multivariate regression analysis to estimate the relation between state-level distracted driving fatalities and texting volumes. After declining from 1999 to 2005, fatalities from distracted driving increased 28% after 2005, rising from 4572 fatalities to 5870 in 2008. Crashes increasingly involved male drivers driving alone in collisions with roadside obstructions in urban areas. By use of multivariate analyses, we predicted that increasing texting volumes resulted in more than 16,000 additional road fatalities from 2001 to 2007. Distracted driving is a growing public safety hazard. Specifically, the dramatic rise in texting volume since 2005 appeared to be contributing to an alarming rise in distracted driving fatalities. Legislation enacting texting bans should be paired with effective enforcement to deter drivers from using cell phones while driving.

Diphtheria in the United States, 1971-81.

PubMed Central

Chen, R T; Broome, C V; Weinstein, R A; Weaver, R; Tsai, T F

1985-01-01

After a decade-long resurgence, including a large cutaneous diphtheria outbreak in Washington State, the diphtheria incidence rate in the United States reached its lowest recorded level ever in 1980--two patients (0.01 case per million). Mortality paralleled the decline in incidence rate. Only 143 of the 3,141 US counties reported noncutaneous diphtheria patients during 1971-81; most were located in the West. The highest attack rates were experienced by children less than 15 years old (0.8 case per million) and by American Indians (22.6 cases per million). Persons immunized with three or more doses of diphtheria toxoid had a lower death-to-case ratio (1.3 per cent) than totally unimmunized persons (13.4 per cent). The reasons for the dramatic decline in diphtheria incidence rates are unclear, although it has been postulated that the gene for producing diphtheria toxin may be lost from organisms in highly immunized populations. Significant proportions of the adult and elderly populations are susceptible to diphtheria. Continuation of primary immunization with increased emphasis on the routine use of tetanus and diphtheria toxoids (Td) boosters in adults should ensure that diphtheria will remain largely a scourge of the past. PMID:4061710

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.

Impact of National Ambient Air Quality Standards Nonattainment Designations on Particulate Pollution and Health.

PubMed

Zigler, Corwin M; Choirat, Christine; Dominici, Francesca

2018-03-01

Despite dramatic air quality improvement in the United States over the past decades, recent years have brought renewed scrutiny and uncertainty surrounding the effectiveness of specific regulatory programs for continuing to improve air quality and public health outcomes. We employ causal inference methods and a spatial hierarchical regression model to characterize the extent to which a designation of "nonattainment" with the 1997 National Ambient Air Quality Standard for ambient fine particulate matter (PM2.5) in 2005 causally affected ambient PM2.5 and health outcomes among over 10 million Medicare beneficiaries in the Eastern United States in 2009-2012. We found that, on average across all retained study locations, reductions in ambient PM2.5 and Medicare health outcomes could not be conclusively attributed to the nonattainment designations against the backdrop of other regional strategies that impacted the entire Eastern United States. A more targeted principal stratification analysis indicates substantial health impacts of the nonattainment designations among the subset of areas where the designations are estimated to have actually reduced ambient PM2.5 beyond levels achieved by regional measures, with noteworthy reductions in all-cause mortality, chronic obstructive pulmonary disorder, heart failure, ischemic heart disease, and respiratory tract infections. These findings provide targeted evidence of the effectiveness of local control measures after nonattainment designations for the 1997 PM2.5 air quality standard.

Cryptosporidium surveillance and risk factors in the United States.

PubMed

Yoder, Jonathan S; Beach, Michael J

2010-01-01

Surveillance for Cryptosporidium in the United States indicates that the reported incidence of infection has increased dramatically since 2004. The reasons for this increase are unclear but might be caused by an actual increase in incidence, improved surveillance, improved awareness about cryptosporidiosis, and/or increases in testing practices resulting from the licensing of the first-ever treatment for cryptosporidiosis. While regional differences remain, the incidence of cryptosporidiosis appears to be increasing across the United States. Onset of illness is most common during the summer, particularly among younger children. Cryptosporidiosis case reporting also influences outbreak detection and reporting; the recent rise in cases coincides with an increase in the number of reported cryptosporidiosis outbreaks, particularly in treated recreational water venues. Risk factors include ingesting contaminated recreational or drinking water, exposure to infected animals, having close contacts with cryptosporidiosis, travel to disease-endemic areas, and ingestion of contaminated food. Advances in molecular characterization of clinical specimens have improved our understanding of the changing epidemiology and risk factors. Prevention and control of cryptosporidiosis requires continued efforts to interrupt the transmission of Cryptosporidium through water, food, and contact with infected persons or animals. Of particular importance is continued improvement and monitoring of drinking water treatment and advances in the design, operation, and management of recreational water venues coupled with behavioral changes among the swimming public. Published by Elsevier Inc.

Implications of Sustainability for the United States Light-Duty Transportation Sector

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

Gearhart, Chris

Climate change is a problem that must be solved. The primary cause of this problem is burning of fossil fuels to generate energy. A dramatic reduction in carbon emissions must happen soon, and a significant fraction of this reduction must come from the transportation sector. This paper reviews existing literature to assess the consensus of the scientific and engineering communities concerning the potential for the United States' light-duty transportation sector to meet a goal of 80 percent reduction in vehicle emissions and examine what it will take to meet this target. It is unlikely that reducing energy consumption in justmore » vehicles with gasoline-based internal combustion drivetrains will be sufficient to meet GHG emission-reduction targets. This paper explores what additional benefits are possible through the adoption of alternative energy sources, looking at three possible on-vehicle energy carriers: carbon-based fuels, hydrogen, and batteries. potential for the United States' light-duty transportation sector to meet a goal of 80 percent reduction in vehicle emissions and examine what it will take to meet this target. It is unlikely that reducing energy consumption in just vehicles with gasoline-based internal combustion drivetrains will be sufficient to meet GHG emission-reduction targets. This paper explores what additional benefits are possible through the adoption of alternative energy sources, looking at three possible on-vehicle energy carriers: carbon-based fuels, hydrogen, and batteries.« less

Cross-National Trends in Religious Service Attendance

PubMed Central

Brenner, Philip S.

2016-01-01

The nature of religious change and the future of religion have been central questions of social science since its inception. But empirical research on this question has been quite American-centric, encouraged by the conventional wisdom that the United States is an outlier of religiosity in the developed world, and, more pragmatically, by the availability of survey data. The dramatic growth in the number and reach of cross-national surveys over the past two decades has offered a corrective. These data have allowed research on religious trends in the United States, Canada, and Europe, putting American trends into comparative relief. This research synthesis reviews the past quarter century of cross-national comparative survey research on religious behavior, focusing on religious service attendance as a commonly measured behavior that is arguably more equivalent across societies and cultures than other measures of religiosity. The lack of evidence for religious revival is highlighted, noting instead declining rates of attendance in the United States and Canada, and either declining rates or low “bottomed-out” stability in Western Europe, most of Eastern Europe, and Australia and New Zealand. Finally, countries in Latin America, Africa, and Asia are discussed to the extent that research allows, before a call for future research—in these places in particular—is made in order to correct for the Western and Christian focus of much of the research on cross-national religious trends. PMID:27274579

Using photovoice to explore nigerian immigrants' eating and physical activity in the United States.

PubMed

Turk, Melanie T; Fapohunda, Abimbola; Zoucha, Rick

2015-01-01

African immigrants are one of the fastest growing immigrant groups to the United States; there is a crucial need to learn about African immigrants' beliefs and lifestyle behaviors that may impact health. The purposes of this study were to (a) explore the perceptions and practices of Nigerian immigrants regarding healthy eating and physical activity in the United States; (b) assess the influence of cultural beliefs of Nigerian immigrants on eating and physical activity; (c) describe the role that healthcare providers can play in helping to promote healthy eating and physical activity; and (d) evaluate the feasibility and efficacy of using Photovoice to collect data on the perceptions and practices of Nigerian immigrants regarding healthy eating and physical activity. Qualitative visual ethnography using Photovoice. Thirteen Nigerian immigrants were recruited. Data were collected using photography and focus group discussions at a church. Photovoice methodology and Leininger's four phases of qualitative analysis were used to analyze photographs, field notes, and focus group transcripts. Four overarching themes emerged from the data: moderation is healthy, Nigerian ways of living are healthy, acquiring American ways is unhealthy, and cultural context is important to promote healthy behaviors. Photovoice was a feasible, effective methodology for collecting data on the perceptions and practices of Nigerian immigrants. Nigerian participants believed that adherence to traditional dietary and activity practices are healthy. Nurses and other healthcare providers must make concerted efforts to communicate with and educate Nigerian immigrants about healthful eating and activity behaviors within their cultural context. The number of African immigrants to the United States has increased dramatically. Photovoice is a creative method to learn about the health beliefs and behaviors of the Nigerian immigrant population. © 2014 Sigma Theta Tau International.

How older people in the United States and Germany fared in the growth years of the 1980s: a cross-sectional versus a longitudinal view.

PubMed

Burkhauser, R V; Cutts, A C; Lillard, D R

1999-09-01

The goal of the study was to show that cross-sectional and longitudinal data yield dramatically different answers to a basic question: "How did older persons fare in the recovery years of the 1980s?" The United States Panel Study of Income Dynamics and the German Socio-Economic Panel are used cross-sectionally to capture changes in the economic well-being of older persons in the trough and peak years of the 1980s business cycle, and longitudinally to trace how the economic well-being of a given cohort of older persons changed over those years. Kernel density estimation is then used to show how the distribution of economic well-being of these populations changed over these years. Cross-sectional comparisons confirm that persons aged 65 and over in the peak year were better off than persons aged 65 and over in the trough year in both countries. Longitudinal comparisons, however, show that persons aged 65 and over in the trough year who survived to the peak year received a substantially smaller share of the rewards of economic recovery than cross-sectional comparisons imply. Moreover, the entire income distribution of older persons in the United States shifted downwards. Compositional changes in the cross-sectional data, caused by the entry of high-income persons who are young in the peak year but old in the trough year, obscure the decline in the economic well-being of the cohort of older persons who survived the trough year, in cross-sectional comparisons of older populations in the United States in the 1980s.

Advancing Methods for Estimating Cropland Area

NASA Astrophysics Data System (ADS)

King, L.; Hansen, M.; Stehman, S. V.; Adusei, B.; Potapov, P.; Krylov, A.

2014-12-01

Measurement and monitoring of complex and dynamic agricultural land systems is essential with increasing demands on food, feed, fuel and fiber production from growing human populations, rising consumption per capita, the expansion of crops oils in industrial products, and the encouraged emphasis on crop biofuels as an alternative energy source. Soybean is an important global commodity crop, and the area of land cultivated for soybean has risen dramatically over the past 60 years, occupying more than 5% of all global croplands (Monfreda et al 2008). Escalating demands for soy over the next twenty years are anticipated to be met by an increase of 1.5 times the current global production, resulting in expansion of soybean cultivated land area by nearly the same amount (Masuda and Goldsmith 2009). Soybean cropland area is estimated with the use of a sampling strategy and supervised non-linear hierarchical decision tree classification for the United States, Argentina and Brazil as the prototype in development of a new methodology for crop specific agricultural area estimation. Comparison of our 30 m2 Landsat soy classification with the National Agricultural Statistical Services Cropland Data Layer (CDL) soy map shows a strong agreement in the United States for 2011, 2012, and 2013. RapidEye 5m2 imagery was also classified for soy presence and absence and used at the field scale for validation and accuracy assessment of the Landsat soy maps, describing a nearly 1 to 1 relationship in the United States, Argentina and Brazil. The strong correlation found between all products suggests high accuracy and precision of the prototype and has proven to be a successful and efficient way to assess soybean cultivated area at the sub-national and national scale for the United States with great potential for application elsewhere.

Is All-State Guitar in Your State's Future?

ERIC Educational Resources Information Center

McCarthy, Glen

2013-01-01

The growth of guitar education in schools has been dramatic. From regional, specialized, and isolated programs just a few years ago to a broad-based movement with strong support from administrators, parents, and students, guitar classes are taught today all over North America. Colleges now offer guitar education. A dramatic indicator of guitar's…

Dramatic Declines in Higher Education Appropriations: State Conditions for Budget Punctuations

ERIC Educational Resources Information Center

Li, Amy Y.

2017-01-01

Public colleges and universities depend heavily on state appropriations and legislatures must decide how much to fund higher education. This study applies punctuated equilibrium theory to characterize the distribution of annual changes in higher education appropriations and defines the threshold for a dramatic budget cut. Using data for the 50…

Toward a Regulatory Framework for the Waterpipe.

PubMed

Salloum, Ramzi G; Asfar, Taghrid; Maziak, Wasim

2016-10-01

Waterpipe smoking has been dramatically increasing among youth worldwide and in the United States. Despite its general association with misperceptions of reduced harm, evidence suggests this is a harmful and dependence-inducing tobacco use method that represents a threat to public health. Waterpipe products continue to be generally unregulated, which likely has contributed to their spread. The Family Smoking Prevention and Tobacco Control Act of 2009 granted the US Food and Drug Administration (FDA) the authority to regulate waterpipe products, and the FDA finalized a rule extending its authority over waterpipe products in May 2016. This critical step in addressing the alarming increase in waterpipe smoking in the United States has created urgency for research to provide the evidence needed for effective regulatory initiatives for waterpipe products. We aim to stimulate such research by providing a framework that addresses the scope of waterpipe products and their unique context and use patterns. The proposed framework identifies regulatory targets for waterpipe product components (i.e., tobacco, charcoal, and device), the waterpipe café setting, and its marketing environment dominated by Internet promotion.

Record-Breaking Early Flowering in the Eastern United States

PubMed Central

Ellwood, Elizabeth R.; Temple, Stanley A.; Primack, Richard B.; Davis, Charles C.

2013-01-01

Flowering times are well-documented indicators of the ecological effects of climate change and are linked to numerous ecosystem processes and trophic interactions. Dozens of studies have shown that flowering times for many spring-flowering plants have become earlier as a result of recent climate change, but it is uncertain if flowering times will continue to advance as temperatures rise. Here, we used long-term flowering records initiated by Henry David Thoreau in 1852 and Aldo Leopold in 1935 to investigate this question. Our analyses demonstrate that record-breaking spring temperatures in 2010 and 2012 in Massachusetts, USA, and 2012 in Wisconsin, USA, resulted in the earliest flowering times in recorded history for dozens of spring-flowering plants of the eastern United States. These dramatic advances in spring flowering were successfully predicted by historical relationships between flowering and spring temperature spanning up to 161 years of ecological change. These results demonstrate that numerous temperate plant species have yet to show obvious signs of physiological constraints on phenological advancement in the face of climate change. PMID:23342001

Consumption of materials in the United States, 1900-1995

USGS Publications Warehouse

Matos, G.; Wagner, L.

1998-01-01

The flows of nonfood and nonfuel materials through the economy have significant impact on our lives and the world around us. Growing populations and economies demand more goods, services, and infrastructure. Since the beginning of the twentieth century, the types of materials consumed in the United States have significantly changed. In 1900, on a per-weight basis, almost half of the materials consumed were from renewable resources, such as wood, fibers, and agricultural products, the rest being derived from nonrenewable resources. By 1995, the consumption of renewable resources had declined dramatically, to only 8% of total consumption. During this century, the quantity of materials consumed has grown, from 161 million metric tons in 1900 to 2.8 billion metric tons by 1995, an equivalent of 10 metric tons per person per year. Of all the materials consumed during this century, more than half were consumed in the last 25 years. This paper examines the general historical shifts in materials consumption and presents an analysis of different measurements of materials use and the significance of their trends.

Regional 3-D Modeling of Ground Geoelectric Field for the Northeast United States due to Realistic Geomagnetic Disturbances

NASA Astrophysics Data System (ADS)

Ivannikova, E.; Kruglyakov, M.; Kuvshinov, A. V.; Rastaetter, L.; Pulkkinen, A. A.; Ngwira, C. M.

2017-12-01

During extreme space weather events electric currents in the Earth's magnetosphere and ionosphere experience large variations, which leads to dramatic intensification of the fluctuating magnetic field at the surface of the Earth. According to Faraday's law of induction, the fluctuating geomagnetic field in turn induces electric field that generates harmful currents (so-called "geomagnetically induced currents"; GICs) in grounded technological systems. Understanding (via modeling) of the spatio-temporal evolution of the geoelectric field during enhanced geomagnetic activity is a key consideration in estimating the hazard to technological systems from space weather. We present the results of ground geoelectric field modeling for the Northeast United States, which is performed with the use of our novel numerical tool based on integral equation approach. The tool exploits realistic regional three-dimensional (3-D) models of the Earth's electrical conductivity and realistic global models of the spatio-temporal evolution of the magnetospheric and ionospheric current systems responsible for geomagnetic disturbances. We also explore in detail the manifestation of the coastal effect (anomalous intensification of the geoelectric field near the coasts) in this region.

Nonprofit Human Milk Banking in the United States.

PubMed

Updegrove, Kimberly

2013-01-01

Human milk, widely understood to be beneficial for infants, can be lifesaving for preterm neonates, especially in reducing the risk of necrotizing enterocolitis. Donor human milk (DHM) is an option when mothers are unable to provide milk or have an inadequate supply for their infants. Nonprofit donor human milk banks are established to provide safe, processed human milk from milk donated by healthy lactating mothers who have undergone a rigorous screening process. These milk banks, operating under the auspices of the Human Milk Banking Association of North America, obtain, process, and dispense human milk under strict guidelines set by the association. Increasing the supply of donor human milk to meet a dramatic increase in demand poses a significant challenge for nonprofit milk banks. Efforts to increase supply nationwide include education of providers, use of social media to engage potential donors, and outreach to news media. In parallel, milk banks are establishing regional depots to collect donations, and additional milk banks are being developed. This article describes the current nonprofit milk bank industry in the United States, its challenges, and its future prospects. © 2013 by the American College of Nurse‐Midwives.

Neurostimulation for Drug-Resistant Epilepsy

PubMed Central

DeGiorgio, Christopher M.; Krahl, Scott E.

2013-01-01

Purpose of Review: The purpose of this review is to provide an evidence-based update on the neurostimulation options available for patients with drug-resistant epilepsy in the United States and in European countries. Recent Findings: The field of neurostimulation for epilepsy has grown dramatically since 1997, when vagus nerve stimulation became the first device to be approved for epilepsy by the US Food and Drug Administration (FDA). New data from recently completed randomized controlled trials are available for deep brain stimulation of the anterior thalamus, responsive neurostimulation, and trigeminal nerve stimulation. Although vagus nerve stimulation is the only device currently approved in the United States, deep brain stimulation and responsive neurostimulation devices are awaiting FDA approval. Deep brain stimulation, trigeminal nerve stimulation, and transcutaneous vagus nerve stimulation are now approved for epilepsy in the European Union. In this article, the mechanisms of action, safety, and efficacy of new neurostimulation devices are reviewed, and the key advantages and disadvantages of each are discussed. Summary: The exponential growth of the field of neuromodulation for epilepsy is an exciting development; these new devices provide physicians with new options for patients with drug-resistant epilepsy. PMID:23739108

“It’s Like a Phantom Disease”: Patient Perspectives on Access to Treatment for Chagas Disease in the United States

PubMed Central

Forsyth, Colin J.; Hernandez, Salvador; Flores, Carmen A.; Roman, Mario F.; Nieto, J. Maribel; Marquez, Grecia; Sequeira, Juan; Sequeira, Harry; Meymandi, Sheba K.

2018-01-01

Abstract. Chagas disease (CD) affects > 6 million people globally, including > 300,000 in the United States. Although early detection and etiological treatment prevents chronic complications from CD, < 1% of U.S. cases have been diagnosed and treated. This study explores access to etiological treatment from the perspective of patients with CD. In semi-structured interviews with 50 Latin American–born patients of the Center of Excellence for Chagas Disease at the Olive View–UCLA Medical Center, we collected demographic information and asked patients about their experiences managing the disease and accessing treatment. Patients were highly marginalized, with 63.4% living below the U.S. poverty line, 60% lacking a high school education, and only 12% with private insurance coverage. The main barriers to accessing health care for CD were lack of providers, precarious insurance coverage, low provider awareness, transportation difficulties, and limited time off. Increasing access to diagnosis and treatment will not only require a dramatic increase in provider and public education, but also development of programs which are financially, linguistically, politically, and geographically accessible to patients. PMID:29380723

Undocumentedness and public policy: the impact on communities, individuals, and families along the Arizona/Sonora border.

PubMed

McEwen, Marylyn Morris; Boyle, Joyceen S; Hilfinger Messias, DeAnne K

2015-01-01

The focus of this article is the health impact and implications of undocumentedness along the U.S.-Mexico border, particularly the Arizona/Sonora region. We describe the direct and indirect influences of immigration policies on the health of individuals, families, and communities. The Arizona border region maintains close social, cultural, and linguistic ties to Mexico, and the amplified efforts to secure the border have been dramatic on the region and on the people who live there. The 261-mile stretch across the Arizona-Sonora Desert is the most deadly corridor for immigrants crossing into the United States because they are at risk of being killed, kidnapped, and coerced into smuggling drugs or dying in the desert. Gang-related violence is pushing more Central Americans, including unaccompanied minors, to the United States. The impact on individual migrants and their families has been devastating. We examine the health implications of policy and applaud the actions of the Arizona Nurses Association and the American Academy of Nursing to address the health needs of border communities. Copyright © 2015 Elsevier Inc. All rights reserved.

Significant Threat to North American forests from Southern Pine Beetle with Warming Winters

NASA Astrophysics Data System (ADS)

Horton, R. M.; Lesk, C.; Coffel, E.; D'Amato, A. W.

2016-12-01

In coming decades, warmer winters are likely to lift range constraints on many cold-limited forest insects. Recent unprecedented expansion of the southern pine beetle (SPB, Dendroctonus frontalis) into New Jersey, New York, Connecticut, and Massachusetts in concert with warming annual temperature minima highlights the risk that this insect pest poses to the pine forests of the northern United States and Canada under continued climate change. Here we present the first projections of northward expansion in SPB-suitable climates using a statistical bioclimatic range modeling approach and current-generation general circulation model (GCM) output under the RCP 4.5 and 8.5 emissions scenarios. Our results show that by the middle of the 21st century, the climate is likely to be suitable for SPB expansion into vast areas of previously unaffected forests throughout the northeastern United States and into southeastern Canada. This scenario would pose a significant economic and ecological risk to the affected regions, including disruption of local ecosystem services, dramatic shifts in forest structure, and threats to native biodiversity.

Toward a Regulatory Framework for the Waterpipe

PubMed Central

Salloum, Ramzi G.; Asfar, Taghrid

2016-01-01

Waterpipe smoking has been dramatically increasing among youth worldwide and in the United States. Despite its general association with misperceptions of reduced harm, evidence suggests this is a harmful and dependence-inducing tobacco use method that represents a threat to public health. Waterpipe products continue to be generally unregulated, which likely has contributed to their spread. The Family Smoking Prevention and Tobacco Control Act of 2009 granted the US Food and Drug Administration (FDA) the authority to regulate waterpipe products, and the FDA finalized a rule extending its authority over waterpipe products in May 2016. This critical step in addressing the alarming increase in waterpipe smoking in the United States has created urgency for research to provide the evidence needed for effective regulatory initiatives for waterpipe products. We aim to stimulate such research by providing a framework that addresses the scope of waterpipe products and their unique context and use patterns. The proposed framework identifies regulatory targets for waterpipe product components (i.e., tobacco, charcoal, and device), the waterpipe café setting, and its marketing environment dominated by Internet promotion. PMID:27552262

Short report: Antibody prevalence of select arboviruses in mute swans (Cygnus olor) in the Great Lakes region and Atlantic coast of the United States.

PubMed

Pedersen, Kerri; Marks, David R; Arsnoe, Dustin M; Bevins, Sarah N; Wang, Eryu; Weaver, Scott C; Mickley, Randall M; DeLiberto, Thomas J

2014-12-01

Mute swans (Cygnus olor) are an invasive species in the United States. The dramatic increase in their populations in localized areas has led to various problems, among them competition with native species and attacks on humans by aggressive swans. However, very little is known about the ability of these swans to transmit pathogens to humans, domestic birds, or wildlife or participate in enzootic maintenance. To learn more about select pathogens that mute swans may harbor, a survey was conducted from April of 2011 to August of 2012 in the Great Lakes region and localized areas of the Atlantic coast, which revealed serologic evidence of arbovirus exposure in mute swans. Of 497 mute swans tested, antibodies were detected for eastern equine encephalitis (4.8%), St. Louis encephalitis (1.4%), West Nile (1.2%), and Turlock (0.6%) viruses. Samples were also tested for evidence of antibodies to La Crosse virus, but none were positive. © The American Society of Tropical Medicine and Hygiene.

