Chapter 7: Precipitation Change in the United States
NASA Technical Reports Server (NTRS)
Easterling, D. R.; Kunkel, K. E.; Arnold, J. R.; Knutson, T.; LeGrande, A. N.; Leung, L. R.; Vose, R. S.; Waliser, D. E.; Wehner, M. F.
2017-01-01
Annual precipitation has decreased in much of the West, Southwest, and Southeast and increased in most of the Northern and Southern Plains, Midwest, and Northeast. A national average increase of 4% in annual precipitation since 1901 is mostly a result of large increases in the fall season. Heavy precipitation events in most parts of the United States have increased in both intensity and frequency since 1901. There are important regional differences in trends, with the largest increases occurring in the northeastern United States. In particular, mesoscale convective systems (organized clusters of thunderstorms)-the main mechanism for warm season precipitation in the central part of the United States-have increased in occurrence and precipitation amounts since 1979. The frequency and intensity of heavy precipitation events are projected to continue to increase over the 21st century (high confidence). Mesoscale convective systems in the central United States are expected to continue to increase in number and intensity in the future. There are, however, important regional and seasonal differences in projected changes in total precipitation: the northern United States, including Alaska, is projected to receive more precipitation in the winter and spring, and parts of the southwestern United States are projected to receive less precipitation in the winter and spring. Northern Hemisphere spring snow cover extent, North America maximum snow depth, snow water equivalent in the western United States, and extreme snowfall years in the southern and western United States have all declined, while extreme snowfall years in parts of the northern United States have increased. Projections indicate large declines in snowpack in the western United States and shifts to more precipitation falling as rain than snow in the cold season in many parts of the central and eastern United States.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Gandara, A.
This article intends to set forth the necessity for reform in the United States policy and procedures regarding approval of power transfers between the United States and Mexico. In order to do this, the article will review the history of electrical power transfers between the United States and Mexico (Part II), analyze recent regulatory changes in the United States and Mexico which may result in increased power exports to Mexico (Part III), evaluate the extent to which the present permit and authorization system in the United States considers the increased environmental burden of such power transfers (Part IV), and, wheremore » appropriate, propose some procedural and policy reforms that could take into account the environmental burdens generated by the production of power destined for transfer across the United States-Mexico border (Part V).« less
McDermott-Levy, Ruth
2011-01-01
Since 2004, international student enrollment in the United States has increased. Middle Eastern students studying in the United States have been part of the increase. In 2008-2009 there were 29 140 Middle Eastern students, representing an 18% increase from the previous academic year. Despite these increases, there is limited research examining the experience of Arab-Muslim international students or international nursing students studying in the United States. Phenomenological inquiry was used to describe the experience of 12 female Omani nurses living in the United States while studying for their baccalaureate degrees in nursing. The women described the experience of going alone and being away from the support and presence of their large, extended families; this influenced their international student experience. They also described their religious, cultural, and educational adaptation. The experience of living and studying nursing in the United States was transformational as they became self-reliant, learned their capabilities, and adapted to cultural and educational expectations. Copyright © 2011 Elsevier Inc. All rights reserved.
Federal Register 2010, 2011, 2012, 2013, 2014
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... To Promote Regional Integration and Increase Exports to the United States; EU-South Africa FTA... Integration and Increase Exports to the United States; and investigation No. 332-546, EU-South Africa FTA... integration into regional or global supply chains, and export potential to the United States under AGOA, as...
Failure in Success; An Assessment of Agricultural Extension in the United States.
ERIC Educational Resources Information Center
Carlson, Robert A.
The United States formalized its cooperative national support program for agricultural extension in 1941. The hope was to increase agricultural production and to help maintain a rural way of life in the United States. The Cooperative Extension Service was unable to strike a balance between these two goals, emphasizing increased production to such…
Evidence for increasingly variable Palmer Drought Severity Index in the United States since 1895.
Rayne, Sierra; Forest, Kaya
2016-02-15
Annual and summertime trends towards increasingly variable values of the Palmer Drought Severity Index (PDSI) over a sub-decadal period (five years) were investigated within the contiguous United States between 1895 and the present. For the contiguous United States as a whole, there is a significant increasing trend in the five-year running minimum-maximum ranges for the annual PDSI (aPDSI5 yr(min|max, range)). During this time frame, the average aPDSI5 yr(min|max, range) has increased by about one full unit, indicating a substantial increase in drought variability over short time scales across the United States. The end members of the running aPDSI5 yr(min|max, range) highlight even more rapid changes in the drought index variability within the past 120 years. This increasing variability in the aPDSI5 yr(min|max, range) is driven primarily by changes taking place in the Pacific and Atlantic Ocean coastal climate regions, climate regions which collectively comprise one-third the area of the contiguous United States. Similar trends were found for the annual and summertime Palmer Hydrological Drought Index (PHDI), the Palmer Modified Drought Index (PMDI), and the Palmer Z Index (PZI). Overall, interannual drought patterns in the contiguous United States are becoming more extreme and difficult to predict, posing a challenge to agricultural and other water-resource related planning efforts. Copyright © 2015 Elsevier B.V. All rights reserved.
Addressing Illegal Immigrants Inside the United States: A Policy Analysis
2007-03-01
1 B. BACKGROUND OF UNITED STATES IMMIGRATION POLICY WITH MEXICO ...INTRODUCTION A. PURPOSE Since the early 1990s, illegal immigration in the United States, particularly from Mexico , has increased markedly...POLICY WITH MEXICO 1. Brief History of Immigration Policy Mexican migration to the United States has a long history which has existed since Texas, New
Stephen D. Sebestyen; Elizabeth W. Boyer; James B. Shanley
2009-01-01
In coming decades, higher annual temperatures, increased growing season length, and increased dormant season precipitation are expected across the northeastern United States in response to anthropogenic forcing of global climate. We synthesized long-term stream hydrochemical data from the Sleepers River Research Watershed in Vermont, United States, to explore the...
Push Factor in Mexican Migration to the United States: The Background to Migration.
1980-07-01
United States. Recent devalua- tions of the Mexican peso were found to be extremely important in dramatically enhancing the values of United States...than 12% over the same time interval. (2) The devaluation of the Mexican peso since 1975 has off- set the apparent increases in estimated wages of low...southwestern United States imply a decrease in the incentive for permanent migration to the United States, the devaluation of the Mexican peso has
Increasing the percentage of renewable energy in the Southwestern United States
USDA-ARS?s Scientific Manuscript database
An analysis was performed on the states in the Southwestern United States to determine methods to increase the proportion of wind and solar generated electricity in those states to levels as high as 40% of total electricity used. This analysis was performed by comparing the monthly and diurnal elect...
Cancer Drugs: An International Comparison of Postlicensing Price Inflation.
Savage, Philip; Mahmoud, Sarah; Patel, Yogin; Kantarjian, Hagop
2017-06-01
The cost of cancer drugs forms a rising proportion of health care budgets worldwide. A number of studies have examined international comparisons of initial cost, but there is little work on postlicensing price increases. To examine this, we compared cancer drug prices at initial sale and subsequent price inflation in the United States and United Kingdom and also reviewed relevant price control mechanisms. The 10 top-selling cancer drugs were selected, and their prices at initial launch and in 2015 were compared. Standard nondiscounted prices were obtained from the relevant annual copies of the RED BOOK and the British National Formulary. At initial marketing, prices were on average 42% higher in the United States than in the United Kingdom. After licensing in the United States, all 10 drugs had price rises averaging an overall annual 8.8% (range, 1.4% to 24.1%) increase. In comparison, in the United Kingdom, six drugs had unchanged prices, two had decreased prices, and two had modest price increases. The overall annual increase in the United Kingdom was 0.24%. Cancer drug prices are rising substantially, both at their initial marketing price and, in the United States, at postlicensing prices. In the United Kingdom, the Pharmaceutical Price Regulation Scheme, an agreement between the government and the pharmaceutical industry, controls health care costs while allowing a return on investment and funds for research. The increasing costs of cancer drugs are approaching the limits of sustainability, and a similar government-industry agreement may allow stability for both health care provision and the pharmaceutical industry in the United States.
The black walnut resource in the United States
Stephen R. Shifley
2004-01-01
Between 1989 and 1999 the total volume of black walnut (Juglans nigra L.) in the United States increased from 1.6 to 2.4 billion cubic feet. Saw log volume (International ¼-inch scale) increased from 4.3 to 7.2 billion board feet. Increases occurred in most states; however, in Michigan, Ohio, Virginia, Pennsylvania, and Kansas black walnut...
Legalization of Sunday alcohol sales and alcohol consumption in the United States.
Yörük, Barış K
2014-01-01
To investigate the relationship between legalization of Sunday alcohol sales and alcohol consumption in the United States. State-level per capita consumption of beer, wine and spirits was analyzed using difference-in-differences econometric methods. United States. Five treatment states that repealed their laws restricting Sunday alcohol sales during 1990-2007 and 12 control states that retained their Sunday alcohol laws during the same period. Outcome measures are state-level per capita consumption of overall alcohol, beer, wine and spirits. Among the states that legalized Sunday sales of alcoholic beverages, Delaware, Pennsylvania and New Mexico experienced significant increases in overall alcohol consumption (P < 0.05). However, the effect of the legalization of Sunday alcohol sales in Massachusetts and Rhode Island on per capita alcohol consumption was insignificant (P = 0.964 and P = 0.367). Three out of five states in the United States that repealed their laws restricting Sunday sale of alcoholic beverages during 1990-2007 experienced significant increases in per capita alcohol consumption. This finding implies that increased alcohol availability leads to an increase in alcohol consumption. © 2013 Society for the Study of Addiction.
Steven G. McNulty; James M. Vose; Wayne T. Swank
1998-01-01
The southeastern United States is one of the most rapidly growing human population regions in continental United States, and as the population increases, the demand for commercial, industrial, and residential water will also increase (USWRC, 1978). Forest species type, stand age, and the climate all influence the amount of water use and yield from these areas (Swank et...
Extended working shifts: are they applicable to the Southeastern United States?
Dana Mitchell; Tom Gallagher
2006-01-01
Logging operations in Scandinavia, Canada and the Lake States of the United States have used non-traditional (extended) working hours to increase their production for many years. However, extended shifts are uncommon in the southeastern United States. A major limitation in implementing extended working hours in the southeastern states is that logging business owners...
Clarke, R V; Lester, D
1987-01-01
The rate of car exhaust suicides in the United States has declined following the introduction of emission controls in the mid-1960s, though not as much as the decline in CO emitted by cars. In Britain, where emission controls have not been introduced, the rate of these suicides, initially much lower than in the United States, has greatly increased since the beginning of the 1970s and is now about double that of the United States. This rise cannot be explained simply on the basis of an increase in the opportunities for suicide as represented by an increase in the number of cars but may be due to increased knowledge of the method. While these results are interpreted as generally supporting the potential for opportunity-reducing preventive measures, they also demonstrate that much more research is needed into the complex nature of the opportunity structure for suicide. PMID:2443595
Haiti’s Downward Spiral: Causes, Consequences, and the Way Ahead
2011-05-04
Salvador, and Honduras. Known as the “cocaine corridor” to the United States via Mexico , these states are an increasing concern for U.S. national...corridor” to the United States via Mexico , these states are an increasing concern for U.S. national security and therefore deserve SOUTHCOM’s full...water wells took on increased urgency after Haiti experienced a cholera outbreak in October 2010 that infected over 250,000 people, killing more than
USDA-ARS?s Scientific Manuscript database
Increased demand for fresh market broccoli (Brassica oleracea L. var. italica) has led to increased production along the eastern seaboard of the United States. Maximizing broccoli yields is a primary concern for quickly expanding eastern commercial markets. Thus, a plant density study was carried ...
Increasing prevalence of diagnosed diabetes--United States and Puerto Rico, 1995-2010.
2012-11-16
In 2010, an estimated 18.8 million persons in the United States had diagnosed diabetes mellitus and another 7.0 million had undiagnosed diabetes. Since 1990, the prevalence of diagnosed diabetes in the United States has risen sharply among all age groups, both sexes, and all racial/ethnic groups for which data are available. To learn whether the increase has been greater in some regions of the United States than in others, data on self-reported diabetes in adults collected during 1995-2010 by the Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. The analysis showed that the age-adjusted prevalence of diagnosed diabetes increased during the interval in every state, the District of Columbia (DC), and Puerto Rico. In 1995, age-adjusted prevalence was ≥6% in only three states, DC, and Puerto Rico, but by 2010 it was ≥6% in every state, DC, and Puerto Rico, and ≥10.0% in six states and Puerto Rico. Strategies to prevent diabetes and its preventable risk factors are needed, especially for those at highest risk for diabetes, to slow the rise in diabetes prevalence across the United States. Continued surveillance of diabetes prevalence and incidence, its risk factors, and prevention efforts is important to measure progress of prevention efforts.
Parrino, Mark W; Maremmani, Angelo Giovanni Icro; Samuels, Paul N; Maremmani, Icro
2015-01-01
There has been a well documented increase in the use and abuse of prescription opioids and heroin in the United States and other parts of the world. There has also been an increasing focus to increase access to the use of medications (methadone, buprenorphine, Naltrexone/Vivitrol) for opioid addicted individuals under legal supervision. As policymakers engage in strategic initiatives to better prevent and effectively treat chronic opioid addiction, both in the United States and other countries, there are a number of unintended consequences, complicating how best to increase access to effective treatment.
ESTIMATING AND PROJECTING IMPERVIOUS COVER IN THE SOUTHEASTERN UNITED STATES
Urban/suburban land constitutes the fastest growing land use class in the Southeastern United States. Predominant development practices increase impervious surface--areas preventing infiltration of water into the underlying soil. Uncontrolled increase of impervious areas (roads,...
ESTIMATING AND PROJECTING IMPERVIOUS COVER IN THE SOUTHEASTERN UNITED STATES
Urban/suburban land use constitutes the fastest growing land use class in the Southeastern United States. Predominant development practices increase impervious surface--areas preventing infiltration of water into the underlying soil. Uncontrolled increase of impervious areas (ro...
NASA Astrophysics Data System (ADS)
Alter, Ross E.; Douglas, Hunter C.; Winter, Jonathan M.; Eltahir, Elfatih A. B.
2018-02-01
Both land use changes and greenhouse gas (GHG) emissions have significantly modified regional climate over the last century. In the central United States, for example, observational data indicate that rainfall increased, surface air temperature decreased, and surface humidity increased during the summer over the course of the twentieth century concurrently with increases in both agricultural production and global GHG emissions. However, the relative contributions of each of these forcings to the observed regional changes remain unclear. Results of both regional climate model simulations and observational analyses suggest that much of the observed rainfall increase—as well as the decrease in temperature and increase in humidity—is attributable to agricultural intensification in the central United States, with natural variability and GHG emissions playing secondary roles. Thus, we conclude that twentieth century land use changes contributed more to forcing observed regional climate change during the summer in the central United States than increasing GHG emissions.
76 FR 27182 - Pricing for American Eagle and American Buffalo Bullion Presentation Cases
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Motorcycle trends in the United States
DOT National Transportation Integrated Search
2009-05-01
During the last decade there has been a significant increase in the number of motorcycle sales and registrations in the United States. At the same time there has been a shift in the demographics of motorcycle users and increased focus on motorcycle s...
Inclusion Inservice: Content and Training Procedures across the United States
ERIC Educational Resources Information Center
Harriott, Wendy A.
2004-01-01
Inservice training (locally or state provided) is the primary means used to improve teachers' instruction employed in public school districts throughout the United States. Individual states are increasing inclusion efforts in the local schools. Various states have established state-initiated training programs to improve instruction for students…
Surman, Owen S; Cosimi, A B; Fukunishi, Isao; Kawaii, Tatsuo; Findley, John; Kita, Yoshiaki; Makuuchi, Masatoshi
2002-01-01
Cadaver sources are insufficient for the increasing demand for liver transplantation. Right-lobe liver transplantation from living donors is fully developed in Japan and has been rapidly increasing in the United States during the past 2 years, although donor risk is greater than in other types of solid organ transplantation. The authors examine the psychiatric and ethical aspects of right-lobe liver transplantation in light of cultural differences between the United States and Japan.
Stupp, Paul; Okoroh, Ekwutosi; Besera, Ghenet; Goodman, David; Danel, Isabella
2016-01-01
Objectives In 1996, the U.S. Congress passed legislation making female genital mutilation/cutting (FGM/C) illegal in the United States. CDC published the first estimates of the number of women and girls at risk for FGM/C in 1997. Since 2012, various constituencies have again raised concerns about the practice in the United States. We updated an earlier estimate of the number of women and girls in the United States who were at risk for FGM/C or its consequences. Methods We estimated the number of women and girls who were at risk for undergoing FGM/C or its consequences in 2012 by applying country-specific prevalence of FGM/C to the estimated number of women and girls living in the United States who were born in that country or who lived with a parent born in that country. Results Approximately 513,000 women and girls in the United States were at risk for FGM/C or its consequences in 2012, which was more than three times higher than the earlier estimate, based on 1990 data. The increase in the number of women and girls younger than 18 years of age at risk for FGM/C was more than four times that of previous estimates. Conclusion The estimated increase was wholly a result of rapid growth in the number of immigrants from FGM/C-practicing countries living in the United States and not from increases in FGM/C prevalence in those countries. Scientifically valid information regarding whether women or their daughters have actually undergone FGM/C and related information that can contribute to efforts to prevent the practice in the United States and provide needed health services to women who have undergone FGM/C are needed. PMID:26957669
Goldberg, Howard; Stupp, Paul; Okoroh, Ekwutosi; Besera, Ghenet; Goodman, David; Danel, Isabella
2016-01-01
In 1996, the U.S. Congress passed legislation making female genital mutilation/cutting (FGM/C) illegal in the United States. CDC published the first estimates of the number of women and girls at risk for FGM/C in 1997. Since 2012, various constituencies have again raised concerns about the practice in the United States. We updated an earlier estimate of the number of women and girls in the United States who were at risk for FGM/C or its consequences. We estimated the number of women and girls who were at risk for undergoing FGM/C or its consequences in 2012 by applying country-specific prevalence of FGM/C to the estimated number of women and girls living in the United States who were born in that country or who lived with a parent born in that country. Approximately 513,000 women and girls in the United States were at risk for FGM/C or its consequences in 2012, which was more than three times higher than the earlier estimate, based on 1990 data. The increase in the number of women and girls younger than 18 years of age at risk for FGM/C was more than four times that of previous estimates. The estimated increase was wholly a result of rapid growth in the number of immigrants from FGM/C-practicing countries living in the United States and not from increases in FGM/C prevalence in those countries. Scientifically valid information regarding whether women or their daughters have actually undergone FGM/C and related information that can contribute to efforts to prevent the practice in the United States and provide needed health services to women who have undergone FGM/C are needed.
Effects of atomic explosions on the frequency of tornadoes in the United States
DOE Office of Scientific and Technical Information (OSTI.GOV)
Harris, D.L.
1951-01-01
The increase in tornadoes reported in the United States during the past few years is ascribed to better reporting procedures rather than the presence of atomic debris. Maps showing the distribution of fall-out in the United States during the first and second halves of May, 1953, are given.
Preparation of School Psychologists in the United States
ERIC Educational Resources Information Center
Joyce-Beaulieu, Diana; Rossen, Eric
2014-01-01
School psychology in the United States continues to evolve in response to shifts in the country's demographic characteristics, an increasing focus on the importance of child mental health, together with health and education reforms. The landscape of school psychological services in the United States also is shaped through the changing roles and…
Cigarette Smoking among Korean International College Students in the United States
ERIC Educational Resources Information Center
Sa, Jaesin; Seo, Dong-Chul; Nelson, Toben F.; Lohrmann, David K.
2013-01-01
Objective and Participants: This study explored (1) the prevalence of cigarette smoking among South Korean international college students in the United States, (2) differences in smoking between on- and off-campus living arrangements, and (3) predictors of an increase in smoking over time in the United States Methods: An online survey was…
USDA-ARS?s Scientific Manuscript database
Northern areas of the western United States are one of the most productive wheat growing regions in the United States. Increasing productivity through breeding is hindered by several biotic stresses which slow and constrain targeted yield improvement. In order to understand genetic variation for str...
Human-started wildfires expand the fire niche across the United States.
Balch, Jennifer K; Bradley, Bethany A; Abatzoglou, John T; Nagy, R Chelsea; Fusco, Emily J; Mahood, Adam L
2017-03-14
The economic and ecological costs of wildfire in the United States have risen substantially in recent decades. Although climate change has likely enabled a portion of the increase in wildfire activity, the direct role of people in increasing wildfire activity has been largely overlooked. We evaluate over 1.5 million government records of wildfires that had to be extinguished or managed by state or federal agencies from 1992 to 2012, and examined geographic and seasonal extents of human-ignited wildfires relative to lightning-ignited wildfires. Humans have vastly expanded the spatial and seasonal "fire niche" in the coterminous United States, accounting for 84% of all wildfires and 44% of total area burned. During the 21-y time period, the human-caused fire season was three times longer than the lightning-caused fire season and added an average of 40,000 wildfires per year across the United States. Human-started wildfires disproportionally occurred where fuel moisture was higher than lightning-started fires, thereby helping expand the geographic and seasonal niche of wildfire. Human-started wildfires were dominant (>80% of ignitions) in over 5.1 million km 2 , the vast majority of the United States, whereas lightning-started fires were dominant in only 0.7 million km 2 , primarily in sparsely populated areas of the mountainous western United States. Ignitions caused by human activities are a substantial driver of overall fire risk to ecosystems and economies. Actions to raise awareness and increase management in regions prone to human-started wildfires should be a focus of United States policy to reduce fire risk and associated hazards.
Human-started wildfires expand the fire niche across the United States
Balch, Jennifer K.; Bradley, Bethany A.; Nagy, R. Chelsea; Fusco, Emily J.; Mahood, Adam L.
2017-01-01
The economic and ecological costs of wildfire in the United States have risen substantially in recent decades. Although climate change has likely enabled a portion of the increase in wildfire activity, the direct role of people in increasing wildfire activity has been largely overlooked. We evaluate over 1.5 million government records of wildfires that had to be extinguished or managed by state or federal agencies from 1992 to 2012, and examined geographic and seasonal extents of human-ignited wildfires relative to lightning-ignited wildfires. Humans have vastly expanded the spatial and seasonal “fire niche” in the coterminous United States, accounting for 84% of all wildfires and 44% of total area burned. During the 21-y time period, the human-caused fire season was three times longer than the lightning-caused fire season and added an average of 40,000 wildfires per year across the United States. Human-started wildfires disproportionally occurred where fuel moisture was higher than lightning-started fires, thereby helping expand the geographic and seasonal niche of wildfire. Human-started wildfires were dominant (>80% of ignitions) in over 5.1 million km2, the vast majority of the United States, whereas lightning-started fires were dominant in only 0.7 million km2, primarily in sparsely populated areas of the mountainous western United States. Ignitions caused by human activities are a substantial driver of overall fire risk to ecosystems and economies. Actions to raise awareness and increase management in regions prone to human-started wildfires should be a focus of United States policy to reduce fire risk and associated hazards. PMID:28242690
Iron and obesity in females in the United States.
Neymotin, Florence; Sen, Urmimala
2011-01-01
Since the late 1980s, the United States has witnessed a dramatic increase in average BMI levels and the proportion of individuals categorized as obese. Obesity is a major risk factor for a variety of illnesses, and an increase in obesity is, therefore, implicated in increased health-care costs in the United States. These ultimately translate to a major health and economic problem for the United States. The present analysis examines a pathway to increased levels of obesity as of yet almost entirely unexplored. Specifically, we examine the relationship between obesity and iron deficiency via analyses of blood samples. The current analysis employs public-use data files from the continuous National Health and Nutrition Examination Survey (NHANES) (1999-2006) survey to determine the relationship between obesity and an individual's iron blood content. Results suggest a negative relationship between levels of iron blood content and individual BMI after controlling for other individual characteristics. These results hold for nearly all eight panels tested in the ordinary least squares (OLS) regressions.
Decline in tuberculosis among Mexico-born persons in the United States, 2000-2010.
Baker, Brian J; Jeffries, Carla D; Moonan, Patrick K
2014-05-01
In 2010, Mexico was the most common (22.9%) country of origin for foreign-born persons with tuberculosis in the United States, and overall trends in tuberculosis morbidity are substantially influenced by the Mexico-born population. To determine the risk of tuberculosis disease among Mexico-born persons living in the United States. Using data from the U.S. National Tuberculosis Surveillance System and the American Community Survey, we examined tuberculosis case counts and case rates stratified by years since entry into the United States and geographic proximity to the United States-Mexico border. We calculated trends in case rates over time measured by average annual percent change. The total tuberculosis case count (-14.5%) and annual tuberculosis case rate (average annual percent change -5.1%) declined among Mexico-born persons. Among those diagnosed with tuberculosis less than 1 year since entry into the United States (newly arrived persons), there was a decrease in tuberculosis cases (-60.4%), no change in tuberculosis case rate (average annual percent change of 0.0%), and a decrease in population (-60.7%). Among those living in the United States for more than 5 years (non-recently arrived persons), there was an increase in tuberculosis cases (+3.4%), a decrease in tuberculosis case rate (average annual percent change of -4.9%), and an increase in population (+62.7%). In 2010, 66.7% of Mexico-born cases were among non-recently arrived persons, compared with 51.1% in 2000. Although border states reported the highest proportions (>15%) of tuberculosis cases that were Mexico-born, the highest Mexico-born-specific tuberculosis case rates (>20/100,000 population) were in states in the eastern and southeastern regions of the United States. The decline in tuberculosis morbidity among Mexico-born persons may be attributed to fewer newly arrived persons from Mexico and lower tuberculosis case rates among non-recently arrived Mexico-born persons. The extent of the decline was dampened by an unchanged tuberculosis case rate among newly arrived persons from Mexico and a large increase in the non-recently arrived Mexico-born population. If current trends continue, tuberculosis morbidity among Mexico-born persons will be increasingly driven by those who have been living in the United States for more than 5 years.
Denman-Vitale, S; Murillo, E K
1999-07-01
Across the United States, advance practice nurses (APNs) are increasingly encountering recently immigrated Latin American populations. This article provides an overview of the situation of Latin Americans in the United States and discusses aspects of Latin American culture such as, respeto (respect), confianza (confidence), the importance of family, and the value of a personal connection. Strategies that will assist practitioners to incorporate culturally holistic principles in the promotion of breastfeeding among Latin American women who are new arrivals in the United States are described. If practitioners are to respond to the increasing numbers of Latin American women who need health care services, and also provide thorough, holistic health care then health care activities must be integrated with cultural competence.
Federal Register 2010, 2011, 2012, 2013, 2014
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... care and treatment has increased substantially. That increase warrants a corresponding increase in... the reporting requirement of 5 U.S.C. 801. List of Subjects in 28 CFR Part 43 Claims, Health care. 0... Medical Care and Treatment Furnished by the United States; Delegation of Authority AGENCY: Department of...
Perceptions of Mainland Chinese Students toward Obtaining Higher Education in the United States
ERIC Educational Resources Information Center
Bartlett, Michelle E.; Han, Wei; Bartlett, James E., II.
2018-01-01
Since 1978, when the first group of 50 mainland Chinese students came to the United States for education, increasing numbers of mainland Chinese students have come to the United States to get a degree (Lampton, Madancy & Williams, 1986). In 2009, China surpassed India, becoming the largest source country of international students in the United…
76 FR 31991 - All Items Consumer Price Index for All Urban Consumers; United States City Average
Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-02
... DEPARTMENT OF LABOR Office of the Secretary All Items Consumer Price Index for All Urban Consumers; United States City Average Pursuant to Section 33105(c) of Title 49, United States Code, and the... Consumer Price Index for All Urban Consumers (1967 = 100) increased 110.0 percent from its 1984 annual...
77 FR 23283 - All Items Consumer Price Index for All Urban Consumers; United States City Average
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... DEPARTMENT OF LABOR Office of the Secretary All Items Consumer Price Index for All Urban Consumers; United States City Average Pursuant to Section 33105(c) of Title 49, United States Code, and the... Consumer Price Index for All Urban Consumers (1967 = 100) increased 116.6 percent from its 1984 annual...
76 FR 31991 - All Items Consumer Price Index for All Urban Consumers; United States City Average
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2011-06-02
... DEPARTMENT OF LABOR Office of the Secretary All Items Consumer Price Index for All Urban Consumers... United States City Average All Items Consumer Price Index for All Urban Consumers (1967=100) increased... 1974 as a base (1974=100), I certify that the United States City Average All Items Consumer Price Index...
78 FR 35054 - All Items Consumer Price Index for All Urban Consumers United States City Average
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... DEPARTMENT OF LABOR Office of the Secretary All Items Consumer Price Index for All Urban Consumers... United States City Average All Items Consumer Price Index for All Urban Consumers (1967=100) increased... 1974 as a base (1974=100), I certify that the United States City Average All Items Consumer Price Index...
75 FR 22164 - All Items Consumer Price Index for All Urban Consumers United States City Average
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2010-04-27
... DEPARTMENT OF LABOR Office of the Secretary All Items Consumer Price Index for All Urban Consumers... United States City Average All Items Consumer Price Index for All Urban Consumers (1967=100) increased... 1974 as a base (1974=100), I certify that the United States City Average All Items Consumer Price Index...
One Language for the United States? (Un Idioma para Los Estados Unidos?) CSG Backgrounder.
ERIC Educational Resources Information Center
Ford, Mark L.
The United States has become increasingly multilingual in recent decades, and while English is the most commonly spoken language, almost 11 percent of Americans prefer to speak another language at home. Bilingualism is promoted by governmental units at the federal, state, and local levels through a variety of programs, particularly in education…
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.
Decline in Tuberculosis among Mexico-Born Persons in the United States, 2000–2010
Baker, Brian J.; Jeffries, Carla D.; Moonan, Patrick K.
2016-01-01
Background In 2010, Mexico was the most common (22.9%) country of origin for foreign-born persons with tuberculosis in the United States, and overall trends in tuberculosis morbidity are substantially influenced by the Mexico-born population. Objectives To determine the risk of tuberculosis disease among Mexico-born persons living in the United States. Methods Using data from the U.S. National Tuberculosis Surveillance System and the American Community Survey, we examined tuberculosis case counts and case rates stratified by years since entry into the United States and geographic proximity to the United States–Mexico border. We calculated trends in case rates over time measured by average annual percent change. Results The total tuberculosis case count (−14.5%) and annual tuberculosis case rate (average annual percent change −5.1%) declined among Mexico-born persons. Among those diagnosed with tuberculosis less than 1 year since entry into the United States (newly arrived persons), there was a decrease in tuberculosis cases (−60.4%), no change in tuberculosis case rate (average annual percent change of 0.0%), and a decrease in population (−60.7%). Among those living in the United States for more than 5 years (non-recently arrived persons), there was an increase in tuberculosis cases (+3.4%), a decrease in tuberculosis case rate (average annual percent change of −4.9%), and an increase in population (+62.7%). In 2010, 66.7% of Mexico-born cases were among non–recently arrived persons, compared with 51.1% in 2000. Although border states reported the highest proportions (>15%) of tuberculosis cases that were Mexico-born, the highest Mexico-born–specific tuberculosis case rates (>20/100,000 population) were in states in the eastern and southeastern regions of the United States. Conclusions The decline in tuberculosis morbidity among Mexico-born persons may be attributed to fewer newly arrived persons from Mexico and lower tuberculosis case rates among non–recently arrived Mexico-born persons. The extent of the decline was dampened by an unchanged tuberculosis case rate among newly arrived persons from Mexico and a large increase in the non–recently arrived Mexico-born population. If current trends continue, tuberculosis morbidity among Mexico-born persons will be increasingly driven by those who have been living in the United States for more than 5 years. PMID:24708206
The Increasing Importance of Deposition of Reduced Nitrogen in the United States
Rapid development of agricultural activities and fossil fuel combustion in the United States has led to a great increase in reactive nitrogen (Nr) emissions in the second half of the twentieth century. These emissions have been linked to excess nitrogen (N) deposition (i.e. depos...
Projected mortality from climate change-driven impacts on extremely hot and cold days increases significantly over the 21st century in a large group of United States Metropolitan Statistical Areas. Increases in projected mortality from more hot days are greater than decreases in ...
Code of Federal Regulations, 2014 CFR
2014-01-01
... United States. United States-bound trafficking in cocaine through the Caribbean dramatically increased... drug producer or transit zone, the region is a growing concern. The destabilizing effects of increasing... estimates that cocaine trafficking in West Africa generates approximately $1.25 billion at wholesale prices...
Vulnerability of United States Bridges to Potential Increases in Flooding from Climate Change
This study assesses the potential impacts of increased river flooding from climate change on bridges in the continental United States. Daily precipitation statistics from four climate models and three greenhouse gas (GHG) emissions scenarios (A2, A1B, and B1) are used to capture ...
Incidence, Survival, and Mortality of Malignant Cutaneous Melanoma in Wisconsin, 1995-2011.
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.
Prakash Nepal; Kenneth E. Skog; David B. McKeever; Richard D. Bergman; Karen L. Abt; Robert C. Abt
2016-01-01
More wood use in the United States to construct low-rise nonresidential (NR) buildings would increase consumption and production of softwood (SW) lumber, engineered wood products, and structural and nonstructural wood panels. Using a consequential life-cycle analysis, we estimated the change in net CO2 emissions thatwould be caused by increased...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-05
... article is being imported into the United States in such increased quantities, in absolute terms or... provided for under Annex 2-B of the Agreement in the duty imposed on the article; or (b) increase duties on... from Korea is being imported into the United States in such increased quantities, in absolute terms or...
NASA Technical Reports Server (NTRS)
Mickley, L. J.; Leibensperger, E. M.; Jacob, D. J.; Rind, D.
2012-01-01
We use a general circulation model (NASA Goddard Institute for Space Studies GCM 3) to investigate the regional climate response to removal of aerosols over the United States. We perform a pair of transient 2010e2050 climate simulations following a scenario of increasing greenhouse gas concentrations, with and without aerosols over the United States and with present-day aerosols elsewhere. We find that removing U.S. aerosol significantly enhances the warming from greenhouse gases in a spatial pattern that strongly correlates with that of the aerosol. Warming is nearly negligible outside the United States, but annual mean surface temperatures increase by 0.4e0.6 K in the eastern United States. Temperatures during summer heat waves in the Northeast rise by as much as 1e2 K due to aerosol removal, driven in part by positive feedbacks involving soil moisture and low cloud cover. Reducing U.S. aerosol sources to achieve air quality objectives could thus have significant unintended regional warming consequences.
Legalization of Sunday alcohol sales and alcohol consumption in the United States
Yörük, Barış K.
2013-01-01
Aims To investigate the relationship between legalization of Sunday alcohol sales and alcohol consumption in the United States. Design State-level per capita consumption of beer, wine, and spirits was analyzed using difference-in-differences econometric methods. Setting United States. Participants 5 treatment states that repealed their laws restricting Sunday alcohol sales during 1990–2007 and 12 control states that retained their Sunday alcohol laws during the same period. Measurements Outcome measures are state-level per capita consumption of overall alcohol, beer, wine, and spirits. Findings Among the states that legalized Sunday sales of alcoholic beverages, Delaware, Pennsylvania, and New Mexico experienced significant increases in overall alcohol consumption (P<0.05). However, the effect of the legalization of Sunday alcohol sales in Massachusetts and Rhode Island on per capita alcohol consumption was insignificant (P=0.964 and P=0.367). Conclusions Three out of five states in the USA that repealed their laws restricting Sunday sale of alcoholic beverages during 1990–2007, experienced significant increases in per capita alcohol consumption. This finding implies that increased alcohol availability leads to an increase in alcohol consumption. PMID:24103041
Xi, Bo; Bovet, Pascal; Hong, Young M; Zong, Xin'nan; Chiolero, Arnaud; Kim, Hae S; Zhang, Tao; Zhao, Min
2016-10-01
Although the prevalence of obesity is increasing worldwide, secular trends in elevated blood pressure (BP) differ across populations. We aimed to compare recent BP and obesity trends in adolescents aged 10-19 years in China, Korea, Seychelles and the United States of America. Data in adolescents aged 10-19 years came from China (1997-2011, n = 8025), Korea (1998-2012, n = 10 119), Seychelles (1998-2012, n = 27 569) and the United States of America (1999-2012, n = 14 580). Elevated BP was defined as SBP or DBP equal to or above the referent sex, age and height-specific 95th percentile of the US Fourth Report. Overweight and obesity were defined using criteria of the International Obesity Task Force. Between 1997-2000 and 2011-2012, the prevalence of elevated BP decreased in Korea and did not change substantially in China and in the United States of America. The prevalence of elevated BP increased in Seychelles. In 2011-2012, the prevalence of elevated BP was 1.7% in the United States of America, 3.8% in China, 3.7% in Korea and 14.3% in Seychelles. The prevalence of overweight and obesity increased over time and reached in 2011-2012 41.2% in the United States of America, 18.6% in China, 25.2% in Korea and 27.4% in Seychelles. Elevated BP was strongly associated with obesity in all countries. Although the prevalence of obesity increased markedly in the four countries, secular BP trends in adolescents differed in countries of different regions.
Puerto Ricans in the United States: A Changing Reality.
ERIC Educational Resources Information Center
Rivera-Batiz, Francisco L.; Santiago, Carlos
This report shows that the face of the Puerto Rican population in the United States has changed dramatically in recent years. The analysis is based largely on data from the 1980 and 1990 Censuses of Population, but it is supplemented by other sources. The number of Puerto Ricans in the United States has increased from close to 2 million in 1980 to…
An analysis of tropical hardwood product importation and consumption in the United States
Paul M. Smith; Michael P. Haas; William G. Luppold; William G. Luppold
1995-01-01
The consumption of forest products emanating from tropical rainforests is an issue that is receiving increasing attention in the United States. This attention stems from concerns over the sustainability of tropical ecosystems. However, trade statistics show the United States imported only 4.0 percent of all tropical timber products traded globally in 1989. In addition...
Hantavirus pulmonary syndrome, United States, 1993-2009.
MacNeil, Adam; Ksiazek, Thomas G; Rollin, Pierre E
2011-07-01
Hantavirus pulmonary syndrome (HPS) is a severe respiratory illness identified in 1993. Since its identification, the Centers for Disease Control and Prevention has obtained standardized information about and maintained a registry of all laboratory-confirmed HPS cases in the United States. During 1993-2009, a total of 510 HPS cases were identified. Case counts have varied from 11 to 48 per year (case-fatality rate 35%). However, there were no trends suggesting increasing or decreasing case counts or fatality rates. Although cases were reported in 30 states, most cases occurred in the western half of the country; annual case counts varied most in the southwestern United States. Increased hematocrits, leukocyte counts, and creatinine levels were more common in HPS case-patients who died. HPS is a severe disease with a high case-fatality rate, and cases continue to occur. The greatest potential for high annual HPS incidence exists in the southwestern United States.
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…
Iran: Politics, Human Rights, and U.S. Policy
2017-02-17
Revolution in Iran in 1979, the United States and Iran have been at odds politically and diplomatically, and U.S. policy has been intended to reduce the...the potential for Iran to develop a nuclear weapon increased. Beginning in 2010, the United States orchestrated broad international economic pressure...characterized Iran as an adversary of the United States and stated a commitment to countering Iran’s regional influence – although without taking steps that
Variability and trends in runoff efficiency in the conterminous United States
McCabe, Gregory J.; Wolock, David M.
2016-01-01
Variability and trends in water-year runoff efficiency (RE) — computed as the ratio of water-year runoff (streamflow per unit area) to water-year precipitation — in the conterminous United States (CONUS) are examined for the 1951 through 2012 period. Changes in RE are analyzed using runoff and precipitation data aggregated to United States Geological Survey 8-digit hydrologic cataloging units (HUs). Results indicate increases in RE for some regions in the north-central CONUS and large decreases in RE for the south-central CONUS. The increases in RE in the north-central CONUS are explained by trends in climate, whereas the large decreases in RE in the south-central CONUS likely are related to groundwater withdrawals from the Ogallala aquifer to support irrigated agriculture.
van Grinsven, Hans J M; Bouwman, Lex; Cassman, Kenneth G; van Es, Harold M; McCrackin, Michelle L; Beusen, Arthur H W
2015-03-01
Historical trends and levels of nitrogen (N) budgets and emissions to air and water in the European Union and the United States are markedly different. Agro-environmental policy approaches also differ, with emphasis on voluntary or incentive-based schemes in the United States versus a more regulatory approach in the European Union. This paper explores the implications of these differences for attaining long-term policy targets for air and water quality. Nutrient surplus problems were more severe in the European Union than in the United States during the 1970s and 1980s. The EU Nitrates and National Emission Ceilings directives contributed to decreases in fertilizer use, N surplus, and ammonia (NH) emissions, whereas in the United States they stabilized, although NH emissions are still increasing. These differences were analyzed using statistical data for 1900-2005 and the global IMAGE model. IMAGE could reproduce NH emissions and soil N surpluses at different scales (European Union and United States, country and state) and N loads in the Rhine and Mississippi. The regulation-driven changes during the past 25 yr in the European Union have reduced public concerns and have brought agricultural N loads to the aquatic environment closer to US levels. Despite differences in agro-environmental policies and agricultural structure (more N-fixing soybean and more spatially separated feed and livestock production in the United States than in the European Union), current N use efficiency in US and EU crop production is similar. IMAGE projections for the IAASTD-baseline scenario indicate that N loading to the environment in 2050 will be similar to current levels. In the United States, environmental N loads will remain substantially smaller than in the European Union, whereas agricultural production in 2050 in the United States will increase by 30% relative to 2005, as compared with an increase of 8% in the European Union. However, in the United States, even rigorous mitigation with maximum recycling of manure N and a 25% reduction in fertilizer use will not achieve the policy target to halve the N export to the Gulf of Mexico. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.
Low Dose Sarin Leads To Murine Cardiac Dysfunction
2010-03-01
work directly supported a grant held by Wright State University, grant # GW060050, from the United States Army Medical Research Acquisition Activity ...GB), acts as an irreversible AChE inhibitor. Sarin reacts with the serine hydroxyl residue in the active site of AChE to form a phosphate or...United States Air Force has become increasingly engaged with terrorist groups and other elusive enemies. As these activities increase, the potential for
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…
Widespread increase of tree mortality rates in the western United States
Phillip J. van Mantgem; Nathan L. Stephenson; John C. Byrne; Lori D. Daniels; Jerry F. Franklin; Peter Z. Fule; Mark E. Harmon; Andrew J. Larson; Jeremy M. Smith; Alan H. Taylor; Thomas T. Veblen
2009-01-01
Persistent changes in tree mortality rates can alter forest structure, composition, and ecosystem services such as carbon sequestration. Our analyses of longitudinal data from unmanaged old forests in the western United States showed that background (noncatastrophic) mortality rates have increased rapidly in recent decades, with doubling periods ranging from 17 to 29...
Increased use of ethanol in the United States fuel supply will impact emissions and ambient concentrations of greenhouse gases, “criteria” pollutants for which the U. S. EPA sets ambient air quality standards, and a variety of air toxic compounds. This paper focuses on impacts of...
Climate change and wildlife in the southern United States: potential effects and management options
Cathryn H. Greenberg; Roger W. Perry; Kathleen E. Franzreb; Susan C. Loeb; Daniel Saenz; D. Craig Rudolph; Eric Winters; E.M. Fucik; M.A. Kwiatkowski; B.R. Parresol; J.D. Austin; G.W. Tanner
2014-01-01
In the southeastern United States, climate models project a temperature increase of 2-10°C by 2100 (Intergovernmental Panel on Climate Change 2007). Climate change is already evident. Since the 1970s, average temperature has risen by about 1°C, with the greatest seasonal temperature increase during winter. Average precipitation during autumn has increased by 30% since...
NASA Technical Reports Server (NTRS)
Collow, Allison; Bosilovich, Mike; Koster, Randal
2017-01-01
Over the past 15 years, the northeastern United States has seen a statistically significant increase in the frequency of extreme precipitation events that is larger and more widespread than anywhere else in the country. This increase in events is more likely to be associated with frontal and low-pressure systems, rather than being caused by more tropical cyclones impacting the region.
Chapter 8: Droughts, Floods, and Wildfires
NASA Technical Reports Server (NTRS)
Wehner, M. F.; Arnold, J. R.; Knutson, T.; Kunkel, K. E.; LeGrande, A. N.
