Obesity: A United States Strategic Imperative

DTIC Science & Technology

2013-04-01

fructose corn syrup ) or 32 teaspoons of additive sugars per day with 22% of that coming from carbonated beverages.89 Overall, the United States average...23 billion), high blood pressure ($50 billion), musculoskeletal disorders ($121 billion), and multiple cancers ($20 billion) among others.29 The...year, with estimates as high as 580 4 billion dollars.30 Estimates of lost productivity due to absenteeism alone, related to obesity, ranged from

Factors related to building loss due to wildfires in the conterminous United States.

PubMed

Alexandre, Patricia M; Stewart, Susan I; Keuler, Nicholas S; Clayton, Murray K; Mockrin, Miranda H; Bar-Massada, Avi; Syphard, Alexandra D; Radeloff, Volker C

2016-10-01

Wildfire is globally an important ecological disturbance affecting biochemical cycles and vegetation composition, but also puts people and their homes at risk. Suppressing wildfires has detrimental ecological effects and can promote larger and more intense wildfires when fuels accumulate, which increases the threat to buildings in the wildland-urban interface (WUI). Yet, when wildfires occur, typically only a small proportion of the buildings within the fire perimeter are lost, and the question is what determines which buildings burn. Our goal was to examine which factors are related to building loss when a wildfire occurs throughout the United States. We were particularly interested in the relative roles of vegetation, topography, and the spatial arrangement of buildings, and how their respective roles vary among ecoregions. We analyzed all fires that occurred within the conterminous United States from 2000 to 2010 and digitized which buildings were lost and which survived according to Google Earth historical imagery. We modeled the occurrence as well as the percentage of buildings lost within clusters using logistic and linear regression. Overall, variables related to topography and the spatial arrangement of buildings were more frequently present in the best 20 regression models than vegetation-related variables. In other words, specific locations in the landscape have a higher fire risk, and certain development patterns can exacerbate that risk. Fire policies and prevention efforts focused on vegetation management are important, but insufficient to solve current wildfire problems. Furthermore, the factors associated with building loss varied considerably among ecoregions suggesting that fire policy applied uniformly across the United States will not work equally well in all regions and that efforts to adapt communities to wildfires must be regionally tailored. © 2016 by the Ecological Society of America.

Unmeasured costs of a child's death: perceived financial burden, work disruptions, and economic coping strategies used by American and Australian families who lost children to cancer.

PubMed

Dussel, Veronica; Bona, Kira; Heath, John A; Hilden, Joanne M; Weeks, Jane C; Wolfe, Joanne

2011-03-10

Financial concerns represent a major stressor for families of children with cancer but remain poorly understood among those with terminally ill children. We describe the financial hardship, work disruptions, income loss, and coping strategies of families who lost children to cancer. Retrospective cross-sectional survey of 141 American and 89 Australian bereaved parents whose children died between 1990 and 1999 and 1996 to 2004, respectively, at three tertiary-care pediatric hospitals (two American, one Australian). Response rate: 63%. Thirty-four (24%) of 141 families from US centers and 34 (39%) of 88 families from the Australian center reported a great deal of financial hardship resulting from their children's illness. Work disruptions were substantial (84% in the United States, 88% in Australia). Australian families were more likely to report quitting a job (49% in Australia v 35% in the United States; P = .037). Sixty percent of families lost more than 10% of their annual income as a result of work disruptions. Australians were more likely to lose more than 40% of their income (34% in Australia v 19% in the United States; P = .035). Poor families experienced the greatest income loss. After accounting for income loss, 16% of American and 22% of Australian families dropped below the poverty line. Financial hardship was associated with poverty and income loss in all centers. Fundraising was the most common financial coping strategy (52% in the United States v 33% in Australia), followed by reduced spending. In these US and Australian centers, significant household-level financial effects of a child's death as a result of cancer were observed, especially for poor families. Interventions aimed at reducing the effects of income loss may ease financial distress.

Current Sociopolitical, Sociocultural, and Sociolinguistic Issues of Latino Immigrants in Julia Álvarez's Novel "How the García Girls Lost Their Accents"

ERIC Educational Resources Information Center

Molina-Naar, José

2016-01-01

The sociopolitical, sociocultural, and sociolinguistic issues many Latino immigrants face as they embark on the process of adjusting to American society have been depicted by many Hispanic American writers in the United States. Julia Álvarez's "How the García Girls Lost Their Accents" attempts to raise awareness of these issues through…

49 CFR 383.37 - Employer responsibilities.

Code of Federal Regulations, 2010 CFR

2010-10-01

... operate a CMV in the United States: (a) During any period in which the driver has a CMV driver's license suspended, revoked, or canceled by a State, has lost the right to operate a CMV in a State, or has been disqualified from operating a CMV; (b) During any period in which the driver has more than one CMV driver's...

What Happens to Children Whose Parents Commit Suicide?

PubMed

Romanowicz, Magdalena; McKean, Alastair J; Vande Voort, Jennifer L

2018-05-01

Suicide remains one of the leading causes of death among 25- to 49-year-olds in the United States, and each year roughly 30,000 children are victims of parental suicide in the United States (Center for Disease Control and Prevention, 2005). 1 We report a case of a young child who lost both of his parents to suicide. Copyright © 2018 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

Lost Educational Opportunity: Can the First and Third Worlds Inform Each Other and Transfer Solutions?

ERIC Educational Resources Information Center

Woolman, David C.

A comparative study of early school leaving in India, Nigeria, the United Kingdom, and the United States found that in spite of huge cultural and economic differences between these countries, there were common underlying causes of the school dropout problem. Economic need, sociocultural divisions, curricula that were unrelated to future work and…

Unmeasured Costs of a Child's Death: Perceived Financial Burden, Work Disruptions, and Economic Coping Strategies Used by American and Australian Families Who Lost Children to Cancer

PubMed Central

Dussel, Veronica; Bona, Kira; Heath, John A.; Hilden, Joanne M.; Weeks, Jane C.; Wolfe, Joanne

2011-01-01

Purpose Financial concerns represent a major stressor for families of children with cancer but remain poorly understood among those with terminally ill children. We describe the financial hardship, work disruptions, income loss, and coping strategies of families who lost children to cancer. Methods Retrospective cross-sectional survey of 141 American and 89 Australian bereaved parents whose children died between 1990 and 1999 and 1996 to 2004, respectively, at three tertiary-care pediatric hospitals (two American, one Australian). Response rate: 63%. Results Thirty-four (24%) of 141 families from US centers and 34 (39%) of 88 families from the Australian center reported a great deal of financial hardship resulting from their children's illness. Work disruptions were substantial (84% in the United States, 88% in Australia). Australian families were more likely to report quitting a job (49% in Australia v 35% in the United States; P = .037). Sixty percent of families lost more than 10% of their annual income as a result of work disruptions. Australians were more likely to lose more than 40% of their income (34% in Australia v 19% in the United States; P = .035). Poor families experienced the greatest income loss. After accounting for income loss, 16% of American and 22% of Australian families dropped below the poverty line. Financial hardship was associated with poverty and income loss in all centers. Fundraising was the most common financial coping strategy (52% in the United States v 33% in Australia), followed by reduced spending. Conclusion In these US and Australian centers, significant household-level financial effects of a child's death as a result of cancer were observed, especially for poor families. Interventions aimed at reducing the effects of income loss may ease financial distress. PMID:21205758

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

PubMed

Moran, Dane; Bose, Dipan; Bhalla, Kavi

2017-11-17

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

Hours Lost to Planned and Unplanned Dental Visits Among US Adults.

PubMed

Kelekar, Uma; Naavaal, Shillpa

2018-01-11

Poor oral health is associated with lost hours at work or school, which may affect a person's productivity. The objective of our study was to estimate work or school hours lost to dental visits among adults aged 18 and older by the types of visits (emergency or unplanned; routine, planned, or orthodontic; or cosmetic) and to determine the factors associated with hours lost. We used the most recent Oral Health Supplement data, from the 2008 National Health Interview Survey (NHIS), to estimate the total hours lost at work or school for dental visits among adults in the United States. The associations of the hours lost in unplanned and planned dental visits with socioeconomic characteristics, oral health status, and affordability were calculated. We used χ 2 tests and logistic regression to determine associations at P < .05. An average of 320.8 million work or school hours were lost annually for dental care in the United States, of which 92.4 million hours were for emergency (unplanned) care (0.99 h/adult), 159.8 million for routine (planned) care or orthodontic care (1.71 h/adult), and 68.6 million for cosmetic care (0.73 h/adult). Adults with poor oral health were more likely to lose one or more hours in unplanned dental visits (OR = 5.60; 95% confidence interval [CI], 3.25-9.63) than those who reported very good oral health. Not being able to afford dental care was positively associated with more work hours lost in unplanned care (odds ratio [OR] = 2.56; 95% CI, 1.76-3.73). Compared with Hispanic adults, non-Hispanic white adults (OR = 2.09; 95% CI, 1.40-3.11) and non-Hispanic Asian adults and adults of other races/ethnicities (OR =1.91; 95% CI, 1.06-3.47) were more likely to lose any hours for planned care. Consistently, those with more than a high school education were more likely to lose any hours in planned care (OR = 1.39; 95% CI, 1.06-1.83) than those with a high school education or less. Dental problems result in hours lost from work and may adversely affect a person's productivity. There is disparity in lost hours at work by race/ethnicity and dental care affordability.

The State of the Logging Workforce in the Southern United States

Treesearch

D. Mitchell; E. Huffaker

2013-01-01

There is a need to understand the current state of the logging industry. Many U.S. woods sector full-time jobs have been lost in recent years. When the forest products industry rebounds from the current market slump, will the logging workforce be ready and able to respond? This paper utilizes publicly available data to examine variables important to understanding the...

49 CFR 383.37 - Employer responsibilities.

Code of Federal Regulations, 2011 CFR

2011-10-01

... operate a CMV in the United States in any of the following circumstances: (a) During any period in which... endorsements. An employer may not use a driver to operate a CMV who violates any restriction on the driver's... lost the right to operate a CMV in a State, or has been disqualified from operating a CMV. (c) During...

49 CFR 383.37 - Employer responsibilities.

Code of Federal Regulations, 2012 CFR

2012-10-01

... operate a CMV in the United States in any of the following circumstances: (a) During any period in which... endorsements. An employer may not use a driver to operate a CMV who violates any restriction on the driver's... lost the right to operate a CMV in a State, or has been disqualified from operating a CMV. (c) During...

Getting Teacher Evaluation Right: What Really Matters for Effectiveness and Improvement

ERIC Educational Resources Information Center

Darling-Hammond, Linda

2013-01-01

Teacher evaluation systems are being overhauled by states and districts across the United States. And, while intentions are admirable, the result for many new systems is that good--often excellent--teachers are lost in the process. In the end, students are the losers. In her new book, Linda Darling-Hammond makes a compelling case for a…

Do Data Breach Disclosure Laws Reduce Identity Theft?

ERIC Educational Resources Information Center

Romanosky, Sasha; Telang, Rahul; Acquisti, Alessandro

2011-01-01

In the United States, identity theft resulted in corporate and consumer losses of $56 billion dollars in 2005, with up to 35 percent of known identity thefts caused by corporate data breaches. Many states have responded by adopting data breach disclosure laws that require firms to notify consumers if their personal information has been lost or…

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

ERIC Educational Resources Information Center

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

2014-01-01

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

Common Ground for Managing Invasive Annual Grasses

USDA-ARS?s Scientific Manuscript database

Invasive annual grasses often reach their full biological potential in ecosystems of the western United States. This suggests that crucial ecosystem "checks and balances" are not functioning. In other words, invasion occurs because ecosystems have lost resistance to invasion, and invasive plants a...

The Economic Burden of Vision Loss and Eye Disorders among the United States Population Younger than 40 Years

PubMed Central

Wittenborn, John S.; Zhang, Xinzhi; Feagan, Charles W.; Crouse, Wesley L.; Shrestha, Sundar; Kemper, Alex R.; Hoerger, Thomas J.; Saaddine, Jinan B.

2017-01-01

Objective To estimate the economic burden of vision loss and eye disorders in the United States population younger than 40 years in 2012. Design Econometric and statistical analysis of survey, commercial claims, and census data. Participants The United States population younger than 40 years in 2012. Methods We categorized costs based on consensus guidelines. We estimated medical costs attributable to diagnosed eye-related disorders, undiagnosed vision loss, and medical vision aids using Medical Expenditure Panel Survey and MarketScan data. The prevalence of vision impairment and blindness were estimated using National Health and Nutrition Examination Survey data. We estimated costs from lost productivity using Survey of Income and Program Participation. We estimated costs of informal care, low vision aids, special education, school screening, government spending, and transfer payments based on published estimates and federal budgets. We estimated quality-adjusted life years (QALYs) lost based on published utility values. Main Outcome Measures Costs and QALYs lost in 2012. Results The economic burden of vision loss and eye disorders among the United States population younger than 40 years was $27.5 billion in 2012 (95% confidence interval, $21.5–$37.2 billion), including $5.9 billion for children and $21.6 billion for adults 18 to 39 years of age. Direct costs were $14.5 billion, including $7.3 billion in medical costs for diagnosed disorders, $4.9 billion in refraction correction, $0.5 billion in medical costs for undiagnosed vision loss, and $1.8 billion in other direct costs. Indirect costs were $13 billion, primarily because of $12.2 billion in productivity losses. In addition, vision loss cost society 215 000 QALYs. Conclusions We found a substantial burden resulting from vision loss and eye disorders in the United States population younger than 40 years, a population excluded from previous studies. Monetizing quality-of-life losses at $50 000 per QALY would add $10.8 billion in additional costs, indicating a total economic burden of $38.2 billion. Relative to previously reported estimates for the population 40 years of age and older, more than one third of the total cost of vision loss and eye disorders may be incurred by persons younger than 40 years. PMID:23631946

Japan's electronic packaging technologies

NASA Technical Reports Server (NTRS)

Tummala, Rao R.; Pecht, Michael

1995-01-01

The JTEC panel found Japan to have significant leadership over the United States in the strategic area of electronic packaging. Many technologies and products once considered the 'heart and soul' of U.S. industry have been lost over the past decades to Japan and other Asian countries. The loss of consumer electronics technologies and products is the most notable of these losses, because electronics is the United States' largest employment sector and is critical for growth businesses in consumer products, computers, automobiles, aerospace, and telecommunications. In the past there was a distinction between consumer and industrial product technologies. While Japan concentrated on the consumer market, the United States dominated the industrial sector. No such distinction is anticipated in the future; the consumer-oriented technologies Japan has dominated are expected to characterize both domains. The future of U.S. competitiveness will, therefore, depend on the ability of the United States to rebuild its technological capabilities in the area of portable electronic packaging.

If cannot define and quantify Ecosystem Services consistently and systematically - we might be lost!

EPA Science Inventory

Imagine that every industrial sector, firm, municipality and state reported and classified their production using different definitions and units - Gross Domestic Product (GDP) would be impossible to calculate! This is precisely the difficult situation in which we find ourselves...

Defense.gov Special Report: U.S. Military Responds in Wake of Earthquake

Science.gov Websites

held the rank of airman basic, was lost on the streets of Tokyo. Story U.S. Forces Safe After New Japan transitioned through Seattle-Tacoma International Airport to safe-haven locations in the United States in March

PORTRAIT - ASTRONAUT WHITE, EDWARD H. - MSC

NASA Image and Video Library

1966-05-12

S66-35219 (1966) --- Astronaut Edward H. White II (United States Air Force Lieutenant Colonel), Gemini 4 pilot. Editor's Note: Since this portrait was taken astronaut White lost his life on Jan. 27, 1967, in the Apollo 1/Saturn 204 fire at Cape Kennedy, KSC, Florida.

Six climate change-related events in the United States accounted for about $14 billion in lost lives and health costs.

PubMed

Knowlton, Kim; Rotkin-Ellman, Miriam; Geballe, Linda; Max, Wendy; Solomon, Gina M

2011-11-01

The future health costs associated with predicted climate change-related events such as hurricanes, heat waves, and floods are projected to be enormous. This article estimates the health costs associated with six climate change-related events that struck the United States between 2000 and 2009. The six case studies came from categories of climate change-related events projected to worsen with continued global warming-ozone pollution, heat waves, hurricanes, infectious disease outbreaks, river flooding, and wildfires. We estimate that the health costs exceeded $14 billion, with 95 percent due to the value of lives lost prematurely. Actual health care costs were an estimated $740 million. This reflects more than 760,000 encounters with the health care system. Our analysis provides scientists and policy makers with a methodology to use in estimating future health costs related to climate change and highlights the growing need for public health preparedness.

Authentic Engagement for Promoting a College-Going Culture

ERIC Educational Resources Information Center

Collins, William

2011-01-01

The United States has lost ground internationally as a leader in educational attainment. Personal empowerment, national economic progress, and democratic ideals are enhanced through education, yet inequalities persist in the educational attainment of certain groups, such as low-income families or underrepresented minorities. Because the evolving…

Historical drought effects on rangelands in northwest Oklahoma

USDA-ARS?s Scientific Manuscript database

Droughts are common to the Great Plains and these weather events are the most costly natural hazard affecting the United States. Most of the monetary losses are associated with lost crop production, but losses to public water supplies, recreation and tourism, and ecological services are not account...

8 CFR 324.1 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Definitions. 324.1 Section 324.1 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY NATIONALITY REGULATIONS SPECIAL CLASSES OF PERSONS WHO MAY BE NATURALlZED: WOMEN WHO HAVE LOST UNITED STATES CITIZENSHIP BY MARRIAGE AND FORMER CITIZENS WHOSE...

“Is There Life on Dialysis?”: Time and Aging in a Clinically Sustained Existence

PubMed Central

Russ, Ann J.; Shim, Janet K.; Kaufman, Sharon R.

2008-01-01

Increasingly, in the United States, lives are being extended at ever-older ages through the implementation of routine medical procedures such as renal dialysis. This paper discusses the lives and experiences of a number of individuals 70 years of age and older at two dialysis units in California. It considers what kind of life it is that is being sustained and prolonged in these units, the meanings of the time gained through (and lost to) dialysis for older people, and the relationship of “normal” life outside the units to an exceptional state on the inside that some patients see as not-quite-life. Highlighting the unique dimensions of gerontological time on chronic life support, the article PMID:16249136

Counseling Adult Clients Experiencing Chronic Pain

ERIC Educational Resources Information Center

Burns, Stephanie T.

2010-01-01

Chronic pain affects 35% to 57% of the adult population in the United States and results in billions of dollars spent annually in direct health-care costs and lost productivity. Extensive research confirms the considerable role psychological factors play in the experience and expression of chronic pain. The author discusses implications for…

27 CFR 44.228 - Landing certificate.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Landing certificate. 44..., WITHOUT PAYMENT OF TAX, OR WITH DRAWBACK OF TAX Drawback of Tax § 44.228 Landing certificate. Each... lost, and have not been relanded within the limits of the United States. The landing certificate shall...

27 CFR 44.228 - Landing certificate.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 27 Alcohol, Tobacco Products and Firearms 2 2011-04-01 2011-04-01 false Landing certificate. 44..., WITHOUT PAYMENT OF TAX, OR WITH DRAWBACK OF TAX Drawback of Tax § 44.228 Landing certificate. Each... lost, and have not been relanded within the limits of the United States. The landing certificate shall...

75 FR 62307 - Fire Prevention Week, 2010

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-08

... Prevention Week, 2010 By the President of the United States of America A Proclamation During Fire Prevention Week, we reaffirm the importance of fire safety and awareness, and we pay tribute to our firefighters..., injuries, and lives lost to fire and its consequences. Fire Prevention Week also calls our attention to the...

They Remember the "Lost" People.

ERIC Educational Resources Information Center

Klages, Karen

Estimates of the number of children currently missing in the United States are only approximate because there is no effective central data bank to collect information on missing persons and unidentified bodies. However, the problem appears to have reached epidemic proportions. Some parents of missing persons have formed organizations in different…

Managing Eastern Redceder

Treesearch

E.R. Ferguson; E.R. Lawson; W.R. Maple; C. Mesavage

1968-01-01

Eastern redcedar (Juniperus virginiana L.) is the most widely distributed conifer of tree size in the Eastern United States (48). Its range also extends into southeastern Canada. The wood was once favored for domestic use and export because of its exceptional cutting qualities, durability, rich color, and aroma. It has now lost much of its...

The Geography of Undocumented Mexican Migration

PubMed Central

Massey, Douglas S.; Rugh, Jacob S.; Pren, Karen A.

2010-01-01

Using data from Mexico’s Matrícula Consular program, we analyze the geographic organization of undocumented Mexican migration to the United States. We show that emigration has moved beyond its historical origins in west-central Mexico into the central region and, to a lesser extent, the southeast and border regions. In the United States, traditional gateways continue to dominate, but a variety of new destinations have emerged. California, in particular, has lost its overwhelming dominance. Although the geographic structure of Mexico-U.S. migration is relatively stable, it has nonetheless continued to evolve and change over time. PMID:20814589

Albert Einstein and his mentor Max Talmey. The seventh Charles B. Snyder Lecture.

PubMed

Ravin, J G

1997-01-01

While he was a student at the Munich medical school, Max Talmey strongly influenced the education of Albert Einstein. Their association occurred during five years of Einstein's second decade. They lost contact for many years after each left Munich. Talmey emigrated to the United States and practiced medicine, mainly ophthalmology, in New York City. He made significant contributions to medicine, to the popularization of Einstein's work, and to the development of international languages. The relationship of Talmey and Einstein was rekindled when Einstein visited and later moved to the United States.

Public health burden of sudden cardiac death in the United States.

PubMed

Stecker, Eric C; Reinier, Kyndaron; Marijon, Eloi; Narayanan, Kumar; Teodorescu, Carmen; Uy-Evanado, Audrey; Gunson, Karen; Jui, Jonathan; Chugh, Sumeet S

2014-04-01

Sudden cardiac death (SCD) is a leading cause of death in the United States, but the relative public health burden is unknown. We estimated the burden of premature death from SCD and compared it with other diseases. Analyses were based on the following data sources (using most recent sources that provided appropriately stratified data): (1) leading causes of death among men and women from 2009 US death certificate reporting; (2) individual cancer mortality rates from 2008 death certificate reporting from the Centers for Disease Control and Prevention's National Program of Cancer Registries; (3) county, state, and national population data for 2009 from the US Census Bureau; and (4) SCD rates from the Oregon Sudden Unexpected Death Study (SUDS) population-based surveillance study of SCD between 2002 and 2004. Cases were identified from multiple sources in a prospectively designed surveillance program. Incidence, counts, and years of potential life lost for SCD and other major diseases were compared. The age-adjusted national incidence of SCD was 60 per 100 000 population (95% confidence interval, 54-66 per 100,000). The burden of premature death for men (2.04 million years of potential life lost; 95% uncertainty interval, 1.86-2.23 million) and women (1.29 million years of potential life lost; 95% uncertainty interval, 1.13-1.45 million) was greater for SCD than for all individual cancers and most other leading causes of death. The societal burden of SCD is high relative to other major causes of death. Accordingly, improved national surveillance with the goal of optimizing and monitoring SCD prevention and treatment should be a high priority.

Internet cigarette sales and Native American sovereignty: political and public health contexts.

PubMed

Samuel, Kari A; Ribisl, Kurt M; Williams, Rebecca S

2012-05-01

Internet cigarette vendors (ICVs) advertise low prices for tobacco products, subverting public health policy efforts to curtail smoking by raising prices. Many online retailers in the United States claim affiliation with Native American tribes and share in tribal tax-free status. Sales of discounted cigarettes from both online vendors and brick-and-mortar stores have angered non-Native retailers and triggered enforcement actions by state and federal governments in the United States concerned over lost cigarette excise tax revenue. Examination of the history and politics of cigarette sales on reservations and attempts to regulate Internet cigarette sales highlights the potential role for greater use of negotiated intergovernmental agreements to address reservation-based tobacco sales. Our review notes global parallels and explicates history and politics of such regulation in the United States, and offers background for collaborative efforts to regulate tobacco sales and decrease tobacco use.

What Is Summer Vacation Costing Us?

ERIC Educational Resources Information Center

Henkel, Tara

2010-01-01

This paper explores the standard traditional summer vacation model; this includes the accompanying food insecurity, loss of nutrition and the lost knowledge that must be re-taught at the beginning of each new academic year. It compares the number of academic days attended in various Industrialized Nations compared to the United States. Also,…

Removal of Heavy Metal Contamination from Peanut Skin Extracts by Waste Biomass Adsorbents

USDA-ARS?s Scientific Manuscript database

Each year, 3.6 million pounds of peanuts are harvested in the United States. Consequent processing, however, generates large amounts of waste biomass as only the seed portion of the fruit is consumed. The under-utilization of waste biomass is a lost economic opportunity to the industry. In particula...

Rebuilding and new housing development after wildfire

Treesearch

Patricia M. Alexandre; Miranda H. Mockrin; Susan I. Stewart; Roger B. Hammer; Volker C. Radeloff

2015-01-01

The number of wildland-urban interface communities affected by wildfire is increasing, and both wildfire suppression and losses are costly. However, little is known about post-wildfire response by homeowners and communities after buildings are lost. Our goal was to characterise rebuilding and new development after wildfires across the conterminous United States. We...

78 FR 20223 - Cesar Chavez Day, 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-04

... Chavez Day, 2013 By the President of the United States of America A Proclamation Every year, Americans... have given up or given in, Cesar Chavez never lost hope in the power of opportunity. He lived each day... Chavez Day. I call upon all Americans to observe this day with appropriate service, community, and...

Paradoxes in Policy Practice: Signaling Postsecondary Pathways in the Rust Belt

ERIC Educational Resources Information Center

Mitra, Dana; Halabi, Saamira

2012-01-01

Context: Research increasingly suggests that the high school diploma has lost its meaning as a symbol of life preparation. Having faced economic struggles earlier and longer than most regions of the United States, the "Rust Belt" region offers important lessons for the broader nation regarding how high schools might prepare youth for…

14 CFR 1261.105 - Unallowable claims.

Code of Federal Regulations, 2010 CFR

2010-01-01

... were not assigned to claimant or provided in kind by the United States. (b) Money or currency. Claims may not be allowed for loss of money or currency, except when lost incident to fire, flood, hurricane... of money or currency is limited to an amount which is determined reasonable to have been in the...

Consumer Concerns about Nutrition: Opportunities for the Food Sector.

ERIC Educational Resources Information Center

Frazao, Elizabeth

The growing evidence of the link between diet and health has not been lost on consumers in the United States. As awareness of the diet-health link has increased through nutrition education, consumers have changed their diets. Although there is still considerable room for improvement in meeting Federal food-guidance recommendations, nutrition…

The Grant Administration and the Northern Plains Indians: A Failed Attempt at Peace and Cohabitation

DTIC Science & Technology

2012-03-23

the only question considered is, “how best to get his lands.” When they are obtained the Indian is lost sight of. While our missionary societies...United States and Canada. These are located in the Dakotas, Minnesota, Nebraska, Montana, Manitoba, Saskatchewan, and Alberta. The Pine Ridge

Seasonal Influenza: An Overview

ERIC Educational Resources Information Center

Li, Christina; Freedman, Marian

2009-01-01

Seasonal influenza is a major cause of morbidity and mortality in the United States. It also has major social and economic consequences in the form of high rates of absenteeism from school and work as well as significant treatment and hospitalization costs. In fact, annual influenza epidemics and the resulting deaths and lost days of productivity…

Calculating utilization rates for rubber tired grapple skidders in the Southern United States

Treesearch

Jason D. Thompson

2001-01-01

Utilization rate is an important factor in calculating machine rates for forest harvesting machines. Machine rates allow an evaluation of harvesting system costs and facilitate comparisons between different systems and machines. There are many factors that affect utilization rate. These include mechanical delays, non-mechanical delays, operational lost time, and...

Reservoir sedimentation rates in the Little Washita River experimental watershed, Oklahoma: measurement and controlling factors

USDA-ARS?s Scientific Manuscript database

Forty-five flood control reservoirs, authorized in the United States Flood Control Act of 1936, were installed between 1969 and 1982 in the Little Washita River Experimental Watershed (LWREW), located in central Oklahoma. Over time, these reservoirs have lost water storage capacity due to sedimentat...

Problem Solving in Practice

ERIC Educational Resources Information Center

Greene, Kim; Heyck-Williams, Jeff; Timpson Gray, Elicia

2017-01-01

Problem solving spans all grade levels and content areas, as evidenced by this compilation of projects from schools across the United States. In one project, high school girls built a solar-powered tent to serve their city's homeless population. In another project, 4th graders explored historic Jamestown to learn about the voices lost to history.…

31 CFR 353.42 - Nonreceipt or loss of check issued in payment.

Code of Federal Regulations, 2012 CFR

2012-07-01

... DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES EE AND HH General Provisions for Payment § 353.42 Nonreceipt... received within a reasonable time or is lost after receipt, notice should be given to the same agency to... payment and describe the bond by series, denomination, serial number, and registration, including the...

31 CFR 353.42 - Nonreceipt or loss of check issued in payment.

Code of Federal Regulations, 2013 CFR

2013-07-01

... DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES EE AND HH General Provisions for Payment § 353.42 Nonreceipt... received within a reasonable time or is lost after receipt, notice should be given to the same agency to... payment and describe the bond by series, denomination, serial number, and registration, including the...

31 CFR 353.42 - Nonreceipt or loss of check issued in payment.

Code of Federal Regulations, 2011 CFR

2011-07-01

... DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES EE AND HH General Provisions for Payment § 353.42 Nonreceipt... received within a reasonable time or is lost after receipt, notice should be given to the same agency to... payment and describe the bond by series, denomination, serial number, and registration, including the...

31 CFR 353.42 - Nonreceipt or loss of check issued in payment.

Code of Federal Regulations, 2010 CFR

2010-07-01

... DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES EE AND HH General Provisions for Payment § 353.42 Nonreceipt... received within a reasonable time or is lost after receipt, notice should be given to the same agency to... payment and describe the bond by series, denomination, serial number, and registration, including the...

31 CFR 353.42 - Nonreceipt or loss of check issued in payment.

Code of Federal Regulations, 2014 CFR

2014-07-01

... DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES EE AND HH General Provisions for Payment § 353.42 Nonreceipt... received within a reasonable time or is lost after receipt, notice should be given to the same agency to... payment and describe the bond by series, denomination, serial number, and registration, including the...

31 CFR 360.42 - Nonreceipt or loss of remittance issued in payment.

Code of Federal Regulations, 2013 CFR

2013-07-01

... GOVERNING DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES I General Provisions for Payment § 360.42... bond surrendered for redemption is not received within a reasonable time or is lost after receipt... should give the date the bond was surrendered for payment and describe the bond by series, denomination...

31 CFR 360.42 - Nonreceipt or loss of remittance issued in payment.

Code of Federal Regulations, 2012 CFR

2012-07-01

... GOVERNING DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES I General Provisions for Payment § 360.42... bond surrendered for redemption is not received within a reasonable time or is lost after receipt... should give the date the bond was surrendered for payment and describe the bond by series, denomination...

31 CFR 360.42 - Nonreceipt or loss of remittance issued in payment.

Code of Federal Regulations, 2010 CFR

2010-07-01

... GOVERNING DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES I General Provisions for Payment § 360.42... bond surrendered for redemption is not received within a reasonable time or is lost after receipt... should give the date the bond was surrendered for payment and describe the bond by series, denomination...

31 CFR 360.42 - Nonreceipt or loss of remittance issued in payment.

Code of Federal Regulations, 2014 CFR

2014-07-01

... GOVERNING DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES I General Provisions for Payment § 360.42... bond surrendered for redemption is not received within a reasonable time or is lost after receipt... should give the date the bond was surrendered for payment and describe the bond by series, denomination...

31 CFR 360.42 - Nonreceipt or loss of remittance issued in payment.

Code of Federal Regulations, 2011 CFR

2011-07-01

... GOVERNING DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES I General Provisions for Payment § 360.42... bond surrendered for redemption is not received within a reasonable time or is lost after receipt... should give the date the bond was surrendered for payment and describe the bond by series, denomination...

Examining the Relationship Between Symptomatic Burden and Self-reported Productivity Losses Among Patients With Uterine Fibroids in the United States.

PubMed

Soliman, Ahmed M; Anand, Savita Bakhshi; Coyne, Karin S; Castelli-Haley, Jane; Snabes, Michael; Owens, Charlotte D

2017-10-01

To evaluate the impact of uterine fibroid symptoms on employment and household productivity. An online survey of US women between 18 and 54 was conducted. Productivity was assessed using the health related productivity questionnaire (HRPQ). Descriptive statistics and logistic multivariable regressions examined the relationship between uterine fibroids (UF) symptom experience and employment and household productivity. Of 1365 eligible women, 873 (64.0%) were employed. Women lost an average of 0.8 hours to employment-related absenteeism and 4.4 hours due to employment-related presenteeism for 5.1 hours of employment productivity lost/week. Women lost an average of 1.4 hours due to household-related absenteeism and 1.6 hours due to household-related presenteeism for a total of 3.0 hours of household lost productivity. Productivity losses increased with increases in symptom burden. UF has a substantial impact on employment-related and household-related productivity.

Occupational injury and illness meet the labor market: lessons from labor economics about lost earnings.

PubMed

Boden, Leslie I

2006-09-01

Recent labor economics studies in the United States and Canada have demonstrated that occupational injuries and illnesses often lead to substantial lost earnings for workers and their families. Other studies have shown substantial long-term lost earnings attributable to large-scale layoffs, where no health impairment has taken place. This article uses evidence from these and other studies of apparently different situations to draw inferences about how managers' actions and public policy choices can affect the costs of occupational injuries and illnesses. Although primary prevention remains the policy of choice, reduction in the impact of workplace injuries and illnesses can decrease the costs of these events and can provide substantial benefits. This article proposes two hypotheses and discusses the evidence for each: (a) Loss of the job held at the onset of illness or injury increases time off work and exacerbates workers' lost earnings. (b) Workers' losses may be substantially reduced by policies that encourage employers to rehire people recovering from or disabled by workplace injuries and illnesses.

A Method for Determining Pseudo-measurement State Values for Topology Observability of State Estimation in Power Systems

NASA Astrophysics Data System (ADS)

Urano, Shoichi; Mori, Hiroyuki

This paper proposes a new technique for determining of state values in power systems. Recently, it is useful for carrying out state estimation with data of PMU (Phasor Measurement Unit). The authors have developed a method for determining state values with artificial neural network (ANN) considering topology observability in power systems. ANN has advantage to approximate nonlinear functions with high precision. The method evaluates pseudo-measurement state values of the data which are lost in power systems. The method is successfully applied to the IEEE 14-bus system.

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

Aalund, L.R

Lost in the controversy over project cost overruns during the late 1980s was the fact that Statoil, Norway's state-owned oil company, was turning its Mongstad plant into one of Europe's most modern refiners. The expansion and revamp project was completed and put on stream during the last half of 1989. The author reports how the modernized refinery's output of top quality products has implications for markets not only throughout Scandinavia but also in northwestern Europe and the United States.

Occupational injury and illness in the United States. Estimates of costs, morbidity, and mortality.

PubMed

Leigh, J P; Markowitz, S B; Fahs, M; Shin, C; Landrigan, P J

1997-07-28

To estimate the annual incidence, the mortality and the direct and indirect costs associated with occupational injuries and illnesses in the United States in 1992. Aggregation and analysis of national and large regional data sets collected by the Bureau of Labor Statistics, the National Council on Compensation Insurance, the National Center for Health Statistics, the Health Care Financing Administration, and other governmental bureaus and private firms. To assess incidence of and mortality from occupational injuries and illnesses, we reviewed data from national surveys and applied an attributable risk proportion method. To assess costs, we used the human capital method that decomposes costs into direct categories such as medical and insurance administration expenses as well as indirect categories such as lost earnings, lost home production, and lost fringe benefits. Some cost estimates were drawn from the literature while others were generated within this study. Total costs were calculated by multiplying average costs by the number of injuries and illnesses in each diagnostic category. Approximately 6500 job-related deaths from injury, 13.2 million nonfatal injuries, 60,300 deaths from disease, and 862,200 illnesses are estimated to occur annually in the civilian American workforce. The total direct ($65 billion) plus indirect ($106 billion) costs were estimated to be $171 billion. Injuries cost $145 billion and illnesses $26 billion. These estimates are likely to be low, because they ignore costs associated with pain and suffering as well as those of within-home care provided by family members, and because the numbers of occupational injuries and illnesses are likely to be undercounted. The costs of occupational injuries and illnesses are high, in sharp contrast to the limited public attention and societal resources devoted to their prevention and amelioration. Occupational injuries and illnesses are an insufficiently appreciated contributor to the total burden of health care costs in the United States.

A population-based study of the association of medical manpower with county trauma death rates in the United States.

PubMed Central

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 financial cost of doctors emigrating from sub-Saharan Africa: human capital analysis.

PubMed

Mills, Edward J; Kanters, Steve; Hagopian, Amy; Bansback, Nick; Nachega, Jean; Alberton, Mark; Au-Yeung, Christopher G; Mtambo, Andy; Bourgeault, Ivy L; Luboga, Samuel; Hogg, Robert S; Ford, Nathan

2011-11-23

To estimate the lost investment of domestically educated doctors migrating from sub-Saharan African countries to Australia, Canada, the United Kingdom, and the United States. Human capital cost analysis using publicly accessible data. Sub-Saharan African countries. Nine sub-Saharan African countries with an HIV prevalence of 5% or greater or with more than one million people with HIV/AIDS and with at least one medical school (Ethiopia, Kenya, Malawi, Nigeria, South Africa, Tanzania, Uganda, Zambia, and Zimbabwe), and data available on the number of doctors practising in destination countries. The financial cost of educating a doctor (through primary, secondary, and medical school), assuming that migration occurred after graduation, using current country specific interest rates for savings converted to US dollars; cost according to the number of source country doctors currently working in the destination countries; and savings to destination countries of receiving trained doctors. In the nine source countries the estimated government subsidised cost of a doctor's education ranged from $21,000 (£13,000; €15,000) in Uganda to $58,700 in South Africa. The overall estimated loss of returns from investment for all doctors currently working in the destination countries was $2.17bn (95% confidence interval 2.13bn to 2.21bn), with costs for each country ranging from $2.16m (1.55m to 2.78m) for Malawi to $1.41bn (1.38bn to 1.44bn) for South Africa. The ratio of the estimated compounded lost investment over gross domestic product showed that Zimbabwe and South Africa had the largest losses. The benefit to destination countries of recruiting trained doctors was largest for the United Kingdom ($2.7bn) and United States ($846m). Among sub-Saharan African countries most affected by HIV/AIDS, lost investment from the emigration of doctors is considerable. Destination countries should consider investing in measurable training for source countries and strengthening of their health systems.

Insect Pollinators of Three Rare Plants in a Florida Longleaf Pine Forest

Treesearch

Theresa Pitts-Singer; James L. Hanula; Joan L. Walker

2002-01-01

As a result of human activity, longleaf pine (Pinus palustris Miller) forests in the southern United States have been lost or drastically altered. Many of the plant species that historically occupied those forests now persist only as remnants and are classified as threatened or endangered. In order to safeguard such species, a better understanding of...

The Effect of Teacher Designed Multimedia on Student Comprehension and Retention Rates within Introductory College Science Courses

ERIC Educational Resources Information Center

Rhodes, Ashley E.

2013-01-01

Compared to other nations, fewer American students are pursuing and completing degrees within the science, technology, engineering, and mathematics (STEM) fields. For the United States to remain competitive, the development of novel instructional techniques designed to reach students who might otherwise be lost from these majors is imperative.…

Monitoring and assessment of regional impacts from nonnative invasive plants in forests of the Pacific Coast, United States

Treesearch

Andrew Gray

2008-01-01

Invasions of nonnative plants into new regions have a tremendous impact on many natural and managed ecosystems affecting their composition and function. Nonnative invasive species have a large economic impact through lost or degraded land costs, and are a primary cause of extinction of native species.

22 CFR 62.12 - Control of Forms DS-2019.

Code of Federal Regulations, 2010 CFR

2010-04-01

... transfer; (4) Replace a lost or stolen Form DS-2019; (5) Facilitate entry of an exchange visitor's alien spouse or minor unmarried children into the United States separately; (6) Facilitate re-entry of an... Form DS-2019. Issue the Form DS-2019 only so as to: (1) Facilitate the entry of a new participant of...

22 CFR 62.12 - Control of Forms DS-2019.

Code of Federal Regulations, 2013 CFR

2013-04-01

... transfer; (4) Replace a lost or stolen Form DS-2019; (5) Facilitate entry of an exchange visitor's alien spouse or minor unmarried children into the United States separately; (6) Facilitate re-entry of an... Form DS-2019. Issue the Form DS-2019 only so as to: (1) Facilitate the entry of a new participant of...

22 CFR 62.12 - Control of Forms DS-2019.

Code of Federal Regulations, 2011 CFR

2011-04-01

... transfer; (4) Replace a lost or stolen Form DS-2019; (5) Facilitate entry of an exchange visitor's alien spouse or minor unmarried children into the United States separately; (6) Facilitate re-entry of an... Form DS-2019. Issue the Form DS-2019 only so as to: (1) Facilitate the entry of a new participant of...

22 CFR 62.12 - Control of Forms DS-2019.

Code of Federal Regulations, 2014 CFR

2014-04-01

... transfer; (4) Replace a lost or stolen Form DS-2019; (5) Facilitate entry of an exchange visitor's alien spouse or minor unmarried children into the United States separately; (6) Facilitate re-entry of an... Form DS-2019. Issue the Form DS-2019 only so as to: (1) Facilitate the entry of a new participant of...

22 CFR 62.12 - Control of Forms DS-2019.

Code of Federal Regulations, 2012 CFR

2012-04-01

... transfer; (4) Replace a lost or stolen Form DS-2019; (5) Facilitate entry of an exchange visitor's alien spouse or minor unmarried children into the United States separately; (6) Facilitate re-entry of an... Form DS-2019. Issue the Form DS-2019 only so as to: (1) Facilitate the entry of a new participant of...

Schooling for Humanity: When Big Brother Isn't Watching.

ERIC Educational Resources Information Center

Solmitz, David O.

Most educational reform initiatives of the past 20 years are geared towards ensuring that the United States dominates the emerging global economy. What is lost in this rush to the top of the materialist heap is an education for the more enduring human values: creativity, intellectual development, care, social justice, and democracy. In this book,…

Pesticides on the inside: Exploiting the natural chemical defenses of maize against insect and microbial pests

USDA-ARS?s Scientific Manuscript database

Maize (Zea mays) is one of the most significant and abundantly grown crop plants in the United States with yields exceeding $50 billion annually. Despite major improvements in productivity, it is estimated that billions of bushels are lost per year due to the combined effects of herbivory and diseas...

Identification of Teosinte (Zea mays ssp. parviglumis) alleles for resistance to southern leaf blight in near isogenic maize lines

USDA-ARS?s Scientific Manuscript database

Southern Leaf Blight [(SLB), causal agent Cochliobolus heterostrophus race O] is an important fungal disease of maize in the United States. Teosinte (Zea mays ssp. parviglumis), the wild progenitor of maize, offers a novel source of resistance alleles that may have been lost during domestication. T...

How Superstition Won and Science Lost. Popularizing Science and Health in the United States.

ERIC Educational Resources Information Center

Burnham, John C.

This book studies the history of changing patterns in the dissemination, or popularization of scientific findings, to the general public since 1830. It focuses on three different areas of science: (1) health; (2) psychology; and (3) the natural sciences. The document explores the ways in which this process of popularization has deteriorated. It…

Back to Basics: A Study of the Second Lebanon War and Operation CAST LEAD

DTIC Science & Technology

2009-01-01

Center in Negev , Israel. As an example, Armored Brigade 401 that had lost eight tank crewmen during the battle of Saluki in 2006, conducted a 12-week...innovative spirit seemed to radiate from many IDF ground units. A battalion commander in the Givati Brigade stated during the height of the ground

Negative Effect of the British Poor Vocational Education on Its Economic Development after the Second World War

ERIC Educational Resources Information Center

Li, Yong

2007-01-01

England is the oldest nation of industry revolution and the earliest industrialized country in the world. With the colonization system breakdown and economic giants, the United States, Germany, Japan, etc. rising, today England has already lost former days of elegant appearance. The disadvantageous vocational education is one of essential factor…

29 CFR 779.251 - Goods that have lost their out-of-State identity.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Goods that have lost their out-of-State identity. 779.251... Coverage Interstate Inflow Test Under Prior Act § 779.251 Goods that have lost their out-of-State identity... been processed or manufactured so as to have lost their identity as out-of-State goods before they are...

29 CFR 779.251 - Goods that have lost their out-of-State identity.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 3 2012-07-01 2012-07-01 false Goods that have lost their out-of-State identity. 779.251... Coverage Interstate Inflow Test Under Prior Act § 779.251 Goods that have lost their out-of-State identity... been processed or manufactured so as to have lost their identity as out-of-State goods before they are...

29 CFR 779.251 - Goods that have lost their out-of-State identity.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 3 2014-07-01 2014-07-01 false Goods that have lost their out-of-State identity. 779.251... Coverage Interstate Inflow Test Under Prior Act § 779.251 Goods that have lost their out-of-State identity... been processed or manufactured so as to have lost their identity as out-of-State goods before they are...

29 CFR 779.251 - Goods that have lost their out-of-State identity.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 3 2011-07-01 2011-07-01 false Goods that have lost their out-of-State identity. 779.251... Coverage Interstate Inflow Test Under Prior Act § 779.251 Goods that have lost their out-of-State identity... been processed or manufactured so as to have lost their identity as out-of-State goods before they are...

29 CFR 779.251 - Goods that have lost their out-of-State identity.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 3 2013-07-01 2013-07-01 false Goods that have lost their out-of-State identity. 779.251... Coverage Interstate Inflow Test Under Prior Act § 779.251 Goods that have lost their out-of-State identity... been processed or manufactured so as to have lost their identity as out-of-State goods before they are...

Integrating the Revised Asthma Guidelines into School Nursing Scope and Standards of Practice

ERIC Educational Resources Information Center

Crowder, Sharron J.

2010-01-01

Asthma, a major health problem, is the most common chronic illness of school-aged children and adolescents, with an estimated 6.8 million students affected in the United States. Asthma is the leading cause of school absenteeism, with an estimated 14 million lost school days per year. In August 2007, the National Asthma Education and Prevention…

An investigation of water nutrient levels associated with forest vegetation in highly altered landscapes

Treesearch

M.E.G. Golay; J.R. Thompson; C.M. Mabry; R.K. Kolka

2013-01-01

Stream pollution by nutrient loading is a chronic problem in the Midwest, United States, and greater impacts on water quality are expected as agricultural production and urban areas expand. Remnant riparian forests are critical for maintaining ecosystem functions in this landscape context, allowing water infiltration and capture of nutrients before they are lost from...

Supporting Grieving Children in Early Childhood Programs

ERIC Educational Resources Information Center

Perkins, Kaarin D.; Mackey, Bonnie

2008-01-01

Approximately 2 million people die each year in the United States. If each individual death affects only five other people, there are close to 10 million people grieving a new death each year in this country. Children who have lost a loved one through death can be in very difficult situations. While they are attempting to cope with the shock and…

A Sociological Look at Biofuels: Ethanol in the Early Decades of the Twentieth Century and Lessons for Today

ERIC Educational Resources Information Center

Carolan, Michael S.

2009-01-01

This article develops a broad sociological understanding of why biofuels lost out to leaded gasoline as the fuel par excellence of the twentieth century, while drawing comparisons with biofuels today. It begins by briefly discussing the fuel-scape in the United States in the late nineteenth and early twentieth centuries, examining the farm…

Partners in wildland fire preparedness: lessons from communities in the U.S.

Treesearch

Pamela J. Jakes; Linda Kruger; Martha Monroe; Victoria Sturtevant

2004-01-01

By almost any measure, the past decade has been severe in terms of wildland fire in the United States (Table 1). The National Interagency Fire Center (NIFC) maintains a list of ''Historically Significant Wildfires" in the US. - fires that are significant in terms of acres burned, value of the resources destroyed, or lives or property lost. Of the 34...

How do retailers rate the United States and Canada as furniture sources compared to China?

Treesearch

Urs Buehlmann; Matthew Bumgardner; Mary Frye; Torsten Lihra

2008-01-01

During the past decade, the U.S. wood household furniture industry has lost a significant share of its domestic market to imported furniture. This market share loss has been widely discussed and analyzed, largely from a manufacturing perspective. A relatively unexplored dimension of household furniture importing is the perspective of the retailer. Retailers play a...

Recession effects on the forests and forest products industries of the South.

Treesearch

Douglas Hodges; Andrew Hartsell; Consuelo Brandeis; Thomas Brandeis; James Bentley

2012-01-01

The economic recession affected southern forests and related industries substantially, particularly those sectors most closely related to home construction. Between 2005 and 2009, for example, the three primary forestry sectors – wood manufacturing, paper manufacturing, and forestry and logging – lost more than 110,000 jobs in the southern United States. This article...

Student Engagement at Two Single-Sex Colleges: Hampden-Sydney and Sweet Briar

ERIC Educational Resources Information Center

Simms, Edith L.

2010-01-01

Since the 1960s the higher educational system in the United States has steadily lost its single-sex colleges; and as of 2008 only 51 women's and four men's institutions remain (National Center for Educational Statistics, 2008). Many of the previous single-sex schools have admitted members of the opposite sex, giving in to the national trend of…

CAS, Interdiction, and Attack Helicopters

DTIC Science & Technology

2005-06-01

E.J. Degen, and David Tohn, On Point: The United States Army in Operation Iraqi Freedom, (Fort Leavenworth, KA : Combat Studies Institute Press, 2004...Grau and Michael W. Gress, trans. and eds. The Soviet- Afghan War: How a Superpower Fought and Lost, (Lawrence, KA : University Press of Kansas, 2002...149 Grinalds, 73. 150 Michael O’Hanlon and Adriana Lins de Albuquerque, Iraq Index: Tracking Variables

Mental Health Professionals Unite to Support Japanese and Japanese Americans

ERIC Educational Resources Information Center

Ikeda, Maiko; Inaba, Jennifer Saeko; Ikeda, Ayako Christina; Kihara, Miki

2011-01-01

On Friday, March 11, 2011, one of the worst disasters in the world hit the country of Japan. A magnitude 9.0 earthquake struck off the coast of Japan, forever changing the lives of the people and the state of the country. Not only were lives lost and homes destroyed, the tsunami that followed caused numerous nuclear accidents around the Fukushima…

Trauma.

PubMed

Bonatti, Hugo; Calland, James Forrest

2008-08-01

In terms of cost and years of potential lives lost, injury arguably remains the most important public health problem facing the United States. Care of traumatically injured patients depends on early surgical intervention and avoiding delays in the diagnosis of injuries that threaten life and limb. In the critical care phase, successful outcomes after injury depend almost solely on diligence, attention to detail, and surveillance for iatrogenic infections and complications.

Lost in Translation: Degree Definition and Quality in a Globalized World

ERIC Educational Resources Information Center

Green, Madeleine F.

2011-01-01

Within the United States, defining the meaning of a degree and comparing the quality of institutions on a common set of metrics is no simple matter. In fact, there is no common definition of a US college degree beyond a general consensus that an undergraduate degree generally includes about 120 credits and consists of a general education…

U.S. Policy and Radical Regimes: Report of a Vantage Conference (Berkeley Springs, West Virginia, September 25-27, 1986).

ERIC Educational Resources Information Center

DeKock, Anita, Ed.

The United States policy of branding governments--especially those in developing nations--as "good guys" or "bad guys" has been costly. The price has been paid in lost lives, confrontations with the Soviet Union, loss of diplomatic flexibility, and domestic political stresses. It seems an opportune time, now that the United…

3 CFR 8543 - Proclamation 8543 of July 26, 2010. National Korean War Veterans Armistice Day, 2010

Code of Federal Regulations, 2011 CFR

2011-01-01

... of the United States of America A Proclamation Today we celebrate the signing of the Military... respect, and this partnership is vital to peace and stability in Asia and the world. Since our Nation’s... rallied to the young republic’s defense. Tens of thousands of our Nation’s servicemembers lost their lives...

Border Lookout: Enhancing Tuberculosis Control on the United States-Mexico Border.

PubMed

DeSisto, Carla; Broussard, Kelly; Escobedo, Miguel; Borntrager, Denise; Alvarado-Ramy, Francisco; Waterman, Stephen

2015-10-01

We evaluated the use of federal public health intervention tools known as the Do Not Board and Border Lookout (BL) for detecting and referring infectious or potentially infectious land border travelers with tuberculosis (TB) back to treatment. We used data about the issuance of BL from April 2007 to September 2013 to examine demographics and TB laboratory results for persons on the list (N = 66) and time on the list before being located and achieving noninfectious status. The majority of case-patients were Hispanic and male, with a median age of 39 years. Most were citizens of the United States or Mexico, and 30.3% were undocumented migrants. One-fifth had multidrug-resistant TB. Nearly two-thirds of case-patients were located and treated as a result of being placed on the list. However, 25.8% of case-patients, primarily undocumented migrants, remain lost to follow-up and remain on the list. For this highly mobile patient population, the use of this novel federal travel intervention tool facilitated the detection and treatment of infectious TB cases that were lost to follow-up. © The American Society of Tropical Medicine and Hygiene.

Novel and lost forests in the Upper Midwestern United States, from new estimates of settlement-era composition, stem density, and biomass

USGS Publications Warehouse

Goring, Simon; Mladenoff, David J.; Cogbill, Charles; Record, Sydne; Paciorek, Christopher J.; Dietze, Michael C.; Dawson, Andria; Matthes, Jaclyn; McLachlan, Jason S.; Williams, John W.

2016-01-01

EuroAmerican land-use and its legacies have transformed forest structure and composition across the United States (US). More accurate reconstructions of historical states are critical to understanding the processes governing past, current, and future forest dynamics. Here we present new gridded (8x8km) reconstructions of pre-settlement (1800s) forest composition and structure from the upper Midwestern US (Minnesota, Wisconsin, and most of Michigan), using 19th Century Public Land Survey System (PLSS), with estimates of relative composition, above-ground biomass, stem density, and basal area for 28 tree types. This mapping is more robust than past efforts, using spatially varying correction factors to accommodate sampling design, azimuthal censoring, and biases in tree selection.

"Lost milk?": Counting the economic value of breast milk in gross domestic product.

PubMed

Smith, J P

2013-11-01

The contribution of breastfeeding and mothers milk to the economy is invisible in economic statistics. This article demonstrates how the economic value of human milk production can be included in economic statistics such as gross domestic product (GDP) and provides estimates for Australia, the United States, and Norway. The contribution of human milk and lactation to GDP in these countries is estimated using United Nations (System of National Accounting) guidelines and conventional economic valuation approaches to measuring production in GDP. In Australia, current human milk production levels exceed $3 billion annually. The United States has the potential to produce human milk worth more than US$110 billion a year, but currently nearly two thirds of this value is lost due to premature weaning. In Norway, production valued at US$907 million annually is 60% of its potential value. The potential loss of economic value from not protecting women's lactation and milk production from competing market pressures is large. Failure to account for mothers' milk production in GDP and other economic data has important consequences for public policy. The invisibility of human milk reduces the perceived importance of programs and regulations that protect and support women to breastfeed. The value of human milk can be measured using accepted international guidelines for calculating national income and production. It is quantitatively nontrivial and should be counted in GDP.

29 CFR 779.250 - Goods that have not lost their out-of-State identity.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Goods that have not lost their out-of-State identity. 779...-State identity. Goods which are purchased or received by the enterprise from within the State will be... and have not lost their identity as out-of-State goods before they are purchased or received by the...

29 CFR 779.250 - Goods that have not lost their out-of-State identity.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 3 2011-07-01 2011-07-01 false Goods that have not lost their out-of-State identity. 779...-State identity. Goods which are purchased or received by the enterprise from within the State will be... and have not lost their identity as out-of-State goods before they are purchased or received by the...

29 CFR 779.250 - Goods that have not lost their out-of-State identity.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 3 2014-07-01 2014-07-01 false Goods that have not lost their out-of-State identity. 779...-State identity. Goods which are purchased or received by the enterprise from within the State will be... and have not lost their identity as out-of-State goods before they are purchased or received by the...

29 CFR 779.250 - Goods that have not lost their out-of-State identity.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 3 2013-07-01 2013-07-01 false Goods that have not lost their out-of-State identity. 779...-State identity. Goods which are purchased or received by the enterprise from within the State will be... and have not lost their identity as out-of-State goods before they are purchased or received by the...

29 CFR 779.250 - Goods that have not lost their out-of-State identity.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 3 2012-07-01 2012-07-01 false Goods that have not lost their out-of-State identity. 779...-State identity. Goods which are purchased or received by the enterprise from within the State will be... and have not lost their identity as out-of-State goods before they are purchased or received by the...

Assessing soil quality: practicable standards for sustainable forest productivity in the United States

Treesearch

Robert F. Powers; Allan E. Tiarks; James R. Boyle

1998-01-01

Productive soils form the foundation for productive forests. But unfortunately, the significance of soil seems lost to modem society. Most of us are too far removed from the natural factors of production to appreciate the multiple roles of soil. Nor is its worth recognized well by many forest managers who too often see soil only in its capacity for logging roads and...

Teaching Strategies: "What If I Don't Speak It?" Classroom Strategies to Nurture Students' Heritage Languages

ERIC Educational Resources Information Center

Szilagyi, Janka; Giambo, Debra; Szecsi, Tunde

2013-01-01

Is it an asset or a burden to be bilingual? Although bilingualism is appreciated by many people worldwide, immigrant families often struggle with the maintenance of their heritage language (HL) and culture. In the United States. For example, the HL in most families is completely lost within three generations (Fishman, 1991). The loss of a child's…

The Killing of Anwar al Awlaki: How the United States Lost a Crucial Battle in the War of Ideas

DTIC Science & Technology

2016-03-01

ties to terrorism. However, the arrest warrant was rescinded by a federal judge in Denver the very day that al- Awlaki arrived at JFK Airport in New...Awlaki as an informant and turned a blind eye to his nefarious relationships and messages.41 This viewpoint hinges upon al-Awlaki’s arrest at JFK Airport and

A Case Study of Two Chicago Suburban High Schools: Practices to Avoid a School Shooting

ERIC Educational Resources Information Center

Connelly, Kevin G.