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.

Strategies for managing the effects of urban development on streams

USGS Publications Warehouse

Cappiella, Karen; Stack, William P.; Fraley-McNeal, Lisa; Lane, Cecilia; McMahon, Gerard

2012-01-01

Urban development remains an important agent of environmental change in the United States. The U.S. population grew by 17 percent from 1982 to 1997, while urbanized land area grew by 47 percent, suggesting that urban land consumption far outpaced population growth (Fulton and others, 2001; Sierra Club, 2003; American Farmland Trust, 2009). Eighty percent of Americans now live in metropolitan areas. Each American effectively occupies about 20 percent more developed land (for housing, schools, shopping, roads, and other related services) than 20 years ago (Markham and Steinzor, 2006). Passel and Cohn (2008) predict a dramatic 48 percent increase in the population of the United States from 2005 to 2050. The advantages and challenges of living in these developed areas—convenience, congestion, employment, pollution—are part of the day-to-day realities of most Americans. Nowhere are the environmental changes associated with urban development more evident than in urban streams. The U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program investigation of the effects of urban development on stream ecosystems (EUSE) during 1999–2004 provides the most spatially comprehensive analysis of stream impacts of urban development that has been completed in the United States. A nationally consistent study design was used in nine metropolitan areas of the United States—Portland, Oregon; Salt Lake City, Utah; Birmingham, Alabama; Atlanta, Georgia; Raleigh, North Carolina; Boston, Massachusetts; Denver, Colorado; Dallas, Texas; and Milwaukee, Wisconsin. A summary report published as part of the EUSE study describes several of these impacts on urban streams (Coles and others, 2012).

Performance of USGS one-year earthquake hazard map for natural and induced seismicity in the central and eastern United States

NASA Astrophysics Data System (ADS)

Brooks, E. M.; Stein, S.; Spencer, B. D.; Salditch, L.; Petersen, M. D.; McNamara, D. E.

2017-12-01

Seismicity in the central United States has dramatically increased since 2008 due to the injection of wastewater produced by oil and gas extraction. In response, the USGS created a one-year probabilistic hazard model and map for 2016 to describe the increased hazard posed to the central and eastern United States. Using the intensity of shaking reported to the "Did You Feel It?" system during 2016, we assess the performance of this model. Assessing the performance of earthquake hazard maps for natural and induced seismicity is conceptually similar but has practical differences. Maps that have return periods of hundreds or thousands of years— as commonly used for natural seismicity— can be assessed using historical intensity data that also span hundreds or thousands of years. Several different features stand out when assessing the USGS 2016 seismic hazard model for the central and eastern United States from induced and natural earthquakes. First, the model can be assessed as a forecast in one year, because event rates are sufficiently high to permit evaluation with one year of data. Second, because these models are projections from the previous year thus implicitly assuming that fluid injection rates remain the same, misfit may reflect changes in human activity. Our results suggest that the model was very successful by the metric implicit in probabilistic hazard seismic assessment: namely, that the fraction of sites at which the maximum shaking exceeded the mapped value is comparable to that expected. The model also did well by a misfit metric that compares the spatial patterns of predicted and maximum observed shaking. This was true for both the central and eastern United States as a whole, and for the region within it with the highest amount of seismicity, Oklahoma and its surrounding area. The model performed least well in northern Texas, over-stating hazard, presumably because lower oil and gas prices and regulatory action reduced the water injection volume relative to the previous year. These results imply that such hazard maps have the potential to be valuable tools for policy makers and regulators in managing the seismic risks associated with unconventional oil and gas production.

Health Care Savings: The Economic Value of Diagnostic and Therapeutic Care for Obstructive Sleep Apnea

PubMed Central

Watson, Nathaniel F.

2016-01-01

Two new white papers commissioned by the American Academy of Sleep Medicine (AASM) provide an in-depth, detailed analysis of the vast economic burden associated with undiagnosed and untreated obstructive sleep apnea among adults in the United States. While the individual health benefits of treating OSA are well established, these papers emphasize the value of comprehensive OSA testing and treatment, which can provide dramatic health care savings for payors and large employers. Citation: Watson NF. Health care savings: the economic value of diagnostic and therapeutic care for obstructive sleep apnea. J Clin Sleep Med 2016;12(8):1075–1077. PMID:27448424

Dermatology practice management enhancement: implications for dermatology in the age of managed care.

PubMed

Nestor, M S

2000-09-01

Health care delivery in the United States has changed dramatically during the past 10 years. Dermatologists are faced with challenging changes in the way they learn new skills, practice, and provide dermatologic care. Dermatologists can survive and flourish in this environment if they learn proper management and enhancement skills. These skills include proper coding and documentation, regulatory compliance, and new levels of practice effectiveness and efficiency. Dermatologists can offer also the benefit of cosmetic procedures and ethical office-based dispensing to their patients. Greater future unification of this specialty will allow dermatology to flourish and show its need, efficiency, and cost-effectiveness.

Evaluation of Biomarkers Predictive of Benefit from the PD-1 Inhibitor MK-3475 in Patients with Non-Small Cell Lung Cancer and Brain Metastases

DTIC Science & Technology

2017-07-01

Unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT Immunotherapies inhibiting the Programmed Death -1 (PD-1) axis can result in dramatic responses and durable...9. Appendices……………………………………………………………14 4 1. INTRODUCTION: Lung cancer is the leading cause of cancer death in the United States, resulting in more...than 160,000 deaths each year. The majority of patients with lung cancer have non-small cell lung cancer (NSCLC) and present with disease at an

Grandparent caregivers.

PubMed

Kolomer, Stacey

2008-01-01

Although grandparent caregiving is not a new phenomenon in the United States, there has been a dramatic increase in grandparent-headed households in the last two decades. Many of these care providers are older and feel somewhat unprepared to raise a new generation of children. As a result, grandparent caregivers are at risk for multiple physical, mental, and emotional problems due to the stresses and strains of care provision. This article summarizes characteristics of grandparent caregivers in our society, the challenges that they face, and how organizations are attempting to assist these older adults with their care provision responsibilities. Recommendations for future research and intervention design will also be discussed.

Space - It's not just for governments anymore

NASA Technical Reports Server (NTRS)

Stone, Barbara A.; Kleber, Peter

1992-01-01

Space initiatives have traditionally been in the exclusive domain of national government. Over the last decades, this has begun to change dramatically as commercial development of space has attracted increasing international attention. Businesses in at least 20 countries worldwide now engage in some form of space commerce. These businesses, which range from strictly entrepreneurial to government corporations, are seeking to do business in every commercial space sector. This paper details the current status and prospects for the future of space commerce in the United States and Europe, focusing on the programs of France, Germany, and Italy. Included are analyses of representative successes and failures of these activities.

Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome in Older Adults.

PubMed

Scott, Jake; Goetz, Matthew Bidwell

2016-08-01

Improved survival with combination antiretroviral therapy has led to a dramatic increase in the number of human immunodeficiency virus (HIV)-infected individuals 50 years of age or older such that by 2020 more than 50% of HIV-infected persons in the United States will be above this age. Recent studies confirm that antiretroviral therapy should be offered to all HIV-infected patients regardless of age, symptoms, CD4+ cell count, or HIV viral load. However, when compared with HIV-uninfected populations, even with suppression of measurable HIV replication, older individuals are at greater risk for cardiovascular disease, malignancies, liver disease, and other comorbidities. Published by Elsevier Inc.

Nutrient pollution of coastal rivers, bays, and seas

USGS Publications Warehouse

Howarth, Robert; Anderson, Donald; Cloern, James; Elfring, Chris; Hopkinson, Charles; Lapointe, Brian; Malone, Tom; Marcus, Nancy; McGlathery, Karen; Sharpley , Andrew; Walker, Dan

2000-01-01

Over the past 40 years, antipollution laws have greatly reduced discharges of toxic substances into our coastal waters. This effort, however, has focused largely on point-source pollution of industrial and municipal effluent. No comparable effort has been made to restrict the input of nitrogen (N) from municipal effluent, nor to control the flows of N and phosphorus (P) that enter waterways from dispersed or nonpoint sources such as agricultural and urban runoff or as airborne pollutants. As a result, inputs of nonpoint pollutants, particularly N, have increased dramatically. Nonpoint pollution from N and P now represents the largest pollution problem facing the vital coastal waters of the United States.

Brunfelsia australis (Yesterday, Today, and Tomorrow tree) and Solanum poisoning in a dog.

PubMed

Clipsham, Robert

2012-01-01

A 2.5 yr old female beagle presented for acute abdominal pain and vomiting after consuming limited offerings of green potato skins. Progressive complications associated with suspected ingestion of a higher potency toxin followed within 5 hr. Subsequent investigations revealed a significant ingestion of an Australian shrub commonly called a "Yesterday, Today, and Tomorrow" tree (Brunfelsia australis). The toxic principle for this emerging toxicity is referred to as "strychnine-like" and is potentially lethal with gastrointestinal, central nervous system, and cardiac pathology. This plant is currently being aggressively promoted by United States nurserymen for its dramatic tri-colored blooms and drought resistance.

Nonacetaminophen Drug-Induced Acute Liver Failure.

PubMed

Thomas, Arul M; Lewis, James H

2018-05-01

Acute liver failure of all causes is diagnosed in between 2000 and 2500 patients annually in the United States. Drug-induced acute liver failure is the leading cause of acute liver failure, accounting for more than 50% of cases. Nonacetaminophen drug injury represents 11% of all cases in the latest registry from the US Acute Liver Failure Study Group. Although rare, acute liver failure is clinically dramatic when it occurs, and requires a multidisciplinary approach to management. In contrast with acetaminophen-induced acute liver failure, non-acetaminophen-induced acute liver failure has a more ominous prognosis with a lower liver transplant-free survival. Copyright © 2018 Elsevier Inc. All rights reserved.

National Health Expenditures, 1993

PubMed Central

Levit, Katharine R.; Sensenig, Arthur L.; Cowan, Cathy A.; Lazenby, Helen C.; McDonnell, Patricia A.; Won, Darleen K.; Sivarajan, Lekha; Stiller, Jean M.; Donham, Carolyn S.; Stewart, Madie S.

1994-01-01

This article presents data on health care spending for the United States, covering expenditures for various types of medical services and products and their sources of funding from 1960 to 1993. Although these statistics show a slowing in the growth of health care expenditures over the past few years, spending continues to increase faster than the overall economy. The share of the Nation's health care bill funded by the Federal Government through the Medicaid and Medicare programs steadily increased from 1991 to 1993. This significant change in the share of health expenditures funded by the public sector has caused Federal health expenditures as a share of all Federal spending to increase dramatically. PMID:10140156

International perspectives on emergency department crowding.

PubMed

Pines, Jesse M; Hilton, Joshua A; Weber, Ellen J; Alkemade, Annechien J; Al Shabanah, Hasan; Anderson, Philip D; Bernhard, Michael; Bertini, Alessio; Gries, André; Ferrandiz, Santiago; Kumar, Vijaya Arun; Harjola, Veli-Pekka; Hogan, Barbara; Madsen, Bo; Mason, Suzanne; Ohlén, Gunnar; Rainer, Timothy; Rathlev, Niels; Revue, Eric; Richardson, Drew; Sattarian, Mehdi; Schull, Michael J

2011-12-01

The maturation of emergency medicine (EM) as a specialty has coincided with dramatic increases in emergency department (ED) visit rates, both in the United States and around the world. ED crowding has become a public health problem where periodic supply and demand mismatches in ED and hospital resources cause long waiting times and delays in critical treatments. ED crowding has been associated with several negative clinical outcomes, including higher complication rates and mortality. This article describes emergency care systems and the extent of crowding across 15 countries outside of the United States: Australia, Canada, Denmark, Finland, France, Germany, Hong Kong, India, Iran, Italy, The Netherlands, Saudi Arabia, Catalonia (Spain), Sweden, and the United Kingdom. The authors are local emergency care leaders with knowledge of emergency care in their particular countries. Where available, data are provided about visit patterns in each country; however, for many of these countries, no national data are available on ED visits rates or crowding. For most of the countries included, there is both objective evidence of increases in ED visit rates and ED crowding and also subjective assessments of trends toward higher crowding in the ED. ED crowding appears to be worsening in many countries despite the presence of universal health coverage. Scandinavian countries with robust systems to manage acute care outside the ED do not report crowding is a major problem. The main cause for crowding identified by many authors is the boarding of admitted patients, similar to the United States. Many hospitals in these countries have implemented operational interventions to mitigate crowding in the ED, and some countries have imposed strict limits on ED length of stay (LOS), while others have no clear plan to mitigate crowding. An understanding of the causes and potential solutions implemented in these countries can provide a lens into how to mitigate ED crowding in the United States through health policy interventions and hospital operational changes. © 2011 by the Society for Academic Emergency Medicine.

Clinical Information Systems – From Yesterday to Tomorrow

PubMed Central

2016-01-01

Summary Objectives To review the history of clinical information systems over the past twenty-five years and project anticipated changes to those systems over the next twenty-five years. Methods Over 250 Medline references about clinical information systems, quality of patient care, and patient safety were reviewed. Books, Web resources, and the author’s personal experience with developing the HELP system were also used. Results There have been dramatic improvements in the use and acceptance of clinical computing systems and Electronic Health Records (EHRs), especially in the United States. Although there are still challenges with the implementation of such systems, the rate of progress has been remarkable. Over the next twenty-five years, there will remain many important opportunities and challenges. These opportunities include understanding complex clinical computing issues that must be studied, understood and optimized. Dramatic improvements in quality of care and patient safety must be anticipated as a result of the use of clinical information systems. These improvements will result from a closer involvement of clinical informaticians in the optimization of patient care processes. Conclusions Clinical information systems and computerized clinical decision support have made contributions to medicine in the past. Therefore, by using better medical knowledge, optimized clinical information systems, and computerized clinical decision, we will enable dramatic improvements in both the quality and safety of patient care in the next twenty-five years. PMID:27362589

High prevalence of antimicrobial resistance among Shigella isolates in the United States tested by the National Antimicrobial Resistance Monitoring System from 1999 to 2002.

PubMed

Sivapalasingam, Sumathi; Nelson, Jennifer M; Joyce, Kevin; Hoekstra, Mike; Angulo, Frederick J; Mintz, Eric D

2006-01-01

Shigella spp. infect approximately 450,000 persons annually in the United States, resulting in over 6,000 hospitalizations. Since 1999, the National Antimicrobial Resistance Monitoring System (NARMS) for Enteric Bacteria has tested every 10th Shigella isolate from 16 state or local public health laboratories for susceptibility to 15 antimicrobial agents. From 1999 to 2002, NARMS tested 1,604 isolates. Among 1,598 isolates identified to species level, 1,278 (80%) were Shigella sonnei, 295 (18%) were Shigella flexneri, 18 (1%) were Shigella boydii, and 7 (0.4%) were Shigella dysenteriae. Overall, 1,251 (78%) were resistant to ampicillin and 744 (46%) were resistant to trimethoprim-sulfamethoxazole (TMP-SMX). Prevalence of TMP-SMX- or ampicillin- and TMP-SMX-resistant Shigella sonnei isolates varied by geographic region, with lower rates in the South and Midwest regions (TMP-SMX resistance, 27% and 30%, respectively; ampicillin and TMP-SMX resistance, 25% and 22%, respectively) and higher rates in the East and West regions (TMP-SMX resistance, 66% and 80%, respectively; ampicillin and TMP-SMX resistance, 54% and 65%, respectively). Nineteen isolates (1%) were resistant to nalidixic acid (1% of S. sonnei and 2% of S. flexneri isolates); 12 (63%) of these isolates had decreased susceptibility to ciprofloxacin. One S. flexneri isolate was resistant to ciprofloxacin. All isolates were susceptible to ceftriaxone. Since 1986, resistance to ampicillin and TMP-SMX has dramatically increased. Shigella isolates in the United States remain susceptible to ciprofloxacin and ceftriaxone.

High Prevalence of Antimicrobial Resistance among Shigella Isolates in the United States Tested by the National Antimicrobial Resistance Monitoring System from 1999 to 2002

PubMed Central

Sivapalasingam, Sumathi; Nelson, Jennifer M.; Joyce, Kevin; Hoekstra, Mike; Angulo, Frederick J.; Mintz, Eric D.

2006-01-01

Shigella spp. infect approximately 450,000 persons annually in the United States, resulting in over 6,000 hospitalizations. Since 1999, the National Antimicrobial Resistance Monitoring System (NARMS) for Enteric Bacteria has tested every 10th Shigella isolate from 16 state or local public health laboratories for susceptibility to 15 antimicrobial agents. From 1999 to 2002, NARMS tested 1,604 isolates. Among 1,598 isolates identified to species level, 1,278 (80%) were Shigella sonnei, 295 (18%) were Shigella flexneri, 18 (1%) were Shigella boydii, and 7 (0.4%) were Shigella dysenteriae. Overall, 1,251 (78%) were resistant to ampicillin and 744 (46%) were resistant to trimethoprim-sulfamethoxazole (TMP-SMX). Prevalence of TMP-SMX- or ampicillin- and TMP-SMX-resistant Shigella sonnei isolates varied by geographic region, with lower rates in the South and Midwest regions (TMP-SMX resistance, 27% and 30%, respectively; ampicillin and TMP-SMX resistance, 25% and 22%, respectively) and higher rates in the East and West regions (TMP-SMX resistance, 66% and 80%, respectively; ampicillin and TMP-SMX resistance, 54% and 65%, respectively). Nineteen isolates (1%) were resistant to nalidixic acid (1% of S. sonnei and 2% of S. flexneri isolates); 12 (63%) of these isolates had decreased susceptibility to ciprofloxacin. One S. flexneri isolate was resistant to ciprofloxacin. All isolates were susceptible to ceftriaxone. Since 1986, resistance to ampicillin and TMP-SMX has dramatically increased. Shigella isolates in the United States remain susceptible to ciprofloxacin and ceftriaxone. PMID:16377666

Developing a tool to estimate water withdrawal and consumption in electricity generation in the United States.

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

Wu, M.; Peng, J.; NE)

2011-02-24

Freshwater consumption for electricity generation is projected to increase dramatically in the next couple of decades in the United States. The increased demand is likely to further strain freshwater resources in regions where water has already become scarce. Meanwhile, the automotive industry has stepped up its research, development, and deployment efforts on electric vehicles (EVs) and plug-in hybrid electric vehicles (PHEVs). Large-scale, escalated production of EVs and PHEVs nationwide would require increased electricity production, and so meeting the water demand becomes an even greater challenge. The goal of this study is to provide a baseline assessment of freshwater use inmore » electricity generation in the United States and at the state level. Freshwater withdrawal and consumption requirements for power generated from fossil, nonfossil, and renewable sources via various technologies and by use of different cooling systems are examined. A data inventory has been developed that compiles data from government statistics, reports, and literature issued by major research institutes. A spreadsheet-based model has been developed to conduct the estimates by means of a transparent and interactive process. The model further allows us to project future water withdrawal and consumption in electricity production under the forecasted increases in demand. This tool is intended to provide decision makers with the means to make a quick comparison among various fuel, technology, and cooling system options. The model output can be used to address water resource sustainability when considering new projects or expansion of existing plants.« less

Insights into the crystal-packing effects on the spin crossover of [Fe(II)(1-bpp)](2+)-based materials.

PubMed

Vela, Sergi; Novoa, Juan J; Ribas-Arino, Jordi

2014-12-28

Iron(II) complexes of the [Fe(II)(1-bpp2)](2+) type (1-bpp = 2,6-di(pyrazol-1-yl)pyridine) have been intensively investigated in the context of crystal engineering of switchable materials because their spin-crossover (SCO) properties dramatically depend on the counterions. Here, by means of DFT + U calculations at the molecular and solid state levels we provide a rationale for the different SCO behaviour of the BF4(-) and ClO4(-) salts of the parent complex; the former features Fe(II) complexes with a regular coordination geometry and undergoes a spin transition, whereas the Fe(II) complexes of the latter adopt a distorted structure and remain in the high-spin state at all temperatures. The different SCO behaviour of both salts can be explained on the basis of a combination of thermodynamic and kinetic effects. The shape of the SCO units at high temperature is thermodynamically controlled by the intermolecular interactions between the SCO units and counterions within the crystal. The spin trapping at low temperatures in the ClO4(-) salt, in turn, is traced back to a kinetic effect because our calculations have revealed the existence of a more stable polymorph having SCO units in their low-spin state that feature a regular structure. From the computational point of view, it is the first time that the U parameter is fine-tuned on the basis of CASPT2 calculations, thereby enabling an accurate description of the energetics of the spin transition at both molecular and solid-state levels.

Prognostic Physiology: Modeling Patient Severity in Intensive Care Units Using Radial Domain Folding

PubMed Central

Joshi, Rohit; Szolovits, Peter

2012-01-01

Real-time scalable predictive algorithms that can mine big health data as the care is happening can become the new “medical tests” in critical care. This work describes a new unsupervised learning approach, radial domain folding, to scale and summarize the enormous amount of data collected and to visualize the degradations or improvements in multiple organ systems in real time. Our proposed system is based on learning multi-layer lower dimensional abstractions from routinely generated patient data in modern Intensive Care Units (ICUs), and is dramatically different from most of the current work being done in ICU data mining that rely on building supervised predictive models using commonly measured clinical observations. We demonstrate that our system discovers abstract patient states that summarize a patient’s physiology. Further, we show that a logistic regression model trained exclusively on our learned layer outperforms a customized SAPS II score on the mortality prediction task. PMID:23304406

The Last Big Bang

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

McGuire, Austin D.; Meade, Roger Allen

As one of the very few people in the world to give the “go/no go” decision to detonate a nuclear device, Austin “Mac” McGuire holds a very special place in the history of both the Los Alamos National Laboratory and the world. As Commander of Joint Task Force Unit 8.1.1, on Christmas Island in the spring and summer of 1962, Mac directed the Los Alamos data collection efforts for twelve of the last atmospheric nuclear detonations conducted by the United States. Since data collection was at the heart of nuclear weapon testing, it fell to Mac to make the ultimatemore » decision to detonate each test device. He calls his experience THE LAST BIG BANG, since these tests, part of Operation Dominic, were characterized by the dramatic displays of the heat, light, and sounds unique to atmospheric nuclear detonations – never, perhaps, to be witnessed again.« less

The landscape for women leaders in dental education, research, and practice.

PubMed

Whelton, Helen; Wardman, Margaret J

2015-05-01

Following early limitations on women becoming educated in and practicing dentistry, the proportion of women enrolled in dental schools around the world has increased dramatically over the past decades. Dental schools have undergone a transformation from male dominance to almost equal numbers in the United States and female predominance in other countries including the United Kingdom. However, this change in student gender distribution has not been matched among academic leaders. Data from across the globe indicate a clear disproportion in favor of males in leadership positions in dentistry-and the more senior the position, the greater the imbalance. This article reviews the evolving changes in gender distribution across the landscape of dental education, research, and practice and some initiatives to address the gender imbalance in leadership. Such initiatives can help to ensure that, in the future, the profession benefits from the spectrum of influences brought to bear by the leadership of both women and men.

Climatology of Urban-regional Systems

NASA Technical Reports Server (NTRS)

Pease, R. W.

1971-01-01

Urbanized areas have come to be significant if not dominant components of many regional land surfaces. They represent perhaps the most dramatic recent change man has made in his environment - a change that may well burgeon in the foreseeable future as greater percentages of world populations crowd into metropolitan areas. The climate of urban-regional systems is involved because temperature, air, and pollutants added to the air are significant aspects of this change. During the past two years, substantial progress has been made in the application of remote sensing techniques to the study of urban climatology by programs jointly sponsored by NASA and the United States Geological Survey. The initial effort has endeavored with considerable success to map terrestrial radiation emission or the general thermal state of the land surface with the aid of imaging radiometers (mechanical-optical scanners).

Televised state-sponsored antitobacco advertising and youth smoking beliefs and behavior in the United States, 1999-2000.