2017-01-01
Recent droughts and associated heat waves have reached record intensity in some regions of the United States; however, by geographical scale and duration, the Dust Bowl era of the 1930s remains the benchmark drought and extreme heat event in the historical record (very high confidence). While by some measures drought has decreased over much of the continental United States in association with long-term increases in precipitation, neither the precipitation increases nor inferred drought decreases have been confidently attributed to anthropogenic forcing. The human effect on recent major U.S. droughts is complicated. Little evidence is found for a human influence on observed precipitation deficits, but much evidence is found for a human influence on surface soil moisture deficits due to increased evapotranspiration caused by higher temperatures. Future decreases in surface (top 10 cm) soil moisture from anthropogenic forcing over most of the United States are likely as the climate warms under higher scenarios. Substantial reductions in western U.S. winter and spring snowpack are projected as the climate warms. Earlier spring melt and reduced snow water equivalent have been formally attributed to human-induced warming (high confidence) and will very likely be exacerbated as the climate continues to warm (very high confidence). Under higher scenarios, and assuming no change to current water resources management, chronic, long-duration hydrological drought is increasingly possible by the end of this century. Detectable changes in some classes of flood frequency have occurred in parts of the United States and are a mix of increases and decreases. Extreme precipitation, one of the controlling factors in flood statistics, is observed to have generally increased and is projected to continue to do so across the United States in a warming atmosphere. However, formal attribution approaches have not established a significant connection of increased riverine flooding to human-induced climate change, and the timing of any emergence of a future detectable anthropogenic change in flooding is unclear. The incidence of large forest fires in the western United States and Alaska has increased since the early 1980s and is projected to further increase in those regions as the climate warms, with profound changes to certain ecosystems.
Precipitation and the occurrence of lyme disease in the Northeastern United States
McCabe, G.J.; Bunnell, J.E.
2004-01-01
The occurrence of Lyme disease is a growing concern in the United States, and various studies have been performed to understand the factors related to Lyme disease occurrence. In the United States, Lyme disease has occurred most frequently in the northeastern United States. Positive correlations between the number of cases of Lyme disease reported in the northeastern United States during the 1992-2002 period indicate that late spring/early summer precipitation was a significant climate factor affecting the occurrence of Lyme disease. When late spring/early summer precipitation was greater than average, the occurrence of Lyme disease was above average, possibly due to increased tick activity and survival rate during wet conditions. Temperature did not seem to explain the variability in Lyme disease reports for the northeastern United States. ?? Mary Ann Liebert, Inc.
Nassab, Reza; Harris, Paul
2013-05-01
Over the past 10 years, there has been significant fluctuation in the yearly growth rates for cosmetic surgery procedures in both the United States and the United Kingdom. The authors compare cosmetic surgical procedure rates in the United Kingdom and United States with the macroeconomic climate of each region to determine whether there is a direct relationship between cosmetic surgery rates and economic health. The authors analyzed annual cosmetic surgery statistics from the British Association of Aesthetic Plastic Surgeons and the American Society for Aesthetic Plastic Surgery for 2002-2011 against economic indices from both regions, including the gross domestic product (GDP), consumer prices indices (CPI), and stock market reports. There was a 285.9% increase in the United Kingdom and a 1.1% increase in the United States in the number of procedures performed between 2002 and 2011. There were significant positive correlations between the number of cosmetic procedures performed in the United Kingdom and both the GDP (r = 0.986, P < .01) and CPI (r = 0.955, P < .01). Analysis of the US growth rates failed to show a significant relationship with any indices. UK interest rates showed a significant negative correlation (r = -0.668, P < .05) with procedures performed, whereas US interest rates showed a significant positive correlation. Data from the United States and United Kingdom suggest 2 very different growth patterns in the number of cosmetic surgeries being performed as compared with the economy in each region. Economic indices are accurate indicators of numbers of procedures being performed in the United Kingdom, whereas rates in the United States seem independent of those factors.
Long, Keith R.; Van Gosen, Bradley S.; Foley, Nora K.; Cordier, Daniel
2012-01-01
Demand for the rare earth elements (REE, lanthanide elements) is estimated to be increasing at a rate of about 8% per year due to increasing applications in consumer products, computers, automobiles, aircraft, and other advanced technology products. Much of this demand growth is driven by new technologies that increase energy efficiency and substitute away from fossil fuels. Production of these elements is highly concentrated in China, which is reducing its exports of REE raw materials as part of its industrial policy. The ability of the rest of the world to replace supply from China depends on the quality of known REE resources and the degree to which those resources have been explored and evaluated. A review of United States resources in a global context finds that the United States could make significant contributions to future REE production. Aside from two advanced projects in the United States and Australia, however, there are no REE projects advanced enough to meet short-term demand.
Regional nutrient trends in streams and rivers of the United States, 1993-2003
Sprague, Lori A.; Lorenz, David L.
2009-01-01
Trends in flow-adjusted concentrations (indicators of anthropogenic changes) and observed concentrations (indicators of natural and anthropogenic changes) of total phosphorus and total nitrogen from 1993 to 2003 were evaluated in the eastern, central, and western United States by adapting the Regional Kendall trend test to account for seasonality and spatial correlation. The only significant regional trend was an increase in flow-adjusted concentrations of total phosphorus in the central United States, which corresponded to increases in phosphorus inputs from fertilizer in the region, particularly west of the Mississippi River. A similar upward regional trend in observed total phosphorus concentrations in the central United States was not found, likely because precipitation and runoff decreased during drought conditions in the region, offsetting the increased source loading on the land surface. A greater number of regional trends would have been significant if spatial correlation had been disregarded, indicating the importance of spatial correlation modifications in regional trend assessments when sites are not spatially independent.
Downer, Brian; González-González, Cesar; Goldman, Noreen; Pebley, Anne R; Wong, Rebeca
2018-01-01
The increased risk for poor physical and mental health outcomes for older parents in Mexico who have an adult child living in the United States may contribute to an increased risk for cognitive impairment in this population. The objective of this study was to examine if older adults in Mexico who have one or more adult children living in the United States are more or less likely to develop cognitive impairment over an 11-year period compared to older adults who do not have any adult children living in the United States. Data for this study came from Wave I (2001) and Wave III (2012) of the Mexican Health and Aging Study. The final sample included 2609 participants aged 60 and over who were not cognitively impaired in 2001 and had one or more adult children (age ≥15). Participants were matched using a propensity score that was estimated with a multivariable logistic regression model that included sociodemographic characteristics and migration history of the older parents. Having one or more adult children living in the United States is associated with lower socioeconomic status and higher number of depressive symptoms, but greater social engagement for older parents living in Mexico. No significant differences in the odds for developing cognitive impairment according to having one or more adult children living in the United States were detected. In summary, having one or more adult children living in the United States was associated with characteristics that may increase and decrease the risk for cognitive impairment. This may contribute to the non-significant relationship between migration status of adult children and likelihood for cognitive impairment for older parents living in Mexico.
Trends in Daily Cannabis Use Among Cigarette Smokers: United States, 2002-2014.
Goodwin, Renee D; Pacek, Lauren R; Copeland, Jan; Moeller, Scott J; Dierker, Lisa; Weinberger, Andrea; Gbedemah, Misato; Zvolensky, Michael J; Wall, Melanie M; Hasin, Deborah S
2018-01-01
To estimate changes in the prevalence of daily cannabis use among current, former, and never cigarette smokers from 2002 to 2014 in the United States. The National Survey on Drug Use and Health is a nationally representative cross-sectional study conducted annually among persons aged 12 years and older in the United States. Daily cannabis use occurs nearly exclusively among nondaily and daily cigarette smokers compared with former and never smokers (8.03%, 9.01%, 2.79%, 1.05%, respectively). Daily cannabis use increased over the past decade among both nondaily (8.03% [2014] vs 2.85% [2002]; linear trend P < .001) and daily smokers (9.01% [2014]; 4.92% [2002]; linear trend P < .001). Daily cannabis use increased most rapidly among former cigarette smokers (2.79% [2014] vs 0.98% [2002]; linear trend P < .001). Daily cannabis use occurs predominantly among cigarette smokers in the United States. Daily cannabis use increased among current, former, and never smokers over the past decade, with particularly rapid increases among youth and female cigarette smokers. Future research is needed to monitor the observed increase in daily cannabis use, especially among youths and adults who smoke cigarettes.
Melvin L. Warren; Paul L. Angermeier; Brooks M. Burr; Wendell R. Haag
1997-01-01
The Southeastern United States harbors the richest freshwater fish fauna on the North American continent north of Mexico, but portents of decline of this great fauna are increasingly acknowledged. Southeastern fishes (493 species) comprise about 47 percent of the North American fish fauna (1,061 species) and 62 percent of the fauna in the United States (790 species)....
Managing national forests of the eastern United States for non-timber forest products
James L. Chamberlain; Robert J. Bush; A.L. Hammett; Philip A. Araman
2000-01-01
Over the last decade, there has been a growing interest in the economic and ecological potential of non-timber forest products. In the United States, much of this increased interest stems from drastic changes in forest practices and policies in the Pacific Northwest region, a region that produces many non-timber forest products. The forests of the eastern United States...
1.5 Million Homeschooled Students in the United States in 2007. Issue Brief. NCES 2009-030
ERIC Educational Resources Information Center
National Center for Education Statistics, 2008
2008-01-01
This Issue Brief provides estimates of the number and percentage of homeschooled students in the United States in 2007 and compares these estimates to those from 1999 and 2003. From 1999 to 2007, the number of homeschooled students in the United States increased, as did the homeschooling rate. In 2007, parents homeschooled their children for a…
ERIC Educational Resources Information Center
Wei, Ruth Chung; Darling-Hammond, Linda; Adamson, Frank
2010-01-01
A new study that analyzes the status of professional learning in the United States reveals that the nation is making some progress in providing increased support and mentoring for new teachers. But the study also reveals that the United States has moved backward in providing the vast majority of teachers with the kind of ongoing, intensive…
UNITED STATES SPECIAL OPERATIONS FORCES IN AFRICA
2016-02-16
AIR WAR COLLEGE AIR UNIVERSITY UNITED STATES SPECIAL OPERATIONS FORCES IN AFRICA by Keith I. Crawford, Lt Col, USAF A Research Report... Africa Command in 2007 manifested recognition that the United States has increasing strategic national interests on the continent of Africa that are...importance of airborne ISR and basing access. Introduction In February of 2007, President George W. Bush announced the creation of Africa
Martire, Kristy A; Mattick, Richard P; Doran, Christopher M; Hall, Wayne D
2011-03-01
This paper models the predicted impact of tobacco price increases proposed in the United States and Australia during 2009 on smoking prevalence in 2010 while taking account of the effects of financial stress among smokers on cessation rates. Two models of smoking prevalence were developed for each country. In model 1, prevalence rates were determined by price elasticity estimates. In model 2 price elasticity was moderated by financial stress. Each model was used to estimate smoking prevalence in 2010 in Australia and the United States. Proposed price increases resulted in a 1.89% and 7.84% decrease in smoking participation among low socio-economic status (SES) groups in the United States and Australia, respectively. Model 1 overestimated the number of individuals expected to quit in both the United States (0.13% of smokers) and Australia (0.36% of smokers) by failing to take account of the differential effects of the tax on financially stressed smokers. The proportion of low-income smokers under financial stress increased in both countries in 2010 (by 1.06% in the United States and 3.75% in Australia). The inclusion of financial stress when modelling the impact of price on smoking prevalence suggests that the population health returns of increased cigarette price will diminish over time. As it is likely that the proportion of low-income smokers under financial stress will also increase in 2010, future population-based approaches to reducing smoking will need to address this factor. © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction.
Wingate, La’Marcus T.; Posey, Drew L.; Zhou, Weigong; Olson, Christine K.; Maskery, Brian
2015-01-01
Introduction The Centers for Disease Control and Prevention is considering implementation of overseas medical screening of student-visa applicants to reduce the numbers of active tuberculosis cases entering the United States. Objective To evaluate the costs, cases averted, and cost-effectiveness of screening for, and treating, tuberculosis in United States-bound students from countries with varying tuberculosis prevalence. Methods Costs and benefits were evaluated from two perspectives, combined and United States only. The combined perspective totaled overseas and United States costs and benefits from a societal perspective. The United States only perspective was a domestic measure of costs and benefits. A decision tree was developed to determine the cost-effectiveness of tuberculosis screening and treatment from the combined perspective. Results From the United States only perspective, overseas screening programs of Chinese and Indian students would prevent the importation of 157 tuberculosis cases annually, and result in $2.7 million in savings. From the combined perspective, screening programs for Chinese students would cost more than $2.8 million annually and screening programs for Indian students nearly $440,000 annually. From the combined perspective, the incremental cost for each tuberculosis case averted by screening Chinese and Indian students was $22,187 and $15,063, respectively. Implementing screening programs for German students would prevent no cases in most years, and would result in increased costs both overseas and in the United States. The domestic costs would occur because public health departments would need to follow up on students identified overseas as having an elevated risk of tuberculosis. Conclusions Tuberculosis screening and treatment programs for students seeking long term visas to attend United States schools would reduce the number of tuberculosis cases imported. Implementing screening in high-incidence countries could save the United States millions of dollars annually; however there would be increased costs incurred overseas for students and their families. PMID:25924009
Trends in Medicaid Reimbursements for Insulin From 1991 Through 2014.
Luo, Jing; Avorn, Jerry; Kesselheim, Aaron S
2015-10-01
Insulin is a vital medicine for patients with diabetes mellitus. Newer, more expensive insulin products and the lack of generic insulins in the United States have increased costs for patients and insurers. To examine Medicaid payment trends for insulin products. Cost information is available for all 50 states and has been recorded since the 1990s. A time-series analysis comparing reimbursements and prices. Using state- and national-level Medicaid data from 1991 to 2014, we identified all patients who used 1 or more of the 16 insulin products that were continuously available in the United States between 2006 and 2014. Insulin products were classified into rapid-acting and long-acting analogs, short-acting, intermediate, and premixed insulins based on American Diabetes Association Guidelines. Inflation-adjusted payments made to pharmacies by Medicaid per 1 mL (100 IU) of insulin in 2014 US dollars. Since 1991, Medicaid reimbursement per unit (1 mL) of insulin dispensed has risen steadily. In the 1990s, Medicaid reimbursed pharmacies between $2.36 and $4.43 per unit. By 2014, reimbursement for short-acting insulins increased to $9.64 per unit; intermediate, $9.22; premixed, $14.79; and long-acting, $19.78. Medicaid reimbursement for rapid-acting insulin analogs rose to $19.81 per unit. The rate of increase in reimbursement was higher for insulins with patent protection ($0.20 per quarter) than without ($0.05 per quarter) (P<.001).Total Medicaid reimbursements peaked at $407.4 million dollars in quarter 2 of 2014. Total volume peaked at 29.9 million units in quarter 4 of 2005 and was 21.2 million units in quarter 2 of 2014. Between 1991 and 2014, there was a near-exponential upward trend in Medicaid payments on a per-unit basis for a wide variety of insulin products regardless of formulation, duration of action, and whether the product was patented. Although reimbursements for newer, patent-protected insulin analogs increased at a faster rate than reimbursements for older insulins, payments increased for all products we examined. Our findings suggest a lack of price competition in the United States for this class of medications.
43 CFR 1815.1-1 - Relief granted.
Code of Federal Regulations, 2014 CFR
2014-10-01
..., the United States will bear a share of the increased construction costs. The United States' share will... authorized officer determines that the damages caused by such major physical change are so great that...
43 CFR 1815.1-1 - Relief granted.
Code of Federal Regulations, 2013 CFR
2013-10-01
..., the United States will bear a share of the increased construction costs. The United States' share will... authorized officer determines that the damages caused by such major physical change are so great that...
43 CFR 1815.1-1 - Relief granted.
Code of Federal Regulations, 2012 CFR
2012-10-01
..., the United States will bear a share of the increased construction costs. The United States' share will... authorized officer determines that the damages caused by such major physical change are so great that...
43 CFR 1815.1-1 - Relief granted.
Code of Federal Regulations, 2011 CFR
2011-10-01
..., the United States will bear a share of the increased construction costs. The United States' share will... authorized officer determines that the damages caused by such major physical change are so great that...
Hedman, Kristin M.; Curry, B. Brandon; Johnson, Thomas M.; Fullagar, Paul D.; Emerson, Thomas E.
2009-01-01
Strontium isotope values (87Sr/86Sr) in bone and tooth enamel have been used increasingly to identify non-local individuals within prehistoric human populations worldwide. Archaeological research in the Midwestern United States has increasingly highlighted the role of population movement in affecting interregional cultural change. However, the comparatively low level of geologic variation in the Midwestern United States might suggest a corresponding low level of strontium variation, and calls into question the sensitivity of strontium isotopes to identify non-local individuals in this region. Using strontium isotopes of archaeological fauna, we explore the degree of variability in strontium ratios across this region. Our results demonstrate measurable variation in strontium ratios and indicate the potential of strontium analysis for addressing questions of origin and population movement in the Midwestern United States.
Fragmented patterns of flood change across the United States
Hirsch, R. M.; Viglione, A.; Blöschl, G.
2016-01-01
Abstract Trends in the peak magnitude, frequency, duration, and volume of frequent floods (floods occurring at an average of two events per year relative to a base period) across the United States show large changes; however, few trends are found to be statistically significant. The multidimensional behavior of flood change across the United States can be described by four distinct groups, with streamgages experiencing (1) minimal change, (2) increasing frequency, (3) decreasing frequency, or (4) increases in all flood properties. Yet group membership shows only weak geographic cohesion. Lack of geographic cohesion is further demonstrated by weak correlations between the temporal patterns of flood change and large‐scale climate indices. These findings reveal a complex, fragmented pattern of flood change that, therefore, clouds the ability to make meaningful generalizations about flood change across the United States. PMID:27917010
Fragmented patterns of flood change across the United States
Archfield, Stacey A.; Hirsch, Robert M.; Viglione, A.; Blöschl, G.
2016-01-01
Trends in the peak magnitude, frequency, duration, and volume of frequent floods (floods occurring at an average of two events per year relative to a base period) across the United States show large changes; however, few trends are found to be statistically significant. The multidimensional behavior of flood change across the United States can be described by four distinct groups, with streamgages experiencing (1) minimal change, (2) increasing frequency, (3) decreasing frequency, or (4) increases in all flood properties. Yet group membership shows only weak geographic cohesion. Lack of geographic cohesion is further demonstrated by weak correlations between the temporal patterns of flood change and large-scale climate indices. These findings reveal a complex, fragmented pattern of flood change that, therefore, clouds the ability to make meaningful generalizations about flood change across the United States.
2016-05-01
militarily. Even Taiwan’s attempts to adopt asymmetric and innovative defense capabilities, paired with the advantages of island defense and foreign ...States foreign policy. According to the Defense Security Cooperation Agency, the United States transfers “defense articles and services in furtherance...of national security and foreign policy objectives.” By increasing the military capabilities of foreign allies and partners, the United States
NASA Astrophysics Data System (ADS)
Chi, Xiao-Chun; Wang, Ying-Hui; Gao, Yu; Sui, Ning; Zhang, Li-Quan; Wang, Wen-Yan; Lu, Ran; Ji, Wen-Yu; Yang, Yan-Qiang; Zhang, Han-Zhuang
2018-04-01
Three push-pull chromophores comprising a triphenylamine (TPA) as electron-donating moiety and functionalized β-diketones as electron acceptor units are studied by various spectroscopic techniques. The time-correlated single-photon counting data shows that increasing the number of electron acceptor units accelerates photoluminescence relaxation rate of compounds. Transient spectra data shows that intramolecular charge transfer (ICT) takes place from TPA units to β-diketones units after photo-excitation. Increasing the number of electron acceptor units would prolong the generation process of ICT state, and accelerate the excited molecule reorganization process and the relaxation process of ICT state.
Policy implications of drug importation.
Palumbo, Francis B; Mullins, C Daniel; Slagle, Ashley F; Rizer, Jessica
2007-12-01
Importation of prescription drugs into the United States has been a major health policy issue for some time. The original objective of personal importation was to allow patients to have access to drugs that were not available to them in the United States either for continuation of therapy begun in another country or when all US Food and Drug Administration (FDA)-approved drug options for their condition had been exhausted. An increasing proportion of personally imported drugs are currently marketed in the United States, but imported drugs are presumably available at a lower cost to the consumer. As US consumers opt for importation through Internet sites and other means of purchase from other countries, potential risks of exposure to counterfeit products have increased, presenting challenges to both the US regulatory system and pharmaceutical companies. This commentary summarizes the current state of importation of prescription drugs into the United States. Regulators and policymakers are under increasing pressure to address the high cost of branded drugs in the United States and the desires of many US patients to purchase less expensive formulations of these products through importation. In many cases, the historical policies surrounding personal importation of prescription drugs that are not sold in the United States have been blatantly ignored, leaving the FDA in a quandary. While current legislative proposals would allow for greater access to drugs directly to consumers from other countries, they do not address the fact that the FDA has no ability to monitor the safety and efficacy of imported products. As such, the possibility of the entry of counterfeit medications and the related potential harm remain concerns.
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.)
Founie, A.
2006-01-01
In 2005, diatomite production in the United States reached 653 kt, a 5% increased over 2004. Production came from six companies with 12 processing facilities in four states. California and Nevada accounted for 70% of US production in 2005. Other than the United States, significant producers included China, Denmark, Japan, France and Mexico.
Code of Federal Regulations, 2010 CFR
2010-04-01
... controlled foreign corporation's investment of earnings in United States property—(1) Dividend limitation... foreign corporation's increase in earnings invested in United States property. 1.956-1 Section 1.956-1...) INCOME TAXES Controlled Foreign Corporations § 1.956-1 Shareholder's pro rata share of a controlled...
The Challenges of Political Instruction in a Post-9/11 United States
ERIC Educational Resources Information Center
Journell, Wayne
2011-01-01
In the decade since the attacks of September 11th, the political climate in the United States has become increasingly intolerant of opposing viewpoints. This climate, made nearly ubiquitous by 24-hour news cycles and increased exposure to political media, poses quite a challenge to teachers wishing to broach political topics as part of their…
Forecasting Nursing Student Success and Failure on the NCLEX-RN Using Predictor Tests
ERIC Educational Resources Information Center
Santiago, Lawrence A.
2013-01-01
A severe and worsening nursing shortage exists in the United States. Increasing numbers of new graduate nurses are necessary to meet this demand. To address the concerns of increased nursing demand, leaders of nursing schools must ensure larger numbers of nursing students graduate. Prior to practicing as registered nurses in the United States,…
Premature death rates diverge in the United States
An NCI press release on a study that shows premature death rates have declined in the United States among Hispanics, blacks, and Asian/Pacific Islanders but increased among whites and American Indian/Alaska Natives.
ERIC Educational Resources Information Center
Hearn, James C.; McLendon, Michael K.; Mokher, Christine G.
2008-01-01
This event history analysis explores factors driving the emergence over recent decades of comprehensive state-level student unit-record [SUR] systems, a potentially powerful tool for increasing student success. Findings suggest that the adoption of these systems is rooted in demand and ideological factors. Larger states, states with high…
Reaching a forest land per capita milestone in the United States
C.W. Woodall; P.D. Miles
2008-01-01
During April 2007, forest land per capita in the United States dropped below 1 ha. This is the result of a rather static area of forest land in the United States for the past 100 years combined with population growth. The US now joins the ranks of most countries (77%) having forest land per capita below 1 ha. The combination of an increasing human population with...
ERIC Educational Resources Information Center
Vericker, Tracy; Pergamit, Michael; Macomber, Jennifer; Kuehn, Daniel
2009-01-01
Immigrants are a large and growing segment of the United States population. In the past 25 years, the United States has witnessed a 150 percent increase in the foreign-born population, with over 35 million foreign-born people living in the United States in 2005 (Vericker, Kuehn, and Capps 2007). Latino immigrants make up the majority of this…
ERIC Educational Resources Information Center
Cho, Yoo Jin; Thrasher, James F.; Swayampakala, Kamala; Lipkus, Isaac; Hammond, David; Cummings, Kenneth Michael; Borland, Ron; Yong, Hua-Hie; Hardin, James W.
2018-01-01
Background: Health warning labels (HWLs) on cigarette packs in Australia, Canada, Mexico, and the United States include varying information about toxic cigarette smoke constituents and smoking-related health risks. HWL information changed more recently in Australia, Canada, and Mexico than in the United States. Aims: To investigate whether…
Worldwide Report, Arms Control
1985-10-21
antimissile, the United States will increase its " powerful strategic triad" for inflicting a crucial first strike against the USSR. Thus, what...the United States — the leader of the aggressive NATO bloc — cannot fully use the colossal military power concentrated in its hands for securing its...course of nuclear disarmament; insistently proposing to the United States the conduct of negotia- tions on the complex of nucler and space weapons
Some Spatial Aspects of Southeastern United States Climatology.
ERIC Educational Resources Information Center
Soule, Peter T.
1998-01-01
Focuses on the climatology of an eight-state region in the southern and southeastern United States. Discusses general controls of climate and spatial patterns of various climatic averages. Examines mapped extremes as a means of fostering increased awareness of the variability that exists for climatic conditions in the region. (CMK)
DEVELOPMENT OF BIOLOGICALLY BASED SEDIMENT CRITERIA IN MOUNTAIN STREAMS OF THE WESTERN UNITED STATES
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...
Sosa, Julie Ann; Hanna, John W; Robinson, Karen A; Lanman, Richard B
2013-12-01
To provide population-based estimates of trends in thyroid nodule fine-needle aspirations (FNA) and operative volumes, we used multiple claims databases to quantify rates of these procedures and their association with the increasing incidence of thyroid cancer in the United States. Private and public insurance claims databases were used to estimate procedure volumes from 2006 to 2011. Rates of FNA and thyroid operations related to thyroid nodules were defined by CPT4 codes associated with International Classification of Diseases, Ninth Revision Clinical Modification codes for nontoxic uni- or multinodular goiter and thyroid neoplasms. Use of thyroid FNA more than doubled during the 5-year study period (16% annual growth). The number of thyroid operations performed for thyroid nodules increased by 31%. Total thyroidectomies increased by 12% per year, whereas lobectomies increased only 1% per year. In 2011, total thyroidectomies accounted for more than half (56%) of the operations for thyroid neoplasms in the United States. Thyroid operations became increasingly (62%) outpatient procedures. Thyroid FNA and operative procedures have increased rapidly in the United States, with an associated increase in the incidence of thyroid cancer. The more substantial increase in number of total versus partial thyroid resections suggests that patients undergoing thyroid operation are perceived to have a greater risk of cancer as determined by preoperative assessments, but this trend could also increase detection of incidental microcarcinomas. Copyright © 2013 Mosby, Inc. All rights reserved.
Future of cancer incidence in the United States: burdens upon an aging, changing nation.
Smith, Benjamin D; Smith, Grace L; Hurria, Arti; Hortobagyi, Gabriel N; Buchholz, Thomas A
2009-06-10
By 2030, the United States' population will increase to approximately 365 million, including 72 million older adults (age > or = 65 years) and 157 million minority individuals. Although cancer incidence varies by age and race, the impact of demographic changes on cancer incidence has not been fully characterized. We sought to estimate the number of cancer patients diagnosed in the United States through 2030 by age and race. Current demographic-specific cancer incidence rates were calculated using the Surveillance Epidemiology and End Results database. Population projections from the Census Bureau were used to project future cancer incidence through 2030. From 2010 to 2030, the total projected cancer incidence will increase by approximately 45%, from 1.6 million in 2010 to 2.3 million in 2030. This increase is driven by cancer diagnosed in older adults and minorities. A 67% increase in cancer incidence is anticipated for older adults, compared with an 11% increase for younger adults. A 99% increase is anticipated for minorities, compared with a 31% increase for whites. From 2010 to 2030, the percentage of all cancers diagnosed in older adults will increase from 61% to 70%, and the percentage of all cancers diagnosed in minorities will increase from 21% to 28%. Demographic changes in the United States will result in a marked increase in the number of cancer diagnoses over the next 20 years. Continued efforts are needed to improve cancer care for older adults and minorities.
Overdose Deaths Involving Opioids, Cocaine, and Psychostimulants - United States, 2015-2016.
Seth, Puja; Scholl, Lawrence; Rudd, Rose A; Bacon, Sarah
2018-03-30
During 1999‒2015, 568,699 persons died from drug overdoses in the United States.* Drug overdose deaths in the United States increased 11.4% from 2014 to 2015 resulting in 52,404 deaths in 2015, including 33,091 (63.1%) that involved an opioid. The largest rate increases from 2014 to 2015 occurred among deaths involving synthetic opioids other than methadone (synthetic opioids) (72.2%) (1). Because of demographic and geographic variations in overdose deaths involving different drugs (2,3), † CDC examined age-adjusted death rates for overdoses involving all opioids, opioid subcategories (i.e., prescription opioids, heroin, and synthetic opioids), § cocaine, and psychostimulants with abuse potential (psychostimulants) by demographics, urbanization levels, and in 31 states and the District of Columbia (DC). There were 63,632 drug overdose deaths in 2016; 42,249 (66.4%) involved an opioid. ¶ From 2015 to 2016, deaths increased across all drug categories examined. The largest overall rate increases occurred among deaths involving cocaine (52.4%) and synthetic opioids (100%), likely driven by illicitly manufactured fentanyl (IMF) (2,3). Increases were observed across demographics, urbanization levels, and states and DC. The opioid overdose epidemic in the United States continues to worsen. A multifaceted approach, with faster and more comprehensive surveillance, is needed to track emerging threats to prevent and respond to the overdose epidemic through naloxone availability, safe prescribing practices, harm-reduction services, linkage into treatment, and more collaboration between public health and public safety agencies.
ERIC Educational Resources Information Center
O'Rourke, Polly; Zhou, Qian; Rottman, Isaac
2016-01-01
In view of the importance of increasing multilingualism in the United States, the current study examined state policy for high school graduation requirements in the 50 states and the District of Columbia as an index of the way in which the study of world language is positioned and prioritized in K--12 education. Only seven states require the study…
ERIC Educational Resources Information Center
McGill, Monica M.
2010-01-01
Digital games are marketed, mass-produced, and consumed by an increasing number of people and the game industry is only expected to grow. In response, post-secondary institutions in the United Kingdom (UK) and the United States (US) have started to create game degree programs. Though curriculum theorists provide insight into the process of…
Steele, C Brooke; Thomas, Cheryll C; Henley, S Jane; Massetti, Greta M; Galuska, Deborah A; Agurs-Collins, Tanya; Puckett, Mary; Richardson, Lisa C
2017-10-03
Overweight and obesity are associated with increased risk of at least 13 different types of cancer. Data from the United States Cancer Statistics for 2014 were used to assess incidence rates, and data from 2005 to 2014 were used to assess trends for cancers associated with overweight and obesity (adenocarcinoma of the esophagus; cancers of the breast [in postmenopausal women], colon and rectum, endometrium, gallbladder, gastric cardia, kidney, liver, ovary, pancreas, and thyroid; meningioma; and multiple myeloma) by sex, age, race/ethnicity, state, geographic region, and cancer site. Because screening for colorectal cancer can reduce colorectal cancer incidence through detection of precancerous polyps before they become cancerous, trends with and without colorectal cancer were analyzed. In 2014, approximately 631,000 persons in the United States received a diagnosis of a cancer associated with overweight and obesity, representing 40% of all cancers diagnosed. Overweight- and obesity-related cancer incidence rates were higher among older persons (ages ≥50 years) than younger persons; higher among females than males; and higher among non-Hispanic black and non-Hispanic white adults compared with other groups. Incidence rates for overweight- and obesity-related cancers during 2005-2014 varied by age, cancer site, and state. Excluding colorectal cancer, incidence rates increased significantly among persons aged 20-74 years; decreased among those aged ≥75 years; increased in 32 states; and were stable in 16 states and the District of Columbia. The burden of overweight- and obesity-related cancer is high in the United States. Incidence rates of overweight- and obesity-related cancers except colorectal cancer have increased in some age groups and states. The burden of overweight- and obesity-related cancers might be reduced through efforts to prevent and control overweight and obesity. Comprehensive cancer control strategies, including use of evidence-based interventions to promote healthy weight, could help decrease the incidence of these cancers in the United States.
2015-01-01
Human papillomaviruses (HPVs) are involved in approximately 5% of all human cancer. Although initially recognized for causing nearly all cases of cervical carcinoma, much data has now emerged implicating HPVs as a causal factor in other anogenital cancers as well as a subset of head and neck squamous cell carcinomas (HNSCCs), most commonly oropharyngeal cancers. Numerous clinical trials have demonstrated that patients with HPV+ oropharyngeal squamous cell carcinoma (OPSCC) have improved survival compared to patients with HPV– cancers. Furthermore, epidemiological evidence shows the incidence of OPSCC has been steadily rising over time in the United States. It has been proposed that an increase in HPV-related OPSCCs is the driving force behind the increasing rate of OPSCC. Although some studies have revealed an increase in HPV+ head and neck malignancies over time in specific regions of the United States, there has not been a comprehensive study validating this trend across the entire country. Therefore, we undertook this meta-analysis to assess all literature through August 2013 that reported on the prevalence of HPV in OPSCC for patient populations within the United States. The results show an increase in the prevalence of HPV+ OPSCC from 20.9% in the pre-1990 time period to 51.4% in 1990–1999 and finally to 65.4% for 2000–present. In this manner, our study provides further evidence to support the hypothesis that HPV-associated OPSCCs are driving the increasing incidence of OPSCC over time in the United States. PMID:24641254
Chapter 17: Forecasting wildfire suppression expenditures for the United States Forest Service
Karen L. Abt; Jeffrey P. Prestemon; Krista Gebert
2008-01-01
The wildland fire management organization of the United States Forest Service (USFS) operates under policy and budget legacies that began nearly 100 years ago and a forest fuel situation that is all too current. The confluence of these three factors contributes to increased burning and fire fighting costs for the agency, and increased concern from both the U.S....
Forecasting wildfire suppression expenditures for the United States Forest Service
Karen L. Abt; Jeffrey P. Prestemon; Krista Gebert
2008-01-01
The wildland fire management organization of the United States Forest Service (USFS) operates under policy and budget legacies that began nearly -100 years ago and a forest fuel situation that is all too current. The confluence of these three factors contributes to increased burning and firefighting costs for the agency, and increased concern from both the U.S....
Guide Dog Teams in the United States: Annual Number Trained and Active, 1993-1999.
ERIC Educational Resources Information Center
Eames, Ed; Eames, Toni; Diament, Sara
2001-01-01
A study investigated the number of guide dog teams that have been trained and are active in the United States from 1993-1999. Results found 1,556 guide dog teams were trained in 1999, an increase of 7%, and that there were 9,000 active teams, an increase of 10% since 1993. (Contains eight references.) (CR)
Contribution of Increasing CO2 and Climate to Carbon Storage by Ecosystems in the United States
David Schimel; Jerry Melillo; Hanqin Tian; A. David McGuire; David Kicklighter; Timothy Kittel; Nan Rosenbloom; Steven Running; Peter Thorton; Dennis Ojima; William Parton; Robin Kelly; Martin Sykes; Ron Neilson; Brian Rizzo
2000-01-01
The effects of increasing carbon dioxide (CO2) and climate on net carbon storage in terrestrial ecosystems of the conterminous United States for the period 1895-1993 were modeled with new, detailed historical climate information. For the period 1980-1993, results from an ensemble of three models agree within 25%, simulating a land carbon sink...
Warming and earlier spring increase Western U.S. forest wildfire activity
A.L. Westerling; H.G. Hidalgo; D.R. Cayan; T.W. Swetnam
2006-01-01
Western United States forest wildfire activity is widely thought to have increased in recent decades, yet neither the extent of recent changes nor the degree to which climate may be driving regional changes in wildfire has been systematically documented. Much of the public and scientific discussion of changes in western United States wildfire has focused instead on...
Increasing Time to Baccalaureate Degree in the United States. NBER Working Paper No. 15892
ERIC Educational Resources Information Center
Bound, John; Lovenheim, Michael F.; Turner, Sarah
2010-01-01
Time to completion of the baccalaureate degree has increased markedly in the United States over the last three decades, even as the wage premium for college graduates has continued to rise. Using data from the National Longitudinal Survey of the High School Class of 1972 and the National Educational Longitudinal Study of 1988, we show that the…
DOT National Transportation Integrated Search
2001-09-01
An increase in the detected and estimated transatlantic flow of cocaine smuggled from South America to the United States and Europe in 2000 has been reported by the U.S. Office of National Drug Control Policy (ONDCP). According to the ONDCP "Annual A...
Anderson, James G.; Weisenstein, Debra K.; Bowman, Kenneth P.; Homeyer, Cameron R.; Smith, Jessica B.; Wilmouth, David M.; Sayres, David S.; Klobas, J. Eric; Dykema, John A.; Wofsy, Steven C.
2017-01-01
We present observations defining (i) the frequency and depth of convective penetration of water into the stratosphere over the United States in summer using the Next-Generation Radar system; (ii) the altitude-dependent distribution of inorganic chlorine established in the same coordinate system as the radar observations; (iii) the high resolution temperature structure in the stratosphere over the United States in summer that resolves spatial and structural variability, including the impact of gravity waves; and (iv) the resulting amplification in the catalytic loss rates of ozone for the dominant halogen, hydrogen, and nitrogen catalytic cycles. The weather radar observations of ∼2,000 storms, on average, each summer that reach the altitude of rapidly increasing available inorganic chlorine, coupled with observed temperatures, portend a risk of initiating rapid heterogeneous catalytic conversion of inorganic chlorine to free radical form on ubiquitous sulfate−water aerosols; this, in turn, engages the element of risk associated with ozone loss in the stratosphere over the central United States in summer based upon the same reaction network that reduces stratospheric ozone over the Arctic. The summertime development of the upper-level anticyclonic flow over the United States, driven by the North American Monsoon, provides a means of retaining convectively injected water, thereby extending the time for catalytic ozone loss over the Great Plains. Trusted decadal forecasts of UV dosage over the United States in summer require understanding the response of this dynamical and photochemical system to increased forcing of the climate by increasing levels of CO2 and CH4. PMID:28584119
Anderson, James G; Weisenstein, Debra K; Bowman, Kenneth P; Homeyer, Cameron R; Smith, Jessica B; Wilmouth, David M; Sayres, David S; Klobas, J Eric; Leroy, Stephen S; Dykema, John A; Wofsy, Steven C
2017-06-20
We present observations defining ( i ) the frequency and depth of convective penetration of water into the stratosphere over the United States in summer using the Next-Generation Radar system; ( ii ) the altitude-dependent distribution of inorganic chlorine established in the same coordinate system as the radar observations; ( iii ) the high resolution temperature structure in the stratosphere over the United States in summer that resolves spatial and structural variability, including the impact of gravity waves; and ( iv ) the resulting amplification in the catalytic loss rates of ozone for the dominant halogen, hydrogen, and nitrogen catalytic cycles. The weather radar observations of ∼2,000 storms, on average, each summer that reach the altitude of rapidly increasing available inorganic chlorine, coupled with observed temperatures, portend a risk of initiating rapid heterogeneous catalytic conversion of inorganic chlorine to free radical form on ubiquitous sulfate-water aerosols; this, in turn, engages the element of risk associated with ozone loss in the stratosphere over the central United States in summer based upon the same reaction network that reduces stratospheric ozone over the Arctic. The summertime development of the upper-level anticyclonic flow over the United States, driven by the North American Monsoon, provides a means of retaining convectively injected water, thereby extending the time for catalytic ozone loss over the Great Plains. Trusted decadal forecasts of UV dosage over the United States in summer require understanding the response of this dynamical and photochemical system to increased forcing of the climate by increasing levels of CO 2 and CH 4 .
ERIC Educational Resources Information Center
Mueller, Richard E.
2009-01-01
The terrorist attacks of September 11, 2001, have resulted in the increased scrutiny of both immigrants and non-immigrants entering the United States. The latter group includes students who enter the country on temporary visas to complete programs of higher education. Depending on the source, the number of foreign students in the United States has…
Conti, Jennifer A; Brant, Ashley R; Shumaker, Heather D; Reeves, Matthew F
2016-12-01
To review the status of antiabortion restrictions enacted over the last 5 years in the United States and their impact on abortion services. In recent years, there has been an alarming rise in the number of antiabortion laws enacted across the United States. In total, various states in the union enacted 334 abortion restrictions from 2011 to July 2016, accounting for 30% of all abortion restrictions since the legalization of abortion in 1973. Data confirm, however, that more liberal abortion laws do not increase the number of abortions, but instead greatly decrease the number of abortion-related deaths. Several countries including Romania, South Africa and Nepal have seen dramatic decreases in maternal mortality after liberalization of abortion laws, without an increase in the total number of abortions. In the United States, abortions are incredibly safe with very low rates of complications and a mortality rate of 0.7 per 100 000 women. With increasing abortion restrictions, maternal mortality in the United States can be expected to rise over the coming years, as has been observed in Texas recently. Liberalization of abortion laws saves women's lives. The rising number of antiabortion restrictions will ultimately harm women and their families.
Guang-Shan Chen; Michael Notaro; Zhengyu Liu; Yongqiang Liu
2012-01-01
Afforestation has been proposed as a climate change mitigation strategy by sequestrating atmospheric carbon dioxide. With the goal of increasing carbon sequestration, a Congressional project has been planned to afforest about 18 million acres by 2020 in the Southeast United States (SEUS), the Great Lake states, and the Corn Belt states. However, biophysical feedbacks...
Air quality impacts of projections of natural gas-fired distributed generation
NASA Astrophysics Data System (ADS)
Horne, Jeremy R.; Carreras-Sospedra, Marc; Dabdub, Donald; Lemar, Paul; Nopmongcol, Uarporn; Shah, Tejas; Yarwood, Greg; Young, David; Shaw, Stephanie L.; Knipping, Eladio M.
2017-11-01
This study assesses the potential impacts on emissions and air quality from the increased adoption of natural gas-fired distributed generation of electricity (DG), including displacement of power from central power generation, in the contiguous United States. The study includes four major tasks: (1) modeling of distributed generation market penetration; (2) modeling of central power generation systems; (3) modeling of spatially and temporally resolved emissions; and (4) photochemical grid modeling to evaluate the potential air quality impacts of increased DG penetration, which includes both power-only DG and combined heat and power (CHP) units, for 2030. Low and high DG penetration scenarios estimate the largest penetration of future DG units in three regions - New England, New York, and California. Projections of DG penetration in the contiguous United States estimate 6.3 GW and 24 GW of market adoption in 2030 for the low DG penetration and high DG penetration scenarios, respectively. High DG penetration (all of which is natural gas-fired) serves to offset 8 GW of new natural gas combined cycle (NGCC) units, and 19 GW of solar photovoltaic (PV) installations by 2030. In all scenarios, air quality in the central United States and the northwest remains unaffected as there is little to no DG penetration in those states. California and several states in the northeast are the most impacted by emissions from DG units. Peak increases in maximum daily 8-h average ozone concentrations exceed 5 ppb, which may impede attainment of ambient air quality standards. Overall, air quality impacts from DG vary greatly based on meteorological conditions, proximity to emissions sources, the number and type of DG installations, and the emissions factors used for DG units.
