The process of implementation of emergency care units in Brazil.
O'Dwyer, Gisele; Konder, Mariana Teixeira; Reciputti, Luciano Pereira; Lopes, Mônica Guimarães Macau; Agostinho, Danielle Fernandes; Alves, Gabriel Farias
2017-12-11
To analyze the process of implementation of emergency care units in Brazil. We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficulties, and state coordination capacity. We have used the theoretical framework of the analysis of the strategic conduct of the Giddens theory of structuration. Emergency care units have been implemented after 2007, initially in the Southeast region, and 446 emergency care units were present in all Brazilian regions in 2016. Currently, 620 emergency care units are under construction, which indicates expectation of expansion. Federal funding was a strong driver for the implementation. The states have planned their emergency care units, but the existence of direct negotiation between municipalities and the Union has contributed with the significant number of emergency care units that have been built but that do not work. In relation to the urgency network, there is tension with the hospital because of the lack of beds in the country, which generates hospitalizations in the emergency care unit. The management of emergency care units is predominantly municipal, and most of the emergency care units are located outside the capitals and classified as Size III. The main challenges identified were: under-funding and difficulty in recruiting physicians. The emergency care unit has the merit of having technological resources and being architecturally differentiated, but it will only succeed within an urgency network. Federal induction has generated contradictory responses, since not all states consider the emergency care unit a priority. The strengthening of the state management has been identified as a challenge for the implementation of the urgency network.
The process of implementation of emergency care units in Brazil
O'Dwyer, Gisele; Konder, Mariana Teixeira; Reciputti, Luciano Pereira; Lopes, Mônica Guimarães Macau; Agostinho, Danielle Fernandes; Alves, Gabriel Farias
2017-01-01
ABSTRACT OBJECTIVE To analyze the process of implementation of emergency care units in Brazil. METHODS We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficulties, and state coordination capacity. We have used the theoretical framework of the analysis of the strategic conduct of the Giddens theory of structuration. RESULTS Emergency care units have been implemented after 2007, initially in the Southeast region, and 446 emergency care units were present in all Brazilian regions in 2016. Currently, 620 emergency care units are under construction, which indicates expectation of expansion. Federal funding was a strong driver for the implementation. The states have planned their emergency care units, but the existence of direct negotiation between municipalities and the Union has contributed with the significant number of emergency care units that have been built but that do not work. In relation to the urgency network, there is tension with the hospital because of the lack of beds in the country, which generates hospitalizations in the emergency care unit. The management of emergency care units is predominantly municipal, and most of the emergency care units are located outside the capitals and classified as Size III. The main challenges identified were: under-funding and difficulty in recruiting physicians. CONCLUSIONS The emergency care unit has the merit of having technological resources and being architecturally differentiated, but it will only succeed within an urgency network. Federal induction has generated contradictory responses, since not all states consider the emergency care unit a priority. The strengthening of the state management has been identified as a challenge for the implementation of the urgency network. PMID:29236876
44 CFR 351.26 - The United States Department of Agriculture.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false The United States Department of Agriculture. 351.26 Section 351.26 Emergency Management and Assistance FEDERAL EMERGENCY... PREPAREDNESS Interagency Assignments § 351.26 The United States Department of Agriculture. (a) Assist FEMA in...
44 CFR 351.26 - The United States Department of Agriculture.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false The United States Department of Agriculture. 351.26 Section 351.26 Emergency Management and Assistance FEDERAL EMERGENCY... PREPAREDNESS Interagency Assignments § 351.26 The United States Department of Agriculture. (a) Assist FEMA in...
44 CFR 351.26 - The United States Department of Agriculture.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true The United States Department of Agriculture. 351.26 Section 351.26 Emergency Management and Assistance FEDERAL EMERGENCY... PREPAREDNESS Interagency Assignments § 351.26 The United States Department of Agriculture. (a) Assist FEMA in...
44 CFR 351.26 - The United States Department of Agriculture.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false The United States Department of Agriculture. 351.26 Section 351.26 Emergency Management and Assistance FEDERAL EMERGENCY... PREPAREDNESS Interagency Assignments § 351.26 The United States Department of Agriculture. (a) Assist FEMA in...
44 CFR 351.26 - The United States Department of Agriculture.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false The United States Department of Agriculture. 351.26 Section 351.26 Emergency Management and Assistance FEDERAL EMERGENCY... PREPAREDNESS Interagency Assignments § 351.26 The United States Department of Agriculture. (a) Assist FEMA in...
44 CFR 402.1 - Shipments from the United States.
Code of Federal Regulations, 2012 CFR
2012-10-01
... States. Transportation Order T-1 applies to shipments from the United States, as well as to shipments... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Shipments from the United States. 402.1 Section 402.1 Emergency Management and Assistance DEPARTMENT OF COMMERCE AND DEPARTMENT OF...
44 CFR 402.1 - Shipments from the United States.
Code of Federal Regulations, 2011 CFR
2011-10-01
... States. Transportation Order T-1 applies to shipments from the United States, as well as to shipments... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Shipments from the United States. 402.1 Section 402.1 Emergency Management and Assistance DEPARTMENT OF COMMERCE AND DEPARTMENT OF...
44 CFR 402.1 - Shipments from the United States.
Code of Federal Regulations, 2014 CFR
2014-10-01
... States. Transportation Order T-1 applies to shipments from the United States, as well as to shipments... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Shipments from the United States. 402.1 Section 402.1 Emergency Management and Assistance DEPARTMENT OF COMMERCE AND DEPARTMENT OF...
76 FR 7846 - Agency Information Collection: Emergency Submission for OMB Review
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... EXPORT IMPORT BANK OF THE UNITED STATES [OMB Control No: 3048-0016 EIB 92-36] Agency Information Collection: Emergency Submission for OMB Review AGENCY: Export Import Bank of the United States. ACTION...., 3501-3521), this notice announces that the Export Import Bank of the United States (Ex-Im), will submit...
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...: National Institute of Standards and Technology (NIST). Title: Usage of Elevators for Occupant Evacuation...- story buildings in the United States during fire emergencies. This research aims to summarize emergency... emergency procedures for multi-story buildings) from existing buildings in the United States, including...
Poison control center - emergency number
For a POISON EMERGENCY call: 1-800-222-1222 ANYWHERE IN THE UNITED STATES This national hotline number will let you ... is a free and confidential service. All local poison control centers in the United States use this ...
44 CFR 5.88 - Testimony in litigation in which the United States is a party.
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2012-10-01
... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Testimony in litigation in which the United States is a party. 5.88 Section 5.88 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL PRODUCTION OR DISCLOSURE OF INFORMATION...
44 CFR 5.88 - Testimony in litigation in which the United States is a party.
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2011-10-01
... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Testimony in litigation in which the United States is a party. 5.88 Section 5.88 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL PRODUCTION OR DISCLOSURE OF INFORMATION...
44 CFR 5.88 - Testimony in litigation in which the United States is a party.
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2013-10-01
... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Testimony in litigation in which the United States is a party. 5.88 Section 5.88 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL PRODUCTION OR DISCLOSURE OF INFORMATION...
44 CFR 5.88 - Testimony in litigation in which the United States is a party.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Testimony in litigation in which the United States is a party. 5.88 Section 5.88 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL PRODUCTION OR DISCLOSURE OF INFORMATION...
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...--XT99 [Docket No. 100120036-0038-01] Fisheries of the Northeastern United States; Black Sea Bass Fishery; 2010 Black Sea Bass Specifications; Emergency Rule Extension AGENCY: National Marine Fisheries Service...; emergency action extension. SUMMARY: NMFS is extending the emergency action to increase the 2010 black sea...
44 CFR 5.88 - Testimony in litigation in which the United States is a party.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Testimony in litigation in which the United States is a party. 5.88 Section 5.88 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL PRODUCTION OR DISCLOSURE OF INFORMATION...
ERIC Educational Resources Information Center
Kot, Felly Chiteng; Hendel, Darwin D.
2012-01-01
This article examines the development and growth of professional doctorates in the United States, United Kingdom, Canada, and Australia. It provides an overview of the development of the doctoral degree from its establishment at the universities of Paris and Bologna, and highlights the emergence of new forms of doctorates that have challenged the…
Code of Federal Regulations, 2011 CFR
2011-01-01
... Colombia and the extreme level of violence, corruption, and harm such actions cause in the United States... of violence, corruption, and harm in the United States and abroad, the national emergency declared on...
Code of Federal Regulations, 2010 CFR
2010-01-01
... Colombia, and the extreme level of violence, corruption, and harm such actions cause in the United States... level of violence, corruption, and harm in the United States and abroad, the national emergency declared...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-19
... extreme level of violence, corruption, and harm such actions cause in the United States and abroad..., corruption, and harm in the United States and abroad, the national emergency declared on October 21, 1995...
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2011-10-20
... extreme level of violence, corruption, and harm such actions cause in the United States and abroad..., corruption, and harm in the United States and abroad, the national emergency declared on October 21, 1995...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-24
... enhancements to extend the model predictions from red blood cell units to other blood components, such as...] Use of Computer Simulation of the United States Blood Supply in Support of Planning for Emergency...: Notice of public workshop. The Food and Drug Administration (FDA) is announcing a public workshop...
Handbook of emergency management for state-level transportation agencies.
DOT National Transportation Integrated Search
2010-03-01
The Department of Homeland Security has mandated specific systems and techniques for the management of emergencies in the United States, including the Incident Command System, the National Incident Management System, Emergency Operations Plans, Emerg...
76 FR 57722 - Notice of Proposed Information Collection Requests
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-16
... Emerging Teacher Evaluation Systems in the United States. OMB Control Number: Pending. Agency Form Number(s...: 467. Abstract: The Study of Emerging Teacher Evaluation Systems in the United States will contribute... DEPARTMENT OF EDUCATION Notice of Proposed Information Collection Requests AGENCY: Department of...
31 CFR Appendix C to Part 589 - Executive Order 13662
Code of Federal Regulations, 2014 CFR
2014-07-01
... Constitution and the laws of the United States of America, including the International Emergency Economic... 3, United States Code, I, BARACK OBAMA, President of the United States of America, hereby expand the... United States. Accordingly, I hereby order: Section 1. (a) All property and interests in property that...
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.... 100120036-0360-02] RIN 0648-XT99 Fisheries of the Northeastern United States; Black Sea Bass Fishery; 2010 Black Sea Bass Specifications; Emergency Rule Extension; Correction AGENCY: National Marine Fisheries... emergency action to increase the 2010 black sea bass specifications. The preamble text of that rule...
ERIC Educational Resources Information Center
Brass, Jory
2011-01-01
This article represents an "overdue encounter" with the ideas of Ian Hunter to reconsider the historical emergence and descent of English teaching in the United States. Influenced by Hunter's account of the "pastoral" and "bureaucratic" genealogy of English teaching in England, my historical study documented…
Code of Federal Regulations, 2012 CFR
2012-01-01
... Constitution and the laws of the United States of America, including the International Emergency Economic... section 301 of title 3, United States Code, I, BARACK OBAMA, President of the United States of America...: Section 1. All property and interests in property that are in the United States, that hereafter come...
A Whole Community Approach to Emergency Management for the United States Virgin Islands
ERIC Educational Resources Information Center
Williams, Mutryce A.
2016-01-01
Public-private partnerships in emergency management are widely encouraged in the academic literature, yet the government of the United States Virgin Islands (USVI) tends to view collaboration from the private sector as an impediment to good policy. This occurs in spite of the island nation's geography that makes it susceptible to natural and human…
The Emerging Paradigm in Probation and Parole in the United States
ERIC Educational Resources Information Center
Kimora
2008-01-01
There is an emerging paradigm in probation and parole in the United States. That new outlook encompasses a realization that these forms of supervision of offenders must meet the challenges of an increasing number of parolees and probationers. Recidivism continues to be the primary outcome measure for probation, as it is for all corrections…
2011-10-01
United States of America, 3 United States Department of Defense Global Emerging Infections Surveillance and Response System, Silver Spring, Maryland... infections . Citation: Broderick MP, Hansen CJ, Russell KL, Kaplan EL, Blumer JL, et al. (2011) Serum Penicillin G Levels Are Lower Than Expected in...Defense Global Emerging Infections Surveillance and Response System, a Division of the Armed Forces Health Surveillance Center, WU# 60501, http://afhsc.mil
44 CFR 206.118 - Disposal of housing units.
Code of Federal Regulations, 2012 CFR
2012-10-01
... directly to a State or other governmental entity, or to a voluntary organization, for the sole purpose of... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Disposal of housing units. 206.118 Section 206.118 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY...
44 CFR 206.118 - Disposal of housing units.
Code of Federal Regulations, 2014 CFR
2014-10-01
... directly to a State or other governmental entity, or to a voluntary organization, for the sole purpose of... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Disposal of housing units. 206.118 Section 206.118 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY...
44 CFR 206.118 - Disposal of housing units.
Code of Federal Regulations, 2013 CFR
2013-10-01
... directly to a State or other governmental entity, or to a voluntary organization, for the sole purpose of... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Disposal of housing units. 206.118 Section 206.118 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY...
44 CFR 206.118 - Disposal of housing units.
Code of Federal Regulations, 2011 CFR
2011-10-01
... directly to a State or other governmental entity, or to a voluntary organization, for the sole purpose of... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Disposal of housing units. 206.118 Section 206.118 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY...
Emergency warning for people with disabilities.
Putkovich, Kenneth
2013-01-01
The intent of this article is to assess the current state of Emergency Warning capabilities in the United States and make recommendations on what needs to be done to cost effectively establish a National Emergency Warning System to best serve the people of the United States, including those with disabilities. As part of this assessment, terminology will be defined, existing systems will be examined, critical needs and functions will be explained, and recommendations made for a system to deliver emergency messages to those people immediately at risk from natural and human-caused disasters in a timely and effective manner, regardless of location or situational circumstance. The assessment will include the needs and available technologies for delivering emergency warnings to people with disabilities, which are generally little understood, poorly addressed, and often ignored.
Disparities in access to emergency general surgery care in the United States.
Khubchandani, Jasmine A; Shen, Connie; Ayturk, Didem; Kiefe, Catarina I; Santry, Heena P
2018-02-01
As fewer surgeons take emergency general surgery call and hospitals decrease emergency services, a crisis in access looms in the United States. We examined national emergency general surgery capacity and county-level determinants of access to emergency general surgery care with special attention to disparities. To identify potential emergency general surgery hospitals, we queried the database of the American Hospital Association for "acute care general hospital," with "surgical services," and "emergency department," and ≥1 "operating room." Internet search and direct contact confirmed emergency general surgery services that covered the emergency room 7 days a week, 24 hours a day. Geographic and population-level emergency general surgery access was derived from Geographic Information Systems and US Census. Of the 6,356 hospitals in the 2013 American Hospital Association database, only 2,811 were emergency general surgery hospitals. Counties with greater percentages of black, Hispanic, uninsured, and low-education individuals and rural counties disproportionately lacked access to emergency general surgery care. For example, counties above the 75th percentile of African American population (10.2%) had >80% odds of not having an emergency general surgery hospital compared with counties below the 25th percentile of African American population (0.6%). Gaps in access to emergency general surgery services exist across the United States, disproportionately affecting underserved, rural communities. Policy initiatives need to increase emergency general surgery capacity nationwide. Copyright © 2017 Elsevier Inc. All rights reserved.
ERIC Educational Resources Information Center
Barber, Carolyn; Torney-Purta, Judith; Wilkenfeld, Britt; Ross, Jessica
2015-01-01
Using the Developmental Niche for Emergent Participatory Citizenship (Torney-Purta and Amadeo, 2011) as a framework, we examined differences between immigrant and native-born youth's civic knowledge and support for women's rights in Sweden and the United States, and explored whether experiences with peers and parents, and in formal and informal…
Historical Evolution of Assisted Living in the United States, 1979 to the Present
ERIC Educational Resources Information Center
Wilson, Keren Brown
2007-01-01
Purpose: This article provides a historical overview of the emergence of assisted living in the United States over a 25-year period to identify goals and key concepts that underpinned the emerging form of care. Design and Methods: The method is historical analysis based on records and my own personal experiences in conceptualizing and implementing…
ERIC Educational Resources Information Center
Miller, Laura McKeller; Sawyer, Robin G.
2006-01-01
The authors conducted a 10-year follow-up study using a telephone survey to investigate the availability of emergency contraceptive pills (ECPs) at college health centers in the mid-Atlantic region of the United States. They also examined related issues, such as distribution procedure, existence of a written protocol, personnel involved,…
31 CFR Appendix A to Part 589 - Executive Order 13660
Code of Federal Regulations, 2014 CFR
2014-07-01
... Constitution and the laws of the United States of America, including the International Emergency Economic... 3, United States Code, I, BARACK OBAMA, President of the United States of America, find that the... deal with that threat. I hereby order: Section 1. (a) All property and interests in property that are...
Ma, Hansong; Voelz, Kerstin; Ren, Ping; Carter, Dee A.; Chaturvedi, Vishnu; Bildfell, Robert J.; May, Robin C.; Heitman, Joseph
2010-01-01
Cryptococcus gattii causes life-threatening disease in otherwise healthy hosts and to a lesser extent in immunocompromised hosts. The highest incidence for this disease is on Vancouver Island, Canada, where an outbreak is expanding into neighboring regions including mainland British Columbia and the United States. This outbreak is caused predominantly by C. gattii molecular type VGII, specifically VGIIa/major. In addition, a novel genotype, VGIIc, has emerged in Oregon and is now a major source of illness in the region. Through molecular epidemiology and population analysis of MLST and VNTR markers, we show that the VGIIc group is clonal and hypothesize it arose recently. The VGIIa/IIc outbreak lineages are sexually fertile and studies support ongoing recombination in the global VGII population. This illustrates two hallmarks of emerging outbreaks: high clonality and the emergence of novel genotypes via recombination. In macrophage and murine infections, the novel VGIIc genotype and VGIIa/major isolates from the United States are highly virulent compared to similar non-outbreak VGIIa/major-related isolates. Combined MLST-VNTR analysis distinguishes clonal expansion of the VGIIa/major outbreak genotype from related but distinguishable less-virulent genotypes isolated from other geographic regions. Our evidence documents emerging hypervirulent genotypes in the United States that may expand further and provides insight into the possible molecular and geographic origins of the outbreak. PMID:20421942
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2010-10-18
..., corruption, and harm such actions cause in the United States and abroad. Because the actions of significant... economy of the United States and cause an extreme level of violence, corruption, and harm in the United...
Hurricane Katrina Soil Sampling
Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked with FEMA and state and local agencies to respond to the emergencies throughout the Gulf.
Hurricane Katrina Water Sampling
Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked with FEMA and state and local agencies to respond to the emergencies throughout the Gulf.
Hurricane Katrina Sediment Sampling
Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked with FEMA and state and local agencies to respond to the emergencies throughout the Gulf.
Dialysis for undocumented immigrants in the United States.
Rodriguez, Rudolph A
2015-01-01
The United States offers near-universal coverage for treatment of ESRD. Undocumented immigrants with ESRD are the only subset of patients not covered under a national strategy. There are 2 divergent dialysis treatment strategies offered to undocumented immigrants in the United States, emergent dialysis and chronic outpatient dialysis. Emergent dialysis, offering dialysis only when urgent indications exist, is the treatment strategy in certain states. Differing interpretations of Emergency Medicaid statute by the courts and state and federal government have resulted in the geographic disparity in treatment strategies for undocumented immigrants with ESRD. The Patient Protection and Affordable Care Act of 2010 ignored the health care of undocumented immigrants and will not provide relief to undocumented patients with catastrophic illness like ESRD, cancer, or traumatic brain injuries. The difficult patient and provider decisions are explored in this review. The Renal Physicians Association Position Statement on uncompensated renal-related care for noncitizens is an excellent starting point for a framework to address this ethical dilemma. The practice of "emergent dialysis" will hopefully be found unacceptable in the future because of the fact that it is not cost effective, ethical, or humane. Published by Elsevier Inc.
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2013-06-03
... regarding those closures to the public during a public health emergency or oil spill characterized by... regulations to address a public health emergency or oil spill. Section 305(c)(3) states: (3) Any emergency... on a permanent basis; (C) that responds to a public health emergency or an oil spill may remain in...
Hurricane Katrina - Murphy Oil Spill Boundary
Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked with FEMA and state and local agencies to respond to the emergencies throughout the Gulf.
Servant Leadership Theory and the Emergency Services Student
ERIC Educational Resources Information Center
Russell, Eric James
2014-01-01
This present case study explores the influence a servant leadership class had on a group of emergency service students' understanding of the roles and characteristics of a leader. The setting for the study was a state university in the Western United States. The six participants were undergraduate emergency services majors that underwent a 15-week…
International perspectives on emergency department crowding.
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.
Hurricane Katrina Air Quality Sampling/Daily Monitoring (AQSDM)
Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked with FEMA and state and local agencies to respond to the emergencies throughout the Gulf.
Epidemiology of Eye-Related Emergency Department Visits.
Channa, Roomasa; Zafar, Syed Nabeel; Canner, Joseph K; Haring, R Sterling; Schneider, Eric B; Friedman, David S
2016-03-01
Determining the epidemiology of eye-related emergency department (ED) visits on a national level can assist policymakers in appropriate allocation of resources. To study ED visits related to ocular conditions for all age groups across the United States. Nationally representative data from the US Nationwide Emergency Department Sample (NEDS) were used to analyze ED visits from January 1, 2006, to December 31, 2011 (6 years). All patients with eye problems presenting to EDs across the United States were eligible for inclusion. A weighted count of 11 929 955 ED visits were categorized as possibly emergent (emergent), unlikely to be emergent (nonemergent), or could not be determined. Data were analyzed from March 1 to May 30, 2015. Population-based incidence rates of eye-related ED visits, incidence rates of eye injuries, relative proportions of emergent vs nonemergent eye-related ED visits among different age groups, and independent factors associated with emergent vs nonemergent visits. From 2006 to 2011, 11 929 955 ED visits (male patients, 54.2%; mean [SD] age, 31 [22] years) for ocular problems across the United States were categorized as emergent (41.2%), nonemergent (44.3%), or could not determine (14.5%). Corneal abrasions (13.7%) and foreign body in the external eye (7.5%) were the leading diagnoses in the emergent category. More than 4 million visits were for conjunctivitis (28.0%), subconjunctival hemorrhages (3.0%), and styes (3.8%). Emergent visits were significantly more likely to occur among males (odds ratio [OR], 2.00; 95% CI, 2.00-2.01), patients in the highest income quartile (OR, 1.47; 95% CI, 1.46-1.49), older patients (OR, 2.38; 95% CI, 2.38-2.44), and patients with private insurance (OR, 1.29; 95% CI, 1.28-1.30). Mean annual inflation-adjusted charges for all eye-related ED visits totaled $2.0 billion. Across the United States, nonemergent conditions accounted for almost half of all eye-related ED visits. Interventions to facilitate management of these cases outside the ED could make ED resources more available for truly emergent ophthalmic and medical issues.
Kiymaz, Dilek; Koç, Zeliha
2018-03-01
To determine individual and professional factors affecting the tendency of emergency unit nurses to make medical errors and their attitudes towards these errors in Turkey. Compared with other units, the emergency unit is an environment where there is an increased tendency for making medical errors due to its intensive and rapid pace, noise and complex and dynamic structure. A descriptive cross-sectional study. The study was carried out from 25 July 2014-16 September 2015 with the participation of 284 nurses who volunteered to take part in the study. Data were gathered using the data collection survey for nurses, the Medical Error Tendency Scale and the Medical Error Attitude Scale. It was determined that 40.1% of the nurses previously witnessed medical errors, 19.4% made a medical error in the last year, 17.6% of medical errors were caused by medication errors where the wrong medication was administered in the wrong dose, and none of the nurses filled out a case report form about the medical errors they made. Regarding the factors that caused medical errors in the emergency unit, 91.2% of the nurses stated excessive workload as a cause; 85.1% stated an insufficient number of nurses; and 75.4% stated fatigue, exhaustion and burnout. The study showed that nurses who loved their job were satisfied with their unit and who always worked during day shifts had a lower medical error tendency. It is suggested to consider the following actions: increase awareness about medical errors, organise training to reduce errors in medication administration, develop procedures and protocols specific to the emergency unit health care and create an environment which is not punitive wherein nurses can safely report medical errors. © 2017 John Wiley & Sons Ltd.
The emergence of pioneering public health education programs in the United States.
Viseltear, A. J.
1988-01-01
This paper considers the social forces leading to the establishment of pioneering public health education programs in the United States. Schools of Public Health emerged in the United States as the result of a confluence of factors, including the changing nature of higher education, the development of commerce and industry, the rise to prominence of the science of bacteriology, and the urbanization of the nation, all coupled with a pervasive spirit of utility and a desire to be, in a word, useful. Each line leading to the establishment of five public health institutions at the Massachusetts Institute of Technology, Harvard-M.I.T., Yale, Michigan, and Pennsylvania is explored. PMID:3071923
In the Aftermath of War: Cultural Clashes of the Twenties. A Unit of Study for Grades 9-12.
ERIC Educational Resources Information Center
Gifford, Nina
This unit is a collection of lessons for teaching about cultural clashes. Based on primary sources, the unit contains teacher background materials and three lesson plans with student resources. These lessons deal with the United States between World War I and World War II. The United States emerged from World War I with seismic faults in its…
ERIC Educational Resources Information Center
Douglass, John Aubrey
2007-01-01
The convergence of United States federal science and economic policy that began in earnest under the Reagan administration formed the First Stage in an emerging post-Cold War drive toward technological innovation. A frenzy of new state-based initiatives now forms the Second Stage, further promoting universities as decisive tools for economic…
ERIC Educational Resources Information Center
Hearn, James C.; McLendon, Michael K.; Mokher, Christine G.
2008-01-01
This event history analysis explores factors driving the emergence over recent decades of comprehensive state-level student unit-record [SUR] systems, a potentially powerful tool for increasing student success. Findings suggest that the adoption of these systems is rooted in demand and ideological factors. Larger states, states with high…
Schnall, Amy; Nakata, Nicole; Talbert, Todd; Bayleyegn, Tesfaye; Martinez, DeAndrea; Wolkin, Amy
2017-09-01
To demonstrate how inclusion of the Centers for Disease Control and Prevention's Community Assessment for Public Health Emergency Response (CASPER) as a tool in Public Health Preparedness Capabilities: National Standards for State and Local Planning can increase public health capacity for emergency response. We reviewed all domestic CASPER activities (i.e., trainings and assessments) between fiscal years 2012 and 2016. Data from these CASPER activities were compared with respect to differences in geographic distribution, type, actions, efficacy, and usefulness of training. During the study period, the Centers for Disease Control and Prevention conducted 24 domestic in-person CASPER trainings for 1057 staff in 38 states. On average, there was a marked increase in knowledge of CASPER. Ninety-nine CASPERs were conducted in the United States, approximately half of which (53.5%) assessed preparedness; the others were categorized as response or recovery (27.2%) or were unrelated to a disaster (19.2%). CASPER trainings are successful in increasing disaster epidemiology skills. CASPER can be used by Public Health Emergency Preparedness program awardees to help build and sustain preparedness and response capabilities.
The Past, Present and Future of Geodemographic Research in the United States and United Kingdom
Singleton, Alexander D.; Spielman, Seth E.
2014-01-01
This article presents an extensive comparative review of the emergence and application of geodemographics in both the United States and United Kingdom, situating them as an extension of earlier empirically driven models of urban socio-spatial structure. The empirical and theoretical basis for this generalization technique is also considered. Findings demonstrate critical differences in both the application and development of geodemographics between the United States and United Kingdom resulting from their diverging histories, variable data economies, and availability of academic or free classifications. Finally, current methodological research is reviewed, linking this discussion prospectively to the changing spatial data economy in both the United States and United Kingdom. PMID:25484455
Code of Federal Regulations, 2013 CFR
2013-01-01
... Constitution and the laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA), section 5 of the United Nations Participation Act (22 U.S.C. 287c) (UNPA), and section 301 of title 3...
Burkle, Frederick M
2016-08-01
During the May 2016 World Health Assembly of 194 member states, the World Health Organization (WHO) announced the process of developing and launching emergency medical teams as a critical component of the global health workforce concept. Over 64 countries have either launched or are in the development stages of vetting accredited teams, both international and national, to provide surge support to national health systems through WHO Regional Organizations and the delivery of emergency clinical care to sudden-onset disasters and outbreak-affected populations. To date, the United States has not yet committed to adopting the emergency medical team concept in funding and registering an international field hospital level team. This article discusses future options available for health-related nongovernmental organizations and the required educational and training requirements for health care provider accreditation. (Disaster Med Public Health Preparedness. 2016;10:531-535).
Improving emergency preparedness and crisis management capabilities in transportation.
DOT National Transportation Integrated Search
2009-11-30
Despite the heightened attention disaster preparedness and emergency management have received over the past decade, serious weaknesses in the United States emergency response capabilities remain at all levels of government and across a wide range ...
Use of emergency contraception among women aged 15-44: United States, 2006-2010.
Daniels, Kimberly; Jones, Jo; Abma, Joyce
2013-02-01
Emergency contraception can be used by women after sexual intercourse in an effort to prevent an unintended pregnancy. Roughly one-half of all pregnancies in the United States are unintended (1,2). The FDA first approved emergency contraceptive pills in 1998, but there is evidence of limited use of hormonal contraceptives for emergency contraception since the 1960s (3,4). Now, there are at least four brands of emergency contraceptive pills; most are available over the counter for women aged 17 and over (5). Although insertion of a copper intrauterine device can be used for emergency contraception (1,4), this report focuses only on emergency contraceptive pills. This report describes trends and variation in the use of emergency contraception and reasons for use among sexually experienced women aged 15-44 using the 2006-2010 National Survey of Family Growth. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.
State of pine decline in the southeastern United States
Lori Eckhardt; Mary Anne Sword Sayer; Don Imm
2010-01-01
Pine decline is an emerging forest health issue in the southeastern United States. Observations suggest pine decline is caused by environmental stress arising from competition, weather, insects and fungi, anthropogenic disturbances, and previous management. The problem is most severe for loblolly pine on sites that historically supported longleaf pine, are highly...
Challenge and Response: Anticipating US Military Security Concerns
1994-08-01
in the U.S. And the Russian Orthodox Church may emerge as another such political force as was evidenced by its mediative role in the turbulent days...objectives (ends) and public opinion. Recall the turmoil in the United States during the Vietnam War and how 471 internal politics affected the...ABSTRACT 15. SUBJECT TERMS Military planning - United States; National Security - United States; World politics - 1989 - 16. SECURITY CLASSIFICATION OF
28 CFR 65.81 - General definitions.
Code of Federal Regulations, 2012 CFR
2012-07-01
... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE... administration of the immigration laws of the United States and in meeting urgent demands arising from the... characteristics that effective administration of the immigration laws of the United States is beyond the existing...
28 CFR 65.81 - General definitions.
Code of Federal Regulations, 2014 CFR
2014-07-01
... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE... administration of the immigration laws of the United States and in meeting urgent demands arising from the... characteristics that effective administration of the immigration laws of the United States is beyond the existing...
28 CFR 65.81 - General definitions.
Code of Federal Regulations, 2013 CFR
2013-07-01
... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE... administration of the immigration laws of the United States and in meeting urgent demands arising from the... characteristics that effective administration of the immigration laws of the United States is beyond the existing...
28 CFR 65.81 - General definitions.
Code of Federal Regulations, 2011 CFR
2011-07-01
... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE... administration of the immigration laws of the United States and in meeting urgent demands arising from the... characteristics that effective administration of the immigration laws of the United States is beyond the existing...
28 CFR 65.81 - General definitions.
Code of Federal Regulations, 2010 CFR
2010-07-01
... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE... administration of the immigration laws of the United States and in meeting urgent demands arising from the... characteristics that effective administration of the immigration laws of the United States is beyond the existing...
Code of Federal Regulations, 2014 CFR
2014-01-01
... world, the United States Department of Homeland Security (DHS) opened its doors with a single task... chart a course toward sensible reform. And in a decade marked by national emergencies and natural...
Improving emergency preparedness and crisis management capabilities in transportation : year 2.
DOT National Transportation Integrated Search
2013-03-01
While disaster preparedness and emergency management have had a high public : profile over the past decade, Hurricane Katrina revealed serious weaknesses in the : United States emergency response capabilities. There is thus much left to do : befor...
Clinton, Rachel M; Carabin, Hélène; Little, Susan E
2010-09-01
The majority of emerging diseases in humans have been linked to zoonotic pathogens originating in domestic animals or wildlife. This is a public health concern because zoonotic infections affect several aspects of the society. The complex interactions among pathogen, host and environment also pose challenges in estimating the true burden of those infections. However, the recent development of new molecular diagnostic tools has allowed for better diagnosis of zoonotic infections. This review focuses on 3 emerging zoonoses, namely toxocariasis, bovine tuberculosis and southern tick-associated rash illness, and demonstrates that these infections may be more prevalent in the southern United States than previously recognized. This review places special emphasis on the recent epidemiologic trends, intra/interspecies transmission and clinical features of each of these zoonoses. In addition, treatment and prevention for each zoonotic pathogen are discussed. Clinicians working in the southern United States should be aware of the presence of those zoonotic infections.
The Wisconsin State Laboratory of Hygiene and emerging enteric pathogens.
Warshauer, David; Monson, Tim; Kurzynski, Terry
2003-01-01
At the turn of the 20th century, typhoid fever was common in Wisconsin, and was a major impetus for the establishment of the Wisconsin State Laboratory of Hygiene (WSLH) in 1903. By the 1940s, typhoid was virtually eliminated in the United States due to public health measures such as disinfection of drinking water, sewage treatment, pasteurization, and shellfish bed sanitation. However, new food and waterborne pathogens have emerged to take the place of Salmonella Typhi. Infections with non-typhoidal Salmonella strains in the United States have increased almost 10-fold since the 1950s. In the last 20 years, the emergence of foodborne pathogens, such as Escherichia coli O157:H7, Cyclospora cayetanensis, Noroviruses (Norwalk-like viruses), Cryptosporidium parvum, Campylobacter jejuni, Yersinia enterocolitica, and multi-drug-resistant Salmonella, has identified a need for accurate laboratory diagnosis of enteric disease and outbreaks.
