Vulnerability Assessment of Dust Storms in the United States under a Changing Climate Scenario

EPA Science Inventory

Severe weather events, such as flooding, drought, forest fires, and dust storms can have a serious impact on human health. Dust storm events are not well predicted in the United States, however they are expected to become more frequent as global climate warms through the 21st cen...

78 FR 48706 - Expansion of Global Entry Eligibility to Certain Citizens of the Republic Of Korea, the Federal...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-09

... Germany, the State of Qatar, and the United Kingdom AGENCY: U.S. Customs and Border Protection; Department... citizens of the State of Qatar; and a limited number of citizens of the United Kingdom who frequently... citizens of the Federal Republic of Germany, all citizens of the State of Qatar and all citizens of the...

Culture-dependent strategies in coordination games.

PubMed

Jackson, Matthew O; Xing, Yiqing

2014-07-22

We examine different populations' play in coordination games in online experiments with over 1,000 study participants. Study participants played a two-player coordination game that had multiple equilibria: two equilibria with highly asymmetric payoffs and another equilibrium with symmetric payoffs but a slightly lower total payoff. Study participants were predominantly from India and the United States. Study participants residing in India played the strategies leading to asymmetric payoffs significantly more frequently than study participants residing in the United States who showed a greater play of the strategy leading to the symmetric payoffs. In addition, when prompted to play asymmetrically, the population from India responded even more significantly than those from the United States. Overall, study participants' predictions of how others would play were more accurate when the other player was from their own populations, and they coordinated significantly more frequently and earned significantly higher payoffs when matched with other study participants from their own population than when matched across populations.

Precipitation and the occurrence of lyme disease in the Northeastern United States

USGS Publications Warehouse

McCabe, G.J.; Bunnell, J.E.

2004-01-01

The occurrence of Lyme disease is a growing concern in the United States, and various studies have been performed to understand the factors related to Lyme disease occurrence. In the United States, Lyme disease has occurred most frequently in the northeastern United States. Positive correlations between the number of cases of Lyme disease reported in the northeastern United States during the 1992-2002 period indicate that late spring/early summer precipitation was a significant climate factor affecting the occurrence of Lyme disease. When late spring/early summer precipitation was greater than average, the occurrence of Lyme disease was above average, possibly due to increased tick activity and survival rate during wet conditions. Temperature did not seem to explain the variability in Lyme disease reports for the northeastern United States. ?? Mary Ann Liebert, Inc.

Management of unstable angina pectoris and non-Q-wave acute myocardial infarction in the United States and Canada (the TIMI III Registry).

PubMed

Anderson, H V; Gibson, R S; Stone, P H; Cannon, C P; Aguirre, F; Thompson, B; Knatterud, G L; Braunwald, E

1997-06-01

Management of Q-wave acute myocardial infarction (AMI) has been shown to differ between the United States and Canada, with more catheterization and revascularization procedures performed in the United States, but with little or no apparent difference in clinical outcomes. No previous studies have evaluated management differences for the acute coronary syndromes of unstable angina pectoris and non-Q-wave AMI. We therefore compared treatments and outcomes between 14 United States and 4 Canadian tertiary care centers participating in an observational registry of all consecutive admissions for unstable angina or non-Q-wave AMI between 1990 and 1993. A random, stratified sample was selected for detailed assessment and follow-up. There were 1,733 patients enrolled in United States centers and 642 in Canadian ones. In United States centers patients were less likely to receive intravenous nitroglycerin, heparin, beta blockers, calcium antagonists, or > or = 2 anti-ischemic agents. Coronary arteriography during index hospitalization was equally frequent in both countries (63.4% vs 66.9%, p = 0.781), but at 6 weeks and 1 year coronary arteriography was slightly less frequent in the United States patients. Revascularization by coronary angioplasty or bypass surgery was equivalent at 6 weeks and 1 year; however, there were trends toward less angioplasty and more bypass surgery in the United States than in Canada. Patients at United States centers stayed in the hospital fewer days than patients at Canadian centers (mean 8.2 vs 12.1 days, p <0.001). Death or AMI by 6 weeks was not different (4.8% vs 4.4%, p = 0.633), nor was it different at 1 year (10.0% vs 10.2%, p = 0.836). The combined outcome of death, AMI, or recurrent ischemia was more common in United States than in Canadian patients at 6 weeks (18.4% vs 13.9%, p = 0.004). Our findings indicate that United States physicians and hospitals did not consistently utilize more resources and were not more aggressive than their Canadian counterparts when treating acute coronary syndromes during this period.

21 CFR 101.44 - What are the 20 most frequently consumed raw fruits, vegetables, and fish in the United States?

Code of Federal Regulations, 2013 CFR

2013-04-01

... ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION FOOD LABELING Specific Nutrition Labeling Requirements and Guidelines § 101.44 What are the 20 most frequently consumed...

21 CFR 101.44 - What are the 20 most frequently consumed raw fruits, vegetables, and fish in the United States?

Code of Federal Regulations, 2012 CFR

2012-04-01

... ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION FOOD LABELING Specific Nutrition Labeling Requirements and Guidelines § 101.44 What are the 20 most frequently consumed...

21 CFR 101.44 - What are the 20 most frequently consumed raw fruits, vegetables, and fish in the United States?

Code of Federal Regulations, 2014 CFR

2014-04-01

... ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION FOOD LABELING Specific Nutrition Labeling Requirements and Guidelines § 101.44 What are the 20 most frequently consumed...

The Impact of Migration on Poverty Concentrations in the United States, 1995-2000

ERIC Educational Resources Information Center

Foulkes, Matt; Schafft, Kai A.

2010-01-01

Poverty is frequently conceptualized as an attribute of either people or places. Yet residential movement of poor people can redistribute poverty across places, affecting and reshaping the spatial concentration of economic disadvantage. In this article, we utilize 1995 to 2000 county-to-county migration data from the 2000 United States decennial…

Media Messages and Perception of Risk for Ebola Virus Infection, United States

PubMed Central

Boddie, Crystal; McGinty, Emma E.; Pollack, Keshia; Smith, Katherine Clegg; Burke, Thomas A.; Rutkow, Lainie

2017-01-01

News media have been blamed for sensationalizing Ebola in the United States, causing unnecessary alarm. To investigate this issue, we analyzed US-focused news stories about Ebola virus disease during July 1–November 30, 2014. We found frequent use of risk-elevating messages, which may have contributed to increased public concern. PMID:27983495

A Case Study of College Students' Perspectives of Prejudice Based on Holocaust and Genocide Education

ERIC Educational Resources Information Center

Fiedler, Marcia Stein

2012-01-01

Violence committed against individuals because of their race, religion, ethnicity, national origin, gender, gender identity, or sexual orientation remains a serious problem in the United States of America. The United States Federal Bureau of Investigation (FBI) reported school and college settings as the third most frequent location for hate…

Children's Exposure to Pyrethroid Insecticides at Home: A Review of Data Collected in Published Exposure Measurement Studies Conducted in the United States

EPA Science Inventory

Pyrethroid insecticides are frequently used to control insects in residential and agriculture settings in the United States and worldwide. As a result, children can be potentially exposed to pyrethroid residues in food and at home. This review summarizes data reported in 15 publi...

Cankers on Western Quaking Aspen (FIDL)

Treesearch

David W. Johnson; Jerome S. Beatty; Thomas E. Hinds

1995-01-01

Quaking aspen (Populus tremuloides Michx.) is one of the most well-known tree species in the western United States (figure 1). It is found from the northern limit of trees in northwestern Alaska through the western United States and into northern Mexico. Quaking aspen is an aggressive pioneer species that frequently colonizes burned sites, making it an important...

Children’s Exposures to Pyrethroid Insecticides at Home: A Review of Data Collected in Published Exposure Measurement Studies Conducted in the United States

PubMed Central

Morgan, Marsha K.

2012-01-01

Pyrethroid insecticides are frequently used to control insects in residential and agriculture settings in the United States and worldwide. As a result, children can be potentially exposed to pyrethroid residues in food and at home. This review summarizes data reported in 15 published articles from observational exposure measurement studies conducted from 1999 to present that examined children’s (5 months to 17 years of age) exposures to pyrethroids in media including floor wipes, floor dust, food, air, and/or urine collected at homes in the United States. At least seven different pyrethroids were detected in wipe, dust, solid food, and indoor air samples. Permethrin was the most frequently detected (>50%) pyrethroid in these media, followed by cypermethrin (wipes, dust, and food). 3-phenoxybenzoic acid (3-PBA), a urinary metabolite of several pyrethroids, was the most frequently (≥67%) detected pyrethroid biomarker. Results across studies indicate that these children were likely exposed to several pyrethroids, but primarily to permethrin and cypermethrin, from several sources including food, dust, and/or on surfaces at residences. Dietary ingestion followed by nondietary ingestion were the dominate exposure routes for these children, except in homes with frequent pesticide applications (dermal followed by dietary ingestion). Urinary 3-PBA concentration data confirm that the majority of the children sampled were exposed to one or more pyrethroids. PMID:23066409

Carcinogenic Air Toxics Exposure and Their Cancer-Related Health Impacts in the United States.

PubMed

Zhou, Ying; Li, Chaoyang; Huijbregts, Mark A J; Mumtaz, M Moiz

2015-01-01

Public health protection from air pollution can be achieved more effectively by shifting from a single-pollutant approach to a multi-pollutant approach. To develop such multi-pollutant approaches, identifying which air pollutants are present most frequently is essential. This study aims to determine the frequently found carcinogenic air toxics or hazardous air pollutants (HAPs) combinations across the United States as well as to analyze the health impacts of developing cancer due to exposure to these HAPs. To identify the most commonly found carcinogenic air toxics combinations, we first identified HAPs with cancer risk greater than one in a million in more than 5% of the census tracts across the United States, based on the National-Scale Air Toxics Assessment (NATA) by the U.S. EPA for year 2005. We then calculated the frequencies of their two-component (binary), and three-component (ternary) combinations. To quantify the cancer-related health impacts, we focused on the 10 most frequently found HAPs with national average cancer risk greater than one in a million. Their cancer-related health impacts were calculated by converting lifetime cancer risk reported in NATA 2005 to years of healthy life lost or Disability-Adjusted Life Years (DALYs). We found that the most frequently found air toxics with cancer risk greater than one in a million are formaldehyde, carbon tetrachloride, acetaldehyde, and benzene. The most frequently occurring binary pairs and ternary mixtures are the various combinations of these four air toxics. Analysis of urban and rural HAPs did not reveal significant differences in the top combinations of these chemicals. The cumulative annual cancer-related health impacts of inhaling the top 10 carcinogenic air toxics included was about 1,600 DALYs in the United States or 0.6 DALYs per 100,000 people. Formaldehyde and benzene together contribute nearly 60 percent of the total cancer-related health impacts. Our study shows that although there are many carcinogenic air toxics, only a few of them affect public health significantly at the national level in the United States, based on the frequency of occurrence of air toxics mixtures and cancer-related public health impacts. Future research is needed on their joint toxicity and cumulative health impacts.

Guillain–Barre syndrome following quadrivalent human papillomavirus vaccination among vaccine-eligible individuals in the United States

PubMed Central

Ojha, Rohit P; Jackson, Bradford E; Tota, Joseph E; Offutt-Powell, Tabatha N; Singh, Karan P; Bae, Sejong

2014-01-01

Post-marketing surveillance studies provide conflicting evidence about whether Guillain–Barre syndrome occurs more frequently following quadrivalent human papillomavirus (HPV4) vaccination. We aimed to assess whether Guillain–Barre syndrome is reported more frequently following HPV4 vaccination than other vaccinations among females and males aged 9 to 26 y in the United States. We used adverse event reports received by the United States Vaccine Adverse Event Reporting System (VAERS) between January 1, 2010 and December 31, 2012 to estimate overall, age-, and sex-specific proportional reporting ratios (PRRs) and corresponding Χ2 values for reports of Guillain–Barre syndrome between 5 and 42 d following HPV vaccination. Minimum criteria for a signal using this approach are 3 or more cases, PRR ≥2, and Χ2 ≥ 4. Guillain–Barre syndrome was listed as an adverse event in 45 of 14 822 reports, of which 9 reports followed HPV4 vaccination and 36 reports followed all other vaccines. The overall, age-, and sex-specific PRR estimates were uniformly below 1. In addition, the overall, age-, and sex-specific Χ2 values were uniformly below 3. Our analysis of post-marketing surveillance data does not suggest that Guillain–Barre syndrome is reported more frequently following HPV4 vaccination than other vaccinations among vaccine-eligible females or males in the United States. Our findings may be useful when discussing the risks and benefits of HPV4 vaccination. PMID:24013368

Guillain-Barre syndrome following quadrivalent human papillomavirus vaccination among vaccine-eligible individuals in the United States.

PubMed

Ojha, Rohit P; Jackson, Bradford E; Tota, Joseph E; Offutt-Powell, Tabatha N; Singh, Karan P; Bae, Sejong

2014-01-01

Post-marketing surveillance studies provide conflicting evidence about whether Guillain-Barre syndrome occurs more frequently following quadrivalent human papillomavirus (HPV4) vaccination. We aimed to assess whether Guillain-Barre syndrome is reported more frequently following HPV4 vaccination than other vaccinations among females and males aged 9 to 26 y in the United States. We used adverse event reports received by the United States Vaccine Adverse Event Reporting System (VAERS) between January 1, 2010 and December 31, 2012 to estimate overall, age-, and sex-specific proportional reporting ratios (PRRs) and corresponding Χ2 values for reports of Guillain-Barre syndrome between 5 and 42 d following HPV vaccination. Minimum criteria for a signal using this approach are 3 or more cases, PRR≥2, and Χ2≥4. Guillain-Barre syndrome was listed as an adverse event in 45 of 14,822 reports, of which 9 reports followed HPV4 vaccination and 36 reports followed all other vaccines. The overall, age-, and sex-specific PRR estimates were uniformly below 1. In addition, the overall, age-, and sex-specific Χ2 values were uniformly below 3. Our analysis of post-marketing surveillance data does not suggest that Guillain-Barre syndrome is reported more frequently following HPV4 vaccination than other vaccinations among vaccine-eligible females or males in the United States. Our findings may be useful when discussing the risks and benefits of HPV4 vaccination.

Workplace discrimination predicting racial/ethnic socialization across African American, Latino, and Chinese families.

PubMed

Hagelskamp, Carolin; Hughes, Diane L

2014-10-01

Informed by Kohn and Schooler's (1969) occupational socialization framework, this study examined linkages between racial/ethnic minority mothers' perceptions of racial/ethnic discrimination in the workplace and adolescents' accounts of racial/ethnic socialization in the home. Data were collected from 100 mother-early adolescent dyads who participated in a longitudinal study of urban adolescents' development in the Northeastern United States, including African American, Latino, and Chinese families. Mothers and adolescents completed surveys separately. We found that when mothers reported more frequent institutional discrimination at work, adolescents reported more frequent preparation for bias messages at home, across racial/ethnic groups. Mothers' experiences of interpersonal prejudice at work were associated with more frequent cultural socialization messages among African American and Latino families. Chinese youth reported fewer cultural socialization messages when mothers perceived more frequent interpersonal prejudice at work. Findings are discussed in the context of minority groups' distinct social histories and economic status in the United States. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

The Japanese Labor Market in a Comparative Perspective with the United States. A Transaction-Cost Interpretation.

ERIC Educational Resources Information Center

Hashimoto, Masanori

A comparison is made of some of the notable features of the Japanese and U.S. labor markets. In Japan, as compared to the United States, for example, levels of employment tenure are higher, employer-employee attachment stronger, earnings-tenure profiles more steeply sloped, layoffs and dismissals much less frequent, and joint consultation and…

History of forest survey sampling designs in the United States

Treesearch

W. E. Frayer; George M. Furnival

2000-01-01

Extensive forest inventories of forested lands in the United States were begun in the early part of the 20th century, but widespread, frequent use was not common until after WWII. Throughout the development of inventory techniques and their application to assess the status of the nation's forests, most of the work has been done by the USDA Forest Service through...

Culture and Compliance Gaining in the Classroom: A Preliminary Investigation of Chinese College Teachers' Use of Behavior Alteration Techniques.

ERIC Educational Resources Information Center

Lu, Shuming

1997-01-01

Examines use of behavior alteration techniques (BATs) to gain student compliance in the Chinese context. Finds that Chinese college teachers use most the BATs that United States college teachers use; use many BATs even more frequently; but communicate behavior alteration messages that differ from those used by United States teachers. Notes that…

Combined effects of heat waves and droughts on avian communities across the conterminous United States

Treesearch

Thomas P. Albright; Anna M. Pidgeon; Chadwick D. Rittenhouse; Murray K. Clayton; Brian D. Wardlow; Curtis H. Flather; Patrick D. Culbert; Volker C. Radeloff

2010-01-01

Increasing surface temperatures and climatic variability associated with global climate change are expected to produce more frequent and intense heat waves and droughts in many parts of the world. Our goal was to elucidate the fundamental, but poorly understood, effects of these extreme weather events on avian communities across the conterminous United States....

All-wheel drive and winter-weather safety.

DOT National Transportation Integrated Search

2013-03-01

It is frequently stated that people living in northern states, the so called Snowbelt of the United : States, benefit with respect to safety from driving all-wheel or four-wheel drive vehicles as : opposed to front or rear-wheel drive only. This stud...

Outbreaks associated with recreational water in the United States, 1995-2004

EPA Science Inventory

In this article, we review the causes of 212 recreational waterborne outbreaks and 17975 cases of illness reported during 1995-2004. Gastroenteritis was the most frequently (91%) reported illness. Conditions or symptoms related to the skin, ear, or eye occurred less frequently (6...

Motorists in four countries highlight differences among drinking-driving laws

DOT National Transportation Integrated Search

2000-03-11

A recent Insurance Institute for Highway Safety study surveyed more than 2,000 motorists in Australia, United Kingdom, Canada, and United States. Motorists in Canada and Australia report being stopped and checked for alcohol far more frequently than ...

Parental Involvement with College Students in Germany, Hong Kong, Korea, and the United States

PubMed Central

Fingerman, Karen L.; Cheng, Yen-Pi; Kim, Kyungmin; Fung, Helene H.; Han, Gyounghae; Lang, Frieder R.; Lee, Wonkyung; Wagner, Jenny

2014-01-01

Rates of college attendance have increased throughout the world. This study asked whether students across nations experience high involvement with parents (frequent contact and support) and how satisfied they are with parental involvement. College students from four major Western and Asian economies participated: Germany (n = 458), Hong Kong (n = 276), Korea (n = 257), and the United States (n = 310). Consistent with solidarity theory, students across nations reported frequent contact with parents and receiving several forms of social support (e.g., practical, emotional, and advice) every month. Multilevel models revealed Asian students received more frequent parental support than German or US students, but were less satisfied with that support. Students in Hong Kong resided with parents more often and gave more support to parents than students in other cultures. Discussion focuses on cultural (i.e., filial obligation) and structural (i.e., coresidence) factors explaining parental involvement. PMID:27594722

75 FR 51166 - Departmental Offices; Proposed Collections; Comment Requests

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... awareness of the importance of collecting economic and financial data, including more frequent and accurate data regarding each country's external claims and liabilities. As a result, the United States needs to collect certain data on a more frequent and accurate basis, including monthly holdings of long-term...

Accounting for Diversity in Suicide Research: Sampling and Sample Reporting Practices in the United States.

PubMed

Cha, Christine B; Tezanos, Katherine M; Peros, Olivia M; Ng, Mei Yi; Ribeiro, Jessica D; Nock, Matthew K; Franklin, Joseph C

2018-04-01

Research on suicidal thoughts and behaviors (STB) has identified many risk factors, but whether these findings generalize to diverse populations remains unclear. We review longitudinal studies on STB risk factors over the past 50 years in the United States and evaluate the methodological practices of sampling and reporting sample characteristics. We found that articles frequently reported participant age and sex, less frequently reported participant race and ethnicity, and rarely reported participant veteran status or lesbian, gay, bisexual, and transgender status. Sample reporting practices modestly and inconsistently improved over time. Finally, articles predominantly featured White, non-Hispanic, young adult samples. © 2017 The American Association of Suicidology.

Culture-dependent strategies in coordination games

PubMed Central

Jackson, Matthew O.; Xing, Yiqing

2014-01-01

We examine different populations’ play in coordination games in online experiments with over 1,000 study participants. Study participants played a two-player coordination game that had multiple equilibria: two equilibria with highly asymmetric payoffs and another equilibrium with symmetric payoffs but a slightly lower total payoff. Study participants were predominantly from India and the United States. Study participants residing in India played the strategies leading to asymmetric payoffs significantly more frequently than study participants residing in the United States who showed a greater play of the strategy leading to the symmetric payoffs. In addition, when prompted to play asymmetrically, the population from India responded even more significantly than those from the United States. Overall, study participants’ predictions of how others would play were more accurate when the other player was from their own populations, and they coordinated significantly more frequently and earned significantly higher payoffs when matched with other study participants from their own population than when matched across populations. PMID:25024196

Evidence for divergence in cuticular hydrocarbon sex pheromone between California and Mississippi (United States of America) populations of bark beetle parasitoid Roptrocerus xylophagorum (Hymenoptera: Pteromalidae).

Treesearch

Brian Sullivan; Nadir Erbilgin

2014-01-01

Roptrocerus xylophagorum (Ratzeburg) (Hymenoptera: Pteromalidae) is a common Holarctic parasitoid of the larvae and pupae of bark beetles (Coleoptera: Curculionidae: Scotytinae). In no-choice laboratory bioassays, we found that male wasps derived either from northern California or southwestern Mississippi, United States of America more frequently displayed sexual...

Evaluation of the CONSUME and FOFEM fuel consumption models in pine and mixed hardwood forests of the eastern United States

Treesearch

Susan J. Prichard; Eva C. Karau; Roger D. Ottmar; Maureen C. Kennedy; James B. Cronan; Clinton S. Wright; Robert E. Keane

2014-01-01

Reliable predictions of fuel consumption are critical in the eastern United States (US), where prescribed burning is frequently applied to forests and air quality is of increasing concern. CONSUME and the First Order Fire Effects Model (FOFEM), predictive models developed to estimate fuel consumption and emissions from wildland fires, have not been systematically...

A growing importance of large fires in conterminous United States during 1984-2012

Treesearch

Jia Yang; Hanqin Tian; Bo Tao; Wei Ren; Shufen Pan; Yongqiang Liu; Yuhang Wang

2015-01-01

Fire frequency, extent, and size exhibit a strong linkage with climate conditions and play a vital role in the climate system. Previous studies have shown that the frequency of large fires in the western United States increased significantly since the mid-1980s due to climate warming and frequent droughts. However, less work has been conducted to examine burned area...

Feasibility of tubular fender units for pier protection against vessel collision.

DOT National Transportation Integrated Search

2008-08-01

The potential for vessel collisions with bridges is rapidly increasing, as a larger number of heavier vessels are making more frequent trips under bridges. In the United States, rigorous design of bridges for vessel collision was first incorporated i...

Prevention of Iron-Deficiency Anemia in Infants and Children of Preschool Age.

ERIC Educational Resources Information Center

Fomon, Samuel J.

Iron-deficiency anemia is almost certainly the most prevalent nutritional disorder among infants and young children in the United States. Anemia is frequently seen among children of low socioeconomic status but is probably also the most frequent nutritional deficiency disease seen among children cared for by private doctors. Possible reasons for…

A Survey of Bioethics Courses in U.S. Colleges and Universities

ERIC Educational Resources Information Center

Hendrix, Jon R.

1977-01-01

Data from questionnaires sent to every college and university in the United States ascertained that 26 percent of the 223 responding major institutions offered a bioethics course, most frequently presented by the biology department to medical students and taught most frequently by professors of ethics and philosophy background. Questionnaire and…

The Relationship between School Mobility and the Acquisition of Early Literacy Skills

ERIC Educational Resources Information Center

Franco, Amy C.

2013-01-01

The relationship between frequent mobility and student achievement is complex. While studies have shown that frequent mobility may have a detrimental effect on student achievement, the suggestion that poverty is an underlying cause for poor academic progress has been proposed (Buerkle & Christenson, 1999; United States GAO Report, 2010). The…

Experience with the selection method in pine stands in the southern United States, with implications for future application

Treesearch

James M. Guldin

2011-01-01

The selection method applied in shade-intolerant pine stands in the southern United States has been shown to be an effective method of uneven-aged silviculture, but it is becoming less frequently practiced for a variety of reasons. Economically, the high value of standing timber puts fully stocked uneven-aged pine stands at risk of liquidation if the timberland is sold...

Teaching about Global Human Rights for Global Citizenship: Action Research in the Social Studies Curriculum

ERIC Educational Resources Information Center

Gaudelli, William; Fernekes, William R.

2004-01-01

What are my rights? What can I do if my rights are violated? Who has the right to do that?Questions like these are easily articulated by most students in the United States because from an early age they frequently receive socially diffused rights messages in virtually every aspect of their lives. The United States has been described as a highly…

Evaluating sustainability: a method for assessing vegetation change in southern Missouri, U.S.A.: 1820-2003

Treesearch

W. Keith Moser; Mark H. Hansen; Mark A. Hatfield; Timothy A. Nigh

2006-01-01

The General Land Office of the United States of America surveyed the state of Missouri during the first half of the 1800s. Frequently relying on witness trees to mark corners of surveyed units, surveyors also recorded other trees situated on or near the survey lines. Using plot-level data from inventories conducted by the U.S. Forest Service, Northern Research Station...

America's Maritime Heritage: From Sail Power to Nuclear Power. Book 1 and Book 2. An Energy Education Activity Book [And] America's Maritime Heritage: A Frequently Forgotten Treasure.

ERIC Educational Resources Information Center

Heitzman, William Ray

These documents provide background information and a series of problems and activities to familiarize students with important maritime activities in the United States. Book I contains problems involving the movement of freight on inland waterways, questions on energy and the environment, and a chart with questions on United States oil imports.…

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

PubMed Central

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

1984-01-01

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

State property tax incentives for promoting ecosystem goods and services from private forest land in the United States: a review and analysis

Treesearch

Michael A. Kilgore; Paul B. Ellefson; Travis J. Funk; Gregory E. Frey

2017-01-01

Financial incentives provided by State property tax programs are a means of promoting ecosystem services from private forest land. Identified by this 50-State 2015 review, categories of ecosystem services frequently promoted by such programs are open space and scenic resources, conservation of...

Occurrence and persistence of fungicides in bed sediments and suspended solids from three targeted use areas in the United States

USGS Publications Warehouse

Smalling, Kelly L.; Reilly, Timothy J.; Sandstrom, Mark W.; Kuivila, Kathryn

2013-01-01

To document the environmental occurrence and persistence of fungicides, a robust and sensitive analytical method was used to measure 34 fungicides and an additional 57 current-use pesticides in bed sediments and suspended solids collected from areas of intense fungicide use within three geographic areas across the United States. Sampling sites were selected near or within agricultural research farms using prophylactic fungicides at rates and types typical of their geographic location. At least two fungicides were detected in 55% of the bed and 83% of the suspended solid samples and were detected in conjunction with herbicides and insecticides. Six fungicides were detected in all samples including pyraclostrobin (75%), boscalid (53%), chlorothalonil (41%) and zoxamide (22%). Pyraclostrobin, a strobilurin fungicide, used frequently in the United States on a variety of crops, was detected more frequently than p,p′-DDE, the primary degradate of p,p′-DDT, which is typically one of the most frequently occurring pesticides in sediments collected within highly agricultural areas. Maximum fungicide concentrations in bed sediments and suspended solids were 198 and 56.7 μg/kg dry weight, respectively. There is limited information on the occurrence, fate, and persistence of many fungicides in sediment and the environmental impacts are largely unknown. The results of this study indicate the importance of documenting the persistence of fungicides in the environment and the need for a better understanding of off-site transport mechanisms, particularly in areas where crops are grown that require frequent treatments to prevent fungal diseases.

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...

Effects of repeated burning on snag abundance in shortleaf pine woodlands

Treesearch

Roger W. Perry; Phillip N. Jordan; Virginia L. McDaniel

2017-01-01

Forest managers are restoring and maintaining forest woodlands across substantial areas of the United States, and these efforts typically require the use of frequent prescribed fire. The effects of frequent prescribed fire on important habitat components such as snags remain unknown. We conducted a study to determine how snag densities are affected by repeated...

Common Formative Assessments Developed through Professional Learning Communities (PLCs): A Case Study to Analyze the Alignment of Curriculum, Assessment, and Instruction in a Math PLC at a Title I Middle School in the Southern United States

ERIC Educational Resources Information Center

Hill, Tory C.

2013-01-01

The introduction of No Child Left Behind increased performance expectations for students across the United States and compelled teachers to focus on standardized assessments instead of frequent formative assessments to monitor instruction and promote student learning. Common formative assessments (CFAs) help teachers align curriculum, assessment,…

Determinants of health-promoting lifestyle behaviors among Arab immigrants from the region of the Levant.

PubMed

Aqtash, Salah; Van Servellen, Gwen

2013-10-01

Arab immigrants in the United States are at risk for heart disease, stroke, and diabetes. We explored health-promoting lifestyle behaviors among Arab immigrants to the United States from the Middle Eastern region of the Levant. In 218 male and female Arab adults surveyed with the revised Health-Promoting Lifestyle Profile (HPLP-II), the mean for the HPLP-II was 2.73 (range 1-4), with spiritual growth and interpersonal relations the most frequently reported practices and physical activity the least frequently practiced dimension of health-promoting behaviors. Multiple linear regression analysis highlighted four determinants of health-promoting lifestyle behaviors: health insurance, acculturation, self-efficacy, and social support. Health promotion programs serving Arab immigrants should take these determinants into consideration. © 2013 Wiley Periodicals, Inc.

SEPTIC TANK SETBACK DISTANCES: A WAY TO MINIMIZE VIRUS CONTAMINATION OF DRINKING WATER

EPA Science Inventory

Septic tanks are the most frequently reported causes of contamination in ground-water disease outbreaks associated with the consumption of untreated ground water in the United States. The placement of septic tanks is generally controlled by county-wide or state-wide regulations, ...

Fragmented patterns of flood change across the United States

PubMed Central

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

2016-01-01

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

Fragmented patterns of flood change across the United States

USGS Publications Warehouse

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

2016-01-01

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

Update: Influenza Activity - United States, October 2-December 17, 2016.

PubMed

Shang, Mei; Blanton, Lenee; Kniss, Krista; Mustaquim, Desiree; Alabi, Noreen; Barnes, Stephen; Budd, Alicia; Davlin, Stacy L; Kramer, Natalie; Garg, Shikha; Cummings, Charisse N; Flannery, Brendan; Fry, Alicia M; Grohskopf, Lisa A; Olsen, Sonja J; Bresee, Joseph; Sessions, Wendy; Garten, Rebecca; Xu, Xiyan; Elal, Anwar Isa Abd; Gubareva, Larisa; Barnes, John; Wentworth, David E; Burns, Erin; Katz, Jacqueline; Jernigan, Daniel; Brammer, Lynnette

2016-12-30

This report summarizes U.S. influenza activity * during October 2-December 17, 2016. † Influenza activity in the United States remained low in October and has been slowly increasing since November. Influenza A viruses were identified most frequently, with influenza A (H3N2) viruses predominating. Most influenza viruses characterized during this period were genetically or antigenically similar to the reference viruses representing vaccine components recommended for production in the 2016-17 Northern Hemisphere influenza vaccines.

An Assessment of Alcohol Abuse by Midshipmen at the United States Naval Academy

DTIC Science & Technology

2006-06-01

percent of adults in the United States have had some experience with alcohol. Sixty percent of men and 30% of women have experienced one or more...Eighty- six percent of the women and 76% of the men who were frequent binge drinkers actually thought they were just moderate to light drinkers...aggressive behavior in men , sometime leading to sexual assaults. For women, alcohol can impair cognitive abilities, reducing capability to recognize

Hurricane intensification along United States coast suppressed during active hurricane periods

NASA Astrophysics Data System (ADS)

Kossin, James P.

2017-01-01

The North Atlantic ocean/atmosphere environment exhibits pronounced interdecadal variability that is known to strongly modulate Atlantic hurricane activity. Variability in sea surface temperature (SST) is correlated with hurricane variability through its relationship with the genesis and thermodynamic potential intensity of hurricanes. Another key factor that governs the genesis and intensity of hurricanes is ambient environmental vertical wind shear (VWS). Warmer SSTs generally correlate with more frequent genesis and greater potential intensity, while VWS inhibits genesis and prevents any hurricanes that do form from reaching their potential intensity. When averaged over the main hurricane-development region in the Atlantic, SST and VWS co-vary inversely, so that the two factors act in concert to either enhance or inhibit basin-wide hurricane activity. Here I show, however, that conditions conducive to greater basin-wide Atlantic hurricane activity occur together with conditions for more probable weakening of hurricanes near the United States coast. Thus, the VWS and SST form a protective barrier along the United States coast during periods of heightened basin-wide hurricane activity. Conversely, during the most-recent period of basin-wide quiescence, hurricanes (and particularly major hurricanes) near the United States coast, although substantially less frequent, exhibited much greater variability in their rate of intensification, and were much more likely to intensify rapidly. Such heightened variability poses greater challenges to operational forecasting and, consequently, greater coastal risk during hurricane events.

Plague: Frequently Asked Questions

MedlinePlus

... visit this page: About CDC.gov . Plague Home Ecology & Transmission Symptoms Diagnosis & Treatment Maps & Statistics Info for ... periods in the fleas. An illustration of plague ecology in the United States is available. Top of ...

An internet forum analysis of stigma power perceptions among women seeking fertility treatment in the United States.

PubMed

Jansen, Natalie Anne; Saint Onge, Jarron M

2015-12-01

Infertility is a condition that affects nearly 30 percent of women aged 25-44 in the United States. Though past research has addressed the stigmatization of infertility, few have done so in the context of stigma management between fertile and infertile women. In order to assess evidence of felt and enacted stigma, we employed a thematic content analysis of felt and enacted stigma in an online infertility forum, Fertile Thoughts, to analyze 432 initial threads by women in various stages of the treatment-seeking process. We showed that infertile women are frequently stigmatized for their infertility or childlessness and coped through a variety of mechanisms including backstage joshing and social withdrawal. We also found that infertile women appeared to challenge and stigmatize pregnant women for perceived immoral behaviors or lower social status. We argue that while the effects of stigma power are frequently perceived and felt in relationships between infertile women and their fertile peers, the direction of the enacted stigma is related to social standing and feelings of fairness and reinforces perceived expressions of deserved motherhood in the United States. Copyright © 2015 Elsevier Ltd. All rights reserved.

United States state-level population estimates: Colonization to 1999

Treesearch

David P. Coulson; Linda Joyce

2003-01-01

The U.S. landscape has undergone substantial changes since Europeans first arrived. Many land use changes are attributable to human activity. Historical data concerning these changes are frequently limited and often difficult to develop. Modeling historical land use changes may be neccessary. We develop annual population series from first European settlement to 1999...

Navigating Change with a Flexible Portfolio

ERIC Educational Resources Information Center

Tyksinski, Deborah J.

2009-01-01

This case study demonstrates how building a flexible portfolio of services allowed a continuing education (CE) unit to thrive during frequent leadership changes. The case is set in a small state college, State Technology Institute at Mohawk (STIM), which experienced nine leadership changes in as many years. The names of the institution and its…

Chemical Manufacturers, Importers, and Exporters: Frequent Questions

EPA Pesticide Factsheets

Chemical manufacturers, importers, and exporters are required to operate within a system of allowances. This information will help those in the chemical industry understand their role in the phaseout of HCFCs in the United States.

Design of heavy duty mixes.

DOT National Transportation Integrated Search

1991-01-01

Permanent deformation of asphalt concrete, which is frequently manifested by excessive pavement rutting, has become a problem in much of the United States. Virginia began to experience rutting problems on highways with heavy traffic in the early 1980...

The Climate Science Special Report: Summary of Findings

NASA Astrophysics Data System (ADS)

Wuebbles, D. J.

2017-12-01

As a prelude to the 4th National Climate Assessment, the Climate Science Special Report (CSSR) is being developed to provide a comprehensive assessment of the science underlying the changes occurring in the Earth's climate system, with a special focus on the United States. To summarize some of the findings, the science is clear—the climate on our planet, including the United States, is changing, changing much more rapidly than occurs naturally, and it is happening primarily because of human activities, especially from our use of fossil fuels but also from land use change. Observational evidence for a changing climate abounds, from the top of the atmosphere to the depths of the oceans. Documented changes include surface, atmospheric, and oceanic temperatures; melting glaciers; disappearing snow cover; shrinking sea ice; and rising sea level. Severe weather is becoming more intense. Heatwaves have become more frequent in the United States since the 1960s, while extreme cold temperatures and cold waves are less frequent. Heavy rainfall is increasing in intensity and frequency across the United States and globally. All of these trends are expected to continue. The Earth's climate is projected to continue to change over this century and beyond. Global average sea levels are expected to continue to rise. Many lines of evidence demonstrate that it is extremely likely (95% or greater likelihood) that human activities have been the dominant cause of the observed warming since the mid-20th century. This presentation summarizes key findings from the CSSR.

Life-sustaining treatment decisions in Portuguese intensive care units: a national survey of intensive care physicians.

PubMed

Cardoso, Teresa; Fonseca, Teresa; Pereira, Sofia; Lencastre, Luís

2003-12-01

The objective of the present study was to evaluate the opinion of Portuguese intensive care physicians regarding 'do-not-resuscitate' (DNR) orders and decisions to withhold/withdraw treatment. A questionnaire was sent to all physicians working on a full-time basis in all intensive care units (ICUs) registered with the Portuguese Intensive Care Society. A total of 266 questionnaires were sent and 175 (66%) were returned. Physicians from 79% of the ICUs participated. All participants stated that DNR orders are applied in their units, and 98.3% stated that decisions to withhold treatment and 95.4% stated that decisions to withdraw treatment are also applied. About three quarters indicated that only the medical group makes these decisions. Fewer than 15% of the responders stated that they involve nurses, 9% involve patients and fewer than 11% involve patients' relatives in end-of-life decisions. Physicians with more than 10 years of clinical experience more frequently indicated that they involve nurses in these decisions (P < 0.05), and agnostic/atheist doctors more frequently involve patients' relatives in decisions to withhold/withdraw treatment (P < 0.05). When asked about who they thought should be involved, more than 26% indicated nurses, more than 35% indicated the patient and more than 25% indicated patients' relatives. More experienced doctors more frequently felt that nurses should be involved (P < 0.05), and male doctors more frequently stated that patients' relatives should be involved in DNR orders (P < 0.05). When a decision to withdraw treatment is made, 76.8% of 151 respondents indicated that they would initiate palliative care; no respondent indicated that they would administer drugs to accelerate the expected outcome. The probability of survival from the acute episode and patients' wishes were the most important criteria influencing end-of-life decisions. These decisions are made only by the medical group in most of the responding ICUs, with little input from nursing staff, patients, or patients' relatives, although many respondents expressed a wish to involve them more in this process. Sex, experience and religious beliefs of the respondents influences the way in which these decisions are made.

Silviculture that sustains: the nexus between silviculture, frequent prescribed fire, and conservation of biodiversity in longleaf pine forests of the southeastern United States

Treesearch

R.J. Mitchell; J.K. Hiers; J.J. O' Brien; S.B. Jack; R.T. Engstrom

2006-01-01

The longleaf pine (Pinus palustris Mill.) forest ecosystem of the US southeastern Coastal Plain, among the most biologically diverse ecosystems in North America, originally covered over 24 x 106 ha but now occupy less than 5% of their original extent. The key factor for sustaining their high levels of diversity is the frequent...

Beyond a Pets Theme: Teaching Young Children to Interact Safely with Dogs

ERIC Educational Resources Information Center

Jalongo, Mary Renck

2008-01-01

Although it is commonplace for early childhood educators to include a theme or unit on pets, opportunities to incorporate safety goals frequently are overlooked. Approximately 400,000 incidents of dog bites to children are documented in the United States annually and this estimate may be low, due to the fact that not all injuries are reported.…

Vegetarianism and cardiometabolic disease risk factors: Differences between South Asian and US adults.

PubMed

Jaacks, Lindsay M; Kapoor, Deksha; Singh, Kalpana; Narayan, K M Venkat; Ali, Mohammed K; Kadir, M Masood; Mohan, Viswanathan; Tandon, Nikhil; Prabhakaran, Dorairaj

2016-09-01

Cardiometabolic diseases are increasing disproportionately in South Asia compared with other regions of the world despite high levels of vegetarianism. This unexpected discordance may be explained by differences in the healthfulness of vegetarian and non-vegetarian diets in South Asia compared with the United States. The aim of this study was to compare the food group intake of vegetarians with non-vegetarians in South Asia and the United States and to evaluate associations between vegetarianism and cardiometabolic disease risk factors (overweight/obesity, central obesity, diabetes, hypertension, high triacylglycerols, high low-density lipoprotein, low high-density lipoprotein, and high Framingham Heart Score). Using cross-sectional data from adults (age 20-69 y) in South Asia (Centre for Cardiometabolic Risk Reduction in South-Asia [CARRS] 2010-2011; N = 15 665) and the United States (National Health and Nutrition Examination Survey 2003-2006; N = 2159), adherence to a vegetarian diet was assessed using food propensity questionnaires. Multivariable logistic regression was used to estimate odds ratios and predicted margins (e.g., adjusted prevalence of the outcomes). One-third (33%; n = 4968) of adults in the South Asian sample were vegetarian compared with only 2.4% (n = 59) in the US sample. Among South Asians, vegetarians more frequently ate dairy, legumes, vegetables, fruit, desserts, and fried foods than non-vegitarians (all P < 0.05). Among Americans, vegetarians more frequently ate legumes, fruit, and whole grains, and less frequently ate refined cereals, desserts, fried foods, fruit juice, and soft drinks than non-vegetarians (all P < 0.05). After adjustment for confounders (age, sex, education, tobacco, alcohol, and also city in CARRS), South Asian vegetarians were slightly less frequently overweight/obese compared with non-vegetarians: 49% (95% confidence interval [CI], 45%-53%) versus 53% (95% CI, 51%-56%), respectively; whereas US vegetarians were considerably less frequently overweight/obese compared with non-vegetarians: 48% (95% CI, 32%-63%) versus 68% (95% CI, 65%-70%), respectively. Furthermore, US vegetarians were less likely to exhibit central obesity than non-vegetarians: 62% (95% CI, 43%-78%) versus 78% (95% CI, 76%-80%), respectively. There is greater divergence between vegetarian and non-vegetarian diets in the United States than in South Asia, and US vegetarians have more consistently healthier food group intakes than South Asian vegetarians. Vegetarians in both populations have a lower probability of overweight/obesity compared with non-vegetarians. The strength of this association may be stronger for US vegetarian diets, which were also protective against central obesity. Copyright © 2016 Elsevier Inc. All rights reserved.

Maritime security report

DOT National Transportation Integrated Search

1996-04-01

The first article in this report deals with the rising theft and in-transit hijacking of entire containers and trailers in port cities and adjacent areas in the United States. Cargo thefts are occurring most frequently in Florida, California, New Yor...

Use of Complementary and Alternative Medicine in the United States

MedlinePlus

... is Most Frequently Used Among Children (2007) Additional Reports NCCIH plans to collaborate with NCHS on further ... improving health and health care. To Obtain the Report The report's citation is Barnes PM, Bloom B, ...

Occurrence of MTBE and other gasoline oxygenates in CWS source waters

USGS Publications Warehouse

Carter, Janet M.; Grady, Stephen J.; Delzer, Gregory C.; Koch, Bart; Zogorski, John S.

2006-01-01

Results from two national surveys indicate that the gasoline oxygenate methyl tertiary butyl ether (MTBE) is one of the most frequently detected volatile organic compounds in source waters used by community water systems in the United States. Three other ether oxygenates were detected infrequently but almost always co-occurred with MTBE. A random sampling of source waters across the United States found MTBE in almost 9% of samples. In geographic areas with high MTBE use, the compound was detected in 23% of source water samples. Although MTBE concentrations were low (<1 µg/L) in most samples, some concentrations equaled or exceeded the drinking water advisory of 20 µg/L set by the US Environmental Protection Agency. The frequent detection of even low concentrations of MTBE demonstrates the vulnerability of US source waters to anthropogenic compounds, indicating a need to include MTBE in monitoring programs to track the trend of contamination.

Targeting at the Speed of Light

DTIC Science & Technology

2007-02-23

Christensen states: “it is the combination of new disruptive technologies which could have significant impact on nations such as the United States.”6...technology? According to Harvard Professor, Clayton Christensen, there are two technologies: sustaining technologies and disruptive technologies . Sustaining...problems dealing with disruptive technologies . Disruptive technologies are generally "cheaper, simpler, smaller, and, frequently, more convenient

OhioLINK Electronic Journal Use at Ohio State University

ERIC Educational Resources Information Center

Connell, Tschera Harkness; Rogers, Sally A.; Diedrichs, Carol Pitts

2005-01-01

A five-question survey randomly presented to users at Ohio State University (OSU) as they viewed articles in OhioLINK's Electronic Journal Center (EJC) in fall 2002 probed the user's status, academic unit, reason for viewing, path to the article, and frequency of EJC use. Usage by faculty and graduate students, by frequent users, and by those in…

Sarcoidosis in Black Women in the United States

PubMed Central

Berman, Jeffrey S.; Palmer, Julie R.; Boggs, Deborah A.; Serlin, David M.; Rosenberg, Lynn

2011-01-01

Background: Sarcoidosis is a systemic granulomatous disorder of unknown cause that occurs among men and women of all races. In the United States, black women are most frequently and most severely affected. There have been few epidemiologic studies of sarcoidosis focusing on black women. Methods: In this article, we present data on incidence, prevalence, and clinical characteristics of sarcoidosis among participants in the Black Women’s Health Study, a cohort study of 59,000 black women from across the United States. Data on incident disease and potential risk factors are obtained through biennial questionnaires. Follow-up has been > 80% through six completed cycles. Results: There were 685 prevalent cases of sarcoidosis at baseline in 1995 and 435 incident cases reported during 611,585 person-years of follow-up through 2007, for an average annual incidence rate of 71/100,000 and a current prevalence of 2.0%. The sarcoid diagnosis was confirmed in 96% of self-reported cases for whom medical records or physician checklists were obtained. The most frequently affected site was the lung. Most patients also had extrapulmonary involvement, with the most common sites being lymph nodes, skin, and eyes. Prednisone had the highest prevalence of use, followed by inhaled corticosteroids. Conclusions: This study confirms previous reports of high incidence and prevalence of sarcoidosis among black women, as well as the extent of extrapulmonary disease, frequent need for steroid therapy, and comorbid conditions in this population. The prospective identification of sarcoidosis cases from a defined population will enable a valid assessment of risk factors for incident disease as follow-up continues. PMID:20595459

Job Information Deprivation in the United States: A Case Study of Korean Immigrants.

ERIC Educational Resources Information Center

Kim, Kwang Chung; And Others

1981-01-01

Analyzes the methods of job information acquisition used by recent Korean immigrants. Indicates the Koreans most frequently use personal contact with other Koreans. Reviews findings from the perspective of labor market segmentation. (Author/MK)

Government Legislation and Regulations in the United States

EPA Science Inventory

For centuries, customary or traditional laws have covered the use of biological resources throughout the world. As human population levels increase in all societies, voluntary actions governed by cultural practices are frequently insufficient to protect biodiversity, leading to...

In-depth interviews with state public health practitioners on the United States National Physical Activity Plan

PubMed Central

2013-01-01

Background The United States National Physical Activity Plan (NPAP; 2010), the country’s first national plan for physical activity, provides strategies to increase population-level physical activity to complement the 2008 physical activity guidelines. This study examined state public health practitioner awareness, dissemination, use, challenges, and recommendations for the NPAP. Methods In 2011–2012, we interviewed 27 state practitioners from 25 states. Interviews were recorded and transcribed verbatim. Transcripts were coded using a standard protocol, verified and reconciled by an independent coder, and input into qualitative software to facilitate development of common themes. Results NPAP awareness was high among state practitioners; dissemination to local constituents varied. Development of state-level strategies and goals was the most frequently reported use of the NPAP. Some respondents noted the usefulness of the NPAP for coalitions and local practitioners. Challenges to the plan included implementation cost, complexity, and consistency with other policies. The most frequent recommendation made was to directly link examples of implementation activities to the plan. Conclusions These results provide early evidence of NPAP dissemination and use, along with challenges encountered and suggestions for future iterations. Public health is one of eight sectors in the NPAP. Further efforts are needed to understand uptake and use by other sectors, as well as to monitor long-term relevance, progress, and collaboration across sectors. PMID:23731829

Detection and attribution of flood change across the United States

NASA Astrophysics Data System (ADS)

Archfield, Stacey

2017-04-01

In the United States, there have a been an increasing number of studies quantifying trends in the annual maximum flood; yet, few studies examine trends in floods that may occur more than once in a given year and even fewer assess trends in floods on rivers that have undergone substantial changes due to urbanization, land-cover change, and agricultural drainage practices. Previous research has shown that, for streamgages having minimal direct human intervention, trends in the peak magnitude, frequency, duration and volume of frequent floods (floods occurring at an average of two events per year relative to a base period) across the United States show large changes; however, few trends are found to be statistically significant. This study extends previous research to provide a comprehensive assessment of flood change across the United States that includes streamgages having experienced confounding alterations to streamflow (urbanization, storage, and land-cover changes) that provides a comprehensive assessment of flood change. Attribution of these changes is also explored.

[Quality and use of websites presenting public health education and training opportunities].

PubMed

Rongère, Julie; Tavolacci, Marie-Pierre; Douyère, Magalie; Thirion, Benoit; Darmoni, Stéfan Jean; Ladner, Joël

2008-01-01

The objective of this work was to study the use of the Internet and the quality of the websites for postgraduate public health courses in France, and to compare them with equivalent courses in the United States of America. Between June 2004 and January 2005, the authorized public health diplomas proposed in France and in the United States were inventoried and listed, and then all websites of these public health diplomas were systematically visited and reviewed using a standardized questionnaire. In France, 36 public health courses (7 post graduate diplomas [DEA], 13 Masters degrees [DESS] and 16 masters of public health [MPH]) were identified and selected from 53 websites. Information on student profiles, prerequisite skills, the courses' curricula and program descriptions and the potential career opportunities were more frequently available for the MPH compared to the DEA and DESS. In United States, 66 MPH and 127 Master of Science in Public Health (MSPH) programs were accredited. The target public and validation methods were more often indicated on the American sites, while the prerequisite skills were more frequently found on the French sites. The recent implementation of the LMD (Bachelor's-Masters-Doctoral degrees) education system in France has encouraged the utilisation of Internet as an information and communications tool for the presentation and marketing of these new diplomas.

Evaluating Motivational Interviewing in the Physician Assistant Curriculum.

PubMed

Halbach, Patrick; Keller, Abiola O

2017-09-01

Motivational interviewing (MI) is an evidence-based technique that enables clinicians to help patients modify health behaviors. Although MI is an essential tool for physician assistants (PAs), the extent to which it is addressed in PA curricula in the United States is unknown. This study is a comprehensive description of MI education in PA programs in the United States. Data are from the 2014 Physician Assistant Education Association Annual Program Survey. Descriptive statistics were conducted on de-identified data from all 186 PA programs in the United States. Of the 186 PA programs surveyed, 72.58% (n = 135) reported at least one course providing MI training. Availability of courses providing training in skills essential to the MI process varied. Having a course with verbal communication training was most frequently endorsed, and having a course with training in developing discrepancy was least frequently endorsed. The most popular teaching modality was lecture (84.95%, n = 158), whereas only 41.40% (n = 77) and 58.60% (n = 109) reported role play with evaluation and standardized patient exercises with evaluation, respectively. More than 70% of programs included at least one course in their curriculum that provided training in MI, suggesting that PA programs recognize the importance of MI. Instruction in change talk was not provided in nearly half of the programs. Role-play and standardized patient exercises with evaluation were underused methods despite their proven efficacy in MI education. As the first comprehensive benchmark of MI education for PAs, this study shows that although most programs address MI, opportunities exist to improve MI training in PA programs in the United States.