Kurtz, Steven M; Lau, Edmund; Ong, Kevin L; Katz, Jeffrey N; Bozic, Kevin J
2016-05-01
The state of Massachusetts enacted universal health insurance in 2006. However it is unknown whether the increased access to care resulted in changes to surgical use or costs. We asked the following related research questions: compared with the United States as a whole, how did the (1) number of cases (as a percentage of the overall population, to account for changes in the overall population during the time surveyed), (2) payer mix, and (3) inpatient costs for arthroplasty change in Massachusetts after introduction of health insurance reform? We analyzed the use and cost of primary THAs and TKAs in Massachusetts using the State Inpatient Database (SID) between 2002 and 2011 compared with the Nationwide Inpatient Sample (NIS) during the same years. The SID captures 100% of inpatient procedures in Massachusetts, while the NIS is a nationally representative database of inpatient procedures for the United States. The SID and NIS are publicly available data sources from the Agency for Healthcare Research and Quality, and include information regarding procedure volumes, payer mixes, and costs. Inpatient costs were defined similarly in both databases by using hospital charges and an average cost-to-charge ratio that is unique for each hospital. The incidence of arthroplasties was calculated by dividing the procedure volume by the relevant population (either for Massachusetts or the entire country) based on public data from the United States Census bureau. The incidence of THAs and TKAs performed in Massachusetts increased steadily throughout the study period, and paralleled a similar increase in the United States as a whole. In Massachusetts, the incidence of THAs increased by 59% between 2002 and 2011, and the incidence of TKAs likewise increased by 80%. The trends for the incidence in total joint arthroplasties were similar to those for Massachusetts for the United States as a whole. The period of health insurance reform in Massachusetts was associated with a greater proportion of patients covered by Medicaid, Commonwealth Care, or Health Safety Net for THAs and TKAs. By 2011, universal health insurance in Massachusetts covered 2.45% of primary THAs and 2.77% of primary TKAs. Coverage for Medicaid in Massachusetts increased from 3.23% and 3.04% of THAs and TKAs in 2002 to 4.06% and 4.34% respectively in 2011. On average, Medicaid coverage was greater for TKAs in Massachusetts than across the United States during the study period. The introduction of health insurance reform had a minimal effect on the cost of total joint arthroplasties in Massachusetts. Although the costs of total joint arthroplasties in the United States were higher than those in Massachusetts, this difference narrowed substantially from 2002 to 2011, with the Massachusetts cost trending upward and the overall United States cost trending downward. Despite extending insurance coverage to the entire state of Massachusetts, there was little change in actual utilization trends for joint replacement. The enactment of universal health insurance coverage in Massachusetts appears to have been a nonevent insofar as the use and cost of total hip and knee surgeries is concerned in the state. Factors other than health insurance reform appear to be driving the growth in demand for arthroplasties in Massachusetts and are likely to do so as well in the United States under the Affordable Care Act of 2010.
Code of Federal Regulations, 2011 CFR
2011-01-01
... finance have undergone considerable growth and change in recent years. It is increasingly common, for... climate, United States banking organizations would be placed at a competitive disadvantage if their...
Code of Federal Regulations, 2013 CFR
2013-01-01
... finance have undergone considerable growth and change in recent years. It is increasingly common, for... climate, United States banking organizations would be placed at a competitive disadvantage if their...
Code of Federal Regulations, 2012 CFR
2012-01-01
... finance have undergone considerable growth and change in recent years. It is increasingly common, for... climate, United States banking organizations would be placed at a competitive disadvantage if their...
Code of Federal Regulations, 2014 CFR
2014-01-01
... finance have undergone considerable growth and change in recent years. It is increasingly common, for... climate, United States banking organizations would be placed at a competitive disadvantage if their...
Code of Federal Regulations, 2010 CFR
2010-01-01
... finance have undergone considerable growth and change in recent years. It is increasingly common, for... climate, United States banking organizations would be placed at a competitive disadvantage if their...
Breslau, Joshua; Borges, Guilherme; Tancredi, Daniel; Saito, Naomi; Kravitz, Richard; Hinton, Ladson; Vega, William; Medina-Mora, Maria Elena; Aguilar-Gaxiola, Sergio
2011-04-01
Migration is suspected to increase risk for depressive and anxiety disorders. To test the hypothesized increase in risk for depressive and anxiety disorders after arrival in the United States among Mexican migrants. We combined data from surveys conducted separately in Mexico and the United States that used the same diagnostic interview. Discrete time survival models were specified to estimate the relative odds of first onset of depressive disorders (major depressive episode and dysthymia) and anxiety disorders (generalized anxiety disorder, social phobia, panic disorder, and posttraumatic stress disorder) among migrants after their arrival in the United States compared with nonmigrant Mexicans who have a migrant in their immediate family. Population surveys in the United States and Mexico. Two thousand five hundred nineteen nonmigrant family members of migrants in Mexico and 554 Mexican migrants in the United States. First onset of any depressive or anxiety disorder. After arrival in the United States, migrants had a significantly higher risk for first onset of any depressive or anxiety disorder than did nonmigrant family members of migrants in Mexico (odds ratio, 1.42; 95% confidence interval, 1.04-1.94). Associations between migration and disorder varied across birth cohorts. Elevated risk among migrants relative to nonmigrants was restricted to the 2 younger cohorts (those aged 18-25 or 26-35 years at interview). In the most recent birth cohort, the association between migration and first onset of any depressive or anxiety disorder was particularly strong (odds ratio, 3.89; 95% confidence interval, 2.74-5.53). This is, to our knowledge, the first study to compare risk for first onset of psychiatric disorder between representative samples of migrants in the United States and nonmigrants in Mexico. The findings are consistent with the hypothesized adverse effect of migration from Mexico to the United States on the mental health of migrants, but only among migrants in recent birth cohorts.
Rutledge, R; Fakhry, S M; Baker, C C; Weaver, N; Ramenofsky, M; Sheldon, G F; Meyer, A A
1994-01-01
OBJECTIVE: To determine the association between measures of medical manpower available to treat trauma patients and county trauma death rates in the United States. The primary hypothesis was that greater availability of medical manpower to treat trauma injury would be associated with lower trauma death rates. SUMMARY BACKGROUND DATA: When viewed from the standpoint of the number of productive years of life lost, trauma has a greater effect on health care and lost productivity in the United States than any disease. Allocation of health care manpower to treat injuries seems logical, but studies have not been done to determine its efficacy. The effect of medical manpower and hospital resource allocation on the outcome of injury in the United States has not been fully explored or adequately evaluated. METHODS: Data on trauma deaths in the United States were obtained from the National Center for Health Statistics. Data on the number of surgeons and emergency medicine physicians were obtained from the American Hospital Association and the American Medical Association. Data on physicians who have participated in the American College of Surgeons (ACS) Advanced Trauma Life Support Course (ATLS) were obtained from the ACS. Membership information for the American Association for Surgery of Trauma (AAST) was obtained from that organization. Demographic data were obtained from the United States Census Bureau. Multivariate stepwise linear regression and cluster analysis were used to model the county trauma death rates in the United States. The Statistical Analysis System (Cary, NC) for statistical analysis was used. RESULTS: Bivariate and multivariate analyses showed that a variety of medical manpower measures and demographic factors were associated with county trauma death rates in the United States. As in other studies, measures of low population density and high levels of poverty were found to be strongly associated with increased trauma death rates. After accounting for these variables, using multivariate analysis and cluster analysis, an increase in the following medical manpower measures were associated with decreased county trauma death rates: number of board-certified general surgeons, number of board-certified emergency medicine physicians, number of AAST members, and number of ATLS-trained physicians. CONCLUSIONS: This study confirms previous work that showed a strong relation among measures of poverty, rural setting, and increased county trauma death rates. It also found that counties with more board-certified surgeons per capita and with more surgeons with an increased interest (AAST membership) or increased training (ATLS) in trauma care have lower per-capita trauma death rates.(ABSTRACT TRUNCATED AT 400 WORDS) Images Figure 1. PMID:8185404
The State of Homeless Children in the United States
ERIC Educational Resources Information Center
Kabler, Brenda; Weinstein, Elana
2009-01-01
Across America, the numbers of homeless children and families are growing as a result of many factors including the recent economic crisis, home foreclosures, and natural disasters. Because of an increase in the number of homeless children throughout the United States, this population has unmet needs that can be targeted in school settings under…
Using State Assessments for Teaching English Language Learners
ERIC Educational Resources Information Center
Luster, John
2012-01-01
Populations of minority students the United States have increased steadily over the past few decades to 42 percent of public school enrollment (Echevarria, 2011). English language learners (ELLs) are the fastest growing population of students enrolled in public schools across the United States. Nationally, if an ELL speaks English with difficulty,…
Effects of El Niño on summertime ozone air quality in the eastern United States
NASA Astrophysics Data System (ADS)
Shen, L.; Mickley, L. J.
2017-12-01
We investigate the effect of El Nino on maximum daily 8-hour average (MDA8) surface ozone over the eastern United States in summer (June-August, JJA) from 1980 to 2016. El Nino can influence the extra-tropical climate through the propagation of stationary waves, leading to (1) a low-pressure anomaly in the western Atlantic, which reduces transport of moist, clean air from the ocean into the mid- and southern Atlantic states, and (2) intensified southerly flow in the South Central states, which conversely enhances flux of moist, clean air into this region. El Nino can also trigger greater subsidence, reduced precipitation, and increased surface solar radiation in the mid- and southern Atlantic States. As a result, every standard deviation increase in the Nino 1+2 index is associated with an increase of 1-2 ppbv ozone in the Atlantic States and a decrease of 0.5-2 ppbv ozone in the South Central states. On average, models participating in the Atmospheric Model Intercomparison Project have difficulties capturing the El Nino influence on summertime weather in the eastern United States, implying that the freely running chemistry-climate models also cannot simulate the ozone variability related to El Nino.
World Opinion and the Soviet Satellite: A Preliminary Evaluation
NASA Technical Reports Server (NTRS)
1957-01-01
Less than two weeks after the launch of Sputnik I, the United States Information Agency conducted an informal analysis of public opinion on this subject. The analysis yielded four clear conclusions: (1) Soviet claims of scientific and technological superiority were widely accepted in the United States; (2) U.S. allies were concerned about a shift in the balance of military power; (3) the overall credibility of Soviet propaganda was greatly strengthened; and (4) American prestige was dealt a severe blow. The report also concluded that the near-hysteria in the United States in turn increased the level of concern in countries friendly to the United States. An evaluation is presented.
Ananth, Cande V; Joseph Ks, K s; Smulian, John C
2004-05-01
We sought to evaluate the contributions of changes in birth registration, labor induction, and cesarean delivery on trends in twin neonatal mortality rates. We conducted a population-based, retrospective cohort study of twin live births, using linked birth-infant death data in the United States (1989-1999). Relative risks and 95% confidence intervals that quantified changes in neonatal (0-27 days) mortality rates were derived from ecologic logistic regression models that were fit after aggregation of the data by each state in the United States. The frequency of live born twins who weighed <500 g increased 72%, from 0.7% in 1989 to 1.2% in 1999, of live born twins who weighed 500 to 749 g and 750 to 999 g increased by 55% and 28%, respectively, between 1989 and 1999. Preterm birth rates increased by 19%, from 46.2% in 1989 to 57.2% in 1999. The rate of labor induction increased from 5.8% to 13.9%, and the cesarean delivery rate increased from 49.8% to 56.3%. Between 1989 to 1991 and 1997 to 1999, the crude neonatal mortality rates among twins who weighed >or=500 g declined by 37% (95% CI, 35%-40%) from 21.5 to 13.6 per 1000 twin live births. Adjustments for preterm labor induction, preterm cesarean delivery, term labor induction, term cesarean delivery, and sociodemographic factors had little influence on neonatal mortality rate trends. Increases in preterm birth because of obstetric intervention among twins have not led to increases in twin neonatal mortality rates in the United States.
Characterizing the HIV/AIDS Epidemic in the United States and China
Huang, Ming-Bo; Ye, Li; Liang, Bing-Yu; Ning, Chuan-Yi; Roth, William W.; Jiang, Jun-Jun; Huang, Jie-Gang; Zhou, Bo; Zang, Ning; Powell, Michael D.; Liang, Hao; Bond, Vincent C.
2015-01-01
The HIV/AIDS data from the national surveillance systems of China and the United States from 1985 to 2014 were compared to characterize the HIV/AIDS epidemic in both countries. The current estimated national HIV prevalence rate in China and the United States are 0.0598% and 0.348%, respectively. In the United States, the annual number of new HIV infections has remained relatively stable (~50,000 each year) and has shown a downward trend in recent years. The Chinese national HIV prevalence is still low, and new HIV infections have been contained at a low level (50,000–100,000 each year). However, the epidemic has showed an increasing trend since 2012. By risk group, in both countries, men who have sex with men (MSM), heterosexual sex, and injection drug use (IDU) are the most common modes of transmission of new HIV infections. However, in the United States, MSM is the dominant transmission route, accounting for >60% of new infections; whereas in China, heterosexual sex has now become the dominant route, also accounting for >60% of new infections. A rapid increase in the proportion of HIV cases that were attributed to MSM and an obvious decrease in the proportion of HIV cases attributed to IDU in China in recent years imply that the China’s epidemic is still evolving, to some extent, copying what was experienced in the United States. By age group, the proportions of HIV cases that were attributed to the age group 25–59 were comparable between the two countries. However, the United States had a higher proportion of cases that were attributed to age groups 15–19 and 20–24 than China, indicating that youth account for more infections in the United States. One other fact worth noting: in China there is a significant increase in the number of HIV new infections in individuals over 50 years of age, which results in much higher proportion of cases that were attributed to age groups 60–64 and over 65 in China than those in the United States. By race/ethnicity, in the United States, Blacks/African Americans continue to experience the most severe HIV burden, followed by Hispanics/Latinos. In China, no official data on race/ethnicity disparities are currently available. Thus, region, risk group, age are important factors in the HIV epidemics in both countries. PMID:26703667
Corrosion resistance of grouted post-tensioning systems : [summary].
DOT National Transportation Integrated Search
2013-08-01
The increased popularity of post-tensioned bridge construction in the United States has led to concerns about corrosion and its impact on the life cycle of these bridges. Although the vast majority of post-tensioned bridges in the United States have ...
An examination of practices for retrofitting existing roads with sidewalks in the United States.
DOT National Transportation Integrated Search
2010-06-01
In Virginia, as in the United States, many roads were built without sidewalks. With steadily increasing efforts to : develop a more balanced, multimodal transportation system, missing sidewalks pose a unique connectivity issue. Although the : Virgini...
Analysis of elder abuse statutes across the United States, 2011-2012.
Jirik, Stacey; Sanders, Sara
2014-01-01
The purpose of this article is to describe the state elder abuse statutes in the United States and Washington DC during 2011-2012. The last review of elder abuse statutes occurred in 2001; thus, a reexamination is warranted given the increased awareness of elder abuse at the state and national level and the growing number of older adults in the United States. This descriptive study analyzed the following components of elder or dependent abuse statutes: definitions, reporting requirements, training, and consequences for failure to report. It was determined that differences remain in how states respond to elder abuse at the community-based level.
C. M. Waters; N. L. Shaw
2003-01-01
Globally, an increased desire to restore, rehabilitate or revegetate with native plants represents a shift toward more ecologically focused restoration goals. In the Australian rangelands, an increasing need to address revegetation is not being matched by an availability of seed material. This contrasts with the United States where a well-structured native seed...
Effects and empirical critical loads of nitrogen for ecoregions of the United States
Linda H. Pardo; Molly J. Robin-Abbot; Mark E. Fenn; Christine L. Goodale; Linda H. Geiser; Charles T. Driscoll; Edith B. Allen; Jill S. Baron; Roland Bobbink; William D. Bowman; Christopher M. Clark; Bridget Emmett; Frank S. Gilliam; Tara L. Greaver; Sharon J. Hall; Erik A. Lilleskov; Lingli Liu; Jason A. Lynch; Knute J. Nadelhoffer; Steven J. Perakis; John L. Stoddard; Kathleen C. Weathers; Robin L. Dennis
2015-01-01
Human activity in the last century has led to a significant increase in nitrogen (N) emissions and deposition (Galloway et al. 2004). Total N emissions in the United States have increased significantly since the 1950s (Galloway 1998, Galloway et al. 2003). As S deposition has declined in response to regulation, the rate of N deposition relative to S deposition has...
ERIC Educational Resources Information Center
Rapposelli, Joseph Anthony
2014-01-01
The recent and rapid growth of technology during the last several years has dramatically increased the number of new online degree programs and courses in the United States. As a result, enrollment into these online programs and courses has also increased. The United States Distance Learning Association (USDLA) estimated there was a total of 12.2…
Research on the biology of fusiform rust in the southeastern United States
Pauline Spaine
1998-01-01
The incidence of fusiform rust has continued to be one of the major forest disease problems in the Southeastern United States. In the past, much of the research has concentrated on field studies with provenance selection and genetic breeding of pine families to increase resistance in the host. In the last 10 years, there has been an increased interest in the actual...
The Major Impacts of the Baby Boom upon American Life, 1945-2050.
ERIC Educational Resources Information Center
Vaughan, Jerry L.
The demographic context of the baby boom in the United States (1946-1964) as well as past and future impacts of this population increase are considered in this review of research. During the 18-year period, over 76,000,000 babies were born, more than the entire population of the United States in 1900. Reasons for the increase are attributed to…
The Changing Geography of U.S. Hispanics from 1990-2006: A Shift to the South and Midwest
ERIC Educational Resources Information Center
Haverluk, Terrence W.; Trautman, Laurie D.
2008-01-01
Between 1990 and 2000 the U.S. Hispanic population increased by 14 million, which is the largest decadal population rise in United States history. This increase was not spread evenly throughout the United States, nor was it isolated to locations that already had large Hispanic populations. On the contrary, areas that previously had a relatively…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Haase, S.G.; Quinn, M.W.; Whittier, J.P.
1993-12-31
The disposal of wastes associated with the processing of cotton is posing increasing problems for cotton gin operators in the western United States. Traditional disposal methods, such as open-air incineration and landfilling are no longer adequate due to increasing environmental concerns. This paper evaluates the technical, economic and environmental feasibility for cotton gin trash to serve as an energy resource. Cotton gin trash has been quantified, by county, in the five cotton-growing states of the western United States. The energy conversion technology that appears to offer the most promise is gasification. An economic evaluation model has been developed that willmore » allow gin operators to analyze their own situation to determine the profitability of converting gin trash to energy.« less
Majumdar, Sumit R; McAlister, Finlay A; Soumerai, Stephen B
2003-10-15
Few studies have examined the effect of new evidence from clinical trials on physician practice. We took advantage of differences in promotional activity in Canada and the United States for the Heart Outcomes Prevention and Evaluation (HOPE) study and the Randomized Aldactone Evaluation Study (RALES) to determine if publication of new evidence changes practice, and the extent to which promotion influences adoption of new evidence. We used longitudinal dispensing data, collected from 1998 to 2001, to examine changes in prescribing patterns for ramipril and other angiotensin-converting enzyme (ACE) inhibitors before and after the HOPE study. We also obtained estimates for promotional expenditures. We stratified analyses by country, to isolate the effect of promotion, and used interrupted time series methods to adjust for pre-existing prescribing trends. Similar analyses were conducted for spironolactone use before and after RALES. Publication of the HOPE study results was associated with rapid increases in the use of ramipril. After adjusting for pre-existing prescribing trends, ramipril prescribing increased by 12% per month (P = 0.001) in Canada versus 5% per month (P = 0.001) in the United States after the study results were presented and published. One year later, ramipril accounted for 30% of the ACE inhibitor market in Canada versus 6% in the United States. The year before publication of these results, expenditures for detailing increased by 20% in Canada (to 18 US dollars per physician) but decreased by 7% in the United States (to 13 US dollars per physician); the year after publication, spending increased to 27 US dollars per physician in Canada versus 23 US dollars per physician in the United States. In the absence of promotional activity for RALES in either country, publication of results was associated with more modest but similar increases of 2% per month (P = 0.001) in spironolactone use in both countries. Publication of new evidence is associated with modest changes in practice. Promotional activity appears to increase the adoption of evidence. Rather than relying on the publication of articles and creation of guidelines, those wishing to accelerate the adoption of new evidence may need to undertake more active promotion.
Alcohol and Homicide in Russia and the United States: A Comparative Analysis*
Landberg, Jonas; Norström, Thor
2011-01-01
Objective: The object of this study was to perform a comparative analysis of the aggregate relationship between alcohol and homicide in Russia and in the United States. The comparison was based on the magnitude of the alcohol effect, the alcohol attributable fraction (AAF), and the degree to which total consumption could account for trends in homicide. Method: We analyzed total and sex-specific homicide rates for the age groups 15–64 years, 15–34 years, and 35–64 years. The study period was 1959–1998 for Russia and 1950–2002 for the United States. For the United States, alcohol consumption was gauged by sales of alcohol; for Russia, estimated unrecorded consumption was included as well. The data were analyzed through autoregressive integrated moving average (ARIMA) modeling. Results: The results show that, for Russia as well as for the United States, a 1 -L increase in consumption was associated with an increase in homicides of about 10%, although the absolute effect was markedly larger in Russia because of differences in homicide rates. The AAF estimates suggested that 73% and 57% of the homicides would be attributable to alcohol in Russia and in the United States, respectively. Most of the temporal variation in the Russian homicide rate could be accounted for by the trend in drinking, whereas the U.S. trend in total alcohol consumption had a more limited ability to predict the trend in homicides. Conclusions: We conclude that the role of alcohol in homicide seems to be larger in Russia than in the United States. PMID:21906499
Iron and steel recycling in the United States in 1998
Fenton, Michael D.
2001-01-01
Consumption of iron and steel scrap and the health of the scrap industry depend directly on the health of the steelmaking industry. The United States, as well as most of the world, is expected to consume increasing amounts of scrap as a steadily increasing population demands more steel products. World resources of scrap should be sufficient for the foreseeable future. An estimated 75 million metric tons (Mt) of scrap was generated during 1998 in the United States, and 35 Mt of old scrap and 18 Mt of new scrap was consumed. The recycling efficiency was calculated to be 52%, and the recycling rate was found to be 41%. (See appendix for definitions.)
Amuedo-Dorantes, Catalina; Pozo, Susan; Puttitanun, Thitima
2015-12-01
Given the unprecedented increase in the flow of migrants from El Salvador, Guatemala, and Honduras to the United States, this article analyzes the impact of U.S. interior enforcement on parent-child separations among Central American deportees, along with its implications for deportees' intentions to remigrate to the United States. Using the EMIF sur survey data, we find that interior enforcement raises the likelihood of parent-child separations as well as the likelihood that parents forcedly separated from their young children report the intention to return to the United States, presumably without documents. By increasing parent-child separations, interior enforcement could prove counterproductive in deterring repetitive unauthorized crossings among Central American deportees.
International accreditation of ambulatory surgical centers and medical tourism.
McGuire, Michael F
2013-07-01
The two forces that have driven the increase in accreditation of outpatient ambulatory surgery centers (ASC's) in the United States are reimbursement of facility fees by Medicare and commercial insurance companies, which requires either accreditation, Medicare certification, or state licensure, and state laws which mandate one of these three options. Accreditation of ASC's internationally has been driven by national requirements and by the competitive forces of "medical tourism." The three American accrediting organizations have all developed international programs to meet this increasing demand outside of the United States. Copyright © 2013. Published by Elsevier Inc.
NASA Nice Climate Change Education
NASA Astrophysics Data System (ADS)
Frink, K.; Crocker, S.; Jones, W., III; Marshall, S. S.; Anuradha, D.; Stewart-Gurley, K.; Howard, E. M.; Hill, E.; Merriweather, E.
2013-12-01
Authors: 1 Kaiem Frink, 4 Sherry Crocker, 5 Willie Jones, III, 7 Sophia S.L. Marshall, 6 Anuadha Dujari 3 Ervin Howard 1 Kalota Stewart-Gurley 8 Edwinta Merriweathe Affiliation: 1. Mathematics & Computer Science, Virginia Union University, Richmond, VA, United States. 2. Mathematics & Computer Science, Elizabeth City State Univ, Elizabeth City, NC, United States. 3. Education, Elizabeth City State University, Elizabeth City, NC, United States. 4. College of Education, Fort Valley State University , Fort Valley, GA, United States. 5. Education, Tougaloo College, Jackson, MS, United States. 6. Mathematics, Delaware State University, Dover, DE, United States. 7. Education, Jackson State University, Jackson, MS, United States. 8. Education, Alabama Agricultural and Mechanical University, Huntsville, AL, United States. ABSTRACT: In this research initiative, the 2013-2014 NASA NICE workshop participants will present best educational practices for incorporating climate change pedagogy. The presentation will identify strategies to enhance instruction of pre-service teachers to aligned with K-12 Science, Technology, Engineering and Mathematics (STEM) standards. The presentation of best practices should serve as a direct indicator to address pedagogical needs to include climate education within a K-12 curriculum Some of the strategies will include inquiry, direct instructions, and cooperative learning . At this particular workshop, we have learned about global climate change in regards to how this is going to impact our life. Participants have been charged to increase the scientific understanding of pre-service teachers education programs nationally to incorporate climate education lessons. These recommended practices will provide feasible instructional strategies that can be easily implemented and used to clarify possible misconceptions and ambiguities in scientific knowledge. Additionally, the presentation will promote an awareness to the many facets in which climate change education can be beneficial to future learners and general public. The main scope is to increase the amount of STEM knowledge throughout the nations scientific literacy as we are using the platform of climate change. Federal entities which may include but not limited to National Security Agency and the Department of Homeland Security and Management will serve as resources partners for this common goal of having a more knowledgeable technological savvy and scientific literate society. The presentation will show that incorporating these best practices into elementary and early childhood education undergraduate programs will assist with increasing a enhance scientific literate society. As a measurable outcome have a positive impact on instructional effectiveness of future teachers. Their successfully preparing students in meeting the standards of the Common Core Initiative will attempt to measure across the curriculum uniformly.
Trends and outcomes of malignant hyperthermia in the United States, 2000 to 2005.
Rosero, Eric B; Adesanya, Adebola O; Timaran, Carlos H; Joshi, Girish P
2009-01-01
Malignant hyperthermia (MH) is a potentially fatal pharmacogenetic disorder with an estimated mortality of less than 5%. The purpose of this study was to evaluate the current incidence of MH and the predictors associated with in-hospital mortality in the United States. The Nationwide Inpatient Sample, which is the largest all-payer inpatient database in the United States, was used to identify patients discharged with a diagnosis of MH during the years 2000-2005. The weighted exact Cochrane-Armitage test and multivariate logistic regression analyses were used to assess trends in the incidence and risk-adjusted mortality from MH, taking into account the complex survey design. From 2000 to 2005, the number of cases of MH increased from 372 to 521 per year. The occurrence of MH increased from 10.2 to 13.3 patients per million hospital discharges (P = 0.001). Mortality rates from MH ranged from 6.5% in 2005 to 16.9% in 2001 (P < 0.0001). The median age of patients with MH was 39 (interquartile range, 23-54 yr). Only 17.8% of the patients were children, who had lower mortality than adults (0.7% vs. 14.1%, P < 0.0001). Logistic regression analyses revealed that risk-adjusted in-hospital mortality was associated with increasing age, female sex, comorbidity burden, source of admission to hospital, and geographic region of the United States. The incidence of MH in the United States has increased in recent years. The in-hospital mortality from MH remains elevated and higher than previously reported. The results of this study should enable the identification of areas requiring increased focus in MH-related education.
NASA Astrophysics Data System (ADS)
Kinney, P.; Fann, N.
2016-12-01
Ambient air pollution can be affected by climate in a variety of ways, which in turn have important implications for human health. Observed and projected changes in climate lead to modified weather patterns and biogenic emissions, which influence the levels and geographic patterns of outdoor air pollutants of health concern, including ground-level ozone (O3) and fine particulate matter (PM2.5). The USGCRP scientific assessment of the human health impacts of climate change concluded with high confidence that climate change will make it harder for any given regulatory approach to reduce ground-level ozone pollution in the future as meteorological conditions become increasingly conducive to forming ozone over most of the United States. Unless offset by additional emissions reductions of ozone precursors, these climate-driven increases in ozone will cause premature deaths, hospital visits, lost school days, and acute respiratory symptoms. The evidence for climate impacts on PM2.5 is less robust than that for ozone. However, one mechanism through which climate change is likely to affect PM2.5 as well as O3 in the United States is via impacts on wildfires. Wildfires emit precursors of both fine particles and O3, which increase the risk of premature death and adverse chronic and acute cardiovascular and respiratory health outcomes. Climate change is projected to increase the number and severity of naturally occurring wildfires in parts of the United States, increasing emissions of particulate matter and ozone precursors and resulting in additional adverse health outcomes. We present the key results and conclusions from a nationwide assessment of O3 health impacts in 2030, as well as new evidence for respiratory health effects of wildfires in the western United States.
Toward an inventory of nitrogen input to the United States
Accurate accounting of nitrogen inputs is increasingly necessary for policy decisions related to aquatic nutrient pollution. Here we synthesize available data to provide the first integrated estimates of the amount and uncertainty of nitrogen inputs to the United States. Abou...
Past and future freshwater use in the United States
Thomas C. Brown
1999-01-01
Water use in the United States to the year 2040 is estimated by extending past trends in basic water-use determinants. Those trends are largely encouraging. Over the past 35 years, withdrawals in industry and at thermoelectric plants have steadily dropped per unit of output, and over the past 15 years some irrigated regions have also increased the efficiency of their...
Increased salinization of fresh water in the northeastern United States
Kaushal, Sujay S.; Groffman, Peter M.; Likens, Gene E.; Belt, Kenneth T.; Stack, William P.; Kelly, Victoria R.; Band, Lawrence E.; Fisher, Gary T.
2005-01-01
Chloride concentrations are increasing at a rate that threatens the availability of fresh water in the northeastern United States. Increases in roadways and deicer use are now salinizing fresh waters, degrading habitat for aquatic organisms, and impacting large supplies of drinking water for humans throughout the region. We observed chloride concentrations of up to 25% of the concentration of seawater in streams of Maryland, New York, and New Hampshire during winters, and chloride concentrations remaining up to 100 times greater than unimpacted forest streams during summers. Mean annual chloride concentration increased as a function of impervious surface and exceeded tolerance for freshwater life in suburban and urban watersheds. Our analysis shows that if salinity were to continue to increase at its present rate due to changes in impervious surface coverage and current management practices, many surface waters in the northeastern United States would not be potable for human consumption and would become toxic to freshwater life within the next century. PMID:16157871
Increased salinization of fresh water in the Northeastern United States
Kaushal, S.S.; Groffman, P.M.; Likens, G.E.; Belt, K.T.; Stack, W.P.; Kelly, V.R.; Band, L.E.; Fisher, G.T.
2005-01-01
Chloride concentrations are increasing at a rate that threatens the availability of fresh water in the northeastern United States. Increases in roadways and deicer use are now salinizing fresh waters, degrading habitat for aquatic organisms, and impacting large supplies of drinking water for humans throughout the region. We observed chloride concentrations of up to 25% of the concentration of seawater in streams of Maryland, New York, and New Hampshire during winters, and chloride concentrations remaining up to 100 times greater than unimpacted forest streams during summers. Mean annual chloride concentration increased as a function of impervious surface and exceeded tolerance for freshwater life in suburban and urban watersheds. Our analysis shows that if salinity were to continue to increase at its present rate due to changes in impervious surface coverage and current management practices, many surface waters in the northeastern United States would not be potable for human consumption and would become toxic to freshwater life within the next century. ?? 2005 by The National Academy of Sciences of the USA.
Intestinal parasitism in the United States: update on a continuing problem.
Kappus, K D; Lundgren, R G; Juranek, D D; Roberts, J M; Spencer, H C
1994-06-01
To document patterns of intestinal parasitism in the United States, we analyzed results of 216,275 stool specimens examined by the state diagnostic laboratories in 1987; parasites were found in 20.0%. Percentages were highest for protozoans: Giardia lamblia (7.2%), Entamoeba coli and Endolimax nana (4.2% each), Blastocystis hominis (2.6%), and Entamoeba histolytica (0.9%). The most commonly identified helminths were nematodes: hookworm (1.5%), Trichuris trichiura (1.2%), and Ascaris lumbricoides (0.8%). Identifications of G. lamblia increased broadly from the 4.0% average found in 1979, with 40 states reporting increases and seven reporting decreases. Seasonally, Giardia identifications increased in the summer and fall, especially in the Midwest. Nine states reported hookworms in more than 2% of specimens; none were states with indigenous transmission. We analyzed similar, but abbreviated, data for 1991; parasites were found in 19.7% of the 178,786 specimens and Giardia was found in 5.6%. States reporting percentages of Giardia identification in the highest quartile for both 1987 and 1991 were located in the Midwest or in the Northwest. Cryptosporidium was identified in both the 1987 and 1991 surveys; it had not been identified in a previous survey. For each year, Cryptosporidium was reported from 25 states across the country (for both years in 17 states). We conclude that intestinal parasitism should not be overlooked as a cause of gastrointestinal illness in the United States and that the prevalence of Giardia may be increasing.
2016-04-24
the Cybersecurity in the United States – Brief Overview 13 2.1. Data Breaches in the United States 14 2.2. Security and...Capacity to Defend 15 2.2.1. Cybersecurity Capabilities in the United States 18 2.3. Internationalization of Cybersecurity ...The Department of Homeland Security (DHS) Org Chart 43 2.2.1.2 National Cybersecurity and Communications Integration Center (NCCIC) Org
ERIC Educational Resources Information Center
Albertson, Helen
2013-01-01
As racial and ethnic population changes occur in the United States these same changes should be reflected in the legal community of lawyers and judges. Although Black and Hispanic populations have been increasing over the past 30 years in the United States, this same proportionate increase has not occurred in the American Bar Association (ABA)…
Karin L. Riley; Rachel A. Loehman
2016-01-01
Climate changes are expected to increase fire frequency, fire season length, and cumulative area burned in the western United States. We focus on the potential impact of mid-21st- century climate changes on annual burn probability, fire season length, and large fire characteristics including number and size for a study area in the Northern Rocky Mountains....
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…
KLEPSUDRA: How the Rio Grande Treaty Increased Instability in Mexico
2008-05-09
Projected changes in trade patterns, population growth, consumer preferences and climate change will require a reassessment of American policies towards...land (which increased by 44%) shifted towards water intensive crops to accommodate market demands in the United States, Canada and shifts in consumer ... preferences in Mexico.20 NAFTA triggered explosive growth in fruit and produce exports to the United States and represents a sizeable “virtual” water
ERIC Educational Resources Information Center
Holmquist, Stephanie Kaye
2014-01-01
The demand for STEM trained workers continues to increase not only in the United States, but globally. Reports have indicated that the United States is not doing a good job encouraging students to pursue STEM oriented degrees. In particular, it has become increasingly important to emphasize STEM connections at an early level in order to encourage…
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.
Internationalizing Teacher Education in the United States
ERIC Educational Resources Information Center
Shaklee, Beverly D., Ed.; Baily, Supriya, Ed.
2012-01-01
As countries become increasingly interdependent, student populations in the United States are becoming more culturally diverse. These students' transnational perspectives present significant challenges to teachers, but a disconnect exists between the skills teachers need and those provided to them by colleges of education. As teacher preparation…
Albarrán, Cynthia R; Nyamathi, Adeline
2011-01-01
Mexican migrant workers residing in the United States are a vulnerable population at high risk for HIV infection. This article critically appraises the published data surrounding HIV prevalence in this vulnerable group, as seen through the lens of the Vulnerable Populations Conceptual Model. This model demonstrates how exposure to risk and resource availability affect health status. The health status of Mexican migrants in the United States is compromised by a number of factors that increase risk of HIV: limited access to health services, multiple sexual partners, low rates of condom use, men having sex with men, and lay injection practices. Migration from Mexico to the United States has increased the prevalence of HIV in rural Mexico, making this an issue of urgent binational concern. This review highlights the implications for further nursing research, practice, and policy. Copyright © 2011 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.
Latency attention deficit: Asbestos abatement workers need us to investigate.
Roelofs, Cora
2015-12-01
Little is known of the impact of asbestos on the health of the workers in the United States who have removed or abated asbestos from buildings following recognition of its adverse effects on health. The United States does not have a national occupational health surveillance network to monitor asbestos-related disease and, while the United States Occupational Health and Safety Administration has a strong and detailed asbestos standard, its enforcement resources are limited. A significant proportion of asbestos abatement workers are foreign-born, and may face numerous challenges in achieving safe workplaces, including lack of union representation, economic vulnerability, and inadequate training. Public health surveillance and increased and coordinated enforcement is needed to monitor the health and exposure experiences of asbestos-exposed workers. Alarming disease trends in asbestos removal workers in Great Britain suggest that, in the United States, increased public attention will be necessary to end the epidemic of asbestos-related disease. © 2015 Wiley Periodicals, Inc.
Song, Qingkun; Christiani, David C.; Wang, Xiaorong; Ren, Jun
2014-01-01
Objective: This study aimed to investigate the quantitative effects of outdoor air pollution, represented by 10 µg/m3 increment of PM10, on chronic obstructive pulmonary disease in China, United States and European Union through systematic review and meta-analysis. Methods: Publications in English and Chinese from PubMed and EMBASE were selected. The Cochrane Review Handbook of Generic Inverse Variance was used to synthesize the pooled effects on incidence, prevalence, mortality and hospital admission. Results: Outdoor air pollution contributed to higher incidence and prevalence of COPD. Short-term exposure was associated with COPD mortality increased by 6%, 1% and 1% in the European Union, the United States and China, respectively (p < 0.05). Chronic PM exposure produced a 10% increase in mortality. In a short-term exposure to 10 µg/m3 PM10 increment COPD mortality was elevated by 1% in China (p < 0.05) and hospital admission enrollment was increased by 1% in China, 2% in United States and 1% in European Union (p < 0.05). Conclusions: Outdoor air pollution contributes to the increasing burdens of COPD.10 µg/m3 increase of PM10 produced significant condition of COPD death and exacerbation in China, United States and European Union. Controlling air pollution will have substantial benefit to COPD morbidity and mortality. PMID:25405599
Naz, Bibi S.; Kao, Shih -Chieh; Ashfaq, Moetasim; ...
2017-11-15
The magnitude and frequency of hydrometeorological extremes are expected to increase in the conterminous United States (CONUS) over the rest of this century, and their increase will significantly impact water resource management. While previous efforts focused on the effects of reservoirs on downstream discharge, the effects of climate change on reservoir inflows in upstream areas are not well understood. We evaluated the large-scale climate change effects on extreme hydrological events and their implications for reservoir inflows in 178 headwater basins across CONUS using the Variable Infiltration Capacity (VIC) hydrologic model. The VIC model was forced with a 10-member ensemble ofmore » global circulation models under the Representative Concentration Pathway 8.5 that were dynamically downscaled using a regional climate model (RegCM4) and bias-corrected to 1/24° grid cell resolution. The results projected an increase in the likelihood of flood risk by 44% for a majority of subbasins upstream of flood control reservoirs in the central United States and increased drought risk by 11% for subbasins upstream of hydropower reservoirs across the western United States. Increased risk of both floods and droughts can potentially make reservoirs across CONUS more vulnerable to future climate conditions. In conclusion, this study estimates reservoir inflow changes over the next several decades, which can be used to optimize water supply management downstream.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Naz, Bibi S.; Kao, Shih -Chieh; Ashfaq, Moetasim
The magnitude and frequency of hydrometeorological extremes are expected to increase in the conterminous United States (CONUS) over the rest of this century, and their increase will significantly impact water resource management. While previous efforts focused on the effects of reservoirs on downstream discharge, the effects of climate change on reservoir inflows in upstream areas are not well understood. We evaluated the large-scale climate change effects on extreme hydrological events and their implications for reservoir inflows in 178 headwater basins across CONUS using the Variable Infiltration Capacity (VIC) hydrologic model. The VIC model was forced with a 10-member ensemble ofmore » global circulation models under the Representative Concentration Pathway 8.5 that were dynamically downscaled using a regional climate model (RegCM4) and bias-corrected to 1/24° grid cell resolution. The results projected an increase in the likelihood of flood risk by 44% for a majority of subbasins upstream of flood control reservoirs in the central United States and increased drought risk by 11% for subbasins upstream of hydropower reservoirs across the western United States. Increased risk of both floods and droughts can potentially make reservoirs across CONUS more vulnerable to future climate conditions. In conclusion, this study estimates reservoir inflow changes over the next several decades, which can be used to optimize water supply management downstream.« less
Y. Zhang; X. Liao; B.J. Butler; J. Schelhas
2009-01-01
The state-level distribution of the size of family forest holdings in the contiguous United States was examined using data collected by the USDA Forest Service in 1993 and 2003. Regressions models were used to analyze the factors influencing the mean size and structural variation among states and between the two periods. Population density, percent of the population at...
Thomas, Cheryll C.; Henley, S. Jane; Massetti, Greta M.; Galuska, Deborah A.; Agurs-Collins, Tanya; Puckett, Mary; Richardson, Lisa C.
2017-01-01
Background Overweight and obesity are associated with increased risk of at least 13 different types of cancer. Methods Data from the United States Cancer Statistics for 2014 were used to assess incidence rates, and data from 2005 to 2014 were used to assess trends for cancers associated with overweight and obesity (adenocarcinoma of the esophagus; cancers of the breast [in postmenopausal women], colon and rectum, endometrium, gallbladder, gastric cardia, kidney, liver, ovary, pancreas, and thyroid; meningioma; and multiple myeloma) by sex, age, race/ethnicity, state, geographic region, and cancer site. Because screening for colorectal cancer can reduce colorectal cancer incidence through detection of precancerous polyps before they become cancerous, trends with and without colorectal cancer were analyzed. Results In 2014, approximately 631,000 persons in the United States received a diagnosis of a cancer associated with overweight and obesity, representing 40% of all cancers diagnosed. Overweight- and obesity-related cancer incidence rates were higher among older persons (ages ≥50 years) than younger persons; higher among females than males; and higher among non-Hispanic black and non-Hispanic white adults compared with other groups. Incidence rates for overweight- and obesity-related cancers during 2005–2014 varied by age, cancer site, and state. Excluding colorectal cancer, incidence rates increased significantly among persons aged 20–74 years; decreased among those aged ≥75 years; increased in 32 states; and were stable in 16 states and the District of Columbia. Conclusions The burden of overweight- and obesity-related cancer is high in the United States. Incidence rates of overweight- and obesity-related cancers except colorectal cancer have increased in some age groups and states. Implications for Public Health Practice The burden of overweight- and obesity-related cancers might be reduced through efforts to prevent and control overweight and obesity. Comprehensive cancer control strategies, including use of evidence-based interventions to promote healthy weight, could help decrease the incidence of these cancers in the United States. PMID:28981482
Salomon, D R; Langnas, A N; Reed, A I; Bloom, R D; Magee, J C; Gaston, R S
2015-05-01
The American Society of Transplantation (AST) and American Society of Transplant Surgeons (ASTS) convened a workshop on June 2-3, 2014, to explore increasing both living and deceased organ donation in the United States. Recent articles in the lay press on illegal organ sales and transplant tourism highlight the impact of the current black market in kidneys that accompanies the growing global organ shortage. We believe it important not to conflate the illegal market for organs, which we reject in the strongest possible terms, with the potential in the United States for concerted action to remove all remaining financial disincentives for donors and critically consider testing the impact and acceptability of incentives to increase organ availability in the United States. However, we do not support any trials of direct payments or valuable considerations to donors or families based on a process of market-assigned values of organs. This White Paper represents a summary by the authors of the deliberations of the Incentives Workshop Group and has been approved by both AST and ASTS Boards. © Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.
Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature.
Haddad, Linda; El-Shahawy, Omar; Ghadban, Roula; Barnett, Tracey E; Johnson, Emily
2015-05-29
Researchers in tobacco control are concerned about the increasing prevalence of waterpipe smoking in the United States, which may pose similar risks as cigarette smoking. This review explores the prevalence of waterpipe smoking in the United States as well as the shortcomings of current U.S. policy for waterpipe control and regulation. Researchers conducted a literature review for waterpipe articles dated between 2004 and 2015 using five online databases: MEDLINE, CINHAHL, ScienceDirect, PMC, and Cochrane Library. To date, few studies have explored the marketing and regulation of waterpipe smoking in the U.S., which has increased in the last ten years, especially among women, adolescents, and young adults. Data indicate that the majority of waterpipe smokers are unaware of the potential risks of use. In addition, current tobacco control policies do not address waterpipe smoking, enabling tobacco companies to readily market and sell waterpipe products to young adults, who are at risk for becoming lifelong smokers. Policy makers in the area of public health need to update existing tobacco regulations to include waterpipe smoking. Similarly, public health researchers should develop public health campaigns and interventions to address the increasing rates of waterpipe smoking in the United States.
R. Talbot, III Trotter; Kathleen S. Shields
2009-01-01
The hemlock woolly adelgid (Adelges tsugae Annand) is a small, aphid-like insect native to East Asia and western North America. First documented in the eastern United States in Richmond, VA, in 1951, it has spread to at least 17 states, where it causes increased mortality among both eastern and Carolina hemlocks (Tsuga canadensis...
