Improving Simulations of Fine Dust Surface Concentrations over the Western United States by Optimizing the Particle Size Distribution

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

Zhang, Li; Kok, Jasper F.; Henze, Daven

2013-06-28

To improve estimates of remote contributions of dust to fine particulate matter (PM2.5) in the western United States, new dust particle size distributions (PSDs) based upon scale-invariant fragmentation theory (Kok_PSD) with constraints from in situ measurements (IMP_PSD) are implemented in a chemical transport model (GEOS-Chem). Compared to initial simulations, this leads to reductions in the mass of emitted dust particles with radii <1.8 mm by 40%-60%. Consequently, the root-mean-square error in simulated fine dust concentrations compared to springtime surface observations in the western United States is reduced by 67%-81%. The ratio of simulated fine to coarse PM mass is alsomore » improved, which is not achievable by reductions in total dust emissions. The IMP_PSD best represents the PSD of dust transported from remote sources and reduces modeled PM2.5 concentrations up to 5 mg/m3 over the western United States, which is important when considering sources contributing to nonattainment of air quality standards. Citation: Zhang, L., J. F. Kok, D. K. Henze, Q. Li, and C. Zhao (2013), Improving simulations of fine dust surface concentrations over the western United States by optimizing the particle size distribution, Geophys. Res. Lett., 40, 3270-3275, doi:10.1002/grl.50591.« less

Vocational Rehabilitation Act Reauthorization. Hearing on Examining Proposed Legislation Authorizing Funds for Programs of the Rehabilitation Act, Including H.R. 1385, to Consolidate, Coordinate, and Improve Employment, Training, Literacy, and Vocational Rehabilitation Programs in the United States, before the Subcommittee on Employment and Training of the Committee on Labor and Human Resources. United States Senate, One Hundred Fifth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

This congressional report contains testimony pertaining to reauthorization of the Vocational Rehabilitation Act, which was drafted to authorize funds for programs covered by the act and consolidate, coordinate, and improve employment, training, literacy, and vocational rehabilitation programs in the United States. Statements were provided by three…

Assessing Student Learning Outcomes in United States Government Courses

ERIC Educational Resources Information Center

Champney, Leonard; Edleman, Paul

2010-01-01

This study employs the Solomon Four-Group Design to measure student knowledge of the United States government and student knowledge of current events at the beginning of a U.S. government course and at the end. In both areas, knowledge improves significantly. Regarding knowledge of the U.S. government, both males and females improve at similar…

Plant breeding and rural development in the United States.

Treesearch

KE Woeste; SB Blanche; KA Moldenhauer; CD Nelson

2010-01-01

Plant breeders contributed enormously to the agricultural and economic development of the United States. By improving the profitability of farming, plant breeders improved the economic condition of farmers and contributed to the growth and structure of rural communities. In the years since World War II, agriculture and the quality of rural life have been driven by...

Developmental process and early phases of implementation for the United States Interagency Committee on Human Nutrition Research National Nutrition Research Roadmap

USDA-ARS?s Scientific Manuscript database

The United States Congress first called for improved coordination of human nutrition research within and among federal departments and agencies in the 1977 Farm Bill. Today, the Interagency Committee on Human Nutrition Research (ICHNR) is charged with improving the planning, coordination, and commu...

Applying to University with Criminal Convictions: A Comparative Study of Admissions Policies in the United States and United Kingdom

ERIC Educational Resources Information Center

Custer, Bradley D.

2018-01-01

Higher education institutions in the United States and the United Kingdom increasingly require prospective students to disclose past criminal history on admissions applications. However, a social movement aimed at improving opportunities for people with criminal records may force higher education to reconsider this practice. This paper offers a…

The Army Needs to Improve Individual Soldier Training in Its Units. Report to the Congress by the Comptroller General of the United States.

ERIC Educational Resources Information Center

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

A study was conducted to determine whether unit level individual skill training is being provided to prepare Army enlisted personnel to perform critical job tasks within their military occupational specialty (MOS). The General Accounting Office reviewed the Army's skill training programs at 10 active units in the continental United States and five…

Geographical, socioeconomic, and ecological determinants of exotic plant naturalization in the United States: insights and updates from improved data

Treesearch

Qinfeng Guo; Marcel Rejmanek; Jun Wen

2012-01-01

Previous studies on alien species establishment in the United States and around the world have drastically improved our understanding of the patterns of species naturalization, biological invasions, and underlying mechanisms. Meanwhile, relevant new data have been added and the data quality has significantly increased along with the consistency of related concepts and...

Greater Use of Exemplary Education Programs Could Improve Education for Disadvantaged Children. Report to the Congress by the Comptroller General of the United States.

ERIC Educational Resources Information Center

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

This report by the Comptroller General to the United States Congress discusses the review made of the Department of Education's National Diffusion Network, particularly its efforts to improve Title I reading programs through information dissemination on exemplary projects. Chapter one examines the Department of Education's dissemination…

Strategic spectrum plan : November 2005.

DOT National Transportation Integrated Search

2005-11-01

The United States Department of Transportation (DOT) occupies a leadership role in the : global transportation network. The people of DOT are dedicated to improving : transportation in the United States and around the world by making it safer, simple...

Final Nellis Air Force Base Capital Improvements Program Environmental Assessment

DTIC Science & Technology

2013-08-01

USCB United States Census Bureau USFWS United States Fish and Wildlife Service VOC Volatile Organic Compound WINDO Wing Infrastructure and...desert tortoise, consultation with the United States (U.S.) Fish and Wildlife Service would be initiated. Consultation with the U.S. Army Corps of...and decrease energy consumption on military installations. The projects described in the CIP are derived from the Base Comprehensive Asset Management

The benefits of improved technologies in agricultural aviation. [economic impact and aircraft configurations

NASA Technical Reports Server (NTRS)

1978-01-01

The economic benefits attributable to a variety of potential technological improvements in agricultural aviation are discussed. Topics covered include: the ag-air industry, the data base used to estimate the potential benefits and a summary of the potential benefits from technological improvements; ag-air activities in the United States; foreign ag-air activities; major ag-air aircraft is use and manufacturers' sales and distribution networks; and estimates of the benefits to the United States of proposed technological improvements to the aircraft and dispersal equipment. A bibliography of references is appended.

Using State Student Unit Record Data to Increase Community College Student Success

ERIC Educational Resources Information Center

Ewell, Peter; Jenkins, Davis

2008-01-01

This chapter examines lessons learned by states that are using student unit record (SUR) data to improve outcomes for community college students and recommends steps states can take to strengthen their use of SUR databases to benefit students and communities. (Contains 1 exhibit.)

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

PubMed

Smeeding, Timothy; Thévenot, Céline

2016-04-01

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

Fiscal Relations across Levels of Government in the United States. OECD Economics Department Working Papers, No. 462

ERIC Educational Resources Information Center

Laubach, Thomas

2005-01-01

This paper discusses the current state of fiscal relations between the federal, state and local governments in the United States and suggests directions for improvement. The significant degree of fiscal autonomy of the states and, to a lesser extent, of local governments has had several beneficial effects, including the responsiveness of public…

Preliminary evaluation of the Community Multiscale Air Quality model for 2002 over the Southeastern United States.

PubMed

Morris, Ralph E; McNally, Dennis E; Tesche, Thomas W; Tonnesen, Gail; Boylan, James W; Brewer, Patricia

2005-11-01

The Visibility Improvement State and Tribal Association of the Southeast (VISTAS) is one of five Regional Planning Organizations that is charged with the management of haze, visibility, and other regional air quality issues in the United States. The VISTAS Phase I work effort modeled three episodes (January 2002, July 1999, and July 2001) to identify the optimal model configuration(s) to be used for the 2002 annual modeling in Phase II. Using model configurations recommended in the Phase I analysis, 2002 annual meteorological (Mesoscale Meterological Model [MM5]), emissions (Sparse Matrix Operator Kernal Emissions [SMOKE]), and air quality (Community Multiscale Air Quality [CMAQ]) simulations were performed on a 36-km grid covering the continental United States and a 12-km grid covering the Eastern United States. Model estimates were then compared against observations. This paper presents the results of the preliminary CMAQ model performance evaluation for the initial 2002 annual base case simulation. Model performance is presented for the Eastern United States using speciated fine particle concentration and wet deposition measurements from several monitoring networks. Initial results indicate fairly good performance for sulfate with fractional bias values generally within +/-20%. Nitrate is overestimated in the winter by approximately +50% and underestimated in the summer by more than -100%. Organic carbon exhibits a large summer underestimation bias of approximately -100% with much improved performance seen in the winter with a bias near zero. Performance for elemental carbon is reasonable with fractional bias values within +/- 40%. Other fine particulate (soil) and coarse particular matter exhibit large (80-150%) overestimation in the winter but improved performance in the summer. The preliminary 2002 CMAQ runs identified several areas of enhancements to improve model performance, including revised temporal allocation factors for ammonia emissions to improve nitrate performance and addressing missing processes in the secondary organic aerosol module to improve OC performance.

DoD Major Automated Information Systems: Improvements Can Be Made in Applying Leading Practices for Managing Risk and Testing

DTIC Science & Technology

2017-03-01

Government Accountability Office Highlights of GAO-17-322, a report to congressional committees March 2017 DOD MAJOR AUTOMATED INFORMATION ...DOD MAJOR AUTOMATED INFORMATION SYSTEMS Improvements Can Be Made in Applying Leading Practices for Managing Risk and...Testing Report to Congressional Committees March 2017 GAO-17-322 United States Government Accountability Office United States

The Importance of Ethical Training for the Improvement of Ethical Decision-Making: Evidence from Germany and the United States

ERIC Educational Resources Information Center

Rottig, Daniel; Heischmidt, Kenneth A.

2007-01-01

Based on three independent samples from Germany and the United States, this exploratory, cross-cultural study examines empirically the importance of ethical training for the improvement of ethical decision-making. The results of the study reveal a significant difference in the use of corporate codes of conduct and ethical training, as well as…

DOD Service Acquisition: Improved Use of Available Data Needed to Better Manage and Forecast Service Contract Requirements

DTIC Science & Technology

2016-02-01

Requirements Report to Congressional Committees February 2016 GAO-16-119 United States Government Accountability Office United States...Government Accountability Office Highlights of GAO-16-119, a report to congressional committees February 2016 DOD SERVICE ACQUISITION Improved... Definitions 12 Figures Figure 1: DOD’s Planning, Programming, Budgeting, and Execution (PPBE) Process for Determining Requirements and Allocating

Status of fusiform rust incidence in slash and loblolly pine plantations in the southeastern United States

Treesearch

KaDonna C. Randolph

2016-01-01

Southern pine tree improvement programs have been in operation in the southeastern United States since the 1950s. Their goal has been to improve volume growth, tree form, disease resistance, and wood quality in southern pines, particularly slash pine (Pinus elliottii) and loblolly pine (P. taeda). The disease of focus has been...

Improving Access to Preschool and Postsecondary Education. Hearings before the Subcommittee on Education and Health of the Joint Economic Committee. Congress of the United States, One Hundredth Congress, Second Session (December 14-15, 1988).

ERIC Educational Resources Information Center

Joint Economic Committee, Washington, DC.

Joint hearings on the process of improving access to preschool and postsecondary education in the United States were convened to examine the economic significance of improved access to the nation. James H. Scheuer presided. These 2 days of hearings were the last of 11 days; information given on the previous days, which focused on what the country…

Development and Field Test of the Trial Battery for Project A. Improving the Selection, Classification and Utilization of Army Enlisted Personnel. Project A: Improving the Selection, Classification and Utilization of Army Enlisted Personnel. ARI Technical Report 739.

ERIC Educational Resources Information Center

Peterson, Norman G., Ed.

As part of the United States Army's Project A, research has been conducted to develop and field test a battery of experimental tests to complement the Armed Services Vocational Aptitude Battery in predicting soldiers' job performance. Project A is the United States Army's large-scale manpower effort to improve selection, classification, and…

DEVELOPMENT OF BIOLOGICALLY BASED SEDIMENT CRITERIA IN MOUNTAIN STREAMS OF THE WESTERN UNITED STATES

EPA Science Inventory

Sediment has long been recognized as a leading cause of impairment of biological condition in rivers and streams of the United States. Recently, federal and state agencies have shown increased interest in developing sediment criteria to maintain or improve habitat quality for the...

Impact of improving vehicle front design on the burden of pedestrian injuries in Germany, the United States, and India.

PubMed

Moran, Dane; Bose, Dipan; Bhalla, Kavi

2017-11-17

European car design regulations and New Car Assessment Program (NCAP) ratings have led to reductions in pedestrian injuries. The aim of this study was to evaluate the impact of improving vehicle front design on mortality and morbidity due to pedestrian injuries in a European country (Germany) and 2 countries (the United States and India) that do not have pedestrian-focused NCAP testing or design regulations. We used data from the International Road Traffic and Accident Database and the Global Burden of Disease project to estimate baseline pedestrian deaths and nonfatal injuries in each country in 2013. The effect of improved passenger car star ratings on probability of pedestrian injury was based on recent evaluations of pedestrian crash data from Germany. The effect of improved heavy motor vehicle (HMV) front end design on pedestrian injuries was based on estimates reported by simulation studies. We used burden of disease methods to estimate population health loss by combining the burden of morbidity and mortality in disability-adjusted life years (DALYs) lost. Extrapolating from evaluations in Germany suggests that improving front end design of cars can potentially reduce the burden of pedestrian injuries due to cars by up to 24% in the United States and 41% in India. In Germany, where cars comply with the United Nations regulation on pedestrian safety, additional improvements would have led to a 1% reduction. Similarly, improved HMV design would reduce DALYs lost by pedestrian victims hit by HMVs by 20% in each country. Overall, improved vehicle design would reduce DALYs lost to road traffic injuries (RTIs) by 0.8% in Germany, 4.1% in the United States, and 6.7% in India. Recent evaluations show a strong correlation between Euro NCAP pedestrian scores and real-life pedestrian injuries, suggesting that improved car front end design in Europe has led to substantial reductions in pedestrian injuries. Although the United States has fewer pedestrian crashes, it would nevertheless benefit substantially by adopting similar regulations and instituting pedestrian NCAP testing. The maximum benefit would be realized in low- and middle-income countries like India that have a high proportion of pedestrian crashes. Though crash avoidance technologies are being developed to protect pedestrians, supplemental protection through design regulations may significantly improve injury countermeasures for vulnerable road users.

Tree planting in the United States - 1997

Treesearch

Robert J. Moulton

1997-01-01

This annual report summarizes tree planting, timber stand improvement, and nursery production activities across all ownerships of forest land in the United States. It includes state-by-state and ownership breakdowns, regional totals, as well as analysis of the trends in the data. It does not include tree planting in urban and community environments. As far as we...

Need for Subsidized Family Planning Services: United States, Each State and County, 1968.

ERIC Educational Resources Information Center

Planned Parenthood--World Population, New York, NY.

To provide federal, state, and local health agencies with information needed to achieve the national objectives of improving health, assisting families to escape poverty, and providing parents with freedom of choice in determining the number and spacing of their children, information was collected from 3,072 United States counties. Data from a…

Tree planting in the United States - 1998

Treesearch

R.J. Moulton; G. Hernandez

2000-01-01

This annual report summarizes tree planting, timber stand improvement, and nursery production activities across all ownerships of forest land in the United States. It includes State-by-State and ownership breakdowns, regional totals, as well as analysis of trends in the data. It does not include tree planting in urban and community environments. As far as we know, it...

The Commission on the Intelligence Capabilities of the United States Regarding Weapons of Mass Destruction: Report to the President of the United States

DTIC Science & Technology

2005-03-31

What We Don’t Know . . . . . . . . . . . . . . 506 The United States Response: The Biodefense Shield . . . . . . . 508 Going Forward: Improving... Going Forward: A Different Model . . . . . . . . . . . . . . . . . . . . . . 524 Protecting our Borders: The Department of Homeland Security...headquarters are felt only lightly. We understand the limits of organizational change, and many of our recommendations go beyond organizational issues and

United States Coast Guard recycling guide

DOT National Transportation Integrated Search

1996-07-01

In accordance with the Pollution Prevention Act of 1990, the United States Coast Guard (CG) is committed to a pollution prevention program that will improve the quality of the environment. A key element of this program is the minimization of municipa...

Study of State Programs for Rail-Highway Grade Crossing Improvements

DOT National Transportation Integrated Search

1978-02-01

In response to a DOT study of rail-highway grade crossing safety in the United States, the Congress passed the Highway Safety Act of 1973 which earmarked funds specifically for grade crossing improvements. Law requires the states to establish program...

Head Start: An Effective Program But the Fund Distribution Formula Needs Revision and Management Controls Need Improvement. Report to the Congress of the United States by the Comptroller General.

ERIC Educational Resources Information Center

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

This report from the Comptroller General to the United States Congress finds Head Start to be an effective program whose fund distribution formula needs revision and whose management controls need improvement. Head Start's funding for enrollment and operating costs increased significantly between 1977-81. However, these funding increases were not…

Adult vaccination: Now is the time to realize an unfulfilled potential

PubMed Central

Tan, Litjen

2015-01-01

Each year, vaccine-preventable diseases kill thousands of adults, both in the United States and across the planet, causing a significant human toll and severe economic burden on the world's healthcare systems. In the United States, while immunization is recognized as one of the most effective primary prevention services that improves health and well-being, adult immunization rates remain low and large gaps exist between national adult immunization goals and actual adult immunization rates. Closing these gaps requires a commitment by national leaders to a multifaceted national strategy to: (1) establish the value of adult vaccines in the eyes of the public, payers, policy makers, and health care professionals; (2) improve access to recommended adult vaccinations by improving the adult vaccine infrastructure in the United States and developing public-private partnerships to facilitate effective immunization behaviors; and (3) ensure fair and appropriate payment for adult immunization. Many of the situations that result in low adult immunizations rates in the United States also exist in many other countries around the world. Successful strategies to improve adult immunization coverage rates will result in reductions in morbidity, mortality, and healthcare costs. All medical and public health stakeholders must now collaborate to realize the significant health benefits that come with a strong adult immunization program. PMID:26091249

Improving rapeseed production practices in the southeastern United States

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

Thomas, D.L.; Breve, M.A.; Raymer, P.L.

1990-04-01

Oilseed rape or rapeseed is a crop which offers a potential for double-cropping in the southeastern United States. This final project report describes the results from a three year study aimed at evaluating the effect of different planting and harvesting practices on establishment and yield of three rape cultivars, and the double cropping potential of rapeseed in the southeastern United States. The project was conducted on two yield sites in Tifton, Georgia during 1986--87, 1987--88 and 1988--89. The general objective of this research is to improve the seed and biomass yield of winter rapeseed in the southeastern United States bymore » developing appropriate agronomic practices for the region. The primary constraint is to grow rapeseed within the allowable period for double cropping with an economically desirable crop, such as peanut or soybean. Planting and harvesting are the most critical steps in this process. Therefore, the specific objectives of this research were: evaluate and improve the emergence of rapeseed by developing planting techniques that enhance the soil, water and seed regimes for winter rapeseed in the southeast, and evaluate and improve the yields of harvested rapeseed by developing techniques for determining the optimum timing of harvest and efficient methods for harvesting winter rapeseed in the southeast. 6 refs., 12 figs., 9 tabs.« less

The Economic Impact of Organized Camping in the United States in 1982: An Estimate and Analysis.

ERIC Educational Resources Information Center

University of Southern Maine, Portland. Organized Camping Resources Center for Research and Advanced Study.

This study explored the economic value of organized camping in the United States. Organized camping provides: (1) job opportunities for target unemployment groups; (2) expenditures for food, insurance, equipment, supplies, improvements and services; and (3) an investment in recreational facilities. Separate state reports list total population of…

A Comparison of the Six Principles of the Individuals with Disabilities Education Improvement Act of the United States and the Persons with Disability Act of Ghana

ERIC Educational Resources Information Center

Mumuni, Samad Dimbie

2010-01-01

This study compared the six principles of IDEIA of the United States and the Persons with Disability Act of Ghana with the view to determining their similarities and differences. Recommendations were made with the ultimate aim of exploring the need for change in the special education delivery systems in the United States and Ghana. The comparative…

Improving the Composability of Department of Defense Models and Simulations

DTIC Science & Technology

2003-01-01

Simulations 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7...bibliographical references. “MG-101.” ISBN 0-8330-3525-8 (pbk. : alk. paper) 1. Military art and science— United States—Mathematical models. 2...Military art and science— United States—Simulation methods. 3. Operations research. 4. Military research— United States. 5. Military planning— United States

Impact of improved information on the structure of world grain trade. [wheat

NASA Technical Reports Server (NTRS)

1979-01-01

The benefits to be derived by the United States from improvements in global grain crop forecasting capability are discussed. The improvements in forecasting accuracy, which are a result of the use of satellite technology in conjunction with existing ground based estimating procedures are described. The degree of forecasting accuracy to be obtained from satellite technology is also examined. Specific emphasis is placed on wheat production in seven countries/regions: the United States; Canada; Argentina; Australia; Western Europe; the USSR; and all other countries in a group.

Metropolitan Library Service via 'the Cable' in the United States of America: A Thing of the Future

ERIC Educational Resources Information Center

Drolet, Leon L.

1975-01-01

Describes recent efforts by public libraries in the United States to make use of community antenna television (CATV) to improve their services, particularly by the telecasting of programs appealing to small audiences. (Author)

Textbook Development and Selection in Japan and the United States.

ERIC Educational Resources Information Center

Tani, Masaru; And Others

1993-01-01

Reports on a study trip by 13 U.S. social studies educators and publishers to Japan. Compares development, marketing, and selection of textbooks in the United States and Japan. Concludes that both nations should improve textbooks and textbook selection processes. (CFR)

College Readiness of Urban High School Students in the United States: The Role of Technology in Preparing All Students for College

ERIC Educational Resources Information Center

O'Kane, Eileen Vollert

2010-01-01

As we enter deeper into the 21st Century, there is a more urgent need to transform our educational system in the United States to better prepare our youth for the careers and technology of the future. This study examines how improving technology education at the high school level can improve the learning and college readiness of urban youth. It…

Utilizing Culture to Improve Communication and School Involvement with Parents from Diverse Backgrounds as a Means to Improve Student Achievement Levels in the United States: A National Focus

ERIC Educational Resources Information Center

Jacobs, Karen Dupre; Kritsonis, William Allan

2007-01-01

School leadership in communicating to parents and students from diverse backgrounds is a problem in education that must be addressed. As the population of the United States is becoming more and more diverse, school administrators must develop new ways to reach their stakeholders. All families must be involved in their children's academic progress…

ERIC First Analysis: 1976-77 National High School Debate Resolutions (How Can the Criminal Justice System in the United States Best Be Improved?)

ERIC Educational Resources Information Center

Huber, Robert B.

The goal of this booklet is to assist debaters in developing problem-solving skills as represented in the 1976-77 debate topic: How can the criminal justice system in the United States best be improved? The sections of this document focus on the need for criminal justice reform; procedural steps in the criminal justice system; discussing or…

A Tale of Two Health-Care Systems: Cost-Utility Analysis of Open Carpal Tunnel Release in Canada and the United States

PubMed Central

Kaur, Manraj N.; Tolliver, Tyson; Longo, Christopher J.; Naam, Nash H.; Thoma, Achilles

2017-01-01

Purpose: Canadian health care is often criticized for extended wait times, whereas the United States suffers from increased costs. The purpose of this pilot study was to determine the cost-utility of open carpal tunnel release in Canada versus the United States. Methods: A prospective cohort study evaluated patients undergoing open carpal tunnel release at an institution in Canada and the United States. All costs from a societal perspective were captured. Utility was measured using validated health-related quality of life (HRQOL) scales—the EuroQol-5D and the Michigan Hand Outcome Questionnaire. Results: Twenty-one patients at the Canadian site and 8 patients at the US site participated. Mean total costs were US $1581 ± $1965 and $2179 (range: $1421-$2741) at the Canadian and US sites, respectively. Health-related quality of life demonstrated significant improvements following surgery (P < .05). Patient utilities preoperatively and at 6 weeks and 3 months postoperatively were 0.72 ± 0.20, 0.86 ± 0.11, and 0.83 ± 0.16 at the Canadian site and 0.81 ± 0.09, 0.86 ± 0.10, and 0.86 ± 0.12 at the US site. Improvements in HRQOL directly related to surgery were not significantly different between patients in Canada and the United States. American patients, however, attained improved HRQOL sooner due to shorter wait times (27 ± 10 vs 214 ± 119 days; P < .001). The incremental cost-utility of the US system was $7758/quality-adjusted life year gained compared to the Canadian system. Sensitivity analyses confirmed that these results were robust. Conclusion: This pilot study suggests that carpal tunnel surgery is more cost-effective in the United States due to prolonged wait times in Canada. PMID:29026806

Retirement and health benefits for Mexican migrant workers returning from the United States

PubMed Central

Aguila, Emma; Zissimopoulos, Julie

2013-01-01

In the absence of a bilateral agreement for the portability and totalization of social security contributions between the United States and Mexico, this article examines the access to pension and health insurance benefits and employment status of older Mexican return migrants. We find that return migrants who have spent less than a year in the United States have a similar level of access to social security benefits as non-migrants. Return migrants who have spent at least a year in the United States are less likely to have public health insurance or social security benefits, and could be more vulnerable to poverty in old age. These results inform the debate on a bilateral social security agreement between the United States and Mexico to improve return migrants’ social security. PMID:23750049

Memorandum of Understanding on Surface Coal Mining Operations Resulting in Placement of Excess Spoil Fills in the Waters of the United States

EPA Pesticide Factsheets

MOU on Surface Coal Mining Operations establishes a process for improving coordination in the review of permit applications required for surface coal mining and reclamation in waters of the United States

Biophysical impacts of climate-smart agriculture in the Midwest United States

USDA-ARS?s Scientific Manuscript database

The potential impacts of climate change in the Midwest United States present unprecedented challenges to regional agriculture. In response to these challenges, a variety of climate-smart agricultural methodologies have been proposed to retain or improve crop yields, reduce agricultural greenhouse ga...

40 CFR Appendix E to Part 300 - Oil Spill Response

Code of Federal Regulations, 2014 CFR

2014-07-01

... management authority of the United States. (b) This appendix is designed to facilitate efficient, coordinated... and Health Administration RSPA—Research and Special Programs Administration USCG—United States Coast... changes to the NCP designed to improve the effectiveness of the national response system, including...

Global Lessons In Frugal Innovation To Improve Health Care Delivery In The United States.

PubMed

Bhatti, Yasser; Taylor, Andrea; Harris, Matthew; Wadge, Hester; Escobar, Erin; Prime, Matt; Patel, Hannah; Carter, Alexander W; Parston, Greg; Darzi, Ara W; Udayakumar, Krishna

2017-11-01

In a 2015 global study of low-cost or frugal innovations, we identified five leading innovations that scaled successfully in their original contexts and that may provide insights for scaling such innovations in the United States. We describe common themes among these diverse innovations, critical factors for their translation to the United States to improve the efficiency and quality of health care, and lessons for the implementation and scaling of other innovations. We highlight promising trends in the United States that support adapting these innovations, including growing interest in moving care out of health care facilities and into community and home settings; the growth of alternative payment models and incentives to experiment with new approaches to population health and care delivery; and the increasing use of diverse health professionals, such as community health workers and advanced practice providers. Our findings should inspire policy makers and health care professionals and inform them about the potential for globally sourced frugal innovations to benefit US health care.

The labor movement's role in gaining federal safety and health standards to protect America's workers.

PubMed

Weinstock, Deborah; Failey, Tara

2014-11-01

In the United States, unions sometimes joined by worker advocacy groups (e.g., Public Citizen and the American Public Health Association) have played a critical role in strengthening worker safety and health protections. They have sought to improve standards that protect workers by participating in the rulemaking process, through written comments and involvement in hearings; lobbying decision-makers; petitioning the Department of Labor; and defending improved standards in court. Their efforts have culminated in more stringent exposure standards, access to information about the presence of potentially hazardous toxic chemicals, and improved access to personal protective equipment-further improving working conditions in the United States.

Participatory genetic improvement: longleaf pine

Treesearch

C. Dana Nelson; Gwendolyn Boyd; Randall J. Rousseau; Barbara S. Crane; Craig S. Echt; Kurt H. Johnsen

2015-01-01

University-industry-state cooperative tree improvement has been highly successful in the southern United States. Over nearly 60 years, three cooperative programs have led the way in developing and deploying genetically improved planting stocks for loblolly (Pinus taeda L.) and slash (P. elliottii Engelm.) pines. However, much lower levels of success have been achieved...

Air pollution removal by urban trees and shrubs in the United States

Treesearch

David J. Nowak; Daniel E. Crane; Jack C. Stevens

2006-01-01

A modeling study using hourly meteorological and pollution concentration data from across the coterminous United States demonstrates that urban trees remove large amounts of air pollution that consequently improve urban air quality. Pollution removal (03, PM10, NO2, SO2, CO)...

Building a Potential Wetland Restoration Indicator for the Contiguous United States

EPA Science Inventory

Wetlands provide key functions in the landscape from improving water quality, to regulating flows, to providing wildlife habitat. Over half of the wetlands in the contiguous United States (CONUS) have been converted to agricultural and urban land uses. However, over the last seve...

Management characteristics of beef cattle production in the western United States

USDA-ARS?s Scientific Manuscript database

A comprehensive life cycle assessment (LCA) of beef in the United States is being conducted to provide benchmarks and identify opportunities for improvement of the beef value chain. Region-specific data are being collected to accurately characterize cattle production practices. This study reports pr...

General aviation accidents : the United States Air Force Aero Club solution

DOT National Transportation Integrated Search

1998-08-01

Aviation if an intrisically safe mode of travel. In 1994, the United States Air Force system of Aero Clubs put forth substantial effort to put a program in place (Fly Smart) to improve flying safety in it aircraft. This study compares the accident ra...

LINKING REGIONAL AEROSOL EMISSION CHANGES WITH MULTIPLE IMPACT MEASURES THROUGH DIRECT AND CLOUD-RELATED FORCING ESTIMATES

EPA Science Inventory

Outputs expected from this project include improved confidence in direct radiative forcing and cloud radiative forcing, particularly over the United States and with regard to United States emissions publicly available, documented data sets including emission inventories of siz...

USEPA'S SMALL DRINKING WATER TREATMENT TECHNOLOGY DEMONSTRATIONS IN ECUADOR AND MEXICO

EPA Science Inventory

In order to support and help in the struggle to improve the quality of drinking water in the United States and abroad, the United States Environmental Protection Agency (USEPA) conducts research studies for the demonstration and evaluation of alternative and innovative drinking w...

What Can the U.S. Learn from National Health Accounting Elsewhere?

PubMed Central

Berman, Peter

1999-01-01

The United States is typically seen as an outlier in health spending when compared with other advanced nations. Recent improvements in health accounting in lower- and middle-income countries suggest some common features with the high and pluralistic spending in the United States. The author discusses recent developments and findings in health accounting outside the Organization for Economic Cooperation and Development (OECD) and their relevance for the United States. He argues that we should expect more fruitful exchanges in the future. PMID:11481785

Sweat Equity: A Study of Housing Systems by and for the People in the United States and Cuba.

ERIC Educational Resources Information Center

Cole, Johnetta B.

1979-01-01

Compares housing problems and their resolution in Cuba and the United States. States that U.S. urban homesteading programs such as "sweat equity" are oriented to middle-income people and do not address needs of most Blacks. Contrasts this with Cuba whose government has made a sustained effort to improve housing. (Author/WP)

Systems-Based Aspects in the Training of IMG or Previously Trained Residents: Comparison of Psychiatry Residency Training in the United States, Canada, the United Kingdom, India, and Nigeria

ERIC Educational Resources Information Center

Jain, Gaurav; Mazhar, Mir Nadeem; Uga, Aghaegbulam; Punwani, Manisha; Broquet, Karen E.

2012-01-01

Objectives: International medical graduates (IMGs) account for a significant proportion of residents in psychiatric training in the United States. Many IMGs may have previously completed psychiatry residency training in other countries. Their experiences may improve our system. Authors compared and contrasted psychiatry residency training in the…

The Utility of Corporate-Style Balance Sheets for DoD Managers

DTIC Science & Technology

2014-06-01

operations of the executive branch ( United States Department of Commerce, 2014, p. 3- 2). 19 5. The Federal Financial Management Improvement Act of...federal financial management systems requirements, applicable federal accounting standards, and the United States Government Standard General Ledger at...General Accountability Office (1991). The Chief Financial Officers Act: A mandate for federal financial management reform. Washington, DC: Author. United

New technology in dietary assessment: a review of digital methods in improving food record accuracy.

PubMed

Stumbo, Phyllis J

2013-02-01

Methods for conducting dietary assessment in the United States date back to the early twentieth century. Methods of assessment encompassed dietary records, written and spoken dietary recalls, FFQ using pencil and paper and more recently computer and internet applications. Emerging innovations involve camera and mobile telephone technology to capture food and meal images. This paper describes six projects sponsored by the United States National Institutes of Health that use digital methods to improve food records and two mobile phone applications using crowdsourcing. The techniques under development show promise for improving accuracy of food records.

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2013 CFR

2013-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

The Mexican Education System, the Keystone to Combatting Crime and Improving Economic Well-Being

DTIC Science & Technology

2011-10-28

2 Nabeel Alsalam and Jonathan Schwabish. "A Description of the Immigrant Population:." Congress of the United States Congressional Budget Office... Nabeel , and Jonathan Schwabish. "A Description of the Immigrant Population:." Congress of the United States Congressional Budget Office, Last modified

Citizen science can improve conservation science, natural resource management, and environmental protection

USDA-ARS?s Scientific Manuscript database

Citizen science has advanced science for hundreds of years, contributed to many peer-reviewed articles, and informed land management decisions and policies across the United States. Over the last 10 years, citizen science has grown immensely in the United States and many other countries. Here, we sh...

Certificates Count: An Analysis of Sub-Baccalaureate Certificates

ERIC Educational Resources Information Center

Bosworth, Brian

2010-01-01

Since President Obama took office, he has repeatedly called for the United States to significantly improve its postsecondary education performance. One goal in particular has gained wide attention: the President's declaration that in an ever more competitive global marketplace, the United States must once again lead the world in college…

10 CFR 609.10 - Loan Guarantee Agreement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... TECHNOLOGIES § 609.10 Loan Guarantee Agreement. (a) Only a Loan Guarantee Agreement executed by a duly... Commercial Technologies in service in the United States; (2) The project will be constructed and operated in the United States, the employment of the new or significantly improved technology in the project has...

Aging Road User Survey and Crash Analysis to Identify Issues and Applicable Improvement Strategies for Kansas Conditions

DOT National Transportation Integrated Search

2018-02-02

The United States has over 4-million mi (6-million km) of roadways. The renewable energy potential on this size of land is enormous and could significantly contribute to the electricity demands of the United States. Developing piezoelectric technolog...

Effects of recent energy system changes on CO2 projections for the United States

EPA Science Inventory

Recent projections of United States carbon dioxide (CO2) emissions are considerably lower than those made just a decade ago. A myriad of factors have contributed to lower forecasts, including reductions in end-use energy service demands, improvements in energy efficiency, techno...

Carbon accounting rules and guidelines for the United States Forest Sector

Treesearch

Richard A. Birdsey

2006-01-01

The United States Climate Change initiative includes improvements to the U.S. Department of Energy's Voluntary Greenhouse Gas Reporting Program. The program includes specific accounting rules and guidelines for reporting and registering forestry activities that reduce atmospheric CO2 by increasing carbon sequestration or reducing emissions....

An evaluation of known remaining oil resources in the United States. Appendix, Project on Advanced Oil Recovery and the States

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

Not Available

This volume contains appendices for the following: Overview of improved oil recovery methods (enhanced oil recovery methods and advanced secondary recovery methods); Benefits of improved oil recovery, selected data for the analyzed states; and List of TORIS fields and reservoirs.

Mission Impossible? What States with Large Percentages of Rural Schools Tell Us about Federal School Improvement Grants

ERIC Educational Resources Information Center

Scott, Caitlin; McMurrer, Jennifer

2015-01-01

This article summarizes findings and lessons learned about implementing school improvement grant (SIG) initiatives in rural areas of the United States. The study examines state-level survey data based on the proportion of rural schools receiving SIG funds in the fall of 2010 in each state. In addition, the authors summarize related findings from…

Performance Incentives to Improve Community College Completion: Learning from Washington State's Student Achievement Initiative. A State Policy Brief

ERIC Educational Resources Information Center

Shulock, Nancy; Jenkins, Davis

2011-01-01

Amid growing signs of America's weakening position in the global economy, federal and state policymakers and major foundations have set ambitious goals for increasing postsecondary attainment in the United States. Given changing U.S. demographics, it has become clear that these national goals are attainable only with vastly improved outcomes among…

Filipino veterans' benefits improvements. Interim final rule.