2017-01-01

Throughout 2015, there have been 52 school shootings within the United States that have left 30 individuals dead and another 53 injured (Reuters-USA, 2015). Since Friday, December 14, 2012, the date of the Sandy Hook Elementary School shooting, in which 26 people lost their lives, there has been on average one school shooting per week. It is…

Humanitarian Assistance: An Opportunity Is Lost

DTIC Science & Technology

2009-10-23

national strategic objectives.‖15 General James Jones , then Commander, United States European Command, viewed theater security cooperation programs...Peace, 1. 15Fred Baker, ―Humanitarian Efforts Aid Diplomacy,‖ American Forces Free Press, 23 November 2008. 16 James L. Jones , ―Testimony...Craig Llewellyn . ―Humanitarian Medical Assistance in U.S. Foreign Policy: Is There a Constructive Role for Military Medical Services.‖ The DISAM

Prison tobacco control policies and deaths from smoking in United States prisons: population based retrospective analysis

PubMed Central

Carson, E Ann; Krueger, Patrick M; Mueller, Shane R; Steiner, John F; Sabol, William J

2014-01-01

Objective To determine the mortality attributable to smoking and years of potential life lost from smoking among people in prison and whether bans on smoking in prison are associated with reductions in smoking related deaths. Design Analysis of cross sectional survey data with the smoking attributable mortality, morbidity, and economic costs system; population based time series analysis. Setting All state prisons in the United States. Main outcome measures Prevalence of smoking from cross sectional survey of inmates in state correctional facilities. Data on state prison tobacco policies from web based searches of state policies and legislation. Deaths and causes of death in US state prisons from the deaths in custody reporting program of the Bureau of Justice Statistics for 2001-11. Smoking attributable mortality and years of potential life lost was assessed from the smoking attributable mortality, morbidity, and economic costs system of the Centers for Disease Control and Prevention. Multivariate Poisson models quantified the association between bans and smoking related cancer, cardiovascular and pulmonary deaths. Results The most common causes of deaths related to smoking among people in prison were lung cancer, ischemic heart disease, other heart disease, cerebrovascular disease, and chronic airways obstruction. The age adjusted smoking attributable mortality and years of potential life lost rates were 360 and 5149 per 100 000, respectively; these figures are higher than rates in the general US population (248 and 3501, respectively). The number of states with any smoking ban increased from 25 in 2001 to 48 by 2011. In prisons the mortality rate from smoking related causes was lower during years with a ban than during years without a ban (110.4/100 000 v 128.9/100 000). Prisons that implemented smoking bans had a 9% reduction (adjusted incidence rate ratio 0.91, 95% confidence interval 0.88 to 0.95) in smoking related deaths. Bans in place for longer than nine years were associated with reductions in cancer mortality (adjusted incidence rate ratio 0.81, 95% confidence interval 0.74 to 0.90). Conclusions Smoking contributes to substantial mortality in prison, and prison tobacco control policies are associated with reduced mortality. These findings suggest that smoking bans have health benefits for people in prison, despite the limits they impose on individual autonomy and the risks of relapse after release. PMID:25097186

Immigrant dreams: legal pathologies and structural vulnerabilities along the immigration continuum.

PubMed

Cartwright, Elizabeth

2011-01-01

This article contextualizes the results from a mixed methods study of the living and working conditions of Latino agricultural workers in northern Montana. The results of both the health needs assessment survey and the retrospective life-histories of these migrant farmworkers paint a picture of a population that is barely surviving in the United States, even after decades of living and working here. This article interrogates Singer's notions of "harmful social conditions and injurious social connections" that characterize syndemics of ill health through a detailed description of how different immigration statuses create particular local biologies embedded in the structural violence of powerlessness and lost life potentials. For Mexican immigrants to the United States, the immigration system itself is a powerful pathogen.

Internal medicine in the United States and Germany: mutual influences from 1870 to today.

PubMed

Schulte-Bockolt, Arnd; Soergel, Konrad H; Stein, Juergen

2016-11-01

Over the past 140 years, the close academic and clinical interactions in Internal Medicine between German-speaking countries and the United States have been through three distinct stages. From 1870 until the First World War, German medical research, teaching, and university organization served as a model for U.S. medical schools and practice. However, after World War I, medical education reforms were implemented in the U.S., and due also to radical economic and political changes at home, German medicine lost its pioneering role. Furthermore, many scientists and clinicians were forced to emigrate in the face of racial and political persecution in Germany and Austria. Since the Second World War, American medicine has grown further to become the world leader in research, training, and clinical practice. The earlier trend of American physicians studying abroad was thus reversed, with many of today's foremost German physicians completing clinical and research training in the United States.

The financial cost of doctors emigrating from sub-Saharan Africa: human capital analysis

PubMed Central

Kanters, Steve; Hagopian, Amy; Bansback, Nick; Nachega, Jean; Alberton, Mark; Au-Yeung, Christopher G; Mtambo, Andy; Bourgeault, Ivy L; Luboga, Samuel; Hogg, Robert S; Ford, Nathan

2011-01-01

Objective To estimate the lost investment of domestically educated doctors migrating from sub-Saharan African countries to Australia, Canada, the United Kingdom, and the United States. Design Human capital cost analysis using publicly accessible data. Settings Sub-Saharan African countries. Participants Nine sub-Saharan African countries with an HIV prevalence of 5% or greater or with more than one million people with HIV/AIDS and with at least one medical school (Ethiopia, Kenya, Malawi, Nigeria, South Africa, Tanzania, Uganda, Zambia, and Zimbabwe), and data available on the number of doctors practising in destination countries. Main outcome measures The financial cost of educating a doctor (through primary, secondary, and medical school), assuming that migration occurred after graduation, using current country specific interest rates for savings converted to US dollars; cost according to the number of source country doctors currently working in the destination countries; and savings to destination countries of receiving trained doctors. Results In the nine source countries the estimated government subsidised cost of a doctor’s education ranged from $21 000 (£13 000; €15 000) in Uganda to $58 700 in South Africa. The overall estimated loss of returns from investment for all doctors currently working in the destination countries was $2.17bn (95% confidence interval 2.13bn to 2.21bn), with costs for each country ranging from $2.16m (1.55m to 2.78m) for Malawi to $1.41bn (1.38bn to 1.44bn) for South Africa. The ratio of the estimated compounded lost investment over gross domestic product showed that Zimbabwe and South Africa had the largest losses. The benefit to destination countries of recruiting trained doctors was largest for the United Kingdom ($2.7bn) and United States ($846m). Conclusions Among sub-Saharan African countries most affected by HIV/AIDS, lost investment from the emigration of doctors is considerable. Destination countries should consider investing in measurable training for source countries and strengthening of their health systems. PMID:22117056

The burden of child maltreatment in China: a systematic review

PubMed Central

Fry, Deborah A; Ji, Kai; Finkelhor, David; Chen, Jingqi; Lannen, Patricia; Dunne, Michael P

2015-01-01

Abstract Objective To estimate the health and economic burdens of child maltreatment in China. Methods We did a systematic review for studies on child maltreatment in China using PubMed, Embase, PsycInfo, CINAHL-EBSCO, ERIC and the Chinese National Knowledge Infrastructure databases. We did meta-analyses of studies that met inclusion criteria to estimate the prevalence of child neglect and child physical, emotional and sexual abuse. We used data from the 2010 global burden of disease estimates to calculate disability-adjusted life-years (DALYs) lost as a result of child maltreatment. Findings From 68 studies we estimated that 26.6% of children under 18 years of age have suffered physical abuse, 19.6% emotional abuse, 8.7% sexual abuse and 26.0% neglect. We estimate that emotional abuse in childhood accounts for 26.3% of the DALYs lost because of mental disorders and 18.0% of those lost because of self-harm. Physical abuse in childhood accounts for 12.2% of DALYs lost because of depression, 17.0% of those lost to anxiety, 20.7% of those lost to problem drinking, 18.8% of those lost to illicit drug use and 18.3% of those lost to self-harm. The consequences of physical abuse of children costs China an estimated 0.84% of its gross domestic product – i.e. 50 billion United States dollars – in 2010. The corresponding losses attributable to emotional and sexual abuse in childhood were 0.47% and 0.39% of the gross domestic product, respectively. Conclusion In China, child maltreatment is common and associated with large economic losses because many maltreated children suffer substantial psychological distress and might adopt behaviours that increase their risk of chronic disease. PMID:25838613

The mobile hospital technology industry: focus on the computerized tomography scanner.

PubMed

Hartley, D; Moscovice, I

1996-01-01

This study of firms offering mobile hospital technology to rural hospitals in eight northwestern states found that several permanently parked computerized tomography (CT) units were found where mobile routes had atrophied due to the purchase of fixed units by former mobile CT hospital clients. Based on a criterion of 140 scans per month per unit as a threshold of profitable production, units owned by larger firms (those that operate five or more units) were more likely to be profitable than units owned by smaller firms (71% versus 20%, P = 0.03). A substantial number of rural hospitals lose money on mobile CT due to low Medicare reimbursement. In some areas, mobile hospital technology is a highly competitive industry. Evidence was found that several firms compete in some geographic areas and that some firms have lost hospital clients to competing vendors.

Airpower in Mountains

DTIC Science & Technology

2012-06-01

Soviet Union to the most recent operations of the United States. The British presence in the region dates back to the nineteenth century. The British...lost several dozen men. Maj N. G. Ten’kov Introduction The Soviet Union occupied Afghanistan for nine years from the end of 1979 to 1989...terrain, transport aircraft flew in supplies from the Soviet Union , as well as missions to supply isolated posts and surrounded garrisons.26 They

The Economic Impact of the Homeland Security Advisory System: The Cost of Heightened Border Security

DTIC Science & Technology

2008-12-01

the United States. Secondary economic impacts of the HSAS such as the airline industry , lost tourism , and retail business from cross-border...Ontario and its businesses. The study is aimed at the trucking, automotive, and tourism industries ; and how they are impacted by border delays. The...19 A. DETROIT-WINDSOR AND THE AUTOMOTIVE INDUSTRY ............19 B. THE AMBASSADOR BRIDGE SYSTEM .................................................21

Migration and stratification

PubMed Central

Jasso, Guillermina

2011-01-01

Migration and stratification are increasingly intertwined. One day soon it will be impossible to understand one without the other. Both focus on life chances. Stratification is about differential life chances - who gets what and why - and migration is about improving life chances - getting more of the good things of life. To examine the interconnections of migration and stratification, we address a mix of old and new questions, carrying out analyses newly enabled by a unique new data set on recent legal immigrants to the United States (the New Immigrant Survey). We look at immigrant processing and lost documents, depression due to the visa process, presentation of self, the race-ethnic composition of an immigrant cohort (made possible by the data for the first time since 1961), black immigration from Africa and the Americas, skin-color diversity among couples formed by U.S. citizen sponsors and immigrant spouses, and English fluency among children age 8–12 and their immigrant parents. We find, inter alia, that children of previously illegal parents are especially more likely to be fluent in English, that native-born U.S. citizen women tend to marry darker, that immigrant applicants who go through the visa process while already in the United States are more likely to have their documents lost and to suffer visa depression, and that immigration, by introducing accomplished black immigrants from Africa (notably via the visa lottery), threatens to overturn racial and skin color associations with skill. Our analyses show the mutual embeddedness of migration and stratification in the unfolding of the immigrants' and their children's life chances and the impacts on the stratification structure of the United States. PMID:26321771

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

PubMed

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

2015-11-02

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

Tuberculosis along the United States-Mexico border, 1993-2001.

PubMed

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.

Prevention of deaths from harmful drinking in the United States: the potential effects of tax increases and advertising bans on young drinkers.

PubMed

Hollingworth, William; Ebel, Beth E; McCarty, Carolyn A; Garrison, Michelle M; Christakis, Dimitri A; Rivara, Frederick P

2006-03-01

Harmful alcohol consumption is a leading cause of death in the United States. The majority of people who die from alcohol use begin drinking in their youth. In this study, we estimate the impact of interventions to reduce the prevalence of drinking among youth on subsequent drinking patterns and alcohol-attributable mortality. We first estimated the effect of public health interventions to decrease harmful drinking among youth from literature reviews and used life table methods to estimate alcohol-attributable years of life lost by age 80 years among the cohort of approximately 4 million U.S. residents aged 20 in the year 2000. Then, from national survey data on transitions in drinking habits by age, we modeled the impact of interventions on alcohol-attributable mortality. A tax increase and an advertising ban were the most effective interventions identified. In the absence of intervention, there would be 55,259 alcohol-attributable deaths over the lifetime of the cohort. A tax-based 17% increase in the price of alcohol of dollar 1 per six pack of beer could reduce deaths from harmful drinking by 1,490, equivalent to 31,130 discounted years of potential life saved or 3.3% of current alcohol-attributable mortality. A complete ban on alcohol advertising would reduce deaths from harmful drinking by 7,609 and result in a 16.4% decrease in alcohol-related life-years lost. A partial advertising ban would result in a 4% reduction in alcohol-related life-years lost. Interventions to prevent harmful drinking by youth can result in reductions in adult mortality. Among interventions shown to be successful in reducing youthful drinking prevalence, advertising bans appear to have the greatest potential for premature mortality reduction.

Socioeconomic status, non-communicable disease risk factors, and walking speed in older adults: multi-cohort population based study

PubMed Central

Carmeli, Cristian; Jokela, Markus; Avendaño, Mauricio; McCrory, Cathal; d’Errico, Angelo; Bochud, Murielle; Barros, Henrique; Costa, Giuseppe; Chadeau-Hyam, Marc; Delpierre, Cyrille; Gandini, Martina; Fraga, Silvia; Goldberg, Marcel; Giles, Graham G; Lassale, Camille; Kenny, Rose Anne; Kelly-Irving, Michelle; Paccaud, Fred; Layte, Richard; Muennig, Peter; Marmot, Michael G; Ribeiro, Ana Isabel; Severi, Gianluca; Steptoe, Andrew; Shipley, Martin J; Zins, Marie; Mackenbach, Johan P; Vineis, Paolo; Kivimäki, Mika

2018-01-01

Abstract Objective To assess the association of low socioeconomic status and risk factors for non-communicable diseases (diabetes, high alcohol intake, high blood pressure, obesity, physical inactivity, smoking) with loss of physical functioning at older ages. Design Multi-cohort population based study. Setting 37 cohort studies from 24 countries in Europe, the United States, Latin America, Africa, and Asia, 1990-2017. Participants 109 107 men and women aged 45-90 years. Main outcome measure Physical functioning assessed using the walking speed test, a valid index of overall functional capacity. Years of functioning lost was computed as a metric to quantify the difference in walking speed between those exposed and unexposed to low socioeconomic status and risk factors. Results According to mixed model estimations, men aged 60 and of low socioeconomic status had the same walking speed as men aged 66.6 of high socioeconomic status (years of functioning lost 6.6 years, 95% confidence interval 5.0 to 9.4). The years of functioning lost for women were 4.6 (3.6 to 6.2). In men and women, respectively, 5.7 (4.4 to 8.1) and 5.4 (4.3 to 7.3) years of functioning were lost by age 60 due to insufficient physical activity, 5.1 (3.9 to 7.0) and 7.5 (6.1 to 9.5) due to obesity, 2.3 (1.6 to 3.4) and 3.0 (2.3 to 4.0) due to hypertension, 5.6 (4.2 to 8.0) and 6.3 (4.9 to 8.4) due to diabetes, and 3.0 (2.2 to 4.3) and 0.7 (0.1 to 1.5) due to tobacco use. In analyses restricted to high income countries, the number of years of functioning lost attributable to low socioeconomic status by age 60 was 8.0 (5.7 to 13.1) for men and 5.4 (4.0 to 8.0) for women, whereas in low and middle income countries it was 2.6 (0.2 to 6.8) for men and 2.7 (1.0 to 5.5) for women. Within high income countries, the number of years of functioning lost attributable to low socioeconomic status by age 60 was greater in the United States than in Europe. Physical functioning continued to decline as a function of unfavourable risk factors between ages 60 and 85. Years of functioning lost were greater than years of life lost due to low socioeconomic status and non-communicable disease risk factors. Conclusions The independent association between socioeconomic status and physical functioning in old age is comparable in strength and consistency with those for established non-communicable disease risk factors. The results of this study suggest that tackling all these risk factors might substantially increase life years spent in good physical functioning. PMID:29572376

Cancer insurance policies in Japan and the United States.

PubMed Central

Bennett, C L; Weinberg, P D; Lieberman, J J

1998-01-01

Cancer care in the United States often results in financial hardship for patients and their families. Standard health insurance covers most medical costs, but nonmedical costs (such as lost wages, deductibles, copayments, and travel to and from caregivers) are paid out of pocket. Over the course of treatment, these costs can become substantial. Insurance companies have addressed the burden of these out-of-pocket costs by offering supplemental cancer insurance policies that, upon diagnosis of cancer, pay cash benefits for items that usually require out-of-pocket expenditures and are distinct from reimbursements made by traditional health insurance. Limitations associated with managed care have fostered increased consumer awareness and interest in the United States for cancer insurance and its ability to defray treatment expenditures that usually require out-of-pocket payments. Marketing campaigns are becoming more aggressive, and the number of cancer insurance policies sold has been steadily rising. While cancer insurance is only recently gaining popularity in the United States, it has been a successful product in Japan for over twenty years. In Japan, approximately one-quarter of the population own cancer insurance, and ten-year retention rates are estimated at 75%. As a result, individuals are afforded good access to nonmedical cancer services. Understanding the factors that led to the success of cancer insurance in Japan may assist policymakers in evaluating cancer insurance policies as they become more prevalent in the United States. PMID:9448483

Cancer insurance policies in Japan and the United States.

PubMed

Bennett, C L; Weinberg, P D; Lieberman, J J

1998-01-01

Cancer care in the United States often results in financial hardship for patients and their families. Standard health insurance covers most medical costs, but nonmedical costs (such as lost wages, deductibles, copayments, and travel to and from caregivers) are paid out of pocket. Over the course of treatment, these costs can become substantial. Insurance companies have addressed the burden of these out-of-pocket costs by offering supplemental cancer insurance policies that, upon diagnosis of cancer, pay cash benefits for items that usually require out-of-pocket expenditures and are distinct from reimbursements made by traditional health insurance. Limitations associated with managed care have fostered increased consumer awareness and interest in the United States for cancer insurance and its ability to defray treatment expenditures that usually require out-of-pocket payments. Marketing campaigns are becoming more aggressive, and the number of cancer insurance policies sold has been steadily rising. While cancer insurance is only recently gaining popularity in the United States, it has been a successful product in Japan for over twenty years. In Japan, approximately one-quarter of the population own cancer insurance, and ten-year retention rates are estimated at 75%. As a result, individuals are afforded good access to nonmedical cancer services. Understanding the factors that led to the success of cancer insurance in Japan may assist policymakers in evaluating cancer insurance policies as they become more prevalent in the United States.

Natural Hazards - A National Threat

USGS Publications Warehouse

Geological Survey, U.S.

2007-01-01

The USGS Role in Reducing Disaster Losses -- In the United States each year, natural hazards cause hundreds of deaths and cost billions of dollars in disaster aid, disruption of commerce, and destruction of homes and critical infrastructure. Although the number of lives lost to natural hazards each year generally has declined, the economic cost of major disaster response and recovery continues to rise. Each decade, property damage from natural hazards events doubles or triples. The United States is second only to Japan in economic damages resulting from natural disasters. A major goal of the U.S. Geological Survey (USGS) is to reduce the vulnerability of the people and areas most at risk from natural hazards. Working with partners throughout all sectors of society, the USGS provides information, products, and knowledge to help build more resilient communities.

Suicide and Suicidal Attempts in the United States: Costs and Policy Implications.

PubMed

Shepard, Donald S; Gurewich, Deborah; Lwin, Aung K; Reed, Gerald A; Silverman, Morton M

2016-06-01

The national cost of suicides and suicide attempts in the United States in 2013 was $58.4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97.1%) of this cost. Adjustment for under-reporting increased the total cost to $93.5 billion or $298 per capita, 2.1-2.8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit-cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients. © 2015 The Authors. Suicide and LifeThreatening Behavior published by Wiley Periodicals, Inc. on behalf of American Association of Suicidology.

The Social Implications of Health Care Reform: Reducing Access Barriers to Health Care Services for Uninsured Hispanic and Latino Americans in the United States

ERIC Educational Resources Information Center

Kaplan, Mitchell A.; Inguanzo, Marian M.

2011-01-01

The U.S. health care system is currently facing one of its most significant social challenges in decades in terms of its ability to provide access to primary care services to the millions of Americans who have lost their health insurance coverage in the recent economic recession. National statistics compiled by the U.S. Census Bureau for 2009…

Corruption in the Middle East: Challenges Posed for the United States

DTIC Science & Technology

2004-11-01

American exporters allegedly lost out on foreign deals because they are not allowed, under U.S. law, to pay bribes to foreign officials. For...American companies, the payment of bribes to foreign officials is a criminal act and, of course, the bribes paid cannot be deducted as costs for tax...Cost-reducing (to the briber) or benefit enhancing; • Briber-initiated or bribee -initiated; • Coercive or collusive; centralized or

An Evaluation of the Latent Tuberculosis Control Program in the United States Military at Accession

DTIC Science & Technology

2010-10-15

and costs associated with lost productivity. Cost-of-illness estimates for the health outcomes will be obtained from the TRICARE management agency...National Collaborating Centre for Chronic Conditions. Tuberculosis: national clinical guidelines for diagnosis, management , prevention, and control...N, Ranganathan SC. A three- way comparison of tuberculin skin testing, QuantiFERON-TB gold and T-SPOT.TB in children. PLoS ONE. 2008;3(7):e2624

The Melting Pot: America Is Lost Without It

DTIC Science & Technology

2012-03-23

homogeneous culture. These multiculturists offered an alternative metaphor of the tossed salad as a better description in that various cultures mix but...remain distinct and identifiable. The problem with the tossed salad metaphor is that it creates a sense of separateness; a tendency to focus on the...United States will not continue to be the great nation it is today. In contrast to the arguments of the proponents of the tossed salad metaphor, our

When the Border Educates: Malín Alegria's "Sofi Mendoza's Guide to Getting Lost in Mexico" (2007)

ERIC Educational Resources Information Center

Ibarraran-Bigalondo, Amaia

2016-01-01

The border between the United States and Mexico, since it was first conceived in 1848, has marked the lives of those who live on both of its sides, as well as of those who want to cross it. It has also become the source of a vast array of theoretical and artistic work. Chicano writers have written about it, and so have theorists dealt with its…

Lost in Translation: U.S. Forces and Crime in Japan

DTIC Science & Technology

2015-09-01

12b. DISTRIBUTION CODE A 13. ABSTRACT (maximum 200 words) This thesis argues that Japanese media disproportionately finds United States Forces...finds that genuine crime rates are low even when compared to already low crime rates in the country. The thesis situates this media over-attribution...Okinawa shoulders for U.S. military bases, but also political and media incentives in Okinawa that lead local political actors to emphasize these burdens

Years of life lost through Down's syndrome.

PubMed

Jones, M B

1979-10-01

A congenital genetic condition does not act either as a cause of death or at the time of death only. Hence, years of life lost through such a conditon cannot be calculated in the same way as for a conventional cause of death. The main difference is that a cause of death acting at age x cuts off as many years of life as the dead person might otherwise have expected to live (life expectancy at age x), whereas a congenital genetic condition exposes an affected person to a different schedule of life-threatening risks from birth onwards. In the latter case, years of life lost is calculated as the difference in life expectancy at birth for affected and non-affected persons. This reasoning is worked out in algebraic form and then applied to Down's syndrome. The data base is provided by two large and recent studies, one in Massachusetts and the other in Denmark, of mortality rates among all cases of Down's syndrome, whether in an institution or not, born during a given period of years or living at a given point in time in a fixed geographical area. So calculated, years of life lost through Down's syndrome relative to the United States general population in 1970 was 53.6 years per 1000 livebirths. Prenatal mortality is also discussed.

Frequency of Lost Dogs and Cats in the United States and the Methods Used to Locate Them

PubMed Central

Weiss, Emily; Slater, Margaret; Lord, Linda

2012-01-01

Simple Summary Dogs and cats are a common member of the family in homes across the US. No population-based data exist on the frequency of pets getting lost from the home and lost pets can be a source of human and animal suffering. Our primary objective was to determine the percentage of owned dogs and cats that were lost, and of these, what percentages of pets were recovered. We examined the recovery success for dogs compared to cats and the methods used as well as the relationship between lost or found pets and pet and owner demographics. While 15% of dog and cat owners lost their pets, dogs had higher recovery rates (93%) than cats (75%) as well as being returned using different search methods. Abstract A cross-sectional national random digit dial telephone interview was conducted between September and November 2010. There were 1,015 households that had owned a dog or cat within the past five years. Of these 817 households owned dogs and 506 owned cats. Fourteen percent of dogs (95% Confidence Interval (CI): 11–16%) and 15% (95% CI: 12–18%) of cats were lost in the past five years. No owner demographic variables were associated with losing a pet. Ninety three percent (95% CI: 86–97%) of dogs and 75% (95% CI: 64–85%) of cats were recovered. For dogs, searching the neighborhood and returning on their own were the most common methods of finding the dog; 14% were found through an identification tag. For cats, returning on their own was most common. Dogs were more likely than cats to be lost more than once. Cats were less likely than dogs to have any type of identification. Knowledge of the successful methods of finding dogs and cats can provide invaluable help for owners of lost pets. Since 25% of lost cats were not found, other methods of reuniting cats and their owners are needed. Collars and ID tags or humane trapping could be valuable approaches. PMID:26486923

A resolution honoring the 29 coal miners who perished in the explosion at the Upper Big Branch Mine in Montcoal, West Virginia, on April 5, 2010, and remembering all those who have lost their lives while mining for the resources on which the United States relies.

THOMAS, 112th Congress

Sen. Rockefeller, John D., IV [D-WV

2011-04-04

Senate - 04/05/2011 Resolution agreed to in Senate without amendment and with a preamble by Unanimous Consent. (All Actions) Tracker: This bill has the status Agreed to in SenateHere are the steps for Status of Legislation:

Resistance Begins with the First Foreign Footstep: China and Nicaragua

DTIC Science & Technology

2013-03-01

arose in León and Granada . The rebels in León rallied under a former Zelayista, Benjamin Zeledón, while a recently ousted leader of the 17...coalition, Luis Mena, led the forces in Granada . While the United States entered the conflict under the auspices of neutrality, its actions clearly...arriving in Granada , Butler discovered that Mena suffered from a debilitating disease and had lost the will to fight. In exchange for safe passage

The Indian Education Act in the 1980's: Quest for Equity and Quality. The 12th Annual Report to the Congress of the United States. Fiscal Year 1985.

ERIC Educational Resources Information Center

National Advisory Council on Indian Education, Washington, DC.

The 12th annual report to Congress from the National Advisory Council on Indian Education (NACIE) details activities during fiscal year 1985 and is dedicated to all Indian youth who benefit from any federal programs that support Indian education and those Indian youths lost from the Wind River Indian Reservation because of suicide. Part I contains…

Defining and Achieving Decisive Victory

DTIC Science & Technology

2002-04-01

brilliant essay written a generation ago by French scholar, Raymond Aron. “Strategic thought draws its inspiration each century , or rather at each moment...history. Although since 1991 1 victory has come back into fashion as a proper outcome to be expected of the use of American arms, for the duration of the...Soviet Socialist Republics (USSR) lost the Cold War, the United States had not won it.13 So far out of strategic fashion had victory become, that the

Internal migration effectiveness and income effectiveness in the most populous cities in the United States.

PubMed

Ambinakudige, Shrinidhi; Parisi, Domenico

2010-01-01

In this study, migration data compiled by the Internal Revenue Serve (IRS) and the US Census Bureau for 2006-07 were used to analyse internal migration patterns using migration and income effectiveness for the counties containing the 25 most populous cities in the United States. The results indicated that both large metropolitan and rural counties have lost population and income due to migration. Small metropolitan and non-metropolitan counties closer to cities gained population and income. Counties in South Florida attracted a large number of higher-income migrants from the largest cities in the US. In the last 13 years, New York, Los Angeles and Chicago, the three most populous cities in the US, had negative migration effectiveness. Suburban areas and second-tier cities continued to attract people from large metropolitan areas.

Lost working days, productivity, and restraint use among occupants of motor vehicles that crashed in the United States.

PubMed

Ebel, B E; Mack, C; Diehr, P; Rivara, F P

2004-10-01

In 2001, 6.3 million passengers were involved in motor vehicle crashes. This study aimed to determine the number of work days lost as a result of motor vehicle crashes and factors that influenced people's return to work. This was a retrospective, population based cohort study of occupants in motor vehicles involved in crashes from the 1993-2001 Crashworthiness Data System produced by the National Highway Traffic Safety Administration. The sample population of people aged 18-65 years included two groups: occupants who survived and were working before the crash and occupants who were injured fatally and were estimated to have been working before the crash. Multivariate linear regression was used to analyze the impact of restraint use and injury type on return to work. Overall, 30.1% of occupants of vehicles that crashed missed one or more days of work. A crash resulted in a mean 28.0 (95% confidence interval 15.8 to 40.1) days lost from work, including losses associated with fatalities. The 2.1 million working occupants of vehicles that crashed in 2001 lost a total of 60 million days of work, resulting in annual productivity losses of over $7.5 billion (2964 to 12 075). Unrestrained vehicle occupants accounted for $5.6 billion in lost productivity. Motor vehicle crashes result in large and potentially preventable productive losses that are mostly attributable to fatal injuries.

Socioeconomic status, non-communicable disease risk factors, and walking speed in older adults: multi-cohort population based study.

PubMed

Stringhini, Silvia; Carmeli, Cristian; Jokela, Markus; Avendaño, Mauricio; McCrory, Cathal; d'Errico, Angelo; Bochud, Murielle; Barros, Henrique; Costa, Giuseppe; Chadeau-Hyam, Marc; Delpierre, Cyrille; Gandini, Martina; Fraga, Silvia; Goldberg, Marcel; Giles, Graham G; Lassale, Camille; Kenny, Rose Anne; Kelly-Irving, Michelle; Paccaud, Fred; Layte, Richard; Muennig, Peter; Marmot, Michael G; Ribeiro, Ana Isabel; Severi, Gianluca; Steptoe, Andrew; Shipley, Martin J; Zins, Marie; Mackenbach, Johan P; Vineis, Paolo; Kivimäki, Mika

2018-03-23

To assess the association of low socioeconomic status and risk factors for non-communicable diseases (diabetes, high alcohol intake, high blood pressure, obesity, physical inactivity, smoking) with loss of physical functioning at older ages. Multi-cohort population based study. 37 cohort studies from 24 countries in Europe, the United States, Latin America, Africa, and Asia, 1990-2017. 109 107 men and women aged 45-90 years. Physical functioning assessed using the walking speed test, a valid index of overall functional capacity. Years of functioning lost was computed as a metric to quantify the difference in walking speed between those exposed and unexposed to low socioeconomic status and risk factors. According to mixed model estimations, men aged 60 and of low socioeconomic status had the same walking speed as men aged 66.6 of high socioeconomic status (years of functioning lost 6.6 years, 95% confidence interval 5.0 to 9.4). The years of functioning lost for women were 4.6 (3.6 to 6.2). In men and women, respectively, 5.7 (4.4 to 8.1) and 5.4 (4.3 to 7.3) years of functioning were lost by age 60 due to insufficient physical activity, 5.1 (3.9 to 7.0) and 7.5 (6.1 to 9.5) due to obesity, 2.3 (1.6 to 3.4) and 3.0 (2.3 to 4.0) due to hypertension, 5.6 (4.2 to 8.0) and 6.3 (4.9 to 8.4) due to diabetes, and 3.0 (2.2 to 4.3) and 0.7 (0.1 to 1.5) due to tobacco use. In analyses restricted to high income countries, the number of years of functioning lost attributable to low socioeconomic status by age 60 was 8.0 (5.7 to 13.1) for men and 5.4 (4.0 to 8.0) for women, whereas in low and middle income countries it was 2.6 (0.2 to 6.8) for men and 2.7 (1.0 to 5.5) for women. Within high income countries, the number of years of functioning lost attributable to low socioeconomic status by age 60 was greater in the United States than in Europe. Physical functioning continued to decline as a function of unfavourable risk factors between ages 60 and 85. Years of functioning lost were greater than years of life lost due to low socioeconomic status and non-communicable disease risk factors. The independent association between socioeconomic status and physical functioning in old age is comparable in strength and consistency with those for established non-communicable disease risk factors. The results of this study suggest that tackling all these risk factors might substantially increase life years spent in good physical functioning. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Homicide, suicide, motor vehicle crash, and fall mortality: United States' experience in comparative perspective.

PubMed Central

Rockett, I R; Smith, G S

1989-01-01

US mortality data on motor vehicle crashes, falls, suicide, and homicide for 1980 are compared with corresponding data for France, Japan, West Germany, and the United Kingdom. Unadjusted and age-specific death rates are presented, together with age-adjusted rates of years of life lost (YLL). A large male excess in rates is typical outside the fall category. Motor vehicle crashes are the predominant cause of YLL, and the United States manifests the highest YLL rates for each sex. US fall death rates at the older ages are exceeded by those of France and West Germany. The elderly generally manifest the greatest risk of suicide; American females exhibit a unique rate decline after ages 45-54 years, however. Beyond early adulthood, US suicide rates are lower than those of France, Japan, and West Germany. US homicide rates dwarf those of the comparison countries with 16- to 29-fold differentials separating prime-risk American males aged 25-34 years from their foreign counterparts. PMID:2782511

Optimal tracking and testing of U.S. and Canadian herds for BSE: a value-of-information (VOI) approach.

PubMed

Cox, Louis Anthony; Popken, Douglas A; VanSickle, John J; Sahu, Ranajit

2005-08-01

The U.S. Department of Agriculture (USDA) tests a subset of cattle slaughtered in the United States for bovine spongiform encephalitis (BSE). Knowing the origin of cattle (U.S. vs. Canadian) at testing could enable new testing or surveillance policies based on the origin of cattle testing positive. For example, if a Canadian cow tests positive for BSE, while no U.S. origin cattle do, the United States could subject Canadian cattle to more stringent testing. This article illustrates the application of a value-of-information (VOI) framework to quantify and compare potential economic costs to the United States of implementing tracking cattle origins to the costs of not doing so. The potential economic value of information from a tracking program is estimated to exceed its costs by more than five-fold if such information can reduce future losses in export and domestic markets and reduce future testing costs required to reassure or win back customers. Sensitivity analyses indicate that this conclusion is somewhat robust to many technical, scientific, and market uncertainties, including the current prevalence of BSE in the United States and/or Canada and the likely reactions of consumers to possible future discoveries of BSE in the United States and/or Canada. Indeed, the potential value of tracking information is great enough to justify locating and tracking Canadian cattle already in the United States when this can be done for a reasonable cost. If aggressive tracking and testing can win back lost exports, then the VOI of a tracking program may increase to over half a billion dollars per year.

Analysis of Special Operations Forces in Decision Aids: Recommendations,

DTIC Science & Technology

1994-01-01

Soviet-made armored scout cars operated by Malaysian troops. By that time, the United States had lost 102 men-18 killed and 84 wounded. Somali leaders...designation of targets; attack by F-15E and F-16C using CBU-87, -89 Execution and GBU; attack by A-10 using Maverick and 30-mm cannon; attack by B-52 using...patrolling designated areas of the battlefield and attacking individual armored vehicles with precision-guided weapons such as Maverick . Discontinuity

The Global Financial Crisis: Lessons from Japan’s Lost Decade of the 1990s

DTIC Science & Technology

2009-05-04

2004. Bernanke cited Milton Friedman and Anna Schwartz’s book, A Monetary History of the United States, 1867-1960, written in 1963, as a basis for...Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response ...have pointed out that the depression ended only after spending for war provided the increase in aggregate demand needed for recovery. In the case of

Secure Rural Schools and Community Self-Determination Act. Hearings before the Subcommittee on Forests and Public Land Management of the Committee on Energy and Natural Resources, United States Senate, One Hundred Sixth Congress, First Session, on S. 1608.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Energy and Natural Resources.

When the national forests were withdrawn from the public domain a century ago, they were established with the assurances that proceeds from the sustainable management of their natural resources would be shared with local governments. These proceeds partially refund the tax revenues lost by local governments and go toward funding rural schools,…

Soldiers Amidst the Rubble: The United States Army and the San Francisco Earthquake of 1906

DTIC Science & Technology

1980-06-06

Ruef, lhowever, gradually lost his idealism and was drawn into machine politics. 25 Bruce Bliven, "The Roodling Boss and the Musical Mayor," American ...ARTICLES Bliven, Bruce. "The Boodling Boss and The Musical Mayor," American Heritage Magazine, 11, No. 1 (December 1959), 8-11; 100-104. Devol, Carroll A... American soldiers and civilians alike may quite j stly oe proud Oecause that-contrioution was made in the O.est spirit of the American tradition of

Student Loan Assistance Amendments of 1982. Hearing Before the Subcommittee on Education, Arts and Humanities of the Committee on Labor and Human Resources, United States Senate. Ninety-Seventh Congress, Second Session on S. 2655.

ERIC Educational Resources Information Center

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

Hearings of the Committee on Education and Labor on the proposed Student Loan Assistance Amendments of 1982 are presented. The bill (S. 2655) is designed to provide increased maximum limitations for student loans under Part B of Title IV of the Higher Education Act of 1965 for certain students who lost benefits under the Social Security Act as a…

Space Weaponization and US-China Relations

DTIC Science & Technology

2008-01-01

and his JD degree from the New York University School of Law. Mr. Blazejewski would like to thank Frank von Hippel and R. Scott Kemp for their comments...Totem and Taboo,” 18. 69. Krepon, “Lost in Space,” 7. 70. One suggestion by Frank von Hippel would be to try to detect the laser beam by its scattering...more.” Pillsbury Report, 9. 15. Statement by Eric D. Hagt in “Chinese Military Modernization and Its Impact on the United States and the Asia

Doing Drugs and Dropping Out: A Report Prepared for the Use of the Subcommittee on Economic Growth, Trade, and Taxes of the Joint Economic Committee, Congress of the United States. 102d Congress, 1st Session.

ERIC Educational Resources Information Center

Joint Economic Committee, Washington, DC.

This report assesses the societal costs of substance abuse--especially cocaine and crack addition--and dropping out of school. It is organized around three themes: (1) the impact of cocaine and crack abuse in terms of crime, public spending, and lost productivity; (2) policies that move addicts away from crack; and (3) policies that reduce the…

The Coast Artillery Journal. Volume 62, Number 1, January 1925

DTIC Science & Technology

1925-01-01

the United States was to playa subordinate part to Great Britain. Towards the close of the year 1823 both nations had lost interest in joint action...in Thrace, was out of the question for two reasons-the troops were there to help the Fleet pass the Dardanelles, not to playa lone hand, an? their lack...mind’s eye of the great battleships in action, he writes that Admiral de Robeck "is greatly relieved to hear that I have practically made up my mind

Occupational exposure to Mycobacterium tuberculosis. Legal issues in workers' compensation.

PubMed

Evenson, W

1999-08-01

Occupational exposure to TB remains a significant threat in select high risk occupations despite 5 years of declining disease incidence rates in the United States. TB kills more people on a global scale than any other infectious disease. One third of the global population is currently infected with TB. Workers' compensation insurance may be inadequate to cover lost wages and medical bills in cases of occupational exposure to TB if the source patient is unknown. There is a need to reform state laws for workers' compensation so TB infections in high risk employees are presumed to be work related unless a community exposure to the disease is identified.

Redefining the survival of the fittest: communication disorders in the 21st century.

PubMed

Ruben, R J

2000-02-01

To determine the economic effect on the US economy of the cost of caring for people with communication disorders as well as the cost of lost or degraded employment opportunities for people with such disorders, including disorders of hearing, voice, speech, and language. Survey of available historical and contemporary governmental and scholarly data concerning work force distribution and the epidemiology of disorders of hearing, voice, speech, and language. Analysis of epidemiological and economic data for industrialized countries, North America, and the United States. Communication disorders are estimated to have a prevalence of 5% to 10%. People with communication disorders may be more economically disadvantaged than those with less severe disabilities The data suggest that people with severe speech disabilities are more often found to be unemployed or in a lower economic class than people with hearing loss or other disabilities. Communication disorders may cost the United States from $154 billion to $186 billion per year, which is equal to 2.5% to 3% of the Gross National Product. Communication disorders reduce the economic output of the United States, whose economy has become dependent on communication-based employment. This trend will increase during the next century. The economic cost and the prevalence rates of communication disorders in the United States indicate that they will be a major public health challenge for the 21st century.

Years of potential life lost and productivity costs because of cancer mortality and for specific cancer sites where human papillomavirus may be a risk factor for carcinogenesis-United States, 2003.

PubMed

Ekwueme, Donatus U; Chesson, Harrell W; Zhang, Kevin B; Balamurugan, Appathurai

2008-11-15

Although years of potential life lost (YPLL) and mortality-related productivity costs comprise a substantial portion of the burden of cancers where human papillomavirus (HPV) may be a risk factor for carcinogenesis (called HPV-associated cancers in this report), estimates of these costs are limited. The authors estimated the mortality-related burden (in terms of YPLL and productivity costs) of HPV-associated cancers (without regard to the percentage of each of these cancers that could be attributed to HPV) and all malignant cancers in the United States in 2003. The authors used 2003 national mortality data and US life tables to estimate YPLL for HPV-associated cancers and all malignant cancers. YPLL was estimated by using the life expectancy method. The human capital approach was used to estimate the value of the expected future lifetime productivity losses caused by premature deaths from HPV-associated cancers and all malignant cancers. Indirect mortality costs were estimated as the product of the number of deaths and the expected value of individuals' future earnings, including an imputed value of housekeeping services. In 2003, HPV-associated cancers accounted for 181,026 YPLL, which represented 2.4% of the estimated 7.5 million YPLL attributable to all malignant cancers in the United States. The average number of YPLL was 21.8 per HPV-associated cancer death and 16.3 per death from overall malignant cancers. Overall, HPV-associated cancers had the largest relative contribution to YPLL in women ages 30 to 34 years. The lifetime productivity cost from mortality in 2003 was $3.7 billion for HPV-associated cancer mortality and $133.5 billion for overall malignant cancer mortality. HPV-associated cancers impose a considerable burden in terms of premature deaths and productivity losses.

The economic burden of skin disease in the United States.

PubMed

Dehkharghani, Seena; Bible, Jason; Chen, John G; Feldman, Steven R; Fleischer, Alan B

2003-04-01

Skin diseases and their complications are a significant burden on the nation, both in terms of acute and chronic morbidities and their related expenditures for care. Because accurately calculating the cost of skin disease has proven difficult in the past, we present here multiple comparative techniques allowing a more expanded approach to estimating the overall economic burden. Our aims were to (1) determine the economic burden of primary diseases falling within the realm of skin disease, as defined by modern clinical disease classification schemes and (2) identify the specific contribution of each component of costs to the overall expense. Costs were taken as the sum of several factors, divided into direct and indirect health care costs. The direct costs included inpatient hospital costs, ambulatory visit costs (further divided into physician's office visits, outpatient department visits, and emergency department visits), prescription drug costs, and self-care/over-the-counter drug costs. Indirect costs were calculated as the outlay of days of work lost because of skin diseases. The economic burden of skin disease in the United States is large, estimated at approximately $35.9 billion for 1997, including $19.8 billion (54%) in ambulatory care costs; $7.2 billion (20.2%) in hospital inpatient charges; $3.0 billion (8.2%) in prescription drug costs; $4.3 billion (11.7%) in over-the-counter preparations; and $1.6 billion (6.0%) in indirect costs attributable to lost workdays. Our determination of the economic burden of skin care in the United States surpasses past estimates several-fold, and the model presented for calculating cost of illness allows for tracking changes in national expenses for skin care in future studies. The amount of estimated resources devoted to skin disease management is far more than required to treat conditions such as urinary incontinence ($16 billion) and hypertension ($23 billion), but far less than required to treat musculoskeletal conditions ($193 billion).

Troubleshooting Costs

NASA Astrophysics Data System (ADS)

Kornacki, Jeffrey L.

Seventy-six million cases of foodborne disease occur each year in the United States alone. Medical and lost productivity costs of the most common pathogens are estimated to be 5.6-9.4 billion. Product recalls, whether from foodborne illness or spoilage, result in added costs to manufacturers in a variety of ways. These may include expenses associated with lawsuits from real or allegedly stricken individuals and lawsuits from shorted customers. Other costs include those associated with efforts involved in finding the source of the contamination and eliminating it and include time when lines are shut down and therefore non-productive, additional non-routine testing, consultant fees, time and personnel required to overhaul the entire food safety system, lost market share to competitors, and the cost associated with redesign of the factory and redesign or acquisition of more hygienic equipment. The cost associated with an effective quality assurance plan is well worth the effort to prevent the situations described.

Variable impact of late-Quaternary megafaunal extinction in causing ecological state shifts in North and South America

PubMed Central

Barnosky, Anthony D.; Lindsey, Emily L.; Villavicencio, Natalia A.; Bostelmann, Enrique; Hadly, Elizabeth A.; Wanket, James; Marshall, Charles R.

2016-01-01

Loss of megafauna, an aspect of defaunation, can precipitate many ecological changes over short time scales. We examine whether megafauna loss can also explain features of lasting ecological state shifts that occurred as the Pleistocene gave way to the Holocene. We compare ecological impacts of late-Quaternary megafauna extinction in five American regions: southwestern Patagonia, the Pampas, northeastern United States, northwestern United States, and Beringia. We find that major ecological state shifts were consistent with expectations of defaunation in North American sites but not in South American ones. The differential responses highlight two factors necessary for defaunation to trigger lasting ecological state shifts discernable in the fossil record: (i) lost megafauna need to have been effective ecosystem engineers, like proboscideans; and (ii) historical contingencies must have provided the ecosystem with plant species likely to respond to megafaunal loss. These findings help in identifying modern ecosystems that are most at risk for disappearing should current pressures on the ecosystems’ large animals continue and highlight the critical role of both individual species ecologies and ecosystem context in predicting the lasting impacts of defaunation currently underway. PMID:26504219

Variable impact of late-Quaternary megafaunal extinction in causing ecological state shifts in North and South America

NASA Astrophysics Data System (ADS)

Barnosky, Anthony D.; Lindsey, Emily L.; Villavicencio, Natalia A.; Bostelmann, Enrique; Hadly, Elizabeth A.; Wanket, James; Marshall, Charles R.

2016-01-01

Loss of megafauna, an aspect of defaunation, can precipitate many ecological changes over short time scales. We examine whether megafauna loss can also explain features of lasting ecological state shifts that occurred as the Pleistocene gave way to the Holocene. We compare ecological impacts of late-Quaternary megafauna extinction in five American regions: southwestern Patagonia, the Pampas, northeastern United States, northwestern United States, and Beringia. We find that major ecological state shifts were consistent with expectations of defaunation in North American sites but not in South American ones. The differential responses highlight two factors necessary for defaunation to trigger lasting ecological state shifts discernable in the fossil record: (i) lost megafauna need to have been effective ecosystem engineers, like proboscideans; and (ii) historical contingencies must have provided the ecosystem with plant species likely to respond to megafaunal loss. These findings help in identifying modern ecosystems that are most at risk for disappearing should current pressures on the ecosystems' large animals continue and highlight the critical role of both individual species ecologies and ecosystem context in predicting the lasting impacts of defaunation currently underway.

Fighting 'personhood' initiatives in the United States.

PubMed

Collins, Lee Rubin; Crockin, Susan L

2012-06-01

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

The Air Quality and Economic Impact of Atmospheric Lead from General Aviation Aircraft in the United States

NASA Astrophysics Data System (ADS)

Wolfe, P. J.; Selin, N. E.; Barrett, S. R. H.

2015-12-01

While leaded fuels for automobiles were phased-out of use in the United States by 1996, lead (Pb) continues to be used as an anti-knock additive for piston-driven aircraft. We model the annual concentration of atmospheric lead attributable to piston driven aircraft emissions in the continental United States using the Community Multi-scale Air Quality (CMAQ) model. Using aircraft emissions inventories for 2008, we then calculate annual economic damages from lead as lifetime employment losses for a one-year cohort exposed to elevated atmospheric lead concentrations using a range of concentration response functions from literature. Mean and median estimates of annual damages attributable to lifetime lost earnings are 1.06 and 0.60 billion respectively. Economy-wide impacts of IQ-deficits on productivity and labor increase expected damages by 54%. Damages are sensitive to background lead concentrations; as emissions decrease from other sources, the damages attributable to aviation are expected to increase holding aviation emissions constant. The monetary impact of General Aviation lead emissions on the environment is the same order of magnitude as noise, climate change, and air quality degradation from all commercial operations.

Causes of death and expected years of life lost among treated opioid-dependent individuals in the United States and Taiwan

PubMed Central

Chang, Kun-Chia; Wang, Jung-Der; Saxon, Andrew; Matthews, Abigail G.; Woody, George; Hser, Yih-Ing

2017-01-01

Aims This study compared the cause-specific standardized mortality ratios (SMRs) and expected years of life lost (EYLL) among opioid-dependent individuals in the United States and Taiwan. Methods Survival data came from two cohorts followed until 2014: The U.S. data were based on a randomized trial of 1,267 opioid-dependent participants enrolled between 2006 and 2009; the Taiwan data were from a study of 983 individuals that began in 2006, when opioid agonist treatment (OAT) was implemented in Taiwan. SMRs were calculated for each national cohort and compared. Kaplan-Meier estimation was performed on the survival data, then lifespans were extrapolated to 70 years (840 months) to estimate life expectancy using a semi-parametric method. EYLLs for both cohorts were estimated by subtracting their life expectancies from the age- and gender-matched referents within the general population of their respective country. Results Compared with age- and gender- matched referents, the SMRs were 3.2 for the U.S. sample and 7.8 for the Taiwan sample; the EYLLs were 7.7 and 16.4 years, respectively. Half of decedents died of unnatural causes in both cohorts; overdose deaths predominated in the U.S. and suicide in Taiwan. Conclusions Our study identified differences by country in EYLL and causes of deaths. These findings suggest that intervention strategies to reduce mortality risk by overdose (particularly in the U.S.) and suicide (particularly in Taiwan) are urgently needed in these countries. PMID:28160734

Sea-level rise and archaeological site destruction: An example from the southeastern United States using DINAA (Digital Index of North American Archaeology).

PubMed

Anderson, David G; Bissett, Thaddeus G; Yerka, Stephen J; Wells, Joshua J; Kansa, Eric C; Kansa, Sarah W; Myers, Kelsey Noack; DeMuth, R Carl; White, Devin A

2017-01-01

The impact of changing climate on terrestrial and underwater archaeological sites, historic buildings, and cultural landscapes can be examined through quantitatively-based analyses encompassing large data samples and broad geographic and temporal scales. The Digital Index of North American Archaeology (DINAA) is a multi-institutional collaboration that allows researchers online access to linked heritage data from multiple sources and data sets. The effects of sea-level rise and concomitant human population relocation is examined using a sample from nine states encompassing much of the Gulf and Atlantic coasts of the southeastern United States. A 1 m rise in sea-level will result in the loss of over >13,000 recorded historic and prehistoric archaeological sites, as well as over 1000 locations currently eligible for inclusion on the National Register of Historic Places (NRHP), encompassing archaeological sites, standing structures, and other cultural properties. These numbers increase substantially with each additional 1 m rise in sea level, with >32,000 archaeological sites and >2400 NRHP properties lost should a 5 m rise occur. Many more unrecorded archaeological and historic sites will also be lost as large areas of the landscape are flooded. The displacement of millions of people due to rising seas will cause additional impacts where these populations resettle. Sea level rise will thus result in the loss of much of the record of human habitation of the coastal margin in the Southeast within the next one to two centuries, and the numbers indicate the magnitude of the impact on the archaeological record globally. Construction of large linked data sets is essential to developing procedures for sampling, triage, and mitigation of these impacts.

Sea-level rise and archaeological site destruction: An example from the southeastern United States using DINAA (Digital Index of North American Archaeology)

PubMed Central

Wells, Joshua J.; Kansa, Eric C.; Kansa, Sarah W.; Myers, Kelsey Noack; DeMuth, R. Carl; White, Devin A.

2017-01-01

The impact of changing climate on terrestrial and underwater archaeological sites, historic buildings, and cultural landscapes can be examined through quantitatively-based analyses encompassing large data samples and broad geographic and temporal scales. The Digital Index of North American Archaeology (DINAA) is a multi-institutional collaboration that allows researchers online access to linked heritage data from multiple sources and data sets. The effects of sea-level rise and concomitant human population relocation is examined using a sample from nine states encompassing much of the Gulf and Atlantic coasts of the southeastern United States. A 1 m rise in sea-level will result in the loss of over >13,000 recorded historic and prehistoric archaeological sites, as well as over 1000 locations currently eligible for inclusion on the National Register of Historic Places (NRHP), encompassing archaeological sites, standing structures, and other cultural properties. These numbers increase substantially with each additional 1 m rise in sea level, with >32,000 archaeological sites and >2400 NRHP properties lost should a 5 m rise occur. Many more unrecorded archaeological and historic sites will also be lost as large areas of the landscape are flooded. The displacement of millions of people due to rising seas will cause additional impacts where these populations resettle. Sea level rise will thus result in the loss of much of the record of human habitation of the coastal margin in the Southeast within the next one to two centuries, and the numbers indicate the magnitude of the impact on the archaeological record globally. Construction of large linked data sets is essential to developing procedures for sampling, triage, and mitigation of these impacts. PMID:29186200

The Contributions of Selected Diseases to Disparities in Death Rates and Years of Life Lost for Racial/Ethnic Minorities in the United States, 1999–2010

PubMed Central

Peace, Frederick; Howard, Virginia J.

2014-01-01

Introduction Differences in risk for death from diseases and other causes among racial/ethnic groups likely contributed to the limited improvement in the state of health in the United States in the last few decades. The objective of this study was to identify causes of death that are the largest contributors to health disparities among racial/ethnic groups. Methods Using data from WONDER system, we measured the relative (age-adjusted mortality ratio [AAMR]) and absolute (difference in years of life lost [dYLL]) differences in mortality risk between the non-Hispanic white population and the black, Hispanic, American Indian/Alaska Native, and Asian/Pacific Islander populations for the 25 leading causes of death. Results Many causes contributed to disparities between non-Hispanic whites and blacks, led by assault (AAMR, 7.56; dYLL, 4.5 million). Malignant neoplasms were the second largest absolute contributor (dYLL, 3.8 million) to black–white disparities; we also found substantial relative and absolute differences for several cardiovascular diseases. Only assault, diabetes, and diseases of the liver contributed substantially to disparities between non-Hispanic whites and Hispanics (AAMR ≥ 1.65; dYLL ≥ 325,000). Many causes of death, led by assault (AAMR, 3.25; dYLL, 98,000), contributed to disparities between non-Hispanic whites and American Indians/Alaska Natives; Asian/Pacific Islanders did not have a higher risk than non-Hispanic whites for death from any disease. Conclusion Assault was a substantial contributor to disparities in mortality among non-Asian racial/ethnic minority populations. Research and intervention resources need to target diseases (such as diabetes and diseases of the liver) that affect certain racial/ethnic populations. PMID:25078566

The Feasibility of the Use of E-Books for Replacing Lost or Brittle Books in the Kent State University Library.

ERIC Educational Resources Information Center

Lareau, Susan

This study examined the feasibility of ordering an e-book (electronic book) to replace a lost or brittle book in the Kent State University (Ohio) library. The study checked a representative sample of 234 books lost during July to December 2000 to see the availability of the book in e-form, as well as the cost of the print versus the e-book…

The Burden of Cardiovascular Diseases Among US States, 1990-2016.

PubMed

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.

United States-Vietnam Relations 1945-1967, Study Prepared by the Department of Defense, Book 10 of 12

DTIC Science & Technology

1971-01-01

may be the only sound solution ." Collins . . * • (Saigon) 2250 to Dulles, 13 December 195^ 8l1 -226. The Defense Department reviews the...continued support of Diem in spite of a "Bao Dai solution ." The fear that $300 million plus our national prestige would be lost in a gamble" is a...basic disagreement. ’ The French conclude:. "Diem is a bad choice...without him some solution might be possible but with him there is none...What

Climate Change and Air Pollution-Related Health Impacts in the United States: Assessment of Current Findings

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.

77 FR 65417 - Compliance With Information Request, Flooding Hazard Reevaluation

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-26

... operating units, however, the first large tsunami wave inundated the site, followed by additional waves. The... units. Unit 6 retained the function of one air-cooled EDG; Despite their actions, the operators lost the...

New analysis reexamines the value of cancer care in the United States compared to Western Europe.

PubMed

Soneji, Samir; Yang, JaeWon

2015-03-01

Despite sharp increases in spending on cancer treatment since 1970 in the United States compared to Western Europe, US cancer mortality rates have decreased only modestly. This has raised questions about the additional value of US cancer care derived from this additional spending. We calculated the number of US cancer deaths averted, compared to the situation in Western Europe, between 1982 and 2010 for twelve cancer types. We also assessed the value of US cancer care, compared to that in Western Europe, by estimating the ratio of additional spending on cancer to the number of quality-adjusted life-years saved. Compared to Western Europe, for three of the four costliest US cancers-breast, colorectal, and prostate-there were approximately 67,000, 265,000, and 60,000 averted US deaths, respectively, and for lung cancer there were roughly 1,120,000 excess deaths in the study period. The ratio of incremental cost to quality-adjusted life-years saved equaled $402,000 for breast cancer, $110,000 for colorectal cancer, and $1,979,000 for prostate cancer-amounts that exceed most accepted thresholds for cost-effective medical care. The United States lost quality-adjusted life-years despite additional spending for lung cancer: -$19,000 per quality-adjusted life-year saved. Our results suggest that cancer care in the United States may provide less value than corresponding cancer care in Western Europe for many leading cancers. Project HOPE—The People-to-People Health Foundation, Inc.

Fatal fall into a volcanic fumarole.

PubMed

Cantrell, Lee; Young, Michael

2009-01-01

Fatalities secondary to inhalation of volcanic gases in the United States have rarely been reported. We report the deaths of 3 ski patrol members at a popular California ski resort. After a snowstorm, ski patrol members were fencing off a well-known volcanic fumarole when the snow around the vent collapsed. Two members slid into the deep hole and rapidly lost consciousness. A third member carrying oxygen descended into the hole and also lost consciousness. A fourth member affixed an oxygen mask, but still lost consciousness upon descent. The 3 initial victims expired at the scene, while the fourth victim survived. Autopsy results for all 3 were consistent with a suffocation/asphyxiation death. In the case described, the involved fumarole is a well-known source of toxic gases. Atmospheric sampling data dating back decades demonstrate that carbon dioxide levels typically range from 97% to 99%, nitrogen gas from 1% to 3%, and hydrogen sulfide from .004% to .07%. Other gases in smaller concentrations include oxygen, hydrogen, and carbon monoxide. Given the rapidity with which our victims lost consciousness and the historical data available on the Mammoth Mountain Fumarole (MMF), it is plausible that our patients suffered from acute asphyxiation, although the contribution of the directly toxic effects of the gases involved cannot be ruled out. During winter months, snow can build up and disguise volcanic vents and potentially trap toxic fumes to form dangerous, gas-filled pits. Recognition of such potential hazards is essential when working in or venturing into volcanically active areas during the winter.