The Role and Qualifications of the Reading Coach in the United States
ERIC Educational Resources Information Center
International Reading Association (NJ1), 2004
2004-01-01
The rapid proliferation of reading coaches is one of the responses to increased attention to reading achievement and the achievement gap in the United States. In recent years, reading has been the focus of both state and federal reading initiatives. With the changing roles have come a variety of new titles, such as reading coach and literacy…
Preparing School Leaders for Young Learners in the United States
ERIC Educational Resources Information Center
Mongillo, Maria Boeke
2017-01-01
In the United States there has been a recent movement to expand access to preschool for children aged 3 to 4 through "universal pre-k" in states that fund programs for all age-eligible students. This has caused an increasing number of preschool programs to be housed in public schools and led by principals who often have little or no…
Hofmeister, Megan G; Foster, Monique A; Teshale, Eyasu H
2018-04-30
There are many similarities in the epidemiology and transmission of hepatitis A virus (HAV) and hepatitis E virus (HEV) genotype (gt)3 infections in the United States. Both viruses are enterically transmitted, although specific routes of transmission are more clearly established for HAV than for HEV: HAV is restricted to humans and primarily spread through the fecal-oral route, while HEV is zoonotic with poorly understood modes of transmission in the United States. New cases of HAV infection have decreased dramatically in the United States since infant vaccination was recommended in 1996. In recent years, however, outbreaks have occurred among an increasingly susceptible adult population. Although HEV is the most common cause of acute viral hepatitis in developing countries, it is rarely diagnosed in the United States. Copyright © 2018 Cold Spring Harbor Laboratory Press; all rights reserved.
Wang, Youfa; Min, Jungwon; Harris, Kisa; Khuri, Jacob; Anderson, Laura M
2016-01-01
The United States is the largest refugee resettlement country in the world. Refugees may face health-related challenges after resettlement in the United States, including higher rates of chronic diseases due to problems such as language barriers and difficulty adapting to new food environments. However, reported refugee diet challenges varied, and no systematic examination has been reported. This study examined refugee food intake pre- and postresettlement in the United States and differences in intake across various refugee groups. We systematically reviewed relevant studies that reported on refugee food intake and adaptation to the US food environment. We searched PubMed for literature published between January 1985 and April 2015, including cross-sectional and prospective studies. Eighteen studies met inclusion criteria. Limited research has been conducted, and most studies were based on small convenience samples. In general, refugees increased meat and egg consumption after resettling in the United States. Changes in refugee intake of vegetables, fruits, and dairy products varied by socioeconomic status, food insecurity, past food deprivation experience, length of stay in the United States, region of origin, and age. South Asians were more likely to maintain traditional diets, and increased age was associated with more conservative and traditional diets. Despite the abundance of food in the United States, postresettlement refugees reported difficulty in finding familiar or healthy foods. More research with larger samples and follow-up data are needed to study how refugees adapt to the US food environment and what factors may influence their food- and health-related outcomes. The work could inform future interventions to promote healthy eating and living among refugees and help to reduce health disparities. PMID:28140324
Wang, Youfa; Min, Jungwon; Harris, Kisa; Khuri, Jacob; Anderson, Laura M
2016-11-01
The United States is the largest refugee resettlement country in the world. Refugees may face health-related challenges after resettlement in the United States, including higher rates of chronic diseases due to problems such as language barriers and difficulty adapting to new food environments. However, reported refugee diet challenges varied, and no systematic examination has been reported. This study examined refugee food intake pre- and postresettlement in the United States and differences in intake across various refugee groups. We systematically reviewed relevant studies that reported on refugee food intake and adaptation to the US food environment. We searched PubMed for literature published between January 1985 and April 2015, including cross-sectional and prospective studies. Eighteen studies met inclusion criteria. Limited research has been conducted, and most studies were based on small convenience samples. In general, refugees increased meat and egg consumption after resettling in the United States. Changes in refugee intake of vegetables, fruits, and dairy products varied by socioeconomic status, food insecurity, past food deprivation experience, length of stay in the United States, region of origin, and age. South Asians were more likely to maintain traditional diets, and increased age was associated with more conservative and traditional diets. Despite the abundance of food in the United States, postresettlement refugees reported difficulty in finding familiar or healthy foods. More research with larger samples and follow-up data are needed to study how refugees adapt to the US food environment and what factors may influence their food- and health-related outcomes. The work could inform future interventions to promote healthy eating and living among refugees and help to reduce health disparities. © 2016 American Society for Nutrition.
Islands of Empowerment: Facilitating Multicultural Learning Communities in College
ERIC Educational Resources Information Center
Chavez, Alicia Fedelina
2007-01-01
Multiculturally congruent classroom learning environments have remained elusive in United States higher education as colleges strive to recruit, retain, and educate an increasingly diverse population. Frustrations run high amongst domestic and international students of color who find collegiate classrooms in the United States difficult to…
United States Immigration Policy and Indirect Immigration of Professionals.
ERIC Educational Resources Information Center
Agarwal, Vinod B.; Winkler, Donald R.
1985-01-01
The number of foreign professionals (including college students) who have entered the United States with nonimmigrant status but who have their visas adjusted to immigrant status is steadily increasing. This study explores the relationship between the frequency of such adjustments and changes in immigration policy. (PGD)
Multicultural Education Policies in Canada and the United States
ERIC Educational Resources Information Center
Joshee, Reva; Johnson, Lauri
2007-01-01
"Multicultural Education Policies in Canada and the United States" uses a dialogical approach to examine responses to increasing cultural and racial diversity in both countries. It compares and contrasts foundational myths and highlights the sociopolitical contexts that affect the conditions of citizenship, access to education, and…
First United States Army Observers of Military Conflicts in Post Napoleonic Europe (1855-1871)
2015-06-12
United States during this era of free security fueled expansive increases in all sectors of American life to include the professionalism of the American...children and elderly. Chief Black Kettle was a survivor of the Sand Creek Massacre and was later
Thomas H. Nicholls; Kathryn Robbins
1984-01-01
Sirococcus shoot blight, caused by the fungus Sirococcus strobilinus Preuss, affects conifers in the Northern United States and southern Canada. The fungus infects the new shoots; diseased seedlings and saplings are especially affected. In the United States, sirococcus shoot blight has become increasingly widespread since the early 1970's. When favorable...
Changes in temperature, precipitation, sea level, and coastal storms will likely increase the vulnerability of infrastructure across the United States. Using four models of vulnerability, impacts, and adaptation of infrastructure, its deployment, and its role in protecting econom...
The History and Future of Low Vision Services in the United States
ERIC Educational Resources Information Center
Mogk, Lylas; Goodrich, Gregory
2004-01-01
This article discusses the history of low vision services in the United States. The field began to gain momentum as the term "low vision" was conceptualized and coined, and this momentum is rapidly increasing with changes in the demographics of visual impairment.
The intentional dissemination of Bacillus anthracis (anthrax) spores at multiple locations in the United States in the Fall of 2001 resulted not only in several deaths and illnesses (including psychological effects), but likely changed lifestyles and attitudes, and increased the ...
Tuberculosis along the United States-Mexico border, 1993-2001.
Schneider, Eileen; Laserson, Kayla F; Wells, Charles D; Moore, Marisa
2004-07-01
Tuberculosis (TB) is a leading public health problem and a recognized priority for the federal Governments of both Mexico and the United States of America. The objectives of this research, primarily for the four states in the United States that are along the border with Mexico, were to: (1) describe the epidemiological situation of TB, (2) identify TB risk factors, and (3) discuss tuberculosis program strategies. We analyzed tuberculosis case reports collected from 1993 through 2001 by the tuberculosis surveillance system of the United States. We used those data to compare TB cases mainly among three groups: (1) Mexican-born persons in the four United States border states (Arizona, California, New Mexico, and Texas), (2) persons in those four border states who had been born in the United States, and (3) Mexican-born persons in the 46 other states of the United States, which do not border Mexico. For the period from 1993 through 2001, of the 16 223 TB cases reported for Mexican-born persons in the United States, 12 450 of them (76.7%) were reported by Arizona, California, New Mexico, and Texas. In those four border states overall in 2001, tuberculosis case rates for Mexican-born persons were 5.0 times as high as the rates for persons born in the United States; those four states have 23 counties that directly border on Mexico, and the ratio in those counties was 5.8. HIV seropositivity, drug and alcohol use, unemployment, and incarceration were significantly less likely to be reported in Mexican-born TB patients from the four border states and the nonborder states than in patients born in the United States from the four border states (P < 0.001). Multivariate analysis revealed that among pulmonary tuberculosis patients who were 18-64 years of age and residing in the four border states, the Mexican-born patients were 3.6 times as likely as the United States-born patients were to have resistance to at least isoniazid and rifampin (i. e., to have multidrug-resistant TB) and twice as likely to have isoniazid resistance. Mexican-born TB patients from the four border states and the nonborder states were significantly more likely to have moved or to be lost to follow-up than were the TB patients born in the United States from the four border states (P < 0.001). Increased collaborative tuberculosis control efforts by the federal Governments of both Mexico and the United States along the border that they share are needed if tuberculosis is to be eliminated in the United States.
Comparing Generic Drug Markets in Europe and the United States: Prices, Volumes, and Spending.
Wouters, Olivier J; Kanavos, Panos G; McKEE, Martin
2017-09-01
Policy Points: Our study indicates that there are opportunities for cost savings in generic drug markets in Europe and the United States. Regulators should make it easier for generic drugs to reach the market. Regulators and payers should apply measures to stimulate price competition among generic drugmakers and to increase generic drug use. To meaningfully evaluate policy options, it is important to analyze historical context and understand why similar initiatives failed previously. Rising drug prices are putting pressure on health care budgets. Policymakers are assessing how they can save money through generic drugs. We compared generic drug prices and market shares in 13 European countries, using data from 2013, to assess the amount of variation that exists between countries. To place these results in context, we reviewed evidence from recent studies on the prices and use of generics in Europe and the United States. We also surveyed peer-reviewed studies, gray literature, and books published since 2000 to (1) outline existing generic drug policies in European countries and the United States; (2) identify ways to increase generic drug use and to promote price competition among generic drug companies; and (3) explore barriers to implementing reform of generic drug policies, using a historical example from the United States as a case study. The prices and market shares of generics vary widely across Europe. For example, prices charged by manufacturers in Switzerland are, on average, more than 2.5 times those in Germany and more than 6 times those in the United Kingdom, based on the results of a commonly used price index. The proportion of prescriptions filled with generics ranges from 17% in Switzerland to 83% in the United Kingdom. By comparison, the United States has historically had low generic drug prices and high rates of generic drug use (84% in 2013), but has in recent years experienced sharp price increases for some off-patent products. There are policy solutions to address issues in Europe and the United States, such as streamlining the generic drug approval process and requiring generic prescribing and substitution where such policies are not yet in place. The history of substitution laws in the United States provides insights into the economic, political, and cultural issues influencing the adoption of generic drug policies. Governments should apply coherent supply- and demand-side policies in generic drug markets. An immediate priority is to convince more physicians, pharmacists, and patients that generic drugs are bioequivalent to branded products. Special-interest groups continue to obstruct reform in Europe and the United States. © 2017 The Authors The Milbank Quarterly published by Wiley Periodicals, Inc. on behalf of The Millbank Memorial Fund.
ECS and National Experts Examine: State-Level English Language Learner Policies
ERIC Educational Resources Information Center
Wixom, Micah Ann
2015-01-01
Most state policy and education leaders are keenly aware that the number of English language learners (ELLs) enrolled in the United States' public schools has increased significantly over the past several years and will likely continue to increase. States with historically large populations of English language learners--like California and New…
National Strategy for the Southwest Border: Having the Desired Effect?
2011-03-18
marijuana and, increasingly in recent years, synthetics ”9 entering the United States. As Figure 1 illustrates, they operate throughout the Southwest...significant cross-border, drug smuggling tunnel and netted about 30 tons of marijuana seized at two warehouses in the United States and Mexico.”40 Once the...illegal drugs. The increased seizures of heroin, methamphetamine, and marijuana were 30.8 percent, 24 percent, and 16.9 percent respectively.45 This
The effects of detoxification of domestic gas on suicide in the United States
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lester, D.
As domestic gas was detoxified in the United States, the rate of suicide by domestic gas decreased. During this time period (1950-60), there was a parallel increase in the per capita ownership of cars and an accompanying increase in the rate of suicide by motor vehicle exhaust. However, displacement of suicide method from domestic gas to car exhaust occurred only for males and not for females.
Arms Against Illness: Crack Cocaine and Drug Policy in the United States.
Watkins; Fullilove; Fullilove
1998-01-01
The emergence of crack cocaine use in the United States during the mid-1980s was one of the most significant public health problems of that era. Crack use contributed to a series of sexually transmitted disease epidemics, to epidemic increases in violent injuries and homicides, and to significant increases in the incidence and prevalence of cocaine addiction. Despite these threats to health and safety, a national public health campaign to counter crack-related morbidity and mortality was never mounted. To the contrary, the strongest response to the crack epidemic has come from the police and the courts. As a result, crack-related crimes have accounted for dramatic increases in the numbers of adolescents and adults imprisoned in the United States. Scarce attention to the public health dimensions of these policies, let alone the human rights implications, has been catastrophic for affected individuals and communities.
The School Counselor and STEM Career Development
ERIC Educational Resources Information Center
Falco, Lia D.
2017-01-01
There is an increasing concern that the demand for science, technology, engineering, and math (STEM) workers in the United States will exceed the supply. In the United States, very few students, and underrepresented students in particular, are pursuing STEM educational and occupational goals that underscores the need for school counselors to…
Lime application to manure as a management strategy for Porcine Epidemic Diarrhea virus
USDA-ARS?s Scientific Manuscript database
Arrival of Porcine Epidemic Diarrhea virus (PEDv) in 2013 resulted in billions of dollars in losses in the United States. Currently, increased on-farm biosecurity and mortality management help limit the virus spread. Managing PEDv infections requires mandatory reporting to the United States Depart...
Criminality among Rural Stimulant Users in the United States
ERIC Educational Resources Information Center
Oser, Carrie; Leukefeld, Carl; Staton-Tindall, Michele; Duvall, Jamieson; Garrity, Thomas; Stoops, William; Falck, Russel; Wang, Jichuan; Carlson, Robert; Sexton, Rocky; Wright, Patricia; Booth, Brenda
2011-01-01
Despite the increase in media attention on "meth cooking" in rural areas of the United States, little is known about rural stimulant use--particularly, the criminality associated with stimulant use. Data were collected from community stimulant users in rural Ohio, Arkansas, and Kentucky (N = 709). Findings from three logistic regression…
78 FR 69553 - Domestic Competitive Products Pricing and Mailing Standards Changes
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-20
... increase 5.0 percent. The Intelligent Mail[supreg] package barcode (IMpb) will continue to provide free... Standards of the United States Postal Service, Domestic Mail Manual (DMM[supreg]), to reflect changes to..., by class of mail, established by the Governors of the United States Postal Service[supreg]. New...
Phomopsis Stem Canker: A reemerging threat to sunflower (Helianthus annuus) in the United States
USDA-ARS?s Scientific Manuscript database
Phomopsis stem canker causes yield reductions on sunflower (Helianthus annuus L.) on several continents, including Australia, Europe, and North America. In the United States, Phomopsis stem canker incidence has increased 16-fold in the Northern Great Plains between 2001 and 2012. Although Diaporthe ...
Global Climate Change Impacts in the United States
USDA-ARS?s Scientific Manuscript database
Climate change impacts on the United States vary by region and sector of the economy. Responses to climate change fall into two major categories. Mitigation focuses on the reducing emissions of heat-trapping gases or increasing their uptake to reduce the amount and speed of climate change. Adaptatio...
APPROACH FOR ASSESSING RISK OF ENVIRONMENTAL CONTAMINANTS PRESENT IN BOTANICAL DIETARY SUPPLEMENTS
Botanical dietary supplements have a long history of use in Europe and China, but they are becoming increasing popular in the United States. Since these products are classified as herbals, the United States Food and Drug Administration does not regulate nor monitor these suppleme...
Southwestern/Western United States is among the fastest growing urbanized area and faces multiple water resource challenges. Low Impact Development (LID) /Green Infrastructure (GI) practices are increasingly popular technologies for managing stormwater; however, LID is often not ...
The Rediscovery of Heritage and Community Language Education in the United States
ERIC Educational Resources Information Center
Lee, Jin Sook; Wright, Wayne E.
2014-01-01
Language and cultural preservation efforts among different communities of language speakers in the United States have received increasing attention as interest in linguistic rights and globalization continues to deepen. In addition to mounting evidence of the cognitive, psychological, and academic benefits of heritage language/community language…
Increasing the percentage of renewable energy in the Southwestern United States
USDA-ARS?s Scientific Manuscript database
Combining the output of wind farms with that of Concentrating Solar Power (CSP) plants (including a heat storage system) resulted in a substantial percentage (40%) of the total utility electrical generation in the Southwestern United States being met by renewable energy. Using wind and solar resourc...
Europe Challenges U.S. for Foreign Students
ERIC Educational Resources Information Center
Labi, Aisha
2007-01-01
Although the United States remains the world's preferred destination for students looking to earn degrees abroad, it is ceding ground to its rivals in Western Europe. Britain has long been the United States' main competitor for international students, but Continental countries like the Netherlands, France, and Germany are increasingly popular…
Creating Opportunities for Undocumented Youth: A Review of the Literature
ERIC Educational Resources Information Center
Varela, Alejandra M.
2011-01-01
The increasing number of undocumented immigrants coming to the United States has created serious socioeconomic, sociocultural, and socioeducational challenges for the communities in which these immigrants settle. Minors represent over 1.3 million of the 10.8 million unauthorized immigrants presently living in the United States. Given the secretive…
What University Governance Can Taiwan Learn from the United States?
ERIC Educational Resources Information Center
Lee, Lung-Sheng; Land, Ming H.
2010-01-01
Due to changes from centralization to marketization, Taiwan's university governance must increase its effectiveness. The purpose of this paper was to introduce trends in and issues of Taiwan's university governance, describe university governance in the United States, and draw implications that Taiwan's university governance needs to learn from…
A SALMON-CENTRIC VIEW OF THE 21ST CENTURY IN THE WESTERN UNITED STATES
Throughout the far western contiguous United States (California, Oregon, Washington, and Idaho), many wild salmon stocks have declined and some have disappeared. The decline has taken place over the past 150 years and, although there have been decades when the numbers increased,...
Critical Electronic Data Loss Perceptions of United States Military Contractors
ERIC Educational Resources Information Center
Singletary, Tod J.
2017-01-01
The United States Military has become increasingly dependent upon technology to meet its mission objectives with a consequence being greater dependence on civilian defense contractors to provide specialized services in support of high-tech mission requirements. Modern military defense contractors have also become dependent upon reliable and secure…
Carbon accounting rules and guidelines for the United States Forest Sector
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....
Medicaid and Childhood Immunizations: A National Study.
ERIC Educational Resources Information Center
Liu, Joseph Tiang-Yau; Rosenbaum, Sara
In recent years, falling immunization rates in the United States have resulted in an increased number of cases of preventable diseases. For example, the United States ranks behind 16 other nations in proportion of infants immunized against polio. Reasons for the decline of immunizations include skyrocketing vaccine costs, rising poverty rates,…
Hahn, Micah B; Monaghan, Andrew J; Hayden, Mary H; Eisen, Rebecca J; Delorey, Mark J; Lindsey, Nicole P; Nasci, Roger S; Fischer, Marc
2015-05-01
West Nile virus (WNV) is a leading cause of mosquito-borne disease in the United States. Annual seasonal outbreaks vary in size and location. Predicting where and when higher than normal WNV transmission will occur can help direct limited public health resources. We developed models for the contiguous United States to identify meteorological anomalies associated with above average incidence of WNV neuroinvasive disease from 2004 to 2012. We used county-level WNV data reported to ArboNET and meteorological data from the North American Land Data Assimilation System. As a result of geographic differences in WNV transmission, we divided the United States into East and West, and 10 climate regions. Above average annual temperature was associated with increased likelihood of higher than normal WNV disease incidence, nationally and in most regions. Lower than average annual total precipitation was associated with higher disease incidence in the eastern United States, but the opposite was true in most western regions. Although multiple factors influence WNV transmission, these findings show that anomalies in temperature and precipitation are associated with above average WNV disease incidence. Readily accessible meteorological data may be used to develop predictive models to forecast geographic areas with elevated WNV disease risk before the coming season. © The American Society of Tropical Medicine and Hygiene.
Lehan, Nora E; Murphy, Julia R; Thorburn, Lukas P; Bradley, Bethany A
2013-07-01
Preventing new plant invasions is critical for reducing large-scale ecological change. Most studies have focused on the deliberate introduction of nonnatives via the ornamental plant trade. However, accidental introduction may be an important source of nonnative, invasive plants. Using Web and literature searches, we compiled pathways of introduction to the United States for 1112 nonnative plants identified as invasive in the continental United States. We assessed how the proportion of accidentally and deliberately introduced invasive plants varies over time and space and by growth habit across the lower 48 states. Deliberate introductions of ornamentals are the primary source of invasive plants in the United States, but accidental introductions through seed contaminants are an important secondary source. Invasive forbs and grasses are the most likely to have arrived accidentally through seed contaminants, while almost all nonnative, invasive trees were introduced deliberately. Nonnative plants invading eastern states primarily arrived deliberately as ornamentals, while a high proportion of invasive plants in western states arrived accidentally as seed contaminants. Accidental introductions may be increasing in importance through time. Before 1850, 10 of 89 (11%) of invasive plants arrived accidentally. After 1900, 20 of 65 (31%) arrived accidentally. Recently enacted screening protocols and weed risk assessments aim to reduce the number of potentially invasive species arriving to the United States via deliberate introduction pathways. Increasing proportions of accidentally introduced invasive plants, particularly associated with contaminated seed imports across the western states, suggest that accidental introduction pathways also need to be considered in future regulatory decisions.
Disrupting Equilibrium: Working for Equity and Social Justice in Education for English Learners
ERIC Educational Resources Information Center
Salas, Rachel G.
2017-01-01
Many states in the western United States have seen an increase in the immigrant population. One state, in particular, has seen its foreign-born population increase 64.7% from 2000 to 2013. This increase in cultural and linguistic diversity foregrounds the 2013 passage of a specific Senate bill that "enacts provisions providing English…
Hospital Utilization and Cost Trends in Canada and the United States
Andersen, Ronald; Hull, John T.
1969-01-01
Differences in hospital costs and utilization between the United States and Canada are analyzed and an attempt made to measure the significance of various demographic, economic, and other factors thought to be related to the differences. Increases in utilization are traced to population increases and to actual increased use per person; and cost increases tied to general inflationary trends are separated from those attributable to specific hospital price increases. Differences in the financing and reimbursement mechanisms in the two countries are shown to have had little effect on relative cost increases, which in the period under consideration were parallelled by similar or greater increases in other industrialized nations. PMID:4981616
Trends in physician referrals in the United States, 1999-2009.
Barnett, Michael L; Song, Zirui; Landon, Bruce E
2012-01-23
Physician referrals play a central role in ambulatory care in the United States; however, little is known about national trends in physician referrals over time. The objective of this study was to assess changes in the annual rate of referrals to other physicians from physician office visits in the United States from 1999 to 2009. We analyzed nationally representative cross-sections of ambulatory patient visits in the United States, using a sample of 845 243 visits from the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey from 1993 to 2009, focusing on the decade from 1999 to 2009. The main outcome measures were survey-weighted estimates of the total number and percentage of visits resulting in a referral to another physician across several patient and physician characteristics. From 1999 to 2009, the probability that an ambulatory visit to a physician resulted in a referral to another physician increased from 4.8% to 9.3% (P < .001), a 94% increase. The absolute number of visits resulting in a physician referral increased 159% nationally during this time, from 41 million to 105 million. This trend was consistent across all subgroups examined, except for slower growth among physicians with ownership stakes in their practice (P = .02) or those with the majority of income from managed care contracts (P = .007). Changes in referral rates varied according to the principal symptoms accounting for patients' visits, with significant increases noted for visits to primary care physicians from patients with cardiovascular, gastrointestinal, orthopedic, dermatologic, and ear/nose/throat symptoms. The percentage and absolute number of ambulatory visits resulting in a referral in the United States grew substantially from 1999 to 2009. More research is necessary to understand the contribution of rising referral rates to costs of care.
Technical options for processing additional light tight oil volumes within the United States
2015-01-01
This report examines technical options for processing additional LTO volumes within the United States. Domestic processing of additional LTO would enable an increase in petroleum product exports from the United States, already the world’s largest net exporter of petroleum products. Unlike crude oil, products are not subject to export limitations or licensing requirements. While this is one possible approach to absorbing higher domestic LTO production in the absence of a relaxation of current limitations on crude exports, domestic LTO would have to be priced at a level required to encourage additional LTO runs at existing refinery units, debottlenecking, or possible additions of processing capacity.
1999-03-18
In the United States, office visits for otitis media increased by 150 percent between 1975 and 1990, to 24.5 million (annually), with children under...visits for otitis media , they also had the greatest increase in number of visits between 1975 and 1990: 224 percent. Of significance, is the increase in...expenditure. Gates (1996) estimated the costs to be about five billion dollars annually. Cost is not the only factor important in the management of otitis media with
Biogas Potential in the United States (Fact Sheet)
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
2013-10-01
Biogas has received increased attention as an alternative energy source in the United States. The factsheet provides information about the biogas (methane) potential from various sources in the country (by county and state) and estimates the power generation and transportation fuels production (renewable natural gas) potential from these biogas sources. It provides valuable information to the industry, academia and policy makers in support of their future decisions.
Jonathan W. Long; Frank K. Lake
2018-01-01
Tribal communities in the Pacific Northwest of the United States of America (USA) have long-standing relationships to ancestral lands now managed by federal land management agencies. In recent decades, federal and state governments have increasingly recognized tribal rights to resources on public lands and to participate in their management. In support of a new...
Khin, N A; Yang, P; Hung, H M J; Maung-U, K; Chen, Y-F; Meeker-O'Connell, A; Okwesili, P; Yasuda, S U; Ball, L K; Huang, S-M; O'Neill, R T; Temple, R
2013-08-01
Globalization of clinical research has led to an increase in clinical trials conducted outside of the United States that are submitted to the US Food and Drug Administration (FDA) in new drug applications. This article discusses the FDA's experience with these submissions in specific therapeutic areas, including the extent of this practice, differences between the effectiveness and safety outcomes of studies conducted inside and outside the United States, and the FDA's approach to acceptance of these trials.
DOE Office of Scientific and Technical Information (OSTI.GOV)
DeRosa, Sean E.; Flanagan, Tatiana Paz
The National Transportation Fuels Model was used to simulate a hypothetical increase in North Slope of Alaska crude oil production. The results show that the magnitude of production utilized depends in part on the ability of crude oil and refined products infrastructure in the contiguous United States to absorb and adjust to the additional supply. Decisions about expanding North Slope production can use the National Transportation Fuels Model take into account the effects on crude oil flows in the contiguous United States.
Severe maternal morbidity and comorbid risk in hospitals performing <1000 deliveries per year.
Hehir, Mark P; Ananth, Cande V; Wright, Jason D; Siddiq, Zainab; D'Alton, Mary E; Friedman, Alexander M
2017-02-01
While research has demonstrated increasing risk for severe maternal morbidity in the United States, risk at lower volume hospitals remains poorly characterized. More than half of all obstetric units in the United States perform <1000 deliveries per year and improving care at these hospitals may be critical to reducing risk nationwide. We sought to characterize maternal risk profiles and severe maternal morbidity at low-volume hospitals in the United States. We used data from the Nationwide Inpatient Sample to evaluate trends in severe maternal morbidity and comorbid risk during delivery hospitalizations in the United States from 1998 through 2011. Comorbid maternal risk was estimated using a comorbidity index validated for obstetric patients. Severe maternal morbidity was defined as the presence of any 1 of 15 diagnoses representative of acute organ injury and critical illness. A total of 2,300,279 deliveries occurred at hospitals with annual delivery volume <1000, representing 20% of delivery hospitalizations overall. There were 7849 cases (0.34%) of severe morbidity in low-volume hospitals and this risk increased over the course of the study from 0.25% in 1998 through 1999 to 0.49% in 2010 through 2011 (P < .01). The risk in hospitals with ≥1000 deliveries increased from 0.35-0.62% during the same time periods. The proportion of patients with the lowest comorbidity decreased, while the proportion of patients with highest comorbidity increased the most. The risk of severe morbidity increased across all women including those with low comorbidity scores. Risk for severe morbidity associated with obstetric hemorrhage, infection, hypertensive diseases of pregnancy, and medical conditions all increased during the study period. Our findings demonstrate increasing maternal risk at hospitals performing <1000 deliveries per year broadly distributed over the patient population. Rates of morbidity in centers with ≥1000 deliveries have also increased. These findings suggest that maternal safety improvements are necessary at all centers regardless of volume. Copyright © 2016 Elsevier Inc. All rights reserved.
Changing patterns in the use, recycling, and material substitution of mercury in the United States
Wilburn, David R.
2013-01-01
Environmental concerns have led to numerous regulations that have dramatically decreased the reported production and use of mercury in the United States since the 1980s. Government legislation and subsequent industry actions have led to increased collection of mercury-containing materials and the recovery of mercury through recycling. Mercury emissions have been reduced and effective alternatives to mercury products have been developed for many applications. This study updates and quantifies the changes in demand, supply, use, and material flow for mercury in various sectors in the United States that have taken place since 1996. Nearly all primary mercury produced in the United States is derived as a byproduct of processing of gold and silver ore in Nevada. Since 2001, annual production of mercury from gold and silver mining in Nevada has decreased by 22 percent overall because ore from greater depths containing low grade mercury is recovered, and mercury emissions from this source have decreased by 95 percent as a result of increased regulation and improved collection and suppression technology. The distribution of consumption of mercury in the United States has changed as a result of regulation (elimination of large-scale mercury use in the paint and battery sectors), reduction by consumers (decommissioning of mercury-cell chloralkali manufacturing capacity), and technological advances (improvements in dental, lighting, and wiring sectors). Mercury use in the chloralkali sector, the leading end-use sector in the United States in 1996, has declined by 98 percent from 136 metric tons (t) in 1996 to about 0.3 t in 2010 because of increased processing and recycling efficiencies and plant closures or conversion to other technologies. As plants were closed, mercury recovered from the infrastructure of decommissioned plants has been exported, making the United States a net exporter of mercury, even though no mercury has been produced as the primary product from mines in the United States since 1992. In 1996, the three leading end-use sectors for mercury in the United States were chloralkali manufacturing (accounting for 38 percent of consumption), electrical and electronic instrumentation (13 percent of consumption), and instruments and measuring devices (11 percent of consumption). In 2010, the three leading end-use sectors were dental amalgam (accounting for between 35 and 57 percent of consumption), electrical and electronic instrumentation (29 percent of consumption), and batteries (8 percent of consumption). Mercury use in lighting is increasing because incandescent lights are being phased out in favor of mercury-containing compact fluorescent bulbs, but the demand for mercury per unit produced is small. Dental amalgam constituted the largest amount of mercury in use in the United States. One study reported about 290 t of mercury in dental amalgam was estimated to be contained in human mouths, an estimated 30 t of mercury amalgam was treated as waste, 28.5 t of mercury amalgam was released to the environment, 6 t of amalgam was recycled, and 3.5 t was treated and stored in landfills in 2009. Mercury contained in products recovered by State, municipal, or industry collection activities is recycled, but the estimated overall recycling rate is less than 10 percent. Increasingly, the U.S. mercury recycling industry has been processing a significant amount of mercury-containing material derived from foreign gold mining operations or decommissioned mercury-cell chloralkali plants. Regulation of mercury export and storage is expected to result in surplus mercury inventories in the United States. The Mercury Export Ban Act of 2008 limits elemental mercury exports for unregulated uses such as artisanal gold mining after January 1, 2013, and requires development of adequate long-term storage facilities in the United States for elemental mercury. During the past 4 years, producers and recyclers of elemental mercury have been exporting large quantities of mercury in anticipation of this regulation, but the U.S. inventory of mercury in 2010 was estimated to have exceeded 7,000 t from Government stockpiles and industry stocks. Costs attributed to long-term storage may affect the competitiveness of mercury recycling.
Bradman, Asa; Schwartz, Jackie M.; Fenster, Laura; Barr, Dana B.; Holland, Nina T.; Eskenazi, Brenda
2015-01-01
Organochlorine (OC) pesticide use was restricted starting in the 1970s in developed countries and the 1980s and 1990s in developing countries. Current exposure to OC pesticides – DDT, lindane (99% pure gamma-hexachlorocyclohexane (γ-HCH)), hexachlorobenzene (HCB) – occurs on a limited basis. We measured p,p′-DDE, p,p′-DDT, o,p′-DDT, HCB, beta (β)-HCH (the most persistent isomer of technical-grade HCH) and γ-HCH in serum from 426 low-income pregnant Latina women living in an agricultural community in California. Detection frequencies were 94-100%. Median levels (ng/g-lipid) of p,p′-DDE (1,052), p,p′-DDT (13), β-HCH (37) and HCB (65) were significantly higher than U.S. population levels. Multivariate analyses of p,p′-DDE, p,p′-DDT, o,p′-DDT, β-HCH and HCB indicate that time spent living outside the United States and birthplace in an area of Mexico with recent use of OC pesticides were significant predictors of exposure. Time spent living in the United States was associated with increased serum levels of p,p′-DDE and β-HCH, but the increase for each year lived in the United States was lower than for each year lived outside the United States. There was no difference between the increase of HCB levels over time spent in or outside the United States, suggesting current and thus preventable exposure routes. However, we observed no associations between serum levels of any OC compound and current intake of saturated fat or agricultural take-home exposure risk factors. Lactation history and recent weight gain were negatively associated with serum levels of some, but not all OC compounds studied. Smoking history was borderline associated with elevated HCB levels. We observed no significant associations with body mass index. Although the weight of evidence from this study indicates that most exposure occurred prior to moving to the United States, the results for HCB indicate the possibility of ongoing exposure in this country. PMID:17033681
Stephenson, Anne L; Sykes, Jenna; Stanojevic, Sanja; Quon, Bradley S; Marshall, Bruce C; Petren, Kristofer; Ostrenga, Josh; Fink, Aliza K; Elbert, Alexander; Goss, Christopher H
2017-04-18
In 2011, the median age of survival of patients with cystic fibrosis reported in the United States was 36.8 years, compared with 48.5 years in Canada. Direct comparison of survival estimates between national registries is challenging because of inherent differences in methodologies used, data processing techniques, and ascertainment bias. To use a standardized approach to calculate cystic fibrosis survival estimates and to explore differences between Canada and the United States. Population-based study. 42 Canadian cystic fibrosis clinics and 110 U.S. cystic fibrosis care centers. Patients followed in the Canadian Cystic Fibrosis Registry (CCFR) and U.S. Cystic Fibrosis Foundation Patient Registry (CFFPR) between 1990 and 2013. Cox proportional hazards models were used to compare survival between patients followed in the CCFR (n = 5941) and those in the CFFPR (n = 45 448). Multivariable models were used to adjust for factors known to be associated with survival. Median age of survival in patients with cystic fibrosis increased in both countries between 1990 and 2013; however, in 1995 and 2005, survival in Canada increased at a faster rate than in the United States (P < 0.001). On the basis of contemporary data from 2009 to 2013, the median age of survival in Canada was 10 years greater than in the United States (50.9 vs. 40.6 years, respectively). The adjusted risk for death was 34% lower in Canada than the United States (hazard ratio, 0.66 [95% CI, 0.54 to 0.81]). A greater proportion of patients in Canada received transplants (10.3% vs. 6.5%, respectively [standardized difference, 13.7]). Differences in survival between U.S. and Canadian patients varied according to U.S. patients' insurance status. Ascertainment bias due to missing data or nonrandom loss to follow-up might affect the results. Differences in cystic fibrosis survival between Canada and the United States persisted after adjustment for risk factors associated with survival, except for private-insurance status among U.S. patients. Differential access to transplantation, increased posttransplant survival, and differences in health care systems may, in part, explain the Canadian survival advantage. U.S. Cystic Fibrosis Foundation.
A state-based national network for effective wildlife conservation
Meretsky, Vicky J.; Maguire, Lynn A.; Davis, Frank W.; Stoms, David M.; Scott, J. Michael; Figg, Dennis; Goble, Dale D.; Griffith, Brad; Henke, Scott E.; Vaughn, Jacqueline; Yaffee, Steven L.
2012-01-01
State wildlife conservation programs provide a strong foundation for biodiversity conservation in the United States, building on state wildlife action plans. However, states may miss the species that are at the most risk at rangewide scales, and threats such as novel diseases and climate change increasingly act at regional and national levels. Regional collaborations among states and their partners have had impressive successes, and several federal programs now incorporate state priorities. However, regional collaborations are uneven across the country, and no national counterpart exists to support efforts at that scale. A national conservation-support program could fill this gap and could work across the conservation community to identify large-scale conservation needs and support efforts to meet them. By providing important information-sharing and capacity-building services, such a program would advance collaborative conservation among the states and their partners, thus increasing both the effectiveness and the efficiency of conservation in the United States.
Emerging Infections: Microbial Threats to Health in the United States
1992-01-01
change in the U.S. public health system since the release of that report. The recent rapid increases in the incidence of measles and tuberculosis are...estimnated $3 to _S4 in savings: these savings increase dramatically when the cost of’ reatiniz multidrug-resistant tuberculosis is factored inl. We also...McNeill. 1976). Plague infection is now en/ootic in much of the rodent population in the western United States, Mexico . and Canada. Thanks to modern
ERIC Educational Resources Information Center
Kuhn, Jochen; Molz, Alexander; Gröber, Sebastian; Frübis, Jan
2014-01-01
A study conducted in 2013 showed that about 70-80% of teens and young adults in the United States own a smartphone. Furthermore the number of tablet PC users in the United States will increase up to more than 80% by 2015. As a result, these devices have increasingly become everyday tools, particularly for the younger generation. In recent years,…
Introcaso, Camille E; Xu, Fujie; Kilmarx, Peter H; Zaidi, Akbar; Markowitz, Lauri E
2013-07-01
In 2009, an estimated 3590 new heterosexually acquired HIV infections occurred in males in the United States. Three randomized controlled trials demonstrated that male circumcision decreased a man's risk for HIV acquisition through heterosexual sex. We describe circumcision prevalence in US males and determine circumcision prevalence among males potentially at increased risk for heterosexually acquired HIV infection. We estimated circumcision prevalence among men and boys aged 14 to 59 years using data from the National Health and Nutrition Examination Surveys 2005-2010. We defined men and boys with 2 or more female partners in the last year as potentially at increased risk for heterosexually acquired HIV infection. Estimated circumcision prevalence was 80.5%. Prevalence varied significantly by year of birth, race/ethnicity, health insurance type, and family income. Circumcision prevalence among men and boys reporting 2 or more female partners in the last year was 80.4%, which corresponded to an estimated 3.5 million uncircumcised men and boys potentially at increased risk for heterosexually acquired HIV infection. Of these men and boys, 48.3% lacked health insurance. Circumcision prevalence in the United States differs by demographic group, and half of uncircumcised men and boys potentially at increased risk for heterosexually acquired HIV are uninsured. These data could inform recommendations and cost analyses concerning circumcision in the United States.
Achieving climate connectivity in a fragmented landscape
Lawler, Joshua J.; McRae, Brad H.; Nuñez, Tristan A.; Theobald, David M.
2016-01-01
The contiguous United States contains a disconnected patchwork of natural lands. This fragmentation by human activities limits species’ ability to track suitable climates as they rapidly shift. However, most models that project species movement needs have not examined where fragmentation will limit those movements. Here, we quantify climate connectivity, the capacity of landscape configuration to allow species movement in the face of dynamically shifting climate. Using this metric, we assess to what extent habitat fragmentation will limit species movements in response to climate change. We then evaluate how creating corridors to promote climate connectivity could potentially mitigate these restrictions, and we assess where strategies to increase connectivity will be most beneficial. By analyzing fragmentation patterns across the contiguous United States, we demonstrate that only 41% of natural land area retains enough connectivity to allow plants and animals to maintain climatic parity as the climate warms. In the eastern United States, less than 2% of natural area is sufficiently connected. Introducing corridors to facilitate movement through human-dominated regions increases the percentage of climatically connected natural area to 65%, with the most impactful gains in low-elevation regions, particularly in the southeastern United States. These climate connectivity analyses allow ecologists and conservation practitioners to determine the most effective regions for increasing connectivity. More importantly, our findings demonstrate that increasing climate connectivity is critical for allowing species to track rapidly changing climates, reconfiguring habitats to promote access to suitable climates. PMID:27298349
Achieving climate connectivity in a fragmented landscape.
McGuire, Jenny L; Lawler, Joshua J; McRae, Brad H; Nuñez, Tristan A; Theobald, David M
2016-06-28
The contiguous United States contains a disconnected patchwork of natural lands. This fragmentation by human activities limits species' ability to track suitable climates as they rapidly shift. However, most models that project species movement needs have not examined where fragmentation will limit those movements. Here, we quantify climate connectivity, the capacity of landscape configuration to allow species movement in the face of dynamically shifting climate. Using this metric, we assess to what extent habitat fragmentation will limit species movements in response to climate change. We then evaluate how creating corridors to promote climate connectivity could potentially mitigate these restrictions, and we assess where strategies to increase connectivity will be most beneficial. By analyzing fragmentation patterns across the contiguous United States, we demonstrate that only 41% of natural land area retains enough connectivity to allow plants and animals to maintain climatic parity as the climate warms. In the eastern United States, less than 2% of natural area is sufficiently connected. Introducing corridors to facilitate movement through human-dominated regions increases the percentage of climatically connected natural area to 65%, with the most impactful gains in low-elevation regions, particularly in the southeastern United States. These climate connectivity analyses allow ecologists and conservation practitioners to determine the most effective regions for increasing connectivity. More importantly, our findings demonstrate that increasing climate connectivity is critical for allowing species to track rapidly changing climates, reconfiguring habitats to promote access to suitable climates.
Performance-Based Funding: Equity Analysis of Funding Distribution among State Universities
ERIC Educational Resources Information Center
Ellis, Robin Ann
2015-01-01
How to finance higher education remains controversial among policy makers and constituencies across the United States. Texas is not exempt from the controversy. With increasingly strained state finances, institutions of higher education and the Texas Higher Education Coordinating Board (THECB) have come under pressure to increase performance…
Pollock, C L; Ivanova, T D; Hunt, M A; Garland, S J
2014-10-01
There is limited investigation of the interaction between motor unit recruitment and rate coding for modulating force during standing or responding to external perturbations. Fifty-seven motor units were recorded from the medial gastrocnemius muscle with intramuscular electrodes in response to external perturbations in standing. Anteriorly directed perturbations were generated by applying loads in 0.45-kg increments at the pelvis every 25-40 s until 2.25 kg was maintained. Motor unit firing rate was calculated for the initial recruitment load and all subsequent loads during two epochs: 1) dynamic response to perturbation directly following each load drop and 2) maintenance of steady state between perturbations. Joint kinematics and surface electromyography (EMG) from lower extremities and force platform measurements were assessed. Application of the external loads resulted in a significant forward progression of the anterior-posterior center of pressure (AP COP) that was accompanied by modest changes in joint angles (<3°). Surface EMG increased more in medial gastrocnemius than in the other recorded muscles. At initial recruitment, motor unit firing rate immediately after the load drop was significantly lower than during subsequent load drops or during the steady state at the same load. There was a modest increase in motor unit firing rate immediately after the load drop on subsequent load drops associated with regaining balance. There was no effect of maintaining balance with increased load and forward progression of the AP COP on steady-state motor unit firing rate. The medial gastrocnemius utilized primarily motor unit recruitment to achieve the increased levels of activation necessary to maintain standing in the presence of external loads. Copyright © 2014 the American Physiological Society.
Trypanosoma cruzi and Chagas' Disease in the United States
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
NASA Astrophysics Data System (ADS)
Sebestyen, Stephen D.; Boyer, Elizabeth W.; Shanley, James B.