PubMed

2001-12-27

This document amends Department of Veterans Affairs (VA) adjudication regulations to reflect changes made by the Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2001, which changed the rate of compensation payments to certain Filipino veterans residing in the United States and the Veterans Benefits and Health Care Improvement Act of 2000, which changed the amount of the burial benefit paid to the survivors of certain Filipino veterans who were residing in the United States at the times of their deaths.

Improving Science Achievement through Changes in Education Policy

ERIC Educational Resources Information Center

Owens, Tara M.

2009-01-01

Concerns over science education in the United States continue to grow due to the increasing global demands and competitiveness for careers in science and technology. This author contends that educators in the United States must look for ways to increase science proficiency and overall science literacy. Research about how students learn science…

Educational Attainment in the United States: 2003. Population Characteristics

ERIC Educational Resources Information Center

Stoops, Nicole

2004-01-01

The population in the United States is becoming more educated, but significant differences in educational attainment remain with regard to age, sex, race, and origin. Nevertheless, the educational attainment of young adults (25 to 29 years), which provides a glimpse of our country's future, indicates dramatic improvement by groups who have…

Potential for extending major land resource areas into northern Mexico

Treesearch

Roy S. Mann; Philip Heilman; Jeffry Stone

2013-01-01

There is a significant history of cooperative efforts between Mexico and the United States on natural resource management issues. Mexico and the United States have jointly conducted research and developed range management technologies. Bringing these technologies together and improving technical communications are an ongoing process. This paper discusses a potential...

Foreign Students in the United States: Is the Welcome Mat Out?

ERIC Educational Resources Information Center

Eddy, Margot Sanders

Problems facing foreign students in American colleges and universities are examined. With the number of foreign students studying in the United States increasing each year (over 203,000 in 1976-77), services for foreign students need to be expanded with more emphasis on improving orientation programs. Preadmission screening and counseling are…

Educational Attainment in the United States: Population Characteristics. Current Population Reports.

ERIC Educational Resources Information Center

Newburger, Eric C.; Curry, Andrea

Although the United States' overall trend reflects a more educated population, significant differences in educational attainment remain with regard to age, sex, race, and origin. Nevertheless, the educational attainment of young adults (ages 25 to 29) indicates a dramatic improvement by groups who have historically been less educated. This report…

Furrow diking and the economic water use efficiency of irrigated cotton in the southeast United States

USDA-ARS?s Scientific Manuscript database

Cotton (Gossypium hirsutum L.) production in the Southeast United States can be limited by periodic drought. Irrigation and furrow diking tillage may improve economic yield and water use efficiency of cotton. Timing of rainfall may interfere with the efficiency of irrigation. Field studies were c...

Professional Development Issues for School Psychologists: "What's Hot, What's Not in the United States"

ERIC Educational Resources Information Center

Wnek, Andrew C.; Klein, Gabrielle; Bracken, Bruce A.

2008-01-01

This study queried practicing school psychologists in the United States about the extent to which advances in the field have improved their individual service provision and fostered a desire for additional professional development. The researchers surveyed 1,000 members of the largest professional organization for school psychologists in the…

Agricultural Biology, Science (Experimental): 5314.09.

ERIC Educational Resources Information Center

Basnett, Fred D.

This unit of instruction was designed as a laboratory study of soils, plants, crop improvements and pesticides, and gives consideration to fish farming, tropical fish, and careers in agriculture. The booklet lists the relevant state-adopted texts and states the performance objectives for the unit. It provides an outline of the course content and…

Three Essays on Education Reform in the United States. PRGS Dissertation

ERIC Educational Resources Information Center

Scherer, Ethan

2014-01-01

It has long been thought that the United States education system is the great equalizer, lifting less advantaged children out of poverty and improving their chances for success in adulthood. The opportunity for economic and social mobility depends heavily, however, on access to high quality education. Recent research has raised concerns about…

Disillusionment with Higher Education in the Middle East and the United States

ERIC Educational Resources Information Center

Cochran, Judith A.

2011-01-01

University graduates in the Middle East and the United States of America are disillusioned with their higher education degrees. Youth expect to be well employed upon graduation and to improve their social status. Employment has been guaranteed from the earliest university certificates granted in Middle Eastern yeshivas, Houses of Learning, and…

International or Global--The Expanding Universe of Librarianship

ERIC Educational Resources Information Center

Rudasill, Lynne M.

2009-01-01

This year, the United States Department of Education Title VI programs will celebrate their 50th anniversary. During the Cold War, the United States government passed the National Defense Education Act to marshal all possible resources to improve education in multiple subject areas, initiating the development of National Research Centers (NRCs) in…

Emotional Intelligence: A Key to Improving Federal Chief Information Officer Management

ERIC Educational Resources Information Center

Borkowski, Tammy M.

2012-01-01

The United States Government relies on information technology to provide services to its citizens, spending more than $600 billion on its products and services in the last decade. Given the current fiscal climate, the Executive Branch of the United States Government has a renewed focus on information technology (IT) innovation, requiring federal…

Sketching by Design: Teaching Sketching to Young Learners

ERIC Educational Resources Information Center

Kelley, Todd R.; Sung, Euisuk

2017-01-01

Recent science educational reforms in the United States have prompted increased efforts to teach engineering design as an approach to improve STEM (Science, Technology, Engineering, and Mathematics) learning in K-12 classrooms. Teaching design in early grades is a new endeavor for teachers in the United States. Much can be learned from design…

United States Participation in the Pacific Circle Consortium. Final Report.

ERIC Educational Resources Information Center

Northwest Regional Educational Lab., Portland, OR.

The goal of the Pacific Circle Project is to improve international and intercultural understanding among the people and nations of the Pacific. Consortium member countries are Australia, Canada, New Zealand, and the United States. Within the countries are chosen member institutions. Two major types of activities of the consortium are the exchange…

Econometric models for predicting confusion crop ratios

NASA Technical Reports Server (NTRS)

Umberger, D. E.; Proctor, M. H.; Clark, J. E.; Eisgruber, L. M.; Braschler, C. B. (Principal Investigator)

1979-01-01

Results for both the United States and Canada show that econometric models can provide estimates of confusion crop ratios that are more accurate than historical ratios. Whether these models can support the LACIE 90/90 accuracy criterion is uncertain. In the United States, experimenting with additional model formulations could provide improved methods models in some CRD's, particularly in winter wheat. Improved models may also be possible for the Canadian CD's. The more aggressive province/state models outperformed individual CD/CRD models. This result was expected partly because acreage statistics are based on sampling procedures, and the sampling precision declines from the province/state to the CD/CRD level. Declining sampling precision and the need to substitute province/state data for the CD/CRD data introduced measurement error into the CD/CRD models.

Unequal School Funding in the United States.

ERIC Educational Resources Information Center

Biddle, Bruce J.; Berliner, David C.

2002-01-01

Reviews research on the extent, causes, and consequences of the unequal funding of public schools within and among states. Describes state legal and legislative efforts to improve funding equity. (Contains 41 references.) (PKP)

Health and the Economy in the United States, from 1750 to the Present

PubMed Central

Costa, Dora

2014-01-01

I discuss the health transition in the United States, bringing new data to bear on health indicators, and investigating the changing relationship between health, income, and the environment. I argue that scientific advances played an outsize role and that health improvements were largest among the poor. Health improvements were not a precondition for modern economic growth. The gains to health are largest when the economy has moved from “brawn” to “brains” because this is when the wage returns to education are high, leading the healthy to obtain more education. More education may improve use of health knowledge, producing a virtuous cycle. PMID:26401057

Through Deming's Eyes: A Cross-National Analysis of Quality Assurance Policies in Higher Education.

ERIC Educational Resources Information Center

Dill, David D.

1995-01-01

Efforts to improve the quality of academic programs in the United Kingdom, United States, and Netherlands have followed three general approaches: the logic of competitive markets; application of incentives; and professional self-regulation. Strengths and weaknesses of these approaches for improving academic quality are examined through the lens of…

An Analysis of Mathematical Models to Improve Counter-Drug Smuggling Operations

DTIC Science & Technology

2014-09-01

users. The target input file for the optimization algorithm has one segment of one target path on each row. Thus, if a target travels along a path...organization TOS time on station TSP Travelling Salesperson Problem USCG United States Coast Guard USN United States Navy UCONN University...of Connecticut UNCLOS United Nations Convention on Law of the Sea xv EXECUTIVE SUMMARY This research is motivated by the ongoing efforts of the

Health care of people in homelessness: a comparative study of mobile units in Portugal, United States and Brazil.

PubMed

Borysow, Igor da Costa; Conill, Eleonor Minho; Furtado, Juarez Pereira

2017-03-01

This paper describes and analyzes the legal and normative framework guiding the use of mobile units in Portugal, United States and Brazil, which seek to improve access and continuity of care for people in homelessness. We used a comparative analysis through literature and documentary review relating three categories: context (demographic, socio-economic and epidemiological), services system (access, coverage, organization, management and financing) and, specifically, mobile units (design, care and financing model). The analysis was based on the theory of convergence/divergence between health systems from the perspective of equity in health. Improving access, addressing psychoactive substances abuse, outreach and multidisciplinary work proved to be common to all three countries, with the potential to reduce inequities. Relationships with primary healthcare, use of vehicles and the type of financing are considered differently in the three countries, influencing the greater or lesser extent of equity in the analyzed proposals.

Strategic Planning to Improve EHDI Programs

ERIC Educational Resources Information Center

White, Karl R.; Blaiser, Kristina M.

2011-01-01

Because newborn hearing screening has become the standard of care in the United States, every state has established an early hearing detection and intervention (EHDI) program responsible for establishing, maintaining, and improving the system of services needed to serve children with hearing loss and their families. While significant developments…

Experimental aeroelasticity in wind tunnels - History, status, and future in brief

NASA Technical Reports Server (NTRS)

Ricketts, Rodney H.

1993-01-01

The state of the art of experimental aeroelasticity in the United States is assessed. A brief history of the development of ground test facilities, apparatus, and testing methods is presented. Several experimental programs are described that were previously conducted and helped to improve the state of the art. Some specific future directions for improving and enhancing experimental aeroelasticity are suggested.

The Challenges in Measuring Local Immunization Coverage: A Statewide Case Study

PubMed Central

Rowhani-Rahbar, Ali; Duchin, Jeffrey; DeHart, M. Patricia; Opel, Douglas

2016-01-01

There are many forms of existing immunization surveillance in the United States and Washington state, but all are limited in their ability to provide timely identification of clusters of unimmunized individuals and assess the risk of vaccine-preventable diseases. This article aims to: (1) describe challenges to measuring immunization coverage at a local level in the United States using Washington State as a case study; and (2) propose improvements to existing surveillance systems that address the challenges identified. PMID:27244807

Ecosystem management decision support for federal forests in the United States: a review

Treesearch

H. Michael Rauscher

1999-01-01

Ecosystem management has been adopted as the philosophical paradigm guiding management on many Federal forests in the United States. The strategic goal of ecosystem management is to find a sensible middle ground between ensuring long-term protection of the environment while allowing an increasing population to use its natural resources for maintaining and improving...

Stream channel designs for riparian and wet meadow rangelands in the southwestern United States

Treesearch

Roy Jemison; Daniel G. Neary

2000-01-01

Inappropriate land uses have degraded wetland and riparian ecosystems throughout the Southwestern United States. In 1996, the Cibola National Forest in New Mexico implemented a channel relocation project, as part of a road improvement project, to determine the feasibility of restoring wet meadow and riparian ecosystems degraded by inappropriately located roads and...

An improved method for standardized mapping of drought conditions

Treesearch

Frank H. Koch; William D. Smith; John W. Coulston

2013-01-01

Virtually all U.S. forests experience droughts, although the intensity and frequency of the droughts vary widely between, as well as, within forest ecosystems (Hanson and Weltzin 2000). Generally, forests throughout the Western United States are subject to annual seasonal droughts, while forests in the Eastern United States can be characterized by one of two...

77 FR 20728 - Fisheries of the Northeastern United States; Atlantic Sea Scallop Fishery; Framework Adjustment 23

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-06

.... 111011616-2102-02] RIN 0648-BB51 Fisheries of the Northeastern United States; Atlantic Sea Scallop Fishery... Atlantic Sea Scallop Fishery Management Plan (Framework 23) and implements its measures. Framework 23 was... impacts on sea turtles through the requirement of a turtle deflector dredge; improve the effectiveness of...

The Reindustrialization of the United States: Implications for Vocational Education Research and Development. Occasional Paper No. 71.

ERIC Educational Resources Information Center

Striner, Herbert E.

Reindustrialization problems in the United States (U.S.) include unemployment, low productivity, inflation, and inadequate economic growth. To determine how to improve economic performance, a careful, rational evaluation must be made of such factors as tax policy, spirit of risk, managerial effectiveness, rates of innovation, research and…

Suppose There Were a "World Bank" for American Education?

ERIC Educational Resources Information Center

Heyneman, Stephen P.

2007-01-01

About 120 nations can borrow from an international bank for the purposes of financing domestic educational improvement. The United States is a donor to this bank, but by virtue of its economic development, it cannot borrow. Nevertheless, the virtues of having such a facility might be worth considering within the United States. This article briefly…

7 CFR Exhibit C to Subpart L of... - Housing in Underserved Areas

Code of Federal Regulations, 2010 CFR

2010-01-01

...—Housing in Underserved Areas I. Objective A. To improve the quality of affordable housing by targeting... Arizona, California, New Mexico or Texas; 2. Is in the area of the United States within 150 miles of the border between the United States and Mexico, except that the term does not include any standard...

Milk yield and somatic cell score of northeastern United States organic dairy farms during the grazing and non-grazing seasons

USDA-ARS?s Scientific Manuscript database

The objective of this study was to evaluate milk yield and composition of organically-certified dairy herds during grazing season (GS) and non-grazing season (NGS) in the Northeast region of the United States. Dairy Herd Improvement records of Holstein, Jersey, and Holstein-Jersey crossbred cows fro...

Conservation priorities for tree crop wild relatives in the United States

Treesearch

Colin K. Khoury; Stephanie L. Greene; Karen A. Williams; Chrystian C. Sosa; Chris Richards

2017-01-01

Crop wild relatives native to the United States have proved useful as genetic resources in breeding more productive, nutritious, and resilient crops. Their utilization is expected to increase with better information about the species and improving breeding tools. But this utilization may be constrained by their limited representation in genebanks and the ongoing loss...

Conversion of grazed pastures to energy cane as a biofuel feedstock alters the emission of GHGs from soils in Southeastern United States

USDA-ARS?s Scientific Manuscript database

The cultivation of energy cane throughout the Southeastern United States may displace grazed pastures on organic soil (Histosols) to meet growing demands for biofuels. We combined results from a field experiment with a biogeochemical model to improve our understanding of how the conversion of pastur...

Veterans Health Care: Improvements Needed in Operationalizing Strategic Goals and Objectives

DTIC Science & Technology

2016-10-01

Congressional Requesters October 2016 GAO-17-50 United States Government Accountability Office United States Government Accountability Office...Abbreviations Choice Act Veterans Access, Choice, and Accountability Act of 2014 FY fiscal year GPRA...health care, among other things, Congress enacted and the President signed into law the Veterans Access, Choice, and Accountability Act of 2014

76 FR 56796 - In the Matter of Certain Devices for Improving Uniformity Used in a Backlight Module and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-14

... Taiwan and ITRI International Inc. of San Jose, California. A letter supplementing the complaint was... (``the `932 patent''). The complaint further alleges that an industry in the United States exists as... patent, and whether an industry in the United States exists as required by subsection (a)(2) of section...

Do Introductory Statistics Courses in the United States Improve Students' Attitudes?

ERIC Educational Resources Information Center

Schau, Candace; Emmioglu, Esma

2012-01-01

We examined the attitudes of about 2200 students enrolled in 101 sections of post-secondary introductory statistics service courses located across the United States. Using the "Survey of Attitudes Toward Statistics-36," we assessed students' attitudes when they entered and left their courses, as well as changes in attitudes across their courses.…

Educational Finance and School Choice in the United States and Canada. Occasional Paper.

ERIC Educational Resources Information Center

Lawton, Stephen B.

Both the United States and Canadian provinces have moved to enhance educational choice within their educational systems to improve educational productivity. In spite of this similarity of purpose and means, the two nations are taking very different approaches. Most Canadian provinces have moved to full provincial financing of schools and to the…

Initiative for Future Agricultural Food Systems (IFAFS) From Farm to School: Improving Small Farm Viability and School Meals

ERIC Educational Resources Information Center

Kish, Stacy

2008-01-01

Improving the nutritional value of school meals is a growing priority among school systems across the United States. To assist in this effort, the USDA's Cooperative State Research, Education, and Extension Service (CSREES) funded a coalition, which developed a new program called "From Farm to School: Improving Small Farm Viability and School…

Variation in height growth and growth

Treesearch

Knud E. Clausen

1968-01-01

Yellow birch (Betula alleghaniensis Britt.) is an important hardwood species in the Lake States, northeastern United States, and eastern Canada. Since it produces valuable timber, the species is a logical candidate for genetic improvement. An understanding of the variation pattern in a species is, however, basic to any improvement program. In 1963...

An evaluation of known remaining oil resources in the United States: Appendix. Volume 10

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

NONE

Volume ten contains the following appendices: overview of improved oil recovery methods which covers enhanced oil recovery methods and advanced secondary recovery methods; the benefits of improved oil recovery, selected data for the analyzed states; and list of TORIS fields and reservoirs.

Targeted surveillance for highly pathogenic avian influenza in migratory waterfowl across the conterminous United States: chapter 12

USGS Publications Warehouse

Farnsworth, Matthew L.; Kendall, William L.; Doherty, Paul F.; Miller, Ryan S.; White, Gary C.; Nichols, James D.; Burnham, Kenneth P.; Franklin, Alan B.; Majumdar, S.; Brenner, F.J.; Huffman, J.E.; McLean, R.G.; Panah, A.I.; Pietrobon, P.J.; Keeler, S.P.; Shive, S.

2011-01-01

Introduction of Asian strain H5N1 Highly Pathogenic avian influenca via waterfowl migration is one potential route of entry into the United States. In conjunction with state, tribe, and laboratory partners, the United States Department of Agriculture collected and tested 124,603 wild bird samples in 2006 as part of a national surveillance effort. A sampling plan was devised to increase the probability fo detecting Asian strain H5N1 at a national scale. Band recovery data were used to identify and prioritize sampling for wild migratory waterfowl, resulting in spatially targeted sampling recommendations focused on reads with high numbers of recoveries. We also compared the spatial and temporal distribution of the 2006 cloacal and fecal waterfowl sampling effort to the bird banding recovery data and found concordance between the two .Finally, we present improvements made to the 2007 fecal sampling component of the surveillance plan and suggest further improvements for future sampling.

Field Evaluation of the Performance of the RTU Challenge Unit: Daikin Rebel

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

Katipamula, Srinivas; Wang, W.; Ngo, Hung

2017-05-31

Packaged rooftop air-conditioning units (RTUs) are used in 44% (2.5 million) of all commercial buildings, serving over 57% (46 billion square feet) of the commercial building floor space in the United States (EIA 2012). The primary energy consumption associated with RTUs is over 2.2 quads annually. Therefore, even a small improvement in efficiency or part-load operation of these units can lead to significant reductions in energy use and carbon emissions. Starting in 2011, the U.S. Department of Energy’s (DOE’s) Building Technologies Office funded a series of projects related to RTUs. Some projects were intended to improve the operating efficiency ofmore » the existing RTUs, while others were focused on improving the operating efficiency of new units. This report documents the field-testing and comparison of the seasonal efficiency of a state-of-art RTU Challenge unit and a standard unit. Section II provides the background for the work. Section III describes the measurement and verification plan for the field tests. Section IV describes the measurement and verification evaluation plan. The results are described in Section V. The lessons learned and recommendations for future work are presented in Section VI. A list of references is provided in Section VII.« less

Reforming Cardiovascular Care in the United States towards High-Quality Care at Lower Cost with Examples from Model Programs in the State of Michigan.

PubMed

Alyeshmerni, Daniel; Froehlich, James B; Lewin, Jack; Eagle, Kim A

2014-07-01

Despite its status as a world leader in treatment innovation and medical education, a quality chasm exists in American health care. Care fragmentation and poor coordination contribute to expensive care with highly variable quality in the United States. The rising costs of health care since 1990 have had a huge impact on individuals, families, businesses, the federal and state governments, and the national budget deficit. The passage of the Affordable Care Act represents a large shift in how health care is financed and delivered in the United States. The objective of this review is to describe some of the economic and social forces driving health care reform, provide an overview of the Patient Protection and Affordable Care Act (ACA), and review model cardiovascular quality improvement programs underway in the state of Michigan. As health care reorganization occurs at the federal level, local and regional efforts can serve as models to accelerate improvement toward achieving better population health and better care at lower cost. Model programs in Michigan have achieved this goal in cardiovascular care through the systematic application of evidence-based care, the utilization of regional quality improvement collaboratives, community-based childhood wellness promotion, and medical device-based competitive bidding strategies. These efforts are examples of the direction cardiovascular care delivery will need to move in this era of the Affordable Care Act.

[Dispensing prescriptions to persons affiliated with the Seguro Popular de Salud de México].

PubMed

Garrido-Latorre, Francisco; Hernández-Llamas, Héctor; Gómez-Dantés, Octavio

2008-01-01

Measure and compare the percentage of prescriptions fully dispensed to persons with and without Popular Health Insurance (SPS in Spanish) who use ambulatory and general hospital services associated with the Mexico State Health Services (SESA in Spanish), and taking into account insurance status. SESA user satisfaction was also measured with respect to access to medication. Information for the study was taken from four surveys of SESA ambulatory and hospital units that included probabilistic samples with state representativity. Samples of ambulatory units were selected by stratification according to level of care and association to the SPS service network. The findings indicate that the percentage of prescriptions fully dispensed in SESA ambulatory units has improved, reaching approximately 90%, especially among those units offering services to persons affiliated with SPS. Nevertheless, these percentages continue to be lower than those of ambulatory units associated with social security institutions. Percentages of prescriptions fully dispensed have also improved in SESA hospital units, but continue to be relatively low. In nearly all states, as the percentage of prescriptions fully dispensed has increased, user satisfaction with access to medication has also improved. In 2006 more than 50% of the states had high levels of fully dispensed prescriptions among persons with SPS (> or =90%). The more significant problem exists among hospitals, since only 44% of users who received a prescription in SESA hospitals in 2006 had their prescriptions fully dispensed. This finding requires a review of SPS medication policies, which have favored highly prescribed low-cost medications at ambulatory services at the expense of higher cost and more therapeutically effective medications for hospital care, the latter having a greater impact on household budgets.

The Argo Merchant oil spill on-scene coordinator's report

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

Not Available

1977-12-01

This report factually documents the oil spill response action initiated by the United States Government following the grounding and subsequent foundering of the Liberian-registered tanker ARGO MERCHANT off the Northeast Coast of the United States at 0700 hours on December 15, 1976. This report covers the following factors associated with the pollution incident: Description of the cause and initial situation; Organization of response action and resources committed; Effectiveness of response and removal actions by The discharger, State and local forces, and Federal agencies and special forces; Unique problems encountered; and Recommendations on Means to prevent a reoccurrence, Improvement of responsemore » actions, and Changes needed to improve National or Regional Contingency Plans.« less

The state of ophthalmology medical student education in the United States and Canada, 2012 through 2013.

PubMed

Shah, Manjool; Knoch, Daniel; Waxman, Evan

2014-06-01

To characterize the state of ophthalmology medical student education in the United States and Canada. Survey of United States and Canadian medical schools. One hundred thirty-five Association of University Professors of Ophthalmology (AUPO) member institutions were surveyed, along with 30 osteopathic medical schools in the United States and 40 non-AUPO-affiliated allopathic medical schools in the United States. A survey characterizing preclinical, clinical, and extracurricular exposures to ophthalmology was used. Response rate, presence of, and types of preclinical and clinical exposures. Response rates to the survey were lower from non-AUPO institutions. Preclinical exposures largely consisted of basic lectures and examination skills, and most responding institutions had some sort of required preclinical ophthalmology experience. Clinical exposures were more variable, with an overall rate of required clinical rotations diminishing. There continues to be a gradual erosion of the role of ophthalmic medical education in the standard medical school curriculum. Clearly, there is room for improvement across all types of medical educational institutions. Copyright © 2014 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

United States benefits of improved worldwide wheat crop information from a LANDSAT system

NASA Technical Reports Server (NTRS)

Heiss, K. P.; Sand, F.; Seidel, A.; Warner, D.; Sheflin, N.; Bhattacharyya, R.; Andrews, J.

1975-01-01

The value of worldwide information improvements on wheat crops, promised by LANDSAT, is measured in the context of world wheat markets. These benefits are based on current LANDSAT technical goals and assume that information is made available to all (United States and other countries) at the same time. A detailed empirical sample demonstration of the effect of improved information is given; the history of wheat commodity prices for 1971-72 is reconstructed and the price changes from improved vs. historical information are compared. The improved crop forecasting from a LANDSAT system assumed include wheat crop estimates of 90 percent accuracy for each major wheat producing region. Accurate, objective worldwide wheat crop information using space systems may have a very stabilizing influence on world commodity markets, in part making possible the establishment of long-term, stable trade relationships.

Pay-for-performance: too much of a good thing? A conversation with Martin Roland. Interview by Robert Galvin.

PubMed

Roland, Martin

2006-01-01

As the United States moves down the road of pay-for-performance (P4P), concerns about unintended consequences are foremost in the minds of policymakers. Initial results from the world's most ambitious P4P program, the United Kingdom's Quality and Outcomes Framework (QOF), indicate that while quality improvements exceeded expectations, so too did the amount of funds paid out, straining the National Health Service (NHS) budget. Martin Roland, one of the leading U.K. health services researchers and an adviser to the QOF, gives his views on what went right and what went wrong, and he offers his advice to the United States about using financial incentives to improve quality.

Trypanosoma cruzi and Chagas' Disease in the United States

PubMed Central

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

2011-01-01

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

Fulfilling Our Promises: The United States and the Helsinki Final Act. A Status Report.

ERIC Educational Resources Information Center

Commission on Security and Cooperation in Europe, Washington, DC.

This report examines compliance by the United States with agreements made in the Helsinki Final Act. The Act was signed in 1975 by leaders of 33 East and West European nations, Canada, and the U.S. It contains numerous cooperative measures aimed at improving East-West relations. This report was prepared by the Commission on Security and…

Conceptual framework for improved wind-related forest threat assessment in the Southeastern United States

Treesearch

Scott L. Goodrick; John A. Stanturf

2010-01-01

In the Southeastern United States, forests are subject to a variety of damage-causing wind phenomena that range in scale from very localized (downbursts and tornadoes) to broad spatial scales (hurricanes). Incorporating the threat of wind damage into forest management plans requires tools capable of assessing risk across this range of scales. Our conceptual approach...

Development of an applied black willow tree improvement program for biomass production in the south

Treesearch

Randall J. Rousseau; Emile S. Gardiner; Theodor D. Leininger

2012-01-01

The development of rapidly growing biomass woody crops is imperative as the United States strives to meet renewable energy goals. The Department of Energy has indicated that biomass is a prime source for renewable energy for the southern United States. Black Willow (Salix nigra Marsh.) is a potential bioenergy/biofuels crop for dedicated short-...

Native shrub seed industries in the western United States and Australia: Status and outlook

Treesearch

N. L. Shaw; C. M. Waters

2003-01-01

Attempts to improve habitat for wildlife and increase forage for livestock contributed to development of native shrub seed industries in the western United States and in Australia. Shrub seedings and plantings in both countries are concentrated in areas with low and unpredictable precipitation and high probability for planting failures. In addition, both countries have...

Improving Attitudes and Practices in Teaching/Learning by Means of Aerospace In-Service Teacher Education. Aerospace Teacher Education Statistical Study.

ERIC Educational Resources Information Center

Romero, J. Christian

The purpose of this investigation was to examine the relationship of the first two aerospace education workshops conducted by the United States Space Foundation and sponsored by the Univesity of Colorado, Colorado Springs, and the United States Air Force Academy to attitudes and practices of workshop participants regarding aerospace education. To…

Heterogeneous nonmarket benefits of managing white pine bluster rust in high-elevation pine forests

Treesearch

James R. Meldrum; Patricia A. Champ; Craig A. Bond

2013-01-01

This article describes a nonmarket valuation study about benefits of managing the invasive disease white pine blister rust in highelevation forests in the Western United States. Results demonstrate that, on average, households in the Western United States are willing to pay $154 to improve the resiliency of these forests. Factor analysis shows that long-run protection...

How I Became a "Different" English Speaker and Listener

ERIC Educational Resources Information Center

Hashimoto, Ryota

2016-01-01

The author went to the United States to study applied linguistics. Although he was there for nine months, his English proficiency did not improve as much as he had hoped, considering that he was using English almost exclusively every day. After his time in the United States, he spent 10 months in Australia working and traveling on a working…

An Analysis of Turkish American Relations: Improvement or Deterioration

DTIC Science & Technology

2008-12-01

relations emerged with the Cyprus Crisis in 1964, due to contrasting approaches. 87 Ilter Turan , “The...Patterns and Conjunctures during the Cold War,” Middle Eastern Studies, 36, no. 1, (January 2000): 120. 93 Turan , “The United States and Turkey...the Bureau of Narcotics and 163 Turan , “The United States and Turkey: Limiting Unilateralism,” 7

News Coverage during International Political Uncertainty: The Korean Press Reports Sino-U.S. Normalization.

ERIC Educational Resources Information Center

Salwen, Michael B.

The rapid pace of improving relations between the United States and the People's Republic of China during the late 1970s has been well scrutinized by mass media scholars, but most of the research has focused on the press coverage emanating from the United States, the People's Republic of China, and Taiwan, the major nations involved in…

Defense Business Transformation: DOD Should Improve Its Planning with and Performance Monitoring of the Military Departments

DTIC Science & Technology

2016-12-01

Departments Report to Congressional Addressees December 2016 GAO-17-9 United States Government Accountability Office United States...Government Accountability Office Highlights of GAO-17-9, a report to congressional addresses December 2016 DEFENSE BUSINESS TRANSFORMATION DOD Should...specific management responsibility, accountability , and control over business transformation efforts and applicable resources across its business

Invasion Biology on Your Campus: Investigating the Red Imported Fire Ant in the Southeastern United States.

ERIC Educational Resources Information Center

Forys, Elizabeth A.; Kelly, William B.; Ward, David T.

2003-01-01

Describes a laboratory activity on invasion biology to improve students' cognitive skills as well as manual skills. Requires students to develop hypotheses in which a common invasive species will succeed. Focuses on the red imported fire ant in the Southeastern United States, which is a non-native invasive species. (Contains 17 references.) (YDS)

Optimizing Health Care for Foreign Students in the United States and American Students Abroad.

ERIC Educational Resources Information Center

American Coll. Health Association, Evanston, IL.

This workbook is organized around 15 guidelines for improving health care for foreign students in the United States and U.S. students abroad. Each guideline is described in a chapter followed by self-assessment questions enabling the evaluation of the adequacy of campus health programs. Each chapter concludes with an invitation to outline goals…

The United State of Wyoming: Teacher-to-Teacher Initiative Boosts Reading Scores Statewide

ERIC Educational Resources Information Center

Lain, Sheryl

2014-01-01

When teachers collaborate in schools, taking collective responsibility to improve instruction and achieve goals, student performance improves and good results happen. Wyoming is one example of a state that uses peer-to-peer professional learning with notable results. Teachers joined together to form a statewide professional community and saw the…

Implementation of School Instructional Improvement and Student Growth in Math: Testing a Multilevel Longitudinal Model

ERIC Educational Resources Information Center

Takanishi, Stacey M.

2012-01-01

NCLB policies in the United States focus schools' efforts on implementing effective instructional processes to improve student outcomes. This study looks more specifically at how schools are perceived to be implementing state required curricula and benchmarks and developing teaching and learning processes that support the teaching of state…

Incidence, Survival, and Mortality of Malignant Cutaneous Melanoma in Wisconsin, 1995-2011.

PubMed

Peterson, Molly; Albertini, Mark R; Remington, Patrick

2015-10-01

To assess trends in malignant melanoma incidence, survival, and mortality in Wisconsin. Incidence data for Wisconsin were obtained from the Wisconsin Cancer Reporting System Bureau of Health Information using Wisconsin Interactive Statistics on Health, while incidence data for the United States were obtained from the Surveillance, Epidemiology, and End Results system (SEER). The mortality to incidence ratio [1 - (mortality/incidence)] was used as a proxy to estimate relative 5-year survival in Wisconsin, while observed 5-year survival rates for the United States were obtained from SEER. Mortality data for both Wisconsin and the United States were extracted using the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research. During the past decade, malignant melanoma incidence rates increased 57% in Wisconsin (from 12.1 to 19.0 cases per 100,000) versus a 33% increase (from 20.9 to 27.7 cases per 100,000) in the United States during the same time period. The greatest Wisconsin increase in incidence was among women ages 45-64 years and among men ages 65 years and older. Overall relative percent difference in 5-year survival in Wisconsin rose 10% (from 77% to 85%) and was unchanged (82%) for the United States. Wisconsin overall mortality rates were unchanged at 2.8 deaths per 100,000, compared to a 10% increase in the United States (from 3.1 to 3.4 deaths per 100,000). Wisconsin mortality rates improved for women ages 45-64 and for men ages 25-44. Despite improvements in malignant melanoma survival rates, increases in incidence represent a major public health challenge for physicians and policymakers.

Non-US data compression and coding research. FASAC Technical Assessment Report

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

Gray, R.M.; Cohn, M.; Craver, L.W.

1993-11-01

This assessment of recent data compression and coding research outside the United States examines fundamental and applied work in the basic areas of signal decomposition, quantization, lossless compression, and error control, as well as application development efforts in image/video compression and speech/audio compression. Seven computer scientists and engineers who are active in development of these technologies in US academia, government, and industry carried out the assessment. Strong industrial and academic research groups in Western Europe, Israel, and the Pacific Rim are active in the worldwide search for compression algorithms that provide good tradeoffs among fidelity, bit rate, and computational complexity,more » though the theoretical roots and virtually all of the classical compression algorithms were developed in the United States. Certain areas, such as segmentation coding, model-based coding, and trellis-coded modulation, have developed earlier or in more depth outside the United States, though the United States has maintained its early lead in most areas of theory and algorithm development. Researchers abroad are active in other currently popular areas, such as quantizer design techniques based on neural networks and signal decompositions based on fractals and wavelets, but, in most cases, either similar research is or has been going on in the United States, or the work has not led to useful improvements in compression performance. Because there is a high degree of international cooperation and interaction in this field, good ideas spread rapidly across borders (both ways) through international conferences, journals, and technical exchanges. Though there have been no fundamental data compression breakthroughs in the past five years--outside or inside the United State--there have been an enormous number of significant improvements in both places in the tradeoffs among fidelity, bit rate, and computational complexity.« less

Does a full-time, 24-hour intensivist improve care and efficiency?

PubMed

Carlson, R W; Weiland, D E; Srivathsan, K

1996-07-01

This article reviews the hypothesis that staffing with full-time intensive care physicians leads to improvements in the management of ICUs and in the outcome for ICU patients. Variations in the professional organization of critical care units in the United States are discussed. The advantages and disadvantages of open, closed, and transitional (comanagement) ICU organizational structures are presented.

Open Graded Asphalt Friction Course: State of the Practice

DOT National Transportation Integrated Search

1988-05-01

Open Graded Friction Course (OGFC) has been used since 1950 in the United States to improve the frictional resistance of asphalt pavements. However, experience of states with this kind of mix has been widely varied. While many transportation agencies...

36 CFR 222.9 - Range improvements.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., Forest Service, is authorized to install and maintain structural and nonstructural range improvements... provisions of which become a part of the grazing permit(s). (2) Title to permanent structural range improvements shall rest in the United States. (3) Title to temporary structural range improvements may be...

Improving the quality of health care in the United Kingdom and the United States: a framework for change.