Measuring mining safety with injury statistics: lost workdays as indicators of risk.

PubMed

Coleman, Patrick J; Kerkering, John C

2007-01-01

Mining in the United States remains one of the most hazardous industries, despite significant reductions in fatal injury rates over the last century. Coal mine fatality rates, for example, have dropped almost a thousand-fold since their peak in 1908. While incidence rates are very important indicators, lost worktime measures offer an alternative metric for evaluating job safety and health performance. The first objective of this study examined the distributions and summary statistics of all injuries reported to the Mine Safety and Health Administration from 1983 through 2004. Over the period studied (1983-2004), there were 31,515,368 lost workdays associated with mining injuries, for an equivalent of 5,700 person-years lost annually. The second objective addressed the problem of comparing safety program performance in mines for situations where denominator data were lacking. By examining the consequences of injuries, comparisons can be made between disparate operations without the need for denominators. Total risk in the form of lost workday sums can help to distinguish between lower- and higher-risk operations or time periods. Our method was to use a beta distribution to model the losses and to compare underground coal mining to underground metal/nonmetal mining from 2000 to 2004. Our results showed the probability of an injury having 10 or more lost workdays was 0.52 for coal mine cases versus 0.35 for metal/nonmetal mine cases. In addition, a comparison of injuries involving continuous mining machines over 2001-2002 versus 2003-2004 showed that the ratio of average losses in the later period to those in the earlier period was approximately 1.08, suggesting increasing risks for such operations. This denominator-free safety measure will help the mining industry more effectively identify higher-risk operations and more realistically evaluate their safety improvement programs. Attention to a variety of metrics concerning the performance of a job safety and health program will enhance industry's ability to manage these programs and reduce risk.

The Association between Insomnia Severity and Healthcare and Productivity Costs in a Health Plan Sample

PubMed Central

Sarsour, Khaled; Kalsekar, Anupama; Swindle, Ralph; Foley, Kathleen; Walsh, James K.

2011-01-01

Study Objectives: Insomnia is a chronic condition with significant burden on health care and productivity costs. Despite this recognized burden, very few studies have examined associations between insomnia severity and healthcare and productivity costs. Design: A retrospective study linking health claims data with a telephone survey of members of a health plan in the Midwestern region of the United States. Participants: The total healthcare costs study sample consisted of 2086 health plan members who completed the survey and who had complete health claims data. The productivity costs sample consisted of 1329 health plan members who worked for pay—a subset of the total healthcare costs sample. Measurements: Subjects' age, gender, demographic variables, comorbidities, and total health care costs were ascertained using health claims. Insomnia severity and lost productivity related variables were assessed using telephone interview. Results: Compared with the no insomnia group, mean total healthcare costs were 75% larger in the group with moderate and severe insomnia ($1323 vs. $757, P < 0.05). Compared with the no insomnia group, mean lost productivity costs were 72% larger in the moderate and severe insomnia group ($1739 vs. $1013, P < 0.001). Chronic medical comorbidities and psychiatric comorbidities were positively associated with health care cost. In contrast, psychiatric comorbidities were associated with lost productivity; while, medical comorbidities were not associated with lost productivity. Conclusions: Health care and lost productivity costs were consistently found to be greater in moderate and severe insomniacs compared with non-insomniacs. Factors associated with lost productivity and health care costs may be fundamentally different and may require different kinds of interventions. Future studies should focus on better understanding mechanisms linking insomnia to healthcare and productivity costs and to understanding whether developing targeted interventions will reduce these costs. Citation: Sarsour K; Kalsekar A; Swindle R; Foley K; Walsh JK. The association between insomnia severity and healthcare and productivity costs in a health plan sample. SLEEP 2011;34(4):443-450. PMID:21461322

Risk Factors Associated with Children Lost to Care in a State Early Childhood Intervention Program

ERIC Educational Resources Information Center

Giannoni, Peggy P.; Kass, Philip H.

2010-01-01

A retrospective cohort study was conducted to identify risk factors associated with children lost to care, and their families, compared to those not lost to care within the California Early Start Program. The cohort included data on 8987 children enrolled in the Early Start Program in 1998. This cohort consisted of 2443 children lost to care, 6363…

Evolutionary consequences of habitat loss for Pacific anadromous salmonids

PubMed Central

McClure, Michelle M; Carlson, Stephanie M; Beechie, Timothy J; Pess, George R; Jorgensen, Jeffrey C; Sogard, Susan M; Sultan, Sonia E; Holzer, Damon M; Travis, Joseph; Sanderson, Beth L; Power, Mary E; Carmichael, Richard W

2008-01-01

Large portions of anadromous salmonid habitat in the western United States has been lost because of dams and other blockages. This loss has the potential to affect salmonid evolution through natural selection if the loss is biased, affecting certain types of habitat differentially, and if phenotypic traits correlated with those habitat types are heritable. Habitat loss can also affect salmonid evolution indirectly, by reducing genetic variation and changing its distribution within and among populations. In this paper, we compare the characteristics of lost habitats with currently accessible habitats and review the heritability of traits which show correlations with habitat/environmental gradients. We find that although there is some regional variation, inaccessible habitats tend to be higher in elevation, wetter and both warmer in the summer and colder in the winter than habitats currently available to anadromous salmonids. We present several case studies that demonstrate either a change in phenotypic or life history expression or an apparent reduction in genetic variation associated with habitat blockages. These results suggest that loss of habitat will alter evolutionary trajectories in salmonid populations and Evolutionarily Significant Units. Changes in both selective regime and standing genetic diversity might affect the ability of these taxa to respond to subsequent environmental perturbations. Both natural and anthropogenic and should be considered seriously in developing management and conservation strategies. PMID:25567633

United States and environmental security: Deforestation and conflict in southeast Asia. Master's thesis

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

Greenwald, P.T.

In the post Cold War era, the East-West conflict may be succeeded by a new confrontation which pits an industrialized North against a developing South. In June 1992, world attention was fixed on the Earth Summit in Rio de Janeiro. This event marked a milestone in global environmental awareness; but just as the end of the Cold War has provided new opportunities for the US, the world is now faced with new sources of conflict which have advanced to the forefront of the national security debate. Among the new sources of conflict, environmental problems are rapidly becoming preeminent. Within nationalmore » security debates, those environmental problems which respect no international boundary are of particular concern. Worldwide deforestation, and the related issues of global warming and the loss of biodiversity, represent a clear threat to national security. Two percent of the Earth's rainforests are lost each year; one 'football field' is lost each second. Deforestation has already led to conflict and instability within several regions of the world including Southeast Asia. The United States must recognize the character and dynamics of these new sources of conflict in order to successfully realize its policy aims in national security. The US should preempt conflict through cooperation and develop a shared concern for the environment throughout the world. The US military may play a key role in this effort. Rainforest, Deforestation, Tropical timber, Logging, Southeast Asia, Philippines, Malaysia, Indonesia, Thailand, Burma, Laos, Japan Cambodia, Vietnam, Human rights, Plywood, Pulp, Paper, World Bank, U.S. Agency for International Development.« less

Causes of death and expected years of life lost among treated opioid-dependent individuals in the United States and Taiwan.

PubMed

Chang, Kun-Chia; Wang, Jung-Der; Saxon, Andrew; Matthews, Abigail G; Woody, George; Hser, Yih-Ing

2017-05-01

This study compared the cause-specific standardized mortality ratios (SMRs) and expected years of life lost (EYLL) among opioid-dependent individuals in the United States and Taiwan. Survival data came from two cohorts followed until 2014: The U.S. data were based on a randomized trial of 1267 opioid-dependent participants enrolled between 2006 and 2009; the Taiwan data were from a study of 983 individuals that began in 2006, when opioid agonist treatment (OAT) was implemented in Taiwan. SMRs were calculated for each national cohort and compared. Kaplan-Meier estimation was performed on the survival data, then lifespans were extrapolated to 70 years (840 months) to estimate life expectancy using a semi-parametric method. EYLLs for both cohorts were estimated by subtracting their life expectancies from the age- and gender-matched referents within the general population of their respective country. Compared with age- and gender-matched referents, the SMRs were 3.2 for the U.S. sample and 7.8 for the Taiwan sample; the EYLLs were 7.7 and 16.4 years, respectively. Half of decedents died of unnatural causes in both cohorts; overdose deaths predominated in the U.S. and suicide in Taiwan. Our study identified differences by country in EYLL and causes of deaths. These findings suggest that intervention strategies to reduce mortality risk by overdose (particularly in the U.S.) and suicide (particularly in Taiwan) are urgently needed in these countries. Copyright © 2016 Elsevier B.V. All rights reserved.

Factors Influencing American Plastic Surgery Residents Toward an Academic Career.

PubMed

Chetta, Matthew D; Sugg, Kristoffer B; Diaz-Garcia, Rafael J; Kasten, Steven J

2018-02-01

Plastic surgery residency program directors have an interest in recruiting applicants who show an interest in an academic practice. Medical school achievements (ie, United States Medical Licensing Examination® scores, publications, and Alpha Omega Alpha status) are metrics assessed to grade applicants but may not correlate with ultimately choosing an academic career. This study was designed to investigate factors influencing residents' choices for or against academic careers. A 25-item online questionnaire was designed to measure baseline interest in academic plastic surgery and factors that influence decisions to continue on or abandon that career path. This questionnaire was disseminated to the integrated/combined plastic surgery residents during the 2013 to 2014 academic year. One hundred twenty-five respondents indicated that they were currently interested in pursuing academic practice (n = 78) or had lost interest in academic practice (n = 47). Among all respondents, 92.8% (n = 116) stated they were interested in academic careers at the time of residency application, but one-third (n = 41) subsequently lost interest. Those residents who retained interest in academic careers indicated resident/medical student educational opportunities (57%) and complexity of patients (52%) as reasons. Those who lost interest cited a lack of autonomy (43%), publishing requirements (32%), and income discrepancy (26%) as reasons. Many residents report losing interest in academics during residency. Traditional metrics valued in the recruitment process may not serve as positive predictors of an academic career path. Reasons why residents lose interest are not easily correctable, but mentorship, adequate career counseling, and research opportunities during training remain factors that can be addressed across all residency programs.

CDC Grand Rounds: a public health approach to prevention of intimate partner violence.

PubMed

Spivak, Howard R; Jenkins, Lynn; VanAudenhove, Kristi; Lee, Debbie; Kelly, Mim; Iskander, John

2014-01-17

Intimate partner violence (IPV) is a serious, and preventable, public health problem in the United States. IPV can involve physical and sexual violence, threats of physical or sexual violence, and psychological abuse, including stalking. It can occur within opposite-sex or same-sex couples and can range from one incident to an ongoing pattern of violence. On average, 24 persons per minute are victims of rape, physical violence, or stalking by an intimate partner in the United States. These numbers underestimate the problem because many victims do not report IPV to police, friends, or families. In 2010, IPV contributed to 1,295 deaths, accounting for 10% of all homicides for that year. The combined medical, mental health, and lost productivity costs of IPV against women are estimated to exceed $8.3 billion per year. In addition to the economic burden of IPV, victims are more likely to experience adverse health outcomes, such as depression, anxiety, posttraumatic stress disorder symptoms, suicidal behavior, sexually transmitted infections, and unintended pregnancy.

Paradigm lost: race, ethnicity, and the search for a new population taxonomy.

PubMed

Oppenheimer, G M

2001-07-01

The Institute of Medicine (IOM) recently recommended that the National Institutes of Health (NIH) reevaluate its employment of "race," a concept lacking scientific or anthropological justification, in cancer surveillance and other population research. The IOM advised the NIH to use a different population classification, that of "ethnic group," instead of "race." A relatively new term, according to the IOM, "ethnic group" would turn research attention away from biological determinism and toward a focus on culture and behavior. This article examines the historically central role of racial categorization and its relationship to racism in the United States and questions whether dropping "race" from population taxonomies is either possible or, at least in the short run, preferable. In addition, a historical examination of "ethnicity" and "ethnic group" finds that these concepts, as used in the United States, derive in part from race and immigration and are not neutral terms; instead, they carry their own burden of political, social, and ideological meaning.

Colds and influenza: a review of diagnosis and conventional, botanical, and nutritional considerations.

PubMed

Roxas, Mario; Jurenka, Julie

2007-03-01

The common cold is the leading cause of doctor visits in the United States and annually results in 189 million lost school days. In the course of one year the U.S. population contracts approximately 1 billion colds. Influenza infection is still a leading cause of morbidity and mortality, accounting for 20-25 million doctor visits and 36,000 deaths per year in the United States. Conventional therapies for colds and flu focus primarily on temporary symptom relief and include over-the-counter antipyretics, anti-inflammatories, and decongestants. Treatment for influenza also includes prescription antiviral agents and vaccines for prevention. This article reviews the common cold and influenza viruses, presents the conventional treatment options, and highlights select botanicals (Echinacea spp., Sambucus nigra, larch arabinogalactan, Astragalus membranaceous, Baptisia tinctoria, Allium sativa, Panax quinquefolium, Eleutherococcus senticosus, Andrographis paniculata, olive leaf extract, and Isatis tinctoria) and nutritional considerations (vitamins A and C, zinc, high lactoferrin whey protein, N-acetylcysteine, and DHEA) that may help in the prevention and treatment of these conditions.

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

PubMed Central

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

2016-01-01

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

Addressing Global Warming, Air Pollution, Energy Security, and Jobs with Roadmaps for Changing the All-Purpose Energy Infrastructure of the 50 United States

NASA Astrophysics Data System (ADS)

Jacobson, M. Z.

2014-12-01

Global warming, air pollution, and energy insecurity are three of the most significant problems facing the world today. This talk discusses the development of technical and economic plans to convert the energy infrastructure of each of the 50 United States to those powered by 100% wind, water, and sunlight (WWS) for all purposes, namely electricity, transportation, industry, and heating/cooling, after energy efficiency measures have been accounted for. The plans call for all new energy to be WWS by 2020, ~80% conversion of existing energy by 2030, and 100% by 2050 through aggressive policy measures and natural transition. Resource availability, footprint and spacing areas required, jobs created versus lost, energy costs, avoided costs from air pollution mortality and morbidity and climate damage, and methods of ensuring reliability of the grid are discussed. Please see http://web.stanford.edu/group/efmh/jacobson/Articles/I/WWS-50-USState-plans.html

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

PubMed

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

2015-11-01

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

The determination of effective injury controls for metal-cutting lathe operators.

PubMed

Etherton, J R; Trump, T R; Jensen, R C

1981-01-01

Operators of metal-working lathes are one of the largest manufacturing machine worker populations in the United States. Machines (other than vehicular) account for over 10% of occupational injuries each year. An estimated 3,400 operators of metal-working lathes suffer lost-time injuries annually in the United States. Some of these are fatal. Therefore an investigation was undertaken to determine methods for reducing injuries to lathe operators. Three methods were used: (i) review of injury reports, (ii) human factors analysis, and (iii) fault-tree procedures. The investigation followed the man-machine systems approach of looking for injury-producing dysfunctions between the lathe and the lathe operator. The major sources of injury were found to be chips and workholding devices. Secondary tasks were found to be more hazardous than is generally recognized. The use of three methods for approaching the problem was found to be useful in that injury controls were identified which are likely to be adopted because of their potential for improving safety without adversely affecting productivity.

Paradigm lost: race, ethnicity, and the search for a new population taxonomy.

PubMed Central

Oppenheimer, G M

2001-01-01

The Institute of Medicine (IOM) recently recommended that the National Institutes of Health (NIH) reevaluate its employment of "race," a concept lacking scientific or anthropological justification, in cancer surveillance and other population research. The IOM advised the NIH to use a different population classification, that of "ethnic group," instead of "race." A relatively new term, according to the IOM, "ethnic group" would turn research attention away from biological determinism and toward a focus on culture and behavior. This article examines the historically central role of racial categorization and its relationship to racism in the United States and questions whether dropping "race" from population taxonomies is either possible or, at least in the short run, preferable. In addition, a historical examination of "ethnicity" and "ethnic group" finds that these concepts, as used in the United States, derive in part from race and immigration and are not neutral terms; instead, they carry their own burden of political, social, and ideological meaning. PMID:11441730

The personal and national costs of mental health conditions: impacts on income, taxes, government support payments due to lost labour force participation

PubMed Central

2011-01-01

Background Mental health conditions have the ability to interrupt an individual's ability to participate in the labour force, and this can have considerable follow on impacts to both the individual and the state. Method Cross-sectional analysis of the base population of Health&WealthMOD, a microsimulation model built on data from the Australian Bureau of Statistics' Survey of Disability, Ageing and Carers and STINMOD, an income and savings microsimulation model was used to quantify the personal cost of lost income and the cost to the state from lost income taxation, increased benefits payments and lost GDP as a result of early retirement due to mental health conditions in Australians aged 45-64 in 2009. Results Individuals aged 45 to 64 years who have retired early due to depression personally have 73% lower income then their full time employed counterparts and those retired early due to other mental health conditions have 78% lower incomes. The national aggregate cost to government due to early retirement from these conditions equated to $278 million (£152.9 million) in lost income taxation revenue, $407 million (£223.9 million) in additional transfer payments and around $1.7 billion in GDP in 2009 alone. Conclusions The costs of mental health conditions to the individuals and the state are considerable. While individuals has to bear the economic costs of lost income in addition to the burden of the conditions itself, the impact on the state is loss of productivity from reduced workforce participation, lost income taxation revenue, and increased government support payments - in addition to direct health care costs. PMID:21526993

The price of incivility.

PubMed

Porath, Christine; Pearson, Christine

2013-01-01

We've all heard of (or experienced) the "boss from hell." But that's just one form that incivility in the workplace can take. Rudeness on the job is surprisingly common, and it's on the rise. Whether it involves overt bullying or subtle acts of thoughtlessness, incivility takes a toll. It erodes productivity, chips away at morale, leads employees to quit, and damages customer relationships. Dealing with its aftermath can soak up weeks of managerial attention and time. Over the past 14 years the authors have conducted interviews with and collected data from more than 14,000 people throughout the United States and Canada in order to track the prevalence, types, causes, costs, and cures of incivility at work. They suggest several steps leaders can take to counter rudeness. Managers should start with themselves-monitoring their own behavior, asking for feedback on it, and making sure that their actions are a model for others. When it comes to managing the organization, leaders should hire with civility in mind, teach it on the job, create group norms, reward good behavior, and penalize bad behavior. Lest consistent civility seem an extravagance, the authors caution that just one habitually offensive employee critically positioned in an organization can cost millions in Lost employees, lost customers, and lost productivity.

Modeling The Economic And Health Impact Of Increasing Children’s Physical Activity In The United States

PubMed Central

Lee, Bruce Y.; Adam, Atif; Zenkov, Eli; Hertenstein, Daniel; Ferguson, Marie C.; Wang, Peggy I.; Wong, Michelle S.; Wedlock, Patrick; Nyathi, Sindiso; Gittelsohn, Joel; Falah-Fini, Saeideh; Bartsch, Sarah M.; Cheskin, Lawrence J.; Brown, Shawn T.

2017-01-01

Increasing physical activity among children is a potentially important public health intervention. Quantifying the economic and health effects of the intervention would help decision makers understand its impact and priority. Using a computational simulation model that we developed to represent all US children ages 8–11 years, we estimated that maintaining the current physical activity levels (only 31.9 percent of children get twenty-five minutes of high-calorie-burning physical activity three times a week) would result each year in a net present value of $1.1 trillion in direct medical costs and $1.7 trillion in lost productivity over the course of their lifetimes. If 50 percent of children would exercise, the number of obese and overweight youth would decrease by 4.18 percent, averting $8.1 billion in direct medical costs and $13.8 billion in lost productivity. Increasing the proportion of children who exercised to 75 percent would avert $16.6 billion and $23.6 billion, respectively. PMID:28461358

Paradise Lost: Introducing Students to Climate Change through Story

ERIC Educational Resources Information Center

Bennon, Brady

2013-01-01

"This country has been the basis of my being. And when it's no longer there, you know, it's unthinkable." Ueantabo Mackenzie's haunting words in the PBS NOW documentary "Paradise Lost" shook the author. He knew he wanted to teach a unit on global warming, especially after participating in the Portland-area Rethinking Schools…

Working at the Weekend: Fathers' Time with Family in the United Kingdom.

PubMed

Hook, Jennifer L

2012-08-01

Whereas most resident fathers are able to spend more time with their children on weekends than on weekdays, many fathers work on the weekends spending less time with their children on these days. There are conflicting findings about whether fathers are able to make up for lost weekend time on weekdays. Using unique features of the United Kingdom's National Survey of Time Use 2000 (UKTUS) I examine the impact of fathers' weekend work on the time fathers spend with their children, family, and partners (N = 595 fathers). I find that weekend work is common among fathers and is associated with less time with children, families, and partners. Fathers do not recover lost time with children on weekdays, largely because weekend work is a symptom of overwork. Findings also reveal that even if fathers had compensatory time, they are unlikely to recover lost time spent as a family or couple.

Working at the Weekend: Fathers’ Time with Family in the United Kingdom

PubMed Central

Hook, Jennifer L.

2012-01-01

Whereas most resident fathers are able to spend more time with their children on weekends than on weekdays, many fathers work on the weekends spending less time with their children on these days. There are conflicting findings about whether fathers are able to make up for lost weekend time on weekdays. Using unique features of the United Kingdom’s National Survey of Time Use 2000 (UKTUS) I examine the impact of fathers’ weekend work on the time fathers spend with their children, family, and partners (N = 595 fathers). I find that weekend work is common among fathers and is associated with less time with children, families, and partners. Fathers do not recover lost time with children on weekdays, largely because weekend work is a symptom of overwork. Findings also reveal that even if fathers had compensatory time, they are unlikely to recover lost time spent as a family or couple. PMID:22844157

The association between employee obesity and employer costs: evidence from a panel of U.S. employers.

PubMed

Van Nuys, Karen; Globe, Denise; Ng-Mak, Daisy; Cheung, Hoiwan; Sullivan, Jeff; Goldman, Dana

2014-01-01

To estimate the employer costs associated with employee obesity. The study used cross-sectional analysis of employee health-risk assessment, disability, workers' compensation, and medical claims data from 2006 to 2008. The study took place in the United States from 2006 to 2008. A panel database with 29,699 employees drawn from a panel of employers and observed for 3 years each (N = 89,097) was used. Workdays lost owing to illness and disability; the cost of medical, short-term disability, and workers' compensation claims; and employees' adjusted body mass indices (BMI) were measured. We model the number and probability of workdays lost from illness, short-term disability, and workers' compensation events; short-term disability and workers' compensation payments; and health care spending as a function of BMI. We estimate spline regression models and fit results using a third-degree fractional polynomial. Probability of disability, workers' compensation claims, and number of days missed owing to any cause increase with BMI above 25, as do total employer costs. The probability of a short-term disability claim increases faster for employees with hypertension, hyperlipidemia, or diabetes. Normal weight employees cost on average $3830 per year in covered medical, sick day, short-term disability, and workers' compensation claims combined; morbidly obese employees cost more than twice that amount, or $8067, in 2011 dollars. Obesity is associated with large employer costs from direct health care and insurance claims and indirect costs from lost productivity owing to workdays lost because of illness and disability.

Medical Countermeasure Models. Volume 4. Francisella tularensis

DTIC Science & Technology

2013-04-12

34 Medicine. 64(4). 1985. 187 Flax, L. " TYPHOIDAL TULAREMIA." Maryland state medical journal. 12(601). 1963. 188 Ford-Jones Let al."" Muskrat fever ...Work Lost A-37 Period of Fever A-37 Work Lost in an Individual Who Recovers A-38 Medical Countermeasure Models Volume 4: Francisella...symptom onset, period of fever , day of death, days of work lost due to MCM adverse effects, days of work lost due to illness, day of relapse, and

8. Historic photo taken during construction of the Lost River ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. Historic photo taken during construction of the Lost River Diversion Dam and House. Labeled as follows, 'View showing walk construction North side. Group in foreground, left to right: - J.M. McLean, I.S. Voorhees, Asst Eng'r, A.B. Clevland, engineer... W.W. Patch, Project Engineer.' Negative # 95. Facing east. - Klamath Basin Project, Lost River Diversion Dam House, Lost River near intersection of State Highway 140 & Hill Road, Klamath Falls, Klamath County, OR

76 FR 13443 - 30-Day Notice of Proposed Information Collection: Form DS-0064, Statement Regarding a Lost or...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-11

... DS-0064, Statement Regarding a Lost or Stolen Passport, 1405-0014 ACTION: Notice of request for... Collection: Statement Regarding a Lost or Stolen Passport. OMB Control Number: 1405-0014. Type of Request... supporting documents from Passport Forms Management Officer, U.S. Department of State, Office of Program...

Retrieving the lost fermionic entanglement by partial measurement in noninertial frames

NASA Astrophysics Data System (ADS)

Xiao, Xing; Xie, Ying-Mao; Yao, Yao; Li, Yan-Ling; Wang, Jieci

2018-03-01

The initial entanglement shared between inertial and accelerated observers degrades due to the influence of the Unruh effect. Here, we show that the Unruh effect can be completely eliminated by the technique of partial measurement. The lost entanglement could be entirely retrieved or even amplified, which is dependent on whether the optimal strength of reversed measurement is state-independent or state-dependent. Our work provides a novel and unexpected method to recover the lost entanglement under Unruh decoherence and exhibits the ability of partial measurement as an important technique in relativistic quantum information.

Managing Lost and Missing Books

ERIC Educational Resources Information Center

Sewell, Bethany Badgett; Miller, Andrew Jonathan

2008-01-01

The University of Denver's Penrose Library's Stacks Maintenance unit is a separately managed unit that works in collaboration with all library departments to ensure complete access to the library's print collections. This unit takes advantage of a variety of techniques and tools to fulfill its mission, including a fine-tuned tracer system for…

State-Level Estimates of Cancer-Related Absenteeism Costs

PubMed Central

Tangka, Florence K.; Trogdon, Justin G.; Nwaise, Isaac; Ekwueme, Donatus U.; Guy, Gery P.; Orenstein, Diane

2016-01-01

Background Cancer is one of the top five most costly diseases in the United States and leads to substantial work loss. Nevertheless, limited state-level estimates of cancer absenteeism costs have been published. Methods In analyses of data from the 2004–2008 Medical Expenditure Panel Survey, the 2004 National Nursing Home Survey, the U.S. Census Bureau for 2008, and the 2009 Current Population Survey, we used regression modeling to estimate annual state-level absenteeism costs attributable to cancer from 2004 to 2008. Results We estimated that the state-level median number of days of absenteeism per year among employed cancer patients was 6.1 days and that annual state-level cancer absenteeism costs ranged from $14.9 million to $915.9 million (median = $115.9 million) across states in 2010 dollars. Absenteeism costs are approximately 6.5% of the costs of premature cancer mortality. Conclusions The results from this study suggest that lost productivity attributable to cancer is a substantial cost to employees and employers and contributes to estimates of the overall impact of cancer in a state population. PMID:23969498

State-level estimates of cancer-related absenteeism costs.

PubMed

Tangka, Florence K; Trogdon, Justin G; Nwaise, Isaac; Ekwueme, Donatus U; Guy, Gery P; Orenstein, Diane

2013-09-01

Cancer is one of the top five most costly diseases in the United States and leads to substantial work loss. Nevertheless, limited state-level estimates of cancer absenteeism costs have been published. In analyses of data from the 2004-2008 Medical Expenditure Panel Survey, the 2004 National Nursing Home Survey, the U.S. Census Bureau for 2008, and the 2009 Current Population Survey, we used regression modeling to estimate annual state-level absenteeism costs attributable to cancer from 2004 to 2008. We estimated that the state-level median number of days of absenteeism per year among employed cancer patients was 6.1 days and that annual state-level cancer absenteeism costs ranged from $14.9 million to $915.9 million (median = $115.9 million) across states in 2010 dollars. Absenteeism costs are approximately 6.5% of the costs of premature cancer mortality. The results from this study suggest that lost productivity attributable to cancer is a substantial cost to employees and employers and contributes to estimates of the overall impact of cancer in a state population.

Mapping Evapotranspiration Units in the Basin and Range Carbonate-Rock Aquifer System, White Pine County, Nevada, and Adjacent Areas in Nevada and Utah

USGS Publications Warehouse

Smith, J. LaRue; Laczniak, Randell J.; Moreo, Michael T.; Welborn, Toby L.

2007-01-01

Accurate estimates of ground-water discharge are crucial in the development of a water budget for the Basin and Range carbonate-rock aquifer system study area. One common method used throughout the southwestern United States is to estimate ground-water discharge from evapotranspiration (ET). ET is a process by which water from the Earth's surface is transferred to the atmosphere. The volume of water lost to the atmosphere by ET can be computed as the product of the ET rate and the acreage of vegetation, open water, and moist soil through which ET occurs. The procedure used in the study groups areas of similar vegetation, water, and soil conditions into different ET units, assigns an average annual ET rate to each unit, and computes annual ET from each ET unit within the outer extent of potential areas of ground-water discharge. Data sets and the procedures used to delineate the ET-unit map used to estimate ground-water discharge from the study area and a qualitative assessment of the accuracy of the map are described in this report.

Systematic review: an evaluation of major commercial weight loss programs in the United States.

PubMed

Tsai, Adam Gilden; Wadden, Thomas A

2005-01-04

Each year millions of Americans enroll in commercial and self-help weight loss programs. Health care providers and their obese patients know little about these programs because of the absence of systematic reviews. To describe the components, costs, and efficacy of the major commercial and organized self-help weight loss programs in the United States that provide structured in-person or online counseling. Review of company Web sites, telephone discussion with company representatives, and search of the MEDLINE database. Randomized trials at least 12 weeks in duration that enrolled only adults and assessed interventions as they are usually provided to the public, or case series that met these criteria, stated the number of enrollees, and included a follow-up evaluation that lasted 1 year or longer. Data were extracted on study design, attrition, weight loss, duration of follow-up, and maintenance of weight loss. We found studies of eDiets.com, Health Management Resources, Take Off Pounds Sensibly, OPTIFAST, and Weight Watchers. Of 3 randomized, controlled trials of Weight Watchers, the largest reported a loss of 3.2% of initial weight at 2 years. One randomized trial and several case series of medically supervised very-low-calorie diet programs found that patients who completed treatment lost approximately 15% to 25% of initial weight. These programs were associated with high costs, high attrition rates, and a high probability of regaining 50% or more of lost weight in 1 to 2 years. Commercial interventions available over the Internet and organized self-help programs produced minimal weight loss. Because many studies did not control for high attrition rates, the reported results are probably a best-case scenario. With the exception of 1 trial of Weight Watchers, the evidence to support the use of the major commercial and self-help weight loss programs is suboptimal. Controlled trials are needed to assess the efficacy and cost-effectiveness of these interventions.

Summary of floods in the United States during 1963

USGS Publications Warehouse

Rostvedt, J.O.; ,

1968-01-01

This report describes the most outstanding floods in the United States during 1963. The three most destructive floods occurred in March from Alabama to West Virginia and Ohio, in June in Nebraska, and in August in Buffalo, N.Y.Widespread disastrous floods struck the western slopes of the Appalachian Mountains from Alabama to West Virginia and Ohio as a result of three storms moving over the area during March 4-19. Precipitation during the first storm period, March 4-6, caused some major stream overflows and produced conditions favorable for high runoff from subsequent rainfall. Heavy rainfall on March 11-13 produced record-breaking floods on many streams in Tennessee, Kentucky, Virginia, and West Virginia. Noteworthy floods occurred in the bordering States of Alabama, Georgia, North Carolina, and Ohio. The third storm on If arch 16-19 was .significant because it prolonged the period of flooding and produced high-volume runoff in some areas. Twenty-six lives were lost, and more than 30,000 persons were forced from their homes. Damage to highways, railroads municipal and private property amounted to approximately \\$98 million.Floods of June 24 in small basins in east-central Nebraska were the most severe known in the area. Discharges in many streams greatly exceeded the 50-year flood. Twenty-five cities and villages and more than 600 families suffered property loss. Three lives were lost. Property loss was about \\$13 million.On July 29 the most severe rainstorm in 18 years occurred in western New York. On August 7, rains of near-record magnitude again fell over western New York, and record intensities were recorded in Buffalo for 1-, 2-, and 6-hour storms. The resulting floods on Scajaquada Creek were the highest recorded in a short period of record, and flood damage in Buffalo was estimated at \\$35 million.In addition to the three floods mentioned above, 21 others of lesser magnitude are considered important enough to be included in this annual summary.

Diphtheria in the United States, 1971-81.

PubMed Central

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

1985-01-01

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

Workplace injuries and the take-up of Social Security disability benefits.

PubMed

O'Leary, Paul; Boden, Leslie I; Seabury, Seth A; Ozonoff, Al; Scherer, Ethan

2012-01-01

Workplace injuries and illnesses are an important cause of disability. State workers' compensation programs provide almost $60 billion per year in cash and medical-care benefits for those injuries and illnesses. Social Security Disability Insurance (DI) is the largest disability insurance program in the United States, with annual cash payments to disabled workers of $95 billion in 2008. Because injured workers may also receive DI benefits, it is important to understand how those two systems interact to provide benefits. This article uses matched state workers' compensation and Social Security data to study the relationship between workplace injuries and illnesses and DI benefit receipt. We find that having a lost-time injury substantially increases the probability of DI receipt, and, for people who become DI beneficiaries, those with injuries receive DI benefits at younger ages. This relationship remains robust even after we account for important personal and work characteristics.

Estimate of the direct and indirect annual cost of bacterial conjunctivitis in the United States

PubMed Central

2009-01-01

Background The aim of this study was to estimate both the direct and indirect annual costs of treating bacterial conjunctivitis (BC) in the United States. This was a cost of illness study performed from a U.S. healthcare payer perspective. Methods A comprehensive review of the medical literature was supplemented by data on the annual incidence of BC which was obtained from an analysis of the National Ambulatory Medical Care Survey (NAMCS) database for the year 2005. Cost estimates for medical visits and laboratory or diagnostic tests were derived from published Medicare CPT fee codes. The cost of prescription drugs was obtained from standard reference sources. Indirect costs were calculated as those due to lost productivity. Due to the acute nature of BC, no cost discounting was performed. All costs are expressed in 2007 U.S. dollars. Results The number of BC cases in the U.S. for 2005 was estimated at approximately 4 million yielding an estimated annual incidence rate of 135 per 10,000. Base-case analysis estimated the total direct and indirect cost of treating patients with BC in the United States at $ 589 million. One- way sensitivity analysis, assuming either a 20% variation in the annual incidence of BC or treatment costs, generated a cost range of $ 469 million to $ 705 million. Two-way sensitivity analysis, assuming a 20% variation in both the annual incidence of BC and treatment costs occurring simultaneously, resulted in an estimated cost range of $ 377 million to $ 857 million. Conclusion The economic burden posed by BC is significant. The findings may prove useful to decision makers regarding the allocation of healthcare resources necessary to address the economic burden of BC in the United States. PMID:19939250

Dynamic-RAM Data Storage Unit

NASA Technical Reports Server (NTRS)

Sturman, J. C.

1985-01-01

Dynamic random-access-memory (RAM) data delay and storage unit developed to insure data received from satellite is stored and not lost when satellite is not within range of ground station. Stores 256K of serial data, with independent read and write capability.

The Oklahoma City bombing: a personal account.

PubMed

Spengler, C

1995-09-01

On April 19, 1995, Oklahoma City (and the United States) lost its innocence. Almost all Oklahomans can relate exactly what they were doing either at 9:02 AM that day or when they first learned of the bombing. Of course, the whole world watched the events unfold through around-the-clock television coverage. One of the resident physicians in the University Hospital Emergency Medicine program, Dr Carl Spengler, was the first physician on the scene and directed early triage efforts. Because the Journal of Child Neurology is the only major biomedical journal with editorial offices in Oklahoma, we considered it appropriate that his personal account of this disaster be published in JCN.

Guest Editorial

PubMed Central

Namineni, Srinivas

2014-01-01

ABSTRACT At the start of this New Year, I would like to draw attention of pediatric dental fraternity at large toward Raven Maria Blanco Foundation, United States. This is a foundation established by parents of a young girl called Maria, who lost her life in pediatric dental Office, which was not prepared to handle an emergency arising from a procedural sedation for dental treatment. This is very heartening for any parent. It was so heart rending that Grammy award singer Michael Crawford popularly known as ‘Magnedo7’ penned a song called Raven’s Song in her memory. This brings the focus on two important issues: sedation and emergency preparedness in our practices.1 PMID:25709311

A Joint Replenishment Inventory Model with Lost Sales

NASA Astrophysics Data System (ADS)

Devy, N. L.; Ai, T. J.; Astanti, R. D.

2018-04-01

This paper deals with two items joint replenishment inventory problem, in which the demand of each items are constant and deterministic. Inventory replenishment of items is conducted periodically every T time intervals. Among of these replenishments, joint replenishment of both items is possible. It is defined that item i is replenished every ZiT time intervals. Replenishment of items are instantaneous. All of shortages are considered as lost sales. The maximum allowance for lost sales of item i is Si. Mathematical model is formulated in order to determining the basic time cycle T, replenishment multiplier Zi , and maximum lost sales Si in order to minimize the total cost per unit time. A solution methodology is proposed for solve the model and a numerical example is provided for demonstrating the effectiveness of the proposed methodology.

Safety performance factor.

PubMed

Venkataraman, Naray

2008-01-01

Workplace safety performance is computed using frequency rate (FR) and severity rate (SR). Only work time lost due to occupational incidents that need to be reported is counted. FR and SR are the 2 most important safety performance indicators that are applied universally; however, calculations differ from country to country. All injuries and time lost should be considered while calculating safety performance. The extent of severity does not matter as every incident is counted. So, a new factor has to be defined; it should be based on the hours or days lost due to each occupational incident, irrespective of its severity. The new safety performance factor is defined as the average human-hour unit lost due to occupational accidents/incidents, including fatalities, first-aid incidents, bruises and cuts. The formula is simple and easy to apply.

The economic efficiency and equity of government policies on brucellosis: comparative insights from Albania and the United States of America.

PubMed

Peck, D; Bruce, M

2017-04-01

Brucellosis is a zoonotic bacterial disease that causes recurring febrile illness in humans, as well as reproductive failure and reduced milk production in livestock. The cost of brucellosis is equal to the sum of lost productivity of humans and animals, as well as private and public expenditures on brucellosis surveillance, prevention, control and treatment. In Albania, Brucella abortus and B. melitensis affect humans, cattle and small ruminants. In the United States, B. abortus affects cattle and wild ungulates in the Greater Yellowstone Area. These two case studies illustrate the importance of place-specific context in developing sustainable and effective brucellosis mitigation policies. Government regulations and mitigation strategies should be designed with consideration of all costs and benefits, both to public agencies and private stakeholders. Policy-makers should, for example, weigh the benefits of a regulation that increases epidemiological certainty against the costs of compliance for producers and households. The distribution of costs and benefits amongst public agencies and private individuals can have important implications for a policy's economic efficiency and equity quite apart from their total magnitude.

Modeling The Economic Burden Of Adult Vaccine-Preventable Diseases In The United States.

PubMed

Ozawa, Sachiko; Portnoy, Allison; Getaneh, Hiwote; Clark, Samantha; Knoll, Maria; Bishai, David; Yang, H Keri; Patwardhan, Pallavi D

2016-11-01

Vaccines save thousands of lives in the United States every year, but many adults remain unvaccinated. Low rates of vaccine uptake lead to costs to individuals and society in terms of deaths and disabilities, which are avoidable, and they create economic losses from doctor visits, hospitalizations, and lost income. To identify the magnitude of this problem, we calculated the current economic burden that is attributable to vaccine-preventable diseases among US adults. We estimated the total remaining economic burden at approximately $9 billion (plausibility range: $4.7-$15.2 billion) in a single year, 2015, from vaccine-preventable diseases related to ten vaccines recommended for adults ages nineteen and older. Unvaccinated individuals are responsible for almost 80 percent, or $7.1 billion, of the financial burden. These results not only indicate the potential economic benefit of increasing adult immunization uptake but also highlight the value of vaccines. Policies should focus on minimizing the negative externalities or spillover effects from the choice not to be vaccinated, while preserving patient autonomy. Project HOPE—The People-to-People Health Foundation, Inc.

Cadmium Recycling in the United States in 2000

USGS Publications Warehouse

Plachy, Jozef

2003-01-01

Recycling of cadmium is a young and growing industry that has been influenced by environmental concerns and regulatory constraints. Domestic recycling of cadmium began in 1989 as a byproduct of processing of spent nickel-cadmium batteries. In 1995, International Metals Reclamation Co. Inc. expanded its operations by building a dedicated cadmium recycling plant. In 2000, an estimated 13 percent of cadmium consumption in the United States was sourced from recycled cadmium, which is derived mainly from old scrap or, to lesser degree, new scrap. The easiest forms of old scrap to recycle are small spent nickel-cadmium batteries followed by flue dust generated during recycling of galvanized steel and small amounts of alloys that contain cadmium. Most of new scrap is generated during manufacturing processes, such as nickel-cadmium battery production. All other uses of cadmium are in low concentrations and, therefore, difficult to recycle. Consequently, much of this cadmium is dissipated and lost. The amount of cadmium in scrap that was unrecovered in 2000 was estimated to be 2,030 t, and an estimated 285 t was recovered. Recycling efficiency was estimated to be about 15 percent.

Cadmium recycling in the United States in 2000

USGS Publications Warehouse

Plachy, Jozef

2003-01-01

Recycling of cadmium is a young and growing industry that has been influenced by environmental concerns and regulatory constraints. Domestic recycling of cadmium began in 1989 as a byproduct of processing of spent nickel-cadmium batteries. In 1995, International Metals Reclamation Co. Inc. expanded its operations by building a dedicated cadmium recycling plant. In 2000, an estimated 13 percent of cadmium consumption in the United States was sourced from recycled cadmium, which is derived mainly from old scrap or, to lesser degree, new scrap. The easiest forms of old scrap to recycle are small spent nickel-cadmium batteries followed by flue dust generated during recycling of galvanized steel and small amounts of alloys that contain cadmium. Most of new scrap is generated during manufacturing processes, such as nickel-cadmium battery production. All other uses of cadmium are in low concentrations and, therefore, difficult to recycle. Consequently, much of this cadmium is dissipated and lost. The amount of cadmium in scrap that was unrecovered in 2000 was estimated to be 2,030 metric tons, and an estimated 285 tons was recovered. Recycling efficiency was estimated to be about 15 percent.

Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association.

PubMed

Heidenreich, Paul A; Trogdon, Justin G; Khavjou, Olga A; Butler, Javed; Dracup, Kathleen; Ezekowitz, Michael D; Finkelstein, Eric Andrew; Hong, Yuling; Johnston, S Claiborne; Khera, Amit; Lloyd-Jones, Donald M; Nelson, Sue A; Nichol, Graham; Orenstein, Diane; Wilson, Peter W F; Woo, Y Joseph

2011-03-01

Cardiovascular disease (CVD) is the leading cause of death in the United States and is responsible for 17% of national health expenditures. As the population ages, these costs are expected to increase substantially. To prepare for future cardiovascular care needs, the American Heart Association developed methodology to project future costs of care for hypertension, coronary heart disease, heart failure, stroke, and all other CVD from 2010 to 2030. This methodology avoided double counting of costs for patients with multiple cardiovascular conditions. By 2030, 40.5% of the US population is projected to have some form of CVD. Between 2010 and 2030, real (2008$) total direct medical costs of CVD are projected to triple, from $273 billion to $818 billion. Real indirect costs (due to lost productivity) for all CVD are estimated to increase from $172 billion in 2010 to $276 billion in 2030, an increase of 61%. These findings indicate CVD prevalence and costs are projected to increase substantially. Effective prevention strategies are needed if we are to limit the growing burden of CVD.

Novel and Lost Forests in the Upper Midwestern United States, from New Estimates of Settlement-Era Composition, Stem Density, and Biomass.

PubMed

Goring, Simon J; Mladenoff, David J; Cogbill, Charles V; Record, Sydne; Paciorek, Christopher J; Jackson, Stephen T; Dietze, Michael C; Dawson, Andria; Matthes, Jaclyn Hatala; McLachlan, Jason S; Williams, John W

2016-01-01

EuroAmerican land-use and its legacies have transformed forest structure and composition across the United States (US). More accurate reconstructions of historical states are critical to understanding the processes governing past, current, and future forest dynamics. Here we present new gridded (8x8km) reconstructions of pre-settlement (1800s) forest composition and structure from the upper Midwestern US (Minnesota, Wisconsin, and most of Michigan), using 19th Century Public Land Survey System (PLSS), with estimates of relative composition, above-ground biomass, stem density, and basal area for 28 tree types. This mapping is more robust than past efforts, using spatially varying correction factors to accommodate sampling design, azimuthal censoring, and biases in tree selection. We compare pre-settlement to modern forests using US Forest Service Forest Inventory and Analysis (FIA) data to show the prevalence of lost forests (pre-settlement forests with no current analog), and novel forests (modern forests with no past analogs). Differences between pre-settlement and modern forests are spatially structured owing to differences in land-use impacts and accompanying ecological responses. Modern forests are more homogeneous, and ecotonal gradients are more diffuse today than in the past. Novel forest assemblages represent 28% of all FIA cells, and 28% of pre-settlement forests no longer exist in a modern context. Lost forests include tamarack forests in northeastern Minnesota, hemlock and cedar dominated forests in north-central Wisconsin and along the Upper Peninsula of Michigan, and elm, oak, basswood and ironwood forests along the forest-prairie boundary in south central Minnesota and eastern Wisconsin. Novel FIA forest assemblages are distributed evenly across the region, but novelty shows a strong relationship to spatial distance from remnant forests in the upper Midwest, with novelty predicted at between 20 to 60km from remnants, depending on historical forest type. The spatial relationships between remnant and novel forests, shifts in ecotone structure and the loss of historic forest types point to significant challenges for land managers if landscape restoration is a priority. The spatial signals of novelty and ecological change also point to potential challenges in using modern spatial distributions of species and communities and their relationship to underlying geophysical and climatic attributes in understanding potential responses to changing climate. The signal of human settlement on modern forests is broad, spatially varying and acts to homogenize modern forests relative to their historic counterparts, with significant implications for future management.

Novel and Lost Forests in the Upper Midwestern United States, from New Estimates of Settlement-Era Composition, Stem Density, and Biomass

PubMed Central

Mladenoff, David J.; Cogbill, Charles V.; Record, Sydne; Paciorek, Christopher J.; Jackson, Stephen T.; Dietze, Michael C.; Dawson, Andria; Matthes, Jaclyn Hatala; McLachlan, Jason S.; Williams, John W.

2016-01-01

Background EuroAmerican land-use and its legacies have transformed forest structure and composition across the United States (US). More accurate reconstructions of historical states are critical to understanding the processes governing past, current, and future forest dynamics. Here we present new gridded (8x8km) reconstructions of pre-settlement (1800s) forest composition and structure from the upper Midwestern US (Minnesota, Wisconsin, and most of Michigan), using 19th Century Public Land Survey System (PLSS), with estimates of relative composition, above-ground biomass, stem density, and basal area for 28 tree types. This mapping is more robust than past efforts, using spatially varying correction factors to accommodate sampling design, azimuthal censoring, and biases in tree selection. Changes in Forest Structure We compare pre-settlement to modern forests using US Forest Service Forest Inventory and Analysis (FIA) data to show the prevalence of lost forests (pre-settlement forests with no current analog), and novel forests (modern forests with no past analogs). Differences between pre-settlement and modern forests are spatially structured owing to differences in land-use impacts and accompanying ecological responses. Modern forests are more homogeneous, and ecotonal gradients are more diffuse today than in the past. Novel forest assemblages represent 28% of all FIA cells, and 28% of pre-settlement forests no longer exist in a modern context. Lost forests include tamarack forests in northeastern Minnesota, hemlock and cedar dominated forests in north-central Wisconsin and along the Upper Peninsula of Michigan, and elm, oak, basswood and ironwood forests along the forest-prairie boundary in south central Minnesota and eastern Wisconsin. Novel FIA forest assemblages are distributed evenly across the region, but novelty shows a strong relationship to spatial distance from remnant forests in the upper Midwest, with novelty predicted at between 20 to 60km from remnants, depending on historical forest type. The spatial relationships between remnant and novel forests, shifts in ecotone structure and the loss of historic forest types point to significant challenges for land managers if landscape restoration is a priority. The spatial signals of novelty and ecological change also point to potential challenges in using modern spatial distributions of species and communities and their relationship to underlying geophysical and climatic attributes in understanding potential responses to changing climate. The signal of human settlement on modern forests is broad, spatially varying and acts to homogenize modern forests relative to their historic counterparts, with significant implications for future management. PMID:27935944

Challenging Expected Patterns of Weight Loss in Full-Term Breastfeeding Neonates Born by Cesarean.

PubMed

Thulier, Diane

To determine the mean weight loss (MWL) of newborns and to examine the effect of weight loss > 7% on exclusive breastfeeding rates. A secondary analysis from a retrospective case-control study of maternal hydration and neonatal weight. A Level III maternity hospital in the Northeast region of the United States. A total of 286 women and their term breastfeeding newborns born by cesarean. Data were collected by chart review from birth through Days 3 or 4. Newborns who lost more than 7% of birth weight by Day 3 were included in the case group, and newborns who lost 7% or less by Day 3 were included in the control group. A significance level of .05 was used for all statistical analysis. Day 3 MWL for all newborns was 8% (n = 286, 7.9% ± 2.2%). MWL for the control group (n = 121) was 6% (5.93% ± 1.31%), and MWL for the case group (n = 165) was over 9% (9.35% ± 1.38%). Predominately breastfed newborns were still losing weight on Day 4 (MWL = 7.58%). Newborns who lost 7% or less had little change in exclusive breastfeeding, from 87% to 80% by Day 4. In contrast, exclusive breastfeeding in newborns who lost more than 7% dropped markedly, from 90% to 53% (p < .001). Weight loss of more than 7% appears to be a normal phenomenon among full-term newborns. When weight loss reached 7%, formula supplementation increased markedly. Predominately breastfed newborns are most at risk for continued weight loss after hospital discharge. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

Modeling The Economic And Health Impact Of Increasing Children's Physical Activity In The United States.

PubMed

Lee, Bruce Y; Adam, Atif; Zenkov, Eli; Hertenstein, Daniel; Ferguson, Marie C; Wang, Peggy I; Wong, Michelle S; Wedlock, Patrick; Nyathi, Sindiso; Gittelsohn, Joel; Falah-Fini, Saeideh; Bartsch, Sarah M; Cheskin, Lawrence J; Brown, Shawn T

2017-05-01

Increasing physical activity among children is a potentially important public health intervention. Quantifying the economic and health effects of the intervention would help decision makers understand its impact and priority. Using a computational simulation model that we developed to represent all US children ages 8-11 years, we estimated that maintaining the current physical activity levels (only 31.9 percent of children get twenty-five minutes of high-calorie-burning physical activity three times a week) would result each year in a net present value of $1.1 trillion in direct medical costs and $1.7 trillion in lost productivity over the course of their lifetimes. If 50 percent of children would exercise, the number of obese and overweight youth would decrease by 4.18 percent, averting $8.1 billion in direct medical costs and $13.8 billion in lost productivity. Increasing the proportion of children who exercised to 75 percent would avert $16.6 billion and $23.6 billion, respectively. Project HOPE—The People-to-People Health Foundation, Inc.

Grouping in decomposition method for multi-item capacitated lot-sizing problem with immediate lost sales and joint and item-dependent setup cost

NASA Astrophysics Data System (ADS)

Narenji, M.; Fatemi Ghomi, S. M. T.; Nooraie, S. V. R.

2011-03-01

This article examines a dynamic and discrete multi-item capacitated lot-sizing problem in a completely deterministic production or procurement environment with limited production/procurement capacity where lost sales (the loss of customer demand) are permitted. There is no inventory space capacity and the production activity incurs a fixed charge linear cost function. Similarly, the inventory holding cost and the cost of lost demand are both associated with a linear no-fixed charge function. For the sake of simplicity, a unit of each item is assumed to consume one unit of production/procurement capacity. We analyse a different version of setup costs incurred by a production or procurement activity in a given period of the planning horizon. In this version, called the joint and item-dependent setup cost, an additional item-dependent setup cost is incurred separately for each produced or ordered item on top of the joint setup cost.

Land-cover change in the conterminous United States from 1973 to 2000

USGS Publications Warehouse

Sleeter, Benjamin M.; Sohl, Terry L.; Loveland, Thomas R.; Auch, Roger F.; Acevedo, William; Drummond, Mark A.; Sayler, Kristi L.; Stehman, Stephen V.

2013-01-01

Land-cover change in the conterminous United States was quantified by interpreting change from satellite imagery for a sample stratified by 84 ecoregions. Gross and net changes between 11 land-cover classes were estimated for 5 dates of Landsat imagery (1973, 1980, 1986, 1992, and 2000). An estimated 673,000 km2(8.6%) of the United States’ land area experienced a change in land cover at least one time during the study period. Forest cover experienced the largest net decline of any class with 97,000 km2 lost between 1973 and 2000. The large decline in forest cover was prominent in the two regions with the highest percent of overall change, the Marine West Coast Forests (24.5% of the region experienced a change in at least one time period) and the Eastern Temperate Forests (11.4% of the region with at least one change). Agriculture declined by approximately 90,000 km2 with the largest annual net loss of 12,000 km2 yr−1 occurring between 1986 and 1992. Developed area increased by 33% and with the rate of conversion to developed accelerating rate over time. The time interval with the highest annual rate of change of 47,000 km2 yr−1 (0.6% per year) was 1986–1992. This national synthesis documents a spatially and temporally dynamic era of land change between 1973 and 2000. These results quantify land change based on a nationally consistent monitoring protocol and contribute fundamental estimates critical to developing understanding of the causes and consequences of land change in the conterminous United States.

Internal fit of three-unit fixed dental prostheses produced by computer-aided design/computer-aided manufacturing and the lost-wax metal casting technique assessed using the triple-scan protocol.

PubMed

Dahl, Bjørn E; Dahl, Jon E; Rønold, Hans J

2018-02-01

Suboptimal adaptation of fixed dental prostheses (FDPs) can lead to technical and biological complications. It is unclear if the computer-aided design/computer-aided manufacturing (CAD/CAM) technique improves adaptation of FDPs compared with FDPs made using the lost-wax and metal casting technique. Three-unit FDPs were manufactured by CAD/CAM based on digital impression of a typodont model. The FDPs were made from one of five materials: pre-sintered zirconium dioxide; hot isostatic pressed zirconium dioxide; lithium disilicate glass-ceramic; milled cobalt-chromium; and laser-sintered cobalt-chromium. The FDPs made using the lost-wax and metal casting technique were used as reference. The fit of the FDPs was analysed using the triple-scan method. The fit was evaluated for both single abutments and three-unit FDPs. The average cement space varied between 50 μm and 300 μm. Insignificant differences in internal fit were observed between the CAD/CAM-manufactured FDPs, and none of the FPDs had cement spaces that were statistically significantly different from those of the reference FDP. For all FDPs, the cement space at a marginal band 0.5-1.0 mm from the preparation margin was less than 100 μm. The milled cobalt-chromium FDP had the closest fit. The cement space of FDPs produced using the CAD/CAM technique was similar to that of FDPs produced using the conventional lost-wax and metal casting technique. © 2017 Eur J Oral Sci.

Invasive meningococcal disease epidemiology and control measures: a framework for evaluation.

PubMed

Caro, J Jaime; Möller, Jörgen; Getsios, Denis; Coudeville, L; El-Hadi, Wissam; Chevat, Catherine; Nguyen, Van Hung; Caro, Ingrid

2007-06-29

Meningococcal disease can have devastating consequences. As new vaccines emerge, it is necessary to assess their impact on public health. In the absence of long-term real world data, modeling the effects of different vaccination strategies is required. Discrete event simulation provides a flexible platform with which to conduct such evaluations. A discrete event simulation of the epidemiology of invasive meningococcal disease was developed to quantify the potential impact of implementing routine vaccination of adolescents in the United States with a quadrivalent conjugate vaccine protecting against serogroups A, C, Y, and W-135. The impact of vaccination is assessed including both the direct effects on individuals vaccinated and the indirect effects resulting from herd immunity. The simulation integrates a variety of epidemiologic and demographic data, with core information on the incidence of invasive meningococcal disease and outbreak frequency derived from data available through the Centers for Disease Control and Prevention. Simulation of the potential indirect benefits of vaccination resulting from herd immunity draw on data from the United Kingdom, where routine vaccination with a conjugate vaccine has been in place for a number of years. Cases of disease are modeled along with their health consequences, as are the occurrence of disease outbreaks. When run without a strategy of routine immunization, the simulation accurately predicts the age-specific incidence of invasive meningococcal disease and the site-specific frequency of outbreaks in the Unite States. 2,807 cases are predicted annually, resulting in over 14,000 potential life years lost due to invasive disease. In base case analyses of routine vaccination, life years lost due to infection are reduced by over 45% (to 7,600) when routinely vaccinating adolescents 12 years of age at 70% coverage. Sensitivity analyses indicate that herd immunity plays an important role when this population is targeted for vaccination. While 1,100 cases are avoided annually when herd immunity effects are included, in the absence of any herd immunity, the number of cases avoided with routine vaccination falls to 380 annually. The duration of vaccine protection also strongly influences results. In the absence of appropriate real world data on outcomes associated with large-scale vaccination programs, decisions on optimal immunization strategies can be aided by discrete events simulations such as the one described here. Given the importance of herd immunity on outcomes associated with routine vaccination, published estimates of the economic efficiency of routine vaccination with a quadrivalent conjugate vaccine in the United States may have considerably underestimated the benefits associated with a policy of routine immunization of adolescents.

KSC-2011-1216

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- Kennedy Space Center Director and former astronaut Bob Cabana, left, United Space Alliance's Associate Program Manager for Solid Rocket Boosters Roger Elliott and Center Deputy Director Janet Petro participate in a Day of Remembrance wreath laying ceremony at the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida. The ceremony honors members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The memorial displays the names of 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

KSC-2011-1215

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- United Space Alliance's Associate Program Manager for Solid Rocket Boosters Roger Elliott, back, Kennedy Space Center Deputy Director Janet Petro, and Center Director and former astronaut Bob Cabana, participate in a Day of Remembrance wreath laying ceremony at the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida. The ceremony honors members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The memorial displays the names of 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

KSC-2011-1214

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- United Space Alliance's Associate Program Manager for Solid Rocket Boosters Roger Elliott, left, Kennedy Space Center Deputy Director Janet Petro, and Center Director and former astronaut Bob Cabana, participate in a Day of Remembrance wreath laying ceremony at the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida. The ceremony honors members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The memorial displays the names of 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

Lost in the present but confident of the past: experiences of being in a psycho-geriatric unit as narrated by persons with dementia.