PubMed

Emery, Sherry; Wakefield, Melanie A; Terry-McElrath, Yvonne; Saffer, Henry; Szczypka, Glen; O'Malley, Patrick M; Johnston, Lloyd D; Chaloupka, Frank J; Flay, Brian

2005-07-01

Recent state budget crises have dramatically reduced funding for state-sponsored antitobacco media campaigns. If campaigns are associated with reduced smoking, such cuts could result in long-term increases in state health care costs. Commercial ratings data on mean audience exposure to antitobacco advertising that appeared on network and cable television across the largest 75 media markets in the United States for 1999 through 2000 were combined with nationally representative survey data from school-based samples of youth in the contiguous 48 states. Multivariate regression models were used to analyze associations between mean exposure to state antitobacco advertising and youth smoking-related beliefs and behaviors, controlling for individual and environmental factors usually associated with youth smoking and other televised tobacco-related advertising. Mean exposure to at least 1 state-sponsored antitobacco advertisement in the past 4 months was associated with lower perceived rates of friends' smoking (odds ratio [OR], 0.72; 95% confidence interval [CI], 0.58-0.88), greater perceived harm of smoking (OR, 1.25; 95% CI, 1.11-1.42), stronger intentions not to smoke in the future (OR, 1.43; 95% CI, 1.17-1.74), and lower odds of being a smoker (OR, 0.74; 95% CI, 0.63-0.88). To our knowledge, this study is the first to explore the potential impact of state-sponsored antitobacco media campaigns while controlling for other tobacco-related advertising and other tobacco control policies. State-sponsored antitobacco advertising is associated with desired outcomes of greater antitobacco sentiment and reduced smoking among youth. Recent cuts in these campaigns may have future negative health and budgetary consequences.

USGS Arctic Science Strategy

USGS Publications Warehouse

Shasby, Mark; Smith, Durelle

2015-07-17

The United States is one of eight Arctic nations responsible for the stewardship of a polar region undergoing dramatic environmental, social, and economic changes. Although warming and cooling cycles have occurred over millennia in the Arctic region, the current warming trend is unlike anything recorded previously and is affecting the region faster than any other place on Earth, bringing dramatic reductions in sea ice extent, altered weather, and thawing permafrost. Implications of these changes include rapid coastal erosion threatening villages and critical infrastructure, potentially significant effects on subsistence activities and cultural resources, changes to wildlife habitat, increased greenhouse-gas emissions from thawing permafrost, threat of invasive species, and opening of the Arctic Ocean to oil and gas exploration and increased shipping. The Arctic science portfolio of the U.S. Geological Survey (USGS) and its response to climate-related changes focuses on landscapescale ecosystem and natural resource issues and provides scientific underpinning for understanding the physical processes that shape the Arctic. The science conducted by the USGS informs the Nation's resource management policies and improves the stewardship of the Arctic Region.

The rising level of medical student debt: potential risk for a national default.

PubMed

Ariyan, S

2000-04-01

At the turn of the 20th century, mostly as a result of the Flexner report, medical education changed dramatically by establishing a scientific basis for the study of medicine within the institutions of the major universities. There have been major and dramatic changes in medicine during the past 80 years that have improved medical education in the United States, but these changes have also placed major economic strains on students who have educational debts. If medicine is a social responsibility to the public, then the public should share the responsibility of identifying and supporting new approaches to funding and financially managing the teaching of future physicians. There is no universal solution because there are various approaches institutions may take to structure these financial responsibilities. This article describes trends in medical student educational debt, identifies the financial needs of medical students, and proposes ways of addressing those needs to avert a possible national financial crisis among medical students. We must invest in medical students because they will be the leaders we need to help care for our society and our own families in the next century.

Cost-Effectiveness of Pertussis Vaccination During Pregnancy in the United States.

PubMed

Atkins, Katherine E; Fitzpatrick, Meagan C; Galvani, Alison P; Townsend, Jeffrey P

2016-06-15

Vaccination against pertussis has reduced the disease burden dramatically, but the most severe cases and almost all fatalities occur in infants too young to be vaccinated. Recent epidemiologic evidence suggests that targeted vaccination of mothers during pregnancy can reduce pertussis incidence in their infants. To evaluate the cost-effectiveness of antepartum maternal vaccination in the United States, we created an age-stratified transmission model, incorporating empirical data on US contact patterns and explicitly modeling parent-infant exposure. Antepartum maternal vaccination incurs costs of $114,000 (95% prediction interval: 82,000, 183,000) per quality-adjusted life-year, in comparison with the strategy of no adult vaccination, and is cost-effective in the United States according to World Health Organization criteria. By contrast, vaccinating a second parent is not cost-effective, and vaccination of either parent postpartum is strongly dominated by antepartum maternal vaccination. Nonetheless, postpartum vaccination of mothers who were not vaccinated antepartum improves upon the current recommendation of untargeted adult vaccination. Additionally, the temporary direct protection of the infant due to maternal antibody transfer has efficacy for infants comparable to that conferred to toddlers by the full primary vaccination series. Efficient protection against pertussis for infants begins before birth. We highly recommend antepartum vaccination for as many US mothers as possible. © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Mapping grasslands suitable for cellulosic biofuels in the Greater Platte River Basin, United States

USGS Publications Warehouse

Wylie, Bruce K.; Gu, Yingxin

2012-01-01

Biofuels are an important component in the development of alternative energy supplies, which is needed to achieve national energy independence and security in the United States. The most common biofuel product today in the United States is corn-based ethanol; however, its development is limited because of concerns about global food shortages, livestock and food price increases, and water demand increases for irrigation and ethanol production. Corn-based ethanol also potentially contributes to soil erosion, and pesticides and fertilizers affect water quality. Studies indicate that future potential production of cellulosic ethanol is likely to be much greater than grain- or starch-based ethanol. As a result, economics and policy incentives could, in the near future, encourage expansion of cellulosic biofuels production from grasses, forest woody biomass, and agricultural and municipal wastes. If production expands, cultivation of cellulosic feedstock crops, such as switchgrass (Panicum virgatum L.) and miscanthus (Miscanthus species), is expected to increase dramatically. The main objective of this study is to identify grasslands in the Great Plains that are potentially suitable for cellulosic feedstock (such as switchgrass) production. Producing ethanol from noncropland holdings (such as grassland) will minimize the effects of biofuel developments on global food supplies. Our pilot study area is the Greater Platte River Basin, which includes a broad range of plant productivity from semiarid grasslands in the west to the fertile corn belt in the east. The Greater Platte River Basin was the subject of related U.S. Geological Survey (USGS) integrated research projects.

The materials flow of mercury in the economies of the United States and the world

USGS Publications Warehouse

Sznopek, John L.; Goonan, Thomas G.

2000-01-01

Although natural sources of mercury exist in the environment, measured data and modeling results indicate that the amount of mercury released into the biosphere has increased since the beginning of the industrial age. Mercury is naturally distributed in the air, water, and soil in minute amounts, and can be mobile within and between these media. Because of these properties and the subsequent impacts on human health, mercury was selected for an initial materials flow study, focusing on the United States in 1990. This study was initiated to provide a current domestic and international analysis. As part of an increased emphasis on materials flow, this report researched changes and identified the associated trends in mercury flows; it also updates statistics through 1996. In addition to domestic flows, the report includes an international section, because all primary mercury-producing mines are currently foreign, 86 percent of the mercury cell sector of the worldwide chlor-alkali industry is outside the United States, there is a large international mercury trade (1,395 t 1 in 1996), and environmental regulations are not uniform or similarly enforced from country to country. Environmental concerns have brought about numerous regulations that have dramatically decreased both the use and the production of mercury since the late 1980?s. Our study indicates that this trend is likely to continue into the future, as the world eliminates the large mercury inventories that have been stockpiled to support prior industrial processes and products.

Effect of the lung allocation score on lung transplantation in the United States.

PubMed

Egan, Thomas M; Edwards, Leah B

2016-04-01

On May 4, 2005, the system for allocation of deceased donor lungs for transplant in the United States changed from allocation based on waiting time to allocation based on the lung allocation score (LAS). We sought to determine the effect of the LAS on lung transplantation in the United States. Organ Procurement and Transplantation Network data on listed and transplanted patients were analyzed for 5 calendar years before implementation of the LAS (2000-2004), and compared with data from 6 calendar years after implementation (2006-2011). Counts were compared between eras using the Wilcoxon rank sum test. The rates of transplant increase within each era were compared using an F-test. Survival rates computed using the Kaplan-Meier method were compared using the log-rank test. After introduction of the LAS, waitlist deaths decreased significantly, from 500/year to 300/year; the number of lung transplants increased, with double the annual increase in rate of lung transplants, despite no increase in donors; the distribution of recipient diagnoses changed dramatically, with significantly more patients with fibrotic lung disease receiving transplants; age of recipients increased significantly; and 1-year survival had a small but significant increase. Allocating lungs for transplant based on urgency and benefit instead of waiting time was associated with fewer waitlist deaths, more transplants performed, and a change in distribution of recipient diagnoses to patients more likely to die on the waiting list. Copyright © 2016 International Society for Heart and Lung Transplantation. All rights reserved.

Projections of white and black older adults without living kin in the United States, 2015 to 2060.

PubMed

Verdery, Ashton M; Margolis, Rachel

2017-10-17

Close kin provide many important functions as adults age, affecting health, financial well-being, and happiness. Those without kin report higher rates of loneliness and experience elevated risks of chronic illness and nursing facility placement. Historical racial differences and recent shifts in core demographic rates suggest that white and black older adults in the United States may have unequal availability of close kin and that this gap in availability will widen in the coming decades. Whereas prior work explores the changing composition and size of the childless population or those without spouses, here we consider the kinless population of older adults with no living close family members and how this burden is changing for different race and sex groups. Using demographic microsimulation and the United States Census Bureau's recent national projections of core demographic rates by race, we examine two definitions of kinlessness: those without a partner or living children, and those without a partner, children, siblings, or parents. Our results suggest dramatic growth in the size of the kinless population as well as increasing racial disparities in percentages kinless. These conclusions are driven by declines in marriage and are robust to different assumptions about the future trajectory of divorce rates or growth in nonmarital partnerships. Our findings draw attention to the potential expansion of older adult loneliness, which is increasingly considered a threat to population health, and the unequal burden kinlessness may place on black Americans.

Into the Curriculum. Dramatics/Reading/Language Arts: Jellyfish Jiggle and More; Reading/Language Arts: Birthstone Folklore; Science: Jellyfish FAQ; Science: Minerals in Caves; Social Studies: Mapping the Oceans.

ERIC Educational Resources Information Center

School Library Media Activities Monthly, 2003

2003-01-01

Provides five fully developed library media activities that are designed for use with specific curriculum units in dramatics, reading, language arts, science, and social studies. Library media skills, curriculum objectives, grade levels, resources, instructional roles, activities and procedures, evaluation, and follow-up are describes for each…

Redefining RECs: Additionality in the voluntary Renewable Energy Certificate market

NASA Astrophysics Data System (ADS)

Gillenwater, Michael Wayne

In the United States, electricity consumers are told that they can "buy" electricity from renewable energy projects, versus fossil fuel-fired facilities, through participation in a voluntary green power program. The marketing messages communicate to consumers that their participation and premium payments for a green label will cause additional renewable energy generation and thereby allow them to claim they consume electricity that is absent pollution as well as reduce pollutant emissions. Renewable Energy Certificates (RECs) and wind energy are the basis for the majority of the voluntary green power market in the United States. This dissertation addresses the question: Do project developers respond to the voluntary REC market in the United States by altering their decisions to invest in wind turbines? This question is investigated by modeling and probabilistically quantifying the effect of the voluntary REC market on a representative wind power investor in the United States using data from formal expert elicitations of active participants in the industry. It is further explored by comparing the distribution of a sample of wind power projects supplying the voluntary green power market in the United States against an economic viability model that incorporates geographic factors. This dissertation contributes the first quantitative analysis of the effect of the voluntary REC market on project investment. It is found that 1) RECs should be not treated as equivalent to emission offset credits, 2) there is no clearly credible role for voluntary market RECs in emissions trading markets without dramatic restructuring of one or both markets and the environmental commodities they trade, and 3) the use of RECs in entity-level GHG emissions accounting (i.e., "carbon footprinting") leads to double counting of emissions and therefore is not justified. The impotence of the voluntary REC market was, at least in part, due to the small magnitude of the REC price signal and lack of long-term contracts that would reduce the risk of relying on revenue the voluntary green power market. Although no simple solutions are identified, a proposal for integrating RECs into a load based cap-and-trade system is presented. Keywords: Renewable Energy Certificate (REC); Renewable Portfolio Standard (RPS); emission offset; additionality; attributes

Estimation of Potential Shale Gas Yield Amount and Land Degradation in China by Landcover Distribution regarding Water-Food-Energy and Forest

NASA Astrophysics Data System (ADS)

Kim, N.; Heo, S.; Lim, C. H.; Lee, W. K.

2017-12-01

Shale gas is gain attention due to the tremendous reserves beneath the earth. The two known high reservoirs are located in United States and China. According to U.S Energy Information Administration China have estimated 7,299 trillion cubic feet of recoverable shale gas and placed as world first reservoir. United States had 665 trillion cubic feet for the shale gas reservoir and placed fourth. Unlike the traditional fossil fuel, spatial distribution of shale gas is considered to be widely spread and the reserved amount and location make the resource as energy source for the next generation. United States dramatically increased the shale gas production. For instance, shale gas production composes more than 50% of total natural gas production whereas China and Canada shale gas produce very small amount of the shale gas. According to U.S Energy Information Administration's report, in 2014 United States produced shale gas almost 40 billion cubic feet per day but China only produced 0.25 billion cubic feet per day. Recently, China's policy had changed to decrease the coal powerplants to reduce the air pollution and the energy stress in China is keep increasing. Shale gas produce less air pollution while producing energy and considered to be clean energy source. Considering the situation of China and characteristics of shale gas, soon the demand of shale gas will increase in China. United States invested 71.7 billion dollars in 2013 but it Chinese government is only proceeding fundamental investment due to land degradation, limited water resources, geological location of the reservoirs.In this study, firstly we reviewed the current system and technology of shale gas extraction such as hydraulic Fracturing. Secondly, listed the possible environmental damages, land degradations, and resource demands for the shale gas extraction. Thirdly, invested the potential shale gas extraction amount in China based on the location of shale gas reservoirs and limited resources for the gas extraction. Fourthly, invested the potential land degradation on agricultural, surface water, and forest in developing shale gas extraction scenario. In conclusion, we suggested possible environmental damages and social impacts from shale gas extraction in China.

Invasive potential of cattle fever ticks in the southern United States

PubMed Central

2014-01-01

Abstract' Background For >100 years cattle production in the southern United States has been threatened by cattle fever. It is caused by an invasive parasite-vector complex that includes the protozoan hemoparasites Babesia bovis and B. bigemina, which are transmitted among domestic cattle via Rhipicephalus tick vectors of the subgenus Boophilus. In 1906 an eradication effort was started and by 1943 Boophilus ticks had been confined to a narrow tick eradication quarantine area (TEQA) along the Texas-Mexico border. However, a dramatic increase in tick infestations in areas outside the TEQA over the last decade suggests these tick vectors may be poised to re-invade the southern United States. We investigated historical and potential future distributions of climatic habitats of cattle fever ticks to assess the potential for a range expansion. Methods We built robust spatial predictions of habitat suitability for the vector species Rhipicephalus (Boophilus) microplus and R. (B.) annulatus across the southern United States for three time periods: 1906, present day (2012), and 2050. We used analysis of molecular variance (AMOVA) to identify persistent tick occurrences and analysis of bias in the climate proximate to these occurrences to identify key environmental parameters associated with the ecology of both species. We then used ecological niche modeling algorithms GARP and Maxent to construct models that related known occurrences of ticks in the TEQA during 2001–2011 with geospatial data layers that summarized important climate parameters at all three time periods. Results We identified persistent tick infestations and specific climate parameters that appear to be drivers of ecological niches of the two tick species. Spatial models projected onto climate data representative of climate in 1906 reproduced historical pre-eradication tick distributions. Present-day predictions, although constrained to areas near the TEQA, extrapolated well onto climate projections for 2050. Conclusions Our models indicate the potential for range expansion of climate suitable for survival of R. microplus and R. annulatus in the southern United States by mid-century, which increases the risk of reintroduction of these ticks and cattle tick fever into major cattle producing areas. PMID:24742062

Using the FORE-SCE model to project land-cover change in the southeastern United States

USGS Publications Warehouse

Sohl, Terry; Sayler, Kristi L.

2008-01-01

A wide variety of ecological applications require spatially explicit current and projected land-use and land-cover data. The southeastern United States has experienced massive land-use change since European settlement and continues to experience extremely high rates of forest cutting, significant urban development, and changes in agricultural land use. Forest-cover patterns and structure are projected to change dramatically in the southeastern United States in the next 50 years due to population growth and demand for wood products [Wear, D.N., Greis, J.G. (Eds.), 2002. Southern Forest Resource Assessment. General Technical Report SRS-53. U.S. Department of Agriculture, Forest Service, Southern Research Station, Asheville, NC, 635 pp]. Along with our climate partners, we are examining the potential effects of southeastern U.S. land-cover change on regional climate. The U.S. Geological Survey (USGS) Land Cover Trends project is analyzing contemporary (1973-2000) land-cover change in the conterminous United States, providing ecoregion-by-ecoregion estimates of the rates of change, descriptive transition matrices, and changes in landscape metrics. The FORecasting SCEnarios of future land-cover (FORE-SCE) model used Land Cover Trends data and theoretical, statistical, and deterministic modeling techniques to project future land-cover change through 2050 for the southeastern United States. Prescriptions for future proportions of land cover for this application were provided by ecoregion-based extrapolations of historical change. Logistic regression was used to develop relationships between suspected drivers of land-cover change and land cover, resulting in the development of probability-of-occurrence surfaces for each unique land-cover type. Forest stand age was initially established with Forest Inventory and Analysis (FIA) data and tracked through model iterations. The spatial allocation procedure placed patches of new land cover on the landscape until the scenario prescriptions were met, using measured Land Cover Trends data to guide patch characteristics and the probability surfaces to guide placement. The approach provides an efficient method for extrapolating historical land-cover trends and is amenable to the incorporation of more detailed and focused studies for the establishment of scenario prescriptions.

Confronting youth gangs in the intensive care unit.

PubMed

Akiyama, Cliff

2015-01-01

Youth gang violence has continued its upward trend nationwide. It was once thought that gangs convened only in selected areas, which left churches, schools, and hospitals as "neutral" territory. Unfortunately, this is a fallacy. The results of gang violence pour into hospitals and into intensive care units regularly. The media portrays California as having a gang violence problem; however, throughout the United States, gang violence has risen more than 35% in the past year. Youth gang violence continues to rise dramatically with more and more of our youth deciding to join gangs each day. Sadly, every state has gangs, and the problem is getting much worse in areas that would never have thought about gangs a year ago. These "new generation" of gang members is younger, much more violent, and staying in the gang longer. Gangs are not just an urban problem. Gang activity is a suburban and rural problem too. There are more than 25 500 gangs in the United States, with a total gang membership of 850 000. Ninety-four percent of gang members are male and 6% are female. The ethnic composition nationwide includes 47% Latino, 31% African American, 13% White, 7% Asian, and 2% "mixed," according to the Office of Juvenile Justice and Delinquency Prevention of the U.S. Department of Justice. As a result of the ongoing proliferation of youth street gangs in our communities, it is imperative that critical care nurses and others involved with the direct care become educated about how to identify gang members, their activities, and understand their motivations. Such education and knowledge will help provide solutions to families and the youth themselves, help eradicate the problem of gang violence, and keep health care professionals safe.

Proteostasis and Diseases of the Motor Unit.

PubMed

Rinaldi, Carlo; Mäger, Imre; Wood, Matthew J

2016-01-01

The accumulation in neurons of aberrant protein species, the pathological hallmark of many neurodegenerative diseases, results from a global impairment of key cellular processes governing protein synthesis/degradation and repair mechanisms, also known as the proteostasis network (PN). The growing number of connections between dysfunction of this intricate network of pathways and diseases of the motor unit, where both motor neurons and muscle are primarily affected, has provided momentum to investigate the muscle- and motor neuron-specific response to physiological and pathological stressors and to explore the therapeutic opportunities that manipulation of this process may offer. Furthermore, these diseases offer an unparalleled opportunity to deepen our understanding of the molecular mechanisms behind the intertissue communication and transfer of signals of proteostasis. The most compelling aspect of these investigations is their immediate potential for therapeutic impact: targeting muscle to stem degeneration of the motor unit would represent a dramatic paradigm therapeutic shift for treating these devastating diseases. Here we will review the current state of the art of the research on the alterations of the PN in diseases of the motor unit and its potential to result in effective treatments for these devastating neuromuscular disorders.

The Effects of Medical Marijuana Laws on Potency

PubMed Central

Pacula, Rosalie Liccardo; Heaton, Paul

2014-01-01

Background Marijuana potency has risen dramatically over the past two decades. In the United States, it is unclear whether state medical marijuana policies have contributed to this increase. Methods Employing a differences-in-differences model within a mediation framework, we analyzed data on n = 39,157 marijuana samples seized by law enforcement in 51 U.S. jurisdictions between 1990-2010, producing estimates of the direct and indirect effects of state medical marijuana laws on potency, as measured by Δ9-tetrahydrocannabinol content. Results We found evidence that potency increased by a half percentage point on average after legalization of medical marijuana, although this result was not significant. When we examined specific medical marijuana supply provisions, results suggest that legal allowances for retail dispensaries had the strongest influence, significantly increasing potency by about one percentage point on average. Our mediation analyses examining the mechanisms through which medical marijuana laws influence potency found no evidence of direct regulatory impact. Rather, the results suggest that the impact of these laws occurs predominantly through a compositional shift in the share of the market captured by high-potency sinsemilla. Conclusion Our findings have important implications for policymakers and those in the scientific community trying to understand the extent to which greater availability of higher potency marijuana increases the risk of negative public health outcomes, such as drugged driving and drug-induced psychoses. Future work should reconsider the impact of medical marijuana laws on health outcomes in light of dramatic and ongoing shifts in both marijuana potency and the medical marijuana policy environment. PMID:24502887

Representation and redistribution in federations.

PubMed

Dragu, Tiberiu; Rodden, Jonathan

2011-05-24

Many of the world's most populous democracies are political unions composed of states or provinces that are unequally represented in the national legislature. Scattered empirical studies, most of them focusing on the United States, have discovered that overrepresented states appear to receive larger shares of the national budget. Although this relationship is typically attributed to bargaining advantages associated with greater legislative representation, an important threat to empirical identification stems from the fact that the representation scheme was chosen by the provinces. Thus, it is possible that representation and fiscal transfers are both determined by other characteristics of the provinces in a specific country. To obtain an improved estimate of the relationship between representation and redistribution, we collect and analyze provincial-level data from nine federations over several decades, taking advantage of the historical process through which federations formed and expanded. Controlling for a variety of country- and province-level factors and using a variety of estimation techniques, we show that overrepresented provinces in political unions around the world are rather dramatically favored in the distribution of resources.

Increasing seismicity in the U. S. midcontinent: Implications for earthquake hazard

USGS Publications Warehouse

Ellsworth, William L.; Llenos, Andrea L.; McGarr, Arthur F.; Michael, Andrew J.; Rubinstein, Justin L.; Mueller, Charles S.; Petersen, Mark D.; Calais, Eric

2015-01-01

Earthquake activity in parts of the central United States has increased dramatically in recent years. The space-time distribution of the increased seismicity, as well as numerous published case studies, indicates that the increase is of anthropogenic origin, principally driven by injection of wastewater coproduced with oil and gas from tight formations. Enhanced oil recovery and long-term production also contribute to seismicity at a few locations. Preliminary hazard models indicate that areas experiencing the highest rate of earthquakes in 2014 have a short-term (one-year) hazard comparable to or higher than the hazard in the source region of tectonic earthquakes in the New Madrid and Charleston seismic zones.

The Intergenerational Cycle of Obesity and Its Implications for Nursing Care of Childbearing Women.

PubMed

Purnell, Molly C; MacKenzie, Meredith A

2016-01-01

Despite intensive focus and interventions at societal and individual levels, more than a third of people in the United States are overweight or obese, and childhood/adolescent obesity rates have dramatically increased during the past three decades. Biomedical research has shown a clear link between the prenatal environment and lifetime adiposity. Children born to overweight and obese women with impaired glucose metabolism show cardiometabolic consequences throughout their life spans that, in turn, affect their children's adiposity. Awareness of this intergenerational cycle of obesity can prompt nurses to intervene in the preconception, prenatal, and postnatal phases. © 2016 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses.