PubMed

Ferlie, E B; Shortell, S M

2001-01-01

Fueled by public incidents and growing evidence of deficiencies in care, concern over the quality and outcomes of care has increased in both the United Kingdom and the United States. Both countries have launched a number of initiatives to deal with these issues. These initiatives are unlikely to achieve their objectives without explicit consideration of the multilevel approach to change that includes the individual, group/team, organization, and larger environment/system level. Attention must be given to issues of leadership, culture, team development, and information technology at all levels. A number of contingent factors influence these efforts in both countries, which must each balance a number of tradeoffs between centralization and decentralization in efforts to sustain the impetus for quality improvement over time. The multilevel change framework and associated properties provide a framework for assessing progress along the journey.

Genomics education in nursing in the United States.

PubMed

Calzone, Kathleen A; Jenkins, Jean

2011-01-01

Discovery of the genetics/genomics underpinnings of health, risk for disease, sickness, and treatment response have the prospects of improving recognition and management of at risk individuals; improving screening, prognostics, and therapeutic decision-making; expanding targeted therapies; and improving the accuracy of medication dosing and selection based on drug metabolism genetic variation. Thus, genetics/genomics science, information, and technologies influence the entire health care continuum and are fundamental to the nursing profession. Translating the benefits of genetics and genomics into health care requires that nurses are knowledgeable about and able to integrate this information and technology into their practice. This chapter explores the development of essential nursing competences in genetics and genomics and outcome indicators. Included is an overview of projects aimed at measuring and/or supporting adoption and integration of such competencies. Included as well is an update reviewing current evidence of the state of genomics nursing education in the United States and recommendations for next steps.

Technology Education in the United States: A National Survey.

ERIC Educational Resources Information Center

Alexander, N. Creighton; Allen, Michael; Nelson, Edward; Sisk, Phillip

1998-01-01

As a serious technology education shortage plagues the nation, a national survey with responses from 20 states shows some states are using creative methods to cultivate future educators and improve the state of technology literacy for all students. Trends include modularization, elementary programs, and a push for national and state standards.…

State Systemic Education Improvements. Status Report.

ERIC Educational Resources Information Center

Council of Chief State School Officers, Washington, DC.

The Council of Chief State School Officers (CCSSO) is a nationwide, nonprofit organization of the 57 public officials who head departments of public education in the United States, 5 U.S. extra-state jurisdiction, the District of Columbia, and the Department of Defense Dependents Schools. States are currently at various stages in developing and…

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

Treesearch

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

2003-01-01

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

Report to the President on the Use of Technology To Strengthen K-12 Education in the United States.

ERIC Educational Resources Information Center

President's Committee of Advisors on Science and Technology, Washington, DC. Panel on Educational Technology.

While a number of different approaches have been suggested for the improvement of K-12 education in the United States, one common element of many plans is the more extensive and more effective utilization of computer, networking, and other technologies in support of a broad program of systemic and curricular reform. The Panel on Educational…

Evaluation Methods Used during the Assessment of an Academic Program at Micro-Level

ERIC Educational Resources Information Center

Chinembiri, France

2017-01-01

This paper majors on the evaluation criteria and methods used for the assessment of health education programs in the United States. The choice of the topic is dictated by the fact that there is need to improve on the quality of the graduates that the different nursing and medical institutions in the United States produce. By looking at the…

Modeling the potential impacts of climate change on the water table level of selected forested wetlands in the southeastern United States

Treesearch

Jie Zhu; Ge Sun; Wenhong Li; Yu Zhang; Guofang Miao; Asko Noormets; Steve G. McNulty; John S. King; Mukesh Kumar; Xuan Wang

2017-01-01

The southeastern United States hosts extensive forested wetlands, providing ecosystem services including carbon sequestration, water quality improvement, ground- water recharge, and wildlife habitat. However, these wet- land ecosystems are dependent on local climate and hydrol- ogy, and are therefore at risk due to climate and land use change. This study develops site-...

Veterans Justice Outreach Program: VA Could Improve Management by Establishing Performance Measures and Fully Assessing Risks

DTIC Science & Technology

2016-04-01

Assessing Risks Report to Congressional Requesters April 2016 GAO-16-393 United States Government Accountability Office United States...Government Accountability Office Highlights of GAO-16-393, a report to congressional requesters April 2016 VETERANS JUSTICE OUTREACH PROGRAM...quality, timeliness, efficiency, cost of service, and outcome. GAO, Tax Administration: IRS Needs to Further Refine Its Tax Filing Season

Wildfire risk reduction in the United States: Leadership staff perceptions of local fire department roles and responsibilities

Treesearch

Rachel S. Madsen; Hylton J. G. Haynes; Sarah M. McCaffrey

2018-01-01

As wildland fires have had increasing negative impacts on a range of human values, in many parts of the United States (U.S.) and around the world, collaborative risk reduction efforts among agencies, homeowners, and fire departments are needed to improve wildfire safety and mitigate risk. Using interview data from 46 senior officers from local fire departments around...

Improved accuracy of aboveground biomass and carbon estimates for live trees in forests of the eastern United States

Treesearch

Philip Radtke; David Walker; Jereme Frank; Aaron Weiskittel; Clara DeYoung; David MacFarlane; Grant Domke; Christopher Woodall; John Coulston; James Westfall

2017-01-01

Accurate estimation of forest biomass and carbon stocks at regional to national scales is a key requirement in determining terrestrial carbon sources and sinks on United States (US) forest lands. To that end, comprehensive assessment and testing of alternative volume and biomass models were conducted for individual tree models employed in the component ratio method (...

Ukraine: Current Issues and U.S. Policy

DTIC Science & Technology

2012-05-10

the Chernobyl nuclear reactor site. In total, the United States has contributed almost $240 million to Chernobyl cleanup effort. At an international...pledging conference for Chernobyl in April 2011, the United States pledged another $123 million.9 The two countries are cooperating on other...dedicated to improving the safety of the Chernobyl nuclear facility, including finishing the construction of the containment structure over the damaged

Gasoline: The Achilles Heel of U.S. Energy Security

DTIC Science & Technology

2010-03-01

reduce demand for petroleum, improve energy efficiency, and develop feasible alternative energy solutions to include emission capture technologies. The...United States remains the largest consumer of energy products in the world and is the second leading producer of green house gas (GHG) emissions ...energy solutions to include emission capture technologies. The United States remains the largest consumer of energy products in the world and is the

Time to Improve U.S. Defense Structure for the Western Hemisphere

DTIC Science & Technology

2009-01-01

gathering and maintaining the data needed , and completing and reviewing the collection of information. Send comments regarding this burden estimate or any...diverse as the United States, Bolivia, and Saint Kitts and Nevis . Classical military threats that characterized the bipolar world do not...strategy is in the offing, seeking strategic relationships with France, Russia, and other extraregional actors. The United States needs to consider

Diversity in grain physico-chemical characteristics of West African rice, including Nerica genotypes, as compared to cultivars from the United States of America

USDA-ARS?s Scientific Manuscript database

Landraces from West Africa (WA), NERICA progenies derived from crosses between Oryza sativa and Oryza glaberrima, and improved O. sativa lines from Africa Rice Center were introduced to the Beaumont Rice Research Center in Texas, United States of America (USA) (29 degrees 57’ N and 94 degrees 30’ W)...

Using Automatic Identification System Technology to Improve Maritime Border Security

DTIC Science & Technology

2014-12-01

digital selective calling EPIRB Emergency Position Indicting Radio Beacon EU European Union FAA Federal Aviation Administration GAO U. S. Government...that has visited a hovering vessel or received merchandise outside the territorial sea. A hovering vessel is defined as a vessel loitering offshore...often with the intent to introduce merchandise into the United States illegally. Departing the United States and transiting international or foreign

Innovation and forest industry: domesticating the pine forests of the southern United States,1920–1999

Treesearch

John A. Stanturf; Robert C. Kellison; F.S. Broerman; Stephen B. Jones

2003-01-01

The history of forest management in the southern United States has been a process of intensification and the pine forests of the Coastal Plain can be regarded as in the early stage of crop domestication. Silviculture research into tree improvement and other aspects of plantation establishment and management has been critical to the domestication process, which began in...

Military Review: SOF/LIC

DTIC Science & Technology

1991-06-01

ment strategic environment and concludes that the United States must "integratedly and direct- ly act.., when vital global balances are truly...recognizes no borders and underdeveloped countries. The euphoria in- respects no government. Increasingly, drug car- duced by improved relations with...respond if peaceful solu- balance far more dynamic than it has been for tions fail. more than 40 years. In addition, little has been The United States

Policy challenges for the pediatric rheumatology workforce: Part II. Health care system delivery and workforce supply

PubMed Central

2011-01-01

The United States pediatric population with chronic health conditions is expanding. Currently, this demographic comprises 12-18% of the American child and youth population. Affected children often receive fragmented, uncoordinated care. Overall, the American health care delivery system produces modest outcomes for this population. Poor, uninsured and minority children may be at increased risk for inferior coordination of services. Further, the United States health care delivery system is primarily organized for the diagnosis and treatment of acute conditions. For pediatric patients with chronic health conditions, the typical acute problem-oriented visit actually serves as a barrier to care. The biomedical model of patient education prevails, characterized by unilateral transfer of medical information. However, the evidence basis for improvement in disease outcomes supports the use of the chronic care model, initially proposed by Dr. Edward Wagner. Six inter-related elements distinguish the success of the chronic care model, which include self-management support and care coordination by a prepared, proactive team. United States health care lacks a coherent policy direction for the management of high cost chronic conditions, including rheumatic diseases. A fundamental restructure of United States health care delivery must urgently occur which places the patient at the center of care. For the pediatric rheumatology workforce, reimbursement policies and the actions of health plans and insurers are consistent barriers to chronic disease improvement. United States reimbursement policy and overall fragmentation of health care services pose specific challenges for widespread implementation of the chronic care model. Team-based multidisciplinary care, care coordination and self-management are integral to improve outcomes. Pediatric rheumatology demand in the United States far exceeds available workforce supply. This article reviews the career choice decision-making process at each medical trainee level to determine best recruitment strategies. Educational debt is an unexpectedly minor determinant for pediatric residents and subspecialty fellows. A two-year fellowship training option may retain the mandatory scholarship component and attract an increasing number of candidate trainees. Diversity, work-life balance, scheduling flexibility to accommodate part-time employment, and reform of conditions for academic promotion all need to be addressed to ensure future growth of the pediatric rheumatology workforce. PMID:21843335

Policy challenges for the pediatric rheumatology workforce: Part II. Health care system delivery and workforce supply.

PubMed

Henrickson, Michael

2011-01-01

The United States pediatric population with chronic health conditions is expanding. Currently, this demographic comprises 12-18% of the American child and youth population. Affected children often receive fragmented, uncoordinated care. Overall, the American health care delivery system produces modest outcomes for this population. Poor, uninsured and minority children may be at increased risk for inferior coordination of services. Further, the United States health care delivery system is primarily organized for the diagnosis and treatment of acute conditions. For pediatric patients with chronic health conditions, the typical acute problem-oriented visit actually serves as a barrier to care. The biomedical model of patient education prevails, characterized by unilateral transfer of medical information. However, the evidence basis for improvement in disease outcomes supports the use of the chronic care model, initially proposed by Dr. Edward Wagner. Six inter-related elements distinguish the success of the chronic care model, which include self-management support and care coordination by a prepared, proactive team. United States health care lacks a coherent policy direction for the management of high cost chronic conditions, including rheumatic diseases. A fundamental restructure of United States health care delivery must urgently occur which places the patient at the center of care. For the pediatric rheumatology workforce, reimbursement policies and the actions of health plans and insurers are consistent barriers to chronic disease improvement. United States reimbursement policy and overall fragmentation of health care services pose specific challenges for widespread implementation of the chronic care model. Team-based multidisciplinary care, care coordination and self-management are integral to improve outcomes. Pediatric rheumatology demand in the United States far exceeds available workforce supply. This article reviews the career choice decision-making process at each medical trainee level to determine best recruitment strategies. Educational debt is an unexpectedly minor determinant for pediatric residents and subspecialty fellows. A two-year fellowship training option may retain the mandatory scholarship component and attract an increasing number of candidate trainees. Diversity, work-life balance, scheduling flexibility to accommodate part-time employment, and reform of conditions for academic promotion all need to be addressed to ensure future growth of the pediatric rheumatology workforce.

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

PubMed

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

2018-06-01

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

Breastfeeding protection, promotion, and support in the United States: a time to nudge, a time to measure.

PubMed

Pérez-Escamilla, Rafael; Chapman, Donna J

2012-05-01

Strong evidence-based advocacy efforts have now translated into high level political support and concrete goals for improving breastfeeding outcomes among women in the United States. In spite of this, major challenge remain for promoting, supporting and especially for protecting breastfeeding in the country. The goals of this commentary are to argue in favor of: A) Changes in the default social and environmental systems, that would allow women to implement their right to breastfeed their infants, B) A multi-level and comprehensive monitoring system to measure process and outcomes indicators in the country. Evidence-based commentary. Breastfeeding rates in the United States can improve based on a well coordinated social marketing framework. This approach calls for innovative promotion through mass media, appropriate facility based and community based support (e.g., Baby Friendly Hospital Initiative, WIC-coordinated community based peer counseling), and adequate protection for working women (e.g., longer paid maternity leave, breastfeeding or breast milk extraction breaks during the working day) and women at large by adhering and enforcing the WHO ethics Code for the Marketing of Breast Milk Substitutes. Sound infant feeding practices monitoring systems, which include WIC administrative food package data, are needed. Given the current high level of political support to improve breastfeeding in the United States, a window of opportunity has been opened. Establishing breastfeeding as the social norm in the USA will take time, but the global experience indicates that it can be done.

[Response to US review rules on patent subject matter of traditional Chinese medicine compositions].

PubMed

Liu, Pan; Cao, Ya-di; Gong, Rui-Juan; Liu, Wei

2018-02-01

The United States Patent and Trademark Office(USPTO) issued Interim Guidance on Patent Subject Matter Eligibility on December 16， 2014， bringing certain effects to the review rules on patent application of Chinese medicine compositions. Based on the Interim Guidance， cases analysis was used in this paper to analyze the patent subject matter issues of traditional Chinese medicine compositions in the United States. The researches have shown that the application documents should be properly written in the United States when the patent for Chinese medicine compositions is applied， which can improve the probability of authorization. Copyright© by the Chinese Pharmaceutical Association.

All That Glitters Isn't Gold--Four Steps to School Improvement.

ERIC Educational Resources Information Center

Huddle, Eugene

1987-01-01

Outlines findings from a study by the United States Department of Education's Office of Educational Research and Improvement of successful school improvement programs. The findings are categorized under four stages: initiation, initial implementation, full implementation, and institutionalization. (MD)

Out with the Old

ERIC Educational Resources Information Center

Rydeen, James E.; Stofferahn, Terry; Lange, Jim

2010-01-01

Displacement ventilation (DV) units use the natural buoyancy of warm air to improve ventilation and comfort. Although relatively new to the United States, DV has been used in Scandinavian countries since the 1970s. Two types of DV can be used in a classroom: (1) Conventional displacement ventilation (CDV) units which are situated on an interior…

Competing for School Improvement Dollars: State Grant-Making Strategies

ERIC Educational Resources Information Center

Lazarin, Melissa

2012-01-01

In 2009 the Obama administration announced a focused commitment to turn around 5,000 of the United States' chronically lowest-performing public schools as part of the American Recovery and Reinvestment Act (ARRA). This commitment came with $3 billion in funding for the School Improvement Grant program, or SIG, along with new guidelines to ensure…

Nuclear Weapons Sustainment: Improvements Made to Budget Estimates Report, but Opportunities Remain to Further Enhance Transparency

DTIC Science & Technology

2015-12-01

Enhance Transparency Report to Congressional Committees December 2015 GAO-16-23 United States Government Accountability Office United...SUSTAINMENT Improvements Made to Budget Estimates Report, but Opportunities Remain to Further Enhance Transparency Why GAO Did This Study DOD and DOE are...modernization plans and (2) complete, transparent information on the methodologies used to develop those estimates. GAO analyzed the departments

Unequal Bargaining? Australia's Aviation Trade Relations with the United States

NASA Technical Reports Server (NTRS)

Solomon, Russell

2001-01-01

International aviation trade bargaining is distinguished by its use of a formal process of bilateral bargaining based on the reciprocal exchange of rights by states. Australia-United States aviation trade relations are currently without rancour, but this has not always been the case and in the late 1980s and early 1990s, their formal bilateral aviation negotiations were a forum for a bitter conflict between two competing international aviation policies. In seeking to explain the bilateral aviation outcomes between Australia and the United States and how Australia has sought to improve upon these, analytical frameworks derived from international political economy were considered, along with the bilateral bargaining process itself. The paper adopts a modified neorealist model and concludes that to understand how Australia has sought to improve upon these aviation outcomes, neorealist assumptions that relative power capabilities determine outcomes must be qualified by reference to the formal bilateral bargaining process. In particular, Australia's use of this process and its application of certain bargaining tactics within that process remain critical to understanding bilateral outcomes.

Indian medical students' views on immigration for training and practice.

PubMed

Rao, Nyapati R; Rao, Uttam K; Cooper, Richard A

2006-02-01

To assess the attitudes of medical students in India about participating in graduate medical education in the United States and other countries and in subsequent clinical practice in those countries. A total of 240 students who were attending their final year at two medical schools in Bangalore, India, were surveyed during 2004. Surveys were completed by 166 (69%) of the students. Among the responding students, 98 (59%) thought of leaving India for further training abroad. Of those who wished to leave, 41 (42%) preferred the United States, 42 (43%) preferred the United Kingdom, and 9 (9%) preferred Canada, Australia or New Zealand. Only two students preferred the Middle East. Most who favored training in the United States indicated that they intended to remain after training, whereas fewer than 20% of those who favored training in the United Kingdom had such intentions. While more than 60% perceived greater professional opportunities in the United States than in India, approximately 75% were concerned that the United States had become less welcoming after the terrorist attacks of 9/11, and similar numbers were concerned about the examination administered by the Educational Commission on Foreign Medical Graduates. Conversely, the majority of respondents felt that opportunities for physicians in India were improving. While optimism about future medical careers in India is increasing, the interest of Indian medical students in training and subsequently practicing in the United States remains high.

Improving Pediatric Cancer Care Disparities Across the United States-Mexico Border: Lessons Learned from a Transcultural Partnership between San Diego and Tijuana.

PubMed

Aristizabal, Paula; Fuller, Spencer; Rivera, Rebeca; Beyda, David; Ribeiro, Raul C; Roberts, William

2015-01-01

In 2007, the 5-year survival rate for children with acute leukemia in Baja California, Mexico was estimated at 10% (vs. 88% in the United States). In response, stakeholders at St. Jude Children's Research Hospital, Rady Children's Hospital San Diego, and the Hospital General de Tijuana (HGT) implemented a transcultural partnership to establish a pediatric oncology program. The aim was to improve clinical outcomes and overall survival for children in Baja California. An initial needs assessment evaluation was performed and a culturally sensitive, comprehensive, 5-year plan was designed and implemented. After six years, healthcare system accomplishments include the establishment of a fully functional pediatric oncology unit with 60 new healthcare providers (vs. five in 2007). Patient outcome improvements include a rise in 5-year survival for leukemia from 10 to 43%, a rise in new cases diagnosed per year from 21 to 70, a reduction in the treatment abandonment rate from 10% to 2%, and a 45% decrease in the infection rate. More than 600 patients have benefited from this program. Knowledge sharing has taken place between teams at the HGT and Rady Children's Hospital San Diego. Further, one of the most significant outcomes is that the HGT has transitioned into a regional referral center and now mentors other hospitals in Mexico. Our results show that collaborative initiatives that implement long-term partnerships along the United States-Mexico border can effectively build local capacity and reduce the survival gap between children with cancer in the two nations. Long-term collaborative partnerships should be encouraged across other disciplines in medicine to further reduce health disparities across the United States-Mexico border.

Hard Times. The Recession Imperils School Reforms and Teachers' Jobs.

ERIC Educational Resources Information Center

Harp, Lonnie

1991-01-01

The current recession in the United States imperils teachers' jobs and school reform. States are prioritizing increased spending in such areas as health care and transportation rather than educational improvement. The article discusses specific educational hard times in several states and counties. (SM)

Assessing Stream Channel Stability at Bridges in Physiographic Regions

DOT National Transportation Integrated Search

2006-07-01

The objective of this study was to expand and improve a rapid channel stability assessment method developed previously by Johnson et al. to include additional factors, such as major physiographic units across the United States, a greater range of ban...

Culicoides variipennis and bluetongue-virus epidemiology in the United States.

PubMed

Tabachnick, W J

1996-01-01

The bluetongue viruses are transmitted to ruminants in North America by Culicoides variipennis. US annual losses of approximately $125 million are due to restrictions on the movement of livestock and germplasm to bluetongue-free countries. Bluetongue is the most economically important arthropod-borne animal disease in the United States. Bluetongue is absent in the northeastern United States because of the inefficient vector ability there of C. variipennis for bluetongue. The vector of bluetongue virus elsewhere in the United States is C. variipennis sonorensis. The three C. variipennis subspecies differ in vector competence for bluetongue virus in the laboratory. Understanding C. variipennis genetic variation controlling bluetongue transmission will help identify geographic regions at risk for bluetongue and provide opportunities to prevent virus transmission. Information on C. variipennis and bluetongue epidemiology will improve trade and provide information to protect US livestock from domestic and foreign arthropod-borne pathogens.

A bill to amend title 36, United States Code, to improve the Federal charter for the Veterans of Foreign Wars of the United States, and for other purposes.

THOMAS, 113th Congress

Sen. Sanders, Bernard [I-VT

2014-09-09

Senate - 09/09/2014 Read twice and referred to the Committee on the Judiciary. (All Actions) Notes: For further action, see H.R.5441, which became Public Law 113-199 on 12/4/2014. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

SEASAT economic assessment. Volume 8: Ocean fishing case study. [economic benefits of SEASAT satellites to ocean fishing industries in the United States and Canada

NASA Technical Reports Server (NTRS)

1975-01-01

The potential application of SEASAT data with regard to ocean fisheries is discussed. Tracking fish populations, indirect assistance in forecasting expected populations and assistance to fishing fleets in avoiding costs incurred due to adverse weather through improved ocean conditions forecasts were investigated. Case studies on fisheries in the United States and Canada are cited.

Industrial College of the Armed Forces Industry Studies 2003: Biotechnology

DTIC Science & Technology

2003-01-01

modern life. This critical sector of United States industry is developing products that will improve health care, agriculture , industrial processes...vaccines, antibiotics, drug therapies, and new medical devices. Agricultural advances include crops engineered to be pest resistant, to survive...pharmaceutical and agriculture sectors of the U.S. economy. As we enter the “Era of the Biomolecule,” the United States must implement policies and allocate

Early Childhood and Family Development Programs Improve the Quality of Life for Low-Income Families. Report to the Congress of the United States by the Comptroller General.

ERIC Educational Resources Information Center

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

This report to Congress has been acknowledged by Department of Health, Education and Welfare officials as an accurate and comprehensive view of child development issues in the United States, circa 1979. Chapter 1 lists multi- purposes of the review, recapitulates Congressional interest in early childhood and family development programs, defines…

A Comparison of the Effects of Classroom and Multi-User Virtual Environments on the Perceived Speaking Anxiety of Adult Post-Secondary English Language Learners

ERIC Educational Resources Information Center

Abal, Abdulaziz

2013-01-01

The population of English Language Learners (ELLs) globally has been increasing substantially every year. In the United States alone, adult ELLs are the fastest growing portion of learners in adult education programs (Yang, 2005). There is a significant need to improve the teaching of English to ELLs in the United States and other English-speaking…

Space Sustainment: A New Approach for America in Space

DTIC Science & Technology

2014-12-01

Power Journal | 118 SCHRIEVER ESSAY WINNER SECOND PLACE United States to break from its laissez - faire traditions and replace them with an ideology of... leadership in space in the future. As the historical evidence suggests, if the United States decides not to promote transparency in space, other nations... leadership , and improves our own SSA through knowledge of other owner/operator satellite positional data.26 Similarly, Deputy Assistant Secretary of Defense

Insider Threat: Preventing Direct Action Attacks Within the United States Army

DTIC Science & Technology

2017-06-09

violence within the United States, this study focused solely on cases where a US Army Soldier attacked fellow Soldiers. For the purposes of this study ...chapters will examine Army doctrine and two case studies , in detail. The conclusion of this project will provide recommendations on improved... study specifically on insider threats pertaining to targeted violence, this literature review does not include information pertaining to cases

Woody detritus density and density reduction factors for tree species in the United States: a synthesis

Treesearch

Mark E. Harmon; Christopher W. Woodall; Becky Fasth; Jay Sexton

2008-01-01

This report presents a synthesis of published and unpublished data on woody detritus density as a step toward improving estimates of coarse woody detritus (CWD) and fine woody detritus (FWD) biomass across the forests of the United States. In the case of CWD, 88 species were found to have data on densities for five decay classes that had been published and/or collected...

Luck Is Not a Strategy: Inefficient Coercion In Operation Allied Force

DTIC Science & Technology

2015-12-01

leadership had little idea how to execute coercion. To improve the outcomes of future military interventions, it is essential that the United States...military and political leadership devotes far more resources to strategic planning and analysis instead of hoping that operationally proficient...used to coerce a target state to concede to diplomatic demands, but it also showed that the United States’ military and political leadership had

Child Advocacy in the United States: The Work of the Children's Defense Fund. Innocenti Essays No. 2.

ERIC Educational Resources Information Center

Weill, James D.

This essay provides an overview of the goals and activities of the Children's Defense Fund (CDF), an advocacy group headquartered in Washington, D.C. that works to improve the well-being of American children through systemic change and whose goal is to make it unacceptable for any child in the United States to grow up homeless, hungry, sick,…

A Comparative Study of the Trends in Career and Technical Education Among European Countries, the United States, and the Republic of China.

ERIC Educational Resources Information Center

Wu, Robert T. Y.

Theories influencing the development of trends in career and technical education (CTE) in Europe, the United States, and the Republic of China (Taiwan)were examined. The analysis established that, when determining the goals of CTE and areas of focus of efforts to improve CTE curricula and delivery, European countries focus on theories related to…

Toward a Better Future: Evidence on Improving Employment Outcomes for Disadvantaged Youth in the United States

ERIC Educational Resources Information Center

Hossain, Farhana; Bloom, Dan

2015-01-01

In the aftermath of the Great Recession of 2007-2009, youth unemployment in the United States reached its highest level since the Second World War. Only about half of young people ages 16 to 24 held jobs in 2013, and recent estimates suggest that about one in five people in this age range were neither working nor in school. This paper draws from…

Strategies for Implementing Postmodern Thinking for Improving Secondary Education in Public Education in the United States of America: National Impact

ERIC Educational Resources Information Center

Jacobs, Karen Dupre; Kritsonis, William Allan

2007-01-01

The purpose of this article is to discuss strategies for the secondary, public school educators to implement postmodern thinking in the United States of America. Postmodernism is a set of strategic practices that erase limits or norms to abide by placed upon people in society. The time is now for educators to be recognizant of these changes.…

National Strategies for Implementing Postmodern Thinking for Improving Secondary Education in Public Education in the United States of America

ERIC Educational Resources Information Center

Jacobs, Karen Dupre; Kritsonis, William Allan

2006-01-01

The purpose of this article is to discuss strategies for secondary, public school educators to implement postmodern thinking in the United States of America. Postmodernism is a set of strategic practices that erase limits or norms to abide by placed upon people in society. Jacobs and Kritsonis say the time is now for educators to be recognizant of…

Plastic Surgery Training Worldwide: Part 1. The United States and Europe

PubMed Central

Kamali, Parisa; van Paridon, Maaike W.; Ibrahim, Ahmed M. S.; Paul, Marek A.; Winters, Henri A.; Martinot-Duquennoy, Veronique; Noah, Ernst Magnus; Pallua, Norbert

2016-01-01

Background: Major differences exist in residency training, and the structure and quality of residency programs differ between different countries and teaching centers. It is of vital importance that a better understanding of the similarities and differences in plastic surgery training be ascertained as a means of initiating constructive discussion and commentary among training programs worldwide. In this study, the authors provide an overview of plastic surgery training in the United States and Europe. Methods: A survey was sent to select surgeons in 10 European countries that were deemed to be regular contributors to the plastic surgery literature. The questions focused on pathway to plastic surgery residency, length of training, required pretraining experience, training scheme, research opportunities, and examinations during and after plastic surgery residency. Results: Plastic surgery residency training programs in the United States differ from the various (selected) countries in Europe and are described in detail. Conclusions: Plastic surgery education is vastly different between the United States and Europe, and even within Europe, training programs remain heterogeneous. Standardization of curricula across the different countries would improve the interaction of different centers and facilitate the exchange of vital information for quality control and future improvements. The unique characteristics of the various training programs potentially provide a basis from which to learn and to gain from one another. PMID:27257571

Burden of unintended pregnancy in the United States: potential savings with increased use of long-acting reversible contraception.

PubMed

Trussell, James; Henry, Nathaniel; Hassan, Fareen; Prezioso, Alexander; Law, Amy; Filonenko, Anna

2013-02-01

This study evaluated the total costs of unintended pregnancy (UP) in the United States (US) from a third-party health care payer perspective and explored the potential role for long-acting reversible contraception (LARC) in reducing UP and resulting health care expenditure. An economic model was constructed to estimate direct costs of UP as well as the proportion of UP costs that could be attributed to imperfect contraceptive adherence. The model considered all women requiring reversible contraception in the US: the pattern of contraceptive use and the rates of UP were derived from published sources. The costs of UP in the United States and the proportion of total cost that might be avoided by improved adherence through increased use of LARC were estimated. Annual medical costs of UP in the United States were estimated to be $4.6 billion, and 53% of these were attributed to imperfect contraceptive adherence. If 10% of women aged 20-29 years switched from oral contraception to LARC, total costs would be reduced by $288 million per year. Imperfect contraceptive adherence leads to substantial UP and high, avoidable costs. Improved uptake of LARC may generate health care cost savings by reducing contraceptive non-adherence. Copyright © 2013 Elsevier Inc. All rights reserved.

Burden of unintended pregnancy in the United States: Potential savings with increased use of long-acting reversible contraception

PubMed Central

Trussell, James; Henry, Nathaniel; Hassan, Fareen; Prezioso, Alexander; Law, Amy; Filonenko, Anna

2013-01-01

Background This study evaluated the total costs of unintended pregnancy (UP) in the United States from a third -party health care payer perspective and explored the potential role for long-acting reversible contraception (LARC) in reducing UP and resulting health care expenditure. Study Design An economic model was constructed to estimate direct costs of UP as well as the proportion of UP costs that could be attributed to imperfect contraceptive adherence. The model considered all US women requiring reversible contraception: the pattern of contraceptive use and rates of UP were derived from published sources. The costs of UP in the United States and the proportion of total cost that might be avoided by improved adherence through increased use of LARC were estimated. Results Annual medical costs of UP in the United States were estimated to be $4.5 billion, and 53% of these were attributed to imperfect contraceptive adherence. If 10% of women aged 20–29 years switched from oral contraception to LARC, total costs would be reduced by $288 million per year. Conclusions Imperfect contraceptive adherence leads to substantial unintended pregnancy and high, avoidable costs. Improved uptake of LARC may generate health care cost savings by reducing contraceptive non-adherence. PMID:22959904

A new type of swaddling clothing improved development of preterm infants in neonatal intensive care units.

PubMed

Kitase, Yuma; Sato, Yoshiaki; Takahashi, Hirokazu; Shimizu, Misaki; Ishikawa, Chie; Yamamoto, Hikaru; Hayakawa, Masahiro

2017-09-01

Preterm infants undergo stress owing to essential treatments and exposure to the extrauterine environment in neonatal intensive care units. The aim of this study was to enable preterm infants to maintain adequate positioning with a newly developed swaddling clothing, in order to improve low muscle tone and sleep quality, and to confirm the safety of the clothing. This prospective clinical trial included an intervention group (preterm infants wearing bag-shaped clothing, allowing only exposure of the head, n=27), and a control group (preterm infants managed only with conventional swaddling, n=12). We used the Dubowitz method to analyze behavior, recorded the frequency of vomiting and apnea in both groups, and assessed the sleep state in the intervention group. Muscle tone and total score for the Dubowitz method significantly improved in the intervention group, compared with those in the control group. We evaluated the sleep state before and after the introduction of the device in the intervention group, and State 1 increased from 53.5% to 69.2% after introduction. No significant difference was seen in the frequency of vomiting and apnea between the groups. The new swaddling clothing with enhanced stretch capacity improved the muscle tone and increased sleep time by decreasing the state level of preterm infants. This is an effective tool to assist in infant development in neonatal intensive care units. Copyright © 2017 Elsevier B.V. All rights reserved.

Is School Funding Fair? A National Report Card. Fourth Edition

ERIC Educational Resources Information Center

Baker, Bruce D.; Sciarra, David G.; Farrie, Danielle

2015-01-01

While the United States was recovering from the recent economic stress caused by the Great Recession, individual state economies were improving at a slow pace. In 2012, state education budgets came to a crossroads, as most states had exhausted their allocations of federal stimulus dollars. Prior editions of this report noted how many states used…

Catholic social teaching: Precepts for healthcare reform

PubMed Central

Condit, Donald P.

2016-01-01

The Patient Protection and Affordable Health Care Act of 2010 accelerated bureaucratic appropriation of health care in the United States. Persuaded by laudable intentions of expanded access to care for millions of uninsured Americans, healthcare cost control, and improved medical quality, supporters are now confronted by the unintended consequences of greater government control of health care. The four primary principles of Catholic social teaching guide a best response to our neighbor's healthcare needs. The presence of these principles in the founding documents of the United States facilitates advocacy the public square. Lay summary: Catholic social teaching presents a Magisterial gift to each generation to help build a just society. The four principles, Human Dignity, Common Good, Solidarity, and Subsidiarity, can guide reform of a healthcare system in crisis. These precepts, clearly present in the United States founding documents, and persuasive in the public square, serve as a foundation upon which to improve the medical care of the sick and injured. PMID:28392586

PPACA and public health: creating a framework to focus on prevention and wellness and improve the public's health.

PubMed

Majette, Gwendolyn Roberts

2011-01-01

PPACA epitomizes comprehensive health care reform legislation. Public health, disease prevention, and wellness were integral considerations in its development. This article reveals the author's personal experiences while working on the framework for health care reform in the United States Senate and reviews activity in the United States House of Representatives. This insider's perspective delineates PPACA's positive effect on public health by examining the infrastructure Congress designed to focus on prevention, wellness, and public health, with a particular focus on the National Prevention, Health Promotion and Public Health Council; the National Prevention, Health Promotion, Public Health, and Integrative Health Care Strategy; and the Prevention and Public Health Fund. The Council, strategy, and fund are especially important because they reflect compliance with some of the Institute of Medicine's recommendations to improve public health in the United States, as well as international health and human rights norms that protect the right to health. © 2011 American Society of Law, Medicine & Ethics, Inc.

Plan to combat extensively drug-resistant tuberculosis: recommendations of the Federal Tuberculosis Task Force.

PubMed

2009-02-13

An estimated one third of the world's population is infected with Mycobacterium tuberculosis, and nearly 9 million persons develop disease caused by M. tuberculosis each year. Although tuberculosis (TB) occurs predominantly in resource-limited countries, it also occurs in the United States. During 1985-1992, the United States was confronted with an unprecedented TB resurgence. This resurgence was accompanied by a rise in multidrug-resistant TB (MDR TB), which is defined as TB that is resistant to the two most effective first-line therapeutic drugs, isoniazid and rifampin. In addition, virtually untreatable strains of M. tuberculosis are emerging globally. Extensively drug-resistant (XDR) TB is defined as MDR TB that also is resistant to the most effective second-line therapeutic drugs used commonly to treat MDR TB: fluoroquinolones and at least one of three injectable second-line drugs used to treat TB (amikacin, kanamycin, or capreomycin). XDR TB has been identified in all regions of the world, including the United States. In the United States, the cost of hospitalization for one XDR TB patient is estimated to average $483,000, approximately twice the cost for MDR TB patients. Because of the limited responsiveness of XDR TB to available antibiotics, mortality rates among patients with XDR TB are similar to those of TB patients in the preantibiotic era. In January 1992, CDC convened a Federal TB Task Force to draft an action plan to improve prevention and control of drug-resistant TB in the United States (CDC. National action plan to combat multidrug-resistant tuberculosis. MMWR 1992;41([No. RR-11]). In November 2006, CDC reconvened the Task Force to draft an updated action plan to address the issue of MDR TB and XDR TB. Task Force members were divided into nine response areas and charged with articulating the most pressing problems, identifying barriers to improvement, and recommending specific action steps to improve prevention and control of XDR TB within their respective areas. Although the first priority of the Federal TB Task Force convened in 2006 was to delineate objectives and action steps to address MDR TB and XDR TB domestically, members recognized the necessity for TB experts in the United States to work with the international community to help strengthen TB control efforts globally. TB represents a substantial public health problem in low- and middle-income countries, many of which might benefit from assistance by the United States. In addition, the global TB epidemic directly affects the United States because the majority of all cases of TB and 80% of cases of MDR TB reported in the United States occur among foreign-born persons. For these reasons, the Action Plan also outlines potential steps that U.S. government agencies can take to help solve global XDR TB problems. Unless the fundamental causes of MDR TB and XDR TB are addressed in the United States and internationally, the United States is likely to experience a growing number of cases of MDR TB and XDR TB that will be difficult, if not impossible, to treat or prevent. The recommendations provided in this report include specific action steps and new activities that will require additional funding and a renewed commitment by government and nongovernment organizations involved in domestic and international TB control efforts to be implemented effectively. The Federal TB Task Force will coordinate activities of various federal agencies and partner with state and local health departments, nonprofit and TB advocacy organizations in implementing this plan to control and prevent XDR TB in the United States and to contribute to global efforts in the fight against this emerging public health crisis.