Graham, I D; Stiell, I G; Laupacis, A; McAuley, L; Howell, M; Clancy, M; Durieux, P; Simon, N; Emparanza, J I; Aginaga, J R; O'connor, A; Wells, G
2001-03-01
We evaluate the international diffusion of the Ottawa Ankle and Knee Rules and determine emergency physicians' attitudes toward clinical decision rules in general. We conducted a cross-sectional, self-administered mail survey of random samples of 500 members each of the American College of Emergency Physicians, Canadian Association of Emergency Physicians, British Association for Accident and Emergency Medicine, Spanish Society for Emergency Medicine, and all members (n=1,350) of the French Speaking Society of Emergency Physicians, France. Main outcome measures were awareness of the Ottawa Ankle and Knee Rules, reported use of these rules, and attitudes toward clinical decision rules in general. A total of 1,769 (57%) emergency physicians responded, with country-specific response rates between 49% (United States and France) and 79% (Canada). More than 69% of physicians in all countries, except Spain, were aware of the Ottawa Ankle Rules. Use of the Ottawa Ankle Rules differed by country with more than 70% of all responding Canadian and United Kingdom physicians reporting frequent use of the rules compared with fewer than one third of US, French, and Spanish physicians. The Ottawa Knee Rule was less well known and less used by physicians in all countries. Most physicians in all countries viewed decision rules as intended to improve the quality of health care (>78%), a convenient source of advice (>67%), and good educational tools (>61%). Of all physicians, those from the United States held the least positive attitudes toward decision rules. This constitutes the largest international survey of emergency physicians' attitudes toward and use of clinical decision rules. Striking differences were apparent among countries with regard to knowledge and use of decision rules. Despite similar awareness in the United States, Canada, and the United Kingdom, US physicians appeared much less likely to use the Ottawa Ankle Rules. Future research should investigate factors leading to differences in rates of diffusion among countries and address strategies to enhance dissemination and implementation of such rules in the emergency department.
Why the United States Has the Small Business Program
1987-04-01
Essential Emergency Communications Program. Mr. Pickles has also negotiated and managed large small business ($3M) and minority small business ($60M...I .4 AIR COMMAND AMDSTAFF COLLEGE TUENT RPORT DTIC- : WHY THE UNITED STATES HAS EClEFTHE SMALL BUSINESS PROGRAMIf .. N 88-13 JOHN J. PICKLES 87...included with any reproduced or adapted portions of this document. -P. - 7 ]REPORT NUMBER 87-2010 TITIJ WHY THE UNITED STATES HAS THE SMALL BUSINESS PROGRAM
Allison, Andrew B.; Ballard, Jennifer R.; Tesh, Robert B.; Brown, Justin D.; Ruder, Mark G.; Keel, M. Kevin; Munk, Brandon A.; Mickley, Randall M.; Gibbs, Samantha E.J.; Ellis, Julie C.; Travassos da Rosac, Amelia P.A.; Ip, Hon S.; Shearn-Bochsler, Valerie I.; Rogers, Matthew B.; Gheldin, Elodie; Holmes, Edward C.; Parrish, Colin R.; Dwyer, Chris P.
2015-01-01
Importance The emergence or reemergence of viral pathogens resulting in large-scale outbreaks of disease in humans and/or animals is one of the most important challenges facing biomedicine. For example, understanding how orthomyxoviruses such as novel influenza A virus reassortants and/or mutants emerge to cause epidemic or pandemic disease is at the forefront of current global health concerns. Here we describe the emergence of a novel orthomyxovirus, Wellfleet Bay virus (WFBV), which has been associated with cyclic large-scale bird die-offs in the northeastern United States. This initial characterization study provides a foundation for further research into the evolution, epidemiology, and ecology of newly emerging orthomyxoviruses, such as WFBV, and their potential impacts on animal and/or human health.
31 CFR Appendix A to Part 551 - Executive Order 13536
Code of Federal Regulations, 2011 CFR
2011-07-01
... laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA), section 5 of the United Nations Participation Act, as amended (22 U.S.C. 287c) (UNPA), and section 301 of title 3...
31 CFR Appendix A to Part 551 - Executive Order 13536
Code of Federal Regulations, 2014 CFR
2014-07-01
... laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA), section 5 of the United Nations Participation Act, as amended (22 U.S.C. 287c) (UNPA), and section 301 of title 3...
31 CFR Appendix A to Part 551 - Executive Order 13536
Code of Federal Regulations, 2013 CFR
2013-07-01
... laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA), section 5 of the United Nations Participation Act, as amended (22 U.S.C. 287c) (UNPA), and section 301 of title 3...
31 CFR Appendix A to Part 551 - Executive Order 13536
Code of Federal Regulations, 2012 CFR
2012-07-01
... laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA), section 5 of the United Nations Participation Act, as amended (22 U.S.C. 287c) (UNPA), and section 301 of title 3...
Biofuel feedstock production in the United States (US) is an emergent environmental nutrient management issue, whose exploration can benefit from a multi-scale and multimedia systems modeling approach that explicitly addresses diverging stakeholder interests. In the present anal...
77 FR 65665 - Submission for OMB Review; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-30
...: National Institute of Standards and Technology (NIST). Title: Usage of Elevators for Occupant Evacuation... elevators are currently used by occupants of existing multi- story buildings in the United States during... with or in charge of developing emergency procedures for multi-story buildings in the United States...
31 CFR 594.507 - Authorization of emergency medical services.
Code of Federal Regulations, 2010 CFR
2010-07-01
... (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY GLOBAL TERRORISM SANCTIONS... medical services. The provision of nonscheduled emergency medical services in the United States to persons...
Steinberg, Michael L; Konski, Andre
2009-01-01
The pathway that emerging medical technologies take to incorporation into routine medical care in the United States is a product of the social, economic, and political milieu. Our review explores how this milieu brought the incorporation of proton beam therapy into the healthcare delivery system to its current point. We look at how new technologies are presently accepted into this system and discuss the emerging trends--such as the use of evidence-based assessment of technology, coverage with evidence policies, and comparative effectiveness analysis--that are affecting proton beam therapy's effort to finds its place in the pantheon of available medical treatments for patients with cancer.
44 CFR 302.8 - Waiver of “single” State agency requirements.
Code of Federal Regulations, 2012 CFR
2012-10-01
... AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL EMERGENCY MANAGEMENT... requires that plans for civil defense of the United States be administered or supervised by a single State...
44 CFR 302.8 - Waiver of “single” State agency requirements.
Code of Federal Regulations, 2014 CFR
2014-10-01
... AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL EMERGENCY MANAGEMENT... requires that plans for civil defense of the United States be administered or supervised by a single State...
44 CFR 302.8 - Waiver of “single” State agency requirements.
Code of Federal Regulations, 2013 CFR
2013-10-01
... AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL EMERGENCY MANAGEMENT... requires that plans for civil defense of the United States be administered or supervised by a single State...
44 CFR 302.8 - Waiver of “single” State agency requirements.
Code of Federal Regulations, 2011 CFR
2011-10-01
... AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL EMERGENCY MANAGEMENT... requires that plans for civil defense of the United States be administered or supervised by a single State...
44 CFR 302.8 - Waiver of “single” State agency requirements.
Code of Federal Regulations, 2010 CFR
2010-10-01
... AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS CIVIL DEFENSE-STATE AND LOCAL EMERGENCY MANAGEMENT... requires that plans for civil defense of the United States be administered or supervised by a single State...
Contraceptive availability during an emergency response in the United States.
Ellington, Sascha R; Kourtis, Athena P; Curtis, Kathryn M; Tepper, Naomi; Gorman, Susan; Jamieson, Denise J; Zotti, Marianne; Barfield, Wanda
2013-03-01
This article provides the evidence for contraceptive need to prevent unintended pregnancy during an emergency response, discusses the most appropriate types of contraceptives for disaster situations, and details the current provisions in place to provide contraceptives during an emergency response.
China, the United States, and competition for resources that enable emerging technologies
Gulley, Andrew L.; Nassar, Nedal T.; Xun, Sean
2018-01-01
Historically, resource conflicts have often centered on fuel minerals (particularly oil). Future resource conflicts may, however, focus more on competition for nonfuel minerals that enable emerging technologies. Whether it is rhenium in jet engines, indium in flat panel displays, or gallium in smart phones, obscure elements empower smarter, smaller, and faster technologies, and nations seek stable supplies of these and other nonfuel minerals for their industries. No nation has all of the resources it needs domestically. International trade may lead to international competition for these resources if supplies are deemed at risk or insufficient to satisfy growing demand, especially for minerals used in technologies important to economic development and national security. Here, we compare the net import reliance of China and the United States to inform mineral resource competition and foreign supply risk. Our analysis indicates that China relies on imports for over half of its consumption for 19 of 42 nonfuel minerals, compared with 24 for the United States—11 of which are common to both. It is for these 11 nonfuel minerals that competition between the United States and China may become the most contentious, especially for those with highly concentrated production that prove irreplaceable in pivotal emerging technologies.
ERIC Educational Resources Information Center
National Puerto Rican Coalition, Washington, DC.
This booklet describes the issues and findings of a series of symposia on Puerto Ricans in Puerto Rico and in the United States. From 1988 to 1992, six symposia were held, three in the United States and three in Puerto Rico, on topics such as migration, culture and language, community characteristics, strengthening relations between the two…
Rep. Issa, Darrell E. [R-CA-49
2013-06-05
House - 06/06/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
Sen. Boxer, Barbara [D-CA
2011-07-22
House - 07/28/2011 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status Passed SenateHere are the steps for Status of Legislation:
The State of the World Environment, 1987. United Nations Environment Programme.
ERIC Educational Resources Information Center
United Nations Environment Programme, Nairobi (Kenya).
One of the main activities assigned to the Governing Council of the United Nations Environment Programme (UNEP) is to review the world environmental situation to insure that emerging environmental problems of wide international significance receive appropriate and adequate consideration by governments. Accordingly, UNEP has assessed the state of…
National Culture-Management Practices: United States and Saudi Arabia Contrasted.
ERIC Educational Resources Information Center
Hashmi, Mahmud S.
Successful conduct of business in Saudi Arabia requires attitudes and skills significantly different from those needed in the United States. Distinct societal differences can turn winning practices in one culture into failures in another. Despite Saudi Arabia's recent emergence as a wealthy marketplace, traditional values and a unique lifestyle…
Rep. Griffin, Tim [R-AR-2
2013-01-23
House - 01/24/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
1981-07-01
Sheffield, AL Arkansas River Fort Chaffee Fort Smith , AR Pine Bluff Arsenal Pine Bluff, AR Gulf Coast East Fort Benning Columbus, GA Middle Atlantic...Pittsburgh District, United States Army Corps of Engineers. Pittsburgh, Pennsylvania: United States Army Corps of Engineers [no date]. MacLeay, Lachlan
Rep. Costa, Jim [D-CA-20
2011-07-26
House - 07/27/2011 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
Rep. Pearce, Stevan [R-NM-2
2013-03-14
House - 03/15/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
Walker, Tiffany A; Lockhart, Shawn R; Beekmann, Susan E; Polgreen, Philip M; Santibanez, Scott; Mody, Rajal K; Beer, Karlyn D; Chiller, Tom M; Jackson, Brendan R
2018-01-01
Infections caused by pan-azole-resistant Aspergillus fumigatus strains have emerged in Europe and recently in the United States. Physicians specializing in infectious diseases reported observing pan-azole-resistant infections and low rates of susceptibility testing, suggesting the need for wider-scale testing.
Lockhart, Shawn R.; Beekmann, Susan E.; Polgreen, Philip M.; Santibanez, Scott; Mody, Rajal K.; Beer, Karlyn D.; Chiller, Tom M.; Jackson, Brendan R.
2018-01-01
Infections caused by pan–azole-resistant Aspergillus fumigatus strains have emerged in Europe and recently in the United States. Physicians specializing in infectious diseases reported observing pan–azole-resistant infections and low rates of susceptibility testing, suggesting the need for wider-scale testing. PMID:29261092
Rep. Norton, Eleanor Holmes [D-DC-At Large
2014-03-13
House - 03/14/2014 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
7 CFR 1540.20 - Applicability of subpart.
Code of Federal Regulations, 2011 CFR
2011-01-01
... Imported From Israel § 1540.20 Applicability of subpart. This subpart applies to requests filed with the... emergency relief from imports of certain perishable products from Israel entering the United States at a reduced rate of duty or duty-free pursuant to a trade agreement between the United States and Israel...
7 CFR 1540.20 - Applicability of subpart.
Code of Federal Regulations, 2014 CFR
2014-01-01
... Imported From Israel § 1540.20 Applicability of subpart. This subpart applies to requests filed with the... emergency relief from imports of certain perishable products from Israel entering the United States at a reduced rate of duty or duty-free pursuant to a trade agreement between the United States and Israel...
7 CFR 1540.20 - Applicability of subpart.
Code of Federal Regulations, 2013 CFR
2013-01-01
... Imported From Israel § 1540.20 Applicability of subpart. This subpart applies to requests filed with the... emergency relief from imports of certain perishable products from Israel entering the United States at a reduced rate of duty or duty-free pursuant to a trade agreement between the United States and Israel...
7 CFR 1540.20 - Applicability of subpart.
Code of Federal Regulations, 2012 CFR
2012-01-01
... Imported From Israel § 1540.20 Applicability of subpart. This subpart applies to requests filed with the... emergency relief from imports of certain perishable products from Israel entering the United States at a reduced rate of duty or duty-free pursuant to a trade agreement between the United States and Israel...
7 CFR 1540.20 - Applicability of subpart.
Code of Federal Regulations, 2010 CFR
2010-01-01
... Imported From Israel § 1540.20 Applicability of subpart. This subpart applies to requests filed with the... emergency relief from imports of certain perishable products from Israel entering the United States at a reduced rate of duty or duty-free pursuant to a trade agreement between the United States and Israel...
3 CFR - Presidential Determination on Major Illicit Drug Transit or Major Illicit Drug Producing...
Code of Federal Regulations, 2011 CFR
2011-01-01
... marijuana. The United States recognizes Brazil's emergence as a forward-leaning regional leader for... high-potency marijuana that is trafficked to the United States. The frequent mixing of methamphetamine... and synthetic drugs including marijuana, MDMA, and methamphetamine are produced in Canada and...
Code of Federal Regulations, 2012 CFR
2012-01-01
... States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq... Code, I, BARACK OBAMA, President of the United States of America, in order to take additional steps.... All property and interests in property that are in the United States, that hereafter come within the...
Code of Federal Regulations, 2012 CFR
2012-01-01
... States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq... Executive Order 12957 of March 15, 1995, I, BARACK OBAMA, President of the United States of America, hereby... United States and in which the sanctioned person has any interest; (iii) prohibit any transfers of credit...
Contraceptive Availability During an Emergency Response in the United States
Ellington, Sascha R; Kourtis, Athena P; Curtis, Kathryn M; Tepper, Naomi; Gorman, Susan; Jamieson, Denise J; Zotti, Marianne; Barfield, Wanda
2015-01-01
This article provides the evidence for contraceptive need to prevent unintended pregnancy during an emergency response, discusses the most appropriate types of contraceptives for disaster situations, and details the current provisions in place to provide contraceptives during an emergency response. PMID:23421580
75 FR 27917 - Emergency Medical Services Week, 2010
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-18
... Part III The President Proclamation 8519--Emergency Medical Services Week, 2010 Executive Order... Medical Services Week, 2010 By the President of the United States of America A Proclamation Every day of... enhancing our country's preparedness and resilience. During Emergency Medical Services Week, we recommit to...
44 CFR 151.11 - Submission of claims.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Submission of claims. 151.11 Section 151.11 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... including all monies received or receivable from the United States through any program or agreement...
44 CFR 151.11 - Submission of claims.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Submission of claims. 151.11 Section 151.11 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... including all monies received or receivable from the United States through any program or agreement...
44 CFR 151.11 - Submission of claims.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Submission of claims. 151.11 Section 151.11 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... including all monies received or receivable from the United States through any program or agreement...
44 CFR 151.11 - Submission of claims.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Submission of claims. 151.11 Section 151.11 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... including all monies received or receivable from the United States through any program or agreement...
44 CFR 151.11 - Submission of claims.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Submission of claims. 151.11 Section 151.11 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... including all monies received or receivable from the United States through any program or agreement...
Fritz, C. L.; Dennis, D. T.; Tipple, M. A.; Campbell, G. L.; McCance, C. R.; Gubler, D. J.
1996-01-01
In September 1994, in response to a reported epidemic of plague in India, the Centers for Disease Control and Prevention (CDC) enhanced surveillance in the United States for imported pneumonic plague. Plague information materials were rapidly developed and distributed to U.S. public health officials by electronic mail, facsimile, and expedited publication. Information was also provided to medical practitioners and the public by recorded telephone messages and facsimile transmission. Existing quarantine protocols were modified to effect active surveillance for imported plague cases at U.S. airports. Private physicians and state and local health departments were relied on in a passive surveillance system to identify travelers with suspected plague not detected at airports. From September 27 to October 27, the surveillance system identified 13 persons with suspected plague; no case was confirmed. This coordinated response to an international health emergency may serve as a model for detecting other emerging diseases and preventing their importation. PMID:8964057
Fritz, C L; Dennis, D T; Tipple, M A; Campbell, G L; McCance, C R; Gubler, D J
1996-01-01
In September 1994, in response to a reported epidemic of plague in India, the Centers for Disease Control and Prevention (CDC) enhanced surveillance in the United States for imported pneumonic plague. Plague information materials were rapidly developed and distributed to U.S. public health officials by electronic mail, facsimile, and expedited publication. Information was also provided to medical practitioners and the public by recorded telephone messages and facsimile transmission. Existing quarantine protocols were modified to effect active surveillance for imported plague cases at U.S. airports. Private physicians and state and local health departments were relied on in a passive surveillance system to identify travelers with suspected plague not detected at airports. From September 27 to October 27, the surveillance system identified 13 persons with suspected plague; no case was confirmed. This coordinated response to an international health emergency may serve as a model for detecting other emerging diseases and preventing their importation.
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.
Defect States Emerging from a Non-Hermitian Flatband of Photonic Zero Modes
NASA Astrophysics Data System (ADS)
Qi, Bingkun; Zhang, Lingxuan; Ge, Li
2018-03-01
We show the existence of a flatband consisting of photonic zero modes in a gain and loss modulated lattice system as a result of the underlying non-Hermitian particle-hole symmetry. This general finding explains the previous observation in parity-time symmetric systems where non-Hermitian particle-hole symmetry is hidden. We further discuss the defect states in these systems, whose emergence can be viewed as an unconventional alignment of a pseudospin under the influence of a complex-valued pseudomagnetic field. These defect states also behave as a chain with two types of links, one rigid in a unit cell and one soft between unit cells, as the defect states become increasingly localized with the gain and loss strength.
Availability of pediatric services and equipment in emergency departments: United States, 2006.
Schappert, Susan M; Bhuiya, Farida
2012-03-01
This report presents data on the availability of pediatric services, expertise, and supplies for treating pediatric emergencies in U.S. hospitals. Data in this report are from the Emergency Pediatric Services and Equipment Supplement (EPSES), a self-administered questionnaire added to the 2006 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS samples nonfederal short-stay and general hospitals in the United States. Sample data were weighted to produce annual estimates of pediatric services, expertise, and equipment availability in hospital emergency departments (EDs). In 2006, only 7.2 percent of hospital EDs had all recommended pediatric emergency supplies, and 45.6 percent had at least 85.0 percent of recommended supplies. EDs in children's hospitals and hospitals with pediatric intensive care units (PICUs) were more likely to meet guidelines for pediatric emergency department services, expertise, and supplies. About 74.0 percent of these facilities had at least 85.0 percent of recommended supplies, compared with 42.4 percent of other facilities. Among children's hospitals and hospitals with PICUs, 66.0 percent had 24 hours a day, 7 days a week access to a board-certified pediatric emergency medicine attending physician; such access was uncommon in other types of hospitals. In general, little change was noted in the availability of emergency pediatric supplies between 2002-2003, when the initial EPSES was conducted, and 2006.
Remote sensing and geospatial support to burned area emergency response teams
McKinley, Randy; Clark, Jess
2011-01-01
A major concern of land managers in the United States is the response of watersheds to weather after a wildfire. With an ever-expanding wildland-urban interface (WUI), land managers must be cognizant of potential damage to private property and other values at risk. In the United States, land-management agencies from the U.S. Department of Agriculture (USDA) and the U.S. Department of the Interior (DOI) deploy Burned Area Emergency Response (BAER) teams to address these concerns and to “prescribe and implement emergency treatments to minimize threats to life or property or to stabilize and prevent unacceptable degradation to natural and cultural resources resulting from the effects of a fire” (USDA Forest Service 2004, p. 17). BAER teams’ objective is emergency stabilization of burned areas, rather than long-term restoration of the landscape after a fire.
Korbel, Lindsey; Spencer, John David
2015-03-01
The objective of this study is to evaluate the number of diabetics that seek medical treatment in emergency departments or require hospitalization for infection management in the United States. This study also assesses the socioeconomic impact of inpatient infection management among diabetics. We accessed the Healthcare Cost and Utilization Project's Nationwide Emergency Department Sample database and the Nationwide Inpatient Sample database to perform a retrospective analysis on diabetics presenting to the emergency department or hospitalized for infection management from 2006 to 2011. Emergency Department: Since 2006, nearly 10 million diabetics were annually evaluated in the emergency department. Infection was the primary reason for presentation in 10% of these visits. Among those visits, urinary tract infection was the most common infection, accounting for over 30% of emergency department encounters for infections. Other common infections included sepsis, skin and soft tissue infections, and pneumonia. Diabetics were more than twice as likely to be hospitalized for infection management than patients without diabetes. Hospitalization: Since 2006, nearly 6 million diabetics were annually hospitalized. 8-12% of these patients were hospitalized for infection management. In 2011, the inpatient care provided to patients with DM, and infection was responsible for over $48 billion dollars in aggregate hospital charges. Diabetics commonly present to the emergency department and require hospitalization for infection management. The care provided to diabetics for infection management has a large economic impact on the United States healthcare system. More efforts are needed to develop cost-effective strategies for the prevention of infection in patients with diabetes. Copyright © 2015 Elsevier Inc. All rights reserved.
de Lima, Luciana Dias; Machado, Cristiani Veira; O'Dwyer, Gisele; Baptista, Tatiana Wargas de Faria; de Andrade, Carla Lourenço Tavares; Konder, Mariana Teixeira
2015-02-01
This article addresses policymaking related to Emergency Care Units (ECU) in the State of Rio de Janeiro between 2007 and 2013, duly identifying the relationships between the various levels of government in this process. It prioritized the context of policy formulation, the factors that motivated the inclusion and maintenance of ECUs on the state agenda and the process of how the policy was implemented in the state. The study was based on the literature that defines the agenda and implementation of public policies and on contributions from historic institutionalism. The research involved analysis of documents, secondary data, and 51 interviews with people in positions of authority in state and municipal governments. The priority given to ECUs in the government agenda was the result of a confluence of historical, structural, political and institutional factors, as well as the current context. The results of this study indicate the existence of interdependence between levels of government, however federal coordination problems have prejudiced the integration of the various components of emergency health care in the state.
2013-12-13
Coordination Center NMSZ New Madrid Seismic Zone PKEMRA Post Katrina Emergency Management Relief Act POTUS President of the United States SecDef Secretary...House bed. At about the same time, church bells were ringing across the eastern United States, the Mississippi River was reported to have flowed...nearly 900 miles from Washington, DC near the town of New Madrid , Missouri. The earthquakes that spurred these significant events happened in and near
Early emergence of anthropogenically forced heat waves in the western United States and Great Lakes
NASA Astrophysics Data System (ADS)
Lopez, Hosmay; West, Robert; Dong, Shenfu; Goni, Gustavo; Kirtman, Ben; Lee, Sang-Ki; Atlas, Robert
2018-05-01
Climate projections for the twenty-first century suggest an increase in the occurrence of heat waves. However, the time at which externally forced signals of anthropogenic climate change (ACC) emerge against background natural variability (time of emergence (ToE)) has been challenging to quantify, which makes future heat-wave projections uncertain. Here we combine observations and model simulations under present and future forcing to assess how internal variability and ACC modulate US heat waves. We show that ACC dominates heat-wave occurrence over the western United States and Great Lakes regions, with ToE that occurred as early as the 2020s and 2030s, respectively. In contrast, internal variability governs heat waves in the northern and southern Great Plains, where ToE occurs in the 2050s and 2070s; this later ToE is believed to be a result of a projected increase in circulation variability, namely the Great Plain low-level jet. Thus, greater mitigation and adaptation efforts are needed in the Great Lakes and western United States regions.
Prominent emerging diseases within the United States
Cipriano, R.C.; Bowser, A.; Dove, A.; Goodwin, A.; Puzach, C.; Cipriano, R.C.; Bruckner, A.W.; Shchelkunov, I.S.
2011-01-01
This manuscript reviews disease syndromes that have become significant aquatic animal health issues within the United States since 2003. The emergence of Viral Hemorrhagic Septicemia (VHS) disease among wild fish in the Great Lakes is probably the most problematic and political issue. The emergence of this pathogen resulted in the issuance of a 2006 VHSV Federal order that placed restrictions on the movement of certain species of fish in the eight states that border the Great Lakes (New York, Pennsylvania, Ohio, Indiana, Illinois, Michigan, and Wisconsin and Minnesota) as well as the movement of live fish into the United States from the Ontario and Quebec Provinces, Canada. Spring Viremia of Carp (SVC) was identified for the first times in the United States during 2002. It was diagnosed as the source of mortality among koi at a private facility in North Carolina as well as from feral carp in Cedar Lake (WI). In 2004, Koi Herpesvirus (KHV) killed 8,000 adult common carp (Cyprinus carpio) in the Chadakoin River (NY); it reoccurred the next year within Chautauqua Lake (NY), killing an estimated 25,000 carp (20–30 lbs. apiece). During the summers of 2007 and 2008, KHV epizootics also occurred among carp in Ontario (Canada). Finally, outbreaks of epizootic shell disease in American lobster (Homarus americanus) have generated concern along the southern New England coast and eastern Long Island Sound. The prevalence and severity of shell disease have increased within inshore areas of southern New England and resulted in significant decreases in lobster catches and marketability.
Nair, Satish Chandrasekhar; Ibrahim, Halah
2015-01-01
Pharmaceutical sponsored clinical trials, formerly conducted predominantly in the United States and Europe, have expanded to emerging regions, including the Middle East. Our study explores factors influencing clinical trial privacy and confidentiality in the United Arab Emirates. Factors including concept familiarity, informed consent compliance, data access, and preservation, were analyzed to assess current practices in the Arab world. As the UAE is an emerging region for clinical trials, there is a growing need for regulations related to data confidentiality and subject privacy. Informational and decisional privacy should be viewed within the realms of Arab culture and religious background.
The Influence of Servant Leadership Theory on the Emergency Services Student
ERIC Educational Resources Information Center
Russell, Eric James
2013-01-01
The purpose of this qualitative case study was to explore how participation in a class on servant leadership influenced the emergency services student's understanding of the role and characteristics of a servant leader. The setting for the study was a state university in the Western United States, with the six participants being declared emergency…
An environmental assessment of United States drinking water watersheds
James Wickham; Timothy Wade; Kurt Riitters
2011-01-01
Abstract There is an emerging recognition that natural lands and their conservation are important elements of a sustainable drinking water infrastructure. We conducted a national, watershed-level environmental assessment of 5,265 drinking water watersheds using data on land cover, hydrography and conservation status. Approximately 78% of the conterminous United States...
Occupational Channels for Mexican Migration: New Destination Formation in a Binational Context
ERIC Educational Resources Information Center
Sanderson, Matthew; Painter, Matthew, II
2011-01-01
In the 1990s, Mexican immigration dispersed spatially, leading to the emergence of many "new destinations," in nonmetropolitan areas of the United States. Previous studies constrain the scope of the analysis to the United States, limiting our understanding of how new destinations are formed. We place new destination formation into a…
Status of vaccines for porcine epidemic diarrhea virus in the United States and Canada
USDA-ARS?s Scientific Manuscript database
In 2013, porcine epidemic diarrhea virus (PEDV) emerged in the United States as a rapidly spreading epidemic causing dramatic death losses in suckling piglets. Neonatal piglets are most vulnerable to clinical disease and their only protection is passive immunity from their dam. At the end of the thi...
Social Studies: Emergence of America as a World Power.
ERIC Educational Resources Information Center
McCormick, Jackie
The quinmester American studies elective course for grades seven through nine focuses on the development of the United States as a world power from 1898 when conditions and influential groups of expansionists contributed to the United States, changing from an isolationist nation to the present world power. Emphasis is on the concept of national…
Dietary Assimilation and Health among Hispanic Immigrants to the United States
ERIC Educational Resources Information Center
Akresh, Ilana Redstone
2007-01-01
Three important findings emerge from this study using New Immigrant Survey data to examine dietary change and health among Hispanic immigrants. First, individuals who have been in the United States longer report a greater degree of dietary change. Second, after controlling for behavioral characteristics and preexisting diet-related conditions…
First report of dodder (Cuscuta pentagona) on chickpea (Cicer arietinum) in the United States
USDA-ARS?s Scientific Manuscript database
Chickpea (Cicer arietinum L.) is an important rotational and an emerging specialty crop in the Pacific Northwest of the United States, in California, and in the Northern Great Plains of the USA and Canada. Dodders (Cuscuta spp.) are widespread parasitic weeds on many crops worldwide. Several Cusc...
Rep. Ellmers, Renee L. [R-NC-2
2012-11-27
House - 11/28/2012 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
ERIC Educational Resources Information Center
Cooper, Brian J.
2012-01-01
Teaching evaluation systems are an important part of the total evaluation of faculty in geography departments in the United States. As demands for accountability for teaching effectiveness continue to emerge from many groups, it has become increasingly important for geography departments to develop systems that not only provide teaching…
Rep. McKinley, David B. [R-WV-1
2013-02-12
House - 02/13/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
Strange Bedfellows: The New Neoliberalism of Catholic Schooling in the United States
ERIC Educational Resources Information Center
Burke, Kevin J.
2012-01-01
The article utilizes critical social theory and critical religious theory to examine the emergent and historically aberrant alignment between Catholic schools and neoliberal market-based reforms in the United States. The author traces the historical split between Catholic and public schooling, attending to the role of the litigious in shaping…
Shifting forest value orientations in the United States, 1980-2001: A computer content analysis
David N. Bengston; Trevor J. Webb; David P. Fan
2004-01-01
This paper examines three forest value orientations - clusters of interrelated values and basic beliefs about forests - that emerged from an analysis of the public discourse about forest planning, management, and policy in the United States. The value orientations include anthropocentric, biocentric, and moral/spiritual/aesthetic orientations toward forests. Computer...
Length of Stay of Pediatric Mental Health Emergency Department Visits in the United States
ERIC Educational Resources Information Center
Case, Sarah D.; Case, Brady G.; Olfson, Mark; Linakis, James G.; Laska, Eugene M.
2011-01-01
Objective: To compare pediatric mental health emergency department visits to other pediatric emergency department visits, focusing on length of stay. Method: We analyzed data from the National Hospital Ambulatory Medical Care Survey, a nationally representative sample of US emergency department visits from 2001 to 2008, for patients aged less than…
Emergency medical technician education and training.
Lauro, Joseph; Sullivan, Francis; Williams, Kenneth A
2013-12-03
Emergency Medical Services (EMS) training and education are vital and vibrant aspects of a young and evolving profession. This article provides a perspective on this effort in the United States and reviews current activity in Rhode Island.
ERIC Educational Resources Information Center
Gibson-Cayouette, Lizann R.
2010-01-01
An acute shortage of a competent, highly-skilled workforce faces the United States workplace. Studies and reports from 1983 to present, repeatedly state that the education system in the United States must change to prepare the emergent workforce for success in the 21st century global challenges of both post-secondary education and the workplace.…
New tools for emergency managers: an assessment of obstacles to use and implementation.
McCormick, Sabrina
2016-04-01
This paper focuses on the role of the formal response community's use of social media and crowdsourcing for emergency managers (EMs) in disaster planning, response and recovery in the United States. In-depth qualitative interviews with EMs on the Eastern seaboard at the local, state and federal level demonstrate that emergency management tools are in a state of transition--from formal, internally regulated tools for crisis response to an incorporation of new social media and crowdsourcing tools. The first set of findings provides insight into why many EMs are not using social media, and describes their concerns that result in fear, uncertainty and doubt. Second, this research demonstrates how internal functioning and staffing issues within these agencies present challenges. This research seeks to examine the dynamics of this transition and offer lessons for how to improve its outcomes--critical to millions of people across the United States. © 2016 The Author(s). Disasters © Overseas Development Institute, 2016.
Effects and Clinical Significance of GII.4 Sydney Norovirus, United States, 2012–2013
Wikswo, Mary; Barclay, Leslie; Brandt, Eric; Storm, William; Salehi, Ellen; DeSalvo, Traci; Davis, Tim; Saupe, Amy; Dobbins, Ginette; Booth, Hillary A.; Biggs, Christianne; Garman, Katie; Woron, Amy M.; Parashar, Umesh D.; Vinjé, Jan; Hall, Aron J.
2013-01-01
During 2012, global detection of a new norovirus (NoV) strain, GII.4 Sydney, raised concerns about its potential effect in the United States. We analyzed data from NoV outbreaks in 5 states and emergency department visits for gastrointestinal illness in 1 state during the 2012–13 season and compared the data with those of previous seasons. During August 2012–April 2013, a total of 637 NoV outbreaks were reported compared with 536 and 432 in 2011–2012 and 2010–2011 during the same period. The proportion of outbreaks attributed to GII.4 Sydney increased from 8% in September 2012 to 82% in March 2013. The increase in emergency department visits for gastrointestinal illness during the 2012–13 season was similar to that of previous seasons. GII.4 Sydney has become the predominant US NoV outbreak strain during the 2012–13 season, but its emergence did not cause outbreak activity to substantially increase from that of previous seasons. PMID:23886013
44 CFR 65.1 - Purpose of part.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Purpose of part. 65.1 Section 65.1 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND... publish information with respect to all areas within the United States having special flood, mudslide (i.e...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-19
...--Continuation of the National Emergency With Respect to Significant Transnational Criminal Organizations #0; #0..., 2012 Continuation of the National Emergency With Respect To Significant Transnational Criminal... threat to the national security, foreign policy, and economy of the United States constituted by the...