NRCS Prototype Programmatic Agreement FAQ

Science.gov Websites

Search Frequently Asked Questions regarding the Natural Resources Conservation Service Prototype Programmatic Agreement The Advisory Council on Historic Preservation (ACHP) recently designated a prototype programmatic agreement (PPA) for the United States Department of Agriculture, Natural Resources Conservation

SEDIMENT DENITRIFICATION IN THE YAQUINA ESTUARY, OREGON

EPA Science Inventory

Rivers draining watersheds of the Coast Range in the northwestern United States frequently contain high concentrations of dissolved nitrate, particularly after high flow events (up to 180 ?M nitrate-N). The nitrate source appears to originate from the fixation of atmospheric nit...

Frequent Questions on International Agreements on Transboundary Shipments of Waste

EPA Pesticide Factsheets

Answers FAQs such as How does the OECD control the shipment of hazardous waste between Member countries? Where do I find the green and amber lists of waste? Why hasn't the United States ratified the Basel Convention?

The Consequences of International Comparisons for Public Support of K-12 Education: Evidence from a National Survey Experiment

ERIC Educational Resources Information Center

Morgan, Stephen L.; Poppe, Emily S. Taylor

2012-01-01

Candidates for public office in the United States frequently justify their positions on education policy priorities by stating the need to strengthen the nation's economic competitiveness against new global challengers. In this article, the authors investigate the consequences of this form of policy motivation for attitudes toward and support of…

Chloroplast DNA variation of northern red oak

Treesearch

Jeanne Romero-Severson; Preston Aldrich; Yi Feng; Weilin Sun; Charles Michler

2003-01-01

Chloroplast DNA (cpDNA) variation was examined in 48 northern red oaks at 14 sites representing contrasting glacial histories and age structures within the state of Indiana in the United States. PCR-RFLP of three intergenic regions revealed five haplotypes. Haplotype I was common to seven sites and was the most frequent (17 trees). Haplotype II was common to five sites...

Mitigating old tree mortality in long-unburned, fire-dependent forests: a synthesis

Treesearch

Sharon M. Hood

2010-01-01

This report synthesizes the literature and current state of knowledge pertaining to reintroducing fire in stands where it has been excluded for long periods and the impact of these introductory fires on overstory tree injury and mortality. Only forested ecosystems in the United States that are adapted to survive frequent fire are included. Treatment options that...

Comparison of natural and artificial odor lures for nilgai (Boselaphus tragocamelus) and white-tailed deer (Odocoileus virginianus) in South Texas: developing treatment for cattle fever tick eradication

USDA-ARS?s Scientific Manuscript database

Cattle fever ticks (CFT), vectors of bovine babesiosis and anaplasmosis, were eradicated from the United States by 1943, but are frequently reintroduced from neighboring border states of Mexico via stray cattle and wildlife hosts including white-tailed deer (Odocoileus virginianus) (WTD) and nilgai ...

State-Sponsored Public Reporting Programs of Hospital Quality in the United States

PubMed Central

Ross, Joseph S.; Sheth, Sameer D.; Krumholz, Harlan M.

2011-01-01

The prevalence of state public reporting initiatives focused on hospital quality is not known. We systematically reviewed state-sponsored publicly reporting programs focused on clinical aspects of hospital quality and performance for adults, surveying the 50 U.S. states and the District of Columbia. We found that while identifying information about programs was frequently a challenge, programs were present in 25 states (49%) and provided hospital quality information that varied considerably from state to state both by condition and by process and outcome measures reported. We examine the implications of these findings for future state initiatives. PMID:21134936

Assessment of Issues Facing Immigrant and Refugee Families

ERIC Educational Resources Information Center

Segal, Uma A.; Mayadas, Nazneen S.

2005-01-01

This article identifies the different problems immigrants and refugees face in the United States, especially socioeconomic and psychosocial concerns that often relate to the experience of migration. Traditional familial roles and responsibilities are frequently challenged, exacerbated by sociocultural differences and inadequate understandings…

26 CFR 1.6851-2 - Certificates of compliance with income tax laws by departing aliens.

Code of Federal Regulations, 2014 CFR

2014-04-01

... required to obtain a certificate of compliance. (c) Effect of waiver. An alien who has filed with the... Canada or Mexico who commutes between such country and the United States at frequent intervals for the...

26 CFR 1.6851-2 - Certificates of compliance with income tax laws by departing aliens.

Code of Federal Regulations, 2011 CFR

2011-04-01

... required to obtain a certificate of compliance. (c) Effect of waiver. An alien who has filed with the... Canada or Mexico who commutes between such country and the United States at frequent intervals for the...

26 CFR 1.6851-2 - Certificates of compliance with income tax laws by departing aliens.

Code of Federal Regulations, 2010 CFR

2010-04-01

... required to obtain a certificate of compliance. (c) Effect of waiver. An alien who has filed with the... Canada or Mexico who commutes between such country and the United States at frequent intervals for the...

Nationwide Population-Based Incidence and Survival Rates of Malignant Central Nervous System Germ Cell Tumors in Korea, 2005-2012.

PubMed

Lee, Seung Hoon; Jung, Kyu-Won; Ha, Johyun; Oh, Chang-Mo; Kim, Hyeseon; Park, Hyeon Jin; Yoo, Heon; Won, Young-Joo

2017-04-01

Malignant central nervous system (CNS) germ cell tumors (GCTs), although rare, are thought to occur more frequently among Asians. However, a recent population-based study revealed no differences in GCT incidence between Asians and Caucasians. Therefore, this study was conducted to determine the incidence and survival rates of CNS GCTs using the national cancer incidence database, and to compare these rates to those in the United States and Japan. We extracted CNS GCT patients diagnosed between 2005 and 2012 from the Korea Central Cancer Registry database. Age-standardized rates (ASRs), annual percentage change, and the male-female incidence rate ratios (IRRs) were calculated. To estimate the survival rate, we used data for patients diagnosed between 2005 and 2010 and followed their cases until December 31, 2013. The ASR for CNS GCT between 2005 and 2012 was 0.179 per 100,000 (95% confidence interval, 0.166 to 0.193), with an overall male-to-female (M:F) IRR of 2.95:1. However, when stratified by site, the M:F IRR was 13.62:1 for tumors of the pineal region and 1.87:1 for those located in nonpineal regions. The most frequent histologic type was germinoma (76.0%), and the most frequent location was the suprasellar region (48.5%). The 5-year survival rate of germinoma patients was 95.3%. The incidence rate of CNS GCTs in Korea during 2005-2012 was 0.179 per 100,000, which was similar to that of the Asian/Pacific Islander subpopulation in the United States. Moreover, the CNS GCT survival rate in Korea was similar to rates in Japan and the United States.

Individual detection of genetically modified maize varieties in non-identity-preserved maize samples.

PubMed

Akiyama, Hiroshi; Sakata, Kozue; Kondo, Kazunari; Tanaka, Asako; Liu, Ming S; Oguchi, Taichi; Furui, Satoshi; Kitta, Kazumi; Hino, Akihiro; Teshima, Reiko

2008-03-26

In many countries, the labeling of grains and feed- and foodstuffs is mandatory if the genetically modified organism (GMO) content exceeds a certain level of approved GM varieties. The GMO content in a maize sample containing the combined-trait (stacked) GM maize as determined by the currently available methodology is likely to be overestimated. However, there has been little information in the literature on the mixing level and varieties of stacked GM maize in real sample grains. For the first time, the GMO content of non-identity-preserved (non-IP) maize samples imported from the United States has been successfully determined by using a previously developed individual kernel detection system coupled to a multiplex qualitative PCR method followed by multichannel capillary gel electrophoresis system analysis. To clarify the GMO content in the maize samples imported from the United States, determine how many stacked GM traits are contained therein, and which GM trait varieties frequently appeared in 2005, the GMO content (percent) on a kernel basis and the varieties of the GM kernels in the non-IP maize samples imported from the United States were investigated using the individual kernel analysis system. The average (+/-standard deviation) of the GMO contents on a kernel basis in five non-IP sample lots was determined to be 51.0+/-21.6%, the percentage of a single GM trait grains was 39%, and the percentage of the stacked GM trait grains was 12%. The MON810 grains and NK603 grains were the most frequent varieties in the single GM traits. The most frequent stacked GM traits were the MON810xNK603 grains. In addition, the present study would provide the answer and impact for the quantification of GM maize content in the GM maize kernels on labeling regulation.

Yemen: Background and U.S. Relations

DTIC Science & Technology

2012-11-01

states frequently clashed, and the United States assisted the YAR, with Saudi Arabian financial support, by periodically providing it with weaponry. By...intervene, may have provided President Saleh and his rivals financial incentives to settle their differences and move to a cease-fire. Yemen’s Tenuous...7 Yemeni leaders have long claimed that Iran was trying to destabilize Yemen in order to secure more financial and

Changes in Woodland Use from Longleaf Pine to Loblolly Pine

Treesearch

Yaoqi Zhang; Indrajit Majumdar; John Schelhas

2010-01-01

Abstract: There is growing evidence suggesting that the United States’ roots are not in a state of pristine nature but rather in a human-modified landscape over which Native people have since long exerted vast control and use. The longleaf pine is a typical woodland use largely shaped by fires, lightning and by Native Americans. The frequent fires, which were used to...

Human antirabies treatment in the United States, 1972.

PubMed Central

Winkler, W G; Kappus, K D

1979-01-01

Data were examined on 965 persons treated in six States (Delaware, Florida, Georgia, Illinois, North Dakota, and South Carolina) and New York City in 1972 for possible rabies exposure. Males 10-19 years were found to be the group at greatest risk, and exposures occurred most frequently during the warm months. Dogs, other domestic animals, and wildlife were about equally responsible for human exposures in the six States, but 99% of the exposures in New York City involved dogs. Antirabies postexposure prophylaxis varied markedly among reporting areas and frequently did not follow current recommendations. The mean delay in initiation of treatment after exposure was 4 1/2 days. The mean number of doses of vaccine for treatment was 12; only 10% of the persons treated received antirabies serum. PMID:432411

At Home in Your Schools.

ERIC Educational Resources Information Center

Black, Susan

1994-01-01

Young mothers with children are fastest growing subgroup of homeless people in the United States. Frequently moving or "transient" children are prime homeless candidates. School officials can help by tending to kids' basic needs (food, rest, clothing, and school supplies) before expecting reasonable behavior or learning effort.…

39 CFR 262.1 - Purpose and scope.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 39 Postal Service 1 2012-07-01 2012-07-01 false Purpose and scope. 262.1 Section 262.1 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RECORDS AND INFORMATION MANAGEMENT... information management terms that are frequently used throughout Postal Service regulations and directives. ...

OUTBREAKS ASSOCIATED WITH RECREATIONAL WATER IN THE UNITED STATES

EPA Science Inventory

In this article, we review the causes of outbreaks associated with recreational water during 1971-2000. A bacterial or protozoan etiology was identified in three-quarters of the outbreaks; 23% of the outbreaks were of undetermined etiology. The most frequently identified agents w...

THE U.S. EPA'S VISION FOR A BEACH FORECASTING TOOL

EPA Science Inventory

Beach closures due to water quality that exceeds standard limits occur frequently in the United States. These beach closures deprive the public of opportunities for recreational activities and can have a significant impact on local economics. Because of the large number of mari...

Safety and survival in an earthquake

USGS Publications Warehouse

,

1969-01-01

Many earth scientists in this country and abroad are focusing their studies on the search for means of predicting impending earthquakes, but, as yet, an accurate prediction of the time and place of such an event cannot be made. From past experience, however, one can assume that earthquakes will continue to harass mankind and that they will occur most frequently in the areas where they have been relatively common in the past. In the United States, earthquakes can be expected to occur most frequently in the western states, particularly in Alaska, California, Washington, Oregon, Nevada, Utah, and Montana. The danger, however, is not confined to any one part of the country; major earthquakes have occurred at widely scattered locations.

CO-OCCURRENCE OF OZONE AND ACIDIC CLOUD WATER IN HIGH-ELEVATION FORESTS

EPA Science Inventory

A chemical climatology for high-elevation forests was estimated from ozone and cloudwater acidity data collected in the eastern United States. esides frequent ozone-only and pH-only single-pollutant episodes, both simultaneous and sequential co-occurrence of ozone and acidic clou...

Sedimentation

Treesearch

Cliff R. Hupp; Michael R. Schening

2000-01-01

Sedimentation is arguably the most important water-quality concern in the United States. Sediment trapping is cited frequently as a major function of riverine-forested wetlands, yet little is known about sedimcntation rates at the landscape scale in relation to site parameters, including woody vegetation type, elevation, velocity, and hydraulic connection to the river...

Southern phosphorus indices, water quality data, and modeling (APEX, APLE, and TBET) results: A comparison

USDA-ARS?s Scientific Manuscript database

Phosphorus (P) indices in the southern United States frequently produce different recommendations for similar conditions. After assembling data from benchmark southern sites (Arkansas, Georgia, Mississippi, North Carolina, Oklahoma, and Texas), land treatment information was used in the 12 southern...

Algal bloom-associated disease outbreaks among users of freshwater lakes-United States, 2009 - 2010

EPA Science Inventory

‘Algal blooms’ are local abundances of phytoplankton – microscopic photosynthesizing aquatic organisms found in surface waters worldwide; blooms are variable temporally and spatially and frequently produce a visible algal scum on the water. Harmful algal blooms (HABs) are abundan...

Dust Storms in the United States are Associated with Increased Cardiovascular Mortality

EPA Science Inventory

Background: Extreme weather events such as dust storms are predicted to become more frequent as the global climate warms through the 21st century. Studies of Asian, Saharan, Arabian, and Australian dust storms have found associations with cardiovascular and total non-accidental...

School Violent Crime and Academic Achievement in Chicago

ERIC Educational Resources Information Center

Burdick-Will, Julia

2013-01-01

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

Drug-resistant Neisseria gonorrhoeae: latest developments.

PubMed

Suay-García, B; Pérez-Gracia, M T

2017-07-01

Gonorrhea is the second most frequently reported notifiable disease in the United States and is becoming increasingly common in Europe. The purpose of this review was to assess the current state of drug-resistant Neisseria gonorrhoeae in order to evaluate future prospects for its treatment. An exhaustive literature search was conducted to include the latest research regarding drug resistance and treatment guidelines for gonorrhea. Gonococci have acquired all known resistance mechanisms to all antimicrobials used for treatment. Currently, the European Union, the United States, and the United Kingdom have established surveillance programs to assess, on a yearly basis, the development of gonococcal resistance. Current treatment guidelines are being threatened by the increasing number of ceftriaxone-, cefixime-, and azithromycin-resistant N. gonorrhoeae strains being detected worldwide. This has led the scientific community to develop new treatment options with new molecules in order to persevere in the battle against this "superbug".

Meningococcal disease. Secondary attack rate and chemoprophylaxis in the United States, 1974.

PubMed

1976-01-19

Three hundred twenty-six reported cases of meningococcal disease in the United States from November 1973 through March 1974 were investigated. Three household members became ill with meningococcal disease following onset of the initial case in their household. The secondary attack rate was approximately 3/1,000 household members. In 60% of the households, members were given an antimicrobial drug as chemoprophylaxis for meningococcal disease, but only 35% received minocycline hydrochloride or rifampin, the two drugs now available for the eradication of sulfonamide-resistant meningococci from the nasopharynx. Only 26% given chemoprophylaxis received the drug within 24 hours after the patient's hospital admission. Survey results indicate that the secondary attack rate of meningococcal disease may justify the use of chemoprophylaxis, but that frequently in the United States, the drugs given are likely to be ineffective, give too late, or administered to persons who are not at high risk to meningococcal disease.

A Research Report of Small High Schools in the United States in Regards to Curricular Offerings, Micro-Computer Usage, and Correspondence Courses.

ERIC Educational Resources Information Center

Barker, Bruce O.; Petersen, Paul D.

Using a questionnaire, researchers surveyed 319 public high schools, each with fewer than 500 students, in 46 states to determine the extent and use of microcomputers in small high schools, to assess the use and users of correspondence courses in small schools, to identify the most frequently offered courses in small high school curricula, and to…

Ganglioside GM1 mimicry in Campylobacter strains from sporadic infections in the United States.

PubMed

Nachamkin, I; Ung, H; Moran, A P; Yoo, D; Prendergast, M M; Nicholson, M A; Sheikh, K; Ho, T; Asbury, A K; McKhann, G M; Griffin, J W

1999-05-01

To determine whether GM1-like epitopes in Campylobacter species are specific to O serotypes associated with Guillain-Barré syndrome (GBS) or whether they are frequent among random Campylobacter isolates causing enteritis, 275 random enteritis-associated isolates of Campylobacter jejuni were analyzed. To determine whether GM1-like epitopes in Campylobacter species are specific to O serotypes associated with Guillan-Barre syndrome (GBS) or whether they are frequent among random Campylobacter isolates causing enteritis, 275 enteritis-associated isolates, randomly collected in the United States, were analyzed using a cholera-toxin binding assay [corrected]. Overall, 26.2% of the isolates were positive for the GM1-like epitope. Of the 36 different O serotypes in the sample, 21 (58.3%) contained no strains positive for GM1, whereas in 6 serotypes (16.7%), >50% of isolates were positive for GM1. GBS-associated serotypes were more likely to contain strains positive for GM1 than were non-GBS-associated serotypes (37.8% vs. 15.1%, P=.0116). The results suggest that humans are frequently exposed to strains exhibiting GM1-like mimicry and, while certain serotypes may be more likely to possess GM1-like epitopes, the presence of GM1-like epitopes on Campylobacter strains does not itself trigger GBS.

The Tri-State Experience. Outcome Analysis of Patients with Triple Negative Breast Cancer Treated at Marshall University.

PubMed

Matt, Laurie; Mozayen, Mohammad; Gress, Todd; Tirona, Maria Tria

2015-01-01

Breast cancer is the most frequently diagnosed malignancy in women in the United States. It is the second most common malignancy to cause death, with approximately 39,000 women dying of breast cancer in the United States in 2013. Triple negative breast cancer is defined as the absence of estrogen, progesterone and human epidermal growth factor receptor 2 receptors. It has been associated with a higher incidence in African American women, a younger age and a more advanced stage at diagnosis, and an inferior overall survival. To recognize the differences of our West Virginia community population when compared to the national average, we conducted a retrospective review of all patients diagnosed with breast cancer from 2000-2012.

19 CFR 103.4 - Public inspection and copying.

Code of Federal Regulations, 2011 CFR

2011-04-01

... not published in the Federal Register; and (4) Administrative staff manuals and instructions to staff... frequent basis and are available for purchase at each of the public reading rooms listed in § 103.1, at a... deleted. (e) Public reading rooms. The United States Customs Service has available for inspection and...

19 CFR 103.4 - Public inspection and copying.

Code of Federal Regulations, 2010 CFR

2010-04-01

... not published in the Federal Register; and (4) Administrative staff manuals and instructions to staff... frequent basis and are available for purchase at each of the public reading rooms listed in § 103.1, at a... deleted. (e) Public reading rooms. The United States Customs Service has available for inspection and...

No Values, No Democracy: The Essential Partisanship of a Civic Engagement Movement

ERIC Educational Resources Information Center

Hartman, Eric

2013-01-01

The past several decades have witnessed increasing efforts to advance universities as institutions supporting democratic civic education in the United States. Unfortunately, civic engagement initiatives frequently are framed as apolitical, which I argue is either under-theorized or disingenuous. In this article, I first review perceptions of…

A simple nonnative plant indicator (NNPI) for describing ecological stress: Application to wetlands of the conterminous United States

EPA Science Inventory

Background/Question/Methods: Nonnative plants (NNP) are recognized indicators of disturbance to wetlands and other ecosystems, and often are direct stressors competing with native plant species and communities, or altering ecosystem processes. NNP species frequently co-occur and ...

Bipolar Disorder in Children: Implications for Speech-Language Pathologists

ERIC Educational Resources Information Center

Quattlebaum, Patricia D.; Grier, Betsy C.; Klubnik, Cynthia

2012-01-01

In the United States, bipolar disorder is an increasingly common diagnosis in children, and these children can present with severe behavior problems and emotionality. Many studies have documented the frequent coexistence of behavior disorders and speech-language disorders. Like other children with behavior disorders, children with bipolar disorder…

Psychological Impact of Migration on Latinas: Implications for Psychotherapeutic Practice.

ERIC Educational Resources Information Center

Espin, Oliva M.

1987-01-01

Examines the psychological implications of the migratory process on Latin American women in the United States, addressing issues of gender roles, acculturation, language, loss, and grief, that are frequently presented by Latinas in psychotherapy. Interprets these issues as reflective of stresses created by the migratory process, and suggests ways…

Restoration of Longleaf Pine Ecosystems

Treesearch

Dale G. Brockway; Kenneth W. Outcalt; Donald J. Tomczak; Everett E. Johnson

2005-01-01

Longleaf pine (Pinus palustris) ecosystems once occupied 38 million ha in the Southeastern United States, occurring as forests, woodlands, and savannas on a variety of sites ranging from wet flatwoods to xeric sandhills and rocky mountainous ridges. Characterized by an open parklike structure, longleaf pine ecosystems are a product of frequent fires...

Trauma and Its Impact on Children

ERIC Educational Resources Information Center

Diamanduros, Terry D.; Tysinger, P. Dawn; Tysinger, Jeffrey

2018-01-01

Exposure to traumatic experiences in childhood is more frequent than uncommon and can have a significant impact on the development and social-emotional health of children and adolescents. A recent national study revealed that approximately 34 million children in the United States had experienced at least one of nine adverse childhood experiences…

Metagenomic analysis of the bovine hindgut from Salmonella Kentucky and Cerro-shedding dairy cows

USDA-ARS?s Scientific Manuscript database

In the United States Salmonella enterica subsp. enterica serovars Kentucky and Cerro are frequently isolated from dairy cows that appear asymptomatic. Although they are not major contributors to the salmonellosis burden, these serovars have been implicated in human clinical cases in recent years. To...

Un-Settling Multicultural Erasures

ERIC Educational Resources Information Center

Grande, Sandy; Anderson, Lauren

2017-01-01

This essay begins by naming liberal forms of multiculturalism as a complicit discourse and theory in the erasure of Indigenous peoples. For example, it troubles the false narrative of the United States as a "nation of immigrants," offered up so frequently as a corrective to the current administration's divisive rhetoric and policies. The…

Enhancing the Adult Experience: Counseling Approaches and Activities.

ERIC Educational Resources Information Center

Benjamin, Libby; Walz, Garry R.

This document is one of three monographs resulting from a three-year study of adult counseling programs and practices in the United States. The first section of this monograph describes issues and potential problems associated with four frequently-experienced adult life transitions, i.e., divorce, midlife career change, preretirement planning, and…

Windows on Achievement and Inequality. Policy Information Report

ERIC Educational Resources Information Center

Barton, Paul E.; Coley, Richard J.

2008-01-01

Shifting focus from typical data and information about the status of educational achievement in the United States and about gaps in achievement among the nation's students, this report undertakes investigation of less-frequently-asked questions. As required by the No Child Left Behind Act (NCLB), educators are continuously monitoring whether more…

The Student with Sickle Cell Anemia.

ERIC Educational Resources Information Center

Tetrault, Sylvia M.

1981-01-01

Sickle cell anemia is the most common and severe of inherited chronic blood disorders. In the United States, sickle cell anemia is most common among the Black population. Among the most commonly occurring symptoms are: an enlarged spleen, episodes of severe pain, easily contracted infections, skin ulcers, and frequent urination. (JN)

Suicide Compared to Other Causes of Mortality in Physicians

ERIC Educational Resources Information Center

Torre, Dario M.; Wang, Nae-Yuh; Meoni, Lucy A.; Young, J. Hunter; Klag, Michael J.; Ford, Daniel E.

2005-01-01

Physicians frequently are early adopters of healthy behaviors based on their knowledge and economic resources. The mortality patterns of physicians in the United States, particularly suicide, have not been rigorously described for over a decade. Previous studies have shown lower all-cause mortality among physicians yet reported conflicting results…

Carbon and nitrogen cycling in southwestern ponderosa fine forests

Treesearch

Stephen C. Hart; Paul C. Selmants; Sarah I. Boyle; Steven T. Overby

2007-01-01

Ponderosa pine forests of the southwestern United States were historically characterized by relatively open, parklike stands with a bunchgrass-dominated understory. This forest structure was maintained by frequent, low-intensity surface fires. Heavy livestock grazing, fire suppression, and favorable weather conditions following Euro-American settlement in the late 19th...

College Students and Awareness of Food Safety

ERIC Educational Resources Information Center

McArthur, Laura H.; Holbert, Donald; Forsythe, William A., III

2007-01-01

Microbial foodborne illnesses are a public health problem in the United States. Americans are patronizing restaurants three or more times a week and college students are frequently employed in food service; therefore, this study assessed compliance with and awareness of food safety recommendations among 460 college students. Compliance was…

Maternity and Paternity Policies Available to Academic Librarians

ERIC Educational Resources Information Center

Connell, Ruth Sara

2013-01-01

This study examines how frequently parental leave and other related childcare policies are available to academic librarians across the United States. It also looks at the relationships between policies offered and types of academic libraries that offer those policies. The author surveyed administrators at academic libraries serving baccalaureate,…

Commentary: The Failure of Social Education or Just Going down the Road of Post-Democratic Politics?

ERIC Educational Resources Information Center

Menezes, Isabel

2017-01-01

The paper "American democracy is distress: The failure of social education" presents several "symptoms of democracy's dysfunction in the United States". These include the extreme reliance on campaign contributions, giving the donors--economic elites and groups representing business, frequently operating at a transnational…

Dust Storms and Mortality in the United States, 1995-2005

EPA Science Inventory

Extreme weather events, such as dust storms, are predicted to become more frequent as the global climate warms through the 21st century. The impact of dust storms on human health has been studied extensively in the context of Asian, Saharan, Arabian, and Australian storms, but t...

Contributions of the Long-Term Pavement Performance Program to Pavement Management System Improvements: Better Data and Performance Models

DOT National Transportation Integrated Search

2008-05-21

The United States interstate highways and other components of the national highway system are approaching the end of their effective service lives. Many segments of this network have already surpassed their design lives and require frequent repair. S...

Biochars impact on water infiltration and water quality through a compacted subsoil layer

USDA-ARS?s Scientific Manuscript database

Soils in the Southeastern United States Coastal Plain region frequently have a compacted subsoil layer, which is a barrier for water movement. Four different biochars were evaluated to increase water movement through a compacted horizon from a Norfolk soil (fine-loamy, kaolinitic, thermic, Typic Ka...

Informal Reading Inventories and ELL Students

ERIC Educational Resources Information Center

Gandy, Sandra E.

2013-01-01

With the increasing amount of testing taking place in classrooms, teachers may question how appropriate those assessments are for the growing numbers of English language learners (ELLs) in the United States. One of the assessment options for classroom teachers is the informal reading inventory (IRI), which is the most frequently used assessment…

Lawn mower injuries: a case report.

PubMed

Kharasch, M S; Longano, J; Kucich, V A; Mathews, J

1992-01-01

Frequent and varied injuries are sustained during the operation of power lawn mowers in the United States. A description of one such injury leading to cardiac trauma is presented. The clinical signs of injury were initially unclear, and obtaining accurate historical data was vital in the diagnosis of this patient.

Academic Improvement through Regular Assessment

ERIC Educational Resources Information Center

Wolf, Patrick J.

2007-01-01

Media reports are rife with claims that students in the United States are overtested and that they and their education are suffering as result. Here I argue the opposite--that students would benefit in numerous ways from more frequent assessment, especially of diagnostic testing. The regular assessment of students serves critical educational and…

Cultivar selection for bacterial root rot in sugar beet

USDA-ARS?s Scientific Manuscript database

Bacterial root rot of sugar beet caused by Leuconostoc mesenteroides subsp. dextranicum is a disease problem recently described in the United States, which has frequently been found in association with Rhizoctonia root rot. To reduce the impact of bacterial root rot on sucrose loss in the field, st...

Is that dog a pit bull? A cross-country comparison of perceptions of shelter workers regarding breed identification.

PubMed

Hoffman, Christy L; Harrison, Natalie; Wolff, London; Westgarth, Carri

2014-01-01

Bull breeds are commonly kept as companion animals, but the pit bull terrier is restricted by breed-specific legislation (BSL) in parts of the United States and throughout the United Kingdom. Shelter workers must decide which breed(s) a dog is. This decision may influence the dog's fate, particularly in places with BSL. In this study, shelter workers in the United States and United Kingdom were shown pictures of 20 dogs and were asked what breed each dog was, how they determined each dog's breed, whether each dog was a pit bull, and what they expected the fate of each dog to be. There was much variation in responses both between and within the United States and United Kingdom. UK participants frequently labeled dogs commonly considered by U.S. participants to be pit bulls as Staffordshire bull terriers. UK participants were more likely to say their shelters would euthanize dogs deemed to be pit bulls. Most participants noted using dogs' physical features to determine breed, and 41% affected by BSL indicated they would knowingly mislabel a dog of a restricted breed, presumably to increase the dog's adoption chances.

Is That Dog a Pit Bull? A Cross-Country Comparison of Perceptions of Shelter Workers Regarding Breed Identification

PubMed Central

Hoffman, Christy L.; Harrison, Natalie; Wolff, London; Westgarth, Carri

2014-01-01

Bull breeds are commonly kept as companion animals, but the pit bull terrier is restricted by breed-specific legislation (BSL) in parts of the United States and throughout the United Kingdom. Shelter workers must decide which breed(s) a dog is. This decision may influence the dog's fate, particularly in places with BSL. In this study, shelter workers in the United States and United Kingdom were shown pictures of 20 dogs and were asked what breed each dog was, how they determined each dog's breed, whether each dog was a pit bull, and what they expected the fate of each dog to be. There was much variation in responses both between and within the United States and United Kingdom. UK participants frequently labeled dogs commonly considered by U.S. participants to be pit bulls as Staffordshire bull terriers. UK participants were more likely to say their shelters would euthanize dogs deemed to be pit bulls. Most participants noted using dogs' physical features to determine breed, and 41% affected by BSL indicated they would knowingly mislabel a dog of a restricted breed, presumably to increase the dog's adoption chances. PMID:24673506

On the Importance of Electronic Symmetry for Triplet State Delocalization

DOE PAGES

Richert, Sabine; Bullard, George; Rawson, Jeff; ...

2017-03-29

The influence of electronic symmetry on triplet state delocalization in linear zinc porphyrin oligomers is explored by electron paramagnetic resonance techniques. Using a combination of transient continuous wave and pulse electron nuclear double resonance spectroscopies, it is demonstrated experimentally that complete triplet state delocalization requires the chemical equivalence of all porphyrin units. These results are supported by density functional theory calculations, showing uneven delocalization in a porphyrin dimer in which a terminal ethynyl group renders the two porphyrin units inequivalent. When the conjugation length of the molecule is further increased upon addition of a second terminal ethynyl group that restoresmore » the symmetry of the system, the triplet state is again found to be completely delocalized. Finally, the observations suggest that electronic symmetry is of greater importance for triplet state delocalization than other frequently invoked factors such as conformational rigidity or fundamental length-scale limitations.« less

Active living collaboratives in the United States: understanding characteristics, activities, and achievement of environmental and policy change.

PubMed

Litt, Jill S; Reed, Hannah L; Tabak, Rachel G; Zieff, Susan G; Eyler, Amy A; Lyn, Rodney; Goins, Karin Valentine; Gustat, Jeanette; Tompkins, Nancy O'Hara

2013-01-01

Changing the built environment to promote active lifestyles requires collaboration among diverse sectors. Multisectoral collaborative groups in the United States promote active lifestyles through environmental and policy changes. The objective of this study was to examine the characteristics of these collaborative groups and the extent to which they have achieved change. We identified, recruited, and interviewed the coordinators of active living collaborative groups in the United States. We used descriptive statistics to characterize groups by composition, stakeholder engagement, and the extent of environmental and policy change in 8 strategic areas. Fifty-nine groups from 22 states participated in the study. Most groups had a diverse set of partners and used a range of activities to advance their agendas. Most groups achieved some form of environmental or policy change. On average, groups reported working on 5 strategy areas; parks and recreation (86%) and Safe Routes to School (85%) were named most frequently. More than half of groups reported their environmental initiatives as either in progress or completed. Groups reported the most success in changing policy for public plazas, street improvements, streetscaping, and parks, open space, and recreation. Complete Streets policy and zoning ordinances were the most frequently cited policy types. Engaging in media activities and the policy-making process in addition to engaging stakeholders appear to influence success in achieving change. Although many groups successfully worked on parks and recreation improvements, opportunities remain in other areas, including transit and infill and redevelopment. Additional time and resources may be critical to realizing these types of changes.

Active Living Collaboratives in the United States: Understanding Characteristics, Activities, and Achievement of Environmental and Policy Change

PubMed Central

Reed, Hannah L.; Tabak, Rachel G.; Zieff, Susan G.; Eyler, Amy A.; Lyn, Rodney; Goins, Karin Valentine; Gustat, Jeanette; Tompkins, Nancy O’Hara

2013-01-01

Introduction Changing the built environment to promote active lifestyles requires collaboration among diverse sectors. Multisectoral collaborative groups in the United States promote active lifestyles through environmental and policy changes. The objective of this study was to examine the characteristics of these collaborative groups and the extent to which they have achieved change. Methods We identified, recruited, and interviewed the coordinators of active living collaborative groups in the United States. We used descriptive statistics to characterize groups by composition, stakeholder engagement, and the extent of environmental and policy change in 8 strategic areas. Results Fifty-nine groups from 22 states participated in the study. Most groups had a diverse set of partners and used a range of activities to advance their agendas. Most groups achieved some form of environmental or policy change. On average, groups reported working on 5 strategy areas; parks and recreation (86%) and Safe Routes to School (85%) were named most frequently. More than half of groups reported their environmental initiatives as either in progress or completed. Groups reported the most success in changing policy for public plazas, street improvements, streetscaping, and parks, open space, and recreation. Complete Streets policy and zoning ordinances were the most frequently cited policy types. Engaging in media activities and the policy-making process in addition to engaging stakeholders appear to influence success in achieving change. Conclusion Although many groups successfully worked on parks and recreation improvements, opportunities remain in other areas, including transit and infill and redevelopment. Additional time and resources may be critical to realizing these types of changes. PMID:23391295

Clean Energy in City Codes: A Baseline Analysis of Municipal Codification across the United States

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

Cook, Jeffrey J.; Aznar, Alexandra; Dane, Alexander

Municipal governments in the United States are well positioned to influence clean energy (energy efficiency and alternative energy) and transportation technology and strategy implementation within their jurisdictions through planning, programs, and codification. Municipal governments are leveraging planning processes and programs to shape their energy futures. There is limited understanding in the literature related to codification, the primary way that municipal governments enact enforceable policies. The authors fill the gap in the literature by documenting the status of municipal codification of clean energy and transportation across the United States. More directly, we leverage online databases of municipal codes to develop nationalmore » and state-specific representative samples of municipal governments by population size. Our analysis finds that municipal governments with the authority to set residential building energy codes within their jurisdictions frequently do so. In some cases, communities set codes higher than their respective state governments. Examination of codes across the nation indicates that municipal governments are employing their code as a policy mechanism to address clean energy and transportation.« less

Threading needles in the dark: the effect of the physical work environment on nursing practice.

PubMed

Simmons, Debora; Graves, Krisanne; Flynn, Elizabeth A

2009-01-01

Frequently, the most critical calculations, considerations, and preparations for patient care and medication administration are made in noisy, dimly lit, and chaotic areas of the nursing unit. Healthcare has begun to recognize the impact of the physical work environment plays in the ability of humans to perform reliably and safely. This article reviews the draft guidelines recently released by the United States Pharmacopeia for public comment for the physical environment to promote safe medication administration.

Sizes of the Largest Possible Earthquakes in the Central and Eastern United States - Summary of a Workshop, September 8-9, 2008, Golden, Colorado

USGS Publications Warehouse

Wheeler, Russell L.

2009-01-01

Most probabilistic seismic-hazard assessments require an estimate of Mmax, the magnitude (M) of the largest earthquake that is thought possible within a specified area. In seismically active areas such as some plate boundaries, large earthquakes occur frequently enough that Mmax might have been observed directly during the historical period. In less active regions like most of the Central and Eastern United States and adjacent Canada, large earthquakes are much less frequent and generally Mmax must be estimated indirectly. The indirect-estimation methods are many, their results vary widely, and opinions differ as to which methods are valid. This lack of consensus about Mmax estimation increases the uncertainty of hazard assessments for planned nuclear power reactors and increases design and construction costs. Accordingly, the U.S. Geological Survey and the U.S. Nuclear Regulatory Commission held an open workshop on Mmax estimation in the Central and Eastern United States and adjacent Canada. The workshop was held on Monday and Tuesday, September 8 and 9, 2008, at the U.S. Geological Survey offices in Golden, Colorado. Thirty-five people attended. The workshop goals were to reach consensus on one or more of: (1) the relative merits of the various methods of Mmax estimation, (2) which methods are invalid, (3) which methods are promising but not yet ready for use, and (4) what research is needed to reach consensus on the values and relative importance of the individual estimation methods.

Sun Protection Education for Healthy Children

ERIC Educational Resources Information Center

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

2009-01-01

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

Rye residue levels affect suppression of the southern root-knot nematode in cotton

USDA-ARS?s Scientific Manuscript database

In the southeastern United States, rye (Secale cereale) is frequently planted as a winter cover crop in conservation tillage cotton. Although rye produces toxic benzoxazinoid compounds which may play a role in nematode suppression, it is also a host for the southern root-knot nematode Meloidogyne i...

Gangbusters: Strategies for Prevention and Intervention.

ERIC Educational Resources Information Center

Jackson, Lonnie

African American males in the United States have been killing each other at alarming rates. Gang members commit violent crimes at a rate three times that of nongang delinquents, and gang-involved youths are more frequently victimized by violent crime than the rest of the general population. This volume offers insight into the reasons youths are…

FCCLA Quilting Project Fights Bullying

ERIC Educational Resources Information Center

Prasad, Vandita

2007-01-01

Bullying in schools is a topic of serious concern. According to a survey conducted in the United States, approximately 30% of youth in grades 6-10 have reported some involvement in moderate or frequent bullying, and this problem affects about 5.7 million youth. To deal with bullying, 2 years ago, Byrnedale Junior High School in Toledo, Ohio…

Investigating Uses and Perceptions of an Online Collaborative Workspace for the Dissertation Process

ERIC Educational Resources Information Center

Rockinson-Szapkiw, Amanda J.

2012-01-01

The intent of this study was to investigate 93 doctoral candidates' perceptions and use of an online collaboration workspace and content management server, Microsoft Office SharePoint, for dissertation process. All candidates were enrolled in an Ed.D. programme in the United States. Descriptive statistics demonstrate that candidates frequently use…

Racial Identity in Online Spaces: Social Media's Impact on Students of Color

ERIC Educational Resources Information Center

Chan, Jason

2017-01-01

College students are frequent social media users. Heightened racial tensions across college campuses and the United States have increased the volume of racial discourse on social media, suggesting a need to understand social media's influence on how students make meaning of race. Using symbolic interactionism and racial identity theories, this…

Classical Influence on the Founding of the American Republic.

ERIC Educational Resources Information Center

Molanphy, Helen M.

The founding fathers of the United States were products of a classical education, and they used the Greek and Roman classics as republican models and classical virtues. In their writings, the founders frequently associated liberty and republicanism with the ancient commonwealths. John Adams spoke on three separate occasions of the need to reflect…

Characterization of Newcastle disease viruses isolated from cormorant and gull species in the United States in 2010

USDA-ARS?s Scientific Manuscript database

Newcastle disease virus (NDV), a member of the genus Avulavirus of the family Paramyxoviridae, is the causative agent of Newcastle disease (ND) a highly contagious disease that affects many species of birds and which frequently causes significant economic losses to the poultry industry worldwide. V...

David Almond's "Skellig": "A New Vista of Contemplation"?

ERIC Educational Resources Information Center

Stewart, Susan Louise

2009-01-01

The debates that have arisen regarding Darwin's theories of evolution and Christian views of creation and their place in education in the United States have frequently been extremely heated, resulting in trials, hearings, and laws. This article provides an overview of some of the disagreements and illustrates how David Almond's British novel,…

Russia and the Future Expansion of NATO

DTIC Science & Technology

2011-03-24

rhetoric frequently used 9 by the Russian leadership in recent years, the United States and NATO are not explicitly mentioned in the document as a...Plan (MAP), linked from The NATO Home Page at “NATO A-Z,” http://www.nato.int/cps/en/natolive/topics_37356.htm (accessed January 7, 2011). 39 Aristotle

32 CFR 536.35 - Unique issues related to environmental claims.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the United States based on contamination by toxic substances found in the air or the ground must be... geographical jurisdiction over the claim and USARCS. Claims for personal injury from contamination frequently arise at an area that is the subject of claims for cleanup of the contamination site. The cleanup claims...

School Enrollment Changes and Student Achievement Growth: A Case Study in Educational Disruption and Continuity

ERIC Educational Resources Information Center

Grigg, Jeffrey

2012-01-01

Students in the United States change schools often, and frequent changes are associated with poor outcomes along numerous dimensions. These moves occur for many reasons, including both promotional transitions between educational levels and nonpromotional moves. Promotional student mobility is less likely than nonpromotional mobility to suffer from…

Antimicrobial resistance of Salmonella enterica isolates from bulk tank milk and milk filters in the United States

USDA-ARS?s Scientific Manuscript database

Non-typhoid Salmonella is frequently associated with dairy cattle and their environment. Despite well-developed milking hygiene protocols, fecal contamination can occur and Salmonella has often been isolated from bulk milk. Salmonella isolates were recovered from US bulk tank milk as part of the NAH...

A Study of Radiographic Imaging Systems Used for Dental Hygiene.

ERIC Educational Resources Information Center

Karst, Nancy S.

Thirty-three two-year dental hygiene programs throughout the United States were surveyed to identify the radiographic imaging system most often used and the accompanying rationale for that decision. A literature review identified the three radiographic imaging systems most frequently used and indicated that all dental hygiene programs had the…

Insecticide resistance in house flies from the United States: Resistance levels and frequency of pyrethroid resistance alleles

USDA-ARS?s Scientific Manuscript database

Although insecticide resistance is a widespread problem for most insect pests, frequently the assessment of resistance occurs over a limited geographic range. Herein we report the first widespread survey of insecticide resistance ever undertaken for the house fly, Musca domestica, a major pest of a...

Application of ground-based LIDAR for fine-scale forest fuel modeling

Treesearch

E. Louise Loudermilk; Abhinav Singhania; Juan C. Fernandez; J. Kevin Hiers; Joseph J. O' Brien; Wendell P. Cropper Jr.; K. Clint Slatton; Robert J. Mitchell

2007-01-01

Frequent (1 to 5 year) low intensity fire regimes of longleaf pine (Pinus palustris) savannas of the Southeastern United States create a continuous fuelbed of understory grasses, forbs, flammable pine needle litter, with interstitial hardwood shrubs. Measuring the spatial heterogeneity of these fine-fuels can be difficult, requiring intensive field...

CAEP Advanced Standards and the Future of Graduate Programs: The False Sense of "Techne"

ERIC Educational Resources Information Center

Schwarz, Gretchen E.

2015-01-01

As top-down mandates multiply, close supervision from outside the education field increases, and the professionalism of educators shrinks, criticism of neoliberal effects on education in the United States and elsewhere has become more frequent in professional publications. Neoliberalism, put simply, is the political philosophy that privileges free…

Characteristics of Cable Access Centers in the Top 100 Media Markets.

ERIC Educational Resources Information Center

Ledingham, John A.

A study examined cable access centers--studios established by cable television systems for the use of community groups, institutions, and individuals--in order to identify the characteristics of those used frequently. Data were gathered from 119 respondents concerning 34 access centers in major metropolitan areas in the United States. The findings…

Off-Site Storage and Special Collections: A Study in Use and Impact in ARL Libraries in the United States

ERIC Educational Resources Information Center

Priddle, Charlotte; McCann, Laura

2015-01-01

Special collections libraries collect and preserve materials of intellectual and cultural heritage, providing access to unique research resources. As their holdings continue to expand, special collections in research libraries confront increased space pressures. Off-site storage facilities, used frequently by research libraries for general…

Farming for restoration: Building bridges for native seeds

Treesearch

Sabine Tishew; Berta Youtie; Anita Kirmer; Nancy Shaw

2011-01-01

In both Europe and the United States, a shortage of native plant material frequently precludes successful restoration. Native plant materials are needed to restore ecosystem functioning and services, provide for in situ conservation of biodiversity (e.g., Hobbs and Cramer 2008), maintain genetic diversity (Bischoff et al. 2010), and afford resistance to invasive...

3 CFR 8352 - Proclamation 8352 of March 13, 2009. National Poison Prevention Week, 2009

Code of Federal Regulations, 2010 CFR

2010-01-01

... children and adults alike, as both remain susceptible to poison exposure. According to the American... children aged five and under. The AAPCC also reports that more than one thousand deaths due to poisoning take place in the United States every year. Poisoning most frequently involves medicines and typical...

Ice damage in loblolly pine: understanding the factors that influence susceptibility

Treesearch

Doug P. Aubrey; Mark D. Coleman; David R. Coyle

2007-01-01

Winter ice storms frequently occur in the southeastern United States and can severely damage softwood plantations. In January 2004, a severe storm deposited approximately 2 cm of ice on an intensively managed 4-year-old loblolly pine (Pinus taeda L.) plantation in South Carolina. Existing irrigation and fertilization treatments presented an...

A Study of Teacher Training in the United States and Europe

ERIC Educational Resources Information Center

Ries, Francis; Yanes Cabrera, Cristina; González Carriedo, Ricardo

2016-01-01

Governments and multilateral organizations frequently employ comparative studies, which are receiving increased attention in the contemporary process of globalization. Within the assessment of educational policies, this comparison is used to define the parameters of quality and the models of efficiency, and it allows us to see the roles that…

Kaqchikel Maya Language Analysis Project

ERIC Educational Resources Information Center

Eddy de Pappa, Sarah

2010-01-01

The purpose of this analysis was to study the linguistic features of Kaqchikel, a Mayan language currently spoken in Guatemala and increasingly in the United States, in an effort to better prepare teachers of English as a second language (ESL) or English as a foreign language (EFL) to address the distinct needs of a frequently neglected and…

Media Storytelling, Curriculum, and the Next 100 Years

ERIC Educational Resources Information Center

Lipschultz, Jeremy Harris

2012-01-01

Journalism as an academic field in the United States has frequently changed and grown through new professions and new industries coming under its umbrella (sometimes but not always driven by technological and/or economic changes) and academic developments such as cultural studies and media studies. But journalism is still rooted in good…

Guidelines for regenerating southern pine beetle spots

Treesearch

J.C.G. Goelz; B.L. Strom; J.P. Barnett; M.A. Sword Sayer

2012-01-01

Southern pine forests are of exceptional commercial and ecological importance to the United States, and the southern pine beetle is their most serious insect pest. The southern pine beetle generally kills overstory pines, causing spots of tree mortality that are unpredictable in time and space and frequently disruptive to management activities and goals. The canopy...

Homeless and Disabled: Rights, Responsibilities, and Recommendations for Serving Young Children with Special Needs

ERIC Educational Resources Information Center

Gargiulo, Richard M.

2006-01-01

Homelessness is a growing social problem in the United States. Especially vulnerable to this phenomenon are young children because homelessness is viewed as a breeding ground for disabilities. Despite federal legislation ensuring educational opportunities, the educational needs of children who are homeless are frequently unfulfilled. This article…

Influence of various alternative bedding materials on pododermatitis in broilers raised in a built-up litter system

USDA-ARS?s Scientific Manuscript database

Broilers in the United States are frequently raised on built-up litter systems, primarily bedded with pine wood chips (shavings) or sawdust. There is continuing interest in alternative bedding materials as pine products are often in short supply and prices rise accordingly. Alternative bedding mat...

Ethics and the American Community: Focus on Campaigns & Elections.

ERIC Educational Resources Information Center

Drake Univ., Des Moines, IA. Iowa Center for Law and Civic Education.

This collection of lesson materials for high school teachers and students focuses on the study of ethics and values that underlie the political process in the United States. The collection is meant to encourage teachers and students to examine the value conflicts that frequently appear in the electoral process and stimulate student thinking about…

STEM Attrition among High-Performing College Students in the United States: Scope and Potential Causes

ERIC Educational Resources Information Center

Chen, Xianglei

2015-01-01

Postsecondary education plays a critical role in building a strong workforce in Science, Technology, Engineering, and Mathematics (STEM) fields. The U.S. postsecondary education system, however, frequently loses many potential STEM graduates through attrition. An increasing portion of STEM leavers are top performers who might have made valuable…

Fate of Hexazinone and Picloram in Southern Forest Watersheds

Treesearch

Daniel G. Neary; Parshall B. Bush; Jerry L. Michael

1987-01-01

Herbicides are being used more frequently in the intensively managed forest ecosystems of the southeastern United States. Most of this increased use occurs during site preparation prior to replanting cutover or converted stands. Herbicides provide a cost-effective tool for controlling herbaceous and weed cunpetition which adversely affects pine establishnent and early...

United States Navy Ethos 2008

Science.gov Websites

US Navy Ethos Additional Posters Strength Service Patriots Integrity Guardians Committed Additional Information U.S. Navy Ethos Poster CNO Podcast on Navy Ethos and CNOG 2009 U.S. Navy Ethos Card (front) U.S. Navy Ethos Card (back) CNO Releases 2009 Guidance Frequently Asked Questions CNO Releases

Improving Middle and High School Students' Comprehension of Science Texts

ERIC Educational Resources Information Center

Johnson, Brandi E.; Zabrucky, Karen M.

2011-01-01

Throughout the United States, many middle and high school students struggle to comprehend science texts for a variety of reasons. Science texts are frequently boring, focused on isolated facts, present too many new concepts at once, and lack the clarity and organization known to improve comprehension. Compounding the problem is that many…

Lifting as We Climb: A Citizenship Project in a Professional Development School Setting

ERIC Educational Resources Information Center

Pellegrino, Anthony; Zenkov, Kristien; Sell, Corey; Calamito, Nicholas

2014-01-01

The study of a middle school social studies project this article addresses occurred in the national capital region of the United States, where perceptions of ''patriotism'' and xenophobic immigration policies were the subjects of frequent media reports. With this examination the authors considered the overarching research question ''How do middle…

Artificial regeneration of major oak (Quercus) species in the eastern United States - a review of the literature

Treesearch

Daniel C. Dey; Douglass Jacobs; Ken McNabb; Gary W. Miller; V. Baldwin; G. Foster

2008-01-01

Although natural regeneration is often the best method for establishing new oak (Quercus spp.) stands, there are increasingly more situations in which high potential for oak regeneration failure dictates the use of artificial regeneration including direct seeding and planting seedlings. Additionally, afforestation planting programs frequently...

Family Structure, Race, and the Feminization of Poverty.

ERIC Educational Resources Information Center

Kniesner, Thomas J.; And Others.

For women, leaving home, marriage, childbearing, and remarriage can create drastic changes in income. Divorce or giving birth out of wedlock frequently accompanies entry into poverty, while marriage or remarriage often results in exit from poverty. In the United States since 1970, the increase in the number of poor women greatly exceeded that of…

Comparative policies of two national dental associations: Norway and the United States.