The quality of work life of registered nurses in Canada and the United States: a comprehensive literature review

PubMed Central

2016-01-01

Background Workplace environment is related to the physical and psychological well-being, and quality of work life (QWL) for nurses. Objective The aim of this paper was to perform a comprehensive literature review on nurses’ quality of work life to identify a comprehensive set of QWL predictors for nurses employed in the United States and Canada. Methods Using publications from 2004–2014, contributing factors to American and Canadian nurses’ QWL were analyzed. The review was structured using the Work Disability Prevention Framework. Sixty-six articles were selected for analysis. Results Literature indicated that changes are required within the workplace and across the health care system to improve nurses' QWL. Areas for improvement to nurses’ quality of work life included treatment of new nursing graduates, opportunities for continuing education, promotion of positive collegial relationships, stress-reduction programs, and increased financial compensation. Conclusions This review’s findings support the importance of QWL as an indicator of nurses’ broader work-related experiences. A shift in health care systems across Canada and the United States is warranted where health care delivery and services are improved in conjunction with the health of the nurses working in the system. PMID:27734769

The quality of work life of registered nurses in Canada and the United States: a comprehensive literature review.

PubMed

Nowrouzi, Behdin; Giddens, Emilia; Gohar, Basem; Schoenenberger, Sandrine; Bautista, Mary Christine; Casole, Jennifer

2016-10-01

Workplace environment is related to the physical and psychological well-being, and quality of work life (QWL) for nurses. The aim of this paper was to perform a comprehensive literature review on nurses' quality of work life to identify a comprehensive set of QWL predictors for nurses employed in the United States and Canada. Using publications from 2004-2014, contributing factors to American and Canadian nurses' QWL were analyzed. The review was structured using the Work Disability Prevention Framework. Sixty-six articles were selected for analysis. Literature indicated that changes are required within the workplace and across the health care system to improve nurses' QWL. Areas for improvement to nurses' quality of work life included treatment of new nursing graduates, opportunities for continuing education, promotion of positive collegial relationships, stress-reduction programs, and increased financial compensation. This review's findings support the importance of QWL as an indicator of nurses' broader work-related experiences. A shift in health care systems across Canada and the United States is warranted where health care delivery and services are improved in conjunction with the health of the nurses working in the system.

Legislative Studies in State Education Policy, 1976-1988: A Final Summary.

ERIC Educational Resources Information Center

National Conference of State Legislatures, Denver, CO.

During the period from 1976 through 1988, the National Conference of State Legislatures and the United States Department of Education's Office of Educational Research and Improvement collaborated to develop a program supporting educational policy studies for state legislatures. The program contributed 69 studies on a variety of topics. This report…

An Analysis of State Music Education Certification and Licensure Practices in the United States

ERIC Educational Resources Information Center

May, Brittany Nixon; Willie, Karen; Worthen, Cherilyn; Pehrson, Allyssa

2017-01-01

Teacher certification and licensure practices for music educators vary by state. Enhancing music teacher educator knowledge of state music education certification and licensure practices can inform music teacher preparation and improve future music teacher quality. The purpose of this study was to compile relevant information for music educators…

75 FR 60093 - Record of Decision for the United States Marine Corps Basewide Utilities Infrastructure Project...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-29

... construction, operation, and maintenance of utility infrastructure upgrades, expansions, and improvements... and wastewater facilities and road improvements to Range 130. All practical means to avoid or minimize...

Improved estimates of fixed reproducible tangible wealth, 1929-95

DOT National Transportation Integrated Search

1997-05-01

This article presents revised estimates of the value of fixed reproducible tangible wealth in the United States for 192995; these estimates incorporate the definitional and statistical : improvements introduced in last years comprehensive revis...

Improved crashworthiness of rail passenger equipment in the United States

DOT National Transportation Integrated Search

2006-06-30

The Federal Railroad Administration has been conducting research to develop strategies for improved passenger : protection in train accidents. Crash energy management (CEM) has been developed as a strategy for structural : crashworthiness. Interior s...

Improving medical device regulation: the United States and Europe in perspective.

PubMed

Sorenson, Corinna; Drummond, Michael

2014-03-01

Recent debates and events have brought into question the effectiveness of existing regulatory frameworks for medical devices in the United States and Europe to ensure their performance, safety, and quality. This article provides a comparative analysis of medical device regulation in the two jurisdictions, explores current reforms to improve the existing systems, and discusses additional actions that should be considered to fully meet this aim. Medical device regulation must be improved to safeguard public health and ensure that high-quality and effective technologies reach patients. We explored and analyzed medical device regulatory systems in the United States and Europe in accordance with the available gray and peer-reviewed literature and legislative documents. The two regulatory systems differ in their mandate and orientation, organization, pre- and postmarket evidence requirements, and transparency of process. Despite these differences, both jurisdictions face similar challenges for ensuring that only safe and effective devices reach the market, monitoring real-world use, and exchanging pertinent information on devices with key users such as clinicians and patients. To address these issues, reforms have recently been introduced or debated in the United States and Europe that are principally focused on strengthening regulatory processes, enhancing postmarket regulation through more robust surveillance systems, and improving the traceability and monitoring of devices. Some changes in premarket requirements for devices are being considered. Although the current reforms address some of the outstanding challenges in device regulation, additional steps are needed to improve existing policy. We examine a number of actions to be considered, such as requiring high-quality evidence of benefit for medium- and high-risk devices; moving toward greater centralization and coordination of regulatory approval in Europe; creating links between device identifier systems and existing data collection tools, such as electronic health records; and fostering increased and more effective use of registries to ensure safe postmarket use of new and existing devices. © 2014 Milbank Memorial Fund.

Improving Medical Device Regulation: The United States and Europe in Perspective

PubMed Central

SORENSON, CORINNA; DRUMMOND, MICHAEL

2014-01-01

Context: Recent debates and events have brought into question the effectiveness of existing regulatory frameworks for medical devices in the United States and Europe to ensure their performance, safety, and quality. This article provides a comparative analysis of medical device regulation in the two jurisdictions, explores current reforms to improve the existing systems, and discusses additional actions that should be considered to fully meet this aim. Medical device regulation must be improved to safeguard public health and ensure that high-quality and effective technologies reach patients. Methods: We explored and analyzed medical device regulatory systems in the United States and Europe in accordance with the available gray and peer-reviewed literature and legislative documents. Findings: The two regulatory systems differ in their mandate and orientation, organization, pre-and postmarket evidence requirements, and transparency of process. Despite these differences, both jurisdictions face similar challenges for ensuring that only safe and effective devices reach the market, monitoring real-world use, and exchanging pertinent information on devices with key users such as clinicians and patients. To address these issues, reforms have recently been introduced or debated in the United States and Europe that are principally focused on strengthening regulatory processes, enhancing postmarket regulation through more robust surveillance systems, and improving the traceability and monitoring of devices. Some changes in premarket requirements for devices are being considered. Conclusions: Although the current reforms address some of the outstanding challenges in device regulation, additional steps are needed to improve existing policy. We examine a number of actions to be considered, such as requiring high-quality evidence of benefit for medium-and high-risk devices; moving toward greater centralization and coordination of regulatory approval in Europe; creating links between device identifier systems and existing data collection tools, such as electronic health records; and fostering increased and more effective use of registries to ensure safe postmarket use of new and existing devices. PMID:24597558

Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes - United States and Puerto Rico, 2000-2014.

PubMed

Burrows, Nilka Rios; Hora, Israel; Geiss, Linda S; Gregg, Edward W; Albright, Ann

2017-11-03

During 2014, 120,000 persons in the United States and Puerto Rico began treatment for end-stage renal disease (ESRD) (i.e., kidney failure requiring dialysis or transplantation) (1). Among these persons, 44% (approximately 53,000 persons) had diabetes listed as the primary cause of ESRD (ESRD-D) (1). Although the number of persons initiating ESRD-D treatment each year has increased since 1980 (1,2), the ESRD-D incidence rate among persons with diagnosed diabetes has declined since the mid-1990s (2,3). To determine whether ESRD-D incidence has continued to decline in the United States overall and in each state, the District of Columbia (DC), and Puerto Rico, CDC analyzed 2000-2014 data from the U.S. Renal Data System and the Behavioral Risk Factor Surveillance System. During that period, the age-standardized ESRD-D incidence among persons with diagnosed diabetes declined from 260.2 to 173.9 per 100,000 diabetic population (33%), and declined significantly in most states, DC, and Puerto Rico. No state experienced an increase in ESRD-D incidence rates. Continued awareness of risk factors for kidney failure and interventions to improve diabetes care might sustain and improve these trends.

Incidence of end-stage renal disease attributed to diabetes among persons with diagnosed diabetes --- United States and Puerto Rico, 1996-2007.

PubMed

2010-10-29

During 2007, approximately 110,000 persons in the United States and Puerto Rico began treatment for end-stage renal disease (ESRD) (i.e., kidney failure requiring dialysis or transplantation). Diabetes is the leading cause of ESRD in the United States, accounting for 44% of new cases in 2007. Although the number of persons initiating treatment for kidney failure each year who have diabetes listed as a primary cause (ESRD-D) has increased since 1996, ESRD-D incidence among persons with diagnosed diabetes has declined since 1996. To determine whether this decline occurred in every U.S. region and in every state, CDC analyzed 1996-2007 data from the U.S. Renal Data System (USRDS) and the Behavioral Risk Factor Surveillance System (BRFSS). During the period, the age-adjusted rate of ESRD-D among persons with diagnosed diabetes declined 35% overall, from 304.5 to 199.1 per 100,000 persons with diagnosed diabetes, and declined in all U.S. regions and in most states. No state showed a significant increase in the age-adjusted ESRD-D rate. Continued awareness of risk factors for kidney failure and interventions to improve diabetes care are needed to sustain and improve these trends.

International treatment access and research, how you can help--interview with Dr. Peter Piot of UNAIDS. Joint United Nations Programme on HIV/AIDS. Interview by John S. James.

PubMed

Piot, P

1996-11-01

Medical advances in the United States have greatly increased the lifespan of people with AIDS, but there is no access to modern medicine for the 90 percent of AIDS patients who live in other countries. Dr. Peter Piot of the United Nations Programme on HIV/AIDS (UNAIDS) addresses the efforts of six U.N. agencies in improving treatment access throughout the world and improving research on natural and traditional medicines.

Breakfast cereal industry pledges to self-regulate advertising to youth: will they improve the marketing landscape?

PubMed

Schwartz, Marlene B; Ross, Craig; Harris, Jennifer L; Jernigan, David H; Siegel, Michael; Ostroff, Joshua; Brownell, Kelly D

2010-04-01

In 2007, the Council of Better Business Bureaus created the Children's Food and Beverage Advertising Initiative to improve the nutritional profile of products marketed to children in the United States. We provide quantitative baseline data describing (a) the amount of child-directed breakfast cereal advertising in 2007; (b) an assessment of the nutritional value for all cereals advertised on television; and (c) the relationship between nutrition quality and child exposure to television advertising for major cereal brands. In 2007, the average American child viewed 757 cereal ads, and 98 per cent of these ads promoted unhealthy cereals that would be prohibited from advertising to children in the United Kingdom. Healthy cereals were advertised in 2007 in the United States, but adults, not children, were predominantly exposed to these ads. These quantitative methods can be used in the future to evaluate the impact of industry self-regulation efforts to improve the marketing landscape.

A Review of the Research: Common Core State Standards for Improving Rural Children's School Readiness

ERIC Educational Resources Information Center

Bailey, Lora Battle

2014-01-01

Although a plethora of research focuses on economically at-risk preschool children in general across the United States, little can be found that investigates methods for improving rural children's academic outcomes. This review of research is intended to provide a contextual understanding of the background and current conditions that exist…

Failure, the Next Generation: Why Rigorous Standards Are Not Sufficient to Improve Science Learning

ERIC Educational Resources Information Center

Bair, Mary Antony; Bair, David Edward

2014-01-01

Although many states in the United States are adopting policies that require all students to complete college-preparatory science classes to graduate from high school, such policies have not always led to improved student outcomes. There is much speculation about the cause of the dismal results, but there is scant research on the processes by…

An improved algorithm for small and cool fire detection using MODIS data: A preliminary study in the southeastern United States

Treesearch

Wanting Wang; John J. Qu; Xianjun Hao; Yongqiang Liu; William T. Sommers

2006-01-01

Traditional fire detection algorithms mainly rely on hot spot detection using thermal infrared (TIR) channels with fixed or contextual thresholds. Three solar reflectance channels (0.65 μm, 0.86 μm, and 2.1 μm) were recently adopted into the MODIS version 4 contextual algorithm to improve the active fire detection. In the southeastern United...

Cross-cultural comparison of long-term care in the United States and Finland: Research done through a short-term study-abroad experience.

PubMed

Kruger, Tina M; Gilland, Sarah; Frank, Jacquelyn B; Murphy, Bridget C; English, Courtney; Meade, Jana; Morrow, Kaylee; Rush, Evan

2017-01-01

In May 2014, a short-term study-abroad experience was conducted in Finland through a course offered at Indiana State University (ISU). Students and faculty from ISU and Eastern Illinois University participated in the experience, which was created to facilitate a cross-cultural comparison of long-term-care settings in the United States and Finland. With its outstanding system of caring for the health and social needs of its aging populace, Finland is a logical model to examine when considering ways to improve the quality of life for older adults who require care in the United States . Those participating in the course visited a series of long-term-care facilities in the region surrounding Terre Haute, Indiana, then travelled to Lappeenranta, Finland to visit parallel sites. Through limited-participation observation and semistructured interviews, similarities and differences in experiences, educations, and policies affecting long-term care workers in the United States and Finland were identified and are described here.

Low birth weight in the United States.

PubMed

Goldenberg, Robert L; Culhane, Jennifer F

2007-02-01

Pregnancy outcomes in the United States and other developed countries are considerably better than those in many developing countries. However, adverse pregnancy outcomes are generally more common in the United States than in other developed countries. Low-birth-weight infants, born after a preterm birth or secondary to intrauterine growth restriction, account for much of the increased morbidity, mortality, and cost. Wide disparities exist in both preterm birth and growth restriction among different population groups. Poor and black women, for example, have twice the preterm birth rate and higher rates of growth restriction than do most other women. Low birth weight in general is thought to place the infant at greater risk of later adult chronic medical conditions, such as diabetes, hypertension, and heart disease. Of interest, maternal thinness is a strong predictor of both preterm birth and fetal growth restriction. However, in the United States, several nutritional interventions, including high-protein diets, caloric supplementation, calcium and iron supplementation, and various other vitamin and mineral supplementations, have not generally reduced preterm birth or growth restriction. Bacterial intrauterine infections play an important role in the etiology of the earliest preterm births, but, at least to date, antibiotic treatment either before labor for risk factors such as bacterial vaginosis or during preterm labor have not consistently reduced the preterm birth rate. Most interventions have failed to reduce preterm birth or growth restriction. The substantial improvement in newborn survival in the United States over the past several decades is mostly due to better access to improved neonatal care for low-birth-weight infants.

Transport and fate of gaseous pollutants associated with the National Energy Program.

PubMed Central

Altshuller, A P; Johnson, W B; Nader, J S; Niemann, B L; Turner, D B; Wilson, W E; D'Alessio, G

1980-01-01

The experimental evidence related to the long-range transport and transformations of sulfates has been critically reviewed. It has been concluded that sulfate emissions from various sources can be superimposed on each other during long-range transport to create episodes far from the contributing sources. Sulfates are important contributors to degrading visibility through the United States including relatively pristine areas in the western United States. Acid sulfate components, along with nitric acid, may increase the problem of acidity in precipitation on soils, vegetation, and lakes in certain areas of the eastern United States. Improvements in monitoring of these pollutants are required to follow changes in air quality caused by long-range transport. PMID:7428742

The Curious Case of Cuba

PubMed Central

Reed, Gail A.

2012-01-01

As health professionals in the United States consider how to focus health care and coverage to ensure better, more equitable patient and population health outcomes, the experience of Cuba’s National Health System over the last 5 decades may provide useful insights. Although mutual awareness has been limited by long-term political hostilities between the United States and Cuban governments, the history and details of the Cuban health system indicate that their health system merits attention as an example of a national integrated approach resulting in improved health status. More extensive analysis of the principles, practices, and outcomes in Cuba is warranted to inform health system transformation in the United States, despite differences in political-social systems and available resources. PMID:22698011

A distribution benefits model for improved information on worldwide crop production. Volume 1: Model structure and application to wheat

NASA Technical Reports Server (NTRS)

Andrews, J.

1976-01-01

The improved model is suitable for the study of benefits of worldwide information on a variety of crops. Application to the previously studied case of worldwide wheat production shows that about $108 million per year of distribution benefits to the United States would be achieved by a satellite-based wheat information system meeting the goals of LACIE. The model also indicates that improved information alone will not change world stock levels unless production itself is stabilized. The United States benefits mentioned above are associated with the reduction of price fluctuations within the year and the more effective use of international trade to balance supply and demand. Price fluctuations from year to year would be reduced only if production variability were itself reduced.

Assimilation of Gridded GRACE Terrestrial Water Storage Estimates in the North American Land Data Assimilation System

NASA Technical Reports Server (NTRS)

Kumar, Sujay V.; Zaitchik, Benjamin F.; Peters-Lidard, Christa D.; Rodell, Matthew; Reichle, Rolf; Li, Bailing; Jasinski, Michael; Mocko, David; Getirana, Augusto; De Lannoy, Gabrielle;

Strategic plans for the Hardwood Tree Improvement and Regeneration Center

Treesearch

Charles H. Michler; Keith E. Woeste

2002-01-01

The mission of the Hardwood Tree Improvement and Regeneration Center (HTIRC) at Purdue University is to advance the science of hardwood tree improvement and genomics in the central hardwood region of the United States by: developing and disseminating knowledge on improving the genetic quality of hardwood tree species; conserving fine hardwood germplasm; developing...

Improving the Nuclear Reform Implementation for Success

DTIC Science & Technology

2016-09-15

IMPROVING THE NUCLEAR REFORM IMPLEMENTATION FOR SUCCESS GRADUATE RESEARCH PAPER Allen Y. Agnes...United States. AFIT-ENS-MS-16-S-023 IMPROVING THE NUCLEAR REFORM IMPLMENTATION FOR SUCCESS GRADUATE RESEARCH PAPER Presented to the...AFIT-ENS-MS-16-S-023 IMPROVING THE NUCLEAR REFORM IMPLEMENTATION FOR SUCCESS Allen Y. Agnes, BS, MS Major, USAF

COMPARISON OF DATA FROM THE STN AND IMPROVE NETWORKS

EPA Science Inventory

Two national chemical speciation-monitoring networks operate currently within the United States. The Interagency Monitoring of Protected Visual Environments (IMPROVE) monitoring network operates primarily in rural areas collecting aerosol and optical data to better understand th...

40 CFR 35.6015 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., repair, remodeling, improvement, or extension of buildings, structures or other property. Contract. A... 300. Operable unit. A discrete action, as described in the Cooperative Agreement or Superfund State...). Real property. Land, including land improvements, structures, and appurtenances thereto, excluding...

40 CFR 35.6015 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., repair, remodeling, improvement, or extension of buildings, structures or other property. Contract. A... 300. Operable unit. A discrete action, as described in the Cooperative Agreement or Superfund State...). Real property. Land, including land improvements, structures, and appurtenances thereto, excluding...

Vocational Education and Productivity.

ERIC Educational Resources Information Center

Watson, Robert, Jr.

Vocational education can contribute to an improved United States productivity by producing an effective work force. People together with technology are two major factors in improving productivity, and they must be integrated. Industry is in the forefront of the efforts to improve productivity. It has encouraged management in long-range strategic…

Ensuring Quality Cancer Care: A Follow-Up Review of the Institute of Medicine’s Ten Recommendations for Improving the Quality of Cancer Care in America

PubMed Central

Spinks, Tracy; Albright, Heidi W.; Feeley, Thomas W.; Walters, Ron; Burke, Thomas W.; Aloia, Thomas; Bruera, Eduardo; Buzdar, Aman; Foxhall, Lewis; Hui, David; Summers, Barbara; Rodriguez, Alma; DuBois, Raymond; Shine, Kenneth I.

2011-01-01

Responding to growing concerns regarding the safety, quality, and efficacy of cancer care in the United States, the Institute of Medicine (IOM) of the National Academy of Sciences commissioned a comprehensive review of cancer care delivery in the US healthcare system in the late 1990s. The National Cancer Policy Board (NCPB), a twenty-member board with broad representation, performed this review. In its review, the NCPB focused on the state of cancer care delivery at that time, its shortcomings, and ways to measure and improve the quality of cancer care. The NCPB described an ideal cancer care system, where patients would have equitable access to coordinated, guideline-based care and novel therapies throughout the course of their disease. In 1999, the IOM published the results of this review in its influential report, Ensuring Quality Cancer Care. This report outlined ten recommendations, which, when implemented, would: 1) improve the quality of cancer care; 2) increase our understanding of quality cancer care; and, 3) reduce or eliminate access barriers to quality cancer care. Despite the fervor generated by this report, there are lingering doubts regarding the safety and quality of cancer care in the United States today. Increased awareness of medical errors and barriers to quality care, coupled with escalating healthcare costs, has prompted national efforts to reform the healthcare system. These efforts by healthcare providers and policymakers should bridge the gap between the ideal state described in Ensuring Quality Cancer Care and the current state of cancer care in the United States. PMID:22045610

Counterfeit Parts: DOD Needs to Improve Reporting and Oversight to Reduce Supply Chain Risk

DTIC Science & Technology

2016-02-01

the cost accounting standards board under 41 U.S.C. § 1502. 8DOD implemented its cost principle that costs are not allowable unless 1) the...February 2016 GAO-16-236 United States Government Accountability Office United States Government Accountability Office Highlights of GAO-16-236, a...apply to prime contractors subject to cost accounting standards on acquisitions other than small business set-asides. The cost accounting standards are

Joint Improvised-Threat Defeat Agency Needs to Improve Assessment and Documentation of Counter-Improvised Explosive Device Initiatives (Redacted)

DTIC Science & Technology

2016-08-09

2 Slight rounding inconsistencies exist because auditor calculations included decimals. (FOUO) Table 2. (FOUO) No. Initiative Title1 FY Action...rounding inconsistencies exist because auditor calculations included decimals. Acronyms: USAF United States Air Force USMC United States Marine Corps...exist because auditor calculations included decimals. (FOUO) Table 3. FOR OFFICIAL USE ONLY FOR OFFICIAL USE ONLY Management Comments 30 │ DODIG-2016

Clinical pathway for thoracic surgery in the United States

PubMed Central

Wei, Benjamin

2016-01-01

The paradigm for postoperative care for thoracic surgical patients in the United States has shifted with efforts to reduce hospital length of stay and improve quality of life. The increasing usage of minimally invasive techniques in thoracic surgery has been an important part of this. In this review we will examine our standard practices as well as the evidence behind both general contemporary postoperative care principles and those specific to certain operations. PMID:26941967

Improving Internal Customer Service

DTIC Science & Technology

1990-09-01

organizations, profit and non- profit, are becoming interested in the concepts of Total Quality Management (TQM). Businesses in the United States ’have...to business strategy" (39:45). The United States Air Force (USAF) is one of the American organizations adopting the ideals of Total Quality...more than a buzz word in today’s business environment; it has become the key to excellence (36:52). With today’s economic climate, quality service means

U.S.-Mexico Policy Coordination: An Assessment of the Twenty-First Century Border Policy Coordination Effort

DTIC Science & Technology

2011-10-28

FINAL 3. DATES COVERED (From - To) September 2011 – October 2011 4. TITLE AND SUBTITLE U.S. – MEXICO POLICY COORDINATION AN...national levels of both governments leading to significant inefficiency on issues related to the border. In 2010, the United States and Mexico ...effort to improve United States border policy coordination with Mexico . This paper assesses the effectiveness of the Twenty-First Century Border policy

Strategic Positioning of United States Air Force Civil Engineer Contingency Equipment within the Supply Chain

DTIC Science & Technology

2014-03-27

discussed. Background In a dynamic world full of uncertain threats, the United States military is constantly required to evolve and enhance its...capabilities to effectively defend the nation. One of the military capabilities requiring continuous improvement to ensure pursuit of American...force the right personnel, equipment, and supplies in the right place, at the right time, and in the right quantity, across the full range of military

Bring out your dead!: A study of income inequality and life expectancy in the United States, 2000-2010.

PubMed

Hill, Terrence D; Jorgenson, Andrew

2018-01-01

We test whether income inequality undermines female and male life expectancy in the United States. We employ data for all 50 states and the District of Columbia and two-way fixed effects to model state-level average life expectancy as a function of multiple income inequality measures and time-varying characteristics. We find that state-level income inequality is inversely associated with female and male life expectancy. We observe this general pattern across four measures of income inequality and under the rigorous conditions of state-specific and year-specific fixed effects. If income inequality undermines life expectancy, redistribution policies could actually improve the health of states. Copyright © 2017 Elsevier Ltd. All rights reserved.

Smart roadside initiative gap analysis : state of the practice.

DOT National Transportation Integrated Search

2014-03-01

The Smart Roadside Initiative (SRI) is a United States Department of Transportation (U.S. DOT) initiative that is designed to breakdown information silos between Intelligent Transportation Systems (ITS) at the roadside in order to improve motor carri...

Truck size and weight enforcement technologies : implementation plan

DOT National Transportation Integrated Search

2009-06-01

The purpose of this Implementation Plan is to recommend strategies to encourage the deployment of roadside technologies to improve truck size and weight enforcement in the United States. The plan includes strategies that State practitioners can use t...

Income Inequality and Intergenerational Income Mobility in the United States

PubMed Central

Bloome, Deirdre

2015-01-01

Is there a relationship between family income inequality and income mobility across generations in the United States? As family income inequality rose in the United States, parental resources available for improving children’s health, education, and care diverged. The amount and rate of divergence also varied across US states. Researchers and policy analysts have expressed concern that relatively high inequality might be accompanied by relatively low mobility, tightening the connection between individuals’ incomes during childhood and adulthood. Using data from the Panel Study of Income Dynamics, the National Longitudinal Survey of Youth, and various government sources, this paper exploits state and cohort variation to estimate the relationship between inequality and mobility. Results provide very little support for the hypothesis that inequality shapes mobility in the United States. The inequality children experienced during youth had no robust association with their economic mobility as adults. Formal analysis reveals that offsetting effects could underlie this result. In theory, mobility-enhancing forces may counterbalance mobility-reducing effects. In practice, the results suggest that in the US context, the intergenerational transmission of income may not be very responsive to changes in inequality. PMID:26388653

The effect of social integration on outcomes after major lower extremity amputation.

PubMed

Hawkins, Alexander T; Pallangyo, Anthony J; Herman, Ayesiga M; Schaumeier, Maria J; Smith, Ann D; Hevelone, Nathanael D; Crandell, David M; Nguyen, Louis L

2016-01-01

Major lower extremity (MLE) amputation is a common procedure that results in a profound change in a patient's life. We sought to determine the association between social support and outcomes after amputation. We hypothesized that patients with greater social support will have better post amputation outcomes. From November 2011 to May 2013, we conducted a cross-sectional, observational, multicenter study. Social integration was measured by the social integration subset of the Short Form Craig Handicap Assessment and Reporting Technique. Systemic social support was assessed by comparing a United States and Tanzanian population. Walking function was measured using the 6-minute walk test and quality of life (QoL) was measured using the EuroQol-5D. We recruited 102 MLE amputees. Sixty-three patients were enrolled in the United States with a mean age of 58.0. Forty-two (67%) were male. Patients with low social integration were more likely to be unable to ambulate (no walk 39% vs slow walk 23% vs fast walk 10%; P = .01) and those with high social integration were more likely to be fast walkers (no walk 10% vs slow walk 59% vs fast walk 74%; P = .01). This relationship persisted in a multivariable analysis. Increasing social integration scores were also positively associated with increasing QoL scores in a multivariable analysis (β, .002; standard error, 0.0008; P = .02). In comparing the United States population with the Tanzanian cohort (39 subjects), there were no differences between functional or QoL outcomes in the systemic social support analysis. In the United States population, increased social integration is associated with both improved function and QoL outcomes among MLE amputees. Systemic social support, as measured by comparing the United States population with a Tanzanian population, was not associated with improved function or QoL outcomes. In the United States, steps should be taken to identify and aid amputees with poor social integration. Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

TRMM-3B43 Bias Correction over the High Elevations of the Contiguous United States

NASA Astrophysics Data System (ADS)

Hashemi, H.; Nordin, K. M.; Lakshmi, V.; Knight, R. J.

2016-12-01

Precipitation can be quantified using a rain gauge network, or a remotely sensed precipitation product. Ultimately, the choice of dataset depends on the particular application, the catchment size, climate and the time period of study. In a region with a long record and a dense rain gauge network, the elevation-modified ground-based precipitation product, PRISM, has been found to work well. However, in poorly gauged regions the use of remotely sensed precipitation products is an absolute necessity. The Tropical Rainfall Measuring Mission (TRMM) has provided valuable precipitation datasets for hydrometeorological studies over the past two decades (1998-2015). One concern regarding the usage of TRMM data is the accuracy of the precipitation estimates, when compared to those obtained using PRISM. The reason for this concern is that TRMM and PRISM do not always agree and, typically, TRMM underestimates PRISM over the mountainous regions of the United States. In this study, we develop a correction function to improve the accuracy of the TRMM monthly product (TRMM-3B43) by estimating and removing the bias in the satellite data using the ground-based precipitation product, PRISM. We observe a strong relationship between the bias and land surface elevation; TRMM-3B43 tends to underestimate the PRISM product at altitudes greater than 1500 m above mean sea level (m.amsl) in the contiguous United States. A relationship is developed between TRMM-PRISM bias and elevation. The correction function is used to adjust the TRMM monthly precipitation using PRISM and elevation data. The model is calibrated using 25% of the available time period and the remaining 75% of the time period is used for validation. The corrected TRMM-3B43 product is verified for the high elevations over the contiguous United States and two local regions in the mountainous areas of the western United States. The results show a significant improvement in the accuracy of the TRMM product in the high elevations of the contiguous United States.

Child Welfare Workplace: The State of the Workforce and Strategies to Improve Retention

ERIC Educational Resources Information Center

Scannapieco, Maria; Connell-Carrick, Kelli

2007-01-01

Child welfare systems throughout the United States are being closely scrutinized as sensational cases appear in the media in nearly every state. At the federal level, with the Child and Family Service Review process, the government is documenting that states across the country are not conforming to federal child welfare requirements (DHHS, 2007)…

Common Core State Standards: A Tool for Improving Education. NEA Policy Brief

ERIC Educational Resources Information Center

National Education Association, 2010

2010-01-01

For many years, there have been efforts to promote the development of national standards for education in the United States. In the Spring of 2010, the National Governors Association (NGA) and the Council of Chief State School Officers (CCSSO) completed a project to develop Common Core State Standards (CCSS). Leading education organizations, such…

Cryptosporidium surveillance and risk factors in the United States.

PubMed

Yoder, Jonathan S; Beach, Michael J

2010-01-01

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

Improving Value in Musculoskeletal Care Delivery: AOA Critical Issues.

PubMed

Wei, David H; Hawker, Gillian A; Jevsevar, David S; Bozic, Kevin J

2015-05-06

Improving value in musculoskeletal health care has emerged as an important objective in both the United States and Canada. In order to achieve this objective, providers need to have a clear definition of value and an infrastructure for measuring outcomes of interest to patients and costs over the episode of care. Although national patient registries have been established in the United States and Canada, they nevertheless lag behind other registries worldwide in terms of collecting patient-reported outcomes and capturing data from a wide cross-section of hospitals and physicians. With the help of professional medical societies and the creation of national initiatives, patient-reported outcomes data collection on a large scale may be possible, but many challenges remain regarding implementation. Alternatives to the fee-for-service payment model, including pay-for-reporting and pay-for-performance, may help incentivize physicians and health-care providers to obtain and improve on patient-reported outcomes data collection. Other payment reforms, such as bundled payments, have been piloted in certain regions, but their sustainability and long-term success are unclear at this time. Novel health-care delivery strategies aimed at improving quality, coordinating multispecialty care, and enhancing patient participation in shared decision-making have shown promise in improving patient-centered outcomes, but delivery models continue to vary greatly throughout the United States and Canada. The current status of musculoskeletal health-care delivery requires substantial change before the goal of improving patient outcomes and lowering health-care costs can be achieved. Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated.

Indian Health Service Oversight and Reauthorization of Indian Health Care Improvement Act. Hearing before the Select Committee on Indian Affairs, United States Senate, Ninety-Sixth Congress, Second Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Select Committee on Indian Affairs.

The transcript of the March 28, 1980, Senate hearing on the Indian Health Service (IHS) and reauthorization of the Indian Health Care Improvement Act (Public Law 94-437) held in Billings, Montana, is presented with testimony from the Three Affiliated Tribes of North Dakota, Montana United Indian Association, Montana Indian Health Board, Fort Peck…

Improving the Performance of the Space Surveillance Telescope as a Function of Seeing Parameter

DTIC Science & Technology

2015-03-26

Center, LAAFB, El Segundo, 2014. [27] G. S. F. S. M. B. a. J. S. H. Viggh, "Applying Electro-Optical Space Surveillance Technology to Asteroid ...IMPROVING THE PERFORMANCE OF THE SPACE SURVEILLANCE TELESCOPE AS A FUNCTION OF SEEING PARAMETER...or the United States Government. This material is declared a work of the U.S. Government and is not subject to copyright protection in the United

Legal constraints to the research, development, and deployment of IVHS technology in the United States

DOT National Transportation Integrated Search

1993-03-31

Intelligent Vehicle Highway Systems (IVHS) are a diffuse : collection of automotive, communications, controls, traffic : management, and systems technologies that hold the potential to : improve highway safety, reduce traffic congestion, and improve ...

A multicenter study of plasma use in the United States.

PubMed

Triulzi, Darrell; Gottschall, Jerome; Murphy, Edward; Wu, Yanyun; Ness, Paul; Kor, Daryl; Roubinian, Nareg; Fleischmann, Debra; Chowdhury, Dhuly; Brambilla, Donald

2015-06-01

Detailed information regarding plasma use in the United States is needed to identify opportunities for practice improvement and design of clinical trials of plasma therapy. Ten US hospitals collected detailed medical information from the electronic health records for 1 year (2010-2011) for all adult patients transfused with plasma. A total of 72,167 units of plasma were transfused in 19,596 doses to 9269 patients. The median dose of plasma was 2 units (interquartile range, 2-4; range 1-72); 15% of doses were 1 unit, and 45% were 2 units. When adjusted by patient body weight (kg), the median dose was 7.3 mL/kg (interquartile range, 5.5-12.0). The median pretransfusion international normalized ratio (INR) was 1.9 (25%-75% interquartile range, 1.6-2.6). A total of 22.5% of plasma transfusions were given to patients with an INR of less than 1.6 and 48.5% for an INR of 2.0 or more. The median posttransfusion INR was 1.6 (interquartile range, 1.4-2.0). Only 42% of plasma transfusions resulted in a posttransfusion INR of less than 1.6. Correction of INR increased as the plasma dose increased from 1 to 4 units (p < 0.001). There was no difference in the INR response to different types of plasma. The most common issue locations were general ward (38%) and intensive care unit (ICU; 42%). This large database describing plasma utilization in the United States provides evidence for both inadequate dosing and unnecessary transfusion. Measures to improve plasma transfusion practice and clinical trials should be directed at patients on medical and surgical wards and in the ICU where plasma is most commonly used. © 2014 AABB.