3 CFR - Continuation of the National Emergency With Respect to Certain Terrorist Attacks
Code of Federal Regulations, 2010 CFR
2010-01-01
... national emergency declared on September 14, 2001, in Proclamation 7463, with respect to the terrorist attacks of September 11, 2001, and the continuing and immediate threat of further attacks on the United States. Because the terrorist threat continues, the national emergency declared on September 14, 2001...
[Monkey-pox, a model of emergent then reemergent disease].
Georges, A J; Matton, T; Courbot-Georges, M C
2004-01-01
The recent emergence of monkey pox in the United States of America highlights the problem (known for other infectious agents) of dissemination of pathogens outside their endemic area, and of subsequent global threats of variable gravity according to agents. It is a real emergency since monkey pox had been confined to Africa for several decades, where small epidemics occurred from time to time, monkey pox is a "miniature smallpox" which, in Africa, evolves on an endemic (zoonotic) mode with, as reservoirs, several species of wild rodents (mainly squirrels) and some monkey species. It can be accidentally transmitted to man then develops as epidemics, sometimes leading to death. The virus was imported in 2003 in the United States of America, via Gambia rats and wild squirrels (all African species), and infected prairie dogs (which are now in fashion as pets), then crossed the species barrier to man. In the United States of America, screening campaigns, epidemiological investigations, and subsequent treatments led to a rapid control of the epidemic, which is a model of emergent disease for this country. Therapeutic and preventive measures directly applicable to monkey pox are discussed. They can also be applied against other pox virus infections (including smallpox). The risk of criminal introduction of pox viruses is discussed since it is, more than ever, a real worldwide threat.
The American biodefense industry: from emergency to nonemergence.
Lentzos, Filippa
2007-03-01
Since 1998, and especially since the "Amerithrax" emergency of 2001, the United States has ambitiously funded biodefense projects, intending not only to enhance detection and management of any biological-weapons attack but also to establish a robust domestic biodefense industry. I asked if the United States had fulfilled this latter intention. Using the RAND Corporation's RaDiUS database, I examined federal biodefense grants and contracts awarded from 1995 through most of 2005, noting recipient type, awarding unit, funding level, and the disease focus of research-and-development support. Patterns in these data as well as other sources suggest that the biodefense industry as late as 2005 remained in a nascent stage, with most firms small, precariously financed, and more responsive to funders' announcements and solicitations than to opportunities for self-directed innovation. A biodefense industry with investor-capital funding and retained earnings, with its own leading companies, with its own stock analysts, and with its own legitimacy in commercial and financial markets did not emerge over the period studied, nor does its emergence appear imminent.
Code of Federal Regulations, 2010 CFR
2010-10-01
... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL PRODUCTION OR DISCLOSURE OF INFORMATION Subpoenas or Other Legal Demands for Testimony or the...
Poison control center - Emergency number (image)
For a poison emergency call 1-800-222-1222 anywhere in the United States. This national hotline number will let you ... is a free and confidential service. All local poison control centers in the U.S. use this national ...
United States Army Garrison - Miami (USAG-M)
Employee Links Military Links South Florida Units Family & MWR Partners Tenant Units and Activities Opportunities Family Support BOSS Relocation Readiness Schools Van Pool Information Biography Deputy Manager , Analysis & Integration Executive Assistant Emergency Services Family and Morale, Welfare and Recreation
Commercial landscape of noninvasive prenatal testing in the United States.
Agarwal, Ashwin; Sayres, Lauren C; Cho, Mildred K; Cook-Deegan, Robert; Chandrasekharan, Subhashini
2013-06-01
Cell-free fetal DNA-based noninvasive prenatal testing (NIPT) could significantly change the paradigm of prenatal testing and screening. Intellectual property (IP) and commercialization promise to be important components of the emerging debate about clinical implementation of these technologies. We have assembled information about types of testing, prices, turnaround times, and reimbursement of recently launched commercial tests in the United States from the trade press, news articles, and scientific, legal, and business publications. We also describe the patenting and licensing landscape of technologies underlying these tests and ongoing patent litigation in the United States. Finally, we discuss how IP issues may affect clinical translation of NIPT and their potential implications for stakeholders. Fetal medicine professionals (clinicians and researchers), genetic counselors, insurers, regulators, test developers, and patients may be able to use this information to make informed decisions about clinical implementation of current and emerging noninvasive prenatal tests. © 2013 John Wiley & Sons, Ltd.
Commercial Landscape of noninvasive prenatal testing in the United States
Agarwal, Ashwin; Sayres, Lauren C.; Cho, Mildred K.; Cook-Deegan, Robert; Chandrasekharan, Subhashini
2014-01-01
Cell-free fetal DNA-based noninvasive prenatal testing (NIPT) could significantly change the paradigm of prenatal testing and screening. Intellectual property (IP) and commercialization promise to be important components of the emerging debate about clinical implementation of these technologies. We have assembled information about types of testing, prices, turnaround times and reimbursement of recently launched commercial tests in the United States from the trade press, news articles, and scientific, legal, and business publications. We also describe the patenting and licensing landscape of technologies underlying these tests and ongoing patent litigation in the United States. Finally, we discuss how IP issues may affect clinical translation of NIPT and their potential implications for stakeholders. Fetal medicine professionals (clinicians and researchers), genetic counselors, insurers, regulators, test developers and patients may be able to use this information to make informed decisions about clinical implementation of current and emerging noninvasive prenatal tests. PMID:23686656
ERIC Educational Resources Information Center
Lancioni, Giulio E.; Singh, Nirbhay N.; O'Reilly, Mark F.; Sigafoos, Jeff; Colonna, Fabio; Buonocunto, Francesca; Sacco, Valentina; Megna, Marisa; Oliva, Doretta
2012-01-01
This study assessed microswitch-based technology to enable three post-coma adults, who had emerged from a minimally conscious state but presented motor and communication disabilities, to operate a radio device. The material involved a modified radio device, a microprocessor-based electronic control unit, a personal microswitch, and an amplified…
USDA-ARS?s Scientific Manuscript database
Campylobacter jejuni is a significant concern for ruminant health and food safety. Recently, a highly pathogenic C. jejuni clone (named SA) has emerged as the predominant cause of ruminant abortion and a significant cause of foodborne illnesses in the United States. Despite the recent advance in und...
USDA-ARS?s Scientific Manuscript database
A recent outbreak of particularly virulent disease caused by porcine reproductive and respiratory syndrome virus has occurred in swine herds across the United States. We report here the complete genome sequence of eight viral isolates from four Nebraska herds experiencing an outbreak of severe dise...
Languages for Specific Purposes Business Curriculum Creation and Implementation in the United States
ERIC Educational Resources Information Center
Fryer, T. Bruce
2012-01-01
After the United States emerged as the major world economic leader following World War II, language curricula for specific purposes in international business were put into practice at the college and university levels. This article documents the work of the major players in the development of coursework and materials for business languages for…
An emerging paradigm for managing protected areas with examples from Europe and the United States
James Absher; Carsten Mann
2010-01-01
Parks and Protected Areas (PPA) have become increasingly important for societal well-being in Europe and the United States. Urbanization, detachment from nature, and demographic changes are fostering discussions about strengthening the social and cultural dimensions of management. The complexities and subtleties of incorporating PPAs into existing government and...
The Effect of Computer-Based Simulation Training on Fire Ground Incident Commander Decision Making
ERIC Educational Resources Information Center
Hall, Kurt A.
2010-01-01
Since the establishment of the first volunteer fire brigades in the United States, firefighters have lost their lives in fire fighting operations at emergency incidents and live-fire training activities. While there are various reasons for these firefighter deaths and injuries, the United States Fire Administration (2002) reported that many of…
Code of Federal Regulations, 2012 CFR
2012-01-01
... America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the..., BARACK OBAMA, President of the United States of America, find that the activities of significant...: Section 1. (a) All property and interests in property that are in the United States, that hereafter come...
Poverty Measurement in the U.S., Europe, and Developing Countries
ERIC Educational Resources Information Center
Couch, Kenneth A.; Pirog, Maureen A.
2010-01-01
In December of 2009, many within the American community of analysts, policymakers, and program managers are looking expectantly at the possibility of change in the basic measure used to gauge poverty in the United States. A broad consensus has emerged that the current official measure of poverty in the United States is deeply flawed, in the income…
Resources for Social Change. Race in the United States.
ERIC Educational Resources Information Center
Coleman, James S.
This book draws together some of the emerging theories of directed social change for application to a particular problem: the social, economic, and political positions of Negroes in the United States. An orientation towards social problems, which sees change as a consequence of man's action and thus potentially under his control, has led to the…
The Epidemiology of Emergency Department Trauma Discharges in the United States.
DiMaggio, Charles J; Avraham, Jacob B; Lee, David C; Frangos, Spiros G; Wall, Stephen P
2017-10-01
Injury-related morbidity and mortality is an important emergency medicine and public health challenge in the United States. Here we describe the epidemiology of traumatic injury presenting to U.S. emergency departments (EDs), define changes in types and causes of injury among the elderly and the young, characterize the role of trauma centers and teaching hospitals in providing emergency trauma care, and estimate the overall economic burden of treating such injuries. We conducted a secondary retrospective, repeated cross-sectional study of the Nationwide Emergency Department Data Sample (NEDS), the largest all-payer ED survey database in the United States. Main outcomes and measures were survey-adjusted counts, proportions, means, and rates with associated standard errors (SEs) and 95% confidence intervals. We plotted annual age-stratified ED discharge rates for traumatic injury and present tables of proportions of common injuries and external causes. We modeled the association of Level I or II trauma center care with injury fatality using a multivariable survey-adjusted logistic regression analysis that controlled for age, sex, injury severity, comorbid diagnoses, and teaching hospital status. There were 181,194,431 (SE = 4,234) traumatic injury discharges from U.S. EDs between 2006 and 2012. There was a mean year-to-year decrease of 143 (95% CI = -184.3 to -68.5) visits per 100,000 U.S. population during the study period. The all-age, all-cause case-fatality rate for traumatic injuries across U.S. EDs during the study period was 0.17% (SE = 0.001%). The case-fatality rate for the most severely injured averaged 4.8% (SE = 0.001%), and severely injured patients were nearly four times as likely to be seen in Level I or II trauma centers (relative risk = 3.9 [95% CI = 3.7 to 4.1]). The unadjusted risk ratio, based on group counts, for the association of Level I or II trauma centers with mortality was risk ratio = 4.9 (95% CI = 4.5 to 5.3); however, after sex, age, injury severity, and comorbidities were accounted for, Level I or II trauma centers were not associated with an increased risk of fatality (odds ratio = 0.96 [95% CI = 0.79 to 1.18]). There were notable changes at the extremes of age in types and causes of ED discharges for traumatic injury between 2009 and 2012. Age-stratified rates of diagnoses of traumatic brain injury increased 29.5% (SE = 2.6%) for adults older than 85 and increased 44.9% (SE = 1.3%) for children younger than 18. Firearm-related injuries increased 31.7% (SE = 0.2%) in children 5 years and younger. The total inflation-adjusted cost of ED injury care in the United States between 2006 and 2012 was $99.75 billion (SE = $0.03 billion). Emergency departments are a sensitive barometer of the continuing impact of traumatic injury as an important cause of morbidity and mortality in the United States. Level I or II trauma centers remain a bulwark against the tide of severe trauma in the United States, but the types and causes of traumatic injury in the United States are changing in consequential ways, particularly at the extremes of age, with traumatic brain injuries and firearm-related trauma presenting increased challenges. © 2017 by the Society for Academic Emergency Medicine.
Gil, Joseph A; DeFroda, Steven F; Kriz, Peter; Owens, Brett D
2017-09-01
To examine the trend of concussions in skiers and snowboarders from 2010 to 2014; and to quantify and compare the incidence of concussions injuries in skiers and snowboarders who presented to emergency departments in the United States in 2014. Cross-sectional study of concussions in skiers and snowboarders who were evaluated in emergency departments in the United States. Incidence of concussions. The trend of the annual incidence of concussions for skiers and snowboarders remained stable from 2010 to 2014. An estimated total of 5388 skiing-related concussions and 5558 snowboarding-related concussions presented to emergency departments in the United States between January 1st, 2014, and December 31st, 2014. This represented an incidence of 16.9 concussions per 1 000 000 person-years for skiers and 17.4 concussions per 1 000 000 person-years for snowboarders. The incidence of concussions in the pediatric and young adult population of skiers was significantly higher than the incidence in the adult population. Similarly, the incidence of concussions in the pediatric and young adult population of snowboarders was significantly higher than the incidence in the adult population. The incidence of concussions was significantly higher in males compared with females in both skiing and snowboarding. The incidence of concussions from 2010 to 2014 plateaued in both skiers and snowboarders. Pediatric and young adult skiers and snowboarders had significantly higher incidences of concussion than the adult population. In contrast to the higher incidence of concussions in females in several sports including ice hockey, soccer, and basketball, the incidence of concussions was higher in males compared with females in both skiing and snowboarding.
Code of Federal Regulations, 2011 CFR
2011-01-01
... Constitution and the laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA), section 5 of the United Nations Participation Act, as amended (22 U.S.C. 287c) (UNPA), and section 301 of...
Fritz, Deborah; McKenzie, Patricia
2014-01-01
Patients with pneumonia, chronic obstructive pulmonary disease (COPD), and heart failure make frequent visits to the emergency department. Heart failure alone is the reason for more than 1 million emergency department visits annually in the United States. This article describes strategies home care clinicians can use to prevent unnecessary emergency department visits for patients with pneumonia, COPD and heart failure.
Astronauts and cosmonauts during emergency bailout training session
NASA Technical Reports Server (NTRS)
1994-01-01
Using small life rafts, several cosmonauts and astronauts participating in joint Russia - United States space missions take part in an emergency bailout training session in the JSC Weightless Environment Training Facility (WETF) 25-feet-deep pool. In the
Use of Emergency Contraception among Women Aged 15-44: United States, 2006-2010
... had ever used emergency contraception reported fear of method failure as a reason for use, but variation ... had ever had sexual intercourse. Data source and methods This report is based primarily on data from ...
Code of Federal Regulations, 2013 CFR
2013-10-01
... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS MAINTENANCE OF THE MOBILIZATION BASE (DEPARTMENT OF DEFENSE, DEPARTMENT OF ENERGY, MARITIME... United States in a defense posture which will enable the nation to defend itself against aggression in...
Code of Federal Regulations, 2011 CFR
2011-10-01
... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS MAINTENANCE OF THE MOBILIZATION BASE (DEPARTMENT OF DEFENSE, DEPARTMENT OF ENERGY, MARITIME... United States in a defense posture which will enable the nation to defend itself against aggression in...
Code of Federal Regulations, 2012 CFR
2012-10-01
... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS MAINTENANCE OF THE MOBILIZATION BASE (DEPARTMENT OF DEFENSE, DEPARTMENT OF ENERGY, MARITIME... United States in a defense posture which will enable the nation to defend itself against aggression in...
Code of Federal Regulations, 2014 CFR
2014-10-01
... Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS MAINTENANCE OF THE MOBILIZATION BASE (DEPARTMENT OF DEFENSE, DEPARTMENT OF ENERGY, MARITIME... United States in a defense posture which will enable the nation to defend itself against aggression in...
ERCMExpress. Volume 3, Issue 5
ERIC Educational Resources Information Center
Taylor, Matt
2007-01-01
The Emergency Response and Crisis Management (ECRM) Technical Assistance Center's newsletter "ERCMExpress" provides comprehensive information on key issues in school emergency management. Many nontraditional schools across the United States, such as storefront schools, rural schools, and alternative education facilities, face challenges…
DOT National Transportation Integrated Search
2013-03-01
When Hurricanes Katrina and Rita ravaged the United States Gulf Coast in 2005, : the storms revealed woeful inadequacies in our nations emergency preparedness : and response capacities, including notably how we plan for and execute larg...
14 CFR 155.9 - Release from war or national emergency restrictions.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Release from war or national emergency....9 Release from war or national emergency restrictions. (a) The primary purpose of each transfer of... property transferred, and of the entire airport, for use by the United States during a war or national...
Ambulatory Healthcare Utilization in the United States: A System Dynamics Approach
NASA Technical Reports Server (NTRS)
Diaz, Rafael; Behr, Joshua G.; Tulpule, Mandar
2011-01-01
Ambulatory health care needs within the United States are served by a wide range of hospitals, clinics, and private practices. The Emergency Department (ED) functions as an important point of supply for ambulatory healthcare services. Growth in our aging populations as well as changes stemming from broader healthcare reform are expected to continue trend in congestion and increasing demand for ED services. While congestion is, in part, a manifestation of unmatched demand, the state of the alignment between the demand for, and supply of, emergency department services affects quality of care and profitability. The central focus of this research is to provide an explanation of the salient factors at play within the dynamic demand-supply tensions within which ambulatory care is provided within an Emergency Department. A System Dynamics (SO) simulation model is used to capture the complexities among the intricate balance and conditional effects at play within the demand-supply emergency department environment. Conceptual clarification of the forces driving the elements within the system , quantifying these elements, and empirically capturing the interaction among these elements provides actionable knowledge for operational and strategic decision-making.
Development of a rapidly deployed Department of Energy emergency response element.
Tighe, R J; Riland, C A; Hopkins, R C
2000-02-01
The Federal Radiological Emergency Response Plan (FRERP) directs the Department of Energy (DOE) to maintain a viable, timely, and fully documented response option capable of supporting the responsible Lead Federal Agency in the event of a radiological emergency impacting any state or United States territory (e.g., CONUS). In addition, the DOE maintains a response option to support radiological emergencies outside the continental United States (OCONUS). While the OCONUS mission is not governed by the FRERP, this response is operationally similar to that assigned to the DOE by the FRERP The DOE is prepared to alert, activate, and deploy radiological response teams to augment the Radiological Assistance Program and/or local responders. The Radiological Monitoring and Assessment Center (RMAC) is a phased response that integrates with the Federal Radiological Monitoring and Assessment Center (FRMAC) in CONUS environments and represents a stand-alone DOE response for OCONUS environments. The FRMAC/RMAC Phase I was formally "stood up" as an operational element in April 1999. The FRMAC/RMAC Phase II proposed "stand-up" date is midyear 2000.
Conard, Lee Ann E; Gold, Melanie A
2005-10-01
Emergency contraception is increasing in use and has become a universal standard of care in the United States. This article reviews available forms of emergency contraception, their indications, contraindications, adverse effects and efficacy at preventing pregnancy. This article describes the mechanism of action of different forms of emergency contraception and provides recommendations on when to start or restart an ongoing method of contraceptive after emergency contraception use. Literature on the impact of the advance provision of emergency contraception on contracepting behaviors is reviewed, and behavior change counseling related to emergency contraception is described.
Instructor Quality and EMT Certification Examination Results
ERIC Educational Resources Information Center
Russ-Eft, Darlene; Dickison, Phil; Levine, Roger
2007-01-01
The Longitudinal Emergency Medical Technician Attributes and Demographics Study (LEADS) provides a representative sampling of EMTs throughout the United States. This study examines the relationship between instructor quality and National Registry of Emergency Medical Technicians certification examination outcomes. Results show significant…
28 CFR 65.2 - State Government.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 28 Judicial Administration 2 2012-07-01 2012-07-01 false State Government. 65.2 Section 65.2... Eligible Applicants § 65.2 State Government. In the event that a law enforcement emergency exists throughout a state or part of a state, a state (on behalf of itself or a local unit of government) may submit...
28 CFR 65.2 - State Government.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 28 Judicial Administration 2 2013-07-01 2013-07-01 false State Government. 65.2 Section 65.2... Eligible Applicants § 65.2 State Government. In the event that a law enforcement emergency exists throughout a state or part of a state, a state (on behalf of itself or a local unit of government) may submit...
28 CFR 65.2 - State Government.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 28 Judicial Administration 2 2011-07-01 2011-07-01 false State Government. 65.2 Section 65.2... Eligible Applicants § 65.2 State Government. In the event that a law enforcement emergency exists throughout a state or part of a state, a state (on behalf of itself or a local unit of government) may submit...
28 CFR 65.2 - State Government.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 28 Judicial Administration 2 2014-07-01 2014-07-01 false State Government. 65.2 Section 65.2... Eligible Applicants § 65.2 State Government. In the event that a law enforcement emergency exists throughout a state or part of a state, a state (on behalf of itself or a local unit of government) may submit...
28 CFR 65.2 - State Government.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 28 Judicial Administration 2 2010-07-01 2010-07-01 false State Government. 65.2 Section 65.2... Eligible Applicants § 65.2 State Government. In the event that a law enforcement emergency exists throughout a state or part of a state, a state (on behalf of itself or a local unit of government) may submit...
Leng, Guoyong; Huang, Maoyi; Voisin, Nathalie; ...
2016-10-25
Emergence of significant changes in surface water PDF is detected across CONUS. Such emergence can be derived using global temperature increments at the national scale independent of emission scenarios but the relationship does not hold at sub-basin scale. The emergence of significant changes are due to changes in interannual variability rather than seasonal mean.
Keeping Food Safe during an Emergency
... Forms Standard Forms FSIS United States Department of Agriculture Food Safety and Inspection Service About FSIS District ... contact your local or state health department or agriculture extension agent for specific advice. Q. We had ...
Rosenzweig, Jaime S; Van Deusen, Shawn K; Okpara, Okemefuna; Datillo, Paris A; Briggs, William M; Birkhahn, Robert H
2008-01-01
The objectives of the study were to examine the last decade of general emergency medicine (EM) literature published in the United States for trends with regard to authorship and multidisciplinary collaboration and to estimate the effect on extramural funding. Print articles published in the Academic Emergency Medicine, Annals of Emergency Medicine, Journal of Emergency Medicine, and American Journal of Emergency Medicine between 1994 and 2003 were reviewed. Original research, case reports/series, and others (consensus/educational) were considered; abstracts, book reviews, and editorials were not. The author byline was reviewed for number, specialty, nationality, collaboration, and presence of extramural funding. Multidisciplinary collaboration was defined as authors from 2 or more specialties, whereas multi-institutional collaboration was defined as EM authors from more than one institution. Logistic regression was used to identify predictors of extramural funding from the variables collected. Of 5728 articles identified, there were 3278 (57%) original research, 1437 (25%) case reports/series, and 975 (17%) classified as others. The percentage funded was 22% for all articles (32% for original research). The literature had at least one EM investigator as coauthor 84% of the time. Article location of origin was the United States (63%), foreign (15%), and combined (22%). Multidisciplinary collaboration increased overall from 33% in 1994 to a high of 43% in 2003. Multi-institutional collaboration also increased from 16% in 1994 to 26% in 2003. The percentage of articles having 6 or more authors increased from 12% to 18% over the decade. Of all variables studied, only article type (original research: odds ratio, 4.8; 95% confidence interval, 4.0-5.6) and foreign source (non-United States: odds ratio, 1.3; 95% confidence interval, 1.1-1.5) predicted extramural funding. The number of authors per article in the EM literature has steadily increased over the last decade, as has evidence of collaboration with other specialties. This increase in collaboration and author number has not been associated with increased extramural funding in the general EM literature published in the United States.
2011-01-01
Management Agency, the Department of Housing and Urban Development, the National Oceanic and Atmospheric Administration, aff ected state agencies...history, the United States has relied on the Civil Works program for help in times of national disaster. Emergency management continues to be an...agencies) and demonstrate the fact that project management , operations, and maintenance activities are performed at the local (district) level . Th e
Chimera states: Effects of different coupling topologies
NASA Astrophysics Data System (ADS)
Bera, Bidesh K.; Majhi, Soumen; Ghosh, Dibakar; Perc, Matjaž
2017-04-01
Collective behavior among coupled dynamical units can emerge in various forms as a result of different coupling topologies as well as different types of coupling functions. Chimera states have recently received ample attention as a fascinating manifestation of collective behavior, in particular describing a symmetry breaking spatiotemporal pattern where synchronized and desynchronized states coexist in a network of coupled oscillators. In this perspective, we review the emergence of different chimera states, focusing on the effects of different coupling topologies that describe the interaction network connecting the oscillators. We cover chimera states that emerge in local, nonlocal and global coupling topologies, as well as in modular, temporal and multilayer networks. We also provide an outline of challenges and directions for future research.
S. Prospero; E.M. Hansen; N.J. Grünwald; J. Britt; L.M. Winton.
2009-01-01
Phytophthora ramorum is a devastating pathogen in native forests in California and southwestern Oregon and in nursery crops in California, Oregon and Washington. In this study we analyzed the population structure of P. ramorum in the west coast (CA, OR, and WA) of the United States by screening 579 isolates recovered...
ERIC Educational Resources Information Center
Sumida Huaman, Elizabeth
2014-01-01
This article discusses emerging research on youth and Indigenous languages. Based on a comparative and international Indigenous education study in Peru and the United States, the intersection between Indigenous community spaces, schools, and languages is examined. Given global trends of Indigenous language loss, comparative research provides the…
ERIC Educational Resources Information Center
Shirley, Dennis
2016-01-01
Teachers' unions and community organizing emerged out of shared collective struggles for social justice in the United States in the twentieth century. Beyond broad general aspirations for a better society, however, their interests and tactics have not always been compatible. This interpretive essay revisits three recent case studies of interaction…
ERIC Educational Resources Information Center
Buckland, Michael; Dye, Charles M.
This paper presents a history of electronic distance education in the United States. Three broad categories of delivery systems are described: (1) over-the-air open circuit systems such as VHF-UHF stations, microwave, instructional television fixed service (ITFS), communications satellites, and educational radio and television; (2)…
ERIC Educational Resources Information Center
Vincent, Emmanuel Teah
2009-01-01
An ethnographic, descriptive research methodology was used to explore the service delivery of three U.S. charter schools (one independent and two dependent secondary public charter schools) in Southern New England, United States as they relate to grade nine mildly disabled special needs students. Field research was also conducted in Costa Rica and…
ERIC Educational Resources Information Center
O'Rand, Angela M.
2011-01-01
Recent patterns of labor exit in late life in the United States are increasingly heterogeneous. This heterogeneity stems from diverse employment careers that are emerging in the workplace where job security is declining. Individuals' structural locations in the labor market expose them to diverse risks for employment and income security at older…
Sickleweed on the Fort Pierre National Grasslands: An emerging threat
Jack L. Butler; Stefanie D. Wacker
2013-01-01
We report the first detailed field survey of sickleweed (Falcaria vulgaris L.) in the United States. Sickleweed is native to Europe, the Mediterranean, Asia Minor, and Iran and was first reported in the United States in 1922. It is listed by the Nebraska Invasive Species Council as a Category II invasive plant species. In recent years, abundance and distribution of...
Code of Federal Regulations, 2013 CFR
2013-01-01
... extraordinary threat to the national security, foreign policy, and economy of the United States. As a result... of May 1, 2012. The President took these actions to deal with the unusual and extraordinary threat to the national security, foreign policy, and economy of the United States constituted by the actions of...
ERIC Educational Resources Information Center
Walsh, Mary Grace
2010-01-01
Private Catholic elementary schools in the United States often trace their origins to religious congregations of women and men. The rapid decline of religious vocations and the choice of many religious to serve in diverse ministries since the Second Vatican Council, has had an effect on all Catholic schools. Schools founded by religious…
Rep. Conaway, K. Michael [R-TX-11
2009-01-28
House - 01/29/2009 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
An Analysis of Turkish American Relations: Improvement or Deterioration
2008-12-01
relations emerged with the Cyprus Crisis in 1964, due to contrasting approaches. 87 Ilter Turan , “The...Patterns and Conjunctures during the Cold War,” Middle Eastern Studies, 36, no. 1, (January 2000): 120. 93 Turan , “The United States and Turkey...the Bureau of Narcotics and 163 Turan , “The United States and Turkey: Limiting Unilateralism,” 7
Is Higher Education Following the Path Set by Health Care in the U.S.?
ERIC Educational Resources Information Center
Castiglia, Beth
2012-01-01
The recent emergence of higher education into political and economic debate is reminiscent of the ongoing arguments about the appropriate provision of health care in the United States. Health care reform has been a political battle cry in the United States for years, and there are similar calls for reforms of higher education. These two industries…
Factors Influencing Chinese Students' Decisions to Study in the United States
ERIC Educational Resources Information Center
Austin, Larry; Shen, Libi
2016-01-01
The central research question was: Why do Chinese students want to study in the United States? The participants were 20 Chinese students who studied in the U.S. Ten interview questions were used and data were processed in NVivo 10. Five major themes emerged from this study: (a) American culture benefits foreign perceptions of education in the…
76 FR 35719 - Unexpected Urgent Refugee and Migration Needs Related to Libya and C[ocirc]te d'Ivoire
Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-20
... June 8, 2011 Unexpected Urgent Refugee and Migration Needs Related to Libya and C[ocirc]te d'Ivoire... laws of the United States, including section 2(c)(1) of the Migration and Refugee Assistance Act of... amount not to exceed $15 million from the United States Emergency Refugee and Migration Assistance Fund...
The crisis in United States hospital emergency services.
Harrison, Jeffrey P; Ferguson, Emily D
2011-01-01
Emergency services are critical for high-quality healthcare service provision to support acute illness, trauma and disaster response. The greater availability of emergency services decreases waiting time, improves clinical outcomes and enhances local community well being. This study aims to assess United States (U.S.) acute care hospital staffs ability to provide emergency medical services by evaluating the number of emergency departments and trauma centers. Data were obtained from the 2003 and 2007 American Hospital Association (AHA) annual surveys, which included over 5000 US hospitals and provided extensive information on their infrastructure and healthcare capabilities. U.S. acute care hospital numbers decreased by 59 or 1.1 percent from 2003 to 2007. Similarly, U.S. emergency rooms and trauma centers declined by 125, or 3 percent. The results indicate that US hospital staffs ability to respond to traumatic injury and disasters has declined. Therefore, US hospital managers need to increase their investment in emergency department beds as well as provide state-of-the-art clinical technology to improve emergency service quality. These investments, when linked to other clinical information systems and the electronic medical record, support further healthcare quality improvement. This research uses the AHA annual surveys,which represent self-reported data by individual hospital staff. However, the AHA expendssignificant resources to validate reported information and the annual survey data are widely used for hospital research. The declining US emergency rooms and trauma centers have negative implications for patients needing emergency services. More importantly, this research has significant policy implications because it documents a decline in the US emergency healthcare service infrastructure. This article has important information on US emergency service availability in the hospital industry.
12 CFR 404.20 - Notice of court-ordered and emergency disclosures.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Notice of court-ordered and emergency disclosures. 404.20 Section 404.20 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES INFORMATION DISCLOSURE Access to Records Under the Privacy Act of 1974 § 404.20 Notice of court-ordered and emergency...
Nurses' Comfort Level with Emergency Interventions in the Rural Hospital Setting
ERIC Educational Resources Information Center
Ross, Erin L.; Bell, Sue E.
2009-01-01
Context: One quarter of the persons living in the United States receive their emergency care in a rural hospital. Nurses employed in these hospitals see few emergencies but must be prepared to provide expert and efficient care when they do occur. Purpose: The purpose of this study was to determine the influence of registered nurses' certifications…
Code of Federal Regulations, 2010 CFR
2010-10-01
... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Definitions. 362.2 Section... SECURITY PREPAREDNESS CRITERIA FOR ACCEPTANCE OF GIFTS, BEQUESTS, OR SERVICES § 362.2 Definitions. As used... Federal Emergency Management Agency, the United States Geological Survey, the National Science Foundation...
32 CFR 842.50 - Claims not payable.
Code of Federal Regulations, 2012 CFR
2012-07-01
... United States who is empowered by law to execute searches, seize evidence, or make arrests for violations... defense emergency. (x) Is for patent or copyright infringement. (y) Is for damage to property of a state...
32 CFR 842.50 - Claims not payable.
Code of Federal Regulations, 2013 CFR
2013-07-01
... United States who is empowered by law to execute searches, seize evidence, or make arrests for violations... defense emergency. (x) Is for patent or copyright infringement. (y) Is for damage to property of a state...
32 CFR 842.50 - Claims not payable.
Code of Federal Regulations, 2014 CFR
2014-07-01
... United States who is empowered by law to execute searches, seize evidence, or make arrests for violations... defense emergency. (x) Is for patent or copyright infringement. (y) Is for damage to property of a state...
Central-Monitor Software Module
NASA Technical Reports Server (NTRS)
Bachelder, Aaron; Foster, Conrad
2005-01-01
One of the software modules of the emergency-vehicle traffic-light-preemption system of the two preceding articles performs numerous functions for the central monitoring subsystem. This module monitors the states of all units (vehicle transponders and intersection controllers): It provides real-time access to the phases of traffic and pedestrian lights, and maps the positions and states of all emergency vehicles. Most of this module is used for installation and configuration of units as they are added to the system. The module logs all activity in the system, thereby providing information that can be analyzed to minimize response times and optimize response strategies. The module can be used from any location within communication range of the system; with proper configuration, it can also be used via the Internet. It can be integrated into call-response centers, where it can be used for alerting emergency vehicles and managing their responses to specific incidents. A variety of utility subprograms provide access to any or all units for purposes of monitoring, testing, and modification. Included are "sniffer" utility subprograms that monitor incoming and outgoing data for accuracy and timeliness, and that quickly and autonomously shut off malfunctioning vehicle or intersection units.
Terrorism in the United States 1996
1996-01-01
nuclear nature could be employed in future attacks with devastating results on citizens, police, and emergency “first responders.” T 2 TABLE of C O N T E N...themselves as U.S. citizens and refuse to pay federal income taxes . Membership in a militia organization is not an illegal activity in the United...blank) 2 . REPORT DATE 1/1/1996 3. REPORT TYPE AND DATES COVERED Report 1/1/1996 4. TITLE AND SUBTITLE Terrorism in the United States 1996 5. FUNDING
Emergency response to mass casualty incidents in Lebanon.