PubMed

Helöe, L A

1991-01-01

The major issues and challenges confronting the dental professions in the United States and Norway were studied through speeches of and interviews with the presidents of the American Dental Association (ADA) and the Norwegian Dental Association (NDA) in the period 1980-86. The issues most frequently dealt with related to public authorities, particularly legislation and government involvement in dental practice. Anxiety concerning "busyness," the future dental market, and a drop in the quality of applicants to dental schools were also major subjects. The spokespersons of both associations were engaged in increasing the demand for dental services by marketing, but they were ambivalent regarding advertising, especially individual advertising. Both were concerned with protecting dentistry's autonomy. While the Norwegian presidents apparently feared the medical profession's influence upon dentistry, the Americans were concerned with the hygienists and denturists, and with the insurance companies which they suspected of intruding into the dentist-patient relationship. The presidents' statements, which frequently varied, were apparently influenced by the current domestic political climate, the basic socio-political principles of the two countries, and the different socio-demographic make-up of their memberships.

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

PubMed

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

2014-02-14

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

Making a Good Impression at Work: National Differences in Employee Impression Management Behaviors in Japan, Korea, and the United States.

PubMed

Krieg, Alexander; Ma, Li; Robinson, Patricia

2018-02-17

Impression management has important implications for success at work. This study explores differences in impression management in the East and West by examining the use of self-promotion, ingratiation, and exemplification directed towards three targets: supervisors, peers, and subordinates among 945 company employees from Japan, Korea, and the United States. Our results show that Korean employees used all three strategies most frequently, followed by United States, and then Japanese employees. Japanese and Korean employees used impression management strategies differentially across the three targets, and U.S. employees used impression management equally across targets. This elucidates how cultural trends in hierarchical relationships impact social behavior within the workplace. A follow-up mediation analysis found that relational or labor mobility fully mediated country differences in impression management, suggesting that culture is also reflected in larger social ecological trends in employee's ability and likelihood to change jobs, which also account for impression management strategy usage. Theoretical and practical implications for international business are discussed. This research may be useful in aligning strategies foreign employees might employ for using impression management when in Japan, Korea, and the United States.

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

PubMed

Burkhauser, R V; Duncan, G J

1991-01-01

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

Psychosocial Correlates of Frequent Indoor Tanning among Adolescent Boys

PubMed Central

Blashill, Aaron J.

2012-01-01

The aim of the current study was to assess psychosocial correlates (i.e., perceived weight, weight control strategies, substance use, and victimization) of frequent indoor tanning in adolescent boys—a group at high risk for developing skin cancer. Participants (N = 7,907) were drawn from a nationally-representative sample of adolescent boys attending high school in the United States. Binary logistic regression revealed that extreme weight control strategies, particularly steroid use (odds ratio = 3.67) and compensatory vomiting (odds ratio = 2.34), along with substance use and victimization, were significantly related to frequent indoor tanning. These results highlight the role of appearance-changing, and health-risk behaviors in the context of frequent indoor tanning. Skin cancer prevention interventions may benefit from adopting approaches that integrate the treatment of body dissatisfaction and subsequent maladaptive behaviors. PMID:23276832

Psychosocial correlates of frequent indoor tanning among adolescent boys.

PubMed

Blashill, Aaron J

2013-03-01

The aim of the current study was to assess psychosocial correlates (i.e., perceived weight, weight control strategies, substance use, and victimization) of frequent indoor tanning in adolescent boys-a group at high risk for developing skin cancer. Participants (N=7,907) were drawn from a nationally representative sample of adolescent boys attending high school in the United States. Binary logistic regression revealed that extreme weight control strategies, particularly steroid use (odds ratio=3.67) and compensatory vomiting (odds ratio=2.34), along with substance use and victimization, were significantly related to frequent indoor tanning. These results highlight the role of appearance-changing, and health-risk behaviors in the context of frequent indoor tanning. Skin cancer prevention interventions may benefit from adopting approaches that integrate the treatment of body dissatisfaction and subsequent maladaptive behaviors. Copyright © 2012 Elsevier Ltd. All rights reserved.

Earthquake shaking hazard estimates and exposure changes in the conterminous United States

USGS Publications Warehouse

Jaiswal, Kishor S.; Petersen, Mark D.; Rukstales, Kenneth S.; Leith, William S.

2015-01-01

A large portion of the population of the United States lives in areas vulnerable to earthquake hazards. This investigation aims to quantify population and infrastructure exposure within the conterminous U.S. that are subjected to varying levels of earthquake ground motions by systematically analyzing the last four cycles of the U.S. Geological Survey's (USGS) National Seismic Hazard Models (published in 1996, 2002, 2008 and 2014). Using the 2013 LandScan data, we estimate the numbers of people who are exposed to potentially damaging ground motions (peak ground accelerations at or above 0.1g). At least 28 million (~9% of the total population) may experience 0.1g level of shaking at relatively frequent intervals (annual rate of 1 in 72 years or 50% probability of exceedance (PE) in 50 years), 57 million (~18% of the total population) may experience this level of shaking at moderately frequent intervals (annual rate of 1 in 475 years or 10% PE in 50 years), and 143 million (~46% of the total population) may experience such shaking at relatively infrequent intervals (annual rate of 1 in 2,475 years or 2% PE in 50 years). We also show that there is a significant number of critical infrastructure facilities located in high earthquake-hazard areas (Modified Mercalli Intensity ≥ VII with moderately frequent recurrence interval).

Calibration Experiments Conducted for Noninvasive Blood Glucose Sensing Through the Eye

NASA Technical Reports Server (NTRS)

Ansari, Rafat R.; Bockle, Stefan; Suh, Kwang I.; Rovati, Luigi L.

2004-01-01

There are more than 16 million diabetics in the United States and more than 100 million worldwide. Diabetes can lead to severe complications over time such as blindness, renal and cardiovascular diseases, and peripheral neuropathy in the limbs. Poor blood circulation in diabetics can lead to gangrene and the subsequent amputation of extremities. In addition, this pathology is the fourth leading cause of death in the United States. The most effective way to manage diabetes is frequent blood glucose monitoring performed by the patients themselves. However, because of pain, inconvenience, and the fear of developing infections from finger-prick blood tests or implants, many patients monitor their blood glucose levels less frequently than is recommended by their physicians. Therefore, a noninvasive, painless, and convenient method to monitor blood glucose would greatly benefit diabetics. Likewise, detecting, preventing, and treating the untoward effects of prolonged space travel (e.g., a human mission to Mars) in real-time requires the development of noninvasive diagnostic technologies that are compact and powerful. As a "window to the body," the eye offers the opportunity to use light in various forms to detect ocular and systemic abnormalities long before clinical symptoms appear and to help develop preventative and therapeutic countermeasures early. The noninvasive feature of these technologies permits frequent repetition of tests, enabling an evaluation of the response to therapy.

The debate over weight- versus price-based taxation of snuff in the United States' state legislatures.

PubMed

Timberlake, David S; Sami, Mojgan; Patel, Sonam; Thiagarajan, Shamili; Badiyan, Ramin; Willard, Shay

2014-08-01

Discount snuff, known for its cheap price, high nicotine content, and popularity among youth, has increased substantially in market share in the United States. As a likely result, the leading manufacturer of premium snuff has supported legislation changing the basis for taxing snuff from price to weight. To determine which public health issues arose in legislative debates, we transcribed 17 of 52 bills from US state legislatures and coded for arguments broadly categorized into public health, fair taxation, tax revenue, tax efficiency, and anti-competitiveness. State legislators expressed frustration that equitable taxation, revenue generation, and prevention of youth tobacco use were frequently conflated in the debates. Public health advocates expressed concerns over youths' incentives to purchase low-weight snuff, but seldom discussed youths' growing preference for discount snuff. The evolving market of moist snuff is a critical consideration for US state legislators as well as policy makers from other countries who may evaluate taxation methods for alternate tobacco products.

Toward determining the lifetime occurrence of metastatic brain tumors estimated from 2007 United States cancer incidence data

PubMed Central

Davis, Faith G.; Dolecek, Therese A.; McCarthy, Bridget J.; Villano, John L.

2012-01-01

Few population estimates of brain metastasis in the United States are available, prompting this study. Our objective was to estimate the expected number of metastatic brain tumors that would subsequently develop among incident cancer cases for 1 diagnosis year in the United States. Incidence proportions for primary cancer sites known to develop brain metastasis were applied to United States cancer incidence data for 2007 that were retrieved from accessible data sets through Centers for Disease Control and Prevention (CDC Wonder) and Surveillance, Epidemiology, and End Results (SEER) Program Web sites. Incidence proportions were identified for cancer sites, reflecting 80% of all cancers. It was conservatively estimated that almost 70 000 new brain metastases would occur over the remaining lifetime of individuals who received a diagnosis in 2007 of primary invasive cancer in the United States. That is, 6% of newly diagnosed cases of cancer during 2007 would be expected to develop brain metastasis as a progression of their original cancer diagnosis; the most frequent sites for metastases being lung and bronchus and breast cancers. The estimated numbers of brain metastasis will be expected to be higher among white individuals, female individuals, and older age groups. Changing patterns in the occurrence of primary cancers, trends in populations at risk, effectiveness of treatments on survival, and access to those treatments will influence the extent of brain tumor metastasis at the population level. These findings provide insight on the patterns of brain tumor metastasis and the future burden of this condition in the United States. PMID:22898372

Toward determining the lifetime occurrence of metastatic brain tumors estimated from 2007 United States cancer incidence data.

PubMed

Davis, Faith G; Dolecek, Therese A; McCarthy, Bridget J; Villano, John L

2012-09-01

Few population estimates of brain metastasis in the United States are available, prompting this study. Our objective was to estimate the expected number of metastatic brain tumors that would subsequently develop among incident cancer cases for 1 diagnosis year in the United States. Incidence proportions for primary cancer sites known to develop brain metastasis were applied to United States cancer incidence data for 2007 that were retrieved from accessible data sets through Centers for Disease Control and Prevention (CDC Wonder) and Surveillance, Epidemiology, and End Results (SEER) Program Web sites. Incidence proportions were identified for cancer sites, reflecting 80% of all cancers. It was conservatively estimated that almost 70 000 new brain metastases would occur over the remaining lifetime of individuals who received a diagnosis in 2007 of primary invasive cancer in the United States. That is, 6% of newly diagnosed cases of cancer during 2007 would be expected to develop brain metastasis as a progression of their original cancer diagnosis; the most frequent sites for metastases being lung and bronchus and breast cancers. The estimated numbers of brain metastasis will be expected to be higher among white individuals, female individuals, and older age groups. Changing patterns in the occurrence of primary cancers, trends in populations at risk, effectiveness of treatments on survival, and access to those treatments will influence the extent of brain tumor metastasis at the population level. These findings provide insight on the patterns of brain tumor metastasis and the future burden of this condition in the United States.

Cross-Cultural Validity of the Ruminative Responses Scale in Argentina and the United States.

PubMed

Arana, Fernán G; Rice, Kenneth G

2017-09-01

Although frequently used in the United States, the Ruminative Response Scale (RRS) has not been extensively studied in cross-cultural samples. The present study evaluated the factor structure of Treynor et al.'s 10-item version of the RRS in samples from Argentina ( N = 308) and the United States ( N = 371). In addition to testing measurement invariance between the countries, we evaluated whether the maladaptive implications of rumination were weaker for the Argentinians than for the U.S. group. Self-critical perfectionism was the criterion in those tests. Partial scalar invariance supported an 8-item version of the RRS. There were no differences in factor means or factor correlations in RRS dimensions between countries. Brooding and Reflection were positively correlated with self-critical perfectionism in both countries, with no significant differences in the sizes of these relations between the two samples. Results are discussed in terms of psychometric and cross-cultural implications for rumination.

Skin care practices in newborn nurseries and mother-baby units in Maryland.

PubMed

Khalifian, S; Golden, W C; Cohen, B A

2017-06-01

Skin provides several important homeostatic functions to the developing neonate. However, no consensus guidelines exist in the United States for skin care in the healthy term newborn. We performed a study of skin and umbilical cord care (including bathing practices, vernix removal and antiseptic cord application) in newborn nurseries and mother-baby units throughout the state of Maryland to determine practices in a variety of clinical settings and assess if uniformity in skin care exists. These data were then assessed in the context of a review of the current literature. We received responses from over 90% of nurseries across the state. In our cohort, practices varied widely between institutions and specific populations, and often were not evidence-based or were contrary to best practices discussed in the scientific literature. The frequent departures from evidence that occur regarding the aforementioned practices are likely due to a lack of consensus on these issues as well as limited data on such practices, further highlighting the need for data-driven guidelines on newborn skin care.

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

PubMed

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

2017-10-01

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

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

ERIC Educational Resources Information Center

Brouillette, Liane

2012-01-01

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

Evaluating the Effectiveness of Nurse-Focused Computerized Clinical Decision Support on Urinary Catheter Practice Guidelines

ERIC Educational Resources Information Center

Lang, Robin Lynn Neal

2012-01-01

A growing national emphasis has been placed on health information technology (HIT) with robust computerized clinical decision support (CCDS) integration into health care delivery. Catheter-associated urinary tract infection is the most frequent health care-associated infection in the United States and is associated with high cost, high volumes and…

Restoring composition and structure in Southwestern frequent-fire forests: A science-based framework for improving ecosystem resiliency

Treesearch

Richard T. Reynolds; Andrew J. Sanchez Meador; James A. Youtz; Tessa Nicolet; Megan S. Matonis; Patrick L. Jackson; Donald G. DeLorenzo; Andrew D. Graves

2013-01-01

Ponderosa pine and dry mixed-conifer forests in the Southwest United States are experiencing, or have become increasingly susceptible to, large-scale severe wildfire, insect, and disease episodes resulting in altered plant and animal demographics, reduced productivity and biodiversity, and impaired ecosystem processes and functions. We present a management framework...

Structure and Prevalence of PTSD Symptomology in Children Who Have Experienced a Severe Tornado

ERIC Educational Resources Information Center

Evans, Linda Garner; Oehler-Stinnett, Judy

2006-01-01

Children served by school psychologists are frequently impacted by natural disasters. In the United States, tornadoes are a particular threat but have been studied very little. The current investigation developed a scale for assessing posttraumatic stress disorder (PTSD) in children in Kindergarten to Grade 6 impacted by a severe tornado. Six…

Restoring fire suppressed Texas pak woodlands to historic conditions using prescribed fire

Treesearch

Jeff C. Sparks; Michael C. Stambaugh; Eric L. Keith

2012-01-01

Comparable to many oak ecosystems across the eastern United States, oak woodlands in Texas display characteristics of changing composition and structure due to altered fire regimes. Information describing historic fire regimes suggests woodlands underwent relatively frequent and repeated burning prior to major Euro-American influence in the early 19th century. Oak...

Integrating fuel treatment into ecosystem management: A proposed project planning process

Treesearch

Keith D. Stockmann; Kevin D. Hyde; J. Greg Jones; Dan R. Loeffler; Robin P. Silverstein

2010-01-01

Concern over increased wildland fire threats on public lands throughout the western United States makes fuel reduction activities the primary driver of many management projects. This single-issue focus recalls a management planning process practiced frequently in recent decades - a least-harm approach where the primary objective is first addressed and then plans are...

Co-infection and disease severity of Ohio Maize dwarf mosaic virus and Maize chlorotic dwarf virus strains

USDA-ARS?s Scientific Manuscript database

Two major maize viruses have been reported in the United States: Maize dwarf mosaic virus (MDMV) and Maize chlorotic dwarf virus (MCDV). These viruses co-occur in regions where maize is grown such that co-infections are likely. Co-infection of different strains of MCDV is also observed frequently...

Salmonella enterica serovar Kentucky isolates from dairy cows and poultry demonstrate different evolutionary histories and host-specific polymorphisms

USDA-ARS?s Scientific Manuscript database

Salmonella enterica subsp. enterica serovar Kentucky is commonly isolated from dairy cows and poultry in the United States. Although it is not among the most frequently isolated serovars from cases of human salmonellosis, its high prevalence in livestock and poultry indicate it is a potential public...

"Tanto Necesitamos De Aqui Como Necesitamos De Alla": "Leer Juntas" among Mexican Transnational Mothers and Daughters

ERIC Educational Resources Information Center

de la Piedra, Maria Teresa

2011-01-01

This paper presents part of the results of a qualitative study about literacy practices of Mexican transnational mothers, who live in and frequently cross the border between two countries (the United States and Mexico). Drawing on sociocultural approaches to literacy and literature on transnationalism, I analyze one practice: "leer…

Acceptability of Adaptations for Struggling Writers: A National Survey with Primary-Grade Teachers

ERIC Educational Resources Information Center

Graham, Steve; Harris, Karen R.; Bartlett, Brendan J.; Popadopoulou, Eleni; Santoro, Julia

2016-01-01

One hundred twenty-five primary-grade teachers randomly selected from across the United States indicated how frequently they made 20 instructional adaptations for the struggling writers in their classroom. The measure of frequency ranged from never, several times a year, monthly, weekly, several times a week, and daily. Using a 6-point Likert-type…

Rasch Rating Scale Modeling of the Korean Version of the Beck Depression Inventory

ERIC Educational Resources Information Center

Hong, Sehee; Wong, Eunice C.

2005-01-01

The Beck Depression Inventory (BDI) is one of the most frequently used instruments in the study of depression both within and outside of the United States. Though developed primarily with European American clinical populations, the BDI has been applied in nonclinical and non-Western samples. To determine whether such a practice is warranted, the…

Identity and distribution of residues of energetic compounds at army live-fire training ranges.

PubMed

Jenkins, Thomas F; Hewitt, Alan D; Grant, Clarence L; Thiboutot, Sonia; Ampleman, Guy; Walsh, Marianne E; Ranney, Thomas A; Ramsey, Charles A; Palazzo, Antonio J; Pennington, Judith C

2006-05-01

Environmental investigations have been conducted at 23 military firing ranges in the United States and Canada. The specific training facilities most frequently evaluated were hand grenade, antitank rocket, and artillery ranges. Energetic compounds (explosives and propellants) were determined and linked to the type of munition used and the major mechanisms of deposition.

Do You Speak African? Teaching for Diversity Awareness in an Era of Globalization

ERIC Educational Resources Information Center

Kambutu, John; Nganga, Lydiah

2014-01-01

Africa is a continent, not a country. Yet, a monolithic misunderstanding of Africa as a country is prevalent especially in the United States. Thus, Africans in the diaspora who speak heritage languages other than English are asked frequently if they speak African. This study countered existing misunderstandings through cultural immersion in Kenya,…

Comparing International Textbooks to Develop Historical Thinking

ERIC Educational Resources Information Center

DeRose, John J.

2007-01-01

Students have frequently expressed curiosity about the way past events involving the United States were viewed by other nations. For instance, students have often wondered how World War II is presented to students in Germany, or what students in Japan learn about the dropping of the atomic bombs. To help his students look at events from a global…

Carbon sequestration in the New Jersey Pine Barrens under different scenarios of fire management

Treesearch

Robert M. Scheller; Steve Van Tuyl; Kenneth L. Clark; John Hom; Inga. La Puma

2011-01-01

The New Jersey Pine Barrens (NJPB) is the largest forested area along the northeastern coast of the United States. The NJPB are dominated by pine (Pinus spp.) and oak (Quercus spp.) stands that are fragmented and subject to frequent disturbance and forest management. Over long time periods (>50 years), the balance between oak...

Rural Suicide Rates and Availability of Health Care Providers

ERIC Educational Resources Information Center

Fiske, Amy; Gatz, Margaret; Hannell, Eric

2005-01-01

Suicide rates are higher in rural than in urban areas in the United States. One explanation that is frequently offered is scarcity of health and mental health treatment providers in rural areas. The current study tested whether number of providers per capita would explain differences in urban and rural suicide rates within the counties of…

Latino Immigrant Youth Living in a Nontraditional Migration City: A Social-Ecological Examination of the Complexities of Stress and Resilience

ERIC Educational Resources Information Center

DeJonckheere, Melissa J.; Vaughn, Lisa M.; Jacquez, Farrah

2017-01-01

Latino immigrant children represent the fastest-growing population in the United States and families are frequently residing outside of the traditional migration destinations. These cities lack the infrastructure and resources to provide culturally relevant services and bilingual education that supports these youth. Following a social-ecological…

History of fire in eastern oak forests and implications for restoration

Treesearch

Justin L. Hart; Megan L. Buchanan

2012-01-01

Our understanding of long-term fire history in the eastern United States is derived from the interpretation of a variety of archives. While cultural records are available for some sites, biological archives are most frequently used to reconstruct long-term historical fire regimes. The three most commonly used biological archives in eastern oak forests include: the...

Children's Lack of Playtime Seen as Troubling Health, School Issue

ERIC Educational Resources Information Center

Jacobson, Linda

2008-01-01

Teachers and parents are frequently warned that students in the United States are lacking the academic skills they need for the 21st century. But a growing contingent of educators, psychologists, and other professionals are voicing worries that today's children are also growing up without the chance to play. Test preparation in kindergarten,…

A School Shooting Plot Foiled

ERIC Educational Resources Information Center

Swezey, James A.; Thorp, Kimberly A.

2010-01-01

Dinkes, Cataldi, and Lin-Kelly (2007) claims that 78% of public schools reported one or more violent incidents during the 2005/2006 school year. School shootings are a rare but real threat on school campuses. Shootings at private schools are even less frequent with only a few recorded examples in the United States. This case study examines how a…

Assisting Children and Families with Military-Related Disruptions: The United States Marine Corps School Liaison Program

ERIC Educational Resources Information Center

Aronson, Keith R.; Caldwell, Linda L.; Perkins, Daniel F.; Pasch, Kenneth W.

2011-01-01

Military families face a number of unique challenges, including frequent relocations and school transitions, as well as extended separations from loved ones. The military, schools, and communities have been working together to build the capacity of children, youth, and families to successfully cope with the stressors they encounter. Most branches…

Detection of Phytophthora ramorum at retail nurseries in the southeastern United States

Treesearch

Steven N. Jeffers; Jaesoon Hwang; Yeshi A. Wamishe; Steven W. Oak

2010-01-01

Many nursery plants are known to be hosts of Phytophthora ramorum or to be associated with this pathogen. These plants can be infected or merely infested by P. ramorum and with or without symptoms. The pathogen has been detected most frequently on container-grown nursery plants, and occasionally has been found in the container...

Airborne Detection of Southern Pine Beetle Damage Using Key Spectral Bands

Treesearch

Gregory A. Carter; Michael R. Seal; Tim Haley

1998-01-01

Damage by the southern pine beetle(SPB) (Dendroctonus frontalis Zimm.) occurs frequently in the southeastern United States and can result in tree death over large areas. A new technique for detection of SPB activity was tested for shortleaf pine (Pinus echinata Mill.) in the Caney Creek Wilderness, Ouachita National Forest, Arkansas. Digital images...

29 CFR 790.18 - “Administrative practice or enforcement policy.”

Code of Federal Regulations, 2010 CFR

2010-07-01

... may be, and frequently are, based upon decisions or views which the agency has set forth in its... happening of some contingency, such as a final decision in pending litigation. 112 See United States v... court decisions he has changed his view as to coverage of a certain class of employees under the Fair...

INTERACTION OF METHYL-TERT BUTYL ETHER AND WATER STRESS ON SEED GERMINATION AND SEEDLING GROWTH IN SOIL MICROCOSMS

EPA Science Inventory

Methyl tert-butyl ether (MTBE) is a widespread contaminant in surface and ground water in the United States. Frequently irrigation is used to water fields to germinate planted seeds and sustain plant growth. A likely possibility exists that water used may have some MTBE. Our s...

Fuelbreaks and other fuel modification for wildland fire control

Treesearch

Lisle Green

1977-01-01

In Mediterranean climates, the shrubby plant cover and the coniferous forest above it are vulnerable to frequent large fires. The fuelbreak, a strip of land in a strategic area-such as a ridgetop-where fuel modification and often type conversion can be accomplished, is an approach to fire suppression being widely applied in the Western United States, particularly...

Impacts of shortleaf pine-hardwood forest management on soils in the Ouachita Highlands: A review

Treesearch

Hal O. Liechty; Michael G. Shelton; Kenneth R. Luckow; Donald J. Turton

2002-01-01

Shortleaf pine (Pinus echinata Mill.) is the most ecologically and economically important tree species in the Ouachita Highlands of the southcentral United States. This species can occur in relatively pure stands but most frequently exists in mixed stands with various hardwood species. Because of the diversity of land ownership, public concerns about...

Views of the Family by Chinese and U.S. Children: A Comparative Study of Kinetic Family Drawings.

ERIC Educational Resources Information Center

Nuttall, Ena Vasquez; And Others

1988-01-01

Compared family drawings of Chinese (People's Republic of China) and United States (U.S.) elementary school children. Chinese children depicted parents and grandparents more frequently, reflecting the Chinese tendency to perceive themselves as members of nuclear and extended families, whereas U.S. children expressed more individualism and…

Temperament Styles of Children from the People's Republic of China and the United States

ERIC Educational Resources Information Center

Oakland, Thomas; Lub, Li

2006-01-01

Preferences for four bipolar temperament qualities (i.e. extroversion-introversion, practical-imaginative, thinking-feeling and organized-flexible styles) of 400 Chinese children, ages 9, 11, 13 and 15, first are described and then compared to temperament qualities of 3,539 US children of the same ages. Chinese children more frequently prefer…

Complexity of intravenous iron nanoparticle formulations: implications for bioequivalence evaluation.

PubMed

Pai, Amy Barton

2017-11-01

Intravenous iron formulations are a class of complex drugs that are commonly used to treat a wide variety of disease states associated with iron deficiency and anemia. Venofer® (iron-sucrose) is one of the most frequently used formulations, with more than 90% of dialysis patients in the United States receiving this formulation. Emerging data from global markets outside the United States, where many iron-sucrose similars or copies are available, have shown that these formulations may have safety and efficacy profiles that differ from the reference listed drug. This may be attributable to uncharacterized differences in physicochemical characteristics and/or differences in labile iron release. As bioequivalence evaluation guidance evolves, clinicians should be educated on these potential clinical issues before a switch to the generic formulation is made in the clinical setting. © 2017 New York Academy of Sciences.

Notes from the Field: Outbreak of Multidrug-Resistant Salmonella Infections Linked to Pork--Washington, 2015.

PubMed

Kawakami, Vance M; Bottichio, Lyndsay; Angelo, Kristina; Linton, Natalie; Kissler, Bonnie; Basler, Colin; Lloyd, Jennifer; Inouye, Wendy; Gonzales, Elysia; Rietberg, Krista; Melius, Beth; Oltean, Hanna; Wise, Matthew; Sinatra, Jennifer; Marsland, Paula; Li, Zhen; Meek, Roxanne; Kay, Meagan; Duchin, Jeff; Lindquist, Scott

2016-04-15

During June-July 2015, Public Health-Seattle & King County (PHSKC) and Washington State Department of Health (WADOH) investigated 22 clusters of Salmonella serotype I 4,[5], 12:i:- infections. Serotype I 4,[5], 12:i:- is the fifth most frequently reported Salmonella serotype in the United States, but is uncommon in Washington. On July 29, 2015, WADOH and PHSKC requested assistance from CDC to identify the infection source, determine risk factors, and make recommendations for prevention.

Raccoon Roundworm Infection Associated with Central Nervous System Disease and Ocular Disease - Six States, 2013-2015.

PubMed

Sircar, Anita D; Abanyie, Francisca; Blumberg, Dean; Chin-Hong, Peter; Coulter, Katrina S; Cunningham, Dennis; Huskins, W Charles; Langelier, Charles; Reid, Michael; Scott, Brian J; Shirley, Debbie-Ann; Babik, Jennifer M; Belova, Aleksandra; Sapp, Sarah G H; McAuliffe, Isabel; Rivera, Hilda N; Yabsley, Michael J; Montgomery, Susan P

2016-09-09

Baylisascaris procyonis, predominantly found in raccoons, is a ubiquitous roundworm found throughout North America. Although raccoons are typically asymptomatic when infected with the parasite, the larval form of Baylisascaris procyonis can result in fatal human disease or severe neurologic outcomes if not treated rapidly. In the United States, Baylisascaris procyonis is more commonly enzootic in raccoons in the midwestern and northeastern regions and along the West Coast (1). However, since 2002, infections have been documented in other states (Florida and Georgia) and regions (2). Baylisascariasis is not a nationally notifiable disease in the United States, and little is known about how commonly it occurs or the range of clinical disease in humans. Case reports of seven human baylisascariasis cases in the United States diagnosed by Baylisascaris procyonis immunoblot testing at CDC are described, including review of clinical history and laboratory data. Although all seven patients survived, approximately half were left with severe neurologic deficits. Prevention through close monitoring of children at play, frequent handwashing, and clearing of raccoon latrines (communal sites where raccoons defecate) are critical interventions in curbing Baylisascaris infections. Early treatment of suspected cases is critical to prevent permanent sequelae.

Changes Are Needed to the Army Contract with Sikorsky to Use Existing DoD Inventory and Control Costs at the Corpus Christi Army Depot

DTIC Science & Technology

2011-11-03

contingency stock for requirements outside the CCAD/Sikorsky contract. 6 The DoD EMALL is a full-service eCommerce site, which strives to be the single...such quantity as (A) will result in the total cost and unit cost most advantageous to the United States where practicable.” Having more than one...practice and frequently does not allow DoD to take advantage of economic order quantities. Table 15 shows examples where higher quantities procured

Today's scabies.

PubMed

Orkin, M

1975-08-25

In the past several years there has been a noticeable increase of scabies in the United States; the magnitude of this is not known. An expanding epidemic continues in most parts of the world. Scabies is frequently seen in many guises that may be difficult to diagnose: scabies in the clean, scabies incognito, nodular scabies, animal-transmitted scabies, scabies in infants, scabies with syphillis, and Norwegian scabies. If the diagnosis cannot be confirmed by identifying the mite, synthesis of suggestive features may establish the diagnosis. Recently adopted children from foreign countries, especially southeastern Asia, have had a high frequency of scabies, which may appear after the children arrive in the United States. Acute glomerulonephritis may develop in patients whose scabetic lesions are complicated by a Virulent nephritogenic streptococcal strain.

Case histories of organophosphate pesticides killing birds of prey in the United States

USGS Publications Warehouse

Henny, C.J.; Kolbe, E.J.; Hill, E.F.; Blus, L.J.

1985-01-01

Since 1982 when secondary. poisoning of Red-tailed Hawks (Buteo jamaicensis) was documented following the recommended use of famphur on cattle, the Patuxent Wildlife Research Center has tested for organophosphate (OP) poisoning in selected birds of prey found dead. This report documents the circumstances for a number of. cases where birds of prey were killed by OP pesticides in the United States. Many of the cases were brought to our attention by the U S. Fish and Wildlife Service Division of Law Enforcement The cases may be divided into three categories: misuse, approved use, and unknown. Now that we are looking for OP poisoning of birds of prey, we are finding it more frequently than previously suspected.

Natural Infections With Pigeon Paramyxovirus Serotype 1: Pathologic Changes in Eurasian Collared-Doves ( Streptopelia decaocto) and Rock Pigeons ( Columba livia) in the United States.

PubMed

Isidoro-Ayza, M; Afonso, C L; Stanton, J B; Knowles, S; Ip, H S; White, C L; Fenton, H; Ruder, M G; Dolinski, A C; Lankton, J

2017-07-01

Pigeon paramyxovirus serotype 1 (PPMV-1) is a globally distributed, virulent member of the avian paramyxovirus serotype 1 serogroup that causes mortality in columbiformes and poultry. Following introduction into the United States in the mid-1980s, PPMV-1 rapidly spread causing numerous mortality events in Eurasian collared-doves ( Streptopelia decaocto) (ECDOs) and rock pigeons ( Columba livia) (ROPIs). The investigators reviewed pathological findings of 70 naturally infected, free-ranging columbiforms from 25 different mortality events in the United States. Immunohistochemistry targeting PPMV-1 nucleoprotein was used to determine the tissue distribution of the virus in a subset of 17 birds from 10 of the studied outbreaks. ECDOs (61 birds) and ROPIs (9 birds) were the only species in which PPMV-1-associated disease was confirmed by viral isolation and presence of histologic lesions. Acute to subacute tubulointerstitial nephritis and necrotizing pancreatitis were the most frequent histologic lesions, with immunolabeling of viral antigen in renal tubular epithelial cells and pancreatic acinar epithelium. Lymphoid depletion of bursa of Fabricius and spleen was common, but the presence of viral antigen in these organs was inconsistent among infected birds. Hepatocellular necrosis was occasionally present with immunolabeling of hypertrophic Kupffer cells, and immunopositive eosinophilic intracytoplasmic inclusion bodies were present in hepatocytes of 1 ECDO. Immunopositive lymphocytic choroiditis was present in 1 ECDO, while lymphocytic meningoencephalitis was frequent in ROPIs in absence of immunolabeling. This study demonstrates widespread presence of PPMV-1 antigen in association with histologic lesions, confirming the lethal potential of this virus in these particular bird species.

On the episodic nature of derecho-producing convective systems in the United States

NASA Astrophysics Data System (ADS)

Ashley, Walker S.; Mote, Thomas L.; Bentley, Mace L.

2005-11-01

Convectively generated windstorms occur over broad temporal and spatial scales; however, one of the larger-scale and most intense of these windstorms has been given the name derecho. This study illustrates the tendency for derecho-producing mesoscale convective systems to group together across the United States - forming a derecho series. The derecho series is recognized as any succession of derechos that develop within a similar synoptic environment with no more than 72 h separating individual events. A derecho dataset for the period 1994-2003 was assembled to investigate the groupings of these extremely damaging convective wind events. Results indicate that over 62% of the derechos in the dataset were members of a derecho series. On average, nearly six series affected the United States annually. Most derecho series consisted of two or three events; though, 14 series during the period of record contained four or more events. Two separate series involved nine derechos within a period of nine days. Analyses reveal that derecho series largely frequent regions of the Midwest, Ohio Valley, and the south-central Great Plains during May, June, and July. Results suggest that once a derecho occurred during May, June, or July, there was a 58% chance that this event was the first of a series of two or more, and about a 46% chance that this was the first of a derecho series consisting of three or more events. The derecho series climatology reveals that forecasters in regions frequented by derechos should be prepared for the probable regeneration of a derecho-producing convective system after an initial event occurs. Copyright

Natural infections with pigeon paramyxovirus serotype 1: Pathologic changes in Eurasian collared-doves (Streptopelia decaocto) and rock pigeons (Columba livia) in the United States

USGS Publications Warehouse

Isidoro Ayza, Marcos; Afonso, C.L.; Stanton, J.B.; Knowles, Susan N.; Ip, Hon S.; White, C. LeAnn; Fenton, Heather; Ruder, M.G.; Dolinski, A. C.; Lankton, Julia S.

2017-01-01

Pigeon paramyxovirus serotype 1 (PPMV-1) is a globally distributed, virulent member of the avian paramyxovirus serotype 1 serogroup that causes mortality in columbiformes and poultry. Following introduction into the United States in the mid-1980s, PPMV-1 rapidly spread causing numerous mortality events in Eurasian collared-doves (Streptopelia decaocto) (ECDOs) and rock pigeons (Columba livia) (ROPIs). The investigators reviewed pathological findings of 70 naturally infected, free-ranging columbiforms from 25 different mortality events in the United States. Immunohistochemistry targeting PPMV-1 nucleoprotein was used to determine the tissue distribution of the virus in a subset of 17 birds from 10 of the studied outbreaks. ECDOs (61 birds) and ROPIs (9 birds) were the only species in which PPMV-1-associated disease was confirmed by viral isolation and presence of histologic lesions. Acute to subacute tubulointerstitial nephritis and necrotizing pancreatitis were the most frequent histologic lesions, with immunolabeling of viral antigen in renal tubular epithelial cells and pancreatic acinar epithelium. Lymphoid depletion of bursa of Fabricius and spleen was common, but the presence of viral antigen in these organs was inconsistent among infected birds. Hepatocellular necrosis was occasionally present with immunolabeling of hypertrophic Kupffer cells, and immunopositive eosinophilic intracytoplasmic inclusion bodies were present in hepatocytes of 1 ECDO. Immunopositive lymphocytic choroiditis was present in 1 ECDO, while lymphocytic meningoencephalitis was frequent in ROPIs in absence of immunolabeling. This study demonstrates widespread presence of PPMV-1 antigen in association with histologic lesions, confirming the lethal potential of this virus in these particular bird species.

Implicit hype? Representations of platelet rich plasma in the news media.

PubMed

Rachul, Christen; Rasko, John E J; Caulfield, Timothy

2017-01-01

Platelet Rich Plasma (PRP) has gained popularity in recent years for treating sports-related injuries and the news media frequently reports on elite athletes' and celebrities' use of PRP. We conducted a content analysis of newspaper coverage of PRP in Australia, Canada, Ireland, New Zealand, United Kingdom, and the United States. Findings show that news media coverage of PRP appears most frequently in sports-related stories, and in relation to elite athletes use of PRP. PRP injections are largely portrayed as a routine treatment for sports-related injuries and newspaper articles rarely discuss the limitations or efficacy of PRP. We argue that while news media coverage of PRP exhibits very few common hallmarks of hype, its portrayal as a routine treatment used by elite athletes and celebrities creates an implicit hype. This implicit hype can contribute to public misunderstandings of the efficacy of PRP.

Implicit hype? Representations of platelet rich plasma in the news media

PubMed Central

2017-01-01

Platelet Rich Plasma (PRP) has gained popularity in recent years for treating sports-related injuries and the news media frequently reports on elite athletes’ and celebrities’ use of PRP. We conducted a content analysis of newspaper coverage of PRP in Australia, Canada, Ireland, New Zealand, United Kingdom, and the United States. Findings show that news media coverage of PRP appears most frequently in sports-related stories, and in relation to elite athletes use of PRP. PRP injections are largely portrayed as a routine treatment for sports-related injuries and newspaper articles rarely discuss the limitations or efficacy of PRP. We argue that while news media coverage of PRP exhibits very few common hallmarks of hype, its portrayal as a routine treatment used by elite athletes and celebrities creates an implicit hype. This implicit hype can contribute to public misunderstandings of the efficacy of PRP. PMID:28792974

[The prevalence of nosocomial infection in Intensive Care Units in the State of Rio Grande do Sul].

PubMed

Lisboa, Thiago; Faria, Mario; Hoher, Jorge A; Borges, Luis A A; Gómez, Jussara; Schifelbain, Luciele; Dias, Fernando S; Lisboa, João; Friedman, Gilberto

2007-12-01

To determine the prevalence of intensive care unit (ICU)-acquired infections and the risk factors for these infections, identify the predominant infecting organisms, and evaluate the relationship between ICU-acquired infection and mortality. A 1-day point prevalence study. Sixteen ICU of the State of Rio Grande do Sul-Brazil, excluding coronary care and pediatric units. All patients < 12 yrs occupying an ICU bed over a 24-hour period. The 16 ICU provided 174 case reports. rates of ICU-acquired infection, resistance patterns of microbiological isolates, and potential risks factors for ICU-acquired infection and death. A total of 122 patients (71%) was infected and 51 (29%) had ICU-acquired infection. Pneumonia (58.2%), lower tract respiratory infection (22.9%), urinary tract infection (18%) were the most frequents types of ICU infection. Most frequently microorganisms reported were staphylococcus aureus (42% [64% resistant to oxacilin]) and pseudomonas aeruginosa (31%). Six risk factors for ICU acquired infection were identified: urinary catheterization, central vascular line, tracheal intubation for prolonged time (> 4 days), chronic disease and increased length of ICU stay (> 30 days). The risks factors associated with death were age, APACHE II, organ dysfunction, and tracheal intubation with or without mechanical ventilation. ICU-acquired infection is common and often associated with microbiological isolates of resistant organisms. This study may serve as an epidemiological reference to help the discussion of regional infection control policies.

Procedure and information displays in advanced nuclear control rooms: experimental evaluation of an integrated design.

PubMed

Chen, Yue; Gao, Qin; Song, Fei; Li, Zhizhong; Wang, Yufan

2017-08-01

In the main control rooms of nuclear power plants, operators frequently have to switch between procedure displays and system information displays. In this study, we proposed an operation-unit-based integrated design, which combines the two displays to facilitate the synthesis of information. We grouped actions that complete a single goal into operation units and showed these operation units on the displays of system states. In addition, we used different levels of visual salience to highlight the current unit and provided a list of execution history records. A laboratory experiment, with 42 students performing a simulated procedure to deal with unexpected high pressuriser level, was conducted to compare this design against an action-based integrated design and the existing separated-displays design. The results indicate that our operation-unit-based integrated design yields the best performance in terms of time and completion rate and helped more participants to detect unexpected system failures. Practitioner Summary: In current nuclear control rooms, operators frequently have to switch between procedure and system information displays. We developed an integrated design that incorporates procedure information into system displays. A laboratory study showed that the proposed design significantly improved participants' performance and increased the probability of detecting unexpected system failures.

Current-use pesticides and organochlorine compounds in precipitation and lake sediment from two high-elevation national parks in the Western United States

USGS Publications Warehouse

Mast, M.A.; Foreman, W.T.; Skaates, S.V.

2007-01-01

Current-use pesticides (CUPs) and banned organochlorine compounds (OCCs) were measured in precipitation (snowpack and rain) and lake sediments from two national parks in the Western United States to determine their occurrence and distribution in high-elevation environments. CUPs frequently detected in snow were endosulfan, dacthal, and chlorothalonil in concentrations ranging from 0.07 to 2.4 ng/L. Of the OCCs, chlordane, hexachlorobenzene, and two polychlorinated biphenyl congeners were detected in only one snow sample each. Pesticides most frequently detected in rain were atrazine, carbaryl, and dacthal in concentrations from 3.0 to 95 ng/L. Estimated annual deposition rates in one of the parks were 8.4 ??g/m2 for atrazine, 9.9 ??g/m2 for carbaryl, and 2.6 ??g/m2 for dacthal, of which >85% occurred during summer. p,p'-DDE and p,p'-DDD were the most frequently detected OCCs in surface sediments from lakes. However, concentrations were low (0.12 to 4.7 ??g/kg) and below levels at which harmful effects for benthic organisms are likely to be observed. DDD and DDE concentrations in an age-dated sediment core suggest that atmospheric deposition of DDT and its degradates, and possibly other banned OCCs, to high-elevation areas have been decreasing since the 1970s. Dacthal and endosulfan sulfate were present in low concentrations (0.11 to 1.2 ??g/kg) and were the only CUPs detected in surface sediments. Both pesticides were frequently detected in snow, confirming that some CUPs entering high-elevation aquatic environments through atmospheric deposition are accumulating in lake sediments and potentially in aquatic biota as well. ?? 2007 Springer Science+Business Media, Inc.

Pesticides in streams of the United States : initial results from the National Water-Quality Assessment Program

USGS Publications Warehouse

Larson, Steven J.; Gilliom, Robert J.; Capel, Paul D.

1999-01-01

Water samples from 58 rivers and streams across the United States were analyzed for pesticides as part of the National Water-Quality Assessment Program of the U.S. Geological Survey. The sampling sites represent 37 diverse agricultural basins, 11 urban basins, and 10 basins with mixed land use. Forty-six pesticides and pesticide degradation products were analyzed in approximately 2,200 samples collected from 1992 to 1995. The target compounds account for approximately 70 percent of national agricultural use in terms of the mass of pesticides applied annually. All the target compounds were detected in one or more samples. Herbicides generally were detected more frequently and at higher concentrations than insecticides. Nationally, 11 herbicides, 1 herbicide degradation product, and 3 insecticides were detected in more than 10 percent of samples. The number of target compounds detected at each site ranged from 7 to 37. The herbicides atrazine, metolachlor, prometon, and simazine were detected most frequently; among the insecticides, carbaryl, chlorpyrifos, and diazinon were detected the most frequently. Distinct differences in pesticide occurrence were observed in streams draining the various agricultural settings. Relatively high levels of several herbicides occurred as seasonal pulses in corn-growing areas. Several insecticides were frequently detected in areas where the dominant crops consist of orchards and vegetables. The number of pesticides detected and their concentrations were lower in wheat-growing areas than in most other agricultural areas. In most urban areas, the herbicides prometon and simazine and the insecticides carbaryl, chlorpyrifos, diazinon, and malathion were commonly detected. Concentrations of pesticides rarely exceeded standards and criteria established for drinking water, but some pesticides commonly exceeded criteria established for the protection of aquatic life.

Epidemiology of lymphoid malignancies: last decade update.

PubMed

Novelli, Silvana; Briones, Javier; Sierra, Jorge

2013-12-01

The non-Hodgkin lymphomas are 12(th) most prevalent cancers in Europe. No recent update in the epidemiology of these lymphomas has been performed in our country. We diagnosed 701 new lymphomas during the period beginning January 1, 2000 and ending December 31, 2009 in our center. The most frequent lymphoma was diffuse large B cell lymphoma, followed by follicular lymphoma and then classic Hodgkin's disease. The male:female ratio is 1.2:1. Diagnosis by age showed that non-Hodgkin's lymphoma is by far more frequent in the 61-80 years old patients. On the other hand, classic Hodgkin's lymphoma is more frequent in the 20-40 years old population. Our results are very similar to those published by other centers in Europe and United States.

Molecular Relationship between Strains of M. bovis from Mexico and Those from Countries with Free Trade of Cattle with Mexico.

PubMed

Milian-Suazo, Feliciano; Garcia-Casanova, Leticia; Robbe-Austerman, Suelee; Canto-Alarcon, Germinal Jorge; Barcenas-Reyes, Isabel; Stuber, Tod; Rodriguez-Hernandez, Elba; Flores-Villalva, Susana

2016-01-01

The purpose of this study was to identify relationships between spoligotypes of M. bovis from cattle in Mexico and those reported in countries with free trade of cattle with Mexico: Australia, Canada, New Zealand and the United States of America. Mexican spoligotypes were obtained from isolates collected from cattle in different parts of the country. Spoligotypes from Canada and New Zealand were obtained from different reports in the literature. Those from the United States were obtained from the database of the National Veterinary Services Laboratory in APHIS-USDA. In order to perform the analysis in a single data set, spoligotypes were all converted to binary data and classified according to www.mbovis.org or www.pasteur-guadeloupe.fr:8081. Epidemiologic information included country and species infected. From 3,198 isolates, 174 different spoligotypes were obtained, 95 were orphans. Ninety one percent of the isolates came from the Unites States (n = 1,609) and Mexico (n = 1,323). Spoligotype SB0265 is shared between Canada and the United States in cattle and wildlife. Six spoligotypes, SB0673, SB0121, SB0145, SB0971, SB0140 and SB1165, were frequent in cattle and wildlife in the United States and cattle in Mexico, suggesting wide exchange of strains. Spoligotype SB0669 was found only in Mexico. Spoligotype SB0140 was the most common in Australia and the sixth in the United States and Mexico. In a phylogenetic analysis, spoligotype SB0140 appears as the oldest spoligotype in the data set, suggesting this as the ancestral spoligotype for all spoligotypes in the five countries. Some spoligotypes are shared by animals and humans, corroborating the zoonotic importance of M. bovis.

Molecular Relationship between Strains of M. bovis from Mexico and Those from Countries with Free Trade of Cattle with Mexico

PubMed Central

Milian-Suazo, Feliciano; Garcia-Casanova, Leticia; Robbe-Austerman, Suelee; Canto-Alarcon, Germinal Jorge; Barcenas-Reyes, Isabel; Stuber, Tod; Rodriguez-Hernandez, Elba; Flores-Villalva, Susana

2016-01-01

The purpose of this study was to identify relationships between spoligotypes of M. bovis from cattle in Mexico and those reported in countries with free trade of cattle with Mexico: Australia, Canada, New Zealand and the United States of America. Mexican spoligotypes were obtained from isolates collected from cattle in different parts of the country. Spoligotypes from Canada and New Zealand were obtained from different reports in the literature. Those from the United States were obtained from the database of the National Veterinary Services Laboratory in APHIS-USDA. In order to perform the analysis in a single data set, spoligotypes were all converted to binary data and classified according to www.mbovis.org or www.pasteur-guadeloupe.fr:8081. Epidemiologic information included country and species infected. From 3,198 isolates, 174 different spoligotypes were obtained, 95 were orphans. Ninety one percent of the isolates came from the Unites States (n = 1,609) and Mexico (n = 1,323). Spoligotype SB0265 is shared between Canada and the United States in cattle and wildlife. Six spoligotypes, SB0673, SB0121, SB0145, SB0971, SB0140 and SB1165, were frequent in cattle and wildlife in the United States and cattle in Mexico, suggesting wide exchange of strains. Spoligotype SB0669 was found only in Mexico. Spoligotype SB0140 was the most common in Australia and the sixth in the United States and Mexico. In a phylogenetic analysis, spoligotype SB0140 appears as the oldest spoligotype in the data set, suggesting this as the ancestral spoligotype for all spoligotypes in the five countries. Some spoligotypes are shared by animals and humans, corroborating the zoonotic importance of M. bovis. PMID:27171239

Linking social and ecological systems

Treesearch

Wayne Zipperer; Wayde Morse; Cassandra Gaither

2011-01-01

On 16 November 2005 a water sample was taken from an urban stream in a metropolitan area in the southern United States and tested for the presence of E. coli. Although water samples from this and other streams in the metropolitan area frequently registered over 15,000 colonies/100 ml, this particular sample is unique in that it registered a reading of 70,000 colonies/...

Performance of high temperature heat flux plates and soil moisture probes during controlled surface fires

Treesearch

W. J. Massman; J. M. Frank; S. M. Massman; W. D. Shepperd

2003-01-01

Natural and prescribed fires play an important role in managing and maintaining most ecosystems in the western United States. The high soil temperatures associated with fire influence forests and their ability to regenerate after a fire by altering soil properties and soil chemistry and by killing microbes, plant roots, and seeds. Because prescribed fire is frequently...

Historical forest structure, composition, and spatial pattern in dry conifer forests of the western Blue Mountains, Oregon

Treesearch

Derek J. Churchill; Gunnar C. Carnwath; Andrew J. Larson; Sean A. Jeronimo

2017-01-01

In frequent-fire forests of the interior Western United States, historical (prefire suppression) conditions are often used as a reference to set management objectives, guide prescriptions, and monitor treatment effectiveness. We quantified the historical size, density, composition, and spatial patterns of dry mixed-conifer forests in the Blue Mountains of Oregon to...

Perspectives on Arms Control

DTIC Science & Technology

2004-07-01

perspective. He traces the important and integral place of arms control diplomacy to United States traditions, and projects continuing relevance for... The second is commonality surrounding the ongoing arms control process on nuclear weapons and missiles between America and Russia that needs...summits were built around arms control discussions, large delegations met frequently in places like Geneva, and even trivial changes in the arms

Impacts of increasing drought on forest dynamics, structure, diversity, and management

Treesearch

James S. Clark; Louis Iverson; Christopher W. Woodall

2016-01-01

At the time of this writing in 2015, drought conditions have sustained over much of the continental United States for up to 4 years. Drought, a moisture limitation resulting from below average precipitation, high temperatures, or both, represents a departure from the "mean climate" of a region—and more frequent and severe droughts change this mean climate....

Assessment of the Utility of Episodes of Illness as a Tool for Ambulatory Resource Allocation within the United States Military Health Care System,

DTIC Science & Technology

1991-08-09

episodes for obesity (Johnson et al. 1984), psychiatric care (Kessler et al. 1980), and otitis media and sore throat (Moscovice 1977, Salkever et al...particularly for persons aged 20 to 44 years. The most frequent diagnoses include mental disorders (neurotic depression, adjustment reaction), otitis media , and

Comparative Advantage in U.S. Interstate Forest Products Trade

Treesearch

Jeffrey P. Prestemon; Joseph Buongiorno

1997-01-01

According to the Heckscher-Ohlin-Vanek theorem, the net exports of a region are determined by relative abundance of the immobile factors of production. Empirical tests of this theory, usually at a high level of aggregation, have frequently not supported it. We find, instead, that data on interstate trade in wood products within the United States are in strong agreement...

Influence of Sports' Programs and Club Activities on Alcohol Use Intentions and Behaviors among Adolescent Males

ERIC Educational Resources Information Center

Leaver-Dunn, Deidre; Turner, Lori; Newman, Brian M.