2009-06-01
In coming decades, higher annual temperatures, increased growing season length, and increased dormant season precipitation are expected across the northeastern United States in response to anthropogenic forcing of global climate. We synthesized long-term stream hydrochemical data from the Sleepers River Research Watershed in Vermont, United States, to explore the relationship of catchment wetness to stream nitrate and DOC loadings. We modeled changes in growing season length and precipitation patterns to simulate future climate scenarios and to assess how stream nutrient loadings respond to climate change. Model results for the 2070-2099 time period suggest that stream nutrient loadings during both the dormant and growing seasons will respond to climate change. During a warmer climate, growing season stream fluxes (runoff +20%, nitrate +57%, and DOC +58%) increase as more precipitation (+28%) and quick flow (+39%) occur during a longer growing season (+43 days). During the dormant season, stream water and nutrient loadings decrease. Net annual stream runoff (+8%) and DOC loading (+9%) increases are commensurate with the magnitude of the average increase of net annual precipitation (+7%). Net annual stream water and DOC loadings are primarily affected by increased dormant season precipitation. In contrast, decreased annual loading of stream nitrate (-2%) reflects a larger effect of growing season controls on stream nitrate and the effects of lengthened growing seasons in a warmer climate. Our findings suggest that leaching of nitrate and DOC from catchment soils will be affected by anthropogenic climate forcing, thereby affecting the timing and magnitude of annual stream loadings in the northeastern United States.
Expect the Unexpected: International Short-Term Study Course Pedagogies and Practices
ERIC Educational Resources Information Center
Roholt, Ross VeLure; Fisher, Colleen
2013-01-01
Given the United States' population changes and the increasing impact of globalization, international context and experience in the MSW curriculum are essential. Gaining popularity as a vehicle for such experience are short-term international courses, defined as educational trips outside the United States lasting from 1 to 3 weeks. To achieve…
DOT National Transportation Integrated Search
2010-10-01
Flight delay is a serious and widespread problem in the United States. Increasing flight delays place a significant strain on the US air travel system and cost airlines, passengers, and society at many billions of dollars each year. While a number of...
The United States Is Far behind Other Countries on Pre-K
ERIC Educational Resources Information Center
Herman, Juliana; Post, Sasha; O'Halloran, Scott
2013-01-01
Early childhood education and school readiness is essential to preparing children to succeed in an increasingly competitive global economy. Compared to other countries, however, the United States lags far behind on preschool, trailing a number of other countries in enrollment, investment, and quality. In February 2013, however, President Barack…
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…
USDA-ARS?s Scientific Manuscript database
Take home Message Producing high-quality forage is more economical than producing fodder for US organic dairy farms Introduction Organic dairy farmers have shown increased interest in growing sprouted barley fodder in temperate regions of the United States where producing high-quality forage has b...
ERIC Educational Resources Information Center
Kim, Younghan
2013-01-01
Today, globalization has increased cross-border migration in many countries. The public school classroom in the United States has been getting more diverse, linguistically, culturally, racially, and ethnically. Classrooms in South Korea are also becoming linguistically, culturally, racially, and ethnically diverse because of the fast growth of…
Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-27
.... 100120036-0360-02] RIN 0648-XT99 Fisheries of the Northeastern United States; Black Sea Bass Fishery; 2010 Black Sea Bass Specifications; Emergency Rule Extension; Correction AGENCY: National Marine Fisheries... emergency action to increase the 2010 black sea bass specifications. The preamble text of that rule...
Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-07
...--XT99 [Docket No. 100120036-0038-01] Fisheries of the Northeastern United States; Black Sea Bass Fishery; 2010 Black Sea Bass Specifications; Emergency Rule Extension AGENCY: National Marine Fisheries Service...; emergency action extension. SUMMARY: NMFS is extending the emergency action to increase the 2010 black sea...
Goals for United States Higher Education: From Democracy to Globalisation
ERIC Educational Resources Information Center
Hutcheson, Philo
2011-01-01
Although globalisation has been an increasingly important characteristic of United States higher education for over two decades, there has been little historical analysis of the process or its origins. This article argues that beginning in the early 1970s, institutional, national, and international events established a powerful context for the…
ERIC Educational Resources Information Center
Uchitelle, Susan
2000-01-01
South Africa and the United States face similar problems: teachers' inadequacies in educating an increasingly diverse population; a culture of poverty undermining public support; urban decay and declining tax bases; insufficient resources; totally inadequate school facilities; and unrealistic expectations, considering allotted resources, faculty,…
Fate of Hexazinone and Picloram in Southern United States Forest Watersheds
D.G. Neary; P.B. Bush; J.L. Michael
1986-01-01
Herbicides are being used more frequently in the intensively managed forest ecosystems of the southeastern United States. Host of this increased use occurs during site preparation prior to replanting cutover or converted stands. Herbicides provide a cost effective tool for controlling herbaceous and woody weed competition which adversely affects pine establishment and...
Media Messages and Perception of Risk for Ebola Virus Infection, United States.
Sell, Tara Kirk; Boddie, Crystal; McGinty, Emma E; Pollack, Keshia; Smith, Katherine Clegg; Burke, Thomas A; Rutkow, Lainie
2017-01-01
News media have been blamed for sensationalizing Ebola in the United States, causing unnecessary alarm. To investigate this issue, we analyzed US-focused news stories about Ebola virus disease during July 1-November 30, 2014. We found frequent use of risk-elevating messages, which may have contributed to increased public concern.
Technology in the Classroom: Teachers and Technology--A Technological Divide
ERIC Educational Resources Information Center
Clarke, Gregory, Sr.; Zagarell, Jesse
2012-01-01
The education system in the United States continues to grapple with adapting to change, especially when it comes to integrating technology in the curriculum. The United States needs to use its resources to stay competitive in the increasingly technological world, particularly in the classroom. Lefebvre, Deaudelin, and Loiselle (2006) posit that…
Beyond Bias and Barriers: Fulfilling the Potential of Women in Academic Science and Engineering
ERIC Educational Resources Information Center
National Academies Press, 2007
2007-01-01
The United States economy relies on the productivity, entrepreneurship, and creativity of its people. To maintain its scientific and engineering leadership amid increasing economic and educational globalization, the United States must aggressively pursue the innovative capacity of all its people--women and men. However, women face barriers to…
USDA-ARS?s Scientific Manuscript database
Widespread decreases in annualized streamflow have been observed across mountain watersheds in the Pacific Northwest of the United States over the last ~70 years, however in some watersheds, observed streamflow has increased. To deconvolve the combined effects of climate and vegetation on long-term ...
Building Customized University-to-Business (U2B) Partnerships
ERIC Educational Resources Information Center
Irvine, George; Verma, Lisa
2013-01-01
Continuing education (CE) units throughout the United States have successfully built University-to-Business (U2B) partnerships to provide greater value to their community partners and to increase revenue for the university. Our experience in building U2B partnerships and feedback from our partners--businesses, corporations, state agencies, and…
Demand for resident hunting in the southeastern United States
Neelam Poudyal; Seong Hoon Cho; J. Michael Bowker
2008-01-01
We modeled hunting demand among resident hunters in the Southeastern United States. Our model revealed that future hunting demand will likely decline in this region. Population growth in the region will increase demand but structural change in the region's demography (e.g., "browning" and "aging "), along with declining forestland access will...
ERIC Educational Resources Information Center
Cooper, Brian J.
2012-01-01
Teaching evaluation systems are an important part of the total evaluation of faculty in geography departments in the United States. As demands for accountability for teaching effectiveness continue to emerge from many groups, it has become increasingly important for geography departments to develop systems that not only provide teaching…
Student Perceptions of a Summer Ventures in Science and Mathematics Camp Experience
ERIC Educational Resources Information Center
Binns, Ian C.; Polly, Drew; Conrad, James; Algozzine, Bob
2016-01-01
"As the world becomes increasingly technological, the value of (the ideas and skills of its population) will be determined in no small measure by the effectiveness of science, technology, engineering, and mathematics (STEM) education in the United States" and "STEM education will determine whether the United States will remain a…
USDA-ARS?s Scientific Manuscript database
Information systems supporting the delivery of conservation technical assistance by the United States Department of Agriculture (USDA) to agricultural producers on working lands have become increasingly complex over the past 25 years. They are constrained by inconsistent coordination of domain knowl...
International Student-Athlete Adjustment Experience at Community Colleges in the Midwest
ERIC Educational Resources Information Center
Sabourin, Jennifer J.
2017-01-01
Each academic year, the number of international students attending colleges and universities in the United States increases. Of the nearly 1 million international students coming to the United States for education, just under 10% enroll at community colleges; international student-athletes are among that total. In addition to the cultural and…
A Comparison of Institutional Climates in Higher Education in the United States and South Africa
ERIC Educational Resources Information Center
Taylor, Juanyce Deanna
2012-01-01
Increasing opportunities and access of historically underrepresented populations to higher education in both the United States and South Africa have proved challenging due to institutional climates that are perceived as unwelcoming and unsupportive. The purpose of this study was to investigate factors relating to institutional climates to uncover…
Youth Risk Behavior Surveillance--United States, 1999. CDC Surveillance Summaries.
ERIC Educational Resources Information Center
MMWR: Morbidity and Morality Weekly Report, 2000
2000-01-01
In the United States, approximately three-fourths of all deaths among persons aged 10-24 years result from only four causes: motor-vehicle crashes, other unintentional injuries, homicide, and suicide. Results from this 1999 national Youth Risk Behavior Survey demonstrate that numerous high school students engage in behaviors that increase the…
Experiences of International Female Students in U.S. Graduate Programs
ERIC Educational Resources Information Center
Contreras-Aguirre, Hilda Cecilia; Gonzalez Y Gonzalez, Elsa
2017-01-01
International students enrolled in American institutions of higher education have been increasing during the past decades. The current study addresses the experiences of international female graduate students in the United States, in terms of difficulties as students at a southern American university and temporal residents of the United States.…
The United States Marine Corps: The 911 Force in the Post-9/11 World
2007-02-23
increased efforts to engage narco-crime syndicate threats such as the Revolutionary Armed Forces of Columbia (FARC), which is largely responsible for...discord. The United States should view this as an opportunity. As New York Times columnist James Traub notes, If we believe that a model of development
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…
Ideas for Integrating Japan into the Curriculum. ERIC Digest.
ERIC Educational Resources Information Center
Wojtan, Linda S.
This ERIC Digest discusses how, by studying Japan, the larger context of the Asia-Pacific region can be explored and students can be introduced to current realities. The top 5 competitive countries for 1994 were the United States, Singapore, Japan, Hong Kong, and Germany. Because of the increasing interdependence between the United States and…
Computer Aided Reading Diagnosis.
ERIC Educational Resources Information Center
McEneaney, John E.
Computer technologies are having an ever-increasing influence on educational research and practice in Russia and the United States. In Russia, a number of recent papers have focused on the application of the computer as a teaching tool and on its influence in instructional organization and planning. In the United States, there is a great deal of…
Residential context has received increased attention as a possible contributing factor to race/ethnic and socio-economic disparities in birth outcomes in the United States. Utilising vital statistics birth record data, this study examined the association between neighbourhood dep...
Domino, Marisa Elena; Dow, William H; Coto-Yglesias, Fernando
2014-10-01
The relationship of education, psychiatric diagnoses, and use of psychotropic medication has been explored in the United States, but little is known about this relationship in poorer countries, despite the high burden of mental illness in these countries. This study estimated educational gradients in diagnosis and psychotropic drug use in the United States and Costa Rica, a middle-income country with universal health insurance. Analyses were conducted by using data of older adults (≥60) from the 2005 U.S. Medical Expenditure Panel Survey (N=4,788) and the 2005 Costa Rican Longevity and Healthy Aging Study (N=2,827). Logistic regressions examined the effect of education level (low, medium, or high) and urban residence on the rates of self-reported mental health diagnoses, screening diagnosis, and psychotropic medication use with and without an associated psychiatric diagnosis. Rates of self-reported diagnoses were lower in the United States (12%) than in Costa Rica (20%), possibly reflecting differences in survey wording. In both countries, the odds of having depression were significantly lower among persons with high education. In Costa Rica, use of psychotropic medication among persons with self-reported diagnoses increased by education level. The educational gradients in medication use were different in the United States and Costa Rica, and stigma and access to care in these countries may play an important role in these differences, although type of insurance did not affect educational gradients in the United States. These analyses increase the evidence of the role of education in use of the health care system.
Impact of the Cornea Donor Study (CDS) on Acceptance of Corneas from Older Donors
Sugar, Alan; Montoya, Monty M.; Beck, Roy; Cowden, John W.; Dontchev, Mariya; Gal, Robin L.; Kollman, Craig; Malling, Jackie; Mannis, Mark J.; Tennant, Bradley
2014-01-01
Purpose Evaluate retrospectively whether findings from the Cornea Donor Study (CDS) led to changes in the transplantation of corneas from older donors. Methods United States eye banks provided complete data on donor age and placement (domestic or international) for 86,273 corneas from 1998 to 2009. The data were analyzed by 3 time periods: preceding CDS (1998–1999), during CDS (2000–2007) and after publication of CDS 5 year results (2008–2009), and separately for corneas placed within vs. outside the United States. Results For corneal tissues transplanted in the United States, the percentage of donors ≥66 years old increased from 19% before CDS to 21% during CDS and 25% after CDS (p<0.001). Corresponding median (25th-75th percentile) donor ages were 53 (39–63), 54 (41–64) and 57 (46–66), respectively (p<0.001). The opposite trend was observed for corneas distributed outside the United States with the percentage of donors ≥66 years old decreasing from 56% to 42% to 34%, respectively. Donor age trends over time varied by eye bank. Conclusions There was a modest overall increase in the donor age of corneas transplanted in the United States from 1998 to 2009, but the retrospective nature of the study limits our ability to attribute this change to the CDS. The modest increases in the donor age of corneas transplanted is a positive finding, but wider acceptance of older corneal donor tissue should be encouraged based on the five-year evidence generated by the CDS. PMID:22262218
Incidence of pediatric acute mastoiditis: 1997-2006.
Pritchett, Cedric V; Thorne, Marc C
2012-05-01
To evaluate the incidence of acute mastoiditis in children in the United States over the years 1997 through 2006 and to explore possible explanations for the conflicting conclusions of recent studies of this topic. Comparison of periodic incidence over a decade. Academic and community, general, and pediatric specialty hospitals in the United States. Children younger than 18 years in the United States treated and discharged with a diagnosis of acute mastoiditis during the years 1997 through 2006. To compare true incidence of acute mastoiditis in the pediatric population of the United States, data from Healthcare Costs and Utilization Project-Kids' Inpatient Database (HCUP-KID) was examined for nationally weighted estimates of hospital discharges, demographics (age and sex), hospital characteristics, and insurance characteristics. No significant change was found in the incidence of acute mastoiditis over the study period (from 1.88 to 1.62 per 100,000 person-years) (regression coefficient -0.024 [95% CI, -0.110 to 0.024]) (P = .37). Children admitted with acute mastoiditis had an increased odds of presenting to a teaching hospital (odds ratio [OR], 1.38 [95% CI, 1.31-1.45]) (P < .001), a children's hospital (OR, 1.08 [95% CI, 1.03-1.14]) (P = .001), and to a metropolitan location (OR, 1.10 [95% CI, 1.02-1.18]) (P = .016) over calendar time. The incidence of acute mastoiditis in the United States is not increasing. The changes in hospital factors identified over the course of this study may explain the perception of increased incidence identified in studies that have not used population-level data.
NASA Astrophysics Data System (ADS)
Zhou, Tao; Luo, Yiqi
2008-09-01
Ecosystem carbon (C) uptake is determined largely by C residence times and increases in net primary production (NPP). Therefore, evaluation of C uptake at a regional scale requires knowledge on spatial patterns of both residence times and NPP increases. In this study, we first applied an inverse modeling method to estimate spatial patterns of C residence times in the conterminous United States. Then we combined the spatial patterns of estimated residence times with a NPP change trend to assess the spatial patterns of regional C uptake in the United States. The inverse analysis was done by using the genetic algorithm and was based on 12 observed data sets of C pools and fluxes. Residence times were estimated by minimizing the total deviation between modeled and observed values. Our results showed that the estimated C residence times were highly heterogeneous over the conterminous United States, with most of the regions having values between 15 and 65 years; and the averaged C residence time was 46 years. The estimated C uptake for the whole conterminous United States was 0.15 P g C a-1. Large portions of the taken C were stored in soil for grassland and cropland (47-70%) but in plant pools for forests and woodlands (73-82%). The proportion of C uptake in soil was found to be determined primarily by C residence times and be independent of the magnitude of NPP increase. Therefore, accurate estimation of spatial patterns of C residence times is crucial for the evaluation of terrestrial ecosystem C uptake.
Charles E. Keegan; Todd A. Morgan; Keith A. Blatner; Jean M. Daniels
2010-01-01
This article describes trends in three measures of lumber recovery for sawmills in the western United States: lumber overrun (LO), lumber recovery factor (LRF), and cubic lumber recovery (CLR). All states and regions showed increased LO during the last three decades. Oregon and Montana had the highest LO at 107 and 100 percent, respectively. Alaska had the lowest LO at...
McNamara, Daniel E.; Stephenson, William J.; Odum, Jackson K.; Williams, Robert; Gee, Lind
2014-01-01
Earthquake damage is often increased due to local ground-motion amplification caused by soft soils, thick basin sediments, topographic effects, and liquefaction. A critical factor contributing to the assessment of seismic hazard is detailed information on local site response. In order to address and quantify the site response at seismograph stations in the eastern United States, we investigate the regional spatial variation of horizontal:vertical spectral ratios (HVSR) using ambient noise recorded at permanent regional and national network stations as well as temporary seismic stations deployed in order to record aftershocks of the 2011 Mineral, Virginia, earthquake. We compare the HVSR peak frequency to surface measurements of the shear-wave seismic velocity to 30 m depth (Vs30) at 21 seismograph stations in the eastern United States and find that HVSR peak frequency increases with increasing Vs30. We use this relationship to estimate the National Earthquake Hazards Reduction Program soil class at 218 ANSS (Advanced National Seismic System), GSN (Global Seismographic Network), and RSN (Regional Seismograph Networks) locations in the eastern United States, and suggest that this seismic station–based HVSR proxy could potentially be used to calibrate other site response characterization methods commonly used to estimate shaking hazard.
Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature
Haddad, Linda; El-Shahawy, Omar; Ghadban, Roula; Barnett, Tracey E.; Johnson, Emily
2015-01-01
Background: Researchers in tobacco control are concerned about the increasing prevalence of waterpipe smoking in the United States, which may pose similar risks as cigarette smoking. This review explores the prevalence of waterpipe smoking in the United States as well as the shortcomings of current U.S. policy for waterpipe control and regulation. Methods: Researchers conducted a literature review for waterpipe articles dated between 2004 and 2015 using five online databases: MEDLINE, CINHAHL, ScienceDirect, PMC, and Cochrane Library. Results: To date, few studies have explored the marketing and regulation of waterpipe smoking in the U.S., which has increased in the last ten years, especially among women, adolescents, and young adults. Data indicate that the majority of waterpipe smokers are unaware of the potential risks of use. In addition, current tobacco control policies do not address waterpipe smoking, enabling tobacco companies to readily market and sell waterpipe products to young adults, who are at risk for becoming lifelong smokers. Conclusion: Policy makers in the area of public health need to update existing tobacco regulations to include waterpipe smoking. Similarly, public health researchers should develop public health campaigns and interventions to address the increasing rates of waterpipe smoking in the United States. PMID:26110330
Childbearing across Partnerships in Australia, the United States, Norway and Sweden
Thomson, Elizabeth; Lappegård, Trude; Carlson, Marcia; Evans, Ann; Gray, Edith
2017-01-01
This paper compares mothers’ experience of having children with more than one partner in two liberal welfare regimes (the United States and Australia) and two social democratic regimes (Sweden and Norway). We use survey-based union and birth histories in Australia and the United States and data from national population registers in Norway and Sweden to estimate the likelihood of experiencing childbearing across partnerships at any point in the childbearing career. We find that births with new partners constitute a substantial proportion of all births in each country we study. Despite quite different arrangements for social welfare, the determinants of childbearing across partnerships are very similar. Women who had their first birth at a very young age or who are less well educated are most likely to have children with different partners. Socioeconomic differentials in childbearing across partnerships appeared to be stronger in the United States, but not in comparison to differentials in childbearing in the same union. Thus, no strong evidence was found for a steeper educational gradient in the liberal as opposed to social democratic welfare regimes. The risk of childbearing across partnerships increased dramatically in all countries from the 1980s to the 2000s, and the educational differential also increased; again, however, the increases were not associated with welfare regime. PMID:24399143
García, Macarena C; Bastian, Brigham; Rossen, Lauren M; Anderson, Robert; Miniño, Arialdi; Yoon, Paula W; Faul, Mark; Massetti, Greta; Thomas, Cheryll C; Hong, Yuling; Iademarco, Michael F
2016-11-18
Death rates by specific causes vary across the 50 states and the District of Columbia.* Information on differences in rates for the leading causes of death among states might help state health officials determine prevention goals, priorities, and strategies. CDC analyzed National Vital Statistics System data to provide national and state-specific estimates of potentially preventable deaths among the five leading causes of death in 2014 and compared these estimates with estimates previously published for 2010. Compared with 2010, the estimated number of potentially preventable deaths changed (supplemental material at https://stacks.cdc.gov/view/cdc/42472); cancer deaths decreased 25% (from 84,443 to 63,209), stroke deaths decreased 11% (from 16,973 to 15,175), heart disease deaths decreased 4% (from 91,757 to 87,950), chronic lower respiratory disease (CLRD) (e.g., asthma, bronchitis, and emphysema) deaths increased 1% (from 28,831 to 29,232), and deaths from unintentional injuries increased 23% (from 36,836 to 45,331). A better understanding of progress made in reducing potentially preventable deaths in the United States might inform state and regional efforts targeting the prevention of premature deaths from the five leading causes in the United States.
Effects and empirical critical loads of Nitrogen for ecoregions of the United States
Pardo, Linda H.; Robin-Abbott, Molly J.; Fenn, Mark E.; Goodale, Christine L.; Geiser, Linda H.; Driscoll, Charles T.; Allen, Edith B.; Baron, Jill S.; Bobbink, Roland; Bowman, William D.; Clark, C M; Emmett, B.; Gilliam, Frank S; Greaver, Tara L.; Hall, Sharon J; Lilleskov, Erik A.; Liu, Lingli; Lynch, Jason A.; Nadelhoffer, Knute J; Perakis, Steven; Stoddard, John L; Weathers, Kathleen C.; Dennis, Robin L.
2015-01-01
Human activity in the last century has increased nitrogen (N) deposition to a level that has caused or is likely to cause alterations to the structure and function of many ecosystems across the United States. We synthesized current research relating atmospheric N deposition to effects on terrestrial and freshwater ecosystems in the United States, and estimated associated empirical critical loads of N for several receptors: freshwater diatoms, mycorrhizal fungi, lichens, bryophytes, herbaceous plants, shrubs, and trees. Biogeochemical responses included increased N mineralization and nitrification, increased gaseous N losses, and increased N leaching. Individual species, population, and community responses included increased tissue N, physiological and nutrient imbalances, increased growth, altered root-shoot ratios, increased susceptibility to secondary stresses, altered fire regime, shifts in competitive interactions and community composition, changes in species richness and other measures of biodiversity, and increases in invasive species. The range of critical loads of nutrient N reported for U.S. ecoregions, inland surface waters, and freshwater wetlands is 1–39 kg N ha−1 yr−1, spanning the range of N deposition observed over most of the country. The empirical critical loads of N tend to increase in the following sequence: diatoms, lichens and bryophytes, mycorrhizal fungi, herbaceous plants and shrubs, trees.
Hospital-level changes in adult ICU bed supply in the United States
Wallace, David J.; Seymour, Christopher W.; Kahn, Jeremy M.
2017-01-01
Objective Although the number of intensive care beds in the United States is increasing, little is known about the hospitals responsible for this growth. We sought to better characterize national growth in intensive care beds by identifying hospital-level factors associated with increasing numbers of intensive care beds over time. Design We performed a repeated-measures time series analysis of hospital-level intensive care bed supply using data from Centers for Medicare and Medicaid Services. Setting All United States acute care hospitals with adult intensive care beds over the years 1996 to 2011. Measurements & Main Results We described the number of beds, teaching status, ownership, intensive care occupancy and urbanicity for each hospital in each year of the study. We then examined the relationship between increasing intensive care beds and these characteristics, controlling for other factors. The study included 4,457 hospitals and 55,865 hospital-years. Overall, the majority of intensive care bed growth occurred in teaching hospitals (net +13,471 beds, 72.1% of total growth), hospitals with 250 or more beds (net +18,327 beds, 91.8% of total growth) and hospitals in the highest quartile of occupancy (net +10,157 beds, 54.0% of total growth). In a longitudinal multivariable model, larger hospital size, teaching status, and high intensive care occupancy were associated with subsequent-year growth. Furthermore, the effects of hospital size and teaching status were modified by occupancy: the greatest odds of increasing intensive care unit beds were in hospitals with 500 or more beds in the highest quartile of occupancy (adjusted OR: 18.9; 95% CI: 14.0 – 25.5; p<0.01) and large teaching hospitals in the highest quartile of occupancy (adjusted OR: 7.3; 95% CI: 5.3 – 9.9; p<0.01). Conclusions Increasingly, intensive care bed expansion in the United States is occurring in larger hospitals and teaching centers, particularly following a year with high intensive care unit occupancy. PMID:27661861
The effect of social integration on outcomes after major lower extremity amputation.
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.
National and State Trends in Sales of Cigarettes and E-Cigarettes, U.S., 2011–2015
Marynak, Kristy L.; Gammon, Doris G.; King, Brian A.; Loomis, Brett R.; Fulmer, Erika B.; Wang, Teresa W.; Rogers, Todd
2017-01-01
Introduction In recent years, self-reported cigarette smoking has declined among youth and adults, while electronic cigarette (e-cigarette) use has increased. However, sales trends for these products are less certain. This study assessed national and state patterns of U.S. cigarette and e-cigarette unit sales. Methods Trends in cigarette and e-cigarette unit sales were analyzed using retail scanner data from September 25, 2011 through January 9, 2016 for: (1) convenience stores; and (2) all other outlets combined, including supermarkets, mass merchandisers, drug, dollar, and club stores, and military commissaries (online, tobacco-only, and “vape“ shops were not available). Data by store type were available for the total contiguous U.S. and 29 states; combined data were available for the remaining states, except Alaska, Hawaii, and DC. Results During 2011–2015, cigarette sales exhibited a small, significant decrease; however, positive year-over-year growth occurred in convenience stores throughout most of 2015. E-cigarette unit sales significantly increased during 2011–2015, but year-over-year growth slowed and was occasionally negative. Cigarette unit sales exceeded e-cigarettes by 64:1 during the last 4-week period. During 2014–2015, cigarette sales increases occurred in 15 of 48 assessed states; e-cigarette sales increased in 18 states. Conclusions Despite overall declines during 2011–2015, cigarette sales in 2015 grew for the first time in a decade. E-cigarette sales growth was positive, but slowed over the study period in assessed stores. Cigarette sales continued to exceed e-cigarette sales, reinforcing the importance of efforts to reduce the appeal and accessibility of cigarettes and other combusted tobacco products. PMID:28285828
National and State Trends in Sales of Cigarettes and E-Cigarettes, U.S., 2011-2015.
Marynak, Kristy L; Gammon, Doris G; King, Brian A; Loomis, Brett R; Fulmer, Erika B; Wang, Teresa W; Rogers, Todd
2017-07-01
In recent years, self-reported cigarette smoking has declined among youth and adults, while electronic cigarette (e-cigarette) use has increased. However, sales trends for these products are less certain. This study assessed national and state patterns of U.S. cigarette and e-cigarette unit sales. Trends in cigarette and e-cigarette unit sales were analyzed using retail scanner data from September 25, 2011 through January 9, 2016 for: (1) convenience stores; and (2) all other outlets combined, including supermarkets, mass merchandisers, drug, dollar, and club stores, and military commissaries (online, tobacco-only, and "vape" shops were not available). Data by store type were available for the total contiguous U.S. and 29 states; combined data were available for the remaining states, except Alaska, Hawaii, and DC. During 2011-2015, cigarette sales exhibited a small, significant decrease; however, positive year-over-year growth occurred in convenience stores throughout most of 2015. E-cigarette unit sales significantly increased during 2011-2015, but year-over-year growth slowed and was occasionally negative. Cigarette unit sales exceeded e-cigarettes by 64:1 during the last 4-week period. During 2014-2015, cigarette sales increases occurred in 15 of 48 assessed states; e-cigarette sales increased in 18 states. Despite overall declines during 2011-2015, cigarette sales in 2015 grew for the first time in a decade. E-cigarette sales growth was positive, but slowed over the study period in assessed stores. Cigarette sales continued to exceed e-cigarette sales, reinforcing the importance of efforts to reduce the appeal and accessibility of cigarettes and other combusted tobacco products. Published by Elsevier Inc.
Bowman, Diana M; Lewis, Ryan C; Lee, Maximilian S; Yao, Catherine J
2015-08-01
Ultraviolet radiation is recognized as a human carcinogen by the International Agency for Research on Cancer, the world's authority on cancer research. In particular, exposure to ultraviolet radiation can lead to melanoma of the skin, which is the deadliest form of skin cancer in the United States. Yet despite the significant public health burden that is associated with skin cancer in the United States, each year over a million Americans engage in indoor tanning where exposure to artificial ultraviolet radiation occurs. In this article, we argue for an immediate ban on the use of commercial indoor tanning by minors and, based on international precedents, the phasing out of all commercial tanning operations in the United States. We consider the use of indoor tanning devices in the United States, epidemiological data on indoor tanning devices and cancer, regulation of tanning devices, and scientific evidence for increased government intervention. © The Author(s) 2015.
A call for evidence-based medical treatment of opioid dependence in the United States and Canada.
Nosyk, Bohdan; Anglin, M Douglas; Brissette, Suzanne; Kerr, Thomas; Marsh, David C; Schackman, Bruce R; Wood, Evan; Montaner, Julio S G
2013-08-01
Despite decades of experience treating heroin or prescription opioid dependence with methadone or buprenorphine--two forms of opioid substitution therapy--gaps remain between current practices and evidence-based standards in both Canada and the United States. This is largely because of regulatory constraints and pervasive suboptimal clinical practices. Fewer than 10 percent of all people dependent on opioids in the United States are receiving substitution treatment, although the proportion may increase with expanded health insurance coverage as a result of the Affordable Care Act. In light of the accumulated evidence, we recommend eliminating restrictions on office-based methadone prescribing in the United States; reducing financial barriers to treatment, such as varying levels of copayment in Canada and the United States; reducing reliance on less effective and potentially unsafe opioid detoxification; and evaluating and creating mechanisms to integrate emerging treatments. Taking these steps can greatly reduce the harms of opioid dependence by maximizing the individual and public health benefits of treatment.
Kentucky's Public Schools: Status Report; Program for Exceptional Children.
ERIC Educational Resources Information Center
Kentucky State Dept. of Education, Frankfort. Div. of Special Education.
Under Kentucky's Foundation Program Law of 1954 as amended, which provides for classroom units for exceptional children, the number of such units has increased from 99.3 to 29 districts in the Program's first year to 1,060 in 148 of the state's 193 districts in 1969-70. Units for the mentally retarded increased most, from 22.5 to 732.3, in 130…
Prevalence of Use of Human Milk in US Advanced Care Neonatal Units
Scanlon, Kelley S.
2013-01-01
BACKGROUND AND OBJECTIVE: The American Academy of Pediatrics recommends all preterm infants receive human milk. The objective of this study was to describe the use of human milk in advanced care neonatal units of US maternity hospitals. METHODS: We used Centers for Disease Control and Prevention’s national Maternity Practices in Infant Nutrition and Care survey from 2007, 2009, and 2011 to analyze 2 questions to describe the prevalence of US advanced care (special/level 2 or intensive/level 3) neonatal units routinely providing human milk to infants, and the use of any donor milk in these units. RESULTS: In 2011, 30.8% of maternity hospitals reported that most infants (≥90%) were routinely provided human milk in advanced care units, compared with 26.7% in 2009 and 21.2% in 2007 (trend P < .001). States in the Northwest and Northeast had a higher prevalence of hospitals routinely providing human milk to ≥90% of infants in advanced care units. In 2011, 22.0% of maternity hospitals providing advanced care used banked donor milk, compared with 14.4% in 2009 and 11.5% in 2007 (trend P < .001). Most of this increase occurred in intensive care units (25.1% 2007 vs 45.2% 2011; trend P < .001). There was substantial geographic variation in the prevalence of advanced care units using donor milk; generally the prevalence was higher in the West and in states with a milk bank in the state or a neighboring state. CONCLUSIONS: The use of human milk in US advanced care neonatal units is increasing; however, only one-third of these units are routinely providing human milk to most infants. PMID:23669517
Widespread increase of tree mortality rates in the Western United States
van Mantgem, P.J.; Stephenson, N.L.; Byrne, J.C.; Daniels, L.D.; Franklin, J.F.; Fule, P.Z.; Harmon, M.E.; Larson, A.J.; Smith, Joseph M.; Taylor, A.H.; Veblen, T.T.
2009-01-01
Persistent changes in tree mortality rates can alter forest structure, composition, and ecosystem services such as carbon sequestration. Our analyses of longitudinal data from unmanaged old forests in the western United States showed that background (noncatastrophic) mortality rates have increased rapidly in recent decades, with doubling periods ranging from 17 to 29 years among regions. Increases were also pervasive across elevations, tree sizes, dominant genera, and past fire histories. Forest density and basal area declined slightly, which suggests that increasing mortality was not caused by endogenous increases in competition. Because mortality increased in small trees, the overall increase in mortality rates cannot be attributed solely to aging of large trees. Regional warming and consequent increases in water deficits are likely contributors to the increases in tree mortality rates.
NASA Astrophysics Data System (ADS)
Sabitov, L. S.; Kashapov, N. F.; Gilmanshin, I. R.; Gatiyatov, I. Z.; Kuznetsov, I. L.
2017-09-01
The feature of the stress state of the supports of the contact networks is the presence of a joint of pipes of different diameters, the ultimate state of which is determined, as a rule, the strength of the weld. The proposed unit allows to increase the reliability and strength of the connection and also exclude the presence of a weld bead on the outer surface of the pipe of smaller diameter in the place of its attachment to the upper end of the support ring.
Integrated health system for chronic disease management: lessons learned from France.
Stuart, Mary; Weinrich, Michael
2004-02-01
Rated number one in overall health system performance by the World Health Organization, the French spend less than half the amount on annual health care per capita that the United States spends. One contributing factor may be the attention given to chronic care. Since the mid-1900s, the French have developed regional community-based specialty systems for patients with chronic respiratory insufficiency or failure. COPD is the major cause of respiratory failure, the fourth leading cause of death in the United States, and its prevalence is increasing. Despite the clinical success of home mechanical ventilation and the potential for cost savings, providing such services in the United States remains a challenge. Lessons from France can inform the development of cost-effective chronic care models in the United States In this article, we review the French experience in the context of the United States Supreme Court's Olmstead decision, mandating that people in "more restrictive settings" such as nursing homes be offered community-based supports. We suggest that regional demonstration projects for patients with chronic respiratory failure or insufficiency can provide an important step in the development of effective chronic care systems in the United States
Effects of El Niño on Summertime Ozone Air Quality in the Eastern United States
NASA Astrophysics Data System (ADS)
Shen, Lu; Mickley, Loretta J.
2017-12-01
We investigate the effect of El Niño on maximum daily 8 h average surface ozone over the eastern United States in summer during 1980-2016. El Niño can influence the extratropical climate through the propagation of stationary waves, leading to (1) reduced transport of moist, clean air into the middle and southern Atlantic states and greater subsidence, reduced precipitation, and increased surface solar radiation in this region, as well as (2) intensified southerly flow into the south central states, which here enhances flux of moist and clean air. As a result, each standard deviation increase in the Niño 1 + 2 index is associated with an increase of 1-2 ppbv ozone in the Atlantic states and a decrease of 0.5-2 ppbv ozone in the south central states. These influences can be predicted 4 months in advance. We show that U.S. summertime ozone responds differently to eastern-type El Niño events compared to central-type events.
Relyea-Chew, Annemarie
2013-09-01
Federal regulation of diagnostic imaging in the United States has increased dramatically in recent years. The primary statutes aimed at curbing escalating costs and reorienting the national priorities of health care have a direct effect on the specialty of diagnostic imaging. This paper surveys the major regulations and current issues that pose challenges to the practice of diagnostic imaging in the United States, from the Deficit Reduction Act of 2005 through the American Taxpayer Relief Act of 2012. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.
Bibliometric analysis of the orthopedic literature.
Hui, Zhaoyang; Yi, Zhongmei; Peng, Jun
2013-10-01
Bibliometric indicators are used to assess research performance. The goal of this study was to explore publication output to construct a picture of orthopedics that may be beneficial to researchers and orthopedic specialists. All orthopedics articles published in 61 journals from 2000 to 2011 were retrieved from the Science Citation Index Expanded database. The numbers of articles, citations, authors, institutions, and journals were analyzed and subjected to quantitative and qualitative comparisons. The number of published orthopedics articles increased between 2000 and 2011. Articles published by authors from the United States always ranked first in number, although the United States' share is decreasing in the world literature. Authors from the United States published the most-cited articles and the most articles in journals with top-10 impact factors; moreover, the United States also had the greatest share of experts and highly ranked institutions. The United Kingdom, Germany, and Japan were always within the world's top 4 in terms of numbers of articles and citations. The shares of Germany, South Korea, and China among total orthopedics articles increased, especially that of China. In 2011, China ranked the fifth in the world, with its world share increasing from 0.64% in 2000 to 5.05% in 2011. However, China lags behind in average citations per article, top research institutions, and most prolific authors. According to the total citations per article, the University of Pittsburgh, Harvard University, and the Hospital for Special Surgery were the most prolific institutions. Copyright 2013, SLACK Incorporated.
Trends in Reported Foodborne Illness in the United States; 1996-2013.
Powell, Mark R
2016-08-01
Retrospective review is a key to designing effective food safety measures. The analysis examines trends in the reported incidence of illness due to bacterial pathogens commonly transmitted by food in the United States during 1996-2013 with and without specifying a model form for trend. The findings indicate early declines in reported incidence followed by a period of no significant trend for Campylobacter, Listeria, Shiga toxin-producing Escherichia coli O157, and Yersinia. The results are inconclusive about whether there is no trend or an increasing trend for Salmonella. While Shigella exhibits a continuous decline, Vibrio exhibits a continuous increase. Overall, the findings indicate a lack of evidence for continuous reduction in illness due to bacterial pathogens commonly transmitted by food in the United States during 1996-2013. © 2015 Society for Risk Analysis.
Addressing Child Poverty: How Does the United States Compare With Other Nations?
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.
Red-cockaded woodpecker cavity-tree damage by Hurricane Rita: an evaluation of contributing factors
Ben Bainbridge; Kristen A. Baum; Daniel Saenz; Cory K. Adams
2011-01-01
Picoides borealis (Red-cockaded Woodpecker) is an endangered species inhabiting pine savannas of the southeastern United States. Because the intensity of hurricanes striking the southeastern United States is likely to increase as global temperatures rise, it is important to identify factors contributing to hurricane damage to Red-cockaded Woodpecker cavity-trees. Our...
Media Messages and Perception of Risk for Ebola Virus Infection, United States
Boddie, Crystal; McGinty, Emma E.; Pollack, Keshia; Smith, Katherine Clegg; Burke, Thomas A.; Rutkow, Lainie
2017-01-01
News media have been blamed for sensationalizing Ebola in the United States, causing unnecessary alarm. To investigate this issue, we analyzed US-focused news stories about Ebola virus disease during July 1–November 30, 2014. We found frequent use of risk-elevating messages, which may have contributed to increased public concern. PMID:27983495
2016-04-01
Congressional Committees April 2016 GAO-16-368 United States Government Accountability Office United States Government Accountability ...Counterterrorism Partnerships Fund DOD Department of Defense ERI European Reassurance Initiative FMF Foreign Military Financing IED Improvised...increased with the creation of two funding transfer accounts : the Counterterrorism Partnerships Fund (CTPF) and European Reassurance Initiative
Arjan J. H. Meddens; Crystal A. Kolden; James A. Lutz; John T. Abatzoglou; Andrew T. Hudak
2018-01-01
A warming climate, fire exclusion, and land cover changes are altering the conditions that produced historical fire regimes and facilitating increased recent wildfire activity in the northwestern United States. Understanding the impacts of changing fire regimes on forest recruitment and succession, species distributions, carbon cycling, and ecosystem services is...
Design, implementation, and analysis methods for the National Woodland Owner Survey
Brett J. Butler; Earl C. Leatherberry; Michael S. Williams; Michael S. Williams
2005-01-01
The National Woodland Owner Survey (NWOS) is conducted by the USDA Forest Service, Forest Inventory and Analysis program to increase our understanding of private forest-land owners in the United States. The information is intended to help policy makers, resource managers, and others interested in the forest resources of the United States better understand the social...
Ecosystem management decision support for federal forests in the United States: a review
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...
An Analysis of Factors Influencing the Achievement of Higher Education by Chief Fire Officers
ERIC Educational Resources Information Center
Ditch, Robert L.
2012-01-01
The leadership of the United States Fire Service (FS) believes that higher education increases the professionalism of FS members. The research problem at the research site, which is a multisite fire department located in southeastern United States, was the lack of research-based findings on the factors influencing the achievement of higher…
77 FR 23282 - All Items Consumer Price Index for All Urban Consumers; United States City Average
Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-18
... DEPARTMENT OF LABOR Office of the Secretary All Items Consumer Price Index for All Urban Consumers... the United States City Average All Items Consumer Price Index for All Urban Consumers (1967 = 100... Price Index for All Urban Consumers thus increased 356.2 percent from its 1974 annual average of 100 to...
Education in the United States: 1940-1983. Special Demographic Analysis.
ERIC Educational Resources Information Center
O'Neill, Dave M.; Sepielli, Peter
This document presents a demographic analysis of data on education in the United States from 1940 through 1983. In summary the findings are as follows: (1) there has been a very large increase in educational attainment since 1940 and Americans are substantially more educated than people in other developed nations. (2) Benefits to society were…
Allison L. Ginn; Gary T. Green; Nathan P. Nibbelink; H. Ken Cordell
2008-01-01
Public lands provide recreational opportunities and preserve historic and ecological values. Increases in low-density residential development in the contiguous United States pose a threat not only along the boundaries of national parks and forests, but also around uniquely valuable Wilderness areas. Development within and around protected lands can affect land...
A summary of water yield experiments on hardwood forested watersheds in northeastern United States
J. W. Hornbeck; M. B. Adams; E. S. Corbett; E. S. Verry; J. A. Lynch
1995-01-01
This paper summarizes and compares long-term changes in annual water yield following cutting experiments at four locations in northeastern United States. Substantial increases in water yield of up to 350 mm yr-1 were obtained in the first year by clearfelling hardwood forest vegetation and controlling regrowth with herbicides. Commercial...
Military, University, and Police Agency Command and Staff Colleges in the United States
ERIC Educational Resources Information Center
Martin, Richard H.
2017-01-01
This article discusses three models of command and staff colleges (CSC). Five university models, five United States Military models, and one police agency model are discussed. The 11 CSCs provide leadership development in various training and education programs all leading to the increased capabilities of leaders and potential leaders for public…
A United States national prioritization framework for tree species vulnerability to climate change
Kevin M. Potter; Barbara S. Crane; William W. Hargrove
2017-01-01
Climate change is one of several threats that will increase the likelihood that forest tree species could experience population-level extirpation or species-level extinction. Scientists and managers from throughout the United States Forest Service have cooperated to develop a framework for conservation priority-setting assessments of forest tree species. This framework...
Matthew B. Russell; Christopher W. Woodall; Kevin M. Potter; Brian F. Walters; Grant M. Domke; Christopher M. Oswalt
2017-01-01
Forest understories across the northern United States (US) are a complex of tree seedlings, endemic forbs, herbs, shrubs, and introduced plant species within a forest structure defined by tree and forest floor attributes. The substantial increase in white-tailed deer (Odocoileus virginianus Zimmerman) populations over the past decades has resulted...
The Hispanic Population in the United States: March 1986 and 1987 (Advance Report).
ERIC Educational Resources Information Center
Current Population Reports, 1987
1987-01-01
Information collected by the Bureau of the Census in the March 1986 and 1987 supplements to the Current Population Survey (CPS) shows changes in selected demographic, social, and economic characteristics of the Hispanic population of the United States since 1982. The Hispanic civilian noninstitutional population increased by 4.3 million (or 30%)…
Teen Sexual Activity, Pregnancy and Childbearing among Latinos in the United States. Fact Sheet.