A multicenter study of plasma use in the United States

PubMed Central

Triulzi, Darrell; Gottschall, Jerome; Murphy, Edward; Wu, Yanyun; Ness, Paul; Kor, Daryl; Roubinian, Nareg; Fleischmann, Debra; Chowdhury, Dhuly; Brambilla, Donald

2016-01-01

Background Detailed information regarding plasma use in the United States is needed to identify opportunities for practice improvement and design of clinical trials of plasma therapy. Study Design and Methods Ten US hospitals collected detailed medical information from the electronic health records for 1 year (2010-2011) for all adult patients transfused with plasma. Results A total of 72,167 units of plasma were transfused in 19,596 doses to 9269 patients. The median dose of plasma was 2 units (interquartile range, 2-4; range 1-72); 15% of doses were 1 unit, and 45% were 2 units. When adjusted by patient body weight (kg), the median dose was 7.3 mL/kg (interquartile range, 5.5-12.0). The median pretransfusion international normalized ratio (INR) was 1.9 (25%-75% interquartile range, 1.6-2.6). A total of 22.5% of plasma transfusions were given to patients with an INR of less than 1.6 and 48.5% for an INR of 2.0 or more. The median posttransfusion INR was 1.6 (interquartile range, 1.4-2.0). Only 42% of plasma transfusions resulted in a posttransfusion INR of less than 1.6. Correction of INR increased as the plasma dose increased from 1 to 4 units (p < 0.001). There was no difference in the INR response to different types of plasma. The most common issue locations were general ward (38%) and intensive care unit (ICU; 42%). Conclusion This large database describing plasma utilization in the United States provides evidence for both inadequate dosing and unnecessary transfusion. Measures to improve plasma transfusion practice and clinical trials should be directed at patients on medical and surgical wards and in the ICU where plasma is most commonly used. PMID:25522888

SES Gradients Among Mexicans in the United States and in Mexico: A New Twist to the Hispanic Paradox?

PubMed Central

Palloni, Alberto; Riosmena, Fernando; Wong, Rebeca

2016-01-01

Recent empirical findings have suggested the existence of a twist in the Hispanic paradox, in which Mexican and other Hispanic foreign-born migrants living in the United States experience shallower socioeconomic status (SES) health disparities than those in the U.S. population. In this article, we seek to replicate this finding and test conjectures that could explain this new observed phenomenon using objective indicators of adult health by educational attainment in several groups: (1) Mexicanborn individuals living in Mexico and in the United States, (2) U.S.-born Mexican Americans, and (3) non-Hispanic American whites. Our analytical strategy improves upon previous research on three fronts. First, we derive four hypotheses from a general framework that has also been used to explain the standard Hispanic paradox. Second, we study biomarkers rather than self-reported health and related conditions. Third, we use a binational data platform that includes both Mexicans living in Mexico (Mexican National Health and Nutrition Survey 2006) and Mexican migrants to the United States (NHANES 1999–2010). We find steep education gradients among Mexicans living in Mexico’s urban areas in five of six biomarkers of metabolic syndrome (MetS) and in the overall MetS score. Mexican migrants living in the United States experience similar patterns to Mexicans living in Mexico in glucose and obesity biomarkers. These results are inconsistent with previous findings, suggesting that Mexican migrants in the United States experience significantly attenuated health gradients relative to the non-Hispanic white U.S. population. Our empirical evidence also contradicts the idea that SES-health gradients in Mexico are shallower than those in the United States and could be invoked to explain shallower gradients among Mexicans living in the United States. PMID:27655408

SES Gradients Among Mexicans in the United States and in Mexico: A New Twist to the Hispanic Paradox?

PubMed

Beltrán-Sánchez, Hiram; Palloni, Alberto; Riosmena, Fernando; Wong, Rebeca

2016-10-01

Recent empirical findings have suggested the existence of a twist in the Hispanic paradox, in which Mexican and other Hispanic foreign-born migrants living in the United States experience shallower socioeconomic status (SES) health disparities than those in the U.S. In this article, we seek to replicate this finding and test conjectures that could explain this new observed phenomenon using objective indicators of adult health by educational attainment in several groups: (1) Mexican-born individuals living in Mexico and in the United States, (2) U.S.-born Mexican Americans, and (3) non-Hispanic American whites. Our analytical strategy improves upon previous research on three fronts. First, we derive four hypotheses from a general framework that has also been used to explain the standard Hispanic paradox. Second, we study biomarkers rather than self-reported health and related conditions. Third, we use a binational data platform that includes both Mexicans living in Mexico (Mexican National Health and Nutrition Survey 2006) and Mexican migrants to the United States (NHANES 1999-2010). We find steep education gradients among Mexicans living in Mexico's urban areas in five of six biomarkers of metabolic syndrome (MetS) and in the overall MetS score. Mexican migrants living in the United States experience similar patterns to Mexicans living in Mexico in glucose and obesity biomarkers. These results are inconsistent with previous findings, suggesting that Mexican migrants in the United States experience significantly attenuated health gradients relative to the non-Hispanic white U.S. Our empirical evidence also contradicts the idea that SES-health gradients in Mexico are shallower than those in the United States and could be invoked to explain shallower gradients among Mexicans living in the United States.

Improving the Principal Selection Process to Enhance the Opportunities for Women.

ERIC Educational Resources Information Center

Chapman, Judith

1986-01-01

Presents statistical profiles of Australian women principals and reviews research on school administrator selection in Australia, the United Kingdom, and the United States. To ensure equity, specific recommendations are given concerning vacancy announcements, criteria identification, consideration of evidence, and interviewing and decision-making…

Flexible Learning in Action: Case Studies in Higher Education. Staff and Educational Development Series.

ERIC Educational Resources Information Center

Hudson, Rachel, Ed.; Maslin-Prothero, Sian, Ed.; Oates, Lyn, Ed.

Following an introduction (Hudson, Maslin-Prothero, Oates), the following 31 case studies describe flexible learning developments in the United Kingdom, Australia, and the United States: "Teaching Business Writing Online" (Fulkerth); "Don't Lecture Me about Flexible Learning!" (Dunning); "Improving Independent Learning…

Joint Force Quarterly. Issue 66, 3rd Quarter 2012

DTIC Science & Technology

2012-07-01

reported that Soldier behavior gradually improved. One unit at Ft. Leonard Wood required 2 hours of training per week and witnessed a marked...Mark A. Stokes, Murray Scot Tanner, Joshua K. Wiseman, Xiaoming Zhang, and You Ji. Transatlantic Perspectives, No. 2 The United States, Russia, Europe

24 CFR 982.605 - SRO: Housing quality standards.

Code of Federal Regulations, 2013 CFR

2013-04-01

... an SRO unit without passing through any other unit. (4) Sprinkler system. A sprinkler system that protects all major spaces, hard wired smoke detectors, and such other fire and safety improvements as State... utilize an approvable public or private disposal system. (E) Sanitary facilities must be reasonably...

24 CFR 982.605 - SRO: Housing quality standards.

Code of Federal Regulations, 2012 CFR

2012-04-01

... an SRO unit without passing through any other unit. (4) Sprinkler system. A sprinkler system that protects all major spaces, hard wired smoke detectors, and such other fire and safety improvements as State... utilize an approvable public or private disposal system. (E) Sanitary facilities must be reasonably...

24 CFR 982.605 - SRO: Housing quality standards.

Code of Federal Regulations, 2014 CFR

2014-04-01

... an SRO unit without passing through any other unit. (4) Sprinkler system. A sprinkler system that protects all major spaces, hard wired smoke detectors, and such other fire and safety improvements as State... utilize an approvable public or private disposal system. (E) Sanitary facilities must be reasonably...

24 CFR 982.605 - SRO: Housing quality standards.

Code of Federal Regulations, 2011 CFR

2011-04-01

... an SRO unit without passing through any other unit. (4) Sprinkler system. A sprinkler system that protects all major spaces, hard wired smoke detectors, and such other fire and safety improvements as State... utilize an approvable public or private disposal system. (E) Sanitary facilities must be reasonably...

Meeting the Institute of Medicine’s 2030 US Life Expectancy Target

PubMed Central

Kindig, David; Nobles, Jenna; Zidan, Moheb

2018-01-01

Objectives To quantify the improvement in US life expectancy required to reach parity with high-resource nations by 2030, to document historical precedent of this rate, and to discuss the plausibility of achieving this rate in the United States. Methods We performed a demographic analysis of secondary data in 5-year periods from 1985 to 2015. Results To achieve the United Nations projected mortality estimates for Western Europe in 2030, the US life expectancy must grow at 0.32% a year between 2016 and 2030. This rate has precedent, even in low-mortality populations. Over 204 country-periods examined, nearly half exhibited life-expectancy growth greater than 0.32%. Of the 51 US states observed, 8.2% of state-periods demonstrated life-expectancy growth that exceeded the 0.32% target. Conclusions Achieving necessary growth in life expectancy over the next 15 years despite historical precedent will be challenging. Much all-cause mortality is structured decades earlier and, at present, older-age mortality reductions in the United States are decelerating. Addressing mortality decline at all ages will require enhanced political will and a strong commitment to equity improvement in the US population. PMID:29161064

An updated stress map of the continental United States reveals heterogeneous intraplate stress

NASA Astrophysics Data System (ADS)

Levandowski, Will; Herrmann, Robert B.; Briggs, Rich; Boyd, Oliver; Gold, Ryan

2018-06-01

Knowledge of the state of stress in Earth's crust is key to understanding the forces and processes responsible for earthquakes. Historically, low rates of natural seismicity in the central and eastern United States have complicated efforts to understand intraplate stress, but recent improvements in seismic networks and the spread of human-induced seismicity have greatly improved data coverage. Here, we compile a nationwide stress map based on formal inversions of focal mechanisms that challenges the idea that deformation in continental interiors is driven primarily by broad, uniform stress fields derived from distant plate boundaries. Despite plate-boundary compression, extension dominates roughly half of the continent, and second-order forces related to lithospheric structure appear to control extension directions. We also show that the states of stress in several active eastern United States seismic zones differ significantly from those of surrounding areas and that these anomalies cannot be explained by transient processes, suggesting that earthquakes are focused by persistent, locally derived sources of stress. Such spatially variable intraplate stress appears to justify the current, spatially variable estimates of seismic hazard. Future work to quantify sources of stress, stressing-rate magnitudes and their relationship with strain and earthquake rates could allow prospective mapping of intraplate hazard.

Teaching, Rather than Teachers, as a Path toward Improving Classroom Instruction

ERIC Educational Resources Information Center

Hiebert, James; Morris, Anne K.

2012-01-01

For several historical and cultural reasons, the United States has long pursued a strategy of improving teaching by improving teachers. The rarely questioned logic underlying this choice says that by improving the right characteristics of teachers, they will teach more effectively. The authors expose the assumptions on which this logic is built,…

An Improved Maintenance Model for the Simulation of Strategic Airlift Capability.

DTIC Science & Technology

1982-03-01

developed using SLAM as the primary simulation language. Maintenance manning is modeled at the Air Force Specialty Code level, to allow the possibility of...Atlantic Treaty Organization (NATO) allies is one of our primary national objectives, but recent increases in Soviet ground and air forces (Ref 5:100) have...arrive from the United States. Consequently, the primary objective of the United States Air Force mobility program is to be able, by 1982, to double the

Understanding the relationships between American ginseng harvest and hardwood forests inventory and timber harvest to improve co-management of the forests of eastern United States

Treesearch

James L. Chamberlain; Stephen Prisley; Michael McGuffin

2013-01-01

The roots of American ginseng have been harvested from the hardwood forests of eastern United States, along-side timber, since the mid-1700s. Very little is known about this non-timber commodity relative to timber, although significant volumes of ginseng root have been harvested from the same forests along with timber. The harvest of ginseng correlated positively and...

Reframing school dropout as a public health issue.

PubMed

Freudenberg, Nicholas; Ruglis, Jessica

2007-10-01

Good education predicts good health, and disparities in health and in educational achievement are closely linked. Despite these connections, public health professionals rarely make reducing the number of students who drop out of school a priority, although nearly one-third of all students in the United States and half of black, Latino, and American Indian students do not graduate from high school on time. In this article, we summarize knowledge on the health benefits of high school graduation and discuss the pathways by which graduating from high school contributes to good health. We examine strategies for reducing school dropout rates with a focus on interventions that improve school completion rates by improving students' health. Finally, we recommend actions health professionals can take to reframe the school dropout rate as a public health issue and to improve school completion rates in the United States.

The impact of state-level nutrition-education program funding on BMI: evidence from the behavioral risk factor surveillance system.

PubMed

McGeary, Kerry Anne

2013-04-01

Currently, there is insufficient evidence regarding which policies will improve nutrition, reduce BMI levels and the prevalence of obesity and overweight nationwide. This preliminary study investigates the impact of a nutrition-education policy relative to price policy as a means to reduce BMI in the United States (US). Model estimations use pooled cross-sectional data at the individual-level from the Centers for Disease Control's (CDC), Behavioral Risk Factor Surveillance System (BRFSS), state-level food prices from the American Chamber of Commerce Research Association (ACCRA) and funding for state-specific nutrition-education programs from the United States Department of Agriculture (USDA) from 1992 to 2006. The total number of observations for the study is 2,249,713 over 15 years. During this period, federal funding for state-specific nutrition-education programs rose from approximately $660 thousand for seven states to nearly $248 million for all fifty-two states. In 2011, federal funding for nutrition-education programs reached $375 million. After controlling for state-fixed effects, year effects and state specific linear and quadratic time trends, we find that nutrition education spending has the intended effect on BMI, obese and overweight in aggregate. However, we find heterogeneity as individuals from certain, but not all, income and education levels respond to nutrition-education funding. The results regarding nutrition-education programs suggest that large scale funding of nutrition-education programs may improve BMI levels and reduce obesity and overweight. However, more study is required to determine if these funds are able make the requisite dietary improvements that may ultimately improve BMI for individuals from low income and education-levels. Copyright © 2013 Elsevier Ltd. All rights reserved.

Estimated Deaths Attributable to Social Factors in the United States

PubMed Central

Tracy, Melissa; Hoggatt, Katherine J.; DiMaggio, Charles; Karpati, Adam

2011-01-01

Objectives. We estimated the number of deaths attributable to social factors in the United States. Methods. We conducted a MEDLINE search for all English-language articles published between 1980 and 2007 with estimates of the relation between social factors and adult all-cause mortality. We calculated summary relative risk estimates of mortality, and we obtained and used prevalence estimates for each social factor to calculate the population-attributable fraction for each factor. We then calculated the number of deaths attributable to each social factor in the United States in 2000. Results. Approximately 245 000 deaths in the United States in 2000 were attributable to low education, 176 000 to racial segregation, 162 000 to low social support, 133 000 to individual-level poverty, 119 000 to income inequality, and 39 000 to area-level poverty. Conclusions. The estimated number of deaths attributable to social factors in the United States is comparable to the number attributed to pathophysiological and behavioral causes. These findings argue for a broader public health conceptualization of the causes of mortality and an expansive policy approach that considers how social factors can be addressed to improve the health of populations. PMID:21680937

Complete to Compete: Common College Completion Metrics. Technical Guide

ERIC Educational Resources Information Center

Reyna, Ryan; Reindl, Travis; Witham, Keith; Stanley, Jeff

2010-01-01

Improved college completion rates are critical to the future of the United States, and states must have better data to understand the nature of the challenges they confront or target areas for policy change. The 2010-2011 National Governors Association (NGA) Chair's initiative, "Complete to Compete", recommends that all states collect data from…

School Money Trials: The Legal Pursuit of Educational Adequacy

ERIC Educational Resources Information Center

West, Martin R., Ed.; Peterson, Paul E., Ed.

2007-01-01

Adequacy lawsuits have, with little fanfare, emerged as a major alternative strategy in the pursuit of improved public education in the United States. Plaintiffs allege insufficient resources to provide students with the quality of education promised in their state's constitution, hoping the courts will step in and order the state to increase…

GREENING OF OXIDATION CATALYSIS THROUGH IMPROVED CATALYST AND PROCESS DESIGN

EPA Science Inventory

Greening of Oxidation Catalysis Through Improved Catalysts and Process Design
Michael A. Gonzalez*, Thomas Becker, and Raymond Smith

United State Environmental Protection Agency, Office of Research and Development, National Risk Management Research Laboratory, 26 W...

Scan tour of safety-related intelligent transportation systems across the United States.

DOT National Transportation Integrated Search

2015-09-01

The Utah Department of Transportation (UDOT) has long been on the forefront of nationwide efforts to improve : roadway safety. Their safety focus encompasses infrastructure improvements as well as non-infrastructure elements : such as education and e...

Impacts of intensive management and genetic improvement on soil CO2 efflux and carbon cycling in managed loblolly pine forests

Treesearch

Chelsea G. Drum; Eric J. Jokela; Jason G. Vogel; Edward A. G. Schuur; Salvador Gezan

2015-01-01

In the southeastern United States, fertilization and weed control treatments, with deployment of genetically improved seedlings planting stock, are routinely used to increase aboveground productivity (Jokela and others 2004).

A brief history of the Staunton and James River Turnpike : May 1975.

DOT National Transportation Integrated Search

1975-05-01

During the early nineteenth century the United States experienced a period of growth and expansion. To help meet needs occasioned by this growth, improved means of communication and transportation were established. Among these improvements were the c...

Flea market finds and global exports: Four multistate outbreaks of human Salmonella infections linked to small turtles, United States-2015.

PubMed

Gambino-Shirley, K; Stevenson, L; Concepción-Acevedo, J; Trees, E; Wagner, D; Whitlock, L; Roberts, J; Garrett, N; Van Duyne, S; McAllister, G; Schick, B; Schlater, L; Peralta, V; Reporter, R; Li, L; Waechter, H; Gomez, T; Fernández Ordenes, J; Ulloa, S; Ragimbeau, C; Mossong, J; Nichols, M

2018-03-25

Zoonotic transmission of Salmonella infections causes an estimated 11% of salmonellosis annually in the United States. This report describes the epidemiologic, traceback and laboratory investigations conducted in the United States as part of four multistate outbreaks of Salmonella infections linked to small turtles. Salmonella isolates indistinguishable from the outbreak strains were isolated from a total of 143 ill people in the United States, pet turtles, and pond water samples collected from turtle farm A, as well as ill people from Chile and Luxembourg. Almost half (45%) of infections occurred in children aged <5 years, underscoring the importance of the Centers for Disease Control and Prevention recommendation to keep pet turtles and other reptiles out of homes and childcare settings with young children. Although only 43% of the ill people who reported turtle exposure provided purchase information, most small turtles were purchased from flea markets or street vendors, which made it difficult to locate the vendor, trace the turtles to a farm of origin, provide education and enforce the United States federal ban on the sale and distribution of small turtles. These outbreaks highlight the importance of improving public awareness and education about the risk of Salmonella from small turtles not only in the United States but also worldwide. © 2018 Blackwell Verlag GmbH.

A Multiyear Model of Influenza Vaccination in the United States.

PubMed

Kamis, Arnold; Zhang, Yuji; Kamis, Tamara

2017-07-28

Vaccinating adults against influenza remains a challenge in the United States. Using data from the Centers for Disease Control and Prevention, we present a model for predicting who receives influenza vaccination in the United States between 2012 and 2014, inclusive. The logistic regression model contains nine predictors: age, pneumococcal vaccination, time since last checkup, highest education level attained, employment, health care coverage, number of personal doctors, smoker status, and annual household income. The model, which classifies correctly 67 percent of the data in 2013, is consistent with models tested on the 2012 and 2014 datasets. Thus, we have a multiyear model to explain and predict influenza vaccination in the United States. The results indicate room for improvement in vaccination rates. We discuss how cognitive biases may underlie reluctance to obtain vaccination. We argue that targeted communications addressing cognitive biases could be useful for effective framing of vaccination messages, thus increasing the vaccination rate. Finally, we discuss limitations of the current study and questions for future research.

Military Bases: Opportunities Exist to Improve Future Base Realignment and Closure Rounds

DTIC Science & Technology

2013-03-01

Operational Army—realigns Fort Bliss , TX; Fort Hood, TX; Fort Riley, KS; Fort Campbell, KY; and Fort Sill, OK to include rebasing of units from overseas to...Committee on Appropriations United States Senate The Honorable Tim Johnson Chairman The Honorable Mark Kirk Ranking Member Subcommittee on Military

Characteristics of the USA dairy herd as related to management and demographic elements

USDA-ARS?s Scientific Manuscript database

The data characteristics of the United States dairy herd related to animals enrolled in milk recording (dairy herd improvement) are the basic foundation and important influencers for the management and genetic progress achieved in a population or animal production unit. The amount, characteristics ...

76 FR 68615 - National Alzheimer's Disease Awareness Month, 2011

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-04

... National Alzheimer's Disease Awareness Month, 2011 By the President of the United States of America A... disease is a pain they know all too well. Alzheimer's disease burdens an increasing number of our Nation's... health. During National Alzheimer's Disease Awareness Month, we stand united in our commitment to improve...

7 CFR 633.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... organized pursuant to applicable State law to promote and undertake actions for the conservation of soil... the United States Department of Agriculture, formerly called the Soil Conservation Service. Operator... and improvement of water quality; (3) Attenuation of water flows due to flooding; (4) The recharge of...

7 CFR 633.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... organized pursuant to applicable State law to promote and undertake actions for the conservation of soil... the United States Department of Agriculture, formerly called the Soil Conservation Service. Operator... and improvement of water quality; (3) Attenuation of water flows due to flooding; (4) The recharge of...

The Significance of Education for Mortality Compression in the United States*

PubMed Central

Brown, Dustin C.; Hayward, Mark D.; Montez, Jennifer Karas; Humme, Robert A.; Chiu, Chi-Tsun; Hidajat, Mira M.

2012-01-01

Recent studies of old-age mortality trends assess whether longevity improvements over time are linked to increasing compression of mortality at advanced ages. The historical backdrop of these studies is the long-term improvements in a population's socioeconomic resources that fueled longevity gains. We extend this line of inquiry by examining whether socioeconomic differences in longevity within a population are accompanied by old-age mortality compression. Specifically, we document educational differences in longevity and mortality compression for older men and women in the United States. Drawing on the fundamental cause of disease framework, we hypothesize that both longevity and compression increase with higher levels of education and that women with the highest levels of education will exhibit the greatest degree of longevity and compression. Results based on the Health and Retirement Study and the National Health Interview Survey Linked Mortality File confirm a strong educational gradient in both longevity and mortality compression. We also find that mortality is more compressed within educational groups among women than men. The results suggest that educational attainment in the United States maximizes life chances by delaying the biological aging process. PMID:22556045

Major Challenges Limiting Liver Transplantation in the United States

PubMed Central

Wertheim, Jason A.; Petrowsky, Henrik; Saab, Sammy; Kupiec-Weglinski, Jerzy W.; Busuttil, Ronald W.

2011-01-01

Liver transplantation is the gold standard of care in patients with end-stage liver disease and those with tumors of hepatic origin in the setting of liver dysfunction. From 1988 to 2009, liver transplantation in the United States grew 3.7-fold from 1713 to 6320 transplants annually. The expansion of liver transplantation is chiefly driven by scientific breakthroughs that have extended patient and graft survival well beyond those expected 50 years ago. The success of liver transplantation is now its primary obstacle, as the pool of donor livers fails to keep pace with the growing number of patients added to the national liver transplant waiting list. This review focuses on three major challenges facing liver transplantation in the United States and discusses new areas of investigation that address each issue: 1) the need for an expanded number of useable donor organs, 2) the need for improved therapies to treat recurrent hepatitis C after transplantation and 3) the need for improved detection, risk stratification based upon tumor biology and molecular inhibitors to combat hepatocellular carcinoma. PMID:21672146

Coal resources, reserves and peak coal production in the United States

USGS Publications Warehouse

Milici, Robert C.; Flores, Romeo M.; Stricker, Gary D.

2013-01-01

In spite of its large endowment of coal resources, recent studies have indicated that United States coal production is destined to reach a maximum and begin an irreversible decline sometime during the middle of the current century. However, studies and assessments illustrating coal reserve data essential for making accurate forecasts of United States coal production have not been compiled on a national basis. As a result, there is a great deal of uncertainty in the accuracy of the production forecasts. A very large percentage of the coal mined in the United States comes from a few large-scale mines (mega-mines) in the Powder River Basin of Wyoming and Montana. Reported reserves at these mines do not account for future potential reserves or for future development of technology that may make coal classified currently as resources into reserves in the future. In order to maintain United States coal production at or near current levels for an extended period of time, existing mines will eventually have to increase their recoverable reserves and/or new large-scale mines will have to be opened elsewhere. Accordingly, in order to facilitate energy planning for the United States, this paper suggests that probabilistic assessments of the remaining coal reserves in the country would improve long range forecasts of coal production. As it is in United States coal assessment projects currently being conducted, a major priority of probabilistic assessments would be to identify the numbers and sizes of remaining large blocks of coal capable of supporting large-scale mining operations for extended periods of time and to conduct economic evaluations of those resources.

Disparities in health, poverty, incarceration, and social justice among racial groups in the United States: a critical review of evidence of close links with neoliberalism.

PubMed

Nkansah-Amankra, Stephen; Agbanu, Samuel Kwami; Miller, Reuben Jonathan

2013-01-01

Problems of poverty, poor health, and incarceration are unevenly distributed among racial and ethnic minorities in the United States. We argue that this is due, in part, to the ascendance of United States-style neoliberalism, a prevailing political and economic doctrine that shapes social policy, including public health and anti-poverty intervention strategies. Public health research most often associates inequalities in health outcomes, poverty, and incarceration with individual and cultural risk factors. Contextual links to structural inequality and the neoliberal doctrine animating state-sanctioned interventions are given less attention. The interrelationships among these are not clear in the extant literature. Less is known about public health and incarceration. Thus, the authors describe the linkages between neoliberalism, public health, and criminal justice outcomes. We suggest that neoliberalism exacerbates racial disparities in health, poverty, and incarceration in the United States. We conclude by calling for a new direction in public health research that advances a pro-poor public health agenda to improve the general well-being of disadvantaged groups.

A historical review of additives and modifiers used in paving asphalt refining processes in the United States.

PubMed

Mundt, Diane J; Adams, Robert C; Marano, Kristin M

2009-11-01

The U.S. asphalt paving industry has evolved over time to meet various performance specifications for liquid petroleum asphalt binder (known as bitumen outside the United States). Additives to liquid petroleum asphalt produced in the refinery may affect exposures to workers in the hot mix paving industry. This investigation documented the changes in the composition and distribution of the liquid petroleum asphalt products produced from petroleum refining in the United States since World War II. This assessment was accomplished by reviewing documents and interviewing individual experts in the industry to identify current and historical practices. Individuals from 18 facilities were surveyed; the number of facilities reporting use of any material within a particular class ranged from none to more than half the respondents. Materials such as products of the process stream, polymers, elastomers, and anti-strip compounds have been added to liquid petroleum asphalt in the United States over the past 50 years, but modification has not been generally consistent by geography or time. Modifications made to liquid petroleum asphalt were made generally to improve performance and were dictated by state specifications.

Population health and medicine: Policy and financial drivers.

PubMed

Lavigne, Jill E; Brown, Jack; Matzke, Gary R

2017-09-15

The financial and policy levers of population health and potential opportunities for pharmacists are described. Three long-standing problems drive the focus on population health: (1) the United States suffers far worse population health outcomes compared with those of other developed nations that spend significantly less on healthcare, (2) the U.S. healthcare system's focus on "sick care" fails to address upstream prevention and population health improvement, and (3) financial incentives for healthcare delivery are poorly aligned with improvements in population health outcomes. The Patient Protection and Affordable Care Act of 2010 (ACA) was arguably the first major healthcare legislation since 1965 and had 3 main strategies for improving population health: expand health insurance coverage, control healthcare costs, and improve the healthcare delivery system. Federal and state legislation as well as Medicare and Medicaid financing strategies have designated mechanisms to reward advances in population outcomes since the passage of the ACA. States are responsible for many of the factors that affect population health, and a bipartisan effort that builds upon state and federal collaboration will likely be needed to implement the necessary health policy initiative. Population health issues affect productivity in the United States; conversely, improvements in population health may increase productivity, helping to offset the rising federal debt. Employers are in a position to improve population health and consequently help reduce the federal debt by addressing lifestyle, chronic disease, poverty, and inequality. National pharmacy organizations, regulatory bodies, and journal editors need to collectively agree to a threshold of quality and rigor for publication and endorsement. Knowledge of the policy and financial drivers of population health may both support pharmacists' efforts to improve population outcomes and identify opportunities for professional advancement. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

Measure of School Capacity for Improvement (MSCI). User Manual and Technical Report

ERIC Educational Resources Information Center

Hughes, Georgia K.; Copley, Lisa D.; Howley, Caitlin W.; Meehan, Merrill L.

2005-01-01

Building capacity within schools and districts for continuous improvement is a goal of educators at all levels across the United States of America. An important first step in capacity building is identifying schools' current strengths and weaknesses. Schools can then begin building upon existing strengths to implement improvement initiatives.…

Status and prospects for the yellow perch genetic improvement program in Milwaukee, Wisconsin

USDA-ARS?s Scientific Manuscript database

In 2004, a broodstock improvement program was initiated with the aim of developing defined geographic strains of yellow perch that have been selected for improved growth. Following a survey of 19 populations ranging from the Mid-West to the Eastern coast of the United States, and subsequent efforts ...

An Action Plan for Improving Mediocre or Stagnant Student Achievement

ERIC Educational Resources Information Center

Redmond, Kimberley B.

2013-01-01

Although all of the schools in the target school system adhere to a school improvement process, achievement scores remain mediocre or stagnant within the overseas school in Italy that serves children of United States armed service members. To address this problem, this study explored the target school's improvement process to discover how…

Cost containment and mechanical ventilation in the United States.

PubMed

Cohen, I L; Booth, F V

1994-08-01

In many ICUs, admission and discharge hinge on the need for intubation and ventilatory support. As few as 5% to 10% of ICU patients require prolonged mechanical ventilation, and this patient group consumes > or = 50% of ICU patient days and ICU resources. Prolonged ventilatory support and chronic ventilator dependency, both in the ICU and non-ICU settings, have a significant and growing impact on healthcare economics. In the United States, the need for prolonged mechanical ventilation is increasingly recognized as separate and distinct from the initial diagnosis and/or procedure that leads to hospitalization. This distinction has led to improved reimbursement under the prospective diagnosis-related group (DRG) system, and demands more precise accounting from healthcare providers responsible for these patients. Using both published and theoretical examples, mechanical ventilation in the United States is discussed, with a focus on cost containment. Included in the discussion are ventilator teams, standards of care, management protocols, stepdown units, rehabilitation units, and home care. The expanding role of total quality management (TQM) is also presented.

A brief history of the Staunton and James River Turnpike : second revised edition March 1980.

DOT National Transportation Integrated Search

1980-03-01

During the early nineteenth century the United States experienced a period of growth and expansion. To help meet needs occasioned by this growth, improved means of communication : and transportation were established. Among these improvements were the...

Climate forecasts for corn producer decision making

USDA-ARS?s Scientific Manuscript database

Corn is the most widely grown crop in the Americas, with annual production in the United States of approximately 332 million metric tons. Improved climate forecasts, together with climate-related decision tools for corn producers based on these improved forecasts, could substantially reduce uncertai...

5 CFR 410.101 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... supports agency goals by improving organizational performance at any appropriate level in the agency, as... and performance objectives; (2) Improves an employee's current job performance; (3) Allows for..., United States Code. (i) Established contact hours are the number of academic credit hours assigned to a...

Literature search and scan tour of wrong-way driving mitigation measures across the United States.

DOT National Transportation Integrated Search

2017-01-01

The Utah Department of Transportation (UDOT) has long been on the forefront of nationwide efforts to improve roadway safety. Their safety focus encompasses infrastructure improvements as well as non-infrastructure elements such as education and enfor...

Confronting Violence, Improving Women's Lives Special Display Opens at NLM | NIH MedlinePlus the Magazine

MedlinePlus

... history of nurses and nursing in relation to domestic violence and related research. Activists and reformers in the United States have long recognized the harm of domestic violence and sought to improve the lives of women ...

Refugee resettlement to the United States: recommendations for a new approach.

PubMed

Westermeyer, Joseph John

2011-08-01

Hmong acculturation to the United States has involved high prevalence of several psychosocial challenges: acculturation failure, welfare dependency, psychiatric disorder, mistrust, malignant youth gangs, and violence. Conversely, resettlement of the Thai Dam-a tribal group, also from Laos-has gone remarkably well in comparison. Strategies used for resettlement of these two groups differed greatly. Based on these differences, the author recommends a refugee resettlement strategy aimed at improved mental health and optimal acculturation for future refugee groups.

Eight-Year Review of Bordetella pertussis Testing Reveals Seasonal Pattern in the United States.

PubMed

Bhatti, Micah M; Rucinski, Stefanea L; Schwab, Jeramy J; Cole, Nicolynn C; Gebrehiwot, Senait A; Patel, Robin

2017-03-01

Review of Bordetella pertussis polymerase chain reaction testing from 2007 through 2014 revealed a yearly spike in positivity rates during the summer throughout the United States. Paradoxically, the highest test volumes occurred outside of this time frame, which provides an opportunity for improved test utilization. © The Author 2015. Published by Oxford University Press on behalf of the Pediatric Infectious Diseases Society. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Better Health for Our Children: A National Strategy. The Report of the Select Panel for the Promotion of Child Health to the United States Congress and the Secretary of Health and Human Services. Executive Summary.

ERIC Educational Resources Information Center

Public Health Service (DHEW), Rockville, MD.

This executive summary presents specific proposals to improve maternal and child health conditions in the United States. Contents of the summary are organized in 13 chapters. Five overriding concerns in the areas of health and health care are identified in Chapter One. Chapter Two focuses on the reduction of environmental risks; Chapter Three…

Higher Education: Approaches to Attract and Fund International Students in the United States and Abroad. Report to the Chairman, Subcommittee on International Organizations, Human Rights, and Oversight, Committee on Foreign Affairs, House of Representatives. GAO-09-379

ERIC Educational Resources Information Center

US Government Accountability Office, 2009

2009-01-01

Following September 11, 2001, the number of international students coming to the United States dropped for the first time in over 30 years. While enrollments have rebounded, the U.S. image has declined in the Muslim world and elsewhere. To improve global attitudes toward America, the U.S. government funds higher education for international…

Research Requirements for Future Visual Guidance Systems

DTIC Science & Technology

1994-02-01

age in the 1960’s, and attendant higher speeds and aircraft sizes, improvements in signage became imperative. The John F. Kennedy ( JFK ) Airport in New...been carried out in the United States at JFK Airport in New York in the late 1980’s (reference 21). The costs of retrofitting the SEATAC airport with...Previous testing of abbreviated stop bars had been carried out in the United States at JFK Airport in New York in the late 1980’s. The costs of

Monitoring of health care personnel employee and occupational health immunization program practices in the United States.

PubMed

Carrico, Ruth M; Sorrells, Nikka; Westhusing, Kelly; Wiemken, Timothy

2014-01-01

Recent studies have identified concerns with various elements of health care personnel immunization programs, including the handling and management of the vaccine. The purpose of this study was to assess monitoring processes that support evaluation of the care of vaccines in health care settings. An 11-question survey instrument was developed for use in scripted telephone surveys. State health departments in all 50 states in the United States and the District of Columbia were the target audience for the surveys. Data from a total of 47 states were obtained and analyzed. No states reported an existing monitoring process for evaluation of health care personnel immunization programs in their states. Our assessment indicates that vaccine evaluation processes for health care facilities are rare to nonexistent in the United States. Identifying existing practice gaps and resultant opportunities for improvements may be an important safety initiative that protects patients and health care personnel. Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

Greater Use of Exemplary Education Programs Could Improve Education for Disadvantaged Children.

DTIC Science & Technology

1981-09-15

The Congress OF THE UNITED STATES Greater Use Of Exemplary Education Pograms Could Improve Education for Disadvantaged Children. Although low...report discusses the potential for improving education for disadvantaged children through greater use of exemplary education programs available through the...EXEMPLARY EDUCATION REPORT TO THE CONGRESS PROGRAMS COULD IMPROVE EDUCATION FOR DISADVANTAGED CHILDREN DIGEST Federal programs for elementary and

MODELING, SYNTHESIS AND BIOASSAY OF ACYLPIPERIDINES AND CARBOXAMIDES AS IMPROVED MOSQUITO REPELLENTS

USDA-ARS?s Scientific Manuscript database

Novel mosquito repellents are being designed through collaborative research between the United States Department of Agriculture (USDA)-Agricultural Research Service and the University of Florida, Department of Chemistry. The approach involves state-of-the-art modeling, organic synthesis, and repell...