El Sayed, Mazen J
2013-08-01
The emergency response to mass casualty incidents in Lebanon lacks uniformity. Three recent large-scale incidents have challenged the existing emergency response process and have raised the need to improve and develop incident management for better resilience in times of crisis. We describe some simple emergency management principles that are currently applied in the United States. These principles can be easily adopted by Lebanon and other developing countries to standardize and improve their emergency response systems using existing infrastructure.
19 CFR 210.77 - Temporary emergency action.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 19 Customs Duties 3 2010-04-01 2010-04-01 false Temporary emergency action. 210.77 Section 210.77 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Enforcement Procedures and Advisory Opinions § 210.77 Temporary...
Velazquez-Salinas, Lauro; Pauszek, Steven J; Zarate, Selene; Basurto-Alcantara, Francisco J; Verdugo-Rodriguez, Antonio; Perez, Andres M; Rodriguez, Luis L
2014-01-20
We analyzed the phylogenetic and time-space relationships (phylodynamics) of 181 isolates of vesicular stomatitis New Jersey virus (VSNJV) causing disease in Mexico and the United States (US) from 2005 through 2012. We detail the emergence of a genetic lineage in southern Mexico causing outbreaks in central Mexico spreading into northern Mexico and eventually into the US. That emerging lineage showed higher nucleotide sequence identity (99.5%) than that observed for multiple lineages circulating concurrently in southern Mexico (96.8%). Additionally, we identified 58 isolates from Mexico that, unlike previous isolates from Mexico, grouped with northern Central America clade II viruses. This study provides the first direct evidence for the emergence and northward migration of a specific VSNJV genetic lineage from endemic areas in Mexico causing VS outbreaks in the US. In addition we document the emergence of a Central American VSNJV genetic lineage moving northward and causing outbreaks in central Mexico. © 2013 Published by Elsevier Inc.
Chen, Allison J; Linakis, James G; Mello, Michael J; Greenberg, Paul B
2013-06-01
To quantify and characterize eye injuries related to consumer products in the infant population (0-12 months) treated in United States hospital emergency departments during the period from 2001 to 2008. This study is a descriptive analysis of consumer-product related eye injury data derived from the National Electronic Injury Surveillance System, a probability sample of 100 hospitals nationwide with 24-hour emergency departments. Narrative data were used to assign each case with the consumer products (CPs) causing the eye injury. The proportions of eye injury visits were calculated by age, sex, diagnosis, disposition, locale of incident, and CP categories. We examined the US Consumer Product Safety Commission National Electronic Injury Surveillance System data for all nonfatal eye injuries (853 cases) in the infant population (0-12 months) treated in US emergency departments from 2001 to 2008. These data can be used to project national, annual, weighted estimates of nonfatal injury treated in US emergency departments. There were an estimated 21,271 visits to US emergency departments by patients aged 0-12 months for CP-related eye injuries during the study period. Of these, 63% involved infants aged 9-12 months and 54% involved male patients; 78% of all injuries occurred at home. The CPs causing the most eye injuries belonged to the categories of chemical (46%) and household items (24%). Contusions and abrasions were the leading eye injuries diagnoses (37%). This study suggests that most CP-related infant eye injuries in the United States occur at home and are predominantly caused by chemicals and household products. Published by Mosby, Inc.
ERIC Educational Resources Information Center
Wegner, Kathryn L.
2013-01-01
The birth of formal citizenship education in the United States emerged in the context of mass immigration, the Progressive Movement, and the First World War. Wartime citizenship education has been chastised for its emphasis on patriotism and loyalty, and while this is a trend, historians have minimised the ways in which the democratic goals of the…
ERIC Educational Resources Information Center
Shields, Thomas; Cassada, Kate
2016-01-01
In developing the next generation of school leadership, school districts across the United States and internationally must consider who is being promoted, the training they are able to access beyond traditional university degree work, the schools in which these emerging leaders enter their first principalships, and how prepared these new leaders…
Defense Acquisition Review Journal. Volume 16, Number 2
2009-07-01
current status of the conventional munitions industry in the United States today and provides an economic theory for reviving this declining, but...Avant, 2007). United States Naval War College Professor Larry McCabe observed that an economic aspect to the emergence of private security...flows, feedback, and nonlinear relationships in managerial control. The methodology’s ability to model many diverse system components (e.g., work
Rep. Young, Don [R-AK-At Large
2011-10-13
House - 10/14/2011 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Notes: For further action, see S.1710, which became Public Law 112-101 on 3/14/2012. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
ERIC Educational Resources Information Center
Ogren, Christine A.
2018-01-01
Histories of teachers' experiences in the United States between the 1880s and the 1930s argue that teaching restrained and often debilitated teachers' bodies. The emerging theory of constraint is limited, however, because the historiography of American teachers focuses for the most part only on the months when school was in session. This…
ERIC Educational Resources Information Center
Aiken, Linda H.; Cheung, Robyn
2008-01-01
The United States has the largest professional nurse workforce in the world numbering close to 3 million but does not produce enough nurses to meet its growing demand. A shortage of close to a million professional nurses is projected to evolve by 2020. An emerging physician shortage will further exacerbate the nurse shortage as the boundaries in…
ERIC Educational Resources Information Center
Leslie, Hewlett Steve
2017-01-01
The purpose of the study was to examine the relationship of gender equity to faculty compensation, career advancement, and access to leadership roles in colleges of business in Finland, Jamaica and the United States. This quantitative study, anchored by feminist, human capital and socialization theories supported the emergence of a conceptual…
Blackness and Whiteness as Historical Forces in the 20th Century United States
ERIC Educational Resources Information Center
Greason, Walter
2009-01-01
At the core of the epistemology of black identity in the 20th century United States is the assertion that freedom is a human right, not a privilege to be earned. By the late 19th century, an ideology of racial uplift had emerged that revolved around four concepts--compassion, service, education, and a commitment to social and economic justice for…
Using Automatic Identification System Technology to Improve Maritime Border Security
2014-12-01
digital selective calling EPIRB Emergency Position Indicting Radio Beacon EU European Union FAA Federal Aviation Administration GAO U. S. Government...that has visited a hovering vessel or received merchandise outside the territorial sea. A hovering vessel is defined as a vessel loitering offshore...often with the intent to introduce merchandise into the United States illegally. Departing the United States and transiting international or foreign
Inequalities in Specialist Hand Surgeon Distribution across the United States.
Rios-Diaz, Arturo J; Metcalfe, David; Singh, Mansher; Zogg, Cheryl K; Olufajo, Olubode A; Ramos, Margarita S; Caterson, Edward J; Talbot, Simon G
2016-05-01
Unequal access to hospital specialists for emergency care is an issue in the United States. The authors sought to describe the geographic distribution of specialist hand surgeons and associated factors in the United States. Geographic distributions of surgeons holding a Subspecialty Certificate in Surgery of the Hand and hand surgery fellowship positions were identified from the American Board of Medical Specialties Database and the literature (2013), respectively. State-level population and per capita income were ascertained using U.S. Census data. Variations in hand trauma admissions were determined using Healthcare Cost and Utilization Project national/state inpatient databases. Risk-adjusted generalized linear models were used to assess independent association between hand surgeon density and hand trauma admission density, fellowship position density, and per capita income. Among 2019 specialist hand surgeons identified, 72.1 percent were orthopedic surgeons, 18.3 percent were plastic surgeons, and 9.6 percent were general surgeons. There were 157 hand surgery fellowship positions nationwide. There were 149,295 annual hand trauma admissions. The national density of specialist hand surgeons and density of trauma admission were 0.6 and 47.6, respectively. The density of specialist hand surgeons varied significantly between states. State-level variations in density of surgeons were independent and significantly associated with median per capita income (p < 0.001) and with density of fellowships (p = 0.014). Specialist hand surgeons are distributed unevenly across the United States. State-level analyses suggest that states with lower per capita incomes may be particularly underserved, which may contribute to regional disparities in access to emergency hand trauma care.
Spread of Cryptococcus gattii into Pacific Northwest Region of the United States
Datta, Kausik; Bartlett, Karen H.; Baer, Rebecca; Byrnes, Edmond; Galanis, Eleni; Heitman, Joseph; Hoang, Linda; Leslie, Mira J.; MacDougall, Laura; Magill, Shelley S.; Morshed, Muhammad G.
2009-01-01
Cryptococcus gattii has emerged as a human and animal pathogen in the Pacific Northwest. First recognized on Vancouver Island, British Columbia, Canada, it now involves mainland British Columbia, and Washington and Oregon in the United States. In Canada, the incidence of disease has been one of the highest worldwide. In the United States, lack of cryptococcal species identification and case surveillance limit our knowledge of C. gattii epidemiology. Infections in the Pacific Northwest are caused by multiple genotypes, but the major strain is genetically novel and may have emerged recently in association with unique mating or environmental changes. C. gattii disease affects immunocompromised and immunocompetent persons, causing substantial illness and death. Successful management requires an aggressive medical and surgical approach and consideration of potentially variable antifungal drug susceptibilities. We summarize the study results of a group of investigators and review current knowledge with the goal of increasing awareness and highlighting areas where further knowledge is required. PMID:19757550
ERIC Educational Resources Information Center
Rocco, Scott R.
2014-01-01
School violence, an issue documented across the United States, has put a focus on school emergency preparedness for school principals. Therefore, the purpose of this study was to understand the school principal's level of emergency preparedness in New Jersey public schools and how the confidence and behavior of principals affect emergency…
2009-01-01
Acute Migraine Therapy in the Emergency Department Mark A. Kostic, MD Francisco J. Gutierrez, MD Thomas S. Rieg, PhD Tammy S. Moore, MD Richard T...1995;25:154-155. 17. Goldstein J, Camargo CA Jr, Pelletier J, et al. Headache in United States emergency departments: demography, work up and
ERIC Educational Resources Information Center
Lew, Edward; Fagnan, Lyle J.; Mattek, Nora; Mahler, Jo; Lowe, Robert A.
2009-01-01
Context: In rural areas of the United States, emergency departments (EDs) are often staffed by primary care physicians, as contrasted to urban and suburban hospitals where ED coverage is usually provided by physicians who are residency-trained in emergency medicine. Purpose: This study examines the reasons and incentives for rural Oregon primary…
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…
Survey of illegal immigrants seen in an emergency department.
Chan, T C; Krishel, S J; Bramwell, K J; Clark, R F
1996-01-01
There is growing controversy regarding illegal immigrants and their use of social services, including health care, in this country. We surveyed undocumented persons presenting at our emergency department to investigate the reasons why they sought care in the United States. Overall, 227 visits (8.6%) were made in the emergency department by illegal immigrants, mostly Hispanics. Of 104 patients surveyed, all sought care in this country because they were here at the time, and 86 (83%) intended to remain permanently. Of the 104 persons, 83 (80%) cited lack of funding as a reason for seeking emergency department care. Undocumented Hispanics had a higher uninsured rate (64%) than both Hispanics (32%) and non-Hispanics (30%). Of the 104 patients, 38 (36%) had difficulty obtaining care elsewhere because of their status, 53 (51%) knew of no other sources of care, and 46 (44%) said that even if available, only the emergency department was acceptable. Many undocumented persons seek care in the United States because they reside here permanently, often using this emergency department as their source of care. These findings may be important in light of recent efforts to restrict services for this group. PMID:8775931
Challenge of hospital emergency preparedness: analysis and recommendations.
Barbera, Joseph A; Yeatts, Dale J; Macintyre, Anthony G
2009-06-01
In the United States, recent large-scale emergencies and disasters display some element of organized medical emergency response, and hospitals have played prominent roles in many of these incidents. These and other well-publicized incidents have captured the attention of government authorities, regulators, and the public. Health care has assumed a more prominent role as an integral component of any community emergency response. This has resulted in increased funding for hospital preparedness, along with a plethora of new preparedness guidance.Methods to objectively measure the results of these initiatives are only now being developed. It is clear that hospital readiness remains uneven across the United States. Without significant disaster experience, many hospitals remain unprepared for natural disasters. They may be even less ready to accept and care for patient surge from chemical or biological attacks, conventional or nuclear explosive detonations, unusual natural disasters, or novel infectious disease outbreaks.This article explores potential reasons for inconsistent emergency preparedness across the hospital industry. It identifies and discusses potential motivational factors that encourage effective emergency management and the obstacles that may impede it. Strategies are proposed to promote consistent, reproducible, and objectively measured preparedness across the US health care industry. The article also identifies issues requiring research.
Toxic Epidemics: Agent Orange Sickness in Vietnam and the United States.
Uesugi, Tak
2016-01-01
Social scientists studying toxic epidemics have often endeavored to shed light on the differences between scientists' and nonscientists' epistemic perspectives. Yet, little attention has been paid to the processes through which a toxic epidemic emerges as a phenomenon. A Luoi Valley of Central Vietnam was extensively sprayed with chemical defoliants (including Agent Orange) during the Vietnam War. The latent toxic effects of these chemicals, however, went largely unnoticed until the late 1990s. By juxtaposing the history through which the notion of "Agent Orange Sickness" emerged in the United States with an ethnographic study of A Luoi, I explore the notion of poison under which Agent Orange became recognizable as a poison.
Venarsky, Michael P; Walters, David M; Hall, Robert O; Livers, Bridget; Wohl, Ellen
2018-05-01
In the Colorado Front Range (USA), disturbance history dictates stream planform. Undisturbed, old-growth streams have multiple channels and large amounts of wood and depositional habitat. Disturbed streams (wildfires and logging < 200 years ago) are single-channeled with mostly erosional habitat. We tested how these opposing stream states influenced organic matter, benthic macroinvertebrate secondary production, emerging aquatic insect flux, and riparian spider biomass. Organic matter and macroinvertebrate production did not differ among sites per unit area (m -2 ), but values were 2 ×-21 × higher in undisturbed reaches per unit of stream valley (m -1 valley) because total stream area was higher in undisturbed reaches. Insect emergence was similar among streams at the per unit area and per unit of stream valley. However, rescaling insect emergence to per meter of stream bank showed that the emerging insect biomass reaching the stream bank was lower in undisturbed sites because multi-channel reaches had 3 × more stream bank than single-channel reaches. Riparian spider biomass followed the same pattern as emerging aquatic insects, and we attribute this to bottom-up limitation caused by the multi-channeled undisturbed sites diluting prey quantity (emerging insects) reaching the stream bank (riparian spider habitat). These results show that historic landscape disturbances continue to influence stream and riparian communities in the Colorado Front Range. However, these legacy effects are only weakly influencing habitat-specific function and instead are primarily influencing stream-riparian community productivity by dictating both stream planform (total stream area, total stream bank length) and the proportional distribution of specific habitat types (pools vs riffles).
Venarsky, Michael P.; Walters, David M.; Hall, Robert O.; Livers, Bridget; Wohl, Ellen
2018-01-01
In the Colorado Front Range (USA), disturbance history dictates stream planform. Undisturbed, old-growth streams have multiple channels and large amounts of wood and depositional habitat. Disturbed streams (wildfires and logging < 200 years ago) are single-channeled with mostly erosional habitat. We tested how these opposing stream states influenced organic matter, benthic macroinvertebrate secondary production, emerging aquatic insect flux, and riparian spider biomass. Organic matter and macroinvertebrate production did not differ among sites per unit area (m−2), but values were 2 ×–21 × higher in undisturbed reaches per unit of stream valley (m−1 valley) because total stream area was higher in undisturbed reaches. Insect emergence was similar among streams at the per unit area and per unit of stream valley. However, rescaling insect emergence to per meter of stream bank showed that the emerging insect biomass reaching the stream bank was lower in undisturbed sites because multi-channel reaches had 3 × more stream bank than single-channel reaches. Riparian spider biomass followed the same pattern as emerging aquatic insects, and we attribute this to bottom-up limitation caused by the multi-channeled undisturbed sites diluting prey quantity (emerging insects) reaching the stream bank (riparian spider habitat). These results show that historic landscape disturbances continue to influence stream and riparian communities in the Colorado Front Range. However, these legacy effects are only weakly influencing habitat-specific function and instead are primarily influencing stream–riparian community productivity by dictating both stream planform (total stream area, total stream bank length) and the proportional distribution of specific habitat types (pools vs riffles).
Comparative U.S.-Mexico Border Studies.
ERIC Educational Resources Information Center
Stoddard, Ellwyn R., Ed.
Four United States universities, one from each American state having a common boundary with Mexico, organized the Border-State University Consortium for Latin America. The organization emerged as an attempt to focus collectively on problems and situations immediately accessible for study in a series of publications entitled "Occasional…
46 CFR 308.2 - Requirements for eligible vessels.
Code of Federal Regulations, 2014 CFR
2014-10-01
... Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS WAR RISK INSURANCE... foreign commerce of the United States or which would be required in the event of war or national emergency... vessels for which war risk insurance interim binders have been issued shall file a Vessel Position Report...
How Does the United States Rank According to the World Breastfeeding Trends Initiative?
Cadwell, Karin; Turner-Maffei, Cynthia; Blair, Anna; Brimdyr, Kajsa; OʼConnor, Barbara
The World Breastfeeding Trends Initiative is an assessment process designed to facilitate an ongoing national appraisal of progress toward the goals of the United Nations Children's Fund (UNICEF)/World Health Organization (WHO) Global Strategy for Infant and Young Child Feeding. More than 80 countries have completed this national assessment, including the United States of America. This article describes the process undertaken by the US World Breastfeeding Trends Initiative team, the findings of the expert panel related to infant and young child feeding policies, programs, and practices and the ranking of the United States compared with the 83 other participating nations. Identified strengths of the United States include data collection and monitoring, especially by the Centers for Disease Control and Prevention, the US Baby-Friendly Hospital Initiative, and the United States Breastfeeding Committee. The absence of a national infant feeding policy, insufficient maternity protection, and lack of preparation for infant and young children feeding in emergencies are key targets identified by the assessment requiring concerted national effort.
The Emergence of Zoonotic Onchocerca lupi Infection in the United States – A Case-Series
Cantey, Paul T.; Weeks, Jessica; Edwards, Morven; Rao, Suchitra; Ostovar, G. Amin; Dehority, Walter; Alzona, Maria; Swoboda, Sara; Christiaens, Brooke; Ballan, Wassim; Hartley, John; Terranella, Andrew; Weatherhead, Jill; Dunn, James J.; Marx, Douglas P.; Hicks, M. John; Rauch, Ronald A.; Smith, Christiana; Dishop, Megan K.; Handler, Michael H.; Dudley, Roy W. R.; Chundu, Kote; Hobohm, Dan; Feiz-Erfan, Iman; Hakes, Joseph; Berry, Ryan S.; Stepensaski, Shelly; Greenfield, Benjamin; Shroeder, Laura; Bishop, Henry; de Almeida, Marcos; Mathison, Blaine; Eberhard, Mark
2016-01-01
This case-series describes the 6 human infections with Onchocerca lupi, a parasite known to infect cats and dogs, that have been identified in the United States since 2013. Unlike cases reported outside the country, the American patients have not had subconjunctival nodules but have manifested more invasive disease (eg, spinal, orbital, and subdermal nodules). Diagnosis remains challenging in the absence of a serologic test. Treatment should be guided by what is done for Onchocerca volvulus as there are no data for O. lupi. Available evidence suggests that there may be transmission in southwestern United States, but the risk of transmission to humans is not known. Research is needed to better define the burden of disease in the United States and develop appropriately-targeted prevention strategies. PMID:26611778
CHIPS: Monitoring Colonias along the United States-Mexico border in Texas
Parcher, Jean W.
2008-01-01
Colonias, which are unincorporated border settlements in the United States, have emerged in rural areas without the governance and services normally provided by local government. The expansion of colonias in the United States-Mexico border region can be traced to the rapid growth associated with the Mexican Border Industrial Program during the 1960s. This rapid population growth created a lack of affordable housing, causing new migrants in the United States to purchase rural homestead lots through a contract-for-deed program from land developers. Because of the need to keep prices affordable and the absence of effective land-use controls, these homesteads expanded into rural subdivisions, commonly called colonias, without proper infrastructure. Colonias have been identified in the four U.S. border states, with Texas having designated the majority, which numbered over 1,400 colonias in 2001. Because the region is binationally interconnected economically, politically, and socially, the phenomenon of colonias in the United States is a transborder issue.
Pines, Jesse M
2006-05-01
Emergency Medicine plays a vital role in the health care continuum in the United States. Michael Porters' five forces model of industry analysis provides an insight into the economics of emergency care by showing how the forces of supplier power, buyer power, threat of substitution, barriers to entry, and internal rivalry affect Emergency Medicine. Illustrating these relationships provides a view into the complexities of the emergency care industry and offers opportunities for Emergency Departments, groups of physicians, and the individual emergency physician to maximize the relationship with other market players.
ERIC Educational Resources Information Center
Yang, Christine K.
2011-01-01
Mathematics education has emerged to be of prime importance in the United States, as American students' performance has shown to be consistently and significantly lower than many other nations in the world (Rampey, Dion, & Donahue, 2009; National Center for Education Statistics, n.d.; OECD Programme for International Student Assessment, n.d.).…
Grant M. Domke; Christopher M. Oswalt; Christopher W. Woodall; Jeffery A. Turner
2013-01-01
Emerging markets for small-diameter roundwood along with a renewed interest in forest biomass for energy have created a need for estimates of merchantable biomass above the minimum sawlog top diameter for timber species in the national forest inventory of the United States. The Forest Inventory and Analysis (FIA) program of the USDA Forest Service recently adopted the...
ERIC Educational Resources Information Center
Traill, David
After World War II ended in 1945, the United States and the Soviet Union (USSR) emerged as the two dominant countries in the post-war world. An arms race began, and this constant pursuit for respect and supremacy was called the Cold War. On October 4, 1957, the USSR launched the world's first intercontinental ballistic missile, with the first…
Sea Piracy in Southeast Asia: Implications for Countering Maritime Terrorism in the United States
2006-06-01
least ten agencies that have some involvement in maritime security management with nine authorized to conduct law enforcement operations at sea...exercises, cooperating on consequence management , and sustaining capacity building operations .173 The United States has important bilateral security...Overview and Evaluation,” Journal of Homeland Security and Emergency Management 2, no. 4 (2005). 221 Frittelli, “Terminal Operators ,” 2006, 3
Democracy - A Tree Without Roots on the Steppes of Central Asia
2006-12-01
emergence of a large middle class and served as a catalyst for societal dissatisfaction . The United States must continue to assist Kyrgyzstan in...for societal dissatisfaction . In Uzbekistan, this dissatisfaction is being channeled into clan politics and political Islam because of President...concept of the market economy: the United States will use this moment of opportunity to extend the benefits of freedom across the globe. We will
ERIC Educational Resources Information Center
Robinson-Wood, Tracy Lynn
2010-01-01
Twenty-eight biological and adoptive White mothers of non-White children were interviewed in New Zealand and in the United States. Through a thematic analysis of transcribed interviews and interview notes, 7 primary themes emerged (a) looking like a family means looking alike and looking White, (b) mothering as vulnerability, (c) teen girls'…
A snapshot of the emerging tomato genome sequence
USDA-ARS?s Scientific Manuscript database
The genome of tomato (Solanum lycopersicum) is being sequenced by an international consortium of 10 countries (Korea, China, the United Kingdom, India, the Netherlands, France, Japan, Spain, Italy and the United States) as part of a larger initiative called the ‘International Solanaceae Genome Proje...
Preparedness for emergency response: guidelines for the emergency planning process.
Perry, Ronald W; Lindell, Michael K
2003-12-01
Especially since the terrorist attacks of 11 September 2001, governments worldwide have invested considerable resources in the writing of terrorism emergency response plans. Particularly in the United States, the federal government has created new homeland security organisations and urged state and local governments to draw up plans. This emphasis on the written plan tends to draw attention away from the process of planning itself and the original objective of achieving community emergency preparedness. This paper reviews the concepts of community preparedness and emergency planning, and their relationships with training, exercises and the written plan. A series of 10 planning process guidelines are presented that draw upon the preparedness literature for natural and technological disasters, and can be applied to any environmental threat.
Energy drinks: an emerging public health hazard for youth.
Pomeranz, Jennifer L; Munsell, Christina R; Harris, Jennifer L
2013-05-01
Energy drinks are emerging as a public health threat and are increasingly consumed by youth internationally. Energy drinks contain high levels of caffeine, sugar, and novel ingredients, and are often marketed through youth-oriented media and venues. We review these practices and the current inconsistent state of labeling. We also examine international support for regulation of these products, including a survey showing that 85 per cent of United States parents agreed that regulations requiring caffeine content disclosure and warning labels on energy drinks are warranted. We then examine the regulatory structure for energy drinks in the United States, analyzing legal and self-regulatory strategies to protect consumers, especially youth, from these potentially dangerous products. Recommended government interventions include revised labeling requirements, addressing problematic ingredients, and enacting retail restrictions. We conclude by identifying areas for future research.
3 CFR - Continuation of the National Emergency With Respect to Iran
Code of Federal Regulations, 2010 CFR
2010-01-01
... national security, foreign policy, and economy of the United States constituted by the situation in Iran... to Iran Presidential Documents Other Presidential Documents Notice of November 12, 2009 Continuation of the National Emergency With Respect to Iran On November 14, 1979, by Executive Order 12170, the...
3 CFR - Continuation of the National Emergency With Respect to Weapons of Mass Destruction
Code of Federal Regulations, 2012 CFR
2012-01-01
... to Weapons of Mass Destruction Presidential Documents Other Presidential Documents Notice of November 9, 2011 Continuation of the National Emergency With Respect to Weapons of Mass Destruction On... United States posed by the proliferation of nuclear, biological, and chemical weapons (weapons of mass...
3 CFR - Continuation of the National Emergency With Respect to Weapons of Mass Destruction
Code of Federal Regulations, 2013 CFR
2013-01-01
... to Weapons of Mass Destruction Presidential Documents Other Presidential Documents Notice of November 1, 2012 Continuation of the National Emergency With Respect to Weapons of Mass Destruction On... United States posed by the proliferation of nuclear, biological, and chemical weapons (weapons of mass...
78 FR 4832 - Order Denying Export Privileges
Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-23
... thereunder; any regulation, license, or order issued under the International Emergency Economic Powers Act... the Regulations in effect under the International Emergency Economic Powers Act (50 U.S.C. 1701, et.... Obtain from the Denied Person in the United States any item subject to the Regulations with knowledge or...
An Emerging Typology of Academic Interdisciplinary Gerontology Centers in the United States
ERIC Educational Resources Information Center
Hertz, Judith E.; Douglass, Carolinda; Johnson, Angela; Richmond, Shirley S.
2007-01-01
Little is known about the organization, characteristics or services offered by academic interdisciplinary gerontology centers located in higher education institutions. This article presents a description and an emerging typology of academic interdisciplinary gerontology centers based on information collected from the Websites of 47 centers. The…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-10-30
..., pursuant to NMFS's emergency authority in the Magnuson-Stevens Fishery Conservation and Management Act... under the Northeast (NE) Multispecies Fishery Management Plan (FMP). These measures were scheduled to... management of white hake. DATES: This rule is effective October 30, 2013, through April 30, 2014. The...
Code of Federal Regulations, 2013 CFR
2013-10-01
... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Policy. 334.2 Section 334.2... PREPAREDNESS GRADUATED MOBILIZATION RESPONSE § 334.2 Policy. (a) As established in Executive Order 12656, the policy of the United States is to have sufficient emergency response capabilities at all levels of...
Evaluation of a Pour-Through Water Treatment Device for Use as Microbiological Purifier
The United States Environmental Protection Agency (EPA) Office of Research and Development has evaluated the performance of a Point-of-Use (POU) pour-through device designed for use in India, developing and emerging market (D&E) countries, and under emergency situations in the Un...
78 FR 30727 - Emergency Medical Services Week, 2013
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-22
... Medical Services Week, 2013 By the President of the United States of America A Proclamation In every.... During Emergency Medical Services Week, we pause to offer our gratitude to these remarkable men and women, whose dedication is fundamental to our society's well-being. In recent weeks, we have again seen the...
Emergency Preparedness: Are You Ready?
ERIC Educational Resources Information Center
Harley, Lorraine
2012-01-01
Most Americans who consider emergency preparedness think of someone or another country attacking the United States. Most newspaper and televised accounts involve community leaders and policymakers preparing for a terrorist attack. However, anyone who operates a child care center, family child care home, or has children of her own, knows that…
Generation XXX: Pornography Acceptance and Use among Emerging Adults
ERIC Educational Resources Information Center
Carroll, Jason S.; Padilla-Walker, Laura M.; Nelson, Larry J.; Olson, Chad D.; McNamara Barry, Carolyn; Madsen, Stephanie D.
2008-01-01
This study examined correlates of pornography acceptance and use within a normative (nonclinical) population of emerging adults (individuals aged 18-26). Participants included 813 university students (500 women; M age = 20 years) recruited from six college sites across the United States. Participants completed online questionnaires regarding their…
50 CFR 404.8 - Emergencies and law enforcement activities.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Emergencies and law enforcement activities. 404.8 Section 404.8 Wildlife and Fisheries JOINT REGULATIONS (UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR AND NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE);...
Adoptees' Contact with Birth Relatives in Emerging Adulthood
ERIC Educational Resources Information Center
Farr, Rachel H.; Grant-Marsney, Holly A.; Musante, Danila S.; Grotevant, Harold D.; Wrobel, Gretchen Miller
2014-01-01
While openness in adoption has become more common in the United States, little research has examined contact between birth and adoptive families as adoptees become adults. Using quantitative and qualitative data from 167 emerging adult adoptees, factors characterizing contact (e.g., type, frequency, with whom), satisfaction with contact, and the…
Taking the Pulse of Training Transfer: Instructor Quality and EMT Certification Examination Results
ERIC Educational Resources Information Center
Russ-Eft, Darlene F.; Dickison, Phil; Levine, Roger
2010-01-01
The Longitudinal Emergency Medical Technician Attributes and Demographics Study (LEADS) provides a representative sampling of EMTs throughout the United States. The present study adds to the transfer of training literature by examining the relationship between instructor quality and National Registry of Emergency Medical Technicians certification…
Process and pattern in the emergence of Phytophthora ramorum
Niklaus J. Grüwald; Matteo Garbelotto; Erica M. Goss; Kurt Heungens; Simone Prospero
2013-01-01
The invasive sudden oak death pathogen, Phytophthora ramorum, has emerged repeatedly since its first detection in the 1990s in the United States and Europe. This paper will explore recent research by several groups published in the review by Grünwald et al. (Grünwald, N.J.; Garbelotto, M.; Goss, E.M.; Heungens, K.; Prospero, S. 2012. Emergence of...
In Time of Emergency. A Citizen's Handbook on Nuclear Attack and Natural Disasters.
ERIC Educational Resources Information Center
Office of Civil Defense (DOD), Washington, DC.
A major emergency affecting a large number of people may occur anytime and any place. Natural disasters such as a flood, tornado, fire, hurricane, blizzard or earthquake, or an enemy nuclear attack on the United States may all constitute a major emergency. In any type of general disaster, lives can be saved if people are prepared for the emergency…
THERMODYNAMIC REACTION CONSTANTS FOR MODELING AQUEOUS ENVIRONMENTAL MERCURY SPECIATION
Unacceptably high fish tissue mercury residues are responsible for the majority of fish consumption advisories issued in 48 states of the United States of America. Mercury also has emerged as a transboundary contaminant of global concern. Although monomethylmercury is generally...
Boundy-Mills, Kyria; Hess, Matthias; Bennett, A. Rick; ...
2015-06-19
The mission of the United States Culture Collection Network (USCCN;http://usccn.org) is “to facilitate the safe and responsible utilization of microbial resources for research, education, industry, medicine, and agriculture for the betterment of human kind.” Microbial culture collections are a key component of life science research, biotechnology, and emerging global biobased economies. Here, representatives and users of several microbial culture collections from the United States and Europe gathered at the University of California, Davis, to discuss how collections of microorganisms can better serve users and stakeholders and to showcase existing resources available in public culture collections.
Boundy-Mills, Kyria; Hess, Matthias; Bennett, A. Rick; Ryan, Matthew; Kang, Seogchan; Nobles, David; Eisen, Jonathan A.; Inderbitzin, Patrik; Sitepu, Irnayuli R.; Torok, Tamas; Brown, Daniel R.; Cho, Juliana; Wertz, John E.; Mukherjee, Supratim; Cady, Sherry L.
2015-01-01
The mission of the United States Culture Collection Network (USCCN; http://usccn.org) is “to facilitate the safe and responsible utilization of microbial resources for research, education, industry, medicine, and agriculture for the betterment of human kind.” Microbial culture collections are a key component of life science research, biotechnology, and emerging global biobased economies. Representatives and users of several microbial culture collections from the United States and Europe gathered at the University of California, Davis, to discuss how collections of microorganisms can better serve users and stakeholders and to showcase existing resources available in public culture collections. PMID:26092453
DOE Office of Scientific and Technical Information (OSTI.GOV)
Boundy-Mills, Kyria; Hess, Matthias; Bennett, A. Rick
The mission of the United States Culture Collection Network (USCCN;http://usccn.org) is “to facilitate the safe and responsible utilization of microbial resources for research, education, industry, medicine, and agriculture for the betterment of human kind.” Microbial culture collections are a key component of life science research, biotechnology, and emerging global biobased economies. Here, representatives and users of several microbial culture collections from the United States and Europe gathered at the University of California, Davis, to discuss how collections of microorganisms can better serve users and stakeholders and to showcase existing resources available in public culture collections.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Boundy-Mills, K.; Hess, Matthias; Bennett, A. R.
The mission of the United States Culture Collection Network (USCCN; http://usccn.org) is "to facilitate the safe and responsible utilization of microbial resources for research, education, industry, medicine, and agriculture for the betterment of human kind." Microbial culture collections are a key component of life science research, biotechnology, and emerging global biobased economies. Representatives and users of several microbial culture collections from the United States and Europe gathered at the University of California, Davis, to discuss how collections of microorganisms can better serve users and stakeholders and to showcase existing resources available in public culture collections.
The Soriano Award Lecture. Emerging infections of the nervous system.