ERIC Educational Resources Information Center
National Campaign To Prevent Teen Pregnancy, Washington, DC.
The Latino population is the fastest-growing major racial/ethnic group in the United States. By 2020, approximately 16 percent of the population will be Latino. This increase will be even more pronounced among teens. This fact sheet summarizes data from the National Vital Statistics Reports on reported sexual activity, pregnancy rates, and…
Future Directions for Urban Forestry Research in the United States
John F. Dwyer; David J. Nowak; Gary W. Watson
2002-01-01
Urban forestry research promises to continue to be an integral part of the growth and development of forestry in urban and urbanizing areas of the United States. The future is expected to bring increased emphasis on research in support of the care of trees and other plants, ecological restoration, and comprehensive and adaptive management across the landscape....
Chapter 16: Incentives and wildfire management in the United States
Geoffrey H. Donovan; Thomas C. Brown; Lisa Dale
2008-01-01
A recent series of severe fire seasons in the United States has contributed to sharply rising wildfire suppression costs. These increasing costs have caught the attention of policy makers, but so far the responses have not focused clearly on the incentive structures that allow or encourage rising costs (National Academy of Public Administration 2002). We analyze the...
Recent advances in the control of oak wilt in the United States
Dan A. Wilson
2005-01-01
Oak wilt, caused by Ceratocystis fagacearum (T.W.Bretz) J. Hunt, is probably the most destructive disease of oak trees (Quercus species) in the United States, and is currently causing high morality at epiphytotic proportions in central Texas. The serious potential for damage pro,pted an increase in federal funding within the past...
Richard D. Bergman
2007-01-01
Using sustainable building materials is gaining a significant presence in the United States therefore proving sustainability claims are becoming increasingly more important. Certifying wood products as green building materials is vital for the long-term productivity of the wood building industry and for forest management. This study examined hardwood lumber...
Connecting the Dots: Threat Assessment, Depression and the Troubled Student
ERIC Educational Resources Information Center
Harwood, Valerie
2011-01-01
One of the numerous responses to the mass shooting at Virginia Tech in April 2007 has been the call for higher education institutions in the United States to take an increased role in identifying troubled students. This has had widely felt effects, with educational institutions across the United States developing mechanisms such as Threat…
Importance of Carolina Bays to the Avifauna of Pinelands in the Southeastern United States
Stephen Czapka; John Kilgo
2011-01-01
Past anthropogenic activity has led to the destruction or alteration of Carolina bay wetlands throughout the southeastern United States. Presently, urban development, combined with a 2001 ruling by the US Supreme Court relaxing protection of isolated wetlands, poses an increasing threat to these and other isolated wetland systems; however, little information exists on...
Bringing Educational Fundraising Back to Great Britain: A Comparison with the United States
ERIC Educational Resources Information Center
Proper, Eve
2009-01-01
As a solution to dwindling government revenue, higher education in Great Britain has recently begun to increase fundraising. While it looks to the United States' higher education sector as a model, there are significant legal, historical and cultural differences between the two nations that could limit the British higher education sector's…
The demise of fire and "mesophication" of forests in the eastern United States
Gregory J. Nowacki; Marc D. Abrams
2008-01-01
A diverse array of fire-adapted plant communities once covered the eastern United States. European settlement greatly altered fire regimes, often increasing fire occurrence (e.g., in northern hardwoods) or substantially decreasing it (e.g., in tallgrass prairies). Notwithstanding these changes, fire suppression policies, beginning around the 1920s, greatly reduced fire...
Apprenticeships: Useful Alternative, Tough to Implement. Policy Analysis No. 805
ERIC Educational Resources Information Center
Heriot, Gail
2016-01-01
A college education is not everyone's cup of tea. The United States needs other ways to instill job skills in the younger generation. The German apprenticeship system is sometimes viewed as an appealing alternative. But substantially increasing apprenticeship opportunities in the United States may not be as easy or inviting as it sounds. The…
ERIC Educational Resources Information Center
Parker, Michele A.; Segovia, Edelmira; Tap, Bethany
2016-01-01
We surveyed literature on factors that may influence Hispanic students academically including generational status, gender roles, and use of language in the Southeastern United States and North Carolina. We discuss how risk factors can be addressed (e.g., increasing awareness of risk factors, tutoring, mentoring, and after-school programs). We…
ERIC Educational Resources Information Center
Cummins, Amy
2013-01-01
This study identifies patterns in 11 English language young adult novels from the past three decades (1981-2011) which depict undocumented migration between Mexico and the United States. The increase in YA novels on this topic demonstrates rising public concern. These books offer sympathetic identification with border crossing youth. Eight of the…
Invasive potential of invasive plants in the forest of the southern region, United States
Dawn Lemke; John W. Coulston; Philip Hulme; Clint Paterson; Jennifer A. Brown
2012-01-01
Alien plants introduced for commercial or landscaping use have caused substantial problems as invaders of natural and managed ecosystems. The magnitude of the problem has dramatically increased over the past few decades with accelerated land disturbance, land use changes, and global and internal transportation. In the southern region of the United States, invasive...
Allison L. Ginn; Gary T. Green; Nathan P. Nibbelink; H. Ken Cordell
2009-01-01
Public lands provide recreational opportunities and preserve historic and ecological values. Increases in low-density residential development in the contiguous United States pose a threat not only along the boundaries of national parks and forests, but also around uniquely valuable Wilderness areas. Development within and around protected lands can affect land...
Communication Ethics in the Communication Curriculum: United States, Canada, and Puerto Rico
ERIC Educational Resources Information Center
Swenson-Lepper, Tammy; Leavitt, Michelle A.; Hoffer, Melba; Charron, Lori N.; Ballard, Robert L.; Bell McManus, Leeanne M.; Holba, Annette M.; Jovanovic, Spoma; Tompkins, Paula S.
2015-01-01
This study investigated the status of communication ethics pedagogy at colleges and universities in the United States, Canada, and Puerto Rico. Data were collected from 193 institutions that responded to an online survey. Results showed an increase in communication ethics courses compared with 19 years ago, with 51% now offering a required or…
An emerging paradigm for managing protected areas with examples from Europe and the United States
James Absher; Carsten Mann
2010-01-01
Parks and Protected Areas (PPA) have become increasingly important for societal well-being in Europe and the United States. Urbanization, detachment from nature, and demographic changes are fostering discussions about strengthening the social and cultural dimensions of management. The complexities and subtleties of incorporating PPAs into existing government and...
Incentives and wildfire management in the United States
Geoffrey H. Donovan; Thomas C. Brown; Lisa Dale
2008-01-01
A recent series of severe fire seasons in the United States has contributed to sharply rising wildfire suppression costs. These increasing costs have caught the attention of policymakers, but so far the responses have not focused clearly on the incentive structures that allow or encourage rising costs. We analyze the problem of rising suppression costs by examining the...
The Emerging Paradigm in Probation and Parole in the United States
ERIC Educational Resources Information Center
Kimora
2008-01-01
There is an emerging paradigm in probation and parole in the United States. That new outlook encompasses a realization that these forms of supervision of offenders must meet the challenges of an increasing number of parolees and probationers. Recidivism continues to be the primary outcome measure for probation, as it is for all corrections…
ERIC Educational Resources Information Center
Fujisaki, Shuko
2013-01-01
The number of international students in the United States has been increasing each year, but little is known about their experience. There are recent studies on international students, however, only a few research has focused on international students studying at graduate level. To best study international graduate students' experience, a…
Gendered Patterns in High Achievement in Mathematics for Grades 4, 6, and 8
ERIC Educational Resources Information Center
Falvey, Laura J.
2012-01-01
The issue of underrepresentation of women in science, technology, engineering, and mathematics (STEM) careers is especially important to the future of the United States in current times when STEM careers play an increasingly important role in the global economy (Toulmin & Groome, 2007; United States Department of Labor, 2007). The pool of…
Organizing for North Carolina: Social Movement Unionism in a Southern State
ERIC Educational Resources Information Center
Johnson, Mark
2017-01-01
Across the United States, a counter-network of teacher activists is engaged in the development of grassroots organizing structures to advocate for social justice, resist the privatization of public education, and increase union democracy. The United Caucuses of Rank and File Educators (UCORE) is a national network of more than 20 union reform…
ERIC Educational Resources Information Center
Bertrand, Olivier; Noyelle, Thierry
Twelve financial institutions (nine banks and three insurance companies) from five countries (France, West Germany, Japan, Sweden, and the United States) were studied to determine the directions in which financial service markets and firms are moving as a result of increasing competition and technological change. Data were collected from…
D. R. Miller; C. Asaro
2005-01-01
We determined the responses of the southern pine sawyer, Monochamus titillator (F.) (Coleoptera: Cerambycidae), to the pheromones (ipsenol, ipsdienol, and lanierone) used by pine engraver beetles (Coleoptera: Scolytidae) in the southeastern United States. (±)-Ipsenol, (±)- ipsdienol, or a combination increased catches of M. titillator...
Conservation priorities for tree crop wild relatives in the United States
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...
Plant species invasions along the latitudinal gradient in the United States
Thomas J. Stohlgren; David Barnett; Curtis Flather; John Kartesz; Bruce Peterjohn
2005-01-01
It has been long established that the richness of vascular plant species and many animal taxa decreases with increasing latitude, a pattern that very generally follows declines in actual and potential evapotranspiration, solar radiation, temperature, and thus, total productivity. Using county-level data on vascular plants from the United States (3000 counties in the...
Microbial response to high severity wildfire in the southwest United States
Steven T. Overby; Stephen C. Hart; Gregory S. Newman; Dana Erickson
2006-01-01
Southwest United States ponderosa pine (Pinus ponderosa Dougl. ex Laws) ecosystems have received great attention due to fuel conditions that increase the likelihood of large-scale wildfires with severe fire behavior. The fire season of 2002 demonstrated these extreme fuel load conditions with the largest fires in southwest history. The Jemez District of the Santa Fe...
Volume and Availability of Eastern Hardwoods
Raymond M. Sheffield; William A. Bechtold
1990-01-01
In the Eastern United States, some 354 million acres of timberland are classified as a hardwood or pine-hardwood forest type. The inventory of hardwood growing stock totals 275 billion cubic feet, or 90 percent of the hardwood inventory in the United States. Whereas hardwood inventories have increased by 70 percent since 1952, the availability of this resource for use...
Changing Times: The Use of Reduced Work Time Options in the United States.
ERIC Educational Resources Information Center
Olmsted, Barney
1983-01-01
This article addresses the increase in voluntary reduced work time arrangements that have developed in the United States in response to growing interest in alternatives to the standardized approach to scheduling. Permanent part-time employment, job sharing, and voluntary reduced work time plans are defined, described and, to a limited extent,…
2015-05-21
FDR). Global climate change , urbanization, growing natural resources scarcity, and other factors will increase the need for humanitarian assistance......additional military support to the United States Government’s agencies in Foreign Disaster Relief (FDR). Global climate change , urbanization, growing
Assessment, Accountability, and Educational Quality in the United States and Sweden
ERIC Educational Resources Information Center
Culver, Steven M.; Warfvinge, Per
2013-01-01
In both Europe and the United States, accountability pressures have continued to increase, spurred by the higher-level policy groups represented by the EC in Europe and by the federal government in the US, forcing institutions to measure their effectiveness in ways that are more transparent to governmental bodies and the general public. These ways…
Disturbance and Climate Change in the Interior West (Chapter 6)
Paulette L. Ford; Jeanne K. Chambers; Sharon J. Coe; Burton C. Pendleton
2012-01-01
Within the continental United States, average annual temperature increased during the Twentieth Century by approximately 0.65 ºC. The most extreme warming occurred throughout the northern and western United States (IPCC 2007a; Williams and others 2010). Disturbances such as fire, drought, grazing, urbanization, and energy development are predicted to have a heightened...
A New Protocol for Teaching English Language Learners in Middle and Secondary Schools
ERIC Educational Resources Information Center
Luster, John
2011-01-01
In the United States, the population of minority students in 2005 increased to 42 percent of public school enrollment (Echevarria & Short, 2010). English learners (ELs) are the fastest growing population of students enrolled in public school across the United States. California alone has 1.5 million ELs attending public schools (Echevarria,…
ERIC Educational Resources Information Center
Gaines, Nykia Dionne
2012-01-01
International education helps students become more engaged within the United States and abroad. Black undergraduates continue to be underrepresented in study abroad despite two decades of increased enrollment by Black students in higher education in the United States. This study had three purposes: (1) to explore how Black undergraduates attending…
Social science findings in the United States
Sarah McCaffrey; Eric Toman; Melanie Stidham; Bruce Shindler
2015-01-01
The rising number of acres burned annually and growing number of people living in or adjacent to fire-prone areas in the United States make wildfire management an increasingly complex and challenging problem. Given the prominence of social issues in shaping the current challenges and determining paths forward, it will be important to have an accurate understanding of...
ERIC Educational Resources Information Center
Hart, Linda M.
2017-01-01
Homelessness is an increasing epidemic afflicting the United States. Of the millions of homeless in the United States, over two million are children (National Alliance to End Homelessness, 2009; Slesnick, Dashora, Letcher, Erden, & Serocivh, 2009). It is reported that over 1.2 million of homeless students are enrolled in public schools…
Negotiating White Science in a Racially and Ethnically Diverse United States
ERIC Educational Resources Information Center
Dunac, Patricia S.; Demir, Kadir
2017-01-01
The racial and ethnic makeup of the United States is in constant flux and is expected to experience substantial increases in racial and ethnic diversity over the next four decades. The problem the American educational system faces is attempting to problematize race/racism in its educational system and creating a system to counteract educational…
State cigarette minimum price laws - United States, 2009.
2010-04-09
Cigarette price increases reduce the demand for cigarettes and thereby reduce smoking prevalence, cigarette consumption, and youth initiation of smoking. Excise tax increases are the most effective government intervention to increase the price of cigarettes, but cigarette manufacturers use trade discounts, coupons, and other promotions to counteract the effects of these tax increases and appeal to price-sensitive smokers. State cigarette minimum price laws, initiated by states in the 1940s and 1950s to protect tobacco retailers from predatory business practices, typically require a minimum percentage markup to be added to the wholesale and/or retail price. If a statute prohibits trade discounts from the minimum price calculation, these laws have the potential to counteract discounting by cigarette manufacturers. To assess the status of cigarette minimum price laws in the United States, CDC surveyed state statutes and identified those states with minimum price laws in effect as of December 31, 2009. This report summarizes the results of that survey, which determined that 25 states had minimum price laws for cigarettes (median wholesale markup: 4.00%; median retail markup: 8.00%), and seven of those states also expressly prohibited the use of trade discounts in the minimum retail price calculation. Minimum price laws can help prevent trade discounting from eroding the positive effects of state excise tax increases and higher cigarette prices on public health.
Survival of patients with gastric lymphoma in Germany and in the United States.
Castro, Felipe A; Jansen, Lina; Krilaviciute, Agne; Katalinic, Alexander; Pulte, Dianne; Sirri, Eunice; Ressing, Meike; Holleczek, Bernd; Luttmann, Sabine; Brenner, Hermann
2015-10-01
This study aims to examine survival for gastric lymphomas and its main subtypes, mucosa-associated lymphoid tissue lymphoma (MALT), and diffuse large B-cell lymphoma (DLBCL), in Germany and in the United States. Data for patients diagnosed in 1997-2010 were used from 10 population-based German cancer registries and compared to the data from the US Surveillance, Epidemiology and End Results (SEER) 13 registries database. Patients age 15-74 diagnosed with gastric lymphomas were included in the analysis. Period analysis and modeled period analysis were used to estimate 5-year and 10-year relative survival (RS) in 2002-2010 and survival trends from 2002-2004 to 2008-2010. Overall, the database included 1534 and 2688 patients diagnosed with gastric lymphoma in 1997-2010 in Germany and in the United States, respectively. Survival was substantially higher for MALT (5-year and 10-year RS: 89.0% and 80.9% in Germany, 93.8% and 86.8% in the United States) than for DLBCL (67.5% and 59.2% in Germany, and 65.3% and 54.7% in the United States) in 2002-2010. Survival was slightly higher among female patients and decreased by age for gastric lymphomas combined and its main subtypes. A slight, nonsignificant, increase in the 5-year RS for gastric lymphomas combined was observed in Germany and the United States, with increases in 5-year RS between 2002-2004 and 2008-2010 from 77.1% to 81.0% and from 77.3% to 82.0%, respectively. Five-year RS of MALT exceeded 90% in 2008-2010 in both countries. Five-year RS of MALT meanwhile exceeds 90% in both Germany and the United States, but DLBCL has remained below 70% in both countries. © 2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.
Indian medical students' views on immigration for training and practice.
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.
NASA Astrophysics Data System (ADS)
Boersma, F. F.; Verstraeten, W. W.; Williams, J. E.; Neu, J. L.; Bowman, K. W.; Worden, J.
2014-12-01
Tropospheric ozone is an important greenhouse gas and a global air pollutant originating from photo-chemical oxidation of ozone precursors in the presence of NOX. Eastern Asia has the fastest growing anthropogenic emissions in the world, possibly affecting both the pollution in the local troposphere as well as in the trans-Pacific region. Local measurements over Asia show that tropospheric ozone has increased by 1 to 3% per year since the start of the millennium. This increase is often invoked to explain positive ozone trends observed in western United States, but to date there is no unambiguous evidence showing that enhanced Asian pollution is responsible for these trends. Here we interpret satellite measurements of tropospheric ozone and its precursor nitrate dioxide from the Aura Tropospheric Emission Spectrometer (TES) and Ozone Monitoring Instrument (OMI) using the TM5 global chemistry-transport model to directly show that tropospheric ozone over China has increased by ~10% from 2005-2010 in response to both a ~15% rise in Chinese emissions and an increased downward ozone transport from the stratosphere. What is more, we demonstrate that Chinese export of ozone and its precursors have offset one-third of the reduction in free tropospheric ozone over the western United States that should have occurred during 2005-2010 via emissions reductions associated with air quality policies in the United States. The issue of export and long-range transport of pollution from other countries indicates that global efforts may be required to address both the global as well as the regional air quality and climate change.
Increases in Drug and Opioid Overdose Deaths--United States, 2000-2014.
Rudd, Rose A; Aleshire, Noah; Zibbell, Jon E; Gladden, R Matthew
2016-01-01
The United States is experiencing an epidemic of drug overdose (poisoning) deaths. Since 2000, the rate of deaths from drug overdoses has increased 137%, including a 200% increase in the rate of overdose deaths involving opioids (opioid pain relievers and heroin). CDC analyzed recent multiple cause-of-death mortality data to examine current trends and characteristics of drug overdose deaths, including the types of opioids associated with drug overdose deaths. During 2014, a total of 47,055 drug overdose deaths occurred in the United States, representing a 1-year increase of 6.5%, from 13.8 per 100,000 persons in 2013 to 14.7 per 100,000 persons in 2014. The rate of drug overdose deaths increased significantly for both sexes, persons aged 25-44 years and ≥55 years, non-Hispanic whites and non-Hispanic blacks, and in the Northeastern, Midwestern, and Southern regions of the United States. Rates of opioid overdose deaths also increased significantly, from 7.9 per 100,000 in 2013 to 9.0 per 100,000 in 2014, a 14% increase. Historically, CDC has programmatically characterized all opioid pain reliever deaths (natural and semisynthetic opioids, methadone, and other synthetic opioids) as "prescription" opioid overdoses (1). Between 2013 and 2014, the age-adjusted rate of death involving methadone remained unchanged; however, the age-adjusted rate of death involving natural and semisynthetic opioid pain relievers, heroin, and synthetic opioids, other than methadone (e.g., fentanyl) increased 9%, 26%, and 80%, respectively. The sharp increase in deaths involving synthetic opioids, other than methadone, in 2014 coincided with law enforcement reports of increased availability of illicitly manufactured fentanyl, a synthetic opioid; however, illicitly manufactured fentanyl cannot be distinguished from prescription fentanyl in death certificate data. These findings indicate that the opioid overdose epidemic is worsening. There is a need for continued action to prevent opioid abuse, dependence, and death, improve treatment capacity for opioid use disorders, and reduce the supply of illicit opioids, particularly heroin and illicit fentanyl.
Sebestyen, S.D.; Boyer, E.W.; Shanley, J.B.
2009-01-01
In coming decades, higher annual temperatures, increased growing season length, and increased dormant season precipitation are expected across the northeastern United States in response to anthropogenic forcing of global climate. We synthesized long-term stream hydrochemical data from the Sleepers River Research Watershed in Vermont, United States, to explore the relationship of catchment wetness to stream nitrate and DOC loadings. We modeled changes in growing season length and precipitation patterns to simulate future climate scenarios and to assess how stream nutrient loadings respond to climate change. Model results for the 2070-2099 time period suggest that stream nutrient loadings during both the dormant and growing seasons will respond to climate change. During a warmer climate, growing season stream fluxes (runoff+20%, nitrate +57%, and DOC +58%) increase as more precipitation (+28%) and quick flow (+39%) occur during a longer growing season (+43 days). During the dormant season, stream water and nutrient loadings decrease. Net annual stream runoff (+8%) and DOC loading (+9%) increases are commensurate with the magnitude of the average increase of net annual precipitation (+7%). Net annual stream water and DOC loadings are primarily affected by increased dormant season precipitation. In contrast, decreased annual loading of stream nitrate (-2%) reflects a larger effect of growing season controls on stream nitrate and the effects of lengthened growing seasons in a warmer climate. Our findings suggest that leaching of nitrate and DOC from catchment soils will be affected by anthropogenic climate forcing, thereby affecting the timing and magnitude of annual stream loadings in the northeastern United States. Copyright 2009 by the American Geophysical Union.
Seasonal, Spatial, and Long-term Variability of Fine Mineral Dust in the United States
NASA Astrophysics Data System (ADS)
Hand, J. L.; White, W. H.; Gebhart, K. A.; Hyslop, N. P.; Gill, T. E.; Schichtel, B. A.
2017-12-01
Characterizing the seasonal, spatial, and long-term variability of fine mineral dust (FD) is important to assess its environmental and climate impacts. FD concentrations (mineral particles with aerodynamic diameters less than 2.5 µm) were estimated using ambient, ground-based PM2.5 elemental chemistry data from over 160 remote and rural Interagency Monitoring of Protected Visual Environments (IMPROVE) sites from 2011 through 2015. FD concentrations were highest and contributed over 50% of PM2.5 mass at southwestern sites in spring and across the central and southeastern United States in summer (20-30% of PM2.5). The highest seasonal variability in FD occurred at sites in the Southeast during summer, likely associated with impacts from North African transport, which was also evidenced in the elemental ratios of calcium, iron, and aluminum. Long-term trend analyses (2000-2015) indicated widespread, regional increases in FD concentrations during spring in the West, especially in March in the Southwest. This increase was associated with an early onset of the spring dust season and correlated with the Pacific Decadal Oscillation and the El Niño Southern Oscillation. The Southeast and central United States also experienced increased FD concentrations during summer and fall, respectively. Contributions of FD to PM2.5 mass have increased in regions across the United States during all seasons, in part due to increased FD concentrations but also as a result of reductions in secondary aerosols (e.g., sulfates, nitrates, and organic carbon). Increased levels of FD have important implications for its environmental and climate impacts; mitigating these impacts will require identifying and characterizing source regions and underlying mechanisms for dust episodes.
Use of tobacco tax stamps to prevent and reduce illicit tobacco trade--United States, 2014.
Chriqui, Jamie; DeLong, Hillary; Gourdet, Camille; Chaloupka, Frank; Edwards, Sarah Matthes; Xu, Xin; Promoff, Gabbi
2015-05-29
Tobacco use is the leading cause of preventable disease and death in the United States. Increasing the unit price on tobacco products is the most effective tobacco prevention and control measure. Illicit tobacco trade (illicit trade) undermines high tobacco prices by providing tobacco users with cheaper-priced alternatives. In the United States, illicit trade primarily occurs when cigarettes are bought from states, jurisdictions, and federal reservation land with lower or no excise taxes, and sold in jurisdictions with higher taxes. Applying tax stamps to tobacco products, which provides documentation that taxes have been paid, is an important tool to combat illicit trade. Comprehensive tax stamping policy, which includes using digital, encrypted ("high-tech") stamps, applying stamps to all tobacco products, and working with tribes on stamping agreements, can further prevent and reduce illicit trade. This report describes state laws governing tax stamps on cigarettes, little cigars (cigarette-sized cigars), roll-your-own tobacco (RYOT), and tribal tobacco sales across the United States as of January 1, 2014, and assesses the extent of comprehensive tobacco tax stamping in the United States. Forty-four states (including the District of Columbia [DC]) applied traditional paper ("low-tech") tax stamps to cigarettes, whereas four authorized more effective high-tech stamps. Six states explicitly required stamps on other tobacco products (i.e., tobacco products other than cigarettes), and in approximately one third of states with tribal lands, tribes required tax stamping to address illicit purchases by nonmembers. No U.S. state had a comprehensive approach to tobacco tax stamping. Enhancing tobacco tax stamping across the country might further prevent and reduce illicit trade in the United States.
Varma, Rohit; Tarczy-Hornoch, Kristina; Jiang, Xuejuan
2017-06-01
Visual impairment (VI) in early childhood can significantly impair development. To determine demographic and geographic variations in VI in children aged 3 to 5 years in the United States in 2015 and to estimate projected prevalence through 2060. Descriptive study reporting statistics estimated based on prevalence data from 2 major population-based studies conducted in the United States between 2003 and 2011. Using US census projections, prevalence of VI and cause-specific VI in the better eye were reported by race/ethnicity, state and region, and per capita prevalence of VI by state. The study included preschool children in the United States. Analyses for this study were conducted between February 2016 and March 2017. Prevalence of VI among children aged 3 to 5 years in the United States. In 2015, more than 174 000 children aged 3 to 5 years in the United States were visually impaired. Almost 121 000 of these cases (69%) arose from simple uncorrected refractive error, and 43 000 (25%) from bilateral amblyopia. By 2060, the number of children aged 3 to 5 years with VI is projected to increase by 26%. In 2015, Hispanic white children accounted for the highest number of VI cases (66 000); this group will remain the most affected through 2060, with an increasingly large proportion of cases (37.7% in 2015 and 43.6% in 2060). The racial/ethnic group with the second most VI is projected to shift from non-Hispanic white children (26.3% in 2015 decreasing to 16.5% in 2060) to African American children (24.5% in 2015 and 22.0% in 2060). From 2015 to 2060, the states projected to have the most children with VI are California (26 600 in 2015 and 38 000 in 2060), Texas (21 500 in 2015 and 29 100 in 2060), and Florida (10 900 in 2015 and 13 900 in 2060). These data suggest that the number of preschool children with VI is projected to increase disproportionally, especially among minority populations. Vision screening for refractive error and related eye diseases may prevent a high proportion of preschool children from experiencing unnecessary VI and associated developmental delays.
Visual Impairment in Preschool Children in the United States
Tarczy-Hornoch, Kristina; Jiang, Xuejuan
2017-01-01
Importance Visual impairment (VI) in early childhood can significantly impair development. Objective To determine demographic and geographic variations in VI in children aged 3 to 5 years in the United States in 2015 and to estimate projected prevalence through 2060. Design, Setting, and Participants Descriptive study reporting statistics estimated based on prevalence data from 2 major population-based studies conducted in the United States between 2003 and 2011. Using US census projections, prevalence of VI and cause-specific VI in the better eye were reported by race/ethnicity, state and region, and per capita prevalence of VI by state. The study included preschool children in the United States. Analyses for this study were conducted between February 2016 and March 2017. Main Outcomes and Measures Prevalence of VI among children aged 3 to 5 years in the United States. Results In 2015, more than 174 000 children aged 3 to 5 years in the United States were visually impaired. Almost 121 000 of these cases (69%) arose from simple uncorrected refractive error, and 43 000 (25%) from bilateral amblyopia. By 2060, the number of children aged 3 to 5 years with VI is projected to increase by 26%. In 2015, Hispanic white children accounted for the highest number of VI cases (66 000); this group will remain the most affected through 2060, with an increasingly large proportion of cases (37.7% in 2015 and 43.6% in 2060). The racial/ethnic group with the second most VI is projected to shift from non-Hispanic white children (26.3% in 2015 decreasing to 16.5% in 2060) to African American children (24.5% in 2015 and 22.0% in 2060). From 2015 to 2060, the states projected to have the most children with VI are California (26 600 in 2015 and 38 000 in 2060), Texas (21 500 in 2015 and 29 100 in 2060), and Florida (10 900 in 2015 and 13 900 in 2060). Conclusions and Relevance These data suggest that the number of preschool children with VI is projected to increase disproportionally, especially among minority populations. Vision screening for refractive error and related eye diseases may prevent a high proportion of preschool children from experiencing unnecessary VI and associated developmental delays. PMID:28472231
Hamilton, Erin R; Hale, Jo Mhairi
2016-10-01
Historically, undocumented Mexican farm workers migrated circularly, leaving family behind in Mexico on short trips to the United States. Scholars have argued that border militarization has disrupted circular migration as the costs of crossing the border lead to longer stays, increased settlement, and changing transnational family practices. Yet, no study has explored changes in the transnational family structures of Mexico-U.S. migrants that span the era of border militarization. Using data from the National Agricultural Workers Survey, we document a dramatic shift away from transnational family life (as measured by location of residence of dependent children) among undocumented Mexican farm workers and a less dramatic shift among documented Mexican farm workers in the United States between 1993 and 2012. These trends are not explained by changes in the sociodemographic characteristics of farm workers or by changing demographic conditions or rising violence in Mexico. One-half of the trend can be accounted for by lengthened duration of stay and increased connections to the United States among the undocumented, but none of the trend is explained by these measures of settlement among the documented, suggesting that some Mexican farm workers adopt new family migration strategies at first migration. Increases in border control are associated with lower likelihood that children reside in Mexico-a finding that holds up to instrumental variable techniques. Our findings confirm the argument that U.S. border militarization-a policy designed to deter undocumented migration-is instead disrupting transnational family life between Mexico and the United States and, in doing so, is creating a permanent population of undocumented migrants and their children in the United States.
Merger mania: mergers and acquisitions in the generic drug sector from 1995 to 2016.
Gagnon, Marc-André; Volesky, Karena D
2017-08-22
Drug shortages and increasing generic drug prices are associated with low levels of competition. Mergers and acquisitions impact the level of competition. Record merger and acquisition activity was reported for the pharmaceutical sector in 2014/15, yet information on mergers and acquisitions in the generic drug sector are absent from the literature. This information is necessary to understand if and how such mergers and acquisitions can be a factor in drug shortages and increasing prices. Data on completed merger and acquisition deals that had a generic drug company being taken over (i.e. 'target') were extracted from Bloomberg Finance L.P. The number and announced value of deals are presented globally, for the United States, and globally excluding the United States annually from 1995 to 2016 in United States dollars. Generic drug companies comprised 9.3% of the value of all deals with pharmaceutical targets occurring from 1995 to 2016. Globally, in 1995 there were no deals, in 2014 there were 22 deals worth $1.86 billion, in 2015 there were 34 deals totalling $33.56 billion, and in 2016 there were 42 deals worth in excess of $44 billion. This substantial increase was partially attributed to Teva's 2016 acquisition of Allergan's generic drug business. The surge in mergers and acquisitions for 2015/16 was driven by deals in the United States, where they represented 89.7% of the dollar value of deals in those years. The recent blitz in mergers and acquisitions signals that the generic drug industry is undergoing a transformation, especially in the United States. This restructuring can negatively affect the level of competition that might impact prices and shortages for some products, emphasizing the importance of updating regulations and procurement policies.
China's international trade and air pollution in the United States.
Lin, Jintai; Pan, Da; Davis, Steven J; Zhang, Qiang; He, Kebin; Wang, Can; Streets, David G; Wuebbles, Donald J; Guan, Dabo
2014-02-04
China is the world's largest emitter of anthropogenic air pollutants, and measurable amounts of Chinese pollution are transported via the atmosphere to other countries, including the United States. However, a large fraction of Chinese emissions is due to manufacture of goods for foreign consumption. Here, we analyze the impacts of trade-related Chinese air pollutant emissions on the global atmospheric environment, linking an economic-emission analysis and atmospheric chemical transport modeling. We find that in 2006, 36% of anthropogenic sulfur dioxide, 27% of nitrogen oxides, 22% of carbon monoxide, and 17% of black carbon emitted in China were associated with production of goods for export. For each of these pollutants, about 21% of export-related Chinese emissions were attributed to China-to-US export. Atmospheric modeling shows that transport of the export-related Chinese pollution contributed 3-10% of annual mean surface sulfate concentrations and 0.5-1.5% of ozone over the western United States in 2006. This Chinese pollution also resulted in one extra day or more of noncompliance with the US ozone standard in 2006 over the Los Angeles area and many regions in the eastern United States. On a daily basis, the export-related Chinese pollution contributed, at a maximum, 12-24% of sulfate concentrations over the western United States. As the United States outsourced manufacturing to China, sulfate pollution in 2006 increased in the western United States but decreased in the eastern United States, reflecting the competing effect between enhanced transport of Chinese pollution and reduced US emissions. Our findings are relevant to international efforts to reduce transboundary air pollution.
The Physical Educator as a Language Teacher for English Language Learners
ERIC Educational Resources Information Center
Gomez, Conrado L.; Jimenez-Silva, Margarita
2012-01-01
The linguistic diversity in schools is increasing throughout the United States and as state and federal accountability increases in the instruction of English language learners (ELLs), many teachers who never before were asked to work with ELLs are now required to contribute to the education of these students. In some states, all education majors,…
Terry Haines; Cheryl Renner; Margaret Reams; James Granskog
2005-01-01
The growth of residential communities within forested areas has increased the danger to life and property from uncontrolled wildfire. In response, states, counties and local governments in the United States have dramatically increased their wildfire mitigation efforts. Policymakers and fire officials are employing a wide range of regulatory and voluntary wildfire risk...
Effect of latitude on the rate of change in incidence of Lyme disease in the United States
Tuite, Ashleigh R.; Greer, Amy L.
2013-01-01
Background Tick-borne illnesses represent an important class of emerging zoonoses, with climate change projected to increase the geographic range within which tick-borne zoonoses might become endemic. We evaluated the impact of latitude on the rate of change in the incidence of Lyme disease in the United States, using publicly available data. Methods We estimated state-level year-on-year incidence rate ratios (IRRs) for Lyme disease for the period 1993 to 2007 using Poisson regression methods. We evaluated between-state heterogeneity in IRRs using a random-effects meta-analytic approach. We identified state-level characteristics associated with increasing incidence using random-effects meta-regression. Results The incidence of Lyme disease in the US increased by about 80% between 1993 and 2007 (IRR per year 1.049, 95% CI [confidence interval] 1.048 to 1.050). There was marked between-state heterogeneity in the average incidence of Lyme disease, ranging from 0.008 per 100 000 person-years in Colorado to 75 per 100 000 in Connecticut, and significant between-state heterogeneity in temporal trends (p < 0.001). In multivariable meta-regression models, increasing incidence showed a linear association with state latitude and population density. These 2 factors explained 27% of the between-state variation in IRRs. No independent association was identified for other state-level characteristics. Interpretation Lyme disease incidence increased in the US as a whole during the study period, but the changes were not uniform. Marked increases were identified in northern-most states, whereas southern states experienced stable or declining rates of Lyme disease. PMID:25077101
Who Would Pay for State Alcohol Tax Increases in the United States?
Daley, James I.; Xuan, Ziming; Blanchette, Jason G.; Chaloupka, Frank J.; Jernigan, David H.
2016-01-01
Introduction Despite strong evidence that increasing alcohol taxes reduces alcohol-related harm, state alcohol taxes have declined in real terms during the past 3 decades. Opponents of tax increases argue that they are unfair to “responsible” drinkers and those who are financially disadvantaged. The objectives of this study were to assess the impact of hypothetical state alcohol tax increases on the cost of alcohol for adults in the United States on the basis of alcohol consumption and sociodemographic characteristics. Methods The increased net cost of alcohol (ie, product plus tax) from a series of hypothetical state alcohol tax increases was modeled for all 50 states using data from the 2011 Behavioral Risk Factor Surveillance System, IMPACT Databank, and the Alcohol Policy Information System. Costs were assessed by drinking pattern (excessive vs nonexcessive) and by sociodemographic characteristics. Results Among states, excessive drinkers would pay 4.8 to 6.8 times as much as nonexcessive drinkers on a per capita basis and would pay at least 72% of aggregate costs. For nonexcessive drinkers, the annual cost from even the largest hypothetical tax increase ($0.25 per drink) would average less than $10.00. Drinkers with higher household incomes and non-Hispanic white drinkers would pay higher per capita costs than people with lower incomes and racial/ethnic minorities. Conclusion State-specific tax increases would cost more for excessive drinkers, those with higher incomes, and non-Hispanic whites. Costs to nonexcessive drinkers would be modest. Findings are relevant to developing evidence-based public health practice for a leading preventable cause of death. PMID:27197080
Nargis, Nigar; Fong, Geoffrey T.; Chaloupka, Frank J.; Li, Qiang
2014-01-01
Background Increasing tobacco taxes to increase price is a proven tobacco control measure. This paper investigates how smokers respond to tax and price increases in their choice of discount brand cigarettes vs. premium brands. Objective To estimate how increase in the tax rate can affect smokers’ choice of discount brands versus premium brands. Methods Using data from ITC Surveys in Canada and the United States, a logit model was constructed to estimate the probability of choosing discount brand cigarettes in response to its price changes relative to premium brands, controlling for individual-specific demographic and socio-economic characteristics and regional effects. The self-reported price of an individual smoker is used in a random-effects regression model to impute price and to construct the price ratio for discount and premium brands for each smoker, which is used in the logit model. Findings An increase in the ratio of price of discount brand cigarettes to the price of premium brands by 0.1 is associated with a decrease in the probability of choosing discount brands by 0.08 in Canada. No significant effect is observed in case of the United States. Conclusion The results of the model explain two phenomena: (1) the widened price differential between premium and discount brand cigarettes contributed to the increased share of discount brand cigarettes in Canada in contrast to a relatively steady share in the United States during 2002–2005, and (2) increasing the price ratio of discount brands to premium brands—which occurs with an increase in specific excise tax—may lead to upward shifting from discount to premium brands rather than to downward shifting. These results underscore the significance of studying the effectiveness of tax increases in reducing overall tobacco consumption, particularly for specific excise taxes. PMID:23986408
2012-05-17
and the Northern Sea Route, extraction of potential oil and gas resources, and expanded fishing and tourism .‖ 6 The Arctic‘s vast natural resources...sudden and substantial increase in commercial shipping, marine tourism , and large passenger vessels in the Arctic poses significant challenges to the...security,‖ Huebert states that, ―Canada, Denmark, Norway, Russia and the United States have all either begun to rebuild their Arctic capabilities
The Burden of Cardiovascular Diseases Among US States, 1990-2016.
Roth, Gregory A; Johnson, Catherine O; Abate, Kalkidan Hassen; Abd-Allah, Foad; Ahmed, Muktar; Alam, Khurshid; Alam, Tahiya; Alvis-Guzman, Nelson; Ansari, Hossein; Ärnlöv, Johan; Atey, Tesfay Mehari; Awasthi, Ashish; Awoke, Tadesse; Barac, Aleksandra; Bärnighausen, Till; Bedi, Neeraj; Bennett, Derrick; Bensenor, Isabela; Biadgilign, Sibhatu; Castañeda-Orjuela, Carlos; Catalá-López, Ferrán; Davletov, Kairat; Dharmaratne, Samath; Ding, Eric L; Dubey, Manisha; Faraon, Emerito Jose Aquino; Farid, Talha; Farvid, Maryam S; Feigin, Valery; Fernandes, João; Frostad, Joseph; Gebru, Alemseged; Geleijnse, Johanna M; Gona, Philimon Nyakauru; Griswold, Max; Hailu, Gessessew Bugssa; Hankey, Graeme J; Hassen, Hamid Yimam; Havmoeller, Rasmus; Hay, Simon; Heckbert, Susan R; Irvine, Caleb Mackay Salpeter; James, Spencer Lewis; Jara, Dube; Kasaeian, Amir; Khan, Abdur Rahman; Khera, Sahil; Khoja, Abdullah T; Khubchandani, Jagdish; Kim, Daniel; Kolte, Dhaval; Lal, Dharmesh; Larsson, Anders; Linn, Shai; Lotufo, Paulo A; Magdy Abd El Razek, Hassan; Mazidi, Mohsen; Meier, Toni; Mendoza, Walter; Mensah, George A; Meretoja, Atte; Mezgebe, Haftay Berhane; Mirrakhimov, Erkin; Mohammed, Shafiu; Moran, Andrew Edward; Nguyen, Grant; Nguyen, Minh; Ong, Kanyin Liane; Owolabi, Mayowa; Pletcher, Martin; Pourmalek, Farshad; Purcell, Caroline A; Qorbani, Mostafa; Rahman, Mahfuzar; Rai, Rajesh Kumar; Ram, Usha; Reitsma, Marissa Bettay; Renzaho, Andre M N; Rios-Blancas, Maria Jesus; Safiri, Saeid; Salomon, Joshua A; Sartorius, Benn; Sepanlou, Sadaf Ghajarieh; Shaikh, Masood Ali; Silva, Diego; Stranges, Saverio; Tabarés-Seisdedos, Rafael; Tadele Atnafu, Niguse; Thakur, J S; Topor-Madry, Roman; Truelsen, Thomas; Tuzcu, E Murat; Tyrovolas, Stefanos; Ukwaja, Kingsley Nnanna; Vasankari, Tommi; Vlassov, Vasiliy; Vollset, Stein Emil; Wakayo, Tolassa; Weintraub, Robert; Wolfe, Charles; Workicho, Abdulhalik; Xu, Gelin; Yadgir, Simon; Yano, Yuichiro; Yip, Paul; Yonemoto, Naohiro; Younis, Mustafa; Yu, Chuanhua; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Zipkin, Ben; Afshin, Ashkan; Gakidou, Emmanuela; Lim, Stephen S; Mokdad, Ali H; Naghavi, Mohsen; Vos, Theo; Murray, Christopher J L
2018-04-11
Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously. To quantify and describe levels and trends of lost health due to CVD within the United States from 1990 to 2016 as well as risk factors driving these changes. Using the Global Burden of Disease methodology, cardiovascular disease mortality, nonfatal health outcomes, and associated risk factors were analyzed by age group, sex, and year from 1990 to 2016 for all residents in the United States using standardized approaches for data processing and statistical modeling. Burden of disease was estimated for 10 groupings of CVD, and comparative risk analysis was performed. Data were analyzed from August 2016 to July 2017. Residing in the United States. Cardiovascular disease disability-adjusted life-years (DALYs). Between 1990 and 2016, age-standardized CVD DALYs for all states decreased. Several states had large rises in their relative rank ordering for total CVD DALYs among states, including Arkansas, Oklahoma, Alabama, Kentucky, Missouri, Indiana, Kansas, Alaska, and Iowa. The rate of decline varied widely across states, and CVD burden increased for a small number of states in the most recent years. Cardiovascular disease DALYs remained twice as large among men compared with women. Ischemic heart disease was the leading cause of CVD DALYs in all states, but the second most common varied by state. Trends were driven by 12 groups of risk factors, with the largest attributable CVD burden due to dietary risk exposures followed by high systolic blood pressure, high body mass index, high total cholesterol level, high fasting plasma glucose level, tobacco smoking, and low levels of physical activity. Increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors. Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden. Differences in CVD burden are largely attributable to modifiable risk exposures.
Trends in the leading causes of death in the United States, 1970-2002.