Human papillomavirus (HPV) and Oropharyngeal Squamous Cell Carcinoma (OP-SCC) of the Head and Neck: a Growing Epidemic

PubMed Central

Bauman, Jessica; Wirth, Lori

2015-01-01

Human papillomavirus (HPV) is now considered a major causative agent in oropharyngeal squamous cell carcinoma (OP-SCC). The incidence of HPV+ OP-SCC is increasing dramatically, is higher in men, and is now more common than cervical cancer in the United States. HPV+ OPSCCs usually present as locally advanced, stage IV cancers, requiring intensive treatment with surgery, chemotherapy, and/or radiation that can cause tremendous morbidity. HPV vaccination is predicted to prevent HPV+ OP-SCC because over 90% are caused by vaccine-type HPV. However, current vaccination rates are not yet high enough to be effective at preventing HPV-associated malignancies at a population level. PMID:27132327

Cost-effectiveness of hepatitis A vaccination for individuals with chronic hepatitis C.

PubMed

Chapko, Michael K; Yee, Helen S; Monto, Alexander; Dominitz, Jason A

2010-02-17

The incidence of hepatitis A infection in the United States has decreased dramatically in recent years because of childhood immunization programs. A decision analysis of the cost-effectiveness of hepatitis A vaccination for adults with hepatitis C was conducted. No vaccination strategy is cost-effective for adults with hepatitis C using the recent lower anticipated hepatitis A incidence, private sector costs, and a cost-effectiveness criterion of $100,000/QALY. Vaccination is cost-effective only for individuals who have cleared the hepatitis C virus when Department of Veterans Affairs costs are used. The recommendation to vaccinate adults with hepatitis C against hepatitis A should be reconsidered. Published by Elsevier Ltd.

Microbiological Spoilage of Fruits and Vegetables

NASA Astrophysics Data System (ADS)

Barth, Margaret; Hankinson, Thomas R.; Zhuang, Hong; Breidt, Frederick

Consumption of fruit and vegetable products has dramatically increased in the United States by more than 30% during the past few decades. It is also estimated that about 20% of all fruits and vegetables produced is lost each year due to spoilage. The focus of this chapter is to provide a general background on microbiological spoilage of fruit and vegetable products that are organized in three categories: fresh whole fruits and vegetables, fresh-cut fruits and vegetables, and fermented or acidified vegetable products. This chapter will address characteristics of spoilage microorganisms associated with each of these fruit and vegetable categories including spoilage mechanisms, spoilage defects, prevention and control of spoilage, and methods for detecting spoilage microorganisms.

Acute Liver Failure including Acetaminophen Overdose

PubMed Central

Fontana, Robert J.

2008-01-01

Synopsis Acute liver failure (ALF) is a dramatic and highly unpredictable clinical syndrome defined by the sudden onset of coagulopathy and encephalopathy. Although many disease processes can cause ALF, acetaminophen overdose is the leading cause in the United States, and has a 66% chance of recovery with early N-acetylcysteine treatment and supportive care. Cerebral edema and infectious complications are notoriously difficult to detect and treat in ALF patients and may lead to irreversible brain damage and multi-organ failure. Emergency liver transplantation is associated with a 70% 1-year patient survival but 20% of listed patients die, highlighting the importance of early referral of ALF patients with a poor prognosis to a liver transplant center. PMID:18570942

Creating a stakeholder-driven unified conservation blueprint for 15 southeastern states.

NASA Astrophysics Data System (ADS)

Hopkins, T. E.

2017-12-01

The dramatic changes sweeping the Southeastern United States — such as urbanization, competition for water resources, extreme weather events, sea-level rise, and climate change — pose unprecedented challenges for sustaining our natural and cultural resources. Defining the conservation landscape of the future requires a new model of working together across entities, factions, and political boundaries through a collaborative process. We will illustrate how ecosystem service valuation can be built using a stakeholder-drive process which has united the conservation community through a shared, long-term vision for the future through the Southeast Conservation Adaptation Strategy (SECAS). Through SECAS, diverse public and private partners have worked together to design and achieve a connected network of landscapes and seascapes that supports thriving fish and wildlife populations and improved quality of life for people across the southeastern U.S. and the Caribbean. The scope of SECAS is the fifteen southeastern states that comprise the Southeast Association of Fish and Wildlife Agencies (SEAFWA) plus Puerto Rico and the United States Virgin Islands. SECAS was initiated by SEAFWA and the federal Southeast Natural Resource Leaders Group with support from six Landscape Conservation Cooperatives (LCCs), the Southeast Climate Science Center, and the Southeast Aquatic Resources Partnership. In October of 2016, SECAS achieved a major milestone with the release of a first draft of a conservation blueprint for the Southeast and Caribbean. This blueprint stitches together the conservation and restoration priorities of multiple LCCs in the region into one unifying map — a living spatial plan to make the SECAS vision a reality. Whether you are an urban planner, a private landowner, a non-profit advocate, a public lands manager, or anyone else committed to sustaining our natural and cultural heritage for future generations, join the SECAS conversation at www.secassoutheast.org

Land-Based Wind Turbine Transportation and Logistics Barriers and Their Effects on U.S. Wind Markets (Presentation)

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

Cotrell, J.; Stehly, T.; Johnson, J.

The average size of land based wind turbines installed in the United States has increased dramatically over time. As a result wind turbines are facing new transportation and logistics barriers that limit the size of utility scale land based wind turbines that can be deployed in the United States. Addressing these transportation and logistics barriers will allow for even further increases in U.S. turbine size using technologies under development for offshore markets. These barriers are important because larger taller turbines have been identified as a path to reducing the levelized cost of energy for electricity. Additionally, increases in turbine sizemore » enable the development of new low and moderate speed markets in the U.S. In turn, wind industry stakeholder support, market stability, and ultimately domestic content and manufacturing competitiveness are potentially affected. In general there is very little recent literature that characterizes transportation and logistics barriers and their effects on U.S. wind markets and opportunities. Accordingly, the objective of this paper is to report the results of a recent NREL study that identifies the barriers, assesses their impact and provides recommendations for strategies and specific actions.« less

Reducing Concurrent Sexual Partnerships Among Blacks in the Rural Southeastern United States: Development of Narrative Messages for a Radio Campaign.

PubMed

Cates, Joan R; Francis, Diane B; Ramirez, Catalina; Brown, Jane D; Schoenbach, Victor J; Fortune, Thierry; Powell Hammond, Wizdom; Adimora, Adaora A

2015-01-01

In the United States, heterosexual transmission of HIV infection is dramatically higher among Blacks than among Whites. Overlapping (concurrent) sexual partnerships promote HIV transmission. The authors describe their process for developing a radio campaign (Escape the Web) to raise awareness among 18-34-year-old Black adults of the effect of concurrency on HIV transmission in the rural South. Radio is a powerful channel for the delivery of narrative-style health messages. Through six focus groups (n = 51) and 42 intercept interviews, the authors explored attitudes toward concurrency and solicited feedback on sample messages. Men were advised to (a) end concurrent partnerships and not to begin new ones; (b) use condoms consistently with all partners; and (c) tell others about the risks of concurrency and benefits of ending concurrent partnerships. The narrative portrayed risky behaviors that trigger initiation of casual partnerships. Women were advised to (a) end partnerships in which they are not their partner's only partner; (b) use condoms consistently with all partners; and (c) tell others about the risks of concurrency and benefits of ending concurrent partnerships. Messages for all advised better modeling for children.

The live well collaborative: a new model for universities and companies to work together to meet the needs of 50+ consumers.

PubMed

Vogel, Craig M

2008-01-01

A new opportunity has emerged for universities and corporations to align in response to the global trend of countries with significant percentages of their population over the age of 50. This trend is driven by the dramatic increase in the birth rate starting in 1945 after World War II and ending in 1965 (a population commonly referred to in the United States as "baby boomers"). As they reach retirement, this age cohort has a unique expectation of a continued high quality of life in spite of the emerging health challenges they face. The boomer's lifestyle expectation has tremendous impact on the design of new products and services in every sector of the economy. To achieve effective translational research (from laboratory to marketable products), universities and companies must integrate the qualitative innovation processes used by design fields like industrial design into the quantitative research techniques embraced by medicine and engineering. The University of Cincinnati is one of the few universities in the United States with all the necessary components in place to respond to this opportunity. P&G with global headquarters in Cincinnati is the right corporate partner to define this new university-corporate relationship.

A Novel Indicator of Life-Course Smoking Prevalence in the United States Combining Popularity, Duration, Quantity, and Quality of Smoking.

PubMed

Christopoulou, Rebekka; Lillard, Dean R

2016-07-01

To develop a smoking indicator that combines the popularity and duration of smoking and the quantity and quality of consumed cigarettes, factors that vary dramatically over time and across generations. We used retrospective reports on smoking behavior and a time series of cigarette tar yields to standardize nationally representative life-course smoking prevalence rates of 11 generations of US men and women, spanning 120 years. For each generation and gender, we related the standardized data with the corresponding rates of smoking-attributable mortality. Our indicator suggests that US cigarette consumption spread, peaked, and contracted faster than commonly perceived; predicts a significantly stronger smoking-mortality correlation than unadjusted smoking prevalence; and reveals the emergence of a delay (by up to 8 years) in premature death from smoking that is consistent with increasing population access to effective treatments. In fact, we show that, among recent cohorts, smoking health-risk exposure is at a historic low and will account for less than 5% of deaths. Relative to unstandardized measures, our novel, standardized indicator of smoking prevalence describes a different history of smoking diffusion in the United States, and more strongly predicts later-life mortality.

Reducing Concurrent Sexual Partnerships Among Blacks in the Rural Southeastern United States: Development of Narrative Messages for a Radio Campaign

PubMed Central

CATES, JOAN R.; FRANCIS, DIANE B.; RAMIREZ, CATALINA; BROWN, JANE D.; SCHOENBACH, VICTOR J.; FORTUNE, THIERRY; HAMMOND, WIZDOM POWELL; ADIMORA, ADAORA A.

2015-01-01

In the United States, heterosexual transmission of HIV infection is dramatically higher among Blacks than among Whites. Overlapping (concurrent) sexual partnerships promote HIV transmission. The authors describe their process for developing a radio campaign (Escape the Web) to raise awareness among 18–34-year-old Black adults of the effect of concurrency on HIV transmission in the rural South. Radio is a powerful channel for the delivery of narrative-style health messages. Through six focus groups (n = 51) and 42 intercept interviews, the authors explored attitudes toward concurrency and solicited feedback on sample messages. Men were advised to (a) end concurrent partnerships and not to begin new ones; (b) use condoms consistently with all partners; and (c) tell others about the risks of concurrency and benefits of ending concurrent partnerships. The narrative portrayed risky behaviors that trigger initiation of casual partnerships. Women were advised to (a) end partnerships in which they are not their partner’s only partner; (b) use condoms consistently with all partners; and (c) tell others about the risks of concurrency and benefits of ending concurrent partnerships. Messages for all advised better modeling for children. PMID:26134387

The current format and ongoing advances of medical education in the United States.

PubMed

Gishen, Kriya; Ovadia, Steven; Arzillo, Samantha; Avashia, Yash; Thaller, Seth R

2014-01-01

The objective of this study was to examine the current system of medical education along with the advances that are being made to support the demands of a changing health care system. American medical education must reform to anticipate the future needs of a changing health care system. Since the dramatic transformations to medical education that followed the publication of the Flexner report in 1910, medical education in the United States has largely remained unaltered. Today, the education of future physicians is undergoing modifications at all levels: premedical education, medical school, and residency training. Advances are being made with respect to curriculum design and content, standardized testing, and accreditation milestones. Fields such as plastic surgery are taking strides toward improving resident training as the next accreditation system is established. To promote more efficacious medical education, the American Medical Association has provided grants for innovations in education. Likewise, the Accreditation Council for Graduate Medical Education outlined 6 core competencies to standardize the educational goals of residency training. Such efforts are likely to improve the education of future physicians so that they are able to meet the future needs of American health care.

Role of Advanced Glycation Endproducts and Potential Therapeutic Interventions in Dialysis Patients

PubMed Central

Mallipattu, Sandeep K.; He, John C.; Uribarri, Jaime

2017-01-01

It has been nearly 100 years since the first published report of advanced glycation end products (AGEs) by the French chemist Maillard. Since then, our understanding of AGEs in diseased states has dramatically changed. Especially in the last 25 years, AGEs have been implicated in complications related to aging, neurodegenerative diseases, diabetes, and chronic kidney disease. Although AGE formation has been well characterized by both in vitro and in vivo studies, few prospective human studies exist demonstrating the role of AGEs in patients on chronic renal replacement therapy. As the prevalence of end-stage renal disease (ESRD) in the United States rises, it is essential to identify therapeutic strategies that either delay progression to ESRD or improve morbidity and mortality in this population. This article reviews the role of AGEs, especially those of dietary origin, in ESRD patients as well as potential therapeutic anti-AGE strategies in this population. PMID:22548330

Histopathological Image Analysis: A Review

PubMed Central

Gurcan, Metin N.; Boucheron, Laura; Can, Ali; Madabhushi, Anant; Rajpoot, Nasir; Yener, Bulent

2010-01-01

Over the past decade, dramatic increases in computational power and improvement in image analysis algorithms have allowed the development of powerful computer-assisted analytical approaches to radiological data. With the recent advent of whole slide digital scanners, tissue histopathology slides can now be digitized and stored in digital image form. Consequently, digitized tissue histopathology has now become amenable to the application of computerized image analysis and machine learning techniques. Analogous to the role of computer-assisted diagnosis (CAD) algorithms in medical imaging to complement the opinion of a radiologist, CAD algorithms have begun to be developed for disease detection, diagnosis, and prognosis prediction to complement to the opinion of the pathologist. In this paper, we review the recent state of the art CAD technology for digitized histopathology. This paper also briefly describes the development and application of novel image analysis technology for a few specific histopathology related problems being pursued in the United States and Europe. PMID:20671804

Role of advanced glycation endproducts and potential therapeutic interventions in dialysis patients.

PubMed

Mallipattu, Sandeep K; He, John C; Uribarri, Jaime

2012-01-01

It has been nearly 100 years since the first published report of advanced glycation end products (AGEs) by the French chemist Maillard. Since then, our understanding of AGEs in diseased states has dramatically changed. Especially in the last 25 years, AGEs have been implicated in complications related to aging, neurodegenerative diseases, diabetes, and chronic kidney disease. Although AGE formation has been well characterized by both in vitro and in vivo studies, few prospective human studies exist demonstrating the role of AGEs in patients on chronic renal replacement therapy. As the prevalence of end-stage renal disease (ESRD) in the United States rises, it is essential to identify therapeutic strategies that either delay progression to ESRD or improve morbidity and mortality in this population. This article reviews the role of AGEs, especially those of dietary origin, in ESRD patients as well as potential therapeutic anti-AGE strategies in this population. © 2012 Wiley Periodicals, Inc.

The national hydrologic bench-mark network

USGS Publications Warehouse

Cobb, Ernest D.; Biesecker, J.E.

1971-01-01

The United States is undergoing a dramatic growth of population and demands on its natural resources. The effects are widespread and often produce significant alterations of the environment. The hydrologic bench-mark network was established to provide data on stream basins which are little affected by these changes. The network is made up of selected stream basins which are not expected to be significantly altered by man. Data obtained from these basins can be used to document natural changes in hydrologic characteristics with time, to provide a better understanding of the hydrologic structure of natural basins, and to provide a comparative base for studying the effects of man on the hydrologic environment. There are 57 bench-mark basins in 37 States. These basins are in areas having a wide variety of climate and topography. The bench-mark basins and the types of data collected in the basins are described.

2008 state of the markets report

DOT National Transportation Integrated Search

2009-08-01

Wholesale natural gas and electricity prices rose : dramatically in the first half of 2008, and then : fell dramatically through the end of the year. : On average, electricity and natural gas prices in 2008 were substantially greater than prices in 2...

The Contemporary Setting for Water Management in the West: An Overview

NASA Astrophysics Data System (ADS)

Cummings, Ronald G.

1985-11-01

The socioeconomic, legal, and institutional settings for water resources management and use in the United States have undergone dramatic changes over recent years. The resulting confusion and uncertainties in terms of the structure of water rights, the prerogatives of sovereign states, and the limitations of state-federal interfaces provide the raison d'être for the collection of papers in this special section of Water Resources Research. This special issue is intended to serve several purposes: to inform, to provoke, and to invite. Thus many readers may find new and informative Tarlock's [this issue] overview of the evolution of groundwater law from English Common Law to laws based on notions of "reasonable use" and "sharing"; of particular importance is the readers appreciation of the changes and uncertainties in water law associated with the 1982 decision in Sporhase and in the later El Paso case. These cases, marking an end of the "immunity theory" wherein states were immune, in cases involving resources use, from challenges under the Commerce Clause, give rise to Tarlock's concern with the question, Might current conditions give rise to federal control of groundwater?

Epidemic Emergence in the United States of Escherichia coli Sequence Type 131-H30 (ST131-H30), 2000 to 2009.

PubMed

Johnson, James R; Porter, Stephen; Thuras, Paul; Castanheira, Mariana

2017-08-01

The H 30 subclone of Escherichia coli sequence type 131 (ST131- H 30) has become the leading antimicrobial resistance E. coli lineage in the United States and often exhibits resistance to one or both of the two key antimicrobial classes for treating Gram-negative infections, extended-spectrum cephalosporins (ESCs) and fluoroquinolones (FQs). However, the timing of and reasons for its recent emergence are inadequately defined. Accordingly, from E. coli clinical isolates collected systematically across the United States by the SENTRY Antimicrobial Surveillance Program in 2000, 2003, 2006, and 2009, 234 isolates were selected randomly, stratified by year, within three resistance categories: (i) ESC-reduced susceptibility, regardless of FQ phenotype (ESC-RS); (ii) FQ resistance, ESC susceptible (FQ-R); and (iii) FQ susceptible, ESC susceptible (FQ-S). Susceptibility profiles, phylogroup, ST, ST131 subclone, and virulence genotypes were determined, and temporal trends and between-variable associations were assessed statistically. From 2000 to 2006, concurrently with the emergence of ESC-RS and FQ-R strains, the prevalence of (virulence-associated) phylogroup B2 among such strains also rose dramatically, due entirely to rapid emergence of ST131, especially H 30. By 2009, H 30 was the dominant E. coli lineage overall (22%), accounting for a median of 43% of all single-agent and multidrug resistance (68% for ciprofloxacin). H 30's emergence increased the net virulence gene content of resistant (especially FQ-R) isolates, giving stable overall virulence gene scores despite an approximately 4-fold expansion of the historically less virulent resistant population. These findings define more precisely the timing and tempo of H 30's emergence in the United States, identify possible reasons for it, and suggest potential consequences, including more frequent and/or aggressive antimicrobial-resistant infections. Copyright © 2017 American Society for Microbiology.

Geographical and geological data from caves and mines infected with white-nose syndrome (WNS) before September 2009 in the eastern United States

USGS Publications Warehouse

Swezey, Christopher S.; Garrity, Christopher P.

2011-01-01

Since 2006, a white fungus named Geomyces destructans has been observed on the muzzles, noses, ears, and (or) wings of bats in the eastern United States, and bat colonies that are infected with this fungus have experienced dramatic incidences of mortality. Although it is not exactly certain how and why these bats are dying, this condition has been named white-nose syndrome (WNS). WNS appears to have spread from an initial infection site at a cave that is connected to a commercial cave in New York, and by the end of August 2009 was identified in at least 74 other sites in the eastern United States. Although detailed geographical and geological data are limited, a review of the available data shows that sites infected with WNS before September 2009 include both natural caves and mines. These infected sites extend from New Hampshire to Virginia, and known site elevations range from 84 to 2693 feet above sea level. In terms of geological setting, the infected sites include sedimentary, metamorphic, and igneous rocks of ages ranging from Precambrian to Jurassic. However, by the end of August 2009, no infected sites had been identified in strata of Mississippian, Cretaceous, or Triassic age. Meteorological data are sparse, but most of the recorded air temperatures in the known WNS-infected caves and mines range from 0 to 13.9 degrees C, and humidity measurements range from 68 to 100 percent. Although it is not certain which environmental parameters are important for WNS, it is hoped that the geographical and geological information presented in this paper will inform and clarify some of the debate about WNS, lead to greater understanding of the environmental parameters associated with WNS, and highlight the paucity of scientific data from caves in the eastern United States.

The evolution and geographic distribution of headache medicine fellowship programs and graduates: an observational study.

PubMed

Rizzoli, Paul; Weizenbaum, Emma; Loder, Thomas; Friedman, Deborah; Loder, Elizabeth

2014-01-01

We sought to assess the experiences, growth, and distribution of accredited headache medicine fellowships since accreditation began in 2007, and to examine the number and current practice locations of fellows graduated from those programs. There are no data on the distribution of headache fellowship programs and their graduates throughout the United States. We surveyed directors of Headache Medicine fellowship programs accredited by the United Council of Neurologic Subspecialties as of April 1, 2014. We recorded the geographic locations of accredited programs and fellowship graduates and determined their distribution in relation to the overall and selected minority populations of US census divisions, regions, and states. In early 2014, there were 25 accredited Headache Medicine fellowship programs in the United States. Thirty-two (63%) US states lack a headache fellowship program and 24 (47%) do not have a practicing United Council for Neurologic Subspecialties fellowship graduate. Fifty-two of 96 fellows (54%) entered practice in the same state where they did their training. The northeastern United States has the best ratio of fellowship programs and graduates to population (0.28 and 0.35 per million inhabitants) and land area (6.38 and 8 per 100,000 square miles). The Pacific Northwest has the worst (0.05 and 0.02 fellowship programs and graduates per million inhabitants and 2.3 and 1.1 per 100,000 square miles). Fifty-five percent of the US Hispanic population lives in areas of the country with only 32% of practicing certified headache specialists, 28% of accredited fellowship programs, and which have attracted only 27% of fellowship graduates. Thirty-three percent of the US black population lives in areas with just 8% of fellowship programs and 27% of fellowship graduates. Fellowship directors report that funding for fellowship positions is an important challenge. The number of fellowship programs has increased dramatically since 2007, but their geographic distribution is uneven and so are the subsequent practice locations of fellow graduates. At present, the distribution of training programs and headache specialists is not well matched to the US population as a whole or to the location of important racial and ethnic minorities. Increasing the overall supply of headache specialists is important, but geographic inequalities in specialist distribution must also be addressed or disparities will increase. © 2014 American Headache Society.

Stability and compatibility assessment techniques for total parenteral nutrition admixtures: setting the bar according to pharmacopeial standards.

PubMed

Driscoll, David F

2005-05-01

The stability and compatibility of total parenteral nutrition mixtures compounded for patients requiring nutritional support is paramount to their safety on intravenous infusion. The most significant pharmaceutical issues associated with mixing total parenteral nutrition formulations affecting their safety involve the stability of lipid-injectable emulsions and the compatibility of calcium and phosphate salts. Methods of analysis for stability and compatibility have varied, and the assessments have mostly been largely qualitative. Although pharmacopeial standards have been primarily applicable to pharmaceutical manufacturers, recent efforts by the United States Pharmacopeia have been directed at standardizing pharmacy practices involved in the safe mixing of compounded sterile preparations. The adoption of chapter 797 entitled 'Pharmaceutical compounding - sterile preparations' on 1 January 2004 has had a dramatic impact on pharmacy practice in the United States. More recently, the United States Pharmacopeia has also proposed a new chapter 729 entitled 'Globule size distribution in lipid-injectable emulsions', setting specific limits on the sizes and concentrations of lipid droplets in the formulation, which may have implications for all-in-one mixtures. Finally, new efforts are under way to establish limits on the level of acceptable amounts of particulates intrinsically introduced by the manufacturer, and thus may have ramifications for particulates extrinsically introduced or initiated during compounding by the pharmacist. With careful monitoring and the development of appropriate pharmacopeial-based specifications that limit the size and concentration of large-diameter fat globules and eliminate the possibility of dibasic calcium phosphate precipitates, improved patient outcomes may be achieved.

Cultural conditioning: understanding interpersonal accommodation in India and the United States in terms of the modal characteristics of interpersonal influence situations.