Johnson, R T
1994-06-01
The epidemic of acquired immunodeficiency disease [AIDS] has focused interest on the origins of "new" infectious agents. Great plagues are well known from the distant past, but a number of novel diseases affecting the nervous system infections have emerged in recent years. The causes of such new disorders are diverse: whereas rapid mutations of microbes allow the evolution of truly novel agents, the appearance of new diseases is more often due to changes in human or vector populations or changes in societal mores that result in dissemination of preexistent microbes. Examples of recently emerging infections that involve the nervous system include the enterovirus 70 epidemics with poliomyelitis-like disease, the appearance of California virus encephalitis in the midwestern United States, the rapid spread of Lyme disease with its many neurological complications in the eastern United States, and the outbreak of bovine spongiform encephalopathy in the United Kingdom, in addition to the devastating epidemic of human immunodeficiency virus (HIV), which will cause nervous system disease in over half of those infected. As the world population increases and modern transportation brings us closer into a "global village" more new agents will emerge and more will be sustained. Knowledge of the molecular biology and ecology of the agents and awareness of how our actions can alter their behavior are our best defense.
Ebola virus disease: radiology preparedness.
Bluemke, David A; Meltzer, Carolyn C
2015-02-01
At present, there is a major emphasis on Ebola virus disease (EVD) preparedness training at medical facilities throughout the United States. Failure to have proper EVD procedures in place was cited as a major reason for infection of medical personnel in the United States. Medical imaging does not provide diagnosis of EVD, but patient assessment in the emergency department and treatment isolation care unit is likely to require imaging services. The purpose of this article is to present an overview of relevant aspects of EVD disease and preparedness relevant to the radiologic community. © RSNA, 2014.
78 FR 30723 - National Safe Boating Week, 2013
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-22
... Boating Week, 2013 Proclamation 8982--Emergency Medical Services Week, 2013 Proclamation 8983--World Trade Week, 2013 Proclamation 8984--Armed Forces Day, 2013 Memorandum of May 17, 2013--Modernizing Federal... Boating Week, 2013 By the President of the United States of America A Proclamation Every year, the United...
Emerging organizational structures in the ambulance industry in the United States.
Narad, R A
2000-01-01
This analysis seeks to identify emerging forms of organizations in emergency medical services (EMS) in the United States, to provide examples of them, to relate them to changes in healthcare generally, and to apply a classification scheme. Public policy issues related to these new forms of organizations and lessons from other areas of the healthcare system are identified. Recent changes in the healthcare system in the United States have been marked by modifications in the structure of organizations that provide and pay for health services. New forms of organizations and alliances among existing organizations have emerged in an effort to improve the efficiency of the services provided and to improve organizations' market positions. Reflecting increased competition within EMS and the demands of the changing health-care delivery system, several types of organizations have begun to emerge in EMS that resemble those occurring in health care generally. These include forms of horizontal integration, such as consolidated ambulance services and various models of ambulance service networks; and forms of vertical integration, such as demand management programs and public-private joint ventures. The ultimate end might be complete integration with a carve-out of all non-scheduled care. Although changes in EMS organizations result largely from marketplace decisions by sellers and purchasers, this does not mean that there is no public policy role. While new organizational forms may increase the ambulance industry's efficiency, public policy makers must be concerned about quality and access as well. Some policy responses will promote marketplace changes, others will accept them generally, but will seek to correct problems, and a third group will attempt to restrain the market.
Multilocus Sequence Typing of an Emerging Cryptosporidium hominis Subtype in the United States
Tiao, Narry; Li, Na; Hlavsa, Michele
2014-01-01
The United States has experienced a substantial increase in the reported incidence of cryptosporidiosis since 2005. Accompanying this is the emergence of a new subtype of Cryptosporidium hominis based on variation at the 60-kDa glycoprotein (gp60) locus, IaA28R4, which has become a frequently identified subtype in both sporadic and outbreak-related cases. In this study, using multilocus sequence typing (MLST) at eight genetic loci, we characterized 62 specimens of IaA28R4 and 33 specimens of three other gp60 subtypes of C. hominis from four U.S. states with increased cryptosporidiosis incidences during the summer of 2008. Extensive genetic heterogeneity was seen within the gp60 subtype IaA28R4, but specimens from Ohio and southwestern states formed two distinct subpopulations, suggesting that there were at least two origins of IaA28R4 within the United States. Discordance in typing results was observed between gp60 and other genetic markers, especially DZ-HRGP, and this discordance was largely the result of genetic recombination within the gp60 subtype IaA28R4. The results of population genetic analyses supported the presence of two subpopulations of IaA28R4 and the occurrence of genetic recombination within this gp60 subtype. Thus, the IaA28R4 subtype at gp60 is likely a fitness marker for C. hominis, and genetic recombination is potentially a driving force in the emergence of the virulent IaA28R4 subtype in the United States. A rapid evolution of IaA28R4 was indicated by the observation of multiple MLST subtypes of IaA28R4 within two large outbreaks that lasted for extended periods and involved multiple swimming pools. PMID:24478483
SARS Surveillance during Emergency Public Health Response, United States, March–July 2003
Brooks, John T.; Van Beneden, Chris; Parashar, Umesh D.; Griffin, Patricia M.; Anderson, Larry J.; Bellini, William J.; Benson, Robert F.; Erdman, Dean D.; Klimov, Alexander; Ksiazek, Thomas G.; Peret, Teresa C.T.; Talkington, Deborah F.; Thacker, W. Lanier; Tondella, Maria L.; Sampson, Jacquelyn S.; Hightower, Allen W.; Nordenberg, Dale F.; Plikaytis, Brian D.; Khan, Ali S.; Rosenstein, Nancy E.; Treadwell, Tracee A.; Whitney, Cynthia G.; Fiore, Anthony E.; Durant, Tonji M.; Perz, Joseph F.; Wasley, Annemarie; Feikin, Daniel; Herndon, Joy L.; Bower, William A.; Kilbourn, Barbara W.; Levy, Deborah A.; Coronado, Victor G.; Buffington, Joanna; Dykewicz, Clare A.; Khabbaz, Rima F.; Chamberland, Mary E.
2004-01-01
In response to the emergence of severe acute respiratory syndrome (SARS), the United States established national surveillance using a sensitive case definition incorporating clinical, epidemiologic, and laboratory criteria. Of 1,460 unexplained respiratory illnesses reported by state and local health departments to the Centers for Disease Control and Prevention from March 17 to July 30, 2003, a total of 398 (27%) met clinical and epidemiologic SARS case criteria. Of these, 72 (18%) were probable cases with radiographic evidence of pneumonia. Eight (2%) were laboratory-confirmed SARS-coronavirus (SARS-CoV) infections, 206 (52%) were SARS-CoV negative, and 184 (46%) had undetermined SARS-CoV status because of missing convalescent-phase serum specimens. Thirty-one percent (124/398) of case-patients were hospitalized; none died. Travel was the most common epidemiologic link (329/398, 83%), and mainland China was the affected area most commonly visited. One case of possible household transmission was reported, and no laboratory-confirmed infections occurred among healthcare workers. Successes and limitations of this emergency surveillance can guide preparations for future outbreaks of SARS or respiratory diseases of unknown etiology. PMID:15030681
Brody, Thomas M; Di Bianca, Paisly; Krysa, Jan
2012-10-01
Although coastal oil spills tend to be highly publicized, crude oil spills in the United States affect inland areas relatively often. Spills to inland areas often affect sensitive environments and can have greater impacts to health and welfare than spills to coastal areas. For these reasons, the authors investigated inland crude oil spill threats, vulnerabilities, and emergency response in the midwestern U.S. states of Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin. These states work with the Region 5 Offices of the U.S. Environmental Protection Agency. Region 5's geospatial data in the Inland Sensitivity Atlas were turned into metrics indicating inland crude oil spill threats and vulnerabilities among the Region's sub-watersheds. These threats and vulnerabilities were weighted using data from the National Response Center and the Department of Energy's Environmental Restoration Priority System. The locations of the Region's emergency responders were geocoded in GIS. The GIS calculated the emergency response times to the Region's sub-watersheds. The resulting scatter plots are connected to the sub-watersheds in the map so stakeholders can (1) see the outlying sub-watersheds of concern and (2) better understand how reducing threats and better response time can reduce the risk of inland crude oil spills. Published 2012. This article is a U.S. Government work and is in the public domain in the U.S.A.
2008-03-01
Zoufal Colonel, United States Army Reserve B.A., University of Illinois, 1978 M.A.P.A., University of Illinois, 1980 J.D., University of Illinois...9 6. Case Studies of the United Kingdom, France, and Germany........11 7. The Chicago Experience...E. PROBLEM STATEMENT ...........................................................................14 1. The Rise of CCTV Surveillance in the United
USDA-ARS?s Scientific Manuscript database
Introduction Influenza A virus (IAV) is a major cause of respiratory disease in swine. IAV transmission from humans to swine is a major contributor to swine IAV diversity. In 2012, a novel H3N2 with an HA (hu-H3) and NA derived from human seasonal H3N2 was detected in United States (US) swine. The h...
ERIC Educational Resources Information Center
Oyeleye, Omobola Awosika
2013-01-01
The purpose of the study was to examine the circumstances and practices that led to OCR and DOJ investigations in seven selected school districts, and to determine the emerging themes from the details of the settlement agreements between the school districts and the United States. The themes developed through this study were aimed at providing a…
Innovative Approaches for Urban Watershed Wet-Weather Flow Management and Control
The “Innovative Approaches for Urban Watershed Wet-Weather Flow Management and Control: State of the Technology” project investigated a range of innovative technology and management strategies emerging outside the normal realm of business within the continental United States, fo...
Political issues in emergency medicine: The United States.
Hoekstra, James; McNamara, Robert; Schafermeyer, Robert W; Hamilton, Glenn C
2004-06-01
The format of the paper is to allow three authors to discuss what they believe are the most significant political issues facing emergency medicine (EM) in their country or region. Each author writes independently and does not see any other contributing author's work, therefore potential overlap of subject matter is inevitable. However, we were soliciting their individual opinions about the serious issues confronting us today, rather than a consensus. An additional author, well familiar with the topics being discussed, wrote the Commentary from an overview perspective on the writings of the other authors. This supplemental opinion was offered as a method for enhanced cohesiveness in describing the political situations impacting the specialty of emergency medicine. The three authors for the United States are James Hoekstra, Professor and Chair, Wake Forest University Health Sciences; Robert McNamara, Professor and Chair, Temple University School of Medicine, and Robert Schafermeyer, Associate Chair, Department of Emergency Medicine, North Carolina School of Medicine. Between them, they represent more than 50 years experience in clinical and academic emergency medicine. They write from a personal perspective. Their views are their own, and do not represent any organization(s) with which they may have or had affiliations.
A call for evidence-based medical treatment of opioid dependence in the United States and Canada.
Nosyk, Bohdan; Anglin, M Douglas; Brissette, Suzanne; Kerr, Thomas; Marsh, David C; Schackman, Bruce R; Wood, Evan; Montaner, Julio S G
2013-08-01
Despite decades of experience treating heroin or prescription opioid dependence with methadone or buprenorphine--two forms of opioid substitution therapy--gaps remain between current practices and evidence-based standards in both Canada and the United States. This is largely because of regulatory constraints and pervasive suboptimal clinical practices. Fewer than 10 percent of all people dependent on opioids in the United States are receiving substitution treatment, although the proportion may increase with expanded health insurance coverage as a result of the Affordable Care Act. In light of the accumulated evidence, we recommend eliminating restrictions on office-based methadone prescribing in the United States; reducing financial barriers to treatment, such as varying levels of copayment in Canada and the United States; reducing reliance on less effective and potentially unsafe opioid detoxification; and evaluating and creating mechanisms to integrate emerging treatments. Taking these steps can greatly reduce the harms of opioid dependence by maximizing the individual and public health benefits of treatment.
Mobile device use while driving--United States and seven European countries, 2011.
2013-03-15
Road traffic crashes are a global public health problem, contributing to an estimated 1.3 million deaths annually. Known risk factors for road traffic crashes and related injuries and deaths include speed, alcohol, nonuse of restraints, and nonuse of helmets. More recently, driver distraction has become an emerging concern. To assess the prevalence of mobile device use while driving in Belgium, France, Germany, the Netherlands, Portugal, Spain, the United Kingdom (UK), and the United States, CDC analyzed data from the 2011 EuroPNStyles and HealthStyles surveys. Prevalence estimates for self-reported talking on a cell phone while driving and reading or sending text or e-mail messages while driving were calculated. This report describes the results of that analysis, which indicated that, among drivers ages 18-64 years, the prevalence of talking on a cell phone while driving at least once in the past 30 days ranged from 21% in the UK to 69% in the United States, and the prevalence of drivers who had read or sent text or e-mail messages while driving at least once in the past 30 days ranged from 15% in Spain to 31% in Portugal and the United States. Lessons learned from successful road safety efforts aimed at reducing other risky driving behaviors, such as seat belt nonuse and alcohol-impaired driving, could be helpful to the United States and other countries in addressing this issue. Strategies such as legislation combined with high-visibility enforcement and public education campaigns deserve further research to determine their effectiveness in reducing mobile device use while driving. Additionally, the role of emerging vehicle and mobile communication technologies in reducing distracted driving-related crashes should be explored.
Vallabhaneni, S; Kallen, A; Tsay, S; Chow, N; Welsh, R; Kerins, J; Kemble, S K; Pacilli, M; Black, S R; Landon, E; Ridgway, J; Palmore, T N; Zelzany, A; Adams, E H; Quinn, M; Chaturvedi, S; Greenko, J; Fernandez, R; Southwick, K; Furuya, E Y; Calfee, D P; Hamula, C; Patel, G; Barrett, P; Lafaro, P; Berkow, E L; Moulton-Meissner, H; Noble-Wang, J; Fagan, R P; Jackson, B R; Lockhart, S R; Litvintseva, A P; Chiller, T M
2017-01-01
November 11, 2016/65(44);1234-1237. What is already known about this topic? Candida auris is an emerging pathogenic fungus that has been reported from at least a dozen countries on four continents during 2009-2015. The organism is difficult to identify using traditional biochemical methods, some isolates have been found to be resistant to all three major classes of antifungal medications, and C. auris has caused health care-associated outbreaks. What is added by this report? This is the first description of C. auris cases in the United States. C. auris appears to have emerged in the United States only in the last few years, and U.S. isolates are related to isolates from South America and South Asia. Evidence from U.S. case investigations suggests likely transmission of the organism occurred in health care settings. What are the implications for public health practice? It is important that U.S. laboratories accurately identify C. auris and for health care facilities to implement recommended infection control practices to prevent the spread of C. auris. Local and state health departments and CDC should be notified of possible cases of C. auris and of isolates of C. haemulonii and Candida spp. that cannot be identified after routine testing. No claim to original US government works © 2016 The American Society of Transplantation and the American Society of Transplant Surgeons.
My revolutionary adventures in the development of modern emergency medical systems in our country.
Edlich, Richard F
2008-05-01
The purpose of this article is to describe my exciting adventures in the development of the emergency medical systems in our country. After my training in plastic surgery at the University of Virginia, I accepted the position of Acting Director of the Emergency Room at the University of Virginia Health Science Center. Working with gifted physicians, basic scientists, nurses, and students, we coordinated the development of an emergency medical system that has been replicated throughout our country. Our system included the following: State legislation for the sexual assault victim, public access by the 9-1-1 telephone number, training of rescue squads, emergency radio communication system, trauma centers, poison control centers, emergency medical plan for the President of the United States, national telecommunications system for the deaf, and the first air medical transportation system in Virginia.
In the wake of Hurricane Sandy, the second costliest hurricane in U.S. history, the United States Environmental Protection Agency, the Federal Emergency Management Agency, Stony Brook University, The Nature Conservancy, and New York State (NYS) Department of State partnered with ...
23 CFR 658.23 - LCV freeze; cargo-carrying unit freeze.
Code of Federal Regulations, 2010 CFR
2010-04-01
... safety purposes and road construction, a State may make minor adjustments of a temporary and emergency... decision is reached that minor adjustments made by a State are not legitimately attributable to road or bridge construction or safety, the FHWA will inform the State, and the original conditions of the freeze...
School Money Trials: The Legal Pursuit of Educational Adequacy
ERIC Educational Resources Information Center
West, Martin R., Ed.; Peterson, Paul E., Ed.
2007-01-01
Adequacy lawsuits have, with little fanfare, emerged as a major alternative strategy in the pursuit of improved public education in the United States. Plaintiffs allege insufficient resources to provide students with the quality of education promised in their state's constitution, hoping the courts will step in and order the state to increase…
Environmental challenges threatening the growth of urban agriculture in the United States.
Wortman, Sam E; Lovell, Sarah Taylor
2013-09-01
Urban agriculture, though often difficult to define, is an emerging sector of local food economies in the United States. Although urban and agricultural landscapes are often integrated in countries around the world, the establishment of mid- to large-scale food production in the U.S. urban ecosystem is a relatively new development. Many of the urban agricultural projects in the United States have emerged from social movements and nonprofit organizations focused on urban renewal, education, job training, community development, and sustainability initiatives. Although these social initiatives have traction, critical knowledge gaps exist regarding the science of food production in urban ecosystems. Developing a science-based approach to urban agriculture is essential to the economic and environmental sustainability of the movement. This paper reviews abiotic environmental factors influencing urban cropping systems, including soil contamination and remediation; atmospheric pollutants and altered climatic conditions; and water management, sources, and safety. This review paper seeks to characterize the limited state of the science on urban agricultural systems and identify future research questions most relevant to urban farmers, land-use planners, and environmental consultants. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.
The Counter Terrorist Classroom: Religion, Education, and Security
ERIC Educational Resources Information Center
Gearon, Liam
2013-01-01
The article identifies international cases--from the United States, Europe, and the United Nations--of an emergent interface of religion, education, and security. This is manifest in the uses of religion in education to counter religious extremism, the notional "counter terrorist classroom." To avoid an over-association of extremism with…
Phomopsis stem canker: a re-emerging threat to sunflowers (Helianthus annuus) in the United States
USDA-ARS?s Scientific Manuscript database
Phomopsis stem canker frequently causes yield reductions on sunflowers (Helianthus annuus L.) on several continents, including Australia, Russia, Europe and North America. Between 2001 and 2012, the incidence of Phomopsis stem canker has increased 16 fold in the Northern Great Plains of the United...
State-Wide Nursing Assistant Curriculum. Health Occupations Education: We Make a Difference.
ERIC Educational Resources Information Center
Richards, Beverly; Moore, Susan
These curriculum materials for preparing nursing assistants in Pennsylvania provide 14 units of secondary and postsecondary instruction. Presented within the topic of the role and function of the nursing assistant are units providing an introduction to health care, communications, infection control, emergency and disaster procedures, and ethical…
Occupational Safety and Health Systems: A Three-Country Comparison.
ERIC Educational Resources Information Center
Singleton, W. T.
1983-01-01
This article compares the occupational safety and health systems of Switzerland, the United Kingdom, and the United States, looking at the origins of their legislation and its effects on occupational safety and health, with a view to determining what lessons may emerge, particularly for developing countries. (Author/SSH)
Resilient National Security and Emergency Preparedness Communications: Service Metrics
2015-10-01
the East Coast of the United States after a tornado . Emergency management services are immediately called into duty to protect, provide, and secure...channel, radios that are vulnerable to congestion during heavy usage. During a tornado emergency prior to the hurricane, in a period of only 10...In terms of Survivability, the probability of a tornado occurring in any given year in this location is P( tornado ) = 0.05. The
Code of Federal Regulations, 2010 CFR
2010-01-01
... of a National Emergency With Respect to the 2009 H1N1 Influenza Pandemic 8443 Proclamation 8443... Emergency With Respect to the 2009 H1N1 Influenza PandemicBy the President of the United States of America A... to the 2009 H1N1 influenza virus. The Secretary has renewed that declaration twice, on July 24, 2009...
A national-scale survey of 247 contaminants of emerging concern (CECs), including organic and inorganic chemical compounds, and microbial contaminants, was conducted in source and treated drinking water samples from 25 treatment plants across the United States. Multiple methods w...
ERIC Educational Resources Information Center
Garcia, Gina A.; Cuellar, Marcela
2018-01-01
Background/Context: Hispanic-Serving Institution (HSIs), or those postsecondary institutions that meet the 25% Latina/o enrollment requirement to become federally designated as HSIs, are burgeoning in the United States. Similarly, emerging Hispanic-Serving Institutions (eHSIs), or those postsecondary institutions that enroll between 15% and 24%…
ERIC Educational Resources Information Center
Garcia, Ofelia; Kleifgen, Jo Anne
2010-01-01
This comprehensive and insightful book shows how present educational policies and practices to educate language minority students in the United States ignore an essential characteristic--their emergent bilingualism. In one accessible guide, the authors compile the most up-to-date research findings to demonstrate how ignoring children's…
From Charity to Security: The Emergence of the National School Lunch Program
ERIC Educational Resources Information Center
Rutledge, Jennifer Geist
2015-01-01
This paper explores the historical formation of the National School Lunch Program (NSLP) in the United States and argues that programme emergence depended on the ability of policy entrepreneurs to link the economic concerns of agricultural production with the ideational concern of national security. Using a historical institutionalist framework…
Globalization and the Emergence of For-Profit Higher Education
ERIC Educational Resources Information Center
Morey, Ann I.
2004-01-01
Globalization and the revolution in technological communications are major forces of change in higher education. This environment, when coupled with the needs of adult learners and the rising costs of tuition at traditional colleges and universities, has stimulated the emergence of for-profit, degree-granting higher education in the United States.…
COSPAS/SARSAT 406-MHz emergency beacon digital controller
NASA Technical Reports Server (NTRS)
Ivancic, William D.
1988-01-01
The digital control portion of a low-cost 406-MHz COSPAS/SARSAT emergency beacon has been designed and breadboarded at the NASA Lewis Research Center. This report discusses the requirements and design tradeoffs of the digital controller and describes the hardware and software design, which is available only to United States citizens and companies.
Numerical Mediation and American Governmentality
ERIC Educational Resources Information Center
Monea, Alexander Paul
2016-01-01
This project looks to fill a critical gap in our knowledge of the emergence of new forms of power, knowledge, and subjectivation that emerged during the industrial period in the United States and that continue to operate today. This critical hole is the role of what we will term "numerical mediation," which is the means by which the…
International emergency medicine fellowships.
Anderson, Philip D; Aschkenasy, Miriam; Lis, Julian
2005-02-01
The active interchange of intellectual ideas in the quest to improve healthcare globally will likely be best served by active interchange among physicians around the world. Subspecialty fellowship training programs for United States and foreign graduates will provide a focused path to development of a global network of physicians dedicated to the delivery of high-quality emergency health services.
Emerging: Negotiating Identity in a 21st Century American Seminary
ERIC Educational Resources Information Center
Shafer, Peter W.
2010-01-01
"Emerging: Negotiating Identity in a 21st Century American Seminary" is an ethnographic investigation involving a diverse group of students as they experience their first year of graduate-level theological education at a Protestant seminary in the United States. The study analyzes the observations and student interviews that form the core of the…
Young Dual Language Learners' Emergent Writing Development
ERIC Educational Resources Information Center
Gillanders, Cristina; Franco, Ximena; Seidel, Kent; Castro, Dina C.; Méndez, Lucía I.
2017-01-01
This study examined how early writing develops in Spanish-English-speaking children of Mexican and Central American descent who are dual language learners (DLLs) in the United States. The emergent writing skills in Spanish and English of 140 preschoolers in a multisite study were assessed using name- and word-writing tasks during the children's…
Improvements in analytical methodology have allowed low-level detection of an ever increasing number of pharmaceuticals, personal care products, hormones, pathogens and other contaminants of emerging concern (CECs). The use of these improved analytical tools has allowed researche...
Parenting in Emerging Adulthood: An Examination of Parenting Clusters and Correlates
ERIC Educational Resources Information Center
Nelson, Larry J.; Padilla-Walker, Laura M.; Christensen, Katherine J.; Evans, Cortney A.; Carroll, Jason S.
2011-01-01
The changing nature of the transition to adulthood in western societies, such as the United States, may be extending the length of time parents are engaged in "parenting" activities. However, little is known about different approaches parents take in their interactions with their emerging-adult children. Hence, this study attempted to…
Van Gosen, Bradley S; Blitz, Thomas A; Plumlee, Geoffrey S; Meeker, Gregory P; Pierson, M Patrick
2013-08-01
Erionite, a mineral series within the zeolite group, is classified as a Group 1 known respiratory carcinogen. This designation resulted from extremely high incidences of mesothelioma discovered in three small villages from the Cappadocia region of Turkey, where the disease was linked to environmental exposures to fibrous forms of erionite. Natural deposits of erionite, including fibrous forms, have been identified in the past in the western United States. Until recently, these occurrences have generally been overlooked as a potential hazard. In the last several years, concerns have emerged regarding the potential for environmental and occupational exposures to erionite in the United States, such as erionite-bearing gravels in western North Dakota mined and used to surface unpaved roads. As a result, there has been much interest in identifying locations and geologic environments across the United States where erionite occurs naturally. A 1996 U.S. Geological Survey report describing erionite occurrences in the United States has been widely cited as a compilation of all US erionite deposits; however, this compilation only focused on one of several geologic environments in which erionite can form. Also, new occurrences of erionite have been identified in recent years. Using a detailed literature survey, this paper updates and expands the erionite occurrences database, provided in a supplemental file (US_erionite.xls). Epidemiology, public health, and natural hazard studies can incorporate this information on known erionite occurrences and their characteristics. By recognizing that only specific geologic settings and formations are hosts to erionite, this knowledge can be used in developing management plans designed to protect the public.
Van Gosen, Bradley S.; Blitz, Thomas A.; Plumlee, Geoffrey S.; Meeker, Gregory P.; Pierson, M. Patrick
2013-01-01
Erionite, a mineral series within the zeolite group, is classified as a Group 1 known respiratory carcinogen. This designation resulted from extremely high incidences of mesothelioma discovered in three small villages from the Cappadocia region of Turkey, where the disease was linked to environmental exposures to fibrous forms of erionite. Natural deposits of erionite, including fibrous forms, have been identified in the past in the western United States. Until recently, these occurrences have generally been overlooked as a potential hazard. In the last several years, concerns have emerged regarding the potential for environmental and occupational exposures to erionite in the United States, such as erionite-bearing gravels in western North Dakota mined and used to surface unpaved roads. As a result, there has been much interest in identifying locations and geologic environments across the United States where erionite occurs naturally. A 1996 U.S. Geological Survey report describing erionite occurrences in the United States has been widely cited as a compilation of all US erionite deposits; however, this compilation only focused on one of several geologic environments in which erionite can form. Also, new occurrences of erionite have been identified in recent years. Using a detailed literature survey, this paper updates and expands the erionite occurrences database, provided in a supplemental file (US_erionite.xls). Epidemiology, public health, and natural hazard studies can incorporate this information on known erionite occurrences and their characteristics. By recognizing that only specific geologic settings and formations are hosts to erionite, this knowledge can be used in developing management plans designed to protect the public.
The Surge Capacity for People in Emergencies (SCOPE) study in Australasian hospitals.
Traub, Matthias; Bradt, David A; Joseph, Anthony P
2007-04-16
To measure physical assets in Australasian hospitals required for the management of mass casualties as a result of terrorism or natural disasters. A cross-sectional survey of Australian and New Zealand hospitals. All emergency department directors of Australasian College for Emergency Medicine (ACEM)-accredited hospitals, as well as private and non-ACEM accredited emergency departments staffed by ACEM Fellows in metropolitan Sydney. Numbers of operating theatres, intensive care unit (ICU) beds and x-ray machines; state of preparedness using benchmarks defined by the Centers for Disease Control and Prevention in the United States. We found that 61%-82% of critically injured patients would not have immediate access to operative care, 34%-70% would have delayed access to an ICU bed, and 42% of the less critically injured would have delayed access to x-ray facilities. Our study demonstrates that physical assets in Australasian public hospitals do not meet US hospital preparedness benchmarks for mass casualty incidents. We recommend national agreement on disaster preparedness benchmarks and periodic publication of hospital performance indicators to enhance disaster preparedness.
Better trauma care. How Maryland does it.
Wish, John R; Long, William B; Edlich, Richard F
2005-01-01
In March, 1970, the Maryland State Police, in cooperation with the University of Maryland, started the first statewide airborne transportation system. It was modeled after the army's success in Korea and Vietnam, where battlefield injuries were flown to front-line MASH units. The world's premier statewide medical aviation division was made possible through a cooperative effort between the Maryland State Police Aviation Division and Dr. R Adams Cowley at the University of Maryland Hospital as a public service to the citizens of the state. The Maryland Institute for Emergency Medical Services Systems (MIEMSS) has five components: (1) aircraft, (2) state troopers, (3) system communications (SYSCOM) center, (4) ambulance and fire emergency rescue, and (5) Level I adult and pediatric trauma centers and a regional burn center. The Maryland State Police Aviation Division now has 12 Aerospace Dauphin AS365N helicopters that operate out of eight fixed points throughout the state. Each helicopter has a two-person crew that consists of a pilot and a paramedic. Since 1993, the overall coordination of emergency medical services (EMS) has been under the purview of MIEMSS, an independent executive-level state agency that is governed by an appointed board and advisory council. To ensure stable funding for Maryland's world renowned emergency medical services (EMS) system, including med-evac helicopters, ambulances, fire equipment, rescue squads, and trauma units, a "surcharge" of $13.50 per year is collected with the automobile registration fee where applicable. The SYSCOM center in Baltimore coordinates the helicopter transport to the scene of the accident as well as referral to the specialty care facility: Adult Level I Trauma Center, Pediatric Level I Trauma Center, and Regional Burn Center. An on-the-scene evaluation of this exemplary emergency medical system in Maryland provides further convincing evidence of the performance of the Maryland State Police Aviation Division as they transported an injured child to the Johns Hopkins Pediatric Level I Trauma Center. It is our belief that the model emergency medical system in Maryland, if replicated throughout our nation, would save the lives of the critically injured.
Vital Signs: Preparing for Local Mosquito-Borne Transmission of Zika Virus--United States, 2016.
2016-04-08
Widespread Zika virus transmission in the Region of the Americas since 2015 has heightened the urgency of preparing for the possibility of expansion of mosquito-borne transmission of Zika virus during the 2016 mosquito season. CDC and other U.S. government agencies have been working with state and local government partners on prevention and early detection of Zika virus infection and will increase these activities during April as part of their preparation for the anticipated emergence of mosquito-borne transmission of Zika virus in the continental United States.
ERIC Educational Resources Information Center
Supreme Court of the U. S., Washington, DC.
The Emergency School Aid Act (ESAA) states that the Act's purpose is to provide Federal assistance to eliminate minority group segregation among students and faculty in elementary and secondary schools. One section of the Act declares an educational agency ineligible for assistance if it has in effect any practice which results in disproportionate…
Pandemic influenza planning, United States, 1978-2008.
Iskander, John; Strikas, Raymond A; Gensheimer, Kathleen F; Cox, Nancy J; Redd, Stephen C
2013-06-01
During the past century, 4 influenza pandemics occurred. After the emergence of a novel influenza virus of swine origin in 1976, national, state, and local US public health authorities began planning efforts to respond to future pandemics. Several events have since stimulated progress in public health emergency planning: the 1997 avian influenza A(H5N1) outbreak in Hong Kong, China; the 2001 anthrax attacks in the United States; the 2003 outbreak of severe acute respiratory syndrome; and the 2003 reemergence of influenza A(H5N1) virus infection in humans. We outline the evolution of US pandemic planning since the late 1970s, summarize planning accomplishments, and explain their ongoing importance. The public health community's response to the 2009 influenza A(H1N1)pdm09 pandemic demonstrated the value of planning and provided insights into improving future plans and response efforts. Preparedness planning will enhance the collective, multilevel response to future public health crises.
Donation after cardiac death and the emergency department: ethical issues.
Simon, Jeremy R; Schears, Raquel M; Padela, Aasim I
2014-01-01
Organ donation after cardiac death (DCD) is increasingly considered as an option to address the shortage of organs available for transplantation, both in the United States and worldwide. The procedures for DCD differ from procedures for donation after brain death and are likely less familiar to emergency physicians (EPs), even as this process is increasingly involving emergency departments (EDs). This article explores the ED operational and ethical issues surrounding this procedure. © 2013 by the Society for Academic Emergency Medicine.
Hospital nurse staffing and public health emergency preparedness: implications for policy.
McHugh, Matthew D
2010-01-01
Hospital restructuring policies and an impending nursing workforce shortage have threatened the nation's emergency preparedness. Current emergency response plans rely on sources of nurses that are limited and overestimated. A national investment in nursing education and workforce infrastructure, as well as incentives for hospitals to efficiently maximize nurse staffing, are needed to ensure emergency preparedness in the United States. This review highlights the challenges of maintaining hospital nursing surge capacity and policy implications of a nursing shortage.
Hospital Nurse Staffing and Public Health Emergency Preparedness: Implications for Policy
McHugh, Matthew D.
2010-01-01
Hospital restructuring policies and an impending nursing workforce shortage have threatened the nation’s emergency preparedness. Current emergency response plans rely on sources of nurses that are limited and overestimated. A national investment in nursing education and workforce infrastructure, as well as incentives for hospitals to efficiently maximize nurse staffing, are needed to ensure emergency preparedness in the United States. This review highlights the challenges of maintaining hospital nursing surge capacity and policy implications of a nursing shortage. PMID:20840714
Philips, Patrick J.; Stinson, Beverley; Zaugg, Steven D.; Furlong, Edward T.; Kolpin, Dana W.; Esposito, Kathleen; Bodniewicz, B.; Pape, R.; Anderson, J.
2008-01-01
Across the United States, there is a rapidly growing awareness of the occurrence and the toxicological impacts of natural and synthetic trace compounds in the environment. These trace compounds, referred to as emerging contaminants (ECs), are reported to cause a range of negative impacts in the environment, such as adverse effects on biota in receiving streams and interference with the normal functions of the endocrine system, which controls growth and development in living organisms.
Evolutionary aspects of emerging Lyme disease in Canada.