PubMed

Edvardsson, David; Nordvall, Karin

2008-02-01

To illuminate meanings of being in a psycho-geriatric unit. Background. There are known risks associated with moving persons with dementia from home to an institution, but little is known about how they experience being in psycho-geriatric units. Using open-ended research interviews, six persons with mild to severe dementia were asked to narrate about their experiences in the hospital. The interviews were interpreted using a phenomenological hermeneutical method of analysis. The comprehensive understanding of being in a psycho-geriatric unit points towards an understanding of being lost in the present but confident of the past. The analysis showed that the participants appeared lost as they could not narrate where they were and why, but that they became confident when narrating about their previous life. The analysis also showed that being in the hospital meant sharing living space with strangers, invasions of private space and establishing new acquaintances. Being in the unit could also mean boredom and devaluation for participants. The interviews were interpreted in the light of narrative theory of identity: persons with dementia narrating about previous life experiences as to make claims of how to be interpreted by others; as persons instead of merely as 'demented' patients. Experiences of care narrated by persons with dementia present meaningful and useful information that can provide feedback to inform care practice. Experiences of care from persons with dementia provide meaningful information about care and the doing and being of staff. Creating time for conversations with these persons may facilitate well-being.

Distribution, Health, and Development of Larval and Juvenile Lost River and Shortnose Suckers in the Williamson River Delta Restoration Project and Upper Klamath Lake, Oregon: 2008 Annual Data Summary

USGS Publications Warehouse

Burdick, Summer M.; Ottinger, Christopher; Brown, Daniel T.; VanderKooi, Scott P.; Robertson, Laura; Iwanowicz, Deborah

2009-01-01

Federally endangered Lost River sucker Deltistes luxatus and shortnose sucker Chasmistes brevirostris were once abundant throughout their range but populations have declined; they have been extirpated from several lakes, and may no longer reproduce in others. Poor recruitment into the adult spawning populations is one of several reasons cited for the decline and lack of recovery of these species, and may be the consequence of high mortality during juvenile life stages. High larval and juvenile sucker mortality may be exacerbated by an insufficient quantity of suitable rearing habitat. Within Upper Klamath Lake, a lack of marshes also may allow larval suckers to be swept from suitable rearing areas downstream into the seasonally anoxic waters of the Keno Reservoir. The Nature Conservancy (TNC) flooded about 3,600 acres to the north of the Williamson River mouth (Tulana Unit) in October 2007, and about 1,400 acres to the south and east of the Williamson River mouth (Goose Bay Unit) a year later, to retain larval suckers in Upper Klamath Lake, create nursery habitat for suckers, and improve water quality. In collaboration with TNC, the Bureau of Reclamation, and Oregon State University, we began a long-term collaborative research and monitoring program in 2008 to assess the effects of the Williamson River Delta restoration on the early life-history stages of Lost River and shortnose suckers. Our approach includes two equally important aspects. One component is to describe habitat use and colonization processes by larval and juvenile suckers and non-sucker fish species. The second is to evaluate the effects of the restored habitat on the health and condition of juvenile suckers. This report contains a summary of the first year of data collected as a part of this monitoring effort.

The new weight-loss drugs, lorcaserin and phentermine-topiramate: slim pickings?

PubMed

Woloshin, Steven; Schwartz, Lisa M

2014-04-01

In 2012, the US Food and Drug Administration approved 2 drugs for long-term weight loss: lorcaserin hydrochloride (Belviq; Eisai Inc) and phentermine-topiramate (Qysmia; Vivus Inc). The approvals were based on 1-year trials showing that on top of recommendations to follow a calorie-restricted diet and to increase exercise, patients randomized to either drug lost more weight than patients randomized to placebo (3% [95% CI, 3%-4%] more weight lost with lorcaserin; 7% [95% CI, 3%-4%] more with phentermine /topiramate). The drugs have been associated with serious harms: Both drugs' labels include warnings about memory, attention, or language problems and depression; for lorcaserin, the label also warns of valvular heart disease and euphoria; and for phentermine-topiramate, the label warns of metabolic acidosis, increased heart rate, anxiety, insomnia, and elevated creatinine levels. Neither medication is marketed in Europe because of safety concerns. The manufacturer withdrew its application for lorcaserin in Europe after the European Medicines Agency (EMA) said approval was unlikely, and the EMA rejected phentermine-topiramate. In the United States, the required postmarketing safety trials are behind schedule. Until there is more convincing evidence about the cardiovascular safety of these drugs, physicians and patients should approach them cautiously. Patients who do not lose at least 5% of their body weight within 12 weeks of starting to take either drug should stop taking it, as stated in the prescribing information.

Distribution and condition of larval and juvenile Lost River and shortnose suckers in the Williamson River Delta restoration project and Upper Klamath Lake, Oregon

USGS Publications Warehouse

Burdick, Summer M.; Brown, Daniel T.

2010-01-01

Federally endangered Lost River sucker (Deltistes luxatus) and shortnose sucker (Chasmistes brevirostris) were once abundant throughout their range but populations have declined. They were extirpated from several lakes in the 1920s and may no longer reproduce in others. Poor recruitment to the adult spawning populations is one of several reasons cited for the decline and lack of recovery of these species and may be the consequence of high mortality during juvenile life stages. High larval and juvenile sucker mortality may be exacerbated by an insufficient quantity of suitable or high quality rearing habitat. In addition, larval suckers may be swept downstream from suitable rearing areas in Upper Klamath Lake into Keno Reservoir, which is seasonally anoxic. The Nature Conservancy flooded about 3,600 acres (1,456 hectares) to the north of the Williamson River mouth (Tulana Unit) in October 2007 and about 1,400 acres (567 hectares) to the south and east of the Williamson River mouth (Goose Bay Unit) a year later to retain larval suckers in Upper Klamath Lake, create nursery habitat, and improve water quality. The U.S. Geological Survey joined a long-term research and monitoring program in collaboration with The Nature Conservancy, the Bureau of Reclamation, and Oregon State University in 2008 to assess the effects of the Williamson River Delta restoration on the early life-history stages of Lost River and shortnose suckers. The primary objectives of the research were to describe habitat colonization and use by larval and juvenile suckers and non-sucker fishes and to evaluate the effects of the restored habitat on the health and condition of juvenile suckers. This report summarizes data collected in 2009 by the U.S. Geological Survey as a part of this monitoring effort. The Williamson River Delta appeared to provide suitable rearing habitat for endangered larval Lost River and shortnose suckers in 2008 and 2009. Larval suckers captured in this delta typically were larger than those captured in the adjacent lake habitat in 2008, but the opposite was true for larval shortnose suckers in 2009. Mean sample density was greater for both species in the Williamson River Delta than adjacent lake habitats in both years. Larval suckers captured in the restoration area, however, had less food in their guts compared to those captured in Upper Klamath or Agency Lakes. Differential distribution among sucker species within the Williamson River Delta and between the delta and adjacent lakes indicated that shortnose suckers likely benefited more from the restored Williamson River Delta than Lost River or Klamath largescale suckers (Catostomus snyderi). Catch rates in shallow-water habitats with vegetation within the delta were higher for shortnose and Klamath largescale suckers than for larval Lost River suckers in 2008 and 2009.However, catch rates at the mouth of the Williamson River in 2008 and in Upper Klamath Lake in 2009 were higher for larval Lost River suckers than for larvae identified as either shortnose or Klamath largescale suckers. Shortnose suckers also comprised the greatest portion of age-0 suckers captured in the Williamson River Delta in 2008 and 2009. The relative abundance of age-1 shortnose suckers was high in our catches compared to age-1 Lost River suckers in 2009 in the delta and adjacent lakes, which may or may not indicate shortnose suckers experienced better survival than Lost River suckers in 2008. Age-0 and age-1 suckers were similarly distributed throughout the Williamson River Delta in 2008 and 2009. Age-0 suckers used shallow vegetated and unvegetated habitats primarily in mid- to late July in both years. A comparison of catch rates between our study and a concurrent study in Upper Klamath Lake indicated that Goose Bay was the most used habitat in 2009 and the Tulana Unit was the one of the least used habitats in 2008 and 2009 by age-0 suckers. Catch rates for age-1 suckers, however, indicated that bo

Heteronomy in the arts field: state funding and British arts organizations.

PubMed

Alexander, Victoria D

2018-03-01

For Bourdieu, the field of cultural production is comprised of an autonomous and a heteronomous sector. A heteronomous sector is one that is interpenetrated by the commercial field. I discuss an arena that, until recently, was part of the relatively autonomous sector in the field of cultural production - the supported arts sector in the United Kingdom - and argue that it became more heteronomous, due to the penetration by the state. Heteronomy due to the commercial field is present but secondary to, and driven by, the actions of the state. Political parties' attempts to diffuse and legitimate a particular economic ideology have led to state demands that arts institutions adopt neoliberal business practices in exchange for funding. Government giving to the arts, previously at arm's length, proved to be a Faustian bargain that demanded significant repayment in the form of lost autonomy. Coercive pressures from the state, enacted over time, show how the domination of one field over another can occur, even when the domination is resisted. © London School of Economics and Political Science 2017.

Publications - PIR 2004-3A | Alaska Division of Geological & Geophysical

Science.gov Websites

; Bedrock; Bedrock Geology; Cambrian; Caribou Fossils; Cascaden Ridge Unit; Cenozoic; Colluvial Deposits ; Cretaceous; Devonian; Eolian; Fox Fossils; Generalized; Geochemistry; Geochronology; Geologic Map; Geology ; Holocene; Horse Fossils; Igneous Rocks; K-Ar; Livengood Bench; Livengood Dome Chert; Lost Creek Unit

Computationally efficient models of neuromuscular recruitment and mechanics.

PubMed

Song, D; Raphael, G; Lan, N; Loeb, G E

2008-06-01

We have improved the stability and computational efficiency of a physiologically realistic, virtual muscle (VM 3.*) model (Cheng et al 2000 J. Neurosci. Methods 101 117-30) by a simpler structure of lumped fiber types and a novel recruitment algorithm. In the new version (VM 4.0), the mathematical equations are reformulated into state-space representation and structured into a CMEX S-function in SIMULINK. A continuous recruitment scheme approximates the discrete recruitment of slow and fast motor units under physiological conditions. This makes it possible to predict force output during smooth recruitment and derecruitment without having to simulate explicitly a large number of independently recruited units. We removed the intermediate state variable, effective length (Leff), which had been introduced to model the delayed length dependency of the activation-frequency relationship, but which had little effect and could introduce instability under physiological conditions of use. Both of these changes greatly reduce the number of state variables with little loss of accuracy compared to the original VM. The performance of VM 4.0 was validated by comparison with VM 3.1.5 for both single-muscle force production and a multi-joint task. The improved VM 4.0 model is more suitable for the analysis of neural control of movements and for design of prosthetic systems to restore lost or impaired motor functions. VM 4.0 is available via the internet and includes options to use the original VM model, which remains useful for detailed simulations of single motor unit behavior.

Computationally efficient models of neuromuscular recruitment and mechanics

NASA Astrophysics Data System (ADS)

Song, D.; Raphael, G.; Lan, N.; Loeb, G. E.

2008-06-01

We have improved the stability and computational efficiency of a physiologically realistic, virtual muscle (VM 3.*) model (Cheng et al 2000 J. Neurosci. Methods 101 117-30) by a simpler structure of lumped fiber types and a novel recruitment algorithm. In the new version (VM 4.0), the mathematical equations are reformulated into state-space representation and structured into a CMEX S-function in SIMULINK. A continuous recruitment scheme approximates the discrete recruitment of slow and fast motor units under physiological conditions. This makes it possible to predict force output during smooth recruitment and derecruitment without having to simulate explicitly a large number of independently recruited units. We removed the intermediate state variable, effective length (Leff), which had been introduced to model the delayed length dependency of the activation-frequency relationship, but which had little effect and could introduce instability under physiological conditions of use. Both of these changes greatly reduce the number of state variables with little loss of accuracy compared to the original VM. The performance of VM 4.0 was validated by comparison with VM 3.1.5 for both single-muscle force production and a multi-joint task. The improved VM 4.0 model is more suitable for the analysis of neural control of movements and for design of prosthetic systems to restore lost or impaired motor functions. VM 4.0 is available via the internet and includes options to use the original VM model, which remains useful for detailed simulations of single motor unit behavior.

Current and Future Burden of Chronic Nonmalignant Liver Disease.

PubMed

Udompap, Prowpanga; Kim, Donghee; Kim, W Ray

2015-11-01

Disease burden is an important indicator of the state of health of a population. It can be measured as the frequency (eg, incidence and prevalence) of a condition or its effects including fatal and non-fatal health loss from disease (eg, disability-adjusted life years) as well as the financial costs (eg, direct healthcare costs and indirect healthcare expenditures related to lost income because of premature death). Accurate disease burden information is essential for policy-making such as prioritization of health interventions and allocation of resources. Chronic liver disease (CLD) causes substantial health and economic burden in the United States, where nearly 2 million deaths annually are attributable to CLD. In the recent past, overall mortality rate of CLD has been increasing. Viral hepatitis and alcoholic liver disease are thought to be the most common etiologies of chronic liver diseases. More recently, the prevalence of nonalcoholic fatty liver disease is rapidly increasing, and nonalcoholic steatohepatitis has become a leading indication for liver transplantation. In this article, we assemble available data on the burden of CLD in the United States, focusing on nonmalignant complications, whereas the impact on mortality and healthcare expenses of hepatocellular carcinoma, an important consequence of CLD, is discussed elsewhere. Copyright © 2015 AGA Institute. Published by Elsevier Inc. All rights reserved.

Management of Pediatric Trauma.

PubMed

2016-08-01

Injury is still the number 1 killer of children ages 1 to 18 years in the United States (http://www.cdc.gov/nchs/fastats/children.htm). Children who sustain injuries with resulting disabilities incur significant costs not only for their health care but also for productivity lost to the economy. The families of children who survive childhood injury with disability face years of emotional and financial hardship, along with a significant societal burden. The entire process of managing childhood injury is enormously complex and varies by region. Only the comprehensive cooperation of a broadly diverse trauma team will have a significant effect on improving the care of injured children. Copyright © 2016 by the American Academy of Pediatrics.

[Pharmaceutical care: conceptual and critical basis to a Brazilian model].

PubMed

Angonesi, Daniela; Sevalho, Gil

2010-11-01

The Pharmaceutical Care concepts were analyzed from their origins in the United States and the later contributions which came from Spain and from the effort of sistematization by the World Health Organization to understand the processs that has been happening in Brasil. After the abandon of the communitarian pharmacy, the Brazilian pharmacists hope that this new model of practicing is the way to get back his/her social role. The philosophy which directs the Pharmaceutical Care, having the focus on patient, in our understanding, must support philosophical and conceptually the rebuilding of pharmaceutical practicing in Brazil in order to get back the lost relation between the pharmacist and patient at communitarian pharmacy.

The role of the nurse in combating human trafficking.

PubMed

Sabella, Donna

2011-02-01

Human trafficking, also called modern slavery, happens worldwide--and the United States is no exception. Within our borders, thousands of foreign nationals and U.S. citizens, many of them children, are forced or coerced into sex work or various forms of labor every year. Nurses and other health care providers who encounter victims of trafficking often don't realize it, and opportunities to intervene are lost. Although no one sign can demonstrate with certainty when someone is being trafficked, there are several indicators that clinicians should know. This article provides an overview of human trafficking, describes how to recognize signs that a person is being trafficked and how to safely intervene, and offers an extensive resource list.

KSC-2011-1212

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- Pictured near the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida are the members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The memorial honors 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

Microbiological Spoilage of Fruits and Vegetables

NASA Astrophysics Data System (ADS)

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

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

Association Between Loss of Hospital-Based Obstetric Services and Birth Outcomes in Rural Counties in the United States.

PubMed

Kozhimannil, Katy B; Hung, Peiyin; Henning-Smith, Carrie; Casey, Michelle M; Prasad, Shailendra

2018-03-27

Hospital-based obstetric services have decreased in rural US counties, but whether this has been associated with changes in birth location and outcomes is unknown. To examine the relationship between loss of hospital-based obstetric services and location of childbirth and birth outcomes in rural counties. A retrospective cohort study, using county-level regression models in an annual interrupted time series approach. Births occurring from 2004 to 2014 in rural US counties were identified using birth certificates linked to American Hospital Association Annual Surveys. Participants included 4 941 387 births in all 1086 rural counties with hospital-based obstetric services in 2004. Loss of hospital-based obstetric services in the county of maternal residence, stratified by adjacency to urban areas. Primary outcomes were county rates of (1) out-of-hospital births; (2) births in hospitals without obstetric units; and (3) preterm births (<37 weeks' gestation). Between 2004 and 2014, 179 rural counties lost hospital-based obstetric services. Of the 4 941 387 births studied, the mean (SD) maternal age was 26.2 (5.8) years. A mean (SD) of 75.9% (23.2%) of women who gave birth were non-Hispanic white, and 49.7% (15.6%) were college graduates. Rural counties not adjacent to urban areas that lost hospital-based obstetric services had significant increases in out-of-hospital births (0.70 percentage points [95% CI, 0.30 to 1.10]); births in a hospital without an obstetric unit (3.06 percentage points [95% CI, 2.66 to 3.46]); and preterm births (0.67 percentage points [95% CI, 0.02 to 1.33]), in the year after loss of services, compared with those with continual obstetric services. Rural counties adjacent to urban areas that lost hospital-based obstetric services also had significant increases in births in a hospital without obstetric services (1.80 percentage points [95% CI, 1.55 to 2.05]) in the year after loss of services, compared with those with continual obstetric services, and this was followed by a decreasing trend (-0.19 percentage points per year [95% CI, -0.25 to -0.14]). In rural US counties not adjacent to urban areas, loss of hospital-based obstetric services, compared with counties with continual services, was associated with increases in out-of-hospital and preterm births and births in hospitals without obstetric units in the following year; the latter also occurred in urban-adjacent counties. These findings may inform planning and policy regarding rural obstetric services.

The competing meanings of "biopolitics" in political science. Biological and postmodern approaches to politics.

PubMed

Liesen, Laurette T; Walsh, Mary Barbara

2012-01-01

The term "biopolitics" carries multiple, sometimes competing, meanings in political science. When the term was first used in the United States in the late 1970s, it referred to an emerging subdiscipline that incorporated the theories and data of the life sciences into the study of political behavior and public policy. But by the mid-1990s, biopolitics was adopted by postmodernist scholars at the American Political Science Association's annual meeting who followed Foucault's work in examining the power of the state on individuals. Michel Foucault first used the term biopolitics in the 1970s to denote social and political power over life. Since then, two groups of political scientists have been using this term in very different ways. This paper examines the parallel developments of the term "biopolitics," how two subdisciplines gained (and one lost) control of the term, and what the future holds for its meaning in political science.

Quantum state estimation when qubits are lost: a no-data-left-behind approach

DOE PAGES

Williams, Brian P.; Lougovski, Pavel

2017-04-06

We present an approach to Bayesian mean estimation of quantum states using hyperspherical parametrization and an experiment-specific likelihood which allows utilization of all available data, even when qubits are lost. With this method, we report the first closed-form Bayesian mean and maximum likelihood estimates for the ideal single qubit. Due to computational constraints, we utilize numerical sampling to determine the Bayesian mean estimate for a photonic two-qubit experiment in which our novel analysis reduces burdens associated with experimental asymmetries and inefficiencies. This method can be applied to quantum states of any dimension and experimental complexity.

Department of Defense Financial Management Regulation. Volume 5. Disbursing Policy and Procedures

DTIC Science & Technology

1999-08-01

enable them to recognize fraudulent acts and, thereby, avoid losses. Reports of missing luggage, burglarized automobiles , and unauthorized absence of...for the reward requirement, including the amount needed, will be stated for each request. (e) Lost Aircraft and Lost Target Pilotless Aircraft and

Innovative Remote Sensors for Streamflow Measurement

NASA Astrophysics Data System (ADS)

Gourley, J. J.; Fulton, J. W.; Daniel, W.

2016-12-01

The United States Geological Survey operates and maintains over 7000 streamgages across the United States., Conventional streamgages have several important limitations: annual maintenance cost of approximately $15k makes gaging smaller basins uneconomical, manual updating of stage-discharge rating curves is inefficient and can be hazardous to operators, and instruments in contact with the water are sometimes damaged or lost during flood events. A suite of new, non-contact sensors is proposed to address these limitations and add new, previously unmeasured variables. First, a commercially available radar system has been fielded in a very dynamic stream environment and successfully used to measure stage height and stream velocity at high temporal resolution, on the order of a few minutes. Second, a custom water-penetrating lidar has been developed and demonstrated to map 1-D bathymetry (cross-section) in clear streams. Combined with stage and velocity measurements from the radar, this will allow for computation of discharge using non-contact methods without the need to update and maintain an empirical rating curve. Once mature, these technologies promise to reduce cost and manual intervention, allow proliferation of measurements to smaller streams, and introduce previously unmeasured variables to the hydrological scientist's toolbox.

Emergency department throughput, crowding, and financial outcomes for hospitals.

PubMed

Handel, Daniel A; Hilton, Joshua A; Ward, Michael J; Rabin, Elaine; Zwemer, Frank L; Pines, Jesse M

2010-08-01

Emergency department (ED) crowding has been identified as a major public health problem in the United States by the Institute of Medicine. ED crowding not only is associated with poorer patient outcomes, but it also contributes to lost demand for ED services when patients leave without being seen and hospitals must go on ambulance diversion. However, somewhat paradoxically, ED crowding may financially benefit hospitals. This is because ED crowding allows hospitals to maximize occupancy with well-insured, elective patients while patients wait in the ED. In this article, the authors propose a more holistic model of hospital flow and revenue that contradicts this notion and offer suggestions for improvements in ED and hospital management that may not only reduce crowding and improve quality, but also increase hospital revenues. Also proposed is that increased efficiency and quality in U.S. hospitals will require changes in systematic microeconomic and macroeconomic incentives that drive the delivery of health services in the United States. Finally, the authors address several questions to propose mutually beneficial solutions to ED crowding that include the realignment of hospital incentives, changing culture to promote flow, and several ED-based strategies to improve ED efficiency.

The third wave--medical tourism in the 21st century.

PubMed

Pafford, Bennett

2009-08-01

The high number of uninsured or underinsured Americans and the spiraling cost of healthcare in the United States has spurred growth in patients traveling abroad for affordable healthcare, which has become known as medical tourism. It is projected to become a $21 billion a year industry by 2011. Overseas prices for most procedures, including airfare, are often half the cost of those performed in the United States; some procedures are 80% less. International facilities in India, Thailand, and elsewhere are obtaining Joint Commission International (JCI) accreditation and aggressively marketing to Western customers and insurance agencies and advertising high quality standards and personalized service. The acceptance of medial tourism is growing, with a recent poll showing more than 40% of US healthcare consumers willing to travel abroad for care. Insurance companies have begun to integrate foreign care into their coverage, offering discounts to patients agreeing to overseas travel. Physician groups have been slow to respond, even though estimates are that medical tourism may represent $162 billion in lost spending in America by 2012. Some experts think the continued US healthcare cost crisis will drive an increase in medical tourism and international competition, significantly impacting domestic physicians and hospitals.

Indicators of carbon storage in U.S. ecosystems: baseline for terrestrial carbon accounting.

PubMed

Negra, Christine; Sweedo, Caroline Cremer; Cavender-Bares, Kent; O'Malley, Robin

2008-01-01

Policymakers, program managers, and landowners need information about net terrestrial carbon sequestration in forests, croplands, grasslands, and shrublands to understand the cumulative effects of carbon trading programs, expanding biofuels production, and changing environmental conditions in addition to agricultural and forestry uses. Objective information systems that establish credible baselines and track changes in carbon storage can provide the accountability needed for carbon trading programs to achieve durable carbon sequestration and for biofuels initiatives to reduce net greenhouse gas emissions. A multi-sector stakeholder design process was used to produce a new indicator for the 2008 State of the Nation's Ecosystems report that presents metrics of carbon storage for major ecosystem types, specifically change in the amount of carbon gained or lost over time and the amount of carbon stored per unit area (carbon density). These metrics have been developed for national scale use, but are suitable for adaptation to multiple scales such as individual farm and forest parcels, carbon offset markets and integrated national and international assessments. To acquire the data necessary for a complete understanding of how much, and where, carbon is gained or lost by U.S. ecosystems, expansion and integration of monitoring programs will be required.

The personal costs and convenience of screening mammography.

PubMed

Suter, Lisa Gale; Nakano, Connie Y; Elmore, Joann G

2002-09-01

Few studies have examined the impact of women's personal costs on obtaining a screening mammogram in the United States. All women obtaining screening mammograms at nine Connecticut mammography facilities during a 2-week study period were asked to complete a questionnaire. Facilities included urban and rural fixed sites and mobile sites. The survey included questions about insurance coverage, mammogram payment, and personal costs in terms of transportation, family care, parking, and lost work time from the women's perspective. The response rate was 62% (731 of 1189). Thirty-two percent of respondents incurred some type of personal cost, including lost work time, family care, and parking. Women incurring personal costs were more likely than those without personal costs to attend an urban facility (46% vs. 23%, p < 0.01) and be under the age of 50 (40% vs. 26%, p < 0.01). Overall, 61% of women listed convenience and 17% listed cost as a reason for choosing a mammography facility; 23% reported that cost might prevent them from obtaining a future mammogram. One third of women obtaining mammograms may be incurring personal costs. These personal costs should be considered in future cost-effectiveness analyses.

Lost data is found: Rescuing Geostationary Weather Satellite Data from 1975 -1979

NASA Astrophysics Data System (ADS)

Robaidek, J. O.; Forrest, D.; Ratcliff, D.; Troxel-Hoehn, N.; Moses, J. F.

2016-12-01

Until the late 1970s, United States geostationary weather satellite data were not routinely archived.. Datasets were sometimes collected and stored on 9-track tapes in an ad hoc fashion depending on the individual scientist's immediate needs. This is one of the reasons why the national archive of GOES/SMS data, stored at NOAA NCEI, does not begin until 1978 even though SMS data were being transmitted as early as 1974. This changed in 1978 when Professor Verner Suomi of the University of Wisconsin-Madison, Space Science Engineering Center (SSEC), started the first routine archive of GOES/SMS satellite data to coincide with the First GARP Global Experiment (FGGE) of 1978-1979. A set of SMS 9-track tapes from 1974-1975 were recently rediscovered at NASA's Goddard Space Flight Center. In addition, some of the original Meteosat data from FGGE were rediscovered within SSEC's archives. Over the past 18 months SSEC has recovered much of the SMS data from deteriorating tapes and most of the original Meteosat FGGE data, thought to have been lost. The extraction of these data from 9-track tape and the reconstruction of the data are discussed.

Less waste corn, more land in soybeans, and the switch to genetically modified crops: trends with important implications to wildlife management

USGS Publications Warehouse

Krapu, G.L.; Brandt, D.A.; Cox, R.R.

2004-01-01

An abundance of waste corn, a key food of many wildlife species, has helped make possible the widespread success of wildlife management in the United States over the past half century. We found waste corn post harvest in Nebraska declined by 47% from 1978 to 1998 due primarily to improvements in combine headers resulting in a marked decline in ear loss. The reduction in waste coincided with major declines in fat storage by sandhill cranes and white-fronted geese during spring migration. Sandhill cranes, northern pintails, white-fronted geese, and lesser snow geese avoided soybeans while staging in spring in the Rainwater Basin Area and Central Platte River Valley. These findings and other literature suggest soybeans are a marginal food for wildlife particularly during periods of high energy requirements. Soybean acreage has increased by 600% in the United States since 1950 and now comprises nearly one-quarter of the nation>'s cropland. With over 80% of the soybean crop now in genetically modified varieties and treated with glyphosate, weed seed is becoming scarce in soybean fields leaving limited food for wildlife on 72 million acres of U.S. cropland. We suggest that the combined effect of increasing efficiency of crop harvesting techniques, expansion of soybeans and other crops poorly suited for wildlife nutrient needs, and more efficient weed control through the shift to genetically modified crops may severely limit seed-eating wildlife populations in the future unless ways are found to replace high energy food sources being lost. We encourage more research to gain greater insight into effects of declining food resources on wildlife populations and propose that the conservation title of the 2002 farm bill be used as a mechanism to replace part of the high-energy food being lost due to changes in production agriculture.

36 CFR 65.9 - Withdrawal of National Historic Landmark designation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... criteria for designation because the qualities which caused it to be originally designated have been lost or destroyed, or such qualities were lost subsequent to nomination, but before designation; (2... dedesignation and stating the grounds for the appeal as established in subsection (a) to the Chief, History...

Road traffic accidents: Global Burden of Disease study, Brazil and federated units, 1990 and 2015.

PubMed

Ladeira, Roberto Marini; Malta, Deborah Carvalho; Morais, Otaliba Libânio de; Montenegro, Marli de Mesquita Silva; Soares, Adauto Martins; Vasconcelos, Cíntia Honório; Mooney, Meghan; Naghavi, Mohsen

2017-05-01

To describe the global burden of disease due to road traffic accidents in Brazil and federated units in 1990 and 2015. This is an analysis of secondary data from the 2015 Global Burden of Disease study estimates. The following estimates were used: standardized mortality rates and years of life lost by death or disability, potential years of life lost due to premature death, and years of unhealthy living conditions. The Mortality Information System was the main source of death data. Underreporting and redistribution of ill-defined causes and nonspecific codes were corrected. Around 52,326 deaths due to road traffic accidents were estimated in Brazil in 2015. From 1990 to 2015, mortality rates decreased from 36.9 to 24.8/100 thousand people, a reduction of 32.8%. Tocantins and Piauí have the highest mortality risks among the federated units (FU), with 41.7/100 and 33.1/100 thousand people, respectively. They both present the highest rates of potential years of life lost due to premature deaths. Road traffic accidents are a public health problem. Using death- or disability-adjusted life years in studies of these causes is important because there are still no sources to know the magnitude of sequelae, as well as the weight of early deaths. Since its data are updated every year, the Global Burden of Disease study may provide evidence to formulate traffic security and health attention policies, which are guided to the needs of the federated units and of different groups of traffic users.

Coping with Catastrophe: The Black Death of the 14th Century. A Unit of Study for Grades 7-12.

ERIC Educational Resources Information Center

Chapman, Anne

This unit of study explains the causes, course, characteristics, and results of the Black Death during the 14th century. The Black Death, also known as the bubonic plague, left virtually no one untouched in Europe, Asia, and Northern Africa. Europe lost a third or more of its population. In a broader context, study of the unit alerts students to…

[Current events in vaccination].

PubMed

Aubert, M; Aumaître, H; Beytout, J; Bloch, K; Bouhour, D; Callamand, P; Chave, C; Cheymol, J; Combadière, B; Dahlab, A; Denis, F; De Pontual, L; Dodet, B; Dommergues, M-A; Dufour, V; Gagneur, A; Gaillat, J; Gaudelus, J; Gavazzi, G; Gillet, Y; Gras-le-Guen, C; Haas, H; Hanslik, T; Hau-Rainsard, I; Larnaudie, S; Launay, O; Lorrot, M; Loulergue, P; Malvy, D; Marchand, S; Picherot, G; Pinquier, D; Pulcini, C; Rabaud, C; Regnier, F; Reinert, P; Sana, C; Savagner, C; Soubeyrand, B; Stephan, J-L; Strady, C

2011-11-01

The annual meeting of the Infectious Disease Society of America (IDSA) ; which brought together nearly 5000 participants from over 80 countries in Vancouver, Canada, October 21 to 24, 2010 ; provided a review of the influenza (H1N1) 2009 pandemic, evaluated vaccination programmes and presented new vaccines under development. With 12,500 deaths in the United States in 2009-2010, the influenza (H1N1) 2009 pandemic was actually less deadly than the seasonal flu. But it essentially hit the young, and the toll calculated in years of life lost is high. The monovalent vaccines, whether live attenuated or inactivated with or without adjuvants, were well tolerated in toddlers, children, adults and pregnant women. In order to protect infants against pertussis, family members are urged to get their booster shots. The introduction of the 13-valent Pneumococcal conjugated vaccine in the beginning of 2010 may solve - but for how long ? - the problem of serotype replacement, responsible for the re-increasing incidence of invasive Pneumococcal infections observed in countries that had introduced the 7-valent vaccine. The efficacy of a rotavirus vaccine has been confirmed, with a reduction in hospitalization in the United States and a reduction in gastroenteritis-related deaths in Mexico. In the United States, vaccination of pre-adolescents against human papillomavirus (HPV) has not resulted in any specific undesirable effects. Routine vaccination against chicken pox, recommended since 1995, has not had an impact on the evolution of the incidence of shingles. Vaccination against shingles, recommended in the United States for subjects 60 years and over, shows an effectiveness of 55 %, according to a cohort study (Kaiser Permanente, Southern California). Although some propose the development of personalized vaccines according to individual genetic characteristics, the priority remains with increasing vaccine coverage, not only in infants but also in adults and the elderly. Vaccine calendars that cover a whole lifetime should be promoted, since the vaccination of adults and seniors is a determining factor of good health at all ages. Copyright © 2011. Published by Elsevier SAS.

Mercury recycling in the United States in 2000

USGS Publications Warehouse

Brooks, William E.; Matos, Grecia R.

2005-01-01

Reclamation and recycling of mercury from used mercury- containing products and treatment of byproduct mercury from gold mining is vital to the continued, though declining, use of this metal. Mercury is reclaimed from mercury-containing waste by treatment in multistep high-temperature retorts-the mercury is volatized and then condensed for purification and sale. Some mercury-containing waste, however, may be landfilled, and landfilled material represents loss of a recyclable resource and a threat to the environment. Related issues include mercury disposal and waste management, toxicity and human health, and regulation of mercury releases in the environment. End-users of mercury-containing products may face fines and prosecution if these products are improperly recycled or not recycled. Local and State environmental regulations require adherence to the Resource Conservation and Recovery Act and the Comprehensive Environmental Response, Compensation, and Liability Act to regulate generation, treatment, and disposal of mercury-containing products. In the United States, several large companies and a number of smaller companies collect these products from a variety of sources and then reclaim and recycle the mercury. Because mercury has not been mined as a principal product in the United States since 1992, mercury reclamation from fabricated products has become the main source of mercury. Principal product mercury and byproduct mercury from mining operations are considered to be primary materials. Mercury may also be obtained as a byproduct from domestic or foreign gold-processing operations. In the early 1990s, U.S. manufacturers used an annual average that ranged from 500 to 600 metric tons of recycled and imported mercury for fabrication of automobile convenience switches, dental amalgam, fluorescent lamps, medical uses and thermometers, and thermostats. The amount now used for fabrication is estimated to be 200 metric tons per year or less. Much of the data on mercury is estimated because it is a low-volume commodity and its production, use, and disposal is difficult to track. The prices and volumes of each category of mercury-containing material may change dramatically from year to year. For example, the average price of mercury was approximately $150 per flask from 2000 until 2003 and then rose sharply to $650 per flask in fall 2004 and approximately $850 per flask in spring 2005. Since 1927, the common unit for measuring and pricing mercury has been the flask in order to conform to the system used at Almaden, Spain (Meyers, 1951). One flask weighs 34.5 kilograms, and 29 flasks of mercury are contained in a metric ton. In the United States, the chlorine-caustic soda industry, which is the leading end-user of elemental mercury, recycles most of its mercury in-plant as home scrap. Annual purchases of replacement mercury by the chlorine-caustic soda industry indicate that some mercury may be lost through evaporation to the environment, put into a landfill as industrial waste, or trapped within pipes in the plant. Impending closure of domestic and foreign mercury-cell chlorine-caustic soda plants and the shift to nonmercury technology for chlorine-caustic soda production could ultimately result in a significant volume of elemental mercury for recycling, sale, or storage. Globally, mercury is widely used in artisanal, or small-scale, gold mining. Most of that mercury is lost to the environment and is not recycled. The recycling rate for mercury was not available owing to insufficient data in 2000, and the efficiency of mercury recycling was estimated to be 62 percent.

The personal and national costs of early retirement because of spinal disorders: impacts on income, taxes, and government support payments.

PubMed

Schofield, Deborah J; Shrestha, Rupendra N; Percival, Richard; Passey, Megan E; Callander, Emily J; Kelly, Simon J

2012-12-01

Spinal disorders can reduce an individual's ability to participate in the labor force, and this can lead to considerable impacts on both the individual and the state. This study was aimed to quantify the personal cost of lost income and the cost to the state from lost income taxation, increased benefits payments, and lost gross domestic product (GDP) as a result of early retirement because of spinal disorders in Australians aged 45 to 64 years in 2009. This was done using cross-sectional analysis of the base population of Health&WealthMOD, a microsimulation model built on data from the Australian Bureau of Statistics' Survey of Disability, Ageing and Carers, and STINMOD, an income and savings microsimulation model. Linear regression models were used to examine the relationship between spinal disorders, labor force participation, income, taxation, and government support payments. It was found that individuals aged 45 to 64 years who have retired early because of spinal disorders have significantly lower income (79% less; 95% confidence interval [CI], -84.7, -71.1; p<.0001), pay significantly less taxation (100% less; 95% CI, -100.0, 99.9; p<.0001), and receive significantly more in government support payments (21,000% more; 95% CI, 12,767.0, 35,336.4; p<.0001) than those employed full time with no health condition. Individuals who have retired early because of spinal disorders have a median value of total weekly income of only AU$310, whereas those who are employed full time are likely to receive four times this. This has a large national aggregate impact, with AU$4.8 billion lost in annual individual earnings, AU$622 million in additional welfare payments, AU$497 million lost in taxation revenue for governments, and AU$2.9 billion in lost GDP: all attributable to spinal disorders through their impact on labor force participation. Although the individual has to bear the economic costs of lost income in addition to the burden of the condition itself, the state experiences the impacts of loss of productivity from reduced workforce participation, lost income taxation revenue, and increasing government support payments. Copyright © 2012 Elsevier Inc. All rights reserved.

Economic Burden of Chronic Conditions Among Survivors of Cancer in the United States.

PubMed

Guy, Gery P; Yabroff, K Robin; Ekwueme, Donatus U; Rim, Sun Hee; Li, Rui; Richardson, Lisa C

2017-06-20

Purpose The prevalence of cancer survivorship and chronic health conditions is increasing. Limited information exists on the economic burden of chronic conditions among survivors of cancer. This study examines the prevalence and economic effect of chronic conditions among survivors of cancer. Methods Using the 2008 to 2013 Medical Expenditure Panel Survey, we present nationally representative estimates of the prevalence of chronic conditions (heart disease, high blood pressure, stroke, emphysema, high cholesterol, diabetes, arthritis, and asthma) and multiple chronic conditions (MCCs) and the incremental annual health care use, medical expenditures, and lost productivity for survivors of cancer attributed to individual chronic conditions and MCCs. Incremental use, expenditures, and lost productivity were evaluated with multivariable regression. Results Survivors of cancer were more likely to have chronic conditions and MCCs compared with adults without a history of cancer. The presence of chronic conditions among survivors of cancer was associated with substantially higher annual medical expenditures, especially for heart disease ($4,595; 95% CI, $3,262 to $5,927) and stroke ($3,843; 95% CI, $1,983 to $5,704). The presence of four or more chronic conditions was associated with increased annual expenditures of $10,280 (95% CI, $7,435 to $13,125) per survivor of cancer. Annual lost productivity was higher among survivors of cancer with other chronic conditions, especially stroke ($4,325; 95% CI, $2,687 to $5,964), and arthritis ($3,534; 95% CI, $2,475 to $4,593). Having four or more chronic conditions was associated with increased annual lost productivity of $9,099 (95% CI, $7,224 to $10,973) per survivor of cancer. The economic impact of chronic conditions was similar among survivors of cancer and individuals without a history of cancer. Conclusion These results highlight the importance of ensuring access to lifelong personalized screening, surveillance, and chronic disease management to help manage chronic conditions, reduce disruptions in employment, and reduce medical expenditures among survivors of cancer.

32 CFR 750.27 - Information and supporting documentation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Federal agency. Upon written request, a copy of the report of the examining physician shall be provided... made for lost wages, a written statement from the employer itemizing actual time and wages lost; (v) If... States for the personal injury or the damages claimed. (3) Property damage. (i) Proof of ownership; (ii...

The University Lost: The Meaning of the University

ERIC Educational Resources Information Center

McFarlane, Donovan A.

2014-01-01

This essay examines the current state of the University in terms of lost meaning and value, especially from the perspective of scholarship. The author specifically points to three works of literature and writers on the subject, and how these works have significantly contributed to our understanding of what is taking place within the modern…

Near-optimal response of instantaneous transpiration efficiency to vapour pressure deficit, temperature and [CO2] in cotton (Gossypium hirsutum L.).

USDA-ARS?s Scientific Manuscript database

The instantaneous transpiration efficiency (ITE, the ratio of photosynthesis rate to transpiration) is an important variable for crops, because it ultimately affects dry mass production per unit of plant water lost to the atmosphere. The theory that stomata optimize carbon uptake per unit water used...

Type 1 Diabetes Among East African Immigrant and Nonimmigrant Black Youth in the U.S.

PubMed

O'Connor, M Rebecca; Dobra, Adrian; Voss, Joachim; Pihoker, Catherine; Doorenbos, Ardith

2015-01-01

Type 1 diabetes has not previously been described in East African immigrant youth in the United States. The purpose of this study was to compare East African immigrant and nonimmigrant Black youth with type 1 diabetes. Among other clinical and demographic differences, estimated prevalence of type 1 diabetes was nearly four times higher among East African youth in King County, Washington (6.20/1000, 95% confidence interval (CI) [4.49, 7.91] vs. 1.56/1000, 95% CI [1.03, 2.09]) compared to nonimmigrant Black youth. These observations are lost within the Black/African American race classification and additional work is needed to confirm and further explore these findings. Copyright © 2015 Elsevier Inc. All rights reserved.

Evaluation of a Workplace-Based Migraine Education Program.

PubMed

Burton, Wayne N; Chen, Chin-Yu; Li, Xingquan; McCluskey, Maureen; Erickson, Denise; Schultz, Alyssa B

2016-08-01

Migraine affects approximately 10% of working-age adults and is associated with increased health care costs, absenteeism, and presenteeism in the workplace. A migraine education program was offered to United States employees of a global financial services organization. Two hundred forty three employees (46% response rate) completed both a baseline and 6-month follow-up migraine questionnaire. The program included webinars, E-mailed educational tips, and intranet-based resources. No change was found in the frequency of migraines but improvements were observed in the severity, workdays missed, effectiveness at work during migraine, and work/activity limitations. Participants reported taking action to identify and reduce migraine triggers. A worksite disease education program for migraine headache has the potential to significantly impact lost productivity and absenteeism for migraineurs.

The Impact of Social Support on Outcomes in Adult Patients with Type 2 Diabetes: A Systematic Review

PubMed Central

Strom, Joni L.; Egede, Leonard E.

2012-01-01

Diabetes is one of the fastest growing chronic diseases globally and in the United States. Although preventable, type 2 diabetes accounts for 90% of all cases of diabetes worldwide and continues to be a source of increased disability, lost productivity, mortality, and amplified health-care costs. Proper disease management is crucial for achieving better diabetes-related outcomes. Evidence suggests that higher levels of social support are associated with improved clinical outcomes, reduced psychosocial symptomatology, and the adaptation of beneficial lifestyle activities; however, the role of social support in diabetes management is not well understood. The purpose of this systematic review is to examine the impact of social support on outcomes in adults with type 2 diabetes. PMID:22949135

The impact of clean indoor-air laws and cigarette smuggling on demand for cigarettes: an empirical model.

PubMed

Yurekli, A A; Zhang, P

2000-03-01

This study examines the impact of clean indoor-air laws and smuggling activities on states' per capita cigarette consumption and revenues by using a static demand model. The analysis was based on data for 50 states and the District of Columbia (DC) of the United Sates over the period 1970-1995. The estimated price elasticities of demand for cigarettes ranged from -0.48 to -0.62, indicating that a 10% increase in price would reduce consumption per capita by 4.8% to 6.2%. Anti-smoking laws had a significant negative impact on per capita consumption. In 1995, consumption was reduced by 4.7 packs per capita among states with anti-smoking laws, or 1.1 billion fewer packs of cigarettes consumed. Both short-distance smuggling between neighbouring states and long-distance smuggling from Kentucky, North Carolina and Virginia existed and were significant. Smuggling activities from military bases and Indian reservations, however, were not significant. On average, 6% of states' tax revenues were lost due to smuggling activities in 1995. Results also showed that short-distance smuggling was less important than long-distance smuggling as a source of the revenue loss. Copyright 2000 John Wiley & Sons, Ltd.

[Work days lost due to health problems in industry].

PubMed

Yano, Sylvia Regina Trindade; Santana, Vilma Sousa

2012-05-01

This cross-sectional study estimated the prevalence of work days lost due to health problems and associated factors among industrial workers. The study population was a simple random cluster sample of 3,403 workers from 16 to 65 years of age in the city of Salvador, Bahia State, Brazil. Data were collected with individual home interviews. Among industrial workers, one-year prevalence of work days lost to health problems was 12.5%, of which 5.5% were directly work-related and 4.1% aggravated by work. There were no statistically significant differences when compared to other worker categories. Self-perceived workplace hazards, history of work-related injury, and poor self-rated health were associated with work days lost due to work-related injuries/diseases. The findings showed that work days lost are common among both industrial and non-industrial workers, thereby affecting productivity and requiring prevention programs.

13. Plan drawing: North Dakota State Highway Department Log ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

13. Plan drawing: North Dakota State Highway Department - Log of test borings - Lost Bridge, Spanning Little Missouri River, twenty-three miles north of Killdeer, ND, on State Highway No. 22, Killdeer, Dunn County, ND

Tax Avoidance and Evasion: Cigarette Purchases From Indian Reservations Among US Adult Smokers, 2010-2011

PubMed Central

Xu, Xin; Tynan, Michael A.; Gerzoff, Robert B.; Caraballo, Ralph S.; Promoff, Gabbi R.

2017-01-01

Excise taxes are the primary public health strategy used to increase the price of cigarettes in the United States. Rather than quitting or reducing consumption of cigarettes, some price-sensitive smokers may avoid state and local excise taxes by purchasing cigarettes from Indian reservations. The objectives of this study were to (1) provide the most recent state-specific prevalence of purchases made on Indian reservations by non–American Indians/Alaska Natives (non-AI/ANs) and (2) assess the impact of these purchases on state tax revenues. We used data from a large national and state-representative survey, the 2010-2011 Tobacco Use Supplement to the Current Population Survey, which collects self-reported measures on cigarette use and purchases. Nationwide, 3.8% of non-AI/AN smokers reported purchasing cigarettes from Indian reservations. However, in Arizona, Nevada, New Mexico, New York, Oklahoma, and Washington State, about 15% to 30% of smokers reported making such purchases, resulting in annual tax revenue losses ranging from $3.5 million (Washington State) to $292 million (New York) during 2010-2011. Strategies to reduce the sale of non- or lower-taxed cigarettes to non-AI/ANs on Indian reservations have the potential to decrease smoking prevalence and recoup lost revenue from purchases made on reservations. PMID:28395142

Tax Avoidance and Evasion: Cigarette Purchases From Indian Reservations Among US Adult Smokers, 2010-2011.

PubMed

Wang, Xu; Xu, Xin; Tynan, Michael A; Gerzoff, Robert B; Caraballo, Ralph S; Promoff, Gabbi R

Excise taxes are the primary public health strategy used to increase the price of cigarettes in the United States. Rather than quitting or reducing consumption of cigarettes, some price-sensitive smokers may avoid state and local excise taxes by purchasing cigarettes from Indian reservations. The objectives of this study were to (1) provide the most recent state-specific prevalence of purchases made on Indian reservations by non-American Indians/Alaska Natives (non-AI/ANs) and (2) assess the impact of these purchases on state tax revenues. We used data from a large national and state-representative survey, the 2010-2011 Tobacco Use Supplement to the Current Population Survey, which collects self-reported measures on cigarette use and purchases. Nationwide, 3.8% of non-AI/AN smokers reported purchasing cigarettes from Indian reservations. However, in Arizona, Nevada, New Mexico, New York, Oklahoma, and Washington State, about 15% to 30% of smokers reported making such purchases, resulting in annual tax revenue losses ranging from $3.5 million (Washington State) to $292 million (New York) during 2010-2011. Strategies to reduce the sale of non- or lower-taxed cigarettes to non-AI/ANs on Indian reservations have the potential to decrease smoking prevalence and recoup lost revenue from purchases made on reservations.

Lost Instruction: The Disparate Impact of the School Discipline Gap in California

ERIC Educational Resources Information Center

Losen, Daniel J.; Whitaker, Amir

2017-01-01

This report is the first to analyze California's school discipline data as measured by days of missed instruction due to suspension. The state reports the number of suspensions for each district, disaggregated by racial/ethnic groups, but it does not provide any information on how much instructional time was lost. The authors used information from…

The monetary value of human lives lost due to neglected tropical diseases in Africa.

PubMed

Kirigia, Joses Muthuri; Mburugu, Gitonga N

2017-12-18

Neglected tropical diseases (NTDs) are an important cause of death and disability in Africa. This study estimates the monetary value of human lives lost due to NTDs in the continent in 2015. The lost output or human capital approach was used to evaluate the years of life lost due to premature deaths from NTDs among 10 high/upper-middle-income (Group 1), 17 middle-income (Group 2) and 27 low-income (Group 3) countries in Africa. The future losses were discounted to their present values at a 3% discount rate. The model was re-analysed using 5% and 10% discount rates to assess the impact on the estimated total value of human lives lost. The estimated value of 67 860 human lives lost in 2015 due to NTDs was Int$ 5 112 472 607. Out of that, 14.6% was borne by Group 1, 57.7% by Group 2 and 27.7% by Group 3 countries. The mean value of human life lost per NTD death was Int$ 231 278, Int$ 109 771 and Int$ 37 489 for Group 1, Group 2 and Group 3 countries, respectively. The estimated value of human lives lost in 2015 due to NTDs was equivalent to 0.1% of the cumulative gross domestic product of the 53 continental African countries. Even though NTDs are not a major cause of death, they impact negatively on the productivity of those affected throughout their life-course. Thus, the case for investing in NTDs control should also be influenced by the value of NTD morbidity, availability of effective donated medicines, human rights arguments, and need to achieve the NTD-related target 3.3 of the United Nations Sustainable Development Goal 3 (on health) by 2030.

Attitude Determination and Control Systems

NASA Technical Reports Server (NTRS)

Starin, Scott R.; Eterno, John

2011-01-01

In the year 1900, Galveston, Texas, was a bustling community of approximately 40,000 people. The former capital of the Republic of Texas remained a trade center for the state and was one of the largest cotton ports in the United States. On September 8 of that year, however, a powerful hurricane struck Galveston island, tearing the Weather Bureau wind gauge away as the winds exceeded 100 mph and bringing a storm surge that flooded the entire city. The worst natural disaster in United States history even today the hurricane caused the deaths of between 6000 and 8000 people. Critical in the events that led to such a terrible loss of life was the lack of precise knowledge of the strength of the storm before it hit. In 2008, Hurricane Ike, the third costliest hurricane ever to hit the United States coast, traveled through the Gulf of Mexico. Ike was gigantic, and the devastation in its path included the Turk and Caicos Islands, Haiti, and huge swaths of the coast of the Gulf of Mexico. Once again, Galveston, now a city of nearly 60,000, took the direct hit as Ike came ashore. Almost 200 people in the Caribbean and the United States lost their lives; a tragedy to be sure, but far less deadly than the 1900 storm. This time, people were prepared, having received excellent warning from the GOES satellite network. The Geostationary Operational Environmental Satellites have been a continuous monitor of the world's weather since 1975, and they have since been joined by other Earth-observing satellites. This weather surveillance to which so many now owe their lives is possible in part because of the ability to point accurately and steadily at the Earth below. The importance of accurately pointing spacecraft to our daily lives is pervasive, yet somehow escapes the notice of most people. But the example of the lives saved from Hurricane Ike as compared to the 1900 storm is something no one should ignore. In this section, we will summarize the processes and technologies used in designing and operating spacecraft pointing (i.e. attitude) systems.

5. VIEW OF UPRIGHT OUTLET GATE WHEEL, STEM AND STEM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. VIEW OF UPRIGHT OUTLET GATE WHEEL, STEM AND STEM GUIDE (HARDESTY CAST IRON RECTANGULAR SLIDE GATE), LOOKING SOUTHWEST - High Mountain Dams in Bonneville Unit, Lost Lake Dam, Kamas, Summit County, UT

14. Plan drawing: North Dakota State Highway Department Stress ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

14. Plan drawing: North Dakota State Highway Department - Stress and camber diagrams for 162" truss - Lost Bridge, Spanning Little Missouri River, twenty-three miles north of Killdeer, ND, on State Highway No. 22, Killdeer, Dunn County, ND

Satellites measure recent rates of groundwater depletion in California's Central Valley

NASA Astrophysics Data System (ADS)

Famiglietti, J. S.; Lo, M.; Ho, S. L.; Bethune, J.; Anderson, K. J.; Syed, T. H.; Swenson, S. C.; de Linage, C. R.; Rodell, M.

2011-02-01

In highly-productive agricultural areas such as California's Central Valley, where groundwater often supplies the bulk of the water required for irrigation, quantifying rates of groundwater depletion remains a challenge owing to a lack of monitoring infrastructure and the absence of water use reporting requirements. Here we use 78 months (October, 2003-March, 2010) of data from the Gravity Recovery and Climate Experiment satellite mission to estimate water storage changes in California's Sacramento and San Joaquin River Basins. We find that the basins are losing water at a rate of 31.0 ± 2.7 mm yr-1 equivalent water height, equal to a volume of 30.9 km3 for the study period, or nearly the capacity of Lake Mead, the largest reservoir in the United States. We use additional observations and hydrological model information to determine that the majority of these losses are due to groundwater depletion in the Central Valley. Our results show that the Central Valley lost 20.4 ± 3.9 mm yr-1 of groundwater during the 78-month period, or 20.3 km3 in volume. Continued groundwater depletion at this rate may well be unsustainable, with potentially dire consequences for the economic and food security of the United States.

Countering resistance to protected-area extension.

PubMed

Lindenmayer, David; Thorn, Simon; Noss, Reed

2018-04-01

The establishment of protected areas is a critical strategy for conserving biodiversity. Key policy directives like the Aichi targets seek to expand protected areas to 17% of Earth's land surface, with calls by some conservation biologists for much more. However, in places such as the United States, Germany, and Australia, attempts to increase protected areas are meeting strong resistance from communities, industry groups, and governments. We examined case studies of such resistance in Victoria, Australia, Bavaria, Germany, and Florida, United States. We considered 4 ways to tackle this problem. First, broaden the case for protected areas beyond nature conservation to include economic, human health, and other benefits, and translate these into a persuasive business case for protected areas. Second, better communicate the conservation values of protected areas. This should include highlighting how many species, communities, and ecosystems have been conserved by protected areas and the counterfactual (i.e., what would have been lost without protected area establishment). Third, consider zoning of activities to ensure the maintenance of effective management. Finally, remind citizens to think about conservation when they vote, including holding politicians accountable for their environmental promises. Without tackling resistance to expanding the protected estate, it will be impossible to reach conservation targets, and this will undermine attempts to stem the global extinction crisis. © 2017 Society for Conservation Biology.

Death revisited: rethinking death and the dead donor rule.

PubMed

Iltis, Ana Smith; Cherry, Mark J

2010-06-01

Traditionally, people were recognized as being dead using cardio-respiratory criteria: individuals who had permanently stopped breathing and whose heart had permanently stopped beating were dead. Technological developments in the middle of the twentieth century and the advent of the intensive care unit made it possible to sustain cardio-respiratory and other functions in patients with severe brain injury who previously would have lost such functions permanently shortly after sustaining a brain injury. What could and should physicians caring for such patients do? Significant advances in human organ transplantation also played direct and indirect roles in discussions regarding the care of such patients. Because successful transplantation requires that organs be removed from cadavers shortly after death to avoid organ damage due to loss of oxygen, there has been keen interest in knowing precisely when people are dead so that organs could be removed. Criteria for declaring death using neurological criteria developed, and today a whole brain definition of death is widely used and recognized by all 50 states in the United States as an acceptable way to determine death. We explore the ongoing debate over definitions of death, particularly over brain death or death determined using neurological criteria, and the relationship between definitions of death and organ transplantation.

A Guide to Bottomland Hardwood Restoration

USGS Publications Warehouse

Allen, J.A.; Keeland, B.D.; Stanturf, J.A.; Clewell, A.F.; Kennedy, H.E.

2001-01-01

During the last century, a large amount of the original bottomland hardwood forest area in the United States has been lost, with losses greatest in the Lower Mississippi Alluvial Valley and East Texas. With a holistic approach in mind, this manual describes methods to restore bottomland hardwoods in the lower Midwest, including the Lower Mississippi Alluvial Valley and the southeastern United States. Bottomland hardwoods in this guide include not only the hardwood species that predominate in most forested floodplains of the area but also the softwood species such as baldcypress that often co-occur. General restoration planning considerations are discussed as well as more specific elements of bottomland hardwood restoration such as species selection, site preparation, direct seeding, planting of seedlings, and alternative options for revegetation. We recognize that most projects will probably fall more within the realm of reforestation or afforestation rather than a restoration, as some site preparation and the planting of seeds or trees may be the only actions taken. Practical information needed to restore an area is provided in the guide, and it is left up to the restorationist to decide how complete the restoration will be. Postplanting and monitoring considerations are also addressed. Restoration and management of existing forests are included because of the extensive areas of degraded natural forests in need of rehabilitation.

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

USGS Publications Warehouse

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

2003-01-01

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

The Aha! Moment: Making Math Concepts Stick

ERIC Educational Resources Information Center

Evans, Laurynn

2008-01-01

This author states that she has lost count of the number of times that she has watched a student have the thrill of an "aha!" moment in a math classroom only to later discover that he or she forgot the skill, lost track of the process, or could not demonstrate their learning when assessment time rolled around. It is frustrating for teachers and…

22 CFR 72.28 - Claims for lost, stolen, or destroyed personal estate.

Code of Federal Regulations, 2012 CFR

2012-04-01

... pursuant to 22 U.S.C. 2669-1 and 2669 (f). (b) Any compensation paid to the estate shall be in lieu of the... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Claims for lost, stolen, or destroyed personal estate. 72.28 Section 72.28 Foreign Relations DEPARTMENT OF STATE PROTECTION AND WELFARE OF AMERICANS...