The effect of lack of insurance, poverty and paediatrician supply on immunization rates among children 19-35 months of age in the United States.

PubMed

Becton, James L; Cheng, Lee; Nieman, Linda Z

2008-04-01

Previous studies found that the increasing number of paediatricians in the United States was associated with improved childhood immunization coverage, while the increasing poverty level and the lack of health insurance reduced access to health care. We evaluated whether changes in the number of paediatricians, poverty level and health insurance affected national childhood immunization coverage in the state levels of the United States. Data were collected primarily from the US National Immunization Surveys, series 4:3:1:3:3 from years 1995 and 2003. Ordinal logistic regression analysis was used to analyse the relationships among variables. Over 8 years studied, immunization coverage increased for children aged 19-35 months from 52.3% to 79.8% in the 50 states. The average number of paediatricians per 1000 births increased 28.7% while the percentage of children without health insurance declined 15.6%, and the percentage of children who lived in poverty level declined 17.3%. In 1995, the states with higher immunization coverage were associated with higher numbers of paediatricians [odds ratio (OR), 32.73; 95% confidence interval (CI), 5.96-179.77]. In 2003, the higher numbers of paediatricians still played a role in the increased immunization coverage (OR, 4.69; 95% CI, 1.01-21.78); however, the higher rate of uninsured children in 2003 had an even greater effect upon immunization coverage. Compared with states with lower rates of uninsured children, states with intermediate and higher rates of uninsured children had sixfold (OR, 0.16; 95% CI, 0.03-0.81) and 16-fold (OR, 0.06; 95% CI, 0.01-0.40) decreased childhood immunization coverage, respectively. Between 1995 and 2003 in the United States, the lack of health insurance became more prominent than the supply of paediatricians in affecting immunization coverage for children aged 19-35 months. Future improvements in insurance coverage for children will likely lead to greater immunization coverage.

Charter Schools: The Landscape and the Horizon

ERIC Educational Resources Information Center

Hassel, Bryan C.

2017-01-01

In this article, Bryan C. Hassel reviews the growing charter school sector and how State Boards of Education (SBEs) and Stated Education Agencies (SEAs) have some degree of responsibility for this growing set of schools. He examines the mixed bag of theories about how to improve public education in the United States and asks why charters? Hassel…

Splintered Accountability: State Governance and Education Reform. SUNY Series in Public Policy

ERIC Educational Resources Information Center

Shober, Arnold F.

2010-01-01

The No Child Left Behind Act declared that improving education in every school in the United States was a top national priority. However, this act did not acknowledge how state departments of education have successfully constructed reforms for the past few decades, despite the power struggle between governors, legislators, school districts, and…

Building Blocks: A Legislator's Guide to Child Care Policy.

ERIC Educational Resources Information Center

Culkin, Mary L.; Groginsky, Scott; Christian, Steve

The care and education of the youngest children in the United States has become a critical public policy issue affecting millions of families. This guide closely examines the issues and tradeoffs in key child care policy decisions that face state legislators. The guide provides a discussion of state efforts to build supply, improve quality, and…

Using Teacher Evaluation Reform and Professional Development to Support Common Core Assessments

ERIC Educational Resources Information Center

Youngs, Peter

2013-01-01

The Common Core State Standards Initiative, in its aim to align diverse state curricula and improve educational outcomes, calls for K-12 teachers in the United States to engage all students in mathematical problem solving along with reading and writing complex text through the use of rigorous academic content. Until recently, most teacher…

In Brief: Improving science education

NASA Astrophysics Data System (ADS)

Showstack, Randy

2010-09-01

Over the course of the next decade, 100,000 science, technology, engineering, and math (STEM) teachers should be recruited in the United States, and 1000 new STEM-focused schools should be created, according to a 16 September report, “Prepare and inspire: K-12 education in science, technology, engineering, and math (STEM) for America's future.” Noting that the United States lags behind other nations in STEM education at the elementary and secondary levels, the report, prepared by the President's Council of Advisors on Science and Technology, also recommends improving federal coordination and leadership on STEM education and supporting a state-led movement for shared standards in math and science. The release of the report coincides with President Barack Obama's announcement of the launch of Change the Equation, an organization that aims to help with math and science education. More information is available at http://www.whitehouse.gov/administration/eop/ostp and http://www.changetheequation.org/.

Pulmonary Hypertension Care Center Network: Improving Care and Outcomes in Pulmonary Hypertension.

PubMed

Sahay, Sandeep; Melendres-Groves, Lana; Pawar, Leena; Cajigas, Hector R

2017-04-01

Pulmonary hypertension (PH) is a chronic, progressive, life-threatening disease that requires expert multidisciplinary care. To facilitate this level of care, the Pulmonary Hypertension Association established across the United States a network of pulmonary hypertension care centers (PHCCs) with special expertise in PH, particularly pulmonary arterial hypertension, to raise the overall quality of care and outcomes for patients with this life-threatening disease. Since the inception of PHCCs in September 2014, to date 35 centers have been accredited in the United States. This model of care brings together physicians and specialists from other disciplines to provide care, facilitate basic and clinical research, and educate the next generation of providers. PHCCs also offer additional opportunities for improvements in PH care. The patient registry offered through the PHCCs is an organized system by which data are collected to evaluate the outcomes of patients with PH. This registry helps in detecting variations in outcomes across centers, thus identifying opportunities for improvement. Multiple tactics were undertaken to implement the strategic plan, training, and tools throughout the PHCC network. In addition, strategies to foster collaboration between care center staff and individuals with PH and their families are the cornerstone of the PHCCs. The Pulmonary Vascular Network of the American College of Chest Physicians believes this to be a positive step that will improve the quality of care delivered in the United States to patients with PH. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

The Patient Protection and Affordable Care Act, public health, and the elusive target of human rights.

PubMed

Gable, Lance

2011-01-01

The Patient Protection and Affordable Care Act (ACA) sets in motion a wide range of programs that substantially affected the health system in the United States and signify a moderate but important regulatory shift in the role of the federal government in public health. This article briefly addresses two interesting policy paradoxes about the ACA. First, while the legislation primarily addresses health care financing and insurance and establishes only a few initiatives directly targeting public health, the ACA nevertheless has the potential to produce extensive public health benefits across the United States population by improving access to health care and services and reducing cost. Essentially, the ACA does not take the explicit form of a public health law but instead strives to advance public health indirectly through its effects. Second, while the ACA does not establish a right to health - or even a right to health insurance - in the United States, it does set in motion a number of significant structural and normative changes to United States law that comport with the attainment of the right to health. Most significantly, key provisions of the bill are designed to improve availability, accessibility, acceptability, and quality of conditions necessary for health, and to prompt the government to respect, protect, and fulfill these conditions. These developments mean that, to a degree, the United States essentially has undertaken the same types of legal and policy steps that a country would be required to take to uphold the right to health without actually recognizing the right to health in any formal or legally binding way. Despite these dual paradoxes and the upside potential for public health improvements resulting from the ACA, the public health impact of the law remains uncertain and will be decided by numerous subsequent regulatory and implementation decisions. The ACA authorizes multiple federal agencies to engage in rulemaking, a process that will largely dictate the systemic and health impacts that will become its legacy. This reality opens up ample opportunity to bolster public health aspects and interpretations of the law, and to simultaneously augment the corresponding components of the right to health. © 2011 American Society of Law, Medicine & Ethics, Inc.

Tsunami Hazards - A National Threat

USGS Publications Warehouse

,

2006-01-01

In December 2004, when a tsunami killed more than 200,000 people in 11 countries around the Indian Ocean, the United States was reminded of its own tsunami risks. In fact, devastating tsunamis have struck North America before and are sure to strike again. Especially vulnerable are the five Pacific States--Hawaii, Alaska, Washington, Oregon, and California--and the U.S. Caribbean islands. In the wake of the Indian Ocean disaster, the United States is redoubling its efforts to assess the Nation's tsunami hazards, provide tsunami education, and improve its system for tsunami warning. The U.S. Geological Survey (USGS) is helping to meet these needs, in partnership with the National Oceanic and Atmospheric Administration (NOAA) and with coastal States and counties.

Highlights of Fire in the United States: Deaths, Injuries, Dollar Loss, and Incidents at the National, State, and Local Levels.

ERIC Educational Resources Information Center

National Fire Prevention and Control Administration (DOC), Washington, DC. National Fire Data Center.

This report provides fire departments, federal and state governments, and others active in the fire protection field with information which can be used to improve the efficacy and targeting of fire prevention programs. As a byproduct, it illustrates ways that state and local governments might analyze their own fire problems. The report describes…

Are HIV/AIDS Prevention Interventions for Heterosexually Active Men in the United States Gender-Specific?

PubMed Central

Fullilove, Robert E.; Peacock, Dean

2009-01-01

Although gender-specific theories are often deployed in interventions to reduce women's HIV risks, the same is often not true for interventions among men. Theories of masculinity are not guiding most US research on the risky sexual behavior of heterosexual men or on what can be done to intervene. We first assess the extent to which evidence-based HIV-prevention interventions among heterosexually active men in the United States draw upon relevant theories of masculinity. Next, we introduce a useful framework within masculinity and gender studies that can be applied to HIV-prevention interventions with heterosexually active men. Finally, we make suggestions to improve the gender specificity of HIV-prevention interventions for heterosexually active men in the United States. PMID:19372506

Reduction of earthquake risk in the united states: Bridging the gap between research and practice

USGS Publications Warehouse

Hays, W.W.

1998-01-01

Continuing efforts under the auspices of the National Earthquake Hazards Reduction Program are under way to improve earthquake risk assessment and risk management in earthquake-prone regions of Alaska, California, Nevada, Washington, Oregon, Arizona, Utah, Wyoming, and Idaho, the New Madrid and Wabash Valley seismic zones in the central United States, the southeastern and northeastern United States, Puerto Rico, Virgin Islands, Guam, and Hawaii. Geologists, geophysicists, seismologists, architects, engineers, urban planners, emergency managers, health care specialists, and policymakers are having to work at the margins of their disciplines to bridge the gap between research and practice and to provide a social, technical, administrative, political, legal, and economic basis for changing public policies and professional practices in communities where the earthquake risk is unacceptable. ?? 1998 IEEE.

Teacher Mathematics Learning and Middle School Student Achievement

ERIC Educational Resources Information Center

Mascia, Sally Marie

2010-01-01

United States policymakers have taken measures to improve learning for all students emphasizing the use of scientifically based research in choosing educational programs to promote school improvement and student learning. However, educators, researchers and policymakers debate about which factors are most important in affecting student…

The Quiet Path to Technological Preeminence.

ERIC Educational Resources Information Center

Reich, Robert B.

1989-01-01

Described are research efforts in the United States designed to help improve the competitive nature of high technology manufacturing in the U.S. U.S. policies and techniques are compared with those of Japan. Six recommendations for improving manufacturing practices in the U.S. are detailed. (CW)

Alfalfa and forage kochia improve nutritive value of semiarid rangelands

USDA-ARS?s Scientific Manuscript database

Improving forage quality on semiarid grazing lands of the western United States is challenging. This study compared the late summer forage quality parameters crude protein (CP) and neutral detergent fiber (NDF) of 'Vavilov' Siberian wheatgrass (Agropyron fragile). 'Mustang' Altai wildrye (Leymus ang...

METHYL TERT-BUTYLETHER-WATER INTERACTION

EPA Science Inventory

Methyl tert-butyl ether (MTBE) is a well-known environmental contaminant owing to its high solubility in water. Since the early 1990s, MTBE has been added to gasoline to improve air quality in some metropolitan areas of the United States. Improved air quality was, however, achiev...

Vertebrate species introductions in the United States and its territories

USGS Publications Warehouse

Witmer, Gary W.; Fuller, Pam L.

2011-01-01

At least 1,065 introduced vertebrate species have been introduced in the United States and its territories, including at least 86 mammalian, 127 avian, 179 reptilian/amphibian, and 673 fish species. Examples in each major taxonomic group include domestic cat, small Indian mongoose, red fox, goat, pig, rabbit, rats, house mouse, gray squirrel, nutria, starling, Indian common myna, red-vented bulbul, brown treesnake, red-eared slider, brown trout, tilapia, and grass carp. We briefly review some of these species and the types of damage they cause. We then review the basic types of methods used for control or eradication of each taxonomic group, including physical, chemical, biological, and cultural methods. We discuss some of the challenges in managing these species, including issues with the use of toxicants, land access, public attitudes, and monitoring difficulties. Finally, we list some ongoing research and future research needs, including improved detection methods, improved attractants, improved barriers, improved capture methods, fertility control, and risk assessment methods.

A Review of Opportunities to Improve the Health of People Involved in the Criminal Justice System in the United States.

PubMed

Freudenberg, Nicholas; Heller, Daliah

2016-01-01

In the past decade, many constituencies have questioned the efficacy, cost, and unintended consequences of mass incarceration in the United States. Although substantial evidence now demonstrates that US incarceration policies have had unintended adverse health consequences, we know less about the strategies and policies that can prevent or reduce these problems for justice-involved individuals and how the criminal justice system (CJS) can contribute to the Healthy People 2020 national goal of eliminating inequities in health. This review examines strategies that have been used to improve the health of people at various stages of CJS involvement, including diversion from jail and prison stays into community settings, improvements to the social and physical environments within correctional facilities, provision of health and other services to inmates, assistance for people leaving correctional facilities to make the transition back to the community, and systems coordination and integration.

CDC Grand Rounds: Improving Medication Adherence for Chronic Disease Management - Innovations and Opportunities.

PubMed

Neiman, Andrea B; Ruppar, Todd; Ho, Michael; Garber, Larry; Weidle, Paul J; Hong, Yuling; George, Mary G; Thorpe, Phoebe G

2017-11-17

Adherence to prescribed medications is associated with improved clinical outcomes for chronic disease management and reduced mortality from chronic conditions (1). Conversely, nonadherence is associated with higher rates of hospital admissions, suboptimal health outcomes, increased morbidity and mortality, and increased health care costs (2). In the United States, 3.8 billion prescriptions are written annually (3). Approximately one in five new prescriptions are never filled, and among those filled, approximately 50% are taken incorrectly, particularly with regard to timing, dosage, frequency, and duration (4). Whereas rates of nonadherence across the United States have remained relatively stable, direct health care costs associated with nonadherence have grown to approximately $100-$300 billion of U.S. health care dollars spent annually (5,6). Improving medication adherence is a public health priority and could reduce the economic and health burdens of many diseases and chronic conditions (7).

National Initiatives to Improve Healthcare Outcomes: A Comparative Study of Health Delivery Systems in Slovakia and the United States.

PubMed

Curtis, Robert; Caplanova, Anetta; Novak, Marcel

2015-01-01

While the United States and Slovakia offer different healthcare delivery systems, each country faces the same challenges of improving the health status of their populations. The authors explore the impact of their respective systems on the health of their populations and compare the health outcomes of both nations. They point out that socioeconomic factors play a far more important role in determining population health outcomes than do the structures of the systems surrounding the care delivery. The authors illustrate this finding through a comparison of the poverty and education levels of a selected minority group from each country in relation to the health outcomes for each population group. The comparison reveals that education is a more influential determinant in a population's health outcomes, than the improved access to care offered by a universal system.

Analysis of firetruck crashes and associated firefighter injuries in the United States.

PubMed

Donoughe, Kelly; Whitestone, Jennifer; Gabler, Hampton C

2012-01-01

Motor vehicle crashes are the second leading cause of death for on-duty firefighters. Firetruck crashes, occurring at a rate of approximately 30,000 crashes per year, have potentially dire consequences for the vehicle occupants and for the community if the firetruck was traveling to provide emergency services. Data from the United States Fire Administration and the National Highway Traffic Safety Administration shows that firefighters neglect to buckle their seatbelts while traveling in a fire apparatus, thus putting themselves at a high risk for injuries if the truck crashes, especially in rollover crashes. Despite national regulations and departmental guidelines aiming to improve safety on fire apparatuses, belt use among firefighters remains dangerously low. The results from this study indicate that further steps need to be taken to improve belt use. One promising solution would be to redesign firetruck seatbelts to improve the ease of buckling and to accommodate wider variations in firefighter sizes.

Analysis of Firetruck Crashes and Associated Firefighter Injuries in the United States

PubMed Central

Donoughe, Kelly; Whitestone, Jennifer; Gabler, Hampton C.

2012-01-01

Motor vehicle crashes are the second leading cause of death for on-duty firefighters. Firetruck crashes, occurring at a rate of approximately 30,000 crashes per year, have potentially dire consequences for the vehicle occupants and for the community if the firetruck was traveling to provide emergency services. Data from the United States Fire Administration and the National Highway Traffic Safety Administration shows that firefighters neglect to buckle their seatbelts while traveling in a fire apparatus, thus putting themselves at a high risk for injuries if the truck crashes, especially in rollover crashes. Despite national regulations and departmental guidelines aiming to improve safety on fire apparatuses, belt use among firefighters remains dangerously low. The results from this study indicate that further steps need to be taken to improve belt use. One promising solution would be to redesign firetruck seatbelts to improve the ease of buckling and to accommodate wider variations in firefighter sizes. PMID:23169118

REPORT OF THE SOUTHWEST TEXAS STATE COLLEGE RESEARCH CONFERENCE ON THE PROBLEM OF DYSLEXIA AND RELATED DISORDERS IN PUBLIC SCHOOLS OF THE UNITED STATES. REPORT OF THE WORKING GROUP ON TEACHER PREPARATION.

ERIC Educational Resources Information Center

ZEDLER, EMPRESS Y.

SOME GUIDELINES AND RECOMMENDATIONS FOR IMPROVING TEACHER EDUCATION IN ORDER TO MEET THE NEEDS OF SEVERELY DISABLED LEARNERS ARE PRESENTED. THE SUGGESTIONS INCLUDE IMPROVING PROFESSIONAL TRAINING FOR TEACHERS, PSYCHOLOGISTS, SUPERVISORS, AND COUNSELORS AT ALL LEVELS. TRAINING SHOULD INCLUDE THE STUDY OF DYSLEXIA AND THE PREPARATION OF A PILOT…

Improving the Reliability of Technological Subsystems Equipment for Steam Turbine Unit in Operation

NASA Astrophysics Data System (ADS)

Brodov, Yu. M.; Murmansky, B. E.; Aronson, R. T.

2017-11-01

The authors’ conception is presented of an integrated approach to reliability improving of the steam turbine unit (STU) state along with its implementation examples for the various STU technological subsystems. Basing on the statistical analysis of damage to turbine individual parts and components, on the development and application of modern methods and technologies of repair and on operational monitoring techniques, the critical components and elements of equipment are identified and priorities are proposed for improving the reliability of STU equipment in operation. The research results are presented of the analysis of malfunctions for various STU technological subsystems equipment operating as part of power units and at cross-linked thermal power plants and resulting in turbine unit shutdown (failure). Proposals are formulated and justified for adjustment of maintenance and repair for turbine components and parts, for condenser unit equipment, for regeneration subsystem and oil supply system that permit to increase the operational reliability, to reduce the cost of STU maintenance and repair and to optimize the timing and amount of repairs.

Topographic variables improve climate models of forage species abundance in the northeastern United States

USDA-ARS?s Scientific Manuscript database

Species distribution modeling has most commonly been applied to presence-only data and to woody species, but detailed predicted abundance maps for forage species would be of great value for agricultural management and land use planning. We used field data from 107 farms across the northeastern Unite...

A Standards-Based Thematic Unit: "Crictor"

ERIC Educational Resources Information Center

Coblin, Mary Payne; Huss, Dorothy; Kirk, Bonnie; Lonneman, Melissa; Melville, Claire

1998-01-01

This unit was created as a result of a summer institute sponsored by the National K-12 Foreign Language Resource Center at Iowa State University, Ames, Iowa. The Center's goal is to improve student learning of foreign languages in kindergarten through twelfth grade (K-12). To this end, the Center provides professional support for foreign language…

Improving the urban family planning programme.

PubMed

1997-10-01

This report presents the directives on improving urban family planning (FP) programs issued by various Chinese departments in March 1997. The departments included the State Family Planning Commission, State Economic and Trade Commission, Ministry of Public Security, Ministry of Personnel, Ministry of Labor, Ministry of Public Health, and the National Industrial and Commercial Administration. The directives related to time frame, objectives, management, local level operations, IEC, the floating population's needs, the responsibility system, and a well-trained staff. It was stated that urban FP improvements will take some time, due to expansion of urban population, the increase in floating population, and the demand for quality services. The guiding principles support Deng Xiaoping's theory of building socialism with Chinese characteristics and balancing population with socioeconomic and sustainable development. The aim is to improve IEC and services and achieve low fertility as a way of creating favorable demographics for modernization. Leaders must be held responsible for the practice of FP in their unit. Subdistrict offices are a key link for managing FP in all units and neighborhood committees in their territory. Efforts need to be increased to spread IEC on population and FP and to reduce abortion. Every department registry should make an effort to provide comprehensive FP to floating populations. Urban centers should concentrate on improving the quality of FP services. Staff should be carefully chosen.

Work-related road safety in Australia, the United Kingdom and the United States of America: an overview of regulatory approaches and recommendations to enhance strategy and practice

PubMed Central

Stuckey, R; Pratt, SG; Murray, W

2015-01-01

Work-related travel and transport by road is fundamental for industry, government and organisations. Traditionally, road safety interventions at societal level have focussed on improving road and vehicle engineering and changing road-user behaviour through transport laws and safety campaigns. Crash data indicate that significant numbers of road-user fatalities occur while driving to or for work. Therefore, workplace initiatives can improve both road and worker safety. This paper reviews regulatory approaches to work-related road safety (WRRS) in Australia, the United Kingdom and United States, identifying significant and consistent gaps in policy, management and research. In all three countries, responsibility for managing and regulating WRRS is spread across government agencies, without a single coordinating body. This paper makes the case that integrating management of WRRS into regulatory and non-regulatory occupational health and safety (OHS) initiatives would foster and support collaboration between research and practice communities, ensuring a comprehensive evidence base for future programs. PMID:26279686

36 CFR 228.57 - Types of disposal.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Federal, State, county, local unit, subdivision, municipality, or county road district for use in public... various Forest Service programs involving construction and maintenance of physical improvements. ...

42 CFR 1001.2006 - Notice to others regarding exclusion.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) State Medicaid Fraud Control Units; (3) Utilization and Quality Control Quality Improvement Organizations; (4) Hospitals, skilled nursing facilities, home health agencies and health maintenance...

The Early Grade Reading Assessment: Applications and Interventions to Improve Basic Literacy

ERIC Educational Resources Information Center

Gove, Amber, Ed.; Wetterberg, Anna, Ed.

2011-01-01

This book highlights the experience of Liberia in both assessing and improving reading in primary schools. As a result of an Early Grade Reading Assessment, the Ministry of Education and partners, including the United States Agency for International Development, came together to identify and develop strategies for improving reading in schools.…

Administrative Barriers to Improving Undergraduate Education. Accent on Improving College Teaching and Learning, 6.

ERIC Educational Resources Information Center

Genthon, Michele; Joscelyn, Mary K., Ed.

Chief academic officers at 1,053 institutions of higher education across the United States were surveyed about the barriers to improving teaching and learning. Using factor analysis, responses were reduced to nine general problem areas. In order of importance from most important to least important, the problems identified were: financial support,…

Financing Facility Improvements for Out-of-School Time and Community School Programs. Strategy Brief. Vol. 1 No. 4.

ERIC Educational Resources Information Center

Flynn, Margaret

This strategy brief presents general principles and strategies for financing facility improvements and highlights five examples of innovative strategies found throughout the United States. The strategies described concern facility improvements for out-of-school time and community school programs and include the following: (1) accessing school…

A Study of High School Improvement Initiatives and the Impact on School Achievement

ERIC Educational Resources Information Center

Randolph, Jack Lowell

2017-01-01

Educational reform is at the forefront of legislatures and school districts across the United States (Hattie, 2011). To find and employ high school improvement initiatives that lead to improved educational experiences for students, educational leaders must examine in great detail what systems have been successful and then modify the initiatives to…

The Development of improved willow clones for eastern North America

Treesearch

R. F. Kopp; L. B. Smart; C. A. Maynard; J. G. Isebrands; G. A. Tuskan; L. P. Abrahamson

2001-01-01

Efforts aimed at genetic improvement of Salix are increasing in North America.Most of these are directed towards developing improved clones for biomass production, phytoremediation, nutrient filters, and stream bank stabilization in the Northeast and North-central United States. Native species are of primary interest, but a small number of clones containing non-native...

Implementation of Total Employee Involvement as Part of a Continuous Improvement Program at a Fortune 500 Company

ERIC Educational Resources Information Center

Carlson, Kathy Lynn

2012-01-01

Over the last several decades, Continuous Improvement (CI) type initiatives have been implemented in companies across the United States to improve quality, reduce process variation, eliminate waste and ultimately reduce costs. Approximately five years ago, one particular Fortune 500 company implemented CI in its manufacturing facilities. A key…

Improving Academic Outcomes for Disadvantaged Students: Scaling up Individualized Tutorials. Policy Proposal 2016-02

ERIC Educational Resources Information Center

Ander, Roseanna; Guryan, Jonathan; Ludwig, Jens

2016-01-01

Improving the educational outcomes of economically disadvantaged children is a policy priority in the United States, and yet relatively little progress has been made in recent decades. Education reforms that aim to help economically disadvantaged students often focus on improving the quality with which grade-level material is taught, or the…

CUSTOMS SERVICE MODERNIZATION: Management Improvements Needed on High-Risk Automated Commercial Environment Project

DTIC Science & Technology

2002-05-01

GAO United States General Accounting OfficeReport to Congressional CommitteesMay 2002 CUSTOMS SERVICE MODERNIZATION Management Improvements Needed...from... to) - Title and Subtitle CUSTOMS SERVICE MODERNIZATION: Management Improvements Needed on High-Risk Automated Commercial Environment... Customs management of ACE. Subject Terms Report Classification unclassified Classification of this page unclassified Classification of Abstract

Neurologist-patient communication about epilepsy in the United States, Spain, and Germany.

PubMed

Stern, John M; Cendes, Fernando; Gilliam, Frank; Kwan, Patrick; Ryvlin, Philippe; Sirven, Joseph; Smith, Brien; Adomas, Aleksandra; Walter, Lauren

2018-04-01

Effective communication between patients and their health care providers is recognized as critically important to improve the quality of health services for individuals with epilepsy. We aimed to describe in-office neurologist-patient conversations about epilepsy and focus on disease identification, shared decision-making, and care planning. Transcripts and audio recordings of conversations between patients and neurologists in the United States, Spain, and Germany were analyzed linguistically in the topic areas of epilepsy identification and diagnosis, disease education, treatments, and care planning. Analyses included word-level assessments, topic switching, strategies of information elicitation, identification of topics discussed, quantification of questions asked, and assessment of types of questions asked. Conversations of 17 neurologists in the United States, 12 in Spain, and 6 in Germany, with 50, 20, and 16 patients, respectively, were analyzed. Neurologists tended to utilize an event-based, patient-friendly vocabulary to refer to seizures, and in the United States, they avoided using the term "epilepsy." Regardless of who initiated the treatment discussion, the neurologists in all 3 countries were unilaterally responsible for the treatment decision and choice of medication. When describing a new medication, neurologists most often discussed potential side effects but did not review potential benefits. Neurologists rarely defined seizure control and did not ask patients what seizure control meant to them. We identified opportunities related to vocabulary, decision-making, and treatment goal setting that could be targeted to improve neurologist-patient communication about epilepsy, and ultimately, the overall treatment experience and outcomes for patients.

Improved mapping of National Atmospheric Deposition Program wet-deposition in complex terrain using PRISM-gridded data sets

USGS Publications Warehouse

Latysh, Natalie E.; Wetherbee, Gregory Alan

2012-01-01

High-elevation regions in the United States lack detailed atmospheric wet-deposition data. The National Atmospheric Deposition Program/National Trends Network (NADP/NTN) measures and reports precipitation amounts and chemical constituent concentration and deposition data for the United States on annual isopleth maps using inverse distance weighted (IDW) interpolation methods. This interpolation for unsampled areas does not account for topographic influences. Therefore, NADP/NTN isopleth maps lack detail and potentially underestimate wet deposition in high-elevation regions. The NADP/NTN wet-deposition maps may be improved using precipitation grids generated by other networks. The Parameter-elevation Regressions on Independent Slopes Model (PRISM) produces digital grids of precipitation estimates from many precipitation-monitoring networks and incorporates influences of topographical and geographical features. Because NADP/NTN ion concentrations do not vary with elevation as much as precipitation depths, PRISM is used with unadjusted NADP/NTN data in this paper to calculate ion wet deposition in complex terrain to yield more accurate and detailed isopleth deposition maps in complex terrain. PRISM precipitation estimates generally exceed NADP/NTN precipitation estimates for coastal and mountainous regions in the western United States. NADP/NTN precipitation estimates generally exceed PRISM precipitation estimates for leeward mountainous regions in Washington, Oregon, and Nevada, where abrupt changes in precipitation depths induced by topography are not depicted by IDW interpolation. PRISM-based deposition estimates for nitrate can exceed NADP/NTN estimates by more than 100% for mountainous regions in the western United States.

Improved mapping of National Atmospheric Deposition Program wet-deposition in complex terrain using PRISM-gridded data sets.

PubMed

Latysh, Natalie E; Wetherbee, Gregory Alan

2012-01-01

High-elevation regions in the United States lack detailed atmospheric wet-deposition data. The National Atmospheric Deposition Program/National Trends Network (NADP/NTN) measures and reports precipitation amounts and chemical constituent concentration and deposition data for the United States on annual isopleth maps using inverse distance weighted (IDW) interpolation methods. This interpolation for unsampled areas does not account for topographic influences. Therefore, NADP/NTN isopleth maps lack detail and potentially underestimate wet deposition in high-elevation regions. The NADP/NTN wet-deposition maps may be improved using precipitation grids generated by other networks. The Parameter-elevation Regressions on Independent Slopes Model (PRISM) produces digital grids of precipitation estimates from many precipitation-monitoring networks and incorporates influences of topographical and geographical features. Because NADP/NTN ion concentrations do not vary with elevation as much as precipitation depths, PRISM is used with unadjusted NADP/NTN data in this paper to calculate ion wet deposition in complex terrain to yield more accurate and detailed isopleth deposition maps in complex terrain. PRISM precipitation estimates generally exceed NADP/NTN precipitation estimates for coastal and mountainous regions in the western United States. NADP/NTN precipitation estimates generally exceed PRISM precipitation estimates for leeward mountainous regions in Washington, Oregon, and Nevada, where abrupt changes in precipitation depths induced by topography are not depicted by IDW interpolation. PRISM-based deposition estimates for nitrate can exceed NADP/NTN estimates by more than 100% for mountainous regions in the western United States.

Shelter from the Storm: Roles, responsibilities, and challenges in United States housing policy governance.

PubMed

Willison, Charley

2017-11-01

Housing is a critical social determinant of health. Housing policy not only affects health by improving housing quality, affordability, and insecurity; housing policy affects health upstream through the politics that shape housing policy design, implementation, and management. These politics, or governance strategies, determine the successes or failures of housing policy programs. This paper is an overview of challenges in housing policy governance in the United States. I examine the important relationship between housing and health, and emphasize why studying housing policy governance matters. I then present three cases of housing governance challenges in the United States, from each pathway by which housing affects health - housing quality, affordability, and insecurity. Each case corresponds to an arm of the TAPIC framework for evaluating governance (Krieger and Higgins) [1], to assess mechanisms of housing governance in each case. While housing governance has come a long way over the past century, political decentralization and the expansion of the submerged state have increased the number of political actors and policy conflict in many areas. This creates inherent challenges for improving accountability, transparency, and policy capacity. In many instances, too, reduced government accountability and transparency increases the risk of harm to the public and lessens governmental integrity. Copyright © 2017 The Author. Published by Elsevier B.V. All rights reserved.

An analysis of discrepancies between United Kingdom cancer research funding and societal burden and a comparison to previous and United States values.

PubMed

Carter, Ashley J R; Delarosa, Beverly; Hur, Hannah

2015-11-02

Ideally, the allocation of research funding for each specific type of cancer should be proportional to its societal burden. This burden can be estimated with the metric 'years of life lost' (YLL), which combines overall mortality and age at death. Using United Kingdom data from 2010, we compared research funding from the National Cancer Research Institute to this YLL burden metric for 26 types of cancers in order to identify the discrepancies between cancer research funding allocation and societal burden. We also compared these values to United States data from 2010 and United Kingdom data published in 2005. Our study revealed a number of discrepancies between cancer research funding and burden. Some cancers are funded at levels far higher than their relative burden suggests (testicular, leukaemia, Hodgkin's lymphoma, breast, cervical, ovarian, prostate) while other cancers appear under-funded (gallbladder, lung, nasopharyngeal, intestine, stomach, pancreatic, thyroid, oesophageal, liver, kidney, bladder, and brain/central nervous system). United Kingdom funding patterns over the past decade have generally moved to increase funding to previously under-funded cancers with one notable exception showing a converse trend (breast cancer). The broad relationship between United Kingdom and United States funding patterns is similar with a few exceptions (e.g. leukaemia, Hodgkin's lymphoma, prostate, testicular cancer). There are discrepancies between cancer research funding allocation and societal burden in the United Kingdom. These discrepancies are broadly similar in both the United Kingdom and the United States and, while they appear to be improving, this is not consistent across all types of cancer.

Effects of increasing forest plantation area and management practices on carbon storage and water use in the United States

NASA Astrophysics Data System (ADS)

Chen, G.; Hayes, D. J.; Tian, H.

2013-12-01

Planted forest area in the United States gradually increased during the last half century, and by 2007 accounted for about 20% of the total forest area in the southern United States and about 13% in the entire country. Intensive plantation management activities - such as slash burning, thinning, weed control, fertilization and the use of genetically improved seedlings - are routinely applied during the forest rotation. However, no comprehensive assessments have been made to examine the impacts of this increased forest plantation area and associated management practices on ecosystem function. In this study, we integrated field measurement data and process-based modeling to quantitatively estimate the changes in carbon storage, nitrogen cycling and water use as influenced by forest plantations in the United States from 1925 to 2007. The results indicated that forest plantations and management practices greatly increased forest productivity, vegetation carbon, and wood product carbon storage in the United States, but slightly reduce soil carbon storage at some areas; however, the carbon sink induced by forest plantations was at the expense of more water use as represented by higher evapotranspiration. Stronger nitrogen and water limitations were found for forest plantations as compared to natural or naturally-regenerated forests.

Improving the Quality of Service and Security of Military Networks with a Network Tasking Order Process

DTIC Science & Technology

2010-09-01

IMPROVING THE QUALITY OF SERVICE AND SECURITY OF MILITARY NETWORKS WITH A NETWORK TASKING ORDER...United States. AFIT/DCS/ENG/10-09 IMPROVING THE QUALITY OF SERVICE AND SECURITY OF MILITARY NETWORKS WITH A NETWORK TASKING ORDER PROCESS...USAF September 2010 APPROVED FOR PUBLIC RELEASE; DISTRIBUTION UNLIMITED AFIT/DCS/ENG/10-09 IMPROVING THE QUALITY OF SERVICE AND

(AWMA) IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

EPA Science Inventory

The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

Improving fertility of dairy cattle using translational genomics

USDA-ARS?s Scientific Manuscript database

Selection for higher milk production in United States dairy cattle has been very successful during the past 50 years, however today’s lactating dairy cows exhibit a high incidence of subfertility and infertility with a national pregnancy rate of only 15%. An integrated approach to improve fertility ...

Improving Children's Knowledge of Fraction Magnitudes

ERIC Educational Resources Information Center

Fazio, Lisa K.; Kennedy, Casey A.; Siegler, Robert S.

2016-01-01

We examined whether playing a computerized fraction game, based on the integrated theory of numerical development and on the Common Core State Standards' suggestions for teaching fractions, would improve children's fraction magnitude understanding. Fourth and fifth-graders were given brief instruction about unit fractions and played "Catch…

IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

EPA Science Inventory

The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

EPA Science Inventory

The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

DEVELOPMENT OF A MICROSCALE EMISSION FACTOR MODEL FOR CO FOR PREDICTING REAL-TIME MOTOR VEHICLE EMISSIONS

EPA Science Inventory

The United States Environmental Protection Agency's (EPA) National Exposure Research Laboratory (NERL) has initiated a project to improve the methodology for modeling human exposure to motor vehicle emission. The overall project goal is to develop improved methods for modeling...