Jemal, Ahmedin; Ward, Elizabeth; Hao, Yongping; Thun, Michael
2005-09-14
The decrease in overall death rates in the United States may mask changes in death rates from specific conditions. To examine temporal trends in the age-standardized death rates and in the number of deaths from the 6 leading causes of death in the United States. Analyses of vital statistics data on mortality in the United States from 1970 to 2002. The age-standardized death rate and number of deaths (coded as underlying cause) from each of the 6 leading causes of death: heart disease, stroke, cancer, chronic obstructive pulmonary disease, accidents (ie, related to transportation [motor vehicle, other land vehicles, and water, air, and space] and not related to transportation [falls, fire, and accidental posioning]), and diabetes mellitus. The age-standardized death rate (per 100,000 per year) from all causes combined decreased from 1242 in 1970 to 845 in 2002. The largest percentage decreases were in death rates from stroke (63%), heart disease (52%), and accidents (41%). The largest absolute decreases in death rates were from heart disease (262 deaths per 100,000), stroke (96 deaths per 100,000), and accidents (26 deaths per 100,000).The death rate from all types of cancer combined increased between 1970 and 1990 and then decreased through 2002, yielding a net decline of 2.7%. In contrast, death rates doubled from chronic obstructive pulmonary disease over the entire time interval and increased by 45% for diabetes since 1987. Despite decreases in age-standardized death rates from 4 of the 6 leading causes of death, the absolute number of deaths from these conditions continues to increase, although these deaths occur at older ages. The absolute number of deaths and age at death continue to increase in the United States. These temporal trends have major implications for health care and health care costs in an aging population.
John S. Kush; Ralph S. Meldahl; Charles K. McMahon; William D. Boyer
2004-01-01
Natural communities dominated by longleaf pine (Pinus palustris Mill.) once covered an estimated two thirds of the forested area in the southeastern United States. Today, less than 1.2 million ha remain. However, over the past 10-15 years, public land managers have begun to restore many longleaf pine forests. More recently incentive programs have...
Reading and Test Taking in College English as a Second Language Students
ERIC Educational Resources Information Center
Hendricks, Kaitlin
2013-01-01
Throughout the United States the number of students who speak English as a second language (ESL) enrolled in United States colleges and universities has been increasing steadily over the past 20 years. ESL students may be considered an at-risk group for performance on reading comprehension portions of classroom and high stakes tests (HST) like the…
Care of the Aged: Old Problems in Need of New Solutions.
ERIC Educational Resources Information Center
Kane, Robert; Kane, Rosalie
The tendency in the United States to view the nursing home as an all-purpose solution to the health problems of the elderly has created a set of self-made problems: increased dependency, depression and social isolation among the aged. In the United States, unlike in many European nations, institutional care of the elderly is conceived of and…
Danny C. Lee; Larry L. Irwin
2005-01-01
Concern for viable spotted owl (Strix occidentalis) populations has played prominently in the management of western forests in the United States. Historically, much of the debate has focused on the impacts of commercial timber harvest. Increasingly, the conflict is shifting to the habitat needs of owls versus the need for active management of fire-...
ERIC Educational Resources Information Center
Marks, Susan Unok; Kurth, Jennifer A.; Bartz, Jody Marie
2014-01-01
Although inclusive education has been increasing in frequency for students with disabilities in the United States, for many students, the opportunity to be educated with their peers without disabilities continues to be out of reach despite decades of efforts by those promoting the vision of inclusion. This exploratory case study used interviews…
Contraceptive Care of Adolescents: Overview, Tips, Strategies, and Implications for School Nurses
ERIC Educational Resources Information Center
Gabzdyl, Elizabeth Mary
2010-01-01
The United States has one of the highest unintended pregnancy rates of all industrialized nations in the world, with 13% of those occurring among the adolescent population. In 2005, the adolescent birthrate in the United States was 40.5 per 1,000 women and increased 3% in 2006 (Martin et al., 2009). Unintended pregnancy and motherhood can have a…
Forest root diseases across the United States
I. Blakey Lockman; Holly S. J. Kearns
2016-01-01
The increasing importance and impacts of root diseases on the forested ecosystems across the United States are documented in this report. Root diseases have long-term impacts on the ecosystems where they reside due to their persistence onsite. As a group of agents, they are a primary contributor to overall risk of growth loss and mortality of trees in the lower 48...
Ethnic Identity Development in Schools among First Generation Immigrants in the United States
ERIC Educational Resources Information Center
Acar, Erkan; Yigit, Mehmet Fatih; Aslan, Dolgun
2016-01-01
Today, Americans are increasingly concerned about the matter of immigration in the United States. A growing number believe that immigrants are a burden to the country, taking jobs and housing and creating strains on the health care system. Many Americans are also worried about the cultural impact of the expanding number of newcomers to the U.S.…
ERIC Educational Resources Information Center
Kleyn, Tatyana
2017-01-01
Undocumented families' rates of repatriation to Mexico from the United States have risen throughout the Obama administration, and this trend will likely increase under Donald Trump. This study describes the experiences of Mexican-born youth who grew up in the United States and are back in Mexico. While these children are participants in their…
Native shrub seed industries in the western United States and Australia: Status and outlook
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...
Matthew Thompson; David Calkin; Joe H. Scott; Michael Hand
2017-01-01
Wildfire risk assessment is increasingly being adopted to support federal wildfire management decisions in the United States. Existing decision support systems, specifically the Wildland Fire Decision Support System (WFDSS), provide a rich set of probabilistic and riskâbased information to support the management of active wildfire incidents. WFDSS offers a wide range...
ERIC Educational Resources Information Center
Russo, Charles J.
2008-01-01
In light of the dramatic increase in the presence of weapons, violence, drugs, and other contraband in schools, school officials in the United States and England face significant challenges as they seek to maintain safe and orderly learning environments. Almost twenty five years after the United States Supreme Court's 1985 ruling in "New…
Indicators of Higher Education Equity in the United States: 2016 Historical Trend Report
ERIC Educational Resources Information Center
Cahalan, Margaret; Perna, Laura; Yamashita, Mika; Ruiz, Roman; Franklin, Khadish
2016-01-01
The purposes of this publication are: (1) to report the status of higher education equity in the United States and to identify changes over time in measures of equity; and (2) to identify policies and practices that promote and hinder progress; and to illustrate the need for increased support of policies, programs and practices that not only…
History and the End of the Cold War: A Whole New Ball Game?
ERIC Educational Resources Information Center
Clifford, J. Garry
1992-01-01
Contends end of the Cold War and demise of communism caught most historians by surprise. Questions whether increased military spending by Unites States was the primary cause of the fall of the Soviet Union and communist nations in Europe. Argues world is still a dangerous place, and the Unites States must be diplomatically skillful and encourage…
ERIC Educational Resources Information Center
O'Rand, Angela M.
2011-01-01
Recent patterns of labor exit in late life in the United States are increasingly heterogeneous. This heterogeneity stems from diverse employment careers that are emerging in the workplace where job security is declining. Individuals' structural locations in the labor market expose them to diverse risks for employment and income security at older…
John N. Rinne; Codey D. Carter
2008-01-01
Summer 2002 was a season of markedly increased wildfire in the southwestern United States. Four fires affected landscapes that encompassed watersheds and streams containing fishes. Streams affected in three of the four fires were sampled for multiple factors, including fishes, to delineate the impact of fires on aquatic ecosystems in the -Southwest. All fishes were...
ERIC Educational Resources Information Center
Byrd, Linda W.
2009-01-01
The safety and quality of healthcare is of great concern in the United States. The positive effects of information technology reported in past research, especially case studies, has encouraged expectations that information technology may increase the quality of healthcare while reducing costs of healthcare. The goals of this study was to examine…
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...
USDA-ARS?s Scientific Manuscript database
Non-timber forest products (NTFPs) are one of many economic benefits that forests provide to society, and understanding their value helps us understand the total economic value of forests. In the early 1990s, economic research on NTFPs in the United States increased, in the Pacific Northwest and oth...
ERIC Educational Resources Information Center
Johnson, Ping; Priestley, Jennifer; Porter, Kandice Johnson; Petrillo, Jane
2010-01-01
Background: Interest in and use of complementary and alternative medicine (CAM) in the United States is increasing. However, CAM remains an area of nascency for researchers and western practitioners. Purpose: The purpose of this study was to examine U.S. health educators' attitudes toward CAM and their use of common CAM therapies. Methods: A…
ERIC Educational Resources Information Center
Samalot-Rivera, Amaury; Treadwell, Sheri M.; Sato, Takahiro
2018-01-01
Schools in the United States are becoming more ethnically, racially, linguistically and economically diverse. It is projected that by 2050 the Hispanic population that speaks English as a second language in the United States will increase from 49.7 million to 132.8 million. Students who speak Spanish as their first langue are one of the largest…
Richard D. Bergman; Scott A. Bowe
2010-01-01
Building products have come under increased scrutiny because of environmental impacts from their manufacturing. However, environmental impacts of manufacturing some wood productsâsuch as prefinished engineered wood flooringâhave not been determined. This study examined prefinished engineered wood flooring in the eastern United States following the life-cycle inventory...
A. M. Pidgeon; V. C. Radeloff; C. H. Flather; C. A. Lepczyk; M. K. Clayton; T. J. Hawbaker; R. B. Hammer
2007-01-01
In the United States, housing density has substantially increased in and adjacent to forests. Our goal in this study was to identify how housing density and human populations are associated with avian diversity. We compared these associations to those between landscape pattern and avian diversity, and we examined how these associations vary across the conterminous...
Analysis of Humanitarian Assistance Cargo Transportation
2012-06-01
deliver materiel to people in need in their areas of responsibility. This report analyzes the options available to these commands in seeking...Thus, United States combatant commands increasingly rely on humanitarian assistance cargo transportation programs to deliver material to people in need...United States Navy and Marine Corps personnel and people overseas. PH may also arrange for space-available transportation of NGO material to consigned
Schooling for Newcomers: Variation in Educational Persistence in the Northern United States in 1920
ERIC Educational Resources Information Center
Tolnay, Stewart E.; Bailey, Amy Kate
2006-01-01
Early in the 20th century, high rates of international migration from Europe and an increasing number of migrants from the South were rapidly changing the composition of cities in the northern United States. Within this dynamic environment, families faced a more complex set of decisions for the preferred economic roles of their members. For…
Kirsten Vinyeta; Kyle Powys Whyte; Kathy Lynn
2015-01-01
The scientific and policy literature on climate change increasingly recognizes the vulnerabilities of indigenous communities and their capacities for resilience. The role of gender in defining how indigenous peoples experience climate change in the United States is a research area that deserves more attention. Advancing climate change threatens the continuance of many...
Height and diameter variation in twelve white ash provenance/progeny tests in eastern United States
G. Rink; F.H. Kung
1991-01-01
Results from 12- and 13-year old rangewide provenance/progeny tests of white ash (Fraxinus americana L.) planted at 12 locations throughout the eastern United States are reported. Although heritability of white ash tree height and dbh is high at both the provenance and family levels, the trend in variance components is for increasing provenance and...
Impacts of forest biomass removal on water yield across the United States
Ge Sun; Liangxia Zhang; Kai Duan; Benjamin Rau
2017-01-01
Water is essential to all forms of life on earth and is a powerful, integrated indicator of environmental health and ecosystem sustainability (Asbjornsen et al. 2015). In some areas of the United States, water availability and water quality are declining as a result of urbanization, climate change, and increased water demand for agricul- tural irrigation, power...
The Growth in Mergers and Acquisitions in the United States Publishing Industry: 1984-1988.
ERIC Educational Resources Information Center
Greco, Albert N.
This paper argues that because of a recent, sizable increase in the number of mergers and acquisitions, especially by foreign corporations in the United States, it is possible that a small number of firms could dominate the publishing and information processing industry in the world. The paper outlines briefly the patterns of mergers and…
Watershed management in the United States in the 21st Century
David B. Thorud; George W. Brown; Brian J. Boyle; Clare M. Ryan
2000-01-01
Views of watershed management in the 21st Century are presented in terms of concept, status, progress and future of watershed planning. The watershed as a unit will increasingly be the basis of planning because the concept is widely understood, many state and federal laws require such a focus, and watersheds are a logical entity for monitoring purposes. Impediments to...
ERIC Educational Resources Information Center
McDaniel, Grace Ann
2012-01-01
The number of homeless children in the United States is increasing. The National Center on Family Homelessness (2010) reports that on average one in 50 children in the United States have experienced homelessness, defined as unstable housing. The needs of this student demographic are varied and complex. For the purpose of this study, the homeless…
Uptake of 15N labeled fertilizer in loblolly pine plantations of the southern United States
Jay E. Raymond; Thomas Fox; Brian Strahm
2015-01-01
Forests in the southeastern United States managed extensively (minimal silvicultural treatments) generally have low productivity rates (Fox and others 2007). Conversely, intensively managed stands have significantly increased productivity in this region, from 2 m3 ha-1 year -1 to a range of 6 to 10 m3 ha-1 year -1 (Fox and others 2007).
Thomas P. Albright; Anna M. Pidgeon; Chadwick D. Rittenhouse; Murray K. Clayton; Brian D. Wardlow; Curtis H. Flather; Patrick D. Culbert; Volker C. Radeloff
2010-01-01
Increasing surface temperatures and climatic variability associated with global climate change are expected to produce more frequent and intense heat waves and droughts in many parts of the world. Our goal was to elucidate the fundamental, but poorly understood, effects of these extreme weather events on avian communities across the conterminous United States....
Christopher W. Woodall; Anthony W. D' Amato; John B. Bradford; Andrew O. Finley
2011-01-01
There is expanding interest in management strategies that maximize forest carbon (C) storage to mitigate increased atmospheric carbon dioxide. The tremendous tree species diversity and range of stand stocking found across the eastern United States presents a challenge for determining optimal combinations for the maximization of standing tree C storage. Using a...
Climate change poses additional threat to the future of ash resources in the eastern United States
Anantha Prasad; Louis Iverson; Stephen Matthews; Matthew Peters
2010-01-01
It is becoming increasingly clear that climate change has the potential to alter the distribution of plant species all over the world. In the United States, ash (Fraxinus spp.) is encountering the double threat of short-term emerald ash borer (EAB) infestation, which could decimate ash throughout the country, and longer term perturbations due to...
Profile 2003: softwood sawmills in the United States and Canada
Henry Spelter; Matthew Alderman
2003-01-01
About 160 fewer softwood sawmills are operating in the United States and Canada than were 8 years ago. Nevertheless, the combined capacity of the remaining mills has increased by 16%, to over 173 million cubic meters. Of the approximately 1,140 mills, about 470 characterize their output as dimension lumber, accounting for 67% of capacity; 136 list studs as their...
77 FR 10037 - Temporary Non-Agricultural Employment of H-2B Aliens in the United States
Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-21
... Administration 20 CFR Part 655 Wage and Hour Division 29 CFR Part 503 Temporary Non-Agricultural Employment of H... Employment of H-2B Aliens in the United States AGENCY: Employment and Training Administration, and Wage and... nonimmigrant worker in H-2B status. We have also created new regulations to provide for increased worker...
An Assessment of the Red Maple Resource in the Northeastern United States
Delton R., Jr. Alderman; Matthew S. Bumgardner; John E. Baumgras; John E. Baumgras
2005-01-01
The red maple resource in the northeastern United States has exhibited dramatic gains in the past 3 decades in terms of stem numbers and net volume. Growing stock and sawtimber volumes have displayed extraordinary growth compared to other species, and red maple is replacing important market species that have historically been used in the Northeast. The increase in red...
Indicators of Higher Education Equity in the United States: 45 Year Trend Report
ERIC Educational Resources Information Center
Cahalan, Margaret; Perna, Laura
2015-01-01
The U.S. has a core constitutional and founding commitment to equality of opportunity for all citizens. Whether viewed as an end in itself or a means to fostering increased national achievement and competitiveness, the 21st century United States conversation about equity reflects a national consensus about the many benefits of and necessity for…
Occupations and the Structure of Wage Inequality in the United States, 1980s to 2000s
ERIC Educational Resources Information Center
Mouw, Ted; Kalleberg, Arne L.
2010-01-01
Occupations are central to the stratification systems of industrial countries, but they have played little role in empirical attempts to explain the well-documented increase in wage inequality that occurred in the United States in the 1980s and 1990s. We address this deficiency by assessing occupation-level effects on wage inequality using data…
Recycling of wood and paper products in the United States
Peter J. Ince
1996-01-01
This report describes the current status of wood and paper recycling in the United States and predicts the production and market consequences of increased recycling. The results suggest that the rate of paper recycling will rapidly rise in the 1990s, mainly as a result of the competitive evolution of fiber markets and papermaking technologies. The consumption and...
Declining annual streamflow distributions in the Pacific Northwest United States, 1948-2006
C. H. Luce; Z. A. Holden
2009-01-01
Much of the discussion on climate change and water in the western United States centers on decreased snowpack and earlier spring runoff. Although increasing variability in annual flows has been noted, the nature of those changes is largely unexplored. We tested for trends in the distribution of annual runoff using quantile regression at 43 gages in the Pacific...
Serving the needs of Latino recreation visitors to urban proximate natural resource recreation areas
Deborah J. Chavez
2008-01-01
A major shift has occurred in the ethnic and racial profile of the United States, with large increases in the Latino population. Beyond the demographic profiles are the influences on other aspects of life in the United States, including urban-proximate natural resource recreation area management. Latino groups may have different expectations about natural resource...
Computer Use in the United States: 1989. Current Population Reports, Special Studies.
ERIC Educational Resources Information Center
Kominski, Robert
1991-01-01
This report provides statistical information on computer use in the United States in 1989, including home, work, and school use, and use according to socioeconomic status, race, and sex. The data show that between 1984 and 1989 there was a substantial increase in the levels of computer ownership and use. Fifteen percent of all U.S. households…
The supply and demand situation for oak timber
Kenneth L. Quigley
1971-01-01
Twenty oak species in the eastern United States account for one-third of the hardwood sawtimber volume and almost 10 percent of both hardwood and softwood growing-stock volume. The oak-hickory and oak-pine forest types occupy about 38 percent of the forest land in the eastern United States. Oak timber volume is increasing. Annual growth exceeds annual removals by about...
Thomas B. Wilson; Robert H. Webb; Thomas L. Thompson
2001-01-01
During the last 150 years, two species of mesquite trees in the Southwestern United States have become increasingly common in what formerly was desert grassland. These trees have spread from nearby watercourses onto relatively xeric upland areas, decreasing rangeland grass production. Management attempts to limit or reverse this spread have been largely unsuccessful....
Effect of Geography on the Analysis of Coccidioidomycosis-Associated Deaths, United States.
Noble, Jason A; Nelson, Robert G; Fufaa, Gudeta D; Kang, Paul; Shafir, Shira Chani; Galgiani, John N
2016-10-01
Because coccidioidomycosis death rates vary by region, we reanalyzed coccidioidomycosis-associated mortality in the United States by race/ethnicity, then limited analysis to Arizona and California. Coccidioidomycosis-associated deaths were shown to increase among African-Americans but decrease among Native Americans and Hispanics. Separately, in a Native American cohort, diabetes co-varied with coccidioidomycosis-associated death.
Forest responses to increasing aridity and warmth in the southwestern United States
P. Williams; C.D. Allen; C.I. Millar; T.W. Swetnam; J. Michaelsen; C.J. Still; S.W. Leavitt
2010-01-01
In recent decades, intense droughts, insect outbreaks, and wildfires have led to decreasing tree growth and increasingmortality in many temperate forests. We compared annual tree-ring width data from 1,097 populations in the coterminous United States to climate data and evaluated site-specific tree responses to climate variations throughout the 20th century. For each...
Attribution of Trends and Variability in Surface Ozone over the United States
NASA Technical Reports Server (NTRS)
Strode, Sarah; Cooper, Owen; Damo, Megan; Logan, Jennifer; Rodriquez, Jose; Strahan, Susan; Witte, Jacquie
2013-01-01
Concentrations of tropospheric ozone, a greenhouse gas and air pollutant, are impacted by changes in precursor emissions as well meteorology and influx from the stratosphere. Observations show a decreasing trend in summertime surface ozone at rural stations in the eastern United States, while some western stations show increasing trends, particularly in springtime. We use the Global Modeling Initiative (GMI) global chemical transport model to investigate the roles of precursor emission changes, meteorological variability, and stratosphere-troposphere exchange (STE) in explaining observed trends in surface ozone from rural sites in the United States from 1991-2010. The model's interannual variability shows significant correlations with observations from many of the surface sites. We also compare the simulated ozone to ozonesonde data for several locations with sufficiently long records. We compare a simulation with time-dependent precursor emissions, including emission reductions over the United States and Europe and increases over Asia, to a simulation with fixed emissions to quantify the impact of changing emissions on the surface trends. The simulation with varying emissions reproduces much of the east-west difference in summertime ozone over the U.S., although it generally underestimates the negative trend in the East. In contrast, the fixed-emission simulation shows increasing ozone at both eastern and western sites. We will discuss possible causes of this behavior, including long-range transport and STE.
Managing the Diabetic Foot Ulcer: How Best Practices Fit the Real 2018 United States.
Ilonzo, Nicole; Patel, Munir; Lantis, John C
2018-06-01
Diabetes Mellitus is a serious systemic illness that has an epidemic-like increasing prevalence in the United States, as well as the rest of the world. With the increasing number of people with diabetes comes the higher incidence of diabetes-related complications. One of these known complications, diabetic foot ulcers (DFU), has an estimated lifetime incidence of 15% in diabetics. Having a DFU increases the risk of infection, amputation, and even death, which is why prompt treatment and surveillance of such ulcers is imperative. Multiple organizations and journals have recently published best practices to heal and close DFU. Despite these guidelines, it is estimated that only 50% of all diabetic foot ulcers close within one year in the United States. To further confuse this picture, many trials include postoperative wounds that behave in a very different way than chronic wounds. The management of diabetic ulcers requires an understanding of not only the pathophysiology along with a multi-modal approach involving local wound care, pressure prevention, infection control, and, in some, revascularization, but also how care is delivered in the United States presently. In this review, we hope to elucidate the current knowledge and modalities used in ulcer management and to focus on key areas and best practices to inform the clinician, both in what they should do and what they can do.
Vulnerability of US and European electricity supply to climate change
NASA Astrophysics Data System (ADS)
van Vliet, Michelle T. H.; Yearsley, John R.; Ludwig, Fulco; Vögele, Stefan; Lettenmaier, Dennis P.; Kabat, Pavel
2012-09-01
In the United States and Europe, at present 91% and 78% (ref. ) of the total electricity is produced by thermoelectric (nuclear and fossil-fuelled) power plants, which directly depend on the availability and temperature of water resources for cooling. During recent warm, dry summers several thermoelectric power plants in Europe and the southeastern United States were forced to reduce production owing to cooling-water scarcity. Here we show that thermoelectric power in Europe and the United States is vulnerable to climate change owing to the combined impacts of lower summer river flows and higher river water temperatures. Using a physically based hydrological and water temperature modelling framework in combination with an electricity production model, we show a summer average decrease in capacity of power plants of 6.3-19% in Europe and 4.4-16% in the United States depending on cooling system type and climate scenario for 2031-2060. In addition, probabilities of extreme (>90%) reductions in thermoelectric power production will on average increase by a factor of three. Considering the increase in future electricity demand, there is a strong need for improved climate adaptation strategies in the thermoelectric power sector to assure futureenergy security.
Regional and seasonal response of a West Nile virus vector to climate change.
Morin, Cory W; Comrie, Andrew C
2013-09-24
Climate change will affect the abundance and seasonality of West Nile virus (WNV) vectors, altering the risk of virus transmission to humans. Using downscaled general circulation model output, we calculate a WNV vector's response to climate change across the southern United States using process-based modeling. In the eastern United States, Culex quinquefasciatus response to projected climate change displays a latitudinal and elevational gradient. Projected summer population depressions as a result of increased immature mortality and habitat drying are most severe in the south and almost absent further north; extended spring and fall survival is ubiquitous. Much of California also exhibits a bimodal pattern. Projected onset of mosquito season is delayed in the southwestern United States because of extremely dry and hot spring and summers; however, increased temperature and late summer and fall rains extend the mosquito season. These results are unique in being a broad-scale calculation of the projected impacts of climate change on a WNV vector. The results show that, despite projected widespread future warming, the future seasonal response of C. quinquefasciatus populations across the southern United States will not be homogeneous, and will depend on specific combinations of local and regional conditions.
Tiedt, Andrew D
2013-05-01
This study compared changes in self-reported depressive symptoms in the United States and Japan across 2 points in time. The investigation focused on the gendered processes of intergenerational coresidence and support as the primary distinctions between nations. Fixed-effects models were fit to examine the covariates of depressive symptoms in the Health and Retirement Study (HRS) and the Nihon University Japanese Longitudinal Study of Aging. Gender differences in depressive symptoms persisted across survey waves in both nations, with Japanese men reporting sharper increases by Time 2 than Japanese women. Getting older was associated with more depressive symptoms among Japanese men, whereas income provided a slight buffering effect. Coresiding with daughters also appeared to protect Japanese men and women with functional limitations from depressive symptoms. HRS data demonstrated that changes in marital status and physical health were correlated with increased depressive symptoms for men and women in the United States. The analyses revealed more variety in Center for Epidemiologic Studies Depression scale reports by gender in Japan than in the United States. Future research should consider the diversity of contemporary Japanese households, reflecting new interpretations of traditional family support relationships.
2013-01-01
Objectives. This study compared changes in self-reported depressive symptoms in the United States and Japan across 2 points in time. The investigation focused on the gendered processes of intergenerational coresidence and support as the primary distinctions between nations. Methods. Fixed-effects models were fit to examine the covariates of depressive symptoms in the Health and Retirement Study (HRS) and the Nihon University Japanese Longitudinal Study of Aging. Results. Gender differences in depressive symptoms persisted across survey waves in both nations, with Japanese men reporting sharper increases by Time 2 than Japanese women. Getting older was associated with more depressive symptoms among Japanese men, whereas income provided a slight buffering effect. Coresiding with daughters also appeared to protect Japanese men and women with functional limitations from depressive symptoms. HRS data demonstrated that changes in marital status and physical health were correlated with increased depressive symptoms for men and women in the United States. Discussion. The analyses revealed more variety in Center for Epidemiologic Studies Depression scale reports by gender in Japan than in the United States. Future research should consider the diversity of contemporary Japanese households, reflecting new interpretations of traditional family support relationships. PMID:23591572
Zhou, Qianqian; Leng, Guoyong; Feng, Leyang
2017-07-13
Understanding historical changes in flood damage and the underlying mechanisms is critical for predicting future changes for better adaptations. In this study, a detailed assessment of flood damage for 1950–1999 is conducted at the state level in the conterminous United States (CONUS). Geospatial datasets on possible influencing factors are then developed by synthesizing natural hazards, population, wealth, cropland and urban area to explore the relations with flood damage. A considerable increase in flood damage in CONUS is recorded for the study period which is well correlated with hazards. Comparably, runoff indexed hazards simulated by the Variable Infiltration Capacity (VIC) modelmore » can explain a larger portion of flood damage variations than precipitation in 84% of the states. Cropland is identified as an important factor contributing to increased flood damage in central US while urbanland exhibits positive and negative relations with total flood damage and damage per unit wealth in 20 and 16 states, respectively. Altogether, flood damage in 34 out of 48 investigated states can be predicted at the 90% confidence level. In extreme cases, ~76% of flood damage variations can be explained in some states, highlighting the potential of future flood damage prediction based on climate change and socioeconomic scenarios.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Zhou, Qianqian; Leng, Guoyong; Feng, Leyang
Understanding historical changes in flood damage and the underlying mechanisms is critical for predicting future changes for better adaptations. In this study, a detailed assessment of flood damage for 1950–1999 is conducted at the state level in the conterminous United States (CONUS). Geospatial datasets on possible influencing factors are then developed by synthesizing natural hazards, population, wealth, cropland and urban area to explore the relations with flood damage. A considerable increase in flood damage in CONUS is recorded for the study period which is well correlated with hazards. Comparably, runoff indexed hazards simulated by the Variable Infiltration Capacity (VIC) modelmore » can explain a larger portion of flood damage variations than precipitation in 84% of the states. Cropland is identified as an important factor contributing to increased flood damage in central US while urbanland exhibits positive and negative relations with total flood damage and damage per unit wealth in 20 and 16 states, respectively. Altogether, flood damage in 34 out of 48 investigated states can be predicted at the 90% confidence level. In extreme cases, ~76% of flood damage variations can be explained in some states, highlighting the potential of future flood damage prediction based on climate change and socioeconomic scenarios.« less
Managing diversity in the health care workplace.
Davidhizar, R; Dowd, S; Newman Giger, J
1999-03-01
Cultural diversity is increasing in the United States as increasing numbers of minorities enter the United States from abroad, and cultural diversity is especially prevalent in the health care workplace. In fact, the health care professions are particularly interested in the presence of minorities among caregivers because this often enhances the cultural competence of care delivery. Nevertheless, subtle discrimination can still be found, and managers must be alert that such behavior is not tolerated. Use of the Giger-Davidhizar Cultural Assessment Model can provide managers with information needed to respond to diversity among staff appropriately.
Women in physics in the United States: Recruitment and retention
NASA Astrophysics Data System (ADS)
Abramzon, Nina; Benson, Patrice; Bertschinger, Edmund; Blessing, Susan; Cochran, Geraldine L.; Cox, Anne; Cunningham, Beth; Galbraith-Frew, Jessica; Johnson, Jolene; Kerby, Leslie; Lalanne, Elaine; O'Donnell, Christine; Petty, Sara; Sampath, Sujatha; Seestrom, Susan; Singh, Chandralekha; Spencer, Cherrill; Woodle, Kathryne Sparks; Yennello, Sherry
2015-12-01
Initiatives to increase the number, persistence, and success of women in physics in the United States reach preteen girls through senior women. Programs exist at both the local and national levels. In addition, researchers have investigated issues related to gender equity in physics and physics education. Anecdotal evidence suggests increased media coverage of the underrepresentation of women in science. All of these efforts are motivated and made more effective by the continued collection and presentation of data on the presence, persistence, and promise of women in physics.
2017-05-01
and 4N to work Patient Safety together, and it has worked out fine in our environment .” • “It is my opinion that there needs to be a permanent full...GROUND MEDICAL EXPEDITIONARY ENVIRONMENT AND AN ANALYSIS OF POTENTIAL SOLUTIONS FOR INCREASING THEIR EFFECTIVENESS By: James Lee...DISCUSSION OF PATIENT SAFETY PROGRAMS IN THE UNITED STATES AIR FORCE GROUND MEDICAL EXPEDITIONARY ENVIRONMENT AND AN ANALYSIS OF POTENTIAL SOLUTIONS FOR
Sinski, J T; Flouras, K
1984-03-15
A survey of dermatophytes isolated from patients seeking medical advice was made from 1979 to 1981 in the United States. The survey included 54 locations with data from 40 cities and 2 states. Correlations of these data with that of the other localities of the world were made to illustrate the dynamic epidemiology of several common dermatophytes. The most often isolated dermatophyte in this survey was Trichophyton rubrum having 53.66% of the total for these three calendar years. In a chronological listing of ringworm infections caused by this organism, many areas of the world have reported similar increased incidence of this pathogen. Trichophyton tonsurans was isolated 27.85% of the total. A dramatic increase of this pathogen as a cause of tinea capitis has been observed in most cities of the United States. It has been isolated in 25 different countries of the world. The percentage of isolation of Trichophyton mentagrophytes was 8.56%. This percentage may not be near the true incidence of infection by this dermatophyte because the infections are mild and respond to treatment without the individual seeking medical advice. Since the 1950s the percentage of isolations of the total has dropped for T. mentagrophytes in the United States. Epidermophyton floccosum accounted for 4.36% of the total. In a few areas of the world it causes over 30% of the total of dermatophytoses. Microsporum canis was isolated 3.72% of the total in the United States. It has recently been reported to be the dominant agent of tinea capitis in several South American countries, Tucson, Arizona and Kuwait. Once the dominant pathogen of tinea capitis in children in the United States, it was replaced by Microsporum audouinii before 1960. Today in the United States, M. audouinii only accounts for 0.30% of the total. It is considered eliminated as a pathogen in England. In this survey, isolated less than 1.0% of the total were Microsporum gypseum. Microsporum ferrugineum , Microsporum nanum , Microsporum fulvum and Trichophyton schoenleinii . Trichophyton meginii and Trichophyton terrestre were reported isolated but no numerical data were available.
Mobility and volatility: What is behind the rising income inequality in the United States
NASA Astrophysics Data System (ADS)
Wu, Huixuan; Li, Yao
2018-02-01
Inequality of family incomes in the United States has increased significantly in the past four decades. This is largely interpreted as a result of unequal mobility, e.g., the rich can get richer at a faster pace than the rest of the population. However, using nationally representative data and the Fokker-Planck equation, our study shows that income mobility in the United States has remained stable. Instead, we find another factor - income volatility, which measures the instability of incomes - has increased considerably and caused the surge of income inequality. In addition, the rising volatility is associated with the plummeting of income-growth opportunity, creating the feeling that the American Dream is in decline. Volatility has often been overlooked in previous studies on inequality, partially because mobility and volatility are usually studied separately. By contrast, the Fokker-Planck equation takes both mobility and volatility into consideration, making it a more comprehensive model.
Drug-resistant Neisseria gonorrhoeae: latest developments.
Suay-García, B; Pérez-Gracia, M T
2017-07-01
Gonorrhea is the second most frequently reported notifiable disease in the United States and is becoming increasingly common in Europe. The purpose of this review was to assess the current state of drug-resistant Neisseria gonorrhoeae in order to evaluate future prospects for its treatment. An exhaustive literature search was conducted to include the latest research regarding drug resistance and treatment guidelines for gonorrhea. Gonococci have acquired all known resistance mechanisms to all antimicrobials used for treatment. Currently, the European Union, the United States, and the United Kingdom have established surveillance programs to assess, on a yearly basis, the development of gonococcal resistance. Current treatment guidelines are being threatened by the increasing number of ceftriaxone-, cefixime-, and azithromycin-resistant N. gonorrhoeae strains being detected worldwide. This has led the scientific community to develop new treatment options with new molecules in order to persevere in the battle against this "superbug".
Trends in Spouses’ Shared Time in the United States, 1965–2012
Genadek, Katie R.; Flood, Sarah M.; Roman, Joan Garcia
2016-01-01
Despite major demographic changes over the past 50 years and strong evidence that time spent with a spouse is important for marriages, we know very little about how time with a spouse has changed—or not—in the United States. Using time diary data from 1965–2012, we examine trends in couples’ shared time in the United States during a period of major changes in American marriages and families. We find that couples without children spent more total time together and time alone together n 2012 than they did in 1965, with total time and time alone together both peaking in 1975. For parents, time spent together increased between 1965 and 2012, most dramatically for time spent with a spouse and children. Decomposition analyses show that changes in behavior rather than changing demographics explain these trends, and we find that the increases in couples’ shared time are primarily concentrated in leisure activities. PMID:27730493
DOE Office of Scientific and Technical Information (OSTI.GOV)
Horowitz, Kelsey A; Ding, Fei; Mather, Barry A
The increasing deployment of distributed photovoltaic systems (DPV) can impact operations at the distribution level and the transmission level of the electric grid. It is important to develop and implement forward-looking approaches for calculating distribution upgrade costs that can be used to inform system planning, market and tariff design, cost allocation, and other policymaking as penetration levels of DPV increase. Using a bottom-up approach that involves iterative hosting capacity analysis, this report calculates distribution upgrade costs as a function of DPV penetration on three real feeders - two in California and one in the Northeastern United States.
Yracheta, Joseph M; Alfonso, Javier; Lanaspa, Miguel A; Roncal-Jimenez, Carlos; Johnson, Sarah B; Sánchez-Lozada, Laura G; Johnson, Richard J
2015-06-01
The Hispanic American, the largest minority population in the United States, is at increased risk for obesity, diabetes and end-stage renal disease. Here we review genetic and environmental factors that might account for their increased risk for these conditions. Whereas many environmental and genetic factors have important roles in driving the increased risk for obesity and kidney disease in this population, a case is made that excessive intake of sugary beverages is a contributory cause. Studies focusing on decreasing intake of sugary beverages among the Hispanic American could potentially reduce renal and cardiovascular complications in this population.
Climate change, humidity, and mortality in the United States
Barreca, Alan I.
2014-01-01
This paper estimates the effects of humidity and temperature on mortality rates in the United States (c. 1973–2002) in order to provide an insight into the potential health impacts of climate change. I find that humidity, like temperature, is an important determinant of mortality. Coupled with Hadley CM3 climate-change predictions, I project that mortality rates are likely to change little on the aggregate for the United States. However, distributional impacts matter: mortality rates are likely to decline in cold and dry areas, but increase in hot and humid areas. Further, accounting for humidity has important implications for evaluating these distributional effects. PMID:25328254
Blanton, Lenee; Alabi, Noreen; Mustaquim, Desiree; Taylor, Calli; Kniss, Krista; Kramer, Natalie; Budd, Alicia; Garg, Shikha; Cummings, Charisse N; Chung, Jessie; Flannery, Brendan; Fry, Alicia M; Sessions, Wendy; Garten, Rebecca; Xu, Xiyan; Elal, Anwar Isa Abd; Gubareva, Larisa; Barnes, John; Dugan, Vivien; Wentworth, David E; Burns, Erin; Katz, Jacqueline; Jernigan, Daniel; Brammer, Lynnette
2017-06-30
During the 2016-17 influenza season (October 2, 2016-May 20, 2017) in the United States, influenza activity* was moderate. Activity remained low through November, increased during December, and peaked in February nationally, although there were regional differences in the timing of influenza activity. Influenza A(H3N2) viruses predominated through mid-March and were predominant overall for the season, but influenza B viruses were most commonly reported from late March through May. This report summarizes influenza activity in the United States during October 2, 2016-May 20, 2017 † and updates the previous summary (1).
Characteristics and trends of orthopedic publications between 2000 and 2009.
Lee, Kyoung Min; Ryu, Mi Sun; Chung, Chin Youb; Choi, In Ho; Kwon, Dae Gyu; Kim, Tae Won; Sung, Ki Hyuk; Seo, Sang Gyo; Park, Moon Seok
2011-09-01
This study was undertaken to investigate the trends of orthopedic publications during the last decade, and to document the country of origin, journal, funding source, and language of contribution using PubMed. Orthopedic articles published between 2000 and 2009 were retrieved from PubMed using the following search terms: "orthopaedic[Affiliation] AND ("2000/1/1"[PDAT]: "2009/12/31"[PDAT])" and "orthopedic[Affiliation] AND ("2000/1/1"[PDAT]: "2009/12/31"[PDAT])." The articles were downloaded in XML file format, which contained the following information: article title, author names, journal names, publication dates, article types, languages, authors' affiliations and funding sources. These information was extracted, sorted, and rearranged using the database's management software. We investigated the annual number of published orthopedic articles worldwide and the annual rate of increase. Furthermore, the country of publication origin, journal, funding source, and language of contribution were also investigated. A total of 46,322 orthopedic articles were published and registered in PubMed in the last 10 years. The worldwide number of published orthopedic articles increased from 2,889 in 2000 to 6,909 in 2009, showing an annual increase of 384.6 articles, or an annualized compound rate of 10.2%. The United States ranked highest in the number of published orthopedic articles, followed by Japan, the United Kingdom, Germany, and the Republic of Korea. Among the orthopedic articles published worldwide during the last 10 years, 37.9% pertained studies performed in the United States. Fifty-seven point three percent (57.3%) of articles were published in journals established in the United States. Among the published orthopaedic articles, 4,747 articles (10.2%) disclosed financial support by research funds, of which 4,688 (98.8%) articles utilized research funds from the United States. Most articles were published in English (97.2%, 45,030 articles). The number of published orthopedic articles has been increasing over the last decade. The number of orthopedic articles, journals publication, and funding sources were dominated by research conducted in the United States, while share and growth of Asian countries including Japan, the Republic of Korea, and China were notable.
Characteristics and Trends of Orthopedic Publications between 2000 and 2009
Lee, Kyoung Min; Ryu, Mi Sun; Chung, Chin Youb; Choi, In Ho; Kwon, Dae Gyu; Kim, Tae Won; Sung, Ki Hyuk; Seo, Sang Gyo
2011-01-01
Background This study was undertaken to investigate the trends of orthopedic publications during the last decade, and to document the country of origin, journal, funding source, and language of contribution using PubMed. Methods Orthopedic articles published between 2000 and 2009 were retrieved from PubMed using the following search terms: "orthopaedic[Affiliation] AND ("2000/1/1"[PDAT]: "2009/12/31"[PDAT])" and "orthopedic[Affiliation] AND ("2000/1/1"[PDAT]: "2009/12/31"[PDAT])." The articles were downloaded in XML file format, which contained the following information: article title, author names, journal names, publication dates, article types, languages, authors' affiliations and funding sources. These information was extracted, sorted, and rearranged using the database's management software. We investigated the annual number of published orthopedic articles worldwide and the annual rate of increase. Furthermore, the country of publication origin, journal, funding source, and language of contribution were also investigated. Results A total of 46,322 orthopedic articles were published and registered in PubMed in the last 10 years. The worldwide number of published orthopedic articles increased from 2,889 in 2000 to 6,909 in 2009, showing an annual increase of 384.6 articles, or an annualized compound rate of 10.2%. The United States ranked highest in the number of published orthopedic articles, followed by Japan, the United Kingdom, Germany, and the Republic of Korea. Among the orthopedic articles published worldwide during the last 10 years, 37.9% pertained studies performed in the United States. Fifty-seven point three percent (57.3%) of articles were published in journals established in the United States. Among the published orthopaedic articles, 4,747 articles (10.2%) disclosed financial support by research funds, of which 4,688 (98.8%) articles utilized research funds from the United States. Most articles were published in English (97.2%, 45,030 articles). Conclusions The number of published orthopedic articles has been increasing over the last decade. The number of orthopedic articles, journals publication, and funding sources were dominated by research conducted in the United States, while share and growth of Asian countries including Japan, the Republic of Korea, and China were notable. PMID:21909470
Living Outside the Gender Box in Mexico: Testimony of Transgender Mexican Asylum Seekers.
Cheney, Marshall K; Gowin, Mary J; Taylor, E Laurette; Frey, Melissa; Dunnington, Jamie; Alshuwaiyer, Ghadah; Huber, J Kathleen; Garcia, Mary Camero; Wray, Grady C
2017-10-01
To explore preimmigration experiences of violence and postimmigration health status in male-to-female transgender individuals (n = 45) from Mexico applying for asylum in the United States. We used a document review process to examine asylum declarations and psychological evaluations of transgender Mexican asylum seekers in the United States from 2012. We coded documents in 2013 and 2014 using NVivo, a multidisciplinary team reviewed them, and then we analyzed them for themes. Mexican transgender asylum applicants experienced pervasive verbal, physical, and sexual abuse from multiple sources, including family, school, community, and police. Applicants also experienced discrimination in school and in the workplace. Applicants immigrated to the United States to escape persistent assaults and threats to their life. Applicants suffered health and psychological effects from their experiences in Mexico that affected opportunities in the United States for employment, education, and social inclusion. Additional social protections for transgender individuals and antidiscrimination measures in Mexican schools and workplaces are warranted as are increased mental health assessment and treatment, job training, and education services for asylum seekers in the United States.
Barbieri, Magali; Ouellette, Nadine
2013-01-01
Canada and the United States have enjoyed vigorous population growth since the early 1980s. Although mortality is slightly higher in the United States than in Canada, this is largely offset by much higher fertility, with a total fertility rate at replacement level, compared with just 1.5 children per woman in Canada. The United States is also the world’s largest immigrant receiving country, although its immigration rate is only half that of Canada, where today one person in five is foreign-born, versus one in eight in the United States. Based on recent trends in fertility, mortality and international migration, the populations of these two North American countries will continue to grow over the next five decades, but at a progressively slower pace. The most acute demographic issue today is not, as in Europe, that of imminent population decline, but rather of the geographic and social inequalities which have increased steadily since the early 1980s and which are reflected in major fertility and health differentials between regions and social groups. PMID:24032004
Movement between Mexico and Canada: Analysis of a New Migration Stream
Massey, Douglas; Brown, Amelia E.
2011-01-01
In this analysis we use data from the Mexican Migration Project to contrast processes of Mexican migration to Canada and the United States. All migrants to Canada entered through the Seasonal Agricultural Worker Program and consistent with program criteria, migration there is strongly predicted by marital status and number of dependents, yielding a migrant population that is made up of males of prime labor-force age who are married and have multiple children at home. In contrast, the vast majority of migrants to the United States are undocumented and thus self-selected without regard to marital status or parenthood. Migration to the United States is strongly predicted by age, and migration probabilities display the age curve classically associated with labor migration. Within countries of destination, migrants to Canada enjoy superior labor market outcomes compared with those to the United States, with higher wages and more compact work schedules that yield higher earnings and shorter periods away from families compared with undocumented migrants to the United States. Labor migration to Canada also tends to operate as a circular flow with considerable repeat migration whereas undocumented migrants to the United States do not come and go so regularly, as crossing the Mexico-U.S. border has become increasingly difficult and costly. PMID:24347678
Obesity and excess mortality among the elderly in the United States and Mexico.