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

PubMed

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

2015-01-01

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

Financial Neutrality for Living Organ Donors: Reasoning, Rationale, Definitions, and Implementation Strategies.

PubMed

Hays, R; Rodrigue, J R; Cohen, D; Danovitch, G; Matas, A; Schold, J; LaPointe Rudow, D

2016-07-01

In the United States, live organ donation can be a costly and burdensome undertaking for donors. While most donation-related medical expenses are covered, many donors still face lost wages, travel expenses, incidentals, and potential for future insurability problems. Despite widespread consensus that live donors (LD) should not be responsible for the costs associated with donation, little has changed to alleviate financial burdens for LDs in the last decade. To achieve this goal, the transplant community must actively pursue strategies and policies to eliminate unreimbursed out-of-pocket costs to LDs. Costs should be more appropriately distributed across all stakeholders; this will also make live donation possible for people who, in the current system, cannot afford to proceed. We propose the goal of LD "financial neutrality," offer an operational definition to include the coverage/reimbursement of all medical, travel, and lodging costs, along with lost wages, related to the act of donating an organ, and guidance for consideration of medical care coverage, and wage and other expense reimbursement. The intent of this report is to provide a foundation to inform discussion within the transplant community and to advance initiatives for policy and resource allocation. © Copyright 2016 The American Society of Transplantation and the American Society of Transplant Surgeons.

High Demand, Core Geosciences, and Meeting the Challenges through Online Approaches

NASA Astrophysics Data System (ADS)

Keane, Christopher; Leahy, P. Patrick; Houlton, Heather; Wilson, Carolyn

2014-05-01

As the geosciences has evolved over the last several decades, so too has undergraduate geoscience education, both from a standpoint of curriculum and educational experience. In the United States, we have been experiencing very strong growth in enrollments in geoscience, as well as employment demand for the last 7 years. That growth has been largely fueled by all aspects of the energy boom in the US, both from the energy production side and the environmental management side. Interestingly the portfolio of experiences and knowledge required are strongly congruent as evidenced from results of the American Geosciences Institute's National Geoscience Exit Survey. Likewise, the demand for new geoscientists in the US is outstripping even the nearly unprecedented growth in enrollments and degrees, which is calling into question the geosciences' inability to effectively reach into the largest growing segments of the U.S. College population - underrepresented minorities. We will also examine the results of the AGI Survey on Geoscience Online Learning and examine how the results of that survey are rectified with Peter Smith's "Middle Third" theory on "wasted talent" because of spatial, economic, and social dislocation. In particular, the geosciences are late to the online learning game in the United States and most faculty engaged in such activities are "lone wolves" in their department operating with little knowledge of the support structures that exist in such development. Yet the most cited barriers for faculty not engaging actively in online learning is the assertion that laboratory and field experiences will be lost and thus fight engaging in this medium. However, the survey shows that faculty are discovering novel approaches to address these issues, many of which have great application to enabling geoscience programs in the United States to meet the expanding demand for geoscience degrees.

ASC Addresses Unit Commanders’ Concerns through LBE and Reset Programs

DTIC Science & Technology

2008-09-01

Distribution Management Center (DMC). The DMC, based at ASC Headquarters on Rock Island Arsenal, Ilinois, has become the single ASC integrator for LBE and field-level reset in support of ARFORGEN. The reset of units returning from OEF/OIF consists of a series of actions to restore the units to a desired level of combat capability commensurate with future mission requirements. These actions include the repair of equipment, replacement of equipment lost during operations, and recapitalization of equipment where feasible and

Effect of Continued Medical Therapy on Productivity Costs for Refractory Chronic Rhinosinusitis.

PubMed

Rudmik, Luke; Soler, Zachary M; Smith, Timothy L; Mace, Jess C; Schlosser, Rodney J; DeConde, Adam S

2015-11-01

It is estimated that lost productivity related to chronic rhinosinusitis (CRS) costs society in excess of $13 billion per year in the United States. Given this tremendous cost to society, it is important to evaluate the effect of current interventions on improving this productivity loss. To define the change in productivity costs in patients with refractory CRS who select continued medical therapy. Observational cohort study. Thirty-eight patients with a guideline-based diagnosis of CRS whose initial appropriate medical therapy failed were enrolled from 4 tertiary-level rhinology clinics. The study was conducted from December 6, 2010, to April 23, 2013, and data analysis was performed from December 6, 2010, to June 1, 2015. Continued medical therapy for CRS. The human capital approach was applied to quantify productivity costs. Absenteeism, presenteeism, and lost leisure time were quantified to define annual lost productive time, which was measured at enrollment (baseline) and at a minimum of 6 months after treatment. Lost productive time was monetized using the annual daily wage rates obtained from the 2012 US National Census and the 2013 US Department of Labor statistics. Thirty-eight patients with refractory CRS who selected continued medical therapy had a mean (SD) baseline annual productivity cost of $3464 ($4900) per patient. After continued medical therapy for a mean of 12.8 (4.8) months, productivity costs were $2730 ($3720) (before vs after continued medical therapy productivity cost, P = .74). Mean annual absenteeism was reduced from 5 (12) days to 2 (8) days (P = .02). Mean annual presenteeism (17 [27] days reduced to 15 [23] days; P = .93) and mean annual household days lost (7 [7] days reduced to 6 [6] days; P = .51) were maintained at baseline levels. There were no significant differences in productivity outcomes based on endoscopy, the 22-item Sinonasal Outcome Test score, age, or polyp status (all P ≥ .11). Patients with refractory CRS often make treatment decisions based on the degree of quality-of-life and productivity impairment. Outcomes from this study suggest that productivity in patients with refractory CRS who have minor reductions in baseline productivity can remain stable with continued medical therapy. Physicians can use this information to inform appropriate patients with CRS of their expected outcomes from continued medical therapy.

A critical appraisal of assimilationist and radical ideologies underlying same-sex marriage in LGBT communities in the United States.

PubMed

Yep, Gust A; Lovaas, Karen E; Elia, John P

2003-01-01

Debates over same-sex marriage have reached the main stage of contemporary U.S. politics. The purpose of this essay is to identify and examine how sexual ideologies in U.S. LGBT communities inform and influence relationship construction in general and same-sex marriage in particular. To accomplish this, we first discuss the nature of sexual ideologies. Next, we identify current sexual ideologies in LGBT communities and examine some of their fundamental features and their implications for relationship construction with a focus on same-sex marriage. We conclude with a discussion of what is potentially gained and lost by same-sex matrimonial bonds and explore some of the prospects of relationship construction within LGBT communities in the future.

Population trends of North American shorebirds based on the International Shorebird Survey

USGS Publications Warehouse

Howe, M.A.; Geissler, P.H.; Harrington, B.A.

1989-01-01

Shorebirds (Charadiiformes) are prime candidates for population decline because of their dependence on wetlands that are being lost at a rapid pace. Thirty-six of the 49 species of shorebirds that breed in North America spend most of the year in Latin America. Because populations of most species breed and winter at remote sites , it may be feasible to monitor their numbers at migration stopovers. In this study, we used statistical trend analysis methods, developed for the North American Breeding Bird Survey, to analyze data on shorebird populations during south-bound migration in the United States. Survey data were collected by volunteers in the International Shorebird Survey (ISS). Methodological concerns over both the ISS and the trend analysis procedures are discussed in detail and biological interpretations of the results are suggested.

Reuse and Biocompatibility of Hemodialysis Membranes: Clinically Relevant?

PubMed

Upadhyay, Ashish; Jaber, Bertrand L

2017-03-01

The practice of reprocessing dialyzers for reuse, once predominant in the United States, has been steadily declining over the last 20 years. The professed roles of reuse in improving dialyzer membrane biocompatibility and lowering the risk of first-use syndrome have lost relevance with the advent of biocompatible dialyzer membranes and favorable sterilization techniques. The potential for cost-savings from reuse is also called into question by the easy availability of comparatively cheaper dialyzers and rising regulatory demands and operational cost of reprocessing systems. While the environmental concerns from additional dialyzer-related solid waste from rising single-use practice remains pertinent and requires development of safer dialyzer disposable system technologies, there is no meaningful medical rationale for the continued practice of dialyzer reuse in the twenty-first century. © 2017 Wiley Periodicals, Inc.

The US commercial space launch program and the Department of Defense dilemma

NASA Astrophysics Data System (ADS)

Clapp, William G.

1994-08-01

A scenario by which the United States might regain its lost advantage in launching commercial satellites is developed using the Ariane space commercial launch company as a benchmark. Ariane's advantages are identified and low-cost recommendations for countering them are presented The four areas selected for analysis inidentifying an American strategy are launch vehicle: (1) payload characteristics; (2) delivery costs; (3) selection process; and (4) technology. Several of the recommendations require Department of Defense funding even though the primary beneficiary appears to be the commercial space sector. But this will ensure that the military has affordable access to space and it is part of a dual purpose strategy whereby government spending benefits both the public and private sector. There is also a brief discussion of other foreign launch vehicle competition.

Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans.

PubMed

Hwang, Wei-Chin; Ting, Julia Y

2008-04-01

This study examines the impact of level of acculturation and acculturative stress on the mental health of Asian American college students. Hierarchical regression analyses were used to clarify the relation between level of acculturation, acculturative stress, and mental health outcomes (psychological distress and clinical depression). Being less identified with mainstream United States culture was associated with higher psychological distress and clinical depression, but lost significance when acculturative stress was introduced into the model. Retention or relinquishing of identification with one's heritage culture was not associated with mental health outcomes. Although understanding level of acculturation can help us identify those at risk, findings suggest that acculturative stress is a more proximal risk factor and increases risk for mental health problems independently of global perceptions of stress.

KSC-2011-1211

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- A wreath is displayed at the foot of the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida during a Day of Remembrance ceremony to honor members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The memorial honors 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

KSC-2011-1208

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- Flowers lay at the foot of the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida before a Day of Remembrance wreath laying ceremony to honor members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The memorial honors 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

Barbara Morgan and Christa McAuliffe watch the STS 61-A launch of Challenger

NASA Image and Video Library

1986-01-09

S86-25293 (30 Oct. 1985) --- Barbara R. Morgan and Sharon Christa McAuliffe (right) are pictured during a visit to NASA's Kennedy Space Center (KSC) Launch Complex 39 to witness the launch of the space shuttle Challenger. McAuliffe is scheduled to launch aboard the space shuttle Challenger, STS-51L mission, herself early next year as the United States? first in-space citizen observer. Morgan is the backup for the Teacher-in-Space Project?s payload specialist position. The photo was taken by Keith Meyers of the New York Times. EDITOR'S NOTE: The STS-51L crew members lost their lives in the space shuttle Challenger accident moments after launch on Jan. 28, 1986 from the Kennedy Space Center (KSC). Photo credit: NASA

Barbara Morgan and Christa McAuliffe watch the STS 61-A launch of Challenger

NASA Image and Video Library

1986-01-09

S86-25294 (30 Oct. 1985) --- Barbara R. Morgan and Sharon Christa McAuliffe (right) are pictured during a visit to NASA's Kennedy Space Center (KSC) Launch Complex 39 to witness the launch of the space shuttle Challenger. McAuliffe is scheduled to launch aboard the space shuttle Challenger, STS-51L mission, herself early next year as the United States? first in-space citizen observer. Morgan is the backup for the Teacher-in-Space Project?s payload specialist position. The photo was taken by Keith Meyers of the New York Times. EDITOR?S NOTE: The STS-51L crew members lost their lives in the space shuttle Challenger accident moments after launch on Jan. 28, 1986 from the Kennedy Space Center (KSC). Photo credit: NASA

Costs of occupational injuries in agriculture.

PubMed Central

Leigh, J. P.; McCurdy, S. A.; Schenker, M. B.

2001-01-01

OBJECTIVE: This study was conducted to estimate the costs of job-related injuries in agriculture in the United States for 1992. METHODS: The authors reviewed data from national surveys to assess the incidence of fatal and non-fatal farm injuries. Numerical adjustments were made for weaknesses in the most reliable data sets. For example, the Bureau of Labor Statistics (BLS) Annual Survey estimate of non-fatal injuries is adjusted upward by a factor of 4.7 to reflect the BLS undercount of farm injuries. To assess costs, the authors used the human capital method that allocates costs to direct categories such as medical expenses, as well as indirect categories such as lost earnings, lost home production, and lost fringe benefits. Cost data were drawn from the Health Care Financing Administration and the National Council on Compensation Insurance. RESULTS: Eight hundred forty-one (841) deaths and 512,539 non-fatal injuries are estimated for 1992. The non-fatal injuries include 281,896 that led to at least one full day of work loss. Agricultural occupational injuries cost an estimated $4.57 billion (range $3.14 billion to $13.99 billion) in 1992. On a per person basis, farming contributes roughly 30% more than the national average to occupational injury costs. Direct costs are estimated to be $1.66 billion and indirect costs, $2.93 billion. CONCLUSIONS: The costs of farm injuries are on a par with the costs of hepatitis C. This high cost is in sharp contrast to the limited public attention and economic resources devoted to prevention and amelioration of farm injuries. Agricultural occupational injuries are an underappreciated contributor to the overall national burden of health and medical costs. PMID:12034913

Costs of occupational injuries in agriculture.

PubMed

Leigh, J P; McCurdy, S A; Schenker, M B

2001-01-01

This study was conducted to estimate the costs of job-related injuries in agriculture in the United States for 1992. The authors reviewed data from national surveys to assess the incidence of fatal and non-fatal farm injuries. Numerical adjustments were made for weaknesses in the most reliable data sets. For example, the Bureau of Labor Statistics (BLS) Annual Survey estimate of non-fatal injuries is adjusted upward by a factor of 4.7 to reflect the BLS undercount of farm injuries. To assess costs, the authors used the human capital method that allocates costs to direct categories such as medical expenses, as well as indirect categories such as lost earnings, lost home production, and lost fringe benefits. Cost data were drawn from the Health Care Financing Administration and the National Council on Compensation Insurance. Eight hundred forty-one (841) deaths and 512,539 non-fatal injuries are estimated for 1992. The non-fatal injuries include 281,896 that led to at least one full day of work loss. Agricultural occupational injuries cost an estimated $4.57 billion (range $3.14 billion to $13.99 billion) in 1992. On a per person basis, farming contributes roughly 30% more than the national average to occupational injury costs. Direct costs are estimated to be $1.66 billion and indirect costs, $2.93 billion. The costs of farm injuries are on a par with the costs of hepatitis C. This high cost is in sharp contrast to the limited public attention and economic resources devoted to prevention and amelioration of farm injuries. Agricultural occupational injuries are an underappreciated contributor to the overall national burden of health and medical costs.

Summary of floods in the United States during 1969

USGS Publications Warehouse

Reid, J.K.

1975-01-01

The most outstanding floods in the United States during 1969 are described in chronological order. The areas most seriously affected by flooding were: Central and southern California (January and February); the upper Midwestern States of North Dakota, South Dakota, Minnesota, Iowa, Wisconsin, and Illinois (April); north-central Ohio (July); Mississippi, Alabama, and Virginia (Hurricane Camille in August); and Florida and Georgia (September). Severe floods in central and southern California were caused by three storms during January and February. At least 60 lives were lost. Homes and property were destroyed or damaged, by rainstorms, floods, and mudflows. Many floods approached or exceeded the maximum known. The severe flood damage was due partly to recent home construction in floodprone areas. The April floods in the upper Midwestern States of North Dakota, South Dakota, Minnesota, Iowa, Wisconsin, and Illinois were expected because of a large accumulation of snow containing as much as 8 inches of water. Flood-protection procedures, together with cool temperatures, had a mitigating effect on the flood. The floods were the largest since the late 1800's, and their recurrence intervals exceeded 50 years at many of the gaged sites. Estimates of flood damage were about $147 million. More than a million acres of rich agricultural land were inundated, thousands of culverts and bridges were washed out, 23,000 people were forced from their homes and 11 lives were lost in the six-State flood area. Intense rainstorms and wind with gusts as much as 100 miles per hour, July 4-5, caused record floods in north-central Ohio, July 4-8. The storm and floods left trees uprooted, more than $66 million in damage, and 41 deaths. In many places the floods were the largest of record. Together with the wind and rainstorm, the hydrologic conditions were among the most significant experienced in the area. Hurricane Camille was the most intense hurricane on record to enter the United States mainland. It struck the Mississippi-Alabama coast on August 18, with tidal waves as high as 25 feet above mean sea level and wind velocities more than 190 miles per hour. Tidal wave and flood damage was about $1.3 billion. In Mississippi the known dead totaled 139 and 76 other persons were missing. The hurricane intensity decreased as it moved inland until it merged with severe rainstorms over the Appalachian mountains. The intensified hurricane then caused record-breaking floods of streams in a 50-mile-wide area as it moved eastward from Sulphur Springs, W. Va., to Fredericksburg, Va. Total flood damage in Virginia exceeded $116 million. There were 113 known deaths, 102 injuries, and 39 people missing. A tropical storm that was nearly stationary over northwest Florida for about 48 hours, September 20-23 produced record rains and floods. Near Quincy, Fla., the total rainfall for the period exceeded 20 inches. On Little River near Quincy, the peak discharge was nearly twice the previous maximum of record and was three times that of a 50-year flood. Flood damage to agricultural lands, bridges, culverts, and roads was about $1.7 million.

Epilepsy, excess deaths and years of life lost from external causes.

PubMed

Nevalainen, Olli; Simola, Mikko; Ansakorpi, Hanna; Raitanen, Jani; Artama, Miia; Isojärvi, Jouko; Auvinen, Anssi

2016-05-01

We systematically quantified excess mortality in epilepsy patients by cause of death using the population-attributable fraction and epilepsy-attributable years of potential life lost (YPLL) by age 75 years at ages 15 and over. We updated and undertook a re-review of mortality studies from our previous systematic review following PRISMA guidelines to identify cohort studies of general epilepsy populations reporting a relative risk (RR) of death by cause relative to the background rates in the population. Studies on epilepsy prevalence were identified through published reviews. Country-specific mortality figures were obtained from the WHO World Mortality Database. We performed a pooled analysis with the DerSimonian-Laird random effects method. In countries with very high Human Development Indices, epilepsy contributed to 0.5-1.1 % of all deaths in the total population. Among external causes, suicides (RR 2.9, 95 % confidence interval 2.2-3.8; I(2) 52 %) were the major contributor to YPLL, corresponding to 6.7 % and 4.2 % of excess YPLL due to epilepsy in the United States (US) and in the United Kingdom (UK) in 2010, with 541 (346-792) and 44 (28-65) excess suicide cases, respectively. Fatal accidental falls were more common, with 813 (610-1064) and 95 (71-125) excess deaths in the US and in the UK, but these caused only 2.0 % of excess YPLL as they occurred in older age groups. Suicides were the most important external cause of death in epilepsy patients in terms of excess YPLL, whereas other external causes were either more common in older ages or caused less excess deaths.

Crater Identification Algorithm for the Lost in Low Lunar Orbit Scenario

NASA Technical Reports Server (NTRS)

Hanak, Chad; Crain, TImothy

2010-01-01

Recent emphasis by NASA on returning astronauts to the Moon has placed attention on the subject of lunar surface feature tracking. Although many algorithms have been proposed for lunar surface feature tracking navigation, much less attention has been paid to the issue of navigational state initialization from lunar craters in a lost in low lunar orbit (LLO) scenario. That is, a scenario in which lunar surface feature tracking must begin, but current navigation state knowledge is either unavailable or too poor to initiate a tracking algorithm. The situation is analogous to the lost in space scenario for star trackers. A new crater identification algorithm is developed herein that allows for navigation state initialization from as few as one image of the lunar surface with no a priori state knowledge. The algorithm takes as inputs the locations and diameters of craters that have been detected in an image, and uses the information to match the craters to entries in the USGS lunar crater catalog via non-dimensional crater triangle parameters. Due to the large number of uncataloged craters that exist on the lunar surface, a probability-based check was developed to reject false identifications. The algorithm was tested on craters detected in four revolutions of Apollo 16 LLO images, and shown to perform well.

Aeromedical transport of a patient with massive chylothorax following pneumonectomy for mesothelioma.

PubMed

Deviri, Ehud; Caine, Yehezkel; Henig-Hadar, Avinoam; Saute, Milton; Ish Tov, Eytan

2009-11-01

Long-distance transportation of a patient in an unstable condition is a challenging operation. When circumstances require using a commercial flight it is even more so. A 57-yr-old man in Israel underwent extrapleural pneumonectomy for mesothelioma, following which he developed a massive chylothorax of more than 6 L x d(-1). Due to the failure of medical treatment and the high operative risk under such conditions, it was decided to transfer him to the United States by commercial flight for a percutaneous, fluoroscopy-guided closure of the thoracic duct. The patient was accompanied by a physician and a nonmedical assistant and occupied a first-class seat enclosed by curtains. He arrived at the departure airport in a hypovolemic state with low cardiac output and blood pressure of 78/60 Torr. During the flight he was treated with intravenous fluids, chest physiotherapy, and oxygen. In addition, fibrin clots blocked the drainage system on two occasions, requiring corrective action. On arrival in the United States the patient's condition had improved: his blood pressure was 123/91 Torr with a capillary oxygen saturation of 95% without supplementary oxygen. During the 18 h in transit (11 h in flight) he had lost more than 5 L of lymph. Under carefully controlled circumstances it is possible to use commercial flights to transport patients whose condition is unstable and complicated. Safety can be increased by focusing on the specific problems associated with the clinical condition and anticipating possible adverse events during the flight.

U.S. Army soldiers' perceptions of arthropod pests and their effects on military missions.

PubMed

Mehr, Z A; Rutledge, L C; Echano, N M; Gupta, R K

1997-12-01

A survey was conducted to determine the effects of biting and stinging arthropods on military personnel, operations, and training. Nearly 70% of respondents reported experiencing problems attributable to arthropods. Arthropods obstructed movement and field position, prevented concealment and cover, disrupted maneuvers, and caused panic. Twenty percent of respondents reported attendance at sick call for treatment of bites or stings, and 4% were hospitalized or assigned to quarters. Median lost time was 2 days. Bee, wasp, and ant stings and spider and chigger bites were the most frequent causes of lost time. Additional training on biting and stinging arthropods, use of repellents and other personal protective measures, first aid for bites and stings, and conditions requiring medical attention is needed in field units to enhance mission performance and reduce time lost because of arthropods. Materials for treatment of bites and stings should be included in first-aid kits issued for field use.

Energy savings, emission reductions, and health co-benefits of the green building movement.

PubMed

P, MacNaughton; X, Cao; J, Buonocore; J, Cedeno-Laurent; J, Spengler; A, Bernstein; J, Allen

2018-06-01

Buildings consume nearly 40% of primary energy production globally. Certified green buildings substantially reduce energy consumption on a per square foot basis and they also focus on indoor environmental quality. However, the co-benefits to health through reductions in energy and concomitant reductions in air pollution have not been examined.We calculated year by year LEED (Leadership in Energy and Environmental Design) certification rates in six countries (the United States, China, India, Brazil, Germany, and Turkey) and then used data from the Green Building Information Gateway (GBIG) to estimate energy savings in each country each year. Of the green building rating schemes, LEED accounts for 32% of green-certified floor space and publically reports energy efficiency data. We employed Harvard's Co-BE Calculator to determine pollutant emissions reductions by country accounting for transient energy mixes and baseline energy use intensities. Co-BE applies the social cost of carbon and the social cost of atmospheric release to translate these reductions into health benefits. Based on modeled energy use, LEED-certified buildings saved $7.5B in energy costs and averted 33MT of CO 2 , 51 kt of SO 2 , 38 kt of NO x , and 10 kt of PM 2.5 from entering the atmosphere, which amounts to $5.8B (lower limit = $2.3B, upper limit = $9.1B) in climate and health co-benefits from 2000 to 2016 in the six countries investigated. The U.S. health benefits derive from avoiding an estimated 172-405 premature deaths, 171 hospital admissions, 11,000 asthma exacerbations, 54,000 respiratory symptoms, 21,000 lost days of work, and 16,000 lost days of school. Because the climate and health benefits are nearly equivalent to the energy savings for green buildings in the United States, and up to 10 times higher in developing countries, they provide an important and previously unquantified societal value. Future analyses should consider these co-benefits when weighing policy decisions around energy-efficient buildings.

[Current events in vaccination].

PubMed

Aubert, M; Aumaître, H; Beytout, J; Bloch, K; Bouhour, D; Callamand, P; Chave, C; Cheymol, J; Combadière, B; Dahlab, A; Denis, F; De Pontual, L; Dodet, B; Dommergues, M A; Dufour, V; Gagneur, A; Gaillat, J; Gaudelus, J; Gavazzi, G; Gillet, Y; Gras-le-Guen, C; Haas, H; Hanslik, T; Hau-Rainsard, I; Larnaudie, S; Launay, O; Lorrot, M; Loulergue, P; Malvy, D; Marchand, S; Picherot, G; Pinquier, D; Pulcini, C; Rabaud, C; Regnier, F; Reinert, P; Sana, C; Savagner, C; Soubeyrand, B; Stephan, J L; Strady, C

2011-05-01

The annual meeting of the Infectious Disease Society of America (IDSA); which brought together nearly 5000 participants from over 80 countries in Vancouver, Canada, October 21 to 24, 2010; provided a review of the influenza (H1N1) 2009 pandemic, evaluated vaccination programmes and presented new vaccines under development. With 12,500 deaths in the United States in 2009-2010, the influenza (H1N1) 2009 pandemic was actually less deadly than the seasonal flu. But it essentially hit the young, and the toll calculated in years of life lost is high. The monovalent vaccines, whether live attenuated or inactivated with or without adjuvants, were well tolerated in toddlers, children, adults and pregnant women. In order to protect infants against pertussis, family members are urged to get their booster shots. The introduction of the 13-valent Pneumococcal conjugated vaccine in the beginning of 2010 may solve--but for how long?--the problem of serotype replacement, responsible for the re-increasing incidence of invasive Pneumococcal infections observed in countries that had introduced the 7-valent vaccine. The efficacy of a rotavirus vaccine has been confirmed, with a reduction in hospitalization in the United States and a reduction in gastroenteritis-related deaths in Mexico. In the United States, vaccination of pre-adolescents against human papillomavirus (HPV) has not resulted in any specific undesirable effects. Routine vaccination against chicken pox, recommended since 1995, has not had an impact on the evolution of the incidence of shingles. Vaccination against shingles, recommended in the United States for subjects 60 years and over, shows an effectiveness of 55%, according to a cohort study (Kaiser Permanente, Southern California). Although some propose the development of personalized vaccines according to individual genetic characteristics, the priority remains with increasing vaccine coverage, not only in infants but also in adults and the elderly. Vaccine calendars that cover a whole lifetime should be promoted, since the vaccination of adults and seniors is a determining factor of good health at all ages. Copyright © 2011. Published by Elsevier SAS.. All rights reserved.

Principal-agent problems in health care systems: an international perspective.

PubMed

Smith, P C; Stepan, A; Valdmanis, V; Verheyen, P

1997-07-01

A central feature of all health care systems is the flow of finances from the population, via a variety of agencies, to the providers of health care. Each transfer of funds within the system involves a principal-agent problem, in the sense that a principal is entrusting funds to an agent with the intention that some desired aspect of health care delivery can be secured. This paper examines within the context of a principal-agent model three key elements of the health care system: the raising of finance, the transfer of funds to hospitals, and spending by hospitals. At each of these stages there is a danger that the objectives of society for the health care system are lost. In order to illustrate the issues involved, five mature systems of health care are examined: Austria, Germany, the United Kingdom, the Netherlands and the United States of America. The paper concludes that three aspects of the flow of funds are crucial to securing adequate control: the means of controlling patient entry to hospitals; the mechanism for remunerating hospitals for additional patients; and the control of physicians by hospital management.

How to Steal a Dog and Other Lessons in Life

ERIC Educational Resources Information Center

O'Connor, Barbara

2007-01-01

In this article, the author relates how a lost dog gave her the idea for writing her book, "How to Steal a Dog." Her tale of serendipity began when she, a dog-lover, walked into a garden center near her home and saw a sign for a lost dog taped beside the cash register. She states that, although her story is about a girl who stole a dog and…

The feasibility of replacing or upgrading utility distribution transformers during routine maintenance

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

Barnes, P.R.; Van Dyke, J.W.; McConnell, B.W.

It is estimated that electric utilities use about 40 million distribution transformers in supplying electricity to customers in the United States. Although utility distribution transformers collectively have a high average efficiency, they account for approximately 61 billion kWh of the 229 billion kWh of energy lost annually in the delivery of electricity. Distribution transformers are being replaced over time by new, more efficient, lower-loss units during routine utility maintenance of power distribution systems. Maintenance is typically not performed on units in service. However, units removed from service with appreciable remaining life are often refurbished and returned to stock. Distribution transformersmore » may be removed from service for many reasons, including failure, over- or underloading, or line upgrades such as voltage changes or rerouting. When distribution transformers are removed from service, a decision must be made whether to dispose of the transformer and purchase a lower-loss replacement or to refurbish the transformer and return it to stock for future use. This report contains findings and recommendations on replacing utility distribution transformers during routine maintenance, which is required by section 124(c) of the Energy Policy Act of 1992. The objectives of the study are to evaluate the practicability, cost-effectiveness, and potential energy savings of replacing or upgrading existing transformers during routine utility maintenance and to develop recommendations on was to achieve the potential energy savings.« less

Direct and Indirect Costs of Chronic and Episodic Migraine in the United States: A Web-Based Survey.

PubMed

Messali, Andrew; Sanderson, Joanna C; Blumenfeld, Andrew M; Goadsby, Peter J; Buse, Dawn C; Varon, Sepideh F; Stokes, Michael; Lipton, Richard B

2016-02-01

The objective of this study was to compare the societal direct and indirect costs of chronic and episodic migraine in the United States. Episodic and chronic migraine are distinguished by the frequency of headache-days. Chronic migraine has a greater overall impact on quality of life than does episodic migraine. Individuals with chronic migraine also use more healthcare resources (resulting in higher direct costs) and experience greater decreases in productivity (resulting in higher indirect costs) than those with episodic migraine as shown in the American Migraine Prevalence and Prevention (AMPP) Study. The International Burden of Migraine Study utilized a web-based questionnaire to elicit data on several topics related to the burden of migraine illness, including health resource utilization and productivity losses. Potential survey participants were identified by Synovate Healthcare (Chicago, IL, USA) from a pool of registered panelists from various countries. The panelists were screened online to determine eligibility and to identify individuals with migraine (episodic or chronic), based on reported symptoms. Participants from the United States were divided into episodic and chronic migraine groups, based on reported headache-day per month frequency. Direct and indirect costs were estimated by applying estimated unit costs to reported headache-related productivity losses and resource use. Costs were compared between participants with episodic and chronic migraine. Mean [standard deviation] total annual cost of headache among people with chronic migraine ($8243 [$10,646]) was over three times that of episodic migraine ($2649 [$4634], P < .001). Participants with chronic migraine had significantly greater direct medical costs ($4943 [$6382]) and indirect (lost productivity) costs ($3300 [$6907]) than did participants with episodic migraine (direct, $1705 [$3591]; indirect, $943 [$2084]) (P < .001 for each). Unlike previous findings, direct medical costs constituted the majority of total headache-related costs for both chronic migraine (60.0%, $4943 of $8243) and episodic migraine (64.3%, $1705 of $2649) participants. A large portion of direct medical costs are attributable to pharmaceutical utilization among both chronic migraine (80%, $3925 of 4943) and episodic migraine (70%, $1196 of $1705) participants. The results of this study build on previous results of the AMPP Study, demonstrating that headache-related direct, indirect, and total costs are significantly greater among individuals with chronic migraine than with episodic migraine in the United States. © 2016 American Headache Society.

Incidence and lifetime costs of injuries in the United States

PubMed Central

Corso, P; Finkelstein, E; Miller, T; Fiebelkorn, I; Zaloshnja, E

2006-01-01

Background Standardized methodologies for assessing economic burden of injury at the national or international level do not exist. Objective To measure national incidence, medical costs, and productivity losses of medically treated injuries using the most recent data available in the United States, as a case study for similarly developed countries undertaking economic burden analyses. Method The authors combined several data sets to estimate the incidence of fatal and non‐fatal injuries in 2000. They computed unit medical and productivity costs and multiplied these costs by corresponding incidence estimates to yield total lifetime costs of injuries occurring in 2000. Main outcome measures Incidence, medical costs, productivity losses, and total costs for injuries stratified by age group, sex, and mechanism. Results More than 50 million Americans experienced a medically treated injury in 2000, resulting in lifetime costs of $406 billion; $80 billion for medical treatment and $326 billion for lost productivity. Males had a 20% higher rate of injury than females. Injuries resulting from falls or being struck by/against an object accounted for more than 44% of injuries. The rate of medically treated injuries declined by 15% from 1985 to 2000 in the US. For those aged 0–44, the incidence rate of injuries declined by more than 20%; while persons aged 75 and older experienced a 20% increase. Conclusions These national burden estimates provide unequivocal evidence of the large health and financial burden of injuries. This study can serve as a template for other countries or be used in intercountry comparisons. PMID:16887941

Astro-H/Hitomi data analysis, processing, and archive

NASA Astrophysics Data System (ADS)

Angelini, Lorella; Terada, Yukikatsu; Dutka, Michael; Eggen, Joseph; Harrus, Ilana; Hill, Robert S.; Krimm, Hans; Loewenstein, Michael; Miller, Eric D.; Nobukawa, Masayoshi; Rutkowski, Kristin; Sargent, Andrew; Sawada, Makoto; Takahashi, Hiromitsu; Yamaguchi, Hiroya; Yaqoob, Tahir; Witthoeft, Michael

2018-01-01

Astro-H is the x-ray/gamma-ray mission led by Japan with international participation, launched on February 17, 2016. Soon after launch, Astro-H was renamed Hitomi. The payload consists of four different instruments (SXS, SXI, HXI, and SGD) that operate simultaneously to cover the energy range from 0.3 keV up to 600 keV. On March 27, 2016, JAXA lost contact with the satellite and, on April 28, they announced the cessation of the efforts to restore mission operations. Hitomi collected about one month's worth of data with its instruments. This paper presents the analysis software and the data processing pipeline created to calibrate and analyze the Hitomi science data, along with the plan for the archive. These activities have been a collaborative effort shared between scientists and software engineers working in several institutes in Japan and United States.

Many Benefits, Little Risk: The Use of Massage in Nursing Practice.

PubMed

Westman, Kathryn F; Blaisdell, Cathy

2016-01-01

Since ancient times, massage therapy has been used to promote healing by people of all backgrounds and cultures. Massage therapy was once taught as a core nursing skill, but it gradually lost ground in the United States during the second half of the 20th century with the increased use of technology and documentation in nursing. In recent years, however, there has been a resurgence in the use of massage therapy. Research has provided insight into the mechanisms by which massage supports the healing process, and this has sparked support for including massage therapy in routine hospital care. In this article, the authors touch on the history of massage in nursing care and discuss its emotional and physiologic benefits for both patient and nurse. They describe specific massage techniques and discuss precautions to consider before using massage with certain patients.

KSC-2011-1217

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- Kennedy Space Center Director and former astronaut Bob Cabana answers media questions during a Day of Remembrance wreath laying ceremony at the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida. The ceremony honors members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The memorial displays the names of 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

KSC-2011-1213

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- President and C.E.O. of The Astronauts Memorial Foundation Stephen Feldman displays a single yellow rose near the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida during a Day of Remembrance ceremony to honor members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The memorial honors 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

Postpartum Loss to HIV Care and HIV Viral Suppression among Previously Diagnosed HIV-Infected Women with a Live Birth in New York State

PubMed Central

2016-01-01

Mother-to-child-transmission of HIV in the United States has been greatly reduced, with clear benefits for the child. However, little is known about factors that predict maternal loss to HIV care in the postpartum year. This retrospective cohort study included 980 HIV-positive women, diagnosed with HIV at least one year before pregnancy, who had a live birth during 2008–2010 in New York State. Women who did not meet the following criterion in the 12 months after the delivery-related hospital discharge were considered to be lost to HIV care: two or more laboratory tests (CD4 or HIV viral load), separated by at least 90 days. Adjusted relative risks (aRR) and 95% confidence intervals (CI) for predictors of postpartum loss to HIV care were identified with Poisson regression, solved using generalized estimating equations. Having an unsuppressed (>200 copies/mL) HIV viral load in the postpartum year was also evaluated. Overall, 24% of women were loss to HIV care during the postpartum year. Women with low participation in HIV care during preconception were more likely to be lost to HIV care during the postpartum year (aRR: 2.70; 95% CI: 2.09–3.49). In contrast, having a low birth weight infant was significantly associated with a decreased likelihood of loss to HIV care (aRR: 0.72; 95% CI: 0.53–0.98). While 75% of women were virally suppressed at the last viral load before delivery only 44% were continuously suppressed in the postpartum year; 12% had no viral load test reported in the postpartum year and 44% had at least one unsuppressed viral load test. Lack of engagement in preconception HIV-related health care predicts postpartum loss to HIV care for HIV-positive parturient women. Many women had poor viral control during the postpartum period, increasing the risk of disease progression and infectivity. PMID:27513953

Gibraltar v 1.0

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

CURRY, MATTHEW LEON; WARD, H. LEE; & SKJELLUM, ANTHONY

Gibraltar is a library and associated test suite which performs Reed-Solomon coding and decoding of data buffers using graphics processing units which support NVIDIA's CUDA technology. This library is used to generate redundant data allowing for recovery of lost information. For example, a user can generate m new blocks of data from n original blocks, distributing those pieces over n+m devices. If any m devices fail, the contents of those devices can be recovered from the contents of the other n devices, even if some of the original blocks are lost. This is a generalized description of RAID, a techniquemore » for increasing data storage speed and size.« less

In search of the silver bullet: regulatory models to address childhood obesity.

PubMed

Rothenberg, Joan R

2010-01-01

The concern over obesity today has evolved beyond an issue of personal vanity to a serious national health issue affecting millions of Americans. Obesity in children is especially alarming. Overweight children and adolescents are at risk for health problems throughout their lives. While under-nutrition or diet insufficiencies were once major obstacles in the development of healthy infants and children, the epidemic of childhood obesity marks the start of the 21st century with equally menacing health consequences. Childhood obesity creates an increased burden of disease on our economy with increased indirect economic costs of time lost from work for parents and time lost from school for the child. Data raise the possibility that the current generation of children could suffer greater illness or experience a shorter lifespan than that of their parents. Some experts believe that government mandated restrictions on dietary choices would alleviate the obesity problem, while others find such actions to be an unwarranted government intrusion. Still, as concerns about obesity continue to grow, especially regarding children, some say government intervention of some type is necessary to solve the problem. This paper examines the history and factors involved in the childhood obesity epidemic, explores regulatory options for its resolution, and provides an overview of obesity as a serious challenge to public health, and the health of children in particular. The federal agencies who share the responsibility for regulating food in the United States and their efforts to address the obesity problem are discussed as a background to various state and federal regulatory models influencing dietary choices. The effectiveness of proposed regulations and alternatives to government intervention suggest that the resolution of the childhood obesity issue requires a coordinated, multilevel approach.

The State Fiscal Situation: The Lost Decade

ERIC Educational Resources Information Center

National Governors Association, 2009

2009-01-01

The fiscal condition of states deteriorated dramatically over the last two years because of the depth and length of the economic downturn, and state officials do not expect this situation to improve any time soon. Previous downturns have proven that the worst budget years for a state are the two years after the national recession is declared over.…

Options for water-level control in developed wetlands

USGS Publications Warehouse

Kelley, J. R.; Laubhan, M. K.; Reid, F. A.; Wortham, J. S.; Fredrickson, L. H.

1993-01-01

Wetland habitats in the United States currently are lost at a rate of 260,000 acres/year (105,218 ha/year). Consequently, water birds concentrate in fewer and smaller areas. Such concentrations may deplete food supplies and influence behavior, physiology, and survival. Continued losses increase the importance of sound management of the remaining wetlands because water birds depend on them. Human activities modified the natural hydrology of most remaining wetlands in the conterminous United States, and such hydrologic alterations frequently reduce wetland productivity. The restoration of original wetland functions and productivity often requires the development of water distribution and discharge systems to emulate natural hydrologic regimes. Construction of levees and correct placement of control structures and water-delivery and water-discharge systems are necessary to (1) create soil and water conditions for the germination of desirable plants, (2) control nuisance vegetation, (3) promote the production of invertebrates, and (4) make foods available for wildlife that depends of wetlands (Leaflets 13.2.1 and 13.4.6). This paper provides basic guidelines for the design of wetlands that benefit wildlife. If biological considerations are not incorporated into such designs, the capability of managing wetlands for water birds is reduced and costs often are greater. Although we address the development of palustrine wetlands in migration and wintering areas, many of the discussed principles are applicable to the development of other wetland types and in other locations.

The burden of allergic rhinitis.

PubMed

Nathan, Robert A

2007-01-01

Although formerly regarded as a nuisance disease, allergic rhinitis (AR) has a considerable effect on quality of life and can have significant consequences if left untreated. The total burden of this disease lies not only in impaired physical and social functioning but also in a financial burden made greater when considering evidence that AR is a possible causal factor in comorbid diseases such as asthma or sinusitis. Compared with matched controls, patients with AR have an approximate twofold increase in medication costs and 1.8-fold the number of visits to health practitioners. Hidden direct costs include the treatment of comorbid asthma, chronic sinusitis, otitis media, upper respiratory infection, and nasal polyposis. Nasal congestion, the most prominent symptom in AR, is associated with sleep-disordered breathing, a condition that can have a profound effect on mental health, including increased psychiatric disorders, depression, anxiety, and alcohol abuse. Furthermore, sleep-disordered breathing in childhood and adolescence is associated with increased disorders of learning performance, behavior, and attention. In the United States, AR results in 3.5 million lost workdays and 2 million lost schooldays annually. Patients struggle to alleviate their misery, frequently self-adjusting their treatment regimen of over-the-counter and prescription medications because of lack of efficacy, deterioration of efficacy, lack of 24-hour relief, and bothersome side effects. Ironically, health care providers overestimate patient satisfaction with therapy. Therefore, improvement in patient-practitioner communication may enhance patient adherence with prescribed regimens.

Transplant tourism in the United States: a single-center experience.

PubMed

Gill, Jagbir; Madhira, Bhaskara R; Gjertson, David; Lipshutz, Gerald; Cecka, J Michael; Pham, Phuong-Thu; Wilkinson, Alan; Bunnapradist, Suphamai; Danovitch, Gabriel M

2008-11-01

Transplant "tourism" typically refers to the practice of traveling outside the country of residence to obtain organ transplantation. This study describes the characteristics and outcomes of 33 kidney transplant recipients who traveled abroad for transplant and returned to University of California, Los Angeles (UCLA) for follow-up. Posttransplantation outcomes were compared between tourists and a matched cohort of patients who underwent transplantation at UCLA (matched for age, race, transplant year, dialysis time, previous transplantation, and donor type). Median follow-up time was 487 d (range 68 to 3056). Compared with all patients who underwent transplantation at UCLA, tourists included more Asians and had shorter dialysis times. Most patients traveled to their region of ethnicity with the majority undergoing transplantation in China (44%), Iran (16%), and the Philippines (13%). Living unrelated transplants were most common. Tourists presented to UCLA a median of 35 d after transplantation. Four patients required urgent hospitalization, three of whom lost their grafts. Seventeen (52%) patients had infections, with nine requiring hospitalization. One patient lost her graft and subsequently died from complications related to donor-contracted hepatitis B. One-year graft survival was 89% for tourists and 98% for the matched UCLA cohort (P = 0.75). The rate of acute rejection at 1 yr was 30% in tourists and 12% in the matched cohort. Tourists had a more complex posttransplantation course with a higher incidence of acute rejection and severe infectious complications.

Direct and Indirect Costs Following Living Kidney Donation: Findings From the KDOC Study.

PubMed

Rodrigue, J R; Schold, J D; Morrissey, P; Whiting, J; Vella, J; Kayler, L K; Katz, D; Jones, J; Kaplan, B; Fleishman, A; Pavlakis, M; Mandelbrot, D A

2016-03-01

Some living kidney donors (LKDs) incur costs associated with donation, although these costs are not well characterized in the United States. We collected cost data in the 12 mo following donation from 182 LKDs participating in the multicenter prospective Kidney Donor Outcomes Cohort (KDOC) Study. Most LKDs (n = 167, 92%) had one direct cost or more following donation, including ground transportation (86%), health care (41%), meals (53%), medications (36%), lodging (23%), and air transportation (12%). LKDs missed 33 072 total work hours, 40% of which were unpaid and led to $302 175 in lost wages (mean $1660). Caregivers lost $68 655 in wages (mean $377). Although some donors received financial assistance, 89% had a net financial loss in the 12-mo period, with one-third (33%) reporting a loss exceeding $2500. Financial burden was higher for those with greater travel distance to the transplant center (Spearman's ρ = 0.26, p < 0.001), lower household income (Spearman's ρ = -0.25, p < 0.001), and more unpaid work hours missed (Spearman's ρ = 0.52, p < 0.001). Achieving financial neutrality for LKDs must be an immediate priority for the transplant community, governmental agencies, insurance companies, nonprofit organizations, and society at large. © Copyright 2016 The American Society of Transplantation and the American Society of Transplant Surgeons.

Costs of occupational injury and illness across industries.

PubMed

Leigh, J Paul; Waehrer, Geetha; Miller, Ted R; Keenan, Craig

2004-06-01

This study has ranked industries using estimated total costs and costs per worker. This incidence study of nationwide data was carried out in 1993. The main outcome measure was total cost for medical care, lost productivity, and pain and suffering for the entire United States (US). The analysis was conducted using fatal and nonfatal injury and illness data recorded in large data sets from the US Bureau of Labor Statistics. Cost data were derived from workers' compensation records, estimates of lost wages, and jury awards. Current-value calculations were used to express all costs in 1993 in US dollars. The following industries were at the top of the list for average cost (cost per worker): taxicabs, bituminous coal and lignite mining, logging, crushed stone, oil field services, water transportation services, sand and gravel, and trucking. Industries high on the total-cost list were trucking, eating and drinking places, hospitals, grocery stores, nursing homes, motor vehicles, and department stores. Industries at the bottom of the cost-per-worker list included legal services, security brokers, mortgage bankers, security exchanges, and labor union offices. Detailed methodology was developed for ranking industries by total cost and cost per worker. Ranking by total costs provided information on total burden of hazards, and ranking by cost per worker provided information on risk. Industries that ranked high on both lists deserve increased research and regulatory attention.

Race, Space, and Cumulative Disadvantage: A Case Study of the Subprime Lending Collapse.

PubMed

Rugh, Jacob S; Albright, Len; Massey, Douglas S

2015-05-01

In this article, we describe how residential segregation and individual racial disparities generate racialized patterns of subprime lending and lead to financial loss among black borrowers in segregated cities. We conceptualize race as a cumulative disadvantage because of its direct and indirect effects on socioeconomic status at the individual and neighborhood levels, with consequences that reverberate across a borrower's life and between generations. Using Baltimore, Maryland as a case study setting, we combine data from reports filed under the Home Mortgage Disclosure Act with additional loan-level data from mortgage-backed securities. We find that race and neighborhood racial segregation are critical factors explaining black disadvantage across successive stages in the process of lending and foreclosure, controlling for differences in borrower credit scores, income, occupancy status, and loan-to-value ratios. We analyze the cumulative cost of predatory lending to black borrowers in terms of reduced disposable income and lost wealth. We find the cost to be substantial. Black borrowers paid an estimated additional 5 to 11 percent in monthly payments and those that completed foreclosure in the sample lost an excess of $2 million in home equity. These costs were magnified in mostly black neighborhoods and in turn heavily concentrated in communities of color. By elucidating the mechanisms that link black segregation to discrimination we demonstrate how processes of cumulative disadvantage continue to undermine black socioeconomic status in the United States today.

A framework to predict the impacts of shale gas infrastructures on the forest fragmentation of an agroforest region.

PubMed

Racicot, Alexandre; Babin-Roussel, Véronique; Dauphinais, Jean-François; Joly, Jean-Sébastien; Noël, Pascal; Lavoie, Claude

2014-05-01

We propose a framework to facilitate the evaluation of the impacts of shale gas infrastructures (well pads, roads, and pipelines) on land cover features, especially with regards to forest fragmentation. We used a geographic information system and realistic development scenarios largely inspired by the PA (United States) experience, but adapted to a region of QC (Canada) with an already fragmented forest cover and a high gas potential. The scenario with the greatest impact results from development limited by regulatory constraints only, with no access to private roads for connecting well pads to the public road network. The scenario with the lowest impact additionally integrates ecological constraints (deer yards, maple woodlots, and wetlands). Overall the differences between these two scenarios are relatively minor, with <1 % of the forest cover lost in each case. However, large areas of core forests would be lost in both scenarios and the number of forest patches would increase by 13-21 % due to fragmentation. The pipeline network would have a much greater footprint on the land cover than access roads. Using data acquired since the beginning of the shale gas industry, we show that it is possible, within a reasonable time frame, to produce a robust assessment of the impacts of shale gas extraction. The framework we propose could easily be applied to other contexts or jurisdictions.

Workers' compensation claims for musculoskeletal disorders among wholesale and retail trade industry workers--Ohio, 2005-2009.

PubMed

2013-06-07

Work-related musculoskeletal disorders (WMSDs) resulting from ergonomic hazards are common in the United States. Recent data from the Bureau of Labor Statistics (BLS) indicate that in 2011, one third of occupational injuries and illnesses resulting in lost time from work were WMSDs. Based on data from the 2010 BLS Survey of Occupational Injuries and Illnesses, a higher rate of WMSDs resulting in lost time from work occurred in the Wholesale and Retail Trade (WRT) industry compared with most other industries. To assess trends and identify WRT subsectors and subgroups associated with high rates of WMSD workers' compensation claims, the Ohio Bureau of Workers' Compensation (OBWC) and CDC analyzed OBWC claims data for single-location WRT employers in Ohio for the period 2005-2009. From 2005 to 2009, the rate of WMSD claims declined from 86.3 to 52.8 per 10,000 employees. The three WRT industry subsectors with the highest rates of WMSD claims were Merchant Wholesalers, Nondurable Goods; Furniture and Home Furnishings Stores; and Merchant Wholesalers, Durable Goods. Within those three WRT subsectors, the highest rates of WMSD claims were noted in five subgroups: furniture stores and wholesalers of alcoholic beverages, groceries and related products, metal and minerals, and motor vehicle parts. Providing recommendations for WMSD prevention is particularly important for these WRT subgroups.

76 FR 72164 - Circular Welded Carbon-Quality Steel Pipe From India, the Sultanate of Oman, the United Arab...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-22

... depression or suppression; decline in financial performance; lost sales and revenue; and increase in the... buys the major input, steel coils, rather than producing the steel. See Volume I of the Petition at II...

3 CFR 8558 - Proclamation 8558 of September 10, 2010. National Days of Prayer and Remembrance, 2010

Code of Federal Regulations, 2011 CFR

2011-01-01

... lost the comfort and companionship of loved ones and friends in those moments, and we mourn with them... dear friends and loved ones—reinforces our resolve to unite with one another, for the country we all...

The impact of new (orphan) drug approvals on premature mortality from rare diseases in the United States and France, 1999-2007.

PubMed

Lichtenberg, Frank R

2013-02-01

This paper investigates the impact of the introduction of new orphan drugs on premature mortality from rare diseases using longitudinal, disease-level data obtained from a number of major databases. The analysis is performed using data from two countries: the United States (during the period 1999-2006) and France (during the period 2000-2007). For both countries, we estimate models using two alternative definitions of premature mortality, several alternative criteria for inclusion in the set of rare diseases, and several values of the potential lag between new drug approvals and premature mortality reduction. Both the United States and French estimates indicate that, overall, premature mortality from rare diseases is unrelated to the cumulative number of drugs approved 0-2 years earlier but is significantly inversely related to the cumulative number of drugs approved 3-4 years earlier. This delay is not surprising, since most patients probably do not have access to a drug until several years after it has been launched. Although the estimates for the two countries are qualitatively similar, the estimated magnitudes of the US coefficients are about four times as large as the magnitudes of the French coefficients. This may be partly due to greater errors in measuring dates of drug introduction in France. Also, access to new drugs may be more restricted in France than it is in the United States. Our estimates indicate that, in the United States, potential years of life lost to rare diseases before age 65 (PYLL65) declined at an average annual rate of 3.3% and that, in the absence of lagged new drug approvals, PYLL65 would have increased at a rate of 0.9%. Since the US population aged 0-64 was increasing at the rate of 1.0% per year, this means that PYLL65 per person under 65 would have remained approximately constant. The reduction in the US growth rate of PYLL65 attributable to lagged new drug approvals was 4.2%. In France, PYLL65 declined at an average annual rate of 1.8%. The estimates imply that, in the absence of lagged new drug approvals, it would have declined at a rate of 0.6%. The reduction in the French growth rate of PYLL65 attributable to lagged new drug approvals was 1.1%. Earlier access to orphan drugs could result in earlier reductions in premature mortality from rare diseases.

Particulate Matter Exposure and Preterm Birth: Estimates of U.S. Attributable Burden and Economic Costs

PubMed Central

Trasande, Leonardo; Malecha, Patrick; Attina, Teresa M.

2016-01-01

Background: Preterm birth (PTB) rates (11.4% in 2013) in the United States remain high and are a substantial cause of morbidity. Studies of prenatal exposure have associated particulate matter ≤ 2.5 μm in diameter (PM2.5) and other ambient air pollutants with adverse birth outcomes; yet, to our knowledge, burden and costs of PM2.5-attributable PTB have not been estimated in the United States. Objectives: We aimed to estimate burden of PTB in the United States and economic costs attributable to PM2.5 exposure in 2010. Methods: Annual deciles of PM2.5 were obtained from the U.S. Environmental Protection Agency. We converted PTB odds ratio (OR), identified in a previous meta-analysis (1.15 per 10 μg/m3 for our base case, 1.07–1.16 for low- and high-end scenarios) to relative risk (RRs), to obtain an estimate that better represents the true relative risk. A reference level (RL) of 8.8 μg/m3 was applied. We then used the RR estimates and county-level PTB prevalence to quantify PM2.5-attributable PTB. Direct medical costs were obtained from the 2007 Institute of Medicine report, and lost economic productivity (LEP) was estimated using a meta-analysis of PTB-associated IQ loss, and well-established relationships of IQ loss with LEP. All costs were calculated using 2010 dollars. Results: An estimated 3.32% of PTBs nationally (corresponding to 15,808 PTBs) in 2010 could be attributed to PM2.5 (PM2.5 > 8.8 μg/m3). Attributable PTBs cost were estimated at $5.09 billion [sensitivity analysis (SA): $2.43–9.66 B], of which $760 million were spent for medical care (SA: $362 M–1.44 B). The estimated PM2.5 attributable fraction (AF) of PTB was highest in urban counties, with highest AFs in the Ohio Valley and the southern United States. Conclusions: PM2.5 may contribute substantially to burden and costs of PTB in the United States, and considerable health and economic benefits could be achieved through environmental regulatory interventions that reduce PM2.5 exposure in pregnancy. Citation: Trasande L, Malecha P, Attina TM. 2016. Particulate matter exposure and preterm birth: estimates of U.S. attributable burden and economic costs. Environ Health Perspect 124:1913–1918; http://dx.doi.org/10.1289/ehp.1510810 PMID:27022947

Particulate Matter Exposure and Preterm Birth: Estimates of U.S. Attributable Burden and Economic Costs.

PubMed

Trasande, Leonardo; Malecha, Patrick; Attina, Teresa M

2016-12-01

Preterm birth (PTB) rates (11.4% in 2013) in the United States remain high and are a substantial cause of morbidity. Studies of prenatal exposure have associated particulate matter ≤ 2.5 μm in diameter (PM2.5) and other ambient air pollutants with adverse birth outcomes; yet, to our knowledge, burden and costs of PM2.5-attributable PTB have not been estimated in the United States. We aimed to estimate burden of PTB in the United States and economic costs attributable to PM2.5 exposure in 2010. Annual deciles of PM2.5 were obtained from the U.S. Environmental Protection Agency. We converted PTB odds ratio (OR), identified in a previous meta-analysis (1.15 per 10 μg/m3 for our base case, 1.07-1.16 for low- and high-end scenarios) to relative risk (RRs), to obtain an estimate that better represents the true relative risk. A reference level (RL) of 8.8 μg/m3 was applied. We then used the RR estimates and county-level PTB prevalence to quantify PM2.5-attributable PTB. Direct medical costs were obtained from the 2007 Institute of Medicine report, and lost economic productivity (LEP) was estimated using a meta-analysis of PTB-associated IQ loss, and well-established relationships of IQ loss with LEP. All costs were calculated using 2010 dollars. An estimated 3.32% of PTBs nationally (corresponding to 15,808 PTBs) in 2010 could be attributed to PM2.5 (PM2.5 > 8.8 μg/m3). Attributable PTBs cost were estimated at $5.09 billion [sensitivity analysis (SA): $2.43-9.66 B], of which $760 million were spent for medical care (SA: $362 M-1.44 B). The estimated PM2.5 attributable fraction (AF) of PTB was highest in urban counties, with highest AFs in the Ohio Valley and the southern United States. PM2.5 may contribute substantially to burden and costs of PTB in the United States, and considerable health and economic benefits could be achieved through environmental regulatory interventions that reduce PM2.5 exposure in pregnancy. Citation: Trasande L, Malecha P, Attina TM. 2016. Particulate matter exposure and preterm birth: estimates of U.S. attributable burden and economic costs. Environ Health Perspect 124:1913-1918; http://dx.doi.org/10.1289/ehp.1510810.

Personal Perspectives of Federal/State Roles in Postsecondary Education.

ERIC Educational Resources Information Center

Andringa, Robert C.

Brief observations and predictions on the state of postsecondary education and perspectives on federal and state roles are presented. It is suggested that higher education has lost its former high priority status in the minds of the public and ligislators; survival is a major preoccupation with many collegiate institutions; competition for…

Impact of obesity and knee osteoarthritis on morbidity and mortality in older Americans.