PubMed

Savani, Krishna; Morris, Michael W; Naidu, N V R; Kumar, Satishchandra; Berlia, Neha V

2011-01-01

We argue that differences between the landscapes of influence situations in Indian and American societies induce Indians to accommodate to others more often than Americans. To investigate cultural differences in situation-scapes, we sampled interpersonal influence situations occurring in India and the United States from both the influencee's (Study 1) and the influencer's (Study 2) perspectives. We found that Indian influence situations were dramatically more likely than U.S. situations to feature other-serving motives and to result in positive consequences for the relationship. Yet Study 3 found that targets of influence felt no less free to decide whether to accommodate in India than the United States, but felt more concerned about the influencer. To investigate the effects of situation-scapes on people's expectations and decisions, we exposed Indian and American participants to descriptions of situations from both societies (with their origins obscured). Study 4 found that both groups of participants expected more positive consequences from accommodation in Indian situations than in American situations. Finally, Study 5 found that both groups decided to accommodate more often in Indian situations than in American situations. At the same time, Indian participants were more likely than Americans to accommodate across all situations, but both groups converged over 100 trials as they were exposed to more and more situations drawn from each other's cultures. We interpret these effects in terms of the default decisions or biases conditioned by people's recently encountered situations. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

Africans in the American Labor Market

PubMed Central

Elo, Irma T.; Frankenberg, Elizabeth; Gansey, Romeo; Thomas, Duncan

2015-01-01

The number of migrants to the United States from Africa has grown exponentially since the 1930s. For the first time in America’s history, migrants born in Africa are growing at a faster rate than migrants from any other continent. The composition of African-origin migrants has also changed dramatically: in the mid-twentieth century, the majority were white and came from only three countries; but today, about one-fifth are white, and African-origin migrants hail from across the entire continent. Little is known about the implications of these changes for their labor market outcomes in the United States. Using the 2000–2011 waves of the American Community Survey, we present a picture of enormous heterogeneity in labor market participation, sectoral choice, and hourly earnings of male and female migrants by country of birth, race, age at arrival in the United States, and human capital. For example, controlling a rich set of human capital and demographic characteristics, some migrants—such as those from South Africa/Zimbabwe and Cape Verde, who typically enter on employment visas—earn substantial premiums relative to other African-origin migrants. These premiums are especially large among males who arrived after age 18. In contrast, other migrants—such as those from Sudan/Somalia, who arrived more recently, mostly as refugees—earn substantially less than migrants from other African countries. Understanding the mechanisms generating the heterogeneity in these outcomes—including levels of socioeconomic development, language, culture, and quality of education in countries of origin, as well as selectivity of those who migrate—remain important unresolved research questions. PMID:26304845

Africans in the American Labor Market.

PubMed

Elo, Irma T; Frankenberg, Elizabeth; Gansey, Romeo; Thomas, Duncan

2015-10-01

The number of migrants to the United States from Africa has grown exponentially since the 1930s. For the first time in America's history, migrants born in Africa are growing at a faster rate than migrants from any other continent. The composition of African-origin migrants has also changed dramatically: in the mid-twentieth century, the majority were white and came from only three countries; but today, about one-fifth are white, and African-origin migrants hail from across the entire continent. Little is known about the implications of these changes for their labor market outcomes in the United States. Using the 2000-2011 waves of the American Community Survey, we present a picture of enormous heterogeneity in labor market participation, sectoral choice, and hourly earnings of male and female migrants by country of birth, race, age at arrival in the United States, and human capital. For example, controlling a rich set of human capital and demographic characteristics, some migrants-such as those from South Africa/Zimbabwe and Cape Verde, who typically enter on employment visas-earn substantial premiums relative to other African-origin migrants. These premiums are especially large among males who arrived after age 18. In contrast, other migrants-such as those from Sudan/Somalia, who arrived more recently, mostly as refugees-earn substantially less than migrants from other African countries. Understanding the mechanisms generating the heterogeneity in these outcomes-including levels of socioeconomic development, language, culture, and quality of education in countries of origin, as well as selectivity of those who migrate-figures prominently among important unresolved research questions.

Winter climate change and coastal wetland foundation species: salt marshes vs. mangrove forests in the southeastern United States

USGS Publications Warehouse

Osland, Michael J.; Day, Richard H.; Doyle, Thomas W.; Enwright, Nicholas

2013-01-01

We live in an era of unprecedented ecological change in which ecologists and natural resource managers are increasingly challenged to anticipate and prepare for the ecological effects of future global change. In this study, we investigated the potential effect of winter climate change upon salt marsh and mangrove forest foundation species in the southeastern United States. Our research addresses the following three questions: (1) What is the relationship between winter climate and the presence and abundance of mangrove forests relative to salt marshes; (2) How vulnerable are salt marshes to winter climate change-induced mangrove forest range expansion; and (3) What is the potential future distribution and relative abundance of mangrove forests under alternative winter climate change scenarios? We developed simple winter climate-based models to predict mangrove forest distribution and relative abundance using observed winter temperature data (1970–2000) and mangrove forest and salt marsh habitat data. Our results identify winter climate thresholds for salt marsh–mangrove forest interactions and highlight coastal areas in the southeastern United States (e.g., Texas, Louisiana, and parts of Florida) where relatively small changes in the intensity and frequency of extreme winter events could cause relatively dramatic landscape-scale ecosystem structural and functional change in the form of poleward mangrove forest migration and salt marsh displacement. The ecological implications of these marsh-to-mangrove forest conversions are poorly understood, but would likely include changes for associated fish and wildlife populations and for the supply of some ecosystem goods and services.

Impact of forestry practices at a landscape scale on the dynamics of amphibian populations.

PubMed

Harper, Elizabeth B; Patrick, David A; Gibbs, James P

2015-12-01

Forest loss is a primary cause of worldwide amphibian decline. Timber harvesting in the United States has caused dramatic changes in quality and extent of forest ecosystems, and intensive forest management still occurs. Although numerous studies have documented substantial reductions in amphibian densities related to timber harvest, subsequent extinctions are rare. To better understand the population dynamics that have allowed so many amphibian species to persist in the face of widespread forest disturbance, we developed spatially explicit metapopulation models for four forest-dependent amphibian species (Lithobates sylvaticus, Ambystoma opacum, A. talpoideum, and A. maculatum) that incorporated demographic and habitat selection data derived from experiments conducted as part of the Land Use Effects on Amphibian Populations Project (LEAP). We projected local and landscape-scale population persistence under 108 different forestry practice scenarios, varying treatment (partial cut, clear-cut with coarse woody debris [CWD] removed, and clearcut with CWD retained), cut patch size (1, 10, or 50 ha), total area cut (10, 20, or 30%), and initial amphibian population size (5, 50, or 500 adult females per local breeding population). Under these scenarios, landscape-scale extinction was highly unlikely, occurring in < 1% of model runs and for only 2 of the 4 species, because landscape-scale populations were able to persist via dispersal even despite frequent local extinctions. Yet for all species, population sizes were reduced to -50% in all clear-cut scenarios, regardless of the size of harvested patches. These findings suggest that debate over timber harvesting on pool-breeding amphibian populations in the United States should focus not on questions of landscape-scale extinction but on the ecological consequences of dramatic reductions in amphibian biomass, including changes in trophic interactions, nutrient cycling, and energy transfer. Additionally, we conclude that amphibian declines and extinctions are far more likely to occur as a result of permanent habitat loss resulting from development than from the temporary degradation of habitat caused by current forestry practices.

Mechanism of the AppABLUF Photocycle Probed by Site-Specific Incorporation of Fluorotyrosine Residues: Effect of the Y21 pKa on the Forward and Reverse Ground-State Reactions.

PubMed

Gil, Agnieszka; Haigney, Allison; Laptenok, Sergey P; Brust, Richard; Lukacs, Andras; Iuliano, James; Jeng, Jessica; Melief, Eduard; Zhao, Rui-Kun; Yoon, EunBin; Clark, Ian; Towrie, Michael; Greetham, Gregory M; Ng, Annabelle; Truglio, James; French, Jarrod; Meech, Stephen R; Tonge, Peter J

2016-01-27

The transcriptional antirepressor AppA is a blue light using flavin (BLUF) photoreceptor that releases the transcriptional repressor PpsR upon photoexcitation. Light activation of AppA involves changes in a hydrogen-bonding network that surrounds the flavin chromophore on the nanosecond time scale, while the dark state of AppA is then recovered in a light-independent reaction with a dramatically longer half-life of 15 min. Residue Y21, a component of the hydrogen-bonding network, is known to be essential for photoactivity. Here, we directly explore the effect of the Y21 pKa on dark state recovery by replacing Y21 with fluorotyrosine analogues that increase the acidity of Y21 by 3.5 pH units. Ultrafast transient infrared measurements confirm that the structure of AppA is unperturbed by fluorotyrosine substitution, and that there is a small (3-fold) change in the photokinetics of the forward reaction over the fluorotyrosine series. However, reduction of 3.5 pH units in the pKa of Y21 increases the rate of dark state recovery by 4000-fold with a Brønsted coefficient of ∼ 1, indicating that the Y21 proton is completely transferred in the transition state leading from light to dark adapted AppA. A large solvent isotope effect of ∼ 6-8 is also observed on the rate of dark state recovery. These data establish that the acidity of Y21 is a crucial factor for stabilizing the light activated form of the protein, and have been used to propose a model for dark state recovery that will ultimately prove useful for tuning the properties of BLUF photosensors for optogenetic applications.

Status and trends of dam removal research in the United States

USGS Publications Warehouse

Bellmore, James; Duda, Jeff; Craig, Laura; Greene, Samantha L.; Torgersen, Christian E.; Collins, Mathias J.; Vittum, Katherine

2017-01-01

Aging infrastructure coupled with growing interest in river restoration has driven a dramatic increase in the practice of dam removal. With this increase, there has been a proliferation of studies that assess the physical and ecological responses of rivers to these removals. As more dams are considered for removal, scientific information from these dam-removal studies will increasingly be called upon to inform decisions about whether, and how best, to bring down dams. This raises a critical question: what is the current state of dam-removal science in the United States? To explore the status, trends, and characteristics of dam-removal research in the U.S., we searched the scientific literature and extracted basic information from studies on dam removal. Our literature review illustrates that although over 1200 dams have been removed in the U.S., fewer than 10% have been scientifically evaluated, and most of these studies were short in duration ( < 4 years) and had limited (1–2 years) or no pre-removal monitoring. The majority of studies focused on hydrologic and geomorphic responses to removal rather than biological and water-quality responses, and few studies were published on linkages between physical and ecological components. Our review illustrates the need for long-term, multidisciplinary case studies, with robust study designs, in order to anticipate the effects of dam removal and inform future decision making.

The Impact of the Divorce Process on the Family.

ERIC Educational Resources Information Center

Rudolph, Linda B.

One of the most dramatic changes in the American culture in recent years is the emergence of a family unit experiencing stages of disruption and reorganization as a common pattern. The stereotypical middle-class, suburban family continues to exist, but other variations of families exist also, family units for which past guidelines and assumptions…

One pediatric burn unit's experience with sleepwear related injuries

PubMed Central

McLoughlin, E.; Clarke, N.; Stahl, K.; Crawford, J.

1998-01-01

Review of the records of 678 children with acute injuries referred during an eight year period to this burn unit indicated that flame burns from a single ignition source (50%) outranked scalds (27%) or house fires (12%) as causes of injury. There was no temporal trend in the rank pattern. The majority of these single-source flame injuries were severe and involved ignition of the child's clothing. From 1969 through 1973, sleepwear was the clothing involved in 32% of the instances. Since that time and coincident with promulgation of strict federal and state standards for flammability of children's night clothing, a dramatic decline in the number of children referred with injuries of this type has taken place. It is probable that the single factor most important to the decline, in our experience with these injuries, is lower fabric flammability but, because our data may not be representative, corroboration is needed before one can exclude factors such as altered garment design, fire safety related practices at home, or changing patterns of hospital referral. PMID:9887427

Theoretical aspects of autism: causes--a review.

PubMed

Ratajczak, Helen V

2011-01-01

Autism, a member of the pervasive developmental disorders (PDDs), has been increasing dramatically since its description by Leo Kanner in 1943. First estimated to occur in 4 to 5 per 10,000 children, the incidence of autism is now 1 per 110 in the United States, and 1 per 64 in the United Kingdom, with similar incidences throughout the world. Searching information from 1943 to the present in PubMed and Ovid Medline databases, this review summarizes results that correlate the timing of changes in incidence with environmental changes. Autism could result from more than one cause, with different manifestations in different individuals that share common symptoms. Documented causes of autism include genetic mutations and/or deletions, viral infections, and encephalitis following vaccination. Therefore, autism is the result of genetic defects and/or inflammation of the brain. The inflammation could be caused by a defective placenta, immature blood-brain barrier, the immune response of the mother to infection while pregnant, a premature birth, encephalitis in the child after birth, or a toxic environment.

Medical malpractice in perspective. I--The American experience.

PubMed Central

Quam, L; Dingwall, R; Fenn, P

1987-01-01

Concern over the possibility of an American style medical malpractice "crisis" in the United Kingdom has recently been voiced by members of both medical and legal professions. The validity of such fears is examined by reviewing the conditions that have given rise to the current American difficulties. It is argued that the rise in malpractice insurance premiums and associated restrictions in availability should be seen against the background of underwriting problems specific to medical liability in conjunction with a general decline in reinsurance cover. The evidence in relation to the clinical and resource implications of malpractice is analysed. In particular, arguments that increased litigation has influenced the practice of "defensive" medicine and the choice of specialty are critically examined. Medical malpractice claims and insurance are only part of a professional environment which is undergoing dramatic social and economic changes, many of which seem more plausible candidates to be treated as important influences on the nature and organisation of health care in the United States. Images p1532-a PMID:3111624

Comparison of white-tailed kite food web dynamics among various habitats in California using stable isotope analysis

USGS Publications Warehouse

Iko, W.M.; Kester, C.L.; Bern, C.R.; Stendell, R.C.; Rye, R.O.

2003-01-01

The White-tailed Kite (Elanus leucurus) was once a common raptor species in the southern United States. However, by the 1930s, the species was considered on the verge of extinction until the 1940s, when a trend towards recovery was apparent. These dramatic fluctuations may be related to changes in rodent prey base due to the conversion of native wetlands to agriculture. To investigate the effects of changes in habitat, land use practices, and prey base on kite populations, we collected tissue samples from kites, their prey, and vegetation at four different locations in California: Arcata, Coastal-Coniferous Forest; Davis, mixed Urban-Agricultural; Cosumnes, Mixed Wetland-Agriculture, and Santa Barbara, Coastal-Chaparral.

LiDAR - An emerging tool for geological applications

USGS Publications Warehouse

Stoker, Jason M.

2012-01-01

Over the past five to ten years the use and applicability of light detection and ranging (LiDAR) technology has increased dramatically. As a result, more and more LiDAR data now are being collected across the country for a wide range of applications, and LiDAR currently is the technology of choice for high resolution terrain model creation, 3-D city and infrastructure modeling, forestry, and a wide range of scientific applications. LiDAR is a key technology for geological applications both within and outside the U.S. Geological Survey, and efforts are underway to try to collect high resolution LiDAR data for the entire United States (https://pubs.usgs.gov/fs/2012/3089/pdf/fs2012-3089.pdf).

Liability issues in managed care.

PubMed

Ellis, M S

1997-05-01

The explosive growth in Managed Care Organizations as a mechanism for providing health care in the United States has generated an equal explosion in litigation and new legislation related to problems within this delivery system. Abuses have included the "gagging" of physicians from providing full disclosure of medical options for their patients, inappropriate denial of care, denial of specialty referral, false claims data, insurer insolvency, economic credentialling, deselection, financial disincentives to render care, and lack of appeal or grievance mechanisms. These issues and others have resulted in injuries to patients and damage to the patient/physician relationship. This article discusses some of the more dramatic litigated cases and endeavors to alert both physicians and patients to potential legal matters that should be considered before becoming involved within this structure.

Mesoscale simulations of atmospheric flow and tracer transport in Phoenix, Arizona

NASA Astrophysics Data System (ADS)

Wang, Ge; Ostoja-Starzewski, Martin

2006-09-01

Large urban centres located within confining rugged or complex terrain can frequently experience episodes of high concentrations of lower atmospheric pollution. Metropolitan Phoenix, Arizona (United States), is a good example, as the general population is occasionally subjected to high levels of lower atmospheric ozone, carbon monoxide and suspended particulate matter. As a result of dramatic but continuous increase in population, the accompanying environmental stresses and the local atmospheric circulation that dominates the background flow, an accurate simulation of the mesoscale pollutant transport across Phoenix and similar urban areas is becoming increasingly important. This is particularly the case in an airshed, such as that of Phoenix, where the local atmospheric circulation is complicated by the complex terrain of the area.

Significant reduction of thermal conductivity in Si/Ge core-shell nanowires.

PubMed

Hu, Ming; Giapis, Konstantinos P; Goicochea, Javier V; Zhang, Xiaoliang; Poulikakos, Dimos

2011-02-09

We report on the effect of germanium (Ge) coatings on the thermal transport properties of silicon (Si) nanowires using nonequilibrium molecular dynamics simulations. Our results show that a simple deposition of a Ge shell of only 1 to 2 unit cells in thickness on a single crystalline Si nanowire can lead to a dramatic 75% decrease in thermal conductivity at room temperature compared to an uncoated Si nanowire. By analyzing the vibrational density states of phonons and the participation ratio of each specific mode, we demonstrate that the reduction in the thermal conductivity of Si/Ge core-shell nanowire stems from the depression and localization of long-wavelength phonon modes at the Si/Ge interface and of high frequency nonpropagating diffusive modes.

RELATIONSHIPS BETWEEN NITROGEN OXIDE EMISSIONS FROM ELECTRICAL GENERATING UNITS IN THE U.S. AND METEOROLOGY

EPA Science Inventory

Nitrogen oxide (NO_x) emissions from electrical generating units (EGUs) in the northeast US have declined dramatically during the past few years as a result of a series of air quality rules (RACT rule, Clean Air Act Amendments Title IV, and the NO_x SIP call)....

Women in the Progressive Era. A Unit of Study for Grades 9-12.

ERIC Educational Resources Information Center

Jason, Alli; Strickland, Louise; McMillen, Margaret

A specific dramatic episode in history that allows students to delve into the deeper meanings of selected landmark events and explore a wider context of historical narrative is represented within this supplementary teaching unit. This approach helps students materialize history as an ongoing, open-ended process that is based upon decisions made in…

Total healthcare budget: assigning priority and level of asset allocation to the diagnosis and management of urologic diseases.

PubMed

Standaert, B

1995-09-01

During the past decade increasing concern has developed as to how money should best be allocated in the healthcare sector and to the different disciplines within health care. In the Western world, healthcare budgets increase dramatically each year, even during periods of economic recession. There are many reasons explaining this evolution, but publicly funded healthcare systems, as in the United Kingdom, appear to control their growth more effectively than the private systems as, for instance, in the United States. The bulk of the increase in healthcare expenditure happens to be attributed to elderly people who are becoming high consumers of healthcare facilities. There are, however, two important ways to tackle the problem: one is based on free market regulation systems, introducing diagnosis related groups and resource based relative value scales, as in the United States. The other starts from evaluating the needs and the demands of the population and, based on these results, tries to build up an appropriate healthcare system, as in The Netherlands. In the realm of urology where most of the workload is concentrated around older patients, one can foresee difficulties concerning budget allocation. New medical treatments are introduced, demanding new management skills of the urologist. This should involve new ways of evaluating the benefits of the interventions. Quality of life measurements seem to be crucial for the future where, for cost-effectiveness reasons, more care than cure could be the new function of the urologist.

Representation and redistribution in federations

PubMed Central

Dragu, Tiberiu; Rodden, Jonathan

2011-01-01

Many of the world's most populous democracies are political unions composed of states or provinces that are unequally represented in the national legislature. Scattered empirical studies, most of them focusing on the United States, have discovered that overrepresented states appear to receive larger shares of the national budget. Although this relationship is typically attributed to bargaining advantages associated with greater legislative representation, an important threat to empirical identification stems from the fact that the representation scheme was chosen by the provinces. Thus, it is possible that representation and fiscal transfers are both determined by other characteristics of the provinces in a specific country. To obtain an improved estimate of the relationship between representation and redistribution, we collect and analyze provincial-level data from nine federations over several decades, taking advantage of the historical process through which federations formed and expanded. Controlling for a variety of country- and province-level factors and using a variety of estimation techniques, we show that overrepresented provinces in political unions around the world are rather dramatically favored in the distribution of resources. PMID:21555553

Experimental and Analytical Performance of a Dual Brayton Power Conversion System

NASA Technical Reports Server (NTRS)

Lavelle, Thomas A.; Hervol, David S.; Briggs, Maxwell; Owen, A. Karl

2009-01-01

The interactions between two closed Brayton cycle (CBC) power conversion units (PCU) which share a common gas inventory and heat source have been studied experimentally using the Dual Brayton Power Conversion System (DBPCS) and analytically using the Closed- Cycle System Simulation (CCSS) computer code. Selected operating modes include steady-state operation at equal and unequal shaft speeds and various start-up scenarios. Equal shaft speed steady-state tests were conducted for heater exit temperatures of 840 to 950 K and speeds of 50 to 90 krpm, providing a system performance map. Unequal shaft speed steady-state testing over the same operating conditions shows that the power produced by each Brayton is sensitive to the operating conditions of the other due to redistribution of gas inventory. Startup scenarios show that starting the engines one at a time can dramatically reduce the required motoring energy. Although the DBPCS is not considered a flight-like system, these insights, as well as the operational experience gained from operating and modeling this system provide valuable information for the future development of Brayton systems.

Radon in a self-selected sample of Israeli homes, schools, and workplaces.

PubMed

Westin, J B; Cramer, Z; Richter, E D; Shani, J; Ne'eman, E; Elyakim, O; Tal, Y

Some 1,100 residences and places of work and 400 schoolrooms in Israel were tested for ambient air radon activity concentration in response to requests by the owners, tenants, or local authorities. A polyethylene vial containing activated charcoal was exposed to room air in each of these structures for 7 days, sealed, and transported to the laboratory. Adsorbed radon was extracted with a toluene-based cocktail which was then subjected to liquid scintillation counting. Mean radon activity concentrations were found to vary from city to city by more than an order of magnitude, indicating strong regional differences. The countrywide geometric mean was found to be 38 Bq/m3; the median, 37. The range for these means was 6-77 Bq/m3; for the medians, 11-100 Bq/m3. The highest reading was 9,100 Bq/m3. Our results are basically in line with those from the United States and much of Europe, but apparently higher than those found in the United Kingdom and Japan. It may be fairly said that mass testing for radon (222Rn) inside buildings in the United States began in the wake of the finding of a radon activity concentration in excess of 100,000 Bq/m3 in the home of the Watras family in Boyertown, PA in December 1984. To date, literally millions of American buildings have been tested, and mandatory testing of schoolrooms has begun in some states. In Israel, by contrast, where such a dramatically high measurement has not (yet) occurred, only 5 structures had been checked for radon by 1989.(ABSTRACT TRUNCATED AT 250 WORDS)

Is seat belt use associated with fewer days of lost work after motor vehicle collisions?

PubMed

Metzger, Jesse; McGwin, Gerald; MacLennan, Paul A; Rue, Loring W

2004-05-01

Seat belt use has consistently been shown to reduce motor vehicle collision (MVC)-related morbidity and mortality. The goal of this study is to determine whether seat belt use is associated with fewer lost workdays among occupants involved in MVCs. The 1995 to 2000 National Automotive Sampling System (NASS) data files were used. The NASS is a national probability sample of passenger vehicles involved in police-reported tow-away MVCs. Occupants' lost workdays, which are routinely collected as part of an NASS investigation, were compared according to seat belt use. During 1995 to 2000 in the United States, surviving occupants involved in MVCs lost a total of 42.1 million workdays (approximately 7.0 million lost workdays per year; 2.4 lost workdays per person). The overall difference in lost workdays between the belted and unbelted occupants was 1.59 days (1.99 days vs. 3.58 days, respectively; p < 0.001). After adjusting for potentially confounding factors, belted occupants had 1.52 fewer lost workdays compared with unbelted occupants (p < 0.001). This translates to an estimated 7.3 million lost workdays and an associated $566 million in lost wages and $1.25 billion in work-place costs attributable to lack of seat belt use in the United States during 1995 to 2000. Lost workdays attributable to MVCs in the United States have sizable financial implications. Furthermore, seat belt use significantly reduces lost time at work and is associated with a significant cost savings. The national impact of unbelted driving on work productivity is dramatic, and further efforts to promote appropriate seat belt use should continue as part of the national safety agenda.