Monteverde, Malena; Noronha, Kenya; Palloni, Alberto; Novak, Beatriz
2010-02-01
Increasing levels of obesity could compromise future gains in life expectancy in low- and high-income countries. Although excess mortality associated with obesity and, more generally, higher levels of body mass index (BAI) have been investigated in the United States, there is little research about the impact of obesity on mortality in Latin American countries, where very the rapid rate of growth of prevalence of obesity and overweight occur jointly with poor socioeconomic conditions. The aim of this article is to assess the magnitude of excess mortality due to obesity and overweight in Mexico and the United States. For this purpose, we take advantage of two comparable data sets: the Health and Retirement Study 2000 and 2004 for the United States, and the Mexican Health and Aging Study 2001 and 2003 for Mexico. We find higher excess mortality risks among obese and overweight individuals aged 60 and older in Mexico than in the United States. Yet, when analyzing excess mortality among different socioeconomic strata, we observe greater gaps by education in the United States than in Mexico. We also find that although the probability of experiencing obesity-related chronic diseases among individuals with high BMI is larger for the U.S. elderly, the relative risk of dying conditional on experiencing these diseases is higher in Mexico.
Physician supply and medical education in California. A comparison with national trends.
Grumbach, K; Coffman, J M; Young, J Q; Vranizan, K; Blick, N
1998-01-01
Concerns have been voiced about an impending oversupply of physicians in the United States. Do these concerns also apply to California, a state with many unique demographic characteristics? We examined trends in physician supply and medical education in California and the United States between 1980 and 1995 to better inform the formulation of workforce policies appropriate to the state's requirements for physicians. We found that similar to the United States, California has more than an ample supply of physicians in the aggregate, but too many specialists, too few underrepresented racial/ethnic minority physicians, and poor distribution of physicians across the state. However, recent growth in the supply of practicing physicians and resident physicians per capita in California has been much less dramatic than in the country overall. The state's unusually high rate of population growth has enabled California, unlike the United States as a whole, to absorb large increases in the number of practicing physicians and residents during 1980 to 1995 without substantially increasing the physician-to-population ratio. Due to a projected slowing of the state's rate of population growth, the supply of physicians per capita in the state will begin to rise steeply in coming years unless the state implements prompt reductions in the production of specialists. An immediate 25% reduction in specialist residency positions would be necessary to bring the state's supply of practicing specialists in line with projected physician requirements for the state by 2020. We conclude that major changes will be required if the state's residency programs and medical schools are to produce the number and mix of physicians the state requires. California's medical schools and residency programs will need to act in concert with federal and state government to develop effective policies to address the imbalance between physician supply and state requirements. Images Figure 2. Figure 3. Figure 4. PMID:9614798
Recycled Cell Phones - A Treasure Trove of Valuable Metals
Sullivan, Daniel E.
2006-01-01
This U.S. Geological Survey (USGS) Fact Sheet examines the potential value of recycling the metals found in obsolete cell phones. Cell phones seem ubiquitous in the United States and commonplace throughout most of the world. There were approximately 1 billion cell phones in use worldwide in 2002. In the United States, the number of cell phone subscribers increased from 340,000 in 1985 to 180 million in 2004. Worldwide, cell phone sales have increased from slightly more than 100 million units per year in 1997 to an estimated 779 million units per year in 2005. Cell phone sales are projected to exceed 1 billion units per year in 2009, with an estimated 2.6 billion cell phones in use by the end of that year. The U.S. Environmental Protection Agency estimated that, by 2005, as many as 130 million cell phones would be retired annually in the United States. The nonprofit organization INFORM, Inc., anticipated that, by 2005, a total of 500 million obsolete cell phones would have accumulated in consumers' desk drawers, store rooms, or other storage, awaiting disposal. Typically, cell phones are used for only 1 1/2 years before being replaced. Less than 1 percent of the millions of cell phones retired and discarded annually are recycled. When large numbers of cell phones become obsolete, large quantities of valuable metals end up either in storage or in landfills. The amount of metals potentially recoverable would make a significant addition to total metals recovered from recycling in the United States and would supplement virgin metals derived from mining.
NASA Astrophysics Data System (ADS)
Guilbert, Justin; Betts, Alan K.; Rizzo, Donna M.; Beckage, Brian; Bomblies, Arne
2015-03-01
We present evidence of increasing persistence in daily precipitation in the northeastern United States that suggests that global circulation changes are affecting regional precipitation patterns. Meteorological data from 222 stations in 10 northeastern states are analyzed using Markov chain parameter estimates to demonstrate that a significant mode of precipitation variability is the persistence of precipitation events. We find that the largest region-wide trend in wet persistence (i.e., the probability of precipitation in 1 day and given precipitation in the preceding day) occurs in June (+0.9% probability per decade over all stations). We also find that the study region is experiencing an increase in the magnitude of high-intensity precipitation events. The largest increases in the 95th percentile of daily precipitation occurred in April with a trend of +0.7 mm/d/decade. We discuss the implications of the observed precipitation signals for watershed hydrology and flood risk.
Factors Underlying the Temporal Increase in Maternal Mortality in the United States
Joseph, K.S.; Lisonkova, Sarka; Muraca, Giulia M.; Razaz, Neda; Sabr, Yasser; Mehrabadi, Azar; Schisterman, Enrique F.
2016-01-01
OBJECTIVE To identify the factors underlying the recent increase in maternal mortality ratios (maternal deaths per 100,000 live births) in the United States. METHODS We carried out a retrospective study with data on maternal deaths and live births in the United States from 1993 to 2014 obtained from the birth and death files of the Centers for Disease Control and Prevention. Underlying causes of death were examined between 1999 and 2014 using International Classification of Diseases, Tenth Revision (ICD-10) codes. Poisson regression was used to estimate maternal mortality rate ratios (RR) and 95% confidence intervals (CI) after adjusting for the introduction of a separate pregnancy question and the standard pregnancy checkbox on death certificates, and adoption of ICD-10. RESULTS Maternal mortality ratios increased from 7.55 in 1993, to 9.88 in 1999 and to 21.5 per 100,000 live births in 2014 (RR 2014 vs 1993 2.84, 95% CI 2.49 to 3.24; RR 2014 vs 1999 2.17, 95% CI 1.93 to 2.45). The increase in maternal deaths from 1999 to 2014 was mainly due to increases in maternal deaths associated with two new ICD-10 codes (O26.8 i.e., primarily renal disease and O99 i.e., other maternal diseases classifiable elsewhere); exclusion of such deaths abolished the increase in mortality (RR 1.09, 95% CI 0.94 to 1.27). Regression adjustment for improvements in surveillance also abolished the temporal increase in maternal mortality ratios (adjusted maternal mortality ratios 7.55 in 1993, 8.00 per 100,000 live births in 2013; adjusted RR 2013 vs 1993 1.06, 95% CI 0.90 to 1.25). CONCLUSION Recent increases in maternal mortality ratios in the United States are likely an artifact of improvements in surveillance and highlight past underestimation of maternal death. Complete ascertainment of maternal death in populations remains a challenge even in countries with good systems for civil registration and vital statistics. PMID:27926651
Understanding human trafficking in the United States.
Logan, T K; Walker, Robert; Hunt, Gretchen
2009-01-01
The topic of modern-day slavery or human trafficking has received increased media and national attention. However, to date there has been limited research on the nature and scope of human trafficking in the United States. This article describes and synthesizes nine reports that assess the U.S. service organizations' legal representative knowledge of, and experience with, human trafficking cases, as well as information from actual cases and media reports. This article has five main goals: (a) to define what human trafficking is, and is not; (b) to describe factors identified as contributing to vulnerability to being trafficked and keeping a person entrapped in the situation; (c) to examine how the crime of human trafficking differs from other kinds of crimes in the United States; (d) to explore how human trafficking victims are identified; and, (e) to provide recommendations to better address human trafficking in the United States.
NASA Astrophysics Data System (ADS)
Jackson, R. B.; Kang, M.
2016-12-01
Oil and gas extraction is expanding in the United States, attributable to the success of high-volume hydraulic fracturing, and associated wastewater disposal is increasing as a result. The United States currently has approximately 180,000 Class II injection wells associated with the oil and gas industry, more than 50,000 of them in California. Hydraulic fracturing and underground injection often occur many thousands of feet belowground. Previously, however, we documented shallow hydraulic fracturing and other oil and gas activities across the western United States in particular, including California and Wyoming. In eight CA counties, for example, as many as 19% and 35% of oil/gas activities have occurred directly in freshwater zones and USDWs, respectively (Kang and Jackson 2016 PNAS). Here we expand this analysis to examine the underground injection control program and accompanying hydrogeologic variables found in California and elsewhere.
Chlorine-36 in groundwater of the United States: Empirical data
Davis, S.N.; Moysey, S.; Cecil, L.D.; Zreda, M.
2003-01-01
Natural production of the radionuclide chlorine-36 (36Cl) has provided a valuable tracer for groundwater studies. The nuclear industry, especially the testing of thermonuclear weapons, has also produced large amounts of 36Cl that can be detected in many samples of groundwater. In order to be most useful in hydrologic studies, the natural production prior to 1952 should be distinguished from more recent artificial sources. The object of this study was to reconstruct the probable preanthropogenic levels of 36Cl in groundwater in the United States. Although significant local variations exist, they are superimposed on a broad regional pattern of 36Cl/Cl ratios in the United States. Owing to the influence of atmospherically transported ocean salt, natural ratios of 36Cl/total Cl are lowest near the coast and increase to a maximum in the central Rocky Mountains of the United States.
The rise of biosimilars: How they got here and where they are going.
Patel, Dhiren; Gillis, Colin; Naggar, Joseph; Mistry, Amee; Mantzoros, Christos S
2017-10-01
Biosimilars have become a subject of great interest in the past few years. The European Union and the United States are seeing an increasing number of biosimilar applications and approvals. The development of a biosimilar is significantly more complex and costly than a small molecule generic product. In the European Union, there has been a wider use of these medications compared to the United States. More biosimilars are gaining approval in the United States, and these products will likely alter the healthcare system in highly impactful ways. Understanding the regulatory process, the risks, and benefits will enable clinicians to be prepared and maximize the utility of these medications when they enter the market. This article introduces the concept of a biosimilar, discusses the regulatory process in the United States, and reviews the risks and benefits of these products. Copyright © 2017 Elsevier Inc. All rights reserved.
Groundwater depletion in the United States (1900−2008)
Konikow, Leonard F.
2013-01-01
A natural consequence of groundwater withdrawals is the removal of water from subsurface storage, but the overall rates and magnitude of groundwater depletion in the United States are not well characterized. This study evaluates long-term cumulative depletion volumes in 40 separate aquifers or areas and one land use category in the United States, bringing together information from the literature and from new analyses. Depletion is directly calculated using calibrated groundwater models, analytical approaches, or volumetric budget analyses for multiple aquifer systems. Estimated groundwater depletion in the United States during 1900–2008 totals approximately 1,000 cubic kilometers (km3). Furthermore, the rate of groundwater depletion has increased markedly since about 1950, with maximum rates occurring during the most recent period (2000–2008) when the depletion rate averaged almost 25 km3 per year (compared to 9.2 km3 per year averaged over the 1900–2008 timeframe).
ERIC Educational Resources Information Center
Blazer, Christie
2011-01-01
An increasing number of states and school districts across the country are tying teacher pay to student performance. A recent RAND Education study found that nationwide spending on teacher performance pay increased from $99 million in 2006 to $439 million in 2010. However, many states and school districts face significant hurdles when they attempt…
2016-04-01
implementation, focusing physical training on the mission specific requirements of the individual similar to an athletic sports model, increasing access to...initiative as a mechanism to help maintain the resiliency, health, and welfare of its force.1 As Air Force Instruction (AFI) 90-506 states, the strategy ...implementation of Tactical Athlete Programs, which provide tailored workout plans and nutrition education that prepare service members to meet the physical
Potential Impacts of Climate Change on Stream Water Temperatures Across the United States
NASA Astrophysics Data System (ADS)
Ehsani, N.; Knouft, J.; Ficklin, D. L.
2017-12-01
Analyses of long-term observation data have revealed significant changes in several components of climate and the hydrological cycle over the contiguous United States during the twentieth and early twenty-first century. Mean surface air temperatures have significantly increased in most areas of the country. In addition, water temperatures are increasing in many watersheds across the United States. While there are numerous studies assessing the impact of climate change on air temperatures at regional and global scales, fewer studies have investigated the impacts of climate change on stream water temperatures. Projecting increases in water temperature are particularly important to the conservation of freshwater ecosystems. To achieve better insights into attributes regulating population and community dynamics of aquatic biota at large spatial and temporal scales, we need to establish relationships between environmental heterogeneity and critical biological processes of stream ecosystems at these scales. Increases in stream temperatures caused by the doubling of atmospheric carbon dioxide may result in a significant loss of fish habitat in the United States. Utilization of physically based hydrological-water temperature models is computationally demanding and can be onerous to many researchers who specialize in other disciplines. Using statistical techniques to analyze observational data from 1760 USGS stream temperature gages, our goal is to develop a simple yet accurate method to quantify the impacts of climate warming on stream water temperatures in a way that is practical for aquatic biologists, water and environmental management purposes, and conservation practitioners and policy-makers. Using an ensemble of five global climate models (GCMs), we estimate the potential impacts of climate change on stream temperatures within the contiguous United States based on recent trends. Stream temperatures are projected to increase across the US, but the magnitude of the changes are not expected to be uniform across the region and these relationships are expected to vary from month to month. Combined with expected changes in stream flows, the projected changes in the thermal regimes of streams can fundamentally transform stream habitats and the distribution of biodiversity.
Comparison of the U.S. lead recycling industry in 1998 and 2011
Wilburn, David R.
2014-01-01
Since 1998, the structure of the lead recycling industry has changed and trade patterns of the domestic lead recycling industry have shifted. Although the domestic demand for lead has remained relatively constant since 1998, production of lead has increasingly shifted to the domestic secondary lead industry. The last primary lead smelter in the United States closed at the end of 2013, at which time the secondary lead industry became the sole source of domestic lead production. The amount of lead recovered annually from scrap batteries generally increased from about 900,000 metric tons in 1995 to more than 1,100,000 metric tons in 2012. The percentage of total U.S. lead production attributed to battery scrap increased from 65 percent in 1995 to 87 percent in 2012. Since the North American Free Trade Agreement took effect in 1994, trade patterns among the United States, Canada, and Mexico have changed for recycled lead products. In the late 1990s, the principal sources of lead waste and scrap not derived from batteries were Canada, Mexico, and South America; by 2011, the principal sources were Central America and Asia, with decreasing amounts from Canada and South America. Since 1998, the amount of lead derived from imported batteries and scrap from Canada has ranged from 50 to 90 percent, and the amount imported from Mexico has ranged from 3 to 20 percent. Canada received about 50 percent of the lead contained in spent lead-acid batteries and scrap exported from the United States in 1998, and Mexico received about 4 percent. By 2012, however, the amount of lead scrap exported to Canada had decreased to about 10 percent, and the amount of lead-based scrap products, primarily batteries, exported to Mexico from the United States had increased to 47 percent. Vertical integration of the domestic secondary lead industry and higher costs required to implement more stringent ambient air standards in the United States have led some companies to shift lead recycling operations to Mexico. U.S. secondary lead producers are increasingly competing with Canadian and Mexican facilities for market share.
Soverow, Jonathan E.; Wellenius, Gregory A.; Fisman, David N.; Mittleman, Murray A.
2009-01-01
Background The effects of weather on West Nile virus (WNV) mosquito populations in the United States have been widely reported, but few studies assess their overall impact on transmission to humans. Objectives We investigated meteorologic conditions associated with reported human WNV cases in the United States. Methods We conducted a case–crossover study to assess 16,298 human WNV cases reported to the Centers for Disease Control and Prevention from 2001 to 2005. The primary outcome measures were the incidence rate ratio of disease occurrence associated with mean weekly maximum temperature, cumulative weekly temperature, mean weekly dew point temperature, cumulative weekly precipitation, and the presence of ≥ 1 day of heavy rainfall (≥ 50 mm) during the month prior to symptom onset. Results Increasing weekly maximum temperature and weekly cumulative temperature were similarly and significantly associated with a 35–83% higher incidence of reported WNV infection over the next month. An increase in mean weekly dew point temperature was significantly associated with a 9–38% higher incidence over the subsequent 3 weeks. The presence of at least 1 day of heavy rainfall within a week was associated with a 29–66% higher incidence during the same week and over the subsequent 2 weeks. A 20-mm increase in cumulative weekly precipitation was significantly associated with a 4–8% increase in incidence of reported WNV infection over the subsequent 2 weeks. Conclusions Warmer temperatures, elevated humidity, and heavy precipitation increased the rate of human WNV infection in the United States independent of season and each others’ effects. PMID:19654911
Kharrazi, Rebekah J; Nash, Denis; Mielenz, Thelma J
2015-09-01
To investigate whether changes in death certificate coding and reporting practices explain part or all of the recent increase in the rate of fatal falls in adults aged 65 and older in the United States. Trends in coding and reporting practices of fatal falls were evaluated under mortality coding schemes for International Classification of Diseases (ICD), Ninth Revision (1992-1998) and Tenth Revision (1999-2005). United States, 1992 to 2005. Individuals aged 65 and older with falls listed as the underlying cause of death (UCD) on their death certificates. The primary outcome was annual fatal falls rates per 100,000 U.S. residents aged 65 and older. Coding practice was assessed through analysis of trends in rates of specific UCD fall ICD e-codes over time. Reporting quality was assessed by examining changes in the location on the death certificate where fall e-codes were reported, in particular, the percentage of fall e-codes recorded in the proper location on the death certificate. Fatal falls rates increased over both time periods: 1992 to 1998 and 1999 to 2005. A single falls e-code was responsible for the increasing trend of fatal falls overall from 1992 to 1998 (E888, other and unspecified fall) and from 1999 to 2005 (W18, other falls on the same level), whereas trends for other falls e-codes remained stable. Reporting quality improved steadily throughout the study period. Better reporting quality, not coding practices, contributed to the increasing rate of fatal falls in older adults in the United States from 1992 to 2005. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.
Use of Fibrates in the United States and Canada
Jackevicius, Cynthia A.; Tu, Jack V.; Ross, Joseph S.; Ko, Dennis T.; Carreon, Daniel; Krumholz, Harlan M.
2012-01-01
Context Interest in the role of fibrates has intensified with the publication of the negative ACCORD trial with fenofibrate, especially since the evidence for clinical outcomes benefit for fibrates is heavily weighted on older fibrates, gemfibrozil and clofibrate. Objective This study seeks to examine trends in the current use of fibrates, and for fenofibrate, to illuminate the relationship between differences in the availability of proprietary versus generic formulations and use and economic implications in the United States (US) compared with Canada. Design/Setting/Patients Population-level, cohort study using IMS Health data in the United States and Canada of patients prescribed fibrates between 2002 and 2009. Main Outcome Measure(s) Fibrate prescribing and expenditures. Results From 2002–2009, fibrate prescriptions increased 117.1% in the US, by 12,000/month to 2.1 million prescriptions/month, yet only increased by 18.1% in Canada. (p<0.001) Fenofibrate use was relatively constant in Canada, while in the US, it increased by 159.3%, comprising 47.9% of total fibrate prescriptions in 2002 and 65.2% in 2009. The annual ratio of generic:brand fenofibrate use in the US from 2002 to 2008 ranged from 0:1 to 0.09:1, while the ratio in Canada steadily increased from 2005 to 2008 from 0.51:1 to 1.89:1. In the US, crude fenofibrate expenditures rose from $33.2 million/month in 2002 to $129.6 million/month in 2009, while those in Canada declined from $5.6 million/month to $5.1 million/month. Fibrate expenditures per 100,000 population were 3-fold higher in the US compared with Canada in 2009. Conclusions During the past decade, prescriptions for fibrates, particularly, fenofibrate, increased in the United States, while prescriptions for fibrates in Canada remained stable. PMID:21427374
Effects of El Niño on Summertime Ozone Air Quality in the Eastern United States
Mickley, Loretta J.
2017-01-01
Abstract We investigate the effect of El Niño on maximum daily 8 h average surface ozone over the eastern United States in summer during 1980–2016. El Niño can influence the extratropical climate through the propagation of stationary waves, leading to (1) reduced transport of moist, clean air into the middle and southern Atlantic states and greater subsidence, reduced precipitation, and increased surface solar radiation in this region, as well as (2) intensified southerly flow into the south central states, which here enhances flux of moist and clean air. As a result, each standard deviation increase in the Niño 1 + 2 index is associated with an increase of 1–2 ppbv ozone in the Atlantic states and a decrease of 0.5–2 ppbv ozone in the south central states. These influences can be predicted 4 months in advance. We show that U.S. summertime ozone responds differently to eastern‐type El Niño events compared to central‐type events. PMID:29622852
Violent Death Rates: The US Compared with Other High-income OECD Countries, 2010.
Grinshteyn, Erin; Hemenway, David
2016-03-01
Violent death is a serious problem in the United States. Previous research showing US rates of violent death compared with other high-income countries used data that are more than a decade old. We examined 2010 mortality data obtained from the World Health Organization for populous, high-income countries (n = 23). Death rates per 100,000 population were calculated for each country and for the aggregation of all non-US countries overall and by age and sex. Tests of significance were performed using Poisson and negative binomial regressions. US homicide rates were 7.0 times higher than in other high-income countries, driven by a gun homicide rate that was 25.2 times higher. For 15- to 24-year-olds, the gun homicide rate in the United States was 49.0 times higher. Firearm-related suicide rates were 8.0 times higher in the United States, but the overall suicide rates were average. Unintentional firearm deaths were 6.2 times higher in the United States. The overall firearm death rate in the United States from all causes was 10.0 times higher. Ninety percent of women, 91% of children aged 0 to 14 years, 92% of youth aged 15 to 24 years, and 82% of all people killed by firearms were from the United States. The United States has an enormous firearm problem compared with other high-income countries, with higher rates of homicide and firearm-related suicide. Compared with 2003 estimates, the US firearm death rate remains unchanged while firearm death rates in other countries decreased. Thus, the already high relative rates of firearm homicide, firearm suicide, and unintentional firearm death in the United States compared with other high-income countries increased between 2003 and 2010. Copyright © 2016 Elsevier Inc. All rights reserved.
China’s international trade and air pollution in the United States
Lin, Jintai; Pan, Da; Davis, Steven J.; Zhang, Qiang; He, Kebin; Wang, Can; Streets, David G.; Wuebbles, Donald J.; Guan, Dabo
2014-01-01
China is the world’s largest emitter of anthropogenic air pollutants, and measurable amounts of Chinese pollution are transported via the atmosphere to other countries, including the United States. However, a large fraction of Chinese emissions is due to manufacture of goods for foreign consumption. Here, we analyze the impacts of trade-related Chinese air pollutant emissions on the global atmospheric environment, linking an economic-emission analysis and atmospheric chemical transport modeling. We find that in 2006, 36% of anthropogenic sulfur dioxide, 27% of nitrogen oxides, 22% of carbon monoxide, and 17% of black carbon emitted in China were associated with production of goods for export. For each of these pollutants, about 21% of export-related Chinese emissions were attributed to China-to-US export. Atmospheric modeling shows that transport of the export-related Chinese pollution contributed 3–10% of annual mean surface sulfate concentrations and 0.5–1.5% of ozone over the western United States in 2006. This Chinese pollution also resulted in one extra day or more of noncompliance with the US ozone standard in 2006 over the Los Angeles area and many regions in the eastern United States. On a daily basis, the export-related Chinese pollution contributed, at a maximum, 12–24% of sulfate concentrations over the western United States. As the United States outsourced manufacturing to China, sulfate pollution in 2006 increased in the western United States but decreased in the eastern United States, reflecting the competing effect between enhanced transport of Chinese pollution and reduced US emissions. Our findings are relevant to international efforts to reduce transboundary air pollution. PMID:24449863
Economic dynamics of forests and forest industries in the Southern United States
Thomas J. Brandeis; Andrew J. Hartsell; James W. Bentley; Consuelo Brandeis
2012-01-01
This report reviews how recent (2005-present) economic conditions have accelerated mill closings and job losses, and, to a lesser extent, influenced forest management in the Southern United States. We show that the number of primary roundwood-using mills has decreased across the South since the 1970s. At the same time, mill output has increased as the production of the...
ERIC Educational Resources Information Center
Morrison, Peter A.
The United States is a highly urbanized nation with space in abundance, yet large portions of its national territory are emptying out. The counterpart of this pervasive population decline is a highly selective pattern of growth, conferred by a national system of migration flows that has increasingly favored a certain few metropolitan areas. This…
Patterns of Forest invertebrates Along an Acidic Deposition Gradient in the Midwestern United States
Robert A. Haack
1996-01-01
The Ohio Corridor Study (OCS) was designed to detect possible effects of acidic deposition on oak-hickory (Quercus-Carya) forests in the midwestem United States. There was one study site in Arkansas, and two each in Illinois, Indiana, and Ohio. Estimates of total sulfate deposition have generally increased about two-fold from west (Arkansas) to east (Ohio) during the...
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...
ERIC Educational Resources Information Center
Guzman-Orth, Danielle; Lopez, Alexis A.; Tolentino, Florencia
2017-01-01
Dual language learners (DLLs) and the various educational programs that serve them are increasing in number across the country. This framework lays out a conceptual approach for dual language assessment tasks designed to measure the language and literacy skills of young DLLs entering kindergarten in the United States. Although our examples focus…
ERIC Educational Resources Information Center
Ilosvay, Kimberly K.
2012-01-01
Since 1980, the number of people in the United States who speak a language other than English at home has increased by 140% (United States Census Bureau, 2010). Therefore a greater percentage of students now are multilingual. Throughout the world, multilingualism is considered the norm and monolingualism is the exception (Auer & Wei, 2008). In…
Adam Duarte; Donald J. Brown; Michael R. J. Forstner
2017-01-01
High-severity forest fires are increasing in large areas of the southern and western United States as the climate becomes warmer and drier. Natural resource managers need a better understanding of the short- and long-term effects of wildfires on lizard populations, but there is a paucity of studies focused on lizard-wildfire relationships. We used a before-after,...
Linda H. Pardo; Mark E. Fenn; Christine L. Goodale; Linda H. Geiser; Charles T. Driscoll; Edith B. Allen; Jill S. Baron; Roland Bobbink; William D. Bowman; Christopher M. Clark; Bridget Emmett; Frank S. Gilliam; Tara L. Greaver; Sharon J. Hall; Erik A. Lilleskov; Lingli Liu; Jason A. Lynch; Knute J. Nadelhoffer; Steven S. Perakis; Molly J. Robin-Abbott; John L. Stoddard; Kathleen C. Weathers; Robin L. Dennis
2011-01-01
Human activity in the last century has led to a significant increase in nitrogen (N) emissions and atmospheric deposition. This N deposition has reached a level that has caused or is likely to cause alterations to the structure and function of many ecosystems across the United States. One approach for quantifying the deposition of pollution that would be harmful to...
ERIC Educational Resources Information Center
Curtin, Sally C.; Tejada-Vera, Betzaida; Warner, Margaret
2017-01-01
Drug overdose deaths in the United States are a pressing public health challenge. In particular, drug overdoses involving opioids have increased since 1999. This report focuses specifically on drug overdose deaths for older adolescents aged 15-19. In 2015, 772 drug overdose deaths occurred in this age group. Rates for 1999-2015 are presented and…
Introduction to climate change adaptation and mitigation management options
James M. Vose; Kier D. Klepzig
2014-01-01
Climate is a critical factor shaping the structure and function of forest ecosystems in the Southern United States. Human induced changes in climate systems have resulted in an increase in the global average air temperature of about 0.8°C since the 1900s (Pachuri and Reisinger 2007). Data from long-term weather stations show that overall, the continental United States...
ERIC Educational Resources Information Center
Ho, Ya-Ting
2014-01-01
There is a continuing increase in the African American and Hispanic student populations in public schools. The students who are invited to gifted programs are overwhelmingly White. This is the situation in schools in the United States and also in Taiwan. Misunderstanding or unawareness of culture difference among educators might contribute to…
Invasion dynamics of white-nose syndrome fungus, midwestern United States, 2012-2014.
Langwig, Kate E; Hoyt, Joseph R; Parise, Katy L; Kath, Joe; Kirk, Dan; Frick, Winifred F; Foster, Jeffrey T; Kilpatrick, A Marm
2015-06-01
White-nose syndrome has devastated bat populations in eastern North America. In Midwestern United States, prevalence increased quickly in the first year of invasion (2012-13) but with low population declines. In the second year (2013-14), environmental contamination led to earlier infection and high population declines. Interventions must be implemented before or soon after fungal invasion to prevent population collapse.
Steven G. McNulty; Jennifer A. Moore; Louis Iverson; Anantha Prasad; Robert Abt; Bryan Smith; Ge Sun; Michael Gavazzi; John Bartlett; Brian Murray; Robert A. Mickler; John D. Aber
2000-01-01
The southern United States produces over 50% of commercial timber harvests in the US and the demand for southern timber are likely to increase in the future. Global change is altering the physical and chemical environmental which will play a major role in determining future forest stand growth, insect and disease outbreaks, regeneration success, and distribution of...
Steven G. McNulty; Jennifer A. Moore; Louis Iverson; Anantha Prasad; Robert, et al. Abt
2000-01-01
The southern United States produces over 50% of commercial timber harvests in the US and the demand for southern timber are likely to increase in the future. Global change is altering the physical and chemical environmental which will play a major role in determining future forest stand growth, insect and disease outbreaks, regeneration success, and distribution of...
Liang Wei; Timothy E. Link; Andrew T. Hudak; John D. Marshall; Kathleen L. Kavanagh; John T. Abatzoglou; Hang Zhou; Robert E. Pangle; Gerald N. Flerchinger
2016-01-01
Annual streamflows have decreased across mountain watersheds in the Pacific Northwest of the United States over the last ~70 years; however, in some watersheds, observed annual flows have increased. Physically based models are useful tools to reveal the combined effects of climate and vegetation on long-term water balances by explicitly simulating the internal...
ERIC Educational Resources Information Center
Evivie, Loretta Gbemudu
2009-01-01
The number of international students coming to the United States has increased from 48,486 in 1959-1960 to 623,805 in the 2007-2008 academic years (Open Doors, 2008). These students contributed $15.5 billion to the United States economy, making education the nation's fifth largest service export (Open Doors, 2008). The literature has focused on…
Smoke modeling in support of management of forest landscapes in the eastern United States
Gary L. Achtemeier
2009-01-01
The impact of smoke from forest burning on air quality is a threat to the use of prescribed fire to manage woodlands in the eastern United States. Population shifts from urban centers to the wildland/urban interface have increased human exposures to smoke. Tighter national ambient air quality standards restrict the amount of smoke released over an area. This article...
ERIC Educational Resources Information Center
Galama, Titus, Ed.; Hosek, James, Ed.
2007-01-01
Concern has grown that the United States is losing its competitive edge in science and technology (S&T). The factors driving this concern include globalization, the rise of science centers in developing countries such as China and India, the increasing number of foreign-born Ph.D. students in the United States, and claims of a shortage of…
The Role of African-American Musicians in the Integration of the United States Navy
ERIC Educational Resources Information Center
Drane, Gregory
2015-01-01
The service of blacks in the U.S. military can be traced back to the Revolutionary War. However, up to the end of World War I, African Americans in military branches were relegated to cooking and cleaning duties. As the United States prepared to enter World War II, pressure to admit African Americans into full service in the military increased due…
Susan J. Prichard; Eva C. Karau; Roger D. Ottmar; Maureen C. Kennedy; James B. Cronan; Clinton S. Wright; Robert E. Keane
2014-01-01
Reliable predictions of fuel consumption are critical in the eastern United States (US), where prescribed burning is frequently applied to forests and air quality is of increasing concern. CONSUME and the First Order Fire Effects Model (FOFEM), predictive models developed to estimate fuel consumption and emissions from wildland fires, have not been systematically...
ERIC Educational Resources Information Center
Congress of the U.S., Washington, DC. Senate.
The Veterans' Education and Employment Assistance Act of 1976 (Public Law 94-502) is described in this document. The act is structured to amend title 38, United States Code, to set a termination date for veterans' educational benefits, to increase vocational rehabilitation subsistence allowances, educational and training assistance allowances, and…
Krukowski, S.T.
2006-01-01
In descending order, Chile, Japan and the United States have the largest iodine reserves. Chile produces iodine from iodate minerals while Japan and the United States produce it from sodium iodide solutions found in underground iodide solutions. Iodine is also produced from subterranean brines in Azerbaijan, Russia, Turkmenista, Indonesia and Uzbekistan. In 2005, iodine prices increased sharply to US$19 to US$23 then leveled off at US$23 to US$25.
A growing importance of large fires in conterminous United States during 1984-2012
Jia Yang; Hanqin Tian; Bo Tao; Wei Ren; Shufen Pan; Yongqiang Liu; Yuhang Wang
2015-01-01
Fire frequency, extent, and size exhibit a strong linkage with climate conditions and play a vital role in the climate system. Previous studies have shown that the frequency of large fires in the western United States increased significantly since the mid-1980s due to climate warming and frequent droughts. However, less work has been conducted to examine burned area...
Sarah M. McCaffrey; Alan Rhodes
2009-01-01
In the United States, the increasing costs and negative impacts of wildfires are causing fire managers and policymakers to reexamine traditional approaches to fire management including whether mass evacuation of populations threatened by wildfire is always the most appropriate option. This article examines the Australian "stay and defend or leave early" (SDLE...
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
ERIC Educational Resources Information Center
Chapin, Donald H.
Testimony is presented concerning the financial burden the United States government is expected to endure from the billions of dollars in loans it has guaranteed (and continues to guarantee) for business, education, housing, and other purposes, many of which are in areas now experiencing economically hard times. The testimony discusses predicting…
Long-term trends in restoration and associated land treatments in the southwestern United States
Copeland, Stella M.; Munson, Seth M.; Pilliod, David S.; Welty, Justin L.; Bradford, John B.; Butterfield, Bradley J.
2018-01-01
Restoration treatments, such as revegetation with seeding or invasive species removal, have been applied on U.S. public lands for decades. Temporal trends in these management actions have not been extensively summarized previously, particularly in the southwestern United States where invasive plant species, drought, and fire have altered dryland ecosystems. We assessed long-term (1940–2010) trends in restoration using approximately 4,000 vegetation treatments conducted on Bureau of Land Management lands across the southwestern United States. We found that since 1940, the proportions of seeding and vegetation/soil manipulation (e.g. vegetation removal or plowing) treatments have declined, while the proportions of prescribed burn and invasive species treatments have increased. Treatments in pinyon-juniper and big sagebrush communities declined in comparison to treatments in desert scrub, creosote bush, and riparian woodland communities. Restoration-focused treatment objectives increased relative to resource extraction objectives. Species richness and proportion of native species used in seeding treatments also increased. Inflation-adjusted costs per area rose 750% for vegetation/soil manipulation, 600% for seeding, and 400% for prescribed burn treatments in the decades from 1981 to 2010. Seeding treatments were implemented in warmer and drier years when compared to the climate conditions of the entire study period and warmer and wetter years relative to several years before and after the treatment. These results suggest that treatments over a 70-year period on public lands in the southwestern United States are shifting toward restoration practices that are increasingly large, expensive, and related to fire and invasive species control.
Crooks, James Lewis; Cascio, Wayne E; Percy, Madelyn S; Reyes, Jeanette; Neas, Lucas M; Hilborn, Elizabeth D
2016-11-01
The impact of dust storms on human health has been studied in the context of Asian, Saharan, Arabian, and Australian storms, but there has been no recent population-level epidemiological research on the dust storms in North America. The relevance of dust storms to public health is likely to increase as extreme weather events are predicted to become more frequent with anticipated changes in climate through the 21st century. We examined the association between dust storms and county-level non-accidental mortality in the United States from 1993 through 2005. Dust storm incidence data, including date and approximate location, are taken from the U.S. National Weather Service storm database. County-level mortality data for the years 1993-2005 were acquired from the National Center for Health Statistics. Distributed lag conditional logistic regression models under a time-stratified case-crossover design were used to study the relationship between dust storms and daily mortality counts over the whole United States and in Arizona and California specifically. End points included total non-accidental mortality and three mortality subgroups (cardiovascular, respiratory, and other non-accidental). We estimated that for the United States as a whole, total non-accidental mortality increased by 7.4% (95% CI: 1.6, 13.5; p = 0.011) and 6.7% (95% CI: 1.1, 12.6; p = 0.018) at 2- and 3-day lags, respectively, and by an average of 2.7% (95% CI: 0.4, 5.1; p = 0.023) over lags 0-5 compared with referent days. Significant associations with non-accidental mortality were estimated for California (lag 2 and 0-5 day) and Arizona (lag 3), for cardiovascular mortality in the United States (lag 2) and Arizona (lag 3), and for other non-accidental mortality in California (lags 1-3 and 0-5). Dust storms are associated with increases in lagged non-accidental and cardiovascular mortality. Citation: Crooks JL, Cascio WE, Percy MS, Reyes J, Neas LM, Hilborn ED. 2016. The association between dust storms and daily non-accidental mortality in the United States, 1993-2005. Environ Health Perspect 124:1735-1743; http://dx.doi.org/10.1289/EHP216.
Effects of Automobile Emissions on Air Pollution in the United States
NASA Astrophysics Data System (ADS)
Cohen, Ryan; Singh, Ramesh
2016-07-01
Currently, about more than 253,000,000 automobiles and trucks, some are new, old, gas and electric, ply on the roads in the United States of America. Around the world, human activities and energy demand are the main sources for the air pollution and ozone depletion, causing dense haze, fog and smog especially during winter season in the country like China and India and also observed in different parts of the world. In recent years, automakers have been pushed by new governmental regulations and global expectations to create more fuel-efficient vehicles that burn less fossil fuels and create fewer harmful emissions. Automakers are exploring alternative fuel options such as hydrogen, natural gas, hybrids, and completely electric vehicles. Since the Nissan Leaf's introduction in 2010, fully electric vehicles have become widely produced and just fewer than 400,000 fully electric cars have been sold in the United States. Taking the influx of more fuel-efficient and alternative energy vehicles in the market into account, we have analyzed satellite and ground observed atmospheric pollution and greenhouse gases during 2009-2014 in the United States of America. Our results show that the increasing population of hybrid and fuel efficient vehicles have cut down the atmospheric pollution and greenhouse emissions in US in general, whereas in California the pollution level has increased as a result frequency of fog and haze events are seen during winter season. We will present a comparison of atmospheric pollution over US and California State in view of the increasing hybrid and fuel efficient vehicles.
Freeland, Amy L; Banerjee, Shailendra N; Dannenberg, Andrew L; Wendel, Arthur M
2013-03-01
We assessed changes in transit-associated walking in the United States from 2001 to 2009 and documented their importance to public health. We examined transit walk times using the National Household Travel Survey, a telephone survey administered by the US Department of Transportation to examine travel behavior in the United States. People are more likely to transit walk if they are from lower income households, are non-White, and live in large urban areas with access to rail systems. Transit walkers in large urban areas with a rail system were 72% more likely to transit walk 30 minutes or more per day than were those without a rail system. From 2001 to 2009, the estimated number of transit walkers rose from 7.5 million to 9.6 million (a 28% increase); those whose transit-associated walking time was 30 minutes or more increased from approximately 2.6 million to 3.4 million (a 31% increase). Transit walking contributes to meeting physical activity recommendations. Study results may contribute to transportation-related health impact assessment studies evaluating the impact of proposed transit systems on physical activity, potentially influencing transportation planning decisions.
1988-01-01
these threats are not merely isolated occurrences. Terrorism is increasingly transnacional and state-supported. Drug trafficking is increasingly...deter- rence and defense through their presence abroad and by our capability to deploy them from the continental United States (CONUS) to crisis areas
Geissler, Aimee L; Bustos Carrillo, Fausto; Swanson, Krista; Patrick, Mary E; Fullerton, Kathleen E; Bennett, Christy; Barrett, Kelly; Mahon, Barbara E
2017-10-30
Campylobacteriosis, a leading cause of foodborne illness in the United States, was not nationally notifiable until 2015. Data describing national patterns and trends are limited. We describe the epidemiology of Campylobacter infections in the United States during 2004-2012. We summarized laboratory-confirmed campylobacteriosis data from the Nationally Notifiable Disease Surveillance System, National Outbreak Reporting System, National Antimicrobial Resistance Monitoring System, and Foodborne Diseases Active Surveillance Network. During 2004-2012, 303520 culture-confirmed campylobacteriosis cases were reported. Average annual incidence rate (IR) was 11.4 cases/100000 persons, with substantial variation by state (range, 3.1-47.6 cases/100000 persons). IRs among patients aged 0-4 years were more than double overall IRs. IRs were highest among males in all age groups. IRs in western states and rural counties were higher (16.2/100000 and 14.2/100000, respectively) than southern states and metropolitan counties (6.8/100000 and 11.0/100000, respectively). Annual IRs increased 21% from 10.5/100000 during 2004-2006 to 12.7/100000 during 2010-2012, with the greatest increases among persons aged >60 years (40%) and in southern states (32%). The annual median number of Campylobacter outbreaks increased from 28 in 2004-2006 to 56 in 2010-2012; in total, 347 were reported. Antimicrobial susceptibility testing of isolates from 4793 domestic and 1070 travel-associated infections revealed that, comparing 2004-2009 to 2010-2012, ciprofloxacin resistance increased among domestic infections (12.8% vs 16.1%). During 2004-2012, incidence of campylobacteriosis, outbreaks, and clinically significant antimicrobial resistance increased. Marked demographic and geographic differences exist. Our findings underscore the importance of national surveillance and understanding of risk factors to guide and target control measures. Published by Oxford University Press for the Infectious Diseases Society of America 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.
Expanded interleaved solid-state memory for a wide bandwidth transient waveform recorder
NASA Technical Reports Server (NTRS)
Thomas, R. M., Jr.
1980-01-01
An interleaved, solid state expanded memory for a 100 MHz bandwidth waveform recorder is described. The memory development resulted in a significant increase in the storage capacity of a commercially available recorder. The motivation for the memory expansion of the waveform recorder, which is used to support in-flight measurement of the electromagnetic characteristics of lightning discharges, was the need for a significantly longer data window than that provided by the commercially available unit. The expanded recorder provides a data window that is 128 times longer than the commercial unit, while maintaining the same time resolution, by increasing the storage capacity from 1024 to 131 072 data samples. The expanded unit operates at sample periods as small as 10 ns. Sampling once every 10 ns, the commercial unit records for about 10 microseconds before the memory is filled, whereas, the expanded unit records for about 1300 microseconds. A photo of the expanded waveform recorder is shown.
Wakie, Tewodros T; Yee, Wee L; Neven, Lisa G
2018-05-28
The European cherry fruit fly, Rhagoletis cerasi (L.) (Diptera: Tephritidae), is a highly destructive pest of cherries (Prunus spp.) (Rosaceae) in Europe and Asia. In 2016, R. cerasi was detected in Ontario, Canada, and in 2017 in New York State, USA, the first records of this pest in North America. The initial detections in Canada caused concern for the major cherry-growing states of Michigan, Washington, Oregon, and California in the United States. Establishment of R. cerasi in the United States could restrict cherry exports to other markets and increase costs needed for fly control, but it is unknown if R. cerasi can establish in U.S. commercial cherry regions. Here, we used the CLIMEX ecological niche model to determine the risk of establishment of R. cerasi in the United States and globally. Within the United States under a no-irrigation scenario, R. cerasi would establish in the East and West Coasts; however, under an irrigation scenario, its distribution would expand to the major cherry-growing regions in the interior of central and eastern Washington and in California. Results also showed that if introduced, R. cerasi would likely establish in eastern China, Japan, the Koreas, Australia, New Zealand, South America, South Africa, Mexico, and Canada. Host plant (Prunus spp. and Lonicera spp. [Caprifoliaceae]) presence, although not included in models, would affect fly establishment. Our results stress the importance of surveying for R. cerasi to prevent its spread and establishment within the United States and other countries.