PubMed

Losina, Elena; Walensky, Rochelle P; Reichmann, William M; Holt, Holly L; Gerlovin, Hanna; Solomon, Daniel H; Jordan, Joanne M; Hunter, David J; Suter, Lisa G; Weinstein, Alexander M; Paltiel, A David; Katz, Jeffrey N

2011-02-15

Obesity and knee osteoarthritis are among the most frequent chronic conditions affecting Americans aged 50 to 84 years. To estimate quality-adjusted life-years lost due to obesity and knee osteoarthritis and health benefits of reducing obesity prevalence to levels observed a decade ago. The U.S. Census and obesity data from national data sources were combined with estimated prevalence of symptomatic knee osteoarthritis to assign persons aged 50 to 84 years to 4 subpopulations: nonobese without knee osteoarthritis (reference group), nonobese with knee osteoarthritis, obese without knee osteoarthritis, and obese with knee osteoarthritis. The Osteoarthritis Policy Model, a computer simulation model of knee osteoarthritis and obesity, was used to estimate quality-adjusted life-year losses due to knee osteoarthritis and obesity in comparison with the reference group. United States. U.S. population aged 50 to 84 years. Quality-adjusted life-years lost owing to knee osteoarthritis and obesity. Estimated total losses of per-person quality-adjusted life-years ranged from 1.857 in nonobese persons with knee osteoarthritis to 3.501 for persons affected by both conditions, resulting in a total of 86.0 million quality-adjusted life-years lost due to obesity, knee osteoarthritis, or both. Quality-adjusted life-years lost due to knee osteoarthritis and/or obesity represent 10% to 25% of the remaining quality-adjusted survival of persons aged 50 to 84 years. Hispanic and black women had disproportionately high losses. Model findings suggested that reversing obesity prevalence to levels seen 10 years ago would avert 178,071 cases of coronary heart disease, 889,872 cases of diabetes, and 111,206 total knee replacements. Such a reduction in obesity would increase the quantity of life by 6,318,030 years and improve life expectancy by 7,812,120 quality-adjusted years in U.S. adults aged 50 to 84 years. Comorbidity incidences were derived from prevalence estimates on the basis of life expectancy of the general population, potentially resulting in conservative underestimates. Calibration analyses were conducted to ensure comparability of model-based projections and data from external sources. The number of quality-adjusted life-years lost owing to knee osteoarthritis and obesity seems to be substantial, with black and Hispanic women experiencing disproportionate losses. Reducing mean body mass index to the levels observed a decade ago in this population would yield substantial health benefits. The National Institutes of Health and the Arthritis Foundation.

Soils [Chapter 5

Treesearch

R. W. E. Hopper; P. M. Walthall

1994-01-01

This report describes the soils of the Lost Lake, West Glacier Lake, and East Glacier Lake watersheds of GLEES and presents the methods used in conducting both the field and laboratory work. In addition, general statements about the nature of the mapping units used in making the soil maps are provided.

Financial Barriers and Lapses in Treatment and Care of HIV-Infected Adults in a Southern State in the United States.

PubMed

Wohl, David A; Kuwahara, Rita K; Javadi, Kamran; Kirby, Christine; Rosen, David L; Napravnik, Sonia; Farel, Claire

2017-11-01

Antiretroviral (ARV) adherence has largely been considered from the perspective of an individual's behavior with less attention given to potential structural causes for lapses in treatment, such as the cost of medications and care. HIV medication expense is typically covered by third party payers. However, private insurance premiums and deductibles may rise, or policies terminated such as with a change in employment. Likewise, a patient's eligibility for publicly funded coverage like state AIDS Drug Assistance Programs (ADAP) or Medicaid can also be lost. We conducted a one-time survey of a sample of 300 patients receiving HIV care at a single large academic center in the south of United States to examine lapses in HIV therapy due to financial reasons. We found that during the prior year, financial issues including medication cost or coverage led to a lapse in ARVs in 10% (n = 31) of participants. However, of the 42% (n = 125) participants who had been enrolled in ADAP at any time during the prior year, 21% (n = 26) reported an ARV lapse due to problems with ADAP or medication cost. Respondents cited ADAP's required semi-annual renewal process and other administrative issues as the cause of ARV lapses. The median duration of missed ARVs was 2 weeks (range of <1-23 weeks). Non-HIV medication and transportation to and from clinic costs were also identified as financial burdens to care by respondents. In conclusion, although conducted at a single medical center and one state, this study suggests that a significant minority of HIV-infected patients encounter financial barriers to ARV access, and this is paradoxically more common among those enrolled in the state ADAP. Streamlining, supporting, and simplifying ADAP renewal procedures will likely reduce lapses in ARV adherence and persistence.

The three constituencies of the state: why the state has lost unifying energy.

PubMed

King, Desmond; Le Galès, Patrick

2017-11-01

We address resurgent populism by examining structural processes of state transformation in the UK, the US and France. Scholars stress the 'unifying energy of the state', a set of institutions and policies capable of limiting inequalities and defending legal regimes. One characteristic of modern Western statehood were packages of policies designed to integrate social groups and territories in part by ensuring common standards of provision and social citizenship across the nation state. This echoes James Scott's critical analysis of the modernist project of the state (1998). This 'unifying energy' had different origins including nationalist movements, combatting external influence or powers, war, and preparing citizens for the rigours of industrialization. Overcoming class differences and territorial differences (including cultural, social and economic differences) was a major source of mobilization to feed this 'unifying energy of the state' in France, Italy or Spain for instance. Political and cultural identities are related in significant part to respective nation states. We argue that this 'unifying energy' was an essential component of statehood in Europe and in the US. It is now largely lost. We explain why and the significance of its displacement. © London School of Economics and Political Science 2017.

The state of broadcast meteorology in the United States

NASA Astrophysics Data System (ADS)

Trobec, J.

2010-09-01

According to a 2010 study by the Radio, Television Digital News Association, there are 762 television stations in the U.S. producing local news (and presumably weather) content. Those stations reported staff reductions of 400 news department jobs in 2009, following a cut of 1,200 local news jobs in 2008. Even as the number of news employees declined, local stations increased the amount of local news programming from an average of 4.7 hours to 5.0 hours per weekday in the past year. The phrase "doing more with less" has become a common theme in television newsrooms. Broadcasting economics have also impacted the approximately 2,200 weather presenters on local television stations. Several high-profile, on-air meteorologists have lost their jobs. The workload of weather presenters is evolving as television stations extend their reach beyond broadcasting — to the internet, and wireless (e.g. cellular telephone) delivery of information. Technological advancements have improved televised severe weather coverage. The number of amateur storm chasers possessing video streaming equipment has grown signicantly, and social networks such as Twitter have become a useful source of weather reports from the public.

Steady-state and transient models of groundwater flow and advective transport, Eastern Snake River Plain aquifer, Idaho National Laboratory and vicinity, Idaho

USGS Publications Warehouse

Ackerman, Daniel J.; Rousseau, Joseph P.; Rattray, Gordon W.; Fisher, Jason C.

2010-01-01

Three-dimensional steady-state and transient models of groundwater flow and advective transport in the eastern Snake River Plain aquifer were developed by the U.S. Geological Survey in cooperation with the U.S. Department of Energy. The steady-state and transient flow models cover an area of 1,940 square miles that includes most of the 890 square miles of the Idaho National Laboratory (INL). A 50-year history of waste disposal at the INL has resulted in measurable concentrations of waste contaminants in the eastern Snake River Plain aquifer. Model results can be used in numerical simulations to evaluate the movement of contaminants in the aquifer. Saturated flow in the eastern Snake River Plain aquifer was simulated using the MODFLOW-2000 groundwater flow model. Steady-state flow was simulated to represent conditions in 1980 with average streamflow infiltration from 1966-80 for the Big Lost River, the major variable inflow to the system. The transient flow model simulates groundwater flow between 1980 and 1995, a period that included a 5-year wet cycle (1982-86) followed by an 8-year dry cycle (1987-94). Specified flows into or out of the active model grid define the conditions on all boundaries except the southwest (outflow) boundary, which is simulated with head-dependent flow. In the transient flow model, streamflow infiltration was the major stress, and was variable in time and location. The models were calibrated by adjusting aquifer hydraulic properties to match simulated and observed heads or head differences using the parameter-estimation program incorporated in MODFLOW-2000. Various summary, regression, and inferential statistics, in addition to comparisons of model properties and simulated head to measured properties and head, were used to evaluate the model calibration. Model parameters estimated for the steady-state calibration included hydraulic conductivity for seven of nine hydrogeologic zones and a global value of vertical anisotropy. Parameters estimated for the transient calibration included specific yield for five of the seven hydrogeologic zones. The zones represent five rock units and parts of four rock units with abundant interbedded sediment. All estimates of hydraulic conductivity were nearly within 2 orders of magnitude of the maximum expected value in a range that exceeds 6 orders of magnitude. The estimate of vertical anisotropy was larger than the maximum expected value. All estimates of specific yield and their confidence intervals were within the ranges of values expected for aquifers, the range of values for porosity of basalt, and other estimates of specific yield for basalt. The steady-state model reasonably simulated the observed water-table altitude, orientation, and gradients. Simulation of transient flow conditions accurately reproduced observed changes in the flow system resulting from episodic infiltration from the Big Lost River and facilitated understanding and visualization of the relative importance of historical differences in infiltration in time and space. As described in a conceptual model, the numerical model simulations demonstrate flow that is (1) dominantly horizontal through interflow zones in basalt and vertical anisotropy resulting from contrasts in hydraulic conductivity of various types of basalt and the interbedded sediments, (2) temporally variable due to streamflow infiltration from the Big Lost River, and (3) moving downward downgradient of the INL. The numerical models were reparameterized, recalibrated, and analyzed to evaluate alternative conceptualizations or implementations of the conceptual model. The analysis of the reparameterized models revealed that little improvement in the model could come from alternative descriptions of sediment content, simulated aquifer thickness, streamflow infiltration, and vertical head distribution on the downgradient boundary. Of the alternative estimates of flow to or from the aquifer, only a 20 percent decrease in

The personal and national costs of lost labour force participation due to arthritis: an economic study

PubMed Central

2013-01-01

Background The costs of arthritis to the individuals and the state are considerable. Methods Cross-sectional analysis of the base population of Health&WealthMOD, a microsimulation model of 45 to 64 year old Australians built on data from the Australian Bureau of Statistics’ Survey of Disability, Ageing and Carers and STINMOD, an income and savings microsimulation model. Results Individuals aged 45 to 64 years who had retired early due to arthritis had a median value of AU$260 in total weekly income whereas those who were employed full time were likely to average more than five times this. The large national aggregate impact of early retirement due to arthritis includes AU$9.4 billion in lost GDP, attributable to arthritis through its impact on labour force participation. When looking at the ongoing impact of being out of the labour force those who retired from the labour force early due to arthritis were estimated to have a median value of total savings by the time they are 65 of as little as $300 (for males aged 45–54). This is far lower than the median value of savings for those males aged 45–54 who remained in the labour force full time, who would have an estimated $339 100 of savings at age 65. Conclusions The costs of arthritis to the individuals and the state are considerable. The impacts on the state include loss of productivity from reduced workforce participation, lost income taxation revenue, and increased government support payments – in addition to direct health care costs. Individuals bear the economic costs of lost income and the reduction of their savings over the long term. PMID:23452565

Hard Times and New Deals: Teaching Fifth Graders about the Great Depression.

ERIC Educational Resources Information Center

Fertig, Gary

2001-01-01

Presents a fifth grade study unit about the Great Depression that attempts to incorporate research on student's historical understanding. Features activities that include a simulation focusing on how people lost money, children writing letters to Mrs. Eleanor Roosevelt, and students performing their own historical scenarios. (CMK)

"Lost in Space": The Role of Social Networking in University-Based Entrepreneurial Learning

ERIC Educational Resources Information Center

Lockett, Nigel; Quesada-Pallarès, Carla; Williams-Middleton, Karen; Padilla-Meléndez, Antonio; Jack, Sarah

2017-01-01

While entrepreneurship education increasingly uses various means to connect students to the "real world", the impact of social networking on learning remains underexplored. This qualitative study of student entrepreneurs in the United Kingdom and Sweden shows that their entrepreneurial journey becomes increasingly complex, requiring…

Plant distributions in the southwestern United States; a scenario assessment of the modern-day and future distribution ranges of 166 Species

USGS Publications Warehouse

Thomas, Kathryn A.; Guertin, Patricia P.; Gass, Leila

2012-01-01

The authors developed spatial models of the predicted modern-day suitable habitat (SH) of 166 dominant and indicator plant species of the southwestern United States (herein referred to as the Southwest) and then conducted a coarse assessment of potential future changes in the distribution of their suitable habitat under three climate-change scenarios for two time periods. We used Maxent-based spatial modeling to predict the modern-day and future scenarios of SH for each species in an over 342-million-acre area encompassing all or parts of six states in the Southwest--Arizona, California, Colorado, Nevada, New Mexico, and Utah. Modern-day SH models were predicted by our using 26 annual and monthly average temperature and precipitation variables, averaged for the years 1971-2000. Future SH models were predicted for each species by our using six climate models based on application of the average of 16 General Circulation Models to Intergovernmental Panel on Climate Change emission scenarios B1, A1B, and A2 for two time periods, 2040 to 2069 and 2070 and 2100, referred to respectively as the 2050 and 2100 time periods. The assessment examined each species' vulnerability to loss of modern-day SH under future climate scenarios, potential to gain SH under future climate scenarios, and each species' estimated risk as a function of both vulnerability and potential gains. All 166 species were predicted to lose modern-day SH in the future climate change scenarios. In the 2050 time period, nearly 30 percent of the species lost 75 percent or more of their modern-day suitable habitat, 21 species gained more new SH than their modern-day SH, and 30 species gained less new SH than 25 percent of their modern-day SH. In the 2100 time period, nearly half of the species lost 75 percent or more of their modern-day SH, 28 species gained more new SH than their modern-day SH, and 34 gained less new SH than 25 percent of their modern-day SH. Using nine risk categories we found only two species were in the least risk category, while 20 species were in the highest risk category. The assessment showed that species respond independently to predicted climate change, suggesting that current plant assemblages may disassemble under predicted climate change scenarios. This report presents the results for each species in tables (Appendix A) and maps (14 for each species) in Appendix B.

The Lost Opportunity of the Common Core State Standards

ERIC Educational Resources Information Center

Welner, Kevin G.

2014-01-01

This article offers a commentary on the Common Core State Standards, which were developed by a talented and well-resourced team, and are purported to be of higher quality than many former or existing state standards. However, according to this author, Common Core has become much more than the standards themselves; they are the foundational element…

Death - whose decision? Euthanasia and the terminally ill

PubMed Central

Fraser, S.; Walters, J.

2000-01-01

In Australia and Oregon, USA, legislation to permit statutory sanctioned physician-assisted dying was enacted. However, opponents, many of whom held strong religious views, were successful with repeal in Australia. Similar opposition in Oregon was formidable, but ultimately lost in a 60-40% vote reaffirming physician-assisted dying. This paper examines the human dilemma which arises when technological advances in end-of-life medicine conflict with traditional and religious sanctity-of-life values. Society places high value on personal autonomy, particularly in the United States. We compare the potential for inherent contradictions and arbitrary decisions where patient autonomy is either permitted or forbidden. The broader implications for human experience resulting from new legislation in both Australia and Oregon are discussed. We conclude that allowing autonomy for the terminally ill, within circumscribed options, results in fewer ethical contradictions and greater preservation of dignity. Key Words: Physician-assisted suicide • voluntary euthanasia • patient autonomy • religious belief PMID:10786323

Valuing the human health damage caused by the fraud of Volkswagen.

PubMed

Oldenkamp, Rik; van Zelm, Rosalie; Huijbregts, Mark A J

2016-05-01

Recently it became known that Volkswagen Group has been cheating with emission tests for diesel engines over the last six years, resulting in on-road emissions vastly exceeding legal standards for nitrogen oxides in Europe and the United States. Here, we provide an estimate of the public health consequences caused by this fraud. From 2009 to 2015, approximately nine million fraudulent Volkswagen cars, as sold in Europe and the US, emitted a cumulative amount of 526 ktonnes of nitrogen oxides more than was legally allowed. These fraudulent emissions are associated with 45 thousand disability-adjusted life years (DALYs) and a value of life lost of at least 39 billion US dollars, which is approximately 5.3 times larger than the 7.3 billion US dollars that Volkswagen Group has set aside to cover worldwide costs related to the diesel emissions scandal. Copyright © 2016 Elsevier Ltd. All rights reserved.

Effects of policies designed to keep firearms from high-risk individuals.

PubMed

Webster, Daniel W; Wintemute, Garen J

2015-03-18

This article summarizes and critiques available evidence from studies published between 1999 and August 2014 on the effects of policies designed to keep firearms from high-risk individuals in the United States. Some prohibitions for high-risk individuals (e.g., those under domestic violence restraining orders, violent misdemeanants) and procedures for checking for more types of prohibiting conditions are associated with lower rates of violence. Certain laws intended to prevent prohibited persons from accessing firearms-rigorous permit-to-purchase, comprehensive background checks, strong regulation and oversight of gun dealers, and requiring gun owners to promptly report lost or stolen firearms-are negatively associated with the diversion of guns to criminals. Future research is needed to examine whether these laws curtail nonlethal gun violence and whether the effects of expanding prohibiting conditions for firearm possession are modified by the presence of policies to prevent diversion.

Association Between Breast Cancer Disease Progression and Workplace Productivity in the United States.

PubMed

Yin, Wesley; Horblyuk, Ruslan; Perkins, Julia Jane; Sison, Steve; Smith, Greg; Snider, Julia Thornton; Wu, Yanyu; Philipson, Tomas J

2017-02-01

Determine workplace productivity losses attributable to breast cancer progression. Longitudinal analysis linking 2005 to 2012 medical and pharmacy claims and workplace absence data in the US patients were commercially insured women aged 18 to 64 diagnosed with breast cancer. Productivity was measured as employment status and total quarterly workplace hours missed, and valued using average US wages. Six thousand four hundred and nine women were included. Breast cancer progression was associated with a lower probability of employment (hazard ratio [HR] = 0.65, P < 0.01) and increased workplace hours missed. The annual value of missed work was $24,166 for non-metastatic and $30,666 for metastatic patients. Thus, progression to metastatic disease is associated with an additional $6500 in lost work time (P < 0.05), or 14% of average US wages. Breast cancer progression leads to diminished likelihood of employment, increased workplace hours missed, and increased cost burden.

USN shipboard infrared search and track (IRST) program

NASA Astrophysics Data System (ADS)

Misanin, Joseph E.

1997-08-01

On May 17, 1987 two EXOCET missiles hit and crippled the frigate USS STARK. Thirty seven sailors lost their lives due to the inability of the ship to defend itself against a sea- skimming cruise missile attack. In 1991, as a result of this incident, Congress mandated the establishment of a Program Executive Office for Ship Self Defense. The purpose of the legislation was to preclude another incident by placing a high priority on the combat system engineering process used to design and field the anti-ship cruise missile (ASCM) defense capability of surface ships. Over 35 countries now have sea- skimming ASCMs and this type of threat continues to proliferate. The use of IRST is a critical element of ship self defense, providing early and reliable detection of sea- skimming cruise missiles. This paper describes the contribution of IRST in providing self-defense and the current status of the United States Navy (USN) shipboard IRST development program.

Acclimatization to extreme heat

NASA Astrophysics Data System (ADS)

Warner, M. E.; Ganguly, A. R.; Bhatia, U.

2017-12-01

Heat extremes throughout the globe, as well as in the United States, are expected to increase. These heat extremes have been shown to impact human health, resulting in some of the highest levels of lives lost as compared with similar natural disasters. But in order to inform decision makers and best understand future mortality and morbidity, adaptation and mitigation must be considered. Defined as the ability for individuals or society to change behavior and/or adapt physiologically, acclimatization encompasses the gradual adaptation that occurs over time. Therefore, this research aims to account for acclimatization to extreme heat by using a hybrid methodology that incorporates future air conditioning use and installation patterns with future temperature-related time series data. While previous studies have not accounted for energy usage patterns and market saturation scenarios, we integrate such factors to compare the impact of air conditioning as a tool for acclimatization, with a particular emphasis on mortality within vulnerable communities.

Reconnaissance from Fort Hamlin to Kotzebue Sound, Alaska, by way of Dall, Kanuti, Allen, and Kowak rivers

USGS Publications Warehouse

Mendenhall, W.C.

1902-01-01

The reconnaissance described in the following pages was carried out in pursuance of a plan which has been followed for some years by the United States Geological Survey in the topographic and geologic exploration of the little-known parts of Alaska and in the collection of such information as will be of value not only to the scientific world, but to the prospector, the miner, and the trader. Capital disappears and years are wasted by prospectors who push out beyond the shifting frontier and pursue their search for gold where gold is not to be expected, and lives are being continually lost because the location and character of trails, drainage ways, and mountain ranges and passes are unknown, or because the knowledge which a few possess is not in a form available for the use of others.

Remote detection of geobotanical anomalies associated with hydrocarbon microseepage

NASA Technical Reports Server (NTRS)

Rock, B. N.

1985-01-01

As part of the continuing study of the Lost River, West Virginia NASA/Geosat Test Case Site, an extensive soil gas survey of the site was conducted during the summer of 1983. This soil gas survey has identified an order of magnitude methane, ethane, propane, and butane anomaly that is precisely coincident with the linear maple anomaly reported previously. This and other maple anomalies were previously suggested to be indicative of anaerobic soil conditions associated with hydrocarbon microseepage. In vitro studies support the view that anomalous distributions of native tree species tolerant of anaerobic soil conditions may be useful indicators of methane microseepage in heavily vegetated areas of the United States characterized by deciduous forest cover. Remote sensing systems which allow discrimination and mapping of native tree species and/or species associations will provide the exploration community with a means of identifying vegetation distributional anomalies indicative of microseepage.

The lost history of American veterinary medicine: the need for preservation.

PubMed

Boyd, C Trenton

2011-01-01

The objective of this study was to survey holdings of ephemeral veterinary literature. World Cat OCLC catalog, the Library of Congress online catalog, the US National Agricultural Library online catalog, and the Dictionary Catalog of the National Agricultural Library, 1862-1965, were used to determine current library holdings of materials published by veterinary schools that are no longer in existence and veterinary associations that are defunct, veterinary supply catalogs, veterinary house organs, patent medicine publications, and veterinary advertisements. Individual library catalogs were also consulted. In addition, the practice of removing advertisements from bound volumes was examined. There are many gaps in the cataloged library holdings of primary source materials relating to the history of the education of veterinarians in the United States. A proactive action plan needs to be designed and activated to locate, catalog, and preserve this primary source material of veterinary medicine for posterity.

KSC-2011-1210

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- A flag flies at half-staff near the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida during a Day of Remembrance wreath laying ceremony to honor members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The large mirror made of black granite was designated as a national memorial by Congress and President George Bush in 1991. It honors 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

KSC-2011-1209

NASA Image and Video Library

2011-01-27

CAPE CANAVERAL, Fla. -- Flowers lay at the foot of the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida before a Day of Remembrance wreath laying ceremony to honor members of the NASA family who lost their lives while furthering the cause of exploration and discovery. The floral arrangement is dedicated to the Apollo 1 crew members Virgil "Gus" Grissom, Roger B. Chaffee and Edward H. White II. The memorial honors 24 United States astronauts, including the crew members of space shuttles Columbia and Challenger, Apollo 1, and those who died in training and commercial airplane accidents. The memorial is a project of the Astronauts Memorial Foundation and was paid for by Florida residents who purchased special Challenger mission automobile license plates. 2011 marks the 25th anniversary of the loss of Challenger, which broke apart over the Atlantic Ocean 73 seconds into flight on Jan. 28, 1986. Photo credit: NASA/Kim Shiflett

Teacher in Space Christa McAuliffe on the KC-135 for zero-G training

NASA Image and Video Library

1986-01-08

S86-25192 (January 1986) --- Two payload specialists in training for the STS-51L mission, and a payload specialist from STS-61C share a ?zero-gravity? flight aboard a KC-135 aircraft over the Gulf of Mexico. Left to right are United States Representative Bill Nelson (Democrat, Florida), Sharon Christa McAuliffe, and Barbara R. Morgan. The congressman is a payload specialist for the STS-61C mission. McAuliffe is the prime payload specialist for the Teacher-in-Space Project aboard the STS-51L mission; and Morgan is her backup. The photo was taken by Keith meyers of the New York Times. EDITOR?S NOTE: The STS-51L crew members lost their lives in the space shuttle Challenger accident moments after launch on Jan. 28, 1986 from the Kennedy Space Center (KSC). Photo credit: NASA

The lost history of American veterinary medicine: the need for preservation*†

PubMed Central

Boyd, C. Trenton

2011-01-01

Objective: The objective of this study was to survey holdings of ephemeral veterinary literature. Methods: WorldCat OCLC catalog, the Library of Congress online catalog, the US National Agricultural Library online catalog, and the Dictionary Catalog of the National Agricultural Library, 1862–1965, were used to determine current library holdings of materials published by veterinary schools that are no longer in existence and veterinary associations that are defunct, veterinary supply catalogs, veterinary house organs, patent medicine publications, and veterinary advertisements. Individual library catalogs were also consulted. In addition, the practice of removing advertisements from bound volumes was examined. Results: There are many gaps in the cataloged library holdings of primary source materials relating to the history of the education of veterinarians in the United States. Conclusions: A proactive action plan needs to be designed and activated to locate, catalog, and preserve this primary source material of veterinary medicine for posterity. PMID:21243050

An Army dentist in the combat zone during WWII.

PubMed

Orden, C Q

2001-11-01

It is 60 years since the bombing of Pearl Harbor and the outbreak of World War II for the United States. Some of the men and women who served in the armed forces at the time are willing to share some of their reminiscences with those of us who could not serve for one reason or another or who may not even have been born at the time. One of the dentists who is willing to share some of his memories is Dr. Charles Q. Orden of New York. Unless these people share their memories much history will be lost forever in the next years, and we will all be poorer for it. We sincerely thank Dr. Orden for his offer of information and for allowing us to reproduce Fig. 1 in which he is seen as the dentist using a field dental chair, a foot-powered drill, and with a black dental corpsman as his assistant.

Arab American Adolescents' Perceived Stress and Bullying Experiences: A Qualitative Study.

PubMed

Albdour, Maha; Lewin, Linda; Kavanaugh, Karen; Hong, Jun Sung; Wilson, Feleta

2017-12-01

In 2012, 20% of high school students were bullied in the United States. Bullying is more prevalent among minority populations. Arab American adolescents receive little research attention and are described as the invisible population. This descriptive qualitative study was conducted with 10 Arab American adolescent bullying victims to describe their bullying experiences and related stress. In addition to being bullied because of health problems or social disadvantages, Arab American adolescents reported that they were bullied because of their ethnic/racial background and religious affiliation. Victims described high stress levels and anxiety which compromised their ability to function. They reported feeling sad, angry, overwhelmed, helpless, and hurt when they were bullied. They also lost control over their lives and self-confidence. Family and friends were sources of support but school administrators and teachers were not supportive. Implications for practice and future research were discussed.

Lost in Translation: NIH Funding for Family Medicine Research Remains Limited.

PubMed

Cameron, Brianna J; Bazemore, Andrew W; Morley, Christopher P

2016-01-01

Departments of Family Medicine (DFMs) in the United States consistently received around 0.2% of total research funding dollars and 0.3% of all awards awarded by the National Institutes of Health (NIH) across the years 2002 to 2014. We used the NIH Reporter tool to quantify the amount of funding and the number of grants received by DFMs from the NIH from 2002 to 2014, using criteria similar to those applied by previous researchers. NIH funding to DFMs as remained fairly consistent across the time period, at roughly 0.2% of total NIH funding and 0.3% of total grants awarded. Changing these proportions will likely require considerable effort to build research capacity within DFMs and their frontline practice research networks, and to shift policymaker and funder perceptions of the value of the FM research enterprise. © Copyright 2016 by the American Board of Family Medicine.

The United States: breakthroughs and waste.

PubMed

Reinhardt, U E

1992-01-01

The health system of the United States is in a paradoxical position. At its best, the system is a magnet for those seeking the latest technical breakthroughs. It can offer that excellence because there have never been effective financial constraints on the imagination; the system has become a major economic frontier, at which professional and other entrepreneurs successfully seek their fortune. At the same time, the system is leaving increasing numbers of Americans frustrated and disillusioned. It is beset by excess capacity in many areas, is needlessly expensive, and often bestows unnecessary health services. Yet only the experts are aware of these flaws; most Americans still express high satisfaction with the quality of the services they receive from their doctors and hospitals. The public's major misgivings arise over the awkward and inequitable way in which American health care is financed. The typical private health insurance policy, for example, is tied to a particular job. If the job is lost, so is the health insurance. Furthermore, these policies are priced on actuarially "fair" principles, so sick individuals are forced to pay higher insurance premiums than relatively healthy ones and chronically ill persons often cannot obtain health insurance coverage at any price. Although there are public programs to catch many persons not privately insured, the coverage tends to be insufficiently extensive and deep. Some 35 million Americans, mostly poor, have no health insurance whatsoever. Unfortunately, at this time there is no political force in the United States strong enough to reform the American health system toward greater social equity and economic efficiency, whereas there are numerous groups powerful enough to block whatever reform might harm their own narrow economic interests. Other nations can learn from America's clinical and organizational innovations in health care delivery. They can also learn what not to do by studying the unseemly way in which American health care is financed.

Professional profile of pediatric intensivists in Rio de Janeiro, southeastern Brazil.

PubMed

Lacerda, Jandra Corrêa de; Barbosa, Arnaldo Prata; Cunha, Antonio José Ledo Alves da

2011-12-01

This study described the sociodemographic profile and professional qualifications of pediatric intensive care physicians in the State of Rio de Janeiro (RJ), southeastern Brazil. This investigation was an observational, cross-sectional and descriptive study that was conducted in neonatal, pediatric and mixed intensive care units in the State of Rio de Janeiro. Physicians working in the participating intensive care units voluntarily completed a semistructured and anonymous questionnaire. Questionnaires that were not returned within 30 days were considered lost, and questionnaires with less than 75% questions completed were excluded. The differences in neonatal and pediatric intensive care physicians' medical training were compared using the Chi-squared test with a 5% significance level. A total of 410 physicians were included in this study: 84% female, 48% between 30 and 39 years old and 45% with monthly incomes between US $1,700 to 2,700. Forty percent of these physicians worked exclusively in this specialty, and 72% worked in more than one intensive care unit. Only 50% of the participants had received specific training (either medical residency or specialization) in neonatology, and only 33% were board-certified specialists in this area. Only 27% of the physicians had received specific training in pediatric intensive care medicine, and only 17% were board-certified specialists (p < 0.0005 for both comparisons). Most (87%) physicians had participated in scientific events within the past 5 years, and 55% used the internet for continued medical education. However, only 25% had participated in any research. Most (63%) physicians were dissatisfied with their professional activity; 49% were dissatisfied due to working conditions, 23% due to low incomes and 18% due to training-related issues. These results suggested that the medical qualifications of neonatal and pediatric intensive care physicians in the State of Rio de Janeiro, Brazil are inadequate, especially in pediatric intensive care medicine. A high level of dissatisfaction was reported, which may jeopardize the quality of medical assistance that is provided by these professionals.

The Economic Impact of Adult Hearing Loss: A Systematic Review.

PubMed

Huddle, Matthew G; Goman, Adele M; Kernizan, Faradia C; Foley, Danielle M; Price, Carrie; Frick, Kevin D; Lin, Frank R

2017-10-01

Hearing impairment (HI) is highly prevalent in older adults and has been associated with adverse health outcomes. However, the overall economic impact of HI is not well described. The goal of this review was to summarize available data on all relevant costs associated with HI among adults. A literature search of PubMed, Embase, the Cochrane Library, CINAHL, and Scopus was conducted in August 2015. For this systematic review, data extraction and quality assessment were performed by 2 independent reviewers. Eligibility criteria for included studies were presence of quantitative estimation of economic impact or loss of productivity of patients with HI, full-text English-language access, and publication in an academic, peer-reviewed journal or government report prior to August 2015. This review follows the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. A meta-analysis was not performed owing to the studies' heterogeneity in outcomes measures, methodology, and study country. The initial literature search yielded 4595 total references. After 2043 duplicates were removed, 2552 publications underwent title and abstract review, yielding 59 articles for full-text review. After full-text review, 25 articles were included. Of the included articles, 8 incorporated measures of disability; 5 included direct estimates of medical expenditures; 8 included other cost estimates; and 7 were related to noise-induced or work-related HI. Estimates of the economic cost of lost productivity varied widely, from $1.8 to $194 billion in the United States. Excess medical costs resulting from HI ranged from $3.3 to $12.8 billion in the United States. Hearing loss is associated with billions of dollars of excess costs in the United States, but significant variance is seen between studies. A rigorous, comprehensive estimate of the economic impact of hearing loss is needed to help guide policy decisions around the management of hearing loss in adults.

The Cost of Smoking in California.

PubMed

Max, Wendy; Sung, Hai-Yen; Shi, Yanling; Stark, Brad

2016-05-01

The economic impact of smoking, including healthcare costs and the value of lost productivity due to illness and mortality, was estimated for California for 2009. Smoking-attributable healthcare costs were estimated using a series of econometric models that estimate expenditures for hospital care, ambulatory care, prescriptions, home health care, and nursing home care. Lost productivity due to illness was estimated using an econometric model predicting how smoking status affects the number of days lost from work or other activities. The value of lives lost from premature mortality due to smoking was estimated using an epidemiological approach. Almost 4 million Californians still smoke, including 146 000 adolescents. The cost of smoking in 2009 totaled $18.1 billion, including $9.8 billion in healthcare costs, $1.4 billion in lost productivity from illness, and $6.8 billion in lost productivity from premature mortality. This amounts to $487 per California resident and $4603 per smoker. Costs were greater for men than for women. Hospital costs comprised 44% of healthcare costs. Despite extensive efforts at tobacco control in California, healthcare and lost productivity costs attributable to smoking remain high. Compared to costs for 1999, the total cost was 15% greater in 2009. However, after adjusting for inflation, real costs have fallen by 13% over the past decade, indicating that efforts have been successful in reducing the economic burden of smoking in the state. © The Author 2015. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

United States Navy - Canadian forces solid state flight data recorder/crash position locator experiment on the B-720 controlled impact demonstration

NASA Technical Reports Server (NTRS)

Watters, D. M.

1986-01-01

The operation of a radio beacon position locator during and after the remotely controlled transport aircraft is discussed. The radio beacon transmission was actuated and was picked up by the Navy P-3A chase aircraft for a short time, after which reception was lost. The pilot reported that he received a signal on both 121.5 MHz and 243 MHz for a period of approximately 5 seconds. Five minutes after the crash a portable direction finding unit located on the roof of the NASA Dryden Flight Research Facility, 4 miles distant from the crash, was unable to pick up the beacon transmission. The fire crews started fighting the fires approximately 90 seconds after the time of impact. Navy personnel access to the crash site was allowed on the morning of December 2, 1984. Radio beacon locator was found resting top side up, 15 feet forward and 13 feet perpendicular from the tray location the starboard side of the aircraft. An immediate inspection indicated the airfoil suffered moderate fire damage with paint peeling but not intumescing. The visual marker strobe lamp housings were intact but extensively burned such that it was impossible to see if the lamps had survived. The airfoil suffered minor structural damage, with assorted dents, etc. The extended plunger on the ARU-21 release unit indicated that the pyrotechnic deployment system operated. The radio beacon base (tray) suffered some heat and fire damage, and was charred and blackened by smoke. The frangible switch in the nose survived and the switch in the belly was recovered and found to have actuated. It is assumed that this switch fired the ARU-21 squib. There were no other release switches installed in the normally open system in the aircraft.

Lost productivity due to premature mortality in developed and emerging countries: an application to smoking cessation.

PubMed

Menzin, Joseph; Marton, Jeno P; Menzin, Jordan A; Willke, Richard J; Woodward, Rebecca M; Federico, Victoria

2012-06-25

Researchers and policy makers have determined that accounting for productivity costs, or "indirect costs," may be as important as including direct medical expenditures when evaluating the societal value of health interventions. These costs are also important when estimating the global burden of disease. The estimation of indirect costs is commonly done on a country-specific basis. However, there are few studies that evaluate indirect costs across countries using a consistent methodology. Using the human capital approach, we developed a model that estimates productivity costs as the present value of lifetime earnings (PVLE) lost due to premature mortality. Applying this methodology, the model estimates productivity costs for 29 selected countries, both developed and emerging. We also provide an illustration of how the inclusion of productivity costs contributes to an analysis of the societal burden of smoking. A sensitivity analysis is undertaken to assess productivity costs on the basis of the friction cost approach. PVLE estimates were higher for certain subpopulations, such as men, younger people, and people in developed countries. In the case study, productivity cost estimates from our model showed that productivity loss was a substantial share of the total cost burden of premature mortality due to smoking, accounting for over 75 % of total lifetime costs in the United States and 67 % of total lifetime costs in Brazil. Productivity costs were much lower using the friction cost approach among those of working age. Our PVLE model is a novel tool allowing researchers to incorporate the value of lost productivity due to premature mortality into economic analyses of treatments for diseases or health interventions. We provide PVLE estimates for a number of emerging and developed countries. Including productivity costs in a health economics study allows for a more comprehensive analysis, and, as demonstrated by our illustration, can have important effects on the results and conclusions.

Lost productivity due to premature mortality in developed and emerging countries: an application to smoking cessation

PubMed Central

2012-01-01

Background Researchers and policy makers have determined that accounting for productivity costs, or “indirect costs,” may be as important as including direct medical expenditures when evaluating the societal value of health interventions. These costs are also important when estimating the global burden of disease. The estimation of indirect costs is commonly done on a country-specific basis. However, there are few studies that evaluate indirect costs across countries using a consistent methodology. Methods Using the human capital approach, we developed a model that estimates productivity costs as the present value of lifetime earnings (PVLE) lost due to premature mortality. Applying this methodology, the model estimates productivity costs for 29 selected countries, both developed and emerging. We also provide an illustration of how the inclusion of productivity costs contributes to an analysis of the societal burden of smoking. A sensitivity analysis is undertaken to assess productivity costs on the basis of the friction cost approach. Results PVLE estimates were higher for certain subpopulations, such as men, younger people, and people in developed countries. In the case study, productivity cost estimates from our model showed that productivity loss was a substantial share of the total cost burden of premature mortality due to smoking, accounting for over 75 % of total lifetime costs in the United States and 67 % of total lifetime costs in Brazil. Productivity costs were much lower using the friction cost approach among those of working age. Conclusions Our PVLE model is a novel tool allowing researchers to incorporate the value of lost productivity due to premature mortality into economic analyses of treatments for diseases or health interventions. We provide PVLE estimates for a number of emerging and developed countries. Including productivity costs in a health economics study allows for a more comprehensive analysis, and, as demonstrated by our illustration, can have important effects on the results and conclusions. PMID:22731620

Development and evaluation of a multifaceted ergonomics program to prevent injuries associated with patient handling tasks.

PubMed

Nelson, Audrey; Matz, Mary; Chen, Fangfei; Siddharthan, Kris; Lloyd, John; Fragala, Guy

2006-08-01

Nurses have one of the highest rates of work-related musculoskeletal injury of any profession. Over the past 30 years, efforts to reduce work-related musculoskeletal disorders in nurses have been largely unsuccessful. The primary goal of this program was to create safer working environments for nursing staff who provide direct patient care. Our first objective was to design and implement a multifaceted program that successfully integrated evidence-based practice, technology, and safety improvement. The second objective was to evaluate the impact of the program on injury rate, lost and modified work days, job satisfaction, self-reported unsafe patient handling acts, level of support for program, staff and patient acceptance, program effectiveness, costs, and return on investment. The intervention included six program elements: (1) Ergonomic Assessment Protocol, (2) Patient Handling Assessment Criteria and Decision Algorithms, (3) Peer Leader role, "Back Injury Resource Nurses", (4) State-of-the-art Equipment, (5) After Action Reviews, and (6) No Lift Policy. A pre-/post design without a control group was used to evaluate the effectiveness of a patient care ergonomics program on 23 high risk units (19 nursing home care units and 4 spinal cord injury units) in 7 facilities. Injury rates, lost work days, modified work days, job satisfaction, staff , and patient acceptance, program effectiveness, and program costs/savings were compared over two nine month periods: pre-intervention (May 2001-January 2002) and post-intervention (March 2002-November 2002). Data were collected prospectively through surveys, weekly process logs, injury logs, and cost logs. The program elements resulted in a statistically significant decrease in the rate of musculoskeletal injuries as well as the number of modified duty days taken per injury. While the total number of lost workdays decreased by 18% post-intervention, this difference was not statistically significant. There were statistically significant increases in two subscales of job satisfaction: professional status and tasks requirements. Self-reports by nursing staff revealed a statistically significant decrease in the number of 'unsafe' patient handling practices performed daily. Nurses ranked program elements they deemed to be "extremely effective": equipment was rated as most effective (96%), followed by No Lift Policy (68%), peer leader education program (66%), ergonomic assessment protocol (59%), patient handling assessment criteria and decision algorithms (55%), and lastly after action reviews (41%). Perceived support and interest for the program started at a high level for managers and nursing staff and remained very high throughout the program implementation. Patient acceptance was moderate when the program started but increased to very high by the end of the program. Although the ease and success of program implementation initially varied between and within the facilities, after six months there was strong evidence of support at all levels. The initial capital investment for patient handling equipment was recovered in approximately 3.75 years based on annual post-intervention savings of over $200,000/year in workers' compensation expenses and cost savings associated with reduced lost and modified work days and worker compensation. This multi-faceted program resulted in an overall lower injury rate, fewer modified duty days taken per injury, and significant cost savings. The program was well accepted by patients, nursing staff, and administrators. Given the significant increases in two job satisfaction subscales (professional status and task requirements), it is possible that nurse recruitment and retention could be positively impacted.

Overview of causes and costs of injuries in Massachusetts: a methodology for analysis of state data.

PubMed Central

Schuster, M; Cohen, B B; Rodgers, C G; Walker, D K; Friedman, D J; Ozonoff, V V

1995-01-01

Massachusetts has developed the first State profile of the causes and costs of injury based on the national study, "Cost of Injury in the United States: A Report to Congress." Incidence of fatal injuries is based on Massachusetts data; nonfatal hospitalized injuries, on Massachusetts age and sex rates and U.S. cause data; and nonhospitalized injuries, on U.S. rates applied to Massachusetts census data. Lifetime costs per injured person are based on national data adjusted for higher personal health care expenditures and for higher mean annual earnings in Massachusetts. The estimated total lifetime cost for the 1.4 million injuries that occurred in 1989 is $4.4 billion--$1.7 billion for health care and $2.7 billion for lost earnings. Injuries attributed to motor vehicles and falls account for more than half of the total cost. The other cause categories are poisonings, fire-burns, firearms, drowings-near drownings, and other. For every person who dies from an injury, 17 people are hospitalized, and an estimated 535 people require outpatient treatment, consultation, or restricted activity. Development of a State-based cost report can be useful in monitoring the contribution of injuries to health status and in planning effective injury prevention strategies in a community-based health care system. The methodology described in this paper can be replicated by other States through accessing their State-specific mortality and hospital discharge data bases. PMID:7610211

Hydrogeology and steady-state numerical simulation of groundwater flow in the Lost Creek Designated Ground Water Basin, Weld, Adams, and Arapahoe Counties, Colorado

USGS Publications Warehouse

Arnold, L.R.

2010-01-01

The Lost Creek Designated Ground Water Basin (Lost Creek basin) is an important alluvial aquifer for irrigation, public supply, and domestic water uses in northeastern Colorado. Beginning in 2005, the U.S. Geological Survey, in cooperation with the Lost Creek Ground Water Management District and the Colorado Water Conservation Board, collected hydrologic data and constructed a steady-state numerical groundwater flow model of the Lost Creek basin. The model builds upon the work of previous investigators to provide an updated tool for simulating the potential effects of various hydrologic stresses on groundwater flow and evaluating possible aquifer-management strategies. As part of model development, the thickness and extent of regolith sediments in the basin were mapped, and data were collected concerning aquifer recharge beneath native grassland, nonirrigated agricultural fields, irrigated agricultural fields, and ephemeral stream channels. The thickness and extent of regolith in the Lost Creek basin indicate the presence of a 2- to 7-mile-wide buried paleovalley that extends along the Lost Creek basin from south to north, where it joins the alluvial valley of the South Platte River valley. Regolith that fills the paleovalley is as much as about 190 ft thick. Average annual recharge from infiltration of precipitation on native grassland and nonirrigated agricultural fields was estimated by using the chloride mass-balance method to range from 0.1 to 0.6 inch, which represents about 1-4 percent of long-term average precipitation. Average annual recharge from infiltration of ephemeral streamflow was estimated by using apparent downward velocities of chloride peaks to range from 5.7 to 8.2 inches. Average annual recharge beneath irrigated agricultural fields was estimated by using passive-wick lysimeters and a water-balance approach to range from 0 to 11.3 inches, depending on irrigation method, soil type, crop type, and the net quantity of irrigation water applied. Estimated average annual recharge beneath irrigated agricultural fields represents about 0-43 percent of net irrigation. The U.S. Geological Survey modular groundwater modeling program, MODFLOW-2000, was used to develop a steady-state groundwater flow model of the Lost Creek basin. Groundwater in the basin is simulated generally to flow from the basin margins toward the center of the basin and northward along the paleovalley. The largest source of inflow to the model occurs from recharge beneath flood- and sprinkler-irrigated agricultural fields (14,510 acre-feet per year [acre-ft/yr]), which represents 39.7 percent of total simulated inflow. Other substantial sources of inflow to the model are recharge from precipitation and stream-channel infiltration in nonirrigated areas (13,810 acre-ft/yr) seepage from Olds Reservoir (4,280 acre-ft/yr), and subsurface inflow from ditches and irrigated fields outside the model domain (2,490 acre-ft/yr), which contribute 37.7, 11.7, and 6.8 percent, respectively, of total inflow. The largest outflow from the model occurs from irrigation well withdrawals (26,760 acre-ft/yr), which represent 73.2 percent of total outflow. Groundwater discharge (6,640 acre-ft/yr) at the downgradient end of the Lost Creek basin represents 18.2 percent of total outflow, and evapotranspiration (3,140 acre-ft/yr) represents about 8.6 percent of total outflow.

Household costs of dengue illness: secondary outcomes from a randomised controlled trial of dengue prevention in Guerrero state, Mexico.

PubMed

Legorreta-Soberanis, José; Paredes-Solís, Sergio; Morales-Pérez, Arcadio; Nava-Aguilera, Elizabeth; Serrano-de Los Santos, Felipe René; Dimas-Garcia, Diana Lisseth; Ledogar, Robert J; Cockcroft, Anne; Andersson, Neil

2017-05-30

Dengue is a serious public health problem with an important economic impact. This study used data from a cluster randomised controlled trial of community mobilisation for dengue prevention to estimate the household costs of treatment of dengue illness. It examined the economic impact of the trial intervention in the three coastal regions of Mexico's Guerrero State. The 2010 baseline survey covered households in a random sample of 90 clusters in the coastal regions; the clusters were randomly allocated to intervention or control and re-surveyed in 2012. The surveys asked about dengue cases in the last 12 months, expenditures on their treatment, and work or school days lost by patients and care givers. We did not assign monetary value to days lost, since a lost day to a person of low earning power is of equal or higher value to that person than to one who earns more. The 12,312 households in 2010 reported 1020 dengue cases in the last 12 months (1.9% of the sample population). Most (78%) were ambulatory cases, with a mean cost of USD 51 and 10.8 work/school days, rising to USD 96 and 11.4 work/school days if treated by a private physician. Hospitalised cases cost USD 28-94 in government institutions and USD 392 in private hospitals (excluding additional inpatient charges), as well as 9.6-17.3 work/school days. Dengue cases cost households an estimated 412,825 work/school days throughout the three coastal regions. In the follow up survey, 6.1% (326/5349) of households in intervention clusters and 7.9% (405/5139) in control clusters reported at least one dengue case. The mean of days lost per case was similar in intervention and control clusters, but the number of days lost from dengue and all elements of costs for dengue cases per 1000 population were lower in intervention clusters. If the total population of the three coastal regions had received the intervention, some 149,401 work or school days lost per year could have been prevented. The economic effect of dengue on households, including lost work days, is substantial. The Camino Verde trial intervention reduced household costs for treatment of dengue cases. The trial was registered as ISRCTN:27,581,154 .

INEEL Source Water Assessment

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

Sehlke, Gerald

2003-03-01

The Idaho National Engineering and Environmental Laboratory (INEEL) covers approximately 890 mi2 and includes 12 public water systems that must be evaluated for Source water protection purposes under the Safe Drinking Water Act. Because of its size and location, six watersheds and five aquifers could potentially affect the INEEL’s drinking water sources. Based on a preliminary evaluation of the available information, it was determined that the Big Lost River, Birch Creek, and Little Lost River Watersheds and the eastern Snake River Plain Aquifer needed to be assessed. These watersheds were delineated using the United States Geologic Survey’s Hydrological Unit scheme.more » Well capture zones were originally estimated using the RESSQC module of the Environmental Protection Agency’s Well Head Protection Area model, and the initial modeling assumptions and results were checked by running several scenarios using Modflow modeling. After a technical review, the resulting capture zones were expanded to account for the uncertainties associated with changing groundwater flow directions, a thick vadose zone, and other data uncertainties. Finally, all well capture zones at a given facility were merged to a single wellhead protection area at each facility. A contaminant source inventory was conducted, and the results were integrated with the well capture zones, watershed and aquifer information, and facility information using geographic information system technology to complete the INEEL’s Source Water Assessment. Of the INEEL’s 12 public water systems, three systems rated as low susceptibility (EBR-I, Main Gate, and Gun Range), and the remainder rated as moderate susceptibility. No INEEL public water system rated as high susceptibility. We are using this information to develop a source water management plan from which we will subsequently implement an INEEL-wide source water management program. The results are a very robust set of wellhead protection areas that will protect the INEEL’s public water systems yet not too conservative to inhibit the INEEL from carrying out its missions.« less

Do people with type 2 diabetes and their carers lose income? (T2ARDIS-4).

PubMed

Holmes, Jeremy; Gear, Elena; Bottomley, Julia; Gillam, Stephen; Murphy, Moira; Williams, Rhys

2003-06-01

T(2)ARDIS is a study of the full costs of care for a sample of people with type 2 diabetes in the UK. This paper reports on individual earnings lost by patients (n=653) and carers (n=253) aged <65 years, based on 1998 values. Mean annual lost earnings are calculated on three different bases. Across the total survey population aged <65 years, mean lost earnings are estimated at pound 869 (S.D. pound 4109) per patient and pound 1300 (S.D. pound 4093) per carer. However, for the sub-set of respondents who actually lose earnings, the mean levels are pound 13841 (S.D. pound 9551) and pound 10960 (S.D. pound 6002), respectively. Patients and carers who lose earnings incur higher personal care-related expenditure than those who do not lose earnings (although for the patients this is not statistically significant). Patients who lose earnings also report poorer health-related quality of life and carers who lose earnings report higher levels of strain. Only one third of carers report receiving state benefits, and for both carers and patients the shortfall between reported benefits received and lost earnings is substantial. A strong association was found between patients' loss of earnings and the presence of diabetic complications (P<0.001), especially micro-vascular complications. Policy priorities should, therefore, include facilitating comprehensive access to state benefits (especially for carers) and a clear focus on reducing the incidence of diabetic complications.

The State of US Health, 1990-2016: Burden of Diseases, Injuries, and Risk Factors Among US States.

PubMed

Mokdad, Ali H; Ballestros, Katherine; Echko, Michelle; Glenn, Scott; Olsen, Helen E; Mullany, Erin; Lee, Alex; Khan, Abdur Rahman; Ahmadi, Alireza; Ferrari, Alize J; Kasaeian, Amir; Werdecker, Andrea; Carter, Austin; Zipkin, Ben; Sartorius, Benn; Serdar, Berrin; Sykes, Bryan L; Troeger, Chris; Fitzmaurice, Christina; Rehm, Colin D; Santomauro, Damian; Kim, Daniel; Colombara, Danny; Schwebel, David C; Tsoi, Derrick; Kolte, Dhaval; Nsoesie, Elaine; Nichols, Emma; Oren, Eyal; Charlson, Fiona J; Patton, George C; Roth, Gregory A; Hosgood, H Dean; Whiteford, Harvey A; Kyu, Hmwe; Erskine, Holly E; Huang, Hsiang; Martopullo, Ira; Singh, Jasvinder A; Nachega, Jean B; Sanabria, Juan R; Abbas, Kaja; Ong, Kanyin; Tabb, Karen; Krohn, Kristopher J; Cornaby, Leslie; Degenhardt, Louisa; Moses, Mark; Farvid, Maryam; Griswold, Max; Criqui, Michael; Bell, Michelle; Nguyen, Minh; Wallin, Mitch; Mirarefin, Mojde; Qorbani, Mostafa; Younis, Mustafa; Fullman, Nancy; Liu, Patrick; Briant, Paul; Gona, Philimon; Havmoller, Rasmus; Leung, Ricky; Kimokoti, Ruth; Bazargan-Hejazi, Shahrzad; Hay, Simon I; Yadgir, Simon; Biryukov, Stan; Vollset, Stein Emil; Alam, Tahiya; Frank, Tahvi; Farid, Talha; Miller, Ted; Vos, Theo; Bärnighausen, Till; Gebrehiwot, Tsegaye Telwelde; Yano, Yuichiro; Al-Aly, Ziyad; Mehari, Alem; Handal, Alexis; Kandel, Amit; Anderson, Ben; Biroscak, Brian; Mozaffarian, Dariush; Dorsey, E Ray; Ding, Eric L; Park, Eun-Kee; Wagner, Gregory; Hu, Guoqing; Chen, Honglei; Sunshine, Jacob E; Khubchandani, Jagdish; Leasher, Janet; Leung, Janni; Salomon, Joshua; Unutzer, Jurgen; Cahill, Leah; Cooper, Leslie; Horino, Masako; Brauer, Michael; Breitborde, Nicholas; Hotez, Peter; Topor-Madry, Roman; Soneji, Samir; Stranges, Saverio; James, Spencer; Amrock, Stephen; Jayaraman, Sudha; Patel, Tejas; Akinyemiju, Tomi; Skirbekk, Vegard; Kinfu, Yohannes; Bhutta, Zulfiqar; Jonas, Jost B; Murray, Christopher J L

2018-04-10

Several studies have measured health outcomes in the United States, but none have provided a comprehensive assessment of patterns of health by state. To use the results of the Global Burden of Disease Study (GBD) to report trends in the burden of diseases, injuries, and risk factors at the state level from 1990 to 2016. A systematic analysis of published studies and available data sources estimates the burden of disease by age, sex, geography, and year. Prevalence, incidence, mortality, life expectancy, healthy life expectancy (HALE), years of life lost (YLLs) due to premature mortality, years lived with disability (YLDs), and disability-adjusted life-years (DALYs) for 333 causes and 84 risk factors with 95% uncertainty intervals (UIs) were computed. Between 1990 and 2016, overall death rates in the United States declined from 745.2 (95% UI, 740.6 to 749.8) per 100 000 persons to 578.0 (95% UI, 569.4 to 587.1) per 100 000 persons. The probability of death among adults aged 20 to 55 years declined in 31 states and Washington, DC from 1990 to 2016. In 2016, Hawaii had the highest life expectancy at birth (81.3 years) and Mississippi had the lowest (74.7 years), a 6.6-year difference. Minnesota had the highest HALE at birth (70.3 years), and West Virginia had the lowest (63.8 years), a 6.5-year difference. The leading causes of DALYs in the United States for 1990 and 2016 were ischemic heart disease and lung cancer, while the third leading cause in 1990 was low back pain, and the third leading cause in 2016 was chronic obstructive pulmonary disease. Opioid use disorders moved from the 11th leading cause of DALYs in 1990 to the 7th leading cause in 2016, representing a 74.5% (95% UI, 42.8% to 93.9%) change. In 2016, each of the following 6 risks individually accounted for more than 5% of risk-attributable DALYs: tobacco consumption, high body mass index (BMI), poor diet, alcohol and drug use, high fasting plasma glucose, and high blood pressure. Across all US states, the top risk factors in terms of attributable DALYs were due to 1 of the 3 following causes: tobacco consumption (32 states), high BMI (10 states), or alcohol and drug use (8 states). There are wide differences in the burden of disease at the state level. Specific diseases and risk factors, such as drug use disorders, high BMI, poor diet, high fasting plasma glucose level, and alcohol use disorders are increasing and warrant increased attention. These data can be used to inform national health priorities for research, clinical care, and policy.

Silicate melt inclusion evidence for extreme pre-eruptive enrichment and post-eruptive depletion of lithium in silicic volcanic rocks of the western United States: implications for the origin of lithium-rich brines

USGS Publications Warehouse

Hofstra, Albert H.; Todorov, T.I.; Mercer, C.N.; Adams, D.T.; Marsh, E.E.

2013-01-01

To evaluate whether anatectic and/or highly fractionated lithophile element-enriched rhyolite tuffs deposited in arid lacustrine basins lose enough lithium during eruption, lithification, and weathering to generate significant Li brine resources, pre-eruptive melt compositions, preserved in inclusions, and the magnitude of post-eruptive Li depletions, evident in host rhyolites, were documented at six sites in the western United States. Each rhyolite is a member of the bimodal basalt-rhyolite assemblage associated with extensional tectonics that produced the Basin and Range province and Rio Grande rift, an evolving pattern of closed drainage basins, and geothermal energy or mineral resources. Results from the 0.8 Ma Bishop tuff (geothermal) in California, 1.3 to 1.6 Ma Cerro Toledo and Upper Bandelier tephra (geothermal) and 27.9 Ma Taylor Creek rhyolite (Sn) in New Mexico, 21.7 Ma Spor Mountain tuff (Be, U, F) and 24.6 Ma Pine Grove tuff (Mo) in Utah, and 27.6 Ma Hideaway Park tuff (Mo) in Colorado support the following conclusions. Melt inclusions in quartz phenocrysts from rhyolite tuffs associated with hydrothermal deposits of Sn, Mo, and Be are extremely enriched in Li (1,000s of ppm); those from Spor Mountain have the highest Li abundance yet recorded (max 5,200 ppm, median 3,750 ppm). Forty-five to 98% of the Li present in pre-eruptive magma was lost to the environment from these rhyolite tuffs. The amount of Li lost from the small volumes (1–10 km3) of Li-enriched rhyolite deposited in closed basins is sufficient to produce world-class Li brine resources. After each eruption, meteoric water leaches Li from tuff, which drains into playas, where it is concentrated by evaporation. The localized occurrence of Li-enriched rhyolites may explain why brines in arid lacustrine basins seldom have economic concentrations of Li. Considering that hydrothermal deposits of Sn, Mo, Be, U, and F may indicate potential for Li brines in nearby basins, we surmise that the world’s largest Li brine resource in the Salar de Uyuni (10 Mt) received Li from nearby rhyolite tuffs in the Bolivian tin belt.

The allure of new immigrant destinations and the Great Recession in the United States.