Spatially explicit land-use and land-cover scenarios for the Great Plains of the United States

USGS Publications Warehouse

Sohl, Terry L.; Sleeter, Benjamin M.; Sayler, Kristi L.; Bouchard, Michelle A.; Reker, Ryan R.; Bennett, Stacie L.; Sleeter, Rachel R.; Kanengieter, Ronald L.; Zhu, Zhi-Liang

2012-01-01

The Great Plains of the United States has undergone extensive land-use and land-cover change in the past 150 years, with much of the once vast native grasslands and wetlands converted to agricultural crops, and much of the unbroken prairie now heavily grazed. Future land-use change in the region could have dramatic impacts on ecological resources and processes. A scenario-based modeling framework is needed to support the analysis of potential land-use change in an uncertain future, and to mitigate potentially negative future impacts on ecosystem processes. We developed a scenario-based modeling framework to analyze potential future land-use change in the Great Plains. A unique scenario construction process, using an integrated modeling framework, historical data, workshops, and expert knowledge, was used to develop quantitative demand for future land-use change for four IPCC scenarios at the ecoregion level. The FORE-SCE model ingested the scenario information and produced spatially explicit land-use maps for the region at relatively fine spatial and thematic resolutions. Spatial modeling of the four scenarios provided spatial patterns of land-use change consistent with underlying assumptions and processes associated with each scenario. Economically oriented scenarios were characterized by significant loss of natural land covers and expansion of agricultural and urban land uses. Environmentally oriented scenarios experienced modest declines in natural land covers to slight increases. Model results were assessed for quantity and allocation disagreement between each scenario pair. In conjunction with the U.S. Geological Survey's Biological Carbon Sequestration project, the scenario-based modeling framework used for the Great Plains is now being applied to the entire United States.

Unmanned Spacecraft of the United States

NASA Technical Reports Server (NTRS)

Cortright, Edgar M.

1964-01-01

In 1957 the first earth satellite ushered in the age of space flight. Since that historic event, space exploration has become a major national objective of both the United States and the Soviet Union. These two nations have attempted a total of well over 200 space flight missions. Other nations are also participating in various degrees in what will continue to grow as a cooperative world effort. In the years since 1957, man has successfully flown in earth orbit. He has initiated programs to land on the moon and return. He has made dramatic applications of earth satellites in meteorology, communications, navigation, and geodesy. A host of scientific satellites.continue to advance understanding of the earth's environment, the sun, and the stars. Automated spacecraft are being flown to the moon, deep into interplanetary space, and to the near planets, Mars and Venus. One of the most exciting technological aspects of space exploration has been the development of automated spacecraft. Most of the scientific exploration of space and the useful applications of space flight thus far have been made possible by automated spacecraft. Development of these spacecraft and their many complex subsystems is setting the pace today for many branches of science and technology. Guidance, computer, attitude control, power, telecommunication, instrumentation, and structural subsystems are being subjected to new standards of light weight, high efficiency, extreme accuracy, and unsurpassed reliability and quality. This publication reviews the automated spacecraft which have been developed and flown, or which are under active development in the United States by the National Aeronautics and Space Administration. From the facts and statistics contained herein, certain observations can be made and certain conclusions drawn.

The Future of the United States Antarctic Program

NASA Astrophysics Data System (ADS)

Thom, J. E.; Weidner, G. A.; Lazzara, M. A.; Knuth, S. L.; Cassano, J. J.

2009-04-01

The last three decades have seen Antarctic surface meteorological observations augmented by an increasing number of automated weather stations (AWS). Since 1980, the University of Wisconsin-Madison has managed an expanding array of AWS in Antarctica that are funded through the United States' National Science Foundation. The AWS network began with six stations and has grown to approximately 60 stations. The majority of the AWS use a custom electronics package designed in the 1970s and modified over approximately 20 years. However, dramatic changes in the electronics industry have led the UW-Madison to transition its AWS to commercial-off-the-shelf (COTS) components capable of integrating on-station storage, varied sensors, multiple data telemetry options, and a flexible operating system. Among the important technical issues arising from adopting a COTS-based AWS system are limited temperature certification for Antarctic conditions; non-standard integration of the varied telecommunications equipment; potentially inflexible data acquisition schemes; and frequent product upgrades, changes, and obsolescence. The UW-Madison presents the current status of its AWS system; its recent experience with new data loggers, sensors, and communication options; and its attempts to obtain a standardized AWS. The intent is to encourage the development of a forum where groups can document their experiences with varied AWS systems in the extreme polar climate. Recent events have added another challenge within the United States Antarctic Program, as it has become clear that budgetary and logistic limitations will drastically impact the AWS program. With logistical costs playing a bigger factor in funding AWS operations, international coordination and cooperation will be important in deploying and maintaining the AWS networks (such as GCOS) that are critical to monitoring the world's climate.

General Education Earth, Astronomy and Space Science College Courses Serve as a Vehicle for Improving Science Literacy in the United States.

NASA Astrophysics Data System (ADS)

Prather, E.

2011-10-01

Every year approximately 500,000 undergraduate college students take a general education Earth, Astronomy and Space Science (EASS) course in the Unites States. For the majority of these students this will be their last physical science course in life. This population of students is incredibly important to the science literacy of the United States citizenry and to the success of the STEM career pipeline. These students represent future scientists, technologists, business leaders, politicians, journalists, historians, artists, and most importantly, policy makers, parents, voters, and teachers. A significant portion of these students are taught at minority serving institutions and community colleges and often are from underserved and underrepresented groups, such as women and minorities. Members of the Center for Astronomy Education (CAE) at the University of Arizona have been developing and conducting research on the effectiveness of instructional strategies and materials that are explicitly designed to challenge students' naïve ideas and intellectually engage their thinking at a deep level in the traditional lecture classroom. The results of this work show that dramatic improvement in student understanding can be made from increased use of interactive learning strategies. These improvements are shown to be independent of institution type or class size, but appear to be strongly influenced by the quality of the instructor's implementation. In addition, we find that the positive effects of interactive learning strategies apply equally to men and women, across ethnicities, for students with all levels of prior mathematical preparation and physical science course experience, independent of GPA, and regardless of primary language. These results powerfully illustrate that all students can benefit from the effective implementation of interactive learning strategies.

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.

A Novel Indicator of Life-Course Smoking Prevalence in the United States Combining Popularity, Duration, Quantity, and Quality of Smoking

PubMed Central

Lillard, Dean R.

2016-01-01

Objectives. To develop a smoking indicator that combines the popularity and duration of smoking and the quantity and quality of consumed cigarettes, factors that vary dramatically over time and across generations. Methods. We used retrospective reports on smoking behavior and a time series of cigarette tar yields to standardize nationally representative life-course smoking prevalence rates of 11 generations of US men and women, spanning 120 years. For each generation and gender, we related the standardized data with the corresponding rates of smoking-attributable mortality. Results. Our indicator suggests that US cigarette consumption spread, peaked, and contracted faster than commonly perceived; predicts a significantly stronger smoking–mortality correlation than unadjusted smoking prevalence; and reveals the emergence of a delay (by up to 8 years) in premature death from smoking that is consistent with increasing population access to effective treatments. In fact, we show that, among recent cohorts, smoking health-risk exposure is at a historic low and will account for less than 5% of deaths. Conclusions. Relative to unstandardized measures, our novel, standardized indicator of smoking prevalence describes a different history of smoking diffusion in the United States, and more strongly predicts later-life mortality. PMID:27077340

Colonial Era Impoundment of the Northeastern United States: Beaver Trapping and Low- head Dam Construction

NASA Astrophysics Data System (ADS)

Salant, N.; Bain, D.; Brandt, S.

2008-12-01

Hydrologic systems of the northeastern United States were transformed by European settler activities. The colonial economy shifted engineered water structures from beaver dams to human dams built for power generation. While the geomorphic effects of human-constructed dams have recently garnered considerable attention, few studies have investigated how intensive trapping for the fur trade, the near extermination of the Northeast beaver population, and the consequent loss of beaver ponds altered the regional water balance. Although reconstructions of colonial beaver populations have been made, none link the decline in beavers to its hydrologic impact. Beaver population models based on pre-colonial population estimates, historic harvest rates, and current-day population dynamics were used to simulate the corresponding decrease in pond numbers over time. Beaver populations declined dramatically during the seventeenth century, with harvest rates estimated at 2,000-10,000 beavers per year, resulting in expatriation in some sub-regions by the early 1700s. Using contemporary estimates of beaver pond volumes, the calculated loss in pond storage between 1600 and 1840 was approximately 17 million cubic meters of water and sediment, considerably larger than estimated storage gains from dam construction in the same period, suggesting that beaver eradication was a major driver of hydrologic change during the colonial era.

The patients' library movement: an overview of early efforts in the United States to establish organized libraries for hospital patients.

PubMed Central

Panella, N M

1996-01-01

The patients' library movement in the United States, a dynamic, cohesive drive begun and sustained by librarians and physicians, strove to promote placement of organized libraries for patients in hospitals. It took shape in the early years of this century, evolving from its proponents' deeply held conviction that books and reading foster the rehabilitation of sick people. The American Library Association's World War I service to hospitalized military personnel dramatically reinforced the conviction; the post-World War I institution of public library extension services to general hospitals explicitly reflected it. Enormous energy was infused into the patients' library movement. Throughout the first half of this century, there were sustained efforts not only to establish organized libraries for hospitalized people but also to expand and systematically study bibliotherapy and to shape patients' librarianship as a professional specialty. The movement's achievements include the establishment of patients' library committees within national and international associations; impetus for development of academic programs to train patients' librarians; and publication, from 1944 through 1970, of successive sets of standards for hospital patients' libraries. The first of these remain the first standards written and issued by a professional library association for a hospital library. PMID:8938330

Urban vs. rural differences in prescription opioid misuse among adults in the United States: informing region specific drug policies and interventions.

PubMed

Rigg, Khary K; Monnat, Shannon M

2015-05-01

In the United States, prescription opioid misuse (POM) has increased dramatically over the past two decades. However, there are still questions regarding whether rural/urban differences in adult POM exist, and more important, which factors might be driving these differences. Using data from the 2011 and 2012 National Survey on Drug Use and Health, we conducted unadjusted and adjusted binary logistic regression analyses to determine the association between metropolitan status and POM. We found that urban adults were more likely to engage in POM compared to rural adults because of their higher use of other substances, including alcohol, cannabis, and other illicit and prescription drugs, and because of their greater use of these substances as children. This study fills an important gap in the literature by not only identifying urban/rural differences in POM, but by also pointing out factors that mediate those differences. Because patterns and predictors of POM can be unique to geographic region, this research is critical to informing tailored interventions and drug policy decisions. Specifically, these findings suggest that interventions should be aimed at urban illicit drug users and adults in manual labor occupations. Copyright © 2014 Elsevier B.V. All rights reserved.

Building the scholarly society infrastructure in physics in interwar America

NASA Astrophysics Data System (ADS)

Scheiding, Tom

2013-11-01

Starting in the interwar years both the quantity and quality of physics research conducted within the United States increased dramatically. To accommodate these increases there needed to be significant changes to the infrastructure within the scholarly society and particularly to the organization's ability to publish and distribute scholarly journals. Significant changes to the infrastructure in physics in the United States began with the formation of the American Institute of Physics as an umbrella organization for the major scholarly societies in American physics in 1931. The American Institute of Physics played a critical role in bringing about an expansion in the size of and breadth of coverage within scholarly journals in physics. The priority the American Institute of Physics placed on establishing a strong publication program and the creation of the American Institute of Physics itself were stimulated by extensive involvement and financial investments from the Chemical Foundation. It was journals of sufficient size and providing an appropriate level of coverage that were essential after World War II as physicists made use of increased patronage and public support to conduct even more research. The account offered here suggests that in important respects the significant government patronage that resulted from World War II accelerated changes that were already underway.

Historical aspects of the early Soviet/Russian manned space program.

PubMed

West, J B

2001-10-01

Human spaceflight was one of the great physiological and engineering triumphs of the 20th century. Although the history of the United States manned space program is well known, the Soviet program was shrouded in secrecy until recently. Konstantin Edvardovich Tsiolkovsky (1857-1935) was an extraordinary Russian visionary who made remarkable predictions about space travel in the late 19th century. Sergei Pavlovich Korolev (1907-1966) was the brilliant "Chief Designer" who was responsible for many of the Soviet firsts, including the first artificial satellite and the first human being in space. The dramatic flight of Sputnik 1 was followed within a month by the launch of the dog Laika, the first living creature in space. Remarkably, the engineering work for this payload was all done in less than 4 wk. Korolev's greatest triumph was the flight of Yuri Alekseyevich Gagarin (1934-1968) on April 12, 1961. Another extraordinary feat was the first extravehicular activity by Aleksei Arkhipovich Leonov (1934-) using a flexible airlock that emphasized the entrepreneurial attitude of the Soviet engineers. By the mid-1960s, the Soviet program was overtaken by the United States program and attempts to launch a manned mission to the Moon failed. However, the early Soviet manned space program has a preeminent place in the history of space physiology.

Military space station implications. Study project

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

Bourne, G.D.; Skirvin, G.D.; Wilson, G.R.

1987-03-23

Justifying the relevancy of a Manned Military Space Station (MMSS) and subsequently proposing its deployment to capitalize upon the United States' national security interests is the essence and purpose of this group study project. The MMSS is intended to perform a two-fold purpose: (1) facilitate military peacetime operations while simultaneously supporting and promoting civilian space initiatives; and, (2) act as a force multiplier for space and terrestrial force operations in the event of conventional, theater nuclear, and/or strategic nuclear war. Data to support the future value of the MMSS was obtained from individual and group research using unclassified sources suchmore » as professional journals, books, US Air Force Staff College reference material, and information from the US Air Force space coordinating staff in Washington, DC. The importance of space to our future and especially of a MMSS by America's national leaders and its people has yet to be fully appreciated and/or realized. The significance of space and its nexus to the United States' national security has been growing dramatically in importance since the launching of the Sputnik in 1957 by Russian. Space, as the forth dimension, cannot and should not be understated in importance as it relates to commercialism, deterrence to war, and to the stability of world order.« less

Fingerprinting Soybean Germplasm and Its Utility in Genomic Research

PubMed Central

Song, Qijian; Hyten, David L.; Jia, Gaofeng; Quigley, Charles V.; Fickus, Edward W.; Nelson, Randall L.; Cregan, Perry B.

2015-01-01

The United States Department of Agriculture, Soybean Germplasm Collection includes 18,480 domesticated soybean and 1168 wild soybean accessions introduced from 84 countries or developed in the United States. This collection was genotyped with the SoySNP50K BeadChip containing greater than 50K single-nucleotide polymorphisms. Redundant accessions were identified in the collection, and distinct genetic backgrounds of soybean from different geographic origins were observed that could be a unique resource for soybean genetic improvement. We detected a dramatic reduction of genetic diversity based on linkage disequilibrium and haplotype structure analyses of the wild, landrace, and North American cultivar populations and identified candidate regions associated with domestication and selection imposed by North American breeding. We constructed the first soybean haplotype block maps in the wild, landrace, and North American cultivar populations and observed that most recombination events occurred in the regions between haplotype blocks. These haplotype maps are crucial for association mapping aimed at the identification of genes controlling traits of economic importance. A case-control association test delimited potential genomic regions along seven chromosomes that most likely contain genes controlling seed weight in domesticated soybean. The resulting dataset will facilitate germplasm utilization, identification of genes controlling important traits, and will accelerate the creation of soybean varieties with improved seed yield and quality. PMID:26224783

The human footprint in the west: a large-scale analysis of human impacts

USGS Publications Warehouse

Leu, Matthias

2003-01-01

Background Humans have dramatically altered wildlands in the western United States over the past 100 years by using these lands and the resources they provide. Anthropogenic changes to the landscape, such as urban expansion and development of rural areas, influence the number and kinds of plants and wildlife that remain. In addition, western ecosystems are also affected by roads, powerlines, and other networks and land uses necessary to maintain human populations. The cumulative impacts of human presence and actions on a landscape are called the "human footprint." These impacts may affect plants and wildlife by increasing the number of synanthropic (species that benefit from human activities) bird and mammal predators and facilitating their movements through the landscape or by creating unsuitable habitats. These actions can impact plants and wildlife to such an extent that the persistence of populations or entire species is questionable. For example, greater sage-grouse (Centrocercus urophasianus) once were widespread throughout the Great Basin, but now are a focus of conservation concern because populations have declined for the past three decades across most of their range. At the USGS Forest and Rangeland Ecosystem Science Center, we are developing spatial models to better understand potential influences of the human footprint on shrubland ecosystems and associated wildlife in the western United States.

Juvenile Solitary Confinement as a Form of Child Abuse.

PubMed

Clark, Andrew B

2017-09-01

Placing incarcerated juveniles into solitary confinement continues to occur in certain states of the United States, despite the accumulating evidence that it may cause substantial psychological damage to the teenagers who must endure it. The practice has been widely condemned by professional and human rights organizations, amid a growing appreciation of the immaturity and vulnerability of the adolescent brain. Although several states and the federal government have been successful in abolishing or dramatically reducing the use of juvenile solitary confinement, it remains common practice in many facilities. Clinicians working in correctional facilities where juvenile solitary confinement is employed are therefore faced with difficult questions of ethics, as to how best to balance their competing duties, and how to respond to such state-sanctioned ill treatment of their patients. Given the emerging consensus around the psychological damage wrought by sustained solitary confinement, clinicians may well reach the difficult conclusion that they are both legally mandated and ethically bound to file a report of suspected child abuse. Such a report would be unlikely to be investigated for administrative reasons, but it would allow clinicians to communicate the gravity of their concern effectively. © 2017 American Academy of Psychiatry and the Law.

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.

Quieting Weinberg 5C: a case study in hospital noise control.

PubMed

MacLeod, Mark; Dunn, Jeffrey; Busch-Vishniac, Ilene J; West, James E; Reedy, Anita

2007-06-01

Weinberg 5C of Johns Hopkins Hospital is a very noisy hematological cancer unit in a relatively new building of a large medical campus. Because of the requirements for dealing with immuno-suppressed patients, options for introducing sound absorbing materials are limited. In this article, a case study of noise control in a hospital, the sound environment in the unit before treatment is described, the chosen noise control approach of adding custom-made sound absorbing panels is presented, and the impact of the noise control installation is discussed. The treatment of Weinberg 5C involved creating sound absorbing panels of 2-in.-thick fiberglass wrapped in an anti-bacterial fabric. Wallpaper paste was used to hold the fabric to the backing of the fiberglass. Installation of these panels on the ceiling and high on corridor walls had a dramatic effect. The noise on the unit (as measured by the equivalent sound pressure level) was immediately reduced by 5 dB(A) and the reverberation time dropped by a factor of over 2. Further, this drop in background noise and reverberation time understates the dramatic impact of the change. Surveys of staff and patients before and after the treatment indicated a change from viewing the unit as very noisy to a view of the unit as relatively quiet.

Emergent Cultural Change: Unintended Consequences of a Strategic Information Technology Services Implementation in a United Kingdom University

ERIC Educational Resources Information Center

Waring, Teresa; Skoumpopoulou, Dimitra

2013-01-01

Over the past 20 years, universities in the United Kingdom have been undergoing a dramatic period of transformation and change which can be attributed to the expansion of the higher education sector, the growth in student numbers and the development of an ideological approach to public service management referred to as "new…

Whooping cough in 2014 and beyond: an update and review.

PubMed

Hartzell, Joshua D; Blaylock, Jason M

2014-07-01

Pertussis, or whooping cough, has had a dramatic resurgence in the past several years and is the most common vaccine-preventable disease in the world. The year 2012 marked the most cases in the United States in > 50 years. Large outbreaks have occurred in multiple states, and infant deaths have drawn the attention of not only health-care providers but also the media. Although the disease is theoretically preventable by vaccination, it remains a challenge to control. New vaccination strategies have been implemented across different age groups and populations of patients, but vaccine coverage remains dismally low. Acellular vaccines, although safe, do not afford the same long-lasting immunity as the previously used whole-cell vaccine. Ultimately, improvements in the development of vaccines and in vaccination coverage will be essential to decrease the burden of pertussis on society. This article provides a review of pertussis infection and discusses advances related to the epidemiology, diagnosis, treatment, and prevention of infection, as well as continued areas of uncertainty.

Hungary: a health system in transition.

PubMed

Mendoza, E M; Henderson, B J

1996-03-01

Hungary has an area of 93,030 square kilometers (35,900 square miles), the size of the state of Indiana in the United States. It is landlocked by the Czech Republic and the Slovak Republic to the north, Austria to the west, Yugoslavia to the south, and Romania and the Soviet Union to the east. Although the health care system is based on the Soviet system, there have been dramatic changes since 1991, when the soviet Union and its Eastern European partners discarded their communist structures and the Soviet empire was disbanded. In this report, the current Hungarian health care system and the political structure in which it is housed will be described in terms of a key set of characteristics and their subparts. The purpose of this approach is to facilitate comparison of the Hungarian system with other national health care systems. An expanded version of this article will appear in an upcoming second edition of the College's book, International Health Care: A Framework for Comparing National Health Care Systems, by Drs. Mendoza and Henderson.

Sexual Orientation Disparities in the Use of Emerging Drugs.

PubMed

Goldbach, Jeremy T; Mereish, Ethan H; Burgess, Claire

2017-01-28

Prescription drug, e-cigarette, smokeless tobacco, and synthetic marijuana use has risen dramatically in the United States over the past decade. This paper investigates the use of risky substances among adolescents, and examines disparities between sexual minority (i.e., mostly heterosexual and lesbian, gay, bisexual; LGB) and heterosexual adolescents in use of novel and emerging substances. Given the public health risk and the imminence of these substances in the media, emerging drug use was examined in a county wide sample of adolescents in a Southern state. A probability sample of middle and high school students (N = 3012; ages 11-18) using random cluster methods was obtained in a mid-sized school district in the Southeastern United States. LGB adolescents reported higher past-30 day and lifetime use of cigarettes (AORs =2.77, 2.90, respectively), smokeless tobacco (lifetime only: AOR = 1.88), e-cigarettes (lifetime only; AOR = 1.92), alcohol (AORs = 1.7, 2.20), marijuana (AORs = 3.02, 3.06), synesthetic marijuana (AORs = 3.77, 2.48), and prescription drugs (AORs = 3.82, 2.55). Adolescents who self-identified as "mostly heterosexual" reported higher lifetime cigarette use, and past 30-day use of e-cigarettes and prescription drugs as compared with heterosexual adolescents. Our results are notable given the dearth of data documenting use of increasingly emerging or "trendy" substances such as prescription drugs. More research is needed to understand the underlying cause of these disparities, and efforts should be targeted toward this population to reduce negative outcomes from misuse.

Four Centuries of Change in Northeastern United States Forests

PubMed Central

Thompson, Jonathan R.; Carpenter, Dunbar N.; Cogbill, Charles V.; Foster, David R.

2013-01-01

The northeastern United States is a predominately-forested region that, like most of the eastern U.S., has undergone a 400-year history of intense logging, land clearance for agriculture, and natural reforestation. This setting affords the opportunity to address a major ecological question: How similar are today's forests to those existing prior to European colonization? Working throughout a nine-state region spanning Maine to Pennsylvania, we assembled a comprehensive database of archival land-survey records describing the forests at the time of European colonization. We compared these records to modern forest inventory data and described: (1) the magnitude and attributes of forest compositional change, (2) the geography of change, and (3) the relationships between change and environmental factors and historical land use. We found that with few exceptions, notably the American chestnut, the same taxa that made up the pre-colonial forest still comprise the forest today, despite ample opportunities for species invasion and loss. Nonetheless, there have been dramatic shifts in the relative abundance of forest taxa. The magnitude of change is spatially clustered at local scales (<125 km) but exhibits little evidence of regional-scale gradients. Compositional change is most strongly associated with the historical extent of agricultural clearing. Throughout the region, there has been a broad ecological shift away from late successional taxa, such as beech and hemlock, in favor of early- and mid-successional taxa, such as red maple and poplar. Additionally, the modern forest composition is more homogeneous and less coupled to local climatic controls. PMID:24023749

Evolution of Mars' northern polar seasonal CO2 deposits: Variations in surface brightness and bulk density

NASA Astrophysics Data System (ADS)

Mount, Christopher P.; Titus, Timothy N.

2015-07-01

Small-scale variations of seasonal ice are explored at different geomorphic units on the Northern Polar Seasonal Cap (NPSC). We use seasonal rock shadow measurements, combined with visible and thermal observations, to calculate density over time. The coupling of volume density and albedo allows us to determine the microphysical state of the seasonal CO2 ice. We find two distinct end-members across the NPSC: (1) Snow deposits may anneal to form an overlying slab layer that fractures. These low-density deposits maintain relatively constant densities over springtime. (2) Porous slab deposits likely anneal rapidly in early spring and fracture in late spring. These high-density deposits dramatically increase in density over time. The end-members appear to be correlated with latitude.

Evolution of Mars’ Northern Polar Seasonal CO2 deposits: variations in surface brightness and bulk density

USGS Publications Warehouse

Mount, Christopher P.; Titus, Timothy N.