Impact of Addressing Accountability Demands in the United States

ERIC Educational Resources Information Center

Banta, Trudy W.

2010-01-01

Since 1970, quality assurance, or outcomes assessment, has provided guidance for improving pedagogy, curricula and student support programmes in the US. But evidence that student learning has improved remains elusive. Large-scale long-term studies are needed to demonstrate the effects of outcomes assessment on learning.

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

NASA Astrophysics Data System (ADS)

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

2017-10-01

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

An action research study; cultural differences impact how manufacturing organizations receive continuous improvement

NASA Astrophysics Data System (ADS)

Kattman, Braden R.

National culture and organizational culture impact how continuous improvement methods are received, implemented and deployed by suppliers. Previous research emphasized the dominance of national culture over organizational culture. The countries studied included Poland, Mexico, China, Taiwan, South Korea, Estonia, India, Canada, the United States, the United Kingdom, and Japan. The research found that Canada was most receptive to continuous improvement, with China being the least receptive. The study found that organizational culture was more influential than national culture. Isomorphism and benchmarking is driving continuous-improvement language and methods to be more universally known within business. Business and management practices are taking precedence in driving change within organizations.

Monrovia Consolidated School Project.

ERIC Educational Resources Information Center

San Francisco State Coll., CA.

In 1961, San Francisco State College was selected by the United States Agency for International Development (USAID) to provide a contract group of educational technicians for Liberia in order to reorganize the administration and improve the educational system in the city of Monrovia. During the past 8 years, the College has provided 51 members of…

Study of recidivism rates among drivers administratively sanctioned by the New Jersey motor vehicle commission : final report, December 2009.

DOT National Transportation Integrated Search

2009-12-01

The purpose of this study was to examine the current state of practice related to driver improvement countermeasures : used in the United States and to assess the effectiveness of New Jerseys negligent driver interventions. As part of the : study,...

Functional Context Education. Workshop Resource Notebook.

ERIC Educational Resources Information Center

Sticht, Thomas G.

This notebook contains materials for a workshop to teach participants how to address the needs of youth and adults for improved literacy, employability, and productivity. Chapter 1 provides information about the current state of youth and adult literacy, employability, and productivity in the United States. Chapter 2 presents a conceptual…

Who Benefits from Pension Enhancements?

ERIC Educational Resources Information Center

Koedel, Cory; Ni, Shawn; Podgursky, Michael

2014-01-01

During the late 1990s public pension funds across the United States accrued large actuarial surpluses. The seemingly flush conditions of the pension funds led legislators in most states to substantially improve retirement benefits for public workers, including teachers. In this study we examine the benefit enhancements to the teacher pension…

Technique for improving solid state mosaic images

NASA Technical Reports Server (NTRS)

Saboe, J. M.

1969-01-01

Method identifies and corrects mosaic image faults in solid state visual displays and opto-electronic presentation systems. Composite video signals containing faults due to defective sensing elements are corrected by a memory unit that contains the stored fault pattern and supplies the appropriate fault word to the blanking circuit.

A new slow darkening pinto bean with improved agronomic performance: Registration of ‘ND-Palomino’

USDA-ARS?s Scientific Manuscript database

ND-Palomino slow darkening pinto is a new cultivar jointly developed by the United States Department of Agriculture, Agricultural Research Service (USDA-ARS), and North Dakota State University (NDSU) and released by the North Dakota Agricultural Experimental Station (NDAES). ND-Palomino has shown co...

26 CFR 1.103-1 - Interest upon obligations of a State, territory, etc.

Code of Federal Regulations, 2010 CFR

2010-04-01

..., territory, a possession of the United States, the District of Columbia, or any political subdivision thereof... issued by a political subdivision for public improvements (such as sewers, sidewalks, streets, etc... against such property and which the political subdivision is required to enforce, are, for purposes of...

77 FR 7115 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-10

... the interest of protecting loan security and accomplishing the statutory objective of a sound program... (RUS) to make loans in the several States and Territories of the United States for rural electrification and the furnishing and improving of electric energy to persons in rural areas. These loans are for...

Who Benefits from Pension Enhancements? Working Paper 76

ERIC Educational Resources Information Center

Koedel, Cory; Ni, Shawn; Podgursky, Michael

2012-01-01

During the late 1990s public pension funds across the United States accrued large actuarial surpluses. The seemingly flush conditions of the pension funds led legislators in most states to substantially improve retirement benefits for public workers, including teachers. In this study we examine the benefit enhancements to the teacher pension…

Elementary Teacher Perceptions Regarding the Use of Kinesthetic Learning Strategies

ERIC Educational Resources Information Center

Erickson, Heidi Christine

2017-01-01

Researchers have shown that movement increases brain function, improves mental health, supports cognitive development for students, and reduces sedentary time, all which can influence overall health. Research concerning learning with intentional movement is limited. In the United States, Common Core State Standards (CCSS) are being mandated, and…

Capacity Building and Districts' Decision to Implement Coaching Initiatives

ERIC Educational Resources Information Center

Mangin, Melinda M.

2014-01-01

The United States has experienced tremendous growth in the development of coaching initiatives including professional training programs, state endorsements and resources for coaches. These developments bring attention to the potential for coaching to improve education. They also raise the question of how best to facilitate implementation in local…

14 CFR Appendix C to Part 152 - Procurement Procedures and Requirements

Code of Federal Regulations, 2014 CFR

2014-01-01

.... The sponsor shall establish procedures for procurement of supplies, equipment, construction, and... other State, possession, or territory of the United States in the construction of a project. 3. Bid guarantee. All bids for construction or facility improvement in excess of $100,000 shall be accompanied by a...

14 CFR Appendix C to Part 152 - Procurement Procedures and Requirements

Code of Federal Regulations, 2010 CFR

2010-01-01

.... The sponsor shall establish procedures for procurement of supplies, equipment, construction, and... other State, possession, or territory of the United States in the construction of a project. 3. Bid guarantee. All bids for construction or facility improvement in excess of $100,000 shall be accompanied by a...

14 CFR Appendix C to Part 152 - Procurement Procedures and Requirements

Code of Federal Regulations, 2012 CFR

2012-01-01

.... The sponsor shall establish procedures for procurement of supplies, equipment, construction, and... other State, possession, or territory of the United States in the construction of a project. 3. Bid guarantee. All bids for construction or facility improvement in excess of $100,000 shall be accompanied by a...

14 CFR Appendix C to Part 152 - Procurement Procedures and Requirements

Code of Federal Regulations, 2013 CFR

2013-01-01

.... The sponsor shall establish procedures for procurement of supplies, equipment, construction, and... other State, possession, or territory of the United States in the construction of a project. 3. Bid guarantee. All bids for construction or facility improvement in excess of $100,000 shall be accompanied by a...

14 CFR Appendix C to Part 152 - Procurement Procedures and Requirements

Code of Federal Regulations, 2011 CFR

2011-01-01

.... The sponsor shall establish procedures for procurement of supplies, equipment, construction, and... other State, possession, or territory of the United States in the construction of a project. 3. Bid guarantee. All bids for construction or facility improvement in excess of $100,000 shall be accompanied by a...

Improving the United States’ Strategic Communication Strategy

DTIC Science & Technology

2008-03-03

the Walt Disney Company to produce a 7- minute film, and hundreds of still images, featuring American people from all regions and walks of life for...and Coordination of Research (Washington, D.C.: U.S. General Accountability Office, July 2007). 53 U.S. Department of State, “ Disney Parks and

Improving the Transparency/Anti-corruption Efforts in Defense Procurement: Recommendations from Global Practices

DTIC Science & Technology

2011-12-01

64 1. General Law on Bribery and Corruption...64 2. U.S. Federal Law on Bribery and Corruption (The U.S. Foreign Corrupt Practices Act...65 3. U.S. State Law on Bribery and Corruption .....................................65 4. United States Defense Industry Initiative (DII) on

Going beyond Fun in STEM

ERIC Educational Resources Information Center

Pittinsky, Todd L.; Diamante, Nicole

2015-01-01

The United States education system must improve its ability to produce scientists, engineers, and programmers. Despite numerous national, state, and local efforts to make the study of STEM (science, technology, engineering, and mathematics) subjects more fun in K-12, initial interest in those subjects drops off precipitously in middle and later…

Public Policy, Community Colleges, and the Path to Globalization.

ERIC Educational Resources Information Center

Levin, John S.

2001-01-01

Examined the nature of government policy toward community colleges in the United States and Canada in the 1990s and colleges' responses. Government policies were found to direct community colleges toward economic goals, emphasizing workforce training and state economic competitiveness and compelling colleges to improve efficiencies, increase…

Educational Evaluation and Assessment in the United States. Position Paper and Recommendations for Action.

ERIC Educational Resources Information Center

Council of Chief State School Officers, Washington, DC.

The lack of high quality data to describe and monitor U.S. educational systems hampers reform decisions and will impair reform evaluation. This paper sets forth the Council of Chief State School Officers' (CCSSO) recommendations for the Council and federal, state, and local education agencies to help improve the quality of educational indicators.…

Georgia Computes! An Intervention in a US State, with Formal and Informal Education in a Policy Context

ERIC Educational Resources Information Center

Guzdial, Mark; Ericson, Barbara; Mcklin, Tom; Engelman, Shelly

2014-01-01

Georgia Computes! ("GaComputes") was a six-year (2006-2012) project to improve computing education across the state of Georgia in the United States, funded by the National Science Foundation. The goal of GaComputes was to broaden participation in computing and especially to engage more members of underrepresented groups which includes…

A Comparison of the American Common Core State Standards with the Finnish Educational System

ERIC Educational Resources Information Center

Lynch, Kelly

2014-01-01

With the failure of the No Child Left Behind policies of the 1990's, educational reformers wished to establish a "new and improved" set of standards for the United States to follow. However, since their inception in 2006-2007, the new Common Core State Standards have become increasingly unpopular due to the fact that they remain largely…

Trends and Characteristics of United States Out-of-Hospital Births 2004-2014: New Information on Risk Status and Access to Care.

PubMed

MacDorman, Marian F; Declercq, Eugene

2016-06-01

Out-of-hospital births are increasing in the United States. Our purpose was to examine trends in out-of-hospital births from 2004 to 2014, and to analyze newly available data on risk status and access to care. Newly available data from the revised birth certificate for 47 states and Washington, DC, were used to examine out-of-hospital births by characteristics and to compare them with hospital births. Trends from 2004 to 2014 were also examined. Out-of-hospital births increased by 72 percent, from 0.87 percent of United States births in 2004 to 1.50 percent in 2014. Compared with mothers who had hospital births, those with out-of-hospital births had lower prepregnancy obesity (12.5% vs 25.0%) and smoking (2.8% vs 8.5%) rates, and higher college graduation (39.3% vs 30.0%) and breastfeeding initiation (94.3% vs 80.8%) rates. Among planned home births, 67.1 percent were self-paid, compared with 31.9 percent of birth center and 3.4 percent of hospital births. Vaginal births after cesarean (VBACs) comprised 4.6 percent of planned home births and 1.6 percent of hospital and birth center births. Sociodemographic and medical risk status of out-of-hospital births improved substantially from 2004 to 2014. Improvements in risk status of out-of-hospital births from 2004 to 2014 suggest that appropriate selection of low-risk women is improving. High rates of self-pay for the costs of out-of-hospital birth suggest serious gaps in insurance coverage, whereas higher-than-average rates of VBAC could reflect lack of access to hospital VBACs. Mandating private insurance and Medicaid coverage could substantially improve access to out-of-hospital births. Improving access to hospital VBACs might reduce the number of out-of-hospital VBACs. © 2016 Wiley Periodicals, Inc.

DEVELOPMENT OF A MICROSCALE EMISSION FACTOR MODEL FOR PARTICULATE MATTER (MICROFACPM) FOR PREDICTING REAL-TIME MOTOR VEHICLE EMISSIONS

EPA Science Inventory

The United States Environmental Protection Agency's National Exposure Research Laboratory has initiated a project to improve the methodology for modeling human exposure to motor vehicle emissions. The overall project goal is to develop improved methods for modeling the source t...

SENSITIVITY ANALYSIS AND EVALUATION OF MICROFACO: A MICROSCALE MOTOR VEHICLE EMISSION FACTOR MODEL FOR CO EMISSIONS

EPA Science Inventory

The United States Environmental Protection Agency's National Exposure Research Laboratory has initiated a project to improve the methodology for modeling human exposure to motor vehicle emissions. The overall project goal is to develop improved methods for modeling the source t...

DEVELOPMENT OF A MICROSCALE EMISSION FACTOR MODEL FOR CO (MICROFACCO) FOR PREDICTING REAL-TIME VEHICLE EMISSIONS

EPA Science Inventory

The United States Environmental Protection Agency's National Exposure Research Laboratory has initiated a project to improve the methodology for modeling human exposure to motor vehicle emissions. The overall project goal is to develop improved methods for modeling the source t...

DEVELOPMENT OF A MICROSCALE EMISSION FACTOR MODEL FOR PARTICULATE MATTER (MICROFACPM) FOR PREDICTING REAL-TIME MOTOR VEHICLE EMISSIONS

EPA Science Inventory

The United States Environmental Protection Agency's National Exposure Research Laboratory is pursuing a project to improve the methodology for modeling human exposure to motor vehicle emissions. The overall project is to develop improved methods for modeling the source through...

( RTP, NC ) IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

EPA Science Inventory

The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

The Army's High Priority Physical Fitness Program.

ERIC Educational Resources Information Center

Drews, Fred R.

1984-01-01

This article explores the importance of physical fitness in the United States Army. The development of expanded fitness assessment and programs is related to health and the prevention of coronary heart disease. Improved physical training programs, improved nutrition, and fundamental research are necessary for maintaining a highly fit and healthy…

26 CFR 31.3121(b)(6)-1 - Services in employ of United States or instrumentality thereof.

Code of Federal Regulations, 2010 CFR

2010-04-01

... the comfort, pleasure, contentment, and mental and physical improvement of personnel of such... for the comfort, pleasure, contentment, and mental and physical improvement of personnel of the Coast...)(4)(ii) of this section, services performed by student nurses, medical or dental interns, residents...

78 FR 42937 - Agency Information Collection Activities; Comment Request; Fund for the Improvement of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-18

... Postsecondary Education (FIPSE) programs: Comprehensive(84.116B), European Union-United States (84.116J), US... DEPARTMENT OF EDUCATION [Docket No. ED-2013-ICCD-0094] Agency Information Collection Activities; Comment Request; Fund for the Improvement of Postsecondary Education (FIPSE) Annual and Final Performance...

To make improvements in the enactment of title 41, United States Code, into a positive law title and to improve the Code.

THOMAS, 112th Congress

Rep. Smith, Lamar [R-TX-21

2012-07-09

Senate - 09/12/2012 Received in the Senate and Read twice and referred to the Committee on the Judiciary. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

Production of ethanol from newly developed and improved winter barley cultivars

USDA-ARS?s Scientific Manuscript database

Winter barley has attracted strong interest as a potential feedstock for fuel ethanol production in regions with mild winter climates such as the mid-Atlantic and northeastern United States. Ten recently developed and improved winter barley cultivars and breeding lines, including five hulled and fiv...

(NEW YORK) IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

EPA Science Inventory

The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

77 FR 70786 - Request for Information Regarding Health Care Quality for Exchanges

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-27

...] Request for Information Regarding Health Care Quality for Exchanges AGENCY: Centers for Medicare... Quality Improvement in Health Care (National Quality Strategy) to create national aims and priorities that would guide local, state, and national efforts to improve the quality of health care in the United...

Report to Congress fourteenth annual report of accomplishments under the Airport Improvement Program : fiscal year 1995

DOT National Transportation Integrated Search

1996-12-01

This annual report of the Airport Improvement Program (AIP) for the fiscal year (FY) ending September 30, 1995, is the 14th report of activity required by Section 47131 of Title 49, United States Code. The current grant program, known as the Airport ...

STRUCTURES AND BINDING ENERGIES OF METHYL TERT-BUTYL ETHER-WATER COMPLEXES

EPA Science Inventory

Methyl tert-butyl ether (MTBE) is a well-known environmental contaminant owing to its high solubility in water. Since the early 1990s, MTBE has been added to gasoline to improve air quality in some metropolitan areas of the United States. Improved air quality was, however, achiev...

Applying SCORM Principles to "Leave No Child behind"

ERIC Educational Resources Information Center

Duncan, Steve; Sheerer, Marilyn

2004-01-01

A major thrust of the current administration is the "No Child Left Behind Act of 2001." This legislation is directed toward improving the overall educational picture of the United States by focusing on teacher improvement, curriculum enhancement, technology exploitation, and accountability measures. The first piece of a successful…

Improving Girls' Education in Guatemala. Impact Evaluation.

ERIC Educational Resources Information Center

Agency for International Development (IDCA), Washington, DC. Center for Development Information and Evaluation.

In Guatemala, many girls attend no school. A project by the United States Agency for International Development (USAID), Basic Education Strengthening (BEST), demonstrated that improving educational quality is the best approach to enhancing girls' participation. BEST included a Girls Education Program (GEP) activity. Under the BEST/GEP umbrella,…

Proposed Plan for Magnet Schools--Cleveland Public Schools. Section I: Overview of Magnet Program.

ERIC Educational Resources Information Center

Fleming, Margaret, Ed.; And Others

This report presents an overview of Cleveland's proposed magnet program for facilitating school desegregation and improving educational opportunities for students from diverse ethnic/racial backgrounds. Included are discussions of individual student needs, strategies for improved instruction, possible community impact, the United States Office of…

The Influence of National and Organizational Culture on the Use of Performance Improvement Interventions

ERIC Educational Resources Information Center

Vadivelu, Ramaswamy N.; Klein, James D.

2011-01-01

This exploratory study examined the influence of national and organizational culture on the use of various performance improvement interventions. Data on intervention use were collected from practitioners in the United States and South Asia. Results revealed that orientation programs, organizational communication, instructor-led training, and…

Improving Productivity via QWL Centers.

ERIC Educational Resources Information Center

Bentley, Marion T.; Hansen, Gary B.

1980-01-01

Gives a brief history of productivity improvement legislation in the United States and of the development and demise of the National Center for Productivity and Quality of Working Life (QWL). Describes existing productivity and QWL centers, including their locations, scope, services, and activities, and urges greater support at the federal level.…

Association of trends in US ambient air quality and cardiovascular mortality for 2000-2010

EPA Science Inventory

With the implementation of the Clean Air Act’s National Ambient Air Quality Standards, air quality in the United States has notably improved. Here we investigate whether declining levels of air pollutants are associated with improvements in human health. We examine the re...

Inaugural History of the National Center for Photovoltaics | Photovoltaic

Science.gov Websites

technology and disseminating information about photovoltaics (PV) in the United States. When created, the NCPV's long-term goals were for PV modules and systems to reach still higher efficiencies with improved , industry, and other federal programs into a united effort and accelerating the advance of PV as an industry

Research overview at USDA-ARS Coastal Plains, Soil, Water and Plant Research Center, and potential collaborative research projects with RDA - NIAS

USDA-ARS?s Scientific Manuscript database

The Center at Florence is one of the ninety research units of the United States Department of Agriculture - Agricultural Research Service (USDA-ARS). The mission of the Center is to conduct research and transfer solutions that improve agricultural production, protect the environment, and enhance the...

78 FR 67437 - Bureau of Political-Military Affairs, Directorate of Defense Trade Controls: Notifications to the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-12

... improved Air Defense Ground Environment (ADGE) System for end-use by NATO. The United States government is... the Weapons Bay Door Drive System for all variants of the F-35 Lightning II aircraft. The United... support of the manufacture, assembly and installation of the Environmental Control System (ECS) used on...

Revolution in Training Executive Review of Navy Training

DTIC Science & Technology

2001-08-08

AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7 . PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) United States Navy Chief of...telling us that investments in the learning of people pay off in improvements in profitability and employee effectiveness and satisfaction, and... 7 Efficiency and Cost-Effectiveness are Important

A Standards-Based Thematic Unit: "Le Geant de Zeralda"

ERIC Educational Resources Information Center

Keoseian, Therese; Ladd, Richard; Moakley, Rosanna; Pierce, Constance

1998-01-01

This unit was created as a result of a summer institute sponsored by the National K-12 Foreign Language Resource Center at Iowa State University, Ames, Iowa. The Center's goal is to improve student learning of foreign languages in kindergarten through twelfth grade (K-12). To this end, the Center provides professional support for foreign language…

Equity in Education: Gender Issues in the Use of Computers. A Review and Bibliography.

ERIC Educational Resources Information Center

Moore, Barbara G.

1986-01-01

This review of research on gender differences in computer use at the elementary and secondary levels outlines the problems, discusses reasons for these problems, and gives suggestions for interventions to improve the situation. The research reviewed was conducted, for the most part, in the United States, Canada, Australia, and the United Kingdom.…

A Standards-Based Thematic Unit: "Jean de la Lune"

ERIC Educational Resources Information Center

Logan, Eileen; Magurn, Lisa; Schwester, Jennifer Applegate

1998-01-01

This unit was created as a result of a summer institute sponsored by the National K-12 Foreign Language Resource Center at Iowa State University, Ames, Iowa. The Center's goal is to improve student learning of foreign languages in kindergarten through twelfth grade (K-12). To this end, the Center provides professional support for foreign language…

An economic analysis of payment for health care services: the United States and Switzerland compared.

PubMed

Zweifel, Peter; Tai-Seale, Ming

2009-06-01

This article seeks to assess whether physician payment reforms in the United States and Switzerland were likely to attain their objectives. We first introduce basic contract theory, with the organizing principle being the degree of information asymmetry between the patient and the health care provider. Depending on the degree of information asymmetry, different forms of payment induce "appropriate" behavior. These theoretical results are then pitted against the RBRVS of the United States to find that a number of its aspects are not optimal. We then turn to Switzerland's Tarmed and find that it fails to conform with the prescriptions of economic contract theory as well. The article closes with a review of possible reforms that could do away with uniform fee schedules to improve the performance of the health care system.

Is the United States a good model for reducing social exclusion in Europe?

PubMed

Schmitt, John; Zipperer, Ben

2007-01-01

Advocates of U.S.-style labor market flexibility have long argued that Europe could generate jobs and lower unemployment if the continent's economies followed the example of the United States. More recently, proponents of the U.S. model have suggested that labor market deregulation also holds out the possibility of reducing the problem of "social exclusion" in Europe, primarily because unemployment is one of the worst forms of social exclusion and contributes to other forms of social marginalization. The authors review a broad range of social and economic indicators and conclude that the United States fares poorly compared with much of Europe on social measures. Meanwhile, U.S.-style flexibility has had only mixed success in improving employment outcomes, and the U.S. economy consistently provides lower levels of economic mobility than economies in Europe.

NHDPlusHR: A national geospatial framework for surface-water information

USGS Publications Warehouse

Viger, Roland; Rea, Alan H.; Simley, Jeffrey D.; Hanson, Karen M.

2016-01-01

The U.S. Geological Survey is developing a new geospatial hydrographic framework for the United States, called the National Hydrography Dataset Plus High Resolution (NHDPlusHR), that integrates a diversity of the best-available information, robustly supports ongoing dataset improvements, enables hydrographic generalization to derive alternate representations of the network while maintaining feature identity, and supports modern scientific computing and Internet accessibility needs. This framework is based on the High Resolution National Hydrography Dataset, the Watershed Boundaries Dataset, and elevation from the 3-D Elevation Program, and will provide an authoritative, high precision, and attribute-rich geospatial framework for surface-water information for the United States. Using this common geospatial framework will provide a consistent basis for indexing water information in the United States, eliminate redundancy, and harmonize access to, and exchange of water information.

Support for disease management, depression, self-care, and clinical indicators among Hispanics with type 2 diabetes in San Diego County, United States of America.

PubMed

Fortmann, Addie L; Gallo, Linda C; Walker, Chris; Philis-Tsimikas, Athena

2010-09-01

This study used a social-ecological framework to examine predictors of depression, diabetes self-management, and clinical indicators of health risk among Hispanics with type 2 diabetes residing in the United States (U.S.)-Mexico border region in San Diego County, California, United States of America. Important links were observed between greater social-environmental support for disease management and less depression, better diabetes self-management, and lower body mass index and serum triglyceride concentrations. Less depressive symptomatology was also related to lower hemoglobin A1c levels. Findings suggest that programs aiming to improve diabetes self-management and health outcomes in Hispanics with type 2 diabetes should consider multilevel, social, and environmental influences on health, behavior, and emotional well-being.

A Study to Develop a Model for an Implementable Health Promotion Program for the United States Corps of Cadets at the United States Military Academy at West Point, New York

DTIC Science & Technology

1988-11-01

for this age group included improved roadway safety, reducing the misuse of alcohol and drugs, changing values and social pressures regarding...The exact causes of suicide are uncl]ear. Certainly societv’s exoectations exert a great deal of pressure on this age group . This oressure mav manifest...population that may be useful could be derived from the PatientAdministration System and Biostatistical Activity or by conducting focused group studies

Shortage of Engineers and Scientists. Hearing before the Subcommittee on Science, Technology, and Space of the Committee on Commerce, Science, and Transportation. United States Senate One Hundred First Congress, Second Session on Training Scientists and Engineers for the Year 2000--The National Science Foundation's Role.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Commerce, Science, and Transportation.

This document is the transcript of a Congressional hearing focusing on the status of the training of scientists and engineers in the United States and the role of the federal government in the improvement of this situation. Included are opening statements from Senators Albert Gore, Jr. (Tennessee), Robert W. Kasten, Jr. (Wisconsin), and Larry…

Grid-Level Application of Electrical Energy Storage: Example Use Cases in the United States and China

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

Zhang, Yingchen; Gevorgian, Vahan; Wang, Caixia

Electrical energy storage (EES) systems are expected to play an increasing role in helping the United States and China-the world's largest economies with the two largest power systems-meet the challenges of integrating more variable renewable resources and enhancing the reliability of power systems by improving the operating capabilities of the electric grid. EES systems are becoming integral components of a resilient and efficient grid through a diverse set of applications that include energy management, load shifting, frequency regulation, grid stabilization, and voltage support.

Changing Patterns of Work in America, 1976: Hearings Before the Subcommittee on Employment, Poverty, and Migration Labor of the Committee on Labor and Public Welfare, United States Senate, Ninety-Fourth Congress, Second Session on Examination of Alternative Working Hours and Arrangements, April 7 and 8, 1976.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Labor and Public Welfare.

Several programs designed to improve work life in the United States are reviewed. The subcommittee solicits opinions from leaders in business, labor, and government about what legislative and institutional changes can be made to ensure continued progress in the status of the working people. The hearings cover a broad range of topics including job…

Land-atmosphere interactions over the continental United States

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

Zeng, Xubin

This paper briefly discusses four suggested modifications for land surface modeling in climate models. The impact of the modifications on climate simulations is analyzed with the Biosphere-Atmosphere Transfer Scheme (BATS) land surface model. It is found that the modifications can improve BATS simulations. In particular, the sensitivity of BATS to the prescribed value of physical root fraction which cannot be observed from satellite remote sensing or field experiments is improved. These modifications significantly reduce the excessive summer land surface temperature over the continental United States simulated by the National Center for Atmospheric Research Community Climate Model (CCM2) coupled with BATS.more » A land-atmosphere interaction mechanism involving energy and water cycles is proposed to explain the results. 9 refs., 1 fig.« less

Forensic examination of ink by high-performance thin layer chromatography--the United States Secret Service Digital Ink Library.

PubMed

Neumann, Cedric; Ramotowski, Robert; Genessay, Thibault

2011-05-13

Forensic examinations of ink have been performed since the beginning of the 20th century. Since the 1960s, the International Ink Library, maintained by the United States Secret Service, has supported those analyses. Until 2009, the search and identification of inks were essentially performed manually. This paper describes the results of a project designed to improve ink samples' analytical and search processes. The project focused on the development of improved standardization procedures to ensure the best possible reproducibility between analyses run on different HPTLC plates. The successful implementation of this new calibration method enabled the development of mathematical algorithms and of a software package to complement the existing ink library. Copyright © 2010 Elsevier B.V. All rights reserved.

A Preliminary, Full Spectrum, Magnetic Anomaly Grid of the United States with Improved Long Wavelengths for Studying Continental Dynamics: A Website for Distribution of Data

USGS Publications Warehouse

Ravat, D.; Finn, C.; Hill, P.; Kucks, R.; Phillips, J.; Blakely, R.; Bouligand, C.; Sabaka, T.; Elshayat, A.; Aref, A.; Elawadi, E.

2009-01-01

Under an initiative started by Thomas G. Hildenbrand of the U.S. Geological Survey, we have improved the long-wavelength (50-2,500 km) content of the regional magnetic anomaly compilation for the conterminous United States by utilizing a nearly homogeneous set of National Uranium Resource Evaluation (NURE) magnetic surveys flown from 1975 to 1981. The surveys were flown in quadrangles of 2 deg of longitude by 1 deg of latitude with east-west flight lines spaced 4.8 to 9.6 km apart, north-south tie lines variably spaced, and a nominal terrain clearance of 122 m. Many of the surveys used base-station magnetometers to remove external field variations.

Diabatic Initialization of Mesoscale Models in the Southeastern United States: Can 0 to 12h Warm Season QPF be Improved?

NASA Technical Reports Server (NTRS)

Lapenta, William M.; Bradshaw, Tom; Burks, Jason; Darden, Chris; Dembek, Scott

2003-01-01

It is well known that numerical warm season quantitative precipitation forecasts lack significant skill for numerous reasons. Some are related to the model--it may lack physical processes required to realistically simulate convection or the numerical algorithms and dynamics employed may not be adequate. Others are related to initialization-mesoscale features play an important role in convective initialization and atmospheric observation systems are incapable of properly depicting the three-dimensional stability structure at the mesoscale. The purpose of this study is to determine if a mesoscale model initialized with a diabatic initialization scheme can improve short-term (0 to 12h) warm season quantitative precipitation forecasts in the Southeastern United States. The Local Analysis and Prediction System (LAPS) developed at the Forecast System Laboratory is used to diabatically initialize the Pennsylvania State University/National center for Atmospheric Research (PSUNCAR) Mesoscale Model version 5 (MM5). The SPORT Center runs LAPS operationally on an hourly cycle to produce analyses on a 15 km covering the eastern 2/3 of the United States. The 20 km National Centers for Environmental Prediction (NCEP) Rapid Update Cycle analyses are used for the background fields. Standard observational data are acquired from MADIS with GOES/CRAFT Nexrad data acquired from in-house feeds. The MM5 is configured on a 140 x 140 12 km grid centered on Huntsville Alabama. Preliminary results indicate that MM5 runs initialized with LAPS produce improved 6 and 12h QPF threat scores compared with those initialized with the NCEP RUC.

The Epidemiologic and Economic Impact of Improving HIV Testing, Linkage, and Retention in Care in the United States.

PubMed

Shah, Maunank; Risher, Kathryn; Berry, Stephen A; Dowdy, David W

2016-01-15

Recent guidelines advocate early antiretroviral therapy (ART) to decrease human immunodeficiency virus (HIV) morbidity and prevent transmission, but suboptimal engagement in care may compromise impact. We sought to determine the economic and epidemiologic impact of incomplete engagement in HIV care in the United States. We constructed a dynamic transmission model of HIV among US adults (aged 15-65 years) and conducted a cost-effectiveness analysis of improvements along the HIV care continuum : We evaluated enhanced HIV testing (annual for high-risk groups), increased 3-month linkage to care (to 90%), and improved retention (50% relative reduction in yearly disengagement and 50% increase in reengagement). Our primary outcomes were HIV incidence, mortality, costs and quality-adjusted life-years (QALYs). Despite early ART initiation, a projected 1.39 million (95% uncertainty range [UR], 0.91-2.2 million) new HIV infections will occur at a (discounted) cost of $256 billion ($199-298 billion) over 2 decades at existing levels of HIV care engagement. Enhanced testing with increased linkage has modest epidemiologic benefits and could reduce incident HIV infections by 21% (95% UR, 13%-26%) at a cost of $65 700 per QALY gained ($44 500-111 000). By contrast, comprehensive improvements that couples enhanced testing and linkage with improved retention would reduce HIV incidence by 54% (95% UR, 37%-68%) and mortality rate by 64% (46%-78%), at a cost-effectiveness ratio of $45 300 per QALY gained ($27 800-72 300). Failure to improve engagement in HIV care in the United States leads to excess infections, treatment costs, and deaths. Interventions that improve not just HIV screening but also retention in care are needed to optimize epidemiologic impact and cost-effectiveness. © The Author 2015. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

The Epidemiologic and Economic Impact of Improving HIV Testing, Linkage, and Retention in Care in the United States

PubMed Central

Shah, Maunank; Risher, Kathryn; Berry, Stephen A.; Dowdy, David W.

2016-01-01

Background. Recent guidelines advocate early antiretroviral therapy (ART) to decrease human immunodeficiency virus (HIV) morbidity and prevent transmission, but suboptimal engagement in care may compromise impact. We sought to determine the economic and epidemiologic impact of incomplete engagement in HIV care in the United States. Methods. We constructed a dynamic transmission model of HIV among US adults (aged 15–65 years) and conducted a cost-effectiveness analysis of improvements along the HIV care continuum. We evaluated enhanced HIV testing (annual for high-risk groups), increased 3-month linkage to care (to 90%), and improved retention (50% relative reduction in yearly disengagement and 50% increase in reengagement). Our primary outcomes were HIV incidence, mortality, costs and quality-adjusted life-years (QALYs). Results. Despite early ART initiation, a projected 1.39 million (95% uncertainty range [UR], 0.91–2.2 million) new HIV infections will occur at a (discounted) cost of $256 billion ($199–298 billion) over 2 decades at existing levels of HIV care engagement. Enhanced testing with increased linkage has modest epidemiologic benefits and could reduce incident HIV infections by 21% (95% UR, 13%–26%) at a cost of $65 700 per QALY gained ($44 500–111 000). By contrast, comprehensive improvements that couples enhanced testing and linkage with improved retention would reduce HIV incidence by 54% (95% UR, 37%–68%) and mortality rate by 64% (46%–78%), at a cost-effectiveness ratio of $45 300 per QALY gained ($27 800–72 300). Conclusions. Failure to improve engagement in HIV care in the United States leads to excess infections, treatment costs, and deaths. Interventions that improve not just HIV screening but also retention in care are needed to optimize epidemiologic impact and cost-effectiveness. PMID:26362321

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

PubMed

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

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

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

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

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

1999-11-01

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

How Other Countries Use Deprivation Indices-And Why The United States Desperately Needs One.

PubMed

Phillips, Robert L; Liaw, Winston; Crampton, Peter; Exeter, Daniel J; Bazemore, Andrew; Vickery, Katherine Diaz; Petterson, Stephen; Carrozza, Mark

2016-11-01

Integrating public health and medicine to address social determinants of health is essential to achieving the Triple Aim of lower costs, improved care, and population health. There is intense interest in the United States in using social determinants of health to direct clinical and community health interventions, and to adjust quality measures and payments. The United Kingdom and New Zealand use data representing aspects of material and social deprivation from their censuses or from administrative data sets to construct indices designed to measure socioeconomic variation across communities, assess community needs, inform research, adjust clinical funding, allocate community resources, and determine policy impact. Indices provide these countries with comparable data and serve as a universal language and tool set to define organizing principles for population health. In this article we examine how these countries develop, validate, and operationalize their indices; explore their use in policy; and propose the development of a similar deprivation index for the United States. Project HOPE—The People-to-People Health Foundation, Inc.

Professionalizing the postdoctoral experience.

PubMed

Aschwanden, Christie

2006-02-10

The first postdoctoral association was launched in the United States 13 years ago. Although postdoctoral associations have made tremendous progress toward improving the lives of postdoctoral fellows, their job is not finished yet.

46 CFR 393.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Act, as set forth in Chapter 551 of Title 46, United States Code. (d) Corridor Sponsor. An entity that... emissions, energy savings, improved safety, system resiliency, and/or reduced infrastructure costs. Routes...

AFSO 21: Identifying Potential Failure Points in Sustaining Continuous Process Improvement Across the Air Force

DTIC Science & Technology

2007-04-01

Michael W. Wynne, and the Air Force Chief of Staff, General T. Michael Moseley, “our strategy will be a comprehensive effort to improve our work processes...5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7...property of the United States government. ii AU/ACSC/2307/AY07 Preface I have always been a proponent of working smarter and not harder. I

Divergent projections of future land use in the United States arising from different models and scenarios

USGS Publications Warehouse

Sohl, Terry L.; Wimberly, Michael; Radeloff, Volker C.; Theobald, David M.; Sleeter, Benjamin M.