PubMed

Ellis, Mark; Wright, Richard; Townley, Matthew

2014-01-01

In the 1990s, the immigrant population in the United States dispersed to non-traditional settlement locations (what have become known as "new immigrant destinations"). This paper examines whether the allure of new destinations persisted in the 2000s with a particular focus on the internal migration of the foreign born during the recent deep recessionary period and its aftermath. Three specific questions motivate the analysis. First, are immigrants, much like the US-born population, becoming less migratory within the country over time? Second, is immigrant dispersal from traditional gateways via internal migration continuing despite considerable economic contraction in many new destination metropolitan areas? Third, is immigration from aboard a substitute for what appears to be declining immigrant internal migration to new destinations? The findings reveal a close correlation between the declining internal migration propensity of the US-born and immigrants in the last two decades. We also observe parallels between the geographies of migration of native- and foreign-born populations with both groups moving to similar metropolitan areas in the 1990s. This redistributive association, however, weakened in the subsequent decade as new destination metropolitan areas lost their appeal for both groups, especially immigrants. There is no evidence to suggest that immigration from abroad is substituting for the decline in immigrant redistribution through internal migration to new destinations. Across destination types the relationship between immigration from abroad and the internal migration of the foreign born remained the same before, during, and after the Great Recession.

CDC grand rounds: current opportunities in tobacco control.

PubMed

2010-04-30

Tobacco use is the world's leading single preventable cause of death. Worldwide tobacco-related deaths now exceed 5 million a year. Left unchecked, the number is expected to exceed 8 million a year by 2030, and 80% of those tobacco-related deaths will occur in low- and middle-income countries. In the United States, tobacco use is the single leading preventable cause of disease, disability, and death. Each year, 443,000 U.S. residents die from cigarette smoking and exposure to secondhand smoke, and another 8.6 million have a serious illness caused by smoking. In 2008, 20.6% (approximately 46 million) of U.S. adults were current smokers. Smoking costs the United States $96 billion in medical costs and $97 billion in lost productivity annually. A particular concern is that progress in reducing smoking rates among young persons and adults has stalled. After a substantial decline from 1997 (36.4%) to 2003 (21.9%), the decline in smoking rates among high school students slowed and remained relatively unchanged from 2003 (21.9%) to 2007 (20.0%). Adult smoking prevalence declined steadily from 1965 (42.4%) through the 1980s; however, the decline in smoking rates among adults began to slow in the 1990s and remained relatively unchanged from 2004 (20.9%) to 2008 (20.6%). By achieving a modest decline in smoking prevalence worldwide (from 25% to 20%) through further use of tobacco control measures, 100 million deaths can be prevented by 2020.

Projecting surgeon supply using a dynamic model.

PubMed

Fraher, Erin P; Knapton, Andy; Sheldon, George F; Meyer, Anthony; Ricketts, Thomas C

2013-05-01

To develop a projection model to forecast the head count and full-time equivalent supply of surgeons by age, sex, and specialty in the United States from 2009 to 2028. The search for the optimal number and specialty mix of surgeons to care for the United States population has taken on increased urgency under health care reform. Expanded insurance coverage and an aging population will increase demand for surgical and other medical services. Accurate forecasts of surgical service capacity are crucial to inform the federal government, training institutions, professional associations, and others charged with improving access to health care. The study uses a dynamic stock and flow model that simulates future changes in numbers and specialty type by factoring in changes in surgeon demographics and policy factors. : Forecasts show that overall surgeon supply will decrease 18% during the period form 2009 to 2028 with declines in all specialties except colorectal, pediatric, neurological surgery, and vascular surgery. Model simulations suggest that none of the proposed changes to increase graduate medical education currently under consideration will be sufficient to offset declines. The length of time it takes to train surgeons, the anticipated decrease in hours worked by surgeons in younger generations, and the potential decreases in graduate medical education funding suggest that there may be an insufficient surgeon workforce to meet population needs. Existing maldistribution patterns are likely to be exacerbated, leading to delayed or lost access to time-sensitive surgical procedures, particularly in rural areas.

Forecasting the future of stroke in the United States: a policy statement from the American Heart Association and American Stroke Association.

PubMed

Ovbiagele, Bruce; Goldstein, Larry B; Higashida, Randall T; Howard, Virginia J; Johnston, S Claiborne; Khavjou, Olga A; Lackland, Daniel T; Lichtman, Judith H; Mohl, Stephanie; Sacco, Ralph L; Saver, Jeffrey L; Trogdon, Justin G

2013-08-01

Stroke is a leading cause of disability, cognitive impairment, and death in the United States and accounts for 1.7% of national health expenditures. Because the population is aging and the risk of stroke more than doubles for each successive decade after the age of 55 years, these costs are anticipated to rise dramatically. The objective of this report was to project future annual costs of care for stroke from 2012 to 2030 and discuss potential cost reduction strategies. The American Heart Association/American Stroke Association developed methodology to project the future costs of stroke-related care. Estimates excluded costs associated with other cardiovascular diseases (hypertension, coronary heart disease, and congestive heart failure). By 2030, 3.88% of the US population>18 years of age is projected to have had a stroke. Between 2012 and 2030, real (2010$) total direct annual stroke-related medical costs are expected to increase from $71.55 billion to $183.13 billion. Real indirect annual costs (attributable to lost productivity) are projected to rise from $33.65 billion to $56.54 billion over the same period. Overall, total annual costs of stroke are projected to increase to $240.67 billion by 2030, an increase of 129%. These projections suggest that the annual costs of stroke will increase substantially over the next 2 decades. Greater emphasis on implementing effective preventive, acute care, and rehabilitative services will have both medical and societal benefits.

Economic Impacts of Non-Native Forest Insects in the Continental United States

PubMed Central

Aukema, Juliann E.; Leung, Brian; Kovacs, Kent; Chivers, Corey; Britton, Kerry O.; Englin, Jeffrey; Frankel, Susan J.; Haight, Robert G.; Holmes, Thomas P.; Liebhold, Andrew M.; McCullough, Deborah G.; Von Holle, Betsy

2011-01-01

Reliable estimates of the impacts and costs of biological invasions are critical to developing credible management, trade and regulatory policies. Worldwide, forests and urban trees provide important ecosystem services as well as economic and social benefits, but are threatened by non-native insects. More than 450 non-native forest insects are established in the United States but estimates of broad-scale economic impacts associated with these species are largely unavailable. We developed a novel modeling approach that maximizes the use of available data, accounts for multiple sources of uncertainty, and provides cost estimates for three major feeding guilds of non-native forest insects. For each guild, we calculated the economic damages for five cost categories and we estimated the probability of future introductions of damaging pests. We found that costs are largely borne by homeowners and municipal governments. Wood- and phloem-boring insects are anticipated to cause the largest economic impacts by annually inducing nearly $1.7 billion in local government expenditures and approximately $830 million in lost residential property values. Given observations of new species, there is a 32% chance that another highly destructive borer species will invade the U.S. in the next 10 years. Our damage estimates provide a crucial but previously missing component of cost-benefit analyses to evaluate policies and management options intended to reduce species introductions. The modeling approach we developed is highly flexible and could be similarly employed to estimate damages in other countries or natural resource sectors. PMID:21931766

The Daniel K. Inouye College of Pharmacy Scripts

PubMed Central

Sumida, Wesley K; Taniguchi, Ronald; Juarez, Deborah Taira

2016-01-01

Prescription drugs have reduced morbidity and mortality and improved the quality of life of millions of Americans. Yet, concerns over drug price increases loom. Drug spending has risen relatively slowly over the past decade because many of the most popular brand-name medicines lost patent protection. In the near future, there will be fewer low-cost generics coming into the market to offset the rising prices of brand-name drugs. Drug expenditures are influenced by both volume and price. This article focuses on how drug prices are set in the United States and current trends. Drug prices are determined through an extremely complicated set of interactions between pharmaceutical manufacturers, wholesalers, retailers, insurers, pharmacy benefit managers (PBMs), managed care organizations, hospitals, chain stores, and consumers. The process differs depending on the type of drug and place of delivery. Rising drug prices have come under increased scrutiny due to increased cost inflation and because many price increases come as a result of mergers and acquisitions of generic drug companies or changes in ownership of brand name drug manufacturers. Other countries have reigned in drug prices by negotiating with or regulating pharmaceutical manufacturers. The best long-term solution to rising drug prices is yet to be determined but the United States will continue to debate this issue and the discussions will get more heated if drug expenditures continue to rise at a rapid rate (ie, increasing 13% in 2014 from the previous year). PMID:26870605

The Daniel K. Inouye College of Pharmacy Scripts: Prescription Drug Pricing.

PubMed

Sumida, Wesley K; Taniguchi, Ronald; Juarez, Deborah Taira

2016-01-01

Prescription drugs have reduced morbidity and mortality and improved the quality of life of millions of Americans. Yet, concerns over drug price increases loom. Drug spending has risen relatively slowly over the past decade because many of the most popular brand-name medicines lost patent protection. In the near future, there will be fewer low-cost generics coming into the market to offset the rising prices of brand-name drugs. Drug expenditures are influenced by both volume and price. This article focuses on how drug prices are set in the United States and current trends. Drug prices are determined through an extremely complicated set of interactions between pharmaceutical manufacturers, wholesalers, retailers, insurers, pharmacy benefit managers (PBMs), managed care organizations, hospitals, chain stores, and consumers. The process differs depending on the type of drug and place of delivery. Rising drug prices have come under increased scrutiny due to increased cost inflation and because many price increases come as a result of mergers and acquisitions of generic drug companies or changes in ownership of brand name drug manufacturers. Other countries have reigned in drug prices by negotiating with or regulating pharmaceutical manufacturers. The best long-term solution to rising drug prices is yet to be determined but the United States will continue to debate this issue and the discussions will get more heated if drug expenditures continue to rise at a rapid rate (ie, increasing 13% in 2014 from the previous year).

[Control discourses and power relations of yellow fever: Philadelphia in 1793].

PubMed

Kim, Seohyung

2014-12-01

1793 Yellow fever in Philadelphia was the most severe epidemics in the late 18th century in the United States. More than 10% of the population in the city died and many people fled to other cities. The cause of yellow fever in the United States had close relationship with slaves and sugar in Philadelphia. Sugarcane plantation had needed many labors to produce sugar and lots of Africans had to move to America as slaves. In this process, Aëdes aegypti, the vector of yellow fever had migrated to America and the circumstances of ships or cities provided appropriate conditions for its breeding. In this period, the cause of yellow fever could not be established exactly, so suggestions of doctors became entangled in political and intellectual discourses in American society. There was a critical conflict between Jeffersonian Republicanism and Federalism about the origin and treatment of yellow fever. Benjamin Rush, a Jeffersonian Republican, suggested urban sanitation reform and bloodletting. He believed the infectious disease happened because of unsanitary city condition, so he thought the United States could be a healthy nation by improvement of the public health and sanitation. He would like to cope with national crisis and develop American society on the basis of republicanism. While Rush suggested the improvement of public health and sanitation, the city government of Philadelphia suggested isolation of yellow fever patients and quarantine. City government isolated the patients from healthy people and it reconstructed space of hospital. Also, it built orphanages to take care of children who lost their parents during the epidemic and implemented power to control people put in the state of exception. Of course, city government tried to protect the city and nation by quarantine of every ship to Philadelphia. Control policies of yellow fever in 1793 showed different conflicts and interactions. Through the yellow fever, Jeffersonian Republicanism and Federalism had conflicted in politically, but they had interactions for control of the infectious disease. And with these kinds of infectious diseases policies, we can see interactions in local, national and global level.

Toll Bar on Sea

ERIC Educational Resources Information Center

Hunter, Dave

2008-01-01

In the summer of 2007 the United Kingdom experienced some of the heaviest rainfall since records began. Toll Bar in South Yorkshire featured prominently in media coverage as the village and the homes surrounding it began to flood. Many people lost everything: their homes, their furniture, their possessions. In an effort to come to terms with what…

Lean Mass Loss Is Associated with Low Protein Intake during Dietary-Induced Weight Loss in Postmenopausal Women

PubMed Central

BOPP, MELANIE J.; HOUSTON, DENISE K.; LENCHIK, LEON; EASTER, LINDA; KRITCHEVSKY, STEPHEN B.; NICKLAS, BARBARA J.

2013-01-01

The health and quality-of-life implications of overweight and obesity span all ages in the United States. We investigated the association between dietary protein intake and loss of lean mass during weight loss in postmenopausal women through a retrospective analysis of a 20-week randomized, controlled diet and exercise intervention in women aged 50 to 70 years. Weight loss was achieved by differing levels of caloric restriction and exercise. The diet-only group reduced caloric intake by 2,800 kcal/week, and the exercise groups reduced caloric intake by 2,400 kcal/week and expended ~400 kcal/week through aerobic exercise. Total and appendicular lean mass was measured using dual energy x-ray absorptiometry. Linear regression analysis was used to examine the association between changes in lean mass and appendicular lean mass and dietary protein intake. Average weight loss was 10.8±4.0 kg, with an average of 32% of total weight lost as lean mass. Protein intake averaged 0.62 g/kg body weight/day (range=0.47 to 0.8 g/kg body weight/day). Participants who consumed higher amounts of dietary protein lost less lean mass and appendicular lean mass r(=0.3, P=0.01 and r=0.41, P<0.001, respectively). These associations remained significant after adjusting for intervention group and body size. Therefore, inadequate protein intake during caloric restriction may be associated with adverse body-composition changes in postmenopausal women. PMID:18589032

U.S. Pacific coastal wetland resilience and vulnerability to sea-level rise

USGS Publications Warehouse

Thorne, Karen M.; MacDonald, Glen M.; Guntenspergen, Glenn R.; Ambrose, Richard F.; Buffington, Kevin J.; Dugger, Bruce D.; Freeman, Chase; Janousek, Christopher; Brown, Lauren N.; Rosencranz, Jordan A.; Homquist, James; Smol, John P.; Hargan, Kathryn; Takekawa, John Y.

2018-01-01

We used a first-of-its-kind comprehensive scenario approach to evaluate both the vertical and horizontal response of tidal wetlands to projected changes in the rate of sea-level rise (SLR) across 14 estuaries along the Pacific coast of the continental United States. Throughout the U.S. Pacific region, we found that tidal wetlands are highly vulnerable to end-of-century submergence, with resulting extensive loss of habitat. Using higher-range SLR scenarios, all high and middle marsh habitats were lost, with 83% of current tidal wetlands transitioning to unvegetated habitats by 2110. The wetland area lost was greater in California and Oregon (100%) but still severe in Washington, with 68% submerged by the end of the century. The only wetland habitat remaining at the end of the century was low marsh under higher-range SLR rates. Tidal wetland loss was also likely under more conservative SLR scenarios, including loss of 95% of high marsh and 60% of middle marsh habitats by the end of the century. Horizontal migration of most wetlands was constrained by coastal development or steep topography, with just two wetland sites having sufficient upland space for migration and the possibility for nearly 1:1 replacement, making SLR threats particularly high in this region and generally undocumented. With low vertical accretion rates and little upland migration space, Pacific coast tidal wetlands are at imminent risk of submergence with projected rates of rapid SLR.

Towards a miniaturized brain-machine-spinal cord interface (BMSI) for restoration of function after spinal cord injury.

PubMed

Shahdoost, Shahab; Frost, Shawn; Van Acker, Gustaf; DeJong, Stacey; Dunham, Caleb; Barbay, Scott; Nudo, Randolph; Mohseni, Pedram

2014-01-01

Nearly 6 million people in the United States are currently living with paralysis in which 23% of the cases are related to spinal cord injury (SCI). Miniaturized closed-loop neural interfaces have the potential for restoring function and mobility lost to debilitating neural injuries such as SCI by leveraging recent advancements in bioelectronics and a better understanding of the processes that underlie functional and anatomical reorganization in an injured nervous system. This paper describes our current progress towards developing a miniaturized brain-machine-spinal cord interface (BMSI) that is envisioned to convert in real time the neural command signals recorded from the brain to electrical stimuli delivered to the spinal cord below the injury level. Specifically, the paper reports on a corticospinal interface integrated circuit (IC) as a core building block for such a BMSI that is capable of low-noise recording of extracellular neural spikes from the cerebral cortex as well as muscle activation using intraspinal microstimulation (ISMS) in a rat with contusion injury to the thoracic spinal cord. The paper further presents results from a neurobiological study conducted in both normal and SCI rats to investigate the effect of various ISMS parameters on movement thresholds in the rat hindlimb. Coupled with proper signal-processing algorithms in the future for the transformation between the cortically recorded data and ISMS parameters, such a BMSI has the potential to facilitate functional recovery after an SCI by re-establishing corticospinal communication channels lost due to the injury.

U.S. Pacific coastal wetland resilience and vulnerability to sea-level rise

PubMed Central

Thorne, Karen; MacDonald, Glen; Guntenspergen, Glenn; Ambrose, Richard; Buffington, Kevin; Dugger, Bruce; Freeman, Chase; Janousek, Christopher; Brown, Lauren; Rosencranz, Jordan; Holmquist, James; Smol, John; Hargan, Kathryn; Takekawa, John

2018-01-01

We used a first-of-its-kind comprehensive scenario approach to evaluate both the vertical and horizontal response of tidal wetlands to projected changes in the rate of sea-level rise (SLR) across 14 estuaries along the Pacific coast of the continental United States. Throughout the U.S. Pacific region, we found that tidal wetlands are highly vulnerable to end-of-century submergence, with resulting extensive loss of habitat. Using higher-range SLR scenarios, all high and middle marsh habitats were lost, with 83% of current tidal wetlands transitioning to unvegetated habitats by 2110. The wetland area lost was greater in California and Oregon (100%) but still severe in Washington, with 68% submerged by the end of the century. The only wetland habitat remaining at the end of the century was low marsh under higher-range SLR rates. Tidal wetland loss was also likely under more conservative SLR scenarios, including loss of 95% of high marsh and 60% of middle marsh habitats by the end of the century. Horizontal migration of most wetlands was constrained by coastal development or steep topography, with just two wetland sites having sufficient upland space for migration and the possibility for nearly 1:1 replacement, making SLR threats particularly high in this region and generally undocumented. With low vertical accretion rates and little upland migration space, Pacific coast tidal wetlands are at imminent risk of submergence with projected rates of rapid SLR. PMID:29507876

Race, Space, and Cumulative Disadvantage: A Case Study of the Subprime Lending Collapse

PubMed Central

Rugh, Jacob S.; Albright, Len; Massey, Douglas S.

2016-01-01

In this article, we describe how residential segregation and individual racial disparities generate racialized patterns of subprime lending and lead to financial loss among black borrowers in segregated cities. We conceptualize race as a cumulative disadvantage because of its direct and indirect effects on socioeconomic status at the individual and neighborhood levels, with consequences that reverberate across a borrower's life and between generations. Using Baltimore, Maryland as a case study setting, we combine data from reports filed under the Home Mortgage Disclosure Act with additional loan-level data from mortgage-backed securities. We find that race and neighborhood racial segregation are critical factors explaining black disadvantage across successive stages in the process of lending and foreclosure, controlling for differences in borrower credit scores, income, occupancy status, and loan-to-value ratios. We analyze the cumulative cost of predatory lending to black borrowers in terms of reduced disposable income and lost wealth. We find the cost to be substantial. Black borrowers paid an estimated additional 5 to 11 percent in monthly payments and those that completed foreclosure in the sample lost an excess of $2 million in home equity. These costs were magnified in mostly black neighborhoods and in turn heavily concentrated in communities of color. By elucidating the mechanisms that link black segregation to discrimination we demonstrate how processes of cumulative disadvantage continue to undermine black socioeconomic status in the United States today. PMID:27478254

A Randomized Controlled Trial of Employer Matching of Employees' Monetary Contributions to Deposit Contracts to Promote Weight Loss.

PubMed

Kullgren, Jeffrey T; Troxel, Andrea B; Loewenstein, George; Norton, Laurie A; Gatto, Dana; Tao, Yuanyuan; Zhu, Jingsan; Schofield, Heather; Shea, Judy A; Asch, David A; Pellathy, Thomas; Driggers, Jay; Volpp, Kevin G

2016-07-01

To test whether employer matching of employees' monetary contributions increases employees' (1) participation in deposit contracts to promote weight loss and (2) weight loss. A 36-week randomized trial. Large employer in the northeast United States. One hundred thirty-two obese employees. Over 24 weeks, participants were asked to lose 24 pounds and randomized to monthly weigh-ins or daily weigh-ins with monthly opportunities to deposit $1 to $3 per day that was not matched, matched 1:1, or matched 2:1. Deposits and matched funds were returned to participants for each day they were below their goal weight. Rates of making ≥1 deposit, weight loss at 24 weeks (primary outcome), and 36 weeks. Deposit rates were compared using χ(2) tests. Weight loss was compared using t tests. Among participants eligible to make deposits, 29% made ≥1 deposit and matching did not increase participation. At 24 weeks, control participants gained an average of 1.0 pound, whereas 1:1 match participants lost an average of 5.3 pounds (P = .005). After 36 weeks, control participants gained an average of 2.1 pounds, whereas no match participants lost an average of 5.1 pounds (P = .008). Participation in deposit contracts to promote weight loss was low, and matching deposits did not increase participation. For deposit contracts to impact population health, ongoing participation will need to be higher. © The Author(s) 2016.

Transplant Tourism in the United States: A Single-Center Experience

PubMed Central

Gill, Jagbir; Madhira, Bhaskara R.; Gjertson, David; Lipshutz, Gerald; Cecka, J. Michael; Pham, Phuong-Thu; Wilkinson, Alan; Bunnapradist, Suphamai; Danovitch, Gabriel M.

2008-01-01

Background and objectives: Transplant “tourism” typically refers to the practice of traveling outside the country of residence to obtain organ transplantation. This study describes the characteristics and outcomes of 33 kidney transplant recipients who traveled abroad for transplant and returned to University of California, Los Angeles (UCLA) for follow-up. Design, settings, participants, & measurements: Posttransplantation outcomes were compared between tourists and a matched cohort of patients who underwent transplantation at UCLA (matched for age, race, transplant year, dialysis time, previous transplantation, and donor type). Median follow-up time was 487 d (range 68 to 3056). Results: Compared with all patients who underwent transplantation at UCLA, tourists included more Asians and had shorter dialysis times. Most patients traveled to their region of ethnicity with the majority undergoing transplantation in China (44%), Iran (16%), and the Philippines (13%). Living unrelated transplants were most common. Tourists presented to UCLA a median of 35 d after transplantation. Four patients required urgent hospitalization, three of whom lost their grafts. Seventeen (52%) patients had infections, with nine requiring hospitalization. One patient lost her graft and subsequently died from complications related to donor-contracted hepatitis B. One-year graft survival was 89% for tourists and 98% for the matched UCLA cohort (P = 0.75). The rate of acute rejection at 1 yr was 30% in tourists and 12% in the matched cohort. Conclusions: Tourists had a more complex posttransplantation course with a higher incidence of acute rejection and severe infectious complications. PMID:18922987

Types of alcoholic beverages usually consumed by students in 9th-12th grades--four states, 2005.

PubMed

2007-07-27

Excessive alcohol consumption contributes to approximately 4,500 deaths among underage youths in the United States each year (e.g., from homicides, motor-vehicle crashes, and suicides) and an average of 60 years of life lost per death. However, little is known about the specific types of alcoholic beverages consumed by youths. These data are important because numerous evidence-based strategies for reducing underage drinking rates are beverage-specific, including increasing alcohol excise taxes and increasing restrictions on the distribution and sale of alcoholic beverages. To examine types of alcoholic beverages usually consumed by students in 9th-12th grades, CDC analyzed 2005 Youth Risk Behavior Survey (YRBS) data from the four state surveys that included a question on the type of alcohol consumed (Arkansas, Nebraska, New Mexico, and Wyoming). This report describes the results of that analysis, which indicated that liquor (e.g., bourbon, rum, scotch, vodka, or whiskey) was the most prevalent type of alcoholic beverage usually consumed among students in 9th-12th grades who reported current alcohol use or binge drinking. These findings suggest that considering beverage-specific alcohol consumption by youths is important when developing alcohol-control policies, specifically those related to the price and availability of particular types of alcoholic beverages.

Fiscal and policy implications of selling pipe tobacco for roll-your-own cigarettes in the United States.

PubMed

Morris, Daniel S; Tynan, Michael A

2012-01-01

The Federal excise tax was increased for tobacco products on April 1, 2009. While excise tax rates prior to the increase were the same for roll-your-own (RYO) and pipe tobacco, the tax on pipe tobacco was $21.95 per pound less than the tax on RYO tobacco after the increase. Subsequently, tobacco manufacturers began labeling loose tobacco as pipe tobacco and marketing these products to RYO consumers at a lower price. Retailers refer to these products as "dual purpose" or "dual use" pipe tobacco. Data on tobacco tax collections comes from the Alcohol and Tobacco Tax and Trade Bureau. Joinpoint software was used to identify changes in sales trends. Estimates were generated for the amount of pipe tobacco sold for RYO use and for Federal and state tax revenue lost through August 2011. Approximately 45 million pounds of pipe tobacco has been sold for RYO use from April 2009 to August 2011, lowering state and Federal revenue by over $1.3 billion. Marketing pipe tobacco as "dual purpose" and selling it for RYO use provides an opportunity to avoid paying higher cigarette prices. This blunts the public health impact excise tax increases would otherwise have on reducing tobacco use through higher prices. Selling pipe tobacco for RYO use decreases state and Federal revenue and also avoids regulations on flavored tobacco, banned descriptors, prohibitions on shipping, and reporting requirements.

Gov. King's stance against utilities upsets both camps

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

Not Available

Massachusetts utilities and utility detractors all object to Governor King's position stated at a March press conference and urging regulators to deny rate increases that he claimed would be paying for utility mistakes. Boston Edison's request for a $291 million rate increase would recover the money lost when the utility abandoned its Pilgrim II nuclear plant. Boston Gas is seeking $46 million to recover money lost during last winter's shortage of natural gas. The governor's timing and mode of intervention prompted most of the criticism because of their political ramifications during an election year. Most of his statements drew uponmore » materials from a consumer group called Fair Share, but were stated in a way that the governor's re-election is necessary to secure the desired effects. (DCK)« less

Occupational safety data and casualty rates for the uranium fuel cycle. [Glossaries

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

O'Donnell, F.R.; Hoy, H.C.

1981-10-01

Occupational casualty (injuries, illnesses, fatalities, and lost workdays) and production data are presented and used to calculate occupational casualty incidence rates for technologies that make up the uranium fuel cycle, including: mining, milling, conversion, and enrichment of uranium; fabrication of reactor fuel; transportation of uranium and fuel elements; generation of electric power; and transmission of electric power. Each technology is treated in a separate chapter. All data sources are referenced. All steps used to calculate normalized occupational casualty incidence rates from the data are presented. Rates given include fatalities, serious cases, and lost workdays per 100 man-years worked, per 10/supmore » 12/ Btu of energy output, and per other appropriate units of output.« less

Software Implements a Space-Mission File-Transfer Protocol

NASA Technical Reports Server (NTRS)

Rundstrom, Kathleen; Ho, Son Q.; Levesque, Michael; Sanders, Felicia; Burleigh, Scott; Veregge, John

2004-01-01

CFDP is a computer program that implements the CCSDS (Consultative Committee for Space Data Systems) File Delivery Protocol, which is an international standard for automatic, reliable transfers of files of data between locations on Earth and in outer space. CFDP administers concurrent file transfers in both directions, delivery of data out of transmission order, reliable and unreliable transmission modes, and automatic retransmission of lost or corrupted data by use of one or more of several lost-segment-detection modes. The program also implements several data-integrity measures, including file checksums and optional cyclic redundancy checks for each protocol data unit. The metadata accompanying each file can include messages to users application programs and commands for operating on remote file systems.

Cost of a measles outbreak in a remote island economy: 2014 Federated States of Micronesia measles outbreak.

PubMed

Pike, Jamison; Tippins, Ashley; Nyaku, Mawuli; Eckert, Maribeth; Helgenberger, Louisa; Underwood, J Michael

2017-10-13

After 20years with no reported measles cases, on May 15, 2014 the Centers for Disease Control and Prevention (CDC) was notified of two cases testing positive for measles-specific immunoglobulin M (IgM) antibodies in the Federated States of Micronesia (FSM). Under the Compact of Free Association, FSM receives immunization funding and technical support from the United States (US) domestic vaccination program managed by the Centers for Disease Control and Prevention (CDC). In a collaborative effort, public health officials and volunteers from FSM and the US government worked to respond and contain the measles outbreak through an emergency mass vaccination campaign, contact tracing, and other outbreak investigation activities. Contributions were also made by United Nations Children's Emergency Fund (UNICEF) and World Health Organization (WHO). Total costs incurred as a result of the outbreak were nearly $4,000,000; approximately $10,000 per case. Direct medical costs (≈$141,000) were incurred in the treatment of those individuals infected, as well as lost productivity of the infected and informal caregivers (≈$250,000) and costs to contain the outbreak (≈$3.5 million). We assessed the economic burden of the 2014 measles outbreak to FSM, as well as the economic responsibilities of the US. Although the US paid the majority of total costs of the outbreak (≈67%), examining each country's costs relative to their respective economy illustrates a far greater burden to FSM. We demonstrate that while FSM was heavily assisted by the US in responding to the 2014 Measles Outbreak, the outbreak significantly impacted their economy. FSM's economic burden from the outbreak is approximately equivalent to their entire 2016 Fiscal Year budget dedicated to education. Published by Elsevier Ltd.

Lost information during the handover of critically injured trauma patients: a mixed-methods study.

PubMed

Zakrison, Tanya Liv; Rosenbloom, Brittany; McFarlan, Amanda; Jovicic, Aleksandra; Soklaridis, Sophie; Allen, Casey; Schulman, Carl; Namias, Nicholas; Rizoli, Sandro

2016-12-01

Clinical information may be lost during the transfer of critically injured trauma patients from the emergency department (ED) to the intensive care unit (ICU). The aim of this study was to investigate the causes and frequency of information discrepancies with handover and to explore solutions to improving information transfer. A mixed-methods research approach was used at our level I trauma centre. Information discrepancies between the ED and the ICU were measured using chart audits. Descriptive, parametric and non-parametric statistics were applied, as appropriate. Six focus groups of 46 ED and ICU nurses and nine individual interviews of trauma team leaders were conducted to explore solutions to improve information transfer using thematic analysis. Chart audits demonstrated that injuries were missed in 24% of patients. Clinical information discrepancies occurred in 48% of patients. Patients with these discrepancies were more likely to have unknown medical histories (p<0.001) requiring information rescue (p<0.005). Close to one in three patients with information rescue had a change in clinical management (p<0.01). Participants identified challenges according to their disciplines, with some overlap. Physicians, in contrast to nurses, were perceived as less aware of interdisciplinary stress and their role regarding variability in handover. Standardising handover, increasing non-technical physician training and understanding unit cultures were proposed as solutions, with nurses as drivers of a culture of safety. Trauma patient information was lost during handover from the ED to the ICU for multiple reasons. An interprofessional approach was proposed to improve handover through cross-unit familiarisation and use of communication tools is proposed. Going beyond traditional geographical and temporal boundaries was deemed important for improving patient safety during the ED to ICU handover. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Lost in dissociation: The main paradigms in unconscious cognition.

PubMed

Augusto, Luis M

2016-05-01

Contemporary studies in unconscious cognition are essentially founded on dissociation, i.e., on how it dissociates with respect to conscious mental processes and representations. This is claimed to be in so many and diverse ways that one is often lost in dissociation. In order to reduce this state of confusion we here carry out two major tasks: based on the central distinction between cognitive processes and representations, we identify and isolate the main dissociation paradigms; we then critically analyze their key tenets and reported findings. Copyright © 2016 Elsevier Inc. All rights reserved.

Improved Newborn Hearing Screening Follow-up Results in More Infants Identified

PubMed Central

Alam, Suhana; Gaffney, Marcus; Eichwald, John

2015-01-01

Longitudinal research suggests that efforts at the national, state, and local levels are leading to improved follow-up and data reporting. Data now support the assumption that the number of deaf or hard-of-hearing infants identified through newborn hearing screening increases with a reduction in the number of infants lost to follow-up. Documenting the receipt of services has made a noticeable impact on reducing lost to follow-up rates and early identification of infants with hearing loss; however, continued improvement and monitoring of services are still needed. PMID:23803975

Improved newborn hearing screening follow-up results in more infants identified.

PubMed

Alam, Suhana; Gaffney, Marcus; Eichwald, John

2014-01-01

Longitudinal research suggests that efforts at the national, state, and local levels are leading to improved follow-up and data reporting. Data now support the assumption that the number of deaf or hard-of-hearing infants identified through newborn hearing screening increases with a reduction in the number of infants lost to follow-up. Documenting the receipt of services has made a noticeable impact on reducing lost to follow-up rates and early identification of infants with hearing loss; however, continued improvement and monitoring of services are still needed.

Entrepreneurial proliferation: Russia`s nuclear industry suits the buyers market. Master`s thesis

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

Whalen, T.D.; Williams, A.R.

1995-06-01

The Soviet Union collapsed in December 1991, bringing an end to four decades of the Cold War. A system of tight centralized controls has given way to chaotic freedom and un-managed, entrepreneurial capitalism. Of immediate concern to most world leaders has been the control and safety of over 30,000 Soviet nuclear weapons. After 1991, the Soviet, centralized system of management lost one key structural element: a reliable `human factor` for nuclear material control. The Soviet systems for physical security and material control are still in place in the nuclear inheritor states - Russia, Ukraine, Khazakhnstan, and Belarus - but theymore » do not restrain or regulate their nuclear industry. In the chaos created by the Soviet collapse, the nonproliferation regime may not adequately temper the supply of the nuclear materials of the new inheritor states. This could permit organizations or states seeking nuclear weapons easier access to fissile materials. New initiatives such as the United States Cooperative Threat Reduction program, which draws upon U.S. technology and expertise to help the NIS solve these complex problems, are short-tern tactics. At present there are no strategies which address the long-tern root problems caused by the Soviet collapse.This thesis demonstrates the extent of the nuclear control problems in Russia. Specifically, we examine physical security, material control and accounting regulation and enforcement, and criminal actions. It reveals that the current lack of internal controls make access to nuclear materials easier for aspiring nuclear weapons States.« less

78 FR 42774 - Agency Information Collection Activities; Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-17

... Dakota, and Wyoming), the State lead agencies for pesticide regulation in those States that monitor the... lost; and (f) the species, locations, and dates of all suspected poisonings of humans, domestic animals... Pollution Prevention. [FR Doc. 2013-17024 Filed 7-16-13; 8:45 am] BILLING CODE 6560-50-P ...

Understanding state variation in health insurance dynamics can help tailor enrollment strategies for ACA expansion.

PubMed

Graves, John A; Swartz, Katherine

2013-10-01

The number and types of people who become eligible for and enroll in the Affordable Care Act's (ACA's) health insurance expansions will depend in part on the factors that cause people to become uninsured for different lengths of time. We used a small-area estimation approach to estimate differences across states in percentages of adults losing health insurance and in lengths of their uninsured spells. We found that nearly 50 percent of the nonelderly adult population in Florida, Nevada, New Mexico, and Texas--but only 18 percent in Massachusetts and 22 percent in Vermont--experienced an uninsured spell between 2009 and 2012. Compared to people who lost private coverage, those with public insurance were more likely to experience an uninsured spell, but their spells of uninsurance were shorter. We categorized states based on estimated incidence of uninsured spells and the spells' duration. States should tailor their enrollment outreach and retention efforts for the ACA's coverage expansions to address their own mix of types of coverage lost and durations of uninsured spells.

The Search for next Practice: A UK Approach to Innovation in Schools

ERIC Educational Resources Information Center

Hannon, Valerie

2009-01-01

In 2002, the Labor Government in the UK established an Innovation Unit, within government, to support practitioner-led innovation in schools. Two considerations led to this action. First, there was an increasing sense that amidst the plethora of national strategies and change programs, an important element was in danger of being lost: the…

Integrative Psycho-Pedagogical Model of Early Childhood Education Professionals in the Kibbutzim in Israel

ERIC Educational Resources Information Center

Plotnik, Ronit; Wahle, Nira

2010-01-01

The changes in the kibbutzim went through a transition from a collectivistic society to an individualistic one, with an emphasis on family units. Parents found themselves in a new role that was not passed to them by inter-generational transfer, while caregivers lost their socialisation roles, expressed by exhaustion and low professional…

76 FR 56937 - National Days of Prayer and Remembrance, 2011

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-14

... and remembrance the men, women, and children who died in New York City, in Pennsylvania, and at the... we lost is a safer, stronger, and more resilient Nation. Since that day, a generation has come of age.... At home, communities have come together to make us a stronger country, united by our diversity, our...

A Phenomenological Study of Family Needs Following the Suicide of a Teenager

ERIC Educational Resources Information Center

Miers, David; Abbott, Douglas; Springer, Paul R.

2012-01-01

The objective of this phenomenological study was to develop an understanding of family needs following the suicide of a teenager. Six parent units living in the Midwest who lost a teenager to suicide were interviewed. Participants indicated several key themes that describe a parent's needs following the suicide of a teenager. These needs were…

Brain implants for substituting lost motor function: state of the art and potential impact on the lives of motor-impaired seniors.

PubMed

Ramsey, N F; Aarnoutse, E J; Vansteensel, M J

2014-01-01

Recent scientific achievements bring the concept of neural prosthetics for reinstating lost motor function closer to medical application. Current research involves severely paralyzed people under the age of 65, but implications for seniors with stroke or trauma-induced impairments are clearly on the horizon. Demographic changes will lead to a shortage of personnel to care for an increasing population of senior citizens, threatening maintenance of an acceptable level of care and urging ways for people to live longer at their home independent from personal assistance. This is particularly challenging when people suffer from disabilities such as partial paralysis after stroke or trauma, where daily personal assistance is required. For some of these people, neural prosthetics can reinstate some lost motor function and/or lost communication, thereby increasing independence and possibly quality of life. In this viewpoint article, we present the state of the art in decoding brain activity in the service of brain-computer interfacing. Although some noninvasive applications produce good results, we focus on brain implants that benefit from better quality brain signals. Fully implantable neural prostheses for home use are not available yet, but clinical trials are being prepared. More sophisticated systems are expected to follow in the years to come, with capabilities of interest for less severe paralysis. Eventually the combination of smart robotics and brain implants is expected to enable people to interact well enough with their environment to live an independent life in spite of motor disabilities. © 2014 S. Karger AG, Basel.

Summary of floods in the United States during 1958

USGS Publications Warehouse

Hendricks, E.L.

1964-01-01

This report describes the most outstanding floods that occurred in the United States during 1958.A series of storms from January 23 to February 16 brought large amounts of precipitation to northern California and produced damaging floods, particularly in the Lower Sacramento Valley where losses totaled about \\$12 million.Major floods, notable because of the large area affected, occurred on many small streams in central and south Texas, following heavy general rains in late February. Extensive flooding occurred along the Gulf Coastal plain on the lower reaches of the major streams from the Brazos River to the Nueces River. Two lives were lost, and property damage exceeded \\$1 million.Damaging floods of April 1-7 followed one of the wettest winters in California history. Swollen streams overflowed their banks throughout the central part of the State, and discharge peaks on many streams exceeded those .of the floods of December 1955. Most severely flooded was the San Francisco Bay area. Total flood damage was estimated at \\$23 million.The storms and floods of April-May in Louisiana and adjacent States outranked all other floods in the United States during 1958 with respect to intensity of rain over a large area, number of streams having maximum discharge of record, rare occurrence of peaks, and great amount (\\$21 million) of resultant damage.Heavy rains on June 8-15 caused one of the greatest summer floods of record in central Indiana. Peak discharges were high and of rare occurrences. Failure of numerous levees along the Wabash River caused great damage. Crop damage alone was estimated at \\$48 million.Intense rains of July 1-2 caused record-breaking floods in southwestern Iowa. Rapid rises and the great magnitude of the floods on small streams resulted in 18 deaths and many injuries. Six towns and cities along the East Nishnabotna River and its tributaries were particularly hard hit; rural damage was also high. Total damage was estimated at \\$15 million.Heavy rains (as much as 40 inches during the last 2 weeks in September) from the middle of September to the middle of October caused destructive floods along the Rio Grande in Texas and Mexico. Many communities were isolated by the flood waters, and damage to crops was great.In addition to the 7 floods mentioned above, 21 others of lesser magnitude are reported in this annual summary.

Income inequality, poverty, and population health: evidence from recent data for the United States.

PubMed

Ram, Rati

2005-12-01

In this study, state-level US data for the years 2000 and 1990 are used to provide additional evidence on the roles of income inequality and poverty in population health. Five main points are noted. First, contrary to the suggestion made in several recent studies, the income inequality parameter is observed to be quite robust and carries statistical significance in mortality equations estimated from several observation sets and a fairly wide variety of specificational choices. Second, the evidence does not indicate that significance of income inequality is lost when education variables are included. Third, similarly, the income inequality parameter shows significance when a race variable is added, and also when both race and urbanization terms are entered. Fourth, while poverty is seen to have some mortality-increasing consequence, the role of income inequality appears stronger. Fifth, income inequality retains statistical significance when a quadratic income term is added and also if the log-log version of a fairly inclusive model is estimated. I therefore suggest that the recent skepticism articulated by several scholars in regard to the robustness of the income inequality parameters in mortality equations estimated from the US data should be reconsidered.

Mercury contamination from historical gold mining in California

USGS Publications Warehouse

Alpers, Charles N.; Hunerlach, Michael P.; May, Jason T.; Hothem, Roger L.

2005-01-01

Mercury contamination from historical gold mines represents a potential risk to human health and the environment. This fact sheet provides background information on the use of mercury in historical gold mining and processing operations in California, with emphasis on historical hydraulic mining areas. It also describes results of recent USGS projects that address the potential risks associated with mercury contamination. Miners used mercury (quicksilver) to recover gold throughout the western United States. Gold deposits were either hardrock (lode, gold-quartz veins) or placer (alluvial, unconsolidated gravels). Underground methods (adits and shafts) were used to mine hardrock gold deposits. Hydraulic, drift, or dredging methods were used to mine the placer gold deposits. Mercury was used to enhance gold recovery in all the various types of mining operations; historical records indicate that more mercury was used and lost at hydraulic mines than at other types of mines. On the basis of USGS studies and other recent work, a better understanding is emerging of mercury distribution, ongoing transport, transformation processes, and the extent of biological uptake in areas affected by historical gold mining. This information has been used extensively by federal, state, and local agencies responsible for resource management and public health in California.

Patient can't get ADA relief unless discrimination persists.

PubMed

1997-09-05

Several United States courts have ruled that under Title III of the Americans with Disabilities Act (ADA), HIV-positive patients have no recourse against a physician who has discriminated against them, provided that the patients do not plan to visit the doctor in the future. If the patient states that he or she does not intend to use the physician's or facility's services again, there is no basis for injunctive relief under the ADA. This issue is illustrated by the case of [name removed], an HIV-positive patient residing in Atlanta, GA, who attempted to sue [name removed], a plastic surgeon who refused to perform a cosmetic implant procedure. [Name removed] claimed that the procedure was a direct threat to [name removed]'s health and refused to treat him. When [name removed] vowed that he would never again seek medical care from [name removed] he lost his opportunity to file suit against [name removed] under the ADA. Additionally, [name removed] did not prove that the cosmetic procedure would not pose a direct threat to his own health in the form of a postoperative infection. This position has been accepted by a number of courts, including [name removed] v. St. Helena Hospital (CA).

44 CFR 206.394 - Cost eligibility.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., can be paid. (4) Cost of firefighting tools, materials, and supplies expended or lost, to the extent... in cases in which the State has a responsibility under a cooperative agreement to perform such action...

Children and End-State Renal Disease (ERSD)

MedlinePlus

... get about Medicare Lost/incorrect Medicare card Report fraud & abuse File a complaint Identity theft: protect yourself ... last 3 years by working and paying Social Security taxes. You (or your spouse) are getting, or ...

7 CFR 276.2 - State agency liabilities.

Code of Federal Regulations, 2010 CFR

2010-01-01

...., errors by the personnel of issuance offices in the counting of coupon books); (iv) Coupons lost in... household's account, benefits drawn from an EBT account after the household has reported that the EBT card...

KSC-2012-1128

NASA Image and Video Library

2012-01-26

CAPE CANAVERAL, Fla. -- The names of U.S. space explorers who have been lost are engraved on the Space Mirror Memorial at the Kennedy Space Center Visitor Complex in Florida. Kennedy Space Center Director Robert Cabana, Deputy Director Janet Petro, and United Space Alliance’s Vice President for Aerospace Services/Florida Site Director Mark Nappi placed a wreath at the memorial during Kennedy’s NASA Day of Remembrance. The Day of Remembrance honors members of the NASA family who lost their lives while furthering the cause of exploration and discovery, including the astronaut crews of Apollo 1 and space shuttles Challenger and Columbia. Kennedy civil service and contractor employees, along with the general public, paid their respects throughout the day. The visitor complex provided flowers for visitors to place at the memorial. Photo credit: NASA/Dimitri Gerondidakis

Loss of halogens from crystallized and glassy silicic volcanic rocks

USGS Publications Warehouse

Noble, D.C.; Smith, V.C.; Peck, L.C.

1967-01-01

One hundred and sixty-four F and Cl analyses of silicic welded tuffs and lavas and glass separates are presented. Comparison of the F and Cl contents of crystallized rocks with those of nonhydrated glass and hydrated glassy rocks from the same rock units shows that most of the halogens originally present were lost on crystallization. An average of about half of the F and four-fifths of the Cl originally present was lost. Analyses of hydrated natural glasses and of glassy rocks indicate that in some cases significant amounts of halogens may be removed from or added to hydrated glass through prolonged contact with ground water. The data show that the original halogen contents of the groundmass of a silicic volcanic rock can be reliably determined only from nonhydrated glass. ?? 1967.

[Impact of quality improvement process upon the state of nutritional support in a critical care unit].

PubMed

Martinuzzi, A; Ferraresi, E; Orsati, M; Palaoro, A; Chaparro, J; Alcántara, S; Amin, C; Feller, C; Di Leo, M E; Guillot, A; García, V

2012-01-01

In a preceding article the state of Nutritional support (NS) in an Intensive Care Unit (ICU) was documented [Martinuzzi A et al. Estado del soporte nutricional en una unidad de Cuidados críticos. RNC 2011; 20: 5-17]. In this follow-up work we set to assess the impact of several organizational, recording and educational interventions upon the current state of NS processes. Interventions comprised presentation of the results of the audit conducted at the ICU before the institution's medical as well as paramedical personnel; their publication in a periodical, peer-reviewed journal; drafting and implementation of a protocol regulating NS schemes to be carried out at the ICU; and conduction of continuous education activities on Nutrition (such as "experts talks", interactive courses, and training in the implementation of the NS protocol). The state of NS processes documented after the interventions was compared with the results annotated in the preceding article. Study observation window ran between March the 1st, 2011 and May 31th, 2011, both included. Study series differed only regarding overall-mortality: Phase 1: 40.0% vs. Phase 2: 20.5%; Difference: 19.5%; Z = 1.927; two-tailed-p = 0.054. Interventions resulted in a higher fulfillment rate of the prescribed NS indication; an increase in the number of patients receiving ≥ 80% of prescribed energy; and a reduction in the number of NS lost days. Mortality was (numerically) lower in patients in which the prescribed NS scheme was fulfilled, NS was early initiated, and whom received ≥ 80% of prescribed energy. Adopted interventions had no effect upon average energy intakes: Phase 1: 574.7 ± 395.3 kcal/24 h⁻¹ vs. Phase 2: 591.1 ± 315.3 kcal/24 h⁻¹; two-tailed-p > 0.05. Educational, recording and organizational interventions might result in a better conduction of NS processes, and thus, in a lower mortality. Hemodynamic instability is still the most formidable obstacle for initiating and completing NS.

High-pressure transformation in the cobalt spinel ferrites

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

Blasco, J., E-mail: jbc@posta.unizar.es; Subías, G.; García, J.

2015-01-15

We report high pressure angle-dispersive x-ray diffraction measurements on Co{sub x}Fe{sub 3−x}O{sub 4} (x=1, 1.5, 1.75) spinels at room temperature up to 34 GPa. The three samples show a similar structural phase transformation from the cubic spinel structure to an analogous post-spinel phase at around 20 GPa. Spinel and post-spinel phases coexist in a wide pressure range (∼20–25 GPa) and the transformation is irreversible. The equation of state of the three cubic spinel ferrites was determined and our results agree with the data obtained in related oxide spinels showing the role of the pressure-transmitting medium for the accurate determination ofmore » the equation of state. Measurements releasing pressure revealed that the post-spinel phase is stable down to 4 GPa when it decomposes yielding a new phase with poor crystallinity. Later compression does not recover either the spinel or the post-spinel phases. This phase transformation induced by pressure explains the irreversible lost of the ferrimagnetic behavior reported in these spinels. - Graphical abstract: Pressure dependence of the unit cell volume per formula unit for Co{sub 1.5}Fe{sub 1.5}O{sub 4} spinel. Circles and squares stand for spinel and postspinel phases, respectively. Dark (open) symbols: determination upon compression (decompression). - Highlights: • The pressure induces similar phase transformation in Co{sub 3−x}Fe{sub x}O{sub 4} spinels (1≤x≤2). • The postspinel phases decompose after releasing pressure. • The irreversibility of this phase transformation explains the disappearance of magnetism in these spinels after applying pressure. • Accurate equation of state can be obtained up to 10 GPa using an alcohol mixture as pressure transmitting medium. • The equation of state suggests similar elastic properties for these spinels in this composition range.« less

The impact of the United States Preventive Services Task Force (USPTSTF) recommendations against prostate-specific antigen (PSA) testing on PSA testing in Australia.

PubMed

Zargar, Homayoun; van den Bergh, Roderick; Moon, Daniel; Lawrentschuk, Nathan; Costello, Anthony; Murphy, Declan

2017-01-01

To assess the impact of the United States Preventive Services Task Force (USPTSTF) recommendations on prostate-specific antigen (PSA) testing, prostate biopsy, and prostatectomy in Australian men based on the available Medicare data. Events were identified using Medicare item numbers for PSA testing (66655, 66659), prostate biopsy (37219), prostatectomy (37210), and prostatectomy with lymph node dissection (37211). The occurrences of each procedure was queried per 100 000 capita for consecutive financial years over the period 2000-2015. For each item number, reports were also generated for all Australian States. For PSA testing the data was stratified into three age groups of 45-54, 55-64, and 65-74 years. For assessing the rate of prostatectomy the capita rate values for two item numbers of prostatectomy (37210) and prostatectomy with lymph node dissection (37211) were combined. Steady declines in per capita incidences of all five item numbers assessed were seen for the three consecutive financial years (2013-2015) since the publication of the USPTSTF recommendation statement. These declines were seen across all Australian States. When examining the rate of PSA testing for the three age brackets 45-54, 55-64, and 65-74 years, similar trends were identified. Since the introduction of the USPTSTF recommendation statement there has been a steady nationwide decline in per capita incidences of PSA testing, prostate biopsy, and prostatectomy based on the Australian Medicare data. Whether these declines are in the right direction toward reduction in over-diagnosis and overtreatment of clinically insignificant prostate cancer or stage migration toward more locally advanced disease due to lost opportunity in diagnosing and treating early clinically significant prostate cancer will remain to be seen. © 2016 The Authors BJU International © 2016 BJU International Published by John Wiley & Sons Ltd.

Income Replacement and Reemployment Programs in Michigan and Neighboring States. W.E. Upjohn Institute Staff Working Paper.

ERIC Educational Resources Information Center

Woodbury, Stephen A.

Income replacement and reemployment programs in Michigan and its neighboring states were examined in the context of recent changes in federal policy regarding compensation and services for individuals who have lost their jobs or sustained job-related injuries. The analysis focused primarily on the following programs: (1) Unemployment Insurance…

49 CFR 383.37 - Employer responsibilities.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Employer responsibilities. No employer may allow, require, permit, or authorize a driver to operate a CMV... CMV who violates any restriction on the driver's CLP or CDL. (b) During any period in which the driver has a CLP or CDL disqualified by a State, has lost the right to operate a CMV in a State, or has been...

49 CFR 383.37 - Employer responsibilities.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Employer responsibilities. No employer may allow, require, permit, or authorize a driver to operate a CMV... CMV who violates any restriction on the driver's CLP or CDL. (b) During any period in which the driver has a CLP or CDL disqualified by a State, has lost the right to operate a CMV in a State, or has been...

42 CFR 457.805 - State plan requirement: Procedures to address substitution under group health plans.

Code of Federal Regulations, 2014 CFR

2014-10-01

...) The child lost coverage due to the death or divorce of a parent. [78 FR 42313, July 15, 2013] ... SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... from the date a child otherwise eligible for CHIP is disenrolled from coverage under a group health...

Charter Schools and Race: A Lost Opportunity for Integrated Education.

ERIC Educational Resources Information Center

Frankenberg, Erica; Lee, Chungmei

This study examined whether charter schools, in states where they now enroll at least 5,000 students, are more or less segregated than their public school counterparts, also noting racial/ethnic guidelines in the current state charter legislation. Data from the National Center for Education Statistics 2000-01 Common Core of Data were collected on…

32 CFR 537.9 - Assertion.

Code of Federal Regulations, 2010 CFR

2010-07-01

... STATES § 537.9 Assertion. (a) Asserting demands. If a prima facie claim exists under state law, a written...) Lost pay will be obtained from the leave or earnings statement or the active duty pay chart for the... did not receive either due to the length of time off assigned duty. The time off duty will be based on...

Lost in Translation? Psychometric Properties and Construct Validity of the English Essen Climate Evaluation Schema (EssenCES) Social Climate Questionnaire

ERIC Educational Resources Information Center

Tonkin, Matthew; Howells, Kevin; Ferguson, Eamonn; Clark, Amanda; Newberry, Michelle; Schalast, Norbert

2012-01-01

The social climate of correctional (forensic) settings is likely to have a significant impact on the outcome of treatment and the overall functioning of these units. The Essen Climate Evaluation Schema (EssenCES) provides an objective way of measuring social climate that overcomes the content, length, and psychometric limitations of other…

76 FR 63294 - River Bounty, Inc.; Notice of Termination of Exemption By Implied Surrender and Soliciting...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-12

... powerhouse containing three units. Currently, there is a 50- to 60-foot-wide breach in the dam. The project... the Oakland Project because it lost its power sales contract. Since that time, the powerhouse..., the breach expanded leaving a 50- to 60-foot- wide opening in the dam. In April 2011, the Commission...

New focus on forests

Treesearch

Katherine Unger; Divya Abhat.; Constance Millar; Greg [featured scientists] McPherson

2010-01-01

It would appear that forests are finally having their day—and not a moment too soon. Around the world, trees are dying at an alarming rate, besieged by illegal logging, agricultural conversion, wildfire, and drought. According to the United Nations Food and Agriculture Organization, 13 million  hectares of the world’s forests are now lost to deforestation every year....

Working on the Weekend: Fathers' Time with Family in the United Kingdom

ERIC Educational Resources Information Center

Hook, Jennifer L.

2012-01-01

Whereas most resident fathers are able to spend more time with their children on weekends than on weekdays, many fathers work on the weekends, spending less time with their children on these days. There are conflicting findings about whether fathers are able to make up for lost weekend time on weekdays. Using unique features of the United…

When Marcel Mauss's Essai sur le Don becomes The Gift: variations on the theme of solidarity.

PubMed

Bateman, Simone

2016-12-01

Since the early 1970s, Marcel Mauss's Essai sur le Don (1923), translated into English as The Gift in 1954, has been a standard reference in the social science and bioethical literature on the use of human body parts and substances for medical and research purposes. At that time, three social scientists-political scientist Richard Titmuss in the United Kingdom and sociologist Renée C. Fox working with historian Judith Swazey in the United States-had the idea of using this concept to highlight the fundamental structure of the biomedical practices they were studying, respectively, blood donation, and hemodialysis and organ transplantation. The fact that these first applications of Mauss's essay should emerge in English- rather than in French-speaking countries raises the question of what the translation of the essay, and notably of the word don as gift, may have to do with this fact. Reading Mauss in translation undoubtedly inspired a seminal approach to interpreting medical and research practices based on bodily giving. This article posits that something may have also been lost: a much broader concept of giving with unquestionable links to the Durkheimian concept of solidarity, which Mauss conceptualizes not only as an obligation but also as a liberty to give.

The relation between number of smoking friends, and quit intentions, attempts, and success: findings from the International Tobacco Control (ITC) Four Country Survey.

PubMed

Hitchman, Sara C; Fong, Geoffrey T; Zanna, Mark P; Thrasher, James F; Laux, Fritz L

2014-12-01

Smokers who inhabit social contexts with a greater number of smokers may be exposed to more positive norms toward smoking and more cues to smoke. This study examines the relation between number of smoking friends and changes in number of smoking friends, and smoking cessation outcomes. Data were drawn from Wave 1 (2002) and Wave 2 (2003) of the International Tobacco Control (ITC) Project Four Country Survey, a longitudinal cohort survey of nationally representative samples of adult smokers in Australia, Canada, United Kingdom, and United States (N = 6,321). Smokers with fewer smoking friends at Wave 1 were more likely to intend to quit at Wave 1 and were more likely to succeed in their attempts to quit at Wave 2. Compared with smokers who experienced no change in their number of smoking friends, smokers who lost smoking friends were more likely to intend to quit at Wave 2, attempt to quit between Wave 1 and Wave 2, and succeed in their quit attempts at Wave 2. Smokers who inhabit social contexts with a greater number of smokers may be less likely to successfully quit. Quitting may be particularly unlikely among smokers who do not experience a loss in the number of smokers in their social context.

Digital Capture and Fabrication Tools for Interpretation of Historic Sites

NASA Astrophysics Data System (ADS)

Ackerman, A.; Glekas, E.

2017-08-01

Historic sites and the narratives they produce can have a lasting impact on the community through public engagement and education. However, when these sites are neglected and lost over time, opportunities to engage the public with the history of these places is lost with them. The interpretation of heritage that has been lost or forgotten is an emerging trend in humanities studies. This trend, in combination with technological advancements in digital media and representation, presents an innovative opportunity for historic preservation professionals to create new paths for public engagement. This paper discusses applications of photogrammetry, 3D modeling, and digital fabrication in digitally reconstructing interpretive models of the Larz Anderson Estate (now Larz Anderson Park). This site has changed dramatically through its transition from a private estate to a public park and recreation area, with few remnants of the original estate remaining extant. The above stated use of digital strategies aims to create digital and physical models of the estate's change over time, with the aim of interpreting the site's lost heritage for the public. Combining existing archival research and heritage documentation methods with these digital representation techniques tells the story of a place that no longer exists.