2015-01-01

Small scale variations of seasonal ice are explored at different geomorphic units on the Northern Polar Seasonal Cap (NPSC). We use seasonal rock shadow measurements, combined with visible and thermal observations, to calculate density over time. The coupling of volume density and albedo allows us to determine the microphysical state of the seasonal CO2 ice. We find two distinct endmembers across the NPSC: 1) Snow deposits may anneal to form an overlying slab layer that fractures. These low density deposits maintain relatively constant densities over springtime. 2) Porous slab deposits likely anneal rapidly in early spring and fracture in late spring. These high density deposits dramatically increase in density over time. The endmembers appear to be correlated with latitude.

The Invisible Army

PubMed Central

2017-01-01

ABSTRACT The “invisible army” of clinical microbiologists is facing major changes and challenges. The rate of change in both the science and technology is accelerating with no end in sight, putting pressure on our army to learn and adapt as never before. Health care funding in the United States is undergoing dramatic change which will require a new set of assumptions about how clinical microbiology is practiced here. A major challenge facing the discipline is the replacement of a generation of clinical microbiologists. In my opinion, it is incumbent on us in the invisible army to continue to work with the American Society for Microbiology (ASM) in meeting the future challenges faced by our discipline. In this commentary, I will first discuss some recent history of clinical microbiology within ASM and then some current challenges we face. PMID:28659316

Measles, mumps, and rubella vaccines.

PubMed

Wharton, M; Cochi, S L; Williams, W W

1990-03-01

With widespread use of the live virus vaccines for measles, mumps, and rubella, there has been a dramatic decrease in the incidence of all three diseases. At the same time, an increasing proportion of the remaining cases are occurring in adolescents and adults. Thus, vaccinations for these three diseases of childhood must be included in a comprehensive program for adult immunization. The vaccines have a proven history of safety and efficacy and are usually administered together as combined measles-mumps-rubella (MMR) vaccine. Vaccination for measles, mumps, and rubella is particularly important for susceptible adults likely to come in contact with infected children. Adults at particularly high risk for exposure may include daycare center workers, teachers and other school employees, college students, medical personnel, and those planning to travel outside the United States.

Climate change and ecosystem disruption: the health impacts of the North American Rocky Mountain pine beetle infestation.

PubMed

Embrey, Sally; Remais, Justin V; Hess, Jeremy

2012-05-01

In the United States and Canada, pine forest ecosystems are being dramatically affected by an unprecedented pine beetle infestation attributed to climate change. Both decreased frequency of extremely cold days and warmer winter temperature averages have led to an enphytotic devastating millions of acres of pine forest. The associated ecosystem disruption has the potential to cause significant health impacts from a range of exposures, including increased runoff and water turbidity, forest fires, and loss of ecosystem services. We review direct and indirect health impacts and possible prevention strategies. The pine beetle infestation highlights the need for public health to adopt an ecological, systems-oriented view to anticipate the full range of potential health impacts from climate change and facilitate effective planned adaptation.

Climate Change and Ecosystem Disruption: The Health Impacts of the North American Rocky Mountain Pine Beetle Infestation

PubMed Central

Remais, Justin V.; Hess, Jeremy

2012-01-01

In the United States and Canada, pine forest ecosystems are being dramatically affected by an unprecedented pine beetle infestation attributed to climate change. Both decreased frequency of extremely cold days and warmer winter temperature averages have led to an enphytotic devastating millions of acres of pine forest. The associated ecosystem disruption has the potential to cause significant health impacts from a range of exposures, including increased runoff and water turbidity, forest fires, and loss of ecosystem services. We review direct and indirect health impacts and possible prevention strategies. The pine beetle infestation highlights the need for public health to adopt an ecological, systems-oriented view to anticipate the full range of potential health impacts from climate change and facilitate effective planned adaptation. PMID:22420788

Understanding the Recent Increase in Ferritin Levels in United States Dialysis Patients: Potential Impact of Changes in Intravenous Iron and Erythropoiesis-Stimulating Agent Dosing.

PubMed

Karaboyas, Angelo; Zee, Jarcy; Morgenstern, Hal; Nolen, Jacqueline G; Hakim, Raymond; Kalantar-Zadeh, Kamyar; Zager, Philip; Pisoni, Ronald L; Port, Friedrich K; Robinson, Bruce M

2015-10-07

Anemia management changed substantially among dialysis patients in the United States around the time of implementation of the new Centers for Medicare & Medicaid Services bundled payment system and erythropoiesis-stimulating agent (ESA) label change in 2011. Among these, average ferritin levels increased dramatically and have remained high since; this study sought to gain understanding of this sustained rise in ferritin levels. Trends in mean ferritin, hemoglobin, IV iron dose, and ESA dose from 2009 to 2013 were examined in 9735 patients from 91 United States Dialysis Outcomes and Practice Patterns Study facilities. Linear mixed models were used to assess the extent to which intravenous (IV) iron and ESA dose accounted for patients' changes in ferritin over time. Mean ESA dose and hemoglobin levels declined throughout the study. Mean IV iron dose increased from 210 mg/mo in 2009-2010 to a peak of 280 mg/mo in 2011, then declined back to 200 mg/mo and remained stable from 2012 to 2013. Mean ferritin increased from 601 ng/ml in the third quarter of 2009 to 887 ng/ml in the first quarter of 2012; models suggest that higher IV iron dosing was a primary determinant during 2011, but lower ESA doses contributed to the sustained high ferritin levels thereafter. In a subset of 17 facilities that decreased IV iron dose in 2011, mean ferritin rose by 120 ng/ml to 764 ng/ml, which appeared to be primarily due to ESA reduction. Together, changes in IV iron and ESA doses accounted for 46% of the increase in ferritin over the study period. In contrast to expectations, the rise in average IV iron dose did not persist beyond 2011. The sustained rise in ferritin levels in United States dialysis patients after policy changes in 2011, to average levels well in excess of 800 ng/ml, appeared to be partly due to reductions in ESA dosing and not solely IV iron dosing practices. The effect of these changes in ferritin on health outcomes requires further investigation. Copyright © 2015 by the American Society of Nephrology.

Understanding the Recent Increase in Ferritin Levels in United States Dialysis Patients: Potential Impact of Changes in Intravenous Iron and Erythropoiesis-Stimulating Agent Dosing

PubMed Central

Zee, Jarcy; Morgenstern, Hal; Nolen, Jacqueline G.; Hakim, Raymond; Kalantar-Zadeh, Kamyar; Zager, Philip; Pisoni, Ronald L.; Port, Friedrich K.; Robinson, Bruce M.

2015-01-01

Background and objectives Anemia management changed substantially among dialysis patients in the United States around the time of implementation of the new Centers for Medicare & Medicaid Services bundled payment system and erythropoiesis-stimulating agent (ESA) label change in 2011. Among these, average ferritin levels increased dramatically and have remained high since; this study sought to gain understanding of this sustained rise in ferritin levels. Design, setting, participants, & measurements Trends in mean ferritin, hemoglobin, IV iron dose, and ESA dose from 2009 to 2013 were examined in 9735 patients from 91 United States Dialysis Outcomes and Practice Patterns Study facilities. Linear mixed models were used to assess the extent to which intravenous (IV) iron and ESA dose accounted for patients’ changes in ferritin over time. Results Mean ESA dose and hemoglobin levels declined throughout the study. Mean IV iron dose increased from 210 mg/mo in 2009–2010 to a peak of 280 mg/mo in 2011, then declined back to 200 mg/mo and remained stable from 2012 to 2013. Mean ferritin increased from 601 ng/ml in the third quarter of 2009 to 887 ng/ml in the first quarter of 2012; models suggest that higher IV iron dosing was a primary determinant during 2011, but lower ESA doses contributed to the sustained high ferritin levels thereafter. In a subset of 17 facilities that decreased IV iron dose in 2011, mean ferritin rose by 120 ng/ml to 764 ng/ml, which appeared to be primarily due to ESA reduction. Together, changes in IV iron and ESA doses accounted for 46% of the increase in ferritin over the study period. Conclusions In contrast to expectations, the rise in average IV iron dose did not persist beyond 2011. The sustained rise in ferritin levels in United States dialysis patients after policy changes in 2011, to average levels well in excess of 800 ng/ml, appeared to be partly due to reductions in ESA dosing and not solely IV iron dosing practices. The effect of these changes in ferritin on health outcomes requires further investigation. PMID:26286925

Into the Curriculum. Creative Dramatics: Valentine Lip Sync Book Charades; Language Arts/Social Studies: Found Poetry from Primary Sources; Reading/Language Arts: A Thematic Activity To Herald in the New Year; Science: Asian Elephant Life Cycles; Social Studies: Conservation of Animal Species-Asian Elephants; Social Studies: What Makes a Leader?

ERIC Educational Resources Information Center

Shugar, Candace; Robinson, Alice A.

2003-01-01

Provides six fully developed library media activities that are designed for use with specific curriculum units in creative dramatics, language arts, social studies, reading, and science. Library media skills, curriculum objectives, grade levels, resources, instructional roles, activities and procedures, evaluation, and follow-up are described for…

Low bone mineral density and fragility fractures in permanent vegetative state patients.

PubMed

Oppl, Bastian; Michitsch, Gabriele; Misof, Barbara; Kudlacek, Stefan; Donis, Johann; Klaushofer, Klaus; Zwerina, Jochen; Zwettler, Elisabeth

2014-01-01

Disuse of the musculoskeletal system causes bone loss. Whether patients in vegetative state, a dramatic example of immobilization after severe brain injury, suffer from bone loss and fractures is currently unknown. Serum markers of bone turnover, bone mineral density (BMD) measurements, and clinical data were cross-sectionally analyzed in 30 consecutive vegetative state patients of a dedicated apallic care unit between 2003 and 2007 and compared with age- and sex-matched healthy individuals. Vegetative state patients showed low calcium levels and vitamin D deficiency compared with healthy controls. Serum bone turnover markers revealed high turnover as evidenced by markedly elevated carboxy-terminal telopeptide of type I collagen (β-crosslaps) and increased levels of alkaline phosphatase. BMD measured by dual-energy X-ray absorptiometry (DXA) scanning showed strongly decreased T- and Z-scores for hip and spine. Over a period of 5 years, 8 fragility fractures occurred at peripheral sites in 6 of 30 patients (n = 3 femur, n = 2 tibia, n = 2 fibula, n = 1 humerus). In conclusion, high bone turnover and low BMD is highly prevalent in vegetative state patients, translating into a clinically relevant problem as shown by fragility fractures in 20% of patients over a time period of 5 years. . © 2014 American Society for Bone and Mineral Research.

The Constitution in Crisis: The Red Scare of 1919-1920. A Unit of Study for Grades 9-12.

ERIC Educational Resources Information Center

Vigilante, David

This unit is one of a series that represents specific moments in history from which students focus on the meanings of landmark events. Continuing narrative provides context for the dramatic moment. By studying a crucial turning-point in history, students become aware that choices had to be made by real human beings, that those decisions were the…

Crowning the Cathedral of Florence: Brunelleschi Builds His Dome. A Unit of Study for Grades 7-10.

ERIC Educational Resources Information Center

Symcox, Linda

This unit focuses on a dramatic moment in the Renaissance from about 1420 when Filippo Brunelleschi single handedly created, defined, and engineered a new architecture by building the great dome of the cathedral of Santa Maria del Fiore in Florence. The dome became the symbol of Florence's grandeur during the Renaissance, and a model for great…

Bulgaria, Romania, and Poland: Case Studies of a Changing Region. Fulbright-Hays Summer Seminar Abroad 1996 (Bulgaria and Romania).

ERIC Educational Resources Information Center

Mallory-Boyle, Nancy

This paper presents a unit for government and economics and one for world history on the dramatic regional changes which have occurred in Central and Eastern Europe since the late 1980s. The units can be taught cohesively covering 2-3 weeks or as modules integrated into relevant themes in the curriculum. The "case studies" approach…

Images of the Orient: Nineteenth-Century European Travelers to Muslim Lands. A Unit of Study for Grades 9-12.

ERIC Educational Resources Information Center

Douglass, Susan L.

This teaching unit represents a specific "dramatic moment" in history that can allow students to delve into the deeper meanings of selected landmark events and explore their wider context in the great historical narrative. Studying a crucial turning point in history helps students realize that history is an ongoing, open-ended process,…

Overview of the family structure in Egypt and its relation to psychiatry.

PubMed

Okasha, Tarek; Elkholy, Hussien; El-Ghamry, Reem

2012-04-01

The family is the basic unit of any society and culture. The concept, structure, and function of the family unit vary considerably across different cultures; however, its role continues to be imperative to the development of individuals and their psychological make-up. All societies have a concept of 'family', its relative importance, structure, and functions; however, this varies according to the particular culture. In the Arabic culture, as well as other collectivistic cultures, the extended family is often regarded as the basic unit. The family is the foundational and basic social unit that fosters the stability, well-being and sustainability of society. The quality of family relationships shapes and influences the social, psychological, and biological development and functioning of its members. This may be especially relevant to individuals with mental health problems. The people of ancient Egypt valued family life highly, and this is the case even now. They treasured children and regarded them as a great blessing. If a couple had no children, they would pray to the gods and goddesses for help. They would also place letters at the tombs of dead relatives asking them to use their influence with the gods. The importance of family has not changed dramatically even though the structures are beginning to. In this paper we highlight changes in family set-up and the state of family therapy in Egypt.

Equity and length of lifespan are not the same.

PubMed

Seligman, Benjamin; Greenberg, Gabi; Tuljapurkar, Shripad

2016-07-26

Efforts to understand the dramatic declines in mortality over the past century have focused on life expectancy. However, understanding changes in disparity in age of death is important to understanding mechanisms of mortality improvement and devising policy to promote health equity. We derive a novel decomposition of variance in age of death, a measure of inequality, and apply it to cause-specific contributions to the change in variance among the G7 countries (Canada, France, Germany, Italy, Japan, the United Kingdom, and the United States) from 1950 to 2010. We find that the causes of death that contributed most to declines in the variance are different from those that contributed most to increase in life expectancy; in particular, they affect mortality at younger ages. We also find that, for two leading causes of death [cancers and cardiovascular disease (CVD)], there are no consistent relationships between changes in life expectancy and variance either within countries over time or between countries. These results show that promoting health at younger ages is critical for health equity and that policies to control cancer and CVD may have differing implications for equity.

Weight loss surgery improves quality of life in pediatric patients with osteogenesis imperfecta

PubMed Central

Zani, Augusto; Ford-Adams, Martha; Ratcliff, Megan; Bevan, Denise; Inge, Thomas H.; Desai, Ashish

2018-01-01

Background Osteogenesis imperfecta (OI) is an inherited disorder, which causes brittle bones resulting in recurrent fractures. The associated poor mobility of children with OI increases susceptibility to obesity, and obesity further dramatically limits mobility and increases fracture risk. Objectives The aim of this report was to describe outcomes of weight loss surgery (WLS) in two adolescents with severe obesity and OI. Setting Two University Hospitals (in the United Kingdom and in the United States). Methods Two cases of OI treated with WLS were identified. Pre- and post-operative anthropometric and biochemical data and clinical course were reviewed. Results In these 2 cases, preoperative Body Mass Index (BMI) values were 38 and 46 kg/m2. Following laparoscopic sleeve gastrectomy (LSG), BMI decreased by 55% and 60% by 26 and 24 months, respectively. There were no surgical complications and both patients experienced improvement in their mobility and ability to perform activities of daily living. Conclusions WLS effectively treated severe obesity in two OI patients and substantially improved mobility and quality of life, theoretically reducing fracture risk. PMID:26948942

Accounting for multiple climate components when estimating climate change exposure and velocity

USGS Publications Warehouse

Nadeau, Christopher P.; Fuller, Angela K.

2015-01-01

The effect of anthropogenic climate change on organisms will likely be related to climate change exposure and velocity at local and regional scales. However, common methods to estimate climate change exposure and velocity ignore important components of climate that are known to affect the ecology and evolution of organisms.We develop a novel index of climate change (climate overlap) that simultaneously estimates changes in the means, variation and correlation between multiple weather variables. Specifically, we estimate the overlap between multivariate normal probability distributions representing historical and current or projected future climates. We provide methods for estimating the statistical significance of climate overlap values and methods to estimate velocity using climate overlap.We show that climates have changed significantly across 80% of the continental United States in the last 32 years and that much of this change is due to changes in the variation and correlation between weather variables (two statistics that are rarely incorporated into climate change studies). We also show that projected future temperatures are predicted to be locally novel (<1·5% overlap) across most of the global land surface and that exposure is likely to be highest in areas with low historical climate variation. Last, we show that accounting for changes in the variation and correlation between multiple weather variables can dramatically affect velocity estimates; mean velocity estimates in the continental United States were between 3·1 and 19·0 km yr−1when estimated using climate overlap compared to 1·4 km yr−1 when estimated using traditional methods.Our results suggest that accounting for changes in the means, variation and correlation between multiple weather variables can dramatically affect estimates of climate change exposure and velocity. These climate components are known to affect the ecology and evolution of organisms, but are ignored by most measures of climate change. We conclude with a set of future directions and recommend future work to determine which measures of climate change exposure and velocity are most related to biological responses to climate change.

Impacts of reproductive technologies on beef production in the United States.

PubMed

Dahlen, Carl; Larson, Jamie; Lamb, G Cliff

2014-01-01

Estimations of world population growth indicate that by the year 2050 we will reach nine billion habitants on earth. These estimates impose a tremendous challenge in the current agricultural systems as food supply will need to increase by 100 % in the next 40 years (Food and Agriculture Organization of the United Nations 2009). Beef will be a primary protein source that will assist in meeting the requirements for a portion of the protein in diets of this expanding global populace. Beef is a high-quality protein that contains all essential amino acids for the human body and also contains additional essential nutrients such as iron, zinc, B vitamins, riboflavin, selenium, choline, and conjugated linoleic acid (CLA). Adopting reproductive technologies at greater rates than currently used is a viable method to dramatically enhance production efficiency of beef cattle enterprises.Artificial insemination (AI), estrous synchronization and fixed-time AI (TAI), semen and embryo cryopreservation, multiple ovulation and embryo transfer (MOET), in vitro fertilization, sex determination of sperm or embryos, and nuclear transfer are technologies that are used to enhance the production efficiency of beef operations. In many cases, the development of these technologies is responsible for significant changes to traditional livestock production practices. However, adoption of these technologies appears to has not grown at the same rate in the United States as other formidable beef producing nations. For example, sales of beef semen for AI increased from 3.3 to 11.9 million units between 1993 and 2011 in Brazil, whereas that in the United States has increased from 2.9 to 3.8 million units during the same period. The significant increases in adoption of reproductive technologies in developing countries is likely as a result of the development of practical estrous synchronization and TAI systems that have allowed beef producers the opportunity to eliminate detection of estrus in their AI programs with a high degree of success. In the United States, slow adoption rates of these technologies may result in a future loss of international market share of beef products as other nations take advantage not only of the additional kilogram of beef that can be produced but also the improved quality of beef that can be realized through incorporation of reproductive technologies and resultant genetic improvement. However, current difficulties the US producers have with the incorporation of applied reproductive technologies, such as TAI, MOET, and sex semen, must not be the reason to overlook and incorporate more traditional reproductive technologies such as castration, breeding season management, or weaning. In many cases, beef producers in the United States fail to incorporate these more traditional technologies, which results in a reduction in production efficiency of the US beef industry. This chapter will focus on both traditional and more developed reproductive technologies that will play a role in enhancing future production efficiencies of the US beef cattle production system.

Teacher's Guide for Computational Models of Animal Behavior: A Computer-Based Curriculum Unit to Accompany the Elementary Science Study Guide "Behavior of Mealworms." Artificial Intelligence Memo No. 432.

ERIC Educational Resources Information Center

Abelson, Hal; Goldenberg, Paul

This experimental curriculum unit suggests how dramatic innovations in classroom content may be achieved through use of computers. The computational perspective is viewed as one which can enrich and transform traditional curricula, act as a focus for integrating insights from diverse disciplines, and enable learning to become more active and…

Testing the Predictive Capability of the High-Fidelity Generalized Method of Cells Using an Efficient Reformulation

NASA Technical Reports Server (NTRS)

Arnold, Steven M. (Technical Monitor); Bansal, Yogesh; Pindera, Marek-Jerzy

2004-01-01

The High-Fidelity Generalized Method of Cells is a new micromechanics model for unidirectionally reinforced periodic multiphase materials that was developed to overcome the original model's shortcomings. The high-fidelity version predicts the local stress and strain fields with dramatically greater accuracy relative to the original model through the use of a better displacement field representation. Herein, we test the high-fidelity model's predictive capability in estimating the elastic moduli of periodic composites characterized by repeating unit cells obtained by rotation of an infinite square fiber array through an angle about the fiber axis. Such repeating unit cells may contain a few or many fibers, depending on the rotation angle. In order to analyze such multi-inclusion repeating unit cells efficiently, the high-fidelity micromechanics model's framework is reformulated using the local/global stiffness matrix approach. The excellent agreement with the corresponding results obtained from the standard transformation equations confirms the new model's predictive capability for periodic composites characterized by multi-inclusion repeating unit cells lacking planes of material symmetry. Comparison of the effective moduli and local stress fields with the corresponding results obtained from the original Generalized Method of Cells dramatically highlights the original model's shortcomings for certain classes of unidirectional composites.

The successful evolution of a voluntary vessel safety program in the USA.

PubMed

Hughes, Leslie

2006-01-01

The North Pacific Fishing Vessel Owners' Association (NPFVOA) is a non-profit association dedicated to safety education and training for commercial fishermen and other mariners. Funding is provided primarily through member contributions and also through tuition fees and sales of materials. Members are primarily fishing vessel owners and fishing-related companies, from small salmon boats with single operators to large processing ships with crews of 150 or more. The Association also works together with insurance underwriters and brokers, maritime attorneys and fishing industry support businesses. It works closely with the United States Coast Guard, the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor, the National Institute for Occupational Safety and Health (NIOSH), and many state agencies. There are three primary components of the NPFVOA Vessel Safety Program--a comprehensive safety manual, a series of safety and survival at sea videotapes, and a crew training program. The vessel safety manual includes 300 pages of text and illustrations covering subjects ranging from vessel familiarity for deckhands to stability for the owner and skipper. It is based on the experience of those who have fished the Bering Sea and the North Pacific. The manual calls for vessel owners and skippers to adopt safety practices specific to the vessel's characteristics and service, the waters fished, the season fished and the experience of the crew. The safety and survival videotape series is designed to complement hands-on training classes. The crew training program uses hands-on practice to dramatize and enliven the information presented in the manual and on the videotapes. Courses are designed to be portable and conducted in numerous ports and states. The NPFVOA also publishes a quarterly newsletter covering its safety program, other relevant safety information and reports of lessons learned from serious fishing vessel accidents.

What Is Driving the Observed Changes in Flooding in the Turkey River in Iowa?

NASA Astrophysics Data System (ADS)

Smith, C.; Yu, G.; Wright, D.

2017-12-01

Flooding can have severe societal, economic, and environmental consequences. In the United States-and worldwide-flooding causes fatalities and billions of dollars in economic loss. Recent research has pointed to changing flood risks in the Midwestern United States. However, we have a limited understanding of what natural and human factors are driving these changes. Researchers have proposed several possible explanations. Increasing intensity of short-duration summertime rainfall, reduced snow cover and earlier snow and soil thaw, changes in land surface evapotranspiration, and the effects of urbanization and agricultural management practices may all play roles in the shifts seen in the hydrologic cycle and flooding in Midwest. This study intends to look at the changes in the region on a smaller scale, whereas most previous research has examined at broad regional trends. Our focus will be on the agricultural Turkey River watershed in northeastern Iowa, where the flood hydroclimatology shows an abrupt shift around the year 1990 toward lower mean annual floods and dramatic increases in the magnitude and frequency of the largest floods. Analyses of land use, temperature, rainfall, river flow, and atmospheric properties, as well as simple continuous hydrologic simulations will aid in our understanding of the flood behavior of Turkey River and its drivers. In doing so, we hope to shed light on the causes of the changes in flooding and hydrology more generally that are taking place throughout the region.

Management of hepatitis C virus infection: the basics.

PubMed

Naggie, Susanna

2012-12-01

Chronic hepatitis C virus (HCV) infection affects some 170 million people worldwide, including 3 to 4 million in the United States who are largely unaware of their infection status. HCV has 6 genotypes; genotype 1 is the most common in the United States and genotypes 1 and 4 are less responsive to interferon alfa-based therapy than the other genotypes. Treatment with available direct-acting antiviral (DAA) drugs has increased sustained virologic response (SVR) rates in genotype 1 infection and shortened duration of therapy in many patients, but at this time these agents must still be administered with peginterferon alfa and ribavirin to prevent rapid emergence of resistance. Baseline predictors of response to therapy continue to play a role with triple-drug combination therapy including the pharmacogenetic IL28B genotype, which differs in prevalence throughout the world. The stopping/futility rules are different for triple-drug combination therapy, allowing for earlier decision-making. Ultimately, SVR is the goal of HCV treatment because it dramatically reduces likelihood of poor long-term outcome, even among patients with histologically advanced disease. This article summarizes a basic review presented by Susanna Naggie, MD, at the IAS-USA live management of HCV continuing medical education program held in Atlanta in October 2012. This article is intended for practitioners who are new to HCV management or who are interested in reviewing the basics of HCV treatments.