2007-01-01

In the United States, more than 70 percent of all deaths among youth and young adults each year are related to four causes: motor vehicle crashes, other unintentional injuries, homicide, and suicide. Alcohol misuse and abuse contribute to each of these behaviors. Alcohol is the most frequently consumed mind-altering substance among…

A "Special Relationship" in Higher Education? What Influence Might the US Higher Education Sector Have in Terms of Support for International Students in the UK?

ERIC Educational Resources Information Center

Lochtie, David John

2016-01-01

As international student migration and comparative education research have increased worldwide, greater interdependency between national Higher Education (HE) systems has developed with policy and practice frequently being shared internationally. As a key player in the international student market the United States of America is especially…

HIV and Cancer Interaction Highlights Need to Address Disease Stigma

Cancer.gov

The global landscape of disease highlights disparities that exist between nations. An estimated 36 million people worldwide live with HIV and AIDS, of which only 1 million are located within the United States. While the diagnosis of a life-threatening disease can be devastating, individuals with HIV and AIDS frequently bear an additional burden of stigma and discrimination.

Book review: Understanding human development in the western United States

Treesearch

Robert E. Keane

2008-01-01

Isn't that development new?" is perhaps the phrase most frequently uttered by people who live in the western US. The West, it seems, is sucking Americans into its precious places at a rate that is unparalleled in recent US history. As humans continue to diffuse into the western landscape, they bring their corresponding demands for energy, transportation,...

Shortleaf pine (Pinus echinata Mill.) and hardwood regeneration after thinning natural shortleaf pine forests in southern United States

Treesearch

Anup KC; Thomas B. Lynch; James M. Guldin

2016-01-01

Understory pine and hardwood regeneration in the Ozark and Ouachita National Forests were measured in 1995 for the first time following thinning and hardwood control at plot establishment 1985-87. Red maple (Acer rubrum), shortleaf pine and flowering dogwood (Cornus florida) were the most frequently recorded species. Understory shortleaf pine stems have declined...

Landscape heterogeneity compensates for fuel reduction treatment effects on Northern flying squirrel populations

Treesearch

R. Sollmann; Angela White; Gina Tarbill; Patricia Manley; Eric E. Knapp

2016-01-01

In the dry forests of the western United States frequent fires historically maintained a diversity of habitats in multiple seral stages. Over the past century, fire suppression and preferential harvest of large trees has led to a densification and homogenization of forests, making them more prone to larger and more severe wildfires. In response, fuel reduction...

Top-Down Public Health Curricular Change: The Experience of Physical Education Teachers in the United States

ERIC Educational Resources Information Center

Cothran, Donetta J.; McCaughtry, Nate; Kulinna, Pamela Hodges; Martin, Jeffrey

2006-01-01

Schools are frequently seen as the solution to social problems, and recent public health issues such as the near epidemic rates of obesity and diabetes are some of the newest pressures facing schools. This investigation is an exploration of physical education teachers' reactions to one school district's attempts to mandate a public health driven…

Promoting Universal Psychological Well-Being in an Urban U.S. Public School Using a Culture-Specific, Participatory Action Research Approach to Consultation

ERIC Educational Resources Information Center

Bell, Patrick B.; Larrazolo, Heather L.; Nastasi, Bonnie K.

2017-01-01

In the United States, children that require mental health supports most frequently receive them in school. Promoting social-emotional skills is considered both a universal prevention against future psychological disturbances as well as a core component in the treatment of psychological disorders. However, fostering social-emotional skills requires…

The Uses of Autobiography. Gender & Society: Feminist Perspectives on the Past and Present.

ERIC Educational Resources Information Center

Swindells, Julia, Ed.

This collection explores the range of uses of autobiography from the 19th century to the present and from Africa, the United States, Middle East, France, New Zealand, and Britain. The chapters draw on a number of approaches, including historical and literary methods. They are frequently about the retrieval and reclamation of previously hidden or…

Global Distribution of Businesses Marketing Stem Cell-Based Interventions.

PubMed

Berger, Israel; Ahmad, Amina; Bansal, Akhil; Kapoor, Tanvir; Sipp, Douglas; Rasko, John E J

2016-08-04

A structured search reveals that online marketing of stem-cell-based interventions is skewed toward developed economies including the United States, Ireland, Australia, and Germany. Websites made broad, imprecise therapeutic claims and frequently failed to detail procedures. Widespread marketing poses challenges to regulators, bioethicists, and those seeking realistic hope from therapies. Copyright © 2016 Elsevier Inc. All rights reserved.

When Children Are Water: Representation of Central American Migrant Children in Public Discourse and Implications for Educators

ERIC Educational Resources Information Center

Catalano, Theresa

2017-01-01

Since June, 2014 when the U.S. government began to document an increase in unaccompanied/separated children arriving in the United States from Central America, these children have become a frequent topic in media discourse. Because rhetoric about immigration issues have been shown to affect schooling of these children, the present article aims to…

Implementation of the Credit Enhancement for Charter School Facilities Program. Final Report

ERIC Educational Resources Information Center

Temkin, Kenneth; Hong, Grace; Davis, Laurel; Bavin, William

2008-01-01

The number of charter schools has grown rapidly from 250 in 1995 to about 4,000 by 2007, now enrolling more than 1.1 million students in the United States. Charter schools face many challenges when they attempt to purchase or lease permanent facilities and frequently operate in temporary space that is poorly suited for delivering educational…

Marijuana Use among Students at Institutions of Higher Education. Infofacts/Resources

ERIC Educational Resources Information Center

Higher Education Center for Alcohol and Other Drug Abuse and Violence Prevention, 2008

2008-01-01

Marijuana is the most frequently used illicit drug in the United States, with approximately 14.8 million Americans over the age of 12 reporting past-month use in 2006. While marijuana use declined in the 1980s, its use among all youth--including college students--rose steadily in the 1990s. Prevention professionals report concern because marijuana…

Discovering Periodic Patterns in Historical News

PubMed Central

Dzogang, Fabon; Lansdall-Welfare, Thomas; Cristianini, Nello

2016-01-01

We address the problem of observing periodic changes in the behaviour of a large population, by analysing the daily contents of newspapers published in the United States and United Kingdom from 1836 to 1922. This is done by analysing the daily time series of the relative frequency of the 25K most frequent words for each country, resulting in the study of 50K time series for 31,755 days. Behaviours that are found to be strongly periodic include seasonal activities, such as hunting and harvesting. A strong connection with natural cycles is found, with a pronounced presence of fruits, vegetables, flowers and game. Periodicities dictated by religious or civil calendars are also detected and show a different wave-form than those provoked by weather. States that can be revealed include the presence of infectious disease, with clear annual peaks for fever, pneumonia and diarrhoea. Overall, 2% of the words are found to be strongly periodic, and the period most frequently found is 365 days. Comparisons between UK and US, and between modern and historical news, reveal how the fundamental cycles of life are shaped by the seasons, but also how this effect has been reduced in modern times. PMID:27824911

Atmospheric deposition of current-use and historic-use pesticides in snow at National Parks in the Western United States

USGS Publications Warehouse

Hageman, K.J.; Simonich, S.L.; Campbell, D.H.; Wilson, G.R.; Landers, D.H.

2006-01-01

The United States (U.S.) National Park Service has initiated research on the atmospheric deposition and fate of semi-volatile organic compounds in its alpine, sub-Arctic, and Arctic ecosystems in the Western U.S. Results for the analysis of pesticides in seasonal snowpack samples collected in spring 2003 from seven national parks are presented herein. From a target analyte list of 47 pesticides and degradation products, the most frequently detected current-use pesticides were dacthal, chlorpyrifos, endosulfan, and ??- hexachlorocyclohexane, whereas the most frequently detected historic-use pesticides were dieldrin, ??-hexachlorocyclohexane, chlordane, and hexachlorobenzene. Correlation analysis with latitude, temperature, elevation, particulate matter, and two indicators of regional pesticide use reveal that regional current and historic agricultural practices are largely responsible for the distribution of pesticides in the national parks in this study. Pesticide deposition in the Alaskan parks is attributed to long-range transport because there are no significant regional pesticide sources. The percentage of total pesticide concentration due to regional transport (%RT) was calculated for the other parks. %RT was highest at parks with higher regional cropland intensity and for pesticides with lower vapor pressures and shorter half-lives in air. ?? 2006 American Chemical Society.

Prioritizing land management efforts at a landscape scale: a case study using prescribed fire in Wisconsin.

PubMed

Hmielowski, Tracy L; Carter, Sarah K; Spaul, Hannah; Helmers, David; Radeloff, Volker C; Zedler, Paul

2016-06-01

One challenge in the effort to conserve biodiversity is identifying where to prioritize resources for active land management. Cost-benefit analyses have been used successfully as a conservation tool to identify sites that provide the greatest conservation benefit per unit cost. Our goal was to apply cost-benefit analysis to the question of how to prioritize land management efforts, in our case the application of prescribed fire to natural landscapes in Wisconsin, USA. We quantified and mapped frequently burned communities and prioritized management units based on a suite of indices that captured ecological benefits, management effort, and the feasibility of successful long-term management actions. Data for these indices came from LANDFIRE, Wisconsin's Wildlife Action Plan, and a nationwide wildland-urban interface assessment. We found that the majority of frequently burned vegetation types occurred in the southern portion of the state. However, the highest priority areas for applying prescribed fire occurred in the central, northwest, and northeast portion of the state where frequently burned vegetation patches were larger and where identified areas of high biological importance area occurred. Although our focus was on the use of prescribed fire in Wisconsin, our methods can be adapted to prioritize other land management activities. Such prioritization is necessary to achieve the greatest possible benefits from limited funding for land management actions, and our results show that it is feasible at scales that are relevant for land management decisions.

Has the Temperature Climate of the United States Become More Extreme?

NASA Astrophysics Data System (ADS)

Stevens, L. E.; Kunkel, K.; Vose, R. S.; Knight, R. W.

2014-12-01

Extreme heat has affected parts of the United States during recent summers, particularly 2011 and 2012. Severe cold has also occurred in recent years. This has created a perception that the temperature climate of the U.S. has become more extreme. Is this the case? We address this question by computing probability distribution functions (PDFs) for each season and evaluating temporal changes for the 20th and early 21st centuries using a new gridded monthly temperature data set. We examine changes in the mean, width, and shape of the PDFs for seven U.S. regions, as defined in the third National Climate Assessment. During the past 2-3 decades, there has been a shift toward more frequent very warm months, but this has been accompanied by a decrease in the occurrence of very cold months. Thus, overall we determine that the temperature climate of the U.S. has not become more extreme. The 1930s were an earlier period of frequent very warm months, but this was primarily a result of very warm daytime temperatures, while the occurrence of months with very high nighttime temperatures was not unusually large during that period. There are important regional variations in these results. In particular, the shift to more frequent very warm months is not predominant in the southeast U.S. annually or in parts of the central U.S. in the summer. This lack of warming is a feature of daytime maximum temperature, not nighttime minimum temperature.

Influence of Early Onset of Alcohol Use on the Development of Adolescent Alcohol Problems: A Longitudinal Binational Study

PubMed Central

Kim, Min Jung; Mason, W. Alex; Herrenkohl, Todd I.; Catalano, Richard F.; Toumbourou, John W.; Hemphill, Sheryl A.

2016-01-01

This study examined cross-national similarities in a developmental model linking early age of alcohol use onset to frequent drinking and heavy drinking and alcohol problems 1 and 2 years later in a binational sample of 13-year-old students from 2 states: Washington State, United States, and Victoria, Australia (N = 1,833). A range of individual, family, school, and peer influences were included in analyses to investigate their unique and shared contribution to development of early and more serious forms of alcohol use and harms from misuse. Data were collected annually over a 3-year period from ages 13 to 15. Analyses were conducted using multiple-group structural equation modeling. For both states, early use of alcohol predicted frequent drinking, which predicted alcohol problems. Family protective influences had no direct effects on heavy drinking, nor effects on alcohol harm in either state, whereas school protection directly reduced the risk of heavy drinking in both states. Exposure to antisocial peers and siblings predicted a higher likelihood of heavy drinking and alcohol harm for students in both Washington and Victoria. Implications for the prevention of adolescent alcohol problems are discussed. PMID:27699620

Atmospheric bioaerosols transported via dust storms in the western United States

NASA Astrophysics Data System (ADS)

Hallar, A. Gannet; Chirokova, Galina; McCubbin, Ian; Painter, Thomas H.; Wiedinmyer, Christine; Dodson, Craig

2011-09-01

Measurements are presented showing the presence of biological material within frequent dust storms in the western United States. Previous work has indicated that biological particles were enhancing the impact of dust storms on the formation of clouds. This paper presents multiple case studies, between April and May 2010, showing the presence of and quantifying the amount of biological material via an Ultraviolet Aerodynamic Particle Sizer during dust events. All dust storms originated in the Four Corners region in the western Untied States and were measured at Storm Peak Laboratory, a high elevation facility in northwestern Colorado. From an Aerodynamic Particle Sizer, the mean dust particle size during these events was approximately 1 μm, with number concentrations between 6 cm-3 and 12 cm-3. Approximately 0.2% of these dust particles had fluorescence signatures, indicating the presence of biological material.

Molecular epidemiology of "Norwalk-like viruses" in outbreaks of gastroenteritis in the United States.

PubMed

Fankhauser, R L; Noel, J S; Monroe, S S; Ando, T; Glass, R I

1998-12-01

Fecal specimens from 90 outbreaks of nonbacterial gastroenteritis reported to 33 state health departments from January 1996 to June 1997 were examined to determine the importance of and to characterize "Norwalk-like viruses" (NLVs) in these outbreaks. NLVs were detected by reverse transcription-polymerase chain reaction in specimens from 86 (96%) of 90 outbreaks. Outbreaks were most frequent in nursing homes and hospitals (43%), followed by restaurants or events with catered meals (26%); consumption of contaminated food was the most commonly identified mode of transmission (37%). Nucleotide sequence analysis showed great diversity between strains but also provided evidence indicating the emergence of a common, predominant strain. The application of improved molecular techniques to detect NLVs demonstrates that most outbreaks of nonbacterial gastroenteritis in the United States appear to be associated with these viruses and that sequence analysis is a robust tool to help link or differentiate these outbreaks.

Prominent November Coldwaves in the North Central United States Since 1901.

NASA Astrophysics Data System (ADS)

Wendland, Wayne M.

1987-06-01

The frequency and intensity of early winter (November) coldwaves were investigated for the north central United States. Twenty-two such storms occurred from 1901 to 1985, and were most frequent in the 1950s and early 1960s, and again from the mid 1970s to the present.November coldwaves are most often the result of Colorado cyclones moving to the cast northeast. On average, temperature declines of 22°C or more within 24 hours, falling to at least 0°C, impacted about 40 percent of the 12-state region. The storms were most often accompanied by strong winds, wind chill, heavy snow to the west, and thunderstorms to the cast, i.e., the trappings of a severe winter storm. Many of these storms inflicted severe damage on land and on the Great Lakes, sometimes taking lives of those not anticipating such a severe "winter" storm in November.

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

PubMed Central

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

2013-01-01

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

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

PubMed

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

2013-10-01

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

Racial and ethnic differences among amyotrophic lateral sclerosis cases in the United States.

PubMed

Rechtman, Lindsay; Jordan, Heather; Wagner, Laurie; Horton, D Kevin; Kaye, Wendy

2015-03-01

Our objective was to describe racial and ethnic differences of amyotrophic lateral sclerosis (ALS) in distinct geographic locations around the United States (U.S.). ALS cases for the period 2009-2011 were identified using active case surveillance in three states and eight metropolitan areas. Of the 5883 unique ALS cases identified, 74.8% were white, 9.3% were African-American/black, 3.6% were Asian, 12.0% were an unknown race, and 0.3% were marked as some other race. For ethnicity, 77.5% were defined as non-Hispanic, 10.8% Hispanic, and 11.7% were of unknown ethnicity. The overall crude average annual incidence rate was 1.52 per 100,000 person-years and the rate differed by race and ethnicity. The overall age-adjusted average annual incidence rate was 1.44 per 100,000 person-years and the age-adjusted average incidence rates also differed by race and ethnicity. Racial differences were also found in payer type, time from symptom onset to diagnosis, reported El Escorial criteria, and age at diagnosis. In conclusion, calculated incidence rates demonstrate that ALS occurs less frequently in African-American/blacks and Asians compared to whites, and less frequently in Hispanics compared to non-Hispanics in the U.S. A more precise understanding of racial and ethnic variations in ALS may help to reveal candidates for further studies of disease etiology and disease progression.

Reassessing the Effects of Early Adolescent Alcohol Use on Later Antisocial Behavior: A Longitudinal Study of Students in Victoria, Australia and Washington State, United States

PubMed Central

Hemphill, Sheryl A.; Heerde, Jessica A.; Scholes-Balog, Kirsty E.; Smith, Rachel; Herrenkohl, Todd I.; Toumbourou, John W.; Catalano, Richard F.

2013-01-01

The effect of early adolescent alcohol use on antisocial behavior was examined at one- and two-year follow-up in Washington, United States and Victoria, Australia. Each state used the same methods to survey statewide representative samples of students (N = 1,858, 52% female) in 2002 (Grade 7 [G7]), 2003 (Grade 8 [G8]), and 2004 (Grade 9 [G9]). Rates of lifetime, current, frequent, and heavy episodic alcohol use were higher in Victoria than Washington State, whereas rates of five antisocial behaviors were generally comparable across states. After controlling for established risk factors, few associations between alcohol use and antisocial behavior remained, except that G7 current use predicted G8 police arrests and stealing and G9 carrying a weapon and stealing; G7 heavy episodic use predicted G8 and G9 police arrests; and G7 lifetime use predicted G9 carrying a weapon. Hence, risk factors other than alcohol were stronger predictors of antisocial behaviors. PMID:25132702

Brief report: Sex differences in suicide rates and suicide methods among adolescents in South Korea, Japan, Finland, and the US.

PubMed

Park, Subin

2015-04-01

Sex differences in suicide rates and suicide methods was compared among adolescents in South Korea, Japan, Finland, and the United States. This study analyzed suicide rates and suicide methods of adolescents aged 15-19 years in four countries, using the World Health Organization mortality database. Among both male and female adolescents, the most common method of suicide was jumping from heights in South Korea and hanging in Japan. In Finland, jumping in front of moving objects and firearms were frequently used by males, but not by females. In the United States, males were more likely to use firearms, and females were more likely to use poison. The male to female ratio of suicide rates was higher in the United States (3.8) and Finland (3.6) than in Korea (1.3) and Japan (1.9). Sex differences in suicide methods may contribute to differences in the suicide rates among males and female adolescents in different countries. Copyright © 2015 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

How much runoff originates as snow in the western United States, and how will that change in the future?

NASA Astrophysics Data System (ADS)

Li, Dongyue; Wrzesien, Melissa L.; Durand, Michael; Adam, Jennifer; Lettenmaier, Dennis P.

2017-06-01

In the western United States, the seasonal phase of snow storage bridges between winter-dominant precipitation and summer-dominant water demand. The critical role of snow in water supply has been frequently quantified using the ratio of snowmelt-derived runoff to total runoff. However, current estimates of the fraction of annual runoff generated by snowmelt are not based on systematic analyses. Here based on hydrological model simulations and a new snowmelt tracking algorithm, we show that 53% of the total runoff in the western United States originates as snowmelt, despite only 37% of the precipitation falling as snow. In mountainous areas, snowmelt is responsible for 70% of the total runoff. By 2100, the contribution of snowmelt to runoff will decrease by one third for the western U.S. in the Intergovernmental Panel on Climate Change Representative Concentration Pathway 8.5 scenario. Snowmelt-derived runoff currently makes up two thirds of the inflow to the region's major reservoirs. We argue that substantial impacts on water supply are likely in a warmer climate.

Hydroxocobalamin: improved public health readiness for cyanide disasters.

PubMed

Sauer, S W; Keim, M E

2001-06-01

The United States is under the constant threat of a mass casualty cyanide disaster from industrial accidents, hazardous material transportation incidents, and deliberate terrorist attacks. The current readiness for cyanide disaster by the emergency medical system in the United States is abysmal. We, as a nation, are simply not prepared for a significant cyanide-related event. The standard of care for cyanide intoxication is the cyanide antidote kit, which is based on the use of nitrites to induce methemoglobinemia. This kit is both expensive and ill suited for out-of-hospital use. It also has its own inherent toxicity that prevents rapid administration. Furthermore, our hospitals frequently fail to stock this life-saving antidote or decline to stock more than one. Hydroxocobalamin is well recognized as an efficacious, safe, and easily administered cyanide antidote. Because of its extremely low adverse effect profile, it is ideal for out-of-hospital use in suspected cyanide intoxication. To effectively prepare for a cyanide disaster, the United States must investigate, adopt, manufacture, and stockpile hydroxocobalamin to prevent needless morbidity and mortality.

Home Environments of Infants From Immigrant Families in the United States: Findings From the New Immigrant Survey

PubMed Central

Bradley, Robert H.; Pennar, Amy; Glick, Jennifer

2014-01-01

Data from the New Immigrant Survey were used to describe the home environments of 638 children ages birth to 3 years whose parents legally immigrated to the United States. Thirty-two indicators of home conditions were clustered into four domains: discipline and socioemotional in support, learning materials, enriching experiences, and family activities. Results revealed variation in how frequently infants from every country (Mexico, El Salvador, India, Philippines) and region (East Asia, Europe, Caribbean, Africa) studied experienced each home environmental condition. There were differences between countries and regions on many indicators as well as differences based on parents' level of education. The experiences documented for children of recent legal immigrants were similar to those documented for children of native-born families in other studies. PMID:25798506

Using international emotional picture sets in countries suffering from violence.

PubMed

Okon-Singer, Hadas; Kofman, Ora; Tzelgov, Joseph; Henik, Avishai

2011-04-01

It is hypothesized that ratings of emotional stimuli are affected by a constant threat of traumatic events. Ratings of valence and arousal on the International Affective Picture System from young adults in the United States were compared to those of young Israeli adults. Israelis rated the pictures as less negative and less positive than did participants from the United States. Israeli women gave higher arousal ratings compared to the American women. These differences may be due to compulsory military service in Israel, during which exposure to traumatic events is more likely to occur, and to the timing of the study which followed a year of frequent suicide bomb attacks. The authors suggest that these findings may reflect mild symptoms of stress disorders. Copyright © 2011 International Society for Traumatic Stress Studies.

Observations of elk movement patterns on Fossil Butte National Monument

USGS Publications Warehouse

Olexa, Edward M.; Soileau, Suzanna Carrithers.; Allen, Leslie A.

2014-01-01

The elk herd that frequents Fossil Butte National Monument, a subset of the West Green River elk population, provides visitors with seasonal opportunities to view an iconic species of the western United States. Throughout the year, these elk range across a variety of private, State, and Federal lands within close proximity to the Monument. These lands are managed differently for various uses which can create challenging wildlife-management issues and influence the herd’s seasonal movements and distribution. Research lead by the USGS investigates some of the factors associated with these seasonal changes.

In the United States, negligible rates of zoonotic sarcocystosis occur in feral swine that, by contrast, frequently harbor infections with Sarcocystis meischeriana, a related parasite contracted from dogs

USDA-ARS?s Scientific Manuscript database

Transmission of pathogens between domestic and wild life animals plays important role in epidemiology. Feral pig populations are increasing and expanding in the USA, and may constitute a risk to non-biosecure domestic pig facilities by serving as reservoirs for pathogens. We surveyed, for Sarcocysti...

Public Diplomacy: How to Think About and Improve It

DTIC Science & Technology

2004-01-01

goals, policies and activities of the U.S. government. The thrust of public affairs is to inform the domestic audience ... [whereas] public di- plomacy...seeks to promote the national interest of the United States through under- standing, informing, and influencing foreign audiences . 7 The semantic...converge more than their definitions imply. The provision of information intended for domestic audiences is frequently received by foreign audiences as

Landscape-scale quantification of fire-induced change in canopy cover following mountain pine beetle outbreak and timber harvest

Treesearch

T. Ryan McCarley; Crystal A. Kolden; Nicole M. Vaillant; Andrew T. Hudak; Alistair M. S. Smith; Jason Kreitler

2017-01-01

Across the western United States, the three primary drivers of tree mortality and carbon balance are bark beetles, timber harvest, and wildfire. While these agents of forest change frequently overlap, uncertainty remains regarding their interactions and influence on specific subsequent fire effects such as change in canopy cover. Acquisition of pre- and post-fire Light...

Impacts of fire and fire surrogate treatments on ecosystem nitrogen storage patterns: similarities and differences between forests of eastern and western North America

Treesearch

R.E.J. Boerner; J. Huang; S.C. Hart

2009-01-01

The Fire and Fire Surrogates (FFS) network is composed of 12 forest sites that span the continental UnitedStates, all of which historically had frequent low-severity fire. The goal of the FFS study was to assess the efficacy ofthree management treatments (prescribed fire, mechanical thinning, and their combination...

Operating Room Telephone Microbial Flora

DTIC Science & Technology

2005-06-02

infections per year in the United States (1). Nosocomial infections contribute to prolonged antimicrobial treatments, length-of-stays, and even death. The...surgical site infections ? An inanimate surface that is implicated in a nosocomial infection is termed as a fomite. Are telephones in the OR fomites? Given...the potential impact of nosocomial infections in the perioperative setting, research is needed to describe if the bacteria most frequently involved in

When There Is No Blueprint: The Provision of Mental Health Services in Alternative School Programs for Suspended and Expelled Youth

ERIC Educational Resources Information Center

Goldenson, Julie

2011-01-01

A variety of alternative programs are being implemented in Canada and the United States for students who have exhibited conduct problems and who are suspended or expelled from their schools. Given the complexity of issues that these students frequently face, treatment must be multifaceted, wrap-around, delivered by trained professionals and be…

Assessment of the 1998–2001 drought impact on forest health in southeastern forests: an analysis of drought severity using FHM data

Treesearch

R. J. Klos; G. G. Wang; W. L. Bauerle

2010-01-01

Analyses of forest health indicators monitored through the Forest Health and Monitoring (FHM) program suggested that weather was the most important cause of tree mortality. Drought is of particular importance among weather variables because several global climate change scenarios predicted more frequent and/or intense drought in the Southeastern United States. During...

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

Treesearch

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

2004-01-01

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

Comprehensive laboratory evaluation of a highly specific lateral flow assay for the presumptive identification of ricin in suspicious white powders and environmental samples

USDA-ARS?s Scientific Manuscript database

Ricin, a heterodimeric toxin that is present in the seeds of the Ricinus communis plant, is the most frequently encountered biothreat agent by law enforcement agencies in the United States. Even in untrained hands, the easily obtainable seeds can yield a highly toxic product that has been used in v...

Involving the public in restoring the role of fire in the longleaf pine ecosystem of Upland Island Wilderness

Treesearch

Brian P. Oswald; Ike McWhorter; Penny. Whisenant

2011-01-01

The 13,250-acre Upland Island Wilderness (UIW) in Texas was established in 1984 and is managed by the United States Forest Service (USFS). Historically, portions of it consisted of open and diverse longleaf pine (Pinus palustris) ecosystems which depend on frequent, low-intensity surface fires. As in many other relatively small wilderness areas, the...

Abundance of wind scorpions (Solifugae: Eremobatidae) in riparian forests disturbed by grazing, fire, and flood in Central New Mexico, USA

Treesearch

D. Max Smith; Deborah M. Finch

2011-01-01

Historically, flood was the primary disturbance structuring riparian plant and animal communities in the southwestern United States. In many areas, however, livestock grazing and wildfire occur more frequently than flooding. Research has shown that changes in flood and fire frequency affect the composition of riparian surface-active arthropod communities (Bess et al....

Differences in wildfires among ecoregions and land management agencies in the Sierra Nevada region, California, USA

Treesearch

Jay D. Miller; Brandom M. Collins; James A. Lutz; Scott L. Stephens; Jan W. van Wagtendonk; Donald A. Yasuda

2012-01-01

Recent research has indicated that in most of the western United States, fire size is increasing, large fires are becoming more frequent, and in at least some locations percentage of high-severity fire is also increasing. These changes in the contemporary fire regime are largely attributed to both changing climate and land management practices, including suppression of...

H1N1 Flu & U.S. Schools: Answers to Frequently Asked Questions

ERIC Educational Resources Information Center

US Department of Education, 2009

2009-01-01

A severe form of influenza known as H1N1, commonly being called swine flu, has health officials around the world concerned. In the United States, the outbreak of H1N1 has prompted school closures and cancellation of school-related events. As the flu spreads, the Department of Education encourages school leaders, parents and students to know how to…

Facilities for Study and Research in the Offices of the United States Government at Washington. Bulletin, 1909, No. 1. Whole Number 398

ERIC Educational Resources Information Center

Hadley, Arthur Twining

1909-01-01

This bulletin contains a report prepared by President Hadley of Yale University on the facilities for advanced study and research in the offices of the National Government at Washington. Especial interest attaches to this publication. It sets forth, in compact form, information which has frequently been sought by institutions and individuals…

Estimating canopy fuel characteristics in five conifer stands in the western United States using tree and stand measurements

Treesearch

Elizabeth Reinhardt; Joe Scott; Kathy Gray; Robert Keane

2006-01-01

Isolated wilderness ecosystems with a history of frequent, low-severity fires have been altered due to many decades of fire exclusion and, as a result, are difficult to restore for philosophical and logistical reasons. In this paper, we describe the successional conditions of ponderosa pine (Pinus ponderosa) communities along the South Fork of the...

Burning for conservation values: should the goal be to mimic a natural fire regime?

Treesearch

Sharon M. Hermann; John S. Kush; John C. Gilbert; Rebecca J. Barlow

2015-01-01

Managers are often asked to include conservation values in forest management plans. In the upland coastal plain of the southeastern United States, fire is an important natural process and a vital land management tool. Many native ecosystems are dependent on frequent burns. It is often suggested that mimicking a natural fire regime is the best way to improve and...

Testing the modeled effectiveness of an operational fuel reduction treatment in a small Western Montana interface landscape using two spatial scales

Treesearch

Michael G. Harrington; Erin Noonan-Wright; Mitchell Doherty

2007-01-01

Much of the coniferous zones in the Western United States where fires were historically frequent have seen large increases in stand densities and associated forest fuels due to 20th century anthropogenic influences. This condition is partially responsible for contemporary large, uncharacteristically severe wildfires. Therefore, considerable effort is under way to...

Wilderness visitors in the 21st century: diversity, day use, perceptions and preferences

Treesearch

Deborah J. Chavez

2000-01-01

Despite population growth in urban areas and increasing diversity nationwide, there appears to be little diversity among wilderness visitors in the United States. Frequent users are almost exclusively white (Chavez 1993a; Ewert 1998; Hendon 1991; Parker and Winter 1998), male (Chavez 1993a, 1993b; Ewert 1998), between 30 and 40 years of age on average (Chavez 1993a;...

Radiological Dispersal Device Primer: From A Terrorists Perspective

DTIC Science & Technology

2008-02-15

third order ecnomic effects resulting from the lack of RDD insurance.69 This section discussed radiation impacts from a RDD attack. Based on...Command (NORTHCOM), to conduct warfighting within the homeland defense area of responsibility ( essentially the United States, Canada, and Mexico) and to...RDD attack.130 A prepared media will be essential to calm the public and facilitate first responder actions. Lastly, a robust and frequent

Company Training in the United States 1970-2000: What Have Been the Trends over Time?

ERIC Educational Resources Information Center

Stern, David; Song, Yingquan; O'Brien, Bridget

2004-01-01

This study uses data from surveys of U.S. employees to determine whether any trends are apparent in the proportion who say they receive some form of training at work. Discussions of economic change in the U.S. and elsewhere have frequently asserted that work has become more intellectually demanding. This implies that training in workplaces should…

Development of variable microsatellite loci and range-wide characterization of nuclear genetic diversity in the important dryland shrub antelope bitterbrush (Purshia tridentata)

Treesearch

M.E. Horning; R.C. Cronn

2009-01-01

Antelope bitterbrush (Purshia tridentata Pursh DC; Rosaceae) is an arid-land shrub that occupies an important ecological niche in various fire-dominated communities across much of the Western United States. Because of its importance as a browse for large mammals and a food source for granivores, P. tridentata is frequently planted...

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

ERIC Educational Resources Information Center

Liggett, Billy

2012-01-01

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

Prioritizing forest fuels treatments based on the probability of high-severity fire restores adaptive capacity in Sierran forests

Treesearch

Daniel J. Krofcheck; Matthew D. Hurteau; Robert M. Scheller; E. Louise Loudermilk

2017-01-01

In frequent fire forests of the western United States, a legacy of fire suppression coupled with increases in fire weather severity have altered fire regimes and vegetation dynamics. When coupled with projected climate change, these conditions have the potential to lead to vegetation type change and altered carbon (C) dynamics. In the Sierra Nevada, fuels...

Forest attributes and fuel loads of riparian vs. upland stands in mountain pine beetle infested watersheds, southern Rocky Mountains [Chapter 13

Treesearch

Kathleen A. Dwire; Roberto A. Bazan; Robert Hubbard

2015-01-01

Extensive outbreaks of mountain pine beetle (MPB), spruce beetle (SB), and other insects are altering forest stand structure throughout the Western United States, and thereby increasing the natural heterogeneity of fuel distribution. Riparian forests frequently occur as narrow linear features in the landscape mosaic and can contribute to the spatial complexity of...

Our American Government: What Is It? How Does It Function? 150 Questions and Answers. Ninety Fifth Congress, First Session. House Document No. 95-257.

ERIC Educational Resources Information Center

Joint Committee on Printing, Washington, DC.

This pamphlet presents information about the United States government, its bases, processes, and branches, in a question and answer format. Based on questions similar to those frequently received by Members of Congress from their constituents, it offers brief and concise information. Topics covered are democracy and its American sources, the…

50 CFR 600.1101 - Inshore fee system for repayment of the loan to harvesters of Pollock from the directed fishing...

Code of Federal Regulations, 2013 CFR

2013-10-01

... purposes. (3) Deposit principal disbursement. On the last business day of each month, or more frequently if... owing the United States on account of the loan that such fish seller and/or fish buyer should have, but... loan to harvesters of Pollock from the directed fishing allowance allocated to the inshore component...

50 CFR 600.1101 - Inshore fee system for repayment of the loan to harvesters of Pollock from the directed fishing...

Code of Federal Regulations, 2011 CFR

2011-10-01

... purposes. (3) Deposit principal disbursement. On the last business day of each month, or more frequently if... owing the United States on account of the loan that such fish seller and/or fish buyer should have, but... loan to harvesters of Pollock from the directed fishing allowance allocated to the inshore component...

Thresholds for Abdominal Aortic Aneurysm Repair in England and the United States

PubMed Central

Karthikesalingam, Alan; Vidal-Diez, Alberto; Holt, Peter J.; Loftus, Ian M.; Schermerhorn, Marc L.; Soden, Peter A.; Landon, Bruce E.; Thompson, Matthew M.

2016-01-01

BACKGROUND Thresholds for repair of abdominal aortic aneurysms vary considerably among countries. METHODS We examined differences between England and the United States in the frequency of aneurysm repair, the mean aneurysm diameter at the time of the procedure, and rates of aneurysm rupture and aneurysm-related death. Data on the frequency of repair of intact (nonruptured) abdominal aortic aneurysms, in-hospital mortality among patients who had undergone aneurysm repair, and rates of aneurysm rupture during the period from 2005 through 2012 were extracted from the Hospital Episode Statistics database in England and the U.S. Nationwide Inpatient Sample. Data on the aneurysm diameter at the time of repair were extracted from the U.K. National Vascular Registry (2014 data) and from the U.S. National Surgical Quality Improvement Program (2013 data). Aneurysm-related mortality during the period from 2005 through 2012 was determined from data obtained from the Centers for Disease Control and Prevention and the U.K. Office of National Statistics. Data were adjusted with the use of direct standardization or conditional logistic regression for differences between England and the United States with respect to population age and sex. RESULTS During the period from 2005 through 2012, a total of 29,300 patients in England and 278,921 patients in the United States underwent repair of intact abdominal aortic aneurysms. Aneurysm repair was less common in England than in the United States (odds ratio, 0.49; 95% confidence interval [CI], 0.48 to 0.49; P<0.001), and aneurysm-related death was more common in England than in the United States (odds ratio, 3.60; 95% CI, 3.55 to 3.64; P<0.001). Hospitalization due to an aneurysm rupture occurred more frequently in England than in the United States (odds ratio, 2.23; 95% CI, 2.19 to 2.27; P<0.001), and the mean aneurysm diameter at the time of repair was larger in England (63.7 mm vs. 58.3 mm, P<0.001). CONCLUSIONS We found a lower rate of repair of abdominal aortic aneurysms and a larger mean aneurysm diameter at the time of repair in England than in the United States and lower rates of aneurysm rupture and aneurysm-related death in the United States than in England. (Funded by the Circulation Foundation and others.) PMID:27959727

Distribution and Ecology of Campylobacters in Coastal Plain Streams (Georgia, United States of America)▿

PubMed Central

Vereen, Ethell; Lowrance, R. Richard; Cole, Dana J.; Lipp, Erin K.

2007-01-01

Campylobacter is the leading cause of bacterium-associated diarrhea in the United States and most developed countries. While this disease is considered a food-borne disease, many clinical cases cannot be linked to a food source. In rural and agrarian areas environmental transmission may be an important factor contributing to case loads. Here we investigated the waterborne prevalence of campylobacters in a mixed-use rural watershed in the coastal plain of southern Georgia (United States). Six sites representing various degrees of agricultural and human influence were surveyed biweekly to monthly for 1 year for the presence of culturable thermophilic campylobacters and other measures of water quality. Campylobacters were frequently present in agriculture- and sewage-impacted stretches of streams. The mean campylobacter counts and overall prevalence were highest downstream from a wastewater treatment plant that handled both human and poultry slaughterhouse waste (≤595 CFU ml−1; 100% positive); the concentrations were significantly higher than those for the four upstream sites (P < 0.05). The counts were significantly correlated with the number of fecal coliform bacteria, conductivity, pH, and concentrations of nutrients (NO3−, PO43−, and NH3). Campylobacters were isolated more frequently and larger numbers were present during the summer months, similar to the occurrence of clinical cases of campylobacteriosis in this region. A multivariate model showed that the levels were significantly influenced by increasing precipitation, which also peaked in the summer. The results indicate that loading from both human and domestic animal waste may be high in the watershed studied during the summer months. Mixed-use watersheds supporting agriculture production, human populations, and wildlife may be at risk for contamination by campylobacters and may be an important route for human exposure. PMID:17172457

Clinical and laboratory variability in a cohort of patients diagnosed with type 1 VWD in the United States

PubMed Central

Christopherson, Pamela A.; Gill, Joan Cox; Friedman, Kenneth D.; Haberichter, Sandra L.; Bellissimo, Daniel B.; Udani, Rupa A.; Dasgupta, Mahua; Hoffmann, Raymond G.; Ragni, Margaret V.; Shapiro, Amy D.; Lusher, Jeanne M.; Lentz, Steven R.; Abshire, Thomas C.; Leissinger, Cindy; Hoots, W. Keith; Manco-Johnson, Marilyn J.; Gruppo, Ralph A.; Boggio, Lisa N.; Montgomery, Kate T.; Goodeve, Anne C.; James, Paula D.; Lillicrap, David; Peake, Ian R.; Montgomery, Robert R.

2016-01-01

von Willebrand disease (VWD) is the most common inherited bleeding disorder, and type 1 VWD is the most common VWD variant. Despite its frequency, diagnosis of type 1 VWD remains the subject of debate. In order to study the spectrum of type 1 VWD in the United States, the Zimmerman Program enrolled 482 subjects with a previous diagnosis of type 1 VWD without stringent laboratory diagnostic criteria. von Willebrand factor (VWF) laboratory testing and full-length VWF gene sequencing was performed for all index cases and healthy control subjects in a central laboratory. Bleeding phenotype was characterized using the International Society on Thrombosis and Haemostasis bleeding assessment tool. At study entry, 64% of subjects had VWF antigen (VWF:Ag) or VWF ristocetin cofactor activity below the lower limit of normal, whereas 36% had normal VWF levels. VWF sequence variations were most frequent in subjects with VWF:Ag <30 IU/dL (82%), whereas subjects with type 1 VWD and VWF:Ag ≥30 IU/dL had an intermediate frequency of variants (44%). Subjects whose VWF testing was normal at study entry had a similar rate of sequence variations as the healthy controls (14%). All subjects with severe type 1 VWD and VWF:Ag ≤5 IU/dL had an abnormal bleeding score (BS), but otherwise BS did not correlate with VWF:Ag. Subjects with a historical diagnosis of type 1 VWD had similar rates of abnormal BS compared with subjects with low VWF levels at study entry. Type 1 VWD in the United States is highly variable, and bleeding symptoms are frequent in this population. PMID:26862110

Clinical and laboratory variability in a cohort of patients diagnosed with type 1 VWD in the United States.

PubMed

Flood, Veronica H; Christopherson, Pamela A; Gill, Joan Cox; Friedman, Kenneth D; Haberichter, Sandra L; Bellissimo, Daniel B; Udani, Rupa A; Dasgupta, Mahua; Hoffmann, Raymond G; Ragni, Margaret V; Shapiro, Amy D; Lusher, Jeanne M; Lentz, Steven R; Abshire, Thomas C; Leissinger, Cindy; Hoots, W Keith; Manco-Johnson, Marilyn J; Gruppo, Ralph A; Boggio, Lisa N; Montgomery, Kate T; Goodeve, Anne C; James, Paula D; Lillicrap, David; Peake, Ian R; Montgomery, Robert R

2016-05-19

von Willebrand disease (VWD) is the most common inherited bleeding disorder, and type 1 VWD is the most common VWD variant. Despite its frequency, diagnosis of type 1 VWD remains the subject of debate. In order to study the spectrum of type 1 VWD in the United States, the Zimmerman Program enrolled 482 subjects with a previous diagnosis of type 1 VWD without stringent laboratory diagnostic criteria. von Willebrand factor (VWF) laboratory testing and full-length VWF gene sequencing was performed for all index cases and healthy control subjects in a central laboratory. Bleeding phenotype was characterized using the International Society on Thrombosis and Haemostasis bleeding assessment tool. At study entry, 64% of subjects had VWF antigen (VWF:Ag) or VWF ristocetin cofactor activity below the lower limit of normal, whereas 36% had normal VWF levels. VWF sequence variations were most frequent in subjects with VWF:Ag <30 IU/dL (82%), whereas subjects with type 1 VWD and VWF:Ag ≥30 IU/dL had an intermediate frequency of variants (44%). Subjects whose VWF testing was normal at study entry had a similar rate of sequence variations as the healthy controls (14%). All subjects with severe type 1 VWD and VWF:Ag ≤5 IU/dL had an abnormal bleeding score (BS), but otherwise BS did not correlate with VWF:Ag. Subjects with a historical diagnosis of type 1 VWD had similar rates of abnormal BS compared with subjects with low VWF levels at study entry. Type 1 VWD in the United States is highly variable, and bleeding symptoms are frequent in this population. © 2016 by The American Society of Hematology.

Distribution and ecology of campylobacters in coastal plain streams (Georgia, United States of America).

PubMed

Vereen, Ethell; Lowrance, R Richard; Cole, Dana J; Lipp, Erin K

2007-03-01

Campylobacter is the leading cause of bacterium-associated diarrhea in the United States and most developed countries. While this disease is considered a food-borne disease, many clinical cases cannot be linked to a food source. In rural and agrarian areas environmental transmission may be an important factor contributing to case loads. Here we investigated the waterborne prevalence of campylobacters in a mixed-use rural watershed in the coastal plain of southern Georgia (United States). Six sites representing various degrees of agricultural and human influence were surveyed biweekly to monthly for 1 year for the presence of culturable thermophilic campylobacters and other measures of water quality. Campylobacters were frequently present in agriculture- and sewage-impacted stretches of streams. The mean campylobacter counts and overall prevalence were highest downstream from a wastewater treatment plant that handled both human and poultry slaughterhouse waste (

Identifying the "vulnerables" in biomedical research: the vox populis from the Tuskegee Legacy Project.

PubMed

Chiu, Christopher T; Katz, Ralph V

2011-01-01

This report presents, for the first time, findings on the vox populis as to who constitutes the "vulnerables in biomedical research" The 3-City Tuskegee Legacy Project (TLP) study used the TLP questionnaire as administered via random-digit-dial telephone interviews to 1162 adult Black people, non-Hispanic White people, and two Puerto Rican (PR) Hispanic groups: Mainland United States and San Juan (SJ) in three cities. The classification schema was based upon respondents' answers to an open-ended question asking which groups of people were the most vulnerable when participating in biomedical research. Subjects provided 749 valid open-ended responses, which were grouped into 29 direct response categories, leading to a four-tier classification schema for vulnerability traits. Tier 1, the summary tier, had five vulnerability categories: (1) Race/ ethnicity; (2) Age; (3) SES; (4) Health; and, (5) Gender. Black people and Mainland United States PR Hispanics most frequently identified Race/Ethnicity as a vulnerability trait (42.1 percent of Black people and 42.6 percent of Mainland United States. PR Hispanics versus 15.4 percent of White people and 16.7 percent of SJ R Hispanics) (P < 0.007), while White people and SJ PR Hispanics most frequently identified Age (48.3 percent and 29.2 percent) as a vulnerability trait. The response patterns on "who was vulnerable" were similar for the two minority groups (Black people and Mainland US PR Hispanics), and notably different from the response patterns of the two majority groups (White people and SJ PR Hispanics). Further, the vox populis definition of vulnerables differed from the current official definitions as used by the U.S. federal government.

Sexual behaviors, relationships, and perceived health status among adult women in the United States: results from a national probability sample.

PubMed

Herbenick, Debby; Reece, Michael; Schick, Vanessa; Sanders, Stephanie A; Dodge, Brian; Fortenberry, J Dennis

2010-10-01

Past surveys of sexual behavior have demonstrated that female sexual behavior is influenced by medical and sociocultural changes. To be most attentive to women and their sexual lives, it is important to have an understanding of the continually evolving sexual behaviors of contemporary women in the United States. The purpose of this study, the National Survey of Sexual Health and Behavior (NSSHB), was to, in a national probability survey of women ages 18-92, assess the proportion of women in various age cohorts who had engaged in solo and partnered sexual activities in the past 90 days and to explore associations with participants' sexual behavior and their relationship and perceived health status. Past year frequencies of masturbation, vaginal intercourse, and anal intercourse were also assessed. A national probability sample of 2,523 women ages 18 to 92 completed a cross-sectional internet based survey about their sexual behavior. Relationship status; perceived health status; experience of solo masturbation, partnered masturbation, giving oral sex, receiving oral sex, vaginal intercourse, anal intercourse, in the past 90 days; frequency of solo masturbation, vaginal intercourse, and anal intercourse in the past year. Recent solo masturbation, oral sex, and vaginal intercourse were prevalent among women, decreased with age, and varied in their associations with relationship and perceived health status. Recent anal sex and same-sex oral sex were uncommonly reported. Solo masturbation was most frequent among women ages 18 to 39, vaginal intercourse was most frequent among women ages 18 to 29 and anal sex was infrequently reported. Contemporary women in the United States engage in a diverse range of solo and partnered sexual activities, though sexual behavior is less common and more infrequent among older age cohorts. © 2010 International Society for Sexual Medicine.

Substance use disorder comorbidity with schizophrenia in families of Mexican and Central American Ancestry

PubMed Central

Jiménez-Castro, Lorena; Hare, Elizabeth; Medina, Rolando; Raventos, Henriette; Nicolini, Humberto; Mendoza, Ricardo; Ontiveros, Alfonso; Jerez, Alvaro; Muñoz, Rodrigo; Dassori, Albana; Escamilla, Michael

2010-01-01

Objectives The aims of this study were to estimate the frequency and course of substances use disorders in Latino patients with schizophrenia and to ascertain risk factors associated with substance use disorders in this population. Method We studied 518 subjects with schizophrenia recruited for a genetic study from the Southwest United States, Mexico, and Central America (Costa Rica and Guatemala). Subjects were assessed using structured interviews and a best estimate consensus process. Logistic regression, χ2, t- test, Fisher’s exact test, and Yates’ correction, as appropriate, were performed to assess the sociodemographic variables associated with dual diagnosis. We defined substance use disorder as either alcohol or substance abuse or dependence. Results Out of 518 patients with schizophrenia, 121 (23.4%) had substance use disorders. Comorbid substance use disorders were associated with male gender, residence in the United States, immigration of Mexican men to the United State, history of depressive syndrome or episode, and being unemployed. The most frequent substance use disorder was alcohol abuse/dependence, followed by marijuana abuse/dependence, and solvent abuse/dependence. Conclusion This study provides data suggesting that depressive episode or syndrome, unemployment, male gender, and immigration of Mexican men to the United States were factors associated with substance use disorder comorbidity in schizophrenia. Binary logistic regression showed that country of residence was associated with substance use disorder in schizophrenic patients. The percentage of subjects with comorbid substance use disorders was higher in the Latinos living in the United States compared with subjects living in Central America and Mexico. PMID:20303714

Emotions in “the world”: cultural practices, products, and meanings of anger and shame in two individualist cultures

PubMed Central

Boiger, Michael; Deyne, Simon De; Mesquita, Batja

2013-01-01

Three studies tested the idea that people’s cultural worlds are structured in ways that promote and highlight emotions and emotional responses that are beneficial in achieving central goals in their culture. Based on the idea that U.S. Americans strive for competitive individualism, while (Dutch-speaking) Belgians favor a more egalitarian variant of individualism, we predicted that anger and shame, as well as their associated responses, would be beneficial to different extents in these two cultural contexts. A questionnaire study found that cultural practices promote beneficial emotions (anger in the United States, shame in Belgium) and avoid harmful emotions (shame in the United States): emotional interactions were perceived to occur more or less frequently to the extent that they elicited culturally beneficial or harmful emotions. Similarly, a cultural product analysis showed that popular children’s books from the United States and Belgium tend to portray culturally beneficial emotions more than culturally harmful emotions. Finally, a word-association study of the shared cultural meanings surrounding anger and shame provided commensurate evidence at the level of the associated response. In each language network, anger and shame were imbued with meanings that reflected the cultural significance of the emotion: while culturally consistent emotions carried relatively stronger connotations of emotional yielding (e.g., giving in to anger and aggressing against the offender in the United States), culturally inconsistent emotions carried relatively stronger connotations of emotional containment (e.g., a stronger emphasis on suppressing or transforming shame in the United States). PMID:24367340

The Relation of El Nino Southern Oscillation to Winter Tornado Outbreaks

NASA Astrophysics Data System (ADS)

Robinson Cook, A. D.; Schaefer, J. T.

2007-12-01

Winter tornado activity (January, February, and March) between 1950 and 2003 was analyzed to determine the possible effect of seasonally averaged sea surface temperatures in the equatorial Pacific Ocean, the ENSO phase, on the location and strength of tornado outbreaks in the United States. Tornado activity was gauged through analyses of tornadoes occurring on tornado days (a calendar day featuring 6 or more tornadoes within the contiguous United States) and strong and violent tornado days (a calendar day featuring 5 or more tornadoes rated F-2 and greater within the contiguous United States). The tornado days were then stratified according to warm (37 tornado days, 14 violent days), cold (51 tornado days, 28 violent days), and neutral (74 tornado days, 44 violent days) winter ENSO phase. It is seen that during winter periods of neutral tropical Pacific sea surface temperatures, there is a tendency for United States tornado outbreaks to be stronger and more frequent than they are during winter periods of anomalously warm tropical Pacific sea surface temperatures (El Nino). During winter periods with anomalously cool Pacific sea surface temperatures (La Nina), the frequency and strength of United States tornado activity lies between that of the neutral and El Nino phase. ENSO related shifts in the preferred location of tornado activity are also observed. Historically, during the neutral phase, tornado outbreaks typically occurred from central Oklahoma and Kansas eastward through the Carolinas. During cold phases, tornado outbreaks have typically occurred in a zone stretching from southeastern Texas northeastward into Illinois, Indiana, and Michigan. During anomalously warm phases activity was mainly limited to the Gulf Coast States including central Florida. The data are statistically and synoptically analyzed to show that they are not only statistically significant, but also meteorologically reasonable.