Ogden, N H; Feil, E J; Leighton, P A; Lindsay, L R; Margos, G; Mechai, S; Michel, P; Moriarty, T J
2015-11-01
In North America, Lyme disease (LD) is a tick-borne zoonosis caused by the spirochete bacterium Borrelia burgdorferi sensu stricto, which is maintained by wildlife. Tick vectors and bacteria are currently spreading into Canada and causing increasing numbers of cases of LD in humans and raising a pressing need for public health responses. There is no vaccine, and LD prevention depends on knowing who is at risk and informing them how to protect themselves from infection. Recently, it was found in the United States that some strains of B. burgdorferi sensu stricto cause severe disease, whereas others cause mild, self-limiting disease. While many strains occurring in the United States also occur in Canada, strains in some parts of Canada are different from those in the United States. We therefore recognize a need to identify which strains specific to Canada can cause severe disease and to characterize their geographic distribution to determine which Canadians are particularly at risk. In this review, we summarize the history of emergence of LD in North America, our current knowledge of B. burgdorferi sensu stricto diversity, its intriguing origins in the ecology and evolution of the bacterium, and its importance for the epidemiology and clinical and laboratory diagnosis of LD. We propose methods for investigating associations between B. burgdorferi sensu stricto diversity, ecology, and pathogenicity and for developing predictive tools to guide public health interventions. We also highlight the emergence of B. burgdorferi sensu stricto in Canada as a unique opportunity for exploring the evolutionary aspects of tick-borne pathogen emergence. Copyright © 2015, American Society for Microbiology. All Rights Reserved.
Boundy-Mills, Kyria; Hess, Matthias; Bennett, A Rick; Ryan, Matthew; Kang, Seogchan; Nobles, David; Eisen, Jonathan A; Inderbitzin, Patrik; Sitepu, Irnayuli R; Torok, Tamas; Brown, Daniel R; Cho, Juliana; Wertz, John E; Mukherjee, Supratim; Cady, Sherry L; McCluskey, Kevin
2015-09-01
The mission of the United States Culture Collection Network (USCCN; http://usccn.org) is "to facilitate the safe and responsible utilization of microbial resources for research, education, industry, medicine, and agriculture for the betterment of human kind." Microbial culture collections are a key component of life science research, biotechnology, and emerging global biobased economies. Representatives and users of several microbial culture collections from the United States and Europe gathered at the University of California, Davis, to discuss how collections of microorganisms can better serve users and stakeholders and to showcase existing resources available in public culture collections. Copyright © 2015, American Society for Microbiology. All Rights Reserved.
Frac sand in the United States: a geological and industry overview
Benson, Mary Ellen; Wilson, Anna B.; Bleiwas, Donald I.
2015-01-01
More than 40 United States industry operators are involved in the mining, processing, transportation, and distribution of frac sand to a robust market that is fast-growing in the United States and throughout the world. In addition to the abrupt rise in frac sand mining and distribution, a new industry has emerged from the production of alternative proppants, such as coated sand and synthetic beads. Alternative proppants, developed through new technologies, are competing with supplies of natural frac sand. In the long term, the vitality of both industries will be tied to the future of hydraulic fracturing of tight oil and gas reservoirs, which will be driven by the anticipated increases in global energy consumption.
U.S. - China Relations: Cooperation or Conflict in the 21st Century
2013-02-01
html>. (REPORT LIT RAND MR-1161-AF(WWW) Sieff, Martin . Shifting Superpowers: The New and Emerging Relationship Between the United States, China...2012): 32-47. Paal, Douglas. "The United States and Asia in 2011." Asian Survey 52, no. 1 (January- February 2012): 6-14. Petras , James. "Rising and...799.63 .C6 O54 2008) Cordesman, Anthony H. and Martin Kleiber. Chinese Military Modernization: Force Development and Strategic Capabilities
Emerging Infections: Microbial Threats to Health in the United States
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
ERIC Educational Resources Information Center
Jones, Stan
2012-01-01
This paper presents Stan Jones' testimony before the United States House of Representatives Subcommittee on Higher Education and Workforce Training. In his testimony, he talks about a new American majority of students that is emerging on campuses, especially at community colleges. These students must delicately balance long hours at jobs they must…
Velazquez-Salinas, Lauro; Pauszek, Steven J.; Verdugo-Rodriguez, Antonio
2018-01-01
ABSTRACT We report here the complete genome sequences of two vesicular stomatitis New Jersey virus (VSNJV) field strains isolated from epithelial lesions from naturally infected animals in Mexico and the United States. The close phylogenetic relationship of these isolates makes them an ideal model for assessing potential genetic factors linked with the emergence of VSNJV in the United States. PMID:29449388
Outbreaks of Salmonella infections attributed to beef --United States, 1973-2011.
Laufer, A S; Grass, J; Holt, K; Whichard, J M; Griffin, P M; Gould, L H
2015-07-01
Non-typhoidal Salmonella is estimated to be the most common bacterial cause of foodborne illness in the United States, causing an estimated one million domestically acquired foodborne illnesses annually. Recent, large outbreaks have highlighted the importance of ground beef as an important source of multidrug-resistant Salmonella. We analysed the epidemiology of salmonellosis outbreaks that were attributed to beef in the United States reported to the Centers for Disease Control and Prevention (CDC) from 1973 to 2011. During 1973-2011, of the 1965 outbreaks of Salmonella where a food vehicle was implicated, 96 were attributed to beef, accounting for 3684 illnesses. We observed a shift in the type of beef implicated in salmonellosis outbreaks, from roast to ground beef. Delicatessen-style roast beef cooked in commercial processing establishments was the predominant type during the 1970s and early 1980s; regulations on cooking and processing essentially eliminated this problem by 1987. Ground beef emerged as an important vehicle in the 2000s; it was implicated in 17 (45%) of the 38 beef-attributed outbreaks reported during 2002-2011. Although this emergence was likely due in part to increased participation in CDC's PulseNet, which was established in 1996, and proactive decisions by the United States Department of Agriculture's Food Safety and Inspection Service, stronger measures are needed to decrease contamination of ground beef with Salmonella.
Outbreaks of Salmonella Infections Attributed to Beef – United States, 1973–2011
Laufer, A.S.; Grass, J.; Holt, K.; Whichard, J.M.; Griffin, P.M.; Gould, L.H.
2015-01-01
Summary Nontyphoidal salmonella is estimated to be the most common bacterial cause of foodborne illness in the United States, causing an estimated one million domestically-acquired foodborne illnesses annually. Recent, large outbreaks have highlighted the importance of ground beef as an important source of multidrug resistant salmonella. We analysed the epidemiology of salmonellosis outbreaks that were attributed to beef in the United States reported to the Centers for Disease Control and Prevention (CDC) from 1973 through 2011. During 1973–2011, of the 1965 outbreaks of salmonella where a food vehicle was implicated, 96 were attributed to beef, accounting for 3684 illnesses. We observed a shift in the type of beef implicated in salmonellosis outbreaks, from roast to ground beef. Delicatessen-style roast beef cooked in commercial processing establishments was the predominant type during the 1970s and early 1980s; regulations on cooking and processing essentially eliminated this problem by 1987. Ground beef emerged as an important vehicle in the 2000s; it was implicated in 17 (45%) of the 38 beef-attributed outbreaks reported during 2002–2011. Although this emergence was likely due in part to increased participation in CDC’s PulseNet, which was established in 1996, and proactive decisions by the United States Department of Agriculture’s Food Safety and Inspection Service, stronger measures are needed to decrease contamination of ground beef with salmonella. PMID:25427978
Setting up a mobile dental practice within your present office structure.
Morreale, James P; Dimitry, Susan; Morreale, Mark; Fattore, Isabella
2005-02-01
Different service models have emerged in Canada and the United States to address the issue of senior citizens' lack of access to comprehensive dental care. Over the past decade, one such model, the use of mobile dental service units, has emerged as a practical strategy. This article describes a mobile unit, operated as an adjunct to the general practitioner's office and relying mainly on existing office resources, both human and capital, to deliver services at long-term care institutions. The essential components of a profitable geriatric mobile unit are described, including education, equipment, marketing research and development, and human resource management. Issues related to patient consent and operating expenditures are also discussed. Data from one practitioner's mobile dental unit, in Hamilton, Ontario, are presented to demonstrate the feasibility and profitability of this approach.
Code of Federal Regulations, 2010 CFR
2010-10-01
... PROGRAM CONDITIONS FOR MEDICARE PAYMENT Special Conditions: Emergency Services Furnished by a... United States and does not have in effect a provider agreement, that is, an agreement to participate in...
2005-05-13
After the events of September 11, 2001, federal funding for state public health preparedness programs increased from $67 million in fiscal year (FY) 2001 to approximately $1 billion in FY 2002. These funds were intended to support preparedness for and response to terrorism, infectious disease outbreaks, and other public health threats and emergencies. The Council of State and Territorial Epidemiologists (CSTE) assessed the impact of funding on epidemiologic capacity, including terrorism preparedness and response, in state health departments in November 2001 and again in May 2004, after distribution of an additional $1 billion in FY 2003. This report describes the results of those assessments, which indicated that increased funding for terrorism preparedness and emergency response has rapidly increased the number of epidemiologists and increased capacity for preparedness at the state level. However, despite the increase in epidemiologists, state public health officials estimate that 192 additional epidemiologists, an increase of 45.3%, are needed nationwide to fully staff terrorism preparedness programs.
2012-03-01
Little Philip and Ting-Ting, all my love. Thank you and God Bless ! 1 I. INTRODUCTION Emergency medical services personnel are critical resources ...equipment in times of duress. Resources must be available to distribute and utilize in times of need. FICEMS and the Office of Emergency Medical...DISTRIBUTION / AVAILABILITY STATEMENT Approved for public release; distribution is unlimited 12b. DISTRIBUTION CODE A 13. ABSTRACT (maximum 200 words
Chikungunya virus: is this the next emerging disease threat to the americas?
Girimont, Trina M
2014-12-01
Chikungunya fever is a mosquito-borne infection for which no cure or vaccine is available. It made its first appearance in the Americas in December 2013. Seven months later, two locally acquired cases of the disease emerged in the United States. The emergence of chikungunya fever cases in the Americas emphasizes the need for sustained vector control, clear public health information, and disease awareness and surveillance. Copyright 2014, SLACK Incorporated.
Alternative Fuels Data Center: Project Assistance
emerging transportation technologies. For examples of successful projects, explore alternative transportation case studies. Find My Local Coalition ZIP Code or City and State Search Map of the United States stakeholders network to learn from one another's experiences and identify potential project partners. Technical
Integrated Services Digital Networks: Concepts, Policies, and Emerging Issues.
ERIC Educational Resources Information Center
Wigand, Rolf T.
1988-01-01
Describes the nature and operations of Integrated Services Digital Networks (ISDN). Argues that while Western European nations have advanced centralized planning for the introduction of ISDN, the United States is proceeding slowly because of a lack of universal standards and the state of deregulatory policy. (MM)
In the wake of Hurricane Sandy- the second costliest hurricane in U.S. history- the United States Environmental Protection Agency (EPA), the Federal Emergency Management Agency, Stony Brook University, The Nature Conservancy, and New York State (NYS) Department of State partnered...
Is there a shortage of neurosurgeons in the United States?
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.
Creating a duet: The Couples Life Story Approach in the United States and Japan
Ingersoll-Dayton, Berit; Spencer, Beth; Campbell, Ruth; Kurokowa, Yukiko; Ito, Mio
2015-01-01
There is a global need for interventions that help couples who are dealing with dementia. This paper describes the way in which interventionists from the United States and Japan participated in the development of an intervention for dyads in which one person is experiencing memory loss. The 5-week intervention, the Couples Life Story Approach, helps dyads to reminisce about their life together as a couple, to work on their patterns of communication, and to develop a Life Story Book. Based on an analysis of cases conducted in the United States (n = 20 couples) and Japan (n = 9 couples), this paper highlights the cross-fertilization process that has occurred as interventionists from the two countries have shared their experiences with one another. Using case illustrations, the discussion focuses on the clinical themes that have emerged for couples in the United States and Japan. PMID:24627456
Emerging Therapies for Scar Prevention
Block, Lisa; Gosain, Ankush; King, Timothy W.
2015-01-01
Significance: There are ∼12 million traumatic lacerations treated in the United States emergency rooms each year, 250 million surgical incisions created worldwide every year, and 11 million burns severe enough to warrant medical treatment worldwide. In the United States, over $20 billion dollars per year are spent on the treatment and management of scars. Recent Advances: Investigations into the management of scar therapies over the last decade have advanced our understanding related to the care of cutaneous scars. Scar treatment methods are presented including topical, intralesional, and mechanical therapies in addition to cryotherapy, radiotherapy, and laser therapy. Critical Issues: Current treatment options for scars have significant limitations. This review presents the current and emerging therapies available for scar management and the scientific evidence for scar management is discussed. Future Directions: Based upon our new understanding of scar formation, innovative scar therapies are being developed. Additional research on the basic science of scar formation will lead to additional advances and novel therapies for the treatment of cutaneous scars. PMID:26487979
The use of convalescent plasma to treat emerging infectious diseases: focus on Ebola virus disease.
Winkler, Anne M; Koepsell, Scott A
2015-11-01
The purpose of this review is to discuss the use of convalescent plasma for the treatment of emerging infectious diseases, focusing on the recent use for the treatment of Ebola virus disease (EVD). Ebola convalescent plasma has been used as a therapy for treatment of EVD during the 2014 West Africa epidemic. Several cases from the United States and Europe have been recently published, in addition to multiple ongoing clinical trials in the United States and West Africa. Even more recently, convalescent plasma has been used for treatment of individuals with Middle East respiratory syndrome coronavirus (MERS-CoV) infection. Although the first reports of successful treatment with passive immune therapy date back to the early 1900s, convalescent plasma has materialized as a possible therapy for patients who develop infection from one of the emerging infectious diseases such as EVD or MERS-CoV, although the efficacy of such therapy has yet to be proven in clinical trials.
Learning in Later Life: An Introduction for Educators & Carers.
ERIC Educational Resources Information Center
Jarvis, Peter
This book, which incorporates information gathered through research in the United Kingdom and the United States, explores the nature and importance of learning throughout the human life cycle. The following are among the topics examined: (1) learning and third age education (the emergence of education for adults, third age education); (2) learning…
ERIC Educational Resources Information Center
Cullen, R. B.
Although education and training should be a source of relative advantage for Australia, the competitive benefits expected from the nation's "clever country" strategy have been slow to emerge. When 22 countries including Australia, Germany, Singapore, the United Kingdom, United States, and New Zealand were compared from the standpoint of…
Code of Federal Regulations, 2011 CFR
2011-10-01
... property or persons in the United States in any manner by sabotage or by use of bombs, shellfire, or atomic... special weapons; unexploded bomb reconnaissance; essential debris clearance; emergency welfare measures...
Code of Federal Regulations, 2010 CFR
2010-10-01
... property or persons in the United States in any manner by sabotage or by use of bombs, shellfire, or atomic... special weapons; unexploded bomb reconnaissance; essential debris clearance; emergency welfare measures...
48 CFR 370.701 - Contract clause.
Code of Federal Regulations, 2011 CFR
2011-10-01
... with the implementation of HIV/AIDS programs under the President's Emergency Plan for AIDS Relief; or where the contractor will receive funding under the United States Leadership Against HIV/AIDS...
48 CFR 370.701 - Contract clause.
Code of Federal Regulations, 2012 CFR
2012-10-01
... with the implementation of HIV/AIDS programs under the President's Emergency Plan for AIDS Relief; or where the contractor will receive funding under the United States Leadership Against HIV/AIDS...
48 CFR 370.701 - Contract clause.
Code of Federal Regulations, 2013 CFR
2013-10-01
... with the implementation of HIV/AIDS programs under the President's Emergency Plan for AIDS Relief; or where the contractor will receive funding under the United States Leadership Against HIV/AIDS...
48 CFR 370.701 - Contract clause.
Code of Federal Regulations, 2014 CFR
2014-10-01
... with the implementation of HIV/AIDS programs under the President's Emergency Plan for AIDS Relief; or where the contractor will receive funding under the United States Leadership Against HIV/AIDS...
America's Descent into Madness
ERIC Educational Resources Information Center
Giroux, Henry A.
2014-01-01
This article describes America's descent into madness under the regime of neoliberalism that has emerged in the United States since the late 1970s. In part, this is due to the emergence of a public pedagogy produced by the corporate-owned media that now saturates Americans with a market-driven value system that undermines those formative…
ERIC Educational Resources Information Center
Rankin, Wendy M.
2015-01-01
This exploratory study examined the relationships among strengths use, spirituality, religion, and positive mental health of 109 traditional undergraduate, college-attending emerging adults in a public university in the southern region of the United States, often referred to as the Bible-Belt. Constructs of the study were guided by a student…
Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-20
... Commit, or Support Terrorism On September 23, 2001, by Executive Order 13224, the President declared a national emergency with respect to persons who commit, threaten to commit, or support terrorism, pursuant... economy of the United States constituted by the grave acts of terrorism and threats of terrorism committed...
School Nurses: A Resource for Young Worker Safety
ERIC Educational Resources Information Center
Higgins, Doloris N.; Tierney, Jeanette; Lins, Meredith; Hanrahan, Lawrence
2004-01-01
On average, 67 youths under age 18 die at work in the United States each year, and many more suffer work-related injuries. In 1998, an estimated 77,000 young workers suffered work injuries that required treatment in hospital emergency rooms. It is estimated that only one third of work-related injuries are seen in emergency departments; therefore,…
Emerging contaminants (ECs) (e.g., pharmaceuticals, illicit drugs, personal care products) have been detected in waters across the United States. The objective of this study was to evaluate point sources of ECs along the Colorado River, from the headwaters in Colorado to the Gulf...
Men and Cosmetics: Social and Psychological Trends of an Emerging Demographic.
Rieder, Evan A; Mu, Euphemia W; Brauer, Jeremy A
2015-09-01
Though still accounting for a small fraction of all cosmetic procedures in the United States, men are an emerging and rapidly expanding demographic in the field of aesthetic medicine. In this article we highlight the trends contributing to the rise of male aesthetic procedures in dermatology, touching on social influences, psychological motivations, and treatment outcomes.
Vibration Signaling in Mobile Devices for Emergency Alerting: A Study with Deaf Evaluators
ERIC Educational Resources Information Center
Harkins, Judith; Tucker, Paula E.; Williams, Norman; Sauro, Jeff
2010-01-01
In the United States, a nationwide Commercial Mobile Alert Service (CMAS) is being planned to alert cellular mobile device subscribers to emergencies occurring near the location of the mobile device. The plan specifies a unique audio attention signal as well as a unique vibration attention signal (for mobile devices set to vibrate) to identify…
Demographic trends, the wildland-urban interface, and wildfire management
Roger B. Hammer; Susan I. Stewart; Volker C. Radeloff
2009-01-01
In this article, we provide an overview of the demographic trends that have impacted and will continue to impact the "wicked" wildfire management problem in the United States, with particular attention to the emergence of the wildland-urban interface (WUI). Although population growth has had an impact on the emergence of the WUI, the deconcentration of...
ERIC Educational Resources Information Center
Godina, Heriberto; Soto-Ramirez, Cynthia
2017-01-01
This study examines fifth-grade Mexican American students' beliefs about emergent gender roles. We used participant-observation methodology to conduct research on six focal-student participants selected from the general fifth-grade population at an elementary school located in the Southwestern United States. Collected data included focal-student…
Code of Federal Regulations, 2013 CFR
2013-01-01
... Constitution and the laws of the United States of America, including the International Emergency Economic... America, in order to take additional steps with respect to the national emergency declared in Executive...) All property and interests in property of the Government of Iran, including the Central Bank of Iran...
Enhancing K-12 School Emergency Management through Community Partnerships
ERIC Educational Resources Information Center
Jones, Jay Richard
2018-01-01
The ideal school is a safe school. In recent years, the ability of K-12 school districts to mitigate, prepare, protect, respond, and recover from emergencies has gained national attention as a wide variety of manmade and non-manmade disasters have impacted school systems in the United States. An increased emphasis has been placed on how schools…
ERIC Educational Resources Information Center
Sirin, Selcuk R.; Katsiaficas, Dalal
2011-01-01
The attacks on September 11, 2001, changed the lives of all Americans. For many immigrant Muslims in the United States this meant dealing with an elevated amount of discrimination. This study investigated how perceived discrimination influenced levels of community engagement among Muslim American emerging adults and whether it varied by gender.…
31 CFR Appendix A to Part 552 - Executive Order 13611
Code of Federal Regulations, 2013 CFR
2013-07-01
... Constitution and the laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA... America, find that the actions and policies of certain members of the Government of Yemen and others...
31 CFR Appendix A to Part 552 - Executive Order 13611
Code of Federal Regulations, 2014 CFR
2014-07-01
... Constitution and the laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA... America, find that the actions and policies of certain members of the Government of Yemen and others...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-12
... economy of the United States posed by the proliferation of nuclear, biological, and chemical weapons (weapons of mass destruction) and the means of delivering such weapons. On July 28, 1998, the President... November 7, 2013 Continuation of the National Emergency With Respect to the Proliferation of Weapons of...
ERIC Educational Resources Information Center
Fein, Lance; Jones, Don
2015-01-01
This study addresses the compromise skills that are taught to students diagnosed with autistic spectrum disorders (ASD) and related social and communication deficits. A private school in the southeastern United States implemented an emergence theory-based curriculum to address these skills, yet no formal analysis was conducted to determine its…
Cultural Differences in Chinese American and European American Children's Drawing Skills over Time
ERIC Educational Resources Information Center
Huntsinger, Carol S.; Jose, Paul E.; Krieg, Dana Balsink; Luo, Zupei
2011-01-01
Parents and early childhood teachers in Chinese societies and the United States have had dissimilar views about appropriate art instruction for young children. The Chinese view is that creativity will emerge after children have been taught essential drawing skills. The American view has been that children's drawing skills emerge naturally and that…
Journey to Freedom: Reflecting on Our Responsibilities, Renewing Our Promises
ERIC Educational Resources Information Center
Bull, Cheryl Crazy
2012-01-01
Over the past four decades, tribal colleges and universities (TCUs) have emerged as a cutting-edge approach to post-secondary education in the United States and across the world. They have emerged as exceptional institutions--and their leaders still have promises to keep and new goals to achieve. As people look to the future of the tribal…
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-24
... 2012. This could have negative impacts on recruitment in the short and medium term, and could reduce... protect scallop recruitment and optimize yield. NMFS must extend the emergency measures because the... Scallop FMP (Framework 22) used 2010 survey results to set the allocations for FYs 2011 and 2012. Based on...
The School Counselor as an Emerging Professional in the Japanese Educational System
ERIC Educational Resources Information Center
Studer, Jeannine R.
2008-01-01
The purpose of this article is to discuss the Japanese educational system and how the transformed society influenced the appearance of school counselors in the educational setting. In addition, a comparison of issues that influenced the emergence of these professionals to those in the United States is provided. Finally, a discussion is included…
Emergence of structural patterns out of synchronization in networks with competitive interactions
NASA Astrophysics Data System (ADS)
Assenza, Salvatore; Gutiérrez, Ricardo; Gómez-Gardeñes, Jesús; Latora, Vito; Boccaletti, Stefano
2011-09-01
Synchronization is a collective phenomenon occurring in systems of interacting units, and is ubiquitous in nature, society and technology. Recent studies have enlightened the important role played by the interaction topology on the emergence of synchronized states. However, most of these studies neglect that real world systems change their interaction patterns in time. Here, we analyze synchronization features in networks in which structural and dynamical features co-evolve. The feedback of the node dynamics on the interaction pattern is ruled by the competition of two mechanisms: homophily (reinforcing those interactions with other correlated units in the graph) and homeostasis (preserving the value of the input strength received by each unit). The competition between these two adaptive principles leads to the emergence of key structural properties observed in real world networks, such as modular and scale-free structures, together with a striking enhancement of local synchronization in systems with no global order.
Lewis, Johnnye; Gonzales, Melissa; Burnette, Courtney; Benally, Malcolm; Seanez, Paula; Shuey, Christopher; Nez, Helen; Nez, Christopher; Nez, Seraphina
2015-01-01
Two disparate statistics often cited for the Western United States raise concern about risks for developmental disabilities in Native American children. First, 13 of the states with the highest percentage of Native American population are located in the Western United States (U.S. Census Bureau, 2012 ). Second, more than 161,000 abandoned hard-rock mines are located in 12 Western states (General Accounting Office, 2014 ). Moreover, numerous studies have linked low-level metals exposure with birth defects and developmental delays. Concern has emerged among tribal populations that metals exposure from abandoned mines might threaten development of future generations.
Code of Federal Regulations, 2014 CFR
2014-10-01
... involves factors not considered in the promulgation of this part; (b)(1) A national emergency makes it... of the United States; (c) The exemption will not substantially impact effective regulation of the...
Code of Federal Regulations, 2010 CFR
2010-10-01
... involves factors not considered in the promulgation of this part; (b)(1) A national emergency makes it... of the United States; (c) The exemption will not substantially impact effective regulation of the...
Code of Federal Regulations, 2013 CFR
2013-10-01
... involves factors not considered in the promulgation of this part; (b)(1) A national emergency makes it... of the United States; (c) The exemption will not substantially impact effective regulation of the...
Westbrooks, R.; Westbrooks, R.
2011-01-01
Over the past 50 years, experience has shown that interagency groups provide an effective forum for addressing various invasive species issues and challenges on multiple land units. However, more importantly, they can also provide a coordinated framework for early detection, reporting, identification and vouchering, rapid assessment, and rapid response to new and emerging invasive plants in the United States. Interagency collaboration maximizes the use of available expertise, resources, and authority for promoting early detection and rapid response (EDRR) as the preferred management option for addressing new and emerging invasive plants. Currently, an interagency effort is underway to develop a National EDRR System for Invasive Plants in the United States. The proposed system will include structural and informational elements. Structural elements of the system include a network of interagency partner groups to facilitate early detection and rapid response to new invasive plants, including the Federal Interagency Committee for the Management of Noxious and Exotic Weeds (FICMNEW), State Invasive Species Councils, State Early Detection and Rapid Response Coordinating Committees, State Volunteer Detection and Reporting Networks, Invasive Plant Task Forces, and Cooperative Weed Management Areas. Informational elements and products being developed include Regional Invasive Plant Atlases, and EDRR Guidelines for EDRR Volunteer Network Training, Rapid Assessment and Rapid Response, and Criteria for Selection of EDRR Species. System science and technical support elements which are provided by cooperating state and federal scientists, include EDRR guidelines, training curriculum for EDRR volunteers and agency field personnel, plant identification and vouchering, rapid assessments, as well as predictive modeling and ecological range studies for invasive plant species.
Referral Regions for Time-Sensitive Acute Care Conditions in the United States.
Wallace, David J; Mohan, Deepika; Angus, Derek C; Driessen, Julia R; Seymour, Christopher M; Yealy, Donald M; Roberts, Mark M; Kurland, Kristen S; Kahn, Jeremy M
2018-03-24
Regional, coordinated care for time-sensitive and high-risk medical conditions is a priority in the United States. A necessary precursor to coordinated regional care is regions that are actionable from clinical and policy standpoints. The Dartmouth Atlas of Health Care, the major health care referral construct in the United States, uses regions that cross state and county boundaries, limiting fiscal or political ownership by key governmental stakeholders in positions to create incentive and regulate regional care coordination. Our objective is to develop and evaluate referral regions that define care patterns for patients with acute myocardial infraction, acute stroke, or trauma, yet also preserve essential political boundaries. We developed a novel set of acute care referral regions using Medicare data in the United States from 2011. For acute myocardial infraction, acute stroke, or trauma, we iteratively aggregated counties according to patient home location and treating hospital address, using a spatial algorithm. We evaluated referral political boundary preservation and spatial accuracy for each set of referral regions. The new set of referral regions, the Pittsburgh Atlas, had 326 distinct regions. These referral regions did not cross any county or state borders, whereas 43.1% and 98.1% of all Dartmouth Atlas hospital referral regions crossed county and state borders. The Pittsburgh Atlas was comparable to the Dartmouth Atlas in measures of spatial accuracy and identified larger at-risk populations for all 3 conditions. A novel and straightforward spatial algorithm generated referral regions that were politically actionable and accountable for time-sensitive medical emergencies. Copyright © 2018 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
ERIC Educational Resources Information Center
Phelps, L. Allen; Prevost, Amy
2012-01-01
In settings across the United States, governing boards, state officials, and campus leaders are intensely examining, refining, and reprioritizing post-secondary education missions and spending to optimize value-added economic and social returns. In this article, the authors discuss the nation's changing research and innovation context, the…
Current Trends in Biology Education.
ERIC Educational Resources Information Center
Wivagg, Daniel E.; Moore, Randy
1987-01-01
This newsletter reports on the status of biology education in the United States. It states that biology has entered its "golden age" because of the emergence of biotechnology, ecology, agricultural productivity, and human biology as major societal issues. This report discusses the status of the informal national curriculum of biology, involving…
Standards-Based Technology Integration for Emergent Bilinguals
ERIC Educational Resources Information Center
Ronan, Briana
2018-01-01
Today's educators serve the United States public-school system at a time of considerable curricular, technological, and demographic change. In 2010, the Common Core State Standards in Math and English Language Arts significantly altered the curricular landscape of K-12 classrooms. On the heels of this reform came the adoptions of English…
Personal Finance in America's Schools Today.
ERIC Educational Resources Information Center
Teaching Topics, 1983
1983-01-01
Highlights from a survey of educational practices of personal finance teachers and resource materials for emerging topics are provided. Of the 6,100 secondary teachers in the United States and Canada who received questionnaires, 1,400 responded. With over 30 states having personal finance or consumer economics guidelines, personal finance courses…
Microbial Threats to Health. Emerging Infections: Microbial Threats to Health in the United States.
1992-10-01
enzootic in much of the rodent population in the western United States, Mexico , and Canada. Thanks to modem sanitation and the availability of...pandemic, as explorers, soldiers, and others ini acted by the smallpox virus traveled to all parts of the globe. Smallpox was introduced into Mexico 6y...Caribbean and on the Yucatan Peninsula of Mexico . Although the disease is concentrated in a small number of areas, world- wide incidence rates for DHF
Bengtsson, Bengt-Ola S
2013-08-01
The Articles of Confederation and Perpetual Union was the interim constitution of the United States of America between 1777 and 1789. The name the United States of America is encountered here for the first time. Three physicians were among the 48 signers - Josiah Bartlett, Samuel Holten and Nathaniel Scudder. All three men started out studying and practising medicine but their lives took very different turns as the new nation emerged.
Evapotranspiration Controls Imposed by Soil Moisture: A Spatial Analysis across the United States
NASA Astrophysics Data System (ADS)
Rigden, A. J.; Tuttle, S. E.; Salvucci, G.
2014-12-01
We spatially analyze the control over evapotranspiration (ET) imposed by soil moisture across the United States using daily estimates of satellite-derived soil moisture and data-driven ET over a nine-year period (June 2002-June 2011) at 305 locations. The soil moisture data are developed using 0.25-degree resolution satellite observations from the Advanced Microwave Scanning Radiometer for the Earth Observing System (AMSR-E), where the 9-year time series for each 0.25-degree pixel was selected from three potential algorithms (VUA-NASA, U. Montana, & NASA) based on the maximum mutual information between soil moisture and precipitation (Tuttle & Salvucci (2014), Remote Sens Environ, 114: 207-222). The ET data are developed independent of soil moisture using an emergent relationship between the diurnal cycle of the relative humidity profile and ET. The emergent relation is that the vertical variance of the relative humidity profile is less than what would occur for increased or decreased ET rates, suggesting that land-atmosphere feedback processes minimize this variance (Salvucci and Gentine (2013), PNAS, 110(16): 6287-6291). The key advantage of using this approach to estimate ET is that no measurements of surface limiting factors (soil moisture, leaf area, canopy conductance) are required; instead, ET is estimated from meteorological data measured at 305 common weather stations that are approximately uniformly distributed across the United States. The combination of these two independent datasets allows for a unique spatial analysis of the control on ET imposed by the availability of soil moisture. We fit evaporation efficiency curves across the United States at each of the 305 sites during the summertime (May-June-July-August-September). Spatial patterns are visualized by mapping optimal curve fitting coefficients across the Unites States. An analysis of efficiency curves and their spatial patterns will be presented.
Chesters, Adam; Grieve, Phillip H; Hodgetts, Timothy J
2014-04-01
The use of helicopter emergency medical services (HEMS) has increased substantially in the United Kingdom since 1987. There are currently no data on the rate of crashes and serious incidents related to HEMS in the United Kingdom. The aims of this article were to present data from a 26-year period since the start of HEMS operations in the United Kingdom and to compare them with published data from Germany, Australia, and the United States. Factors identified as affecting the safety of HEMS operations will also be discussed. A PubMed search was performed to retrieve published data on accident rates and safety discussions for international HEMS using the key words HEMS, helicopter, emergency medical services, accident, incident, and crash. The details of every helicopter crash in the United States since the beginning of HEMS operations was obtained and reviewed to identify those that involved HEMS aircraft. This novel UK information was compared with published data from three international systems. A total of 13 accidents or serious incidents involving HEMS aircraft were identified from Civil Aviation Authority records, only 1 of which was a fatal accident. It was estimated that approximately 230,000 HEMS missions occurred in the United Kingdom between 1987 and 2013, giving an absolute accident incidence of approximately 0.0057% and a fatal accident incidence of approximately 0.00043%. The accident and fatal accident rate per 10,000 missions in the United Kingdom was 0.57 and 0.04, respectively. This compares with published rates from Germany, Australia, and the United States with accident rate per 10,000 missions ranging between 0.57 and 0.75 and fatal accident rates per 10,000 missions ranging between 0.04 and 0.23. Accidents and serious incidents relating to HEMS operations in the United Kingdom have been comprehensively identified for the first time, allowing an estimation of overall accident and fatal accident rates and comparison with other countries' HEMS operations. Data collection and analysis were hampered by obscurity of data sources and poor availability of data. In a time of increasing HEMS use in the United Kingdom, it is essential to be mindful of safety, and standardization of data collection will improve focus in this important area.
Obstetric emergencies at the United States–Mexico border crossings in El Paso, Texas
McDonald, Jill A.; Rishel, Karen; Escobedo, Miguel A.; Arellano, Danielle E.; Cunningham, Timothy J.