Near-real-time cheatgrass percent cover in the Northern Great Basin, USA, 2015

USGS Publications Warehouse

Boyte, Stephen; Wylie, Bruce K.

2016-01-01

Cheatgrass (Bromus tectorum L.) dramatically changes shrub steppe ecosystems in the Northern Great Basin, United States.Current-season cheatgrass location and percent cover are difficult to estimate rapidly.We explain the development of a near-real-time cheatgrass percent cover dataset and map in the Northern Great Basin for the current year (2015), display the current year’s map, provide analysis of the map, and provide a website link to download the map (as a PDF) and the associated dataset.The near-real-time cheatgrass percent cover dataset and map were consistent with non-expedited, historical cheatgrass percent cover datasets and maps.Having cheatgrass maps available mid-summer can help land managers, policy makers, and Geographic Information Systems personnel as they work to protect socially relevant areas such as critical wildlife habitats.

The BRAIN Initiative: developing technology to catalyse neuroscience discovery.

PubMed

Jorgenson, Lyric A; Newsome, William T; Anderson, David J; Bargmann, Cornelia I; Brown, Emery N; Deisseroth, Karl; Donoghue, John P; Hudson, Kathy L; Ling, Geoffrey S F; MacLeish, Peter R; Marder, Eve; Normann, Richard A; Sanes, Joshua R; Schnitzer, Mark J; Sejnowski, Terrence J; Tank, David W; Tsien, Roger Y; Ugurbil, Kamil; Wingfield, John C

2015-05-19

The evolution of the field of neuroscience has been propelled by the advent of novel technological capabilities, and the pace at which these capabilities are being developed has accelerated dramatically in the past decade. Capitalizing on this momentum, the United States launched the Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative to develop and apply new tools and technologies for revolutionizing our understanding of the brain. In this article, we review the scientific vision for this initiative set forth by the National Institutes of Health and discuss its implications for the future of neuroscience research. Particular emphasis is given to its potential impact on the mapping and study of neural circuits, and how this knowledge will transform our understanding of the complexity of the human brain and its diverse array of behaviours, perceptions, thoughts and emotions.

The American print news media 'construction' of five natural disasters.

PubMed

Ploughman, P

1995-12-01

In 1985, five international 'natural' disasters received prominent print news media coverage in the United States. Content analyses of selected print news media accounts of these five disasters were conducted. The purported evidence of alleged cause-effect relationships describing and explaining these disasters as 'objective' realities was evaluated in the light of the subjective selection of explanatory factors, themes, frameworks, and value assumptions which underlie the media's analysis and 'construction' of these events as 'natural' disasters. Analysis of the American print news media coverage of these disasters indicated an emphasis upon the dramatic, descriptive, climatological or geological qualities of these events rather than upon causal explanations emphasizing the role of human acts or omissions in the development of these disasters. The print news media 'constructed' these events as 'natural' disasters despite clear evidence of their hybrid, natural-human origins.

A review of recent American military space operations

NASA Astrophysics Data System (ADS)

Day, Dwayne A.

1993-12-01

The United States (US) Department of Defense (DOD) has launched a large number of satellites into Earth orbit during the past five and a half years. These range from highly classified signals intelligence and imaging satellites to more mundane scientific and experimental microsats. This period saw a dramatic overhaul in operations due to the Challenger and other launch disasters. Many of these resources were used during the war in the Persian Gulf, which highlighted some of the limitations of current systems. A significant amount of new information has emerged in recent years due to the changing political situation, leading to this general overview of American military satellite programs during this period using unclassified and declassified sources as well as informed specculation. It is primarily a review of space operations and technical developments rather than the policy and doctrine that drives them.

Challenges, Ideas, and Innovations of Joined-Wing Configurations: A Concept from the Past, an Opportunity for the Future

NASA Astrophysics Data System (ADS)

Cavallaro, Rauno; Demasi, Luciano

2016-11-01

Diamond Wings, Strut- and Truss-Braced Wings, Box Wings, and PrandtlPlane, the so-called "JoinedWings", represent a dramatic departure from traditional configurations. Joined Wings are characterized by a structurally overconstrained layout which significantly increases the design space with multiple load paths and numerous solutions not available in classical wing systems. A tight link between the different disciplines (aerodynamics, flight mechanics, aeroelasticity, etc.) makes a Multidisciplinary Design and Optimization approach a necessity from the early design stages. Researchers showed potential in terms of aerodynamic efficiency, reduction of emissions and superior performances, strongly supporting the technical advantages of Joined Wings. This review will present these studies, with particular focus on the United States joined-wing SensorCraft, Strut- and Truss- Braced Wings, Box Wings and PrandtlPlane.

The APGAR rubric for scoring online discussion boards.

PubMed

Phillippi, Julia C; Schorn, Mavis N; Moore-Davis, Tonia

2015-05-01

The World Health Organization has called for a dramatic increase in the number of midwives and supports the use of innovative programs to assist students in achieving midwifery competencies. Online discussion boards are excellent educational tools for stimulating in-depth student engagement. However, complex discussions can be difficult to grade without a well-constructed rubric. The 'discussion-board APGAR' provides clear scoring criteria for discussions of midwifery care. The discussion-board APGAR has 5 components: Application, Professionalism, Group work, Analysis, and Rationale and provides scoring criteria for unacceptable, marginal, and proficient performance. The discussion-board APGAR is based on the Core Competencies for Basic Midwifery Practice in the United States (US), consistent with the International Confederation of Midwives Essential Competencies for Basic Midwifery Practice, and can be adjusted to be congruent with other midwifery standards. Copyright © 2014 Elsevier Ltd. All rights reserved.

Out of the tropics: the Pacific, Great Basin lakes, and late Pleistocene water cycle in the western United States

USGS Publications Warehouse

Lyle, Mitchell; Heusser, Linda; Ravelo, Christina; Yamamoto, Masanobu; Barron, John; Diffenbaugh, Noah S.; Herbert, Timothy; Andreasen, Dyke

2012-01-01

The water cycle in the western U.S. changed dramatically over glacial cycles. In the last 20,000 years, higher precipitation caused desert lakes to form which have since dried out. Higher glacial precipitation is hypothesized to result from a southward shift of Pacific winter storm tracks. We compared Pacific Ocean data to lake levels from the interior west and found that Great Basin lake high stands are older than coastal wet periods at the same latitude. Westerly storms were not the source of high precipitation. Instead, air masses from the tropical Pacific were transported northward, bringing more precipitation into the Great Basin when coastal California was still dry. The changing climate during the deglaciation altered precipitation source regions and strongly affected the regional water cycle.

Adaptation of the BDI-II in Mexico

PubMed Central

González, David Andrés; Reséndiz, Areli; Reyes-Lagunes, Isabel

2017-01-01

The number of Spanish-speaking individuals and immigrants in the United States has risen dramatically and is projected to continue to rise. The availability of appropriately translated and validated measurement instruments, such as the Beck Depression Inventory, is a priority for researchers and clinicians in the U.S. and Mexico, where the first edition of the BDI is still prominently used. The purpose of this study was to pilot a Mexican adaptation of the BDI-II and report initial psychometric characteristics. Two samples were used: students from across Mexico and community adults from Mexico City. Results indicated that the translation was easily understood by most individuals, had adequate internal consistency, and a three-factor structure (negative attitude, performance difficulties, and somatic elements) had the best fit. Implications for use with Mexican-origin Spanish speakers are discussed. PMID:28936017

An Overview of the Space Shuttle Aerothermodynamic Design

NASA Technical Reports Server (NTRS)

Martin, Fred

2011-01-01

The Space Shuttle Thermal Protection System was one of the three areas that required the development of new technology. The talk discusses the pre-flight development of the aerothermodynamic environment which was based on Mach 8 wind tunnel data. A high level overview of the pre-flight heating rate predictions and comparison to the Orbiter Flight Test (OFT) data is presented, along with a discussion of the dramatic improvement in the state-of-the-art in aerothermodynamic capability that has been used to support the Shuttle Program. A high level review of the Orbiter aerothermodynamic design is discussed, along with improvements in Computational Fluid Dynamics and wind tunnel testing that was required for flight support during the last 30 years. The units have been removed from the plots, and the discussion is kept at a high level.

Treatment for Substance Use Disorder: Opportunities and Challenges under the Affordable Care Act

PubMed Central

Tai, Betty; Volkow, Nora D.

2016-01-01

Addiction is a chronic brain disease with consequences that remain problematic years after discontinuation of use. Despite this, treatment models focus on acute interventions and are carved out from the main health care system. The Patient Protection and Affordable Care Act (2010) brings the opportunity to change the way substance use disorder (SUD) is treated in the United States. The treatment of SUD must adapt to a chronic care model offered in an integrated care system that screens for at-risk patients and includes services needed to prevent relapses. The partnering of the health care system with substance abuse treatment programs could dramatically expand the benefits of prevention and treatment of SUD. Expanding roles of health information technology and nonphysician workforces, such as social workers, are essential to the success of a chronic care model. PMID:23731411

Identifying structural elements needed for development of a predictive life-history model for pallid and shovelnose sturgeons

USGS Publications Warehouse

Wildhaber, Mark L.; DeLonay, A.J.; Papoulias, D.M.; Galat, D.L.; Jacobson, R.B.; Simpkins, D.G.; Braaten, P.J.; Korschgen, C.E.; Mac, M.J.

2011-01-01

Intensive management of the Missouri and Mississippi Rivers has resulted in dramatic changes to the river systems and their biota. These changes have been implicated in the decline of the pallid sturgeon (Scaphirhynchus albus), which has been listed as a United States federal endangered species. The sympatric shovelnose sturgeon (S. platorynchus) is more common and widespread but has also been in decline. The decline of pallid sturgeon is considered symptomatic of poor reproductive success and low or no recruitment. In order to organize information about these species and provide a basis for future development of a predictive model to help guide recovery efforts, we present an expert-vetted, conceptual life-history framework that incorporates the factors that affect reproduction, growth, and survival of shovelnose and pallid sturgeons.

U.S. Cloud Cover Five Day Flip-Flop

NASA Image and Video Library

2013-11-22

In autumn, cloud cover over the continental United States changes dramatically every few days, as these two remarkably opposite midday views show. In five days, clouds seemed to flip-flop over the U.S. These images were captured by NOAA's GOES-East satellite at 1745 UTC/12:45 p.m. EST on November 18 and 22, 2013. The images were created by Dennis Chesters of the NASA GOES Project at the NASA Goddard Space Flight Center in Greenbelt, Md. NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

The BRAIN Initiative: developing technology to catalyse neuroscience discovery

PubMed Central

Jorgenson, Lyric A.; Newsome, William T.; Anderson, David J.; Bargmann, Cornelia I.; Brown, Emery N.; Deisseroth, Karl; Donoghue, John P.; Hudson, Kathy L.; Ling, Geoffrey S. F.; MacLeish, Peter R.; Marder, Eve; Normann, Richard A.; Sanes, Joshua R.; Schnitzer, Mark J.; Sejnowski, Terrence J.; Tank, David W.; Tsien, Roger Y.; Ugurbil, Kamil; Wingfield, John C.

2015-01-01

The evolution of the field of neuroscience has been propelled by the advent of novel technological capabilities, and the pace at which these capabilities are being developed has accelerated dramatically in the past decade. Capitalizing on this momentum, the United States launched the Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative to develop and apply new tools and technologies for revolutionizing our understanding of the brain. In this article, we review the scientific vision for this initiative set forth by the National Institutes of Health and discuss its implications for the future of neuroscience research. Particular emphasis is given to its potential impact on the mapping and study of neural circuits, and how this knowledge will transform our understanding of the complexity of the human brain and its diverse array of behaviours, perceptions, thoughts and emotions. PMID:25823863

Clinical utility of gene expression profiling data for clinical decision-making regarding adjuvant therapy in early stage, node-negative breast cancer: a case report.

PubMed

Schuster, Steven R; Pockaj, Barbara A; Bothe, Mary R; David, Paru S; Northfelt, Donald W

2012-09-10

Breast cancer is the most common malignancy among women in the United States with the second highest incidence of cancer-related death following lung cancer. The decision-making process regarding adjuvant therapy is a time intensive dialogue between the patient and her oncologist. There are multiple tools that help individualize the treatment options for a patient. Population-based analysis with Adjuvant! Online and genomic profiling with Oncotype DX are two commonly used tools in patients with early stage, node-negative breast cancer. This case report illustrates a situation in which the population-based prognostic and predictive information differed dramatically from that obtained from genomic profiling and affected the patient's decision. In light of this case, we discuss the benefits and limitations of these tools.

Genital Warts

PubMed Central

Yanofsky, Valerie R.; Patel, Rita V.

2012-01-01

External genital warts, also known as condylomata acuminata, are extremely common, with between 500,000 to one million new cases diagnosed each year in the United States alone. To date, more than 120 distinct subtypes of human papillomavirus have been identified. Human papillomavirus types 6 and 11 rarely give rise to cervical cancers, but are responsible for 90 percent of the cases of genital warts. The current treatment options are largely centered upon removal of the warts rather than elimination of the underlying viral infection. A wide range of therapies are presently in use, which are highly variable and can differ dramatically with respect to cost, side-effect profiles, dosing schedules, duration of treatment, and overall effectiveness. As of yet, no definitive therapy has emerged as the ideal standard of care in the treatment of genital warts, and therapy selection generally occurs in a patient-specific manner. PMID:22768354

Goddard Conference on Mass Storage Systems and Technologies, Volume 1

NASA Technical Reports Server (NTRS)

Kobler, Ben (Editor); Hariharan, P. C. (Editor)

1993-01-01

Copies of nearly all of the technical papers and viewgraphs presented at the Goddard Conference on Mass Storage Systems and Technologies held in Sep. 1992 are included. The conference served as an informational exchange forum for topics primarily relating to the ingestion and management of massive amounts of data and the attendant problems (data ingestion rates now approach the order of terabytes per day). Discussion topics include the IEEE Mass Storage System Reference Model, data archiving standards, high-performance storage devices, magnetic and magneto-optic storage systems, magnetic and optical recording technologies, high-performance helical scan recording systems, and low end helical scan tape drives. Additional topics addressed the evolution of the identifiable unit for processing purposes as data ingestion rates increase dramatically, and the present state of the art in mass storage technology.

Summer peaks in uptake of human papillomavirus (HPV) and other adolescent vaccines in the United States

PubMed Central

Moss, Jennifer L.; Reiter, Paul L.; Rimer, Barbara K.; Ribisl, Kurt M.; Brewer, Noel T.

2015-01-01

Background Seasonality in human papillomavirus (HPV) vaccination could have a large impact on national cancer prevention efforts. We hypothesized that uptake of HPV vaccine and other adolescent vaccines in the United States would be highest in the summer. Methods Data came from healthcare provider-verified vaccination records for 70,144 adolescents (ages 13–17) from the 2008–2012 versions of the National Immunization Survey-Teen. Using the Edwards method for testing annual trends, we examined seasonal patterns in uptake of HPV and other recommended adolescent vaccines (tetanus, diphtheria, and pertussis (Tdap) booster and meningococcal vaccine). HPV vaccine initiation (receipt of the first of the three-dose series) data were for female adolescents. Results Uptake for HPV and other adolescent vaccines peaked in the summer across years and states (all p<.001). Uptake was 5 times as frequent at the peak as at the trough for HPV vaccine, and HPV vaccine initiation was highest in June, July, and August (percent of doses delivered in these months: 38.7%). The same pattern existed for Tdap booster and meningococcal vaccine. Concomitant (same-day) vaccination of HPV vaccine with other adolescent vaccines also demonstrated summer peaks each year nationally (all p<.001). Conclusion Uptake of adolescent vaccines increased dramatically in summer months. These summer peaks are an important opportunity for interventions focused on concomitant vaccination. Impact The potential cancer prevention impact of HPV vaccination programs could be increased, for example, by delivering messages about concomitant vaccination during the summer, when adolescents and their parents might be most open to them. PMID:26677211

Summer Peaks in Uptake of Human Papillomavirus and Other Adolescent Vaccines in the United States.

PubMed

Moss, Jennifer L; Reiter, Paul L; Rimer, Barbara K; Ribisl, Kurt M; Brewer, Noel T

2016-02-01

Seasonality in human papillomavirus (HPV) vaccination could have a large impact on national cancer prevention efforts. We hypothesized that uptake of HPV vaccine and other adolescent vaccines in the United States would be highest in the summer. Data came from health care provider-verified vaccination records for 70,144 adolescents (ages 13-17 years) from the 2008 to 2012 versions of the National Immunization Survey-Teen. Using the Edwards method for testing annual trends, we examined seasonal patterns in the uptake of HPV and other recommended adolescent vaccines [tetanus, diphtheria, and pertussis (Tdap) booster and meningococcal vaccine]. HPV vaccine initiation (receipt of the first of the three-dose series) data were for female adolescents. Uptake for HPV and other adolescent vaccines peaked in the summer across years and states (all P < 0.001). Uptake was five times as frequent at the peak as at the trough for HPV vaccine, and HPV vaccine initiation was highest in June, July, and August (percent of doses delivered in these months: 38.7%). The same pattern existed for Tdap booster and meningococcal vaccine. Concomitant (same-day) vaccination of HPV vaccine with other adolescent vaccines also demonstrated summer peaks each year nationally (all P < 0.001). Uptake of adolescent vaccines increased dramatically in summer months. These summer peaks are an important opportunity for interventions focused on concomitant vaccination. The potential cancer prevention impact of HPV vaccination programs could be increased, for example, by delivering messages about concomitant vaccination during the summer, when adolescents and their parents might be most open to them. ©2015 American Association for Cancer Research.

Cancer Burden in the HIV-Infected Population in the United States

PubMed Central

Pfeiffer, Ruth M.; Gail, Mitchell H.; Hall, H. Irene; Chaturvedi, Anil K.; Bhatia, Kishor; Uldrick, Thomas S.; Yarchoan, Robert; Goedert, James J.; Engels, Eric A.

2011-01-01

Background Effective antiretroviral therapy has reduced the risk of AIDS and dramatically prolonged the survival of HIV-infected people in the United States. Consequently, an increasing number of HIV-infected people are at risk of non-AIDS-defining cancers that typically occur at older ages. We estimated the annual number of cancers in the HIV-infected population, both with and without AIDS, in the United States. Methods Incidence rates for individual cancer types were obtained from the HIV/AIDS Cancer Match Study by linking 15 HIV and cancer registries in the United States. Estimated counts of the US HIV-infected and AIDS populations were obtained from Centers for Disease Control and Prevention surveillance data. We obtained estimated counts of AIDS-defining (ie, Kaposi sarcoma, non-Hodgkin lymphoma, and cervical cancer) and non-AIDS-defining cancers in the US AIDS population during 1991–2005 by multiplying cancer incidence rates and AIDS population counts, stratified by year, age, sex, race and ethnicity, transmission category, and AIDS-relative time. We tested trends in counts and standardized incidence rates using linear regression models. We multiplied overall cancer rates and HIV-only (HIV infected, without AIDS) population counts, available from 34 US states during 2004–2007, to estimate cancers in the HIV-only population. All statistical tests were two-sided. Results The US AIDS population expanded fourfold from 1991 to 2005 (96 179 to 413 080) largely because of an increase in the number of people aged 40 years or older. During 1991–2005, an estimated 79 656 cancers occurred in the AIDS population. From 1991–1995 to 2001–2005, the estimated number of AIDS-defining cancers decreased by greater than threefold (34 587 to 10 325 cancers; Ptrend < .001), whereas non-AIDS-defining cancers increased by approximately threefold (3193 to 10 059 cancers; Ptrend < .001). From 1991–1995 to 2001–2005, estimated counts increased for anal (206 to 1564 cancers), liver (116 to 583 cancers), prostate (87 to 759 cancers), and lung cancers (875 to 1882 cancers), and Hodgkin lymphoma (426 to 897 cancers). In the HIV-only population in 34 US states, an estimated 2191 non-AIDS-defining cancers occurred during 2004–2007, including 454 lung, 166 breast, and 154 anal cancers. Conclusions Over a 15-year period (1991–2005), increases in non-AIDS-defining cancers were mainly driven by growth and aging of the AIDS population. This growing burden requires targeted cancer prevention and treatment strategies. PMID:21483021

Fasting, but Not Aging, Dramatically Alters the Redox Status of Cysteine Residues on Proteins in Drosophila melanogaster

PubMed Central

Menger, Katja E.; James, Andrew M.; Cochemé, Helena M.; Harbour, Michael E.; Chouchani, Edward T.; Ding, Shujing; Fearnley, Ian M.; Partridge, Linda; Murphy, Michael P.

2015-01-01

Summary Altering the redox state of cysteine residues on protein surfaces is an important response to environmental challenges. Although aging and fasting alter many redox processes, the role of cysteine residues is uncertain. To address this, we used a redox proteomic technique, oxidative isotope-coded affinity tags (OxICAT), to assess cysteine-residue redox changes in Drosophila melanogaster during aging and fasting. This approach enabled us to simultaneously identify and quantify the redox state of several hundred cysteine residues in vivo. Cysteine residues within young flies had a bimodal distribution with peaks at ∼10% and ∼85% reversibly oxidized. Surprisingly, these cysteine residues did not become more oxidized with age. In contrast, 24 hr of fasting dramatically oxidized cysteine residues that were reduced under fed conditions while also reducing cysteine residues that were initially oxidized. We conclude that fasting, but not aging, dramatically alters cysteine-residue redox status in D. melanogaster. PMID:26095360

Poisoning deaths involving opioid analgesics - New York State, 2003-2012.

PubMed

Sharp, Mark J; Melnik, Thomas A

2015-04-17

Deaths involving opioid analgesics have increased dramatically in the United States. Approximately 4,000 such deaths were documented in 1999, increasing to 16,235 in 2013, reflecting a nearly quadrupled death rate from 1.4 to 5.1 deaths per 100,000. To investigate this increase in New York state, trends in poisoning deaths involving opioid analgesics from 2003 to 2012 were examined. Data sources used were New York state vital statistics multiple-cause-of-death data, consisting of data from both the New York City (NYC)* and non-NYC reporting jurisdictions, as well as statewide Medicaid enrollment data. Deaths involving opioid analgesics increased both in number and as a percentage of all drug poisoning deaths, and rates were highest among men, whites, persons aged 45-64 years, persons residing outside of NYC, and Medicaid enrollees. The analysis found that, in 2012, 70.7% of deaths involving opioid analgesics also involved at least one other drug, most frequently a benzodiazepine. These results underscore the potential to mitigate the trend of increasing opioid analgesic-related mortality through initiatives such as New York state's Internet System for Tracking Over-Prescribing (I-STOP) law,† which took effect on August 27, 2013. Provisions under I-STOP include the requirements that providers consult the Prescription Monitoring Program (PMP) Registry when writing prescriptions for controlled substances, and that they use electronic prescribing.

An hypothesis: the dramatic decline in heart attacks in the United States is temporally related to the decline in duodenal ulcer disease and Helicobacter pylori infection.

PubMed

Hughes, William S

2014-06-01

Studies of autopsies of military members dying in three US wars indicate that the prevalence of atherosclerosis in successive cohorts of healthy young men and women has dramatically decreased over the past half century. The objective of this study was to compare the decline in the prevalence of atherosclerosis and myocardial infarction with previously published studies on the decline in the prevalence of duodenal ulcer. A plot of the prevalence of coronary atherosclerosis and the prevalence of myocardial infarction in three cohorts of young men and women born from 1930 to 1980 was constructed. The figure shows a marked decline in prevalence in atherosclerosis beginning in a military cohort born around 1930 and a similar marked decline in prevalence of myocardial infarction in the US population beginning in 1970. In published studies duodenal ulcer began to decline in prevalence in 1960. As duodenal ulcers began to occur at age 30 and myocardial infarctions began to occur at age 40 at the time of peak prevalence, the cohort born in 1930 was the first to experience a decline in prevalence of both duodenal ulcer and heart attacks. The study shows that the decline in heart attacks is temporally related to the decline in duodenal ulcer and by inference, Helicobacter pylori infection. © 2014 John Wiley & Sons Ltd.