Presence of Fungicides Used to Control Asian Soybean Rust in Streams in Agricultural Areas in the United States

NASA Astrophysics Data System (ADS)

Sandstrom, M. W.; Battaglin, W. A.

2007-05-01

Concentrations of 11 fungicides were measured in stream samples during 2 years in agricultural areas in the United States that grow predominantly corn and soybean. The fungicides are registered for control of Asian Soybean Rust (ASR), which entered the United States in 2004. Many of these fungicides were registered under an emergency exemption because evaluation of environmental risks related to their widespread use on soybeans had not been completed. Some of these fungicides are considered moderately to highly toxic to fish and aquatic invertebrates. We developed a solid-phase extraction and gas chromatography/mass spectrometry method for determining the fungicides at low concentrations (ng/L). Stream samples were collected 2 to 4 times at study areas during the late spring through fall season when fungicides are applied. Six fungicides registered for control of ASR (Phakospora pachyrhizi) in 2005 were measured in streams in Alabama, Georgia, North Carolina, South Carolina, and Mississippi during August-November, 2005. One or more fungicides were detected in 8 of the 12 streams sampled. Azoxystrobin, pyraclostrobin, propiconazole, tebuconazole, and myclobutanil were found in at least one of the 40 samples collected, while chlorothalonil was not found. Azoxystrobin was detected most frequently, in 35 percent of the samples. In 2006, five additional fungicides registered for use in control of ASR were included in the analytical method. One or more of the fungicides (azoxystrobin, pyraclostrobin, trifloxystrobin, metconazole, propiconazole, tebuconazole, tetraconazole, myclobutanil) were detected in 12 of the 16 streams sampled from areas in the South and Midwest during May-September, 2006. Azoxystrobin was detected most frequently (40 percent of the samples) and the highest concentration was 1.1 μg/L in a small predominantly cotton and soybean watershed. The highest concentrations of azoxystrobin were measured prior to the spread of ASR in 2006, and the detections in streams might be related to use on other crops. Concentrations of the fungicides measured were about 100 times lower than aquatic toxicity levels. These results show that ASR fungicides were found in streams before extensive spread of ASR in the United States.

The influence of an extended Atlantic hurricane season on inland flooding potential in the southeastern United States

NASA Astrophysics Data System (ADS)

Stone, Monica H.; Cohen, Sagy

2017-03-01

Recent tropical cyclones, like Hurricane Katrina, have been some of the worst the United States has experienced. Tropical cyclones are expected to intensify, bringing about 20 % more precipitation, in the near future in response to global climate warming. Further, global climate warming may extend the hurricane season. This study focuses on four major river basins (Neches, Pearl, Mobile, and Roanoke) in the southeastern United States that are frequently impacted by tropical cyclones. An analysis of the timing of tropical cyclones that impact these river basins found that most occur during the low-discharge season and thus rarely produce riverine flooding conditions. However, an extension of the current hurricane season of June-November could encroach upon the high-discharge seasons in these basins, increasing the susceptibility for riverine hurricane-induced flooding. Our results indicate that 28-180 % more days would be at risk of flooding from an average tropical cyclone with an extension of the hurricane season to May-December (just 2 months longer). Future research should aim to extend this analysis to all river basins in the United States that are impacted by tropical cyclones in order to provide a bigger picture of which areas are likely to experience the worst increases in flooding risk due to a probable extension of the hurricane season with expected global climate change in the near future.

Association Between The Real Cost Media Campaign and Smoking Initiation Among Youths - United States, 2014-2016.

PubMed

Farrelly, Matthew C; Duke, Jennifer C; Nonnemaker, James; MacMonegle, Anna J; Alexander, Tesfa N; Zhao, Xiaoquan; Delahanty, Janine C; Rao, Pamela; Allen, Jane A

2017-01-20

In the United States, approximately 900,000 youths smoke their first cigarette each year (1). Health communication interventions are evidence-based strategies for preventing the initiation of tobacco use, promoting and facilitating cessation, and changing beliefs and attitudes about tobacco use (2,3). This report describes the association between the Food and Drug Administration's (FDA's) first national tobacco public education campaign, The Real Cost, and rates of smoking initiation among youths in the United States from 2014 to 2016. A nationally representative cohort study of youths (N = 5,185) was conducted during November 2013-March 2016. Results from a discrete-time survival model indicate that, among youths who reported never having smoked a cigarette in the baseline survey, the odds of reporting smoking initiation at follow-up were lower among youths with frequent exposure to campaign advertisements than among those with little or no exposure (adjusted odds ratio [aOR] = 0.70, 95% confidence interval [CI] = 0.55-0.91). Based on the results of the model, The Real Cost is associated with an estimated 348,398 U.S. youths aged 11-18 years who did not initiate smoking during February 2014-March 2016. Sustained youth-focused tobacco education campaigns, such as The Real Cost, can help speed progress toward preventing tobacco use among youths in the United States.

Serological survey for antibodies against pestiviruses in Wyoming domestic sheep.

PubMed

Silveira, S; Falkenberg, S M; Elderbrook, M J; Sondgeroth, K S; Dassanayake, R P; Neill, J D; Ridpath, J F; Canal, C W

2018-06-01

Pestiviruses including Bovine viral diarrhea virus type 1 (BVDV-1), BVDV-2 and Border disease virus (BDV) have been reported in both sheep and cattle populations, together with the HoBi-like, an emerging group of pestiviruses. Pestivirus control programs in the United States have focused on the control of BVDV-1 and 2. The incidence of pestivirus infection in sheep in the United States and the risk of transmission between cattle and sheep populations are unknown. The aim of this study was to perform serological surveillance for pestivirus exposure in sheep from an important sheep producing state in the Unites States, Wyoming. For this, sera from 500 sheep, collected across the state of Wyoming (US) in 2015-2016, were examined by comparative virus neutralization assay against four species/proposed species of pestiviruses: BVDV-1, BVDV-2, BDV and HoBi-like virus. Rates of exposure varied between geographic regions within the state. The overall pestivirus prevalence of antibodies was 5.6%. Antibodies were most frequently detected against BVDV-1 (4%), and the highest antibody titers were also against BVDV-1. Data from this study highlights understanding of the dynamics of sheep pestivirus exposure, consideration of reference strains used for VN assays, transmission patterns, and potential vaccination history should be taken into account in implementation of control measures against pestiviruses in sheep and for successful BVDV control programs in cattle. Published by Elsevier B.V.

A survey of office visits for actinic keratosis as reported by NAMCS, 1990-1999. National Ambulatory Medical Care Survey.

PubMed

Gupta, Aditya K; Cooper, Elizabeth A; Feldman, Steven R; Fleischer, Alan B

2002-08-01

Although actinic keratosis (AK) has been linked to the development of nonmelanoma skin cancer (NMSC), particularly squamous cell carcinoma (SCC), increased awareness regarding diagnosis and treatment may be an important component for reducing morbidity and even mortality from AK and NMSC. We used the National Ambulatory Medical Care Survey (NAMCS) data from 1990 to 1999 to evaluate the diagnosis and treatment of AKs among a wide variety of patients by physicians across the United States. To our knowledge, no widespread surveys of North American populations have been performed recently to determine the epidemiology of AK. AK was diagnosed in more than 47 million visits over the 10-year period surveyed and was found to occur in 14% of patients visiting dermatologists. The diagnosis of AK as determined by NAMCS does not reflect the true prevalence of AK because only patients seeking physician diagnosis were surveyed. This suggests that the actual number of patients in the United States with AK is much higher than 14%. Rates of AK diagnosis in the standard metropolitan statistical areas (SMSAs) and non-standard metropolitan statistical areas (non-SMSAs) of the West states are higher than in other states, but geographic location may not be a direct risk factor for the development of AKs. Procedures were undertaken at 70% of visits where AK was the primary diagnosis. Destruction of lesions was the most frequently performed procedure found in the survey considering only the 1993 and 1994 NAMCS data. Biopsy was the second most frequently performed procedure.

Probabilistic Forecasting of Life and Economic Losses due to Natural Disasters

NASA Astrophysics Data System (ADS)

Barton, C. C.; Tebbens, S. F.

2014-12-01

The magnitude of natural hazard events such as hurricanes, tornadoes, earthquakes, and floods are traditionally measured by wind speed, energy release, or discharge. In this study we investigate the scaling of the magnitude of individual events of the 20th and 21stcentury in terms of economic and life losses in the United States and worldwide. Economic losses are subdivided into insured and total losses. Some data sets are inflation or population adjusted. Forecasts associated with these events are of interest to insurance, reinsurance, and emergency management agencies. Plots of cumulative size-frequency distributions of economic and life loss are well-fit by power functions and thus exhibit self-similar scaling. This self-similar scaling property permits use of frequent small events to estimate the rate of occurrence of less frequent larger events. Examining the power scaling behavior of loss data for disasters permits: forecasting the probability of occurrence of a disaster over a wide range of years (1 to 10 to 1,000 years); comparing losses associated with one type of disaster to another; comparing disasters in one region to similar disasters in another region; and, measuring the effectiveness of planning and mitigation strategies. In the United States, life losses due to flood and tornado cumulative-frequency distributions have steeper slopes, indicating that frequent smaller events contribute the majority of losses. In contrast, life losses due to hurricanes and earthquakes have shallower slopes, indicating that the few larger events contribute the majority of losses. Disaster planning and mitigation strategies should incorporate these differences.

Hand hygiene compliance rates in the United States--a one-year multicenter collaboration using product/volume usage measurement and feedback.

PubMed

McGuckin, Maryanne; Waterman, Richard; Govednik, John

2009-01-01

Hand hygiene (HH) is the single most important factor in the prevention of health care-acquired infections. The 3 most frequently reported methods of measuring HH compliance are: (1) direct observation, (2) self-reporting by health care workers (HCWs), and (3) indirect calculation based on HH product usage. This article presents the results of a 12-month multicenter collaboration assessing HH compliance rates at US health care facilities by measuring product usage and providing feedback about HH compliance. Our results show that HH compliance at baseline was 26% for intensive care units (ICUs) and 36% for non-ICUs. After 12 months of measuring product usage and providing feedback, compliance increased to 37% for ICUs and 51% for non-ICUs. (ICU, P = .0119; non-ICU, P < .001). HH compliance in the United States can increase when monitoring is combined with feedback. However, HH still occurs at or below 50% compli- ance for both ICUs and non-ICUs.

Enemies or allies? The organ transplant medical community, the federal government, and the public in the United States, 1967-2000.

PubMed

Festle, Mary Jo

2010-01-01

The transplant medical community in the United States has frequently been divided over the appropriate role of the federal government and of the public in matters related to organ transplantation. Using public statements in government hearings, newspapers, and press releases, this article traces the thinking of the transplant medical community in particular during three especially politicized periods: the heart transplant and brain death controversies in the late 1960s, consideration of the National Organ Transplant Act and other legislation during the mid-1980s, and the controversy over organ allocation regulations issued by the Department of Health and Human Services in the late 1990s. Even while sometimes denouncing "politicization," over time surgeons, physicians, representatives of the United Network for Organ Sharing, and other leaders in the field became increasingly politically active and more accustomed to the notion that because of the unique nature of organ transplantation, both the public and the federal government have a legitimate and potentially beneficial oversight role.

ENSO and hydrologic extremes in the western United States

USGS Publications Warehouse

Cayan, D.R.; Redmond, K.T.; Riddle, L.G.

1999-01-01

Frequency distributions of daily precipitation in winter and daily stream flow from late winter to early summer, at several hundred sites in the western United States, exhibit strong and systematic responses to the two phases of ENSO. Most of the stream flows considered are driven by snowmelt. The Southern Oscillation index (SOI) is used as the ENSO phase indicator. Both modest (median) and larger (90th percentile) events were considered. In years with negative SOI values (El Nino), days with high daily precipitation and stream flow are more frequent than average over the Southwest and less frequent over the Northwest. During years with positive SOI values (La Nina), a nearly opposite pattern is seen. A more pronounced increase is seen in the number of days exceeding climatological 90th percentile values than in the number exceeding climatological 50th percentile values, for both precipitation and stream flow. Stream flow responses to ENSO extremes are accentuated over precipitation responses. Evidence suggests that the mechanism for this amplification involves ENSO-phase differences in the persistence and duration of wet episodes, affecting the efficiency of the process by which precipitation is converted to runoff. The SOI leads the precipitation events by several months, and hydrologic lags (mostly through snowmelt) dealy the stream flow response by several more months. The combined 6-12 month predictive aspect of this relationship should be of significant benefit in responding to flood (or drought) risk and in improving overall water management in the western states.Frequency distributions of daily precipitation in winter and daily stream flow from late winter to early summer, at several hundred sites in the western United States, exhibit strong and systematic responses to the two phases of ENSO. Most of the stream flows considered are driven by snowmelt. The Southern Oscillation index (SOI) is used as the ENSO phase indicator. Both modest (median) and larger (90th percentile) events were considered. In years with negative SOI values (El Nino), days with high daily precipitation and stream flow are more frequent than average over the Southwest and less frequent over the Northwest. During years with positive SOI values (La Nina), a nearly opposite pattern is seen. A more pronounced increase is seen in the number of days exceeding climatological 90th percentile values than in the number exceeding climatological 50th percentile values, for both precipitation and stream flow. Stream flow responses to ENSO extremes are accentuated over precipitation responses. Evidence suggests that the mechanism for this amplification involves ENSO-phase differences in the persistence and duration of wet episodes, affecting the efficiency of the process by which precipitation is converted to runoff. The SOI leads the precipitation events by several months, and hydrologic lags (mostly through snowmelt) delay the stream flow response by several more months. The combined 6-12-month predictive aspect of this relationship should be of significant benefit in responding to flood (or drought) risk and in improving overall water management in the western states.

Tuberculous Otomastoiditis.

PubMed

Hand, Jonathan M; Pankey, George A

2016-12-01

Tuberculous otitis media and mastoiditis, or tuberculous otomastoiditis, is a rare but well-described infectious process occasionally affecting individuals in the United States but more frequently seen in countries where tuberculosis is endemic. Infection may be primary and occur through mucus aspirated through the Eustachian tube. Alternatively, organisms may secondarily infect the nasopharynx when expectorated from the lungs and, less frequently, may be hematogenously spread. Chronic otorrhea and hearing loss are common symptoms, and extensive perforation of the tympanic membranes and facial nerve paralysis are routinely described. Diagnosis is made by direct culture of Mycobacterium tuberculosis, although more recently, molecular techniques have been used. Successful treatment of tuberculous otomastoiditis routinely involves surgical intervention combined with prolonged antituberculosis therapy.

Weightlifting, weight training and injuries.

PubMed

Basford, J R

1985-08-01

Although millions of men and women in the United States are regularly involved in some form of weightlifting, the average physician knows, and frequently cares, little about the sports involved. As a result, his or her knowledge of the medical and physiological issues involved is limited This article attempts to address this lack by beginning with a brief introductory section outlining some of the similarities differences between the major weight lifting approaches (power lifting, olympic lifting, weight training and body building). Next it reviews major issues and controversies such as age restrictions for lifters, physiological effects, drug use, potential strength gains and hypertrophy. Finally, it discusses some of the more frequent and unique injuries that can occur in lifters.

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

USGS Publications Warehouse

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

2013-01-01

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

Low Titer Group O Whole Blood in Emergency Situations

DTIC Science & Technology

2014-01-01

ABO incompatibility is defined as transfusion of donor anti-A and/or anti-B to a patient whose RBCs carry A or B antigens . Clinical consequences are...typically minor and frequently subclinical (12). Platelet transfusions with ABO- incompatible plasma occur routinely in hospitals in the United States...minor ABO incompatibility as nonidentical platelet transfusion . It is therefore a paradox that in some countries the regula- tory authorities have

Effects of the Suwannee River sill on the hydrology of the Okefenokee Swamp: application of research results in the environmental assessment process

Treesearch

Cynthia S. Loftin; Sara B. Aicher; Wiley M. Kitchens

2000-01-01

The Okefenokee Swamp is a 200,000 ha palustrine, freshwater wetland in the southeastern United States managed as a National Wildlife Refuge and a National Wilderness Area. Wildfires frequently occur, modifying vegetation structure and creating the swamp landscape mosaic. Following extensive wildfires in 1954-1955, the Suwannee River was impounded by a dam (Suwannee...

Breast Cancer Risk Reduction, Version 2.2015.

PubMed

Bevers, Therese B; Ward, John H; Arun, Banu K; Colditz, Graham A; Cowan, Kenneth H; Daly, Mary B; Garber, Judy E; Gemignani, Mary L; Gradishar, William J; Jordan, Judith A; Korde, Larissa A; Kounalakis, Nicole; Krontiras, Helen; Kumar, Shicha; Kurian, Allison; Laronga, Christine; Layman, Rachel M; Loftus, Loretta S; Mahoney, Martin C; Merajver, Sofia D; Meszoely, Ingrid M; Mortimer, Joanne; Newman, Lisa; Pritchard, Elizabeth; Pruthi, Sandhya; Seewaldt, Victoria; Specht, Michelle C; Visvanathan, Kala; Wallace, Anne; Bergman, Mary Ann; Kumar, Rashmi

2015-07-01

Breast cancer is the most frequently diagnosed malignancy in women in the United States and is second only to lung cancer as a cause of cancer death. To assist women who are at increased risk of developing breast cancer and their physicians in the application of individualized strategies to reduce breast cancer risk, NCCN has developed these guidelines for breast cancer risk reduction. Copyright © 2015 by the National Comprehensive Cancer Network.

Hand Surgery In World War II. Medical Department, United States Army,

DTIC Science & Technology

1955-09-01

Few of these patients presented deep cicatrices , latent infection was minimal, and as a rule the position of function was maintained. DEBARKATION...HOSPITAL 217 Many patients were received with large dorsal cicatrices which, although healed, were unstable. Joints and tendons not directly injured by...burns were frequently damaged by constriction and immobility because of superimposed cicatrices . Joint stiffness was likely to be even more pronounced

Avoiding emergency department visits for COPD, pneumonia, and heart failure: when should patients go to the emergency department?

PubMed

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.

Herbicides and transformation products in surface waters of the Midwestern United States

USGS Publications Warehouse

Battaglin, W.A.; Thurman, E.M.; Kalkhoff, S.J.; Porter, S.D.

2003-01-01

Most herbicides applied to crops are adsorbed by plants or transformed (degraded) in the soil, but small fractions are lost from fields and either move to streams in overland runoff, near surface flow, or subsurface drains, or they infiltrate slowly to ground water. Herbicide transformation products (TPs) can be more or less mobile and more or less toxic in the environment than their source herbicides. To obtain information on the concentrations of selected herbicides and TPs in surface waters of the Midwestern United States, 151 water samples were collected from 71 streams and five reservoir outflows in 1998. These samples were analyzed for 13 herbicides and 10 herbicide TPs. Herbicide TPs were found to occur as frequently or more frequently than source herbicides and at concentrations that were often larger than their source herbicides. Most samples contained a mixture of more than 10 different herbicides or TPs. The ratios of TPs to herbicide concentrations can be used to determine the source of herbicides in streams. Results of a two-component mixing model suggest that on average 90 percent or more of the herbicide mass in Midwestern streams during early summer runoff events originates from the runoff and 10 percent or less comes from increased ground water discharge.

Bioinvasive species and the preservation of cutthroat trout in the western United States: Ecological, social, and economic issues

USGS Publications Warehouse

Quist, M.C.; Hubert, W.A.

2004-01-01

The cutthroat trout (Oncorhynchus clarki) was the only endemic salmonid species across most of the western United States, and it has severely declined largely due to introduction and bioinvasion by non-native salmonid species. However, the ecological, social, and economic consequences of cutthroat trout declines and replacement by non-native salmonid species are relatively minor, and measurable affects on ecosystem function are rare. Restoration efforts for cutthroat trout involve removal or control of bioinvasive salmonid species, but such efforts are costly, ongoing, and resisted frequently by segments of society. Cutthroat trout declines are of little concern to much of the public because they are valued similarly to non-native salmonids, and non-native salmonid species frequently have higher recreational values. Due to the low values placed on cutthroat trout relative to non-native salmonid species, net economic benefits of preserving cutthroat trout are equal to or less than those for non-native salmonids. Cutthroat trout provide a classic case of the consequences of biological invasion; however, other native species are faced with similar issues. We suggest that management agencies establish realistic goals to preserve native species within the context of ecological, social, and economic issues. ?? 2004 Elsevier Ltd. All rights reserved.

Criminality Among Rural Stimulant Users in the United States

PubMed Central

Leukefeld, Carl; Staton-Tindall, Michele; Duvall, Jamieson; Garrity, Thomas; Stoops, William; Falck, Russel; Wang, Jichuan; Carlson, Robert; Sexton, Rocky; Wright, Patricia; Booth, Brenda

2009-01-01

Despite the increase in media attention on “meth cooking” in rural areas of the United States, little is known about rural stimulant use, particularly the criminality associated with stimulant use. Data were collected from community stimulant users in rural Ohio, Arkansas, and Kentucky (N=709). Findings from three logistic regression models indicate that younger stimulant users (x =32.55, SD = 10.35), those with more convictions, and those who used crack frequently were significantly more likely to have been arrested for committing a substance-related crime, a property crime, or another crime in the 6-months before entering the study. Implications include the need for longitudinal studies to further understand rural stimulant use as well as increasing community and corrections-based drug abuse prevention and treatment interventions for stimulant users who live in rural areas. PMID:21686091

Criminality Among Rural Stimulant Users in the United States.

PubMed

Oser, Carrie; Leukefeld, Carl; Staton-Tindall, Michele; Duvall, Jamieson; Garrity, Thomas; Stoops, William; Falck, Russel; Wang, Jichuan; Carlson, Robert; Sexton, Rocky; Wright, Patricia; Booth, Brenda

2011-07-01

Despite the increase in media attention on "meth cooking" in rural areas of the United States, little is known about rural stimulant use, particularly the criminality associated with stimulant use. Data were collected from community stimulant users in rural Ohio, Arkansas, and Kentucky (N=709). Findings from three logistic regression models indicate that younger stimulant users (x =32.55, SD = 10.35), those with more convictions, and those who used crack frequently were significantly more likely to have been arrested for committing a substance-related crime, a property crime, or another crime in the 6-months before entering the study. Implications include the need for longitudinal studies to further understand rural stimulant use as well as increasing community and corrections-based drug abuse prevention and treatment interventions for stimulant users who live in rural areas.

Predictors of Soviet Jewish refugees' acculturation: differentiation of self and acculturative stress.

PubMed

Roytburd, Luba; Friedlander, Myrna L

2008-01-01

The authors investigated the acculturation of 108 Jewish young adults who had immigrated to the United States between the ages of 9 and 21 from the former Soviet Union as a function of differentiation of self (M. Bowen, 1978) and acculturative stress. One aspect of differentiation, the ability to take an "I-position" with others, uniquely predicted greater American acculturation and less Russian acculturation, indicating that participants who reported an ability to act on their own needs in the context of social pressure tended to be more assimilated. Russian acculturation was also uniquely associated with more frequent perceived discrimination (one aspect of acculturative stress) during adolescence. Participants who had spent a greater proportion of their lifetime in the United States were more American acculturated and less Russian acculturated, reflecting assimilation rather than biculturalism.

Job Changing and the Decline in Long-Distance Migration in the United States.

PubMed

Molloy, Raven; Smith, Christopher L; Wozniak, Abigail

2017-04-01

Interstate migration in the United States has decreased steadily since the 1980s, but little is known about the causes of this decline. We show that declining migration is related to a concurrent secular decline in job changing. Neither trend is primarily due to observable demographic or socioeconomic factors. Rather, we argue that the decline in job changing has caused the decline in migration. After establishing a role for the labor market in declining migration, we turn to the question of why job changing has become less frequent over the past several decades. We find little support for several explanations, including the rise of dual-career households, the decline in middle-skill jobs, occupational licensing, and the need for employees to retain health insurance. Thus, the reasons for these dual trends remain opaque and should be explored further.

Review of U.S. registries for psoriasis.

PubMed

Amin, Mina; No, Daniel J; Wu, Jashin J

2017-12-01

Patient registries are databases comprised of standardized clinical data for a specific population of patients with a particular disease or medical condition. Information from patient registries allows clinicians to assess long-lasting outcomes in patients with a specific disease, such as psoriasis. Our primary objective was to identify available psoriasis registries in the United States (U.S.) and evaluate the application of patient registries compared to clinical trials. We searched Google, the Registry of Patient Registries, Orphanet and ClinicalTrials.gov to create a list of U.S. psoriasis registries. We also performed a literature review on the application of psoriasis registries using PubMed. We identified 6 psoriasis patient registries in the United States. Patient registries are frequently used for psoriasis in the U.S. and provide important information about the safety, efficacy and long-term effects of systemic therapies.

The importance of social context in cross-cultural comparisons: first graders in Colombia and the United States.

PubMed

Pilgrim, Colleen; Rueda-Riedle, Alba

2002-09-01

The authors explored the cultural constructs of individualism and collectivism by investigating the prosocial behavior of 1st graders (N = 202; 110 girls, 92 boys) in countries typically classified as collectivist (Colombia, South America) and individualist (United States). Contrary to expectations, U.S. children shared more than Colombian children did. However, U.S. children were more likely to take candy from another child without permission (demonstrating individualism). Results indicated that in both countries sharing was greater with friends than with other fellow classmates, and children frequently reported friendship as the reason they shared. Findings support the importance of the social context, such as the relationship between participants, in cross-cultural research and suggest that simple dichotomies of culture often overlook complex associations between culture and behavioral differences.

Variations in Abdominal Aortic Aneurysm Care: A Report From the International Consortium of Vascular Registries

PubMed Central

Sedrakyan, Art; Mao, Jialin; Venermo, Maarit; Faizer, Rumi; Debus, Sebastian; Behrendt, Christian-Alexander; Scali, Salvatore; Altreuther, Martin; Schermerhorn, Marc; Beiles, Barry; Szeberin, Zoltan; Eldrup, Nikolaj; Danielsson, Gudmundur; Thomson, Ian; Wigger, Pius; Björck, Martin; Cronenwett, Jack L.; Mani, Kevin

2016-01-01

Background: This project by the ICVR (International Consortium of Vascular Registries), a collaboration of 11 vascular surgical quality registries, was designed to evaluate international variation in the contemporary management of abdominal aortic aneurysm (AAA) with relation to recommended treatment guidelines from the Society for Vascular Surgery and the European Society for Vascular Surgery. Methods: Registry data for open and endovascular AAA repair (EVAR) during 2010 to 2013 were collected from 11 countries. Variations in patient selection and treatment were compared across countries and across centers within countries. Results: Among 51 153 patients, 86% were treated for intact AAA (iAAA) and 14% for ruptured AAA. Women constituted 18% of the entire cohort (range, 12% in Switzerland–21% in the United States; P<0.01). Intact AAAs were repaired at diameters smaller than recommended by guidelines in 31% of men (<5.5 cm; range, 6% in Iceland–41% in Germany; P<0.01) and 12% of women with iAAA (<5 cm; range, 0% in Iceland–16% in the United States; P<0.01). Overall, use of EVAR for iAAA varied from 28% in Hungary to 79% in the United States (P<0.01) and for ruptured AAA from 5% in Denmark to 52% in the United States (P<0.01). In addition to the between-country variations, significant variations were present between centers in each country in terms of EVAR use and rate of small AAA repair. Countries that more frequently treated small AAAs tended to use EVAR more frequently (trend: correlation coefficient, 0.51; P=0.14). Octogenarians made up 23% of all patients, ranging from 12% in Hungary to 29% in Australia (P<0.01). In countries with a fee-for-service reimbursement system (Australia, Germany, Switzerland, and the United States), the proportions of small AAA (33%) and octogenarians undergoing iAAA repair (25%) were higher compared with countries with a population-based reimbursement model (small AAA repair, 16%; octogenarians, 18%; P<0.01). In general, center-level variation within countries in the management of AAA was as important as variation between countries. Conclusions: Despite homogeneous guidelines from professional societies, significant variation exists in the management of AAA, most notably for iAAA diameter at repair, use of EVAR, and the treatment of elderly patients. ICVR provides an opportunity to study treatment variation across countries and to encourage optimal practice by sharing these results. PMID:27784712

Religion and the presence and severity of depression in older adults.

PubMed

Hayward, R David; Owen, Amy D; Koenig, Harold G; Steffens, David C; Payne, Martha E

2012-02-01

: To examine the associations of dimensions of religiousness with the presence and severity of depression in older adults. : Cross-sectional analysis of clinical and interview data. : Private university-affiliated medical center in the Southeastern United States. : Four hundred seventy-six psychiatric patients with a current episode of unipolar major depression, and 167 nondepressed comparison subjects, ages 58 years or older (mean = 70 years, SD = 7). : Diagnostic Interview Schedule, Montgomery-Åsberg Depression Rating Scale, and Duke Depression Evaluation Schedule were used in the study. : Presence of depression was related to less frequent worship attendance, more frequent private religious practice, and moderate subjective religiosity. Among the depressed group, less severe depression was related to more frequent worship attendance, less religiousness, and having had a born-again experience. These results were only partially explained by effects of social support and stress buffering. : Religion is related to depression diagnosis and severity via multiple pathways.

Nightmares in United States Military Personnel With Sleep Disturbances

PubMed Central

Creamer, Jennifer L.; Brock, Matthew S.; Matsangas, Panagiotis; Motamedi, Vida; Mysliwiec, Vincent

2018-01-01

Study Objectives: Sleep disturbances are common in United States military personnel. Despite their exposure to combat and trauma, little is known about nightmares in this population. The purpose of this study was to describe the prevalence and associated clinical and polysomnographic characteristics of nightmares in United States military personnel with sleep disturbances. Methods: Retrospective review of 500 active duty United States military personnel who underwent a sleep medicine evaluation and polysomnography at our sleep center. The Pittsburgh Sleep Quality Index and the Pittsburgh Sleep Quality Index-Addendum were used to characterize clinically significant nightmares. Subjective and objective sleep attributes were compared between groups. Results: At least weekly nightmares were present in 31.2%; yet, only 3.9% reported nightmares as a reason for evaluation. Trauma-related nightmares occurred in 60% of those patients with nightmares. Patients with nightmares had increased sleep onset latency (SOL) and rapid eye movement (REM) sleep latency (mean SOL/REM sleep latency 16.6/145 minutes, P = .02 and P = .01 respectively) compared to those without (mean SOL/REM sleep latency 12.5/126 minutes). The comorbid disorders of depression (P ≤ .01, relative risk [RR] 3.55 [95% CI, 2.52–4.98]), anxiety (P ≤ .01, RR 2.57 [95% CI, 1.93–3.44]), posttraumatic stress disorder (P ≤ .01, RR 5.11 [95% CI, 3.43–7.62]), and insomnia (P ≤ .01, RR 1.59 [95% CI, 1.42–1.79]) were all associated with nightmares. Conclusions: Clinically significant nightmares are highly prevalent in United States military personnel with sleep disturbances. Nightmares are associated with both subjective and objective sleep disturbances and are frequently comorbid with other sleep and mental health disorders. Commentary: A commentary on this article appears in this issue on page 303. Citation: Creamer JL, Brock MS, Matsangas P, Motamedi V, Mysliwiec V. Nightmares in United States military personnel with sleep disturbances. J Clin Sleep Med. 2018;14(3):419–426. PMID:29510796

Human and biophysical influences on fire occurrence in the United States

USGS Publications Warehouse

Hawbaker, Todd J.; Radeloff, Volker C.; Stewart, Susan I.; Hammer, Roger B.; Keuler, Nicholas S.; Clayton, Murray K.

2013-01-01

National-scale analyses of fire occurrence are needed to prioritize fire policy and management activities across the United States. However, the drivers of national-scale patterns of fire occurrence are not well understood, and how the relative importance of human or biophysical factors varies across the country is unclear. Our research goal was to model the drivers of fire occurrence within ecoregions across the conterminous United States. We used generalized linear models to compare the relative influence of human, vegetation, climate, and topographic variables on fire occurrence in the United States, as measured by MODIS active fire detections collected between 2000 and 2006. We constructed models for all fires and for large fires only and generated predictive maps to quantify fire occurrence probabilities. Areas with high fire occurrence probabilities were widespread in the Southeast, and localized in the Mountain West, particularly in southern California, Arizona, and New Mexico. Probabilities for large-fire occurrence were generally lower, but hot spots existed in the western and south-central United States The probability of fire occurrence is a critical component of fire risk assessments, in addition to vegetation type, fire behavior, and the values at risk. Many of the hot spots we identified have extensive development in the wildland–urban interface and are near large metropolitan areas. Our results demonstrated that human variables were important predictors of both all fires and large fires and frequently exhibited nonlinear relationships. However, vegetation, climate, and topography were also significant variables in most ecoregions. If recent housing growth trends and fire occurrence patterns continue, these areas will continue to challenge policies and management efforts seeking to balance the risks generated by wildfires with the ecological benefits of fire.

Differences in the quality of information on the internet about lung cancer between the United States and Japan.

PubMed

Goto, Yasushi; Sekine, Ikuo; Sekiguchi, Hiroshi; Yamada, Kazuhiko; Nokihara, Hiroshi; Yamamoto, Noboru; Kunitoh, Hideo; Ohe, Yuichiro; Tamura, Tomohide

2009-07-01

Quality of information available over the Internet has been a cause for concern. Our goal was to evaluate the quality of information available on lung cancer in the United States and Japan and assess the differences between the two. We conducted a prospective, observational Web review by searching the word "lung cancer" in Japanese and English, using Google Japan (Google-J), Google United States (Google-U), and Yahoo Japan (Yahoo-J). The first 50 Web sites displayed were evaluated from the ethical perspective and for the validity of the information. The administrator of each Web site was also investigated. Ethical policies were generally well described in the Web sites displayed by Google-U but less well so in the sites displayed by Google-J and Yahoo-J. The differences in the validity of the information available was more striking, in that 80% of the Web sites generated by Google-U described the most appropriate treatment methods, whereas less than 50% of the Web sites displayed by Google-J and Yahoo-J recommended the standard therapy, and more than 10% advertised alternative therapy. Nonprofit organizations and public institutions were the primary Web site administrators in the United States, whereas commercial or personal Web sites were more frequent in Japan. Differences in the quality of information on lung cancer available over the Internet were apparent between Japan and the United States. The reasons for such differences might be tracked to the administrators of the Web sites. Nonprofit organizations and public institutions are the up-and-coming Web site administrators for relaying reliable medical information.

Use of medications for erectile dysfunction in the United States, 1996 through 2001.

PubMed

Wysowski, Diane K; Swann, Joslyn

2003-03-01

We describe the use during 1996 through 2001 of the primary medications approved in the United States for treatment of erectile dysfunction, namely alprostadil injection and urethral suppository, and sildenafil. MATERIALS AND METHODS Two pharmaceutical research data bases, the National Prescription Audit Plus, and National Disease and Therapeutic Index, were accessed and analyzed. Ancillary data were obtained from 2 health plans. Increases in the number of dispensed prescriptions for alprostadil injection and urethral suppository marketed in 1995 and 1996, respectively, were reversed in 1998 by the marketing of sildenafil. From 1998 through 2001 the estimated number of prescriptions for sildenafil increased 1.87-fold or 87% from 7.5 million to 14 million, while those for alprostadil injection decreased 33% from 239,000 to 159,000 and those for alprostadil suppository decreased 67% from 400,000 to 132,000. Sildenafil was prescribed proportionately more frequently for younger men than alprostadil injection or suppository (p <0.0001). Compared with men for whom sildenafil was prescribed in 1998 those prescribed the drug in 2001 were younger (p <0.0001). Alprostadil injection and suppository were prescribed proportionately more frequently by urologists than sildenafil. Ancillary data from 2 health plans indicated a 173% increase in 1 plan and a 25% decrease in the other due to restrictions in sildenafil prescriptions from 1998 through 2001. Due to the marketing of sildenafil in 1998 through 2001 the use of 2 approved medications for erectile dysfunction, namely alprostadil injection and alprostadil urethral suppository, decreased, while the use of sildenafil increased. Sildenafil was prescribed proportionately more frequently for younger men than alprostadil injection or suppository. Alprostadil was prescribed proportionately more frequently by urologists than sildenafil, which was most commonly prescribed by family and general practitioners, and internists. The data indicate the wide adoption and use of sildenafil for erectile dysfunction.

Frequency of In-Home Internet Use Among Prekidney and Postkidney Transplant Patients-Facilitators and Barriers to Use and Trends Over Time.

PubMed

Lockwood, Mark B; Dunn-Lopez, Karen; Burke, Larisa; Becker, Yolanda T; Saunders, Milda

2017-11-01

As health-related communications become digitized, strategies to increase adoption of these Web-based platforms are needed. The purpose of this study was to assess facilitators and barriers to in-home Internet use among prekidney and postkidney transplant patients. A single center, cross-sectional survey of 240 consecutive patients of all levels of technological proficiency who presented to an urban transplant center in the United States. The Patient Information and Technology Assessment consists of 6 demographic questions, 3 disease-related questions, and 8 technology-related questions. Much of the sample was African American, male with a mean age of 51 years, and median income of $53 800/year. Logistic regression analysis was undertaken, and after adjusting for covariates, we found Smartphone ownership (odds ratio [OR], 4.94; 95% confidence interval [CI], 2.32-10.52), a higher number of Internet users in the home (OR, 2.00; 95% CI, 1.11-3.62), and having college education and beyond (OR, 4.88; 95% CI, 2.03-11.74) increased the likelihood of being a frequent Internet user. African American or Hispanic/Latino patients were less likely to be frequent Internet users compared with white patients (OR, 0.26 and 0.24, respectively, compared with whites, all P < 0.05). As the total number of people in the household increased, frequent Internet use decreased (OR, 0.52; 95% CI, 0.29-0.92). As age increased, reports of frequent Internet use decreased. Lower rates of Internet use among African Americans and Hispanic/Latinos in urban areas in the United States remains a problem despite a significant increase in access to the Internet and Smartphone ownership. The finding that Internet use increases as the number of Internet users in the household increases indicates that leveraging the patient's social support network and/or the development of patient information champion programs may aid with patient's adoption of health technology and patient engagement in self-care.

An ecological perspective on the changing face of Brucella abortus in the western United States

USGS Publications Warehouse

Cross, Paul C.; Maichak, Eric J.; Brennan, Angela; Scurlock, Brandon M.; Henningsen, John C.; Luikart, Gordon

2013-01-01

After a hiatus during the 1990s, outbreaks of Brucella abortus in cattle are occurring more frequently in some of the western states of the United States, namely, Montana, Wyoming and Idaho. This increase is coincident with increasing brucellosis seroprevalence in elk (Cervus elaphus), which is correlated with elk density. Vaccines are a seductive solution, but their use in wildlife systems remains limited by logistical, financial, and scientific constraints. Cattle vaccination is ongoing in the region. Livestock regulations, however, tend to be based on serological tests that test for previous exposure and available vaccines do not protect against seroconversion. The authors review recent ecological studies of brucellosis, with particular emphasis on the Greater Yellowstone Area, and highlight the management options and implications of this work, including the potential utility of habitat modifications and targeted hunts, as well as scavengers and predators. Finally, the authors discuss future research directions that will help us to understand and manage brucellosis in wildlife.

Diversity, distribution, and conservation status of the native freshwater fishes of the southern United States

USGS Publications Warehouse

Warren, Melvin L.; Burr, Brooks M.; Walsh, Stephen J.; Bart, Henry L.; Cashner, Robert C.; Etnier, David A.; Freeman, Byron J.; Kuhajda, Bernard R.; Mayden, Richard L.; Robison, Henry W.; Ross, Stephen T.; Starnes, Wayne C.

2000-01-01

The Southeastern Fishes Council Technical Advisory Committee reviewed the diversity, distribution, and status of all native freshwater and diadromous fishes across 51 major drainage units of the southern United States. The southern United States supports more native fishes than any area of comparable size on the North American continent north of Mexico, but also has a high proportion of its fishes in need of conservation action. The review included 662 native freshwater and diadromous fishes and 24 marine fishes that are significant components of freshwater ecosystems. Of this total, 560 described, freshwater fish species are documented, and 49 undescribed species are included provisionally pending formal description. Described subspecies (86) are recognized within 43 species, 6 fishes have undescribed subspecies, and 9 others are recognized as complexes of undescribed taxa. Extinct, endangered, threatened, or vulnerable status is recognized for 28% (187 taxa) of southern freshwater and diadromous fishes. To date, 3 southern fishes are known to be extinct throughout their ranges, 2 are extirpated from the study region, and 2 others may be extinct. Of the extant southern fishes, 41 (6%) are regarded as endangered, 46 (7%) are regarded as threatened, and 101 (15%) are regarded as vulnerable. Five marine fishes that frequent fresh water are regarded as vulnerable. Our assessment represents a 75% increase in jeopardized southern fishes since 1989 and a 125% increase in 20 years. The trend for fishes in the southern United States is clear; jeopardized fishes are successively being moved from the vulnerable category to that of imminent threat of extinction.

Study of the characteristics of seismic signals generated by natural and cultural phenomena. [such as earthquakes, sonic booms, and nuclear explosions

NASA Technical Reports Server (NTRS)

Goforth, T. T.; Rasmussen, R. K.

1974-01-01

Seismic data recorded at the Tonto Forest Seismological Observatory in Arizona and the Uinta Basin Seismological Observatory in Utah were used to compare the frequency of occurrence, severity, and spectral content of ground motions resulting from earthquakes, and other natural and man-made sources with the motions generated by sonic booms. A search of data recorded at the two observatories yielded a classification of over 180,000 earthquake phase arrivals on the basis of frequency of occurrence versus maximum ground velocity. The majority of the large ground velocities were produced by seismic surface waves from moderate to large earthquakes in the western United States, and particularly along the Pacific Coast of the United States and northern Mexico. A visual analysis of raw film seismogram data over a 3-year period indicates that local and regional seismic events, including quarry blasts, are frequent in occurrence, but do not produce ground motions at the observatories comparable to either the large western United States earthquakes or to sonic booms. Seismic data from the Nevada Test Site nuclear blasts were used to derive magnitude-distance-sonic boom overpressure relations.

Racial/Ethnic Disparities in Chronic Diseases of Youths and Access to Health Care in the United States

PubMed Central

Price, James H.; Braun, Robert

2013-01-01

Racial/ethnic minorities are 1.5 to 2.0 times more likely than whites to have most of the major chronic diseases. Chronic diseases are also more common in the poor than the nonpoor and this association is frequently mediated by race/ethnicity. Specifically, children are disproportionately affected by racial/ethnic health disparities. Between 1960 and 2005 the percentage of children with a chronic disease in the United States almost quadrupled with racial/ethnic minority youth having higher likelihood for these diseases. The most common major chronic diseases of youth in the United States are asthma, diabetes mellitus, obesity, hypertension, dental disease, attention-deficit/hyperactivity disorder, mental illness, cancers, sickle-cell anemia, cystic fibrosis, and a variety of genetic and other birth defects. This review will focus on the psychosocial rather than biological factors that play important roles in the etiology and subsequent solutions to these health disparities because they should be avoidable and they are inherently unjust. Finally, this review examines access to health services by focusing on health insurance and dental insurance coverage and access to school health services. PMID:24175301

Impacts of fire and fire surrogate treatments on ecosystem nitrogen storage patterns: similarities and differences between forests of eastern and western North America

Treesearch

R.E.J. Boerner; J. Huang; S.C. Hart

2009-01-01

The Fire and Fire Surrogates (FFS) network is composed of 12 forest sites that span the continental United States, all of which historically had frequent low-severity fire. The goal of the FFS study was to assess the efficacy of three management treatments (prescribed fire, mechanical thinning, and their combination) in reducing wildfire hazard and increasing ecosystem...

The Effects of Check-In Check-Out on the Social and Academic Planning and Outcomes of African-American Males in an Urban Secondary Setting

ERIC Educational Resources Information Center

Toms, Ozalle Marie

2012-01-01

According to Planty et al. (2009) in 2006, nearly 3.3 million students in the United States received out of school suspensions, demonstrating that exclusionary discipline is on the rise and a frequently used practice in schools across the country. Research shows that African Americans are suspended at higher rates and are more likely to receive…

The evolution of chronic opioid therapy and recognizing addiction.

PubMed

Daum, Akiva M; Berkowitz, Oren; Renner, John A

2015-05-01

Chronic pain is one of the most common complaints in the United States. Opioids have become a frequently prescribed treatment for patients with chronic nonmalignant pain. Concurrently, opioid use disorders have risen to epidemic levels. Studies investigating iatrogenic opioid addiction have been of limited quality. Aberrant drug-related behaviors may be warning signs of impending addiction. Proper screening and close monitoring are essential for managing patients on opioids for chronic nonmalignant pain.

Mapping forest structure and composition from low-density LiDAR for informed forest, fuel, and fire management at Eglin Air Force Base, Florida, USA

Treesearch

Andrew T. Hudak; Benjamin C. Bright; Scott M. Pokswinski; E. Louise Loudermilk; Joseph J. O' Brien; Benjamin S. Hornsby; Carine Klauberg; Carlos A. Silva

2016-01-01

Eglin Air Force Base (AFB) in Florida, in the United States, conserves a large reservoir of native longleaf pine (Pinus palustris Mill.) stands that land managers maintain by using frequent fires. We predicted tree density, basal area, and dominant tree species from 195 forest inventory plots, low-density airborne LiDAR, and Landsat data available across the entirety...

Four Possible Directions for Economic Reform in Russia: Will They Constrain the Military?

DTIC Science & Technology

1992-11-01

shortage continues, causing more frequent demonstrations by homeless servicemen. Unfortunately, this grim situation does not promise to improve in...military with even the basic survival funds and resources. To preserve unit solidarity and protect their subordinates, local commanders are turning more...its member states. For example, in 1988, the World Bank arranged a $1 billion loan to Argentina despite the fact that Argentina had no IMF program and

A Proposal for a Study of Bulimia Among Women in the United States Air Force

DTIC Science & Technology

1988-12-01

to be effective (7). Activities on many bases are limitless and frequently include softball, basketball, football, baseball, volleyball, soccer ...34most authorities recognize that the recommended body weight of these tables does not provide an accurate assessment of body fat because of the wide...how many die undiagnosed. Starvation, -uic4 - inadequate potassium intake and stomach perforation from insertion of a nasogastric tube are the more

Lionfish envenomation.

PubMed

Vetrano, Stephen J; Lebowitz, Jeffery B; Marcus, Steven

2002-11-01

Lionfish (Pterois volitans) are venomous fish most often found as aquarium pets throughout the United States. Lionfish envenomations frequently occur on the upper extremities, with pain as the predominant symptom. Immersing the injured part in warm (45 degrees C) water is considered the first and foremost important treatment as it is reported to relieve pain and inactivate the venom. Other methods of analgesia are discussed. We present a case of lionfish envenomation that failed to respond to warm water immersion.

International Classification for Nursing Practice (ICNP)

PubMed Central

Warren, Judith J.; Coenen, Amy

1998-01-01

The International Classification for Nursing Practice (ICNP) is a collaborative project under the auspices of the International Council of Nurses. The alpha version ia available online for comment in preparation for the release of the beta version in 1999. The authors answer the most-frequently asked questions about the ICNP and encourage nurses in the United States to participate in the revision by sending comments and suggestions to the American Nurses Association. PMID:9670130

Treatment of Amino Acid Metabolism Disorders

MedlinePlus

... unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Calculating your ... unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Calculating your ...

Uranium- and thorium-bearing pegmatites of the United States

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

Adams, J.W.; Arengi, J.T.; Parrish, I.S.

1980-04-01

This report is part of the National Uranium Resource Evaluation (NURE) Program designed to identify criteria favorable for the occurrence of the world's significant uranium deposits. This project deals specifically with uranium- and thorium-bearing pegmatites in the United States and, in particular, their distribution and origin. From an extensive literature survey and field examination of 44 pegmatite localities in the United States and Canada, the authors have compiled an index to about 300 uranium- and thorium-bearing pegmatites in the United States, maps giving location of these deposits, and an annotated bibliography to some of the most pertinent literature on themore » geology of pegmatites. Pegmatites form from late-state magma differentiates rich in volatile constituents with an attendant aqueous vapor phase. It is the presence of an aqueous phase which results in the development of the variable grain size which characterizes pegmatites. All pegmatites occur in areas of tectonic mobility involving crustal material usually along plate margins. Those pegmatites containing radioactive mineral species show, essentially, a similar distribution to those without radioactive minerals. Criteria such as tectonic setting, magma composition, host rock, and elemental indicators among others, all serve to help delineate areas more favorable for uranium- and thorium-bearing pegmatites. The most useful guide remains the radioactivity exhibited by uranium- and thorium-bearing pegmatites. Although pegmatites are frequently noted as favorable hosts for radioactive minerals, the general paucity and sporadic distribution of these minerals and inherent mining and milling difficulties negate the resource potential of pegmatites for uranium and thorium.« less

Low prevalence of chytrid fungus (Batrachochytrium dendrobatidis) in amphibians of U.S. headwater streams

USGS Publications Warehouse

Hossack, Blake R.; Adams, Michael J.; Campbell Grant, Evan H.; Pearl, Chistopher A.; Bettaso, James B.; Barichivich, William J.; Lowe, Winsor H.; True, Kimberly; Ware, Joy L.; Corn, Paul Stephen

2010-01-01

Many declines of amphibian populations have been associated with chytridiomycosis, a disease caused by the aquatic fungus Batrachochytrium dendrobatidis (Bd). Despite the relatively high prevalence of chytridiomycosis in stream amphibians globally, most surveys in North America have focused primarily on wetland-associated species, which are frequently infected. To better understand the distribution and prevalence of Bd in headwater amphibian communities, we sampled 452 tailed frogs (Ascaphus truei and Ascaphus montanus) and 304 stream salamanders (seven species in the Dicamptodontidae and Plethodontidae) for Bd in 38, first- to third-order streams in five montane areas across the United States. We tested for presence of Bd by using PCR on skin swabs from salamanders and metamorphosed tailed frogs or the oral disc of frog larvae. We detected Bd on only seven individuals (0.93%) in four streams. Based on our study and results from five other studies that have sampled headwater- or seep-associated amphibians in the United States, Bd has been detected on only 3% of 1,322 individuals from 21 species. These results differ strongly from surveys in Central America and Australia, where Bd is more prevalent on stream-breeding species, as well as results from wetland-associated anurans in the same regions of the United States that we sampled. Differences in the prevalence of Bd between stream- and wetland-associated amphibians in the United States may be related to species-specific variation in susceptibility to chytridiomycosis or habitat differences.

Vital Signs: Trends in Reported Vectorborne Disease Cases - United States and Territories, 2004-2016.

PubMed

Rosenberg, Ronald; Lindsey, Nicole P; Fischer, Marc; Gregory, Christopher J; Hinckley, Alison F; Mead, Paul S; Paz-Bailey, Gabriela; Waterman, Stephen H; Drexler, Naomi A; Kersh, Gilbert J; Hooks, Holley; Partridge, Susanna K; Visser, Susanna N; Beard, Charles B; Petersen, Lyle R

2018-05-04

Vectorborne diseases are major causes of death and illness worldwide. In the United States, the most common vectorborne pathogens are transmitted by ticks or mosquitoes, including those causing Lyme disease; Rocky Mountain spotted fever; and West Nile, dengue, and Zika virus diseases. This report examines trends in occurrence of nationally reportable vectorborne diseases during 2004-2016. Data reported to the National Notifiable Diseases Surveillance System for 16 notifiable vectorborne diseases during 2004-2016 were analyzed; findings were tabulated by disease, vector type, location, and year. A total 642,602 cases were reported. The number of annual reports of tickborne bacterial and protozoan diseases more than doubled during this period, from >22,000 in 2004 to >48,000 in 2016. Lyme disease accounted for 82% of all tickborne disease reports during 2004-2016. The occurrence of mosquitoborne diseases was marked by virus epidemics. Transmission in Puerto Rico, the U.S. Virgin Islands, and American Samoa accounted for most reports of dengue, chikungunya, and Zika virus diseases; West Nile virus was endemic, and periodically epidemic, in the continental United States. Vectorborne diseases are a large and growing public health problem in the United States, characterized by geographic specificity and frequent pathogen emergence and introduction. Differences in distribution and transmission dynamics of tickborne and mosquitoborne diseases are often rooted in biologic differences of the vectors. To effectively reduce transmission and respond to outbreaks will require major national improvement of surveillance, diagnostics, reporting, and vector control, as well as new tools, including vaccines.