2016-01-01

A variety of land-use and land-cover (LULC) models operating at scales from local to global have been developed in recent years, including a number of models that provide spatially explicit, multi-class LULC projections for the conterminous United States. This diversity of modeling approaches raises the question: how consistent are their projections of future land use? We compared projections from six LULC modeling applications for the United States and assessed quantitative, spatial, and conceptual inconsistencies. Each set of projections provided multiple scenarios covering a period from roughly 2000 to 2050. Given the unique spatial, thematic, and temporal characteristics of each set of projections, individual projections were aggregated to a common set of basic, generalized LULC classes (i.e., cropland, pasture, forest, range, and urban) and summarized at the county level across the conterminous United States. We found very little agreement in projected future LULC trends and patterns among the different models. Variability among scenarios for a given model was generally lower than variability among different models, in terms of both trends in the amounts of basic LULC classes and their projected spatial patterns. Even when different models assessed the same purported scenario, model projections varied substantially. Projections of agricultural trends were often far above the maximum historical amounts, raising concerns about the realism of the projections. Comparisons among models were hindered by major discrepancies in categorical definitions, and suggest a need for standardization of historical LULC data sources. To capture a broader range of uncertainties, ensemble modeling approaches are also recommended. However, the vast inconsistencies among LULC models raise questions about the theoretical and conceptual underpinnings of current modeling approaches. Given the substantial effects that land-use change can have on ecological and societal processes, there is a need for improvement in LULC theory and modeling capabilities to improve acceptance and use of regional- to national-scale LULC projections for the United States and elsewhere.

Nitrogen use efficiency in the US economy: Towards mitigation of climate change impacts

NASA Astrophysics Data System (ADS)

Houlton, B. Z.; Boyer, E. W.; Finzi, A. C.; Galloway, J. N.; Leach, A.; Liptzin, D.; Melillo, J. M.; Rosenstock, T.; Sobota, D. J.; Townsend, A. R.

2011-12-01

Nitrogen (N) interacts strongly with climate change in determining the severity and extent of many human health and environmental issues, such as eutrophication, poor air quality, and the maintenance of a secure food system. We were motivated by such N-climate interactions and their environmental impacts as part of a broader assessment of N in the continental United States. We here seek to identify and quantify inefficiencies associated with intentional N creation (i.e., creating synthetic N fertilizers and cultivating N-fixing legumes) among the major N-dependent sectors of the United States economy. We define efficiency of N use as the proportion N directly incorporated into food, fiber, biofuel, and industrial goods from the pool of intentionally created N. We are interested in whether reductions in N use could be achieved without changing the current functioning of the major N-dependent economic sectors. Our analysis points to substantial inefficiencies in N use at the national scale. A large percentage of the N applied as synthetic fertilizer and fixed by legumes annually fails to enter the United States food supply. Much of the unincorporated N enters air, land and water, where it can impact human health and ecosystems. The climate change forcing of N is uncertain, though it appears that the combined effects of intentionally and unintentionally created N on climate is roughly neutral in the United States (i.e., net effect of N-enhanced C storage, nitrous oxide emissions, N-based aerosols, and tropospheric ozone on climate forcing). Thus, it is reasonable to expect that improved efficiencies in N use would have minimal negative side effects on the United States economy, human health and the environment. We suggest that policies aimed at improving N-use efficiencies are an alternative to direct climate mitigation strategies in offsetting several impacts of climate change on human health and ecosystem functioning.

The National Map - Elevation

USGS Publications Warehouse

Gesch, Dean; Evans, Gayla; Mauck, James; Hutchinson, John; Carswell, William J.

2009-01-01

The National Elevation Dataset (NED) is the primary elevation data product produced and distributed by the USGS. The NED provides seamless raster elevation data of the conterminous United States, Alaska, Hawaii, and the island territories. The NED is derived from diverse source data sets that are processed to a specification with a consistent resolution, coordinate system, elevation units, and horizontal and vertical datums. The NED is the logical result of the maturation of the long-standing USGS elevation program, which for many years concentrated on production of topographic map quadrangle-based digital elevation models. The NED serves as the elevation layer of The National Map, and provides basic elevation information for earth science studies and mapping applications in the United States. The NED is a multi-resolution dataset that is updated bimonthly to integrate newly available, improved elevation source data. NED data are available nationally at grid spacings of 1 arc-second (approximately 30 meters) for the conterminous United States, and at 1/3 and 1/9 arc-seconds (approximately 10 and 3 meters, respectively) for parts of the United States. Most of the NED for Alaska is available at 2-arc-second (about 60 meters) grid spacing, where only lower resolution source data exist. Part of Alaska is available at the 1/3-arc-second resolution, and plans are in development for a significant upgrade in elevation data coverage of the State over the next 5 years. Specifications for the NED include the following: *Coordinate system: Geographic (decimal degrees of latitude and longitude), *Horizontal datum: North American Datum of 1983 (NAD 83), *Vertical datum: North American Vertical Datum of 1988 (NAVD 88) over the conterminous United States and varies in other areas, and *Elevation units: Decimal meters.

Compacts of Free Association: Improvements Needed to Assess and Address Growing Migration. Report to Congressional Requesters. GAO-12-64

ERIC Educational Resources Information Center

US Government Accountability Office, 2011

2011-01-01

U.S. compacts with the freely associated states (FAS)--the Federated States of Micronesia (FSM), the Marshall Islands, and Palau--permit FAS citizens to migrate to the United States and its territories (U.S. areas) without regard to visa and labor certification requirements. Thousands of FAS citizens have migrated to U.S. areas (compact…

Differences in cigarette and smokeless tobacco use among American Indian and Alaska Native people living in Alaska and the Southwest United States.

PubMed

Redwood, Diana; Lanier, Anne P; Renner, Caroline; Smith, Julia; Tom-Orme, Lillian; Slattery, Martha L

2010-07-01

This study analyzed self-reported tobacco use among American Indian and Alaska Native (AI/AN) people enrolled in the Education and Research Towards Health Study in Alaska (n = 3,821) and the Southwest United States (n = 7,505) from 2004 to 2006. Participants (7,060 women and 4,266 men) completed a computer-assisted self-administered questionnaire on cigarette and smokeless tobacco (ST) use. Current use of cigarettes was considerably higher in Alaska than in the Southwest United States (32% vs. 8%). Current ST use was also more common in Alaska than in the Southwest United States (18% vs. 8%). Additionally, smoking was more common among men, younger age, those who were not married, and who only spoke English at home, while ST use was more common among men, those with lower educational attainment and those who spoke an AI/AN language at home (p < .01). Compared with the U.S. general population, AI/AN people living in Alaska were more likely and those living in the Southwest United States were less likely to be current smokers. Rates of ST use, including homemade ST, in both regions were much higher than the U.S. general population. Tobacco use among AI/AN people in the Southwest United States, who have a tradition of ceremonial tobacco use, was far lower than among Alaska Native people, who do not have a tribal tradition. Tobacco use is a key risk factor for multiple diseases. Reduction of tobacco use is a critical prevention measure to improve the health of AI/AN people.

Career Technical Education Pathways Initiative Annual Report

ERIC Educational Resources Information Center

California Community Colleges, Chancellor's Office, 2014

2014-01-01

California's education system--the largest in the United States--is an essential resource for ensuring strong economic growth in the state. The Career Technical Education Pathways Initiative (the Initiative) became law in 2005 with Senate Bills 70 and 1133 and provided more than $380 million over eight years to improve career technical education…

Preliminary Assessment of the Flow of Used Electronics, In Selected States: Illinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin

EPA Science Inventory

Electronic waste (e-waste) is the largest growing municipal waste stream in the United States. The improper disposal of e-waste has environmental, economic, and social impacts, thus there is a need for sustainable stewardship of electronics. EPA/ORD has been working to improve ...

The Power of One To One

ERIC Educational Resources Information Center

Muir, Mike; Knezek, Gerald; Christensen, Rhonda

2004-01-01

In March 2000, Maine Governor Angus King surprised the rest of the United States when he announced that he wanted to provide every seventh grader in Maine with a portable wireless computing device. An unexpected state budget surplus had given him the opportunity to do something radical to improve education and the economy of Maine. King recognized…

The Effects of Education Accountability on Teachers: Are Policies Too-Stress Provoking for Their Own Good?

ERIC Educational Resources Information Center

Berryhill, Joseph; Linney, Jean Ann; Fromewick, Jill

2009-01-01

Education policies in the United States and other nations have established academic standards and made teachers accountable for improved standardized test scores. Because policies can have unintended effects, in this study we investigated U.S. elementary school teachers' perceptions of their state's accountability policy, particularly its effect…

Using School Change States to Analyze Comprehensive School Reform Projects

ERIC Educational Resources Information Center

Wetherill, Karen S.; Applefield, James M.

2005-01-01

Comprehensive school reform (CSR) projects are being funded throughout the United States in a determined effort to improve the performance of public education. The multidimensional nature of comprehensive school reform presents unique challenges for explaining widely discrepant outcomes among schools. These challenges are addressed in a study of 8…

IMPROVING CHEMICAL TRANSPORT MODEL PREDICTIONS OF ORGANIC AEROSOL: MEASUREMENT AND SIMULATION OF SEMIVOLATILE ORGANIC EMISSIONS FROM MOBILE AND NON-MOBILE SOURCES

EPA Science Inventory

Organic material contributes a significant fraction of PM_2.5 mass across all regions of the United States, but state-of-the-art chemical transport models often substantially underpredict measured organic aerosol concentrations. Recent revisions to these models that...

2016 Strategic Sustainability Performance Plan: Smithsonian Facilities

ERIC Educational Resources Information Center

Smithsonian Institution, 2016

2016-01-01

As a trust instrumentality of the United States, the Smithsonian is committed to the goals which Executive Order 13693 set for federal agencies, and is focused on making improvements in environmental, energy, and economic performance. As stated in the current Smithsonian Strategic Plan, one of the four grand challenges we have undertaken is…

Technical Writing and Beginning ESL Students: A Workshop Approach.

ERIC Educational Resources Information Center

Southard, Sherry G.

Many international students who come to the United States to improve their research techniques and their written and oral presentations have little or no training in the English language. Such students might benefit from a program similar to that held at Oklahoma State University (Stillwater) in September 1981 for 12 Ecuadorian technicians. This…

Further Actions Needed to Resolve VA's Educational Assistance Overpayment Problem. Report of the Comptroller General of the United States.

ERIC Educational Resources Information Center

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

Recommendations are made for the correction and collection of Veterans Administration overpayments of educational benefits. They include: improved compliance surveying; updates on overpayments balance reports to the states; identification of schools liable for overpayments; notification of veterans of their obligation to report training status…

Progress in increasing electronic reporting of laboratory results to public health agencies--United States, 2013.

PubMed

2013-09-27

Electronic reporting of laboratory results to public health agencies can improve public health surveillance for reportable diseases and conditions by making reporting more timely and complete. Since 2010, CDC has provided funding to 57 state, local, and territorial health departments through the Epidemiology and Laboratory Capacity for Infectious Diseases cooperative agreement to assist with improving electronic laboratory reporting (ELR) from clinical and public health laboratories to public health agencies. As part of this agreement, CDC and state and large local health departments are collaborating to monitor ELR implementation in the United States by developing data from each jurisdiction regarding total reporting laboratories, laboratories sending ELR by disease category and message format, and the number of ELR laboratory reports compared with the total number of laboratory reports. At the end of July 2013, 54 of the 57 jurisdictions were receiving at least some laboratory reports through ELR, and approximately 62% of 20 million laboratory reports were being received electronically, compared with 54% in 2012. Continued progress will require collaboration between clinical laboratories, laboratory information management system (LIMS) vendors, and public health agencies.

Nurse work environment and quality of care by unit types: A cross-sectional study.

PubMed

Ma, Chenjuan; Olds, Danielle M; Dunton, Nancy E

2015-10-01

Nursing unit is the micro-organization in the hospital health care system in which integrated patient care is provided. Nursing units of different types serve patients with distinct care goals, clinical tasks, and social structures and norms. However, empirical evidence is sparse on unit type differences in quality of care and its relation with nurse work environment. Nurse work environment has been found as an important nursing factor predicting nurse and patient outcomes. To examine the unit type differences in nurse-reported quality of care, and to identify the association between unit work environment and quality of care by unit types. This is a cross-sectional study using nurse survey data (2012) from US hospitals nationwide. The nurse survey collected data on quality of care, nurse work environment, and other work related information from staff nurses working in units of various types. Unit types were systematically classified across hospitals. The unit of analysis was the nursing unit, and the final sample included 7677 units of 14 unit types from 577 hospitals in 49 states in the US. Multilevel regressions were used to assess the relationship between nurse work environment and quality of care across and by unit types. On average, units had 58% of the nurses reporting excellent quality of care and 40% of the nurses reporting improved quality of care over the past year. Unit quality of care varied by unit types, from 43% of the nurses in adult medical units to 73% of the nurses in interventional units rating overall quality of care on unit as excellent, and from 35% of the nurses in adult critical care units to 44% of the nurses in adult medical units and medical-surgical combined units reporting improved quality of care. Estimates from regressions indicated that better unit work environments were associated with higher quality of care when controlling various hospital and unit covariates; and this association persisted among units of different types. Unit type differences exist in the overall quality of care as well as achievement in improving quality of care. The low rates of nurses reporting improvement in the quality of nursing care to patients suggest that further interventions focusing at the unit-level are needed for achieving high care quality. Findings from our study also suggest that improving nurse work environments can be an effective strategy to improve quality of care. Copyright © 2015 Elsevier Ltd. All rights reserved.

Temporal Processing in the Visual Cortex of the Awake and Anesthetized Rat.

PubMed

Aasebø, Ida E J; Lepperød, Mikkel E; Stavrinou, Maria; Nøkkevangen, Sandra; Einevoll, Gaute; Hafting, Torkel; Fyhn, Marianne

2017-01-01

The activity pattern and temporal dynamics within and between neuron ensembles are essential features of information processing and believed to be profoundly affected by anesthesia. Much of our general understanding of sensory information processing, including computational models aimed at mathematically simulating sensory information processing, rely on parameters derived from recordings conducted on animals under anesthesia. Due to the high variety of neuronal subtypes in the brain, population-based estimates of the impact of anesthesia may conceal unit- or ensemble-specific effects of the transition between states. Using chronically implanted tetrodes into primary visual cortex (V1) of rats, we conducted extracellular recordings of single units and followed the same cell ensembles in the awake and anesthetized states. We found that the transition from wakefulness to anesthesia involves unpredictable changes in temporal response characteristics. The latency of single-unit responses to visual stimulation was delayed in anesthesia, with large individual variations between units. Pair-wise correlations between units increased under anesthesia, indicating more synchronized activity. Further, the units within an ensemble show reproducible temporal activity patterns in response to visual stimuli that is changed between states, suggesting state-dependent sequences of activity. The current dataset, with recordings from the same neural ensembles across states, is well suited for validating and testing computational network models. This can lead to testable predictions, bring a deeper understanding of the experimental findings and improve models of neural information processing. Here, we exemplify such a workflow using a Brunel network model.

Temporal Processing in the Visual Cortex of the Awake and Anesthetized Rat

PubMed Central

Aasebø, Ida E. J.; Stavrinou, Maria; Nøkkevangen, Sandra; Einevoll, Gaute

2017-01-01

Abstract The activity pattern and temporal dynamics within and between neuron ensembles are essential features of information processing and believed to be profoundly affected by anesthesia. Much of our general understanding of sensory information processing, including computational models aimed at mathematically simulating sensory information processing, rely on parameters derived from recordings conducted on animals under anesthesia. Due to the high variety of neuronal subtypes in the brain, population-based estimates of the impact of anesthesia may conceal unit- or ensemble-specific effects of the transition between states. Using chronically implanted tetrodes into primary visual cortex (V1) of rats, we conducted extracellular recordings of single units and followed the same cell ensembles in the awake and anesthetized states. We found that the transition from wakefulness to anesthesia involves unpredictable changes in temporal response characteristics. The latency of single-unit responses to visual stimulation was delayed in anesthesia, with large individual variations between units. Pair-wise correlations between units increased under anesthesia, indicating more synchronized activity. Further, the units within an ensemble show reproducible temporal activity patterns in response to visual stimuli that is changed between states, suggesting state-dependent sequences of activity. The current dataset, with recordings from the same neural ensembles across states, is well suited for validating and testing computational network models. This can lead to testable predictions, bring a deeper understanding of the experimental findings and improve models of neural information processing. Here, we exemplify such a workflow using a Brunel network model. PMID:28791331

Improving Sampling, Analysis, and Data Management for Site Investigation and Cleanup

EPA Pesticide Factsheets

The United States Environmental Protection Agency (EPA) supports the adoption of streamlined approaches to sampling, analysis, and data management activities conducted during site assessment, characterization, and cleanup.

Perceived barriers to the regionalization of adult critical care in the United States: a qualitative preliminary study

PubMed Central

Kahn, Jeremy M; Asch, Rebecca J; Iwashyna, Theodore J; Rubenfeld, Gordon D; Angus, Derek C; Asch, David A

2008-01-01

Background Regionalization of adult critical care services may improve outcomes for critically ill patients. We sought to develop a framework for understanding clinician attitudes toward regionalization and potential barriers to developing a tiered, regionalized system of care in the United States. Methods We performed a qualitative study using semi-structured interviews of critical care stakeholders in the United States, including physicians, nurses and hospital administrators. Stakeholders were identified from a stratified-random sample of United States general medical and surgical hospitals. Key barriers and potential solutions were identified by performing content analysis of the interview transcriptions. Results We interviewed 30 stakeholders from 24 different hospitals, representing a broad range of hospital locations and sizes. Key barriers to regionalization included personal and economic strain on families, loss of autonomy on the part of referring physicians and hospitals, loss of revenue on the part of referring physicians and hospitals, the potential to worsen outcomes at small hospitals by limiting services, and the potential to overwhelm large hospitals. Improving communication between destination and source hospitals, provider education, instituting voluntary objective criteria to become a designated referral center, and mechanisms to feed back patients and revenue to source hospitals were identified as potential solutions to some of these barriers. Conclusion Regionalization efforts will be met with significant conceptual and structural barriers. These data provide a foundation for future research and can be used to inform policy decisions regarding the design and implementation of a regionalized system of critical care. PMID:19014704

A survey of current ostrich handling and transport practices in North America with reference to ostrich welfare and transportation guidelines set up in other countries.

PubMed

Bejaei, M; Cheng, K M

2014-02-01

Appropriate management of an ostrich's exposure to stressors during preslaughter handling and transport practices can improve its well-being and product quality. Because of the lack of information about ostrich farming and transportation in North America and lack of developed Codes of Practice for ratite transport in Canada and the United States, the first objective of our research was to identify current preslaughter handling and transport practices of the ostrich industry in Canada and the United States, and to identify potential welfare issues based on the current practices. The second objective of this research was to review ostrich transport welfare standards and guidelines from Australia, European Union, New Zealand, and South Africa to investigate if those guidelines are applicable to Canadian and American ostrich production systems. Preliminary producer interviews, on-farm visits, and literature review information sources were used to design a producer questionnaire that was used to survey producers by Internet and mail surveying methods to identify existing ostrich transport norms in Canada and the United States. Based on the results of our producer survey and review of the transport standards and guidelines, we conclude that following factors are potential ostrich handling and transport welfare issues in Canada and the United States: lack of scientific information about welfare of ostriches during handling and transport; unfamiliarity of handlers and birds with handling and transport practices; not considering birds' social bounds, sex, behavior, and physical state in mixing them during handling and transport process; lack of an established specific maximum water and feed withdrawal duration for ostrich transport in Canada and the United States; lack of a specific vehicle designed for ratite transportation in Canada and the United States considering different physical body characteristics of ostriches compared with other species; exposure of birds to natural light during transport inside the trailer; overcrowding; and long transportation in Canada and the United States. Results of this research will contribute toward developing Codes of Practice for preslaughter handling, transportation, and slaughter of ostriches in Canada and the United States.

Twenty-year summary of surveillance for human hantavirus infections, United States.

PubMed

Knust, Barbara; Rollin, Pierre E

2013-12-01

In the past 20 years of surveillance for hantavirus in humans in the United States, 624 cases of hantavirus pulmonary syndrome (HPS) have been reported, 96% of which occurred in states west of the Mississippi River. Most hantavirus infections are caused by Sin Nombre virus, but cases of HPS caused by Bayou, Black Creek Canal, Monongahela, and New York viruses have been reported, and cases of domestically acquired hemorrhagic fever and renal syndrome caused by Seoul virus have also occurred. Rarely, hantavirus infections result in mild illness that does not progress to HPS. Continued testing and surveillance of clinical cases in humans will improve our understanding of the etiologic agents involved and the spectrum of diseases.

Family by environment interactions for loblolly and slash pine plantations in the southeastern United States

Treesearch

Brian E. Roth; Eric J. Jokela; Timothy A. Martin; Dudley A. Huber; Timothy L. White

2010-01-01

Few studies have quantified the combined effects of silvicultural treatments and genetic improvement on unit area production of full-sib family blocks of loblolly and slash pine. We examined genotype (family) by environmental interactions (G x E) through age five years using a factorial experiment consisting of silvicultural treatment intensity, planting density and...

A Standards-Based Thematic Unit: "El Canto de las Palomas"

ERIC Educational Resources Information Center

Montgomery, Cherice; Sederberg, Brenda; Tyrol, Marcia Riis; Stevenson, Sonia

1998-01-01

This unit was created as a result of a summer institute sponsored by the National K-12 Foreign Language Resource Center at Iowa State University in Ames, Iowa. The Center's goal is to improve student learning of foreign languages in kindergarten through twelfth grade (K-12). In the summer of 1996, the Center offered the Culture and Children's…

A Standards-Based Thematic Unit: "La Mujer Que Brillaba Aun Mas Que el Sol"

ERIC Educational Resources Information Center

Bullitt, Leslie Kay; Gonzalez, Augusta C.; Luna, Boni

1998-01-01

This unit was created as a result of a summer institute sponsored by the National K-12 Foreign Language Resource Center at Iowa State University, Ames, Iowa. The Center's goal is to improve student learning of foreign languages in kindergarten through twelfth grade (K-12). To this end, the Center provides professional support for foreign language…

Does Education Improve Citizenship? Evidence from the U.S. and the U.K. Working Paper.

ERIC Educational Resources Information Center

Milligan, Kevin; Moretti, Enrico; Oreopoulos, Philip

This paper explores the effect of extra schooling, induced through compulsory schooling laws, on the likelihood of becoming politically involved in the United States and the United Kingdom. U.S. data come from the annual National Elections Studies and the November Current Population Surveys. U.K. data come from the British General Election Studies…

A Systematic Evaluation of Noah-MP in Simulating Land-Atmosphere Energy, Water, and Carbon Exchanges Over the Continental United States

NASA Astrophysics Data System (ADS)

Ma, Ning; Niu, Guo-Yue; Xia, Youlong; Cai, Xitian; Zhang, Yinsheng; Ma, Yaoming; Fang, Yuanhao

2017-11-01

Accurate simulation of energy, water, and carbon fluxes exchanging between the land surface and the atmosphere is beneficial for improving terrestrial ecohydrological and climate predictions. We systematically assessed the Noah land surface model (LSM) with mutiparameterization options (Noah-MP) in simulating these fluxes and associated variations in terrestrial water storage (TWS) and snow cover fraction (SCF) against various reference products over 18 United States Geological Survey two-digital hydrological unit code regions of the continental United States (CONUS). In general, Noah-MP captures better the observed seasonal and interregional variability of net radiation, SCF, and runoff than other variables. With a dynamic vegetation model, it overestimates gross primary productivity by 40% and evapotranspiration (ET) by 22% over the whole CONUS domain; however, with a prescribed climatology of leaf area index, it greatly improves ET simulation with relative bias dropping to 4%. It accurately simulates regional TWS dynamics in most regions except those with large lakes or severely affected by irrigation and/or impoundments. Incorporating the lake water storage variations into the modeled TWS variations largely reduces the TWS simulation bias more obviously over the Great Lakes with model efficiency increasing from 0.18 to 0.76. Noah-MP simulates runoff well in most regions except an obvious overestimation (underestimation) in the Rio Grande and Lower Colorado (New England). Compared with North American Land Data Assimilation System Phase 2 (NLDAS-2) LSMs, Noah-MP shows a better ability to simulate runoff and a comparable skill in simulating Rn but a worse skill in simulating ET over most regions. This study suggests that future model developments should focus on improving the representations of vegetation dynamics, lake water storage dynamics, and human activities including irrigation and impoundments.

Pharmaceutical patents and some international trade issues: Canada, the United States, and NAFTA.

PubMed

Tancer, R S

1993-01-01

This paper traces the evolution of a more aggressive US policy for the protection of the intellectual property rights of its citizens, individual and corporate, who do business aborad. It focuses on the pharmaceutical industry and, in particular, the harmonization of conflicting US and Canadian policies. In reconciling these policy differences, the United States unilaterally applied relatively new procedures authorized under section 301 and Special 301 of its trade laws. It also utilized the bilateral dispute mechanism mandating cooperation "in the Uruguay Round ... to improve protection of intellectual property," as provided in the Canada-United States Free Trade Agreement. These efforts were successful; Canada amended its patent law in 1993 to conform to current international practices. These changes were incorporated into the North American Free Trade Agreement (NAFTA), making it a state-of-the-art example of the protection of intellectual property rights. The intellectual property chapter of NAFTA will serve as the model for US intellectual property rights negotiations for the foreseeable future.

Nudging the obese: a UK-US consideration.

PubMed

Oliver, Adam; Ubel, Peter

2014-07-01

Over recent years, nudge policies have become increasingly popular (if somewhat confused) internationally. This article attempts to clarify what a nudge entails, and critically summarises some of the nudge policies that have been proposed to motivate weight loss in the United Kingdom and the United States. Despite the fact that most of the evidence on nudge-related policy has so far been produced in the United States, and that the leading nudge champions are American, the United Kingdom, at least with respect to considering policy interventions of this kind at the national level, appears to be relatively advanced. That said, nudge interventions remain of marginal practical import everywhere, and are never going to solve completely the obesity problem. Nonetheless, even a marginal effect may extend and improve many lives, a result that would satisfy most behavioural economists.

Trends in noncompliance with milk quality standards for Dairy Herd Improvement herds in the United States

USDA-ARS?s Scientific Manuscript database

Frequency of herd noncompliance for somatic cell count (SCC) based on current US and European Union (EU) standards as well as for standards proposed by the National Milk Producers Federation (NMPF) was examined for US Dairy Herd Improvement (DHI) herds. For current US standards, regulatory action is...

The potential for improving rail international intermodal services in Texas and the southwest region of the United States.

DOT National Transportation Integrated Search

2011-06-01

The report covers a period of great significance for railroading in the U.S as it contains a number of milestones now : shaping the future performance of the industry. The specific subject is improving intermodal service so that it can : support stat...

Using Assessment as a Basis for Improvement

ERIC Educational Resources Information Center

Harms, Thelma

2009-01-01

Improving the quality of early childhood programs has become a public policy priority, not only in the United States but also in Canada, Europe, and Asia. As programs are given increasing amounts of public funds, more systematic oversight of program quality is being required. Because many of these programs are conducted under various auspices in a…

Improving School Attendance through Collaboration: A Catalyst for Community Involvement and Change

ERIC Educational Resources Information Center

Childs, Joshua; Grooms, Ain A.

2018-01-01

Chronic absenteeism is often referred to as a problem hidden in plain sight (Chang & Romero, 2008). In recent years, more communities around the United States have been intentional on improving student attendance and limiting the impact of chronic absenteeism. Using qualitative interviews, we sought to understand how one community was…

A Web-Based Framework for Improving Geriatric Education

ERIC Educational Resources Information Center

Hirth, Victor A.; Hajjar, Ihab

2004-01-01

Despite the growth in the elderly population, physicians with special geriatric training and certification number only 9,000 out of 650,000 doctors in the United States. The flexibility and increasing availability of the Internet makes it an ideal avenue for addressing the educational needs of health care providers to improve the health and care…

Fire science application and integration in support of decision making

Treesearch

Tom Zimmerman

2011-01-01

Wildland fire management in the United States has historically been a challenging and complex program governed by a multitude of factors including situational status, objectives, operational capability, science and technology, and changes and advances in all these factors. The improvement and advancement of risk-informed decision making has the potential to improve...

33 CFR 162.205 - Suisun Bay, San Joaquin River, Sacramento River, and connecting waters, CA.

Code of Federal Regulations, 2011 CFR

2011-07-01

... executing river and harbor improvement work for the United States, and displaying the signals prescribed by... exercise special caution to avoid interference with the work on which the plant is engaged. Dredges...); a wharf or other structure; work under construction; plant engaged in river and harbor improvement...

75 FR 18238 - United States Section; Final Environmental Impact Statement, Flood Control Improvements and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-09

... engineering alternatives for long-term improvement of the Presidio FCP flood containment capacity. The EIS... Federal Register on February 26, 2010 for a 30-day wait period. Finding: Based on engineering, economic... existing levee and provide protection to the City of Presidio and adjacent agricultural areas from a 25...

75 FR 51619 - Privacy Act of 1974: Implementation of Exemptions; Department of Homeland Security/United States...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-23

... discrimination and misuse of E-Verify including: (1) Improving posters and providing alternative means of... detect misuse. In fact, AILA's suggestion regarding improving posters is supported by the compliance activity of determining whether the posters are actually being used by employers. The development of the...

Improving Depth of Thinking in Online Discussion Boards

ERIC Educational Resources Information Center

Williams, Sheri S.; Jaramillo, Amy; Pesko, John Carl

2015-01-01

This study explored what instructors can do to improve student depth of thinking in online discussion boards (DBs). Participants were graduate students enrolled in online courses within a college of education in the southwest United States. Measurement consisted of discourse analysis of posts in DBs and student self-assessment of dispositions,…

Opportunities to improve monitoring of temporal trends with FIA panel data

Treesearch

Raymond Czaplewski; Michael Thompson

2009-01-01

The Forest Inventory and Analysis (FIA) Program of the Forest Service, Department of Agriculture, is an annual monitoring system for the entire United States. Each year, an independent "panel" of FIA field plots is measured. To improve accuracy, FIA uses the "Moving Average" or "Temporally Indifferent" method to combine estimates from...

Preparing Leaders for Math and Science: Three Alternatives to Traditional Preparation

ERIC Educational Resources Information Center

Lochmiller, Chad R.; Huggins, Kristin S.; Acker-Hocevar, Michele A.

2012-01-01

Improving student achievement in math and science has become a priority in the United States. As instructional leaders, principals can influence instruction in these vital subjects by working with classroom teachers to improve their instruction. Surprisingly, the research about the principal's role in supporting instruction in these subjects is…

Improving Instruction in the Mathematics Methods Classroom through Action Research

ERIC Educational Resources Information Center

Mostofo, Jameel; Zambo, Ron

2015-01-01

There is a continuing emphasis in the United States on improving students' mathematical abilities, and one approach is to better prepare teachers. To investigate the potential usefulness of Lesson Study to better prepare teachers, one author set out to conduct action research on his classroom practice. Specifically, he sought to determine whether…

HELPING LOW-INCOME FAMILIES THROUGH PARENT EDUCATION, A SURVEY OF RESEARCH.

ERIC Educational Resources Information Center

CHILMAN, CATHERINE S.; KRAFT, IVOR

THE CHILD LIFE STUDIES BRANCH OF THE CHILDREN'S BUREAU MADE AN INFORMAL SURVEY OF PARENT EDUCATION FOR LOW-INCOME FAMILIES IN THE UNITED STATES IN 1961 TO 1963. PARENT EDUCATION IS DESIGNED TO IMPROVE HOUSEKEEPING, STRENGTHEN INTERFAMILY RELATIONSHIPS, REINFORCE FAMILY-SCHOOL UNDERSTANDING, AND IMPROVE PERSONAL SKILLS. PRACTITIONERS RECOMMEND A…

Presidential Address: How to Improve Poverty Measurement in the United States

ERIC Educational Resources Information Center

Blank, Rebecca M.

2008-01-01

This paper discusses the reasons why the current official U.S. poverty measure is outdated and nonresponsive to many anti-poverty initiatives. A variety of efforts to update and improve the statistic have failed, for political, technical, and institutional reasons. Meanwhile, the European Union is taking a very different approach to poverty…

Improving Educational Attainment: Recent Trends and Challenges

ERIC Educational Resources Information Center

Chingos, Matthew; McPherson, Michael

2011-01-01

A large majority of full-time students pursuing bachelor's degrees at four-year colleges and universities in the United States attend public universities. The struggle, therefore, to improve educational attainment and reduce the marked disparities in outcomes that lead to greater inequalities of all kinds will take place mainly within our nation's…

Improvements to the Visa Application System: Serving the S&T Community, Promoting The American Economy and Keeping Us Safe

NASA Astrophysics Data System (ADS)

Gillen, Mathew

2014-03-01

The speaker will address policy changes and improvements in visa processing that help scientists and students to visit and study in the United States. The speaker will also discuss challenges involved with balancing the needs of U.S. science with national security interests.

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…

Biology Faculty at Large Research Institutions: The Nature of Their Pedagogical Content Knowledge

ERIC Educational Resources Information Center

Hill, Kathleen M.

2013-01-01

To address the need of scientists and engineers in the United States workforce and ensure that students in higher education become scientifically literate, research and policy has called for improvements in undergraduate education in the sciences. One particular pathway for improving undergraduate education in the science fields is to reform…

An introduction to joint research by the USEPA and USGS on contaminants of emerging concern in source and treated drinking waters of the United States

EPA Science Inventory

Improvements in analytical methodology have allowed low-level detection of an ever increasing number of pharmaceuticals, personal care products, hormones, pathogens and other contaminants of emerging concern (CECs). The use of these improved analytical tools has allowed researche...

A Look inside Mathematics Coaching: Roles, Content, and Dynamics

ERIC Educational Resources Information Center

Mudzimiri, Rejoice; Burroughs, Elizabeth A.; Luebeck, Jennifer; Sutton, John; Yopp, David

2014-01-01

Mathematics classroom coaching is used across the United States as a means for improving instruction, with the ultimate goal of improving student learning. The job assignments of coaches can vary widely across schools and districts. Regardless of the various forms that coaching can take, there is the consistent expectation that a coach's…

Genetic manipulation of miR156 for improvement of biomass production and forage quality in red clover

USDA-ARS?s Scientific Manuscript database

Red clover (Trifolium pratense) is an important forage legume in the United States. Improving forage quality and biomass yield is an important goal of forage breeding programs. Plant development, particularly the transition from vegetative to reproductive growth, is an important factor affecting bio...

Turning point: the Robert Wood Johnson Foundation's effort to revitalize public health at the state level.

PubMed

Hassmiller, Susan

2002-01-01

The Robert Wood Johnson (RWJ) Foundation initiated Turning Point in collaboration with the W.K. Kellogg Foundation (Kellogg) in 1997. The purpose of this major national initiative was to strengthen the public health infrastructure in the United States so that states, local communities, and their public health agencies might respond to the challenge to protect and improve the public's health in the 21st century. RWJ funded 21 states and Kellogg funded 43 communities to work together to create a new way of thinking about how health could be improved and who should be involved. Although the ultimate outcome was to improve health, both foundations expected diverse partnerships to work together to create strategic health improvement plans at both the community and state levels. The foundations funded a variety of strategies within those health improvement plans during an implementation phase. The premise in funding partnerships, as opposed to a single entity, was that effective public health systems would be developed best through a shared responsibility (including the private sector) for the health of a community.

Using GIS to assess priorities of infrastructure and health needs of colonias along the United States-Mexico border

USGS Publications Warehouse

Parcher, J.W.; Humberson, D.G.

2009-01-01

Colonias, which are unincorporated border setdements in the United. States, have emerged in rural areas without the governance and services normally provided by local government. Colonia residents live in poverty and lack adequate health care, potable water, and sanitation systems. These conditions create substantial health risks for themselves and surrounding communities. By 2001, more than 1,400 colonias were identified in Texas. Cooperation with several Federal and Texas state agencies has allowed the U.S. Geological Survey (USGS) to improve colonia Geographic Information System (GIS) boundaries and develop the Colonia Health, Infrastructure, and Platting Status tool (CHIPS). Together, the GIS boundaries and CHIPS aid the Texas government in prioritizing the limited funds that are available for infrastructure improvement. CHIPS's report: generator can be tailored, to the needs of the user, providing either broad or specific output. CHIPS is publicly available on the U.S. Geological Survey Border Environmental Health Initiative website at http://borderhealth.cr. usgs.gov.