2015-01-01
Objective To describe the frequency, characteristics, and patient outcomes for women who accessed Emergency Medical Services (EMS) for obstetric emergencies at the ports of entry (POE) between El Paso, Texas, United States of America, and Ciudad Juárez, Chihuahua, Mexico. Methods A descriptive study of women 12–49 years of age for whom an EMS ambulance was called to an El Paso POE location from December 2008–April 2011 was conducted. Women were identified through surveillance of EMS records. EMS and emergency department (ED) records were abstracted for all women through December 2009 and for women with an obstetric emergency through April 2011. For obstetric patients admitted to the hospital, additional prenatal and birth characteristics were collected. Frequencies and proportions were estimated for each variable; differences between residents of the United States and Mexico were tested. Results During December 2008–December 2009, 47.6% (68/143) of women receiving EMS assistance at an El Paso POE had an obstetric emergency, nearly 20 times the proportion for Texas overall. During December 2008–April 2011, 60.1% (66/109) of obstetric patients with ED records were admitted to hospital and 52 gave birth before discharge. Preterm birth (23.1%; No. = 12), low birth weight (9.6%; No. = 5), birth in transit (7.7%; No. = 4), and postpartum hemorrhage (5.8%; No. = 3) were common; fewer than one-half the women (46.2%; No. = 24) had evidence of prenatal care. Conclusions The high proportion of obstetric EMS transports and high prevalence of complications in this population suggest a need for binational risk reduction efforts. PMID:25915011
Space shuttle operations at the NASA Kennedy Space Center: the role of emergency medicine
NASA Technical Reports Server (NTRS)
Rodenberg, H.; Myers, K. J.
1995-01-01
The Division of Emergency Medicine at the University of Florida coordinates a unique program with the NASA John F. Kennedy Space Center (KSC) to provide emergency medical support (EMS) for the United States Space Transportation System. This report outlines the organization of the KSC EMS system, training received by physicians providing medical support, logistic and operational aspects of the mission, and experiences of team members. The participation of emergency physicians in support of manned space flight represents another way that emergency physicians provide leadership in prehospital care and disaster management.
Space shuttle operations at the NASA Kennedy Space Center: the role of emergency medicine.
Rodenberg, H; Myers, K J
1995-01-01
The Division of Emergency Medicine at the University of Florida coordinates a unique program with the NASA John F. Kennedy Space Center (KSC) to provide emergency medical support (EMS) for the United States Space Transportation System. This report outlines the organization of the KSC EMS system, training received by physicians providing medical support, logistic and operational aspects of the mission, and experiences of team members. The participation of emergency physicians in support of manned space flight represents another way that emergency physicians provide leadership in prehospital care and disaster management.
Page, William R.; Parcher, Jean W.; Stefanov, Jim
2013-01-01
Natural hazards such as earthquakes, landslides and debris flows, wildfires, hurricanes, and intense storm-induced flash floods threaten communities to varying degrees all along the United States–Mexican border. The U.S. Geological Survey (USGS) collaborates with Federal, State, and local agencies to minimize the effects of natural hazards by providing timely, unbiased science information to emergency response officials, resource managers, and the public to help reduce property damage, injury, and loss of life. The USGS often mobilizes response efforts during and after a natural hazard event to provide technical and scientific counsel on recovery and response, and it has a long history of deploying emergency response teams to major disasters in both domestic and international locations. This chapter describes the challenges of natural hazards in the United States–Mexican border region and the capabilities of the USGS in the fields of hazard research, monitoring, and assessment, as well as preventative mitigation and post-disaster response.
Trump, Benjamin D
2017-11-01
Synthetic biology is an emerging technology with potential benefits to various fields, yet also contains potential risks to human and environmental health. The field remains in an emerging state with limited quantitative guidance and a small but growing population of international researchers that conduct work within this field. Given the uncertain nature of this technology, an adaptive and anticipatory governance framework may be necessary to balance the potential benefits that may accrue from the technology's continued research alongside a desire to reduce or eliminate potential risks that may arise. However, such developments must account for the unique political and institutional factors that form a government's risk culture - something that can facilitate or impede the development of adaptive synthetic biology governance moving forward. The TAPIC framework helps illustrate those factors that are essential to develop good governance for emerging technologies like synthetic biology. Specifically, an application of TAPIC to synthetic biology governance indicates that the factors of accountability, participation, and integrity must be bolstered to improve technology governance in governments like with the United States, European Union, and Singapore. Copyright © 2017. Published by Elsevier B.V.
48 CFR 370.702 - Solicitation provision.
Code of Federal Regulations, 2011 CFR
2011-10-01
... implementation of HIV/AIDS programs under the President's Emergency Plan for AIDS Relief; or where the contractor will receive funding under the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act...
48 CFR 370.702 - Solicitation provision.
Code of Federal Regulations, 2013 CFR
2013-10-01
... implementation of HIV/AIDS programs under the President's Emergency Plan for AIDS Relief; or where the contractor will receive funding under the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act...
48 CFR 370.702 - Solicitation provision.
Code of Federal Regulations, 2014 CFR
2014-10-01
... implementation of HIV/AIDS programs under the President's Emergency Plan for AIDS Relief; or where the contractor will receive funding under the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act...
48 CFR 370.702 - Solicitation provision.
Code of Federal Regulations, 2012 CFR
2012-10-01
... implementation of HIV/AIDS programs under the President's Emergency Plan for AIDS Relief; or where the contractor will receive funding under the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act...
15 CFR 970.2503 - Suspension of exploration activities.
Code of Federal Regulations, 2010 CFR
2010-01-01
... REGULATIONS OF THE ENVIRONMENTAL DATA SERVICE DEEP SEABED MINING REGULATIONS FOR EXPLORATION LICENSES Pre... environment. Upon receipt of notice of the emergency order, the United States citizen engaged in the...
31 CFR 595.507 - Authorization of emergency medical services.
Code of Federal Regulations, 2010 CFR
2010-07-01
... (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY TERRORISM SANCTIONS REGULATIONS... located in the United States is authorized, provided that any payment for such services requires prior...
ERIC Educational Resources Information Center
Edington, Everett; And Others
The energy manpower research project was established to review the process used to identify skills needed in emerging energy sources and to discover any new occupations for which additional post-high school, vocational/technical training would be needed. A supplemental part of the project was the development of a solar energy instructional module.…
Pathogenic lineage of Perkinsea associated with mass mortality of frogs across the United States
Isidoro Ayza, Marcos; Lorch, Jeffrey M.; Grear, Daniel A.; Winzeler, Megan; Calhoun, Daniel L.; Barichivich, William J.
2017-01-01
Emerging infectious diseases such as chytridiomycosis and ranavirus infections are important contributors to the worldwide decline of amphibian populations. We reviewed data on 247 anuran mortality events in 43 States of the United States from 1999–2015. Our findings suggest that a severe infectious disease of tadpoles caused by a protist belonging to the phylum Perkinsea might represent the third most common infectious disease of anurans after ranavirus infections and chytridiomycosis. Severe Perkinsea infections (SPI) were systemic and led to multiorganic failure and death. The SPI mortality events affected numerous anuran species and occurred over a broad geographic area, from boreal to subtropical habitats. Livers from all PCR-tested SPI-tadpoles (n = 19) were positive for the Novel Alveolate Group 01 (NAG01) of Perkinsea, while only 2.5% histologically normal tadpole livers tested positive (2/81), suggesting that subclinical infections are uncommon. Phylogenetic analysis demonstrated that SPI is associated with a phylogenetically distinct clade of NAG01 Perkinsea. These data suggest that this virulent Perkinsea clade is an important pathogen of frogs in the United States. Given its association with mortality events and tendency to be overlooked, the potential role of this emerging pathogen in amphibian declines on a broad geographic scale warrants further investigation.
A High Resolution Tropical Cyclone Power Outage Forecasting Model for the Continental United States
NASA Astrophysics Data System (ADS)
Pino, J. V.; Quiring, S. M.; Guikema, S.; Shashaani, S.; Linger, S.; Backhaus, S.
2017-12-01
Tropical cyclones cause extensive damage to the power infrastructure system throughout the United States. This damage can leave millions without power for extended periods of time, as most recently seen with Hurricane Matthew (2016). Accurate and timely prediction of power outages are essential for utility companies, emergency management agencies, and governmental organizations. Here we present a high-resolution (250 m x 250 m) hurricane power outage model for the United States. The model uses only publicly-available data to make predictions. It uses forecasts of storm variables such as maximum 3-second wind gust, duration of strong winds > 20 m s-2, soil moisture, and precipitation. It also incorporates static environmental variables such as elevation characteristics, land cover type, population density, tree species data, and root zone depth. A web tool was established for use by the Department of Energy (DOE) so that the model can be used for real-time outage forecasting or for synthetic tropical cyclones as an exercise in emergency management. This web tool provides DOE decision-makers with high impact analytic results and products that can be disseminated to federal, local, and state agencies. The results then aid utility companies in their pre- and post-storm activities, thus decreasing restoration times and lowering costs.
A Snapshot of State Regulatory Framework Development in Elementary and Secondary Online Education
ERIC Educational Resources Information Center
Stedrak, Luke J.; Rose, Amanda L.
2015-01-01
With the advent and growth of elementary and secondary online education in the United States, teaching and learning has undergone radical change with unimagined alternatives to traditional brick-and-mortar classrooms, and online education is here to stay. Law and policy in some states has lagged behind the emergence of online K-12 education. The…
Charting the Emergence of Corporate Procurement of Utility-Scale PV |
Jeffrey J. Cook Though most large-scale solar photovoltaic (PV) deployment has been driven by utility corporate interest in renewables as more companies are recognizing that solar PV can provide clean United States highlighting states with utility-scale solar PV purchasing options Figure 2. States with
N.L. Dart; G.A. Chastagner
2008-01-01
The number and retail value of plants destroyed in Washington state nurseries due to Phytophthora ramorum quarantine efforts was estimated using Emergency Action Notification forms (EANs) issued by the United States Department of Agriculture Animal and Plant Health Inspection Service between 2004 and 2005. Data collected from EANs indicate that...
Mehrotra, Abhishek; Sklar, David P; Tayal, Vivek S; Kocher, Keith E; Handel, Daniel A; Myles Riner, R
2010-12-01
This article is drawn from a report created for the American College of Emergency Physicians (ACEP) Emergency Department (ED) Categorization Task Force and also reflects the proceedings of a breakout session, "Beyond ED Categorization-Matching Networks to Patient Needs," at the 2010 Academic Emergency Medicine consensus conference, "Beyond Regionalization: Integrated Networks of Emergency Care." The authors describe a brief history of the significant national and state efforts at categorization and suggest reasons why many of these efforts failed to persevere or gain wider implementation. The history of efforts to categorize hospital (and ED) emergency services demonstrates recognition of the potential benefits of categorization, but reflects repeated failures to implement full categorization systems or limited excursions into categorization through licensing of EDs or designation of receiving and referral facilities. An understanding of the history of hospital and ED categorization could better inform current efforts to develop categorization schemes and processes. 2010 by the Society for Academic Emergency Medicine.
Vassallo, Amy J; Hiller, Claire; Stamatakis, Emmanuel; Pappas, Evangelos
2017-09-01
Dance is a popular activity associated with many physical and mental health benefits, but injuries are a concern for all skill levels. Previous studies have focused on professional dancers or particular genres, meaning the population-wide characteristics of injuries is unknown. This study's objective was to identify the incidence and types of dance-related injuries evaluated in emergency departments in the United States over the 14-year period 2000-2013. Data were obtained from the nationally representative National Electronic Injury Surveillance System from 2000-2013. National estimates of injuries were determined using complex sample design. Trends using 2-year intervals were calculated using linear regression and injury proportion ratios using Pearson's X2. The average annual incidence of dance-related injuries requiring emergency medical attention was 17,145 per year. The number of injuries grew from 14,204 in 2000/1 to 21,356 in 2012/3, a change of 33.4% after accounting for population growth. Lower limb injuries were most common, particularly ankle and knee sprains. Females presented with a greater proportion of ankle (injury proportion ratio [IPR]=1.34, p=0.029) and foot sprains (IPR=2.11, p<0.001) but a lower proportion of shoulder sprains (IPR=0.41, p<0.001) and face lacerations (IPR=0.13, p<0.001). Younger dancers presented with a lower proportion of knee (IPR=0.79, p=0.006) and low back sprains (IPR=0.68, p=0.019). The average annual incidence of dance-related injuries of a serious enough nature to require presentation to the emergency department in the United States was 17,145 per year, with ankle and knee sprains being the most common. Injury numbers have increased in recent years.
ERIC Educational Resources Information Center
Goldberg, Abbie E.; Kuvalanka, Katherine A.
2012-01-01
The debate over whether same-sex couples should be allowed to enter into civil marriages continues in the United States. Forty-nine adolescents and emerging adults (ages 14-29) with lesbian, gay, and bisexual parents were interviewed for the current exploratory study, which examined how individuals perceived themselves and their families as being…
Miranda H. Mockrin; Sarah E. Reed; Liba Pejchar; Jessica Salo
2017-01-01
Housing development has emerged as a primary driver of land-use change around the world. In the United States, there is particular concern about low-density residential development on rural lands, which often occurs in places with abundant natural amenities. Conservation development (CD), housing development that incorporates protected open space, has emerged as a tool...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-29
... International Emergency Economic Powers Act (50 U.S.C. 1701, et seq. (2006 & Supp. IV 2010)) (``IEEPA..., license, or order issued under the International Emergency Economic Powers Act (50 U.S.C. 1701-1706); 18 U... United States any item subject to the Regulations with knowledge or reason to know that the item will be...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-29
...'') was convicted of violating the International Emergency Economic Powers Act (50 U.S.C. 1701, et seq..., license, or order issued under the International Emergency Economic Powers Act (50 U.S.C. 1701-1706); 18.... Obtain from the Denied Person in the United States any item subject to the Regulations with knowledge or...
ERIC Educational Resources Information Center
Miller, Laura M.
2011-01-01
Objective: To investigate the availability of emergency contraceptive pills (ECPs) at college health centers since ECP went over-the-counter (OTC) in 2006. Related issues, such as distribution procedure, existence of a written protocol, personnel involved, contraindications, follow-up procedures, methods of advertising, and staff attitudes, were…
ERIC Educational Resources Information Center
Tucker, Jalie A.; Cheong, JeeWon; Chandler, Susan D.
2016-01-01
Natural health information sources used by African-American emerging adults were investigated to identify sources associated with high and low substance-related risk. Participants (110 males, 234 females; M age = 18.9 years) were recruited using respondent-driven sampling, and structured interviews assessed substance use, sources of health…
ERIC Educational Resources Information Center
Roundcount, Travis R.
2010-01-01
Across the United States, many communities are concerned with the prevention and response to school violence. To address their concerns, school districts and emergency responders (law enforcement) have increased their use of technological information when planning for and responding to a crisis event. There are many different types of security…
ERIC Educational Resources Information Center
Fairclough, Marta; Belpoliti, Flavia
2016-01-01
This pilot study identifies some lexical aspects of the emerging writing skills in Spanish among receptive English/Spanish bilingual students with little or no exposure to formal study of the home language upon entering a Spanish Heritage Language Program at a large public university in the Southwestern United States. The 200+ essays analyzed in…
ERIC Educational Resources Information Center
Zascavage, Victoria Selden; McKenzie, Ginger Kelley; Buot, Max; Woods, Carol; Orton-Gillingham, Fellow
2012-01-01
This study compared word recognition for words written in a traditional flat font to the same words written in a three-dimensional appearing font determined to create a right hemispheric stimulation. The participants were emergent readers enrolled in Montessori schools in the United States learning to read basic CVC (consonant, vowel, consonant)…
Code of Federal Regulations, 2013 CFR
2013-01-01
... Constitution and the laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA... America, find that the actions and policies of certain members of the Government of Yemen and others...
31 CFR Appendix B to Part 589 - Executive Order 13661
Code of Federal Regulations, 2014 CFR
2014-07-01
... Constitution and the laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.) (NEA), section 212(f) of the Immigration and Nationality Act of 1952 (8 U.S.C. 1182(f)), and section 301 of title...
ERIC Educational Resources Information Center
Jeffery, Ryan M.; Dickinson, Laura; Ng, Nicholas D.; DeGeorge, Lindsey M.; Nable, Jose V.
2017-01-01
Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer…
77 FR 57088 - Agency Information Collection Activities; Proposed Collection; Public Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-17
... States, and to continue planning for future emergencies that are national in scope, detailed information... the Surgeon General. MRC Unit Leaders are asked to update this information on the MRC Web site at... Total burden respondents respondent per response hours MRC Unit Leader 1,000 6 1.0 6,000 Keith A. Tucker...
Silveri, Marisa M.
2015-01-01
Alcohol use typically is initiated during adolescence, an age period that overlaps with critical structural and functional maturation of the brain. Brain maturation and associated improvements in decision-making continue into the second decade of life, reaching plateaus within the period referred to as “emerging adulthood” (18–24 years). Emerging adulthood is the typical age span of the traditionally aged college student, which includes the age (21 years) when alcohol consumption becomes legal in the United States. This review highlights neurobiological evidence indicating the vulnerabilities of the emerging adult brain to alcohol effects. This review also identifies that reduced sensitivity to alcohol sedation and increased sensitivity to alcohol-related disruptions in memory, positive family history of alcoholism effects on brain structure and function, and emerging co-morbid psychiatric conditions serve as unique vulnerabilities that increase the risks associated with underage alcohol use. These vulnerabilities likely contribute to excessive and unsupervised drinking in college students. Discouraging alcohol consumption until neurobiological adulthood is reached is important for minimizing alcohol-related disruptions in brain development and decision-making capacity, and reducing the negative behavioral consequences associated with underage alcohol use. PMID:22894728
Putzer, Gavin J; Park, Yangil
2012-01-01
The smartphone has emerged as an important technological device to assist physicians with medical decision making, clinical tasks, and other computing functions. A smartphone is a device that combines mobile telecommunication with Internet accessibility as well as word processing. Moreover, smartphones have additional features such as applications pertinent to clinical medicine and practice management. The purpose of this study was to investigate the innovation factors that affect a physician's decision to adopt an emerging mobile technological device such as a smartphone. The study sample consisted of 103 physicians from community hospitals and academic medical centers in the southeastern United States. Innovation factors are elements that affect an individual's attitude toward using and adopting an emerging technology. In our model, the innovation characteristics of compatibility, job relevance, the internal environment, observability, personal experience, and the external environment were all significant predictors of attitude toward using a smartphone. These influential innovation factors presumably are salient predictors of a physician's attitude toward using a smartphone to assist with clinical tasks. Health information technology devices such as smartphones offer promise as a means to improve clinical efficiency, medical quality, and care coordination and possibly reduce healthcare costs. PMID:22737094
New Orleans Charity Hospital--your trauma center at work.
Stockinger, Zsolt T; Holloway, Vicki L; McSwain, Norman E; Thomas, Dwayne; Fontenot, Cathi; Hunt, John P; Mederos, Eileen; Hewitt, Robert L
2004-01-01
The Medical Center of Louisiana at New Orleans-Charity Hospital stands with pride as one of only two level I trauma centers in the state and one of the largest trauma centers in the United States, seeing over 4,000 trauma patients per year. Despite perennial funding issues, Charity Hospital's Emergency Department treated almost 200,000 patients in 2003. This brief report gives an overview of the emergency- and trauma-related services provided by Charity Hospital and underscores its value as a critical asset to healthcare in the Louisiana.
Hogan, Teresita M; Olade, Tolulope Oyeyemi; Carpenter, Christopher R
2014-03-01
The aging of America poses a challenge to emergency departments (EDs). Studies show that elderly patients have poor outcomes despite increased testing, prolonged periods of observation, and higher admission rates. In response, emergency medicine (EM) leaders have implemented strategies for improved ED elder care, enhancing expertise, equipment, policies, and protocols. One example is the development of geriatric EDs gaining in popularity nationwide. To the authors' knowledge, this is the first research to systematically identify and qualitatively characterize the existence, locations, and features of geriatric EDs across the United States. The primary objective was to determine the number, distribution, and characteristics of geriatric EDs in the United States in 2013. This was a survey with potential respondents identified via a snowball sampling of known geriatric EDs, EM professional organizations' geriatric interest groups, and a structured search of the Internet using multiple search engines. Sites were contacted by telephone, and those confirming geriatric EDs presence received the survey via e-mail. Category questions included date of opening, location, volumes, staffing, physical plant changes, screening tools, policies, and protocols. Categories were reported based on general interest to those seeking to understand components of a geriatric ED. Thirty-six hospitals confirmed geriatric ED existence and received surveys. Thirty (83%) responded to the survey and confirmed presence or plans for geriatric EDs: 24 (80%) had existing geriatric EDs, and six (20%) were planning to open geriatric EDs by 2014. The majority of geriatric EDs are located in the Midwest (46%) and Northeast (30%) regions of the United States. Eighty percent serve from 5,000 to 20,000 elder patients annually. Seventy percent of geriatric EDs are attached to the main ED, and 66% have from one to 10 geriatric beds. Physical plant changes include modifications to beds (96%), lighting (90%), flooring (83%), visual aids (73%), and sound level (70%). Seventy-seven percent have staff overlapping with the nongeriatric portion of their ED, and 80% require geriatric staff didactics. Sixty-seven percent of geriatric EDs report discharge planning for geriatric ED patients, and 90% of geriatric EDs had direct follow-up through patient callbacks. The snowball sample identification of U.S. geriatric EDs resulted in 30 confirmed respondents. There is significant variation in the components constituting a geriatric ED. The United States should consider external validation of self-identified geriatric EDs to standardize the quality and type of care patients can expect from an institution with an identified geriatric ED. © 2014 by the Society for Academic Emergency Medicine.
Emergency Contraception: Do Your Patients Have a Plan B?
Bullock, Holly; Salcedo, Jennifer
2015-12-01
Emergency contraception is used after unprotected sex, inadequately protected sex, or sexual assault to reduce the risk of pregnancy. Of emergency contraceptive methods available in the United States, the copper intrauterine device has the highest efficacy, followed by ulipristal acetate, levonorgestrel-containing emergency contraceptive pills, and the Yuzpe method. However, access to the most effective methods is limited. Although advanced prescription of emergency contraceptive pills and counseling on emergency contraception to all reproductive-aged women is recommended, women should be advised to contact their health care providers after taking emergency contraceptive pills to discuss possible copper intrauterine device placement and other follow-up. Copyright © 2015 Elsevier Inc. All rights reserved.
Advertising emergency department wait times.
Weiner, Scott G
2013-03-01
Advertising emergency department (ED) wait times has become a common practice in the United States. Proponents of this practice state that it is a powerful marketing strategy that can help steer patients to the ED. Opponents worry about the risk to the public health that arises from a patient with an emergent condition self-triaging to a further hospital, problems with inaccuracy and lack of standard definition of the reported time, and directing lower acuity patients to the higher cost ED setting instead to primary care. Three sample cases demonstrating the pitfalls of advertising ED wait times are discussed. Given the lack of rigorous evidence supporting the practice and potential adverse effects to the public health, caution about its use is advised.
Venomous snakebites in the United States: management review and update.
Juckett, Gregory; Hancox, John G
2002-04-01
Venomous snakebites, although uncommon, are a potentially deadly emergency in the United States. Rattlesnakes cause most snakebites and related fatalities. Venomous snakes in the United States can be classified as having hemotoxic or neurotoxic venom. Patients with venomous snakebites present with signs and symptoms ranging from fang marks, with or without local pain and swelling, to life-threatening coagulopathy, renal failure, and shock. First-aid techniques such as arterial tourniquets, application of ice, and wound incisions are ineffective and can be harmful; however, suction with a venom extractor within the first five minutes after the bite may be useful. Conservative measures, such as immobilization and lymphatic constriction bands, are now advocated until emergency care can be administered. Patients with snakebites should undergo a comprehensive work-up to look for possible hematologic, neurologic, renal, and cardiovascular abnormalities. Equine-derived antivenin is considered the standard of care; however, a promising new treatment is sheep-derived antigen binding fragment ovine (CroFab), which is much less allergenic. Although there is no universal grading system for snakebites, a I through IV grading scale is clinically useful as a guide to antivenin administration. Surgical intervention with fasciotomy is now reserved for rare cases. Snakebite prevention should be taught to patients.
Vallabhaneni, Snigdha; Kallen, Alex; Tsay, Sharon; Chow, Nancy; Welsh, Rory; Kerins, Janna; Kemble, Sarah K; Pacilli, Massimo; Black, Stephanie R; Landon, Emily; Ridgway, Jessica; Palmore, Tara N; Zelzany, Adrian; Adams, Eleanor H; Quinn, Monica; Chaturvedi, Sudha; Greenko, Jane; Fernandez, Rafael; Southwick, Karen; Furuya, E Yoko; Calfee, David P; Hamula, Camille; Patel, Gopi; Barrett, Patricia; Lafaro, Patricia; Berkow, Elizabeth L; Moulton-Meissner, Heather; Noble-Wang, Judith; Fagan, Ryan P; Jackson, Brendan R; Lockhart, Shawn R; Litvintseva, Anastasia P; Chiller, Tom M
2016-11-11
Candida auris, an emerging fungus that can cause invasive infections, is associated with high mortality and is often resistant to multiple antifungal drugs. C. auris was first described in 2009 after being isolated from external ear canal discharge of a patient in Japan (1). Since then, reports of C. auris infections, including bloodstream infections, have been published from several countries, including Colombia, India, Israel, Kenya, Kuwait, Pakistan, South Africa, South Korea, Venezuela, and the United Kingdom (2-7). To determine whether C. auris is present in the United States and to prepare for the possibility of transmission, CDC issued a clinical alert in June 2016 informing clinicians, laboratorians, infection control practitioners, and public health authorities about C. auris and requesting that C. auris cases be reported to state and local health departments and CDC (8). This report describes the first seven U.S. cases of C. auris infection reported to CDC as of August 31, 2016. Data from these cases suggest that transmission of C. auris might have occurred in U.S. health care facilities and demonstrate the need for attention to infection control measures to control the spread of this pathogen.
Emergency Department Use by Centenarians: The 2008 Nationwide Emergency Department Sample
Howell, Embry M.; McHugh, Megan Colleen
2013-01-01
Introduction Older adults have higher rates of emergency department use than do younger adults, and the number of centenarians is expected to increase. The objective of this study was to examine centenarians’ use of the emergency department in the United States, including diagnoses, charges, and disposition. Methods The 2008 Nationwide Emergency Department Sample, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality provided encounter-level data on emergency department visits and weights for producing nationwide estimates. From this data set, we collected patient characteristics including age, sex, primary diagnosis, and disposition. We used χ2 tests and t tests to test for significant differences among people aged 80 to 89, 90 to 99, and 100 years or older. Results Centenarians had a lower rate of emergency department use than those aged 90 to 99 (736 per 1,000 vs 950 per 1,000; P < .05). We found no significant difference in use between centenarians and those aged 80 to 89. The most common diagnoses for centenarians were superficial injuries (5.8% of visits), pneumonia (5.1%), and urinary tract infections (5.1%). Centenarians were more likely to visit the emergency department for fall-related injuries (21.5%) than those aged 80 to 89 (14.1%; P < .05) and 90 to 99 (18.7%; P < .05). Centenarians were more likely to die in the emergency department (2.0%) than were those aged 80 to 89 (0.6%; P < .05) and 90 to 99 (0.7%; P < .05). Conclusion Centenarians in emergency departments in the United States have different diagnoses, conditions, and outcomes than other older Americans. PMID:24286272
... EEE is one of the most severe mosquito-transmitted diseases in the United States with approximately 33% mortality ... Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Vector-Borne Diseases (DVBD) Email Recommend Tweet YouTube Instagram Listen Watch ...
44 CFR 15.10 - Soliciting, vending, and debt collection.
Code of Federal Regulations, 2012 CFR
2012-10-01
..., DEPARTMENT OF HOMELAND SECURITY GENERAL CONDUCT AT THE MT. WEATHER EMERGENCY ASSISTANCE CENTER AND AT THE... United States Fire Administration or the Mt. Weather Executive Director approve the activities in writing...
44 CFR 15.10 - Soliciting, vending, and debt collection.
Code of Federal Regulations, 2013 CFR
2013-10-01
..., DEPARTMENT OF HOMELAND SECURITY GENERAL CONDUCT AT THE MT. WEATHER EMERGENCY ASSISTANCE CENTER AND AT THE... United States Fire Administration or the Mt. Weather Executive Director approve the activities in writing...
44 CFR 15.10 - Soliciting, vending, and debt collection.
Code of Federal Regulations, 2010 CFR
2010-10-01
..., DEPARTMENT OF HOMELAND SECURITY GENERAL CONDUCT AT THE MT. WEATHER EMERGENCY ASSISTANCE CENTER AND AT THE... United States Fire Administration or the Mt. Weather Executive Director approve the activities in writing...
44 CFR 15.10 - Soliciting, vending, and debt collection.
Code of Federal Regulations, 2011 CFR
2011-10-01
..., DEPARTMENT OF HOMELAND SECURITY GENERAL CONDUCT AT THE MT. WEATHER EMERGENCY ASSISTANCE CENTER AND AT THE... United States Fire Administration or the Mt. Weather Executive Director approve the activities in writing...
44 CFR 15.10 - Soliciting, vending, and debt collection.
Code of Federal Regulations, 2014 CFR
2014-10-01
..., DEPARTMENT OF HOMELAND SECURITY GENERAL CONDUCT AT THE MT. WEATHER EMERGENCY ASSISTANCE CENTER AND AT THE... United States Fire Administration or the Mt. Weather Executive Director approve the activities in writing...
Delaney, J; Al-Kashmiri, A
2005-01-01
Objective: To examine the number and rate of neck injuries in the community as a whole for ice hockey, soccer, and American football by analysing data from patients presenting to emergency departments in the United States from 1990 to 1999. Methods: Data compiled for the US Consumer Product Safety Commission were used to generate estimates for the total number of neck injuries and the more specific diagnoses of neck fractures, dislocations, contusions, sprains, strains, and lacerations occurring nationally from 1990 to 1999. These data were combined with yearly participation figures to generate rates of injury presenting to emergency departments for each sport. Results: There were an estimated 5038 neck injuries from ice hockey, 19 341 from soccer, and 114 706 from American football. These could be broken down as follows: 4964 contusions, sprains, or strains from ice hockey, 17 927 from soccer, and 104 483 from football; 105 neck fractures or dislocations from ice hockey, 214 from soccer, and 1588 from football; 199 neck lacerations for ice hockey, 0 for soccer, and 621 for football. The rates for total neck injuries and combined neck contusions, sprains, or strains were higher for football than for ice hockey or soccer in all years for which data were available. Conclusion: The rate of neck injury in the United States was higher in football than in ice hockey or soccer in the time period studied. PMID:15793079
Delaney, J S; Al-Kashmiri, A
2005-04-01
To examine the number and rate of neck injuries in the community as a whole for ice hockey, soccer, and American football by analysing data from patients presenting to emergency departments in the United States from 1990 to 1999. Data compiled for the US Consumer Product Safety Commission were used to generate estimates for the total number of neck injuries and the more specific diagnoses of neck fractures, dislocations, contusions, sprains, strains, and lacerations occurring nationally from 1990 to 1999. These data were combined with yearly participation figures to generate rates of injury presenting to emergency departments for each sport. There were an estimated 5038 neck injuries from ice hockey, 19,341 from soccer, and 114 706 from American football. These could be broken down as follows: 4964 contusions, sprains, or strains from ice hockey, 17,927 from soccer, and 104 483 from football; 105 neck fractures or dislocations from ice hockey, 214 from soccer, and 1588 from football; 199 neck lacerations for ice hockey, 0 for soccer, and 621 for football. The rates for total neck injuries and combined neck contusions, sprains, or strains were higher for football than for ice hockey or soccer in all years for which data were available. The rate of neck injury in the United States was higher in football than in ice hockey or soccer in the time period studied.
Bringing China In: International Order and the Role of the Great Powers
2013-06-01
France , Russia, Germany, Austria-Hungary, Italy, the United States, and Japan.1 Following WWI, those great powers who were victors called for the...Nationalist China, and France emerged from WWII as the great powers and sought international order in part through establishing the United Nations (UN...Europe, under the authority of the United Kingdom, Austria, Prussia, Russia, and later, France , utilized joint governance in the period between the
Tan, Benjamin H L; Mytton, Jemma; Al-Khyatt, Waleed; Aquina, Christopher T; Evison, Felicity; Fleming, Fergal J; Griffiths, Ewen; Vohra, Ravinder S
2017-08-01
The aim of this study was to compare mortality following emergency laparotomy between populations from New York State and England. Mortality following emergency surgery is a key quality improvement metric in both the United States and UK. Comparison of the all-cause 30-day mortality following emergency laparotomy between populations from New York State and England might identify factors that could improve care. Patient demographics, in-hospital, and 30-day outcomes data were extracted from Hospital Episode Statistics (HES) in England and the New York Statewide Planning and Research Cooperative System (SPARCS) administrative databases for all patients older than 18 years undergoing laparotomy for emergency open bowel surgery between April 2009 and March 2014. The primary outcome measure was all-cause mortality within 30 days of the index laparotomy. Mixed-effects logistic regression was performed to model independent demographic variables against mortality. A one-to-one propensity score matched dataset was created to compare the odd ratios of mortality between the 2 populations. Overall, 137,869 patient records, 85,286 (61.9%) from England and 52,583 (38.1%) from New York State, were extracted. Crude 30-day mortality for patients was significantly higher in the England compared with New York State [11,604 (13.6%) vs 3633 (6.9%) patients, P < 0.001]. Patients undergoing emergency laparotomy in England had significantly higher risk of mortality compared with those in New York State (odds ratio 2.35, confidence interval 2.24-2.46, P < 0.001). The risk of mortality at 30 days is higher following emergency laparotomy in England as compared with New York State despite similar patient groups.