Understanding the relationship between domestic abuse and suicide behavior in adults receiving primary care: does forgiveness matter?

PubMed

Chang, Edward C; Kahle, Emma R; Yu, Elizabeth A; Hirsch, Jameson K

2014-10-01

This study examined the interrelation of domestic abuse, forgiveness of self, forgiveness of others, and suicide behavior in a community sample of 101 patients receiving primary care from a clinic in the southeastern United States. As expected, it was found that more frequent experience of domestic abuse was associated with more frequent suicide behavior. Results from conducting mediation analyses and using bootstrapping techniques provided support for a model in which the relationship between domestic abuse and suicide behavior was accounted for by forgiveness of self, but not by forgiveness of others. The article concludes with a discussion of some of the implications of the present findings for practice and the study's limitations.

A Case of Toxic Breast-feeding?

PubMed

Schultz, Megan L; Kostic, Mark; Kharasch, Sigmund

2017-01-06

Opiates are frequently prescribed postpartum for pain relief after cesarean delivery, episiotomies, and headaches. It is estimated that greater than 30% of breast-feeding mothers in the United States are prescribed opiates for pain relief associated with childbirth. Many opiates are readily transferred to human milk, although life-threatening events are rare. We report a 6-day-old breast-feeding infant whose mother was taking hydromorphone for pain relief from a cesarean delivery and whose clinical course was suggestive of opiate toxicity. This case emphasizes the importance of thorough medication history taking in postpartum breast-feeding mothers whose infants may present with symptoms of opiate toxicity. Semisynthetic opiates are frequently not detected on emergency department urine toxicology screens. The pertinent literature is reviewed.

Model projections of atmospheric steering of Sandy-like superstorms

PubMed Central

Barnes, Elizabeth A.; Polvani, Lorenzo M.; Sobel, Adam H.

2013-01-01

Superstorm Sandy ravaged the eastern seaboard of the United States, costing a great number of lives and billions of dollars in damage. Whether events like Sandy will become more frequent as anthropogenic greenhouse gases continue to increase remains an open and complex question. Here we consider whether the persistent large-scale atmospheric patterns that steered Sandy onto the coast will become more frequent in the coming decades. Using the Coupled Model Intercomparison Project, phase 5 multimodel ensemble, we demonstrate that climate models consistently project a decrease in the frequency and persistence of the westward flow that led to Sandy’s unprecedented track, implying that future atmospheric conditions are less likely than at present to propel storms westward into the coast. PMID:24003129

Causes of Pneumonia Epizootics among Bighorn Sheep, Western United States, 2008–2010

PubMed Central

Highland, Margaret A.; Baker, Katherine; Cassirer, E. Frances; Anderson, Neil J.; Ramsey, Jennifer M.; Mansfield, Kristin; Bruning, Darren L.; Wolff, Peregrine; Smith, Joshua B.; Jenks, Jonathan A.

2012-01-01

Epizootic pneumonia of bighorn sheep is a devastating disease of uncertain etiology. To help clarify the etiology, we used culture and culture-independent methods to compare the prevalence of the bacterial respiratory pathogens Mannheimia haemolytica, Bibersteinia trehalosi, Pasteurella multocida, and Mycoplasma ovipneumoniae in lung tissue from 44 bighorn sheep from herds affected by 8 outbreaks in the western United States. M. ovipneumoniae, the only agent detected at significantly higher prevalence in animals from outbreaks (95%) than in animals from unaffected healthy populations (0%), was the most consistently detected agent and the only agent that exhibited single strain types within each outbreak. The other respiratory pathogens were frequently but inconsistently detected, as were several obligate anaerobic bacterial species, all of which might represent secondary or opportunistic infections that could contribute to disease severity. These data provide evidence that M. ovipneumoniae plays a primary role in the etiology of epizootic pneumonia of bighorn sheep. PMID:22377321

Changes in the Mechanisms Causing Rapid Drought Cessation in the Southeastern United States

NASA Astrophysics Data System (ADS)

Maxwell, Justin T.; Knapp, Paul A.; Ortegren, Jason T.; Ficklin, Darren L.; Soulé, Peter T.

2017-12-01

The synoptic processes that end droughts are poorly understood, yet have significant climatological implications. Here we examined the spatiotemporal patterns of rapid drought cessation (RDC) in the southeastern United States during the1979-2013 warm season (April-November) for three storm types: Frontal, Tropical, and Air mass. We defined RDC as a 1 month shift in soil moisture sufficient to alleviate an existing drought. We found that 73% of all warm-season droughts were ended by RDC events and the three storm-type groups ended droughts over similar spatial areas. Frontal storms were the most frequent mechanism for RDC events, yet their occurrences significantly decreased and were negatively related to increases in Northern Hemisphere air temperatures. Projected future warming in the Northern Hemisphere suggests a continued decline in the frequency and relative contribution of Frontal storms as RDC events, potentially influencing the timing and spatial scale of drought cessation in the southeastern U.S.

Human risk of infection with Borrelia burgdorferi, the Lyme disease agent, in eastern United States.

PubMed

Diuk-Wasser, Maria A; Hoen, Anne Gatewood; Cislo, Paul; Brinkerhoff, Robert; Hamer, Sarah A; Rowland, Michelle; Cortinas, Roberto; Vourc'h, Gwenaël; Melton, Forrest; Hickling, Graham J; Tsao, Jean I; Bunikis, Jonas; Barbour, Alan G; Kitron, Uriel; Piesman, Joseph; Fish, Durland

2012-02-01

The geographic pattern of human risk for infection with Borrelia burgdorferi sensu stricto, the tick-borne pathogen that causes Lyme disease, was mapped for the eastern United States. The map is based on standardized field sampling in 304 sites of the density of Ixodes scapularis host-seeking nymphs infected with B. burgdorferi, which is closely associated with human infection risk. Risk factors for the presence and density of infected nymphs were used to model a continuous 8 km×8 km resolution predictive surface of human risk, including confidence intervals for each pixel. Discontinuous Lyme disease risk foci were identified in the Northeast and upper Midwest, with a transitional zone including sites with uninfected I. scapularis populations. Given frequent under- and over-diagnoses of Lyme disease, this map could act as a tool to guide surveillance, control, and prevention efforts and act as a baseline for studies tracking the spread of infection.

Point-of-purchase tobacco environments and variation by store type--United States, 1999.

PubMed

2002-03-08

To promote its products, the tobacco industry spent $8.2 billion on marketing in 1999, an increase of $1.5 billion over the previous year. Tobacco advertising in various media increases tobacco consumption and adolescents are more susceptible than adults to being influenced by some forms of tobacco advertising. To describe the retail tobacco advertising and marketing environment, researchers from the Robert Wood Johnson Foundation-sponsored ImpacTeen Project collected and analyzed store observation data in 163 communities throughout the United States. This report summarizes the extent of point-of-purchase (POP) tobacco advertising and marketing found in various types of stores. The findings in this report indicate that certain retail environments frequented by teenagers heavily promote tobacco use. To reduce demand for tobacco products among adolescents, public health efforts should address POP environment exposure to tobacco advertising and marketing.

Thunderstorms Increase Mercury Wet Deposition.

PubMed

Holmes, Christopher D; Krishnamurthy, Nishanth P; Caffrey, Jane M; Landing, William M; Edgerton, Eric S; Knapp, Kenneth R; Nair, Udaysankar S

2016-09-06

Mercury (Hg) wet deposition, transfer from the atmosphere to Earth's surface by precipitation, in the United States is highest in locations and seasons with frequent deep convective thunderstorms, but it has never been demonstrated whether the connection is causal or simple coincidence. We use rainwater samples from over 800 individual precipitation events to show that thunderstorms increase Hg concentrations by 50% relative to weak convective or stratiform events of equal precipitation depth. Radar and satellite observations reveal that strong convection reaching the upper troposphere (where high atmospheric concentrations of soluble, oxidized mercury species (Hg(II)) are known to reside) produces the highest Hg concentrations in rain. As a result, precipitation meteorology, especially thunderstorm frequency and total rainfall, explains differences in Hg deposition between study sites located in the eastern United States. Assessing the fate of atmospheric mercury thus requires bridging the scales of global transport and convective precipitation.

Flooding: A unique year

USGS Publications Warehouse

Putnam, A.L.

1984-01-01

Floods have been and continue to be one of the most destructive hazards facing the people of the United States. Of all the natural hazards, floods are the most widespread and the most ruinous to life and property. Today, floods are a greater menace to our welfare than ever before because we live in large numbers near water and have developed a complex reliance upon it. From large rivers to country creeks, from mountain rills to the trickles that occasionally dampen otherwise arid wastelands, every stream in the United States is subject to flooding at some time. Floods strike in myriad forms, including sea surges driven by wild winds or tsunamis churned into fury by seismic activity. By far the most frequent, however, standing in a class by themselves, are the inland, freshwater floods that are caused by rain, by melting snow and ice, or by the bursting of structures that man has erected to protect himself and his belongings from angry waters.

The epidemiology of occupational heat exposure in the United States: a review of the literature and assessment of research needs in a changing climate

NASA Astrophysics Data System (ADS)

Gubernot, Diane M.; Anderson, G. Brooke; Hunting, Katherine L.

2014-10-01

In recent years, the United States has experienced record-breaking summer heat. Climate change models forecast increasing US temperatures and more frequent heat wave events in the coming years. Exposure to environmental heat is a significant, but overlooked, workplace hazard that has not been well-characterized or studied. The working population is diverse; job function, age, fitness level, and risk factors to heat-related illnesses vary. Yet few studies have examined or characterized the incidence of occupational heat-related morbidity and mortality. There are no federal regulatory standards to protect workers from environmental heat exposure. With climate change as a driver for adaptation and prevention of heat disorders, crafting policy to characterize and prevent occupational heat stress for both indoor and outdoor workers is increasingly sensible, practical, and imperative.

Bullying in the American Graduate Medical Education System: A National Cross-Sectional Survey

PubMed Central

2016-01-01

Objectives To deliver an estimate of bullying among residents and fellows in the United States graduate medical education system and to explore its prevalence within unique subgroups. Design/Setting/Participants A national cross-sectional survey from a sample of residents and fellows who completed an online bullying survey conducted in June 2015. The survey was distributed using a chain sampling method that relied on electronic referrals from 4,055 training programs, with 1,791 residents and fellows completing the survey in its entirety. Survey respondents completed basic demographic and programmatic information plus four general bullying and 20 specific bullying behavior questions. Between-group differences were compared for demographic and programmatic stratifications. Main Outcomes/Measures Self-reported subjected to workplace bullying from peers, attendings, nurses, ancillary staff, or patients in the past 12 months. Results Almost half of the respondents (48%) reported being subjected to bullying although both those subjected and not subjected reported experiencing ≥ 1 bullying behaviors (95% and 39% respectively). Attendings (29%) and nurses (27%) were the most frequently identified source of bullying, followed by patients, peers, consultants and staff. Attempts to belittle and undermine work and unjustified criticism and monitoring of work were the most frequently reported bullying behaviors (44% each), followed by destructive innuendo and sarcasm (37%) and attempts to humiliate (32%). Specific bullying behaviors were more frequently reported by female, non-white, shorter than < 5’8 and BMI ≥ 25 individuals. Conclusions/Relevance Many trainees report experiencing bullying in the United States graduate medical education programs. Including specific questions on bullying in the Accreditation Council for Graduate Medical Education annual resident/fellow survey, implementation of anti-bullying policies, and a multidisciplinary approach engaging all stakeholders may be of great value to eliminate these pervasive behaviors in the field of healthcare. PMID:26982705

Pesticides in groundwater of the United States: decadal-scale changes, 1993-2011

USGS Publications Warehouse

Toccalino, Patricia L.; Gilliom, Robert J.; Lindsey, Bruce D.; Rupert, Michael G.

2014-01-01

The national occurrence of 83 pesticide compounds in groundwater of the United States and decadal-scale changes in concentrations for 35 compounds were assessed for the 20-year period from 1993–2011. Samples were collected from 1271 wells in 58 nationally distributed well networks. Networks consisted of shallow (mostly monitoring) wells in agricultural and urban land-use areas and deeper (mostly domestic and public supply) wells in major aquifers in mixed land-use areas. Wells were sampled once during 1993–2001 and once during 2002–2011. Pesticides were frequently detected (53% of all samples), but concentrations seldom exceeded human-health benchmarks (1.8% of all samples). The five most frequently detected pesticide compounds—atrazine, deethylatrazine, simazine, metolachlor, and prometon—each had statistically significant (p < 0.1) changes in concentrations between decades in one or more categories of well networks nationally aggregated by land use. For agricultural networks, concentrations of atrazine, metolachlor, and prometon decreased from the first decade to the second decade. For urban networks, deethylatrazine concentrations increased and prometon concentrations decreased. For major aquifers, concentrations of deethylatrazine and simazine increased. The directions of concentration changes for individual well networks generally were consistent with changes determined from nationally aggregated data. Altogether, 36 of the 58 individual well networks had statistically significant changes in concentrations of one or more pesticides between decades, with the majority of changes attributed to the five most frequently detected pesticide compounds. The magnitudes of median decadal-scale concentration changes were small—ranging from −0.09 to 0.03 µg/L—and were 35- to 230,000-fold less than human-health benchmarks.

California GAMA program: ground-water quality data in the San Diego drainages hydrogeologic province, California, 2004

USGS Publications Warehouse

Wright, Michael T.; Belitz, Kenneth; Burton, Carmen A.

2005-01-01

Because of concerns over ground-water quality, the California State Water Resources Control Board (SWRCB), in collaboration with the U.S. Geological Survey and Lawrence Livermore National Laboratory, has implemented the Ground-Water Ambient Monitoring and Assessment (GAMA) Program. A primary objective of the program is to provide a current assessment of ground-water quality in areas where public supply wells are an important source of drinking water. The San Diego GAMA study unit was the first region of the state where an assessment of ground-water quality was implemented under the GAMA program. The San Diego GAMA study unit covers the entire San Diego Drainages hydrogeologic province, and is broken down into four distinct hydrogeologic study areas: the Temecula Valley study area, the Warner Valley study area, the Alluvial Basins study area, and the Hard Rock study area. A total of 58 ground-water samples were collected from public supply wells in the San Diego GAMA study unit: 19 wells were sampled in the Temecula Valley study area, 9 in the Warner Valley study area, 17 in the Alluvial Basins study area, and 13 in the Hard Rock study area. Over 350 chemical and microbial constituents and water-quality indicators were analyzed for in this study. However, only select wells were measured for all constituents and water-quality indicators. Results of analyses were calculated as detection frequencies by constituent classification and by individual constituents for the entire San Diego GAMA study unit and for the individual study areas. Additionally, concentrations of constituents that are routinely monitored were compared to maximum contaminant levels (MCL) and secondary maximum contaminant levels (SMCL). Concentrations of constituents classified as 'unregulated chemicals for which monitoring is required' (UCMR) were compared to the 'detection level for the purposes of reporting' (DLR). Eighteen of the 88 volatile organic compounds (VOCs) and gasoline oxygenates analyzed for were detected in ground-water samples. Twenty-eight wells sampled in the San Diego GAMA study had at least a single detection of VOCs or gasoline oxygenates. These constituents were most frequently detected in the Alluvial Basin study area (11 of 17 wells), and least frequently detected in the Warner Valley study area (one of nine wells). Trihalomethanes (THMs) were the most frequently detected class of VOCs (18 of 58 wells). The most frequently detected VOCs were chloroform (18 of 58 wells), bromodichloromethane (8 of 58 wells), and methyl tert-butyl ether (MTBE) (7 of 58 wells). Three VOCs were detected at concentrations greater than their MCLs. Tetrachloroethylene (PCE) and trichloroethylene (TCE) were detected in one well in the Hard Rock study area at concentrations of 9.75 and 7.27 micrograms per liter (?g/L), respectively; the MCL for these compounds is 5 ?g/L. MTBE was detected in one well in the Alluvial Basins study area at a concentration of 28.3 ?g/L; the MCL for MTBE is 13 ?g/L. Twenty-one of the 122 pesticides and pesticide degradates analyzed for were detected in ground-water samples. Pesticide or pesticide degradates were detected in 33 of 58 wells sampled, and were most frequently detected in the Temecula Valley study area wells (9 of 14 wells), and least frequently in the Warner Valley study area wells (3 of 9 wells). Herbicides were the most frequently detected class of pesticides (31 of 58 wells), and simazine was the most frequently detected compound (27 of 58 wells), followed by deethylatrazine (14 of 58 wells), prometon (10 of 58 wells), and atrazine (9 of 58 wells). None of the pesticides detected in ground-water samples had concentrations that exceeded MCLs. Eight waste-water indicator compounds were detected in ground-water samples. Twenty-one of 47 wells sampled for waste-water indicator compounds had at least a single detection. Waste-water indicator compounds were detected most frequently in the Allu

Coccidioidomycosis among Workers Constructing Solar Power Farms, California, USA, 2011-2014.

PubMed

Wilken, Jason A; Sondermeyer, Gail; Shusterman, Dennis; McNary, Jennifer; Vugia, Duc J; McDowell, Ann; Borenstein, Penny; Gilliss, Debra; Ancock, Benedict; Prudhomme, Janice; Gold, Deborah; Windham, Gayle C; Lee, Lauren; Materna, Barbara L

2015-11-01

Coccidioidomycosis is associated with soil-disruptive work in Coccidioides-endemic areas of the southwestern United States. Among 3,572 workers constructing 2 solar power-generating facilities in San Luis Obispo County, California, USA, we identified 44 patients with symptom onset during October 2011-April 2014 (attack rate 1.2 cases/100 workers). Of these 44 patients, 20 resided in California outside San Luis Obispo County and 10 resided in another state; 9 were hospitalized (median 3 days), 34 missed work (median 22 days), and 2 had disseminated disease. Of the 25 patients who frequently performed soil-disruptive work, 6 reported frequent use of respiratory protection. As solar farm construction in Coccidioides-endemic areas increases, additional workers will probably be exposed and infected unless awareness is emphasized and effective exposure reduction measures implemented, including limiting dust generation and providing respiratory protection. Medical providers, including those in non-Coccidioides-endemic areas, should suspect coccidioidomycosis in workers with compatible illness and report cases to their local health department.

Coccidioidomycosis among Workers Constructing Solar Power Farms, California, USA, 2011–2014

PubMed Central

Sondermeyer, Gail; Shusterman, Dennis; McNary, Jennifer; Vugia, Duc J.; McDowell, Ann; Borenstein, Penny; Gilliss, Debra; Ancock, Benedict; Prudhomme, Janice; Gold, Deborah; Windham, Gayle C.; Lee, Lauren; Materna, Barbara L.

2015-01-01

Coccidioidomycosis is associated with soil-disruptive work in Coccidioides-endemic areas of the southwestern United States. Among 3,572 workers constructing 2 solar power–generating facilities in San Luis Obispo County, California, USA, we identified 44 patients with symptom onset during October 2011–April 2014 (attack rate 1.2 cases/100 workers). Of these 44 patients, 20 resided in California outside San Luis Obispo County and 10 resided in another state; 9 were hospitalized (median 3 days), 34 missed work (median 22 days), and 2 had disseminated disease. Of the 25 patients who frequently performed soil-disruptive work, 6 reported frequent use of respiratory protection. As solar farm construction in Coccidioides-endemic areas increases, additional workers will probably be exposed and infected unless awareness is emphasized and effective exposure reduction measures implemented, including limiting dust generation and providing respiratory protection. Medical providers, including those in non–Coccidioides-endemic areas, should suspect coccidioidomycosis in workers with compatible illness and report cases to their local health department. PMID:26484688

Evaluation of Seven Publicized Enforcement Demonstration Programs to Reduce Impaired Driving: Georgia, Louisiana, Pennsylvania, Tennessee, Texas, Indiana, and Michigan

PubMed Central

Fell, James C.; Tippetts, A. Scott; Levy, Marvin

2008-01-01

Between 2000 and 2003, the National Highway Traffic Safety Administration (NHTSA) of the United States Department of Transportation (USDOT) funded demonstration projects designed to reduce impaired driving through well-publicized and frequent enforcement in seven States: Georgia, Louisiana, Pennsylvania, Tennessee, Texas, Indiana, and Michigan. Significant reductions in fatal crashes in the intervention States relative to surrounding States were obtained in Georgia, Tennessee, Indiana and Michigan when an interrupted time-series analysis of Fatality Analysis Reporting System (FARS) data was used comparing the ratio of drinking to non-drinking drivers in fatal crashes. Significant reductions in a second measure, alcohol-related fatalities per 100 million vehicle miles traveled (VMT), were also obtained in Indiana and Michigan. The other three States showed only marginal, non-significant changes relative to their comparison jurisdictions or States. As compared to surrounding States, fatal crash reductions in Georgia, Tennessee, Indiana, and Michigan ranged from 11 to 20 percent. In these four States, the programs were estimated to have saved lives ranging from 25 in Indiana to 43 in Tennessee to 57 in Michigan to 60 in Georgia. Some common features of the programs that experienced significant reductions included the use of paid media to publicize the enforcement (in three States), using a statewide model rather than selected portions of the State (all four States), and the use of highly visible and frequent sobriety checkpoints (in three States). In summary, it appears that a variety of media and enforcement procedures that supplement ongoing statewide efforts can yield meaningful crash reduction effects among alcohol impaired drivers. PMID:19026220

Mechanical and Thermal Properties of Dental Composites Cured with CAD/CAM Assisted Solid-State Laser

PubMed Central

De Santis, Roberto; Gloria, Antonio; Maietta, Saverio; Martorelli, Massimo; De Luca, Alessandro; Spagnuolo, Gianrico; Riccitiello, Francesco; Rengo, Sandro

2018-01-01

Over the last three decades, it has been frequently reported that the properties of dental restorative composites cured with argon laser are similar or superior to those achieved with conventional halogen and light emitting diode (LED) curing units. Whereas laser curing is not dependent on the distance between the curing unit and the material, such distance represents a drawback for conventional curing units. However, a widespread clinical application of this kind of laser remains difficult due to cost, heavy weight, and bulky size. Recently, with regard to the radiation in the blue region of the spectrum, powerful solid-state lasers have been commercialized. In the current research, CAD (computer-aided design)/CAM (computer-aided manufacturing) assisted solid-state lasers were employed for curing of different dental restorative composites consisting of micro- and nanoparticle-reinforced materials based on acrylic resins. Commercial LED curing units were used as a control. Temperature rise during the photopolymerisation process and bending properties were measured. By providing similar light energy dose, no significant difference in temperature rise was observed when the two light sources provided similar intensity. In addition, after 7 days since curing, bending properties of composites cured with laser and LED were similar. The results suggested that this kind of laser would be suitable for curing dental composites, and the curing process does not suffer from the tip-to-tooth distance. PMID:29584683

Frequent In-Migration and Highly Focal Transmission of Dengue Viruses among Children in Kamphaeng Phet, Thailand

DTIC Science & Technology

2013-01-17

Maryland, United States of America Introduction Dengue is the leading cause of mosquito-borne viral disease worldwide, and dengue fever (DF) and dengue ...of the spread of dengue virus (DENV) at local scales is central to understanding the epidemiology and evolution of this major human pathogen. We...parents. The study area and design have been described previously [11,12,18]. The epidemiology of dengue is well characterized in this region of

Properties of the Central American cold surge

NASA Technical Reports Server (NTRS)

Mcguirk, James P.; Reding, Philip J.; Zhang, Yuxia

1993-01-01

The Central American cold surge (CACS) is a frontal incursion from the United States into Central America and resembles the East Asian cold surge. They occur more frequently than analyzed by NMC or by published results, based on our observations between 1979 and 1990. Climatology and structure are quantified, based on surface and upper air stations throughout Central America and satellite products from GOES visible and infrared sensors and SSM/I precipitable water and rain rate sensors.

The Use of Social Media to Maximize Energy Performance in the United States Marine Corps

DTIC Science & Technology

2014-06-01

foster user interaction was blogs. 63 The Obama campaign blog allowed the most citizen- generated content compared to other channels. “Four-in... Instagram , Pinterest, and LinkedIn. More users use multiple sites than only one. The frequency which users access social media is also an important and...distinguishing characteristic. Figure 5 displays the number of daily Facebook, Twitter, 8 and Instagram users dwarf the number of less frequent

Cyanotoxin mixtures and taste-and-odor compounds in cyanobacterial blooms from the midwestern united states

USGS Publications Warehouse

Graham, J.L.; Loftin, K.A.; Meyer, M.T.; Ziegler, A.C.

2010-01-01

The mixtures of toxins and taste-and-odor compounds present during cyanobacterial blooms are not well characterized and of particular concern when evaluating potential human health risks. Cyanobacterial blooms were sampled in twenty-three Midwestern United States lakes and analyzed for community composition, thirteen cyanotoxins by liquid chromatography/mass spectrometry and immunoassay, and two taste-and-odor compounds by gas chromatography/mass spectrometry. Aphanizomenon, Cylindrospermopsis and/or Microcystis were dominant in most (96%) blooms, but community composition was not strongly correlated with toxin and taste-and-odor occurrence. Microcystins occurred in all blooms. Total microcystin concentrations measured by liquid chromatography/mass spectrometry and immunoassay were linearly related (rs = 0.76, p < 0.01) and LC/MS/MS concentrations were lower than or similar to ELISA in most (85%) samples. Geosmin (87%), 2-methylisoborneol (39%), anatoxin-a (30%), saxitoxins (17%), cylindrospermopsins (9%), and nodularin-R (9%) also were present in these blooms. Multiple classes of cyanotoxins occurred in 48% of blooms and 95% had multiple microcystin variants. Toxins and taste-and-odor compounds frequently co-occurred (91% of blooms), indicating odor may serve as a warning that cyanotoxins likely are present. However, toxins occurred more frequently than taste-and-odor compounds, so odor alone does not provide sufficient warning to ensure human-health protection. ?? This article not subject to U.S. Copyright. Published 2010 by the American Chemical Society.

Female Genital Mutilation as a Concern for Special Operations and Tactical Emergency Medical Support Medics.

PubMed

Wittich, Arthur C

Female genital mutilation (FGM), frequently called female genital cutting or female circumcision, is the intentional disfigurement of the external genitalia in young girls and women for the purpose of reducing libido and ensuring premarital virginity. This traditional, nontherapeutic procedure to suppress libido and prevent sexual intercourse before marriage has been pervasive in Northern Africa, the Middle East, and the Arabian peninsula for over 2,500 years. FGM permanently destroys the genital anatomy while frequently causing multiple and serious complications. The International Federation of Gynecology and Obstetrics proposed a classification system of FGM according to the specific genital anatomy removed and the extensiveness of genital disfigurement. Although it has been ruled illegal in most countries, FGM continues to be performed worldwide. With African, Asian, and Middle Eastern immigration to the United States and Europe, western countries are experiencing FGM in regions where these immigrants have concentrated. As deployments of Special Operations Forces (SOF) increase to regions in which FGM is pervasive, and as African, Asian, and Middle Eastern immigration to the United States increases, SOF and Tactical Emergency Medical Support (TEMS) medics will necessarily be called upon to evaluate and treat complications resulting from FGM. The purpose of this article is to educate SOF/TEMS medical personnel about the history, geographic regions, classification of procedures, complications, and medical treatment of patients with FGM. 2017.

Prevalence of Clostridium difficile infection presenting to US EDs.

PubMed

Smith, Aaron M; Wuerth, Brandon A; Wiemken, Timothy L; Arnold, Forest W

2015-02-01

The objective of the study is to determine the prevalence of Clostridium difficile infection (CDI) presenting to emergency departments (EDs) in the United States. Secondary objectives included defining the burden of CDI. This is a retrospective, observational cohort study of 2006-2010 Nationwide Emergency Department Sample database of 980 US hospital EDs in 29 states. Prevalence, mortality rate, length of stay, hospital charges, and endemicity were measured. A total of 474513 patients with CDI-related ED visits were identified. From 2006 to 2010, the prevalence of CDI increased from 26.2 to 33.1 per 100,000 population (P<.001). The number of CDI-related ED cases increased 26.1% (P<.001) over the study period: 18.6% from 2006 to 2007 (P<.001), 4.3% from 2007 to 2008 (P=.46), 1.8% from 2008 to 2009 (P=.73), and 0.13% from 2009 to 2010 (P=.95). Emergency department visits occurred more frequently with individuals 85 years or older (relative risk [RR], 13.74; P<.001), females (RR, 1.77; P<.001) and in the northeast United States (RR, 1.42; P<.001). From 2009 to 2010, the mortality rate decreased 17.9% (P=.01). The prevalence of CDI presenting to EDs increased each year from 2006 to 2010; however, the rate of increase slowed from each year to the next. The mortality rate increased from 2006 to 2009 and decreased significantly from 2009 to 2010. C difficile infection visits presenting to EDs occurred more frequently with older individuals, females, and in the northeast. Copyright © 2014 Elsevier Inc. All rights reserved.

Association of medication errors with drug classifications, clinical units, and consequence of errors: Are they related?

PubMed

Muroi, Maki; Shen, Jay J; Angosta, Alona

2017-02-01

Registered nurses (RNs) play an important role in safe medication administration and patient safety. This study examined a total of 1276 medication error (ME) incident reports made by RNs in hospital inpatient settings in the southwestern region of the United States. The most common drug class associated with MEs was cardiovascular drugs (24.7%). Among this class, anticoagulants had the most errors (11.3%). The antimicrobials was the second most common drug class associated with errors (19.1%) and vancomycin was the most common antimicrobial that caused errors in this category (6.1%). MEs occurred more frequently in the medical-surgical and intensive care units than any other hospital units. Ten percent of MEs reached the patients with harm and 11% reached the patients with increased monitoring. Understanding the contributing factors related to MEs, addressing and eliminating risk of errors across hospital units, and providing education and resources for nurses may help reduce MEs. Copyright © 2016 Elsevier Inc. All rights reserved.

Natural aggregates of the conterminous United States

USGS Publications Warehouse

Langer, William H.

1988-01-01

Crushed stone and sand and gravel are the two main sources of natural aggregates. These materials are commonly used construction materials and frequently can be interchanged with one another. They are widely used throughout the United States, with every State except two producing crushed stone. Together they amount to about half the mining volume in the United States. Approximately 96 percent of sand and gravel and 77 percent of the crushed stone produced in the United States are used in the construction industry. Natural aggregates are widely distributed throughout the United States in a variety of geologic environments. Sand and gravel deposits commonly are the results of the weathering of bedrock and subsequent transportation and deposition of the material by water or ice (glaciers). As such, they commonly occur as river or stream deposits or in glaciated areas as glaciofluvial and other deposits. Crushed stone aggregates are derived from a wide variety of parent bedrock materials. Limestone and other carbonates account for approximately three quarters of the rocks used for crushed stone, with granite and other igneous rocks making up the bulk of the remainder. Limestone deposits are widespread throughout the Central and Eastern United States and are scattered in the West. Granites are widely distributed in the Eastern and Western United States, with few exposures in the Midwest. Igneous rocks (excluding granites) are largely concentrated in the Western United States and in a few isolated localities in the East. Even though natural aggregates are widely distributed throughout the United States, they are not universally available for consumptive use. Some areas are devoid of sand and gravel, and potential sources of crushed stone may be covered with sufficient unconsolidated material to make surface mining impractical. In some areas many aggregates do not meet the physical property requirements for certain uses, or they may contain mineral constituents that react adversely when used as concrete aggregate. In areas where suitable natural aggregate is not available or accessible, it may become necessary to improve the quality of existing aggregate, to import aggregate from outside the area, or to substitute artificial aggregate for natural aggregate. In most cases, all of these alternatives add substantially to the cost of the final product. Even though an area may be blessed with an abundance of aggregate suitable for the intended purpose, existing land uses, zoning, or regulations may preclude commercial exploitation of the aggregate. This report also discusses the aggregate industry in general terms, including exploration, mining, and processing, as well as aggregate production rates. Proper long-range planning based on an understanding of the aggregate industry can help assure adequate supplies of aggregate.

KSC-07pd0150

NASA Image and Video Library

2007-01-19

KENNEDY SPACE CENTER, FLA. -- This young red-shouldered hawk perches on a roadside pole inside NASA's Kennedy Space Center. The habitat of these hawks is deciduous woodlands, especially near standing water, frequently found in lowlands such as swampy woods and bogs. They range throughout the eastern half of the United States. KSC shares a boundary with the Merritt Island Wildlife Nature Refuge. The refuge is a habitat for more than 310 species of birds, 25 mammals, 117 fishes and 65 amphibians and reptiles. In addition, the Refuge supports 19 endangered or threatened wildlife species on Federal or State lists, more than any other single refuge in the U.S. Photo credit: NASA/Ken Thornsley

[Hygienic aspects of the use of LED light sources for general illumination in schools].

PubMed

Kuchma, V R; Sukhareva, L M; Teksheva, L M; Stepanova, M I; Sazaniuk, Z I

2013-01-01

For the time present becoming more common semiconductor sources of artificial lighting has become a more and more frequent practice. With the aim to study the impact of LEDs on the health of schoolchildren studies in experimental conditions (specially equipped classrooms) were performed. The comparative analysis of the state of vision, mental health and emotional state of pupils in primary, middle and high schools under fluorescent and LED lighting, meeting to the regulatory requirements, has revealed that the physiological cost of schooling in the use of LED units in classrooms is lower than in a traditional, fluorescent lighting.

Dietary Supplement Use Was Very High among Older Adults in the United States in 2011-2014.

PubMed

Gahche, Jaime J; Bailey, Regan L; Potischman, Nancy; Dwyer, Johanna T

2017-10-01

Background: Dietary supplements (DSs) have the potential to be both beneficial and harmful to health, especially in adults aged ≥60 y, and therefore it is important to monitor the patterns of their use. Objective: This study evaluated DS use by adults aged ≥60 y to characterize the use of DSs, determine the motivations for use, and examine the associations between the use of DSs and selected demographic, lifestyle, and health characteristics. Methods: Data from 3469 older adults aged ≥60 y from the 2011-2014 NHANES were analyzed. DSs used in the past 30 d were ascertained via an interviewer-administered questionnaire in participants' homes. The prevalence of overall DS use and specific types of DSs were estimated. The number of DSs reported and the frequency, duration, and motivation(s) for use were assessed. Logistic regression models were constructed to examine the association between DS use and selected characteristics. Results: Seventy percent of older adults in the United States reported using ≥1 DS in the past 30 d; 54% of users took 1 or 2 products, and 29% reported taking ≥4 products. The most frequently reported products were multivitamin or mineral (MVM) (39%), vitamin D only (26%), and omega-3 fatty acids (22%). Women used DSs almost twice as often as men [adjusted OR (aOR), 1.8; 95% CI: 1.5, 2.3). Those not reporting prescription medications were less likely to take a DS than those reporting ≥3 prescription medications (aOR, 0.4; 95% CI: 0.3, 0.6). The most frequently reported motivation for DS use was to improve overall health (41%). Conclusions: Use of DSs among older adults continues to be high in the United States, with 29% of users regularly taking ≥4 DSs, and there is a high concurrent usage of them with prescription medications. © 2017 American Society for Nutrition.

Concentration of selected sulfonylurea, sulfonamide, and imidazolinone herbicides, other pesticides, and nutrients in 71 streams, 5 reservoir outflows, and 25 wells in the Midwestern United States, 1998

USGS Publications Warehouse

Battaglin, William A.; Furlong, Edward T.; Burkhardt, Mark R.

2001-01-01

Sulfonylurea (SU), sulfonamide (SA), and imidazolinone (IMI) herbicides are recently developed herbicides that function by inhibiting the action of a key plant enzyme, stopping plant growth, and eventually killing the plant. These compounds generally have low mammalian toxicity, but crop and non-crop plants demonstrate a wide range in sensitivity to SUs, SAs, and IMIs, with over a 10,000-fold difference in observed toxicity levels for some compounds. SUs, SAs, and IMIs are applied either pre- or post-emergence to crops commonly at 1/50th or less of the rate of other herbicides. Little is known about their occurrence, fate, or transport in surface water or ground water in the United States. To obtain information on the occurrence of SU, SA, and IMI herbicides in the Midwestern United States, 214 water samples were collected from 76 surface-water and 25 ground-water sites in 1998. These samples were analyzed for 16 SU, SA, and IMI herbicides by using highperformance liquid chromatography/mass spectrometry. Samples also were analyzed for 46 pesticides and pesticide degradation products and 13 herbicides and 10 herbicide degradates. At least 1 of the 16 SUs, SAs, or IMIs was detected at or above the method reporting limit of 0.010 microgram per liter (ug/L) in 83 percent of 133 stream samples. Imazethapyr was detected most frequently (69 percent of samples), followed by flumetsulam (65 percent of samples) and nicosulfuron (53 percent of samples). At least one SU, SA, or IMI herbicide was detected at or above the method reporting limit in 6 of 8 reservoir samples and 5 of 25 ground-water samples. SU, SA, and IMI herbicides occurred less frequently and at a fraction (often 1/50th or less) of the concentrations of other herbicides such as atrazine. Acetochlor, atrazine, cyanazine, and metolachlor were all detected in 95 percent or more of 136 stream samples.

Effects of demographic factors and information sources on United States consumer perceptions of animal welfare.

PubMed

McKendree, M G S; Croney, C C; Widmar, N J O

2014-07-01

As consumers have become more interested in understanding how their food is produced, scrutiny and criticism have increased regarding intensified food animal production methods. Resolution of public concerns about animal agricultural practices depends on understanding the myriad factors that provide the basis for concerns. An online survey of 798 U.S. households was conducted to investigate relationships between household characteristics (demographics, geographic location, and experiences) and level of concern for animal welfare as well as sources used to obtain information on the subject. Because recent media attention has focused on animal care practices used in the U.S. swine industry, respondents were also asked specific questions pertaining to their perceptions of pig management practices and welfare issues and their corresponding pork purchasing behavior. Respondents reporting higher levels of concern about animal welfare were more frequently female, younger, and self-reported members of the Democratic Party. Fourteen percent of respondents reported reduction in pork consumption because of animal welfare concerns with an average reduction of 56%. Over half of the respondents (56%) did not have a primary source for animal welfare information; those who identified a primary information source most commonly used information provided by animal protection organizations, the Humane Society of the United States (HSUS), and People for the Ethical Treatment of Animals (PETA). Midwest participants were significantly, at the 5% significance level, less concerned about domestic livestock animal welfare and more frequently reported not having a source for animal welfare information than those from other regions of the United States. Overall, the U.S. livestock and poultry industries and other organizations affiliated with animal agriculture appear to be less used public sources of information on animal welfare than popular animal protection organizations. Improved understanding of the factors that contribute to consumers' evolving perceptions of the care and welfare of farm animals is an essential step toward enhanced sustainability and social responsibility in contemporary food production systems.

Vibrios and Aeromonas.

PubMed

Holmberg, S D

1988-09-01

There are many similarities in the Vibrionaceae that cause human illness in the United States (see Table 1). Vibrios are characteristically indigenous to marine, estuarine, and brackish environments. They are distributed mainly in Gulf of Mexico coastal water, and these organisms "bloom" when the water is warm. Outbreaks of disease in humans frequently occur in summer, coinciding with multiplication of vibrios in warm water. Sporadic cases and small outbreaks of cholera continue to occur in persons living on or near the Gulf of Mexico, but infection in most persons is unrecognized. In fact, more serious and frequent illnesses result from V. vulnificus wound infections and from gastroenteritis caused by vibrios other than V. cholerae 01. Underlying hepatic or neoplastic disease (especially leukemia) apparently increases the likelihood and severity of illnesses caused by V. vulnificus and Aeromonas. Some Vibrionaceae produce clinical illness by means of enterotoxins identical or similar to cholera toxin. For many others, hemolysins, cytotoxins, and other exotoxins are necessary to produce disease; the importance of these virulence factors often is not known or the importance of these virulence factors often is not known or is of doubtful significance. Also, purported pathogenicity as demonstrated by animal models, such as fluid accumulation in ligated ileal loops, is quite nonspecific and needs to be interpreted cautiously. For Plesiomonas, a mode of pathogenesis has not been discovered. Eating raw shellfish (frequently raw oysters) has been linked epidemiologically to enteric infections with most of these bacteria; foreign travel and exposure to seawater are other frequently observed epidemiologic associations with infection. Foreign travel, particularly to the Yucatan Peninsula of Mexico, has been strongly associated with the acquisition of non-01 V. cholerae and Plesiomonas organisms. Most Vibrionaceae in the United States are susceptible in vitro--and illnesses from them are responsive--to tetracycline, trimethoprim-sulfamethoxazole, and other common antimicrobial agents. However, as for other bacteria that cause diarrhea, the main treatment for uncomplicated disease is the judicious replacement of fluids and electrolytes lost in diarrhea. A loose network of surveilance for these organisms comprises hospital and public health laboratories in Gulf coastal states that plate diarrheal stools on TCBS agar. As recognized pathogens are more assiduously screened for, and as newly identified vibrios are definitely included or excluded as enteric pathogens, the clinical importance of these members of the Vibrionaceae family should become clearer.

Teledermatology in the United States: An Update in a Dynamic Era.

PubMed

Yim, Kaitlyn M; Florek, Aleksandra G; Oh, Dennis H; McKoy, Karen; Armstrong, April W

2018-01-22

Teledermatology is rapidly advancing in the United States. The last comprehensive survey of U.S. teledermatology programs was conducted in 2011. This article provides an update regarding the state of teledermatology programs in the United States. Active programs were identified and surveyed from November 2014 to January 2017. Findings regarding practice settings, consult volumes, payment methods, and delivery modalities were compared to those from the 2011 survey. Findings from the Veterans Affairs (VA) were reported as an aggregate. There were 40 active nongovernmental programs, amounting to a 48% increase and 30% discontinuation rate over five years. Academia remained the most common practice setting (50%). Median annual consultation volume was comparable with 263 consultations, but maximum annual consultation volume increased (range: 20-20,000). The most frequent payment method was self-pay (53%). Store-and-forward continued to be the most common delivery modality. In Fiscal Year 2016, the VA System consisted of 62 consultation sites and performed a total of 101,507 consultations. The limitations of this study were that consult volume and payment methods were not available from all programs. U.S. teledermatology programs have increased in number and annual consultation volume. Academia is the most prevalent practice setting, and self-pay is the dominant accepted payment method. Innovative platforms and the provision of direct-to-patient care are changing the practice of teledermatology.

Assertions of Japanese Websites for and Against Cancer Screening: a Text Mining Analysis

PubMed

Okuhara, Tsuyoshi; Ishikawa, Hirono; Okada, Masahumi; Kato, Mio; Kiuchi, Takahiro

2017-04-01

Background: Cancer screening rates are lower in Japan than in Western countries such as the United States and the United Kingdom. While health professionals publish pro-cancer-screening messages online to encourage proactive seeking for screening, anti-screening activists use the same medium to warn readers against following guidelines. Contents of pro- and anti-cancer-screening sites may contribute to readers’ acceptance of one or the other position. We aimed to use a text-mining method to examine frequently appearing contents on sites for and against cancer screening. Methods: We conducted online searches in December 2016 using two major search engines in Japan (Google Japan and Yahoo! Japan). Targeted websites were classified as “pro”, “anti”, or “neutral” depending on their claims, with the author(s) classified as “health professional”, “mass media”, or “layperson”. Text-mining analyses were conducted, and statistical analysis was performed using the chi-square test. Results: Of the 169 websites analyzed, the top-three most frequently appearing content topics in pro sites were reducing mortality via cancer screening, benefits of early detection, and recommendations for obtaining detailed examination. The top three most frequent in anti-sites were harm from radiation exposure, non-efficacy of cancer screening, and lack of necessity of early detection. Anti-sites also frequently referred to a well-known Japanese radiologist, Makoto Kondo, who rejects the standard forms of cancer care. Conclusion: Our findings should enable authors of pro-cancer-screening sites to write to counter misleading anti-cancer-screening messages and facilitate dissemination of accurate information. Creative Commons Attribution License

All health is local: state and local planning for physical activity promotion.

PubMed

Kohl, Harold W; Satinsky, Sara B; Whitfield, Geoffrey P; Evenson, Kelly R

2013-01-01

Physical activity is a leading cause of death in the world. Although state and local public health planning is a useful strategy to address noncommunicable disease health concerns such as heart disease, diabetes, cancer, and obesity, physical activity frequently is subsumed in such disease-centric planning efforts. This strategy could dilute broader efforts to promote physical activity, create administrative silos that may be trying to accomplish similar goals, and weaken efforts to more collectively address a variety of noncommunicable diseases. Currently, few stand-alone state plans directed specifically at physical activity exist. The reasons and barriers for this situation are not understood. In 2011, we surveyed public health care practitioners to describe state and local efforts for physical activity planning. Cross-sectional study. Survey of physical activity practitioners in the United States. A total of 227 former or current members of the US National Society of Physical Activity Practitioners in Public Health who completed a survey. Overall, 48.0% of respondents indicated that they were aware of public health plans for physical activity promotion in their state, whereas 36.6% indicated that they did not know. Respondents at the state level more frequently reported awareness of a plan (62.1%) than those with local-level (52.4%) or other job responsibilities (36.0%). A greater proportion of respondents reported that stand-alone physical activity plans existed in their state than actually did exist in the respective states. Integration with the National Physical Activity Plan was least often identified as a moderately or extremely relevant aspect of a state-level physical activity plan, although it was chosen at a high percentage (75.7%). Respondents identified financial support (88.0%) and political will and support (54.6%) most frequently as very or somewhat difficult barriers to moving forward with state-level physical activity plans. These data suggest that despite efforts to increase development and use of stand-alone physical activity plans, most practitioners rely on existing chronic disease- or obesity-related plans to guide their efforts. Barriers to developing stand-alone physical activity plans must be addressed to develop such plans.

The chemical quality of self-supplied domestic well water in the United States

USGS Publications Warehouse

Focazio, M.J.; Tipton, D.; Dunkle, Shapiro S.; Geiger, L.H.

2006-01-01

Existing water quality data collected from domestic wells were summarized to develop the first national-scale retrospective of self-supplied drinking water sources. The contaminants evaluated represent a range of inorganic and organic compounds, and although the data set was not originally designed to be a statistical representation of national occurrence, it encompasses large parts of the United States including at least some wells sampled in every state and Puerto Rico. Inorganic contaminants were detected in many of the wells, and concentrations exceeded the U.S. EPA maximum contaminant levels (MCLs; federal drinking water standards used to regulate public drinking water quality) more often than organic contaminants. Of the inorganic constituents evaluated, arsenic concentrations exceeded the MCL (10 ??g/L) in ???11% of the 7580 wells evaluated, nitrate exceeded the MCL (10 mg/L) in ???8% of the 3465 wells evaluated, uranium-238 exceeded the MCL (30 ??g/L) in ???4% of the wells, and radon-222 exceeded 300 and 4000 pCi/L (potential drinking water standards currently under review by the U.S. EPA) in ???75% and 9% of the wells, respectively. The MCLs for total mercury and fluoride were each exceeded in <1% of the wells evaluated. The MCL was exceeded in <1% of all wells for all anthropogenically derived organic contaminants evaluated and was not exceeded for many contaminants. In addition, 10 contaminants evaluated do not currently have an MCL. Atrazine, however, was detected in 24% of the wells evaluated and was the most frequently detected organic contaminant of the 28 organic contaminants evaluated in this study. Simazine and metolachlor each were detected in ???9% of all wells and tied for second in frequency of detection for organic contaminants. The third and fourth most frequently detected organic contaminants were methyl tert-butyl ether (MTBE) (6%) and chloroform (5%), respectively. Because the water quality of domestic wells is not federally regulated or nationally monitored, this study provides a unique, previously nonexistent, perspective on the quality of the self-supplied drinking water resources used by ???45 million Americans in the United States. Copyright ?? 2006 The Author(s).

High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.

PubMed

Wheeler, Derek S; Geis, Gary; Mack, Elizabeth H; LeMaster, Tom; Patterson, Mary D

2013-06-01

In situ simulation training is a team-based training technique conducted on actual patient care units using equipment and resources from that unit, and involving actual members of the healthcare team. We describe our experience with in situ simulation training in a major children's medical centre. In situ simulations were conducted using standardised scenarios approximately twice per month on inpatient hospital units on a rotating basis. Simulations were scheduled so that each unit participated in at least two in situ simulations per year. Simulations were conducted on a revolving schedule alternating on the day and night shifts and were unannounced. Scenarios were preselected to maximise the educational experience, and frequently involved clinical deterioration to cardiopulmonary arrest. We performed 64 of the scheduled 112 (57%) in situ simulations on all shifts and all units over 21 months. We identified 134 latent safety threats and knowledge gaps during these in situ simulations, which we categorised as medication, equipment, and/or resource/system threats. Identification of these errors resulted in modification of systems to reduce the risk of error. In situ simulations also provided a method to reinforce teamwork behaviours, such as the use of assertive statements, role clarity, performance of frequent updating, development of a shared mental model, performance of independent double checks of high-risk medicines, and overcoming authority gradients between team members. Participants stated that the training programme was effective and did not disrupt patient care. In situ simulations can identify latent safety threats, identify knowledge gaps, and reinforce teamwork behaviours when used as part of an organisation-wide safety programme.

Profiles of physical and psychological violence in childhood as a risk factor for poorer adult health: evidence from the 1995-2005 National Survey of Midlife in the United States.

PubMed

Greenfield, Emily A; Marks, Nadine F

2009-10-01

This study examined linkages between physical and psychological violence in childhood from parents and three dimensions of adult health (self-rated health, functional limitations, chronic conditions). Regression models were estimated using data from the 1995 and 2005 waves of the National Survey of Midlife in the U.S. Responses to an adapted version of the Conflict Tactics Scales in 1995 were used to code respondents into one of nine profiles of violence distinguished by types and frequency of violence. Reports of both frequent physical and frequent psychological violence were associated with poorer health at baseline across the three dimensions of health, as well as with more severe declines in health across all three dimensions over the 10-year study period. Results suggest that having experienced frequent physical and psychological violence in childhood is a risk factor for poorer adult health status and declining trajectories of health throughout adulthood.

Water-Quality Data for Pharmaceuticals and Other Organic Wastewater Contaminants in Ground Water and in Untreated Drinking Water Sources in the United States, 2000-01

USGS Publications Warehouse

Barnes, Kimberlee K.; Kolpin, Dana W.; Focazio, Michael J.; Furlong, Edward T.; Meyer, Michael T.; Zaugg, Steven D.; Haack, Sheridan K.; Barber, Larry B.; Thurman, E. Michael

2008-01-01

The five most frequently detected compounds in samples collected from ambient ground-water sites are N,N-diethyltoluamide (35 percent, insect repellant), bisphenol A (30 percent, plasticizer), tri(2-chloroethy) phosphate (30 percent, fire retardant), sulfamethoxazole (23 percent, veterinary and human antibiotic), and 4-octylphenol monoethoxylate (19 percent, detergent metabolite). The five most frequently detected organic wastewater contaminants in samples of untreated drinking water from surface-water sources are cholesterol (59 percent, natural sterol), metolachlor (53 percent, herbicide), cotinine (51 percent, nicotine metabolite), β-sitosterol (37 percent, natural plant sterol), and 1,7-dimethylxanthine (27 percent, caffeine metabolite). The five most frequently detected organic wastewater contaminants in samples of untreated drinking water from ground-water sources are tetrachloroethylene (24 percent, solvent), carbamazepine (20 percent, pharmaceutical), bisphenol A (20 percent, plasticizer), 1,7-dimethylxanthine (16 percent, caffeine metabolite), and tri(2-chloroethyl) phosphate (12 percent, fire retardant).