Unauthorized border crossings and migrant deaths: Arizona, New Mexico, and El Paso, Texas, 2002-2003.

PubMed

Sapkota, Sanjeeb; Kohl, Harold W; Gilchrist, Julie; McAuliffe, Jay; Parks, Bruce; England, Bob; Flood, Tim; Sewell, C Mack; Perrotta, Dennis; Escobedo, Miguel; Stern, Corrine E; Zane, David; Nolte, Kurt B

2006-07-01

We examined the major causes of and risk factors for death among migrants who died while making unauthorized border crossings into the United States from Mexico. Decedents were included in the study if (1) their remains were found between January 1, 2002, and December 31, 2003, in any US county along the 650-mi (1040-km) section of the US-Mexican border from Yuma, Ariz, to El Paso, Tex; (2) their immigration status was unauthorized; and (3) they were believed to have died during transit from Mexico to the United States. Characteristics of the decedents and causes of and risk factors for their deaths were examined. Among the 409 decedents meeting our inclusion criteria, environmental heat exposure (n=250; 61.1%) was the leading cause of death, followed by vehicle crashes (n=33; 8.1%) and drownings (n=24; 5.9%). Male decedents (n= 298; 72.8%) outnumbered female decedents (n = 105; 25.6%) nearly 3 to 1. More than half of the decedents were known to be Mexican nationals (n=235; 57.5%) and were aged 20 to 39 years (n=213; 52.0%); the nationality of 148 (36.2%) decedents was undetermined. Deaths among migrants making unauthorized crossings of the US-Mexican border are due to causes that are largely preventable. Prevention strategies should target young Mexican men, and focus on preventing them from conceiving plans to cross the border, discouraging them from using dangerous routes as crossing points, and providing search-and-rescue teams to locate lost or injured migrant crossers.

The Contribution of Drug Overdose to Educational Gradients in Life Expectancy in the United States, 1992-2011.

PubMed

Ho, Jessica Y

2017-06-01

Since the mid-1990s, the United States has witnessed a dramatic rise in drug overdose mortality. Educational gradients in life expectancy widened over the same period, and drug overdose likely plays a role in this widening, particularly for non-Hispanic whites. The contemporary drug epidemic is distinctive in terms of its scope, the nature of the substances involved, and its geographic patterning, which influence how it impacts different education groups. I use vital statistics and National Health Interview Survey data to examine the contribution of drug overdose to educational gradients in life expectancy from 1992-2011. I find that over this period, years of life lost due to drug overdose increased for all education groups and for both males and females. The contribution of drug overdose to educational gradients in life expectancy has increased over time and is greater for non-Hispanic whites than for the population as a whole. Drug overdose accounts for a sizable proportion of the increases in educational gradients in life expectancy, particularly at the prime adult ages (ages 30-60), where it accounts for 25 % to 100 % of the widening in educational gradients between 1992 and 2011. Drug overdose mortality has increased more rapidly for females than for males, leading to a gender convergence. These findings shed light on the processes driving recent changes in educational gradients in life expectancy and suggest that effective measures to address the drug overdose epidemic should take into account its differential burden across education groups.

Earth Observations taken by the Expedition 13 crew

NASA Image and Video Library

2006-07-19

ISS013-E-54243 (19 July 2006) --- Crater Lake, Oregon is featured in this image photographed by an Expedition 13 crewmember on the International Space Station. Crater Lake is formed from the caldera (collapsed magma chamber) of a former volcano known as Mount Mazama. Part of the Cascades volcanic chain, Mount Mazama is situated between the Three Sisters volcanoes to the north and Mount Shasta to the south. While considered a dormant volcano, Crater Lake is part of the United States Geological Survey Cascades Volcano Observatory seismic monitoring network. The dark blue water coloration is typical of the 592 meter (1943 feet) deep Crater Lake; light blue-green areas to the southeast of Wizard Island (along the southern crater rim) most probably correspond to particulates either on or just below the water surface. A light dusting of snow fills the summit cone of Wizard Island. Some of the older lava flows in the area are associated with Mount Scott to the east-southeast of the Lake. Water is lost only by evaporation and seepage, and is only replenished by rainwater and snowmelt from the surrounding crater walls. These processes help maintain minimal sediment input into the lake and exceptional water clarity. The Crater Lake ecosystem is of particular interest to ecologists because of its isolation from the regional landscape, and its overall pristine quality is important to recreational users of Crater Lake National Park (447,240 visitors in 2005). The United States National Park Service maintains programs to monitor changes (both natural and human impacts) to Crater Lake.

Unauthorized Border Crossings and Migrant Deaths: Arizona, New Mexico, and El Paso, Texas, 2002–2003

PubMed Central

Sapkota, Sanjeeb; Kohl, Harold W.; Gilchrist, Julie; McAuliffe, Jay; Parks, Bruce; England, Bob; Flood, Tim; Sewell, C. Mack; Perrotta, Dennis; Escobedo, Miguel; Stern, Corrine E.; Zane, David; Nolte, Kurt B.

2006-01-01

Objectives. We examined the major causes of and risk factors for death among migrants who died while making unauthorized border crossings into the United States from Mexico. Methods. Decedents were included in the study if (1) their remains were found between January 1, 2002, and December 31, 2003, in any US county along the 650-mi (1040-km) section of the US–Mexican border from Yuma, Ariz, to El Paso, Tex; (2) their immigration status was unauthorized; and (3) they were believed to have died during transit from Mexico to the United States. Characteristics of the decedents and causes of and risk factors for their deaths were examined. Results. Among the 409 decedents meeting our inclusion criteria, environmental heat exposure (n=250; 61.1%) was the leading cause of death, followed by vehicle crashes (n=33; 8.1%) and drownings (n=24; 5.9%). Male decedents (n= 298; 72.8%) outnumbered female decedents (n = 105; 25.6%) nearly 3 to 1. More than half of the decedents were known to be Mexican nationals (n=235; 57.5%) and were aged 20 to 39 years (n=213; 52.0%); the nationality of 148 (36.2%) decedents was undetermined. Conclusions. Deaths among migrants making unauthorized crossings of the US–Mexican border are due to causes that are largely preventable. Prevention strategies should target young Mexican men, and focus on preventing them from conceiving plans to cross the border, discouraging them from using dangerous routes as crossing points, and providing search-and-rescue teams to locate lost or injured migrant crossers. PMID:16735618

The Contribution of Drug Overdose to Educational Gradients in Life Expectancy in the United States, 1992–2011

PubMed Central

Ho, Jessica Y.

2017-01-01

Over the past two decades, the United States has witnessed a dramatic rise in drug overdose mortality. Educational gradients in life expectancy widened over the same period, and it is likely that drug overdose plays a role in this widening, particularly for non-Hispanic whites. The contemporary drug epidemic is distinctive in terms of its scope, the nature of the substances involved, and its geographic patterning, which influence how it impacts different education groups. I use data from vital statistics and from the National Health Interview Survey to examine the contribution of drug overdose to educational gradients in life expectancy from 1992–2011. I find that over this period, years of life lost due to drug overdose increased for all education groups and for both males and females. The contribution of drug overdose to educational gradients in life expectancy has increased over time and is greater for non-Hispanic whites than for the population as a whole. Drug overdose accounts for a sizeable proportion of the increases in educational gradients in life expectancy, particularly at the prime adult ages (ages 30–60) where it accounts for 25–100% of the widening in educational gradients between 1992–2011. Over time, drug overdose mortality has increased more rapidly for females than for males, leading to a gender convergence. These findings shed light on the processes driving recent changes in educational gradients in life expectancy and suggest that effective measures to address the drug overdose epidemic should take into account its differential burden across education groups. PMID:28324483

Patterns of postnatal weight changes in infants with very low and extremely low birth weights.

PubMed

Smith, S L; Kirchhoff, K T; Chan, G M; Squire, S J

1994-01-01

To describe (1) short-term postnatal weight loss and gain patterns in infants with very low and extremely low birth weights and (2) the variables that may affect these weight change patterns. Descriptive, retrospective review. University hospital in the intermountain western United States. Sixty-two charts of infants admitted to a university neonatal intensive care unit from July 1990 through November 1992 were reviewed. Infants who weighed 1000 grams or less were categorized as extremely low birth weight (ELBW) and infants weighing 1001 to 1500 grams were categorized as very low birth weight (VLBW). Each group was comprised of 31 infants. Fifty percent of the sample were male, and 50% were female. Eighty-five percent of the sample were Anglo-American, and 15% were non-Anglo-American. Data were collected on a three-part data collection tool and included demographic and treatment variables. A significant difference was found in the maximum percent weight lost between the two groups, with the ELBW group losing a mean of 14.77% of birth weight and the VLBW group losing a mean of 11.35% of birth weight (t = 2.45, p < 0.05). The day the infants reached their nadir weight was significantly different between the two groups. The ELBW group reached their nadir on day of life 7, and the VLBW group reached their nadir on day of life 6 (t = 2.00, p < 0.05). No significant difference was noted in the time to return to birth weight between the two groups, with a mean of 15 days to return to birth weight. Factors associated with postnatal weight changes were intraventricular hemorrhage, use of diuretics and steroids, day of life when nadir weight occurred, and maximum percent of weight lost. Many of the independent variables were significantly interrelated to each other (r = -0.90 to r = 0.91, p < 0.01 to p < 0.001). However, only the variables that correlated with time to return to birth weight were entered into the regression analysis. These variables included number of days diuretics were given before return to birth weight, maximum percent of weight lost, and day of life the infants reached their nadir weight. Number of days diuretics were given before return to birth weight correlated significantly with time to return to birth weight (r = 0.77, F = 26.66, p < 0.0001) although maximum percent of weight lost and day of life the infants reached their nadir weight had a minimal effect. Further research into the effects of diuretic therapy on weight changes in this population of infants may lead to interventions to minimize the negative effects of diuretics on return to birth weight. In addition, the older growth charts may not be applicable to this population of infants. Generation of new growth charts that provide growth curves based on these data could be useful in developing nutritional therapies that would promote growth and possibly decrease the length of hospital stay for these infants.

Obesity Pathogenesis: An Endocrine Society Scientific Statement.

PubMed

Schwartz, Michael W; Seeley, Randy J; Zeltser, Lori M; Drewnowski, Adam; Ravussin, Eric; Redman, Leanne M; Leibel, Rudolph L

2017-08-01

Obesity is among the most common and costly chronic disorders worldwide. Estimates suggest that in the United States obesity affects one-third of adults, accounts for up to one-third of total mortality, is concentrated among lower income groups, and increasingly affects children as well as adults. A lack of effective options for long-term weight reduction magnifies the enormity of this problem; individuals who successfully complete behavioral and dietary weight-loss programs eventually regain most of the lost weight. We included evidence from basic science, clinical, and epidemiological literature to assess current knowledge regarding mechanisms underlying excess body-fat accumulation, the biological defense of excess fat mass, and the tendency for lost weight to be regained. A major area of emphasis is the science of energy homeostasis, the biological process that maintains weight stability by actively matching energy intake to energy expenditure over time. Growing evidence suggests that obesity is a disorder of the energy homeostasis system, rather than simply arising from the passive accumulation of excess weight. We need to elucidate the mechanisms underlying this "upward setting" or "resetting" of the defended level of body-fat mass, whether inherited or acquired. The ongoing study of how genetic, developmental, and environmental forces affect the energy homeostasis system will help us better understand these mechanisms and are therefore a major focus of this statement. The scientific goal is to elucidate obesity pathogenesis so as to better inform treatment, public policy, advocacy, and awareness of obesity in ways that ultimately diminish its public health and economic consequences. Copyright © 2017 Endocrine Society.

Sustainably connecting children with nature: an exploratory study of nature play area visitor impacts and their management

USGS Publications Warehouse

Browning, Matthew H.E.M.; Marion, Jeffrey L.; Gregoire, Timothy G.

2013-01-01

Parks are developing nature play areas to improve children's health and “connect” them with nature. However, these play areas are often located in protected natural areas where managers must balance recreation with associated environmental impacts. In this exploratory study, we sought to describe these impacts. We also investigated which ages, gender, and play group sizes most frequently caused impact and where impacts most frequently occur. We measured the lineal and aerial extent and severity of impacts at three play areas in the eastern United States. Methods included soil and vegetation loss calculations, qualitative searches and tree and shrub damage classifications. Additionally, we observed 12 h of play at five play areas. Results showed that measurable negative impacts were caused during 33% of the time children play. On average, 76% of groundcover vegetation was lost at recreation sites and 100% was lost at informal trails. In addition, approximately half of all trees and shrubs at sites were damaged. Meanwhile, soil exposure was 25% greater on sites and trails than at controls. Boys and small group sizes more frequently caused impact, and informal recreation sites were most commonly used for play. No statistically significant correlations were found between age or location and impact frequency. Managers interested in developing nature play areas should be aware of, but not deterred by these impacts. The societal benefits of unstructured play in nature may outweigh the environmental costs. Recommended management strategies include selecting impact-resistant sites, improving site resistance, promoting low impact practices, and managing adaptively.

Pleistocene rewilding: an optimistic agenda for twenty-first century conservation.

PubMed

Josh Donlan, C; Berger, Joel; Bock, Carl E; Bock, Jane H; Burney, David A; Estes, James A; Foreman, Dave; Martin, Paul S; Roemer, Gary W; Smith, Felisa A; Soulé, Michael E; Greene, Harry W

2006-11-01

Large vertebrates are strong interactors in food webs, yet they were lost from most ecosystems after the dispersal of modern humans from Africa and Eurasia. We call for restoration of missing ecological functions and evolutionary potential of lost North American megafauna using extant conspecifics and related taxa. We refer to this restoration as Pleistocene rewilding; it is conceived as carefully managed ecosystem manipulations whereby costs and benefits are objectively addressed on a case-by-case and locality-by-locality basis. Pleistocene rewilding would deliberately promote large, long-lived species over pest and weed assemblages, facilitate the persistence and ecological effectiveness of megafauna on a global scale, and broaden the underlying premise of conservation from managing extinction to encompass restoring ecological and evolutionary processes. Pleistocene rewilding can begin immediately with species such as Bolson tortoises and feral horses and continue through the coming decades with elephants and Holarctic lions. Our exemplar taxa would contribute biological, economic, and cultural benefits to North America. Owners of large tracts of private land in the central and western United States could be the first to implement this restoration. Risks of Pleistocene rewilding include the possibility of altered disease ecology and associated human health implications, as well as unexpected ecological and sociopolitical consequences of reintroductions. Establishment of programs to monitor suites of species interactions and their consequences for biodiversity and ecosystem health will be a significant challenge. Secure fencing would be a major economic cost, and social challenges will include acceptance of predation as an overriding natural process and the incorporation of pre-Columbian ecological frameworks into conservation strategies.

Lorcaserin. In obesity: unacceptable risks.

PubMed

2014-05-01

Treatment of obesity and overweight is based primarily on dietary measures and physical exercise.There are still no drugs with a favourable harm-benefit balance in this setting. Lorcaserin, a "selective" 5HT2C serotonin receptor agonist, has been refused marketing authorisation in the European Union despite approval in the United States. Clinical evaluation of lorcaserin is based on three placebo-controlled trials, each lasting one year, in a total of about 6000 patients. Two trials involved obese patients, and one obese patients with type 2 diabetes. The results of these trials are undermined by the large proportion (40% to 50%) of patients who were lost to follow-up before the end of the trial. None of the trials examined the impact of lorcaserin on the clinical complications of obesity. From an average initial weight of about 100 kg, patients taking lorcaserin lost only about 3 kg more than those in the placebo groups.The patients put on weight again after lorcaserin was discontinued. Adverse effects observed in clinical trials were mainly gastrointestinal (dry mouth, nausea) and neuropsychiatric (dizziness, fatigue, headache, euphoria). The incidence of cardiac valve disorders was higher with lorcaserin than with placebo. These trials were too short in duration to exclude a risk of cancer (breast cancer and astrocytoma) that was reported in experimental animals. This serotonin agonist is metabolised by the liver, creating a risk of multiple drug interactions. In practice, lorcaserin has not been shown to prevent complications of obesity or even lead to substantial weight loss.There is therefore no justification for exposing patients to the risk of adverse effects.

A room of one's own: the SRO and the single elderly.

PubMed

Crystal, S; Beck, P

1992-10-01

A survey of 485 single-room occupancy housing (SRO) residents in New York City found elderly residents strongly preferred to remain in centrally located neighborhoods where apartment housing was beyond their means; did not wish to share a housing unit; and had little confidence that they could find acceptable housing if they lost their present unit. For many elderly residents, SROs meet needs not easily met by available alternatives. Results suggest the need to maintain this housing option for older persons and replace losses that have accompanied gentrification in many central city areas.

Foreign civil aviation competition: 1976 summary and implications

NASA Technical Reports Server (NTRS)

Alford, W. J., Jr.; Maddalon, D. V.

1976-01-01

A summary assessment is made of foreign civil aviation as it relates to the posture of the United States civil aviation industry. Major findings include: (1) Main competitors - European Economic Community (EEC) and Union of Soviet Socialist Republics (USSR). (2) Largest commercial market - Transport aircraft. (3) Current market status and projections - U.S. currently dominates the civil aviation market but foreign markets show greater growth trends. (4) Competitive comparisons - Status comparisons are made in technology (aerodynamics, structures and materials, propulsion, avionics, systems, design coordination, and manufacturing); production runs; marketing; and postsales support. The U.S. generally leads except in aerodynamics and propulsion. (5) Multinational ventures - Joint U.S. industry/foreign government development of advanced technology engines is well developed; airframe industry discussions are now underway. (6) Implications - Although the U.S., is currently preeminent in most areas, this may be only a temporary condition. Past U.S. success in aviation has provided many benefits to the nation. These benefits may be lost.

Sacroiliac joint dysfunction: a case study.

PubMed

Murray, William

2011-01-01

Pain is a widespread issue in the United States. Nine of 10 Americans regularly suffer from pain, and nearly every person will experience low back pain at one point in their lives. Undertreated or unrelieved pain costs more than $60 billion a year from decreased productivity, lost income, and medical expenses. The ability to diagnose and provide appropriate medical treatment is imperative. This case study examines a 23-year-old Active Duty woman who is preparing to be involuntarily released from military duty for an easily correctable medical condition. She has complained of chronic low back pain that radiates into her hip and down her leg since experiencing a work-related injury. She has been seen by numerous providers for the previous 11 months before being referred to the chronic pain clinic. Upon the first appointment to the chronic pain clinic, she has been diagnosed with sacroiliac joint dysfunction. This case study will demonstrate the importance of a quality lower back pain assessment.

Evaluating the effects of the Dietary Guidelines for Americans on consumer behavior and health: methodological challenges.

PubMed

Guthrie, Joanne F; Smallwood, David M

2003-12-01

The Dietary Guidelines for Americans is the official nutrition policy statement for the United States. Government involvement in providing information on private behavior, such as food choice, is justified by the high cost of poor diets, as measured in medical expenses and lost productivity. The Guidelines are intended to provide an up-to-date, consistent information base for federal nutrition education and information efforts and food assistance program regulations. Through these policy mechanisms, the Guidelines are assumed to improve dietary behavior, and, ultimately, health. By law, the Dietary Guidelines for Americans must be updated every five years; however, there is no mandate for evaluation. Evaluation could provide useful information to assess the extent to which the Guidelines positively influence health and provide insights into reasons for their successes and limitations. However, evaluation would also present considerable challenges. This paper discusses the critical data and methodological needs for improving evaluation of the Dietary Guidelines for Americans.

Malignant mesothelioma due to asbestos exposure in dental tape.

PubMed

Markowitz, Steven B; Moline, Jacqueline M

2017-05-01

Although most cases of malignant mesothelioma of the pleura are caused by one or more readily recognized sources of exposure to asbestos, cases of the disease with more occult exposure occur, especially since asbestos has been used in over 3,000 products. Dental lining tape contained asbestos from the 1930s until at least the 1970s and was used in the lost wax method of casting crowns, bridges, and other metal dental prosthetic devices. We report six cases of pathology-verified malignant mesothelioma, mostly among dentists, following exposure to airborne dust from asbestos dental tape, which resulted in asbestos tort litigation. According to evidence available at present, chrysotile asbestos was the type of asbestos used in dental tape in the past in the United States, and the described cases followed relatively brief and intermittent exposure to this type of asbestos. These cases underscore the need for comprehensive exposure histories to determine exposure scenarios. Am. J. Ind. Med. 60:437-442, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Inactivation of Crotalus atrox venom hemorrhagic activity by direct current exposure using hens' egg assay.

PubMed

Calzia, Daniela; Ravera, Silvia; Aluigi, Maria Grazia; Falugi, Carla; Morelli, Alessandro; Panfoli, Isabella

2011-01-01

The hemotoxic venoms of Viperidae and Crotalidae are responsible for most of the evenomations in the United States, West Africa, India, South-East Asia, New Guinea, and Latin America. We previously reported that a short exposure of Crotalus atrox venom to direct electric current (dc) from a low-voltage generator, in solution, causes consistent and irreversible inactivation of venom phospholipase A(2) and metalloproteases. Here we report by in vivo assay on chicken embryos at stage 18 of development according to Hamburger and Hamilton that the hemorrhagic activity of C. atrox venom is lost after exposure to dc (from low voltage). Venom was exposed to dc ranging between 0 and 1 mA. dc values above 0.7 mA abolished hemorrhage. Such in vivo data, showing that dc neutralizes C. atrox venom hemorrhagic activity suggest that a deeper knowledge is needed to understand the relationship among dc and biological matter. Copyright © 2011 Wiley Periodicals, Inc.

Hell and High Water: Practice-Relevant Adaptation Science

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

Moss, Richard H.; Meehl, G.; Lemos, Maria Carmen

2013-11-08

Recent extreme weather such as Hurricane Sandy and the 2012 drought demonstrate the vulnerability of the United States to climate extremes in the present and point to the potential for increased future damages under a changing climate. They also provide lessons for reducing harm and realizing any potential benefits. Preparedness measures – also referred to as adaptation – can cost-effectively increase resilience today and in the future. The upfront costs will be more than offset by reductions in property damage, lives and livelihoods lost, and expensive post-disaster recovery processes. While others have addressed use of science for adaptation in specificmore » sectors including biodiversity (Heller and Zavaleta, 2009) and freshwater ecosystem management (Wilby et al., 2010), or by simply taking a more pragmatic approach to adaptation under uncertainty (Hallegatte, 2009), here the authors make the case that a new, comprehensive approach is needed to create and use science to inform adaptations with applicable and sound knowledge (Kerr et al., 2011).« less

Cortical control of intraspinal microstimulation: Toward a new approach for restoration of function after spinal cord injury.

PubMed

Shahdoost, Shahab; Frost, Shawn; Dunham, Caleb; DeJong, Stacey; Barbay, Scott; Nudo, Randolph; Mohseni, Pedram

2015-08-01

Approximately 6 million people in the United States are currently living with paralysis in which 23% of the cases are related to spinal cord injury (SCI). Miniaturized closed-loop neural interfaces have the potential for restoring function and mobility lost to debilitating neural injuries such as SCI by leveraging recent advancements in bioelectronics and a better understanding of the processes that underlie functional and anatomical reorganization in an injured nervous system. This paper describes our current progress toward developing a miniaturized brain-machine-spinal cord interface (BMSI) that converts in real time the neural command signals recorded from the cortical motor regions to electrical stimuli delivered to the spinal cord below the injury level. Using a combination of custom integrated circuit (IC) technology for corticospinal interfacing and field-programmable gate array (FPGA)-based technology for embedded signal processing, we demonstrate proof-of-concept of distinct muscle pattern activation via intraspinal microstimulation (ISMS) controlled in real time by intracortical neural spikes in an anesthetized laboratory rat.

Executive Summary

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

Thomas, James J.; Cook, Kristin A.

2005-05-09

Motivation Our country faces profound challenges that must be addressed in order to ensure our continued freedom and security. As the September 11, 2001, attacks on the Pentagon and World Trade Center illustrate, threats to the United States are present within our borders. On that day, after at least 20 months of planning and preparation, nineteen terrorists hijacked four airliners at three different airports in a coordinated attack. The hijackers crashed two planes into the World Trade Center’s twin towers and one plane into the Pentagon. The fourth plane, intended to attack another U.S. landmark, crashed in a field inmore » Pennsylvania. 2973 people lost their lives as a result of this attack. As the attack unfolded, government agencies and emergency response personnel had to respond in real time to situations for which policies and procedures did not exist. They were forced to assess situations and make decisions under extreme pressure, often without having critical information that would help them save additional lives. [National Commission on Terrorist Attacks, 2004]« less

Resection of the metatarsal head for diabetic foot ulcers.

PubMed

Wieman, T J; Mercke, Y K; Cerrito, P B; Taber, S W

1998-11-01

Diabetic foot ulceration is a worldwide health problem. Approximately 15% of the 10 million diabetic patients in the United States will develop a foot ulceration at some time in their lives. The presence of a foot ulcer in this population is extremely debilitating and dramatically increases the risk of lower extremity amputation, accounting for approximately 67,000 lost limbs each year. Additionally, the costs associated with treating foot ulcers in diabetic patients is a major expense in the overall care of this patient group. An 11-year retrospective study was conducted to evaluate 101 consecutive patients with diabetic ulcers of the forefoot who were treated using resection of the metatarsal head as the primary means of obtaining wound closure. The results indicate that 88% of the ulcers were healed by using this technique, and relatively more rapidly than would be expected when compared with historical norms. Resection of the metatarsal head is a safe and relatively inexpensive procedure that facilitates closure of the lesion, helps to control infection, and prevents countless and costly amputations.

Economic Impact of Food Safety Outbreaks on Food Businesses

PubMed Central

Hussain, Malik Altaf; Dawson, Christopher O.

2013-01-01

A globalized food trade, extensive production and complex supply chains are contributing toward an increased number of microbiological food safety outbreaks. Moreover, the volume of international food trade has increased to become very large. All of these factors are putting pressure on the food companies to meet global demand in order to be competitive. This scenario could force manufacturers to be lenient toward food safety control intentionally, or unintentionally, and result in a major foodborne outbreak that causes health problems and economic loss. The estimated cost of food safety incidents for the economy of the United States is around $7 billion per year which comes from notifying consumers, removing food from shelves, and paying damages as a result of lawsuits. Most other countries similarly have economic losses. Much of these losses represent lost markets, loss of consumer demand, litigation and company closures. Concrete steps are needed to improve safety of foods produced for local or overseas markets to avoid unexpected food scandals and economic losses. PMID:28239140

Association Between Barracks Type and Acute Respiratory Infection in a Gender Integrated Army Basic Combat Training Population

PubMed Central

White, Duvel W.; Feigley, Charles E.; McKeown, Robert E.; Hout, Joseph J.; Hebert, James R.

2015-01-01

Background Acute respiratory infections (ARIs) are the leading cause of acute morbidity and lost work time in the United States. Few studies have looked at building design and transmission of ARIs. Objectives This study explores the association of ventilation design, room occupancy numbers, and training week with ARI rates in Army Basic Combat Training barracks. Methods This observational study captured the overall incidence of ARI in a cohort of 16,258 individuals attending basic combat training at Fort Jackson, South Carolina. Results ARI risk was higher among trainees living in the 60-person room barracks compared with those living in 8-person rooms, which increased rapidly for the first few weeks of training and then declined to baseline. Conclusions Findings support direct contact as primary ARI transmission mode in this study population based on observed lower ARI risk in smaller room barracks and similar risk in large room barracks despite heating, ventilation, and air conditioning system variability. PMID:21882781

Rapid hiv testing in urban outreach: a strategy for improving posttest counseling rates.

PubMed

Keenan, P A; Keenan, J M

2001-12-01

In 1998, 48% of persons who had HIV testing at publicly funded sites in the United States failed to return for test results and posttest counseling. Opportunities for timely HIV therapy were lost; valuable resources were wasted. This study tested the hypothesis that rapid HIV testing enables a high percentage of high-risk outreach clients to learn their serostatus. We did on-site counseling and rapid HIV testing at community-based organizations (e.g., chemical dependency programs, homeless shelters) in North Minneapolis. The project tested 735 persons. All but one (99.9%) learned their HIV serostatus. African Americans made up 79% of subjects. Rapid testing has a role to play in HIV outreach. It is useful in populations who are at high risk of HIV infection, who currently are not accessing HIV testing, and who have high failure to return rates. Future developments in rapid testing technology will make this testing option more convenient and cost-effective.

An evidence-based approach to the evaluation and treatment of low back pain in the emergency department.

PubMed

Borczuk, Pierre

2013-07-01

Low back pain is the most common musculoskeletal complaint that results in a visit to the emergency department, and it is 1 of the top 5 most common complaints in emergency medicine. Estimates of annual healthcare expenditures for low back pain in the United States exceed $90 billion annually, not even taking lost productivity and business costs into account. This review explores an evidence-based rationale for the evaluation of the patient with low back pain, and it provides guidance on risk stratification pertaining to laboratory assessment and radiologic imaging in the emergency department. Published guidelines from the American College of Physicians and American Pain Society are reviewed, with emphasis on best evidence for pharmacologic treatments, self-care interventions, and more invasive procedures and surgery in management of low back pain. Utilizing effective and proven strategies will avoid medical errors, provide better care for patients, and help manage healthcare resources and costs.

8 March 2010 Elazığ-Kovancilar (Turkey) Earthquake: observations on ground motions and building damage

USGS Publications Warehouse

Akkar, Sinan; Aldemir, A.; Askan, A.; Bakir, S.; Canbay, E.; Demirel, I.O.; Erberik, M.A.; Gulerce, Z.; Gulkan, Polat; Kalkan, Erol; Prakash, S.; Sandikkaya, M.A.; Sevilgen, V.; Ugurhan, B.; Yenier, E.

2011-01-01

An earthquake of MW = 6.1 occurred in the Elazığ region of eastern Turkey on 8 March 2010 at 02:32:34 UTC. The United States Geological Survey (USGS) reported the epicenter of the earthquake as 38.873°N-39.981°E with a focal depth of 12 km. Forty-two people lost their lives and 137 were injured during the event. The earthquake was reported to be on the left-lateral strike-slip east Anatolian fault (EAF), which is one of the two major active fault systems in Turkey. Teams from the Earthquake Engineering Research Center of the Middle East Technical University (EERC-METU) visited the earthquake area in the aftermath of the mainshock. Their reconnaissance observations were combined with interpretations of recorded ground motions for completeness. This article summarizes observations on building and ground damage in the area and provides a discussion of the recorded motions. No significant observations in terms of geotechnical engineering were made.

27 CFR 9.90 - Willamette Valley.

Code of Federal Regulations, 2010 CFR

2010-04-01

...) “Roseburg,” Location Diagram NL 10-2, 1958 (revised 1970). (c) Boundaries. The Willamette Valley... valleys of Little River, Mosby Creek, Sharps Creek and Lost Creek to the intersection of R1W/R1E and State...

The remnants of restinga habitats in the brazilian Atlantic Forest of Rio de Janeiro state, Brazil: habitat loss and risk of disappearance.

PubMed

Rocha, C F D; Bergallo, H G; Van Sluys, M; Alves, M A S; Jamel, C E

2007-05-01

"Restingas" (herbaceous/shrubby coastal sand-dune habitats) used to cover most of Rio de Janeiro State coast, and have suffered extensive degradation over the last five centuries. Using satellite images and field work, we identified the remaining restingas in the State, recording the factors that might cause their degradation. We used two mosaics of Landsat 7 scenes (spatial resolution 15 and 30 m) to map and evaluate preliminarly the remaining areas and conservation status. Each remnant area was checked in the field, degraded areas within it were mapped and subtracted from the remnants. We identified 21 restinga remnants totalling 105,285 ha. The largest and smallest restinga remnants were Jurubatiba (25,141 ha) and Itaipu (23 ha), respectively. We identified 14 causes of degradation. The most important were vegetation removal for housing developments, establishment of exotic plant species, change of original substrate, and selective removal of species of economic importance for the horticultural industry. All restingas had disturbed parts under strong pressure due to human activities. Due to intense habitat loss, and occurrence of endemic/threatened vertebrate species in restinga habitats, we strongly indicate the implementation of new conservation units to protect these fragile remnants. This habitat is steadily decreasing and most remnants lack legal protection. Therefore, under the current human pressure most of this unique habitat is likely to be lost from the State within the next few years.

Fiscal and Policy Implications of Selling Pipe Tobacco for Roll-Your-Own Cigarettes in the United States

PubMed Central

Morris, Daniel S.; Tynan, Michael A.

2012-01-01

Background The Federal excise tax was increased for tobacco products on April 1, 2009. While excise tax rates prior to the increase were the same for roll-your-own (RYO) and pipe tobacco, the tax on pipe tobacco was $21.95 per pound less than the tax on RYO tobacco after the increase. Subsequently, tobacco manufacturers began labeling loose tobacco as pipe tobacco and marketing these products to RYO consumers at a lower price. Retailers refer to these products as “dual purpose" or “dual use" pipe tobacco. Methods Data on tobacco tax collections comes from the Alcohol and Tobacco Tax and Trade Bureau. Joinpoint software was used to identify changes in sales trends. Estimates were generated for the amount of pipe tobacco sold for RYO use and for Federal and state tax revenue lost through August 2011. Results Approximately 45 million pounds of pipe tobacco has been sold for RYO use from April 2009 to August 2011, lowering state and Federal revenue by over $1.3 billion. Conclusions Marketing pipe tobacco as “dual purpose" and selling it for RYO use provides an opportunity to avoid paying higher cigarette prices. This blunts the public health impact excise tax increases would otherwise have on reducing tobacco use through higher prices. Selling pipe tobacco for RYO use decreases state and Federal revenue and also avoids regulations on flavored tobacco, banned descriptors, prohibitions on shipping, and reporting requirements. PMID:22567159

Iron losses in sweat

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

Brune, M.; Magnusson, B.; Persson, H.

The losses of iron in whole body cell-free sweat were determined in eleven healthy men. A new experimental design was used with a very careful cleaning procedure of the skin and repeated consecutive sampling periods of sweat in a sauna. The purpose was to achieve a steady state of sweat iron losses with minimal influence from iron originating from desquamated cells and iron contaminating the skin. A steady state was reached in the third sauna period (second sweat sampling period). Iron loss was directly related to the volume of sweat lost and amounted to 22.5 micrograms iron/l sweat. The findingsmore » indicate that iron is a physiological constituent of sweat and derived not only from contamination. Present results imply that variations in the amount of sweat lost will have only a marginal effect on the variation in total body iron losses.« less

Cost of tobacco-related diseases, including passive smoking, in Hong Kong.

PubMed

McGhee, S M; Ho, L M; Lapsley, H M; Chau, J; Cheung, W L; Ho, S Y; Pow, M; Lam, T H; Hedley, A J

2006-04-01

Costs of tobacco-related disease can be useful evidence to support tobacco control. In Hong Kong we now have locally derived data on the risks of smoking, including passive smoking. To estimate the health-related costs of tobacco from both active and passive smoking. Using local data, we estimated active and passive smoking-attributable mortality, hospital admissions, outpatient, emergency and general practitioner visits for adults and children, use of nursing homes and domestic help, time lost from work due to illness and premature mortality in the productive years. Morbidity risk data were used where possible but otherwise estimates based on mortality risks were used. Utilisation was valued at unit costs or from survey data. Work time lost was valued at the median wage and an additional costing included a value of USD 1.3 million for a life lost. In the Hong Kong population of 6.5 million in 1998, the annual value of direct medical costs, long term care and productivity loss was USD 532 million for active smoking and USD 156 million for passive smoking; passive smoking accounted for 23% of the total costs. Adding the value of attributable lives lost brought the annual cost to USD 9.4 billion. The health costs of tobacco use are high and represent a net loss to society. Passive smoking increases these costs by at least a quarter. This quantification of the costs of tobacco provides strong motivation for legislative action on smoke-free areas in the Asia Pacific Region and elsewhere.

Changes in the body weight of term infants, born in the tropics, during the first seven days of life.

PubMed

Turner, Claudia; Carrara, Verena; Thien, Naw Aye Mya; Paw, Naw Moo Ku; Rijken, Marcus; McGready, Rose; Nosten, François

2013-06-14

Identifying unwell neonates, particularly in the first week of life, is often subjective. If normal values are known, calculating the weight lost or gained from birth weight can be a useful adjunct in the evaluation of the health of a neonate. Serial body weights of well, term, breast fed infants who were attending for routine follow up, were recorded at the Shoklo Malaria Research Unit clinic in Maela Camp for displaced persons on the Thailand Myanmar border. Newborn examination was routine. Weight loss, expressed as percent weight lost from birth weight, and weight gain, expressed as a velocity (g/kg/day), was calculated for the first seven days of life. The results from normal birth weight infants, low birth weight infants (<2.5 kg) and small for gestational age infants (SGA) were examined. In the first week of life there were no significant differences in weight gained or lost across the three study groups. The maximum weight lost was 4.4% (95% CI 4.1 - 4.6%), which occurred on day three. Weight gain ranged from 13 g/kg/day [95% CI 10 - 16] on day four to 18 g/kg/day [95% CI 15 - 20] on days six and seven. Use of these normal values for weight gain and loss, allows infants falling outside of the expected range (95% CI) to be easily identified and subsequently highlighted as needing further medical review.

Nonmethane hydrocarbons and ozone in three rural southeast United States national parks: A model sensitivity analysis and comparison to measurements

NASA Astrophysics Data System (ADS)

Kang, Daiwen; Aneja, Viney P.; Mathur, Rohit; Ray, John D.

2003-10-01

A detailed modeling analysis is conducted focusing on nonmethane hydrocarbons and ozone in three southeast United States national parks for a 15-day time period (14-29 July 1995) characterized by high O3 surface concentrations. The three national parks are Smoky Mountains National Park (GRSM), Mammoth Cave National Park (MACA), and Shenandoah National Park (SHEN), Big Meadows. A base emission scenario and eight variant predictions are analyzed, and predictions are compared with data observed at the three locations for the same time period. Model-predicted concentrations are higher than observed values for O3 (with a cutoff of 40 ppbv) by 3.0% at GRSM, 19.1% at MACA, and 9.0% at SHEN (mean normalized bias error). They are very similar to observations for overall mean ozone concentrations at GRSM and SHEN. They generally agree (the same order of magnitude) with observed values for lumped paraffin compounds but are an order of magnitude lower for other species (isoprene, ethene, surrogate olefin, surrogate toluene, and surrogate xylene). Model sensitivity analyses here indicate that each location differs in terms of volatile organic compound (VOC) capacity to produce O3, but a maximum VOC capacity point (MVCP) exists at all locations that changes the influence of VOCs on O3 from net production to production suppression. Analysis of individual model processes shows that more than 50% of daytime O3 concentrations at the high-elevation rural locations (GRSM and SHEN) are transported from other areas; local chemistry is the second largest O3 contributor. At the low-elevation location (MACA), about 80% of daytime O3 is produced by local chemistry and 20% is transported from other areas. Local emissions (67-95%) are predominantly responsible for VOCs at all locations, the rest coming from transport. Chemistry processes are responsible for about 50% removal of VOCs for all locations; less than 10% are lost to surface deposition and the rest are exported to other areas. Metrics, such as VOC potential for O3 production (VPOP), which links the chemistry processes of both O3 and VOCs and MVCP, are devised to measure the different characteristics of O3 production and VOCs. The values of the defined metrics are mapped for the entire modeling domain. Implications of this model exercise in understanding O3 production are analyzed and discussed. Even though this study was focused on three United States national parks, the research results and conclusions may be applicable to other or to similar rural environments in the southeast United States.

Maladaptive immune and inflammatory pathways lead to cardiovascular insulin resistance.

PubMed

Aroor, Annayya R; McKarns, Susan; Demarco, Vincent G; Jia, Guanghong; Sowers, James R

2013-11-01

Insulin resistance is a hallmark of obesity, the cardiorenal metabolic syndrome and type 2 diabetes mellitus (T2DM). The progression of insulin resistance increases the risk for cardiovascular disease (CVD). The significance of insulin resistance is underscored by the alarming rise in the prevalence of obesity and its associated comorbidities in the Unites States and worldwide over the last 40-50 years. The incidence of obesity is also on the rise in adolescents. Furthermore, premenopausal women have lower CVD risk compared to men, but this protection is lost in the setting of obesity and insulin resistance. Although systemic and cardiovascular insulin resistance is associated with impaired insulin metabolic signaling and cardiovascular dysfunction, the mechanisms underlying insulin resistance and cardiovascular dysfunction remain poorly understood. Recent studies show that insulin resistance in obesity and diabetes is linked to a metabolic inflammatory response, a state of systemic and tissue specific chronic low grade inflammation. Evidence is also emerging that there is polarization of macrophages and lymphocytes towards a pro-inflammatory phenotype that contributes to progression of insulin resistance in obesity, cardiorenal metabolic syndrome and diabetes. In this review, we provide new insights into factors, such as, the renin-angiotensin-aldosterone system, sympathetic activation and incretin modulators (e.g., DPP-4) and immune responses that mediate this inflammatory state in obesity and other conditions characterized by insulin resistance. © 2013.

The effects of climatic and CO[sub 2] changes on grassland storage of soil carbon

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

Ojima, D.S.; Parton, W.J.; Schimel, D.S.

1993-06-01

We present results from analysis of the sensitivity of global grassland ecosystems to modified climate. We assess over 30 grassland sites from around the world under two different GCM double CO[sub 2] climates. The results indicate that soil C losses occur in Ar grassland regions (losses range from 1.6 to 8.8% of current soil C levels for the surface 20 cm). The Eurasian grasslands lost the greatest amount of soil C ([approximately]700 g C/m[sub 2]) and the other temperate grasslands lost approximately half this amount. The tropical grasslands and savannas lost the least amount of soil C per unit areamore » (ranging from no change to 130 g C/m[sub 2] losses). Plant production varies according to modifications in rainfall amounts under the altered climate and to altered nitrogen mineralization rates. The two GCM's differed in predictions of rainfall with a doubling of CO[sub 2], and this difference is reflected in plant production. Soil decomposition rates responded most predictably to changes in temperature. CO[sub 2] fertilization effects on soil C loss and plant production tended to reduce the net impact of climate alterations.« less

Effect of Wildfire on Sequoiadendron giganteum Growth and CO2 Flux

NASA Astrophysics Data System (ADS)

Barwegen, S.

2016-12-01

Due to global warming, parts of the United States are becoming drier than ever before. In 2015, we surpassed 9 million acres burned by wildfires nationally (Rice 2015). Wildfires are most common in the Western United States due to drought, and the fact that the summer months are drier than other areas such as the East Coast, so there is a higher risk for wildland fires (Donegan 2016). These high-growth forests that are more frequently burned by wildfires each year are located near mountain ranges on the west side of the United States. They are important to tourism, contain many endangered species, and need to maintain the natural cycle of fire and regrowth for the continued success of the native plant life. This project investigated the effect of burnt soil on Sequoiadendron giganteum trees. Three were grown in burnt potting soil that had been roasted over a grill for 45 minutes (which is the average destructive fire time), and the other three were the control group in unburned potting soil. We assessed growth by measuring height, color, photosynthetically active radiation (PAR), and CO2 flux to evaluate the health of the trees in the two soil conditions. We noted that after two weeks the trunks of the trees growing in burnt soil began to brown in color, and they lost leaves. Over the course of the experiment, the trees growing in burnt soil had reduced levels of photosynthesis as compared to the unburned soil (as measured by the net change in CO2 concentration in a sealed chamber over the course of fifteen minutes intervals). On average, the trees growing in burnt soil had flux rates that were 19.59 ppm CO2 /min. more than those growing in unburned soil. In the dark reactions, the burnt soil flux was 54.5 ppm CO2/min., while the unburned soil averaged 40.5 ppm CO2/min. Our results help quantify the impact of fire on delicate ecosystems that are experiencing an increase in fire activity caused by global warming.

Stratigraphy of the cambo-ordovician succession in Illnois

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

Lasemi, Yaghoob; Khorasgani, Zohreh; Leetaru, Hannes

2014-09-30

The Upper Cambrian through Lower Ordovician succession (Sauk II-III sequences) in the Illinois Basin covers the entire state of Illinois and most of the states of Indiana and Kentucky. To determine lateral and vertical lithologic variations of the rocks within the Cambro-Ordovician deposits that could serve as reservoir or seal for CO2 storage, detailed subsurface stratigraphic evaluation of the succession in Illinois was conducted. The Cambro-Ordovician succession in the Illinois Basin consists of mixed carbonate-siliciclastic deposits. Its thickness ranges from nearly 800 feet in the extreme northwest to nearly 8000 feet in the Reelfoot Rift in the extreme southeastern partmore » of the state. In northern and central Illinois, the Cambro-Ordovician rocks are classified as the Cambrian Knox and the Ordovician Prairie du Chien Groups, which consist of alternating dolomite and siliciclastic units. In the southern and deeper part of the Illinois Basin, the Cambro-Ordovician deposits consist chiefly of fine to coarsely crystalline dolomite capped by the Middle Ordovician Everton Formation. Detailed facies analysis indicates that the carbonate units consist mainly of mudstone to grainstone facies (fossiliferous/oolitic limestone and dolomite) with relics of bioclasts, ooids, intraclasts and peloids recording deposition on a shallow marine ramp setting. The dominant lithology of the Knox and the overlying Prairie du Chien Group is fine to coarsely crystalline, dense dolomite. However, porous and permeable vugular or fractured/cavernous dolomite intervals that grade to dense fine to coarsely crystalline dolomite are present within the dolomite units. Several hundred barrels of fluid were lost in some of these porous intervals during drilling, indicating high permeability. The sandstone intervals are porous and permeable and are texturally and compositionally mature. The permeable sandstone and porous dolomite intervals are laterally extensive and could serve as important reservoirs to store natural gas, CO2 or hazardous waste material. Results of this study show that the Cambro-Ordovician Knox Group in the Illinois Basin and adjacent Midwestern regions may be an attractive target for CO2 sequestration because these rocks are 1) laterally extensive, 2) consist of some porous and permeable dolomite and sandstone intervals, and 3) contain abundant impermeable shale and carbonate seals.« less

Map showing spatial and temporal relations of mountain and continental glaciations on the Northern Plains, primarily in northern Montana and northwestern North Dakota

USGS Publications Warehouse

Fullerton, David S.; Colton, Roger B.; Bush, Charles A.; Straub, Arthur W.

2004-01-01

This report is an overview of glacial limits and glacial history on the plains in northern Montana and northeastern North Dakota (long 102?-114?W.) and also in adjacent southern Alberta and Saskatchewan, Canada. In the Rocky Mountains and on the plains adjacent to the mountains in Montana, the map also depicts spatial relations of valley glaciers and piedmont ice lobes to continental ice sheets. Glacial limits east of 102?, in the United States and also in adjacent Canada, are depicted on published maps of the U.S. Geological Survey Quaternary Geologic Atlas of the United States (I-1420) map series. The limits shown here are from data compiled for the Lethbridge, Regina, Yellowstone, and Big Horn Mountains 4? x 6? quadrangles in the Quaternary Geologic Atlas series. This geospatial database has been prepared with a degree of detail appropriate for viewing at a scale of 1:1,000,000. Because of the degree of generalization required, the map is intended for regional analysis, rather than for detailed analysis in specific areas. It depicts the geographic positions of the limits of mountain and continental glaciations and the limits of selected glacial readvances. That information provides a foundation for reconstruction of geologic history and for reconstruction. The base map is simplified. Selected hydrographic features, selected towns and cities, selected physiographic features, and a grid of 1? x 2? topographic quadrangles are included to aid the reader in location of the glacial limits and other features that are depicted here on other maps at different scales. Most of the geologic data were compiled at 1:250,000 scale. The nominal reading scale of the digitized map data is 1:1,000,000. Enlargement will not restore resolution that was lost by simplification or generalization of data. Accompanying illustrations show regional directions of ice movement from Canada into the United States during maximum Illinoian glaciation, during maximum late Wisconsin glaciation, and during a later regional glacial readvance maximum

The Economic Burden of Musculoskeletal Disease in Children and Adolescents in the United States.

PubMed

Rosenfeld, Scott B; Schroeder, Katherine; Watkins-Castillo, Sylvia I

2018-04-01

Musculoskeletal conditions are among the most common and costly conditions suffered by Americans. In 2011, there was an estimated $213 billion in annual cost of direct treatment for and lost wages due to musculoskeletal disease in the United States. Data on economic burden, however, comes mostly from the adult population, with significantly less information regarding the burden of these conditions in young patients available. The purpose of this report is to provide data on the economic burden of musculoskeletal diseases in children and adolescents in the United States. Eleven diagnosis categories were identified, with health care visits and hospitalization data derived from ICD-9-CM codes for each of the conditions searched. The largest database utilized was the Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID). Total visits came from the KID, HCUP NEDS (emergency department), NCHS NHAMCS OP (outpatient), and NCHS NAMCS (physician office) databases. The National Health Interview Survey (NHIS) child sample was additionally searched to obtain patient/parent-reported data. In 2012, more than 19 million children and adolescents received treatment in medical centers, physicians' offices, and hospitals for a musculoskeletal-related condition. The most common reason for treatment (68%) was traumatic injury, followed by a pain syndrome (13%) and deformity (9%). Total hospital charges in 2012 for children and adolescents with a primary musculoskeletal-related diagnosis totaled $7.6 billion. Trauma (43%) and deformity (38%) were the major contributors to total hospital charges. Although we found that hospital-related charges for musculoskeletal diseases for children and adolescents in 2012 totaled $7.6 billion, this number underestimates the total cost for all pediatric musculoskeletal conditions. Musculoskeletal conditions accounted for 5.4% of hospital charges in the pediatric population. However, only 1.4% of pediatric research funding is designated to musculoskeletal research. Going forward, the data in this report may be used to further research and to stimulate development of better methods with which to measure the direct and indirect costs of musculoskeletal conditions in children. Level IV-economic and decision analysis.

Visual Impairment and Blindness in Adults in the United States: Demographic and Geographic Variations From 2015 to 2050.

PubMed

Varma, Rohit; Vajaranant, Thasarat S; Burkemper, Bruce; Wu, Shuang; Torres, Mina; Hsu, Chunyi; Choudhury, Farzana; McKean-Cowdin, Roberta

2016-07-01

The number of individuals with visual impairment (VI) and blindness is increasing in the United States and around the globe as a result of shifting demographics and aging populations. Tracking the number and characteristics of individuals with VI and blindness is especially important given the negative effect of these conditions on physical and mental health. To determine the demographic and geographic variations in VI and blindness in adults in the US population in 2015 and to estimate the projected prevalence through 2050. In this population-based, cross-sectional study, data were pooled from adults 40 years and older from 6 major population-based studies on VI and blindness in the United States. Prevalence of VI and blindness were reported by age, sex, race/ethnicity, and per capita prevalence by state using the US Census projections (January 1, 2015, through December 31, 2050). Prevalence of VI and blindness. In 2015, a total of 1.02 million people were blind, and approximately 3.22 million people in the United States had VI (best-corrected visual acuity in the better-seeing eye), whereas up to 8.2 million people had VI due to uncorrected refractive error. By 2050, the numbers of these conditions are projected to double to approximately 2.01 million people with blindness, 6.95 million people with VI, and 16.4 million with VI due to uncorrected refractive error. The highest numbers of these conditions in 2015 were among non-Hispanic white individuals (2.28 million), women (1.84 million), and older adults (1.61 million), and these groups will remain the most affected through 2050. However, African American individuals experience the highest prevalence of visual impairment and blindness. By 2050, the highest prevalence of VI among minorities will shift from African American individuals (15.2% in 2015 to 16.3% in 2050) to Hispanic individuals (9.9% in 2015 to 20.3% in 2050). From 2015 to 2050, the states projected to have the highest per capita prevalence of VI are Florida (2.56% in 2015 to 3.98% in 2050) and Hawaii (2.35% in 2015 and 3.93% in 2050), and the states projected to have the highest projected per capita prevalence of blindness are Mississippi (0.83% in 2015 to 1.25% in 2050) and Louisiana (0.79% in 2015 to 1.20% in 2050). These data suggest that vision screening for refractive error and early eye disease may reduce or prevent a high proportion of individuals from experiencing unnecessary vision loss and blindness, decrease associated costs to the US economy for medical services and lost productivity, and contribute to better quality of life. Targeted education and screening programs for non-Hispanic white women and minorities should become increasingly important because of the projected growth of these populations and their relative contribution to the overall numbers of these conditions.

Comparing the Ecological Impacts of Wind and Oil & Gas Development: A Landscape Scale Assessment

PubMed Central

Jones, Nathan F.; Pejchar, Liba

2013-01-01

Energy production in the United States is in transition as the demand for clean and domestic power increases. Wind energy offers the benefit of reduced emissions, yet, like oil and natural gas, it also contributes to energy sprawl. We used a diverse set of indicators to quantify the ecological impacts of oil, natural gas, and wind energy development in Colorado and Wyoming. Aerial imagery was supplemented with empirical data to estimate habitat loss, fragmentation, potential for wildlife mortality, susceptibility to invasion, biomass carbon lost, and water resources. To quantify these impacts we digitized the land-use footprint within 375 plots, stratified by energy type. We quantified the change in impacts per unit area and per unit energy produced, compared wind energy to oil and gas, and compared landscapes with and without energy development. We found substantial differences in impacts between energy types for most indicators, although the magnitude and direction of the differences varied. Oil and gas generally resulted in greater impacts per unit area but fewer impacts per unit energy compared with wind. Biologically important and policy-relevant outcomes of this study include: 1) regardless of energy type, underlying land-use matters and development in already disturbed areas resulted in fewer total impacts; 2) the number and source of potential mortality varied between energy types, however, the lack of robust mortality data limits our ability to use this information to estimate and mitigate impacts; and 3) per unit energy produced, oil and gas extraction was less impactful on an annual basis but is likely to have a much larger cumulative footprint than wind energy over time. This rapid evaluation of landscape-scale energy development impacts could be replicated in other regions, and our specific findings can help meet the challenge of balancing land conservation with society’s demand for energy. PMID:24312296

Comparing the ecological impacts of wind and oil & gas development: a landscape scale assessment.

PubMed

Jones, Nathan F; Pejchar, Liba

2013-01-01

Energy production in the United States is in transition as the demand for clean and domestic power increases. Wind energy offers the benefit of reduced emissions, yet, like oil and natural gas, it also contributes to energy sprawl. We used a diverse set of indicators to quantify the ecological impacts of oil, natural gas, and wind energy development in Colorado and Wyoming. Aerial imagery was supplemented with empirical data to estimate habitat loss, fragmentation, potential for wildlife mortality, susceptibility to invasion, biomass carbon lost, and water resources. To quantify these impacts we digitized the land-use footprint within 375 plots, stratified by energy type. We quantified the change in impacts per unit area and per unit energy produced, compared wind energy to oil and gas, and compared landscapes with and without energy development. We found substantial differences in impacts between energy types for most indicators, although the magnitude and direction of the differences varied. Oil and gas generally resulted in greater impacts per unit area but fewer impacts per unit energy compared with wind. Biologically important and policy-relevant outcomes of this study include: 1) regardless of energy type, underlying land-use matters and development in already disturbed areas resulted in fewer total impacts; 2) the number and source of potential mortality varied between energy types, however, the lack of robust mortality data limits our ability to use this information to estimate and mitigate impacts; and 3) per unit energy produced, oil and gas extraction was less impactful on an annual basis but is likely to have a much larger cumulative footprint than wind energy over time. This rapid evaluation of landscape-scale energy development impacts could be replicated in other regions, and our specific findings can help meet the challenge of balancing land conservation with society's demand for energy.

State-level medical and absenteeism cost of asthma in the United States.

PubMed

Nurmagambetov, Tursynbek; Khavjou, Olga; Murphy, Louise; Orenstein, Diane

2017-05-01

For medically treated asthma, we estimated prevalence, medical and absenteeism costs, and projected medical costs from 2015 to 2020 for the entire population and separately for children in the 50 US states and District of Columbia (DC) using the most recently available data. We used multiple data sources, including the Medical Expenditure Panel Survey, U.S. Census Bureau, Kaiser Family Foundation, Medical Statistical Information System, and Current Population Survey. We used a two-part regression model to estimate annual medical costs of asthma and a negative binomial model to estimate annual school and work days missed due to asthma. Per capita medical costs of asthma ranged from $1,860 (Mississippi) to $2,514 (Michigan). Total medical costs of asthma ranged from $60.7 million (Wyoming) to $3.4 billion (California). Medicaid costs ranged from $4.1 million (Wyoming) to $566.8 million (California), Medicare from $5.9 million (DC) to $446.6 million (California), and costs paid by private insurers ranged from $27.2 million (DC) to $1.4 billion (California). Total annual school and work days lost due to asthma ranged from 22.4 thousand (Wyoming) to 1.5 million days (California) and absenteeism costs ranged from $4.4 million (Wyoming) to $345 million (California). Projected increase in medical costs from 2015 to 2020 ranged from 9% (DC) to 34% (Arizona). Medical and absenteeism costs of asthma represent a significant economic burden for states and these costs are expected to rise. Our study results emphasize the urgency for strategies to strengthen state level efforts to prevent and control asthma attacks.

Workforce turnover at local health departments: nature, characteristics, and implications.

PubMed

Newman, Sarah J; Ye, Jiali; Leep, Carolyn J

2014-11-01

Employee turnover, defined as total separations from employment, is expensive, can result in lost capacity, and can limit local health departments' (LHDs') ability to respond to public health needs. Despite the importance of workforce capacity in public health, little is known about workforce turnover in LHDs. To examine the extent to which LHDs experience turnover and identify LHD characteristics that are associated with turnover. A cross-sectional data set of employee turnover and LHD characteristics from the 2013 National Profile of LHDs was analyzed. Descriptive statistics and bivariate analyses were conducted in 2014 on turnover rates. The effect of the following LHD characteristics on turnover rates were examined: population size, governance type, degree of urbanization, top executive experience level, expenditures per capita, and LHD budget cuts. In 2013, LHDs experienced a mean turnover rate of 9.88%; approximately one third of turnover was due to retirements. LHDs with shared state and local governance experienced a higher turnover rate than LHDs with exclusive state or local governance. LHDs that are units of state agencies had a significantly higher retirement rate than those governed by local authorities. Top executive experience level, per capita expenditures, and LHD budget cuts were also related to turnover rates. LHDs experienced a lower overall turnover rate than state health departments in 2011 and lower than all local and state government agencies in 2012. Strengthening leadership skills of new top executives and ensuring adequate funding may reduce turnover in LHDs. Copyright © 2014 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

5. Double crib barn, main floor, 4th room from northeast, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. Double crib barn, main floor, 4th room from northeast, southeast and southwest walls - Wilkins Farm, Barn, South side of Dove Hollow Road, 6000 feet east of State Route 259, Lost City, Hardy County, WV