The Present and Future State of Blended Learning in Workplace Learning Settings in the United States
ERIC Educational Resources Information Center
Kim, Kyong-Jee; Bonk, Curtis J.; Oh, Eunjung
2008-01-01
This article reports a survey about blended learning in workplace learning settings. The survey found that blended learning gained popularity in many organizations but also that several barriers exist in implementing it. This survey also includes predictions on instructional strategies, emerging technologies, and evaluation techniques for blended…
2012-02-08
alternatives and resource issues. Agencies and Persons Consulted Jay Burgoon, Environmental Manager, USAFA Jeanie Duncan , Air Quality and Solid Waste Manager...Academy and their conservation. Colorado Natural Heritage Program, Colorado State University, Fort Collins, CO. Fitzgerald , J.P. and R.R
United States-China-India Relationship: An Analysis of the Emergence of a Strategic Triangle
2007-12-14
rules of rational play. The shift from one pattern dynamic to another is a function of the attempts of the players to freeze a given configuration...It seeks only modest or no change in the international system (the relative power status of the major states, the rules governing interaction...
Programs of Study: Development Efforts in Six States
ERIC Educational Resources Information Center
Shumer, Robert; Digby, Cynitha
2013-01-01
Educational reform in the United States is perpetually evolving. Much of the recent reforms have concentrated on high-stakes testing and assessment, but a parallel effort has been emerging in the field of vocational and career education. Prompted partly by federal legislation--most recently by the Carl D. Perkins Career and Technical Education Act…
Differential Epidemiology: IQ, Neuroticism, and Chronic Disease by the 50 U.S. States
ERIC Educational Resources Information Center
Pesta, Bryan J.; Bertsch, Sharon; McDaniel, Michael A.; Mahoney, Christine B.; Poznanski, Peter J.
2012-01-01
Current research shows that geo-political units (e.g., the 50 U.S. states) vary meaningfully on psychological dimensions like intelligence (IQ) and neuroticism (N). A new scientific discipline has also emerged, differential epidemiology, focused on how psychological variables affect health. We integrate these areas by reporting large correlations…
Homeless Students at the School Door.
ERIC Educational Resources Information Center
Pawlas, George E.
1994-01-01
The United States has about 225,000 to 500,000 homeless children. In 1987, Congress passed a comprehensive law to provide emergency and long-term assistance for homeless persons. Under the Stewart B. McKinney Act, states receive funding to investigate homeless children's needs, identify education obstacles, and develop plans to overcome them. Tips…
77 FR 21389 - Unexpected Urgent Refugee and Migration Needs
Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-10
... April 3, 2012 Unexpected Urgent Refugee and Migration Needs Memorandum for the Secretary of State By the... 2(c)(1) of the Migration and Refugee Assistance Act of 1962 (the ``Act''), as amended, (22 U.S.C... United States Emergency Refugee and Migration Assistance Fund, for the purpose of meeting unexpected and...
76 FR 14271 - Unexpected Urgent Refugee and Migration Needs Related to Libya
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-16
... March 7, 2011 Unexpected Urgent Refugee and Migration Needs Related to Libya Memorandum for the... States, including section 2(c)(1) of the Migration and Refugee Assistance Act of 1962 (the ``Act''), as... million from the United States Emergency Refugee and Migration Assistance Fund, for the purpose of meeting...
Pandemic Influenza Planning, United States, 1978–2008
Strikas, Raymond A.; Gensheimer, Kathleen F.; Cox, Nancy J.; Redd, Stephen C.
2013-01-01
During the past century, 4 influenza pandemics occurred. After the emergence of a novel influenza virus of swine origin in 1976, national, state, and local US public health authorities began planning efforts to respond to future pandemics. Several events have since stimulated progress in public health emergency planning: the 1997 avian influenza A(H5N1) outbreak in Hong Kong, China; the 2001 anthrax attacks in the United States; the 2003 outbreak of severe acute respiratory syndrome; and the 2003 reemergence of influenza A(H5N1) virus infection in humans. We outline the evolution of US pandemic planning since the late 1970s, summarize planning accomplishments, and explain their ongoing importance. The public health community’s response to the 2009 influenza A(H1N1)pdm09 pandemic demonstrated the value of planning and provided insights into improving future plans and response efforts. Preparedness planning will enhance the collective, multilevel response to future public health crises. PMID:23731839
Lang, Eddy S; Artz, Jennifer D; Wilkie, Ryan D; Stiell, Ian G; Topping, Claude; Belanger, François P; Afilalo, Marc; Renouf, Tia; Crocco, Anthony; Wyatt, Kelly; Christenson, Jim
2016-05-01
To describe the current state of academic emergency medicine (EM) funding in Canada and develop recommendations to grow and establish sustainable funding. A panel of eight leaders from different EM academic units was assembled. Using mixed methods (including a literature review, sharing of professional experiences, a survey of current EM academic heads, and data previously collected from an environmental scan), 10 recommendations were drafted and presented at an academic symposium. Attendee feedback was incorporated, and the second set of draft recommendations was further distributed to the Canadian Association Emergency Physicians (CAEP) Academic Section for additional comments before being finalized. Recommendations were developed around the funding challenges identified and solutions developed by academic EM university-based units across Canada. A strategic plan was seen as integral to achieving strong funding of an EM unit, especially when it aligned with departmental and institutional priorities. A business plan, although occasionally overlooked, was deemed an important component for planning and sustaining the academic mission. A number of recommendations surrounding philanthropy consisted of creating partnerships with existing foundations and engaging multiple stakeholders and communities. Synergy between academic and clinical EM departments was also viewed as an opportunity to ensure integration of common missions. Education and networking for current and future leaders were also viewed as invaluable to ensure that opportunities are optimized through strong leadership development and shared experiences to further the EM academic missions across the country. These recommendations were designed to improve the financial circumstances for many Canadian EM units. There is a considerable wealth of resources that can contribute to financial stability for an academic unit, and an annual networking meeting and continuing education on these issues will facilitate more rapid implementation of these recommendations.
Duong, Hieu V; Herrera, Lauren Nicholas; Moore, Justin Xavier; Donnelly, John; Jacobson, Karen E; Carlson, Jestin N; Mann, N Clay; Wang, Henry E
2018-01-01
Older adults, those aged 65 and older, frequently require emergency care. However, only limited national data describe the Emergency Medical Services (EMS) care provided to older adults. We sought to determine the characteristics of EMS care provided to older adults in the United States. We used data from the 2014 National Emergency Medical Services Information System (NEMSIS), encompassing EMS response data from 46 States and territories. We excluded EMS responses for children <18 years, interfacility transports, intercepts, non-emergency medical transports, and standby responses. We defined older adults as age ≥65 years. We compared patient demographics (age, sex, race, primary payer), response characteristics (dispatch time, location type, time intervals), and clinical course (clinical impression, injury, procedures, medications) between older and younger adult EMS emergency 9-1-1 responses. During the study period there were 20,212,245 EMS emergency responses. Among the 16,116,219 adult EMS responses, there were 6,569,064 (40.76%) older and 9,547,155 (59.24%) younger adults. Older EMS patients were more likely to be white and the EMS incident to be located in healthcare facilities (clinic, hospital, nursing home). Compared with younger patients, older EMS patients were more likely to present with syncope (5.68% vs. 3.40%; OR 1.71; CI: 1.71-1.72), cardiac arrest/rhythm disturbance (3.27% vs. 1.69%; OR 1.97; CI: 1.96-1.98), stroke (2.18% vs. 0.74%; OR 2.99; CI: 2.96-3.02) and shock (0.77% vs. 0.38%; OR 2.02; CI: 2.00-2.04). Common EMS interventions performed on older persons included intravenous access (32.02%), 12-lead ECG (14.37%), CPR (0.87%), and intubation (2.00%). The most common EMS drugs administered to older persons included epinephrine, atropine, furosemide, amiodarone, and albuterol or ipratropium. One of every three U.S. EMS emergency responses involves older adults. EMS personnel must be prepared to care for the older patient.
Approaches to Global Education in the United States, The United Kingdom and Japan
NASA Astrophysics Data System (ADS)
Fujikane, Hiroko
2003-03-01
This paper analyses approaches to global education in the United States, the United Kingdom and Japan. The paper begins by looking at movements that preceded global education, such as education for international understanding, development education, multicultural education, and peace education. The rise and fall of these earlier movements is analysed in terms of the interplay between the international and domestic politics of particular countries. To identify the world views which underpinned these pedagogic forms, the author discusses various discontinuities between the period up to the 1990s and thereafter. It is suggested that fresh forms of global education are emerging in - and because of - the changed world of the late 20th and early 21st century.
Pernod, Gilles; Caterino, Jeffrey; Maignan, Maxime; Tissier, Cindy; Kassis, Jeannine; Lazarchick, John
2017-01-01
Although diagnostic guidelines are similar, there is a huge difference in pulmonary embolism (PE) prevalence between the United States of America (US) and countries outside the USA (OUS) in the emergency care setting. In this study, we prospectively analyze patients' characteristics and differences in clinical care that may influence PE prevalence in different countries. An international multicenter prospective diagnostic study was conducted in a standard-of-care setting. Consecutive outpatients presenting to the emergency unit and suspected for PE were managed using the Wells score, STA-Liatest® D-Dimers and imaging. The prevalence of PE in the study was 7.9% in low and moderate risk patients. Among the 1060 patients with low or moderate pre-test probability (PTP), PE prevalence was four times higher in OUS (10.7%) than in the US (2.5%) (P < 0.0001). The mean number of imaging procedures performed for one new PE diagnosis was 3.3 in OUS vs 17 in the US (P < 0.001). Stopping investigation in the case of negative D-dimers (DD combined) with low/moderate PTP was more frequent in OUS (92.7%) than in the US (75.7%) (P < 0.01). Moreover, the use of imaging was much higher in the US (44.4% vs 19.2% in OUS) in the case of moderate PTP combined with negative DD. Differences between US and OUS PE prevalence in emergency setting might be explained by differences in patients' characteristics and mostly in care patterns. US physicians performed computed tomographic pulmonary angiography more often than in Europe in cases of low/moderate PTP combined with negative DD. ClinicalTrials.gov NCT01221805.
Sarin, Ritu R; Cattamanchi, Srihari; Alqahtani, Abdulrahman; Aljohani, Majed; Keim, Mark; Ciottone, Gregory R
2017-08-01
The increase in natural and man-made disasters occurring worldwide places Emergency Medicine (EM) physicians at the forefront of responding to these crises. Despite the growing interest in Disaster Medicine, it is unclear if resident training has been able to include these educational goals. Hypothesis This study surveys EM residencies in the United States to assess the level of education in Disaster Medicine, to identify competencies least and most addressed, and to highlight effective educational models already in place. The authors distributed an online survey of multiple-choice and free-response questions to EM residency Program Directors in the United States between February 7 and September 24, 2014. Questions assessed residency background and details on specific Disaster Medicine competencies addressed during training. Out of 183 programs, 75 (41%) responded to the survey and completed all required questions. Almost all programs reported having some level of Disaster Medicine training in their residency. The most common Disaster Medicine educational competencies taught were patient triage and decontamination. The least commonly taught competencies were volunteer management, working with response teams, and special needs populations. The most commonly identified methods to teach Disaster Medicine were drills and lectures/seminars. There are a variety of educational tools used to teach Disaster Medicine in EM residencies today, with a larger focus on the use of lectures and hospital drills. There is no indication of a uniform educational approach across all residencies. The results of this survey demonstrate an opportunity for the creation of a standardized model for resident education in Disaster Medicine. Sarin RR , Cattamanchi S , Alqahtani A , Aljohani M , Keim M , Ciottone GR . Disaster education: a survey study to analyze disaster medicine training in emergency medicine residency programs in the United States. Prehosp Disaster Med. 2017;32(4):368-373.
Ultrahigh Temperature Assessment Study: Ceramic Matrix Composites
1992-09-01
UNITED STATES GOVERNMENT INCURS NO RESPONSIBILITY OR ANY OBLJGATION WHATSOEVER. THE FACT THAT THE GOVERNMENT MAY HAVE FORMULATED OR IN ANY WAY...information is state of the art. The conclusions are therefore subject to change as new data, discoveries, or inventions emerge. This is an important...toughness) of state -of-the-art oxide ceramics are currently marginal for structural applications. Hence, a clear knowledge of the fundamental physical
Code of Federal Regulations, 2010 CFR
2010-04-01
..., it is a State military force subject to call-up by the State Governor for duty not subject to Federal control, such as emergency duty in cases of floods or riots. National Guard members may perform service... authority includes active duty performed under Title 10 of the United States Code. Service under Federal...
Code of Federal Regulations, 2011 CFR
2011-04-01
..., it is a State military force subject to call-up by the State Governor for duty not subject to Federal control, such as emergency duty in cases of floods or riots. National Guard members may perform service... authority includes active duty performed under Title 10 of the United States Code. Service under Federal...
... someone you are with overdoses, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.
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 ...
Ten Leading Causes of Death and Injury
... Brain Injury Violence Prevention Ten Leading Causes of Death and Injury Recommend on Facebook Tweet Share Compartir ... Emergency Departments, United States – 2014 Leading Causes of Death Charts Causes of Death by Age Group 2016 [ ...
Emergency Department Visits by Persons Aged 65 and Over: United States, 2009-2010
... on Vital and Health Statistics Annual Reports Health Survey Research Methods Conference Reports from the National Medical Care Utilization and Expenditure Survey Clearinghouse on Health Indexes Statistical Notes for Health ...
ERIC Educational Resources Information Center
Mangual Figueroa, Ariana
2013-01-01
This article draws on a 23 month ethnographic study of an emerging--newly established and rapidly growing--Latino community in the New Latino Diaspora of the U.S. in order to examine how educators and parents interpret language education policy (LEP). It analyzes how an English as a Second Language director and one undocumented Mexican mother…
ERIC Educational Resources Information Center
Wrobel, Gretchen Miller; Grotevant, Harold D.; Samek, Diana R.; Von Korff, Lynn
2013-01-01
The Adoption Curiosity Pathway (ACP) model was used to test the potential mediating effect of curiosity on adoption information-seeking in a sample of 143 emerging adult adoptees (mean age = 25.0 years) who were adopted as infants within the United States by parents of the same race. Adoptees were interviewed about their intentions and actions…
ERIC Educational Resources Information Center
Rosenfeld, Stuart
It is becoming increasingly apparent that rural communities will have to alter their economic patterns as the United States economy shifts and rural areas cannot compete successfully with cities for emerging industries and future jobs. Instead of catering to the large firms and high-tech companies that are expected to predominate in the future,…
ERIC Educational Resources Information Center
Reyes, Lilia M.; Waxman, Laura DeKoven
This survey assesses the status of hunger, homelessness, and poverty in cities in the United States during 1987. The findings include the following: (1) the number of the homeless and the poor had increased and was expected to continue to increase; (2) the demand for emergency food assistance and emergency shelter assistance had increased and was…
Code of Federal Regulations, 2013 CFR
2013-01-01
... Constitution and the laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (IEEPA), the National Emergencies Act (50 U.S.C. 1601 et seq.), section 212(f) of the Immigration and Nationality Act of 1952, as amended (8 U.S.C. 1182(f)), and section...
ERIC Educational Resources Information Center
Swirski, Shlomo
This study presents a theoretical approach to the study of the emergence of movements for political change. It was postulated that changes outside the university role set --industrial systems development, political, military, scientific competition between the United States and Soviet Union-- brought about the following structural changes within…
Special mobile rescue unit can speed recovery
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1977-04-01
Since time is often a matter of life and death in a mine disaster, Mine Emergency Operations (MEO) personnel are prepared to begin rescue work at any mining site in the eastern part of the United States within six hours of notification, and within no more than nine hours in the western United States. The entire MEO force, including vans, trucks, bulldozers to clear and level the drilling site, seismic equipment, and the big drilling rig can be on any site within less than 20 hours of a disaster. The speed of deployment is made possible in some measure bymore » a special agreement between MESA and the United States Air Force, which stands ready 24 hours a day to dispatch giant C-130 cargo aircraft to airlift the tons of bulky MEO equipment. While the big drilling rig is usually taken to disaster sites by highway, it can also be airlifted when necessary.« less
ERIC Educational Resources Information Center
Varelas, Maria; Pappas, Christine C.; Rife, Amy
2006-01-01
The study explores urban second graders' thinking and talking about the concepts of evaporation, boiling, and condensation that emerged in the context of intertextuality within an integrated science-literacy unit on the topic of States of Matter, which emphasized the water cycle. In that unit, children and teacher engaged in a variety of…
DEVELOPMENT OF AN EMERGENCY NURSING TRAINING CURRICULUM IN GHANA
Bell, Sue Anne; Oteng, Rockefeller; Redman, Richard; Lapham, Jeremy; Bam, Victoria; Dzomecku, Veronica; Yakubu, Jamila; Tagoe, Nadia; Donkor, Peter
2014-01-01
The formal provision of emergency health care is a developing specialty in many sub-Saharan African countries, including Ghana. While emergency medicine training programs for physicians are on the rise, there are few established training programs for emergency nurses. The results of a unique collaboration are described between a university in the United States, a Ghanaian university and a Ghanaian teaching hospital that has developed an emergency nursing diploma program. The expected outcomes of this training program include: a) an innovative, interdisciplinary, team-based clinical training model b) a unique and low-resource emergency nursing curriculum and c) a comprehensive and sustainable training program to increase in-country retention of nurses. PMID:24631161
[Mass casualty incidents - current concepts and developments].
Savinsky, Godo; Stuhr, Markus; Kappus, Stefan; Trümpler, Stefan; Wenderoth, Stephan; Wohlers, Jan-Hauke; Paschen, Hans-Richard; Kerner, Thoralf
2014-12-01
Medical concepts and strategies are permanently changing. Due to the emergency response in a mass casualty incident everyone who is involved has to work together with different organisations and public authorities, which are not part of the regular emergency medical service. Within the last 25 years throughout the whole country of Germany the role of a "chief emergency physician" has been implemented and in preparation for the FIFA World Cup 2006 mobile treatment units were set up. In 2007, special units of the "Medical Task Force" - funded by the german state - were introduced and have been established by now. They will be a permanent part of regional plannings for mass casualty incidents. This article highlights current concepts and developments in different parts of Germany. © Georg Thieme Verlag Stuttgart · New York.
Rowland, Julia H; Kent, Erin E; Forsythe, Laura P; Loge, Jon Håvard; Hjorth, Lars; Glaser, Adam; Mattioli, Vittorio; Fosså, Sophie D
2013-06-01
The growing number of cancer survivors worldwide has led to of the emergence of diverse survivorship movements in the United States and Europe. Understanding the evolution of cancer survivorship within the context of different political and health care systems is important for identifying the future steps that need to be taken and collaborations needed to promote research among and enhance the care of those living after cancer. The authors first review the history of survivorship internationally and important related events in both the United States and Europe. Lessons learned from survivorship research are then broadly discussed, followed by examination of the infrastructure needed to sustain and advance this work, including platforms for research, assessment tools, and vehicles for the dissemination of findings. Future perspectives concern the identification of collaborative opportunities for investigators in Europe and the United States to accelerate the pace of survivorship science going forward. Copyright © 2013 American Cancer Society.
Legal issues affecting children with preexisting conditions during public health emergencies.
Rutkow, Lainie; Vernick, Jon S; Wissow, Lawrence S; Tung, Gregory J; Marum, Felicity; Barnett, Daniel J
2013-06-01
Among the millions of children in the United States exposed to public health emergencies in recent years, those with preexisting health conditions face particular challenges. A public health emergency may, for example, disrupt treatment regimens or cause children to be separated from caregivers. Ongoing shortages of pediatricians and pediatric subspecialists may further exacerbate the risks that children with preexisting conditions face in disaster circumstances. The US Department of Homeland Security recently called for better integration of children's needs into all preparedness activities. To aid in this process, multiple legal concerns relevant to pediatricians and pediatric policymakers must be identified and addressed. Obtaining informed consent from children and parents may be particularly challenging during certain public health emergencies. States may need to invoke legal protections for children who are separated from caregivers during emergencies. Maintaining access to prescription medications may also require pediatricians to use specific legal mechanisms. In addition to practitioners, recommendations are given for policymakers to promote effective pediatric response to public health emergencies.
The Welfare to Work Transition in the United States: Implications for Work-Related Learning
NASA Astrophysics Data System (ADS)
Fisher, James C.; Martin, Larry G.
2000-11-01
This paper summarizes the legislation upon which the current welfare-to-work transition in the United States is based and describes characteristics of the former welfare population from which various tiers of employment options have emerged: unsubsidized-employed workers, subsidized-employed workers, subsidized-unemployed recipients, and unsubsidized-unemployed individuals. It also discusses current program emphases, and presents a format for directions for future program development which includes academic programs, situated cognition programs, integrated literacy/occupational skills programs, and integrated literacy/soft skills training.
Guo, Yuqi; Sims, Omar T
2017-02-17
Hepatitis C virus (HCV) kills 366,000 people worldwide and 17,000 people in the United States each year. In 2011, the U.S. Department of Health and Human Services (HHS) published a national viral hepatitis action plan to control and combat HCV in the United States. This article provides a brief update of HCV health policy developments that have emerged since publication of HHS's national viral hepatitis action plan and concludes with a discussion of the public health impact of these recent HCV health policy developments.
Notes on the development of health psychology and behavioral medicine in the United States.
Lubek, Ian; Ghabrial, Monica; Ennis, Naomi; Crann, Sara; Jenkins, Amanda; Green, Michelle; Badali, Joel; Salmon, William; Moodley, Janice; Sulima, Elizabeth; Yen, Jefferey; O'Doherty, Kieran; Barata, Paula
2018-03-01
A "standard" historiographical overview of the development of health psychology in the United States, alongside behavioral medicine, first summarizes previous disciplinary and professional histories. A "historicist" approach follows, focussing on a collective biographical summary of accumulated contributions of one cohort (1967-1971) at State University of New York at Stony Brook. Foundational developments of the two areas are highlighted, contextualized within their socio-political context, as are innovative cross-boundary collaboration on "precursor" studies from the 1960s and 1970s, before the official disciplines emerged. Research pathways are traced from social psychology to health psychology and from clinical psychology to behavioral medicine.
Reduction of earthquake risk in the united states: Bridging the gap between research and practice
Hays, W.W.
1998-01-01
Continuing efforts under the auspices of the National Earthquake Hazards Reduction Program are under way to improve earthquake risk assessment and risk management in earthquake-prone regions of Alaska, California, Nevada, Washington, Oregon, Arizona, Utah, Wyoming, and Idaho, the New Madrid and Wabash Valley seismic zones in the central United States, the southeastern and northeastern United States, Puerto Rico, Virgin Islands, Guam, and Hawaii. Geologists, geophysicists, seismologists, architects, engineers, urban planners, emergency managers, health care specialists, and policymakers are having to work at the margins of their disciplines to bridge the gap between research and practice and to provide a social, technical, administrative, political, legal, and economic basis for changing public policies and professional practices in communities where the earthquake risk is unacceptable. ?? 1998 IEEE.
Cost containment for the public health.
Eastaugh, Steven R
2006-01-01
The U.S. health care system has major problems with respect to patient access and cost control. Trimming excess hospital expenses and expanding public health activities are cost effective. By budgeting well, with global budgets set for the high cost sectors, the United States might emerge with lower tax hikes, a healthier population, better facilities, and enhanced access to service. Nations with global budgets have better health statistics, and lower costs, compared to the United States. With global budgets, these countries employ 75 to 85 percent fewer employees in administration and regulation, but patient satisfaction is almost double the rate in the United States. Implement a global budget for health care, or substantially raise taxes, is the basic choice faced in this country. Key words: global budget control cost containment.
Handling a community-acquired methicillin-resistant Staphylococcus aureus outbreak: emerging data.
Elston, Dirk M
2008-08-01
Community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) strains continue to emerge as important causes of sepsis, folliculitis, skin abscesses, necrotizing pneumonitis, empyema, and bone and joint infections. Community-acquired methicillin-resistant S aureus often affects young, previously healthy individuals, including athletes and children in day care. Drainage remains the most important intervention for an abscess. The most common CAMRSA strains in the United States, Canada, and Europe remain sensitive to sulfonamides and tetracycline. Rates of clindamycin resistance vary widely geographically, and physicians should be familiar with their local antibiogram data. Multidrug-resistant strains of CAMRSA are emerging, and the routine addition of antibiotics such as tetracycline to animal feed is contributing to the emergence of resistance. Recurrence and spread of infection can be reduced by addressing the carrier state. Strategies for treatment and elimination of staphylococcal carriage are discussed.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Mansfield, N.J.
1992-01-01
The increasing number of hazardous materials accidents in the United States has resulted in new federal regulations addressing the emergency response activities associated with chemical releases. A significant part of these new federal standards (29 CFR 1910.120 and 40 CFR Part 311) requires compliance with specific criteria by all personnel involved in a hazardous material emergency. This study investigated alternative lesson design models applicable to instruction for hazardous material emergencies. A specialized design checklist was created based on the work of Gagne, Briggs, and Wager (1988), Merrill (1987), and Clark (1989). This checklist was used in the development of lessonmore » plan templates for the hazardous materials incident commander course. Qualitative data for establishing learning objectives was collected by conducting a needs assessment and a job analysis of the incident commander position. Incident commanders from 14 public and private organizations participated in the needs assessment process. Technical information for the lessons was collected from appropriate governmental agencies. The implementation of the checklist and lesson plans can contribute to assuring quality training for incident commanders throughout the United States.« less
Successful removal of strangulating metal penile ring using a dental handpiece.
Etetafia, Mabel Okiemute; Nwajei, Charles Onochie
2014-07-11
Under emergency conditions, the dental handpiece can be a useful tool for removing a strangulating penile ring. To report the successful use of a dental handpiece (dental drill) to remove a strangulating penile ring in an emergency. A case report of a strangulating metal penile ring in a psychiatric patient who presented at the accident and emergency unit of Delta State University Teaching Hospital. The metal ring was removed using a diamond bur in a dental handpiece. In case of emergency, the dental handpiece is a useful tool for removing a strangulating penile ring. 2014 BMJ Publishing Group Ltd.
Ewell, Laura A.; Liang, Liang; Armstrong, Caren; Soltész, Ivan; Leutgeb, Stefan
2015-01-01
Neural dynamics preceding seizures are of interest because they may shed light on mechanisms of seizure generation and could be predictive. In healthy animals, hippocampal network activity is shaped by behavioral brain state and, in epilepsy, seizures selectively emerge during specific brain states. To determine the degree to which changes in network dynamics before seizure are pathological or reflect ongoing fluctuations in brain state, dorsal hippocampal neurons were recorded during spontaneous seizures in a rat model of temporal lobe epilepsy. Seizures emerged from all brain states, but with a greater likelihood after REM sleep, potentially due to an observed increase in baseline excitability during periods of REM compared with other brains states also characterized by sustained theta oscillations. When comparing the firing patterns of the same neurons across brain states associated with and without seizures, activity dynamics before seizures followed patterns typical of the ongoing brain state, or brain state transitions, and did not differ until the onset of the electrographic seizure. Next, we tested whether disparate activity patterns during distinct brain states would influence the effectiveness of optogenetic curtailment of hippocampal seizures in a mouse model of temporal lobe epilepsy. Optogenetic curtailment was significantly more effective for seizures preceded by non-theta states compared with seizures that emerged from theta states. Our results indicate that consideration of behavioral brain state preceding a seizure is important for the appropriate interpretation of network dynamics leading up to a seizure and for designing effective seizure intervention. SIGNIFICANCE STATEMENT Hippocampal single-unit activity is strongly shaped by behavioral brain state, yet this relationship has been largely ignored when studying activity dynamics before spontaneous seizures in medial temporal lobe epilepsy. In light of the increased attention on using single-unit activity for the prediction of seizure onset and closed-loop seizure intervention, we show a need for monitoring brain state to interpret correctly whether changes in neural activity before seizure onset is pathological or normal. Moreover, we also find that the brain state preceding a seizure determines the success of therapeutic interventions to curtail seizure duration. Together, these findings suggest that seizure prediction and intervention will be more successful if tailored for the specific brain states from which seizures emerge. PMID:26609157
Ten major trends now emerging in the United States
DOE Office of Scientific and Technical Information (OSTI.GOV)
Naisbitt, J.
1978-01-01
Using a special analytical procedure for tracking and assessing events reported in the nation's newspapers, the Center for Policy Process has identified ten emerging trends in the United States that are having a major impact on all our lives and on all businesses and industries--and especially on the electric utility industry. Although the trends may move in contradictory directions and have different degrees of significance, all have been carefully monitored for a considerable length of time. All are firmly established--and are not to be viewed as the momentary interests of certain radical elements of the population. The ten trends are:more » the fast-emerging clash between nuclear fuel and coal as an environmental health issue; displacement of racism and sexism by ''ageism'' as society's most prominent anti-discrimination preoccupation, and the complete elimination soon of mandatory retirement; in government and technology, the phenomenon of ''appropriate scale'' replacing economies of scale, emergence of single-issue political organizations; coming-of-age of the recycling ethic; emergence of ''access to capital'' as the new equity issue--the new rights issue; continuing shift from centralization to decentralization; movement of society in the dual directions of high technology/high touch; business' increasing involvement with the well-established accountability trend; and shift from a representative democracy to a participatory democracy--this profound change in American democracy actually began about a decade or so ago.« less
Advertising Emergency Department Wait Times
Weiner, Scott G.
2013-01-01
Advertising emergency department (ED) wait times has become a common practice in the United States. Proponents of this practice state that it is a powerful marketing strategy that can help steer patients to the ED. Opponents worry about the risk to the public health that arises from a patient with an emergent condition self-triaging to a further hospital, problems with inaccuracy and lack of standard definition of the reported time, and directing lower acuity patients to the higher cost ED setting instead to primary care. Three sample cases demonstrating the pitfalls of advertising ED wait times are discussed. Given the lack of rigorous evidence supporting the practice and potential adverse effects to the public health, caution about its use is advised. PMID:23599836
Horney, Jennifer A; Nguyen, Mai; Cooper, John; Simon, Matthew; Ricchetti-Masterson, Kristen; Grabich, Shannon; Salvesen, David; Berke, Philip
2013-01-01
Rural areas of the United States are uniquely vulnerable to the impacts of natural disasters. One possible way to mitigate vulnerability to disasters in rural communities is to have a high-quality hazard mitigation plan in place. To understand the resources available for hazard mitigation planning and determine how well hazard mitigation plans in rural counties meet the needs of vulnerable populations, we surveyed the lead planning or emergency management official responsible for hazard mitigation plans in 96 rural counties in eight states in the Southeastern United States. In most counties, emergency management was responsible for implementing the county's hazard mitigation plan and the majority of counties had experienced a presidentially declared disaster in the last 5 years. Our research findings demonstrated that there were differences in subjective measures of vulnerability (as reported by survey respondents) and objective measures of vulnerability (as determined by US Census data). In addition, although few counties surveyed included outreach to vulnerable groups as a part of their hazard mitigation planning process, a majority felt that their hazard mitigation plan addressed the needs of vulnerable populations "well" or "very well." These differences could result in increased vulnerabilities in rural areas, particularly for certain vulnerable groups.
ERIC Educational Resources Information Center
Manna, Paul
2010-01-01
Policy makers and researchers now recognize that designing effective institutions to govern policy networks is a major challenge of the 21st Century. Presently, the Common Core State Standards Initiative resembles an emerging network of organizations united around the goal of developing clear and challenging academic expectations for students in…
Science and Its Discontents: An Evolutionary Tale. Research & Occasional Papers Series. CSHE.11.2008
ERIC Educational Resources Information Center
Kennedy, Donald
2008-01-01
This paper analyzes the roots and implications of conflict between the conduct of science and government predilections in the United States, including the security state and neoconservative control of Washington. Three major conflicts are discussed: the emergence of new security and secrecy regimes that seek control of science; religiously derived…
Understanding War, Visualizing Peace: Children Draw What They Know
ERIC Educational Resources Information Center
Walker, Kathleen; Myers-Bowman, Karen S.; Myers-Walls, Judith A.
2003-01-01
The current study focuses on data collected from children in the United States shortly after the Yugoslavia-NATO conflict. Fifty-six children in two Midwestern states were asked to draw a picture of peace and a picture of war. Two major themes, peace as interpersonal interactions and peace as negative peace, emerged from the qualitative analysis…
31 CFR Appendix A to Part 562 - Executive Order 13553 of September 28, 2010
Code of Federal Regulations, 2011 CFR
2011-07-01
... States of America, hereby order: Section 1. (a) All property and interests in property that are in the... Constitution and the laws of the United States of America, including the International Emergency Economic...)(ii)(A) of this section or any person whose property and interests in property are blocked pursuant to...
31 CFR Appendix A to Part 562 - Executive Order 13553 of September 28, 2010
Code of Federal Regulations, 2014 CFR
2014-07-01
... States of America, hereby order: Section 1. (a) All property and interests in property that are in the... Constitution and the laws of the United States of America, including the International Emergency Economic...)(ii)(A) of this section or any person whose property and interests in property are blocked pursuant to...
31 CFR Appendix A to Part 562 - Executive Order 13553 of September 28, 2010
Code of Federal Regulations, 2013 CFR
2013-07-01
... States of America, hereby order: Section 1. (a) All property and interests in property that are in the... Constitution and the laws of the United States of America, including the International Emergency Economic...)(ii)(A) of this section or any person whose property and interests in property are blocked pursuant to...
31 CFR Appendix A to Part 562 - Executive Order 13553 of September 28, 2010
Code of Federal Regulations, 2012 CFR
2012-07-01
... States of America, hereby order: Section 1. (a) All property and interests in property that are in the... Constitution and the laws of the United States of America, including the International Emergency Economic...)(ii)(A) of this section or any person whose property and interests in property are blocked pursuant to...
Investigating the Toxicity and Environmental Fate of Graphene Nanomaterials
The Hersam Laboratory at Northwestern University works with the Center for Environmental Implications of Nanotechnology and the United States Environmental Protection Agency to study the toxicity and environmental fate of emergent nanomaterials, specifically carbon-based nanomate...
33 CFR 19.04 - Vessels requisitioned by the United States for emergency evacuation.
Code of Federal Regulations, 2014 CFR
2014-07-01
..., DEPARTMENT OF HOMELAND SECURITY GENERAL WAIVERS OF NAVIGATION AND VESSEL INSPECTION LAWS AND REGULATIONS 1... the Acting Secretary of Defense, dated November 21, 1951, made under the provisions of section 1 of...