Flooding and Atmospheric Rivers across the Western United States

NASA Astrophysics Data System (ADS)

Villarini, G.; Barth, N. A.; White, K. D.

2017-12-01

Flood frequency analysis across the western United States is complicated by annual peak flow records that frequently contain flows generated from distinctly different flood generating mechanisms. Among the different flood agents, atmospheric rivers (ARs) are responsible for large, regional scale floods. USGS streamgaging stations in the central Columbia River Basin in the Pacific Northwest, the Sierra Nevada, the central and southern California coast, and central Arizona show a mixture of 30-70% AR-generated flood peaks among the complete period of record. Bulletin17B and its proposed update (Draft Bulletin 17C) continue to recognize difficulties in determining flood frequency estimates among streamflow records that contain flood peaks coming from different flood-generating mechanisms, as is the case in the western United States. They recommend developing separate frequency curves when the hydrometeorologic mechanisms that generated the annual peak flows can be separated into distinct subpopulations. Yet challenges arise when trying to consistently quantify the physical (hydrometeorologic) processes that generated the observed flows, and even more when trying to account for them in flood frequency estimation. This study provides a general statistical framework to perform a process-driven flood frequency analysis using a weighted mixed population approach, highlighting the role that ARs play on the flood peak distribution.

Changes in Black-legged Tick Population in New England with Future Climate Change

NASA Astrophysics Data System (ADS)

Krishnan, S.; Huber, M.

2015-12-01

Lyme disease is one of the most frequently reported vector-borne diseases in the United States. In the Northeastern United States, vector transmission is maintained in a horizontal transmission cycle between the vector, the black-legged ticks, and the vertebrate reservoir hosts, which include white-tailed deer, rodents and other medium to large sized mammals. Predicting how vector populations change with future climate change is critical to understanding disease spread in the future, and for developing suitable regional adaptation strategies. For the United States, these predictions have mostly been made using regressions based on field and lab studies, or using spatial suitability studies. However, the relation between tick populations at various life-cycle stages and climate variables are complex, necessitating a mechanistic approach. In this study, we present a framework for driving a mechanistic tick population model with high-resolution regional climate modeling projections. The goal is to estimate changes in black-legged tick populations in New England for the 21st century. The tick population model used is based on the mechanistic approach of Ogden et al., (2005) developed for Canada. Dynamically downscaled climate projections at a 3-kms resolution using the Weather and Research Forecasting Model (WRF) are used to drive the tick population model.

Point-of-purchase alcohol marketing and promotion by store type--United States, 2000-2001.

PubMed

2003-04-11

Alcohol consumption is the third leading preventable cause of death in the United States, accounting for approximately 100,000 deaths annually. Efforts to reduce the adverse health and social consequences from alcohol use include policies to restrict access to alcohol among underaged persons (i.e., persons aged <21 years) and to reduce alcohol-impaired driving among persons of all ages. Recent studies have focused on alcohol marketing as a potentially important contributor to alcohol consumption, particularly among underage drinkers. Point-of-purchase (POP) (i.e., on-site) marketing, including alcohol advertising and placement, can increase alcohol sales and consumption substantially, thereby increasing the risk for various alcohol-related health outcomes, including alcohol-impaired driving and interpersonal violence. To assess the type and frequency of POP alcohol marketing, researchers with the ImpacTeen Project collected and analyzed store observation data during 2000-2001 from 3,961 alcohol retailers in 329 communities throughout the United States. This report summarizes the results of the study, which indicate that POP alcohol marketing is extensive in certain store types frequented by teenagers and young adults. Public health agencies and policy makers should work with liquor control boards to reduce POP marketing that could promote risky or underage drinking.

Rickettsia parkeri rickettsiosis and its clinical distinction from Rocky Mountain spotted fever.

PubMed

Paddock, Christopher D; Finley, Richard W; Wright, Cynthia S; Robinson, Howard N; Schrodt, Barbara J; Lane, Carole C; Ekenna, Okechukwu; Blass, Mitchell A; Tamminga, Cynthia L; Ohl, Christopher A; McLellan, Susan L F; Goddard, Jerome; Holman, Robert C; Openshaw, John J; Sumner, John W; Zaki, Sherif R; Eremeeva, Marina E

2008-11-01

Rickettsia parkeri rickettsiosis, a recently identified spotted fever transmitted by the Gulf Coast tick (Amblyomma maculatum), was first described in 2004. We summarize the clinical and epidemiological features of 12 patients in the United States with confirmed or probable disease attributable to R. parkeri and comment on distinctions between R. parkeri rickettsiosis and other United States rickettsioses. Clinical specimens from patients in the United States who reside within the range of A. maculatum for whom an eschar or vesicular rash was described were evaluated by > or =1 laboratory assays at the Centers for Disease Control and Prevention (Atlanta, GA) to identify probable or confirmed infection with R. parkeri. During 1998-2007, clinical samples from 12 patients with illnesses epidemiologically and clinically compatible with R. parkeri rickettsiosis were submitted for diagnostic evaluation. Using indirect immunofluorescence antibody assays, immunohistochemistry, polymerase chain reaction assays, and cell culture isolation, we identified 6 confirmed and 6 probable cases of infection with R. parkeri. The aggregate clinical characteristics of these patients revealed a disease similar to but less severe than classically described Rocky Mountain spotted fever. Closer attention to the distinct clinical features of the various spotted fever syndromes that exist in the United States and other countries of the Western hemisphere, coupled with more frequent use of specific confirmatory assays, may unveil several unique diseases that have been identified collectively as Rocky Mountain spotted fever during the past century. Accurate assessments of these distinct infections will ultimately provide a more valid description of the currently recognized distribution, incidence, and case-fatality rate of Rocky Mountain spotted fever.

Ethics education in family medicine training in the United States: a national survey.

PubMed

Manson, Helen M; Satin, David; Nelson, Valerie; Vadiveloo, Thenmalar

2014-01-01

Although professional organizations endorse ethics education in family medicine training, there is little published evidence that ethics teaching occurs. This survey collated data on the aims, content, pedagogical methods, assessment, and barriers relating to formal ethics education in family medicine residency programs in the United States. A questionnaire surveyed all 445 family medicine residency programs in the United States. Forty percent of programs responded (178/445). Of these, 95% formally teach at least one ethics topic, 68.2% teach six or more topics, and 7.1% teach all 13 core topics specified in the questionnaire. Programs show variation, providing between zero to 100 hours' ethics education over the 3 years of residency training. Of the responding programs, 3.5% specify well-defined aims for ethics teaching, 25.9% designate overall responsibility for the ethics curriculum to one individual, and 33.5% formally assess ethics competencies. The most frequent barriers to ethics education are finding time in residents' schedules (59.4%) and educator expertise (21.8%). Considerable variation in ethics education is apparent in both curricular content and delivery among family medicine residency programs in the United States. Additional findings included a lack of specification of explicit curricular aims for ethics teaching allied to ACGME or AAFP competencies, a tendency not to designate one faculty member with lead responsibility for ethics teaching in the residency program, and a lack of formal assessment of ethics competencies. This has occurred in the context of an absence of robust assessment of ethics competencies at board certification level.

Ethics Education in Midwifery Education Programs in the United States.

PubMed

Megregian, Michele

2016-09-01

Familiarity with ethical concepts is a required competency for new graduates and a component of accreditation for midwifery education programs in the United States. While midwifery educators have acknowledged the importance of ethics education in midwifery programs, little is known about current methods, format, or evaluation of ethics education. A Web-based survey was developed for program directors of accredited midwifery education programs in the United States. Clock hours, formats, venues, content topics, barriers, and evaluation methods were evaluated by descriptive analysis. Fifty-one percent of programs completed the online survey (25/49). Of these, only 7 (28%) offer ethics as a stand-alone class, although all responding programs integrate some ethics education into other core classes. Programs show variation in format, venue, resources, and clock hours dedicated to ethics education. The most frequent barrier to ethics education is an already crowded curriculum (60%), although 32% of programs denied any barriers at all. The majority of programs include the ethical concepts of informed consent, shared decision making, and effective communication in curriculum content. This survey found that there is considerable variation in ethics education in terms of content, format, and evaluation among accredited midwifery education programs in the United States. Midwifery educators have an opportunity to explore the ethical dilemmas unique to maternity care from a midwifery perspective. There is also the opportunity to create a comprehensive and dynamic midwifery ethics curriculum, which incorporates both stand-alone ethics courses and ethics concepts that are woven throughout the core midwifery curriculum. © 2016 by the American College of Nurse-Midwives.

Rhabdomyolysis After Cooked Seafood Consumption (Haff Disease) in the United States vs China

PubMed Central

Diaz, James H.

2015-01-01

Background Haff disease is a syndrome of myalgia and rhabdomyolysis that occurs after eating cooked seafood. Methods For this descriptive analytical article, a literature search identified the scientific articles on Haff disease and/or rhabdomyolysis after eating cooked seafood in the United States and China. Analysis of those articles focused on identifying the seafood vectors of Haff disease, describing the most commonly recurring clinical and laboratory manifestations of Haff disease, and comparing the Haff disease toxidrome with other similar seafood-borne toxidromes. Statistically significant differences were determined using unpaired t tests and Fisher exact tests. Results Twenty-nine confirmed cases of Haff disease were identified in the United States, and 60 cases were identified in China during 1984-2014. Most of the US cases followed consumption of buffalo fish, and most of the Chinese cases followed consumption of freshwater pomfret. However, Haff disease also followed consumption of the same species of boiled crayfish (Procambarus clarkii) in the United States (n=9) and China (n=6). US patients with crayfish-transmitted Haff disease reported significantly more nausea with and without vomiting, chest pain, body and back pain, dyspnea, and diaphoresis than the Chinese patients and were more frequently misdiagnosed as having myocardial infarctions. Conclusion The bioaccumulation of a new, heat-stable freshwater and/or brackish/saltwater algal toxin, similar to palytoxin but primarily myotoxic and not neurotoxic, is suspected of causing Haff disease. At present, only the rapid identification of the seafood vectors of Haff disease will limit disease outbreaks and prevent further cases. PMID:26130980

Short and long nightly hemodialysis in the United States.

PubMed

Lockridge, Robert S; Pipkin, Mary

2008-07-01

When hemodialysis first started in the United States in the 1960s, a large percentage of patients performed their treatments at home. However, because of reimbursement issues, home hemodialysis (HHD) gradually succumbed to an in-center approach and eventually a mindset. Since the introduction of nightly HHD by Uldall and Pierratos in 1993, there has been a resurgence of interest in HHD. This paper describes the different types of home hemodialysis being performed as of December 31, 2007 in this country. Because neither the United States Renal Data System (USRDS) nor the End Stage Renal Disease (ESRD) Networks break down home dialysis into the different modalities, a provider questionnaire was sent out to 2 major providers, a number of mid-level providers and other providers known to do HHD. In addition, a questionnaire was sent out to 3 machine providers to obtain the number of patients using their machine for HHD as of December 31, 2007. The results showed that 91.7% of patients are dialyzing in-center, 7.3% are doing peritoneal dialysis, and 0.7% are doing HHD. Currently about 1% of ESRD patients in the United States are doing home hemodialysis. NxStage, however, has started 1000 patients in the past year on short-daily home hemodialysis. Patients are beginning to understand that there are better options than 3 times a week in-center dialysis. And as a result of the "HEMO Study," nephrologists now believe that longer and more frequent dialysis is a better therapy for ESRD patients. Therefore, promotion of HHD should become a priority for the renal community in the future.

Mental Illness, Mass Shootings, and the Politics of American Firearms

PubMed Central

MacLeish, Kenneth T.

2015-01-01

Four assumptions frequently arise in the aftermath of mass shootings in the United States: (1) that mental illness causes gun violence, (2) that psychiatric diagnosis can predict gun crime, (3) that shootings represent the deranged acts of mentally ill loners, and (4) that gun control “won’t prevent” another Newtown (Connecticut school mass shooting). Each of these statements is certainly true in particular instances. Yet, as we show, notions of mental illness that emerge in relation to mass shootings frequently reflect larger cultural stereotypes and anxieties about matters such as race/ethnicity, social class, and politics. These issues become obscured when mass shootings come to stand in for all gun crime, and when “mentally ill” ceases to be a medical designation and becomes a sign of violent threat. PMID:25496006

Mental illness, mass shootings, and the politics of American firearms.

PubMed

Metzl, Jonathan M; MacLeish, Kenneth T

2015-02-01

Four assumptions frequently arise in the aftermath of mass shootings in the United States: (1) that mental illness causes gun violence, (2) that psychiatric diagnosis can predict gun crime, (3) that shootings represent the deranged acts of mentally ill loners, and (4) that gun control "won't prevent" another Newtown (Connecticut school mass shooting). Each of these statements is certainly true in particular instances. Yet, as we show, notions of mental illness that emerge in relation to mass shootings frequently reflect larger cultural stereotypes and anxieties about matters such as race/ethnicity, social class, and politics. These issues become obscured when mass shootings come to stand in for all gun crime, and when "mentally ill" ceases to be a medical designation and becomes a sign of violent threat.

Diagnosis and management of carotid stenosis: a review.

PubMed

Nussbaum, E S

2000-01-01

Since its introduction in the 1950s, carotid endarterectomy has become one of the most frequently performed operations in the United States. The tremendous appeal of a procedure that decreases the risk of stroke, coupled with the large number of individuals in the general population with carotid stenosis, has contributed to its popularity. To provide optimal patient care, the practicing physician must have a firm understanding of the proper evaluation and management of carotid stenosis. Nevertheless, because of the large number of clinical trials performed over the last decade addressing the treatment of stroke and carotid endarterectomy, the care of patients with carotid stenosis remains a frequently misunderstood topic. This review summarizes the current evaluation and treatment options for carotid stenosis and provides a rational management algorithm for this prevalent disease process.

The Association between Dust Storms and Daily Non-Accidental Mortality in the United States, 1993-2005.

PubMed

Crooks, James Lewis; Cascio, Wayne E; Percy, Madelyn S; Reyes, Jeanette; Neas, Lucas M; Hilborn, Elizabeth D

2016-11-01

The impact of dust storms on human health has been studied in the context of Asian, Saharan, Arabian, and Australian storms, but there has been no recent population-level epidemiological research on the dust storms in North America. The relevance of dust storms to public health is likely to increase as extreme weather events are predicted to become more frequent with anticipated changes in climate through the 21st century. We examined the association between dust storms and county-level non-accidental mortality in the United States from 1993 through 2005. Dust storm incidence data, including date and approximate location, are taken from the U.S. National Weather Service storm database. County-level mortality data for the years 1993-2005 were acquired from the National Center for Health Statistics. Distributed lag conditional logistic regression models under a time-stratified case-crossover design were used to study the relationship between dust storms and daily mortality counts over the whole United States and in Arizona and California specifically. End points included total non-accidental mortality and three mortality subgroups (cardiovascular, respiratory, and other non-accidental). We estimated that for the United States as a whole, total non-accidental mortality increased by 7.4% (95% CI: 1.6, 13.5; p = 0.011) and 6.7% (95% CI: 1.1, 12.6; p = 0.018) at 2- and 3-day lags, respectively, and by an average of 2.7% (95% CI: 0.4, 5.1; p = 0.023) over lags 0-5 compared with referent days. Significant associations with non-accidental mortality were estimated for California (lag 2 and 0-5 day) and Arizona (lag 3), for cardiovascular mortality in the United States (lag 2) and Arizona (lag 3), and for other non-accidental mortality in California (lags 1-3 and 0-5). Dust storms are associated with increases in lagged non-accidental and cardiovascular mortality. Citation: Crooks JL, Cascio WE, Percy MS, Reyes J, Neas LM, Hilborn ED. 2016. The association between dust storms and daily non-accidental mortality in the United States, 1993-2005. Environ Health Perspect 124:1735-1743; http://dx.doi.org/10.1289/EHP216.

Drug reformulations and repositioning in the pharmaceutical industry and their impact on market access: regulatory implications

PubMed Central

Murteira, Susana; Millier, Aurélie; Ghezaiel, Zied; Lamure, Michel

2014-01-01

Background Repurposing has become a mainstream strategy in drug development, but it faces multiple challenges, amongst them the increasing and ever changing regulatory framework. This is the second study of a series of three-part publication project with the ultimate goal of understanding the market access rationale and conditions attributed to drug repurposing in the United States and in Europe. The aim of the current study to evaluate the regulatory path associated with each type of repurposing strategy according to the previously proposed nomenclature in the first article of this series. Methods From the cases identified, a selection process retrieved a total of 141 case studies in all countries, harmonized for data availability and common approval in the United States and in Europe. Regulatory information for each original and repurposed drug product was extracted, and several related regulatory attributes were also extracted such as, designation change and filing before or after patent expiry, among others. Descriptive analyses were conducted to determine trends and to investigate potential associations between the different regulatory paths and attributes of interest, for reformulation and repositioning cases separately. Results Within the studied European countries, most of the applications for reformulated products were filed through national applications. In contrast, for repositioned products, the centralized procedure was the most frequent regulatory pathway. Most of the repurposing cases were approved before patent expiry, and those cases have followed more complex regulatory pathways in the United States and in Europe. For new molecular entities filed in the United States, a similar number of cases were developed by serendipity and by a hypothesis-driven approach. However, for the new indication's regulatory pathway in the United States, most of the cases were developed through a hypothesis-driven approach. Conclusion The regulations in the United States and in Europe for drug repositionings and reformulations allowed confirming that repositioning strategies were usually filed under a more complex regulatory process than reformulations. Also, it seems that parameters such as patent expiry and type of repositioning approach or reformulation affect the regulatory pathways chosen for each case. PMID:27226839

West Nile Virus and Other Nationally Notifiable Arboviral Diseases - United States, 2016.

PubMed

Burakoff, Alexis; Lehman, Jennifer; Fischer, Marc; Staples, J Erin; Lindsey, Nicole P

2018-01-12

Arthropod-borne viruses (arboviruses) are transmitted to humans primarily through the bites of infected mosquitoes and ticks. West Nile virus (WNV) is the leading cause of domestically acquired arboviral disease in the continental United States (1,2). Other arboviruses, including La Crosse, Powassan, Jamestown Canyon, St. Louis encephalitis, and eastern equine encephalitis viruses, cause sporadic cases of disease and occasional outbreaks. This report summarizes surveillance data reported to CDC for 2016 for nationally notifiable arboviruses. It excludes dengue, chikungunya, and Zika viruses, as these are primarily nondomestic viruses typically acquired through travel. Forty-seven states and the District of Columbia (DC) reported 2,240 cases of domestic arboviral disease, including 2,150 (96%) WNV disease cases. Of the WNV disease cases, 1,310 (61%) were classified as neuroinvasive disease (e.g., meningitis, encephalitis, acute flaccid paralysis), for a national incidence of 0.41 cases per 100,000 population. After WNV, the most frequently reported arboviruses were La Crosse (35 cases), Powassan (22), and Jamestown Canyon (15) viruses. Because arboviral diseases continue to cause serious illness, maintaining surveillance is important to direct prevention activities.

Barratt with AgCam setup

NASA Image and Video Library

2009-04-16

ISS019-E-007253 (16 April 2009) --- Astronaut Michael Barratt, Expedition 19/20 flight engineer, performs Agricultural Camera (AgCam) setup and activation in the Destiny laboratory of the International Space Station. AgCam takes frequent images, in visible and infrared light, of vegetated areas on Earth, such as farmland, rangeland, grasslands, forests and wetlands in the northern Great Plains and Rocky Mountain regions of the United States. Images will be delivered directly to requesting farmers, ranchers, foresters, natural resource managers and tribal officials to help improve environmental stewardship.

Think Like a Nurse: A Critical Thinking Initiative.

PubMed

Ward, Terry D; Morris, Tiffany

2016-01-01

Critical thinking is essential in the practice of the nurse generalist, today. Nursing faculty is frequently trying to identify teaching strategies in promoting critical thinking and engaging students in active learning. To close the gap between critical thinking and student success, a school in the south east United States implemented the use of the 'think like a nurse initiative" for incoming junior nursing students. Faculty collaborated to adopt the fundamental and essential nursing concepts for nursing students to support thinking like a nurse.

Factors Influencing Interdisciplinary Team Member Agreement With Social Worker Assessments of Domestic Violence Incidents in the United States Air Force

DTIC Science & Technology

2002-08-01

General Accounting Office (GAO) noted, "the programs were little more than administrative mechanisms to formalize the existing structure" (Daley, 1999...p. 57). The USAF formalized the DoD Directive by establishing the Air Force Family Advocacy Program (FAP) later that year through Air Force...highly formalized authority structure has served the military well and allows for consistency despite frequent turnover of a mobile personnel force. The

Editorial Commentary: Chondrocytes Trump Ligaments! Partial Release of the Medial Collateral Ligament During Knee Arthroscopy Protects Chondrocytes.

PubMed

Leland, J Martin

2016-10-01

With knee arthroscopy being the most common orthopaedic procedure performed in the United States, it is crucial to be able to access the entire knee without iatrogenic injury. Frequently orthopaedic surgeons encounter tight medial compartments, creating difficulty in accessing the posterior horn of the medial meniscus without damaging the articular cartilage. Partial release of the medial collateral ligament during knee arthroscopy protects chondrocytes. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

A Benchmark of Tractor Trailer Operator Training Between the United States Army’s 37th Transportation Command and a Selected Civilian Industry Leader

DTIC Science & Technology

1993-09-01

against Japanese competitors (Camp, 1989:6; Geber , 1990:38). Due to their incredible success in controlling costs, Xerox adopted the technique company...important first step to benchmarking outside the organization ( Geber , 1990:40). Due to availability of information and cooperation of partners, this is...science ( Geber , 1990:42). Several avenues can be pursued to find best-in-class companies. Search business publications for companies frequently

Biomass Burning Smoke Climatology of the United States: Implications for Particulate Matter Air Quality.

PubMed

Kaulfus, Aaron S; Nair, Udaysankar; Jaffe, Daniel; Christopher, Sundar A; Goodrick, Scott

2017-10-17

We utilize the NOAA Hazard Mapping System smoke product for the period of 2005 to 2016 to develop climatology of smoke occurrence over the Continental United States (CONUS) region and to study the impact of wildland fires on particulate matter air quality at the surface. Our results indicate that smoke is most frequently found over the Great Plains and western states during the summer months. Other hotspots of smoke occurrence are found over state and national parks in the southeast during winter and spring, in the Gulf of Mexico southwards of the Texas and Louisiana coastline during spring season and along the Mississippi River Delta during the fall season. A substantial portion (20%) of the 24 h federal standard for particulate pollution exceedance events in the CONUS region occur when smoke is present. If the U.S. Environmental Protection Agency regulations continue to reduce anthropogenic emissions, wildland fire emissions will become the major contributor to particulate pollution and exceedance events. In this context, we show that HMS smoke product is a valuable tool for analysis of exceptional events caused by wildland fires and our results indicate that these tools can be valuable for policy and decision makers.

Maternal discussions of mental states and behaviors: relations to emotion situation knowledge in European American and immigrant Chinese children.

PubMed

Doan, Stacey N; Wang, Qi

2010-01-01

This study examined in a cross-cultural context mothers' discussions of mental states and external behaviors in a story-telling task with their 3-year-old children and the relations of such discussions to children's emotion situation knowledge (ESK). The participants were 71 European American and 60 Chinese immigrant mother-child pairs in the United States. Mothers and children read a storybook together at home, and children's ESK was assessed. Results showed that European American mothers made more references to thoughts and emotions during storytelling than did Chinese mothers, who commented more frequently on behaviors. Regardless of culture, mothers' use of mental states language predicted children's ESK, whereas their references to behaviors were negatively related to children's ESK. Finally, mothers' emphasis on mental states over behaviors partially mediated cultural effects on children's ESK. © 2010 The Authors. Child Development © 2010 Society for Research in Child Development, Inc.

Dietary associations of household food insecurity among children of Mexican descent: results of a binational study.

PubMed

Rosas, Lisa G; Harley, Kim; Fernald, Lia C H; Guendelman, Sylvia; Mejia, Fabiola; Neufeld, Lynnette M; Eskenazi, Brenda

2009-12-01

Children of Mexican descent frequently experience household food insecurity both in the United States and Mexico. However, little is known about the associations of food insecurity with dietary intake. This study aimed to understand the level of perceived food insecurity and its association with dietary intake among children of Mexican descent residing in the United States and Mexico. This cross-sectional study utilized data from a 2006 binational study of 5-year-old children of Mexican descent living in migrant communities in California and Mexico. In California, children were 301 participants from the Center for the Health Assessment of Mothers and Children of Salinas study, a longitudinal birth cohort in a Mexican immigrant community. Mexican children (n=301) were participants in the Proyecto Mariposa study, which was designed to capture a sample of women and their children living in Mexico who closely resembled the California sample, yet who never migrated to the United States. Household food insecurity was measured using the US Department of Agriculture Food Security Scale and dietary intake was assessed with food frequency questionnaires. Analysis of variance was used to examine unadjusted and adjusted differences in total energy, nutrient intake, and consumption of food groups by household food security status. Approximately 39% of California mothers and 75% of Mexico mothers reported low or very low food security in the past 12 months (P<0.01). Children in the United States experiencing food insecurity consumed more fat, saturated fat, sweets, and fried snacks than children not experiencing food insecurity. In contrast, in Mexico food insecurity was associated with lower intake of total carbohydrates, dairy, and vitamin B-6. Programs and policies addressing food insecurity in the United States and Mexico may need to take steps to address dietary intake among children in households experiencing food insecurity, possibly through education and programs to increase resources to obtain healthful foods.

Effects of early adolescent alcohol use on mid-adolescent school performance and connection: A longitudinal study of students in Victoria, Australia and Washington State, United States

PubMed Central

Heerde, Jessica Anne; Scholes-Balog, Kirsty Elizabeth; Herrenkohl, Todd Ian; Toumbourou, John Winston; Catalano, Richard Francis

2014-01-01

BACKGROUND This paper examines the effect of early adolescent alcohol use on mid-adolescent school suspension, truancy, commitment, and academic failure in Washington State, United States (US) and Victoria, Australia. Also of interest was whether associations remain after statistically controlling for other factors known to predict school outcomes. METHODS State-representative student samples were surveyed in 2002 (grade 7; N = 1858) and followed up annually to 2004 (grade 9) in both venues. Students completed a modified version of the Communities That Care survey to report alcohol use, school outcomes and risk and protective factors. Response rates were above 74% and retention rates exceeded 98% in both places. RESULTS Controlling for grade 7 risk factors, grade 7 current alcohol use and heavy episodic drinking were associated with grade 8 school suspension. Grade 7 current and frequent alcohol use and heavy episodic drinking were linked to grade 9 truancy. In fully adjusted analyses, associations between early alcohol use and academic failure and low school commitment did not remain. CONCLUSIONS Although alcohol use is one factor influencing school performance and connection, there are other risk factors that need to be targeted to improve school outcomes. PMID:25274170

Effects of early adolescent alcohol use on mid-adolescent school performance and connection: a longitudinal study of students in Victoria, Australia and Washington State, United States.

PubMed

Hemphill, Sheryl A; Heerde, Jessica A; Scholes-Balog, Kirsty E; Herrenkohl, Todd I; Toumbourou, John W; Catalano, Richard F

2014-11-01

This article examines the effect of early adolescent alcohol use on mid-adolescent school suspension, truancy, commitment, and academic failure in Washington State, United States, and Victoria, Australia. Also of interest was whether associations remain after statistically controlling for other factors known to predict school outcomes. State-representative student samples were surveyed in 2002 (grade 7; N = 1858) and followed up annually to 2004 (grade 9) in both sites. Students completed a modified version of the Communities That Care survey to report alcohol use, school outcomes, and risk and protective factors. Response rates were above 74% and retention rates exceeded 98% in both places. Controlling for grade 7 risk factors, grade 7 current alcohol use, and heavy episodic drinking were associated with grade 8 school suspension. Grade 7 current and frequent alcohol use and heavy episodic drinking were linked to grade 9 truancy. In fully adjusted analyses, associations between early alcohol use and academic failure and low school commitment did not remain. Although alcohol use is one factor influencing school performance and connection, there are other risk factors that need to be targeted to improve school outcomes. © 2014, American School Health Association.

Epidemiological research on parent-child conflict in the United States: subgroup variations by place of birth and ethnicity, 2002-2013.

PubMed

Parra-Cardona, Jose Ruben; Yeh, Hsueh-Han; Anthony, James C

2017-01-01

Chronically escalated parent-child conflict has been observed to elicit maladaptive behavior and reduced psychological well-being in children and youth. In this epidemiological study, we sought to estimate the occurrence of escalated parent-child conflict for United States (US) adolescent subgroups defined by (a) ethnic self-identification, and (b) nativity (US-born versus foreign-born). US study populations of 12-to-17-year-olds were sampled, recruited, and assessed for the National Surveys on Drug Use and Health (NSDUH), 2002-2013 ( n  = 111, 129). Analysis-weighted contingency table analyses contrasted US-born versus foreign-born who self-identified as: (a) Hispanic, (b) non-Hispanic African-American, (c) non-Hispanic Asian, and (c) non-Hispanic White. Frequently escalated parent-child conflict was most prevalent among US-born non-Hispanic White adolescents, from 18% at age 12 (95% CI [17.6%, 18.9%]) to 29% at age 17 (95% CI [28.3%, 29.7%]), followed by US-born Hispanic and non-Hispanic Asian children. Estimated prevalence proportions were markedly lower for African-American children, from 8% at age 12 (95% CI [6.8, 8.5]) to 16% at age 17 (95% CI [14.3, 16.7]). Broad and sometimes overlapping CI indicate that larger sample sizes are needed for complete evaluation of an apparent excess occurrence of frequent parent-child conflict among US-born versus foreign-born. Nonetheless, in the larger subgroups, the US-born show a clear excess occurrence of frequent parent-child conflict. For example, US-born Mexican children have 1.7 times higher odds of experiencing frequent parent-child conflict than foreign-born Mexican children (OR = 1.7, 95% CI [1.5, 2.0], p -value < 0.001). The main discovery from this multi-ethnic sample investigation is a rank-ordering of parent-child conflict prevalence estimates from high (non-Hispanic White) to low (non-Hispanic African-American). The pattern also suggests a possibly generalizable excess associated with US-born sub-groups. The epidemiological estimates presented here merit attention in future cross-cultural research focused on parent-child conflict.

Epidemiological research on parent–child conflict in the United States: subgroup variations by place of birth and ethnicity, 2002–2013

PubMed Central

Yeh, Hsueh-Han; Anthony, James C.

2017-01-01

Background Chronically escalated parent–child conflict has been observed to elicit maladaptive behavior and reduced psychological well-being in children and youth. In this epidemiological study, we sought to estimate the occurrence of escalated parent–child conflict for United States (US) adolescent subgroups defined by (a) ethnic self-identification, and (b) nativity (US-born versus foreign-born). Methods US study populations of 12-to-17-year-olds were sampled, recruited, and assessed for the National Surveys on Drug Use and Health (NSDUH), 2002–2013 (n = 111, 129). Analysis-weighted contingency table analyses contrasted US-born versus foreign-born who self-identified as: (a) Hispanic, (b) non-Hispanic African-American, (c) non-Hispanic Asian, and (c) non-Hispanic White. Results Frequently escalated parent–child conflict was most prevalent among US-born non-Hispanic White adolescents, from 18% at age 12 (95% CI [17.6%, 18.9%]) to 29% at age 17 (95% CI [28.3%, 29.7%]), followed by US-born Hispanic and non-Hispanic Asian children. Estimated prevalence proportions were markedly lower for African-American children, from 8% at age 12 (95% CI [6.8, 8.5]) to 16% at age 17 (95% CI [14.3, 16.7]). Broad and sometimes overlapping CI indicate that larger sample sizes are needed for complete evaluation of an apparent excess occurrence of frequent parent-child conflict among US-born versus foreign-born. Nonetheless, in the larger subgroups, the US-born show a clear excess occurrence of frequent parent-child conflict. For example, US-born Mexican children have 1.7 times higher odds of experiencing frequent parent-child conflict than foreign-born Mexican children (OR = 1.7, 95% CI [1.5, 2.0], p-value < 0.001). Discussion The main discovery from this multi-ethnic sample investigation is a rank-ordering of parent-child conflict prevalence estimates from high (non-Hispanic White) to low (non-Hispanic African-American). The pattern also suggests a possibly generalizable excess associated with US-born sub-groups. The epidemiological estimates presented here merit attention in future cross-cultural research focused on parent-child conflict. PMID:28149684

Occurrence of fungicides and other pesticides in surface water, groundwater, and sediment from three targeted-use areas in the United States, 2009

USGS Publications Warehouse

Orlando, James L.; Smalling, Kelly L.; Reilly, Timothy J.; Boehlke, Adam; Meyer, Michael T.; Kuivila, Kathryn

2013-01-01

Surface-water, groundwater, and suspended- and bedsediment samples were collected in three targeted-use areas in the United States where potatoes were grown during 2009 and analyzed for an extensive suite of fungicides and other pesticides by gas chromatograph/mass spectrometry and liquid chromatography with tandem mass spectrometry. Fungicides were detected in all environmental matrices sampled during the study. The most frequently detected fungicides were azoxystrobin, boscalid, chlorothalonil, and pyraclostrobin. Other pesticides that were detected frequently included amino phosphonic acid (AMPA), atrazine, metolaclor, and the organochlorine insecticide p,p’-DDT and its degradates p,p’-DDD and p,p’-DDE. A greater number of pesticides were detected in surface water relative to the other environmental matrices sampled, and at least one pesticide was detected in 62 of the 63 surfacewater samples. The greatest numbers of pesticides and the maximum observed concentrations for most pesticides were measured in surface-water samples from Idaho. In eight surface- water samples (six from Idaho and two from Wisconsin), concentrations of bifenthrin, metolachlor, or malathion exceeded U.S. Environmental Protection Agency freshwater aquatic-life benchmarks for chronic toxicity to invertebrates. Thirteen pesticides, including seven fungicides, were detected in groundwater samples. Shallow groundwater samples collected beneath recently harvested potato fields contained more pesticides and had higher concentrations of pesticides than samples collected from other groundwater sources sampled during the study. Generally, pesticide concentrations were lower in groundwater samples than in surfacewater or sediment samples, with the exception of the fungicide boscalid, which was found to have its highest concentration in a shallow groundwater sample collected in Wisconsin. Thirteen pesticides, including four fungicides, were detected in suspended-sediment samples. The most frequently detected compounds were the fungicides boscalid, pyraclostrobin, and zoxamide, and the degradates p,p’-DDD and p,p’-DDE. Twenty pesticides, including six fungicides, were detected in bed-sediment samples. The most frequently detected compounds were pyraclostrobin, p,p’-DDT, p,p’-DDD, and p,p’-DDE.

A Content Analysis of Testosterone Websites: Sex, Muscle, and Male Age-Related Thematic Differences

PubMed Central

Ivanov, Nicholas; Vuong, Jimmy; Gray, Peter B.

2017-01-01

Male testosterone supplementation is a large and growing industry. How is testosterone marketed to male consumers online? The present exploratory study entailed a content coding analysis of the home pages of 49 websites focused on testosterone supplementation for men in the United States. Four hypotheses concerning anticipated age-related differences in content coding were also tested: more frequent longevity content toward older men, and more frequent social dominance/physical formidability, muscle, and sex content toward younger men. Codes were created based on inductive observations and drawing upon the medical, life history, and human behavioral endocrinology literatures. Approximately half (n = 24) of websites were oriented toward younger men (estimated audience of men 40 years of age or younger) and half (n = 25) toward older men (estimated audience over 40 years of age). Results indicated that the most frequent content codes concerned online sales (e.g., product and purchasing information). Apart from sales information, the most frequent codes concerned, in order, muscle, sex/sexual functioning, low T, energy, fat, strength, aging, and well-being, with all four hypotheses also supported. These findings are interpreted in the light of medical, evolutionary life history, and human behavioral endocrinology approaches. PMID:29025355

A Content Analysis of Testosterone Websites: Sex, Muscle, and Male Age-Related Thematic Differences.

PubMed

Ivanov, Nicholas; Vuong, Jimmy; Gray, Peter B

2018-03-01

Male testosterone supplementation is a large and growing industry. How is testosterone marketed to male consumers online? The present exploratory study entailed a content coding analysis of the home pages of 49 websites focused on testosterone supplementation for men in the United States. Four hypotheses concerning anticipated age-related differences in content coding were also tested: more frequent longevity content toward older men, and more frequent social dominance/physical formidability, muscle, and sex content toward younger men. Codes were created based on inductive observations and drawing upon the medical, life history, and human behavioral endocrinology literatures. Approximately half ( n = 24) of websites were oriented toward younger men (estimated audience of men 40 years of age or younger) and half ( n = 25) toward older men (estimated audience over 40 years of age). Results indicated that the most frequent content codes concerned online sales (e.g., product and purchasing information). Apart from sales information, the most frequent codes concerned, in order, muscle, sex/sexual functioning, low T, energy, fat, strength, aging, and well-being, with all four hypotheses also supported. These findings are interpreted in the light of medical, evolutionary life history, and human behavioral endocrinology approaches.

Patterns of Pediatric Mandible Fractures in the United States.

PubMed

Owusu, James A; Bellile, Emily; Moyer, Jeffrey S; Sidman, James D

2016-01-01

The mandible is arguably the most frequently fractured facial bone in children. However, facial fractures are rare in children compared with adults, resulting in few large studies on patterns of pediatric facial fractures. To report the patterns, demographics, and cause of pediatric mandible fractures across the United States. A retrospective analysis was conducted of the Healthcare Cost and Utilization Project's National Emergency Department Sample from January 1 to December 31, 2012, using the International Classification of Disease, Ninth Revision, codes for mandible fractures (802.20-802.39) among patients 18 years and younger who presented to emergency departments. Demographics, fracture site, and fracture mechanism were analyzed to identify factors associated with fractures. Analysis was conducted from July 9 to July 28, 2015. There were 1984 records, representing a weighted estimate of 8848 cases of pediatric mandible fracture. The mean patient age was 14.0 years (95% CI, 13.6-14.3). The male to female ratio was 4:1 and females were comparatively younger, with a mean age of 12.5 years (95% CI, 11.8-13.1; P < .001). The most frequently fractured sites were the condyle, in 1288 patients (14.6% [95% CI, 12.6%-16.5%]), and the angle, in 1252 patients (14.1% [12.4%-15.9%]). Associated intracranial injuries occurred in 756 patients (8.5% [7.1%-10.0%]), and cervical spine fractures occurred in 393 (4.4% [3.5%-5.4%]). The fracture site and mechanism of injury varied with age and sex. For patients 12 years and younger, the most frequent fracture site was the condyle, accounting for 636 fractures (27.9% [24.2%-31.6%]), and the most frequent cause was falls, accounting for 692 fractures (30.3% [25.9%-34.8%]). In teenaged patients (13-18 years), the angle was the most frequent fracture site, accounting for 1157 fractures (17.6% [15.6%-19.6%]), and the most frequent cause was assault, accounting for 2619 fractures (39.9% [36.4%-43.3%]). For male patients, the angle was the predominant site, accounting for 1053 fractures (15.0% [13.1%-16.8%]), and the leading cause was assault, accounting for 2360 fractures (33.5% [30.2%-36.9%]). For female patients, the condyle was the most frequent site, accounting for 369 fractures (20.3% [16.0%-24.6%]), and the leading cause was falls, accounting for 422 fractures (23.2% [18.6%-28.0%]). In this study, age and sex disparities among pediatric mandible fractures were identified. Younger patients and female patients tend to have condyle fractures caused more commonly by falls while older patients and male patients tend to have angle fractures caused by assault. NA.

Reducing nonpoint source pollution through collaboration: policies and programs across the U.S. States.

PubMed

Hardy, Scott D; Koontz, Tomas M

2008-03-01

Nonpoint source (NPS) pollution has emerged as the largest threat to water quality in the United States, influencing policy makers and resource managers to direct more attention toward NPS prevention and remediation. In response, the United States Environmental Protection Agency (USEPA) spent more than $204 million in fiscal year (FY) 2006 on the Clean Water Act's Section 319 program to combat NPS pollution, much of it on the development and implementation of watershed-based plans. State governments have also increasingly allocated financial and technical resources to collaborative watershed efforts within their own borders to fight NPS pollution. With increased collaboration among the federal government, states, and citizens to combat NPS pollution, more information is needed to understand how public resources are being used, by whom, and for what, and what policy changes might improve effectiveness. Analysis from a 50-state study suggests that, in addition to the average 35% of all Section 319 funds per state that are passed on to collaborative watershed groups, 35 states have provided financial assistance beyond Section 319 funding to support collaborative watershed initiatives. State programs frequently provide technical assistance and training, in addition to financial resources, to encourage collaborative partnerships. Such assistance is typically granted in exchange for requirements to generate a watershed action plan and/or follow a mutually agreed upon work plan to address NPS pollution. Program managers indicated a need for greater fiscal resources and flexibility to achieve water quality goals.

Community-level firearm injury surveillance: local data for local action.

PubMed

Kellermann, A L; Bartolomeos, K; Fuqua-Whitley, D; Sampson, T R; Parramore, C S

2001-10-01

In the United States, firearms are used to commit homicide more frequently than all other methods combined. According to the US Department of Justice, firearms are used to commit more than 1 million crimes each year. Despite the magnitude of this problem, little is known about the epidemiology of firearm crimes and assaults. Many states require medical personnel to report all nonfatal shootings to law enforcement, but the rate of compliance with this requirement is unknown. To enhance cooperation between community emergency departments and law enforcement agencies, we created a unified firearm injury notification system for the City of Atlanta, Georgia, and 5 surrounding counties: Fulton, DeKalb, Cobb, Gwinnett, and Clayton. Our findings are reported here.

Do medical complications impact long-term outcomes in prolonged disorders of consciousness?

PubMed

Estraneo, Anna; Loreto, Vincenzo; Masotta Psy, Orsola; Pascarella, Angelo; Trojano, Luigi

2018-05-25

to investigate medical complications (MC) occuring within 6 months post-injury in brain-injured patients with prolonged disorders of consciousness (DoC) and to evaluate impact of MC on mortality and long-term clinical outcomes. prospective observational cohort study. rehabilitation unit for acquired DoC. 194 patients with DoC (142 in vegetative state, 52 in minimally conscious state; traumatic etiology: 43, anoxic: 69, vascular: 82) consecutively admitted to a neurorehabilitation unit within 1-3 months after onset. not applicable. mortality and improvements in clinical diagnosis and functional disability level (assessed by Coma Recovery Scale-Revised and Disability Rating Scale) at 12, 24 and 36 months post-onset. within 6 months post-injury, more than 95% of patients (188/194) developed at least 1 MC and 73% of them (142) showed at least 1 severe MC. Respiratory and musculoskeletal-cutaneous MC were the most frequent, followed by endocrino-metabolic abnormalities. Follow-up, complete in 189/194 patients, showed that male sex and endocrine-metabolic MC were associated to higher risk for mortality at all timepoints. Older age, anoxic etiology, lower CRS-R total scores and diagnosis of vegetative state at study entry predicted no clinical and functional improvements at most timepoints, whereas epilepsy predicted no improvement in diagnosis at 24 months post-onset only. MC are very frequent in patients with DoC within at least 6 months after brain injury, regardless of clinical diagnosis, etiology and age. Endocrino-metabolic MC are independent predictors of mortality at all timepoints, whereas epilepsy predicted poor long-term outcome. Occurrence and severity of MC in patients with DoC call for long-term appropriate levels of care after the post-acute phase. Copyright © 2018. Published by Elsevier Inc.

Exercise and limitations in physical activity levels among new dialysis patients in the United States: an epidemiologic study.

PubMed

Stack, Austin G; Murthy, Bhamidipati

2008-12-01

Epidemiologic studies of physical activity among patients with end-stage renal disease (ESRD) are lacking. The aim of this study was to describe the patterns of physical activity among new dialysis patients in the United States. Multivariate logistic regression analyses examined associations of self-reported limitations in physical activity and exercise frequency with sociodemographic and clinical variables in 2,264 patients from Wave 2 of the Dialysis Morbidity and Mortality Study. Overall, 56% of patients exercised less than once a week, 75% reported severe limitations in vigorous activities, whereas 42% had severe limitations in moderate physical activities. Fewer limitations in moderate or vigorous activities correlated positively with male gender (odds-ratio [OR] = 1.61), black race OR =1.49), Hispanic ethnicity (OR = 2.39), serum albumin (OR = 1.69 per 1 g/L higher), positive affect (OR = 2.33), peritoneal dialysis (OR = 1.90), and negatively with age (OR = 0.67), heart failure (OR = 0.75), peripheral vascular disease (OR = 0.69), malnutrition (OR = 0.67), and depression (OR = 0.39). Patients reporting fewer limitations in moderate or vigorous activities (OR = 1.35 and 1.28, respectively), or frequent visits with a dietitian (2 to 3 times per week vs. less) (OR = 1.21) in the pre-ESRD period exercised more frequently. Limitations in physical activity are common among new ESRD patients and these, in part, are related to pre-existing cardiovascular disease, malnutrition, and mental health.

Similarities and differences in occurrence and temporal fluctuations in glyphosate and atrazine in small Midwestern streams (USA) during the 2013 growing season

USGS Publications Warehouse

Mahler, Barbara J.; Van Metre, Peter C.; Burley, Thomas E.; Loftin, Keith A.; Meyer, Michael T.; Nowell, Lisa H.

2017-01-01

Glyphosate and atrazine are the most intensively used herbicides in the United States. Although there is abundant spatial and temporal information on atrazine occurrence at regional scales, there are far fewer data for glyphosate, and studies that compare the two herbicides are rare. We investigated temporal patterns in glyphosate and atrazine concentrations measured weekly during the 2013 growing season in 100 small streams in the Midwestern United States. Glyphosate was detected in 44% of samples (method reporting level 0.2 μg/L); atrazine was detected above a threshold of 0.2 μg/L in 54% of samples. Glyphosate was detected more frequently in 12 urban streams than in 88 agricultural streams, and at concentrations similar to those in streams with high agricultural land use (> 40% row crop) in the watershed. In contrast, atrazine was detected more frequently and at higher concentrations in agricultural streams than in urban streams. The maximum concentration of glyphosate measured at most urban sites exceeded the maximum atrazine concentration, whereas at agricultural sites the reverse was true. Measurement at a 2-day interval at 8 sites in northern Missouri revealed that transport of both herbicide compounds appeared to be controlled by spring flush, that peak concentration duration was brief, but that peaks in atrazine concentrations were of longer duration than those of glyphosate. The 2-day sampling also indicated that weekly sampling is unlikely to capture peak concentrations of glyphosate and atrazine.

Microwave noise temperature and attenuation of clouds - Statistics of these effects at various sites in the United States, Alaska, and Hawaii

NASA Technical Reports Server (NTRS)

Slobin, S. D.

1982-01-01

The microwave attenuation and noise temperature effects of clouds can result in serious degradation of telecommunications link performance, especially for low-noise systems presently used in deep-space communications. Although cloud effects are generally less than rain effects, the frequent presence of clouds will cause some amount of link degradation a large portion of the time. This paper presents a general review of cloud types and their water particle densities, attenuation and noise temperature calculations, and basic link signal-to-noise ratio calculations. Tabular results of calculations for 12 different cloud models are presented for frequencies in the range 10-50 GHz. Curves of average-year attenuation and noise temperature statistics at frequencies ranging from 10 to 90 GHz, calculated from actual surface and radiosonde observations, are given for 15 climatologically distinct regions in the contiguous United States, Alaska, and Hawaii. Nonuniform sky cover is considered in these calculations.

Human Risk of Infection with Borrelia burgdorferi, the Lyme Disease Agent, in Eastern United States

PubMed Central

Diuk-Wasser, Maria A.; Hoen, Anne Gatewood; Cislo, Paul; Brinkerhoff, Robert; Hamer, Sarah A.; Rowland, Michelle; Cortinas, Roberto; Vourc'h, Gwenaël; Melton, Forrest; Hickling, Graham J.; Tsao, Jean I.; Bunikis, Jonas; Barbour, Alan G.; Kitron, Uriel; Piesman, Joseph; Fish, Durland

2012-01-01

The geographic pattern of human risk for infection with Borrelia burgdorferi sensu stricto, the tick-borne pathogen that causes Lyme disease, was mapped for the eastern United States. The map is based on standardized field sampling in 304 sites of the density of Ixodes scapularis host-seeking nymphs infected with B. burgdorferi, which is closely associated with human infection risk. Risk factors for the presence and density of infected nymphs were used to model a continuous 8 km×8 km resolution predictive surface of human risk, including confidence intervals for each pixel. Discontinuous Lyme disease risk foci were identified in the Northeast and upper Midwest, with a transitional zone including sites with uninfected I. scapularis populations. Given frequent under- and over-diagnoses of Lyme disease, this map could act as a tool to guide surveillance, control, and prevention efforts and act as a baseline for studies tracking the spread of infection. PMID:22302869

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

PubMed Central

Ford, T E

1999-01-01

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

KSC-99pp0258

NASA Image and Video Library

1999-03-01

KENNEDY SPACE CENTER, FLA. -- A pair of willets soars to a landing among a flock of short-billed dowitchers on a grassy mound in the shallow waters of the Merritt Island National Wildlife Refuge, which shares a boundary with Kennedy Space Center. Willets are best identified in flight by their black-and-white wing pattern. They breed in southern Canada, the United States and the West Indies, wintering from the southern U.S. to central South America. The dowitchers' range is southern Alaska to eastern Canada, and they also winter from the southern United States to central South America. They often frequent coastal flats during migrations. The 92,000-acre refuge is a habitat for more than 310 species of birds, 25 mammals, 117 fishes and 65 amphibians and reptiles. The marshes and open water of the refuge provide wintering areas for 23 species of migratory waterfowl, as well as a year-round home for great blue herons, great egrets, wood storks, cormorants, brown pelicans and other species of marsh and shore birds

Normative data for Farsi-speaking Iranians in the United States on measures of executive functioning.

PubMed

Avila, Justina F; Verney, Steven P; Kauzor, Kaitlyn; Flowers, Amina; Mehradfar, Maryam; Razani, Jill

2018-01-09

As the Farsi-speaking Iranian population continues to grow in the United States, examination of their cognitive performance is an imperative first step to providing this group with culturally competent services. Thirty-six healthy primarily Farsi-speaking Iranian adults completed Farsi-translated and adapted versions of three frequently used measures of executive/subcortical functioning: Wisconsin Card Sorting Test (WCST), Trail Making Test (TMT), and Color Trails Test (CTT). Participants' performance on each measure was compared to published normative data resulting in 0-85% of cognitively and medically healthy individuals being classified as impaired depending on the executive/subcortical test score examined, with the highest impairment rates for specific WCST outcome scores. These findings raise questions for the use of published norms with Farsi-speaking Iranians residing in the US. The present study provided normative data from this group of Farsi-speaking Iranians on the Farsi-translated and adapted versions of the WCST, TMT, and CTT.

Are cultures becoming individualistic? A cross-temporal comparison of individualism-collectivism in the United States and Japan.

PubMed

Hamamura, Takeshi

2012-02-01

Individualism-collectivism is one of the best researched dimensions of culture in psychology. One frequently asked but underexamined question regards its cross-temporal changes: Are cultures becoming individualistic? One influential theory of cultural change, modernization theory, predicts the rise of individualism as a consequence of economic growth. Findings from past research are generally consistent with this theory, but there is also a body of evidence suggesting its limitations. To examine these issues, cross-temporal analyses of individualism-collectivism in the United States and Japan were conducted. Diverging patterns of cultural changes were found across indices: In both countries, some of the obtained indices showed rising individualism over the past several decades, supporting the modernization theory. However, other indices showed patterns that are best understood within the frameworks of a shifting focus of social relationships and a persisting cultural heritage. A comprehensive theory of cultural change requires considerations of these factors in addition to the modernization effect.

Trends in Thumb Carpometacarpal Interposition Arthroplasty in the United States, 2005-2011.

PubMed

Werner, Brian C; Bridgforth, Andrew B; Gwathmey, F Winston; Dacus, A Rashard

2015-08-01

We conducted a study to investigate current trends in carpometacarpal (CMC) interposition arthroplasty across time, sex, age, and region of the United States; per-patient charges and reimbursements; and the association between this procedure and concomitantly performed carpal tunnel syndrome (CTS) and carpal tunnel release (CTR). Patients who underwent CMC interposition arthroplasty (N = 41,171) were identified in a national database. Between 2005 and 2011, the number of patients who had CMC interposition arthroplasty increased 46.2%. Females had the procedure more frequently than males at all time points, though the percentage of patients who were male increased throughout the study period. Of the patients who had CMC interposition arthroplasty, 40.9% also had a diagnosis of CTS. Between 15.5% and 17.3% of these patients had CTR performed concomitantly. Despite a lack of evidence that thumb CMC interposition arthroplasty is superior to other surgical treatment options, the number of patients who are having this procedure has increased significantly. The impetus for these trends requires additional investigation.

Acute viral hepatitis in the United States-Mexico border region: data from the Border Infectious Disease Surveillance (BIDS) Project, 2000-2009.

PubMed

Spradling, Philip R; Xing, Jian; Phippard, Alba; Fonseca-Ford, Maureen; Montiel, Sonia; Guzmán, Norma Luna; Campuzano, Roberto Vázquez; Vaughan, Gilberto; Xia, Guo-liang; Drobeniuc, Jan; Kamili, Saleem; Cortés-Alcalá, Ricardo; Waterman, Stephen H

2013-04-01

Little is known about the characteristics of acute viral hepatitis cases in the United States (US)-Mexico border region. We analyzed characteristics of acute viral hepatitis cases collected from the Border Infectious Disease Surveillance Project from January 2000-December 2009. Over the study period, 1,437 acute hepatitis A, 311 acute hepatitis B, and 362 acute hepatitis C cases were reported from 5 Mexico and 2 US sites. Mexican hepatitis A cases most frequently reported close personal contact with a known case, whereas, US cases most often reported cross-border travel. Injection drug use was common among Mexican and US acute hepatitis B and C cases. Cross-border travel during the incubation period was common among acute viral hepatitis cases in both countries. Assiduous adherence to vaccination and prevention guidelines in the US is needed and strategic implementation of hepatitis vaccination and prevention programs south of the border should be considered.

Trends In News Media Coverage Of Mental Illness In The United States: 1995–2014

PubMed Central

McGinty, Emma E.; Kennedy-Hendricks, Alene; Choksy, Seema; Barry, Colleen L.

2016-01-01

The United States is engaged in ongoing dialogue around mental illness. To assess trends in this national discourse, we studied the volume and content of a random sample of 400 news stories about mental illness from the period 1995–2014. Compared to news stories in the first decade of the study period, those in the second decade were more likely to mention mass shootings by people with mental illnesses. The most frequently mentioned topic across the study period was violence (55 percent overall) divided into categories of interpersonal violence or self-directed (suicide) violence, followed by stories about any type of treatment for mental illness (47 percent). Fewer news stories, only 14 percent, described successful treatment for or recovery from mental illness. The news media’s continued emphasis on interpersonal violence is highly disproportionate to actual rates of violence among those with mental illnesses. Research suggests that this focus may exacerbate social stigma and decrease support for public policies that benefit people with mental illnesses. PMID:27269031

Toward an Integrated Research Agenda for Critical Illness in Aging

PubMed Central

Milbrandt, Eric B.; Eldadah, Basil; Nayfield, Susan; Hadley, Evan; Angus, Derek C.

2010-01-01

Aging brings an increased predisposition to critical illness. Patients older than 65 years of age account for approximately half of all intensive care unit (ICU) admissions in the United States, a proportion that is expected to increase considerably with the aging of the population. Emerging research suggests that elderly survivors of intensive care suffer significant long-term sequelae, including accelerated age-related functional decline. Existing evidence-based interventions are frequently underused and their efficacy untested in older subjects. Improving ICU outcomes in the elderly will require not only better methods for translating sound science into improved ICU practice but also an enhanced understanding of the underlying molecular, physiological, and pathophysiological interactions of critical illness with the aging process itself. Yet, significant barriers to research for critical illness in aging exist. We review the state of knowledge and identify gaps in knowledge, research opportunities, and barriers to research, with the goal of promoting an integrated research agenda for critical illness in aging. PMID:20558632

Utilizing Objective Drought Thresholds to Improve Drought Monitoring with the SPI

NASA Astrophysics Data System (ADS)

Leasor, Z. T.; Quiring, S. M.

2017-12-01

Drought is a prominent climatic hazard in the south-central United States. Droughts are frequently monitored using the severity categories determined by the U.S. Drought Monitor (USDM). This study uses the Standardized Precipitation Index (SPI) to conduct a drought frequency analysis across Texas, Oklahoma, and Kansas using PRISM precipitation data from 1900-2015. The SPI is shown to be spatiotemporally variant across the south-central United States. In particular, utilizing the default USDM severity thresholds may underestimate drought severity in arid regions. Objective drought thresholds were implemented by fitting a CDF to each location's SPI distribution. This approach results in a more homogeneous distribution of drought frequencies across each severity category. Results also indicate that it may be beneficial to develop objective drought thresholds for each season and SPI timescale. This research serves as a proof-of-concept and demonstrates how drought thresholds should be objectively developed so that they are appropriate for each climatic region.

Constant pH Molecular Dynamics in Explicit Solvent with Enveloping Distribution Sampling and Hamiltonian Exchange

PubMed Central

2015-01-01

We present a new computational approach for constant pH simulations in explicit solvent based on the combination of the enveloping distribution sampling (EDS) and Hamiltonian replica exchange (HREX) methods. Unlike constant pH methods based on variable and continuous charge models, our method is based on discrete protonation states. EDS generates a hybrid Hamiltonian of different protonation states. A smoothness parameter s is used to control the heights of energy barriers of the hybrid-state energy landscape. A small s value facilitates state transitions by lowering energy barriers. Replica exchange between EDS potentials with different s values allows us to readily obtain a thermodynamically accurate ensemble of multiple protonation states with frequent state transitions. The analysis is performed with an ensemble obtained from an EDS Hamiltonian without smoothing, s = ∞, which strictly follows the minimum energy surface of the end states. The accuracy and efficiency of this method is tested on aspartic acid, lysine, and glutamic acid, which have two protonation states, a histidine with three states, a four-residue peptide with four states, and snake cardiotoxin with eight states. The pKa values estimated with the EDS-HREX method agree well with the experimental pKa values. The mean absolute errors of small benchmark systems range from 0.03 to 0.17 pKa units, and those of three titratable groups of snake cardiotoxin range from 0.2 to 1.6 pKa units. This study demonstrates that EDS-HREX is a potent theoretical framework, which gives the correct description of multiple protonation states and good calculated pKa values. PMID:25061443

Occurrence of amidostomum in Canada geese

USGS Publications Warehouse

Herman, C.M.; Wehr, E.E.

1953-01-01

The gizzard nematode, Amidostomum anseris, has been reported frequently as the cause of losses among domestic geese in Europe. Cram's (1925) report of an outbreak in domestic geese in New York State was the first evidence of this worm in North America and since then there have been several reports of its occurrence in many parts of Canada and the United States. There have been a few cases of A. anseris reported from Canada goose (Branta anadensis) and one report of A. spatulatum from this host. The authors have reported A. anseris from goslings from Michigan and Utah. Beginning in 1948 we have had opportunity to examine the gizzards of a large series of Canada geese from several localities in the United States, mostly wintering birds from the coast of North Carolina. A. anseris was the only species identified from examination of a representative sample from our collection of gizzard worms. . A high incidence of infection with Amidostomum was observed in geese from many localities in the United States, including all the major flyways. In most cases only a small number of worms was recovered from each individual but birds from a refuge in North Carolina, which was studied intensively because of periodic winter losses, yielded significantly higher numbers of worms per bird. The mean number of worms per individual from most areas was under 15 while from this specific refuge the mean was in the seventies each of the past three years, with one bird having over 1500 specimens in its gizzard.

Multilocus Sequence Typing of an Emerging Cryptosporidium hominis Subtype in the United States

PubMed Central

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

Twelve-month use of herbal medicines as a remedy for mental health problems in Japan: A cross-national analysis of World Mental Health Survey data.

PubMed

Iwanaga, Mai; Iwanaga, Hiroo; Kawakami, Norito

2017-09-01

The purpose of this study was to clarify the frequencies and sociodemographic and other characteristics around use of herbal medicine as a remedy for mental health problems in Japan. Data from the World Mental Health Japan (WMHJ) Survey and US National Comorbidity Survey Replications were analyzed. The WMHJ was conducted in 2002 to 2006, with 4129 respondents. National Comorbidity Survey Replications was conducted in 2002 to 2003, with 9282 respondents. The interview asked the respondents about their use of several types of herbs for mental health problems. Frequencies of use of herbal medicine were compared between Japan and the United States. Multiple logistic regression analyses were conducted to determine sociodemographic and mental health-related correlates of 12-month herbal medicine use. Relevant sampling weights were used to adjust for the sampling designs. The proportion for use of herbal medicines as a remedy for mental health problems in the past 12 months was lower (0.4%) in Japan than that in the United States (3.7%). Low education in both countries (P < .05) was significantly associated with nonuse of herbal medicine. Any anxiety disorder in Japan was significantly associated with herbal medicine use (P < .01), while any mental disorder categories were significantly associated in the United States (P < .01). The frequency for use of herbal medicine among patients with mental health problems in the past 12 months was much lower in Japan compared to the United States. Persons with high educational attainment and anxiety disorders used herbal medicine as a remedy for mental health problems more frequently in Japan. © 2017 John Wiley & Sons Australia, Ltd.

The entry-level occupational therapy clinical doctorate: advantages, challenges, and international issues to consider.

PubMed

Brown, Ted; Crabtree, Jeffrey L; Mu, Keli; Wells, Joe

2015-04-01

Internationally, occupational therapy education has gone through several paradigm shifts during the last few decades, moving from certificate to diploma to bachelors to masters and now in some instances to clinical doctorate as the entry-level professional credential to practice. In the United States there is a recommendation under consideration by the American Occupational Therapy Association (AOTA) that by 2025, all occupational therapy university programs will move to the clinical doctorate level. It should be noted, however, that the AOTA Board can only make recommendations and it is the Accreditation Council for Occupational Therapy Education (ACOTE) who has regulatory authority to approve such a change. What are the potential implications for the profession, our clients, and funders of occupational therapy services? What are the primary drivers for the move towards the clinical doctorate being the educational entry point? Is the next step in the evolution of occupational therapy education globally a shift to the entry-level clinical doctorate? This article reviews current literature and discusses issues about the occupational therapy entry-level clinical doctorate. The published evidence available about the occupational therapy entry-level clinical doctorate is summarized and the perceived or frequently cited pros and cons of moving to the clinical doctorate as the singular entry point to occupational therapy practice are considered. The potential impacts of the introduction of the clinical doctorate as the entry-to-practice qualification across the United States on the occupational therapy community internationally will be briefly discussed. If the United States moves toward the entry-level clinical doctorate as the only educational starting point for the profession, will other jurisdictions follow suit? Further discourse and investigation of this issue both inside and outside of the United States is needed so that informed decisions can be made.

Factors related to building loss due to wildfires in the conterminous United States.

PubMed

Alexandre, Patricia M; Stewart, Susan I; Keuler, Nicholas S; Clayton, Murray K; Mockrin, Miranda H; Bar-Massada, Avi; Syphard, Alexandra D; Radeloff, Volker C

2016-10-01

Wildfire is globally an important ecological disturbance affecting biochemical cycles and vegetation composition, but also puts people and their homes at risk. Suppressing wildfires has detrimental ecological effects and can promote larger and more intense wildfires when fuels accumulate, which increases the threat to buildings in the wildland-urban interface (WUI). Yet, when wildfires occur, typically only a small proportion of the buildings within the fire perimeter are lost, and the question is what determines which buildings burn. Our goal was to examine which factors are related to building loss when a wildfire occurs throughout the United States. We were particularly interested in the relative roles of vegetation, topography, and the spatial arrangement of buildings, and how their respective roles vary among ecoregions. We analyzed all fires that occurred within the conterminous United States from 2000 to 2010 and digitized which buildings were lost and which survived according to Google Earth historical imagery. We modeled the occurrence as well as the percentage of buildings lost within clusters using logistic and linear regression. Overall, variables related to topography and the spatial arrangement of buildings were more frequently present in the best 20 regression models than vegetation-related variables. In other words, specific locations in the landscape have a higher fire risk, and certain development patterns can exacerbate that risk. Fire policies and prevention efforts focused on vegetation management are important, but insufficient to solve current wildfire problems. Furthermore, the factors associated with building loss varied considerably among ecoregions suggesting that fire policy applied uniformly across the United States will not work equally well in all regions and that efforts to adapt communities to wildfires must be regionally tailored. © 2016 by the Ecological Society of America.

Application of appropriate use criteria for percutaneous coronary intervention in Japan

PubMed Central

Inohara, Taku; Kohsaka, Shun; Ueda, Ikuko; Yagi, Takashi; Numasawa, Yohei; Suzuki, Masahiro; Maekawa, Yuichiro; Fukuda, Keiichi

2016-01-01

The aim of this review was to summarize the concept of appropriate use criteria (AUC) regarding percutaneous coronary intervention (PCI) and document AUC use and impact on clinical practice in Japan, in comparison with its application in the United States. AUC were originally developed to subjectively evaluate the indications and performance of various diagnostic and therapeutic modalities, including revascularization techniques. Over the years, application of AUC has significantly impacted patient selection for PCI in the United States, particularly in non-acute settings. After the broad implementation of AUC in 2009, the rate of inappropriate PCI decreased by half by 2014. The effect was further accentuated by incorporation of financial incentives (e.g., restriction of reimbursement for inappropriate procedures). On the other hand, when the United States-derived AUC were applied to Japanese patients undergoing elective PCI from 2008 to 2013, about one-third were classified as inappropriate, largely due to the perception gap between American and Japanese experts. For example, PCI for low-risk non-left atrial ascending artery lesion was more likely to be classified as appropriate by Japanese standards, and anatomical imaging with coronary computed tomography angiography was used relatively frequently in Japan, but no scenario within the current AUC includes this modality. To extrapolate the current AUC to Japan or any other region outside of the United States, these local discrepancies must be taken into consideration, and scenarios should be revised to reflect contemporary practice. Understanding the concept of AUC as well as its perception gap between different counties will result in the broader implementation of AUC, and lead to the quality improvement of patients’ care in the field of coronary intervention. PMID:27621773

Vital Signs: Trends in Reported Vectorborne Disease Cases — United States and Territories, 2004–2016

PubMed Central

Lindsey, Nicole P.; Fischer, Marc; Gregory, Christopher J.; Hinckley, Alison F.; Mead, Paul S.; Paz-Bailey, Gabriela; Waterman, Stephen H.; Drexler, Naomi A.; Kersh, Gilbert J.; Hooks, Holley; Partridge, Susanna K.; Visser, Susanna N.; Beard, Charles B.; Petersen, Lyle R.

2018-01-01

Introduction Vectorborne diseases are major causes of death and illness worldwide. In the United States, the most common vectorborne pathogens are transmitted by ticks or mosquitoes, including those causing Lyme disease; Rocky Mountain spotted fever; and West Nile, dengue, and Zika virus diseases. This report examines trends in occurrence of nationally reportable vectorborne diseases during 2004–2016. Methods Data reported to the National Notifiable Diseases Surveillance System for 16 notifiable vectorborne diseases during 2004–2016 were analyzed; findings were tabulated by disease, vector type, location, and year. Results A total 642,602 cases were reported. The number of annual reports of tickborne bacterial and protozoan diseases more than doubled during this period, from >22,000 in 2004 to >48,000 in 2016. Lyme disease accounted for 82% of all tickborne disease reports during 2004–2016. The occurrence of mosquitoborne diseases was marked by virus epidemics. Transmission in Puerto Rico, the U.S. Virgin Islands, and American Samoa accounted for most reports of dengue, chikungunya, and Zika virus diseases; West Nile virus was endemic, and periodically epidemic, in the continental United States. Conclusions and Implications for Public Health Practice Vectorborne diseases are a large and growing public health problem in the United States, characterized by geographic specificity and frequent pathogen emergence and introduction. Differences in distribution and transmission dynamics of tickborne and mosquitoborne diseases are often rooted in biologic differences of the vectors. To effectively reduce transmission and respond to outbreaks will require major national improvement of surveillance, diagnostics, reporting, and vector control, as well as new tools, including vaccines. PMID:29723166

Follicular Lymphoma in the United States: First Report of the National LymphoCare Study

PubMed Central

Friedberg, Jonathan W.; Taylor, Michael D.; Cerhan, James R.; Flowers, Christopher R.; Dillon, Hildy; Farber, Charles M.; Rogers, Eric S.; Hainsworth, John D.; Wong, Elaine K.; Vose, Julie M.; Zelenetz, Andrew D.; Link, Brian K.

2009-01-01

Purpose Optimal therapy of follicular lymphoma (FL) is not defined. We analyzed a large prospective cohort study to identify current demographics and patterns of care of FL in the United States. Patients and Methods The National LymphoCare Study is a multicenter, longitudinal, observational study designed to collect information on treatment regimens and outcomes for patients with newly diagnosed FL in the United States. Patients were enrolled between 2004 and 2007. There is no study-specific prescribed treatment regimen or intervention. Results Two thousand seven hundred twenty-eight subjects were enrolled at 265 sites, including the 80% of patients enrolled from nonacademic sites. Using the Follicular Lymphoma International Prognostic Index (FLIPI), three distinct groups independent of histologic grade could be defined. Initial therapeutic strategy was: observation, 17.7%; rituximab monotherapy, 13.9%; clinical trial 6.1%; radiation therapy, 5.6%; chemotherapy only, 3.2%; chemotherapy plus rituximab, 51.9%. Chemotherapy plus rituximab regimens were: rituximab plus cyclophosphamide, doxorubicin, vincristine, prednisone, 55.0%; rituximab plus cyclophosphamide, vincristine, and prednisone, 23.1%; rituximab plus fludarabine based, 15.5%; other, 6.4%. The choice to initiate therapy rather than observe was associated with age, FLIPI, stage, and grade (P < .01). Significant differences in treatment (P < .01) across regions of the United States were noted. Contrary to practice guidelines, treatment of stage I FL frequently omits radiation therapy. Conclusion Widely disparate therapeutic approaches are utilized for FL. Initial therapy is deferred in a small subset of patients. There is no single standard of care for the treatment of de novo FL, although antibody use is ubiquitous when therapy is initiated. These disparate approaches to the initial care of patients with FL render a heterogeneous group of patients at relapse. PMID:19204203

Factors associated with self-reported menu labeling use among US adults

PubMed Central

Lee-Kwan, Seung Hee; Pan, Liping; Maynard, Leah M.; McGuire, Lisa C.; Park, Sohyun

2016-01-01

Background Menu labeling may help people select foods and beverages with lower calories and is a potential population-based strategy to reduce obesity and diet-related chronic diseases in the United States. Objectives The aim of this cross-sectional study was to examine the prevalence of menu labeling use among adults and its association with sociodemographic, behavioral, and policy factors. Methods 2012 Behavioral Risk Factor Surveillance System data from 17 states that included 100,141 adults who noticed menu labeling at fast food/chain restaurants (“When calorie information is available in the restaurant, how often does this information help you decide what to order?”) were used. Menu labeling use was categorized: frequent (always/most of the time), moderate (half the time/sometimes), and never. Multinomial logistic regression was used to examine associations of sociodemographic, behavioral, and policy factors with menu labeling use. Results Overall, of adults who noticed menu labeling, 25.6% reported frequent use of menu labeling, 31.6% reported moderate use, and 42.7% reported that they never use menu labeling. Compared to never users, frequent users were significantly more likely to be younger, female, non-white, more educated, high-income, overweight or obese, physically active, former- or never-smokers, with no or lower (<1 time/day) sugar-sweetened beverage intake, and living in states where menu labeling legislation was enacted or proposed. Conclusions Menu labeling is one method that consumers can use to help reduce their calorie consumption from restaurants. These findings can be used to develop targeted interventions to increase menu labeling use among subpopulations with lower use. PMID:26875022

Factors Associated with Self-Reported Menu-Labeling Usage among US Adults.

PubMed

Lee-Kwan, Seung Hee; Pan, Liping; Maynard, Leah M; McGuire, Lisa C; Park, Sohyun

2016-07-01

Menu labeling can help people select foods and beverages with fewer calories and is a potential population-based strategy to reduce obesity and diet-related chronic diseases in the United States. The aim of this cross-sectional study was to examine the prevalence of menu-labeling use among adults and its association with sociodemographic, behavioral, and policy factors. The 2012 Behavioral Risk Factor Surveillance System data from 17 states, which included 100,141 adults who noticed menu labeling at fast-food or chain restaurants ("When calorie information is available in the restaurant, how often does this information help you decide what to order?") were used. Menu-labeling use was categorized as frequent (always/most of the time), moderate (half the time/sometimes), and never. Multinomial logistic regression was used to examine associations among sociodemographic, behavioral, and policy factors with menu-labeling use. Overall, of adults who noticed menu labeling, 25.6% reported frequent use of menu labeling, 31.6% reported moderate use, and 42.7% reported that they never use menu labeling. Compared with never users, frequent users were significantly more likely to be younger, female, nonwhite, more educated, high-income, adults who were overweight or obese, physically active, former- or never-smokers, less than daily (<1 time/day) consumers of sugar-sweetened beverage, and living in states where menu-labeling legislation was enacted or proposed. Menu labeling is one method that consumers can use to help reduce their calorie consumption from restaurants. These findings can be used to develop targeted interventions to increase menu-labeling use among subpopulations with lower use. Published by Elsevier Inc.

Can ethnic differences in men's preferences for women's body shapes contribute to ethnic differences in female adiposity?

PubMed

Allison, D B; Hoy, M K; Fournier, A; Heymsfield, S B

1993-11-01

In the United States, obesity is more common among black and Hispanic than white women. One putative cause of this difference is different cultural norms for attractiveness. Two studies assessed ethnic differences in men's perceptions of the attractiveness of females of varying sizes. In the first, 108 men recruited on the New York subway were shown sets of silhouettes depicting female bodies varying in fatness and were asked to pick the silhouette they found most attractive. They were also asked to indicate the thinnest and fattest figures they would consider dating. A measure of "latitude of acceptance" was computed as the difference between the thinnest and fattest figures considered. Results indicated no relationship between ethnicity and preference (F = 1.383, p = .257) or "latitude" (F = .102, p = .903). In Study 2, "personal advertisements" placed by 373 black, 1915 white, 110 Hispanic, and 30 Asian men from 35 newspapers and magazines were coded as: 1) thinness preferred; 2) no information on weight preference; 3) fatness preferred; or 4) states weight or looks unimportant. Results indicated a statistically significant but small association between ethnicity and preference (chi2 = 49.55, df = 9, p < .00001). Relative to white and Asian men, black and Hispanic men more frequently requested fat women, Hispanic men less frequently requested thin women, and black men more frequently stated that looks or weight did not matter. Ethnicity explained only 2.1% of the variance in preference. Thus, it seems unlikely that ethnic differences in men's preferences for women's body shapes contribute substantially to ethnic differences in female adiposity.

Arguments for amending smoke-free legislation in U.S. states to restrict use of electronic nicotine delivery systems.

PubMed

Phan, Tiffany M; Bianco, Cezanne A; Nikitin, Dmitriy; Timberlake, David S

2018-03-01

The uneven diffusion of local and state laws restricting the use of electronic nicotine delivery systems (ENDS) in the United States may be a function of inconclusive scientific evidence and lack of guidance from the federal government. The objective of this study was to assess whether the rationale for amending clean indoor air acts (CIAAs) is being conflated by issues that are not directly relevant to protecting the health of ENDS non-users. Online sources were used in identifying bills ( n  = 25) that were presented in U.S. state legislatures from January 2009 to December 2015. The bills were categorized into one of three groups: 1) bills amending comprehensive CIAAs ( n  = 11), 2) bills prohibiting use of ENDS in places frequented by youth ( n  = 5), and 3) remaining bills that varied between the two categories ( n  = 9). Arguments presented in committee hearings were coded as scientific, public health, economic, enforcement, freedom, or regulatory. Arguments pertaining to amendment of clean indoor air acts spanned several categories, many of which were not directly relevant to the aims of the legislation. This finding could assist lawmakers and expert witnesses in making arguments that yield greater success in amending legislation. Alternatively, inconclusive scientific data on the hazards of ENDS aerosols might encourage lawmakers to propose legislation that prohibits ENDS use in places frequented by youths.

Fate and transport of glyphosate and aminomethylphosphonic acid in surface waters of agricultural basins

USGS Publications Warehouse

Coupe, R.H.; Kalkhoff, S.J.; Capel, P.D.; Gregoire, C.

2012-01-01

Background: Glyphosate [N-(phosphonomethyl)glycine] is a herbicide used widely throughout the world in the production of many crops and is heavily used on soybeans, corn and cotton. Glyphosate is used in almost all agricultural areas of the United States, and the agricultural use of glyphosate has increased from less than 10 000 Mg in 1992 to more than 80 000 Mg in 2007. The greatest intensity of glyphosate use is in the midwestern United States, where applications are predominantly to genetically modified corn and soybeans. In spite of the increase in usage across the United States, the characterization of the transport of glyphosate and its degradate aminomethylphosphonic acid (AMPA) on a watershed scale is lacking. Results: Glyphosate and AMPA were frequently detected in the surface waters of four agricultural basins. The frequency and magnitude of detections varied across basins, and the load, as a percentage of use, ranged from 0.009 to 0.86% and could be related to three general characteristics: source strength, rainfall runoff and flow route. Conclusions: Glyphosate use in a watershed results in some occurrence in surface water; however, the watersheds most at risk for the offsite transport of glyphosate are those with high application rates, rainfall that results in overland runoff and a flow route that does not include transport through the soil. ?? 2011 Society of Chemical Industry.

Gambling, Alcohol, and Other Substance Use Among Youth in the United States*

PubMed Central

Barnes, Grace M.; Welte, John W.; Hoffman, Joseph H.; Tidwell, Marie-Cecile O.

2009-01-01

Objective: Problem gambling has been linked with substance misuse among youth in a number of regional studies, yet there have been no large representative U.S. surveys of gambling behaviors and substance use among youth. The present study is designed to compare the patterns and co-occurrence of gambling and alcohol and other substance use among youth in the United States. Method: A random telephone survey was conducted with 2,274 youth ages 14-21 years old living in households in every area of the United States. Results: Problem gambling and substance misuse are prevalent among young people. For instance, 17% of youth reported gambling 52 or more times in the past year, and the same percentage of youth drank five or more drinks on 12 or more days in the past year. Ten percent of youth reported having three or more gambling problems in the past year, and 15% of young people reported having three or more alcohol problems. Controlling for gender, age, and socioeconomic status, black youth have a significantly increased probability of frequent gambling compared with other racial/ethnic groups, yet they have a significantly decreased probability of heavy drinking. Alcohol problems and gambling problems show high co-occurrence, especially for male youth and black youth. Conclusions: Population subgroups with a high co-occurrence of alcohol and gambling problems are important for targeted prevention and intervention strategies. PMID:19118402

The Tale of Flooding over the Central United States: Not Bigger but More Frequent

NASA Astrophysics Data System (ADS)

Mallakpour, I.; Villarini, G.

2014-12-01

Flooding over the central United States is responsible for large societal and economic impacts, quantifiable in tens of fatalities and billions of dollars in damage. Because of these large repercussions, it is of paramount importance to examine whether the magnitude and/or frequency of flood events have been changing over the most recent decades. Here we address this research question using annual and seasonal maximum daily streamflow records from 774 U.S. Geological Survey (USGS) stations over the central United States (the study area includes North Dakota, South Dakota, Nebraska, Kansas, Missouri, Iowa, Minnesota, Wisconsin, Illinois, West Virginia, Kentucky, Ohio, Indiana, and Michigan). The focus is on "long" records (i.e., at least 50 years of data) ending no earlier than 2011. Analyses are performed using block-maximum and peak-over-threshold approaches. We find limited evidence suggesting increasing or decreasing trends in the magnitude of flood peaks over this area. On the other hand, there is much stronger evidence of increasing frequency of flood events. Therefore, our results support the notion that it is not so much that the largest flood peaks are getting larger, but rather that we have been experiencing a larger number of flood events every year. By examining the rainfall records, we are able to link these increasing trends to similar patterns in heavy rainfall over the region.

Work-related mortality in the US fishing industry during 2000-2014: New findings based on improved workforce exposure estimates.

PubMed

Lucas, Devin L; Case, Samantha L

2018-01-01

Commercial fishing is a global industry that has been frequently classified as high-risk. The use of detailed surveillance data is critical in identifying hazards. The purpose of this study was to provide updated statistics for the entire US fishing industry during 2010-2014, generate fleet-specific fatality rates using a revised calculation of full-time equivalent estimates, and examine changes in the patterns of fatalities and in risk over a 15-year period (2000-2014). During 2010-2014, 188 commercial fishing fatalities occurred in the United States. Vessel disasters and falls overboard remain leading contributors to commercial fishing deaths. The Atlantic scallop fleet stands out for achieving substantial declines in the risk of fatalities over the 15-year study period. However, fatality rates ranged from 21 to 147 deaths per 100 000 FTEs, many times higher than the rate for all US workers. Although the number of fatalities among commercial fishermen in the United States has generally declined since 2000, commercial fishing continues to have one of the highest occupational fatality rates in the United States. The sustainable seafood movement could assist in improving the health and safety of fishing industry workers if worker well-being was integrated into the definition of sustainable seafood. © Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

Status of Adults With X-Linked Agammaglobulinemia

PubMed Central

Winkelstein, Jerry A.; Conley, Mary Ellen; James, Cynthia; Howard, Vanessa; Boyle, John

2010-01-01

Since many children with X-linked agammaglobulinemia (XLA) can now be expected to reach adulthood, knowledge of the status of adults with XLA would be of importance to the patients, their families, and the physicians caring for these patients. We performed the current study in adults with XLA to examine the impact of XLA on their daily lives and quality of life, their educational and socioeconomic status, their knowledge of the inheritance of their disorder, and their reproductive attitudes. Physicians who had entered adult patients with XLA in a national registry were asked to pass on a survey instrument to their patients. The patients then filled out the survey instrument and returned it directly to the investigators. Adults with XLA were hospitalized more frequently and missed more work and/or school than did the general United States population. However, their quality of life was comparable to that of the general United States population. They achieved a higher level of education and had a higher income than did the general United States population. Their knowledge of the inheritance of their disease was excellent. Sixty percent of them would not exercise any reproductive planning options as a result of their disease. The results of the current study suggest that although the disease impacts the daily lives of adults with XLA, they still become productive members of society and excel in many areas. PMID:18794707

Recent Advances in the Diagnosis and Treatment of Clostridium Difficile Infection

PubMed Central

Avila, Meera B.; Avila, Nathaniel P.; Dupont, Andrew W.

2016-01-01

Clostridium difficile infection (CDI) has become the most frequently reported health care-associated infection in the United States [1]. As the incidence of CDI rises, so too does the burden it produces on health care and society. In an attempt to decrease the burden of CDI and provide the best outcomes for patients affected by CDI, there have been many recent advancements in the understanding, diagnosis, and management of CDI. In this article, we review the current recommendations regarding CDI testing and treatment strategies. PMID:26918176

Engineers on the Twin Rivers: A History of the Nashville District Corps of Engineers United States Army

DTIC Science & Technology

1978-01-01

Kentucky, near the present site of Barkley Dam. The schooners Fanny and Maria and Con- cordia were built by James Winchester, William Cage, James Cage...Cumber- land Valley. Many farmers hoped to abandon the uncertain business of farm- ing and get rich by feeding the produc- tive worms. Acres were planted ...frequently attempt to capture the entire plant , careless of any damage inflicted on the lock masonry, lock gates, lever of sluices, &c." To curb this "in

Escherichia coli O157:H7 in Ecuador: animal reservoirs, yet no human disease.

PubMed

Trueba, Gabriel; Garcés, Verónica; V, Verónica Barragan; Colman, Rebecca E; Seymour, Meagan; Vogler, Amy J; Keim, Paul

2013-05-01

Escherichia coli O157:H7 is frequently isolated from cases of diarrhea in many industrialized countries; however, it is seldom found in developing countries. The present manuscript reports the presence of E. coli O157:H7 in Ecuadorian livestock, a country where enterohemorrhagic E. coli disease in humans has never been reported. The Ecuadorian isolates were genetically related to some strains linked to clinical cases in the United States as assessed by multiple-locus variable number tandem repeat (VNTR) analysis.

Sleep and breathing in congestive heart failure.

PubMed

Rosen, David; Roux, Francoise Joelle; Shah, Neomi

2014-09-01

Heart failure (HF) is one of the most prevalent and costly diseases in the United States. Sleep apnea is now recognized as a common, yet underdiagnosed, comorbidity of HF. This article discusses the unique qualities that sleep apnea has when it occurs in HF and explains the underlying pathophysiology that illuminates why sleep apnea and HF frequently occur together. The authors provide an overview of the treatment options for sleep apnea in HF and discuss the relative efficacies of these treatments. Copyright © 2014 Elsevier Inc. All rights reserved.

Factors associated with sources, transport, and fate of chloroform and three other trihalomethanes in untreated groundwater used for drinking water

USGS Publications Warehouse

Carter, Janet M.; Moran, Michael J.; Zogorski, John S.; Price, Curtis V.

2012-01-01

Multiple lines of evidence for indicating factors associated with the sources, transport, and fate of chloroform and three other trihalomethanes (THMs) in untreated groundwater were revealed by evaluating low-level analytical results and logistic regression results for THMs. Samples of untreated groundwater from wells used for drinking water were collected from 1996-2007 from 2492 wells across the United States and analyzed for chloroform, bromodichloromethane, dibromochloromethane, and bromoform by a low-level analytical method implemented in April 1996. Using an assessment level of 0.02 μg/L, chloroform was detected in 36.5% of public-well samples and 17.6% of domestic-well samples, with most concentrations less than 1 μg/L. Brominated THMs occurred less frequently than chloroform but more frequently in public-well samples than domestic-well samples. For both public and domestic wells, THMs occurred most frequently in urban areas. Logistic regression analyses showed that the occurrence of THMs was related to nonpoint sources such as urban land use and to point sources like septic systems. The frequent occurrence and concentration distribution pattern of THMs, as well as their frequent co-occurrence with other organic compounds and nitrate, all known to have anthropogenic sources, and the positive associations between THM occurrence and dissolved oxygen and recharge indicate the recycling of water that contains THMs and other anthropogenic contaminants.

Impaired driving enforcement practices among state and local law enforcement agencies in the United States.

PubMed

Eichelberger, Angela H; McCartt, Anne T

2016-09-01

Alcohol-impaired driving (DUI) persists as a substantial problem, yet detailed data on DUI enforcement practices are rarely collected. The present study surveyed state and local law enforcement agencies about their DUI enforcement activities. Telephone interviews were conducted with law enforcement liaisons in state highway safety offices. Officers from a nationally representative sample of municipal, county, and state law enforcement agencies were also interviewed about their agency's DUI enforcement activities, including the types of enforcement, frequency of use, and whether activities were publicized. Response rates were 100% among law enforcement liaisons, 86% among county agencies, 93% among municipal agencies, and 98% among state agencies. Based on the highway safety office survey, 38 states conducted sobriety checkpoints in 2011. Nationally, 58% of law enforcement agencies reported that they conducted or helped conduct sobriety checkpoints during 2011-12, with 14% of all agencies conducting them monthly or more frequently. The vast majority (87%) of agencies reported conducting dedicated DUI patrols. However, dedicated DUI patrols were less likely to be publicized than checkpoints. Less than a quarter of agencies reported using passive alcohol sensors to improve detection of alcohol-impaired drivers. Results show that 38 states conducted sobriety checkpoints in 2011, little changed from a previous survey in 2000. Despite evidence of effectiveness, many agencies do not conduct frequent, publicized DUI enforcement or use passive alcohol sensors. The survey suggests that there are several areas in which impaired driving enforcement could be improved: increasing the frequency of special enforcement, such as sobriety checkpoints and/or dedicated patrols; publicizing these efforts to maximize deterrent effects; and using passive alcohol sensors to improve detection of alcohol-impaired drivers. Copyright © 2016 Elsevier Ltd and National Safety Council. All rights reserved.

Reduced North American terrestrial primary productivity linked to anomalous Arctic warming

DOE PAGES

Kim, Jin-Soo; Kug, Jong-Seong; Jeong, Su-Jong; ...

2017-07-10

Warming temperatures in the Northern Hemisphere have enhanced terrestrial productivity. Despite the warming trend, North America has experienced more frequent and more intense cold weather events during winters and springs. These events have been linked to anomalous Arctic warming since 1990, and may affect terrestrial processes. Here we analyse many observation data sets and numerical model simulations to evaluate links between Arctic temperatures and primary productivity in North America. We find that positive springtime temperature anomalies in the Arctic have led to negative anomalies in gross primary productivity over most of North America during the last three decades, which amountmore » to a net productivity decline of 0.31 PgC yr -1 across the continent. This decline is mainly explained by two factors: severe cold conditions in northern North America and lower precipitation in the South Central United States. In addition, United States crop-yield data reveal that during years experiencing anomalous warming in the Arctic, yields declined by approximately 1 to 4% on average, with individual states experiencing declines of up to 20%. We conclude that the strengthening of Arctic warming anomalies in the past decades has remotely reduced productivity over North America.« less

Reduced North American terrestrial primary productivity linked to anomalous Arctic warming

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

Kim, Jin-Soo; Kug, Jong-Seong; Jeong, Su-Jong

Warming temperatures in the Northern Hemisphere have enhanced terrestrial productivity. Despite the warming trend, North America has experienced more frequent and more intense cold weather events during winters and springs. These events have been linked to anomalous Arctic warming since 1990, and may affect terrestrial processes. Here we analyse many observation data sets and numerical model simulations to evaluate links between Arctic temperatures and primary productivity in North America. We find that positive springtime temperature anomalies in the Arctic have led to negative anomalies in gross primary productivity over most of North America during the last three decades, which amountmore » to a net productivity decline of 0.31 PgC yr -1 across the continent. This decline is mainly explained by two factors: severe cold conditions in northern North America and lower precipitation in the South Central United States. In addition, United States crop-yield data reveal that during years experiencing anomalous warming in the Arctic, yields declined by approximately 1 to 4% on average, with individual states experiencing declines of up to 20%. We conclude that the strengthening of Arctic warming anomalies in the past decades has remotely reduced productivity over North America.« less

The Association between Dust Storms and Daily Non-Accidental Mortality in the United States, 1993–2005

PubMed Central

Crooks, James Lewis; Cascio, Wayne E.; Percy, Madelyn S.; Reyes, Jeanette; Neas, Lucas M.; Hilborn, Elizabeth D.

2016-01-01

Background: The impact of dust storms on human health has been studied in the context of Asian, Saharan, Arabian, and Australian storms, but there has been no recent population-level epidemiological research on the dust storms in North America. The relevance of dust storms to public health is likely to increase as extreme weather events are predicted to become more frequent with anticipated changes in climate through the 21st century. Objectives: We examined the association between dust storms and county-level non-accidental mortality in the United States from 1993 through 2005. Methods: Dust storm incidence data, including date and approximate location, are taken from the U.S. National Weather Service storm database. County-level mortality data for the years 1993–2005 were acquired from the National Center for Health Statistics. Distributed lag conditional logistic regression models under a time-stratified case-crossover design were used to study the relationship between dust storms and daily mortality counts over the whole United States and in Arizona and California specifically. End points included total non-accidental mortality and three mortality subgroups (cardiovascular, respiratory, and other non-accidental). Results: We estimated that for the United States as a whole, total non-accidental mortality increased by 7.4% (95% CI: 1.6, 13.5; p = 0.011) and 6.7% (95% CI: 1.1, 12.6; p = 0.018) at 2- and 3-day lags, respectively, and by an average of 2.7% (95% CI: 0.4, 5.1; p = 0.023) over lags 0–5 compared with referent days. Significant associations with non-accidental mortality were estimated for California (lag 2 and 0–5 day) and Arizona (lag 3), for cardiovascular mortality in the United States (lag 2) and Arizona (lag 3), and for other non-accidental mortality in California (lags 1–3 and 0–5). Conclusions: Dust storms are associated with increases in lagged non-accidental and cardiovascular mortality. Citation: Crooks JL, Cascio WE, Percy MS, Reyes J, Neas LM, Hilborn ED. 2016. The association between dust storms and daily non-accidental mortality in the United States, 1993–2005. Environ Health Perspect 124:1735–1743; http://dx.doi.org/10.1289/EHP216 PMID:27128449

Kids Making Sense of Air Quality Around Them Through a Hands-On, STEM-Based Program

NASA Astrophysics Data System (ADS)

Dye, T.

2015-12-01

Air pollution in many parts of the world is harming millions of people, shortening lives, and taking a toll on our ecosystem. Cities in India, China, and even the United States frequently exceed air quality standards. The use of localized data is a powerful enhancement to regulatory monitoring site data. Learning about air quality at a local level is a powerful driver for change. The Kids Making Sense program unites Science, Technology, Engineering, and Mathematics (STEM) education with a complete measurement and environmental education system that teaches youth about air pollution and empowers them to drive positive change in their communities. With this program, youth learn about particle pollution, its sources, and health effects. A half-day lecture is followed by hands-on activity using handheld air sensors paired with an app on smartphones. Students make measurements around schools to discover pollution sources and cleaner areas. Next, the data they collect are crowdsourced on a website for guided discussion and data interpretation. This program meets Next Generation Science Standards, encourages project-based learning and deep understanding of applied science, and allows students to practice science like real scientists. The program has been successfully implemented in several schools in the United States and Asia, including New York City, San Francisco, Los Angeles, and Sacramento in the United States, and Taipei and Taichung in Taiwan. During this talk, we'll provide an overview of the program, discuss some of the challenges, and lay out the next steps for Kids Making Sense.

Hepatitis B virus infection in Haemodialysis Centres from Santa Catarina State, Southern Brazil. Predictive risk factors for infection and molecular epidemiology

PubMed Central

Carrilho, Flair J; Moraes, Cleusa R; Pinho, João RR; Mello, Isabel MVGC; Bertolini, Dennis A; Lemos, Marcílio F; Moreira, Regina C; Bassit, Leda C; Cardoso, Rita A; Ribeiro-dos-Santos, Gabriela; Da Silva, Luiz C

2004-01-01

Background Patients under haemodialysis are considered at high risk to acquire hepatitis B virus (HBV) infection. Since few data are reported from Brazil, our aim was to assess the frequency and risk factors for HBV infection in haemodialysis patients from 22 Dialysis Centres from Santa Catarina State, south of Brazil. Methods This study includes 813 patients, 149 haemodialysis workers and 772 healthy controls matched by sex and age. Serum samples were assayed for HBV markers and viraemia was detected by nested PCR. HBV was genotyped by partial S gene sequencing. Univariate and multivariate statistical analyses with stepwise logistic regression analysis were carried out to analyse the relationship between HBV infection and the characteristics of patients and their Dialysis Units. Results Frequency of HBV infection was 10.0%, 2.7% and 2.7% among patients, haemodialysis workers and controls, respectively. Amidst patients, the most frequent HBV genotypes were A (30.6%), D (57.1%) and F (12.2%). Univariate analysis showed association between HBV infection and total time in haemodialysis, type of dialysis equipment, hygiene and sterilization of equipment, number of times reusing the dialysis lines and filters, number of patients per care-worker and current HCV infection. The logistic regression model showed that total time in haemodialysis, number of times of reusing the dialysis lines and filters, and number of patients per worker were significantly related to HBV infection. Conclusions Frequency of HBV infection among haemodialysis patients at Santa Catarina state is very high. The most frequent HBV genotypes were A, D and F. The risk for a patient to become HBV positive increase 1.47 times each month of haemodialysis; 1.96 times if the dialysis unit reuses the lines and filters ≥ 10 times compared with haemodialysis units which reuse < 10 times; 3.42 times if the number of patients per worker is more than five. Sequence similarity among the HBV S gene from isolates of different patients pointed out to nosocomial transmission. PMID:15113436

National estimates of hospital use by children with HIV infection in the United States: analysis of data from the 2000 KIDS Inpatient Database.

PubMed

Kourtis, Athena P; Paramsothy, Pangaja; Posner, Samuel F; Meikle, Susan F; Jamieson, Denise J

2006-07-01

The purpose of this research was to describe hospital use patterns of HIV-infected children in the United States. We analyzed a nationwide, stratified probability sample of 2.5 million hospital discharges of children and adolescents during the year 2000, weighted to 7.3 million discharges nationally. We excluded discharges after hospitalizations related to pregnancy/childbirth and their complications and discharges of neonates <1 month of age and of patients >18 years of age. Diagnoses were identified through the use of the Clinical Classification Software with grouping of related diagnoses. We estimated that there were 4107 hospitalizations of HIV-infected children in 2000 and that these hospitalizations accounted for approximately dollar 100 million in hospital charges and >30000 hospital days. Infections, including sepsis and pneumonia, were among the most frequent diagnoses in such hospitalizations, followed by diagnoses related to gastrointestinal conditions, nutritional deficiencies and anemia, fluid/electrolyte disorders, central nervous system disorders, cardiovascular disorders, and respiratory illnesses. Compared with hospitalizations of non-HIV-infected children, hospitalizations of HIV-infected ones were more likely to be in urban areas, in pediatric/teaching hospitals, and in the Northeast, and the expected payer was more likely to be Medicaid (77.6% vs 37.2%). Compared with children without HIV, those with HIV tended to be older (median age: 9.5 years vs 5.2 years), to have been hospitalized longer (mean: 7.8 days vs 3.9 days), and to have incurred higher hospital costs (mean: dollar 23221 vs dollar 11215); HIV-associated hospitalizations ended in the patient's death more frequently than non-HIV ones (1.8% vs 0.4%), and complications of medical care were also more common (10.8% vs 6.2%). Infections account for the majority of hospitalizations of HIV-infected children in the United States, although nutritional deficiencies, anemia and other hematologic disorders, gastrointestinal and renal disorders, and complications of medical care are also more common among hospitalized children with HIV than among those without HIV.

Occurrence of pesticides in shallow groundwater of the United States: initial results from the National Water-Quality Assessment program

USGS Publications Warehouse

Kolpin, Dana W.; Barbash, Jack E.; Gilliom, Robert J.

1998-01-01

The first phase of intensive data collection for the National Water-Quality Assessment (NAWQA) was completed during 1993−1995 in 20 major hydrologic basins of the United States. Groundwater land-use studies, designed to sample recently recharged groundwater (generally within 10 years) beneath specific land-use and hydrogeologic settings, are a major component of the groundwater quality as sessment for NAWQA. Pesticide results from the 41 land-use studies conducted during 1993−1995 indicate that pesticides were commonly detected in shallow groundwater, having been found at 54.4% of the 1034 sites sampled in agricultural and urban settings across the United States. Pesticide concentrations were generally low, with over 95% of the detections at concentrations less than 1 μg/L. Of the 46 pesticide compounds examined, 39 were detected. The compounds detected most frequently were atrazine (38.2%), deethylatrazine (34.2%), simazine (18.0%), metolachlor (14.6%), and prometon (13.9%). Statistically significant relations were observed between frequencies of detection and the use, mobility, and persistence of these compounds. Pesticides were commonly detected in both agricultural (56.4%; 813 sites) and urban (46.6%; 221 sites) settings. Frequent detections of pesticides in urban areas indicate that, as is the case with agricultural pesticide use in agricultural areas, urban and suburban pesticide use significantly contribute to pesticide occurrence in shallow groundwater. Although pesticides were detected in groundwater sampled in urban areas and all nine of the agricultural land-use categories examined, significant variations in occurrence were observed among these categories. Maximum contaminant levels (MCLs) established by the U.S. Environmental Protection Agency for drinking water were exceeded for only one pesticide (atrazine, 3 μg/L) at a single location. However, MCLs have been established for only 25 of the 46 pesticide compounds examined, do not cover pesticide degradates, and, at present, do not take into account additive or synergistic effects of combinations of pesticide compounds or potential effects on nearby aquatic ecosystems.

Survival and complications in thalassemia.

PubMed

Borgna-Pignatti, C; Cappellini, M D; De Stefano, P; Del Vecchio, G C; Forni, G L; Gamberini, M R; Ghilardi, R; Origa, R; Piga, A; Romeo, M A; Zhao, H; Cnaan, A

2005-01-01

The life expectancy of patients with thalassemia major has significantly increased in recent years, as reported by several groups in different countries. However, complications are still frequent and affect the patients' quality of life. In a recent study from the United Kingdom, it was found that 50% of the patients had died before age 35. At that age, 65% of the patients from an Italian long-term study were still alive. Heart disease is responsible for more than half of the deaths. The prevalence of complications in Italian patients born after 1970 includes heart failure in 7%, hypogonadism in 55%, hypothyroidism in 11%, and diabetes in 6%. Similar data were reported in patients from the United States. In the Italian study, lower ferritin levels were associated with a lower probability of experiencing heart failure and with prolonged survival. Osteoporosis and osteopenia are common and affect virtually all patients. Hepatitis C virus antibodies are present in 85% of multitransfused Italian patients, 23% of patients in the United Kingdom, 35% in the United States, 34% in France, and 21% in India. Hepatocellular carcinoma can complicate the course of hepatitis. A survey of Italian centers has identified 23 such cases in patients with a thalassemia syndrome. In conclusion, rates of survival and complication-free survival continue to improve, due to better treatment strategies. New complications are appearing in long-term survivors. Iron overload of the heart remains the main cause of morbidity and mortality.

Bullying Victimization, Social Network Usage, and Delinquent Coping in a Sample of Urban Youth: Examining the Predictions of General Strain Theory.

PubMed

Baker, Thomas; Pelfrey, William V

2016-12-01

Guided by the propositions of general strain theory, this study examines the impact of experienced and anticipated strains on the delinquent coping of adolescents while accounting for the usage of social networking sites. Specifically, this study uses self-report survey data collected from 3,195 middle and high school students in a single Midwest city in the United States to explore the effect of experiencing the strains of traditional bullying victimization and cyberbullying victimization on adolescents self-reported soft drug use, hard drug use, and weapon carrying behavior. These relationships are explored among both frequent and infrequent users of social networking sites. Results indicate that cyberbullying victimization and the anticipated strain of feeling unsafe at or on the way to or from school are significantly and positively associated with all three mechanisms of delinquent coping among both frequent and infrequent social network users.

Childhood abuse as a risk factor for sleep problems in adulthood: evidence from a U.S. national study.

PubMed

Greenfield, Emily A; Lee, Chioun; Friedman, Elliot L; Springer, Kristen W

2011-10-01

Accumulating evidence indicates that stress impairs sleep quality. Few studies, however, have examined the extent to which early life stress can jeopardize sleep in adulthood. Guided by a life course epidemiological perspective on health, this study examined associations between childhood abuse and adult sleep problems. We used data from 835 respondents in the National Survey of Midlife Development in the United States (MIDUS). Self-report measures assessed the frequency of physical, emotional, and sexual abuse in childhood, as well as global and component indicators of sleep problems in adulthood. Having experienced all three types of childhood abuse-even infrequently-was associated with global sleep pathology, as well as specific types of sleep problems. Reports of both frequent physical and frequent emotional abuse-even in the absence of sexual abuse-were also associated with poor sleep. Childhood abuse is a risk factor for individuals' long-term sleep problems.